OR D ER FOR SUPPLIES OR SER VICES
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1 OR D ER FOR SUPPLIES OR SER VICES P AGE 1 OF 8 1. CO N TRA CT/P U RCH. O RD E R/ A G RE E M E N T N O. 2. D E L IVE RY O RD E R/ CA L L N O. 3. D A TE O F O RD E R/CA L L ( YYYYM M M D D ) 2014 May RE Q./ P U RCH. RE Q U E ST N O. N R C N P RIO RITY 6. ISSUED BY CODE MILITAR Y SEALIFT COMMAN D, SSU GU AM MSC, SSU GU AM PSC 455, BOX 198 APO AP N ADM INIST E RED BY (if o th er th an 6 ) SEE IT EM 6 CODE 8. DELIVERY FOB DEST INAT IO X OT HER (See Schedule if othe 9. CONT RACT OR CODE 0M9K3 FACILIT Y N AME AN D AD D R ESS C ABR AS MAR IN E C OR POR ATIO N J O SEPH C R U Z 1026 C ABR AS H IGH W AY, SU ITE 114 PITI GU D E L IVE R TO FO B P O IN T BY (D ate) ( YYYYM M M D D ) SEE SCHEDULE 1 2. D ISCO U N T TE RM S 1 1. M A RK IF BU SIN E SS SM A L L SM A L L D ISA D VA N TA G W O M E N -O W N E 1 4. SHIP T O SEE SCHEDULE CODE 1 3. M AIL INVOICES T O T HE ADDRE SS IN BL OCK See Item P AYM E NT W IL L BE M ADE BY CODE W AW F SU BMIT ELEC TR O N IC IN VOIC ES IAW W AW F C O N TR AC T C LAU SE MSC W O R LD W ID E D C AN Y MARK ALL P AC KAG ES AND P APERS W ITH IDENTIFIC ATIO N NUMB ERS IN B LO C KS 1 AND T YP E OF ORDER DEL IVERY/ CAL L P URCHASE X This delivery order/call is issued on another G overnment agency or in accordance w ith and subject to terms and conditions of above numbered contract. Referen ce y ou r q u ote d ated Furnish the follow ing on terms specified herein. RE F : ACCE P T ANCE. T HE CONT RACT OR HERE BY ACCE P T S T HE OFFE R RE P RE SE NT E D BY T HE NUM BE RE D P URCHASE ORDER AS IT M AY P RE VIOUSL Y HAVE BE E N OR IS NOW M ODIFIE D, SUBJE CT T O ALL OF T HE T E RM S AND CONDIT IONS SET FORT H, AND AGREE S T O P E RFORM T HE SAM E. NAM E OF CONT RACT OR SIGNAT URE T YP E D NAM E AND T IT L E X If t h is bo x is m ark ed, sup p lier m ust sign Accep t ance an d ret urn t h e fo llo wing n um ber of co pies: ACCOUNT ING AND AP P ROP RIAT ION DAT A/ L OCAL USE DAT E SIGNE ( YYYYM M M D D Se e Sche d u le 1 8. IT E M NO SCHEDULE OF SUP P L IE S/ SE RVICES 2 0. QUANT IT Y ORDERE D/ ACCEP T E D* 21. UNIT 22. UNIT P RICE 2 3. AM OUNT * If q u a n tity a ccep ted b y th e G o vern m en t is s a m e a s S EE S CHEDULE 24. UNITED STATES OF AMERICA TEL (b) (6) quantity ordered, indicate by X. If different, enter actual quantity accepted below quantity ordered and encircle. BY: Keith Beem 2 7 a. QUANT IT Y IN COLUM N 2 0 HAS BEE N (b) (6) INSP ECT E D RE CEIVE D ACCE P T E D, AND CONFORM S T O T HE CONT RACT EXCEP T AS NOT ED b. SIGNAT URE OF AUT HORIZED GOVERNM ENT REP RESENT AT IVE 25. T OT AL $237, CONTRACTING / ORDERING OFFICER DIFFEREN CES c. DAT E d. P RINT E D NAM E AND T IT L E OF AUT HORIZ E D ( YYYYM M M D D ) GOVERNM ENT REP RESENT AT IVE e. M AILING ADDRESS OF AUT HORIZED GOVERNM ENT REP RESENT AT IVE 2 8. SHIP NO DO VOUCHER NO. 30. INIT IALS f. T E LE P HONE NUM BE R g. E -M AIL ADDRESS P ART IAL FINAL 32. P AID BY 33. AM OUNT VERIFIED CORRE CT FOR 36. I ce r tify th is acco u n t is co r r e ct an d p r op e r fo r p aym e nt. a. DAT E b. SIGNAT URE AND T IT L E OF CE RT IFYING OFFICE R ( YYYYM M M D D ) 3 1. P AYM E NT COM P LE T E P ART IAL FINAL 34. CHECK NUM BER 35. BIL L OF L ADING NO.
2 Page 2 of 8 Section B - Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT Lot $237, $237, Ton Crane Assessment FCB FFP Reference statement of work FY REV B and quote received 23MAY2014. FOB: Destination PURCHASE REQUEST NUMBER: N RCN7191 NET AMT $237, ACRN AA CIN: N RCN $237,591.12
3 Page 3 of 8 Section C - Descriptions and Specifications FY14-076B USS FRANK CABLE (AS 40) AUXILIARY SSU GUAM FY March 2014 ITEM NO REV B CATEGORY "A" MSC/PM4CM3A/RES PORT AND STARBOARD 5 TON CRANE MATERIAL ASSESSMENT (VR ) 1.0 ABSTRACT 1.1 This work item describes the requirements to engage the services of the Original Equipment Manufacturer technical expert to evaluate and assess the material condition of the Port and Starboard 5 Ton crane and provide written recommendation to remediate, system upgrade and return the crane to its designed operating condition. 2.0 REFERENCES/ENCLOSURES: 2.1 SG811-BG-MMA-010, 10,000 LB Capacity Cargo and Sail Service Crane 2.2 MIP A-159, 5-Ton Crane Component Inspection 3.0 ITEM LOCATION/DESCRIPTION: 3.1 Location: Port and Starboard Side, 02 Level. 3.2 Description: 10,000 lb Capacity Cargo and Sail Service Crane, Two (2) each, Port and Starboard Side. 4.0 GOVERNMENT FURNISHED MATERIAL: 4.1 None. 5.0 NOTES: 5.1 This material assessment shall in no way place both cranes in uncertified and unuseable condition. 5.2 Any safety issues discovered that would deem the crane uncertified or unuseable, contractor and subcontractor shall submit condition found report containing the reasons why crane cannot be used and recommendation and list of parts, materials, and type of steel if structural replacement is needed, to return crane
4 Page 4 of 8 back to certified/useable condition. Repairs shall be done under approved change order. 6.0 QUALITY ASSURANCE REQUIREMENTS: None 7.0 STATEMENT OF WORK: 7.1 Contractor shall provide the services of the Original Equipment Manufacturer (OEM) technical expert(s) in mechanical systems and electrical systems and controls of the cranes specified in paragraph 3.0. Contractor shall also provide labor support and NDT inspectors to assist OEM technical expert in conducting material evaluation of the cranes. This includes installation of scaffoldings, gauging requirements and providing tools and any support required by OEM technical experts. 7.2 OEM technical expert(s) shall conduct a thorough assessment and evaluation of the Port and Starboard 5 Ton Cargo and Sail Service Crane to include all structural members, load bearing components, mechanical systems, hydraulic systems, electrical systems and electrical controls. 7.3 Upon completion of assessment and evaluation, contractor and OEM technical expert shall provide the following reports to the Port Engineer and the Chief Engineer in an electronic format and two (2) hard copies: Report shall be divided into various sections of the crane systems such as structural components, load bearing members, hydraulic system, mechanical system, electrical system, electrical and electronic controls, etc Report shall contain material condition of each system and recommended corrective and preventive maintenance items to be performed to return the crane into designed operating condition or system improvement to improve and extend the operating cycle of the crane Report shall contain parts needed, structural component material replacement (i.e. type of steel) to execute the recommended maintenance items provided in paragraph and the availability of these parts from the OEM suppliers Report on recommended system improvements or alteration shall be in the last section of the report. This upgrade shall include complete system installation, procedure for the installation, and bill of materials needed to execute the installation of the upgrade Draft report shall be submitted upon completion of inspection and final report within five (5) days upon completion of the assessment and evaluation.
5 Page 5 of Any conditions noted that constitute a safety item and will deem the crane unsafe to operate shall be reported immediately on a condition as found report. Said report shall contain the safety item finding and recommended corrective action and parts, material type. Additional work shall be under an approved change order. 7.5 GOVERNMENT ORIGINAL EQUIPMENT MANUFACTURER SOURCE: Tony Secinaro Field Service Supervisor Oldenburg Group Incorporated Phone: Cell: TSecinaro@OldenburgGroup.com 8.0 GENERAL REQUIREMENTS: 8.1 Vessel: USS FRANK CABLE (AS 40) 8.2 Location: POLARIS POINT, GUAM 8.3 Period of Performance: 01 June to 21 June 2014
6 Page 6 of 8 Section E - Inspection and Acceptance INSPECTION AND ACCEPTANCE TERMS Supplies/services will be inspected/accepted at: CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY 0003 Destination Government Destination Government
7 Page 7 of 8 Section F - Deliveries or Performance DELIVERY INFORMATION CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC 0003 POP 01-JUN-2014 TO 21-JUN-2014 N/A N/A FOB: Destination
8 Page 8 of 8 Section G - Contract Administration Data ACCOUNTING AND APPROPRIATION DATA AA: 97 X 4930 ND2A F AMOUNT: $237, CIN N RCN : $237,591.12
OR D ER FOR SUPPLIES OR SER VICES
OR D ER FOR SUPPLIES OR SER VICES P AGE 1 OF 7 1. CO N TRA CT/P U RCH. O RD E R/ A G RE E M E N T N O. N00033-14-D-7509 2. D E L IVE RY O RD E R/ CA L L N O. 3. D A TE O F O RD E R/CA L L ( YYYYM M M D
OR D ER FOR SUPPLIES OR SER VICES
OR D ER FOR SUPPLIES OR SER VICES P AGE 1 OF 7 1. CO N TRA CT/P U RCH. O RD E R/ A G RE E M E N T N O. N00033-14-D-7509 2. D E L IVE RY O RD E R/ CA L L N O. 3. D A TE O F O RD E R/CA L L ( YYYYM M M D
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