AWARD/CONTRACT 1. THIS CONTRACT IS A RATED ORDER 

 UNDER DPAS (15 CFR 700)

 RATING

 5. ISSUED BY CODE 6. ADMINISTERED BY (If other than Item 5) CODE

15A. ITEM NO. 15B. SUPPLIES/SERVICES 15C. QUANTITY 15D. UNIT 15E. UNIT PRICE 15F. AMOUNT

7. NAME AND ADDRESS OF CONTRACTOR (No., street, city, county, State and ZIP Code) 8. DELIVERY 

 

 FOB ORIGIN OTHER (See below)

(4 copies unless otherwise 

specified)

 11. SHIP TO/MARK FOR CODE 12. PAYMENT WILL BE MADE BY CODE

13. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION: 

 

 10 U.S.C. 2304(c) 41 U.S.C. 253(c) 

14. ACCOUNTING AND APPROPRIATION DATA

16. TABLE OF CONTENTS

(X) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE

A SOLICITATION/CONTRACT FORM

B SUPPLIES OR SERVICES AND PRICES/COSTS

C DESCRIPTION/SPECS./WORK STATEMENT

D PACKAGING AND MARKING

E INSPECTION AND ACCEPTANCE

F DELIVERIES OR PERFORMANCE

G CONTRACT ADMINISTRATION DATA

H SPECIAL CONTRACT REQUIREMENTS

CONTRACTING OFFICER WILL COMPLETE ITEM 17 OR 18 AS APPLICABLE

17. CONTRACTOR'S NEGOTIATED AGREEMENT (Contractor is required to 

sign this document and return copies to issuing office. ) Contractor 

agrees to furnish and deliver all items or perform all the services set forth or otherwise 

identified above and on any continuation sheets for the consideration stated herein. The 

rights and obligations of the parties to this contract shall be subject to and governed by 

the following documents: (a) this award/contract, (b) the solicitation, if any, and (c) such 

provisions, representations, certifications, and specifications, as are attached or 

incorporated by reference herein. (Attachments are listed herein.) 

18. SEALED-BID AWARD (Contractor is not required to sign this document. ) 

Your bid on Solicitation Number 

including the additions or changes made by you which additions or changes are set forth in 

full above, is hereby accepted as to the terms listed above and on any continuation sheets. 

This award consummates the contract which consists of the following documents: (a) the 

Government's solicitation and your bid, and (b) this award/contract. No further contractual 

document is necessary. (Block 18 should be checked only when awarding a sealed-bid 

contract.)

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

PAGE(S)

PART II - CONTRACT CLAUSES

(X) SEC. DESCRIPTION

PART IV - REPRESENTATIONS AND INSTRUCTIONS

I CONTRACT CLAUSES

J LIST OF ATTACHMENTS

K REPRESENTATIONS, CERTIFICATIONS AND OTHER 

STATEMENTS OF OFFERORS

L INSTRS., CONDS., AND NOTICES TO OFFERORS

M EVALUATION FACTORS FOR AWARD

 15G. TOTAL AMOUNT OF CONTRACT

19B. NAME OF CONTRACTOR 

 

BY

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 26 (REV. 5 /2011 )

20B. UNITED STATES OF AMERICA 

 

BY

Previous edition is usable Prescribed by GSA - FAR (48 CFR) 53.214(a) 

 

2. CONTRACT (Proc. Inst. Ident.) NO.

SPE3S1-21-D-Z134

3. EFFECTIVE DATE

2021 NOV 01

4. REQUISITION/PURCHASE REQUEST/PROJECT NO.

1000106831

CODE 0DVS0 FACILITY CODE

9. DISCOUNT FOR PROMPT PAYMENT

Net 30 (Do not Use)

ITEM

12

$50,126,402.89

X 1

X 2

X 3

19A. NAME AND TITLE OF SIGNER (Type or Print)

 19C. DATE SIGNED

20A. NAME OF CONTRACTING OFFICER

Tiendung Nguyen 

TIENDUNG.NGUYEN@DLA.MIL

 20C. DATE SIGNED

2021 SEP 13

X

SEE SCHEDULE, DO NOT SHIP TO ADDRESS ON THIS PAGE

DEF FIN AND ACCOUNTING SVC 

BSM 

P O BOX 182317 

COLUMBUS OH 43218-2317 

USA

SL4701

X

1

( Signature of person authorized to sign) (Signature of Contracting Officer)

SPE3S1

DLA TROOP SUPPORT 

SUBSISTENCE SUPPLY CHAIN 

700 ROBBINS AVENUE 

PHILADELPHIA PA 19111-5096 

USA 

Local Admin: Jayson Marbach DJM0103 Tel: 215-737-7346-X-7346 

Email: Jayson.1.Marbach@dla.mil

SPE3S1

DLA TROOP SUPPORT 

SUBSISTENCE SUPPLY CHAIN 

700 ROBBINS AVENUE 

PHILADELPHIA PA 19111-5096 

USA 

Criticality: PAS : None

AMERIQUAL GROUP, LLC 

DBA AMERIQUAL FOODS 

18200 HIGHWAY 41 N 

EVANSVILLE IN 47725-8588 

USA

See Schedule

56812500.000

 10. SUBMIT INVOICES 

 

 TO THE 

 ADDRESS SHOWN IN

J PAGE 1 OF 4 

NGUYEN.TIENDUNG.H.1284072150 Digitally signed by NGUYEN.T ENDUNG H.1284072150 

Date: 2021 09.13 13:26:43 -04'00'


CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 4 OF 4 PAGES

SPE3S1-21-D-Z134

SECTION J - LIST OF ATTACHMENTS (CONTINUED)

Description File Name

ATTACH_AmerIQual_Sign

ature

Tab 40-Award D