19NZ9526P0311.pdf

ORDER FOR SUPPLIES OR SERVICES

IMPORTANT: Mark all packages and papers with contract and/or order numbers. PAGE OF PAGES

1. DATE OF ORDER

25 Sep 2026

2. CONTRACT NO.(If any) 6. SHIP TO:

19NZ9526P0311, WELLI

3. ORDER NO.

19NZ9526P0311

4. REQUISITION/REFERENCE NO.

PR16170210

a. NAME OF CONSIGNEE

ATTN: FM

5. ISSUING OFFICE (Address correspondence to)

AMERICAN EMBASSY WELLINGTON

29 Fitzherbert Terrace ATTN: GSO Wellington, Contact Name: Narae Jo Phone: +64 21 459 211 Email: JONX@state.gov

b. STREET ADDRESS 29 Fitzherbert Terrace

c. CITY

WELLINGTON

d. STATE

e. ZIP CODE

f. SHIP VIA

7. TO: 8. TYPE OF ORDER

a. NAME OF CONTRACTOR

PAULINE KRUIJF

DUNS NUMBER

CONTACT PHONE NUMBER

E-MAIL:

pauline.de.kruijf@bavak.com

FAX:

a. PURCHASE ORDER

REFERENCE YOUR: _______

Please furnish the following on the terms and conditions specified on both sides of this order and on the attached sheet, if any, including delivery as indicated.

b. DELIVERY ORDER -- Except for billing instructions on the reverse, this delivery order is subject to instructions contained on this side only of this form and is issued subject to the terms and conditions of the above-numbered contract.

b. COMPANY NAME

BAVAK BEVEILIGINGSGROEP B.V.

c. STREET ADDRESS

POSTBUS 334

d. CITY

NOORDWIJK,ZUID-

HOLLAND

e. STATE

f. ZIP CODE

2200AH

10. REQUISITIONING OFFICE

AMERICAN EMBASSY WELLINGTON

ATTN: FM

9.ACCOUNTING AND APPROPRIATION DATA

1900-2026--19___X0535000C-2313-OBO--7901-19NZ9526P0311-2652-

XJZMRSTR-331301-3130101001------- $32,681.07USD

Funds Certification Officer Signature:

11. BUSINESS CLASSIFICATION (Check appropriate box(es)) 12. F.O.B. POINT Destination

a. SMALL b. OTHER THAN SMALL c. DISADVANTAGED

d. WOMEN-OWNED e. HUBZone f. SERVICE-DISABLED VETERAN-OWNED

g. WOMEN-OWNED SMALL BUSINESS (WOSB) ELIGIBLE UNDER

THE WOMEN-OWNED SMALL BUSINESS PROGRAM

h. EDWOSB

13. PLACE OF 14. GOVERNMENT B/L NO.

15. DELIVER TO F.O.B. POINT ON OR BEFORE (Date) 30 Oct 2026

16. DISCOUNT TERMS

a. INSPECTION

b. ACCEPTANCE

17. SCHEDULE (See reverse for Rejections)

ITEM NO.

(a)

SUPPLIES OR SERVICES

(b)

QUANTITY

ORDERED

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

QUANTITY ACCEPTED

(g)

SEE LINE ITEM DETAIL

SEE BILLING

INSTRUCTIONS ON

REVERSE

18. SHIPPING POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE NO. 17(h) TOT.

(Cont. pages)

21. MAIL INVOICE TO:

a. NAME

AMERICAN EMBASSY WELLINGTON

b. STREET ADDRESS (or P.O. Box)

29 FITZHERBERT TERRACE

ATTN: FMC

$32,681.07USD

17(i)

(GRAND

TOTAL)

c. CITY Wellington

d. STATE e. ZIP CODE

22. UNITED STATES OF AMERICA BY (Signature)

24 Sep 2026

23. NAME Typed William C. Wojnarowski

TITLE: CONTRACTING/ORDERING OFFICER

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION NOT USABLE

OPTIONAL FORM 347(REV. 9/2012)

Prescribed by GSA/FAR 48 CFR 53.213(f)

Page: 1 of 7

ORDER FOR SUPPLIES OR SERVICES

SCHEDULE - CONTINUATION

PAGE NO.

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

DATE OF ORDER

25 Sep 2026

TITLE

PR16170210-WLG-FAC- Chancery Bavak Gate Spare Parts

CONTRACT NO.

ORDER NO.

ITEM NO.

(a)

SUPPLIES OR SERVICES

(b)

QUANTITY

ORDERED

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

QUANTITY

ACCEPTED

(g)

0001 Motor+reductor set B-Secure complete, incl.:

- Gearwheel set for manual override,

- Limit switch

- Feig absolute encoder (sealed)

- Feig encoder cable

- Small gear wheel (bottom side motor)

1.00 each $2,910.29USD $2,910.29USD

0002 Filler plate motor 1mm for adjusting position motor

4.00 each $5.82USD $23.28USD

0003 Filler plate motor 1.5mm for adjusting position motor

2.00 each $7.65USD $15.30USD

0004 Slide platform, assembled (incl. bearings)

2.00 each $1,052.60USD $2,105.20USD

0005 Sliding Bearing Pad

8.00 each $120.84USD $966.72USD

0006 Angular contact bearing (large gearwheel) 3205-

B-2RSR-TVH

1.00 each $71.30USD $71.30USD

0007 Dust retainer ring for large gearwheel

1.00 each $15.04USD $15.04USD

0008 Groove ball bearing 6004-RS (for drive unit /connecting rod motor plate)

4.00 each $15.74USD $62.96USD

0009 Ball joint for drive rod B-secure

4.00 each $114.16USD $456.64USD

0010 Panel hinge assembled incl. anti climb provision and bearings (3pcs p/SG wing) incl. powder coating

3.00 each $434.76USD $1,304.28USD

0011 Axial Trustbal bearing 43.5x26x12 mm for Panel hinge

6.00 each $16.48USD $98.88USD

0012 Bush bearing 253032 for panel hinge B-secure

6.00 each $12.03USD $72.18USD

0013 Column hinge assembled including bearing and powder coating

2.00 each $353.31USD $706.62USD

0014 Bush bearing 25x30x25 for Hinges B-Secure

8.00 each $9.60USD $76.80USD

0015 Hinge pin

4.00 each $44.91USD $179.64USD

Page: 2 of 7

0016 Bearing block/house (150x150) at column side

2.00 each $149.77USD $299.54USD

0017 Cover plate for bearing house

2.00 each $34.55USD $69.10USD

0018 Grease nipple M* 90 degrees (bearing in bearing block)

2.00 each $2.10USD $4.20USD

0019 Angular contact bearing (base plate bearing) 7210-

B-JP

2.00 each $80.97USD $161.94USD

0020 Self alligning ball bearing (2 directions) 2205

2RSTVH

2.00 each $48.80USD $97.60USD

0021 Guide wheel (rubber)

2.00 each $41.41USD $82.82USD

0022 Set (2) plastic cover cap guide wheel

2.00 each $1.19USD $2.38USD

0023 Guide wheel axle

2.00 each $62.77USD $125.54USD

0024 Nut M20x1.5

2.00 each $0.64USD $1.28USD

0025 Set safety edges (8pcs p/SG) excl. alu rail, consisting of:

- 2x 15.25TT end list with 8.2kOhm resistor, L=2938mm

- 2x GEF65ST end list with 8.2kOhm resistor, L=2918mm

- 4x GEF65ST in between list (horizontal), L=967.5mm

1.00 set $2,421.41USD $2,421.41USD

0026 ASO Alu rail AL30-10 GE F-range

4.00 meter $8.26USD $33.04USD

0027 ASO Alu rail AL15-9 for safety edge 15.25TT

3.00 meter $7.00USD $21.00USD

0028 Cable Track Cable S200 4 x 0.75

50.00 meter $8.46USD $423.00USD

0029 Photocell set CDR973 (built in version)

2.00 set $130.21USD $260.42USD

0030 XBK PVC Data Cable Eca DIM 47100 LIYCY 4x0.14

10.00 meter $1.36USD $13.60USD

0031 Feig RFUxK-A Expansionboard TST FUZ

1.00 each $448.01USD $448.01USD

0032 Feig Sura 6 Safety Edge Expension board

1.00 each $165.52USD $165.52USD

0033 Limit switch M12 L=10m

1.00 each $122.21USD $122.21USD

Page: 3 of 7

0034 Lever lock including cylinder and camlock (lock in service hatch)

1.00 each $31.52USD $31.52USD

0035 Rittal Door Switch

1.00 each $68.55USD $68.55USD

0036 Traffic light matrix (Redesign) red/green with cable 10 m

1.00 each $235.37USD $235.37USD

0037 TST FU3F-DUGH Controller with freq inverter 1/3 ph (208-240Vac) 10A with brake resistor. Incl cable harnesses and software programm

1.00 each $2,944.72USD $2,944.72USD

0038 PLC Controller FX3G-60MR-ES

1.00 each $1,400.26USD $1,400.26USD

0039 Detector VEK-MNE2-R230-C

1.00 each $264.83USD $264.83USD

0040 Push button EAO 61-1100 NO pulse including starled (Green, Open SG)

2.00 each $136.96USD $273.92USD

0041 Push button EAO 61-1100 NO pulse incl. starled (Yellow, Close SG)

0042 Push button EAO 61-1200 NO switch including starled (Red, Stop SG)

0043 Slide platform, assembled (incl. bearings)

2.00 each $1,052.60USD $2,105.20USD

0044 Sliding Bearing Pad

8.00 each $120.84USD $966.72USD

0045 Angular contact bearing (large gearwheel) 3205-

B-2RSR-TVH

1.00 each $71.30USD $71.30USD

0046 Dust retainer ring for large gearwheel

1.00 each $15.04USD $15.04USD

0047 Groove ball bearing 6004-RS (for drive unit /connecting rod motor plate)

4.00 each $15.74USD $62.96USD

0048 Ball joint for drive rod B-secure

4.00 each $114.16USD $456.64USD

0049 Axial Trustbal bearing 43.5x26x12 mm for Panel hinge

6.00 each $16.48USD $98.88USD

0050 Bush bearing 253032 for panel hinge B-secure

6.00 each $12.03USD $72.18USD

0051 Bush bearing 25x30x25 for Hinges B-Secure 8.00 each $9.60USD $76.80USD

Page: 4 of 7

0052 Bearing block/house (150x150) at column side

2.00 each $149.77USD $299.54USD

0053 Cover plate for bearing house

2.00 each $34.55USD $69.10USD

0054 Grease nipple M* 90 degrees (bearing in bearing block)

2.00 each $2.10USD $4.20USD

0055 Angular contact bearing (base plate bearing) 7210-

B-JP

2.00 each $80.97USD $161.94USD

0056 Self alligning ball bearing (2 directions) 2205

2RSTVH

2.00 each $48.80USD $97.60USD

0057 Guide wheel (rubber)

2.00 each $41.41USD $82.82USD

0058 Set (2) plastic cover cap guide wheel

2.00 each $1.19USD $2.38USD

0059 Guide wheel axle

2.00 each $62.77USD $125.54USD

0060 Nut M20x1.5

2.00 each $0.64USD $1.28USD

0061 Set safety edges (8pcs p/SG) excl. alu rail, consisting of:

- 2x 15.25TT end list with 8.2kOhm resistor, L=2938mm

- 2x GEF65ST end list with 8.2kOhm resistor, L=2918mm

- 4x GEF65ST in between list (horizontal), L=967,5mm

1.00 set $2,421.41USD $2,421.41USD

0062 ASO Alu rail AL30-10 GE F-range

4.00 meter $8.26USD $33.04USD

0063 ASO Alu rail AL15-9 for safety edge 15.25TT

3.00 meter $7.00USD $21.00USD

0064 Cable Track Cable S200 4 x 0,75

50.00 meter $8.46USD $423.00USD

0065 Photocell set CDR973 (built in version)

2.00 set $130.21USD $260.42USD

0066 XBK PVC Data Cable Eca DIM 47100 LIYCY 4x0.14

10.00 meter $1.36USD $13.60USD

0067 Limit switch M12 L=10m

1.00 each $122.21USD $122.21USD

0068 Lever lock including cylinder and camlock (lock in service hatch)

1.00 each $31.52USD $31.52USD

Page: 5 of 7

0069 Estimated transport costs existing of:

- Sea freight

- Order picking

- Wrapping and packing

- Wooden crate

- DAP (Incoterms 2020) Ship to: U.S. Embassy Wellington (29 Fitzherbert Terrace, Thorndon, Wellington, New Zealand 6011)

- Vendor to bill us as per the actual shipping cost.

1.00 each $5,000.00USD $5,000.00USD

TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17h) $32,681.07USD

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION NOT USABLE

TERMS AND CONDITIONS LISTED ON FOLLOWING PAGE. OPTIONAL FORM 348 (REV. 9/2012)

Prescribed by GSA - FAR (48 CFR) 53.213(f)

Page: 6 of 7

Terms and Conditions

Terms & Conditions A. DELIVERY INSTRUCTIONS: The vendor shall coordinate with U.S. EMBASSY WELLINGTON.

Delivery address:

PO No:

U.S. Embassy Wellington

ATTN: GSO

29 Fitzherbert Terrace Thorndon, Wellington 6011, New Zealand

B. BILLING OFFICE INSTRUCTIONS: Submit invoices to the Embassy�s Financial Management Office at NewZealandInvoices@state.gov. Invoices sent to other email addresses or with missing/incorrect information may be delayed.

For EFT Payments: Submit invoices after completion of delivery and/or services. Payment will be made within 30 days of receiving a correct and complete invoice. Ensure your invoice includes:

• Purchase Order Number • Itemized description of goods/services rendered • Total amount due • Bank account details for EFT payment

For Credit Card Payments: Payment are processed in accordance with FAR 32.1108. Please reply with an invoice confirming goods/services have been provided and acknowledging payment completion.

C. COMPLIANCE: The vendor shall comply with the following Federal Acquisition Regulation (FAR) Clauses:

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021) 52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021) 52.204-26 Covered Telecommunications Equipment or Services-Representation (Oct 2020) 52.212-4 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services (Nov 2023) 52.212-5 52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders-Commercial Products and Commercial Services (Jan 2025) 52.232-1 Payments (Apr 1984) 52.232-39 Unenforceability of Unauthorized Obligations (Jun 2013) 52.240-90 Security Prohibitions and Exclusions Representations and Certifications Awards over $30,000 USD 52.204-7 System for Award Management D. VENDOR'S ACCEPTANCE: Please confirm acceptance of this procurement document by signing and returning a copy, via email to Wellington.GSOProcurement@state.gov, within 3 days from receipt.

Name, Designation & Signature Date

Page: 7 of 7