Tab 09 Att 4 F76 Traceability Sheet.pdf

PDF 89 KB Posted

Attached to
Western Pacific & Middle East Bulk Petroleum Program (WESTPAC) Federal contract opportunity
Solicitation number
SPE602-21-R-0706
Issued by
Defense Logistics Agency Energy

About this file

This document outlines a federal fuel supply contract opportunity and related traceability requirements. The Defense Logistics Agency Energy is soliciting offers to supply approximately 668 million gallons of Naval Distillate F76, 73 million gallons of JP5 aviation fuel, and 315 million gallons of JA1 aviation fuel with 128 million gallons requiring additives to locations in the Western Pacific and Middle East regions. Delivery will be via tanker, barge, tanker truck, railcar, and pipeline between January 1, 2022 and December 31, 2022 with a 30-day carryover period. Offerors must submit bids through the Offer Entry Tool by the anticipated solicitation posting date of April 27, 2021. Accompanying documentation is required to certify fuel traceability and composition as well as the synthetic components of any renewable fuels.

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Amendment 0002.pdf PDF
Amendment 0001.pdf PDF
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Tab 09 Att 1 Fill-Ins WORD VERSION.docx DOCX document
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Text version

DEFENSE LOGISTICS AGENCY ENERGY

8725 JOHN J. KINGMAN ROAD

FORT BELVOIR, VIRGINIA 22060-6222

DISTRIBUTION STATEMENT – A: APPROVED FOR PUBLIC RELEASE. DISTRIBUTION IS UNLIMITED

F-76 Traceability Signature Page

Contract or Solicitation Number:

CLIN:

Order Number:

Shipment Number:

Traceability OPTION selected per paragraph e.5 (circle or otherwise indicate which one of the three options is chosen):

OPTION 1 OPTION 2 OPTION 3

F-76 fuel supplied under the above contract, CLIN, order number and shipment number maintains traceability with respect the materials composition, additives and their concentration levels. This signed statement certifies that at no point have any unauthorized un- hydrotreated light cycle oils, other unauthorized materials, or additives been blended into the final product or any of its associated blend components per the most recent revision of MIL-DTL-16884 at date of contract award. All materials and additives are listed below. The percentage of each material as defined in sections 3.2, 3.2.2, and 3.2.3 (i.e. refined hydrocarbon distillate fuel, Fischer-Tropsch, Hydroprocessed Renewable Diesel, etc.) and the concentration level for each additive are also shown. For the purposes of the offeror submission this signed statement attests that no unapproved additives or materials will be added to batches or components of batches of F- 76 for delivery under government contracts.

Signature:

Printed Name:

Title:

Company Name:

Date:

Material Percent

Additive Concentration Responsible Party for Injection

DEFENSE LOGISTICS AGENCY ENERGY

8725 JOHN J. KINGMAN ROAD

FORT BELVOIR, VIRGINIA 22060-6222

DISTRIBUTION STATEMENT – A: APPROVED FOR PUBLIC RELEASE. DISTRIBUTION IS UNLIMITED

F-76 Synthetic Component Certification

Contract or Solicitation Number:

CLIN:

Order Number:

Shipment Number:

Synthetic paraffinic materials supplied as indicated with the above contract, CLIN, order number, and shipment number is derived from either Fischer-Tropsch (FT) or Hydroprocessed Renewable Diesel (HRD) methods. This signed statement certifies that since the last certificate of analysis (COA), including table A-II or B-II results of MIL-DTL-16884P, Appendix A or B, no changes, including feedstock material, production location, or production processes have been made. In addition, no turnaround events have been executed on any units utilized to produce the synthetic paraffinic materials since the last COA, including table A-II or B-II, properties were tested. Please supply the date of the most recent COA and an identifying number for that report in the space provided below.

DATE OF COA: _

LAB REPORT ID NUMBER

Signature:

Printed Name:

Title:

Company Name:

Date:

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