Technical Exhibit K - Moving Request Service Form.pdf
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- Solicitation number
- W91ZLK-24-R-0024
About this file
This document is a Technical Exhibit K - Moving Request Service Form for a federal contract opportunity. The form is used to request moving or cubicle reconfiguration services from the G4 organization. It requires the proponent to provide details on the requested service, including what needs to be moved and the new location. The G4 lead then completes the form with additional comments, inspection notes, and the completion date. This form is part of the attachments for the Facilities Infrastructure and Logistics Operations Support Services (FI&LOSS) contract opportunity, Solicitation Number W91ZLK-24-R-0024, issued by the Department of the Army Materiel Command Army Contracting Command Aberdeen Proving Ground. The contract will provide facilities, infrastructure, and logistics services at Aberdeen Proving Ground, including facility operations, maintenance, project management, supply operations, and moving and transportation services.
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Text version
G4R#
MOVING SERVICE REQUEST FORM
Revised 3/7/23 Page 1 of 2
INSTRUCTIONS: PROPONENT, PLEASE FILL OUT INFORMATION ON PAGE 1.
TO SUBMIT PLEASE EMAIL TO: usarmy.apg.devcom-cbc.mbx.g4@army.mil
SUBMISSION DATE REQUESTED SERVICE DATE
PROPONENT NAME ORG ☐ CBC-ENG ☐ CBC-R&O ☐ CBC-OOD
CONTACT# DIVISION
BUILDING# ROOM#
CHOOSE FROM OPTIONS LISTED
☐ MOVE REQUEST ☐ CUBICLE RECONFIGURATION
ADDITIONAL COMMENTS:
PROPONENT SIGNATURE:
X
STATEMENT OF WORK: (If Move Request, please list what you need moved and the location you need it moved to) mailto:usarmy.apg.devcom-cbc.mbx.g4@army.mil
G4R#
MOVING SERVICE REQUEST FORM
Revised 3/7/23 Page 2 of 2
INSTRUCTIONS: G4 LEAD, FILL OUT INFORMATION ON PAGE 2
ADDITIONAL COMMENTS:
FINAL INSPECTION NOTES:
COMPLETION DATE:
INSPECTED BY:
SIGNATURE OF COMPLETION:
X
| PROPONENT NAME: |
| CBCENG: Off |
| CBCRO: Off |
| CBCOOD: Off |
| CONTACT: |
| CBCENG CBCRO CBCOODDIVISION: |
| EMAIL: |
| BUILDING: |
| ROOM: |
| MOVE REQUEST: Off |
| CUBICLE RECONFIGURATION: Off |
| STATEMENT OF WORK If Move Request please list what you need moved and the location you need it moved toRow1: |
| STATEMENT OF WORK If Move Request please list what you need moved and the location you need it moved toRow2: |
| STATEMENT OF WORK If Move Request please list what you need moved and the location you need it moved toRow3: |
| STATEMENT OF WORK If Move Request please list what you need moved and the location you need it moved toRow4: |
| STATEMENT OF WORK If Move Request please list what you need moved and the location you need it moved toRow5: |
| STATEMENT OF WORK If Move Request please list what you need moved and the location you need it moved toRow6: |
| ADDITIONAL COMMENTSRow1: |
| ADDITIONAL COMMENTSRow2: |
| ADDITIONAL COMMENTSRow3: |
| ADDITIONAL COMMENTSRow4: |
| ADDITIONAL COMMENTSRow5: |
| ADDITIONAL COMMENTSRow1_2: |
| ADDITIONAL COMMENTSRow2_2: |
| ADDITIONAL COMMENTSRow3_2: |
| ADDITIONAL COMMENTSRow4_2: |
| ADDITIONAL COMMENTSRow5_2: |
| ADDITIONAL COMMENTSRow6: |
| ADDITIONAL COMMENTSRow7: |
| FINAL INSPECTION NOTESRow1: |
| FINAL INSPECTION NOTESRow2: |
| FINAL INSPECTION NOTESRow3: |
| FINAL INSPECTION NOTESRow4: |
| FINAL INSPECTION NOTESRow5: |
| FINAL INSPECTION NOTESRow6: |
| FINAL INSPECTION NOTESRow7: |
| INSPECTED BY: |
| Date1_af_date: |
| Date2_af_date: |
| Text3: |
| G4R#: |
| Text5: |
| Text6: |
| Date7_af_date: |
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