RFP_Section_J_Atch_4_-_Sample_Cost_Plus_Fixed_Fee_(CPFF)_Task_Order.pdf

ORDER FOR SUPPLIES OR SERVICES

1. CONTRACT/PURCH ORDER/AGREEMENT NO.

2. DELIVERY ORDER/ CALL NO.

Task Order 0002

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

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 7.0.6.65 PREVIOUS EDITION MAY BE USED Created 07 Jun 2018 1:53 PM

SAMPLE

LIST OF ATTACHMENTS

FA9451-18-F-0051

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

Noun: STUDIES, ANALYSES, AND EVALUATION

PSC: R499

Contract type: U - COST PLUS FIXED FEE 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 for additional non-recurring activities initiated by DE-JTO pursuant to the requirements outlined in Section 2.7 of 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 Statement of Work (SOW) entitled, "Joint Laser Deconfliction Safety System (JLDSS) Phase II Program Support" (Section J, Attachment 1 of this task order).

Period of Performance: Base Period (12 Month Period beginning after award of this task order)

Noun: DATA AND REPORTS - NOT SEPARATELY PRICED (NSP)

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, incorporated as Exhibit A in the basic contract. The costs associated with this line item are included in CLIN 0003.

Period of Performance: Base Period (12 Month Period beginning after award of this task order)

FA9451-18-F-0051

DOCUMENT PGS DATE TITLE

ATTACHMENT 1 2 30 MAY 2018 JOINT LASER DECONFLICTION SAFETY SYSTEM

(JLDSS) PHASE II PROGRAM SUPPORT SOW