91995926Q0005-SF1449.pdf
PDF 280 KB Posted
- Solicitation number
- 91995926Q0005
- Issued by
-
Department of Education
About this file
This is a Solicitation/Contract/Order for Commercial Products and Commercial Services (Standard Form 1449) issued by the U.S. Department of Education, National Assessment Governing Board (NAGB). The solicitation number is EDNAGB-26-000007, with an offer due date of March 6, 2026 at 12:00 PM ET. The contract is set aside as a Women-Owned Small Business (WOSB) acquisition, with a 100% set-aside designation. The contract employs a Request for Quote (RFQ) method of solicitation. Contact for solicitation information is Tony White at 202-708-9943. The work involves services related to the MAY 2026 NAGB Quarterly Board Meeting (Item 0001, Product/Service Code X1AB) with a period of performance from May 13, 2026 to May 16, 2026. Delivery and administration are specified to the National Assessment Governing Board at 400 Maryland Ave SW, Washington DC 20202 USA. Payment will be made electronically through the System for Award Management (SAM). The contract incorporates standard FAR clauses applicable to commercial products and services, including provisions for small business set-asides, Buy American requirements, whistleblower protections, and information security and privacy requirements specific to the Department of Education.
The solicitation requires contractors to submit invoices electronically through the Invoice Processing Platform (IPP) system at http://www.ipp.gov/, with specific formatting requirements for invoice numbering (contract number plus sequential invoice number not exceeding 21 characters). The acquisition is unrestricted with a NAICS code of 721110 and a size standard of $40 million. A Contracting Officer's Representative (COR) will be designated upon award. Key personnel and specific contract administration details, including COR contact information, will be determined post-award. The contract observes standard federal holidays and includes provisions for accessibility of meetings and seminars to persons with disabilities. HUBZone small business concerns are subject to a 10% price evaluation preference unless the offeror waives the preference, though the document indicates the offeror chooses to waive this evaluation preference. FAR clauses incorporated by reference include 52.212-1, 52.212-4, 52.212-5, and numerous others addressing compliance, labor standards, security, and protests.
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Other files
| File | Type | Posted |
|---|---|---|
| Responses-to-Questions-91995926Q0005-A0001.pdf | ||
| 91995926Q0005-RFQ-NAGB-May-2026-QBM.pdf | ||
| 91995926Q0005-Seating-Chart-NAGB-May-2026-QBM.pdf | ||
| 91995926Q0005-Response-Form-NAGB-May-2026-QBM.docx | DOCX document | |
| 91995926Q0005-Quote-Worksheet-NAGB-May-2026-QBM.xlsx | XLSX spreadsheet |
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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
91995926Q0005
See Schedule See Schedule
US Department of Education National Assessment Governing Board 400 Maryland Ave SW Washington DC 20202
03/06/2026 1200 ET
EDNAGB-26-000007
Tony White 202-708-9943
NAGB 100.00
NAGB
Tony White
721110
$40
02/10/2026
NAGB
ADMINISTERED BY:
US Department of Education
National Assessment Governing Board
400 Maryland Ave SW
Washington DC 20202 USA
DELIVER TO:
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,
National Assessment Governing Board
400 Maryland Ave SW
Washington DC 20202 USA
0001 MAY 2026 NAGB QUARTERLY BOARD MEETING
Product/Service Code: X1AB
Period of Performance: 05/13/2026 to
05/16/2026
G - Contract Administration Data
ED.ALL.32-01 SUBMISSION OF INVOICES AND CONTRACT FINANCING REQUESTS (NOV 2024).5
H - Special Contract Requirements 3452.201-70 Contracting Officer's Representative (COR). (MAR 2011) 3452.237-71 Observance of administrative closures. (MAR 2011) 3452.243-70 Key personnel. (OCT 2023)
ADDENDUM TO 3452.237-71 OBSERVANCE OF ADMINISTRATIVE CLOSURES (MAR 2011)
I - Contract Clauses 3452.224-70 Release of information under the Freedom of Information Act. (MAR 2011) 3452.239-71 Department information security and privacy requirements. (OCT 2023) 3452.242-73 Accessibility of meetings, conferences, and seminars to persons with disabilities.
(MAR 2011)
52.203-17 Contractor Employee Whistleblower Rights. (NOV 2023) 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. (JAN 2017) 52.204-9 Personal Identity Verification of Contractor Personnel. (JAN 2011) 52.204-13 System for Award Management-Maintenance. (OCT 2018) (Deviation JAN 2026) ...9 52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (NOV 2015) (Deviation JAN 2026) 52.212-4 Terms and Conditions-Commercial Products and Commercial Services. (NOV 2023) (Deviation JAN 2026) 52.219-6 Notice of Total Small Business Set-Aside. (NOV 2020) (Deviation JAN 2026) 52.222-3 Convict Labor. (JUN 2003) 52.222-50 Combating Trafficking in Persons. (OCT 2025) (Deviation JAN 2026) 52.223-23 Sustainable Products and Services. (MAY 2024) (Deviation JAN 2026) 52.225-1 Buy American-Supplies (OCT 2022) (Deviation JAN 2026) 52.226-8 Encouraging Contractor Policies To Ban Text Messaging While Driving. (MAY 2024) 52.232-33 Payment by Electronic Funds Transfer - System for Award Management. (OCT 2018) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. (MAR 2023) ..10 52.233-3 Protest after Award. (AUG 1996) (Deviation JAN 2026) 52.233-4 Applicable Law for Breach of Contract Claim. (OCT 2004) (Deviation JAN 2026) 52.244-6 Subcontracts for Commercial Products and Commercial Services. (OCT 2025) (Deviation JAN 2026) 52.252-2 Clauses Incorporated by Reference. (FEB 1998)
K - Representations, Certifications, and Other Statements of Bidders 52.240-90 Security Prohibitions and Exclusions Representations and Certifications. (Deviation
JAN 2026)
L - Instructions,Conditions, and Notices to Bidders 3452.233-70 Agency level protests. (OCT 2023) 52.204-7 System for Award Management-Registration. (NOV 2024) (Deviation JAN 2026) 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services. (SEP 2023) (Deviation JAN 2026)
M - Evaluation Factors for Award 52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns. (OCT 2022) (Deviation JAN 2026)
G - Contract Administration Data
ED.ALL.32-01 SUBMISSION OF INVOICES AND CONTRACT FINANCING REQUESTS (NOV 2024)
(a) Payments shall be rendered in accordance with the contract’s payment terms and schedule(s).
(b) The Contractor shall submit invoices and requests for contract financing payments electronically in the secure web-based Invoice Processing Platform (IPP) system that can be accessed at: http://www.ipp.gov/. All submitted invoices and requests for contract financing payments must be accompanied by supporting documentation in accordance with the contract's terms and conditions. (Please identify all requests for contract financing payments as “Requests for Contract Financing Payments.”)
(c) Invoice Number Format - The format for the invoice shall be the contract number and invoice number. The invoice number shall be sequential starting at 0001, have no spaces, dashes, or other special characters. The invoice number cannot exceed 21 characters. An example of an acceptable invoice number format follows: Contract No.:91990025C1234, Invoice No.:0001, IPP Invoice No.: 91990025C12340001. Should an invoice require re-submission, the vendor must use the same number followed by an ‘R.’ (For example: 91990025C12340001R). Should an invoice require multiple resubmissions, the vendor shall submit an ‘R’ for each resubmission. (For example, a second resubmission would be: 91990025C12340001RR).
(d) The Contractor's Government Business Point of Contact (as listed in System for Award Management (SAM)) should receive enrollment instruction via email from IPP. If the Contractor does not receive such instruction well in advance of initial invoice submission, the Contractor must reach out to IPP using the contact information listed in Section (e) below to ensure timely invoice submission.
(e) Contractor assistance with enrollment can be obtained by contacting the IPP Vendor Support Team at IPPCustomerSupport@fiscal.treasury.gov or (866) 973-3131.
H - Special Contract Requirements
3452.201-70 Contracting Officer's Representative (COR). (MAR 2011)
(a) The Contracting Officer's Representative (COR) is responsible for the technical aspects of the project, technical liaison with the contractor, and any other responsibilities that are specified in the contract. These responsibilities include inspecting all deliverables, including reports, and recommending acceptance or rejection to the contracting officer.
(b) The COR is not authorized to make any commitments or otherwise obligate the Government or authorize any changes that affect the contract price, terms, or conditions.
Any contractor requests for changes shall be submitted in writing directly to the contracting officer or through the COR. No such changes shall be made without the written authorization of the contracting officer.
(c) The COR's name and contact information: TBD UPON AWARD
(d) The COR may be changed by the Government at any time, but notification of the change, including the name and address of the successor COR, will be provided to the contractor by the contracting officer in writing.
(End of Clause)
3452.237-71 Observance of administrative closures. (MAR 2011)
3452.243-70 Key personnel. (OCT 2023)
(a) The personnel designated as key personnel in this contract are considered to be essential to the work being performed hereunder. Prior to diverting any of the specified individuals to other programs, or otherwise substituting any other personnel for specified personnel, the contractor shall notify the contracting officer reasonably in advance and shall submit justification (including proposed substitutions) in sufficient detail to permit evaluation of the impact on the contract effort. No diversion or substitution shall be made by the contractor without written consent of the contracting officer; provided, that the contracting officer may ratify a diversion or substitution in writing and that ratification shall constitute the consent of the contracting officer required by this clause. The contract shall be modified to reflect the addition or deletion of key personnel.
(b) The following personnel have been identified as Key Personnel in the performance of this contract:
TBD UPON AWARD
(End of clause)
ADDENDUM TO 3452.237-71 OBSERVANCE OF ADMINISTRATIVE CLOSURES (MAR 2011)
The following Federal holidays are observed under this contract:
-New Year’s Day
-Birthday of Martin Luther King, Jr.
-Washington’s Birthday
-Memorial Day
-Juneteenth
-Independence Day
-Labor Day
-Columbus Day
-Veteran’s Day
-Thanksgiving Day
-Christmas Day
I - Contract Clauses
3452.224-70 Release of information under the Freedom of Information Act. (MAR 2011)
3452.239-71 Department information security and privacy requirements. (OCT 2023)
(a) The Contractor shall, at all times, maintain compliance with the most current version of Department security requirements as set forth in "Department Information Security and Privacy Requirements." These requirements are posted at http://www.ed.gov/fund/contract/about/bsp.html.
(b) The Contractor shall be notified when the "Department Information Security and Privacy Requirements" have been updated.
(c) If any such change causes a material increase or decrease in the cost of, or the time required for, performance of any part of the work under this contract, whether or not changed by the order, the Contractor may request an equitable adjustment to the contract price or the delivery schedule, as applicable. The Contracting Officer shall make an equitable adjustment in the contract price, the delivery schedule, or both, and shall modify the contract.
(d) The Contractor must assert its right to an equitable adjustment under this clause within 30 days from the date of receipt of notice of the changed requirement. However, if the Contracting Officer determines that the facts justify it, the Contracting Officer may receive and act upon the Contractor's request for equitable adjustment submitted before final payment of the contract. Failure to agree to any adjustment shall be a dispute under the Disputes clause. However, nothing in this clause shall excuse the Contractor from proceeding with the contract as changed.
(e) The Contractor shall incorporate the substance of this clause, its terms and requirements, including this paragraph, in all subcontracts, and require written subcontractor acknowledgement of the same. Violation by a subcontractor of any provision set forth in this clause will be attributed to the Contractor.
(f) Failure to comply with this clause, including the embedded Department Information Security and Privacy Requirements, may result in a termination of the contract for default or cause.
(g) Performance of this contract [ ] does include [X] does not include the following:
access to, collection of, or maintenance of information on behalf of the Department; or Department information technology (IT) products, systems, or hardware that are (1) used or operated by the Contractor on behalf of the Department, or (2) used in the performance of services or the furnishing of products. IT products, systems, hardware, and services include agency-hosted, outsourced, and cloud-based solutions, as well as incidental IT equipment that is acquired by the Contractor to support contract performance. When "does include" is selected, the categorizations shown below apply:
(1) In accordance with the Federal Information Processing Standard (FIPS 199), Standards for Security Categorization of Federal Information and Information Systems, the Information Security Categorization applicable to each security objective has been determined to be:
Confidentiality: [X] Low [ ] Moderate [ ] High
Integrity: [X] Low [ ] Moderate [ ] High
Availability: [X] Low [ ] Moderate [ ] High
Overall Risk Level: [X] Low [ ] Moderate [ ] High
(2) Performance of this contract [ ] does involve [X] does not involve Personally Identifiable information (PII) as defined in OMB A-130 (2016).
(3) Performance of this contract [ ] does involve [X] does not involve "Controlled Unclassified Information" as defined in 32 CFR 2002.4(h).
(End of Clause)
3452.242-73 Accessibility of meetings, conferences, and seminars to persons with disabilities.
(MAR 2011)
52.203-17 Contractor Employee Whistleblower Rights. (NOV 2023)
52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. (JAN 2017)
52.204-9 Personal Identity Verification of Contractor Personnel. (JAN 2011)
52.204-13 System for Award Management-Maintenance. (OCT 2018) (Deviation JAN 2026)
52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (NOV 2015) (Deviation JAN 2026)
52.212-4 Terms and Conditions-Commercial Products and Commercial Services. (NOV 2023) (Deviation JAN 2026)
52.219-6 Notice of Total Small Business Set-Aside. (NOV 2020) (Deviation JAN 2026)
(a) Definition. Small business concern, as used in this clause-
(1) Means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the size standards in this solicitation.
(2) Affiliates, as used in paragraph (a)(1) of this clause, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13 CFR 121.103.
(b) Applicability. This clause applies only to-
(1) Contracts that have been set aside for small business concerns; and
(2) Orders set aside for small business concerns under multiple-award contracts as described in 8.4 and 16.5.
(c) General. (1) Offers are solicited only from small business concerns. Offers received from concerns that are not small business concerns shall be considered nonresponsive and will be rejected.
(2) Any award resulting from this solicitation will be made to a small business concern.
(End of clause)
52.222-3 Convict Labor. (JUN 2003)
52.222-50 Combating Trafficking in Persons. (OCT 2025) (Deviation JAN 2026)
52.223-23 Sustainable Products and Services. (MAY 2024) (Deviation JAN 2026)
52.225-1 Buy American-Supplies (OCT 2022) (Deviation JAN 2026)
52.226-8 Encouraging Contractor Policies To Ban Text Messaging While Driving. (MAY 2024)
52.232-33 Payment by Electronic Funds Transfer - System for Award Management. (OCT 2018)
52.232-40 Providing Accelerated Payments to Small Business Subcontractors. (MAR 2023)
52.233-3 Protest after Award. (AUG 1996) (Deviation JAN 2026)
52.233-4 Applicable Law for Breach of Contract Claim. (OCT 2004) (Deviation JAN 2026)
52.244-6 Subcontracts for Commercial Products and Commercial Services. (OCT 2025) (Deviation JAN 2026)
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/far-overhaul https://www.acquisition.gov/far-overhaul/far-part-deviation-guide
(End of clause)
K - Representations, Certifications, and Other Statements of Bidders
52.240-90 Security Prohibitions and Exclusions Representations and Certifications. (Deviation
JAN 2026)
L - Instructions,Conditions, and Notices to Bidders
3452.233-70 Agency level protests. (OCT 2023)
52.204-7 System for Award Management-Registration. (NOV 2024) (Deviation JAN 2026)
52.212-1 Instructions to Offerors-Commercial Products and Commercial Services. (SEP 2023) (Deviation JAN 2026)
M - Evaluation Factors for Award
52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns. (OCT 2022) (Deviation JAN 2026)
(a) Evaluation preference. (1) Offers will be evaluated by adding a factor of 10 percent to the price of all offers, except-
(i) Offers from HUBZone small business concerns that have not waived the evaluation preference; and
(ii) Otherwise successful offers from small business concerns.
(b) Waiver of evaluation preference. A HUBZone small business concern may choose to waive the evaluation preference. If the concern waives the preference, the factor will be added to its offer for evaluation purposes.
[X] Offeror chooses to waive the evaluation preference.
(c) Joint venture. A HUBZone joint venture agrees that, in the performance of the contract, at least 40 percent of the aggregate work performed by the joint venture shall be completed by the HUBZone small business parties to the joint venture. Work performed by the HUBZone small business parties to the joint venture must be more than administrative functions.
(End of provision)
| 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 .