ORDER FOR SUPPLIES OR SERVICES

EX-10.22 2 v189732_ex10-22.htm

				PAGE 1 OF 5
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

W52H09-05-D-0260	VD01	2010JUN28	SEE SCHEDULE	DOA5

6. ISSUED BY	CODE	SPRDL1	7. ADMINISTERED BY (If other than 6)	CODE	S4402A	8. DELIVERY FOB
DLA WARREN, LAND DETACHMENT @ TACOM
DSCC-ZG			DCMA, TEXAS
MO KAH ###-###-####			600 NORTH PEARL STREET			x DESTINATION
WARREN, MI ###-###-####			SUITE 1630
HTTP://CONTRACTING.TACOM.ARMY.MIL			DALLAS TX 75201-2843			¨ OTHER
						(See Schedule if
			SCD: A PAS: NONE ADP PT: HQ0339			other)

9. CONTRACTOR	CODE	0BK64	FACILITY		10. DELIVER TO FOB POINT BY (Date)	11. x IF BUSINESS IS
					(YYYYMMMDD)
●				●		x SMALL
OPTEX SYSTEMS INC.
1420 PRESIDENTIAL DR					SEE SCHEDULE	o SMALL
NAME RICHARDSON, TX 75081-2439					12. DISCOUNT TERMS	DISADVANTAGED
AND
ADDRESS						o WOMAN-OWNED

					13. MAIL INVOICES TO THE ADDRESS IN BLOCK
●				●
TYPE BUSINESS: Other Small Business Performing in U.S.					See Block 15

14. SHIP TO	CODE	15. PAYMENT WILL BE MADE BY	CODE	HQ0339	MARK ALL
SEE SCHEDULE		DFAS-COLUMBUS CENTER			PACKAGES AND
		DFAS-CO WEST ENTITLEMENT OPERATIONS			PAPERS WITH
		P.O. BOX 182381			IDENTIFICATION
		COLUMBUS, OH ###-###-####			NUMBERS IN
					BLOCKS 1 AND 2

16.	DELIVERY/ CALL	x	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			Reference your o Oral o Written Quotation , Dated .
	PURCHASE		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 (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/SERVICE	20. QUANTITY	21.	22. UNIT PRICE	23. AMOUNT
		ORDERED/	UNIT
		ACCEPTED*

	SEE SCHEDULE
	CONTRACT TYPE:
	Firm-Fixed-Price

	KIND OF CONTRACT:
	Supply Contracts and Priced Orders

* 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.	24. UNITED STATES OF AMERICA	25. TOTAL	$2,500,570.00
	MORRIS BELLEVILLE /SIGNED/ 2010JUN28	26.
	*@* (586 ###-###-####	DIFFERENCES
	BY: CONTRACTING/ORDERING OFFICER

27a. QUANTITY IN COLUMN 20 HAS BEEN

o INSPECTED o RECEIVED o ACCEPTED, AND CONFORMS TO 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. D.O. VOUCHER NO.	30. INITIALS

	o PARTIAL	32. PAID BY	33. AMOUNT VERIFIED CORRECT FOR

f. TELEPHONE NUMBER	g. E-MAIL ADDRESS	o FINAL
		31. PAYMENT	34. CHECK NUMBER

36. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT.		o COMPLETE

a. DATE (YYYYMMMDD)	b. SIGNATURE AND TITLE OF CERTIFYING OFFICER		o PARTIAL		35. BILL OF LADING NO.
			o FINAL

37. RECEIVED AT	38. RECEIVED BY (Print)	39. DATE RECEIVED (YYYYMMMDD)	40. TOTAL CON- TAINERS	41. S/R ACCOUNT NUMBER	42. S/R VOUCHER NO.

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE.

CONTINUATION SHEET	Reference No. of Document Being Continued PIIN/SIIN W52H09-05-D-0260/VD01 MOD/AMD	Page 2 of 5
Name of Offeror or Contractor: OPTEX SYSTEMS

SUPPLEMENTAL INFORMATION

1. DELIVERY ORDER VD01/0004 IS ISSUED FOR 200 EACH, M137A2 PANORAMIC TELESCOPE, NSN: 1240 ###-###-####, PN 12984713.

2. THE UNIT PRICE OF $12,502.85 EACH REFLECTS THE UNIT PRICE FOR CLIN 0001 FOR ORDERING PERIOD 05, 1 JULY 2009 THROUGH 30 JUNE 2010.THE TOTAL VALUE OF THIS DELIVERY ORDER IS $2,500,570.00.

3.THE DELIVERY SCHEDULE IS ESTABLISHED IN SECTION B. EARLY DELIVERY IS AUTHORIZED IF AT NO ADDITIONAL COST TO THE GOVERNMENT.

4.THIS DELIVERY ORDER IS SUBJECT TO THE TERMS AND CONDITIONS OF BASIC CONTRACT W52H09-05-D-0260.

*** END OF NARRATIVE A0001 ***

CONTINUATION SHEET	Reference No. of Document Being Continued PIIN/SIIN W52H09-05-D-0260/VD01 MOD/AMD	Page 3 of 5
Name of Offeror or Contractor: OPTEX SYSTEMS

ITEM NO

SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

SUPPLIES OR SERVICES AND PRICES/COSTS

0001

NSN: 1240 ###-###-####

FSCM: 19200

PART NR: 12984713

SECURITY CLASS: Unclassified

0001AB

PRODUCTION QUANTITY

200

12,502.85000

2,500,570.00

NOUN: TELESCOPE, PANORAMIC

PRON: M101F720M1 PRON AMD: 04 ACRN: AA

AMS CD: 060011

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

W52H090137C304

W25G1U

DEL REL CD	QUANTITY	DEL DATE
001	15	28-JAN-2011

002	15	28-FEB-2011

003	15	28-MAR-2011

004	15	28-APR-2011

005	15	30-MAY-2011

006	25	29-JUN-2011

007	25	29-JUL-2011

008	25	29-AUG-2011

	FOB POINT: Destination

	SHIP TO:
	(W25G1U)	SU W1BG DEF DIST DEPOT SUSQUE
		DDSP NEW CUMBERLAND FACILITY
		2001 NORMANDY DRIVE DOOR 113 TO 134
		NEW CUMBERLAND PA 17070-5002

		CONTRACT/DELIVERY ORDER NUMBER
		W52H09-05-D-0260/VD01

CONTINUATION SHEET	Reference No. of Document Being Continued PIIN/SIIN W52H09-05-D-0260/VD01 MOD/AMD	Page 4 of 5
Name of Offeror or Contractor: OPTEX SYSTEMS

ITEM NO

SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

DOC

SUPPL

REL CD

MILSTRIP

ADDR

SIG CD

MARK FOR

TP CD

002

W52H090137C305

W62G2T

DEL REL CD	QUANTITY	DEL DATE
001	10	28-JAN-2011

002	10	28-FEB-2011

003	10	28-MAR-2011

004	10	28-APR-2011

005	10	30-MAY-2011

	FOB POINT: Destination

	SHIP TO:
	(W62G2T)	XR W1BG DEF DIST DEPOT SAN JOAQUN
		TRANSPORTATION OFFICER
		PO BOX 960001
		STOCKTON CA ###-###-####

		CONTRACT/DELIVERY ORDER NUMBER
		W52H09-05-D-0260/VD01

CONTINUATION SHEET	Reference No. of Document Being Continued PIIN/SIIN W52H09-05-D-0260/VD01 MOD/AMD	Page 5 of 5
Name of Offeror or Contractor: OPTEX SYSTEMS

CONTRACT ADMINISTRATION DATA

PRON/

JOB

LINE

AMS CD/

OBLG

ORDER

ACCOUNTING

OBLIGATED

ITEM

MIPR

ACRN

STAT

ACCOUNTING CLASSIFICATION

NUMBER

STATION

AMOUNT

0001AB

M101F720M1

97 X4930AC9G 6D

26KB

S11116

W52H09

$ 2,500,570.00

060011

TOTAL

$ 2,500,570.00

SERVICE NAME	TOTAL BY ACRN	ACCOUNTING CLASSIFICATION			ACCOUNTING STATION		OBLIGATED AMOUNT
Army	AA	97 X4930AC9G 6D	26KB	S11116	W52H09		$ 2,500,570.00

						TOTAL	$ 2,500,570.00

LINE
ITEM	ACRN	EDI	ACCOUNTING CLASSIFICATION
0001AB	AA	97	0X0X4930AC9G S11116	06D00000600110000026KB	S11116