SIR Attachment 6 - Invoice Sample_Amend0002.xlsx

This is an invoice sample template for the FAA's Printer Consumables for the SAVES Program contract (Solicitation 697DCK-25-R-00368). The template demonstrates the required format and data fields that contractors must use when billing the government for toner and printer consumables delivered under this IDIQ contract. The invoice template requires contractors to capture essential billing information including invoice number, billing period, line item details, ship-to recipient information (name, address, phone, email), printer manufacturer, item description, part number, quantity, unit cost, extended cost, contractor order number, delivery date, manufacturer list price, and tracking information. For orders shipped outside the continental United States (OCONUS), contractors must include shipping costs and provide URLs to tracking numbers on the vendor's web portal; CONUS orders may leave shipping fields blank or show $0.00. The template includes sample line items featuring consumables from major manufacturers such as Lexmark (maintenance kits and photoconductor units) and HP (ink cartridges and printheads) with delivery dates in July 2026.

The invoice template incorporates two mandatory contractor certifications that must accompany submission. First, contractors must certify that all supplies and services billed have been shipped, rendered, or delivered in accordance with ordering officer instructions, are reflected in the correct quantities and performance periods, and conform to contract specifications. Second, contractors must certify compliance with Executive Order 14173 regarding Equal Protection principles and federal antidiscrimination laws, and affirm that they do not operate diversity, equity, and inclusion initiatives inconsistent with constitutional principles as interpreted by the Supreme Court in Students for Fair Admissions v. Harvard. These certifications are material to the government's payment decision under the False Claims Act.