Free VA Form SF26 - Award/Contract - Federal



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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

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)

File Size: 527.4 kB
Pages: 1
Date: February 26, 2007
File Format: PDF
State: Federal
Category: Veterans Forms
Word Count: 480 Words, 3,235 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.va.gov/vaforms/va/pdf/SF26.pdf