Sol_140L0221Q0022.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

LAF

FT WAINWRIGHT AK 99703-0005

1544 GAFFNEY ROAD

P.O. Box 35005

BLM AK-FINANCIAL SVCS SEC(AK9F3)

0004276146 CODE 16. ADMINISTERED BYCODE

X

X

339112

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORLAF

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

07/19/2021 1700 AS

07/08/2021

(907) 3565774Stacie Oaks (No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

140L0221Q0022

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 41 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

FT. WAINWRIGHT AK 99703-0005

PO BOX 35005

1544 GAFFNEY RD

BLM-AK ALASKA FIRE SERVICE*

15. DELIVER TO

FT WAINWRIGHT AK 99703-0005

1544 GAFFNEY ROAD

P.O. Box 35005

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

1,000

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

BLM AK-FINANCIAL SVCS SEC(AK9F3)

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

BLM-AK/Alaska Fire Service, Ft. Wainwright, AK has a requirement for a commercial item. This combined synopsis/solicitation is prepared in accordance with the format in FAR Subpart 12.6 (as supplemented with additional information included in this notice). This posting will be referred to under Request for Quotation (RFQ) Number 140L0221Q0022. This announcement constitutes the only solicitation. A written solicitation will be issued and attached to this posting for reference only. This RFQ falls under

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

Stacie Oaks

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

procedures in FAR Parts 12 and 13. This document incorporates provisions and clauses updated by way of the Federal Acquisition Circular (FAC)

#2021-05, effective March 10, 2021. The North

American Industrial Classification System (NAICS) number is 339112, Surgical and Medical Instrument

Manufacturing. This announcement constitutes the

Government's only official notice of this procurement. The Government does not intend to pay for any information provided under this synopsis.

The BLM-AK/Alaska Fire Service, Ft. Wainwright, AK, has a requirement to purchase various emergency and nonemergency medical equipment and supplies to be delivered to Ft. Wainwright, Alaska 99703.

Organization to be supported:

BLM-AK Alaska Fire Service

Fire Medic Program

1544 Gaffney Rd

Ft. Wainwright, AK 99703-0005

Please submit your quote on the attached SF-1449 or company letterhead with all pertinent point of contact information including SAM, Cage Code, DUNS No., and business size/type. Please acknowledge acceptance of the attached Blanket

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

41 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 41

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140L0221Q0022

Purchase Agreement under the terms and conditions as specified. In addition, your quote should provide unit price and total price on the attached sample order. Your quote should state what your expected turnaround time will be for supply shipments from date of order. Our requested turnaround time for supply shipments from date of order is less than 3 days during the fire season. Please include any percentage discounts that will be offered. No formal format is required as this is a combined synopsis/request for quote solicitation. Offers must be received by 5:00 pm Alaska Standard Time, 07/19/2021, at the BLM-AK/Alaska Fire Service, 1544 Gaffney Rd, Ft. Wainwright, AK. Offers received after this date and time will be considered nonresponsive in accordance with

52.212-1(f) and will not be evaluated. BLM/AFS anticipates establishing up to four (4) BPAs, base year plus two (2) option years, to the responsive, responsible vendor(s) who can provide the lowest priced technically acceptable proposal. It is preferable that quotes are emailed, however quotes may be mailed, e-mailed or faxed to the attention of: soaks@blm.gov.

Offerors must comply with all instructions contained in the Internet Payment Platform (IPP)

DOI Electronic Invoicing instructions, and all clauses in the attached solicitation documentation.

The full text of any solicitation provision or clause referenced herein may be accessed electronically at:

https://www.acquisition.gov/content/part-52-solici tation-provisions-and-contract-clauses

In order to have a quote considered, all offerors must be registered in the System for Award

Management (SAM) website (https://www.sam.gov) as an active vendor by the closing date of this solicitation. Quotes received from firms not registered in SAM by the closing date of the solicitation will not be considered.

Additional document information and attachments

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

4 41

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140L0221Q0022 related to this requirement can be accessed at beta.sam.gov by searching 'Contract

Opportunities' using the reference number

140L0221Q0022.

All questions regarding the subject synopsis/solicitation shall be directed to the attention of Stacie Oaks via email: soaks@blm.gov or telephone: (907) 356-5774.

Legacy Doc #: BLM

Period of Performance: 07/10/2021 to 07/09/2024

00010 Base (YR1) Medical Kit Rehab Supplies

See BPA Terms and Conditions for Complete Details

Product/Service Code: 6545

Product/Service Description: REPLENISHABLE FIELD

MEDICAL SETS, KITS, AND OUTFITS

Period of Performance: 07/10/2021 to 07/09/2022

00020 Option Period One (YR2) Medical Kit Rehab Supplies

See BPA Terms and Conditions for Complete Details

(Option Line Item)

07/10/2022

Product/Service Code: 6545

Product/Service Description: REPLENISHABLE FIELD

MEDICAL SETS, KITS, AND OUTFITS

Period of Performance: 07/10/2022 to 07/09/2023

00030 Option Period Two (YR3) Medical Kit Rehab Supplies

See BPA Terms and Conditions for Complete Details

(Option Line Item)

07/10/2023

Product/Service Code: 6545

Product/Service Description: REPLENISHABLE FIELD

MEDICAL SETS, KITS, AND OUTFITS

Period of Performance: 07/10/2023 to 07/09/2024

BLM/AFS procurement policy is that whenever

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

5 41

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140L0221Q0022 cost effective, the contractor should provide products and/or services that are energy efficient, bio-based, non-ozone depleting, water efficient, environmentally preferable and made with nonhazardous and recovered materia

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

DEPARTMENT OF INTERIOR

BLM-AK/Alaska Fire Service

1544 Gaffney Road Ft. Wainwright, Alaska 99703

BLANKET PURCHASE AGREEMENT: TERMS AND CONDITIONS

BACKGROUND: BLM Alaska Fire Service, Fire Medic Program (FMP) provides and supports field emergency medical kits to incidents throughout Alaska. The program is located at AFS Ft.

Wainwright, AK. The purpose of this BPA is to purchase various emergency and nonemergency medical equipment and supplies in support of these kits.

SCOPE OF AGREEMENT: This Blanket Purchase Agreement (BPA) establishes a “charge account” to provide a simplified purchasing system in accordance with the terms and conditions of this agreement. This agreement is effective upon approval of BLM-AK/Alaska Fire Service and will remain in effect until July 9th2024, Base year with two (2) Option Years, or when cancelled by BLM-AK/Alaska Fire Service or the vendor upon 30 days written notice.

DESCRIPTION OF AGREEMENT: The Contractor will provide various emergency and nonemergency medical equipment, supplies for delivery to, BLM/Alaska Fire Service. The expected turnaround time for ordered items from date of order is less than 2 days during the fire season, May 1st through October 31st. Outside of fire season the expected turnaround time for supplies is 2 weeks from date of order or less. The government anticipates establishing up to four BPA’s that would be reviewed annually for up to three years total.

Medical equipment, supply & OTC acquisition:

The Fire Medic Program is looking for vendors to provide needed supplies and equipment to rehab their wildland fire emergency medical kits and equipment. These kits are normally only used during Alaska summer months, but maybe a little longer if supporting lower-48 wildland fire operations. The biggest challenge is the availability of product to be delivered to our warehouse in Fairbanks Alaska in the timeframe requested. This can be anywhere from two business days after receipt of an order, or up to two weeks after receipt of an order unless expedited needs. Attached is an example list of items, equipment and miscellaneous supplies that may be ordered at any given time. Due to our budgetary and accounting requirements it will not be unusual for a vendor to receive multiple orders over just a few days that look very much the same.

Because of the nature of supporting a variable emergency medical services workforce in the field it is imperative that BLM-AK/AFS has full and on-time delivery with a short turnaround time to fully support the critical mission of providing emergency medical services through-out Alaska.

After receipt of an order, can you deliver in stock items as listed below to 1544 Gaffney Road, Fort Wainwright, Alaska 99703?

Please answer the following questions YES or NO:

1. ONE BUSINESS DAY after receipt of an order? YES NO

2. TWO BUSINESS DAYS after receipt of an order? YES NO

3. THREE BUSINESS DAYS after receipt of an order? YES NO

BLANKET PURCHASE AGREEMENT TERMS: The following terms and conditions will apply to any Blanket Purchase Agreement (BPA) which is awarded as a result of this Request for Quotation (RFQ).

EXTENT OF OBLIGATION: The Government is obligated only to the extent of authorized purchases made by authorized personnel under the BPA. There are no minimum estimated quantities that may be purchased by BLM-AFS throughout the duration of this agreement.

PURCHASE LIMITATIONS: This BPA allows the government representatives on the Authorized Purchasers list to make individual purchases. This list contains four (5) persons. This list can be amended only by the Government’s BPA Administrator or any of the warranted contracting officers on the Authorized Purchasers list. Individual purchases shall not exceed the call amount, and no call placed against this agreement shall exceed a maximum of $250,000.

Stacie Oaks, Contracting Specialist, BPA Administrator -$250,000 Mariah Schumacher, Contract Specialist – $10,000 Jonathon Thomas, Program Coordinator - $10,000 Evan Sterling, Assistant Program Coordinator - $10,000 Jocelyn Crizer, Lead Admin Assistant, OPS - $10,000

TERMS OF THE BPA: This agreement shall take effect from the date of award and shall continue for three (3) years. Either party may terminate this BPA without cause and without liability but only upon a thirty (30) calendar day written notice. The Contractor shall honor all calls received prior to the effective date of such termination.

BASE (YR1), 07/10/2021 – 07/09/2022

Option Period One (YR2), 07/10/2022 – 07/09/2023 Option Period Two (YR3), 07/10/2023 – 07/09/2024

RENEWAL OF BPA: Within thirty (30) days of the anniversary date of this BPA, the parties hereto shall review this BPA to determine whether changing market conditions, availability and quality of services and other pertinent circumstances require a modification or termination of the BPA. Upon satisfactory review, this BPA may be renewed in increments of one year, provided the Contractor’s performance under this BPA is determined to be satisfactory, and the BLM- AK/Alaska Fire Service continues to require the services ordered. Any such renewal will be subject to prior review and approval of the Contracting Officer. In no event shall this BPA exceed three (3) years.

PRICING: Prices to the Government shall be equal to or lower than those charged the contractor’s most favored customers for comparable quantities under similar terms and conditions, in addition to any discounts for prompt payments. The contractor shall furnish a full parts price list, this list shall contain an effective date and an expiration date. Under Part (1), Section 39-26- 114, CRS 1973 as amended, all sales to the United States Government are exempt from taxation. All calls under this BPA will be firm fixed price orders. But the Government is obligated only to the extent of authorized purchases made under the BPA. No individual purchase shall exceed the call amount.

CALL PLACEMENT INFORMATION: All calls will be placed against this BPA, email or oral communications.

ORDER OF PRECEDENCE: The terms and conditions included in this BPA apply to all purchases made pursuant to it. In the event of an inconsistency between the provisions of this BPA and the Contractor’s invoices, the provisions of this BPA will take precedence.

PRICE INCREASES: The contractor agrees to furnish price changes to the contracting officer at least thirty (30) business days prior to the effective date of the price changes.

DELIVERY TICKETS AND INVOICING PROCEDURES: The Contractor will ensure that the delivery tickets are dated, properly executed and signed by the Government Representative receiving the item. The Government reserves the right to reject any shipment not accompanied by a proper delivery ticket. Invoices shall be submitted through ipp.gov on a monthly basis.

A Proper Invoice will be required and has the following information as per FAR 32.905(b):

Name and address of the Contractor Invoice date and invoice number. (Contractors should date invoices as close as possible to the date of service.)

BPA number and BPA Call number Description, quantity, unit of measure, unit price, and extended price of supplies delivered, or services performed.

Name and address of contractor official to whom payment is to be sent (must be the same as that in the contract or in a proper notice of assignment).

Name, title, phone number, and mailing address of person to notify in the event of a defective invoice.

Taxpayer Identification Number (TIN) Any other information or documentation required by the contract.

It is the responsibility of the Contractor to submit Proper Invoices. The Government now uses an electronic invoicing system to process payments. Proper Invoices must be submitted electronically through Invoice Processing Platform (IPP). The IPP website address is:

https://www.ipp.gov.

CLAUSES

FAR 52.212-5 - See Attached

I hereby acknowledge receipt and acceptance of this Blanket Purchase Agreement under the terms and conditions as specified.

VENDOR

BY: ________________________________

TITLE: _____________________________

DATE: ______________________________

EMAIL: _____________________________

TAX ID NUMBER: ____________________

AGENCY: BLM-AK/AFS

BY: _Stacie Oaks______________________

TITLE: __Contracting Officer, BPA Administrator

DATE: ______________________________

EMAIL: __soaks@blm.gov_____________

Section B. Supplies and Pricing

Fire Medic Program Kit Rehab Order Sheet #1

SAMPLE ORDER - FOR BID COMPARISON ONLY

Please Price Delivered Amt Unit Item Unit Price Total Price

1 kit Airway, I-Gel, size 4, (110-200 lbs)

12 each Airway, Nasopharyngeal, 22f

10 each Airway, Oropharyngeal, Size 5 (90mm)

12 rolls Ant-Acid, Tablet, Tums

6 box Anti-Diarrhea, Tablets, Imodium AD, 12 pills/bx

10 tub Anti-Fungal Cream, Athlete's Foot (Tinactin, Lotrimin-AF or like), 1-2 oz

2 can Anti-Fungal, Spray Powder, Athlete's Foot Desenex (or like)

6 box Anti-Itch, Sting Ease, 10 swabs per box, unit dose

4 bottle Anti-Pain, Tooth, Oil of Cloves, 1/8 oz, unit dose

6 box Anti-Pain/Inflammatory, Acetaminophen, unit dose, 125-200 packs/bx

2 bx Anti-Pain/Inflammatory, Aspirin-buffered, unit dose, 250 packs/bx

12 can Bag Balm, unit dose, 1 oz

2 kt Bag-Valve-Mask, disposable, Adult w/mask, O2 port, tubing & reservoir bag

1 box Bandage, "Coban", 3" 24/bx * brand name only

6 bottle Betadine Solution, 10% povidone iodine, 4-8 oz

24 bottle Body Powder, "Goldbond", Blue-Foot, 4 oz

12 bottle Body Powder, "Goldbond", Green-Medicite, 4 oz

48 bottle Body Powder, "Goldbond", Yellow, 1 oz

24 bottle Body Powder, "Goldbond", Yellow, 4 oz

8 each Burn Dressing, Water-Jel, 4" x 4"

2 box Catheter, IV, Protectiv, 18 ga, 50/bx

1 box Catheter, IV, Protectiv, 22 ga

2 each Catheter, IV, Surflo- 10 ga chest decompression, 3.5"

2 each Cervical Collar, Ambu Perfit Ace, adult

24 each Cold Pack, Disposable - Large

4 bag Cough Drop, Hall's, 30 drops per bag, mixed flavors

48 dose Cough Syrup, Guaifenesin-DM (or like) 1 oz.

1 box Dressing, "Steri-Strip", 1/4" x 3", 3 strips per pack

4 jar Dressing, 2nd Skin, 48-3" Circles

10 pack Dressing, 2nd Skin, dressing pack

2 box Dressing, Band-Aid, cloth, 3/4" x 4 3/4", 25-bx, high quality

2 box Dressing, Band-Aid, cloth, 1" x 3", 100/bx, high quality

12 each Dressing, Bloodstopper or Israely bandage, or like

2 pack Dressing, Chest Seal, Sam, 4", one w/vent, w/o vent

4 box Dressing, Gauze Pad, Sterile, 2" x 2", 6-8 ply, 2/pk, 25/bx

4 box Dressing, Gauze Pad, Sterile, 4" x 4", 6-8 ply, 2/pk, 25/bx

4 box Dressing, Knuckle, cloth, high quality

8 each Dressing, Quit Clot, Z-Fold

10 roll Dressing, Retention, Hypafix, 2" x 10 yds

4 pack Electrode, ECG, Blue Dot, small adult, 10 per pack

2 set Electrode, Multi Function, compatible w/Zoll, Adult

2 set Electrode, Zoll CPR-D padz Defibrillator and CPR System, One-Piece

6 bottle Eye Drops, Allergy, Novartis – Zaditor, 12 hr (or like), 5 ml

6 bottle Eye Drops, Novartis-GenTeal Liquil Gel drops (or like), 0.5 oz

12 bottle Eye, Irrigating solution, 4 oz

2 box EZ-IO, needles, adult, 25mm, 5/bx

25 ea Fluid, Sodium Chloride, 0.9% (Normal Saline), 1000 ml per bag

4 box Glove, Disposable, Non-Latex, Non-powdered, Large, 50/bx - BLACK

24 tu Lip Balm, Carmex, 0.35 oz, unit dose

12 each Mucosal Atomization Device-MAD, w/3cc syringe

4 roll Moleskin, 9" x 144", or like size

Equipment-Supplies-OTCs

Fire Medic Program Kit Rehab Order Sheet #1

SAMPLE ORDER - FOR BID COMPARISON ONLY

Please Price Delivered Amt Unit Item Unit Price Total Price

2 box Nasal Decongestant, Loratadine (Claritin), 10 mg, 24 hour, 24/bx

2 box Nasal Decongestant, Night Time, "Night Quil" (or like), unit dos, 24/bx

2 box Nasal Decongestant, Pseudoephedrine, (125/bx)

48 bt Nasal Spray, Sea Mist (or like), 1.5 oz, unit dose

1 box Needle, Dual Cannula "Twinpak", 50/bx

1 box Needle, SafetyGlide, 18ga x 1", or like, 100/bx

2 kt Oxygen Mask, CPAP (Flowsafe II or like), 1 each adult and small adult, 12 each Oxygen Mask, Nasal Cannula, Adult

12 each Oxygen Mask, Nebulizer

12 each Oxygen Mask, Non-rebreather, 3 in 1, adult

2 box Povidone-Iodine, Amules, 10/bx

1 box Scalpel, Disposable, #10, 10/bx

2 bx Skin Adhesive (liquid), vial (crush), Mastisol, 2/3 ml, 25/bx

8 bottle Skin Cleaner, Hibiclens or like, 4 oz

6 each Splash Shield, Igloo/Zerowet

4 each Splint , "SAM" 4 1/2" flat

2 kit Splint, Traction, KTD

1 box Syringe, Sterile, 10cc, 50/bx

1 box Syringe, Sterile, 20cc, 25/bx

2 box Tape, Micropore, 1"

2 box Tape, Porous, athletic, 1"

2 box Tape, Transpore, 1"

4 each Tool, Forceps, Tissue

4 each Tool, Hemostat, straight, small gripper

4 each Tool, Scissors, Tissue, Curved, small

4 each Tool, Shears, Bandage 7 1/2"

4 each Tool, Shears, Trauma, 7 1/4"

8 each Tourniquet, C.A.T.

2 each Albuterol Sulfate, MDI, 8.5gr

1 box Albuterol Sulfate Inhalation Solution 0.083%, 2.5mg/3ml, individual, 25/bx

2 each Dextrose 50% Injection, 25g/50ml, preload or vial

8 each Diphenhydramine (Benadryl), 50mg/ml, 1ml carpuject, preload, or vial

12 each Epinephrine Injection 1:1000, 1mg/1ml, vial or ampule

1 box Fentanyl, 0.05mg/ml, 2ml carpuject, vial, 25/bx

4 each Gentamicin Sulfate Ophthalmic Ointment (Gentak), 3.5gr tube

1 box Ipratropium Bromide / Albuterol Sulfate (Atrovent), 0.5mg/3.0mg, individual, 25/bx

4 each Lidocaine HCl 2% Injection, 20mg/ml, 100mg preload

1 box Lorazepam (Ativan), 2mg/1ml, carpuject, 10/bx

1 box Midazolam (Versed), 5mg/ml, 10mg/2ml vial, 10/bx

6 each Naloxone Hydrochloride (Narcan), 1mg/ml, 2mg preload or vial

2 bottle Nitroglycerin (Nitrostat), 0.4 mg/tablet, 25/bt

1 box Ondansetron (Zofran) Injection, 4mg/2ml vial, 25/bx

8 each Ondansetron (Zofran), oral, sub-lingual, 8mg

6 each Proparacaine Hydrochloride Ophthalmic Solution, (Alcaine) 15ml bottle

1 box Sodium Bicarbonate, 1mEq/ml, vial, 25/bx

*This sample order is representative and will only to be used to compare vendor pricing for the BPA solictiation Order Total

Equipment-Supplies-OTCs

Pharmaceuticals

Clauses/Provisions Incorporated by Reference

52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements-Representation (Jan 2017) (provision)

52.204-7 System for Award Management (Oct 2018) (provision)

52.204-13 System for Award Management Maintenance (Oct 2018)

52.204-16 Commercial and Government Entity Code Reporting (AUG 2020) (provision)

52.204-18 Commercial and Government Entity Code Maintenance. (AUG 2020)

52.204-19 Incorporation by Reference of Representations and Certifications (DEC 2014)

52.212-1 Instructions to Offerors - Commercial Items. (JUN 2020) (provision)

52.212-4 Contract Terms and Conditions - Commercial Items. (Oct 2018)

52.232-39 Unenforceability of Unauthorized Obligation (JUN 2013)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors (DEC 2013)

52.243-1 Changes Fixed Price (AUG 1987)

52.245-1 Government Property (JAN 2017)

Clauses/Provisions Incorporated by Full Text

Environmentally Preferable and Energy-Efficient Products and Services Policy

Whenever cost effective, the contractor should provide products and/or services that are energy efficient, promote water conservation and are bio-based. The use of nonhazardous and recovered materials is encouraged.

DOI ELECTRONIC INVOICING Electronic Invoicing and Payment Requirements – Invoice Processing Platform (IPP) (APR 2013)

Payment requests must be submitted electronically through the U. S. Department of the Treasury's Invoice Processing Platform System (IPP).

"Payment request" means any request for contract financing payment or invoice payment by the Contractor. To constitute a proper invoice, the payment request must comply with the requirements identified in the applicable Prompt Payment clause included in the contract, or the clause 52.212-4 Contract Terms and Conditions - Commercial Items included in commercial item contracts. The IPP website address is: https://www.ipp.gov.

The Contractor must use the IPP website to register, access and use IPP for submitting requests for payment. The Contractor Government Business Point of Contact (as listed in SAM will receive enrollment instructions via email from the Federal Reserve Bank of Boston (FRBB) within 3 - 5 business days of the contract award date. Contractor assistance with enrollment can be obtained by contacting the IPP Production Helpdesk via email ippgroup@bos.frb.org or phone (866) 973-3131.

Under this contract, the following documents are required to be submitted as an attachment to the IPP invoice:

Itemized invoice for items delivered and/or work performed.

If the Contractor is unable to comply with the requirement to use IPP for submitting invoices for payment, the

Contractor must submit a waiver request in writing to the Contracting Officer with its proposal or quotation.

(End of clause)

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Oct 2020) (provision)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Items. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision—

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub.

L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".

(d) Representation. The Offeror represents that—

(1) It □ will, □ will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that—

It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

52.204-26 Covered Telecommunications Equipment or Services-Representation. (OCT 2020) (provision)

(a) Definitions. As used in this provision, "covered telecommunications equipment or services" and "reasonable inquiry" have the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".

(c) (1) Representation. The Offeror represents that it □ does, □ does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

(2) After conducting a reasonable inquiry for purposes of this representation, the offeror represents that it □ does, □ does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services. (End of provision)

52.212-2 Evaluation-Commercial Items (Oct 2014) (provision)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

___LPTA________________________________________

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)

52.212-3 Offeror Representations and Certifications -- Commercial Items (JAN 2021) (provision)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (v)) of this provision.

(a) Definitions. As used in this provision—

"Covered telecommunications equipment or services" has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

Economically disadvantaged women-owned small business (EDWOSB) concern means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

Forced or indentured child labor means all work or service—

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

Highest-level owner means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

Immediate owner means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

Inverted domestic corporation, means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

Manufactured end product means any end product in product and service codes (PSCs) 1000-9999, except—

(1) PSC 5510, Lumber and Related Basic Wood Materials;

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

Place of manufacture means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

Predecessor means an entity that is replaced by a successor and includes any predecessors of the predecessor.

Reasonable inquiry has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

Restricted business operations means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended. “Sensitive technology"—

Sensitive technology—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3)of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

Service-disabled veteran-owned small business concern—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service connected, as defined in 38 U.S.C. 101(16).

Small business concern—

(1) 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 size standards in this solicitation.

(2) Affiliates, as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13

CFR 121.103.

Small disadvantaged business concern, consistent with13 CFR 124.1002, means a small business concern under the size standard applicable to the acquisition, that—

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by—

(i) One or more socially disadvantaged (as defined at13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

Subsidiary means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation

Successor means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term "successor" does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

Veteran-owned small business concern means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127), means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.

Women-owned small business concern means a small business concern—

(1) That is at least 51 percent owned by one or more women; or, in the case of any publicly owned business, at least51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

(b)

(1) Annual Representations and Certifications. Any changes provided by the Offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications in SAM

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications-Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ______________.

[Offeror to identify the applicable paragraphs at (c) through (v) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

(c) Offerors must complete the following representations when the resulting contract will be performed in the United States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it □ is, □ is not a small business concern.

(2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it □ is, □ is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it □ is, □ is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, that it □ is, □ is not a small disadvantaged business concern as defined in 13 CFR124.1002.

(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it □ is, □ is not a women-owned small business concern.

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that-

(i) It □ is, □ is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It □ is, □ is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: __________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(7) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.] The offeror represents that-

(i) It □ is, □ is not an EDWOSB concern, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It □ is, □ is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: __________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

Note: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is…