W56HZV17D00310002.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.

W56HZV-17-D-0031 0002 2018MAY02 SEE SCHEDULE DOA4

W56HZV

U.S. ARMY CONTRACTING COMMAND

WARREN, MICHIGAN 48397-5000

DAVID S. JOLEY

EMAIL: DAVID.S.JOLEY.CIV@MAIL.MIL

SGR18A

DCMA EUROPE

CMR 410, BOX 761

APO, AE 09046

X

K7705

W F E L LTD

CROSSLEY PARK

STOCKPORT CHESHIRE, GB

UNITED KINGDOM SK4 5DY

SEE SCHEDULE

See Block 15

SEE SCHEDULE

HQ0339

DFAS-COLUMBUS CENTER

DFAS-CO WEST ENTITLEMENT OPERATIONS

P.O. BOX 182317

COLUMBUS, OH 43218-2381

X

SEE CONTRACT ADMINISTRATION DATA

SEE SCHEDULE

JENNIFER SCHNEIDER

JENNIFER.A.SCHNEIDER17.CIV@MAIL.MIL (586)282-7678

2018MAY02 /SIGNED/ 2018MAY02

$348,510.00

CONTINUATION SHEET

Reference No. of Document Being Continued Page of

Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

SUPPLEMENTAL INFORMATION

Buyer Name: DAVID S. JOLEY

Buyer Office Symbol/Telephone Number: CCTA-HCP-B/(586)282-7678

Type of Contract 1: Firm Fixed Price

Kind of Contract: Maintenance Contracts

Type of Business: Foreign Concern/Entity

Surveillance Criticality Designator: C

Weapon System: Mobile Assault/Ribbon Bridges

*** End of Narrative A0000 ***

Delivery Order 0002 to Contract W56HZV-17-D-0031

1. The purpose of the delivery order is award the RESET costs for two bridges for the Dry Support Bridge system.

a. Section B, CLIN 0022AA; $265,498 is placed on CLIN 0022 (Inspection Dry Support Bridge).

b. Sectin B, CLIN 0102AA; $83,012 is placed on CLIN 0102 (Mandatory Parts Dry Support Bridge.

2. As a result, the total contract award for this action is $348,510.

3. Attachment 0001 is added to Section J for the Government Furnished Property to be worked on in the reset process.

4. All other terms and conditions of the contract are to remain in full force and effect.

*** END OF NARRATIVE A0001 ***

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W56HZV-17-D-0031/0002

W F E L LTD

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

0022 INSPECTION BRIDGES

0022AA SECOND ORDERING YEAR 1 LO $ 265,498.00 ____________________ __________________

SERVICE REQUESTED: INSPECTION BRIDGES

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8MR001EH PRON AMD: 02 ACRN: AA

PSC: 5420

One lot is indicated for two Dry Support Bridges priced at $132,749 each.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

Period of Performance

Start Date: 01-JUN-2018

End Date: 30-SEP-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 30-SEP-2018

$ 265,498.00

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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

0102 MANDATORY PARTS BRIDGES

0102AA SECOND ORDERING YEAR 1 LO $ 83,012.00 ________________________ __________________

SERVICE REQUESTED: MANDATORY PARTS BRIDGES

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: EH8MR001EH PRON AMD: 02 ACRN: AA

PSC: 5420

One lot is indicated for two Dry Support Bridges priced at $41,506 each.

(End of narrative B001)

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

Period of Performance

Start Date: 01-JUN-2018

End Date: 30-SEP-2018

DLVR SCH PERF COMPL

REL CD QUANTITY DATE ________ ______________ __________

001 1 30-SEP-2018

$ 83,012.00

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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_____ _________ _____ ___________ ____ _______________ _________ _____ ___________ ____ __________

0022AA EH8MR001EH 2 S.0037687.18.2.1 AA $ 265,498.00

0102AA EH8MR001EH 2 S.0037687.18.2.1 AA $ 83,012.00

TOTAL $ 348,510.00

OBLIGATED OBLIGATED

ACRN ACCOUNTING CLASSIFICATION AMOUNTACRN ACCOUNTING CLASSIFICATION AMOUNT____ _________________________ ______________ _________________________ __________

AA 021 201820182020 A60EE 13735DVOFS 2577 L054771211 S.0037687.18.2.1 021001 $ 348,510.00 __________________

TOTAL $ 348,510.00

LINELINE

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

0022AA AA 021 201820182020 A60EE 13735DVOFS 2577 L054771211 S.0037687.18.2.1 021001

0102AA AA 021 201820182020 A60EE 13735DVOFS 2577 L054771211 S.0037687.18.2.1 021001

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Name of Offeror or Contractor:

PIIN/SIIN MOD/AMD

LIST OF ATTACHMENTS

List of Number List of Number

Addenda Title Date of Pages Transmitted By Addenda Title Date of Pages Transmitted By________________ ____________________________________________________________ _______________ ____________ _______________________________ ____________________________________________________________ _______________ ____________ _______________

Attachment 0001 GFP ATTACHMENT 0001 30-APR-2018 001 EMAIL

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