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DARS APPENDIX H

APPENDIX H

(Revised SEPTEMBER 2007, DISA AC 03-18)

SAMPLE FORM 9, JUSTIFICATION FOR OTHER THAN FULL AND OPEN COMPETITION (OTFAOC)

SUMMARY SHEET

SUSPENSE DATE:      

 

TO

ACTION

TYPED NAME

INIT

DATE

 

TO

ACTION

TYPED NAME

INIT

DATE

1.

HCO

Concur

(Insert name)

   

11.

     

     

     

   

     

2.

GC

Concur

(Insert name)

   

12.

     

     

     

   

     

3.

PACA

Concur

(Insert name)

   

13.

     

     

     

   

     

4.

ACA

Concur

(Insert name)

   

14.

     

     

     

   

     

5.

HCA

Concur

(Insert name)

   

15.

     

     

     

   

     

6.

SPE

Approve

(Insert name)

   

16.

     

     

     

   

     

7.

         

17.

     

     

     

   

     

8.


   

   

     

18.

     

     

     

   

     

9.

     

     

 

   

     

19.

     

     

     

   

     

10.

     

     

 

   

     

20.

     

     

     

   

     

ACTION OFFICER

Contract Specialist/Contracting Officer

OPR CODE

PLXX

PHONE NUMBER

SIGNATURE:

DATE

SUBJECT: Request for Review and Approval of Justification for Other Than Full and Open Competition (OTFAOC)

1. PURPOSE: To obtain approval of the attached Justification for OTFAOC

2. ESSENTIAL CONSIDERATIONS:

1. Supplies and/or Services to be Acquired

2. Contract Method to be Utilized to Acquire Supplies and/or Services

3. Contractor Able to Provide Supplies and/or Services

4. Basis for OTFAOC, (include statutory authority)

5. Period of Performance (including all option periods)

6. Total Estimate Life-Cycle Cost/Charges

7. Approving Official for Justification for OTFAOC. Senior Procurement Executive (SPE) or other as appropriate.

3. ALTERNATIVES:

Recommendation 1: Approve the Justification for OTFAOC, or

Recommendation 2: Reject the Justification for OTFAOC and accomplish the procurement using full and open competition

4. RECOMMENDATION

Recommendation 1: Approve the Justification for OTFAOC

Enclosure(s):

TAB A: Justification for OTFAOC

    TAB X: Other documents as necessary

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