Executed_W56HZV-12-D-0041_0007.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

Offeror To Complete Block 12, 17, 23, 24, & 30

1. Requisition Number Page Of

2. Contract No. 3. Award/Effective Date 4. Order Number 5. Solicitation Number 6. Solicitation Issue Date

7. For Solicitation Information Call:

A. Name B. Telephone Number (No Collect Calls) 8. Offer Due Date/Local Time

9. Issued By Code 10. This Acquisition is Unrestricted OR Set Aside: % For:

Small Business Women-Owned Small Business (WOSB) Eligible Under the Women-Owned Small Business Program

Hubzone Small Business EDWOSB

Service-Disabled Veteran-Owned Small Business NAICS:

Email: 8(A) Size Standard:

11. Delivery For FOB Destination Unless Block Is Marked

12. Discount Terms 13a. This Contract Is A Rated Order Under DPAS (15 CFR 700) 13b. Rating

See Schedule 14. Method Of Solicitation RFQ IFB RFP

15. Deliver To Code 16. Administered By Code

Telephone No.

17a. Contractor/Offeror Code Facility 18a. Payment Will Be Made By Code

Telephone No.

17b. Check If Remittance Is Different And Put Such Address In Offer

18b. Submit Invoices To Address Shown In Block 18a Unless Block Below Is Checked See Addendum

19.

Item No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

(Use Reverse and/or Attach Additional Sheets As Necessary)

25. Accounting And Appropriation Data 26. Total Award Amount (For Govt. Use Only)

27a.Solicitation Incorporates By Reference FAR 52.212-1, 52.212-4. FAR 52.212-3 And 52.212-5 Are Attached. Addenda Are Are Not Attached.

27b.Contract/Purchase Order Incorporates By Reference FAR 52.212-4. FAR 52.212-5 Is Attached. Addenda Are Are Not Attached.

28. Contractor Is Required To Sign This Document And Return _________ 29. Award Of Contract: Ref. Offer Copies to Issuing Office. Contractor Agrees To Furnish And Deliver All Items Set Forth Or Otherwise Identified Above And On Any Additional Sheets Subject To The Terms And Conditions Specified.

Dated . Your Offer On Solicitation (Block 5), Including Any Additions Or Changes Which Are Set Forth Herein, Is Accepted As To Items:

30a. Signature Of Offeror/Contractor 31a. United States Of America (Signature Of Contracting Officer)

30b. Name And Title Of Signer (Type Or Print) 30c. Date Signed 31b. Name Of Contracting Officer (Type Or Print) 31c. Date Signed

Authorized For Local Reproduction Previous Edition Is Not Usable

Standard Form 1449 (Rev. 2/2012) Prescribed By GSA-FAR (48 CFR) 53.212

SEE SCHEDULE

W56HZV-12-D-0041 2016JUL23 0007

TYRONE MCCULLOM (586)282-3759

TYRONE.MCCULLOM.CIV@MAIL.MIL

W56HZV

U.S. ARMY CONTRACTING COMMAND

WARREN, MICHIGAN 48397-5000

811310

X

X DOA4

SEE SCHEDULE

S5111A

DCMA HAMPTON

2000 ENTERPRISE PARKWAY SUITE 200

HAMPTON VA 23666-2432

757-315-4301

4J2G1

TEREX CORPORATION

TEREX GOVERNMENT PROGRAMS

150 RIVERSIDE PKWY STE 203

FREDERICKSBURG, VA 22406-1094

HQ0338

DFAS-COLUMBUS CENTER

SOUTH ENTITLEMENT OPERATIONS

P.O. BOX 182264

COLUMBUS OH 43218-2264

SEE SCHEDULE

SEE CONTRACT ADMINISTRATION DATA $466,004.14

X X

X 2

/SIGNED/

JENNIFER L. JUSELA

JENNIFER.L.JUSELA.CIV@MAIL.MIL (586)282-4905 2016JUL22

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19.

Item No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

32a. Quantity In Column 21 Has Been

Received Inspected Accepted, And Conforms To The Contract, Except As Noted: _________________________________________________

32b. Signature Of Authorized Government Representative 32c. Date 32d. Printed Name and Title of Authorized Government Representative

32e. Mailing Address of Authorized Government Representative 32f. Telephone Number of Authorized Government Representative

32g. E-Mail of Authorized Government Representative

33. Ship Number 34. Voucher Number 35. Amount Verified 36. Payment 37. Check Number Correct For Partial Final Complete Partial Final

38. S/R Account No. 39. S/R Voucher Number 40. Paid By

41a. I Certify This Account Is Correct And Proper For Payment 42a. Received By (Print) 41b. Signature And Title Of Certifying Officer 41c. Date 42b. Received At (Location)

42c. Date Rec’d (YY/MM/DD) 42d. Total Containers

Standard Form 1449 (Rev. 2/2012) Back

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: TYRONE MCCULLOM

Buyer Office Symbol/Telephone Number: CCTA-HCP-D/(586)282-3759

Type of Contract 1: Firm Fixed Price

Kind of Contract: Service Contracts

Type of Business: Large Business Performing in U.S.

Surveillance Criticality Designator: B

Weapon System: Cranes, Wheel

*** End of Narrative A0000 ***

Contract: W56HZV-12-D-0041

Task Order (T.O.): 0007

Amount of this Action: $466,004.14

The purpose of Task Order 0007 to requirements contract W56HZV-12-D-0041 is to:

1. Issue Task Order 0007 in accordance with the basic contract DFARS clause 252.216-7006, "Ordering".

A. The Government requires performance of services within the limits and at rates specified in the base contract for the fourth ordering year (OY4).

B. The period of performance will be required from 23 July 2016 through 24 January 2017.

2. Fund the following CLINs with a period of performance date from 23 July 2016 through 24 January 2017.

CLIN Description Unit Price Quantity Amount

4001AA FSR 1 (OY4) $1,073.48/Day 186 $199,667.28

4001AB FSR 2 (OY4) $1,073.48/Day 186 $199,667.28

4003AA FSR Travel Costs $3,200.00/Trip 2 $6,400.00

4004AA Program Manager (OY4) $324.03/Day 186 $60,269.58

Total Amount: $466,004.14

3. All work shall be performed in accordance with the base contract and all previoulsy incorporated modifications.

4. Except as specified above, all other terms and conditions remain unchanged and in full force and effect.

*** END OF NARRATIVE A0001 ***

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W56HZV-12-D-0041/0007

TEREX CORPORATION

PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SUPPLIES OR SERVICES AND PRICES/COSTS

4001 FSR MAC 50 CRANE OY4 EXTENSIO

4001AA FIELD SERVICE REPRESENTATIVE (FSR) #1 1 LO $ 199,667.28 _____________________________________ __________________

SERVICE REQUESTED: FSR MAC 50 CRANE OY4 EXTENSIO

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: P166F3392T PRON AMD: 01 ACRN: AA

PSC: 3590

Field Service Representative in support of MAC-50

Crane service.

Task Order 0007 funds FSR support under the Base

Contract W56HZV-12-D-0041 in accordance with

Modification P00017. As such, FSR # 1 is funded by

CLIN 4001AA for a period of 186 days beginning on 23

JUL 2016 and ending on 24 JAN 2017.

The daily rate applicable to this period of performance is based on the Ordering Year Four (OY4)

FSR rate of $1,073.48 per day. The $199,667.28 obligated under CLIN 4001AA represents the daily FSR rate of $1,073.48 X 186 days.

Contractor is authorized to submit a request for payment in WAWF every 30 days. The contractor is only allowed to submit for payment the first time under this CLIN 31 days after performance in

Afghanistan under this CLIN has passed. Then the contractor may invoice every 30 days thereafter up to a total of 186 days maximum.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 23-JUL-2016

End Date: 24-JAN-2017

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 24-JAN-2017

$ 199,667.28

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

4001AB FIELD SERVICE REPRESENTATIVE (FSR) #2 1 LO $ 199,667.28 _____________________________________ __________________

SERVICE REQUESTED: FSR MAC 50 CRANE OY4 EXTENSIO

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: P166F3392T PRON AMD: 01 ACRN: AA

PSC: 3590

Field Service Representative in support of MAC-50

Crane service.

Task Order 0007 funds FSR support under the Base

Contract W56HZV-12-D-0041 in accordance with

Modification P00017. As such, FSR # 1 is funded by

CLIN 4001AA for a period of 186 days beginning on 23

JUl 2016 and ending on 24 JAN 2017.

The daily rate applicable to this period of performance is based on the Ordering Year Four (OY4)

FSR rate of $1,073.48 per day. The $199,667.28 obligated under CLIN 4001AA represents the daily FSR rate of $1,073.48 X 186 days.

Contractor is authorized to submit a request for payment in WAWF every 30 days. The contractor is only allowed to submit for payment the first time under this CLIN 31 days after performance in

Afghanistan under this CLIN has passed. Then the contractor may invoice every 30 days thereafter up to a total of 186 days maximum.

(End of narrative B001)

Field Service Representative in support of MAC-50

Crane service.

Task Order 0007 funds FSR support under the Base

Contract W56HZV-12-D-0041 in accordance with

Modification P00017. As such, FSR # 2 is funded by

CLIN 4001AA for a period of 186 days beginning on 23

JUL 2016 and ending on 24 JAN 2017.

The daily rate applicable to this period of performance is based on the Ordering Year Four (OY4)

FSR rate of $1,073.48 per day. The $199,667.28 obligated under CLIN 4001AB represents the daily FSR rate of $1,073.48 X 186 days.

Contractor is authorized to submit a request for payment in WAWF every 30 days. The contractor is only allowed to submit for payment the first time under this CLIN 31 days after performance in

Afghanistan under this CLIN has passed. Then the contractor may invoice every 30 days thereafter up to

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

a total of 186 days maximum.

(End of narrative B002)

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 23-JUL-2016

End Date: 24-JAN-2017

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 24-JAN-2017

$ 199,667.28

4003 FSR MAC 50 CRANE EXTENSION

4003AA FSR TRAVEL COSTS 1 LO $ 6,400.00 ___________________________ __________________

SERVICE REQUESTED: FSR MAC 50 CRANE EXTENSION

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: P166F3392T PRON AMD: 01 ACRN: AA

PSC: R425

In accordance with Scope of Work Section C.2.10, FSR airfare from Kuwait to their country of residence, and return trip, will be paid for by the Government.

The Government shall provide transportation via military air lift into and out of Afghanistan. If the contractor desires commercial flights out of

Afghanistan, the contractor will bear all costs relating to returning the FSR to CONUS.

The FSR R&R Travel Costs rate for Ordering Year Four

(OY4) is $3,200.00 per FSR per trip.

Task Order 0007 under Contract W56HZV-12-D-0041 funds one each R&R Travel occurrences for FSR # 1 and

FSR # 2 during OY4 extension of this contract at a rate of $3,200 per occurrence per FSR.

The $6,400.00 obligated under CLIN 4003AA represents the rate of $3,200.00 per occurrence X 2 occurrences.

(End of narrative B001)

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 23-JUL-2016

End Date: 24-JAN-2017

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 24-JAN-2017

$ 6,400.00

4004 FSR MAC 50 CRANE EXTENSION

4004AA PROGRAM MANAGER 1 LO $ 60,269.58 ___________________________ __________________

SERVICE REQUESTED: FSR MAC 50 CRANE EXTENSION

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: P166F3392T PRON AMD: 01 ACRN: AA

Program Manager for FSRs in support of MAC-50 Crane service.

Task Order 0007 funds Program Manager support under the Base Contract W56HZV-12-D-0041 in accordance with

Modification P00017. As such, Program Manager support is funded by CLIN 4004AA for a period of 186 days beginning on 23 JUL 2016 and ending on 24 JAN

2017.

The daily rate applicable to this period of performance is based on the Ordering Year Four (OY4)

Program Manager rate of $324.03 per day. The

$60,269.58 obligated under CLIN 4004AA represents the daily Program Manager rate of $324.03 X 186 days.

Contractor is authorized to submit a request for payment in WAWF every 30 days. The contractor is only allowed to submit for payment the first time under this CLIN 31 days after performance in

Afghanistan under this CLIN have passed. Then the contractor may invoice every 30 days thereafter up to a total of 186 days maximum.

(End of narrative B001)

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Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

Inspection and Acceptance _________________________

INSPECTION: Destination ACCEPTANCE: Destination

Deliveries or Performance _________________________

Period of Performance

Start Date: 23-JUL-2016

End Date: 24-JAN-2017

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 24-JAN-2017

$ 60,269.58

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Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

CONTRACT ADMINISTRATION DATA

PRON/ PRON/

AMS CD/ AMS CD/

LINE MIPR/ OBLG JO NO/ OBLIGATEDLINE MIPR/ OBLG JO NO/ OBLIGATED

ITEM GFEBS ATA STAT ACCT ASSIGN ACRN AMOUNTITEM GFEBS ATA STAT ACCT ASSIGN ACRN AMOUNT_____ _________ _____ ___________ ____ _______________ _________ _____ ___________ ____ __________

4001AA P166F3392T 1 A.0026135.5.1.1 AA $ 199,667.28

4001AB P166F3392T 1 A.0026135.5.1.1 AA $ 199,667.28

4003AA P166F3392T 1 A.0026135.5.1.1 AA $ 6,400.00

4004AA P166F3392T 1 A.0026135.5.1.1 AA $ 60,269.58

TOTAL $ 466,004.14

OBLIGATED OBLIGATED

ACRN ACCOUNTING CLASSIFICATION AMOUNTACRN ACCOUNTING CLASSIFICATION AMOUNT____ _________________________ ______________ _________________________ __________

AA 021 201620162020 A5XDO 135197VFRE 3101 L045660050 A.0026135.5.1.1 021001 $ 466,004.14 __________________

TOTAL $ 466,004.14

LINELINE

ITEM ACRN EDI/SFIS ACCOUNTING CLASSIFICATIONITEM ACRN EDI/SFIS ACCOUNTING CLASSIFICATION_____ ____ _______________________________________ ____ __________________________________

4001AA AA 021 201620162020 A5XDO 135197VFRE 3101 L045660050 A.0026135.5.1.1 021001

4001AB AA 021 201620162020 A5XDO 135197VFRE 3101 L045660050 A.0026135.5.1.1 021001

4003AA AA 021 201620162020 A5XDO 135197VFRE 3101 L045660050 A.0026135.5.1.1 021001

4004AA AA 021 201620162020 A5XDO 135197VFRE 3101 L045660050 A.0026135.5.1.1 021001

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