Attachment 03 DD Form 1155.docx

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Attached to
Iwakuni, Misawa, and Sagami, Japan Scrap Removal and Recycling
Solicitation number
SP450024R0014
Issued by

About this file

This document is an Order for Supplies or Services (DD Form 1155) related to a federal contract opportunity for scrap removal and recycling services in and around Iwakuni, Misawa, and Sagami, Japan.

The key details of the related federal contract opportunity are: The solicitation number is SP450024R0014, it is a full and open competition with a NAICS code of 562219 and a small business size standard of $47.0M. The contract has a base period of 18 months from September 2024 to March 2026 with two 18-month option periods. The work includes scrap yard management, scrap removal and transportation, scrap demilitarization/mutilation and scrap de-manufacturing operations including disposal and recycling. Proposals are due by 1500 EST on July 12, 2024 and should be emailed to the specified points of contact.

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Attachment 3

ORDER FOR SUPPLIES OR SERVICES

Japan Scrap

PAGE 1 OF

1. CONTRACT/PURCH OROER/AGREEMENT NO. 2. OELIVERY OROER/CALL NO, 3. OATE OF OROER/CALL 4. REQUISITION/PlJRCH REQUEST NO. 6. PRIORITY

/YYYYMMMDDJ

6. ISSUEO BY CODE I 7. AOMINISTEREO BY /1/ o//Jet //Jan 61 CODE I S. DELIVERY FOB

OESTINAT!ON OTHER

/See Schedule if other)

9. CONTRACTOR COOEI FACILITY I 10. DELIVER TO FOB POINT BV ID•le/ 11, X IF BUSINESS IS

)/YYYYMMMDD/ >--

SMALL

12. (

VANTAGEO

)DISCOUNT TERMSSMALL DISAO-
NAMEf---------
ANDWOMEN-OWNED

ADDRESS

13. (

)MAIL INVOICES TO THE ADDRESS IN BLOCK

14. SHIP TO coDel 16,PAVMENT Will BE MADE BV CODE I MARK All PACKAGES AND PAPERS WITH IOENTIFICATION

NUMBERS IN BLOCKS 1 AND 2.

16. DELIVERY/ This delrlery or-de,tca-1-1 is i8-5Ued on another Government .agency or in ac.,c;:ordanc.e with .and s1Jbjact to terms &rtd condrHo-n.s. of abova numbered -contract.

CALL

TYPE

OF Rolotoll<>o you, furnish the following on term5; specified hereln.

ORDER

n

PURCHASE ACCEPTANCE. THE CONTRACTOR HERE8V ACCEPTS THE OFFER REPRESENTED 8Y THE NUMBERED PURCHASE OROER AS IT MAV PREVIOUSLY HAVE BEEN OR IS NOW MODIFIED, SU8JECT TO All OF THE TERMS ANO CONOITIONS SET FORTH, ANO AGREES TO PERFORM THE SAME.

NAME OF CONTRACTOR SIGNATURE TYP!'O NAME ANO TITLE OATE SIGNED

(YYYYMMMDD)

If this box: is markedi suppner must sign Ac-ceptance and r-eturn 1ha foUowing number af coples

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

20. QUANTITY 21. 22. UNIT PRICE 23. AMOUNT

16. ITEM NO. 19, SCHEOULE OF SUPPLIES/SERVICES OROEREO/ ACCEPTED•

UNIT

0.00

"If qr;antity accepted by the Government is24. UNITED STATES OF AMERICA26. TOTAL0.00
same as quantify ordered; indicate by X.26.
If different,,· enter actual quantity accepted be!a\'rDIFFERENCES
quantity ordered snd encitcle.av,CONTRACTING/ORDERING OFFICER

27a. QUANTITY IN COLUMN 20 HAS BEEN

INSPECTED

RECEIVED

)nn
b, SIGNATURE.OF AUTHORIZEO GOVERNMENT REPRESENTATIVEc. DATEd, PRINTED NAME ANO TITLE OF AUTHORIZED GOVERNMENT
{YYYYMMMOD)REPRESENTATIVE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 28. SHIP. NO. 29. D.O. VOUCHER NO. 30. INITIALS

I

)PARTIAL32. PAID 8V33. AMOUNT VERIFIED CORRECT FOR
f. TELEPHONE NUMBERg, E-MAIL ADDRESSFINAL
31. PAYMENT34. CHECK NUMBER
36. I CERTIFY THIS ACCOUNT IS CORRECT ANO PROPER FOR PAYMENT.COMPLETE
a, DATEb. SIGNATURE AND TITLE OF CERTIFYING OFFICERPARTIAL35. l!ILl OF LADING NO.

(YYYYMMMDDJ

FINAL

37, RECEIVED
38. RECEIVED BV /Print!
39. DATE RECEIVED
40. TOTAL CON·
41, SIR ACCOUNT NUMBER
42. Sill VOUCHER NO,

AT

(YYYYMMMOD/
TAINERS

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE, Adobe Professional 8.0

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