ORDER FOR SUPPLIES OR SERVICES (Contractor must submit four copies of invoice.)

Transcription

1 14. SHIP TO ORDER FOR SUPPLIES OR SERVICES (Contractor must submit four copies of invoice.) Form Approved OMB No Expires Jun 30, 1997 PAGE 1 OF Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA , and to the Office of Management and Budget, Paperwork Reduction Project ( ), Washington, DC PLEASE DO NOT RETURN YOUR FORM TO EITHER OF THESE ADDRESSES. SEND YOUR COMPLETED FORM TO THE PROCUREMENT OFFICIAL IDENTIFIED IN ITEM CONTRACT/PURCH ORDER NO. 2. DELIVERY ORDER NO. 3. DATE OF ORDER SPRPA1-09-G-002X YMD AUG ISSUED BY CODE 7. ADMINISTERED BY (If other than 6) CODE NAME AND ADDRESS SPM7M1 DLA LAND AND MARITIME MARITIME SUPPLY CHAIN PO BOX 3990 COLUMB OH Local Administrator: PMCMSH1 (614) / FAX: (614) teresa.kershaw@dla.mil CRITICALITY: B 9. CONTRACTOR CODE FACILITY CODE HONEYWELL AEROSPACE UK BUNFORD LANE YEOVIL BA20 2YD GB See Schedule - Do Not Ship to Address in Block 6 CODE 15. PAYMENT WILL BE MADE BY CODE 4. REQUISITION/PURCH REQUEST NO. 5. PRIORITY DCMA NORTHERN EUROPE UNITED KINGDOM UNIT 4505 APO AE DFAS CVDAAD CO PO BOX COLUMB OH DELIVER TO FOB POINT BY(Date) 12. DISCOUNT TERMS SUK12A 238 DAYS ADO NET 30 days 13. MAIL INVOICES TO See Block 15 HQ DELIVERY FOB X 5 DOA1 DEST OTHER (See Schedule if other) 11. MARK IF BINESS IS SMALL SMALL DISAD- VANTAGED WOMEN-OWNED MARK ALL PACKAGES AND PAPERS WITH CONTRACT OR ORDER NUMBER 16. DELIVERY TYPE OF PURCHASE ORDER X This delivery order is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract. Reference your offer dated 2011 JUN 21, MC and furnish the following on terms specified herein. ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOLY HAVE BEEN OR IS NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME. NAME OF CONTRACTOR SIGNATURE TYPED NAME AND TITLE DATE SIGNED If this box is marked, supplier must sign Acceptance and return the following number of copies: 17. ACCOUNTING AND APPROPRIATION DATA/LOCAL E BX:97X CBX S ITEM NO. 19. SCHEDULE OF SUPPLIES/SERVICE 20. QUANTITY ORDERED/ ACCEPTED* 21. UNIT 22. UNIT PRICE 23. AMOUNT TOTAL: 3 * If quantity accepted by the Government is same as quantity ordered, indicate by X. If different, enter actual quantity accepted below quantity ordered and encircle. 26. QUANTITY IN COLUMN 20 HAS BEEN Nancy Sebastian PMCMUCG $ UNITED STATES OF AMERICA BY: CONTRACTING/ORDERING OFFICER 27. SHIP. NO. 28. D.O. VOUCHER NO. 25. TOTAL 29. DIFFERENCE 30. INSPECTED RECEIVED ACCEPTED, AND CONFORMS TO THE CONTRACT EXCEPT AS NOTED DATE 36. I certify this account is correct and proper for payment. DATE SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE SIGNATURE AND TITLE OF CERTIFYING OFFICER 37.RECEIVED AT 38. RECEIVED BY (Print) 39. DATE RECEIVED PARTIAL FINAL 31. PAYMENT COMPLETE PARTIAL FINAL 40.TOTAL CONTAINERS INITIALS 32. PAID BY 33. AMOUNT VERIFIED CORRECT FOR 34. CHECK NUMBER 35. BILL OF LADING NO. 41. S/R ACCOUNT NUMBER 42. S/R VOUCHER NO. DD FORM 1155, JUN 94 (EG) PREVIO EDITION MAY BE ED. Designed using Perform Pro, WHS/DIOR, Jun 94

2 CONTINUATION SHEET SPRPA1-09-G-002X-YMD9 2 5 Manufacture Facilities: HONEYWELL AEROSPACE UK BUNFORD LANE YEOVIL BA20 2YD GB All terms and conditions of this delivery order are in accordance with BOA SPRPA1-09-G-002X effective 27 Jan 09 thru 26 Jan 14. All terms and conditions of the BOA take precedence over conflicting terms and conditions in this delivery order. Please ignore the dollar sign in the award, since the award is in the foreign currency of British Pounds (GBP). The dollar value of this award is based on an exchange rate per British Pound by the issuing agency for evaluation purposes only. Honeywell Aerospace UK shall invoice and the U.S. Government payment office will tender in British Pounds. DSCC accepts the quoted prices in British Pounds (GBP) as follows: CLIN 0001 P/N for a quantity of 3 each Each at 5, GBP for a toal of 16, GBP

3 CONTINUATION SHEET SPRPA1-09-G-002X-YMD9 3 5 PR NSN ITEM DESCRIPTION: RESISTOR,VARIABLE,MOTOR DRIVEN NO DATA IS AVAILABLE. THE ALTERNATE OFFEROR IS REQUIRED TO PROVIDE A COMPLETE DATA PACKAGE INCLUDING DATA FOR THE APPROVED AND ALTERNATE PART FOR EVALUATION. ADEQUATE DATA FOR THE EVALUATION OF ALTERNATE OFFERS IS NOT AVAILABLE AT THE PROCUREMENT AGENCY. THE OFFEROR MT PROVIDE A COMPLETE DATA PACKAGE INCLUDING DATA FOR THE APPROVED AND ALTERNATE PART FOR EVALUATION. CRITICAL APPLICATION ITEM ESE, INC. (1GN08) P/N HONEYWELL AEROSPACE UK () P/N CLIN PR PRLI U/I QUANTITY UNIT PRICE TOTAL PRICE EA 3 $ $ NSN UPC SIZE PGC N/A N/A N/A QTY VARIANCE: PL 0% MIN 0% INSPECTION POINT: ORIGIN ACCEPTANCE POINT: ORIGIN PREP FOR DELIVERY PKGING DATA - MIL-STD D, 15 DEC 1999 QUP = 001: PRES MTHD = ZZ: CLNG/DRY = X: PRESV MAT = XX: WRAP MAT = XX: CH/DUNN MAT = XX: CH/DUNN THKNESS = X: UNIT CONT = XX: OPI = M: INTRMDTE CONT = XX: INTRMDTE CONT QTY = XXX: PACK CODE = U: MARKING SHALL BE IN ACCORDANCE WITH MIL-STD-129. SPECIAL MARKING CODE: ZZ - SUPPLEMENTAL INSTRUCTIONS PRESERVATION AND PACKAGING SHALL BE IAW THE LATEST REVISION OF MILITARY SPECIFICATION: MIL-DTL-39032, FOR RESISTORS. CONTINUED ON NEXT PAGE

4 CONTINUATION SHEET SPRPA1-09-G-002X-YMD9 4 5 DLAD Clause , Unit Package Marking Requirement for Component Lead Finish, Applies. For all shipments of packaged materiel to the government, which includes either Depot (DLA-Direct) or DVD (Customer- Direct) shipments, both DoD linear and two-dimensional (2D) bar code markings are required on Military Shipping Labels in accordance with MIL-STD-129, Revision P, dated December 15, 2002 (but see DLAD (D) for exceptions to the requirement for MSL and 2D symbols). See the DLA packaging web site identified in DLAD (E) for change notices to MIL-STD-129P that apply. 2D bar coding shall be in accordance with ISO/IEC 15438, ISO/IEC (ANSI MH10.8.3) and DoD R. MSL linear (code 3 of 9 or code 39) bar coding shall be in accordance with ISO/IEC Shipping label stock quality shall meet MIL-PRF Bar code print quality shall meet ANSI MH or ANSI X (R2000) for applicable 2D and/or linear bar codes. All DVD shipments shall meet additional linear bar coding requirements in DLAD (C). Except for the Transportation Control Number (TCN), which must always be present on the Military Shipping Label, when the contract/order omits any other data elements as defined in MIL-STD-129P and if the information is not available from the Administrative Contracting Office, then the field is not required as part of the Military Shipping Label and may be left blank. If there are inconsistencies between the schedule and MIL-STD-129P, the schedule takes precedence. DELIVER FOB: ORIGIN BY: 2012 MAR 29 PARCEL POST/FREIGHT ADDRESS: W25G1U W1BG DLA DISTRIBUTION DDSP NEW CUMBERLAND FACILITY 2001 NORMANDY DRIVE DOOR 113 TO 134 NEW CUMBERLAND PA NON-MILSTRIP PROJ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CONTINUED ON NEXT PAGE

5 CONTINUATION SHEET SPRPA1-09-G-002X-YMD9 5 5 REMIT PAYMENT TO: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *