Attachment 5 - Invoice_DLA Form 2505.xlsx
XLSX spreadsheet 20 KB Posted
- Attached to
- Bavaria Hazardous Waste Disposal
- Solicitation number
- SP450026R0013
- Issued by
-
Defense Logistics Agency
About this file
This is a DLA Form 2505 invoice template prescribed by FAR 32.9 and DLAM 4140.15 for use by contractors performing hazardous waste disposal services under DLA Disposition Services contracts. The form serves as a billing document that requires contractors to certify the accuracy and completeness of contract performance supporting data. Contractors must complete the invoice with company name, contract number, task order number, invoice amount, and date, along with a certification signature from an authorized representative.
The form contains eleven columns of detailed line-item information that vary in required completion based on the contract type and specific requirements. For all contracts, contractors must complete columns 1-4, which capture the line item number, Hazardous Item Number (HIN), quantity picked up, and manifest document number. For foreign contracts or U.S. contracts containing Certification of Destruction (CD), Certification of Recycling (CR), or HIN 650300 line items, contractors must additionally complete columns 5-11, providing container information, final quantity disposed or received, interim/disposal manifest numbers, EPA facility identification numbers, Management Method Codes, and TSDF acceptance and disposal dates. Special service and supply items require completion of only columns 1, 2, and 7. The instructions note that if final treatment and disposal occur at the initial TSDF facility, contractors may enter "Same as #4 or SAC4" in column 8 to avoid repeating columns 6-11.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1 - PWS.docx | DOCX document | |
| Attachment 12 - Addenda to 52.212‐2 Evaluation.docx | DOCX document | |
| Attachment 3 - Pick-up Locations .xlsx | XLSX spreadsheet | |
| Attachment 8 - Certificate of Disposal Destruction (Example).pdf | ||
| Attachment 1 - PWS.docx | DOCX document | |
| Attachment 6 - CAC Application Process.pdf | ||
| Attachment 9 - 2020 FGS Germany.pdf | ||
| Attachment 7 - DLA Form 2511 HWPS.pdf | ||
| Attachment 4 - DLA Form 2539 Customers Verificaton of Services.pdf | ||
| Attachment 2 - Price Schedule .xlsx | XLSX spreadsheet | |
| Attachment 14 - FAR Clauses.docx | DOCX document | |
| Attachment 13 - Terms and Conditions.docx | DOCX document | |
| Attachment 11 - Addenda to 52.212‐1 Instructions to Offerors.docx | DOCX document | |
| Attachment 15- Order History.xlsx | XLSX spreadsheet | |
| Attachment 10 - PPI Questionnaire.pdf |
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Text version
| Invoice | Prescribed by: FAR 32.9/DLAM 4140.15 Sponsor: DLA Disposition Services | ||||
| COMPANY NAME: | CONTRACT #: | TO #: | INVOICE AMOUNT ($): | DATE: |
| "I CERTIFY TO THE BEST OF MY KNOWLEDGE THAT THIS CONTRACT PERFORMANCE SUPPORTING DATA IS ACCURATE, COMPLETE AND MEETS ALL REQUIREMENTS SET FORTH IN THE CONTRACT." | ||||||||||
| NAME: | Signature: | |||||||||
| 1. | 2. | 3. | 4. | 5. | 6. | 7. | 8. | 9. | 10. | 11. |
| Line Item # | HIN # | P/U Qty | P/U Mnfst # | Mnfst Pg/Li | CTN No & Type | Qty Disposed or Received | Interim/Disp Manifest # | Interim/ Disposal Facility EPA ID # | Interim/ Disposal MMC | TSDF Accept Dates/ PCB Dates (DD/MMM/YY) |
DLA Form 2505, FEB 2022 Page 1 of 2 PDF (DLA)
2505 04/2021 (Draft Revision) &P
INSTRUCTIONS
| NOTE 1: For special service and supply items, complete only blocks 1, 2 and 7. |
| NOTE 2: For foreign contract disposal lines, complete all columns. |
| NOTE 3: For US contracts, complete all columns only when the task order contains line(s) requiring a Certification of Destruction (CD) or Certification of Recycling (CR) or contains HIN 650300. Complete only columns 1 thru 4 when the task order DOES NOT contain line(s) requiring a certificate of destruction (CD) or a certificate of recycling (CR) or HIN 650300. |
Column 1: Line Item # - DD Form 1155 or SF30 line-item number for the supply or service ordered. (Four digits - e.g.: 0001)
Column 2: Hazardous Item Number (HIN) # - HIN Number as it appears on DD Form 1155 or SF30 (Six characters -e.g.: NR04C7)
Column 3: Picked Up (P/U) QTY - Actual quantity picked up.
Column 4: P/U Mnfstr # # - Manifest document number assigned to each manifest or shipping paper used to ship the waste to the initial TSDF (5 or 12 characters - e.g.: 02034; 123456789GBF)
Column 5: Manifest Page/Line- Identify the page and manifest line number that the document number has been placed on from manifest block 9a, 27a, etc…. (Does not apply for foreign contracts.)
Column 6: Containers (CTN) No & Type – Identify the number of containers and type of containers from block 10, 28, etc…. (Does not apply for foreign contracts.)
Column 7: Final QTY Disposed or Received – Actual quantity of item disposed or service/supply performed/delivered.
Column 8: Interim/ Disposal Manifest # - Manifest document number assigned to each manifest or shipping paper used to ship all, or parts of the waste to other TSDFs, including all interims and finals, after receipt at initial TSDF. EXCEPTION: If final treatment/ disposal is accomplished by the initial TSDF, insert "Same as # 4 or SAC4" and do not need to fill out columns 6 thru 11. (EXCEPTION #2 Lines requiring a CD/CR will require block 11 CD date entry DD/MMM/YY)
Column 9: Interim/Disposal Facility EPA# - EPA Identification number (or DLA Disposition Services "dummy" number) assigned to each facility involved in the treatment, storage, and final disposal. (As defined in section 5.0 of the contract) of the item. Use additional lines as necessary. (Twelve digits - e.g.: PAD456123912) NOTE: If final disposal did not occur at the initial facility, then the initial facility is considered an interim facility for tracking purposes. In those instances, the initial facility's EPA ID number should be included in Column 9 when information is submitted.
Column 10: Final Disposal MMC Codes - List the appropriate Management method code(s) listed in the Hazardous Waste Report Instructions and Forms online (https://www.epa.gov/sites/production/files/2015-06/documents/codes.pdf). (40 CFR 264, Appendix 1, Table 2 no longer applies), performed by any final disposal facilities. Note: Include any treatment and/or handling performed at initial TSDF, which was NOT identified in initial facility.
Column 11: Interim/Disposal TSDF Accept Date and Disposal Date (CD/CR required lines Only) - Actual date listed on the shipping paper next to the signature of the representative of each and every interim and final TSDF's accepting, treating, and/or disposing of the waste (dd/mmm/yy). NOTE - Date of actual final disposal of CD/CR required lines item (dd/mmm/yy).
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