CIA-RDP96-00789R003000200007-0

SG1J
DEUNC I
Approved For Release| 2000/08108 : CIA RDP96-00789R003000200ou7 ____ mber
PURCHASE REQUEST
INSTRUCTIONS - ORIGINAL AND 8 COPIES
21 April 93
31 March 94
330/01027/93-01
4A. Authorized Approving Official or Designee (DIAM 44-2)
DEP DIR
NMIPC
Accounting classi
SG1J
58. Amount
130, 000
$170,000.00
5C. Name and signature of Certifying Official
Signature
Type Name
Date
Type Name
Date
6
Cemaat DOCICATR
SG1J
7A. Ship To:
Director
DIA
Washington, D.C. 20340-6150
(DTI-S:
SG1J
8A.
Stock/Item No.
Description of Supplies or Services
Quantity
Unit
Price
Amount
RELEASE OF FUNDS FOR EXTERNAL ANALYSIS
Sole Source with SAIC for foreign data
assessment and support (phenomenological)
170K Our ments are
wirkdown and apart
9. 1
Recurring requirement
GSA Schedule Number (if known)
Acquisition Plan No.
Source:
8B. Total
$130.000
$170,000.00
10. Action Office if External to DIA:
Interservice Support Agreement No:
Other:
External POC:
11. Justification/Remarks
Funds for this effort are provided by
This request permits, evaluation/exploitation of new foreign data. It is a modification
to existing line items in the existing over-all phenomenological effort (PR 330/026Z/92).
12A. Requisition Number/Other
the continuation of the existing RXD contract to provide
12.B Logistics Branch Action Officer/Phone No.
Date
13A. Coordinations
DTI-3D
CRRB
SADPO
GC
OC-4
DPS-2
OC-5
DTO-2B.
DTO-2B
OC-2
DPP-1
12C. Method
13B. Approvals
AAP
Not required
(DIAR 44-4)
13C. Budget Reporting Code
R400
CBB₽
Other:
Yes
No
12D. Received By: (Signature)
Date
14A. Action Assigned To:
Contract Specialist:
Telephone No:
14B. Date
DIA FORMADEgVed For Release 2000/08/08- @tA:RDP96-00789R003000200007-B
SECRET
CLASSSHED TROLL
5A. Funds are certified available and have been committed
Signature
Director
JOHN T_BERBRICH, Office for S & TI
Type Name
Date
4B. Name, Ext, and Signature of Designated Supply Coordinator
(DIAM 25-1)
Signature
SG1A
7B. Mark for:
Office Symbol
DTI-S
Estimated
$170,000.00
120 :00
Contracting and Acquisition Office
ACA

Approved For Release 2000/08/08 : CIA-RDP96-00789R003000200007-0
15.
OBLIGATION RECORD
AMOUNT OF COMMITMENT
$
DATE
REFERENCE
NUMBER
OBLIGATIONS
INCURRED
UNOBLIGATED
BALANCE
REMARKS
DATE
REFERENCE
NUMBER
OBLIGATIONS
INCURRED
UNOBLIGATED
BALANCE
REMARKS
16. Summary Data for CRRB/SADPO Actions:
Purpose:
Historical Summary:
Intelligence Question/Objective:
.
17. List of Enclosures;
1
Procurement Package Access List
2
Uniform Contract Format (over $25K)
3
Statement of Work/Specifications
-
Sole Source Justification
4
Justification for, other than full and open competition
Emergency Justification
5
Services Questionnaire
6
Certification of Data Bast
7
Government Independent Cost Estimate
Economic Analysis/Cost Comparison Analysis (DIAR 45-8) $50K+
8
DD 254, Security Classification Specification
9
DD 1423, Contract Data Requirements List with Data Item Description (DD Form 1684)
Technical Evaluation Criteria
Technical Evaluation Plan
Logistical Support Plan (DIAR 25-4)
10
Other (s)
.
contractor Tool
-
Approved For Release 2000/08/08 : CIA-RDP96-06789R003000200007-0
Re fort

Approved For Release 2000/08/08 : CIA-RDP96-00789R003000200007-0
Date of Request
Purchase Request No. 330/
Z/93
PROCUREMENT PACKAGE
ACCESS LIST
All personnel reviewing or accessing this purchase request must sign below.
No.
Date
Name (Print/Sign)
Organization
Phone #
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Enclosure 1
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000200007-0