ANNEX 12 - Waiver Request for Appointing a         Non-DON Employee as a Contracting Officer       In accordance with 5201.603, HCAs or their authorized             designees shall notify DASN(P) of a planned issuance of a contracting officer             appointment and warrant to a non-DON employee, except when a DON activity is designated             HCA for a joint-contracting operation. The notification and/or waiver request must             address the following information:          **I.**                      **Identify Non-DON Employee to be Delegated Contracting Authority**                                                                  a.Name of Nominee (as it                         will appear on the SF 1402, Certificate of Contracting Officer                         Appointment)                                                                     b.Grade/Series or Military                         Rank                                                                     c.Position/Title                                                                     d.Description of Duties                                                                     e.Activity Name/DODAAC                                                                                            **II.**                      **Describe How the Qualifications of the Nominee Meet the Requirements for the                      Recommended Level of Delegation**                                                                  a.Education*                                                                     b.Specialized                         Experience                                                                     c.Relevant Training*                                                                     d.Other Qualifications                            (*e.g.* DAWIA Career Field Certifications, Defense Acquisition Corps                         Membership)*                         **Note: Submit documentation to substantiate credentials/education                            completed.*                                                                                            **III.**                      **Describe Extent of Contracting Authority to be Delegated**                                                                  a.Type of Appointment                            (*e.g*. PCO, ACO, Ordering Officer)                                                                     b.Dollar Threshold                            (*e.g*. Unlimited, Limited to Specific Dollar Value)                                                                     c.Type of                         work/products/services nominee will be authorized to procure or                         administer                                                                     d.Limitations (e.g.                         Contract Type; Competitive or Non-Competitive Actions, etc.)                                                                     e.Appointment Term                                                                                            **IV.**                      **Provide Rationale to Support Delegation of Contracting Authority**                                                                  a.Explain why this                         delegation is necessary and how it results in a more efficient execution and                         administration of the HCAs contracting operations.                                                                     b.Identify the anticipated                         workload to support the type of appointment, including the available                         resources at the Nominee’s Organization.                                                                     c.Describe the internal                         controls that are or will be in place at the Nominee’s Organization and at                         the HCA/delegating office to ensure efficient and effective execution and                         management oversight of delegated authority.