sale-lot# 41qsci20790-033
TRANSCRIPT
SALE-LOT# 41QSCI20790-033
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-002
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-003
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-004
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-005
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-006
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-007
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-008
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-009
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-010
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-011
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-012
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-013
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-014
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-015
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-016
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-017
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-018
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-019
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-020
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-021
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-022
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-023
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-024
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-025
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-026
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-027
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-028
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-029
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-030
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-031
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-032
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-033
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-034
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-035
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-036
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-037
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-038
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-039
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-040
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-041
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-042
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-043
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-044
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-045
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-046
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-047
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-048
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-049
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing
SALE-LOT# 41QSCI20787-050
STATEMENT OF INTENT
ACKNOWLEDGEMENT:
The Bidder represents and warrants that the ultimate destination, use, and disposition of the property
shall be in accordance with the Statement of Intent and/or Statement of Acknowledgement as submitted
and approved by the Contracting Officer. Any unauthorized disposition of the property by a sub-purchaser
or sub-receiver of the property shall be the responsibility of such sub-purchaser or sub-receiver and,
where at fault, of the original buyer from the United States. The trade control actions required will be
applied to all items included in the original sale. Resale breakdowns of such sales will still be subject to
the same control requirements applicable to the original sale. The Standard Form 114C, June 1997 and
the Special Requirements and Conditions are included by reference.
Misuse of these items to compromise national security and/or to create or disseminate biological warfare
agents is illegal. Further, the re-sale and/or exportation of certain technological items to countries subject
to trade security controls is prohibited. You may be subject to prosecution if these items are used for
illegal activity. Reference Online Special Terms and Conditions “Export Restriction Notice.” BIDDER INFORMATION a. NAME OF BIDDER: _____________________________________________________________ b. TAX IDENTIFICATION NUMBER (TIN): OR SSN _____________________________________________________________ c. BIDDER’S ADDRESS: _____________________________________________________________ d. TELEPHONE NUMBER _____________________________________________________________ e. PLEASE LIST BUSINESS OR OTHER NAMES USED BY THE PRINCIPAL BIDDER: _____________________________________________________________ NATURE OF BUSINESS:
(1) BROKER, MARKETER, RETAILER or WHOLESALER (2) TREATMENT, STORAGE AND/OR DISPOSAL FACILITY (3) OTHER (Specify)
SPECIFIC USAGE: AS A PURCHASER, I WILL:
(1) RESELL ITEM(S):______________________________________________________________ (2) USE ITEM AS INTENDED:_______________________________________________________ (3) SCRAP ITEM(S) FOR RECOVERY OF CONTENTS:__________________________________ (4) RE-REFINE/REPROCESS ITEM (S) _______________________________________________ (5) OTHER (Specify Item)________________________________________________________
RESALE OF ITEM(S): If items are resold and when requested by the Contracting Officer to furnish information regarding the disposition made of the property awarded to the Purchaser, the Purchaser agrees to furnish the requested information within the specified timeframe stated by the regional Sales Contracting Officer. CERTIFICATION: I CERTIFY THAT ALL OF THE INFORMATION GIVEN IN THIS STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THIS STATEMENT IS INCORPORATED BY REFERENCE INTO ANY RESULTING CONTRACT OF SALE WITH THE U.S. GOVERNMENT. ______________________________________________ __________________ Signature of Official Bidder Date of Signing