SF1449_SPE60115R0308_EBS.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 0056619154

1. REQUISITION NUMBER

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

SPE601-15-R-0308

5. SOLICITATION NUMBER

2015 FEB 05

6. SOLICITATION ISSUE

DATE

Christina Sylvester POEFEM4

a. NAME

Phone: 210-925-1177

b. TELEPHONE NUMBER (No Collect calls)

2015 MAR 09

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY CODE SPE601

DLA ENERGY AEROSPACE ENRGY-DLAE-M

BLDG 1621

1014 BILLY MITCHELL BLVD

SAN ANTONIO TX 78226

USA

10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

8 (A)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

325120NAICS:

SIZE STANDARD:

11. DELIVERYFOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

DO-C9

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/ CODE

OFFEROR

FACILITY

CODE

TELEPHONE NO.

18a. PAYMENT WILL BE MADE BY CODE

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

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

See Schedule

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

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

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

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

30b. NAME AND TITLE OF SIGNER (Type or Print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or Print) 31c. DATE SIGNED

SEE SCHEDULE

7. FOR SOLICITATION

INFORMATION CALL:

SEE SCHEDULE

189PAGE 1 OF

01:00 AM

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE ADDENDUM

EDWOSB

32a. QUANTITY IN COLUMN 21 HAS BEEN

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

COMPLETE PARTIAL FINAL

STANDARD FORM 1449 (REV. 2/2012) BACK

36. PAYMENT

PARTIAL FINAL

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

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

REPRESENTATIVE

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

37. CHECK NUMBER

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER 40. PAID BY

42a. RECEIVED BY (Print)

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

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

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

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42b. RECEIVED AT (Location)

CONTINUED ON NEXT PAGE

IMPORTANT NOTICE TO OFFERORS

1. The Government plans to award a five-year Firm Fixed Price Requirements-Type contract for the f.o.b.

destination delivery of NSN 6830-00808-9530 Aviator’s Breathing Oxygen (ABO), Type II, IAW Basic Spec MIL-PRF-27201J, dated August 7, 2013, NSN 6830-00-285-4769 Liquid Nitrogen, Type II, Grade B, IAW CID A-A 595003C, dated March 3, 2011 to the following locations:

PRODUCT

AVIATOR’S BREATHING OXYGEN,

TYPE II, GRADE B, IAW BASIC SPEC NR MIL-PRF-27201J, NSN: 6830-00-808-9531

1. Barnes ANG, MA

2. Westover ARB, MA 1. Atlantic City ANG, NJ

3. Quonset ANG, RI 2. McGuire AFB, NJ

4. Burlington ANG, VT 3. Dover AFB, DE

5. Niagara Falls ARB, NY 4. NAF Washington/Andrews AFB, MD

6. Stewart ANG, NY - (Tank Lease (2)) 5. NAS Oceana, VA

7. Stratton ANG, NY 6. Toledo ANG, OH

8. Westhampton Beach ANG, NY 7. Wright Patterson AFB, OH

9. Atlantic City ANG, NJ 8. Norfolk Naval Shipyard, Portsmouth, VA

11. McGuire AFB, NJ

11. Dover AFB, DE

12. New Castle ANG, DE

13. NAF Washington/Andrews AFB, MD

14. Baltimore ANG, MD

15. Langley AFB, VA

16. NAS Oceana, VA

17. McLaughlin ANG, WV

18. Martinsburg ANG, WV

19. Harrisburg ANG, PA - (Tank Lease)

20. Pittsburgh ARS, PA

21. Mansfield ANG, OH

22. Toledo ANG, OH

23. Wright Patterson AFB, OH

24. Youngstown ARS, OH

25. Alpena ANG, MI

26. Selfridge ANG, MI

27. Ft. Wayne ANG, IN

28. Louisville ANG, KY

PRODUCT

LIQUID NITROGEN, TYPE II, GRADE B

IAW CID A-A 59503C DTD 3 Mar 2011 DTD 3 Mar 2011

NSN: 6830-00-285-4769

1. Atlantic City ANG, NJ

2. Atlantic City ANG, NJ

3. McGuire AFB, NJ

4. Dover AFB, DE

5. NAF Washington/Andrews AFB, MD

6. NAS Oceana, VA

7. Toledo ANG, OH

8. Wright Patterson AFB, OH

PAGE 3 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SPE601-15-R-0308

9. Norfolk Naval Shipyard, Portsmouth, VA

2. Liquid Nitrogen, NSN 6830-01-618-6060, Type II, Grade B, IAW CID A-A 59155, dated 5 Mar 2003 contract for the f.o.b. destination delivery to Norfolk Naval Shipyard, Portsmouth, VA is also required. Depending on mission requirements there may be two (2) separate delivery locations. Reference the Statement of Objectives for more information.

3. Ancillary services are also included. It is important to note, this requirement includes tank leasing and installation/removal of contractor leased tanks at Stewart ANG, NY and Harrisburg ANG, PA. Please refer to Schedule B and the Statement of Objectives for additional information. Inspection for quality shall be performed at origin. Quantity determination and acceptance shall be at destination. The Contractor shall provide all product, materials, supplies, management, tools, equipment, transportation and labor necessary for the delivery or ABO and LN2. Period of Performance is 1July 2015 through 31 June 2020.

4. All offerors shall comply with requirements listed in Instructions L-0003 L2.35 (PROPOSAL FORMAT AND CONTENT (AEROSPACE ENERGY) (DLA ENERGY JAN 2012) and all offerors will be evaluated in accordance with instructions in M-0001 M2.14 EVALUATION-COMMERCIAL ITEMS (AEROSPACE) (DLA ENERGY AUG 2009).

5. The clauses and provisions shown throughout this solicitation and any resultant contract(s) that have only the clause/provision number, title, and date, and as such, are not shown in full text, are hereby considered to be incorporated by reference in accordance with FAR 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE or FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE, as applicable.

6. System for Award Management (SAM) is required and is available at https://www.sam.gov.

7. Please list your prices in, both, Schedule B and the excel spreadsheet titled “S. East ABO-LN Ktr Pricing” provided as part of this requirement.

8. Due to EBS constraints this solicitation was created outside of the system. An EBS generated solicitation will be posted to FEDBIZOPS as soon as it is available.

9. Questions regarding Small Business or Small Disadvantage Business affairs should be addressed to Mr. Greg Thevenin of the DLA Energy Small Business Office at 1-800-526-2601 or 703-767-9465.

10. The address of overnight delivery:

Defense Logistics Agency Energy Aerospace Business Unit (DLA Energy-FEM) ATTN: Christina Sylvester 1014 Billy Mitchell Blvd San Antonio TX 78226

PAGE 4 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLIES/SERVICES: 6830-00-808-9531

ITEM DESCRIPTION:

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT .

0001 6830-00-808-9531 15,000.000 GL $ ________________ $ ________________

OXYGEN,AVIATOR'S

BR

PRICING TERMS: Firm Fixed Price

QTY VARIANCE: PLUS 0% MINUS 0%

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Barnes ANG, MA

NSN 6830-00-808-9531

Type II, IAW MIL-PRF-27210J dated 7 Aug 2013

0002 6830-00-808-9531 15,000.000 GL $ ________________ $ ________________

INSPECTION POINT: DESTINATION

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

PAGE 5 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 6830-00-808-9531 CONT'D

f.o.b. destination Barnes ANG, MA

0003 6830-00-808-9531 15,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Barnes ANG, MA

0004 6830-00-808-9531 15,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Barnes ANG, MA

PAGE 6 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0005 6830-00-808-9531 15,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Barnes ANG, MA

Detention Fee

0006 0001 - S20000001 1.000 QH $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, DETENTION COST

IAW F3.10 Transport Truck and/or Truck and Trailer Free Time and Detention Rates(f.o.b. destination) Per QTR HR

Fill Line Restriction Orifice

PAGE 7 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 0001-S20000006 CONT'D

0007 0001 - S20000006 2.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, TANK OVER-PRESSURE PROTECTION

IAW SOO Paragraph titled "Tank Over-Pressure Protection"

Tank Hot Fill

0008 0001 - S20000002 1.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, HOT FILLS

IAW SOO PARAGRAPH TITLED "HOT FILLS."

For services over and above the cost for product consumed during the cool-down of a tank.

GOVT USE

External External External Customer RDD/ ITEM PR PRLI PR PRLI Material Need Ship Date .

0001 0056619154 0001 N/A N/A ABO N/A

0002 0056619154 0002 N/A N/A ABO N/A

0003 0056619154 0003 N/A N/A ABO N/A

0004 0056619154 0004 N/A N/A ABO N/A

0005 0056619154 0005 N/A N/A ABO N/A

0006 0056619154 0006 N/A N/A N/A N/A

PAGE 8 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0007 0056619154 0007 N/A N/A N/A N/A 0008 0056619154 0008 N/A N/A N/A N/A

0009 6830-00-808-9531 25,200.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Westover ARB, MA

0010 6830-00-808-9531 24,000.000 GL $ ________________ $ ________________

PAGE 9 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Westover ARB, MA

0011 6830-00-808-9531 21,600.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Westover ARB, MA

0012 6830-00-808-9531 21,600.000 GL $ ________________ $ ________________

PAGE 10 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Westover ARB, MA

0013 6830-00-808-9531 21,600.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Westover ARB, MA

0014 0001 - S20000001 1.000 QH $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PAGE 11 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 0001-S20000001 CONT'D

SERVICES, DETENTION COST

IAW F3.10 Transport Truck and/or Truck and Trailer Free Time and Detention Rates (f.o.b. destination)

0015 0001 - S20000006 2.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

0016 0001 - S20000002 1.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, HOT FILLS

PAGE 12 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 6830-00-285-4769 CONT'D

ITEM PR PRLI PR PRLI Material Need Ship Date .

0009 0056619154 0009 N/A N/A ABO N/A

0010 0056619154 0010 N/A N/A ABO N/A

0011 0056619154 0011 N/A N/A ABO N/A

0012 0056619154 0012 N/A N/A ABO N/A

0013 0056619154 0013 N/A N/A ABO N/A

0014 0056619154 0014 N/A N/A N/A N/A 0015 0056619154 0015 N/A N/A N/A N/A 0016 0056619154 0016 N/A N/A N/A N/A

SUPPLIES/SERVICES: 6830-00-285-4769

0017 6830-00-285-4769 140,000.000 GL $ ________________ $ ________________

NITROGEN

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

LIQUID NITROGEN

f.o.b. destination Westover ARB, MA In support of NSN 6830-00-285-4769 Type II, Grade B, IAW CID A-A 59503C dated 3 Mar 2011

PAGE 13 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0018 6830-00-285-4769 126,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

LIQUID NITROGEN

f.o.b. destination Westover ARB, MA

0019 6830-00-285-4769 114,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

LIQUID NITROGEN

f.o.b. destination Westover ARB, MA

PAGE 14 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0020 6830-00-285-4769 114,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

LIQUID NITROGEN

f.o.b. destination Westover ARB, MA

0021 6830-00-285-4769 114,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

LIQUID NITROGEN

f.o.b. destination Westover ARB, MA

PAGE 15 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0022 0001 - S20000001 1.000 QH $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, DETENTION COST

IAW F3.10 Transport Truck and/or Truck and Trailer Free Time and Detention Rates

0023 0001 - S20000006 2.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

0024 0001 - S20000002 1.000 EA $ ________________ $ ________________

PAGE 16 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 0001-S20000002 CONT'D

SERVICES, HOT FILLS

ITEM PR PRLI PR PRLI Material Need Ship Date .

0017 0056619154 0017 N/A N/A LNB N/A

0018 0056619154 0018 N/A N/A LNB N/A

0019 0056619154 0019 N/A N/A LNB N/A

0020 0056619154 0020 N/A N/A LNB N/A

0021 0056619154 0021 N/A N/A LNB N/A

0022 0056619154 0022 N/A N/A N/A N/A 0023 0056619154 0023 N/A N/A N/A N/A 0024 0056619154 0024 N/A N/A N/A N/A

0025 6830-00-808-9531 8,700.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Quonset ANG, RI

PAGE 17 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0026 6830-00-808-9531 9,600.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Quonset ANG, RI

0027 6830-00-808-9531 9,600.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Quonset ANG, RI

PAGE 18 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0028 6830-00-808-9531 9,600.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Quonset ANG, RI

0029 6830-00-808-9531 9,600.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Quonset ANG, RI

PAGE 19 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0030 0001 - S20000001 1.000 QH $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, DETENTION COST

IAW F3.10 Transport Truck and/or Truck and Trailer Free Time and Trailer Free Time and Detention Rates

0031 0001 - S20000006 2.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

0032 0001 - S20000002 1.000 EA $ ________________ $ ________________

PAGE 20 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

PREP FOR DELIVERY:

SERVICES, HOT FILLS

ITEM PR PRLI PR PRLI Material Need Ship Date .

0025 0056619154 0025 N/A N/A ABO N/A

0026 0056619154 0026 N/A N/A ABO N/A

0027 0056619154 0027 N/A N/A ABO N/A

0028 0056619154 0028 N/A N/A ABO N/A

0029 0056619154 0029 N/A N/A ABO N/A

0030 0056619154 0030 N/A N/A N/A N/A 0031 0056619154 0031 N/A N/A N/A N/A 0032 0056619154 0032 N/A N/A N/A N/A

0033 6830-00-808-9531 15,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

PAGE 21 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

f.o.b. destination Burlington ANG, VT

0034 6830-00-808-9531 15,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Burlington ANG, VT

0035 6830-00-808-9531 15,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

f.o.b. destination Burlington ANG, VT

PAGE 22 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0036 6830-00-808-9531 15,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Burlington ANG, VT

0037 6830-00-808-9531 15,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Burlington ANG, VT

PAGE 23 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

Expedited/Emergency Delivery

0038 0001 - S20000005 1.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, EMERGENCY DELIVERY

IAW SOO PARAGRAPH TITLED "PRODUCT DELIVERY."

0039 0001 - S20000001 1.000 QH $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, DETENTION COST

IAW F3.10 Transport Truck and/or Truck and Trailer Free Time and Detention Rates

PAGE 24 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0040 0001 - S20000006 2.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

0041 0001 - S20000002 1.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, HOT FILLS

ITEM PR PRLI PR PRLI Material Need Ship Date .

0033 0056619154 0033 N/A N/A ABO N/A

0034 0056619154 0034 N/A N/A ABO N/A

0035 0056619154 0035 N/A N/A ABO N/A

0036 0056619154 0036 N/A N/A ABO N/A

0037 0056619154 0037 N/A N/A ABO N/A

0038 0056619154 0038 N/A N/A N/A N/A 0039 0056619154 0039 N/A N/A N/A N/A 0040 0056619154 0040 N/A N/A N/A N/A

PAGE 25 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0041 0056619154 0041 N/A N/A N/A N/A

0042 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Niagara Falls ARB, NY

0043 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

PAGE 26 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Niagara Falls ARB, NY

0044 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Niagara Falls ARB, NY

0045 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

PAGE 27 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Niagara Falls ARB, NY

0046 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Niagara Falls ARB, NY

0047 0001 - S20000001 1.000 QH $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

SERVICES, DETENTION COST

PAGE 28 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

IAW F3.10 Transport Truck and/or Truck and Trailer Free Time and Detention Rates

0048 0001 - S20000006 2.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

0049 0001 - S20000002 1.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, HOT FILLS

For services over and above the cost for product consumed during the cool-down of a tank

PAGE 29 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0042 0056619154 0042 N/A N/A ABO N/A

0043 0056619154 0043 N/A N/A ABO N/A

0044 0056619154 0044 N/A N/A ABO N/A

0045 0056619154 0045 N/A N/A ABO N/A

0046 0056619154 0046 N/A N/A ABO N/A

0047 0056619154 0047 N/A N/A N/A N/A 0048 0056619154 0048 N/A N/A N/A N/A 0049 0056619154 0049 N/A N/A N/A N/A

0050 6830-00-808-9531 35,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Stewart ANG, NY

PAGE 30 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0051 6830-00-808-9531 35,500.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Stewart ANG, NY

0052 6830-00-808-9531 36,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Stewart ANG, NY

PAGE 31 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0053 6830-00-808-9531 36,500.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Stewart ANG, NY

0054 6830-00-808-9531 37,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Stewart ANG, NY

PAGE 32 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0055 0001 - S20000001 1.000 QH $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, DETENTION COST

IAW F3.10 Transport Truck and/or Truck and Trailer Free Time and Detention Rates

ITEM PR PRLI PR PRLI Material Need Ship Date .

0050 0056619154 0050 N/A N/A ABO N/A

0051 0056619154 0051 N/A N/A ABO N/A

0052 0056619154 0052 N/A N/A ABO N/A

0053 0056619154 0053 N/A N/A ABO N/A

0054 0056619154 0054 N/A N/A ABO N/A

0055 0056619154 0055 N/A N/A N/A N/A

SUPPLIES/SERVICES: N068-V00007478

0056 N068-V00007478 1.000 EA $ ________________ $ ________________

Installation/Remov al of Equipment

SERVICES, INSTALLATION OF CONTRACTOR-PROVIDED TANKS

IAW SOO PARAGRAPH TITLED "INSTALLATION, CONTRACTOR-PROVIDED TANKS AND EQUIPMENT."

PAGE 33 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: N068-V00007478 CONT'D

3,000-5,000 GL ABO tank

PERIOD OF PERFORMANCE: 07/01/2015 - 06/30/2020

0057 N068-V00007478 1.000 EA $ ________________ $ ________________

SERVICES, REMOVAL OF CONTRACTOR-PROVIDED TANKS

Evacuate and Purge Containers

0058 0001 - S20000007 1.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, EVACUATION AND PURGE OF CONTRACTOR-PROVIDED

IAW SOO paragraph titled "Tank Purge."

Proposed price should only include the cost for the evacuation and purge.

Any product consumed during the procedure and product used to refill the tank charged against the product

CLIN.

PAGE 34 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 0001-S20000007 CONT'D

ITEM PR PRLI PR PRLI Material Need Ship Date .

0056 0056619154 0056 N/A N/A N/A N/A 0057 0056619154 0057 N/A N/A N/A N/A 0058 0056619154 0058 N/A N/A N/A N/A

SUPPLIES/SERVICES: W068-V00007798

0059 W068-V00007798 12.000 EA $ ________________ $ ________________

Equipment Lease

TANK LEASE (1 TANK)

PERIOD OF PERFORMANCE: 07/01/2015 - 06/30/2016

0060 W068-V00007798 12.000 EA $ ________________ $ ________________

3,000 - 5,000 GL ABO tank

PAGE 35 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: W068-V00007798 CONT'D

PERIOD OF PERFORMANCE: 07/01/2016 - 06/30/2017

0061 W068-V00007798 12.000 EA $ ________________ $ ________________

PERIOD OF PERFORMANCE: 07/01/2017 - 06/30/2018

0062 W068-V00007798 12.000 EA $ ________________ $ ________________

PERIOD OF PERFORMANCE: 07/01/2018 - 06/30/2019

PAGE 36 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0063 W068-V00007798 12.000 EA $ ________________ $ ________________

PERIOD OF PERFORMANCE: 07/01/2019 - 06/30/2020

0064 0001 - S20000001 1.000 QH $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, DETENTION COST

IAW F3.10 Transport Truck and/or Truck and Trailer Free Time and Detention Rates

ITEM PR PRLI PR PRLI Material Need Ship Date .

0059 0056619154 0059 N/A N/A N/A N/A 0060 0056619154 0060 N/A N/A N/A N/A 0061 0056619154 0061 N/A N/A N/A N/A 0062 0056619154 0062 N/A N/A N/A N/A 0063 0056619154 0063 N/A N/A N/A N/A 0064 0056619154 0064 N/A N/A N/A N/A

PAGE 37 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: N068-V00007478 CONT'D

0065 N068-V00007478 1.000 EA $ ________________ $ ________________

SERVICES, INSTALLATION OF CONTRACTOR-PROVIDED TANKS

1,500 - 2,000 GL ABO tank

0066 N068-V00007478 1.000 EA $ ________________ $ ________________

SERVICES, REMOVAL OF CONTRACTOR-PROVIDED TANKS

Evacuate and Purge Containers

PAGE 38 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: 0001-S20000007 CONT'D

0067 0001 - S20000007 1.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, EVACUATION AND PURGE OF CONTRACTOR-PROVIDED

IAW SOO paragraph titled "Tank Purge."

Proposed price should only include the cost for the evacuation and purge.

Any product consumed during the procedure and product used to refill the tank charged against the product

CLIN.

1,500-2,000 GL ABO tank

ITEM PR PRLI PR PRLI Material Need Ship Date .

0065 0056619154 0065 N/A N/A N/A N/A 0066 0056619154 0066 N/A N/A N/A N/A 0067 0056619154 0067 N/A N/A N/A N/A

0068 W068-V00007798 12.000 EA $ ________________ $ ________________

PAGE 39 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0069 W068-V00007798 12.000 EA $ ________________ $ ________________

PERIOD OF PERFORMANCE: 07/01/2016 - 06/30/2017

0070 W068-V00007798 12.000 EA $ ________________ $ ________________

PERIOD OF PERFORMANCE: 07/01/2017 - 06/30/2018

PAGE 40 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0071 W068-V00007798 12.000 EA $ ________________ $ ________________

PERIOD OF PERFORMANCE: 07/01/2018 - 06/30/2019

0072 W068-V00007798 12.000 EA $ ________________ $ ________________

PERIOD OF PERFORMANCE: 07/01/2019 - 06/30/2020

ITEM PR PRLI PR PRLI Material Need Ship Date .

0068 0056619154 0068 N/A N/A N/A N/A 0069 0056619154 0069 N/A N/A N/A N/A 0070 0056619154 0070 N/A N/A N/A N/A 0071 0056619154 0071 N/A N/A N/A N/A 0072 0056619154 0072 N/A N/A N/A N/A

PAGE 41 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0073 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Stratton ANG, NY

0074 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

f.o.b. destination Stratton ANG, NY

PAGE 42 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0075 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Stratton ANG, NY

0076 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Stratton ANG, NY

PAGE 43 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0077 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Stratton ANG, NY

0078 0001 - S20000001 1.000 QH $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, DETENTION COST

IAW F3.10 Transport Truck and/or Truck and Trailer Free Time and Detention Rates (f.o.b. destination)

PAGE 44 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0079 0001 - S20000006 3.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

0080 0001 - S20000002 1.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, HOT FILLS

ITEM PR PRLI PR PRLI Material Need Ship Date .

0073 0056619154 0073 N/A N/A ABO N/A

0074 0056619154 0074 N/A N/A ABO N/A

0075 0056619154 0075 N/A N/A ABO N/A

0076 0056619154 0076 N/A N/A ABO N/A

0077 0056619154 0077 N/A N/A ABO N/A

0078 0056619154 0078 N/A N/A N/A N/A 0079 0056619154 0079 N/A N/A N/A N/A 0080 0056619154 0080 N/A N/A N/A N/A

PAGE 45 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0081 6830-00-808-9531 12,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Westhampton Beach ANG, NY

0082 6830-00-808-9531 12,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

f.o.b. destination Westhampton Beach ANG, NY

PAGE 46 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0083 6830-00-808-9531 12,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Westhampton Beach ANG, NY

0084 6830-00-808-9531 12,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Westhampton Beach ANG, NY

PAGE 47 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0085 6830-00-808-9531 12,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Westhampton Beach ANG, NY

Expedited/Emergency Delivery

0086 0001 - S20000005 1.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, EMERGENCY DELIVERY

IAW SOO PARAGRAPH TITLED "PRODUCT DELIVERY."

PAGE 48 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0087 0001 - S20000001 1.000 QH $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, DETENTION COST

IAW F3.10 Transport Truck and/or Truck and Trailer Free Time and Detention Rates

0088 0001 - S20000006 2.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

0089 0001 - S20000002 1.000 EA $ ________________ $ ________________

PAGE 49 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SERVICES, HOT FILLS

ITEM PR PRLI PR PRLI Material Need Ship Date .

0081 0056619154 0081 N/A N/A ABO N/A

0082 0056619154 0082 N/A N/A ABO N/A

0083 0056619154 0083 N/A N/A ABO N/A

0084 0056619154 0084 N/A N/A ABO N/A

0085 0056619154 0085 N/A N/A ABO N/A

0086 0056619154 0086 N/A N/A N/A N/A 0087 0056619154 0087 N/A N/A N/A N/A 0088 0056619154 0088 N/A N/A N/A N/A 0089 0056619154 0089 N/A N/A N/A N/A

0090 6830-00-808-9531 14,500.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

f.o.b. destination Atlantic City ANG, NJ

PAGE 50 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0091 6830-00-808-9531 14,500.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Atlantic City ANG, NJ

0092 6830-00-808-9531 14,500.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Atlantic City ANG, NJ

PAGE 51 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0093 6830-00-808-9531 14,500.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Atlantic City ANG, NJ

0094 6830-00-808-9531 14,500.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

AVIATOR'S BREATHING OXYGEN

f.o.b. destination Atlantic City ANG, NJ

PAGE 52 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0095 0001 - S20000001 1.000 QH $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, DETENTION COST

IAW F3.10 Transport Truck and/or Truck and Trailer Free Time and Detention Rates

0096 0001 - S20000006 2.000 EA $ ________________ $ ________________

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

0097 0001 - S20000002 1.000 EA $ ________________ $ ________________

PAGE 53 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

SERVICES, HOT FILLS

ITEM PR PRLI PR PRLI Material Need Ship Date .

0090 0056619154 0090 N/A N/A ABO N/A

0091 0056619154 0091 N/A N/A ABO N/A

0092 0056619154 0092 N/A N/A ABO N/A

0093 0056619154 0093 N/A N/A ABO N/A

0094 0056619154 0094 N/A N/A ABO N/A

0095 0056619154 0095 N/A N/A N/A N/A 0096 0056619154 0096 N/A N/A N/A N/A 0097 0056619154 0097 N/A N/A N/A N/A

SUPPLIES/SERVICES: 6830-00-285-4769

0098 6830-00-285-4769 10,800.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

PAGE 54 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

LIQUID NITROGEN

f.o.b. destination Atlantic City ANG, NJ

0099 6830-00-285-4769 10,800.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

LIQUID NITROGEN

f.o.b. destination Atlantic City ANG, NJ

0100 6830-00-285-4769 10,800.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

LIQUID NITROGEN

f.o.b. destination Atlantic City ANG, NJ

PAGE 55 OF 189 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/S