Draft_RFP_Section_J_Atch_2_Draft_Task_Order_0001.pdf

DRAFT

ORDER FOR SUPPLIES OR SERVICES

1. CONTRACT/PURCH ORDER/AGREEMENT NO.

TBD

2. DELIVERY ORDER/ CALL NO.

Task Order (TO) 0001

3. DATE OF ORDER/CALL

(YYYYMMMDD)

4. REQUISITION/PURCH REQUEST NO.

SEE SCHEDULE

5. PRIORITY

DO-A5

6. ISSUED BY AFRL/RVKDT CODE FA9451 7. ADMINISTERED BY (If Other than 6) CODE 8. DELIVERY FOB

AF RESEARCH LABORATORY (DET 8)

3550 ABERDEEN AVE SE

KIRTLAND AFB, NM 87117-5776

BRITNEY C. CHAVEZ 505-853-7282

britney.chavez@us.af.mil

DESTINATION

X OTHER

(See Schedule if other)

SCD: C 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 X 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 DFAS-COLUMBUS CENTER

DFAS-CO/WEST ENTITLEMENT OPS

P.O. BOX 182381

COLUMBUS OH 43218-2381

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

29.

DIFFERENCES

CHRIS L. KEYES

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 6.15.5 PREVIOUS EDITION MAY BE USED Created 13 Apr 2018 2:13 PM

Qty Unit Price ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount

Noun: LABOR AND OPERATIONS

PSC: R499

Contract type: J - FIRM FIXED PRICE Start Date: ASREQ Completion Date: ASREQ Descriptive Data:

The contractor shall furnish all personnel, services, supervision, and all other items necessary to accomplish this task order issued pursuant to the requirements outlined in the Performance Work Statement (PWS) entitled, "Professional Technical Support Services (PTSS) to the Joint Directed Energy Transition Office" (Section J, Attachment 1 of the basic contract) and the PWS entitled, "Labor and Operations Task Order" (Section J, Attachment 1 of this task order).

Period of Performance: Base Period (12 Month Period beginning after award of the basic contract)

Noun: TRAVEL __

PSC: R499

Contract type: S - COST Start Date: ASREQ Completion Date: ASREQ Descriptive Data:

The contractor shall travel as required to support CLIN 0001. All travel and associated estimated costs shall be coordinated and pre-approved in writing by the DE-JTO Program Management Office prior to the trip. Costs are reimbursed in accordance with FAR 31.205-46 - Travel Costs and GSA Travel Per Diem Website. This is a Cost Reimbursable CLIN - No fee will be paid on travel. See Section 6.3, "Travel Reimbursement" of the "Professional Technical Support Services (PTSS) to the Joint Directed Energy Transition Office" (Section J, Attachment 1 of the basic contract) and the PWS entitled, "Labor and Operations Task Order" (Section J, Attachment 1 of this task order).

ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount

NSP

Noun: DATA AND REPORTS

ACRN: U

PSC: R499

DD1423 is Exhibit: A Contract type: J - FIRM FIXED PRICE Start Date: ASREQ Completion Date: ASREQ Descriptive Data:

This CLIN is Not Separately Priced (NSP). The contractor shall furnish data as required by the Contract Data Requirements List, DD Form 1423, A001 - A005, incorporated as Exhibit A in the basic contract. The costs associated with this line item are included in

CLIN 0001.

1001 OPTION CLIN (service)

Noun: LABOR AND OPERATIONS OPTION I

PSC: R499

Descriptive Data:

The contractor shall furnish all personnel, services, supervision, and all other items necessary to accomplish this task order issued pursuant to the requirements outlined in the Performance Work Statement (PWS) entitled, "Professional Technical Support Services (PTSS) to the Joint Directed Energy Transition Office" (Section J, Attachment 1 of the basic contract) and the PWS entitled, "Labor and Operations Task Order" (Section J, Attachment 1 of this task order).

Period of Performance: Option I (12 Month Period beginning after completion of Base

Period)

1002 OPTION CLIN (service) _________

Noun: TRAVEL OPTION I

PSC: R499

Descriptive Data:

The contractor shall travel as required to support CLIN 0001. All travel and associated estimated costs shall be coordinated and pre-approved in writing by the DE-JTO Program Management Office prior to the trip. Costs are reimbursed in accordance with FAR 31.205-46 - Travel Costs and GSA Travel Per Diem Website. This is a Cost Reimbursable CLIN - No fee will be paid on travel. See Section 6.3, "Travel Reimbursement" of the "Professional Technical Support Services (PTSS) to the Joint Directed Energy Transition Office" (Section J, Attachment 1 of the basic contract) and the PWS entitled, "Labor and Operations Task Order" (Section J, Attachment 1 of this task order).

ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount

1004 OPTION CLIN (service) NSP

Noun: DATA AND REPORTS OPTION I

PSC: R499

DD1423 is Exhibit: A Descriptive Data:

This CLIN is Not Separately Priced (NSP). The contractor shall furnish data as required by the Contract Data Requirements List, DD Form 1423, A001 - A005, incorporated as Exhibit A in the basic contract. The costs associated with this line item are included in

CLIN 0001.

2001 OPTION CLIN (service) _________

Noun: LABOR AND OPERATIONS OPTION II

PSC: R499

Descriptive Data:

The contractor shall furnish all personnel, services, supervision, and all other items necessary to accomplish this task order issued pursuant to the requirements outlined in the Performance Work Statement (PWS) entitled, "Professional Technical Support Services (PTSS) to the Joint Directed Energy Transition Office" (Section J, Attachment 1 of the basic contract) and the PWS entitled, "Labor and Operations Task Order" (Section J, Attachment 1 of this task order).

Period of Performance: Option II (12 Month Period beginning after completion of Option I

2002 OPTION CLIN (service) _________

Noun: TRAVEL OPTION II

PSC: R499

Descriptive Data:

The contractor shall travel as required to support CLIN 0001. All travel and associated estimated costs shall be coordinated and pre-approved in writing by the DE-JTO Program Management Office prior to the trip. Costs are reimbursed in accordance with FAR 31.205-46 - Travel Costs and GSA Travel Per Diem Website. This is a Cost Reimbursable CLIN - No fee will be paid on travel. See Section 6.3, "Travel Reimbursement" of the "Professional Technical Support Services (PTSS) to the Joint Directed Energy Transition Office" (Section J, Attachment 1 of the basic contract) and the PWS entitled, "Labor and Operations Task Order" (Section J, Attachment 1 of this task order).

ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount

2004 OPTION CLIN (service) NSP

Noun: DATA AND REPORTS OPTION II

PSC: R499

DD1423 is Exhibit: A Descriptive Data:

This CLIN is Not Separately Priced (NSP). The contractor shall furnish data as required by the Contract Data Requirements List, DD Form 1423, A001 - A005, incorporated as Exhibit A in the basic contract. The costs associated with this line item are included in

CLIN 0001.

3001 OPTION CLIN (service) _________

Noun: LABOR AND OPERATIONS OPTION III

PSC: R499

Descriptive Data:

The contractor shall furnish all personnel, services, supervision, and all other items necessary to accomplish this task order issued pursuant to the requirements outlined in the Performance Work Statement (PWS) entitled, "Professional Technical Support Services (PTSS) to the Joint Directed Energy Transition Office" (Section J, Attachment 1 of the basic contract) and the PWS entitled, "Labor and Operations Task Order" (Section J, Attachment 1 of this task order).

Period of Performance: Option III (12 Month Period beginning after completion of Option

II Period)

3002 OPTION CLIN (service) _________

Noun: TRAVEL OPTION III

PSC: R499

Descriptive Data:

The contractor shall travel as required to support CLIN 0001. All travel and associated estimated costs shall be coordinated and pre-approved in writing by the DE-JTO Program Management Office prior to the trip. Costs are reimbursed in accordance with FAR 31.205-46 - Travel Costs and GSA Travel Per Diem Website. This is a Cost Reimbursable CLIN - No fee will be paid on travel. See Section 6.3, "Travel Reimbursement" of the "Professional Technical Support Services (PTSS) to the Joint Directed Energy Transition Office" (Section J, Attachment 1 of the basic contract) and the PWS entitled, "Labor and Operations Task Order" (Section J, Attachment 1 of this task order).

ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount

3004 OPTION CLIN (service) NSP

Noun: DATA AND REPORTS OPTION III

PSC: R499

DD1423 is Exhibit: A Descriptive Data:

This CLIN is Not Separately Priced (NSP). The contractor shall furnish data as required by the Contract Data Requirements List, DD Form 1423, A001 - A005, incorporated as Exhibit A in the basic contract. The costs associated with this line item are included in

CLIN 0001.

4001 OPTION CLIN (service) _________

Noun: LABOR AND OPERATIONS OPTION IV __

PSC: R499

Descriptive Data:

The contractor shall furnish all personnel, services, supervision, and all other items necessary to accomplish this task order issued pursuant to the requirements outlined in the Performance Work Statement (PWS) entitled, "Professional Technical Support Services (PTSS) to the Joint Directed Energy Transition Office" (Section J, Attachment 1 of the basic contract) and the PWS entitled, "Labor and Operations Task Order" (Section J, Attachment 1 of this task order).

Period of Performance: Option IV (12 Month Period beginning after completion of Option III Period)

4002 OPTION CLIN (service) _________

Noun: TRAVEL OPTION IV

PSC: R499

Descriptive Data:

The contractor shall travel as required to support CLIN 0001. All travel and associated estimated costs shall be coordinated and pre-approved in writing by the DE-JTO Program Management Office prior to the trip. Costs are reimbursed in accordance with FAR 31.205-46 - Travel Costs and GSA Travel Per Diem Website. This is a Cost Reimbursable CLIN - No fee will be paid on travel. See Section 6.3, "Travel Reimbursement" of the "Professional Technical Support Services (PTSS) to the Joint Directed Energy Transition Office" (Section J, Attachment 1 of the basic contract) and the PWS entitled, "Labor and Operations Task Order" (Section J, Attachment 1 of this task order).

ITEM SUPPLIES OR SERVICES Purch Unit Total Item Amount

4004 OPTION CLIN (service) NSP

Noun: DATA AND REPORTS OPTION IV

PSC: R499

DD1423 is Exhibit: A Descriptive Data:

This CLIN is Not Separately Priced (NSP). The contractor shall furnish data as required by the Contract Data Requirements List, DD Form 1423, A001 - A005, incorporated as Exhibit A in the basic contract. The costs associated with this line item are included in

CLIN 0001.

LIST OF ATTACHMENTS

DOCUMENT PGS DATE TITLE

ATTACHMENT 1 2 TASK ORDER 0001 PERFORMANCE WORK

STATEMENT