Attachment 2 - F76 Traceability Signature Page.pdf
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- Solicitation number
- SPE602-22-R-0701
- Issued by
-
Defense Logistics Agency Energy
About this file
This document contains a signature page and certification for traceability of F-76 fuel supplied under federal contracts or orders. It requires the signature of an authorized company representative to attest that no unauthorized materials or additives have been blended into the final fuel product or components. The signatory must disclose all materials and additives by percentage and concentration level in accordance with Military Specification MIL-DTL-16884. It also contains a certification for synthetic paraffinic materials derived from Fischer-Tropsch or Hydroprocessed Renewable Diesel processes, stating that no changes have occurred to feedstocks, production location, or processes since the last certificate of analysis. The signatory must provide the date and identification number of the most recent certificate of analysis, including applicable test results.
This solicitation from the Defense Logistics Agency Energy is for the annual bulk fuel procurement covering the Atlantic, Europe, and Mediterranean regions under the 2022 AEM Purchase Program. Offerors must submit proposals electronically using the Bulk Offer Entry Tool by December 10, 2021. The ordering period is from date of award through June 30, 2023 and deliveries will be made from July 1, 2022 through June 30, 2023 with a 30-day carryover. Delivery methods include tanker FOB origin and pipeline FOB origin and destination depending on the requirement. National American Industries Classification System code is 324110. Questions should be directed to the points of contact listed.
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DEFENSE LOGISTICS AGENCY ENERGY Attachment 2
8725 JOHN J. KINGMAN ROAD
FORT BELVOIR, VIRGINIA 22060-6222
DISTRIBUTION STATEMENT – A: APPROVED FOR PUBLIC RELEASE. DISTRIBUTION IS UNLIMITED
F-76 Traceability Signature Page
Contract or Solicitation Number:
CLIN:
Order Number:
Shipment Number:
Traceability OPTION selected per paragraph e.5 (circle or otherwise indicate which one of the three options is chosen):
OPTION 1 OPTION 2 OPTION 3
F-76 fuel supplied under the above contract, CLIN, order number and shipment number maintains traceability with respect the materials composition, additives and their concentration levels. This signed statement certifies that at no point have any unauthorized un- hydrotreated light cycle oils, other unauthorized materials, or additives been blended into the final product or any of its associated blend components per the most recent revision of MIL-DTL-16884 at date of contract award. All materials and additives are listed below. The percentage of each material as defined in sections 3.2, 3.2.2, and 3.2.3 (i.e. refined hydrocarbon distillate fuel, Fischer-Tropsch, Hydroprocessed Renewable Diesel, etc.) and the concentration level for each additive are also shown. For the purposes of the offeror submission this signed statement attests that no unapproved additives or materials will be added to batches or components of batches of F- 76 for delivery under government contracts.
Signature:
Printed Name:
Title:
Company Name:
Date:
Material Percent
Additive Concentration Responsible Party for Injection
DEFENSE LOGISTICS AGENCY ENERGY Attachment 2
8725 JOHN J. KINGMAN ROAD
FORT BELVOIR, VIRGINIA 22060-6222
DISTRIBUTION STATEMENT – A: APPROVED FOR PUBLIC RELEASE. DISTRIBUTION IS UNLIMITED
F-76 Synthetic Component Certification
Contract or Solicitation Number:
CLIN:
Order Number:
Shipment Number:
Synthetic paraffinic materials supplied as indicated with the above contract, CLIN, order number, and shipment number is derived from either Fischer-Tropsch (FT) or Hydroprocessed Renewable Diesel (HRD) methods. This signed statement certifies that since the last certificate of analysis (COA), including table A-II or B-II results of MIL-DTL-16884P, Appendix A or B, no changes, including feedstock material, production location, or production processes have been made. In addition, no turnaround events have been executed on any units utilized to produce the synthetic paraffinic materials since the last COA, including table A-II or B-II, properties were tested. Please supply the date of the most recent COA and an identifying number for that report in the space provided below.
DATE OF COA: _
LAB REPORT ID NUMBER
Signature:
Printed Name:
Title:
Company Name:
Date:
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