SIGNATURE PAGE

COVER PAGE

SOURCE SELECTION PLAN
FOR
(PROGRAM)

(TITLE OF DIRECTORATE/DIVISION/GROUP)

(Program/Project Office individual who prepared the SSP)

Contracting Officer

NAME:	__________________________	__________________________
POSITION/TITLE:	__________________________	__________________________
OFFICE SYM:	__________________________	__________________________
TELEPHONE:	__________________________	__________________________
DATE SIGNED:	__________________________	__________________________

Note: The signatures shown on this cover page are required on all SSPs, except when an SSAC is not used. Other coordinations may be prescribed by local procedures. You may use the cover sheet or a staff summary sheet to accomplish the coordination(s).

REVIEWED: (SSAC or IAW local procedures)

__________________________

NAME:

__________________________
POSITION/TITLE:

__________________________
OFFICE SYM:

__________________________
DATE SIGNED:

__________________________

RECOMMEND FOR APPROVAL:

__________________________
SSET Chairperson
NAME:

__________________________
POSITION/TITLE:

__________________________
OFFICE SYM:

__________________________
DATE SIGNED:

APPROVED:

__________________________
Source Selection Authority
NAME:

__________________________
POSITION/TITLE:

__________________________
OFFICE SYM:

__________________________
DATE SIGNED:

__________________________