B08 - Attachment 0014 - Item Information Certification Statement Template.docx
DOCX document 151 KB Posted
- Attached to
- DRAFT Solicitation - Special Ammunition and Weapon Systems (SAWS) Federal contract opportunity
- Solicitation number
- W52P1J-20-R-0069
About this file
This document contains a draft solicitation for the procurement of Special Ammunition and Weapon Systems. The solicitation is being issued by Army Contracting Command-Rock Island on behalf of the Department of Defense and other U.S. agencies to support the U.S. Army Product Director Special Ammunition and Weapon Systems, Joint Munitions Command Security Assistance Directorate, and Tank and Automotive Command Security Assistance Directorate. The acquisition will be conducted under full and open competition under NAICS code 332994 for Small Arms, Ordnance, and Ordnance Accessories Manufacturing. Multiple award firm-fixed price indefinite delivery indefinite quantity contracts will be awarded using best value tradeoff procedures outlined in the solicitation in accordance with FAR 15.101-1. A virtual industry day will be held on June 2, 2020 to discuss the requirement, with the final solicitation to include the actual proposal due date. Prospective contractors must register in SAM.gov prior to proposal submission and contract award. All questions must be submitted to the contracting officers by May 22, 2020.
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Text version
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IICS Control No:
Date of Execution:
LAT Concurrence Date:
Item Information and Certification Statement (For CONUS Block 1 and OCONUS Block 1, 2 & 3 Required) Click here to enter text.
Bill of Lading #:
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Shipment #:
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Point of Embarkation:
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Ship to Address:
Mark For:
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Signature of USG Receiving Official Date Title and Contact Number USG Receiving Official (printed/stamped) Signature of USG Receiving Official USG Receiving Official (printed/stamped) Title and Contact Number Signature of USG Representative USG Representative (printed/stamped) Title and Contact Number
DATE
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Phone Number:
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Prime Contract Number/DO#:
Contract Line Item # (CLIN):
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Item Description:
Shipment Quantity:
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Total # of Pallets:
LOT #'s:
Year of Manufacturer:
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Supplier Name/City/Country:
Tech. Data Pkg./Eng. Change Pkg. Approval Date:
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3) Acknowledgement of visual inspection, which includes kind, count, and condition of the packaging, marking, and palletization of the items on behalf of the U.S. Government:
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1) Acknowledgement of visual inspection at source on behalf of the U.S. Government:
Date
DATE
2) Acknowledgement of receipt of the items on behalf of the U.S. Government and assumption of full responsibility for movement from this point forward:
Date
DATE
SEA
(TCN): FMS Case Identifier:
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GROUND
AIR
Check Box:
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Transportation Control #
Prime Contractor Name:
File details come from the government source that posted it. Updated .