Attachment 2 New Item Request Form.PDF

PDF 377 KB Posted

Attached to
Amendment 3 Notice for Fresh Fruit and Vegetable support for USDA School Customers in the Lower Michigan Zone
Solicitation number
SPE30023R0008
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Attachment 2 – SPE300-23-R-0008

REQUEST FOR NEW PRODUCE ITEMS

Items marked with an asterisk are required

*Requested by: (Activity Name): _________________

*Contract #

*CONUS (USA Stateside) or OCONUS (overseas) Request_______________

*Troop Support (STORES) ____or School Lunch/Tribe (USDA FFAVORS)? ___

DLA Stock # LSN (if available): ___________

Vendor Part/Item # _______________

*Complete Item Description: __________________________

*Form (whole, chopped, sliced, diced, etc.) ________

*Does this item require refrigeration? ______

*USDA Grade (If none state none): ____________

Manufacture/Brand Name (if available): ___________________________

Cost: Per Case: $ Dist. Fee ___ Total Cost ___ Per Package

*Vendor’s Unit of Measure (most important as this is how the vendor prices the item for sale (i.e. cs, co, pg, lb) _____________

DLA Unit of Issue (How many individual units are contained within the Vendor Unit of Measure, (usually determined by cataloger). _____________

Package Size: ______

*Case Weight: _______Count Per Case (If Used)_____

Pack: Bulk ____ Individually Wrapped Portions _______

Item: Fresh ________Chilled/Processed ________ Other_______

Estimated Monthly Usage: ___ Cases per month

Attachment 2 – SPE300-23-R-0008

Comments: Note: Provide a copy of this request to your DLA Catalog Account Manager to expedite stockage of the items desired.

*Form (whole, chopped, sliced, diced, etc.) ________

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