N0042119Q0507.doc

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Well Assembly
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N0042119Q0507
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Section B - Supplies or Services and Prices

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
3
Each

P/N:3666-264-1

FFP

Transducer Assembly, 100 PSI

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

ADDITIONAL MARKINGS: M/F: SCOTT MCDERMOTT 301-757-3985

PSC CD: 6685

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
3
Each

P/N:3666-265-1

Transducer Assy, 2000 PS I

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
3
Each

P/N:3666-266-1

Transducer Assembly, 10000 PS

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2
Each

P/N:3666-367-001

Epson Impact Printer Assembly

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
3
Each

P/N:3604-236-1

Well Assembly

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1
Each

P/N:3604-245-1

ANALOG POWER BOARD CABLE

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2
Each

P/N:3604-21-750

ADAPTER,QUICK CHANG

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1
Each

P/N:3666-3-41

HANDLE

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1
Each

P/N:3604-225-1

MAIN HARNESS

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2
Each

P/N;3603-16-1

COVER,ELECTRICAL-EL

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
3
Each

P/N:3604-292-001

Main Circuit Card

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
4
Each

P/N:KP000007060900

SCREW, MACHINE

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
6
Each

P/N:KP000000090500

SCREW, MACHINE

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
6
Each

P/N:KP000000121300

SCREW, MACHINE

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1
Each

P/N:3604-219-1, CIRCUIT CARD ASSEMB

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1
Each

P/N:3604-243-1

LAMP ASSY

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1
Each

P/N:3604-243-3

INDICATOR LIGHT

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1
Each

P/N:3604-38-1

ADAPTER,THERMOMETER

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1
Each

P/N:3604-21-437

ADAPTER,CONNECTOR

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2
Each

P/N:3604-21-250

ADAPTER,QUICK CHANG

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1
Each

P/N:3604-21-937

ADAPTER,QUICK CHANG

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2
Each

3605-209-1

ASSY,WELL

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
8
Each

P/N:3603 12 1

SLIDE,DRAWER,EXTENS

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
4
Each

P/N:3666-12-101

VALVE ASSY

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1
Each

P/N:3605-296-001

Main PCB 3605A Upgrade Kit

FOB: Destination

PURCHASE REQUEST NUMBER: 1300802190

NET AMT

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN
INSPECT AT
INSPECT BY
ACCEPT AT
ACCEPT BY
0001
Destination
Government
Destination
Government
0002
Destination
Government
Destination
Government
0003
Destination
Government
Destination
Government
0004
Destination
Government
Destination
Government
0005
Destination
Government
Destination
Government
0006
Destination
Government
Destination
Government
0007
Destination
Government
Destination
Government
0008
Destination
Government
Destination
Government
0009
Destination
Government
Destination
Government
0010
Destination
Government
Destination
Government
0011
Destination
Government
Destination
Government
0012
Destination
Government
Destination
Government
0013
Destination
Government
Destination
Government
0014
Destination
Government
Destination
Government
0015
Destination
Government
Destination
Government
0016
Destination
Government
Destination
Government
0017
Destination
Government
Destination
Government
0018
Destination
Government
Destination
Government
0019
Destination
Government
Destination
Government
0020
Destination
Government
Destination
Government
0021
Destination
Government
Destination
Government
0022
Destination
Government
Destination
Government
0023
Destination
Government
Destination
Government
0024
Destination
Government
Destination
Government
0025
Destination
Government
Destination
Government

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN
DELIVERY DATE
QUANTITY
SHIP TO ADDRESS
DODAAC / CAGE
0001
30-SEP-2019
3
LABORATORY INSTRUMENTS & STANDARDS TEAM

SCOTT MCDERMOTT

22113 FORTIN CIRCLE, BLDG. 1403

UNIT 7

PATUXENT RIVER MD 20670

301-757-3985

FOB: Destination N00421

0002
30-SEP-2019
3
(SAME AS PREVIOUS LOCATION)

N00421

0003
30-SEP-2019
3
(SAME AS PREVIOUS LOCATION)

N00421

0004
30-SEP-2019
2
(SAME AS PREVIOUS LOCATION)

N00421

0005
30-SEP-2019
3
(SAME AS PREVIOUS LOCATION)

N00421

0006
30-SEP-2019
1
(SAME AS PREVIOUS LOCATION)

N00421

0007
30-SEP-2019
2
(SAME AS PREVIOUS LOCATION)

N00421

0008
30-SEP-2019
1
(SAME AS PREVIOUS LOCATION)

N00421

0009
30-SEP-2019
1
(SAME AS PREVIOUS LOCATION)

N00421

0010
30-SEP-2019
2
(SAME AS PREVIOUS LOCATION)

N00421

0011
30-SEP-2019
3
(SAME AS PREVIOUS LOCATION)

N00421

0012
30-SEP-2019
4
(SAME AS PREVIOUS LOCATION)

N00421

0013
30-SEP-2019
6
(SAME AS PREVIOUS LOCATION)

N00421

0014
30-SEP-2019
6
(SAME AS PREVIOUS LOCATION)

N00421

0015
30-SEP-2019
1
(SAME AS PREVIOUS LOCATION)

N00421

0016
30-SEP-2019
1
(SAME AS PREVIOUS LOCATION)

N00421

0017
30-SEP-2019
1
(SAME AS PREVIOUS LOCATION)

N00421

0018
30-SEP-2019
1
(SAME AS PREVIOUS LOCATION)

N00421

0019
30-SEP-2019
1
(SAME AS PREVIOUS LOCATION)

N00421

0020
30-SEP-2019
2
(SAME AS PREVIOUS LOCATION)

N00421

0021
30-SEP-2019
1
(SAME AS PREVIOUS LOCATION)

N00421

0022
30-SEP-2019
2
(SAME AS PREVIOUS LOCATION)

N00421

0023
30-SEP-2019
8
(SAME AS PREVIOUS LOCATION)

N00421

0024
30-SEP-2019
4
(SAME AS PREVIOUS LOCATION)

N00421

0025
30-SEP-2019
1
(SAME AS PREVIOUS LOCATION)

N00421

CLAUSES INCORPORATED BY REFERENCE

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

Section G - Contract Administration Data

252.232-7003
Electronic Submission of Payment Requests and Receiving Reports
DEC 2018
252.232-7006
Wide Area WorkFlow Payment Instructions
DEC 2018

Section I - Contract Clauses

52.204-13
System for Award Management Maintenance
OCT 2018
52.204-21
Basic Safeguarding of Covered Contractor Information Systems
JUN 2016
52.212-4
Contract Terms and Conditions--Commercial Items
OCT 2018
52.212-5
Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items
MAY 2019
52.222-50
Combating Trafficking in Persons
JAN 2019
52.232-39
Unenforceability of Unauthorized Obligations
JUN 2013
52.252-2
Clauses Incorporated By Reference
FEB 1998
252.203-7002
Requirement to Inform Employees of Whistleblower Rights
SEP 2013
252.204-7000
Disclosure Of Information
OCT 2016
252.204-7012
Safeguarding Covered Defense Information and Cyber Incident Reporting
OCT 2016

CLAUSES INCORPORATED BY FULL TEXT

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub.L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that --

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that --

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under any Federal law within the preceding 24 months,

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