Combined Synopsis_Solicitation W91YTZ24R0036 Medical Gases.pdf

W91YTZ-24-R-0036

Solicitation: Combined Synopsis/Solicitation Description of Requirement:

Medical Gas Cylinders

Solicitation Number: W91YTZ-24-R-0036 Email address to submit Proposals:

mohamed.k.koroma.civ@health.mil thomas.l.powers14.mil@health.mil

Set Aside: 100% Small Business Set-Aside Delivery: Winn Amy Community Hospital (WINN), Fort Stewart, Georgia Period of Performance: October 01, 2024 – September 30, 2029 NAICS Code: Size Standard:

NAICS: 325120

Size Standard: 1,200

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued and is expected to result in the award of a firm-fixed price requirement type contract. The resulting award will be made on SF 1449, for commercial supplies and services. Solicitation number W91YTZ-24-R-0036 is issued as request for quote (RFQ). The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2024-04 and DFARS DPN 20240815.

This acquisition is a 100% Small Business Set-Aside, under size standard 1200 and NAICS code 325120. The Government anticipates awarding a single award for this requirement to provide delivery of medical gases as detailed the Contract Line Item Numbers below for Winn Army Community Hospital, Fort Stewart, Georgia. This requirement is for a base period and 4 option periods all responsible Small Businesses offers may submit a quotation which will be considered by the agency.

ITEM NO SUPPLIES/SERVICE QUANTITY UNIT UNIT PRICE AMOUNT

0001 150 CYL

Nitrogen

FFP

Provide Nitrogen Cylinders, Size K. Payment will be made for actual items ordered, received, and accepted by the Government POC: TBD

FOR: Destination

MRF PART NR:

PURCHASE REQUEST NUMBER: 0012118325

PSC CD: 6835

NET AMT

mailto:mohamed.k.koroma.civ@health.mil mailto:thomas.l.powers14.mil@health.mil

0002 100 CYL

Nitrous Oxide

FFP

Provide Nitrous Oxide Cylinders, Size K. Payment will be made for actual items ordered, received, and accepted by the

PURCHASE REQUEST NUMBER: 0012118325

0003 10 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size K. Payment will be made for actual items ordered, received, and accepted by the

PURCHASE REQUEST NUMBER: 0012118325

0004 6 CYL

Compressed Air

FFP

Provide Compressed Air Cylinders, Size K. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

0005 15 CYL

Carbon Dioxide

FFP

Provide Carbon Dioxide Cylinders, Size K. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

0006 50 CYL

Carbon Dioxide

FFP

Provide Carbon Dioxide Cylinders, Size E. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

0007 8 CYL

Nitrous Oxide

FFP

Provide Nitrous Oxide Cylinders, Size E. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

0008 200 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size D. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

0009 25 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size M. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

0010 75 CYL

Liquid Nitrogen

FFP

Provide Liquid Nitrogen Cylinders, 35L Dewar. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

0011 100 EA

Hydrostatic Testing

FFP

Provide Hydrostatic Testing-Customer owned Cylinder.

Payment will be made for actual items ordered, received, and accepted by the Government POC: TBD

PURCHASE REQUEST NUMBER: 0012118325

0012 100 EA

Maintenance Cylinder

FFP

Provide Maintenance cylinder “compliance charge”. Payment will be made for actual items ordered, received, and accepted by the Government POC: TBD

PURCHASE REQUEST NUMBER: 0012118325

0013 100 CYL

Painting of Customer Owned Cylinder

FFP

Provide Painting of Customer Owned Cylinder. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

0014 30 CYL

Medical Air USP

FFP

Provide Medical Air USP, Size E. Payment will be made for

PURCHASE REQUEST NUMBER: 0012118325

Billing shall occur monthly. Ordering Period: 01 October 2024 - 30 September 2025

1001 150 CYL

Nitrogen

FFP

Provide Nitrogen Cylinders, Size K. Payment will be made for

PURCHASE REQUEST NUMBER: 0012118325

1002 100 CYL

Nitrous Oxide

FFP

Provide Nitrous Oxide Cylinders, Size K. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

1003 10 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size K. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

1004 6 CYL

Compressed Air

FFP

Provide Compressed Air Cylinders, Size K. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

1005 15 CYL

Carbon Dioxide

FFP

Provide Carbon Dioxide Cylinders, Size K. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

1006 50 CYL

Carbon Dioxide

FFP

Provide Carbon Dioxide Cylinders, Size E. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

1007 8 CYL

Nitrous Oxide

FFP

Provide Nitrous Oxide Cylinders, Size E. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

1008 200 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size D. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

1009 25 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size M. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

1010 75 CYL

Liquid Nitrogen

FFP

Provide Liquid Nitrogen Cylinders, 35L Dewar. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

1011 100 EA

Hydrostatic Testing

FFP

Provide Hydrostatic Testing-Customer owned Cylinder.

PURCHASE REQUEST NUMBER: 0012118325

1012 100 EA

Maintenance Cylinder

FFP

Provide Maintenance cylinder “compliance charge”. Payment

PURCHASE REQUEST NUMBER: 0012118325

1013 100 CYL

Painting of Customer Owned Cylinder

FFP

Provide Painting of Customer Owned Cylinder. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

1014 30 CYL

Medical Air USP

FFP

Provide Medical Air USP, Size E. Payment will be made for

PURCHASE REQUEST NUMBER: 0012118325

Billing shall occur monthly. Ordering Period: 01 October 2025 - 30 September 2026

2001 150 CYL

Nitrogen

FFP

Provide Nitrogen Cylinders, Size K. Payment will be made for

PURCHASE REQUEST NUMBER: 0012118325

2002 100 CYL

Nitrous Oxide

FFP

Provide Nitrous Oxide Cylinders, Size K. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

2003 10 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size K. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

2004 6 CYL

Compressed Air

FFP

Provide Compressed Air Cylinders, Size K. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

2005 15 CYL

Carbon Dioxide

FFP

Provide Carbon Dioxide Cylinders, Size K. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

2006 50 CYL

Carbon Dioxide

FFP

Provide Carbon Dioxide Cylinders, Size E. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

2007 8 CYL

Nitrous Oxide

FFP

Provide Nitrous Oxide Cylinders, Size E. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

2008 200 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size D. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

2009 25 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size M. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

2010 75 CYL

Liquid Nitrogen

FFP

Provide Liquid Nitrogen Cylinders, 35L Dewar. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

2011 100 EA

Hydrostatic Testing

FFP

Provide Hydrostatic Testing-Customer owned Cylinder.

PURCHASE REQUEST NUMBER: 0012118325

2012 100 EA

Maintenance Cylinder

FFP

Provide Maintenance cylinder “compliance charge”. Payment

PURCHASE REQUEST NUMBER: 0012118325

2013 100 CYL

Painting of Customer Owned Cylinder

FFP

Provide Painting of Customer Owned Cylinder. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

2014 30 CYL

Medical Air USP

FFP

Provide Medical Air USP, Size E. Payment will be made for

PURCHASE REQUEST NUMBER: 0012118325

Billing shall occur monthly. Ordering Period: 01 October 2026 - 30 September 2027

3001 150 CYL

Nitrogen

FFP

Provide Nitrogen Cylinders, Size K. Payment will be made for

PURCHASE REQUEST NUMBER: 0012118325

3002 100 CYL

Nitrous Oxide

FFP

Provide Nitrous Oxide Cylinders, Size K. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

3003 10 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size K. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

3004 6 CYL

Compressed Air

FFP

Provide Compressed Air Cylinders, Size K. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

3005 15 CYL

Carbon Dioxide

FFP

Provide Carbon Dioxide Cylinders, Size K. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

3006 50 CYL

Carbon Dioxide

FFP

Provide Carbon Dioxide Cylinders, Size E. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

3007 8 CYL

Nitrous Oxide

FFP

Provide Nitrous Oxide Cylinders, Size E. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

3008 200 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size D. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

3009 25 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size M. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

3010 75 CYL

Liquid Nitrogen

FFP

Provide Liquid Nitrogen Cylinders, 35L Dewar. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

3011 100 EA

Hydrostatic Testing

FFP

Provide Hydrostatic Testing-Customer owned Cylinder.

PURCHASE REQUEST NUMBER: 0012118325

3012 100 EA

Maintenance Cylinder

FFP

Provide Maintenance cylinder “compliance charge”. Payment

PURCHASE REQUEST NUMBER: 0012118325

3013 100 CYL

Painting of Customer Owned Cylinder

FFP

Provide Painting of Customer Owned Cylinder. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

3014 30 CYL

Medical Air USP

FFP

Provide Medical Air USP, Size E. Payment will be made for

PURCHASE REQUEST NUMBER: 0012118325

Billing shall occur monthly. Ordering Period: 01 October 2027 - 30 September 2028

4001 150 CYL

Nitrogen

FFP

Provide Nitrogen Cylinders, Size K. Payment will be made for

PURCHASE REQUEST NUMBER: 0012118325

4002 100 CYL

Nitrous Oxide

FFP

Provide Nitrous Oxide Cylinders, Size K. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

4003 10 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size K. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

4004 6 CYL

Compressed Air

FFP

Provide Compressed Air Cylinders, Size K. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

4005 15 CYL

Carbon Dioxide

FFP

Provide Carbon Dioxide Cylinders, Size K. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

4006 50 CYL

Carbon Dioxide

FFP

Provide Carbon Dioxide Cylinders, Size E. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

4007 8 CYL

Nitrous Oxide

FFP

Provide Nitrous Oxide Cylinders, Size E. Payment will be made

PURCHASE REQUEST NUMBER: 0012118325

4008 200 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size D. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

4009 25 CYL

Medical Oxygen

FFP

Provide Medical Oxygen Cylinders, Size M. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

4010 75 CYL

Liquid Nitrogen

FFP

Provide Liquid Nitrogen Cylinders, 35L Dewar. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

4011 100 EA

Hydrostatic Testing

FFP

Provide Hydrostatic Testing-Customer owned Cylinder.

PURCHASE REQUEST NUMBER: 0012118325

4012 100 EA

Maintenance Cylinder

FFP

Provide Maintenance cylinder “compliance charge”. Payment

PURCHASE REQUEST NUMBER: 0012118325

4013 100 CYL

Painting of Customer Owned Cylinder

FFP

Provide Painting of Customer Owned Cylinder. Payment will be

PURCHASE REQUEST NUMBER: 0012118325

4014 30 CYL

Medical Air USP

FFP

Provide Medical Air USP, Size E. Payment will be made for

PURCHASE REQUEST NUMBER: 0012118325

Billing shall occur monthly. Ordering Period: 01 October 2028 - 30 September 2029

Total Base Period plus Four Option Years: $___________________________

The following FAR Clauses and Provisions in their latest editions apply to this solicitation.

52.212-1 Instructions to Offerors—Commercial

Products and Commercial Services.

SEPT 2023

Addendum to FAR 52.212-1 Instructions to Offerors—Commercial Items

FAR 52.212-1 is hereby amended to reflect the changes shown below:

Para (b) Submission of offers

All offerors must be registered in the System for Award Management (SAM) prior to award, and lack of registration shall make an offer ineligible for award. Offerors may obtain information on registration Internet at https://www.sam.gov. Or the SAM Help desk at https://www.fsd.gov.

THE SOLICITATION MUST BE QUOTED ALL OR NONE.

To be delivered FOB Destination to: Winn Army Community Hospital, 1061 Harmon, Fort Stewart, GA 31314.

All questions shall be submitted to emails: mohamed.k.koroma.civ@health.mil and thomas.l.powers14.mil@health.mil by August 28, 2024 1200 PM EST. Responses will be posted to the System for Award Management (SAM.gov) website. Proposals are being accepted via email only. All responsible sources should submit proposals to Mohamed K. Koroma and Thomas L. Powers via e-mail: mohamed.k.koroma.civ@health.mil and thomas.l.powers14.mil@health.mil by September 6, 2024 1200 PM EST. (n) the non-Far Part 12 discretionary FAR, DFARS, AFARS and MEDCOM provisions included herein are incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-1 for locations where full text can be obtained.

Cover email shall include: Data Universal Numbering System (DUNS) / CAGE Code, Point of contact for individual authorized to enter in to discussions to include phone and email.

All offers must request verification by email to Mohamed K. Koroma:

mohamed.k.koroma.civ@health.mil to confirm receipt of their proposal was received by the time specified in the solicitation. The Government will not be responsible for any failure of transmission or receipt of the offer, or any failure of the offeror to verify receipt of the emailed offer.

Instructions for the Preparation of Quotes

The Quote shall be prepared in two (2) separate volumes as indicated below.

• Volume I-Technical

• Volume II Pricing https://www.sam.gov/ https://www.fsd.gov/ mailto:mohamed.k.koroma.civ@health.mil mailto:thomas.l.powers14.mil@health.mil mailto:mohamed.k.koroma.civ@health.mil mailto:thomas.l.powers14.mil@health.mil mailto:mohamed.k.koroma.civ@health.mil

VOLUME I – TECHNICAL

The technical Quote, Volume I, shall be addressed in sufficient written detail for the Government to determine if the offeror understands this aspect of the Government’s requirement.

The offeror shall address each factor separately and shall provide sufficient narrative and supporting data for each factor. Lack of any of these significant capabilities shall be considered sufficient cause for the Quote to be determined unacceptable. The Technical Quote shall provide sufficient detail for the Government to determine whether the Quote acceptably meets the requirements of the solicitation. Statements that the offeror understands, can or will comply with all specifications, or statements paraphrasing the specifications of parts thereof, or phrases such as “standard procedures will be used” or “well-known techniques will be used” will be considered unacceptable. The technical Quote shall provide a narrative and supporting data with the following sections organized separately so that the evaluation factors listed below are included.

VOLUME II – PRICING

Offer shall provide a complete Pricing Worksheet found at Attachment 1 Product List.

Assessment of price reasonableness based on comparison to market prices.

a. The offeror shall submit proposed pricing for all Contract Line Item Numbers (CLINs) identified in the Request for Quote, unless otherwise noted. The offeror shall limit their unit and extended prices to two (2) decimal places (example: $158.03).

b. The offeror shall submit pricing totals for the base period as well as a grand total.

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management OCT 2018 52.204-16 Commercial and Government Entity Code Reporting AUG 2020 52.222-22 Previous Contracts and Compliance Reports FEB 1999 52.223-1 Bio based Product Certification MAY 2024 52.225-25 Prohibition on Contracting with Entities Engaging in

Certain Activities or Transactions Relating to Iran— Representation and Certifications. JUN 2020

52.222-50 Combating Trafficking in Persons NOV 2021

INCORPORATED BY FULL TEXT

52.209-2 Prohibition on Contracting with Inverted Domestic- NOV 2015 Representations 52.209-7 Information Regarding Responsibility Matters OCT 2018 52.209-11 Representation by Corporations Regarding Delinquent

Tax Liability or a Felony Conviction under Any Federal Law FEB 2016

52.215-20 Requirements for Certified Cost or Pricing Data $ Data Other Than Certified Cost or Pricing Data NOV 2021

Alternate IV (OCT 2010) 52.222-25 Affirmative Action Compliance APR 1984

52.252-1 (FEB 1998), Solicitation Provisions Incorporated by Reference: The full text of a solicitation provision may be accessed electronically at this/these address (es):

https://www.acquisition.gov/.

52.252-5, Authorized Deviations in Provisions (NOV 2020): (b) the use in this solicitation of any DoD FAR Supplement (48 CFR Chapter 2) provision with an authorized deviation is indicated by the addition of “(DEVIATION)" after the name of the regulation.

252.203-7005 Representation Relating to Compensation of Former SEP 2022

DOD Officials 252.204-7004 Alternate A, System for Award Management JAN 2023 252.204-7008 Compliance with Safeguarding Covered Defense OCT 2016 Information 252.215-7007 Notice of Intent to Resolicit MAR 2022 252.215-7008 Only One Offer DEC 2022 252.225-7020 Trade Agreements Certificate NOV 2014 252.225-7050 Disclosure of Ownership or Control by the DEC 2022

Government of A Country That is A State Sponsor of Terrorism

252.247-7022 Representation of Extent of Transportation by Sea JUN 2019 52.212-2 Evaluation –Commercial Items and Commercial Services NOV 2021

Addendum 52.212-2 (LPTA):

Paragraph (a) replaced with the following:

Award will be made using the lowest price technically acceptable (LPTA) source selection process. Award will be made to the responsible offeror on the basis of the lowest evaluated price of proposals meeting or exceeding the acceptability standards for non-cost factors. Award may be made without discussions with offerors (except communications conducted for the purpose of minor clarification). Therefore, each initial offer should contain the offeror's best terms from a technical and price standpoint. However, the Government reserves the right to conduct discussions if it is later determined by the contracting officer to be necessary.

The Government will award a Firm Fixed Price contract resulting from this solicitation to the responsible Offer whose offer conforming to the solicitation will be the most advantageous for the Government, price and other factors considered. In order to be considered for award, an Offeror must receive an Acceptable rating in all factors. The following factors shall be used to evaluate:

Technical and Price

Award will be made based on lowest price, technically acceptable proposal.

https://www.acquisition.gov/

(a) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced.

Evaluation of options shall not obligate the Government to exercise the option(s).

(b) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contractor without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

FACTOR: 1 TECHNICAL

Delivery Schedule - Provide in writing, documentation of how your company plans to meets the delivery schedule of medical gases that are in compliance with all State (Georgia) and Federal Codes. As well as the process for the delivery in the event of an emergency.

Delivery Schedule:

See SOW, Section 3.

Technical will be evaluated as either Acceptable or Unacceptable. Best value is expected to result from selection of the technically acceptable proposal with the lowest evaluated price.

Definitions are as follows:

ACCEPTABLE: To be rated acceptable, the offeror's technical proposal must demonstrate it can meet all specifications of the requirements.

UNACCEPTABLE: A technical proposal that fails to demonstrate it can meet one or more requirements will be determined unacceptable.

FACTOR II: PRICE

Price will be evaluated separately from Technical and will be evaluated for fairness and reasonability. The offeror shall complete the Attachment 1Product List with a total cost covering the base period and 4 option periods based upon various medical gases. This information will be used to assist in the price analysis as required by FAR 15.404-1(b).

52.212-3 Offeror Representations and Certifications—Commercial Items (NOV 2017) Alternative I (OCT 2014)

STATEMENT OF WORK

Winn Anny Community Hospital Fort Stewart, GA

This is a requirement for compressed medical-grade cylinder gases, at Winn Army Community Hospital (Winn ACH), 1061 Harmon Avenue, Fort Stewart, GA 31314 and outlying / off-site clinics listed below. Period of Performance of 01 October 2024 through 30 September 2029, on the Delivery and service of compressed cylinder gases.

Tuttle Army Health Clinic ........................................................Savannah, GA Dental Clinic 5 (inside Tuttle Army Health Clinic) Richmond Hill Medical Home ..................................................Richmond Hill, GA Dental Clinic 1 ..........................................................................Fort Stewart, GA Dental Clinic 3 ..........................................................................Fort Stewart, GA Marne Medics Troop Medical Clinic ........................................Fort Stewart, GA Dental Clinic 4 (inside Marne Medics Troop Medical Clinic) Hawks Troop Medical Clinic ....................................................Fort Stewart, GA

1.0 SCOPE OF WORK: The Contractor shall provide qualified personnel, services, materials, equipment, and supplies necessary to transport and deliver compressed medical grade cylinder gasses to Winn Army Community Hospital (Winn ACH), Fort Stewart, GA 31314 and outlying / off-site clinics as listed above.

1.1. POINT OF CONTACT: At the start of the contract, the Contractor shall have a contract representative and alternate responsible for scheduling and coordination of delivery of compressed medical grade cylinder gases. The name and phone number of the designated individual and alternate shall be provided to the Environmental Protection Assistant (EPA) at

(571) 801-6213 [primary Government POC] and Chief, Supply Chain Management Branch (SCMB) at (571) 801-6715 [alternate Government POC].

1.1.2. Only the primary or alternate Government POC (GPOC) will make all requests for compressed medical grade cylinder gases.

1.2. PERSONNEL: The contractor shall comply with Department of Transportation (DOT) hazardous material transport requirements (HAZMAT) IAW 49 CFR sections 40, 382, 383, 387, 390-397 and 399.

1.2.1. While on duty, contractor employees shall maintain a neat, well-groomed appearance.

2.0 GENERAL INFORMATION

2.1. Winn ACH: Winn Army Community Hospital (HT0814).

2.2. LEGAL PUBLIC HOLIDAYS:

New Years Day, January 1 Martin Luther King's Birthday, 3rd Monday in January Washington's Birthday, 3rd Monday in February Memorial Day, last Monday in May Independence Day, July 4 Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran's Day, November 11 Thanksgiving Day, 4th Thursday in November Christmas Day, December 25

2.2.1. Primary or alternate GPOC will notify contractor of unforeseen closures of the delivery site due to inclement weather or other unforeseen circumstances that will affect delivery.

Notification will occur as soon as possible after the determination of facility closure.

2.3. QUALITY CONTROL: Contractor’s actions to control and ensure contract compliance.

2.4 Delivery

2.4.1 Delivery is weekly on Tuesdays.

2.4.2 Delivery hours are between 8:00 AM and 3:30PM

2.4.3 Delivery items and quantities of each item will vary weekly and will be based upon an order submitted by either the primary or alternate Government POC on the Friday before delivery is due.

3.0 SPECIFIC TASKS TO BE PERFORMED:

3.1. The Contractor shall fill, deliver and exchange compressed medical gasses in either customer owned and/or contractor provided cylinders. All gasses must meet USP-NF standards.

3.1.1 The Government will test all oxygen cylinders to ensure the purity meets U.S Pharmacopeial standards.

3.1.2 Cylinders failing to meet U.S Pharmacopeial standards will be replaced at no cost to the Government.

3.2 The Contractor shall deliver to locations specified by the customer on a weekly basis as ordered by the primary or alternate GPOC when submitting their weekly order.

3.3. The contractor shall provide the following medical gases to the customer as ordered but total annual quantity will not exceed the quantity in the table below unless a contract modification is enacted.

Gas Description Size Unit of Issue Quantity

Nitrogen K CYL 150 annually Nitrous Oxide K CYL 100 annually Medical Oxygen K CYL 10 annually Compressed Air K CYL 6 annually Carbon Dioxide K CYL 15 annually Carbon Dioxide E CYL 50 annually Nitrous Oxide E CYL 8 annually Medical Oxygen D CYL 200 annually Medical Oxygen M CYL 25 annually

Liquid Nitrogen 35L Dewar CYL 75 annually

Hydrostatic Testing-Customer owned Cylinder EA 100 annually Maintenance cylinder “compliance charge” EA 100 annually Painting of customer owned cylinder CYL 100 annually Medical Air USP E CYL 30 annually

3.4. The Contractor shall test all Government owned cylinders to ensure cylinders meet federal and state requirements.

3.5. The Contractor shall dispose of Government owned cylinders not compliant with federal and state requirements, or is not repairable; with documentation provided to customer for destroyed customer owned cylinders.

3.5.1. The Contractor will not replace Government owned cylinders

3.5.2. The Government will replace cylinders as required

3.6. The Contractor shall provide, at normal delivery charge rate, emergency delivery within 12 hours of notification (to include holidays and weekends) by Winn ACH primary or alternate GPOC. This service will be available once monthly.

3.7. The Contractor shall be responsible for all Government owned cylinders throughout the period they are under his control. The Contractor shall be responsible for any contractor-caused damage to Government-owned property and shall replace or repair at the contractor’s expense.

The Contracting Officer will approve replacements or repairs.

3.8. The Contractor shall ensure all areas where cylinders are replaced on-site are left in a clean, neat, safe, and orderly condition. To prevent safety hazards, no equipment shall be left pulled out or apart at the end of the workday.

4. 0 APPLICABLE DIRECTIVES/DOCUMENTS:

4.1. 49 CFR Code of Federal Regulations, sections 40, 382, 383, 387, 390-397 and 399

4.2 Standards for the Joint Commission on Accreditation of Healthcare Organizations

4.3 United States Pharmacopeia (USP) and the National Formulary (NF)

4.4 SB 8-75-11 Department of the Army Supply Bulletin, Army Medical Department Supply Information

4.5. ANTITERRORISM/OPERATIONS SECURITY

4.5.1. Access and general protection/security policy and procedures. This standard language is for contractor employees with an area of performance within Army controlled installation, facility, or area. Contractor and all associated sub-contractors’ employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

4.5.2. For contractors that do not require CAC but require access to a DoD facility or installation. Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

5.0 INVOICE AND PAYMENT INFORMATION:

5.1 Payment will be made by Defense Finance and Accounting Service, (DFAS Indianapolis, Army Vendor Pay) (address in Block 18a), in the arrears , after receipt of services, or by previously scheduled payments as identified in the contract schedule herein. Contractor submits their 2n1 invoice in the Wide Area Workflow system for payment. (See Wide-Area Workflow Clause in schedule), The GPOC shall verify for acceptance to be submitted to DFAS Indianapolis, IN. Government. Payment will only be authorized for services actually rendered.

ADVANCE PAYMENTS ARE NOT AUTHORIZED.

52.212-4 Contract Terms and Conditions—Commercial Items MAY 2024

52.212-4 ADDENDUM

(w) the non-FAR Part 12 discretionary FAR, DFARS, AFARS, and Local clauses herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2 for locations where full text can be found.

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984 52.203-6 Restrictions on Subcontractor Sales to the Government NOV 2021 Alternate I (OCT 1995) 52.203-12 Limitation on Payments to Influence Certain Federal JUN 2020

Transactions 52.203-17 Contractor Employee Whistleblower Rights and JUN 2020 Requirement to Inform Employees of Whistleblower

Rights 52.204-10 Reporting Executive Compensation and First Tier JUN 2020

Subcontract Awards 52.204-13 System for Award Management Maintenance OCT 2018 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.209-6 Protecting the governments Interest When Subcontracting NOV 2021

With Contractors Debarred, Suspended, or Proposed for Debarment

52.222-3 Convict Labor JUN 2003 52.222-19 Child Labor-Cooperation with Authorities and Remedies FEB 2024 52.222-21 Prohibition of Segregated Facilities APR 2015 52.222-26 Equal Opportunity (EEO) SEP 2016 52.222-36 Equal Opportunity for Workers with Disabilities JUN 2020 52.222-37 Employee Reports on Veterans JUN 2020 52.222-50 Combating Trafficking In Persons NOV 2021 52.223-5 Pollution Prevention and Right-To-Know Information MAY 2024 52.225-13 Restrictions on Certain Foreign Purchases FEB 2021 52.228-5 Insurance Work on a Government Installation JAN 1997 52.232-18 Availability of Funds APR 1984 52.232-33 Payment by Electronic Funds Transfer- System for OCT 2018 Award Management 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business MAR 2023 Subcontractors 52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.242-13 Bankruptcy JUL 1995 52.246-16 Responsibility for Supplies APR 1984 252.203-7000 Requirements Relating to Compensation of Former SEP 2011

DoD Officials 252.203-7002 Requirement to Inform Employees of Whistleblower DEC 2022 252.204-7003 Control of Government Personnel Work Product APR 1992 252.209-7004 Subcontracting With Firms That Are Owned or Controlled MAY 2019 By the Government of a Country that is a State Sponsor Of Terrorism 252.225-7002 Qualifying Country Sources MAR 2022 252.225-7012 Preference for Certain Domestic Commodities APR 2022 252.225-7021 Trade Agreements FEB 2024 252.225-7048 Export Controlled Items JUN 2013 252.226-7001 Utilization of Indian Organizations, Indian-Owned JAN 2023 Economic enterprises and Native Hawaiian Small

Business Concerns 252.232-7003 Electronic Submission of Payment Request and DEC 2018 Receiving Reports 252.232-7006 Wide Area Workflow Payment Instructions JAN 2023 252.232-7010 Levies on Contract payments DEC 2006

252.243-7001 Pricing of Contract Modifications DEC 1991 252.243-7002 Request for Equitable Adjustments DEC 2022

Incorporated in Full Text

52.209-10 Prohibition on Contracting with Inverted Domestic NOV 2015 Corporations

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days (insert the period of time within which the Contracting Officer may exercise the option); provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 60 months (End of clause)

52.219-28 Post-award Small Business Program Rerepresentation FEB 2024

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address (es):

https://www.acquisition.gov/

(End of clause)

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any DoD FAR Supplement (48 CFR Chapter 2) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

(End of clause) https://www.acquisition.gov/

252.204-7012 Safeguarding Covered Defense Information and Cyber MAY 2024 Incident Reporting 252.204-7015 Disclosure of Information to Litigation Support JAN 2023 Contractors 252.211-7003 Item Unique Identification and Valuation JAN 2023 252.244-7000 Subcontracts for Commercial Items and Commercial NOV 2023 Components 252.242-7023 Transportation of Supplies by Sea-Basic JAN 2023

End of Additional FAR and DFARS clauses