AWARD/CONTRACT
2. CONTRACT (Proc. Inst. Ident.) NO. 5. ISSUED BY CODE
1. THIS CONTRACT IS A RATED ORDER UNDER DPAS (15 CFR 350)
3. EFFECTIVE DATE
RATING
PAGE
OF
PAGES
4. REQUISITION/PURCHASE REQUEST/PROJECT NO. 6. ADMINISTERED BY (If other than Item 5) CODE
7. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)
8. DELIVERY FOB ORIGIN OTHER (See below)
9. DISCOUNT FOR PROMPT PAYMENT
CODE 11. SHIP TO/MARK FOR
FACILITY CODE CODE
10. SUBMIT INVOICES (4 copies unless otherwise specified) TO THE ADDRESS SHOWN IN 12. PAYMENT WILL BE MADE BY
ITEM
CODE
13. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION: 10 U.S.C. 2304(c) ( ) 41 U.S.C. 253(c) ( )
14. ACCOUNTING AND APPROPRIATION DATA
15A. ITEM NO.
15B. SUPPLIES/SERVICES
15C. QUANTITY
15D. UNIT 15E. UNIT PRICE
15F. AMOUNT
15G. TOTAL AMOUNT OF CONTRACT 16. TABLE OF CONTENTS
(X) SEC. A B C D E F G H 17. DESCRIPTION PART I - THE SCHEDULE SOLICITATION/CONTRACT FORM SUPPLIES OR SERVICES AND PRICES/COSTS DESCRIPTION/SPECS./WORK STATEMENT PACKAGING AND MARKING INSPECTION AND ACCEPTANCE DELIVERIES OR PERFORMANCE CONTRACT ADMINISTRATION DATA SPECIAL CONTRACT REQUIREMENTS 18. K L M I J PAGE(S) (X) SEC. DESCRIPTION PART II - CONTRACT CLAUSES CONTRACT CLAUSES LIST OF ATTACHMENTS
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PAGE(S)
PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS PART IV - REPRESENTATIONS AND INSTRUCTIONS REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS OF OFFERORS INSTRS., CONDS., AND NOTICES TO OFFERORS EVALUATION FACTORS FOR AWARD
CONTRACTING OFFICER WILL COMPLETE ITEM 17 OR 18 AS APPLICABLE
CONTRACTOR'S NEGOTIATED AGREEMENT (Contractor is required to AWARD (Contractor is not required to sign this document.) Your
sign this document and return _______ copies to issuing office.) Contractor agrees to furnish and deliver all items or perform all the services set forth or otherwise identified above and on any continuation sheets for the consideration stated herein. The rights and obligations of the parties to this contract shall be subject to and governed by the following documents: (a) this award/contract, (b) the solicitation, if any, and (c) such provisions, representations, certifications, and specifications, as are attached or incorporated by reference herein. (Attachments are listed herein.)
19A. NAME AND TITLE OF SIGNER (Type or print) 19B. NAME OF CONTRACTOR 19C. DATE SIGNED
offer on Solicitation Number___________________________________________, including the additions or changes made by you which additions or changes are set forth in full above, is hereby accepted as to the items listed above and on any condition sheets. This award consummates the contract which consists of the following documents: (a) the Government's solicitation and your offer, and (b) this award/contract. No further contractual document is necessary.
20A. NAME OF CONTRACTING OFFICER 20B. UNITED STATES OF AMERICA 20C. DATE SIGNED
BY _______________________________________
(Signature of person authorized to sign) AUTHORIZED FOR LOCAL REPRODUCTION Previous edition is usable
BY _______________________________________
(Signature of Contracting Officer) STANDARD FORM 26 (REV. 12/2002) Prescribed by GSA - FAR (48 CFR) 53.214(a)