RECORD OF CONSULTATION REQUEST NO.
PCAS UNDER CONTRACT
(1) Fee Breakdown
, 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.
PDE or Br. Mgr. 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:
FOR ROICC USE.
Submit original to PDE after receipt of final report.
Consultation services requested for the following reason:
(Note: Do not pay A-E for DSGN or EROM)
Consultation Service was:
(Note: Provide justification for UNSAT. MARGINAL, and OUTSTANDING)
FOR PDE USE.
Work has been completed and is acceptable to the Government.
PDE or Br. Mgr Signature