Sol_140L3626Q0030.pdf
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- Attached to
- MCFO FENCE SUPPLY ORDER Federal contract opportunity
- Solicitation number
- 140L3626Q0030
About this file
This is a Request for Quote (RFQ) for fencing materials issued by the Department of Interior, Bureau of Land Management (BLM) Montana State Office.
The solicitation number is 140L3626Q0030, with quotes due by May 29, 2026 at 1400 MST and questions due by May 22, 2026. This is a 100% Small Business Set-Aside acquisition using FAR Parts 12 and 13, with a NAICS code of 332510 (Hardware Manufacturing) and a size standard of 750 employees. Award will be made on a firm-fixed price basis to a single offeror representing the best value using lowest price technically acceptable evaluation criteria. The contract will be administered by the BLM Montana State Office in Billings with delivery to the BLM Miles City Field Office. The period of performance runs from June 5, 2026 to August 31, 2026, with an initial delivery date of April 1, 2026.
Required items include eight line items of fencing materials: 112 steel brace posts (long), 198 steel brace posts (short), 198 steel brace rails, 21 drill stem mechanical gate closers, 69 gate loop cables, 5,200 heavy duty steel fence posts, 200 spools of heavy duty barbed wire, and 66 spools of heavy duty barbless wire. All items are classified under product/service code 5660 (Fencing, Fences, Gates and Components). Offerors must submit pricing for all items and be actively registered in the System for Award Management (SAM). Payment will be made by electronic funds transfer through the Invoice Processing Platform (IPP). All federal clauses and provisions incorporated by reference are effective through Federal Acquisition Circular 2026-01 (March 13, 2026), with quotes to be submitted by email only to Contracting Officer Christopher Brailer (christopher_brailer@ios.doi.gov), and quotes must remain valid for a minimum of 60 days.
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| File | Type | Posted |
|---|---|---|
| 1__Statement_of_Work_-_2026_MCFO_Fence_Material.pdf |
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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
140L3626Q0030
See Schedule See Schedule
BLM MT-STATE OFC(MT935)
5001 SOUTHGATE DR.
BILLINGS MT 59101
05/29/2026 1400 MD
0044042024
Christopher Brailer 4068965196
LMA 100.00
LMA
Christopher Brailer
332510
05/14/2026
0011276418
ADMINISTERED BY:
BLM MT STATE OFC(MT935)
5001 SOUTHGATE DR.
BILLINGS MT 59101 US
DELIVER TO:
BLM-MT MILES CITY 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,
111 GARRYOWEN ROAD
MILES CITY MT 59301 US
Miles City Fencing Material
Contracting Officer: Chris Brailer;
christopher_brailer@ios.doi.gov; 406-896-5196
Delivery: 04/01/2026
Period of Performance: 06/05/2026 to
08/31/2026
00010 112 EASteel Brace Post (Long) 2 7/8¿ by 9¿
Product/Service Code: 5660
Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS
00020 198 EASteel Brace Post (Short) 2 7/8¿ by 4¿
Product/Service Code: 5660
Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS
00030 198 EASteel Brace Rail 2¿ by 7¿
Product/Service Code: 5660
Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS
00040 21 EADrill Stem Mechanical Gate Closer
Product/Service Code: 5660
Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS
Continued...
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGES
NAME OF OFFEROR OR CONTRACTOR
SUPPLIES/SERVICES
(B)
UNIT
(D)
UNIT PRICE
(E)
AMOUNT
(F)
OPTIONAL FORM 336 (4-86)
Sponsored by GSA FAR (48 CFR) 53.110
ITEM NO.
(A)
QUANTITY
(C)
NSN 7540-01-152-8067
140L3626Q0030
00050 69 EAGate Loop Cables
Product/Service Code: 5660
Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS
00060 5200 EAHeavy Duty Steel Fence Posts 5 ½¿
Product/Service Code: 5660
Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS
00070 200 EAHeavy Duty Barbed Wire
Product/Service Code: 5660
Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS
00080 66 EAHeavy Duty Barbless Wire
Product/Service Code: 5660
Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS
This is a combined synopsis/solicitation for commercial services prepared in accordance with the format in subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation/notice. Quotes are being requested at this time. The Department of Interior, Bureau of Land Management (DOI, BLM), Montana State Office, located in Billings, MT is issuing this combined solicitation/synopsis for MILES CITY FENCING MATERIAL. 140L3626Q0030 is a Request for Quote using FAR Part12, Acquisition of Commercial Item, and FAR Part 13, Simplified Acquisition Procedures. The solicitation document, statement of work, incorporated provisions and clauses, and solicitation attachments are attached. This document incorporates provisions and clauses which are in effect through Federal Acquisition Circular (FAC) 2026-01, Effective Date 03/13/2026.
The solicitation will result in a firm-fixed priced, single award contract. The North American Industry Classification System (NAICS) code is 332510, Hardware Manufacturing with a small business size standard of 750 Employees.
This acquisition is being solicited as a 100% Small Business Set-Aside. Paper copies of this combined solicitation/synopsis will not be mailed. Prospective offerors are responsible for checking System for Award Management (SAM) to obtain any amendments or other information pertaining to the solicitation. Prospective offerors are encouraged to register for notifications.
All offerors must be actively registered in the System for Award Management (SAM), (https://www.sam.gov) to be eligible for award. In addition, vendors must ensure their Annual Representations and Certifications are updated and current.
All questions must be submitted by 5/22/2026, 1400 MST.
Responses/quote MUST be received no later than 5/29/2026, 1400 MST. Quotes must be emailed to the Contracting Officer (CO), mailed and faxed quotes will not be accepted.
The following quote preparation instructions are in addition to the below, 52.212-2 Evaluation Factors for Award.
The Government shall not award any contract if the resulting contract would not represent a "best value" to the Government using the tradeoff process procedures as required by the Federal Acquisition Regulations (FAR).
To assure timely and equitable evaluation of quotes, offerors are cautioned to strictly comply with all instructions within this solicitation to ensure submission of a complete quote. Offerors are required to meet all solicitation requirements, including terms and conditions, representations and certifications, and those identified as evaluation factors and sub-factors. Failure to furnish a complete quote, at the time of submission, may result in the quote being unacceptable to the Government and eliminated from consideration for award.
Offerors are cautioned to submit adequate information to enable the Government to fully ascertain each offeror’s capability to perform the requirement. Commitments made in the quote may become a part of the resultant contract.
If an offeror believes that requirements in these instructions contain an error, omission, or are otherwise flawed, the Offeror shall immediately notify the Contracting Officer in writing (email is the preferred method) with supporting rationale by the due date provided. All concerns and questions shall be submitted to the Contracting Officer, Christopher Brailer (christopher_brailer@ios.doi.gov).
This RFQ does not commit the Government to any costs incurred in the preparation and submission of a quote or for any other costs incurred by any firm submitting a quote in response to this solicitation. Note specifically that the Offeror will not be participating in a sealed bid procurement process under this acquisition method. Issuance of this RFQ does not constitute an award commitment on the part of the Government.
A quote that is orderly and sufficiently documented will enable the Government to perform a thorough and fair evaluation. Quotes that fail to address any of the evaluation criteria may be deemed incomplete, and the quote may be removed from further consideration.
Quotes must set forth full, accurate, and complete information as required by this RFQ, (including attachments), if applicable. The penalty for making false statements is prescribed in 18 U.S.C. 1001.
Quote must be valid for a minimum of 60 days.
https://www.acquisition.gov/far/part-12#FAR_Subpart_12_6 mailto:christopher_brailer@ios.doi.gov
Interchangeable Words: The following roles/words denote different legal terms and ramifications: contractor, offeror, firm and company, however for the purpose of this solicitation they are used interchangeably. In addition, the word “requirement” can be used interchangeably to mean one, a combination, or all of the following: 1) Performance Work Statement (PWS), and 2) Solicitation.
Award is subject to and based on the availability of funds.
Including all other factors, to qualify for award, an offeror must be determined responsible in accordance with Federal Acquisition Regulation Part 9.
The Standard Form (SF) 1449 Solicitation/Contract/Order for Commercial Items must be returned along with the SF 30 Amendment of Solicitation/Modification of Contract if any amendments are issued.
FAR Clause 52.204-26(c)(1)(2) Covered Telecommunication Equipment or Service Representation certifications must be submitted with quote for the quote to be deemed responsive. If “does” is selected, then FAR Clause 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (d)(1)(2) is required to be completed and submitted with the quote.
Quotes are due by the date and time specified on the cover page of this document. It is the responsibility of offerors to ensure their quote is received by the recipient and by the due date and time. The offeror is to submit a fully compliant quote to the following email addresses: Christopher Brailer, christopher_brailer@ios.doi.gov mailto:christopher_brailer@ios.doi.gov
SCHEDULE OT ITEMS/PRICE SCHEDULE:
Item No. Description Qty Unit Unit Price Total Price
1. Steel Brace Post(Long) 2-
7/8” by 9’
112 EA
2. Steel Brace Post (Short) 2 - 7/8" by 4'
198 EA
3. Steel Brace Rail 2" by 7' 198 EA
4. Drill Stem Mechanical Gate
Closer
21 EA
5. Gate Loop 69 EA
6. Heavy Duty Steel Fence
Post 5 1/2'
5200 EA
7. Heavy Duty Barbed Wire 200 EA
8. Heavy Duty Barbless Wire 66 EA
Total Base Price*
Federal Acquisition Regulation (FAR) and United States Department of Interior Acquisition Regulation (DIAR) Clauses and Provisions
The clauses and provisions contained herein are applicable to any order awarded as a result of this solicitation. The terms and conditions set forth herein supersede all other terms and conditions.
Acceptance of the order in accordance with (IAW) FAR 12.201-1(b)(2) constitutes acceptance of all terms and conditions contained herein.
As part of the Revolutionary FAR Overhaul (RFO), system updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in this solicitation. Contracting officers will rely on representations from offers based on provisions in the solicitation. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.
52.252-2 Clauses Incorporated by Reference Feb 1998
This solicitation 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 the clause may be accessed electronically at Internet address https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52 52.212-4 Terms and Conditions—Commercial Products and Commercial Services (Nov 2025) ☐ Alternate I (Nov 2025) of 52.212-4 52.203-17 Contractor Employee Whistleblower Rights (Nov 2023) 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) 52.222-50 Combating Trafficking in Persons (Nov 2025) ☐ Alternate I (Nov 2025) of 52.222-50 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving (May 2024) 52.232-39 Unenforceability of Unauthorized Obligations (Jun 2013) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) 52.233-3 Protest After Award (Sep 2025) 52.233-4 Applicable Law for Breach of Contract Claim (Sep 2025) 52.240-91 Security Prohibitions and Exclusions (Nov 2025) ☐ Alternate I (Nov 2025) of 52.240-91 52.244-6 Subcontracts for Commercial Products and Commercial Services (Nov 2025)
The following clauses are applicable if checked:
☒ 52.204-13 System for Award Management—Maintenance (Nov 2025) ☒ 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations (Sep 2025) ☒ 52.219-6 Notice of Total Small Business Aside (Nov 2025) ☐ Alternate I (Mar 2020).
☒ 52.222-3 Convict Labor (June 2003) ☒ 52.222-19 Child Labor—Cooperation with Authorities and Remedies (Nov 2025) ☒ 52.222-36 Equal Opportunity for Workers with Disabilities (Nov 2025) ☐ Alternate I (Jul 2014) of 52.222-36
☒ 52.222-90 Addressing DEI Discrimination by Federal Contractors (Apr 2026) ☒ 52.223-23 Sustainable Products and Services (Nov 2025) ☒ 52.225-1 Buy American-Supplies (Nov 2025) ☐ Alternate I (Oct 2022) of 52.225-1
☒ 52.232-33 Payment by Electronic Funds Transfer— System for Award Management (Oct 2018)
DOI-AAAP-0028 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 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:
Itemized Invoice containing contract number, period of work.
The Contractor shall also submit an electronic copy of the IPP invoice to cbrailer@blm.gov once the invoice has been submitted to IPP. Failure to email the invoice may cause significant delay or possible rejection of your payment request.
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) https://www.ipp.gov/ mailto:cbrailer@blm.gov mailto:IPPCustomerSupport@fiscal.treasury.gov
SOLICITATION INFORMATION
Award Type It is anticipated that a firm-fixed price contract will be awarded as a result of this synopsis/solicitation.
The Government intends to make one award from this solicitation. Therefore, to be considered responsive, contractors must submit pricing for all items.
Evaluation and Basis for Award The provision at FAR 52.212-2, Evaluation—Commercial Products and Commercial Services is not applicable to this solicitation. In lieu of this provision, quotes will be evaluated in accordance with FAR
12.203 based on the criteria listed below. Award will be made to the offeror representing the best value to the Government.
Evaluation Method The Government will evaluate quotations based on the lowest price technically acceptable criteria. Only the lowest priced offer will be evaluated for Technical Acceptability. Should the lowest priced offer not receive an acceptable technical rating, the process will continue in order of lowest priced offer until the lowest price, technically acceptable offer, is identified.
Qualification Requirements Offerors, or the product, ARE required to meet a qualification requirement to be eligible for award. Qualification requirements may be obtained by must have an active registration in SAM.
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 providethe appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessedelectronically at this/these address(es):https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52
52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements-Representation (Jan 2017)
52.209-2 Prohibition on Contracting with Inverted Domestic Corporations - Representation (Sep 2025)
52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Sep 2025)
52.240-90 Security Prohibitions and Exclusions Representations and Certifications (Nov 2025)
The following provisions are applicable if checked:
☒ 52.204-7 System for Award Management—Registration (Nov 2025) ☐ Alternate I(Nov 2025) to 52.204-7
☒ 52.222-18 Certification Regarding Knowledge of Child Labor for Listed End Products (Feb 2021) ☒ 52.225-2 Buy American Certificate (Oct 2022)
| 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 .