1. Date 2. 3. le of request Delivwzy Purchase 2000/ required request by number Q 0 ase I/9p : Cl -Ry DWQM"27 F? R~p0W89R003 T QSJUN14W 10 -ORIGINAL AND 8 COPIES 4As~utho~ .144-2) 5A_ Funds are certified available and have been committed I/ Accounting classification 5B. Amount sighature ovreccor R/ D: JOHN T. BERBRICH, Office for ~ & TI c 014o,uq GFo3ol IXkX C03~`Y~ $1,450,000.00 ' Date Type Name pc~ 4B. Name, Ext, and Signature of Designated Supply Coordinator (DIAM 25-1) SG1J 5C. Name and signature of Certifying Official SG1J Signature Signature Type Name Date Type Name Date SG1A Office Symbol ODT-S 7A. ship To: Director 78. Markfor: (ODT-S: DIA SG1J Washin ton. D.C. 20340-6150 8A. Estimated i U O j Stocklitem Description uant n Price Amount No. of Supplies ty t or Services RELEASE OF FUNDS $1,450,000.00 FOR EXTERNAL RESEARCH AND ANALYSIS. 9. F-1 Recurring 8B. requirement Total Sourc e: USA Schedule $1,450,000.00 Number (if known) Acquisition Plan No. 10. Action Office if External to DIA: other: lnterserv;ce Support Agreement No: External POC: 11. Justification/Rem"" The purpose of this request is to pursu e general phenomenological research- 1111111111110111"" Funds for this effort are in the approved FY 92 DIA budget as line item 1-"If for Congressional Directed Programs. This request identifies new research required to fulfill the FY 92 Congressional Direction. Follow-on research resulting from the same FY 92 Congressionally Directed action is identified in PR 330/025Z/92 as a modification to the existing contract (MDA 908-91-C-0037 12A. Requisition 13A. Number/Other Coo~irgtjons C~ 9- 0CRRB C El SADPO 11 -_ - , GC OOC-4 ,phone No. O0C_5 RLE-ZA Dee RL )(2 -q E - 2&A!_V OOC-2 RSQ 130. Approvals El Not required 13C. Budget Reporting Code AAP B400 i (DIAR Offi 44-4) d A dVM i i i CO on ce s t Contract cqu n9 an C1 Other: 6km)o 0 ACA Yes El No 12D. Received 14A. 146. By: (Signature) Action Of6te Assigned To: SG1J Contract Specialist: Date I Telephone No: ffi, Previous Edition is ObsoMe. DIA FORM 6 r-%VW6ved For Release 2000/08/08 : ClA-RDP96-00789R0030002000119-7 0, #4MG0300 0200019-7- DO U IAAI*d WaCF-00 REFERENCEOBLIGATIONS UNOBLIGATED REFERENCEOBLIGATIONS UNOBLIGATED ,-,ATENUMBER INCURRED BALANCE REMARKS DATENUMBER INCURRED BALANCE REMARKS 16. Summary Data for CRRB/SADPO Actions: Purpose: Historical Summary: Intelligence Ouestion/Objective: FY 52 1,450,000 R&D 17. IV of Enclosures: Procurement Package Access Lis.t 2 uniform contract Format (ovw V5K) - 3 Statement of Work/Specifications - 4 Justification for other than full and opencompetition SADPO Acquisition Authority Emergency Justification 5 Services Ouestionnaire List of Recommended Sources 6 Certification of Data Base 7 Government Independent Cost Estimate 8 Do 254,Security Classification Specification C) DD 1423, Contract Data Requirements List with Data Item Description (DD Form 1684) Technical Evaluation Criteria Technical Evaluation Plan 10 Logistical Support Plan MAR 25-4) 11 Other (s AP SU mar-Y 12 Exceptinn-tn r,-Ynnpsis- (of--class S.0 W.) Approved For Release 2000/08/08: CIA-RDP96-00789ROO3000200 .019-7