النص مستخرج آلياً من صورة الوثيقة أو من ملف قديم، وقد يحتوي أخطاء في بعض الكلمات أو ترتيب الأسطر. الملف الأصلي هو المرجع.
PAGE 1 OF
7. REQUISITION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
5. SOLICITATION NUMBER
6. SOLICITATION ISSUE
2. CONTRACT NO.
3. AWARD/EFFECTIVE 14. ORDER NUMBER
DATE
DATE
27OCT2003
DABV01-03-Q-2049
b. TELEPHONE NUMBER (Na collect
8. OFFER DUE DATE/
a. NAME
calls)
LOCAL TIME
7. FOR SOLICITATION
Barbara Heald
INFORMATION CALL:
914-360-5599
5NOV2003 17:00
12. DISCOUNT TERMS
110. THIS ACQUISITON IS
111. DELIVERY FOR
9. ISSUED BY
CODE
FOB DESTINATION
UNLESS BLOCK IS
MARKED
UNTESTRICTED
% FOR
IsET ASIDE:
CPA-Contracting Activity
SMALL BUSINESS
• SEE SCHEDULE |
Republican Presidential Compound JHUBZONE SMALL Baghdad, Iraq BUSINESS
130. DES CODER DAS A5CTE 2001
APO AE 09335
[8(A)
13b. RATING
NAICS:
14. METHOD OF SOLICITATION
SIZE STANDARD:
[ RFP
[X1 RFO
16. ADMINISTERED BY
15. DELIVER TO
CODE
CODE
Baghdad, Iraq
Same as Block 9
T7a. CONTRACTORT CODE
18a. PAYMENT WILL BE MADE BY CODE OFFEROR FOLTEL TELEPHONE NO.
186. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW [7176. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER IS CHECKED SEE ADDENDUM UNIT AMOUNT UNIT PRICE QUANTITY SCHEDULE OF SUPPLES/SERVICES ITEM NO.
PILOT EXCITER - GENUINE REPLACEMENT PART
- DO NOT SUBSTITUTE
EA
1
0001
Pilot Exciter for Daura Unit 4 Generator, Ansaldo CЗC1871AA020 400V delta 50 Hz.
80A
(Use Reverse and/or Attach Additional Sheets as Necessary)
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
25. ACCOUNTING AND APPROPRIATION DATA
X ARE NOT ATTACHED
27a, SOLICITATION INCORPORATES BY REFERENCE FAR 2.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA _ARE X ARE NOT ATTACHED JARE
276. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 62.212-4. FAR 62.212-5 IS ATTACHED. ADDENDA
OFFER
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
J 29. AWARD OF CONTRACT: REF.
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
- . YOUR OFFER ON SOLICITATION
ELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON AN
DDITIONAL SHEETS SUBJECT ТО THE TERMS AND CONDITIONS SPECIFIED HEREIN
731a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30a. SIGNATURE OF OFFEROR/CONTRACTOR 30c. DATE SIGNED 731C. DATE SIGNED
316. NAME OF CONTRACTING OFFICER (Type or print) 30b. NAME AND TITLE OF SIGNER (Type or print) STANDARD FORM 1449 (REV. 4/2002 AUTHORIZED FOR LOCAL REPRODUCTION Prescribed by GSA - FAR (48 CFR) 53.21 Reset PREVIOUS EDITION IS NOT USABLE
AMOUNT
UNIT
SCHEDULE OF SUPPLIES/SERVICES
ITEM NO.
QUANTITY
UNIT PRICE
(Line Item 0001 continued) 3000 rpm 1P45 Type 180LZ Mod No. D-75641.C1.F Manufactured by:
Ansaldo
Contact: Giorgio Longo
Email: longo@aen.ansaldo.it Tel: +39-335-6870039 Delivery: CIF (Cost, Insurance, Freight) to Baghdac raq, via ground transportatio Instructions:
1. All shipments shall be marked Iraq Reconstruction Program and "Shipment in Transit for Humanitarian Purposes".
2. The contract number shall be clearly and visibly printed on each package, bundle, pallet and container.
32a. QUANTITY IN COLUMN 21 HAS BEEN
• RECEIVED
C INSPECTED
[ ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
732c. DATE
732d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE REPRESENTATIVE 32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE
324. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
134. VOUCHER NUMBER
33. SHIP NUMBER
737. CHECK NUMBER
35. AMOUNT VERIFIED
36. PAYMENT
CORRECT FOR
_FINAL
I COMPLETE [ PARTIAL
PARTIAL, JFINAL
38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER
40. PAID BY
742a. RECEIVED BY (Print)
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFVING OFFICER 41c. DATE
426. RECEIVED AT (Location) 42c. DATE REC'D (YY/MM/DD) T42d. TOTAL CONTAINERS STANDARD FORM 1449 (HEV. 4/2002) BACK Reset