7. REQUISITION NUMBER

7. REQUISITION NUMBER PAGE 1 OF SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 5. SOLICITATION NUMBER 3. AWARD/EFFECTIVE 6. SOLICITATION ISSUE 14. ORDER NUMBER 2. CONTRACT NO. DATE DATE 23 Jan 04 DABV01-04-Q-0009 8. OFFER DUE DATE/ b. TELEPHONE NUMBER (Na collect a. NAME LOCAL TIME calls) 7. FOR SOLICITATION MAJOR ELLEN ADAMS INFORMATION CALL: 703-239-9224 30 Jan 04 12. DISCOUNT TERMS 111. DELIVERY FOR 110. THIS ACQUISITON IS 9. ISSUED BY CODE FOB DESTINATION UNLESS BLOCK IS CPA - CONTRACTING ACTIVITY MARKED UNFESTRICTED % FOR I SET ASIDE: REPUBLICAN PRESIDENTIAL COMPOUND ] SMALL BUSINESS • sEE scHEDULE BAGHDAD, IRAQ I HUBZONE SMALL APO AE 09335 BUSINESS 130. ORDER CODER FAS A5 CHE 200) 13b. RATING NAICS: 14. METHOD OF SOLICITATION SIZE STANDARD: _ RFP 16. ADMINISTERED BY 15. DELIVER TO CODE CODE SAME AS BLOCK 9 KIRKUSH MILITARY TRAINING BASE 17a. CONTRACTOR/ CODE 18a. PAYMENT WILL BE MADE BY CODE OFFEROR CMATT C-4 ATTN: SANDY ELLIS REPUBLICAN PRESIDENTIAL COMPOUND BAGHDAD, IRAQ TELEPHONE NO. 186. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW C7176. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER IS CHECKED IT SEE ADDENDUM QUANTITY AMOUNT UNiT UNIT PRICE ITEM NO. SCHEDULE OF SUPPLIES/SERVICES See page 2 and attachments. (Use Reverse and/or Attach Additional Sheets as Necessary) 26. TOTAL AWARD AMOUNT (For Govt. Use Only) 25. ACCOUNTING AND APPROPRIATION DATA A00029-4022-0001 JARE NOT ATTACHED 27. SOLICITATION INCORPORATES BY REFERENCE FAR 62.212-1, 52.212-4, FAR 62.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA _ARE JARE NOT ATTACHED _ARE 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 ELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON AN DDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREI 731a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30a. SIGNATURE OF OFFEROR/CONTRACTOR 30c. DATE SIGNED 731C. DATE SIGNED 30b. NAME AND TITLE OF SIGNER (Type or print) 316. NAME OF CONTRACTING OFFICER (Type or prints ELLEN A. ADAMS, Maj, USAF STANDARD FORM 1449 (REV. 4/2002 AUTHORIZED FOR LOCAL REPRODUCTION Prescribed by GSA - FAR (48 CFR) 53.212 Reset PREVIOUS EDITION IS NOT USABLE QUANTITY AMOUNT ITEM NO. UNIT PRICE UNiT SCHEDULE OF SUPPLIES/SERVICES See Appendix B for terms and conditions 0 0 32a. QUANTITY IN COLUMN 21 HAS BEEN LI ACCEPTED, AND CONFORMS O THE CONTRACT, EXCEPT AS NOTED: • RECEIVED • INSPECTED 732d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT 732c. DATE 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 737. CHECK NUMBER 134. VOUCHER NUMBER 33. SHIP 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