Sol_140L2626Q0040.pdf

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PFO FY26 WATER PIPELINE PURCHASE
Solicitation number
140L2626Q0040
Issued by

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This is a Solicitation/Contract/Order for Commercial Products and Commercial Services issued by the Bureau of Land Management (BLM), ID State Office for the Pocatello Field Office Water Pipeline Purchase.

The solicitation, numbered 140L2626Q0040, was issued on May 13, 2026, with an offer due date of May 27, 2026 at 10:00 AM Mountain Daylight Time. This is a Women-Owned Small Business (WOSB) set-aside with 100% of the requirement designated for WOSB firms. The solicitation uses a Request for Quote (RFQ) method with a competitive unrestricted procurement. The contracting officer is Patricia Fort, located at the BLM ID State Office, 1387 S. Vinnell Way, Boise, ID 83709, reachable at (208) 373-3910.

The requirement is for 22,500 feet of 2-inch diameter High Density Polyethylene (HDPE) black flexible pipe rated at 200 psi, suitable for livestock and wildlife water applications. The pipe must meet ASTM D3035 specifications, use PE 4710 resin with SDR 11, and be capable of heat-fusion welding. Offerors must provide five coils of 4,500 feet each, placed on steel reels, with capped or sealed ends. Delivery is required within 60 days of contract award to BLM, 4350 Cliffs Drive, Pocatello, Idaho, FOB Destination, with all costs including Federal, State, and local usage taxes included in the unit price. Delivery must occur Monday through Thursday between 8:00 AM and 4:00 PM local time, with at least 48 hours' advance notice required. The receiving facility will provide unloading equipment. Bidders must submit completed Standard Form 1449 blocks, including the specific model number and all conformance information. Invoices must be submitted electronically through the Internet Payment Platform (IPP) at https://www.ipp.gov.

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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

140L2626Q0040

See Schedule See Schedule

BLM ID-STATE OFC HR&ADM SVC (ID953)

1387 S. VINNELL WAY

BOISE ID 83709

05/27/2026 1000 MD

0044043386

Patricia Fort 2083733910

LDA 100.00

LDA

Patricia Fort

326122

05/13/2026

0011276397

ADMINISTERED BY:

BLM ID STATE OFC HR&ADMN (ID953)

1387 S. VINNELL WAY

BOISE ID 83709 US

DELIVER TO:

BLM-ID POCATELLO FIELD OFFICE

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,

4350 CLIFFS DRIVE

POCATELLO ID 83204 US

Delivery: 07/31/2026

00010 22500 FT2" Flexible Pipe

Product/Service Code: 4720

Product/Service Description: HOSE AND FLEXIBLE

TUBING

SOLICITATION NO: 140L2626Q0040

TITLE: Pocatello Field Office Water Pipeline Purchase Page 3

BID SCHEDULE

Offerors are to complete Block 17a and blocks 30 - 31 of the SF-1449.

Title: Pocatello Field Office Water Pipeline Purchase

DESCRIPTION QUANTITY UNIT UNIT PRICE TOTAL

2” Flexible Pipe 22,500 FT $__________ $_______________ (2” diameter) 200 psi

Delivery: 60 Days ARO

FOB Point: Destination - All delivery costs must be included in the unit price for each item. Delivery shall be to the BLM, Pocatello Field Office located at 4350 Cliffs Drive in Pocatello, Idaho.

Usage Tax: Quotes must include all Federal, State usage, and local taxes.

TITLE: Pocatello Field Office Water Pipeline Purchase Page 4

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

Part 1: General A. Scope of Work - furnish and deliver livestock pipe. Ship all items to, BLM, 4350 Cliffs Drive in

Pocatello, Idaho.

B. Description - All pipe shall be High Density Polyethylene Plastic (HDPE) black pipe used for livestock and wildlife water capable of heat-fusion joints. Cap or seal ends of pipe to prevent contaminants from entering.

C. Delivery - Entire order to be delivered on or before date specified in contract. Contract price shall include all costs associated with delivery, FOB destination. Receiving facility can provide a forklift for unloading. Receiving facility's normal hours of operation are Monday - Thursday, 8:00 am to 4:00 pm local time, except Federal holidays. Vendor shall provide notification of delivery date and time at least 48 hours in advance.

D. Submittal - Bidder shall provide specific model number of the unit that will be supplied together showing size and all other information necessary to determine conformance with this specification.

Part 2: Material Specifications A. Livestock Pipeline (2" diameter) - 200 psi

• 2" diameter

• 200 psi

• 5 ea. 4,500 ft coil lengths (place pipe on steel reel- see photo)

• HPDE (High Density Polyethelyne)

• ASTMD (American Society for the Testing and Materials) 3035

• SDR (Standard Dimension Ration) 11

• PE (Polyethelyne) 4710 resin

• Non-recyclable materials

• Pipeline must be able to be fused with a fusion welder

• Pipeline is to be used for water

• Pipeline needs to be black

PART 3: DELIVERY

Ship all items to, BLM, 4350 Cliffs Drive in Pocatello, Idaho.

Delivery shall occur between Monday - Thursday from 8am to 4:00 pm. No delivery will be accepted on Holidays. Exact delivery date shall be coordinated with the BLM COR. Vendor shall provide at least 48 hours' notice of delivery. BLM will have equipment to unload the delivery truck. Products must be packaged on pallets or with lifting points.

TITLE: Pocatello Field Office Water Pipeline Purchase Page 5

SECTION 2 - CONTRACT CLAUSES

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://www.acquisition.gov/browse/index/far#

52.203-17 Contractor Employee Whistleblower Rights (Nov 2023) 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements

(Jan 2017) 52.204-13 System for Award Management - Maintenance (Nov 2025) 52.204-19 Incorporation by Reference of Representations and Certifications (Dec 2014) 52.204-91 Contractor Identification (Nov 2025) 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations (Nov 2025) 52.211-5 Material Requirements (Aug 2000) 52.212-4 Terms and Conditions - Commercial Products and Commercial Services (Nov 2025) 52.219-6 Notice of Total Small Business Set-Aside (Nov 2025) 52.219-28 Postaward Small Business Program Rerepresentation (Nov 2025) 52.222-3 Convict Labor (Nov 2025) 52.222-19 Child Labor - Cooperation with Authorities and Remedies (Nov 2025) 52.222-90 Addressing DEI Discrimination by Federal Contractors (Mar 2026) 52.223-3 Hazardous Material Identification and Material Safety Data (Alt I) (Nov 2025) 52.226-7 Drug-Free Workplace (May 2024) 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving (May 2024) 52.222-35 Equal Opportunity for Veterans (Jul 2014) 52.222-36 Equal Opportunity for Workers with Disabilities (Nov 2025) 52.222-37 Employment Reports on Veterans (Nov 2025) 52.232-39 Unenforceability of Unauthorized Obligations (Jun 2013) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) 52.233-4 Applicable Law for Breach of Contract Claim (Nov 2025) 52.240-91 Security Prohibitions and Exclusions (Nov 2025) 52.240-92 Security Requirements (Nov 2025) 52.240-93 Basic Safeguarding of Covered Contractor Information Systems (Nov 2025) 52.242-15 Stop-Work Order (Aug 1989)

2. Electronic Invoicing and Payment Requirements - Invoice Processing Platform (IPP) (Apr 2013)

Payment requests must be submitted electronically through the U.S. Department of the Treasury's Internet Payment 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.

https://www.acquisition.gov/browse/index/far http://www.ipp.gov/

TITLE: Pocatello Field Office Water Pipeline Purchase Page 6

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

(1) Copy of Company Generated Invoice.

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 will receive enrollment instructions via email from the Federal Reserve Bank of Boston (FRBB) 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 ippgroup@bos.frb.org 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.

3. Local Internet Payment Platform (IPP) Hotline

To check payment status, contact the Payment Hotline at 877-480-9724 or 303-236-2850. You will need to leave a message with the following information:

1. Company Name

2. Contract Number

3. Invoice Number

4. Invoice Amount

5. A brief description of why you are calling

6. Your contact information

If you do not receive a callback from the Payment Hotline within 72 hours, please contact the Contract Officer with the day and time you contacted the Payment Hotline.

4. Government Point of Contact Patricia A. Fort pfort@ios.doi.gov 1387 S Vinnell Way Boise, ID 83709 Telephone (208) 373-3910 mailto:ippgroup@bos.frb.org

TITLE: Pocatello Field Office Water Pipeline Purchase Page 7

SECTION 4: SOLICITATION PROVISIONS

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://www.acquisition.gov/browse/index/far#

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

52.204-7 System for Award Management (Nov 2025) 52.209-2 Prohibition on Contracting with Inverted Domestic Corporations-Representation (Nov 2025) 52.212-1 Instructions to Offerors--Commercial Products and Commercial Services (Nov 2025) 52.223-1 Biobased Product Certification (Nov 2025) (DEVIATION Feb 2025) 52.240-90 Security Prohibitions and Exclusions Representations and Certifications (Nov 2025)

2. Usage Tax

Quotes and/or pricing must include all Federal, State usage, and local taxes

3. 52.204-90 Offeror Identification (Nov 2025)

If the Offeror will not have an active Federal Government contracts registration in the System for Award Management (https://www.sam.gov) when submitting its offer, it shall complete paragraphs (c) and (d) of this provision and include its responses with its offer.

(a) Definitions. As used in this provision— Commercial and Government Entity (CAGE) code has the meaning provided in the clause at FAR 52.204-91, Contractor Identification, of this solicitation.

Common parent means that corporate entity that owns or controls an affiliated group of corporations that files its Federal income tax returns on a consolidated basis, and of which the offeror is a member.

Electronic Funds Transfer (EFT) indicator means a bank account identifier to establish additional System for Award Management records for identifying alternative EFT accounts (see part 32) for the same entity.

Highest-level owner means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest-level owner.

Immediate owner means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees. There may be more than one immediate owner (e.g., joint ventures).

Predecessor means an entity whose assets were acquired by the offeror or another entity (most often through merger or acquisition) and whose affairs are now carried out by the offeror or the other entity under a new name.

Taxpayer Identification Number means the number required by the Internal Revenue Service (IRS) to be used by the offeror to report income tax and other returns. It may be either a Social Security Number or an Employer Identification Number.

https://www.acquisition.gov/browse/index/far https://www.sam.gov/

TITLE: Pocatello Field Office Water Pipeline Purchase Page 8

Unique entity identifier (UEI) has the meaning provided in the clause at FAR 52.204-91, Contractor Identification, of this solicitation.

(b) Unique entity identifier (UEI). (1) The Offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation “Unique Entity Identifier” followed by the UEI that identifies the Offeror's name and address exactly as stated in the offer. The Offeror shall also enter its EFT indicator, if applicable. (2) If the Offeror does not have a UEI, it shall go to https://www.sam.gov to obtain one. The Government will independently validate the existence and uniqueness of the Offeror before assigning a UEI.

(c) Taxpayer identification. The Offeror shall provide with its offer the following information that is necessary to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d); reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M; and the implementing IRS regulations:

(1) Taxpayer identification number (TIN)

□ TIN: ______________;

□ TIN has been applied for; or

□ TIN is not required because:

□ Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;

□ Offeror is an agency or instrumentality of a foreign government; or

□ Offeror is an agency or instrumentality of the Federal Government.

(2) Type of organization.

□ Sole proprietorship;

□ Partnership;

□ Corporate entity (not tax-exempt);

□ Corporate entity (tax-exempt);

□ Government entity (Federal, State, or local);

□ Foreign government;

□ International organization per 26 CFR 1.6049-4; or

□ Other.

(3) Common parent.

□ Offeror is not owned or controlled by a common parent as defined in paragraph (a) of this provision; or

□ Name and TIN of common parent:

Name: ______________

TIN: _______________

(4) The TIN provided in paragraph (c)(1) of this provision may be matched with IRS records to verify the accuracy of the Offeror's TIN. The Government may use the TIN to collect and report on any delinquent amounts arising out of the Offeror's relationship with the Government (31 U.S.C. 7701(c)(3)).

(d) Commercial and Government Entity (CAGE) code.

(1) The Offeror shall provide its CAGE code with its offer with its name and location address or otherwise include it prominently in its offer. The CAGE code shall be for that name and location address. Insert the word “CAGE” before the code. The Offeror may obtain a CAGE code as indicated in the following table.

If the Offeror is… Then…

Located in the United States or its outlying areas

Submit a request to the DLA CAGE Branch via https://cage.dla.mil

Located outside the United States and its outlying areas and its country is a member of

Contact the appropriate National Codification Bureau (https://www.nato.int/structur/ac/135/about/contacts) https://www.sam.gov/ https://cage.dla.mil/ https://www.nato.int/structur/ac/135/about/contacts

TITLE: Pocatello Field Office Water Pipeline Purchase Page 9 the North Atlantic Treaty Organization (NATO) or a sponsored nation

Located outside the United States and its outlying areas and its country is not a member of NATO or a sponsored nation

Contact the NATO Support and Procurement Agency (NSPA) (https://eportal.nspa.nato.int/AC135Public/scage/CageList.aspx)

(2) The Offeror shall provide the CAGE code and legal business name (Do not use a “doing business as” name) for—

(i) Its immediate owner(s), if any;

(ii) Its highest-level owner, if any; and

(iii) Any predecessor(s), or predecessor of an Offeror’s predecessor, that held a Federal contract or grant within the last three years.

Owner Type CAGE Code Legal Business Name

Immediate owner

Highest-level owner

Predecessor*

* Predecessor CAGE code may be marked “Unknown.”

(3) If the Offeror has more than one immediate owner (such as a joint venture), give the information for each owner (or joint venture participant). If the Offeror has more than one predecessor, provide information for each predecessor in reverse chronological order.

4. 52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Nov 2025)

(a) The Government will not enter into a contract with any corporation that—

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

https://eportal.nspa.nato.int/AC135Public/scage/CageList.aspx

TITLE: Pocatello Field Office Water Pipeline Purchase Page 10

(b) The Offeror represents that–

(1) It is □ is not □ a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is □ is not □ a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

6 52.252-5 Authorized Deviations in Provisions (Nov 2020)

(a) The use in this solicitation of any Federal Acquisition Regulation (48 CFR Chapter 1) provision with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the provision.

(b) The use in this solicitation of any Department of the Interior Acquisition Regulation (48 CFR Chapter

1) provision with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

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

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