RFQ_N00183-13-T-0257.doc

Section A - Solicitation/Contract Form

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FILL IN BLANKS:

TIN (tax ID): _ ______________

CAGE:

DUNS:

COMPANY TELEPHONE:

POINT OF CONTACT: ______________________________ PHONE: _________________

VENDOR EMAIL: _________________________________________

NMCP POC: AMBULATORY SURGERY CENTER, NAVAL MEDICAL CENTER PORTSMOUTH

CONTRACT SPECIALIST: Curtis Price

MMD, CONTRACTING DIVISION

757-953-7570 Email: curtis.pricejr@med.navy.mil

Vendors are to reference N00183-13-T-0257 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) Please review Section C for details.

PROMPT PAYMENT

For Prompt Payment Act Purposes, this contract is:

Subject to the 7-calender day constructive acceptance period.

Section B - Supplies or Services and Prices

#iO-K01-IP-5.5 iO-Flex Ipsi Probe 90, FFP

5.5mm Device Kit

FOB: Origin

MILSTRIP: N0018313RQSU396

PURCHASE REQUEST NUMBER: N0018313RQSU396

NET AMT

#iO-K03-IP-7.5 iO-Flex Ipsi Probe 90, 7.5mm Device Kit

FOB: Origin

NET AMT

#iO-K04-IP-10s iO-Flex Ipsi Probe 90, 10mmDevice Kit

FOB: Origin

NET AMT

#iO-K05-IP-12s iO-Flex Ipsi Probe 90, 12mm Device Kit

FOB: Origin

NET AMT

#iO-Flex Wire

FOB: Origin

NET AMT

Shipping

FOB: Origin

NET AMT

Section C - Descriptions and Specifications

REQUEST THE FOLLOWING INFORMATION FOR REQUEST FOR QUOTES (RFQ):

· This solicitation is restricted (set a-side) to Small Business. Requirement to be awarded on a Brand Name or Equal basis. Technical evaluation of vendor’s quote will consist of technical capability to provide and perform product specifications as stated in Section B & price.

· Items on this RFQ are manufactured by Baxano, Inc. and requested by the Main Operating Room at Naval Medical Center-Portsmouth, VA. Quotes should reflect pricing on all items for consideration.

· Please provide government & destination pricing. Also, state warranty information for each CLIN number (Line Item). If freight charges apply, indicate if charges will be “per shipment” or “single one-time charge”.

· All supplied items are to be certified for use in U.S. hospitals adhering to JACHO and UL requirements as required.

· The requested items must conform to OEM standards.

· All received items must be certified for use with existing system, located in the Main Operating Room , Naval Medical Center Portsmouth, by the manufacturer.

· Contractor shall supply a current published price list or GSA/VA Federal Supply Schedule contract for supplies &/or services being procured.

· Refrigerated, frozen, or hazardous material must be indicated as such & a copy of the MSDS (Material Safety Data Sheet) must be supplied for any hazardous material. Specify any special handling instructions.

· Solicitation closes on Saturday, 15-June- 2013. For further information, please contact Curtis Price, Contracting Division, Materiel Management Department, Naval Medical Center, Building 250, 54 Lewis Minor Street, Portsmouth, VA 23708-2297, phone (757) 953-7570, fax (757) 953-5006. Bids should be received by fax, mail, or e-mail by the close of business 1700 Hours (5:00 p.m.) on or before the closing date. E-mail address is curtis.pricejr@med.navy.mil.

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

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Section F - Deliveries or Performance

DELIVERY INFORMATION

RECEIVING OFFICER

54 LEWIS MINOR STREET

BLDG. 250

PORTSMOUTH VA 23708-2297

757-953-5770

FOB: Origin N00183

N00183

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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

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252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(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.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by 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.acquisition.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 must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

INVOICE AND RECEIVING REPORT COMBO

(Contracting Officer: Insert applicable document type(s). Note: If a “Combo” document type is identified but not supportable by the Contractor's business systems, an “Invoice” (stand-alone) and

“Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

DESTINATION / DESTINATION

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable”.)

(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*

Field Name in WAWF

Data to be entered in WAWF

Pay Official DoDAAC

HQ0248

Issue By DoDAAC N00183

Admin DoDAAC N00183

Inspect By DoDAAC N/A

Ship To Code N00183

Ship From Code N/A

Mark For Code

Service Approver (DoDAAC)

Service Acceptor (DoDAAC) N/A

Accept at Other DoDAAC N/A

LPO DoDAAC N00183

DCAA Auditor DoDAAC N/A

Other DoDAAC(s) N/A

(*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

WAWF Acceptor/COR Email Address: xx@med.navy.mil (Contracting Officer: Insert applicable email addresses or “Not applicable.”)

(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.

wawf@med.navy.mil

(Contracting Officer: Insert applicable information or “Not applicable.”)

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

(End of clause)

Section H - Special Contract Requirements

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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

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

(End of clause)

Section L - Instructions, Conditions and Notices to Bidders

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