1. Date of 2. 3. request Deli%wry Purchase PuR'_CAWMWjMWr required request Rele by number 20 ase A-Rp~g_qpMROM 00108/08: C 4WI-3 W 10 FEB 92 INSTRUCTIONS - ORIGINAL AND 8 COPIES 4A. Authoi 2) 5A. Funds are certified available and have been committed Accounting clauif !cation 58. Amount - R/D: a TI JOHN T. BERBRICH, Office for Type Nam - Date _il)do4cb-uq ~A~, (_,Fo3ol IX&X lro3M $1,450,000.00 46. Name, Ext, and Signature of Designated Supply Coordinator (DIAM 25-1) SG1J 5C. Name wed signature of Certifying Official SG1j Signature SG1A Signature Type Name Date Type Name Date 6- ---- Vj~ Office Symbol nnT-C, 7A_ Ship To: Director 7B. MarkTor. (ODT-S: SG1j DIA Washin ton. D.C. 20340-6150 BA. Estimated U i Stockfitem Description of Supplies Quantity n Price Amount No. or Services t RELEASE OF FUNDS FOR EXTERNAL $1,450,000.00 RESEARCH AND ANALYSIS. 1-1/417-r't) C0mP_KPlT1vf 'Z2A'7'1TA-c7- 9. El Recurring 8B. requirement Total Source: GSA Schedule $i,450,000.00 Number (if knom) Acquisition Plan No. 10. Action Office if External to DI A: Other: Interservice Support Agreement No: External POC: 11. Justif ication/Remarks The purpose of this request is to pursue general phenomenological research- rr,,- - - .-. . . -I -_ , 11111111111110 ' Funds for this effort are ' ~Y 92 DIA budget as line item '1. 4-6 If for Congressional Directed in the approved 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. NumbqE/Other Coo..VdaorAtions SG1J DCRRB C C19- E] SADPO X1 GC OOC-4 DI. /Phone No. S. UOC_5 RLE-2A e OOC-2 RSQ Data cp 9/? RLI-2 7 - )(2 e 13B. Approvals Not required 13C. Budget Reporting Code AAP (DIAR 44-4) R400 LM Contracting MOB anijAcquibioun Office El Other: ~i")o -AC A Yes No 12D. Received 14A. 148. By: (Signature) Action Date Assigned To: Contract Specialist: Date Telephone No: DIA Previous Edition is Obsolete. r-o"m Apofted For Release 2000/08/08 : CIA-RDP96-00789ROO3000460006-3 Approved For ReleasLm 20nninwn-Q - t"'IA lMr%r%-^ OBLIGATION RECORD REFERENCE OBLIGATIONS UNOBLIGATED REFERENCEOBLIGATIONS UNOBLIGATED REMARKS DATENUMBER INCURRED BALANCE REMARKS oATENUMBER INCURRED. BALANCE _ T T 16. Summary Data for CRRB/SADPO Actions: Purpose' FY 92 1,450,000 R&D Historical Summary' Intelligence (),jestion/objective: 17. lpt of Enclosures: Procurement Package Access List 2 Uniform Contract Format (over $25K) 3 Staument of WorkroPeCifi-ti0m 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 2 Do 254, Security Classification Specification DD 1423, Contract Data Requirements List with Data item Description IDD Form 1664) Technical Evaluation Criteria Technical Evaluation Plan 1 Logistical Support Plan (DIAR 2541 11 Otherls) UP Summa r 12 n i r, (n f c I a. -, s S-0-W. Exception to S t Approved For Release 2000/08/08 : CIA-RDP96-00789ROO3000460006-3