3.01_Solicitation_24PR0R685.pdf

ORDER FOR SUPPLIES OR SERVICES

(Contractor must submit four copies of invoice.)

PAGE 1 OF

1.CONTRACT/PURCH ORDER NO. 3.DATE OF ORDER

(YY /MM /DD)

5.PRIORITY2.DELIVERY ORDER NO. 4.REQUISITION/PURCH REQUEST NO.

6.ISSUED BY CODE N00383 CODE7.ADMINSTERED BY (If other than 6)

8.DELIVERY

FOB

DEST

OTHER

(See Schedule if other)

9.CONTRACTOR CODE FACILITY CODE 10.DELIVER TO FOB POINT BY

(Date)(YY/MM/DD)

11.X IF

BUSINESS IS

SMALL

SMALL DISAD

VANTAGED

WOMEN-OWNED

NAME AND

ADDRESS

12.DISCOUNT TERMS

13.MAIL INVOICES TO THE ADDRESS IN BLOCK

SEE BLOCK 15

14.SHIP TO CODE 15.PAYMENT WILL BE MADE BY CODE MARK ALL

PACKAGES AND

PAPERS WITH

CONTRACT OR

ORDER NUMBER

SEE ORDER SCHEDULE

16.

TYPE

OF

ORDER

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

PURCHASE

Reference your to furnish the following on terms specified herein.

ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRSENTED 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.

NAME OF CONTRACTOR SIGNATURE TYPED NAME AND TITLE DATE SIGNED

(YY/MM/DD)

If this box is marked, supplier must sign Acceptance and return the following number of copies:

AMOUNT

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

18.

ITEM

NO.

19.

SCHEDULE OF SUPPLIES/SERVICE

20.QUANTITY

ORDERED/

ACCEPTED*

21.

UNIT

22.

UNIT PRICE

23.

AMOUNT

* 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.

25. TOTAL

26.

DIFFERENCE

UNITED STATES OF AMERICA

BY:

27.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

(YYYYMMMDD)

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. INTITIALS

PARTIAL

FINAL

32. PAID BY 33.AMOUNT VERIFIED CORRECT FOR

f. TELEPHONE NUMBER g. E-MAILL ADDRESS

(717) 605- 31. PAYMENT 34. CHECK NUMBER

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

a.DATE

(YYYYMMMDD)

b. SIGNATURE AND TITLE OF CERTIFYING OFFICER PARTIAL 35. BILL OF LADING NO.

FINAL

37.RECEIVED

AT

38.RECEIVED BY (Print) 39.DATE

RECEIVED

(YY/MM/DD)

40.TOTAL CON-

TAINERS

41.S/R ACCOUNT NO 42.S/R VOUCHER NO.

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE

NAVSUP WEAPON SYSTEM SUPPORT

700 ROBBINS AVE PHILADELPHIA,

PA 19111

STANDARD FORM 36, JULY 1966

GENERAL SERVICES ADMINISTRATION

FED. PROC. REG (4)1 CFR) 1-16.101)

CONTINUATION SHEET

PAGE OF REF. NO. OF DOC. BEING CONT’D

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT

PRICE

AMOUNT

SECTION D - PRESERVATION, PACKAGING, PACKING AND MARKING REQUIREMENTS

Preservation, packaging, packing and marking instructions shall be in accordance

DOCUMENT REF. NO. PAGE

CLAUSE

D400

SEC.

NO.

REQUISITION, CONTRACT OR ORDER NUMBER

N0038324PR0R6

PRESERVATION, PACKAGING, PACKING AND MARKING REQUIREMENTS

General All specifications applicable to these requirements shall be of the issue in effect on the date of the invitation for bid or original negotiation. Packaging terms, levels of protection, etc. used in this exhibit are defined in MIL-STD-2073-1.

Preservation and packaging shall be accomplished in accordance with the requirements of MIL-P-116. The specific packaging procedures, and Level of Protection for each item are delineated in the coded format of MIL-STD-2073-2 and cited below, along with additional data elements as defined in MIL-STD-2073-1.

ITEM NUMBER(S)

PRESER-

VATION

METHOD C

L E

A N

D

R

Y PRESERV

-ATIVE

MATL

WRAP-

PING

MATL

CUSHION/

DUNNAGE

MATL C

U

B

IC

T H

IC

K

N

E S

S UNIT

CON-

TAINER L

E

V E

L

O F

P R

O

T INTERIM

CON-

TAINER U

N

IT

C N

T R

L V

L

S P

E C

M K

G

PACKING CODE015523522

5 1 1 0 6 G B L K 0 F 2 A 0 0 A 03 F F F

HAZMAT

QTY PER UNIT

PACK

INT CTNR QTY UNIT PACK WT UNIT PACK CU SPI NUMBER REV SPI DATE CONTAINER NIIN GFM CFM

N 001 000

CONTAINER MANAGER CODE PHONE (215) 697- SUPPLEMENTAL INSTRUCTIONS

ITEM NUMBER(S)

PRESER-

VATION

METHOD C

L E

A N

D

R

Y PRESERV

-ATIVE

MATL

WRAP-

PING

MATL

CUSHION/

DUNNAGE

MATL C

U

B

IC

T H

IC

K

N

E S

S UNIT

CON-

TAINER L

E

V

P R

O

T INTERIM

CON-

TAINER U

N

IT

C N

T R

L V

L

S P

E C

M K

G

PACKING CODE

HAZMAT

QTY PER UNIT

PACK

INT CTNR QTY UNIT PACK WT UNIT PACK CU SPI NUMBER REV SPI DATE CONTAINER NIIN GFM CFM

CONTAINER MANAGER CODE PHONE (215) 697- SUPPLEMENTAL INSTRUCTIONS

ITEM NUMBER(S)

PRESER-

VATION

METHOD C

L E

A N

D

R

Y PRESERV

-ATIVE

MATL

WRAP-

PING

MATL

CUSHION/

DUNNAGE

MATL C

U

B

IC

T H

IC

K

N

E S

S UNIT

CON-

TAINER L

E

V

P R

O

T INTERIM

CON-

TAINER U

N

IT

C N

T R

L V

L

S P

E C

M K

G

PACKING CODE

HAZMAT

QTY PER UNIT

PACK

INT CTNR QTY UNIT PACK WT UNIT PACK CU SPI NUMBER REV SPI DATE CONTAINER NIIN GFM CFM

CONTAINER MANAGER CODE PHONE (215) 697- SUPPLEMENTAL INSTRUCTIONS

ITEM NUMBER(S)

PRESER-

VATION

METHOD C

L E

A N

D

R

Y PRESERV

-ATIVE

MATL

WRAP-

PING

MATL

CUSHION/

DUNNAGE

MATL C

U

B

IC

T H

IC

K

N

E S

S UNIT

CON-

TAINER L

E

V

P R

O

T INTERIM

CON-

TAINER U

N

IT

C N

T R

L V

L

S P

E C

M K

G

PACKING CODE

HAZMAT

QTY PER UNIT

PACK

INT CTNR QTY UNIT PACK WT UNIT PACK CU SPI NUMBER REV SPI DATE CONTAINER NIIN GFM CFM

CONTAINER MANAGER CODE PHONE (215) 697- SUPPLEMENTAL INSTRUCTIONS

Markings of all containers for Item(s) years after date of cure shelf life marking shall consist of the quarter of the year (i.e. Jan thru march 192 =1Q92) in accordance with MIL-STD-129.

Markings of all containers for Item(s) years after date of manufacture/assembly.

Shelf life marketing shall consist of the quarter of the year and the year (i.e. Jan thru March 1992 = 1Q92) in accordance with MIL-STD-129.

Refer to Section 5.D for additional requirements.

NAVICP-4030/1 (Rev. 3-02)