Contract - HT941026PE089.pdf
PDF 2 MB Posted
- Solicitation number
- HT941026N0063
- Issued by
-
Defense Health Agency
About this file
Contract Summary: NMCSD Small and Large Next Gen Ossoff Pilling Laryngoscope
This is a Solicitation/Contract/Order for Commercial Products and Services (Standard Form 1449) issued by the Defense Health Agency Healthcare Contracting Division-West for the procurement of surgical laryngoscope equipment. The contract number is HT941026PE089, effective June 1, 2026, with a total award amount of USD 35,915.00. The contracting officer is Cha-on P. Gordon, and the contract specialist is Brian Selck. The procurement is designated as a Women-Owned Small Business (WOSB) set-aside with unrestricted acquisition status. All items are classified under NAICS 339113 with a Product Service Code of 6515.
The contract specifies eight line items for Pilling-branded laryngoscope equipment in two configurations—small and large—each with four peripherals: the NG OP LASER LARYNGOSCOPE (Items 0001 and 0005 at USD 5,950 and USD 5,995 respectively), LC OSSOFF-PILLING AND JAKO accessories (Items 0002 and 0006 at USD 3,995 each), SMOKE EVAC OSSOFF-PILLING AND JAKO accessories (Items 0003 and 0007 at USD 3,995 each), and JET VENT OSSOFF-PILLING AND JAKO accessories (Items 0004 and 0008 at USD 3,995 each). All items are priced as firm fixed price and must be delivered by July 17, 2026, to Naval Medical Center San Diego (DoDAAC HT0500), with acceptance and payment coordination through Madison Phoebe Cambe (madisonphoebe.t.cambe.mil@health.mil, 619-532-9600). The contractor, Teleflex LLC (code 8BXN8), must submit invoices using Wide Area Workflow (WAWF) with payment processing through DFAS-INDY VP GFEBS, and include net 30 payment terms. Items costing $5,000 or more are exempt from item unique identification requirements under DFARS 252.211-7003.
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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 NMCSD Small and Large Next Gen Ossoff Pilling Laryngoscope
HT941026PE089
Supplies or Services & Prices or Costs Additional Information/Notes
Item Supplies / Services Quantity Unit Unit Price Amount
Pilling NG OP LASER LARYN SMALL
SCOPE ONLY
The contractor is required to furnish the items and peripherals in accordance with Attachment 1 Quote Number 0587892 Date 05/26/2026.
Material Control Code: 532190S Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price
1 Each USD 5,950.00
Firm Price
USD 5,950.00
ACRN: AA
PR Number: HT05000012437009 PR Line Item Number: 0001
Funded Amount
USD 5,950.00
Pilling LC OSSOFF-PILLING AND JAKO
SMALL
The contractor is required to furnish the items and peripherals in accordance with Attachment 1 Quote Number 0587892 Date 05/26/2026.
Material Control Code: 537527 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price
1 Each USD 3,995.00
Firm Price
USD 3,995.00
ACRN: AA
PR Number: HT05000012437009 PR Line Item Number: 0002
Funded Amount
USD 3,995.00
Pilling SMOKE EVAC OSSOFF-PILLING
AND JAKO SMALL
The contractor is required to furnish the items and peripherals in accordance with Attachment 1 Quote Number 0587892 Date 05/26/2026.
Material Control Code: 538527 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price
1 Each USD 3,995.00
Firm Price
USD 3,995.00
ACRN: AA
PR Number: HT05000012437009 PR Line Item Number: 0003
Funded Amount
USD 3,995.00
Pilling JET VENT OSSOFF-PILLING AND
JAKO SMALL
The contractor is required to furnish the items and peripherals in accordance with Attachment 1 Quote Number 0587892 Date 05/26/2026.
Firm Price
USD 3,995.00
Material Control Code: 539527 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price
1 Each USD 3,995.00
ACRN: AA
PR Number: HT05000012437009 PR Line Item Number: 0004
Funded Amount
USD 3,995.00
Pilling NG OP LASER LARYN LARGE
SCOPE ONLY
The contractor is required to furnish the items and peripherals in accordance with Attachment 2 Quote Number 0584336 Date 05/11/2026.
Material Control Code: 532191S Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price
1 Each USD 5,995.00
Firm Price
USD 5,995.00
ACRN: AA
PR Number: HT05000012434780 PR Line Item Number: 0001
Funded Amount
USD 5,995.00
Pilling LC OSSOFF-PILLING AND JAKO
ADULT
The contractor is required to furnish the items and peripherals in accordance with Attachment 2 Quote Number 0584336 Date 05/11/2026.
Material Control Code: 537865 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price
1 Each USD 3,995.00
Firm Price
USD 3,995.00
ACRN: AA
PR Number: HT05000012434780 PR Line Item Number: 0002
Funded Amount
USD 3,995.00
Pilling SMOKE EVAC OSSOFF-PILLING
AND JAKO ADULT
The contractor is required to furnish the items and peripherals in accordance with Attachment 2 Quote Number 0584336 Date 05/11/2026.
Material Control Code: 538865 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price
1 Each USD 3,995.00
Firm Price
USD 3,995.00
ACRN: AA
PR Number: HT05000012434780 PR Line Item Number: 0003
Funded Amount
USD 3,995.00
Pilling JET VENT OSSOFF-PILLING AND
JAKO ADULT
The contractor is required to furnish the items and peripherals in accordance with Attachment 2 Quote Number 0584336 Date 05/11/2026.
Material Control Code: 539865 Claimant Program Code: C9B Pricing Arrangement: Firm Fixed Price
1 Each USD 3,995.00
Firm Price
USD 3,995.00
ACRN: AA
PR Number: HT05000012434780 PR Line Item Number: 0004
Funded Amount
USD 3,995.00
Description/Specifications/Statement of Work
Requirements Small and Large Next Gen Ossoff Pilling Laryngoscope
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Product Service Code: 6515
North American Industry Classification System (NAICS): 339113
Packaging and Marking
Inspection and Acceptance Overall Contract Inspection/Acceptance Locations
Acceptance Location
Acceptance Destination Instructions: The contractor is required to furnish the items and peripherals in accordance with Attachment 1 Quote Number 0587892 Date 05/26/2026
DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
Acceptance Location
Acceptance Destination Instructions: The contractor is required to furnish the items and peripherals in accordance with Attachment 1 Quote Number 0587892 Date 05/26/2026
DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
Acceptance Location
Acceptance Destination Instructions: The contractor is required to furnish the items and peripherals in accordance with Attachment 1 Quote Number 0587892 Date 05/26/2026
DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
Acceptance Location
Acceptance Destination Instructions: The contractor is required to furnish the items and peripherals in accordance with Attachment 1 Quote Number 0587892 Date 05/26/2026
DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
Acceptance Location
Acceptance Destination Instructions: The contractor is required to furnish the items and peripherals in accordance with Attachment 2 Quote Number 0584336 Date 05/11/2026
DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
Acceptance Location
Acceptance Destination Instructions: The contractor is required to furnish the items and peripherals in accordance with Attachment 2 Quote Number 0584336 Date 05/11/2026
DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
Acceptance Location
Acceptance Destination Instructions: The contractor is required to furnish the items and peripherals in accordance with Attachment 2 Quote Number 0584336 Date 05/11/2026
DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
Acceptance Location
Acceptance Destination Instructions: The contractor is required to furnish the items and peripherals in accordance with Attachment 2 Quote Number 0584336 Date 05/11/2026
DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
Deliveries or Performance
Line Item Delivery Schedule Quantity Address and POC Special Handling/Notes
Delivery On Or Before Delivery Date 17 Jul
1 Each Ship To DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON
DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
FoB Details Contractor Destination
Delivery On Or Before Delivery Date 17 Jul
1 Each Ship To DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON
DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
FoB Details Contractor Destination
Delivery On Or Before Delivery Date 17 Jul
1 Each Ship To DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON
DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
FoB Details Contractor Destination
Delivery On Or Before Delivery Date 17 Jul
1 Each Ship To DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON
DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
FoB Details Contractor Destination
Delivery On Or Before Delivery Date 17 Jul
1 Each Ship To DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON
DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
FoB Details Contractor Destination
Delivery On Or Before Delivery Date 17 Jul
1 Each Ship To DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON
FoB Details Contractor Destination
0006 DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
Delivery On Or Before Delivery Date 17 Jul
1 Each Ship To DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON
DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
FoB Details Contractor Destination
Delivery On Or Before Delivery Date 17 Jul
1 Each Ship To DoDAAC: HT0500 CountryCode: USA
NAV MED CTR SAN DIEGO CA - MM
MATERIAL MANAGEMT DEPT SUITE 8 BCA, 34800 BOB WILSON
DRIVE BLDG 1 G
SAN DIEGO, CA 92134-5000
UNITED STATES
HN, Madison Phoebe Cambe Email: madisonphoebe.t.cambe.mil@health.mil Telephone: 6195329600
FoB Details Contractor Destination
FAR Clauses Incorporated by Reference
Number Title Effective Date
Alternate/ Deviation
Variation Effective Date
52.247-34 F.o.b. Destination. Jan 1991
Contract Administration Data
POINTS OF CONTACT (POC) AND DELIVERY INFORMATION
VENDOR
Contractor POC Teleflex LLC.
Name: Kelly Thomas Email: kelly.thomas@teleflex.com Phone:(760) 390-9034 3015 Carrington Mill Blvd Morrisville, NC 27560
CONTRACTS
Name: Brian Selck Title: Contract Specialist Department: Defense Health Agency Contracting Activity, Healthcare Contracting Division - West (HCD-W), Echo Branch Phone:(253)-968-5377 Email: brian.l.selck.civ@health.mil
Name: Cha-on P. Gordon Title: Contract Officer Department: Defense Health Agency Contracting Activity, Healthcare Contracting Division - West (HCD-W), Echo Branch Phone: (726)-203-0109
Email: cha-on.p.gordon2.civ@health.mil
DELIVERY POC/LOCATION
HN, Madison Phoebe Cambe EMAIL: madisonphoebe.t.cambe.mil@health.mil
PHONE: (619)-532-9600
DELIVERY LOCATION:
Naval Medical Center San Diego 34800 Bob Wilson Dr.
San Diego, CA, 92134
FINANCIAL POC:
Name: Bernardo Gapuz Email: Bernardo.n.gapuz.mil@health.mil Phone: (619)-532-8162
NOTE TO CONTRACTOR
Contractor: Include the contract number, located in block 2of this 1449, on all packing slips and ensure a copy of the packing slips are provided to the acceptor upon delivery at the facility designated in this order. Once you have entered your invoice in Wide Area Workflow (WAWF) please contact the below listed WAWF Acceptor.
WAWF ACCEPTOR/ PAYMENT QUESTIONS
WAWF POC
Name: Michael Gattuso Email: michael.j.gattuso.civ@health.mil Phone: 619-532-8863
DEFENSE BIOMETRIC IDENTIFICATION SYSTEM (DBIDS)
(a) In accordance with CNICMEMO dated May 5, 2017, individuals currently using an NCACS credential for Installation access are required to switch to a DBIDS no later than 14 August2017. After 14 August 2017, the NCACS credential will no longer be valid for access to Navy Installations.
HT941026PE089
mailto:kelly.thomas@teleflex.com mailto:brian.l.selck.civ@health.mil mailto:madisonphoebe.t.cambe.mil@health.mil
(b) NCACS users may visit the local Navy Installation Visitor Control Center to obtain a DBIDS credential. To ensure uninterrupted Installation access, current NCACS credential holders are encouraged to shift to the DBIDS credential as soon as possible as Navy does not have the ability to extend this deadline. There are no fees incurred by the contractor, vendor, or supplier to obtain a DBIDS credential.
(c) NCACS credentials issued after17 April 2017 will no longer be accepted without an accompanying DBIDS credential for Navy Installation access.
(d) DBIDS guidance for Vendors/Contractors to obtain a pass is accessible through the following website: https://www.cnic.navy.mil/om/dbids.html
For more information or to enrolling the DBIDS Program call: 1.202.433.4784.
For NMCSD Pass and Decal Office, call: (619) 532-6019.
(e) Vendors, contractors, suppliers and other service providers shall present their pass upon entry at ECP.
ACRN LOA Total Amount
AA
^^^097^2026^2026^^0130^000^^310^D^1^^^^^1800^^021001^AHOW2^^S.0112509.6.14^^6100.3105^^101000807700^
USD 35,915.00
Line Item PR/MIPR - PR Line Item# CIN Amount
CLIN 0001 HT05000012437009 - 0001 USD 5,950.00
CLIN 0002 HT05000012437009 - 0002 USD 3,995.00
CLIN 0003 HT05000012437009 - 0003 USD 3,995.00
CLIN 0004 HT05000012437009 - 0004 USD 3,995.00
CLIN 0005 HT05000012434780 - 0001 USD 5,995.00
CLIN 0006 HT05000012434780 - 0002 USD 3,995.00
CLIN 0007 HT05000012434780 - 0003 USD 3,995.00
CLIN 0008 HT05000012434780 - 0004 USD 3,995.00
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
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.
NA
(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.
(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 NA
Ship To Code HT0500
Ship From Code NA
Mark For Code NA
Service Approver (DoDAAC) NA
Service Acceptor (DoDAAC) NA
Accept at Other DoDAAC NA
LPO DoDAAC NA
DCAA Auditor DoDAAC NA
Other DoDAAC(s) NA
(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.
Name: Michael Gattuso Email: michael.j.gattuso.civ@health.mil Phone: 619-532-8863
(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 52.204-9 Personal Identity Verification of Contractor Personnel. Jan 2011 52.204-13 System for Award Management-Maintenance. (Deviation 2026-O0038) Feb 2026 52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (Deviation 2026-O0038) Feb 2026 52.212-4 Terms and Conditions-Commercial Products and Commercial Services. (Deviation 2026-O0038) Feb 2026 52.222-3 Convict Labor. (Deviation 2026-O0038) Feb 2026 52.222-19 Child Labor-Cooperation with Authorities and Remedies. (Deviation 2026-O0038) Mar 2026 52.222-35 Equal Opportunity for Veterans. (Deviation 2026-O0038) Feb 2026 52.222-36 Equal Opportunity for Workers with Disabilities. (Deviation 2026-O0038) Feb 2026 52.222-37 Employment Reports on Veterans. (Deviation 2026-O0038) Feb 2026 52.222-40 Notification of Employee Rights Under the National Labor Relations Act. (Deviation 2026-O0038) Feb 2026 52.222-50 Combating Trafficking in Persons. (Deviation 2026-O0038) Feb 2026 52.222-90 Addressing DEI Discrimination by Federal Contractors. (Deviation 2026-O0040, Revision 1) Apr 2026 52.223-23 Sustainable Products. (Deviation 2026-O0038) 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 52.233-1 Disputes. (Deviation 2026-O0038) Feb 2026 52.233-3 Protest after Award. (Deviation 2026-O0038) Feb 2026 52.233-4 Applicable Law for Breach of Contract Claim. (Deviation 2026-O0038) Feb 2026 52.240-91 Security Prohibitions and Exclusions. (Deviation 2026-O0038) Feb 2026 52.244-6 Subcontracts for Commercial Products and Commercial Services. (Deviation 2026-O0038) Apr 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 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting. May 2024 252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services. Jan 2023 252.204-7022 Expediting Contract Closeout. May 2021 252.211-7008 Use of Government-Assigned Serial Numbers. Sep 2010 252.223-7008 Prohibition of Hexavalent Chromium. Jan 2023 252.225-7001 Buy American and Balance of Payments Program. Feb 2024 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
52.252-2 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
(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
0001 LASER LARYN SMALL SCOPE
0005 LASER LARYN LARGE SCOPE
NA NA
(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
NA NA
NA NA
NA NA
(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 reparable and DoD serially managed nonrepairable as specified in Attachment Number .NA
(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 .NA
(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, SEE LINE 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 Number 0587892 Date 05262026
Proposal
Attachment 1 Quote Number 0587892 Date 05262026
26 May
Attachment 2 Quote Number 0584336 Date 05112026
Proposal
Attachment 2 Quote Number 0584336 Date 05112026
11 May
| 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 35,915.00 |
| 27acheckbox: Off |
| 27bcheckbox: Yes |
| 27aarecheckbox: Off |
| 27barecheckbox: Yes |
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| 28contractorrequiredcheckbox: Yes |
| 28numberofcopies: 1 |
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| 29offerreference: |
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| 29exceptions: |
| 30bsignername: |
| 30bsignertitle: |
| 30csigneddate: |
| 31bcontractingofficer: Cha-on Gordon |
| 31csigneddate: 01 Jun 2026 |
| 17bremittanceisdifferentcheckbox: Off |
| 01reqnumber: See Schedule |
| pagenumber: 22 |
| 02contractnumber: HT941026PE089 |
| 03awarddate: 01 Jun 2026 |
| 04ordernumber: |
| 05solicitationnumber: |
| 06solissuedate: |
| 07acontactname: Brian Selck |
| 07bcontactphone: 3604860727 |
| 08offerduedate: |
| 08offerduedatelocaltime: |
| 09issuedbycode: HT9410 |
| 10unrestrictedcheckbox: Yes |
| 10setasidecheckbox: Off |
| 10setasidepercent: |
| 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 Brian Selck, Contract Specialist, Email: brian.l.selck.civ@health.mil Telephone: 3604860727
| 10smallbusinesscheckbox: Off |
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| 10naics: 339113 |
| 10_8acheckbox: Off |
| 10sizestandard: 1000 |
| 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: 8BXN8 |
| 17acontractorfacilitycode: |
| 18apaymentbycode: HQ0490 |
| 17acontractoraddress: TELEFLEX LLC |
3015 CARRINGTON MILL BLVD
MORRISVILLE, NC 27560-5437
UNITED STATES
Harry Green, Email: harry.green@teleflex.com Telephone: 9194334873 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 .