7. REQUISITION NUMBER

PAGE 1 OF 7. REQUISITION NUMBER SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 2 Z-00291 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 DABV01-03-Q-2178 10NOV2003 b. TELEPHONE NUMBER (Na collect 8. OFFER DUE DATE/ a. NAME calls) LOCAL TIME 7. FOR SOLICITATION Barbara Heald INFORMATION CALL: 914-360-5599 17NOV2003 17:00 12. DISCOUNT TERMS 110. THIS ACQUISITON IS 111. DELIVERY FOR 9. ISSUED BY CODE FOB DESTINATION UNLESS BLOCK IS MARKED I UNESTRICTED I SET 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 CODE 18a. PAYMENT WILL BE MADE BY CODE T7S. COMEROCTORT 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 OFFER IS CHECKED | SEE ADDENOUM UNIT AMOUNT QUANTITY ITEM NO. UNIT PRICE SCHEDULE OF SUPPLES/SERVICES GATE VALVES Gate Valve - 300mm (12") Carbon Steel per ASTM EA 12 0001 A105, ASME Class 1500, Sch. 160, Flexible Wedge, Renewable seat, Buttweld end, ASME B16.25, Reduced Port, ASME B16.34, OS&Y, Pressure seal bonnet, HF stellite 6 disc/wedge & seat, 13Cr stem/hinge pin per ASME B1610. Der operater, Texible raphie packing:) 26. TOTAL AWARD AMOUNT (For Govt. Use Only) 25. ACCOUNTING AND APPROPRIATION DATA X ARE NOT ATTACHED 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 62.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA _ARE X ARE NOT ATTACHED 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA JARE 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 _ . YOUR OFFER ON SOLICITATION DATED - (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS: 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. 4/200 AUTHORIZED FOR LOCAL REPRODUCTION Prescribed by GSA - FAR (48 CFR) 53.21 Reset PREVIOUS EDITION IS NOT USABLE QUANTITY AMOUNT UNIT UNIT PRICE SCHEDULE OF SUPPLIES/SERVICES ITEM NO. (Line Item 0001 - continued) inhibitor, Bolts per A193-B7/A 194-2H, Marked per MSS SP 25, Alkyd oil coated. Drawings of actual valve with actuator and material specified to be submitted with bid for evaluation. Delivery of 6 valves extremely critical, required no later than 1 DEC 2003 Delivery: DDU (Delivered Duty Unpaid) via air freight to MOE Warehouse, Baghdad, Iraq Instructions: 1. All shipments shall be marked "HARTHA PLANT", "Iraq Reconstruction Program" and "Shipment in Transit for Humanitarian Purposes". 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 134. VOUCHER NUMBER 33. SHIP NUMBER 737. CHECK NUMBER 35. AMOUNT VERIFIED 36. PAYMENT CORRECT FOR _FINAL I COMPLETE [ PARTIAL PARTIAL FINA 38. S/R ACCOUNT NUMBER 39. S/A VOUCHER NUMBEI 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