HT940623Q0092.docx

HT940623Q0092

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#) HT940623Q0092 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.

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

- 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) carol.e.uebelacker.civ@health.mil

OXYGEN D CYLINDER

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct23 - 30Sep24 FOB: Destination

PURCHASE REQUEST NUMBER: 0011922667

NET AMT

NITROUS OXIDE G CYLINDER

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct23 - 30Sep24 FOB: Destination

NET AMT

CARBON DIOXIDE E CYLINDER

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct23 - 30Sep24 FOB: Destination

NET AMT

NITROUS OXIDE E CYLINDER

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct23 - 30Sep24 FOB: Destination

NET AMT

OXYGEN E CYLINDER

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct23 - 30Sep24 FOB: Destination

NET AMT

OXYGEN G CYLINDER

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct23 - 30Sep24 FOB: Destination

NET AMT

NITROGEN G CYLINDER

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct23 - 30Sep24 FOB: Destination

NET AMT

CARBON DIOXIDE G CYLINDER

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct23 - 30Sep24 FOB: Destination

NET AMT

MEDICAL AIR E CYLINDER

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct23 - 30Sep24 FOB: Destination

NET AMT

HYDROSTAT TESTING

Contractor shall complete hydrostat testing as needed on cylinders belonging to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement.

Period of Performance: 1Oct23 - 30Sep24 FOB: Destination

NET AMT

OXYGEN LIQUID BULK

Contractor shall fill the bulk oxygen tank located at Naval Medical Center Camp Lejeune, NC in accordance with the schedule listed within the Performance Work Statement. The delivery volume will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct23 - 30Sep24 FOB: Destination

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct24 - 30Sep25 FOB: Destination

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct24 - 30Sep25

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct24 - 30Sep25

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct24 - 30Sep25

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct24 - 30Sep25

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct24 - 30Sep25

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct24 - 30Sep25

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct24 - 30Sep25

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct24 - 30Sep25

NET AMT

FFP

Contractor shall complete hydrostat testing as needed on cylinders belonging to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement.

Period of Performance: 1Oct24 - 30Sep25

NET AMT

FFP

Contractor shall fill the bulk oxygen tank located at Naval Medical Center Camp Lejeune, NC in accordance with the schedule listed within the Performance Work Statement. The delivery volume will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct24 - 30Sep25

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct25 - 30Sep26

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct25 - 30Sep26

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct25 - 30Sep26

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct25 - 30Sep26

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct25 - 30Sep26

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct25 - 30Sep26

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct25 - 30Sep26

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct25 - 30Sep26

NET AMT

FFP

Contractor shall pickup, refill and deliver required cylinders to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement. The number of cylinders will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct25 - 30Sep26

NET AMT

FFP

Contractor shall complete hydrostat testing as needed on cylinders belonging to Naval Medical Center Camp Lejeune, NC in accordance with Performance Work Statement.

Period of Performance: 1Oct25 - 30Sep26

NET AMT

FFP

Contractor shall fill the bulk oxygen tank located at Naval Medical Center Camp Lejeune, NC in accordance with the schedule listed within the Performance Work Statement. The delivery volume will vary bi-weekly depending on usage. Contractor shall not exceed the quantity allotted for each period of performance.

Period of Performance: 1Oct25 - 30Sep26

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

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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 36 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.

usn.detrick.nmrlc-detftdmd.list.nmlc-wawf@health.mil

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

PERFORMANCE WORK STATEMENT

Performance Work Statement

Naval Medical Center Camp Lejeune, NC (NMCCL) has a requirement for medical gas and bulk oxygen delivery two (2) times a month. The medical tanks are the property of Naval Medical Center Camp Lejeune and will require hydrostat testing as needed. Delivery of supplies will be delivered to NH100 Brewster Blvd., Camp Lejeune, NC 28547. The period of performance for this requirement is as follows:

Specifications:

1. The medical tank gas services will include all labor and transportation including pickup of empty cylinders and filled cylinders to be delivered twice a month on the 1st and 15th. When the 1st or 15th fall on a weekend, supplies shall be delivered on the next business day. Supplies shall be delivered during normal working hours, Monday – Friday except for Federal holidays to NMCCL receiving/loading dock; normal business hours are 8:00am to 4:00pm EST.

2. The bulk oxygen tank, which has a 1500-gallon capacity, shall be filled on the scheduled dates provided below. The bulk oxygen tank is located adjacent to the NMCCL receiving/loading dock. The approximate delivery volume is 94,400 CF but can vary depending on the influx of patient levels. The contractor shall contact the Facilities personnel at 910-450-4909 to inform them of the bulk oxygen delivery and to ensure that they sign for receipt of the delivery.

Sep 30, 2026

3. Point of Contact: Mr. Raul Baltazar, raul.baltazar.civ@health.mil, (910) 450-4947 image1.wmf image2.wmf