Attachment_5_-_DD_Form_1155_(Example).pdf

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Attached to
Hazardous Waste Removal and Disposal for Spain
Solicitation number
SP4500-20-R-0002
Issued by

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This document contains a federal contract opportunity solicitation for hazardous waste removal and disposal services in Spain. The Defense Logistics Agency will post a solicitation within the next two weeks seeking a contractor to provide waste stream management services, including pick up from points in and around Rota and Moron. The base contract term will be 30 months with an option to extend an additional 30 months, for a potential total performance period of January 2020 through December 2024.

From the source

Attachment 5 DD form 1155

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Other files

File Type Posted
2. SPAIN - PWS HW 20191121.docx DOCX document
SF30_SP450020R00020001 Amend 01_Spain.pdf PDF
Attachment 1_Bid Schedule HW Service_Spain 20191121.xlsx XLSX spreadsheet
Attachment 4 -Pickup points 20191121.pdf PDF
Questions, Answers, Amendment 1 updates.docx DOCX document
Attachment_9_DLA_FORM_2507-2_Qualified_Facility_Update.pdf PDF
Attachment_10_DLA_FORM_2503_Transporter_Qualification_Ap.pdf PDF
Attachment_8_DLA_FORM_2507-1_Qualified_Facility_Profile.pdf PDF
Attachment_4_-Location_and_Pickup_points.pdf PDF
Attachment_2_-_APL_Document.pdf PDF
Attachment_3_-_Past_Performance_Information_(PPI)_Questionnaire.pdf PDF
Attachment_15_-_Final_Governing_Standards_Spain.pdf PDF
Attachment_14_-_Example_Monthly_HW_Report_Form.xlsx XLSX spreadsheet
Attachment_11_-_DLA_FORM_2511_HW_Profile_Sheet.pdf PDF
Attachment_7-_DLA_Form_2505_Manifest_Tracking_Log.pdf PDF
Attachment_1_Bid_Schedule_HW_Service_Spain_20190918.xlsx XLSX spreadsheet
Attachment_12_-Certificate_of_Destruction_Sample.pdf PDF
Attachment_6_-_DD_Form_1348-1A_(Example).pdf PDF
Attachment_13_-_Env_Management_System_I_6050.2.pdf PDF
10._SP450020R0002_Solicitation_SPAIN.pdf PDF
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ORDER FOR SUPPLIES OR SERVICES

1. CONTRACT/PURCH ORDER/AGREEMENT NO. 2. DELIVERY ORDER/CALL NO. 4. REQUISITION/PURCH REQUEST NO.3. DATE OF ORDER/CALL

(YYYYMMMDD)

5. PRIORITY

6. ISSUED BY 7. ADMINISTERED BY If other than 6 8. DELIVERY FOB

9. CONTRACTOR

NAME

AND

ADDRESS

10. DELIVER TO FOB POINT BY (Date)

(YYYYMMMDD)

12. DISCOUNT TERMS

13. MAIL INVOICES TO THE ADDRESS IN BLOCK

(See Schedule if other)

11. X IF BUSINESS IS

14. SHIP TO 15. PAYMENT WILL BE MADE BY MARK ALL

PACKAGES AND

PAPERS WITH

IDENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2.

16.

TYPE

OF

ORDER ACCEPTANCE.

(YYYYMMMDD)

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

18. ITEM NO. 19. SCHEDULE OF SUPPLIES/SERVICES

20. QUANTITY

ORDERED/

ACCEPTED*

21.

UNIT

22. UNIT PRICE 23. AMOUNT

* If quantity accepted by the Government is same as quantity ordered, indicate by X.

If different, enter actual quantity accepted below quantity ordered and encircle.

24. UNITED STATES OF AMERICA 25. TOTAL

26.

DIFFERENCES

27a. QUANTITY IN COLUMN 20 HAS BEEN

INSPECTED RECEIVED

ACCEPTED, AND CONFORMS TO

THE CONTRACT EXCEPT AS NOTED:

YYYYMMMDD

28. SHIP. NO. 29. D.O. VOUCHER NO. 30. INITIALS

32. PAID BY 33. AMOUNT VERIFIED CORRECT FOR

36. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT.

YYYYMMMDD

DD FORM 1155, DEC 2001

37. RECEIVED

AT

38. RECEIVED BY Print 39. DATE RECEIVED

YYYYMMMDD

31. PAYMENT

40. TOTAL CON-

TAINERS

41. S/R ACCOUNT NUMBER 42. S/R VOUCHER NO.

34. CHECK NUMBER

35. BILL OF LADING NO.

X

XYZ Company

X

XXXXXXXXXXXXXXX

ATTACHMENT 5

SECTION B

12 XX

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