SPE601-15-R-0320.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 0058396195

1. REQUISITION NUMBER

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER

SPE601-15-R-0320

5. SOLICITATION NUMBER

2015 JUN 08

6. SOLICITATION ISSUE

DATE

Marcus Evans POEFEMA

a. NAME

Phone: 210-925-2114

b. TELEPHONE NUMBER (No Collect calls)

2015 JUL 08

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

210PAGE 1 OF

03:00 PM

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 NOTICES TO OFFERORS:

1. The Government intends to execute an unrestricted full and open procurement for the delivery, production and ancillary services of Aviator's Breathing Oxygen (ABO) Type II, NSN 6830-00-808-9530, bulk Liquid Nitrogen (LN2) Type II, Grade B, NSN 9135-00-965-2526 and Liquid Argon, 9135-00-759-7634, Type II, Grade A, IAW MIL-PRF-27415C dated 7 Aug 2013 for f.o.b. destination delivery to various sites in the Mid-Western region of the United States.The estimated period of performance is from 1 Jan 2016 through31 December 2020. The solicitation will also contain line items for associated services such as Hot Fills, Tank Over-Pressure Protection, Emergency Delivery, Detention Cost and Installation/ Removal of Contractor-Provided Tanks for select locations. ABO shall meet specifications IAW MIL-PRF-27210J dated 7 Aug 2013 , LN2 shall meet specifications Grade B, IAW CID A-A 59503C dated 3 Mar 2011 and Liquid Argon shall meet specifications Grade A, IAW MIL-PRF-27415C dated 7 Aug 2013.

2. All offerors shall comply with the requirements listed in Insturctions L0003 L2.35 PROPOSALS FORMAT AND CONTENT (AEROSPACE ENERGY)(DLA ENERGY AUG 2009) and all offerors will be evaluated in accordance with Instructions in M0001 M2.14 EVALUATIONS - COMMERCIAL ITEMS (AEROSPACE ENERGY AUG 2009). As a result, a single contract is intended to be awarded for each product and accompanying services at the customer location stated in the schedule, thereby potentially resulting in muliple Awards.

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

4. The clauses and provisions shown throughout this solicitation and any resultant contract that have only the clauses/provision number, title, and date that is 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.

5. The Contracting Officer may request that the DLA Energy Region Quality Assurance Representative (QAR) perform a Preaward Survey (PAS) in accordance with FAR Part 9.106-1. If requested, the offeror and its employees, including those at the fill point and/or production facility, shall be required to participate fully in the PAS process. The DLA Energy Contracting Officer will discuss any recommendation by the QAR as a result of the PAS that is other than "Full Award," with the offeror during negotiations. This will allow the offeror an opportunity to respond or otherwise provide information in its Final Proposal Revision as to how the offeror intends to correct the issue(s) and/or QAR concern(s) that led to an other than "Full Award" recommendation.

6. 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.

7. The address for overnight delivery is: DLA Energy- FEM, Building 1621, 1014 Billy Mitchell Blvd, San Antonio, Texas 78226 ATTENTION: Ken Marsh

8. While not mandatory, site visits are HIGHLY ENCOURAGED. For a list of POCs at each facility, please contact Marcus Evans at 210-925-2114 or via email at marcus.evans5@dla.mil. Please note all site-visits and associated costs are the responsibility of the contractor. Please forward all technical questions to Marcus Evans NLT 12 June 2015 at 1:00 p.m. Due to the urgency of the requirement, the Government is requesting potential offerors provide the name, complete addresses and telephone number of the manufacturing and filling points for each product to be furnished, and identify the filling points as primary or secondary, in accordance with E33.01 Manufacturing and Filling Points (AEROSPACE ENERGY)(DLA ENERGY Jul 2008) NLT 19 June 2015 at 1:00 p.m. to Marcus Evans. Furthermore; upon release of the Final RFP, the Government does not intend to extend the closing date.

9. Proposals are due 8 July 2015 at 3:00 p.m to Marcus Evans at marcus.evans5@dla.mil Any questions shall be directed to him at (210) 925-2114.

PAGE 3 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SPE601-15-R-0320

SUPPLIES/SERVICES: 6830-00-808-9531

ITEM DESCRIPTION:

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

0001 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

OXYGEN,AVIATOR'S

BR

QTY VARIANCE: PLUS 10% MINUS 10%

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Wyoming ANG, WY NSN: 6830-00-808-9531 Type II, IAW MIL-PRF-27210J dated 7 Aug 2013 Period of Performance: 1 January 2016 thru 31 December 2016

0002 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Wyoming ANG, WY NSN: 6830-00-808-9531

Period of Performance: 1 January 2017 thru 31 December 2017

PAGE 4 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

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

0003 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Wyoming ANG, WY NSN: 6830-00-808-9531

Period of Performance: 1 January 2018 thru 31 December 2018

0004 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Wyoming ANG, WY NSN: 6830-00-808-9531

Period of Performance: 1 January 2019 thru 31 December 2019

PAGE 5 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0005 6830-00-808-9531 8,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Wyoming ANG, WY NSN: 6830-00-808-9531

Period of Performance: 1 January 2020 thru 31 December 2020

GOVT USE

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

0001 0058396195 0001 N/A N/A ABO N/A

0002 0058396195 0002 N/A N/A ABO N/A

0003 0058396195 0003 N/A N/A ABO N/A

0004 0058396195 0004 N/A N/A ABO N/A

0005 0058396195 0005 N/A N/A ABO N/A

SUPPLIES/SERVICES: V129-V20000226

0006 V129-V20000226 1.000 QH $ ________________ $ ________________

Detention Fee

PREP FOR DELIVERY:

PAGE 6 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: V129-V20000226 CONT'D

SERVICES, DETENTION COST

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

PERIOD OF PERFORMANCE: 01/01/2016 - 12/31/2020

ITEM PR PRLI PR PRLI Material Need Ship Date .

0006 0058396195 0006 N/A N/A N/A N/A

SUPPLIES/SERVICES: N052-V20000230

0007 N052-V20000230 1.000 EA $ ________________ $ ________________

Tank Overpressure Protection

SERVICES, TANK OVER-PRESSURE PROTECTION

IAW SOO Paragraph titled “Tank Over-Pressure Protection”

PAGE 7 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: M1NA-V20000227 CONT'D

ITEM PR PRLI PR PRLI Material Need Ship Date .

0007 0058396195 0007 N/A N/A N/A N/A

SUPPLIES/SERVICES: M1NA-V20000227

0008 M1NA-V20000227 1.000 EA $ ________________ $ ________________

Tank Hot Fill

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

ITEM PR PRLI PR PRLI Material Need Ship Date .

0008 0058396195 0008 N/A N/A N/A N/A

PAGE 8 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0009 6830-00-808-9531 30,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Buckley AFB, CO, NSN: 6830-00-808-9531

0010 6830-00-808-9531 30,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Buckley AFB, CO, NSN: 6830-00-808-9531

PAGE 9 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0011 6830-00-808-9531 30,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Buckley AFB, CO, NSN: 6830-00-808-9531

0012 6830-00-808-9531 30,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Buckley AFB, CO, NSN: 6830-00-808-9531

PAGE 10 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0013 6830-00-808-9531 30,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Buckley AFB, CO, NSN: 6830-00-808-9531

ITEM PR PRLI PR PRLI Material Need Ship Date .

0009 0058396195 0009 N/A N/A ABO N/A

0010 0058396195 0010 N/A N/A ABO N/A

0011 0058396195 0011 N/A N/A ABO N/A

0012 0058396195 0012 N/A N/A ABO N/A

0013 0058396195 0013 N/A N/A ABO N/A

0014 V129-V20000226 1.000 QH $ ________________ $ ________________

PAGE 11 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0014 0058396195 0014 N/A N/A N/A N/A

0015 N052-V20000230 2.000 EA $ ________________ $ ________________

See Attached Statement of Work.

PAGE 12 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0015 0058396195 0015 N/A N/A N/A N/A

0016 M1NA-V20000227 1.000 EA $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0016 0058396195 0016 N/A N/A N/A N/A

PAGE 13 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0017 6830-00-808-9531 8,400.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Peterson AFB, CO, NSN: 6830-00-808-9531

0018 6830-00-808-9531 8,400.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Peterson AFB, CO, NSN: 6830-00-808-9531

PAGE 14 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0019 6830-00-808-9531 8,400.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Peterson AFB, CO, NSN: 6830-00-808-9531

0020 6830-00-808-9531 8,400.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Peterson AFB, CO, NSN: 6830-00-808-9531

PAGE 15 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0021 6830-00-808-9531 8,400.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Peterson AFB, CO, NSN: 6830-00-808-9531

ITEM PR PRLI PR PRLI Material Need Ship Date .

0017 0058396195 0017 N/A N/A ABO N/A

0018 0058396195 0018 N/A N/A ABO N/A

0019 0058396195 0019 N/A N/A ABO N/A

0020 0058396195 0020 N/A N/A ABO N/A

0021 0058396195 0021 N/A N/A ABO N/A

SUPPLIES/SERVICES: V001-V20000229

0022 V001-V20000229 1.000 EA $ ________________ $ ________________

Expedited/Emergenc y Delivery

PAGE 16 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: V001-V20000229 CONT'D

SERVICES, EMERGENCY DELIVERY

IAW SOO paragraph titled “Product Delivery”

ITEM PR PRLI PR PRLI Material Need Ship Date .

0022 0058396195 0022 N/A N/A N/A N/A

0023 V129-V20000226 1.000 QH $ ________________ $ ________________

PAGE 17 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: N052-V20000230 CONT'D

ITEM PR PRLI PR PRLI Material Need Ship Date .

0023 0058396195 0023 N/A N/A N/A N/A

0024 N052-V20000230 2.000 EA $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0024 0058396195 0024 N/A N/A N/A N/A

PAGE 18 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0025 M1NA-V20000227 1.000 EA $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0025 0058396195 0025 N/A N/A N/A N/A

0026 6830-00-808-9531 30,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Dyess AFB, TX, NSN: 6830-00-808-9531

PAGE 19 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0027 6830-00-808-9531 30,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Dyess AFB, TX, NSN: 6830-00-808-9531

0028 6830-00-808-9531 30,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Dyess AFB, TX, NSN: 6830-00-808-9531

PAGE 20 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0029 6830-00-808-9531 30,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Dyess AFB, TX, NSN: 6830-00-808-9531

0030 6830-00-808-9531 30,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Dyess AFB, TX, NSN: 6830-00-808-9531

PAGE 21 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0026 0058396195 0026 N/A N/A ABO N/A

0027 0058396195 0027 N/A N/A ABO N/A

0028 0058396195 0028 N/A N/A ABO N/A

0029 0058396195 0029 N/A N/A ABO N/A

0030 0058396195 0030 N/A N/A ABO N/A

0031 V129-V20000226 1.000 QH $ ________________ $ ________________

0031 SERVICES, DETENTION COST

ITEM PR PRLI PR PRLI Material Need Ship Date .

0031 0058396195 0031 N/A N/A N/A N/A

PAGE 22 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0032 N052-V20000230 2.000 EA $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0032 0058396195 0032 N/A N/A N/A N/A

0033 M1NA-V20000227 1.000 EA $ ________________ $ ________________

PAGE 23 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0033 0058396195 0033 N/A N/A N/A N/A

0034 6830-00-808-9531 10,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Ellington ANG, TX, NSN: 6830-00-808-9531

0035 6830-00-808-9531 10,000.000 GL $ ________________ $ ________________

PAGE 24 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

INSPECTION POINT: ORIGIN

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Ellington ANG, TX, NSN: 6830-00-808-9531

0036 6830-00-808-9531 10,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Ellington ANG, TX, NSN: 6830-00-808-9531

0037 6830-00-808-9531 10,000.000 GL $ ________________ $ ________________

PAGE 25 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Ellington ANG, TX, NSN: 6830-00-808-9531

0038 6830-00-808-9531 10,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to Ellington ANG, TX, NSN: 6830-00-808-9531

PAGE 26 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0034 0058396195 0034 N/A N/A ABO N/A

0035 0058396195 0035 N/A N/A ABO N/A

0036 0058396195 0036 N/A N/A ABO N/A

0037 0058396195 0037 N/A N/A ABO N/A

0038 0058396195 0038 N/A N/A ABO N/A

0039 V129-V20000226 1.000 QH $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0039 0058396195 0039 N/A N/A N/A N/A

PAGE 27 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0040 N052-V20000230 2.000 EA $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0040 0058396195 0040 N/A N/A N/A N/A

0041 M1NA-V20000227 1.000 EA $ ________________ $ ________________

PAGE 28 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0041 0058396195 0041 N/A N/A N/A N/A

0042 6830-00-808-9531 32,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to NAS JRB Ft Worth, TX, NSN: 6830-00-808-9531

0043 6830-00-808-9531 32,000.000 GL $ ________________ $ ________________

PAGE 29 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

FOB: DESTINATION DELIVERY DATE:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to NAS JRB Ft Worth, TX, NSN: 6830-00-808-9531

0044 6830-00-808-9531 32,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to NAS JRB Ft Worth, TX, NSN: 6830-00-808-9531

0045 6830-00-808-9531 32,000.000 GL $ ________________ $ ________________

PAGE 30 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to NAS JRB Ft Worth, TX, NSN: 6830-00-808-9531

0046 6830-00-808-9531 32,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to NAS JRB Ft Worth, TX, NSN: 6830-00-808-9531

ITEM PR PRLI PR PRLI Material Need Ship Date .

0042 0058396195 0042 N/A N/A ABO N/A

0043 0058396195 0043 N/A N/A ABO N/A

0044 0058396195 0044 N/A N/A ABO N/A

0045 0058396195 0045 N/A N/A ABO N/A

0046 0058396195 0046 N/A N/A ABO N/A

PAGE 31 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0047 V001-V20000229 1.000 EA $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0047 0058396195 0047 N/A N/A N/A N/A

0048 V129-V20000226 1.000 QH $ ________________ $ ________________

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

Period of Performance: 1 January 2016 thru 31 December 2020

PAGE 32 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0048 0058396195 0048 N/A N/A N/A N/A

0049 N052-V20000230 2.000 EA $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0049 0058396195 0049 N/A N/A N/A N/A

PAGE 33 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0050 M1NA-V20000227 1.000 EA $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0050 0058396195 0050 N/A N/A N/A N/A

SUPPLIES/SERVICES: 6830-00-285-4769

0051 6830-00-285-4769 17,000.000 GL $ ________________ $ ________________

NITROGEN

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Liquid Nitrogen Delivered f.o.b. destination to NAS JRB Ft Worth, TX, NSN: 6830-00-285-4769

PAGE 34 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

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

Type II, Grade B, IAW CI A-A 59503C dated 3 Mar 2011

0052 6830-00-285-4769 17,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Liquid Nitrogen Delivered f.o.b. destination to NAS JRB Ft Worth, TX, NSN: 6830-00-285-4769

0053 6830-00-285-4769 17,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Liquid Nitrogen Delivered f.o.b. destination to NAS JRB Ft Worth, TX, NSN: 6830-00-285-4769

PAGE 35 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0054 6830-00-285-4769 17,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Liquid Nitrogen Delivered f.o.b. destination to NAS JRB Ft Worth, TX, NSN: 6830-00-285-4769

0055 6830-00-285-4769 17,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Liquid Nitrogen Delivered f.o.b. destination to NAS JRB Ft Worth, TX, NSN: 6830-00-285-4769

PAGE 36 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0051 0058396195 0051 N/A N/A LNB N/A

0052 0058396195 0052 N/A N/A LNB N/A

0053 0058396195 0053 N/A N/A LNB N/A

0054 0058396195 0054 N/A N/A LNB N/A

0055 0058396195 0055 N/A N/A LNB N/A

0056 V001-V20000229 1.000 EA $ ________________ $ ________________

PERIOD OF PERFORMANCE: 01/01/2020 - 12/31/2020

ITEM PR PRLI PR PRLI Material Need Ship Date .

0056 0058396195 0056 N/A N/A N/A N/A

PAGE 37 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0057 V129-V20000226 1.000 QH $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0057 0058396195 0057 N/A N/A N/A N/A

0058 N052-V20000230 2.000 EA $ ________________ $ ________________

PAGE 38 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0058 0058396195 0058 N/A N/A N/A N/A

0059 M1NA-V20000227 1.000 EA $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0059 0058396195 0059 N/A N/A N/A N/A

PAGE 39 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0060 6830-00-808-9531 26,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to 433 AFR, Lackland AFB, TX, NSN: 6830-00-808-9531

0061 6830-00-808-9531 26,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to 433 AFR, Lackland AFB, TX, NSN: 6830-00-808-9531

PAGE 40 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0062 6830-00-808-9531 26,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to 433 AFR, Lackland AFB, TX, NSN: 6830-00-808-9531

0063 6830-00-808-9531 26,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to 433 AFR, Lackland AFB, TX, NSN: 6830-00-808-9531

PAGE 41 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0064 6830-00-808-9531 26,000.000 GL $ ________________ $ ________________

QTY VARIANCE: PLUS 0% MINUS 0%

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to 433 AFR, Lackland AFB, TX, NSN: 6830-00-808-9531

ITEM PR PRLI PR PRLI Material Need Ship Date .

0060 0058396195 0060 N/A N/A ABO N/A

0061 0058396195 0061 N/A N/A ABO N/A

0062 0058396195 0062 N/A N/A ABO N/A

0063 0058396195 0063 N/A N/A ABO N/A

0064 0058396195 0064 N/A N/A ABO N/A

0065 V129-V20000226 1.000 QH $ ________________ $ ________________

PAGE 42 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0065 0058396195 0065 N/A N/A N/A N/A

0066 N052-V20000230 2.000 EA $ ________________ $ ________________

PAGE 43 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0066 0058396195 0066 N/A N/A N/A N/A

0067 M1NA-V20000227 1.000 EA $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0067 0058396195 0067 N/A N/A N/A N/A

SUPPLIES/SERVICES: 6830-00-285-4769

PAGE 44 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0068 6830-00-285-4769 163,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Liquid Nitrogen Delivered f.o.b. destination to 433 AFR, Lackland AFB, TX, NSN: 6830-00-285-4769 Type II, Grade B, IAW CID A-A 59503C dated 3 Mar 2011

0069 6830-00-285-4769 163,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Liquid Nitrogen Delivered f.o.b. destination to 433 AFR, Lackland AFB, TX, NSN: 6830-00-285-4769

PAGE 45 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0070 6830-00-285-4769 163,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Liquid Nitrogen Delivered f.o.b. destination to 433 AFR, Lackland AFB, TX, NSN: 6830-00-285-4769

0071 6830-00-285-4769 163,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Liquid Nitrogen Delivered f.o.b. destination to 433 AFR, Lackland AFB, TX, NSN: 6830-00-285-4769

PAGE 46 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0072 6830-00-285-4769 163,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Liquid Nitrogen Delivered f.o.b. destination to 433 AFR, Lackland AFB, TX, NSN: 6830-00-285-4769

ITEM PR PRLI PR PRLI Material Need Ship Date .

0068 0058396195 0068 N/A N/A LNB N/A

0069 0058396195 0069 N/A N/A LNB N/A

0070 0058396195 0070 N/A N/A LNB N/A

0071 0058396195 0071 N/A N/A LNB N/A

0072 0058396195 0072 N/A N/A LNB N/A

0073 V129-V20000226 1.000 QH $ ________________ $ ________________

PAGE 47 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

ITEM PR PRLI PR PRLI Material Need Ship Date .

0073 0058396195 0073 N/A N/A N/A N/A

SUPPLIES/SERVICES: N068-V20000262

0074 N068-V20000262 2.000 EA $ ________________ $ ________________

Installation/Remov al of Equipment

SERVICES, INSTALLATION OF CONTRACTOR PROVIDED LN2 TANKS

IAW SOO PARAGRAPH TITLED “INSTALLATION, MAINTENANCE, AND REMOVAL OF CONTRATOR-PROVIDED TANKS AND EQUIPMENT

PERIOD OF PERFORMANCE: 01/01/2016 - 12/31/2016

SUPPLIES/SERVICES: N068-V20000262

PAGE 48 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: N068-V20000262 CONT'D

0075 N068-V20000262 2.000 EA $ ________________ $ ________________

Installation/Remov al of Equipment

SERVICES, REMOVAL OF CONTRACTOR PROVIDED LN2 TANKS

IAW SOO PARAGRAPH TITLED “INSTALLATION, MAINTENANCE, AND REMOVAL OF CONTRACTOR-PROVIDED TANKS AND EQUIPMENT”

ITEM PR PRLI PR PRLI Material Need Ship Date .

0074 0058396195 0074 N/A N/A N/A N/A 0075 0058396195 0075 N/A N/A N/A N/A

SUPPLIES/SERVICES: W068-V20000264

0076 W068-V20000264 12.000 MO $ ________________ $ ________________

Equipment Lease

RECURRING SERVICES, TANK LEASE FOR 2 LN2 TANKS AT 433 AFR

PERIOD OF PERFORMANCE: 01/01/2016 - 12/31/2016

PAGE 49 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: W068-V20000264 CONT'D

0077 W068-V20000264 12.000 MO $ ________________ $ ________________

PERIOD OF PERFORMANCE: 01/01/2017 - 12/31/2017

0078 W068-V20000264 12.000 MO $ ________________ $ ________________

PERIOD OF PERFORMANCE: 01/01/2018 - 12/31/2018

0079 W068-V20000264 12.000 MO $ ________________ $ ________________

PAGE 50 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

SUPPLY/SERVICE: W068-V20000264 CONT'D

PERIOD OF PERFORMANCE: 01/01/2019 - 12/31/2019

0080 W068-V20000264 12.000 MO $ ________________ $ ________________

ITEM PR PRLI PR PRLI Material Need Ship Date .

0076 0058396195 0076 N/A N/A N/A N/A 0077 0058396195 0077 N/A N/A N/A N/A 0078 0058396195 0078 N/A N/A N/A N/A 0079 0058396195 0079 N/A N/A N/A N/A 0080 0058396195 0080 N/A N/A N/A N/A

PAGE 51 OF 210 PAGESCONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED:

0081 6830-00-808-9531 14,000.000 GL $ ________________ $ ________________

ACCEPTANCE POINT: DESTINATION

FOB: DESTINATION DELIVERY DATE:

PREP FOR DELIVERY:

Aviator’s Breathing Oxygen Delivered f.o.b. destination to 149 FW Lackland AFB, TX, NSN: 6830-00-808-9531

ITEM NO. SUPPLIES/SERV