SPRRA123D0019SPRRA123F0087.pdf

PAGE 1 OF

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.

SPRRA1-23-D-0019 SPRRA123F0087 2023FEB15 SEE SCHEDULE DOA1

SPRRA1

DEFENSE LOGISTICS AGENCY

5201 MARTIN ROAD/DLA-AVN-AH

REDSTONE ARSENAL AL 35898-7340

KIMBERLEY J. COLLIER

EMAIL: KIMBERLEY.COLLIER@DLA.MIL

S0602A

DCMA DENVER

DENVER FEDERAL CENTER, BUILDING 16

P.O. BOX 25586

DENVER CO 80225-0586 X

1XLG2

T & L SALES, LLC

3313 12TH ST NE

GREAT FALLS, MT 59404-1279

SEE SCHEDULE

X

X

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

JENNIFER BAKER

JENNIFER.BAKER@DLA.MIL (256)313-0669

2023FEB15 /SIGNED/ 2023FEB15

$68,980.86

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: KIMBERLEY J. COLLIER

Buyer Office Symbol/Telephone Number: ZDB-B (AVN DIV)/(256)842-7556

Type of Contract 1: Firm Fixed Price

Kind of Contract: Supply Contracts and Priced Orders

Type of Business: Other Small Business Performing in U.S.

Surveillance Criticality Designator: C

Weapon System: CH-47

*** End of Narrative A0000 ***

A-1. DELIVERY ORDER SPRRA123F0087 IS ISSUED WITH FIRM-FIXED PRICES AND DELIVERY SCHEDULES PURSUANT AND IN ACCORDANCE WITH THE TERMS

AND CONDITIONS OF 3YR REQUIREMENST CONTRACT SPRRA1-23-D-0019.

A-2. THIS REQUIREMENT IS IN SUPPORT OF THE CH-47 BK WEAPON SYSTEM.

A-3. DELIVERY ORDER SPRRA123F0087 IS FOR A QUANTITY OF 15 EA OF NOUN: VALVE,GATE; NSN: 4820-01-471-6737; PART NUMBER: HM022-420. THE

UNIT PRICES AT WHICH THIS ORDER IS ISSUED IS IN ACCORDANCE WITH THE BASIC CONTRACT FOR THE FIRST ORDERING PERIOD IS $11,496.81 EA. THE

TOTAL AMOUNT OF THE DELIVERY ORDER IS $68,980.86.

A-4. DELIVERY ORDER SPRRA123F0087 FOR A QUANTITY OF 15 EA WAS ISSUED IAW FAR 16.503 - REQUIREMENT CONTRACTS.

REQUIREMENTS DELIVERIES TO DATE:

DELIVERY ORDER SPRRA1-23-F-0087_______________________________ 15 EACH_______

TOTAL QUANTITY ORDERED 15 EACH

A-5. ACCELERATED DELIVERY IS ACCEPTABLE AT NO ADDITIONAL COST TO THE GOVERNMENT.

A-6. CONTRACT POINT OF CONTACT INFORMATION:

NAME: TED ZUMBUSCH ____________

TELEPHONE NUMBER: (406)771-8640 _____________

E-MAIL ADDRESS: ted@tnlsales.com ________________

A-7. DCMA ACO POINT OF CONTACT INFORMATION:

NAME: CHARLES Z. SEEBER _________________

TELEPHONE NUMBER: (303) 220-4060 ______________

E-MAIL ADDRESS: charles.z.seeber.mil@mail.mil _____________________________

A-8. DLA POST AWARD POINT OF CONTACT INFORMATION:

DLAHSVPostAwardTeam@dla.mil

7408 WAREHOUSE ROAD

REDSTONE ARSENAL, AL 35898

*** END OF NARRATIVE A0001 ***

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SPRRA1-23-D-0019/SPRRA123F0087

T & L SALES, 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

0001 VALVE,GATE

NSN: 4820-01-471-6737

Mfr CAGE: 1T765

Mfr Part Number: HM022-420

0001AA PRODUCTION QUANTITY ORDERING PERIOD ONE 6 EA $ 11,496.81000 $ 68,980.86 ________________________________________ ______________ __________________

PROGRAM YEAR: 1

COMMODITY NAME: VALVE,GATE

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: AX2C0498AX PRON AMD: 03 ACRN: AA

AMS CD: SM2B1100000

PSC: 4820

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-129 MARKINGS SHALL APPLY

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: A

ADDITIONAL PACKAGING REQUIREMENTS

ESTIMATED MAXIMUM UNIT PACKAGE WEIGHT (POUNDS) AND

SIZE (INCHES):

WT [72.0]

LN [33.0]

WD [21.0]

DP [21.0]

MIL-STD-2073-1 CODES, APPENDIX J

JI/A/MP [51] JII/CD [1] JIII/PM [00] JIV/WM [JA]

JV/CD [NA] JVI/CT [B] JVII/UC [NZ] JVII/IC [00]

JIX/A/PK [F] JX/SM [19]JVIIIA/OPI [M]

SUPPLEMENTAL INFORMATION

UC=NZ-8145-00-449-8427,P/N

13414-083

REUSABLE CONTAINER WILL BE CONTRACTOR

FURNISHED MATERIAL.

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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

(End of narrative D001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

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

001 W58H0Z2190BK01 SW3211 J 2

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 6 27-DEC-2023

FOB POINT: Origin

SHIP TO:

(SW3211) DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

TINKER AFB OK 73145-8000

TINKER AFB,OK,73145-8000

CONTRACT/DELIVERY ORDER NUMBER ______________________________

SPRRA1-23-D-0019/SPRRA123F0087

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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 AX2C0498AX 2 AA $ 68,980.86

SM2B1100000

TOTAL $ 68,980.86

OBLIGATED OBLIGATED

ACRN ACCOUNTING CLASSIFICATION AMOUNTACRN ACCOUNTING CLASSIFICATION AMOUNT____ _________________________ ______________ _________________________ __________

AA 97 X4930AC9C 6X 26KS S23204 W58H0Z $ 68,980.86 __________________

TOTAL $ 68,980.86

LINELINE

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

0001AA AA 97 0X0X4930AC9C S23204 6X0000SM2B110000026KS S23204 W58H0Z

Regulatory Cite Title Date Regulatory Cite Title Date _______________ ______________________________________________________________________ ____________ _______________ ______________________________________________________________________ ____________

1 252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS DEC/2018

(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.

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

(ii) For fixed price line items--

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

THE CONTRACTOR IS ENCOURAGING TO USE THE COMBINATION INVOICE AND RECEIVING REPORT (COMBO) FOR SUBMITTING INVOICES FOR SUPPLIES. THIS

ELIMINATES THE NEED TO SEPERATELY PROCESS A RECEIVING REPORT AND INVOICE.

(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.

N/A

(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 item financing, submit a commercial item financing request.

(2) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF "combo" document type to create some Combinations of invoice and receiving report in one step.]

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in

WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC HQ0339

Issue By DoDAAC SPRRA1

Admin DoDAAC S0602A

Inspect By DoDAAC S0602A

Ship To Code SEE DELIVERY ORDER

Ship From Code 1XLG2

Mark For Code N/A

Service Approver (DoDAAC) N/A

Service Acceptor (DoDAAC) N/A

Accept at Other DoDAAC N/A

LPO DoDAAC N/A

DCAA Auditor DoDAAC N/A

Other DoDAAC(s) N/A

(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.

ACO Charles Z. Seeber; charles.z.seeber.mil@mail.mil; (303)220-4060

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

(End of clause)

TAC CODE:AXGE ____

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

*** END OF NARRATIVE G0001 ***

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