SPRRA122D0006SPRRA122F0077.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.

SPRRA1-22-D-0006 SPRRA122F0077 2022MAY03 SEE SCHEDULE DOA1

SPRRA1

DEFENSE LOGISTICS AGENCY

5201 MARTIN ROAD/DLA-AVN-AH

REDSTONE ARSENAL AL 35898-7340

CHRISTOPHER L. BUTLER

EMAIL: CHRISTOPHER.BUTLER@DLA.MIL

SCN01A

DCMA AMERICAS (CANADA)

275 BANK STREET, SUITE 200

OTTAWA, ONTARIO K2P 2L6

X

38002

NAV-AIDS LTD

2955 DIAB STREET

MONTREAL, CA

CANADA H4S 1M1

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

WENDELLAR JOHNSON

WENDELLAR.JOHNSON@DLA.MIL (256)690-5415

2022MAY03 /SIGNED/ 2022MAY03

$23,660.00

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: CHRISTOPHER L. BUTLER

Buyer Office Symbol/Telephone Number: AHAA/(256)690-5455

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

Type of Business: Foreign Concern/Entity

Surveillance Criticality Designator: B

Weapon System: UH-60

*** End of Narrative A0000 ***

A-1.DELIVERY ORDER SPRRA1-22-D-0006/SPRRA1-22-F-0077 IS ISSUED WITH FIRM-FIXED PRICES AND FIRM DELIVERY SCHEDULES TO BASE CONTRACT

SPRRA1-22-D-0006.ALL TERMS AND CONDITIONS IN THE BASE CONTRACT APPLY TO DELIVERY ORDER SPRRA1-22-D-0006/SPRRA1-22-F-0077.

A-2.THIS EFFORT IS IN SUPPORT OF THE UH-60 (BE) BLACKHAWK FOR THE FOLLOWING:

NSN: 4920-01-125-5384

NAV-AIDS LTD-PN: PSS59101-4-6-6

A-3. DELIVERY ORDER SPRRA1-22-F-0077, CLIN 0001AA IS FOR 52 UNITS EACH;WITH A UNIT PRICE OF $455.00, TOTAL CLIN AMOUNT OF $23,660.00.

A QUANTITY OF ONE HUNDRED NINETY EIGHT (198) REMAIN AVAILABLE FOR ORDERING AGAINST THE IDIQ MAXIMUM OF TWO HUNDRED FIFTY (250):

IDIQ ORDERING MAXIMUM 250

DELIVERY ORDER SPRRA122F0077____________________________ -52___

REMAING AVAILABLE 198

A-4. FLIGHT SAFETY/CRITICAL SAFETY ITEM (CSI) IS NOT REQUIRED.

A-5. PRODUCTION LOT TESTING (PLT) IS NOT REQUIRED.

A-6. FIRST ARTICLE TEST (FAT) IS NOT REQUIRED.

A-7. SERIAL NUMBER REQUIREMENT REPORTING (SNRR) MARKINGS ARE NOT REQUIRED.

A-8. THE AVIATION MAINTENANCE MANAGEMENT SYSTEM-AVIATION (TAMMS-A) MARKINGS ARE NOT REQUIRED.

A-9. CONTRACTOR FURNISHED REUSABLE CONTAINER IS NOT REQUIRED.

A-10. IUID MARKINGS ARE NOT REQUIRED.

A-11. ARMS EXPORT CONTROL IS NOT APPLICABLE.

A-12. CONTRACTOR POINT OF CONTACT:

NAME: SCOTT MEEHAN ________________

TELEPHONE NUMBER: (514) 332-3077 ________________

E-MAIL ADDRESS: SCOTT.MEEHAN@NAVAIDSLTD.NET ___________________________

A-13. DCMA POINT OF CONTACT:

NAME: PETER SAUDER _______________

TELEPHONE NUMBER: (613) 996-2917 _________________

E-MAIL ADDRESS: PETER.J.SAUDER.CIV@MAIL.MIL ____________________________

A-14. ACCELERATED DELIVERY IS ENCOURAGED AND AUTHORIZED AT NO ADDITIONAL COST TO THE GOVERNMENT.

A-15. PLEASE SUBMIT ALL, INQUIRIES, AND QUESTIONS TO:

DLA AVIATION HUNTSVILLE POST AWARD TEAM

5206 MARTIN ROAD

REDSTONE ARSENAL, ALABAMA 35898

OR

EMAIL TO: DLAHSVPOSTAWARDTEAM@DLA.MIL

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SPRRA1-22-D-0006/SPRRA122F0077

NAV-AIDS LTD

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

*** END OF NARRATIVE A0001 ***

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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

SUPPLIES OR SERVICES AND PRICES/COSTS

0001 ADAPTER,PRESSURE TE

NSN: 4920-01-125-5384

Mfr CAGE: 38002

Mfr Part Number: PSS59101-4-6-6

0001AA Production Quantity 52 EA $ 455.00000 $ 23,660.00 ____________________ ______________ __________________

PROGRAM YEAR: 1

COMMODITY NAME: ADAPTER,PRESSURE TE

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: AX2F2110AX PRON AMD: 02 ACRN: AA

AMS CD: SM2B1100000

PSC: 4920

Description/Specs./Work Statement _________________________________

TOP DRAWING NR: 4920-UH60-000

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

IAW MIL-STD-2073-1 CODES, APPENDIX J

UNIT PACK: 001 INTERMEDIATE PACK: 000

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 ______ ________ ______ ______ ________ _____

001 W58H0Z2309BE01 W25G1U J 2

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 10 01-JUL-2022

002 10 01-AUG-2022

003 10 01-SEP-2022

004 10 01-OCT-2022

005 12 01-NOV-2022

FOB POINT: Destination

SHIP TO:

(W25G1U) SU W1A8 DLA DISTRIBUTION

DDSP NEW CUMBERLAND FACILITY

2001 NORMANDY DRIVE DOOR 113 TO 134

NEW CUMBERLAND,PA,17070-5002

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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

CONTRACT/DELIVERY ORDER NUMBER ______________________________

SPRRA1-22-D-0006/SPRRA122F0077

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

PACKAGING AND MARKING

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-129 MARKINGS SHALL APPLY

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: MILITARY LEVEL PACKING: B

ADDITIONAL PACKAGING REQUIREMENTS

ESTIMATED MAXIMUM UNIT PACKAGE WEIGHT (POUNDS) AND SIZE (INCHES)

WT [1.0] LB

LN [8.3] IN

WD [4.3] IN

DP [4.5] IN

ALL WOOD PACKAGING MATERIAL (WPM) MUST BE ISPM-15 COMPLIANT

MIL-STD-2073-1 Codes, APPENDIX J

JI/A/MP [10] JII/CD [1] JIII/PM [00] JIV/WM [EB] JV/CD [BG]

JVI/CT [A] JVII/UC [ED] JVII/IC [00] JIX/A/PK [F] JX/SM [00]

JVIIIA/OPI [M]

SUPPLEMENTAL INFORMATION:N/A

*** END OF NARRATIVE D0001 ***

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

DELIVERIES OR PERFORMANCE

FOR DELIVERIES TO NEW CUMBERLAND ARMY DEPOT (W25G1U) -

ANNOTATE

COMMERCIAL AND GOVERNMENT TRUCK BILLS OF LADING:

DELIVERY THROUGH SOUTH GATE ONLY, BUILDING MISSION DOOR

113, 134. CARRIER TO EMAIL

ddsp.prelodge@dla.mil IN ADVANCE FOR AN APPOINTMENT 24

HOURS IN ADVANCE OF DELIVERY. APPOINTMENT HOURS: MONDAY

THROUGH SATURDAY BETWEEN 0700-1600.

PRELODGE/DELIVERY APPOINTMENTS POC

PHONE STAFFED

CML: 717-770-7224

1-800-307-8496

M-Sat 0600-1600

*** END OF NARRATIVE F0001 ***

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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_____ _________ _____ ___________ ____ _______________ _________ _____ ___________ ____ __________

0001AA AX2F2110AX 2 AA $ 23,660.00

SM2B1100000

TOTAL $ 23,660.00

OBLIGATED OBLIGATED

ACRN ACCOUNTING CLASSIFICATION AMOUNTACRN ACCOUNTING CLASSIFICATION AMOUNT____ _________________________ ______________ _________________________ __________

AA 97 X4930AC9C 6X 26FS S23204 W58H0Z $ 23,660.00 __________________

TOTAL $ 23,660.00

LINELINE

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

0001AA AA 97 0X0X4930AC9C S23204 6X0000SM2B110000026FS S23204 W58H0Z

TAC CODE: AXGE

*** END OF NARRATIVE G0001 ***

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