CONTINGENCY DETERMINATION AUTHORIZING USE OF GOVERNMENT PASSENGER CARRIER(S) FOR HOME-TO-WORK TRANSPORTATION PURSUANT TO 41 C.F.R. §102-5

Determination Control No.fLeave Blank)

The Administrator makes the following determination and approval of use under 41 C.F.R. §102-5.

1. The following employee(s) or positions of the General Services Administration (GSA), [insert requesting office titles] are authorized to use Government-owned, -leased, or -controlled passenger carrier(s) [describe type(s) of carrier(s); e.g. motor vehicle(s), airplane, boat] for transportation between his/her/their residence(s) and place(s) of GSA employment if the situation, events, or circumstances described below should be presented or arise:

[Insert name(s) and position title(s) or position title(s)]

2. This authorization is contingent upon the happening of one or more of the following events, situations, or circumstances:

[Describe the event, situation, or circumstances that may arise without warning, making Government transportation use necessary]

3. Use of Government passenger carriers for home-to-work transportation by the above-listed employee(s) or persons occupying such position(s) will substantially increase the efficiency and economy of GSA under the circumstances described, and such use is not for the personal comfort or convenience of the employee(s).

4. This determination and approval shall be effective for a period not to exceed 15 consecutive calendar days, beginning on the first day of the motor vehicle usage, and ending 15 calendar days later, or with the cessation of the event, situation, or circumstance giving rise to the need for carrier use whichever is earlier. Complete if known: The expected commencement date of the motor vehicle use is [insert date, and is expected to terminate on or about [insert date]. This determination may be extended for additional 90-calendar-day periods, via a subsequent written determination by the Administrator if the same circumstances underlying this determination continue in existence. The use of this contingency determination shall be promptly reported to the Office of Administrative Programs and Support (CA).

5. The administrative controls to validate use of this contingency determination are: [list administrative or supervisory methods to ensure valid use of the passenger carrier(s)].

Stephen A. Perry                                                                              Date

  Administrator of General Services Administration