Attachment J.1 DD1155 Damage Control Spares.pdf

ORDER FOR SUPPLIES OR SERVICES

1. CONTRACT/PURCH ORDER/AGREEMENT NO. 2. DELIVERY ORDER/CALL NO. 3. DATE OF ORDER/CALL

(YYYYMMMDD)

4. REQUISITION/PURCH REQUEST NO.

PAGE 1 OF

5. PRIORITY

sol# N61331-24-R-0012 RFQ # 1 TBD TBD

6. ISSUED BY CODE

N61331 Naval Surface Warfare Center Panama City 110 Vernon Avenue Panama City, FL 32407-7018

7. ADMINISTERED BY (If other than 6) CODE 8. DELIVERY FOB

DESTINATION

OTHER

(See Schedule if other)

9. CONTRACTOR CODE

NAME

AND

ADDRESS

FACILITY

10. DELIVER TO FOB POINT BY (Date)

(YYYYMMMDD)

12. DISCOUNT TERMS

11. X IF BUSINESS IS

SMALL

SMALL DISAD‐

VANTAGED

WOMEN‐OWNED

13. MAIL INVOICES TO THE ADDRESS IN BLOCK

14. SHIP TO CODE 15. PAYMENT WILL BE MADE BY CODE

TBD

MARK ALL

PACKAGES AND

PAPERS WITH

IDENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2.

16.

TYPE

OF

ORDER

DELIVERY/

CALL

PURCHASE

This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.

Reference your furnish the following on terms specified herein.

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. 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.

27a. QUANTITY IN COLUMN 20 HAS BEEN

24. UNITED STATES OF AMERICA

BY: CONTRACTING/ORDERING OFFICER

26.

DIFFERENCES

ACCEPTED, AND CONFORMS TO

THE CONTRACT EXCEPT AS NOTED:

b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c. DATE

(YYYYMMMDD)

d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 28. SHIP. NO. 29. D.O. VOUCHER NO. 30. INITIALS

f. TELEPHONE NUMBER g. E‐MAIL ADDRESS

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

PARTIAL

FINAL

31. PAYMENT

COMPLETE

32. PAID BY 33. AMOUNT VERIFIED CORRECT FOR

34. CHECK NUMBER

a. DATE

(YYYYMMMDD)

b. SIGNATURE AND TITLE OF CERTIFYING OFFICER PARTIAL

FINAL

35. BILL OF LADING NO.

37. RECEIVED

AT

38. RECEIVED BY (Print) 39. DATE RECEIVED

(YYYYMMMDD)

40. TOTAL CON-

TAINERS

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

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 8.0

INSPECTED RECEIVED

UNIT

25. TOTAL

See Schedule

SEE SCHEDULE

ATTACHMENT J.1

MAC order under solicitation N61331-24-R-0012 Attachment J.1

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

MASC Supplies RFQ # 1

FFP

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1000AA 30 Each

ITEM 1-1

FFP

SMOKE TENT DDG-51 BY PHOENIX GROUP OF VIRGINIA (757) 615-2367

FOB: Destination

BRAND NAME

MFR PART NR: SGDC-SNT

PSC CD: 9999

NET AMT

QUANTITY UNIT UNIT PRICE AMOUNT ITEM NO SUPPLIES/SERVICES

1000AB 390 Each

ITEM 1-2

FFP

SHORING CAPS BY THE SLATE RIVER CORPORATION (843) 696-5005

FOB: Destination

BRAND NAME

MFR PART NR: SRC-4x4SC

PSC CD: 9999

NET AMT $

QUANTITY UNIT UNIT PRICE AMOUNT ITEM NO SUPPLIES/SERVICES

1000AC 75 Each

ITEM 1-3

FFP

GAS FREE ENGINEERING KIT BAG (GREEN) 11oz BY THE SLATE RIVER

CORPORATION (843) 696-5005

FOB: Destination

BRAND NAME

MFR PART NR: DCKB-25

PSC CD: 9999

NET AMT

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

1000 N/A N/A N/A N/A 1000AA Destination Government Destination Government 1000AB Destination Government Destination Government 1000AC Destination Government Destination Government

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

1000 N/A N/A N/A N/A

1000AA 180 dys. ADC 30 NAVSEA READINESS IMPROVEMENT

PROGRAM FCS

KEVIN STRONG

501 W. FELIX ST

WAREHOUSE 11

FORT WORTH TX 76115

(850) 896-5067 FOB: Destination

N84254

1000AB 180 dys. ADC 390 (SAME AS PREVIOUS LOCATION) FOB: Destination

N84254

1000AC 180 dys. ADC 75 (SAME AS PREVIOUS LOCATION) FOB: Destination

N84254

Section G - Contract Administration Data

CLAUSES INCORPORATED BY FULL TEXT

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(a) Definitions. As used in this clause—

“Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

“Payment request” and “receiving report” are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232- 7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall—

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items—

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

Invoice and Receiving Report (COMBO) Destination/Destination (D/D)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the

Contracting Officer.____________________________________________________________

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial financing, submit a commercial financing request.

(2) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF “combo” document type to create some combinations of invoice and receiving report in one step.]

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC TBD

Issue By DoDAAC N61331

Admin DoDAAC** TBD

Inspect By DoDAAC N84254

Ship To Code N84254

Ship From Code N/A

Mark For Code N/A

Service Approver (DoDAAC) N/A

Service Acceptor (DoDAAC) N/A

Accept at Other DoDAAC TBD

LPO DoDAAC N/A

DCAA Auditor DoDAAC N/A

Other DoDAAC(s) N/A

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) Receiving report. The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

(End of clause)

Attachment J.1 body