النص مستخرج آلياً من صورة الوثيقة أو من ملف قديم، وقد يحتوي أخطاء في بعض الكلمات أو ترتيب الأسطر. الملف الأصلي هو المرجع.
PAGE 1 OF
7. REQUISITION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
2
Z-00143
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
30OCT2003
DABV01-03-Q-2105
b. TELEPHONE NUMBER (Na collect
8. OFFER DUE DATE/
a. NAME
calls)
7. FOR SOLICITATION
LOCAL TIME
Barbara Heald
INFORMATION CALL:
914-360-5599
12NOV2003 17:00
12. DISCOUNT TERMS
110. THIS ACQUISITON IS
111. DELIVERY FOR
9. ISSUED BY
CODE
FOB DESTINATION
UNLESS BLOCK IS
MARKED
UNTESTRICTED
ISET ASIDE:
% FOR
CPA-Contracting Activity
SMALL BUSINESS
• SEE SCHEDULE |
Republican Presidential Compound I HUBZONE SMALL Baghdad, Irag BUSINESS
130. ODER CODER FAS A5 0TE 200)
APO AE 09335
13b. RATING
NAICS:
14. METHOD OF SOLICITATION
SIZE STANDARD:
DIFB
[ RFP
IX/ RFO
16. ADMINISTERED BY
15. DELIVER TO
CODE
CODE
MOE Warehouse
Same as Block 9
Baghdad, Iraq
17a. CONTRACTOR/ CODE
18a. PAYMENT WILL BE MADE BY CODE OFFEROF TELEPHONE NO.
186. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW [176. OHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN IS CHECKED SEE ADDENDUM QUANTITY UNIT AMOUNT UNIT PRICE ITEM NO.
SCHEDULE OF SUPPLES/SERVICES
AMBERLITE RESINS
LI
0001
36000
Amberlite (C100) strongly acid cation resin LI 0002 25000 Amberlite (A200) strongly basic anion resin LI 25000 0003 Amberlite (A100) weakly basic anion resin (Use Reverse and/or Attach Additional 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
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 Prescribed by GSA - FAR (48 CFR) 53.21 Reset PREVIOUS EDITION IS NOT USABLE
AMOUNT
UNIT
UNIT PRICE
QUANTITY
SCHEDULE OF SUPPIES/SERVICES
ITEM NO.
6000
LI
0004
Amberlite (H.M.B.C100) strongly cation resin 0005 LI 6000 Amberlite (H.M.B.A) strongly basic anion resin Terms of Sale: CIF (Cost, Insurance, Freight) via ground transportation to Baghdad, Iraq Delivery: MOE Warehouse, Baghdad, Iraq Instructions:
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:
732c. DATE
732d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT 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 (REV. 4/2002) BACK Reset