EXHIBIT 3 - SAFETY SHOE AUTHORIZATION FORM - POLICE DEPT.pdf
PDF 100 KB Posted
- Attached to
- Safety and Uniform Boots
- Solicitation number
- 70FA5020A00000004
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment C - PRICING SPREADSHEET 2.xlsx | XLSX spreadsheet | |
| EXHIBIT 2 - SAFETY SHOE AUTHORIZATION FORM - SECURITY BRANCH.pdf | ||
| EXHIBIT 4 - SAFETY SHOE AUTHORIZATION FORM - FIRE DEPT.pdf | ||
| EXHIBIT 1 - SAMPLE PURCHASE ORDER.pdf | ||
| Attachment C - PRICING SPREADSHEET.xlsx | XLSX spreadsheet | |
| EXHIBIT 5 - SAFETY SHOE AUTHORIZATION FORM - FACILITIES MGMT.pdf | ||
| Attachment B - Clauses.docx | DOCX document | |
| Attachment A - Statement of Work.pdf |
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Text version
SAFETY /UNIFORM/DRESS FOOTWEAR AUTHORIZATION
DEPARTMENT OF HOMELAND SECURITY/
FEDERAL EMERGENCY MANAGEMENT AGENCY
19844 BLUE RIDGE MOUNTAIN ROAD
BLUEMONT, VA 20135
DATE:
EMPLOYEE NAME:
The above-named employee is entitled to (please circle - one or two) pair of (please circle- safety, uniform or dress) footwear. DHS/FEMA will cover the not-to-exceed amount of $200.00 per pair. Any amount over $200.00 will be the responsibility of the employee named above.
If there are any questions, please call Captain Gerald Ostopowicz, 540-542-5916.
SIGNATURE: _________________ _
AUTHORIZED BY (DIVISION POC): Kenneth Sheppard, Chief of Police
STORE AND LOCATION: ________
SHOE REQUIREMENTS/RESTRICTIONS: Only the styles listed below are allowed for Emergency Services, Mount Weather Police personnel. Please note that they have the choice of steel toe or soft toe in these styles.
MAGNUM STYLES:
MERRELL STYLES:
REDWING:
BATES STYLES:
BELLVILLE STYLE:
DANNER STYLE:
TIMBERLAND STYLE:
BATES DRESS SHOE:
BATES DRESS BOOT:
DUNHAM DRESS BOOT:
Revised 5/20 I 9
Men: 5266,5866,5870,5312 Women: 5151,5187 Men:J45335,J45335W,J45337,J45337W Women:J45366,J45368 Men:5290,6266 Men: E02272, E02268 Women: E02788 Men: MAXX8ZXP, TR1040-ZWP-7 Men: 42982 Unisex: 43013, 26634, 26632, 23821 Unisex: 88534, 1161A, 1164A, 1165A, 1167A E0112, 00942 E00053
MCT414BK
EXHIBIT 3
File details come from the government source that posted it. Updated .