Attachment- 9_SF1449-12a OS3 Final 31Jan2014 .pdf

PDF 1 MB Posted Jan 31, 2014

Attached to: FSSI Office Supplies Strategic Sourcing Solution Third Generation (OS3) Purchasing Federal contract opportunity
Solicitation number: GSQ02-14-R-SA0001
Issued by: GSA Federal Acquisition Service

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SF 1449

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Attachment_1_OS3_Price_Proposal_Sheet__Rd2_07072014_(1).xlsm	XLSM spreadsheet	Jul 7, 2014
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Q A_Part_2_Purchasing_Channel_3_13_14.pdf	PDF	Mar 13, 2014
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SF_30_Amend_A0002_V3Final_3_7_14.pdf	PDF	Mar 7, 2014
Amendmendt_A0002_final_3_6_14.pdf	PDF	Mar 6, 2014
Attachment_1_OS3_Price_Proposal_Sheet_Final_06Mar2014AmendA0002.xlsm	XLSM spreadsheet	Mar 6, 2014
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Attachment_1_OS3_Price_Proposal_Sheet_Final_21Feb2014AmendA0001.xlsm	XLSM spreadsheet	Feb 21, 2014
Attachment 11- Letter_of_supplyFinal 31Jan2014.docx	DOCX document	Jan 31, 2014
Attachment 15 Restricted Fields of Agencies and Sub-Agencies for OS3 Monthly Usage ReportFinal 31Jan 2014.xlsx	XLSX spreadsheet	Jan 31, 2014
RFP-OS3Purchasing-31Jan2014FINAL.pdf	PDF	Jan 31, 2014
Attachment 1 - OS3 Price Proposal Sheet Final 31Jan2014.xlsm	XLSM spreadsheet	Jan 31, 2014
Attachment 16-OS3 Non-Market Basket TemplateFinal 31Jan2014.xlsx	XLSX spreadsheet	Jan 31, 2014
Attachment 14 Top 10 US Metropolitan Areas by population Final 31Jan2014.pdf	PDF	Jan 31, 2014
Attachment 13 OS3 Monthly Usage Report TemplateFinal 31Jan2014.xlsx	XLSX spreadsheet	Jan 31, 2014
Attachment 2- OS3 Office Supply Definitions Final 31Jan2014.pdf	PDF	Jan 31, 2014
Attachment 3-Contractor's Vital Statistics Submission Cover Page-Final 31Jan2014.docx	DOCX document	Jan 31, 2014
AppendixA_FSSI_OS3-Purchasing_SOW_31Jan2014FINAL.pdf	PDF	Jan 31, 2014
Attachment-_8_OS3_Performance_Based_Requirements_SummaryFinal31Jan2014.pdf	PDF	Jan 31, 2014
Attachment 4-Business Rules 31Jan2014Final.pdf	PDF	Jan 31, 2014
Attachment 10- Information_and_instructions_to_Contractors-OS3Final 31Jan2014.pdf	PDF	Jan 31, 2014
Attachment 6-Participating Agencies Final 31Jan2014.pdf	PDF	Jan 31, 2014
Attachment 12-Agent_authorization_letterFinal 31Jan2014.docx	DOCX document	Jan 31, 2014
Attachment 7- SubContracting Plan Format Final 31Jan2014.docx	DOCX document	Jan 31, 2014
Attachment 5- Past Performance Questionnaire Final 31Jan2014.docx	DOCX document	Jan 31, 2014

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 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

TELEPHONE NO.

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

RFQ IFB 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 Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

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

29. AWARD OF CONTRACT: REF. OFFER

DATED . . 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. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

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

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

STANDARD FORM 1449 (REV. 2/2012) 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 ACCEPTED, 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 REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

Printing C:\FORMFLOW\FORMS\SF\S1449_3.FRP BarbMWilliams SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER

PAGE 1 OF

2. CONTRACT NO.

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

CODE

17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

TELEPHONE NO.

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

RFQ

IFB

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 Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

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

29. AWARD OF CONTRACT: REF. OFFER

DATED . . 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. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS

UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700)

SET ASIDE:

% FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE

ARE NOT ATTACHED

ARE

ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA \\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg Right Arrow Pointing to Call the Contact Point for this Solicitation/Contract/Order 8 (A)

EDWOSB

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SMALL BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

STANDARD FORM 1449 (REV. 2/2012)

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

ACCEPTED, 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 REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE 32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER

34. VOUCHER NUMBER

35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL

FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NO.

39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE

PARTIAL

FINAL

GSQ02-14-R-SA0001

Nelson.Duncan@gsa.gov 212-264-3633 Nelson.Duncan@gsa.gov

2QSAA

Ordering Agency

2QSAA

See Block 9 Ordering Agency General Office Products,Paper,Toner,or Ink Office Paper Products Toner/Ink jet Office Supply Products GSA On-the-Go 5:00pm EDT U.S. General Services Admin. (GSA) Federal Strategic Sourcing Initiative (FSSI) 26 Federal Plaza, Rm 20-100 New York, NY 10278

1. REQUISITION NUMBER:

PAGE 1 OF: 2

2. CONTRACT NUMBER:

4. ORDER NUMBER:

5. SOLICITATION NUMBER: GSQ02-14-R-SA0001

7. FOR SOLICITATION INFORMATION CALL: a. NAME: Nelson.Duncan@gsa.gov

7. FOR SOLICITATION INFORMATION CALL: b. TELEPHONE NUMBER (No collect calls): 212-264-3633 Nelson.Duncan@gsa.gov

9. ISSUED BY CODE: 2QSAA

% For :

12. DISCOUNT TERMS:

13b. RATING:

15. DELIVER TO: Ordering Agency

16. ADMINISTERED BY CODE: 2QSAA

16. ADMINISTERED BY: See Block 9

17a. CONTRACTOR/ OFFEROR CODE:

17a. CONTRACTOR/ OFFEROR:

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

18a. PAYMENT WILL BE MADE BY: Ordering Agency

19. ITEM NUMBER. Line 1 of 8.: 1.00000000

20. SCHEDULE OF SUPPLIES/ SERVICES: General Office Products,Paper,Toner,or Ink

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 2 of 8.: 2.00000000

20. SCHEDULE OF SUPPLIES/ SERVICES: Office Paper Products

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 3 of 8.: 3.00000000

20. SCHEDULE OF SUPPLIES/ SERVICES: Toner/Ink jet Office Supply Products

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 4 of 8.: 4.00000000

20. SCHEDULE OF SUPPLIES/ SERVICES: GSA On-the-Go

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 5 of 8.:

20. SCHEDULE OF SUPPLIES/ SERVICES:

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 6 of 8.:

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 7 of 8.:

20. SCHEDULE OF SUPPLIES/ SERVICES:

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 8 of 8.:

20. SCHEDULE OF SUPPLIES/ SERVICES:

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

25. ACCOUNTING AND APPROPRIATION DATA:

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 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. INITIALS : 1

29. AWARD OF CONTRACT: REFERENCE OFFER:

DATE. YOUR OFFER ON SOLICITATION

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS.:

30b. NAME OF SIGNER (Type or print):

30b. TITLE OF SIGNER (Type or print):

31b. NAME OF CONTRACTING OFFICER (Type or print):

10. THIS ACQUISITION IS UNRESTRICTED: 1

10. THIS ACQUISITION IS SET ASIDE:: 0

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS MARKED SEE SCHEDULE: 0

13a. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700): 0

14. METHOD OF SOLICITATION RFQ: 0

10. THIS ACQUISITION IS NAICS::

10. THIS ACQUISITION IS SIZE STANDARD::

14. METHOD OF SOLICITATION IFB: 0

14. METHOD OF SOLICITATION RFP: 1

18a. PAYMENT WILL BE MADE BY CODE: 5:00pm EDT

18a. PAYMENT WILL BE MADE BY CODE: U.S. General Services Admin. (GSA)

Federal Strategic Sourcing Initiative (FSSI) 26 Federal Plaza, Rm 20-100 New York, NY 10278

29. AWARD OF CONTRACT : 0

29. AWARD OF CONTRACT : 1

29. AWARD OF CONTRACT : 0

27a. ARE ATTACHED: 0

27a. ARE NOT ATTACHED: 0

27b. ARE ATTACHED: 0

27b. ARE NOT ATTACHED: 0

42c. DATE RECEIVED. Enter 2 digit month, 2 digit day and 4 digit year.: 2014-01-31

42c. DATE RECEIVED. Enter 2 digit month, 2 digit day and 4 digit year.: 2014-03-17

3. AWARD/ EFFECTIVE DATE. Enter 2 digit month, 2 digit day and 4 digit year.:

32B SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE. THIS IS A PRTECTED FIELD.:

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK IS CHECKED SEE ADDENDUM: 0

26. TOTAL AWARD AMOUNT (FOR GOVT. USE ONLY):

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

OFFER : 0

41b. SIGNATURE OF CERTIFYING OFFICER. :

10. THIS ACQUISITION IS 8 (A): 0

10. THIS ACQUISITION IS SMALL BUSINESS: 0

10. THIS ACQUISITION IS SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS: 0

10. THIS ACQUISITION IS HUBZONE SMALL BUSINESS: 0

19. ITEM NUMBER. Line 1 of 28.:

20. SCHEDULE OF SUPPLIES/SERVICES:

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 2 of 28.:

20. SCHEDULE OF SUPPLIES/SERVICES:

21. QUANTITY:

22. UNIT:

23. UNIT PRICE:

24. AMOUNT:

19. ITEM NUMBER. Line 3 of 28.:

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22. UNIT:

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24. AMOUNT:

19. ITEM NUMBER. Line 4 of 28.:

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19. ITEM NUMBER. Line 6 f 28.:

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22. UNIT:

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19. ITEM NUMBER. Line 9 of 28.:

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23. UNIT PRICE:

24. AMOUNT:

32a. QUANTITY IN COLUMN 21 HAS BEEN ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32d. PRINTED NAME OF AUTHORIZED GOVERNMENT REPRESENTATIVE:

32d. PRINTED TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE.:

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE:

32F. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE:

32G. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE:

33. SHIP NUMBER:

34. VOUCHER NUMBER:

35. AMOUNT VERIFIED CORRECT FOR:

37. CHECK NUMBER:

38. S/R ACCOUNT NUMBER:

39. S/R VOUCHER NUMBER:

40. PAID BY:

41b. TITLE OF CERTIFYING OFFICER:

42a. RECEIVED BY (Print):

42b. RECEIVED AT (Location):

42d. TOTAL CONTAINERS:

32a. QUANTITY IN COLUMN 21 HAS BEEN RECEIVED: 0

32a. QUANTITY IN COLUMN 21 HAS BEEN INSPECTED : 0

32a. QUANTITY IN COLUMN 21 HAS BEEN ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: 0

41c. DATE. Enter 2 digit month, 2 digit day and 4 digit year.:

33. SHIP NUMBER PARTIAL: 0

33. SHIP NUMBER FINAL: 0

32c. DATE. Enter 2 digit month, 2 digit day and 4 digit year.:

36. PAYMENT COMPLETE: 0

36. PAYMENT PARTIAL: 0

36. PAYMENT FINAL: 0

41b. SIGNATURE OF CERTIFYING OFFICER. THIS IS A PROTECTED FIELD.:

File details come from the government source that posted it. Updated Nov 14, 2017.