Delivery Order for Buffalo MPCV Systems between Marine Corps Systems Command and Force Protection Industries, Inc.

ORDER FOR SUPPLIES OR SERVICES

PAGE 1 OF 7

1. CONTRACT/PURCH. ORDER/

AGREEMENT NO.

M67854-07-D-5006

2. DELIVERY ORDER/ CALL
NO.

0004

3. DATE OF ORDER/CALL

( YYYYMMMDD)

2007 Mar 08

4. REQ./ PURCH. REQUEST NO.

MIPR7EDBQ7M023

5. PRIORITY

6. ISSUED BY

MARINE CORPS SYSTEMS COMMAND

2200 LESTER STREET

QUANTICO VA 22134-6050

CODE   M67854

7. ADMINISTERED BY (if other than 6)

DCMA ATLANTA

2300 LAKE PARK DRIVE

SUITE 300

SMY NRA GA 30080

CODE S1103A

8. DELIVERY FOB

    x DESTINATION

    o OTHER

(See Schedule if other)

9. CONTRACTOR

                     FORCE PROTECTION INDUSTRIES, INC

NAME        DAMON WALSH

AND           9801 HIGHWAY 78, #1

ADDRESS LADSON SC 29456

CODE   1EFH8

FACILITY

10. DELIVER TO FOB POINT BY (Date)

( YYYYMMMDD)

SEE SCHEDULE

11. MARK IF BUSINESS IS

      x SMALL

      o SMALL DISADVANTAGED

      o WOMEN-OWNED

12. DISCOUNT TERMS
Net 30 days

13. MAIL INVOICES TO THE ADDRESS IN BLOCK

See Item 15

14. SHIP TO

FY 4462-437 LRS/LGR DCO

FRANK ROSE

113 S. BATES ST BLDG 178

CHARLESTON AFB SC 29404

CODE   FY 4462

15. PAYMENT WILL BE MADE BY

DFAS COLUMBUS SOUTH ENTITLEMENT OPS

P.O. BOX 182264

COLUMBUS OH ###-###-####

CODE   HQ0338

MARK ALL

PACKAGES AND

PAPERS W ITH

IDENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2.

16.

TYPE

OF

ORDER

DELIVERY/CALL 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.

PURCHASE

Reference your quote dated
Furnish the following on terms specified herein. REF :

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
(YYYYMMMDD)

o If this box is marked, supplier must sign Acceptance and return the following number of copies:

17. ACCOUNTING AND APPROPRIATION DATA/ LOCAL USE

     See Schedule

18. ITEM NO.

19. SCHEDULE OF SUPPLIES/ SERVICES

20. QUANTITY

ORDERED/

ACCEPTED*

21. UNIT

22. UNIT PRICE

23. AMOUNT

SEE SCHEDULE

24. UNITED STATES OF AMERICA

TEL: 703 ###-###-####

EMAIL: ***@***

BY: TERRY MCGINN

CONTRACTING / ORDERING OFFICER

25. TOTAL

$16,260,713.00

*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.

26. DIFFERENCES

27a. QUANTITY IN COLUMN 20 HAS BEEN

o INSPECTED    o RECEIVED    o

ACCEPTED, AND CONFORMS TO THE
CONTRACT EXCEPT AS NOTED

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

28. SHIP NO.

29. DO VOUCHER NO.

30. INITIALS

f. TELEPHONE NUMBER

g. E-MAIL ADDRESS

o PARTIAL

o FINAL

32. PAID BY

33. AMOUNT VERIFIED

CORRECT FOR

36. I certify this account is correct and proper for payment.

31. PAYMENT

o COMPLETE

o PARTIAL

o FINAL

34. CHECK NUMBER

a. DATE

b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

35. BILL OF LADING NO.

(YYYYMMMDD)

37. RECEIVED AT

38. RECEIVED BY

39. DATE RECEIVED
     (YYYYMMMDD)

40.TOTAL

     CONTAINERS

41. S/R ACCOUNT NO.

42. S/R VOUCHER NO.

DD Form 1155, DEC 2001

PREVIOUS EDITION IS OBSOLETE.