W9114F20Q0096.pdf

PDF 49 KB Posted Aug 19, 2020

Attached to: OCONUS Supplies compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer Federal contract opportunity
Solicitation number: W9114F20Q0096
Issued by: Department of the Army Medical Command

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SEE ADDENDUM

(No Collect Calls)

W9114F20Q0096 19-Aug-2020

b. TELEPHONE NUMBER

+49 6371 9464 6789

8. OFFER DUE DATE/LOCAL TIME

04:00 PM 09 Sep 2020

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W9114F9. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

HENNING MAYER-GOLDSTEIN

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

0011499865

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

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

W40M RHCO USAHCA EUROPE

KIRCHBERG KASERNE BLDG 3705

LANDSWEILER STRASSE

LANDSTUHL 66849

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE WK4FW0 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

LANDSTUHL REGIONAL MEDICAL CENTER

BLDG 3711 ROOM F203

LANDSTUHL, 66849

GERMANY

TEL: FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

325413

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF78

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

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

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

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

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

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W9114F20Q0096

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 18 Each HbA1c Elution Buffer A

FFP

Hemoglobin A1c Elution Buffer A compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Base): 16 September 2020 - 15 September 2021 FOB: Destination

PURCHASE REQUEST NUMBER: 0011499865

PSC CD: 6550

NET AMT

0002 8 Each HbA1c Elution Buffer B

FFP

Hemoglobin A1c Elution Buffer B compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Base): 16 September 2020 - 15 September 2021 FOB: Destination

0003 4 Each HbA1c Calibrator Pack

FFP

Hemoglobin A1c Calibrator Pack compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Base): 16 September 2020 - 15 September 2021 FOB: Destination

0004 4 Each HbA1c Analytical Cartridge/Calibrator Pk

FFP

Hemoglobin A1c Analytical Cartridge/Calibrator Pack compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Base): 16 September 2020 - 15 September 2021 FOB: Destination

0005 4 Each HbA1c Prefilter Set

FFP

Hemoglobin A1c Prefilter Set compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Base): 16 September 2020 - 15 September 2021 FOB: Destination

0006 6 Each Sample Diluent

FFP

Sample Diluent compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Base): 16 September 2020 - 15 September 2021 FOB: Destination

0007 8 Each System Cleaning Tube

FFP

System Cleaning Tube compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Base): 16 September 2020 - 15 September 2021 FOB: Destination

0008 14 Each Wash Solution

FFP

Wash Solution compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Base): 16 September 2020 - 15 September 2021 FOB: Destination

0009 6 Each Sample Vials (Microvials), 100 x 1.5

FFP

Sample Vials (Microvials), 100 x 1.5 compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Base): 16 September 2020 - 15 September 2021 FOB: Destination

0010 20 Each Lyphocheck Diabetes, Kombipackung

FFP

Lyphocheck Diabetes, Kombipackung

Delivery Period (Base): 16 September 2020 - 15 September 2021 FOB: Destination

1001 18 Each OPTION HbA1c Elution Buffer A

FFP

Hemoglobin A1c Elution Buffer A compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Option 1): 16 September 2021 - 15 September 2022 FOB: Destination

1002 8 Each OPTION HbA1c Elution Buffer B

FFP

Hemoglobin A1c Elution Buffer B compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Option 1): 16 September 2021 - 15 September 2022

1003 4 Each OPTION HbA1c Calibrator Pack

FFP

Hemoglobin A1c Calibrator Pack compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Option 1): 16 September 2021 - 15 September 2022

1004 4 Each OPTION HbA1c Analytical Cartridge/Calibrator Pk

FFP

Hemoglobin A1c Analytical Cartridge/Calibrator Pack compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Option 1): 16 September 2021 - 15 September 2022

1005 4 Each OPTION HbA1c Prefilter Set

FFP

Hemoglobin A1c Prefilter Set compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Option 1): 16 September 2021 - 15 September 2022

1006 6 Each OPTION Sample Diluent

FFP

Sample Diluent compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Option 1): 16 September 2021 - 15 September 2022

1007 8 Each OPTION System Cleaning Tube

FFP

System Cleaning Tube compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Option 1): 16 September 2021 - 15 September 2022

1008 14 Each OPTION Wash Solution

FFP

Wash Solution compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Option 1): 16 September 2021 - 15 September 2022

1009 6 Each OPTION Sample Vials (Microvials), 100 x 1.5

FFP

Sample Vials (Microvials), 100 x 1.5 compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer

Delivery Period (Option 1): 16 September 2021 - 15 September 2022

1010 20 Each OPTION Lyphocheck Diabetes, Kombipackung

FFP

Lyphocheck Diabetes, Kombipackung

Delivery Period (Option 1): 16 September 2021 - 15 September 2022

2001 18 Each OPTION HbA1c Elution Buffer A

FFP

Hemoglobin A1c Elution Buffer A compatible with Bio-Rad D-100 Hemoglobin A1C Analyzer