2020.09.02 SPRTA1-20-F-1755PCOsigned.pdf

ORDER FOR SUPPLIES OR SERVICES J

1. CONTRACT/PURCH ORDER/AGREEMENT NO.

SPE4A115G0006

2. DELIVERY ORDER/CALL NO.

SPRTA1-20-F-1755

3. DATE OF ORDER/CALL

(YYYYMMMDD)

4. REQUISITION/PURCH REQUEST NO.

FD20302001755 01

5. PRIORITY

DO: A1

6. ISSUED BY CODE

DLA AVIATION AT OKLAHOMA CITY, OK

DLR PROCUREMENT OPERATIONS (AO)

3001 STAFF DRIVE

TINKER AFB OK 73145-3070

BUYER: James Callins/DLA-AOAA james.callins@us.af.mil

Phone: (405) 739- 4351

7. ADMINISTERED BY (If other than 6) CODE

DCMA PROP OPS - PRATT & WHITNEY

400 MAIN ST MS 115-62

EAST HARTFORD CT 06108-0969

(860)565-8630

SPRTA1 8. DELIVERY FOB

DESTINATION

OTHER

(See Schedule if other)

X

9. CONTRACTOR CODE FACILITY

UNITED TECHNOLOGIES CORPORATION

DBA: PRATT & WHITNEY

MILITARY ENGINES

400 MAIN ST

EAST HARTFORD CT 06118-1873

UNITED STATES

(860) 557-1586 Attn: GEORGE DALRYMPLE EMail Address: george.dalrymple@pw.utc.com

52661 10. DELIVER TO FOB POINT BY (Date)

(YYYYMMMDD)

SEE SCHEDULE

12. DISCOUNT TERMS

NET 30 DAYS

11. X IF BUSINESS IS

SMALL

SMALL

DISAD-VANTAGED

WOMEN-OWNED

13. MAIL INVOICES TO

SEE BLK 15

14. SHIP TO CODE

SEE LINE ITEM SCHEDULE

15. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

DFAS COLUMBUS CENTER

NORTH ENTITLEMENT OPERATIONS

P O BOX 182266

COLUMBUS OH 43218-2266

(800)756-4571

HQ0337

MARK ALL

PACKAGES AND

PAPERS WITH

IDENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2.

16.

TYPE

OF

ORDER

DELIVERY/

CALL

PURCHASE

X This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.

Reference your 30349668 Dated: 14 JUL 2020 furnish the following terms specified herein.

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: 1 (YYYYMMMDD)

18.

ITEM NO.

19.

SCHEDULE OF SUPPLIES/SERVICES

(SEE SCHEDULE)

20. QUANTITY

ORDERED/

ACCEPTED*

21.

UNIT

22.

UNIT PRICE

23.

AMOUNT

IAW BOA SPRTA1-15-G-0006

* 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

BY: James Callins james.callins@us.af.mil

CONTRACTING/ORDERING OFFICER - -

X

25. $ 158,251.52

26.

DIFFERENCES

27a. QUANTITY IN COLUMN 20 HAS BEEN:

INSPECTED RECEIVED ACCEPTED, AND CONFORMS TO

THE CONTRACT EXCEPT AS NOTED:

28. SHIP. NO.

PARTIAL

FINAL

29. D.O. VOUCHER NO.

36. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT.

31. PAYMENT

COMPLETE

PARTIAL

FINAL

32. PAID BY

30.

INITIALS

33. AMOUNT VERIFIED CORRECT FOR

34. CHECK NUMBER

35. BILL OF LADING NO.

37. RECEIVED AT 38. RECEIVED BY (Print) 39. DATE RECEIVED

(YYYYMMMDD)

40. TOTAL CONTAINERS 41. S/R ACCOUNT NUMBER 42. S/R VOUCHER NO.

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

SEE SCHEDULE

S0708A

SCD:B

EFT:T

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.

b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c. DATE

(YYYYMMMDD)

d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

f. TELEPHONE NUMBER g. E-MAIL ADDRESS

a. DATE

(YYYYMMMDD)

b. SIGNATURE AND TITLE OF CONTRACTING OFFICER

Total

Pratt and Whitney Kristina Lenda, Senior Manager 2020/09/02

M323235 Stamp

SPRTA1-20-F-1755

SUPPLIES OR SERVICES AND PRICES/COSTS

DUCT,EXHAUST,AIRCRAFT

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

28 EA $5,651.8400 $158,251.52

CLIN ACRN ACRN Total

0001 AA $158,251.52

NSN: 2840-01-319-8757 NZ

DUCT,EXHAUST,AIRCRA

this item helps support and align the combustion chamber liner.

titanium alloy Manufacturer Part Number 52661 4073476-01 Associated Document(s) Line Item(s)

F3YCAB0213B004

FD20302001755 01 0001

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below.

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

A SW3211 PAA ACCT 09

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

A SW3211 28 EA 30 JUN 2022

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3211

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

3301 F AVE CEN REC BLDG 506 DR 22

TINKER AFB OK 73145-8000

TINKER AFB OK 73145-8000

USA

MARK FOR: (See Individual Line Item) REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER: SPRTA1-20-F-1755

BASIC CONTRACT NUMBER: SPE4A115G0006

CONTRACT CLAUSES

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 97 X4930 .FC04 64 0 47 GT 15380E 01N000 00000 000000 503000 F03000 $158,251.52

PSR: K22661 FSR: 013352 DSR: 334022 CIN: F3YCAB0213B004

ACRN TOTAL $ 158,251.52

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) Government Contract Quality Assurance Inspection and Acceptance will be at (Final):

Item No(s): 0001 Inspection Code and Address: Pratt & Whitney Plant, Vendor’s Plant, Georgia Distribution Center (GDC), and/or Southern Logistics Center (SLC

(The above Clause/Provision has been modified.)

52.247-29 F.O.B. ORIGIN (FEB 2006)

(IAW FAR 47.303-1(c))

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b)) Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address:

Pratt & Whitney Plant, Vendor’s Plant, Georgia Distribution Center (GDC), and/or Southern Logistics Center (SLC

(The above Clause/Provision has been modified.)

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages 3078159_PKGRQMT_REPORT.pdf Report

13AUG2020

3078160_TRNSPDATA_REPORT.pdf Report

13AUG2020