Contract - HT941025PE015.pdf

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 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

CODE

TELEPHONE NUMBER

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

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NUMBER

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 Government 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: REFERENCE 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. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) 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)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

Solicitation/Contract Form

Yokota, Yokosuka, and Kadena A-dec, Inc. Dental Equipment and Supplies

HT941025PE015

Supplies or Services & Prices or Costs

Additional Information/Notes

AWARD INFORMATION ITEMS ACCEPTED

This award is made in reference to CLIN 0001 and 0002

A-dec, Inc. CAGE: 51840 UEI: UM2HYYSE69R7., Quote # Dated: Proposal Response to WQADR000169-1 08/04/2025 Expires: 11/07/2025 Supply Purchase NumberHT941025N0128 for at Naval Hospital Warehouse Receiving A-dec, Inc. Dental Equipment, Supplies and Service Building (BLDG) E18, Tomari Cho Yokosuka, Kanagawa, 238-0001.

The items accepted are listed below:

Description of Supplies/Equipment Quantity Unit of Issue Unit Price Amount

511-A-dec 511 Chair 20 Each $9,872.97 $197,459.40

332-A-dec 332 Trad Radius Delivery

System 20 Each $12,576.86 $251,537.20

572L- A-dec 572L LED Dental Light, Radius Mt

20 Each $2,946.23 $58,924.60

551-A-dec 551 ASST Instrumentation 20 Each $1,809.30 $36,186.00

521-A-dec 521 Doctor's Stool 20 Each $909.68 $18,193.60

522-A-dec 522 Asst Stool 20 Each $1,004.22 $20,084.40

De-installation 1 Job $26,000.00 $26,000.00

Turn-in A-dec Dental Chair Turn-in 1 Job ($26,000.00) ($26,000.00)

Installation-Labor 1 Job $63,540.00 $63,540.00

Total $645,925.20

This award is made in reference to CLIN 0003 and 0004

A-dec, Inc. CAGE: 51840 UEI: UM2HYYSE69R7., Quote # Dated: Proposal Response to WQAIB000086-3 08/04/2025 Expires: 11/07/2025 Supply Purchase NumberHT941025N0128 for at374 MDSS SGSM -MM CP 011-81-3117-55-A-dec, Inc. Dental Equipment, Supplies and Service 5234 Yokota Air Base (AB) BLDG 4145, Yokota AB 197 0001.

The items accepted are listed below:

Description of Supplies/Equipment Quantity Unit of Issue Unit Price Amount

511 - A-dec 511 Chair 27 Each $10,121.29 $273,274.83

532 - A-dec 532 TRAD Delivery

Systemc -Hygiene 5 Each $11,008.75 $55,043.75

532 - A-dec 532 TRAD Delivery

System - Endo 2 Each $14,216.57 $28,433.14

532 - A-dec 532 TRAD Delivery

System - Gen Den 20 Each $14,922.30 $298,446.00

551 - A-dec 551 ASST Instrumentation 27 Each $1,904.91 $51,432.57

521 - A-dec 521 Doctor's Stool 27 Each $937.79 $25,320.33

522 - A-dec 522 Asst Stool 27 Each $1,034.84 $27,940.68

577L - A-dec 577L LED Dental

Light, Track Mt 30 Each $3,860.90 $115,827.00

54.0838.00 - Motor, Electric 38 Each $872.07 $33,138.66

HDPC,KL 703

54.0829.00 - Electric HS, Standard Head,M25L,1:5,Ma 50 Each $994.93 $49,746.50

54.0835.00 - Electric LS,E20L,1:1, Expert Matic, E-s 50 Each $816.66 $40,833.00

54.0814.00 - Air HS, Standard

Head,M8900L,Master To 25 Each $934.71 $23,367.75

54.0824.00 - Air LS, Restorative, S20K,1:1,181K,Smar 25 Each $363.77 $9,094.25

54.0822.00 - Coupler,6-pin,460LED, Multi Flex 25 Each $212.00 $5,300.00

54.0828.00 - Air Motor,181K,Intra, 4-hole,Un-lit 25 Each $472.17 $11,804.25

DE-INSTALLATION - Charges For

De-Installation 1 Job $25,650.00 $25,650.00

TURN-IN - A-dec Dental Chair Turn-In 1 Job ($25,650.00) ($25,650.00)

INSTALLATION - Charges For Install

Labor 1 Job $118,344.00 $118,344.00

Total $1,167,346.7

This award is made in reference to CLIN 0005 and 0006

A-dec, Inc. CAGE: 51840 UEI: UM2HYYSE69R7., Quote # Dated: Proposal Response to WQASH000039-11 08/04/2025 Expires: 11/07/2025 Supply Purchase NumberHT941025N0128 for at18th MDSS SGSM - MM, CP 011 81 98 938 A-dec, Inc. Dental Equipment, Supplies and Service 1111 EXT 634 4572, Kadena Air Base (AB) BLDG626, Kadena AB Okinawa, 904 0203

The items accepted are listed below:

Description of Supplies/Equipment Quantity Unit of Issue Unit Price Amount

511 - A-dec 511 Chair - Sky Blue 42 Each $9,854.91 $413,906.22

511 - A-dec 511 Chair - Saphire 4 Each $9,854.91 $39,419.64

521 - A-dec 521 Doctor's Stool -

Pacific 42 Each $937.79 $39,387.18

521 - A-dec 521 Doctor's Stool -

Lapis 4 Each $937.79 $3,751.16

522 - A-dec 522 Asst Stool -

Pacific 42 Each $1,034.84 $43,463.28

522 - A-dec 522 Asst Stool -

Lapis 4 Each $1,034.84 $4,139.36

532 - A-dec 532 TRAD Delivery

System - Gen Den 28 Each $12,966.16 $363,052.48

532 - A-dec 532 TRAD Delivery

System - Hygiene 14 Each $14,837.73 $207,728.22

532 - A-dec 532 TRAD Delivery

System - Endo 2 Each $13,959.80 $27,919.60

532 - A-dec 532 TRAD Delivery

System - Perio 2 Each $15,333.69 $30,667.38

551 - A-dec 551 ASST

Instrumentation 46 Each $1,891.01 $86,986.46

572L - A-dec 572L LED

Dental Light, Radius Mt 46 Each $3,048.46 $140,229.16

54.0829.00 - Electric HS, Standard Head,M25L,1:5,Ma 40 Each $904.52 $36,180.80

54.0835.00 - Electric LS,E20L,1:1, Expert Matic, E-s 40 Each $816.66 $32,666.40

54.0838.00 - Motor, Electric

HDPC,KL 703

25 Each $872.07 $21,801.75

54.0830.00 - Electric HS, Mini

Head,M05L,1:5,Master 10 Each $994.93 $9,949.30

54.0814.00 - Air HS, Standard

Head,M8900L,Master To 10 Each $934.71 $9,347.10

54.0822.00 - Coupler,6-pin, 460LED,Multi Flex 10 Each $212.00 $2,120.00

54.0824.00 - Air LS, Restorative, S20K,1:1,181K,Smar 10 Each $363.77 $3,637.70

54.0828.00 - Air Motor,181K, Intra,4-hole,Un-lit 10 Each $472.17 $4,721.70

54.0815.00 - Air HS, Mini Head, M8700L,Master Torque 10 Each $934.71 $9,347.10

54.0824.00 - Air LS, Restorative, S20K,1:1,181K,Smar 10 Each $363.77 $3,637.70

54.0840.00 - Quattro care Plus, Kavo 2 Each $2,038.05 $4,076.10

5744 - Oregon 5744 ASST Cart 48 Each $2,040.89 $97,962.72

41.1483.01 - UMB, Manifold To

Floor Box,Gray3,10 FT 2 Each $494.47 $988.94

99.0650.03 - HLDR Kit,11 MM, HVE,STD,White2 46 Each $21.11 $971.06

DE-INSTALLATION - Charges

For De-Installation 1 Job $41,294.00 $41,294.00

TRADE-IN - Credit For Trade-In

Allowance 1 Job ($34,500.00) ($34,500.00)

INSTALLATION - Charges For

Install Labor 1 Job $146,718.00 $146,718.00

Total $1,791,570.5

Item Supplies / Services Quantity Unit Unit Price Amount

U.S. Naval Hospital Yokosuka, Japan Dental Clinic A-dec, Inc Dental Equipment and Supplies.

The contractor is required to furnish the items and related accessories in accordance with Statement of Work (SOW) and Attachment 1 - Quote #WQADR000169-1 Dated: 08/04/2025 Expires:

11/07/2025 Proposal Response to Supply Purchase Number HT941025N0128 for A-dec, Inc Dental Equipment, Supplies and service at Naval Hospital Warehouse Receiving Building (BLDG) E18, Tomari Cho Yokosuka, Kanagawa, 238-0001

Manufacturer's Part Number: 522 - A-dec 522 Asst Stool Manufacturer's Part Number: 511 - A-dec 511 Chair Manufacturer's Part Number: 332 - A-dec 332 TRAD Radius Delivery System Manufacturer's Part Number: 572L - A-dec 572L LED Dental Light Radius Mt Manufacturer's Part Number: 551 - A-dec 551 ASST Instrumentation Manufacturer's Part Number: 521 - A-dec 521 Doctor's Stool Product Service Code: 6520 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price

1 Lot USD 582,385.20

Firm Price

USD 582,385.20

ACRN: AA

PR Number: HT06750012332805 PR Line Item Number: 0001

Funded Amount

USD 582,385.20

U.S. Naval Hospital Yokosuka, Japan Dental De-installation and Installation services.

The contractor is required to furnish the items and related accessories in accordance with Statement of Work (SOW) and Attachment 1 - Quote #WQADR000169-1 Dated: 08/04/2025 Expires:

11/07/2025 Proposal Response to Supply Purchase Number HT941025N0128 for A-dec, Inc Dental

Firm Price

USD 63,540.00

Equipment, Supplies and service at Naval Hospital Warehouse Receiving Building (BLDG) E18, Tomari Cho Yokosuka, Kanagawa, 238-0001.

Product Service Code: N065 Claimant Program Code: S1 Pricing Arrangement: Firm Fixed Price

1 Job USD 63,540.00

ACRN: AA

PR Number: HT06750012332805 PR Line Item Number: 0001

Funded Amount

USD 63,540.00

Yokota Air Base, Japan Dental Clinic A-dec, Inc Dental Equipment and Supplies

The contractor is required to furnish the items and related accessories in accordance with Statement of Work (SOW) and Attachment 1 - Quote # WQAIB000086-3 Dated: 08/04/2025 Expires: 11/07/2025 Proposal Response to Supply Purchase Number HT941025N0128 for A-dec, Inc Dental Equipment, Supplies and service at

374 MDSS SGSM -MM CP

011-81-3117-55-5234 Yokota Air Base (AB) BLDG 4145, Yokota AB 197 0001

Manufacturer's Part Number: 511 - A-dec 511 Chair Manufacturer's Part Number: 532 - A-dec 532 TRAD Delivery System - Hygiene Manufacturer's Part Number: 532 - A-dec 532 TRAD Delivery System - Endo Manufacturer's Part Number: 532 - A-dec 532 TRAD Delivery System - Gen Den Manufacturer's Part Number: 551 - A-dec 551 ASST Instrumentation Manufacturer's Part Number: 521 - A-dec 521 Doctor's Stool Manufacturer's Part Number: 522 - A-dec 522 Asst Stool Manufacturer's Part Number: 577L - A-dec 577L LED Dental Light, Track Mt Manufacturer's Part Number: 54.0838.00 - Motor,Electric

HDPC,KL 703

Manufacturer's Part Number: 54.0829.00 - Electric HS, Standard Head,M25L,1:5,Ma Manufacturer's Part Number: 54.0835.00 - Electric LS,E20L,1:

1,Expert Matic,E-s Manufacturer's Part Number: 54.0814.00 - Air HS,Standard Head,M8900L,Master To Manufacturer's Part Number: 54.0824.00 - Air LS,Restorative, S20K,1:1,181K,Smar Manufacturer's Part Number: 54.0822.00 - Coupler,6-pin, 460LED,Multi Flex Manufacturer's Part Number: 54.0828.00 - Air Motor,181K, Intra,4-hole,Un-lit Product Service Code: 6520

1 Lot USD 1,049,012.71

Firm Price

USD 1,049,012.71

Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price

ACRN: AD

PR Number: HT11740012347915 PR Line Item Number: 0001

Funded Amount

USD 1,049,012.71

Yokota Air Base, Japan Dental De-installation and Installation services.

The contractor is required to furnish the items and related accessories in accordance with Statement of Work (SOW) and Attachment 1 - Quote # WQAIB000086-3 Dated: 08/04/2025 Expires: 11/07/2025 Proposal Response to Supply Purchase Number HT941025N0128 for A-dec, Inc Dental Equipment, Supplies and service at

374 MDSS SGSM -MM CP

011-81-3117-55-5234 Yokota Air Base (AB) BLDG 4145, Yokota AB 197 0001.

Product Service Code: N065 Claimant Program Code: S1 Pricing Arrangement: Firm Fixed Price

1 Job USD 118,334.00

Firm Price

USD 118,334.00

ACRN: AD

PR Number: HT11740012347915 PR Line Item Number: 0002

Funded Amount

USD 118,334.00

18th Medical Group/SGSM, Japan Dental Clinic A-dec, Inc Dental Equipment and Supplies

The contractor is required to furnish the items and related accessories in accordance with Statement of Work (SOW) and Attachment 1 - Quote # WQASH000039-11 Dated: 08/04/2025 Expires: 11/07/2025 Proposal Response to Supply Purchase Number HT941025N0128 for A-dec, Inc Dental Equipment, Supplies and service at 18th MDSS SGSM - MM, CP 011 81 98 938 1111 EXT 634 4572, Kadena Air Base (AB) BLDG 626, Kadena AB Okinawa, 904 0203

Manufacturer's Part Number: 511 - A-dec 511 Chair Manufacturer's Part Number: 511 - A-dec 511 Chair - Saphire

Firm Price

USD 1,638,058.51

Manufacturer's Part Number: 521 - A-dec 521 Doctor's Stool - Pacific Manufacturer's Part Number: 522 - A-dec 522 Asst Stool – Blue Manufacturer's Part Number: 522 - A-dec 522 Asst Stool - Purple Manufacturer's Part Number: 532 - A-dec 532 TRAD Delivery System - Hygiene Manufacturer's Part Number: 532 - A-dec 532 TRAD Delivery System - Endo Manufacturer's Part Number: 532 - A-dec 532 TRAD Delivery System - Perio Manufacturer's Part Number: 551 - A-dec 551 ASST Instrumentation Manufacturer's Part Number: 572L - A-dec 572L LED Dental Light, Radius Mt Manufacturer's Part Number: 54.0829.00 - Electric HS, Standard Head, M25L, 1:5, Ma Manufacturer's Part Number: 54.0835.00 - Electric LS, E20L, 1:1, Expert Matic, E-s Manufacturer's Part Number: 54.0838.00 - Motor, Electric

HDPC, KL 703

Manufacturer's Part Number: 54.0830.00 - Electric HS, Mini Head, M05L, 1:5, Master Manufacturer's Part Number: 54.0814.00 - Air HS, Standard Head, M8900L, Master To Manufacturer's Part Number: 54.0822.00 - Coupler, 6-pin, 460 LED, Multi Flex Manufacturer's Part Number: 54.0824.00 - Air LS, Restorative, S20K, 1:1, 181K, Smart Manufacturer's Part Number: 54.0828.00 - Air Motor, 181K, Intra, 4-hole, Un-lit Manufacturer's Part Number: 54.0815.00 - Air HS, Mini Head, M8700L, Master Torque Manufacturer's Part Number: 54.0824.00 - Air LS, Restorative, S20K, 1:1, 181K, Smar Manufacturer's Part Number: 54.0840.00 - Quattrocare Plus, Kavo Manufacturer's Part Number: 5744 - Oregon 5744 ASST Cart Manufacturer's Part Number: 41.1483.01 - UMB, Manifold To Floor Box, Gray 3, 10 FT Manufacturer's Part Number: 99.0650.03 - HLDR Kit, 11 MM, HVE, STD, White 2 Product Service Code: 6520 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price

1 Lot USD 1,638,058.51

ACRN: AC

PR Number: HT10380012341552 PR Line Item Number: 0001

Funded Amount

USD 1,638,058.51

18th Medical Group/SGSM, Japan Dental De-installation and Installation services

The contractor is required to furnish the items and related accessories in accordance with Statement of Work (SOW) and Attachment 1 - Quote # WQASH000039-11 Dated: 08/04/2025 Expires: 11/07/2025 Proposal Response to Supply Purchase Number HT941025N0128 for A-dec, Inc Dental Equipment, Supplies and service at 18th MDSS SGSM - MM, CP 011 81 98 938 1111 EXT 634 4572, Kadena Air Base (AB) BLDG 626, Kadena AB Okinawa, 904 0203 1 Job USD 153,512.00

Firm Price

USD 153,512.00

Product Service Code: N065 Claimant Program Code: S1 Pricing Arrangement: Firm Fixed Price

ACRN: AC

PR Number: HT10370012341538 PR Line Item Number: 0001

Funded Amount

USD 153,512.00

Description/Specifications/Statement of Work

Statement of Work (SOW)

SECTION 1 - BACKGROUND:

This Statement of Work (SOW) is issued in accordance with FAR Part 12 for the acquisition of commercial items. The purpose is to procure dental exam chairs with integrated dental delivery systems, stools, instrumentation, lights, and handpieces to support the operations of U.S. Navy Medicine Readiness and Training Command(USNMRTC) Yokosuka, Japan, Yokota Air Base (AB), Japan, Kadena Air Base (AB),Japan . The contractor and Defense Health Agency (DHA) shall supply all items, services, delivery, and installation functions necessary to meet the performance requirements described herein, in accordance with standard commercial practices.

Due to the age of the existing dental exam chairs, stools, instrumentation, lights, and handpieces currently installed in the treatment rooms of the clinic, there are frequent repairs and maintenance needed. The Dental Squadron requires new equipment and supplies as detailed below to meet mission requirements.

SECTION 2 -DESCRIPTION OF SUPPLIES:

The contractor shall provide commercially available items meeting the following requirements:

USNMRTC Yokosuka Required Items:

SLIN Line Item Description Quantity (each)

0001AA 1 511 511 - A-dec 511 Chair 20

0001AB 2 332 332 - A-dec 332 TRAD Radius Delivery System 20

0001AC 3 572L 572L - A-dec 572L LED Dental Light, Radius Mt 20

0001AD 4 551 551 - A-dec 551 ASST Instrumentation 20

0001AE 5 521 521 - A-dec 521 Doctor's Stool 20

0001AF 6 522 522 - A-dec 522 Asst Stool 20

Yokota AB Required Items:

0002AA 1 511 511 - A-dec 511 Chair 27

0002AB 2 532 532 - A-dec 532 TRAD Delivery System 5

0002AC 3 532 532 - A-dec 532 TRAD Delivery System - Endo 2

0002AD 4 532 532 - A-dec 532 TRAD Delivery System - Gen Den 20

0002AE 5 551 551 - A-dec 551 ASST Instrumentation 27

0002AF 6 521 521 - A-dec 521 Doctor's Stool 27

0002AG 7 522 522 - A-dec 522 Asst Stool 27

0002AH 8 577L 577L - A-dec 577L LED Dental Light, Track Mt 30

0002AJ 9 54.0838.00 54.0838.00 - Motor, Electric HDPC, KL 703 38

0002AK 10 54.0829.00 54.0829.00 - Electric HS, Standard Head, M25L, 1:5, Ma 50

0002AL 11 54.0835.00 54.0835.00 - Electric LS, E20L, 1:1, Expert Matic, E-s 50

0002AM 12 54.0814.00 54.0814.00 - Air HS, Standard Head, M8900L, Master To 25

0002AN 13 54.0824.00 54.0824.00 - Air LS, Restorative, S20K, 1:1, 181K, Smar 25

0002AP 14 54.0822.00 54.0822.00 - Coupler, 6-pin, 460 LED, Multi Flex 25

0002AQ 15 54.0828.00 54.0828.00 - Air Motor,181K, Intra, 4-hole, Un-lit 25

Kadena AB Required Items:

0003AA 1 511 511 - A-dec 511 Chair 42

0003AB 2 511 511 - A-dec 511 Chair - Saphire 4

0003AC 3 521 521 - A-dec 521 Doctor's Stool - Pacific 42

0003AD 4 521 521 - A-dec 521 Doctor's Stool - Lapis 4

0003AE 5 522 522 - A-dec 522 Asst Stool - Blue 42

0003AF 6 522 522 - A-dec 522 Asst Stool - Purple 4

0003AG 7 532 532 - A-dec 532 TRAD Delivery System - Gen Den 28

0003AH 8 532 532 - A-dec 532 TRAD Delivery System - Hygiene 14

0003AJ 9 532 532 - A-dec 532 TRAD Delivery System - Endo 2

0003AK 10 532 532 - A-dec 532 TRAD Delivery System - Perio 2

0003AL 11 551 551 - A-dec 551 ASST Instrumentation 46

0003AM 12 572L 572L - A-dec 572L LED Dental Light, Radius Mt 46

0003AN 13 54.0829.00 54.0829.00 - Electric HS, Standard Head, M25L, 1:5, Ma 40

0003AP 14 54.0835.00 54.0835.00 - Electric LS, E20L, 1:1, Expert Matic, E-s 40

0003AQ 15 54.0838.00 54.0838.00 - Motor, Electric HDPC, KL 703 25

0003AR 16 54.0830.00 54.0830.00 - Electric HS, Mini Head, M05L, 1:5, Master 10

0003AS 17 54.0814.00 54.0814.00 - Air HS, Standard Head, M8900L, Master To 10

0003AT 18 54.0822.00 54.0822.00 - Coupler, 6-pin, 460 LED, Multi Flex 10

0003AU 19 54.0824.00 54.0824.00 - Air LS, Restorative, S20K, 1:1, 181K, Smar 10

0003AV 20 54.0828.00 54.0828.00 - Air Motor, 181K, Intra, 4-hole, Un-lit 10

0003AW 21 54.0815.00 54.0815.00 - Air HS, Mini Head, M8700L, Master Torque 10

0003AX 22 54.0824.00 54.0824.00 - Air LS, Restorative, S20K, 1:1, 181K, Smar 10

0003AY 23 54.0840.00 54.0840.00 - Quattrocare Plus, Kavo 2

0003AZ 24 5744 5744 - Oregon 5744 ASST Cart 48

0003BA 25 41.1483.01 41.1483.01 - UMB, Manifold To Floor Box, Gray 3, 10 FT 2

0003BB 26 99.0650.03 99.0650.03 - HLDR Kit, 11 MM, HVE, STD, White 2 46

SECTION 3 - SCOPE OF WORK:

Installation of all items listed in Section 2 and removal of existing dental chairs and a de-installation fee will be waived if A-dec is granted permission to retain possession of the old equipment and will transport equipment from the customer location. The contractor shall provide sufficiently skilled personnel and tools/equipment necessary to provide the deinstallation and installation service of new dental chairs based on OEM instructions /procedures. The OEM commercial warranty with the effective dates shall be provided in writing. will coordinate all work The contractor requirements and scheduling for complete installation of all materials with the department designated point of contact. Provide dates and times when the scheduled work can be performed.

Tasks/Requirements:

All items listed in Section 2 will be furnished through A-dec. Once delivered to U.S. Navy Medicine Readiness and Training Command (USNMRTC) Yokosuka, Japan, Yokota Air Base (AB), Japan, Kadena Air Base (AB), Japan the units will be transported to the clinic by the government where the A-dec representative will install the items and remove existing dental exam chairs.

Installation: Performed by A-dec authorized installer. Installation charge is for a single scheduled trip.

Installation Includes:

- Placement of all items into specified location.

- Removal and disposal of old equipment.

- Boxed deliveries will be delivered by carrier prior to scheduled installation date and will need to be offloaded and stored by Customer and at Customer's expense. Customer is responsible for delivering the equipment within proximity of the dental treatment room, prior to installation team's arrival. Delivery will include disposal, by installation team, of all trash at an on-site dumpster provided by the Customer.

- Assembly and anchoring of all items per factory specifications and agency requirements.

- Final air and vacuum connections.

- Calibration and function testing of equipment.

- Walk through with the end user and contractor will be completed, and any punch list items noted.

- A "Customer Acceptance" sign-off letter will be requested upon completion of installation.

- Installation is conditional upon the facility being in a safe and ready condition with working utilities (dental air, electrical, vacuum, etc.) required for function testing. Additional charges may be incurred if return installation trips are required due to facility not being ready.

Installation Does Not Include:

- Final plumbing and electrical connections.

- The Government shall be responsible for delivering all Government owned equipment and accessories to the installation location prior to installation. The Government personnel will permit the Contractor access to the equipment to be maintained and provide ample workspace for the installation throughout the work

- Caulking (filling and/or sealing of joints) between contractor provided structure and A-dec manufactured freestanding dental cabinets.

Delivery Location:

U.S. SHIPPING ADDRESS

Shipping Address: MAB

DLA TROOP SUPPORT XDOCK WEST PROJECT

ATTN: MARIA WOODS (215-737-9489)

C/O CARDINAL HEALTH MPS DISTRIBUTION CENTER

4551 EAST PHILADELPHIA STREET

ONTARIO. CA 91761

TCN: HT941025PE015

SHIP TO ADDRESS JAPAN:

See Delivery Location by CLIN:

Medical Air Bridge Ship To Address:

DLA Troop Support Cross Dock Project

ATTN: MAB (MEDICAL AIR BRIDGE)

C/O Cardinal Health MPS Distribution Center

(TCN: HT941025PE015)

4551 EAST PHILADELPHIA STREET

ONTARIO. CA 91761

Shipping FCA(FOB) Destination is included to point of embarkation in the USA, it will arrive at the port in Naha and transported to:

CLIN 0001 and 0002: USNMRTC Yokosuka

Naval Hospital Warehouse Receiving Building (BLDG) E18, Tomari-Cho Yokosuka, Kanagawa,238-0001.

ATTN: Mrs. Yingchun (Chen) Shepard Telephone: DSN: 315-243-2840 Email:Yingchun.c.shepard.civ@health.mil Contracting Officer's Representative

CLIN 0003 and 0004: Yokota Air Base (AB)

374 MDSS SGSM -MMCP 011-81-3117-55-5234 Yokota Air Base (AB) BLDG 4145, Yokota AB 197 0001 ATTN: SrA Janell C. Miller Telephone: DSN: 315-225-3585 Email:janell.c.miller2.mil@health.mil Contracting Officer's Representative

HT941025PE015

mailto:janell.c.miller2.mil@health.mil

ATTN: Ms. Kimiko Onishi Telephone: DSN: 315-225-2053 Email: kimiko.onishi.ln@health.mil Contracting Officer's Representative

CLIN 0005 and 0006: Kadena Air Base (AB)

Kadena Air Base, 18th Medical Group/SGSM, Unit5268 FM5270, McKennon Ave. Bldg 3154, Kadena AB, Okinawa-City Okinawa Japan904-0203.

ATTN: TSgt Kerraine Govia Email: kerraine.r.govia.mil@health.mil

DSN:315-630-4873

Section Chief, Service Contract Management must be delivered within 90 days on or before contract award. Installation and Deinstallation of all Dental Delivery Schedule: Dental equipment equipment shall be completed on or before 45 Days after receipt the material. Partial shipments may be accepted if approved in writing by the Government.

Packaging & Marking: Items should be packaged according to commercial standards to protect against damage during transit. All shipments must be clearly marked with the contract number and item description

SECTION 5 - QUALITYASSURANCE & INSPECTION:

Conformance: All items shall be new, commercially acceptable, and conform to the performance specifications provided.

Inspection & Acceptance: The Government reserves the right to inspect all deliveries at the point of receipt. Non-conforming items will be rejected and may be subject to replacement or repair at no additional cost.

Warranties: The contractor shall provide warranties that the items will perform as described for a minimum period of 12 months.

SECTION 6 - INVOICING AND PAYMENT:

Invoices must reference the contract number and be submitted in accordance with the terms of the contract.

Payment: Payments will be processed upon Government acceptance of the delivered items per the payment provisions of the contract.

SECTION 7 - POINTSOF CONTACT

CLIN 0001 and 0002: USNMRTC Yokosuka Mrs. Yingchun (Chen) Shepard Telephone: DSN: 315-243-2840 Email:Yingchun.c.shepard.civ@health.mil Contracting Officer's Representative

CLIN 0003 and 0004: Yokota Air Base (AB)

374 MDSS SGSM -MM CP 011-81-3117-55-5234

Yokota Air Base (AB) BLDG 4145, Yokota AB 197 0001

ATTN: SrA Janell C. Miller Telephone: DSN: 315-225-3585 Email: janell.c.miller2.mil@health.mil

Contracting Officer's Representative

ATTN: Ms. Kimiko Onishi Telephone: DSN: 315-225-2053 Email: kimiko.onishi.ln@health.mil Contracting Officer's Representative

CLIN 0005 and 0006: Kadena Air Base (AB) TSgt Kerraine Govia Email: kerraine.r.govia.mil@health.mil

DSN: 315-630-4873

Section Chief, Service Contract Management

Ms. Makiko Watson Email:makiko.watson4.ln@health.mil Telephone: DSN: 315-630-4075 Service Contract Management

SrA Misa T Nguyen Email: misa.t.nguyen.mil@health.mil

DSN: 315-630-1979

Medical Logistics Technician

SECTION 8 - WAWF Acceptor

CLIN 0001 and 0002: USNMRTC Yokosuka Mrs. Yingchun (Chen) Shepard Telephone: DSN: 315-243-2840 Email:Yingchun.c.shepard.civ@health.mil Contracting Officer's Representative

CLIN 0003 and 0004: Yokota Air Base (AB) SrA Janell C. Miller Telephone: DSN: 315-225-3585 Email: janell.c.miller2.mil@health.mil Contracting Officer's Representative

ATTN: Ms. Kimiko Onishi Telephone: DSN: 315-225-2053 Email: kimiko.onishi.ln@health.mil Contracting Officer's Representative

CLIN 0005 and 0006: Kadena Air Base (AB) TSgt Kerraine Govia Email: kerraine.r.govia.mil@health.mil

DSN: 315-630-4873

Section Chief, Service Contract Management

Ms. Makiko Watson Email: makiko.watson4.ln@health.mil Telephone: DSN: 315-630-4075 Service Contract Management

HT941025PE015

mailto:kerraine.r.govia.mil@health.mil mailto:misa.t.nguyen.mil@health.mil mailto:kerraine.r.govia.mil@health.mil

Requirements Dental Equipment and Supplies

Packaging and Marking

Inspection and Acceptance

Overall Contract Inspection/Acceptance Locations

Inspection and Acceptance Location

Both Destination Instructions: Acceptor will ensure that all work and deliverables have been executed in accordance with the "SOW" this is under "INSTRUCTIONS" for the CLINs

DoDAAC: HT0675 CountryCode: JPN

US NAVAL HOSPITAL YOKOSUKA JAPAN

NAVHOSP WAREHOUSE RCVG BLDG E18, TOMARI CHO YOKOSUKA

KANAGAWA 238-0001

JAPAN

Mrs. Yingchun (Chen) Shepard Email: Yingchun.c.shepard.civ@health.mil Telephone: DSN: 315-243-2840

Inspection and Acceptance Location

Both Destination Instructions: Acceptor will ensure that all work and deliverables have been executed in accordance with the "SOW" this is under "INSTRUCTIONS" for the CLINs

DoDAAC: HT0675 CountryCode: JPN

US NAVAL HOSPITAL YOKOSUKA JAPAN

NAVHOSP WAREHOUSE RCVG BLDG E18, TOMARI CHO YOKOSUKA

KANAGAWA 238-0001

JAPAN

Mrs. Yingchun (Chen) Shepard Email: Yingchun.c.shepard.civ@health.mil Telephone: DSN: 315-243-2840

Inspection and Acceptance Location

Both Destination Instructions: Acceptor will ensure that all work and deliverables have been executed in accordance with the "SOW" this is under "INSTRUCTIONS" for the CLINs

DoDAAC: HT1174 CountryCode: JPN

374TH MDSS SGSM - MM

CP 011 81 3117 55 5234, YOKOTA AB BLDG 4145

YOKOTA AB 197 0001

JAPAN

SrA Janell C. Miller Email: janell.c.miller2.mil@health.mil Telephone: DSN: 315-225-3585

Inspection and Acceptance Location

Both

Destination Instructions: Acceptor will ensure that all work and deliverables have been executed in accordance with the "SOW" this is under "INSTRUCTIONS" for the CLINs

DoDAAC: HT1174 CountryCode: JPN

374TH MDSS SGSM - MM

CP 011 81 3117 55 5234, YOKOTA AB BLDG 4145

YOKOTA AB 197 0001

JAPAN

SrA Janell C. Miller Email: janell.c.miller2.mil@health.mil Telephone: DSN: 315-225-3585

Inspection and Acceptance Location

Both Destination Instructions: Acceptor will ensure that all work and deliverables have been executed in accordance with the "SOW" this is under "INSTRUCTIONS" for the CLINs

DoDAAC: HT1036 CountryCode: JPN

18TH MDSS SGSM - MM

CP 011 81 98 938 1111 EXT 634 4572, KADENA AB BLDG 626

KADENA AB OKINAWA 904 0203

JAPAN

Ms. Makiko Watson Email: makiko.watson4.ln@health.mil Telephone: DSN: 315-630-4075

Inspection and Acceptance Location

Both Destination Instructions: Acceptor will ensure that all work and deliverables have been executed in accordance with the "SOW" this is under "INSTRUCTIONS" for the CLINs

DoDAAC: HT1036 CountryCode: JPN

18TH MDSS SGSM - MM

CP 011 81 98 938 1111 EXT 634 4572, KADENA AB BLDG 626

KADENA AB OKINAWA 904 0203

JAPAN

Ms. Makiko Watson Email: makiko.watson4.ln@health.mil Telephone: DSN: 315-630-4075

Deliveries or Performance

From 22 Dec 2025 to 05 Feb 2026

Contractor Destination

Line Item Delivery Schedule Quantity Address and POC Special Handling/Notes

Delivery On Or Before Delivery Date 22 Dec 2025

1 Lot Ship To DoDAAC: HT0675 CountryCode: JPN

US NAVAL HOSPITAL YOKOSUKA JAPAN

NAVHOSP WAREHOUSE RCVG BLDG E18,

TOMARI CHO YOKOSUKA

KANAGAWA 238-0001

JAPAN

Mrs. Yingchun (Chen) Shepard Email: Yingchun.c.shepard.civ@health.mil Telephone: DSN: 315-243-2840

FoB Details Contractor Destination

1 Job

Period of Performance From 22 Dec 2025 To 05 Feb 2026

Delivery On Or Before Delivery Date 22 Dec 2025

1 Lot Ship To DoDAAC: HT1174 CountryCode: JPN

374TH MDSS SGSM - MM

CP 011 81 3117 55 5234, YOKOTA AB BLDG 4145

YOKOTA AB 197 0001

JAPAN

SrA Janell C. Miller Email: janell.c.miller2.mil@health.mil Telephone: DSN: 315-225-3585

FoB Details Contractor Destination

1 Job

Period of Performance From 22 Dec 2025 To 05 Feb 2026

Delivery On Or Before Delivery Date 22 Dec 2025

1 Lot Ship To DoDAAC: HT1036 CountryCode: JPN

18TH MDSS SGSM - MM

CP 011 81 98 938 1111 EXT 634 4572, KADENA AB

BLDG 626

KADENA AB OKINAWA 904 0203

JAPAN

Ms. Makiko Watson

FoB Details Contractor Destination

Email: makiko.watson4.ln@health.mil Telephone: DSN: 315-630-4075

1 Job

Period of Performance From 22 Dec 2025 To 05 Feb 2026

Contract Administration Data

POINTS OF CONTACT (POC) AND DELIVERY INFORMATION

VENDOR POC:

Name: Eric Russell School & Government Accounts Coordinator Toll Free: 1.800.547.1883 (optional) Phone: 800.547.1883 Email: eric.russell@a-dec.com 2601 Crestview Drive, Newberg, OR 97132 USA A-dec, Inc.

Name: Brian Kline School & Government Territory Manager Southwest US/Asia Cell: (503) 803-8330 Email: brian.kline@a-dec.com A-dec, Inc.

CONTRACTS

Name: Belinda M. Hsieh Title: Contract Specialist Department: Defense Health Agency Contracting Activity, Healthcare Contracting Division -West Phone: (726) 203-0101 Email: belinda.m.hsieh.civ@health.mil

Name: Cha-on P. Gordon Title: Contracting Officer Department: Defense Health Agency Contracting Activity, Healthcare Contracting Division -West Phone: (726) 203-0109 Email: cha-on.p.gordon2.civ@health.mil

DELIVERY POC:

CLIN 0001 and 0002: USNMRTC Yokosuka

Mrs. Yingchun (Chen) Shepard Telephone: DSN: 315-243-2840 Email: Yingchun.c.shepard.civ@health.mil Contracting Officer's Representative

CLIN 0003 and 0004: Yokota Air Base (AB)

SrA Janell C. Miller Telephone: DSN: 315-225-3585 Email: janell.c.miller2.mil@health.mil Contracting Officer's Representative

HT941025PE015

mailto:eric.russell@a-dec.com mailto:janell.c.miller2.mil@health.mil

CLIN 0005 and 0006: Kadena Air Base (AB)

TSgt Kerraine Govia Email:kerraine.r.govia.mil@health.mil

DSN:315-630-4873

Section Chief, Service Contract Management

Ms. Makiko Watson Email:makiko.watson4.ln@health.mil Telephone: DSN:315-630-4075 Service Contract Management

SrA Misa T. Nguyen Email: misa.t.nguyen.mil@health.mil

DSN: 315-630-1979

Medical Logistics Technician

DELIVERY LOCATION:

U.S. SHIPPING ADDRESS

Shipping Address: MAB

DLA TROOP SUPPORT XDOCK WEST PROJECT

ATTN: MARIA WOODS (215-737-9489)

C/O CARDINAL HEALTH MPS DISTRIBUTION CENTER

4551 EAST PHILADELPHIA STREET

ONTARIO. CA 91761

TCN: HT941025PE015

SHIP TO ADDRESS JAPAN:

See Delivery Location by CLIN

Medical Air Bridge Ship To Address:

DLA Troop Support Cross Dock Project

ATTN: MAB (MEDICAL AIR BRIDGE)

C/O Cardinal Health MPS Distribution Center

(TCN: HT941025PE015)

4551 EAST PHILADELPHIA STREET

ONTARIO. CA 91761

CLIN 0001 and 0002: USNMRTC Yokosuka

Attn: Yingchun Shepard Email: yingchun.c.shepard.civ@health.mi Naval Hospital Warehouse Receiving Building (BLDG) E18, Tomari Cho Yokosuka, Kanagawa,238- 0001.

CLIN 0003 and 0004: Yokota Air Base (AB)

Attn: Janell Miller, SrA USAF Email: janell.c.miller2.mil@health.mil 374 MDSS SGSM -MM CP 011-81-3117-55-5234 Yokota Air Base(AB) BLDG 4145, Yokota AB 197

CLIN 0005 and 0006: Kadena Air Base (AB)

Attn: Ms. Makiko Watson Email: makiko.watson4.ln@health.mil 18thMDSS SGSM - MM, CP 011 81 98 938 1111 EXT 634 4572, Kadena Air Base (AB) BLDG 626, Kadena AB Okinawa, 904 0203

NOTE TO CONTRACTOR

Contract Number: HT941025PE015

EXTERIOR SHIPPINGCONTAINER(S) OF ITEMS SHALL CONTAIN THE BELOW INFORMATION:

MARK FOR:

POC: SEE DELIVERYLOCATION POC

Contractor: Include the contract number, located in block 2 of this 1449, on all packing slips and ensure a copy of the packing slips are provided to the acceptor upon delivery at the facility designated in this order. Once you have entered your invoice in Wide Area Work flow (WAWF) please contact the below listed WAWF Acceptor.

WAWF ACCEPTOR/ PAYMENT QUESTIONS

CLIN 0001 and 0002: USNMRTC Yokosuka

Yingchun Shepard Email: yingchun.c.shepard.civ@health.mil

CLIN 0003 and 0004: Yokota Air Base (AB)

Janell Miller, SrA USAF Email: janell.c.miller2.mil@health.mil

CLIN 0005 and 0006: Kadena Air Base (AB)

Makiko Watson Email: makiko.watson4.ln@health.mil

DEFENSE BIOMETRIC IDENTIFICATIONSYSTEM (DBIDS)

(a) DBIDS is the current system for access control verification and management for the Department of Defense (DoD).

(b) DBIDS guidance for Vendors/Contractors to obtain a pass is accessible through the following website: https://dbids-global.dmdc.mil/home/

- USNMRTC Yokosuka: https://cnrj.cnic.navy.mil/Installations/CFA-Yokosuka/Operations-and-Management/Security/Visitor-Control-Center/

- Yokota AB: https://www.yokota.af.mil/Portals/44/Documents/New_to_Yokota/Driving_in_Japan/AFD-150820-002.pdf

- Kadena AB: https://www.kadena.af.mil/Agencies/Pass-and-Registration/

(c) For more information or to enroll in the DBIDS Program, call:

- USNMRTC Yokosuka: +8146-816-5330

- Yokota AB: DSN 315-225-8932

- KADENA AIR BASE, Japan ID Office, call: DSN: 315-634-3437

(d) Pre-enrolling will help expedite your processing time. To pre-enroll for a DBIDS card, visit the following website:

(e) Vendors, contractors suppliers, and other service providers shall present their pass upon entry at the entry control point (ECP).

mailto:makiko.watson4.ln@health.mil mailto:yingchun.c.shepard.civ@health.mil mailto:janell.c.miller2.mil@health.mil mailto:makiko.watson4.ln@health.mil https://dbids-global.dmdc.mil/home/ https://www.kadena.af.mil/Agencies/Pass-and-Registration/

ACRN LOA Total Amount

AA

^^^097^2025^2025^^0130^000^^310^D^1^^^^^1800^^021001^AHOQ7^^S.0105178.4^^6100.

310J^^101000807915^

USD

645,925.20

Line Item PR/MIPR - PR Line Item# CIN Amount

CLIN 0001 HT06750012332805 - 0001 USD 582,385.20

CLIN 0002 HT06750012332805 - 0001 USD 63,540.00

ACRN LOA Total Amount

AC

^^^097^2025^2025^^0130^000^^310^D^1^^^^^1800^^021001^AHOQE^0010022315^^^6100.

310J^^101000807915^

USD

1,791,570.51

Line Item PR/MIPR - PR Line Item# CIN Amount

CLIN 0005 HT10380012341552 - 0001 USD 1,638,058.51

CLIN 0006 HT10370012341538 - 0001 USD 153,512.00

ACRN LOA Total Amount

AD

^^^097^2025^2025^^0130^000^^310^D^1^^^^^1800^^021001^AHOQB^^S.0105045.10.2^^6100.

310J^^101000807900^

USD

1,167,346.71

Line Item PR/MIPR - PR Line Item# CIN Amount

CLIN 0003 HT11740012347915 - 0001 USD 1,049,012.71

CLIN 0004 HT11740012347915 - 0002 USD 118,334.00

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

252.201-7000 Contracting Officer's Representative. Dec 1991 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. Dec 2018

DFARS Clauses Incorporated by Full Text

252.232-7006 Wide Area WorkFlow Payment Instructions. (Jan 2023)

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(a) As used in this clause- Definitions.

"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) The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as Electronic invoicing.

authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) To access WAWF, the Contractor shall- WAWF access.

(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) The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice WAWF training.

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

Protocol.

(f) The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF payment instructions.

WAWF for this contract or task or delivery order:

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

(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.

Invoice and Receiving Report Combo

(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.

N/A

(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 financing, submit a commercial financing request.

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

[Note: The Contractor may use a WAWF "combo" document type to create some combinations of invoice and receiving report in one step.]

(3) The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF Document routing.

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 HQ0490

Issue By DoDAAC HT9410

Admin DoDAAC HT9410

Inspect By DoDAAC

CLIN 0001 & 0002: HT0675; CLIN 0003 & 0004: HT1174, CLIN 0005 & 0006:

HT1036

Ship To Code

CLIN 0001 & 0002: HT0675; CLIN 0003 & 0004: HT1174, CLIN 0005 & 0006:

HT1036

Ship From Code N/A

Mark For Code N/A

Service Approver (DoDAAC)

CLIN 0001 & 0002: HT0675; CLIN 0003 & 0004: HT1174, CLIN 0005 & 0006:

HT1036

Service Acceptor (DoDAAC)

CLIN 0001 & 0002: HT0675; CLIN 0003 & 0004: HT1174, CLIN 0005 & 0006:

HT1036

Accept at Other DoDAAC N/A

LPO DoDAAC N/A

DCAA Auditor DoDAAC N/A

Other DoDAAC(s) N/A

(4) The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in Payment request.

accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

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

(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.

See POC Section.

(Contracting Officer: Insert applicable information or "Not applicable.")

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

(End of clause)

Special Contract Requirements

Contract Clauses

FAR Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

52.202-1 Definitions. Jun 2020 52.203-3 Gratuities. Apr 1984 52.204-13 System for Award Management Maintenance. Oct 2018 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services. Nov 2023

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

252.203-7000 Requirements Relating to Compensation of Former DoD Officials. Sep 2011 252.203-7002 Requirement to Inform Employees of Whistleblower Rights. Dec 2022 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting. May 2024

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services.

Jan 2023

252.204-7020 NIST SP 800-171 DoD Assessment Requirements. Nov 2023 252.205-7000 Provision of Information to Cooperative Agreement Holders. Oct 2024 252.222-7002 Compliance with Local Labor Laws (Overseas). Jun 1997 252.223-7008 Prohibition of Hexavalent Chromium. Jan 2023 252.225-7012 Preference for Certain Domestic Commodities. Apr 2022 252.225-7041 Correspondence in English. Jun 1997 252.225-7056 Prohibition Regarding Business Operations with the Maduro Regime. Jan 2023

252.225-7060 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region.

Jun 2023

252.225-7976 Contractor Personnel Performing in Japan (DEVIATION 2018-O0019) Aug 2018 Deviation 2018-O0019 Aug 2018 252.232-7010 Levies on Contract Payments. Dec 2006 252.233-7001 Choice of Law (Overseas). Jun 1997 252.237-7010 Prohibition on Interrogation of Detainees by Contractor Personnel. Jan 2023 252.243-7002 Requests for Equitable Adjustment. Dec 2022 252.244-7000 Subcontracts for Commercial Products or Commercial Services. Nov 2023 252.246-7008 Sources of Electronic Parts. Jan 2023 252.247-7023 Transportation of Supplies by Sea. Oct 2024

FAR Clauses Incorporated by Full Text

52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders - Commercial Products and Commercial Services.

(DEVIATION 2025-O0003 and 2025-O0004)

(Jan 2025) Deviation 2025-O0004 (Mar 2025)

CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS-COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAR 2025) (DEVIATION 2025-O0003 AND 2025-O0004)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (section 743 of Division E, Title (JAN 2017) VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab Covered Entities (DEC (Section 1634 of Pub. L. 115-91).2023)

(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (Section (NOV 2021) 889(a)(1)(A) of Pub. L. 115-232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations .(NOV 2015)

(5) 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (31 U.S.C. 3903 and 10 U.S.C. 3801).(MAR 2023)

(6) 52.233-3, Protest After Award (31 U.S.C. 3553).(AUG 1996)

(7) 52.233-4, Applicable Law for Breach of Contract Claim (Public Laws 108-77 and 108-78 ( 19 U.S.C. 3805 note)).(OCT 2004)

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

[ .]Contracting Officer check as appropriate

52.203-6, Restrictions on Subcontractor Sales to the Government with (41 U.S.C. 4704 and 10 U.S.C. (1) (JUN 2020), Alternate I (NOV 2021)

4655).

52.203-13, Contractor Code of Business Ethics and Conduct (41 U.S.C. 3509)).(2) (NOV 2021)

52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (Section 1553 of Pub. L. 111-(3) (JUN 2010)

5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

52.203-17, Contractor Employee Whistleblower Rights (41 U.S.C. 4712); this clause does not apply to contracts of DoD, NASA, (4) (NOV 2023) the Coast Guard, or applicable elements of the intelligence community-see FAR 3.900(a).

52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Pub. L. 109-282) ( 31 U.S.C. 6101 note).(5) (JUN 2020)

[Reserved].(6)

52.204-14, Service Contract Reporting Requirements (Pub. L. 111-117, section 743 of Div. C).(7) (OCT 2016)

52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (Pub. L. 111-117, section 743 of Div. C).(8) (OCT 2016)

52.204-27, Prohibition on a ByteDance Covered Application (Section 102 of Division R of Pub. L. 117-328).(9) (JUN 2023)

52.204-28, Federal Acquisition Supply Chain Security Act Orders-Federal Supply Schedules, Governmentwide Acquisition Contracts, and (10)

Multi-Agency Contracts. (Pub. L. 115-390, title II).(DEC 2023)

(11)

52.204-30, Federal Acquisition Supply Chain Security Act Orders-Prohibition. (Pub. L. 115-390, title II).(i) (DEC 2023)

Alternate I of 52.204-30.(ii) (DEC 2023)

(12) 52.209-6, Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or

Voluntarily Excluded. ( 2025) (31 U.S.C. 6101 note).JAN

52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (41 U.S.C. 2313).(13) (OCT 2018)

[Reserved].(14)

52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award ( ) (15 U.S.C. 657a).(15) OCT 2022

52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns ( ) (if the offeror elects to waive the (16) OCT 2022 preference, it shall so indicate in its offer) (15 U.S.C. 657a).

[Reserved](17)

(18)

52.219-6, Notice of Total Small Business Set-Aside (15 U.S.C. 644).(i) (NOV 2020)

Alternate I of 52.219-6.(ii) (MAR 2020)

(19)

52.219-7, Notice of Partial Small Business Set-Aside (15 U.S.C. 644).(i) (NOV 2020)

Alternate I of 52.219-7.(ii) (MAR 2020)

52.219-8, Utilization of Small Business Concerns (15 U.S.C. 637(d)(2) and (3)).(20) ( )JAN 2025

(21)

52.219-9, Small Business Subcontracting Plan (15 U.S.C. 637(d)(4)).(i) ( )JAN 2025

Alternate I of 52.219-9.(ii) (NOV 2016)

Alternate II of 52.219-9.(iii) (NOV 2016)

Alternate III of 52.219-9.(iv) (JUN 2020)

Alternate IV of 52.219-9.(v) ( )JAN 2025

(22)

52.219-13, Notice of Set-Aside of Orders (15 U.S.C. 644(r)).(i) (MAR 2020)

Alternate I of 52.219-13.(ii) (MAR 2020)

52.219-14, Limitations on Subcontracting ( ) (15 U.S.C. 657s).(23) OCT 2022

52.219-16, Liquidated Damages-Subcontracting Plan (15 U.S.C. 637(d)(4)(F)(i)).(24) (SEP 2021)

52.219-27, Notice of Set-Aside for, or Sole-Source Award to, Service-Disabled Veteran-Owned Small Business (SDVOSB) Concerns (25)

Eligible Under the SDVOSB Program ( ) (15 U.S.C. 657f).FEB 2024

(26)

52.219-28, Small Business Program Rerepresentation (15 U.S.C. 632(a)(2)).(i) Postaward ( )JAN 2025

Alternate I of 52.219-28.(ii) (MAR 2020)

52.219-29, Notice of Set-Aside for, or Sole-Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns ((27) OCT

) (15 U.S.C. 637(m)).2022

52.219-30, Notice of Set-Aside for, or Sole-Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned (28)

Small Business Program ( ) (15 U.S.C. 637(m)).OCT 2022

52.219-32, Orders Issued Directly Under Small Business Reserves (15…