I

I
I.

F9RM CD-4UT-EF (09-91) ~ I.ORDI!RNUMBER

U ••II. DEPARTHt:H'l' OF COMMERCE SUPPLY, EQUIPMENT OR SERVICE ORDER ~=?o:der 43-YA-BC-486142
I-------r----'-------"'T'"----r----T"""----.,...~~ ----_linquirieslo
2. CONTRACT ORDERED AGAINST 3. PURCHASE 4. DEUVERY 5. ORDER DATE ~. SOURCE the
PAGE I OF 2 Specific Provisions Apply ORDER ORDER Procurement ,. SUB 18. DATE PRINTED
NONE X 01/0812004 Office. NONE I 02/1012005
9. SUPPUER'S ADDRESS 38897 10. 1099 TAX: MISC This Rmrenc:e~ 12. BIUlNG ADDRESS
OBLlG-2004.86142-o-o
~
No. ~ RE1'ERENCEORDERNO.:
HOME FRONT COMMUNICAnONS LLC I I. EMPWYE1l I.D. must .ppear on aD
1620 I ST NW STE 520 invoices and BUREAU OF THE CENSUS
WASHINGTON OC 20006
13. CONTACT:' PJ./ plcbses. Freighl
charge over $\00
FINANCE DMSION
PAUL FRICK requfts. BiD of ROOM 3546, BUILDING 3
I3a.TEL:Z02-544-84OO
Ladin&.
WASIDNGTON OC 20233-4400
I3b. fAX: 102-544-6448

14. 15. 16. 11. lB. 19. 20.

UNE DESCRIP1l0N DEUVERY QUANTITY UNIT UNIT PRICE AMOUNT
ITEM DATE ISSUE

1 CONTRACTOR TO PROVIDE BROADCAST DISTRIBUTION 1213112004 JB 42,000.0000 42,000.00

SERVICES INCLUDING THE HARD COPY (TAPE AND DISC) AND
SATELLITE DISTRIBUTION OF BROADCAST VIDEO, RADIO
AND PHOTOGRAPHY PROGRAMS. INCLuDES OTHER DIRECT
COSTS.

PERIOD OF PERFORMANCE: DATE OF AWARD TIiROUGH

DECEMBER 31, 2004

CENSUS TASK MANAGER:

MIKE MORGAN
301-763-3045

ALTERNATE TASK MANAGER:

TOM WEBSTER
301-763-3053

U.S. DEPARTMENT Of COMMERCE· TERMS AND CONDmONS

The following I..... and co"'ilions as well as .ny on .ttacbecl sheets••pply""'" this document is used as. p..-cl>ase order. Iflhis documenl is used as. delivery order, it is subject 10 the Ierms and conditions of
the conlJ3ct refer...,... in Block #2 of the order. 52.252·2 Clauses incorporated by Reference (Apr 84). This contract incorporates the followinS clauses by reference, with the same force .... effect as • they were
siven in fuUt_ Upon reqllCSl, the eo....cting Officer will make fWIlext available.

NOTE: FULL TEXT CLAUSES ARE AVAILABLE ATHTll':/IWWW.ARNET.GOVIFARIFARQUERYFRAME.1ITML

NOTE 2 INVOICE MUST COINCIDE W111l UNE ITEMS ON PUROiASE ORDER
NOTE 3 INSTRUcnONS FOR SUBMITTING INVOICES ARE ATTAOiED
NOTE 4 CONTRACTOR SHAlL ALLOW THE GOVT 30 DAYS FROM DEUVERY TO INSPECT &. ACCEPT
NOTE 5 CONTRACTOR AGREES TO INVOICE NO LESS THAN 30 DAYS AfTER DEUVERY
NOTE 6 52.246-2 INSPECTON OF SUPPUES • FIXED PRICE

a~~~= fi"
21. ORDERED BY (NAME AND TITLE) 22. FOR INQUIRIES CALL 23. FOB POINT
LA VANCE 301-763-1840 DESTIN :.:-::::::::::
SUPVY PURCHSG AGT ':i:i;l':':::","":"i:l,' $4_2_,0_00_.00--1
26. CONTRACTINGIORDERING OFFICER SIGNATURE 21. DATE SIGNED 128. PROMPT PAYMENT 129. SHIP VIA
LA VANCE 1 0110812004 I Y N/A
30. SHIP TO (INCLUDE ON SIllPPING LABEL) 31. ISSUING OFFICE (DO NOT SIllP OR BILL TO nus ADDRESS)
OBLIG-2004-86142-0-0
REFERENCE ORDER NO.:
BOC MAIN RECEIVING DOCK BUREAU OF THE CENSUS
ROOM 1203A., FOB 4 ACQUlSrnON BRANCH, ROOM G-312-3
4700 SILVER HILL ROAD 4700 SILVER HILL ROAD
Attn: P H DUNTON
SUITLAND, MD 20746 SUl1LAND MD 20746

Phone:
FORM CD-4~:LEF (09-97) I. ORDER NUMBER
U:s:: DIlPAR'ftIEIlT OF ca-lMERCE
SUPPLY, EQUIPMENT OR SERVICE ORDER 43-YA-BC-486142
(COllTlIlUATION SUEIlT)

32. SUPPLIER 33. ISSUING OFFICE 5. ORDER DA1l! 8. DA1l! PRIN'1l!D

PAGE 2 OF 2
1 HOME FRONT COMMUNICATIONS LLC BUREAU OF TIm CENSUS 01/0812004 1 0211012005
34. 35. 36. 37. 38. 39. 40. 41.
UNE MOL QTY QTY FINAL FIJU ACCOUNTING CLASSIFICATION D1ST% AMOUNT
ITEM RECVD
04 0200000-000 21 10-02-07-00011-04-0009-00-00-00-00 25-20-04-00 000000 100% 42.000.00

42. 43. 44. 45. 46. SHIP TO ADDRESS 42. 43. 44. 45. 46. SHIP TO ADDRESS
UNE MOL QTY RECEIVING (INCLUDE REFERENCE ORDER NO. UNE MOL QTY RECElVING (INCLUDE REFERENCE ORDER NO.
ITEM OFFICE CODE ON SHIPPING LABEL) ITEM OFFICE CODE ON SHIPPING LABEL)

47. 48. 49. so.

UNE REQmSITION NUMBER REQmSITION DESCRIPTION REQmSmONER INFORMATION
ITEM

35574-0 'Renewal of PO 1143-YABC-373369 P H DUNTON (W)301-763-2806 Loc: FB 3 Rrn: 2705

52. RECEIPT SIGNATURE & TITLE 53. RECEIPT DATE

ACCEPTANCE: I CERTIFY TIlAT ARTICLES AND/OR SERVICES ANNOTATED 54. ACCEPTANCE SIGNATURE & TInE 55. ACCEPTANCE DATE
ABOVE HAVE BEEN RECEIVED. INSPECTED AND ACCEPTED AS COMPLYING
WI11l TIllS ORDER, AS OF 1lIE DATE SHOWN.