A.09.03_Attachment_1.pdf

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Delivery of Medical Gases to Tripler Army Medical Center (TAMC), Hawaii
Solicitation number
W81K0218Q0194
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Solicitation W81K0218Q0194

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W81K0218Q0194

ATTACHMENT 1

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001 54,175 Each

OXYGEN (H)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 49,250

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Standard Cubic Feet FOB: Destination

PURCHASE REQUEST NUMBER: 0011178299

PSC CD: 6830

MAX

NET AMT

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0002 3,520 Each

OXYGEN (E)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 3,200

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

PURCHASE REQUEST NUMBER: 0011178299

PSC CD: 6830

UNIT UNIT PRICE MAX AMOUNT

0003 3,740 Each

OXYGEN (D)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 3,400

To be delivered in (D) sized cylinder: 4-1/4" x 20-1/4" 10-1/4lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0004 20 Each

OXYGEN (M)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 17

To be delivered in (M) sized cylinder: 7" x 47" 66lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0005 957 Each

NITROGEN (H)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 870

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0006 160 Each

NITROUS OXIDE (E)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 144

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0007 70 Each

NITROUS OXIDE (M)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 60

To be delivered in (H) sized cylinder: 7" x 47" 66lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0008 118 Each

NITROUS OXIDE (H)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 108

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0009 251 Each

CARDION DIOXIDE (G)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 228

To be delivered in (G) sized cylinder: 8-1/2" x 55" 100lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0010 825 Each

CARDION DIOXIDE (E)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 750

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0011 6,965 Each

COMPRESSED AIR (H)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 6,332

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Standard Cubic Feet FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0012 153 Each

COMPRESSED AIR (E)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 139

To be delivered in (H) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0013 35 Each

MEDICAL OXYGEN SIZE (Z)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 30

To be delivered in (H) sized cylinder: 23" x 7" 21lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0014 35 Each

MEDICAL AIR (Q)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 30

To be delivered in (H) sized cylinder: 7" x 31" 49lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0015 110 Each

VALVE REPLACEMENT

FFP

Base Period: 01 October 2018 - 30 September 2019

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 83

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0016 60 Each

VALVE HOOD REPLACEMENT

FFP

Base Period: 01 October 2018 - 30 September 2019

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0017 600 Each

HYDROSTATIC TESTING

FFP

Base Period: 01 October 2018 - 30 September 2019

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 500

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0018 50 Each

PAINT ONE COLOR

FFP

Base Period: 01 October 2018 - 30 September 2019

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 40

Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0019 60 Each

ADDITIONAL COLOR

FFP

Base Period: 01 October 2018 - 30 September 2019

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0020 60 Each

SAND BLAST/PAINT PRIMER

FFP

Base Period: 01 October 2018 - 30 September 2019

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0021 60 Each

STENCILING CYLINDER

FFP

Base Period: 01 October 2018 - 30 September 2019

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0022 240 Each

LABELING MEDICAL OXYGEN CYLINDER

FFP

Base Period: 01 October 2018 - 30 September 2019

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 180

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0023 7,150 Each

LIQUID NITROGEN

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 6,500

Unit of Issue of each = Bulk Liters FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0024 15 Each

COMPRESSED AIR (G)

FFP

Base Period: 01 October 2018 - 30 September 2019

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 13

To be delivered in (H) sized cylinder: 8-1/2" x 55" 100lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1001 54,175 Each

OPTION OXYGEN (H)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 49,250

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Standard Cubic Feet FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1002 3,520 Each

OPTION OXYGEN (E)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 3,200

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1003 3,740 Each

OPTION OXYGEN (D)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 3,400

To be delivered in (D) sized cylinder: 4-1/4" x 20-1/4" 10-1/4lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1004 20 Each

OPTION OXYGEN (M)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 17

To be delivered in (M) sized cylinder: 7" x 47" 66lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1005 957 Each

OPTION NITROGEN (H)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 870

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1006 160 Each

OPTION NITROUS OXIDE (E)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 144

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1007 70 Each

OPTION NITROUS OXIDE (M)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 60

To be delivered in (H) sized cylinder: 7" x 47" 66lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1008 118 Each

OPTION NITROUS OXIDE (H)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 108

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1009 251 Each

OPTION CARDION DIOXIDE (G)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 228

To be delivered in (G) sized cylinder: 8-1/2" x 55" 100lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1010 825 Each

OPTION CARDION DIOXIDE (E)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 750

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1011 6,965 Each

OPTION COMPRESSED AIR (H)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 6,332

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Standard Cubic Feet

UNIT UNIT PRICE MAX AMOUNT

1012 153 Each

OPTION COMPRESSED AIR (E)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 139

To be delivered in (H) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1013 35 Each

OPTION MEDICAL OXYGEN SIZE (Z)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 30

To be delivered in (H) sized cylinder: 23" x 7" 21lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1014 35 Each

OPTION MEDICAL AIR (Q)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 30

To be delivered in (H) sized cylinder: 7" x 31" 49lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1015 110 Each

OPTION VALVE REPLACEMENT

FFP

1st Option Period: 01 October 2019 - 30 September 2020

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 83

UNIT UNIT PRICE MAX AMOUNT

1016 60 Each

OPTION VALVE HOOD REPLACEMENT

FFP

1st Option Period: 01 October 2019 - 30 September 2020

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

UNIT UNIT PRICE MAX AMOUNT

1017 600 Each

OPTION HYDROSTATIC TESTING

FFP

1st Option Period: 01 October 2019 - 30 September 2020

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 500

UNIT UNIT PRICE MAX AMOUNT

1018 50 Each

OPTION PAINT ONE COLOR

FFP

1st Option Period: 01 October 2019 - 30 September 2020

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 40

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1019 60 Each

OPTION ADDITIONAL COLOR

FFP

1st Option Period: 01 October 2019 - 30 September 2020

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1020 60 Each

OPTION SAND BLAST/PAINT PRIMER

FFP

1st Option Period: 01 October 2019 - 30 September 2020

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

1021 60 Each

OPTION STENCILING CYLINDER

FFP

1st Option Period: 01 October 2019 - 30 September 2020

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

UNIT UNIT PRICE MAX AMOUNT

1022 240 Each

OPTION LABELING MEDICAL OXYGEN CYLINDER

FFP

1st Option Period: 01 October 2019 - 30 September 2020

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 180

UNIT UNIT PRICE MAX AMOUNT

1023 7,150 Each

OPTION LIQUID NITROGEN

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 6,500

Unit of Issue of each = Bulk Liters

UNIT UNIT PRICE MAX AMOUNT

1024 15 Each

OPTION COMPRESSED AIR (G)

FFP

1st Option Period: 01 October 2019 - 30 September 2020

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 13

To be delivered in (H) sized cylinder: 8-1/2" x 55" 100lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2001 54,175 Each

OPTION OXYGEN (H)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 49,250

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Standard Cubic Feet

UNIT UNIT PRICE MAX AMOUNT

2002 3,520 Each

OPTION OXYGEN (E)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 3,200

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2003 3,740 Each

OPTION OXYGEN (D)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 3,400

To be delivered in (D) sized cylinder: 4-1/4" x 20-1/4" 10-1/4lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2004 20 Each

OPTION OXYGEN (M)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 17

To be delivered in (M) sized cylinder: 7" x 47" 66lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2005 957 Each

OPTION NITROGEN (H)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 870

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2006 160 Each

OPTION NITROUS OXIDE (E)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 144

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2007 70 Each

OPTION NITROUS OXIDE (M)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 60

To be delivered in (H) sized cylinder: 7" x 47" 66lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2008 118 Each

OPTION NITROUS OXIDE (H)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 108

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2009 251 Each

OPTION CARDION DIOXIDE (G)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 228

To be delivered in (G) sized cylinder: 8-1/2" x 55" 100lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2010 825 Each

OPTION CARDION DIOXIDE (E)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 750

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2011 6,965 Each

OPTION COMPRESSED AIR (H)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 6,332

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Standard Cubic Feet

UNIT UNIT PRICE MAX AMOUNT

2012 153 Each

OPTION COMPRESSED AIR (E)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 139

To be delivered in (H) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2013 35 Each

OPTION MEDICAL OXYGEN SIZE (Z)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 30

To be delivered in (H) sized cylinder: 23" x 7" 21lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2014 35 Each

OPTION MEDICAL AIR (Q)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 30

To be delivered in (H) sized cylinder: 7" x 31" 49lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2015 110 Each

OPTION VALVE REPLACEMENT

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 83

UNIT UNIT PRICE MAX AMOUNT

2016 60 Each

OPTION VALVE HOOD REPLACEMENT

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

UNIT UNIT PRICE MAX AMOUNT

2017 600 Each

OPTION HYDROSTATIC TESTING

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 500

UNIT UNIT PRICE MAX AMOUNT

2018 50 Each

OPTION PAINT ONE COLOR

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 40

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2019 60 Each

OPTION ADDITIONAL COLOR

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2020 60 Each

OPTION SAND BLAST/PAINT PRIMER

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

2021 60 Each

OPTION STENCILING CYLINDER

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

UNIT UNIT PRICE MAX AMOUNT

2022 240 Each

OPTION LABELING MEDICAL OXYGEN CYLINDER

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 180

UNIT UNIT PRICE MAX AMOUNT

2023 7,150 Each

OPTION LIQUID NITROGEN

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 6,500

Unit of Issue of each = Bulk Liters

UNIT UNIT PRICE MAX AMOUNT

2024 15 Each

OPTION COMPRESSED AIR (G)

FFP

2nd Option Period: 01 October 2020 - 30 September 2021

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 13

To be delivered in (H) sized cylinder: 8-1/2" x 55" 100lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3001 54,175 Each

OPTION OXYGEN (H)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 49,250

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Standard Cubic Feet

UNIT UNIT PRICE MAX AMOUNT

3002 3,520 Each

OPTION OXYGEN (E)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 3,200

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3003 3,740 Each

OPTION OXYGEN (D)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 3,400

To be delivered in (D) sized cylinder: 4-1/4" x 20-1/4" 10-1/4lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3004 20 Each

OPTION OXYGEN (M)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 17

To be delivered in (M) sized cylinder: 7" x 47" 66lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3005 957 Each

OPTION NITROGEN (H)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 870

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3006 160 Each

OPTION NITROUS OXIDE (E)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 144

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3007 70 Each

OPTION NITROUS OXIDE (M)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 60

To be delivered in (H) sized cylinder: 7" x 47" 66lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3008 118 Each

OPTION NITROUS OXIDE (H)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 108

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3009 251 Each

OPTION CARDION DIOXIDE (G)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 228

To be delivered in (G) sized cylinder: 8-1/2" x 55" 100lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3010 825 Each

OPTION CARDION DIOXIDE (E)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 750

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3011 6,965 Each

OPTION COMPRESSED AIR (H)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 6,332

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Standard Cubic Feet

UNIT UNIT PRICE MAX AMOUNT

3012 153 Each

OPTION COMPRESSED AIR (E)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 139

To be delivered in (H) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3013 35 Each

OPTION MEDICAL OXYGEN SIZE (Z)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 30

To be delivered in (H) sized cylinder: 23" x 7" 21lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3014 35 Each

OPTION MEDICAL AIR (Q)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 30

To be delivered in (H) sized cylinder: 7" x 31" 49lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3015 110 Each

OPTION VALVE REPLACEMENT

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 83

UNIT UNIT PRICE MAX AMOUNT

3016 60 Each

OPTION VALVE HOOD REPLACEMENT

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

UNIT UNIT PRICE MAX AMOUNT

3017 600 Each

OPTION HYDROSTATIC TESTING

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 500

UNIT UNIT PRICE MAX AMOUNT

3018 50 Each

OPTION PAINT ONE COLOR

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 40

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3019 60 Each

OPTION ADDITIONAL COLOR

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3020 60 Each

OPTION SAND BLAST/PAINT PRIMER

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

3021 60 Each

OPTION STENCILING CYLINDER

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

UNIT UNIT PRICE MAX AMOUNT

3022 240 Each

OPTION LABELING MEDICAL OXYGEN CYLINDER

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 180

UNIT UNIT PRICE MAX AMOUNT

3023 7,150 Each

OPTION LIQUID NITROGEN

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 6,500

Unit of Issue of each = Bulk Liters

UNIT UNIT PRICE MAX AMOUNT

3024 15 Each

OPTION COMPRESSED AIR (G)

FFP

3rd Option Period: 01 October 2021 - 30 September 2022

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 13

To be delivered in (H) sized cylinder: 8-1/2" x 55" 100lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4001 54,175 Each

OPTION OXYGEN (H)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 49,250

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Standard Cubic Feet

UNIT UNIT PRICE MAX AMOUNT

4002 3,520 Each

OPTION OXYGEN (E)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 3,200

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4003 3,740 Each

OPTION OXYGEN (D)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 3,400

To be delivered in (D) sized cylinder: 4-1/4" x 20-1/4" 10-1/4lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4004 20 Each

OPTION OXYGEN (M)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 17

To be delivered in (M) sized cylinder: 7" x 47" 66lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4005 957 Each

OPTION NITROGEN (H)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 870

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4006 160 Each

OPTION NITROUS OXIDE (E)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 144

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4007 70 Each

OPTION NITROUS OXIDE (M)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 60

To be delivered in (H) sized cylinder: 7" x 47" 66lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4008 118 Each

OPTION NITROUS OXIDE (H)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 108

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4009 251 Each

OPTION CARDION DIOXIDE (G)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 228

To be delivered in (G) sized cylinder: 8-1/2" x 55" 100lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4010 825 Each

OPTION CARDION DIOXIDE (E)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 750

To be delivered in (E) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4011 6,965 Each

OPTION COMPRESSED AIR (H)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 6,332

To be delivered in (H) sized cylinder: 9" x 56" 135lbs Measured in Standard Cubic Feet Unit of Issue of each = Standard Cubic Feet

UNIT UNIT PRICE MAX AMOUNT

4012 153 Each

OPTION COMPRESSED AIR (E)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 139

To be delivered in (H) sized cylinder: 4-1/4" x 29-3/4" 15lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4013 35 Each

OPTION MEDICAL OXYGEN SIZE (Z)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 30

To be delivered in (H) sized cylinder: 23" x 7" 21lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4014 35 Each

OPTION MEDICAL AIR (Q)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 30

To be delivered in (H) sized cylinder: 7" x 31" 49lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4015 110 Each

OPTION VALVE REPLACEMENT

FFP

4th Option Period: 01 October 2022 - 30 September 2023

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 83

UNIT UNIT PRICE MAX AMOUNT

4016 60 Each

OPTION VALVE HOOD REPLACEMENT

FFP

4th Option Period: 01 October 2022 - 30 September 2023

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

UNIT UNIT PRICE MAX AMOUNT

4017 600 Each

OPTION HYDROSTATIC TESTING

FFP

4th Option Period: 01 October 2022 - 30 September 2023

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 500

UNIT UNIT PRICE MAX AMOUNT

4018 50 Each

OPTION PAINT ONE COLOR

FFP

4th Option Period: 01 October 2022 - 30 September 2023

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 40

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4019 60 Each

OPTION ADDITIONAL COLOR

FFP

4th Option Period: 01 October 2022 - 30 September 2023

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4020 60 Each

OPTION SAND BLAST/PAINT PRIMER

FFP

4th Option Period: 01 October 2022 - 30 September 2023

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

Unit of Issue of each = Cylinder

UNIT UNIT PRICE MAX AMOUNT

4021 60 Each

OPTION STENCILING CYLINDER

FFP

4th Option Period: 01 October 2022 - 30 September 2023

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 45

UNIT UNIT PRICE MAX AMOUNT

4022 240 Each

OPTION LABELING MEDICAL OXYGEN CYLINDER

FFP

4th Option Period: 01 October 2022 - 30 September 2023

See PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 180

UNIT UNIT PRICE MAX AMOUNT

4023 7,150 Each

OPTION LIQUID NITROGEN

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 6,500

Unit of Issue of each = Bulk Liters

UNIT UNIT PRICE MAX AMOUNT

4024 15 Each

OPTION COMPRESSED AIR (G)

FFP

4th Option Period: 01 October 2022 - 30 September 2023

For delivery, see PERFORMANCE WORK STATEMENT

Estimated Quantity of this CLIN is 13

To be delivered in (H) sized cylinder: 8-1/2" x 55" 100lbs Measured in Standard Cubic Feet Unit of Issue of each = Cylinder

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government 0009 Destination Government Destination Government 0010 Destination Government Destination Government 0011 Destination Government Destination Government 0012 Destination Government Destination Government 0013 Destination Government Destination Government 0014 Destination Government Destination Government 0015 Destination Government Destination Government 0016 Destination Government Destination Government 0017 Destination Government Destination Government 0018 Destination Government Destination Government 0019 Destination Government Destination Government 0020 Destination Government Destination Government 0021 Destination Government Destination Government 0022 Destination Government Destination Government 0023 Destination Government Destination Government 0024 Destination Government Destination Government 1001 Destination Government Destination Government 1002 Destination Government Destination Government 1003 Destination Government Destination Government 1004 Destination Government Destination Government 1005 Destination Government Destination Government 1006 Destination Government Destination Government 1007 Destination Government Destination Government 1008 Destination Government Destination Government 1009 Destination Government Destination Government 1010 Destination Government Destination Government 1011 Destination Government Destination Government 1012 Destination Government Destination Government 1013 Destination Government Destination Government 1014 Destination Government Destination Government 1015 Destination Government Destination Government 1016 Destination Government Destination Government 1017 Destination Government Destination Government 1018 Destination Government Destination Government 1019 Destination Government Destination Government

1020 Destination Government Destination Government 1021 Destination Government Destination Government 1022 Destination Government Destination Government 1023 Destination Government Destination Government 1024 Destination Government Destination Government 2001 Destination Government Destination Government 2002 Destination Government Destination Government 2003 Destination Government Destination Government 2004 Destination Government Destination Government 2005 Destination Government Destination Government 2006 Destination Government Destination Government 2007 Destination Government Destination Government 2008 Destination Government Destination Government 2009 Destination Government Destination Government 2010 Destination Government Destination Government 2011 Destination Government Destination Government 2012 Destination Government Destination Government 2013 Destination Government Destination Government 2014 Destination Government Destination Government 2015 Destination Government Destination Government 2016 Destination Government Destination Government 2017 Destination Government Destination Government 2018 Destination Government Destination Government 2019 Destination Government Destination Government 2020 Destination Government Destination Government 2021 Destination Government Destination Government 2022 Destination Government Destination Government 2023 Destination Government Destination Government 2024 Destination Government Destination Government 3001 Destination Government Destination Government 3002 Destination Government Destination Government 3003 Destination Government Destination Government 3004 Destination Government Destination Government 3005 Destination Government Destination Government 3006 Destination Government Destination Government 3007 Destination Government Destination Government 3008 Destination Government Destination Government 3009 Destination Government Destination Government 3010 Destination Government Destination Government 3011 Destination Government Destination Government 3012 Destination Government Destination Government 3013 Destination Government Destination Government 3014 Destination Government Destination Government 3015 Destination Government Destination Government 3016 Destination Government Destination Government 3017 Destination Government Destination Government 3018 Destination Government Destination Government 3019 Destination Government Destination Government 3020 Destination Government Destination Government 3021 Destination Government Destination Government 3022 Destination Government Destination Government 3023 Destination Government Destination Government 3024 Destination Government Destination Government 4001 Destination Government Destination Government 4002 Destination Government Destination Government

4003 Destination Government Destination Government 4004 Destination Government Destination Government 4005 Destination Government Destination Government 4006 Destination Government Destination Government 4007 Destination Government Destination Government 4008 Destination Government Destination Government 4009 Destination Government Destination Government 4010 Destination Government Destination Government 4011 Destination Government Destination Government 4012 Destination Government Destination Government 4013 Destination Government Destination Government 4014 Destination Government Destination Government 4015 Destination Government Destination Government 4016 Destination Government Destination Government 4017 Destination Government Destination Government 4018 Destination Government Destination Government 4019 Destination Government Destination Government 4020 Destination Government Destination Government 4021 Destination Government Destination Government 4022 Destination Government Destination Government 4023 Destination Government Destination Government 4024 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-OCT-2018 TO

30-SEP-2019

N/A W07C TAMC MEDICAL SUPPLY ACCT

SEE CLIN(S)

MATERIAL BR LOG DIV

KRUKOWSKI BLDG 161

TRIPLER AMC HI 96859-5000

808-488-3927

WX3JN8

0002 POP 01-OCT-2018 TO

30-SEP-2019

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0011 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0012 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0013 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0014 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0015 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0016 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0017 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0018 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0019 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0020 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0021 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0022 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0023 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

0024 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-OCT-2019 TO

30-SEP-2020

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1008 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1009 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1010 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1011 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1012 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1013 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1014 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1015 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1016 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1017 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1018 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1019 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1020 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1021 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1022 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1023 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1024 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-OCT-2020 TO

30-SEP-2021

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2007 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2008 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2009 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2010 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2011 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2012 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2013 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2014 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2015 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2016 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2017 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2018 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2019 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2020 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2021 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2022 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2023 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2024 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-OCT-2021 TO

30-SEP-2022

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3007 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3008 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3009 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3010 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3011 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3012 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3013 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3014 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3015 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3016 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3017 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3018 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3019 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3020 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3021 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3022 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3023 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3024 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-OCT-2022 TO

30-SEP-2023

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4007 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4008 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4009 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4010 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4011 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4012 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4013 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4014 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4015 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4016 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4017 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4018 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4019 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4020 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4021 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4022 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4023 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4024 POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

MIN/MAX ORDERING AMOUNTS

MINIMUM/MAXIMUM ORDERING ESTIMATES

The minimum guaranteed amount is $10,000.00 and applies only to the base period of performance, 01 October 2018 – 30 September 2019. The maximum quantities are provided below and applies to the full duration of the contract. The estimated quantities for each CLIN are included in the CLIN description (See CLIN).

BASE YEAR: 01 OCTOBER 2018 – 30 SEPTEMBER 2019

CLIN ITEM DESCRIPTION EST.

QUANTITY

MAX

QUANTITY

U/MEASURE

0001 OXYGEN (H) 49,250 54,175 EACH

0002 OXYGEN (E) 3,200 3,520 EACH

0003 OXYGEN (D) 3,400 3,740 EACH

0004 OXYGEN (M) 17 20 EACH

0005 NITROGEN (H) 870 957 EACH

0006 NITROUS OXIDE (E) 144 160 EACH

0007 NITROUS OXIDE (M) 60 70 EACH

0008 NITROUS OXIDE (H) 108 118 EACH

0009 CARDION DIOXIDE (G) 228 251 EACH

0010 CARIDON DIOXIDE (E) 750 825 EACH

0011 COMPRESSED AIR (H) 6,332 6,965 EACH

0012 COMPRESSED AIR (E) 139 153 EACH

0013 MEDICAL OXYGEN SIZE Z 30 35 EACH

0014 MEDICAL AIR (Q) 30 35 EACH

0015 VALVE REPLACEMENT 83 110 EACH

0016 VALVE HOOD REPLACEMENT 45 60 EACH

0017 HYDRASTAIC TESTING 500 600 EACH

0018 PAINT ONE COLOR 40 50 EACH

0019 ADDITIONAL COLOR 45 60 EACH

0020 SAND BLAST/PAINT PRIMER 45 60 EACH

0021 STENCILING CYLINDER 45 60 EACH

0022 LABELING MEDICAL OXYGEN CYLINDER 180 240 EACH

0023 LIQUID NITROGEN 6,500 7,150 EACH

0024 COMPRESSED AIR (G) 13 15 EACH

0025 CMR 1 1 EACH

1ST OPTION YEAR: 01 OCTOBER 2019 – 30 SEPTEMBER 2020

CLIN ITEM DESCRIPTION EST.

QUANTITY

MAX

QUANTITY

U/MEASURE

1001 OXYGEN (H) 49,250 54,175 EACH

1002 OXYGEN (E) 3,200 3,520 EACH

1003 OXYGEN (D) 3,400 3,740 EACH

1004 OXYGEN (M) 17 20 EACH

1005 NITROGEN (H) 870 957 EACH

1006 NITROUS OXIDE (E) 144 160 EACH

1007 NITROUS OXIDE (M) 60 70 EACH

1008 NITROUS OXIDE (H) 108 118 EACH

1009 CARDION DIOXIDE (G) 228 251 EACH

1010 CARIDON DIOXIDE (E) 750 825 EACH

1011 COMPRESSED AIR (H) 6,332 6,965 EACH

1012 COMPRESSED AIR (E) 139 153 EACH

1013 MEDICAL OXYGEN SIZE Z 30 35 EACH

1014 MEDICAL AIR (Q) 30 35 EACH

1015 VALVE REPLACEMENT 83 110 EACH

1016 VALVE HOOD REPLACEMENT 45 60 EACH

1017 HYDRASTAIC TESTING 500 600 EACH

1018 PAINT ONE COLOR 40 50 EACH

1019 ADDITIONAL COLOR 45 60 EACH

1020 SAND BLAST/PAINT PRIMER 45 60 EACH

1021 STENCILING CYLINDER 45 60 EACH

1022 LABELING MEDICAL OXYGEN CYLINDER 180 240 EACH

1023 LIQUID NITROGEN 6,500 7,150 EACH

1024 COMPRESSED AIR (G) 13 15 EACH

1025 CMR 1 1 EACH

2ND OPTION YEAR: 01 OCTOBER 2020 – 30 SEPTEMBER 2021

QUANTITY

MAX

QUANTITY

U/MEASURE

2001 OXYGEN (H) 49,250 54,175 EACH

2002 OXYGEN (E) 3,200 3,520 EACH

2003 OXYGEN (D) 3,400 3,740 EACH

2004 OXYGEN (M) 17 20 EACH

2005 NITROGEN (H) 870 957 EACH

2006 NITROUS OXIDE (E) 144 160 EACH

2007 NITROUS OXIDE (M) 60 70 EACH

2008 NITROUS OXIDE (H) 108 118 EACH

2009 CARDION DIOXIDE (G) 228 251 EACH

2010 CARIDON DIOXIDE (E) 750 825 EACH

2011 COMPRESSED AIR (H) 6,332 6,965 EACH

2012 COMPRESSED AIR (E) 139 153 EACH

2013 MEDICAL OXYGEN SIZE Z 30 35 EACH

2014 MEDICAL AIR (Q) 30 35 EACH

2015 VALVE REPLACEMENT 83 110 EACH

2016 VALVE HOOD REPLACEMENT 45 60 EACH

2017 HYDRASTAIC TESTING 500 600 EACH

2018 PAINT ONE COLOR 40 50 EACH

2019 ADDITIONAL COLOR 45 60 EACH

2020 SAND BLAST/PAINT PRIMER 45 60 EACH

2021 STENCILING CYLINDER 45 60 EACH

2022 LABELING MEDICAL OXYGEN…

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