AMENDED_SOLICITATION_N6809419R6005.pdf

PDF 490 KB Posted Jan 7, 2019

Attached to: STERIS EQUIPMENT SERVICE MAINTENANCE Federal contract opportunity
Solicitation number: N6809419R6005
Issued by: Department of the Navy Bureau of Medicine and Surgery

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NOTICE OF INTENT - Please put pricing on lines provided in the solicitation and email to Kenneth.D.Harmon.civ@mail.mil prior to solicitation closing date and time.

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Combined Synopsis/Solicitation Notice of Intent to Sole Source

Solicitation Number: N6809419R6005 Purchase Description: 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, N6809419R6005, 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 MILLIION” DOLLARS.

The Government intends to award a Commercial Firm Fixed-Price Sole Source Award to contractor “STERIS CORPORATION”. The solicitation document and incorporated provisions and clauses are those in effect through the Federal Acquisition Circular (FAC) 2005-101 effective October 26, 2018 and Defense Federal Acquisition Regulation Supplement DPN 12/21/18. 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.

Period of Performance: 1 FEB 2019 – 31 JAN 2020

PLACE OF DELIVERY AND/OR SERVICE:

NAVAL HOSPITAL CAMP PENDLETON

MAIN OPERATING ROOM

BLDG H200

CAMP PENDLETON CA 92055

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 JAN 17TH, 2019; 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/SOW Requirements: Contractor offer in sufficient detail to ascertain the contractor offer has met all solicitation requirements and has a good understanding of the Government requirement; confidence/high probability requirements will be met.

(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.

https://www.sam.gov/

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)

N6809419R6005 27-Dec-2018

b. TELEPHONE NUMBER

760-725-6343

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 17 Jan 2019

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

N6809419RC30321

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

CORINA ESPINOMERCADO

MAIN OPERATING ROOM

BLDG. H-200

CAMP PENDLETON CA 92055

TEL: 760-719-3916 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 OF70

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.

N6809419R6005

Section SF 1449 - CONTINUATION SHEET

BUYER’S INFORMATION

PURCHASING AGENT

Purchasing Agent: Kenneth Harmon Tel: (760) 763-6343 E-mail: Kenneth.D.Harmon.civ@mail.mil

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

SERVICE MAINTENANCE

FFP

Full service maintenance on government owned equipment to include: parts, labor, transportation and unlimited corrective maintenance calls for Steam Sterilizers, Surgical Equipment, V-Pro VHP Sterilization Systems, Washers, and System 1E for the Main Operating Room IAW the Statement of Work.

Period of Performance: 01 Feb 2019 – 31 Jan 2020

MILSTRIP: N6809419RC30321

MFR PART NR: j

PURCHASE REQUEST NUMBER: N6809419RC30321

NET AMT

0001AA 4 Quarter

(Time)

SN: 033121206

FFP

16 IN. CENT VAC SD STM CAB

ECN: 120138

MFR: STERIS

NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item. The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

ADDITIONAL MARKINGS: MAIN OPERATING ROOM, 760-719-3841

PSC CD: J065

0001AB 4 Quarter

SN: 033121204

16 IN. CENT VAC SD STM CAB

ECN: 120137

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AC 4 Quarter

SN: 033121208

16 IN. CENT VAC SD STM CAB

ECN: 120139

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AD 4 Quarter

SN: 033131221

16 IN. CENT VAC SD STM CAB

ECN: 120140

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AE 4 Quarter

SN: 033131223

16 IN. CENT VAC SD STM CAB

ECN:120141

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AF 4 Quarter

SN: 032991256

EVOLUTION VAC 66 IN. STM SD HNG RH REC 480V

ECN: 120286

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AG 4 Quarter

SN: 032991255

EVOLUTION VAC 66 IN. STM SD HNG RH REC 480V

ECN: 120287

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AH 4 Quarter

1584.44SN: 3631712024

VISION (SC) 460-480V, 3PH, 60HZ, STEAM

ECN: 120153

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AJ 4 Quarter

SN: 3631712025

VISION (SC) 460-480V, 3PH, 60HZ, STEAM

ECN:120154

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AK 4 Quarter

SN: 3631712026

VISION (SC) 460-480V, 3PH, 60HZ, STEAM

ECN:120155

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AL 4 Quarter

SN: 0911C1263

CAVIWAVE ULTRSNC CONSOL L2RWF 20GAL

208V/3PH/132HZ

ECN:120289

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AM 4 Quarter

SN: ORAPAR5780184331

VLED SINGLE LGT W/SFPMM, CAMERA

ECN:118878, 118887

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AN 4 Quarter

SN: ORAPAR578018430

VLED SINGLE LGT W/SFPMM, CAMERA

ECN: 118869, 118884

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AP 4 Quarter

SN: ORAPAR578018436

VLED SINGLE LGT W/SFPMM, CAMERA

ECN: 118871, 118886

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AQ 4 Quarter

SN: ORAPAR5780184701

VLED DUAL LGT, NON CAMERA

ECN:118881, 118882

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AR 4 Quarter

SN: ORAPAR5780184801

VLED SINGLE LGT W/SFPMM, CAMERA

ECN: 118870, 118891

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AS 4 Quarter

SN: ORAPAR5780184871

VLED SINGLE LGT W/SFPMM, CAMERA

ECN: 118877

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AT 4 Quarter

SN: ORAPAR5780184422

VLED SINGLE LGT W/SFPM MOUNT, NON CAMERA

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AU 4 Quarter

SN: ORAPAR5780184333

VLED SINGLE LGT W/SFPMM, CAMERA

ECN: 118879, 118872

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AV 4 Quarter

SN: ORAPAR5780184363

VLED SINGLE LGT W/SFPMM, CAMERA

ECN: 122207, 122208

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AW 4 Quarter

SN: ORAPAR5780184332

VLED SINGLE LGT W/SFPMM, CAMERA

ECN: 118875, 118888

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AX 4 Quarter

SN: 0425112041

4085 TABLE BAT/LINE 110/120 W/TLT PADS SS CVR

ECN:115583

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AY 4 Quarter

SN: 0425112042

4085 TABLE BAT/LINE 110/120 W/TLT PADS SS CVR

ECN:115582

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001AZ 4 Quarter

SN: 0425412023

4085 TABLE BAT/LINE 110/120 W/TLT PADS SS CVR

ECN: 115584

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BA 4 Quarter

SN: 0425913002

OT 1000 BASIC FRACTURE TABLE W/O DRIVE PKG 120 V

ECN: 122804

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BB 4 Quarter

SN: 0425913001

OT 1000 BASIC FRACTURE TABLE W/O DRIVE PKG 120 V

ECN: 122803

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BC 4 Quarter

SN: 0434212078

WAR CAB STD GLASS DUAL 24IN 120V

ECN: 119482

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BD 4 Quarter

SN: 0433912097

WAR CAB STD GLASS DUAL 24IN 120V

ECN: 119481

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BE 4 Quarter

SN: 0433812016

WAR CAB STD GLASS DUAL 24IN 120V

ECN: 119479

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BF 4 Quarter

SN: 0434212079

WAR CAB STD GLASS DUAL 24IN 120V

ECN: 119483

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BG 4 Quarter

SN: 3624112001

130L CW 480V DPD DISS FAN DET2 DDCD (R4)

ECN: 121881

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BH 4 Quarter

SN: 0426102115

24 IN. DIGITAL WARM CABINET

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BJ 4 Quarter

SN: 0413013023

WAR CAB STD GLASS DUAL 24IN 120V

ECN:119459

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BK 4 Quarter

SN: 031681315

20IN. CENT VAC DD 208VREC1

ECN:120142

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BL 4 Quarter

SN: 1112C1631

CAVIWAVE ULTRSNC CONSOL L2R 208V/3PH

ECN:122507

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BM 4 Quarter

SN: 0433812017

WAR CAB STD GLASS DUAL 24IN 120V

ECN:119480

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BN 4 Quarter

SN: 32751557

V-PRO MAX, SD,CAB,208/230V,60HZ ENGLISH

ECN:124974

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BP 4 Quarter

SN: 32821503

V-PRO MAX, SD,CAB,208/230V,60HZ ENGLISH

ECN:124975

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BQ 4 Quarter

SN: 3631812002

NON-MOTORIZED WITH FEED OUT

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BR 4 Quarter

SN: 3631912005

NON-MOTORIZED WITH FEED OUT

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BS 4 Quarter

SN: 3631912003

NON-MOTORIZED WITH FEED OUT

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BT 4 Quarter

SN: 3631812001

MOTORIZED WITH FEED IN

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BU 4 Quarter

SN: 3631912007

BASIC MOTORIZED

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BV 4 Quarter

SN: 3631712032

MOTORIZED RETURN DOOR

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BW 4 Quarter

SN: 3631912002

MOTORIZED WITH FEED IN

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BX 4 Quarter

SN: 3631912004

MOTORIZED WITH FEED IN

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BY 4 Quarter

SN: 3621515014

W/DIS,208V,60Hz,DD,NV, DRY,PR ,3 LVL,1WFLANGE

ECN: 125636

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001BZ 4 Quarter

SN: 0423216123

WAR CAB STD GLASS DUAL 24IN 120V

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001CA 4 Quarter

SN: 0421917008

WAR CAB STD GLASS DUAL 24IN 120V

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001CB 4 Quarter

SN: ORAPAR5 780184901

VLED DUAL LGT W/SFPMM, NON CAMERA

ECN: 118873, 118874

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001CC 4 Quarter

SN: ORAPAR5780184902

VLED DUAL LGT W/SFPMM, NON CAMERA

ECN: 118880, 118883

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001CD 4 Quarter

SN: ORAPAR5780184911

VLED SINGLE LGT, CAMERA READY

ECN: 118889

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001CE 4 Quarter

SN: 3616813016

RELIANCE ENDOSCOPE PROCESSOR 208V, 60HZ, 3PH, BASE, AIR

COMPRESSOR, COUNTERTOP, PREFILTER, w/ LEAK TEST

ECN:120282

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001CF 4 Quarter

SN:3618313013

RELIANCE ENDOSCOPE PROCESSOR 208V, 60HZ, 3PH, BASE, AIR

COMPRESSOR, COUNTERTOP, PREFILTER, w/ LEAK TEST

ECN:123251

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001CG 4 Quarter

SN: 3615413016

RELIANCE ENDOSCOPE PROCESSOR 208V, 60HZ, 3PH, BASE, AIR

COMPRESSOR, COUNTERTOP, PREFILTER, w/ LEAK TEST

ECN:123252

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001CH 4 Quarter

SN: 3631912006

NON-MOTORIZED FOR LINE END

MFR: STERIS

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001CJ 4 Quarter

SN: 0416916110

STERIS 4085 TABLE

BAT/LINE 110V FWLS

W/tlt PADS

ECN: 125769

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

0001CK 4 Quarter

SN: 0416916111

STERIS 4085 TABLE

BAT/LINE 110V FWLS

W/tlt PADS

ECN: 125768

FOB: Destination

MILSTRIP: N6809419RC30321

PURCHASE REQUEST NUMBER: N6809419RC30321

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 0001BM Destination Government Destination Government 0001BN Destination Government Destination Government 0001BP Destination Government Destination Government 0001BQ Destination Government Destination Government 0001BR Destination Government Destination Government 0001BS Destination Government Destination Government 0001BT Destination Government Destination Government 0001BU Destination Government Destination Government 0001BV Destination Government Destination Government 0001BW Destination Government Destination Government 0001BX Destination Government Destination Government 0001BY Destination Government Destination Government 0001BZ Destination Government Destination Government 0001CA Destination Government Destination Government 0001CB Destination Government Destination Government 0001CC Destination Government Destination Government 0001CD Destination Government Destination Government 0001CE Destination Government Destination Government 0001CF Destination Government Destination Government 0001CG Destination Government Destination Government 0001CH Destination Government Destination Government 0001CJ Destination Government Destination Government 0001CK 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 01-FEB-2019 TO

31-JAN-2020

N/A NAVAL HOSPITAL CAMP PENDLETON

CORINA ESPINOMERCADO

MAIN OPERATING ROOM

BLDG. H-200

CAMP PENDLETON CA 92055

760-719-3916 FOB: Destination

N68094

0001AB POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AE POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AF POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AG POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AH POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AJ POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AK POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AL POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AM POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AN POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AP POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AQ POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AR POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AS POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AT POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AU POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AV POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AW POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AX POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AY POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AZ POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BA POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BB POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BC POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BD POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BE POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BF POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BG POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BH POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BJ POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BK POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BL POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BM POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BN POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BP POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BQ POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BR POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BS POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BT POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BU POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BV POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BW POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BX POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BY POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001BZ POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001CA POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001CB POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001CC POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001CD POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001CE POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001CF POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001CG POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001CH POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001CJ POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001CK POP 01-FEB-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 2018 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

OCT 2018

52.204-13 System for Award Management Maintenance OCT 2018 52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

NOV 2015

52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.222-3 Convict Labor JUN 2003 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 52.228-5 Insurance - Work On A Government Installation JAN 1997 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 52.247-34 F.O.B. Destination NOV 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.225-7002 Qualifying Country Sources As Subcontractors DEC 2017 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.237-7010 Prohibition on Interrogation of Detainees by Contractor

Personnel

JUN 2013

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)

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS (DEC

2014)

The Contractor's representations and certifications, including those completed electronically via the System for Award Management (SAM), are incorporated by reference into the contract.

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.

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

EXECUTIVE ORDERS—COMMERCIAL ITEMS (DEVIATION 2018-O0021) (OCT 2018)

(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…

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