SOW Intergrated Chemistry Analyzer CPT.docx

STATEMENT OF WORK (SOW)

For

INTEGRATED CHEMISTRY ANALYZER

633D MEDICAL GROUP, JOINT BASE LANGLEY-EUSTIS, VIRGINIA

18 April 2024

SECTION 1

SCOPE OF WORK

1.0. Scope of work: This is a firm fixed price cost per test contract to provide the 633rd Medical Group with two (2) integrated chemistry Analyzers, including reagents, quality control, maintenance, and consumables, for Cost Per Test used to analyze serum plasma, urine, CSF or other body fluids for quantitative analysis of various chemistry analytes. The system must include a water system, integrates with current LIS system, QC lockout, automated QC, Calibrations and dilutions, no sample carryover, sample management, 24hr operational, positive patient identification and on-board storage for reagents.

Essential Characteristics

· Analyzers shall an integrated chemistry system.

· Analyzers shall have an approved ATO.

· Analyzers and assays shall be FDA approved. The assay, instrumentation or the company cannot have FDA warning letters issued over the past 24 months.

· Each Analyzer shall fit in space of: Height 5.8 ft, Depth 2.6 ft, and Width 8.04f.t

· Instruments should interface with the laboratory Genesis laboratory information management system (LIMS).

· Process sample volumes of 20 uL or less for chemistry and 35 uL for immunoassays.

· System must include middleware.

· System must be capable of utilizing sample tube bar codes for accurate sample identification.

· System must be capable of processing and testing at least the following tube sizes 13x75mm, 16x75mm and 16x100mm.

· The system shall be capable of external data storage in compliance with Department of Defense (DoD)/Defense Health Agency (DHA) Information Assurance (IA) regulations.

· High analytical sensitivity.

· Analyzers can process cardiac assays, basic metabolic panels and HCG under 15 minutes.

· Daily hands-on maintenance less than 20 minutes.

· Onboard stability greater than 3 months

· Instrument must be capable of fully automated dilutions.

· Testing system must have minimal hand-on maintenance.

· Instrument must offer up to 24 hours walkaway time.

· Instruments must have the capability to store controls and calibrators on-board and allow continuous access to reagents, calibrators, controls, and consumables.

· Reagents and calibrators must be liquid ready to use directly from storage.

· Testing system must have auto-calibration.

· Instrument must have QC lockout.

· Analyzers must have automated QC.

· Instrument must be capable of fully automated quality controls and calibrations.

· Instrument must offer up to 24 hours walkaway time

· Instrument must always be in the “ready” mode and at no time go into hibernation or “sleep” mode

· System shall be capable of processing STAT request in at most 30 minutes.

· The system shall be able to complete STAT testing results for troponin, BHCG quantitative and CMP with a turnaround time of at most 15 minutes.

· The system must be capable of utilizing sample tube bare codes for accurate sample identification.

· The system shall be capable of processing and testing at least the following tube sizes: 13x75mm, 13x100mm,16X75mm, and 16x100mm.

· The minimum 8mm microtainers shall be processed and tested on the platform.

· The system shall be able to perform auto-dilutions.

· Each analyzer shall be capable of at least 850 tests per hour, to maintain current workflow.

1.1. INSTALLATION.

1.1.1. Installation: Placement and installation of a integrated chemistry analyzer and all equipment components include, but not limited to, all laboratory associated mechanical, electromechanical parts and supplies to include supplies needed to support the overlap of new and old equipment during the validation process of the new equipment. Installation shall conform to Industry Standards and shall meet or exceed all applicable codes to include Local/State Regulations, National Fire Protection Association (NFPA), building codes, communication codes, and other codes for each utility identified.

1.1.1.1Contractors will include turnkey water systems. All installation, equipment and associated cost will be the responsibility of the contractor.

1.1.1.2. The contractor shall provide a project manager to perform/oversee system installation and a required technician to perform correlation and validation.

1.1.1.3. The contractor shall provide all validation regents/materials needed to perform these tasks. A field specialist will be on site to run precision linearity and method comparison studies. Data will be analyzed and submitted to the Medical Director for approval.

1.1.1.4. The contractor will manually calibrate all assays and then enable autocalibration for 33 FDA assays.

1.1.1.5. The contractor shall have all required technicians and specialists on site when the integrated chemistry analyzers are delivered for proper equipment installation.

1.1.1.6. The contractor shall provide and uninterrupted power supply (UPS) for each analyzer required for emergency use and must be installed in the same room, both boxes to positioned side by side.

1.1.1.7. The contractor shall complete daily clean-up and final (upon installation completion) clean-up of the work area and disposal of debris, to include any need for cosmetic repairs on wall, flooring, ceiling, etc.

1.2. ANALYZER:

1.2 The system shall run a BMP, CMP, Lipid panel, Hepatic Panel, Renal Funtion, Thyroid Panel, Cardiac Panel, CSF panel, Microalbumin Panel and urine chemistry testing and perform the necessary calculations.

The proposed integrated chemistry analyzer will meet these specifications and is validated to complete the following tests:

· BMP

· CMP

· HEPATIC PANEL

· RENAL FUNCTION

· THYROID PANEL

· CARDIAC PANEL

· CSF PANEL

· MICROALBUMIN PANEL

· URINE CHEMISTY

· LIPID PANEL

· AMMONIA

· AMYLASE

· HCG QUANTITATIVE

· LIPASE

· MAGNESIUM

· PRO BNP

· SALI

· ACTMN

· ALCOHOL

· GGT

· LDH

· PREALBUMIN

· IRON

Total Test per year: 591,756

1.2.1 The system must provide critical process monitoring and management of system maintenance and quality control (QC) by verifying, documenting, and resolving diagnostic checks throughout sample processing.

1.2.3. The system must provide sample integrity checks.

1.2.4. Analyzer shall be able to process continuous, random, STAT access, and batch testing. Comment by Molina, Karl O CIV DHA DHA CONTRACTING ACT (USA): Who?

1.2.5. Analyzer shall have the ability to load samples “on the fly” which allows for prioritization of STAT requests while handling full test volume.

1.2.6. The analyzer shall provide onboard reagent tracking to monitor lot numbers, expiration dates and volumes.

1.2.7. The analyzer shall provide on board documentation of quality control (QC) results.

1.2.8. The analyzer shall have the ability to run new and old lot numbers of QC concurrently for parallel testing.

1.2.9. The analyzer shall use only one printer to print and evaluate QC/patient data, review screens, or print files while analyzing patient samples.

1.2.10. Ability to review abnormal results on the analyzer.

1.2.11. Information Management System must be able to provide:

1.2.12. Downloading of multi-tube orders and send QC orders that specify the cassette/reagent lots to use as well as the expected results.

1.2.13. Entry of control data from diskette or USB ports

1.2.14. Bi-directional transmission of patient results and control results to a host computer.

1.2.15. Ability to locate patient samples using patient name or unique ID and determine when results will be available. Must meet these specifications for bar code readers and labels:NW7 (CodaBar); ISBT 128; Code 128 (A, B, and C subtypes); Code 3 of 9 (Code 39); Code 2 of 5 (Interleaved).

1.2.16. Ability to print patient reports that may be sent to providers during HIS/LIS downtime. Ability to retransmit results after HIS/LIS downtime. The analyzer shall require only one interface.

1.2.17. Must have FAIL-SAFE sample management system: Positive tube identification and specimen integrity.

1.2.18. Require minimal time to perform recurring maintenance (daily, weekly, monthly, etc.). Responses shall indicate the total downtime for each task, not just the hands-on time.

1.2.19 Require minimal start up time from standby mode to operation.

1.2.20. Require minimal reagent preparation. Responses shall include requirements for each.

1.2.21. System shall have detector system for interferences and incomplete sample aspirations.

1.4. Corrective Maintenance:

1.4.1. Contractor shall provide scheduled preventive maintenance inspections (PMIs), on-call corrective maintenance calibration: on-site emergency services and ensure equipment complies with all regulatory requirements. Upon completion of services, a written service report will be provided to the Biomedical Maintenance/Logistics flight. The service report shall be completed filled out, providing detailed information regarding the cause of equipment malfunction and corrective action taken, to include the time required to complete work, and a list of parts replaced.

1.4.2. The contractor shall provide service and preventive maintenance assistance to include, but not limited to Monday thru Friday coverage 0700-1700 to include on-call services during weekends and holidays, and a 24hr Call center and/or consult access and availability.

1.4.3. Emergency Service calls on-site emergency service is the repair necessary to return the system to its intended functional state of operation. The contractor shall provide on-site repair to correct all malfunctions that occur. The service technician shall continue uninterrupted service until the system is operational according to manufacturer’ specifications. Providing travel and overtime, all tools, test equipment, parts and supplies required to perform emergency service call shall be the responsibility of the contractor.

1.4.4. Response time to emergency service request shall not exceed 24 hours, including weekends and holidays or as need arise.

1.4.5. The equipment shall be repaired within 24 continuous clock hours after arrival to the equipment site, excluding holidays. Repair actions continuous until repair is complete unless parts are unavailable.

1.5. Training: The contractor shall provide training on analyzer operations, such as loading samples and reagents, ordering and running tests and QC, interpreting, printing, and sending test results to the LIS, basic preventative maintenance, and basic troubleshooting for government personnel.

Training and Support

a. System installation, validation, correlation, and onsite training are required.

b. On-site assistance during system validation shall be provided.

c. The vendor shall provide two (2) operational and two (2) service manuals, each in English.

d. The vendor shall provide operator training for ten (10) personnel trained for the base year, and two (2) additional personnel onsite operatory training per option year.

1.6. General Information

1.6.1. Contract Manager.

1.6.1.1. The contractor shall provide a point of contact information for the contract manager and an alternate. These individuals shall have full authority to act for the contractor on all contract matters relating to this contract and shall be designated, in writing, to the Contracting Officer (CO) before the contract start date.

1.6.1.2. The contract manager or alternate shall be available within three (3) hours to meet on the installation or by telecom with government personnel designated by the CO during normal duty hours.

1.6.1.3. Hours of Operation. Normal delivery time of supplies and reagents shall be at the 633d Medical Group Medical Treatment Facility between 0730-1630, Monday thru Friday, unless an emergency arises.

1.6.1.4. Technical Service Assistance Availability. The contractor shall provide Service and Preventive Maintenance assistance to include, but not limited to, Monday through Friday coverage from 7:00 A.M. - 7:00 P.M. to include on-call services during weekends and holidays, and a 24 hour Call Center and/or Consult access availability.

1,6.1.4. Emergency Service Calls. On-site emergency service is the repair necessary to return the system to its intended functional state of operation. The contractor shall provide onsite repair to correct all malfunctions that occur. The service technician shall continue uninterrupted service until the system is operational according to manufacturer's specifications. Providing travel and overtime, all tools, test equipment, parts, and supplies required to perform emergency service calls shall be the responsibility of the contractor.

1.6.1.5. Response time to emergency service requests shall not exceed 24 hours, including weekends and holidays or as needs arise.

1.6.1.6. The equipment shall be repaired within 24 hours after arrival at the equipment site, excluding holidays and weekends. The need for unavailable parts will suspend the time limit until parts are obtained.

1.6.1.7. Performance During Crisis. On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours. Emergency situations (i.e., accident and rescue operations, civil disturbances, natural disasters, military contingency operations, and exercises) may necessitate the contractor provide increased or reduced support as determined by the CO. The government will negotiate an equitable adjustment with the contractor for the cost of these emergency requirements. Otherwise, under circumstances when the base is closed due to severe weather, these services will be considered non-essential.

1.6.1.8. English Language Requirement. The vendors ‘personnel should read, understand, speak, and write English fluently.

1.7. Identification Badge. Contractor personnel shall display a contractor badge at all times and in plain view.

1.7.1. Pass and Identification Items. The contractor shall ensure the pass and identification items required for contract performance are obtained for personnel and nongovernment owned vehicles. All vehicles that enter military installations shall be properly registered, licensed, insured and safety inspected in compliance with state and local Jaws. Contractor shall be responsible for the return of all pass and identification items at expiration or termination of contract. Final payment can be withheld if this is not accomplished.

1.8. Base Passes.

1.8.1. Contractor personnel shall obtain base passes for entry onto JBLE in compliance with AFI 10-245, ACC Supplement l.

1.8.2. Base passes are issued for a maximum of 180 days, and must be renewed, when necessary. The contractor must submit the following pertinent information to the sponsoring agency:

a. Full name with middle initial

b. Date of birth

c. Social security number

d. Gender

e. Complete address

f. Sponsoring agency

g. Sponsor's name and rank

h. Contractor's company name

i. Contractor's phone number

j. Date of pass expiration

1.8.2.1. Exclusions. Contractor personnel are not authorized entry to Joint Base Langley-Eustis (JBLE) if they have been convicted of any of the following felony offenses:

a. Murder*

b. Aggravated sexual assault or rape *

c. Child molestation *

d. Espionage

e. Sedition

f. Treason

g. Violence at international airports

h. Conspiracy or attempt to commit any of the above offenses.

Note(*): Subjects convicted of murder, aggravated sexual assault or rape, or child molestation may appeal the denial of base access to the Commander, 633d Air Base Wing.

1.8.2.2. In addition, contractor personnel are not authorized entry to JBLE if they have been convicted of any of the following offenses within the previous 5 years:

a. Illegal sale, distribution, or manufacture of explosives or weapons.

b. Arson

c. Importation or manufacture of a controlled substance.

d. Extortion

e. Bribery

f. Kidnapping or hostage taking

g. Sexual assault

h. Armed robbery

i. Illegal possession or use of an explosive or weapon

j. Distribution or intent to distribute a controlled substance.

k. Conspiracy or attempt to commit any of the above offenses.

l. Two or more felony convictions of any type

1.8.3. Accident Reporting. The contractor shall report all occupational exposures and all accidents while on duty at the MTF resulting in death, trauma, or occupational disease to the COR. All accidents shall be repo1ted within 24 hours of their occurrence. The CO or COR may require the contractor to complete certain forms to document exposures and/or accidents. The contractor shall complete these forms promptly, at no additional cost to the government.

1.8.4. Traffic Laws. The contractor and/or contractor personnel shall comply with the installation traffic code as specified in Virginia State Law and Air Force instruction (AFI) 31-2 I 8, Motor Vehicle Traffic Supervision (current edition) and may be subject to search prior to authorization to proceed through gate. The contractor and/or contractor personnel shall comply with current instruction on cell phone use while on a military installation.

1.8.5. Weapons, Firearms, and Ammunition. Contractor personnel are prohibited from possessing weapons, firearms, or ammunition, on themselves or within their contractor-owned vehicle or privately-owned vehicle while on Joint Base Langley-Eustis (JBLE).

1.8.6. Smoking in ACC Facilities. Contractors are advised that the Air Combat Command (ACC) Commander has placed restrictions on the smoking of tobacco products in ACC facilities. AFT 40-102, Tobacco Use in the Air Force (current edition), outlines the procedures used by the commander to control smoking in our facilities. Contractor personnel and visitors are subject to the same restrictions as government personnel. Smoking is permitted only in designated smoking areas. The 633 Medical Group hospital campus is totally smoke free.

1.8.7. Contractor Furnished Items and Services. Except for those items or services specifically stated in Section 3 to be government-furnished, the contractor shall furnish all materials and labor required to perform this contract in accordance with all of its terms and conditions. It is the contractor's responsibility to ensure their contractor personnel are familiar with and understand the contents of this PWS as well as the company's handbooks/handouts, etc. prior to beginning work at this MTF.

1.8.8. Physical Security. The contractor shall be responsible for safeguarding all government property provided for contractor use. At the end of each work period, all government equipment and materials will be secured.

1.8.9. Inventory. Within ten (10) days of contract start or a new period of performance, the contractor and the government will conduct an inventory of all items related to this contract. A semi-annual inventory will be conducted on the analyzer between the MTF and the contractor.

2. GENERAL DEFINITIONS. The following terms shall have the meaning set forth in accordance with the terms of this PWS.

2.1. COMMANDER. MTF Commander, Flight Commander or other leader or a designated representative, e.g., Department Chairperson of the activity designated in this contract.

2.2. CONTRACTING OFFICER'S REPRESENTATIVE (COR). Individuals designated to perform quality assessment functions. They serve as on-site technical managers assessing contractor performance against contract performance standards.

2.3. CONTRACTOR. The offeror identified in block 15A of Standard Form 33. The contractor is an independent contractor and responsible for its own liability.

2.4. MEDICAL TREATMENT FACILITY (MTF). Air Force hospitals or clinics, including all activities providing outpatient and/or in-patient healthcare services for authorized personnel.

2.5. QUALITY ASSURANCE PROGRAM. A systematic program designed to provide insight into the service provider's performance. The program focuses on existing data/systems to obtain process improvement and enhance performance.

2.6. QUALITY CONTROL (QC). Those actions taken by a contractor and the government to control the quality of output and to ensure that they conform to contract requirements and reasonable standards of medical care.

2.7. SERVICES SUMMARY (SS). Prescribes how the government plans to (1) assess contractor performance and, (2) describes an acceptable level of performance (threshold) for each task.

3. PERFORMANCE EVALUATION. The purpose of the SS is to define performance evaluation. The Performance Objective (column l) describes what the government will survey. Performance of a service will be evaluated to determine whether or not it meets the Performance Threshold (PT) of the contract. When the PT is exceeded, the COR will document the file with a Corrective Action Report (CAR) or a Performance Assessment Report (PAR) and forward these documents to the CO for his determination if further action is necessary.

Performance Objective (The Service required—usually a shall statement from Part 5)

Performance Requirements Summary (PRS) # 1.

The contractor shall provide Placement and installation of one Intergrated chemistry Analyzer and all equipment components inclusive, but not limited to, all laboratory associated mechanical, electromechanical parts and supplies. Installation shall conform to Industry Standards and shall meet or exceed all applicable codes to include Local/State Regulations, NFPA, and building codes for each utility identified

PRS # 2

The contractor shall have electrician and engineering specialists on site when the Integrated chemistry Analyzer is delivered for proper equipment installation

PRS # 3

The contractor shall provide the required UPS

PRS # 4

Complete clean-up of the work area during installation

Customer Compliant

Customer Compliant

Customer Compliant

3.1 The government reserves the right to inspect throughout all phases of site preparation and construction prior to delivery and installation of the integrated chemistry analyzer, post installation and for functionality prior to patient encounters.

3.2. The government will periodically evaluate the contractor's performance throughout the life of the contract by appointing a representative(s) to monitor performance to ensure supplies and services are received. The government representative will evaluate the contractor's performance through inspections of reports and contract services documentation. The government may inspect each task as completed or increase the number of quality assurance inspections if deemed appropriate because of repeated failures. Likewise, the government may decrease the number of quality assurance inspections if performance dictates. The government COR, after reviewing customer comment cards, will take necessary action if a complaint falls within the SS.

3.3. If any of the services do not conform to contract requirements, the government may require the contractor to perform the services again in conformity with contract requirements at no increase in contract amount. When the defects in services cannot be corrected by reperformance, the government may (l) by contract or otherwise, perform the services and charge to the contractor any cost incurred by the government that it is directly related to the performance of such service or (2) terminate the contract for default.

3.4. Quality Control. The contractor shall develop and maintain a complete quality control program for the performance requirement of this contract. The contractor shall develop and implement procedures to identify, prevent, and ensure non-performance and continual repeat of defective service does not occur. A written Quality Control Plan (QCP) shall be submitted to the CO for review and feedback LT 30 days after contract award. The plan shall specifically address the contractor's strategy to provide quality workmanship; continual process improvement; preventing deficiencies and for correcting deficiencies as required. The contractor shall ensure that the following issues are addressed in their QCP:

3.5. A description of the methods to be used for identifying and preventing defects in the quality of service performed.

3.6. A description of how the records shall be kept. Records mu t document all inspections and corrective or preventive actions taken.

3.7. Quality Assurance. The government shall inspect and evaluate the contractor's performance to ensure services are received IA W requirements set forth in this contract. The COR shall inspect by watching actual task performance, physically checking an attribute of the completed task, checking a management information report, investigating customer complaints, conferring with facility managers, or otherwise inspecting the task or its results to determine whether or not performance meets the standards contained in this PWS. Only one (l) method will be used at a time to evaluate a listed service during an inspection period for payment computation purposes. The COR will record surveillance results. Results of the surveillance then become the official Defense Health Agency record of the contractor's performance. When a performance threshold has not been met or contractor performance has not been accomplished, the COR will initiate and provide the CO with a CAR, PAR or a Contract Discrepancy Report (CDR) for issuance to the contractor.

3.8. Failing to meet the performance threshold as outlined in the SS of these performance objectives during a contract period shall constitute an immediate Progress Meeting with the Multi-Functional Team.

3.9,.Failing to meet the performance threshold as outlined in the SS for any of these performance objectives in any combination for any two (2), or more consecutive or nonconsecutive months in any period, could result in a warning or letter of concern from the CO.

3.10. Surveillance Methods.

3.10.1. Periodic Surveillances. This method requires the COR to employ a "spot check" style of evaluation based on the contractor's schedule. Periodic surveillances will be conducted on a scheduled basis (daily, weekly, monthly, quarterly, semi-annual or annually) and may be adjusted, based on quality trends. Any unsatisfactory inspection (defect) result shall be recorded, and the contractor shall re-perform the service after notification by the COR.

3.10.2. Customer Complaint. This method requires the 633rd MDG to fill out a Customer Complaint Record (CCR) or a locally generated form provided by the COR or CO. The COR will verify the complaint and notify the contractor of valid complaints. The contractor shall acknowledge the complaint within two (2) hours and inform the COR of its recommendation. Any deficiency will be documented, and the contractor shall re-perform service immediately, if appropriate, or within 24 hours at no increase in contract amount. The contractor shall respond to the Customer Complaint in accordance with the instructions provided and return it to the contracting office within five (5) calendar days of receipt. Any unsatisfactory inspection identified but re-performed acceptably will still be counted as an unsatisfactory inspection.

3.10.5. Performance Evaluation Meetings. The CO, DHA Director, COR, other government personnel as appropriate and the contractor shall periodically meet to discuss the contractor's performance. The following issues shall be discussed: opportunities to improve the contract; any modifications required of the contract; unsatisfactory inspections and trends against each performance objective; observed positive performance; and steps taken by the contractor to prevent unsatisfactory occurrences in the future. The contractor shall provide a summation of unsatisfactory inspections and 633rd MDG customer complaints and provide insight into any identified trends.

3.10.6. The minutes of these meetings will be reduced writing, signed by the CO and any other signatures as deemed appropriate, distributed to the functional area and the contractor. Should the contractor not concur with the minutes, such non-concurrence shall be provided in writing to the CO within ten (10) calendar days of receipt of the minutes.

4. DELIVERABLES

a. All validation reagent/materials needed to perform the services within this contract.

b. Scheduled preventative maintenance calls at a frequency to meet minimum manufacturer’s requirements.

c. Service calls/Corrective actions with a written report provided to BMET and laboratory detailing each on-site service incident and repairs made.

d. Furnish and install all software updates and equipment modifications provided by the manufacturer.

e. Training to government personnel

5.0. GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, SUPPLIES AND SERVICES

5.1. The government will provide the following equipment, supplies, and services listed below:

5.1.1. Maintain room temperature and refrigeration of supplies to optimize accurate laboratory testing.

5.1.2. Shall have adequate facilities and equipment for the safe and effective operation of such analyzer.

5.2. Special procedures shall be established for the handling and processing of biohazard materials.

5.3. Emergency Health Care. The MTF will provide emergency health care for contractor providers for injuries incurred while on duty in the MTF. These services will be billed to the contractor at the current full reimbursement rate. An option is available for the worker to refuse MTF care and go to a healthcare facility covered by their insurance.

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Microsoft_Excel_Worksheet.xlsx Sheet1

Analyte Userage Per Year Analyte Userage Per Year Unit Price Total Price

GLUCOSE 43668 CHOL 18396 $ - 0

CREAT 38544 TRIG 18420 $ - 0

BUN 39264 CK 3456 $ - 0

URIC 1404 UPL 3108 $ - 0

NA 34920 NH3 84 $ - 0

CO2 34752 ACTMN 228 $ - 0

K 34992 SAL 192 $ - 0

PHOS 1812 ETOH 492 $ - 0

CL 34800 CK-MD 2808 $ - 0

CA 34872 CSF TP 108 $ - 0

TP 30312 CSG GLU 120 $ - 0

ALB 30180 HCG QNT 4920 $ - 0

ALKP 29148 TSH 14148 $ - 0

GGT 732 MA LS 4728 $ - 0

TBI 29196 CRP 1140 $ - 0

DBI 4380 AST 29784 $ - 0

LD 828 ALT 30012 $ - 0

AMY 1644 PREALB 144 $ - 0

BC 2172 FT4 5628 $ - 0

MG 2568 CTNI 2808 $ - 0

IRON 264 UPRO 216 $ - 0

HDL 18264 TBIL 2100 $ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

$ - 0

Total usage per year 448716