W56HZV17D00900003.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

Offeror To Complete Block 12, 17, 23, 24, & 30

1. Requisition Number Page Of

2. Contract No. 3. Award/Effective Date 4. Order Number 5. Solicitation Number 6. Solicitation Issue Date

7. For Solicitation Information Call:

A. Name B. Telephone Number (No Collect Calls) 8. Offer Due Date/Local Time

9. Issued By Code 10. This Acquisition is Unrestricted OR Set Aside: % For:

Small Business Women-Owned Small Business (WOSB) Eligible Under the Women-Owned Small Business Program

Hubzone Small Business EDWOSB

Service-Disabled Veteran-Owned Small Business NAICS:

Email: 8(A) Size Standard:

11. Delivery For FOB Destination Unless Block Is Marked

12. Discount Terms 13a. This Contract Is A Rated Order Under DPAS (15 CFR 700) 13b. Rating

See Schedule 14. Method Of Solicitation RFQ IFB RFP

15. Deliver To Code 16. Administered By Code

Telephone No.

17a. Contractor/Offeror Code Facility 18a. Payment Will Be Made By Code

Telephone No.

17b. Check If Remittance Is Different And Put Such Address In Offer

18b. Submit Invoices To Address Shown In Block 18a Unless Block Below Is Checked See Addendum

19.

Item No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

(Use Reverse and/or Attach Additional Sheets As Necessary)

25. Accounting And Appropriation Data 26. Total Award Amount (For Govt. Use Only)

27a.Solicitation Incorporates By Reference FAR 52.212-1, 52.212-4. FAR 52.212-3 And 52.212-5 Are Attached. Addenda Are Are Not Attached.

27b.Contract/Purchase Order Incorporates By Reference FAR 52.212-4. FAR 52.212-5 Is Attached. Addenda Are Are Not Attached.

28. Contractor Is Required To Sign This Document And Return _________ 29. Award Of Contract: Ref. Offer Copies to Issuing Office. Contractor Agrees To Furnish And Deliver All Items Set Forth Or Otherwise Identified Above And On Any Additional Sheets Subject To The Terms And Conditions Specified.

Dated . Your Offer On Solicitation (Block 5), Including Any Additions Or Changes Which Are Set Forth Herein, Is Accepted As To Items:

30a. Signature Of Offeror/Contractor 31a. United States Of America (Signature Of Contracting Officer)

30b. Name And Title Of Signer (Type Or Print) 30c. Date Signed 31b. Name Of Contracting Officer (Type Or Print) 31c. Date Signed

Authorized For Local Reproduction Previous Edition Is Not Usable

Standard Form 1449 (Rev. 2/2012) Prescribed By GSA-FAR (48 CFR) 53.212

SEE SCHEDULE

W56HZV-17-D-0090 2018JUN04 0003

DAVID S. JOLEY (586)282-7678

DAVID.S.JOLEY.CIV@MAIL.MIL

W56HZV

U.S. ARMY CONTRACTING COMMAND

WARREN, MICHIGAN 48397-5000

333318

X DOA4

SEE SCHEDULE

SGR18A

DCMA EUROPE

CMR 410, BOX 761

APO, AE 09046

K0824

PEARSON ENGINEERING, LTD

SCOTSWOODROAD

NEWCASTLE UPON TYNE, GB

UNITED KINGDOM NE15 6UX

HQ0339

DFAS - COLUMBUS CENTER

WEST ENTITLEMENT OPERATIONS

P O BOX 182317

COLUMBUS OH 43218-2317

SEE SCHEDULE

SEE CONTRACT ADMINISTRATION DATA $1,106,770.00

X X

X 2

/SIGNED/

JENNIFER SCHNEIDER

JENNIFER.A.SCHNEIDER17.CIV@MAIL.MIL (586)282-7678 2018JUN04

1 7

19.

Item No.

20.

Schedule Of Supplies/Services

21.

Quantity

22.

Unit

23.

Unit Price

24.

Amount

32a. Quantity In Column 21 Has Been

Received Inspected Accepted, And Conforms To The Contract, Except As Noted: _________________________________________________

32b. Signature Of Authorized Government Representative 32c. Date 32d. Printed Name and Title of Authorized Government Representative

32e. Mailing Address of Authorized Government Representative 32f. Telephone Number of Authorized Government Representative

32g. E-Mail of Authorized Government Representative

33. Ship Number 34. Voucher Number 35. Amount Verified 36. Payment 37. Check Number Correct For Partial Final Complete Partial Final

38. S/R Account No. 39. S/R Voucher Number 40. Paid By

41a. I Certify This Account Is Correct And Proper For Payment 42a. Received By (Print) 41b. Signature And Title Of Certifying Officer 41c. Date 42b. Received At (Location)

42c. Date Rec’d (YY/MM/DD) 42d. Total Containers

Standard Form 1449 (Rev. 2/2012) Back

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: Supply Contracts and Priced Orders

Type of Business: Foreign Concern/Entity

Surveillance Criticality Designator: C

Weapon System: Breacher (Grizzly)

*** End of Narrative A0000 ***

Delivery Order 0002 to Contract W56HZV-17-D-0090.

The purpose of this delivery order to award the following Section B quantities per the contract first ordering year.

Section B:

CLIN Quantity Kit Type PRON Fund Type Delivery Dates

0011AD 85 FWMP Tine Upgrade Kit P18DN0332T APA 29 Oct 2018

0021AC 50 Tip-Tine Wear Gauge-Center P18DN0352T APA 29 Oct 2018

0081AC 50 Tip-Tine Wear Gauge-LH/RH P18DN0322T APA 29 Oct 2018

0101AB 30 Tip Gauge P18DN0342T APA 29 Oct 2018

Currency Conversion (per Section H.1) 1.3292/1.30 = 1.0225

Unit Price rounded to nearest dollar.

CLIN $/Unit Conversion Adj. Unit Quantity Total Price

0011AD $11,981 1.0225 $12,250 85 $1,041,250

0021AC $434 1.0225 $444 50 $22,200

0081AC $455 1.0225 $465 50 $23,250

0101AB $654 1.0225 $669 30 $20,070

Total $1,106,770

Conclusion:

1. $1,106,770.00 is awarded to delivery order 0003.

2. All other contract terms and conditions are to remain in full force and effect.

*** END OF NARRATIVE A0001 ***

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W56HZV-17-D-0090/0003

PEARSON ENGINEERING, 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

0011 FWMP TINE UPGRADE KIT

NSN: 9999-99-999-9999

Mfr CAGE: K0824

Mfr Part Number: KP39038

0011AD FWMP TINE UPGRADE KIT 85 EA $ 12,250.00000 $ 1,041,250.00 ______________________ ______________ __________________

COMMODITY NAME: FWMP TINE UPGRADE KIT

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: P18DN0332T PRON AMD: 01 ACRN: AA

PSC: 2590

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

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

001 W502E88134N033 W31G1Y M W31G1Y 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 85 29-OCT-2018

FOB POINT: Destination

SHIP TO:

(W31G1Y) SR W0LX ANNISTON DEPOT PROP DIV

ANNISTON ARMY DEPOT BLDG 513

7 FRANKFORD AVE

ANNISTON,AL,36201-5021

MARK FOR: MARK FOR:

PM ABRAMES (AKZ) OWNED ASSETS

PROJECT CODE GGX

OP CODE - 9A

CONTRACT/DELIVERY ORDER NUMBER ______________________________

W56HZV-17-D-0090/0003

3 7

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0021 TIP-TINE WEAR GAUGE (CENTER)

NSN: 9999-99-999-9999

Mfr CAGE: K0824

Mfr Part Number: PE42733

0021AC TIP-TINE WEAR GAUGE (CENTER) 50 EA $ 444.00000 $ 22,200.00 _____________________________ ______________ __________________

COMMODITY NAME: TIP-TINE WEAR GAUGE (CENTER)

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: P18DN0352T PRON AMD: 01 ACRN: AB

PSC: 2590

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

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

001 W502E88134N035 W31G1Y J W31G1Y 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 50 29-OCT-2018

FOB POINT: Destination

SHIP TO:

(W31G1Y) SR W0LX ANNISTON DEPOT PROP DIV

ANNISTON ARMY DEPOT BLDG 513

7 FRANKFORD AVE

ANNISTON,AL,36201-5021

MARK FOR: MARK FOR:

PM ABRAMES (AKZ) OWNED ASSETS

PROJECT CODE GGX

OP CODE - 9A

CONTRACT/DELIVERY ORDER NUMBER ______________________________

W56HZV-17-D-0090/0003

4 7

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0081 TIP-TINE WEAR GAUGE (LH/RH)

NSN: 9999-99-999-9999

Mfr CAGE: K0824

Mfr Part Number: PE42734

0081AC TIP-TINE WEAR GAUGE (LH/RH) 50 EA $ 465.00000 $ 23,250.00 ____________________________ ______________ __________________

COMMODITY NAME: TIP-TINE WEAR GAUGE (LH/RH)

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: P18DN0322T PRON AMD: 01 ACRN: AC

PSC: 2590

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

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

001 W502E88134N032 W31G1Y J W31G1Y 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 50 29-OCT-2018

FOB POINT: Destination

SHIP TO:

(W31G1Y) SR W0LX ANNISTON DEPOT PROP DIV

ANNISTON ARMY DEPOT BLDG 513

7 FRANKFORD AVE

ANNISTON,AL,36201-5021

MARK FOR: MARK FOR:

PM ABRAMES (AKZ) OWNED ASSETS

PROJECT CODE GGX

OP CODE - 9A

CONTRACT/DELIVERY ORDER NUMBER ______________________________

W56HZV-17-D-0090/0003

5 7

Page of

Name of Offeror or Contractor:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reference No. of Document Being Continued

MOD/AMD

0101 TIP GAUGE

NSN: 9999-99-999-9999

Mfr CAGE: K0824

Mfr Part Number: PE44671

0101AB TIP GAUGE 30 EA $ 669.00000 $ 20,070.00 __________ ______________ __________________

COMMODITY NAME: TIP GAUGE

CLIN CONTRACT TYPE:

Firm Fixed Price

PRON: P18DN0342T PRON AMD: 01 ACRN: AD

PSC: 2590

Packaging and Marking _____________________

Inspection and Acceptance _________________________

INSPECTION: Origin ACCEPTANCE: Origin

Deliveries or Performance _________________________

DOC SUPPL

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

001 W502E88134N034 W31G1Y J W31G1Y 3

DEL REL CD QUANTITY DEL DATE __________ ______________ ___________

001 30 29-OCT-2018

FOB POINT: Destination

SHIP TO:

(W31G1Y) SR W0LX ANNISTON DEPOT PROP DIV

ANNISTON ARMY DEPOT BLDG 513

7 FRANKFORD AVE

ANNISTON,AL,36201-5021

MARK FOR: MARK FOR:

PM ABRAMES (AKZ) OWNED ASSETS

PROJECT CODE GGX

OP CODE - 9A

CONTRACT/DELIVERY ORDER NUMBER ______________________________

W56HZV-17-D-0090/0003

6 7

Reference No. of Document Being Continued Page of

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_____ _________ _____ ___________ ____ _______________ _________ _____ ___________ ____ __________

0011AD P18DN0332T 2 A.0035119.1.3.1.1 AA $ 1,041,250.00

0021AC P18DN0352T 2 A.0035119.1.3.1.1 AB $ 22,200.00

0081AC P18DN0322T 2 A.0035119.1.3.1.1 AC $ 23,250.00

0101AB P18DN0342T 2 A.0035119.1.3.1.1 AD $ 20,070.00

TOTAL $ 1,106,770.00

OBLIGATED OBLIGATED

ACRN ACCOUNTING CLASSIFICATION AMOUNTACRN ACCOUNTING CLASSIFICATION AMOUNT____ _________________________ ______________ _________________________ __________

AA 021 201820202033 A5XDN GZ3250ARF08 3101 L056115778 A.0035119.1.3.1.1 021001 $ 1,041,250.00

AB 021 201820202033 A5XDN GZ3250ARF08 3101 L056116547 A.0035119.1.3.1.1 021001 $ 22,200.00

AC 021 201820202033 A5XDN GZ3250ARF08 3101 L056116504 A.0035119.1.3.1.1 021001 $ 23,250.00

AD 021 201820202033 A5XDN GZ3250ARF08 3101 L056116709 A.0035119.1.3.1.1 021001 $ 20,070.00 __________________

TOTAL $ 1,106,770.00

LINELINE

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

0011AD AA 021 201820202033 A5XDN GZ3250ARF08 3101 L056115778 A.0035119.1.3.1.1 021001

0021AC AB 021 201820202033 A5XDN GZ3250ARF08 3101 L056116547 A.0035119.1.3.1.1 021001

0081AC AC 021 201820202033 A5XDN GZ3250ARF08 3101 L056116504 A.0035119.1.3.1.1 021001

0101AB AD 021 201820202033 A5XDN GZ3250ARF08 3101 L056116709 A.0035119.1.3.1.1 021001

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