Tech Exhibit 1 Order Form DPG 02Feb21.pdf

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Specialty Gas Follow on
Solicitation number
W911S6
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Attachment 1 Special I and Industrial Gas Pricing (1).xlsx XLSX spreadsheet
W911S621Q0006 Specialty Gas DPG 10Feb21.pdf PDF
Attachment 2 Blended Gases Pricing (1).xlsx XLSX spreadsheet
Attachment 3 Cylinder Rental Pricing (1).xlsx XLSX spreadsheet
Attachment 4 Dewar Rental Pricing (1).xlsx XLSX spreadsheet

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Text version

Technical Exhibit V: Contract Work Order Form

Contract Work Order #

Blend Delivery date

*Contractor’s delivery date

Number/Concentration Certificate

SO2 in N * Ammonia (NH3) in Nitrogen Chlorine CL2 in Nitrogen Carbon Monoxide (CO) in

Nitrogen

Cyanogen Chloride (CNCl2) in Nitrogen

Ethylene Dithiol (EDT-N) in nitrogen

Hydrogen Cyanide (HCN) in

Hydrogen Sulfide (H2S) in

Sulfur Dioxide (SO2) in

Delivery Comments

Approval:_________________________ Date:___________

• Example; Contractor will provide their guaranteed delivery date for each gas identified on the Task Order back to the COR within 5-working days of the transmittal. If the delivery date and contractor’ delivery date are the same for all gases specified; the COR will issue signed task order. If the delivery dates are different and outside the contract delivery range shown on Table 2 delivery response; the COR may delete these from the Task Order and approve. The contractor has the option to provide statements with respect to concentrations and product availability.

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