Attachment_0004_Sample_for_CDRLA009_(IICS).docx

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Attached to
Nonstandard Weapons, Parts, and Accessories
Solicitation number
W15QKN-19-R-0049
Issued by

About this file

This document contains an Item Information and Certification Statement template and details of a federal contract opportunity for nonstandard weapons, parts, and accessories.

The Item Information and Certification Statement template requires contractors to certify that all products submitted to the government conform to contract requirements and are received in good visual condition. Contractors and government receiving officials must provide printed names, titles, signatures and dates to acknowledge shipment details including transportation control numbers, item descriptions, quantities, manufacturer information, and final destination.

The federal contract opportunity is a pre-solicitation notice for a forthcoming request for proposal seeking to award multiple fixed-price indefinite delivery/indefinite quantity contracts for a five-year period to procure nonstandard weapons and related accessories for the Department of the Army, Foreign Military Sales, and other government agencies. Vendors must demonstrate the capability to procure, fabricate, locate or otherwise provide these commercial, foreign, and obsolete weapon system items for delivery domestically and internationally. The Defense Priorities and Allocations System rating is DOA5. The Army Contracting Command - New Jersey intends to award on a best value tradeoff basis. The point of contact is provided for questions to be submitted by email only regarding this notice by the forthcoming response date.

Attachment 0004 for RFP

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Text version

IICS Control No: __________________ Item Information and Certification Statement (IICS)

Date of Execution

Prime Contractor Name, Address, Phone number

Prime Contract Number

Contract Line Item Number (CLIN)/ Subcontract Line item Number (SLIN)

Transportation Control Number (TCN)

Item Description

Shipment Quantity

Total Number of Pallets

Year of Manufacture

Serial Numbers

Airport/Point of Embarkation

Supplier Name, City, Country

Final Destination

Airway Bill Number

Shipment Number

FMS Case Identifier

1) Acknowledgement on behalf of the Prime Contractor that all products or supplies submitted to the Government for acceptance conform to all requirements of the contract.

Contractor Representative

Title and Contact Information

Signature of Contractor Representative

Date

2) Acknowledgement of receipt of the items and of visual inspection, which includes kind, count, and condition of the items on behalf of the U.S. Government and assumption of full responsibility for movement from this point forward:

U.S. Government Receiving Official

Title and Contact Information

Signature of U.S. Government Receiving Official

Date

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