RFQ_N6809619Q0015.pdf

US NAVAL HOSPITAL GUAM

SUPPLY OFFICER

BLDG 50 FARENHOLT RD STE 1Y02

AGANA HEIGHTS GU 96910

TEL: (671) 344-9673 FAX: (671) 344-9256

REQUEST FOR QUOTATIONS

(THIS IS NOT AN ORDER) 1

PAGE OF PAGES

1. REQUEST NO. 2. DATE ISSUED RATING

N6809619Q0015 24-Sep-2019

5a. ISSUED BY

8. TO: NAME AND ADDRESS, INCLUDING ZIP CODE

IMPO RTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this

Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State, and local taxes)

ITEM NO.

(a)

SUPPLIES/ SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e) (f)

SEE SCHEDULE

AMOUNT

% No. %

NO TE: Additional provisions and representations [ ] are [ ] are not attached.

13. NAME AND ADDRESS OF QUOTER (Street, City, County, State, and ZIP Code)

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF

QUOTATION

16. NAME AND TITLE OF SIGNER (Type or print) ( Include area code)

TELEPHONE NO.

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (REV. 6-95)

PREVIOUS EDITION NOT USABLE Prescribed by GSA

FAR (48 CFR) 53.215-1(a)

THIS RFQ X[ ] IS [ ] IS NOT A SMALL BUSINESS SET-ASIDE

6. DELIVER BY (Date)

SEE SCHEDULE

AND/OR DMS REG. 1

UNDER BDSA REG. 2

4. CERT. FOR NAT. DEF.3. REQUISITION/PURCHASE

REQUEST NO.

US NAVAL HOSPITAL GUAM

MATERIAL MANAGEMENT DEPT

PSC 455 BOX 208

FPO AP 96540

9. DESTINATION (Consignee and address, including ZIP Code)

7. DELIVERY

[ ]X FOB

DESTINATION

[ ] OTHER

(See Schedule)

27-Sep-2019(Date)

PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS:10.

671-344-9014JOHN J. CAMACHO

(Name and Telephone no.) (No collect calls)5b. FOR INFORMATION CALL:

d. CALENDAR DAYSc. 30 CALENDAR DAYSb. 20 CALENDAR DAYS12. DISCOUNT FOR PROMPT PAYMENT a. 10 CALENDAR DAYS

N6809619Q0015

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Each Stryker Power 8 System

FFP

8205-000-000 Systen 8 Dual Trigger Rotary Hand Piece

FOB: Destination

MFR PART NR: 8205-000-000

PSC CD: 6515

NET AMT

0002 1 Each Stryker Power 8 System

FFP

8206-000-000 System 8 Reciprocating Saw

FOB: Destination

MFR PART NR: 8206-000-000

0003 1 Each Stryker Power 8 System

FFP

8208-000-000 System 8 Sagittal Saw

FOB: Destination

MFR PART NR: 8208-000-000

0004 1 Each Stryker Power 8 System

FFP

8207-000-000 System 8 Sternum Saw

FOB: Destination

MFR PART NR: 8207-000-000

0005 1 Each Stryker Power 8 System

FFP

8209-000-00 System 8 Precision Saw

FOB: Destination

MFR PART NR: 8209-000-000

0006 1 Each Stryker Power 8 System

FFP

8203-026-000 Dual Trigger Wire Collect 0.7 – 2.0mm

FOB: Destination

MFR PART NR: 8203-026-000

0007 1 Each Stryker Power 8 System

FFP

8203-126-000 Dual Trigger Pin Collet 2.0 – 3.2mm

FOB: Destination

MFR PART NR: 8203-126-000

0008 1 Each Stryker Power 8 System

FFP

8203-266-000 Dual Trigger Large Collet 3.0 – 4.2mm

FOB: Destination

MFR PART NR: 8203-266-000

0009 1 Each Stryker Power 8 System

FFP

8203-133-000 ¼” (6.4mm) Locking Keyless Chuck

FOB: Destination

MFR PART NR: 8203-133-000

0010 1 Each Stryker Power 8 System

FFP

6203-110-000 AO Small Attachment

FOB: Destination

MFR PART NR: 6203-110-000

0011 1 Each Stryker Power 8 System

FFP

6203-113-000 Hudson Attachment

FOB: Destination

MFR PART NR: 6203-113-000

0012 1 Each Stryker Power 8 System

FFP

6203-131-000 ¼” Chuck with Key

FOB: Destination

MFR PART NR: 6203-131-000

0013 1 Each Stryker Power 8 System

FFP

6203-132-000 5/32” Chuck with Key

FOB: Destination

MFR PART NR: 6203-132-000

0014 1 Each Stryker Power 8 System

FFP

6203-150-000 SYS 6/MOD Trinkle

FOB: Destination

MFR PART NR: 6203-150-000

0015 1 Each Stryker Power 8 System

FFP

6203-135-000 Hudson/Modified Trinkle Attach

FOB: Destination

MFR PART NR: 6203-135-000

0016 1 Each Stryker Power 8 System

FFP

6203-160-000 Trinkle Attachment

FOB: Destination

MFR PART NR: 6203-160-000

0017 1 Each Stryker Power 8 System

FFP

6203-210-000 AO Large Reamer Attachment

FOB: Destination

MFR PART NR: 6203-210-000

0018 1 Each Stryker Power 8 System

FFP

6203-170-000 Triathlon Driver

FOB: Destination

MFR PART NR: 6203-170-000

0019 1 Each Stryker Power 8 System

FFP

7207-003-000 Sternum Blade Guard

FOB: Destination

MFR PART NR: 7207-003-000

0020 1 Each Stryker Power 8 System

FFP

7207-002-000 Long Sternum Blade Guard

FOB: Destination

MFR PART NR: 7207-002-000

0021 1 Each Stryker Power 8 System

FFP

7110-120-000 Universal Charger

FOB: Destination

MFR PART NR: 7110-120-000

0022 8 Each Stryker Power 8 System

FFP

8215-000-000 System 8 Battery Pack, Large

FOB: Destination

MFR PART NR: 8215-000-000

0023 1 Each Stryker Power 8 System

FFP

7102-550-000 S7 4HP Insert Tray/Container

FOB: Destination

MFR PART NR: 7102-550-000

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government

0002 Destination Government Destination Government

0003 Destination Government Destination Government

0004 Destination Government Destination Government

0005 Destination Government Destination Government

0006 Destination Government Destination Government

0007 Destination Government Destination Government

0008 Destination Government Destination Government

0009 Destination Government Destination Government

0010 Destination Government Destination Government

0011 Destination Government Destination Government

0012 Destination Government Destination Government

0013 Destination Government Destination Government

0014 Destination Government Destination Government

0015 Destination Government Destination Government

0016 Destination Government Destination Government

0017 Destination Government Destination Government

0018 Destination Government Destination Government

0019 Destination Government Destination Government

0020 Destination Government Destination Government

0021 Destination Government Destination Government

0022 Destination Government Destination Government

0023 Destination Government Destination Government

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 30 dys. ADC 1 US NAVAL HOSPITAL GUAM

SUPPLY OFFICER

BLDG 50 FARENHOLT RD STE 1Y02

AGANA HEIGHTS GU 96910

(671) 344-9673

FOB: Destination

N68096

0002 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0003 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0004 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0005 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0006 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0007 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0008 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0009 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0010 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0011 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0012 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0013 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0014 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0015 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0016 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0017 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0018 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0019 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0020 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0021 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

0022 30 dys. ADC 8 (SAME AS PREVIOUS LOCATION)

0023 30 dys. ADC 1 (SAME AS PREVIOUS LOCATION)

Section I - Contract Clauses

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management OCT 2018

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-13 System for Award Management Maintenance OCT 2018

52.204-13 System for Award Management Maintenance OCT 2018

52.209-11 Representation by Corporations Regarding Delinquent Tax

Liability or a Felony Conviction under any Federal Law

FEB 2016

52.212-2 Evaluation - Commercial Items OCT 2014

52.216-8 Fixed Fee JUN 2011

52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

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

252.204-7009 Limitations on the Use or Disclosure of Third-Party

Contractor Reported Cyber Incident Information

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

OCT 2016

252.211-7008 Use of Government-Assigned Serial Numbers SEP 2010

252.225-7048 Export-Controlled Items JUN 2013

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.232-7006 Wide Area WorkFlow Payment Instructions DEC 2018

252.232-7010 Levies on Contract Payments DEC 2006

252.244-7000 Subcontracts for Commercial Items JUN 2013

252.246-7004 Safety of Facilities, Infrastructure, and Equipment for

Military Operations

OCT 2010