SPRDL118D0105W56HZV20F0326.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.

SPRDL1-18-D-0105 W56HZV20F0326 2020AUG19 SEE SCHEDULE DOA4

W56HZV

ACC-DTA

6501 E. 11 MILE RD.

DETROIT ARSENAL, MI 48397-5000

DEBORAH A. SHUMAR

EMAIL: DEBORAH.A.SHUMAR.CIV@MAIL.MIL

S0701A

DCMA HARTFORD

130 DARLIN STREET

EAST HARTFORD CT 06108-3234

X

05606 26978

GENERAL DYNAMICS -OTS, INC.

326 IBM ROAD BUILDING 862

WILLISTON, VT 05495-7907

SEE SCHEDULE

See Block 15

SEE SCHEDULE

HQ0337

DFAS-COLUMBUS CENTER

NORTH ENTITLEMENT OPERATIONS

P.O. BOX 182317

COLUMBUS OH 43218-2317

X

X 2

SEE CONTRACT ADMINISTRATION DATA

SEE SCHEDULE

ERIKA DENNISON

ERIKA.J.DENNISON2.CIV@MAIL.MIL (586)282-9817

2020AUG19 /SIGNED/ 2020AUG19

$658,505.00

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: DEBORAH A. SHUMAR

Buyer Office Symbol/Telephone Number: CCTA-HCS-C/(586)282-6755

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: B

Weapon System: Machine Gun, Caliber .50 M2 Series w/Tri

*** End of Narrative A0000 ***

Contract: SPRDL1-18-D-0105

Delivery Order: W56HZV-20-F-0326

PREVIOUS OBLIGATED AMOUNT: $ 0.00

AMOUNT OF THIS ACTION: $ 685,505.00 ______________

TOTAL OBLIGATED AMOUNT: $ 685,505.00

1) Delivery Order (DO) W56HZV-20-F-0326 is issued against ordering period three of Contract SPRDL1-18-D-0105.

2) Award is made for the following:

Item: Barrel, Machine Gun

NSN: 1005-01-542-2478

Unit of Issue: Each

CLIN: 0013AA

Quantity: 500

Unit Price: $1,317.01

Total Price: $658,505.00

3) The DO completion date shall be no later than March 29, 2021. Accelerated delivery is acceptable at no additional cost to the

Government.

4) The remaining available contract quantity balance, after award of this DO, is 9,500 Each.

5) All terms and conditions of contract SPRDL1-18-D-0105 apply to this delivery order.

*** END OF NARRATIVE A0001 ***

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SPRDL1-18-D-0105/W56HZV20F0326

GENERAL DYNAMICS -OTS, INC.

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

0013 BARREL,MACHINE GUN

NSN: 1005-01-541-2478

Mfr CAGE: 19200

Mfr Part Number: 13027965

0013AA BARREL, MACHINE GUN 500 EA $ 1,317.01000 $ 658,505.00 ___________________ ______________ __________________

COMMODITY NAME: BARREL,MACHINE GUN

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH0S0396EH PRON AMD: 04 ACRN: AA

AMS CD: SM2B1100000

PSC: 1005

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

SEE PACKAGING CLAUSE

LEVEL PRESERVATION: Military

LEVEL PACKING: B

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

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

002 W52H090163V452 W562RP J 2

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 70 28-FEB-2021

002 430 29-MAR-2021

FOB POINT: Origin

SHIP TO:

(W562RP) SR ARMY GENERAL SUPPLY LMP STOCK RE

CENTRAL RECEIVING POINT

7 FRANKFORD AVE BLDG 362

ANNISTON,AL,36201-4199

CONTRACT/DELIVERY ORDER NUMBER ______________________________

SPRDL1-18-D-0105/W56HZV20F0326

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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_____ _________ _____ ___________ ____ _______________ _________ _____ ___________ ____ __________

0013AA EH0S0396EH 2 AA $ 658,505.00

SM2B1100000

TOTAL $ 658,505.00

OBLIGATED OBLIGATED

ACRN ACCOUNTING CLASSIFICATION AMOUNTACRN ACCOUNTING CLASSIFICATION AMOUNT____ _________________________ ______________ _________________________ __________

AA 97 X4930AC9D 6D 26FB S20113 W56HZV $ 658,505.00 __________________

TOTAL $ 658,505.00

LINELINE

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

0013AA AA 97 0X0X4930AC9D S20113 6D0000SM2B110000026FB S20113 W56HZV

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