Jacket: 604-767

Title: POD 5059

Agency: DLA

Bid Opening: May 14, 2019 at 2:00 PM

Contractor Name Bid Terms Discounted Total

Gray Graphics $251,507.00 1% 20 $248,991.93
Specifications by: LA Jacket 604-767

Page 1 of 13 Req. 9-880019G

Reviewed by: DR

BID OPENING: May 14, 2019

BIDS SHALL BE PUBLICLY OPENED AT 2:00 P.M., PREVAILING PHILADELPHIA 

TIME.

ANY QUESTIONS BEFORE AWARD CONCERNING THESE SPECIFICATIONS, EMAIL 

LADGERSON@GPO.GOV.

SPECIFICATIONS

U.S. Government Publishing Office (GPO)

Philadelphia Regional Office

Southampton Office Park

928 Jaymore Road, Suite A190

Southampton, PA 18966

BIDDERS, PLEASE NOTE:

(1) GPO has issued a new GPO Publication 310.2, GPO Contract Terms - Solicitation 

Provisions, Supplemental Specifications, and Contract Clauses (Rev 1-18). Prospective bidders 

should carefully read this publication as the applicable terms within become an integral part of 

this contract. The document is posted at https://www.gpo.gov/how-to-work-withus/vendors/forms-and-standards along with a list of major revisions.

(2) The GPO 910 “BID” Form is no longer required. Bidders are to fill out, sign/initial, and return 

pages 10, 11, 12 and 13.

SECURITY: The information provided for this contract is considered confidential/noforn. The 

processing and production and storage of this information require the greatest possible care in 

handling to ensure against any copies (or any information therein) from reaching unauthorized 

persons.

SECURITY CLEARANCE IS REQUIRED: Contractor must provide cage code number 

authorized by DOD for clearance to handle confidential material.

Note: Prior to award, the contractor will be required to submit a written explanation as to how 

the contractor will safeguard the data provided by the agency. Explanation must be submitted 

via email to ladgerson@gpo.gov.

The bidder must submit to GPO immediately upon notification by the Contracting Officer the 

following: 
Specifications by: LA Jacket 604-767

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(1) Then names of all proposed subcontractors at each level, who will require access to classified 

information

(2) A copy of the agreement with exists with those named in (1).

Before any vouchers be accepted by GPO for payment, an itemized statement must be submitted 

to the ordering agency for examination and certification as to the correctness of the billings.

Note: Contractor must not submit a copy of classified products with this voucher for payment.

NOTE: CLASSIFICATION - CLASSIFIED CONFIDENTIAL-RESTRICTED DATA.

During the performance of this contract, confidential information will be reproduced, as defined 

as information concerning the design, arrangement, development, manufacturing, testing, 

operation, administration, training, maintenance, and repair equipment. Appropriate safeguards 

must be proposed by the contractor and approved by the Contracting Officer for the safeguarding 

from actual, potential or inadvertent release by the contractor, or subcontractor, in any form 

marked NOFORN. Such safeguards shall ensure that only governmental and contractor parties, 

including subcontractors, which have an established need-to-know, have access in order to 

perform work under this contract, and then only under conditions which assure that the 

information is properly protected. Access by foreign nationals or immigrant aliens is not 

permitted. A foreign national or immigrant alien is defined as a person not a United 

States citizen or a United States national. United States citizens representing a foreign 

government, foreign private interests or other foreign nationals, are considered to be foreign 

nationals for industrial security purposes and the purpose of this restriction. In addition, any and 

all issue or release of such information beyond such necessary parties, whether or not ordered 

through an administrative or judicial tribunal, shall be brought to the attention of the Contracting 

Officer.

The Contracting Officer shall be immediately notified of any litigation, subpoenas, or requests 

which either seek or may result in the release of such information. 

In the event that court or administrative order makes immediate review by the Contracting 

Officer impractical, the contractor agrees to take all necessary steps to notify the court or 

administrative body of the customer's interest in controlling the release of such information 

through review and concurrence in any release.

The ORDERING AGENCY reserves the right to audit contractor facilities for compliance with 

the above restrictions.

The information contained in publications so classified affects the national defense of the United 

States within the meaning of the Espionage Act, Title 18, U.S. Code, Sections 793 and 794. The 

contractor is hereby notified that the transmission of such material or the revelation of its 

contents in any manner to an unauthorized person is prohibited and punishable by law.
Specifications by: LA Jacket 604-767

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Reviewed by: DR

Security clearance, as specified by this solicitation, will be required of the successful bidder prior 

to award. The Government is not obligated to delay award pending security clearance of any bid.

PRODUCT: 20 Different Items (See Below)

QUALITY LEVEL: IV Quality Assurance Through Attributes (GPO PUB 310.1, effective May 

1979 (Rev. 8-02)) applies.

QUANTITY: 20 Different Items, 43 copies each, for a total of 860 copies

TITLE: POD 5059 + FOLDOUTS

Item: 1. R14 TM BK 1 (S921192103R) 

Item: 2. R14 TM BK 2 (S921192104R)

Item: 3. R14 HV BK 1 (S921192105R) 

Item: 4. R14 HV BK 2 (S921192106R) 

Item: 5. R14 HV BK 3 (S921192107R) 

Item: 6. R14 HV BK 4 (S921192108R) 

Item: 7. R14 HV BK 5 (S921192109R) 

Item: 8. R14 HV BK 6 (S921192110R) 

Item: 9. R14 HV BK 7 (S921192111R) 

Item: 10. R14 HV BK 8 (S921192112R 

Item: 11. R14 HV BK 9 (S921192113R) 

Item: 12. R14 HV BK 10 (S921192114R) 

Item: 13. R14 HV BK 11 (S921192115R) 

Item: 14. R14 HV BK 12 (S921192116R) 

Item: 15. R14 HV BK 13 (S921192117R) 

Item: 16. R14 HV BK 14 (S921192118R) 

Item: 17. R14 HV BK 15 (S921192119R) 

Item: 18. R14 HV BK 16 (S921192120R) 

Item: 19. R14 HV BK 17 (S921192121R) 

Item: 20. R14 HV Bk 18 (S921192122R) 

TRIM SIZE: 8-1/2 x 11" + Foldouts

PAGES: 

Item: 1. R14 TM BK 1 (S921192103R) 958 text pages (no foldouts)

Item: 2. R14 TM BK 2 (S921192104R) 328 text pages (no foldouts)

Item: 3. R14 HV BK 1 (S921192105R) 108 text pages and 105 foldouts

Item: 4. R14 HV BK 2 (S921192106R) 88 text pages and 129 foldouts

Item: 5. R14 HV BK 3 (S921192107R) 86 text pages and 161 foldouts

Item: 6. R14 HV BK 4 (S921192108R) 86 text pages and 157 foldouts

Item: 7. R14 HV BK 5 (S921192109R) 86 text pages and 171 foldouts

Item: 8. R14 HV BK 6 (S921192110R) 86 text pages and 143 foldouts
Specifications by: LA Jacket 604-767

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Reviewed by: DR

Item: 9. R14 HV BK 7 (S921192111R) 86 text pages and 175 foldouts

Item: 10. R14 HV BK 8 (S921192112R 86 text pages and 176 foldouts

Item: 11. R14 HV BK 9 (S921192113R) 86 text pages and 177 foldouts

Item: 12. R14 HV BK 10 (S921192114R) 86 text pages and 169 foldouts

Item: 13. R14 HV BK 11 (S921192115R) 86 text pages and 158 foldouts

Item: 14. R14 HV BK 12 (S921192116R) 86 text pages and 140 foldouts

Item: 15. R14 HV BK 13 (S921192117R) 86 text pages and 138 foldouts

Item: 16. R14 HV BK 14 (S921192118R) 86 text pages and 99 foldouts

Item: 17. R14 HV BK 15 (S921192119R) 86 text pages and 170 foldouts

Item: 18. R14 HV BK 16 (S921192120R) 88 text pages and 165 foldouts

Item: 19. R14 HV BK 17 (S921192121R) 88 text pages and 151 foldouts

Item: 20. R14 HV Bk 18 (S921192122R) 86 text pages and 39 foldouts

2,623 total foldouts, 43 copies each, total foldouts = 112,789

Collate into books as per assembly instructions.

2,623 foldouts in various sizes (Actual finished sizes per assembly sheet)

Quantity per size (UP TO):

(1) up to 17" - total foldouts 208

(2) up to 25-1/2" - total foldouts 2198

(3) up to 34" - total foldouts 14

(4) up to 42-1/2" - total foldouts 8

(5) up to 50-1/2" - total foldouts 186

(6) up to 59-1/2" " - total foldouts 5

(7) up to 76-1/2" - total foldouts 4

DESCRIPTION: 

Digital Print: Not Acceptable.

Text Pages:

Item: 1. R14 TM BK 1 (S921192103R) 958 text pages, prints head to head, four color process

Item: 2. R14 TM BK 2 (S921192104R) 328 text pages, prints head to head, four color process

Item: 3. R14 HV BK 1 (S921192105R) 108 text pages, prints head to head, four color process

Item: 4. R14 HV BK 2 (S921192106R) 88 text pages, prints head to head, four color process

Item: 5. R14 HV BK 3 (S921192107R) 86 text pages, prints head to head, four color process

Item: 6. R14 HV BK 4 (S921192108R) 86 text pages, prints head to head, four color process

Item: 7. R14 HV BK 5 (S921192109R) 86 text pages, prints head to head, four color process

Item: 8. R14 HV BK 6 (S921192110R) 86 text pages, prints head to head, four color process

Item: 9. R14 HV BK 7 (S921192111R) 86 text pages, prints head to head, four color process

Item: 10. R14 HV BK 8 (S921192112R 86 text pages, prints head to head, four color process

Item: 11. R14 HV BK 9 (S921192113R) 86 text pages, prints head to head, four color process
Specifications by: LA Jacket 604-767

Page 5 of 13 Req. 9-880019G

Reviewed by: DR

Item: 12. R14 HV BK 10 (S921192114R) 86 text pages, prints head to head, four color process

Item: 13. R14 HV BK 11 (S921192115R) 86 text pages, prints head to head, four color process

Item: 14. R14 HV BK 12 (S921192116R) 86 text pages, prints head to head, four color process

Item: 15. R14 HV BK 13 (S921192117R) 86 text pages, prints head to head, four color process

Item: 16. R14 HV BK 14 (S921192118R) 86 text pages, prints head to head, four color process

Item: 17. R14 HV BK 15 (S921192119R) 86 text pages, prints head to head, four color process

Item: 18. R14 HV BK 16 (S921192120R) 88 text pages, prints head to head, four color process

Item: 19. R14 HV BK 17 (S921192121R) 88 text pages, prints head to head, four color process

Item: 20. R14 HV Bk 18 (S921192122R) 86 text pages, prints head to head, four color process

FOLDOUTS: Prints in black ink, one-sided. Each foldout has a 9" blank apron included with it 

as the left panel (Note: sizes shown on assembly sheet DO include blank apron).

DRILL: Drill 3-holes along left 11"edge. Holes are 5/16" diameter, 4-1/4" center-to-center, 

15/32" center-to-left edge.

FOLD drawings to 8-1/2" x 11". Score on folds.

GOVERNMENT TO FURNISH:

All Government Furnished Martial, printed matter and waste must be handled and safeguarded in 

strict accordance with the “Industrial Security Manual for Safeguarding Classified Information “ 

(DoD 5220.22-M).

Prior to image processing, the contractor shall perform a basic check (preflight) of the furnished 

media and publishing files to assure correct output of the required reproduction image. Any 

errors, media damage, or data corruption that might interfere with proper file image processing 

must be reported to sean.leibowitz@dla.mil.

The contractor shall create or any necessary trapping, set proper screen angles and screen 

frequency, and define file output selection for the imaging device being utilized. Furnished files 

must be imaged as necessary to meet the assigned quality level.

-CD containing files will be provided upon award.

-Assembly Instructions (PAI)

-OPNAVINST N9210.3 SAFEGUARDING OF NAVAL NUCLEAR PROPULSION 

INFORMATION (NNPI) UNCLASSIFIED PORTION. 

- GFM: GPO 905

STOCK: The specifications of all paper furnished must be in accordance with those listed herein 

or listed for the corresponding JCP Code numbers in the "Government Paper Specification 

Standards No. 12" dated March 2011.

Text: JCP Code* G10, Bond, White, Basis Size 17 X 22", 24 lbs.

Foldouts: JCP Code* G10, Bond, White, Basis Size 17 X 22", 20 lbs.
Specifications by: LA Jacket 604-767

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Reviewed by: DR

INK: Text: Four Color Process // Fold-outs: Black

MARGINS: Per assembly instructions.

PROOFS: (2) Prior to Production Samples of Each Item

Contractor will be required to furnish a proof sign off sheet, a pre-addressed return label and the 

instructions on how the agency should return the proofs back to the contractor’s location.

Proofs will be withheld not more than 3 workdays after receipt and will be available for pick up 

on the 3rd workday after receipt. Day 1 is the day after receipt. Customer will keep 1 set.

The contractor must not print prior to receipt of an OK to Print.

PRIOR TO PRODUCTION SAMPLES: Prior to the commencement of production of the 

contract production quantity, the contractor shall submit samples to: 

DLA Information Operations 

5450 Carlisle Pike, Bldg. 6 

Mechanicsburg PA 17050-2411 

(Attn: Security Manager) 

Ref: POD 5059 Phone: 717-605-2402 // GPO Jacket 604-767

(2) Samples of each item will be tested for conformance of material(s) and will be tested for 

usage on the specified equipment and/or for construction. The container and accompanying 

documentation shall be marked PREPRODUCTION SAMPLES and shall include the GPO 

jacket, purchase order, and program numbers. The samples must be submitted in sufficient time 

to allow Government testing of the samples and production and shipment in accordance with the 

shipping schedule.

The Government will approve, conditionally approve, or disapprove the samples within 3

workdays of the receipt thereof. Approval or conditional approval shall not relieve the 

contractor from complying with the specifications and all other terms and conditions of the 

contract. A conditional approval shall state any further action required by the contractor. A 

notice of disapproval shall state the reasons therefor.

If the samples are disapproved by the Government, the Government, at its option, may require 

the contractor to submit additional samples for inspection and test, in the time and under the 

terms and conditions specified in the notice of rejection. Such additional samples shall be 

furnished, and necessary changes made, at no additional cost to the Government and with no 

extension in the shipping schedule. The Government will require the time specified above to 

inspect and test any additional samples required.

In the event the additional samples are disapproved by the Government, the contractor shall be 

deemed to have failed to make delivery within the meaning of the default clause in which event 
Specifications by: LA Jacket 604-767

Page 7 of 13 Req. 9-880019G

Reviewed by: DR

this contract shall be subject to termination for default, provided however, that the failure of the 

Government to terminate the contract for default in such event shall not relieve the contractor of 

the responsibility to deliver the contract quantities in accordance with the shipping schedule.

In the event the Government fails to approve, conditionally approve, or disapprove the samples 

within the time specified, the Contracting Officer shall automatically extend the shipping schedule 

in accordance with Contract Clause 12, "Notice of Compliance with Schedules," of GPO Contract 

Terms (GPO Publication 310.2, effective December 1, 1987 (Rev. 01-18)).

Manufacture of the final product prior to approval of the sample submitted is at the contractor’s 

risk. Samples will not be returned to the contractor. All costs, including the costs of all samples 

shall be included in the contract price for the production quantity.

All samples shall be manufactured at the facilities in which the contract production quantities are 

to be manufactured.

Contractor will be required to furnish a proof sign off sheet, a pre-addressed return label and the 

instructions on how the agency should return the proofs back to the contractor’s location.

Proofs will be withheld not more than 3 workdays after receipt and will be available for pick up 

on the 3rd workday after receipt. Day 1 is the day after receipt. Customer will keep 1 set.

The contractor must not print prior to receipt of an OK to Print.

CONTRACTOR TO FURNISH: All materials and operations, other than those listed under 

"Government to Furnish," necessary to produce the product(s) in accordance with these 

specifications.

BINDING: Band each item (text pages and fold-outs) separately.

Item: 1. R14 TM BK 1 (S921192103R) 958 text pages (no foldouts)

Item: 2. R14 TM BK 2 (S921192104R) 328 text pages (no foldouts)

Item: 3. R14 HV BK 1 (S921192105R) 108 text pages and 105 foldouts

Item: 4. R14 HV BK 2 (S921192106R) 88 text pages and 129 foldouts

Item: 5. R14 HV BK 3 (S921192107R) 86 text pages and 161 foldouts

Item: 6. R14 HV BK 4 (S921192108R) 86 text pages and 157 foldouts

Item: 7. R14 HV BK 5 (S921192109R) 86 text pages and 171 foldouts

Item: 8. R14 HV BK 6 (S921192110R) 86 text pages and 143 foldouts

Item: 9. R14 HV BK 7 (S921192111R) 86 text pages and 175 foldouts

Item: 10. R14 HV BK 8 (S921192112R 86 text pages and 176 foldouts

Item: 11. R14 HV BK 9 (S921192113R) 86 text pages and 177 foldouts

Item: 12. R14 HV BK 10 (S921192114R) 86 text pages and 169 foldouts

Item: 13. R14 HV BK 11 (S921192115R) 86 text pages and 158 foldouts

Item: 14. R14 HV BK 12 (S921192116R) 86 text pages and 140 foldouts

Item: 15. R14 HV BK 13 (S921192117R) 86 text pages and 138 foldouts

Item: 16. R14 HV BK 14 (S921192118R) 86 text pages and 99 foldouts

Item: 17. R14 HV BK 15 (S921192119R) 86 text pages and 170 foldouts
Specifications by: LA Jacket 604-767

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Reviewed by: DR

Item: 18. R14 HV BK 16 (S921192120R) 88 text pages and 165 foldouts

Item: 19. R14 HV BK 17 (S921192121R) 88 text pages and 151 foldouts

Item: 20. R14 HV Bk 18 (S921192122R) 86 text pages and 39 foldouts

PACKING: Pack each item (text pages and fold-outs) separately. Do not mix items. Pack in 

shipping containers. Each shipping container must not exceed 45 pounds when full packed. 

Labeling and Marking: Reproduce shipping container label from furnished copy, fill in 

appropriate blanks and attach to shipping containers.

SCHEDULE:

Furnished Materials will be available for pickup on May 21, 2019.

F.O.B. Destination: Deliver all copies on or before August 1, 2019.

Contractor must notify the ordering agency on the same day that the product ships/delivers via email sent to sean.leibowitz@dla.mil and cc ladgerson@gpo.gov. The subject line of this message 

shall be Distribution Notice for Jacket 604-768. The notice must provide all applicable tracking 

numbers, shipping method, and Title. Contractor must be able to provide copies of all delivery, 

mailing, and shipping receipts upon agency request.

DISTRIBUTION (F.O.B. DESTINATION:

DLA Information Operations

5450 Carlisle Pike, Bldg. 6

Mechanicsburg, PA 17050-2411 

Attn: Security Manager//Ref: POD 5059// Jacket 604-767

Phone: 717-605-2402

Return Government Furnished Materials by traceable means to:

DLA Information Operations

5450 Carlisle Pike, Bldg. 6

Mechanicsburg, PA 17050-2411 (Attn: Security Manager) Ref: POD 5059

Phone: 717-605-2402

M/F: GPO Jacket 604-767

QUALITY ASSURANCE THROUGH ATTRIBUTES:

The bidder agrees that any contract resulting from bidder’s offer under these specifications shall 

be subject to the terms and conditions of GPO Pub. 310.1 “Quality Assurance Through 

Attributes – Contract Terms” in effect on the date of issuance of the invitation for bid. GPO Pub 

310.1 is available without charge from: U.S. Government Publishing Office, Philadelphia 

Regional Office, Southampton Office Park, 928 Jaymore Road, Suite A-190, Southampton, PA 

18966.

LEVELS AND STANDARDS: The following levels and standards shall apply to these 

specifications:
Specifications by: LA Jacket 604-767

Page 9 of 13 Req. 9-880019G

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Product Quality Levels:

a) Printing (page related) Attributes – Level 4

b) Finishing (item related) Attributes – Level 4

Inspection Levels (from ANSI/ASQC Z1.4):

(a) Non-destructive Tests -- General Inspection Level I.

b) Destructive Tests -- Special Inspection Level S-2.

 Specified Standards-- The specified standards for the attributes requiring them shall be:

ATTRIBUTE SPECIFIED STANDARD

P-7. Type Quality and Uniformity Approved Preproduction Sample

PREAWARD SURVEY: In order to determine the responsibility of the prime contractor or any 

subcontractor, the Government reserves the right to conduct an on-site pre-award survey at the 

contractor's/subcontractor's facility or to require other evidence of technical, production, 

managerial, financial, and similar abilities to perform, prior to the award of a contract. As part of 

the financial determination, the contractor in line for award may be required to provide one or 

more of the following financial documents:

1) Most recent profit and loss statement

2) Most recent balance sheet

3) Statement of cash flows

4) Current official bank statement

5) Current lines of credit (with amounts available)

6) Letter of commitment from paper supplier(s)

7) Letter of commitment from any subcontractor

The documents will be reviewed to validate that adequate financial resources are available to 

perform the contract requirements. Documents submitted will be kept confidential, and used only 

for the determination of responsibility by the Government. Failure to provide the requested 

information in the time specified by the Government may result in the Contracting Officer not 

having adequate information to reach an affirmative determination of responsibility.
Specifications by: LA Jacket 604-767

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Reviewed by: DR

OFFERS: Offers must include the cost of all materials and operations for the total quantity 

ordered in accordance with these specifications. In addition, a price must be submitted for each 

additional hundred or thousand copies. The price of the additional quantities must be based on a 

Continuing run, exclusive of all basic or preliminary charges and will NOT be a factor for 

determination of award.

BID SUBMISSION: Submit bid to: U.S. Government Publishing Office (GPO), Philadelphia 

Regional office, Southampton Office Park, 928 Jaymore Road, Suite A190, Southampton, PA 

18966. Facsimile bids in response to this solicitation are permitted. Facsimile bids may be 

submitted directly to the GPO Philadelphia Regional Office Fax No. (215)364-6476. The Jacket 

number must be specified with the bid. 

Refer to Facsimile Bids in Solicitations Provisions of GPO Contract Terms, GPO Publication 

310.2, as revised January 2018.

Note: The GPO 910 “BID” Form is no longer required. Bidders are to fill out, sign/initial, and 

return pages 10, 11, 12 and 13.

PAYMENT: Submitting invoices for payment via the GPO fax gateway utilizing the GPO 

barcode coversheet program application is the most efficient method of invoicing. Instruction for 

using this method can be found at the following web address: 

http://winapps.access.gpo.gov/fms/vouchers/barcode/instructions.html.

Invoices may also be mailed to: U.S. Government Publishing Office, Office of Financial 

Management, Attn: Comptroller, Stop: FMCE, Washington, DC 20401.

For more information about the billing process refer to the General Information of the Office of 

Finance web page located at https://www.gpo.gov/how-to-work-with-us/vendors/how-to-getpaid.

Bid Amount: ________________________

Additional rate per item # 1: ______________________ 

 

Additional rate per item # 2: ______________________

 ________________

(Contractor’s Initials)

(COMPLETE AND SUBMIT THIS PAGE WITH YOUR BID)
Specifications by: LA Jacket 604-767

Page 11 of 13 Req. 9-880019G

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Additional rate per item # 3: ______________________

Additional rate per item # 4: ______________________ 

 

Additional rate per item # 5: ______________________

Additional rate per item # 6: ______________________

Additional rate per item # 7: ______________________ 

Additional rate per item # 8: ______________________

Additional rate per item # 9: ______________________

Additional rate per item # 10: ______________________

Additional rate per item # 11: ______________________

 Additional rate per item # 12: ______________________

Additional rate per item # 13: ______________________

Additional rate per item # 14: ______________________ 

 

 ________________

(Contractor’s Initials)

(COMPLETE AND SUBMIT THIS PAGE WITH YOUR BID)
Specifications by: LA Jacket 604-767

Page 12 of 13 Req. 9-880019G

Reviewed by: DR

Additional rate per item # 15: ______________________

Additional rate per item # 16: ______________________

Additional rate per item # 17: ______________________ 

Additional rate per item # 18: ______________________

Additional rate per item # 19: ______________________

Additional rate per item # 20: ______________________

 

Per Impression rate: __________________ Cage Code: ___________ 

DISCOUNTS: Discounts are offered for payment as follows: __________ Percent, _________calendar 

days. See Article 12 “Discounts” of Solicitation Provisions in GPO Contract Terms (Publication 310.2).

BID ACCEPTANCE PERIOD: In compliance with the above, the undersigned agree, if this bid is 

accepted within____________ calendar days (60 calendar days unless a different period is inserted by the 

bidder) from the date for receipt of bids, to furnish the specified items at the price set opposite each item, 

delivered at the designated points(s), in exact accordance with specifications.

NOTE: Failure to provide a 60-day bid acceptance period may result in expiration of the bid prior to 

award.

AMENDMENT(S): Bidder hereby acknowledges amendment(s) number(ed) ______________________

________________

 (Contractor’s Initials)

(COMPLETE AND SUBMIT THIS PAGE WITH YOUR BID)
Specifications by: LA Jacket 604-767

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BIDDER’S NAME AND SIGNATURE: Unless specific written exception is taken, the bidder, by 

signing and submitting a bid, agrees with and accepts responsibility for all certifications and 

representations as required by the solicitation and GPO Contract Terms - Publication 310.2. When 

responding by fax or mail, fill out and return one copy of all pages of “CONTRACTOR’S BID” section 

including initialing/signing where indicated.

Failure to sign the signature block below may result in the bid being declared non-responsive.

Bidder 

_____________________________________________________________________________________

(Contractor Name) (GPO Contractor’s Code)

_____________________________________________________________________________________

(Street Address)

_____________________________________________________________________________________

(City – State – Zip Code)

By__________________________________________________________________________________

(Printed Name, Signature, and Title of Person Authorized to Sign this Bid) (Date)

_____________________________________________________________________________________

(Person to be Contacted) (Telephone Number) (Email)

*********************************************************************************************

THIS SECTION FOR GPO USE ONLY

Certified by: ____________Date:____________Contracting Officer: ____________Date:____________

 (Initials) (Initials)

*********************************************************************************************

__________________

(Contractor’s Initials)

(COMPLETE AND SUBMIT THIS PAGE WITH YOUR BID)