Attachment C - Standard Form (SF)-1449_20260513.pdf

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Attached to
Legal Services for Unaccompanied Alien Children (UAC) Federal contract opportunity
Solicitation number
75P00126R00003
Issued by
Not on record

About this file

Written by GovTribe AI ·

This document is Standard Form 1449 (SF 1449), a federal solicitation/contract/order form for commercial products and commercial services, specifically designated for Women-Owned Small Business (WOSB) acquisitions.

The form serves as a template for federal contracting officers to issue solicitations and awards for commercial items and services. Key sections include fields for requisition numbers, contract/order numbers, solicitation numbers, offer due dates, and delivery/payment information. The form identifies the acquisition method (Request for Quote, Invitation for Bid, or Request for Proposal) and includes checkboxes for small business set-asides, including WOSB, Economically Disadvantaged WOSB (EDWOSB), 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB). The document requires offerors to complete blocks for discount terms, contractor information, unit pricing, and total amounts. Additional sections address delivery terms (FOB destination unless marked otherwise), accounting data, and incorporation of FAR clauses 52.212-1 through 52.212-5. The back side of the form includes a stock record section for government receipt, inspection, acceptance, and payment certification, with fields for authorized government representative signatures, voucher numbers, payment status (complete, partial, or final), and receiving documentation including location, date, and container count.

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Other files for this federal contract opportunity

Other files attached to Legal Services for Unaccompanied Alien Children (UAC), newest first.
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Amendment 15 - RFP UAC Legal Services.pdf PDF
Amendment 15 - Attachment J - Section F Deliverables Table June 06 2026.pdf PDF
Amendment 15 - Attachment B - Section C- Performance Work Statement (PWS) UAC Legal Services June 06 2026.pdf PDF
Amendment 15 - Attachment L Questions and Answers June 06 2026.pdf PDF
Attachment-G5-ACF_Incident Response Plan_V1.0.docx DOCX document
Attachment E - Quality Assurance Surveillance Plan (QASP) UAC Legal Services_20260515.docx DOCX document
Attachment-G6-ACF_Interconnection Security Agreement_V1.0.docx DOCX document
Attachment-G3-ACF_Configuration Management Plan.docx_V1.0.docx DOCX document
Attachment-G2-ACF_Business Impact Analysis.docx_V1.0.docx DOCX document
Attachment-G1-ACF_ E-Authentication Agreement_V1.0.docx DOCX document
Attachment H - Glossary of Abbreviations and Acronyms_20260513.docx DOCX document
Attachment F - ACF External System Control Implementation Policy and Procedures_20251203.docx DOCX document
RFP UAC LEGAL SERVICES 20260515.pdf PDF
Attachment-G10-ACF_System Security Plan_V1.0.docx DOCX document
Attachment-G9-ACF_System Registration_V1.0.docx DOCX document
Attachment-G4-ACF_Contingency Plan.docx_V1.0.docx DOCX document
Attachment J - Section F Deliverables Schedules and Performance Requirements Summary Table_20260513.docx DOCX document
Attachment D - ORR Facilities by State_20260513.pdf PDF
Attachment J- Questions and Answers_2026.03.24 (Amd 0010).pdf PDF
Attachment A- Pricing Worksheet_2026.03.24 (Amd 0010).xlsx XLSX spreadsheet
Attachment C- Standard Form (SF)-1449.pdf PDF
Attachment B- Section C- PWS_2026.03.24 (Amd 0010).pdf PDF
Attachment A- Pricing Worksheet UAC Legal Services (Amd. 0007) 2026.02.23.xlsx XLSX spreadsheet
Attachment B- Section C- PWS (Amd 0007) 2026.02.23.pdf PDF
Attachment E- Quality Assurance Surveillance Plan (QASP) (Amd. 0007) 2026.02.23.pdf PDF
Attachment H- Glossary of Abbreviations and Acronyms.pdf PDF
Attachment G- ATO Templates-2025.zip ZIP file
Attachment C- Standard Form (SF)-1449.pdf PDF
75P00126R00003_2026.02.23.pdf PDF
Attachment D - ORR Facilities by State.xlsx XLSX spreadsheet
QA-75P00126R00003(Rev1) (Amd 0004)(12.11.2025)#Q127.pdf PDF
75P00126R00003 (Rev2)(Amd 0004)(12.11.2025).pdf PDF
Attachment B-Pricing Worksheet UAC Legal Services (Rev2) (Amd 0004)(12.11.2025).xlsx XLSX spreadsheet
Attachment A- Performance Work Statement (PWS) (Rev1) (Amd 0003) (12.09.2025).pdf PDF
Attachment F- Quality Assurance Surveillance Plan (QASP)(Rev1)(Amd 0003)(12.09.2025).pdf PDF
Attachment H- ATO Templates_2025 (Amd 0003).zip ZIP file
Attachment B-Pricing Worksheet UAC Legal Services (Rev1) (Amd 0003)(12.09.2025).xlsx XLSX spreadsheet
Attachment E- ORR Facilities by State (Amd 0003).pdf PDF
Attachment G- ACF External System Control Implementation Policy and Procedures (Amd 0003).pdf PDF
Attachment I- Selected Controls (Moderate) (Amd 0003).xlsx XLSX spreadsheet
QA-75P00126R00003(12.09.2025) (Amd 0003).pdf PDF
75P00126R00003 (Rev1)(Amd 0003)(12.09.2025).pdf PDF
Attachment J- Selected Controls (Low) (Amd 0003).xlsx XLSX spreadsheet
Attachment B- Pricing Worksheet UAC Legal Services (11.25.2025).xlsx XLSX spreadsheet
Attachment B- Pricing Worksheet UAC Legal Services.xlsx XLSX spreadsheet
Attachment C- HHS Subcontracting Plan Review Form.doc DOC document
75P00126R00003.pdf PDF
Attachment A - Performance Work Statement (PWS)_2025.11.24.pdf PDF
Attachment D- Standard Form (SF)-1449.pdf PDF
Attachment F- Quality Assurance Surveillance Plan (QASP).pdf PDF
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WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

STOCK RECORD (S/R)

STANDARD FORM 1449 (REV. 11/2021) BACK

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

Standard Form 1449 - Solicitation/Contract/Order for Commercial Products and Commercial Services BarbMWilliams

WOMEN-OWNED SMALL BUSINESS (WOSB)

SMALL BUSINESS

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER

PAGE 1 OF

2. CONTRACT NUMBER

3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO

16. ADMINISTERED BY

CODE

18a. PAYMENT WILL BE MADE BY

CODE

17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS

UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE:

% FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE

ARE NOT ATTACHED

ARE

ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA \\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg Right Arrow Pointing to Call the Contact Point for this Solicitation/Contract/Order 8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SMALL BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

STOCK RECORD (S/R)

STANDARD FORM 1449 (REV. 11/2021) BACK

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED

INSPECTED

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE 42a. RECEIVED BY (Print) 42b. RECEIVED AT (Location) 42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE 32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER

34. VOUCHER NUMBER

35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL

FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER

39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE

PARTIAL

FINAL

1. REQUISITION NUMBER:
PAGE 1 OF:
2. CONTRACT NUMBER:
4. ORDER NUMBER:
5. SOLICITATION NUMBER: 75P00126R00003
7. FOR SOLICITATION INFORMATION CALL: a. NAME:
7. FOR SOLICITATION INFORMATION CALL: b. TELEPHONE NUMBER (No collect calls):
9. ISSUED BY CODE:
Percent For :
12. DISCOUNT TERMS:
13b. RATING:
15. DELIVER TO:
16. ADMINISTERED BY CODE:
16. ADMINISTERED BY:
17a. CONTRACTOR/OFFEROR CODE:
17a. CONTRACTOR/OFFEROR:
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER:
18a. PAYMENT WILL BE MADE BY:
19. ITEM NUMBER. Line 1 of 8.:
20. SCHEDULE OF SUPPLIES/ SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 2 of 8.:
20. SCHEDULE OF SUPPLIES/ SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 3 of 8.:
20. SCHEDULE OF SUPPLIES/ SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 4 of 8.:
20. SCHEDULE OF SUPPLIES/ SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 5 of 8.:
20. SCHEDULE OF SUPPLIES/ SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 6 of 8.:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 7 of 8.:
20. SCHEDULE OF SUPPLIES/ SERVICES:
20. SCHEDULE OF SUPPLIES/ SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 8 of 8.:
20. SCHEDULE OF SUPPLIES/ SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
25. ACCOUNTING AND APPROPRIATION DATA:
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED. INITIALS :

29. AWARD OF CONTRACT: REFERENCE OFFER:
DATE. YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS.:

30b. NAME OF SIGNER (Type or print):
30b. TITLE OF SIGNER (Type or print):
31b. NAME OF CONTRACTING OFFICER (Type or print):
10. THIS ACQUISITION IS UNRESTRICTED: 0
10. THIS ACQUISITION IS SET ASIDE:: 0
11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED SEE SCHEDULE: 0
13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (CODE OF FEDERAL REGULATIONS AT 15 CFR 700): 0
14. METHOD OF SOLICITATION RFQ: 0
10. THIS ACQUISITION IS NAICS::
10. THIS ACQUISITION IS SIZE STANDARD::
14. METHOD OF SOLICITATION IFB: 0
14. METHOD OF SOLICITATION RFP: 0
18a. PAYMENT WILL BE MADE BY CODE:
29. AWARD OF CONTRACT : 0
29. AWARD OF CONTRACT : 0
29. AWARD OF CONTRACT : 0
29. AWARD OF CONTRACT : 0
27a. ARE ATTACHED: 0
27a. ARE NOT ATTACHED: 0
27b. ARE ATTACHED: 0
27b. ARE NOT ATTACHED: 0
42c. DATE RECEIVED. Enter 2 digit month, 2 digit day and 4 digit year.:
3. AWARD/ EFFECTIVE DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK IS CHECKED SEE ADDENDUM: 0
26. TOTAL AWARD AMOUNT (FOR GOVERNMENT USE ONLY):
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER : 0

10. THIS ACQUISITION IS 8(A): 0
10. THIS ACQUISITION IS SMALL BUSINESS: 0
10. THIS ACQUISITION IS SMALL BUSINESS: 0
10. THIS ACQUISITION IS SMALL BUSINESS: 0
10. THIS ACQUISITION IS SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS: 0
10. THIS ACQUISITION IS HUBZONE SMALL BUSINESS: 0
32b. Sign here if you are the Authorized Government Representative.:
41b. Sign here if you are the Certifying Officer. :
19. ITEM NUMBER. Line 1 of 28.:
20. SCHEDULE OF SUPPLIES/SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 2 of 28.:
20. SCHEDULE OF SUPPLIES/SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 3 of 28.:
20. SCHEDULE OF SUPPLIES/SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 4 of 28.:
20. SCHEDULE OF SUPPLIES/SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 5 of 28.:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 6 f 28.:
20. SCHEDULE OF SUPPLIES/SERVICES:
20. SCHEDULE OF SUPPLIES/SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 7 of 28.:
20. SCHEDULE OF SUPPLIES/SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
20. SCHEDULE OF SUPPLIES/SERVICES:
21. QUANTITY:
22. UNIT:
24. AMOUNT:
19. ITEM NUMBER. Line 8 of 28.:
19. ITEM NUMBER. Line 9 of 28.:
20. SCHEDULE OF SUPPLIES/SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 10 of 28.:
20. SCHEDULE OF SUPPLIES/SERVICES:
21. QUANTITY:
22. UNIT:
23. UNIT PRICE:
24. AMOUNT:
19. ITEM NUMBER. Line 11 of 28.:
20. SCHEDULE OF SUPPLIES/SERVICES:
21. QUANTITY:
22. UNIT:
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19. ITEM NUMBER. Line 12 of 28.:
20. SCHEDULE OF SUPPLIES/SERVICES:
21. QUANTITY:
22. UNIT:
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24. AMOUNT:
19. ITEM NUMBER. Line 13 of 28.:
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21. QUANTITY:
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23. UNIT PRICE:
24. AMOUNT:
32a. QUANTITY IN COLUMN 21 HAS BEEN ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
32d. PRINTED NAME OF AUTHORIZED GOVERNMENT REPRESENTATIVE:
32d. PRINTED TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE.:
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE:
32F. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE:
32G. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE:
33. SHIP NUMBER:
34. VOUCHER NUMBER:
35. AMOUNT VERIFIED CORRECT FOR:
37. CHECK NUMBER:
38. S/R ACCOUNT NUMBER:
39. S/R VOUCHER NUMBER:
40. PAID BY:
41b. TITLE OF CERTIFYING OFFICER:
42a. RECEIVED BY (Print):
42b. RECEIVED AT (Location):
42d. TOTAL CONTAINERS:
32a. QUANTITY IN COLUMN 21 HAS BEEN RECEIVED: 0
32a. QUANTITY IN COLUMN 21 HAS BEEN INSPECTED : 0
32a. QUANTITY IN COLUMN 21 HAS BEEN ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: 0
41c. DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
33. SHIP NUMBER PARTIAL: 0
33. SHIP NUMBER FINAL: 0
32c. If you are the Authorized Government Representative, enter the date you signed this form (enter 2 digit month, 2 digit day and 4 digit year).:
36. PAYMENT COMPLETE: 0
36. PAYMENT PARTIAL: 0
36. PAYMENT FINAL: 0

File details come from the government source that posted it. Updated .