HUBZONE SB. UNDER DPAS (15 CFR 700) 13b. RATING SVC-DISABLED VET-OWNED SB TEL: 8(A) EMERGING SB. 18a. PAYMENT WILL BE MADE BY

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1 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER 03-Feb REQUISITION NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE HDEC04-13-R-0024 PAGE 1 OF Oct FOR SOLICITATION a. NAME b. TELEPHONE NUMBER (No Collect Calls) 8. OFFER DUE DATE/LOCAL TIME INFORMATION CALL: TRINA L. BARNES (804) EXT :00 PM 18 Nov ISSUED BY HDEC THIS ACQUISITION IS 11. DELIVERY FOR FOB 12. DISCOUNT TERMS UNRESTRICTED DESTINATION UNLESS DEFENSE COMMISSARY AGENCY BLOCK IS MARKED SUPPLY & EQUIPMENT DIVISION X SET ASIDE: 100 % FOR BUILDING P E AVENUE X SB FORT LEE VA HUBZONE SB 13a. THIS CONTRACT IS A RATED ORDER 8(A) UNDER DPAS (15 CFR 700) 13b. RATING SVC-DISABLED VET-OWNED SB TEL: EMERGING SB 14. METHOD OF SOLICITATION FAX: (804) /8886 SIZE STD: 750 NAICS: RFQ IFB X RFP 15. DELIVER TO 16. ADMINISTERED BY SEE ITEM 9 17a.CONTRACTOR/ OFFEROR 3V773 18a. PAYMENT WILL BE MADE BY HQ0131 WEST COAST BUSINESS PRODUCTS, INC. JEFF KRAEMER 9749 INDEPENDENCE AVE CHATSWORTH CA DFAS-WIDE AREA WORK FLOW DFAS - CVDAAA/CO P.O. BOX COLUMBUS OH TEL. (800) (818) FACILITY 17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK BELOW IS CHECKED SEE ADDENDUM UNIT 23. UNIT PRICE 24. AMOUNT 25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Gov t. Use Only ) $8, EST 27a. SOLICITATION INCORPORATES BY REFERENCE FAR FAR ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR FAR IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES 29. AWARD OF CONTRACT: REFERENCE 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 SPECIFIED HEREIN. OFFER DATED. 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/CONTRACTOR 31a.UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 31c. DATE SIGNED 03-Feb b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) (TYPE OR PRINT) DESSIE MILLS / CONTRACTING OFFICER TEL: (804) EXT dessie.mills@deca.mil AUTHORIZED FOR LOCAL REPRODUCTION PREVIOUS EDITION IS NOT USABLE STANDARD FORM 1449 (REV 3/2005) Prescribed by GSA FAR (48 CFR)

2 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS (CONTINUED) PAGE 2 OF ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES UNIT 23. UNIT PRICE 24. AMOUNT 32a. IN COLUMN 21 HAS BEEN RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32g. OF AUTHORIZED GOVERNMENT REPRESENTATIVE 33. SHIP NUMBER PARTIAL FINAL 34. VOUCHER NUMBER 35. AMOUNT VERIFIED CORRECT FOR 36. PAYMENT COMPLETE PARTIAL FINAL 37. CHECK NUMBER 38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE 42a. RECEIVED BY (Print) 42b. RECEIVED AT (Location) 42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS AUTHORIZED FOR LOCAL REPRODUCTION PREVIOUS EDITION IS NOT USABLE STANDARD FORM 1449 (REV 3/2005) BACK Prescribed by GSA FAR (48 CFR)

3 Page 3 of 6 Section SF CONTINUATION SHEET 0001 $0.00 CED 1D05 - Sandwich Preparation Tables $0.00

4 Page 4 of AA 1 Each $1, $1, CED 1D Sandwich Preparation Tables Four Feet Long Manufacturer: Everest Refrigeration Model: EPR2 Warranty Period: 2 yrs Parts & Labor / 5 yrs Compressor Warranty POC: Zigi Scharein, (800) ext. 301, ZigiS@wcbp.net $1,952.49

5 Page 5 of AB 1 Each $2, $2, CED 1D Sandwich Preparation Tables Six Feet Long Manufacturer: Everest Refrigeration Model: EPR3 Warranty Period: 2 yrs Parts & Labor / 5 yrs Compressor Warranty POC: Zigi Scharein, (800) ext. 301, ZigiS@wcbp.net $2,272.17

6 Page 6 of Each $2, $4, EST Shipping Charges The vendor will be paid for actual shipping charges supported by a copy of the prepaid freight/shipping bill. Note: Contractors will be responsible for all shipping arrangements associated with direct delivery to Alaska and Hawaii commissaries identified in the delivery orders. $4, (EST.) $1,952.49

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