SPRTA119F0159FINAL.pdf

ORDER FOR SUPPLIES OR SERVICES J

1. CONTRACT/PURCH ORDER/AGREEMENT NO.

SPE4A117G0011

2. DELIVERY ORDER/CALL NO.

SPRTA1-19-F-0159

3. DATE OF ORDER/CALL

(YYYYMMMDD)

10 JAN 2019

4. REQUISITION/PURCH REQUEST NO.

FD20301900661 01

5. PRIORITY

DO: A1

6. ISSUED BY CODE

DLA AVIATION AT OKLAHOMA CITY, OK

DLR PROCUREMENT OPERATIONS (AO)

3001 STAFF DRIVE

TINKER AFB OK 73145-3070

BUYER: Rhonda L. White/DLA-AOBA rhonda.white.5@us.af.mil

Phone: (405) 855- 3570 Fax: (405) 739-4237 No Collect Calls

7. ADMINISTERED BY (If other than 6) CODE

DCMA SANTA ANA

34 CIVIC CENTER PLAZA

ROOM 5001

SANTA ANA CA 92701-4056

(714)565-7100

SPRTA1 8. DELIVERY FOB

DESTINATION

OTHER

(See Schedule if other)

X

9. CONTRACTOR CODE FACILITY

PARKER-HANNIFIN CORPORATION

DBA: CUSTOMER SUPPORT MILITARY DIVISION

CUSTOMER SUPPORT OPERATIONS

14300 ALTON PKWY

IRVINE CA 92618-1814

UNITED STATES

(949) 809-8100 Attn: D SIMMONS EMail Address: csm@parker.com

59211 93835 10. DELIVER TO FOB POINT BY (Date)

(YYYYMMMDD)

SEE SCHEDULE

12. DISCOUNT TERMS

NET 30 DAYS

11. X IF BUSINESS IS

SMALL

SMALL

DISAD-VANTAGED

WOMEN-OWNED

13. MAIL INVOICES TO

SEE BLK 15

14. SHIP TO CODE

SEE LINE ITEM SCHEDULE

15. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

DFAS - COLUMBUS CENTER

DFAS-CO/WEST ENTITLEMENT OPERATIONS

P O BOX 182381

COLUMBUS OH 43218-2381

(800)756-4571

HQ0339

MARK ALL

PACKAGES AND

PAPERS WITH

IDENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2.

16.

TYPE

OF

ORDER

DELIVERY/

CALL

PURCHASE

X This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.

Reference your IAW BOA SPE4A1-17-G-0011 Dated: furnish the following terms specified herein.

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: 1 (YYYYMMMDD)

18.

ITEM NO.

19.

SCHEDULE OF SUPPLIES/SERVICES

(SEE SCHEDULE)

20. QUANTITY

ORDERED/

ACCEPTED*

21.

UNIT

22.

UNIT PRICE

23.

AMOUNT

FMS REQUIREMENT

NEW MANUFACTURED MATERIAL

IAW BOA SPE4A1-17-G-0011

EARLY AND CONSOLIDATED DELIVERIES ARE ACCEPTABLE

* If quantity accepted by the Government is same as quantity ordered, indicate by X. If different, enter actual quantity accepted below quantity ordered and encircle.

24. UNITED STATES OF AMERICA

BY: Rhonda L. White

CONTRACTING/ORDERING OFFICER 10 -JAN -2019

X

25. $ 106,595.00

26.

DIFFERENCES

27a. QUANTITY IN COLUMN 20 HAS BEEN:

INSPECTED RECEIVED ACCEPTED, AND CONFORMS TO

THE CONTRACT EXCEPT AS NOTED:

28. SHIP. NO.

PARTIAL

FINAL

29. D.O. VOUCHER NO.

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

31. PAYMENT

COMPLETE

PARTIAL

FINAL

32. PAID BY

30.

INITIALS

33. AMOUNT VERIFIED CORRECT FOR

34. CHECK NUMBER

35. BILL OF LADING NO.

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

(YYYYMMMDD)

40. TOTAL CONTAINERS 41. S/R ACCOUNT NUMBER 42. S/R VOUCHER NO.

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

SEE SCHEDULE

S0513A

SCD:B

EFT:T

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.

b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c. DATE

(YYYYMMMDD)

d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

f. TELEPHONE NUMBER g. E-MAIL ADDRESS

a. DATE

(YYYYMMMDD)

b. SIGNATURE AND TITLE OF CONTRACTING OFFICER

//Signed// Total

SPRTA1-19-F-0159

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

NEW MANUFACTURED MATERIAL - HYDRAULIC MANIFOLD

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

20 EA $4,915.0000 $98,300.00

CLIN ACRN ACRN Total

0001 AA $98,300.00

NSN: 4730-00-371-5854

MANIFOLD,HYDRAULIC

Used to produce hydraulic pressure Steel and Aluminium Manufacturer Part Number 93835 69794-03 Associated Document(s) Line Item(s)

F3YTBK8317B001

FD20301900661 01 0001

Priority: R

Inspection: Origin Acceptance: Origin Quality Assurance: Standard Inspection Foreign Military Sales IUID Required: Yes Physical Item Markings:

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DSR004 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

* DSR004 AAA DSRA00

* DSR004 AAA DSRA00

* DSR004 AAA DSRA00

* DSR004 AAA DSRA00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

* DSR004 5 EA 21 JAN 2020 DSRA5482568383 / PRI:

* DSR004 5 EA 21 FEB 2020 DSRA5482568383 / PRI:

* DSR004 5 EA 23 MAR 2020 DSRA5482568383 / PRI:

* DSR004 5 EA 21 APR 2020 DSRA5482568383 / PRI:

NRE for IUID ENGINEERING DRAWING UPDATES

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

1 LO $8,295.0000 $8,295.00

CLIN ACRN ACRN Total

0002 AA $8,295.00

DATA

NRE - IUID DRAWING UPDATES

Associated Document(s) Line Item(s)

F3YTBK8317B001

FD20301900661 01 0002

Priority: R

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 93835 Acceptance: Origin Inspection/Acceptance Report: Receiving Report Required Quality Assurance: Standard Inspection Foreign Military Sales Type / Ship To PACRN Mark For

TBDTBD

Type / Ship To Quantity (U/I) On or Before Req No / Pri

Required Delivery

1 LO 21 JAN 2020 Non-MilStrip

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DSR004

SUPPLEMENTAL ADDRESS CODE: DA4SAP

FMS CASE CODE/LOA: SR-D-SAP/035

MAPAC SHIP TO CODE: DSR004

MAPAC MARK FOR: DSRA00

REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER: SPRTA1-19-F-0159

BASIC CONTRACT NUMBER: SPE4A117G0011

PART I - THE SCHEDULE

SECTION E

INSPECTION AND ACCEPTANCE

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503) Government Contract Quality Assurance Inspection and Acceptance will be at (Final):

Item No(s): See schedule for items with the following code(s) listed below :

Inspection Code and Address:

93835

PARKER-HANNIFIN CORPORATION

HYDRAULIC SYSTEMS DIVISION

2220 PALMER AVE

KALAMAZOO, MI 49001-4122

http://www.parker.com/

PART I - THE SCHEDULE

SECTION F

DELIVERIES OR PERFORMANCE

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b)) Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address:

93835

PARKER-HANNIFIN CORPORATION

2220 PALMER AVE

KALAMAZOO, MI 49001-4122

PART I - THE SCHEDULE

SECTION G

CONTRACT ADMINISTRATION DATA

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 9711X8242 .0002 4F X 47 5W CSAPSR 000000 00000 035000 503000 F03000 $106,595.00

PSR: C58901 FSR: 053261 DSR: 194804 CIN: F3YBK8317B001

ACRN TOTAL $ 106,595.00

PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages

AFMC 158 PACKAGING REQUIREMENTS REPORT 19DEC2018 1

DD FORM 1653 TRANSPORTATION REQUIREMENTS

REPORT

19DEC2018 2

IUID ITEM UNIQUE IDENTIFICATION (IUID)

CHECKLIST

12JAN2016 1

EO ENGINEERING ORDER # 2012C1565-T (BY

REFERENCE ONLY)

EO_IUID_69794-03

27OCT2010 3