GS-01-P-16-CH-P-7000_Generated_PDF_with_TOC.pdf
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- NAS JRB- Willow Grove Appraisal Services
- Solicitation number
- GS-01-P-16-CH-P-7000
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Table Of Contents
Section Description Page Number Section A Standard Form 1 Section B Supplies or Services and Prices or Costs 3
FOR
GOVERNMENT
USE
ONLY
5. ACCOUNTING AND APPROPRIATION DATA
FUND FUNCTION CODE B/A CODE CC-A
CC-B PROJ./PROS NO. O/C CODE ORG. CODE
7. TYPE OF ORDER
C/E CODE FY REGION
W/ITEM PRT./CRFT
Please furnish the following on the terms and conditions specified on the order and the attached sheets, if any, including delivery as indicated.
B.
This delivery order is issued subject to the terms and conditions of the above numbered contract.
C.
This task order is issued subject to the terms and conditions of the above numbered contract.
26A. UNITED STATES OF AMERICA (NAME OF CONTRACTING/ORDERING OFFICER)
25B. SIGNATURE
25A. NAME AND TITLE OF OFFEROR/CONTRACTOR
26B. SIGNATURE
21. MAIL INVOICE TO: (Electronic Invoice Preferred)
GENERAL SERVICES ADMINISTRATION
GENERAL SERVICES ADMINISTRATION GSA 300 (REV. 5/2010)
ORDER FOR SUPPLIES AND SERVICES
REQUISITION/REFERENCE NUMBER PAGE OF
A.
PAGES
1. DATE OF ORDER 2. ORDER NUMBER 3. CONTRACT NUMBER 4. PDN NUMBER
ITEM NUMBER
(A)
SUPPLIES OR SERVICES
(B)
QUANTITY
ORDERED
(C)
UNIT
(D)
UNIT PRICE
(E)
AMOUNT
(F)
6. TO: CONTRACTOR (Name, address and zip code)
D. MODIFICATION NUMBER AUTHORITY FOR ISSUING
8A. Data Universal Numbering System (DUNS) Number 8B. Taxpayer Identification Number (TIN)
Except as provided herein, all terms and conditions of the original order, as heretofore mentioned, remain unchanged.
9A. BUSINESS CLASSIFICATION
9B. START DATE:
9C. COMPLETION DATE:
13. PLACE OF INSPECTION AND ACCEPTANCE 14. REQUISITION OFFICE (Name, Symbol and Telephone Number)
15. F.O.B. POINT 16. GOVERNMENT B/L NUMBER 17. DELIVERY F.O.B. POINT 18. PAYMENT/DISCOUNT TERMS
19. SCHEDULE
20. RECEIVING OFFICE (Name, Symbol and Telephone Number)
23. SHIPPING POINT
22. GROSS SHIP WEIGHT
TOTAL
FROM
300-A(s)
GRAND
TOTAL
24A. FOR INQUIRIES REGARDING PAYMENT CONTACT: 24B. TELEPHONE NUMBER
25C. DATE SIGNED 26C. DATE SIGNED
11. REMITTANCE ADDRESS (MANDATORY) 12. SHIP TO (Consignee Address, Zip Code and Telephone Number)10. ISSUING OFFICE (Address, Zip Code, and Telephone Number)
PURCHASE
DELIVERY (For Supplies)
TASK ORDER (For Services)
b. OTHER THAN SMALLa. SMALL c. SMALL DISADVANTAGED
d. WOMAN-OWNED e. HUBZone f. EMERGING SMALL
h. SERVICE DISABLED VETERANg. VETERAN
Please see attached
Phyllis Kelley
1PZB, Boston Operations Branch, (617) 565-0000, 2EQ1PZB-16-5010
10 CAUSEWAY ST BOSTON, MA 02222-1048
Section A Page 1
ITEM NO.
(a)
SUPPLIES OR SERVICES
(b)
QUANTITY
ORDERED
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
GSA 300-A (REV. 5/2010)
ORDER FOR SUPPLIES AND
SERVICES (Continuation)
THIS NUMBER MUST APPEAR ON ALL PACKAGES AND PAPERS
RELATING TO THIS ORDER
PAGE
OF
PAGESDATE ORDER NUMBERPDN NUMBER
GENERAL SERVICES ADMINISTRATION
NAS JRB- Willow Grove Appraisal Services
NAS JRB- Willow Grove Appraisal Services
PoP: 02/24/2016 - 02/24/2017
LS0001
Section A Page 2
PAGE
GENERAL SERVICES ADMINISTRATION
OF
ITEM NO., FORM OR
STOCK NUMBER DESCRIPTION OF ARTICLES OR SERVICES QUAN-
TITY
UNIT
OF
ISSUE
UNIT
PRICE
AMOUNT
NAS JRB- Willow Grove Appraisal Services NAS JRB- Willow Grove Appraisal 1
LS
Services
Section B Page 3
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