EXHIBIT 003 Acquisition Utilization form.pdf
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- Solicitation number
- W912EE22R0003
About this file
This document contains an acquisition utilization form and details of a related federal contract opportunity notice. The acquisition utilization form is a template to be filled out by a supplier to certify their intent to provide equipment for sale, lease, lease/purchase, rental, or as a subcontractor to an unnamed contractor. Serialized items and their condition quantities would be listed.
The federal contract opportunity is a solicitation notice from the U.S. Army Corps of Engineers Vicksburg District seeking inspection, operation, maintenance, repair, reconstruction, and rehabilitation services for four Mississippi lakes - Arkabutla Lake, Enid Lake, Grenada Lake, and Sardis Lake. A wide range of activities are included in the scope such as equipment maintenance and repairs, facility cleaning, waste disposal, visitor center operations, erosion control, buoy placement and maintenance, landscaping, and flood control structure maintenance. The government intends to award a single five-year cost-plus-fixed-fee contract with some firm-fixed-price line items under NAICS code 561210. The solicitation number is W912EE22R0003 and responses are due based on the attached solicitation details.
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Text version
EXHIBIT 009
OFFERER NAME: ___________________
PAGE ___ OF ____
ACQUISITION/UTILIZATION ARRANGEMENT
SUPPLIER NAME: __________________________________________________
SUPPLIER ADDRESS: ______________________________________________
(Give complete mailing address)
SUPPLIER TELEPHONE NUMBER: ______________________________________
This is to certify that I, as the above named supplier, intend to provide the following equipment to _______________________ subject to all conditions and terms
(Contractor Name) as set by me and agreed upon by the above named contractor. I will provide this equipment as a sale ______, lease _____, lease/purchase _____, and rental ______, Subcontractor ______ (check one).
ITEM DESCRIPTION
(List serialized items separately to include serial numbers) CONDITION
QUANTITY (New or Used)
SUPPLIER: __________________________________ DATE: ___________
(Signature)
File details come from the government source that posted it. Updated .