CIA-RDP96-00789R003000200018-8

Approved For Release bdb/ouEs : CIA-RDP96-00789R003000200018-8
PURCHASE REQUEST
INSTRUCTIONS -- ORIGINAL AND 8 COPIES
4A. Authorized Approving Official or Designee (DIAM 44-2)
SG1J
5A. Funds are certified available and have been committed
Accounting classifi
Signature
Director
JOHN I BERBERICH, Office for S & TI
Type Name
Date
48. Name, Ext, and Signature of Designated Supply Coordinator
(DIAM 25-1)
5C. Name and signature of Certifying Official
Signature
SG1J
Type Name
Date
Type Name
Date
6- Element POC/COTR
Talachan Na
SG1J
Office Symbol
DTI-S
SG1J
8A.
Stock/Item No.
Description of Supplies or Services
Quantity
Unit
Price
Amount
RELEASE OF FUNDS FOR EXTERNAL ANALYSIS
$170,000.00
Sole Source with SAIC for foreign data
assessment and support (phenomenological )
120
00
9.
Recurring requirement
GSA Schedule Number (if known)
Acquisition Plan No.
Source:
88. 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 A contract to provide.
12.8 Logistics Branch Action Officer/Phone No.
Date
13A. Coordinations
DTI-3D
CRR8
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
Yes
No
12D. Received By: (Signature)
-..
14A. Action Assigned To:
Contract Specialist:
14B. Dáte
Approved For Release.2003/04/18 : CIALRDP96 00789R003000200018-8
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DIA FORM 520 (5-82)
P
wjoys Edition is Obsolete.
SECRET
REGRADED UNCLASSIFIED
WHER SEPARATED FROM
...
Contracting and Acquisition Office
-
Other:
1. Date of request
21 April 93
2. Delivery required by
31 March 94
3. Purchase request number
330/01027/93-01
5B. Amount
SG1J
130,000
$170,000.00
Signature
7A. Ship To: Director
DIA
Washington, D.C. 20340-6150
Estimated
7B. Mark for:
(DTI-S:
ACA

. Approved For Release 2003/04/18 : CIA-RDP96-00789R003000200018-8
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
C:
6
Certification of Data Bast
Government Independent Cost Estimate
7
Economic Analysis/Cost Comparison Analysis (DIAR 45-8) $50K+
8
DD 254, Security Classification Specification
g
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)
Approved For Release 2003/04/18 : CIA-RDP96-00789R003000200018-8 .
Entuation Resort
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