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WE DO NOT, DESIRE TO BE RETAINED ON THE MAILING LIST FOR FUTURE PROCUREMENT OF THE TYPE OF WE DO ITEM(S) INVOLVED NAME AND ADDRESS OF FIRM (Include ZIP Code)

SIGNATURE

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53.30-1449

Solicitation/Contract/Order for Commercial Items.

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

2. CONTRACT NO.

3. AWARD/EFFECTIVE 4. ORDER NUMBER

DATE

5. SOLICITATION NUMBER

PAGE 1 OF

6. SOLICITATION ISSUE

DATE

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278. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED 30a. SIGNATURE OF OFFEROR/CONTRACTOR

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29. AWARD OF CONTRACT: REF.

OFFER

DATED
YOUR OFFER ON SOLICITATION
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print)

AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

31c. DATE SIGNED

STANDARD FORM 1449 (REV. 3/2005)
Prescribed by GSA FAR (48 CFR) 53.212

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53.302-17 Optional Form 17, Offer Label.

OF-17 (12/93)

FAR (48) CFR 53.214(g))
FAR (48) CFR 53.215-1(h))

Offer Label

NOTICE TO OFFEROR

1. THIS LABEL MAY ONLY BE USED ON ENVELOPES
LARGER THAN 156 mm (6% INCHES) IN HEIGHT
AND 292 mm (111⁄2 INCHES) IN LENGTH.

2. Print or type your name and address in the UPPER left corner
of the envelope containing your offer.

3. Complete the bottom portion of this form and paste it on the LOWER left corner of the envelope, unless the envelope is 156 mm by 292 mm (61⁄4 inches by 111⁄2 inches) or smaller.

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became a surety for the complete and successful performance of said contract, which bond includes a llen upon certain real property further described hereafter, and

Whereas sald surety established the said llen upon the following property

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authorized representative of the United States Government as • warranted contracting officer, have determined that the lien is no longer required to ensure further performance of the said Government contract or satisfaction of claims arising therefrom, and

Whereas the surety remains llable to the United States Government for continued performance of the said Government contract and satisfaction of claims pertaining thereto. Now, therefore, this agreement witnesseth that the Government hereby releases the aforementioned llen.

[Date]

AUTHORIZED FOR LOCAL REPRODUCTION

[55 FR 38522, Sept. 18, 1990]

[Signature]
Seal

OPTIONAL FORM 90 (REV. 1-90)
Prescribed by GSA

FAR (48 CFR) 53.228m)

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