SPE60118D1505.pdf

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GASEOUS NITROGEN CYLINDER MAINTENANCE REPORT

REPAIR

DATE

TYPE OF CYLINDER 3AA /

SERIAL NUMBER EXPLAIN TYPE OF REPAIRS / MAINTENANCE / SERVICES

RECERTIFICATION DATE (MM/YR) /

MISC. COMMENTS

EX: 19-Apr-10

085940 TWLA

085920 TWHS

Re-certificaton testing (Hydrostatic Test,Ultrasonic Test / Replace Valves / Strip clean dry prime paint Apr-10

Prepared by (Contractor Representative):___________________________________________

FREQUENCY OF CYLINDER MAINTENANCE AND REPAIR

Frequency of Cylinder Maintenance and Repair Type of Service # of Occurances Explaination

DOD MULTIMODAL DANGEROUS GOODS DECLARATION

This form may be used as a dangerous goods declaration as it meets the requirements of SOLAS 74, Chapter VII, regulation 54;

MARPOL 79/78, Annex III, Regulation 4.

1. SHIPPER/CONSIGNOR/SENDER 2. TRANSPORT

DOCUMENT NUMBER

3. PAGE 1

OF

PAGES

4. SHIPPER'S REFERENCE (TCN)

6. CONSIGNEE5. FREIGHT FORWARDER'S

REFERENCE

7. CARRIER (To be completed by the carrier)

24-HOUR EMERGENCY ASSISTANCE TELEPHONE NUMBERS:

DOD

NON-EXPLOSIVE

HAZMAT:

(800) 851-8061/

(804) 279-3131

AT SEA:

COLLECT:

(804) 279-3131

DOD HAZ CLASS 1

(EXPLOSIVES) ONLY:

COLLECT:

(703) 695-4695/4696 or DSN: 225-4695/4696 (Watch Officer)

CHEMICAL/BIOLOGICAL

WARFARE MATERIAL:

(410) 436-6200

DSN:

584-6200

DOD SECURE HOLDING:

(800) 826-0794

(For TSPs/drivers emergency secure holding issues, accidents, delays, and incidents)

OIL/CHEMICAL SPILLS:

NRC & TERRORIST HOTLINE:

(800) 424-8802

COLLECT: (202) 267-2675

DOD RADIOACTIVE

MATERIALS: COLLECT

ARMY: (703) 695-4695/4696

USAF: (301) 981-5058

DLA: (800) 851-8061

COLLECT: (804) 279-3131

USN/MC: Use 24-hour emergency response number provided by activity.

8. THIS SHIPMENT IS WITHIN THE LIMITATIONS PRESCRIBED FOR: (X as applicable)

MILITARY VESSEL COMMERCIAL VESSEL

19. ADDITIONAL HANDLING INFORMATION

10. VOYAGE DOCUMENT NUMBER AND

SAILING DATE (To be completed by the carrier)

11. PORT/PLACE OF LOADING

12. PORT/PLACE OF DISCHARGE 13. DESTINATION

DESCRIPTION OF GOODS (UN No., PSN, HC, SHC, PG, number and kind of package, and additional information as required by regulations)

14. SHIPPING

MARKS

GROSS MASS

(kg)

NET MASS/QTY

(kg/l)

15. CONTAINER IDENTIFICATION NO./

VEHICLE REGISTRATION NO.

16. SEAL NUMBER(S) 17. CONTAINER/VEHICLE AND TYPE 18. TARE

MASS (kg)

SHIPPER'S DECLARATION. I hereby declare that the contents of this consignment are fully and accurately described above by the Proper Shipping Name, and are classified, packaged, marked, and labeled/placarded and are in all respects in proper condition for transport according to applicable international and national government regulations.

20. RECEIVING ORGANIZATION RECEIPT

Received the above number of packages/containers/trailers in apparent good order and condition, unless stated hereon:

a. RECEIVING ORGANIZATION REMARKS

b. HAULER'S NAME c. VEHICLE REGISTRATION

NO.

d. SIGNATURE AND DATE e. DRIVER'S SIGNATURE

a. NAME OF COMPANY/MILITARY UNIT b. NAME/STATUS OF DECLARANT/CERTIFIER

c. PLACE AND DATE d. SIGNATURE OF DECLARANT/CERTIFIER

DD FORM 2890, SEP 2015

HIGHWAY/RAIL

9. CONTAINER PACKING CERTIFICATE OR

VEHICLE PACKING DECLARATION,

DD FORM 2781, IS ATTACHED

(X if applicable)

21. SHIPPER PREPARING THIS FORM

PREVIOUS EDITION IS OBSOLETE. Adobe Designer 9.0

INSTRUCTIONS FOR COMPLETING DD FORM 2890,

Item 1. Shipper/Consignor/Sender. Enter the address and telephone number where the HAZMAT was certified.

Item 2. Transport Document Number (Ocean container shipments only).

The vessel manifest number to which the Multimodal Dangerous Goods Declaration will be attached may be entered in this block. The shipper need not enter this number. The accepting operator may enter it at the time it is assigned. Leave blank for breakbulk shipments. Shipper enters container "V" number.

Item 3. Page __ of __ Pages. Enter the page number and total number of pages. Example: Page 1 of 1.

Item 4. Shipper's Content Reference Number (TCN). Enter the 17-character TCN.

Item 5. Freight Forwarder's Reference. Leave blank.

Item 6. Consignee. Enter the six-digit DODAAC and/or the in-the-clear geographical location of the ultimate consignee (if known). For shipments of infectious substances, enter also the full address, name and telephone number of a responsible person for contact in an emergency.

Item 7. Carrier. Enter Vessel Carrier Name. To be completed by the carrier.

24 Hour Assistance Telephone Number(s). Circle applicable emergency number(s).

Item 8. Shipment Within the Limitations Prescribed for Military Vessel/ Commercial Vessel/Highway/Rail. Mark X in the appropriate block.

Item 9. Container Certification/Vehicle Declaration. Declarant must mark X if applicable. U.S. Coast Guard or port officials may require verification of the container certification/vehicle declaration. DD Form 2781 is a detailed checklist which meets USCG/Customs requirements. DD Form 2781 must be signed and attached to DD Form 2890.

Item 10. Voyage Document Number and Sailing Date (To be completed by the carrier). Enter the voyage document number and the date of sail.

Item 11. Port/Place of Loading. Enter the three-digit POE code and/or the in-the-clear geographical location of the port of embarkation.

Item 12. Port/Place of Discharge. Enter the three-digit POD code and/or the in-the-clear geographical location of the port of debarkation.

Item 13. Destination (in the clear). Enter destination address.

Item 14. Shipping Marks.

1. The identification number prescribed for the material as shown in Column

(4) of the Section 49 CFR 172.101 table;

2. The proper shipping name prescribed for the material in Column (2) of the Section 172.101 table;

3. The hazard class or division number prescribed for the material, as shown in Column (3) of the Section 172.101 table. The subsidiary hazard class or division number is not required to be entered when a corresponding subsidiary hazard label is not required. Except for combustible liquids, the subsidiary hazard class(es) or subsidiary division number(s) must be entered in parentheses immediately following the primary hazard class or division number. In addition: The words "Class" or "Division" may be included preceding the primary and subsidiary hazard class or division numbers. The hazard class need not be included for the entry "Combustible liquid, N.O.S."

For domestic shipments, primary and subsidiary hazard class or division names may be entered following the numerical hazard class or division, or following the basic description.

4. The packing group in Roman numerals, as designated for the hazardous material in Column (5) of the Section 172.101 table. Class 1 (explosives) materials; self-reactive substances; batteries other than those containing lithium, lithium ions, or sodium; Division 5.2 materials; and entries that are not assigned a packing group (e.g., Class 7) are excepted from this requirement.

The packing group may be preceded by the letters "PG" (for example, "PGII");

5. Enter additional information from the IMDG, chapter 5.4, as required (i.e.

Marine Pollutant, Flashpoint, Toxin Inhalation Hazard, RQ, etc.).

6. Enter the number and kind of packaging.

Item 14. Shipping Marks (Continued).

7. Except for transportation by aircraft, the total quantity of hazardous materials covered by the description must be indicated (by mass or volume, or by activity for Class 7 materials) and must include an indication of the applicable unit of measurement, for example, "200 kg" (440 pounds) or "50L" (13 gallons). The following provisions also apply: For Class 1 materials, the quantity must be the net explosive mass. For an explosive that is an article, such as Cartridges, small arms, the net explosive mass may be expressed in terms of the net mass of either the article or the explosive materials contained in the article.

8. Ammunition transported by Government Vehicle, Unit will enter the total net quantity for non-explosive material in metric measure. U.S. measure may be added in parentheses underneath the metric measure. For ammunition, enter the total number of rounds/articles and NEW in kg.

Exception: Net total quantity is not required for bulk packages, empty packages and cylinders of Class 2.

9. Radioactive material. The description for a shipment of a Class 7 (radioactive) material must include the following additional entries as appropriate:

a. The name of each radionuclide in the Class 7 (radioactive) material that is listed in Section 173.435 of this subchapter. For mixtures of radionuclides, the radionuclides required to be shown must be determined in accordance with Section 173.433(g) of this subchapter. Abbreviations, e.g., "99 Mo," are authorized.

b. A description of the physical and chemical form of the material, if the material is not in special form (generic chemical description) is acceptable for chemical form).

c. The activity contained in each package of the shipment in terms of the appropriate SI units (e.g. Becquerels (Bq), Terabecquerels (TBq), etc.).

The activity may also be stated in appropriate customary units (Curies (Ci), milliCuries (mCi), microCuries (uCi), etc.) in parentheses following the SI units. Abbreviations are authorized. Except for plutonium-239 and plutonium-241, the weight in grams or kilograms of fissile radionuclides may be inserted instead of activity units. For plutonium-239 and plutonium-241, the weight in grams of fissile radionuclides may be inserted in addition to the activity units.

Item 15. Container ID Number/Vehicle Registration Number. Enter ID number of the container or vehicle registration number. A dash (-) or blank space is acceptable before the check digit.

Item 16. Seal Number(s). Enter seal number installed on container.

Item 17. Container/Vehicle and Type. Enter type and size of container (20 or 40 ft.) or vehicle description (e.g., HUMVEE).

Item 18. Tare Mass (kg). Enter tare weight of the container.

Item 19. Additional Handling Information.

If applicable, provide additional handling instructions.

Enter the Emergency Response Guide (ERG) Number(s) of the HAZMAT and attach the specific ERG page to DD Form 2890.

If applicable, drivers transporting regulated HAZMAT on European highways must be provided Transport Emergency Cards (TREMCARDS) in the host nation language which must be attached to the shipping papers.

Item 20. Receiving Organization Receipt. Leave blank as this will be filled out by the receiving organization. Signing this block states that the shipment is in good order, unless otherwise noted.

Item 21. Shipper Preparing This Form.

a. Name of Company/Military Unit. Enter the name of company.

b. Name/Status of Declarant/Certifier. Enter the name and status of the person signing the form.

c. Place and Date. Enter the place and date the material was certified.

d. Signature of Declarant/Certifier. The person who certifies on behalf of DoD that the shipment complies with the applicable regulatory requirements must sign the form.

DD FORM 2890 (BACK), SEP 2015

DD Form 2890, DoD Multimodal Dangerous Goods Declaration, September 2015

WHS/ESD/DD

9.0.0.2.20120627.2.874785

DOD MULTIMODAL DANGEROUS GOODS DECLARATION

This form may be used as a dangerous goods declaration as it meets the requirements of SOLAS 74, Chapter VII, regulation 54;

MARPOL 79/78, Annex III, Regulation 4.

1. SHIPPER/CONSIGNOR/SENDER

2. TRANSPORT

DOCUMENT NUMBER

3. PAGE 1

OF

PAGES

4. SHIPPER'S REFERENCE (TCN)

6. CONSIGNEE

5. FREIGHT FORWARDER'S

REFERENCE

7. CARRIER (To be completed by the carrier)

24-HOUR EMERGENCY ASSISTANCE TELEPHONE NUMBERS:

DOD

NON-EXPLOSIVE

HAZMAT:

(800) 851-8061/

(804) 279-3131

AT SEA:

COLLECT:

(804) 279-3131

DOD HAZ CLASS 1

(EXPLOSIVES) ONLY:

COLLECT:

(703) 695-4695/4696 or DSN: 225-4695/4696

(Watch Officer)

CHEMICAL/BIOLOGICAL

WARFARE MATERIAL:

(410) 436-6200

DSN:

584-6200

DOD SECURE HOLDING:

(800) 826-0794

(For TSPs/drivers emergency secure holding issues, accidents, delays, and incidents)

OIL/CHEMICAL SPILLS:

NRC & TERRORIST HOTLINE:

(800) 424-8802

AT SEA:

COLLECT: (202) 267-2675

DOD RADIOACTIVE

MATERIALS: COLLECT

ARMY: (703) 695-4695/4696

USAF: (301) 981-5058

DLA: (800) 851-8061

AT SEA:

COLLECT: (804) 279-3131

USN/MC: Use 24-hour emergency response number provided by activity.

8. THIS SHIPMENT IS WITHIN THE LIMITATIONS PRESCRIBED FOR: (X as applicable)

MILITARY VESSEL

COMMERCIAL VESSEL

19. ADDITIONAL HANDLING INFORMATION

10. VOYAGE DOCUMENT NUMBER AND

SAILING DATE (To be completed by the carrier)

11. PORT/PLACE OF LOADING

12. PORT/PLACE OF DISCHARGE

13. DESTINATION

DESCRIPTION OF GOODS (UN No., PSN, HC, SHC, PG, number and kind of package, and additional information as required by regulations)

14. SHIPPING

MARKS

GROSS MASS

(kg)

NET MASS/QTY

(kg/l)

15. CONTAINER IDENTIFICATION NO./

VEHICLE REGISTRATION NO.

16. SEAL NUMBER(S)

17. CONTAINER/VEHICLE AND TYPE

18. TARE

MASS (kg)

SHIPPER'S DECLARATION. I hereby declare that the contents of this consignment are fully and accurately described above by the Proper Shipping Name, and are classified, packaged, marked, and labeled/placarded and are in all respects in proper condition for transport according to applicable international and national government regulations.

20. RECEIVING ORGANIZATION RECEIPT

Received the above number of packages/containers/trailers in apparent good order and condition, unless stated hereon:

a. RECEIVING ORGANIZATION REMARKS

b. HAULER'S NAME

c. VEHICLE REGISTRATION

NO.

d. SIGNATURE AND DATE

e. DRIVER'S SIGNATURE

a. NAME OF COMPANY/MILITARY UNIT

b. NAME/STATUS OF DECLARANT/CERTIFIER

c. PLACE AND DATE

d. SIGNATURE OF DECLARANT/CERTIFIER

DD FORM 2890, SEP 2015

HIGHWAY/RAIL

9. CONTAINER PACKING CERTIFICATE OR

VEHICLE PACKING DECLARATION,

DD FORM 2781, IS ATTACHED

(X if applicable)

21. SHIPPER PREPARING THIS FORM

PREVIOUS EDITION IS OBSOLETE.

Adobe Designer 9.0

INSTRUCTIONS FOR COMPLETING DD FORM 2890,

Item 1. Shipper/Consignor/Sender. Enter the address and telephone number where the HAZMAT was certified.

Item 2. Transport Document Number (Ocean container shipments only). The vessel manifest number to which the Multimodal Dangerous Goods Declaration will be attached may be entered in this block. The shipper need not enter this number. The accepting operator may enter it at the time it is assigned. Leave blank for breakbulk shipments. Shipper enters container "V" number.

Item 3. Page __ of __ Pages. Enter the page number and total number of pages. Example: Page 1 of 1.

Item 4. Shipper's Content Reference Number (TCN). Enter the 17- character TCN.

Item 5. Freight Forwarder's Reference. Leave blank.

Item 6. Consignee. Enter the six-digit DODAAC and/or the in-the-clear geographical location of the ultimate consignee (if known). For shipments of infectious substances, enter also the full address, name and telephone number of a responsible person for contact in an emergency.

Item 7. Carrier. Enter Vessel Carrier Name. To be completed by the carrier.

24 Hour Assistance Telephone Number(s). Circle applicable emergency number(s).

Item 8. Shipment Within the Limitations Prescribed for Military Vessel/Commercial Vessel/Highway/Rail. Mark X in the appropriate block.

Item 9. Container Certification/Vehicle Declaration. Declarant must mark X if applicable. U.S. Coast Guard or port officials may require verification of the container certification/vehicle declaration. DD Form 2781 is a detailed checklist which meets USCG/Customs requirements. DD Form 2781 must be signed and attached to DD Form 2890.

Item 10. Voyage Document Number and Sailing Date (To be completed by the carrier). Enter the voyage document number and the date of sail.

Item 11. Port/Place of Loading. Enter the three-digit POE code and/or the in-the-clear geographical location of the port of embarkation.

Item 12. Port/Place of Discharge. Enter the three-digit POD code and/or the in-the-clear geographical location of the port of debarkation.

Item 13. Destination (in the clear). Enter destination address.

Item 14. Shipping Marks.

1. The identification number prescribed for the material as shown in Column (4) of the Section 49 CFR 172.101 table;

2. The proper shipping name prescribed for the material in Column (2) of the Section 172.101 table;

3. The hazard class or division number prescribed for the material, as shown in Column (3) of the Section 172.101 table. The subsidiary hazard class or division number is not required to be entered when a corresponding subsidiary hazard label is not required. Except for combustible liquids, the subsidiary hazard class(es) or subsidiary division number(s) must be entered in parentheses immediately following the primary hazard class or division number. In addition: The words "Class" or "Division" may be included preceding the primary and subsidiary hazard class or division numbers. The hazard class need not be included for the entry "Combustible liquid, N.O.S." For domestic shipments, primary and subsidiary hazard class or division names may be entered following the numerical hazard class or division, or following the basic description.

4. The packing group in Roman numerals, as designated for the hazardous material in Column (5) of the Section 172.101 table. Class 1 (explosives) materials; self-reactive substances; batteries other than those containing lithium, lithium ions, or sodium; Division 5.2 materials; and entries that are not assigned a packing group (e.g., Class 7) are excepted from this requirement. The packing group may be preceded by the letters "PG" (for example, "PGII");

5. Enter additional information from the IMDG, chapter 5.4, as required (i.e. Marine Pollutant, Flashpoint, Toxin Inhalation Hazard, RQ, etc.).

6. Enter the number and kind of packaging.

Item 14. Shipping Marks (Continued).

7. Except for transportation by aircraft, the total quantity of hazardous materials covered by the description must be indicated (by mass or volume, or by activity for Class 7 materials) and must include an indication of the applicable unit of measurement, for example, "200 kg" (440 pounds) or "50L" (13 gallons). The following provisions also apply: For Class 1 materials, the quantity must be the net explosive mass. For an explosive that is an article, such as Cartridges, small arms, the net explosive mass may be expressed in terms of the net mass of either the article or the explosive materials contained in the article.

8. Ammunition transported by Government Vehicle, Unit will enter the total net quantity for non-explosive material in metric measure. U.S. measure may be added in parentheses underneath the metric measure. For ammunition, enter the total number of rounds/articles and NEW in kg. Exception: Net total quantity is not required for bulk packages, empty packages and cylinders of Class 2.

9. Radioactive material. The description for a shipment of a Class 7 (radioactive) material must include the following additional entries as appropriate:

a. The name of each radionuclide in the Class 7 (radioactive) material that is listed in Section 173.435 of this subchapter. For mixtures of radionuclides, the radionuclides required to be shown must be determined in accordance with Section 173.433(g) of this subchapter. Abbreviations, e.g., "99 Mo," are authorized.

b. A description of the physical and chemical form of the material, if the material is not in special form (generic chemical description) is acceptable for chemical form).

c. The activity contained in each package of the shipment in terms of the appropriate SI units (e.g. Becquerels (Bq), Terabecquerels (TBq), etc.). The activity may also be stated in appropriate customary units (Curies (Ci), milliCuries (mCi), microCuries (uCi), etc.) in parentheses following the SI units. Abbreviations are authorized. Except for plutonium-239 and plutonium-241, the weight in grams or kilograms of fissile radionuclides may be inserted instead of activity units. For plutonium-239 and plutonium-241, the weight in grams of fissile radionuclides may be inserted in addition to the activity units.

Item 15. Container ID Number/Vehicle Registration Number. Enter ID number of the container or vehicle registration number. A dash (-) or blank space is acceptable before the check digit.

Item 16. Seal Number(s). Enter seal number installed on container.

Item 17. Container/Vehicle and Type. Enter type and size of container (20 or 40 ft.) or vehicle description (e.g., HUMVEE).

Item 18. Tare Mass (kg). Enter tare weight of the container.

Item 19. Additional Handling Information.

If applicable, provide additional handling instructions.

Enter the Emergency Response Guide (ERG) Number(s) of the HAZMAT and attach the specific ERG page to DD Form 2890.

If applicable, drivers transporting regulated HAZMAT on European highways must be provided Transport Emergency Cards (TREMCARDS) in the host nation language which must be attached to the shipping papers.

Item 20. Receiving Organization Receipt. Leave blank as this will be filled out by the receiving organization. Signing this block states that the shipment is in good order, unless otherwise noted.

Item 21. Shipper Preparing This Form.

a. Name of Company/Military Unit. Enter the name of company.

b. Name/Status of Declarant/Certifier. Enter the name and status of the person signing the form.

c. Place and Date. Enter the place and date the material was certified.

d. Signature of Declarant/Certifier. The person who certifies on behalf of DoD that the shipment complies with the applicable regulatory requirements must sign the form.

DD FORM 2890 (BACK), SEP 2015

1. Shipper/consignor/sender.:

2. Transport Document Number.:

3. Total number of pages.:

4. Shipper's Reference (TCN).:

5. Freight forwarder's reference.:

6. Consignee.:

7. Carrier (to be completed by the carrier).:

8. This shipment is within the limitations prescribed for: Press space bar to mark X if military vessel.: Off

8. Mark X if commercial vessel.: Off

8. Mark X if highway/rail.: Off

9. Mark X if DD Form 2781 is attached.: Off

10. Voyage document number and sailing date.:

11. Port/place of loading.:

12. Port/place of discharge.:

13. Destination.:

14. Shipping Marks. Description of goods (UN number, PSN, HC, SHC, PG, number and kind of package, and additional information as required by regulation), line 1.:

Net mass/quantity (kg/l).:

Gross mass (kg).:

Description of goods, line 2.:

Net mass/quantity (kg/l).:

Gross mass (kg).:

Description of goods, line 3.:

Net mass/quantity (kg/l).:

Gross mass (kg).:

Description of goods, line 4.:

Net mass/quantity (kg/l).:

Gross mass (kg).:

Description of goods, line 5.:

Net mass/quantity (kg/l).:

Gross mass (kg).:

Description of goods, line 6.:

Net mass/quantity (kg/l).:

Gross mass (kg).:

15. Container identification number/vehicle registration number.:

16. Seal number(s).:

17. Container/vehicle and type.:

18. Tare mass (kg).:

19. Additional handling information.:

20. Receiving Organization receipt. a. Receiving organization remarks.:

20.b. Hauler's name.:

20.c. Vehicle registration number.:

20.d. Signature and date.:

20.e. Driver's signature.:

21. Shipper preparing this form. a. Name of company/military unit.:

21.b. Name/status of declarant.:

21.c. Place and date.:

21.d. Signature of declarant.:

11. REASON FOR DELAY (Make a complete statement adequately describing each segment of delay, amount of time on each delay, and whether delay was responsibility of carrier or consignee/consignor)

TRANSPORT EQUIPMENT DELAY CERTIFICATE

1. CONSIGNOR 2. CONSIGNEE 3. PRODUCT

4. CARRIER 5. TRAILER NUMBER 6. DATE SHIPPED

7. FREIGHT BILL NUMBER 8. GBL/CBL NUMBER 9. SEAL NUMBER

10. LOADING/UNLOADING INFORMATION

DATE RECEIVED TIME DATE RECEIVED TIME

A. ARRIVED D. FINISH

ACCEPTED FOR

B.LOADING/UNLOADING E. UNIT RELEASED

C. START F. TOTAL HOUR HELD

12. DETENTION CERTIFICATION STATEMENT: I certify that the above information is true and correct to the best of my knowledge.

13. NOTE TO CARRIER: A copy of “Vehicle Delay Certificate” must accompany each detention invoice to provide documentation for invoice certification and payment.

SIGNATURE AND TITLE OF CONSIGNEE SIGNATURE AND TITLE OF SHIPPER SIGNATURE OF DRIVER

Form H-14

TRANSPORT EQUIPMENT DELAY CERTIFICATE

DLA ENERGY QEM

Special Packaging Instructions (SPI)* For the Construction of a Compressed Gas Cylinder

Transport Pallet/Base with Pallet Assembly Illustration

National Stock Number Gaseous Product Maximum Number of Cylinders per Pallet

9135-00-882-1793 Argon 8 9135-01-591-9695 Nitrogen 8 9135-00-926-8888 Helium 20 6830-01-103-8393 Helium 20

• MAXIMUM NUMBER OF CYLINDER PER PALLET IS DEFINED IN THE ABOVE TABLE.

THE MAXIMUM GROSS WEIGHT OF PALLET, CYLINDERS, AND BLOCKING/BRACING

SHALL NOT EXCEED 3,000 POUNDS. WHEN SHIPPED MULTIPLE LAYERS, THE TOP

LAYER SHALL NOT CONTAIN LESS THAN TWO CYLINDERS.

• CYLINDERS SHALL NOT OVERHANG THE EDGE OF PALLET.

• CAP MUST BE ACCESSIBLE FOR REGULATOR CONNECTION.

• PALLET DIMENSIONS SHALL BE 60 INCHES LENGTH BY 48 WIDTH, AND NOT

EXCEED 54 INCHES IN HEIGHT.

• 3 STRINGERS AND 4 SPACERS MINIMUM SHALL BE 4 X 4 NOMINAL LUMBER.

• 10 DECK BOARDS SHALL BE MINIMUM 2 X 6 NOMINAL LUMBER EQUALLY SPACED

TO ALLOW PLACEMENT OF 2 INCH STEEL STRAPPING (3 MINIMUM). RUBBING

STRIPS ARE REQUIRED.

• LUMBER USED FOR OVERSEAS SHIPMENT SHALL MEET UNITED NATIONS (UN)

GUIDELINES INVOLVING SOLID WOOD PACKING MATERIALS AND PALLETS AS

STIPULATED

• LUMBER USED FOR SHIPMENT WITHIN THE CONTINENTAL UNITED

• STATES (CONUS) SHALL COMPLY WITH LUMBER USED FOR OVERSEAS SHIPMENT, UN

GUIDELINES (AS STATED ABOVE), AND ASTM D 6199-97 (REAPPROVED 2012), CLASS 1-

STRUCTURAL (HIGHLY STRESSED MEMBERS).

* SPI in accordance with Mil-Std-2073: Department of Defense Standard Practice for Military Packaging

REVISION DATE: 30 January 2014

NOTES

1. INCREASED PALLET LENGTH TO 60 INCHES TO ACCOMMODATE SAFETY CAP

2. PALLET ASSEMBLY ILLUSTRATION ENLARGED FOR CLARITY.

3. PALLET ASSEMBLY ILLUSTRATION LOCATED ON PAGE 2 OF 2.

4. UPDATE LUMBER REQUIREMENTES FOR OVERSEAS & CONUS USE.

5. REFORMAT DOCUMENT TO ADDRESS DLA QEM FOR HELIUM, ARGON &

GASEOUS NITROGEN CYLINDER REQUIREMENTS.

6. ADDITION OF CYLINDER QUANTITY PER PALLET TABLE, BY PRODUCT

7. UPDATED REVISION DATE FOR ASTM D 6199-97 AND ADD ADDITIONAL NSNS

THIS INSTRUCTION IS TO BE USED FOR THE PREPARATION AND SHIPMENT OF PALLETIZED UNIT LOADS OF CYLINDERS SHIPPED TO CONUS AND OVERSEAS DESTINATIONS. THIS INSTRUCTION IS ADDED TO MEET THE REQUIREMENTS OF THE USER. ANY ADDITIONAL REQUIREMENTS SHALL BE SPECIFIED IN THE SHIPPING INSTRUCTIONS PROVIDED BY THIS TRANSPORTATION OFFICE (DLA-QEM).

JOSEPH BRESNOK (QEMC) 30 January 2014

PACKAGING & TRAFFIC MANAGEMENT SPECIALIST DATE

SPACER DETAIL

NOTE: Dimensions below are actuals.

Unit of measure: US - inches.

PALLET ASSEMBLY

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

16. ADMINISTERED BY CODE

7. FOR SOLICITATION

INFORMATION CALL:

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 0070068492

1. REQUISITION NUMBER

SPE601-18-D-1505

2. CONTRACT NO.

2017 DEC 15

3. AWARD/EFFECTIVE

4. ORDER NUMBER

SPE601-17-R-0320

5. SOLICITATION NUMBER

2017 SEP 07

6. SOLICITATION ISSUE

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY CODE SPE601

DLA ENERGY AEROSPACE ENRGY-DLAE-M

BLDG 1621

1014 BILLY MITCHELL BLVD

SAN ANTONIO TX 78226

USA

Local Admin: David White POEFEM7 Tel: 210-925-7249 Email: David.White@dla.mil

10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

8 (A)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

325120NAICS:

1000SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

Net 30 days

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE SPE601

SEE BLOCK 9

Criticality: PAS: None

17a. CONTRACTOR/ CODE

OFFEROR

FACILITY

CODE

6PGV7

AIRGAS USA, LLC DBA Airgas 2015 Vaughn Rd Ste 400

KENNESAW GA 30144-7802

USA

TELEPHONE NO. 8556255285

18a. PAYMENT WILL BE MADE BY CODE SL4701

DEF FIN AND ACCOUNTING SVC

BSM

P O BOX 182317

COLUMBUS OH 43218-2317

USA

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED.

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

25. ACCOUNTING AND APPROPRIATION DATA

$53,154.85

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or Print) 30c. DATE SIGNED

31b. NAME OF CONTRACTING OFFICER (Type or Print)

2017 DEC 15

31c. DATE SIGNED

1 Airgas

2017-Dec-07

SEE SCHEDULE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

SEE ADDENDUM

0001-0024

See Schedule

DATED . YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH ,

HEREIN IS ACCEPTED AS TO ITEMS:

EDWOSB

mike.kossow

Typewritten Text

Michael Kossow, Manager-National Government Sales 12-19-2017

32a. QUANTITY IN COLUMN 21 HAS BEEN

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:RECEIVED INSPECTED

COMPLETE PARTIAL FINAL

STANDARD FORM 1449 (REV. 2/2012) BACK

36. PAYMENT

PARTIAL FINAL

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

37. CHECK NUMBER

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER 40. PAID BY

42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 3 OF 34 PAGES

CONTINUED ON NEXT PAGE

1. The requirement is for the delivery of Gaseous Nitrogen (GN2) delivered into Government-provided Department of Transportation (DOT) and United Nations (UN) cylinders at 6,000psi. The Contractor shall provide all product, supplies, management, tools, equipment and labor necessary for delivery of GN2 into the cylinders, as well as provide maintenance and storage of the cylinders. The cylinders, once prepped, filled and palletized shall be delivered f.o.b.

origin by a Government scheduled carrier. The ultimate destination of the product is Sigonella and Al Dhafra.

2. Due to an EBS glitch, a second price line has printed for each product line. The system constraint cannot be removed at this time. It has no bearing on the contract.

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 4 OF 34 PAGES

1. The requirement is for the delivery of Gaseous Nitrogen (GN2) delivered into Government-provided Department of Transportation (DOT) and United Nations (UN) cylinders at 6,000psi. The Contractor shall provide all product, supplies, management, tools, equipment and labor necessary for delivery of GN2 into the cylinders, as well as provide maintenance and storage of the cylinders. The cylinders, once prepped, filled and palletized shall be delivered f.o.b.

origin by a Government scheduled carrier. The ultimate destination of the product is Sigonella and Al Dhafra.

2. Due to an EBS glitch, a second price line has printed for each product line. The system constraint cannot be removed at this time. It has no bearing on the contract.

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 5 OF 34 PAGES

SUPPLIES/SERVICES: 9135-01-591-9695

ITEM DESCRIPTION:

Gaseous Nitrogen, Type I, Grade B, IAW MIL-PRF 27401G dated 7 Aug 2013

NSN 9135-01-591-9695

f.o.b. origin Period of Performance: 18 Dec 17 - 31 Oct 18

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0001 9135-01-591-9695 73.000 CY $ 28.31 $ 2,066.63

PROPELLANT

PRESSURI

Delivery CLIN Price (in days) .

0001 $ 0.06 0

QTY VARIANCE: PLUS 5% MINUS 5%

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: ORIGIN

FOB: ORIGIN DELIVERY DATE:

PREP FOR DELIVERY:

ITEM DESCRIPTION: 0002:

Gaseous Nitrogen, Type I, Grade B, IAW MIL-PRF 27401G dated 7 Aug 2013

NSN 9135-01-591-9695

Period of Performance: 1 Nov 18 - 31 Oct 19

0002 9135-01-591-9695 80.000 CY $ 29.18 $ 2,334.40

0002 $ 0.06 0

ACCEPTANCE POINT: ORIGIN

FOB: ORIGIN DELIVERY DATE:

PREP FOR DELIVERY:

ITEM DESCRIPTION: 0003

Gaseous Nitrogen, Type I, Grade B, IAW MIL-PRF 27401G dated 7 Aug 2013

NSN 9135-01-591-9695

Period of Performance: 1 Nov 19 - 31 Oct 20

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 6 OF 34 PAGES

SUPPLY/SERVICE: 9135-01-591-9695 CONT'D

0003 9135-01-591-9695 80.000 CY $ 30.08 $ 2,406.40

0003 $ 0.06 0

ACCEPTANCE POINT: ORIGIN

FOB: ORIGIN DELIVERY DATE:

PREP FOR DELIVERY:

ITEM DESCRIPTION: 0004

Gaseous Nitrogen, Type I, Grade B, IAW MIL-PRF 27401G dated 7 Aug 2013

NSN 9135-01-591-9695

Period of Performance: 1 Nov 20 - 30 Sep 21

0004 9135-01-591-9695 73.000 CY $ 31.01 $ 2,263.73

0004 $ 0.06 0

ACCEPTANCE POINT: ORIGIN

FOB: ORIGIN DELIVERY DATE:

PREP FOR DELIVERY:

GOVT USE

External External External Customer RDD/ ITEM PR PRLI PR PRLI Material Need Ship Date .

0001 0070068492 0001 N/A N/A 6830015919695 N/A

0002 0070068492 0002 N/A N/A 6830015919695 N/A

0003 0070068492 0003 N/A N/A 6830015919695 N/A

0004 0070068492 0004 N/A N/A 6830015919695 N/A

SUPPLIES/SERVICES: H291-V20000258

SERVICES, CYLINDER RE-CERTIFICATION TESTING IAW TITLE 49 CFR and SOO Paragraph Titled 8. “MISELLANEOUS SERVICES”

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 7 OF 34 PAGES

SUPPLY/SERVICE: H291-V20000258 CONT'D

“Recertification of Cylinders”

0005 H291-V20000258 18.000 EA $ 57.53 $ 1,035.54

Cylinder Re-Certification Testing

0005 $ 57.53 0

PERIOD OF PERFORMANCE: 12/18/2017 - 10/31/2018

SERVICES, CYLINDER RE-CERTIFICATION TESTING IAW TITLE 49 CFR and SOO Paragraph Titled 8. “MISELLANEOUS SERVICES”

0006 H291-V20000258 20.000 EA $ 59.31 $ 1,186.20

Cylinder

0006 $ 59.31 0

PERIOD OF PERFORMANCE: 11/01/2018 - 10/31/2019

SERVICES, CYLINDER RE-CERTIFICATION TESTING IAW TITLE 49 CFR and SOO Paragraph Titled 8. “MISELLANEOUS SERVICES”

0007 H291-V20000258 20.000 EA $ 61.14 $ 1,222.80

Cylinder

0007 $ 61.14 0

PERIOD OF PERFORMANCE: 11/01/2019 - 10/31/2020

SERVICES, CYLINDER RE-CERTIFICATION TESTING IAW TITLE 49 CFR and SOO Paragraph Titled 8. “MISELLANEOUS SERVICES”

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 8 OF 34 PAGES

SUPPLY/SERVICE: H291-V20000258 CONT'D

0008 H291-V20000258 18.000 EA $ 63.03 $ 1,134.54

Cylinder

0008 $ 63.03 0

PERIOD OF PERFORMANCE: 11/01/2020 - 09/30/2021

0005 0070068492 0005 N/A N/A N/A N/A

0006 0070068492 0006 N/A N/A N/A N/A

0007 0070068492 0007 N/A N/A N/A N/A

0008 0070068492 0008 N/A N/A N/A N/A

SUPPLIES/SERVICES: V003-V20000235

SERVICES, PALLETIZATION IAW SOO PARAGRAPH TITLED 8.4. “MISCELLANEOUS SERVICES” “Palletization”

0009 V003-V20000235 7.000 EA $ 165.67 $ 1,159.69

Palletization

0009 $ 165.67 0

0010 V003-V20000235 8.000 EA $ 170.79 $ 1,366.32

0010 $ 170.79 0

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 9 OF 34 PAGES

SUPPLY/SERVICE: V003-V20000235 CONT'D

0011 V003-V20000235 8.000 EA $ 176.08 $ 1,408.64

0011 $ 176.08 0

0012 V003-V20000235 7.000 EA $ 181.52 $ 1,270.64

0012 $ 181.52 0

0009 0070068492 0009 N/A N/A N/A N/A

0010 0070068492 0010 N/A N/A N/A N/A

0011 0070068492 0011 N/A N/A N/A N/A

0012 0070068492 0012 N/A N/A N/A N/A

SUPPLIES/SERVICES: T013-V00007689

SERVICES, DOCUMENTATION IAW SOO PARAGRAPH TITLED 9. “DOCUMENTATION”

0013 T013-V00007689 11.000 MO $ 64.00 $ 704.00

Technical Writing Services

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 10 OF 34 PAGES

SUPPLY/SERVICE: T013-V00007689 CONT'D

0013 $ 64.00 0

0014 T013-V00007689 12.000 MO $ 65.98 $ 791.76

0014 $ 65.98 0

0015 T013-V00007689 12.000 MO $ 68.02 $ 816.24

0015 $ 68.02 0

0016 T013-V00007689 11.000 MO $ 70.12 $ 771.32

0016 $ 70.12 0

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 11 OF 34 PAGES

SUPPLY/SERVICE: T013-V00007689 CONT'D

SERVICES, INITIAL ACCEPTANCE IAW SOO PARAGRAPH TITLED 9.3. “INITIAL ACCEPTANCE AND FINAL COMPREHENSIVE INVENTORY

REPORT”

0017 T013-V00007689 1.000 MO $ 128.00 $ 128.00

0017 $ 128.00 0

PERIOD OF PERFORMANCE: 12/18/2017 - 01/31/2018

SERVICES, COMPREHENSIVE INVENTORY REPORT IAW SOO PARAGRAPH TITLED 9.3. “INITIAL ACCEPTANCE AND FINAL COMPREHENSIVE

INVENTORY REPORT”

0018 T013-V00007689 1.000 MO $ 128.00 $ 128.00

0018 $ 128.00 0

PERIOD OF PERFORMANCE: 06/01/2021 - 09/30/2021

0013 0070068492 0013 N/A N/A N/A N/A

0014 0070068492 0014 N/A N/A N/A N/A

0015 0070068492 0015 N/A N/A N/A N/A

0016 0070068492 0016 N/A N/A N/A N/A

0017 0070068492 0017 N/A N/A N/A N/A

0018 0070068492 0018 N/A N/A N/A N/A

SUPPLIES/SERVICES: J081-V20000234

SERVICES, CYLINDER DISPOSAL, PREPARATION IAW DLAI 4145.25, SECTION 8, STORAGE AND HANDLING OF LIQUIFIED & GASEOUS COMPRESSED GASES & THEIR FULL & EMPTY CYLINDERS, INCLUDING PALLETIZATION AND COST OF PALLETS IAW SOO PARAGRAPH TITLED

8.5. “Cylinder Disposal Preparation”

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 12 OF 34 PAGES

SUPPLY/SERVICE: J081-V20000234 CONT'D

0019 J081-V20000234 16.000 EA $ 16.00 $ 256.00

Cylinder Disposal Preparation

SUPPLIES/SERVICES: J081-V20000234

0019 $ 16.00 0

PERIOD OF PERFORMANCE: 12/18/2017 - 09/30/2021

0019 N/A N/A N/A N/A N/A N/A

SUPPLIES/SERVICES: J048-V20000233

SERVICES, VALVE REWORK/REPLACEMENT, IAW SOO PARAGRAPH TITLED 7.4. “Cylinder Component Replacement Parts”

0020 J048-V20000233 120.000 EA $ 52.00 $ 6,240.00

Equipment Replacement

SUPPLIES/SERVICES: J048-V20000233

0020 $ 52.00 0

0020 N/A N/A N/A N/A N/A N/A

SUPPLIES/SERVICES: J081-V20000240

SERVICES, STRIP & CLEAN CYLINDERS, IAW SOO PARAGRAPH TITLED 7.5. “Paint Maintenance”

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 13 OF 34 PAGES

SUPPLY/SERVICE: J081-V20000240 CONT'D

0021 J081-V20000240 120.000 EA $ 48.00 $ 5,760.00

Container/Cylinder /Drum Cleaning

SUPPLIES/SERVICES: J081-V20000240

0021 $ 48.00 0

0021 N/A N/A N/A N/A N/A N/A

SUPPLIES/SERVICES: J091-V20000254

SERVICES, PAINT MAINTENANCE, IAW SOO PARAGRAPH TITLED 7.5.1 through 7.5.5.1.

0022 J091-V20000254 120.000 EA $ 48.00 $ 5,760.00

General Repairs / Maintenance

SUPPLIES/SERVICES: J091-V20000254

0022 $ 48.00 0

0022 N/A N/A N/A N/A N/A N/A

SUPPLIES/SERVICES: N081-V20000232

SERVICES, MARKING AND LABELING, IAW SOO PARAGRAPH TITLED 7.6. “Return Label, Marking, and Labeling”

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 14 OF 34 PAGES

SUPPLY/SERVICE: N081-V20000232 CONT'D

0023 N081-V20000232 288.000 EA $ 8.00 $ 2,304.00

Marking & Labeling

SUPPLIES/SERVICES: N081-V20000232

0023 $ 8.00 0

0023 N/A N/A N/A N/A N/A N/A

SUPPLIES/SERVICES: M1NA-V20000256

SERVICES, CYLINDER PRODUCT CONVERSION, IAW SOO PARAGRAPH TITLED 8.3. “Conversion of Cylinders”

0024 M1NA-V20000256 80.000 EA $ 133.00 $ 10,640.00

Miscellaneous

SUPPLIES/SERVICES: M1NA-V20000256

0024 $ 133.00 0

0024 N/A N/A N/A N/A N/A N/A

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 15 OF 34 PAGES

Part 12 Clauses

52.212-04 CONTRACT TERMS AND CONDITIONS - COMMERCIAL ITEMS (JAN 2017) FAR

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/ replacement or reperformance will not correct the defects or is not possible, the government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights --

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C.3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to the Contract Disputes Act of 1978, as amended (41 U.S.C. 601-613). Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at FAR 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include --

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, contract line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 16 OF 34 PAGES

Part 12 Clauses (CONTINUED)

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer -- System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer --Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt Payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR Part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall --

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the --

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected contract line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in Section 611 of the Contract Disputes Act of 1978 (Public Law 95-563), which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period at fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if --

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 17 OF 34 PAGES

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on --

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in 32.608-2 of the Federal Acquisition Regulation in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience.