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 RECORD OF CONSULTATION REQUEST NO.
PCAS UNDER CONTRACT
Subj:
Ref: (a)
(1) Fee Breakdown
Encl:
, enclosure (1).
Per reference (a), for the firm fixed price of $
consultation services shall be provided:
The firm fixed price amount agreed upon will not be adjusted upward or downward to
the actual effort expended to accomplish the work identified above.
Date
PDE or Br. Mgr. Signature
Date
A-E Signature
FOR A-E USE, Submit copy with request for payment and submit original
to the ROICC
Name/Title of A-E Representative:
Date of OICC/ROICC out-brief:
Date of OICC/ROICC in-brief:
Date final report submitted:
Date draft report submitted:
Date
A-E Signature
FOR ROICC USE.
Submit original to PDE after receipt of final report.
Consultation services requested for the following reason:
UNFO
SCPE
EROM
DSGN
CRIT
PLAN
CREQ
(Note: Do not pay A-E for DSGN or EROM)
Consultation Service was:
Unsat
Sat
Outstanding
Marginal
Highly Sat
(Note: Provide justification for UNSAT. MARGINAL, and OUTSTANDING)
ROICC Signature
Date
FOR PDE USE.
Work has been completed and is acceptable to the Government.
Date
PDE or Br. Mgr Signature
copy to:
A-E/PDE/ROICC
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