N68093-16-T-0084.docx

N68093-16-T-0084

Section A - Solicitation/Contract Form

CLAUSES INCORPORATED BY FULL TEXT

CAGE: _____________________

DUNS: _____________________

TIN: _____________________

Vendor POC: _____________________

Vendor Phone: ____________________

Vendor Fax: ______________________

Vendor E-mail: ____________________

Note to Vender:

At a minimum, the SF18 must be completed to be considered for this opportunity.

Vendor to reference request for quotes number (RFQ#) N68093-16-T-0084 on all inquiries including invoicing and shipping documents.

All proposals should be inclusive of all cost (e.g. Shipping and Handling). Shipping should be included in the quote total, but NOT separately priced; shipping costs are always considered in the evaluation process.

The government reserves the right to determine same or like product offerings based on the need.

The government reserves the right to make a “Best Value” determination for award based on the following criteria:

Quality – NEW product offers only Technical Capability – If quoting like or similar products, specification sheet, manufacturer information and manufacturer part number must be included with quote.

Past Performance Price

PROMPT PAYMENT

For Prompt Payment Act purposes, this contract is subject to the 7 calendar day constructive acceptance period.

Billing / Payment in arrears For all questions, POC:

John Ritter Contract Specialist Materiel Management Department 100 Brewster Blvd.

Naval Hospital Camp Lejeune Phone: (910)450-3157 Fax: (910)450-4922 Email: John.c.ritter4.civ@mail.mil

Section B - Supplies or Services and Prices

Portable Fiber Scope Repair and Overhaul

FFP

Model # ENF-GP Serial # 2805530 See Statement of Work for Repairs Needed.

FOB: Destination

MILSTRIP: N6809316RC04606

PURCHASE REQUEST NUMBER: N6809316RC04606

NET AMT

Section C - Descriptions and Specifications

STATEMENT OF WORK FOR OLYMPUS RHINO-LARYNGO FIBER SCOPE

1. Scope. The Naval Hospital Camp Lejeune ENT Clinic owns 4 rhino-laryngo fiber scopes. These scopes are used on a daily basis for patient care and are required for diagnostic & operative procedures. They provide a wide field of view and flexible angulation add to the high-resolution, clear, portable and reliable diagnosis for transnasal laryngoscopy-/vocal cord-/ and pharynx procedures. This service will provide needed repairs to our Olympus ENF-GP Model #ENF-GP, Serial#2805530, ECN#112948

2. Background. The NHCL’s ENT Clinic has a need for service on above mentioned Olympus Rhino-laryngo fiber scope model #ENF-GP, serial #2805530, ECN# 112948 in order to support the ENT service. The ENT Clinic at NHCL uses the scopes in all of their nasal & laryngeal initial visits for diagnostic proposes as well as every ENT procedure. The unit is offset by 45 degrees, rotates opposite direction (Optics Shifted). This is an ongoing issue.

3. Requirements. Repair for Olympus Rhino-laryngo fiber scope (model #ENF-GP, serial #2805530, ECN#112948) Report issues & repairs required: NEW fiber optic bundle, NEW angulation coil pipes and angulation wiring, NEW light guide, NEW insertion tube, NEW bending rubber, leak, safety and function tested to specifications. Vendor will pay for the shipping and handling as part of unit repair price total to send unit back to NHCL after repairs are complete.

The contractor shall report contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for Naval Hospital Camp Lejeune via a secure data collection site. Contracted services excluded from reporting are based on Product Service Codes (PSCs). The excluded PSCs are:

(1) W, Lease/Rental of Equipment;

(2) X, Lease/Rental of Facilities;

(3) Y, Construction of Structures and Facilities;

(4) S, Utilities ONLY;

(5) V, Freight and Shipping ONLY.

The contractor is required to completely fill in all required data fields using the following web address https://doncmra.nmci.navy.mil.

Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk, linked at https://doncmra.nmci.navy.mil.

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

Section F - Deliveries or Performance

DELIVERY INFORMATION

SUPPLY OFFICER

100 BREWSTER BLVD.

CAMP LEJEUNE NC 28547

910-450-4836 FOB: Destination N68093

CLAUSES INCORPORATED BY REFERENCE

Section G - Contract Administration Data

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JUN 2012)

(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 Central Contractor Registration at https://www.acquisition.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this Web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

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

INVOICE AND RECEIVING REPORT COMBO

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

DESTINATION / DESTINATION

(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*

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

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

WAWF Acceptor/COR Email Address: jeffrey.a.conaway.civ@mail.mil

(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.

usn.detrick.navmedlogcomftdmd.list.nmlc-wawf@mail.mil

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

(End of clause)

Section I - Contract Clauses

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

252.203-7999 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements (DEVIATION 2015-O0010)(FEB 2015)

(a) The Contractor shall not require employees or subcontractors seeking to report fraud, waste, or abuse to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or contactors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

(b) The Contractor shall notify employees that the prohibitions and restrictions of any internal confidentiality agreements covered by this clause are no longer in effect. (c) The prohibition in paragraph (a) of this clause does not contravene requirements applicable to Standard Form 312, Form 4414, or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(d)(1) In accordance with section 743 of Division E, Title VIII, of the Consolidated and Further Continuing Resolution Appropriations Act, 2015, (Pub. L. 113-235), use of funds appropriated (or otherwise made available) under that or any other Act may be prohibited, if the Government determines that the Contractor is not in compliance with the provisions of this clause.

(2) The Government may seek any available remedies in the event the Contractor fails to perform in accordance with the terms and conditions of the contract as a result of Government action under this clause.

Section K - Representations, Certifications and Other Statements of Offerors

Section L - Instructions, Conditions and Notices to Bidders

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