HT940623Q0049.docx

HT940623Q0049

Section SF 1449 - CONTINUATION SHEET

SOLICITATION INFORMATION

CAGE: _____________________

UEI: _____________________

Vendor POC: _____________________

Vendor Phone: ____________________

Vendor E-mail: ____________________

Notes to Vendor:

-At a minimum, the SF1449 must be completed to be considered for this opportunity. Please respond to blocks 17a and 30a-c on page 1 and the vendor information on page 3, as well as provide your price(s) on the Contract Line Item Number(s) (CLINs). Cursive font signatures will not be accepted.

-No other Terms and Conditions will be accepted. Offers that contain additional terms and conditions will not be considered.

-Vendor to reference request for quotes number (RFQ#) HT940623Q0049 on all inquiries.

-Per DFARS 252.225-7000, it is required that non-domestic end products be identified. Please complete the format within DFARS 252.225-7000 to identify non-domestic products and submit as part of the solicitation response. Otherwise, the vendor certifies that each end product is a domestic end product.

-All proposals should be inclusive of all costs (e.g. Shipping and Handling). Shipping should be included in the quote total, but NOT separately priced; shipping costs are always considered in the evaluation process. Only NEW product offers will be accepted.

Award will be made on the basis of the lowest evaluated price of proposals meeting or exceeding the acceptability standards for non-cost factors listed with the Contract Line Item Numbers (CLINs).

PROMPT PAYMENT

For Prompt Payment Act purposes, this contract is subject to the 7 calendar day constructive acceptance period.

Billing / Payment in arrears

For all questions, POC:

Carol E. Uebelacker Contracting Officer/Contract Specialist Defense Health Agency Contracting Activity (DHACA) Southeastern Markets Contracting Division ✉: carol.e.uebelacker.civ@health.mil

** Disregard IUID requirement. DFARS 252.211-7003, Item Identification and Valuation, does not apply to this acquisition. **

MEDICAL GAS DELIVERY

FFP

Calibration Gas (26% O2, Balance N2)

Two (2) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2023 - 30 September 2024 FOB: Destination

NET AMT

MEDICAL GAS DELIVERY

Calibration Gas (Mix 16% O2, 4% CO2, Balance N2)

Two (2) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2023 - 30 September 2024

NET AMT

MEDICAL GAS DELIVERY

DLCO Gas (0.3% CO, 0.3% CH4, 21% O2, Balance N2)

Twenty-four (24) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2023 - 30 September 2024

NET AMT

DELIVERY FEE

Delivery charger per delivery

Period to be covered: 1 October 2023 - 30 September 2024

NET AMT

HAZARDOUS MATERIALS CHARGE

Charge per delivery

Period to be covered: 1 October 2023 - 30 September 2024

NET AMT

CYLINDER RENTAL FEE

Daily cylinder rental fee is based on 32 cylinders rented per day for 365 days. The amount may vary depending on the actual number of cylinders rented.

Period to be covered: 1 October 2023 - 30 September 2024

NET AMT

FFP

Calibration Gas (26% O2, Balance N2)

Two (2) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2024 - 30 September 2025

NET AMT

FFP

Calibration Gas (Mix 16% O2, 4% CO2, Balance N2)

Two (2) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2024 - 30 September 2025

NET AMT

FFP

DLCO Gas (0.3% CO, 0.3% CH4, 21% O2, Balance N2)

Twenty-four (24) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2024 - 30 September 2025

NET AMT

FFP

Delivery charger per delivery

Period to be covered: 1 October 2024 - 30 September 2025

NET AMT

FFP

Charge per delivery

Period to be covered: 1 October 2024 - 30 September 2025

NET AMT

FFP

Daily cylinder rental fee is based on 32 cylinders rented per day for 365 days. The amount may vary depending on the actual number of cylinders rented.

Period to be covered: 1 October 2024 - 30 September 2025

NET AMT

FFP

Calibration Gas (Mix 16% O2, 4% CO2, Balance N2)

Two (2) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2025 - 30 September 2026

NET AMT

FFP

Calibration Gas (26% O2, Balance N2)

Two (2) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2025 - 30 September 2026

NET AMT

FFP

DLCO Gas (0.3% CO, 0.3% CH4, 21% O2, Balance N2)

Twenty-four (24) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2025 - 30 September 2026

NET AMT

FFP

Delivery charger per delivery

Period to be covered: 1 October 2025 - 30 September 2026

NET AMT

FFP

Charge per delivery

Period to be covered: 1 October 2025 - 30 September 2026

NET AMT

FFP

Daily cylinder rental fee is based on 32 cylinders rented per day for 365 days. The amount may vary depending on the actual number of cylinders rented.

Period to be covered: 1 October 2025 - 30 September 2026

NET AMT

FFP

Calibration Gas (26% O2, Balance N2)

Two (2) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2026 - 30 September 2027

NET AMT

FFP

Calibration Gas (Mix 16% O2, 4% CO2, Balance N2)

Two (2) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2026 - 30 September 2027

NET AMT

FFP

DLCO Gas (0.3% CO, 0.3% CH4, 21% O2, Balance N2)

Twenty-four (24) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2026 - 30 September 2027

NET AMT

FFP

Delivery charger per delivery

Period to be covered: 1 October 2026 - 30 September 2027

NET AMT

FFP

Charge per delivery

Period to be covered: 1 October 2026 - 30 September 2027

NET AMT

FFP

Daily cylinder rental fee is based on 32 cylinders rented per day for 365 days. The amount may vary depending on the actual number of cylinders rented.

Period to be covered: 1 October 2026 - 30 September 2027

NET AMT

FFP

Calibration Gas (Mix 16% O2, 4% CO2, Balance N2)

Two (2) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2027 - 30 September 2028

NET AMT

FFP

Calibration Gas (26% O2, Balance N2)

Two (2) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2027 - 30 September 2028

NET AMT

FFP

DLCO Gas (0.3% CO, 0.3% CH4, 21% O2, Balance N2)

Twenty-four (24) cylinders shall be delivered the first week of Oct, Dec, Feb, Apr, Jun and Aug.

Period to be covered: 1 October 2027 - 30 September 2028

NET AMT

FFP

Delivery charger per delivery

Period to be covered: 1 October 2027 - 30 September 2028

NET AMT

FFP

Charge per delivery

Period to be covered: 1 October 2027 - 30 September 2028

NET AMT

FFP

Daily cylinder rental fee is based on 32 cylinders rented per day for 365 days. The amount may vary depending on the actual number of cylinders rented.

Period to be covered: 1 October 2027 - 30 September 2028

NET AMT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

NAVMEDCEN CAMP LEJEUNE NC - MM

CODE 171

100 BREWSTER BOULEVARD

CAMP LEJEUNE NC 28541-0100

HT0460

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CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

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 within 6 months.

(End of clause)

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

(a) The Government may extend the term of this contract by written notice to the Contractor within 7 months provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 5 days before the contract expires. The preliminary notice does not commit the Government to an extension.

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

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

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):

FAR Clauses http://acquisition.gov/far DFARS Clauses http://www.acq.osd.mil/dpap/dars/dfars/index.htm

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(a) Definitions. As used in this clause—

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

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

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

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

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

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

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

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

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

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

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

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

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

(ii) For fixed price line items—

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

________INVOICE TYPE: 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.

____________Invoice_2 in 1 Service _____________________________________

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

Routing Data Table*

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

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

(g) WAWF point of contact. alexander.z.rodriguez.civ@health.mil

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

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

PERFORMANCE WORK STATEMENT

Department of Defense Defense Health Agency Performance Work Statement

Specialty Gas Service Contract Performance Work Statement (PWS)

17 FEB 2023

Naval Medical Center Camp Lejeune

1.0 GENERAL INFORMATION

The Naval Medical Center Camp Lejeune’s (NMCCL)Pulmonary clinic has a need for a base plus 4 option year service contract to supply the 3 specialty gases used to perform pulmonary function test.

1.1 This is a non-personal services contract to provide the specialty gases used in the Pulmonary clinic.

1.1.1 Description of services/introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform the delivery and pick up of the 3 specialty gases used in the Pulmonary Clinic as defined in this Performance Work Statement (PWS).

1.1.2 Background: [The NMCCL Pulmonary Clinic’s current specialty gases service contract expires on 30 SEP 2023. The clinic uses 3 different types of specialty gases to perform diagnostic Pulmonary function test (PFT) and conduct quality control measures. A service contract to provide these specialty gases is required to continue pulmonary function testing].

1.1.3 Scope: Provide the Pulmonary Clinic with the 3 specialty gases required to perform PFTs. Services includes the delivery and pick up of the specialty gas cylinders. The contractor shall accomplish timely delivery of cylinders and coordination to pick up empty cylinders.

1.1.4 Period of Performance (PoP): 01 OCT 2023 – 30 SEP 2024 plus 4 year option.

1.2 Administrative specifications

1.2.1 Place of performance: The work shall be performed at NMCCL, 100 Brewster Blvd., Camp Lejeune, NC, building NH100 in the warehouse .

1.2.2 Recognized Federal holidays: [the contractor is not required to perform services on holidays.]

Independence Day

1.2.3 Hours of operation: The contractor is responsible for conducting business Monday thru 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. The contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons.

1.3 Contractor Identification

1.3.1 Contractor personnel performing services in a contractor capacity in a Government facility are required to possess and wear an identification badge that displays his or her name and the name of their company. Ensure all those with whom the person interacts in any face-to-face dealings while supporting the Government understands that the person is contractor support personnel.

2.0 SPECIFIC TASKS

2.1 Requirements

2.1.1 Contractor shall provide, as requested, the following specialty gases for use in the NMCCL’s Pulmonary Clinic:

DLCO gas (0.3% CO, 0.3 CH4, 21% O2, Balance N2) Calibration gas (16% O2, 4% CO2, Balance N2) Calibration gas (26% O2, Balance N2)

There are no minimum guarantees. Quantities for gases are estimated annual quantities and shall be ordered on an as needed basis.

2.1.2 Cylinder size: gases shall be supplied in E size cylinder.

2.1.3 Cylinder rental: Contractor shall provide cylinder rental for an estimated 32 cylinders per day.

2.1.4 Cylinder delivery and pick up: Contractor must deliver and pick up gas cylinders the first week of OCT, DEC, FEB, APR, JUN, and AUG. Estimated 12 deliveries/pickup annually.

2.1.5 Contractor shall warrant that all gases and cylinders meet the standards for use: Supplied gases and cylinders must be free of defects. Guards, caps or covers must be supplies for valves on cylinders.

3.0 Qualifications/Considerations

3.1 Special Qualifications/Considerations: Equipment supplies must be certified for the use in US based hospitals adhering to UL and JACHO requirements as required. Government reserves the right to request documentation of certification/approval as proof that products and contractors meet the guidelines of the pulmonary function equipment)

4.0 Points of Contact

4.1 Points of Contact:

HM2 Ashleigh Kirkland; Ashleigh.l.kirkland.mil@health.mil; 910-450-4271.

Raul Baltazar; raul.baltazar.civ@health.mil; 910-450-4947.

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