H92239-18-Q-0003-Medical_Gas_Support.pdf

SEE ADDENDUM

(No Collect Calls)

H92239-18-Q-0003 24-Apr-2018

b. TELEPHONE NUMBER

910-432-6133

8. OFFER DUE DATE/LOCAL TIME

12:00 AM 07 May 2018

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

H922399. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

ROCHENE CARROLL

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

W5808P8044KJ11

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

HQ US ARMY SPECIAL OPERATIONS CMD, DCSC

ATTN: AOCO (CONTRACTING)

BLDG E-2929

DESERT STORM DRIVE

FORT BRAGG NC 28310

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE W5808P 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

JSOMTC

DON MCNEIL

BLDG 5-3845, COMBAT MEDIC DRIVE

FORT BRAGG NC 28310

TEL: 910-907-2913 FAX:

910-432-9345FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

1,000

NAICS:

325120

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

H92239-18-Q-0003

Section SF 1449 - CONTINUATION SHEET

CONTRACT MINIMUM GUARANTEE

The Government, through the issuance of the first Delivery Order will satisfy the minimum guarantee the life of the contract. The following will consistute the minimum guarantee.

Contractor-Owned Cylinders Nitrogen 6000 PSI 2 Cyl

Oxygen USP H 2 Cyl Government-Owned Cylinders

Propane 20# 13 Cyl Oxygen USP M22 82 Cyl

Oxygen 040 16 Cyl Oxygen USP D 69 Cyl

AUTHORIZED ORDERING OFFICIALS

a. All United States Army Special Operations Command Contracting Officers may issue Delivery Orders against this contract. Delivery Orders may not be placed against this contract by any other source, unless otherwise permitted by the USASOC Contracting Officer.

b. All Delivery Orders will contain the applicable payment instructions.

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001 8 Cylinder Nitrogen 6000 PSI-Contractor Owned

FFP

The Contractor shall provide cylinder and refill of medical gas in accordance with the terms and conditions of the Statement of Work (SOW).

FOB: Destination

PURCHASE REQUEST NUMBER: W5808P8044KJ11

MARK SHIPMENT FOR: W5808P20180017 POC: TBD at time of award

MAX

NET AMT

UNIT UNIT PRICE MAX AMOUNT

0002 8 Cylinder Oxygen USP H-Contractor Owned

FFP

The Contractor shall provide cylinder and refill of medical gas in accordance with the terms and conditions of the Statement of Work (SOW) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0003 54 Cylinder Propane #20-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0004 330 Cylinder Oxygen USP M22-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0005 64 Cylinder Oxygen 040-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0006 279 Cylinder Oxygen USP D- Government owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1001 8 Cylinder Nitrogen 6000 PSI-Contractor Owned

FFP

The Contractor shall provide cylinder and refill of medical gas in accordance with the terms and conditions of the Statement of Work (SOW).

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1002 8 Cylinder Oxygen USP H-Contractor Owned

FFP

The Contractor shall provide cylinder and refill of medical gas in accordance with the terms and conditions of the Statement of Work (SOW)

UNIT UNIT PRICE MAX AMOUNT

1003 54 Cylinder Propane #20-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW)

UNIT UNIT PRICE MAX AMOUNT

1004 330 Cylinder Oxygen USP M22-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

1005 64 Cylinder Oxygen 040-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

1006 279 Cylinder Oxygen USP D- Government owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

2001 8 Cylinder Nitrogen 6000 PSI-Contractor Owned

FFP

The Contractor shall provide cylinder and refill of medical gas in accordance with the terms and conditions of the Statement of Work (SOW).

UNIT UNIT PRICE MAX AMOUNT

2002 8 Cylinder Oxygen USP H-Contractor Owned

FFP

The Contractor shall provide cylinder and refill of medical gas in accordance with the terms and conditions of the Statement of Work (SOW)

UNIT UNIT PRICE MAX AMOUNT

2003 54 Cylinder Propane #20-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

2004 330 Cylinder Oxygen USP M22-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

2005 64 Cylinder Oxygen 040-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

2006 279 Cylinder Oxygen USP D- Government owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

3001 8 Cylinder Nitrogen 6000 PSI-Contractor Owned

FFP

The Contractor shall provide cylinder and refill of medical gas in accordance with the terms and conditions of the Statement of Work (SOW).

UNIT UNIT PRICE MAX AMOUNT

3002 8 Cylinder Oxygen USP H-Contractor Owned

FFP

The Contractor shall provide cylinder and refill of medical gas in accordance with the terms and conditions of the Statement of Work (SOW)

UNIT UNIT PRICE MAX AMOUNT

3003 54 Cylinder Oxygen USP M22-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

3004 330 Cylinder Oxygen USP M22-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

3005 64 Cylinder Oxygen 040-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

3006 279 Cylinder Oxygen USP D- Government owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

4001 8 Cylinder Nitrogen 6000 PSI-Contractor Owned

FFP

The Contractor shall provide cylinder and refill of medical gas in accordance with the terms and conditions of the Statement of Work (SOW).

UNIT UNIT PRICE MAX AMOUNT

4002 8 Cylinder Oxygen USP H-Contractor Owned

FFP

The Contractor shall provide cylinder and refill of medical gas in accordance with the terms and conditions of the Statement of Work (SOW)

UNIT UNIT PRICE MAX AMOUNT

4003 54 Cylinder Propane #20-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

4004 330 Cylinder Oxygen USP M22-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

4005 64 Cylinder Oxygen 040-Government Owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

UNIT UNIT PRICE MAX AMOUNT

4006 279 Cylinder Oxygen USP D- Government owned

FFP

The Contractor shall refill the Government owned cylinders with medical gases in accordance with (IAW) the terms and conditions of the Statement of Work

(SOW).

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 1001 Destination Government Destination Government 1002 Destination Government Destination Government 1003 Destination Government Destination Government 1004 Destination Government Destination Government 1005 Destination Government Destination Government 1006 Destination Government Destination Government 2001 Destination Government Destination Government 2002 Destination Government Destination Government 2003 Destination Government Destination Government 2004 Destination Government Destination Government 2005 Destination Government Destination Government 2006 Destination Government Destination Government 3001 Destination Government Destination Government 3002 Destination Government Destination Government 3003 Destination Government Destination Government 3004 Destination Government Destination Government 3005 Destination Government Destination Government 3006 Destination Government Destination Government 4001 Destination Government Destination Government 4002 Destination Government Destination Government 4003 Destination Government Destination Government 4004 Destination Government Destination Government 4005 Destination Government Destination Government 4006 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 15-MAY-2018 TO

14-MAY-2019

N/A JSOMTC

DON MCNEIL

BLDG 5-3845, COMBAT MEDIC DRIVE

FORT BRAGG NC 28310

910-907-2913

W5808P

0002 POP 15-MAY-2018 TO

14-MAY-2019

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 15-MAY-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 15-MAY-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 15-MAY-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 15-MAY-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 15-MAY-2019 TO

14-MAY-2020

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 15-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 15-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 15-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 15-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 15-MAY-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 15-MAY-2020 TO

14-MAY-2021

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 15-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 15-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 15-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 15-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 15-MAY-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 15-MAY-2021 TO

14-MAY-2022

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 15-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 15-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 15-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 01-MAY-2018 TO

30-APR-2023

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 15-MAY-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 15-MAY-2022 TO

14-MAY-2023

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 15-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 15-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 15-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 15-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 15-MAY-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-13 System for Award Management Maintenance OCT 2016 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017 52.223-3 Hazardous Material Identification And Material Safety Data JAN 1997 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.237-2 Protection Of Government Buildings, Equipment, And Vegetation

APR 1984

52.247-34 F.O.B. Destination NOV 1991 252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

OCT 2016

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support

MAY 2016

252.216-7006 Ordering MAY 2011 252.223-7001 Hazard Warning Labels DEC 1991

252.223-7008 Prohibition of Hexavalent Chromium JUN 2013 252.225-7001 Buy American And Balance Of Payments Program-- Basic

(Dec 2017)

DEC 2017

252.225-7002 Qualifying Country Sources As Subcontractors DEC 2017 252.225-7048 Export-Controlled Items JUN 2013 252.232-7006 Wide Area WorkFlow Payment Instructions MAY 2013 252.232-7010 Levies on Contract Payments DEC 2006 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS--COMMERCIAL ITEMS (JAN 2018)

(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 items:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title 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) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

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

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

(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 items: (Contracting Officer check as appropriate.)

___ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

____ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509).

____ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (June 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

___ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2016) (Pub. L.

109-282) (31 U.S.C. 6101 note).

___ (5) [Reserved]

___ (6) 52.204-14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111-117, section 743 of Div.

C).

___ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (Oct 2016) (Pub.

L. 111-117, section 743 of Div. C).

X (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Oct 2015) (31 U.S.C. 6101 note).

____ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (July 2013) (41 U.S.C. 2313).

____ (10) [Reserved]

____ (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (NOV 2011) (15 U.S.C. 657a).

____ (ii) Alternate I (NOV 2011) of 52.219-3.

____ (12) (i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

____ (ii) Alternate I (JAN 2011) of 52.219-4.

____ (13) [Reserved]

_X__ (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2011) (15 U.S.C. 644).

____ (ii) Alternate I (NOV 2011).

____ (iii) Alternate II (NOV 2011).

____ (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

____ (ii) Alternate I (Oct 1995) of 52.219-7.

____ (iii) Alternate II (Mar 2004) of 52.219-7.

____ (16) 52.219-8, Utilization of Small Business Concerns (Nov 2016) (15 U.S.C. 637(d)(2) and (3)).

____ (17)(i) 52.219-9, Small Business Subcontracting Plan (Jan 2017) (15 U.S.C. 637(d)(4)).

____ (ii) Alternate I (Nov 2016) of 52.219-9.

____ (iii) Alternate II (Nov 2016) of 52.219-9.

____ (iv) Alternate III (Nov 2016) of 52.219-9.

____ (v) Alternate IV (Nov 2016) of 52.219-9.

____ (18) 52.219-13, Notice of Set-Aside of Orders (NOV 2011) (15 U.S.C. 644(r)).

____ (19) 52.219-14, Limitations on Subcontracting (JAN 2017) (15 U.S.C. 637(a)(14)).

____ (20) 52.219-16, Liquidated Damages—Subcon-tracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

____ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (NOV 2011) (15 U.S.C.

657f).

X (22) 52.219-28, Post Award Small Business Program Rerepresentation (July 2013) (15 U.S.C. 632(a)(2)).

____ (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women- Owned Small Business Concerns (Dec 2015) (15 U.S.C. 637(m)).

____(24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (Dec 2015) (15 U.S.C. 637(m)).

X (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

X(26) 52.222-19, Child Labor--Cooperation with Authorities and Remedies (Jan 2018) (E.O. 13126).

X (27) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

X (28) 52.222-26, Equal Opportunity (Sept 2016) (E.O. 11246).

____ (29) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212).

X (30) 52.222-36, Equal Opportunity for Workers with Disabilities (July 2014) (29 U.S.C. 793).

____ (31) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

____ (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O.

13496).

X (33)(i) 52.222-50, Combating Trafficking in Persons (March 2, 2015) (22 U.S.C. chapter 78 and E.O.

13627).

____ (ii) Alternate I (March 2, 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

____ (34) 52.222-54, Employment Eligibility Verification (Oct 2015). (E. O. 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

____ (35)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA–Designated Items (May 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

____ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

____ (36) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (June, 2016) (E.O. 13693).

____ (37) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (June, 2016) (E.O. 13693).

____ (38) (i) 52.223-13, Acquisition of EPEAT® Registered Imaging Equipment (Jun 2014) (E.O.s 13423 and 13514).

____ (ii) Alternate I (OCT 2015) of 52.223-13.

____ (39)(i) 52.223-14, Acquisition of EPEAT® Registered Televisions (Jun 2014) (E.O.s 13423 and 13514).

____ (ii) Alternate I (Jun 2014) of 52.223-14.

____ (40) 52.223-15, Energy Efficiency in Energy-Consuming Products (Dec 2007) (42 U.S.C. 8259b).

____ (41)(i) 52.223-16, Acquisition of EPEAT[supreg]-Registered Personal Computer Products (OCT 2015) (E.O.s 13423 and 13514).

____ (ii) Alternate I (Jun 2014) of 52.223-16.

X (42) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (Aug 2011) (E.O.

13513).

____ (43) 52.223-20, Aerosols (June, 2016) (E.O. 13693).

____ (44) 52.223-21, Foams (June, 2016) (E.O. 13693).

____ (45)(i) 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a).

____ (ii) Alternate I (JAN 2017) of 52.224-3.

X (46) 52.225-1, Buy American--Supplies (May 2014) (41 U.S.C. chapter 83).

____ (47) (i) 52.225-3, Buy American--Free Trade Agreements--Israeli Trade Act (May 2014) (41 U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L.

103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43.

____ (ii) Alternate I (May 2014) of 52.225-3.

____ (iii) Alternate II (May 2014) of 52.225-3.

____ (iv) Alternate III (May 2014) of 52.225-3.

____ (48) 52.225-5, Trade Agreements (Oct 2016) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

X (49) 52.225-13, Restrictions on Certain Foreign Purchases (June 2008) (E.O.’s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

____ (50) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

____ (51) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150

____ (52) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42 U.S.C.

5150).

____ (53) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002) (41 U.S.C. 4505, 10 U.S.C. 2307(f)).

____ (54) 52.232-30, Installment Payments for Commercial Items (Jan 2017) (41 U.S.C. 4505, 10 U.S.C. 2307(f)).

X (55) 52.232-33, Payment by Electronic Funds Transfer—System for Award Management (July 2013) (31 U.S.C. 3332).

____ (56) 52.232-34, Payment by Electronic Funds Transfer—Other than System for Award Management (July 2013) (31 U.S.C. 3332).

____ (57) 52.232-36, Payment by Third Party (MAY 2014) (31 U.S.C. 3332).

____ (58) 52.239-1, Privacy or Security Safeguards (Aug 1996) (5 U.S.C. 552a).

____ (59) 52.242-5, Payments to Small Business Subcontractors (JAN 2017)(15 U.S.C. 637(d)(12)).

____ (60)(i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46 U.S.C.

Appx. 1241(b) and 10 U.S.C. 2631).

____ (ii) Alternate I (Apr 2003) of 52.247-64.

(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, 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 items: (Contracting Officer check as appropriate.)

_____(1) 52.222-17, Nondisplacement of Qualified Workers (May 2014) (E.O. 13495).

_____ (2) 52.222-41, Service Contract Labor Standards (MAY 2014) (41 U.S.C. chapter 67).

_____ (3) 52.222-42, Statement of Equivalent Rates for Federal Hires (MAY 2014) (29 U.S.C. 206 and 41 U.S.C.

chapter 67).

_____ (4) 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards--Price Adjustment (Multiple Year and Option Contracts) (MAY 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

_____ (5) 52.222-44, Fair Labor Standards Act and Service Contract Labor Standards--Price Adjustment (MAY 2014) (29 U.S.C 206 and 41 U.S.C. chapter 67).

_____ (6) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Requirements (MAY 2014) (41 U.S.C. chapter 67).

_____ (7) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Requirements (MAY 2014) (41 U.S.C. chapter 67).

_____(8) 52.222-55, Minimum Wages Under Executive Order 13658 (DEC 2015) (E.O. 13658).

_____ (9) 52.222-62, Paid Sick Leave Under Executive Order 13706 (JAN 2017) (E.O. 13706).

_____ (10) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (MAY 2014) (42 U.S.C. 1792).

_____ (11) 52.237-11, Accepting and Dispensing of $1 Coin (Sept 2008) (31 U.S.C. 5112(p)(1)).

(d) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph

(d) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records--Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor's directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(e) (1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c), and (d) of this clause, the Contractor is not required to flow down any FAR clause, other than those in this paragraph (e)(1)in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause—

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509).

(ii) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title 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)).

(iii) 52.219-8, Utilization of Small Business Concerns (Nov 2016) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $700,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(iv) 52.222-17, Nondisplacement of Qualified Workers (MAY 2014) (E.O. 13495). Flow down required in accordance with paragraph (l) of FAR clause 52.222-17.

(v) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

(vi) 52.222-26, Equal Opportunity (Sept 2016) (E.O. 11246).

(vii) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212).

(viii) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793).

(ix) 52.222-37, Employment Reports on Veterans (Feb 2016) (38 U.S.C. 4212).

(x) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).

Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(xi) 52.222-41, Service Contract Labor Standards (May 2014), (41 U.S.C. chapter 67).

(xii) X (A) 52.222-50, Combating Trafficking in Persons (March 2, 2015) (22 U.S.C. chapter 78 and E.O. 13627).

_____ (B) Alternate I (March 2, 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

(xiii) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Requirements (May 2014) (41 U.S.C. chapter 67.)

(xvii) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Requirements (May 2014) (41 U.S.C. chapter 67)

(xiv) 52.222-54, Employment Eligibility Verification (Oct 2015) (E. O. 12989).

(xv)52.222-55, Minimum Wages Under Executive Order 13658 (Dec 2015) (E.O. 13658).

(xvi) (A) 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a).

(B) Alternate I (JAN 2017) of 52.224-3.

(xvii) 52.222-62 Paid Sick Leave Under Executive Order 13706 (JAN 2017) (E.O. 13706).

(xviii) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

(xix) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations. (May 2014) (42 U.S.C. 1792). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xx) 52.247-64, Preference for Privately-Owned U.S. Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx 1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the Contractor may include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations.

(End of clause)

52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than 1 cylinder of any type , the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor -

(1) Any order for a single item in excess of 25,000.000 ;

(2) Any order for a combination of items in excess of 50,000.00; or

(3) A series of orders from the same ordering office within 30 days that together call for quantities exceeding the limitation in paragraph (b) (1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 7 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

52.216-22 INDEFINITE QUANTITY. (OCT 1995)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum". The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum".

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after 14 May 2023.

52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

The Government may increase the quantity of supplies called for in the Schedule at the unit price specified. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days. Delivery of the added items shall continue at the same rate as the like items called for under the contract, unless the parties otherwise agree.

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor anytime prior to contract expiration.

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

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

https://www.acquisition.gov/browsefar http://farsite.hill.af.mil

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

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

(b) The use in this solicitation or contract of any Defense Federal Acquisition Regulation (48 CFR 2) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

252.216-7006 ORDERING (MAY 2011)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the contract schedule. Such orders may be issued from 15 May 2018 through 14 May 2019, and through any excercised option.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c)(1) If issued electronically, the order is considered ``issued'' when a copy has been posted to the Electronic Document Access system, and notice has been sent to the Contractor.

(2) If mailed or transmitted by facsimile, a delivery order or task order is considered ``issued'' when the Government deposits the order in the mail or transmits by facsimile. Mailing includes transmittal by U.S. mail or private delivery services.

(3) Orders may be issued orally only if authorized in the schedule.

(End of Clause)

5652.204-9004 Foreign Persons (2006) Section K

In accordance with restrictions required by Executive Order 12470, the Arms Export Control Act (Title 22, USC) (Sec 275), the International Traffic in Arms Regulation (ITAR), or DoD Directive 5230.25, Withholding of Unclassified Technical Data from Public Disclosure, no foreign persons will be permitted to work on a contract without notifying the Contracting Officer. Provide the following information for all foreign persons who will be working on the contract (or “X” here if there are no such individuals: ____):

http://farsite.hill.af.mil/

1) Full Name:

2) Date of Birth:

3) Place of Birth:

4) Nationality:

5) Social Security Number:

6) Visa Status:

7) Current Address:

8) If a Subcontractor, Subcontractor Name and Address:

9) Biographic data and/or resume:

(end of clause)

5652.228.9000 REQUIRED INSURANCE (2003) Section G

The kinds and minimum amounts of insurance required in accordance with 52.228-5 "Insurance-Work on a Government Installation" are as follows:

TYPE AMOUNT

Automobile Bodily Injury Liability $200,000 per person/ $500,000 per occurrence Property Damage Liability $20,000 per occurrence Workers Compensation & Occupational Disease As required by federal and State Statutes

Employer's Liability $100,000

ADDITIONAL TERMS AND CONDITION

AUTHORIZED CHANGES

The Contractor shall not comply with any order, direction or request of Government personnel unless it is issued in writing and signed by a warranted USASOC Contracting Officer, or is pursuant to specific authority otherwise included as part of this contract. Except as specified herein, no order, statement, or conduct of Government personnel who visit the contractor’s facilities or in any other manner communicates with Contractor personnel during the performance of this contract shall constitute a change under the Changes clause. In the event the Contractor effects any change at the direction of any person other than a warranted Contracting Officer, the change will be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in cost incurred as a result thereof.

The address and telephone number of the Primary Contracting Officer is:

Jennifer Z. Payne

USASOC, DCSC

HQ USASOC, Ft. Bragg, NC ☎: 910-432-6978 Fax: 910-432-9345 Email: jennifer.payne@socom.mil mailto:jennifer.payne@socom.mil

STATEMENT OF WORK (SOW)

Statement of Work (SOW) Medical Gas Support

Special Warfare Medical Group Fort Bragg, North Carolina

Part I

General Information

1. General Requirements

1.1. Description of Services/Introduction: The Contractor shall provide all personnel, supervision, and other items necessary to provide the required consumable end-items as defined in this SOW. The Contractor shall provide the required items in accordance with (IAW) the terms and conditions of the contract and consistent with the standards established in this SOW.

1.2. Objectives: The Contractor shall provide all labor and materials to deliver the following medical gases to the requiring facility throughout the period of performance:

• Nitrogen 6000 PSI and Oxygen H Contractor-owned medical gas cylinders

• Refill 20 lb. propane and M22, 040 and D Government-owned cylinders

The Contractor shall pick up all empty cylinders, return full and swap out any rental cylinders each week. All the handling of cylinders, to include transportation and delivery, shall be performed by the Contractor. The quantities provided in the contract line items (CLINs) are estimates of the facility’s annual requirements for medical gases. Weekly pick up cylinders may vary from week to week but in no event shall exceed the amount issued on the delivery order. The Contractor shall only invoice the Government cylinders refilled.

1.3. Delivery Period: The Ordering Period shall be for five years.

1.4. General Information

1.4.1. Quality Assurance Specifications and Requirements: All medical gas manufacturers and fillers of medical gases must be registered with Federal Drug Administration (FDA) as drug manufacturers. All medical gases delivered shall be manufactured, processed, packed, transported, and stored according to FDA's Current Good Manufacturing Practices (CGMP) regulations, and all labeling shall comply with FDA's labeling regulations (21 CFR Part 201). All medical gases delivered shall be medical-grade and shall meet or exceed the standards cited in the current edition of the United States Pharmacopoeia/National Formulary (U.S.P.). A valid certificate of analysis (COA) shall be provided with each delivery of the medical gases provided. The certificate shall include, at a minimum, the following:

• Supplier’s name, complete address, and name of the product

• An Air Liquefaction Statement where appropriate

• Lot number or other unique identification number

• Actual analytical results for full U.S.P. monograph testing

• Signature of authorized supplier representative and date

Material Safety Data Sheets shall be provided to the Contracting Officer Representative (COR) upon request. A copy of all inspection reports shall be provided to the COR upon the completion of any contractor-owned system inspections that are required by regulation. All contractor-owned equipment shall be maintained or repaired in accordance with FDA's CGMP Regulations.

1.4.1.1. The Contractor must fill and deliver all the medical gas cylinders with gas product in compliance with the state of North Carolina and federal codes. All cylinders must have Lot Numbers labeled on each cylinder delivered. The Delivery Ticket must be signed by the Contractor after products are delivered. The purity of medical gas oxygen must be no less than 99% when delivered.

1.4.2. Delivery Schedule Coordination: After contract award, the COR and the Contractor may agree upon a defined delivery schedule, i.e. Thursdays on a weekly basis. Within 48 hours of each scheduled weekly pickup, the COR will confirm the quantity of cylinders required to be filled for that week. Within 24 hours of delivery, the Contractor shall notify the facility of the estimated time of delivery.

1.4.3. Cylinder Sizes: Cylinder sizes listed in Technical Exhibit 1 indicate product capacity of the cylinder currently being used. All capacities are approximate, and the Government shall be billed only for the actual amount of gas delivered. In accordance with the Federal Food, Drug and Cosmetic Act, the actual contents of the container must appear on the label.

1.4.4. Lost or Damaged Contractor-Owned Cylinders: For each contractor-owned cylinder lost or damaged beyond repair while in the Government's possession, the Government shall pay to the Contractor the replacement value, less the allocable rental paid for that cylinder. These cylinders shall become Government property. If any lost cylinder is located within 30 calendar days after payment by the Government, it may be returned to the Contractor by the Government, and the Contractor shall pay to the Government an amount equal to the replacement value, less rental.

1.4.5. Recognized Federal Holidays: The Contractor is not required to deliver on recognized federal holidays. The recognized federal holidays include:

New Year’s Day Labor Day Birthday of Martin Luther King Jr. Columbus Day Presidents Day Veterans Day Memorial Day Thanksgiving Day Independence Day Christmas Day

1.4.5.1. Holidays on Saturday or Sunday: Should the previously scheduled delivery occur on a holiday, then the COR shall coordinate an alternate delivery with the Contractor for that occurrence.

1.4.6. Hours of Operation: The Contractor shall be responsible for providing the items, between the hours of 7:30 AM – 3:00 PM Monday through Friday, except federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. Delivery will be made weekly. In the event there is an emergency delivery needed, the order will be placed by the COR/Alternate COR only.

1.4.7. Place of Performance: Contractor shall provide deliveries at three (3) separate locations on Fort Bragg: Bldg 5- 3845 Combat Medic Drive, Bldg 352 Virgin Street and National Training Area 1 (NTA1) vic Hwy 690/Vass Road.

1.4.8. Qualifications.

1.4.8.1. General:

1.4.8.1.1. License and Insurance Requirements: The Contractor shall be responsible for ensuring all Delivery Drivers performing work under this contract possess and maintain current a commercial driver’s license (CDL), and evidence of sufficient vehicle insurance to enter the Fort Bragg installation. The driver will have all the safety equipment to include Personal Protection Equipment (PPE) needed to safely load and unload the medical gas cylinders. The Contractor must inform the COR/Alternate COR of any changes in delivery schedules one week in advance.

1.4.8.1.2. U.S. Citizenship: Contractor personnel performing work under this contract shall be U.S. citizens unless the provisions of Army Regulation 25-2, Information Assurance, have been fully completed and approval has been granted by the Government for the non-U.S. citizen to perform the required support.

1.4.8.2. Security:

1.4.8.2.1. Access and general protection policy and procedures. All contractor employees, including subcontractor employees, requiring access to an Army or USSOCOM controlled installation, facility, or area shall comply with applicable security policies and procedures (provided by the government representative). This includes policies pertaining to the use or prohibition of electronic recorders, devices, cameras, etc. If the Contractor is required to take photographs or videos on a Government Installation, the Contractor must obtain written permission from the Senior Commander. The Contractor shall also provide all information required for background checks to meet installation and facility access requirements to be completed by the installation Provost Marshal Office, Director of Emergency Services, or Security Office. The Contractor workforce must comply with all personal identity verification requirements as directed by DoD, HQDA, USSOCOM, USASOC and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should Force Protection Condition (FPCON) at any individual facility or installation change, the government may require changes in contractor security matters or processes.

1.4.8.2.2. AT Level I training. All contractor employees, including subcontractor employees, requiring access to an Army or USSOCOM controlled installation, facility, or area shall complete AT Level I Awareness Training within 60 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever applies. The contractor shall submit certificates of completion for each affected contract employee and subcontract employee to the COR (or to the contracting officer, if a COR is not assigned) within 90 calendar days after completion of the training by all employees and subcontractor personnel.