Order - W50S8S26FA007.pdf

14. SHIP TO

ORDER FOR SUPPLIES OR SERVICES PAGE 1 OF

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

(YYYYMMMDD)

4. REQUISITION/PURCH REQUEST NO. 5. PRIORITY

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

DESTINATION

OTHER

(See Schedule if other)

10. DELIVER TO FOB POINT BY (Date)

(YYYYMMMDD)

12. DISCOUNT TERMS

13. MAIL INVOICES TO THE ADDRESS IN BLOCK

11. X IF BUSINESS IS

SMALL

SMALL DISAD-

VANTAGED

WOMEN-OWNED

CODE 15. PAYMENT WILL BE MADE BY CODE 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

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

TYPED NAME AND TITLE DATE SIGNED

(YYYYMMMDD)

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

26.

DIFFERENCES

30. INITIALS

27a. QUANTITY IN COLUMN 20 HAS BEEN

INSPECTED RECEIVED

ACCEPTED, AND CONFORMS

TO THE CONTRACT EXCEPT

AS NOTED:

c. DATE

(YYYYMMMDD)

b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

28. SHIP. NO.

PARTIAL

FINAL

31. PAYMENT

COMPLETE

PARTIAL

FINAL

29. D.O. VOUCHER NO.

32. PAID BY 33. AMOUNT VERIFIED CORRECT FOR

34. CHECK NUMBER

35. BILL OF LADING NO.

42. S/R VOUCHER NO.

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

a. DATE

(YYYYMMMDD)

b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

37. RECEIVED

AT

38. RECEIVED BY (Print) 39. DATE RECEIVED

(YYYYMMMDD)

40. TOTAL CON-

TAINERS

41. S/R ACCOUNT NUMBER

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE.

CONTRACTING/ORDERING OFFICER

9. CONTRACTOR CODE FACILITY

NAME

AND

ADDRESS

BY:

d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

f. TELEPHONE NUMBER g. E-MAIL ADDRESS

Section A - Solicitation/Contract Form

Advantor CCTV and IDS UpgradeInstrument Name:

North American Industry Classification System (NAICS) : 334290

W50S8S26FA007

Section B - Supplies or Services & Prices or Costs

Additional Information/Notes

Item Supplies/Service Quanti ty

Unit Unit Price Amount

0001 Base upgrade to CCTV and IDS

Product Type Code: 5810

Product Service Code: 5810

North American Industry Classification System (NAICS):

334290

Pricing Arrangement: Firm Fixed Price

CIN: 00000000000013119914

ACRN: AA

PR Number: F9F3SF6180A001 PR Line Item Number: 0001

1 Job USD 515,772.00

Firm Price

USD

515,772.00 Funded Amount

USD

515,772.00

Section C - Description/Specifications/Statement of Work

Requirements Full turnkey installation of an AFI 31-101 compliant CCTV and IDS across Toledo ANGB. Includes cameras, network hardware, and IDS panels integrated into the existing VMS 3.3 at Building 120

(BDOC).

Section E - Inspection and Acceptance

Overall Contract Inspection/Acceptance Locations

0001 Inspection and Acceptance Location

Both Destination Instructions: Will be delivered to bldg 155

DoDAAC: W50S8S CountryCode: USA

W7NU USPFO ACTIVITY OHANG 180

KO FOR OHANG DO NOT DELETE, 2660 S EBER RD

SWANTON, OH 43558-9645

UNITED STATES

TSgt Richard Jagodzinski

Section F - Deliveries or Performance

0001 Delivery Schedule Delivery On Or Before Delivery Date 29 Jul 2027

1 JobQuantity

Address and POC Ship To DoDAAC: W50S8S CountryCode: USA

W7NU USPFO ACTIVITY OHANG 180

KO FOR OHANG DO NOT DELETE, 2660 S EBER RD SWANTON, OH 43558-9645

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Origin (Shipping Point)

Section G - Contract Administration Data

ACRN LOA Total Amount

AA ^^^097^2025^2026^^0400^000^^^D^^^^^^1100

^57008711^012215^^^^^^^^

USD 515,772.00

Line Item R/MIPR - PR Line Item# CIN Amount

CLIN 0001 F9F3SF6180A001 - 0001 00000000000013119914 USD 515,772.00

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate Deviation

Variation Effective Date

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports.

2018-12

DFARS Clauses Incorporated by Full Text

Number Title Effective Date

Alternate Deviation

Variation Effective Date

252.232-7006 Wide Area WorkFlow Payment Instructions.

2023-01

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)

(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: Invoice 2in1

(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.

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

Routing Data:

Pay Official DoDAAC: HQ0768

Issue By DoDAAC: W50S8S

Admin DoDAAC: W50S8S

Inspect By DoDAAC: F9F3SF

Ship To Code: Not Applicable

Ship From Code: Not Applicable

Mark For Code: Not Applicable

Service Approver (DoDAAC): F9F3SF

Service Acceptor (DoDAAC): F9F3SF

Accept at Other DoDAAC: Not Applicable

LPO DoDAAC: Not Applicable

DCAA Auditor DoDAAC: Not Applicable

Other DoDAAC(s): Not Applicable

(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:

MSgt Scott Hartzell (scott.hartzell@us.af.mil)

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

(End of clause)

Section I - Contract Clauses

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate Deviation

Variation Effective Date

252.203-7000 Requirements Relating to Compensation of Former DoD Officials.

2011-09

252.203-7002 Requirement to Inform Employees of Whistleblower Rights.

2022-12

252.204-7003 Control of Government Personnel Work Product.

1992-04

252.204-7004 Antiterrorism Awareness Training for Contractors.

2023-01

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting.

2024-05

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support.

2023-01

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services.

2023-01

252.223-7008 Prohibition of Hexavalent Chromium.

2023-01

252.225-7001 Buy American and Balance of Payments Program.

2024-02

252.225-7002 Qualifying Country Sources as Subcontractors.

2022-03

252.225-7048 Export-Controlled Items. 2013-06

252.225-7056 Prohibition Regarding Business Operations with the Maduro Regime.

2023-01

252.232-7010 Levies on Contract Payments. 2006-12

252.243-7001 Pricing of Contract Modifications. 1991-12

252.244-7000 Subcontracts for Commercial Products or Commercial Services.

2023-11

ACCTG DISB STA NR 387700

DFAS DEAMS, 27 ARKANSAS RD

LIMESTONE, ME 04751-6216

UNITED STATES

KO FOR OHANG DO NOT DELETE, 2660 S EBER RD

SWANTON, OH 43558-9645

UNITED STATES

KO FOR OHANG DO NOT DELETE, 2660 S EBER RD

SWANTON, OH 43558-9645

UNITED STATES

BARRY BEALE, CONTRACTING OFFICER, EMAIL: BARRY.B.BEALE.CIV@ARMY.MIL TELEPHONE: 6147956141 ADAM KROUSE, CONTRACT SPECIALIST, EMAIL: ADAM.KROUSE@US.AF.MIL TELEPHONE: 419-868-4142 7contractAdminOffice:

SCD: PAS:

12612 CHALLENGER PKWY STE 300

ORLANDO, FL 32826-2784

UNITED STATES

CHARLOTTE CASTILLO, EMAIL: CASTILLO@ADVANTOR.COM TELEPHONE: 4079266979