N00183-11-T-0537.pdf

NAVAL MEDICAL CENTER

RECEIVING OFFICER

54 LEWIS MINOR STREET

BLDG. 250

PORTSMOUTH VA 23708-2297

TEL: 757-953-5770 FAX:

N6275311RQD1022

REQUEST FOR QUOTATIONS

(THIS IS NOT AN ORDER) 1

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED RATING

N00183-11-T-0537 26-Aug-2011

5a. ISSUED BY

8. TO: NAME AND ADDRESS, INCLUDING ZIP CODE

IMPO RTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this

Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State, and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e) (f)

SEE SCHEDULE

AMOUNT

% No. %

NO TE: Additional provisions and representations [ ] are [ ] are not attached.

13. NAME AND ADDRESS OF QUOTER (Street, City, County, State, and ZIP Code)

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF

QUOTATION

16. NAME AND TITLE OF SIGNER (Type or print) ( Include area code)

TELEPHONE NO.

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (REV. 6-95)

PREVIOUS EDITION NOT USABLE Prescribed by GSA

FAR (48 CFR) 53.215-1(a)

THIS RFQ X[ ] IS [ ] IS NOT A SMALL BUSINESS SET-ASIDE

6. DELIVER BY (Date)

SEE SCHEDULE

AND/OR DMS REG. 1

UNDER BDSA REG. 2

4. CERT. FOR NAT. DEF.3. REQUISITION/PURCHASE

REQUEST NO.

NAVAL MEDICAL CENTER

MMD/CONTRACTING DIVISION

ATTN: MICHAEL DAVIS 757-953-5747

54 LEWIS MINORS STREET

PORTSMOUTH VA 23708

9. DESTINATION (Consignee and address, including ZIP Code)

7. DELIVERY

[ ]X FOB

DESTINATION

[ ] OTHER

(See Schedule)

30-Aug-2011(Date)

PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS:10.

757-953-5747MICHAEL G. DAVIS

(Name and Telephone no.) (No collect calls)5b. FOR INFORMATION CALL:

d. CALENDAR DAYSc. 30 CALENDAR DAYSb. 20 CALENDAR DAYS12. DISCOUNT FOR PROMPT PAYMENT a. 10 CALENDAR DAYS

N00183-11-T-0537

Section A - Solicitation/Contract Form

BLANK SECTION A

FILL IN BLANKS:

TIN (tax ID): _ ______________

CAGE:

DUNS:

COMPANY TELEPHONE:

POINT OF CONTACT: ______________________________ PHONE: _________________

VENDOR EMAIL: _________________________________________

NMCP POC: NAVAL BRANCH DENTAL, NAVAL MEDICAL CENTER PORTSMOUTH

CONTRACT SPECIALIST: Michael G. Davis

MMD, CONTRACTING DIVISION

757-953-5747 Email: michael.davis3@med.navy.mil

Vendors are to reference N00183-11-T-0537 on all inquiries.

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

Government reserves the right to:

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

(2) Award a “Best Value” requirement. Bids will evaluate price, technical capability, and past performance. Vendors with superior past performance histories may be given first consideration.

PROMPT PAYMENT

For Prompt Payment Act Purposes, this contract is:

Subject to the 7-calender day constructive acceptance period.

mailto:michael.davis3@med.navy.mil https://wawf.eb.mil/ http://wawftraining/ mailto:wawf@nmlc.med.navy.mil

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 4 Each TST720 Dental vacuum TST-720, 7" Hg, FFP

20 HP, TEFC Motor - Max CFM-700

FOB: Destination

MILSTRIP: N6275311RQD1022

PURCHASE REQUEST NUMBER: N6275311RQD1022

NET AMT

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government

CLAUSES INCORPORATED BY REFERENCE

52.246-16 Responsibility For Supplies APR 1984

252.246-7000 Material Inspection And Receiving Report MAR 2008

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 06-SEP-2011 4 NAVAL MEDICAL CENTER

RECEIVING OFFICER

54 LEWIS MINOR STREET

BLDG. 250

PORTSMOUTH VA 23708-2297

757-953-5770

FOB: Destination

N00183

52.211-17 Delivery of Excess Quantities SEP 1989

52.247-34 F.O.B. Destination NOV 1991

CLAUSES INCORPORATED BY FULL TEXT

Naval Medical Center Portsmouth (NMCP) Receiving Dock Hours of Operation:

NMCP Receiving Dock is open Monday through Friday 0700 to 1600 (7:00 a.m. to 4:00 p.m.), excluding federal holidays. Receiving personnel may be reached at 757-953-5770.

Section G - Contract Administration Data

BLANK SECTION G

INVOICING INSTRUCTIONS AND PAYMENT FOR SUPPLIES:

Invoices for supplies rendered under this Task Order 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.

One or more separate invoices will be prepared per order. Do not combine the payment claims for supplies provided under this contract ordered through multiple orders within one invoice.

Select the Create Invoice And Receiving Report combo within WAWF as the invoice type (destination/destination).

The Invoice and Receiving Report combo prepares the Material Inspection and Receiving Report, DD Form 250, and the Invoice at the same time.

Back up documentation (such as delivery receipts, 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

Ship to 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.

https://wawf.eb.mil/ http://wawftraining.com/ mailto:wawf@med.navy.mil

Section H - Special Contract Requirements

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

52.203-3 Gratuities APR 1984

52.204-7 Central Contractor Registration APR 2008

52.213-4 Terms and Conditions--Simplified Acquisitions (Other Than

Commercial Items)

AUG 2011

52.219-6 Notice Of Total Small Business Set-Aside JUN 2003

52.222-20 Walsh-Healey Public Contracts Act OCT 2010

52.222-36 Affirmative Action For Workers With Disabilities OCT 2010

52.222-50 Combating Trafficking in Persons FEB 2009

52.232-1 Payments APR 1984

52.232-8 Discounts For Prompt Payment FEB 2002

52.233-3 Protest After Award AUG 1996

52.243-1 Changes--Fixed Price AUG 1987

52.246-1 Contractor Inspection Requirements APR 1984

252.204-7004 Alt A Central Contractor Registration (52.204-7) Alternate A SEP 2007

252.225-7001 Buy American Act And Balance Of Payments Program JAN 2009

252.225-7002 Qualifying Country Sources As Subcontractors APR 2003

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

MAR 2008

252.243-7001 Pricing Of Contract Modifications DEC 1991

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):

www.arnet.gov/far

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

Section K - Representations, Certifications and Other Statements of Offerors

52.204-3 Taxpayer Identification OCT 1998

52.225-18 Place of Manufacture SEP 2006

Section L - Instructions, Conditions and Notices to Bidders

52.214-34 Submission Of Offers In The English Language APR 1991

52.214-35 Submission Of Offers In U.S. Currency APR 1991