S02 - 36C24623Q0872 (2) (002).pdf

PDF 848 KB Posted Jul 10, 2023

Attached to: 6835--Medical Gases and Cylinders
Solicitation number: 36C24623Q0872
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6

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Written by GovTribe AI · Dec 20, 2023

This is a solicitation for medical gas and cylinder products and services for multiple Department of Veterans Affairs medical facilities in North Carolina. Key requirements include providing medical cylinder gases and mixtures such as oxygen, carbon dioxide, nitrogen, nitrous oxide, and helium. The base period of performance is one year with four optional one-year extensions. Delivery locations are specified as VA medical centers and clinics in Salisbury, Charlotte, and Kernersville, North Carolina. The solicitation includes detailed specifications for the medical gases, cylinders, delivery, ordering, invoicing, and other terms. Pricing is by item in the schedule for the base year and option years.

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File	Type	Posted
36C24623Q0872 0001.docx	DOCX document	Jul 25, 2023
Attachment B - Line-Item Spreadsheet.xlsx	XLSX spreadsheet	Jul 10, 2023
36C24623Q0872.docx	DOCX document	Jul 10, 2023
Attachment A - 852.219-76 VA Notice of Limitations on Subcontracting.docx	DOCX document	Jul 10, 2023

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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. 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

659-24-1-027-0002

36C24623Q0872 07-10-2023

Kamilah Nye 757-728-7126 07-28-2023

15:00 EDT

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

X 100

325120

1000 Employees

NET 30

N/A

MULTIPLE FACILITIES

Network Contracting Office 6

Financial Services Center

PO BOX 149971

Austin TX 78714-9971

512-460-5049 512-460-5221

See CONTINUATION Page

THIS IS A SOLICITATION FOR MEDICAL GAS AND CYLINDER FOR

THE SALISBURY VAMC, KERNERSVILLE HCC, AND CHARLOTTE HCC,

AND CHARLOTTE CBOC.

SEE INSTRUCTIONS TO OFFERORS IN SECTION E.

RESPONSES ARE DUE BY 15:00 EST JULY 28,2023.

POC: KAMILAH NYE

EMAIL: kamilah.nye@va.gov

See CONTINUATION Page

X X

Jamie Sullivan

CONTACTING OFFICER

36C24623Q0872

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

B.4 STATEMENT OF WORK

SECTION C - CONTRACT CLAUSES

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

C.2 52.216-21 REQUIREMENTS (OCT 1995)

C.3 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...51

C.5 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.6 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.7 VAAR 852.211-72 TECHNICAL INDUSTRY STANDARDS (NOV 2018)

C.8 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED

SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023)

(DEVIATION)

C.9 VAAR 852.219-76 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SUPPLIES AND PRODUCTS (JAN 2023)

(DEVIATION)

C.10 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

C.11 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ..59

C.12 VAAR 852.246-71 REJECTED GOODS (OCT 2018)

C.13 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAR 2023)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

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

1998)

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

E.3 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(OCT 2018)

E.4 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.5 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED

BY REFERENCE (JAN 2008)

E.6 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

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 Jamie Sullivan

Network Contracting Office 6

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 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

DESCRIPTION OF

SUPPLIES/SERVICES QTY UNIT UNIT PRICE AMOUNT

1.00 CY __________________ __________________

ARGON HI PURITY/HI PRESSURE 6000 PSI SIZE 300

(99.998%) Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

MANUFACTURER PART NUMBER (MPN): 0

LOCAL STOCK NUMBER: AR 4.8-6K

41.00 CY __________________ __________________

CARBON DIOXIDE, SIZE G/H TANK

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CD M-50

CARBON DIOXIDE, SIZE G/H TANK W/ SYPHON

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CD M-50S

209.00 CY __________________ __________________

CARBON DIOXIDE MEDICINAL, GRADE A SIZE E CYL

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CD M-E

CARBON DIOXIDE MEDICINAL, GRADE A SIZE E CYL,

ALUMINUM

Contract Period: Base POP Begin: 10-01-2023

POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CD M-AE

NITROGEN, MEDICAL 20#

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: NI M-40

NITROGEN, MEDICAL SIZE H 200 CF

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: NI M-K

15.00 CY __________________ __________________

NITROGEN, MEDICAL SIZE T 300 CF

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: NI M-T

4.00 CY __________________ __________________

NITROGEN 99.999% UHP T

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: NI 5.0UH-T

4,230.00 LT __________________ __________________

LIQUID NITROGEN DEWAR FILL (PER LITER) "CRYOTANK"

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: NI M-FILL

2.00 CY __________________ __________________

NITROUS OXIDE, MEDICAL, SIZE E, 6LBS

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: NS M-E

NITROUS OXIDE, MEDICAL, SIZE E, 6LBS, ALUMINUM

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: NS M-AE

37.00 CY __________________ __________________

NITROUS OXIDE, MEDICAL, SIZE G, 56LBS

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: NS M-56

24.00 CY __________________ __________________

OXYGEN, MEDICAL SIZE E (ALUMINUM)

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: OX M-AE

OXYGEN, MEDICAL, SIZE H, 200 CF

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: OX M-K

1,546.00 CY __________________ __________________

OXYGEN, USP MED, ALUM. E, INT. VALVE W/50PSI AUX

"WALKABOUT"

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: OX M-AELIV-2000

11.00 CY __________________ __________________

LUNG DIFFUSION: 0.3% CO/ 0.3% METH/ 21% O2/BAL NI, 200

CF (SIZE H/K)

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: LD ME1C-AT

BLOOD GAS: 16% OX/4% CD/BAL NI, SIZE E

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: BG NICDOXC3-E

52.00 CY __________________ __________________

OXYGEN, LIQUID MEDICAL 240LTR 230 PSI

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: OX MLC240-230

5.00 CY __________________ __________________

OXYGEN, LIQUID MEDICAL 240LTR 350 PSI

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: OX MLC240-350

AIR USP, SIZE E

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: AI M-E

1,446.00 CY __________________ __________________

RENTAL: CYLINDER SIZES A THRU E, CHARGED MONTHLY

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: 0

1,641.00 CY __________________ __________________

RENTAL: CYLINDER SIZES OTHER THAN A THRU E,

CHARGED MONTHLY

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

96.00 CY __________________ __________________

RENTAL: LIQUID CONTAINERS (PORTABLES) GREATER

THAN 160 LITER CAPACITY

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

6,929.00 CY __________________ __________________

RENTAL: WALK ABOUT SIZE E, OXYGEN CYL W/

INTEGRATED VALVE

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

RENTAL: HIGH PRESSURE (6,000 PSI) CYLINDERS

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

5.00 EA __________________ __________________

EMERGENCY DELIVERY FEE

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

1.00 EA __________________ __________________

AR 4.8-G

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

HELIUM, USP, SIZE M4

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

HELIUM, USP, SIZE M5

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

NITROUS OXIDE, MEDICAL GRADE, SIZE 20LB

Contract Period: Base POP Begin: 10-01-2023

POP End: 09-30-2024 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

(99.998%) Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

ALUMINUM

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025

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

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

OXYGEN, USP MED, ALUM. E, INT. VALVE W/50PSI AUX

"WALKABOUT"

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

CF (SIZE H/K)

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

AIR USP, SIZE E

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

CHARGED MONTHLY

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

THAN 160 LITER CAPACITY

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

INTEGRATED VALVE

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

RENTAL: HIGH PRESSURE (6,000 PSI) CYLINDERS

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 1 POP Begin: 10-01-2024

POP End: 09-30-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

(99.998%) Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

ALUMINUM

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026

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

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

OXYGEN, USP MED, ALUM. E, INT. VALVE W/50PSI AUX

"WALKABOUT"

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

CF (SIZE H/K)

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

AIR USP, SIZE E

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

CHARGED MONTHLY

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

THAN 160 LITER CAPACITY

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

INTEGRATED VALVE

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

RENTAL: HIGH PRESSURE (6,000 PSI) CYLINDERS

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 2 POP Begin: 10-01-2025

POP End: 09-30-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

(99.998%) Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

ALUMINUM

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027

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

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

OXYGEN, USP MED, ALUM. E, INT. VALVE W/50PSI AUX

"WALKABOUT"

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

CF (SIZE H/K)

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

AIR USP, SIZE E

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

CHARGED MONTHLY

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

THAN 160 LITER CAPACITY

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

INTEGRATED VALVE

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

RENTAL: HIGH PRESSURE (6,000 PSI) CYLINDERS

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 3 POP Begin: 10-01-2026

POP End: 09-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

(99.998%) Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

ALUMINUM

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028

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

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

OXYGEN, USP MED, ALUM. E, INT. VALVE W/50PSI AUX

"WALKABOUT"

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

CF (SIZE H/K)

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

AIR USP, SIZE E

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

CHARGED MONTHLY

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

THAN 160 LITER CAPACITY

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

INTEGRATED VALVE

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

RENTAL: HIGH PRESSURE (6,000 PSI) CYLINDERS

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

Contract Period: Option 4 POP Begin: 10-01-2027

POP End: 09-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

GRAND TOTAL __________________

B.3 DELIVERY SCHEDULE

ITEM NUMBER QUANTITY

PERFORMANCE

PERIOD

0001 - 0031 SHIP

TO:

Multiple Facilities Identified in SOW

ALL PoP: 10-01-23 - 09-30-24

1001 - 1031 SHIP

TO:

ALL PoP: 10-01-24 - 09-30-25

2001 - 2031 SHIP

TO:

ALL PoP: 10-01-25 - 09-30-26

3001 - 3031 SHIP

TO:

ALL PoP: 10-01-26 - 09-30-27

4001 - 4031 SHIP

TO:

ALL PoP: 10-01-27 - 09-30-28

B.4 STATEMENT OF WORK

1. SCOPE: Contractor shall provide medical gases for all the facilities located within the

Salisbury VA Health Care System (SVAHCS) in accordance with the schedule of items, the specifications listed in this Statement of Work, and the terms and conditions of this contract.

The purpose of this requirement is to establish a source supply of medical cylinder gases for the facilities. The gases include, but are not limited to Compressed Medical Air USP, Oxygen USP, Carbon Dioxide USP, Nitrogen NF, Nitrous Oxide USP, Helium USP, and specialty medical gas mixtures.

1.1. Period of Performance: The period of performance for the base period is the date of award through twelve (12) months thereafter, unless terminated earlier pursuant to the terms of this contract. This contract also includes four (4) additional twelve (12) month option periods to extend the contract if exercised by the Government.

1.2. Location/Facility Requirements: All supplies of medical cylinder gases shall be delivered to Veterans Administration facilities below. 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:

Facility Address Salisbury VA Medical Center 1601 Brenner Avenue, Salisbury, NC

28144 Charlotte Health Care Center 3506 West Tyvola Road, Charlotte, NC

28208 Kernersville Health Care Center 1695 Kernersville Medical Parkway, Kernersville, NC 27284 Charlotte Community Based Outpatient Center

8601 University East Drive, Charlotte, NC 28213

1.2.1. The contractor shall have unique accounts established for each of the facility locations.

1.3. 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. 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 while the incoming contractor is transitioning over.

1.4. Pricing for medical gas tanks shall include all applicable charges, to include any tank rental fee and applicable fees for filling the tank(s).

1.5. Schedule of Items (Base Year and Four (4) Option Years):

AR 4.8-6K

ARGON HI

PURITY/HI

PRESSURE 6000

PSI SIZE 300

(99.998%)

1 CY

CD M-50

CARBON

DIOXIDE, SIZE

G/H TANK

41 CY

CD M-50S

CARBON

DIOXIDE, SIZE

G/H TANK W/

SYPHON

1 CY

CD M-E CARBON

DIOXIDE

209 CY

MEDICINAL,

GRADE A SIZE E

CYL

CD M-AE

CARBON

DIOXIDE

MEDICINAL,

GRADE A SIZE E

CYL, ALUMINUM

209 CY

NI M-40 NITROGEN,

MEDICAL 20# 1 CY

NI M-K

NITROGEN,

MEDICAL SIZE H

200 CF

1 CY

NI M-T

NITROGEN,

MEDICAL SIZE T

300 CF

15 CY

NI 5.0UH-T NITROGEN

99.999% UHP T 4 CY

NI M-FILL

LIQUID

NITROGEN

DEWAR FILL

(PER LITER)

"CRYOTANK"

4,230 LT

NS M-E

NITROUS OXIDE,

MEDICAL, SIZE E,

6LBS

2 CY

NS M-AE

NITROUS OXIDE,

MEDICAL, SIZE E,

6LBS, ALUMINUM

1 CY

NS M-56

NITROUS OXIDE,

MEDICAL, SIZE

G, 56LBS

37 CY

OX M-AE

OXYGEN,

MEDICAL SIZE E

(ALUMINUM)

24 CY

OX M-K

OXYGEN,

MEDICAL, SIZE H,

200 CF

24 CY

OX M-AELIV-2000

OXYGEN, USP

MED, ALUM. E,

INT. VALVE

W/50PSI AUX

"WALKABOUT"

1,546 CY

LD ME1C-AT LUNG

DIFFUSION: 0.3%

11 CY

CO/ 0.3% METH/

21% O2/BAL NI,

200 CF (SIZE H/K)

BG NICDOXC3-E

BLOOD GAS: 16%

OX/4% CD/BAL

NI, SIZE E

11 CY

OX MLC240-230

OXYGEN, LIQUID

MEDICAL 240LTR

230 PSI SEE

NOTE 3

52 CY

OX MLC240-350

OXYGEN, LIQUID

MEDICAL 240LTR

350 PSI

5 CY

AI M-E AIR USP, SIZE E 1 CY

RENTAL:

CYLINDER SIZES

A THRU E,

RENTAL:

CYLINDER SIZES

A THRU E,

CHARGED

MONTHLY

1,446 CY

RENTAL:

CYLINDER SIZES

OTHER THAN A

THRU E,

RENTAL:

CYLINDER SIZES

OTHER THAN A

THRU E,

CHARGED

MONTHLY

1,641 CY

RENTAL: LIQUID

CONTAINERS

(PORTABLES)

GREATER THAN

160 LITER

CAPACITY

RENTAL: LIQUID

CONTAINERS

(PORTABLES)

GREATER THAN

160 LITER

CAPACITY

96 CY

RENTAL: WALK

ABOUT SIZE E,

OXYGEN CYL W/

INTEGRATED

VALVE

RENTAL: WALK

ABOUT SIZE E,

OXYGEN CYL W/

INTEGRATED

VALVE

6,929 CY

RENTAL: HIGH

PRESSURE

(6,000 PSI)

CYLINDERS

RENTAL: HIGH

PRESSURE

(6,000 PSI)

CYLINDERS

1 CY

EMERG DEL EMERGENCY

DELIVERY FEE 5 EA

AR 4.8-G

ARGON, HIGH

PURITY, SIZE G/H

SEE NOTE 4

1 CY

HE M-M4

HELIUM, USP,

SIZE M4 SEE

NOTE 4

2 CY

HE M-AB

HELIUM, USP,

SIZE M5 SEE

NOTE 4

1 CY

NS M-20

NITROUS OXIDE,

MEDICAL

GRADE, SIZE

20LB SEE NOTE 4

1 CY

1.6. The contractor shall make available any additional gas(es) not included in the Schedule of Items upon notification by the Contracting Officer to support facility needs. The contractor shall accept a written authorization from the Contracting Officer, either via email, facsimile, or letter, that a facility requires additional gas(es) not listed in the Schedule of Items. The contractor shall respond to the Contracting Officer within two

(2) business days with the following information:

Material Number Description

UOM

Price/UOM Date Available For Delivery

Delivery of additional gas(es) shall be made in accordance with this Statement of Work.

The Government will follow-up the request to add gas(es) with a formal contract modification to add the applicable gas(es).

1.7. Contractor will be provided with the name and contact information of a primary Contracting Officer Representatives (COR) upon award of the contract. Additionally, the contractor shall accept orders from SVAHCS Logistics Staff responsible for clinical supply chain and inventory management at each facility.

1.8. 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. This applies to all deliveries regardless of time or day of execution.

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 insure 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) facility 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. For those facilities 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 facilities 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 this contract, to include the base year and any option year. 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.

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

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.

4.3. 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.

http://www.cganet.com/

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

4.5. 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.

4.6. All Contractor owned equipment shall be maintained or repaired in accordance with FDA’s Current Good Manufacturing Practices (CGMP) Regulations.

5. ORDERING:

5.1. The Facility POC(s) will submit requests for delivery of medical gases and rental cylinders to the Contractor, no later than 05:00 PM EST for delivery within 24 hours, including weekends for emergency orders, via email to the Contractor POCs identified in the below table.

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File details come from the government source that posted it. Updated Jul 10, 2023.