Form Downloads

** ALL DOCUMENTS MUST BE SUBMITTED TO THE CT CASU OFFICE **
If you have any questions, please contact us.
If you experience any difficulties or problems when using these templates, please e-mail Chuck Carter at Chuck.Carter@psc.hhs.gov with a detailed description of the issue.

Basic Forms (Required by all)

RCA Template [.doc] 06.10.2005
This is a Request for Contract Action document template. This will serve as a coversheet from the customer to CT CASU, and will include a task summary, list of enclosures, and points of contact. Once the applicable information has been included, it should be printed on customer letterhead, and signed by the customer.
SOW Template [.doc] 05.09.2009
This is the comprehensive Statement of Work template. This template has been set up to include all pertinent information relating to the task, including period of performance, key personnel, security requirements, as well as basic information regarding the work to be performed and the labor categories.
IGCE Example [.xls] 02.11.2009
The Independent Government Cost Estimate will show what the expected costs are associated with the procurement. Final version should include a summary page, as well as a tab/sheet for each period of performance and option period, or for each task. Labor categories, labor rates, expected number of hours, and other direct costs (ODC’s) should all be included. The “notes” tab on the template includes information about the calculation of the labor rates.
MIPR Instructions [.pdf] 02.26.2007
It is very important that the MIPR be filled in as per the template so that all necessary information is included. This document includes basic instructions as well as a sample MIPR which can be used as a model.

Competition Documents

Evaluation Document Instructions [.doc] 07.12.2006
Information pertaining to the Evaluation Documents presented below
Evaluation Plan [.doc] 06.15.2006
For any tasks which will be competed on the basis of Best Value Determination, this is a template which may be used to include pertinent requirements. Note that most of the requirements can be copied and pasted directly from the SOW (section 19, for example). Although it will not be used until after the requirement has been posted, it should be completed and sent with the original documents at the initiation of the procurement.
Best Value Document [.doc] 06.19.2006
Similar to below; however, this is a shorter version which may be used by the contracting officers during competition so vendors are aware of how proposals will be evaluated.
Past Performance Questionnaire [.doc] 06.15.2006
Questionnaire to rate past performance of a specific vendor
TEB Scoring Sheet [.doc] 06.15.2006
Example scoring sheet used by the technical evaluation board

Miscellaneous Documents

Army Approval Form [.pdf] 04.19.2006
Army Customers Only – This approval form is a requirement for all Army Customers per the Secretary of the Army’s 23 February 2006 Memorandum [pdf].
COR Nomination & Certificate   01.01.2006
A COR nomination and current COR Certificate will be required for all service contracts. The nomination may be a simple e-mail from the Federal customer to our office.
Contract Security (DD254) [.doc] 10.18.2005
Is a requirement for any task which requires security clearances.
Customer Non-DoD Use Memo [.doc] 04.25.2006
This template is based on the DoD Policy letter dated 29 October 2004 and the DoD Policy Clarification Letter dated 17 June 2005 which addresses “Proper Use of Non-DoD Contracts”. Once this has been filled in, printed on customer letterhead, and signed, it will give the contracting office permission to use non-DoD contracts (such as GSA Schedule contracts). This is a requirement for any procurements exceeding the Simplified Acquisition Threshold ($100k).
Sample Interagency Agreement / Reimbursable Agreement [.pdf] 05.01.2008
This is a sample of a Non-DoD agreement