Sol_140P8326Q0068.pdf
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- Attached to
- 3D SCANNER FOR MUSEUM OBJECTS Federal contract opportunity
- Solicitation number
- 140P8326Q0068
About this file
This is a Request for Quotation (RFQ) for a 3D Laser Scanner to be delivered to John Day Fossil Beds National Monument. The solicitation number is 140P8426Q0068, issued on August 15, 2026, with an offer due date of August 28, 2026 at 12:00 PM Pacific Daylight Time. The requisition number is 004404765, and the contract is a Women-Owned Small Business (WOSB) set-aside, 100% for this acquisition.
The Government seeks to procure one Artec Micro II 3D Laser Scanner with Artec Studio 20 Lifetime software or an equal product in accordance with attached specifications. Item 00010 requires one desktop 3D scanner (1 EA), and Item 00020 requires the Artec Studio 20 Lifetime license. Expected delivery is within 30 days after receipt of order (ARO). The acquisition is unrestricted otherwise and classified under NAICS code 334519 (Other Measuring and Controlling Device Manufacturing) with a 600-employee small business size standard. The Government contemplates awarding a firm-fixed-price commercial item purchase order to the responsible quoter offering the lowest price for a technically acceptable product, evaluated on a Lowest Price Technically Acceptable (LPTA) basis. Quotations must be submitted electronically to Michael_abner@ios.doi.gov and must include the solicitation number, quoter contact information, SAM Unique Entity Identifier (UEI), completed Standard Form 1449 with pricing for each line item, and a technical description demonstrating compliance with solicitation requirements. All payment requests must be submitted electronically through the U.S. Department of the Treasury's Invoice Processing Platform (IPP) system, with vendor business invoices on letterhead attached as required documentation. The Contracting Officer is Michael Abner (Michael_abner@ios.doi.gov), the Contract Specialist is Michael Abner, and the Contracting Officer's Representative is Nick Famoso, Museum Curator (nicholas_famoso@nps.gov).
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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
140P8326Q0068
See Schedule See Schedule
NPS, PWR - OLYM MABO
600 E. Park Avenue Port Angeles WA 98362-6757
08/28/2026 1200 PD
0044047653
Michael Abner 0000000000
PPY 100.00
PPY
Michael Abner
334519
08/15/2026
0011285193
ADMINISTERED BY:
NPS, PWR - OLYM MABO
600 E. Park Avenue
Port Angeles WA 98362-6757 US
DELIVER TO:
NPS, John Day Fossil Beds NM
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,
32651 Highway 19
Kimberly OR 97848 US
Supply and deliver Artec Micro II 3D Laser
Scanner with Artec Studio 20 Lifetime software or equal in accordance with the attached specifications to John Day Fossil Beds National
Monument.
Expected delivery is within 30 days after receipt of order (ARO).
Delivery: 30 Days After Receipt Of Order
00010 1 EA"Micro II" Desktop 3D scanner
00020 Artec Studio 20, Lifetime license
Request for Quotation
Document No.
140P8426Q0068
Document Title 3D Laser Scanner, John Day Fossil Beds National Monument
Table of Contents
I. CONTRACT CLAUSES
A. Type of Contract
B. 52.212-4, Contract Terms and Conditions— Commercial Products and Commercial Services (Nov 2023) (DEVIATION Mar 2026)
C
D
E
F
G
H
I
J
K. Electronic Invoicing and Payment Requirements – Invoice Processing Platform (IPP) (Feb 2021)
L
M. 52.252-2, Clauses Incorporated by Reference (Feb 1998)
N. 52.252-6, Authorized Deviations in Clauses (Nov 2020)
O. Contract Administration
II. CONTRACT DOCUMENTS, EXHIBITS OR ATTACHMENTS
A. List of Attachments
III. SOLICITATION PROVISIONS
A. Acquisition 360: Voluntary Survey
B. Compliance with Executive Orders 14173/14168
C. Compliance with Executive Orders 14148/14208
Document No.
140P8426Q0068
Document Title 3D Laser Scanner, John Day Fossil Beds National Monument
D. 52.212-1, Instructions to Offerors—Commercial Products and Commercial Services (Sep 2023) (DEVIATION Mar 2026)
E. 52.212-2, Evaluation—Commercial Products and Commercial Services (Nov 2021) (DEVIATION Mar 2026)
F. 52.252-1, Solicitation Provisions Incorporated by Reference (Feb 1998)
G. 52.252-5 Authorized Deviations in Provisions (Nov 2020)
Document No.
140P8426Q0068
Document Title 3D Laser Scanner, John Day Fossil Beds National Monument
I. CONTRACT CLAUSES
A. Type of Contract
The Government contemplates award of a firm-fixed-price commercial item purchase order resulting from this solicitation.
B. 52.212-4, Contract Terms and Conditions— Commercial Products and Commercial Services (Nov 2023) (DEVIATION Mar 2026)
C. BLANK
D. BLANK
E. BLANK
F. BLANK
G. BLANK
H. BLANK
I. BLANK
J. BLANK
K. Electronic Invoicing and Payment Requirements – Invoice Processing Platform (IPP) (Feb 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: Vendor’s business invoice on business letterhead (upload your business invoice as an attachment to the IPP invoice before you click “submit” in IPP).
VENDOR’S FAILURE TO ATTACH THE REQUIRED DOCUMENTATION AS SPECIFIED ABOVE WILL RESULT
IN THE IPP INVOICE BEING REJECTED.
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 at 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.
https://www.ipp.gov/
Document No.
140P8426Q0068
Document Title 3D Laser Scanner, John Day Fossil Beds National Monument
L. BLANK
M. 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 addresses:
http://www.acquisition.gov/far/ https://www.acquisition.gov/diar https://www.acquisition.gov/caac-letters https://www.acquisition.gov/far-overhaul
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 (Oct 2018) (DEVIATION Mar 2026)
52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015) (DEVIATION May 2026)
52.219-6, Notice of Total Small Business Set-Aside (Mar 2020) (DEVIATION Jan 2026)
52.222-19, Child Labor—Cooperation with Authorities and Remedies (Mar 2026)
52.222-36, Equal Opportunity for Workers with Disabilities (Jun 2020) (DEVIATION May 2026)
52.222-50, Combating Trafficking in Persons (Oct 2025)
52.222-90, Addressing DEI Discrimination by Federal Contractors (Mar 2026) (DEVIATION May 2026)
52.223-23, Sustainable Products and Services (May 2024) (DEVIATION May 2026)
52.225-1, Buy American-Supplies (Oct 2022)
52.226-8, Encouraging Contractor Policies to Ban Text Messaging While Driving (May 2024)
52.232-33, Payment by Electronic Funds Transfer—System for Award Management (Oct 2018)
52.232-40, Providing Accelerated Payments to Small Business Subcontractors (Mar 2023)
52.233-3, Protest After Award (Aug 1996)
52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004)
52.240-91, Security Prohibitions and Exclusions (Dec 2025) (DEVIATION Mar 2026) http://www.acquisition.gov/far/ https://www.acquisition.gov/diar https://www.acquisition.gov/caac-letters https://www.acquisition.gov/far-overhaul
Document No.
140P8426Q0068
Document Title 3D Laser Scanner, John Day Fossil Beds National Monument
N. 52.252-6, Authorized Deviations in Clauses (Nov 2020)
(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.
(b) The use in this solicitation or contract of any Department of Interior Acquisition Regulation (48 CFR Chapter 14) clause with an authorized deviation is indicated by the addition of “(DEVIATION)” after the name of the regulation.
O. Contract Administration
The Contracting Officer’s Representative (COR) for this order will be:
Nick Famoso Museum Curator John Day Fossil Beds National Monument nicholas_famoso@nps.gov
The Contract Specialist (CS) responsible for administering this order will be:
Michael Abner Contract Specialist Michael_abner@ios.doi.gov
The Contracting Officer (CO) with overall responsibility for this order will be:
Michael Abner Contracting Officer Michael_abner@ios.doi.gov
Document No.
140P8426Q0068
Document Title 3D Laser Scanner, John Day Fossil Beds National Monument
II. CONTRACT DOCUMENTS, EXHIBITS OR ATTACHMENTS
A. List of Attachments
Attachment Number
Attachment Title Date Number of Pages
1 Specifications 08/15/2026 2
Document No.
140P8426Q0068
Document Title 3D Laser Scanner, John Day Fossil Beds National Monument
III. SOLICITATION PROVISIONS
A. Acquisition 360: Voluntary Survey
(a) All actual and potential offerors are encouraged to provide feedback on the preaward and debriefing processes, as applicable. Feedback may be provided to agencies up to 45 days after award. The feedback is anonymous, unless the participant self-identifies in the survey. Actual and potential offerors can participate in the survey by selecting the following link: https://www.acquisition.gov/360.
(b) The Contracting Officer will not review the information provided until after contract award and will not consider it in the award decision. The survey is voluntary and does not convey any protections, rights, or grounds for protest. It creates a way for actual and potential offerors to provide the Government constructive feedback about the preaward and debriefing processes, as applicable, used for a specific acquisition.
B. Compliance with Executive Orders 14173/14168
NOTICE: 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 agency solicitations. Examples include 52.222-25, Affirmative Action Compliance, and paragraph (d) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services. Contracting officers will not consider these representations when making award decisions or enforce requirements.
Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.
C. Compliance with Executive Orders 14148/14208
NOTICE: 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 agency solicitations, including 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals— Representation, and paragraph (t) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services. Agencies will not consider or use these representations. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.
D. 52.212-1, Instructions to Offerors—Commercial Products and Commercial Services (Sep 2023) (DEVIATION Mar 2026)
Addendum to the clause 52.212-1 (FAR 52.212-1 is replaced in its entirety by this addendum):
FAR 52.212-1, Instructions to Quoters—Commercial Products and Commercial Services
(a) Submitting your quote. Submit your company’s quote through electronic mail addressed to:
https://www.acquisition.gov/360
Document No.
140P8426Q0068
Document Title 3D Laser Scanner, John Day Fossil Beds National Monument
Michael_abner@ios.doi.gov
Quoters are urged to title all electronic quote documents using short, clear, and consistent naming conventions and use Adobe PDF as the preferred file format.
(b) As a minimum, quotations shall include—
(1) The solicitation number;
(2) The name, address, telephone number of the quoter;
(3) The quoters’ SAM Unique Entity Identifier (UEI) - clearly identify your company’s UEI in block 17 of the SF 1449 form;
(4) Information necessary to evaluate the factors contained in the provision at 52.212-2 or as described in the solicitation, including:
• Standard Form 1449 (quoter to fill blocks 12, 17, 23, 24, 30a, b & c – this includes your pricing for each line item and your total price).
• Technical Acceptability: A technical description of the product or service being quoted in sufficient detail to evaluate compliance with the requirements in the solicitation, to be evaluated as described in the Evaluation section at the end of this document. This may include any product or service literature that you wish to give us, such as the terms of any express warranty, or other documents, if necessary.
(5) Responses to provisions that require quoter completion of information, representations, and certifications (other than those collected via the System for Award Management (SAM))
(b) System for Award Management (SAM). Quoters are required to have an active Federal Government contracts registration in the System for Award Management (SAM) when submitting a quotation in response to this solicitation and at the time of award. Registration in SAM is 100% free. See FAR 52.204-7, System for Award Management—Registration (Nov 2024) (DEVIATION Mar 2026) for complete details. To register in SAM, go to https://www.sam.gov. Allow for processing time when registering in SAM. If the quoter is not registered in SAM, it should register immediately after receiving this solicitation.
(c) Small Business Status. To be eligible for award as a small business concern, the quoter is required to represent in good faith that it meets the small business size standard corresponding to the North American Industry Classification System (NAICS) code identified in the solicitation. The small business size standard that applies to this purchase is stated in Block 10 of the cover sheet of this RFQ, along with the North American Industry Classification System (NAICS) code on which it is based.
Regardless of the information in Block 10, the small business size standard is 600 employees under NAICS code 334519 - Other Measuring and Controlling Device Manufacturing, if you are submitting your quotation in your own name but intend to provide a product that you did not manufacture yourself.
(d) Submission deadline. We must receive your quote by the deadline specified in Block 8 of the SF 1449.
We will not consider any quote that we receive after the deadline.
(e) Purchase Order award. Your quotation should contain your best terms. The Contracting Officer may reject any or all quotations.
https://www.sam.gov/
Document No.
140P8426Q0068
Document Title 3D Laser Scanner, John Day Fossil Beds National Monument
(f) Requests for information. The Contracting Officer is not required to notify unsuccessful quoters;
however, the Contracting Officer may provide such notice at their discretion. Quoters may find information on purchase order(s) resulting from this solicitation from searching the solicitation number in sam.gov.
E. 52.212-2, Evaluation—Commercial Products and Commercial Services (Nov 2021) (DEVIATION Mar 2026)
Addenda to the clause 52.212-2, Evaluation— Commercial Products and Commercial Services:
52.212-2, Evaluation— Commercial Products and Commercial Services
(a) Evaluation will be made in accordance with the simplified procedures outlined in FAR Part 12.203.
(b) The Government intends to issue a purchase order resulting from this request for quotation to the responsible quoter whose quotation conforming to the solicitation will be most advantageous to the Government. Evaluations will be made on a Lowest Price Technically Acceptable (LPTA) basis. The following factors shall be used to evaluate quotations:
(i) Price.
(ii) Technical Acceptability: Using the technical description of the product being quoted, the Government will evaluate the technical acceptability of the product.
F. 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 quoter is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation. In lieu of submitting the full text of those provisions, the quoter may identify the provision by paragraph identifier and provide the appropriate information with its quotation. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):
http://www.acquisition.gov/far/ https://www.acquisition.gov/diar https://www.acquisition.gov/caac-letters https://www.acquisition.gov/far-overhaul
The following provisions are incorporated by reference:
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—Registration (Nov 2024) (DEVIATION Mar 2026)
52.225-2, Buy American Certificate (Oct 2022) http://www.acquisition.gov/far/ https://www.acquisition.gov/diar https://www.acquisition.gov/caac-letters https://www.acquisition.gov/far-overhaul
Document No.
140P8426Q0068
Document Title 3D Laser Scanner, John Day Fossil Beds National Monument
52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran-Representation and Certifications (Jun 2020)
52.240-90, Security Prohibitions and Exclusions Representations and Certifications (DEVIATION Mar 2026)
G. 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 Interior Acquisition Regulation (48 CFR Chapter 14) 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 |
File details come from the government source that posted it. Updated .