SPRRA226D0015SPRRA226F0079.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.

SPRRA2-26-D-0015 SPRRA226F0079 2026JUN11 SEE SCHEDULE DOA2

SPRRA2

DEFENSE LOGISTICS AGENCY

5201 MARTIN ROAD/DLA-AVN-AH

REDSTONE ARSENAL AL 35898-7340

RODNEY O HAYGOOD

EMAIL: RODNEY.HAYGOOD@DLA.MIL

S0140A

DCMA OHIO RIVER VALLEY

1725 VAN PATTON DRIVE

AREA A, BUILDING 30

WRIGHT-PATTERSON AFB, OH 45433-5302

X

41JV4

ARTEMIS ELECTRONICS LLC

13400 W HIGHWAY 42 STE 180

PROSPECT, KY 40059-9264

SEE SCHEDULE

X

See Block 15

SEE SCHEDULE

HQ0339

DFAS - COLUMBUS CENTER

WEST ENTITLEMENT OPERATIONS

P O BOX 182381

COLUMBUS OH 43218-2381

X

SEE CONTRACT ADMINISTRATION DATA

SEE SCHEDULE

THOMAS GUNTER

THOMAS.GUNTER@DLA.MIL (000)000-0000

2026JUN11 /SIGNED/ 2026JUN11

$262,831.05

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: RODNEY O HAYGOOD

Buyer Office Symbol/Telephone Number: DLA-AVN-AHD/(256)690-5733

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: B

Weapon System: Patriot

*** End of Narrative A0000 ***

A-1. Delivery Order (DO) SPRRA2-26-F-0079 is issued with Firm Fixed Prices and Firm Delivery Schedules pursuant to the basic Contract

SPRRA2-26-D-0015 and is subject to and incorporates by reference all terms and conditions of the basic contract.

A-2. DO SPRRA2-26-F-0079 is for a quantity of 43 each of Cable Assembly, Spec; NSN: 5995-01-134-6660; Part Number: 11457604; The Unit

Price at which the order is issued in accordance with Base Contract Pricing for the first ordering period is $6112.35 each for CLIN

0001AA for the Production Quantity for a total extended price of $262,831.05

A-3. This requirement is in support of the Patriot Missile Weapons System M-D6.

A-4. The following summarizes total obligations to date and contract ceiling balance:

Contract Maximum/Ceiling is: $494,099.03

Obligated this Delivery Order is: $262,831.05

Remaining Available balance is: $231,267.98

Remaining Available Quantity is: 36

A-5. The contractor's point of contact for this requirement is as follows:

Name: Taylor Gerlach, General Counsel

Phone: 502-526-5884

Email: tgerlach@artemiselectronics.com

A-6. The DCMA ACO point of contact for this requirement is as follows:

Name: Robert Adams

Phone: 463-777-3100

Email: robert.w.adams240.civ@mail.mil

A-7. The Contract Specialist point of contact for this requirement is as follows:

Name: Rodney Haygood

Office Symbol: DLA-AHCA

Address: 5202 Martin RD, Redstone Arsenal, AL, 35898

Email: rodney.haygood@dla.mil

A-8. The DLA Post Award Team point of contact for this requirement is as follows:

Email: dlahsvmslpostaward@dla.mil

A-9. Delivery shall commence as outlined within this order (SPRRA2-26-F-0079) until shipment is completed.

A-10. Packaging shall be provided as outlined within this order.

A-11. Production Lot Testing: Government Facility is required. See H Narrative, "Production Lot Test Requirements-Government Tested" for further instructions.

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SPRRA2-26-D-0015/SPRRA226F0079

ARTEMIS ELECTRONICS LLC

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

A-12. Defense Priority and Allocations System (DPAS): This is a DO DPAS rated order, and you are required to notify DLA within 15 days of receipt of order if the rated order cannot be fulfilled as written. This includes conflicting rated order schedules. If no response is received during the required response time, the contractor self-attests order acceptance as is.

*** 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 CABLE ASSEMBLY

NSN: 5995-01-134-6660

Mfr CAGE: 18876

Mfr Part Number: 11457604

0001AA PRODUCTION LOT TEST-GOVERMENT FACILITY 43 EA $ 6,112.35000 $ 262,831.05 ______________________________________ ______________ __________________

COMMODITY NAME: CABLE ASSEMBLY

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: D15H0875D1 PRON AMD: 04 ACRN: AA

AMS CD: SM2B1100000

PSC: 5995

Packaging and Marking _____________________

PACKAGING/PACKING/SPECIFICATIONS:

MIL-STD-129 MARKING SHALL APPLY

UNIT PACK: 001 INTERMEDIATE PACK: 000

LEVEL PRESERVATION: Military

LEVEL PACKING: B

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

COMPLIANT.

THE FOLLOWING MIL-STD-2073-1 CODES, APPENDIX J SHALL

APPLY

JI/A/MP [41]

JII/CD [1]

JIII/PM [00]

JIV/WM[00]

JV/CD [NA]

JVI/CT [A]

JVII/UC [ED] JVII/IC [00]

JIX/A/PK [F] JX/SM [00]

JVIIIA/OPI[M]

ESTIMATED MAXIMUM UNIT PACKAGE WEIGHT (POUNDS) AND

SIZE (INCHES)

WT [14.4]

LN [18.0]

WD [18.0]

DP [8.0]

SUPPLEMENTAL INFORMATION:COIL CABLE CAP/CUSHION

CONNECTOR

4 8

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: Destination

Government Approval/Disapproval Days: 60

Deliveries or Performance _________________________

DOC SUPPL

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

001 W31G3H5203AF03 W31P0W J 2

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 8 06-DEC-2027

002 8 06-JAN-2028

003 8 07-FEB-2028

004 8 06-MAR-2028

005 8 06-APR-2028

006 3 05-MAY-2028

FOB POINT: Destination

SHIP TO:

(W31P0W) SR W0H9 US ARMY AVN & MISSLES CMD

REDSTONE TECHNICAL TEST CENTER

COTTONWOOD RD BLDG 8022 MF 4500

REDSTONE ARSENAL,AL,35898-8052

CONTRACT/DELIVERY ORDER NUMBER ______________________________

SPRRA2-26-D-0015/SPRRA226F0079

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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 D15H0875D1 2 AA $ 262,831.05

SM2B1100000

TOTAL $ 262,831.05

OBLIGATED OBLIGATED

ACRN ACCOUNTING CLASSIFICATION AMOUNTACRN ACCOUNTING CLASSIFICATION AMOUNT____ _________________________ ______________ _________________________ __________

AA 97 X4930AC9F 6X 26K6 S01021 W31G3H $ 262,831.05 __________________

TOTAL $ 262,831.05

LINELINE

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

0001AA AA 97 0X0X4930AC9F S01021 6X0000SM2B110000026K6 S01021 W31G3H

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

1 252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023) JAN/2023

(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.

INVOICE AND RECEIVING REPORT COMBO

(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.

INSPECTION: SOURCE

ACCEPTANCE: SOURCE

FBO: DESTINATION

(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 financing, submit a commercial 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* l ------------------------------------------------------------------------

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC HQ0339

Issue By DoDAAC SPRRA2

Admin DoDAAC** S0140A

Inspect By DoDAAC S0140A

Ship To Code W31P0W

Ship From Code 41JV4

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

(*Contracting Officer: Insert applicable DoDAAC information. If multiple ship to/acceptance locations apply, insert "See Schedule" or

"Not applicable.")

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(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.

DCMA ACO: ROBERT ADAMS 463-777-3100 ROBERT.W.ADAMS240.CIV@MAIL.MIL

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

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

(End of clause)

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