SPRTA121F0029.pdf

ORDER FOR SUPPLIES OR SERVICES J

1. CONTRACT/PURCH ORDER/AGREEMENT NO.

SPE4A216G0002

2. DELIVERY ORDER/CALL NO.

SPRTA1-21-F-0029

3. DATE OF ORDER/CALL

(YYYYMMMDD)

4 JAN 2021

4. REQUISITION/PURCH REQUEST NO.

FD20302100796

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: Deborah K. Teubert/DLA-AOBA deborah.teubert@us.af.mil

Phone: (405) 855- 3546 Fax: (405) 734-8129 No Collect Calls

7. ADMINISTERED BY (If other than 6) CODE

DCMA SYRACUSE

615 ERIE BLVD WEST

SYRACUSE NY 13204-2408

(315)423-8594

SPRTA1 8. DELIVERY FOB

DESTINATION

OTHER

(See Schedule if other)

X

9. CONTRACTOR CODE FACILITY

MOOG INC.

DBA: MOOG

400 JAMISON RD PLANT 26

ELMA NY 14059-9497

UNITED STATES

(716) 687-4754 Attn: KATHERINE MCCARTHY EMail Address: kmccarthy@moog.com

94697 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

NORTH ENTITLEMENT OPERATIONS

P O BOX 182266

COLUMBUS OH 43218-2266

(800)756-4571

HQ0337

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 A1-20-07-215 Dated: 30 JUL 2020 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

TERMS AND CONDITIONS IAW BOA SPE4A216G0002

* 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: Deborah K. Teubert deborah.teubert@us.af.mil

CONTRACTING/ORDERING OFFICER 4 -JAN -2021

X

25. $ 1,533,292.16

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

S3306A

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

SPRTA1-21-F-0029

PART I - THE SCHEDULE

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

NEW MANUFACTURED MATERIAL

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

2 EA $766,646.0800 $1,533,292.16

CLIN ACRN ACRN Total

0001 AA $1,533,292.16

NSN: 1650-01-376-1089 FW

SERVOMECHANISM,HYDR

Controls the critical positioning of a specific flight control surface in response to commands recieved from the Actuator Remote Terminal (ART).

aluminum, steel, rubber Manufacturer Part Number 94697 B43873-1 Associated Document(s) Line Item(s)

FD20302100796 0001

Priority: R

Inspection: Origin Address Code: 94697 Acceptance: Origin Receiving Report Required Quality Assurance: Higher Level Contract Quality Requirements The Contractor shall comply with the standard(s) listed below.

Title Number Date Tailoring

ISO 9001-2008 2008

Applicability: None ;

Buy American Act/Balance of Payments Program IUID Required: Yes

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

A SW3211 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE NONE

Type / Ship To PACRN Mark For

A SW3211 PAA ACCOUNT 09

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

Required Delivery

A SW3211 2 EA 1 MAY 2023 Non-MilStrip

SHIP TO / PLACE OF PERFORMANCE

TYPE/CODE: A SW3211

DLA DISTRIBUTION DEPOT OKLAHOMA

3301 F AVE CEN REC BLDG 506 DR 22

TINKER AFB OK 73145-8000

USA

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

AWARD NUMBER: SPRTA1-21-F-0029

BASIC CONTRACT NUMBER: SPE4A216G0002

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:

94697

MOOG INC.

400 JAMISON RD PLANT 26

ELMA, NY 14059-9497

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:

94697

MOOG INC.

400 JAMISON RD PLANT 26

ELMA, NY 14059-9497

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 97 X4930 .FC04 64 1 47 GT 15B02A 01N000 00000 GGGTTT 502000 F03000 $1,533,292.16

PSR: K25577 FSR: 013352 DSR: 057408 CIN: F3YCAB0342A0060000AA

REFERENCE:

AA CIN: F3YCAB0062B007

ACRN TOTAL $ 1,533,292.16

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

SECTION J

LIST OF ATTACHMENTS

Form Number Description/File Name Date Number of Pages 3005002_PKGRQMT_REPORT.pdf Report

18APR2019

3005004_TRNSPDATA_REPORT.pdf Report

18APR2019