SOW Attachment 10 Contractor Shipping and Receiving Report.pdf
PDF 649 KB Posted
- Attached to
- Next Generation Credential Authentication Technology (CAT2) Federal contract opportunity
- Solicitation number
- 70T04022R7672N007
About this file
This document contains a request for proposal for next generation credential authentication technology systems and services. The Transportation Security Administration seeks design, manufacturing, testing, maintenance, installation, program management, training, engineering support, delivery, and logistics services to support the CAT2 system. The solicitation number is 70T04022R7672N007 and is issued as an RFP. Interested offerors must submit requests for pre-award sensitive security information by September 1st, questions by September 9th, and Phase 1 proposals by September 30th. The associated NAICS code is 334511 with a small business size standard of 1,250 employees.
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Text version
TSA Form 251, (4/16) rev. [File: 200.3.2] Previous editions of this form are obsolete. Page of
DEPARTMENT OF HOMELAND SECURITY
Transportation Security Administration
VENDOR SHIPPING AND RECEIVING REPORT
Instructions: This form is to be used when a vendor ships sensitive and/or accountable property, including Transportation Security Equipment (TSE) to TSA. Fill out all applicable fields. If there are more than five (5) units being shipped, continue entries using TSA Form 251-1, Vendor Shipping and Receiving Report Extension and attach/include it with a completed TSA Form 251. If there are 50 units or more of non-TSE property in a shipment, the vendor shall affix a TSA Barcode to each unit and fill in the applicable TSA Barcode field. Contracting Officer's Representative (COR) must sign and date at bottom of form.
Section I. Program Office Information
Request Date: Prepared By: Phone Number:
Section II. Delivery Information
Contract:
Delivery/Task Order Number: Contractual Delivery Date:
Shipment: Full Partial Estimated Delivery Date:
Section III. Shipping Information Part A. Shipping From
Vendor:
Contact:
Phone Number:
Address:
Part B Shipping To
TSA Office:
Contact:
Phone Number:
Address:
Manufacturer:
CLIN # Item Description (Name, Make, Model) Price $ FAT Date
(TSE Only) SAT Date
(TSE Only) Serial Number TSA Barcode
Part C. Items Shipped (include the main unit and each individual component by Serial Number)
TSA 251-1 Attached?:
Yes No Total Units From Extension: Total Number of Units: Accepted to Date:
Balance Remaining: Shipping Crate Dimensions:
Notes:
Signature: Date:
Section VI. Contracting Officers Representative (COR)
Name:
https://ishare.tsa.dhs.gov/PoliciesAndForms/forms/Pages/TSAForms.aspx?FormFilter=0200%20Administrative%20Management https://ishare.tsa.dhs.gov/PoliciesAndForms/forms/Pages/TSAForms.aspx?FormFilter=0200%20Administrative%20Management https://ishare.tsa.dhs.gov/PoliciesAndForms/forms/Pages/TSAForms.aspx?FormFilter=0200%20Administrative%20Management
TSA Form 251, (4/16) rev. [File: 200.3.2] Previous editions of this form are obsolete.
Page of 11.0.1.20130826.2.901444.899636 571-227-5258
PMD
Vendor Shipping and Receiving Report Jacob Malone Vendor Shipping and Receiving Report (TSA Form 251)
DEPARTMENT OF HOMELAND SECURITY
Transportation Security Administration
VENDOR SHIPPING AND RECEIVING REPORT
Instructions: This form is to be used when a vendor ships sensitive and/or accountable property, including Transportation Security Equipment (TSE) to TSA. Fill out all applicable fields. If there are more than five (5) units being shipped, continue entries using TSA Form 251-1, Vendor Shipping and Receiving Report Extension and attach/include it with a completed TSA Form 251. If there are 50 units or more of non-TSE property in a shipment, the vendor shall affix a TSA Barcode to each unit and fill in the applicable TSA Barcode field. Contracting Officer's Representative (COR) must sign and date at bottom of form.
Section I. Program Office Information Section I. Program Office Information Section II. Delivery Information Section II. Delivery Information Shipment:
Shipment:
Section III. Shipping Information Section II. Delivery Information Part A. Shipping From Part A. Shipping From Part B Shipping To Part A. Shipping Fro:
CLIN #
CLIN #
Item Description (Name, Make, Model) Item Description (Name, Make, Model) Price $ Price $ FAT Date (TSE Only) FAT Date (TSE Only) SAT Date (TSE Only) SAT Date (TSE Only) Serial Number Serial Number TSA Barcode TSA Barcode Part C. Items Shipped (include the main unit and each individual component by Serial Number) Part A. Shipping Fro:
TSA 251-1 Attached?:
TSA 251-1 Attached?:
Section VI. Contracting Officers Representative (COR) Section VI. Contracting Officers Representative (COR)
| CurrentMasterPage: |
| MasterPageCount: |
| Request Date: |
| Prepared By: |
| Phone Number:: |
| Contract: |
| Delivery/Task Order Number:: |
| Contractual Delivery Date:: |
| Full Shipment: 0 |
| Partial Shipment: 0 |
| Estimated Delivery Date:: |
| Shipping From Vendor: |
| Shipping From Contact: |
| Shipping From Phone Number: |
| Shipping From Vendor Address: |
| Shipping To TSA Office: |
| Shipping To TSA Contact: |
| Shipping To TSA Phone Number: |
| Shipping To TSA Address: |
| Manufacturer: |
| CLIN number row 1: |
| Item Description |
(Name, Make, Model) Row 1:
| Price Row 1: |
| FAT Date |
(TSE Only) Row 1:
SAT Date (TSE Only) Row 1:
| Serial Number Row 1: |
| TSA Barcode Row 1: |
| CLIN number Row 2: |
| Item Description |
(Name, Make, Model) Row 2:
| Price Row 2: |
| FAT Date |
(TSE Only) Row 2:
SAT Date (TSE Only) Row 2:
| Serial Number Row 2: |
| TSA Barcode Row 2: |
| CLIN number Row 3: |
| Item Description |
(Name, Make, Model) Row 3:
| Price Row 3: |
| FAT Date |
(TSE Only) Row 3:
SAT Date (TSE Only) Row 3:
| Serial Number Row 3: |
| TSA Barcode Row 3: |
| CLIN number Row 4: |
| Item Description |
(Name, Make, Model) Row 4:
| Price Row 4: |
| FAT Date |
(TSE Only) Row 4:
SAT Date (TSE Only) Row 4:
| Serial Number Row 4: |
| TSA Barcode Row 4: |
| CLIN number Row 5: |
| Item Description |
(Name, Make, Model) Row 5:
| Price Row 5: |
| SAT Date |
(TSE Only) Row 5:
SAT Date (TSE Only) Row 5:
| Serial Number Row 5: |
| TSA Barcode Row 5: |
| TSA 251-1 is attached: 0 |
| TSA 251-1 is not attached: 0 |
| Total Units From Extension: |
| Total Number of Units: |
| Accepted to Date: |
| Balance Remaining: |
| Shipping Crate Dimensions: |
| notes: |
| Contacting Officers Representative Signature: |
| Contacting Officers Representative Date of Signature: |
| Contacting Officers Representative Name: |
File details come from the government source that posted it. Updated .