(See next page) [AFARS Revision #001, dated Nov 29, 2001] [AFARS Revision #21, dated May 22, 2007]
CONGRESSIONAL NOTIFICATION
(IAW DFARS 205.303 and AFARS 5105.303)
SUBMIT TO: ENTERPSE SYSTEMS DIRECTORATE (Provisional) -SAAL-PX
E-MAIL: [email protected]; OR FAX # (703) 681-9304 OR DSN 761-9304
SAAL-PX POC (703) 681-9782, OR 9783
SERIAL No:
(For DA use only)
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CONTRACT NO:
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MOD, DELIVERY ORDER OR OTHER NUMBER:
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DATE & TIME OF AWARD:
(5:00 P. M., WASH, DC Time)
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ANNOUNCEMENT AMOUNT: $
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ESTIMATED FACE VALUE:
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CONTRACT WITH OPTIONS
BASE YEAR AWARD: $
TOTAL IF ALL OPTIONS EXERCISED: $
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CUM TOTAL OF THIS CONTRACT: $
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INCREMENTALLY FUNDED: YES ☐ NO ☐
THIS INCREMENT = $
TOTAL ALL INCREMENTS (ESTIMATE) =$
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MULTI-YEAR: YES ☐ NO ☐
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TYPE OF CONTRACT:
TYPE OF FUNDS (complete appropriation, FY, type of funds & amount):
CONTRACTOR:
ADDRESS:
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ITEM (QTY) OR SERVICE PROCURED (One or two lines in complete sentences):
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SOL OR RFP ISSUE DATE:
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BIDS SOLICITED:
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EST COMPLETED DATE:
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BIDS RECEIVED:
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FOREIGN MILITARY SALES: YES NO
IF YES, NAME OF COUNTRY
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LARGE BUSINESS SMALL BUSINESS
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PERFORMANCE LOCATION (S), CITY, STATE AND ZIP CODE WITH PERCENTAGES AND DOLLAR AMOUNT:
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CONGRESSIONAL DISTRICT OR ZIP CODE:
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REPORTING CONTRACT OFFICE:
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REPORTED BY: PHONE NUMBER:
PRIMARY POC
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SECONDARY POC
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PHONE NUMBER:
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FOR OFFICIAL USE ONLY
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