Solicitation/contract form — Sand Bag, empty. Shall meet specifications listed below · W914NS-04-Q-0145

7. REQUISITION NUMBER PAGE 1 OF SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS N/A OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 6. SOLICITATION ISSUE 5. SOLICITATION NUMBER 2. CONTRACT NO. 3. AWARD/EFFECTIVE 4. ORDER NUMBER DATE DATE 02/13/2004 W914NS-04-Q-0145 8. OFFER DUE DATE/ b. TELEPHONE NUMBER (No collect a. NAME calls) 7. FOR SOLICITATION LOCAL TIME MAJOR TOM FICKLIN INFORMATION CALL: 703-343-9225 28 Feb 04 5:00pm 12. DISCOUNT TERMS 110. THIS ACQUISITON IS 111. DELIVERY FOR 9. ISSUED BY CODE FOB DESTINATION UNLESS BLOCK IS CPA - CONTRACTING ACTIVITY MARKED I SET ASIDE: % FOR REPUBLICAN PRESIDENTIAL COMPOUND ] SMALL BUSINESS • SEE SCHEDULE | BAGHDAD, IRAG I HUBZONE SMALL APO AE 09335 BUSINESS 130. ODER CODER FAS A5 0TE 200) 13b. RATING NAICS: 14. METHOD OF SOLICITATION SIZE STANDARD: _ RFP D iFB [X1 RFO 16. ADMINISTERED BY 15. DELIVER TO CODE CODE L SAME AS BLOCK 9 Delivery shall be either to Kirkush Military Training Base or Taji Airfield Iraq not later than 30 days after order receipt. 17a. CONTRACTOR/ CODE 18a. PAYMENT WILL BE MADE BY CODE OFFEROR DFAS-IN DNO (DAO SEC OF ARMY FIN OPS) ATTN: DFAS-IN-FN 8899 EAST 56th STREET TELEPHONE NO. 186. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW L7176. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN IS CHECKED ] SEE ADDENDUM AMOUNT UNIT UNIT PRICE QUANTITY SCHEDULE OF SUPPLES/SERVICES ITEM NO. Award will be Firm Fixed Price, Indefinite Delivery, Indefinite Quantity (IDIQ) Contract (see FAR 16.504). See Page 2 for Schedule. (Use Reverse and/or Attach Additional Sheets as Necessary) 25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only) TO BE CITED ON INDIVIDUAL ORDERS ARE * 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 62.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA IX ARE NOT ATTACHED LARE TARE NOT ATTACHED 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 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 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) THOMAS D. FICKLIN, Major, 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 AMOUNT UNIT UNIT PRICE SCHEDULE OF SUPPLIES/SERVICES ITEM NO. QUANTITY 0001 3000000 EA Sand Bag, empty. Shall meet specifications listed below in the Schedule. Each sand bag shall nominally be 26" in heighth, 14" in width and provide for a 10" diameter opening for filling. The bags shall be mildew resistant and may be woven or 0 tie string shall be attached to each bag. All bags shall be uniform in color. The bags shall be single wall construction and made of either burlap or polypropylene. 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 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