Contract Implementation Confirmation Fillable-1.docx

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Attached to
Personal Protective Equipment for 75KSC Truck Co.
Solicitation number
W90VN927QA003
Issued by

About this file

This is a Contract Implementation Confirmation form used to certify compliance with Korean manufacturing requirements for contracts with the Republic of Korea Ministry of National Defense (ROK MND) and United States Forces Korea (USFK). The form requires contractors to pledge that all items supplied under the contract will be Korean-manufactured, with non-Korean items permitted only when equivalent Korean-manufactured alternatives meeting contract specifications do not exist. Contractors must list any non-Korean manufactured items with justification for their use, acknowledge legal consequences for non-compliance with Korean manufacturing obligations, and obtain approval from the requiring activity before contract implementation. The form includes signature blocks for company certification by the Chief Executive Officer and authorization by the requiring activity's unit representative.

In the context of the related solicitation W90VN927QA003 for Personal Protective Equipment (PPE) for USAMSC-K, this confirmation form enforces the contract requirement that all furnished items must be Korean-manufactured, new and unused, current production items, free from defects, and delivered in original manufacturer packaging with supporting manufacturer documentation. The solicitation, issued by the Department of the Army Materiel Command Army Contracting Command, establishes a deadline for questions by 1100 AM on October 30, 2026 (Korean Standard Time) and a final offer submission deadline of 0500 PM on November 2, 2026 (Korean Standard Time), with product substitution prohibited unless written approval is obtained from the Contracting Officer.

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Other files

File Type Posted
ELINS Technical Requirements.xlsx XLSX spreadsheet
Notice_to_Offerors-1.pdf PDF
ELINs List KSC PPE.xlsx XLSX spreadsheet
SOW for PPE 21 Oct 26_KSC_ Revised.pdf PDF
Solicitation_W90VN927QA003.pdf PDF

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Text version

계약 이행확약서 Contract Implementation Confirmation

1. 계 약 번 호(Contract number) :

2. 계약 사업명(Contract title) :

3. 계약 이행시 비국산제품 포함 여부 (non-Korean Items included or not):

□ 포함(Included) □ 미포함(Not included)

4. 품목리스트(List) :

본사는 위 계약 수행에 사용되는 모든 제품을 국산제품으로 납품할 것이며, 주한미군사에서 요구하는 계약규격을 충족하는 국산제품(장비 포함)이 없을 경우에만 비국산제품(장비 포함)으로 납품할 것을 대한민국 국방부와 주한미군사에 확약합니다. (계약 이행시 비국산제품을 포함하는 경우) 계약규격을 충족하는 국산제품이 없어 납품할 비국산제품의 목록은 붙임과 같으며, 계약 수행 중 추가적으로 납품해야할 비국산 제품이 식별된 경우 사업 검수시 최종 목록을 제출하겠습니다. 비국산제품 납품 현황을 제출하지 않거나, 사용 가능한 국산 제품이 존재함에도 불구하고 비국산 제품을 납품(국산제품 사용 의무 위반)하여 발생하는 모든 법적 조치등에 대하여 일체 이의가 없음을 확인합니다.

Our company makes a pledge to ROK MND and USFK that all items used to fulfill the contract above will be Korean-manufactured and that non-Korean manufactured items including equipment are used only when there is no available Korean-manufactured items including equipment that meet the requirements specified by the USFK.

(When non-Korean manufactured items are included) Our company has attached the list of non-Korean manufactured items used due to non-existence of Korean manufactured items that meet the contract specifications and will submit the final list in the case additional non-Korean manufactured items are identified while fulfilling the contract.

Our company has no objection to all legal consequences that could arise as a result of not submitting the current status of non-Korean manufactured items used or using non-Korean manufactured items despite the existence of available Korean-manufactured items (Violation of the obligation to use Korean-manufactured items).

202 년 월 일 계약 업체명 Company name 주식회사 대표자 CEO (Signature) 붙임> 비국산제품 납품 목록 List of non-Korean manufactured items

(단위 : 천원)
연번
품목명(모델명)

Item(Model) 제조업체 Manufacturer 비국산제품 납품 사유 Reason for supplying non-Korean manufactured item(s)

* 위 내역과 동일하게 납품할 것을 확약합니다.

Our company hereby confirms that items to be supplied are identical to the list above.

202 년 월 일 계약 업체명 Company name 주식회사 대표자 (인) CEO (Signature)

* 본 사업에 납품되는 비국산제품 목록(비국산제품 납품 사유 등)에 대해 이상 없음을확인하였으며, 이 사업에 대해 계약 승인을 요청합니다.

* I confirm that the list of items (Reason for supplying non-Korean manufactured items etc.) to be supplied to the program has no issues and request for approval of the contract.

(For Requiring Activity) Unit:

Name: __________________________ ________________ (Signature)

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