N0038318Q013D.pdf

CHECKED

BOX CONFIRMING ORDER-DO NOT DUPLICATE

APPLIES ORDER FOR SUPPLIES OR SERVICES

REQUEST FOR QUOTATION NO.N00383-18-Q-013D

RETURN COPY(IES) OF THIS QUOTE BY 31 MAR 2020

(THIS IS NOT AN ORDER SEE DD FORM 1155R)

PAGE 1 OF

5.CERTIFIED FOR NATIONAL

DEFENSE UNDER 15 CFR 700

DO 1.CONTRACT/PURCHASE ORDER NO. 2. DELIVERY ORDER NO. 3.DATE OF ORDER 4.REQUISITION PURCH REQUEST NO

TBD TBD N0038318PR0R221

6.ISSUED BY CODE N00383 7.ADMINISTERED BY(IF OTHER THAN 6) CODE TBD 8.DELIVERY

NAVSUP Weapon Systems Support

700 Robbins Avenue

Philadelphia PA 19111

Buyer: Erin Donnelly Code: N721.13

Phone:215-697-2995

E-mail: erin.e.donnelly@navy.mil

TBD FOB

DEST

OTHER(See

Schedule If Other)

ORIGIN

9.CONTRACTOR/QUOTE CODE TBD FACILITY CODE 10.DELIVERY TO FOB POINT

ON OR BEFORE:

11.CHECK IF

BUSINESS IS

SMALL

SMALL/

DISADV.

WOMAN OWNED

NAME

AND

ADDRES

S

TBD

12.DISCOUNT TERMS

NET 30

13.MAIL INVOICES TO

(SEE BLOCK 15)

14.SHIP TO CODE TBD

MARK ALL

PACKAGES AND

PAPERS WITH

CONTRACT AND

ORDER NUMBER

See Schedule

16.TYPE OF ORDER This delivery order is subject to instructions contained on this side of form only and is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract. NEGOTIATION EXCEPTION 10 U.S.C. 230- ) DELIVERY PURCHASE Reference your furnish the following on terms specified herein, including, for U.S. purchases, General Provision or Purchase Order on DD Form 1155r(EXCEPT CLAUSE NO. 12 APPLIES ONLY IF THIS BOX IS CHECKED, AND NO 14 IF THIS BOX IS CHECKED): special provisions : and delivery as indicated. This purchase is authority of 10 U.S.C.(a)(3) or as specified in the schedule if within the U.S., its possessions or Puerto Rico, if otherwise under

2304(a)(6).

If checked, Additional General Provisions apply, Supplier shall sign “Acceptance” on DD Form 1155r and return copies.

17. ACCOUNTING AND APPROPRIATION DATA-ACCOUNTING CLASSIFICATION (REV.7-65) TAC

ITEM APPROPRIATION

SYMBOL AND

SUBHEAD

OBJECT

CLASS

BUREAU

CONT NO.

SUB

ALLOT

AUTH’N

ACC’TG ACT’Y

TRANS

TYPE

PROPERTY

ACT’G ACT’Y

COUNTRY COST CODE AMOUNT

AA

18.ITEM NO 19.SCHEDULE OF SUPPLIES/SERVICES

(SEE ATTACHED SCHEDULE)

20.QUANTITY

ORDERED/

ACCEPTED

21.

UNIT

22.

UNIT PRICE

23.

AMOUNT

SURVEILLANCE

CRITICALITY

DESIGNATOR

A B C

X GOVERNMENT INSPECTION AND ACCEPTANCE SHALL BE AT: FOB DoD ADMINISTRATIVE USE ONLY

Contractor’s Plant

Contractor’s or subcontractor’s Plant or associated packaging facility

By: Cognizant DCMA

PRIORITY 03

TRANSPORTATION PRIORITY 08

If quantity accepted by the Government is same as quantity ordered, indicate by check mark.

If different, enter actual quantity accepted below quantity ordered and encircle.

24.UNITED STATES OF AMERICA 25.TOTAL

BY: 29.DIFFERE

NCES

CONTRACTING/ORDERING OFFICER

26.QUANTITY IN COLUMN 20 HAS BEEN

INSPECTED RECEIVED ACCEPTED AND CONFORMS

TO THE CONTRACT EXCEPT

AS NOTED

27.SHIP.NO 28.D.O.VOUCHER NO. 30.

INITIALS

PARTIAL

FINAL

32.PAID BY 33.AMT VERIFIED CORRECT FOR

DATE SIGNATURE OF AUTHORIZED GOVERNMENT REP 31.PAYMENT 34.CHECK NUMBER

36.I CERTIFY THE ACCOUNT IS CORRECT AND PROPER FOR PAYMENT COMPLETE

PARTIAL

FINAL

35.BILL OF LADING NO.

DATE SIGNATURE AND TITLE OF CERTIFYING OFFICER

37.RECEIVED AT 38.RECEIVED BY (Print) 38.DATE

RECEIVED

(YY/MM/DD)

40.TOTAL CONTAINERS 41.S/R ACCOUNT NO.

42.S/R VOUCHER NUMBER

STANDARD FORM 36, JULY 1966

GENERAL SERVICES ADMINISTRATION

FED. PROC. REG (4)1 CFR) 1-16.101)

CONTINUATION SHEET

REF. NO. OF DOC. BEING

CONT’D

PAGE OF

2 3

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT

UNIT

PRICE

AMOUNT

0001AA

IN ACCORDANCE WITH SECTION B, PERFORM EVALUATION AND

REPAIR SERVICES AS REQUIRED

NSN: 5841 014393223

PART NUMBER: 5205000-1

NOMENCLATURE: TRANSMITTER, RADAR

COG: 7R

SMIC: FP

M/F:PTW0H43003T974, SERIAL NUMBER: TAM00035

SHIP TO: PA4SEG

MARK FOR: PTW004

SUPADD: PTW000

FMS CASE: TW-P-P-SEG

PLATFORM: P3

NOTES:

NO FAST PAY.

DO NOT INDUCT TO CAV.

Articles that have been serviced shall be shipped via a Collect Commercial Bill of Lading to the Freight Forwarder listed on the item page. No transportation charges should be incurred against this order. Based on the criticality of the item, NAVSUP

Weapon Systems Support may authorize alternate or priority air shipment for completed repairs. This authorization must be made in writing. No verbal instructions will be honored.

Please note: We are only providing you with the MAPAC SHIP TO and MARK FOR codes and not the full addresses. Prior to the shipment of the material, please consult the MAPAC website to obtain the complete SHIP TO and MARK FOR addresses.

Please click on the MAPAC link on the left hand side of the page and enter the appropriate MAPAC code.

https://www.transactionservices.dla.mil/daasinq/captcha_form.asp

If an item is found to be either Beyond Economical Repair (BER) or Beyone Physical Repair (BPR), the contractor shall notify the Defense Contract Management Agency

(DCMA) Quality Assurance Representative (QAR) for verification of the item’s condition. The QAR will provide their assessment of the item’s condition along with any other pertinent information to the DCMA Administrative Contracting Officer

(ACO). The ACO will route the information to the NAVSUP WSS Procurement Contracting Officer (PCO). The contractor shall not scrap or cannibalize the item until written authorization is provided by the NAVSUP WSS PCO.

All responsible sources may identify their interest and provide capability statements in response to this notice to the PCO listed in Block 6. All proposals received within

10 days after date of publication of this notice will be considered by the Government.

Source Approval is required, WSS will not delay award while Source Approval is pending.

EA