SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS …

1 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 301. REQUISITION NUMBERPAGE 1 OF2. CONTRACT AWARD/EFFECTIVE DATE 4. ORDER NUMBER5. SOLICITATION NUMBER6. SOLICITATION ISSUE DATE7. FOR SOLICITATION INFORMATION CALL:a. NAMEb. TELEPHONE NUMBER (No collect calls)8. OFFER DUE DATE/ LOCAL TIME9. ISSUED BY13b. RATING14. METHOD OF SOLICITATIONCODE15. DELIVER TO16. ADMINISTERED BYCODE18a. PAYMENT WILL BE MADE BYCODE17a. CONTRACTOR/ OFFERORCODEFACILITY CODECODETELEPHONE CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b.

2 SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKEDRFQIFBRFPSEE ADDENDUM19. ITEM SCHEDULE OF SUPPLIES/SERVICES21. QUANTITY22. UNIT23. UNIT PRICE24. AMOUNT(Use Reverse and/or Attach Additional Sheets as Necessary)25. ACCOUNTING AND APPROPRIATION DATA26. TOTAL AWARD AMOUNT (For Govt. Use Only)28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED29. AWARD OF CONTRACT: REF.

3 OFFERDATED .. YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS :30a. SIGNATURE OF OFFEROR/CONTRACTOR30b. NAME AND TITLE OF SIGNER (Type or print)30c. DATE SIGNED31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)31b. NAME OF CONTRACTING OFFICER (Type or print)31c. DATE SIGNEDAUTHORIZED FOR LOCAL REPRODUCTION PREVIOUS EDITION IS NOT USABLESTANDARD FORM 1449 (REV. 2/2012) Prescribed by GSA - FAR (48 CFR) THIS ACQUISITION ISUNRESTRICTED ORNAICS:SIZE STANDARD:13a.

4 THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 700)SET ASIDE:% FOR:11. DELIVERY FOR FOB DESTINA- TION UNLESS BLOCK IS MARKED SEE SCHEDULE12. DISCOUNT TERMSAREARE NOT ATTACHEDAREARE NOT ATTACHED27a. SOLICITATION INCORPORATES BY REFERENCE FAR , FAR AND ARE ATTACHED. ADDENDA 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR FAR IS ATTACHED. ADDENDA8 (A)EDWOSBWOMEN- owned small business (WOSB) ELIGIBLE UNDER THE women - owned small business PROGRAMSERVICE-DISABLED VETERAN- owned small BUSINESSHUBZONE small BUSINESSSMALL BUSINESSSTANDARD FORM 1449 (REV.)

5 2/2012) BACK19. ITEM SCHEDULE OF SUPPLIES/SERVICES21. QUANTITY22. UNIT23. UNIT PRICE24. AMOUNT32a. QUANTITY IN COLUMN 21 HAS BEENRECEIVEDINSPECTEDACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE32c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER41c. DATE42a. RECEIVED BY (Print)42b. RECEIVED AT (Location)42c. DATE REC'D (YY/MM/DD)42d. TOTAL CONTAINERS40. PAID BY32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE32f.

6 TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE33. SHIP NUMBER34. VOUCHER NUMBER35. AMOUNT VERIFIED CORRECT FOR PARTIALFINAL37. CHECK NUMBER38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER36. PAYMENTCOMPLETEPARTIALFINAL