Department of Defense Bus Agreement Number 5Bus Agreement • February 25th, 2020
Contract Type FiledFebruary 25th, 2020COMPANY: TO REPRESENTATIVE AT: PERSON IN CHARGE OF GROUP: PHONE: FOR (INSERT IDENTITY OF GOVERNMENT GROUP): NUMBER OF PASSENGERS REQUESTED ACTUAL BUSES REQUESTED NUMBER / CAPACITY/ BUSES ACTUALLY USED NUMBER / CAPACITY/ FROM: TO: O.W. R.T. GOING LOADING POINT AND EXCEPTIONAL SERVICES REQUESTED REPORT TIME LEAVE DATE LIVE MILES ROUTE DEADHEAD MILES ROUTE RETURN LOADING POINT AND EXCEPTION SERVICES REQUESTED REPORT TIME RETURN DATE ITINERARY DATE TIME 1. LIVE MILES @ $ PER MILE = $ 2. DEADHEAD MILES @ $ PER MILE = $ 3. TIME CHARGES DAYS HOURS = $ 4. SUBTOTAL $ 5. BRIDGE AND TUNNEL TOLLS $ 6. HIGHWAY TOLLS $ 7. OTHER (EXPLAIN) $ 8. SUBTOTAL $ 9. LESS ALLOWANCE WHEN APPLICABLE % OF LINE 4 = $ 0 10. TOTAL = $ 0 (1) Reason for furnishing larger equipment than necessary to handle number of people involved if that is done; (2) Any unusual circumstances or charge which may affect billing for service. Move Request Number (MRN):