WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect 8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

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

OFFER

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

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER

DATED . . YOUR OFFER ON SOLICITATION

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

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

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

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

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

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

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

calls)

Continuation of Supplies or Services and Prices/Costs

Additional Information/Notes

Item Supplies/Service Quantity Unit Unit Price

Amount

0001 Audiometric Booth. Brand name or equal to the Eckel CL-M6 PR6. In accordance with the attached Salient Characteristics.

Catalog Number: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

0002 Audiometric Booth. Brand name or equal to the Eckel CL-M8 PR8. In accordance with the attached Salient Characteristics.

Catalog Number: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

0003 Window in Door, 20" wide by 22" high, One Window in each Booth.

Catalog Number: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

0004 Installation - including set up, system checkout, training, and packaging removal for both audiometric booths brand name or equal to the Eckel CL-M6 PR6, one (1) each and the Eckel CL-M8 PR8, one (1) each.

Catalog Number: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

0005 Shipping to destination.

Catalog Number: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

W81K0026QA0680001

Continuation of Description

Requirements The Irwin Army Community Hospital (IACH), Fort Riley, Kansas, 66442-4030 has a requirement for the supply of two (2) audiometric booths. This will be a brand name or equal request for audiometric booths brand name or equal to the Eckel CL-M6 PR6, one (1) each and the Eckel CL-M8 PR8, one (1) each.

Product Service Code : 6515 North American Industry Classification System (NAICS) : 339112

Product Service Code : 6515 North American Industry Classification System (NAICS) : 339112

Product Service Code : 6515 North American Industry Classification System (NAICS) : 339112

Product Service Code : 6515 North American Industry Classification System (NAICS) : 339112

Product Service Code : 6515 North American Industry Classification System (NAICS) : 339112

Continuation of Inspection and Acceptance

Overall Contract Inspection/Acceptance Locations

0001 Inspection and Acceptance Location

Both Destination Instructions: Brand name or equal to the Eckel CL-M6 PR6 in accordance with the statement of work.

DoDAAC: HT0792 CountryCode: USA

ACH IRWIN RILEY - PB

LOGISTICS WAREHOUSE, 650 HUEBNER ROAD

FORT RILEY, KS 66442-5936

UNITED STATES

0002 Inspection and Acceptance Location

Both Destination Instructions: Instructions: Brand name or equal to the Eckel CL-M8 PR8 in accordance with the statement of work.

DoDAAC: HT0792 CountryCode: USA

ACH IRWIN RILEY - PB

LOGISTICS WAREHOUSE, 650 HUEBNER ROAD

FORT RILEY, KS 66442-5936

UNITED STATES

0003 Inspection and Acceptance Location

Both Destination Instructions: Installation in accordance with the statement of work.

DoDAAC: HT0792 CountryCode: USA

ACH IRWIN RILEY - PB

LOGISTICS WAREHOUSE, 650 HUEBNER ROAD

FORT RILEY, KS 66442-5936

UNITED STATES

0004 Inspection and Acceptance Location

Both Destination Instructions: Installation in accordance with the statement of work.

DoDAAC: HT0792 CountryCode: USA

ACH IRWIN RILEY - PB

LOGISTICS WAREHOUSE, 650 HUEBNER ROAD

FORT RILEY, KS 66442-5936

UNITED STATES

0005 Inspection and Acceptance Location

Both Destination Instructions: Shipping in accordance with the statement of work.

DoDAAC: HT0792 CountryCode: USA

ACH IRWIN RILEY - PB

LOGISTICS WAREHOUSE, 650 HUEBNER ROAD

FORT RILEY, KS 66442-5936

UNITED STATES

Continuation of Deliveries or Performance

0001 Delivery Schedule Delivery On Or Before Delivery Date 30 May 2026

1 EachQuantity

Address and POC Ship To DoDAAC: HT0792 CountryCode: USA

ACH IRWIN RILEY - PB

LOGISTICS WAREHOUSE, 650 HUEBNER ROAD FORT RILEY, KS 66442-5936

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0002 Delivery Schedule Delivery On Or Before Delivery Date 30 May 2026

1 EachQuantity

Address and POC Ship To DoDAAC: HT0792 CountryCode: USA

ACH IRWIN RILEY - PB

LOGISTICS WAREHOUSE, 650 HUEBNER ROAD FORT RILEY, KS 66442-5936

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0003 Delivery Schedule Delivery On Or Before Delivery Date 30 May 2026

2 EachQuantity

Address and POC Ship To DoDAAC: HT0792 CountryCode: USA

ACH IRWIN RILEY - PB

LOGISTICS WAREHOUSE, 650 HUEBNER ROAD FORT RILEY, KS 66442-5936

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0004 Delivery Schedule Delivery On Or Before Delivery Date 30 May 2026

1 EachQuantity

Address and POC Ship To DoDAAC: HT0792 CountryCode: USA

ACH IRWIN RILEY - PB

LOGISTICS WAREHOUSE, 650 HUEBNER ROAD FORT RILEY, KS 66442-5936

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

0005 Delivery Schedule Delivery On Or Before Delivery Date 30 May 2026

1 EachQuantity

Address and POC Ship To DoDAAC: HT0792 CountryCode: USA

ACH IRWIN RILEY - PB

LOGISTICS WAREHOUSE, 650 HUEBNER ROAD FORT RILEY, KS 66442-5936

UNITED STATES

Special Handling/Notes FoB Details

Party to Pay Transportation Cost: Contractor

Point Type: Destination

Contract Clauses

FAR Clauses Incorporated by Reference

Number Title Effective Date

Alternate Deviation

Variation Effective Date

52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements.

2017-01

52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards. (Deviation)

2026-02

52.204-13 System for Award Management- Maintenance. (Deviation)

2026-02

52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded.

(Deviation)

2026-02

52.212-4 Terms and Conditions-Commercial Products and Commercial Services.

(Deviation)

2026-02

52.219-6 Notice of Total Small Business Set-Aside.

(Deviation)

2026-02

52.222-19 Child Labor-Cooperation with Authorities and Remedies. (Deviation)

2026-02

52.222-35 Equal Opportunity for Veterans. (Deviation) 2026-02

52.222-36 Equal Opportunity for Workers with Disabilities. (Deviation)

2026-02

52.222-37 Employment Reports on Veterans.

(Deviation)

2026-02

52.222-50 Combating Trafficking in Persons.

(Deviation)

2026-02

52.225-3 Buy American-Free Trade Agreements- Israeli Trade Act. (Deviation) (Alternate II)

2026-02 Alternate

II

2026-02

52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving.

2024-05

52.229-12 Tax on Certain Foreign Procurements. 2021-02

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

2018-10

52.232-40 Providing Accelerated Payments to Small Business Subcontractors.

2023-03

52.233-3 Protest after Award. (Deviation) 2026-02

52.233-4 Applicable Law for Breach of Contract Claim. (Deviation)

2026-02

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate Deviation

Variation Effective Date

252.203-7000 Requirements Relating to Compensation of Former DoD Officials.

2011-09

252.203-7002 Requirement to Inform Employees of Whistleblower Rights.

2022-12

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting.

2024-05

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services.

2023-01

252.223-7008 Prohibition of Hexavalent Chromium. 2023-01

252.225-7001 Buy American and Balance of 2024-02

Payments Program.

252.225-7056 Prohibition Regarding Business Operations with the Maduro Regime.

2023-01

252.225-7060 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region.

2023-06

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports.

2018-12

252.232-7010 Levies on Contract Payments. 2006-12

252.244-7000 Subcontracts for Commercial Products or Commercial Services.

2023-11

252.247-7023 Transportation of Supplies by Sea. 2024-10

DFARS Clauses Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

252.211-7003 Item Unique Identification and Valuation.

2023-01

ITEM UNIQUE IDENTIFICATION AND VALUATION (JAN 2023)

(a) Definitions. As used in this clause-

"Automatic identification device" means a device, such as a reader or interrogator, used to retrieve data encoded on machine-readable media.

"Concatenated unique item identifier" means-

(1) For items that are serialized within the enterprise identifier, the linking together of the unique identifier data elements in order of the issuing agency code, enterprise identifier, and unique serial number within the enterprise identifier; or

(2) For items that are serialized within the original part, lot, or batch number, the linking together of the unique identifier data elements in order of the issuing agency code;

enterprise identifier; original part, lot, or batch number; and serial number within the original part, lot, or batch number.

"Data matrix" means a two-dimensional matrix symbology, which is made up of square or, in some cases, round modules arranged within a perimeter finder pattern and uses the Error Checking and Correction 200 (ECC200) specification found within International Standards Organization (ISO)/International Electrotechnical Commission (IEC) 16022.

"Data qualifier" means a specified character (or string of characters) that immediately precedes a data field that defines the general category or intended use of the data that follows.

"DoD recognized unique identification equivalent" means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at https://www.acq.osd.mil/asda/dpc/ce/ds/unique-id.html.

"DoD item unique identification" means a system of marking items delivered to DoD with unique item identifiers that have machine-readable data elements to distinguish an item from all other like and unlike items. For items that are serialized within the enterprise identifier, the unique item identifier shall include the data elements of the enterprise identifier and a unique serial number. For items that are serialized within the part, lot, or batch number within the enterprise identifier, the unique item identifier shall include the data elements of the enterprise identifier; the original part, lot, or batch number; and the serial number.

" Enterprise " means the entity (e.g., a manufacturer or vendor) responsible for assigning unique item identifiers to items.

" Enterprise identifier" means a code that is uniquely assigned to an enterprise by an issuing agency.

"Government's unit acquisition cost" means-

(1) For fixed-price type line, subline, or exhibit line items, the unit price identified in the contract at the time of delivery;

(2) For cost-type or undefinitized line, subline, or exhibit line items, the Contractor's estimated fully burdened unit cost to the Government at the time of delivery; and

(3) For items produced under a time-and-materials contract, the Contractor's estimated fully burdened unit cost to the Government at the time of delivery.

"Issuing agency" means an organization responsible for assigning a globally unique identifier to an enterprise, as indicated in the Register of Issuing Agency Codes for ISO/IEC 15459, located at http://www.aimglobal.org/?Reg_Authority15459.

"Issuing agency code" means a code that designates the registration (or controlling) authority for the enterprise identifier.

"Item" means a single hardware article or a single unit formed by a grouping of subassemblies, components, or constituent parts.

" Lot or batch number" means an identifying number assigned by the enterprise to a designated group of items, usually referred to as either a lot or a batch, all of which were manufactured under identical conditions.

"Machine-readable" means an automatic identification technology media, such as bar codes, contact memory buttons, radio frequency identification, or optical memory cards.

"Original part number" means a combination of numbers or letters assigned by the enterprise at item creation to a class of items with the same form, fit, function, and interface.

"Parent item" means the item assembly, intermediate component, or subassembly that has an embedded item with a unique item identifier or DoD recognized unique identification equivalent.

"Serial number within the enterprise identifier" means a combination of numbers, letters, or symbols assigned by the enterprise to an item that provides for the differentiation of that item from any other like and unlike item and is never used again within the enterprise.

"Serial number within the part, lot, or batch number" means a combination of numbers or letters assigned by the enterprise to an item that provides for the differentiation of that item from any other like item within a part, lot, or batch number assignment.

"Serialization within the enterprise identifier" means each item produced is assigned a serial number that is unique among all the tangible items produced by the enterprise and is never used again. The enterprise is responsible for ensuring unique serialization within the enterprise identifier.

"Serialization within the part, lot, or batch number" means each item of a particular part, lot, or batch number is assigned a unique serial number within that part, lot, or batch number assignment. The enterprise is responsible for ensuring unique serialization within the part, lot, or batch number within the enterprise identifier.

"Type designation" means a combination of letters and numerals assigned by the Government to a major end item, assembly or subassembly, as appropriate, to provide a convenient means of differentiating between items having the same basic name and to indicate modifications and changes thereto.

"Unique item identifier" means a set of data elements marked on items that is globally unique and unambiguous. The term includes a concatenated unique item identifier or a DoD recognized unique identification equivalent.

"Unique item identifier type" means a designator to indicate which method of uniquely identifying a part has been used. The current list of accepted unique item identifier types is maintained at https://www.acq.osd.mil/asda/dpc/ce/ds/unique-id.html.

(b) The Contractor shall deliver all items under a contract line, subline, or exhibit line item.

(c) Unique item identifier.

(1) The Contractor shall provide a unique item identifier for the following:

(i) Delivered items for which the Government's unit acquisition cost is $5,000 or more, except for the following line items:

Contract Line, Subline, or

Exhibit Line Item Number Item Description

(ii) Items for which the Government's unit acquisition cost is less than $5,000 that are identified in the Schedule or the following table:

Contract Line, Subline, or

Exhibit Line Item Number Item Description

(If items are identified in the Schedule, insert "See Schedule in this table.)

(iii) Subassemblies, components, and parts embedded within delivered items, items with warranty requirements, DoD serially managed reparables and DoD serially managed nonreparables as specified in Attachment Number ____.

(iv) Any item of special tooling or special test equipment as defined in FAR 2.101 that have been designated for preservation and storage for a Major Defense Acquisition Program as specified in Attachment Number ____.

(v) Any item not included in (i), (ii), (iii), or (iv) for which the contractor creates and marks a unique item identifier for traceability.

(2) The unique item identifier assignment and its component data element combination shall not be duplicated on any other item marked or registered in the DoD Item Unique Identification Registry by the contractor.

(3) The unique item identifier component data elements shall be marked on an item using two dimensional data matrix symbology that complies with ISO/IEC International Standard 16022, Information technology - International symbology specification - Data matrix; ECC200 data matrix specification.

(4) Data syntax and semantics of unique item identifiers. The Contractor shall ensure that-

(i) The data elements (except issuing agency code) of the unique item identifier are encoded within the data matrix symbol that is marked on the item using one of the following three types of data qualifiers, as determined by the Contractor:

(A) Application Identifiers (AIs) (Format Indicator 05 of ISO/IEC International Standard 15434), in accordance with ISO/IEC International Standard 15418, Information Technology - EAN/UCC Application Identifiers and Fact Data Identifiers and Maintenance and ANSI MH

10.8.2 Data Identifier and Application Identifier Standard.

(B) Data Identifiers (DIs) (Format Indicator 06 of ISO/IEC International Standard 15434), in accordance with ISO/IEC International Standard 15418, Information Technology - EAN/UCC Application Identifiers and Fact Data Identifiers and Maintenance and ANSI MH 10.8.2 Data Identifier and Application Identifier Standard.

(C) Text Element Identifiers (TEIs) (Format Indicator 12 of ISO/IEC International Standard 15434), in accordance with the Air Transport Association Common Support Data Dictionary;

and

(ii) The encoded data elements of the unique item identifier conform to the transfer structure, syntax, and coding of messages and data formats specified for Format Indicators 05, 06, and 12 in ISO/IEC International Standard 15434, Information Technology - Transfer Syntax for High Capacity Automatic Data Capture Media.

(5) Unique item identifier.

(i) The Contractor shall-

(A) Determine whether to-

(1) Serialize within the enterprise identifier;

(2) Serialize within the part, lot, or batch number; or

(3) Use a DoD recognized unique identification equivalent (e.g. Vehicle Identification Number); and

(B) Place the data elements of the unique item identifier (enterprise identifier; serial number;

DoD recognized unique identification equivalent; and for serialization within the part, lot, or batch number only: original part, lot, or batch number) on items requiring marking by paragraph (c)(1) of this clause, based on the criteria provided in MIL-STD-130, Identification Marking of U.S. Military Property, latest version;

(C) Label shipments, storage containers and packages that contain uniquely identified items in accordance with the requirements of MIL-STD-129, Military Marking for Shipment and Storage, latest version; and

(D) Verify that the marks on items and labels on shipments, storage containers, and packages are machine readable and conform to the applicable standards. The contractor shall use an automatic identification technology device for this verification that has been programmed to the requirements of Appendix A, MIL-STD-130, latest version.

(ii) The issuing agency code-

(A) Shall not be placed on the item; and

(B) Shall be derived from the data qualifier for the enterprise identifier.

(d) For each item that requires item unique identification under paragraph (c)(1)(i), (ii), or (iv) of this clause or when item unique identification is provided under paragraph (c)(1)(v), in addition to the information provided as part of the Material Inspection and Receiving Report specified elsewhere in this contract, the Contractor shall report at the time of delivery, as part of the Material Inspection and Receiving Report, the following information:

(1) Unique item identifier.

(2) Unique item identifier type.

(3) Issuing agency code (if concatenated unique item identifier is used).

(4) Enterprise identifier (if concatenated unique item identifier is used).

(5) Original part number (if there is serialization within the original part number).

(6) Lot or batch number (if there is serialization within the lot or batch number).

(7) Current part number (optional and only if not the same as the original part number).

(8) Current part number effective date (optional and only if current part number is used).

(9) Serial number (if concatenated unique item identifier is used).

(10) Government's unit acquisition cost.

(11) Unit of measure.

(12) Type designation of the item as specified in the contract schedule, if any.

(13) Whether the item is an item of Special Tooling or Special Test Equipment.

(14) Whether the item is covered by a warranty.

(e) For embedded subassemblies, components, and parts that require DoD item unique identification under paragraph (c)(1)(iii) of this clause or when item unique identification is provided under paragraph (c)(1)(v), the Contractor shall report as part of the Material Inspection and Receiving Report specified elsewhere in this contract, the following information:

(1) Unique item identifier of the parent item under paragraph (c)(1) of this clause that contains the embedded subassembly, component, or part.

(2) Unique item identifier of the embedded subassembly, component, or part.

(3) Unique item identifier type.**

(4) Issuing agency code (if concatenated unique item identifier is used).**

(5) Enterprise identifier (if concatenated unique item identifier is used).**

(6) Original part number (if there is serialization within the original part number).**

(7) Lot or batch number (if there is serialization within the lot or batch number).**

(8) Current part number (optional and only if not the same as the original part number).**

(9) Current part number effective date (optional and only if current part number is used).**

(10) Serial number (if concatenated unique item identifier is used).**

(11) Description.

** Once per item.

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause as follows:

(1) End items shall be reported using the receiving report capability in Wide Area WorkFlow (WAWF) in accordance with the clause at 252.232-7003. If WAWF is not required by this contract, and the contractor is not using WAWF, follow the procedures at http://dodprocurementtoolbox.com/site/uidregistry/.

(2) Embedded items shall be reported by one of the following methods-

(i) Use of the embedded items capability in WAWF;

(ii) Direct data submission to the IUID Registry following the procedures and formats at http://dodprocurementtoolbox.com/site/uidregistry/; or

(iii) Via WAWF as a deliverable attachment for exhibit line item number (fill in) ____, Unique

Item Identifier Report for Embedded Items, Contract Data Requirements List, DD Form 1423.

(g) Subcontracts. If the Contractor acquires by subcontract, any item(s) for which item unique identification is required in accordance with paragraph (c)(1) of this clause, the Contractor shall include this clause, including this paragraph (g), in the applicable subcontract(s), including subcontracts for commercial products or commercial services.

(End of clause)

252.232-7006 Wide Area WorkFlow Payment Instructions.

2023-01

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(a) As used in this clause- Definitions.

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

"Document type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

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

"Payment request" and "receiving report" are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) The WAWF system provides the method to electronically Electronic invoicing.

process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

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

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

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

(d) The Contractor should follow the training instructions of the WAWF WAWF training.

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

(e) Document submissions may be via web WAWF methods of document submission.

entry, Electronic Data Interchange, or File Transfer Protocol.

(f) The Contractor shall use the following information WAWF payment instructions.

when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) The Contractor shall submit payment requests using the Document type.

following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items-

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

Invoice and Receiving Report (COMBO)

(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

(Contracting Officer: Insert either "Invoice 2in1" or the applicable invoice and receiving report document type(s) for fixed price line items for services.)

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial financing, submit a commercial financing request.

(2) ) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF "combo" document type to create some combinations of invoice and receiving report in one step.]

(3) The Contractor shall use the information in the Routing Data Document routing.

Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC

HQ0490

Issue By DoDAAC W81K00

Admin DoDAAC W81K00

Inspect By DoDAAC

HT0793

Ship To Code

HT0793

Ship From Code

Mark For Code

Service Approver (DoDAAC)

HT0793

Service Acceptor (DoDAAC)

HT0793

Accept at Other DoDAAC

LPO DoDAAC

DCAA Auditor DoDAAC

Other DoDAAC(s)

(*Contracting Officer: Insert applicable DoDAAC information. If multiple ship to/acceptance locations apply, insert "See Schedule" or "Not applicable.")

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(4) The Contractor shall ensure a payment request includes Payment request.

documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) The Contractor shall ensure a receiving report meets the Receiving report.

requirements of DFARS Appendix F.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

INSPECTOR:

ACCEPTOR:

RECEIVING OFFICE POC:

CONTRACT ADMINISTRATOR: Clarence 'Craig' Cude, (254) 553-8440, clarence.c.cude.civ@health.mil

CONTRACTING OFFICER: Joshua P. Barbero, (254) 288-4769, joshua.p.

barbero.civ@health.mil

ADDITIONAL CONTACT: See Above

Any modification requests must be in writing and submitted to: W81K00, Fort Hood Health Contracting Branch (HdHCB), Medical Readiness Contracting Office - West (MRCO-W ), 36038 Wratten Drive, Fort Hood, Texas 76544.

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

Addendum to 52.212-4, Contract Terms and Conditions - Commercial Products and Commercial Services

The non-FAR Part 12 discretionary FAR and DFARS clauses included herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2 herein for locations where full text can be found.

*** END OF NARRATIVE ***

Addendum to Contract Clauses

FAR Clauses Incorporated by Reference

Number Title Effective Date

Alternate Deviation

Variation Effective Date

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (Deviation)

2026-02

52.222-3 Convict Labor. (Deviation) 2026-02

52.223-5 Pollution Prevention and Right-to-Know Information.

2024-05

52.223-23 Sustainable Products. (Deviation) 2026-02

52.240-91 Security Prohibitions and Exclusions.

(Deviation)

2026-02

52.244-6 Subcontracts for Commercial Products and Commercial Services. (Deviation)

DFARS Clauses Incorporated by Reference

Date

Alternate Deviation

Variation Effective Date

252.225-7002 Qualifying Country Sources as Subcontractors.

2022-03

FAR Clauses Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

52.252-2 Clauses Incorporated by Reference.

1998-02

Clauses Incorporated By Reference (Feb 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address (es):

____ https://www.acquisition.gov/browse/index/far ____[Insert one or more Internet addresses]

52.252-6 Authorized Deviations in Clauses.

2020-11

Authorized Deviations in Clauses (Nov 2020)

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

(b) The use in this solicitation or contract of any Federal Acquisition Regulation[insert regulation name] (48 CFR Chapter 2) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

List of Contract Documents, Exhibits, or Attachments

STATEMENT OF WORK (SOW) FOR Eckel CL-M6 PR - Custom 6-Man Audiometric (Hearing) Booth and Eckel CL-M8 PR-Custom 8-Man Audiometric (Hearing Booth - (Brand Name or Equal)

GENERAL INFORMATION. The Operational Support Team (OST) at Irwin Army Community Hospital (IACH), Fort Riley, KS has a requirement for an Eckel CL-M6 PR - Custom 6-Man Audiometric (Hearing) Booth and Eckel CL-M8 PR- Custom 8-Man Audiometric (Hearing Booth (Brand Name or Equal) meeting American National Standard ANSI/ASA S3.1-1999 (R2023) - Maximum Permissible Ambient Noise Levels for Audiometric Test Rooms, and ANSI/ASA S3.6- 2018 (R2023) - Specification for Audiometers. The booth shall be delivered and installed.

Background. The IACH has no material handling equipment, e.g. heavy-duty dolly, pallet jack, panel carriers, etc., to assist with the removal and/or installation. The floor-to-ceiling height leading to and in the audiometric room is a minimum of 8 feet.

Objectives: To provide and install two new audiometric booths of the required size as required at IACH.

Scope of Work. The contractor shall deliver and provide installation/system checkout on both audiometric booths to IACH. The proposed location and room dimensions are in Technical Exhibit A, and Technical Exhibit B.

The Contractor shall comply with all applicable laws, rules and regulations, including DoDI

6055.12 Section 3.8 - Hearing Conservation Program.

The Contractor shall only conduct business with designated Government personnel identified as points of contact (POCs) for this requirement. Names of authorized personnel will be provided to the Government Point of Contact (GPOC), in writing within 7 days of contract award, and updated as necessary throughout the contract period.

Place of Delivery: Soldier Readiness Processing, 7672 Parker Road, Fort Riley, KS 66442

Government Points of Contact. The Government will provide the Government Point of Contact and their contact information within 7 days of issuance of the resultant purchase order.

Materials. The Contractor shall provide all other supplies, personnel, expertise, transportation, labor, and other items required to meet the requirements under this SOW for the successful consummation of this contract.

Equipment: The Contractor shall furnish a new Eckel CL-M6 PR - Custom 6-Man Audiometric (Hearing) Booth and Eckel CL-M8 PR-Custom 8-Man Audiometric (Hearing) Booth- (Brand Name or Equal) in accordance with the terms, conditions, and specifications delineated herein to meet the requirements under this SOW.

New Equipment Specifications: The contractor shall provide one new fully functional Eckel CL-M6 PR - Custom 6-Man Audiometric (Hearing) Booth and one fully functional Eckel CL-M8 PR - Custom 8-Man Audiometric (Hearing) Booth- (Brand Name or Equal) for medical audiological examinations in accordance with (IAW) the following specifications:

Eckel CL-M6 PR and Eckel CL-M8 PR -person multi-station booth (Brand Name or Equal) consisting of:

- Self contained environment for hearing testing must consist of perforated steel interior, rolled solid steel exterior. Floor and door. With internally mounted heavy hinges within the door leaf panel frame with magnetic compression seal and drag seal from bottom of door

- Be Switch-activated with an LED Illuminations System.

- Be Acoustically Engineered with Roof-mounted Ventilation.

- Units must come with floor-mounted casters for quick setting up.

- Must have pre-wired jack panel that matches connections between the booth and the room for both data and power.

- Must come with interior floor carpeting.

- Must have 2-1/2" thick panels for a higher degree of noise reduction for testing environments with inconsistent ambient conditions.

- Must Have a Sound Secure Patient Viewing Window.

- Features carpeting with Cove Base Trim.

- Have Hospital-grade Recessed Electrical Devices.

-CL-M6- Outside Dimensions must be (1) 98" W x 112" D x 99"H, inside Dimensions must be 74" W x 88" D x 78" H.

-CL-M8 Outside Dimensions must be (1) 98" W x 115" D x 99"H, inside Dimensions must be 74" W x 101" D x 78" H.

- Units must be single walled.

- Must have single door / wall system.

- Must have window installed in main door.

- Must be assembled on site.

- Must meet American National Standard, ANSI/ASA S3.1-1999 (R2023) or newer certification standard, Maximum Permissible Ambient Noise Levels for Audiometric Test Rooms.

- Must meet ANSI/ASA S3.6-2018 (R2023) or newer certification standards.

- NOTE TO INDUSTRY: A one (1) year warranty is preferred on any offer submitted."

The booths shall be delivered to the room on the floor which is to be installed.

The contractor shall remove from the premises of the IACH all packaging, creating, and installation debris/booth materiel shall be removed and properly disposed of by the contractor.

Tentative Delivery/Installation Date Window: The tentative delivery or installation date will be provided when the individual booth order is placed, subject to change.

The contractor shall perform a sound pressure level test upon completion of installation of the new audiometric booth, for the frequencies of 500 through 8000 hertz, ears covered in accordance with ANSI/ASA S3.1-1999 (R2023). Test results shall be provided to the Government Point of Contact (GPOC) as proof of audiometric booth certification and compliance with ANSI/ASA S3.1-1999 (R2023) and ANSI/ASA S3.6-2018 (R2023) standards.

All test equipment used to perform the sound level testing shall have a valid calibration.

After both Booths installation, the contractor shall provide a copy of the warranty and sound pressure level test results, to include individual frequency and decibel readings.

Attachments/ Exhibits List:

Exhibit A: Room Layout.

Exhibit B: Building Layout.

*** END OF NARRATIVE ***

The attachments listed in this Section are incorporated by reference and made part of this contract with the same force and effect as if included in full text

*** END OF NARRATIVE ***

Identifier Document Name

Document Description

Reference Identifier

Date Line Item

Page Numbers

Document Type

Provided Under Separate Cover

0001 Exhibit A

HEARING B

OOTH ROOM

DIMENSIONS

Drawings Exhibit A Room Diagram

Feb

Attachment No

0002 Exhibit B Building Layout-FT

RILEY-

Drawings Exhibit B Building Layout

Feb

Attachment No

Solicitation Provisions

FAR Provisions Incorporated by Reference

Number Title Effective Date

Alternate Deviation

Variation Effective Date

52.204-7 System for Award Management- Registration. (Deviation)

2026-02

52.212-1 Instructions to Offerors-Commercial Products and Commercial Services.

(Deviation)

DFARS Provisions Incorporated by Reference

Date

Alternate Deviation

Variation Effective Date

252.203-7005 Representation Relating to Compensation of Former DoD Officials.

2022-09

252.204-7024 Notice on the Use of the Supplier Performance Risk System.

2023-03

252.225-7055 Representation Regarding Business Operations with the Maduro Regime.

2022-05

252.225-7059 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region-Representation.

2023-06

DFARS Provisions Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

252.204-7017 Prohibition on the Acquisition of 2021-05

Covered Defense Telecommunications Equipment or Services-Representation.

PROHIBITION ON THE ACQUISITION OF COVERED DEFENSE

TELECOMMUNICATIONS EQUIPMENT OR SERVICES-REPRESENTATION (MAY 2021)

The Offeror is not required to complete the representation in this provision if the Offeror has represented in the provision at 252.204-7016, Covered Defense Telecommunications Equipment or Services-Representation, that it "does not provide covered defense 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."

(a) Definitions. "Covered defense telecommunications equipment or services," "covered mission," "critical technology," and "substantial or essential component," as used in this provision, have the meanings given in the 252.204-7018 clause, Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services, of this solicitation.

(b) Prohibition. Section 1656 of the National Defense Authorization Act for Fiscal Year 2018 (Pub. L. 115-91) prohibits agencies from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service to carry out covered missions that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) at https://www.sam.gov for entities that are excluded when providing any equipment, system, or service to carry out covered missions that uses covered defense telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system, unless a waiver is granted.

(d) Representation. If in its annual representations and certifications in SAM the Offeror has represented in paragraph (c) of the provision at 252.204-7016, Covered Defense Telecommunications Equipment or Services-Representation, that it "does" provide covered defense 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, then the Offeror shall complete the following additional representation:

The Offeror represents that it [ ] will [ ] will not provide covered defense telecommunications equipment or services as a part of its offered products or services to DoD in the performance of any award resulting from this solicitation.

(e) Disclosures. If the Offeror has represented in paragraph (d) of this provision that it "will provide covered defense telecommunications equipment or services," the Offeror shall provide the following information as part of the offer:

(1) A description of all covered defense telecommunications equipment and services offered (include brand or manufacturer; product, such as model number, original equipment manufacturer (OEM) number, manufacturer part number, or wholesaler number; and item description, as applicable).

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

(3) For services, the entity providing the covered defense telecommunications services (include entity name, unique entity identifier, and Commercial and Government Entity (CAGE) code, if known).

(4) For equipment, the entity that produced or provided the covered defense telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known).

(End of provision)

252.225-7000 Buy American--Balance of Payments Program Certificate.

2024-02

BUY AMERICAN-BALANCE OF PAYMENTS PROGRAM CERTIFICATE-BASIC (FEB 2024)

(a) Definitions. "Commercially available off-the-shelf (COTS) item," "component," "critical component," "critical item," "domestic end product," "foreign end product," "qualifying country," "qualifying country end product," and "United States," as used in this provision, have the meanings given in the 252.225-7001, Buy American and Balance of Payments Program-Basic clause of this solicitation.

(b) Evaluation. The Government-

(1) Will evaluate offers in accordance with the policies and procedures of Part 225 of the Defense Federal Acquisition Regulation Supplement; and

(2) Will evaluate offers of qualifying country end products without regard to the restrictions of the Buy American statute or the Balance of Payments Program.

(c) Certifications and identification of country of origin.

(1) For all line items subject to the Buy American and Balance of Payments Program-Basic clause of this solicitation, the Offeror certifies that-

(i) Each end product, except those listed in paragraphs (c)(2) or (3) of this provision, is a domestic end product and that each domestic end product listed in paragraph (c)(4) of this provision contains a critical component or a critical item; and

(ii) For end products other than COTS items, components of unknown origin are considered to have been mined, produced, or manufactured outside the United States or a qualifying country. For those end products that do not consist wholly or predominantly of iron or steel or a combination of both, the Offeror shall also indicate whether these foreign end products exceed 55 percent domestic content, except for those that are COTS items. If the percentage of the domestic content is unknown, select "no".

(2) The Offeror certifies that the following end products are qualifying country end products:

Line Item Number Country of Origin

(3) The following end products are other foreign end products, including end products manufactured in the United States that do not qualify as domestic end products. For those foreign end products that do not consist wholly or predominantly of iron or steel or a combination of both, the Offeror shall also indicate whether these foreign end products exceed 55 percent domestic content, except for those that are COTS items. If the percentage of the domestic content is unknown, select "no".

Line Item Number Country of Origin (If known) Exceeds 55% Domestic Content (yes/no)

(4) The Offeror shall separately list the line item numbers of domestic end products that contain a critical component or a critical item (see Federal Acquisition Regulation 25.105).

Domestic end products containing a critical component or a critical item:

Line Item Number ____

[List as necessary]

Addendum to 52.212-1, Instructions to Offerors - Commercial Products and Commercial Services

ADDENDUM TO 52.212-1

The Solicitation will be posted on the SAM website https://sam.gov/

Offeror shall submit signed and dated quotes to Fort Hood Health Contracting Branch (HdHCB), Medical Readiness Contracting Office - West (MRCO-W) office no later than the date and time specified in Block 8, of the Standard Form 1449, Solicitation/Contract/Order for Commercial Items. The quote shall have a title page identifying the offeror, the full address, phone and facsimile numbers, points of contact (POCs) of the offeror, the solicitation number and its contents.

This requirement will be procured using FAR Part 12 Acquisition of Commercial Products and Commercial Services. The Government will make an award to the offeror's quote that conforms to the Request for Quote (RFQ) and proposed price is determined fair and reasonable.

Note: Facsimile offer is not acceptable. Electronic (e-mail) offer is acceptable, provided they meet the requirements listed above. . Electronic (e-mail) is the preferred method Clarence.c.

cude.civ@health.mil ATTN: Clarence C Cude, Jr.

Quotes must be submitted NLT the offer due date/local time CDT by e-mailing to: clarence.c.

cude.civ@health.mil. No telephonic questions or offers will be accepted. A technical quote must be included with the offers. Offers without a technical quote will not be considered.

Quotes shall be submitted in three individual electronic volumes:

Volume I. Administrative

Volume II. Technical Capability/Delivery

Volume III. Price

Offer shall clearly identify each part of their quote, as described below.

Administrative:

a. Request for Quote. The offeror shall include a copy of the completed SF 1449, with the signature and date in Block 30a, 30b and 30C. Include the name of the offeror, address, phone and CAGE Code in Block 17a. Signature shall be from an authorized individual authorized to negotiate on behalf of the company.

b. Summary or title page identifying the offeror, address, phone, UEI number, CAGE Code, Point of Contact (POC) information for the authorized individuals authorized to negotiate with the Government on behalf of the Offeror, and the solicitation number. The Offeror is responsible for notifying the contracting office of any POC changes.

c. For all solicitation amendments, if applicable: Completed and signed SF 30: Blocks 8, 15A - C

W81K0026QA0680001

https://sam.gov/ mailto:Clarence.c.cude.civ@health.mil mailto:Clarence.c.cude.civ@health.mil mailto:clarence.c.cude.civ@health.mil

d. Provide a statement that the offeror will hold its quote firm for at least 90 calendar days from the offer due date, subject to any changes that may occur as a result of discussions (if applicable).

e. All offerors must be registered in the System for Award Management (SAM) and shall not have any Active Exclusions listed within sam.gov. Lack of registration shall make an offeror ineligible for award.

f. Complete provisions, as listed in the solicitation. Alternately, complete all provisions in SAM and provide confirmation of completion and accuracy with offer.

g. The offeror shall ensure a completed copy of their Representations and Certifications is available on the SAM website. https://www.sam.gov/.

h. Questions regarding this solicitation are to be submitted electronically to the contract specialist by 2 March 2026 at 2:00 pm CDT, clarence.c.cude.civ@health.mil. Answers to all questions will be provided via an amendment to the solicitation and posted to https://sam.gov no later than 3 March 2026, 2:00 pm CDT. Contract POCs: The Contracting Officer and Contract Specialist are sole points of contact for this solicitation.

i. Offers are due by the date and time identified on Page 1…