SPRDL1-19-F-0439.pdf

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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. 5. PRIORITY

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

DESTINATION

OTHER

(See Schedule if other)

9. CONTRACTOR CODE FACILITY 10. DELIVER TO FOB POINT BY (Date) 11. X IF BUSINESS IS

SMALL

SMALL

NAME 12. DISCOUNT TERMS DISADVANTAGED

AND

ADDRESS

WOMAN-OWNED

13. MAIL INVOICES TO THE ADDRESS IN BLOCK

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

PACKAGES AND

PAPERS WITH

IDENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2

16. DELIVERY/

CALL THIS DELIVERY ORDER IS ISSUED ON ANOTHER GOVERNMENT AGENCY OR IN ACCORDANCE WITH AND SUBJECT TO TERMS AND CONDITIONS OF ABOVE NUMBERED CONTRACT.

TYPE

OF

ORDER

PURCHASE

Reference your Oral Written Quotation ________________________ , Dated ________________.

____________________________ 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

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/SERVICE 20. QUANTITY

ORDERED/

ACCEPTED*

21.

UNIT

22. UNIT PRICE 23. AMOUNT

* If quantity accepted by the Government is 24. UNITED STATES OF AMERICA 25. TOTAL same as quantity ordered, indicate by X. 26.

If different, enter actual quantity accepted below DIFFERENCES quantity ordered and encircle. BY: CONTRACTING/ORDERING OFFICER 27a. QUANTITY IN COLUMN 20 HAS BEEN

INSPECTED RECEIVED ACCEPTED, AND CONFORMS TO CONTRACT EXCEPT AS NOTED ____________________________________________________

b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c. DATE d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

(YYYYMMMDD) REPRESENTATIVE

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

PARTIAL

32. PAID BY 33. AMOUNT VERIFIED CORRECT FOR

f. TELEPHONE NUMBER g. E-MAIL ADDRESS

FINAL

31. PAYMENT 34. CHECK NUMBER

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

COMPLETE

a. DATE b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

PARTIAL

35. BILL OF LADING NO.

FINAL

37. RECEIVED AT 38. RECEIVED BY (Print) 39. DATE RECEIVED

40. TOTAL CON-

TAINERS

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

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE.

SPRDL1-19-D-0153 SPRDL119F0439 2019SEP12 SEE SCHEDULE DOA4

SPRDL1

DLA LAND WARREN

WARREN, MI 48397-5000

GRETCHEN PERRY

EMAIL: GRETCHEN.E.PERRY.CIV@MAIL.MIL

S1403A

DCMA CHICAGO

1523 WEST CENTRAL ROAD

BLDG 203

ARLINGTON HEIGHTS IL 60005-2451 X

75Q65 75TU0

OSHKOSH DEFENSE, LLC

2307 OREGON STREET

OSHKOSH, WI 54902-7062

SEE SCHEDULE

See Block 15

SEE SCHEDULE

HQ0339

DFAS - COLUMBUS CENTER

WEST ENTITLEMENT OPERATIONS

P O BOX 182317

COLUMBUS OH 43218-2317

X

SEE CONTRACT ADMINISTRATION DATA

SEE SCHEDULE

MICHAEL BISSIG

MICHAEL.J.BISSIG.CIV@MAIL.MIL (586)467-1187

2019SEP12 /SIGNED/ 2019SEP12

$2,514,110.00

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: GRETCHEN PERRY

Buyer Office Symbol/Telephone Number: ZGBB/(586)467-1181

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

Type of Business: Large Business Performing in U.S.

Surveillance Criticality Designator: C

*** End of Narrative A0000 ***

1. Delivery Order SPRDL1-19-F-0439 is awarded under the terms and conditions of Contract SPRDL1-19-D-0153.

2. Award is for the following:

CLIN Noun NSN Quantity

0011AA Cab Assembly 2510-01-580-2577 71 each

3. The unit prices are in accordance with the basic contract under the Ordering Year 1, First Delivery Order reference.

4. The maximum contract quantity is 150 each. Including this delivery order, a quantity of 71 each is awarded, with a quantity of 79 each remaining available for order.

5. Total dollar value of this delivery order is $2,514,110.00.

6. Delivery Order SPRDL1-19-F-0439 obligates the guaranteed minimum quantity of 6 each. Consequently, the Government is not required to order any additional quantities under this contract.

7. Delivery Schedule is located in Section B.

8. Inspection, Acceptance and FOB are Origin.

9. Packaging requirements are in accordance with Section D of the basic contract.

*** END OF NARRATIVE A0001 ***

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SPRDL1-19-D-0153/SPRDL119F0439

OSHKOSH DEFENSE, LLC

PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

SUPPLIES OR SERVICES AND PRICES/COSTS

0011 CAB ASSEMBLY

NSN: 2510-01-580-2577

0011AA PRODUCTION QUANTITY 71 EA $ 35,410.00000 $ 2,514,110.00 ___________________ ______________ __________________

COMMODITY NAME: CAB ASSEMBLY

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH81L607EH PRON AMD: 04 ACRN: AA

AMS CD: SM2B1100000

PSC: 2510

Only the following Manufacturer's Part Number is approved for this procurement.

MFR: Oshkosh Defense, LLC

CAGE: 75Q65

Part Number: 3834729

(End of narrative C001)

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE BASIC CONTRACT PACKAGING CLAUSE

UNIT PACK: 001

LEVEL PRESERVATION: Military

LEVEL PACKING: A

Inspection/Acceptance at origin means that you MUST contact the DCMA to arrange for a Government inspection BEFORE you ship the supplies called out in this order. Failure to have the items inspected and accepted will result in their rejection at the destination. The rejected supplies will be returned to you at your expense.

(End of narrative E001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

REL CD MILSTRIP ADDR SIG CD MARK FOR TP CD ______ ________ ______ ______ ________ _____

001 W56HZV8212467W W25G1U J 2

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 10 31-DEC-2019

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PIIN/SIIN

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

002 6 30-JAN-2020

003 6 02-MAR-2020

004 6 01-APR-2020

005 6 01-MAY-2020

006 6 01-JUN-2020

007 6 01-JUL-2020

008 6 31-JUL-2020

009 6 31-AUG-2020

010 6 30-SEP-2020

011 6 30-OCT-2020

012 1 30-NOV-2020

FOB POINT: Origin

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

CONTRACT/DELIVERY ORDER NUMBER ______________________________

SPRDL1-19-D-0153/SPRDL119F0439

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Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

CONTRACT ADMINISTRATION DATA

PRON/ PRON/

AMS CD/ AMS CD/

LINE MIPR/ OBLG JO NO/ OBLIGATEDLINE MIPR/ OBLG JO NO/ OBLIGATED

ITEM GFEBS ATA STAT ACCT ASSIGN ACRN AMOUNTITEM GFEBS ATA STAT ACCT ASSIGN ACRN AMOUNT_____ _________ _____ ___________ ____ _______________ _________ _____ ___________ ____ __________

0011AA EH81L607EH 2 AA $ 2,514,110.00

SM2B1100000

TOTAL $ 2,514,110.00

OBLIGATED OBLIGATED

ACRN ACCOUNTING CLASSIFICATION AMOUNTACRN ACCOUNTING CLASSIFICATION AMOUNT____ _________________________ ______________ _________________________ __________

AA 97 X4930AC9D 6D 26FB S20113 W56HZV $ 2,514,110.00 __________________

TOTAL $ 2,514,110.00

LINELINE

ITEM ACRN EDI/SFIS ACCOUNTING CLASSIFICATIONITEM ACRN EDI/SFIS ACCOUNTING CLASSIFICATION_____ ____ _______________________________________ ____ __________________________________

0011AA AA 97 0X0X4930AC9D S20113 6D0000SM2B110000026FB S20113 W56HZV

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