Sol_140D0426Q0290.pdf

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Attached to
Water right settlement economic analysis Federal contract opportunity
Solicitation number
140D0426Q0290
Issued by
Department of the Interior Departmental Offices Interior Business Center

About this file

This is a Request for Quote (RFQ) for water right settlement economic analysis services in support of the Department of the Interior (DOI), Secretary's Indian Water Rights Office. The solicitation is issued by the Interior Business Center, Acquisition Services Directorate in Herndon, Virginia, with Juan Rendon serving as both the Contracting Officer and Contract Specialist (703-964-5329, juan_rendon@ibc.doi.gov).

The requirement is for Labor - Economic Analysis services under Product/Service Code B510 (Special Studies/Analysis - Environmental Assessments) with a NAICS code of 541620 (Environmental Consulting Services). The Period of Performance runs from May 1, 2026 to June 30, 2026. This is a Women-Owned Small Business (WOSB) set-aside at 100%. Quotes must be submitted by April 3, 2026 at 1700 EDT via email to Juan Rendon, with questions due by April 1, 2026 at 1600 EDT. The solicitation requires offerors to submit a signed Standard Form 1449, a technical volume addressing technical approach and experience in evaluating Indian water rights and settlements, one past performance reference from the past year demonstrating relevant scope and complexity, and a separate price volume identifying labor categories and rates. All invoices must be submitted electronically through the U.S. Department of Treasury's Invoice Processing Platform (IPP). Award will be made to the responsible offeror whose offer is most advantageous to the Government, with evaluation factors in descending order of importance being: Technical, Past Performance, and Price. The contract incorporates various FAR clauses including those addressing service contract labor standards, small business requirements, and payment procedures.

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Text version

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 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

CODE

TELEPHONE NUMBER

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

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(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 Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

. 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. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4.

FAR 52.212-3 AND 52.212-5 ARE ATTACHED.

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

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

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

DATED.

OFFER

ADDENDA

ADDENDA

140D0426Q0290

See Schedule See Schedule

Interior Business Center, AQD Acquisition Services Directorate 381 Elden Street Suite 2000A Herndon VA 20170

04/03/2026 1700 ED

Juan Rendon 7039645329

D52 100.00

D52

Juan Rendon

541620

$19

03/30/2026

ADMINISTERED BY:

Interior Business Center, AQD

Acquisition Services Directorate

381 Elden Street

Suite 2000A

Herndon VA 20170 USA

Continued...

STOCK RECORD (S/R)

STANDARD FORM 1449 (REV. 11/2021) 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 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 RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

ACCEPTED,

This is a Request for Quote for water right settlement economic analysis in support of the

Department of the Interior (DOI), Secretary's

Indian Water Rights Office.

Period of Performance: 05/01/2026 to

06/30/2026

00001 Labor - Economic Analysis

Product/Service Code: B510

Product/Service Description: SPECIAL

STUDIES/ANALYSIS- ENVIRONMENTAL ASSESSMENTS

Section 1 - Continuation Pages Section 2 - Contract Clauses

2-1 Clauses Incorporated by Reference 2-2 Clauses Incorporated by Full Text

Section 3 - List of Documents, Exhibits and Other Attachments Section 4 - Provisions

4-1 Provisions Incorporated by Full Text

Section 1 - Continuation Pages Administrative Information

Government Points of Contact

Contracting Officer Juan Rendon, juan_rendon@ibc.doi.gov, 7039645329

Contract Specialist/ Procurement Technician Juan Rendon, juan_rendon@ibc.doi.gov, 7039645329

Administrative Codes

B510, SPECIAL STUDIES/ANALYSIS- ENVIRONMENTAL ASSESSMENTS

541620, Environmental Consulting Services ($19)

General Information

Questions: Interested offerors must submit any questions concerning this solicitation by April 1, 2026, 1600 ED to enable the buyer to time to response. Any questions shall be submitted via the email addresses provided and can be submitted before the deadline. Any questions submitted after this deadline may not be considered.

Quote Due Date: Quotes in response to this solicitation are due no later than April 3, 2026 by 1600 ED. The responses shall be submitted via email to Juan Rendon at juan_rendon@ibc.doi.gov.

Section 2 - Contract Clauses 2-1 Clauses Incorporated by Reference

2-1.1 52.252-2 Clauses Incorporated by Reference. (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

https://acquisition.gov/

(End of clause)

2-1.2 52.203-17 Contractor Employee Whistleblower Rights. (NOV 2023)

2-1.3 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. (JAN 2017)

2-1.4 52.204-13 System for Award Management Maintenance. (OCT 2018)

2-1.5 52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded. (JAN 2025)

2-1.6 52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (NOV 2015)

2-1.7 52.212-4 Contract Terms and Conditions - Commercial Products and Commercial Services. (NOV 2023)

2-1.8 52.219-6 Notice of Total Small Business Set-Aside. (NOV 2020)

2-1.9 52.222-3 Convict Labor. (JUN 2003)

2-1.10 52.222-36 Equal Opportunity for Workers with Disabilities. (JUN 2020)

2-1.11 52.222-41 Service Contract Labor Standards. (AUG 2018)

2-1.12 52.222-42 Statement of Equivalent Rates for Federal Hires. (MAY 2014)

2-1.13 52.222-50 Combating Trafficking in Persons. (OCT 2025)

2-1.14 52.222-62 Paid Sick Leave Under Executive Order 13706. (JAN 2022)

2-1.15 52.226-8 Encouraging Contractor Policies To Ban Text Messaging While Driving. (MAY 2024)

2-1.16 52.232-33 Payment by Electronic Funds Transfer - System for Award Management. (OCT 2018)

2-1.17 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. (MAR 2023)

2-1.18 52.233-3 Protest After Award. (AUG 1996)

2-1.19 52.233-4 Applicable Law for Breach of Contract Claim. (OCT 2004)

2-2 Clauses Incorporated by Full Text

2-2.1 52.222-49 Service Contract Labor Standards-Place of Performance Unknown. (MAY 2014)

(a) This contract is subject to the Service Contract Labor Standards statute, and the place of performance was unknown when the solicitation was issued. In addition to places or areas identified in wage determinations, if any, attached to the solicitation, wage determinations have also been requested for the following: contractor to provide work location. The Contracting Officer will request wage determinations for additional places or areas of performance if asked to do so in writing by April 3, 2026 by 1700 ED.

(b) Offerors who intend to perform in a place or area of performance for which a wage determination has not been attached or requested may nevertheless submit bids or proposals. However, a wage determination shall be requested and incorporated in the resultant contract retroactive to the date of contract award, and there shall be no adjustment in the contract price.

(End of clause)

2-2.2 52.252-2 Clauses Incorporated by Reference. (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

https://acquisition.gov/

(End of clause)

2-2.3 1452.201-70 Authorities and delegations. (SEP 2011)

(a) The Contracting Officer is the only individual authorized to enter into or terminate this contract, modify any term or condition of this contract, waive any requirement of this contract, or accept nonconforming work.

(b) The Contracting Officer will designate a Contracting Officer's Representative (COR) at time of award. The COR will be responsible for technical monitoring of the contractor's performance and deliveries. The COR will be appointed in writing, and a copy of the appointment will be furnished to the Contractor. Changes to this delegation will be made by written changes to the existing appointment or by issuance of a new appointment.

(c) The COR is not authorized to perform, formally or informally, any of the following actions:

(1) Promise, award, agree to award, or execute any contract, contract modification, or notice of intent that changes or may change this contract;

(2) Waive or agree to modification of the delivery schedule;

(3) Make any final decision on any contract matter subject to the Disputes Clause;

(4) Terminate, for any reason, the Contractor's right to proceed;

(5) Obligate in any way, the payment of money by the Government.

(d) The Contractor shall comply with the written or oral direction of the Contracting Officer or authorized representative(s) acting within the scope and authority of the appointment memorandum. The Contractor need not proceed with direction that it considers to have been issued without proper authority. The Contractor shall notify the Contracting Officer in writing, with as much detail as possible, when the COR has taken an action or has issued direction (written or oral) that the Contractor considers to exceed the COR's appointment, within 3 days of the occurrence. Unless otherwise provided in this contract, the Contractor assumes all costs, risks, liabilities, and consequences of performing any work it is directed to perform that falls within any of the categories defined in paragraph (c) prior to receipt of the Contracting Officer's response issued under paragraph (e) of this clause.

(e) The Contracting Officer shall respond in writing within 30 days to any notice made under paragraph (d) of this clause.

A failure of the parties to agree upon the nature of a direction, or upon the contract action to be taken with respect thereto, shall be subject to the provisions of the Disputes clause of this contract.

(f) The Contractor shall provide copies of all correspondence to the Contracting Officer and the COR.

(g) Any action(s) taken by the Contractor, in response to any direction given by any person acting on behalf of the Government or any Government official other than the Contracting Officer or the COR acting within his or her appointment, shall be at the Contractor's risk.

(End of clause)

2-2.4 DOI ELECTRONIC INVOICING Electronic Invoicing and Payment Requirements - Invoice Processing Platform (IPP) (February 2021)

Payment requests must be submitted electronically through the U. S. Department of the Treasury's Invoice Processing Platform System (IPP).

"Payment request" means any request for contract financing payment or invoice payment by the Contractor. To constitute a proper invoice, the payment request must comply with the requirements identified in the applicable Prompt Payment clause included in the contract, or the clause 52.212-4 Contract Terms and Conditions - Commercial Items included in commercial item contracts. The IPP website address is: https://www.ipp.gov.

Under this contract, the following documents are required to be submitted as an attachment to the IPP invoice:

1. Name and address of Offeror

2. Invoice number and date

3. CLIN/Item number of deliverables

4. Description of deliverable

5. Price of deliverable

6. Quantity of deliverable

7. Date deliverable was provided to the Government for inspection

8. Serial number/part number if applicable

9. Cumulative CLINs delivered and cumulative paid on delivered CLINS

The Contractor must use the IPP website to register access and use IPP for submitting requests for payment. The Contractor Government Business Point of Contact (as listed in SAM) will receive enrollment instructions via email from the Federal Reserve Bank of St. Louis (FRBSTL) within 3 - 5 business days of the contract award date. Contractor assistance with enrollment can be obtained by contacting the IPP Production Helpdesk via email IPPCustomerSupport@fiscal.treasury.gov or phone (866) 973-3131.

If the Contractor is unable to comply with the requirement to use IPP for submitting invoices for payment, the Contractor must submit a waiver request in writing to the Contracting Officer with its proposal or quotation.

(End of Local Clause)

Section 3 - List of Documents, Exhibits and Other Attachments Attachment Table

Attachment Number Title Pages Date

1 B08 SOL PWS Attach 1 303/30/2026 2 B08 SOL Pricing Attach 2 103/30/2026

Section 4 - Provisions

4-1.1 52.252-1 Solicitation Provisions Incorporated by Reference. (FEB 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

https://acquisition.gov/

(End of provision)

4-1.2 52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements-Representation. (JAN 2017)

4-1.3 52.204-7 System for Award Management. (NOV 2024)

4-1.4 52.225-25 Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran-Representation and Certifications. (JUN 2020)

4-1 Provisions Incorporated by Full Text

4-1.5 52.222-52 Exemption From Application of the Service Contract Labor Standards to Contracts for Certain Services-Certification. (MAY 2014)

(a) The offeror shall check the following certification:

CERTIFICATION

The offeror ___ does ___ does not certify that-

(1) The services under the contract are offered and sold regularly to non-Governmental customers, and are provided by the offeror (or subcontractor in the case of an exempt subcontract) to the general public in substantial quantities in the course of normal business operations;

(2) The contract services are furnished at prices that are, or are based on, established catalog or market prices. An "established catalog price" is a price included in a catalog, price list, schedule, or other form that is regularly maintained by the manufacturer or the offeror, is either published or otherwise available for inspection by customers, and states prices at which sales currently, or were last, made to a significant number of buyers constituting the general public. An "established market price" is a current price, established in the usual course of ordinary and usual trade between buyers and sellers free to bargain, which can be substantiated from sources independent of the manufacturer or offeror;

(3) Each service employee who will perform the services under the contract will spend only a small portion of his or her time (a monthly average of less than 20 percent of the available hours on an annualized basis, or less than 20 percent of available hours during the contract period if the contract period is less than a month) servicing the Government contract;

and

(4) The offeror uses the same compensation (wage and fringe benefits) plan for all service employees performing work under the contract as the offeror uses for these employees and for equivalent employees servicing commercial customers.

(b) Certification by the offeror as to its compliance with respect to the contract also constitutes its certification as to compliance by its subcontractor if it subcontracts out the exempt services. If the offeror certifies to the conditions in paragraph (a) of this provision, and the Contracting Officer determines in accordance with FAR 22.1003-4(d)(3) that the Service Contract Labor Standards statute-

(1) Will not apply to this offeror, then the Service Contract Labor Standards clause in this solicitation will not be included in any resultant contract to this offeror; or

(2) Will apply to this offeror, then the clause at FAR 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-Requirements, in this solicitation will not be included in any resultant contract awarded to this offer, and the offeror may be provided an opportunity to submit a new offer on that basis.

(c) If the offeror does not certify to the conditions in paragraph (a) of this provision-

(1) The clause of this solicitation at 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-Requirements, will not be included in any resultant contract to this offeror; and

(2) The offeror shall notify the Contracting Officer as soon as possible if the Contracting Officer did not attach a Service Contract Labor Standards wage determination to the solicitation.

(d) The Contracting Officer may not make an award to the offeror, if the offeror fails to execute the certification in paragraph (a) of this provision or to contact the Contracting Officer as required in paragraph (c) of this provision.

(End of provision)

4-1.6 52.212-1 Instructions to Offerors - ADDENDUM

Contractors are responsible for submitting a complete and timely response to this solicitation. The response shall include a technical and price volumes. The government anticipates awarding a firm fixed price purchase order as a result of this solicitation. The following information must be submitted in order to be considered for award:

1. Signed Standard Form (SF 1449), page 1, block 14; Include any amendments to the solicitation.

2. Technical Volume: Contractors shall provide a technical response that addresses the following criteria:

2.1 Technical Approach - Contractor shall demonstrate an understanding of the work by explaining their approach to meeting the PWS tasks and objectives. The contractor must not simply rephrase or restate the Government's requirements but rather must provide convincing rationale to address and support how the offer intends to meet the requirement.

2.2 Experience - The contractor shall demonstrate their experience in the evaluation of Indian water rights and settlements by providing a detailed organizational example(s) of section 1.5.2 - Special Qualifications, of the PWS.

3. Past Performance: Contractors shall identify one (1) order with the Federal Government or commercial Customer that demonstrates recent and relevant past performance. Recent is defined within the last year and relevant is defined as similar in scope, size and complexity of the work described within this solicitation. Within your response include the Project Title, Project Description, CO/COR contact information, Order number, Period of Performance, Dollar value, a brief narrative showing comparable relevancy to this project.

4. Price Volume: Provide pricing information. This shall be a separate volume from the Technical Volume. Pricing shall include all anticipated costs to fully perform the tasks and objectives as stated within the solicitation. The vendor shall identify the specific labor categories and their respective labor rates required to complete the work. The attached pricing template is included to assist in the development of your price volume (Attachment 2 - Pricing Template).

The price volume must also contain the following:

a. Unique Entity Identifier (UEI)

b. Complete Business Mailing Address

c. Contact Name, Phone Number & E-mail Address

d. Quote Total

Quotes that do not meet all the requirements specified in this solicitation may not be considered.

(End of Provision)

4-1.7 52.212-2 Evaluation - Commercial Products and Commercial Services - ADDENDUM

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

1. Technical

2. Past Performance

3. Price

The non-price evaluation factors are in descending order of importance and when combined are more important than price. Individually, they are also more important than price. In the event that the non-price factors are evaluated equally, price will become a major consideration in selecting the vendor.

(b) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

Solicitation/Contract/Order for commercial products and commercial services
Requisition number
Contract number
Award/Effective date
Order number
Solicitation number
Solicitation issue date
For solicitation information call:
Name
Telephone number
Offer due date/local time
Issued by
Code
This acquisition is
NAICS
Size standard
Delivery for free on board (FOB) destination unless block is marked
Discount terms
This contract is a rated order under the defense priorities and allocations system - DPAS
Rating
Method of solicitation
Deliver to
Code
Administered by
Code
Contractor/Offeror
Code
Facility code
Telephone number
Check if remittance is different and put such address in offer
Payment will be made by
Code
Submit invoices to address shown in block 18a unless block below is checked
Accounting and appropriation data
Total award amount
Solicitation incorporates by reference
Addenda
Contract/purchase order incorporates by reference
Addenda
Contractor is required to sign this doc. and return:
Award of contract: reference
Signature of offeror/contractor
Name and title of signer
Signer date signed
Signature of contracting officer
Name of contracting officer
Contracting officer date signed
Authorized for local reproduction. Previous edition is not usable
Standard Form 1449 (Rev. 11/2021)
Quantity in column 21 has been
Signature of authorized government representative
Date
Printed name and title of authorized government representative
Mailing address authorized government representative
Telephone number of authorized government representative
Email number of authorized government representative
Ship number
Voucher number
Amount verified correct for
Payment
Check number
Stock record (S/R)
S/R account number
S/R voucher number
Paid by
I certify this account is correct and proper for payment
Signature and title of certifying officer
Date
Received by
Received at
Date received
Total containers
Standard Form 1449 (rev. 11/2021) Back

File details come from the government source that posted it. Updated .