70Z04723FPCNI0001_Sector Buffalo.pdf
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ORDER FOR SUPPLIES OR SERVICES PAGE OF PAGES
IMPORTANT: Mark all packages and papers with contract and/or order numbers.
1. DATE OF ORDER 2. CONTRACT NO. (If any)
3. ORDER NO. 4. REQUISITION/REFERENCE NO.
5. ISSUING OFFICE (Address correspondence to)
6. SHIP TO:
a. NAME OF CONSIGNEE
b. STREET ADDRESS
c. CITY d. STATE e. ZIP CODE
f. SHIP VIA
8. TYPE OF ORDER
a. PURCHASE
REFERENCE YOUR:
7. TO:
a. NAME OF CONTRACTOR
b. COMPANY NAME
c. STREET ADDRESS
d. CITY e. STATE f. ZIP CODE
b. DELIVERY -- 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.
17. SCHEDULE (See reverse for Rejections)
22.UNITED STATES OF
AMERICA BY (Signature)
23. NAME (Typed)
TITLE: CONTRACTING/ORDERING OFFICER
SEE BILLING
INSTRUCTIONS
ON
REVERSE
18. SHIPPING POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE NO.
21. MAIL INVOICE TO:
a. NAME
b. STREET ADDRESS (or P.O. Box)
c. CITY d. STATE e. ZIP CODE
17(h) TOT.
(Cont.
pages)
17(i)
GRAND
TOTAL
OPTIONAL FORM 347 (REV. 2/2012)
Prescribed by GSA/FAR 48 CFR 53.213(f)
9. ACCOUNTING AND APPROPRIATION DATA 10. REQUISITIONING OFFICE
11. BUSINESS CLASSIFICATION (Check appropriate box(es))
a. SMALL
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.
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
d. WOMEN-OWNED
h. EDWOSB
12. F.O.B. POINT
13. PLACE OF
a. INSPECTION b. ACCEPTANCE
14. GOVERNMENT B/L NO. 15. DELIVER TO F.O.B. POINT ON
OR BEFORE (Date)
16. DISCOUNT TERMS
b. OTHER THAN SMALL c. DISADVANTAGED
g. WOMEN-OWNED SMALL BUSINESS (WOSB)
ELIGIBLE UNDER THE WOSB PROGRAM
e. HUBZone
f. SERVICE-DISABLED
VETERAN-OWNED
ITEM NO.
(a)
SUPPLIES OR SERVICES
(b)
QUANTITY
ORDERED
(c)
UNIT
(d)
UNIT
PRICE
(e)
AMOUNT
(f)
QUANTITY
ACCEPTED
(g)
SUPPLEMENTAL INVOICING INFORMATION
If desired, this order (or a copy thereof) may be used by the Contractor as the Contractor's invoice, instead of a separate invoice, provided the following statement, (signed and dated) is on (or attached to) the order: "Payment is requested in the amount of $ . No other invoice will be submitted."
However, if the Contractor wishes to submit an invoice, the following information must be provided: contract number (if any), order number, item number(s), description of supplies or service, sizes, quantities, unit prices, and extended totals. Prepaid shipping costs will be indicated as a separate item on the invoice. Where shipping costs exceed $10 (except for parcel post), the billing must be supported by a bill of lading or receipt. When several orders are invoiced to an ordering activity during the same billing period, consolidated periodic billings are encouraged.
RECEIVING REPORT
SHIPMENT
NUMBER
PARTIAL
FINAL
DATE RECEIVED SIGNATURE OF AUTHORIZED U.S. GOV'T REP. DATE
TOTAL CONTAINERS GROSS WEIGHT RECEIVED AT TITLE
REPORT OF REJECTIONS
ITEM NO. SUPPLIES OR SERVICES UNIT
QUANTITY
REJECTED REASON FOR REJECTION
OPTIONAL FORM 347 (REV. 2/2012) BACK
Quantity in the "Quantity Accepted" column on the face of this order has been:
and conforms to contract. Items listed below have been rejected for the reasons indicated.
inspected, accepted, received by me
70Z04723FPCNI0001
TABLE OF CONTENTS:
Listing of Incorporated Purchase Requisitions Section B - Supplies or Services and Prices/Costs Section C - Description/Specifications/Work Statement Section D - Packaging and Marking Section E - Inspection and Acceptance Terms Section F - Delivery or Performance Section G - Contract Administration Data Section H - Special Contract Requirements Section I - Contract Clauses Section J - List of Documents, Exhibits, and other Attachments
Listing of Incorporated Purchase Requisitions
Incorporated Purchase Requisition Numbers:
73001PR230000104
Section B - Supplies or Services and Prices/Costs
Item Number
Base Item Number
Supplies/Services
0001 Buffalo - Demo - Design
TAS 7021/250613
Description:
Purchase Requisitions Referenced IDV Line
IDC Type: Not Applicable
Item Number Base Item
Supplies/Services Quantity Unit
0002 Buffalo - Demo - Construction
TAS 7021/250613
234741 Dollars, U.S.
Contract Type:Firm Fixed Price Unit Price $1.00
Extended Price $234,741.00
Description:
Purchase Requisitions 73001PR230000104 Referenced IDV Line 0001
ACRN
Funded Amount $234,741.00
Supplies/Services Quantity Unit
0003 Buffalo - New Construction - Design
TAS 7021/250613
2168229 Dollars, U.S.
Contract Type:Firm Fixed Price Unit Price $1.00
Extended Price $2,168,229.00
Description:
Purchase Requisitions 73001PR230000104 Referenced IDV Line 0001
ACRN
Funded Amount $2,168,229.00
Supplies/Services Quantity Unit
0004 Buffalo - New Construction - Construction
TAS 7021/250613
28180617 Dollars, U.S.
Contract Type:Firm Fixed Price Unit Price $1.00
Extended Price $28,180,617.00
Description:
Purchase Requisitions 73001PR230000104 Referenced IDV Line 0001
ACRN
Funded Amount $28,180,617.00
Item
Base Item Number
Supplies/Services
0005 Buffalo - Water Storage Tank - Design
Description:
Purchase Requisitions Referenced IDV Line
Supplies/Services Quantity Unit
0006 Buffalo - Water Storage Tank- Construction
TAS 7021/250613
380611 Dollars, U.S.
Contract Type:Firm Fixed Price Unit Price $1.00
Extended Price $380,611.00
Description:
Purchase Requisitions 73001PR230000104 Referenced IDV Line 0001
ACRN
Funded Amount $380,611.00
Supplies/Services Quantity Unit
0007 OPTION 2- ATON Storage Pad-
DESIGN
8306 Dollars, U.S.
Contract Type:Firm Fixed Price Unit Price $1.00
Extended Price $8,306.00
Description:
Purchase Requisitions 73001PR230000104 Referenced IDV Line 0001
ACRN
Funded Amount $8,306.00
Supplies/Services Quantity Unit
0008 OPTION 2 - ATON STORAGE PAD-
CONSTRUCTION
397779 Dollars, U.S.
Contract Type:Firm Fixed Price Unit Price $1.00
Extended Price $397,779.00
Description:
Purchase Requisitions 73001PR230000104 Referenced IDV Line 0001
ACRN
Funded Amount $397,779.00
Supplies/Services Quantity Unit
0009 OPTION 3 - PH IV STIE WORK -
DESIGN
7622 Dollars, U.S.
Contract Type:Firm Fixed Price Unit Price $1.00
Extended Price $7,622.00
Description:
Purchase Requisitions 73001PR230000104 Referenced IDV Line 0001
ACRN
Funded Amount $7,622.00
Supplies/Services Quantity Unit
0010 OPTION 3 - PH IV SITE WORK -
CONSTRUCTION
67773 Dollars, U.S.
Contract Type:Firm Fixed Price Unit Price $1.00
Extended Price $67,773.00
Description:
Purchase Requisitions 73001PR230000104 Referenced IDV Line 0001
ACRN
Funded Amount $67,773.00
Clauses incorporated by reference
None
Clauses incorporated by full text
Section C - Description/Specifications/Work Statement
Section D - Packaging and Marking
Section E - Inspection and Acceptance Terms
Section F - Delivery or Performance
Line Item: 0002 Delivery Date Quantity Delivery Address 10/18/25 234741 USCG Headquarters
2703 Martin Luther King Junior Ave SE Washington
DC US 20032
Line Item: 0003
10/18/25 2168229 USCG Headquarters
2703 Martin Luther King Junior Ave SE
Line Item: 0004
10/18/25 28180617 USCG Headquarters
2703 Martin Luther King Junior Ave SE
Line Item: 0006
10/18/25 380611 USCG Headquarters
2703 Martin Luther King Junior Ave SE
Line Item: 0007
10/18/25 8306 USCG Headquarters
2703 Martin Luther King Junior Ave SE
Line Item: 0008
10/18/25 397779 USCG Headquarters
2703 Martin Luther King Junior Ave SE
Line Item: 0009
10/18/25 7622 USCG Headquarters
2703 Martin Luther King Junior Ave SE
Line Item: 0010
10/18/25 67773 USCG Headquarters
2703 Martin Luther King Junior Ave SE
Section G - Contract Administration Data
Total Obligated Amount: $31,445,678.00
The Obligated Amount is broken down by line of accounting as follows:
Contract ACRN: LOA:
2023|0613000B012125DD|G285G000G000|73001CMDCD|UCGC4P1530|320011|17200099|7009843
8XX|236462653|000000|000000|000000|000000|0|0|0|0
Amount:$31,445,678.00 Clin 0002:$234,741.00 Clin 0003:$2,168,229.00 Clin 0004:$28,180,617.00 Clin 0006:$380,611.00 Clin 0007:$8,306.00 Clin 0008:$397,779.00 Clin 0009:$7,622.00 Clin 0010:$67,773.00
Requesting Office Address 73001 FACILITIES DESIGN & CONST CENTER - Command Cadre
FACILITY DESIGN AND CONSTRUCTION CN USCG
5505 ROBIN HOOD RD STE K
NORFOLK VA 25513
Phone: Fax:
Contact Details:
MALBON, Mr. NORMAN T
NORMAN.T.MALBON@USCG.MIL
COR Office Address 73001 COR FACILITIES DESIGN & CONST CENTER - Command Cadre
5505 ROBIN HOOD RD STE K
NORFOLK VA 25513
Phone: Fax:
Contact Details:
HANSON, Mr. ERIC C
ERIC.C.HANSON@USCG.MIL
Issuing Office Address 70Z047 FDCC (Norfolk) 5505 Robin Hood Rd, Suite K Norfolk VA 23513 Phone: Fax:
Contact Details:
Submit Invoices To Address 73001 COR FACILITIES DESIGN & CONST CENTER-Execution Section
5505 ROBIN HOOD RD STE K
NORFOLK VA 25513
Phone: Fax:
Contact Details:
CHAPA-JOHNSON, Ms. MARIA E
MARIA.E.CHAPA-JOHNSON@USCG.MIL
Administration Office Address 70Z047 FDCC (Norfolk) 5505 Robin Hood Rd, Suite K Norfolk VA 23513
Contact Details:
SMITH, Ms. MALITA M
MALITA.M.SMITH@USCG.MIL
Remit To Office Address
USCG FINANCE CENTER
FINANCE CENTER USCG
1430A KRISTINA WAY
CHESAPEAKE VA 23326-1000
Contact Details:
Section H - Special Contract Requirements
Section I - Contract Clauses
Section J - List of Documents, Exhibits, and other Attachments
| CLM_EFFECTIVE_DATE: 2023-09-29T00:00:00.000-04:00 |
| REF_PR_NUM_T: 73001PR230000104 |
| ISSUING_OFFICE_LOCCODE: 70Z047 |
| Text1: 1 |
| TOTAL_NO_OF_PAGES: 12 |
| Text3: See Schedule |
| VENDOR_CONTACT_FULL_NAME: |
| VENDOR_SITE_NAME: BRASFIELD & GORRIE, L.L.C. |
| VENDOR_ADDRESS_LINE1: 3021 7TH AVE S |
| VENDOR_CITY: BIRMINGHAM |
| VENDOR_STATE_CODE: AL |
| VENDOR_ZIP: 35233 |
| CLM_VENDOR_OFFER_NUMBER: |
| REQ_OFFFICE_LOCCODE: |
| REQ_OFFICE_SADDR: 73001 FACILITIES DESIGN & CONST CENTER - Command Cadre |
FACILITY DESIGN AND CONSTRUCTION CN USCG
NORFOLK, VA, 25513, US
| FP_FOB_LOOKUP_CODE_D: See Schedule |
| Text2: See Schedule |
| FP_PAYMENT_TERM: Net Days - 30 |
| Text4: See Schedule |
| Text8: See Schedule |
| INV_OFFICE_CTNAME: CHAPA-JOHNSON, Ms. MARIA E |
| CO_FULL_NAME: ARGILAN, Ms. PAMELA J |
| CO_SIGNATURE: // Signed / ARGILAN, Ms. PAMELA J |
| INV_OFFICE_CITY: NORFOLK |
| INV_OFFICE_REGION2: VA |
| INV_OFFICE_ZIPCODE: 25513 |
| INV_OFFICE_ADDRL1: 5505 ROBIN HOOD RD STE K |
| CLM_ORDER_NUMBER: 70Z04723DPCNI0001 |
| CLM_DOCUMENT_NUMBER: 70Z04723FPCNI0001 |
| ISSUING_OFFICE_SADDR: 70Z047 FDCC (Norfolk) |
5505 Robin Hood Rd, Suite K Norfolk, VA, 23513, US
| FP_OF347_DELIVERY_ORDER: Y |
| FP_OF347_PURCHASE_ORDER: N |
| HEADER_TOTAL_AMOUNT: 31445678 |
| SET_ASIDE_TYPE: NA |
File details come from the government source that posted it. Updated .