Solicitation.pdf

Combined Synopsis/Solicitation

Solicitation Number: N6809417R6126

Purchase Description: INPATIENT AND NARCOTIC COMPOUNDING PHARMACEUTICALS

This is a Combined Synopsis/Solicitation for the purchase of 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; a written solicitation will not be issued. This solicitation will be posted to the Federal Business Opportunities (FBO) web-site as a 100% Total Small Business Set-Aside”.

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.

The Navy Hospital Camp Pendleton (NHCP), Material Management Department, Contracting Division is issuing this combined synopsis/solicitation, reference solicitation number N6809417R6126, as a Request for Quote (RFQ) using FAR Part 12, Acquisition of Commercial Item, & FAR Part 13, Simplified

Acquisition Procedures. The North American Industrial Classification System (NAICS) code for this procurement is, “325412”, with a small business standard of “1250”.

The Government intends to award a Firm Fixed-Price Commercial Award. 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.

DESCRIPTION: All CLIN’s MUST be F.O.B. Destination.

CLIN 0001: Ephedrine (Preservative Free) 5mg/ml in 0.9% Sodium Chloride 5ml in 5ml BD Syringe (120 syringes per delivery)

Quantity Unit of Issue Unit Price Extended Price

1500 Syringe $_______________ $____________________

NDC: __________________________

CLIN 0002: Phenylephrine (Preservative Free) 100mcg/ml in 0.9% Sodium Chloride 10ml in 10ml BD Syringe (120 syringes per delivery)

1500 Syringe $_______________ $____________________

CLIN 0003: Succinylcholine Chloride Injection 20mg/ml (Preservative Free) 10ml in 10ml BD Syrine (170 syringes per delivery)

2040 Syringe $_______________ $____________________

CLIN 0004: Oxytocin 30 units in 0.9% Sodium Chloride 500ml Bag (160 bags per delivery)

1920 Bag $_______________ $____________________

CLIN 0005: Fentanyl Citrate 2mcg/ml and 0.125% Bupivacaine PF in 0.9% Sodium Chloride 200ml in 250ml LifeCare Bag (120 bags per delivery)

1440 Bag $_______________ $____________________

CLIN 0006: Hydromorphone 1mg/ml in 0.9% NaCl 30ml in 35ml Monoject Barrel Plugerless Syringe (20 syringes per delivery)

240 Syringe $_______________ $____________________

CLIN 0007: Hydromorphone 20mcg/ml and 0.125% Bupivacaine PF in 0.9% NaCl 200ml in 250ml Intravia Bag (10 bags per delivery)

120 Syringe $_______________ $____________________

CLIN 0008: Morphine Sulfate (PF) 1mg/ml in 0.9% NaCl 30ml in 35ml Monoject Barrel Syringe (25 syringes per delivery)

360 Syringe $_______________ $____________________

TOTAL: $______________

Drug enforcement Administration Form 222 (DEA 222) must be completed IAW the quantity and delivery schedule listed.

DELIVERY DATE(S): 15 October 2017

15 November 2017

15 December 2017

15 January 2018

15 February 2018

15 March 2018

15 April 2018

15 May 2018

15 June 2018

15 July 2018

15 August 2018

15 September 2018

Place of Delivery:

NAVAL HOSPITAL CAMP PENDLETON

PHARMACY

BLDG H-200

CAMP PENDLETON CA 92055-5191

Responses/quotes MUST be received no later than 05 September 2017, 10:00 AM (Pacific Daylight Time). Forward responses by e-mail to danielle.l.patterson3.civ@mail.mil. Due to technical issues, please allow additional time if you’re using electronic means. Offerors must ensure that their company is registered with System for Award Management (SAM) prior to award. For information refer to: https://www.sam.gov/portal/public/SAM/.

For equipment repair/maintenance solicitations/procurements only authorized service providers of the manufacturer will be accepted. Authorized manufacturer certifications/confirmations must be provided upon request of the Contracting Office.

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): Award will be made to the responsible contractor whose offer represents the lowest priced technically acceptable offer using the following evaluation criteria:

Note: All evaluation factors other than cost or price, when combined, are equally important to 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) Technical Capability: Meets Brand Name Government requirement, specifications, and product salient “must have” features as identified within each CLIN and/or Statement of Work (if applicable).

***The Government will consider offers/quotes only from “authorized resellers, distributors, & service providers” of the manufacturer***

(b) 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.

(c) 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.

mailto:danielle.l.patterson3.civ@mail.mil https://www.sam.gov/portal/public/SAM/

SEE ADDENDUM

(No Collect Calls)

N6809417R6126 24-Aug-2017

b. TELEPHONE NUMBER

760-725-1597

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 05 Sep 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

DANIELLE L. PATTERSON

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

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

N6809418RC34102

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 OR X

SMALL BUSINESSX

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

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

NAVAL HOSPITAL CAMP PENDLETON

FRED CABALLERO

PHARMACY BLDG H-200

CAMP PENDLETON CA 92055

TEL: 725-3315 FAX: 760 725 0231

(760) 725-1485FAX:

TEL: (760) 725-1425

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

1,250

NAICS:

325412

X

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 OF27

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.

N6809417R6126

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1,500 Syringe

NARCOTIC COMPOUNDING DRUG

FFP

Ephedrine (Preservative Free) 5mg/ml in 0.9% Sodium Chloride 5ml in 5ml BD

Syringe (120 syringes per delivery)

FOB: Destination

MILSTRIP: N6809418RC34102

PURCHASE REQUEST NUMBER: N6809418RC34102

ADDITIONAL MARKINGS: PHARMACY - 760-725-1454

NET AMT

0002 1,500 Syringe

NARCOTIC COMPOUNDING DRUG

FFP

Phenylephrine (Preservative Free) 100mcg/ml in 0.9% Sodium Chloride 10ml in

10ml BD Syringe (120 syringes per delivery)

FOB: Destination

MILSTRIP: N6809418RC34102

0003 2,040 Syringe

NARCOTIC COMPOUNDING DRUG

FFP

Succinylcholine Chloride Injection 20mg/ml (Preservative Free) 10ml in 10ml BD

Syrine (170 syringes per delivery)

FOB: Destination

MILSTRIP: N6809418RC34102

0004 1,920 Bag

NARCOTIC COMPOUNDING DRUG

FFP

Oxytocin 30 units in 0.9% Sodium Chloride 500ml Bag (160 bags per delivery)

FOB: Destination

MILSTRIP: N6809418RC34102

0005 1,440 Bag

NARCOTIC COMPOUNDING DRUG

FFP

Fentanyl Citrate 2mcg/ml and 0.125% Bupivacaine PF in 0.9% Sodium Chloride

200ml in 250ml LifeCare Bag (120 bags per delivery)

FOB: Destination

MILSTRIP: N6809418RC34102

0006 240 Syringe

NARCOTIC COMPOUNDING DRUG

FFP

Hydromorphone 1mg/ml in 0.9% NaCl 30ml in 35ml Monoject Barrel Plugerless

Syringe (20 syringes per delivery)

FOB: Destination

MILSTRIP: N6809418RC34102

0007 120 Bag

NARCOTIC COMPOUNDING DRUG

FFP

Hydromorphone 20mcg/ml and 0.125% Bupivacaine PF in 0.9% NaCl 200ml in

250ml Intravia Bag (10 bags per delivery)

FOB: Destination

MILSTRIP: N6809418RC34102

0008 360 Syringe

NARCOTIC COMPOUNDING DRUG

FFP

Morphine Sulfate (PF) 1mg/ml in 0.9% NaCl 30ml in 35ml Monoject Barrel

Syringe (25 syringes per delivery)

FOB: Destination

MILSTRIP: N6809418RC34102

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

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 15-SEP-2017 125 NAVAL HOSPITAL CAMP PENDLETON

FRED CABALLERO

PHARMACY BLDG H-200

CAMP PENDLETON CA 92055

725-3315

FOB: Destination

N68094

0001 15-OCT-2017 125 (SAME AS PREVIOUS LOCATION)

0001 15-NOV-2017 125 (SAME AS PREVIOUS LOCATION)

0001 15-DEC-2017 125 (SAME AS PREVIOUS LOCATION)

0001 15-JAN-2018 125 (SAME AS PREVIOUS LOCATION)

0001 15-FEB-2018 125 (SAME AS PREVIOUS LOCATION)

0001 15-MAR-2018 125 (SAME AS PREVIOUS LOCATION)

0001 15-APR-2018 125 (SAME AS PREVIOUS LOCATION)

0001 15-MAY-2018 125 (SAME AS PREVIOUS LOCATION)

0001 15-JUN-2018 125 (SAME AS PREVIOUS LOCATION)

0001 15-JUL-2018 125 (SAME AS PREVIOUS LOCATION)

0001 15-AUG-2018 125 (SAME AS PREVIOUS LOCATION)

0002 15-OCT-2017 125 (SAME AS PREVIOUS LOCATION)

0002 15-NOV-2017 125 (SAME AS PREVIOUS LOCATION)

0002 15-DEC-2017 125 (SAME AS PREVIOUS LOCATION)

0002 15-JAN-2018 125 (SAME AS PREVIOUS LOCATION)

0002 15-FEB-2018 125 (SAME AS PREVIOUS LOCATION)

0002 15-MAR-2018 125 (SAME AS PREVIOUS LOCATION)

0002 15-APR-2018 125 (SAME AS PREVIOUS LOCATION)

0002 15-MAY-2018 125 (SAME AS PREVIOUS LOCATION)

0002 15-JUN-2018 125 (SAME AS PREVIOUS LOCATION)

0002 15-JUL-2018 125 (SAME AS PREVIOUS LOCATION)

0002 15-AUG-2018 125 (SAME AS PREVIOUS LOCATION)

0002 15-SEP-2018 125 (SAME AS PREVIOUS LOCATION)

0003 15-OCT-2017 170 (SAME AS PREVIOUS LOCATION)

0003 15-NOV-2017 170 (SAME AS PREVIOUS LOCATION)

0003 15-DEC-2017 170 (SAME AS PREVIOUS LOCATION)

0003 15-JAN-2018 170 (SAME AS PREVIOUS LOCATION)

0003 15-FEB-2018 170 (SAME AS PREVIOUS LOCATION)

0003 15-MAR-2018 170 (SAME AS PREVIOUS LOCATION)

0003 15-APR-2018 170 (SAME AS PREVIOUS LOCATION)

0003 15-MAY-2018 170 (SAME AS PREVIOUS LOCATION)

0003 15-JUN-2018 170 (SAME AS PREVIOUS LOCATION)

0003 15-JUL-2018 170 (SAME AS PREVIOUS LOCATION)

0003 15-AUG-2018 170 (SAME AS PREVIOUS LOCATION)

0003 15-SEP-2018 170 (SAME AS PREVIOUS LOCATION)

0004 15-OCT-2017 160 (SAME AS PREVIOUS LOCATION)

0004 15-NOV-2017 160 (SAME AS PREVIOUS LOCATION)

0004 15-DEC-2017 160 (SAME AS PREVIOUS LOCATION)

0004 15-JAN-2018 160 (SAME AS PREVIOUS LOCATION)

0004 15-FEB-2018 160 (SAME AS PREVIOUS LOCATION)

0004 15-MAR-2018 160 (SAME AS PREVIOUS LOCATION)

0004 15-APR-2018 160 (SAME AS PREVIOUS LOCATION)

0004 15-MAY-2018 160 (SAME AS PREVIOUS LOCATION)

0004 15-JUN-2018 160 (SAME AS PREVIOUS LOCATION)

0004 15-JUL-2018 160 (SAME AS PREVIOUS LOCATION)

0004 15-AUG-2018 160 (SAME AS PREVIOUS LOCATION)

0004 15-SEP-2018 160 (SAME AS PREVIOUS LOCATION)

0005 15-OCT-2017 120 (SAME AS PREVIOUS LOCATION)

0005 15-NOV-2017 120 (SAME AS PREVIOUS LOCATION)

0005 15-DEC-2017 120 (SAME AS PREVIOUS LOCATION)

0005 15-JAN-2018 120 (SAME AS PREVIOUS LOCATION)

0005 15-FEB-2018 120 (SAME AS PREVIOUS LOCATION)

0005 15-MAR-2018 120 (SAME AS PREVIOUS LOCATION)

0005 15-APR-2018 120 (SAME AS PREVIOUS LOCATION)

0005 15-MAY-2018 120 (SAME AS PREVIOUS LOCATION)

0005 15-JUN-2018 120 (SAME AS PREVIOUS LOCATION)

0005 15-JUL-2018 120 (SAME AS PREVIOUS LOCATION)

0005 15-AUG-2018 120 (SAME AS PREVIOUS LOCATION)

0005 15-SEP-2018 120 (SAME AS PREVIOUS LOCATION)

0006 15-OCT-2017 20 (SAME AS PREVIOUS LOCATION)

0006 15-NOV-2017 20 (SAME AS PREVIOUS LOCATION)

0006 15-DEC-2017 20 (SAME AS PREVIOUS LOCATION)

0006 15-JAN-2018 20 (SAME AS PREVIOUS LOCATION)

0006 15-FEB-2018 20 (SAME AS PREVIOUS LOCATION)

0006 15-MAR-2018 20 (SAME AS PREVIOUS LOCATION)

0006 15-APR-2018 20 (SAME AS PREVIOUS LOCATION)

0006 15-MAY-2018 20 (SAME AS PREVIOUS LOCATION)

0006 15-JUN-2018 20 (SAME AS PREVIOUS LOCATION)

0006 15-JUL-2018 20 (SAME AS PREVIOUS LOCATION)

0006 15-AUG-2018 20 (SAME AS PREVIOUS LOCATION)

0006 15-SEP-2018 20 (SAME AS PREVIOUS LOCATION)

0007 15-OCT-2017 10 (SAME AS PREVIOUS LOCATION)

0007 15-NOV-2017 10 (SAME AS PREVIOUS LOCATION)

0007 15-DEC-2017 10 (SAME AS PREVIOUS LOCATION)

0007 15-JAN-2018 10 (SAME AS PREVIOUS LOCATION)

0007 15-FEB-2018 10 (SAME AS PREVIOUS LOCATION)

0007 15-MAR-2018 10 (SAME AS PREVIOUS LOCATION)

0007 15-APR-2018 10 (SAME AS PREVIOUS LOCATION)

0007 15-MAY-2018 10 (SAME AS PREVIOUS LOCATION)

0007 15-JUN-2018 10 (SAME AS PREVIOUS LOCATION)

0007 15-JUL-2018 10 (SAME AS PREVIOUS LOCATION)

0007 15-AUG-2018 10 (SAME AS PREVIOUS LOCATION)

0007 15-SEP-2018 10 (SAME AS PREVIOUS LOCATION)

0008 15-OCT-2017 30 (SAME AS PREVIOUS LOCATION)

0008 15-NOV-2017 30 (SAME AS PREVIOUS LOCATION)

0008 15-DEC-2017 30 (SAME AS PREVIOUS LOCATION)

0008 15-JAN-2018 30 (SAME AS PREVIOUS LOCATION)

0008 15-FEB-2018 30 (SAME AS PREVIOUS LOCATION)

0008 15-MAR-2018 30 (SAME AS PREVIOUS LOCATION)

0008 15-APR-2018 30 (SAME AS PREVIOUS LOCATION)

0008 15-MAY-2018 30 (SAME AS PREVIOUS LOCATION)

0008 15-JUN-2018 30 (SAME AS PREVIOUS LOCATION)

0008 15-JUL-2018 30 (SAME AS PREVIOUS LOCATION)

0008 15-AUG-2018 30 (SAME AS PREVIOUS LOCATION)

0008 15-SEP-2018 30 (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

52.212-1 Instructions to Offerors--Commercial Items JAN 2017

52.212-3 Offeror Representations and Certifications--Commercial

Items

JAN 2017

52.212-3 Alt I Offeror Representations and Certifications--Commercial

Items (JAN 2017) Alternate I

OCT 2014

52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017

52.222-3 Convict Labor JUN 2003

52.222-19 Child Labor -- Cooperation with Authorities and Remedies OCT 2016

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

52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 2013

52.233-3 Protest After Award AUG 1996

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

252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

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

252.246-7000 Material Inspection And Receiving Report MAR 2008

252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN INTERNAL

CONFIDENTIALITY AGREEMENTS OR STATEMENTS--REPRESENTATION (JAN 2017)

(a) Definition. As used in this provision--

Internal confidentiality agreement or statement, subcontract, and subcontractor, are defined in the clause at 52.203-

19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements.

(b) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing

Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions), Government agencies are not permitted to use funds appropriated (or otherwise made available) for contracts with an entity that requires employees or subcontractors of such entity seeking to report waste, fraud, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors 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.

(c) The prohibition in paragraph (b) of this provision does not contravene requirements applicable to Standard Form

312, (Classified Information Nondisclosure Agreement), Form 4414 (Sensitive Compartmented Information

Nondisclosure Agreement), or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(d) Representation. By submission of its offer, the Offeror represents that it will not require its employees or subcontractors to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting waste, fraud, or abuse related to the performance of a Government contract to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information (e.g., agency Office of the Inspector General).

(End of provision)

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS OR

STATEMENTS (JAN 2017)

(a) Definitions. As used in this clause--

Internal confidentiality agreement or statement means a confidentiality agreement or any other written statement that the contractor requires any of its employees or subcontractors to sign regarding nondisclosure of contractor information, except that it does not include confidentiality agreements arising out of civil litigation or confidentiality agreements that contractor employees or subcontractors sign at the behest of a Federal agency.

Subcontract means any contract as defined in subpart 2.1 entered into by a subcontractor to furnish supplies or services for performance of a prime contract or a subcontract. It includes but is not limited to purchase orders, and changes and modifications to purchase orders.

Subcontractor means any supplier, distributor, vendor, or firm (including a consultant) that furnishes supplies or services to or for a prime contractor or another subcontractor.

(b) The Contractor shall not require its employees or subcontractors to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting waste, fraud, or abuse related to the performance of a Government contract to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information (e.g., agency Office of the Inspector General).

(c) The Contractor shall notify current employees and subcontractors that prohibitions and restrictions of any preexisting internal confidentiality agreements or statements covered by this clause, to the extent that such prohibitions and restrictions are inconsistent with the prohibitions of this clause, are no longer in effect.

(d) The prohibition in paragraph (b) of this clause does not contravene requirements applicable to Standard Form

312 (Classified Information Nondisclosure Agreement), Form 4414 (Sensitive Compartmented Information

Nondisclosure Agreement), or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(e) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing

Appropriations Act, 2015, (Pub. L. 113-235), and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions) use of funds appropriated (or otherwise made available) is prohibited, if the

Government determines that the Contractor is not in compliance with the provisions of this clause.

(f) The Contractor shall include the substance of this clause, including this paragraph (f), in subcontracts under such contracts.

(End of clause)

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.

52.211-17 DELIVERY OF EXCESS QUANTITIES (SEP 1989)

The Contractor is responsible for the delivery of each item quantity within allowable variations, if any. If the

Contractor delivers and the Government receives quantities of any item in excess of the quantity called for (after considering any allowable variation in quantity), such excess quantities will be treated as being delivered for the convenience of the Contractor. The Government may retain such excess quantities up to $250 in value without compensating the Contractor therefor, and the Contractor waives all right, title, or interests therein. Quantities in excess of $250 will, at the option of the Government, either be returned at the Contractor's expense or retained and paid for by the Government at the contract unit price.

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 clause, other than those in this paragraph (b)(1) in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause—

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509).

(ii) 52.219-8, Utilization of Small Business Concerns (Oct 2014) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $650,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(iii) 52.222-17, Nondisplacement of Qualified Workers (May 2014) (E.O. 13495). Flow down required in accordance with paragraph (1) of FAR clause 52.222-17.

(iv) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

(v) 52.222-26, Equal Opportunity (Sep 2016) (E.O. 11246).

(vi) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212).

(vii) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793).

(viii) 52.222-62 Paid Sick Leave Under Executive Order 13706 (JAN 2017) (E.O. 13706).

(ix) 52.222-37, Employment Reports on Veterans (Feb 2016) (38 U.S.C. 4212).

(x) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).

Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(xi) 52.222-41, Service Contract Labor Standards (May 2014), (41 U.S.C. chapter 67).

(xiii) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for

Maintenance, Calibration, or Repair of Certain Equipment--Requirements (May 2014) (41 U.S.C. chapter 67.)

(xiv) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain

Services--Requirements (May 2014) (41 U.S.C. chapter 67)

(xv) 52.222-54, Employment Eligibility Verification (Oct 2015).

(xvi) 52.222-55, Minimum Wages Under Executive Order 13658 (Dec 2015) (E.O. 13658).

(xvii) 52.222-59, Compliance with Labor Laws (Executive Order 13673) (Oct 2016) (Applies at $50 million for solicitations and resultant contracts issued from October 25, 2016 through April 24, 2017; applies at $500,000 for solicitations and resultant contracts issued after April 24, 2017).

Note to paragraph (b)(1)(xvi): By a court order issued on October 24, 2016, 52.222-59 is enjoined indefinitely as of the date of the order. The enjoined paragraph will become effective immediately if the court terminates the injunction. At that time, DoD, GSA, and NASA will publish a document in the Federal Register advising the public of the termination of the injunction.

(xviii) 52.222-60, Paycheck Transparency (Executive Order 13673) (Oct 2016).

(xix) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Jul 2013) (Section

862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

(xx) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations. (May 2014) (42 U.S.C. 1792). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xxi) 52.247-64, Preference for Privately-Owned U.S. Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx

1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor may include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations.

(End of Clause)

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JULY 2013)

(a) Definitions. As used in this clause--

Long-term contract means a contract of more than five years in duration, including options. However, the term does not include contracts that exceed five years in duration because the period of performance has been extended for a cumulative period not to exceed six months under the clause at 52.217-8, Option to Extend Services, or other appropriate authority.

Small business concern means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR part 121 and the size standard in paragraph (c) of this clause. Such a concern is ``not dominant in its field of operation'' when it does not exercise a controlling or major influence on a national basis in a kind of business activity in which a number of business concerns are primarily engaged. In determining whether dominance exists, consideration shall be given to all appropriate factors, including volume of business, number of employees, financial resources, competitive status or position, ownership or control of materials, processes, patents, license agreements, facilities, sales territory, and nature of business activity.

(b) If the Contractor represented that it was a small business concern prior to award of this contract, the Contractor shall rerepresent its size status according to paragraph (e) of this clause or, if applicable, paragraph (g) of this clause, upon the occurrence of any of the following:

(1) Within 30 days after execution of a novation agreement or within 30 days after modification of the contract to include this clause, if the novation agreement was executed prior to inclusion of this clause in the contract.

(2) Within 30 days after a merger or acquisition that does not require a novation or within 30 days after modification of the contract to include this clause, if the merger or acquisition occurred prior to inclusion of this clause in the contract.

(3) For long-term contracts--

(i) Within 60 to 120 days prior to the end of the fifth year of the contract; and

(ii) Within 60 to 120 days prior to the date specified in the contract for exercising any option thereafter.

(c) The Contractor shall rerepresent its size status in accordance with the size standard in effect at the time of this rerepresentation that corresponds to the North American Industry Classification System (NAICS) code assigned to this contract. The small business size standard corresponding to this NAICS code can be found at http://www.sba.gov/content/table-small-business-size-standards.

(d) The small business size standard for a Contractor providing a product which it does not manufacture itself, for a contract other than a construction or service contract, is 500 employees.

(e) Except as provided in paragraph (g) of this clause, the Contractor shall make the representation required by paragraph (b) of this clause by validating or updating all its representations in the Representations and Certifications section of the System for Award Management (SAM) and its other data in SAM, as necessary, to ensure that they reflect the Contractor's current status. The

Contractor shall notify the contracting office in writing within the timeframes specified in paragraph (b) of this clause that the data have been validated or updated, and provide the date of the validation or update.

(f) If the Contractor represented that it was other than a small business concern prior to award of this contract, the

Contractor may, but is not required to, take the actions required by paragraphs (e) or (g) of this clause.

(g) If the Contractor does not have representations and certifications in SAM, or does not have a representation in

SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

The Contractor represents that it ( ) is, ( ) is not a small business concern under NAICS Code 325412- assigned to contract number .

(Contractor to sign and date and insert authorized signer's name and title).

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (DEC 2013)

(a) Upon receipt of accelerated payments from the Government, the Contractor shall make accelerated payments to its small business subcontractors under this contract, to the maximum extent practicable and prior to when such payment is otherwise required under the applicable contract or subcontract, after receipt of a proper invoice and all other required documentation from the small business subcontractor.

(b) The acceleration of payments under this clause does not provide any new rights under the Prompt Payment Act.

(c) Include the substance of this clause, including this paragraph (c), in all subcontracts with small business concerns, including subcontracts with small business concerns for the acquisition of commercial items.

52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM (OCT 2004)

United States law will apply to resolve any claim of breach of this contract.

52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

http://farsite.hill.af.mil/vffara.htm http://farsite.hill.af.mil/vfdfara.htm

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):

http://farsite.hill.af.mil/vffara.htm

52.252-5 AUTHORIZED DEVIATIONS IN PROVISIONS (APR 1984)

(a) The use in this solicitation of any Federal Acquisition Regulation (48 CFR Chapter 1) provision with an authorized deviation is indicated by the addition of"(DEVIATION)" after the date of the provision.

(b) The use in this solicitation of any (DFARS 48 CFR Chapter 2 & NMCARS 48 CFR Chapter 52) provision with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any (DFARS 48 CFR Chapter 2 & NMCARS 48 CFR Chapter 52) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

252.204-7004 ALTERNATE A, SYSTEM FOR AWARD MANAGEMENT (FEB 2014)

(a) Definitions. As used in this provision—

“System for Award Management (SAM) database” means the primary Government repository for contractor information required for the conduct of business with the Government.

“Commercial and Government Entity (CAGE) code” means—

(1) A code assigned by the Defense Logistics Information Service (DLIS) to identify a commercial or

Government entity; or

(2) A code assigned by a member of the North Atlantic Treaty Organization that DLIS records and maintains in the CAGE master file. This type of code is known as an “NCAGE code.”

“Data Universal Numbering System (DUNS) number” means the 9-digit number assigned by Dun and

Bradstreet, Inc. (D&B) to identify unique business entities.

“Data Universal Numbering System +4 (DUNS+4) number” means the DUNS number assigned by D&B plus a 4-character suffix that may be assigned by a business concern. (D&B has no affiliation with this 4-character suffix.) This 4-character suffix may be assigned at the discretion of the business concern to establish additional SAM records for identifying alternative Electronic Funds Transfer (EFT) accounts (see

FAR 32.11) for the same parent concern.

“Registered in the System for Award Management (SAM) database” means that—

(1) The contractor has entered all mandatory information, including the DUNS number or the DUNS+4 number, and Contractor and Government Entity (CAGE) code into the SAM database; and

(2) The contractor has completed the Core Data, Assertions, Representations and Certifications, and

Points of Contact sections of the registration in the SAM database;

(3) The Government has validated all mandatory data fields, to include validation of the Taxpayer

Identification Number (TIN) with the Internal Revenue Service (IRS). The Contractor will be required to provide consent for TIN validation to the Government as part of the SAM registration process; and

(4) The Government has marked the record “Active.”

(b) (1) By submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database prior to award, during performance, and through final payment of any contract, basic agreement, basic ordering agreement, or blanket purchasing agreement resulting from this solicitation.

(2) The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation

“DUNS” or “DUNS+4” followed by the DUNS or DUNS+4 number that identifies the offeror’s name and address exactly as stated in the offer. The DUNS number will be used by the Contracting Officer to verify that the offeror is registered in the SAM database.

(c) If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one.

(1) An offeror may obtain a DUNS number—

(i) Via the internet at http://fedgov.dnb.com/webform or if the offeror does not have internet access, it may call Dun and Bradstreet at 1-866-705-5711 if located within the United States; or http://fedgov.dnb.com/webform

(ii) If located outside the United States, by contacting the local Dun and Bradstreet office. The offeror should indicate that it is an offeror for a U.S. Government contract when contacting the local Dun and Bradstreet office.

(2) The offeror should be prepared to provide the following information:

(i) Company legal business name.

(ii) Tradestyle, doing business, or other name by which your entity is commonly recognized.

(iii) Company physical street address, city, state and Zip Code.

(iv) Company mailing address, city, state and Zip Code (if separate from physical).

(v) Company telephone number.

(vi) Date the company was started.

(vii) Number of employees at your location.

(viii) Chief executive officer/key manager.

(ix) Line of business (industry).

(x) Company Headquarters name and address (reporting relationship within your entity).

(d) If the Offeror does not become registered in the SAM database in the time prescribed by the Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror.

(e) Processing time, which normally takes 48 hours, should be taken into consideration when registering. Offerors who are not registered should consider applying for registration immediately upon receipt of this solicitation.

(f) Offerors may obtain information on registration at https://www.acquisition.gov.

(End of Provision)

252.204-7006 BILLING INSTRUCTIONS (OCT 2005)

When submitting a request for payment, the Contractor shall--

(a) Identify the contract line item(s) on the payment request that reasonably reflect contract work performance; and

(b) Separately identify a payment amount for each contract line item included in the payment request.

https://www.acquisition.gov/

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(a) Definitions. As used in this clause--

“Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area

WorkFlow (WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and

Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall--

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.acquisition.gov; and

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

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training

Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data

Interchange, or File Transfer Protocol.

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

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

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*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC HQ0248

Issue By DoDAAC N68094

Admin DoDAAC N68094

Inspect By DoDAAC N/A

Ship To Code N68094

Ship From Code N/A

Mark For Code N/A

Service Approver (DoDAAC) N/A

Service Acceptor (DoDAAC) N/A

Accept at Other DoDAAC N/A

LPO DoDAAC N68094

DCAA Auditor DoDAAC N/A

Other DoDAAC(s) N/A

(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: ferdinand.v.caballero.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.

wawf@med.navy.mil

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

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

Naval Hospital Camp Pendleton

Inpatient Pharmacy

Compounding and Deliveries of Inpatient and Narcotic Pharmaceuticals Contract

1. BACKGROUND:

Main Pharmacy requests service contract on compounding and deliveries of inpatient and narcotic pharmaceuticals to Inpatient Pharmacy, Naval Hospital Camp Pendleton, CA.

mailto:ferdinand.v.caballero.civ@mail.mil

2. SCOPE:

Naval Hospital Camp Pendleton requires service contract on compounding and deliveries of inpatient and narcotic pharmaceuticals listed below:

- 1,500 syringes of Ephedrine (Preservative Free) 5mg/ml in 0.9% Sodium Chloride

5ml in 5ml BD Syringe (125 syringes per delivery)

- 1,500 syringes of Phenylephrine (Preservative Free) 100mcg/ml in 0.9% Sodium

Chloride 10ml in 10ml BD Syringe (125 syringes per delivery)

- 2,040 syringes of Succinylcholine Chloride Injection 20mg/ml (Preservative Free)

10ml in 10ml BD Syringe (170 syringes per delivery)

- 1,920 bags of Oxytocin 30 units in 0.9% Sodium Chloride 500ml Bag (160 bags per delivery)

- 1,440 bags of Fentanyl Citrate 2mcg/ml and 0.125% Bupivacaine PF in 0.9% Sodium

Chloride 200ml in 250ml LifeCare Bag (120 bags per delivery)

- 240 syringes of Hydromorphone 1mg/ml in 0.9% NaCl 30ml in 35ml Monoject

Barrel Plungerless Syringe (20 syringes per delivery)

- 120 bags of Hydromorphone 20mcg/ml and 0.125% Bupivacaine PF in 0.9% NaCl

200ml in 250ml Intravia Bag (10 bags per delivery)

- 360 syringes of Morphine Sulfate (PF) 1mg/ml in 0.9% NaCl 30ml in 35ml Monoject

Barrel Plungerless Syringe (30 syringes per delivery)

Delivery monthly schedules MUST be made no later than the following dates:

- 15 October 2017

- 15 November 2017

- 15 December 2017

- 15 January 2018

- 15 February 2018

- 15 March 2018

- 15 April 2018

- 15 May…