U.S. DOD Form dod-af-af-2640
NONAPPROPRIATED FUND CONTRACT/AWARD
1. CONTRACT NUMBER
4. ISSUED BY
PAGE
OF
2. PURCHASE REQUEST NUMBER
3. EFFECTIVE DATE
5. ADMINISTERED BY (If other than block 4)
6.
PAGES
DELIVERY
FOB DESTINATION
OTHER (See
7. CONTRACTOR NAME AND ADDRESS (Street, City,Country,State and Zip Code)
8.
Schedule)
DISCOUNT FOR
PROMPT PAYMENT
PERCENT
CALENDAR
DAYS
9, TELEPHONE NO.
10. SUBMIT INVOICES (Original and one copy unless otherwise specified) TO ADDRESS SHOWN IN BLOCK 12.
12. INVOICE TO:
11. SHIP TO (Mark for, if applicable)
13.
TABLE OF CONTENTS
(The following checked sections are contained in the contract)
(X)
SEC
A
B
C
D
E
F
PAGE
PART I THE SCHEDULE
(X)
Solicitation/contract form
Supplies or services and prices/costs
SEC
I
PART lII - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS
Description/specifications/work statement
Packaging and marking
J
G
H
Special contract requirements
ITEM NO.
List of attachments
PART IV - REPRESENTATIONS AND INSTRUCTIONS
Inspection and acceptance
Deliveries or performance
Contract administration data
PAGE
PART 11 CONTRACT CLAUSES
Contract clauses
K
Representations, certifications, and other statements of
offerors or quoters
L
Instructions, conditions, and notices to offerors or quoters
M
Evaluation factors for award
QUANTITY
SUPPLIES/SERVICES
UN IT
UNIT PRICE
TOTAL AMOUNT OF CONTRACT
AMOUNT
$
CONTRACTING OFFICER WILL COMPLETE BLOCK 14 OR 18 AS APPLICABLE
14.
CONTRACTOR'S NEGOTIATED AGREEMENT (Contractor is
18
AWARD (Contractor is not required to sign this document.)
copies to issuing office)
required to sign this document and return
Contractor agrees to furnish and deliver all items or perform all 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 docu­
meets: (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.)
Your 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 continuation sheets. This award consummates the contract
which consists of the following documents,: (a) the solicitation and your
offer, and (b) this award/contract. No further contractual document is
necessary.
15. SIGNATURE OF PERSON AUTHORIZED TO SIGN (Contractor)
19. SIGNATURE OF CONTRACTING OFFICER
16. TYPE OR PRINT NAME & TITLE OF SIGNER
20. TYPE OR PRINT NAME OF CONTRACTING OFFICER
17. DATE SIGNED
21. DATE SIGNED
APPROVAL
22.
manual approval of
If this contract exceeds
must be obtained prior to commencing any performance. Without such approval this contract will have neither force nor effect.
23. TYPE OR PRINT NAME AND TITLE OF APPROVING OFFICIAL
AF Form 2640. DEC 87
PREVIOUS EDITION IS OBSOLETE,
24. SIGNATURE OF APPROVING OFFICIAL
25. DATE SIGNED