N6809417R6017_ENDO_SUITE_SERVICE_MAINTENANCE.pdf

Combined Synopsis/Solicitation

Notice of Intent to Sole Source

Solicitation Number: N6809417R6017

Purchase Description: ENDO SUITES OLYMPUS EQUIPMENT SERVICE MAINTENANCE

This is a Notice of Intent to Sole Source for commercial items prepared in accordance with the format in FAR 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation/notice, though responses & vendor capability statements will be accepted, a further written solicitation will not be issued. This notice/announcement provides the Government’s intent to award without competition.

The Navy Hospital Camp Pendleton (NHCP), Material Management Department, Contracting Division is issuing this combined synopsis/solicitation, N6809417R6017 as a Notice of Intent to Sole Source IAW FAR Part 5, Publicizing Contract Actions; FAR Part 12, Acquisition of Commercial Items; & FAR

Part 13, Simplified Acquisition Procedures. The North American Industrial Classification System (NAICS) code for this procurement is “811219” with a small business standard of “20.5”.

The Government intends to award a Commercial Firm Fixed-Price Sole Source Award to contractor “Olympus America Inc”. The solicitation document and incorporated provisions and clauses are those in effect through the Federal Acquisition Circular (FAC) 2005-95 effective January 13, 2017 and Defense

Federal Acquisition Regulation Supplement DPN 20161222 effective December 22, 2016. The Sole Source Justification is attached.

Vendor shall be an Original Equipment Manufacturer (OEM) authorized dealer, authorized distributor or authorized reseller for the proposed equipment, such that OEM warranty and service are provided and maintained by the OEM. All software licensing, warranty and service associated with the equipment shall be in accordance with the OEM terms and conditions.

The units shall be compliant with the Food and Drug Administration (FDA) requirements to market and deliver medical products for use in the United

States of America, even should delivery be requested outside of the United States. The claims made for the product shall comply with the regulations of the

FDA, with respect to products for marketing and delivery of a medical product for use in the United States of America, even should delivery be requested outside of the United States. The unit shall be installed in compliance with Occupational Safety and Health Administration (OSHA) regulations/requirements.

GOVERNMENT INTENDED USE STATEMENT (BACKGROUND/OVERVIEW): SERVICE MAINTENANCE FOR ENDO SUITE.

DESCRIPTION OF ITEMS/SERVICES: All offers shall provide F.O.B. Destination for all CLIN’s.

PERIOD OF PERFORMANCE: March 17, 2017 through March 16, 2018 (Base Year) PLUS TWO OPTIONS

PLACE OF DELIVERY AND/OR SERVICE:

Naval Hospital Camp Pendleton

Thomas Bulicki

General Surgery

Bldg: H-200

Camp Pendleton, 92055

TEL: 760-725-1356

Contractors may submit a capability statement, proposal, or quotation which shall be considered by the contracting officer to determine whether to continue with the sole source procurement or to provide competition. Such responses MUST be received no later than 17 March, 2017; 10:00 AM (Pacific Daylight

Time). Forward responses by e-mail to Kenneth.D.Harmon.Civ@mail.mil. Due to technical issues, please allow additional time if you’re using electronic means. Responses received after the date/time posted will be considered non-responsive unless an exception applies.

For equipment repair/maintenance solicitations/procurements only authorized distributors, and/or service providers of the manufacturer will be accepted.

Manufacturer certifications/confirmations must be provided upon request of the Contracting Office.

Offerors must ensure that their company is registered with System for Award Management (SAM) prior to award. For information refer to (may have to copy/paste): https://www.sam.gov.

Upon receipt of vendor responses the contracting officer may determine to solicit providing competition for the Government the requirement for which a separate solicitation would be posted to the Federal Business Opportunities (FBO) web-site. The standard solicitation would be posted as a “Total 100%

Small Business Set-Aside”, unless an exception applies, for a period of 15 calendar days or less, using the evaluation criteria below.

APPLICABLE FAR CLAUSES:

(1) FAR 52.212-1 (Instructions to Offerors – Commercial Items) (Jan 2017)

(2) FAR 52.212-2: Evaluation - Commercial Items (Oct 2014): The evaluation procedures of FAR 12.602, Streamlined Evaluation of Offers, will be used to select the awardee/offer that represents the most advantageous offer to the Government based on the following evaluation factors:

Note: All evaluation factors other than cost or price, when combined, are significantly more important than cost or price. The Contracting

Officer may, at their discretion, request clarifications, however, IAW FAR 13.106-2(b)(3) there will not be a formal evaluation plan or competitive range established, award will be made without discussions, and offers will not be formally scored.

(a) Compliance with Solicitation & Statement of Work (SOW) Requirements: Contractor offer/product(s) shall meet all the Government requirements, salient “must have” characteristics, features, & specifications provided in the solicitation. Contractors providing “Brand Name or

Equal” alternative products must provide adequate product literature (manufacturer name & part/model numbers), product samples (if requested), technical features, specifications, and warranty information sufficient for the Government to make this determination or the offer will be considered non-responsive.

(b) Technical Capability/Lowest Overall Cost Alternative: The Government will determine how well the proposed products meets the Government requirement(s) in consideration of special features of the supply and/or service required for effective program performance inclusive of quality features/characteristics that provide performance enhancement/capability/value relative to the Government need/requirement; trade-in considerations; probable life of the item selected as compared with that of a comparable item; warranty considerations; maintenance availability;

environmental and energy efficiency considerations; delivery terms; and administrative costs. IAW FAR 13.106-2(b)(3), the Government may conduct comparative evaluation of offers. Negative or favorable evaluations on quality or any other factor or consideration that determined the apparent mailto:Kenneth.D.Harmon.Civ@mail.mil https://www.sam.gov/ awardee shall be very specific and relative to the Government need/requirement for which the contracting officer shall ensure selection of a higher priced offer is adequately justified commensurate to the disparity in price of lower priced offer(s).

(c) Price: No additional information from the offeror will be required if the price is based on adequate price competition. In the event adequate price competition does not exist, the contracting officer will obtain information from the offeror to the extent required to determine the reasonableness of the offered prices.

(d) Past Performance: Will be evaluated as Acceptable or Unacceptable based on the contracting officer’s knowledge of and previous experience with the supply or service being acquired, the Past Performance Information Retrieval System (PPIRS), and any other reasonable basis. In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available, the offeror will not be evaluated favorably or unfavorably on past performance.

Past Performance Evaluation Ratings

Rating Description

Acceptable

Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown.

Unacceptable

Based on the offeror’s performance record, the

Government has no reasonable expectation that the offeror will be able to successfully perform the required effort.

SEE ADDENDUM

(No Collect Calls)

N6809417R6017 02-Mar-2017

b. TELEPHONE NUMBER

760-725-6343

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 17 Mar 2017

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

N680949. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

KENNETH D. HARMON

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

N6809417RC25102

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

NAVAL HOSPITAL CAMP PENDLETON

MATERIAL MGMT DEPT CODE 06B

NAVAL HOSPITAL, BOX 555191

CAMP PENDLETON CA 92055-5191

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE N68094 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

NAVAL HOSPITAL CAMP PENDLETON

BULICKI, TOMASZ

GENERAL SURGERY

CAMP PENDLETON CA 92055

TEL: (760)725-3697 FAX:

(760) 725-1485FAX:

TEL: (760) 725-1425 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$20,500,000

NAICS:

811219

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF93

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

N6809417R6017

Section SF 1449 - CONTINUATION SHEET

STATEMENT OF WORK

STATEMENT OF WORK

EQUIPMENT CORRECTIVE AND PREVENTIVE MAINTENANCE SERVICES

WITH LOANER OPTION

(Revision 9/9/2015)

GENERAL REQUIREMENTS:

The effort required hereunder shall be performed in accordance with this Statement of Work (SOW) and in accordance with all other terms and conditions set forth herein.

The contractor shall provide all services, materials and equipment necessary for the repair/maintenance of (See below equipment list) located in the General Surgery Department at

Naval Hospital Camp Pendleton to ensure dependable and reliable equipment operation. The scope of work performed under these specifications includes the furnishing of all labor and parts to perform all repairs on equipment listed, to assure continued operation at their designed efficiency and capacity. Equipment parts that are repaired under this contract become or remain, as appropriate, the property of the Government.

EQUIPMENT LIST

MODEL # SERIAL # CONDITION PROD TYPE COMMENTS

CF‐HQ190L 2303899 RENEW GI VIDEO 2563

CF‐HQ190L 2303904 RENEW GI VIDEO 2563

CF‐HQ190L 2303915 RENEW GI VIDEO 2563

CF‐HQ190L 2303918 RENEW GI VIDEO 2563

CF‐HQ190L 2303924 RENEW GI VIDEO 2563

CF‐2T160L 2310687 RENEW GI VIDEO 3015

GIF‐HQ190 2303324 RENEW GI VIDEO 2261

GIF‐HQ190 2303329 RENEW GI VIDEO 2261

GIF‐HQ190 2303341 RENEW GI VIDEO 2261

GIF‐HQ190 2303348 RENEW GI VIDEO 2261

GIF‐XP190N 2300399 RENEW GI VIDEO 2261

GIF‐XTQ160 2300849 RENEW GI VIDEO 2234

GIF‐1TQ160 2302861 RENEW GI VIDEO 2714

GIF‐2TH180 2300703 RENEW GI VIDEO 2487

PCF‐H190L 2302564 RENEW GI VIDEO 2563

PCF‐H190L 2302572 RENEW GI VIDEO 2563

CLV‐190 7337417 RENEW ELECTRONICS 371

CLV‐190 7337438 RENEW ELECTRONICS 371

CLV‐190 7337442 RENEW ELECTRONICS 371

CV‐190 7377522 RENEW ELECTRONICS 651

CV‐190 7377922 RENEW ELECTRONICS 651

CV‐190 7377924 RENEW ELECTRONICS 651

IS20092 13‐221200 RENEW ELECTRONICS 127

IS20092 13‐221210 RENEW ELECTRONICS 127

IS20092 13‐221211 RENEW ELECTRONICS 127

KV‐5 21309820 RENEW ELECTRONICS 63

KV‐5 21309821 RENEW ELECTRONICS 63

KV‐5 21310134 RENEW ELECTRONICS 63

OEV‐261H 7352568 RENEW ELECTRONICS 208

OEV‐261H 7352569 RENEW ELECTRONICS 208

OEV‐261H 7352588 RENEW ELECTRONICS 208

OFP‐2 21310606 RENEW ELECTRONICS 45

OFP‐2 21310620 RENEW ELECTRONICS 45

OFP‐2 21310702 RENEW ELECTRONICS 45

OER‐PRO 2331366 RENEW REPROCESSORS 3296.25

The Contractor is responsible for PM or CM service call parts equal or less than $500. The contractor shall provide the Government a part(s) quote in excess of this amount and obtain approval before the commencement of such work/repair.

IN NO INSTANCE SHALL THE CONTRACTOR PROCEEED WITH WORK OUTSIDE THE CURRENT

SCOPE OF THIS CONTRACT/INCREASE THE COST OF THIS CONTRACT WITHOUT GOVERNMENT

APPROVAL TO USE OF EXISTING CONTRACT CLIN FOR MAJOR REPAIRS, OR IN THE ABSENCE OF

SUCH A CONTRACT CLIN, RECEIPT OF BILATERAL SIGNED MODIFICATION TO THE CONTRACT

OR MUTUAL AGREEMENT BY BOTH PARTIES TO AN ALTERNATIVE CONTRACT/PAYMENT

ARRANGEMENT (I.E. SEPARATE CONTRACT OR PAYMENT BY GOVERNMENT COMMERCIAL

PURCHASE CARD (GCPC)). THIS INCLUDES ANY SURCHARGE, AFTER HOURS EMERGENCY

SERVICE, OR ANY OTHER CHARGES/COST THAT ARE OUTSIDE THE CURRENT BASIC OR

MODIFIED CONTRACT PRICE.

HEALTH SCREENING REQUIREMENTS: Naval Hospital Camp Pendleton's (NHCP) Health Industry

Representative

(HIR) Health Screening Requirements Policy Statement and the Joint Commission Hospital

Accreditation Standards of 2014, NHCP requires all HIRs (defined as individuals performing a health or medical equipment-related service(s), who come within three feet of patients or a sterile field) to maintain health screening including an influenza vaccination (within last 12 months) and a tuberculosis screening (within last 60 months) prior to receiving access to NHCP. Health screening may be submitted to Ms. Denise Mullins via email at NHCP_OMSCREEN@med.navy.mil, via fax at

760-725-3786, or via mail at:

Department of the Navy

Commanding Officer

Naval Hospital Camp Pendleton

ATTN: Occupational Health Department

Box 555191

Camp Pendleton, CA 92055-5191

CORRECTIVE MAINTENANCE: Correct inoperable condition in a timely manner. Immediately upon contract award, the contractor shall provide Medical Repair Branch an emergency telephone number.

Contractor shall respond no later than (Insert # of Hours) hours after telephone notification including loaner. Provide only the work necessary to restore the equipment to a serviceable/operating condition by adjustments, replacement parts, or minor repairs when it is determined that extensive repairs and parts replacements are not necessary.

CORRECTIVE & PREVENTIVE MAINTENANCE:

Perform service repair/maintenance to industry standards.

Insure that only FACTORY AUTHORIZED ENGINEERS and TECHNICIANS who have gone through original equipment manufacturer (OEM) or comparable third party service schools for the above-mentioned equipment, shall be employed in the performance of any all work performed under this contract. Upon request, the certificates (or notarized copies) will be provided to the Medical Repair Branch for verification. The highest standard of professional capability and electrical/medical workmanship is to be maintained throughout the life of this contract.

Make repairs to the extent necessary (as determined by inspection tests or disassembly) to ensure a functional system that will efficiently serve its intended purpose.

Equipment improvements/modifications shall be made only upon Medical Repair Branch written approval and direction.

Notify the NHCP Medical Repair Branch immediately upon receipt of OEM or replacement parts and equipment safety recall notices.

Insure that original design and functional capabilities will not be changed, modified, or altered unless the NHCP Medical Repair Branch authorizes such changes.

Provide suitable OEM recommended repair equipment/tools required for the satisfactory execution of all repairs made.

Furnish manufacturer OEM approved lubricants and lubricate wear point within the equipment.

Extend to the Government all commercial warranties on replacement parts, consistent with standard industry practices.

Maintain an adequate spare parts inventory.

ADDITIONAL EXCLUSIONS: List any exclusions (i.e. parts) not already provided in the SOW, most times found on the contractor quote.

SPECIAL CONDITIONS: The contractor shall send a loaner unit within 48 hours of receiving call, paying shipping charges on loaner. Repair of government owned equipment would be accomplished at factory. Units shall be returned to NHCP repaired if possible with contractor paying for postage.

TITLE TO EQUIPMENT: The contractor shall not assume possession or control of any part of the equipment. The Government retains ownership to title thereof.

LIABILITY: The contractor shall not be liable for any loss, damage, or delay due to any cause beyond his reasonable control including but not limited to, acts of government, strikes, lockouts, fire, explosion, theft, floods, riot, civil commotion, war, malicious mischief or acts of god.

UTILITIES: The contractor may use Government utilities,(e.g. electrica1 power, compressed air, and water) that are available and required for any service performed under this contract. Contractor's electrical equipment must be approved by the building engineer to ensure compatibility with Naval

Hospital Camp Pendleton electrical wiring and equipment.

ACCESS TO EQUIPMENT: The contractor shall be provided reasonable access to all equipment, which is to be serviced, and utility outlets required doing the service. The contractor shall be free to start and stop all primary equipment incidentals to the operation of the maintained equipment after permission is received from on duty personnel responsible for such equipment.

CONTRACTOR CHECK-IN/CHECK-OUT: CONTRACTOR CHECK-IN/CHECK-OUT:

The Contractor, or his representative, is required to check-in and out at Naval

Hospital Camp Pendleton, General Surgery Department during the hours of 0730

- 1600 hours, Monday through Friday, prior to and upon completion of any service/repair performed.

FIELD SERVICE REPORTS: The contractor, or his representative shall furnish to;

Biomedical Engineering Division

Naval Hospital Camp Pendleton

Building H-200/H-135

Phone: (760) 719-3726

Phone :(760) 725-1601

E-mail: NHCPEN-BIOMEDTechs@med.navy.mil a legible copy of the Field Service Report upon completion of work performed.

The contractor, or his representative, shall complete the Government copy of this Field Service Report to include the following:

Date & Time Notified

Date & Time Arrival

ECN (EQUIPMENT CONTROL NUMBER), Type, serial, model #

Time expended repairing/servicing

Description of malfunction

General Description of replaced parts and service performed

Comments as to cause of malfunction

FIELD SERVICE REPORTS ARE REQUIRED PRIOR TO APPROVAL OF ALL INVOICES

GOVERNMENT PERSONNEL: NHCP employees will not perform maintenance or attempt repairs to equipment while such equipment is under the purview of this contract unless agreed to in writing by the contractor.

PARTS AVAILABILITY: To ensure minimal equipment downtime, the contractor shall maintain replacement repair parts and materials necessary to perform each repair or supply said parts and materials within 5 calendar days.

Labor: All compensation for labor, parts, and materials are included in the contract price unless otherwise stated (i.e. $ limitation, exclusions, 50% of inventory value).

Parts/Supplies Quality: Parts and Supplies provided under this contract shall be guaranteed to be equal in all respects, including performance, interchangeabi1ity, durability and quality to the OEM parts when new or as presently recommended by the manufacturer.

PREVENTIVE AND CORRECTIVE MAINTENANCE SCHEDULES

Services will be required based upon the following schedules:

PREVENTIVE MAINTENANCE

(Check one)

__X__ One (1) time per fiscal year ________________

_____ Two(2) times per fiscal year ________________ __________________

_____ Four (4) times per fiscal year ____________/_____________/___________/____________

Corrective Maintenance

(Check One)

______ Monday - Friday, 0800-1700 hours

__X__ Seven (7) days per week, 24 hours coverage. This option may not be used unless the contract base price is inclusive of the 24/7 and/or emergency services or provided for in the contract as a separately priced/funded CLIN (see General Requirements).

-End of Statement of Work-

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

SERVICE MAINTENANCE

FFP

Service Maintenance on Government Owned Equipment to include: parts, labor, transportation and unlimitted corrective maintenance calls IAW the statement of work for Olympus Endoscopes located at the General surgery Department, Bldg H- 200, Naval Hosptial Camp Pendleton, California for the period of 17 March 2017 to 16 March 2018.

MILSTRIP: N6809417RC25102

PURCHASE REQUEST NUMBER: N6809417RC25102

ADDITIONAL MARKINGS: GEN SURGERY - 760-725-1356

NET AMT

0001AA 4 Quarter

(Time)

GI VIDEO

FFP

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303899

FOB: Destination

MILSTRIP: N6809417RC25102

0001AB 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303904

FOB: Destination

MILSTRIP: N6809417RC25102

0001AC 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303915

FOB: Destination

MILSTRIP: N6809417RC25102

0001AD 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303918

FOB: Destination

MILSTRIP: N6809417RC25102

0001AE 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303924

FOB: Destination

MILSTRIP: N6809417RC25102

0001AF 4 Quarter

MFR: OLYMPUS; MODEL: PCF-H190L; SERIAL #: 2302564

FOB: Destination

MILSTRIP: N6809417RC25102

0001AG 4 Quarter

MFR: OLYMPUS; MODEL: PCF-H190L; SERIAL #: 2302572

FOB: Destination

MILSTRIP: N6809417RC25102

0001AH 4 Quarter

MFR: OLYMPUS; MODEL: CF-2T160L; SERIAL #: 2310687

FOB: Destination

MILSTRIP: N6809417RC25102

0001AJ 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303324

FOB: Destination

MILSTRIP: N6809417RC25102

0001AK 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303329

FOB: Destination

MILSTRIP: N6809417RC25102

0001AL 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303341

FOB: Destination

MILSTRIP: N6809417RC25102

0001AM 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303348

FOB: Destination

MILSTRIP: N6809417RC25102

0001AN 4 Quarter

MFR: OLYMPUS; MODEL: GIF-XP190N; SERIAL #: 2300399

FOB: Destination

MILSTRIP: N6809417RC25102

0001AP 4 Quarter

MFR: OLYMPUS; MODEL: GIF-XTQ160; SERIAL #: 2300849

FOB: Destination

MILSTRIP: N6809417RC25102

0001AQ 4 Quarter

MFR: OLYMPUS; MODEL: GIF-1TQ160; SERIAL #: 2302861

FOB: Destination

MILSTRIP: N6809417RC25102

0001AR 4 Quarter

MFR: OLYMPUS; MODEL: GIF-2TH180; SERIAL #: 2300703

FOB: Destination

MILSTRIP: N6809417RC25102

0001AS 4 Quarter

ELECTRONICS

MFR: OLYMPUS; MODEL: CLV-190; SERIAL #: 7337417

FOB: Destination

MILSTRIP: N6809417RC25102

0001AT 4 Quarter

MFR: OLYMPUS; MODEL: CLV-190; SERIAL #: 7337438

FOB: Destination

MILSTRIP: N6809417RC25102

0001AU 4 Quarter

MFR: OLYMPUS; MODEL: CLV-190; SERIAL #: 7337442

FOB: Destination

MILSTRIP: N6809417RC25102

0001AV 4 Quarter

MFR: OLYMPUS; MODEL: CV-190; SERIAL #: 7377522

FOB: Destination

MILSTRIP: N6809417RC25102

0001AW 4 Quarter

MFR: OLYMPUS; MODEL: CV-190; SERIAL #: 7377922

FOB: Destination

MILSTRIP: N6809417RC25102

0001AX 4 Quarter

MFR: OLYMPUS; MODEL: CV-190; SERIAL #: 7377924

FOB: Destination

MILSTRIP: N6809417RC25102

0001AY 4 Quarter

MFR: OLYMPUS; MODEL: IS20092; SERIAL #: 13-221200

FOB: Destination

MILSTRIP: N6809417RC25102

0001AZ 4 Quarter

MFR: OLYMPUS; MODEL: IS20092; SERIAL #: 13-221210

FOB: Destination

MILSTRIP: N6809417RC25102

0001BA 4 Quarter

MFR: OLYMPUS; MODEL: IS20092; SERIAL #: 13-221211

FOB: Destination

MILSTRIP: N6809417RC25102

0001BB 4 Quarter

MFR: OLYMPUS; MODEL: KV-5; SERIAL #: 21309820

FOB: Destination

MILSTRIP: N6809417RC25102

0001BC 4 Quarter

MFR: OLYMPUS; MODEL: KV-5; SERIAL #: 21309821

FOB: Destination

MILSTRIP: N6809417RC25102

0001BD 4 Quarter

MFR: OLYMPUS; MODEL: KV-5; SERIAL #: 21310134

FOB: Destination

MILSTRIP: N6809417RC25102

0001BE 4 Quarter

MFR: OLYMPUS; MODEL: OEV-261H; SERIAL #: 7352568

FOB: Destination

MILSTRIP: N6809417RC25102

0001BF 4 Quarter

MFR: OLYMPUS; MODEL: OEV-261H; SERIAL #: 7352569

FOB: Destination

MILSTRIP: N6809417RC25102

0001BG 4 Quarter

MFR: OLYMPUS; MODEL: OEV-261H; SERIAL #: 7352588

FOB: Destination

MILSTRIP: N6809417RC25102

0001BH 4 Quarter

MFR: OLYMPUS; MODEL: OFP-2; SERIAL #: 21310606

FOB: Destination

MILSTRIP: N6809417RC25102

0001BJ 4 Quarter

MFR: OLYMPUS; MODEL: OFP-2; SERIAL #: 21310620

FOB: Destination

MILSTRIP: N6809417RC25102

0001BK 4 Quarter

MFR: OLYMPUS; MODEL: OFP-2; SERIAL #: 21310702

FOB: Destination

MILSTRIP: N6809417RC25102

0001BL 4 Quarter

MFR: OLYMPUS; MODEL: OER-PRO; SERIAL #: 2331366

FOB: Destination

MILSTRIP: N6809417RC25102

OPTION SERVICE MAINTENANCE

FFP

Service Maintenance on Government Owned Equipment to include: parts, labor, transportation and unlimitted corrective maintenance calls IAW the statement of work for Olympus Endoscopes located at the General surgery Department, Bldg H- 200, Naval Hosptial Camp Pendleton, California for the period of 17 March 2018 to 16 March 2019.

1001AA 4 Quarter

OPTION GI VIDEO

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303899

FOB: Destination

1001AB 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303904

FOB: Destination

1001AC 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303915

FOB: Destination

1001AD 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303918

FOB: Destination

1001AE 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303924

FOB: Destination

1001AF 4 Quarter

MFR: OLYMPUS; MODEL: PCF-H190L; SERIAL #: 2302564

FOB: Destination

1001AG 4 Quarter

MFR: OLYMPUS; MODEL: PCF-H190L; SERIAL #: 2302572

FOB: Destination

1001AH 4 Quarter

MFR: OLYMPUS; MODEL: CF-2T160L; SERIAL #: 2310687

FOB: Destination

1001AJ 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303324

FOB: Destination

1001AK 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303329

FOB: Destination

1001AL 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303341

FOB: Destination

1001AM 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303348

FOB: Destination

1001AN 4 Quarter

MFR: OLYMPUS; MODEL: GIF-XP190N; SERIAL #: 2300399

FOB: Destination

1001AP 4 Quarter

MFR: OLYMPUS; MODEL: GIF-XTQ160; SERIAL #: 2300849

FOB: Destination

1001AQ 4 Quarter

MFR: OLYMPUS; MODEL: GIF-1TQ160; SERIAL #: 2302861

FOB: Destination

1001AR 4 Quarter

MFR: OLYMPUS; MODEL: GIF-2TH180; SERIAL #: 2300703

FOB: Destination

1001AS 4 Quarter

OPTION ELECTRONICS

MFR: OLYMPUS; MODEL: CLV-190; SERIAL #: 7337417

FOB: Destination

1001AT 4 Quarter

MFR: OLYMPUS; MODEL: CLV-190; SERIAL #: 7337438

FOB: Destination

1001AU 4 Quarter

MFR: OLYMPUS; MODEL: CLV-190; SERIAL #: 7337442

FOB: Destination

1001AV 4 Quarter

MFR: OLYMPUS; MODEL: CV-190; SERIAL #: 7377522

FOB: Destination

1001AW 4 Quarter

MFR: OLYMPUS; MODEL: CV-190; SERIAL #: 7377922

FOB: Destination

1001AX 4 Quarter

MFR: OLYMPUS; MODEL: CV-190; SERIAL #: 7377924

FOB: Destination

1001AY 4 Quarter

MFR: OLYMPUS; MODEL: IS20092; SERIAL #: 13-221200

FOB: Destination

1001AZ 4 Quarter

MFR: OLYMPUS; MODEL: IS20092; SERIAL #: 13-221210

FOB: Destination

1001BA 4 Quarter

MFR: OLYMPUS; MODEL: IS20092; SERIAL #: 13-221211

FOB: Destination

1001BB 4 Quarter

MFR: OLYMPUS; MODEL: KV-5; SERIAL #: 21309820

FOB: Destination

1001BC 4 Quarter

MFR: OLYMPUS; MODEL: KV-5; SERIAL #: 21309821

FOB: Destination

1001BD 4 Quarter

MFR: OLYMPUS; MODEL: KV-5; SERIAL #: 21310134

FOB: Destination

1001BE 4 Quarter

MFR: OLYMPUS; MODEL: OEV-261H; SERIAL #: 7352568

FOB: Destination

1001BF 4 Quarter

MFR: OLYMPUS; MODEL: OEV-261H; SERIAL #: 7352569

FOB: Destination

1001BG 4 Quarter

MFR: OLYMPUS; MODEL: OEV-261H; SERIAL #: 7352588

FOB: Destination

1001BH 4 Quarter

MFR: OLYMPUS; MODEL: OFP-2; SERIAL #: 21310606

FOB: Destination

1001BJ 4 Quarter

MFR: OLYMPUS; MODEL: OFP-2; SERIAL #: 21310620

FOB: Destination

1001BK 4 Quarter

MFR: OLYMPUS; MODEL: OFP-2; SERIAL #: 21310702

FOB: Destination

1001BL 4 Quarter

MFR: OLYMPUS; MODEL: OER-PRO; SERIAL #: 2331366

FOB: Destination

OPTION SERVICE MAINTENANCE

FFP

Service Maintenance on Government Owned Equipment to include: parts, labor, transportation and unlimitted corrective maintenance calls IAW the statement of work for Olympus Endoscopes located at the General surgery Department, Bldg H- 200, Naval Hosptial Camp Pendleton, California for the period of 17 March 2019 to 16 March 2020.

2001AA 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303899

FOB: Destination

2001AB 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303904

FOB: Destination

2001AC 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303915

FOB: Destination

2001AD 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303918

FOB: Destination

2001AE 4 Quarter

MFR: OLYMPUS; MODEL: CF-HQ190L; SERIAL #: 2303924

FOB: Destination

2001AF 4 Quarter

MFR: OLYMPUS; MODEL: PCF-H190L; SERIAL #: 2302564

FOB: Destination

2001AG 4 Quarter

MFR: OLYMPUS; MODEL: PCF-H190L; SERIAL #: 2302572

FOB: Destination

2001AH 4 Quarter

MFR: OLYMPUS; MODEL: CF-2T160L; SERIAL #: 2310687

FOB: Destination

2001AJ 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303324

FOB: Destination

2001AK 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303329

FOB: Destination

2001AL 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303341

FOB: Destination

2001AM 4 Quarter

MFR: OLYMPUS; MODEL: GIF-HQ190; SERIAL #: 2303348

FOB: Destination

2001AN 4 Quarter

MFR: OLYMPUS; MODEL: GIF-XP190N; SERIAL #: 2300399

FOB: Destination

2001AP 4 Quarter

MFR: OLYMPUS; MODEL: GIF-XTQ160; SERIAL #: 2300849

FOB: Destination

2001AQ 4 Quarter

MFR: OLYMPUS; MODEL: GIF-1TQ160; SERIAL #: 2302861

FOB: Destination

2001AR 4 Quarter

MFR: OLYMPUS; MODEL: GIF-2TH180; SERIAL #: 2300703

FOB: Destination

2001AS 4 Quarter

MFR: OLYMPUS; MODEL: CLV-190; SERIAL #: 7337417

FOB: Destination

2001AT 4 Quarter

MFR: OLYMPUS; MODEL: CLV-190; SERIAL #: 7337438

FOB: Destination

2001AU 4 Quarter

MFR: OLYMPUS; MODEL: CLV-190; SERIAL #: 7337442

FOB: Destination

2001AV 4 Quarter

MFR: OLYMPUS; MODEL: CV-190; SERIAL #: 7377522

FOB: Destination

2001AW 4 Quarter

MFR: OLYMPUS; MODEL: CV-190; SERIAL #: 7377922

FOB: Destination

2001AX 4 Quarter

MFR: OLYMPUS; MODEL: CV-190; SERIAL #: 7377924

FOB: Destination

2001AY 4 Quarter

MFR: OLYMPUS; MODEL: IS20092; SERIAL #: 13-221200

FOB: Destination

2001AZ 4 Quarter

MFR: OLYMPUS; MODEL: IS20092; SERIAL #: 13-221210

FOB: Destination

2001BA 4 Quarter

MFR: OLYMPUS; MODEL: IS20092; SERIAL #: 13-221211

FOB: Destination

2001BB 4 Quarter

MFR: OLYMPUS; MODEL: KV-5; SERIAL #: 21309820

FOB: Destination

2001BC 4 Quarter

MFR: OLYMPUS; MODEL: KV-5; SERIAL #: 21309821

FOB: Destination

2001BD 4 Quarter

MFR: OLYMPUS; MODEL: KV-5; SERIAL #: 21310134

FOB: Destination

2001BE 4 Quarter

MFR: OLYMPUS; MODEL: OEV-261H; SERIAL #: 7352568

FOB: Destination

2001BF 4 Quarter

MFR: OLYMPUS; MODEL: OEV-261H; SERIAL #: 7352569

FOB: Destination

2001BG 4 Quarter

MFR: OLYMPUS; MODEL: OEV-261H; SERIAL #: 7352588

FOB: Destination

2001BH 4 Quarter

MFR: OLYMPUS; MODEL: OFP-2; SERIAL #: 21310606

FOB: Destination

2001BJ 4 Quarter

MFR: OLYMPUS; MODEL: OFP-2; SERIAL #: 21310620

FOB: Destination

2001BK 4 Quarter

MFR: OLYMPUS; MODEL: OFP-2; SERIAL #: 21310702

FOB: Destination

2001BL 4 Quarter

MFR: OLYMPUS; MODEL: OER-PRO; SERIAL #: 2331366

FOB: Destination

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 0001AE Destination Government Destination Government 0001AF Destination Government Destination Government 0001AG Destination Government Destination Government 0001AH Destination Government Destination Government 0001AJ Destination Government Destination Government 0001AK Destination Government Destination Government 0001AL Destination Government Destination Government 0001AM Destination Government Destination Government 0001AN Destination Government Destination Government 0001AP Destination Government Destination Government 0001AQ Destination Government Destination Government 0001AR Destination Government Destination Government 0001AS Destination Government Destination Government 0001AT Destination Government Destination Government 0001AU Destination Government Destination Government 0001AV Destination Government Destination Government 0001AW Destination Government Destination Government 0001AX Destination Government Destination Government 0001AY Destination Government Destination Government 0001AZ Destination Government Destination Government 0001BA Destination Government Destination Government 0001BB Destination Government Destination Government 0001BC Destination Government Destination Government

0001BD Destination Government Destination Government 0001BE Destination Government Destination Government 0001BF Destination Government Destination Government 0001BG Destination Government Destination Government 0001BH Destination Government Destination Government 0001BJ Destination Government Destination Government 0001BK Destination Government Destination Government 0001BL 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 1001AE Destination Government Destination Government 1001AF Destination Government Destination Government 1001AG Destination Government Destination Government 1001AH Destination Government Destination Government 1001AJ Destination Government Destination Government 1001AK Destination Government Destination Government 1001AL Destination Government Destination Government 1001AM Destination Government Destination Government 1001AN Destination Government Destination Government 1001AP Destination Government Destination Government 1001AQ Destination Government Destination Government 1001AR Destination Government Destination Government 1001AS Destination Government Destination Government 1001AT Destination Government Destination Government 1001AU Destination Government Destination Government 1001AV Destination Government Destination Government 1001AW Destination Government Destination Government 1001AX Destination Government Destination Government 1001AY Destination Government Destination Government 1001AZ Destination Government Destination Government 1001BA Destination Government Destination Government 1001BB Destination Government Destination Government 1001BC Destination Government Destination Government 1001BD Destination Government Destination Government 1001BE Destination Government Destination Government 1001BF Destination Government Destination Government 1001BG Destination Government Destination Government 1001BH Destination Government Destination Government 1001BJ Destination Government Destination Government 1001BK Destination Government Destination Government 1001BL 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 2001AE Destination Government Destination Government 2001AF Destination Government Destination Government 2001AG Destination Government Destination Government 2001AH Destination Government Destination Government 2001AJ Destination Government Destination Government 2001AK Destination Government Destination Government

2001AL Destination Government Destination Government 2001AM Destination Government Destination Government 2001AN Destination Government Destination Government 2001AP Destination Government Destination Government 2001AQ Destination Government Destination Government 2001AR Destination Government Destination Government 2001AS Destination Government Destination Government 2001AT Destination Government Destination Government 2001AU Destination Government Destination Government 2001AV Destination Government Destination Government 2001AW Destination Government Destination Government 2001AX Destination Government Destination Government 2001AY Destination Government Destination Government 2001AZ Destination Government Destination Government 2001BA Destination Government Destination Government 2001BB Destination Government Destination Government 2001BC Destination Government Destination Government 2001BD Destination Government Destination Government 2001BE Destination Government Destination Government 2001BF Destination Government Destination Government 2001BG Destination Government Destination Government 2001BH Destination Government Destination Government 2001BJ Destination Government Destination Government 2001BK Destination Government Destination Government 2001BL Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 N/A N/A N/A N/A

0001AA POP 17-MAR-2017 TO

16-MAR-2018

N/A NAVAL HOSPITAL CAMP PENDLETON

BULICKI, TOMASZ

GENERAL SURGERY

CAMP PENDLETON CA 92055

(760)725-3697 FOB: Destination

N68094

0001AB POP 17-MAR-2017 TO

16-MAR-2018

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AE POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AF POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AG POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AH POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AJ POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AK POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AL POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AM POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AN POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AP POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AQ POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AR POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AS POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AT POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AU POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AV POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AW POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AX POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AY POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AZ POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BA POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BB POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BC POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BD POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BE POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BF POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BG POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BH POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BJ POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BK POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BL POP 17-MAR-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 N/A N/A N/A N/A

1001AA POP 17-MAR-2018 TO

16-MAR-2019

N/A NAVAL HOSPITAL CAMP PENDLETON

BULICKI, TOMASZ

GENERAL SURGERY

CAMP PENDLETON CA 92055

(760)725-3697

1001AB POP 17-MAR-2018 TO

16-MAR-2019

N/A (SAME AS PREVIOUS LOCATION)

1001AC POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AD POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AE POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AF POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AG POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AH POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AJ POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AK POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AL POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AM POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AN POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AP POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AQ POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AR POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AS POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AT POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AU POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AV POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AW POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AX POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AY POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AZ POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001BA POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001BB POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001BC POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001BD POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001BE POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001BF POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001BG POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001BH POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001BJ POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001BK POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001BL POP 17-MAR-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 N/A N/A N/A N/A

2001AA POP 17-MAR-2019 TO

16-MAR-2020

N/A NAVAL HOSPITAL CAMP PENDLETON

BULICKI, TOMASZ

GENERAL SURGERY

CAMP PENDLETON CA 92055

(760)725-3697

2001AB POP 17-MAR-2019 TO

16-MAR-2020

N/A (SAME AS PREVIOUS LOCATION)

2001AC POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AD POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AE POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AF POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AG POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AH POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AJ POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AK POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AL POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AM POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AN POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AP POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AQ POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AR POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AS POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AT POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AU POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AV POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AW POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AX POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AY POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AZ POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001BA POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001BB POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001BC POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001BD POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001BE POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001BF POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001BG POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001BH POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001BJ POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001BK POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001BL POP 17-MAR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984 52.204-7 System for Award Management OCT 2016 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

OCT 2016

52.204-13 System for Award Management Maintenance OCT 2016 52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

NOV 2015

52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017 52.222-50 Combating Trafficking in Persons MAR 2015 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.232-1 Payments APR 1984 52.232-8 Discounts For Prompt Payment FEB 2002 52.233-3 Protest After Award AUG 1996 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.237-3 Continuity Of Services JAN 1991 52.246-1 Contractor Inspection Requirements APR 1984 52.247-34 F.O.B. Destination NOV 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.225-7002 Qualifying Country Sources As Subcontractors DEC 2016 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.246-7008 Sources of Electronic Parts 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 a Federal law within the preceding 24 months.

(End of provision)

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS—COMMERCIAL ITEMS (DEVIATION 2013-O0019) (JAN 2017)

(a) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph

(a) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records -- Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor’s directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(b)

(1) Notwithstanding the requirements of any other clause in this contract, the Contractor is not required to flow down any FAR…