SAFETY EYEWEAR KITS

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER

PAGE 1 OF

2. CONTRACT NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE

DATE

No.

4. ORDER NUMBER

Coll.

3. AWARD/EFFECTIVE

DATE

09/23/2026

SV0100-27

09/23/2026

a. NAME

b. TELEPHONE NUMBER (No collect
calls)

8. OFFER DUE DATE/

LOCAL TIME

7. FOR SOLICITATION

INFORMATION CALL:

10/28/2026

Chad Privett

9. ISSUED BY

2:00 PM

CODE

BUT1

10. THIS ACQUISITION IS

SMALL BUSINESS

BUTNER OPTICAL - MEDIUM II

2 OLD 75 HWY

BUTNER NC 27509

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS

MARKED

X

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM NAICS:

SIZE STANDARD:

1000 Emp

8 (A)

13b. RATING

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

14. METHOD OF SOLICITATION

SEE SCHEDULE

RFQ

CODE

BUTNER OPTICAL - MEDIUM II

2 OLD 75 HWY

BUTNER NC 27509

17a. CONTRACTOR/ CODE 391014499

OFFEROR

IFB

16. ADMINISTERED BY

BUT1

RFP

CODE

BUT1

BUTNER OPTICAL - MEDIUM II

2 OLD 75 HWY

BUTNER NC 27509

FACILITY

CODE

18a. PAYMENT WILL BE MADE BY

UNDETERMINED SOURCE

NA BLANK

WASHINGTON DC 20534

TELEPHONE NO.

339115

EDWOSB

12. DISCOUNT TERMS

15. DELIVER TO

100% FOR:

SET ASIDE:

UNRESTRICTED OR

CODE

UNICOR FPI CENTRAL ACCOUNTS PAYABLE

PO BOX 11849

LEXINGTON, KY 40578-1849

UEI

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

OFFER

SEE ADDENDUM

19.
ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

22.

UNIT

21.

QUANTITY

23.

UNIT PRICE

24.

AMOUNT

See Section B
Document Number 1620000401

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

UNICOR FUNDS 15X4500 FUNDS SHALL BE OBLIGATED BY INDIVIDUAL DELIVERY ORDERS AND NOT BY THE CONTRACT ITSELF

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

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

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

29. AWARD OF CONTRACT: REF.

DATED .

. YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE