Contract - HT941026PE049.pdf
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- Attached to
- DRY ICE PELLETS
- Solicitation number
- HT941026PE049
- Issued by
-
Defense Health Agency
About this file
Contract Summary: Dry Ice Pellets Delivery
This is a Solicitation/Contract/Order for Commercial Products and Commercial Services (Standard Form 1449) issued by the Defense Health Agency's Healthcare Contracting Division-West for weekly dry ice pellet deliveries to the 9th Medical Group Laboratory at Beale Air Force Base, California. The contract number is HT941026PE049, with solicitation number HT941026Q2007, and was awarded effective March 5, 2026 to Boyer Lawrence (DUNS: 76X15, located in Rescue, California). The contract is designated as a Women-Owned Small Business (WOSB) set-aside with 100% reserved for North American Industry Classification Standard (NAICS) code 325120 at the 1,200-employee size standard. Payment will be made by DFAS-INDY VP GFEBS in Indianapolis, Indiana, with invoices submitted through Wide Area Workflow (WAWF). The contracting officer is Cha-on Gordon, and the contract specialist is Denise Bond.
The base contract line item (0001) requires 7,500 lbs of dry ice pellets delivered weekly at 250 lbs per delivery for 30 weeks from March 9 through September 30, 2026, at a firm fixed price of $14,925.00. Four option line items (1001-4001) extend the contract through September 30, 2030, each requiring 13,000 lbs annually (52 weeks × 250 lbs) at prices ranging from $26,000 to $26,390, with a fifth option (5001) covering 21 weeks from October 2030 through February 28, 2031 for 5,250 lbs at $10,710.00. All deliveries must occur during normal business hours (7:30 AM to 4:30 PM PST) every Wednesday to Building 5700 at 15301 Warren Shingle Road, Beale AFB, CA 95903-1908, with acceptance and inspection performed by SrA Francisco Cianzio (530-634-4913). The vendor is responsible for maintaining temperature-controlled transport to prevent dry ice sublimation and must notify the Contracting Officer's Representative immediately of any emergent road closures due to inclement weather. Payment terms are Net Days 30, with discount terms not attached.
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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 Beale AFB Dry Ice Pellets Delivery
HT941026PE049
Supplies or Services & Prices or Costs Additional Information/Notes
Item Supplies / Services Quantity Unit Unit Price Amount
DRY ICE PELLETS FOR 9 MEDGRP
LABORATORY, BEALE AFB
The contractor is required to provide weekly delivery of 250 lbs.
Dry Ice Pellets for 30 weeks in accordance with the SOW Total quantity: 7,500 lbs.
Delivery Date Ending: 9/30/2026 Ordering Period: 9 March 2026 through 30 September 2026 HT941026Q2007 SOW Dry Ice Pellets Proposal Response to Supply Solicitation Number HT941026Q2007 Attachment 1 Quote Number HT941026Q2007 Date 2/18/2026.
Manufacturer's Part Number: 0000 Product Service Code: 6830 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price
1 Job USD 14,925.00
Firm Price
USD 14,925.00
ACRN: AA
PR Number: HT10180012406550 PR Line Item Number: 0001
Funded Amount
USD 14,925.00
Option Line Item
DRY ICE PELLETS FOR 9 MEDGRP
LABORATORY, BEALE AFB
The contractor is required to provide weekly delivery of 250 lbs.
Dry Ice Pellets for 52 weeks in accordance with the SOW Total quantity: 13,000 lbs.
Delivery Date Ending: 9/30/2027 Ordering Period: 1 October 2026 through 30 September 2027 HT941026Q2007 SOW Dry Ice Pellets and Proposal Response to Supply Solicitation Number HT941026Q2007 Attachment 1 Quote Number HT941026Q2007 Date 2/18/2026.
Manufacturer's Part Number: 0000 Product Service Code: 6830 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price PR Number: HT10180012406550 PR Line Item Number: 0001
1 Job USD 26,000.00
Firm Price
USD 26,000.00
DRY ICE PELLETS FOR 9 MEDGRP
LABORATORY, BEALE AFB
The contractor is required to provide weekly delivery of 250 lbs.
Dry Ice Pellets for 52 weeks in accordance with the SOW Total quantity: 13,000 lbs.
Delivery Date Ending: 9/30/2028
Firm Price
USD 26,130.00
Option Line Item
Ordering Period: 1 October 2027 through 30 September 2028 HT941026Q2007 SOW Dry Ice Pellets and Proposal Response to Supply Solicitation Number HT941026Q2007 Attachment 1 Quote Number HT941026Q2007 Date 2/18/2026.
Manufacturer's Part Number: 0000 Product Service Code: 6830 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price PR Number: HT10180012406550 PR Line Item Number: 0001
1 Job USD 26,130.00
Option Line Item
DRY ICE PELLETS FOR 9 MEDGRP
LABORATORY, BEALE AFB
The contractor is required to provide weekly delivery of 250 lbs.
Dry Ice Pellets for 52 weeks in accordance with the SOW Total quantity: 13,000 lbs.
Delivery Date Ending: 9/30/2029 Ordering Period: 1 October 2028 through 30 September 2029 HT941026Q2007 SOW Dry Ice Pellets and Proposal Response to Supply Solicitation Number HT941026Q2007 Attachment 1 Quote Number HT941026Q2007 Date 2/18/2026.
Manufacturer's Part Number: 0000 Product Service Code: 6830 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price PR Number: HT10180012406550 PR Line Item Number: 0001
1 Job USD 26,260.00
Firm Price
USD 26,260.00
Option Line Item
DRY ICE PELLETS FOR 9 MEDGRP
LABORATORY, BEALE AFB
The contractor is required to provide weekly delivery of 250 lbs.
Dry Ice Pellets for 52 weeks in accordance with the SOW Total quantity: 13,000 lbs.
Delivery Date Ending: 9/30/2030 Ordering Period: 1 October 2029 through 30 September 2030 HT941026Q2007 SOW Dry Ice Pellets and Proposal Response to Supply Solicitation Number HT941026Q2007 Attachment 1 Quote Number HT941026Q2007 Date 2/18/2026.
Manufacturer's Part Number: 0000 Product Service Code: 6830 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price PR Number: HT10180012406550 PR Line Item Number: 0001
1 Job USD 26,390.00
Firm Price
USD 26,390.00
DRY ICE PELLETS FOR 9 MEDGRP
LABORATORY, BEALE AFB
The contractor is required to
Firm Price
USD 10,710.00
provide weekly delivery of 250 lbs.
Dry Ice Pellets for 21 weeks in accordance with the SOW Total quantity: 5,250 lbs.
Delivery Date Ending: 9/30/2030 Ordering Period: 1 October 2030 through 28 February 2031 HT941026N2007 SOW Dry Ice Pellets and Proposal Response to Supply Solicitation Number HT941026Q2007 Attachment 1 Quote Number HT941026Q2007 Date 2/18/2026.
Manufacturer's Part Number: 0000 Product Service Code: 6830 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price PR Number: HT10180012406550 PR Line Item Number: 0001
1 Job USD 10,710.00
Description/Specifications/Statement of Work
STATEMENT OR WORK
DRY ICE PELLETS DELIVERY
Background:
9 MDG Laboratory, Beale AFB has a need for the use of dry ice pellets for the packaging and shipping of samples to various reference laboratories to preserve sample integrity during transport. Pathology and Laboratory Medicine Service 9MDG Laboratory, Beale AFB requires the supply and delivery of dry ice pellets by the vendor.
Objectives:
9MDG is requesting procurement of a firm-fixed price, contract for supply and on-site dry ice pellet delivery to 9 MDG Laboratory, Beale AFB Laboratory, Beale AFB located at 15301 Warren Shingle Dr, Beale AFB, CA 95903-1905.
Scope:
The vendor shall provide all necessary management, labor, equipment, vehicles, transportation and delivery of dry ice services to the 9 MDG Laboratory, Beale AFB location as designated in the statement of work objectives. All work is to be performed in accordance with applicable federal, state, and local regulations or ordinances. Vendor will deliver the dry ice to the designated location once a week on an agreed day of the week / delivery date may change.
Weekly Delivery of Dry Ice:
The vendor shall provide and deliver dry ice pellets to the 9 MDG Laboratory weekly into a dry ice container located in the 9 MDG Laboratory, Beale AFB.
The 9 MDG Laboratory, Beale AFB requires weekly delivery of 250 lbs. of dry ice pellets for 52 weeks for a total of 13,000 lbs. per year.
9MDG Laboratory, Beale AFB normal hours of operation are Monday through Friday, 0730 AM to 4:30 PM Pacific Standard Time.
Deliveries to 9MDG Laboratory, Beale AFB need to occur during normal business hours of 07:30 AM to4:30 PM (PST) every Wednesday.
C. Environmental Controls
The Vendor shall be responsible for maintaining a temperature-controlled environment that prevents rapid sublimation.
The Vendor personnel drivers shall not leave vehicles in extreme heat or cold while dry ice is being transported to prevent sublimation.
Period of performance:
Base Year: 09/30/2026 Option Year 1: 09/30/2027 Option Year 2: 09/30/2028 Option Year 3: 09/30/2029 Option Year 4: 09/30/2030 Option Year 5: 02/28/2031
Contingency Plan:
Inclement weather - The Vendor shall immediately notify the Contracting Officers Representative (COR) personnel via phone and email communications of emergent road closures authorized by the California DOT.
***End of Statement of Work***
Requirements Dry Ice Pellets Delivery
Packaging and Marking
Inspection and Acceptance Overall Contract Inspection/Acceptance Locations
Acceptance Location
Acceptance Destination Instructions: See Statement of Work (SOW) for Acceptance/inspection criteria.
DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
Option Line Item
Acceptance Location
Acceptance Destination Instructions: See Statement of Work (SOW) for Acceptance/inspection criteria.
DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
Option Line Item
Acceptance Location
Acceptance Destination Instructions: See Statement of Work (SOW) for Acceptance/inspection criteria.
DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
Option Line Item
Acceptance Location
Acceptance Destination Instructions: See Statement of Work (SOW) for Acceptance/inspection criteria.
DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
Acceptance Location
Acceptance Destination Instructions: See Statement of Work (SOW) for Acceptance/inspection criteria.
DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
Option Line Item
Acceptance Location
Acceptance Destination Instructions: See Statement of Work (SOW) for Acceptance/inspection criteria.
DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
Deliveries or Performance
Line Item Delivery Schedule Quantity Address and POC Special Handling/Notes
Delivery Period From 09 Mar 2026 to 30 Sep
1 Job Ship To DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD
BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
FoB Details Contractor Destination
Option Line Item
Delivery Period From 01 Oct 2026 to 30 Sep
1 Job Ship To DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD
BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
FoB Details Contractor Destination
Option Line Item
Delivery Period From 01 Oct 2027 to 30 Sep
1 Job Ship To DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD
BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
FoB Details Contractor Destination
Option Line Item
Delivery Period From 01 Oct 2028 to 30 Sep
1 Job Ship To DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD
BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
FoB Details Contractor Destination
Option Line Item
Delivery Period From 01 Oct 2029 to 30 Sep
1 Job Ship To DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD
BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
FoB Details Contractor Destination
Delivery Period From 01 Oct 2030 to 28 Feb
1 Job Ship To DoDAAC: HT1018 CountryCode: USA
9TH MDG SGSM - MM
CP 530 634 4910, 15301 WARREN SHINGLE RD
FoB Details Contractor Destination
BLDG 5700
BEALE AFB, CA 95903-1908
UNITED STATES
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Telephone: 5306344913
Contract Administration Data
POINTS OF CONTACT (POC) AND DELIVERY INFORMATION
VENDOR:
Name: Thomas Harvey Phone:530-919-1960 Email:sqisalesusa@gmail.com
CONTRACTS:
Name: Denise Bond Title: Contract Specialist Department: Healthcare Contracting Division - West (HCD-W) Defense Health Agency (DHA) Contracting Activity (DHACA) - Echo Branch Phone:(210) 868-4974 Email: denise.d.bond.civ@health.mil
Name: Cha-on Gordon Title: Contracting Officer Department: Healthcare Contracting Division - West (HCD-W) Defense Health Agency (DHA) Contracting Activity (DHACA) - Echo Branch Phone:(726) 203-0109 Email: cha-on.p.gordon2.civ@health.mil
DELIVERYPOC/LOCATION:
SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Phone:530-634-4913
Laboratory 9 MDG Beale AFB 15301 Warren Shingle Dr Beale
AFB, CA 95903-1905.
DoDAAC: HT1018
NOTE TOCONTRACTOR: Include the contract number, located in block 2 of 1449, on all packing slips, 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 Workflow (WAWF), please contact the following:
FORWAWF ACCEPTOR / PAYMENT QUESTIONS:
WAWF POC: SrA Francisco Cianzio Email:francisco.j.cianziorodriguez.mil@health.mil Phone:530-634-4913
BASEACCESS:
a) Upon contract award the Contractor is required to complete the Application for Identification Card/DEERS Enrollment" DD Form 1172 to grant access to the military installation. The activity will send the form to the contractor.
b) The completed form must be presented at the entry control point (ECP) to gain access to the military installation.
ACRN LOA Total Amount
AA
^^^097^2026^2026^^0130^000^^256^D^1^^^^^1800^^021001^AHOPT^^S.0112510.11.18^^6100.256E^^101000807700^
USD 14,925.00Line Item PR/MIPR - PR Line Item# CIN Amount
CLIN 0001 HT10180012406550 - 0001 USD 14,925.00
DFARS Clauses Incorporated by Reference
Number Title Effective Date
Alternate/ Deviation
Variation Effective Date
252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. Dec 2018
HT941026PE049
mailto:sqisalesusa@gmail.com mailto:denise.d.bond.civ@health.mil mailto:francisco.j.cianziorodriguez.mil@health.mil mailto:francisco.j.cianziorodriguez.mil@health.mil
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 authorized by Electronic invoicing.
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 Training Site before WAWF training.
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 Protocol. WAWF methods of document submission.
(f) The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this WAWF payment instructions.
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 when creating Document routing.
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 HT1018
Ship To Code HT1018
Ship From Code N/A
Mark For Code N/A
Service Approver (DoDAAC) N/A
Service Acceptor (DoDAAC) N/A
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 accordance Payment request.
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.
FOR WAWF ACCEPTOR / PAYMENT QUESTIONS: WAWF POC: SrA Francisco Cianzio Email: francisco.j.cianziorodriguez.mil@health.mil Phone:
530-634-4913
(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
52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. Jan 2017 52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards. (Deviation) Feb 2026 52.204-13 System for Award Management-Maintenance. (Deviation) Feb 2026
52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded. (Deviation)
Feb 2026
52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (Deviation) Feb 2026 52.212-4 Terms and Conditions-Commercial Products and Commercial Services. (Deviation) Feb 2026 52.219-6 Notice of Total Small Business Set-Aside. (Deviation) Feb 2026 52.222-3 Convict Labor. (Deviation) Feb 2026 52.222-19 Child Labor-Cooperation with Authorities and Remedies. (Deviation) Feb 2026 52.222-36 Equal Opportunity for Workers with Disabilities. (Deviation) Feb 2026 52.222-50 Combating Trafficking in Persons. (Deviation) Feb 2026 52.223-5 Pollution Prevention and Right-to-Know Information. May 2024 52.223-23 Sustainable Products. (Deviation) Feb 2026 52.225-3 Buy American-Free Trade Agreements-Israeli Trade Act. (Deviation) Feb 2026 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving. May 2024 52.232-33 Payment by Electronic Funds Transfer-System for Award Management. Oct 2018 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. Mar 2023 52.233-3 Protest after Award. (Deviation) Feb 2026 52.233-4 Applicable Law for Breach of Contract Claim. (Deviation) Feb 2026 52.240-91 Security Prohibitions and Exclusions. (Deviation) Feb 2026 52.244-6 Subcontracts for Commercial Products and Commercial Services. (Deviation) Feb 2026
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 252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services. Jan 2023 252.223-7008 Prohibition of Hexavalent Chromium. Jan 2023 252.225-7001 Buy American and Balance of Payments Program. Feb 2024 252.225-7002 Qualifying Country Sources as Subcontractors. Mar 2022 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 252.232-7010 Levies on Contract Payments. Dec 2006 252.247-7023 Transportation of Supplies by Sea. Oct 2024
FAR Clauses Incorporated by Full Text
52.217-7 Option for Increased Quantity-Separately Priced Line Item. (Mar 1989)
Option for Increased Quantity-Separately Priced Line Item (Mar 1989)
The Government may require the delivery of the numbered line item, identified in the Schedule as an option item, in the quantity and at the price stated in the Schedule. The Contracting Officer may exercise the option by written notice to the Contractor within . Delivery of added items shall continue at the same 60 days rate that like items are called for under the contract, unless the parties otherwise agree.
(End of clause)
52.252-2 Clauses Incorporated by Reference. (Feb 1998)
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/browse/index/far https://www.acquisition.gov/dfars
(End of clause)
52.252-6 Authorized Deviations in Clauses. (Nov 2020)
Authorized Deviations in Clauses (Nov 2020)
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 (a) of "(DEVIATION)" after the date of the clause.
The use in this solicitation or contract of any (48 CFR ) clause with an authorized deviation is (b) Defense Federal Acquisition Regulation Supplement Chapter 2 indicated by the addition of "(DEVIATION)" after the name of the regulation.
(End of clause)
DFARS Clauses Incorporated by Full Text
252.211-7003 Item Unique Identification and Valuation. (Jan 2023)
ITEM UNIQUE IDENTIFICATION AND VALUATION (JAN 2023)
(a) . As used in this clause- Definitions
"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 .https://www.acq.osd.mil/asda/dpc/ce/ds/unique-id.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 .https://www.acq.osd.mil/asda/dpc/ce/ds/unique-id.html
(b) The Contractor shall deliver all items under a contract line, subline, or exhibit line item.
(c) Unique item identifier.
(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) The Contractor shall ensure that- Data syntax and semantics of unique item identifiers.
(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-
Serialize within the enterprise identifier; (1)
Serialize within the part, lot, or batch number; or (2)
Use a DoD recognized unique identification equivalent (e.g. Vehicle Identification Number); and (3)
(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 the item is an item of Special Tooling or Special Test Equipment.
(14) Whether the item is covered by a warranty.
(e) For embedded subassemblies, components, and parts that require DoD item unique identification under paragraph (c)(1)(iii) of this clause or when item unique identification is provided under paragraph (c)(1)(v), the Contractor shall report as part of the Material Inspection and Receiving Report specified elsewhere in this contract, the following information:
(1) Unique item identifier of the parent item under paragraph (c)(1) of this clause that contains the embedded subassembly, component, or part.
(2) Unique item identifier of the embedded subassembly, component, or part.
(3) Unique item identifier type.**
(4) Issuing agency code (if concatenated unique item identifier is used).**
(5) Enterprise identifier (if concatenated unique item identifier is used).**
(6) Original part number (if there is serialization within the original part number).**
(7) Lot or batch number (if there is serialization within the lot or batch number).**
(8) Current part number (optional and only if not the same as the original part number).**
(9) Current part number effective date (optional and only if current part number is used).**
(10) Serial number (if concatenated unique item identifier is used).**
(11) Description.
** Once per item.
(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause as follows:
(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.232-7003. If WAWF is not required by this contract, and the contractor is not using WAWF, follow the procedures at http://dodprocurementtoolbox.com/site/uidregistry/.
(2) Embedded items shall be reported by one of the following methods-
(i) Use of the embedded items capability in WAWF;
(ii) Direct data submission to the IUID Registry following the procedures and formats at http://dodprocurementtoolbox.com/site/uidregistry/; or
(iii) Via WAWF as a deliverable attachment for exhibit line item number (fill in) , Unique Item Identifier Report for Embedded Items, Contract ____ Data Requirements List, DD Form 1423.
(g) . If the Contractor acquires by subcontract, any item(s) for which item unique identification is required in accordance with paragraph (c)(1) of Subcontracts this clause, the Contractor shall include this clause, including this paragraph (g), in the applicable subcontract(s), including subcontracts for commercial products or commercial services.
(End of clause)
List of Attachments
Number Attachment Name Attachment Description Reference Identifier Date Line Item
Attachment 1 - Quote Sheet - Revised 2182026
Proposal Attachment 1 - Quote Sheet - Revised 2182026
18 Feb
| Solicitation/Contract Form |
| Supplies or Services & Prices or Costs |
| Description/Specifications/Statement of Work |
| Packaging and Marking |
| Inspection and Acceptance |
| Deliveries or Performance |
| Contract Administration Data |
| Special Contract Requirements |
| Contract Clauses |
| List of Attachments |
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| 25accountingdata: See Section G - Contract Administration Data |
| 26totalaward: USD 14,925.00 |
| 27acheckbox: Off |
| 27bcheckbox: Yes |
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| 27barecheckbox: Yes |
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| 28contractorrequiredcheckbox: Yes |
| 28numberofcopies: 1 |
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| 29offerreference: |
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| 29exceptions: |
| 30bsignername: |
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| 31bcontractingofficer: Cha-on Gordon |
| 31csigneddate: 05 Mar 2026 |
| 17bremittanceisdifferentcheckbox: Off |
| 01reqnumber: HT10180012406550 |
| pagenumber: 19 |
| 02contractnumber: HT941026PE049 |
| 03awarddate: 05 Mar 2026 |
| 04ordernumber: |
| 05solicitationnumber: HT941026Q2007 |
| 06solissuedate: |
| 07acontactname: Denise Bond |
| 07bcontactphone: |
| 08offerduedate: |
| 08offerduedatelocaltime: |
| 09issuedbycode: HT9410 |
| 10unrestrictedcheckbox: Off |
| 10setasidecheckbox: Yes |
| 10setasidepercent: 100 |
| 09issuedby: DEFENSE HEALTH AGENCY |
2739T ROOSEVELT DRIVE, OFFICE 143, BUILDING H-201T
CAMP PENDLETON, CA 92055
UNITED STATES
CHA-ON Gordon, Contracting Officer, Email: cha-on.p.gordon2.civ@health.mil Telephone: 7262030109 Denise Bond, Contract Specialist, Email: denise.d.bond.civ@health.mil Telephone: null
| 10smallbusinesscheckbox: Yes |
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| 10naics: 325120 |
| 10_8acheckbox: Off |
| 10sizestandard: 1200 |
| 11seeschedulecheckbox: Off |
| 12discountterms: Net Days 30 |
| 13athiscontractcheckbox: Off |
| 13brating: |
| 14rfqcheckbox: Off |
| 14ifbcheckbox: Off |
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| 15delivertocode: |
| 16administeredbycode: HT9410 |
| 15deliverto: See Schedule |
| 16administeredby: DEFENSE HEALTH AGENCY HCD WEST SCD: PAS: |
2739T ROOSEVELT DRIVE, OFFICE 143, BUILDING H-201T
CAMP PENDLETON, CA 92055
UNITED STATES
| 17acontractorcode: 76X15 |
| 17acontractorfacilitycode: |
| 18apaymentbycode: HQ0490 |
| 17acontractoraddress: BOYER LAWRENCE |
2972 WINDSOR CT
RESCUE, CA 95672-9685
UNITED STATES
Tom Harvey, Email: sqisalesusa@gmail.com Telephone: 5309191960 18apaymentbyaddress: DFAS-INDY VP GFEBS
8899 E 56TH STREET, INDIANAPOLIS IN 46249-3800
INDIANAPOLIS, IN 46249-3800
UNITED STATES
| 17acontractortelephoneno: |
| 18bseeaddendumcheckbox: Yes |
| 20schedule: See Schedule |
File details come from the government source that posted it. Updated .