36C24522Q0380 RFQ.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. DUNS: DUNS+4:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

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

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

36C24522Q0380 04-01-2022

Stephanie Henderson 04-13-2022

1PM EDT

Department of Veterans Affairs

Huntington VAMC

Contract Office

1540 Spring Valley Dr

Huntington WV 25704

X

325120

1000 Employees

N/A

Warehouse

Contract Office

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment

Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp

Invoice Setup Information 1-877-489-6135

See CONTINUATION Page

This solicitation is for the 5 YR IDIQ contract for multiple medical gases delivered to Huntington VAMC.

See RFQ SOW, Line items, Delivery requirement, and evaluation factors.

The only POC for this solicitation is Stephanie Henderson, Contract Specialist

See CONTINUATION Page

36C24522Q0380

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 DELIVERY SCHEDULE

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2021)

C.2 VAAR 852.211-72 TECHNICAL INDUSTRY STANDARDS (NOV 2018)

C.3 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.4 52.223-99 ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR

FEDERAL CONTRACTORS (OCT 2021) (DEVIATION)

C.5 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.6 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND

COMPLIANCE (JUL 2018)

C.7 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.8 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.9 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR

1984)

C.10 52.247-34 F.O.B. DESTINATION (NOV 1991)

C.11 VAAR 852.212-71 GRAY MARKET ITEMS (APR 2020)

C.12 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)

C.13 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.14 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021) (JUL 2020)

(DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.4 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.5 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (FEB 2021) (JUL 2020) (DEVIATION)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C245

Huntington VAMC

Contract Office

1540 Spring Valley Dr

Huntington WV 25704

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[X] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [x] Monthly upon accepted delivery and COR invoice acceptable

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment

Requests.

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment

Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp

Invoice Setup Information 1-877-489-6135

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

STATEMENT OF WORK

Title of Project: Medical Gases

1. SCOPE: The purpose of this requirement is to establish a IDIQ contract to supply of medical cylinder gases for the facility included in this Statement of Work. Specifications for the facility are listed in the Technical Requirements section of this Statement of

Work. The include, but are not limited to the delivery of Compressed Medical Air USP, Oxygen USP, Carbon Dioxide USP, Nitrogen NF, Nitrous Oxide USP, Helium USP, and specialty medical gas mixtures.

1.1. Location/Facility Requirements: All supplies of medical cylinder gases shall be delivered to:

Huntington VA Medical Center 1540 Spring Valley Dr., Huntington, WV

25704

14. PERIOD OF PERFORMANCE

IDIQ BASE – 5 YRS ARO

COR POC: TBD

TECHNICAL REQUIRMENTS:

The Contractor shall have a facility and/or resources physically located in the geographic areas in which they will provide supplies. The areas are as follows:

1.2. The quantities shown in the Schedule of Items are estimates of the requirement. There is no express or implied guarantee that these quantities will be purchased. The base contract period for the awarded IDIQ contract will be 5 YR ARO. PLEASE NOTE: If this contract includes the installation of contractor-owned equipment it shall include a ninety (90) day transition period at the end of the contract which the incumbent contractor shall continue to provide medical gases and associated products at the existing contract prices while the incoming contractor is transitioning over.

1.2. Contractor will be provided with names and contact information of a primary Contracting

Officer Representatives (COR) upon award of the contract for each ordering facility. This applies to all deliveries regardless of time or day of execution. Tanks(s) will be filled to maximum functional capacity at each refilling procedure unless otherwise specified in the facility requirements or as agreed upon in a written document signed and dated by the COR.

At the time of each delivery, contractor must provide a legible signed and dated written document that identifies the number of cylinders at the facility prior to delivery, the number of cylinders being delivered, the number of cylinders being picked-up, and the number of cylinders at the facility after the delivery has been made. This document must be counter-signed by the facility representative supervising the delivery.

1.3. Vendor shall refer to evaluation factors and include all required documents and information.

2. GOVERNMENT OWNED PROPERTY:

2.1. Government owned medical gas tank(s) and appurtenances will be maintained by and at the expense of the Contractor in a manner that will ensure compliance with applicable regulations, and standards.

2.2. Individual Agency Ownership of Cylinders: Government-Owned cylinders shall remain the property of the individual ordering (owning) agency and shall not be exchanged for other cylinders, either government-owned or contractor-owned, without authorization of the ordering agency.

3. CONTRACTOR FURNISHED EQUIPMENT:

3.1. If the facility listed in the Schedule of Items as having contractor owned tanks, the contractor shall provide, install and maintain tank(s) with appropriate back-up system(s), if applicable, with approval from the COR. Through the duration of the contract, the contractor shall be liable for the integrity, suitability, and safety of contractor owned tank(s) that will insure compliance with applicable regulations, and standards.

3.2. All equipment and materials required to perform on the contract (other than what is specifically listed in section 2, Government-Furnished Property) shall be provided by the contractor. Contractor owned equipment shall be installed, inspected and maintained by the contractor at the Contractor’s expense (i.e., all installation, inspection and maintenance costs shall be included in the contract’s monthly equipment rental fee for the applicable facility.)

Contractor owned equipment shall be kept in good operating condition and appearance, in accordance with applicable regulations, and standards. The contractor shall be provided by each requiring facility reasonable access to the facility for this purpose.

3.3. Unless otherwise directed by the using facility, contractor owned equipment shall be installed by the effective date of the contract and shall be connected to the medical gas system on that date; provided: that the contractor shall be allowed a maximum of ninety days after receipt of notice of award to complete installation. If the contractor’s equipment replaces equipment already in use, the exchange of equipment shall be accomplished without interruption of gas supply to the using facility. Contractor installed equipment shall remain the property of the contractor and shall be removed upon termination of the contract, when directed by the ordering facility and in full cooperation with the succeeding contractor so as to avoid interruption of gas supply.

3.4. Each Government facility that requires installation of contractor owned equipment shall provide suitable location and foundation for the installation of the contractor owned tank(s) in accordance with CGMP Standards. Additionally, each facility shall provide access to an electrical power source and hook-up to a facility-maintained alarm system. The contractor shall perform the hook-up of contractor owned equipment to the facility-maintained alarm system.

3.5. Transition Period/Installation of Contractor-Furnished Equipment

3.5.1. To permit orderly transition from one contractor to another, the contractor shall continue to honor the contract’s monthly equipment rental fee and gas contract price for a maximum of ninety days beyond the scheduled expiration of the contract period, unless transition from one contractor to another is completed prior to the one hundred and twenty day transition period. For any partial month, the contractor shall prorate the monthly equipment rental fee accordingly.

The contractor shall continue to provide and maintain its equipment during this transition period.

3.5.2. Phase In: The incoming contractor shall replace all appropriate VA authorized (incumbent contractor-owned) equipment presently located at each facility with the incoming contractor’s equipment as soon as possible after award, but not to exceed ninety (90) days from date of contract award. Incoming contractor shall coordinate with the incumbent contractor during the transition period relating to the removal of the incumbent contractor’s equipment from each facility. The change shall include delivery, setup, and instruction as further specified herein, and shall be accomplished without disruption in supplies and services. The billing period shall begin on the noted transition date. Payments shall be assessed based on the providers established rate and prorated from setup date. Prorated monthly rates are based on a 30-day month.

3.5.3. Phase Out: The contractor realizes that the services being provided under this contract are vital and must be continued uninterrupted. The outgoing contractor shall not remove any equipment from the facility until replacement equipment has been installed. The outgoing contractor shall coordinate transition of equipment / services with the incoming contractor as soon as possible, but not to exceed ninety (90) days from date of contract expiration. If additional transition time is required beyond contract expiration, a separate Purchase Order shall be issued to the contractor for payment of services on a pro-rated basis. Prorated monthly rates are based on a 30-day month.

3.5.4. During transition both Phase In and Phase Out, from one contractor to another, the contractor must reconcile in conjunction with the Government and the incoming Contractor, in writing, the accuracy of the cylinder count for each type of gases listed in this requirement, at each participating facility.

4. MEDICAL GAS SPECIFICATION AND REQUIREMENTS:

4.1. All medical gases under the contract shall be medical-grade and shall meet or exceed the standards cited in the current edition of the United States Pharmacopoeia/National Formulary

(U.S.P.). Contractor shall be registered with the FDA; and all medical gases shall be manufactured, processed, packed, transported, and stored according to the FDA’s Current Good

Manufacturing Practice (CGMP) regulations and Title 21, Code of Federal Regulations, parts

210, 211, and 201 for labeling. All products, equipment and services provided under this contract shall be in compliance with all applicable Federal, State and Local regulations.

4.1.1. A valid certificate of analysis shall be provided with each delivery of medical gases. The certificate shall include, at a minimum:

4.1.1.1. a)Supplier’s name and complete address

b) Name of the Product

c) An Air Liquefaction Statement where appropriate

d) Lot number or other unique identification number

e) Actual analytical results for full U.S.P. monograph testing. (A statement that only states that the product meets the minimum purity of 99.5%, is not acceptable.)

f) Test method used to perform the analysis. (A statement such as “Meets U.S.P.

specifications” is not acceptable; nor would “Tested via Servomex” be acceptable since the specific model number is not provided.)

g) Signature of authorized supplier representative and date.

4.2. In addition, the following specifications are incorporated into the contract:

a) Federal Specification BB-A-1034B Compressed Air, Breathing, dated 12-20-

1985 and amended on 12-27-1995. http://everyspec.com/FED_SPECS/B/BB-A-

1034B_9157/

b) Federal Specification BB-C-101C Carbon Dioxide (CO2) Technical and USP, dated 01-21-2004. http://everyspec.com/FED_SPECS/B/download.php?spec=BB-

C-101C.009836.pdf

c) Compressed Gas Association (CGA) Publication G-7 – Compressed Air for

Human Respiration, dated 08-04-2003 and ANSI/CGA G-7.1 Commodity

Specification for Air, dated 08-27-2004. http://www.cganet.com.

4.3. Material Safety Data Sheets shall be provided to the facility COR upon request.

4.4. A copy of all inspection reports shall be provided to the facility COR upon the completion of any contractor or government owned system inspections that are required by regulation.

4.5. All Contractor owned equipment shall be maintained or repaired in accordance with FDA’s

Current Good Manufacturing Practices (CGMP) Regulations.

4.6 Estimated Minimum

The quantities and amounts in the schedule listed below are estimated. Supply Orders shall be placed against this contract on as needed basis. All funding requirements will be at the delivery ordering level.

In accordance with 52.216-22, The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum." The minimum is $TBD

Material Number Item Number Est.

Qty.

Unit

AI USPE Air Compressed, CGA Type 1, Medical, Size E Cylinder 10.00 CY

AR UHP35 ARGON ULTRA HIGH PURITY 10.00 CY

CD USP50 Carbon Dioxide, Medicinal Grade A, Size G Cylinder 100.00 CY http://www.cganet.com/

CD USPE Carbon Dioxide, Medicinal Grade A, Size E Cylinder 100.00 CY

CD 50 Carbon Diozide 200 CGA 320 Tank 2.00 CY

HE UHP300 HELIUM ULTRA HIGH PURITY GRADE H TANK 5.00 CY

HE USPM4 MEDICAL HELIUM SIZE M4 5.00 CY

NI NF200 Nitrogen, Gaseous, Size H 2.00 CY

OX USP200 Oxygen Medical, Size H Cylinder 5.00 CY

OX USPEA Oxygen, Gaseous, Size E Aluminum Tank 2000.00 CY

OXUSPEAWB

MRI

Oxygen USP Medical Pure EA CGA VIPR

500.00 CY

Z04NI7852003012

Lung Diffusion: 3% Gas Certified, 0.3% Carbon Monoxide, 0.5% Neon, 21% Oxygen, Balance Nitrogen Size H175 Cylinder 10.00 CY

EMERGENCY

DELIVERY FEE

(defined as service that exceeds contract SOW & is approved by the customer authorizing emergency delivery) 24.00 EA

RENTAL GAS CYLINDERS: Sizes A,B,C,D, & E charged monthly 3000.00 EA

RENTAL

GAS CYLINDERS: Sizes Other than A,B,C,D, & E charged monthly 1000.00 EA

RENTAL Walk-O2-Bought Size E Cylinder MRI 2400.00 EA

Replacement Cost | Damaged by Government Beyond Repair | Lost

GAS CYLINDERS: Sizes A,B,C,D, & E

20.00 CY

Replacement Cost | Damaged by Government Beyond Repair | Lost

GAS CYLINDERS: Sizes Other than A,B,C,D, & E

20.00 CY

5. DELIVERY REQUIREMENTS:

5.1. Medical Gases are ordered by and delivered to the individual ordering facility.

5.2. All Medical Gas deliveries shall be made in an enclosed or boxed truck. Empty

Government-owned cylinders that are picked up from an ordering facility for re-fill or servicing shall be transported according to the Department of Transportation Regulations, using normal commercial practice to prevent damage to cylinders.

5.3. Upon delivery, the delivery driver and facility POC (Point of Contact) will conduct a cylinder count. Cylinders will be logged in on the Delivery Ticket with the delivery date and driver ID specified. The cylinder delivery will be signed for by both the facility POC and delivery driver. This information will the given to the COR.

5.4. Pickup of empty cylinders, the delivery driver and facility POC will conduct an empty cylinder count. Cylinders picked up will be adjusted on the Delivery Ticket with the pickup date and driver ID specified. The cylinder pick up will be signed for by both the facility POC and delivery driver. This information will be given to the COR.

5.5. The delivery time shall be Monday – Friday between the hours of 8:00am – 4:00pm Local

Standard Time, excluding Federal Holidays. Delivery shall be within 24 hours after receipt of order. For delivery requests placed on Fridays, the delivery day shall be the following Monday.

All transportation charges for cylinders shall be included in the price of the medical gas.

Additional charges such as delivery fees, hazardous materials fees, fuel surcharges, shall NOT be billed to, or collected from, the facility for orders received under this contract.

5.6. Emergency delivery will be provided within 24 hours after receipt of Government notification. Contractor must respond to the facility by either telephone or email within one hour to confirm receipt of emergency notification to ascertain the nature of the emergency.

Emergency status is determined by the Government when conditions warrant, such as an actuated imminent alarm condition, or system leak. Failure of the contractor to remain current with agreed delivery schedule and requirements does not constitute an

“emergency” for purposes of charging an emergency delivery fee.

6. NON-REPAIRABLE GOVERNMENT PROPERTY:

6.1. Prior to disposing of non-repairable government-owned cylinders, parts, fittings, and appurtenances, the contractor shall contact the ordering (owning) activity. Contractor shall make disposition in accordance with the ordering activity’s instructions.

6.2. Contractor shall be paid for all services performed and authorized by the ordering activity in accordance with the price schedule.

6.3. Contractor shall not charge any additional types of fees for the return of non-repairable cylinders to the ordering activity.

7. CYLINDERS AND OTHER CONTAINERS:

7.1. Laws and regulations: Cylinders and other containers for gaseous and liquid forms of gases shall comply with the Department of Transportation specifications and shall be maintained, filled, marked, labeled, and shipped to comply with current DOT regulations (Title 49 –

Transportation, Code of Federal Regulations). Filling, packaging, labeling, for medical gases shall also comply with the Federal Food, Drug, and Cosmetics Act, and the Food, Drug

Administration.

7.2. Marking: In addition to marking required by the aforementioned laws and regulations, marking shall comply with CGA Publication C-7 – Guide to Preparation of precautionary

Labeling and Marking of Compressed Gas Containers, dated January 01, 2014.

https://www.cganet.com/

7.3. Color Coding: Cylinders shall be color coded in accordance with CGA Publication C-9 –

Standard Color Marking of Compressed Gas Containers Intended for Medical Use, dated

September, 2013. https://www.cganet.com/

7.4. Valves: Valves shall comply with CGA Safety Bulletin SB-26 dated August, 2014 and

CGA Publication V-1 -Compressed Gas Association Standard for Compressed Gas Cylinder

Valve Outlet and Inlet Connections, dated May, 2013. Valve protection caps for cylinders designed to receive such caps shall be securely attached to the cylinders in a manner to protect the valves from injury during transit and delivery to the purchaser’s receiving area. For liquid containers, all fittings must be permanently brazed to prevent their removal. In addition, each container should contain a 360 degree cryoband applied at the top of the container with the drug product name repeated around the entire container. https://www.cganet.com/

7.5. Hydrostatic Testing:

7.5.1. Retest Date: If applicable DOT regulations would require retesting of cylinder within three (3) months after scheduled date of shipment to Continental U.S. destination, or within six

(6) months after scheduled date of shipment to overseas destination, cylinder shall be retested.

Contractor will be required to retest any Government-owned cylinder when requested by ordering activity, regardless of scheduled retest date. NOTE: GOV Cylinders have both a 5 Year and a 10 Year Hydrostatic Testing required.

7.5.2. Method: Government-owned cylinders which are eligible for extended hydrostatic retest period, testing by modified hydrostatic method, or visual inspection in lieu of hydrostatic testing, shall be serviced by the most economical means which will comply with Department of

Transportation regulations (49 CFR 173) unless otherwise specified by the ordering activity.

When modified or reduced DOT test requirements are contingent upon past usage of the cylinders, a written statement from the ordering activity indicating that the cylinders have been used exclusively for a specific gas may be considered acceptable evidence of the cylinders’ eligibility for modified testing or inspection.

7.5.3. Hydrostatic testing shall be performed in accordance with CGA’s Publication – C-q, Methods For Hydrostatic Testing of Compressed Gas Cylinders, dated September 7, 2004.

7.5.4. Visual inspection shall be performed in accordance with the applicable CGA publications

C-6 – Standards for Visual Inspection of Steel Compressed Gas Cylinders, dated August 16, 2005 or C-6.1 – Standards for Visual Inspection of High Pressure Aluminum Compressed Gas

Cylinders, dated July 30, 2002. https://www.cganet.com/

7.6. Cylinder Sizes: Cylinder sizes shown in the item description indicate product capacity of the cylinder currently being used. All capacities are approximate, and the Government shall be billed only for the actual amount of gas delivered. In accordance with the Federal Food, Drug, and Cosmetic Act, the actual contents of the container must appear on the label:

Cylinder

Size

Outer Diameter

(inches)

Height (inches)

B 3 5/16 – 3 ½ 13 – 13 ¼

C 3 ½ 8

D 4 3/16 – 4 ½ 16 ¾ - 19

E 4 3/16 – 4 ½ 24 ¾ - 30

F 4 ¼ 17

G 8 ½ 51 – 51 ¾

H 9 – 9 1/4 51

J 9 – 9 1/4 51 – 55

K 9 56

M 7 43

Q 7 – 7 ½ 32 – 49

S 7 ¼ - 7 ½ 46

T 9 ¼ - 10 55 - 61

230 LT

Nitrogen

26” 57”

(on wheels)

100 LT

Helium

24” 59”

7.6.1. E-Sized oxygen cylinder – fixed regulator system requirements: Aluminum construction, easy-to-carry handle, minimum flow of 15 LPM, flow rates ranging from 0.25 LPM minimum to

25 LPM, a DISS 50 PSI fitting for transport ventilator hook-up, MRI compatibility and easy to read contents gauge.

7.7. The contractor must submit a list, quarterly, of lost or damaged cylinders to include replacement costs for any and all individual cylinders lost or damaged while in the government facility’s custody. Loss of usage must not commence prior to 60 days of notification of any such loss or damage.

7.8. For each contractor-owned cylinder lost or damaged beyond repair while in the

Government’s possession, the Government shall pay to the Contractor a pre-negotiated fee. (See

Schedule of Items) These cylinders shall become Government property. If the lost cylinders are found and returned to the Contractor after the Government has paid the Contractor the lost fee, the Contractor shall credit the Government the lost fee.

7.9. Method of Shipment: Empty Government-owned cylinders that are picked up from an ordering facility for re-fill or service shall be transported according to the Department of

Transportation Regulations, using normal commercial practice to prevent damage to cylinders.

8. PRICE OF SERVICES FOR GOVERNMENT-OWNED AND CONTRACTOR-

OWNED CYLINDERS:

8.1. Services Included in the Price of Gas (Both Government and Contractor-Owned Cylinders):

The contractor’s price for the gas shall include the furnishing, at no additional cost, of all services which are required at each and every filling of a cylinder to comply with applicable regulations, and specifications. Such services shall include, but not be limited to: tags indicating cylinder as “Full”, “In Use”, or “Empty”; inspection, testing, evaluation, required at each and every filling; pin-indexing, when required, and attachment of Government-furnished warning tags, when required. Attaching of oxygen cylinders to manifold systems, when required, shall also be performed by the contractor at no additional cost. In addition to services listed in this paragraph, the contractor is responsible for all maintenance and testing of contractor-owned cylinders. Contractor will ensure all tanks are clean free from dirt/rust, i.e. acceptable use both inpatient/outpatient Health Care Environment. It is the respective using facility’s responsibility to tag Contractor owned Cylinders by the internal VA user; i.e. cylinders charged against the balances of user entities must be tagged “HOSPITAL, RESEARCH,” or “NURSING HOME” to ensure proper inventory control and annotation on daily Delivery Orders to ensure VA entities maintain accountability between separate VA user Accounts.

9. MEASUREMENT AND CONVERSION COMPUTATION, ATMOSPHERIC GASES

AND HYDROGEN:

9.1. Density data and volume measurement equivalents printed in CGA Publication P-6 –

Standard Density Data, Atmospheric Gases and Hydrogen, dated October, 2012 shall be used when necessary to convert measurement of these gases from one form to another; for example, from cubic feet to gallons. https://www.cganet.com/

10. MONTHLY RENTAL OF CONTRACTOR-OWNED CYLINDERS AND LIQUID

CONTAINERS:

10.1. When gases are ordered in cylinders or liquid containers owned by the contractor, monthly rental rates shall apply to those cylinders or containers in the possession of the using activity on the specific day of the month (e.g. 15th, 25th, last day,.).

10.2. Cylinders picked up by the contractor’s truck: Ordering activities shall notify the contractor of the number and type of empty cylinders ready for return. No rental charges shall be applied to any cylinder five business days (Saturdays, Sundays, and Holidays excluded) after the ordering activity has notified the contractor. The day the contractor is notified is excluded from the five-day period. If the contractor is verbally notified of empty cylinders, the ordering activity will document the notification by making a record of the date, time, and contractor’s representative contacted.

10.3. Cylinders returned by common carrier: Ordering activities returning empty contractor-owned cylinders will immediately notify the contractor in writing of the quantity and size of cylinders and the date they were turned over to the carrier. Rental charges shall not be applied after the date cylinders are picked up by the common carrier.

NOTE: Please indicate the day of the month that rental charges will be applied (see

10.1).____________________(e.g. 15th, 25th, last day)

11. DELIVERY TICKET:

11.1. Each delivery should contain include a delivery ticket covering the following: Contract

Number, purchase order number, delivery order number, date of order, date delivered, item number and/or product identification number, the number of cylinders at the facility prior to delivery, the number of cylinders being delivered, the number of cylinders being picked-up, and the number of cylinders at the facility after the delivery has been made.

12. CONDUCT OF PERSONNEL:

12.1. Contractor employees shall report to front desk for visitor badge, conduct their selves in a manner socially acceptable. Loudness, vulgarity, rudeness, or other similar offensive conduct by an employee of the Contractor will be grounds for denying the employee further access to the

VA premises.

12.2. The Contractors employee(s) shall wear visible identification at all times while on the premises of the VA medical facility, Warehouse, CBOC, etc.

13. Billing

13.1Vendor to submit monthly Invoice via tungsten; COR to review and approve acceptable submitted invoice for payment

14. REVIEWS:

14.1. COR or Facility POC will conduct a monthly inventory to reconcile the number of cylinders on hand to the number of cylinders held on the delivery ticket. A report of the inventory will be provided to the COR, CO and FCLO.

13. EVALUATION FACTORS:

Evaluation factors:

Technical Factor (1)- Vendor to provide acknowledge and agree to SOW/technical requirements, provide vendor key contract staff point of contact, vendor to provide copy of current and valid West Virginia Pharmaceutical license, vendor to provide product literature, specification sheets, manufacturer name, manufacturer part number.

Acceptable quote meets technical requirements vendor acknowledges SOW requirements, provided current valid pharmaceutical license copy license copy, identified key personnel, and can meet delivery SOW/requirements, and provided product literature, specification sheets, manufacturer name, manufacturer part number.

Unacceptable/non-responsive quote: Quote does not meet technical requirements vendor does not acknowledge SOW requirements, vendor does not provide current pharmaceutical license copy, and does self-certify delivery requirements, vendor does not provide identified key team member, vendor does not provide product literature, specification sheets, manufacturer name, manufacturer part number.

Past performance (2): Vendor to provide 2 references VA contract number POC name, email, and phone awarded in the last 3 years that is relevant to multiple medical gas delivery contract.

Acceptable quote: Vendor acknowledge past performance references and provides required minimum references meeting acceptable performance.

Unacceptable/non-responsive quote: Vendor fails to acknowledge performance and provides required minimum references or past performance references are unacceptable.

Price (3): Vendor to provide 2 quotes- Quote (1) fixed price year 1 quote for each line item and each price and vendor to provide quote (2) fixed pricing for years 2-5 for each line item, Acceptable Quote: Vendor meets technical requirements, past performance, and is the lowest price quote.

Unacceptable/ non-responsive quote: Vendor does not meet technical, past performance, implementation plan, and is not the lowest price.

Award will be made to the lowest priced quote that is technically and performance acceptable.

Incomplete quote packages will be considered non-responsive. The Government will determine technical and past performance acceptability after receipt of offers. The Government intends to evaluate quotes based on total evaluated price of the unit prices provided and award without discussion. Therefore, the vendor’s initial quote should contain the vendor’s best terms from a price standpoint.

(END OF SOW)

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVIC

ES

QUANTIT

Y

UNI

T UNIT PRICE AMOUNT

1.00 CY ________________

GAS,MIXED,AIR,CGA 950,CYLINDER SZ E,GRADE USP N

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): AI USPE

LOCAL STOCK NUMBER: AI USPE

Year 1

10.00 CY ________________

GAS,ARGON,CYLINDER SZ 35,UHP GRADE 5.0,CGA 580

CONNECTION

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): AR UHP35

LOCAL STOCK NUMBER: AR UHP35

100.00 CY ________________

GAS,CARBON DIOXIDE,COMPRESSED,CYLINDER SZ

H,WT 50LB

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): CD USP50

LOCAL STOCK NUMBER: CD USP50

100.00 CY ________________

GAS,CARBON DIOXIDE,REFILL,CYLINDER SZ E,CGA 940

PIN INDEXED

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): CD USPE

LOCAL STOCK NUMBER: CD USPE

2.00 CY ________________

CARBON DIOXIDE 200 CGA 320 TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): CD 50

LOCAL STOCK NUMBER: CD 50

5.00 CY ________________

HELIUM ULTRA HIGH PURITY GRADE H TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): HE UHP300

LOCAL STOCK NUMBER: HE UHP300

5.00 CY ________________

GAS,HELIUM,CYLINDER SZ M4,MEDICAL USP GRADE

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): HE USPM4

LOCAL STOCK NUMBER: HE USPM4

2.00 CY ________________

NITROGEN,GASEOUS,SIZE H

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): NI NF200

LOCAL STOCK NUMBER: NI NF200

5.00 CY ________________ ________________

GAS,COMPRESSED OXYGEN,CYLINDER SZ H,CGA 540

THRD,249 FT3

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): OX USP200

LOCAL STOCK NUMBER: OX USP200

2,000.00 CY ________________

OXYGEN,GASEOUS,SIZE E ALUMINUM TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): OX USPEA

LOCAL STOCK NUMBER: OX USPEA

500.00 CY ________________

OXYGEN USP MEDICAL PURE EA CGA VIPR

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): OXUSPEAWB

MRI

LOCAL STOCK NUMBER: OXUSPEAWB MRI

10.00 CY ________________

LUNG DIFFUSION

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN):

Z04NI7852003012

LOCAL STOCK NUMBER: Z04NI7852003012

24.00 EA ________________

EMERGENCY DELIVERY FEE

Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): EMERGENCY

DELIVERY FEE

LOCAL STOCK NUMBER: EMERGENCY DELIVERY FEE

3,000.00 EA ________________

RENTAL,GAS CYLINDERS: SIZES A,B,C,D, & E

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): RENTAL

LOCAL STOCK NUMBER: RENTAL

1,000.00 EA ________________

RENTAL,GAS CYLINDERS: SIZES OTHER THAN A,B,C,D, &

E PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): RENTAL

2,400.00 EA ________________

RENTAL,WALK-02-BOUT SIZE E CYLINDER MRI

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): RENTAL

20.00 CY ________________

REPLACEMENT COST,GAS CYLINDERS: SIZES A,B,C,D, &

E PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): REPLACEMENT

COST

LOCAL STOCK NUMBER: REPLACEMENT COST

20.00 CY ________________

REPLACEMENT COST,GAS CYLINDERS: SIZES OTHER

THAN A,B,C,D & E

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): REPLACEMENT

COST

LOCAL STOCK NUMBER: REPLACEMENT COST

GAS,MIXED,AIR,CGA 950,CYLINDER SZ E,GRADE USP N

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases Year 2

GAS,ARGON,CYLINDER SZ 35,UHP GRADE 5.0,CGA 580

CONNECTION

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,CARBON DIOXIDE,COMPRESSED,CYLINDER SZ

H,WT 50LB

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,CARBON DIOXIDE,REFILL,CYLINDER SZ E,CGA 940

PIN INDEXED

Manufacturing

CARBON DIOXIDE 200 CGA 320 TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

HELIUM ULTRA HIGH PURITY GRADE H TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,HELIUM,CYLINDER SZ M4,MEDICAL USP GRADE

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

NITROGEN,GASEOUS,SIZE H

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,COMPRESSED OXYGEN,CYLINDER SZ H,CGA 540

THRD,249 FT3

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

OXYGEN,GASEOUS,SIZE E ALUMINUM TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

OXYGEN USP MEDICAL PURE EA CGA VIPR

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

LUNG DIFFUSION

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

1.00 EA ________________

EMERGENCY DELIVERY FEE

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

RENTAL,GAS CYLINDERS: SIZES A,B,C,D, & E

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

RENTAL,GAS CYLINDERS: SIZES OTHER THAN A,B,C,D, &

E

Manufacturing

RENTAL,WALK-02-BOUT SIZE E CYLINDER MRI

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

REPLACEMENT COST,GAS CYLINDERS: SIZES A,B,C,D, &

E PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

REPLACEMENT COST,GAS CYLINDERS: SIZES OTHER

THAN A,B,C,D & E

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,MIXED,AIR,CGA 950,CYLINDER SZ E,GRADE USP N

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Year 3

GAS,ARGON,CYLINDER SZ 35,UHP GRADE 5.0,CGA 580

CONNECTION

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,CARBON DIOXIDE,COMPRESSED,CYLINDER SZ

H,WT 50LB

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,CARBON DIOXIDE,REFILL,CYLINDER SZ E,CGA 940

PIN INDEXED

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

CARBON DIOXIDE 200 CGA 320 TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

HELIUM ULTRA HIGH PURITY GRADE H TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,HELIUM,CYLINDER SZ M4,MEDICAL USP GRADE

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

1.00 CY ________________ ________________

NITROGEN,GASEOUS,SIZE H

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,COMPRESSED OXYGEN,CYLINDER SZ H,CGA 540

THRD,249 FT3

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

OXYGEN,GASEOUS,SIZE E ALUMINUM TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

OXYGEN USP MEDICAL PURE EA CGA VIPR

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

LUNG DIFFUSION

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

EMERGENCY DELIVERY FEE

Manufacturing

RENTAL,GAS CYLINDERS: SIZES A,B,C,D, & E

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

RENTAL,GAS CYLINDERS: SIZES OTHER THAN A,B,C,D, &

E PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

RENTAL,WALK-02-BOUT SIZE E CYLINDER MRI

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

REPLACEMENT COST,GAS CYLINDERS: SIZES A,B,C,D, &

E PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

REPLACEMENT COST,GAS CYLINDERS: SIZES OTHER

THAN A,B,C,D & E

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,MIXED,AIR,CGA 950,CYLINDER SZ E,GRADE USP N

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Year 4

GAS,ARGON,CYLINDER SZ 35,UHP GRADE 5.0,CGA 580

CONNECTION

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,CARBON DIOXIDE,COMPRESSED,CYLINDER SZ

H,WT 50LB

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,CARBON DIOXIDE,REFILL,CYLINDER SZ E,CGA 940

PIN INDEXED

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

CARBON DIOXIDE 200 CGA 320 TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

HELIUM ULTRA HIGH PURITY GRADE H TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,HELIUM,CYLINDER SZ M4,MEDICAL USP GRADE

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

NITROGEN,GASEOUS,SIZE H

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,COMPRESSED OXYGEN,CYLINDER SZ H,CGA 540

THRD,249 FT3

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

OXYGEN,GASEOUS,SIZE E ALUMINUM TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

OXYGEN USP MEDICAL PURE EA CGA VIPR

Manufacturing

LUNG DIFFUSION

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

EMERGENCY DELIVERY FEE

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

RENTAL,GAS CYLINDERS: SIZES A,B,C,D, & E

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

RENTAL,GAS CYLINDERS: SIZES OTHER THAN A,B,C,D, &

E PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

RENTAL,WALK-02-BOUT SIZE E CYLINDER MRI

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

REPLACEMENT COST,GAS CYLINDERS: SIZES A,B,C,D, &

E PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

REPLACEMENT COST,GAS CYLINDERS: SIZES OTHER

THAN A,B,C,D & E

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,MIXED,AIR,CGA 950,CYLINDER SZ E,GRADE USP N

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Year 5

GAS,ARGON,CYLINDER SZ 35,UHP GRADE 5.0,CGA 580

CONNECTION

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,CARBON DIOXIDE,COMPRESSED,CYLINDER SZ

H,WT 50LB

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

1.00 CY ________________ ________________

GAS,CARBON DIOXIDE,REFILL,CYLINDER SZ E,CGA 940

PIN INDEXED

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

CARBON DIOXIDE 200 CGA 320 TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

HELIUM ULTRA HIGH PURITY GRADE H TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,HELIUM,CYLINDER SZ M4,MEDICAL USP GRADE

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

NITROGEN,GASEOUS,SIZE H

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GAS,COMPRESSED OXYGEN,CYLINDER SZ H,CGA 540

THRD,249 FT3

Manufacturing

OXYGEN,GASEOUS,SIZE E ALUMINUM TANK

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

OXYGEN USP MEDICAL PURE EA CGA VIPR

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

LUNG DIFFUSION

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

EMERGENCY DELIVERY FEE

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

RENTAL,GAS CYLINDERS: SIZES A,B,C,D, & E

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

RENTAL,GAS CYLINDERS: SIZES OTHER THAN A,B,C,D, &

E PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

RENTAL,WALK-02-BOUT SIZE E CYLINDER MRI

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

REPLACEMENT COST,GAS CYLINDERS: SIZES A,B,C,D, &

E PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

REPLACEMENT COST,GAS CYLINDERS: SIZES OTHER

THAN A,B,C,D & E

PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GRAND TOTAL ________________

B.3 DELIVERY SCHEDULE

ITEM NUMBER QUANTITY

DELIVERY

DATE

0001 SHIP TO: Huntingotn VAMC Warehouse 1540 Spring Valley Dr Huntington, WV 25704

USA

1.00

0002 SHIP TO: Huntingotn VAMC Warehouse 1540 Spring Valley Dr

10.00

0003 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

100.00

0004 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

100.00

0005 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2.00

0006 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

5.00

0007 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

0008 SHIP TO: Huntingotn VAMC

2.00

1540 Spring Valley Dr

0009 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

0010 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2,000.00

0011 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

500.00

0012 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

10.00

0013 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

24.00

0014 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3,000.00

0015 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1,000.00

0016 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2,400.00

0017 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

20.00

0018 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

20.00

1001 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1002 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1003 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1004 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr Huntington, WV 25704

1005 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1006 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1007 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1008 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1009 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1010 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1011 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1012 SHIP TO: Huntingotn VAMC Warehouse 1540 Spring Valley Dr

1013 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1014 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1015 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1016 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1017 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

1018 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2001 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2002 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2003 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2004 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2005 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2006 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2007 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2008 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2009 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2010 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2011 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2012 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2013 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2014 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2015 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr Huntington, WV 25704

2016 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2017 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

2018 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3001 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3002 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3003 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3004 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3005 SHIP TO: Huntingotn VAMC Warehouse 1540 Spring Valley Dr

3006 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3007 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3008 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3009 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3010 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3011 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3012 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3013 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3014 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3015 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3016 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3017 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

3018 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4001 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4002 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4003 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4004 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4005 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4006 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4007 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4008 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr Huntington, WV 25704

4009 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4010 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4011 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4012 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4013 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4014 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4015 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4016 SHIP TO: Huntingotn VAMC Warehouse 1540 Spring Valley Dr

4017 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

4018 SHIP TO: Huntingotn VAMC

1540 Spring Valley Dr

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)

(a)…