Sol_89503427QWA001334.pdf
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- Attached to
- POPLAR WILLISTON PROJECT
- Solicitation number
- 89503427QWA001334
About this file
This is a Request for Quote (RFQ) issued by the Western Area Power Administration (WAPA), a component of the U.S. Department of Energy, for transmission hardware replacement materials for the Poplar-Williston project.
The solicitation, numbered 89503427QWA001334, was issued on November 10, 2026, with an offer due date of November 24, 2026 at 11:30 AM Mountain Standard Time. The award is intended for a single Women-Owned Small Business (WOSB) set-aside with 100 percent set-aside designated, under NAICS code 335932 with a size standard of 1,000 employees. The evaluation methodology is Lowest Price Technically Acceptable (LPTA), with quotations ranked by total evaluated price; the Government will evaluate only the lowest-priced quotation for technical acceptability initially, proceeding sequentially through higher-priced quotations if necessary until a technically acceptable and responsible offeror is identified. Delivery is required by January 4, 2027 to Montana Maintenance, 14 N. Bighorn Street, Fort Peck, Montana 59223-0145, on a weekday between 8:00 AM and 3:00 PM, with advance notification required at least seven business days prior to shipment.
The solicitation requires quotation on six line items totaling 3,872 units of transmission hardware components: 308 pieces of preformed line splices for 3/8" overhead guy wire (EHS #GLS-2107); 616 pieces of spiral vibration dampers for 3/8" EHSS; 924 pieces of 795KV vibration dampers (ALCOA #1706-15BA-W/ROD); 924 pieces of preformed armor rods for 954,000 circular mil ACSR 54/7 conductor; 308 pieces of grounding flexible braid with copper construction; and 924 suspension clamps for 954 ACSR over armor rod (Hubbell BNK-HAS-182-S). This is a brand name or equal solicitation, and offerors must provide complete quotations addressing all items with product literature, country of origin, delivery lead time, and total price; partial quotes will be considered unacceptable and ineligible. All invoices must be submitted electronically through the Invoice Processing Platform (IPP). The contractor is responsible for unloading equipment at the destination and must provide the necessary specialized equipment; all unloading costs shall be included in the quoted price. Award will be made on an all-or-nothing basis.
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Text version
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 NO.
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 29. AWARD OF CONTRACT: REFERENCE
. 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.
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED.
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.
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
DATED.
OFFER
ADDENDA
ADDENDA
89503427QWA001334
WAPA (UGP)
US DOE/WESTERN AREA POWER
MONTANA MAINTENANCE
14 N. BIGHORN ST
FORT PECK MT 59223-0145
WAPA (UGP)
US DOE/WESTERN AREA POWER
2900 4TH AVE NORTH
PO BOX 35800
BILLINGS MT 59107-5800
Western Upper Great Plains Region
WAPA (UGP)
US DOE/Western Area Power 2900 4TH Ave North P.O. Box 35800 Billings MT 59107-5800
11/24/2026 1130 MS
27WA163421
Irma Suryaty
(720) 962-7151
895034 100.00
UGP
Irma Suryaty
335932
1,000
11/10/2026
11/10/2026
6E30
Signature on File
THIS SOLICITATION IS A BRAND NAME OR EQUAL IN
ACCORDANCE WITH ATTACHMENT 1 - SPECIFICATIONS
AND INTENDED FOR SMALL BUSINESS SET-ASIDE. WHEN
PROVIDING A QUOTATION THAT DOES NOT USE THE
Continued...
STOCK RECORD (S/R)
STANDARD FORM 1449 (REV. 11/2021) BACK
19.
ITEM NO.
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED 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. TELEPHONE NUMBER OF AUTHORIZED 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
ACCEPTED,
SUGGESTED BRAND NAME, THE OFFEROR MUST INCLUDE
THE FOLLOWING INFORMATION:
- PRODUCT LITERATURE
(DRAWING/SPECIFICATION/CATALOG/BROCHURE) FOR
THE PROPOSED PRODUCT
- COUNTRY OF ORIGIN/ASSEMBLY
- DELIVERY LEAD TIME (ADD THE INFORMATION TO
BLOCK 24 FOR EACH ITEM)
- THE TOTAL VALUE PRICE IN THE SF 1449 FORM
THE OFFEROR MUST SUBMIT A COMPLETE QUOTE
ADDRESSING ALL ITEMS LISTED IN THIS
SOLICITATION.
PARTIAL QUOTES WILL NOT BE CONSIDERED FOR AN
AWARD. FAILURE TO PROVIDE PRICING AND REQUIRED
INFORMATION FOR ALL ITEMS MAY RENDER THE QUOTE
UNACCEPTABLE AND INELIGIBLE FOR FURTHER
CONSIDERATION.
THE OFFEROR'S QUOTATION MUST INCLUDE A
COMPLETED AND SIGNED SF1449. FOR QUESTIONS
REGARDING THIS SOLICITATION, PLEASE DIRECT THEM
TO IRMA SURYATY, CONTRACTING OFFICER, VIA EMAIL
ONLY TO SURYATY@WAPA.GOV. TELEPHONE INQUIRIES
WILL NOT BE ACCEPTED OR RESPONDED TO.
ONLY WRITTEN AMENDMENT(S) TO THE SOLICITATION
ISSUED BY THE CONTRACTING OFFICER/CONTRACT
SPECIALIST SHALL CONSTITUTE A CHANGE TO THE
Continued...
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGES
NAME OF OFFEROR OR CONTRACTOR
SUPPLIES/SERVICES
(B)
UNIT
(D)
UNIT PRICE
(E)
AMOUNT
(F)
OPTIONAL FORM 336 (4-86)
Sponsored by GSA FAR (48 CFR) 53.110
ITEM NO.
(A)
QUANTITY
(C)
NSN 7540-01-152-8067
89503427QWA001334
SOLICITATION OR SPECIFICATIONS.
Delivery: 01/04/2027
00001 308 EASPLICE, LINE, PREFORMED FOR 3/8" OHG GUY WIRE
E.H.S. #GLS-2107
00002 616 EADAMPER, SPIRAL VIBRATION FOR 3/8" EHSS,
.327-.461 DIA. PREFORMED #5050104 ONLY
00003 924 EADAMPER, VIBRATION FOR 795KV , ALCOA
#1706-15BA-W/ROD
00004 924 EAROD, ARMOR, PREFORMED FOR 954,000CM ACSR 54/7
,230KV. 100" LONG 13 RODS PER SET,CAT. NO.
AR-0143
00005 308 EABRAID, GROUNDING FLEXIBLE, FOR STEEL TOWERS,
CONSTRUCTED WITH COPPER BRAID AND COPPER
FERRULES, TINED PLATED FERRULES AT BOLT HOLES
(1) 9/16" HOLE (1) 11/16" HOLE FOR CONNECTION
TO ALUMINUM OR STEEL GROUNDING SHOES.
00006 924 EACLAMP, SUSPENSION, 954 ACSR OVER ARMOR ROD,
HUBBELL BNK- HAS-182-S , "CONDUCTOR SHOES"
Section 2 - Section 2
952.202-1 DEFINITIONS
WES-F-2001 ADVANCE SHIPPING NOTIFICATION REQUIRED (WAPA, MAR 2008)
WES-L-2005 BRAND NAME OR EQUAL (WAPA, JULY 2026)
WES-G-2005 BILLING INSTRUCTIONS – INVOICE PROCESSING PLATFORM (IPP) (WAPA, OCT
2023)
WES-F-2002 REQUIREMENT TO UNLOAD EQUIPMENT AT THE DESTINATION (WAPA, FEB 2008)
WES-M-2001 AWARD ON AN ALL OR NONE BASIS (WAPA, NOV 1995)
DOE-H-2084 MITIGATING SUPPLY CHAIN RISK (OCT 2022)
DOE-D-2001 PACKAGING AND MARKING (OCT 2014)
DOE-E-2001 INSPECTION AND ACCEPTANCE (OCT 2014)
DOE-F-2001 DELIVERY SCHEDULE (OCT 2014)
DOE-F-2004 DELIVERY POINT (OCT 2014)
DOE-F-2005 NOTICE OF SHIPMENT (OCT 2014)
DOE-G-2001 CONTRACTING OFFICER AUTHORITY (OCT 2014)
DOE-H-2013 CONSECUTIVE NUMBERING (OCT 2014)
DOE-H-2076 LOBBYING RESTRICTIONS (NOV 2018)
DOE-J-2001 LIST OF ATTACHMENTS (OCT 2015)
DOE-L-2016 NUMBER OF AWARDS (OCT 2015)
DOE-L-2017 EXPENSES RELATED TO OFFEROR SUBMISSIONS (OCT 2015)
52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT. (JUN 2020) -
ALTERNATE I (NOV 2021)
52.203-7 ANTI-KICKBACK PROCEDURES. (JUN 2020)
52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS. (NOV 2023)
52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL. (JAN 2011)
52.204-13 SYSTEM FOR AWARD MANAGEMENT-MAINTENANCE. (OCT 2018) (DEVIATION NOV
2025)
52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS.
(DEC 2014)
52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH
CONTRACTORS DEBARRED, SUSPENDED, PROPOSED FOR DEBARMENT, OR VOLUNTARILY
EXCLUDED. (JAN 2025) (DEVIATION NOV 2025)
52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS.
(NOV 2015) (DEVIATION NOV 2025)
52.212-2 EVALUATION-COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES. (NOV 2021)
(DEVIATION NOV 2025)
52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE. (NOV 2020) (DEVIATION DEC 2025)12 52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS. (JAN 2025) (DEVIATION DEC 2025) ...12
52.219-14 LIMITATIONS ON SUBCONTRACTING. (OCT 2022) (DEVIATION DEC 2025)
52.219-33 NONMANUFACTURER RULE. (SEP 2021) (DEVIATION DEC 2025)
52.222-3 CONVICT LABOR. (JUN 2003) (DEVIATION MAR 2026)
52.222-19 CHILD LABOR-COOPERATION WITH AUTHORITIES AND REMEDIES. (JAN 2025)
(DEVIATION MAR 2026)
52.222-35 EQUAL OPPORTUNITY FOR VETERANS. (JUN 2020) (DEVIATION JAN 2026)
52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES. (JUN 2020) (DEVIATION
JAN 2026)
52.222-37 EMPLOYMENT REPORTS ON VETERANS. (JUN 2020) (DEVIATION JAN 2026)
52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR RELATIONS
ACT. (DEC 2010) (DEVIATION MAR 2026)
52.222-50 COMBATING TRAFFICKING IN PERSONS. (OCT 2025) (DEVIATION MAR 2026)
52.222-62 PAID SICK LEAVE UNDER EXECUTIVE ORDER 13706. (JAN 2022) (DEVIATION MAR
2026)
52.226-8 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE DRIVING.
(MAY 2024)
52.232-1 PAYMENTS. (APR 1984)
52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER - SYSTEM FOR AWARD
MANAGEMENT. (OCT 2018)
52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS. (JUN 2013)
52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS.
(MAR 2023)
52.233-3 PROTEST AFTER AWARD. (AUG 1996) (DEVIATION NOV 2025)
52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM. (OCT 2004) (DEVIATION NOV
2025)
52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS. (DEVIATION SEP 2025)
52.240-93 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS.
(DEVIATION SEP 2025)
52.243-1 CHANGES-FIXED-PRICE. (AUG 1987) (DEVIATION JUL 2025)
52.247-34 F.O.B. DESTINATION. (JAN 1991)
52.252-2 CLAUSES INCORPORATED BY REFERENCE. (FEB 1998)
Section 4 - Section 4
52.203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE
CERTAIN FEDERAL TRANSACTIONS. (SEP 2024)
52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN
INTERNAL CONFIDENTIALITY AGREEMENTS OR STATEMENTS-REPRESENTATION. (JAN 2017)
52.204-7 SYSTEM FOR AWARD MANAGEMENT-REGISTRATION. (NOV 2024) (DEVIATION NOV
2025)
52.204-90 OFFEROR IDENTIFICATION. (DEVIATION NOV 2025)
52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS. (AUG 2020) (DEVIATION
NOV 2025)
52.219-2 EQUAL LOW BIDS. (OCT 1995) (DEVIATION DEC 2025)
52.225-18 PLACE OF MANUFACTURE. (AUG 2018)
52.229-11 TAX ON CERTAIN FOREIGN PROCUREMENTS-NOTICE AND REPRESENTATION. (JUN
2020)
52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS AND
CERTIFICATIONS. (DEVIATION SEP 2025)
Section 2 - Section 2
952.202-1 DEFINITIONS.
WES-F-2001 ADVANCE SHIPPING NOTIFICATION REQUIRED (WAPA, MAR 2008)
a. Contract line items (CLINs) All CLINs must be delivered on one of the following weekdays Monday - Thursday excluding Government holidays, between the hours of 8:00 AM - 3:00 PM , or at a day and time agreed upon by the Government representative(s) named below.
b. The Government representative must receive advance notification of the intended shipment at least 7 Business Day prior to shipment. The contractor shall provide the day and time of delivery, identify the shipper, and provide the telephone number of the shipper's office. Delivery notification is critical because many of Western's delivery locations are unmanned stations located in remote areas that do not have receiving docks or unloading equipment. Proper notification will ensure that Western personnel are on site and have the equipment necessary to unload the shipment.
c. If the contractor fails to make the required advance notification, the Government may not be able to receive the equipment. Any additional costs incurred by the Government to properly receive and/or relocate the equipment that are caused by the contractor's failure to provide sufficient advance notification will be charged to the contractor under the terms of this contract. The designated Government representative is: Andrea Farr
(406) 526-8516 and Tyler Partridge (406) 526-8517 .
WES-L-2005 BRAND NAME OR EQUAL (WAPA, JULY 2026)
(a) If an item in this solicitation is identified as "brand name or equal," the purchase description reflects the characteristics and level of quality that will satisfy the Government’s needs. The salient physical, functional, or performance characteristics that "equal" products must meet are specified in the solicitation.
(b) To be considered for award, offers of "equal" products, including "equal" products of the brand name manufacturer, must-
(1) Meet the salient physical, functional, or performance characteristic specified in this solicitation;
(2) Clearly identify the item by-
(i) Brand name, if any; and
(ii) Make or model number;
(3) Include descriptive literature such as illustrations, drawings, or a clear reference to previously furnished descriptive data or information available to the Contracting Officer; and
(4) Clearly describe any modifications the offeror plans to make in a product to make it conform to the solicitation requirements. Mark any descriptive material to clearly show the modifications.
(c) The Contracting Officer will evaluate "equal" products on the basis of information furnished by the offeror or identified in the offer and reasonably available to the Contracting Officer. The Contracting Officer is not responsible for locating or obtaining any information not identified in the offer.
(d) Unless the offeror clearly indicates in its offer that the product being offered is an "equal" product, the offeror shall provide the brand name product referenced in the solicitation.
(End of provision)
WES-G-2005 BILLING INSTRUCTIONS – INVOICE PROCESSING PLATFORM (IPP) (WAPA,
OCT 2023)
a) In accordance with Office of Management and Budget Memorandum M-15-19, effective April 1, 2018, all invoices must be submitted electronically.
b) Contractors shall submit invoices electronically through the U. S. Department of the Treasury's Invoice Processing Platform System (IPP). IPP allows vendors to submit invoices, attach supporting documentation and check the payment status of any invoice submitted to the DOE. Instructions concerning contractor enrollment and use of IPP can be found at https://www.ipp.gov.
c) For an invoice to be payable it must comply with the requirements identified in the applicable Prompt Payment clause included in the contract, or the clause 52.212-4 Contract Terms and Conditions - Commercial Items included in commercial item contracts.
d) A paper copy of an invoice that has been submitted electronically will not be accepted.
(End of Clause)
WES-F-2002 REQUIREMENT TO UNLOAD EQUIPMENT AT THE DESTINATION (WAPA, FEB
2008)
a. The contractor is responsible for unloading the equipment specified in CLIN(s) All CLINs to a ground level pad within the substation or other specific location as directed by the Government. The contractor must provide any specialized unloading equipment or truck features that are necessary to unload the equipment. The contractor's costs for properly configured trucks and unloading the equipment at the delivery location shall be included in the quoted price.
b. Responsibility for loss or damage to the equipment shall remain with the contractor until the Government accepts the equipment at the destination. If the equipment is rejected due to failure to conform to the contract requirements, the risk of loss or damage shall remain with the contractor until the defects are corrected and the equipment is subsequently accepted by the Government.
WES-M-2001 AWARD ON AN ALL OR NONE BASIS (WAPA, NOV 1995)
Failure to bid on all the items in the solicitation will render your bid nonresponsive. The award resulting from this solicitation will be on an "all or nothing basis." Only one award will be made from this solicitation.
DOE-H-2084 MITIGATING SUPPLY CHAIN RISK (OCT 2022)
DOE/NNSA utilizes a Supply Chain Risk Management (SCRM) Program to identify, assess, and monitor supply chain risks of critical vendors. The Government may use any information, public and non-public, including all-source intelligence for its analysis. The Contractor agrees that the Government may, at its own discretion, perform audits of supply chain risk processes or events consistent with other terms in the contract regarding access to records and audits. An onsite assessment may be required. Through the information obtained from a SCRM program, DOE may assess vendors and products through multiple risk lenses such as national security, cybersecurity, compliance, and finance. If supply chain risks are identified and corrective action becomes necessary, mutually agreeable corrective actions will be sought based upon specific identified risks. Failure to resolve any identified risk may result in contract termination.
(End of Clause)
DOE-D-2001 PACKAGING AND MARKING (OCT 2014)
(a) Preservation, packaging and packing for shipment or mailing of all work delivered hereunder shall be in accordance with good commercial practice, adequate to ensure acceptance by common carrier and safe transportation at the most economical rate(s), including electronic means.
(b) Each package, report or other deliverable shall be accompanied by a letter or other document which -
(1) Identifies the contract by number pursuant to which the item is being delivered;
(2) Identifies the deliverable item number or report requirement which requires the delivered item; and
(3) Indicates whether the Contractor considers the delivered item to be a partial or full satisfaction of the requirement.
(c) For any package, report, or other deliverable being delivered to a party other than the Contracting Officer, a copy of the document required by paragraph (b) shall be simultaneously delivered to the office administering this contract, as identified in Section G of the contract, or if none, to the Contracting Officer.
(End of Clause)
DOE-E-2001 INSPECTION AND ACCEPTANCE (OCT 2014)
Inspection and acceptance of all items under this contract shall be accomplished by the Contracting Officer in accordance with the clause entitled RFO 52.212-4 Terms and Conditions—Commercial Products and Commercial Services. If the Contracting Officer assigns this responsibility to the Contracting Officer's Representative or another representative of the Government, the Contracting Officer shall notify the Contractor in writing.
(End of Clause)
DOE-F-2001 DELIVERY SCHEDULE (OCT 2014)
The Government requires delivery to be made according to the following schedule:
FY27 TRANSMISSION HARDWARE REPLACEMENT FOR POPLAR-WILLISTON
TO BE DELIVERED TO:
WESTERN AREA POWER ADMINISTRATION (WAPA)
MONTANA MAINTENANCE
14 N. BIGHORN ST
FORT PECK, MT 59223-0145
(End of Clause)
DOE-F-2004 DELIVERY POINT (OCT 2014)
(a) Delivery of all items under this contract shall be made to the following address:
MONTANA MAINTENANCE
14 N. BIGHORN ST, FORT PECK, MT
59223-0145
(b) Delivery for the purpose of inspection, acceptance and the Prompt Payment Act must be through the above shipping address unless another location has been authorized by the Contracting Officer. If delivery is made to another location without authorization from the Contracting Officer, a delivery for the purposes of the Prompt Payment Act has not occurred and no interest penalty under the Act shall result.
(End of Clause)
DOE-F-2005 NOTICE OF SHIPMENT (OCT 2014)
7 work days prior to shipping item(s):
All items
The Contractor shall furnish the anticipated shipment date, bill of lading number (if applicable), and carrier identity to Andrea Farr (406) 526-8516, Tyler Partridge (406) 526-8517 and to the Contracting Officer.
DOE-G-2001 CONTRACTING OFFICER AUTHORITY (OCT 2014)
The Contracting Officer is responsible for administration of the contract. The Contracting Officer may appoint a Contracting Officer's Representative (COR), in accordance with the clause entitled Contracting Officer's Representative, to perform specifically delegated functions. The Contracting Officer is the only individual who has the authority on behalf of the Government, among other things, to take the following actions under the [contract]:
(a) Assign additional work within the general scope of the [contract].
(b) Issue a change in accordance with the clause entitled Changes.
(c) Change the cost or price of the [contract].
(d) Change any of the terms, conditions, specifications, or services required by the [contract].
(e) Accept non-conforming work.
(f) Waive any requirement of the [contract].
(End of Clause)
DOE-H-2013 CONSECUTIVE NUMBERING (OCT 2014)
Due to automated procedures employed in formulating this document, clauses and provisions contained within may not always be consecutively numbered.
(End of Clause)
DOE-H-2076 LOBBYING RESTRICTIONS (NOV 2018)
In accordance with 18 U.S.C. § 1913, the Contractor agrees that none of the funds obligated on this award shall be expended, directly or indirectly, to influence congressional action on any legislation or appropriation matters pending before Congress. This restriction is in addition to those prescribed elsewhere in statute and regulation.
(End of Clause)
DOE-J-2001 LIST OF ATTACHMENTS (OCT 2015)
The following attachments constitute part of this contract:
Attachment Number Title Date
1 019. Attachment 1 - Specifications 11/10/2026
DOE-L-2016 NUMBER OF AWARDS (OCT 2015)
It is anticipated that there will be One (1) award(s) resulting from this solicitation. However, the Government reserves the right to make any number of awards, or no award, if it is in the Government's best interest to do so.
(End of Provision)
DOE-L-2017 EXPENSES RELATED TO OFFEROR SUBMISSIONS (OCT 2015)
This solicitation does not commit the Government to pay any costs incurred in the submission of any proposal or bid, or in making necessary studies or designs for the preparation thereof or for acquiring or contracting for any services relating thereto.
(End of Provision)
52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT. (JUN 2020) -
ALTERNATE I (NOV 2021)
52.203-7 ANTI-KICKBACK PROCEDURES. (JUN 2020)
52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS. (NOV 2023)
52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL. (JAN 2011)
52.204-13 SYSTEM FOR AWARD MANAGEMENT-MAINTENANCE. (OCT 2018) (DEVIATION
NOV 2025)
52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS.
(DEC 2014)
52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH
CONTRACTORS DEBARRED, SUSPENDED, PROPOSED FOR DEBARMENT, OR VOLUNTARILY
EXCLUDED. (JAN 2025) (DEVIATION NOV 2025)
52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS.
(NOV 2015) (DEVIATION NOV 2025)
52.212-2 EVALUATION-COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES. (NOV 2021)
(DEVIATION NOV 2025)
(a) Evaluation factors. The Government will award a contract resulting from this solicitation to the responsible Offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors will be used to evaluate offers:
The Government intends to award a single purchase order resulting from this solicitation to the responsible Offeror whose conforming quotation represents the Lowest Price Technically Acceptable (LPTA) solution, meeting all stated technical specifications at the lowest evaluated price. Quotations will be ranked by total evaluated price, and the Government will initially evaluate only the lowest-priced quotation for technical acceptability. If the lowest-priced quotation is determined to be technically acceptable and the Offeror is determined responsible in accordance with FAR Subpart 9.1, award will be made without further evaluation of remaining quotations. If the lowest-priced quotation is determined technically unacceptable, the Government will proceed to evaluate the next lowest-priced quotation for technical acceptability, continuing sequentially until an award can be made to the lowest-priced, technically acceptable Offeror; however, the Government reserves the right to make no award if no quotation is found technically acceptable or offered at a fair and reasonable price.
(b) Options (if applicable). The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. The evaluation of options does not obligate the Government to exercise the option(s).
(c) Notice of award. A written notice of award or acceptance of an offer furnished to the successful Offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.
(End of provision)
52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE. (NOV 2020) (DEVIATION DEC 2025)
52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS. (JAN 2025) (DEVIATION DEC 2025)
52.219-14 LIMITATIONS ON SUBCONTRACTING. (OCT 2022) (DEVIATION DEC 2025)
(a) This clause does not apply to the unrestricted portion of a partial set-aside.
(b) Definition. Similarly situated entity, as used in this clause, means a first-tier subcontractor, including an independent contractor, that-
(1) Has the same small business program status as that which qualified the prime contractor for the award (e.g., for a small business set-aside contract, any small business concern, without regard to its socioeconomic status); and
(2) Is considered small for the size standard under the North American Industry Classification System (NAICS) code the prime contractor assigned to the subcontract.
(c) Applicability. This clause applies only to-
(1) Contracts that have been set aside for any of the small business concerns identified in 19.000(a)(3);
(2) Part or parts of a multiple-award contract that have been set aside for any of the small business concerns identified in 19.000(a)(3);
(3) Contracts that have been awarded on a sole-source basis in accordance with sections 19.105, 19.106, 19.107, and 19.108;
(4) Orders expected to exceed the simplified acquisition threshold and that are set aside for small business concerns under multiple-award contracts, as described in 8.4 and 16.5;
(5) Orders, regardless of dollar value, that are set aside in accordance with sections 19.105, 19.106, 19.107, and 19.108 under multiple-award contracts, as described in 8.4 and 16.5; and
(6) Contracts using the HUBZone price evaluation preference to award to a HUBZone small business concern unless the concern waived the evaluation preference.
(d) Independent contractors. An independent contractor shall be considered a subcontractor.
(e) By submission of an offer and execution of a contract, the Contractor agrees that in performance of a contract assigned a North American Industry Classification System (NAICS) code for-
(1) Services (except construction), it will not pay more than 50 percent of the amount paid by the Government for contract performance to subcontractors that are not similarly situated entities.
Any work that a similarly situated entity further subcontracts will count towards the prime contractor's 50 percent subcontract amount that cannot be exceeded. When a contract includes both services and supplies, the 50 percent limitation shall apply only to the service portion of the contract;
(2) Supplies (other than procurement from a nonmanufacturer of such supplies), it will not pay more than 50 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count towards the prime contractor's 50 percent subcontract amount that cannot be exceeded. When a contract includes both supplies and services, the 50 percent limitation shall apply only to the supply portion of the contract;
(3) General construction, it will not pay more than 85 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count towards the prime contractor's 85 percent subcontract amount that cannot be exceeded; or
(4) Construction by special trade contractors, it will not pay more than 75 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count towards the prime contractor's 75 percent subcontract amount that cannot be exceeded.
(f) The Contractor shall comply with the limitations on subcontracting as follows:
(1) For contracts, in accordance with paragraphs (c)(1), (2), (3) and (6) of this clause-
[Contracting Officer check as appropriate.]
[X] By the end of the base term of the contract and then by the end of each subsequent option period; or
[ ] By the end of the performance period for each order issued under the contract.
(2) For orders, in accordance with paragraphs (c)(4) and (5) of this clause, by the end of the performance period for the order.
(g) A joint venture agrees that, in the performance of the contract, the applicable percentage specified in paragraph (e) of this clause will be performed by the aggregate of the joint venture participants.
(1) In a joint venture comprised of a small business protégé and its mentor approved by the Small Business Administration, the small business protégé shall perform at least 40 percent of the work performed by the joint venture. Work performed by the small business protégé in the joint venture must be more than administrative functions.
(2) In an 8(a) joint venture, the 8(a) participant(s) shall perform at least 40 percent of the work performed by the joint venture. Work performed by the 8(a) participants in the joint venture must be more than administrative functions.
(End of clause)
52.219-33 NONMANUFACTURER RULE. (SEP 2021) (DEVIATION DEC 2025)
52.222-3 CONVICT LABOR. (JUN 2003) (DEVIATION MAR 2026)
52.222-19 CHILD LABOR-COOPERATION WITH AUTHORITIES AND REMEDIES. (JAN 2025)
(DEVIATION MAR 2026)
52.222-35 EQUAL OPPORTUNITY FOR VETERANS. (JUN 2020) (DEVIATION JAN 2026)
52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES. (JUN 2020)
(DEVIATION JAN 2026)
52.222-37 EMPLOYMENT REPORTS ON VETERANS. (JUN 2020) (DEVIATION JAN 2026)
52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR
RELATIONS ACT. (DEC 2010) (DEVIATION MAR 2026)
52.222-50 COMBATING TRAFFICKING IN PERSONS. (OCT 2025) (DEVIATION MAR 2026)
52.222-62 PAID SICK LEAVE UNDER EXECUTIVE ORDER 13706. (JAN 2022) (DEVIATION MAR
2026)
52.226-8 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE
DRIVING. (MAY 2024)
52.232-1 PAYMENTS. (APR 1984)
52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER - SYSTEM FOR AWARD
MANAGEMENT. (OCT 2018)
52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS. (JUN 2013)
52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS.
(MAR 2023)
52.233-3 PROTEST AFTER AWARD. (AUG 1996) (DEVIATION NOV 2025)
52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM. (OCT 2004) (DEVIATION
NOV 2025)
52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS. (DEVIATION SEP 2025)
52.240-93 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS.
(DEVIATION SEP 2025)
52.243-1 CHANGES-FIXED-PRICE. (AUG 1987) (DEVIATION JUL 2025)
52.247-34 F.O.B. DESTINATION. (JAN 1991)
52.252-2 CLAUSES INCORPORATED BY REFERENCE. (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):
https://www.acquisition.gov/browse/index/far https://www.acquisition.gov/far-overhaul/far-part-deviation-guide
(End of clause)
Section 4 - Section 4
52.203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE
CERTAIN FEDERAL TRANSACTIONS. (SEP 2024)
52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN
INTERNAL CONFIDENTIALITY AGREEMENTS OR STATEMENTS-REPRESENTATION. (JAN
2017)
52.204-7 SYSTEM FOR AWARD MANAGEMENT-REGISTRATION. (NOV 2024) (DEVIATION NOV
2025)
52.204-90 OFFEROR IDENTIFICATION. (DEVIATION NOV 2025)
52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS. (AUG 2020) (DEVIATION
NOV 2025)
(a)(1) The Offeror certifies, to the best of its knowledge and belief, that-
(i) The Offeror and/or any of its Principals-
(A) Are [ ] are not [X] presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;
(B) Have [ ] have not [X], within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) contract or subcontract; violation of Federal or State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks "have", the offeror shall also see 52.209-7, if included in this solicitation);
(C) Are [ ] are not [X] presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision; and
(D) Have [ ], have not [X], within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds the threshold at 9.104-5(a)(2) for which the liability remains unsatisfied. Federal taxes are considered delinquent if both of the following criteria apply:
(1) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if a pending administrative or judicial challenge remains. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.
(2) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.
(ii) The Offeror has [ ] has not [X], within a 3-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.
(2) "Principal," for the purposes of this certification, means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).
(b) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the Government will consider the certification in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.
(d) This provision does not require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a). The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
(e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If the Government later determines that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default.
(End of provision)
52.219-2 EQUAL LOW BIDS. (OCT 1995) (DEVIATION DEC 2025)
(a) This provision applies to small business concerns only.
(b) The bidder's status as a labor surplus area (LSA) concern may affect entitlement to award in case of tie bids. If the bidder wishes to be considered for this priority, the bidder must identify, in the following space, the LSA in which the costs to be incurred on account of manufacturing or production (by the bidder or the first-tier subcontractors) amount to more than 50 percent of the contract price.
(c) Failure to identify the labor surplus areas as specified in paragraph (b) of this provision will preclude the bidder from receiving priority consideration. If the bidder is awarded a contract as a result of receiving priority consideration under this provision and would not have otherwise received award, the bidder shall perform the contract or cause the contract to be performed in accordance with the obligations of an LSA concern.
(End of provision)
52.225-18 PLACE OF MANUFACTURE. (AUG 2018)
52.229-11 TAX ON CERTAIN FOREIGN PROCUREMENTS-NOTICE AND REPRESENTATION.
(JUN 2020)
(a) Definitions. As used in this provision-
Foreign person means any person other than a United States person.
Specified Federal procurement payment means any payment made pursuant to a contract with a foreign contracting party that is for goods, manufactured or produced, or services provided in a foreign country that is not a party to an international procurement agreement with the United States. For purposes of the prior sentence, a foreign country does not include an outlying area of the United States.
United States person as defined in 26 U.S.C. 7701(a)(30) means
(1) A citizen or resident of the United States;
(2) A domestic partnership;
(3) A domestic corporation;
(4) Any estate (other than a foreign estate, within the meaning of 26 U.S.C. 701(a)(31)); and
(5) Any trust if-
(i) A court within the United States is able to exercise primary supervision over the administration of the trust; and
(ii) One or more United States persons have the authority to control all substantial decisions of the trust.
(b) Unless exempted, there is a 2 percent tax of the amount of a specified Federal procurement payment on any foreign person receiving such payment. See 26 U.S.C. 5000C and its implementing regulations at 26 CFR 1.5000C-1 through 1.5000C-7.
(c) Exemptions from withholding under this provision are described at 26 CFR 1.5000C-1(d)(5) through (7). The Offeror may claim an exemption from the withholding by using the Department of the Treasury Internal Revenue Service (IRS) Form W-14, Certificate of Foreign Contracting Party Receiving Federal Procurement Payments, available at www.irs.gov/w14. Any exemption claimed and self-certified on the IRS Form W-14 is subject to audit by the IRS. Any disputes regarding the imposition and collection of the 26 U.S.C. 5000C tax are adjudicated by the IRS as the 26 U.S.C. 5000C tax is a tax matter, not a contract issue. The IRS Form W-14 is provided to the acquiring agency rather than to the IRS.
(d) For purposes of withholding under 26 U.S.C. 5000C, the Offeror represents that
(1) It [ ]is [X]is not a foreign person; and
(2) If the Offeror indicates "is" in paragraph (d)(1) of this provision, then the Offeror represents that-I am claiming on the IRS Form W-14 [ ] a full exemption, or [ ] partial or no exemption [Offeror must select one] from the excise tax.
(e) If the Offeror represents it is a foreign person in paragraph (d)(1) of this provision, then-
(1) The clause at FAR 52.229-12, Tax on Certain Foreign Procurements, will be included in any resulting contract; and
(2) The Offeror shall submit with its offer the IRS Form W-14. If the IRS Form W-14 is not submitted with the offer, exemptions will not be applied to any resulting contract and the Government will withhold a full 2 percent of each payment.
(f) If the Offeror selects "is" in paragraph (d)(1) and "partial or no exemption" in paragraph (d)(2) of this provision, the Offeror will be subject to withholding in accordance with the clause at FAR 52.229-12, Tax on Certain Foreign Procurements, in any resulting contract.
(g) A taxpayer may, for a fee, seek advice from the IRS as to the proper tax treatment of a transaction.
This is called a private letter ruling. Also, the IRS may publish a revenue ruling, which is an official interpretation by the IRS of the Internal Revenue Code, related statutes, tax treaties, and regulations. A revenue ruling is the conclusion of the IRS on how the law is applied to a specific set of facts. For questions relating to the interpretation of the IRS regulations go to https://www.irs.gov/help/tax-law-questions.
(End of provision)
52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS AND
CERTIFICATIONS. (DEVIATION SEP 2025)
| Solicitation/Contract/Order for commercial products and commercial services |
| Requisition number |
| Contract number |
| Award/Effective date |
| Order number |
| Solicitation number |
| Solicitation issue date |
| For solicitation information call: |
| Name |
| Telephone number |
| Offer due date/local time |
| Issued by |
| Code |
| This acquisition is |
| NAICS |
| Size standard |
| Delivery for free on board (FOB) destination unless block is marked |
| Discount terms |
| This contract is a rated order under the defense priorities and allocations system - DPAS |
| Rating |
| Method of solicitation |
| Deliver to |
| Code |
| Administered by |
| Code |
| Contractor/Offeror |
| Code |
| Facility code |
| Telephone number |
| Check if remittance is different and put such address in offer |
| Payment will be made by |
| Code |
| Submit invoices to address shown in block 18a unless block below is checked |
| Accounting and appropriation data |
| Total award amount |
| Solicitation incorporates by reference |
| Addenda |
| Contract/purchase order incorporates by reference |
| Addenda |
| Contractor is required to sign this doc. and return: |
| Award of contract: reference |
| Signature of offeror/contractor |
| Name and title of signer |
| Signer date signed |
| Signature of contracting officer |
| Name of contracting officer |
| Contracting officer date signed |
| Authorized for local reproduction. Previous edition is not usable |
| Standard Form 1449 (Rev. 11/2021) |
| Quantity in column 21 has been |
| Signature of authorized government representative |
| Date |
| Printed name and title of authorized government representative |
| Mailing address authorized government representative |
| Telephone number of authorized government representative |
| Email number of authorized government representative |
| Ship number |
| Voucher number |
| Amount verified correct for |
| Payment |
| Check number |
| Stock record (S/R) |
| S/R account number |
| S/R voucher number |
| Paid by |
| I certify this account is correct and proper for payment |
| Signature and title of certifying officer |
| Date |
| Received by |
| Received at |
| Date received |
| Total containers |
| Standard Form 1449 (rev. 11/2021) Back |
File details come from the government source that posted it. Updated .