Solicitation HT940624Q0001 16 OCT 2023.pdf

SEE ADDENDUM

(No Collect Calls)

HT940624Q0001 16-Oct-2023

b. TELEPHONE NUMBER

443-603-2736

8. OFFER DUE DATE/LOCAL TIME

04:00 PM 07 Feb 2024

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

HT94069. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

JOHN COCHE

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

DHA CONTRACTING OFFICE TIDEWATER HT9406

7700 ARLINGTON BLVD

FALLS CHURCH VA 22042

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

1,200

NAICS:

325120

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF63

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

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

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

HT940624Q0001

Section SF 1449 - CONTINUATION SHEET

SOLICITATION GUIDE

I. THIS IS A SOLICITATION FOR COMMERCIAL SUPPLIES PREPARED IN

ACCORDANCE WITH THE FORMAT IN FAR 13.106-1 SOLICITING COMPETITION

AS SUPPLEMENTED WITH ADDITIONAL INFORMATION INCLUDED IN THIS

NOTICE. THIS ANNOUNCEMENT CONSTITUTES THE ONLY SOLICITATION; QUOTES

ARE BEING REQUESTED. THIS SOLICITATION IS BEING ISSUED USING

COMMERCIAL SUPPLIES PROCEDURES UNDER THE AUTHORITY OF FAR PART 13 -

SIMPLIFIED ACQUISITION PROCEDURES FOR CERTAIN COMMERCIALSUPPLIES.

A. The solicitation number and a statement that the solicitation is issued as a Request for Quote (RFQ). All communications and documents must include the proposed solicitation number

HT940624Q0001.

1. All offerors shall provide a FIRM FIXED PRICE quotation FOR MEDICAL GASES

DELIVERED IN CONTRACTOR SUPPLIED TANKS TO OUTLYING

MEDICAL CLINICS OF THE NBHC MAYPORT.

2. Closing Response Date and Time: 31 OCT 2023 at 2:00PM EDT

B. The associated North American Industrial Classification System (NAICS) code for this procurement is 325120, with a small business size standard of 1,200 Employees. This is a total small business set-aside.

C. CONTRACT LINE-ITEM NUMBERS (CLINs) OVERVIEW:

1. Base Year 0001

CLIN Description Quantity Unit of

Measure Price

Total Price

0001AA NITROGEN GMP DEWAR REFILL 25 LT 5 Cylinders

0001AB OXYGEN USP 125 CGA 540 5 Cylinders

0001AC

OXYGEN USP MEDICAL PURE 200 CGA

45 Cylinders

0001AD

OXYGEN USP MEDICAL PURE D CGA

16 Cylinders

0001AE OXYGEN USP DA MED CGA 870 18 Cylinders

0001AF

OXYGEN USP MEDICAL PURE E CGA

30 Cylinders

0001AG

OXYGEN USP MEDICAL PURE EA CGA

30 Cylinders

0001AH NITROGEN MEDICAL NF 200 CGA 580 25 Cylinders

0001AJ NITROGEN MEDICAL NF 300 CGA 580 25 Cylinders

0001AK NITROUS OXIDE USP SIZE 56LBS 30 Cylinders

0001AL NITROGEN GMP DEWAR REFILL 20 LT 14 Cylinders 0001AM NITROGEN GMP DEWAR REFILL 30 LT 1 Cylinders 0001AN TANK RENTAL FEE 1 Year

2. There are 4 Option CLINS and a 5th Option to Extend the contract by 6-months based on

FAR 52.217-8.

II. INSTRUCTIONS TO OFFERORS – COMMERCIAL ITEMS -- QUOTATION

PREPARATION INSTRUCTIONS.

A. Offerors shall clearly demonstrate their ability to meet the requirements and deliverable schedule as outlined in the associated solicitation.

B. As set forth in FAR 52.212-1 (g), Contract award, the Government intends to evaluate quotations and award one contract without discussions with offerors. The offerors’ initial quotation should contain the offerors best terms from a price and technical standpoint.

The Government reserves the right to conduct discussions if the Contracting Officer later determines it necessary.

C. Please reference the Request for Quote (RFQ) number (HT940624Q0001) in the subject line of email communications. Offerors quotations shall not be deemed received by the Government until the quotation is entered in the Contracting Officer’s e-mail inbox:

lenore.y.paseda.civ@health.mil

Or the Contract Specialist’s e-mail inbox:

john.t.coche.civ@health.mil

D. SUBMITTAL INSTRUCTIONS

1. SUBMIT ONE QUOTE VIA EMAIL. The quote shall be organized, concise, and tabbed. Each factor shall be described in a separate tabbed section. Those Offerors that meet the requirement described in this announcement and wish to be considered must submit one (1) electronic email with the RFQ response no later than 2:00PM EDT, 31

OCT 2023

2. Each submittal shall contain the following information:

a. Cover and title page

- Solicitation Number & Title

- Prime Contractor Name, Address, Phone Number, DUNS, and Cage Code

- Point of Contact Name, Phone Number, and Email

b. Price Proposal

c. Technical description of supplies

3. Proposal Expenses and Pre-Contract Costs

a. The RFQ solicitation does not commit the Government to pay any costs incurred in the preparation and submission of a proposal or for any other costs incurred by any offeror submitting a proposal in response to this solicitation. Offerors are cautioned against submitting conditional RFQ.

b. The Government will not make assumptions concerning intent, capabilities, or experiences. Clear identification of proposal details shall be the sole responsibility of the offeror.

c. Failure to clearly address all submittal requirements, evaluation criteria and information requirements of the RFQ above may result in rejection of the submission.

III. ADDENDUM TO FAR 52.212-2, EVALUATION -- COMMERCIAL ITEMS -

EVALUATION CRITERIA AND BASIS FOR AWARD

A. The Government intends to evaluate quotations and issue a firm fixed price contract based on the initial quotations received, utilizing FAR 13.106

SOLICITING COMPETITION, EVALUATION OF QUOTATIONS OR

OFFERS, AWARD AND DOCUMENTATION. The Government will evaluate quotes utilizing the procedures found at FAR 13.106-2 EVALUATION OF QUOTATIONS OR OFFERS. The Government reserves the right to request revised quotations from, or negotiate final contract terms with, one or more, but not all, Offerors if later determined by the Contracting Officer to be necessary.

The Government may reject any or all quotations if such action is in the public interest and issue a contract to other than the Offeror with the lowest priced quotation.

B. Incomplete quotations may be considered non-responsive and removed from further consideration. Quotations shall be clearly and concisely written as well as being neat, indexed (cross-indexed as appropriate) and logically assembled. All pages of each part shall be appropriately numbered and identified with the name of the offeror, the date, and the solicitation number.

C. Basis For Award: The Government will consider price and technical nonprice factors to determine the quotation that is most advantageous and represents the Lowest Priced Technically Acceptable (LPTA) quote. The Government will not use the formal source selection procedures described in FAR part 15. The Government will evaluate quotations utilizing the procedures of 13.106-2 EVALUATION OF QUOTATIONS OR OFFERS. This will be a firm fixed price contract.

Questions:

All inquiries shall be submitted via email to the contractual point of contact (POC). Inquiries shall state a specific reference section/paragraph/page or PWS. All questions will be responded to as an Amendment to the Solicitation. Incomplete inquiries may be rejected and/or returned for corrections. Questions shall be submitted via e-mail as follows:

Date/Time: 27 OCT 2023 by 2:00 P.M. EDT POC: John Coche, Contract Specialist john.t.coche.civ@health.mil.

Lenore Paseda, Contracting Officer lenore.y.paseda.civ@health.mil

EVALUATION CRITERIA. Evaluation of Technical Capability will be based on the information provided in the quotation. Documentation submitted in the quotation shall be evaluated to determine that the proposed equipment meets or exceeds the Governments minimum required specifications. Failure to clearly and unambiguously demonstrate this will result in an “unacceptable” rating.

FACTOR 1: TECHNICAL APPROACH

FACTOR 2: PRICE

FACTOR 1 - TECHNICAL APPROACH (capabilities) is defined as the vendor’s proposed solution(s) to successfully fulfill the contract requirements.

1. SUBMITTAL REQUIREMENTS.

The vendor shall submit technical approach and capability documentation which may include a narrative, charts, graphs, tables, drawings, product / service literature, and demonstrated authority to provide the necessary items and perform the required services identified in the specification / statement of work. The documentation shall clearly describe, in sufficient detail, the vendor's authority, proposed items, resources and methods to successfully fulfill the requirements including specifications, performance capability requirements, delivery schedules, warranties and all service requirements per the Request for Quotations.

2. BASIS OF EVALUATION

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 based on price and technical acceptability of supplies.

FACTOR 2 - PRICE QUOTATION

1. SUBMITTAL REQUIREMENTS

Contractors shall submit a quotation which will be evaluated for price reasonableness. The offeror shall submit an electronic copy of the completed price quotation to the Contracting Officer. The offeror shall propose a separate firm-fixed-price, FOB Destination, for each CLIN and options. Price quotations shall remain valid for a period of 90 calendar days from the date quotations are due.

2. BASIS OF EVALUATION

The quoted price will be evaluated for reasonableness in relation to the solicitation requirements.

Prices must be entirely compatible with the technical portion of the quotation.

Analysis will be performed by one or more of the following techniques to ensure a fair and reasonable price:

a) Comparison of proposed prices received in response to the RFQ.

b) Comparison of proposed prices with the IGCE.

c) Comparison of proposed prices with available historical information.

d) Comparison of market survey results

ADDITIONAL CONTRACT TERMS AND CONDITIONS ARE AS FOLLOWS:

1. INSPECTION

Inspection and acceptance are expected to take place randomly by the Government.

2. SYSTEM FOR AWARD MANAGEMENT (SAM) REGISTRATION

In accordance with FAR Clause 52.204-7, the awardee must be registered in System for Award Management (www.sam.gov) prior to award.

The Defense Priorities and Allocations System (DPAS) and assigned rating is not applicable to this acquisition.

PWS

Department of Defense Defense Health Agency

Performance Work Statement

Delivery and Rental of Oxygen and Medical Gas Cylinders

NAVAL BRANCH HEALTH CLINIC, MAYPORT FL

1. GENERAL INFORMATION

1.1 This is a non-personal services contract to provide quarterly shipment of requested items.

The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government. The vendor shall supply Medical Gas Supplies with tanks in accordance with paragraph 1.3.

1.1.1 Description/Introduction: The Naval Branch Health Clinic (NBHC) Mayport requires an annual supplies contract for the supply and delivery of oxygen and medical gas cylinders. The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items necessary to perform tasks listed in this Performance Work Statement (PWS).

1.1.2 Background: To provide the expected standard of care for patients who receive their healthcare services at NBHC, there must be a capability to obtain oxygen and medical gas to perform treatment tasks. Nitrous Oxide is used in numerous surgical procedures as both an anesthetic and analgesic. Whereas Nitrogen is primarily used for powering surgical tools/equipment and Carbon Dioxide is used for less invasive surgeries. NBHC utilizes these consumables to support services provided in patient care. The current contract order was awarded 01 October 2018 and will term 31 March 2023. NBHC Mayport requires an annual supplies contract for the supply and delivery of oxygen and medical gases. The objective is to have delivery of replacement and/or fill empty tanks in the quantities listed in section 1.1.4.

1.1.3 Period of Performance (PoP): Base Year: (01 April 2023- 01 March 2024) Opt. Yr. 1: (01 April 2024- 01 March 2025) Opt. Yr. 2: (01 April 2025- 01 March 2026) Opt. Yr. 3: (01 April 2026- 01 March 2027) Opt. Yr. 4: (01 April 2027- 01 March 2028)

1.2 Administrative Specifications

1.2.1 Place of Performance: The work shall be performed at NAVAL BRANCH HEALTH

CLINIC MAYPORT (NBHC Mayport) 2104 Massy Avenue Jacksonville, FL 32228.

1.2.2 Recognized Federal holidays: The contractor is responsible for conducting business, between the hours of 7:30 a.m. – 4:00 p.m. Monday thru Friday except Federal holidays.

The Contractor is not required to perform services on any Federal Holiday.

1.2.3 Hours of Operation: The contractor is responsible for conducting business 7:30 a.m. – 4:00 p.m. Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The contractor must always maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons.

1.2.4 Emergency Services: On occasion, supply delivery may be required to support an activation or exercise of contingency plans outside the normal duty hours 7:30 a.m. – 4:00 p.m.

1.3 Equipment and Supplies

1.3.1 The contractor shall furnish all medical gases in tanks that meet medical standards and in proper working order to meet the original equipment manufacturers (OEM) specifications. The Contractor shall be responsible for maintaining and replacing tanks as needed in a proper working order. The quantity of tanks on hand shall not exceed 130 tanks per day.

1.3.2 Licensure and Certification. Each contract employee is responsible for complying and obtaining a Hazardous Material Certification and Commercial Driver’s License.

1.3.3 Tank Rental Costs. The contractor shall notify the government point of contact when tank rental cost is at 75% expended of each year’s tank rental authorized amount, via email and in writing by letter on company letterhead.

NITROGEN GMP DEWAR REFILL 25 LT 5 Cylinders OXYGEN USP 125 CGA 540 5 Cylinders OXYGEN USP MEDICAL PURE 200 CGA 540 45 Cylinders OXYGEN USP MEDICAL PURE D CGA 870 16 Cylinders OXYGEN USP DA MED CGA 870 18 Cylinders OXYGEN USP MEDICAL PURE E CGA 870 30 Cylinders OXYGEN USP MEDICAL PURE EA CGA 870 30 Cylinders NITROGEN MEDICAL NF 200 CGA 580 25 Cylinders NITROGEN MEDICAL NF 300 CGA 580 25 Cylinders NITROUS OXIDE USP SIZE 56LBS 30 Cylinders NITROGEN GMP DEWAR REFILL 20 LT 14 Cylinders NITROGEN GMP DEWAR REFILL 30 LT 1 Cylinder TANK RENTAL COST 1 Year

1.4 Automobile Liability Insurance:

1.4.1 The Contractor shall certify to the Contracting Officer in writing that the required automobile insurance has been obtained. The following insurance as referenced in Federal Acquisition Regulations FAR Clause 28.313(b), is the minimum insurance required:

Automobile liability insurance written on the comprehensive form of policy. The policy shall provide for bodily injury and property damage liability covering the operation of all automobiles used in connection with performing this Contract.

Policies covering automobiles operated in the United States shall provide coverage of at least $200,000 per person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage. The amount of liability coverage on other policies shall be commensurate with any legal requirements of the locality and sufficient to meet normal and customary claims.

1.5 Workers Compensation and Employers Liability

1.5.1 The Contractor shall comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with the

Contractor's commercial operations that it would not be practical to require this coverage.

Employer's liability coverage of at least $100,000 shall be required, except in states with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

1.6 Background Investigation Crime Control Act 1990 Requirement

1.6.1 The Government will conduct criminal background investigations for all potential contract employees who will be accessing the Branch Health Clinics and their Military bases.

1.7 Standards

1.7.1 If a problem, defect, or damage is reported to the contractor regarding the medical gases or gas cylinders by any of the treatment facilities, the contractor shall immediately report the incident to the Government Point of Contact (POC) for action.

1.8 Quality Control

1.8.1 The contractor shall develop and maintain an effective QC program to ensure supplies are delivered in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure nonrecurrence of defective supplies. The contractor’s QC program is the means by which the work complies with stated requirements. Contractor shall provide quality, timely, transport and delivery of medical gas tanks as described in Section 1.3.

1.9 Contractor Personnel

1.9.1 Base Access Commercial Deliveries: The Commander, Navy Installations Command

(CNIC), has established the Navy Commercial Access Control System (NCACS), a standardized process for granting unescorted access privileges to vendors, contractors, suppliers and providers not otherwise entitled to the issuance of a Common Access Card (CAC) who seek access to and can provide justification to enter Navy installations and facilities. Vendors visiting Navy Medicine Readiness and Training Unit (NMRTU) may obtain daily passes or DBIDS Cards for continuous contract drivers, directly from Naval Station Mayport Pass and ID office, located at Bldg. 1983. 298 2nd Baltimore Avenue, Jacksonville, FL 3222, by submitting identification credentials for verification and undergoing a criminal screening/ background check.

1.9.2 The contractor shall return all (if any) retainable ID cards, access passes, etc. to the

Government POC upon the separation from this contract.

1.10 Contractor Onboarding and Training.

1.10.1 The contractor shall complete all requirements, training, and forms as prescribed by the

Government POC. The Government POC will provide guidance after contract award.

1.11 Physical Security

1.11.1 The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.12 Key Personnel (Contractor)

1.12.1 The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the KO (Contracting Officer). The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available 5 days a week, from 8:00 a.m.-4:00 p.m.

and requests for service/action shall be made Monday through Friday. Qualifications for all key personnel are listed below: The Contractor shall provide personnel having certain minimum levels of training and experience. This section is in no way intended to dictate a staffing plan to the Contractor for the performance of the tasks described herein. The tasks require that contract employees possess the following minimum qualifications to meet contract requirements:

Contract employees shall maintain all necessary certification, licenses, and other permits required to perform their duties under this Contract. The Contractor shall ensure, prior to employment that all contract employees are at least eighteen (18) years of age and have at least a high school education or equivalent.

1.13 Reporting:

1.13.1 The Contractor shall recognize the importance of a successful start-up of contract services/supply delivery and the timely recruitment of qualified personnel to meet all contract requirements. The Contractor shall assign a lead manager to interface with the Government POC within fourteen (14) days after contract award.

1.14 Government’s POC

1.14.1 The Government POC monitors all technical aspects of the contract and assists in contract administration. The Government POC is authorized to perform the following functions: assure that the contractor performs the technical requirements of the contract;

perform inspections necessary in connection with contract performance; maintain written and oral communications with the contractor concerning technical aspects of the contract;

issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor contractor's performance and notifies both the KO and contractor of any deficiencies; coordinate availability of government furnished property;

and provide site entry of contractor personnel. The Government POC is not authorized to change any of the terms and conditions of the resulting contract.

1.15 Post Award Conference/Periodic Progress Meetings

1.15.1 The contractor shall attend any post award conference convened by the contracting activity or contract administration office in accordance with FAR Subpart 42.5. The KO, Government POC, and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the KO will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.

1.16 Contractor Identification:

1.16.1 Contractor personnel performing services, tasks, or deliveries in a contractor capacity in a government facility are required to possess and wear an identification badge that displays his or her name and the name of their company. All contractor personnel shall identify themselves as contractor support personnel in all forms of communication with all entities with whom DHA/Deputy Assistant Director for Acquisition (DAD-A)/Head of the Contracting Activity (HCA) has business dealings. The contractor shall: Answer all telephone calls and have a personalized voice message with an introductory statement that includes the fact that the person is contractor support personnel. Ensure all those with whom the person interacts in any face-to-face dealings while supporting the DAD-A understands that the person is contractor support personnel. Include a title block in all emails that states the fact that the person is contractor support personnel. Ensure all those with whom the person interacts in any face-to-face dealings while supporting DHA/DAD-A/HCA understands that the person is contractor support personnel.

1.16.2 Contractor personnel will be required to attend meetings or otherwise communicate with

Government and/or other contract representatives to meet the requirements of this order.

Contractor personnel shall make their contractor status known during introductions.

1.16.3 Contractor personnel, while performing in a contractor capacity, are prohibited from using their retired or reserve component military rank or title in any written or verbal communications associated with the contracts in which they provide services or perform tasks.

1.17 Personnel Security

1.17.1 The contractor shall comply with DoD 8570.01-M, “Information Assurance Workforce

Improvement Program, CH4” November 10, 2015 as amended; 8500.01, “Cybersecurity”, dated March 14, 2014; DoD Manual (DoDM) 6025.18, “Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule Compliance in DoD Health Care Programs” dated March 3, 2019, Department of Defense Instruction (DoDI) 6025.18 “HIPAA Privacy Rule Compliance in DoD Health Care Programs”, dated March 13, 2019; and DoDM 5200.02 “Procedures for the DoD Personnel Security Program (PSP),” incorporation change 3, effective September 24, 2020. Contractor responsibilities for ensuring personnel security include, but are not limited to, meeting the following requirements:

1.17.2 Follow the DHA Personnel Security Office guidelines for submittal of security clearances. Contact the DHA Personnel Security Office for guidance on the appropriate background investigation required for personnel on the contract.

1.17.3 Initiate, maintain, and document personnel security investigations appropriate to the individual’s responsibilities and required access to Controlled Unclassified Information

(CUI).

1.17.4 DHA Personnel Security Office does not deny any access to any automated information system (AIS), network, or Controlled Unclassified Information (CUI). If a contractor receives an unfavorable background investigation, the request for access will be sent back to the FSO (Field Security Officer) for further action. Any unfavorable adjudication will result in DHA Personnel Security Office not signing off on any access request.

1.18 Points of Contact

Points of Contact: Government POC’s shall be provided after contract award.

1.3 Definitions

CONTRACTING OFFICER (KO): The Government employees with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings. The term includes certain authorized representatives of the Contracting Officer acting within the limits of their authority as delegated by the Contracting Officer.

CONTRACTING OFFICER'S REPRESENTATIVE (COR): The Government employee responsible for assuring Contractor performance through audit, documentation, and liaison with the Contracting Officer. The COR is appointed in writing by the Contracting Officer. The COR has no authority to resolve disputes or obligate funds.

CONTRACTOR: That entity or its representative responsible for the delivery of the services or materials specified in this contract, as designated by award.

DOCUMENT: (verb) To record information completely, accurately, and legibly, including on prescribed forms or via a computer terminal, as appropriate.

EMPLOYEE: For the purpose of this contract, an individual either employed or contracted to provide services.

JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS

(JOINT COMMISSION): A national organization dedicated to improving the care, safety, and treatment of patients in healthcare facilities, publishers of the Joint Commission Accreditation Manual for Hospitals.

MILITARY TREATMENT FACILITY (MTF): Unless otherwise specified, "the MTF" refers to the Naval Branch Health Clinic Mayport (NBHC Mayport).

PERFORMANCE IMPROVEMENT (PI) (formerly quality assurance): Ongoing activities designed to evaluate the performance of patient care and services, identify, and pursue opportunities to improve patient care and services and resolve identified problems objectively and systematically.

QUALITY CONTROL: Those actions taken by a Contractor to control the provision of services so that they meet the requirements of the Performance Work Statement.

ACRONYMS

CDRL Contract Data Requirement List CIO Chief Information Officer CJCSM Chairman of the Joint Chiefs of Staff Manual CMMC Cybersecurity Maturity Model Certification CMR Contractor Manpower Reporting CNSSI Committee on National Security Systems Instruction CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTR Contracting Officer's Technical Representative CSP Cloud Service Provider CSSP Cyber Security Service Provider CUI Controlled Unclassified Information DAD-A Deputy Assistant Director for Acquisition DC3 DoD Cyber Crime Center DDDBB Design-Bid-Build DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DISA Defense Information System Agency DoD Department of Defense DoDD Department of Defense Directive DoDI Department of Defense Instruction DSAs Data Sharing Agreements DSAA Data Sharing Agreement Application DMZ Demilitarized Zone DoDM Department of Defense Manual DPCLO DHA Privacy and Civil Liberties Office DUA Data Use Agreement eMSM Enhanced Multi-Service Markets EULA End User License Agreement EVM Earned Value Management FAR Federal Acquisition Regulation FCI Federal contract information FE Facilities Enterprise FedRAMP Federal Risk Authorization and Management Program FISMA Federal Information Security Modernization Act FRCS Facility Related Control Systems FSO Facilities Security Officer HA Health Affairs HIPAA Health Insurance Portability and Accountability Act HCA Head of the Contracting Activity HIT Health Information Technology IGCE Independent Government Cost Estimate IA Information Assurance IO Initial Outfitting I/O In/Out Processing Portal

IPv Internet Protocol Version IS Information System ISP Internet Service Provider IT Information Technology ISCM Information Security Continuous Monitoring IV&V Independent Verification & Validation MedCOI Medical Community of Interest MHS Military Health System MIL-STD Military Standard MTFs Military Treatment Facilities NCR National Capitol Region NDA Non-Disclosure Agreement NIAP National Information Assurance Partnership NIST National Institute of Standards and Technology OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs OPM Office of Personal Management OSD Office of the Secretary of Defense P-ATO Personal Authorization to Operate P&R Personnel and Readiness PGI Procedures, Guidance, and Information PDT Project Delivery Team PHI Protected Health Information PII Personally Identifiable Information PIT Platform Information Technology PK Public Key PKI Public Key Infrastructure POA&M Plan of Action and Milestones POC Point of Contact PMO Program Management Office PoP Period of Performance PP Personal Property PPSM Ports, Protocols, and Services Management PRS Performance Requirements Summary PSP Personnel Security Program PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Plan RFP Request for Proposal RFQ Request for Quotation RMF Risk Management Framework SP Special Publication SPRS Supplier Performance Risk System

SRM Sustainment, Restoration and Modernization SRG Security Requirements Guides STIG Security Technical Implementation Guides TOS Terms of Service US United States UFC Unified Facilities Criteria VPN Virtual Private Network XML Extensible Markup Language

2 Government Furnished Property, Equipment, and Services

The Requiring Activity Authority has assessed the need for Government Furnished Property, Equipment, and Services and determined:

2.1 Services: The Government:

☒ Will NOT provide Government Furnished Services in support of this contract/task order. As a result, this paragraph is Not Applicable.

☐ WILL provide Government Furnished Services required in support of this contract/task orders. These Services are described below:

2.2 Facilities: The Government:

☒ Will NOT provide Facilities in support of this contract/task order. As a result, this paragraph is Not Applicable.

☐ WILL provide Facilities in support of this contract/task orders. The Government provided Facilities are described below:

2.3 Utilities: The Government:

☒ Will NOT provide Utilities in support of this contract/task order. As a result, this paragraph is Not Applicable.

☐ WILL provide Utilities in support of this contract/task orders. The Government provided Utilities are described below:

2.4 Equipment: The Government:

☒ Will NOT provide Equipment in support of this contract/task order. As a result, this paragraph is Not Applicable.

☐ WILL provide Equipment in support of this contract/task orders. The Government provided Equipment is described below:

2.5 Materials: The Government:

☒ Will NOT provide Materials in support of this contract/task order. As a result, this paragraph is Not Applicable.

☐ IS providing Materials in support of this contract/task orders. The Government-provided Materials are described below:

3 Contractor Furnished Items and Services

3.1 Items and Services: The Contractor

☐ Will NOT provide Contractor Furnished Equipment in support of this contract/task order. As a result, this paragraph is Not Applicable.

☒ WILL provide Contractor Furnished Equipment (tanks, valves, gases, etc.) required in support of this contract/task orders. These Services are described below:

The Contractor shall acquire, maintain and provide in good working order medical gas tanks that meet medical standards and in proper working order to meet the original equipment manufacturers (OEM) specifications.

3.2 General: The contractor shall furnish all supplies, equipment, facilities, and services required to perform work listed under Part 1 of this PWS.

4 Specific Tasks

4.1 Task Headings: This is a supplies contract that supports the NBHC Mayport mission to oversee and coordinate the delivery of economical and effective medical, dental, and other health care products. The supplies specified in this work statement shall be performed in accordance with established principles and ethics of the medical profession. The quality of healthcare provided will meet or exceed the current recognized standards established by the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission), the American Hospital Association (AHA), the National Registry of Emergency Medical Technicians (NREMT); Commonwealth of Virginia Office of EMS; Defense Health

Agency (DHA), Bureau of Medicine and Surgery of the Department of the Navy (BUMED), the MTF, and those other professional associations which specify standards of performance for the medical profession. The Contractor shall comply with applicable provisions of law and the rules and regulations of all governmental authorities pertaining to licensure and regulation of healthcare personnel and medical treatment facilities, the regulations, and standards of medical practice of NBHC Mayport.

4.2 Special Qualifications: The Contractor shall provide personnel having certain minimum levels of training and experience to perform the tasks in this PWS while conforming to all federal, state, and local laws. This section is in no way intended to dictate a staffing plan to the Contractor for the performance of the services described herein.

4.3 Information Technology & Security

4.3.1 All work under this contract is unclassified.

5 Attachments/Technical Exhibit Listing

5.1 The following forms are to be completed by the FSO/Security POC once the contractor is granted the proper background investigation.

5.1.1 Contractor CAC Request Process: shall be provided after contract award.

5.1.2 DHA’s contractor training instructions: shall be provided after contract award.

6 TECHNICAL EXHIBIT 1 - DELIVERABLES SCHEDULE

Deliverable Frequency Medium/Format Submit To Appliable To

Basic Assessment 30 days after contract award, and annually thereafter 30 days before anniversary date during each option year

Electronic POC via SPRS or email

See PART 1 General

Information

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Base Year - MGS Mayport

FFP

MFR PART NR: Varies

NET AMT

0001AA 5 Cylinder

NITROGEN GMP DEWAR REFILL 25 LT

FFP

FOB: Destination

0001AB 5 Cylinder

OXYGEN USP 125 CGA 540

FFP

FOB: Destination

0001AC 45 Cylinder

OXYGEN USP MEDICAL PURE 200 CGA 540

FFP

FOB: Destination

0001AD 16 Cylinder

OXYGEN USP MEDICAL PURE D CGA 870

FFP

FOB: Destination

0001AE 18 Cylinder

OXYGEN USP DA MED CGA 870

FFP

FOB: Destination

0001AF 30 Cylinder

OXYGEN USP MEDICAL PURE E CGA 870

FFP

FOB: Destination

0001AG 30 Cylinder

OXYGEN USP MEDICAL PURE EA CGA 870

FFP

FOB: Destination

0001AH 25 Cylinder

NITROGEN MEDICAL NF 200 CGA 580

FFP

FOB: Destination

0001AJ 25 Cylinder

NITROGEN MEDICAL NF 300 CGA 580

FFP

FOB: Destination

0001AK 30 Cylinder

NITROUS OXIDE USP SIZE 56LBS

FFP

FOB: Destination

0001AL 14 Cylinder

NITROGEN GMP DEWAR REFILL 20 LT

FFP

FOB: Destination

0001AM 1 Cylinder

NITROGEN GMP DEWAR REFILL 30 LT

FFP

FOB: Destination

0001AN 1 Years Cylinder Rental Fee

FFP

Per Year FOB: Destination

OPTION Option Year 1- MGS Mayport

1000AA 5 Cylinder

NITROGEN GMP DEWAR REFILL 25 LT

FFP

FOB: Destination

1000AB 5 Cylinder

OXYGEN USP 125 CGA 540

FFP

FOB: Destination

1000AC 45 Cylinder

OXYGEN USP MEDICAL PURE 200 CGA 540

FFP

FOB: Destination

1000AD 16 Cylinder

OXYGEN USP MEDICAL PURE D CGA 870

FFP

FOB: Destination

1000AE 18 Cylinder

OXYGEN USP DA MED CGA 870

FFP

FOB: Destination

1000AF 30 Cylinder

OXYGEN USP MEDICAL PURE E CGA 870

FFP

FOB: Destination

1000AG 30 Cylinder

OXYGEN USP MEDICAL PURE EA CGA 870

FFP

FOB: Destination

1000AH 25 Cylinder

NITROGEN MEDICAL NF 200 CGA 580

FFP

FOB: Destination

1000AJ 25 Cylinder

NITROGEN MEDICAL NF 300 CGA 580

FFP

FOB: Destination

1000AK 30 Cylinder

NITROUS OXIDE USP SIZE 56LBS

FFP

FOB: Destination

1000AL 14 Cylinder

NITROGEN GMP DEWAR REFILL 20 LT

FFP

FOB: Destination

1000AM 1 Cylinder

NITROGEN GMP DEWAR REFILL 30 LT

FFP

FOB: Destination

1000AN 1 Years

TANK RENTAL FEE

FFP

Per Year FOB: Destination

OPTION Option Year 2 - MGS Mayport

2000AA 5 Cylinder

NITROGEN GMP DEWAR REFILL 25 LT

FFP

FOB: Destination

2000AB 5 Cylinder

OXYGEN USP 125 CGA 540

FFP

FOB: Destination

2000AC 45 Cylinder

OXYGEN USP MEDICAL PURE 200 CGA 540

FFP

FOB: Destination

2000AD 16 Cylinder

OXYGEN USP MEDICAL PURE D CGA 870

FFP

FOB: Destination

2000AE 18 Cylinder

OXYGEN USP DA MED CGA 870

FFP

FOB: Destination

2000AF 30 Cylinder

OXYGEN USP MEDICAL PURE E CGA 870

FFP

FOB: Destination

2000AG 30 Cylinder

OXYGEN USP MEDICAL PURE EA CGA 870

FFP

FOB: Destination

2000AH 25 Cylinder

NITROGEN MEDICAL NF 200 CGA 580

FFP

FOB: Destination

2000AJ 25 Cylinder

NITROGEN MEDICAL NF 300 CGA 580

FFP

FOB: Destination

2000AK 30 Cylinder

NITROUS OXIDE USP SIZE 56LBS

FFP

FOB: Destination

2000AL 14 Cylinder

NITROGEN GMP DEWAR REFILL 20 LT

FFP

FOB: Destination

2000AM 1 Cylinder

NITROGEN GMP DEWAR REFILL 30 LT

FFP

FOB: Destination

2000AN 1 Years

TANK RENTAL FEE

FFP

Per Year FOB: Destination

OPTION Option Year 3 - MGS Mayport

3000AA 5 Cylinder

NITROGEN GMP DEWAR REFILL 25 LT

FFP

FOB: Destination

3000AB 5 Cylinder

OXYGEN USP 125 CGA 540

FFP

FOB: Destination

3000AC 45 Cylinder

OXYGEN USP MEDICAL PURE 200 CGA 540

FFP

FOB: Destination

3000AD 16 Cylinder

OXYGEN USP MEDICAL PURE D CGA 870

FFP

FOB: Destination

3000AE 18 Cylinder

OXYGEN USP DA MED CGA 870

FFP

FOB: Destination

3000AF 30 Cylinder

OXYGEN USP MEDICAL PURE E CGA 870

FFP

FOB: Destination

3000AG 30 Cylinder

OXYGEN USP MEDICAL PURE EA CGA 870

FFP

FOB: Destination

3000AH 25 Cylinder

NITROGEN MEDICAL NF 200 CGA 580

FFP

FOB: Destination

3000AJ 25 Cylinder

NITROGEN MEDICAL NF 300 CGA 580

FFP

FOB: Destination

3000AK 30 Cylinder

NITROUS OXIDE USP SIZE 56LBS

FFP

FOB: Destination

3000AL 14 Cylinder

NITROGEN GMP DEWAR REFILL 20 LT

FFP

FOB: Destination

3000AM 1 Cylinder

NITROGEN GMP DEWAR REFILL 30 LT

FFP

FOB: Destination

3000AN 1 Years

TANK RENTAL FEE

FFP

Per Year FOB: Destination

OPTION Option Year 4 - MGS Mayport

See Exhibit A

4000AA 5 Cylinder

NITROGEN GMP DEWAR REFILL 25 LT

FFP

FOB: Destination

4000AB 5 Cylinder

OXYGEN USP 125 CGA 540

FFP

FOB: Destination

4000AC 45 Cylinder

OXYGEN USP MEDICAL PURE 200 CGA 540

FFP

FOB: Destination

4000AD 16 Cylinder

OXYGEN USP MEDICAL PURE D CGA 870

FFP

FOB: Destination

4000AE 18 Cylinder

OXYGEN USP DA MED CGA 870

FFP

FOB: Destination

4000AF 30 Cylinder

OXYGEN USP MEDICAL PURE E CGA 870

FFP

FOB: Destination

4000AG 30 Cylinder

OXYGEN USP MEDICAL PURE EA CGA 870

FFP

FOB: Destination

4000AH 25 Cylinder

NITROGEN MEDICAL NF 200 CGA 580

FFP

FOB: Destination

4000AJ 25 Cylinder

NITROGEN MEDICAL NF 300 CGA 580

FFP

FOB: Destination

4000AK 30 Cylinder

NITROUS OXIDE USP SIZE 56LBS

FFP

FOB: Destination

4000AL 14 Cylinder

NITROGEN GMP DEWAR REFILL 20 LT

FFP

FOB: Destination

4000AM 1 Cylinder

NITROGEN GMP DEWAR REFILL 30 LT

FFP

FOB: Destination

4000AN 1 Years

TANK RENTAL FEE

FFP

Per Year FOB: Destination

OPTION 6 Month Option - MGS Mayport

FFP

In accordence with FAR 52.217-8 and 52.217-9.

5000AA 2.50 Cylinder

NITROGEN GMP DEWAR REFILL 25 LT

FFP

FOB: Destination

5000AB 2.50 Cylinder

OXYGEN USP 125 CGA 540

FFP

FOB: Destination

5000AC 22.50 Cylinder

OXYGEN USP MEDICAL PURE 200 CGA 540

FFP

FOB: Destination

5000AD 8 Cylinder

OXYGEN USP MEDICAL PURE D CGA 870

FFP

FOB: Destination

5000AE 9 Cylinder

OXYGEN USP DA MED CGA 870

FFP

FOB: Destination

5000AF 15 Cylinder

OXYGEN USP MEDICAL PURE E CGA 870

FFP

FOB: Destination

5000AG 15 Cylinder

OXYGEN USP MEDICAL PURE EA CGA 870

FFP

FOB: Destination

5000AH 12.50 Cylinder

NITROGEN MEDICAL NF 200 CGA 580

FFP

FOB: Destination

5000AJ 12.50 Cylinder

NITROGEN MEDICAL NF 300 CGA 580

FFP

FOB: Destination

5000AK 15 Cylinder

NITROUS OXIDE USP SIZE 56LBS

FFP

FOB: Destination

5000AL 7 Cylinder

NITROGEN GMP DEWAR REFILL 20 LT

FFP

FOB: Destination

5000AM 1 Cylinder

NITROGEN GMP DEWAR REFILL 30 LT

FFP

FOB: Destination

5000AN 1 Semiannua l

TANK RENTAL FEE

6 Month Tank Rentak Fee FOB: Destination

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A N/A 0001AA N/A N/A N/A Government 0001AB N/A N/A N/A Government 0001AC N/A N/A N/A Government 0001AD N/A N/A N/A Government

0001AE N/A N/A N/A Government 0001AF N/A N/A N/A Government 0001AG N/A N/A N/A Government 0001AH N/A N/A N/A Government 0001AJ N/A N/A N/A Government 0001AK N/A N/A N/A Government 0001AL N/A N/A N/A Government 0001AM N/A N/A N/A Government 0001AN N/A N/A N/A Government 1000 N/A N/A N/A N/A 1000AA N/A N/A N/A Government 1000AB N/A N/A N/A Government 1000AC N/A N/A N/A Government 1000AD N/A N/A N/A Government 1000AE N/A N/A N/A Government 1000AF N/A N/A N/A Government 1000AG N/A N/A N/A Government 1000AH N/A N/A N/A Government 1000AJ N/A N/A N/A Government 1000AK N/A N/A N/A Government 1000AL N/A N/A N/A Government 1000AM N/A N/A N/A Government 1000AN N/A N/A N/A Government 2000 N/A N/A N/A N/A 2000AA N/A N/A N/A Government 2000AB N/A N/A N/A Government 2000AC N/A N/A N/A Government 2000AD N/A N/A N/A Government 2000AE N/A N/A N/A Government 2000AF N/A N/A N/A Government 2000AG N/A N/A N/A Government 2000AH N/A N/A N/A Government 2000AJ N/A N/A N/A Government 2000AK N/A N/A N/A Government 2000AL N/A N/A N/A Government 2000AM N/A N/A N/A Government 2000AN N/A N/A N/A Government 3000 N/A N/A N/A N/A 3000AA N/A N/A N/A Government 3000AB N/A N/A N/A Government 3000AC N/A N/A N/A Government 3000AD N/A N/A N/A Government 3000AE N/A N/A N/A Government 3000AF N/A N/A N/A Government 3000AG N/A N/A N/A Government 3000AH N/A N/A N/A Government 3000AJ N/A N/A N/A Government 3000AK N/A N/A N/A Government 3000AL N/A N/A N/A Government 3000AM N/A N/A N/A Government 3000AN N/A N/A N/A Government 4000 N/A N/A N/A N/A 4000AA N/A N/A N/A Government 4000AB N/A N/A N/A Government 4000AC N/A N/A N/A Government

4000AD N/A N/A N/A Government 4000AE N/A N/A N/A Government 4000AF N/A N/A N/A Government 4000AG N/A N/A N/A Government 4000AH N/A N/A N/A Government 4000AJ N/A N/A N/A Government 4000AK N/A N/A N/A Government 4000AL N/A N/A N/A Government 4000AM N/A N/A N/A Government 4000AN N/A N/A N/A Government 5000 N/A N/A N/A N/A 5000AA N/A N/A N/A Government 5000AB N/A N/A N/A Government 5000AC N/A N/A N/A Government 5000AD N/A N/A N/A Government 5000AE N/A N/A N/A Government 5000AF N/A N/A N/A Government 5000AG N/A N/A N/A Government 5000AH N/A N/A N/A Government 5000AJ N/A N/A N/A Government 5000AK N/A N/A N/A Government 5000AL N/A N/A N/A Government 5000AM N/A N/A N/A Government 5000AN N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 N/A N/A N/A N/A

0001AA POP 01-APR-2024 TO

31-MAR-2025

N/A NAV BRNCH HLTH CLNC MAYPORT -

MM

NAV BRNCH HLTH CLNC MAYPORT FL

NAVAL AIR STATION

2104 MASSEY AVE

MAYPORT FL 32228-0112

FOB: Destination

HT0317

0001AB POP 01-APR-2024 TO

31-MAR-2025

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 01-APR-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 01-APR-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AE POP 01-APR-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AF POP 01-APR-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AG POP 01-APR-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AH POP 01-APR-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AJ POP 01-APR-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AK POP 01-APR-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AL POP 01-APR-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AM N/A N/A N/A N/A

0001AN POP 01-APR-2024 TO

31-MAR-2025

N/A NAV BRNCH HLTH CLNC MAYPORT -

MM

NAV BRNCH HLTH CLNC MAYPORT FL

NAVAL AIR STATION

2104 MASSEY AVE

MAYPORT FL 32228-0112

1000 N/A N/A N/A N/A

1000AA POP 01-APR-2025 TO

31-MAR-2026

N/A NAV BRNCH HLTH CLNC MAYPORT -

MM

NAV BRNCH HLTH CLNC MAYPORT FL

NAVAL AIR STATION

2104 MASSEY AVE

MAYPORT FL 32228-0112

1000AB POP 01-APR-2025 TO

31-MAR-2026

N/A (SAME AS PREVIOUS LOCATION)

1000AC POP 01-APR-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1000AD POP 01-APR-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1000AE POP 01-APR-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1000AF POP 31-MAR-2025 TO

01-APR-2026

N/A (SAME AS PREVIOUS LOCATION)

1000AG POP 01-APR-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1000AH POP 01-APR-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1000AJ POP 01-APR-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1000AK POP 01-APR-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1000AL POP 01-APR-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1000AM POP 01-APR-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1000AN N/A N/A N/A N/A

2000 N/A N/A N/A N/A

2000AA POP 01-APR-2026 TO

31-MAR-2027

N/A NAV BRNCH HLTH CLNC MAYPORT -

MM

NAV BRNCH HLTH CLNC MAYPORT FL

NAVAL AIR STATION

2104 MASSEY AVE

MAYPORT FL 32228-0112

2000AB POP 01-APR-2026 TO

31-MAR-2027

N/A (SAME AS PREVIOUS LOCATION)

2000AC POP 01-APR-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2000AD POP 01-APR-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2000AE POP 01-APR-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2000AF POP 01-APR-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2000AG POP 01-APR-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2000AH POP 01-APR-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2000AJ POP 01-APR-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2000AK POP 01-APR-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2000AL POP 01-APR-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2000AM POP 01-APR-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2000AN N/A N/A N/A N/A

3000 N/A N/A N/A N/A

3000AA POP 01-APR-2027 TO

31-MAR-2028

N/A NAV BRNCH HLTH CLNC MAYPORT -

MM

NAV BRNCH HLTH CLNC MAYPORT FL

NAVAL AIR STATION

2104 MASSEY AVE

MAYPORT FL 32228-0112

3000AB POP 01-APR-2027 TO

31-MAR-2028

N/A (SAME AS PREVIOUS LOCATION)

3000AC POP 01-APR-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3000AD POP 01-APR-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3000AE POP 01-APR-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3000AF POP 01-APR-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3000AG POP 01-APR-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3000AH POP 01-APR-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3000AJ POP 01-APR-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3000AK POP 01-APR-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3000AL POP 01-APR-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3000AM POP 01-APR-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3000AN N/A N/A N/A N/A

4000 N/A N/A N/A N/A

4000AA POP 01-APR-2028 TO

31-MAR-2029

N/A NAV BRNCH HLTH CLNC MAYPORT -

MM

NAV BRNCH HLTH CLNC MAYPORT FL

NAVAL AIR STATION

2104 MASSEY AVE

MAYPORT FL 32228-0112

4000AB POP 01-APR-2028 TO

31-MAR-2029

N/A (SAME AS PREVIOUS LOCATION)