36C24826Q0759 Tampa Bulk Oxygen and Medical Gas.pdf

This is a Combined Synopsis/Solicitation for commercial services prepared in accordance with the streamlined procedures of FAR Part 12 (Commercial Products and Commercial Services).

This announcement constitutes the only solicitation. Quotes are being requested, and no separate written solicitation will be issued.

This solicitation is issued as a Request for Quotation (RFQ). All clauses are current through the Federal Acquisition Circular (FAC) 2026-01 Effective Mar 13,2026.

This solicitation is set-aside for Service Disabled Veteran Owned Small Business (SDVOSB).

The associated North American Classification System (NAICS) code for this procurement is 325120, with a small business size standard of 1,200 Employees.

The FSC/PSC is 6835.

Description:

The Department of Veterans Affairs (VA), Network Contracting Office 8, Tampa FL intends to award a Firm-Fixed-Price (FFP) contract for the provision and delivery of Medical Grade Bulk Liquid Oxygen and Medical Gasses. The offeror shall provide all necessary supplies, materials, equipment, labor, supervision, management, and transportation to meet the Governments requirement.

General Information:

Contracting Office:

Department of Veterans Affairs Regional Procurement Office - East Network Contracting Office (NCO) - 8

Contracting Officer David M. Griganavicius Email: David.griganavicius@va.gov Phone: 813-796-2945

Site Visit Notification:

A site visit is scheduled for Wednesday, June 10th, 2026, at 10:00 am (EST) at:

1. 10:00 a.m. – James A. Haley Veterans’ Hospital Address: 13000 Bruce B. Downs Blvd. Tampa, FL 33612 Meeting Point: Main entrance to building 38. Parking is available in the main parking garage. See attached campus map labeled D.1 James Haley Map.

Important Information:

Attendees are advised to arrive on time at the main entrance of building 38.

Site visits will begin at the scheduled times. Individuals arriving late may not be permitted to participate.

All participants must check in with the Contracting Officers designee upon arrival.

o Designee: Katrina Tavares o PH: 813-729-3586

Please note: This site visit is highly encouraged for informational purposes only. It will allow potential offerors to inspect the site and ask relevant questions on site. Any questions must also be submitted in writing.

Offeror Final Questions:

All final questions shall be submitted via email to David.griganavicius@va.gov no later than June 10th, 2026, by 4:00 p.m (EST). RFQ Relevant questions will be posted to SAM.gov. No phone call questions will be accepted at any time.

Quote Submission Instructions:

Offerors shall submit their quotes via email only to: david.griganavicius@va.gov. Quotes are due no later than: June 16th, 2026, by 2:00 PM (EST). The Government intends to issue a single Firm-Fixed-Price (FFP) award. Offerors must be fully registered and active in SAM.gov at time of award.

36C24826Q0759

Table of Contents

SECTION B - CONTINUATION

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 DELIVERY SCHEDULE

B.4 STATEMENT OF NEED

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (NOV 2023)

C.2 52.217-7 OPTION FOR INCREASED QUANTITY—SEPARATELY PRICED LINE

ITEM (MAR 1989)

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) ...47

C.5 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS

(DEVIATION APR 2026)

C.6 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.7 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

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 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)

C.11 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (SEP 2023)

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.3 52.216-1 TYPE OF CONTRACT (NOV 2025) (DEVIATION)

E.4 52.219-1 SMALL BUSINESS PROGRAM REPRESENTATIONS (NOV 2025)

(DEVIATION)

E.5 52.225-2 BUY AMERICAN CERTIFICATE (OCT 2022)

E.6 52.225-18 PLACE OF MANUFACTURE (AUG 2018)

E.7 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.8 52.252-5 AUTHORIZED DEVIATIONS IN PROVISIONS (NOV 2020)

E.9 52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS

AND CERTIFICATIONS (NOV 2025) (DEVIATION)

E.10 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.11 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

E.12 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

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 36C248

Department of Veterans Affairs

Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Ste 160A

Tampa FL 33637

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

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

[X] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

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

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 12.00 MO __________________ __________________

BULK LIQUID STORAGE SYSTEM LEASE (9000 GALLON PRIMARY

AND 1500-GALLON BACK-UP)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0001

0002 12.00 SF __________________ __________________

BULK LIQUID OXYGEN FILL (ESTIMATED)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0002

0003 15,000.00 EA __________________ __________________

MEDICAL GAS CYLINDERS

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003

0004 78.00 EA __________________ __________________

CARBON DIOXIDE MEDICAL (E)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003A

0005 14.00 EA __________________ __________________

CARBON DIOXIDE MEDICAL (H)/(K)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003B

0006 4.00 EA __________________ __________________

CART RACK LR50 LAYERED 50 CAPACITY AJ

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003C

0007 24.00 EA __________________ __________________

OXYGEN MEDICAL (H)/(K)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003D

0008 6.00 EA __________________ __________________

HELIUM BALLOON GRADE (H)/(K)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003E

0009 22.00 EA __________________ __________________

MEDICAL AIR, USP (H)/(K)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003F

0010 77.00 EA __________________ __________________

NITROGEN MEDICAL, LIQUID HP (180LTR)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003G

0011 12.00 EA __________________ __________________

NITROGEN MEDICAL (E)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003H

0012 30.00 EA __________________ __________________

NITROGEN MEDICAL (H)/(K)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003I

0013 6.00 EA __________________ __________________

NITROGEN UHP 99.999% 049 PER LITER (T SIZE COMPRESSED

CYLINDER)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003J

0014 19.00 EA __________________ __________________

NITROS OXIDE USP (E)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003K

0015 56.00 EA __________________ __________________

NITROS OXIDE USP (H)/(K)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003L

0016 1,874.00 EA __________________ __________________

OXYGEN MEDICAL (E) ALUMINUM E (WALK-BEHIND)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003M

0017 26.00 EA __________________ __________________

OXYGEN MEDICAL (E) OXY-GEN 1 (TM)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

LOCAL STOCK NUMBER: CLIN 0003N

0018 29.00 EA __________________ __________________

OXYGEN MEDICAL (H)/(K)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003O

0019 20.00 EA __________________ __________________

OXYGEN MEDICAL (T)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003P

0020 56.00 EA __________________ __________________

OXYGEN MEDICAL LIQUID MP (180 LTR)

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003Q

0021 12,640.00 EA __________________ __________________

OXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DISS

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003R

0022 7.00 EA __________________ __________________

LUNG DIFFUSER GAS 0.3% CO/0.3% CH4/21% O2/N2 044

Contract Period: Base POP Begin: 07-01-2026 POP End: 06-30-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003S

1001 12.00 MO __________________ __________________

BULK LIQUID STORAGE SYSTEM LEASE (9000 GALLON PRIMARY

AND 1500-GALLON BACK-UP)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028

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

LOCAL STOCK NUMBER: CLIN 0001

1002 12.00 SF __________________ __________________

BULK LIQUID OXYGEN FILL (ESTIMATED)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0002

1003 15,000.00 EA __________________ __________________

MEDICAL GAS CYLINDERS

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003

1004 78.00 EA __________________ __________________

CARBON DIOXIDE MEDICAL (E)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003A

1005 14.00 EA __________________ __________________

CARBON DIOXIDE MEDICAL (H)/(K)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003B

1006 4.00 EA __________________ __________________

CART RACK LR50 LAYERED 50 CAPACITY AJ

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003C

1007 24.00 EA __________________ __________________

OXYGEN MEDICAL (H)/(K)

Contract Period: Option 1 POP Begin: 07-01-2027

POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003D

1008 6.00 EA __________________ __________________

HELIUM BALLOON GRADE (H)/(K)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003E

1009 22.00 EA __________________ __________________

MEDICAL AIR, USP (H)/(K)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003F

1010 77.00 EA __________________ __________________

NITROGEN MEDICAL, LIQUID HP (180LTR)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003G

1011 12.00 EA __________________ __________________

NITROGEN MEDICAL (E)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003H

1012 30.00 EA __________________ __________________

NITROGEN MEDICAL (H)/(K)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003I

1013 6.00 EA __________________ __________________

NITROGEN UHP 99.999% 049 PER LITER (T SIZE COMPRESSED

CYLINDER)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003J

1014 19.00 EA __________________ __________________

NITROS OXIDE USP (E)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003K

1015 56.00 EA __________________ __________________

NITROS OXIDE USP (H)/(K)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003L

1016 1,874.00 EA __________________ __________________

OXYGEN MEDICAL (E) ALUMINUM E (WALK-BEHIND)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003M

1017 26.00 EA __________________ __________________

OXYGEN MEDICAL (E) OXY-GEN 1 (TM)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003N

1018 29.00 EA __________________ __________________

OXYGEN MEDICAL (H)/(K)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003O

1019 20.00 EA __________________ __________________

OXYGEN MEDICAL (T)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003P

1020 56.00 EA __________________ __________________

OXYGEN MEDICAL LIQUID MP (180 LTR)

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003Q

1021 12,640.00 EA __________________ __________________

OXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DISS

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003R

1022 7.00 EA __________________ __________________

LUNG DIFFUSER GAS 0.3% CO/0.3% CH4/21% O2/N2 044

Contract Period: Option 1 POP Begin: 07-01-2027 POP End: 06-30-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003S

2001 12.00 MO __________________ __________________

BULK LIQUID STORAGE SYSTEM LEASE (9000 GALLON PRIMARY

AND 1500-GALLON BACK-UP)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0001

2002 12.00 SF __________________ __________________

BULK LIQUID OXYGEN FILL (ESTIMATED)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

LOCAL STOCK NUMBER: CLIN 0002

2003 15,000.00 EA __________________ __________________

MEDICAL GAS CYLINDERS

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003

2004 78.00 EA __________________ __________________

CARBON DIOXIDE MEDICAL (E)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003A

2005 14.00 EA __________________ __________________

CARBON DIOXIDE MEDICAL (H)/(K)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003B

2006 4.00 EA __________________ __________________

CART RACK LR50 LAYERED 50 CAPACITY AJ

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003C

2007 24.00 EA __________________ __________________

OXYGEN MEDICAL (H)/(K)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003D

2008 6.00 EA __________________ __________________

HELIUM BALLOON GRADE (H)/(K)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029

LOCAL STOCK NUMBER: CLIN 0003E

2009 22.00 EA __________________ __________________

MEDICAL AIR, USP (H)/(K)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003F

2010 77.00 EA __________________ __________________

NITROGEN MEDICAL, LIQUID HP (180LTR)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003G

2011 12.00 EA __________________ __________________

NITROGEN MEDICAL (E)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003H

2012 30.00 EA __________________ __________________

NITROGEN MEDICAL (H)/(K)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003I

2013 6.00 EA __________________ __________________

NITROGEN UHP 99.999% 049 PER LITER (T SIZE COMPRESSED

CYLINDER)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003J

2014 19.00 EA __________________ __________________

NITROS OXIDE USP (E)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029

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

LOCAL STOCK NUMBER: CLIN 0003K

2015 56.00 EA __________________ __________________

NITROS OXIDE USP (H)/(K)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003L

2016 1,874.00 EA __________________ __________________

OXYGEN MEDICAL (E) ALUMINUM E (WALK-BEHIND)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003M

2017 26.00 EA __________________ __________________

OXYGEN MEDICAL (E) OXY-GEN 1 (TM)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003N

2018 29.00 EA __________________ __________________

OXYGEN MEDICAL (H)/(K)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003O

2019 20.00 EA __________________ __________________

OXYGEN MEDICAL (T)

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003P

2020 56.00 EA __________________ __________________

OXYGEN MEDICAL LIQUID MP (180 LTR)

Contract Period: Option 2 POP Begin: 07-01-2028

POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003Q

2021 12,640.00 EA __________________ __________________

OXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DISS

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003R

2022 7.00 EA __________________ __________________

LUNG DIFFUSER GAS 0.3% CO/0.3% CH4/21% O2/N2 044

Contract Period: Option 2 POP Begin: 07-01-2028 POP End: 06-30-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003S

3001 12.00 MO __________________ __________________

BULK LIQUID STORAGE SYSTEM LEASE (9000 GALLON PRIMARY

AND 1500-GALLON BACK-UP)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0001

3002 12.00 SF __________________ __________________

BULK LIQUID OXYGEN FILL (ESTIMATED)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0002

3003 15,000.00 EA __________________ __________________

MEDICAL GAS CYLINDERS

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003

3004 78.00 EA __________________ __________________

CARBON DIOXIDE MEDICAL (E)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003A

3005 14.00 EA __________________ __________________

CARBON DIOXIDE MEDICAL (H)/(K)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003B

3006 4.00 EA __________________ __________________

CART RACK LR50 LAYERED 50 CAPACITY AJ

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003C

3007 24.00 EA __________________ __________________

OXYGEN MEDICAL (H)/(K)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003D

3008 6.00 EA __________________ __________________

HELIUM BALLOON GRADE (H)/(K)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003E

3009 22.00 EA __________________ __________________

MEDICAL AIR, USP (H)/(K)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003F

3010 77.00 EA __________________ __________________

NITROGEN MEDICAL, LIQUID HP (180LTR)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003G

3011 12.00 EA __________________ __________________

NITROGEN MEDICAL (E)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003H

3012 30.00 EA __________________ __________________

NITROGEN MEDICAL (H)/(K)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003I

3013 6.00 EA __________________ __________________

NITROGEN UHP 99.999% 049 PER LITER (T SIZE COMPRESSED

CYLINDER)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003J

3014 19.00 EA __________________ __________________

NITROS OXIDE USP (E)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003K

3015 56.00 EA __________________ __________________

NITROS OXIDE USP (H)/(K)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

LOCAL STOCK NUMBER: CLIN 0003L

3016 1,874.00 EA __________________ __________________

OXYGEN MEDICAL (E) ALUMINUM E (WALK-BEHIND)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003M

3017 26.00 EA __________________ __________________

OXYGEN MEDICAL (E) OXY-GEN 1 (TM)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003N

3018 29.00 EA __________________ __________________

OXYGEN MEDICAL (H)/(K)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003O

3019 20.00 EA __________________ __________________

OXYGEN MEDICAL (T)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003P

3020 56.00 EA __________________ __________________

OXYGEN MEDICAL LIQUID MP (180 LTR)

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003Q

3021 12,640.00 EA __________________ __________________

OXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DISS

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030

LOCAL STOCK NUMBER: CLIN 0003R

3022 7.00 EA __________________ __________________

LUNG DIFFUSER GAS 0.3% CO/0.3% CH4/21% O2/N2 044

Contract Period: Option 3 POP Begin: 07-01-2029 POP End: 06-30-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003S

4001 12.00 MO __________________ __________________

BULK LIQUID STORAGE SYSTEM LEASE (9000 GALLON PRIMARY

AND 1500-GALLON BACK-UP)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0001

4002 12.00 SF __________________ __________________

BULK LIQUID OXYGEN FILL (ESTIMATED)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0002

4003 15,000.00 EA __________________ __________________

MEDICAL GAS CYLINDERS

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003

4004 78.00 EA __________________ __________________

CARBON DIOXIDE MEDICAL (E)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003A

4005 14.00 EA __________________ __________________

CARBON DIOXIDE MEDICAL (H)/(K)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031

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

LOCAL STOCK NUMBER: CLIN 0003B

4006 4.00 EA __________________ __________________

CART RACK LR50 LAYERED 50 CAPACITY AJ

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003C

4007 24.00 EA __________________ __________________

OXYGEN MEDICAL (H)/(K)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003D

4008 6.00 EA __________________ __________________

HELIUM BALLOON GRADE (H)/(K)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003E

4009 22.00 EA __________________ __________________

MEDICAL AIR, USP (H)/(K)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003F

4010 77.00 EA __________________ __________________

NITROGEN MEDICAL, LIQUID HP (180LTR)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003G

4011 12.00 EA __________________ __________________

NITROGEN MEDICAL (E)

Contract Period: Option 4 POP Begin: 07-01-2030

POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003H

4012 30.00 EA __________________ __________________

NITROGEN MEDICAL (H)/(K)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003I

4013 6.00 EA __________________ __________________

NITROGEN UHP 99.999% 049 PER LITER (T SIZE COMPRESSED

CYLINDER)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003J

4014 19.00 EA __________________ __________________

NITROS OXIDE USP (E)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003K

4015 56.00 EA __________________ __________________

NITROS OXIDE USP (H)/(K)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003L

4016 1,874.00 EA __________________ __________________

OXYGEN MEDICAL (E) ALUMINUM E (WALK-BEHIND)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003M

4017 26.00 EA __________________ __________________

OXYGEN MEDICAL (E) OXY-GEN 1 (TM)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003N

4018 29.00 EA __________________ __________________

OXYGEN MEDICAL (H)/(K)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003O

4019 20.00 EA __________________ __________________

OXYGEN MEDICAL (T)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003P

4020 56.00 EA __________________ __________________

OXYGEN MEDICAL LIQUID MP (180 LTR)

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003Q

4021 12,640.00 EA __________________ __________________

OXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DISS

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003R

4022 7.00 EA __________________ __________________

LUNG DIFFUSER GAS 0.3% CO/0.3% CH4/21% O2/N2 044

Contract Period: Option 4 POP Begin: 07-01-2030 POP End: 06-30-2031 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6835 - Medical Gases

LOCAL STOCK NUMBER: CLIN 0003S

GRAND TOTAL __________________

B.3 DELIVERY SCHEDULE

ITEM

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

0001 -

SHIP TO: James A. Haley Veterans' Hospital 13000 Bruce B. Downs Blvd.

Tampa, FL 33612 4745

USA

*See Schedule, SON, and attachments.

All – See B.2

Schedule

See schedule, SON, and attachments.

MARK FOR: Daren L. Jones daren.jones@va.gov

FOB: DESTINATION

B.4 STATEMENT OF NEED

PART ONE – MEDICAL-GRADE LIQUID BULK OXYGEN

1. SCOPE OF THE CONTRACT

1.1 James A. Haley Veterans’ Hospital (VA), Tampa, Florida has a requirement for the supply of medical-grade liquid, bulk oxygen to be utilized at the hospital.

1.2 The quantities shown in the solicitation schedule are estimates of this facility’s annual requirements. There is no express or implied guarantee that these quantities will be purchased. Please note that contracts that include the installation of contractor-owned equipment will include a 90-day transition period at the beginning and end of the contract period. (See page 2, paragraph 4.1).

1.3 The contractor must perform in-service training to include the following facets for contractor owned and government owned systems: the refill procedure, any preventive maintenance support requirements that may be needed from the medical center systems, and an explanation of all the volume alarm and low pressure set points. The contractor will provide written procedures and training for VA staff for protocols to accomplish emergency shutdowns or other sudden, unplanned termination of the refilling process. Contractor will provide 24/7 emergency contact name(s) and telephone number(s).

1.4 Annually the alarm set-point testing and written verification must be presented using a qualified third-party expert per NFPA 99, 2002 Edition for contractor owned and government owned systems. Any code deficiencies in the Medical Center’s existing system, as defined by NFPA 50, 1.3.3, “Bulk Oxygen System”, must be identified by the contractor. A detailed explanation of these deficiencies must be presented in writing to the COR. Receipt of this written explanation must be signed for by the COR.

1.5 Annually the contractor must verify, in writing, the accuracy of all gauges on contractor owned tanks. There are no Government owned tanks.

2. CONTRACTOR-FURNISHED EQUIPMENT

2.1 For contractor owned tanks, the contractor shall provide, install and maintain bulk oxygen tank(s) with appropriate back-up system(s). Through the duration of the contract, the contractor shall be liable for the integrity, suitability, and safety of contractor owned tank(s) that will ensure compliance with applicable regulations, standards and normal good practices. The tank capacity and reserve system shown in the schedule are minimum capacities required by the using facilities. Manifold, cylinders for the reserve supply, liquid converter, alarm switch, regulator, valves, level indicator, and any other devices or connections required for proper tie-ins with the facility’s gas system shall be furnished by the contractor, without cost to the Government. The manifold or liquid converter shall deliver gas at a pressure and rate of flow adequate to supply the system. Each liquid oxygen storage container shall have an outlet that allows access for testing the purity of the oxygen.

2.2 All equipment and materials required to perform on the contract (other than what is specifically listed in section 3, Government-Furnished Property) shall be provided by the contractor. Contractor owned equipment shall be installed, inspected and maintained by the contractor without additional cost to the Government. (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, standards and normal good practices. The contractor shall be provided reasonable access to the bulk oxygen systems for this purpose.

3. INSTALLATION OF CONTRACTOR-OWNED EQUIPMENT & TRANSITION PLAN

3.1. 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 90 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 to avoid interruption of gas supply.

3.2 To permit orderly transition from one contractor to another, the contractor shall continue to honor the contract’s monthly equipment rental fee and bulk oxygen contract price for a maximum of 90 days beyond the scheduled expiration of the contract period, unless transition from one contractor to another is completed prior to the ninety-day transition period. For any partial month, the contractor shall prorate the monthly equipment rental fee accordingly. The contractor shall continue to provide and maintain its equipment during this transition period.

3.3 All contractor owned equipment shall be installed in accordance with NFPA 50: Standard for Bulk Oxygen Systems at Consumer Sites, 2001, NFPA 99 Standard for Health Care Facilities, 2002 Edition, and FDA’s Current Good Manufacturing Practices (CGMP) Regulations.

The contractor shall comply with all OSHA standards and applicable safety requirements, including proper signage and use of personal protective equipment.

4. DELIVERY OF MEDICAL LIQUID BULK OXYGEN

4.1 Oxygen is provided from a contracted bulk liquid storage tank system that consists of a 6000-gallon main supply tank with a 1500-gallon liquid reserve tank and is centrally piped throughout the main hospital, the Nursing Home Care Unit and the Spinal Cord Injury building. A telemetry unit monitors the amount of oxygen in the main tank and in the back-up tank. The oxygen is to be monitored 24 hours a day, 7 days a week by the contractors designated staff. The readings must take place randomly 3 times daily.

4.2 The contractor shall deliver medical-grade liquid oxygen within the timeframe specified in the schedule for the James A. Haley Veterans’ Hospital. The timeframe identified may be either the number of calendar days after receipt of the Government’s order, the specific days of the week for delivery, the specific time intervals between deliveries, a specified reorder point, or other specified ordering and delivery methods. If the time frame for contractor delivery is not identified in the facility requirements, the contractor must provide 24-hour notice prior to delivery or upon mutual-agreement between the COR and contractor, alternate ordering/delivery methods such as pre-scheduled deliveries, calling for tank level readings, installing a telemetry unit, etc. may be arranged. If for any reason the contractor is unable to delivery at the agreed upon day or time, the contractor will provide 24-hour notice to the COR, so that the facility can initiate an alternate backup action. In accordance with VHA Patient Safety Alert dated April 5, 2004, all deliveries must be monitored by a qualified and trained technical representative that will be designated by the James A. Haley Veterans’ Hospital. 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.

4.3 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.

4.4 At the time of each delivery, contractor must provide a legible signed and dated written document that identifies the tank level prior to fill, the level after fill, and the quantity delivered. This document must be counter-signed by the facility representative supervising the delivery.

4.5 Emergency delivery will be provided within 2 hours after receipt of Government notification.

Contractor must respond to the facility by telephone within one hour to confirm receipt of emergency notification to ascertain the nature of the emergency. Emergency status is determined by the Government when conditions warrant, such as an actuated main bulk tank low level alarm, imminent alarm condition, or system leak. Failure of the contractor to remain current with agreed delivery schedule and requirements does not constitute an “emergency” for purposes of charging an emergency delivery fee.

4.6 In the event of any impending hurricane or other potential disaster activity representing a threat to the contractor will be requested to immediately dispatch their truck to top off the main oxygen tank.

5. QUALITY ASSUARANCE SPECIFICATIONS AND REQUIREMENTS

5.1 All medical gas manufacturers and fillers of medical gases must 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).

5.2 All liquid bulk 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.).

5.3 A valid certificate of analysis shall be provided with each delivery of liquid 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 states 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.

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

5.5 A copy of all inspection reports shall be provided to the facility COR upon the completion of any bulk oxygen system inspections that are required by regulation.

5.6 All contractor owned equipment shall be maintained or repaired in accordance with NFPA 50: Standard for Bulk Oxygen Systems at Consumer Sites, 2001 and FDA’s Current Good Manufacturing Practices (CGMP) Regulations.

6. APPLICABLE REGULATIONS & STANDARDS

The following is a list of some of the regulations and standards that are applicable to this contract. The list is not comprehensive, and the contractor is responsible for ensuring that all products, equipment and services provided under the contract are following applicable Federal, state, and local regulations. If applicable, the editions in effect as of the date of this solicitation are listed. Contractor is responsible for remaining compliant with any future revisions that are effective at the time of contract performance.

Title 21, Code of Federal Regulations, Parts 210 & 211 - CGMP regulations for supplying medical grade oxygen.

29 CFR 1910.104 Applies to the installation of bulk oxygen systems on industrial and institutional consumer premises.

49 CFR – Transportation

Federal Food, Drug, and Cosmetic Act

NFPA 50: Standard for Bulk Oxygen Systems at Consumer Sites, 2001 Edition

NFPA 99: Standard for Health Care Facilities, 2002 Edition

U.S.P. 23

Density data and volume measurement equivalents published in Compressed Gas Association Pamphlet No. P-6, titled "Standard Density Data, Atmospheric Gases and Hydrogen," shall be used when necessary to convert measurement of gases from one form to another. For example, the following conversion factor shall apply for conversion from gallons to cubic feet.

Calculation based on data in CGA P-6

1 ft³ liquid O2 = 860.6 ft³ gas

1 ft³ liquid O2 = 7.48052 gal

Therefore:

7.48052-gal (1 ft³) liquid O2 = 860.6 ft³ gas

1 gal liquid O2 = 860.6 ft³ gas

7.48052

1 gal liquid O2 = 115.05 ft³ gas (or more commonly quoted as 1 gal liquid O2 = 115.1 ft³ gas)

7. DELIVERY INSTRUCTIONS

Upon delivery of bulk oxygen, the driver / contractor will call VA Police at the number listed on the tank, extension 7554. VA Police will immediately call FMS at (813) 972-2000 extension 107055 and will continue remotely monitoring the delivery via closed camera. The driver must provide to the FMS Technician, identification issued by the contractor. If available, the FMS Technician will monitor the tank refilling procedure.

The contractor driver will fill the tank and run through the required series of safety checks on the lines and the valves of the tanks.