VMware ESL Agreement License Custodian Form

VMware ESL Agreement
License Custodian Form
Agreement #: N66001-16-A-0001
Instructions
•
This form is intended to assure VMware orders are accurately assigned to the appropriate Command/Organization for inventory tracking and
sustainment responsibility.
•
The license custodian named here is responsible for verifying license ownership and certifying responsibility for future sustainment.
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Before submitting ANY order, each customer must complete and submit the attached form with either a Blanket Purchase Agreement (BPA) order
or a Purchase Card order. Other contractual vehicles are discouraged. Further instructions by individual Commands may apply.
•
ALL IT procurements require an APPROVED Navy ITPR# or Marine Corps ITPRAS # and funding # unless evidence of exception is received.
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The Budget Submitting Office (BSO) POC or alternate (see URL below under POC section) must review and approve the assignment of the BSO/
Org prior to order submittal. Carahsoft is not permitted to process an order without this information.
•
Please remember that once both signature blocks have been signed, the form will lock with the exception of Section 6 Vendor Use Only.
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All license orders must be obtained with Navy and Marine Corps funding.
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Please only use organizational emails for the License Custodian Form.
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DON ESLs are for DON use only. Procurements supporting non-DON customers must use a different vehicle, such as DoD ESI (Enterprise
Software Initiative), http://www.esi.mil/
•
A DON contractor may use a DON ESL on behalf of the DON if authorization is obtained from the Contracting Officer.
•
DON policy requires software maintenance be procured with any new licenses and be kept current on all existing licenses.
More information, governance policy, and ordering guide can be found at https://navy.deps.mil/peoeis/sites/pmm110/vmware/default.aspx
Section 1) Customer Ordering Information
Customer name (Last, First, MI)
Phone number
E.g. 111-111-1111 Ext 1111
Date
E.g. MM-DD-YY
Ext.
E-mail
Ordering UIC#
Note: If ordered by a Contractor, attach confirmation of Program Contract Officer Authorization to buy on behalf of the Program.
The Ordering UIC will either be the specific contracting office that you normally use or credit card holder’s UIC, whichever applies.
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Section 2) Product Owner Information
Product Owner/BSO #
Which Program/Department
does this support?
Owner UIC
License Custodian Name (Last,
First, MI)/(Product Owner)
Phone number
E.g. 111-111-1111 Ext 1111
Ext.
E-mail
Secondary Point of Contact
(Last, First, MI)
Phone number
E.g. 111-111-1111 Ext 1111
Ext.
BSO Responsible for sustainment
through June 2019 (Applicable for
ELA Orders Only)
E-mail
*As a rule of thumb, when identifying the product owner, one question you want to answer is “who owns the licenses once the project/contract is
complete?” The answer is usually a good indicator of who will own the licenses.
*For UIC listing and BSO crosswalk, reference Ordering Guide section at https://navy.deps.mil/peoeis/sites/pmm110/vmware/
Section 3) Order Approval Information
ELA Agreement/BPA # N66001-16-A-0001
CLIN/Product Name
Part Number
Version
Quantity
If your order contains more than one line item, please enter details for those line items in the additional fields located on page 3 of this form.
Funding #
(PR# or NWA for SPAWAR)
ITPR #/ITPRAS#
Are any of the products on this procurement
an upgraded version to software you already
own and sustain?
Yes
No
Were non-Navy funds used
to procure this software? If
so, identify
Section 4) Software Downloads
Name of person responsible for
receiving download
permissions (Last, First, MI)
Phone number
E.g. 111-111-1111 Ext 1111
Ext.
E-mail
Note: permissions to be granted by the Owning Command/BSO's Enterprise Software Administrator and NOT by the VMware vendor.
Section 5) Signatures (Mandatory)
Information on BSO Enterprise Software Administrator POC can be found on the PEO/EIS VMware Portal
Program/Org Lead
BSO Enterprise Software
Administrator/POC
Section 6) Vendor Use Only
Custodian Form #
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Section 7) Additional Product Order Information
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
Product Name
Part #
Version
Qty.
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