COORDINATION AND APPROVAL DOCUMENT
(also known as Justification Review Document)

Contracting Activity:___________________________________
Purchase Request/Local Identification Number: ______________________________________________
Project/Program Name (and Program Element, if applicable): __________________________________________________________________________
Estimated Contract Cost (including options): $________________________
Type Program: ________________________(PEO Program, DAO Program, or Other Contracting)
Authority: 10 U.S.C. 2304(c)(____),  as implemented by FAR 6.302-____
Type J&A:  __________________(Class or Individual)

Contracting Officer:

______________________________________________________________

_____________

(All)

(Name)

(Office Symbol)

Date Signed

DSN: XXX-XXXX, COM: (XXX) XXX-XXXX

Project Lead / Program Manager:

______________________________________________________________

_____________

(All)

(Name)

(Office Symbol)

Date Signed

DSN: XXX-XXXX, COM: (XXX) XXX-XXXX

Local Legal

Reviewer:

______________________________________________________________

_____________

(Name)

(Office Symbol)

Date Signed

DSN: XXX-XXXX, COM: (XXX) XXX-XXXX

Chief of the

Contracting Office:

______________________________________________________________

_____________

(>$650K)

(Name)

(Office Symbol)

Date Signed

DSN: XXX-XXXX, COM: (XXX) XXX-XXXX

Competition

Advocate:

______________________________________________________________

_____________

(> $650K)

(Name)

(Office Symbol)

Date Signed

DSN: XXX-XXXX, COM: (XXX) XXX-XXXX

Senior Contracting

Official:

______________________________________________________________

_____________

(> $12.5M)

(Name)

(Office Symbol)

Date Signed

DSN: XXX-XXXX, COM: (XXX) XXX-XXXX

PEO/DAO/

Commander:

______________________________________________________________

_____________

(Requirements

(Name)

(Office Symbol)

Date Signed

Cognizance)

DSN: XXX-XXXX, COM: (XXX) XXX-XXXX

(> $12.5M)

Deputy Assistant

Secretary

(Contracting):

_____________________________________________________________________________

(>$85.5M)

(Name)

(Office Symbol)

Date Signed

DSN: XXX-XXXX, COM: (XXX)XXX-XXXX

Senior Procurement

Executive:

______________________________________________________________

_____________

(> $85.5M)

(Name)

(Office Symbol)

Date Signed

DSN: XXX-XXXX, COM: (XXX) XXX-XXXX