36C24623Q0127.pdf

PAGE 1 OF1. 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. UEI: EFT:

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

36C24623Q0127 11-03-2022

Daleta Coles 757-722-9961 11-09-2022

09:00 EST

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

X 100

X

325120

1000 Employees

NET 30 N/A

X

Department of Veterans Affairs Fayetteville NC VA Coastal HCS

2300 Ramsey Street Fayetteville NC 28301

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

Department of Veterans Affairs Financial Services Center

PO BOX 149971

Austin TX 78714-9971

512-460-5049 512-460-5221

X

See CONTINUATION Page

Medical Air/Gas and Cylinder Rental Base plus Four (4) Option Years Period of Performance:

Base Year: 11/09/2022-11/08/2023 Option Year 1: 11/09/2023-11/08/2024 Option Year 2: 11/09/2024-11/08/2025 Option Year 3: 11/08/2025-11/09/2026 Option Year 4: 11/09/2026-11/08/2027

See CONTINUATION Page

X X

X 1

Cherisse Hall

36C24623Q0127

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 STATEMENT OF WORK

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

B.4 DELIVERY SCHEDULE

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.2 52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...28

C.4 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

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 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.8 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)

C.9 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors

SECTION E - SOLICITATION PROVISIONS

E.1 SECTION E - SOLICITATION PROVISIONS

E.1 INSTRUCTIONS TO OFFERORS

E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.4 52.233-2 SERVICE OF PROTEST (SEP 2006)

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 36C246 Daleta Coles

Department of Veterans Affairs

Network Contracting Office 6

100 Emancipation Drive

Hampton VA 23667

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

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly in Arrears

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.

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

AMENDMENT NO DATE

B.2 STATEMENT OF WORK

SCOPE OF CONTRACT

1.1 The purpose of this solicitation is to establish a base plus four (4) option years contract for Medical Gases utilized at the Veterans Affairs Medical Centers located at Fayetteville, VA Medical Center and the Cottage #73, 2300 Ramsey St. Fayetteville, NC 28301. The gases to be purchased include, but are not limited to compressed Medical Air USP, Oxygen USP, Carbon Dioxide USP, Nitrogen NF, Nitrous Oxide USP, Helium USP, Liquid Nitrogen, Compressed Air and Special Medical Gas Mixtures.

1.2 The contract items will be ordered by and delivered to the logistics designated Point of Contact at the individual facilities listed on the Medical Gas Delivery Schedule. The quantities shown in the schedule are estimates for the facility’s annual requirements. There is no express or implied guarantee that these quantities will be purchased. The schedule indicates whether the contractor will fill government owned (G) cylinders, will provide contractor owned (C) cylinders, or will be servicing the facility with a combination of both (C/G).

1.3 In case of emergencies the contractor shall delivery contracted items within 24 hours of service call.

1.4 A Contracting Officer Representative (COR) has been designated for each ordering facility and will be the main point of contact in the solicitation schedule for the ordering facility. The COR is responsible for local contract administration issues such as ordering and providing specific delivery instructions. A letter of delegation that outlines the COR’s responsibilities will be provided.

1.5 Schedule of Items are as follows.

1. Oxygen Medical; Built-in Regulator, 720 per year

2. Carbon Dioxide; Medical (Size E), 24 per year

3. Lung Diffusion (Size G), 24 per year

4. Nitrous Oxide; Medical (Size E), 24 per year

5. Carbon Dioxide; Medical (USP50), 24 per year

6. Nitrogen, Medical Grade (Size H), 24 per year

7. Medical Gas, Blood Gas Mix 4.001% CO2, 15.95% 02, BAL Nitrogen (Size 200), 24 per year

8. Monthly Rental Cylinders-Sizes: A, B, C, D, E charged monthly

9. Monthly Rental Cylinders-Sizes other than: A, B, C, D, E, charged monthly

10. Monthly Rental-walk O2 about, size E cylinder charged Monthly, 864 per year

11. Nitrous Oxide USP Size 56lbs, 48 per year

12. Oxygen USPMEDICAL PURE 200 CGA 540—Delivered to Cottage #73 installed by the vendor and empty cylinders removed by the vendor, 384 per year

13. Oxygen USPMEDICAL PURE EA CGA 870, 144 per year

14. Oxygen USP Medical EA CGA 870 MRI, 72 per year

15. Emergency Delivery, 24 per year

16. USP Air and Liquid Nitrogen are not needed at the facility at this time

17. All Cylinders will be Contractor owned

1. CONTRACTOR RESPONSIBILITIES:

2.1 Contractor shall be qualified and have the required levels of professional and technical experience to perform the work required by the statement of work.

2.2 Contractor shall comply with any certifications required by Local, State or Federal Department of Health regulations for transporting cylinders of any type. Proof may be requested by the requiring facility at any time.

2.3 Contractor shall, within 10 days (or sooner) after contract award, contact the COR to verify the ordering method and clarify the specific details of any delivery instructions outlined in the solicitation schedule.

2.4 Contractor shall have 24 hour/7day emergency service response available for delivery of urgent VAMC medical gasses or repair of liquid systems. Refer to 4.2.

2.5 Contractor shall ensure the cylinders are following applicable Federal and State Regulations. Annual cylinder testing/inspections, i.e., hydrostatic tests or leak pressure test requirements by NFPA, shall be coordinated with the COTR. Invoices shall be submitted separately monthly.

2.6 Contractor shall provide all equipment and materials necessary to perform the requirements of the contract.

2.7 Contractor shall, in conjunction with medical center staff, provide up to two on-site inventories per year per medical center as requested by the upon medical center request.

3. PRODUCT SPECIFICATIONS

3.1 All medical gases shall conform to specifications prescribed in the United States Pharmacopeia and the National Formulary. All medical gas manufacturers and fillers of medical gases 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.

3.2 In addition, the following specifications are incorporated into the solicitation and resulting contracts:

a. Federal Specification BB-A-1034B, Air, Compressed, for Breathing Purposes, dated 27-Dec-1995.

b. Federal Specification BB-C-101B, Carbon Dioxide (CO2) Technical and USP, DATED 15-PR-1971

c. Compressed Gas Association (CGA) Publications G-7 – Compressed Air for Human Respiration, dated 8/3/03, and ANSI/CGA G-7.1 – Commodity Specification for Air, dated 12/29/07.

3.3 All products, equipment, and services provided under the contract awarded under this solicitation shall be in compliance with all applicable Federal, State, and Local regulations.

4. DELIVERY REQUIREMENTS - Transportation of Oxygen will be made in accordance with 49CFR

4.1 The delivery time is specified in the schedule. The specified number of days shall be the number of calendar days after receipt of order. The schedule lists delivery instructions that are unique to each facility. FOB point is destination. All transportation charges for cylinders shall be included in the price of the gas. Additional charges such as delivery fees, hazardous materials fees, fuel surcharges, etc. shall NOT be billed to or collected from the facilities for orders received under this contract. The delivers will be made to 2 Cylinder storage cages.

Deliveries and install to Cottage#73 (Oxygen USPMEDICAL PURE 200 CGA 540). At this time, no deliveries will be to the CBOC’s.

4.2 Upon delivery, the delivery driver and facility POC (Point of Contact) will conduct a tank count. Cylinders will be logged in on the ledger with the delivery date and driver ID specified. The tank delivery will be signed for by both the facility POC and delivery driver.

4.3 Pickup of empty cylinders, the delivery driver and facility POC will conduct an empty tank count. Cylinders picked up will be adjusted on the tank ledger with the pickup date and driver ID specified. The tank pick up will be signed for by both the facility POC and delivery driver.

4.4 If for any reason the contractor is unable to deliver at the agreed upon day or time, the contractor will provide 12-hour notice to the COR. The Contractor will find an alternate source and initiate its backup plan. In accordance with VHA Patient Safety Alert dated April 5, 2004, all deliveries must be monitored by a qualified and trained representative i.e., Contracting Officer Representative (COR). Contractor will be provided with names and contact information of primary and back-up facility representatives. This applies to all deliveries regardless of time or day of execution.

4.5 Emergency Delivery – the contractor agrees to and shall have an emergency response plan that provides for emergency deliveries within 6 hours after notification, 24 hours a day, 7 days a week, in accordance with the contract.

Contractor shall provide emergency plan on date of solicitation submission

Government facility personnel will be available for receipt of emergent cylinders requested up to the sixth hour after notification. This service shall be provided at a fair market value fee.

4.6 Deliveries of refills shall be made Monday through Friday between 0800 and 1600 (excluding holidays which are listed below). If a holiday falls on the specified delivery dates, then next day delivery is expected, or immediate delivery arrangements need to be made with the COR.

4.7 FEDERAL HOLIDAYS OBSERVED:

New Year’s Day Labor Day Martin Luther King Day Columbus Day President’s Day Veterans Day Memorial Day Thanksgiving Day Independence Day Christmas Day Juneteenth

4.8 Safety Data Sheets shall be provided to the facility COR upon request at no additional charge.

4.9 At the time of each delivery, the contractor shall provide signed and dated invoices.

Documents will be counter-signed by the facility representative supervising the delivery.

Medical Center/Delivery Address Delivery Days Delivery Times

FAYETTEVILLE, VAMC

2300 Ramsey St.

Fayetteville, NC 28301

Tuesday AM Delivery

Cottage #73, 2300 Ramsey St.

Fayetteville, NC 28301

Tuesday AM Delivery

5. CYLINDERS AND OTHER CONTAINERS

5.1 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, etc., for medical gases shall also comply with the Federal Food, Drug, and Cosmetic Act.

5.2 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 6/27/00.

5.3 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 1/1/88.

5.4 Valves

Valves shall comply with CGA Safety Bulletin SB-26 and CGA Publication V-1 – Compressed Gas Association Standard for Compressed Gas Cylinder Valve Outlet and Inlet Connections, dated 12/31/00. Valve protection caps for cylinders designated 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.

5.5 Hydrostatic Testing:

A. 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 data.

B. Hydrostatic testing shall be performed in accordance with CGA’s Publication – C-1, Methods for Hydrostatic Testing of Compressed Gas Cylinders, dated 12/01/96.

C. Visual inspection shall be performed in accordance with the applicable CGA Publications C-6 – Standards for Visual Inspection of Steel Compressed Gas Cylinders, dated 1/1/93 or C-

6.1 – Standards for Visual Inspection of High-Pressure Aluminum Compressed Gas Cylinders, dated 4/1/95.

D. The contractor shall be responsible for all testing of contractor-owned cylinders at no additional cost to the Government. The government shall pay for the hydrostatic testing of government-owned cylinders at the listed prices in.

5.6 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.

5.7 Lost or Damaged Contractor-Owned Cylinders

5.8.1 The contractor must submit a list, quarterly, of lost or damaged cylinders to include replacement costs for 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.

5.8.2 For each contractor-owned cylinder lost or damaged beyond repair while in the Government’s possession, the Government shall pay to the Contractor the replacement value, less the allocable rental paid for that cylinder. These cylinders shall become Government property. If any rental lost cylinder is located within 30 calendar days after payment by the Government, it may be returned to the Contractor by the Government, and the Contractor shall pay to the Government an amount equal to the replacement value, less the rental computed in accordance with section 9 of the Statement of Work.

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

OWNED CYLINDERS

6.1 Services Included in the Price of Gas (both Government and Contractor-Owned Cylinders):

The offeror’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, specifications, and normal good practices. Such services shall include, but not be limited to: tags indicating cylinder is “Full”, “In Use”, or “Empty”; inspection, testing, evaluation, and cleaning services required at 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.

6.2.2 Unlisted Services: Unlisted services (including palletizing, when needed) are not covered by this contract and should be obtained by the ordering office according to applicable procurement regulations.

7. MESAUREMENT AND CONVERSION COMPUTATION, ATMOSPHERIC

GASES AND HYDROGEN:

Density data and volume measurement equivalents printed in CGA Publication P-6 – Standard Density Data, Atmospheric Gases and Hydrogen, dated 3/8/00 shall be used when necessary to convert measurement of these gases from one form to another: for example, from cubic feet to gallons.

8. QUALITY ASSURANCE SPECIFICATIONS AND REQUIREMENTS:

8.1 All medical gas manufacturers and fillers of medical gases shall be registered with FDA as drug manufacturers. All oxygen shall be manufactured, processed, packed, transported, and stored according to FDA’s Current Good Manufacturing Practices (CGMP) regulations, and all labeling shall comply with FDA’s labeling regulations (21 CFR Part 201).

8.2 All oxygen delivered 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.).

8.3 A valid certificate of analysis shall be provided with each delivery of oxygen. The certificate shall include, at a minimum:

a) Supplier’s name and complete address

b) Name of the product (i.e., Oxygen U.S.P.)

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 proclaims that the product meets the minimum purity of 99.5%, etc. 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.

8.4 A copy of all inspection reports conducted by OSHA, JC. Or any other regulatory agency shall be delivered to the facility COR, upon the completion of any oxygen system inspections that are required by regulation.

9. QUALIFICATIONS AND TRAINING:

9.1. The contractor shall provide records of training and competency assessment of contractor personnel involved with the performance of this contract (Delivery). All new contractor personnel will have completed all required training (i.e., the safe use, storage and handling of medical gases/cylinders, dangers, etc.) prior to delivery of oxygen and/or other medical gases. Documentation will be provided to the VA Contract Officer at time of solicitation submission.

9.2. Contractor will provide initial training and annual refresher training (i.e., the safe use, storage and handling of medical gases/cylinders, dangers, etc.) at no extra cost, to any of the following hospital personnel i.e. Security police, COR or maintenance staff involved with the delivery procedure. This training may need to be conducted at various times to accommodate different shifts.

10. IDENTIFICATION:

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

11. CONTRACTING OFFICER’S REPRESENTATIVE (COR):

11.1 The contractor will be provided the contract information by the COR prior to the start date.

11.2 Performance of work under this contract shall be subject to the technical direction of the COR, or a representative designated in writing. Technical direction MUST be within the scope of the SOW. The COR DOES NOT have the authority to issue technical direction that:

i. Constitutes a change of assignment or additional work outside the specification(s)/work statement

ii. Constitutes a change as defined in the clause entitled “Changes”.

iii. In any manner cause an increase or decrease in the contract price, or the time required for contract performance.

iv. Changes any of the terms, conditions, or specification(s)/work statement of the contract.

v. Interferes with the Contract’s right to perform under the terms and conditions of the contract.

vi. Directs, supervises or otherwise controls the actions of the Contractor’s employees.

11.3 Technical direction may be oral or in writing. The COR shall confirm oral direction in writing within three (3) workdays, with a copy to the CO.

11.4 The Contractor shall proceed promptly with technical direction issued by the COR. If, in the opinion of the Contractor, any direction of the COR, or his/her designee, falls within the limitations in (ii) above, the contractor shall immediately notify the CO no later than the beginning of the next workday.

11.5 Failure of the Contractor and the Contracting Officer to agree that technical direction is within the scope of the contract the direction shall be subject to the terms of the clause entitled “Disputes”.

12. CONTRACTOR MANAGEMENT:

Contractor shall provide a point of contact (POC) and perform continual management of the functional areas contained in this SOW. A Contractor employee shall be designated to act for the POC when work is being performed in the Contract Manager’s absence. Key personnel are defined as the Contract Manager, and other designated individuals submitted by the contractor.

13. CONDUCT OF PERSONNEL:

14.1 Personnel employed by the Contractor in the performance of this SOW or any representative of the Contractor entering the VA premises shall be subject to inspections by the Government.

14. REVIEWS:

14.1 Contracting Officer or COR is authorized to review by on-site survey, review of records, or by any other reasonable manner, the quality of services rendered under this contract. All records will be reviewed by the COR or other designated representative of the VA. Payments will be denied when such service does not support the charges or if the service is deemed not necessary or inappropriate. Such determinations shall be made by the CO or COR, whichever is appropriate.

14.2 COR or Facility POC will conduct a quarterly inventory to reconcile the number of cylinders on hand to the number of cylinders held on the ledger. A report of the inventory will be provided to the COR, CO and FCLO.

15. CONTRACT AWARD AND ADMINISTRATION:

15.1 The Contracting Officer is the only person authorized to approve changes or modify any of the requirements under this contract. In the event the Contractor effects any changes at the direction of any person other than the Contracting Officer, the change shall be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in costs incurred as a result thereof.

15.2 Invoice and payment – Payment to be made monthly, in arrears, upon receipt of a properly prepared invoice by the designated POC. The invoice must be itemized to include the following information:

Time period of service Description of services to include type and quantity of cylinders Unit Cost billed Extended amount due Invoice number Date of service Contract number

Invoices rendered not containing the above information are considered incomplete and will be returned for immediate correction.

15.3 No contract will be awarded nor payment made to any individual or entity that appears on the Health and Human Services Office of Inspector General’s (HSS/OIG) List of Excluded Individuals/Entities, or any other Government sponsored list that identifies Contractors as being ineligible for contract award(s).

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 720.00 CY __________________ __________________

OXYGEN MEDICAL: BUILT-IN REGULATOR

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0002 24.00 CY __________________ __________________

CARBON DIOXIDE: MEDICAL SIZE E

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0003 24.00 CY __________________ __________________

0.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN.

BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200,

HIGH PRESSURE STEEL CYLINDER CGA500

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0004 24.00 CY __________________ __________________

NITROUS OXIDE; MEDICAL SIZE E

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2323 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0005 24.00 CY __________________ __________________

CARBON DIOXIDE; MEDICAL 50 LBS

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0006 24.00 CY __________________ __________________

NITROGEN; MEDICAL SIZE H

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0007 24.00 CY __________________ __________________

MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI

SIZE 200

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0008 96.00 CY __________________ __________________

MONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED

MONTHLY

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

0009 96.00 CY __________________ __________________

MONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D,

E, CHARGED MONTHLY

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0010 864.00 CY __________________ __________________

MONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER,

CHARGED MONTHLY

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0011 48.00 CY __________________ __________________

NITROUS OXIDE USP SIZE 56LBS

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0012 384.00 CY __________________ __________________

OXYGEN USP MEDICAL PURE 200 CGA 540

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0013 144.00 CY __________________ __________________

OXYGEN USP MEDICAL PURE EA CGA 870

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0014 72.00 CY __________________ __________________

OXYGEN USP MEDICAL EA CGA 870 MRI

Contract Period: Base POP Begin: 11-09-2022 POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

0015 24.00 EA __________________ __________________

EMERGENCY DELIVERY

Contract Period: Base POP Begin: 11-09-2022

POP End: 11-08-2023 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1001 720.00 CY __________________ __________________

OXYGEN MEDICAL: BUILT-IN REGULATOR

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1002 24.00 CY __________________ __________________

CARBON DIOXIDE: MEDICAL SIZE E

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1003 24.00 CY __________________ __________________

0.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN.

BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200,

HIGH PRESSURE STEEL CYLINDER CGA500

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1004 24.00 CY __________________ __________________

NITROUS OXIDE; MEDICAL SIZE E

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1005 24.00 CY __________________ __________________

CARBON DIOXIDE; MEDICAL 50 LBS

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1006 24.00 CY __________________ __________________

NITROGEN; MEDICAL SIZE H

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024

1007 24.00 CY __________________ __________________

MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI

SIZE 200

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1008 96.00 CY __________________ __________________

MONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED

MONTHLY

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1009 96.00 CY __________________ __________________

MONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D,

E, CHARGED MONTHLY

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1010 864.00 CY __________________ __________________

MONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER,

CHARGED MONTHLY

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1011 48.00 CY __________________ __________________

NITROUS OXIDE USP SIZE 56LBS

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1012 384.00 CY __________________ __________________

OXYGEN USP MEDICAL PURE 200 CGA 540

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024

1013 144.00 CY __________________ __________________

OXYGEN USP MEDICAL PURE EA CGA 870

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1014 72.00 CY __________________ __________________

OXYGEN USP MEDICAL EA CGA 870 MRI

Contract Period: Option 1 POP Begin: 11-09-2023 POP End: 11-08-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2001 720.00 CY __________________ __________________

OXYGEN MEDICAL: BUILT-IN REGULATOR

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2002 24.00 CY __________________ __________________

CARBON DIOXIDE: MEDICAL SIZE E

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2003 24.00 CY __________________ __________________

0.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN.

BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200,

HIGH PRESSURE STEEL CYLINDER CGA500

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2004 24.00 CY __________________ __________________

NITROUS OXIDE; MEDICAL SIZE E

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2005 24.00 CY __________________ __________________

CARBON DIOXIDE; MEDICAL 50 LBS

Contract Period: Option 2

POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2006 24.00 CY __________________ __________________

NITROGEN; MEDICAL SIZE H

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2007 24.00 CY __________________ __________________

MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI

SIZE 200

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2008 96.00 CY __________________ __________________

MONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED

MONTHLY

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2009 96.00 CY __________________ __________________

MONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D,

E, CHARGED MONTHLY

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2010 864.00 CY __________________ __________________

MONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER,

CHARGED MONTHLY

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2011 48.00 CY __________________ __________________

NITROUS OXIDE USP SIZE 56LBS

Contract Period: Option 2 POP Begin: 11-09-2024

POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2012 384.00 CY __________________ __________________

OXYGEN USP MEDICAL PURE 200 CGA 540

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2013 144.00 CY __________________ __________________

OXYGEN USP MEDICAL PURE EA CGA 870

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

2014 72.00 CY __________________ __________________

OXYGEN USP MEDICAL EA CGA 870 MRI

Contract Period: Option 2 POP Begin: 11-09-2024 POP End: 11-08-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3001 720.00 CY __________________ __________________

OXYGEN MEDICAL: BUILT-IN REGULATOR

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3002 24.00 CY __________________ __________________

CARBON DIOXIDE: MEDICAL SIZE E

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3003 24.00 CY __________________ __________________

0.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN.

BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200,

HIGH PRESSURE STEEL CYLINDER CGA500

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026

3004 24.00 CY __________________ __________________

NITROUS OXIDE; MEDICAL SIZE E

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3005 24.00 CY __________________ __________________

CARBON DIOXIDE; MEDICAL 50 LBS

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3006 24.00 CY __________________ __________________

NITROGEN; MEDICAL SIZE H

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3007 24.00 CY __________________ __________________

MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI

SIZE 200

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3008 96.00 CY __________________ __________________

MONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED

MONTHLY

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3009 96.00 CY __________________ __________________

MONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D,

E, CHARGED MONTHLY

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

3010 864.00 CY __________________ __________________

MONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER,

CHARGED MONTHLY

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3011 48.00 CY __________________ __________________

NITROUS OXIDE USP SIZE 56LBS

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3012 384.00 CY __________________ __________________

OXYGEN USP MEDICAL PURE 200 CGA 540

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3013 144.00 CY __________________ __________________

OXYGEN USP MEDICAL PURE EA CGA 870

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

3014 72.00 CY __________________ __________________

OXYGEN USP MEDICAL EA CGA 870 MRI

Contract Period: Option 3 POP Begin: 11-09-2025 POP End: 11-08-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4001 720.00 CY __________________ __________________

OXYGEN MEDICAL: BUILT-IN REGULATOR

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4002 24.00 CY __________________ __________________

CARBON DIOXIDE: MEDICAL SIZE E

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027

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

4003 24.00 CY __________________ __________________

0.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN.

BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200,

HIGH PRESSURE STEEL CYLINDER CGA500

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4004 24.00 CY __________________ __________________

NITROUS OXIDE; MEDICAL SIZE E

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4005 24.00 CY __________________ __________________

CARBON DIOXIDE; MEDICAL 50 LBS

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4006 24.00 CY __________________ __________________

NITROGEN; MEDICAL SIZE H

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4007 24.00 CY __________________ __________________

MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI

SIZE 200

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4008 96.00 CY __________________ __________________

MONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED

MONTHLY

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027

PRODUCT/SERVICE CODE: 6835 - Medical Gases

4009 96.00 CY __________________ __________________

MONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D,

E, CHARGED MONTHLY

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4010 864.00 CY __________________ __________________

MONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER,

CHARGED MONTHLY

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4011 48.00 CY __________________ __________________

NITROUS OXIDE USP SIZE 56LBS

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4012 384.00 CY __________________ __________________

OXYGEN USP MEDICAL PURE 200 CGA 540

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4013 144.00 CY __________________ __________________

OXYGEN USP MEDICAL PURE EA CGA 870

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

4014 72.00 CY __________________ __________________

OXYGEN USP MEDICAL EA CGA 870 MRI

Contract Period: Option 4 POP Begin: 11-09-2026 POP End: 11-08-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GRAND TOTAL __________________

B.4 DELIVERY SCHEDULE

ITEM NUMBER QUANTITY

DELIVERY

DATE

0001-

SHIP TO: Veterans Affairs Medical Center 2300 Ramsey St Fayetteville, NC 28301

USA

2592.00 11/09/2022- 11/08/2023

MARK

FOR:

Faith Cuyler-Williams 910-822-7053 faith.cuyler-williams@va.gov

1001-

SHIP TO: Veterans Affairs Medical Center 2300 Ramsey St Fayetteville, NC 28301

USA

2568.00 11/09/2023- 11/08/2024

MARK

FOR:

Faith Cuyler-Williams 910-822-7053 faith.cuyler-williams@va.gov

2001-

SHIP TO: Veterans Affairs Medical Center 2300 Ramsey St Fayetteville, NC 28301

USA

2568.00 11/09/2024- 11/08/2025

MARK

FOR:

Faith Cuyler-Williams 910-822-7053 faith.cuyler-williams@va.gov

3001 SHIP TO: Veterans Affairs Medical Center 2300 Ramsey St Fayetteville, NC 28301

USA

2568.00 11/09/2025- 11/08/2026

MARK

FOR:

Faith Cuyler-Williams 910-822-7053 faith.cuyler-williams@va.gov

4001 SHIP TO: Veterans Affairs Medical Center 2300 Ramsey St Fayetteville, NC 28301

USA

2568.00 11/09/2026- 11/08/2027

MARK

FOR:

Faith Cuyler-Williams 910-822-7053 faith.cuyler-williams@va.gov

SECTION C - CONTRACT CLAUSES

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

C.1 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):

http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/

(End of Clause)

FAR

Number

Title Date

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS

AND REQUIREMENT TO INFORM EMPLOYEES OF

WHISTLEBLOWER RIGHTS

JUN 2020

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON

POSTCONSUMER FIBER CONTENT PAPER

MAY 2011

52.204-7 SYSTEM FOR AWARD MANAGEMENT OCT 2018

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE OCT 2018

52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

NOV 2021

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL

BUSINESS SUBCONTRACTORS

NOV 2021

C.2 52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

The Government may increase the quantity of supplies called for in the Schedule at the unit price specified. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days. Delivery of the added items shall continue at the same rate as the like items called for under the contract, unless the parties otherwise agree.

(End of Clause)

C.3 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 60 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 30 days 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 five (5) years.

(End of Clause)

C.4 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

(a) The Contractor agrees to comply with any provision or clause that is incorporated herein by reference to implement agency policy applicable to acquisition of commercial items or components. The following provisions and clauses that have been checked by the Contracting Officer are incorporated by reference.

[X] 852.203–70, Commercial Advertising.

[] 852.209–70, Organizational Conflicts of Interest.

[X] 852.211–70, Equipment Operation and Maintenance Manuals.

[] 852.214–71, Restrictions on Alternate Item(s).

[] 852.214–72, Alternate Item(s). [Note: this is a fillable clause.]

[] 852.214–73, Alternate Packaging and Packing.

[] 852.214–74, Marking of Bid Samples.

[X] 852.215–70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors.

[X] 852.215–71, Evaluation Factor Commitments.

[] 852.216–71, Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–72, Proportional Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–73, Economic Price…