7. REQUISITION NUMBER
PAGE 1 OF
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
2
Z-00193
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
5. SOLICITATION NUMBER
6. SOLICITATION ISSUE
2. CONTRACT NO.
3. AWARD/EFFECTIVE 14. ORDER NUMBER
DATE
DATE
30OCT2003
DABV01-03-Q-2113
b. TELEPHONE NUMBER (Na collect
8. OFFER DUE DATE/
a. NAME
calls)
7. FOR SOLICITATION
LOCAL TIME
Barbara Heald
INFORMATION CALL:
914-360-5599
13NOV2003 17:00
12. DISCOUNT TERMS
110. THIS ACQUISITON IS
111. DELIVERY FOR
9. ISSUED BY
CODE
FOB DESTINATION
UNLESS BLOCK IS
MARKED
UNTESTRICTED
ISET ASIDE:
% FOR
CPA-Contracting Activity
SMALL BUSINESS
• SEE SCHEDULE
Republican Presidential Compound
I HUBZONE SMALL
Baghdad, Irag
BUSINESS
130. ODER CODER FAS A5 0TE 200)
APO AE 09335
13b. RATING
NAICS:
14. METHOD OF SOLICITATION
SIZE STANDARD:
DIFB
[ RFP
IX/ RFO
16. ADMINISTERED BY
15. DELIVER TO
CODE
CODE
MOE Warehouse
Same as Block 9
Baghdad, Iraq
CODE
18a. PAYMENT WILL BE MADE BY
CODE
FACILITY
17a. COMEROCTORT
ODE
TELEPHONE NO.
186. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW
L7176. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN
OFFER
IS CHECKED SEE ADDENDUM
UNIT
AMOUNT
UNIT PRICE
QUANTITY
SCHEDULE OF SUPPLES/SERVICES
ITEM NO.
HIGH PRESSURE P.O. FEED PUMPS
High Pressure R.O. Feed Pumps - Goulds Pump Model
EA
7
0001
3335 HDB, horizontal, Capacity: 40M3/ Hr., Total Disch.
Head : 350 MWC, Material - Shaft: Monel, Impeller:
316SS, casing: 316SS, Coupling : Flexible, Motor:
75KW, 380vac, 50 Hz or equivalent
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
X ARE NOT ATTACHED
27a, SOLICITATION INCORPORATES BY REFERENCE FAR 2.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
_ARE
X ARE NOT ATTACHED
JARE
276. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 62.212-4. FAR 62.212-5 IS ATTACHED. ADDENDA
OFFER
J 29. AWARD OF CONTRACT: REF.
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
- . YOUR OFFER ON SOLICITATION
ELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON AN
DDITIONAL SHEETS SUBJECT ТО THE TERMS AND CONDITIONS SPECIFIED HEREIN
731a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
30a. SIGNATURE OF OFFEROR/CONTRACTOR
30c. DATE SIGNED
731C. DATE SIGNED
316. NAME OF CONTRACTING OFFICER (Type or print)
30b. NAME AND TITLE OF SIGNER (Type or print)
STANDARD FORM 1449 (REV. 4/200
AUTHORIZED FOR LOCAL REPRODUCTION
Prescribed by GSA - FAR (48 CFR) 53.21
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PREVIOUS EDITION IS NOT USABLE

QUANTITY
AMOUNT
UNIT
UNIT PRICE
SCHEDULE OF SUPPLIES/SERVICES
ITEM NO.
Delivery: CIF (Cost, Insurance, Freight) to Baghdad,
Iraq, via ground transportation
Instructions:
1. All shipments shall be marked 'Iraq Reconstruction
Program and "Shipment in Transit for Humanitarian
Purposes".
2. The contract number shall be clearly and visibly
printed on each package, bundle, pallet and container.
32a. QUANTITY IN COLUMN 21 HAS BEEN
LI ACCEPTED, AND CONFORMS O THE CONTRACT, EXCEPT AS NOTED:
• RECEIVED
• INSPECTED
732d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
732c. DATE
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE
324. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
134. VOUCHER NUMBER
33. SHIP NUMBER
737. CHECK NUMBER
35. AMOUNT VERIFIED
36. PAYMENT
CORRECT FOR
_FINAL
I COMPLETE [ PARTIAL
PARTIAL, JFINAL
38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER
40. PAID BY
742a. RECEIVED BY (Print)
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT
41b. SIGNATURE AND TITLE OF CERTIFVING OFFICER
41c. DATE
426. RECEIVED AT (Location)
42c. DATE REC'D (YY/MM/DD)
T42d. TOTAL CONTAINERS
STANDARD FORM 1449 (REV. 4/2002) BACK
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