11-t-0418.doc

Section A - Solicitation/Contract Form

CLAUSES INCORPORATED BY FULL TEXT

Fill in Blanks:

TIN (tax ID): ________________

CAGE: ________________

DUNS: __________________

Vendor Point of Contact: ______________________Phone: ____________________

Vendor email: ______________________

Naval Medical Center Portsmouth POC: Northwest River Lab

Vendors quoted price shall be inclusive of all cost including shipping, materials, and equipment rentals etc.

Payment Monthly, Quarterly, Annually (please circle) in Arrears Note: vendor will be required to provide billing electronically via the WAWF Electronic Invoicing method. For additional information, a review of the following web sites may be required: https://wawf.eb.mil http://wawftraining (email) wawf@nmlc.med.navy.mil Vendor to reference N00183-11-T-0418 on all inquires.

Government reserves the right to:

(1) award based on an "All or Nothing Evaluation".

(2) award a “Best Value” requirement. Vendors with superior past performance histories may be given 1st consideration.

PROMPT PAYMENT

For Prompt Payment Act Purposes, this contract is:

Subject to the 7-calender day constructive acceptance period.

The intent of this solicitation is to support GSA E-Buy RFQ: 596853. In the event that any part of this solicitation is deemed “open market” and award based on the results of RFQ: 596853 will be issued without further competition.

Section B - Supplies or Services and Prices

Each

Cost per Test Agreement

FFP

for the period 1 Oct 11 - 30 Sep 12

FOB: Destination

MILSTRIP: N3280412RQLC026

PURCHASE REQUEST NUMBER: N3280412RQLC026

NET AMT

0001AA

Cost per Test Agreement

For 1 ea: ACT Diff 5 Analyzer P/N: 6605705

Manufacturer: Beckman Coulter

Est Test Volume: 5 CBC/Diff's / day

See Section C for details

Vendors price to be inclusive of all cost includeing IFF fees

FOB: Destination

NET AMT

0001AB

Cat # 8547169 Act 5diff Diluent 20L

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0001AC

Cat # 8547168 Act 5diff HGB Lyse 400ML

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0001AD

Cat # 8547170 Act 5diff WBC Lyse 1L

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0001AE

Cat # 8547171 Act 5diff FIX 1L

Manufactuerer: Beckman Coulter

Ship Schedule: 1 box / Dec, Feb, Apr, Jun & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0001AF

Cat # 8547167 Act 5diff Rinse 1L

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Dec, Feb, Apr & Jun

1 box Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0001AG

Cat # 7547198 Act 5diff Control Plus

Manufactuerer: Beckman Coulter

Ship Schedule: 2 packs / Oct, Dec, Feb, Apr, Jun & Aug

1 pack / Nov, Jan, Mar, May, Jul & Sep

FOB: Destination

NET AMT

0001AH

Cat # 7547175 Act 5diff Cal Kit 2ML

Manufactuerer: Beckman Coulter

Ship Schedule: 1 pack / Dec & Jun

FOB: Destination

NET AMT

Each

FFP

for the period 1 Oct 12 - 30 Sep 13

FOB: Destination

NET AMT

0002AA

FFP

For 1 ea: ACT Diff 5 Analyzer P/N: 6605705

Manufacturer: Beckman Coulter

Est Test Volume: 5 CBC/Diff's / day

See Section C for details

Vendors price to be inclusive of all cost includeing IFF fees

FOB: Destination

NET AMT

0002AB

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0002AC

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0002AD

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0002AE

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 1 box / Dec, Feb, Apr, Jun & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0002AF

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Dec, Feb, Apr & Jun

1 box Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0002AG

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 packs / Oct, Dec, Feb, Apr, Jun & Aug

1 pack / Nov, Jan, Mar, May, Jul & Sep

FOB: Destination

NET AMT

0002AH

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 1 pack / Dec & Jun

FOB: Destination

NET AMT

Each

FFP

for the period 1 Oct 13 - 30 Sep 14

FOB: Destination

NET AMT

0003AA

FFP

For 1 ea: ACT Diff 5 Analyzer P/N: 6605705

Manufacturer: Beckman Coulter

Est Test Volume: 5 CBC/Diff's / day

See Section C for details

Vendors price to be inclusive of all cost includeing IFF fees

FOB: Destination

NET AMT

0003AB

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0003AC

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0003AD

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0003AE

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 1 box / Dec, Feb, Apr, Jun & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0003AF

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Dec, Feb, Apr & Jun

1 box Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0003AG

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 packs / Oct, Dec, Feb, Apr, Jun & Aug

1 pack / Nov, Jan, Mar, May, Jul & Sep

FOB: Destination

NET AMT

0003AH

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 1 pack / Dec & Jun

FOB: Destination

NET AMT

Each

FFP

for the period 1 Oct 14 - 30 Sep 15

FOB: Destination

NET AMT

0004AA

FFP

For 1 ea: ACT Diff 5 Analyzer P/N: 6605705

Manufacturer: Beckman Coulter

Est Test Volume: 5 CBC/Diff's / day

See Section C for details

Vendors price to be inclusive of all cost includeing IFF fees

FOB: Destination

NET AMT

0004AB

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0004AC

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0004AD

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0004AE

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 1 box / Dec, Feb, Apr, Jun & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0004AF

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Dec, Feb, Apr & Jun

1 box Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0004AG

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 packs / Oct, Dec, Feb, Apr, Jun & Aug

1 pack / Nov, Jan, Mar, May, Jul & Sep

FOB: Destination

NET AMT

0004AH

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 1 pack / Dec & Jun

FOB: Destination

NET AMT

Each

FFP

for the period 1 Oct 15 - 30 Sep 16

FOB: Destination

NET AMT

0005AA

FFP

For 1 ea: ACT Diff 5 Analyzer P/N: 6605705

Manufacturer: Beckman Coulter

Est Test Volume: 5 CBC/Diff's / day

See Section C for details

Vendors price to be inclusive of all cost includeing IFF fees

FOB: Destination

NET AMT

0005AB

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0005AC

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0005AD

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Feb & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0005AE

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 1 box / Dec, Feb, Apr, Jun & Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0005AF

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 boxes / Oct, Dec, Feb, Apr & Jun

1 box Aug

Min: 1 yr shelf life

FOB: Destination

NET AMT

0005AG

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 2 packs / Oct, Dec, Feb, Apr, Jun & Aug

1 pack / Nov, Jan, Mar, May, Jul & Sep

FOB: Destination

NET AMT

0005AH

FFP

Manufactuerer: Beckman Coulter

Ship Schedule: 1 pack / Dec & Jun

FOB: Destination

NET AMT

Section C - Descriptions and Specifications

Statement of Work

Vendor to supply items listed in Section B, in a packaged ready to use condition.

· Vendor to supply a Cost per Test agreement for 1 Beckman Coulter ACT5 Analyzer. The estimated test volume will be 5 test / day

· Vendor to supply all required reagents, equipment and maintenance of supplied equipment.

· Equipment to be maintained per original equipment manufacturers recommendations. Vendor to supply unlimited service calls as required and an annual preventative maintenance inspection. NMCP will be responsible for daily maintenance to include cleaning and batch calibration as required. Vendor shall maintain all service records for supplied equipment. Vendor to provide the Government with maintenance history within 3 business days of request.

· Vendor to warrant that all supplied items are free of manufactures defects. Vendor shall repair / replace any unsatisfactory items at vendor’s expense.

· Vendor price shall be inclusive of all cost including lease of equipment, maintenance of equipment, reagents, shipping and handling

· Reagents shall be “Dropped Shipped” on a regular basis. Items shall be shipped so that they arrive on the 1st business day of each month /quarter (see Section B for shipping schedule).

· All items are to have a minimum 6-month shelf life (unless otherwise noted) from date of receipt and shall have the same lot numbers.

· Reagents requiring special handling (refrigeration, glass containers etc) shall be clearly marked on the outside of container

· All supplied items are to be certified for use within Beckman Coulter equipment.

· All items received are to be certified for use (where applicable) in US based hospitals.

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

Section F - Deliveries or Performance

DELIVERY INFORMATION

30-SEP-2012

FOB: Destination

30-SEP-2012

SUPPLY

NORTHWEST BRANCH MEDICAL CLINIC

1317 BALLAHACK ROAD (NSGA)

CHESAPEAKE VA 23322-2463

757-421-8220

N00183

30-SEP-2012

N00183

30-SEP-2012

N00183

30-SEP-2012

N00183

30-SEP-2012

N00183

30-SEP-2012

N00183

30-SEP-2012

N00183

30-SEP-2012

N00183

30-SEP-2013

30-SEP-2013

SUPPLY

NORTHWEST BRANCH MEDICAL CLINIC

1317 BALLAHACK ROAD (NSGA)

CHESAPEAKE VA 23322-2463

757-421-8220

N00183

30-SEP-2013

N00183

30-SEP-2013

N00183

30-SEP-2013

N00183

30-SEP-2013

N00183

30-SEP-2013

N00183

30-SEP-2013

N00183

30-SEP-2013

N00183

30-SEP-2014

30-SEP-2014

SUPPLY

NORTHWEST BRANCH MEDICAL CLINIC

1317 BALLAHACK ROAD (NSGA)

CHESAPEAKE VA 23322-2463

757-421-8220

N00183

30-SEP-2014

N00183

30-SEP-2014

N00183

30-SEP-2014

N00183

30-SEP-2014

N00183

30-SEP-2014

N00183

30-SEP-2014

N00183

30-SEP-2014

N00183

30-SEP-2015

30-SEP-2015

SUPPLY

NORTHWEST BRANCH MEDICAL CLINIC

1317 BALLAHACK ROAD (NSGA)

CHESAPEAKE VA 23322-2463

757-421-8220

N00183

30-SEP-2015

N00183

30-SEP-2015

N00183

30-SEP-2015

N00183

30-SEP-2015

N00183

30-SEP-2015

N00183

30-SEP-2015

N00183

30-SEP-2015

N00183

30-SEP-2016

30-SEP-2016

SUPPLY

NORTHWEST BRANCH MEDICAL CLINIC

1317 BALLAHACK ROAD (NSGA)

CHESAPEAKE VA 23322-2463

757-421-8220

N00183

30-SEP-2016

N00183

30-SEP-2016

N00183

30-SEP-2016

N00183

30-SEP-2016

N00183

30-SEP-2016

N00183

30-SEP-2016

N00183

30-SEP-2016

N00183

CLAUSES INCORPORATED BY REFERENCE

Section G - Contract Administration Data

INVOICING INSTRUCTIONS AND PAYMENT FOR SERVICES

Invoices for services rendered under this Contract shall be submitted electronically through Wide Area Work Flow – Receipt and Acceptance (WAWF):

The vendor shall self-register at the web site https://wawf.eb.mil. Vendor training is available on the internet at http://wawftraining.com.

Select the 2-in-1 Invoice within WAWF as the invoice type. The 2-in-1 Invoice prepares the Material Inspection and Receiving Report, DD Form 250, and invoice in one document.

Back up documentation (such as service tickets, etc.) can be included and attached to the invoice in WAWF.

Attachments created in any Microsoft Office product are attachable to the invoice in WAWF.

The following information regarding Naval Medical Center Portsmouth is provided for completion of the invoice in WAWF:

Issuing Office DODAAC: N00183

Admin DODAAC: N00183

Acceptor DODAAC: N00183

LPO DODAAC: N00183

Pay DODAAC: HQ0248

The contractor shall submit invoices for payment per contract terms.

The Government shall process invoices for payment per contract terms.

For more information on Wide Area Workflow, please contact the Wide Area Workflow Implementation Team at wawf@med.navy.mil.

Section H - Special Contract Requirements

CLAUSES INCORPORATED BY FULL TEXT

INFORMATION ONLY: This document has been designated for posting to the Navy Electronic Commerce Online (NECO) at http://www.neco.navy.mil

Section I - Contract Clauses

CLAUSES INCORPORATED BY REFERENCE

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 10 days.

(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 10 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 10 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 5 years.

(End of clause)

52.232-18 AVAILABILITY OF FUNDS (APR 1984)

Funds are not presently available for this contract. The Government's obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing by the Contracting Officer.

(End of clause)

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):

http://www.aquisition.gov/far (End of clause)

Section K - Representations, Certifications and Other Statements of Offerors

CLAUSES INCORPORATED BY REFERENCE

52.204-3 TAXPAYER IDENTIFICATION (OCT 1998)

(a) Definitions.

Common parent, as used in this provision, means that corporate entity that owns or controls an affiliated group of corporations that files its Federal income tax returns on a consolidated basis, and of which the offeror is a member.

Taxpayer Identification Number (TIN), as used in this provision, means the number required by the Internal Revenue Service (IRS) to be used by the offeror in reporting income tax and other returns. The TIN may be either a Social Security Number or an Employer Identification Number.

(b) All offerors must submit the information required in paragraphs (d) through (f) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the IRS. If the resulting contract is subject to the payment reporting requirements described in Federal Acquisition Regulation (FAR) 4.904, the failure or refusal by the offeror to furnish the information may result in a 31 percent reduction of payments otherwise due under the contract.

(c) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's TIN.

(d) Taxpayer Identification Number (TIN).

___ TIN:.--------------------------------------------------------

___ TIN has been applied for.

___ TIN is not required because:

___ Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;

___ Offeror is an agency or instrumentality of a foreign government;

___ Offeror is an agency or instrumentality of the Federal Government.

(e) Type of organization.

___ Sole proprietorship;

___ Partnership;

___ Corporate entity (not tax-exempt);

___ Corporate entity (tax-exempt);

___ Government entity (Federal, State, or local);

___ Foreign government;

___ International organization per 26 CFR 1.6049-4;

___ Other--------------------------------------------------------

(f) Common parent.

___ Offeror is not owned or controlled by a common parent as defined in paragraph (a) of this provision.

___ Name and TIN of common parent:

Name-------------------------------------------------------------------

TIN--------------------------------------------------------------------

(End of provision)

Section L - Instructions, Conditions and Notices to Bidders

CLAUSES INCORPORATED BY REFERENCE

52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more solicitation provisions 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. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

http://www.aquisition.gov/far (End of provision

Section M - Evaluation Factors for Award

CLAUSES INCORPORATED BY REFERENCE