DD_Form_1155_TO_0001.doc

DOC document 82 KB Posted

Attached to
MOBILE CONSOLIDATED COMMAND CENTER (MCCC) SUPPORT CONTRACT (MSC) Federal contract opportunity
Solicitation number
FA8707-11-R-0010
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Hanscom Air Force Base

About this file

DD Form 1155 for Transition Task Order (TO) 0001

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Other files for this federal contract opportunity

Other files attached to MOBILE CONSOLIDATED COMMAND CENTER (MCCC) SUPPORT CONTRACT (MSC), newest first.
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Amendment 0002.pdf PDF
Amendment 0001.pdf PDF
MCCC Amended Bidders' Library Proposal Due Date 20111118.pdf PDF
MCCC FBO Update 8 Nov 11.pdf PDF
Atch_20 - Mission Essential Contractor Services.pdf PDF
Atch_01-0001_-_MCCC_Transition_TO_SOO.pdf PDF
INSTRUCTIONS FOR OBTAINING BIDDERS' LIBRARY.pdf PDF
MCCC Industry day.pdf PDF

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Text version

ORDER FOR SUPPLIES OR SERVICES

1. CONTRACT/PURCH ORDER/AGREEMENT NO.

FA8707-11-D-0010

2. DELIVERY ORDER/ CALL NO.

3. DATE OF ORDER/CALL

(YYYYMMMDD)

4. REQUISITION/PURCH REQUEST NO.

SEE SCHEDULE

5. PRIORITY

6. ISSUED BY ESC/HSIK
CODE
FA8707
7. ADMINISTERED BY (If Other than 6)
CODE

8. DELIVERY FOB

ESC/HSIK

1050 E STEWART AVE

PETERSON AFB, CO 80914-2902

KATHRYN M. BERNSTEIN 719-556-8838

kathryn.bernstein@peterson.af.mil

X
DESTINATION

OTHER

(See Schedule if other)

SCD: PAS: (NONE)

9. CONTRACTOR
CODE

FACILITY

10. DELIVER TO FOB POINT BY (Date)
11. X IFBUSINESS IS
(YYYYMMMDD) SEE SCHEDULE
SMALL

NAME

AND

12. DISCOUNT ITEMS
SMALL DISAD-VANTAGED

ADDRESS

N
WOMEN-OWNED

13. MAIL INVOICES TO ADDRESS IN BLOCK

SEE BLOCK 15 (PAYMENT OFFICE)

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

PACKAGES AND

PAPERS WITH

IDENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2.

EFT:T

16.
DELIVERY/
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.
TYPE
CALL
OF
PURCHASE
Reference your furnish the following on items specified herein.

ORDER

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.

NAME OF CONTRACTOR SIGNATURE

TYPED NAME AND TITLE DATE SIGNED(YYYYMMMDD)

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

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

18. ITEM NO.
19. SCHEDULE OF SUPPLIES/SERVICES
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.
24. UNITED STATES OF AMERICA
25. TOTAL
$0.00

29.

DIFFERENCES

KATHRYN M. BERNSTEIN

BY:

CONTRACTING/ORDERING OFFICER

26. QUANTITY IN COLUMN 20 HAS BEEN
27. SHIP NO.
28. D.O. VOUCHER NO.
30. INITIALS

INSPECTED

RECEIVED

ACCEPTED, AND CONFORMS TO THE

CONTRACT EXCEPT AS NOTED

PARTIAL
32. PAID BY
33. AMOUNT VERIFIED CORRECT FOR

FINAL

DATE SIGNATURE AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32. PAYMENT

34. CHECK NUMBER

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

COMPLETE

PARTIAL

35. BILL OF LADING

DATE SIGNATURE AND TITLE OF CERTIFYING OFFICER

FINAL

37. RECEIVED

AT

38. RECEIVED BY (Print)
39. DATE RECEIVED

(YYYYMMMDD)

40. TOTAL CON-

TAINERS

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

DD FORM 1155, JAN 1998 (EG) ConWrite Version 6.13.1 PREVIOUS EDITION MAY BE USED Created 03 Nov 2011 8:14 AM

Qty Unit Price

ITEM

SUPPLIES OR SERVICES

Purch Unit Total Item Amount

TRANSITION

$0.00

Noun:

TRANSITION

Contract type:

U - COST PLUS FIXED FEE

Start Date:

01 AUG 2012

Completion Date:

30 SEP 2012

Descriptive Data:

1. The Contractor shall perform under a transition plan for 61 days after contract award as set forth in the MCCC Transition Task Order (TO) Performance Work Statement (PWS) and the applicable portions of the MCCC Overarching Performance Work Statement (PWS).

2. Period of performance (POP) of the CLIN is 1 Aug 12 - 30 Sep 12.

3.

Estimated Cost:

Fixed Fee (5%):

Total CPFF:

TRAVEL - TRANSITION

$0.00

TRANSITION - TRAVEL (3400)

S - COST

Start Date:

01 AUG 2012

Completion Date:

30 SEP 2012

1. This is a cost reimbursable CLIN while performing service efforts under CLIN 0008. Travel will be reimbursed in accordance with Federal Acquisition Regulation (FAR) 31.205-46, with maximums that do not exceed the per diem rates in effect at the time of travel as set forth in the Joint Travel Regulation (JTR). The contractor shall not incur travel expenses unless funding is available. General and administrative (G&A) cost may be added as applicable. No profit or fee shall be added on reimbursable travel costs.

2. The period of performance is 1 Aug 12 through 30 Sep 12.

3. This is a Cost Reimbursement CLIN.

Qty Unit Price

ITEM

SUPPLIES OR SERVICES

Purch Unit Total Item Amount

TRANSITION - DATA CPFF

NSP

Lot

NSP

TRANSITION - DATA

NSN:

N - Not Applicable

DD1423 is Exhibit:

A

U - COST PLUS FIXED FEE

Inspection:

DESTINATION

Acceptance:

FOB:

1. The contractor shall deliver data in accordance with and as specified in Section J, Exhibit A (Contract Data Requirements List (CDRL)) and the MCCC Transition Task Order (TO) Performance Work Statement (PWS) and the applicable portions of the MCCC Overarching Performance Work Statement (PWS).

2. The period of performance is 1 Aug 12 through 30 Sep 12.

3. This CLIN is Not Separately Priced (NSP). Price for the CDRL deliverables is contained within CLIN 0008.

SHIP

MARK

TRANS

ITEM

SUPPLIES SCHEDULE DATA

QTY

TO

FOR

PRI

DATE

U

ASREQ

TRANSITION - DATA

DOCUMENT

PGS

DATE

TITLE

ATTACHMENT 1

27 OCT 2011

TRANSITION STATEMENT OF OBJECTIVES (SOO) (WILL BE REPLACED WITH CONTRACTOR PROVIDED PWS UPON TASK ORDER AWARD)

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