BRIDGE ASSY

11.X IF BUSINESS IS | | SMALL | | SMALL DISAD- VANTAGED | | WOMEN-OWNED SL4701 R23168 1CAY9 SPE7LX 23. AMOUNT 3.DATE OF ORDER/CALL (YYYYMMDD) 20230529 27a.QUANTITY IN COLUMN 20 HAS BEEN | |INSPECTED | |RECEIVED | |ACCEPTED AND CONFORMS TO THE CONTRACT EXCEPT AS NOTED _________________________ ________________________ ____________________________________ _________________ NAME OF CONTRACTOR SIGNATURE TYPED NAME AND TITLE DATE SIGNED(YYYMMDD) | | If this box is marked, supplier must sign Acceptance and return the following number of copies: 24. UNITED STATES OF AMERICA Samuel Freidet Samuel.Freidet@dla.mil 05/29/2023 Samuel Freidet 17.ACCOUNTING AND APPROPRIATION DATA/LOCAL USE BX: 97X4930 5CBX 001 2630 S33189 22.UNIT PRICE 21. UNIT 20.QUANTITY ORDERED/ ACCEPTED* 19. SCHEDULE OF SUPPLIES/SERVICES 18.ITEM NO Award Sent EDI, Do Not Duplicate Shipment. SEE SCHEDULE. TERMS AND CONDITIONS ARE IN ACCORDANCE WITH BASIC CONTRACT 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. d.PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c.DATE (YYYYMMDD) b.SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 15. PAYMENT WILL BE MADE BY CODE DEF FIN AND ACCOUNTING SVC BSM P O BOX 182317 COLUMBUS OH 43218-2317 14.SHIP TO CODE MARK ALL PACKAGES AND PAPERS WITH IDENTIFICATION NUMBERS IN BLOCKS 1 AND 2. 8. DELIVERY FOB | | DESTINATION | | OTHER (See Schedule if other) 9.CONTRACTOR CODE FACILITY 7.ADMINISTERED BY (IF OTHER THAN 6) CODE ATLANTIC DIVING SUPPLY, INC. 621 LYNNHAVEN PKWY STE 160 VIRGINIA BEACH VA 23452-7383 USA DLA LAND AND MARITIME STRATEGIC ACQ PROGRAM DIRECTORATE PO BOX 3990 COLUMBUS OH 43218-3990 6.ISSUED BY CODE DLA LAND AND MARITIME PO BOX 3990 COLUMBUS OH 43218-3990 Local Admin: Erika Montes Tel: DSN312-850-5510 Email:DLA.Land.Postaward.FLS@d PAGE 1 OF 2 5.PRIORITY DO-C9 4.Purchase Requisition Number 7003101730 2. DELIVERY ORDER/CALL NO. SPE7LX-23-F-ALLM 1.CONTRACT/PURCH ORDER/AGREEMENT NO. SPE7LX-21-D-0087 ORDER FOR SUPPLIES OR SERVICES SPE7LX 16. TYPE OF ORDER PURCHASE X DELIVERY CALL 42.S/R VOUCHER NO. 41.S/R ACCOUNT NUMBER 40.TOTAL CON- TAINERS 39.DATE RECEIVED (YYYYMMDD) 38.RECEIVED BY (PRINT) 37.RECEIVED AT DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE ACCEPTANCE.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. Reference your furnish the following on items specified herein. This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of the above numbered contract. 30.INITIALS 26. DIFFERENCES 25.TOTAL $244.80 13.MAIL INVOICES TO THE ADDRESS IN BLOCK Submit Invoices IAW DFARS 252.232-7003 12.DISCOUNT TERMS IAW Basic 10.DELIVER TO FOB POINT BY(DATE) (YYYYMMDD) | | PARTIAL | | FINAL 31.PAYMENT | | COMPLETE | | PARTIAL | | FINAL 28.SHIP. NO. 32.PAID BY 29.D.O.VOUCHER NO b.SIGNATURE AND TITLE OF CERTIFYING OFFICER a.DATE (YYYYMMDD) 36.I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT. g.E-MAIL ADDRESS f.TELEPHONE NUMBER e.MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 35. BILL OF LADING NO. 34. CHECK NUMBER 33. AMOUNT VERIFIED CORRECT FOR X CRITICALITY:B 20230608 SEE SCHEDULE, DO NOT SHIP TO ADDRESSES ON THIS PAGE X ATLANTIC DIVING SUPPLY, INC. Reference PIID / Order Number SPE7LX-21-D-0087 /SPE7LX-23-F-ALLM PAGE 2 OF 2 DO Counter:063146 BDN: SCHEDULE NSN/PartNumber: 2815014535388 BRIDGE ASSY MFR. CAGE 11083 P/N 6I2491 QTY. VARIANCE +0.0% -0.0% SHIP TO: VESSEL SHIPMENT. TRANSPORTATION SEE DLAD PROC NOTE C19. FIRST DESTINATION TRANSPORTATION SEE DLAD PROC NOTE C20 AND CONTRACTRDD 777 SHIPMENT. TRANSPORTATION SEE DLAD PROC NOTE C19. FIRST DESTINATION TRANSPORTATION SEE DLAD PROC NOTE C20 AND CONTRACT PARCEL:R23168 USS NEW ORLEANS LPD 18 UNIT 100207 BOX 1 FPO AP 96673 USA Ref CLIN ITEM QUANTITY U/I UNIT PRICE TOTAL DELIVERY FOB INSP. ACC. 0001 2.000 AY $122.40 $244.80 08JUN2023 ORIG DEST DEST MARK FOR DATA: TCN: R231683148EM75 RDD: 777 TP: 2 SUPP ADD: YNEM05 PROJ: LK5 SIG: A GOV USE ONLY: IDP: 05 DIC: A41 DIST: 3B FC: NR FREIGHT: R23168 USS NEW ORLEANS LPD 18 CONTACT NAVSUP 757-443-5434 DSN 646 DSN 646 5434 OCONUS 312 646 5434 DLA VENDORS: USE VSM FOR SHPMT DEST USA **********************************************************************************