Screening Information Request

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

1. REQUISITION NUMBER

PAGE 1 OF

5. SOLICITATION NUMBER

6. SOLICITATION

ISSUE DATE

OFFEROR TO COMPLETE BLOCKS 12, 16, 22, 23, & 28

3.AWARD/

EFFECTIVE DATE

2. CONTROCT NO.

7. FOR SOLICITATION

INFORMATION CALL:

9. ISSUED BY

4. ORDER NUMBER

697DCK-27-R-00022A

b. TELEPHONE NUMBER (No collect calls)

Linda Hennequant

404-305-5458

CODE

UNRESTRICTED OR

SET ASIDE:

8. OFFER DUE DATE/TIME

11/12/2026 1700 ET

11. DELIVERY FOR FOB 12. DISCOUNT TERMS

DESTINATION UNLESS

BLOCK IS MARKED

10. THIS ACQUISITION IS

AAQ510ATL-AFN

FEDERAL AVIATION ADMINISTRATION

AAQ-500 - REGIONAL ACQUISITIONS

1701 COLUMBIA AVENUE

COLLEGE PARK GA 30337

14. DELIVER TO

10/26/2026

a. NAME

100.00 % FOR:

SEE SCHEDULE

SMALL BUSINESS

541330

SIC:

SIZE STANDARD:

CODE

13. METHOD OF SOLICITATION

$25.5

RFQ

IFB

15. ADMINISTERED BY

CODE

AAQ510ATL-AFN

RFP

FEDERAL AVIATION ADMINISTRATION

AAQ-500 - REGIONAL ACQUISITIONS

1701 COLUMBIA AVENUE

COLLEGE PARK GA 30337

FACILITY

CODE

16a. CONTRACTOR/ CODE

OFFEROR

CODE

17a. PAYMENT WILL BE MADE BY

TELEPHONE NO.

17b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

SEE ADDENDUM

16b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18.
ITEM NO.

19.

SCHEDULE OF SUPPLIES/SERVICES

20.

QUANTITY

21.

UNIT

LS

Design Renovation, SSC, 3551 Combine St., Paso
Robles, California 93446.
Contracting Officer: [email protected]

24. ACCOUNTING AND APPROPRIATION DATA

Continued...

22.

UNIT PRICE

23.

AMOUNT

25. TOTAL AWARD AMOUNT (For Government Use Only)

26. 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 HEREIN

27. AWARD OF CONTRACT: REFERENCE

OFFER

DATED

. YOUR OFFER ON SOLICITATION

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

29a. CONTRACT AUTHORITY (SIGNATURE OF CONTRACTING OFFICER)

28a. SIGNATURE OF OFFEROR/CONTRACTOR

28b. NAME AND TITLE OF SIGNER (Type or print)

28c. DATE SIGNED

29b. NAME OF CONTRACTING OFFICER (Type or print)

29c. DATE SIGNED

Linda M. Hennequant

30a. QUANTITY IN COLUMN 20 HAS BEEN

RECEIVED

INSPECTED

31. SHIP NUMBER

ACCEPTED, AND CONFORMS TO THE

CONTRACT, EXCEPT AS NOTED:

32b. SIGNATURE OF AUTHORIZED CONTRACT AUTHORITY

REPRESENTATIVE

32c. DATE

PARTIAL

33. AMOUNT VERIFIED

CORRECT FOR

32. VOUCHER NUMBER

FINAL

36. PAYMENT

COMPLETE

35. CHECK NUMBER

PARTIAL

36. S/R ACCOUNT NUMBER

FINAL

37. S/R VOUCHER NUMBER

40a. RECEIVED BY (Print)

39a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT