Attachment_03_-_Fill_Rate_Delivery_Report_Sample.pdf

PDF 84 KB Posted May 16, 2018

Attached to: Sets, Kits, and Outfit Assemblages
Solicitation number: W81XWH-18-R-0013
Issued by: Department of the Army Medical Command

About this file

Written by GovTribe AI · Dec 30, 2023

This document provides a sample fill rate delivery report and details of a related federal contract opportunity for sets, kits, and outfit assemblages. The fill rate delivery report sample outlines 28 line items of medical supplies including applicators, bags, boxes, cases, cups, kits, lancets, needles, paper products, pipettes, racks, refractometers, scissors, sponges, tourniquets, tubes, wright-giemsa stain, and other items. Key details include national item identification numbers, nomenclatures, quantities, units of measure, number of sets, total request quantities, filled quantities, fill rates, and delivery locations with notes on some items.

The related federal contract opportunity is solicitation number W81XWH-18-R-0013 to provide sets, kits, and outfit assemblages in support of the U.S. Army Medical Materiel Agency. It will be an indefinite-delivery indefinite-quantity contract with a base year and four option years. The pre-solicitation notice states the solicitation will be released in May 2018 via FedBizOps. The North American Industry Classification System code is 339112 and size standard is 500 employees. Pricing will be firm fixed price. Contract award is estimated by March 2019. Interested parties should monitor FedBizOps and register with the System for Award Management. A pre-solicitation conference will be held on April 4, 2018.

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Attachment 03 - Fill Rate Delivery Report Sample

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Other files

File	Type	Posted
W81XWH-18-R-0013-0002_Solicitation_Amendment.pdf	PDF	Jun 24, 2018
W81XWH-18-R-0013-0001_Solicitation_Amendment.pdf	PDF	Jun 21, 2018
Attachment_09_-_NON-DISCLOSURE_STATEMENT.pdf	PDF	May 16, 2018
Attachment_08_-_QASP.pdf	PDF	May 16, 2018
Attachment_04_-_Electronic_Pack_Data_File_Report_Format.pdf	PDF	May 16, 2018
Attachment_02_-_Supply_Certificate_of_Conformance.pdf	PDF	May 16, 2018
Attachment_10_-_Use_of_Government_Supply_Schedules.pdf	PDF	May 16, 2018
Attachment_11_-_Small_Business_Participation_Proposal.pdf	PDF	May 16, 2018
Attachment_06_-_OCI.pdf	PDF	May 16, 2018
Attachment_01_-_SKO_Supply_Requirement_Descriptions.pdf	PDF	May 16, 2018
Attachment_12_-_Delivery_Order_Proposal_Request.pdf	PDF	May 16, 2018
Attachment_07_-_SKO_Supply_Quarterly_Report.pdf	PDF	May 16, 2018
W81XWH18R0013_SKO_Solicitation.pdf	PDF	May 16, 2018
Attachment_05_-_Master_Pack_List_Format.xls	XLS spreadsheet	May 16, 2018
W81XHW-18-R-0013_Pre-Solicitation_Conference_Brief_04-03-2018.pdf	PDF	Apr 12, 2018
Pre-Solicitation_Conference_Sign-In_Sheet.pdf	PDF	Apr 12, 2018
USAMMA_SKO_PreSolicitation_Conference_Questions_04-12-2018.pdf	PDF	Apr 12, 2018
Pre-Solicitation_Conference_Instructions_-_USAMMA_SKO_Requirement.pdf	PDF	Mar 19, 2018
SKO_Statement_of_Need_Draft_(W81XWH-18-R-0013).pdf	PDF	Mar 1, 2018

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ATTACHMENT 03: Fill Rate Delivery Report Sample

USAMMA Sets, Kits, Outfits (SKO) Supply Requirement

LINE

FSC NIIN Long Nomenclature Qty UoM QTY

#of sets

Total

REQ

QTY

Filled

Fill

Rate

Location Comments

1 6515 01-

234-

APPLICATOR

WOOD OR PLASTIC

6" LG SQUARED

OFF DISPOSABLE

100S

PG 100 1 22 22 22 100% BOX-2

2 6530 01-

307-

BAG SPECIMEN

PLAS

POLYETHYLENE

6.5"LG 4.5"W 2ML

THICK 1000S

PG 1000 1 22 22 22 100% BOX-1

3 6640 00-

408-

BOX MICROSCOPE

SLIDE PLASTIC 100

SLIDE HINGED

COVER CLOSURE

EA 1 22 22 22 100% BOX-2

4 6545 01-

512-

CASE MEDICAL

INTSR & SUPPLY

SET NO INSERT

31.5X22.875X18.875

EA 1 22 22 0% EDD

Week of

10 AUG

5 6545 01-

451-

CASE

PHARMACEUTICAL

DRUG PELICAN

BLACK W/O FOAM

EA 1 22 22 0% EDD

Week of

10 AUG

6 6640 00-

418-

COUNTER BLOOD

CELLS

DIFFERENTIAL

REST DEVICE KEY

QUANTITY 8

EA 1 22 22 22 100% BOX-2

7 6640 00-

618-

COVER GLASS

MICROSCOPE

SLIDE 22 MM

SQUARE 1 OZ

PG 1 22 22 22 100% BOX-2

8 6515 01-

492-

KIT SHARPS

MEDICAL SHIELD

EA 1 22 22 22 100% BOX-2

9 6640 00-

427-

COVER GLASS

MICROSCOPE

SLIDE

HEMACYTOMETER

SET 6640-00-427-

PG 1 22 22 22 100% BOX-2

10 6530 00-

027-

CUP SPECIMEN

PAPER

DISPOSABLE 3-1/2

IN DIAMETER 8 OZ

500S

PG 500 1 22 22 22 100% SKID 1

11 6530 00-

837-

CUP SPECIMEN

PLASTIC

DISPOSABLE 2.50

IN DIAMETER 4.5

OZ 100S

PG 100 1 22 22 22 100% SKID-1

13 6550 01-

496-

FECAL PARASITE

CONCENTRATION

KIT

EA 1 22 22 22 100% BOX-1

14 6640 01-

496-

FIXATIVE FECAL

PARASITE

W/SEALABLE

TRANSPORT BAG

EA 1 22 22 22 100% BOX-2

15 6515 01-

491-

GLOVE PATIENT

EXAMINING &

TREATMENT SZ

10LG PURPLE

4.3MIL 100S

PG 100 1 22 22 22 100% BOX-2

16 6640 00-

430-

JAR BIOLOGICAL

STAINING COPLIN

GLASS SODA LIME

H5 10 SLIDES

EA 1 22 12 12 100% BOX-2

16 6640 00-

430-

JAR BIOLOGICAL

STAINING COPLIN

GLASS SODA LIME

H5 10 SLIDES

EA 1 10 10 100% BOX-2

17 6515 00-

431-

LANCET FINGER

BLEEDING

1.25X0.375"

5/32"MAXIMUM

BLADE

LENGTH100S

PG 100 1 22 22 17 77% 2-B EDD

Week of

10 AUG

18 6515 01-

449-

NEEDLE AND

GUARD

HYPODERMIC 25

GA X 5/8" LG 500

PG 500 1 22 22 22 100% SKID 1

19 6640 00-

937-

PAPER LENS PAD

WHITE BIBULOUS

PAPER 6IN LONG

4IN WIDE

PERFORATED

PG 1 22 22 22 100% BOX-2

20 6640 01-

088-

PIPET TRANSFER

PLASTIC DISP M31

DRAW VOLUME 3.5

ML 500S

PG 500 1 22 22 22 100% BOX-1

21 6640 01-

386-

RACK DRAINING

MICROSCOPE

TILT/SLIDE CRS

ADJUST 18-36IN

WIDTHS

EA 1 22 22 20 91% 2-E EDD

Week of

10 AUG

22 6640 00-

127-

RACK TEST TUBE

LABORATORY

CORROSION

RESISTING ST

EA 1 22 22 22 100% BOX-2

23 6650 00-

933-

REFRACTOMETER

HAND IMMERSION

TYPE ALUMINUM

3SCALE DIRECT

READING

EA 1 22 22 22 100% BOX-2

24 6515 00-

365-

SCISSORS GEN

SURG 5.50" LG ONE

BLUNT AND ONE

SHARP BLADE PT

CRS

EA 1 22 22 22 100% BOX-2

25 6510 00-

782-

SPONGE SURG

GAUZE ABS WHITE

4X4"8-PLY U/F

INJURIES OR

SURGERY200

PG 200 1 22 22 22 100% BOX-2

26 6515 01-

146-

TOURNIQUET

NONPNEUMATIC

ADULT 14X1" BLD

TAKING DSGN

RUBBER O/A

EA 1 22 22 22 100% BOX-2

27 6640 01-

367-

TUBE BLOOD

COLLECTING PLAS

5ML DISP

PRELABELED STER

VACUUM 1000S

PG 1000 1 22 22 22 100% SKID 1

28 6550 01-

165-

WRIGHT-GIEMSA

STAIN 32OZ

BT 1 22 22 22 100% SKID 3

File details come from the government source that posted it. Updated Dec 30, 2023.