TE H - DD FORM 1844 List Property and Claims Analysis Chart.pdf

DoD Form PDF 523 KB Posted Feb 17, 2021

Attached to: Pack and Crate Transportation Services
Solicitation number: W9115121Q0011
Issued by: Defense Logistics Agency Land and Maritime

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Other versions and copies of DD Form 1844

2 government files on GovTribe name DD Form 1844. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File	Revision	Posted	Attached to
B01 Exhibit 1-DD Form 1844.pdf Same revision and size as this file	Revision not stated	Sep 16, 2020	Direct Procurement Method (DPM)

Who attaches DD Form 1844

Agency	Files
Department of the Army Materiel Command Army Contracting Command Aberdeen Proving Ground	1
Defense Logistics Agency Land and Maritime	1

Other files

File	Type	Posted
Re-post Amendment 02.pdf	PDF	Apr 16, 2021
Amendment-01.pdf	PDF	Mar 4, 2021
TE C - DD FORM 1812 Warehouse Inspection Report.pdf	PDF	Feb 17, 2021
TE I - DD Form 1840 Joint Statement of Loss and Damage at Delivery.pdf	PDF	Feb 17, 2021
ATT 3 - Wage Determination 2015-5237 Rev 14.pdf	PDF	Feb 17, 2021
TE F - A - Sample of GOC Report.xlsx	XLSX spreadsheet	Feb 17, 2021
Solicitation - W9115121Q0011 - Pack and Crate 17 FEB 21.pdf	PDF	Feb 17, 2021
TE G - B - Sample of GOC Report.docx	DOCX document	Feb 17, 2021
ATT 2 - Past Performance Questionaire.pdf	PDF	Feb 17, 2021
TE B - Contract Data Requirement List.docx	DOCX document	Feb 17, 2021
TE E - DD FORM 1780 Shipment Evaluation and Inspection Record.pdf	PDF	Feb 17, 2021
ATT 4 - Wage Determination 1994-0761 Rev 49.pdf	PDF	Feb 17, 2021
TE D - TSP DP3 Certification of Health Protection Protocols.pdf	PDF	Feb 17, 2021
ATT 1 - Performance Work Statement.pdf	PDF	Feb 17, 2021
ATT 6 - DD Form 1299 Application for Shipment and Storage of Personal Property.pdf	PDF	Feb 17, 2021
ATT 7 - DPM Contract Work Load.pptx	PPTX presentation	Feb 17, 2021
ATT 8 - DPM Contract Site visit Orientation.pptx	PPTX presentation	Feb 17, 2021
TE A - DD FORM 1811 Pre-Award Survey Contractors Carriers Facilities and Equipment.pdf	PDF	Feb 17, 2021
ATT 5 - Customer Complaint Form.docx	DOCX document	Feb 17, 2021

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AMOUNT

ALLOWED

1. NAME OF CLAIMANT (Last, First, Middle Initial) 3. PICK-UP DATE

(YYYYMMDD) LIST OF PROPERTY AND CLAIMS ANALYSIS CHART

(Items 14 through 31 to be filled out by Claims Office)

2. CLAIMANT'S INSURANCE COMPANY (If applicable)

a. NAME b. POLICY NO.

4. DELIVERY DATE

(YYYYMMDD)

14. ORIGIN CONTRACTOR 17. 2ND CONTRACTOR 21. CLAIM NUMBER 22. NET WT/MAX CAR

15. INVENTORY DATE

(YYYYMMDD)

18. EXCEPTION SHEET

DATE (YYYYMMDD)

23. GBL NUMBER 24. LOT NUMBER5.

LINE

NO.

QTY

7. LOST OR DAMAGED ITEMS

(Describe the item fully, including brand name, model and size. List the nature and extent of damage. If missing, state "MISSING.")

INV

NO.

9. ORIGINAL

COST

11. AMOUNT

CLAIMED

a. Repair Cost

10.

MM/YYYY

PURCHASED

(or) b.

Replace-ment Cost

16.

EXCEPTIONS

19.

INV

NO.

20.

EXCEPTIONS

25.

ADJUDICATOR'S

REMARKS

26.

ITEM

27.

HOUSE

LIABILITY

28.

CARRIER

LIABILITY

29.

12. REMARKS 13. TOTAL

$ 30. TOTAL

AMOUNT

ALLOWED

$ 31. THIRD

PARTY

LIABILITY

DD FORM 1844, MAY 2000 PREVIOUS EDITION IS OBSOLETE. Page of Pages

claim_name:

pickup:

ins_name:

pol_no:

deliv:

line_1:

qty1:

lost1:

inv_1:

orig_cost1:

purch1:

rep_cost1:

repl_cost1:

line_2:

qty2:

lost2:

inv_2:

orig_cost2:

purch2:

rep_cost2:

repl_cost2:

line_3:

qty3:

lost3:

inv_3:

orig_cost3:

purch3:

rep_cost3:

repl_cost3:

line_4:

qty4:

lost4:

inv_4:

orig_cost4:

purch4:

rep_cost4:

repl_cost4:

line_5:

qty5:

lost5:

inv_5:

orig_cost5:

purch5:

rep_cost5:

repl_cost5:

line_6:

qty6:

lost6:

inv_6:

orig_cost6:

purch6:

rep_cost6:

repl_cost6:

line_7:

qty7:

lost7:

inv_7:

orig_cost7:

purch7:

rep_cost7:

repl_cost7:

line_8:

qty8:

lost8:

inv_8:

orig_cost8:

purch8:

rep_cost8:

remarks:

repl_cost8:

total_cost: 0

orig_ctr:

inv_date:

ctr2:

exc_sheet:

claim_no:

netwt:

gbl_no:

lot_no:

exc1_1:

invno_1:

exc2_1:

amt_all1:

adj_rmks1:

item_wt1:

house1:

carr1:

exc1_2:

invno_2:

exc2_2:

amt_all2:

adj_rmks2:

item_wt2:

house2:

carr2:

exc1_3:

invno_3:

exc2_3:

amt_all3:

adj_rmks3:

item_wt3:

house3:

carr3:

exc1_4:

invno_4:

exc2_4:

amt_all4:

adj_rmks4:

item_wt4:

house4:

carr4:

exc1_5:

invno_5:

exc2_5:

amt_all5:

adj_rmks5:

item_wt5:

house5:

carr5:

exc1_6:

invno_6:

exc2_6:

amt_all6:

adj_rmks6:

item_wt6:

house6:

carr6:

exc1_7:

invno_7:

exc2_7:

amt_all7:

adj_rmks7:

item_wt7:

house7:

carr7:

exc1_8:

invno_8:

exc2_8:

amt_all8:

adj_rmks8:

item_wt8:

house8:

carr8:

total_all: 0

total_house: 0

total_carr: 0

page:

pages:

appl: Adobe Professional 7.0

Reset:

File details come from the government source that posted it. Updated Feb 18, 2021.