20200310 - 75D301-20-P-07585 - Purchase Order (OF 347) - Cover Sheet.pdf

ORDER FOR SUPPLIES OR SERVICES

PAGE OF PAGES

1 18

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

1. DATE OF ORDER 2. CONTRACT NO. (If any) 6. SHIP TO:

03/10/2020 75D30120P07585 a. NAME OF CONSIGNEE

3. ORDER NO. 4. REQUISITION/REFERENCE NO. CDC/CCID/NCPDCID/DSR

00HCVLHD-2020-43290 b. STREET ADDRESS

5. ISSUING OFFICE (Address correspondence to)

Centers for Disease Control and Prevention (CDC) Office of Acquisition Services (OAS) 2900 Woodcock Blvd, MS TCU-4 Atlanta, GA 30341-4004

1600 CLIFTON ROAD NE

BUILDING 1

c. CITY

ATLANTA

d. STATE

GA

e. ZIP CODE

30329-4018

f. SHIP VIA

a. NAME OF CONTRACTOR

PERKINELMER HEALTH SCIENCES, INC

DUNS NUMBER: 132010856 8. TYPE OF ORDER

b. COMPANY NAME X a. PURCHASE b. DELIVERY

REFERENCE YOUR:

c. STREET ADDRESS

710 BRIDGEPORT AVE

d. CITY

SHELTON

e. STATE

CT

f. ZIP CODE

06484-4750

9. ACCOUNTING AND APPROPRIATION DATA

939014Q 257N 2020 75-20-0949 5614D11101

10. REQUISITIONING OFFICE

HCVLHD

11. BUSINESS CLASSIFICATION (Check appropriate box(es))

a. SMALL X b. OTHER THAN SMALL c. DISADVANTAGED d. WOMEN-OWNED

12. F.O.B. POINT

Destination

13. PLACE OF

a. INSPECTION b. ACCEPTANCE

14. GOVERNMENT B/L NO.

15. DELIVER TO F.O.B. POINT

ON OR BEFORE (Date)

03/09/2021

16. DISCOUNT TERMS

Net 30 Days

17. SCHEDULE (See reverse for Rejections)

ITEM NO.

(a)

SUPPLIES OR SERVICES

(b)

QUANTITY

ORDERED

(c)

UNI

T

(d)

UNIT

PRICE

(e)

AMOUNT

(f)

QUANTITY

ACCEPTED

(g)

CDC/NCEZID: Justin Lee, (404) 718–3829, psd8@cdc.gov

CDC/OFR/OAS: Lee Catherine Kennedy,

(770) 488–2673, vhg0@cdc.gov

PerkinElmer: Lucas Gillespie, (615) 205–9951, Lucas.Gillespie@PerkinElmer.com

18. SHIPPING POINT

19. GROSS SHIPPING WEIGHT

20. INVOICE NO.

21. MAIL INVOICE TO: $68,491.58

a. NAME

Centers for Disease Control and Prevention (FMO)

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

PO Box 15580 404-718-8100 $142,602.98

c. CITY

Atlanta

d. STATE

GA

e. ZIP CODE

303330080

22. UNITED STATES

OF AMERICA (Signature)

23. NAME (Typed)

Lee Catherine Kennedy

TITLE: CONTRACTING/ORDERING OFFICER

NSN 7540-01-152-8083

PREVIOUS EDITION NOT USABLE

OPTIONAL FORM 347 (REV. 6/95)

Prescribed by GSA/FAR 48 CFR 53.213(e)

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.

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.

17(h) TOT.

(Cont.

pages)

SEE BILLING

INSTRUCTIONS

ON

REVERSE

7. TO:

17(i)

GRAND

TOTAL

mailto:psd8@cdc.gov mailto:vhg0@cdc.gov mailto:Lucas.Gillespie@PerkinElmer.com