7. REQUISITION NUMBER

7. REQUISITION NUMBER PAGE 1 OF SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 2 Z-00162 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 25OCT2003 DABV01-03-Q-2073 8. OFFER DUE DATE/ b. TELEPHONE NUMBER (Na collect a. NAME calls) LOCAL TIME 7. FOR SOLICITATION Barbara Heald INFORMATION CALL: 914-360-5599 8NOV2003 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 I HUBZONE SMALL Baghdad, Iraq BUSINESS 130. DES CODER DAS A5CTE 2001 APO AE 09335 "8A) 13b. RATING NAICS: 14. METHOD OF SOLICITATION SIZE STANDARD: [ RFP DIFB IX/ RFO 16. ADMINISTERED BY 15. DELIVER TO CODE CODE Baghdad, Iraq Same as Block 9 77a. CONTRACTORT CODE 18a. PAYMENT WILL BE MADE BY CODE OFFEROR TELEPHONE NO. 186. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW [176. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN IS CHECKED | SEE ADDENOUM AMOUNT UNIT PRICE QUANTITY UNIT SCHEDULE OF SUPPLES/SERVICES ITEM NO. COMBUSTION TURBINE PARTS - GENUINE REPLACEMENT PARTS - DO NOT SUBSTITUTE 4 EA 0001 226A1261P011 PRESSURE TRANSDUCER 96 FG. MODEL PT199B-1.75C, RANGE 0-175 PSIG. DYNISCO MFG 4 EA 0002 SPEEDTRONIC CIRCUIT BOARD IC 360 LIBB (Use Reverse and/or Attach Additional Sheets as Necessary) 25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only) X ARE NOT ATTACHED 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 62.212-1, 52.212-4. FAR 62.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA _ARE X ARE NOT ATTACHED 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA JARE 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 (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS: 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. 4/200 AUTHORIZED FOR LOCAL REPRODUCTION rescribed by GSA - FAR (48 CFR) 53.21: Reset PREVIOUS EDITION IS NOT USABLE QUANTITY AMOUNT UNIT UNI? PRICE ITEM' NO. SCHEDULE OF SUPPIES/SERVICES 4 0003 EA SPEEDTRONIC CIRCUIT BOARD IC 3600 SOSG Delivery: DDU (Delivered Duty Unpaid) via air freight to MOE Warehouse, Baghdad, Iraq (specific instructions will be issued at time of award). 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 • INSPECTED L 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 324. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE 32e. MAILING ADDRESS OF AUTHORIZED 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 (REV. 4/2002) BACK Reset