Attachment_J.5_-_DD_Form_1149.pdf

PDF 100 KB Posted Aug 25, 2014

Attached to: Boarding Pass Scanners (BPS) Federal contract opportunity
Solicitation number: HSTS04-14-R-CT2043
Issued by: Department of Homeland Security Transportation Security Administration

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From the source

DD Form 1149

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Other files for this federal contract opportunity

Other files attached to Boarding Pass Scanners (BPS), newest first.
File	Type	Posted
BPS_Potential_Airport_Locations.xlsx	XLSX spreadsheet	Sep 11, 2014
BPS_Questions_and_Responses.pdf	PDF	Sep 11, 2014
Attachment_J.8_-_Delivery_Schedule.xlsx	XLSX spreadsheet	Aug 25, 2014
Attachment_J.4_-_TSA_Form_251-1.doc	DOC document	Aug 25, 2014
Attachment_J.6_-_Bailment_Agreement.pdf	PDF	Aug 25, 2014
RFP_HSTS04-14-R-CT2043.pdf	PDF	Aug 25, 2014
Attachment_J.11_-_Small_Business_Subcontracting_Plan_Template.docx	DOCX document	Aug 25, 2014
Attachment_J.3_-_TSA_Form_251.docx	DOCX document	Aug 25, 2014
Attachment_J.10_-_Past_Performance_Questionnaire.xlsx	XLSX spreadsheet	Aug 25, 2014
Attachment_J.12_-_Price_Evaluation_Template.xlsx	XLSX spreadsheet	Aug 25, 2014
Attachment_J.7_-_Self-Certification_Matrix.xlsx	XLSX spreadsheet	Aug 25, 2014
Attachment_J.2_-_Labor_Category_Descriptions_and_Qualifications.pdf	PDF	Aug 25, 2014
Attachment_J.9_-_Past_Performance_Data.docx	DOCX document	Aug 25, 2014
BPS_Synopsis_Questions_and_Responses_08-08-14.doc	DOC document	Aug 8, 2014

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The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0246), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

REQUISITION AND INVOICE/SHIPPING DOCUMENT

Form Approved OMB No. 0704-0246 Expires Feb 28, 2006

PLEASE DO NOT RETURN YOUR FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE ADDRESS IN ITEM 2.

1. FROM: (Include ZIP Code) SHEET

NO.

NO. OF

SHEETS

5. REQUISITION

DATE

6. REQUISITION NUMBER

7. DATE MATERIAL REQUIRED (YYYYMMDD) 8. PRIORITY

9. AUTHORITY OR PURPOSE2. TO: (Include ZIP Code)

3. SHIP TO - MARK FOR

10. SIGNATURE 11a. VOUCHER NUMBER & DATE (YYYYMMDD)

12. DATE SHIPPED (YYYYMMDD) b.

13. MODE OF SHIPMENT

15. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NO.

14. BILL OF LADING NUMBER

4. APPROPRIATIONS DATA AMOUNT

ITEM

NO.

(a)

FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES

(b)

UNIT

ISSUE

(c)

QUANTITY

REQUESTED

(d)

SUPPLY

ACTION

(e)

TYPE

CON-

TAINER

(f)

CON-

TAINER

NOS.

(g)

UNIT PRICE

(h)

TOTAL COST

(i)

16. TRANSPORTATION VIA MATS OR MSTS CHARGEABLE TO 17. SPECIAL HANDLING

18.

R E C A P I T U L A T I O N

O F

S H I P M E N T

ISSUED BY

CHECKED BY

PACKED BY

TOTAL

CON-

TAINERS

TYPE

CON-

TAINER

DESCRIPTION TOTAL

WEIGHT

TOTAL

CUBE

TOTAL

19.

R E C E I P T

CONTAINERS

RECEIVED

EXCEPT AS

NOTED

DATE

(YYYYMMDD)

BY SHEET TOTAL

QUANTITIES

RECEIVED

EXCEPT AS

NOTED

DATE

(YYYYMMDD)

BY GRAND TOTAL

POSTED

DATE

(YYYYMMDD)

BY 20. RECEIVER'S

VOUCHER NO.

SHIPPING CONTAINER TALLY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99DD FORM 1149, JUN 2003 100

PREVIOUS EDITION IS OBSOLETE.

SHIPPING CONTAINER TALLY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

REQUISITION AND INVOICE/SHIPPING DOCUMENT (Continuation Sheet) Form Approved OMB No. 0704-0246 Expires Feb 28, 2006

51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99DD FORM 1149C, JUN 2003 100

PREVIOUS EDITION IS OBSOLETE.

SHEET NO. NO. OF SHEETS 6. REQUISITION NUMBER 11a. VOUCHER NUMBER AND DATE b. VOUCHER NUMBER AND DATE

ITEM

NO.

(a)

FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES

(b)

UNIT

ISSUE

(c)

QUANTITY

REQUESTED

(d)

SUPPLY

ACTION

(e)

TYPE

CON-

TAINER

(f)

CON-

TAINER

NOS.

(g)

UNIT PRICE

(h)

TOTAL COST

(i)

SHEET TOTAL

PLEASE DO NOT RETURN YOUR FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE ADDRESS IN ITEM 2 OF DD FORM 1149.

1_FROM_Include_ZIP_Code:

2_TO_Include_ZIP_Code:

3_SHIP_TO__MARK_FOR:

4_APPROPRIATIONS_DATA:

AMOUNT:

7_DATE_MATERIAL_REQUIRED:

8_PRIORITY:

9_AUTHORITY_OR_PURPOSE:

10_SIGNATURE:

1_la_VOUCHER_NUMBER__DATE:

12_DATE_SHIPPED_YYYYMMDD:

13_MODE_OF_SHIPMENT:

14_BILL_OF_LADING_NUMBER:

15_AIR_MOVEMENT_DESIGNATO:

16_TRANSPORTATION_VIA_MAT:

17_SPECIAL_HANDLING:

ISSUED_BY:

CHECKED_BY:

PACKED_BY:

TOTAL_CON_TAINERS:

TYPE_CON_TAINER:

DESCRIPTION1:

TOTAL_WEIGHT:

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6_REQUISITION_NUMBER:

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Reset:

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