N0018318Q0165_GAS_CYLINDERS.docx
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- Attached to
- MEDICAL GAS CYLINDERS Federal contract opportunity
- Solicitation number
- N0018318Q0165
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N0018318Q0165
Section A - Solicitation/Contract Form
VENDOR TO COMPLETE THE FOLLOWING:
| TIN: | CAGE: | DUNS: | ||
| Vendor Point of Contact: | Email: | |||
| Vendor Phone: | Fax: |
POINTS OF CONTACT
Naval Medical Center Portsmouth Points of Contact:
Name: Christopher Ward Phone: 757-953-3412 Fax: 757-953-5738 E-Mail: Christopher.s.ward1.civ@mail.mil
REQUEST FOR QUOTE INFORMATION & EVALUATUION FACTORS
Vendor to reference Request for Quotation (RFQ) Number N0018317Q0165 on all correspondence relating to this RFQ
QUOTE SUBMISSION: E-mail quotes/proposal in Microsoft Word or Excel form to christopher.s.ward1.civ@mail.mil on or before the RFQ close date, It is the Contractor’s responsibility to confirm receipt of quote/proposal.
The government will make an award based on an “All or None” evaluation and/or based on the “Best Value” proposed for this requirement in terms of technical capabilities/approach, past performance, and price (See Section M Best Value). Vendors must provide all of the requested documents to be considered a “responsive vendor”. The solicitation and contract award is in accordance with FAR 52.211-6 Brand Name or Equal.
PAYMENT INFORMATION
Payment in Arrears (Check One): Monthly Quarterly Semi-Annually Annually *Please ensure that quoted price matches the choice above **Please ensure that quoted price is divisible by the unit of issue selected above (Ex: $12, 000/12mo)
Note: Vendor will be required to provide billing electronically via the WAWF Electronic Invoicing Method per Section G of this RFQ. For additional information, a review of the following web sites may be required: Websites: https://wawf.eb.mil http://wawftraining Email: usn.detrick.navmedlogcomftdmd.list.nmlc-wawf@mail.mil
PROMPT PAYMENT: For Prompt Payment Act purposes, this contract is:
Subject to the 7-calendar day constructive acceptance period. This contract is subject to the Availability of funds clause 52.232-18 listed in full text in the Clause section of this contract.
Section B - Supplies or Services and Prices
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
Naval Station Norfolk Dental Clinic
FFP
Vendor to provide Norfolk Naval Station Norflk Dental Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building CD4; 1647 Taussig Blvd Norfolk, Va
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
PURCHASE REQUEST NUMBER: N3251019RCD1004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0001AA
| 12 |
| Months |
(14) Size 'E' Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N3251019RCD1004
PSC CD: W068
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0001AB
| 12 |
| Months |
(12) SIZE 'H' Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N3251019RCD1004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0001AC
| 12 |
| Months |
(9) Size 'H' Medical Nitrogen Cylinders
FOB: Destination
MILSTRIP: N3251019RCD1004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0001AD
| 12 |
| Months |
(8) Size 'H' Argon Cylinders
FOB: Destination
MILSTRIP: N3251019RCD1004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
Norfolk Naval Shipyard Portsmouth
Vendor to provide Norfolk Naval Shipyard Branch Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building 100D, Bldg. 277 Portsmouth Va.
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0002AA
| 12 |
| Months |
(6) Size 'E' Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N3251019RCD1004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
Norfolk Naval Station, Health Clinic
Vendor to provide Norfolk Naval Shipyard Branch Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building CD2 1721 Taussig Blvd Norfolk Va.
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0003AA
| 12 |
| Months |
(9) Size 'H' Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N3251019RCD1004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0003AB
| 12 |
| Months |
(6) Size 'E' Carbon Dioxide Cylinders
FOB: Destination
MILSTRIP: N3251019RCD1004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
Dam Neck Dentall Clinic
Vendor to provide Branch Dental Clinic Dam Neck Naval Base medical oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** 1883 Terrier Blvd.
Virginia Beach Va.
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
Point of Delivery; Dam Neck Naval Base, 1883 Terrier Blvd.; Virginia Beach Virginia
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0004AA
| 12 |
| Months |
(3) Size 'E' Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N3251019RCD1004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0004AB
| 12 |
| Months |
(3) Size 'H' Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N3251019RCD1004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0004AC
| 12 |
| Months |
(9) Size 'H' Medical Nitrogen Cylinders
FOB: Destination
MILSTRIP: N3251019RCD1004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
JEB LittleCreek
Vendor to provide Boone Branch Health Clinic; JEB Little Creek; Fort Story Medical Oxygen Tanks. **See Performance Work Statement in Section C of RFQ** 1035 Nider Blvd, Suite 100 Virginia Beach VA, 23459
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
PURCHASE REQUEST NUMBER: N3252919RCH3009
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0005AA
| 12 |
| Months |
(6) Size M Oxygen Cylinders
Vendor shall deliver 6 cylinders per month for exchange for exchange with Federal Fire on base to Branch Health Clinic FOB: Destination
MILSTRIP: N3252919RCH3009
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0005AB
| 12 |
| Months |
(2) Size H Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N3252919RCH3009
PSC CD: W065
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0005AC
| 12 |
| Months |
(4) Size E Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N3252919RCH3009
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
Northwest Health Clinic
Vendor to provide Medical Oxygen Cylinders **See Performance Work Statement in Section C of RFQ** 1317 Ballahack Road Chesapeake Va. 23322
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
PURCHASE REQUEST NUMBER: N3280419RCH3005
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0006AA
| 12 |
| Months |
(3) Size D Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N3280419RCH3005
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0006AB
| 12 |
| Months |
(1) Size H Medical Oxygen Cylinder
FOB: Destination
MILSTRIP: N3280419RCH3005
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
TPC Cheasapeake Health Clinic
Vendor to provide TPC Chesapeake Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** 1011 Eden Way Chesapeake Va. 23322
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
PURCHASE REQUEST NUMBER: N3213A19RCH3004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0007AA
| 12 |
| Months |
(6) Size D Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N3213A19RCH3004
PURCHASE REQUEST NUMBER: N3213A19RCH3004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0007AB
| 12 |
| Months |
(6) Size D Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N3213A19RCH3004
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
Dam Neck Branch Health Clinic
Vendor to provide BHC Dam Neck medical oxygen cylinders **See Performance Work Statement in Section C of RFQ** 1882 Terrier Ave Virginia Beach VA, 23461
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
PURCHASE REQUEST NUMBER: N4610619RCH3006
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0008AA
| 12 |
| Months |
(4) Size H Medical Oxygen Cylinders
FOB: Destination
MILSTRIP: N4610619RCH3006
PURCHASE REQUEST NUMBER: N4610619RCH3006
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Naval Station Norfolk Dental Clinic |
FFP
Vendor to provide Norfolk Naval Station Norflk Dental Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building CD4; 1647 Taussig Blvd
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1001AA
| 12 |
| Months |
| OPTION |
| (14) Size 'E' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1001AB
| 12 |
| Months |
| OPTION |
| (12) SIZE 'H' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1001AC
| 12 |
| Months |
| OPTION |
| (9) Size 'H' Medical Nitrogen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1001AD
| 12 |
| Months |
| OPTION |
| (8) Size 'H' Argon Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Norfolk Naval Shipyard Portsmouth |
FFP
Vendor to provide Norfolk Naval Shipyard Branch Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building 100D, Bldg. 277
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1002AA
| 12 |
| Months |
| OPTION |
| (6) Size 'E' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Norfolk Naval Station, Health Clinic |
FFP
Vendor to provide Norfolk Naval Shipyard Branch Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building CD2 1721 Taussig Blvd
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1003AA
| 12 |
| Months |
| OPTION |
| (9) Size 'H' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1003AB
| 12 |
| Months |
| OPTION |
| (6) Size 'E' Carbon Dioxide Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Dam Neck Dentall Clinic |
FFP
Vendor to provide Branch Dental Clinic Dam Neck Naval Base medical oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** 1883 Terrier Blvd.
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1004AA
| 12 |
| Months |
| OPTION |
| (3) Size 'E' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1004AB
| 12 |
| Months |
| OPTION |
| (3) Size 'H' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1004AC
| 12 |
| Months |
| OPTION |
| (9) Size 'H' Medical Nitrogen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| JEB LittleCreek |
FFP
Vendor to provide Boone Branch Health Clinic; JEB Little Creek; Fort Story Medical Oxygen Tanks. **See Performance Work Statement in Section C of RFQ** 1035 Nider Blvd, Suite 100 Virginia Beach VA, 23459
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1005AA
| 12 |
| Months |
| OPTION |
| (6) Size M Oxygen Cylinders |
FFP
Vendor shall deliver 6 cylinders per month for exchange for exchange with Federal Fire on base to Branch Health Clinic
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1005AB
| 12 |
| Months |
| OPTION |
| (2) Size H Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1005AC
| 12 |
| Months |
| OPTION |
| (4) Size E Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Northwest Health Clinic |
FFP
Vendor to provide Medical Oxygen Cylinders **See Performance Work Statement in Section C of RFQ** 1317 Ballahack Road Chesapeake Va. 23322
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1006AA
| 12 |
| Months |
| OPTION |
| (3) Size D Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1006AB
| 12 |
| Months |
| OPTION |
| (1) Size H Medical Oxygen Cylinder |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| TPC Cheasapeake Health Clinic |
FFP
Vendor to provide TPC Chesapeake Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** 1011 Eden Way
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1007AA
| 12 |
| Months |
| OPTION |
| (6) Size D Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Dam Neck Branch Health Clinic |
FFP
Vendor to provide BHC Dam Neck medical oxygen cylinders **See Performance Work Statement in Section C of RFQ** 1882 Terrier Ave Virginia Beach VA, 23461
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
1008AA
| 12 |
| Months |
| OPTION |
| (4) Size H Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Naval Station Norfolk Dental Clinic |
FFP
Vendor to provide Norfolk Naval Station Norflk Dental Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building CD4; 1647 Taussig Blvd
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2001AA
| 12 |
| Months |
| OPTION |
| (14) Size 'E' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2001AB
| 12 |
| Months |
| OPTION |
| (12) SIZE 'H' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2001AC
| 12 |
| Months |
| OPTION |
| (9) Size 'H' Medical Nitrogen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2001AD
| 12 |
| Months |
| OPTION |
| (8) Size 'H' Argon Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Norfolk Naval Shipyard Portsmouth |
FFP
Vendor to provide Norfolk Naval Shipyard Branch Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building 100D, Bldg. 277
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2002AA
| 12 |
| Months |
| OPTION |
| (6) Size 'E' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Norfolk Naval Station, Health Clinic |
FFP
Vendor to provide Norfolk Naval Shipyard Branch Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building CD2 1721 Taussig Blvd
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2003AA
| 12 |
| Months |
| OPTION |
| (9) Size 'H' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2003AB
| 12 |
| Months |
| OPTION |
| (6) Size 'E' Carbon Dioxide Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Dam Neck Dentall Clinic |
FFP
Vendor to provide Branch Dental Clinic Dam Neck Naval Base medical oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** 1883 Terrier Blvd.
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2004AA
| 12 |
| Months |
| OPTION |
| (3) Size 'E' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2004AB
| 12 |
| Months |
| OPTION |
| (3) Size 'H' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2004AC
| 12 |
| Months |
| OPTION |
| (9) Size 'H' Medical Nitrogen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| JEB LittleCreek |
FFP
Vendor to provide Boone Branch Health Clinic; JEB Little Creek; Fort Story Medical Oxygen Tanks. **See Performance Work Statement in Section C of RFQ** 1035 Nider Blvd, Suite 100
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2005AA
| 12 |
| Months |
| OPTION |
| (6) Size M Oxygen Cylinders |
FFP
Vendor shall deliver 6 cylinders per month for exchange for exchange with Federal Fire on base to Branch Health Clinic
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2005AB
| 12 |
| Months |
| OPTION |
| (2) Size H Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2005AC
| 12 |
| Months |
| OPTION |
| (4) Size E Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Northwest Health Clinic |
FFP
Vendor to provide Medical Oxygen Cylinders **See Performance Work Statement in Section C of RFQ** 1317 Ballahack Road
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2006AA
| 12 |
| Months |
| OPTION |
| (3) Size D Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2006AB
| 12 |
| Months |
| OPTION |
| (1) Size H Medical Oxygen Cylinder |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| TPC Cheasapeake Health Clinic |
FFP
Vendor to provide TPC Chesapeake Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** 1011 Eden Way
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2007AA
| 12 |
| Months |
| OPTION |
| (6) Size D Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Dam Neck Branch Health Clinic |
FFP
Vendor to provide BHC Dam Neck medical oxygen cylinders **See Performance Work Statement in Section C of RFQ** 1882 Terrier Ave
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
2008AA
| 12 |
| Months |
| OPTION |
| (4) Size H Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Naval Station Norfolk Dental Clinic |
FFP
Vendor to provide Norfolk Naval Station Norflk Dental Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building CD4; 1647 Taussig Blvd
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3001AA
| 12 |
| Months |
| OPTION |
| (14) Size 'E' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3001AB
| 12 |
| Months |
| OPTION |
| (12) SIZE 'H' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3001AC
| 12 |
| Months |
| OPTION |
| (9) Size 'H' Medical Nitrogen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3001AD
| 12 |
| Months |
| OPTION |
| (8) Size 'H' Argon Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Norfolk Naval Shipyard Portsmouth |
FFP
Vendor to provide Norfolk Naval Shipyard Branch Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building 100D, Bldg. 277
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3002AA
| 12 |
| Months |
| OPTION |
| (6) Size 'E' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Norfolk Naval Station, Health Clinic |
FFP
Vendor to provide Norfolk Naval Shipyard Branch Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building CD2 1721 Taussig Blvd
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3003AA
| 12 |
| Months |
| OPTION |
| (9) Size 'H' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3003AB
| 12 |
| Months |
| OPTION |
| (6) Size 'E' Carbon Dioxide Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Dam Neck Dentall Clinic |
FFP
Vendor to provide Branch Dental Clinic Dam Neck Naval Base medical oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** 1883 Terrier Blvd.
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3004AA
| 12 |
| Months |
| OPTION |
| (3) Size 'E' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3004AB
| 12 |
| Months |
| OPTION |
| (3) Size 'H' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3004AC
| 12 |
| Months |
| OPTION |
| (9) Size 'H' Medical Nitrogen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| JEB LittleCreek |
FFP
Vendor to provide Boone Branch Health Clinic; JEB Little Creek; Fort Story Medical Oxygen Tanks. **See Performance Work Statement in Section C of RFQ** 1035 Nider Blvd, Suite 100
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3005AA
| 12 |
| Months |
| OPTION |
| (6) Size M Oxygen Cylinders |
FFP
Vendor shall deliver 6 cylinders per month for exchange for exchange with Federal Fire on base to Branch Health Clinic
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3005AB
| 12 |
| Months |
| OPTION |
| (2) Size H Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3005AC
| 12 |
| Months |
| OPTION |
| (4) Size E Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Northwest Health Clinic |
FFP
Vendor to provide Medical Oxygen Cylinders **See Performance Work Statement in Section C of RFQ** 1317 Ballahack Road
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3006AA
| 12 |
| Months |
| OPTION |
| (3) Size D Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3006AB
| 12 |
| Months |
| OPTION |
| (1) Size H Medical Oxygen Cylinder |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| TPC Cheasapeake Health Clinic |
FFP
Vendor to provide TPC Chesapeake Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** 1011 Eden Way
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3007AA
| 12 |
| Months |
| OPTION |
| (6) Size D Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3007AB
| 12 |
| Months |
| OPTION |
| (6) Size D Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Dam Neck Branch Health Clinic |
FFP
Vendor to provide BHC Dam Neck medical oxygen cylinders **See Performance Work Statement in Section C of RFQ** 1882 Terrier Ave
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
3008AA
| 12 |
| Months |
| OPTION |
| (4) Size H Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Naval Station Norfolk Dental Clinic |
FFP
Vendor to provide Norfolk Naval Station Norflk Dental Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building CD4; 1647 Taussig Blvd
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4001AA
| 12 |
| Months |
| OPTION |
| (14) Size 'E' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4001AB
| 12 |
| Months |
| OPTION |
| (12) SIZE 'H' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4001AC
| 12 |
| Months |
| OPTION |
| (9) Size 'H' Medical Nitrogen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4001AD
| 12 |
| Months |
| OPTION |
| (8) Size 'H' Argon Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Norfolk Naval Shipyard Portsmouth |
FFP
Vendor to provide Norfolk Naval Shipyard Branch Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building 100D, Bldg. 277
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4002AA
| 12 |
| Months |
| OPTION |
| (6) Size 'E' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Norfolk Naval Station, Health Clinic |
FFP
Vendor to provide Norfolk Naval Shipyard Branch Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** Building CD2 1721 Taussig Blvd
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4003AA
| 12 |
| Months |
| OPTION |
| (9) Size 'H' Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4003AB
| 12 |
| Months |
| OPTION |
| (6) Size 'E' Carbon Dioxide Cylinders |
FFP
FOB: Destination
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| JEB LittleCreek |
FFP
Vendor to provide Boone Branch Health Clinic; JEB Little Creek; Fort Story Medical Oxygen Tanks. **See Performance Work Statement in Section C of RFQ** 1035 Nider Blvd, Suite 100
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4004AA
| 12 |
| Months |
| OPTION |
| (6) Size M Oxygen Cylinders |
FFP
Vendor shall deliver 6 cylinders per month for exchange for exchange with Federal Fire on base to Branch Health Clinic
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4004AB
| 12 |
| Months |
| OPTION |
| (2) Size H Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4004AC
| 12 |
| Months |
| OPTION |
| (4) Size E Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Northwest Health Clinic |
FFP
Vendor to provide Medical Oxygen Cylinders **See Performance Work Statement in Section C of RFQ** 1317 Ballahack Road
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4005AA
| 12 |
| Months |
| OPTION |
| (3) Size D Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4005AB
| 12 |
| Months |
| OPTION |
| (1) Size H Medical Oxygen Cylinder |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Northwest Health Clinic |
FFP
Vendor to provide Medical Oxygen Cylinders **See Performance Work Statement in Section C of RFQ** 1317 Ballahack Road
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4006AA
| 12 |
| Months |
| OPTION |
| (3) Size D Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4006AB
| 12 |
| Months |
| OPTION |
| (1) Size H Medical Oxygen Cylinder |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| TPC Cheasapeake Health Clinic |
FFP
Vendor to provide TPC Chesapeake Health Clinic Medical Oxygen Cylinders. **See Performance Work Statement in Section C of RFQ** 1011 Eden Way
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4007AA
| 12 |
| Months |
| OPTION |
| (6) Size D Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4007AB
| 12 |
| Months |
| OPTION |
| (6) Size D Medical Oxygen Cylinders |
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Dam Neck Branch Health Clinic |
FFP
Vendor to provide BHC Dam Neck medical oxygen cylinders **See Performance Work Statement in Section C of RFQ** 1882 Terrier Ave
**Quantities required are subject to change (increase or decrease) thorughout the life of the awarded contract as determined by need of location.**
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
4008AA
| 12 |
| Months |
| OPTION |
| (4) Size H Medical Oxygen Cylinders |
FFP
NET AMT
Section C - Descriptions and Specifications
ACCESS
Contractor Unclassified Access to Federally Controlled Facilities, Sensitive Information, Information Technology (IT) Systems or Protected Health Information (Jan 2017)
Homeland Security Presidential Directive (HSPD)-12, requires government agencies to develop and implement Federal security standards for Federal employees and contractors. The Deputy Secretary of Defense Directive-Type Memorandum (DTM) 08-006 – “DoD Implementation of Homeland Security Presidential Directive – 12 (HSPD-12)” dated November 26, 2008 (or its subsequent DoD instruction) directs implementation of HSPD-12. This clause is in accordance with HSPD-12 and its implementing directives.
APPLICABILITY
This text applies to contractor employees requiring physical access to any area of a federally controlled base, facility or activity and/or requiring access to a DoN or DoD computer/network/system to perform certain unclassified sensitive duties. This clause also applies to contractor employees who access Privacy Act and Protected Health Information, provide support associated with fiduciary duties, or perform duties that have been identified as National Security Position, as advised by the command security manager. It is the responsibility of the responsible security officer of the command/facility where the work is performed to ensure compliance.
Each contractor employee providing services at a Navy Command under this contract is required to obtain a Department of Defense Common Access Card (DoD CAC). Additionally, depending on the level of computer/network access, the contract employee will require a successful investigation as detailed below.
ACCESS TO FEDERAL FACILITIES
Per HSPD-12 and implementing guidance, all contractor employees working at a federally controlled base, facility or activity under this clause will require a DoD CAC. When access to a base, facility or activity is required contractor employees shall in-process with the Command’s Security Manager upon arrival to the Command and shall out-process prior to their departure at the completion of the individual’s performance under the contract.
ACCESS TO DOD IT SYSTEMS
In accordance with SECNAV M-5510.30, contractor employees who require access to DoN or DoD networks are categorized as IT-I, IT-II, or IT-III. The IT-II level, defined in detail in SECNAV M-5510.30, includes positions which require access to information protected under the Privacy Act, to include Protected Health Information (PHI). All contractor employees under this contract who require access to Privacy Act protected information are therefore categorized no lower than IT-II. IT Levels are determined by the requiring activity’s Command Information Assurance Manager.
Contractor employees requiring privileged or IT-I level access, (when specified by the terms of the contract) require a Single Scope Background Investigation (SSBI) or T5 or T5R equivalent investigation , which is a higher level investigation than the National Agency Check with Law and Credit (NACLC)/T3/T3R described below. Due to the privileged system access, an investigation suitable for High Risk national security positions is required. Individuals who have access to system control, monitoring, or administration functions (e.g. system administrator, database administrator) require training and certification to Information Assurance Technical Level 1, and must be trained and certified on the Operating System or Computing Environment they are required to maintain.
Access to sensitive IT systems is contingent upon a favorably adjudicated background investigation. When access to IT systems is required for performance of the contractor employee’s duties, such employees shall in-process with the Navy Command’s Security Manager and Information Assurance Manager upon arrival to the Navy command and shall out-process prior to their departure at the completion of the individual’s performance under the contract. Completion and approval of a System Authorization Access Request Navy (SAAR-N) form is required for all individuals accessing Navy Information Technology resources. The decision to authorize access to a government IT system/network is inherently governmental. The contractor supervisor is not authorized to sign the SAAR-N; therefore, the government employee with knowledge of the system/network access required or the COR shall sign the SAAR-N as the “supervisor”.
The SAAR-N shall be forwarded to the Command’s Security Manager at least 30 days prior to the individual’s start date. Failure to provide the required documentation at least 30 days prior to the individual’s start date may result in delaying the individual’s start date.
When required to maintain access to required IT systems or networks, the contractor shall ensure that all employees requiring access complete annual Information Assurance (IA) training, and maintain a current requisite background investigation. The Contractor’s Security Representative shall contact the Command Security Manager for guidance when reinvestigations are required.
INTERIM ACCESS
The Command's Security Manager may authorize issuance of a DoD CAC and interim access to a DoN or DoD unclassified computer/network upon a favorable review of the investigative questionnaire and advance favorable fingerprint results. When the results of the investigation are received and a favorable determination is not made, the contractor employee working on the contract under interim access will be denied access to the computer network and this denial will not relieve the contractor of his/her responsibility to perform.
DENIAL OR TERMINATION OF ACCESS
The potential consequences of any requirement under this clause including denial or termination of physical or system access in no way relieves the contractor from the requirement to execute performance under the contract within the timeframes specified in the contract. Contractors shall plan ahead in processing their employees and subcontractor employees. The contractor shall insert this clause in all subcontracts when the subcontractor is permitted to have unclassified access to a federally controlled facility, federally-controlled information system/network and/or to government information, meaning information not authorized for public release.
CONTRACTOR’S SECURITY REPRESENTATIVE
The contractor shall designate an employee to serve as the Contractor’s Security Representative. Within three work days after contract award, the contractor shall provide to the requiring activity’s Security Manager and the Contracting Officer, in writing, the name, title, address and phone number for the Contractor’s Security Representative. The Contractor’s Security Representative shall be the primary point of contact on any security matter. The Contractor’s Security Representative shall not be replaced or removed without prior notice to the Contracting Officer and Command Security Manager.
BACKGROUND INVESTIGATION REQUIREMENTS AND SECURITY APPROVAL PROCESS FOR CONTRACTORS ASSIGNED TO NATIONAL SECURITY POSITIONS OR PERFORMING SENSITIVE DUTIES
Navy security policy requires that all positions be given a sensitivity value based on level of risk factors to ensure appropriate protective measures are applied. Contractor employees under this contract are recognized as Non-Critical Sensitive [ADP/IT-II] positions when the contract scope of work require physical access to a federally controlled base, facility or activity and/or requiring access to a DoD computer/network, to perform unclassified sensitive duties. This designation is also applied to contractor employees who access Privacy Act and Protected Health Information (PHI), provide support associated with fiduciary duties, or perform duties that have been identified as National Security Positions. At a minimum, each contractor employee must be a US citizen and have a favorably completed NACLC or T3 or T3R equivalent investigation to obtain a favorable determination for assignment to a non-critical sensitive or IT-II position. The investigation consists of a standard NAC and a FBI fingerprint check plus law enforcement checks and credit check. Each contractor employee filling a non-critical sensitive or IT-II position is required to complete:
· SF-86 Questionnaire for National Security Positions (or equivalent OPM investigative product)
· Two FD-258 Applicant Fingerprint Cards (or an electronic fingerprint submission)
· Original Signed Release Statements
Failure to provide the required documentation at least 30 days prior to the individual’s start date shall result in delaying the individual’s start date. Background investigations shall be reinitiated as required to ensure investigations remain current (not older than 10 years) throughout the contract performance period. The Contractor’s Security Representative shall contact the Command Security Manager for guidance when reinvestigations are required.
Regardless of their duties or IT access requirements ALL contractor employees shall in-process with the Command’s Security Manager upon arrival to the command and shall out-process prior to their departure at the completion of the individual’s performance under the contract. Employees requiring IT access shall also check-in and check-out with the Navy Command’s Information Assurance Manager. Completion and approval of a System Authorization Access Request Navy (SAAR-N) form is required for all individuals accessing Navy Information Technology resources. The SAAR-N shall be forwarded to the Navy Command’s Security Manager at least 30 days prior to the individual’s start date. Failure to provide the required documentation at least 30 days prior to the individual’s start date shall result in delaying the individual’s start date.
The contractor shall ensure that each contract employee requiring access to IT systems or networks complete annual Information Assurance (IA) training, and maintain a current requisite background investigation. Contractor employees shall accurately complete the required investigative forms prior to submission to the Command Security Manager. The Command’s Security Manager will review the submitted documentation for completeness prior to submitting it to the Office of Personnel Management (OPM); Potential suitability or security issues identified may render the contractor employee ineligible for the assignment. An unfavorable determination is final (subject to SF-86 appeal procedures) and such a determination does not relieve the contractor from meeting any contractual obligation under the contract. The Command’s Security Manager will forward the required forms to OPM for processing. Once the investigation is complete, the results will be forwarded by OPM to the DoD Central Adjudication Facility (CAF) for a determination.
If the contractor employee already possesses a current favorably adjudicated investigation, the contractor shall submit a Visit Authorization Request (VAR) via the Joint Personnel Adjudication System (JPAS) or a hard copy VAR directly from the contractor’s Security Representative. Although the contractor will take JPAS “Owning” role over the contractor employee, the Command will take JPAS "Servicing" role over the contractor employee during the hiring process and for the duration of assignment under that contract. The contractor shall include the IT Position Category per SECNAV M-5510.30 for each employee designated on a VAR. The VAR requires annual renewal for the duration of the employee’s performance under the contract.
PERFORMANCE WORK STATEMENT
PERFORMANCE WORK STATEMENT
Gas Cylinder Rental
Rental of Gas Cylinders should be delivered during normal business hours Monday through Friday for the period 01 October through 30 September 2019 with including option years 30 September 2023.
The Gas Cylinders delivery shall be scheduled basis mutually agreed upon by the Contractor and Naval Medical Center Branch Dental / Health Clinics in the Hampton Roads region to include Norfolk Naval Base, Norfolk Naval Shipyard Portsmouth, Joint Expeditionary Bases Little Creek / Fort Story, TPC Chesapeake Health Clinic, Northwest Branch Clinic Chesapeake, and Dam Neck Naval Base.
Vendor to ensure that there are adequate supplies on hand at all times. All parts, labor and travel are included.
This Contract is solely for the rental of the Cylinders, the Clinics are responsible for the consumables.
Quantities are subject to change (increase or decrease) throughout the life of the awarded contract
All equipment shall be maintained per original manufacturer’s recommendations.
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 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0001AA |
| Destination |
| Government |
| Destination |
| Government |
| 0001AB |
| Destination |
| Government |
| Destination |
| Government |
| 0001AC |
| Destination |
| Government |
| Destination |
| Government |
| 0001AD |
| Destination |
| Government |
| Destination |
| Government |
| 0002 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0002AA |
| Destination |
| Government |
| Destination |
| Government |
| 0003 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0003AA |
| Destination |
| Government |
| Destination |
| Government |
| 0003AB |
| Destination |
| Government |
| Destination |
| Government |
| 0004 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0004AA |
| Destination |
| Government |
| Destination |
| Government |
| 0004AB |
| Destination |
| Government |
| Destination |
| Government |
| 0004AC |
| Destination |
| Government |
| Destination |
| Government |
| 0005 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0005AA |
| Destination |
| Government |
| Destination |
| Government |
| 0005AB |
| Destination |
| Government |
| Destination |
| Government |
| 0005AC |
| N/A |
| N/A |
| N/A |
| Government |
| 0006 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0006AA |
| Destination |
| Government |
| Destination |
| Government |
| 0006AB |
| Destination |
| Government |
| Destination |
| Government |
| 0007 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0007AA |
| Destination |
| Government |
| Destination |
| Government |
| 0007AB |
| Destination |
| Government |
| Destination |
| Government |
| 0008 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0008AA |
| Destination |
| Government |
| Destination |
| Government |
| 1001 |
| N/A |
| N/A |
| N/A |
| N/A |
| 1001AA |
| Destination |
| Government |
| Destination |
| Government |
| 1001AB |
| Destination |
| Government |
| Destination |
| Government |
| 1001AC |
| Destination |
| Government |
| Destination |
| Government |
| 1001AD |
| Destination |
| Government |
| Destination |
| Government |
| 1002 |
| N/A |
| N/A |
| N/A |
| N/A |
| 1002AA |
| Destination |
| Government |
| Destination |
| Government |
| 1003 |
| N/A |
| N/A |
| N/A |
| N/A |
| 1003AA |
| Destination |
| Government |
| Destination |
| Government |
| 1003AB |
| Destination |
| Government |
| Destination |
| Government |
| 1004 |
| N/A |
| N/A |
| N/A |
| N/A |
| 1004AA |
| Destination |
| Government |
| Destination |
| Government |
| 1004AB |
| Destination |
| Government |
| Destination |
| Government |
| 1004AC |
| Destination |
| Government |
| Destination |
| Government |
| 1005 |
| N/A |
| N/A |
| N/A |
| N/A |
| 1005AA |
| Destination |
| Government |
| Destination |
| Government |
| 1005AB |
| Destination |
| Government |
| Destination |
| Government |
| 1005AC |
| N/A |
| N/A |
| N/A |
| Government |
| 1006 |
| N/A |
| N/A |
| N/A |
| N/A |
| 1006AA |
| Destination |
| Government |
| Destination |
| Government |
| 1006AB |
| Destination |
| Government |
| Destination |
| Government |
| 1007 |
| N/A |
| N/A |
| N/A |
| N/A |
| 1007AA |
| Destination |
| Government |
| Destination |
| Government |
| 1008 |
| N/A |
| N/A |
| N/A |
| N/A |
| 1008AA |
| Destination |
| Government |
| Destination |
| Government |
| 2001 |
| N/A |
| N/A |
| N/A |
| N/A |
| 2001AA |
| Destination |
| Government |
| Destination |
| Government |
| 2001AB |
| Destination |
| Government |
| Destination |
| Government |
| 2001AC |
| Destination |
| Government |
| Destination |
| Government |
| 2001AD |
| Destination |
| Government |
| Destination |
| Government |
| 2002 |
| N/A |
| N/A |
| N/A |
| N/A |
| 2002AA |
| Destination |
| Government |
| Destination |
| Government |
| 2003 |
| N/A |
| N/A |
| N/A |
| N/A |
| 2003AA |
| Destination |
| Government |
| Destination |
| Government |
| 2003AB |
| Destination |
| Government |
| Destination |
| Government |
| 2004 |
| N/A |
| N/A |
| N/A |
| N/A |
| 2004AA |
| Destination |
| Government |
| Destination |
| Government |
| 2004AB |
| Destination |
| Government |
| Destination |
| Government |
| 2004AC |
| Destination |
| Government |
| Destination |
| Government |
| 2005 |
| N/A |
| N/A |
| N/A |
| N/A |
| 2005AA |
| Destination |
| Government |
| Destination |
| Government |
| 2005AB |
| Destination |
| Government |
| Destination |
| Government |
| 2005AC |
| N/A |
| N/A |
| N/A |
| Government |
| 2006 |
| N/A |
| N/A |
| N/A |
| N/A |
| 2006AA |
| Destination |
| Government |
| Destination |
| Government |
| 2006AB |
| Destination |
| Government |
| Destination |
| Government |
| 2007 |
| N/A |
| N/A |
| N/A |
| N/A |
| 2007AA |
| Destination |
| Government |
| Destination |
| Government |
| 2008 |
| N/A |
| N/A |
| N/A |
| N/A |
| 2008AA |
| Destination |
| Government |
| Destination |
| Government |
| 3001 |
| N/A |
| N/A |
| N/A |
| N/A |
| 3001AA |
| Destination |
| Government |
| Destination |
| Government |
| 3001AB |
| Destination |
| Government |
| Destination |
| Government |
| 3001AC |
| Destination |
| Government |
| Destination |
| Government |
| 3001AD |
| Destination |
| Government |
| Destination |
| Government |
| 3002 |
| N/A |
| N/A |
| N/A |
| N/A |
| 3002AA |
| Destination |
| Government |
| Destination |
| Government |
| 3003 |
| N/A |
| N/A |
| N/A |
| N/A |
| 3003AA |
| Destination |
| Government |
| Destination |
| Government |
| 3003AB |
| Destination |
| Government |
| Destination |
| Government |
| 3004 |
| N/A |
| N/A |
| N/A |
| N/A |
| 3004AA |
| Destination |
| Government |
| Destination |
| Government |
| 3004AB |
| Destination |
| Government |
| Destination |
| Government |
| 3004AC |
| Destination |
| Government |
| Destination |
| Government |
| 3005 |
| N/A |
| N/A |
| N/A |
| N/A |
| 3005AA |
| Destination |
| Government |
| Destination |
| Government |
| 3005AB |
| Destination |
| Government |
| Destination |
| Government |
| 3005AC |
| N/A |
| N/A |
| N/A |
| Government |
| 3006 |
| N/A |
| N/A |
| N/A |
| N/A |
| 3006AA |
| Destination |
| Government |
| Destination |
| Government |
| 3006AB |
| Destination |
| Government |
| Destination |
| Government |
| 3007 |
| N/A |
| N/A |
| N/A |
| N/A |
| 3007AA |
| Destination |
| Government |
| Destination |
| Government |
| 3007AB |
| Destination |
| Government |
| Destination |
| Government |
| 3008 |
| N/A |
| N/A |
| N/A |
| N/A |
| 3008AA |
| Destination |
| Government |
| Destination |
| Government |
| 4001 |
| N/A |
| N/A |
| N/A |
| N/A |
| 4001AA |
| Destination |
| Government |
| Destination |
| Government |
| 4001AB |
| Destination |
| Government |
| Destination |
| Government |
| 4001AC |
| Destination |
| Government |
| Destination |
| Government |
| 4001AD |
| Destination |
| Government |
| Destination |
| Government |
| 4002 |
| N/A |
| N/A |
| N/A |
| N/A |
| 4002AA |
| Destination |
| Government |
| Destination |
| Government |
| 4003 |
| N/A |
| N/A |
| N/A |
| N/A |
| 4003AA |
| Destination |
| Government |
| Destination |
| Government |
| 4003AB |
| Destination |
| Government |
| Destination |
| Government |
| 4004 |
| N/A |
| N/A |
| N/A |
| N/A |
| 4004AA |
| Destination |
| Government |
| Destination |
| Government |
| 4004AB |
| Destination |
| Government |
| Destination |
| Government |
| 4004AC |
| N/A |
| N/A |
| N/A |
| Government |
| 4005 |
| N/A |
| N/A |
| N/A |
| N/A |
| 4005AA |
| Destination |
| Government |
| Destination |
| Government |
| 4005AB |
| Destination |
| Government |
| Destination |
| Government |
| 4006 |
| N/A |
| N/A |
| N/A |
| N/A |
| 4006AA |
| Destination |
| Government |
| Destination |
| Government |
| 4006AB |
| Destination |
| Government |
| Destination |
| Government |
| 4007 |
| N/A |
| N/A |
| N/A |
| N/A |
| 4007AA |
| Destination |
| Government |
| Destination |
| Government |
| 4007AB |
| Destination |
| Government |
| Destination |
| Government |
| 4008 |
| N/A |
| N/A |
| N/A |
| N/A |
| 4008AA |
| Destination |
| Government |
| Destination |
| Government |
CLAUSES INCORPORATED BY REFERENCE
| 52.246-4 |
| Inspection Of Services--Fixed Price |
| AUG 1996 |
| 252.246-7000 |
| Material Inspection And Receiving Report |
| MAR 2008 |
Section F - Deliveries or Performance
NMCP RECEIVING DOCK HOURS
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.
DELIVERY INFORMATION
| CLIN |
| DELIVERY DATE |
| QUANTITY |
| SHIP TO ADDRESS |
| DODAAC / CAGE |
| 0001 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0001AA |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| NAVAL MEDICAL CENTER |
RECEIVING OFFICER
54 LEWIS MINOR STREET
BLDG. 250
PORTSMOUTH VA 23708-2297
757-953-5770
N00183
| 0001AB |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0001AC |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0001AD |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0002 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0002AA |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| NAVAL MEDICAL CENTER |
RECEIVING OFFICER
54 LEWIS MINOR STREET
BLDG. 250
PORTSMOUTH VA 23708-2297
757-953-5770
N00183
| 0003 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0003AA |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| NAVAL MEDICAL CENTER |
RECEIVING OFFICER
54 LEWIS MINOR STREET
BLDG. 250
PORTSMOUTH VA 23708-2297
757-953-5770
N00183
| 0003AB |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0004 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0004AA |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| NAVAL MEDICAL CENTER |
RECEIVING OFFICER
54 LEWIS MINOR STREET
BLDG. 250
PORTSMOUTH VA 23708-2297
757-953-5770
N00183
| 0004AB |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0004AC |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0005 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0005AA |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| NAVAL MEDICAL CENTER |
RECEIVING OFFICER
54 LEWIS MINOR STREET
BLDG. 250
PORTSMOUTH VA 23708-2297
757-953-5770
N00183
| 0005AB |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0005AC |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0006 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0006AA |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| NAVAL MEDICAL CENTER |
RECEIVING OFFICER
54 LEWIS MINOR STREET
BLDG. 250
PORTSMOUTH VA 23708-2297
757-953-5770
N00183
| 0006AB |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0007 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0007AA |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| NAVAL MEDICAL CENTER |
RECEIVING OFFICER
54 LEWIS MINOR STREET
BLDG. 250
PORTSMOUTH VA 23708-2297
757-953-5770
N00183
| 0007AB |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0008 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0008AA |
| POP 01-OCT-2018 TO |
30-SEP-2019
| N/A |
| NAVAL MEDICAL CENTER |
RECEIVING OFFICER
54 LEWIS MINOR STREET
BLDG. 250
PORTSMOUTH VA 23708-2297
757-953-5770
N00183
| 1001 |
| N/A |
| N/A |
| N/A |
| N/A |
| 1001AA |
| POP 01-OCT-2019 TO |
30-SEP-2020
| N/A |
| NAVAL MEDICAL CENTER |
RECEIVING OFFICER
54 LEWIS MINOR STREET
BLDG. 250
PORTSMOUTH VA 23708-2297
757-953-5770
FOB: N/A
N00183
| 1001AB |
| POP 01-OCT-2019 TO |
30-SEP-2020
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 1001AC |
| POP 01-OCT-2019 TO |
30-SEP-2020
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 1001AD |
| POP 01-OCT-2019 TO |
30-SEP-2020
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 1002 |
| N/A |
| N/A |
| N/A |
| N/A |
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