ATTACHMENT A FHWA CONTRACTING OFFICER WARRANT APPLICATION FORM 1

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FHWA CONTRACTING OFFICER WARRANT APPLICATION FORM

ATTACHMENT A



FHWA CONTRACTING OFFICER WARRANT APPLICATION FORM



1. Applicant Information:

  1. Name of Appointee (Last, First, Middle):      

  2. Office Code:    

  3. Position Title:      

  4. Civilian Series and Grade:      

  5. Number of years experience in Government Contracting:      

  6. Acquisition Career Field (e.g., contracting, program management):   

ATTACHMENT A FHWA CONTRACTING OFFICER WARRANT APPLICATION FORM 1

2. Type of Request


a. Initial Request. Check box to identify the authority requested:


Warrant Level I (SAP)

(Up to $100,000 under FAR Part 8) (desired dollar limit) $  

(Up to $25,000 under FAR Part 13) (desired dollar limit) $  


Warrant Level I

(Up to $100,000) (desired dollar limit) $     

(Up to $25,000 under FAR Part 13) (desired dollar limit) $  


Warrant Level II (SAP)

(Up to $500,000 under FAR Part 8) (desired dollar limit) $  

(Up to $100,000 under FAR Part 13) (desired dollar limit) $  


Warrant Level II

(Up to $500,000) (desired dollar limit) $  


Warrant Level II (a)

(Up to $50,000,000 under FAR Part 36) (desired dollar limit) $  


Warrant Level III

(Unlimited) (desired dollar limit) $  


Providing additional authority to approve and execute Grants, Cooperative Agreements and Other Transactions within designated warrant level above.


Other Authority/Limitations:      ________________________  


 _________________________________________     



b. Change in Warrant Level and/or Dollar Limit:

From Level___ $  To Level___$ ___ ___


c. Contracting Officer Primary Warrant Type:


Procuring Contracting Officer (PCO)

Administrative Contracting Officer (ACO).

Warrant Authority covers PCO and ACO functions


d. Termination of Warrant, effective date (dd-mmm-yyyy):      

Reason for termination:




ATTACHMENT A FHWA CONTRACTING OFFICER WARRANT APPLICATION FORM 1

3. Provide a brief explanation why a warrant is required for the applicant:





ATTACHMENT A FHWA CONTRACTING OFFICER WARRANT APPLICATION FORM 1

4. Applicant’s qualifications to be a Contracting Officer:


  1. Meet educational and experience qualification requirements for current grade (check all that apply):


Successfully completed all mandatory contracting courses or equivalents for current grade,


Has the required experience for a contracting position,


Have received a Baccalaureate degree from an accredited educational institution,


and/or


Completed at least 24 semester credit hours, or equivalent study from an accredited educational institution in any of the following disciplines: accounting, business finance, law, contracts, purchasing, economics, industrial management, marketing, quantitative methods, and organization and management; and


Held a civilian position in the GS-1102 occupational series on January 1, 2000.


  1. Meet Federal Acquisition Certification in Contracting (FAC-C) requirements


Certified at an appropriate level to support warrant obligations

Highest Achieved Certification Level (i.e., Level II)      

  1. Waiver


The Senior Procurement Executive approved the Contracting Officer Warrant Waiver Request dated       on       .


ATTACHMENT A FHWA CONTRACTING OFFICER WARRANT APPLICATION FORM 1

5. Prior Warrant(s) Held


None


Yes. Check appropriate boxes and include obligation limit.


Obligation Limit: Date: Agency_

Procuring Contracting Officer $                

Administrative Contracting Officer $                

Terminating Contracting Officer $                

Grants Officer $                   

Warrant other than those above $                  



6. SIGNATURES


Supervisor Endorsement: I recommend the above named individual be appointed as a Contracting Officer to enter into, administer and/or terminate contracts, and to make related determinations and findings. I certify the above named individual posses the qualifications as cited in FAR 1.603-2 and TAM 1201.603-2 as supported by attached documentation.


________________________________________________ __________________

Supervisor Signature/Office Date


________________________________________________ __________________

Office Head Date


________________________________________________ __________________

Chief of the Contracting Office Date




Date Warrant Issued_______________ Warrant Number________________


Warrant Amount _________________




Date Warrant Termination Approved ___________________


FHWA COAPP (NEW 06/20/2008) Page 3 of 3


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