Solicitation - W81K0025QA151.pdf

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)

Solicitation/Contract Form Continuation

Pulmonary Function Testing (PFT), Plethysmography, and Cardiopulmonary Exercise Testing (CPET) Equipment

W81K0025QA151

Continuation of Supplies or Services and Prices/Costs

Additional Information/Notes

Item Supplies/Service Quantity Unit Unit Price Amount

Product Service Description:

31783-001 VYNTUS ONE-PFT PC System

Manufacturer's Part Number: 31783-001 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

Additional Descriptive Data:

Additional Information: Item text: PNM:31783-001VYNTUS ONE-PFT PC System - Includes analyzer module (O2, CO2, Multigas), breathing circuit (including Ultrasonic sensor, Flow Path Valve, and Demand Valve), SentrySuite software, standard cart and arm with adjustable height and left/right mousepad, validated WIN 10PC with sanitizable medical keyboard/mouse, 27 flat panel infinity-edge monitor, Office Jet printer, 3-L manual syringe,O2, DLCO and calibration gas regulators, 6 cylinder gas stand, 1 box of MicroGard IIB and IIC (80 each) filters. Tests performed: Spirometry (FVC, SVC, MVV), Lung subdivisions (FRC-N2, RV, TLC), Real-time DLCO (both Single Breath and Intrabreath), MIP/MEP, pre/postbronchodilator. Standard software includes: Guidance and Stabilitrac instructional applications, pre-formatted reports and reference sets with design tools for modification, automated interpretation algorithms, QA checks and physician interpretation templates. 1st year warranty included. Quote . Trade In Serial Numbers:

233000320// 233000319 //218001210 PN: 28568-001 SES Standalone Device// 2 ea

Product Service Description:

768093-1 Gas 3% CH4 21%

Manufacturer's Part Number: 768093 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

4 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 768093 GAS .3%CO .3%CH4 21%02 BAL N2 (ED)

Product Service Description: 761819 Gas 99% Oxygen (USP)

Manufacturer's Part Number: 761819 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 761819 GAS - 99% OXYGEN (USP)

Product Service Description:

V-892590-13Gas 16% 02 5%CO2 0.3%co/ch4

Manufacturer's Part Number: V89259013 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

Additional Descriptive Data:

Additional Information: Item text: PN: V-892590-13 GAS 16%O2 5%CO2 0.3%CO/CH4/BAL N2 E CYL

Product Service Description:

33287-001 PROFESSIONAL SERVICES --

CUSTO

Manufacturer's Part Number: 33287-001 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 33287-001 PROFESSIONAL SERVICES -- CUSTOMIZED REPORTS (PACK OF 5) Provides a Jaeger Medical Professional Services resource to create 5 custom reports within the existing environment. Limited to a single round of customization/revisions. Once the 5 customized reports are signed off by the facility, future revisions to those same reports will be subject to additional charges.

Product Service Description:

32924-001 Additional Breathing Circuit f

Manufacturer's Part Number: 32924-001 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 32924-001 Additional Breathing Circuit for Vyntus ONE. Includes: 1 2.00 EA of USS Module with polytube adapter, Flow Path Valve, Shutter, and 1 pk of 5 Silicone Valves

Product Service Description:

32925-001 Additional Breathing Circuit f

Manufacturer's Part Number: 32925-001 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 32925-001 Additional Breathing Circuit for Vyntus BODY. Includes: 1 2.00 EA of USS Module with polytube adapter, Flow Path Valve, Shutter and 1 pk of 5 Silicone Valves

Product Service Description:

34553-144 Srv -VYN-PFT Fundmtls

Manufacturer's Part Number: 34553-144 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 34553-144 SERVICE-VYN-PFT FUNDMTLS TRG-4 DAYS-CUST 2.00 EA HOSTED This 4-day course is designed to teach PFT operators how to perform quality

29820-001-A VYNTUS CPX CARDIOSOFT

ECG B

Manufacturer's Part Number: 29820-001 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 29820-001 VYNTUS CPX CARDIOSOFT ECG BIG CINEMA. Vmax 1.00 EA 55 ,301.800 55,301.80 Vyntus CPX metabolic cart system for the measurement of O2, CO2 and associated parameters combined with Cardiosoft Stress 12-lead ECG. System includes: 1 Vmax Vyntus CPX analyzer module, 1 Cardiosoft 12-Lead ECG, 1 Nonin SpO2 (with reflectance, earclip, and adult and pediatric finger sensors), 1 3.0 cart with medical grade isolation transformer, 1 validated Win 10 PC, 1 34 inch curved monitor, 1 Dell color laser printer kit, 1 receiver for Polar HR (Polar belt not included), 1 ambient module, 1 regulator, 2 complete DVT volume sensors (transducer and volume sensor insert), 2 additional volume sensor inserts, 4 Twin Tube bxb sample lines, 2 Hans Rudolph 7450 Oro Nasal face masks (S and M), 1 SentrySuite software with MS SQL Server Software 2014 and license code sheet, nose clips, and 2 boxes MicroGard 2 filters (50 ea.). 2 years Premium Care warrant

Product Service Description:

25382-001-A TRACKMASTER TMX428CP

TREADMI

Manufacturer's Part Number: 25382-001-A Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 25382-001 TRACKMASTER TMX428CP TREADMILL Trackmaster 1.00 EA medical treadmill with Programmable controller. User Weight capacity of 500lbs, 22 inch x 63 inch running surface. Electrical Requirements:

208-240Vm 50/60 Hz, dedicated 15A service

Product Service Description:

34553-142 SRV -VYN PFT Fundmtls TRG

Manufacturer's Part Number: 34553-142 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 34553-142 SERVICE-VYN-LG DEVICE PFT FUNDMTLS TRG-2 1.00 EA DAYS-CUST HOSTED This 2-day course is designed to teach PFT operators how to perform quality diagnostic tests using the Vyntus" pulmonary function testing devices. Provides training at a single customer location for up to 4 participants. Provides 14 AARC CRCE contact hours for 4 participants when training is purchased in conjunction with a new device.

Product Service Description:

V-982187-A ORO NASAL 7450 V2 MASK

W/HG S

Manufacturer's Part Number: V-982187-A Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: V-982187 ORO NASAL 7450 V2 MASK W/HG SIZE XS

V-707326-A DVT VOLUME SENSOR,

COMPLETE,

Manufacturer's Part Number: V-707326-A Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN:V-707326 DVT VOLUME SENSOR, COMPLETE, VYNTUS CPX

Product Service Description:

30244-001 VIASPRINT BIKE WITH BP AND

CUF

Manufacturer's Part Number: 30244-001 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 30244-001 VIASPRINT BIKE WITH BP AND CUFFS. 1.00 EA Electromagnetically- braked bicycle ergometer especially designed for exercise tests with integrated blood pressure. Load 20-999 watts, revolution range 30-130 rpm, and integrated isolation transformer. 3 cuff sized are supplied small, standard, and large. Blood pressure may be initiated via software or manually from display unit head. Manual adjustment of saddle height from 120-210 cm and adjustable handle bar.

Dimensions (L 35.4 inch x W 18.1 inch x H 52.4 inch), bike weight 134.5 lbs., power supply 90-264V. The ergometer is certified for a maximum weight of 308 lbs.

Product Service Description:

25384-001 TANGO M2 Kit

Manufacturer's Part Number: 25384001 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 25384-001 TANGO M2 KIT, VMAX 1.00 EA Tango M2 non-invasive blood pressure monitor for resting and exercise stress testing BP. Includes Tango with ECG, 4 adult cuff sizes, headphones and all cables necessary for connection with the Vmax Encore stress testing systems and PC

Product Service Description:

97075-VYN-YL VYNTUS BioMed Trn 3 Days

Manufacturer's Part Number: 97075-VYN-YL Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 97075-VYN-YL VYNTUS BIOMEDICAL TRAINING 3 DAYS 1 PERSON 2.00 EA Training Course for 3 days with a Vyaire Biomedical Instructor held at the Vyaire Medical, Inc. Training Facility for 1 attendee.

Attendee will participate in both lecture and lab time designed to provide information to effectively troubleshoot problems, make necessary repairs and perform periodic maintenance. Travel and lodging are the responsibility of the course attendee

25391-001 POLE/RAIL CLAMP WITH SCREW

TAN

Manufacturer's Part Number: 25391-001 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 25391-001 POLE/RAIL CLAMP WITH SCREW TANGO

Product Service Description:

V-982184 ORO NASAL 7450 V2 MASK W/HG

SIZ

Manufacturer's Part Number: V-982184 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

Additional Descriptive Data:

Additional Information: Item text: PN: V-982184 ORO NASAL 7450 V2 MASK W/HG SIZE S

Product Service Description:

V-982186-A Oro Nasal 7450V2 Mask Size L

Manufacturer's Part Number: V-982186-A Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: V-982186 ORO NASAL 7450 V2 MASK W/HG SIZE L

Product Service Description:

V-861078 ADAPTER JAEGER CONE, DVT

VYNTU

Manufacturer's Part Number: V-861078 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

Additional Descriptive Data:

Additional Information: Item text: PN:V-861078 ADAPTER JAEGER CONE, DVT VYNTUS CPX

Product Service Description:

V-707746 VOLUME SENSOR INSERT/SINGLE

USE

Manufacturer's Part Number: V-707746 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: V-707746 VOLUME SENSOR INSERT/SINGLE USE DVT 50PK

Product Service Description:

V-982185-A ORO NASAL 7450 V2 MASK

W/HG

Manufacturer's Part Number: V-982185-A Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

Additional Descriptive Data:

Additional Information: Item text: PN: V-982185 ORO NASAL 7450 V2 MASK W/HG SIZE M

Product Service Description: 773867

GAS 16% O2 4% CO2 BAL N2 8D CYL

Manufacturer's Part Number: 773867 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 773867 GAS 16% O2 4% CO2 BAL N2 8D CYL

Product Service Description:

31439-001-A AMBU BLUESENSOR R ECG

ELECTR

Manufacturer's Part Number: 31439-001 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

2 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 31439-001 AMBU BLUESENSOR R ECG ELECTRODE SNGL USE

Product Service Description:

V-707327-A TWIN TUBE SAMPLE LINE,

VYNTU

Manufacturer's Part Number: V-707327 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

1 Each

Additional Descriptive Data:

Additional Information: Item text: PN: V-707327 TWIN TUBE SAMPLE LINE, VYNTUS CPX 2.40M

Product Service Description:

33288-001-A PROFESSIONAL SERVICES

HOURLY

Manufacturer's Part Number: 33288-001 Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

4 Each

Additional Descriptive Data:

Additional Information: Item text: PN: 33288-001 PROFESSIONAL SERVICES HOURLY RATE Hourly rate

Product Service Description:

31803-001 VYNTUS BODY DIFF ADD

Diffusio

Manufacturer's Part Number: 31803-001 2 Each

Product Service Code: 6515 Pricing Arrangement: Firm Fixed Price

Additional Descriptive Data:

Additional Information: Item text: PN: 31803-001 VYNTUS BODY DIFF ADD Diffusion System 2.00 EA 22,601.510 45,203.02 - no PC, no cart. System will connect to shared computer and license of SentrySuite. Includes: 1110L body plethysmograph with 551 pound patient bench and 25 inch telescoping arm, breathing circuit (including Ultrasonic sensor, Flow Path Valve, and Demand Valve), SentrySuite software, 3-L manual syringe, DLCO pressure regulator. On board analyzers to perform in box: Spirometry (FVC, SVC, MVV), Lung subdivisions (VTG, FRCpl, RV, TLC, Raw, Conductance and specific resistance and Resistance Volume Loops), Real-time DLCO (both Single Breath and Intrabreath), MIP/MEP, and pre/post bronchodilator. 1st year warranty included.

Continuation of Description

Requirements Replacement Pulmonary Function Testing (PFT), plethysmography, and Cardiopulmonary Exercise Testing (CPET) equipment. The requested equipment will improve patient diagnosis and treatment by allowing this clinic to fulfill interpretive strategies (Global Lung Function Initiative) for lung function testing, as established by the American Thoracic Society (ATS) and European Respiratory Society (ERS).

Continuation of Inspection and Acceptance

Overall Contract Inspection/Acceptance Locations

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination

Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

0012 Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles

Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854

CountryCode: USA

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Inspection and Acceptance Location

Both

Destination Instructions: Payment will be made for actual items ordered, received and accepted by the Government.

DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG 3600

JBSA FT SAM HOUSTON, TX 78234-6200

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Continuation of Deliveries or Performance

Delivery On Or Before Delivery Date 15 Sep 2025

Line Item Delivery Schedule Quantity Address and POC Special Handling/Notes

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

4 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

FoB Details

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

FoB Details

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

1 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

4 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

AMC BAMC FSH - MM

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

FoB Details

Party to Pay Transportation Cost:

Contractor

Point Type: Destination

Delivery On Or Before Delivery Date 15 Sep

2 Each Place of Performance DoDAAC: HT0854 CountryCode: USA

FoB Details

3551 ROGER BROOKE DR, BLDG

JBSA FT SAM HOUSTON, TX 78234-

UNITED STATES

Jesse Mireles Email: jesse.mireles.civ@health.mil Telephone: (210) 973-2224

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

52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services. Nov 2023

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. Sep 2011 252.203-7002 Requirement to Inform Employees of Whistleblower Rights. Dec 2022

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

Jan 2023

252.223-7008 Prohibition of Hexavalent Chromium. Jan 2023 252.225-7001 Buy American and Balance of Payments Program. Feb 2024 252.225-7012 Preference for Certain Domestic Commodities. Apr 2022 252.225-7056 Prohibition Regarding Business Operations with the Maduro Regime. Jan 2023 252.225-7060 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region. Jun 2023 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. Dec 2018 252.232-7010 Levies on Contract Payments. Dec 2006 252.244-7000 Subcontracts for Commercial Products or Commercial Services. Nov 2023 252.247-7023 Transportation of Supplies by Sea. Oct 2024 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting. May 2024

DFARS Clauses Incorporated by Full Text

252.211-7003 Item Unique Identification and Valuation. (Jan 2023)

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…