DABV01-04-Q-0046 Uniform

# Sheet1 Page 2 of 16 19. ITEM NO. 20. SCHEDULE OF SUPPLIES/SERVICES 21. QUANTITY 22. UNIT 22. UNIT PRICE 24. TOTAL AMOUNT Item Specification 0001 GLOVES Stab proof gloves w/ flame retardent glove inners, black; SIZES: Small: 240, Medium: 600, Large: 240, X Large: 120 1200 EA 0002 GROIN PROTECTION Athletic Supporter, elastic wasteband; SIZES: Medium: 240, Large: 720, XL: 240 1200 EA 0003 GLOVES Flame Resistant; SIZES: Small: 240, Medium: 600, Large: 240, X Large: 120 1200 EA 0004 GLOVES Disposable Latex gloves; one size fits all, powdered 400 EA 0005 BOOTS Athletic Fit, Lightweight, Leather & Fabric blend designed for Law Enforcement Professionals; Zipper with Velcro Closure; Full Grain and Split Leather Upper; Stitched Outsole; Self-Cleaning Outsole; Moisture Wicking Lining; 9"; SIZES: Size 38: 2, Size 39: 4, Size 40: 36, Size 41: 84, Size 42: 300, Size 43: 420, Size 44: 204, Size 45: 132, Size 46: 12, Size 47: 4, Size 48: 2 1200 EA 0006 COVERALLS Flame retardant coverall: Zipper front, attached hood, boots, w/elastic wrists and ankles; SIZES: Small: 240, Medium: 600, Large: 240, X Large: 120 1200 EA 0007 BELT Duty 3 1/4" assault belt, adjustable 1200 EA 0008 BELT Uniform 1 3/4" rigger belt 1200 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