Attachment 1 - Solicitation - FA460021Q0016.pdf

PDF 429 KB Posted Feb 1, 2021

Attached to: Bulk Oxygen Tank and Liquid Oxygen Services Federal contract opportunity
Solicitation number: FA460021Q0016
Issued by: Department of the Air Force Air Combat Command

View the file

Other files for this federal contract opportunity

Other files attached to Bulk Oxygen Tank and Liquid Oxygen Services, newest first.
File	Type	Posted
Attachment 3 - Solicitation_Amendment_0001_FA460021Q0016.pdf	PDF	Feb 10, 2021
Attachment 2 - SOW.pdf	PDF	Feb 1, 2021

On GovTribe

Work with this file on GovTribe

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

TELEPHONE NO.

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

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

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

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

FA460021Q0016

Solicitation/Contract Form

Supplies or Services and Prices/Cost

Additional Information/Notes

Item Supplies/Service Quantity Unit Unit Price Amount

Oxygen Service - The Contractor shall monitor the liquid oxygen tank level and fill tank as necessary, not to exceed 6000 gallons per Period of Performance. Liquid oxygen must be certified as medical grade.

See PWS for requirements. Period of Performance 1 April 2021 - 31 March 2022.

Firm Fixed Price

6,000 Gallon

Oxygen Storage Tank Rental - The Contractor shall provide a minimum 900 gallon tank rental. Storage tank shall be installed and located at the 55 MDG Erhling Bergquist Medical Clinic, Offutt AFB, NE. The storage unit shall be of a stationary type that can be filled from a delivery truck without being removed from the storage area. See PWS for requirements. Period of Performance 1 April 2021 - 31 March 2022 Firm Fixed Price

12 Months

Bulk Oxygen Purification Certification - The Contractor shall provide an annual inspection as required by the FDA as well as a purity certificate of analysis for each delivery of liquid oxygen. Period of Performance 1 April 2021 - 31 March 2022 Firm Fixed Price

12 Each

Option Line Item

Bulk Oxygen Delivery Fee - The Contractor shall provide all transportation, labor, parts, and tools necessary to deliver medical grade Liquid Oxygen. Deliveries shall be conducted during normal working hours, Monday through Friday 0700-1600, excluding Federal Holidays. See PWS for requirements. Period of Performance 1 April 2021 - 31 March 2022 Firm Fixed Price

12 Each

Option Line Item

See PWS for requirements. Period of Performance 1 April 2022 - 31 March 2023.

Firm Fixed Price

6,000 Gallon

Option

Oxygen Storage Tank Rental - The Contractor shall provide a minimum 900 gallon tank rental. Storage tank shall be installed and located at the 55 MDG Erhling Bergquist Medical Clinic, Offutt

Line Item

AFB, NE. The storage unit shall be of a stationary type that can be filled from a delivery truck without being removed from the storage area. See PWS for requirements. Period of Performance 1 April 2022 - 31 March 2023 Firm Fixed Price

12 Months

Option Line Item

12 Each

Option Line Item

12 Each

Option Line Item

See PWS for requirements. Period of Performance 1 April 2023 - 31 March 2024.

Firm Fixed Price

6,000 Gallon

Option Line Item

12 Months

Option Line Item

12 Each

Option Line Item

12 Each

April 2023 - 31 March 2024 Firm Fixed Price

Option Line Item

See PWS for requirements. Period of Performance 1 April 2024 - 31 March 2025.

Firm Fixed Price

6,000 Gallon

Option Line Item

12 Months

Option Line Item

12 Each

Option Line Item

12 Each

Option Line Item

See PWS for requirements. Period of Performance 1 April 2025 - 31 March 2026.

Firm Fixed Price

6,000 Gallon

Option Line Item

12 Months

April 2025 - 31 March 2026 Firm Fixed Price

Option Line Item

12 Each

Option Line Item

12 Each

Option Line Item

Bulk Liquid Oxygen Service - Six month extension IAW 52.217-8, Option to Extend Service (Nov 1999). The Government may require continued performance of any services within the limits and at the rates specified in the contract. The six month extension shall be priced by the offeror using the rates proposed for the last option period. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor.

Firm Fixed Price

3,000 Gallon

Option Line Item

Oxygen Storage Tank Rental - Six month extension IAW 52.217-8, Option to Extend Service (Nov 1999). The Government may require continued performance of any services within the limits and at the rates specified in the contract. The six month extension shall be priced by the offeror using the rates proposed for the last option period. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor.

Firm Fixed Price

6 Months

Option Line Item

Bulk Oxygen Purification Certificate - Six month extension IAW 52.217-8, Option to Extend Service (Nov 1999). The Government may require continued performance of any services within the limits and at the rates specified in the contract. The six month extension shall be priced by the offeror using the rates proposed for the last option period. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor.

Firm Fixed Price

6 Each

Option

Bulk Oxygen Delivery Fee - Six month extension IAW 52.217-8, Option to Extend Service (Nov 1999). The Government may require continued performance of any

Line Item services within the limits and at the rates specified in the contract. The six month extension shall be priced by the offeror using the rates proposed for the last option period. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor.

Firm Fixed Price

6 Each

Description/Specifications/Statement of Work

Statement of Work for Liquid Medical Oxygen Delivery/Refill Service with Storage Tank Rental 1 November 2020

1. Scope: Contractor to provide all transportation, labor, parts, tools, necessary to provide a minimum 900 gallon Liquid Oxygen Storage Vessel (tank) with 8 cylinder medical oxygen manifold system as a rental unit, also fill storage tank with medical grade Liquid Oxygen on an as needed basis.

2. Major Items of Work:

2.1. The vendor, at his expense will:

2.2. Ensure the system and location of the tank area is in compliance with NFPA 99 and ASSE Series 6000 requirements.

2.3. Install on renter's property the storage tank, control and vaporization equipment to supply renter's requirements.

2.4. Maintain and repair the equipment and maintain adequate insurance in case of damage.

2.5. Contractor shall coordinate removal of current equipment following award of this agreement.

2.6. Removal date will be coordinated with the medical logistics flight at least 72 hours in advance.

3. Location of equipment:

55th Medical Group 2501 Capehart Road Offutt AFB, Nebraska 68113-2160

4. Reporting instructions: Before beginning and upon completion of any scheduled or unscheduled service call visit, the contractor's service representative will contact representative of the Medical Logistics Receiving at

(402) 294-4615 or 294-9300. Access to the clinic will only be authorized during duty hours, Monday through Friday 0700-1600. Access to the clinic may be hampered during heightened security. The vendor shall hold the government harmless for delays caused by security. The two normal ways to access the facility will be to arrive at the south parking lot entrance and call (402) 294-4615 or 294-9300 for an escort or to apply for a contractor's badge through the 55th Security Forces squadron (recommended if accessing more than once per month). The Medical Logistics shop will assist with either option upon award.

5. Reliability: Equipment is considered life critical. Prolonged failure of the system could cause patient death.

6. Safety: The contractor and contractor representatives shall comply with Air Force safety standards at all times while on government property. In accordance with AFOSH Standards 91-8/91-501, and Federal Occupational, Health and Safety agency (OSHA) standards, safe working practices shall be followed. These include, but are not limited to:

6.1. Wearing of seatbelts/shoulder harnesses at all times while driving on Offutt AFB.

6.2. Observe maximum speed limits, 25 MPH unless otherwise posted, on Offutt AFB.

6.3. Contractor personnel shall remove watches, rings, and jewelry prior to servicing electrical circuits.

6.4. If a unit is left in a non-operational state, it shall be tagged DO NOT OPERATE. The tag shall also include the name of the contracting company and the representative placing the tag on the equipment. The contractor shall comply with the Biomedical Equipment Maintenance Department's current lock out I tag out policy located in their shop. The 55th Medical Group shall provide a copy of the current policy with this Statement of Work.

6.5. Comply with the no smoking policy within 55th Medical Group.

6.6. Report to the Biomedical Equipment Maintenance Department any problems with building utilities such as blown circuit breakers and defective/broken electrical receptacles.

6.7. Comply with all 55th Medical Group Fire Regulations. The 55th Medical Group will provide a copy of the regulations, and/or provide the website to access the regulations.

6.8. Contractor shall provide annual inspection as required by the FDA as well as a purity certificate of analysis for each delivery of liquid oxygen.

6.9. GPC payment may be accepted not to exceed $2500 for 2 payment cycles.

Requirements Liquid Oxygen tank lease and oxygen delivery.

Packaging and Marking

Inspection and Acceptance

0001 Inspection and Acceptance Location Both Destination Instructions: See SOW for delivery instructions.

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: (402)-294-7385 Email: jamie.wilkins.2@us.af.mil

0002 Inspection and Acceptance Location Both Destination Instructions: See SOW for delivery instructions.

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

0003 Inspection and Acceptance Location Both Destination Instructions: See SOW for delivery instructions.

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 0004 Inspection and Acceptance Location Both Destination Instructions: See SOW for delivery instructions.

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 1001 Inspection and Acceptance Location Both Destination Instructions: See SOW for delivery instructions.

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 1002 Inspection and Acceptance Location Both Destination Instructions: See SOW for delivery instructions.

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Email: jamie.wilkins.2@us.af.mil Telephone: 402-294-7385

Option Line Item 1003 Inspection and Acceptance Location Both Destination Instructions: See SOW for delivery instructions.

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 1004 Inspection and Acceptance Location Both Destination Instructions: See SOW for delivery instructions.

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Email: jamie.wilkins.2@us.af.mil Telephone: 402-294-7385

Option Line Item 2001 Inspection and Acceptance Location Both Destination Instructions: See SOW for delivery instructions.

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Email: jamie.wilkins.2@us.af.mil Telephone: 402-294-7385

Option Line Item 2002 Inspection and Acceptance Location Both Destination Instructions: See SOW for delivery instructions.

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385

Option Line Item 2003 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 2004 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 3001 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 3002 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 3003 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385

Option Line Item 3004 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 4001 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 4002 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 4003 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 4004 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 5001

Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 5002 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 5003 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385 Email: jamie.wilkins.2@us.af.mil

Option Line Item 5004 Inspection and Acceptance Location Both Destination Instructions: Please see SOW for requirements

DoDAAC: F3H4A1 Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

55 MDSS

AF BPN NO MILSBILLS PROCESSES

EHRLING BERQUIST HOSP 2501 CAPE

OFFUTT AFB, NE 68113 2160

UNITED STATES

OfficeCode:

Jamie Wilkins Telephone: 402-294-7385

Deliveries or Performance

Delivery Schedule

Period of Performance From

01 APR 2021

31 MAR 2022

Delivery Schedule

Period of Performance From

01 APR 2021

31 MAR 2022

Delivery Schedule

Period of Performance From

01 APR 2021

31 MAR 2022

Option Line Item 0004 Delivery Schedule

Period of Performance From

01 APR 2021

31 MAR 2022

Option Line Item 1001 Delivery Schedule

Period of Performance From

01 APR 2022

31 MAR 2023

Option Line Item 1002 Delivery Schedule

Period of Performance From

01 APR 2022

31 MAR 2023

Option Line Item 1003 Delivery Schedule

Period of Performance From

01 APR 2022

31 MAR 2023

Option Line Item 1004 Delivery Schedule

Period of Performance From

01 APR 2022

31 MAR 2023

Option Line Item 2001 Delivery Schedule

Period of Performance From

01 APR 2023

31 MAR 2024

Option Line Item 2002 Delivery Schedule

Period of Performance From

01 APR 2023

31 MAR 2024

Option Line Item 2003

Delivery Schedule

Period of Performance From

01 APR 2023

31 MAR 2024

Option Line Item 2004 Delivery Schedule

Period of Performance From

01 APR 2023

31 MAR 2024

Option Line Item 3001 Delivery Schedule

Period of Performance From

01 APR 2024

31 MAR 2025

Option Line Item 3002 Delivery Schedule

Period of Performance From

01 APR 2024

31 MAR 2025

Option Line Item 3003 Delivery Schedule

Period of Performance From

01 APR 2024

31 MAR 2025

Option Line Item 3004 Delivery Schedule

Period of Performance From

01 APR 2024

31 MAR 2025

Option Line Item 4001 Delivery Schedule

Period of Performance From

01 APR 2025

31 MAR 2026

Option Line Item 4002 Delivery Schedule

Period of Performance From

01 APR 2025

31 MAR 2026

Option Line Item 4003 Delivery Schedule

Period of Performance From

01 APR 2025

31 MAR 2026

Option Line Item 4004 Delivery Schedule

Period of Performance From

01 APR 2025

31 MAR 2026

Option Line Item 5001

Option Line Item 5002

Option Line Item 5003

Option Line Item 5004

FAR Clauses Incorporated by Reference

Number Title Effective Date 52.242-15 Stop-Work Order. 1989-08

DFARS Clauses Incorporated by Full Text

252.247-7023 Transportation of Supplies by Sea. 2019-02

TRANSPORTATION OF SUPPLIES BY SEA—BASIC (FEB 2019)

(a) Definitions. As used in this clause—

“Components” means articles, materials, and supplies incorporated directly into end products at any level of manufacture, fabrication, or assembly by the Contractor or any subcontractor.

“Department of Defense” (DoD) means the Army, Navy, Air Force, Marine Corps, and defense agencies.

“Foreign-flag vessel” means any vessel that is not a U.S.-flag vessel.

“Ocean transportation” means any transportation aboard a ship, vessel, boat, barge, or ferry through international waters.

“Subcontractor” means a supplier, materialman, distributor, or vendor at any level below the prime contractor whose contractual obligation to perform results from, or is conditioned upon, award of the prime contract and who is performing any part of the work or other requirement of the prime contract.

“Supplies” means all property, except land and interests in land, that is clearly identifiable for eventual use by or owned by the DoD at the time of transportation by sea.

(i) An item is clearly identifiable for eventual use by the DoD if, for example, the contract documentation contains a reference to a DoD contract number or a military destination.

(ii) “Supplies” includes (but is not limited to) public works; buildings and facilities; ships; floating equipment and vessels of every character, type, and description, with parts, subassemblies, accessories, and equipment; machine tools; material; equipment; stores of all kinds; end items;

construction materials; and components of the foregoing.

“U.S.-flag vessel” means a vessel of the United States or belonging to the United States, including any vessel registered or having national status under the laws of the United States.

(b)(1) The Contractor shall use U.S.-flag vessels when transporting any supplies by sea under this contract.

(2) A subcontractor transporting supplies by sea under this contract shall use U.S.-flag vessels if—

(i) This contract is a construction contract; or

(ii) The supplies being transported are—

(A) Noncommercial items; or

(B) Commercial items that—

(1) The Contractor is reselling or distributing to the Government without adding value (generally, the Contractor does not add value to items that it subcontracts for f.o.b. destination shipment);

(2) Are shipped in direct support of U.S. military contingency operations, exercises, or forces deployed in humanitarian or peacekeeping operations; or

(3) Are commissary or exchange cargoes transported outside of the Defense Transportation System in accordance with 10 U.S.C. 2643.

(c) The Contractor and its subcontractors may request that the Contracting Officer authorize shipment in foreign-flag vessels, or designate available U.S.-flag vessels, if the Contractor or a subcontractor believes that—

(1) U.S.-flag vessels are not available for timely shipment;

(2) The freight charges are inordinately excessive or unreasonable; or

(3) Freight charges are higher than charges to private persons for transportation of like goods.

(d) The Contractor must submit any request for use of foreign-flag vessels in writing to the Contracting Officer at least 45 days prior to the sailing date necessary to meet its delivery schedules. The Contracting Officer will process requests submitted after such date(s) as expeditiously as possible, but the Contracting Officer's failure to grant approvals to meet the shipper's sailing date will not of itself constitute a compensable delay under this or any other clause of this contract. Requests shall contain at a minimum—

(1) Type, weight, and cube of cargo;

(2) Required shipping date;

(3) Special handling and discharge requirements;

(4) Loading and discharge points;

(5) Name of shipper and consignee;

(6) Prime contract number; and

(7) A documented description of efforts made to secure U.S.-flag vessels, including points of contact (with names and telephone numbers) with at least two U.S.-flag carriers contacted. Copies of telephone notes, telegraphic and facsimile message or letters will be sufficient for this purpose.

(e) The Contractor shall, within 30 days after each shipment covered by this clause, provide the Contracting Officer and the Maritime Administration, Office of Cargo Preference, U.S. Department of Transportation, 400 Seventh Street SW, Washington, DC 20590, one copy of the rated on board vessel operating carrier's ocean bill of lading, which shall contain the following information:

(1) Prime contract number;

(2) Name of vessel;

(3) Vessel flag of registry;

(4) Date of loading;

(5) Port of loading;

(6) Port of final discharge;

(7) Description of commodity;

(8) Gross weight in pounds and cubic feet if available;

(9) Total ocean freight in U.S. dollars; and

(10) Name of steamship company.

(f) If this contract exceeds the simplified acquisition threshold, the Contractor shall provide with its final invoice under this contract a representation that to the best of its knowledge and belief—

(1) No ocean transportation was used in the performance of this contract;

(2) Ocean transportation was used and only U.S.-flag vessels were used for all ocean shipments under the contract;

(3) Ocean transportation was used, and the Contractor had the written consent of the Contracting Officer for all foreign-flag ocean transportation; or

(4) Ocean transportation was used and some or all of the shipments were made on foreign-flag vessels without the written consent of the Contracting Officer. The Contractor shall describe these shipments in the following format:

ITEM DESCRIPTION CONTRACT LINE ITEMS QUANTITY

TOTAL ____ ____ ____

(g) If this contract exceeds the simplified acquisition threshold and the final invoice does not include the required representation, the Government will reject and return it to the Contractor as an improper invoice for the purposes of the Prompt Payment clause of this contract. In the event there has been unauthorized use of foreign-flag vessels in the performance of this contract, the Contracting Officer is entitled to equitably adjust the contract, based on the unauthorized use.

(h) If the Contractor indicated in response to the solicitation provision, Representation of Extent of Transportation by Sea, that it did not anticipate transporting by sea any supplies; however, after the award of this contract, the Contractor learns that supplies will be transported by sea, the Contractor shall—

(1) Notify the Contracting Officer of that fact; and

(2) Comply with all the terms and conditions of this clause.

(i) In the award of subcontracts, for the types of supplies described in paragraph (b)(2) of this clause, including subcontracts for commercial items, the Contractor shall flow down the requirements of this clause as follows:

(1) The Contractor shall insert the substance of this clause, including this paragraph (i), in subcontracts that exceed the simplified acquisition threshold in part 2 of the Federal Acquisition Regulation.

(2) The Contractor shall insert the substance of paragraphs (a) through (e) of this clause, and this paragraph (i), in subcontracts that are at or below the simplified acquisition threshold in part 2 of the Federal Acquisition Regulation.

(End of clause)

Contract Administration Data

DFARS Clauses Incorporated by Reference

Number Title Effective Date 252.201-7000 Contracting Officer's Representative 1991-12 252.204-7006 Billing Instructions. 2005-10 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. 2018-12

DFARS Clauses Incorporated by Full Text

252.232-7006 Wide Area WorkFlow Payment Instructions. 2018-12

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(a) Definitions. As used in this clause—

“Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

“Payment request” and “receiving report” are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items—

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

N/A

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

Invoice 2in1

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial item financing, submit a commercial item financing request.

(2) ) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC F87700 Issue By DoDAAC FA4600 Admin DoDAAC FA4600 Inspect By DoDAAC F3H4A1 Ship To Code F3H4A1 Ship From Code N/A Mark For Code N/A Service Approver (DoDAAC) F3H4A1 Service Acceptor (DoDAAC) F3H4A1 Accept at Other DoDAAC N/A LPO DoDAAC N/A DCAA Auditor DoDAAC N/A Other DoDAAC(s) N/A

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) Receiving report. The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

Services Flight 402-232-2371

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

Special Contract Requirements

DFARS Clauses Incorporated by Full Text

252.211-7003 Item Unique Identification and Valuation. 2016-03

ITEM UNIQUE IDENTIFICATION AND VALUATION (MAR 2016)

(a) Definitions. As used in this clause—

“Automatic identification device” means a device, such as a reader or interrogator, used to retrieve data encoded on machine-readable media.

“Concatenated unique item identifier” means—

(1) For items that are serialized within the enterprise identifier, the linking together of the unique identifier data elements in order of the issuing agency code, enterprise identifier, and unique serial number within the enterprise identifier; or

(2) For items that are serialized within the original part, lot, or batch number, the linking together of the unique identifier data elements in order of the issuing agency code; enterprise identifier; original part, lot, or batch number; and serial number within the original part, lot, or batch number.

“Data matrix” means a two-dimensional matrix symbology, which is made up of square or, in some cases, round modules arranged within a perimeter finder pattern and uses the Error Checking and Correction 200 (ECC200) specification found within International Standards Organization (ISO) /International Electrotechnical Commission (IEC) 16022.

“Data qualifier” means a specified character (or string of characters) that immediately precedes a data field that defines the general category or intended use of the data that follows.

“DoD recognized unique identification equivalent” means a unique identification method that is in commercial use and has been recognized by DoD.

All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid_equivalents.html.

“DoD item unique identification” means a system of marking items delivered to DoD with unique item identifiers that have machine-readable data elements to distinguish an item from all other like and unlike items. For items that are serialized within the enterprise identifier, the unique item identifier shall include the data elements of the enterprise identifier and a unique serial number. For items that are serialized within the part, lot, or batch number within the enterprise identifier, the unique item identifier shall include the data elements of the enterprise identifier; the original part, lot, or batch number; and the serial number.

“ Enterprise ” means the entity (e.g., a manufacturer or vendor) responsible for assigning unique item identifiers to items.

“ Enterprise identifier” means a code that is uniquely assigned to an enterprise by an issuing agency.

“Government’s unit acquisition cost” means—

(1) For fixed-price type line, subline, or exhibit line items, the unit price identified in the contract at the time of delivery;

(2) For cost-type or undefinitized line, subline, or exhibit line items, the Contractor’s estimated fully burdened unit cost to the Government at the time of delivery; and

(3) For items produced under a time-and-materials contract, the Contractor’s estimated fully burdened unit cost to the Government at the time of delivery.

“Issuing agency” means an organization responsible for assigning a globally unique identifier to an enterprise, as indicated in the Register of Issuing Agency Codes for ISO/IEC 15459, located at http://www.aimglobal.org/?Reg_Authority15459.

“Issuing agency code” means a code that designates the registration (or controlling) authority for the enterprise identifier.

“Item” means a single hardware article or a single unit formed by a grouping of subassemblies, components, or constituent parts.

“ Lot or batch number” means an identifying number assigned by the enterprise to a designated group of items, usually referred to as either a lot or a batch, all of which were manufactured under identical conditions.

“Machine-readable” means an automatic identification technology media, such as bar codes, contact memory buttons, radio frequency identification, or optical memory cards.

“Original part number” means a combination of numbers or letters assigned by the enterprise at item creation to a class of items with the same form, fit, function, and interface.

“Parent item” means the item assembly, intermediate component, or subassembly that has an embedded item with a unique item identifier or DoD recognized unique identification equivalent.

“Serial number within the enterprise identifier” means a combination of numbers, letters, or symbols assigned by the enterprise to an item that provides for the differentiation of that item from any other like and unlike item and is never used again within the enterprise.

“Serial number within the part, lot, or batch number” means a combination of numbers or letters assigned by the enterprise to an item that provides for the differentiation of that item from any other like item within a part, lot, or batch number assignment.

“Serialization within the enterprise identifier” means each item produced is assigned a serial number that is unique among all the tangible items produced by the enterprise and is never used again. The enterprise is responsible for ensuring unique serialization within the enterprise identifier.

“Serialization within the part, lot, or batch number” means each item of a particular part, lot, or batch number is assigned a unique serial number within that part, lot, or batch number assignment. The enterprise is responsible for ensuring unique serialization within the part, lot, or batch number within the enterprise identifier.

“Type designation” means a combination of letters and numerals assigned by the Government to a major end item, assembly or subassembly, as appropriate, to provide a convenient means of differentiating between items having the same basic name and to indicate modifications and changes thereto.

“Unique item identifier” means a set of data elements marked on items that is globally unique and unambiguous. The term includes a concatenated unique item identifier or a DoD recognized unique identification equivalent.

“Unique item identifier type” means a designator to indicate which method of uniquely identifying a part has been used. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html.

(b) The Contractor shall deliver all items under a contract line, subline, or exhibit line item.

(1) The Contractor shall provide a unique item identifier for the following:

(i) Delivered items for which the Government’s unit acquisition cost is $5,000 or more, except for the following line items:

Contract Line, Subline, or

Exhibit Line Item Number Item Description

(ii) Items for which the Government’s unit acquisition cost is less than $5,000 that are identified in the Schedule or the following table:

Contract Line, Subline, or

Exhibit Line Item Number Item Description

(If items are identified in the Schedule, insert “See Schedule in this table.)

(iii) Subassemblies, components, and parts embedded within delivered items, items with warranty requirements, DoD serially managed reparables and DoD serially managed nonreparables as specified in Attachment Number ____.

(iv) Any item of special tooling or special test equipment as defined in FAR 2.101 that have been designated for preservation and storage for a Major Defense Acquisition Program as specified in Attachment Number ____.

(v) Any item not included in (i), (ii), (iii), or (iv) for which the contractor creates and marks a unique item identifier for traceability.

(2) The unique item identifier assignment and its component data element combination shall not be duplicated on any other item marked or registered in the DoD Item Unique Identification Registry by the contractor.

(3) The unique item identifier component data elements shall be marked on an item using two dimensional data matrix symbology that complies with ISO/IEC International Standard 16022, Information technology – International symbology specification – Data matrix; ECC200 data matrix specification.

(4) Data syntax and semantics of unique item identifiers. The Contractor shall ensure that—

(i) The data elements (except issuing agency code) of the unique item identifier are encoded within the data matrix symbol that is marked on the item using one of the following three types of data qualifiers, as determined by the Contractor:

(A) Application Identifiers (AIs) (Format Indicator 05 of ISO/IEC International Standard 15434), in accordance with ISO/IEC International Standard 15418, Information Technology – EAN/UCC Application Identifiers and Fact Data Identifiers and Maintenance and ANSI MH 10.8.2 Data Identifier and Application Identifier Standard.

(B) Data Identifiers (DIs) (Format Indicator 06 of ISO/IEC International Standard 15434), in accordance with ISO/IEC International Standard 15418, Information Technology – EAN/UCC Application Identifiers and Fact Data Identifiers and Maintenance and ANSI MH 10.8.2 Data Identifier and Application Identifier Standard.

(C) Text Element Identifiers (TEIs) (Format Indicator 12 of ISO/IEC International Standard 15434), in accordance with the Air Transport Association Common Support Data Dictionary; and

(ii) The encoded data elements of the unique item identifier conform to the transfer structure, syntax, and coding of messages and data formats specified for Format Indicators 05, 06, and 12 in ISO/IEC International Standard 15434, Information Technology – Transfer Syntax for High Capacity Automatic Data Capture Media.

(5) Unique item identifier.

(i) The Contractor shall—

(A) Determine whether to—

(1) Serialize within the enterprise identifier;

(2) Serialize within the part, lot, or batch number; or

(3) Use a DoD recognized unique identification equivalent (e.g. Vehicle Identification Number); and

(B) Place the data elements of the unique item identifier (enterprise identifier; serial number; DoD recognized unique identification equivalent; and for serialization within the part, lot, or batch number only: original part, lot, or batch number) on items requiring marking by paragraph (c)(1) of this clause, based on the criteria provided in MIL-STD-130, Identification Marking of U.S. Military Property, latest version;

(C) Label shipments, storage containers and packages that contain uniquely identified items in accordance with the requirements of MIL-STD-129, Military Marking for Shipment and Storage, latest version; and

(D) Verify that the marks on items and labels on shipments, storage containers, and packages are machine readable and conform to the applicable standards. The contractor shall use an automatic identification technology device for this verification that has been programmed to the requirements of Appendix A, MIL-STD-130, latest version.

(ii) The issuing agency code—

(A) Shall not be placed on the item; and

(B) Shall be derived from the data qualifier for the enterprise identifier.

(d) For each item that requires item unique identification under paragraph (c)(1)(i), (ii), or (iv) of this clause or when item unique identification is provided under paragraph (c)(1)(v), in addition to the information provided as part of the Material Inspection and Receiving Report specified elsewhere in this contract, the Contractor shall report at the time of delivery, as part of the Material Inspection and Receiving Report, the following information:

(1) Unique item identifier.

(2) Unique item identifier type.

(3) Issuing agency code (if concatenated unique item identifier is used).

(4) Enterprise identifier (if concatenated unique item identifier is used).

(5) Original part number (if there is serialization within the original part number).

(6) Lot or batch number (if there is serialization within the lot or batch number).

(7) Current part number (optional and only if not the same as the original part number).

(8) Current part number effective date (optional and only if current part number is used).

(9) Serial number (if concatenated unique item identifier is used).

(10) Government’s unit acquisition cost.

(11) Unit of measure.

(12) Type designation of the item as specified in the contract schedule, if any.

(13) Whether…

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Feb 1, 2021.