DABV01-04-Q-0045 Weapon

# Sheet1 Page 2 of 16 19. ITEM NO. 20. SCHEDULE OF SUPPLIES/SERVICES 21. QUANTITY 22. UNIT 22. UNIT PRICE 24. TOTAL AMOUNT 0001 GRENADE Pocket Grenade CS: delivers a cloud of CS (Tear Gas) with a discharge time of approximately 20 seconds; lightweight and compact design 1200 EA 0002 BALL GUN Pepper Ball Gun, SA Hooper hold 250rds 4 speed pods per shooter, Electrical Devices 26x Only recommended for special circumstances, Less than lethal 12gauge 37/40mm, a) Beanbag rounds, b) 40 mm spin stabilized Foam / Sponge round, c) Rubber pellets 32/60 cal, d) Exact impact round 81 EA 0003 GRENADE Slow Burning Continuous Discharge SM (smoke) 81 EA 0004 GRENADE Fast or Quick Burning SM (smoke) 81 EA 0005 GRENADE Slow Burning Continuous Discharge CS (tear gas) 81 EA 0006 GRENADE Pocket Grenades SM (smoke) 81 EA DELIVERY: All items are to be delivered to the Baghdad Public Safety Academy (grid coordinate: MB473 884). 5 day notification prior to delivery is required. 33% of each CLIN is to be delivered within 90 days after contract award. The remaining 66% delivered within 180 days. 32a. QUANTITY IN COLUMN 21 HAS BEEN RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT 32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE 33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED CORRECT FOR 36. PAYMENT 37. CHECK NUMBER COMPLETE PARTIAL FINAL PARTIAL FINAL 38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print) 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE 42b. RECEIVED AT (Location) 42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS STANDARD FORM 1449 (REV. 4/2002) BACK # Sheet2 # Sheet3