Solicitation/contract form — DABV01-03-Q-0102

7. REQUISITION NUMBER PAGE 1 OF SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 2 A0002932590036 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 3. AWARD/EFFECTIVE 6. SOLICITATION ISSUE 5. SOLICITATION NUMBER 14. ORDER NUMBER 2. CONTRACT NO. DATE DATE 10/25/2003 DABV01-03-Q-0102 8. OFFER DUE DATEI b. TELEPHONE NUMBER (Na collect a. NAME LOCAL TIME calls) 7. FOR SOLICITATION INFORMATION CALL: MAJOR SHARON ORLANDO 781-280-6382 10/25/03 5:00pm 12. DISCOUNT TERMS 110. THIS ACQUISITON IS 111. DELIVERY FOR 9. ISSUED BY CODE FOB DESTINATION UNLESS BLOCK IS CPA - CONTRACTING ACTIVITY I UNRESTICTED MARKED % FOR I SET ASIDE: REPUBLICAN PRESIDENTIAL COMPOUND ] SMALL BUSINESS • SEE SCHEDULE | BAGHDAD, IRAG I HUBZONE SMALL APO AE 09335 BUSINESS 130. ODER CODER FAS A5 0TE 200) L8IA) 13b. RATING NAICS: 14. METHOD OF SOLICITATION SIZE STANDARD: Dl IFB _ RFP II RFO 16. ADMINISTERED BY 15. DELIVER TO CODE CODE KIRKUSH MILITARY TRAINING BASE SAME AS BLOCK 9 KIRKUSH, IRAQ 17a. CONTRACTOR/ CODE 18a. PAYMENT WILL BE MADE BY CODE OFFEROR CMATT C-4 ATTN: S. ELLIS REPUBLICAN PRESIDENTIAL PALACE 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 | SEE ADDENOUM AMOUNT UNIT PRICE QUANTITY UNIT SCHEDULE OF SUPPLES/SERVICES ITEM NO. 0001 Public Addressing System 2 ea 0001AA Indoor (see attachment for description) 2 ea 0001AB Outdoor (see attachment for description) (Use Reverse and/or Attach Additional Sheets as Necessary) 25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only) JARE 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 JARE NOT ATTACHED _ARE 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 ELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON AN DDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN 731a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30a. SIGNATURE OF OFFEROR/CONTRACTOR 30c. DATE SIGNED 316. NAME OF CONTRACTING OFFICER (Type or print) T31c. DATE SIGNED 30b. NAME AND TITLE OF SIGNER (Type or print) SHARON F. ORLANDO, Maj, USAF STANDARD FORM 1449 (REV. 4/2002 AUTHORIZED FOR LOCAL REPRODUCTION Prescribed by GSA - FAR (48 CFR) 53.21 Reset PREVIOUS EDITION IS NOT USABLE UNIT PRICE ITEM NO. QUANTITY UNiT AMOUNT SCHEDULE OF SUPPLES/SERVICES 0002 OPTION - Public Addressing System To be exercised at the discretion of the contracting officer. Place and date of delivery will be identified at 3 ea 0002AA Indoor (same as item 0001AA) 3 ea 0002AB Outdoor (same as item 0001AB) 1 lo 0003 Shipping charges by land or sea for items 0001AA, 0001AB 1 lo 0004 OPTION - Shipping charges by land or sea for items 0002AA, 0002AB See Attachment 1 for Description. See Appendix B for Terms and Conditions. 32a. QUANTITY IN COLUMN 21 HAS BEEN • INSPECTED • RECEIVED [ 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 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