Solicitation/contract form — Manufactured by · DABV01-03-Q-2092

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-2092 b. TELEPHONE NUMBER (Na collect 8. OFFER DUE DATE/ 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 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: DIFB D 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 L176. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER IS CHECKED | SEE ADDENOUM AMOUNT UNIT PRICE QUANTITY UNIT SCHEDULE OF SUPPLES/SERVICES ITEM NO. MICRO SWITCHES - GENUINE REPLACEMENT PARTS - DO NOT SUBSTITUTE EA 0001 25 Micro Switch, manufactured by Yamatake (Japan), Type 25 EA Micro Switch, manufactured by Yamatake (Japan), Type 0002 VCX-5103 H - 4 each contacts, 5 Amps, 250 VAC, (Use Reverse and/or Attach Additiona/ 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 J 29. AWARD OF CONTRACT: REF. 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 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 TO THE TERMS AND CONDITIONS SPECIFIED HEREII 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 rescribed by GSA - FAR (48 CFR) 53.21: Reset PREVIOUS EDITION IS NOT USABLE QUANTITY UNIT AMOUNT SCHEDULE OF SUPPLIES/SERVICES ITEM NO. UNIT PRICE Manufactured by: Yamatake-Europe Phone 32-2-785-07-10 Ms. Genevieve Grognet Assistant Customer Service Tel 32 + (0)2 785.08.93 Fax 32 + (0)2 785.07.11 Yamatake Europe N.V. Bosdellestraat 120/2 B-1933 Zaventem Delivery: DDU (Delivered Duty Unpaid) Baghdad, Iraq via air freight 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: 732d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT 732c. DATE 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 (HEV. 4/2002) BACK Reset