Refrigeration Service
Section A - Solicitation/Contract Form CONTRACTOR INFORMATION TIN: CAGE: DUNS: Vendor Point of Contact: Phone: Email: Billing/Payment in Arrears. Naval Medical Center Contracting POC: Harold Woodley Phone: 757-953-7276 Fax: 757-953-5006 Email: harold.d.woodley.civ@mail.mil Product/Services for: Naval Medical Center Portsmouth, Biomedical Engineering POC: Francisco Abano Phone: 757-953-5336 Email: francisco.v.abano.civ@mail.mil Vendor to reference RFQ number N0018319Q0120 on all inquires. Note: Vendor will be required to provide billing electronically via the WAWF Electronic Invoicing Method. For additional information, a review of the following web sites may be required: https://wawf.eb.mil http://wawftraining Email: usn.detrick.navmedlogcomftdmd.list.nmlc-wawf@mail.mil PROMPT PAYMENT For Prompt Payment Act Purposes, this contract is: Subject to the 7-calender day constructive acceptance period. Vendor note: 1. Government to award on an "all-or-none" basis. 2. Award to be best value based upon past performance and price. 3. Vendor past performance shall include the delivery of same or similar service for the items as described in Section B of the RFQ. 4. Vendor quote to be inclusive of all parts, labor and travel AVAILABILITY OF FUNDS. Pursuant to Section I, Availability of Funds (FAR 52.232-18), of the contract, funds are not presently available for this contract. The Government's obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing to the Contracting Officer. Section B - Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N3253320RCH3002 PURCHASE REQUEST NUMBER: N3253320RCH3002 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000101 Refrigerator FFP Customer ID: BHAY00 Customer Name: Yorktown Primary Care ECN: 128098 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: DHN424GD Mfr. Serial No.: 08110099 Equipment Location: 1806/100 PURCHASE REQUEST NUMBER: N3253320RCH3002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000102 Refrigerator FFP Customer ID: BHAY00 Customer Name: Yorktown Primary Care ECN: 132568 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR215F Mfr. Serial No.: 11010008 Equipment Location: 1806/119 PURCHASE REQUEST NUMBER: N3253320RCH3002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000103 Refrigerator FFP Customer ID: BHAY00 Customer Name: Yorktown Primary Care ECN: 117743 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR215F Mfr. Serial No.: 11060357 Equipment Location: 1806/119 PURCHASE REQUEST NUMBER: N3253320RCH3002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000104 Refrigerator FFP Customer ID: BHAY00 Customer Name: Yorktown Primary Care ECN: 055153 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR-414F Mfr. Serial No.: 40811418 Equipment Location: 1806/403 PURCHASE REQUEST NUMBER: N3253320RCH3002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002 12 Months Refrigerator, Pharmacy Maintenance FFP See Section C for Perfomance Work Statement. FOB: Destination PURCHASE REQUEST NUMBER: N3212A20RCH3003 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000201 Refrigerator FFP Customer ID: BHAV01 Customer Name: Virginia Beach Clinic Primary Care ECN: 116358 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 3772 Mfr. Serial No.: 0146492201120510 Equipment Location: 2100/1117 PURCHASE REQUEST NUMBER: N3212A20RCH3003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000202 Refrigerator FFP Customer ID: BHAV01 Customer Name: Virginia Beach Clinic Primary Care ECN: 134408 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: EC427GD Mfr. Serial No.: K1718514 Equipment Location: 2100/1104 PURCHASE REQUEST NUMBER: N3212A20RCH3003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000203 Refrigerator FFP Customer ID: BHAV01 Customer Name: Virginia Beach Clinic Primary Care ECN: 127919 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 70916280 Equipment Location: 2100/2235 PURCHASE REQUEST NUMBER: N3212A20RCH3003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000204 Refrigerator/Freezer FFP Customer ID: BHAV01 Customer Name: Virginia Beach Clinic Primary Care ECN: 127729 Equipment Nomenclature: Refrigerator/Freezer, Medical, Multiuse, Upright Manufacturer Name: Panasonic Corp. Nameplate Model: MPR414FPA Mfr. Serial No.: 16071534 Equipment Location: 2100/2106 PURCHASE REQUEST NUMBER: N3212A20RCH3003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000205 Refrigerator FFP Customer ID: BHAV01 Customer Name: Virginia Beach Clinic Primary Care ECN: 127189 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corp. Nameplate Model: MPR514PA Mfr. Serial No.: 16030085 Equipment Location: 2100/1104 PURCHASE REQUEST NUMBER: N3212A20RCH3003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000206 Refrigerator FFP Customer ID: BHAV01 Customer Name: Virginia Beach Clinic Primary Care ECN: 117482 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR715F Mfr. Serial No.: 12059027 Equipment Location: 2100/2102 PURCHASE REQUEST NUMBER: N3212A20RCH3003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003 12 Months Refrigerator/Freezer Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N3280420RCH3004 PURCHASE REQUEST NUMBER: N3280420RCH3004 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000301 Refrigerator/Freezer FFP Customer ID: BHAM00 Customer Name: Northwest Primary Care ECN: 123438 Equipment Nomenclature: Refrigerator/Freezer, Medical, Multiuse, Upright Manufacturer Name: Fisher Scientific Co. Nameplate Model: 18LCEEFSA Mfr. Serial No.: 0125439701150210 Equipment Location: 390/B04 PURCHASE REQUEST NUMBER: N3280420RCH3004 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000302 Refrigerator FFP Customer ID: BHAM00 Customer Name: Northwest Primary Care ECN: 119458 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: DH412GD Mfr. Serial No.: K1314152 Equipment Location: 390/A01 PURCHASE REQUEST NUMBER: N3280420RCH3004 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000303 Refrigerator FFP Customer ID: BHAM00 Customer Name: Northwest Primary Care ECN: 127106 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR715FPA Mfr. Serial No.: 15129128 Equipment Location: 390/D13 PURCHASE REQUEST NUMBER: N3280420RCH3004 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N4610620RCH3005 PURCHASE REQUEST NUMBER: N4610620RCH3005 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000401 Refrigerator FFP Customer ID: BHAO00 Customer Name: Dam Neck Primary Care ECN: 118001 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: DH412GD Mfr. Serial No.: 10801808 Equipment Location: 504/154 PURCHASE REQUEST NUMBER: N4610620RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000402 Refrigerator FFP Customer ID: BHAO00 Customer Name: Dam Neck Primary Care ECN: 117745 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR215F Mfr. Serial No.: 11060354 Equipment Location: 504/156 PURCHASE REQUEST NUMBER: N4610620RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000403 Refrigerator FFP Customer ID: BHAO00 Customer Name: Dam Neck Primary Care ECN: 117757 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR414F Mfr. Serial No.: 31011295 Equipment Location: 504/134 PURCHASE REQUEST NUMBER: N4610620RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000404 Refrigerator FFP Customer ID: BHAO00 Customer Name: Dam Neck Primary Care ECN: 122149 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR715FPA Mfr. Serial No.: 14069057 Equipment Location: 504/132 PURCHASE REQUEST NUMBER: N4610620RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0005 12 Months Refigerator/Freezer Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N3252820RCH3006 PURCHASE REQUEST NUMBER: N3252820RCH3006 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000501 Refrigerator FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 069619 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Fisher Scientific Co. Nameplate Model: 13986128S Mfr. Serial No.: 1817061118238 Equipment Location: 285/1030 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000502 Refrigerator FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 066722 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Thermo Electron Corp. Nameplate Model: 3688 Mfr. Serial No.: 809897295 Equipment Location: 285/1215 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000503 Refrigerator FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 068558 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: RTF Manufacturing Co. Nameplate Model: HC45HTTBBG Mfr. Serial No.: 067144 Equipment Location: 285/1837 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000504 Refrigerator FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 127938 Equipment Nomenclature: Refrigerator, Biologic Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR1014 Mfr. Serial No.: 16080113 Equipment Location: 285/1003 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000505 Refrigerator FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 127920 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 070611552 Equipment Location: 285/1043 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000506 Refrigerator FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 127923 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 070916279 Equipment Location: 285/1041 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000507 Refrigerator FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 127921 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 070916285 Equipment Location: 285/1215 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000508 Refrigerator FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 127922 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 07120029 Equipment Location: 285/1041 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000509 Refrigerator/Freezer FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 127939 Equipment Nomenclature: Refrigerator/Freezer, Medical, Multiuse, Upright Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR215 Mfr. Serial No.: 16020419 Equipment Location: 285/1212 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000510 Refrigerator FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 116237 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Sanyo Scientific Nameplate Model: MPR215F Mfr. Serial No.: 12020072 Equipment Location: 285/1215 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000511 Refrigerator/Freezer FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 128101 Equipment Nomenclature: Refrigerator/Freezer, Medical, Multiuse, Upright Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR215FPA Mfr. Serial No.: 15110522 Equipment Location: 285/1207 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000512 Refrigerator/Freezer FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 128100 Equipment Nomenclature: Refrigerator/Freezer, Medical, Multiuse, Upright Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR215FPA Mfr. Serial No.: 15110574 Equipment Location: 285/1205 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000513 Refrigerator/Freezer FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 128099 Equipment Nomenclature: Refrigerator/Freezer, Medical, Multiuse, Upright Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR215FPA Mfr. Serial No.: 15110580 Equipment Location: 285/1215 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000514 Refrigerator FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 117483 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR715F Mfr. Serial No.: 12059016 Equipment Location: 285/1003 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000515 Freezer FFP Customer ID: BHAK00 Customer Name: Oceana Primary Care ECN: 117483 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: Thermo Fisher Scientific Nameplate Model: REF2117A15 Mfr. Serial No.: T19U184682TU Equipment Location: 285/1834 PURCHASE REQUEST NUMBER: N3252820RCH3006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0006 12 Months Refrigerator & Freezer Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N3252920RCH3007 PURCHASE REQUEST NUMBER: N3252920RCH3007 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000601 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 125873 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Fisher Scientific GMBH Nameplate Model: 139861288 Mfr. Serial No.: 1817081005216 Equipment Location: 3505/D8 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000602 Freezer FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 107159 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 1UF3050A20 Mfr. Serial No.: P03V146402PV Equipment Location: 3505/D8 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000603 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 126768 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Helmer Nameplate Model: HLR245 Mfr. Serial No.: 2022029 Equipment Location: 3505/B3 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000604 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 125872 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Jewett Inc. Nameplate Model: LR2511320 Mfr. Serial No.: X03R125599XR Equipment Location: Pharma/Refill/Window PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000605 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 071315 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Jewett Inc. Nameplate Model: LR551B20 Mfr. Serial No.: 027S127730PS Equipment Location: 3505/C76 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000606 Refrigerator/Freezer FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 127582 Equipment Nomenclature: Refrigerator/Freezer, Medical, Multiuse, Upright Manufacturer Name: Panasonic Corp. Nameplate Model: MOR215FPA Mfr. Serial No.: 16050641 Equipment Location: 3505/F30 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000607 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 130638 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR1410 Mfr. Serial No.: 40302928 Equipment Location: 3505/B3 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000608 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 117750 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 60711176 Equipment Location: 3505/B15 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000609 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 117752 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 60711188 Equipment Location: 3505/B7 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000610 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 117753 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 60711189 Equipment Location: 3505/C2 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000611 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 117749 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 60711193 Equipment Location: 3505/B12 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000612 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 117751 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 60711842 Equipment Location: 3505/B8 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000613 Refrigerator/Freezer FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 121398 Equipment Nomenclature: Refrigerator/Freezer, Medical, Multiuse, Upright Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR215FPA Mfr. Serial No.: 14020048 Equipment Location: 3505/G5 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000614 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 117084 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Panasonic Healthcare Co. Ltd. Nameplate Model: MPR215FPA Mfr. Serial No.: 12090288 Equipment Location: 3505/C29 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000615 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 117085 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Panasonic Healthcare Co. Ltd. Nameplate Model: MPR215FPA Mfr. Serial No.: 12090289 Equipment Location: 3505/C54 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000616 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 117756 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR414F Mfr. Serial No.: 09070276 Equipment Location: 3505/B19 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000617 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 130637 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR414F Mfr. Serial No.: 09070277 Equipment Location: 3505/F30 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000618 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 117755 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR414F Mfr. Serial No.: 09070293 Equipment Location: 3505/B14 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000619 Refrigerator FFP Customer ID: BHAJ00 Customer Name: Boone Primary Care Clinic ECN: 117479 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR715F Mfr. Serial No.: 12059022 Equipment Location: 3505/B3 PURCHASE REQUEST NUMBER: N3252920RCH3007 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0007 12 Months Refrigerato/Freezer Maintenance FFP See Section C for Performance Work Statement FOB: Destination MILSTRIP: N0018320RCR3002 PURCHASE REQUEST NUMBER: N0018320RCR3002 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000701 Refrigerator/Freezer FFP Customer ID: HFCD00 Customer Name: Navy Vet Service ECN: 125571 Equipment Nomenclature: Refrigerator/Freezer, Medical, Multiuse, Upright Manufacturer Name: Thermo Fisher Scientific Nameplate Model: PRF171B Mfr. Serial No.: 153659801150828 Equipment Location: 121A PURCHASE REQUEST NUMBER: N0018320RCR3002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0008 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N3253220RCPC003 PURCHASE REQUEST NUMBER: N3253220RCPC003 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000801 Refrigerator FFP Customer ID: BHAR00 Customer Name: Navy Shipyard Primary Care ECN: 119593 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 08120622 Equipment Location: 277/126 PURCHASE REQUEST NUMBER: N3253220RCPC003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000802 Refrigerator FFP Customer ID: BHAR00 Customer Name: Navy Shipyard Primary Care ECN: 102748 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 09010038 Equipment Location: 277/114D PURCHASE REQUEST NUMBER: N3253220RCPC003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000803 Refrigerator FFP Customer ID: BHAR00 Customer Name: Navy Shipyard Primary Care ECN: 117429 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Thermo Fisher Scientific Nameplate Model: REB404A20 Mfr. Serial No.: 0112215101121113 Equipment Location: 277/224B PURCHASE REQUEST NUMBER: N3253220RCPC003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0009 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N3251020RCAS001 PURCHASE REQUEST NUMBER: N3251020RCAS001 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000901 Refrigerator FFP Customer ID: EBCU00 Customer Name: Suffolk Administration ECN: 136059 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 55702230 Mfr. Serial No.: 1114151901180424 Equipment Location: 7021/1602 PURCHASE REQUEST NUMBER: N3251020RCAS001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000902 Refrigerator FFP Customer ID: EBCU00 Customer Name: Suffolk Administration ECN: 136062 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Norlake Nameplate Model: 89368214 Mfr. Serial No.: 18050051 Equipment Location: 109 PURCHASE REQUEST NUMBER: N3251020RCAS001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000903 Refrigerator FFP Customer ID: EBCU00 Customer Name: Suffolk Administration ECN: 136061 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Thermo Scientific Nameplate Model: MC2055-SAEE-TS Mfr. Serial No.: 1168871301180731 Equipment Location: 7021/1608 PURCHASE REQUEST NUMBER: N3251020RCAS001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0010 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCCC010 PURCHASE REQUEST NUMBER: N0018320RCCC010 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001001 Refrigerator FFP Customer ID: BACA00 Customer Name: Cardiology O/P ECN: 129633 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: NOR-Lake Scientific Nameplate Model: LRF051WWW0M Mfr. Serial No.: 17021311 Equipment Location: 2/351500 PURCHASE REQUEST NUMBER: N0018320RCCC010 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0011 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCPU003 PURCHASE REQUEST NUMBER: N0018320RCPU003 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001101 Refrigerator FFP Customer ID: BANA00 Customer Name: Pulmonary Clinic ECN: 116222 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Helmer Nameplate Model: SLR105 Mfr. Serial No.: 1006915 Equipment Location: 2/222126 PURCHASE REQUEST NUMBER: N0018320RCPU003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0012 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCER003 PURCHASE REQUEST NUMBER: N0018320RCER003 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001201 Refrigerator FFP Customer ID: BIAA01 Customer Name: Emergency Medicine ECN: 126845 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Norlake Nameplate Model: LR021WWW0 Mfr. Serial No.: 13061754 Equipment Location: 2/140901 PURCHASE REQUEST NUMBER: N0018320RCER003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0013 12 Months Refrigerator & Freezer Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCCH002 PURCHASE REQUEST NUMBER: N0018320RCCH002 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001301 Freezer FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 107236 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 1UF3050A20 Mfr. Serial No.: 15V146539V Equipment Location: CD2/1U03 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001302 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 117748 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 60711844 Equipment Location: CD2/1F10 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001303 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 131662 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 70611514 Equipment Location: CD2/1F09 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001304 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 131661 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 70611553 Equipment Location: CD2/1F04 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001305 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 131660 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 70916281 Equipment Location: CD2/1F05 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001306 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 117746 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 11060353 Equipment Location: J50/A119 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001307 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 131659 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 09070273 Equipment Location: CD2/1F08 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001308 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 117758 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 09070280 Equipment Location: CD2/1F22 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001309 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 117477 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR715F Mfr. Serial No.: 12059017 Equipment Location: CD2/1F07 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001310 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 117478 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR715F Mfr. Serial No.: 12059023 Equipment Location: CD2/1F22 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001311 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 100309 Equipment Nomenclature: Refrigerator, Biologic Manufacturer Name: Sanyo Scientific Nameplate Model: MPR720 Mfr. Serial No.: 08070234 Equipment Location: CD2/1F22 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001312 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 066425 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Jewett Inc. Nameplate Model: PRF171B Mfr. Serial No.: N26P1087820P Equipment Location: CD2/1F22 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001313 Refrigerator FFP Customer ID: BHAS00 Customer Name: Sewells Point Primary Care ECN: 107948 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Acutemp Nameplate Model: VXC2 Mfr. Serial No.:21348 Equipment Location: CD2/1F22 PURCHASE REQUEST NUMBER: N0018320RCCH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0014 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCD2104 PURCHASE REQUEST NUMBER: N0018320RCD2104 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001401 Refrigerator FFP Customer ID: CAAA00 Customer Name: Dental Services Bldg. 2 - NMCP ECN: 126845 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of North America Nameplate Model: SRL6111WPA Mfr. Serial No.: 130700718 Equipment Location: 2/241404 PURCHASE REQUEST NUMBER: N0018320RCD2104 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0015 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCAL001 PURCHASE REQUEST NUMBER: N0018320RCAL001 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001501 Refrigerator FFP Customer ID: BABA00 Customer Name: Allergy Clinic ECN: 122159 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Helmer Nameplate Model: HB120 Mfr. Serial No.: 2012052 Equipment Location: 2/26070504 PURCHASE REQUEST NUMBER: N0018320RCAL001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001502 Refrigerator FFP Customer ID: BABA00 Customer Name: Allergy Clinic ECN: 122160 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Helmer Nameplate Model: HB245 Mfr. Serial No.: 2012121 Equipment Location: 2/26070504 PURCHASE REQUEST NUMBER: N0018320RCAL001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001503 Refrigerator FFP Customer ID: BABA00 Customer Name: Allergy Clinic ECN: 122158 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Helmer Nameplate Model: HB245 Mfr. Serial No.: 2012122 Equipment Location: 2/26070504 PURCHASE REQUEST NUMBER: N0018320RCAL001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0016 12 Months Refrigerator & Freezer Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RC34021 PURCHASE REQUEST NUMBER: N0018320RC34021 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001601 Refrigerator FFP Customer ID: DJDA00 Customer Name: Neonatal ICU Ward 4P DNS ECN: 127618 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Gem Refrigerator Co. Nameplate Model: 1MR Mfr. Serial No.: 08090414 Equipment Location: 2/460731 PURCHASE REQUEST NUMBER: N0018320RC34021 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001602 Refrigerator FFP Customer ID: DJDA00 Customer Name: Neonatal ICU Ward 4P DNS ECN: 125342 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Hoshizaki America Nameplate Model: CR1FSL Mfr. Serial No.: E60065F Equipment Location: 2/46074001 PURCHASE REQUEST NUMBER: N0018320RC34021 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001603 Refrigerator FFP Customer ID: DJDA00 Customer Name: Neonatal ICU Ward 4P DNS ECN: 130473 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Migali Scientific Nameplate Model: GSS1R6 Mfr. Serial No.: 8177944 Equipment Location: 2/46074001 PURCHASE REQUEST NUMBER: N0018320RC34021 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001604 Refrigerator FFP Customer ID: DJDA00 Customer Name: Neonatal ICU Ward 4P DNS ECN: 130472 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Migali Scientific Nameplate Model: GSS1R6 Mfr. Serial No.: 8177945 Equipment Location: 2/460740 PURCHASE REQUEST NUMBER: N0018320RC34021 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001605 Refrigerator FFP Customer ID: DJDA00 Customer Name: Neonatal ICU Ward 4P DNS ECN: 125875 Equipment Nomenclature: Refrigerator, Food, Infant Formula Manufacturer Name: NeonatalProduct Group Inc Creche Innovations Nameplate Model: PENGUINNIGHTSTAN Mfr. Serial No.: PNRCRT2051300140 Equipment Location: 2/450422 PURCHASE REQUEST NUMBER: N0018320RC34021 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001606 Refrigerator FFP Customer ID: DJDA00 Customer Name: Neonatal ICU Ward 4P DNS ECN: 125876 Equipment Nomenclature: Refrigerator, Food, Infant Formula Manufacturer Name: NeonatalProduct Group Inc Creche Innovations Nameplate Model: PENGUINNIGHTSTAN Mfr. Serial No.: PNRCRT2051300166 Equipment Location: 2/450420 PURCHASE REQUEST NUMBER: N0018320RC34021 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001607 Freezer FFP Customer ID: DJDA00 Customer Name: Neonatal ICU Ward 4P DNS ECN: 117852 Equipment Nomenclature: Freezer, Laboratory, Multiuse, Upright Manufacturer Name: Thermo Fisher Scientific Nameplate Model: UFP3030A22 Mfr. Serial No.: 0112687901130529 Equipment Location: 2/460740L PURCHASE REQUEST NUMBER: N0018320RC34021 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0017 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCVQ001 PURCHASE REQUEST NUMBER: N0018320RCVQ001 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001701 Refrigerator FFP Customer ID: AAXF00 Customer Name: DNS Ward 4F Int Med IP ECN: 161093 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corp. Nameplate Model: MPR721PA Mfr. Serial No.: 17080440 Equipment Location: 2/4H/NS PURCHASE REQUEST NUMBER: N0018320RCVQ001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0018 12 Months Refrugerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCWM001 PURCHASE REQUEST NUMBER: N0018320RCWM001 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001801 Refrigerator FFP Customer ID: ACXD00 Customer Name: DNS Ward 4F Surgical IP ECN: 122422 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Kelvinator International Co. Nameplate Model: KGM220RHY3 Mfr. Serial No.: WA1601290 Equipment Location: 2/431825A PURCHASE REQUEST NUMBER: N0018320RCWM001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0019 12 Months Refrigerator & Freezer Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCWQ001 PURCHASE REQUEST NUMBER: N0018320RCWQ001 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001901 Refrigerator FFP Customer ID: AAXE00 Customer Name: Ward 4G IP Ortho ECN: 137166 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: PHC Corp. of North America Nameplate Model: MPR215F Mfr. Serial No.: 18110517 Equipment Location: 250/WAREHOUSE PURCHASE REQUEST NUMBER: N0018320RCWQ001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 001902 Refrigerator/Freezer FFP Customer ID: AAXE00 Customer Name: Ward 4G IP Ortho ECN: 137476 Equipment Nomenclature: Refrigerator/Freezer, Medical, Multiuse, Upright Manufacturer Name: Panasonic Corp. North America Nameplate Model: MPR715F Mfr. Serial No.: 17129240 Equipment Location: 250/WAREHOUSE PURCHASE REQUEST NUMBER: N0018320RCWQ001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0020 12 Months Refrigerator & Freezer Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCSU117 PURCHASE REQUEST NUMBER: N0018320RCSU117 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002001 Freezer FFP Customer ID: DFBA00 Customer Name: DSS Main Operating Room/SU ECN: 127202 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: C855 Mfr. Serial No.: 1516872 Equipment Location: 2/330301 PURCHASE REQUEST NUMBER: N0018320RCSU117 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002002 Refrigerator FFP Customer ID: DFBA00 Customer Name: DSS Main Operating Room/SU ECN: 124426 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: DH20RF Mfr. Serial No.: 11403744 Equipment Location: 2/330301 PURCHASE REQUEST NUMBER: N0018320RCSU117 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0021 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCAN103 PURCHASE REQUEST NUMBER: N0018320RCAN103 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002101 Refrigerator FFP Customer ID: DFAA00 Customer Name: Anesthesia ECN: 123909 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: DH423GD Mfr. Serial No.: 11301729 Equipment Location: 2/321810 PURCHASE REQUEST NUMBER: N0018320RCAN103 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0022 12 Months Refrigerator & Freezer Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCLC024 PURCHASE REQUEST NUMBER: N0018320RCLC024 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002201 Freezer FFP Customer ID: DBAA00 Customer Name: Laboratory Admin ECN: 122943 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 18LCEEFSA Mfr. Serial No.: 0125156401141027 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002202 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 107140 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 5115 Mfr. Serial No.: 8217272 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002203 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 106012 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 5208 Mfr. Serial No.: 8202361 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002204 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122105 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 5208 Mfr. Serial No.: 840201 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002205 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122104 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 5208 Mfr. Serial No.: 840639 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002206 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122401 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 8768 Mfr. Serial No.: 843383 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002207 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 118047 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 88500D63 Mfr. Serial No.: 0132318501130801 Equipment Location: 3/1.1-108 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002208 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 127082 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: VWR International Nameplate Model: GDM23 Mfr. Serial No.: 14851799 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002209 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 127084 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: VWR International Nameplate Model: GDM23 Mfr. Serial No.: 14853626 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002210 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 127077 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Jewett Inc. Nameplate Model: JMT45R1B14 Mfr. Serial No.: Y04U187268YU Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002211 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 127078 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Jewett Inc. Nameplate Model: JMT45R1B14 Mfr. Serial No.: Y05U187288YU Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002212 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 114326 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: Thermo Fisher Scientific Nameplate Model: JPL5030A21 Mfr. Serial No.: 0116593501120124 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002213 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 127051 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Jewett Inc. Nameplate Model: JRG701B14 Mfr. Serial No.: Y04187265YU Equipment Location: 2/1/HALLWAY PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002214 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 127074 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Jewett Inc. Nameplate Model: JRG701B14 Mfr. Serial No.: Y04187266YU Equipment Location: 2/1/7033101 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002215 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 127076 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Jewett Inc. Nameplate Model: JRG701B14 Mfr. Serial No.: Y05187287YU Equipment Location: 2/1/7033101 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002216 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 127073 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Jewett Inc. Nameplate Model: JRG701B14 Mfr. Serial No.: Y05187289YU Equipment Location: 2/1/70331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002217 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 127075 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Jewett Inc. Nameplate Model: JRG701B14 Mfr. Serial No.: Y06187349YU Equipment Location: 2/1/7033101 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002218 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 127072 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Jewett Inc. Nameplate Model: JRG701B14 Mfr. Serial No.: Y06187350YU Equipment Location: 2/1/7033101 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002219 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 007119 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Puffer-Hubbard Refrigerator Co. Nameplate Model: LR475A12 Mfr. Serial No.: W11F311995YF Equipment Location: 2/171232 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002220 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 117082 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Thermo Fisher Scientific Nameplate Model: MR30SSGAEETS Mfr. Serial No.: 0146935101121010 Equipment Location: 2/80550 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002221 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122252 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSLF241WMW0M Mfr. Serial No.: 14090111 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002222 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122253 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSLF241WMW0M Mfr. Serial No.: 14091327 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002223 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 101481 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSPF522WWW0 Mfr. Serial No.: 08030928 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002224 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122415 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSPF522WWW0 Mfr. Serial No.: 14100265 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002225 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122416 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSPF522WWW0 Mfr. Serial No.: 14100266 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002226 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122417 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSPF522WWW0 Mfr. Serial No.: 14100267 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002227 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122418 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSPF522WWW0 Mfr. Serial No.: 14100268 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002228 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122419 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSPF522WWW0 Mfr. Serial No.: 14100269 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002229 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122079 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSR241WWG0 Mfr. Serial No.: 08080384 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002230 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 127080 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSR241WWG0 Mfr. Serial No.: 08080386 Equipment Location: 2/17033101 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002231 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 122382 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Thermo Fisher Scientific Nameplate Model: REB5004A Mfr. Serial No.: 0115828701140920 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002232 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 125395 Equipment Nomenclature: Refrigerator, Biologic Manufacturer Name: Thermo Fisher Scientific Nameplate Model: REL4504A Mfr. Serial No.: 011537665501150825 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002233 Refrigerator FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 006993 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Jordan Scietific Products Nameplate Model: SPVKTP48 Mfr. Serial No.: S6627495J Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002234 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 105805 Equipment Nomenclature: Freezer, Laboratory, Multiuse Manufacturer Name: Thermo Fisher Scientific Nameplate Model: ULT25864A46 Mfr. Serial No.: 0128617101091002 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002235 Freezer FFP Customer ID: DBAA01 Customer Name: General Laboratory Chemistry ECN: 117922 Equipment Nomenclature: Freezer, Laboratory, Multiuse, Undercounter Manufacturer Name: Thermo Fisher Scientific Nameplate Model: ULT430A21 Mfr. Serial No.: 0112752601130627 Equipment Location: 2/181002 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002236 Refrigerator FFP Customer ID: DBAA04 Customer Name: DCSS Lab (Microbiology) ECN: 126843 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Thermo Scientific Nameplate Model: 3772 Mfr. Serial No.: 0119515701100902 Equipment Location: 2/181560 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002237 Refrigerator FFP Customer ID: DBAA04 Customer Name: DCSS Lab (Microbiology) ECN: 126844 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: VWR Scientific Products Nameplate Model: GDM49 Mfr. Serial No.: 14572608 Equipment Location: 2/170330 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002238 Freezer FFP Customer ID: DBAA04 Customer Name: DCSS Lab (Microbiology) ECN: 007327 Equipment Nomenclature: Freezer, Blood Manufacturer Name: Puffer-Hubbard Refrigerator Co. Nameplate Model: ICF9003A14 Mfr. Serial No.: V30F311188WF Equipment Location: 2/180601 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002239 Refrigerator FFP Customer ID: DBAA04 Customer Name: DCSS Lab (Microbiology) ECN: 007325 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Jewett Inc. Nameplate Model: LR25B Mfr. Serial No.: 58117396 Equipment Location: 2/181002 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002240 Refrigerator FFP Customer ID: DBAA04 Customer Name: DCSS Lab (Microbiology) ECN: 117046 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Fisher Scientific Co. Nameplate Model: MR49PAGAEEFS Mfr. Serial No.: 0146885401120925 Equipment Location: 2/170330 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002241 Refrigerator FFP Customer ID: DBAA04 Customer Name: DCSS Lab (Microbiology) ECN: 125589 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Fisher Scientific GMBH Nameplate Model: REC7504A Mfr. Serial No.: 01538062011510916 Equipment Location: 2/170330 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002242 Freezer FFP Customer ID: DBAA04 Customer Name: DCSS Lab (Microbiology) ECN: 101757 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: U8525 Mfr. Serial No.: 0809163 Equipment Location: 2/170330 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002243 Freezer FFP Customer ID: DBAA04 Customer Name: DCSS Lab (Microbiology) ECN: 101758 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: U8525 Mfr. Serial No.: 0809164 Equipment Location: 2/170330 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002244 Freezer FFP Customer ID: DBAA04 Customer Name: DCSS Lab (Microbiology) ECN: 101759 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: U8525 Mfr. Serial No.: 0809165 Equipment Location: 2/170330 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002245 Refrigerator FFP Customer ID: DBAA07 Customer Name: DCSS Lab POC Testing ECN: 117965 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSPR502WWG0 Mfr. Serial No.: 13070103 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002246 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 109161 Equipment Nomenclature: Freezer, Blood Bank, Plasma Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 5721 Mfr. Serial No.: 824189139 Equipment Location: 3/1.1-108 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002247 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 121291 Equipment Nomenclature: Freezer, Blood Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 8710 Mfr. Serial No.: 84169576 Equipment Location: 3/1.1-108 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002248 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 104741 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Jewett Inc. Nameplate Model: BBR551B20 Mfr. Serial No.: V17U143499VU Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002249 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 126675 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: C8522 Mfr. Serial No.: 1516108 Equipment Location: 3/1.1-108 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002250 Refrigeratot FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 103326 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Helmer Nameplate Model: HB256 Mfr. Serial No.: 986268 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002251 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 103327 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Helmer Nameplate Model: HB256 Mfr. Serial No.: 986269 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002252 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 122075 Equipment Nomenclature: Freezer, Blood Manufacturer Name: RTF Manufacturing Co. Nameplate Model: HC30LTT Mfr. Serial No.: 148896 Equipment Location: 2/350104 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002253 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 068559 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: RTF Manufacturing Co. Nameplate Model: HC45HTTBBG Mfr. Serial No.: 067145 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002254 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 122157 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Helmer Nameplate Model: IB245 Mfr. Serial No.: 2012136 Equipment Location: 3/1.1-122 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002255 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 122156 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Helmer Nameplate Model: IB245 Mfr. Serial No.: 2012137 Equipment Location: 3/1.1-108 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002256 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 101525 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Helmer Nameplate Model: IB245 Mfr. Serial No.: 983186 Equipment Location: 3/1.1-122 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002257 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 111091 Equipment Nomenclature: Freezer, Blood Bank, Plasma Manufacturer Name: Thermo Fisher Scientific Nameplate Model: JPL2330A20 Mfr. Serial No.: 0116152401110801 Equipment Location: 3/1.1-108 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002258 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 111090 Equipment Nomenclature: Freezer, Blood Bank, Plasma Manufacturer Name: Thermo Fisher Scientific Nameplate Model: JPL2330A20 Mfr. Serial No.: 0116156301110801 Equipment Location: 3/1.1-108 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002259 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 111092 Equipment Nomenclature: Freezer, Blood Bank, Plasma Manufacturer Name: Thermo Fisher Scientific Nameplate Model: JPL2330A20 Mfr. Serial No.: 0116156401110801 Equipment Location: 3/1.1-108 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002260 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 111144 Equipment Nomenclature: Freezer, Blood Bank, Plasma Manufacturer Name: Thermo Fisher Scientific Nameplate Model: JPL2330A20 Mfr. Serial No.: 0116196301110815 Equipment Location: 3/1.1-108 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002261 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 120905 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Nor-Lake Scientific Nameplate Model: LR061WWW0 Mfr. Serial No.: 14010290 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002262 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 120906 Equipment Nomenclature: Freezer, Blood Manufacturer Name: Fisher Scientific Co. Nameplate Model: NXSF051WMW0 Mfr. Serial No.: 14010161 Equipment Location: 2/170331 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002263 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 107202 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Thermo Fisher Scientific Nameplate Model: REB5004A22 Mfr. Serial No.: 024V146288PV Equipment Location: 2/170332A PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002264 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 107182 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Thermo Fisher Scientific Nameplate Model: REB5004A22 Mfr. Serial No.: 024V1462A7PV Equipment Location: 2/170332 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002265 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 107205 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Thermo Fisher Scientific Nameplate Model: REB5004A22 Mfr. Serial No.: 025V146307PV Equipment Location: 2/170332 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002266 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 107204 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Thermo Fisher Scientific Nameplate Model: REB5004A22 Mfr. Serial No.: 025V146308PV Equipment Location: 2/170332 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002267 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 107207 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Thermo Fisher Scientific Nameplate Model: REB5004A22 Mfr. Serial No.: 026V146325PV Equipment Location: 2/170332 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002268 Refrigerator FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 107209 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Thermo Fisher Scientific Nameplate Model: REB5004A22 Mfr. Serial No.: P08V146424PV Equipment Location: 2/170332 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002269 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 116021 Equipment Nomenclature: Freezer, Blood Manufacturer Name: Thermo Fisher Scientific Nameplate Model: ULT209010A Mfr. Serial No.: 00121 Equipment Location: 3/1.1-108 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002270 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 116327 Equipment Nomenclature: Freezer, Blood Manufacturer Name: Thermo Fisher Scientific Nameplate Model: ULT209010A Mfr. Serial No.: 828073127 Equipment Location: 3/1.1-108 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002271 Freezer FFP Customer ID: DBAA08 Customer Name: DCSS Lab (Blood Bank) ECN: 105809 Equipment Nomenclature: Freezer, Blood Manufacturer Name: Thermo Fisher Scientific Nameplate Model: ULT21864A47 Mfr. Serial No.: 0128669301091009 Equipment Location: 2/170332A PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002272 Refrigerator FFP Customer ID: DBBA00 Customer Name: Histology (Lab) ECN: 110985 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: VWR Scientific Products Corp. Nameplate Model: GDM49 Mfr. Serial No.: 7196282 Equipment Location: 2/180520 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002273 Freezer FFP Customer ID: DBBA00 Customer Name: Histology (Lab) ECN: 117470 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: Nor-Lake Scientific Nameplate Model: LF201WWW0 Mfr. Serial No.: 12090921 Equipment Location: 2/17030201 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002274 Refrigerator FFP Customer ID: DBBA00 Customer Name: Histology (Lab) ECN: 007212 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Puffer-Hubbard Refrigerator Co. Nameplate Model: LR450A12 Mfr. Serial No.: W09F311715YF Equipment Location: 2/180520 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002275 Refrigerator FFP Customer ID: DBBA00 Customer Name: Histology (Lab) ECN: 108645 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Nor-Lake Scientific Nameplate Model: NSPR502WWG Mfr. Serial No.: 10090636 Equipment Location: 2/170302 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002276 Refrigerator FFP Customer ID: DBBA02 Customer Name: Cytology (Lab) ECN: 121801 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Helmer Nameplate Model: HLR125 Mfr. Serial No.: 2011206 Equipment Location: 2/171210 PURCHASE REQUEST NUMBER: N0018320RCLC024 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0023 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCUR104 PURCHASE REQUEST NUMBER: N0018320RCUR104 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002301 Refrigerator FFP ustomer ID: BBIA00 Customer Name: Urology DSS ECN: 010261 Equipment Nomenclature: Refrigerator, Laboratory, Multiuse Manufacturer Name: Lab-Line Instruments Inc. Nameplate Model: 3780BSX Mfr. Serial No.: 1196005 Equipment Location: 2/220902 PURCHASE REQUEST NUMBER: N0018320RCUR104 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0024 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCPN101 PURCHASE REQUEST NUMBER: N0018320RCPN101 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002401 Refrigerator FFP ustomer ID: BBLA00 Customer Name: Pain Medicine Clinic O/P ECN: 116250 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Felix Storch Inc. Nameplate Model: FF29BLMEDSC Mfr. Serial No.: 096490 Equipment Location: 3/9.1-123 PURCHASE REQUEST NUMBER: N0018320RCPN101 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0025 12 Months Refrigerator, Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCXC105 PURCHASE REQUEST NUMBER: N0018320RCXC105 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002501 Refrigerator FFP ustomer ID: BBFA00 Customer Name: Otolaryngology O/P ECN: 120430 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR7219A Mfr. Serial No.: 13100553 Equipment Location: 2/250532 PURCHASE REQUEST NUMBER: N0018320RCXC105 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0026 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCPL103 PURCHASE REQUEST NUMBER: N0018320RCPL103 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002601 Refrigerator FFP ustomer ID: BBGA00 Customer Name: Plastic Surgery O/P ECN: 103953 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Thermo Fisher Scientific Nameplate Model: REL404A19 Mfr. Serial No.: T15U142396TU Equipment Location: 3/8.1-122 PURCHASE REQUEST NUMBER: N0018320RCPL103 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0027 12 Months Refrigerator & Freezer Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RC4V006 PURCHASE REQUEST NUMBER: N0018320RC4V006 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002701 Refrigerator FFP ustomer ID: FAHA00 Customer Name: DPE Clinical Investigations ECN: 127159 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Norlake Nameplate Model: R23G Mfr. Serial No.: R23G15100006 Equipment Location: 274/22 PURCHASE REQUEST NUMBER: N0018320RC4V006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002702 Freezer FFP ustomer ID: FAHA00 Customer Name: DPE Clinical Investigations ECN: 122434 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: So-Low Environment Equipment Co. Inc. Nameplate Model: U8030 Mfr. Serial No.: 1415023 Equipment Location: 274/33 PURCHASE REQUEST NUMBER: N0018320RC4V006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0028 12 Months Freezer Maintenance FFP See Section C for Perfrormance Work Statement. FOB: Destination MILSTRIP: N0018320RCBT001 PURCHASE REQUEST NUMBER: N0018320RCBT001 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002801 Freezer FFP ustomer ID: EBEA02 Customer Name: DPE Simulation Center ECN: 103505 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: So-Low Environment Equipment Co. Inc. Nameplate Model: C8522 Mfr. Serial No.: 0809942 Equipment Location: 3/1.3-134A PURCHASE REQUEST NUMBER: N0018320RCBT001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002802 Freezer FFP ustomer ID: EBEA02 Customer Name: DPE Simulation Center ECN: 106367 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: So-Low Environment Equipment Co. Inc. Nameplate Model: U8030 Mfr. Serial No.: 0910056 Equipment Location: 3/1.3-133A PURCHASE REQUEST NUMBER: N0018320RCBT001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002803 Freezer FFP ustomer ID: EBEA02 Customer Name: DPE Simulation Center ECN: 106368 Equipment Nomenclature: Freezer, Laboratory Manufacturer Name: So-Low Environment Equipment Co. Inc. Nameplate Model: U8525 Mfr. Serial No.: 0910057 Equipment Location: 3/1.3-133A PURCHASE REQUEST NUMBER: N0018320RCBT001 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0029 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N3213A20RCH3004 PURCHASE REQUEST NUMBER: N3213A20RCH3004 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002901 Refrigerator FFP ustomer ID: BHAT01 Customer Name: Chesapeake Clinic Primary Care ECN: 135785 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Thermo Fisher Scientific Nameplate Model: 55702230 Mfr. Serial No.: 1114191801180509 Equipment Location: 1400/1301 PURCHASE REQUEST NUMBER: N3213A20RCH3004 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002902 Refrigerator FFP ustomer ID: BHAT01 Customer Name: Chesapeake Clinic Primary Care ECN: 135787 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: Nor-Lake Scientific Nameplate Model: 89368214 Mfr. Serial No.: 1168779901180700 Equipment Location: 1400/1207 PURCHASE REQUEST NUMBER: N3213A20RCH3004 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 002903 Refrigerator FFP ustomer ID: BHAT01 Customer Name: Chesapeake Clinic Primary Care ECN: 117481 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR715F Mfr. Serial No.: 12059024 Equipment Location: 1400/1701 PURCHASE REQUEST NUMBER: N3213A20RCH3004 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0030 12 Months Refrigerator & Freezer Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCPH002 PURCHASE REQUEST NUMBER: N0018320RCPH002 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003001 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 104808 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Gem Refrigerator Co. Nameplate Model: 2DR Mfr. Serial No.: 08090413 Equipment Location: 2/271121 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003002 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 131057 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Absocold Corporation Nameplate Model: ABTHC26 Mfr. Serial No.: ABS91889431710 Equipment Location: 2/271100 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003003 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 131056 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Absocold Corporation Nameplate Model: ABTHC26 Mfr. Serial No.: ABS91889461710 Equipment Location: 2/271100 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003004 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 131101 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Absocold Corporation Nameplate Model: ABTHC49 Mfr. Serial No.: ABS92467561711 Equipment Location: 2/271100 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003005 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 131102 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Absocold Corporation Nameplate Model: ABTHC49 Mfr. Serial No.: ABS92467591711 Equipment Location: 2/271100 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003006 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 131100 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Absocold Corporation Nameplate Model: ABTHC49 Mfr. Serial No.: ABS92467661711 Equipment Location: 2/271100 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003007 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 131105 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Absocold Corporation Nameplate Model: ABTHC49 Mfr. Serial No.: ABS92467721711 Equipment Location: 2/271100 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003008 Freezer FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 126982 Equipment Nomenclature: Freezer, Pharmacy, Upright Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: DH2049GD Mfr. Serial No.: 11807483 Equipment Location: 2/271110 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003009 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 117999 Equipment Nomenclature: Refrigerator, Laboratory Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: DH412GD Mfr. Serial No.: 10701062 Equipment Location: 2/350102 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003010 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 136097 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Helmer Nameplate Model: HB111 Mfr. Serial No.: 2053554 Equipment Location: 250/WAREHOUSE PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003011 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 131142 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Labrepco Nameplate Model: LHE49HG Mfr. Serial No.: LRC92467551711 Equipment Location: 2/271100 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003012 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 131141 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Labrepco Nameplate Model: LHE49HG Mfr. Serial No.: LRC92467581711 Equipment Location: 2/271100 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003013 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 066769 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Jewett Inc. Nameplate Model: LR551B20 Mfr. Serial No.: 23687TR Equipment Location: 2/350104 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003014 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 127943 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Norlake Nameplate Model: NSBR803WWG0 Mfr. Serial No.: 16090793 Equipment Location: 2/271110 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003015 Refrigerator FFP ustomer ID: DAAA00 Customer Name: Pharmacy NMCP ECN: 127944 Equipment Nomenclature: Refrigerator, Blood Bank Manufacturer Name: Norlake Nameplate Model: NSBR803WWG0 Mfr. Serial No.: 16090794 Equipment Location: 2/271121 PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003016 Refrigerator FFP ustomer ID: DAAA01 Customer Name: Scott Center Pharmacy ECN: 131104 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Absocold Corporation Nameplate Model: ABTHC49 Mfr. Serial No.: ABS92467681711 Equipment Location: 1572/S.C. PHARMACY PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003017 Refrigerator FFP ustomer ID: DAAA01 Customer Name: Scott Center Pharmacy ECN: 131103 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Absocold Corporation Nameplate Model: ABTHC49 Mfr. Serial No.: ABS92467751711 Equipment Location: 1572/S.C. PHARMACY PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003018 Refrigerator FFP ustomer ID: DAAA01 Customer Name: Scott Center Pharmacy ECN: 131140 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: Labrepco Nameplate Model: LHE49HG Mfr. Serial No.: LRC92467621711 Equipment Location: 1572/S.C. PHARMACY PURCHASE REQUEST NUMBER: N0018320RCPH002 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0031 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RC43003 PURCHASE REQUEST NUMBER: N0018320RC43003 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003101 Refrigerator FFP Customer ID: DJEA00 Customer Name: Pediatric ICU Ward 3A DNS ECN: 130631 Equipment Nomenclature: Refrigerator, Food, Infant Formula Manufacturer Name: True Mfg. Co Nameplate Model: T23DTG Mfr. Serial No.: 9101423 Equipment Location: 2/4B/NS PURCHASE REQUEST NUMBER: N0018320RC43003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003102 Refrigerator FFP Customer ID: DJEA00 Customer Name: Pediatric ICU Ward 3A DNS ECN: 130630 Equipment Nomenclature: Refrigerator, Pharmacy, Upright Manufacturer Name: True Mfg. Co Nameplate Model: T23DTG Mfr. Serial No.: 9143400 Equipment Location: 2/3/PICU NS PURCHASE REQUEST NUMBER: N0018320RC43003 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0032 12 Months Refrigerator & Freezer Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N3251020RCH3005 PURCHASE REQUEST NUMBER: N3251020RCH3005 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003201 Refrigerator FFP ustomer ID: FBIA01 Customer Name: Immunization General ECN: 117485 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of America Nameplate Model: MPR1014PA Mfr. Serial No.: 12060016 Equipment Location: 2/230703 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003202 Refrigerator FFP ustomer ID: FBIA01 Customer Name: Immunization General ECN: 117484 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of America Nameplate Model: MPR1014PA Mfr. Serial No.: 12060063 Equipment Location: 2/230703 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003203 Refrigerator FFP ustomer ID: FBIA01 Customer Name: Immunization General ECN: 128104 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of America Nameplate Model: MPR1014PA Mfr. Serial No.: 16090150 Equipment Location: 2/23032102 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003204 Refrigerator FFP ustomer ID: FBIA01 Customer Name: Immunization General ECN: 128484 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 08120627 Equipment Location: 2/230703 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003205 Refrigerator FFP Customer ID: FBIA01 Customer Name: Immunization General ECN: 128485 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 70916283 Equipment Location: 2/230703 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003206 Refrigerator FFP Customer ID: FBIA01 Customer Name: Immunization General ECN: 117921 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR215F Mfr. Serial No.: 13050257 Equipment Location: 2/230321 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003207 Refrigerator FFP Customer ID: FBIA01 Customer Name: Immunization General ECN: 137195 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR414F Mfr. Serial No.: 31011299 Equipment Location: 2/23032103 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003208 Refrigerator FFP Customer ID: FBIA01 Customer Name: Immunization General ECN: 117480 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR715F Mfr. Serial No.: 12059021 Equipment Location: 2/230703 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003209 Refrigerator FFP Customer ID: FBIA01 Customer Name: Immunization General ECN: 127661 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Panasonic Corporation of North America Nameplate Model: MPR715FPA Mfr. Serial No.: 16059044 Equipment Location: 2/230703 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003210 Refrigerator FFP Customer ID: BHZA00 Customer Name: DPHS Reg IMMS for Inventory Purposes ECN: 117747 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR214F Mfr. Serial No.: 60711187 Equipment Location: 2/230321B PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003211 Refrigerator FFP Customer ID: BHZA00 Customer Name: DPHS Reg IMMS for Inventory Purposes ECN: 117744 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR215F Mfr. Serial No.: 11060349 Equipment Location: 2/230321 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003212 Refrigerator FFP Customer ID: BHZA00 Customer Name: DPHS Reg IMMS for Inventory Purposes ECN: 117742 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR215F Mfr. Serial No.: 11060356 Equipment Location: 2/230321C PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003213 Refrigerator FFP Customer ID: BHZA00 Customer Name: DPHS Reg IMMS for Inventory Purposes ECN: 117754 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR414F Mfr. Serial No.: 09070290 Equipment Location: 2/230321 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003214 Refrigerator FFP Customer ID: BHZA00 Customer Name: DPHS Reg IMMS for Inventory Purposes ECN: 117761 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: Sanyo Scientific Nameplate Model: MPR414F Mfr. Serial No.: 31011300 Equipment Location: 2/230703 PURCHASE REQUEST NUMBER: N3251020RCH3005 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0033 12 Months Refrigerator Maintenance FFP See Section C for Performance Work Statement. FOB: Destination MILSTRIP: N0018320RCPN101 PURCHASE REQUEST NUMBER: N0018320RCDE003 PSC CD: J065 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 003301 Refrigerator FFP ustomer ID: DFAA00 Customer Name: Anesthesia ECN: 123909 Equipment Nomenclature: Refrigerator, Pharmacy Manufacturer Name: So-Low Environmental Equipment Co. Inc. Nameplate Model: DH423GD Mfr. Serial No.: 11301729 Equipment Location: 2/321810 PURCHASE REQUEST NUMBER: N0018320RCDE003 NET AMT Section C - Descriptions and Specifications PERFORMANCE WORK STATEMENT PERFORMANCE WORK STATEMENT (PWS) Maintenance Services for Biomed Dept.-Naval Medical Center Portsmouth PART 1 SCOPE OF WORK 1. GENERAL: This is a non-personal services contract to provide full contract support immediately upon award of a resulting order. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government. 1.1 Description of Services/Introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to provide full maintenance support for the items listed in Section B and all support items / components as defined in this PWS except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract. 1.2 Background: The Contractor shall be qualified / authorized by the OEM (IE: Certified Agent of the OEM) in the repair of all equipment listed within this contract. Certification of the OEM must be current (within 2 years) at all times prior to contract award and toughout contract period. Contractor and its employees shall maintain qualifications toughout entire contract period. In the event that a sub-contractor is used for this requirement, the sub-contractor must be a Certified Agent of the OEM. Qualification includes but not limited to the certification of all repair persons and repair facilities by the OEM as being trained / qualified to perform required repairs. The Government shall maintain the right to seek proof of qualification prior to award and anytime during contract period of performance. Additionally contractor must have ready access to parts inventory of OEM replacement parts. 1.3 Objectives: Equipment listed in this contract will be maintained to meet the original equipment manufacturer's (OEM) specifications. 1.4 Scope: This contract shall provide for maintenance services which include on-site corrective repairs, normal working hour coverage (8:00 A.M. to 4:30 P.M. Monday tough Friday excluding Federal holidays); emergency service and routine preventive maintenance services to Department of Defense owned equipment, as listed on the: DD Form 1155 "Order for Supplies or Services". It shall include all systems, subsystem components, and assemblies, (i.e.: contractor responsible for total maintenance of entire system). All maintenance provisions shall apply to hardware, firmware, and software, as appropriate, unless otherwise stated. 1.5 Period of Performance: The period of performance shall be for one (1) Base Year. The Period of Performance reads as follows: Base Year 01-OCT-2019 to 30-SEP-2020 GENERAL INFORMATION 1.6 Quality Control (If applicable): The contractor shall develop and maintain an effective QCP to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor's quality control program is the means by which the contractor assures that the work performance complies with the contract requirements of the contract. [The QCP is to be delivered, within 30 days after contract award or with the contractor's proposal if it is an evaluation factor, tee copies of a comprehensive written QCP shall be submitted to the Contracting Officer (KO) and Contracting Officer Representative (COR) within 5 working days when changes are made thereafter.] After acceptance of the QSP the contractor shall receive the KO's acceptance in writing of any proposed change to the QC system. 1.7 Quality Assurance: The government shall evaluate the contractor's performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s). 1.8 Recognized Holidays: New Year's Day Labor Day Martin Luther King Jr.'s Birthday Columbus Day President's Day Veteran's Day Memorial Day Thanksgiving Day Independence Day Cistmas Day 1.9 Hours of Operation: The contractor is responsible for conducting business, between the hours of 8:00 A.M. to 4:30 P.M., Monday tu Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential. 1.10 Place of Performance: The work to be performed under this contract will be at a government facility. 1.11 Type of Contract: The government will award a FFP Contract. 1.12 PHYSICAL Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured. 1.13 Key Control (If applicable). The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued to the Contractor by the Government shall be duplicated. The Contractor shall develop procedures covering key control that shall be included in the QCP. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The Contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the KO. 1.13.01 In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor. 1.13.02 The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor's employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer. 1.13.02.1.1 Lock Combinations (If applicable). The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the Contractor's QCP 1.14 Special Qualifications: The contractor is responsible for ensuring all employees possess and maintain current Information Assurance Technician (IAT) Level I professional certification during the execution of this contract. 1.14.01 The Contractor shall provide trained, experienced, English speaking personnel, labor, tools, diagnostic equipment, software, test phantoms, material, supplies, transportation, parts and equipment necessary to perform Preventive Maintenance (PM), Calibration (CAL), Safety testing (ST) and corrective maintenance. 1.14.02 The Contractor shall provide telephonic communications with the Government to discuss technical matters relating to the performance of this contract. A systems operator will be made available to answer technical questions regarding system operations and applications. 1.14.03 The Contractor Point of Contact (POC). Service calls shall be placed 24 hours a day, 7 days a week by calling a vendor supplied toll free response center. Qualified service reps are required to make a "best effort" to call back within 4-hours during normal business hours (8am - 5pm CST / Monday - Friday excluding Federal Holidays) to schedule service visit. 1.15 Contracting Officer Representative (COR): The COR will be identified by COR Appointment letter. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements; including Government drawings; designs; specifications; monitor Contractor's performance and notify both the KO and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the contract 1.16 Identification of Contractor Employees: All contract personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed. 1.16.01 Contractors shall wear identifying badges at all times when conducting business inside a government facility. 1.16.02 To obtain a gate pass, refer to http://dbids.dmdc.mil/#!/register 1.17 Contractor Travel (If applicable): [Insert any travel requirements.]. For example: Contractor will be required to travel CONUS during the performance of this contract to attend meetings, conferences, and training. The contractor may be required to travel to off-site training locations and to ship training aids to these locations in support of this PWS. Required language should travel be needed: Contractor will be authorized travel expenses consistent with the substantive provisions of the Joint Travel Regulation (JTR) and the limitation of funds specified in this contract. All travel requires Government approval/authorization and notification to the COR. For proposal purposes, a Not to exceed amount for travel can be established or you can include in your IGE and the workload summary , a projected listing of travel locations to include frequency and number of persons required to travel so the offerors can provide pricing. 1.18 Other Direct Costs (If applicable): [Insert what the other direct costs requirements will be. These costs must be preapproved by the KO] For example: This category includes travel, reproduction, and shipping expenses associated with training activities and visits to contractor facilities. 1.19 Data Rights (If applicable): The Government has unlimited rights to all documents/material produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights. 1.20 Organizational Conflict of Interest (If applicable): It is the contractor's responsibility to notify the KO of any potential Organizational Conflict of Interest (OCI). In the event that an OCI exist the contractor shall propose a Mitigation plan that shall be reviewed and accepted by the KO prior to continuance of the work that presents an OCI. Should the proposed Mitigation Plan is not accepted by the KO, the Government may terminate this contract, disqualify the Contractor from subsequent contractual efforts, and pursue any remedies as may be permitted by the law or this contract. 1.21 Government furnished property, Materials and Services. 1.21.01 The Contractor representative(s) at each site is encouraged to request a pre-maintenance inspection prior to the onset of the contract. As all apparent discrepancies must be identified upon submittal of quote, any and all claims must be received within 30 days of contract award or prior to contract start whichever occurs first. All non-apparent / hidden discrepancies must be identified no later than the first scheduled preventative maintenance. Any claims resulting from hidden defects must be received within 30 days of first scheduled preventative maintenance. Any equipment found to be inoperable during this pre-maintenance inspection would be repaired using a separate purchase order. The cost of repairs shall not exceed contractor's normal retail rate for required repairs. The government certifies that the equipment to be maintained under this contract will be in good operating condition on the effective date of this contract. For the purpose of this contract, the clause, "good operating condition" means the conditions necessary for the equipment to function as intended without corrective maintenance. The Contractor agrees to leave the equipment in good operating condition at the expiration of this contract. During the final week of this contract, the Government will make final inspection of the equipment. Any correction of deficiencies noted during this inspection shall be resolved prior to contract end. The Government reserves the right to request the repair (at no additional cost to the Government) of items identified with latten defects after contract termination, when it has been determined that defects either are a result of contractor's performance or should have been discovered during normal performance of work under this contract. 1.21.02 The government will be responsible for maintaining the proper environment, including utilities and site requirements necessary for the system to function properly as specified by the OEM. 1.21.03 The Government will operate the system in accordance with the instruction manual provided by the OEM. 1.21.04 The Government will not be responsible for the damage or loss due to fire, theft, accident, or other disaster of Contractor supplies, materials, or for the personal belongings brought onto Government property by Contractor's personnel. 1.22 Contractor Furnished Property and Material. 1.22.01 The Contractor shall provide all service literature, reference publications, laptop computers and diagnostic software to be used by the contractor service technicians and as required for the completion of the services in accordance with this contract. 1.23 Replacement Parts. 1.23.01 The Contractor shall have ready access to unique and/or high mortality replacement parts. All parts supplied shall be compatible with the existing system. In the event that replacements parts are required to be shipped. Shipping shall be performed in the fastest reasonable means possible (i.e., next day air) at no additional cost to the Government. 1.23.02 The Contractor shall at their expense, replace all worn or defective parts necessary to restore the equipment to 100% operational condition as specified by the OEM. Vendor is not responsible for consumable items. 1.23.03 Contractor installed replacement parts shall become the property of the Government and the replaced malfunctioning part shall become the property of the Contractor. Replaced items shall be properly disposed of at no additional cost to the Government (contractor to pay all "environmental fees" where required). 1.23.04 Freight, postage, and storage charges associated with shipment and receipt of replacement parts, and the return of parts shall be the responsibility of the Contractor. 1.23.05 All replacement parts shall be new and certified as OEM replacement parts. In the event that new parts are not available, rebuilt parts and sub-assemblies are allowed provided that they are warranted to be free of defects for a period of time that meets or exceeds warranties of similar replacement parts. The contractor shall specifically annotate on the final Field Service report the use and identification of rebuilt parts and the period of warranty. When discrepancies occur, the Government will make the final determination on whether a replacement part is of equal or better quality. Replacement parts must maintain the integrity of system / equipment certification to include compliance with any UL, AMA, JACHO, Manufactures Certifications or any other certifications as they apply. 1.23.06 The Contractor must include software revisions and updates (field service changes), which are required due to FDA, or manufacturer announced safety-hazard recall, to include FDA Year 2000 Compliance Directive, as part of the contract at no additional cost to the Government. Updates shall be performed as soon as possible after release, but no later than the first scheduled Preventative Maintenance Inspection after release. For any updates that have been identified as critical, or required for the proper operation of equipment by the OEM, contractor shall provide installation within 30 days of release regardless of Preventative Maintenance Schedules. 1.23.07 The Contractor shall at their expense, replace all worn or defective parts necessary to restore the equipment to 100% operational condition as specified by the OEM. Vendor is not responsible for consumable items. 1.23.08 Contractor installed replacement parts shall become the property of the Government and the replaced malfunctioning part shall become the property of the Contractor. Replaced items shall be properly disposed of at no additional cost to the Government (contractor to pay all "environmental fees" where required). 1.23.09 Freight, postage, and storage charges associated with shipment and receipt of replacement parts, and the return of parts shall be the responsibility of the Contractor. 1.23.10 All replacement parts shall be new and certified as OEM replacement parts. In the event that new parts are not available, rebuilt parts and sub-assemblies are allowed provided that they are warranted to be free of defects for a period of time that meets or exceeds warranties of similar replacement parts. The contractor shall specifically annotate on the final Field Service report the use and identification of rebuilt parts and the period of warranty. When discrepancies occur, the Government will make the final determination on whether a replacement part is of equal or better quality. Replacement parts must maintain the integrity of system / equipment certification to include compliance with any UL, AMA, JACHO, Manufactures Certifications or any other certifications as they apply. 1.23.11 The Contractor must include software revisions and updates (field service changes), which are required due to FDA, or manufacturer announced safety-hazard recall, to include FDA Year 2000 Compliance Directive, as part of the contract at no additional cost to the Government. Updates shall be performed as soon as possible after release, but no later than the first scheduled Preventative Maintenance Inspection after release. For any updates that have been identified as critical, or required for the proper operation of equipment by the OEM, contractor shall provide installation within 30 days of release regardless of Preventative Maintenance Schedules. 1.24 Contractor Report Requirements. 1.24.01 During normal duty hours, Contracted Field Service Engineer (FSE) personnel shall check-in with the Biomedical Engineering Division upon arrival at the Government site and again prior to departure. (Biomedical Engineering located in Build-250 1st floor; 757-953-5336). The Contractor FSEs shall personally notify Biomedical Engineering (BME) of problems that result in the equipment being left disabled upon their departure. After normal duty hours, Contractor FSE's shall notify the Officer of the Day Desk (Bldg 2, 2nd Floor) and the systems operator designated by BME. 1.24.02 The Contractor shall provide to BME a full service report within two (2) days after completion of all service performed. The service report shall include, but not be limited to: contract number, equipment description (model, serial number, equipment control number) contractor's log number, detailed description of the service(s) performed, replacement part(s) information (part number, part value, nomenclature, unit price, manufacturer, if not OEM, and whether the part is new/used/reconditioned), the completion date and time, man-hours expended, model and serial numbers, and the name of the FSE performing the service. In the event that agents / sub-contractor's are used in the performance of repairs, said agent shall be identified on the service report by company name and contact information (i.e., telephone number). Additionally contractor will be required to affix a tag on equipment upon the completion of a preventative maintenance inspection. Tag may either be a "sticker" or "hanging tag". As a minimum the tag shall contain: the name of the contractor, technician performing inspection and date of inspection legibly printed. 1.25 Contractor Responsibility. 1.25.01 The Contractor shall be responsible for the repair/replacement of damaged Government owned equipment and property due to the negligence of the Contractor or his representatives. All such replacement or repair shall be at the Contractor's expense and shall be inspected to the satisfaction of the KO or appointed representative. 1.26 Preventive Maintenance Services. 1.26.01 In accordance with Naval Medical Logistics Command (NAVMEDLOGCOM) Risk Assessment Criteria, preventive maintenance shall be performed once a year in accordance with the Original Equipment Manufacturers (OEM) recommendations. 1.26.02 (The Government Fiscal Year runs: October tough September). The Contractor shall make a best effort to schedule and complete preventive maintenance services prior to the 15th of the selected month, but no later than the last day of the month. AS REQUESTED BY BIOMED 1.26.03 All test equipment used in the performance of this contract must be calibrated (if required / as required by manufacture of test equipment) and shall be in compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Original Equipment Manufacturer (OEM) and Federal Drug Administration (FDA) standards as required. 1.27 Corrective Maintenance. 1.27.01 Normal working hour maintenance coverage will be Monday tough Friday, between 8:00 A.M. to 4:30 P.M. A contractor Service Tech shall respond via telephone within 4 hours after receipt of trouble call, and make a best effort to provide on-site service no later than the close of business (4:30 pm) on the next business day. Vendor is to make a best effort to have all equipment operational within 72 hours of initial on-site response. 1.27.02 In the event that emergency service outside the normal working hours are required by the Government, additional work shall be billable to the Government at published commercial rates, and negotiated and approved by a Contracting Officer prior to services rendered. 1.27.03 Government request for corrective maintenance will be placed by BME, to the Contractor's POC. Corrective Maintenance shall be completed during the hours specified in the contract. 1.27.04 The Contractor shall assign a unique Log/Reference Number to each Government request for corrective Maintenance. 1.27.05 Contractor's response to requests for service may include telephone consultation with the equipment user/operator and a Contractor FSE. Telephone consultation shall: 1) provide instruction in determining operator error; 2) to determine the most likely cause of the problem; 3) to determine if resolution of the problem requires the dispatch of a FSE; and 4) to identify replacement parts likely to be required in order to return the equipment to 100% operational condition as specified by the OEM. 1.27.06 Contractor's pricing shall be inclusive of all cost including parts, labor, travel and shipping, unless otherwise indicated. Any/all exclusions are listed as follows: No Exclusions 1.27.07 The Contractor shall have his/her own service manuals, specifications, schematic diagrams, and parts lists to assist in the evaluation/repair of all equipment included in this contract. 1.28 Removal of Government Property. 1.28.01 Whenever the repair of equipment cannot be performed at the Government site as determined by the Contractor, the Contractor shall notify BME who will make arrangements for the Contractor to remove the item to the Contractor's designated site. The Contractor may be required to sign a Government form accepting responsibility for the Government equipment. The Contractor shall provide a detailed description of removed items. For associated items / accessories, contractor to provide a detailed description and quantities of items to be removed. Description to include as a minimum manufacturers serial numbers and equipment control number (ECN) of all equipment / items removed. In the event that items / sub-assemblies / accessories are repaired via "Repair by Replacement" a detailed description of replaced items is to be included upon return of repaired components. 1.28.02 All charges resulting from a Contractor determined requirement to transport Government owned property, covered by this contract, to and from an alternate repair location shall be the responsibility of the Contractor. 1.29 Equipment Modification Upgrades. 1.29.01 The Contractor shall only incorporate OEM specified modifications, alterations and upgrades. Approval shall be obtained from BME prior to the Contractor installation of any modification, alteration, or upgrades. 1.29.02 The Contractor shall maintain contact with the OEM to determine the requirement for field modifications and to ensure accomplishment of these modifications in accordance with the time schedule set forth by the OEM. 1.29.03 The Government shall not alter the system without prior notification to the Contractor. 1.29.04 The contractor at no additional cost shall provide software updates to the Government. Installation of updates will be left to the discretion of the Government. All supplied software is to be warranted current and free of defects such as viruses. 1.30 Service beyond the Scope of the Contract. 1.30.01 The Contractor shall immediately, but not later than 24 consecutive hours after discovery, notify BME, in writing, of the existence or the development of any defects in, or repair required to the scheduled equipment, which the Contractor considers they are not responsible for under the terms of this contract. 1.30.02 At the same time of the notification, the Contractor shall furnish BME with written estimate of the cost to make the necessary repairs. Repairs considered by the Contracting Officer to be outside the scope of this contract shall not be covered under this contract, but shall be ordered under a separate purchase order. PART 2 DEFINITIONS & ACRONYMS (This section includes all appropriate terms and pases for this PWS. The definition must be clear and concise, not ambiguous. Carefully consider each definition because they will be binding for the duration of this contract, unless modified. In addition, include a complete listing of all acronyms and words or pases they represent.) 2 DEFINITIONS AND ACRONYMS: 2.1 DEFINITIONS: [List any terms used within the PWS that require further definition. At a minimum, insert the definitions provided below]. 2.1.01 CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime. 2.1.02 CONTRACTING OFFICER (KO). A person with authority to enter into, administer, and/or terminate contracts, and make related determinations and findings on behalf of the government. This is the only individual who can legally bind the government. 2.1.03 CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract. 2.1.04 DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement. 2.1.05 DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports. 2.1.06 KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal. 2.1.07 PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property. 2.1.08 QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards. 2.1.09 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance. 2.1.10 QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service meet contract requirements. 2.1.11 SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor. 2.1.12 WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract. 2.1.13 WORK WEEK. Monday tough Friday, unless specified otherwise. 2.2 ACRONYMS: [List all acronyms used in the PWS and what they represent. At a minimum, insert the acronyms provided below]. ACOR Alternate Contracting Officer's Representative CFR Code of Federal Regulations CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTS Commercial-Off-the-Shelf DD250 Department of Defense Form 250 (Receiving Report) DFARS Defense Federal Acquisition Regulation Supplement DOD Department of Defense FAR Federal Acquisition Regulation HIPAA Health Insurance Portability and Accountability Act of 1996 KO Contracting Officer OCI Organizational Conflict of Interest OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs POC Point of Contact PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program TE Technical Exhibit PART 3 GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES (This section should identify those items such as property, information and/or services that will be provided for the contractor's use (without cost to the contractor) to allow them to provide the required services, such as materials, facilities, training, etc. Examples provided below.) 3 GOVERNMENT FURNISHED ITEMS AND SERVICES: 3.1 The Government will provide(If applicable): 3.1.01 [Insert the services that will be provided, i.e., may include personnel to assist with production set-up] 3.1.02 [Insert what facilities will be provided, i.e., the necessary workspace for the contractor staff to provide the support outlined in the PWS to include desk space, telephones, computers, and other items necessary to maintain an office environment]. 3.1.03 [Insert what utilities will be provided, i.e., all utilities in the facility will be available for the contractor's use in performance of tasks outlined in this PWS.] 3.1.04 [Insert what equipment will be provided and/or what the contractor will have access to, i.e., scanners fax machines, printers, shipping crates, lighting and sound, etc.] 3.1.05 [Insert what materials will be provided, i.e., Standard Operating Procedures and Policies.] PART 4 CONTRACTOR FURNISHED ITEMS AND SPECIFIC TASKS (This section is the heart of the PWS. All of the services to be performed under the contract should be described in sufficient detail here. This includes all general tasks required by the Government to include materials and equipment that the contractor must provide. Examples provided below.) 4 CONTRACTOR RESPONSIBILITIES AND SPECIFIC TASKS: 4.1 Basic Services. The contractor shall provide services for [Insert the services and/or tasks to be provided by the contractor]. 4.2 The Contractor shall (If applicable). 4.2.01 [Insert the all supplies, equipment, facilities, and services that will be provided by the contractor] 4.2.02 [Insert what materials will be provided, i.e., furnish materials, supplies, and equipment necessary to meet the requirements under this PWS] 4.2.03 [Insert what equipment will be provided, i.e., furnish tractors, lighting and sound, containers, etc. to meet the requirements under this PWS]. 4.3 Task Heading. (If applicable) [Insert the specific task to be provided in sequential order, i.e.,1,2,3,4,5 etc. by the contractor] PART 5 APPLICABLE PUBLICATIONS (In this section list any publications, manuals, and/or regulations that the contractor must abide by. See example provided below.) 5 APPLICABLE PUBLICATIONS (CURRENT EDITIONS) (If applicable): (In this section list any publications, manuals, and/or regulations that the contractor must abide by. See example provided below.) 5.1 The Contractor must abide by all applicable regulations, publications, manuals, and local policies and procedures. (For example, FAR Part 10, AR 25-2, AR 530-1.) PART 6 ATTACHMENT/TECHNICAL EXHIBIT LISTING (Under this section list all attachments and technical exhibits that will be useful for the contractor to submit an appropriate proposal.) 6 Attachment List: 6.1 Attachment 1- Quality Assurance Surveillance Plan (QASP)(This document is required for every PWS. See attached example for format.) 6.2 Attachment 2- Deliverables Schedule (This document is required for every PWS. See attached example for format. NMCARS NMCARS 5237.102-90 Enterprise-wide Contractor Manpower Reporting Application (ECMRA) The contractor shall report contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for Naval Medical Center, Portsmouth via a secure data collection site. Contracted services excluded from reporting are based on Product Service Codes (PSCs). The excluded PSCs are: (1) W, Lease/Rental of Equipment; (2) X, Lease/Rental of Facilities; (3) Y, Construction of Structures and Facilities; (4) D, Automatic Data Processing and Telecommunications, IT and Telecom- Telecommunications Transmission (D304) and Internet (D322) ONLY; (5) S, Utilities ONLY; (6) V, Freight and Shipping ONLY. The contractor is required to completely fill in all required data fields using the following web address https://www.ecmra.mil. Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 tough September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk, linked at https://www.ecmra.mil. (End of Text) 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 0001 Destination Government Destination Government 000101 N/A N/A N/A N/A 000102 N/A N/A N/A N/A 000103 N/A N/A N/A N/A 000104 N/A N/A N/A N/A 0002 Destination Government Destination Government 000201 N/A N/A N/A N/A 000202 N/A N/A N/A N/A 000203 N/A N/A N/A N/A 000204 N/A N/A N/A N/A 000205 N/A N/A N/A N/A 000206 N/A N/A N/A N/A 0003 Destination Government Destination Government 000301 N/A N/A N/A N/A 000302 N/A N/A N/A N/A 000303 N/A N/A N/A N/A 0004 Destination Government Destination Government 000401 N/A N/A N/A N/A 000402 N/A N/A N/A N/A 000403 N/A N/A N/A N/A 000404 N/A N/A N/A N/A 0005 Destination Government Destination Government 000501 N/A N/A N/A N/A 000502 N/A N/A N/A N/A 000503 N/A N/A N/A N/A 000504 N/A N/A N/A N/A 000505 N/A N/A N/A N/A 000506 N/A N/A N/A N/A 000507 N/A N/A N/A N/A 000508 N/A 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N/A 002226 N/A N/A N/A N/A 002227 N/A N/A N/A N/A 002228 N/A N/A N/A N/A 002229 N/A N/A N/A N/A 002230 N/A N/A N/A N/A 002231 N/A N/A N/A N/A 002232 N/A N/A N/A N/A 002233 N/A N/A N/A N/A 002234 N/A N/A N/A N/A 002235 N/A N/A N/A N/A 002236 N/A N/A N/A N/A 002237 N/A N/A N/A N/A 002238 N/A N/A N/A N/A 002239 N/A N/A N/A N/A 002240 N/A N/A N/A N/A 002241 N/A N/A N/A N/A 002242 N/A N/A N/A N/A 002243 N/A N/A N/A N/A 002244 N/A N/A N/A N/A 002245 N/A N/A N/A N/A 002246 N/A N/A N/A N/A 002247 N/A N/A N/A N/A 002248 N/A N/A N/A N/A 002249 N/A N/A N/A N/A 002250 N/A N/A N/A N/A 002251 N/A N/A N/A N/A 002252 N/A N/A N/A N/A 002253 N/A N/A N/A N/A 002254 N/A N/A N/A N/A 002255 N/A N/A N/A N/A 002256 N/A N/A N/A N/A 002257 N/A N/A N/A N/A 002258 N/A N/A N/A N/A 002259 N/A N/A N/A N/A 002260 N/A N/A N/A N/A 002261 N/A N/A N/A N/A 002262 N/A N/A N/A N/A 002263 N/A N/A N/A N/A 002264 N/A N/A N/A N/A 002265 N/A N/A N/A N/A 002266 N/A N/A N/A N/A 002267 N/A N/A N/A N/A 002268 N/A N/A N/A N/A 002269 N/A N/A N/A N/A 002270 N/A N/A N/A N/A 002271 N/A N/A N/A N/A 002272 N/A N/A N/A N/A 002273 N/A N/A N/A N/A 002274 N/A N/A N/A N/A 002275 N/A N/A N/A N/A 002276 N/A N/A N/A N/A 0023 Destination Government Destination Government 002301 N/A N/A N/A N/A 0024 Destination Government Destination Government 002401 N/A N/A N/A N/A 0025 Destination Government Destination Government 002501 N/A N/A N/A N/A 0026 Destination Government Destination Government 002601 N/A N/A N/A N/A 0027 Destination Government Destination Government 002701 N/A N/A N/A N/A 002702 N/A N/A N/A N/A 0028 Destination Government Destination Government 002801 N/A N/A N/A N/A 002802 N/A N/A N/A N/A 002803 N/A N/A N/A N/A 0029 Destination Government Destination Government 002901 N/A N/A N/A N/A 002902 N/A N/A N/A N/A 002903 N/A N/A N/A N/A 0030 Destination Government Destination Government 003001 N/A N/A N/A N/A 003002 N/A N/A N/A N/A 003003 N/A N/A N/A N/A 003004 N/A N/A N/A N/A 003005 N/A N/A N/A N/A 003006 N/A N/A N/A N/A 003007 N/A N/A N/A N/A 003008 N/A N/A N/A N/A 003009 N/A N/A N/A N/A 003010 N/A N/A N/A N/A 003011 N/A N/A N/A N/A 003012 N/A N/A N/A N/A 003013 N/A N/A N/A N/A 003014 N/A N/A N/A N/A 003015 N/A N/A N/A N/A 003016 N/A N/A N/A N/A 003017 N/A N/A N/A N/A 003018 N/A N/A N/A N/A 0031 Destination Government Destination Government 003101 N/A N/A N/A N/A 003102 N/A N/A N/A N/A 0032 Destination Government Destination Government 003201 N/A N/A N/A N/A 003202 N/A N/A N/A N/A 003203 N/A N/A N/A N/A 003204 N/A N/A N/A N/A 003205 N/A N/A N/A N/A 003206 N/A N/A N/A N/A 003207 N/A N/A N/A N/A 003208 N/A N/A N/A N/A 003209 N/A N/A N/A N/A 003210 N/A N/A N/A N/A 003211 N/A N/A N/A N/A 003212 N/A N/A N/A N/A 003213 N/A N/A N/A N/A 003214 N/A N/A N/A N/A 0033 Destination Government Destination Government 003301 N/A N/A N/A N/A Section F - Deliveries or Performance DELIVERY INFORMATION CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC / CAGE 0001 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 000101 N/A N/A N/A N/A 000102 N/A N/A N/A N/A 000103 N/A N/A N/A N/A 000104 N/A N/A N/A N/A 0002 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 000201 N/A N/A N/A N/A 000202 N/A N/A N/A N/A 000203 N/A N/A N/A N/A 000204 N/A N/A N/A N/A 000205 N/A N/A N/A N/A 000206 N/A N/A N/A N/A 0003 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 000301 N/A N/A N/A N/A 000302 N/A N/A N/A N/A 000303 N/A N/A N/A N/A 0004 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 000401 N/A N/A N/A N/A 000402 N/A N/A N/A N/A 000403 N/A N/A N/A N/A 000404 N/A N/A N/A N/A 0005 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 000501 N/A N/A N/A N/A 000502 N/A N/A N/A N/A 000503 N/A N/A N/A N/A 000504 N/A N/A N/A N/A 000505 N/A N/A N/A N/A 000506 N/A N/A N/A N/A 000507 N/A N/A N/A N/A 000508 N/A N/A N/A N/A 000509 N/A N/A N/A N/A 000510 N/A N/A N/A N/A 000511 N/A N/A N/A N/A 000512 N/A N/A N/A N/A 000513 N/A N/A N/A N/A 000514 N/A N/A N/A N/A 000515 N/A N/A N/A N/A 0006 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 000601 N/A N/A N/A N/A 000602 N/A N/A N/A N/A 000603 N/A N/A N/A N/A 000604 N/A N/A N/A N/A 000605 N/A N/A N/A N/A 000606 N/A N/A N/A N/A 000607 N/A N/A N/A N/A 000608 N/A N/A N/A N/A 000609 N/A N/A N/A N/A 000610 N/A N/A N/A N/A 000611 N/A N/A N/A N/A 000612 N/A N/A N/A N/A 000613 N/A N/A N/A N/A 000614 N/A N/A N/A N/A 000615 N/A N/A N/A N/A 000616 N/A N/A N/A N/A 000617 N/A N/A N/A N/A 000618 N/A N/A N/A N/A 000619 N/A N/A N/A N/A 0007 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 000701 N/A N/A N/A N/A 0008 01-NOV-2013 12 NAVAL MEDICAL CENTER RECEIVING OFFICER, BLDG. 250 PORTSMOUTH VA 23708-2297 FOB: Destination N00183 000801 N/A N/A N/A N/A 000802 N/A N/A N/A N/A 000803 N/A N/A N/A N/A 0009 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 000901 N/A N/A N/A N/A 000902 N/A N/A N/A N/A 000903 N/A N/A N/A N/A 0010 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 001001 N/A N/A N/A N/A 0011 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 001101 N/A N/A N/A N/A 0012 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 001201 N/A N/A N/A N/A 0013 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 001301 N/A N/A N/A N/A 001302 N/A N/A N/A N/A 001303 N/A N/A N/A N/A 001304 N/A N/A N/A N/A 001305 N/A N/A N/A N/A 001306 N/A N/A N/A N/A 001307 N/A N/A N/A N/A 001308 N/A N/A N/A N/A 001309 N/A N/A N/A N/A 001310 N/A N/A N/A N/A 001311 N/A N/A N/A N/A 001312 N/A N/A N/A N/A 001313 N/A N/A N/A N/A 0014 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 001401 N/A N/A N/A N/A 0015 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 001501 N/A N/A N/A N/A 001502 N/A N/A N/A N/A 001503 N/A N/A N/A N/A 0016 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 001601 N/A N/A N/A N/A 001602 N/A N/A N/A N/A 001603 N/A N/A N/A N/A 001604 N/A N/A N/A N/A 001605 N/A N/A N/A N/A 001606 N/A N/A N/A N/A 001607 N/A N/A N/A N/A 0017 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 001701 N/A N/A N/A N/A 0018 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 001801 N/A N/A N/A N/A 0019 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 001901 N/A N/A N/A N/A 001902 N/A N/A N/A N/A 0020 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 002001 N/A N/A N/A N/A 002002 N/A N/A N/A N/A 0021 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 002101 N/A N/A N/A N/A 0022 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 002201 N/A N/A N/A N/A 002202 N/A N/A N/A N/A 002203 N/A N/A N/A N/A 002204 N/A N/A N/A N/A 002205 N/A N/A N/A N/A 002206 N/A N/A N/A N/A 002207 N/A N/A N/A N/A 002208 N/A N/A N/A N/A 002209 N/A N/A N/A N/A 002210 N/A N/A N/A N/A 002211 N/A N/A N/A N/A 002212 N/A N/A N/A N/A 002213 N/A N/A N/A N/A 002214 N/A N/A N/A N/A 002215 N/A N/A N/A N/A 002216 N/A N/A N/A N/A 002217 N/A N/A N/A N/A 002218 N/A N/A N/A N/A 002219 N/A N/A N/A N/A 002220 N/A N/A N/A N/A 002221 N/A N/A N/A N/A 002222 N/A N/A N/A N/A 002223 N/A N/A N/A N/A 002224 N/A N/A N/A N/A 002225 N/A N/A N/A N/A 002226 N/A N/A N/A N/A 002227 N/A N/A N/A N/A 002228 N/A N/A N/A N/A 002229 N/A N/A N/A N/A 002230 N/A N/A N/A N/A 002231 N/A N/A N/A N/A 002232 N/A N/A N/A N/A 002233 N/A N/A N/A N/A 002234 N/A N/A N/A N/A 002235 N/A N/A N/A N/A 002236 N/A N/A N/A N/A 002237 N/A N/A N/A N/A 002238 N/A N/A N/A N/A 002239 N/A N/A N/A N/A 002240 N/A N/A N/A N/A 002241 N/A N/A N/A N/A 002242 N/A N/A N/A N/A 002243 N/A N/A N/A N/A 002244 N/A N/A N/A N/A 002245 N/A N/A N/A N/A 002246 N/A N/A N/A N/A 002247 N/A N/A N/A N/A 002248 N/A N/A N/A N/A 002249 N/A N/A N/A N/A 002250 N/A N/A N/A N/A 002251 N/A N/A N/A N/A 002252 N/A N/A N/A N/A 002253 N/A N/A N/A N/A 002254 N/A N/A N/A N/A 002255 N/A N/A N/A N/A 002256 N/A N/A N/A N/A 002257 N/A N/A N/A N/A 002258 N/A N/A N/A N/A 002259 N/A N/A N/A N/A 002260 N/A N/A N/A N/A 002261 N/A N/A N/A N/A 002262 N/A N/A N/A N/A 002263 N/A N/A N/A N/A 002264 N/A N/A N/A N/A 002265 N/A N/A N/A N/A 002266 N/A N/A N/A N/A 002267 N/A N/A N/A N/A 002268 N/A N/A N/A N/A 002269 N/A N/A N/A N/A 002270 N/A N/A N/A N/A 002271 N/A N/A N/A N/A 002272 N/A N/A N/A N/A 002273 N/A N/A N/A N/A 002274 N/A N/A N/A N/A 002275 N/A N/A N/A N/A 002276 N/A N/A N/A N/A 0023 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 002301 N/A N/A N/A N/A 0024 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 002401 N/A N/A N/A N/A 0025 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 002501 N/A N/A N/A N/A 0026 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 002601 N/A N/A N/A N/A 0027 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 002701 N/A N/A N/A N/A 002702 N/A N/A N/A N/A 0028 01-NOV-2013 12 NAVAL MEDICAL CENTER RECEIVING OFFICER, BLDG. 250 PORTSMOUTH VA 23708-2297 FOB: Destination N00183 002801 N/A N/A N/A N/A 002802 N/A N/A N/A N/A 002803 N/A N/A N/A N/A 0029 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 002901 N/A N/A N/A N/A 002902 N/A N/A N/A N/A 002903 N/A N/A N/A N/A 0030 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 003001 N/A N/A N/A N/A 003002 N/A N/A N/A N/A 003003 N/A N/A N/A N/A 003004 N/A N/A N/A N/A 003005 N/A N/A N/A N/A 003006 N/A N/A N/A N/A 003007 N/A N/A N/A N/A 003008 N/A N/A N/A N/A 003009 N/A N/A N/A N/A 003010 N/A N/A N/A N/A 003011 N/A N/A N/A N/A 003012 N/A N/A N/A N/A 003013 N/A N/A N/A N/A 003014 N/A N/A N/A N/A 003015 N/A N/A N/A N/A 003016 N/A N/A N/A N/A 003017 N/A N/A N/A N/A 003018 N/A N/A N/A N/A 0031 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 003101 N/A N/A N/A N/A 003102 N/A N/A N/A N/A 0032 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 003201 N/A N/A N/A N/A 003202 N/A N/A N/A N/A 003203 N/A N/A N/A N/A 003204 N/A N/A N/A N/A 003205 N/A N/A N/A N/A 003206 N/A N/A N/A N/A 003207 N/A N/A N/A N/A 003208 N/A N/A N/A N/A 003209 N/A N/A N/A N/A 003210 N/A N/A N/A N/A 003211 N/A N/A N/A N/A 003212 N/A N/A N/A N/A 003213 N/A N/A N/A N/A 003214 N/A N/A N/A N/A 0033 POP 01-OCT-2019 TO 30-SEP-2020 N/A NAVAL MEDICAL CENTER BIOMEDICAL ENGINEERING 54 LEWIS MINOR STREET BLDG. 250 PORTSMOUTH VA 23708-2297 757-953-5336 FOB: Destination N00183 003301 N/A N/A N/A N/A CLAUSES INCORPORATED BY REFERENCE 52.242-15 Stop-Work Order AUG 1989 DOCK DELIVERY Naval Medical Center Portsmouth (NMCP) Receiving Dock Hours of Operation: NMCP Receiving Dock is open Monday tough Friday 0700 to 1600 (7:00 a.m. to 4:00 p.m.). excluding federal holidays. Receiving personnel may be reached at 757-953-5770. Section G - Contract Administration Data CLAUSES INCORPORATED BY FULL TEXT 252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JUN 2012) (a) Definitions. As used in this clause-- "Department of Defense Activity Address Code (DoDAAC)" is a six position code that uniquely identifies a unit, activity, or organization. "Document type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF). "Local processing office (LPO)" is the office responsible for payment certification when payment certification is done external to the entitlement system. (b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports. (c) WAWF access. To access WAWF, the Contractor shall-- (1) Have a designated electronic business point of contact in the Central Contractor Registration at https://www.acquisition.gov; and (2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this Web site. (d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests tough WAWF. Both can be accessed by selecting the "Web Based Training" link on the WAWF home page at https://wawf.eb.mil/. (e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data Interchange, or File Transfer Protocol. (f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order: (1) Document type. The Contractor shall use the following document type(s). 2 IN 1 FOR SERVICES ----------------------------------------------------------------------- (2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer. DESTINATION / DESTINATION ----------------------------------------------------------------------- (3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system. Routing Data Table* Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC HQ0248 Issue By DoDAAC N00183 Admin DoDAAC N00183 Inspect By DoDAAC N/A Ship To Code N/A Ship From Code N/A Mark For Code N/A Service Approver (DoDAAC) N/A Service Acceptor (DoDAAC) N00183 Accept at Other DoDAAC N/A LPO DoDAAC N00183 DCAA Auditor DoDAAC N/A Other DoDAAC(s) N/A (4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request. (5) WAWF email notifications. The Contractor shall enter the email address identified below in the "Send Additional Email Notifications" field of WAWF once a document is submitted in the system. WAWF Acceptor Email Address: charles.k.lovell2.civ@mail.mil ----------------------------------------------------------------------- (g) WAWF point of contact. (1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact. usn.detrick.navmedlogcomftdmd.list.nmlc-wafwf@mail.mil ----------------------------------------------------------------------- (2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988. (End of clause) Section H - Special Contract Requirements PRIVACY & SECURITY OF PHI PRIVACY AND SECURITY OF PROTECTED HEALTH INFORMATION 1. Introduction In accordance with DoD 6025.18-R "Department of Defense Health Information Privacy Regulation," January 24, 2003, the Contractor meets the definition of Business Associate. Therefore, a Business Associate Agreement is required to comply with both the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security regulations. This clause serves as that agreement whereby the Business Associate agrees to abide by all applicable HIPAA Privacy and Security requirements regarding health information as defined in this clause, and in DoD 6025.18-R and DoD 8580.02, as amended. Additional requirements will be addressed when implemented. a. Definitions. As used in this clause generally refer to the Code of Federal Regulations (CFR) definition unless a more specific provision exists in DoD 6025.18-R or DoD 8580.02. (1) HITECH Act shall mean the Health Information Technology for Economic and Clinical Health Act included in the American Recovery and Reinvestment Act of 2009. (2) Individual has the same meaning as the term "individual" in 45 CFR 160.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g). (3) Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E. (4) Protected Health Information has the same meaning as the term "protected health information" in 45 CFR 160.103, limited to the information created or received by the Business Associate from or on behalf of the Government pursuant to the Contract. (5) Electronic Protected Health Information has the same meaning as the term "electronic protected health information" in 45 CFR 160.103. (6) Required by Law has the same meaning as the term "required by law" in 45 CFR 164.103. (7) Secretary means the Secretary of the Department of Health and Human Services or his/her designee. (8) Security Incident will have the same meaning as the term "security incident" in 45 CFR 164.304, limited to the information created or received by Business Associate from or on behalf of Covered Entity. (9) Security Rule means the Health Insurance Reform: Security Standards at 45 CFR part 160, 162 and part 164, subpart C. (10) Terms used, but not otherwise defined, in this Clause shall have the same meaning as those terms in 45 CFR 160.103, 160.502, 164.103, 164.304, and 164.501. b. The Business Associate shall not use or further disclose Protected Health Information other than as permitted or required by the Contract or as Required by Law. c. The Business Associate shall use appropriate safeguards to maintain the privacy of the Protected Health Information and to prevent use or disclosure of the Protected Health Information other than as provided for by this Contract. d. The HIPAA Security administrative, physical, and technical safeguards in 45 CFR 164.308, 164.310, and 164.312, and the requirements for policies and procedures and documentation in 45 CFR 164.316 shall apply to Business Associate. The additional requirements of Title XIII of the HITECH Act that relate to the security and that are made applicable with respect to covered entities shall also be applicable to Business Associate. The Business Associate agrees to use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits in the execution of this Contract. e. The Business Associate shall, at their own expense, take action to mitigate, to the extent practicable, any harmful effect that is known to the Business Associate of a use or disclosure of Protected Health Information by the Business Associate in violation of the requirements of this Clause. These mitigation actions will include as a minimum those listed in the TMA Breach Notification Standard Operating Procedure (SOP), which is available at: http://www.tricare.mil/tmaprivacy/breach.cfm f. The Business Associate shall report to the Government any security incident involving protected health information of which it becomes aware. g. The Business Associate shall report to the Government any use or disclosure of the Protected Health Information not provided for by this Contract of which the Business Associate becomes aware. h. The Business Associate shall ensure that any agent, including a sub Business Associate, to whom it provides Protected Health Information received from, or created or received by the Business Associate, on behalf of the Government, agrees to the same restrictions and conditions that apply tough this Contract to the Business Associate with respect to such information. i. The Business Associate shall ensure that any agent, including a subBusiness Associate, to whom it provides electronic Protected Health Information, agrees to implement reasonable and appropriate safeguards to protect it. j. The Business Associate shall provide access, at the request of the Government, and in the time and manner reasonably designated by the Government to Protected Health Information in a Designated Record Set, to the Government or, as directed by the Government, to an Individual in order to meet the requirements under 45 CFR 164.524. k. The Business Associate shall make any amendment(s) to Protected Health Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government, and in the time and manner reasonably designated by the Government. l. The Business Associate shall make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the Business Associate, on behalf of the Government, available to the Government, or at the request of the Government to the Secretary, in a time and manner reasonably designated by the Government or the Secretary, for purposes of the Secretary determining the Government's compliance with the Privacy Rule. m. The Business Associate shall document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528. n. The Business Associate shall provide to the Government or an Individual, in time and manner reasonably designated by the Government, information collected in accordance with this Clause of the Contract, to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528. 2. General Use and Disclosure Provisions Except as otherwise limited in this Clause, the Business Associate may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for treatment, payment, or healthcare operations purposes, in accordance with the specific use and disclosure provisions below, if such use or disclosure of Protected Health Information would not violate the HIPAA Privacy Rule, the HIPAA Security Rule, DoD 6025.18-R or DoD 8580.02 if done by the Government. The additional requirements of Title XIII of the HITECH Act that relate to privacy and that are made applicable with respect to covered entities shall also be applicable to Business Associate. 3. Specific Use and Disclosure Provisions a. Except as otherwise limited in this Clause, the Business Associate may use Protected Health Information for the proper management and administration of the Business Associate or to carry out the legal responsibilities of the Business Associate. b. Except as otherwise limited in this Clause, the Business Associate may disclose Protected Health Information for the proper management and administration of the Business Associate, provided that disclosures are required by law, or the Business Associate obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person, and the person notifies the Business Associate of any instances of which it is aware in which the confidentiality of the information has been breached. c. Except as otherwise limited in this Clause, the Business Associate may use Protected Health Information to provide Data Aggregation services to the Government as permitted by 45 CFR 164.504(e)(2)(i)(B). d. Business Associate may use Protected Health Information to report violations of law to appropriate Federal and State authorities, consistent with 45 CFR 164.502(j)(1). 4. Obligations of the Government Provisions for the Government to Inform the Business Associate of Privacy Practices and Restrictions a. The Government shall provide the Business Associate with the notice of privacy practices that the Government produces in accordance with 45 CFR 164.520. b. The Government shall provide the Business Associate with any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, if such changes affect the Business Associate's permitted or required uses and disclosures. c. The Government shall notify the Business Associate of any restriction to the use or disclosure of Protected Health Information that the Government has agreed to in accordance with 45 CFR 164.522. 5. Permissible Requests by the Government The Government shall not request the Business Associate to use or disclose Protected Health Information in any manner that would not be permissible under the HIPAA Privacy Rule, the HIPAA Security Rule, or any applicable Government regulations (including without limitation, DoD 6025.18-R and DoD 8580.02) if done by the Government, except for providing Data Aggregation services to the Government and for management and administrative activities of the Business Associate as otherwise permitted by this clause. 6. Termination a. Termination. A breach by the Business Associate of this clause, may subject the Business Associate to termination under any applicable default or termination provision of this Contract. b. Effect of Termination. (1) If this contract has records management requirements, the records subject to the Clause should be handled in accordance with the records management requirements. If this contract does not have records management requirements, the records should be handled in accordance with paragraphs (2) and (3) below (2) If this contract does not have records management requirements, except as provided in paragraph (3) of this section, upon termination of this Contract, for any reason, the Business Associate shall return or destroy all Protected Health Information received from the Government, or created or received by the Business Associate on behalf of the Government. This provision shall apply to Protected Health Information that agents of the Business Associate may come in contact. The Business Associate shall retain no copies of the Protected Health Information. (3) If this contract does not have records management provisions and the Business Associate determines that returning or destroying the Protected Health Information is infeasible, the Business Associate shall provide to the Government notification of the conditions that make return or destruction infeasible. Upon mutual agreement of the Government and the Business Associate that return or destruction of Protected Health Information is infeasible, the Business Associate shall extend the protections of this Contract to such Protected Health Information and limit further uses and disclosures of such Protected Health Information to those purposes that make the return or destruction infeasible, for so long as the Business Associate maintains such Protected Health Information. 7. Miscellaneous a. Regulatory References. A reference in this Clause to a section in DoD 6025.18-R, DoD 8580.02, Privacy Rule or Security Rule means the section currently in effect or as amended, and for which compliance is required. b. Survival. The respective rights and obligations of Business Associate under the "Effect of Termination" provision of this Clause shall survive the termination of this Contract. c. Interpretation. Any ambiguity in this Clause shall be resolved in favor of a meaning that permits the Government to comply with DoD 6025.18-R, DoD 8580.02, the HIPAA Privacy Rule or the HIPAA Security Rule. BASE ACCESS Base Access (NMCP) Commander, Navy Installations Command (CNIC), has established the Navy Commercial Access Control System (NCACS), a standardized process for granting unescorted access privileges to vendors, contractors, suppliers and service providers not otherwise entitled to the issuance of a Common Access Card (CAC) who seek access to and can provide justification to enter Navy installations and facilities. Vendors visiting Naval Medical Center Portsmouth (NMCP) may obtain daily passes directly from Naval Station Norfolk (NSN) Pass and ID office, located at NSN (Bldg CD-9), 9040 Hampton Blvd, Norfolk, Virginia, 23505, by submitting identification credentials for verification and undergoing a criminal screening/ background check. Alternatively, if the vendor so chooses, it may voluntarily elect to obtain long-term credentials tough enrollment, registration, background vetting, screening, issuance of credentials, and electronic validation of credentials at its own cost tough one of the designated independent contractor NCACS service providers. Credentials will be issued every five years and access privileges will be reviewed / renewed on an annual basis. The costs incurred to obtain Navy installation access of any kind are not reimbursable, and the price(s) paid for obtaining long-term NCACS credentials will not be approved as a direct cost of this contract. Further information regarding NCACS can be found at http://cnic.navy.mil/CNIC_HQ_Site/index.htm. VENDORMATE Vendormate Credentialing Requirement Naval Medical Center, Portsmouth (NMCP) has instituted a Credentialing Program which is designed to streamline the collection and management of key information regarding the regulatory and compliance status as well as business operations of our suppliers. The program requires all vendors and their representatives to register in order to gain base access to NMCP. One nominal annual credentialing fee covers your company as well as all representatives of your company that interact with NMCP. The price ranges from $25 to $250 per year depending on your company's risk profile and is paid directly to our partner, Vendormate Credentialing. It is imperative that each representative registers individually to maintain their personal credentials and ensure ongoing base access to our facility. A Federal Tax Identification Number and a credit card are required to complete the initial registration. Additional representatives only need the Federal Tax Identification Number. Register for Vendormate Credentialing at https://nmcp.vendormate.com. For technical questions, go to https://ghx.com/customer-care. Kiosks are located on the first and second floor entrances of Building two (2). Your representatives who visit NMCP may be required to sign in electronically to obtain an identification badge. With a valid appointment and current credentials, your representative will be able to print a single-use badge that is to be worn toughout the visit to any NMCP facility. Badges are required for all vendors on premises. Please note that GHX Vendormate Credentialing is in addition to RapidGate for Base Access. Vendors are required to register for both programs in order to come onboard the NMCP base. Section I - Contract Clauses CLAUSES INCORPORATED BY REFERENCE 52.203-3 Gratuities APR 1984 52.204-2 Security Requirements AUG 1996 52.204-13 System for Award Management Maintenance OCT 2018 52.212-1 Instructions to Offerors--Commercial Items OCT 2018 52.212-3 Alt I Offeror Representations and Certifications--Commercial Items (OCT 2018) Alternate I OCT 2014 52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.222-50 Combating Trafficking in Persons JAN 2019 52.223-16 Alt I Acquisition of EPEAT - Registered Personal Computer Products - Alternate I JUN 2014 52.223-18 Encouraging Contractor Policies To Ban Text Messaging While Driving AUG 2011 52.232-1 Payments APR 1984 52.232-8 Discounts For Prompt Payment FEB 2002 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business Subcontractors DEC 2013 52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.237-2 Protection Of Government Buildings, Equipment, And Vegetation APR 1984 52.237-3 Continuity Of Services JAN 1991 52.243-1 Changes--Fixed Price AUG 1987 52.247-34 F.O.B. Destination NOV 1991 52.249-1 Termination For Convenience Of The Government (Fixed Price) (Short Form) APR 1984 52.249-8 Default (Fixed-Price Supply & Service) APR 1984 252.203-7000 Requirements Relating to Compensation of Former DoD Officials SEP 2011 252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting OCT 2016 252.211-7003 Item Unique Identification and Valuation MAR 2016 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports DEC 2018 252.237-7010 Prohibition on Interrogation of Detainees by Contractor Personnel JUN 2013 252.239-7001 Information Assurance Contractor Training and Certification JAN 2008 252.243-7001 Pricing Of Contract Modifications DEC 1991 CLAUSES INCORPORATED BY FULL TEXT 52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS OR STATEMENTS--REPRESENTATION (JAN 2017) (a) Definition. As used in this provision-- Internal confidentiality agreement or statement, subcontract, and subcontractor, are defined in the clause at 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. (b) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions), Government agencies are not permitted to use funds appropriated (or otherwise made available) for contracts with an entity that requires employees or subcontractors of such entity seeking to report waste, fraud, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information. (c) The prohibition in paragraph (b) of this provision does not contravene requirements applicable to Standard Form 312, (Classified Information Nondisclosure Agreement), Form 4414 (Sensitive Compartmented Information Nondisclosure Agreement), or any other form issued by a Federal department or agency governing the nondisclosure of classified information. (d) Representation. By submission of its offer, the Offeror represents that it will not require its employees or subcontractors to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting waste, fraud, or abuse related to the performance of a Government contract to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information (e.g., agency Office of the Inspector General). (End of provision) 52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS OR STATEMENTS (JAN 2017) (a) Definitions. As used in this clause-- Internal confidentiality agreement or statement means a confidentiality agreement or any other written statement that the contractor requires any of its employees or subcontractors to sign regarding nondisclosure of contractor information, except that it does not include confidentiality agreements arising out of civil litigation or confidentiality agreements that contractor employees or subcontractors sign at the behest of a Federal agency. Subcontract means any contract as defined in subpart 2.1 entered into by a subcontractor to furnish supplies or services for performance of a prime contract or a subcontract. It includes but is not limited to purchase orders, and changes and modifications to purchase orders. Subcontractor means any supplier, distributor, vendor, or firm (including a consultant) that furnishes supplies or services to or for a prime contractor or another subcontractor. (b) The Contractor shall not require its employees or subcontractors to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting waste, fraud, or abuse related to the performance of a Government contract to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information (e.g., agency Office of the Inspector General). (c) The Contractor shall notify current employees and subcontractors that prohibitions and restrictions of any preexisting internal confidentiality agreements or statements covered by this clause, to the extent that such prohibitions and restrictions are inconsistent with the prohibitions of this clause, are no longer in effect. (d) The prohibition in paragraph (b) of this clause does not contravene requirements applicable to Standard Form 312 (Classified Information Nondisclosure Agreement), Form 4414 (Sensitive Compartmented Information Nondisclosure Agreement), or any other form issued by a Federal department or agency governing the nondisclosure of classified information. (e) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015, (Pub. L. 113-235), and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions) use of funds appropriated (or otherwise made available) is prohibited, if the Government determines that the Contractor is not in compliance with the provisions of this clause. (f) The Contractor shall include the substance of this clause, including this paragraph (f), in subcontracts under such contracts. (End of clause) 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS--COMMERCIAL ITEMS (MAY 2019) (a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items: (1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)). (2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Jul 2018) (Section 1634 of Pub. L. 115-91). (3) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015). (4) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553). (5) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)). (b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: (Contracting Officer check as appropriate.) ___ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402). ____ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509). ____ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (June 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.) X (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2018) (Pub. L. 109-282) (31 U.S.C. 6101 note). ___ (5) [Reserved] ___ (6) 52.204-14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111-117, section 743 of Div. C). ___ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (Oct 2016) (Pub. L. 111-117, section 743 of Div. C). X (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Oct 2015) (31 U.S.C. 6101 note). ____ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Oct 2018) (41 U.S.C. 2313). ____ (10) [Reserved] ____ (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (NOV 2011) (15 U.S.C. 657a). ____ (ii) Alternate I (NOV 2011) of 52.219-3. ____ (12) (i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a). ____ (ii) Alternate I (JAN 2011) of 52.219-4. ____ (13) [Reserved] X (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2011) (15 U.S.C. 644). ____ (ii) Alternate I (NOV 2011). ____ (iii) Alternate II (NOV 2011). ____ (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644). ____ (ii) Alternate I (Oct 1995) of 52.219-7. ____ (iii) Alternate II (Mar 2004) of 52.219-7. ____ (16) 52.219-8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)). ____ (17)(i) 52.219-9, Small Business Subcontracting Plan (Aug 2018) (15 U.S.C. 637(d)(4)). ____ (ii) Alternate I (Nov 2016) of 52.219-9. ____ (iii) Alternate II (Nov 2016) of 52.219-9. ____ (iv) Alternate III (Nov 2016) of 52.219-9. ____ (v) Alternate IV (Aug 2018) of 52.219-9. X (18) 52.219-13, Notice of Set-Aside of Orders (NOV 2011) (15 U.S.C. 644(r)). ____ (19) 52.219-14, Limitations on Subcontracting (JAN 2017) (15 U.S.C. 637(a)(14)). ____ (20) 52.219-16, Liquidated Damages-Subcontracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)). ____ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (NOV 2011) (15 U.S.C. 657f). X (22) 52.219-28, Post Award Small Business Program Rerepresentation (July 2013) (15 U.S.C. 632(a)(2)). ____ (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns (Dec 2015) (15 U.S.C. 637(m)). ____(24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (Dec 2015) (15 U.S.C. 637(m)). X (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755). X(26) 52.222-19, Child Labor--Cooperation with Authorities and Remedies (Jan 2018) (E.O. 13126). X (27) 52.222-21, Prohibition of Segregated Facilities (Apr 2015). X (28)(i) 52.222-26, Equal Opportunity (SEPT 2016) (E.O. 11246). ____ (ii) Alternate I (Feb 1999) of 52.222-26. ____ (29)(i) 52.222-35, Equal Opportunity for Veterans (OCT 2015)(38 U.S.C. 4212). ____ (ii) Alternate I (July 2014) of 52.222-35. X (30)(i) 52.222-36, Equal Opportunity for Workers with Disabilities (JUL 2014) (29 U.S.C. 793). ____ (ii) Alternate I (July 2014) of 52.222-36. ____ (31) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212). ____ (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496). X (33)(i) 52.222-50, Combating Trafficking in Persons (JAN 2019) (22 U.S.C. chapter 78 and E.O. 13627). ____ (ii) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627). ____ (34) 52.222-54, Employment Eligibility Verification (Oct 2015). (E. O. 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.) ____ (35)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Items (May 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.) ____ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.) ____ (36) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (Jun 2016) (E.O. 13693). ____ (37) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (Jun 2016) (E.O. 13693). X (38) (i) 52.223-13, Acquisition of EPEAT Registered Imaging Equipment (Jun 2014) (E.O.s 13423 and 13514). ____ (ii) Alternate I (OCT 2015) of 52.223-13. ____ (39)(i) 52.223-14, Acquisition of EPEAT Registered Televisions (Jun 2014) (E.O.s 13423 and 13514). ____ (ii) Alternate I (Jun 2014) of 52.223-14. ____ (40) 52.223-15, Energy Efficiency in Energy-Consuming Products (Dec 2007) (42 U.S.C. 8259b). ____ (41)(i) 52.223-16, Acquisition of EPEAT-Registered Personal Computer Products (OCT 2015) (E.O.s 13423 and 13514). ____ (ii) Alternate I (Jun 2014) of 52.223-16. X (42) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (Aug 2011) (E.O. 13513). ____ (43) 52.223-20, Aerosols (Jun 2016) (E.O. 13693). ____ (44) 52.223-21, Foams (Jun 2016) (E.O. 13693). ____ (45)(i) 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a). ____ (ii) Alternate I (JAN 2017) of 52.224-3. ____ (46) 52.225-1, Buy American--Supplies (May 2014) (41 U.S.C. chapter 83). ____ (47) (i) 52.225-3, Buy American--Free Trade Agreements--Israeli Trade Act (May 2014) (41 U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43. ____ (ii) Alternate I (May 2014) of 52.225-3. ____ (iii) Alternate II (May 2014) of 52.225-3. ____ (iv) Alternate III (May 2014) of 52.225-3. ____ (48) 52.225-5, Trade Agreements (AUG 2018) 19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note). X (49) 52.225-13, Restrictions on Certain Foreign Purchases (JUNE 2008) (E.O.'s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury). ____ (50) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note). ____ (51) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150 ____ (52) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42 U.S.C. 5150). ____ (53) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002) (41 U.S.C. 4505, 10 U.S.C. 2307(f)). ____ (54) 52.232-30, Installment Payments for Commercial Items (Jan 2017) (41 U.S.C. 4505, 10 U.S.C. 2307(f)). X (55) 52.232-33, Payment by Electronic Funds Transfer-System for Award Management (Oct 2018) (31 U.S.C. 3332). ____ (56) 52.232-34, Payment by Electronic Funds Transfer-Other than System for Award Management (July 2013) (31 U.S.C. 3332). ____ (57) 52.232-36, Payment by Third Party (MAY 2014) (31 U.S.C. 3332). ____ (58) 52.239-1, Privacy or Security Safeguards (Aug 1996) (5 U.S.C. 552a). ____ (59) 52.242-5, Payments to Small Business Subcontractors (JAN 2017)(15 U.S.C. 637(d)(13)). ____ (60)(i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631). ____ (ii) Alternate I (Apr 2003) of 52.247-64. ____ (iii) Alternate II (Feb 2006) of 52.247-64. (c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: (Contracting Officer check as appropriate.) _____ (1) 52.222-17, Nondisplacement of Qualified Workers (May 2014) (E.O. 13495). _____ (2) 52.222-41, Service Contract Labor Standards (AUG 2018) (41 U.S.C. chapter 67). _____ (3) 52.222-42, Statement of Equivalent Rates for Federal Hires (MAY 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67). _____ (4) 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards--Price Adjustment (Multiple Year and Option Contracts) (AUG 2018) (29 U.S.C. 206 and 41 U.S.C. chapter 67). _____ (5) 52.222-44, Fair Labor Standards Act and Service Contract Labor Standards--Price Adjustment (MAY 2014) (29 U.S.C 206 and 41 U.S.C. chapter 67). _____ (6) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Requirements (MAY 2014) (41 U.S.C. chapter 67). _____ (7) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Requirements (MAY 2014) (41 U.S.C. chapter 67). _____(8) 52.222-55, Minimum Wages Under Executive Order 13658 (DEC 2015) (E.O. 13658). _____ (9) 52.222-62, Paid Sick Leave Under Executive Order 13706 (JAN 2017) (E.O. 13706). _____ (10) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (MAY 2014) (42 U.S.C. 1792). (d) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph (d) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition teshold, and does not contain the clause at 52.215-2, Audit and Records--Negotiation. (1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor's directly pertinent records involving transactions related to this contract. (2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved. (3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law. (e) (1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c), and (d) of this clause, the Contractor is not required to flow down any FAR clause, other than those in this paragraph (e)(1)in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause- (i) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509). (ii) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)). (iii) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Jul 2018) (Section 1634 of Pub. L. 115-91). (iv) 52.219-8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $700,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities. (v) 52.222-17, Nondisplacement of Qualified Workers (MAY 2014) (E.O. 13495). Flow down required in accordance with paragraph (l) of FAR clause 52.222-17. (vi) 52.222-21, Prohibition of Segregated Facilities (Apr 2015). (vii) 52.222-26, Equal Opportunity (Sep 2016) (E.O. 11246). (viii) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212). (ix) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793). (x) 52.222-37, Employment Reports on Veterans (Feb 2016) (38 U.S.C. 4212). (xi) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496). Flow down required in accordance with paragraph (f) of FAR clause 52.222-40. (xii) 52.222-41, Service Contract Labor Standards (Aug 2018), (41 U.S.C. chapter 67). (xiii) _____ (A) 52.222-50, Combating Trafficking in Persons (JAN 2019) (22 U.S.C. chapter 78 and E.O. 13627). _____ (B) Alternate I (March 2, 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627). (xiv) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Requirements (May 2014) (41 U.S.C. chapter 67.) (xv) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Requirements (May 2014) (41 U.S.C. chapter 67) (xvi) 52.222-54, Employment Eligibility Verification (Oct 2015) (E. O. 12989). (xvii)52.222-55, Minimum Wages Under Executive Order 13658 (Dec 2015) (E.O. 13658). (xviii) (A) 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a). (B) Alternate I (JAN 2017) of 52.224-3. (xix) 52.222-62 Paid Sick Leave Under Executive Order 13706 (JAN 2017) (E.O. 13706). (xx) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note). (xxi) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations. (May 2014) (42 U.S.C. 1792). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6. (xxii) 52.247-64, Preference for Privately-Owned U.S. Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx 1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64. (2) While not required, the Contractor may include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations. (End of clause) 52.213-2 INVOICES (APR 1984) The Contractor's invoices must be submitted before payment can be made. The Contractor will be paid on the basis of the invoice, which must state (a) the starting and ending dates of the subscription delivery, and (b) either that orders have been placed in effect for the addressees required, or that the orders will be placed in effect upon receipt of payment. (End of clause) 52.232-18 AVAILABILITY OF FUNDS (APR 1984) Funds are not presently available for this contract. The Government's obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing by the Contracting Officer. (End of clause) 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): http://www.arnet.gov/far (End of provision) 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): FAR Clauses http://acquisition.gov/comp/far/index.htm DFAR Clauses http://www.acq.osd.mil/dpap/dars/dfars/index.htm (End of clause) 252.204-7006 BILLING INSTRUCTIONS (OCT 2005) When submitting a request for payment, the Contractor shall-- (a) Identify the contract line item(s) on the payment request that reasonably reflect contract work performance; and (b) Separately identify a payment amount for each contract line item included in the payment request. (End of clause) 252.232-7001 DISPOSITION OF PAYMENTS (DEC 1991) Payment will be by a dual payee Treasury check made payable to the contractor or the and will be forwarded to that disbursing office for appropriate disposition. (End of clause) Section K - Representations, Certifications and Other Statements of Offerors CLAUSES INCORPORATED BY REFERENCE 52.209-2 Prohibition on Contracting with Inverted Domestic Corporations--Representation NOV 2015 52.225-18 Place of Manufacture AUG 2018 52.225-20 Prohibition on Conducting Restricted Business Operations in Sudan--Certification AUG 2009 CLAUSES INCORPORATED BY FULL TEXT 52.204-3 TAXPAYER IDENTIFICATION (OCT 1998) (a) Definitions. Common parent, as used in this provision, means that corporate entity that owns or controls an affiliated group of corporations that files its Federal income tax returns on a consolidated basis, and of which the offeror is a member. Taxpayer Identification Number (TIN), as used in this provision, means the number required by the Internal Revenue Service (IRS) to be used by the offeror in reporting income tax and other returns. The TIN may be either a Social Security Number or an Employer Identification Number. (b) All offerors must submit the information required in paragraphs (d) tough (f) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the IRS. If the resulting contract is subject to the payment reporting requirements described in Federal Acquisition Regulation (FAR) 4.904, the failure or refusal by the offeror to furnish the information may result in a 31 percent reduction of payments otherwise due under the contract. (c) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's TIN. (d) Taxpayer Identification Number (TIN). ___ TIN:.-------------------------------------------------------- ___ TIN has been applied for. ___ TIN is not required because: ___ Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States; ___ Offeror is an agency or instrumentality of a foreign government; ___ Offeror is an agency or instrumentality of the Federal Government. (e) Type of organization. ___ Sole proprietorship; ___ Partnership; ___ Corporate entity (not tax-exempt); ___ Corporate entity (tax-exempt); ___ Government entity (Federal, State, or local); ___ Foreign government; ___ International organization per 26 CFR 1.6049-4; ___ Other-------------------------------------------------------- (f) Common parent. ___ Offeror is not owned or controlled by a common parent as defined in paragraph (a) of this provision. ___ Name and TIN of common parent: Name------------------------------------------------------------------- TIN-------------------------------------------------------------------- (End of provision) 52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016) (a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that-- (1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or (2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government. (b) The Offeror represents that-- (1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and (2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months. (End of provision) 52.219-1 SMALL BUSINESS PROGRAM REPRESENTATIONS (OCT 2014) - ALTERNATE I (SEPT 2015) (a) Definitions. As used in this provision-- Economically disadvantaged women-owned small business (EDWOSB) concern means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business concern eligible under the WOSB Program. Service-disabled veteran-owned small business concern-- (1) Means a small business concern-- (i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and (ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran. (2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16). Small business concern means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and the size standard in paragraph (b) of this provision. Small disadvantaged business concern, consistent with 13 CFR 124.1002, means a small business concern under the size standard applicable to the acquisition, that-- (1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by-- (i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States, and (ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and (2) The management and daily business operations of which are controlled (as defined at 13 CFR 124.106) by individuals who meet the criteria in paragraphs (1)(i) and (ii) of this definition. Veteran-owned small business concern means a small business concern-- (1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and (2) The management and daily business operations of which are controlled by one or more veterans. Women-owned small business concern means a small business concern-- (1) That is at least 51 percent owned by one or more women; or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and (2) Whose management and daily business operations are controlled by one or more women. Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127), means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States. (b)(1) The North American Industry Classification System (NAICS) code for this acquisition is ___ --[insert NAICS code]. (2) The small business size standard is ___ --[insert size standard]. (3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees. (c) Representations. (1) The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a small business concern. (2) [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [ ___ ] is, [ ___ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002. (3) [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a women-owned small business concern. (4) Women-owned small business (WOSB) concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(3) of this provision.] The offeror represents as part of its offer that-- (i) It [ ___ ] is, [ ___ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and (ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(4)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ --.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation. (5) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a women-owned small business concern eligible under the WOSB Program in (c)(4) of this provision.] The offeror represents as part of its offer that-- (i) It [ ___ ] is, [ ___ ] is not an EDWOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and (ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(5)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___ --.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation. (6) [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a veteran-owned small business concern. (7) [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(6) of this provision.] The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a service-disabled veteran-owned small business concern. (8) [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that-- (i) It [ ___ ] is, [ ___ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR Part 126; and (ii) It [ ___ ] is, [ ___ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR Part 126, and the representation in paragraph (c)(8)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: ___ --.] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation. (d) Notice. (1) If this solicitation is for supplies and has been set aside, in whole or in part, for small business concerns, then the clause in this solicitation providing notice of the set-aside contains restrictions on the source of the end items to be furnished. (2) Under 15 U.S.C. 645(d), any person who misrepresents a firm's status as a business concern that is small, HUBZone small, small disadvantaged, service-disabled veteran-owned small, economically disadvantaged women-owned small, or women-owned small eligible under the WOSB Program in order to obtain a contract to be awarded under the preference programs established pursuant to section 8, 9, 15, 31, and 36 of the Small Business Act or any other provision of Federal law that specifically references section 8(d) for a definition of program eligibility, shall- (i) Be punished by imposition of fine, imprisonment, or both; (ii) Be subject to administrative remedies, including suspension and debarment; and (iii) Be ineligible for participation in programs conducted under the authority of the Act. (9) [Complete if offeror represented itself as disadvantaged in paragraph (c)(2) of this provision.] The offeror shall check the category in which its ownership falls: ___ Black American. ___ Hispanic American. ___ Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians). ___ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, Republic of Palau, Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru). ___ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal). ___ Individual/concern, other than one of the preceding. (End of provision) 52.222-18 CERTIFICATION REGARDING KNOWLEDGE OF CHILD LABOR FOR LISTED END PRODUCTS (FEBRUARY 2001) (a) Definition. Forced or indentured child labor means all work or service-- (1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or (2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties. (b) Listed end products. The following end product(s) being acquired under this solicitation is (are) included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, identified by their country of origin. There is a reasonable basis to believe that listed endproducts from the listed countries of origin may have been mined, produced, or manufactured by forced or indentured child labor. Listed End Product ---------------------------------------------------------------------- ---------------------------------------------------------------------- Listed Countries of Origin ---------------------------------------------------------------------- ---------------------------------------------------------------------- (c) Certification. The Government will not make award to an offeror unless the offeror, by checking the appropriate block, certifies to either paragraph (c)(1) or paragraph (c)(2) of this provision. ( ) (1) The offeror will not supply any end product listed in paragraph (b) of this provision that was mined, produced, or manufactured in a corresponding country as listed for that end product. ( ) (2) The offeror may supply an end product listed in paragraph (b) of this provision that was mined, produced, or manufactured in the corresponding country as listed for that product. The offeror certifies that it has made a good faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture such end product. On the basis of those efforts, the offeror certifies that it is not aware of any such use of child labor. (End of provision) 52.222-22 PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FEB 1999) The offeror represents that -- (a) ( ) It has, ( ) has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; (b) ( ) It has, ( ) has not, filed all required compliance reports; and (c) Representations indicating submission of required compliance reports, signed by proposed subcontractors, will be obtained before subcontract awards. (End of provision) 52.222-25 AFFIRMATIVE ACTION COMPLIANCE (APR 1984) The offeror represents that (a) [ ] it has developed and has on file, [ ] has not developed and does not have on file, at each establishment, affirmative action programs required by the rules and regulations of the Secretary of Labor (41 CFR 60-1 and 60-2), or (b) [ ] has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor. (End of provision) Section L - Instructions, Conditions and Notices to Bidders CLAUSES INCORPORATED BY REFERENCE 52.214-34 Submission Of Offers In The English Language APR 1991 52.214-35 Submission Of Offers In U.S. Currency APR 1991 . N0018319Q0120 Department of the Navy Bureau of Medicine and Surgery
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