ORDER FOR SUPPLIES OR SERVICES

Transcription

1 ORDER FOR SUPPLIES OR SERVICES PAGE 1 OF7 1. CONTRACT/PURCH ORDER/AGREEMENT NO. 2. DELIVERY ORDER/CALL NO. 3. DATE OF ORDER/CALL 4. REQUISITION/PURCH REQUEST NO. 5. PRIORITY 2014 SEP DO-A1 6. ISSUED BY CODE SPE4A6 7. ADMINISTERED BY (If other than 6) CODE SPE4A6 8. DELIVERY FOB DLA AVIATION ASC COMMODITIES DIVISION 8000 JEFFERSON DAVIS HIGHWAY RICHMOND VA Local Admin: MOHAMMAD AKHTAR PARWC21 Tel: Fax: MOHAMMAD.AKHTAR@DLA.MIL 9. CONTRACTOR CODE FACILITY 16. TYPE OF ORDER DELIVERY/ CALL PURCHASE DLA AVIATION ASC COMMODITIES DIVISION 8000 JEFFERSON DAVIS HIGHWAY RICHMOND VA Criticality: C PAS: None 10. DELIVER TO FOB POINT BY (Date) 230 DAYS ADO This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract. DESTINATION OTHER (See Schedule if other) 11. X IF BUSINESS IS SMALL SMALL DISAD- VANTAGED WOMEN-OWNED HYDRO-AIRE, INC. DBA 12. DISCOUNT TERMS NAME 3000 WINONA AVE Net 30 days AND BURBANK CA ADDRESS 13. MAIL INVOICES TO THE ADDRESS IN BLOCK See Block SHIP TO CODE 15. PAYMENT WILL BE MADE BY CODE SL4701 MARK ALL SEE SCHEDULE, DO NOT SHIP TO ADDRESSES ON THIS PAGE X DEF FIN AND ACCOUNTING SVC BSM P O BOX COLUMBUS OH PACKAGES AND PAPERS WITH IDENTIFICATION NUMBERS IN BLOCKS 1 AND 2. Reference your Offer/Quote dated 2014 JUL 29 furnish the following on terms specified herein. ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE BEEN OR IS NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME. X 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 USE BX: 97X4930 5CBX S33189 $ ITEM NO. 19. SCHEDULE OF SUPPLIES/SERVICES 20. QUANTITY ORDERED/ ACCEPTED* 21.UNIT 22. UNIT PRICE 23. AMOUNT Award sent EDI, Do not duplicate shipment * 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. 24. UNITED STATES OF AMERICA Cynthia Jones Cynthia.Jones@dla.mil BY: PARFL48 CONTRACTING/ORDERING OFFICER 25. TOTAL 26. DIFFERENCES 27a. QUANTITY IN COLUMN 20 HAS BEEN INSPECTED RECEIVED ACCEPTED, AND CONFORMS TO THE CONTRACT EXCEPT AS NOTED: b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c. DATE d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 28. SHIP. NO. 29. D.O. VOUCHER NO. 30. INITIALS f. TELEPHONE NUMBER g. ADDRESS PARTIAL FINAL 32. PAID BY 33. AMOUNT VERIFIED CORRECT FOR 31. PAYMENT 34. CHECK NUMBER 36. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT. a. DATE b. SIGNATURE AND TITLE OF CERTIFYING OFFICER COMPLETE PARTIAL FINAL 35. BILL OF LADING NO. 37. RECEIVED AT 38. RECEIVED BY (Print) 39. DATE RECEIVED 40. TOTAL CON- TAINERS 41. S/R ACCOUNT NUMBER 42. S/R VOUCHER NO. DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 8.0

2 PAGE 2 OF 7 PAGES IN ADDITION TO THE CLAUSES CONTAIN HEREIN, THE PURCHASE ORDER CLAUSES ARE APPLICABLE AS INDICATED IN THE DLA MASTER SOLICITATION FOR EPROCUREMENT AUTOMATED SIMPLIFIED ACQUISITIONS (PART 13) WHICH CAN BE FOUND ON THE WEB AT FDT AWARD This is a First Destination Transportation (FDT) program award. Transportation requirements for FDT awards are located in DLAD clauses F.o.b. Origin, Government Arranged Transportation and , First Destination Transportation (FDT) Program Shipments Originating Outside the contiguous United States (OCONUS). These instructions do not apply to awards for shipment to APO/FPO ship-to addresses. FOB Point is ORIGIN Inspection/Acceptance Point is DESTINATION Contact the Transportation Office at the Administration Office specified in Block 7 Clauses DO NOT APPLY TO THIS ORDER NOTIFICATION OF REJECTION OF UNILATERAL AWARD (MAR 2001) Unless this is a bilateral award, notice of rejection as described herein is required. The Government's offer to purchase, as evidenced by this order, is made on the basis of your quotation. Although you are not legally obligated to perform on a unilateral purchase order, you should promptly notify the DLA Aviation contract administrator in writing if you do not intend to perform this order by the specified delivery date. Prompt notification means as soon after receiving notice of award as practicable given the circumstances. FAILURE TO PROVIDE PROMPT NOTICE WILL ADVERSELY AFFECT YOUR PAST PERFORMANCE AUTOMATED BEST VALUE SYSTEM SCORE IF THIS ORDER IS LATER CANCELLED AT OTHER THAN THE GOVERNMENT'S REQUEST KENTUCKY SALES TAX AND USE EXEMPTION (DEC 1984) DLAD Contracts awarded under this solicitation are exempt from the Kentucky Sales and Use Tax per Kentucky tax exemption FG-VA-100. No amounts for this tax should be included in bids/offers. CONFIGURATION CONTROL (JUN 2003) NOTICE TO CONTRACTORS: The requirements of this clause are identified to MIL-STD-973. DLA Aviation will continue to reference MIL-STD-973 in solicitations and contracts until implementation of DLA configuration control requirements. The full text of MIL-STD-973 is available at: (a) When configuration management control is cited in the Procurement Item Description, the furnished item(s) shall conform to the approved configuration requirements/revision specified unless a variation is processed and approved as provided for at (b) below. (b) Variations shall be identified and approval obtained in accordance with MIL-STD-973 dated 17 APR 92, with Interim Notice 3 dated 12 JAN 95 as follows: (1) Process an Engineering Change Proposal for any changes to the approved configuration in accordance with Paragraph and Subparagraphs thereto and APPENDIX D, except that Subparagraphs , , and do not apply. (2) Process requests for deviation from the approved configuration in accordance with Paragraph and Subparagraphs thereto and APPENDIX E. (3) Process requests for waiver from the approved configuration in accordance with Paragraph and Subparagraphs thereto and APPENDIX E.

3 PAGE 3 OF 7 PAGES (4) Process requests for parts substitution from the approved configuration in accordance with Paragraph and Subparagraphs thereto. (5) Process Specification Change Notices in accordance with Paragraph and Subparagraphs thereto and APPENDIX F. (6) Process Notices of Revision (NORS) in accordance with Paragraph and APPENDIX G. (7) Process configuration control (short form procedure) in accordance with Paragraph and Subparagraphs thereto and APPENDIX D.

4 PAGE 4 OF 7 PAGES SECTION B SUPPLIES/SERVICES: ITEM DESCRIPTION: SELECTOR SET, DIRECTIONAL HYDRO AIRE INC. CAGE: P/N: Higher Level Contract Quality Requirement (Manufacturers) FAR CLAUSE APPLIES. A QUALITY MANAGEMENT PROGRAM MEETING THE REQUIREMENTS OF ISO 9001:2008 DLA TAILORED HIGHER LEVEL QUALITY CLAUSE FROM ISO 9001:2008 IDENTIFY TO: MARK IAW MIL-STD-130N(1), DATED 16 NOV CONFIGURATION CONTROL APPLIES SAMPLING: 1. SAMPLING FOR INSPECTION AND TESTING SHALL BE IAW ANSI/ASQ Z (R2013). ANY ALTERNATE PLAN MUST BE APPROVED BY THE PCO. A SAMPLING PLAN THAT ACCEPTS ON ZERO DEFECTS IS REQUIRED 2. ANY DEFECTIVE ITEM DISCOVERED DURING INSPECTION MAY BE CAUSE FOR REJECTION OF THE ENTIRE CONTRACT QUANTITY. ADEQUATE DATA FOR THE EVALUATION OF ALTERNATE OFFERS IS NOT AVAILABLE AT THE PROCUREMENT AGENCY.THE OFFEROR MUST PROVIDE A COMPLETE DATA PACKAGE INCLUDING DATA FOR THE APPROVED AND ALTERNATE PART FOR EVALUATION. HYDRO-AIRE, INC. DBA P/N ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT EA SLEEVE AND SLIDE,DI PRICING TERMS: Firm Fixed Price QTY VARIANCE: PLUS 0% MINUS 0% INSPECTION POINT: DESTINATION ACCEPTANCE POINT: DESTINATION

5 PAGE 5 OF 7 PAGES SECTION B SUPPLY/SERVICE: CONT'D FOB: ORIGIN DELIVERY DATE: 2015 MAY 11 PREP FOR DELIVERY: PKGING DATA-QUP:001 SHALL BE PACKAGED STANDARD COMMERCIAL IN ACCORDANCE WITH ASTM D Markings Paragraph When ASTM D3951, Commercial Packaging is specified, the following apply:,,all Section D Packaging and Marking Clauses take precedence over ASTM D3951.,,In addition to requirements in MIL-STD-129, when Commercial Packaging is used, the Method of Preservation for all MIL-STD-129 marking and labeling shall be CP Commercial Pack.,,The Unit of Issue (U/I) and Quantity per Unit Pack (QUP) as specified in the contract take precedence over QUP in ASTM D3951. PARCEL POST ADDRESS: W62G2T W1BG DLA DISTRIBUTION S CHRISMAN ROAD REC WHSE 57 TRACY CA US FOR TRANSPORTATION ASSISTANCE SEE DLAD FOR FIRST DESTINATION TRANSPORTATION (FDT) AWARDS SEE DLAD AND CONTRACT INSTRUCTIONS INSTEAD. FREIGHT SHIPPING ADDRESS: W62G2T W1BG DLA DISTRIBUTION S CHRISMAN ROAD REC WHSE 57 TRACY CA US

6 PAGE 6 OF 7 PAGES SECTION B GOVT USE External External External Customer RDD/ ITEM PR PRLI PR PRLI Material Need Ship Date N/A N/A N/A *****************************************************************************************

7 PAGE 7 OF 7 PAGES SECTION E - INSPECTION AND ACCEPTANCE HIGHER-LEVEL CONTRACT QUALITY REQUIREMENT (FEB 1999) FAR The Contractor shall comply with the higher-level quality standard selected below. [If more than one standard is listed, the offeror shall indicate its selection by checking the appropriate block.] Title Number Date Tailoring [X] ISO [] [] [] [Contracting Officer insert the title, number (if any), date, and tailoring (if any) of the higher-level quality standards.] (End of clause)