1
Exhibit 10.1
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1. THIS CONTRACT IS A RATED ORDER RATING PAGE OF
SOLICITATION, OFFER AND AWARD UNDER DPAS (15 CFR 350) > 1 21 PAGES
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2. CONTRACT NO. 3. SOLICITATION NO. 4. TYPE OF SOLICITATIONS 5. DATE ISSUED 6. REQUISITION/PURCHASE
[ ] SEALED BID (IFB) 11 SEP 98 NO.
N00140-98-D-2139 N00140-98-R-2139 [ ] NEGOTIATED (RFP) MIPRST98891D49
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7. ISSUED BY CODE N00140 8. ADDRESS OFFER TO (If other than Item 7)
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FISC NORFOLK DETACHMENT PHILADELPHIA Same as Block #7
000 XXXXXXX XXXXXX, XXXX. 0X
XXXXXXXXXXXX, XX 00000-0000
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NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".
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SOLICITATION
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9. Sealed offers in original and ___ copies for furnishing the supplies or services in the Schedule will be received at the place
specified in Item 8, or handcarried, in the depository located in ______________ until local time .
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(Hour) (Date)
CAUTION - LATE Submissions, Modifications and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-10. All offers are
subject to all terms and conditions contained in this solicitation.
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10. FOR INFORMATION A. NAME B. TELEPHONE NO. (Include area code) (NO COLLECT CALLS)
CALL: > XXX XXXX DSN 442-9662
CODE 02P2A (000) 000-0000
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11. TABLE OF CONTENTS
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[x] SEC. DESCRIPTION PAGE(S) [x] SEC. DESCRIPTION PAGE(S)
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PART I - THE SCHEDULE PART II - CONTRACT CLAUSES
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X A SOLICITATION/CONTRACT FORM 1 X I CONTRACT CLAUSES 19
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X B SUPPLIES OR SERVICES AND PRICE/COSTS 2 PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS
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X C DESCRIPTION/SPECS./WORK STATEMENT 11 J LIST OF ATTACHMENTS
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X D PACKAGING AND MARKING 12 PART IV - REPRESENTATIONS AND INSTRUCTIONS
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X E INSPECTION AND ACCEPTANCE 12 REPRESENTATIONS, CERTIFICATIONS AND
---------------------------------------------------------- K OTHER STATEMENTS OF OFFERORS
X F DELIVERIES OR PERFORMANCE 12
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X G CONTRACT ADMINISTRATION DATA 13 L INSTRS., CONDS., AND NOTICES TO OFFERORS
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X H SPECIAL CONTRACT REQUIREMENTS 16 M EVALUATION FACTORS FOR AWARD
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OFFER (Must be fully completed by offeror)
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NOTE: Item 12 does not apply if the solicitation includes the provisions at 42.214-16, Minimum Bid Acceptance Period.
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12. In compliance with the above, the undersigned agrees, if this offer is accepted within __ calendar days (60 calendar days unless
a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items
upon which prices are offered at the price shown opposite each item, delivered at the designated point(s), within the time
specified in the schedule.
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13. DISCOUNT FOR PROMPT PAYMENT 10 CALENDAR DAYS 20 CALENDAR DAYS 30 CALENDAR DAYS CALENDAR DAYS
(See Section I, Clause No. 52-232-8) % % 0% --
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14. ACKNOWLEDGEMENT OF AMENDMENTS AMENDMENT NO. DATE AMENDMENT NO. DATE
(The offeror acknowledges receipt -----------------------------------------------------------------------------------------
of amendments to the SOLICITATION
for and related documents -----------------------------------------------------------------------------------------
numbered and dated:
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15A. NAME CODE FACILITY 16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN
AND ---------- ---------- OFFER (Type or print)
ADDRESS XXXXXX.XXX
OF 0000 XXXX XXXXXXX XXXXXX XXXXXXX X. FARGO
OFFEROR XXXXXXXXX, XX 00000 V.P. OF GOVERNMENT SALES
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15B. TELEPHONE NO. (Include area 15C. CHECK IF REMITTANCE ADDRESS 17. SIGNATURE 18. OFFER DATE
code) [ ] IS DIFFERENT FROM ABOVE - ENTER /s/ XXXXXXX X. FARGO 9/10/98
(000) 000-0000 SUCH ADDRESS IN SCHEDULE.
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AWARD (To be completed by Government)
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19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION
--------------------------------------------------------------------------- SEE SECTION H
22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETI- -------------------------------------------------------
TION: 23. SUBMIT INVOICES TO ADDRESS SHOWN IN > ITEM
[ ] 10 U.S.C. 2304 (c)( ) [ ] 41 U.S.C. 253(c)( ) (4 copies unless otherwise specified) SEE SECTION G
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24. ADMINISTERED BY (If other than Item 7) CODE 50507A 25. PAYMENT WILL BE MADE BY CODE
----------- DTAS-COLUMBUS CENTER -----------
DCMAO SAN FRANCISCO DFAS-CO-JWV-VAN NUYS DIVISION
0000 XXXXXXXX XXXXXX X.X. XXX 000000
XXXXXXXXX, XX 00000 XXXXXXXX, XX 00000-0000
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26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA 28. AWARD DATE
J. J. SWIZEWSKI 9/18/98
(Signature of Contracting Officer)
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IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.
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NSN 7540-01-152-8064 STANDARD FORM 33 (REV. 4-85)
PREVIOUS EDITION NOT USABLE Prescribed by XXX
XXX (00 XXX) 53.214(c)
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N00140-98-D-2139 PAGE 2
SECTION B SCHEDULE OF SUPPLIES/SERVICES AND PRICES
LOT I (BASE YEAR)
Unit Total
CLIN Description Qty Unit Price Price
---- ----------- --- ---- ----- -----
0001 Microsoft Office Maintenance 1 Lot $798,250.00 $ 798,250.00
0001AA Microsoft Office Standard 2,000 EA NSP* NSP
License Maintenance
0001AB Microsoft Office Professional 3,375 EA NSP NSP
License Maintenance
0001AB Microsoft Windows 32-bit OS 3,375 EA NSP NSP
License Maintenance
0001AD Microsoft BackOffice Client 5,375 EA NSP NSP
License Maintenance
0002 Microsoft Project License 1,100 EA $ 89.50 $ 98,450.00
Maintenance
0003 Claris FileMaker 2,600 EA $ 51.25 $133,250.00
License Maintenance
0004 Claris FileMaker Pro 10 EA $819.00 $ 8,190.00
Server New Licenses
0005 Claris FileMaker Pro 10 EA $189.00 $ 1,890.00
Server License Maintenance
0006 Reserved
0007 Symantec Norton Utilities 100 EA $ 62.00 $ 6,200.00
New Licenses
0008 Symantec Norton Utilities 200 EA $ 13.40 $ 2,680.00
License Maintenance
0009 Microsoft Window NT ADv 150 EA $114.50 $17,175.00
Server License Maintenance
3
N00140-98-D-2139 PAGE 3
LOT I (BASE YEAR) (Continued)
Unit Total
CLIN Description Qty Unit Price Price
---- ----------- --- ---- ------- -----------
0010 Microsoft NT File and Print 150 EA $ 20.50 $ 3,075.00
Services for Netware
License Maintenance
0011 Quota Advisor New Licenses 150 EA $552.29 $ 82,843.50
0011AA Quota Advisor License 150 EA NSP NSP
Maintenance
0012 Cheyenne ArcServe 6 for 150 EA $ 73.26 $ 10,989.00
NT License Maintenance
0013 Cheyenne Database Agent 29 EA $104.88 $ 3,041.52
For Exchange License
Maintenance
0014 Cheyenne Backup Agent for 31 EA $104.88 $ 3,251.28
SQL License Maintenance
0015 Cheyenne Database Agent for 150 EA $359.00 $ 53,850.00
Open File New Licenses
0016 Cheyenne Backup for Open 150 EA $ 72.00 $ 10,800.00
File License Maintenance
0017 Microsoft BackOffice Server 36 EA $282.50 $ 10,170.00
License Maintenance
0018 MapInfo New Licenses 300 EA $680.00 $204,000.00
0019 MapInfo License Maintenance 600 EA $359.00 $215,400.00
0020 Quarterdeck Procomm Plus 400 EA $ 82.00 $ 32,800.00
New Licenses
0021 Quarterdeck Procomm Plus 700 EA $ 19.75 $ 13,825.00
License Maintenance
0022 Jetform Perform/FormFlow 375 EA $ 40.72 $ 15,270.00
License Upgrade
0023 Jetform Perform/FormFlow 4,375 EA $ 10.50 $ 45,937.50
License Maintenance
0024 WinZip New Licenses 400 EA $ 5.86 $ 2,344.00
0000XX Xxxxxx License Maintenance 400 EA $ NSP $ NSP
* Not Separately Priced
4
N00140-98-D-2139 PAGE 4
SECTION B SCHEDULE OF SUPPLIES/SERVICES AND PRICES
LOT II (OPTION YEAR I)
Unit Total
CLIN Description Qty Unit Price Price
---- ----------- --- ---- ------------- -------------
0025 Microsoft Office Maintenance 1 Lot $1,185,000.00 $1,185,000.00
0025AA Microsoft Office Standard 1,500 EA NSP NSP
License Maintenance
0025AB Microsoft Office Professional 5,000 EA NSP NSP
License Maintenance
0025AC Microsoft Windows 32-bit OS 5,000 EA NSP NSP
License Maintenance
0025AD Microsoft BackOffice Client 6,500 EA NSP NSP
License Maintenance
0026 Microsoft Project License 1,500 EA $ 89.50 $ 134,250.00
Maintenance
0027 Claris Filemaker License 3,200 EA $ 51.25 $ 164,000.00
Maintenance
0028 Claris FileMaker Pro 10 EA $ 189.00 $ 1,890.00
Server License Maintenance
0029 Reserved
0030 Symantec Norton Utilities 200 EA $ 13.40 $ 2,680.00
License Maintenance
0031 Microsoft Windows NT Adv 150 EA $ 114.50 $ 17,175.00
Server License Maintenance
5
N00140-98-D-2139 PAGE 5
LOT II (OPTION YEAR I) (Continued)
Unit Total
CLIN Description Qty Unit Price Price
---- ----------- --- ---- ------- -----------
0032 Microsoft NT File and Print 150 EA $ 20.50 $ 3,075.00
Services for Netware
License Maintenance
0033 Quota Advisor License 150 EA $ 59.29 $ 8,893.50
Maintenance
0034 Cheyenne ArcServe 6 for 150 EA N/A N/A
NT License Maintenance
0035 Cheyenne Database Agent 29 EA N/A N/A
For Exchange License
Maintenance
0036 Cheyenne Database Agent 00 XX X/X X/X
Xxx XXX License Maintenance
0037 Cheyenne Backup for Open 000 XX X/X X/X
License File Maintenance
0038 Microsoft BackOffice Server 36 EA $282.50 $ 10,170.00
License Maintenance
0039 MapInfo License Maintenance 600 EA $371.00 $222,600.00
0040 Quarterdeck Procomm Plus 700 EA $ 24.23 $ 16,961.00
License Maintenance
0041 Jetform Perform/FormFlow 1,125 EA $ 62.12 $ 69,885.00
License Upgrade
0042 Jetform Perform/FormFlow 5,500 EA $ 10.47 $ 57,585.00
License Maintenance
0043 WinZip License Maintenance 400 EA NSP NSP
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N00140-98-D-2139 PAGE 6
SECTION B SCHEDULE OF SUPPLIES/SERVICES AND PRICES
LOT III (OPTION YEAR II)
Unit Total
CLIN Description Qty Unit Price Price
---- ----------- --- ---- ----- -----
0044 Microsoft Office Maintenance 1 Lot $1,534,000.00 $1,534,000.00
0044AA Microsoft Office Standard 200 EA NSP NSP
License Maintenance
0044AA Microsoft Office Professional 6,300 EA NSP NSP
License Maintenance
0044AB Microsoft Windows 32-bit OS 6,300 EA NSP NSP
License Maintenance
0044AC Microsoft BackOffice Client 6,500 EA NSP NSP
License Maintenance
0045 Microsoft Project License 1,500 EA $ 89.50 $ 134,250.00
Maintenance
0046 Claris FileMaker License 3,200 EA $ 67.38 $ 215,616.00
Maintenance
0047 Claris FileMaker Pro 10 EA $ 245.29 $ 2,452.90
Server License Maintenance
0048 Reserved
0049 Symantec Norton Utilities 200 EA $ 13.40 $ 2,680.00
License Maintenance
0050 Microsoft Windows NT Adv 150 EA $ 114.50 $ 17,175.00
Server License Maintenance
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N00140-98-D-2139 PAGE 7
LOT III (OPTION YEAR II) (Continued)
Unit Total
CLIN Description Qty Unit Price Price
---- ----------- --- ---- ----- -----
0051 Microsoft NT File and Print 150 EA $ 20.50 $ 3,075.00
Services for Netware
License Maintenance
0052 Quota Advisor License 150 EA $ 59.29 $ 8,893.50
Maintenance
0053 Cheyenne ArcServe 6 for 150 EA N/A N/A
NT License Maintenance
0054 Cheyenne Database Agent 29 EA N/A N/A
For Exchange License
Maintenance
0055 Cheyenne Backup Agent for 00 XX X/X X/X
XXX License Maintenance
0056 Cheyenne Backup for Open 000 XX X/X X/X
File License Maintenance
0057 Microsoft BackOffice Server 36 EA $282.50 $ 10,170.00
License Maintenance
0058 MapInfo License Maintenance 600 EA $359.00 $215,400.00
0059 Quarterdeck Procomm Plus 700 EA $ 24.23 $ 16,961.00
License Maintenance
0060 Jetform Perform/FormFlow 1,000 EA $ 62.12 $ 62,120.00
License Upgrade
0061 Jetform Perform/FormFlow 6,500 EA $ 10.47 $ 68,055.00
License Maintenance
0062 WinZip License Maintenance 400 EA $ 2.00 $ 800.00
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N00140-98-D-2139 PAGE 8
SECTION B SCHEDULE OF SUPPLIES/SERVICES AND PRICES
LOT IV (OPTION III)
Unit Total
CLIN Description Qty Unit Price Price
---- ----------- ----- ----- ------------- -------------
0063 Microsoft Office Maintenance 1 Lot $1,534,000.00 $1,534,000.00
0063AA Microsoft Office Standard 200 EA NSP NSP
License Maintenance
0063AB Microsoft Office Professional 6,300 EA NSP NSP
License Maintenance
0063AC Microsoft Windows 32-bits/OS 6,300 EA NSP NSP
License Maintenance
0063AD Microsoft BackOffice Client 6,500 EA NSP NSP
License Maintenance
0064 Microsoft Project License 1,500 EA $ 89.50 $134,250.00
Maintenance
0065 Claris FileMaker License 3,200 EA $ 67.16 $214,912.00
Maintenance
0066 Claris FileMaker Pro 10 EA $245.29 $ 2,452.90
Server License Maintenance
0067 Reserved
0068 Symantec Norton Utilities 200 EA $ 13.40 $ 2,680.00
License Maintenance
0069 Microsoft Windows NT Adv 150 EA $114.50 $ 17,175.00
Server License Maintenance
0070 Microsoft NT File and Print 150 EA $ 20.50 $ 3,075.00
Services for Netware
License Maintenance
0071 Quota Advisor License 150 EA $ 59.29 $ 8,893.50
Maintenance
9
N00140-98-D-2139 Page 9
LOT IV (OPTION YEAR III) (Continued)
Unit Total
CLIN Description Qty Unit Price Price
---- ----------- ----- ----- ------------- -------------
0071 Quota Advisor License 150 EA $ 59.29 $ 8,893.50
Maintenance
0072 Cheyenne ArcServe 6 for 150 EA N/A N/A
NT License Maintenance
0073 Cheyenne Database Agent 29 EA N/A N/A
For Exchange License
Maintenance
0074 Cheyenne Backup Agent for 00 XX X/X X/X
XXX License Maintenance
0075 Cheyenne Backup for Open 000 XX X/X X/X
File License Maintenance
0076 Microsoft BackOffice Server 36 EA $282.50 $ 10,170.00
License Maintenance
0077 MapInfo License Maintenance 600 EA $359.00 $215,400.00
0078 Quarterdeck Procomm Plus 700 EA $ 24.23 $ 16,961.00
License Maintenance
0079 Jetform Perform/FormFlow 1,000 EA $ 62.12 $ 62,120.00
License Upgrade
0080 Jetform Perform/FormFlow 6,500 EA $ 10.47 $ 68,055.00
License Maintenance
0081 WinZip License Maintenance 400 EA $ 2.00 $ 800.00
10
N00140-98-D-2139 Page 10
SECTION C DESCRIPTION/SPECIFICATIONS
The software services available under this contract support the National
Imagery and Mapping Agency (NIMA).
All software licenses, upgrades, and new versions must be provided via
electronic software delivery method using encryption approved by the respective
software publishers.
Software maintenance includes "versions upgrades" and "successor or upgrade
products" meaning any "major product upgrade" (e.g. version 1.0 to 2.0), "minor
product upgrade" (e.g., version 2.0 to 2.1) and "maintenance upgrade" (e.g.,
version 2.0 to 2.1), and "maintenance upgrade" (e.g., version 2.01 to 2.01a)
for such products which have been generally available prior to expiration of
the contract. Windows 95 is considered a successor product to Windows 3.1 and
Windows 3.11. Successor or upgrade products do not include any existing or
future product which are not a direct successor to the products such as
extensions, add-on's and accessory products marketed separately from the
product.
Whenever the vendor receives new software or a service release, the vendor shall
ensure the software is virus-free, then make the software electronically
available so that NIMA has access to the software within 12 hours after the
vendor has received the software from the software publisher. Electronic access
shall be provided only to those individuals designated by the Contracting
Officer. The Contractor shall provide a minimum of four master production
CD-ROMs per line item ordered every time the software changes or has a service
release. CD-ROMs shall be delivered to each of the following sites in the
following minimum quantities;
NIMA St. Louis (1 each)
ATTN: Xxxx Xxxxxxxx/MS L-71/SCOD
0000 X. Xxxxxx Xxxxxx
Xx. Xxxxx, XX 00000-0000
NIMA St. Louis (2 each)
ATTN: Xxxx Xxxxxx/MS L-71/SNSS
0000 X. Xxxxxx Xxxxxx
Xx. Xxxxx, XX 00000-0000
NIMA Bethesda (1 each)
ATTN: Xxxx Xxx/MS D-79/SNSS
0000 Xxxxxxxxx Xxxx
Xxxxxxxx, XX 00000-0000
Except as noted below, the Contractor shall deliver at the end of each period of
performance a license confirmation for fully-paid, irrevocable and perpetual
upgrade licenses for the latest upgrades provided during that period of
performance based upon the quantities that have been ordered.
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CLIN 0001 - The government is entitled to use on all covered desktops and
servers all maintenance upgrades as defined in Section C provided during the
base year of performance. At the end of the base year, the Contractor shall
deliver a license confirmation for fully-paid, irrevocable and perpetual
upgrade licenses for 1,950 seats of the latest upgrades provided during the
base year of performance. A seat includes Office Professional, Windows 32-bit
OS and BackOffice Client Access.
CLINs 0002, 0009, 0010 and 0017 - The Government is entitled to use on all
covered desktops and servers all maintenance upgrades as defined in Section C
provided during the base year of performance. At the end of the base year, the
Contractor shall deliver for 50% of the quantities that have been ordered a
license confirmation for fully-paid, irrevocable and perpetual upgrade
licenses for the latest upgrades provided during the base year of performance.
CLIN 0025 - The Government is entitled to use on all covered desktops and
servers all maintenance upgrades as defined in Section C provided during the
base and option year I periods of performance. At the end of option year I, the
Contractor shall deliver a license confirmation for fully-paid, irrevocable and
perpetual upgrade licenses for 3,900 seats of the latest upgrades provided
during the base year and option year I periods of performance. A seat consists
of Office Professional, Windows 32-bit OS and BackOffice Client Access.
CLINs 0026, 0031, 0032 and 0038 - The Government is entitled to use on all
covered desktops and servers all maintenance upgrades as defined in Section C
provided during the base and option year I periods of performance. At the end
of option year I, the Contractor shall deliver for 100% of the quantities that
have been ordered a license confirmation for fully-paid, irrevocable and
perpetual upgrade licenses provided during the base year and option year I
periods of performance.
CLIN 0044 & 0063 - The Government is entitled to use on all covered desktops
and servers all maintenance upgrades as defined in Section C provided through
the Applicable period of performance. At the end of each period of performance,
the Contractor shall deliver a license confirmation for fully-paid, irrevocable
and perpetual upgrade licenses for 6,500 seats of the latest upgrades that have
been provided through that period of performance. A seat consists of Office
Professional, Windows 32-bit OS and BackOffice Client Access.
CLINs 0045, 0050, 0051 and 0057 - The Government is entitled to use on all
covered desktops and servers all maintenance upgrades as defined in Section C
provided during the option year II period of performance. At the end of option
year II, the Contractor shall deliver for 50% of the quantities that have been
ordered a license confirmation for fully-paid, irrevocable and perpetual upgrade
licenses for the latest upgrades provided during the option year II period of
performance.
CLINs 0064, 0069, 0070, 0076 - the Government is entitled to use on all covered
desktops and servers all maintenance upgrades as defined in Section C provided
during the option year II and option year III periods of performance. At the
end of option year III, the Contractor shall deliver for 100% of the quantities
that have been ordered a license confirmation for fully-paid irrevocable and
perpetual upgrade licenses for the latest upgrades provided during the option
year II and option year III periods of performance.
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SECTION D PACKAGING AND MARKING
MARKING OF SHIPMENTS (COMMERCIALLY PACKAGED ITEMS)
Marking shall be in accordance with ASTM D-3951-90 "Standard Practice for
Commercial Packaging."
PREPARATION FOR DELIVERY (COMMERCIALLY PACKAGED ITEMS)
Preservation, packaging and packing shall be in accordance with ASTM D-3951-90,
"Commercial Packaging of Supplies and Equipment."
SECTION E INSPECTION/ACCEPTANCE
The following clause is hereby incorporated into Section E by reference:
52.246-4 Inspection of Services - Fixed Price (AUG 1996)
INSPECTION AND ACCEPTANCE (SERVICES)
Inspection and acceptance of services to be furnished shall be made upon
completion of the services by:
Mr. Xxx Xxxxxxx
National Imagery and Mapping Agency
00000 Xxxxxxx Xxxxxx Xxxxx
Xxxxxx, XX 00000-0000
SECTION F DELIVERIES OR PERFORMANCE
The following clauses are hereby incorporated into section F by reference:
52.242-15 Stop-Work Order (AUG 1989)
52.242-17 Government Delay of Work (APR 1984)
52.247-34 F.O.B. Destination (NOV 1991)
DURATION OF CONTRACT PERIOD
This contract shall become effective on date of award and the ordering and
performance periods shall continue in effect during the period ending 12 months
after date of contract unless terminated in accordance with other provisions
herein. If the option periods are exercise, the ordering and performance
periods shall be extended as follows:
Option I (Lot II) 13 through 24 months after date of award
Option II (Lot III) 25 through 36 months after date of award
Option III (Lot IV) 37 through 48 months after date of award
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PLACE OF DELIVERY
See section C.
TRANSPORTATION OF SUPPLIES BY SEA (DFARS 252.247-7023) (NOV 1995)
(a) Definitions. As used in this clause--
(1) Components means articles, materials, and supplies incorporated directly
into end products at any level of manufacture, fabrication, or assembly by the
Contractor or any subcontractor.
(2) Department of Defense (DoD) means the Army, Navy, Air Force, Marine
Corps, and defense agencies.
(3) Foreign flag vessel means any vessel that is not a U.S.-Flag vessel.
(4) Ocean transportation means any transportation aboard a ship, vessel,
boat, barge, or ferry through international waters.
(5) Subcontractor means a supplier, materialman, distributor, or vendor at
any level below the prime contractor whose contractual obligation to perform
results from, or is conditioned upon, award of the prime contract and who is
performing any part of the work or other requirement of the prime contract.
However, effective May 1, 1996, the term does not include a supplier,
materialman, distributer, or vendor of commercial items or commercial
components.
(6) Supplies means all property, except land and interests in land, that is
clearly identifiable for eventual use by or owned by the DoD at the time of
transportation by sea.
(i) An item is clearly identifiable for eventual use by the DoD if, for
example, the contract documentation contains a reference to a DoD contract
number or a military destination.
(ii) Supplies includes (but is not limited to) public works; buildings
and facilities; ships; floating equipment and vessels of every character, type,
and description, with parts, subassemblies, accessories, and equipment; machine
tools; material; equipment; stores of all kinds; end items; construction
materials; and components of the foregoing.
(7) U.S.-flag vessel means a vessel of the United States or belonging to the
United states, including any vessel registered or having national status under
the laws of the United States.
(b) The Contractor shall employ U.S.-flag vessels in the transportation by sea
of any supplies to be furnished in the performance of this contract. The
Contractor and its subcontractors may request that the Contracting Officer
authorize in foreign-flag vessels, or designate available U.S.-flag vessels, if
the Contractor or a subcontractor believes that--
(1) U.S.-flag vessels are not available for timely shipment;
(2) The freight charges are inordinately excessive or unreasonable; or
(3) Freight charges are higher than charges to private persons for
transportation of like goods.
(c) The Contractor must submit any request for use of other than U.S.-flag
vessels in writing to the Contracting Officer at least 45 days prior to the
sailing date necessary to meet its delivery schedules. The Contracting Officer
will process requests submitted after such date(s) as expeditiously as
possible, but the Contracting Officer's failure to grant approvals to meet the
shipper's sailing date will not of itself constitute a compensable delay under
this or any other clause of this contract. Requests shall contain at a minimum--
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N00140-98-D-2139 Page 14
(1) Type, weight, and cube of cargo;
(2) Required shipping date;
(3) Special handling and discharge requirements;
(4) Loading and discharge points;
(5) Name of shipper and consignee;
(6) Prime contract number; and
(7) A documented description of efforts made to secure U.S.-flag vessels,
including points of contact (with names and telephone numbers) with at least two
U.S.-flag carriers contacted. Copies of telephone notes, telegraphic and
facsimile message or letters will be sufficient for this purpose.
(d) The Contractor shall, within 30 days after each shipment covered by this
clause, provide the Contracting Officer and the Division of National Cargo,
Office of Market Development, Maritime Administration, U.S. Department of
Transportation, Xxxxxxxxxx, XX 00000, one copy of the rated on board vessel
operating carrier's ocean xxxx of lading, which shall contain the following
information--
(1) Prime contract number;
(2) Name of vessel;
(3) Vessel flag of registry;
(4) Date of loading;
(5) Port of loading;
(6) Port of final discharge;
(7) Description of commodity;
(8) Gross weight in pounds and cubic feet if available;
(9) Total ocean freight in U.S. dollars; and
(10) Name of the steamship company.
(e) The Contractor agrees to provide with its final invoice under this contract
a representation that to the best of its knowledge and belief--
(1) No ocean transportation was used in the performance of this contract;
(2) Ocean transportation was used and only U.S.-flag vessels were used
for all ocean shipments under the contract;
(3) Ocean transportation was used, and the Contractor had the written
consent of the Contracting Officer for all non-U.S.-flag ocean transportation;
or
(4) Ocean transportation was used and some or all of the shipments were
made on non-U.S.-flag vessels without the written consent of the Contracting
Officer. The Contractor shall describe these shipments in the following format:
--------------------------------------------------------------------------------
Item Description Contract Line Items Quantity
--------------------------------------------------------------------------------
Total
$
--------------------------------------------------------------------------------
(f) If the final invoice does not include the required representation, the
Government will reject and return it to the Contractor as an improper invoice
for the purposes of the Prompt Payment clause of this contract. In the event
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there has been unauthorized use of non-U.S.-flag vessels in the performance of
this contract, the Contracting Officer is entitled to equitably adjust the
contract, based on the unauthorized use.
(g) The Contract shall include this clause, including this paragraph (g) in all
subcontracts under this contract, which exceed the simplified acquisition
threshold in Part 13 of the Federal Acquisition Regulation.
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SECTION G CONTRACT ADMINISTRATION DATA
SUBMISSION OF INVOICES - FIXED PRICE (NAPS 5252.232-9000) (JUL 1992)
(a) "Invoice" as used in this clause does not include contractor requests for
progress payments.
(b) The contractor shall submit original invoices with copies to the address
identified in the- solicitation/-contract award form (SF 26-Block 10; SF
33-Block 23, SF 1447-Block 14), unless delivery orders are applicable, in which
case invoices will be segregated by individual order and submitted to the
address specified in the order (DD 1155 - Block 13 or SF 26 - Block 10).
(c) The use of copies of the Material Inspection and Receiving Report (MIRR), DD
Form 250, as an invoice is encouraged. DFARS Appendix F-306 provides instruction
for such use. Copies of the MIRR used as an invoice are in addition to the
standard distribution stated in DFARS F-401.
(d) In addition to the requirements of the Prompt Payment clause of this
contract, the contractor shall cite on each invoice the contract line item
number (CLIN); the contract subline item number (SLIN), if applicable; the
accounting classification reference number (ACRN) as identified on the financial
accounting data sheets, and the payment terms.
(e) The contractor shall prepare a consolidated invoice covering all shipments
delivered under an individual order.
(f) If acceptance is at origin, the contractor shall submit the MIRR or other
acceptance verification directly to the designated payment office. If acceptance
is at destination, the consignee will forward acceptance verification to the
designated payment office.
SUBCONTRACTING PLAN - WAIVED
The contracting officer has determined that there are no subcontracting
possibilities and therefore, no Small Business and Small Disadvantaged Business
Subcontracting Plan is required.
17
N00140-98-D-2139 Page 17
SECTION H SPECIAL CONTRACT REQUIREMENTS
MINIMUM AND MAXIMUM QUANTITIES (FISC DET PHILA)
As referred to in paragraph (b) of the "Indefinite Quantities" clause of this
contract, the total contract minimum quantity is a total of $1,000,000 worth of
orders at the contract unit price(s). The contract maximum quantity is the
total value for the quantities specified in the Schedule of Supplies/Services
and Prices. To meet the Government's minimum obligation under this contract,
the following funds are hereby administratively obligated:
AA 9780100.4802 8A8 85008500ST 650000 582CA 35102B 525700 $1,000,000.00
Funding shall be deobligated from the contract upon issuance of orders equal to
or in excess of the contract minimum.
ORDERING (INDEFINITE DELIVERY TIME AND MATERIAL/LABOR HOUR AND COST
REIMBURSEMENT CONTRACTS)
(a) Ordering: Supplies or services to be furnished under this contract shall be
furnished at such times as ordered by the issuance of Delivery Orders on DD
Form 1155 by the FISC Norfolk Detachment Philadelphia. All orders issued
hereunder are subject to the terms and conditions of this contract. This
contract shall control in the event of conflict with any Order. When mailed, a
Delivery Order shall be "issued" for purpose of this contract at the time the
Government deposits the order in the mail, or, if transmitted by other means,
when physically delivered to the contractor.
(b) Ordering Procedures:
(1) Delivery Orders issued shall include, but not be limited to the
following information:
(a) date of order
(b) contract and order number
(c) appropriation and accounting data
(d) description of the services to be performed
(e) description of end item(s) to be delivered
(f) DD Form 254 (Contract Security Classification Spec), if applicable
(g) DD Form 1423 (Contract Data Requirements List), if data to be
delivered under the order is not listed on the DD Form 1423 included in this
contract.
(h) exact place of pickup and delivery
(i) the inspecting and accepting codes (as applicable)
(j) period of time in which the services are to be performed
(k) for each applicable labor category, estimated number of labor
hours required to perform the Order.
(l) the estimated cost plus fixed fee or ceiling price for the order
(m) list of Government furnished material and the estimated value
thereof, if applicable.
18
N00140-98-D-2139 Page 18
Oral orders may be placed hereunder only in emergency circumstances.
Information described above shall be furnished to the contractor at the time of
placing an oral order and shall be confirmed by issuance of a written Delivery
Order on DD Form 1155 within ten (10) working days.
(c) Modifications of Delivery Orders: Delivery Orders may be modified by the
Ordering Officer. Modifications to Delivery Orders shall include the information
set forth in paragraph b. above, as applicable. Delivery Orders may be modified
orally by the Ordering Officers in emergency circumstances. Oral modifications
shall be confirmed by issuance of a written modification within two working days
from the time of the oral communication modifying the order.
(d) The Cost Plus Fixed FEE or Ceiling Amount: for each Delivery Order will be
the ceiling price stated therein and may not be exceeded except when authorized
by a modification to the Delivery Order.
19
N00140-98-D-2139 Page 19
SECTION I CONTRACT CLAUSES
CLAUSES - ALL CONTRACT TYPES
The following contract clauses are hereby incorporated by reference:
Clause No. Title
--------- -----
52.202-1 Definitions (OCT 1995)
52.203-5 Covenant Against Contingent Fees (APR 1984)
52.203-7 Anti-Kickback Procedures (JUL 1995)
52.204-4 Printing/Copying Double-Sided on Recycled Paper
(JUN 1996)
52.223-14 Toxic Chemical Release Reporting (OCT 1996)
252.225-7031 Secondary Arab Boycott of Israel (JUN 1992)
252.231-7000 Supplemental Cost Principles (DEC 1991)
52.203-3 Gratuities (APR 1984)
52.203-8 Cancellation, Rescission, and Recovery of Funds
for Illegal or Improper Activity (JAN 1997)
52.203-10 Price or Fee Adjustment for Illegal or Improper
Activity (JAN 1997)
52.203-12 Limitation on Payments to Influence Certain
Federal Transactions (JUN 1997)
52.209-6 Protecting the Government's Interest When
Subcontracting with Contractors Debarred,
Suspended, or Proposed for Debarment (JUL 1995)
52.215-2 Audit and Records - Negotiation (AUG 1996)
52.215-8 Order of Precedence-Uniform Contract Format
(OCT 1997)
52.219-8 Utilization of Small, Small Disadvantaged and
Women-Owned Small Business Concerns (JUN 1997)
52.219-9 Small, Small Disadvantaged and Women-Owned Small
Business Subcontracting Plan (AUG 1996)
52.222-3 Convict Labor (AUG 1996)
52.222-26 Equal Opportunity (APR 1984)
52.222-35 Affirmative Action for Disabled Veterans and
Veterans of the Vietnam Era (APR 1998)
52.222-36 Affirmative Action for Workers with
Disabilities (JUN 1998)
52.222-37 Employment Reports on Disabled Veterans and
Veterans of the Vietnam Era (JAN 1998)
52.223-2 Clean Air and Water (APR 1984)
52.223-6 Drug-Free Workplace (JAN 1997)
52.226-1 Utilization of Indian Organizations and
Indian-Owned Economic Enterprises (SEP 1996)
52.232-17 Interest (JUN 1996)
52.232-23 Assignment of Claims (JAN 1986)
52.232-25 Prompt Payment (JUN 1997)
(a)(5)(i)30th DAY
(B)(1)30TH DAY
52.232-33 Mandatory Information for Electronic Funds
Transfer Payment (AUG 1996)
52.233-1 Disputes (OCT 1995)
52.242-13 Bankruptcy (JUL 1995)
52.248-1 Value Engineering (MAR 1989)
252.203-7002 Display of DoD Hotline Poster (DEC 1991)
20
N00140-98-D-2139 Page 20
252.204-7003 Control of Government Personnel Work Product (APR 1992)
252.205-7000 Provision of Information to Cooperative Agreement Holders
(DEC 1991)
252.219-7004 Small, Small Disadvantaged and Women-Owned Small Business
Subcontracting Plan (DoD Contracts) (APR 1996)
252.219-7005 Incentive for Subcontracting with Small Businesses, Small
Disadvantaged Businesses, Historically Black Colleges and
Universities, and Minority Institutions (NOV 1995)
(a) 0 percent
252.227-7015 Technical Data - Commercial Items (NOV 1995)
252.227-7019 Validation of Asserted Restrictions - Computer Software
(JUN 1995)
252.244-7000 Subcontracts for Commercial Items and Commercial Components
(DOD Contracts) (FEB 1997)
CLAUSES - FIXED-PRICE SERVICE
The following contract clauses are hereby incorporated by reference:
Clause No Title
52.203-6 Restrictions on Subcontractor Sales to the Government (JUL 1995)
52.232-1 Payments (APR 1984)
52.233-3 Protest after Award (AUG 1996)
252.201-7000 Contracting Officer's Representative (DEC 1991)
52.219-9 Small, Small Disadvantaged and Women-Owned Small Business
Subcontracting Plan (AUG 1996)
52.229-4 Federal, State, and Local Taxes (Noncompetitive Contract)
(JAN 1991)
52.232-8 Discounts for Prompt Payment (MAY 1997)
52.232-11 Extras (APR 1984)
52.244-1 Subcontracts (Fixed-Price Contracts) (OCT 1997)
52.244-5 Competition in Subcontracting (DEC 1996)
52.246-25 Limitation of Liability-Services (FEB 1997)
52.249-2 Termination for Convenience of the Government (Fixed-Price)
(SEP 1996)
52.249-8 Default (Fixed-Price Supply and Service) (APR 1984)
CLAUSES AND PROVISIONS - INDEFINITE DELIVERY
Clause No Title
52.216-18 Ordering (OCT 1995)
(a) issued from date of award through twelve months
52.216-19 Order Limitations (OCT 1995)
(a) less than $1,000.00
(b)(1) in excess of $2,000,000.00
(b)(2) in excess of $2,000,000.00
(b)(3) within 30 days
(d) within 10 days
21
N00140-98-D-2139 PAGE 21
Clause No. Title
52.216-22 Indefinite Quantity (OCT 1995)
(d) twelve months after date of contract
CLAUSES INCORPORATED BY REFERENCE (FAR 52.252-2) (FEB 1998)
This contract incorporates one or more clauses by reference, with the same
force and effect as if they were given in full text. Upon request, the
Contracting Officer will make their full text available. Also, the full text of
a clause may be accessed electronically at this/these address(es):
xxxx://xxx-xxx.xxx.xxx
OPTION TO EXTEND THE TERM OF THE CONTRACT (FAR 52.217.9) (MAR 1989)
(a) The Government may extend the term of this contract by written notice to
the Contractor within 30 days of contract expiration; provided, that the
Government shall give the Contractor a preliminary written notice of its intent
to extend at least 60 days before the contract expires. The preliminary notice
does not commit the Government to an extension.
(b) If the Government exercises this option, the extended contract shall be
considered to include this option provision.
(c) The total duration of this contract, including the exercise of any options
under this clause, shall not exceed 48 months.
22
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1. CONTRACT ID CODE PAGE OF PAGES
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT O 1 1
-----------------------------------------------------------------------------------------------------------------------------------
AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)
A00001 98 OCT 19
-----------------------------------------------------------------------------------------------------------------------------------
6. ISSUED BY CODE S0507A 7. ADMINISTERED BY (If other than Item 6) CODE
-------------- --------------
DCMC SAN FRANCISCO
0000 XXXXXXXX XXXXXX
XXXXXXXXX, XX 00000-0000
DCMON-GFOX/X. XXXXXX, 408-541-7015)
-----------------------------------------------------------------------------------------------------------------------------------
8. NAME XXX XXXXXXX XX XXXXXXXXXX (Xx., xxxxxx, xxxxxx, Xxxxx and ZIP Code) [X] 9A. AMENDMENT OF SOLICITATION NO.
---
XXXXXX.XXX -----------------------------------------------
0000 XXXX XXXXXXX XXXXXX 0X. DATED (SEE ITEM 11)
XXXXXXXXX, XX 00000
--------------------------------------------------
10A. MODIFICATION OF CONTRACT/ORDER
XX NO.
N0010498D2139
-----------------------------------------------
-------------------------------------------------------------------------------- 10B. DATED (SEE ITEM 13)
CODE 04AE6 FACILITY CODE 98 SEP 11
-----------------------------------------------------------------------------------------------------------------------------------
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
-----------------------------------------------------------------------------------------------------------------------------------
[ ] The above numbered solicitation is amended as set forth in Item 14.4 The hour and date specified for receipt of Offers [ ] is
extended, [ ] is not extended.
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of
the following methods:
(a) By completing Items 8 and 15, and returning ___ copies of the amendment; (b) By acknowledging receipt of this amendment on each
copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment
numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE
SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted,
such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this
amendment, and is received prior to the opening hour and date specified.
-----------------------------------------------------------------------------------------------------------------------------------
12. ACCOUNTING AND APPROPRIATION DATA (If required)
NO CHANGE
-----------------------------------------------------------------------------------------------------------------------------------
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
-----------------------------------------------------------------------------------------------------------------------------------
[X] A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT
---- ORDER NO. IN ITEM 10A.
-----------------------------------------------------------------------------------------------------------------------------------
X B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying offices,
appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
-----------------------------------------------------------------------------------------------------------------------------------
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
-----------------------------------------------------------------------------------------------------------------------------------
D. OTHER (Specify type of modification and authority)
-----------------------------------------------------------------------------------------------------------------------------------
E. IMPORTANT: Contractor [X] is not, [ ] is required to sign this document and return _____ copies to the issuing office.
-----------------------------------------------------------------------------------------------------------------------------------
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter
where feasible.)
THE PURPOSE OF THIS MODIFICATION IS TO:
(a) CORRECT BLOCK 24 ADMINISTERED BY TO READ "DCMC SAN FRANCISCO" IN LIEU OF DCMAO SAN FRANCISCO.
(b) CORRECT THE PAYMENT OFFICE IN BLOCK 25 TO READ: MQ0339
DFAS-COLUMBUS CENTER
WEST ENTITLEMENT OPERATIONS
X.X. XXX 000000
XXXXXXXX, XX 00000-0000
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains
unchanged and in full force and effect.
-----------------------------------------------------------------------------------------------------------------------------------
15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
X.X. XXXX
Administrative Contracting Officer
-----------------------------------------------------------------------------------------------------------------------------------
15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. XXXXXX XXXXXX XX XXXXXXX 00X. DATE SIGNED
BY BY /s/ X.X. XXXX
---------------------------------------- ----------------------------------------
(Signature of person authorized to sign) (Signature of Contracting Officer) 98 OCT 19
-----------------------------------------------------------------------------------------------------------------------------------
NSN 7540-01-152.8070 Created using ProForm software. STANDARD FORM 30 (REV. 10-85)
PREVIOUS EDITION UNUSABLE Prescribed by GSA
FAR (48 CFR) 53.243
23
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ORDER FOR SUPPLIES OR SERVICES Form Approval PAGE 1 OF 4
OMB No. 0706-0187
(Contractor must submit four copies of invoice) Expires Jun 30, 1997
------------------------------------------------------------------------------------------------------------------------------------
Public reporting burden for this collection of information is estimated to average 1 hour per requirement, including the time for
reviewing instructions, searching existing sole sources, gathering and maintaining the ???? ??????, and completing and reviewing the
collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information
including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for
Information Operations and Reports, 0000 Xxxxxxxxx Xxxxx Xxxxxxx, Xxxxx 0000, Xxxxxxxxx, XX 00000-0000 and to the Office of
Management and Budget, Paperwork Reduction Project (0704-0187), Xxxxxxxxxx, XX 00000.
PLEASE DO NOT RETURN YOUR FORM TO EITHER OF THESE ADDRESSES.
SEND YOUR COMPLETED FORM TO THE PROCUREMENT OFFICIAL IDENTIFIED ITEM 6.
------------------------------------------------------------------------------------------------------------------------------------
1. CONTRACT/PURCH ORDER NO 2. DELIVERY ORDER NO 3. DATE OF ORDER 4. REQUISITION PURCH REQUEST NO 5. PRIORITY
(YYMMDD)
N00140-98-D-2139 0001 11 SEP 98 MIPRST98893D16 NONE CITED
---------------------------------------------------------------------------------------------------------------
6. ISSUED BY CODE N00140 7. ADMINISTERED BY (If other than Item 6) CODE S0507A
-------- ------------------------
FISC NORFOLK DETACHMENT PHILADELPHIA DCMAO SAN FRANCISCO 8. DELIVERY FOR
000 XXXXXXX XXXXXX, XXXX. 0X 0000 XXXXXXXX XXXXXX [X] DEST
PHILADELPHIA, PA 19111-5083 XXXXXXXXX, XX 00000 [ ] OTHER
XXX XXXX, CODE 02P2A, (000) 000-0000 (See Schedule if other)
------------------------------------------------------------------------------------------------------------------------------------
9. CONTRACTOR CODE 04AE6 FACILITY CODE 10. DELIVER TO FOB POINT BY (Date) 11. XXXX IF
------- ------ (YYMMDD) BUSINESS IS
XXXXXX.XXX SEE SCHEDULE [ ] SMALL
NAME AND 0000 XXXX XXXXXXX XXXXXX ---------------------------------- [ ] SMALL DISAD-
ADDRESS XXXXXXXXX, XX 00000 12. DISCOUNT TERMS ADVANTAGED
NET 30 DAYS [ ] WOMEN-OWNED
----------------------------------------------------
13. MAIL INVOICES TO
SEE SCHEDULE
------------------------------------------------------------------------------------------------------------------------------------
14. SHIP TO CODE 15. PAYMENT WILL BE MADE BY CODE
------ ------ XXXX ALL
PACKAGES AND
SEE SECTION C OF THE CONTRACT PAPERS WITH
CONTRACT OR
ORDER NUMBER
------------------------------------------------------------------------------------------------------------------------------------
16 DELIVERY X This delivery order is issued on another Government agency or in accordance with and subject to terms and
conditions of above numbered contract.
TYPE ----------------------------------------------------------------------------------------------------------------------------
OF PURCHASE Reference your _______ furnish the following on items specified herein.
ORDER ---------------------------------------------------------------------------------------------------------------
-------------------- ACCEPTANCE: THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY
PREVIOUSLY HAVE BEEN OR IS NOW MODIFIED, SUBJECT TO ALL THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO
PERFORM THE SAME.
XXXXXX.XXX /s/ XXXXXXX X. FARGO Xxxxxxx X. Fargo, V.P. of Sales 980911
------------------ -------------------- ------------------------------- -----------
NAME OF CONTRACTOR SIGNATURE TYPED NAME AND TITLE DATE SIGNED
(YYMMDD)
[ ] If this box is marked, supplier must sign Acceptance and return the following number of copies:
------------------------------------------------------------------------------------------------------------------------------------
17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE
SEE SCHEDULE
------------------------------------------------------------------------------------------------------------------------------------
18. 19. 20. QUANTITY 21. XXXX 00. 23.
ITEM NO SCHEDULE OF SUPPLIES/SERVICES ORDERED/ UNIT PRICE AMOUNT
ACCEPTED*
------------------------------------------------------------------------------------------------------------------------------------
SEE PAGE 2
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* If quantity accepted by 24. UNITED STATES OF AMERICA 25. TOTAL $1,773,681.80
the Government is same as --------------------------------------------
quantity ordered, initial /s/ J. J. SWIZEWSKI 29.
by *. If different, enter BY: J. J. SWIZEWSKI CONTRACTING/ORDERING OFFICER DIFFERENCES -------------------
actual quantity accepted
before quantity ordered and
initial.
------------------------------------------------------------------------------------------------------------------------------------
26. QUANTITY IN COLUMN 20 HAS BEEN 27. SHIP NO 28. DO VOUCHER NO 30. _________________
_______ INITIALS
[ ] INSPECTED [ ] RECEIVED [ ] ACCEPTED, AND CONFORMS TO THE [ ] PARTIAL ----------------------------------------------------
CONTRACT EXCEPT AS NOTED [ ] FINAL 32. PAID BY 33. AMOUNT VERIFIED CORRECT FOR
------------- ------------------------------------------------- ------------- -------------------------------
DATE SIGNATURE OF AUTHORIZED GOVERNMENT 31. PAYMENT 34. CHECK NUMBER
REPRESENTATIVE
---------------------------------------------------------------- [ ] COMPLETE -------------------------------
36. I certify this Account is correct and proper for payment. [ ] PARTIAL 35. XXXX OF LADING NO
[ ] FINAL
------------- -------------------------------------------------
DATE SIGNATURE OF CERTIFYING OFFICER
------------------------------------------------------------------------------------------------------------------------------------
37. RECEIVED AT 38. RECEIVED BY (Print) 39. DATE RECEIVED 40. TOTAL CONTAINERS 41. A/P ACCOUNT NUMBER 42. A/P VOUCHER NO
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DD Form 1166, JUN 94 PREVIOUS EDITION MAY BE USED
