Attachment A.docx

Attachment A

Furnish and Install Tilt, Power Roll Back & Ramp Hoist Combination Per attached specifications for existing Cab and Chassis

AG-56A1-S-10-0009

1. ADMINISTRATIVE INFORMATION

A. CONTRACTOR: ______________________________________ (Contractor’s Name)

______________________________________ (Address)

______________________________________ (City-State-Zip)

______________________________________ (Point of Contact/Title)

PHONE NUMBER: ______________________________________

FAX NUMBER: ______________________________________

E-MAIL ADDRESS: ______________________________________

DUNS NUMBER : ______________________________________

FEDERAL TAX I.D. NO : ______________________________________

CCR Registration effective: ______________________________________

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor under this contract will be made in accordance with Electronic Funds Transfer (EFT) methods referenced in this solicitation. All required information must be current in the Central Contractor Registration (CCR) at www.ccr.gov. To inquire on payment status once a contract has been awarded, contact the Miscellaneous Payments Section of the National Finance Center at 1-800-421-0323.

3. INVOICES: Invoices shall be submitted in arrears, no advance payments will be authorized.

A. In accordance with the Prompt Payment Act, payment will be due 30 days after receipt of services or receipt of proper invoice whichever is later.

B. A proper invoice includes:

1. Name and address of the Contractor

2. Invoice date and invoice number (Contractors should be encouraged to use unique invoice numbers to facilitate processing in IAS)

3. Contract/order number

4. Description, quantity, unit of measure, unit price, and extended price

5. Shipping and payment terms (unless mutually agreed that this information is only required in the contract)

6. Name and address of contractor official to whom payment is to be sent (must be the same as that in the contract or in a proper notice of assignment)

7. Name (where practicable), title, phone number, and mailing address of person to notify in the event of a defective invoice

8. Taxpayer Identification Number (TIN) or D-U-N-S+4 (optional but highly recommended) C. Contractors are encouraged to subscribe to the US Treasury website for Payment Advice Internet Delivery (PAID) at https://fmsapps.treas.gov/paid/ This service is free and provides vendors with advance notification of payments processed through EFT.

D. Contractors are encouraged to Contact PAYMENT INQUIRY at the National Finance Center (800) 421-0323 concerning status of past due invoices.

4. GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be mailed to the following address:

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