75N98020C00002_SF.pdf

AWARD/CONTRACT

2. CONTRACT (Proc. Inst. Ident.) NO. 3. EFFECTIVE DATE

5. ISSUED BY CODE 6. ADMINISTERED BY (If other than Item 5)

UNDER DPAS (15 CFR 700)

4. REQUISITION/PURCHASE REQUEST/PROJECT NO.

7. NAME AND ADDRESS OF CONTRACTOR (No., street, country, State and ZIP Code)

1. THIS CONTRACT IS A RATED ORDER RATING PAGE OF PAGES

8. DELIVERY

9. DISCOUNT FOR PROMPT PAYMENT

10. SUBMIT INVOICES

(4 copies unless otherwise specified)

TO THE ADDRESS SHOWN IN

ITEM

CODE

CODE CODE

FACILITY CODE

11. SHIP TO/MARK FOR 12. PAYMENT WILL BE MADE BY

41 U.S.C. 3304 (a) ( 10 U.S.C. 2304 (c) (

13. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION: 14. ACCOUNTING AND APPROPRIATION DATA

75N98020C00002 See Block 20C 5620510

OD/OLAO-OA

National Institutes of Health Office of Logistics and Office of Administration 6011 Executive Blvd Rockville, MD 20852-3804

OD/OLAO

National Institutes of Health OD - Office of Logistics and Acquisition Operations Bethesda, MD 20892-7511

EAGLE HEALTH, LLC:1331570

7050 INFANTRY RIDGE ROAD

MANASSAS VA 20109

OTHER (See below)FOB ORIGIN X

CODE

BLDG 10, 6C306

Building 10, Room 6c306, Bethesda, BLDG 10, , Room 6c306 10 Center Dr Bethesda MD 20892

NIH COMMERCIAL ACCTS

NIH Commercial Accts Commercial Accounts Branch 2115 East Jefferson St, MSC 8500 Room 4B-432 Bethesda, MD 20892-8500

X See Schedule) )

SCD-C

15A. ITEM NO 15F. AMOUNT15E. UNIT PRICE15D.

UNIT

15C.

QUANTITY

15B. SUPPLIES/SERVICES

Continued

15G. TOTAL AMOUNT OF CONTRACT $1,500,000.00

16. TABLE OF CONTENTS

(X) SEC. DESCRIPTION (X) PAGE(S) DESCRIPTION SEC.

A

B

C

D

E

F

G

H

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

SOLICITATION/CONTRACT FORM

SUPPLIES OR SERVICES AND PRICES/COSTS

DESCRIPTION/SPECS./WORK STATEMENT

PACKAGING AND MARKING

INSPECTION AND ACCEPTANCE

DELIVERIES OR PERFORMANCE

CONTRACT ADMINISTRATION DATA

SPECIAL CONTRACT REQUIREMENTS M

L

K

J

I

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

CONTRACT CLAUSES

LIST OF ATTACHMENTS

REPRESENTATIONS, CERTIFICATIONS AND

INSTRS., CONDS., AND NOTICES TO OFFERORS

EVALUATION FACTORS FOR AWARD

OTHER STATEMENTS OF OFFERORS

PART IV - REPRESENTATIONS AND INSTRUCTIONS

X

X

X

X

X

X

X

X

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PAGE(S)

17. CONTRACTOR' S NEGOTIATED AGREEMENT (Contractor is required to sign this document and return copies to issuing office.) Contractor agrees to furnish and deliver all items or perform all the services set forth or otherwise identified above and on any continuation sheets for the consideration stated herein. The rights and obligations of the parties to this contract shall be subject to and governed by the following documents: (a) this award/contract, (b) the solicitation, if any, and (c) such provisions, representations, certifications, and specifications, as are attached or incorporated by reference herein. (Attachments are listed herein.)

No further contractual document is necessary. (Block 18 should be checked only when awarding a sealed-bid contract.)

documents: (a) the Government's solicitation and your bid, and (b) this award/contract.

sheets. This award consummates the contract which consists of the following in full above, is hereby accepted as to the items listed above and on any continuation including the additions or changes made by you which additions or changes are set forth

Solicitation Number

SEALED-BID AWARD (Contractor is not required to sign this document.) Your bid on 18.

20C. DATE SIGNED

(Signature of the Contracting Officer)

20B. UNITED STATES OF AMERICA

20A. NAME OF CONTRACTING OFFICER

19B. NAME OF CONTRACTOR

19A. NAME AND TITLE OF SIGNER (Type or print)

BY

(Signature of person authorized to sign)

19C. DATE SIGNED

BY

STANDARD FORM 26 (Rev. 3/2013)

Prescribed by GSA - FAR (48 CFR) 53.214(a)

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is NOT usable

X

DARNESE M. WILKERSON

CONTRACTING OFFICER WILL COMPLETE ITEM 17 (SEALED-BID OR NEGOTIATED PROCUREMENT) OR 18 (SEALED-BID PROCUREMENT) AS APPLICABLE

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 36

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

EAGLE HEALTH, LLC:1331570

75N98020C00002

(A) (B) (C) (D) (E) (F)

Occupational Medical Services

EAGLE HEALTH, LLC:1331570 [20-001580]

Delivery: 02/27/2020

Period of Performance: 02/01/2020 to 01/31/2021

1 Base Year Partial Funding Occupational Medical 1,500,000.00

Service

CAN 8016766 -- Catalog # : N/A

Fully Funded Obligation Amount: $1,500,000.00

Product/Service Code: Q201

Product/Service Description: MEDICAL- GENERAL

HEALTH CARE

Project Data:

136637.2020.100.HNAM5R2 OD OM ORS OSR DOHS

DIVISION OF OCCUPATIONAL HEALTH.25343 OCCUPTION

HLTH&SAFTY SVC.01/23/2020

Accounting Info:

08000420200RAD.2020.06.A100.HNAM500000C.I.00576.90

1.9999.25343.61000001.9999.9999.9999

Funded: $1,500,000.00

AUTHORIZED FOR LOCAL REPRODUCTION OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110