B08_140L1726Q0026_0001.pdf

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Attached to
UTV Purchases Federal contract opportunity
Solicitation number
140L1726Q0026
Issued by
Department of the Interior Bureau of Land Management Colorado Region

About this file

This is a Request for Quote (RFQ) issued by the Bureau of Land Management (BLM), a federal agency within the Department of the Interior, for the procurement of vehicles and equipment on a firm-fixed-price basis.

The solicitation number is 140L1726Q0026, issued on July 28, 2026, with an offer due date of August 10, 2026, at 0800 Mountain Daylight Time. The contract is designated as a Women-Owned Small Business (WOSB) set-aside with a North American Industry Classification Standard (NAICS) code of 336991 (Motorcycle, Bicycle, and Parts Manufacturing) and a size standard of 1,050 employees. The acquisition is unrestricted, and the government reserves the right to make multiple awards. All terms and conditions of applicable GSA Contract Holders Schedules apply unless amended within the RFQ. Scott Voigt serves as the Contracting Officer (scott_voigt@ios.doi.gov, 303-239-3637).

The RFQ includes five line items for delivery by September 7, 2026, to multiple BLM field offices across Colorado and New Mexico: (1) one Can-Am Defender Max DPS HD9 UTV with specified attachments to Las Cruces District Office in New Mexico; (2) one Polaris Ranger SP 570 Premium UTV with trade-in to Royal Gorge Field Office in Canon City, Colorado; (3) one Polaris RZR Trail Sport two-seater UTV with trade-in to Royal Gorge Field Office; (4) one specialized fire-response UTV with detailed specifications (minimum 976 cc engine, 82 horsepower, three-person capacity, six tires, winch, brush guards, ROPS compliance, and 3,000-pound towing capacity) to Farmington District Office in New Mexico; and (5) one deckover dump trailer with specified features (96" x 16' deck, 14,000-pound GVWR, electric brakes, winch, and manufacturer warranty) with trade-in to Uncompahgre Field Office in Montrose, Colorado. For items with trade-ins, contractors must transport vehicles from government facilities to their own, with all associated costs included in unit pricing. Contractors are responsible for coordinating travel between multiple delivery sites and providing title, registration, and applicable documents within ten working days of delivery. All invoices must be submitted electronically through the Department of Treasury's Invoice Processing Platform (IPP).

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File Type Posted
Sol_140L1726Q0026_Amd_0004.pdf PDF
Sol_140L1726Q0026_Amd_0003.pdf PDF
Equipment_Data_4XADAE577JB301654_0003.pdf PDF
Equipment_Data__4XADAE571JB301648_0003.pdf PDF
Sol_140L1726Q0026_Amd_0002.pdf PDF
Trade_in_Photos_0002.pdf PDF
provisions_and_clauses_0001.pdf PDF
Sol_140L1726Q0026_Amd_0001.pdf PDF
Sol_140L1726Q0026.pdf PDF

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Text version

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3.AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

. YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4.

FAR 52.212-3 AND 52.212-5 ARE ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED.

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

DATED.

OFFER

ADDENDA

ADDENDA

140L1726Q0026

Multiple Destinations See Schedule

COLORADO STATE OFF

Denver Federal Center Building 40 Lakewood CO 80225

08/10/2026 0800 MD

See Schedule

Scott Voigt 3032393637

LRA

LRA

Scott Voigt

336991

07/28/2026

ADMINISTERED BY:

COLORADO STATE OFF

Denver Federal Center

Building 40

Lakewood CO 80225 USA

The Bureau of Land Management seeks to procure

Continued...

STOCK RECORD (S/R)

STANDARD FORM 1449 (REV. 11/2021) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

ACCEPTED,

a trailer and multiple UTV's. UTV specifications must meet or exceed those provided in the schedule.

The government reserves the right to place multiple awards under this RFQ if it's determined to be within the best interest of the government.

For items with trade-in, the contractor is required to transport the vehicle from the government facility to their facility. The contractor may do this as a backhaul to the delivery of the new equipment. All costs are to be inclusive to the unit price of the schedule item.

Schedule Items have multiple delivery address.

The contractor is responsible for coordinating travel between each site.

All title, registration, and other applicable documents are due within 10 working days of the delivery dates unless alternative dates are proposed and approved.

All terms and conditions of the GSA Contract

Holders Schedule are applicable to this RFQ unless otherwise amended within it.

Delivery: 09/07/2026

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGES

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

NSN 7540-01-152-8067

00010 1 MA0044052154-LCDO - CAN-AM DEFENDER MAX DPS HD9

MODEL 8RSA OR EQUAL

NO TRADE IN

Additional Attachments:

Front A-arm Protector

Front Bumper

Front Skid Plate

Sport Roof

Front flip-up Windshield

Heavy Duty Springs Kit

Rear Bumper

FOB DESTINATIOON TO USWFS

Las Cruces District Office

1800 Marquess St.

Las Cruces, NM 88005

Product/Service Code: 2340

Product/Service Description: MOTORCYCLES, MOTOR

SCOOTERS, AND BICYCLES

Requisition No: 0044052154

Delivery Location Code: 0011276437

BLM-NM LAS CRUCES DISTRICT OFFICE*

1800 MARQUESS ST

LAS CRUCES NM 88005-3371 US

00020 1 EA0044046987 - RGFO - UTV Polaris Ranger SP 570

Premium OR EQUAL

Includes trade-in of UTV VIN: 4XADE571JB301648

OR EQUAL Specification:

Specifications- To meet the need of the RGFO

OHV Trail Crew to access full sized routes and off-route difficult terrain. This machine would be more of the utility work machine that would not fit onto designated 50¿ OHV trails.

Motor

Single cylinder DOHC

4 Stroke

567 cc

Fuel injection

44 hp

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

Transmission

Automatic PVT H/L/N/R/P; shaft

Seating 2 seats

Power Steering

Front Suspension MacPherson strut 9" (22.9 cm) travel

Rear Suspension Dual A-arm, IRS 10" (25.4 cm) travel

Brakes 4-Wheel Hydraulic Disc with Dual-Bore

Front and Rear Calipers

Wheels & Tires

Front Tire 25 x 8-12; Carlstar 489

Rear Tire 25 x 10-12; Carlstar 489

Wheelbase 73¿

Turning Radius 12.6¿

Rake/trail

Seat Height

Length 108¿

Width 56¿

Height 74¿

Ground Clearance no less than 11¿

Bed Capacity no less than 500 lbs

Bed Box Dimensions (L x W x H) 20.7 x 37 x

7.9" (52.5 x 94 x 20 cm)

Towing Capacity no less than 1500 lbs

Fuel Capacity no less than 9.5 gallons

FOB BLM-CO ROYAL GORGE FIELD OFFICE*

3028 E MAIN STREET

CANON CITY CO 81212

Product/Service Code: 2340

Product/Service Description: MOTORCYCLES, MOTOR

SCOOTERS, AND BICYCLES

Requisition No: 0044046987

Delivery Location Code: 0011276309

BLM-CO ROYAL GORGE FIELD OFFICE*

3028 E MAIN STREET

CANON CITY CO 81212 US

00030 1 EA0044053275 - RGFO - UTV Polaris RZR Trail Sport

(OR EQUAL) two-seater.

Includes trade-in of UTV VIN:

4XADAE577JB301654

Specifications- To meet the need of the RGFO

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

OHV Trail Crew to access 50¿ trails to perform monitoring and maintenance. Machine must not exceed width of 50¿, so it can still access appropriate trails.

Motor

Twin Cylinder

4 Stroke

875 cc

Fuel injection

75 hp

Transmission

Automatic PVT P/R/N/L/H

Seating 2 seats

Power Steering

Front Suspension Dual A-arm with stabilizer bar and 10¿ (25.4cm) wheel travel

Rear Suspension Dual A-arm with stabilizer bar and 10¿ (25.4cm) wheel travel Rear Travel

(in./cm.) 10 inches to 11 inches of travel

Brakes 4-Wheel Hydraulic Disc with Dual-Bore

Front and Rear Calipers

Wheels & Tires

Front Tire 26 x 8 x 12; PXT

Rear Tire 26 x 9 x 12; PXT

Wheelbase 79¿

Rake/trail

Length 110.9¿

Width 50¿

Height 67.9¿

Ground Clearance no less than 11¿

Bed Capacity no less than 300 lbs

Bed Box Dimensions (L x W x H) 20.7 x 37 x

7.9" (52.5 x 94 x 20 cm)

Towing Capacity no less than 1500 lbs

Fuel Capacity no less than 9.5 gallons

Weights

FOB BLM-CO ROYAL GORGE FIELD OFFICE*

3028 E MAIN STREET

CANON CITY CO 81212

Anticipated Award Type: Firm-fixed-price

Product/Service Code: 2340

Product/Service Description: MOTORCYCLES, MOTOR

SCOOTERS, AND BICYCLES

Requisition No: 0044053275

Delivery Location Code: 0011276309

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

BLM-CO ROYAL GORGE FIELD OFFICE*

3028 E MAIN STREET

CANON CITY CO 81212 US

00040 1 EA0044052657 - FDO FIRE UTV AO23832 NP

NO TRADE-IN

¿ Unit must seat 3 people

¿ Unit must have 6 tires

¿ Unit must be a minimum of 976 cc engine

¿ Unit must be a minimum of 82 HP

¿ Unit must have minimum 69 ft. lb. torque

¿ Unit must have Power Steering

¿ Unit must include 27¿ tires

¿ Unit must have a minimum ground clearance of

13¿

¿ Unit must have a minimum of 64¿ wide stance

¿ Unit must have a minimum of 159¿ length

¿ Unit must include headlights and taillights

¿ Unit must have side mirrors

¿ Unit must have the option to change from

4-wheel drive to 6-wheel drive.

¿ Unit must include a front winch with a minimum 4,500lb rating

¿ Unit must have front and rear brush guard/bumper

¿ Unit must come with ROPS that meets or exceeds SAE international standard requirements for surface vehicle roll overprotective structures (SAE J1194)

¿ Unit must have a full hard roof

¿ Unit must have full skid plate

¿ Gasoline powered

¿ Unit must have tilt rear bed with minimum of

1000 lb capacity

¿ Unit must have minimum cargo box length of 72 in

¿ Minimum of 3000 lb towing capacity

¿ 2¿ rear receiver hitch

FOB Destination to Farmington District

Office

6251 College BLVD A

Farmington, NM 87402

Product/Service Code: 2340

Product/Service Description: MOTORCYCLES, NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

MOTOR

SCOOTERS, AND BICYCLES

Requisition No: 0044052657

Delivery Location Code: 0011276452

BLM-NM FARMINGTON DISTRICT OFFICE*

6251 COLLEGE BLVD STE A

FARMINGTON NM 87402 US

00050 1 EA0044053797 OHV Trailer OHV Crews and Materials

INCL Trade in of 2002 14 PLY TRAILER TIRE(P)

¿ Deckover dump trailer

¿ Deck size: 96" x 16'

¿ GVWR: 14,000 lb

¿ 18" fold down steel sides

¿ 7 gauge steel floor

¿ Slide out ramps (rear stowed)

¿ Roll up tarp kit

¿ Adjustable coupler

¿ Heavy duty roller chain anchor points (rated for equipment transport)

¿ Combo rear gate (spread + barn door)

¿ Scissor lift hoist system

¿ Heavy duty spring loaded jack

¿ 16" radial tires

¿ Electric brakes on all axles

¿ Spare tire carrier with matching spare tire mounted

¿ Lockable front toolbox

¿ Electric loading winch, remote activated at

10k-12k lbs. capacity

¿ Plug in wall charger for battery

¿ DOT compliant reflective tape

¿ 3 year manufacturer warranty fob destination to

BLM-CO UNCOMPAHGRE FIELD OFFICE*

2465 S TOWNSEND AVE

MONTROSE CO

Product/Service Code: 2330

Product/Service Description: TRAILERS

Requisition No: 0044053797

Delivery Location Code: 0011276306

BLM-CO UNCOMPAHGRE FIELD OFFICE*

2465 S TOWNSEND AVE

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

MONTROSE CO 81401 US

Government Points of Contact:

Contracting Officer: Scott Voigt 309-714-5645 scott_voigt@ios.doi.gov

1 - Continuation Pages 2 - Contract Clauses

Clauses Incorporated by Reference sub

Clauses Incorporated by Full Text sub

3 - List of Documents, Exhibits and Other Attachments 4 - Provisions sub Provisions Incorporated by Full Text sub 1 - Continuation Pages

Administrative Information

Government Points of Contact

Contracting Officer Scott Voigt, scott_voigt@ios.doi.gov, 3032393637

Contract Specialist/ Procurement Technician Scott Voigt, scott_voigt@ios.doi.gov, 3032393637

Administrative Codes

2310, PASSENGER MOTOR VEHICLES

336991, Motorcycle, Bicycle, and Parts Manufacturing (1050)

2 - Contract Clauses

Clauses Incorporated by Reference sub

52.252-2 Clauses Incorporated by Reference. (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): https://www.acquisition.gov/

(End of clause)

1452.201-70 Authorities and delegations. (SEP 2011)

1452.233-2 Service of Protest

Clauses Incorporated by Full Text sub

DOI ELECTRONIC INVOICING Electronic Invoicing and Payment Requirements - Invoice Processing Platform (IPP) (February 2021)

Payment requests must be submitted electronically through the U. S. Department of the Treasury's Invoice Processing Platform System (IPP).

"Payment request" means any request for contract financing payment or invoice payment by the Contractor.

To constitute a proper invoice, the payment request must comply with the requirements identified in the applicable Prompt Payment clause included in the contract, or the clause 52.212-4 Contract Terms and Conditions - Commercial Items included in commercial item contracts. The IPP website address is:

https://www.ipp.gov.

Under this contract, the following documents are required to be submitted as an attachment to the IPP invoice [Contracting Officer to edit and include the documentation required under this contract]:

The Contractor must use the IPP website to register access and use IPP for submitting requests for payment. The Contractor Government Business Point of Contact (as listed in SAM) will receive enrollment instructions via email from the Federal Reserve Bank of St. Louis (FRBSTL) within 3 - 5 business days of the contract award date. Contractor assistance with enrollment can be obtained by contacting the IPP Production Helpdesk via email IPPCustomerSupport@fiscal.treasury.gov or phone (866) 973-3131.

If the Contractor is unable to comply with the requirement to use IPP for submitting invoices for payment, the Contractor must submit a waiver request in writing to the Contracting Officer with its proposal or quotation.

(End of Local Clause)

52.252-2 Clauses Incorporated by Reference. (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): https://www.acquisition.gov/

(End of clause)

52.252-6 Authorized Deviations in Clauses. (NOV 2020)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter

1) clause with an authorized deviation is indicated by the addition of (DEVIATION) after the date of the clause.

(b) The use in this solicitation or contract of any Department of the Interior Acquisition Regulation (48 CFR 14) clause with an authorized deviation is indicated by the addition of (DEVIATION) after the name of the regulation.

(End of clause)

3 - List of Documents, Exhibits and Other Attachments

DELIVERY SCHEDULE

Item/Sub Number

Delivery Code Quantity Delivery Timeframe

00010 0011276437 109/07/2026 00020 0011276309 109/07/2026 00030 0011276309 109/07/2026 00040 0011276452 109/07/2026 00050 0011276306 109/07/2026

Attachment Table

Attachment Number Title Pages Date

4 - Provisions sub

Provisions Incorporated by Full Text sub

Solicitation/Contract/Order for commercial products and commercial services
Requisition number
Contract number
Award/Effective date
Order number
Solicitation number
Solicitation issue date
For solicitation information call:
Name
Telephone number
Offer due date/local time
Issued by
Code
This acquisition is
NAICS
Size standard
Delivery for free on board (FOB) destination unless block is marked
Discount terms
This contract is a rated order under the defense priorities and allocations system - DPAS
Rating
Method of solicitation
Deliver to
Code
Administered by
Code
Contractor/Offeror
Code
Facility code
Telephone number
Check if remittance is different and put such address in offer
Payment will be made by
Code
Submit invoices to address shown in block 18a unless block below is checked
Accounting and appropriation data
Total award amount
Solicitation incorporates by reference
Addenda
Contract/purchase order incorporates by reference
Addenda
Contractor is required to sign this doc. and return:
Award of contract: reference
Signature of offeror/contractor
Name and title of signer
Signer date signed
Signature of contracting officer
Name of contracting officer
Contracting officer date signed
Authorized for local reproduction. Previous edition is not usable
Standard Form 1449 (Rev. 11/2021)
Quantity in column 21 has been
Signature of authorized government representative
Date
Printed name and title of authorized government representative
Mailing address authorized government representative
Telephone number of authorized government representative
Email number of authorized government representative
Ship number
Voucher number
Amount verified correct for
Payment
Check number
Stock record (S/R)
S/R account number
S/R voucher number
Paid by
I certify this account is correct and proper for payment
Signature and title of certifying officer
Date
Received by
Received at
Date received
Total containers
Standard Form 1449 (rev. 11/2021) Back

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