Dd Form 1654 - Evaluation Of Transportation Cost Factors

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EVALUATION OF TRANSPORTATION COST FACTORS
(See Instructions on back before completion.)
1. PR, PD OR MIPR NUMBER
2. SOLICITATION NUMBER
3. BID OPENING OR PROPOSAL CLOSING DATE
4. DATE REQUIRED
6. UFC
7. NMFC
5. FMS (X one)
YES
NO
TRANSPORTATION DATA
F
NUMBER
WEIGHT
SIZE OF
GROSS
TOTAL COST
RATE
OF UNITS
OF EACH
CONTAINER
PER
NAME OF
ITEM
M
ORIGIN
DESTINATION
NO. OF
QUAN-
SHIPPING
MODE
OF TRANS-
PER
CONTAINER
IN INCHES
CWT OR
COMPETITOR
NO.
S
SHIPMENTS
TITY
WEIGHT
PORTATION
CONTAINER
(Lbs.)
(LWH)
H
I
J
A
B
C
D
E
F
G
K
L
M
N
10. TENDER/TARIFF
8. BUYER/NEGOTIATOR
a. NAME (Last, First, Middle Initial)
b. SYMBOL/EXT.
9. CONTRACTING OFFICER
11. TRANSPORTATION OFFICER
a. TYPED OR PRINTED NAME (Last, First, Middle Initial)
b. SYMBOL/EXT.
a. TYPED OR PRINTED NAME (Last, First, Middle Initial)
b. SYMBOL/EXT.
c. SIGNATURE
d. DATE SIGNED
c. SIGNATURE
d. DATE SIGNED
(YYYYMMDD)
(YYYYMMDD)
DD FORM 1654, APR 1999 (EG)
PREVIOUS EDITION IS OBSOLETE.
Page
of
Pages
WHS/DIOR, Apr 99
Reset

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