20230721 W81K00-23-Q-0155.pdf

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Request for Quote: Compressed Medical Gasses (Evans Army, Colorado)
Solicitation number
W81K00-23-Q-0155
Issued by

About this file

This is a solicitation for a request for quote to provide compressed medical gases to Evans Army Community Hospital in Fort Carson, Colorado. The solicitation seeks quotes for various medical grade gases including oxygen, carbon dioxide, nitrogen, nitrous oxide, liquid nitrogen, liquid oxygen, dry ice, cylinder maintenance, delivery, hazardous materials handling, and related equipment. Quotes are due by 5:00 PM on August 2, 2023. The award date is not specified. Pricing is to be firm fixed price. The solicitation is unrestricted and has a small business set-aside. The federal agency is the Department of the Army Medical Command and the place of performance is Evans Army Community Hospital.

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SEE ADDENDUM

(No Collect Calls)

W81K0023Q0155 21-Jul-2023

b. TELEPHONE NUMBER

210-221-4820

8. OFFER DUE DATE/LOCAL TIME

05:00 PM 02 Aug 2023

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W81K009. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

CHRISTOPHER A. GREGORY

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

1 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.X

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

0011952712

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

POC: EMERITA TORRES

3551 ROGER BROOK DR BLDG 3600

FORT SAM HOUSTON TX 78234-6200

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE HT0787 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

EVANS

EVANS ARMY COMMUNITY HOSPITAL

1650 COCHRANE CIRCLE

FORT CARSON CO 80913

TEL: FAX:

FAX:

TEL: 210-221-5187 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

X 8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

1,200

NAICS:

325120

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF107

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W81K0023Q0155

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1,258 Each Medical Grade Oxygen -OX-M-D/1201599

FFP

Medical Grade Oxygen -OX-M-D/1201599 FOB: Destination

PURCHASE REQUEST NUMBER: 0011952712

PSC CD: 6515

NET AMT

0002 20 Each

OXYGEN, MEDICAL GRADE-OX-M-DD/12011565

FFP

OXYGEN, MEDICAL GRADE-OX-M-DD/12011565

FOB: Destination

0003 20 Each

OXYGEN, MEDICAL GRADE-OX-M-DEY/1201046/

FFP

OXYGEN, MEDICAL GRADE-OX-M-DEY/1201046/

FOB: Destination

0004 450 Each

OXYGEN, MEDICAL GRADE-OX-M-E/1207476/12

FFP

OXYGEN, MEDICAL GRADE-OX-M-E/1207476/12

FOB: Destination

0005 70 Each

OXYGEN, MEDICAL GRADE-OX-M-K/1201044

FFP

OXYGEN, MEDICAL GRADE-OX-M-K/1201044

FOB: Destination

0006 275 Each

CARBON DIOXIDE, MEDICAL GRADE CD-M-E/12

FFP

CARBON DIOXIDE, MEDICAL GRADE CD-M-E/12

FOB: Destination

0007 53 Each

CARBON DIOXIDE, MEDICAL GRADE-M-K/12018

FFP

CARBON DIOXIDE, MEDICAL GRADE-M-K/12018

FOB: Destination

0008 2 Each

CARBON DIOXIDE, MEDICAL GRADE M-Q/12072

FFP

CARBON DIOXIDE, MEDICAL GRADE M-Q/12072

FOB: Destination

0009 70 Each

NITROGEN, MEDICAL GRADE-NI-M-DEY/120180

FFP

NITROGEN, MEDICAL GRADE-NI-M-DEY/120180

FOB: Destination

0010 300 Each

NITROGEN, MEDICAL GRADE-NI-M-K/1202221

FFP

NITROGEN, MEDICAL GRADE-NI-M-K/1202221

FOB: Destination

0011 25 Each

NITROGEN, MEDICAL GRADE-NI-M-T/1201807

FFP

NITROGEN, MEDICAL GRADE-NI-M-T/1201807

FOB: Destination

0012 35 Each

NITROUS OXIDE, MEDICAL GRADE-NS-M-K/120

FFP

NITROUS OXIDE, MEDICAL GRADE-NS-M-K/120

FOB: Destination

0013 4,352 Each

LIQUID NITROGEN, MEDICAL GRADE NI-LTR/1

FFP

LIQUID NITROGEN, MEDICAL GRADE NI-LTR/1

FOB: Destination

0014 22,704 Each

LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK/

FFP

LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK/

FOB: Destination

0015 13,000 Each

DRY ICE/4496774

FFP

DRY ICE/4496774

FOB: Destination

0016 20 Each

CYLINDER MAINTENANCE VARIOUS

FFP

CYLINDER MAINTENANCE VARIOUS

FOB: Destination

0017 64 Each

DELIVERY

FFP

DELIVERY

FOB: Destination

0018 52 Each

HAZMAT/4477685

FFP

HAZMAT/4477685

FOB: Destination

0019 12 Each

METAL WRENCH/4461008

FFP

METAL WRENCH/4461008

FOB: Destination

0020 12 Each

PAINT/STENCIL/4459534

FFP

PAINT/STENCIL/4459534

FOB: Destination

0021 12 Each

UTRASONIC TEST/4459416

FFP

UTRASONIC TEST/4459416

FOB: Destination

0022 12 Each

VALVE-NEW

FFP

VALVE-NEW

FOB: Destination

0023 12 Each

VALVE-REPAIR/4496560

FFP

VALVE-REPAIR/4496560

FOB: Destination

0024 12 Each

VALVE-SAFETY

FFP

VALVE-SAFETY

FOB: Destination

0025 12 Each

CARBON DIOXIDE REGULATOR/4477342

FFP

CARBON DIOXIDE REGULATOR/4477342

FOB: Destination

0026 8 Each

DELIVERY FFP BULK GAS

FFP

DELIVERY FFP BULK GAS

FOB: Destination

1001 1,258 Each OPTION Medical Grade Oxygen -OX-M-D/1201599

FFP

Medical Grade Oxygen -OX-M-D/1201599 FOB: Destination

1002 20 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-DD/12011565

FFP

OXYGEN, MEDICAL GRADE-OX-M-DD/12011565

FOB: Destination

1003 20 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-DEY/1201046/

FFP

OXYGEN, MEDICAL GRADE-OX-M-DEY/1201046/

FOB: Destination

1004 450 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-E/1207476/12

FFP

OXYGEN, MEDICAL GRADE-OX-M-E/1207476/12

FOB: Destination

1005 70 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-K/1201044

FFP

OXYGEN, MEDICAL GRADE-OX-M-K/1201044

FOB: Destination

1006 275 Each

OPTION CARBON DIOXIDE, MEDICAL GRADE CD-M-E/12

FFP

CARBON DIOXIDE, MEDICAL GRADE CD-M-E/12

FOB: Destination

1007 53 Each

OPTION CARBON DIOXIDE, MEDICAL GRADE-M-K/12018

FFP

CARBON DIOXIDE, MEDICAL GRADE-M-K/12018

FOB: Destination

1008 2 Each

OPTION CARBON DIOXIDE, MEDICAL GRADE M-Q/12072

FFP

CARBON DIOXIDE, MEDICAL GRADE M-Q/12072

FOB: Destination

1009 70 Each

OPTION NITROGEN, MEDICAL GRADE-NI-M-DEY/120180

FFP

NITROGEN, MEDICAL GRADE-NI-M-DEY/120180

FOB: Destination

1010 300 Each

OPTION NITROGEN, MEDICAL GRADE-NI-M-K/1202221

FFP

NITROGEN, MEDICAL GRADE-NI-M-K/1202221

FOB: Destination

1011 25 Each

OPTION NITROGEN, MEDICAL GRADE-NI-M-T/1201807

FFP

NITROGEN, MEDICAL GRADE-NI-M-T/1201807

FOB: Destination

1012 35 Each

OPTION NITROUS OXIDE, MEDICAL GRADE-NS-M-K/120

FFP

NITROUS OXIDE, MEDICAL GRADE-NS-M-K/120

FOB: Destination

1013 4,352 Each

OPTION LIQUID NITROGEN, MEDICAL GRADE NI-LTR/1

FFP

LIQUID NITROGEN, MEDICAL GRADE NI-LTR/1

FOB: Destination

1014 22,704 Each

OPTION LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK/

FFP

LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK/

FOB: Destination

1015 13,000 Each

OPTION DRY ICE/4496774

FFP

DRY ICE/4496774

FOB: Destination

1016 20 Each

OPTION CYLINDER MAINTENANCE VARIOUS

FFP

CYLINDER MAINTENANCE VARIOUS

FOB: Destination

1017 64 Each

OPTION DELIVERY

FFP

DELIVERY

FOB: Destination

1018 52 Each

OPTION HAZMAT/4477685

FFP

HAZMAT/4477685

FOB: Destination

1019 12 Each

OPTION METAL WRENCH/4461008

FFP

METAL WRENCH/4461008

FOB: Destination

1021 12 Each

OPTION PAINT/STENCIL/4459534

FFP

PAINT/STENCIL/4459534

FOB: Destination

1020 12 Each

OPTION UTRASONIC TEST/4459416

FFP

UTRASONIC TEST/4459416

FOB: Destination

1023 12 Each

OPTION VALVE-NEW

FFP

VALVE-NEW

FOB: Destination

1022 12 Each

OPTION VALVE-REPAIR/4496560

FFP

VALVE-REPAIR/4496560

FOB: Destination

1024 12 Each

OPTION VALVE-SAFETY

FFP

VALVE-SAFETY

FOB: Destination

1025 12 Each

OPTION CARBON DIOXIDE REGULATOR/4477342

FFP

CARBON DIOXIDE REGULATOR/4477342

FOB: Destination

1026 8 Each

OPTION DELIVERY FFP BULK GAS

FFP

DELIVERY FFP BULK GAS

FOB: Destination

2001 1,258 Each OPTION Medical Grade Oxygen -OX-M-D/1201599

FFP

Medical Grade Oxygen -OX-M-D/1201599 FOB: Destination

2002 20 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-DD/12011565

FFP

OXYGEN, MEDICAL GRADE-OX-M-DD/12011565

FOB: Destination

2003 20 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-DEY/1201046/

FFP

OXYGEN, MEDICAL GRADE-OX-M-DEY/1201046/

FOB: Destination

2004 450 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-E/1207476/12

FFP

OXYGEN, MEDICAL GRADE-OX-M-E/1207476/12

FOB: Destination

2005 70 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-K/1201044

FFP

OXYGEN, MEDICAL GRADE-OX-M-K/1201044

FOB: Destination

2006 275 Each

OPTION CARBON DIOXIDE, MEDICAL GRADE CD-M-E/12

FFP

CARBON DIOXIDE, MEDICAL GRADE CD-M-E/12

FOB: Destination

2007 53 Each

OPTION CARBON DIOXIDE, MEDICAL GRADE-M-K/12018

FFP

CARBON DIOXIDE, MEDICAL GRADE-M-K/12018

FOB: Destination

2008 2 Each

OPTION CARBON DIOXIDE, MEDICAL GRADE M-Q/12072

FFP

CARBON DIOXIDE, MEDICAL GRADE M-Q/12072

FOB: Destination

2009 70 Each

OPTION NITROGEN, MEDICAL GRADE-NI-M-DEY/120180

FFP

NITROGEN, MEDICAL GRADE-NI-M-DEY/120180

FOB: Destination

2010 300 Each

OPTION NITROGEN, MEDICAL GRADE-NI-M-K/1202221

FFP

NITROGEN, MEDICAL GRADE-NI-M-K/1202221

FOB: Destination

2011 25 Each

OPTION NITROGEN, MEDICAL GRADE-NI-M-T/1201807

FFP

NITROGEN, MEDICAL GRADE-NI-M-T/1201807

FOB: Destination

2012 35 Each

OPTION NITROUS OXIDE, MEDICAL GRADE-NS-M-K/120

FFP

NITROUS OXIDE, MEDICAL GRADE-NS-M-K/120

FOB: Destination

2013 4,352 Each

OPTION LIQUID NITROGEN, MEDICAL GRADE NI-LTR/1

FFP

LIQUID NITROGEN, MEDICAL GRADE NI-LTR/1

FOB: Destination

2014 22,704 Each

OPTION LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK/

FFP

LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK/

FOB: Destination

2015 13,000 Each

OPTION DRY ICE/4496774

FFP

DRY ICE/4496774

FOB: Destination

2016 20 Each

OPTION CYLINDER MAINTENANCE VARIOUS

FFP

CYLINDER MAINTENANCE VARIOUS

FOB: Destination

2017 64 Each

OPTION DELIVERY

FFP

DELIVERY

FOB: Destination

2018 52 Each

OPTION HAZMAT/4477685

FFP

HAZMAT/4477685

FOB: Destination

2019 12 Each

OPTION METAL WRENCH/4461008

FFP

METAL WRENCH/4461008

FOB: Destination

2020 12 Each

OPTION PAINT/STENCIL/4459534

FFP

PAINT/STENCIL/4459534

FOB: Destination

2021 12 Each

OPTION UTRASONIC TEST/4459416

FFP

UTRASONIC TEST/4459416

FOB: Destination

2022 12 Each

OPTION VALVE-NEW

FFP

VALVE-NEW

FOB: Destination

2023 12 Each

OPTION VALVE-REPAIR/4496560

FFP

VALVE-REPAIR/4496560

FOB: Destination

2024 12 Each

OPTION VALVE-SAFETY

FFP

VALVE-SAFETY

FOB: Destination

2025 12 Each

OPTION CARBON DIOXIDE REGULATOR/4477342

FFP

CARBON DIOXIDE REGULATOR/4477342

FOB: Destination

2026 8 Each

OPTION DELIVERY FFP BULK GAS

FFP

DELIVERY FFP BULK GAS

FOB: Destination

3001 1,258 Each OPTION Medical Grade Oxygen -OX-M-D/1201599

FFP

Medical Grade Oxygen -OX-M-D/1201599 FOB: Destination

3002 20 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-DD/12011565

FFP

OXYGEN, MEDICAL GRADE-OX-M-DD/12011565

FOB: Destination

3003 20 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-DEY/1201046/

FFP

OXYGEN, MEDICAL GRADE-OX-M-DEY/1201046/

FOB: Destination

3004 450 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-E/1207476/12

FFP

OXYGEN, MEDICAL GRADE-OX-M-E/1207476/12

FOB: Destination

3005 70 Each

OPTION OXYGEN, MEDICAL GRADE-OX-M-K/1201044

FFP

OXYGEN, MEDICAL GRADE-OX-M-K/1201044

FOB: Destination

3006 275 Each

OPTION CARBON DIOXIDE, MEDICAL GRADE CD-M-E/12

FFP

CARBON DIOXIDE, MEDICAL GRADE CD-M-E/12

FOB: Destination

3007 53 Each

OPTION CARBON DIOXIDE, MEDICAL GRADE-M-K/12018

FFP

CARBON DIOXIDE, MEDICAL GRADE-M-K/12018

FOB: Destination

3008 2 Each

OPTION CARBON DIOXIDE, MEDICAL GRADE M-Q/12072

FFP

CARBON DIOXIDE, MEDICAL GRADE M-Q/12072

FOB: Destination

3009 70 Each

OPTION NITROGEN, MEDICAL GRADE-NI-M-DEY/120180

FFP

NITROGEN, MEDICAL GRADE-NI-M-DEY/120180

FOB: Destination

3010 300 Each

OPTION NITROGEN, MEDICAL GRADE-NI-M-K/1202221

FFP

NITROGEN, MEDICAL GRADE-NI-M-K/1202221

FOB: Destination

3011 25 Each

OPTION NITROGEN, MEDICAL GRADE-NI-M-T/1201807

FFP

NITROGEN, MEDICAL GRADE-NI-M-T/1201807

FOB: Destination

3012 35 Each

OPTION NITROUS OXIDE, MEDICAL GRADE-NS-M-K/120

FFP

NITROUS OXIDE, MEDICAL GRADE-NS-M-K/120

FOB: Destination

3013 4,352 Each

OPTION LIQUID NITROGEN, MEDICAL GRADE NI-LTR/1

FFP

LIQUID NITROGEN, MEDICAL GRADE NI-LTR/1

FOB: Destination

3014 22,704 Each

OPTION LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK/

FFP

LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK/

FOB: Destination

3015 13,000 Each

OPTION DRY ICE/4496774

FFP

DRY ICE/4496774

FOB: Destination

3016 20 Each

OPTION CYLINDER MAINTENANCE VARIOUS

FFP

CYLINDER MAINTENANCE VARIOUS

FOB: Destination

3017 64 Each

OPTION DELIVERY

FFP

DELIVERY

FOB: Destination

3018 52 Each

OPTION HAZMAT/4477685

FFP

HAZMAT/4477685

FOB: Destination

3019 12 Each

OPTION METAL WRENCH/4461008

FFP

METAL WRENCH/4461008

FOB: Destination

3020 12 Each

OPTION PAINT/STENCIL/4459534

FFP

PAINT/STENCIL/4459534

FOB: Destination

3021 12 Each

OPTION UTRASONIC TEST/4459416

FFP

UTRASONIC TEST/4459416

FOB: Destination

3022 12 Each

OPTION VALVE-NEW

FFP

VALVE-NEW

FOB: Destination

3023 12 Each

OPTION VALVE-REPAIR/4496560

FFP

VALVE-REPAIR/4496560

FOB: Destination

3024 12 Each

OPTION VALVE-SAFETY

FFP

VALVE-SAFETY

FOB: Destination

3025 12 Each

OPTION CARBON DIOXIDE REGULATOR/4477342

FFP

CARBON DIOXIDE REGULATOR/4477342

FOB: Destination

3026 8 Each

OPTION DELIVERY FFP BULK GAS

FFP

DELIVERY FFP BULK GAS

FOB: Destination

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 30-SEP-2024 1,258 EVANS

EVANS ARMY COMMUNITY HOSPITAL

1650 COCHRANE CIRCLE

FORT CARSON CO 80913

FOB: Destination

HT0787

0002 30-SEP-2024 20 (SAME AS PREVIOUS LOCATION)

0003 30-SEP-2024 20 (SAME AS PREVIOUS LOCATION)

0004 30-SEP-2024 450 (SAME AS PREVIOUS LOCATION)

0005 30-SEP-2024 70 (SAME AS PREVIOUS LOCATION)

0006 30-SEP-2024 275 (SAME AS PREVIOUS LOCATION)

0007 30-SEP-2024 53 (SAME AS PREVIOUS LOCATION)

0008 30-SEP-2024 2 (SAME AS PREVIOUS LOCATION)

0009 30-SEP-2024 70 (SAME AS PREVIOUS LOCATION)

0010 30-SEP-2024 300 (SAME AS PREVIOUS LOCATION)

0011 30-SEP-2024 25 (SAME AS PREVIOUS LOCATION)

0012 30-SEP-2024 35 (SAME AS PREVIOUS LOCATION)

0013 30-SEP-2024 4,352 (SAME AS PREVIOUS LOCATION)

0014 30-SEP-2024 22,704 (SAME AS PREVIOUS LOCATION)

0015 30-SEP-2024 13,000 (SAME AS PREVIOUS LOCATION)

0016 30-SEP-2024 20 (SAME AS PREVIOUS LOCATION)

0017 30-SEP-2024 64 (SAME AS PREVIOUS LOCATION)

0018 30-SEP-2024 52 (SAME AS PREVIOUS LOCATION)

0019 30-SEP-2024 12 (SAME AS PREVIOUS LOCATION)

0020 30-SEP-2024 12 (SAME AS PREVIOUS LOCATION)

0021 30-SEP-2024 12 (SAME AS PREVIOUS LOCATION)

0022 30-SEP-2024 12 (SAME AS PREVIOUS LOCATION)

0023 30-SEP-2024 12 (SAME AS PREVIOUS LOCATION)

0024 30-SEP-2024 12 (SAME AS PREVIOUS LOCATION)

0025 30-SEP-2024 12 (SAME AS PREVIOUS LOCATION)

0026 30-SEP-2024 8 (SAME AS PREVIOUS LOCATION)

1001 30-SEP-2025 1,258 (SAME AS PREVIOUS LOCATION)

1002 30-SEP-2025 20 (SAME AS PREVIOUS LOCATION)

1003 30-SEP-2025 20 (SAME AS PREVIOUS LOCATION)

1004 30-SEP-2025 450 (SAME AS PREVIOUS LOCATION)

1005 30-SEP-2025 70 (SAME AS PREVIOUS LOCATION)

1006 30-SEP-2025 275 (SAME AS PREVIOUS LOCATION)

1007 30-SEP-2025 53 (SAME AS PREVIOUS LOCATION)

1008 30-SEP-2025 2 (SAME AS PREVIOUS LOCATION)

1009 30-SEP-2025 70 (SAME AS PREVIOUS LOCATION)

1010 30-SEP-2025 300 (SAME AS PREVIOUS LOCATION)

1011 30-SEP-2025 25 (SAME AS PREVIOUS LOCATION)

1012 30-SEP-2025 35 (SAME AS PREVIOUS LOCATION)

1013 30-SEP-2025 4,352 (SAME AS PREVIOUS LOCATION)

1014 30-SEP-2025 22,704 (SAME AS PREVIOUS LOCATION)

1015 30-SEP-2025 13,000 (SAME AS PREVIOUS LOCATION)

1016 30-SEP-2025 20 (SAME AS PREVIOUS LOCATION)

1017 30-SEP-2025 64 (SAME AS PREVIOUS LOCATION)

1018 30-SEP-2025 52 (SAME AS PREVIOUS LOCATION)

1019 30-SEP-2025 12 (SAME AS PREVIOUS LOCATION)

1020 30-SEP-2025 12 (SAME AS PREVIOUS LOCATION)

1021 30-SEP-2025 12 (SAME AS PREVIOUS LOCATION)

1022 30-SEP-2025 12 (SAME AS PREVIOUS LOCATION)

1023 30-SEP-2025 12 (SAME AS PREVIOUS LOCATION)

1024 30-SEP-2025 12 (SAME AS PREVIOUS LOCATION)

1025 30-SEP-2025 12 (SAME AS PREVIOUS LOCATION)

1026 30-SEP-2025 8 (SAME AS PREVIOUS LOCATION)

2001 30-SEP-2026 1,258 (SAME AS PREVIOUS LOCATION)

2002 30-SEP-2026 20 (SAME AS PREVIOUS LOCATION)

2003 30-SEP-2026 20 (SAME AS PREVIOUS LOCATION)

2004 30-SEP-2026 450 (SAME AS PREVIOUS LOCATION)

2005 30-SEP-2026 70 (SAME AS PREVIOUS LOCATION)

2006 30-SEP-2026 275 (SAME AS PREVIOUS LOCATION)

2007 30-SEP-2026 53 (SAME AS PREVIOUS LOCATION)

2008 30-SEP-2026 2 (SAME AS PREVIOUS LOCATION)

2009 30-SEP-2026 70 (SAME AS PREVIOUS LOCATION)

2010 30-SEP-2026 300 (SAME AS PREVIOUS LOCATION)

2011 30-SEP-2026 25 (SAME AS PREVIOUS LOCATION)

2012 30-SEP-2026 35 (SAME AS PREVIOUS LOCATION)

2013 30-SEP-2026 4,352 (SAME AS PREVIOUS LOCATION)

2014 30-SEP-2026 22,704 (SAME AS PREVIOUS LOCATION)

2015 30-SEP-2026 13,000 (SAME AS PREVIOUS LOCATION)

2016 30-SEP-2026 20 (SAME AS PREVIOUS LOCATION)

2017 30-SEP-2026 64 (SAME AS PREVIOUS LOCATION)

2018 30-SEP-2026 52 (SAME AS PREVIOUS LOCATION)

2019 30-SEP-2026 12 (SAME AS PREVIOUS LOCATION)

2020 30-SEP-2026 12 (SAME AS PREVIOUS LOCATION)

2021 30-SEP-2026 12 (SAME AS PREVIOUS LOCATION)

2022 30-SEP-2026 12 (SAME AS PREVIOUS LOCATION)

2023 30-SEP-2026 12 (SAME AS PREVIOUS LOCATION)

2024 30-SEP-2026 12 (SAME AS PREVIOUS LOCATION)

2025 30-SEP-2026 12 (SAME AS PREVIOUS LOCATION)

2026 30-SEP-2026 8 (SAME AS PREVIOUS LOCATION)

3001 30-SEP-2027 1,258 (SAME AS PREVIOUS LOCATION)

3002 30-SEP-2027 20 (SAME AS PREVIOUS LOCATION)

3003 30-SEP-2027 20 (SAME AS PREVIOUS LOCATION)

3004 30-SEP-2027 450 (SAME AS PREVIOUS LOCATION)

3005 30-SEP-2027 70 (SAME AS PREVIOUS LOCATION)

3006 30-SEP-2027 275 (SAME AS PREVIOUS LOCATION)

3007 30-SEP-2027 53 (SAME AS PREVIOUS LOCATION)

3008 30-SEP-2027 2 (SAME AS PREVIOUS LOCATION)

3009 30-SEP-2027 70 (SAME AS PREVIOUS LOCATION)

3010 30-SEP-2027 300 (SAME AS PREVIOUS LOCATION)

3011 30-SEP-2027 25 (SAME AS PREVIOUS LOCATION)

3012 30-SEP-2027 35 (SAME AS PREVIOUS LOCATION)

3013 30-SEP-2027 4,352 (SAME AS PREVIOUS LOCATION)

3014 30-SEP-2027 22,704 (SAME AS PREVIOUS LOCATION)

3015 30-SEP-2027 13,000 (SAME AS PREVIOUS LOCATION)

3016 30-SEP-2027 20 (SAME AS PREVIOUS LOCATION)

3017 30-SEP-2027 64 (SAME AS PREVIOUS LOCATION)

3018 30-SEP-2027 52 (SAME AS PREVIOUS LOCATION)

3019 30-SEP-2027 12 (SAME AS PREVIOUS LOCATION)

3020 30-SEP-2027 12 (SAME AS PREVIOUS LOCATION)

3021 30-SEP-2027 12 (SAME AS PREVIOUS LOCATION)

3022 30-SEP-2027 12 (SAME AS PREVIOUS LOCATION)

3023 30-SEP-2027 12 (SAME AS PREVIOUS LOCATION)

3024 30-SEP-2027 12 (SAME AS PREVIOUS LOCATION)

3025 30-SEP-2027 12 (SAME AS PREVIOUS LOCATION)

3026 30-SEP-2027 8 (SAME AS PREVIOUS LOCATION)

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A Government 0002 N/A N/A N/A Government 0003 N/A N/A N/A Government 0004 N/A N/A N/A Government 0005 N/A N/A N/A Government 0006 N/A N/A N/A Government

0007 N/A N/A N/A Government 0008 N/A N/A N/A Government 0009 N/A N/A N/A Government 0010 N/A N/A N/A Government 0011 N/A N/A N/A Government 0012 N/A N/A N/A Government 0013 N/A N/A N/A Government 0014 N/A N/A N/A Government 0015 N/A N/A N/A Government 0016 N/A N/A N/A Government 0017 N/A N/A N/A Government 0018 N/A N/A N/A Government 0019 N/A N/A N/A Government 0020 N/A N/A N/A Government 0021 N/A N/A N/A Government 0022 N/A N/A N/A Government 0023 N/A N/A N/A Government 0024 N/A N/A N/A Government 0025 N/A N/A N/A Government 0026 N/A N/A N/A Government 1001 N/A N/A N/A Government 1002 N/A N/A N/A Government 1003 N/A N/A N/A Government 1004 N/A N/A N/A Government 1005 N/A N/A N/A Government 1006 N/A N/A N/A Government 1007 N/A N/A N/A Government 1008 N/A N/A N/A Government 1009 N/A N/A N/A Government 1010 N/A N/A N/A Government 1011 N/A N/A N/A Government 1012 N/A N/A N/A Government 1013 N/A N/A N/A Government 1014 N/A N/A N/A Government 1015 N/A N/A N/A Government 1016 N/A N/A N/A Government 1017 N/A N/A N/A Government 1018 N/A N/A N/A Government 1019 N/A N/A N/A Government 1020 N/A N/A N/A Government 1021 N/A N/A N/A Government 1022 N/A N/A N/A Government 1023 N/A N/A N/A Government 1024 N/A N/A N/A Government 1025 N/A N/A N/A Government 1026 N/A N/A N/A Government 2001 N/A N/A N/A Government 2002 N/A N/A N/A Government 2003 N/A N/A N/A Government 2004 N/A N/A N/A Government 2005 N/A N/A N/A Government 2006 N/A N/A N/A Government 2007 N/A N/A N/A Government 2008 N/A N/A N/A Government 2009 N/A N/A N/A Government

2010 N/A N/A N/A Government 2011 N/A N/A N/A Government 2012 N/A N/A N/A Government 2013 N/A N/A N/A Government 2014 N/A N/A N/A Government 2015 N/A N/A N/A Government 2016 N/A N/A N/A Government 2017 N/A N/A N/A Government 2018 N/A N/A N/A Government 2019 N/A N/A N/A Government 2020 N/A N/A N/A Government 2021 N/A N/A N/A Government 2022 N/A N/A N/A Government 2023 N/A N/A N/A Government 2024 N/A N/A N/A Government 2025 N/A N/A N/A Government 2026 N/A N/A N/A Government 3001 N/A N/A N/A Government 3002 N/A N/A N/A Government 3003 N/A N/A N/A Government 3004 N/A N/A N/A Government 3005 N/A N/A N/A Government 3006 N/A N/A N/A Government 3007 N/A N/A N/A Government 3008 N/A N/A N/A Government 3009 N/A N/A N/A Government 3010 N/A N/A N/A Government 3011 N/A N/A N/A Government 3012 N/A N/A N/A Government 3013 N/A N/A N/A Government 3014 N/A N/A N/A Government 3015 N/A N/A N/A Government 3016 N/A N/A N/A Government 3017 N/A N/A N/A Government 3018 N/A N/A N/A Government 3019 N/A N/A N/A Government 3020 N/A N/A N/A Government 3021 N/A N/A N/A Government 3022 N/A N/A N/A Government 3023 N/A N/A N/A Government 3024 N/A N/A N/A Government 3025 N/A N/A N/A Government 3026 N/A N/A N/A Government

CLAUSES INCORPORATED BY REFERENCE

52.212-4 Contract Terms and Conditions--Commercial Products and

Commercial Services

DEC 2022

52.212-4 ADDENDUM

ADDENDUM TO 52.212-4

Paragraph 52.212-4(w) is hereby added:

(w) The non-FAR Part 12 discretionary FAR and DFARS clauses included herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2 herein for locations where full text can be found.

(End of Addendum)

52.203-3 Gratuities APR 1984 52.203-6 Restrictions On Subcontractor Sales To The Government JUN 2020 52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber

Content Paper

MAY 2011

52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards

JUN 2020

52.204-13 System for Award Management Maintenance OCT 2018 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.204-23 Prohibition on Contracting for Hardware, Software, and

Services Developed or Provided by Kaspersky Lab and Other Covered Entities

NOV 2021

52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment

NOV 2021

52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, or Proposed for Debarment

NOV 2021

52.219-6 Notice Of Total Small Business Set-Aside NOV 2020 52.219-8 Utilization of Small Business Concerns OCT 2022 52.219-14 Limitations On Subcontracting OCT 2022 52.219-33 Nonmanufacturer Rule SEP 2021 52.222-19 Child Labor -- Cooperation with Authorities and Remedies DEC 2022 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-37 Employment Reports on Veterans JUN 2020 52.222-50 Combating Trafficking in Persons NOV 2021 52.223-2 Affirmative Procurement of Biobased Products Under Service and Construction Contracts

SEP 2013

52.223-3 Hazardous Material Identification And Material Safety Data FEB 2021 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.223-6 Drug-Free Workplace MAY 2001 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

JUN 2020

52.225-13 Restrictions on Certain Foreign Purchases FEB 2021 52.232-18 Availability Of Funds APR 1984 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

OCT 2018

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

MAR 2023

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

52.242-13 Bankruptcy JUL 1995 52.246-16 Responsibility For Supplies 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 DEC 2022 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Antiterrorism Awareness Training for Contractors JAN 2023 252.204-7018 Prohibition on the Acquisition of Covered Defense

Telecommunications Equipment or Services

JAN 2023

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By The Government of a Country that is a State Sponsor of Terrorism

MAY 2019

252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or Hazardous Materials

SEP 2014

252.223-7008 Prohibition of Hexavalent Chromium JAN 2023 252.225-7001 Buy American And Balance Of Payments Program--Basic JAN 2023 252.225-7021 Trade Agreements--Basic JAN 2023 252.225-7048 Export-Controlled Items JUN 2013 252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.243-7002 Requests for Equitable Adjustment DEC 2022

CLAUSES INCORPORATED BY FULL TEXT

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (NOV 2015)

(a) Definitions. As used in this clause--

Inverted domestic corporation means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

Subsidiary means an entity in which more than 50 percent of the entity is owned--

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

(b) If the contractor reorganizes as an inverted domestic corporation or becomes a subsidiary of an inverted domestic corporation at any time during the period of performance of this contract, the Government may be prohibited from paying for Contractor activities performed after the date when it becomes an inverted domestic corporation or subsidiary. The Government may seek any available remedies in the event the Contractor fails to perform in accordance with the terms and conditions of the contract as a result of Government action under this clause.

(c) Exceptions to this prohibition are located at 9.108-2.

(d) In the event the Contractor becomes either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation during contract performance, the Contractor shall give written notice to the Contracting Officer within five business days from the date of the inversion event.

(End of clause)

52.217-7 OPTION FOR INCREASED QUANTITY--SEPARATELY PRICED LINE ITEM (MAR 1989)

The Government may require the delivery of the numbered line item, identified in the Schedule as an option item, in the quantity and at the price stated in the Schedule. The Contracting Officer may exercise the option by written notice to the Contractor within . Delivery of added items shall continue at the same rate that like items are called for under the contract, unless the parties otherwise agree.

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within (insert the period of time within which the Contracting Officer may exercise the option); provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least days (60 days unless a different number of days is inserted) before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (MAR 2023)

Long-term contract means a contract of more than five years in duration, including options. However, the term does not include contracts that exceed five years in duration because the period of performance has been extended for a cumulative period not to exceed six months under the clause at 52.217-8, Option to Extend Services, or other appropriate authority.

Small business concern--

(1) Means a concern, including its affiliates, that is independently owned and operated, not dominant in its field of operation, and qualified as a small business under the criteria in 13 CFR part 121 and the size standard in paragraph

(d) of this clause.

(2) Affiliates, as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13

CFR 121.103.

(b) If the Contractor represented that it was any of the small business concerns identified in 19.000(a)(3) prior to award of this contract, the Contractor shall rerepresent its size and socioeconomic status according to paragraph (f) of this clause or, if applicable, paragraph (h) of this clause, upon occurrence of any of the following:

(1) Within 30 days after execution of a novation agreement or within 30 days after modification of the contract to include this clause, if the novation agreement was executed prior to inclusion of this clause in the contract.

(2) Within 30 days after a merger or acquisition that does not require a novation or within 30 days after modification of the contract to include this clause, if the merger or acquisition occurred prior to inclusion of this clause in the contract.

(3) For long-term contracts--

(i) Within 60 to 120 days prior to the end of the fifth year of the contract; and

(ii) Within 60 to 120 days prior to the date specified in the contract for exercising any option thereafter.

(c) If the Contractor represented that it was any of the small business concerns identified in 19.000(a)(3) prior to award of this contract, the Contractor shall rerepresent its size and socioeconomic status according to paragraph (f) of this clause or, if applicable, paragraph (h) of this clause, when the Contracting Officer explicitly requires it for an order issued under a multiple-award contract.

(d) The Contractor shall rerepresent its size status in accordance with the size standard in effect at the time of this rerepresentation that corresponds to the North American Industry Classification System (NAICS) code(s) assigned to this contract. The small business size standard corresponding to this NAICS code(s) can be found at https://www.sba.gov/document/support--table-size-standards.

(e) The small business size standard for a Contractor providing an end item that it does not manufacture, process, or produce itself, for a contract other than a construction or service contract, is 500 employees, or 150 employees for information technology value-added resellers under NAICS code 541519, if the acquisition--

(1) Was set aside for small business and has a value above the simplified acquisition threshold;

(2) Used the HUBZone price evaluation preference regardless of dollar value, unless the Contractor waived the price evaluation preference; or

(3) Was an 8(a), HUBZone, service-disabled veteran-owned, economically disadvantaged women-owned, or women-owned small business set-aside or sole-source award regardless of dollar value.

(f) Except as provided in paragraph (h) of this clause, the Contractor shall make the representation(s) required by paragraph (b) and (c) of this clause by validating or updating all its representations in the Representations and Certifications section of the System for Award Management (SAM) and its other data in SAM, as necessary, to ensure that they reflect the Contractor's current status. The Contractor shall notify the contracting office in writing within the timeframes specified in paragraph (b) of this clause, or with its offer for an order (see paragraph (c) of this clause), that the data have been validated or updated, and provide the date of the validation or update.

(g) If the Contractor represented that it was other than a small business concern prior to award of this contract, the Contractor may, but is not required to, take the actions required by paragraphs (f) or (h) of this clause.

(h) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

(1) The Contractor represents that it [ ] is, [ ] is not a small business concern under NAICS Code assigned to contract number .

(2) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a women-owned small business concern.

(4) Women-owned small business (WOSB) joint venture eligible under the WOSB Program. The Contractor represents that it [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR 127.506(a) through (c). [The Contractor shall enter the name and unique entity identifier of each party to the joint venture: .]

(5) Economically disadvantaged women-owned small business (EDWOSB) joint venture. The Contractor represents that it [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR 127.506(a) through (c). [The Contractor shall enter the name and unique entity identifier of each party to the joint venture: .]

(6) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a veteran-owned small business concern.

(7) [Complete only if the Contractor represented itself as a veteran-owned small business concern in paragraph (h)(6) of this clause.] The Contractor represents that it [ ] is, [ ] is not a service-disabled veteran-owned small business concern.

(8) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents 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 (h)(8)(i) of this clause is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The Contractor 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.

[Contractor to sign and date and insert authorized signer's name and title.]

52.222-35 EQUAL OPPORTUNITY FOR VETERANS (JUN 2020)

"Active duty wartime or campaign badge veteran," "Armed Forces service medal veteran," "disabled veteran," "protected veteran," "qualified disabled veteran," and "recently separated veteran" have the meanings given at Federal Acquisition Regulation (FAR) 22.1301.

(b) Equal opportunity clause. The Contractor shall abide by the requirements of the equal opportunity clause at 41 CFR 60-300.5(a), as of March 24, 2014. This clause prohibits discrimination against qualified protected veterans, and requires affirmative action by the Contractor to employ and advance in employment qualified protected veterans.

(c) Subcontracts. The Contractor shall insert the terms of this clause in subcontracts valued at or above the threshold specified in FAR 22.1303(a) on the date of subcontract award, unless exempted by rules, regulations, or orders of the Secretary of Labor. The Contractor shall act as specified by the Director, Office of Federal Contract Compliance Programs, to enforce the terms, including action for noncompliance. Such necessary changes in language may be made as shall be appropriate to identify properly the parties and their undertakings.

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUN 2020)

(a) Equal opportunity clause. The Contractor shall abide by the requirements of the equal opportunity clause at 41 CFR 60-741.5(a), as of March 24, 2014. This clause prohibits discrimination against qualified individuals on the basis of disability, and requires affirmative action by the Contractor to employ and advance in employment qualified individuals with disabilities.

(b) Subcontracts. The Contractor shall include the terms of this clause in every subcontract or purchase order in excess of the threshold specified in Federal Acquisition Regulation (FAR) 22.1408(a) on the date of subcontract award, unless exempted by rules, regulations, or orders of the Secretary, so that such provisions will be binding upon each subcontractor or vendor. The Contractor shall act as specified by the Director, Office of Federal Contract Compliance Programs of the U.S. Department of Labor, to enforce the terms, including action for noncompliance.

Such necessary changes in language may be made as shall be appropriate to identify properly the parties and their undertakings.

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR RELATIONS ACT

(DEC 2010)

(a) During the term of this contract, the Contractor shall post an employee notice, of such size and in such form, and containing such content as prescribed by the Secretary of Labor, in conspicuous places in and about its plants and offices where employees covered by the National Labor Relations Act engage in activities relating to the performance of the contract, including all places where notices to employees are customarily posted both physically and electronically, in the languages employees speak, in accordance with 29 CFR 471.2(d) and (f).

(1) Physical posting of the employee notice shall be in conspicuous places in and about the Contractor's plants and offices so that the notice is prominent and readily seen by employees who are covered by the National Labor Relations Act and engage in activities related to the performance of the contract.

(2) If the Contractor customarily posts notices to employees electronically, then the Contractor shall also post the required notice electronically by displaying prominently, on any Web site that is maintained by the Contractor and is customarily used for notices to employees about terms and conditions of employment, a link to the Department of

Labor's Web site that contains the full text of the poster. The link to the Department's Web site, as referenced in (b)(3) of this section, must read, ``Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers.''

(b) This required employee notice, printed by the Department of Labor, may be--

(1) Obtained from the Division of Interpretations and Standards, Office of Labor-Management Standards, U.S.

Department of Labor, 200 Constitution Avenue, NW., Room N-5609, Washington, DC 20210, (202) 693-0123, or from any field office of the Office of Labor-Management Standards or Office of Federal Contract Compliance Programs;

(2) Provided by the Federal contracting agency if requested;

(3) Downloaded from the Office of Labor-Management Standards Web site at http://www.dol.gov/olms/regs/compliance/EO13496.htm; or

(4) Reproduced and used as exact duplicate copies of the Department of Labor's official poster.

(c) The required text of the employee notice referred to in this clause is located at Appendix A, Subpart A, 29 CFR Part 471.

(d) The Contractor shall comply with all provisions of the employee notice and related rules, regulations, and orders of the Secretary of Labor.

(e) In the event that the Contractor does not comply with the requirements set forth in paragraphs (a) through (d) of this clause, this contract may be terminated or suspended in whole or in part, and the Contractor may be suspended or debarred in accordance with 29 CFR 471.14 and subpart 9.4. Such other sanctions or remedies may be imposed as are provided by 29 CFR part 471, which implements Executive Order 13496 or as otherwise provided by law.

(f) Subcontracts. (1) The Contractor shall include the substance of this clause, including this paragraph (f), in every subcontract that exceeds $10,000 and will be performed wholly or partially in the United States, unless exempted by the rules, regulations, or orders of the Secretary of Labor issued pursuant to section 3 of Executive Order 13496 of January 30, 2009, so that such provisions will be binding upon each subcontractor.

(2) The Contractor shall not procure supplies or services in a way designed to avoid the applicability of Executive Order 13496 or this clause.

(3) The Contractor shall take such action with respect to any such subcontract as may be directed by the Secretary of Labor as a means of enforcing such provisions, including the imposition of sanctions for noncompliance.

(4) However, if the Contractor becomes involved in litigation with a subcontractor, or is threatened with such involvement, as a result of such direction, the Contractor may request the United States, through the Secretary of Labor, to enter into such litigation to protect the interests of the United States.

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):

[Insert one or more Internet addresses]

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any insert regulation name (48 CFR ) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

252.204-7015 NOTICE OF AUTHORIZED DISCLOSURE OF INFORMATION FOR LITIGATION SUPPORT

(JAN 2023)

(a) Definitions. As used in this clause--

Computer software means computer programs, source code, source code listings, object code listings, design details, algorithms, processes, flow charts, formulae, and related material that would enable the software to be reproduced, recreated, or recompiled. Computer software does not include computer data bases or computer software documentation.

Litigation support means administrative, technical, or professional services provided in support of the Government during or in anticipation of litigation.

Litigation support contractor means a contractor (including its experts, technical consultants, subcontractors, and suppliers) providing litigation support under a contract that contains the clause at 252.204-7014, Limitations on the Use or Disclosure of Information by Litigation Support Contractors.

Sensitive information means controlled unclassified information of a commercial, financial, proprietary, or privileged nature. The term includes technical data and computer software, but does not include information that is lawfully, publicly available without restriction.

Technical data means recorded information, regardless of the form or method of the recording, of a scientific or technical nature (including computer software documentation). The term does not include computer software or data incidental to contract administration, such as financial and/or management information.

(b) Notice of authorized disclosures. Notwithstanding any other provision of this solicitation or contract, the Government may disclose to a litigation support contractor, for the sole purpose of litigation support activities, any information, including sensitive information, received—

(1) Within or in connection with a quotation or offer; or

(2) In the performance of or in connection with a contract.

(c) Subcontracts. Include the substance of this clause, including this paragraph (c), in all subcontracts, including subcontracts for commercial products or commercial services.

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(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.

“Payment request” and “receiving report” are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (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 System for Award Management at https://www.sam.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 through 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 shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items—

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

(Contracting Officer: Insert either “Invoice 2in1” or the applicable invoice and receiving report document type(s) for fixed price line items for services.)

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial financing, submit a commercial financing request.

(2) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF “combo” document type to create some combinations of invoice and receiving report in one step.]

(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 ____

Issue By DoDAAC ____

Admin DoDAAC** ____

Inspect By DoDAAC ____

Ship To Code ____

Ship From Code ____

Mark For Code ____

Service Approver (DoDAAC) ____

Service Acceptor (DoDAAC) ____

Accept at Other DoDAAC ____

LPO DoDAAC ____

DCAA Auditor DoDAAC ____

Other DoDAAC(s) ____

(*Contracting Officer: Insert applicable DoDAAC information. If multiple ship to/acceptance locations apply, insert “See Schedule” or “Not applicable.”)

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause,…

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