14-t-0166.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: BioMedical Engineering

Vendors quoted price shall be inclusive of all cost including parts, labor and travel

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 N00183-14-T-0166 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.

Evaluation factors of received quotes will be as follows:

(1) Experience in the maintenance / repair of listed items

(2) Past Performance

(3) Qualifications (to include training / certification in the repair of all items listed)

(4) Ability to obtain proprietary information (to include software updates and service bulletins) and OEM certified replacement parts

(5) Price (price to be used as a deciding factor for equivalent vendors)

PROMPT PAYMENT

For Prompt Payment Act Purposes, this contract is:

Subject to the 7-calender day constructive acceptance period.

“AVAILABILITY OF FUNDS. Pursuant to Section I, Availability of Funds (FAR 52.232-18), of the contract, 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 to the Contracting Officer.

Section B - Supplies or Services and Prices

Months

Maintenance for the Period

FFP

1 Oct 14 - 30 Sep 15

See Section C for details of requirements

FOB: Destination

MILSTRIP: N0018312RQ4P006

PURCHASE REQUEST NUMBER: N0018315RQCARL

NET AMT

0001AA

Maintenance in Accordance with Section C on 1 ea.Visual Function Analyzer

Manufacturer: Zeiss Humphery

Model: 750I

Serial: 750I11414

ECN: 71316

Location: Opthalmology (Build-2 / rm: 261104)

FOB: Destination

MILSTRIP: N0018315RQ4P006

PURCHASE REQUEST NUMBER: N0018315RQ4P006

NET AMT

0001AB

Maintenance in Accordance with Section C on 1 ea.Visual Function Analyzer

Manufacturer: Zeiss Humphery

Model: 750I

Serial: 750I11418

ECN: 71317

Location: Opthalmology (Build-2 / rm: 261102)

FOB: Destination

NET AMT

0001AC

Maintenance in Accordance with Section C on 1 ea.Visual Function Analyzer

Manufacturer: Humphery Instruments

Model: 750

Serial: 7506863

ECN: 3217

Location: Opthalmology (Build-3 / rm: 6.1-129)

FOB: Destination

NET AMT

0001AD

Maintenance in Accordance with Section C on 1 ea.Ophthalmic Camera

Manufacturer: Carl Zeiss Meditec

Model: P30350007

Serial: 3082033150000

ECN: 102364

Location: Opthalmology (Build-2 / rm: 25014001)

FOB: Destination

NET AMT

0001AE

Maintenance in Accordance with Section C on 1 ea. Analyzer, Physiologic, Visual Function

Manufacturer: Carl Zeiss Meditec

Model: 715

Serial: 715300001908

ECN: 111598

Location: Sewells Point Clinic

FOB: Destination

MILSTRIP: N3251015RQPC004

PURCHASE REQUEST NUMBER: N3251015RQPC004

NET AMT

0001AF

Maintenance in Accordance with Section C on 1 ea. Topography Display Unit

Manufacturer: Carl Zeiss Meditec

Model: Atlas 9000

Serial: 9000778

ECN: 101321

Location: Sewells Point

FOB: Destination

NET AMT

0001AG

Maintenance in Accordance with Section C on 1 ea. Ophthalmoscope, Scanning Laser

Manufacturer: Carl Zeiss Microimaging

Model: 1000

Serial: 10001017

ECN: 76392

Location: Opthalmology (Build-2 / rm: 26116)

FOB: Destination

NET AMT

0001AH

Maintenance in Accordance with Section C on 1 ea. Refractometer

Manufacturer: Humphrey Instruments

Model: 599 (KR 7000S)

Serial: 5992801

ECN: 9700

Location: Opthalmology (Build-2 / rm: 26111)

FOB: Destination

NET AMT

0001AJ

Maintenance in Accordance with Section C on 1 ea. Refractometer

Manufacturer: Humphrey Instruments

Model: 599 (KR 7000S)

Serial: 5992802

ECN: 9905

Location: Opthalmology (Build-2 / rm: 250102)

FOB: Destination

NET AMT

0001AK

Maintenance in Accordance with Section C on 1 ea. Scanning system, Laser, Optical Tomoghaphy

Manufacturer: Carl Zeiss Meditec

Model: 4000

Serial: 40004475

ECN: 104245

Location: Opthalmology

FOB: Destination

NET AMT

0001AL

Maintenance in Accordance with Section C on 1 ea.Visual Function Analyzer

Manufacturer: Humphery Instruments

Model: 745

Serial: 7451347

ECN: 5816

Location: Boone Clinic Opthalmology ( rm: E18)

FOB: Destination

MILSTRIP: N3252915RQPC002

PURCHASE REQUEST NUMBER: N3252915RQPC002

NET AMT

0001AM

Maintenance in Accordance with Section C on 1 ea.Visual Function Analyzer

Manufacturer: Humphery Instruments

Model: 750I

Serial: 750I11708

ECN: 76919

Location: Boone Clinic Opthalmology ( rm: E30)

FOB: Destination

NET AMT

0001AN

Maintenance in Accordance with Section C on 1 ea.Ophthalmic Tonograph

Manufacturer: Zeiss Humphery Systems

Model: GDX VCC

Serial: GDX3414

ECN: 76920

Location: Boone Clinic Opthalmology ( rm: E30)

FOB: Destination

NET AMT

0001AP

Maintenance in Accordance with Section C on 1 ea.Visual Function Analyzer

Manufacturer: Zeiss Humphery

Model: 710 Series

Serial: 2520508

ECN: 65432

Location: Sewell's Point Opthalmology ( rm: CD2/1506)

FOB: Destination

NET AMT

0001AQ

Maintenance in Accordance with Section C on 1 ea.Visual Function Analyzer

Manufacturer: Zeiss Humphery

Model: 750

Serial: 7504839

ECN: 86960

Location: Sewell's Point Opthalmology ( rm: CD2/1502)

FOB: Destination

NET AMT

0001AR

Maintenance in Accordance with Section C on 1 ea. Scanning System, Laser, Optical Tomography

Manufacturer: Zeiss Humphery

Model: 3000

Serial: 30010065

ECN: 77799

Location: Sewell's Point Opthalmology ( rm: CD2/1502)

FOB: Destination

NET AMT

0001AS

Maintenance in Accordance with Section C on 1 ea. Topographic Display Unit, Electroencephal

Manufacturer: Carl Zeiss Meditec

Model: 4000

Serial: 40008130

ECN: 111219

Location: Sewell's Point Opthalmology ( rm: CD2/1516)

FOB: Destination

NET AMT

0001AT

Maintenance in Accordance with Section C on 1 ea. Visual Field Analyzer

Manufacturer: Carl Zeiss Meditec

Model: 750I

Serial: 750I10945

ECN: 66682

Location: Oceana Opthalmology ( rm: 4-4-7-0)

FOB: Destination

MILSTRIP: N3252815RQPC003

PURCHASE REQUEST NUMBER: N3252815RQPC003

NET AMT

0001AU

Maintenance in Accordance with Section C on 1 ea.Visual Function Analyzer

Manufacturer: Zeiss Humphery

Model: REF 710

Serial: 2220685

ECN: 88164

Location: NNSY Opthalmology (rm: 129)

FOB: Destination

MILSTRIP: N3253215RQPC001

PURCHASE REQUEST NUMBER: N3253215RQPC001

NET AMT

0001AV

Maintenance in Accordance with Section C on 1 ea. Refractometer

Manufacturer: Humphery Instruments

Model: 599

Serial: 1532

ECN: 8183

Location: NNSY Opthalmology (rm: 129)

FOB: Destination

MILSTRIP: N3253215RQPC001

PURCHASE REQUEST NUMBER: N3253215RQPC001

NET AMT

0001AW

Maintenance in Accordance with Section C on 1 ea.Visual Function Analyzer

Manufacturer: Humphery Instruments

Model: 750I

Serial: 750I11713

ECN: 76877

Location: Neurology (Build-2 / rm: 231323)

FOB: Destination

MILSTRIP: N0018315RQNU002

PURCHASE REQUEST NUMBER: N0018315RQNU002

NET AMT

Section C - Descriptions and Specifications

DESCRIPTION/SPECIFICATION/WORK STATEMENT

Statement of Work

Selected vendor must be able to provide full contract support immediately upon award of a resulting order. Vendor will provide full maintenance support for the items listed in Section B and all support items / components. This contract shall provide for maintenance services which include on-site corrective repairs, normal working hour coverage (8:00 A.M. to 4:30 P.M. Monday through Friday excluding Federal holidays) and 24-hour emergency service and routine preventive maintenance services to Department of Defense owned equipment, as listed on the: DD Form 1155 “Order for Supplies or Services”. It shall include all systems, subsystem components, and assemblies, (i.e.: contractor responsible for total maintenance of entire system). All maintenance provisions shall apply to hardware, firmware, and software, as appropriate, unless otherwise stated.

1. General

a. The Contractor shall comply with Federal, State, and Local Laws, plus any Federal Regulations as applicable to the performance of this contract.

b. The Contractor shall not accept any instructions issued by any person employed by the U. S. Government, other than: the Contracting Officer (KO), or Biomedical Engineering Division (BME), all acting within the limits of their authority.

c. The Contractor shall be qualified / authorized by the Original Equipment Manufacturer (OEM) in the repair of all equipment listed within this contract. Contractor shall maintain qualifications throughout entire contract period. Contractor and all repair technicians must have current (within 2 years) certification for the maintenance of all covered equipment. Qualification includes but not limited to the certification of all repair persons and repair facilities by the OEM as being trained / qualified to perform required repairs. The Government shall maintain the right to seek proof of qualification prior to award and anytime during contract period of performance.

2. Scope of Work

a. The Contractor shall provide trained, experienced, English speaking personnel, labor, tools, diagnostic equipment, software, test phantoms, material, supplies, transportation, parts and equipment necessary to perform Preventive Maintenance (PM), Calibration (CAL), Safety testing (ST) and corrective maintenance.

b. The Contractor shall provide telephonic communications with the Government to discuss technical matters relating to the performance of this contract. A systems operator will be made available to answer technical questions regarding system operations and applications.

c. Equipment listed in this contract will be maintained to meet the original equipment manufacturer’s (OEM’s) specifications.

d. Equipment and associated components shall be serviced as listed on: DD Form 1155, “Order for Supplies or Services”.

e. The Contractor Point of Contact (POC). The Contractor shall provide in writing the name and telephone number of a primary and alternate English-speaking individual to act as their representative for the scheduling and coordination of service calls, and to be responsible for the coordination of the contract with the Government.

3. Government furnished property, Materials and Services.

a. The Contractor representative(s) at each site is encouraged to request a pre-maintenance inspection prior to the onset of the contract. As all apparent discrepancies must be identified upon submittal of quote, any and all claims must be received within 30 days of contract award or prior to contract start which ever occurs first. All non-apparent / hidden discrepancies, must be identified no later that the first scheduled preventative maintenance. Any claims resulting from hidden defects must be received within 30 days of first scheduled preventative maintenance. Any equipment found to be inoperable during this pre-maintenance inspection would be repaired using a separate purchase order. The cost of repairs shall not exceed contractor’s normal retail rate for required repairs. The government certifies that the equipment to be maintained under this contract will be in good operating condition on the effective date of this contract. For the purpose of this contract, the clause, “good operating condition” means the conditions necessary for the equipment to function as intended without corrective maintenance. The Contractor agrees to leave the equipment in good operating condition at the expiration of this contract. During the final week of this contract, the Government will make final inspection of the equipment. Any correction of deficiencies noted during this inspection shall be resolved prior to contract end. The Government reserves the right to request the repair (at no additional cost to the Government) of items identified with latten defects after contract termination, when it has been determined that defects either are a result of contractor’s performance or should have been discovered during normal performance of work under this contract.

b. The government will be responsible for maintaining the proper environment, including utilities and site requirements necessary for the system to function properly as specified by the OEM.

c. The Government will operate the system in accordance with the instruction manual provided by the OEM.

d. The Government will not be responsible for the damage or loss due to fire, theft, accident, or other disaster of Contractor supplies, materials, or for the personal belongings brought onto Government property by Contractor’s personnel.

4. Contractor Furnished Property and Material.

a. The Contractor shall provide all service literature, reference publications, laptop computers and diagnostic software to be used by the contractor service technicians and as required for the completion of the services in accordance with this contract.

5. Replacement Parts.

a. The Contractor shall have ready access to unique and/or high mortality replacement parts. All parts supplied shall be compatible with the existing system. In the event that replacements parts are required to be shipped. Shipping shall be performed in the fastest reasonable means possible (i.e., next day air) at no additional cost to the Government.

b. The Contractor shall at their expense, replace all worn or defective parts necessary to restore the equipment to 100% operational condition as specified by the OEM.

c. Contractor installed replacement parts shall become the property of the Government and the replaced malfunctioning part shall become the property of the Contractor. Replaced items shall be properly disposed of at no additional cost to the Government (contractor to pay all “environmental fees” where required).

d. Freight, postage, and storage charges associated with shipment and receipt of replacement parts, and the return of parts shall be the responsibility of the Contractor.

e. All replacement parts shall be new and certified as OEM replacement parts. In the event that new parts are not available, rebuilt parts and sub-assemblies are allowed provided that they are warranted to be free of defects for a period of time that meets or exceeds warranties of similar replacement parts. The contractor shall specifically annotate on the final Field Service report the use and identification of rebuilt parts and the period of warranty. When discrepancies occur, the Government will make the final determination on whether a replacement part is of equal or better quality.

f. The Contractor must include software revisions and updates (field service changes), which are required due to FDA, or manufacturer announced safety-hazard recall, to include FDA Year 2000 Compliance Directive, as part of the contract at no additional cost to the Government. Updates shall be performed as soon as possible after release, but no later than the first scheduled Preventative Maintenance Inspection after release. For any updates that have been identified as critical, or required for the proper operation of equipment by the OEM, contractor shall provide installation within 30 days of release regardless of Preventative Maintenance Schedules.

Specific Tasks.

6. Contractor Report Requirements.

a. During normal duty hours, Contracted Field Service Engineer (FSE) personnel shall check-in with the Biomedical Engineering Division upon arrival at the Government site and again prior to departure. (Biomedical Engineering located in Build-250 1st floor; 757-953-5336). The Contractor FSEs shall personally notify Biomedical Engineering (BME) of problems that result in the equipment being left disabled upon their departure. After normal duty hours, Contractor FSE’s shall notify the Officer of the Day Desk (Bldg 2, 2nd Floor) and the systems operator designated by BME.

b. The Contractor shall provide to BME a full service report within two (2) days after completion of all service performed. The service report shall include, but not be limited to: contract number, equipment description (model, serial number, equipment control number) contractor’s log number, detailed description of the service(s) performed, replacement part(s) information (part number, part value, nomenclature, unit price, manufacturer, if not OEM, and whether the part is new/used/reconditioned), the completion date and time, man-hours expended and the hourly rate normally charged for the type of service performed, model and serial numbers, and the name of the FSE performing the service. In the event that agents / sub-contractor’s are used in the performance of repairs, said agent shall be identified on the service report by company name and contact information (i.e., telephone number). Additionally contractor will be required to affix a tag on equipment upon the completion of a preventative maintenance inspection. Tag may either be a “sticker” or “hanging tag”. As a minimum the tag shall contain: the name of the contractor, technician performing inspection and date of inspection legibly printed.

7. Contractor Responsibility.

a. The Contractor shall be responsible for the repair/replacement of damaged Government owned equipment and property due to the negligence of the Contractor or his representatives. All such replacement or repair shall be at the Contractor’s expense and shall be inspected to the satisfaction of the KO or appointed representative.

8. Preventive Maintenance Services.

a. In accordance with Naval Medical Logistics Command (NAVMEDLOGCOM) Risk Assessment Criteria, preventive maintenance shall be performed one (1) time per year in accordance with the Original Equipment Manufactures (OEM) recommendations.

b. The Government shall select the months in which preventive maintenance services are to be performed. The preventive maintenance visits shall be performed during the following months. Services to be performed as soon as possible after release of award but no later than Jan 15 (The Government Fiscal Year runs: October through September). The Contractor shall schedule and complete preventive maintenance services prior to the 15th of the selected month.

c. All test equipment used in the performance of this contract must be calibrated (if required / as required by manufacture of test equipment) and shall be in compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Original Equipment Manufacturer (OEM) and Federal Drug Administration (FDA) standards as required.

9. Corrective Maintenance

a. Normal Working Hour Maintenance Coverage

Maintenance Coverage will be Monday through Friday, between 8:00 A.M. to 4:30 P.M. A contractor Service Tech shall respond via telephone within 2 hours after receipt of trouble call, and provide on-site service no later than the close of business (4:30 pm) on the next business day. Equipment shall be operational within 48 hours. The Government reserves the right to deduct from the Contractor’s payment an amount not to exceed the hourly rate of $50.00 per hour for each hour the Contractor fails to respond, as specified in the contract.

a. In the event that emergency service outside the normal working hours are required by the Government, additional work shall be billable to the Government at published commercial rates, and negotiated and approved by a Contracting Officer prior to services rendered.

b. Government request for corrective maintenance will be placed by BME, to the Contractor’s POC. Corrective Maintenance shall be completed during the hours specified in the contract.

c. The Contractor shall assign a unique Log/Reference Number to each Government request for corrective Maintenance.

d. Contractor’s response to requests for service may include telephone consultation with the equipment user/operator and a Contractor FSE. Telephone consultation shall: 1) provide instruction in determining operator error; 2) to determine the most likely cause of the problem; 3) to determine if resolution of the problem requires the dispatch of a FSE; and 4) to identify replacement parts likely to be required in order to return the equipment to 100% operational condition as specified by the OEM.

e. Contractor’s pricing shall be inclusive of all cost including parts, labor, travel and shipping, unless otherwise indicated. Any/all exclusions are listed as follows:

No Exclusions

f. The Contractor shall have his/her own service manuals, specifications, schematic diagrams, and parts lists to assist in the evaluation/repair of all equipment included in this contract.

10. Removal of Government Property

a. Whenever the repair of equipment cannot be performed at the Government site as determined by the Contractor, the Contractor shall notify BME who will make arrangements for the Contractor to remove the item to the Contractor’s designated site. The Contractor may be required to sign a Government form accepting responsibility for the Government equipment. The Contractor shall provide a detailed description of removed items. For associated items / accessories, contractor to provide a detailed description and quantities of items to be removed. Description to include as a minimum manufacturers serial numbers and equipment control number (ECN) of all equipment / items removed. In the event that items / sub-assemblies / accessories are repaired via “Repair by Replacement” a detailed description of replaced items is to be included upon return of repaired components.

b. All charges resulting from a Contractor determined requirement to transport Government owned property, covered by this contract, to and from an alternate repair location shall be the responsibility of the Contractor.

11. Equipment Modification Upgrades

a. The Contractor shall only incorporate OEM specified modifications, alterations and upgrades. Approval shall be obtained from BME prior to the Contractor installation of any modification, alteration, or upgrades.

b. The Contractor shall maintain contact with the OEM to determine the requirement for field modifications and to ensure accomplishment of these modifications in accordance with the time schedule set forth by the OEM.

c. The Government shall not alter the system without prior notification to the Contractor.

d. The contractor at no additional cost shall provide software updates to the Government. Installation of updates will be left to the discretion of the Government. All supplied software is to be warranted current and free of defects such as viruses.

12. Service Beyond the Scope of the Contract

a. The Contractor shall immediately, but not later than 24 consecutive hours after discovery, notify BME, in writing, of the existence or the development of any defects in, or repair required to the scheduled equipment, which the Contractor considers they are not responsible for under the terms of this contract.

b. At the same time of the notification, the Contractor shall furnish BME with written estimate of the cost to make the necessary repairs. Repairs considered by the Contracting Officer to be outside the scope of this contract shall not be covered under this contract, but shall be ordered under a separate purchase order.

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-2015

FOB: Destination

30-SEP-2015

OPHTHALMOLOGY

BLDG 2

620 JOHN PAUL JONES CIRCLE

PORTSMOUTH VA 23708

757-953-2694

N00183

30-SEP-2015

N00183

30-SEP-2015

N00183

30-SEP-2015

N00183

30-SEP-2015

SEWELLS POINT

BRANCH MEDICAL CLINIC

1721 TAUSSIG BLVD

BLDG CD-2

NORFOLK VA 23511-2899

757-953-8887

N32510

30-SEP-2015

N32510

30-SEP-2015

OPHTHALMOLOGY

BLDG 2

620 JOHN PAUL JONES CIRCLE

PORTSMOUTH VA 23708

757-953-2694

N00183

30-SEP-2015

N00183

30-SEP-2015

N00183

30-SEP-2015

N00183

30-SEP-2015

OPTOMETRY

1035 NIDER BLVD, SUITE 100

VIRGINIA BEACH VA 23459

757-314-7337

N32529

30-SEP-2015

N32529

30-SEP-2015

N32529

30-SEP-2015

SEWELLS POINT

BRANCH MEDICAL CLINIC

1721 TAUSSIG BLVD

BLDG CD-2

NORFOLK VA 23511-2899

757-953-8887

N32510

30-SEP-2015

N32510

30-SEP-2015

N32510

30-SEP-2015

N32510

30-SEP-2015

OPTOMETRY

OCEANA BRANCH MEDICAL CLINIC LAB

1550 TOM CAT BLVD, STE 150

VIRGINIA BEACH VA 23460

757-314-7120

N32528

30-SEP-2015

PORTSMOUTH VA 23709

N00181

30-SEP-2015

N00181

30-SEP-2015

NEUROLOGY

BLDG 2

620 JOHN PAUL JONES CIRCLE

PORTSMOUTH VA 23708

757-953-2144

N00183

CLAUSES INCORPORATED BY REFERENCE

Section G - Contract Administration Data

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).

(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.

(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

Issue By DoDAAC

Admin DoDAAC

Inspect By DoDAAC

Ship To Code

Ship From Code

Mark For Code

Service Approver (DoDAAC)

Service Acceptor (DoDAAC)

Accept at Other DoDAAC

LPO DoDAAC

DCAA Auditor DoDAAC

Other DoDAAC(s)

(*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.

(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.

(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

CLAUSES INCORPORATED BY FULL TEXT

N00183-0002 Authorized Callers (Medical) Only persons authorized by the Division Officer or his designated representative from Materiel Management department located in/at the Biomedical Engineering Division, Naval Medical Center, Portsmouth, VA, telephone (757) 953-5764, are to place trouble or repair calls against this maintenance agreement. Calls placed by unauthorized personnel may result in non-payment of services. In each instance that the contractor or his agent reports to Biomedical Engineering Division, Naval Medical Center, Portsmouth, VA, in response to the terms of this order, he shall log in an out with the Biomedical Engineering Division. When inspections and/or repairs have been completed, the contractor or his agent shall obtain the signature of the Department Head or his representative as applicable, on a detailed service ticket and shall leave the customer copy of the service ticket when checking out with the Biomedical Engineering Division. A copy of the service ticket shall be submitted with invoice for payment. In case of inquiries, call Biomedical Engineering Division, Naval Medical Center, telephone (757) 953-5764.

N00183-0019 Base Access (NMCP)

Commander, Navy Installations Command (CNIC), has established the Navy Commercial Access Control System (NCACS), a standardized process for granting unescorted access privileges to vendors, contractors, suppliers and service providers not otherwise entitled to the issuance of a Common Access Card (CAC) who seek access to and can provide justification to enter Navy installations and facilities. Vendors visiting Naval Medical Center Portsmouth (NMCP) may obtain daily passes directly from Naval Station Norfolk (NSN) Pass and ID office, located at NSN (Bldg CD-9), 9040 Hampton Blvd, Norfolk, Virginia, 23505, by submitting identification credentials for verification and undergoing a criminal screening/ background check. Alternatively, if the vendor so chooses, it may voluntarily elect to obtain long-term credentials through enrollment, registration, background vetting, screening, issuance of credentials, and electronic validation of credentials at its own cost through one of the designated independent contractor NCACS service providers. Credentials will be issued every five years and access privileges will be reviewed / renewed on an annual basis. The costs incurred to obtain Navy installation access of any kind are not reimbursable, and the price(s) paid for obtaining long-term NCACS credentials will not be approved as a direct cost of this contract. Further information regarding NCACS can be found at http://cnic.navy.mil/CNIC_HQ_Site/index.htm.

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

52.232-18 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):

FAR Clauses http://acquisition.gov/comp/far/index.htm

DFAR Clauses http://www.acq.osd.mil/dpap/dars/dfars/index.htm (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):

FAR Clauses http://acquisition.gov/comp/far/index.htm

DFAR Clauses http://www.acq.osd.mil/dpap/dars/dfars/index.htm (End of provision