COMB_SYN_MED_GAS.docx

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MEDICAL GAS
Solicitation number
W91YTZ
Issued by

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This is a combined synopsis/solicitation for a medical gas contract opportunity with the Department of the Army Medical Command. It requires the provision of various medical gases including carbon dioxide, liquid nitrogen, oxygen, and liquid oxygen to the Lyster Army Health Clinic at Fort Rucker, Alabama from January 2016 through September 2020. The solicitation is set aside for small businesses and will result in a firm-fixed-price requirements contract awarded to one incumbent. It provides pricing details for the base year and four option years, delivery locations and dates, and incorporates standard clauses for commercial items.

Combined Synopsis for W91YTZ-16-T-0023

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W91YTZ-16-T-0023 1

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12, and 13 as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued and is expected to result in the award of a firm-fixed price requirement type contract. The resulting award will be made on SF 1449, for commercial supplies and services. Solicitation number W91YTZ-16-T-0023 is issued as request for quote (RFQ). The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-82 current as of 19 June 2015.

This acquisition is set-aside for 100% SMALL BUSINESS (SB) Concerns, under size standard 1000 and NAICS code 325120. The Government anticipates awarding a single award for this supply requirement to provide Medical Grade Gas for Lyster Army Health Clinic, Fort Rucker, AL 36362. All responsible SB offers may submit a quotation which will be considered by the agency.

“CAUTION, READ” -- FAR provision 52.212-1, 52.212-2 and Performance Work Statement (PWS) IN DETAIL” before submitting your proposal.

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

Medical Gas

FFP

Provide Medical Gas to Lyster Army Health Clinic, Fort Rucker, AL, from January 10, 2016 - 30 September 2016.

FOB: Destination

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AA

200
Cylinder

CARBON DIOXIDE SIPHON TUBE 50S

CARBON DIOXIDE SIPHON TUBE 50S. Deliver in accordance with PWS.

PURCHASE REQUEST NUMBER: 0010680398-0002

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AB

50
Cylinder

CARBON DIOXIDE UPS 50 PLD CGA 320

CARBON DIOXIDE UPS 50 PLD CGA 320. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AC

19
Cylinder

LIQUID NITROGEN NF 30 LITTERS CGA G/O

LIQUID NITROGEN NF 30 LITTERS CGA G/O. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AD

7
Cylinder

LIQUID NITROGEN NF 50 LITERS CGA G/O

LIQUID NITROGEN NF 50 LITERS CGA G/O. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AE

4
Cylinder

OXYGEN, MEDICAL COMPRESSED USP200

OXYGEN, MEDICAL COMPRESSED USP200. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AF

10
Cylinder

OXYGEN, MEDICAL COMPRESSED USP125

OXYGEN, MEDICAL COMPRESSED USP125. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AG

4
Cylinder

OXYGEN, MEDICAL COMPRESSED USPD

OXYGEN, MEDICAL COMPRESSED USPD. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AH

12
Cylinder

OXYGEN, MEDICAL COMPRESSED USPE

OXYGEN, MEDICAL COMPRESSED USPE. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AJ

12
Cylinder

OXYGEN UHP 35 CGA540

OXYGEN UHP 35 CGA540. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AK

1
Cylinder

OXYGEN CALIBRATION GAS UHP GR 4.4 SIZE

OXYGEN CALIBRATION GAS UHP GR 4.4 SIZE. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AL

1
Cylinder

OXYGEN MEDI COMP USPEA ALUM CYLINDER

OXYGEN MEDI COMP USPEA ALUM CYLINDER. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AM

1
Cylinder

OXYGEN MED COMP USPEA WALK 02 BOUT

OXYGEN MED COMP USPEA WALK 02 BOUT. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AN

1
Cylinder

OXYGEN MEDI COMP USPDA ALUM CYLINDER

OXYGEN MEDI COMP USPDA ALUM CYLINDER. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AP

1
Cylinder

OXYGEN MEDI COMP USPDA ALUM CYLINDER

OXYGEN MEDI COMP USPDA ALUM CYLINDER. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AQ

1
Cylinder

LING DIFFUSION MIX 0.3 ME/0.3 OX/NI 200

LING DIFFUSION MIX 0.3 ME/0.3 OX/NI 200. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001AR

1
Cylinder

OXYGEN INDUSTRIAL COMPRESSED 40

OXYGEN INDUSTRIAL COMPRESSED 40. Deliver in accordance with PWS.

NET AMT

TOTAL BASE YEAR_____________________
ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
OPTION
Medical Gas

FFP

Provide Medical Gas to Lyster Army Health Clinic, Fort Rucker, AL, from October 1, 2016 - 30 September 2017.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AA

200
Cylinder

CARBON DIOXIDE SIPHON TUBE 50S

CARBON DIOXIDE SIPHON TUBE 50S. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AB

50
Cylinder

CARBON DIOXIDE UPS 50 PLD CGA 320

CARBON DIOXIDE UPS 50 PLD CGA 320. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AC

19
Cylinder

LIQUID NITROGEN NF 30 LITTERS CGA G/O

LIQUID NITROGEN NF 30 LITTERS CGA G/O. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AD

7
Cylinder

LIQUID NITROGEN NF 50 LITERS CGA G/O

LIQUID NITROGEN NF 50 LITERS CGA G/O. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AE

4
Cylinder

OXYGEN, MEDICAL COMPRESSED USP200

OXYGEN, MEDICAL COMPRESSED USP200. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AF

10
Cylinder

OXYGEN, MEDICAL COMPRESSED USP125

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AG

4
Cylinder

OXYGEN, MEDICAL COMPRESSED USPD

OXYGEN, MEDICAL COMPRESSED USPD. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AH

12
Cylinder

OXYGEN, MEDICAL COMPRESSED USPE

OXYGEN, MEDICAL COMPRESSED USPE. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AJ

12
Cylinder

OXYGEN UHP 35 CGA540

OXYGEN UHP 35 CGA540. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AK

1
Cylinder

OXYGEN CALIBRATION GAS UHP GR 4.4 SIZE

OXYGEN CALIBRATION GAS UHP GR 4.4 SIZE. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AL

1
Cylinder

OXYGEN MEDI COMP USPEA ALUM CYLINDER

OXYGEN MEDI COMP USPEA ALUM CYLINDER. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AM

1
Cylinder

OXYGEN MED COMP USPEA WALK 02 BOUT

OXYGEN MED COMP USPEA WALK 02 BOUT. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AN

1
Cylinder

OXYGEN MEDI COMP USPDA ALUM CYLINDER

OXYGEN MEDI COMP USPDA ALUM CYLINDER. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AP

1
Cylinder

OXYGEN MEDI COMP USPDA ALUM CYLINDER

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AQ

1
Cylinder

LING DIFFUSION MIX 0.3 ME/0.3 OX/NI 200

LING DIFFUSION MIX 0.3 ME/0.3 OX/NI 200. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

1001AR

1
Cylinder

OXYGEN INDUSTRIAL COMPRESSED 40

OXYGEN INDUSTRIAL COMPRESSED 40. Deliver in accordance with PWS.

NET AMT

TOTAL FIRST OPTION YEAR __________________________

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
OPTION
Medical Gas

FFP

Provide Medical Gas to Lyster Army Health Clinic, Fort Rucker, AL, from October 1, 2017 - 30 September 2018.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AA

200
Cylinder

CARBON DIOXIDE SIPHON TUBE 50S

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AB

50
Cylinder

CARBON DIOXIDE UPS 50 PLD CGA 320

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AC

19
Cylinder

LIQUID NITROGEN NF 30 LITTERS CGA G/O

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AD

7
Cylinder

LIQUID NITROGEN NF 50 LITERS CGA G/O

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AE

4
Cylinder

OXYGEN, MEDICAL COMPRESSED USP200

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AF

10
Cylinder

OXYGEN, MEDICAL COMPRESSED USP125

OXYGEN, MEDICAL COMPRESSED USP125. Deliver in accordance with PWS.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AG

4
Cylinder

OXYGEN, MEDICAL COMPRESSED USPD

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AH

12
Cylinder

OXYGEN, MEDICAL COMPRESSED USPE

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AJ

12
Cylinder

OXYGEN UHP 35 CGA540

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AK

1
Cylinder

OXYGEN CALIBRATION GAS UHP GR 4.4 SIZE

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AL

1
Cylinder

OXYGEN MEDI COMP USPEA ALUM CYLINDER

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AM

1
Cylinder

OXYGEN MED COMP USPEA WALK 02 BOUT

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AN

1
Cylinder

OXYGEN MEDI COMP USPDA ALUM CYLINDER

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AP

1
Cylinder

OXYGEN MEDI COMP USPDA ALUM CYLINDER

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AQ

1
Cylinder

LING DIFFUSION MIX 0.3 ME/0.3 OX/NI 200

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

2001AR

1
Cylinder

OXYGEN INDUSTRIAL COMPRESSED 40

NET AMT

TOTAL SECOND OPTION YEAR ______________________

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
OPTION
Medical Gas

FFP

Provide Medical Gas to Lyster Army Health Clinic, Fort Rucker, AL, from October 1, 2018 - 30 September 2019.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AA

200
Cylinder

CARBON DIOXIDE SIPHON TUBE 50S

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AB

50
Cylinder

CARBON DIOXIDE UPS 50 PLD CGA 320

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AC

19
Cylinder

LIQUID NITROGEN NF 30 LITTERS CGA G/O

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AD

7
Cylinder

LIQUID NITROGEN NF 50 LITERS CGA G/O

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AE

4
Cylinder

OXYGEN, MEDICAL COMPRESSED USP200

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AF

10
Cylinder

OXYGEN, MEDICAL COMPRESSED USP125

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AG

4
Cylinder

OXYGEN, MEDICAL COMPRESSED USPD

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AH

12
Cylinder

OXYGEN, MEDICAL COMPRESSED USPE

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AJ

12
Cylinder

OXYGEN UHP 35 CGA540

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AK

1
Cylinder

OXYGEN CALIBRATION GAS UHP GR 4.4 SIZE

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AL

1
Cylinder

OXYGEN MEDI COMP USPEA ALUM CYLINDER

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AM

1
Cylinder

OXYGEN MED COMP USPEA WALK 02 BOUT

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AN

1
Cylinder

OXYGEN MEDI COMP USPDA ALUM CYLINDER

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AP

1
Cylinder

OXYGEN MEDI COMP USPDA ALUM CYLINDER

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AQ

1
Cylinder

LING DIFFUSION MIX 0.3 ME/0.3 OX/NI 200

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

3001AR

1
Cylinder

OXYGEN INDUSTRIAL COMPRESSED 40

NET AMT

TOTAL THIRD OPTION YEAR ______________________

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
OPTION
Medical Gas

FFP

Provide Medical Gas to Lyster Army Health Clinic, Fort Rucker, AL, from October 1, 2019 - 30 September 2020.

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AA

200
Cylinder

CARBON DIOXIDE SIPHON TUBE 50S

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AB

50
Cylinder

CARBON DIOXIDE UPS 50 PLD CGA 320

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AC

19
Cylinder

LIQUID NITROGEN NF 30 LITTERS CGA G/O

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AD

7
Cylinder

LIQUID NITROGEN NF 50 LITERS CGA G/O

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AE

4
Cylinder

OXYGEN, MEDICAL COMPRESSED USP200

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AF

10
Cylinder

OXYGEN, MEDICAL COMPRESSED USP125

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AG

4
Cylinder

OXYGEN, MEDICAL COMPRESSED USPD

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AH

12
Cylinder

OXYGEN, MEDICAL COMPRESSED USPE

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AJ

12
Cylinder

OXYGEN UHP 35 CGA540

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AK

1
Cylinder

OXYGEN CALIBRATION GAS UHP GR 4.4 SIZE

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AL

1
Cylinder

OXYGEN MEDI COMP USPEA ALUM CYLINDER

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AM

1
Cylinder

OXYGEN MED COMP USPEA WALK 02 BOUT

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AN

1
Cylinder

OXYGEN MEDI COMP USPDA ALUM CYLINDER

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AP

1
Cylinder

OXYGEN MEDI COMP USPDA ALUM CYLINDER

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AQ

1
Cylinder

LING DIFFUSION MIX 0.3 ME/0.3 OX/NI 200

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

4001AR

1
Cylinder

OXYGEN INDUSTRIAL COMPRESSED 40

NET AMT

TOTAL FOURTH OPTION YEAR ______________________

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at: Government

DELIVERY INFORMATION

CLIN
DELIVERY DATE
QUANTITY
SHIP TO ADDRESS
DODAAC

POP 11-JAN-2015 TO

30-SEP-2016

N/A
LYSTER MEDICAL CLINIC

LYSTER MEDICAL CLINIC

301 ANDREWS AVE

FT RUCKER AL 36362-5000

W31BMY

1001
POP 01-OCT-2016 TO

30-SEP-2017

N/A
(SAME AS PREVIOUS LOCATION)

FOB: Destination

W31BMY

2001
POP 01-OCT-2017 TO

30-SEP-2018

N/A
LYSTER MEDICAL CLINIC

LYSTER MEDICAL CLINIC

301 ANDREWS AVE

FT RUCKER AL 36362-5000

W31BMY

3001
POP 01-OCT-2018 TO

30-SEP-2019

N/A
LYSTER MEDICAL CLINIC

LYSTER MEDICAL CLINIC

301 ANDREWS AVE

FT RUCKER AL 36362-5000

W31BMY

4001
POP 01-OCT-2019 TO

30-SEP-2020

N/A
LYSTER MEDICAL CLINIC

LYSTER MEDICAL CLINIC

301 ANDREWS AVE

FT RUCKER AL 36362-5000

W31BMY

SOLICITATION PROVISIONS

52.212-1 -- INSTRUCTIONS TO OFFERORS -- COMMERCIAL ITEMS (JUL 2013)

Addendum to 52.212-1 (Local Provision (LP) 5004)

Para (b) Submission of Offers: The following supplements this paragraph with respect to the information and documents required for submission in response to this solicitation.

All offers must be received by 4 January 2015, 4:00 P.M, Eastern Standard Time.

Offers and questions shall be submitted through via email to brigitte.r.huffin.civ@mail.mil and carolyn.f.lovett.civ@mail.mil

All responsible offerors must submit:

1. Clin Pricing (filled out)

1. Provide your Published Price list, Dunn and Bradstreet number (DUNS) and CAGE code.

1. Provide your Company’s written Capability to meet the requirements of the solicitation.

1. Fill out and return the following Certifications listed in the solicitation: 52.212-3 Alt I, 52.219-28 (Registration in SAM can be substituted for FAR 52.212-3 Alt I. The information in SAM must be current and complete before an award can be made. Contractor shall not have any Active Exclusion Record in SAM.

(m) The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and MEDCOM provisions included herein are incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-1 for locations where full text can be obtained.

(End of Provision)

52.225-25 -- PROHIBITION ON ENGAGING IN SANCTIONED ACTIVITIES RELATING TO IRAN-CERTIFICATION (DEC 2012) 52.209-2 -- PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS - REPRESENTATIONS (DEC 2014)

52.252-1 -- SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

http://farsite.hill.af.mil/ ; https://acquisition.gov/far/index.html 52.252-5 -- AUTHORIZED DEVIATIONS IN PROVISIONS (APR 1984) (Insert “DoD FAR Supplement (48 CFR Chapter 2)” in paragraph (b)) 252.203-7005 -- REPRESENTATION RELATING TO COMPENSATION OF FORMER DOD OFFICIALS (NOV 2011)

252.204-7011 -- ALTERNATIVE LINE-ITEM STRUCTURE (SEP 2011)

252.225-7035 -- BUY AMERICAN-FREE TRADE AGREEMENTS-BALANCE OF PAYMENTS PROGRAM CERTIFICATE (NOV 2012)

(End of Addendum to 52.212-1)

52.212-2 -- EVALUATION -- COMMERCIAL ITEMS (JAN 1999)

Addendum to 52.212-2 (LP 5005) (LPTA)

Award will be made using the lowest price technically acceptable (LPTA) source selection process. Award will be made to the responsible offeror on the basis of the lowest evaluated price of proposals meeting or exceeding the acceptability standards for non-cost factors. Award maybe made without discussions with offerors (except communications conducted for the purpose of minor clarification). Therefore, each initial offer should contain the offeror's best terms from a technical and price standpoint. However, the Government reserves the right to conduct discussions if it is later determined by the contracting officer to be necessary.

Paragraph (a) is hereby replaced with the following:

The Government will award a contract resulting from this solicitation to the responsible contractor whose offer conforming to the solicitation, is Lowest Priced, Technically Acceptable (LPTA). Award will be on an all or none basis. The following factors will be used to evaluate offers:

1. Price. Price will be determined to be fair and reasonable, using various price analysis techniques and procedures including but not limited, comparison of the proposed prices received in response to the solicitation with comparison to the Independent Government Estimate (ICE).

1. Technical Capability. Assess Company’s Capability to be able to deliver the supplies set forth in the Solicitation.

1. The following adjectival ratings will be used in evaluating the offeror’s written technical proposal:

Acceptable – Offer clearly meets the minimum requirements of the solicitation.

Unacceptable – Offer does not clearly meet the minimum requirements of the solicitation.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(End of Addendum to 52.212-2)

52.212-3 -- OFFEROR REPRESENTATIONS AND CERTIFICATIONS -- COMMERCIAL ITEMS (NOV 2013) ALTERNATE I (APR 2011)

PWS

PERFORMANCE WORK STATEMENT

Lyster Army Health Clinic Fort Rucker, Alabama

Section 1: GENERAL

The contractor shall perform all pick-up, refill, and delivery of medical gases to include compressed oxygen, compressed nitrogen, liquid oxygen and medical compressed gas to the Lyster Army Health Clinic (LAHC) Bldg 301, 301 Andrews Ave. Fort Rucker, AL 36362 as directed by the Contracting Officer’s Representative (COR).

0. BACKGROUND INFORMATION: LAHC has government owned cylinders requiring medical gas refills as required for the operations of the only hypobaric chamber in the US Army. Contractor must properly handle, store, and transport medical gas cylinders in accordance with all local, state and federal requirements.

0. PERSONNEL. N/A.

1.3. PHYSICAL SECURITY. N/A.

1.4. QUALITY CONTROL. The contractor shall establish and maintain a complete Quality Control Plan to ensure that the requirements of the contract are provided as specified at Technical Exhibit 1 and Section 5 Specific Tasks.

1.5. The plan shall describe the methods for identifying and preventing defects before the level of performance becomes unacceptable.

1.6 QUALITY ASSURANCE. The government will evaluate the contractor’s performance under this contract using the method of surveillance specified in the Quality Assurance Surveillance Plan (QASP) at Technical Exhibit 1. All surveillance observations will be recorded by the government. When an observation indicates defective performance, the COR will obtain the contractor’s initials on the record of the observation.

1.7 HOURS OF OPERATION.

1.7.1 Normal Hours. LAHC hours of operation are 0730 to 1615 EST Monday through Friday. Facility observes all Federal Holidays as follows:

January 1st
New Year’s Day
3rd Monday in Jan
Martin Luther King, Jr. Birthday
3rd Monday in Feb
Presidents Day
Last Monday in May
Memorial Day
July 4th
Independence Day
1st Monday in Sep
Labor Day
2nd Monday in Oct
Columbus Day
November 11th
Veterans Day
4th Thursday in Nov
Thanksgiving Day
December 25th
Christmas Day

Facility also observes various Training Holidays in conjunction with Federal Holidays.

1.7.2 Emergency Services. The contractor shall be able to provide and comply with a 24-hour emergency, urgent on-site response when required.

1.8 CONSERVATION OF UTILITIES. The contractor will be required to participate in Government energy conservation programs.

SECTION 2 DEFINITIONS

2.1 STANDARD DEFINITIONS.

2.1.1 Medical compressed air. A colorless, odorless gas stored in cylinders under pressure.

2.1.2 Contracting Officer (KO). A person duly appointed with the authority to enter into and administer contracts on behalf of the U.S. Government.

2.1.3 Contracting Officer Representative (COR). An individual designated by the contracting officer to act as his representative to assist in administering a contract. The source and authority for a COR are contained in the written letter of designation.

2.1.4 Customer Complaint. A means of documenting certain kinds of contract service problems. A government program that is explained to every organization that receives service under this contract which is used to evaluate contractor’s performance.

2.1.5 Defective Performance. A service output that does not meet the standard of performance associated with it in the Performance Requirements Summary (PRS).

2.1.6 Government Property. All property owned or leased to the government or acquired by the government under the terms of the contract. Government property includes both government furnished property and contractor acquired property as defined in Federal Acquisition Regulation (FAR) 45.101.

2.1.7 Liquid Oxygen. Oxygen that is in a liquid state and is about 2 00ºC. Used for hypobaric chamber operations above 18,000ft.

2.1.8 Quality Control (QC). Those actions taken by a contractor to control the performance of services so that they meet the requirements of the PWS.

2.1.9 Material Safety Data Sheet (MSDS). A document that contains information on the potential health effects of exposure to chemicals, or other potentially dangerous substances, and on safe working procedures when handling chemical products.

2.1.10 Medical Nitrogen. A colorless, odorless, tasteless gas that is biologically important. Nitrogen is a constituent of protein and nucleic acids and is present in all living cells. Nitrogen does not support respiration and is fatal if breathed alone.

2.1.11 Quality Assurance Surveillance Plan (QASP). An organized written document used for the quality assurance surveillance. The document contains specific methods to perform surveillance of the contractor.

2.1.12 Medical Oxygen. A colorless, odorless and tasteless gas that makes up about 20% of the air we breathe and which combines with most of the other elements to form oxides.

2.1.13 Performance Requirements Summary (PRS). Identifies the key service outputs of the contract that will be evaluated by the government to assure contract performance standards are met by the contractor.

2.1.14 Quality Assurance (QA). Those actions taken by the government to assure services meet the requirements of the Performance Work Statement (PWS) and all other service outputs.

SECTION 3 GOVERNMENT FURNISHED PROPERTY AND SERVICES.

3.1 Cylinders. See Technical Exhibit 2 for list of government owned medical gas cylinders.

3.2 The government shall make available to the contractor, all cylinders, valves and cylinder valve protection caps to be serviced and/or refilled.

3.3 The government property made available under this contract shall be for use only in the performance of the resulting contract.

SECTION 4 CONTRACTOR FURNISHED ITEMS AND SERVICES.

4.1 The contractor shall provide all labor and equipment necessary to perform the required medical gas refill services.

SECTION 5 SPECIFIC TASKS.

5.1 Medical Oxygen, Medical compressed air, Liquid Oxygen, Medical Nitrogen shall conform to standards in the United States Pharmacopoeia/National Formulary (USP/NF) unless otherwise stated.

5.2 Medical Nitrogen shall be of Medicinal Grade A and shall conform to the latest version of BB-N-411C, “Federal Specification for Nitrogen”.

5.3 All cylinders shall be picked up from and delivered to LAHC, 301 Andrews Ave. Fort Rucker, AL 36362 as directed by the COR.

5.4 Deliveries will be scheduled between the Contractor and the Government during normal duty hours Mon through Friday.

5.5 All cylinders shall be picked up and delivered on upon request of the COR or his/her designee. The contractor shall also give prior 30 day notice and reschedule for any non-federal holiday the contractor might observe. Coordination shall be made with the personnel cited in paragraph 5.20.

5.6 Emergency Service. The contractor shall be available 24 hours a day, seven days a week, including all holidays, to meet emergency requirements. The contractor shall provide an on-call number, acknowledge receipt of call within one hour, and make required deliveries within eight hours of emergency call.

5.7 Inspection/Acceptance. The contractor shall only tender for acceptance those items that conform to the requirements of this contract. The government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The government may require repair or replacement of non-conforming supplies/equipment or re-performance of non-conforming services at no increase in contract price. The government must exercise its post delivery acceptance rights (1) within 24 hours after the defect was discovered or should have been discovered; and (2) before substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

5.8 The contractor shall inspect government owned cylinders received for charging or reconditioning in accordance with the Product Item Description (PID), applicable DOT Regulations, the assigned gas service, and as specified in MIL-STD-1411A “DOD Standard Practice, Inspection and Maintenance of Compressed Gas Cylinders”. The number of acceptable cylinders and serial numbers shall be recorded to identify a specific contract. Accepted cylinders shall be forwarded for charging. Cylinders not meeting inspection levels shall be scheduled for proper maintenance in accordance with (IAW) MIL-STD-1411A, paragraphs 5.2 and 5.3. Rejected and/or condemned cylinders shall be handled in accordance with MIL-STD-1411A, paragraph 4.

5.9 Cylinders received by the contractor for maintenance/

reconditioning or recharging with a specific gas shall be inspected for legible and accurate identifications, markings, dimensions, color coding and stenciling. Inspection will be conducted by Oxygen Purity Control Monitors designated by Lyster Army Health Clinic (LAHC). Monitors shall ensure presence of a valve protection cap, as applicable, the proper cylinder, valve, valve outlet and that the cylinder is in the gas service as specified.

5.9.1 The contractor’s paperwork (e.g., shipping order) accompanying each delivery shall give the total amount by type, including list of serial numbers (if applicable), lot numbers, and expiration dates of product for all cylinders delivered.

5.10 Contractor shall provide all applicable Material Safety Data Sheets (MSDS) upon initial delivery or as revisions, updates, or amendments become available for each product/end item, applicable materials, components/supplies utilized in the production/fabrication of each end item/product being delivered requiring a MSDS, to include but not limited to gases by type, paint, threading compound/sealant, lubricant, etc. IAW the fill contract delivery order/contract delivery requirements.

5.11 Cylinder Maintenance/Reconditioning - Periodic Testing/Hydrostatic Testing, Ultrasonic Examination (UE), External Visual Examination, Internal Cylinder Evaluation, Hammer Testing and Leakage Testing.

5.11.1 The Contractor shall be responsible to conduct all periodic testing by hydrostatic test procedures, ultrasonic examinations, external visual examinations/serviceability inspections, internal cylinder evaluations (any time a valve is removed from a cylinder for any reason), hammer testing (if applicable) IAW Compressed Gas Association Pamphlet (CGA) C-1 “Methods for Hydrostatic Testing of Compressed Gas Cylinders”, CGA C-5 “Wall Stress Requalification Criteria for High Pressure Seamless Steel Cylinders”, CGA C-6 “Standards for Visual Inspection of Steel Compressed Gas Cylinders”, CGA G-4.1 “Cleaning Equipment for Oxygen Service”, and MIL-STD-1411A.

5.11.2 Hydrostatic/UE tests on cylinders will be completed within 21 days of pick-up by the contractor, or upon the requested pick-up date from LAHC.

5.11.3 Cylinders will undergo periodic hydrostatic/UE testing IAW Code of Federal Regulations (CFR) 49 180.605 “Requirements for Periodic Testing, Inspection and Repair of Portable Tanks”, CGA C-1 and MIL-STD-1411A.

5.11.4 Compressed gas cylinders shall not be refilled if Hydrostatic/UE test date has expired.

5.11.5 Leakage testing shall be performed on all cylinders that have been filled with a compressed gas IAW the fill contract delivery order. Each cylinder shall be tested at all points that may provide a point of escape for cylinder contents. Points to inspect are the head and bottom of each cylinder, the cylinder valve including the stem, the valve inlet threads, and the valve outlet. Tests shall be performed IAW MIL-STD-1411A.

5.11.6 Cylinders that are unacceptable at serviceability inspection shall be tagged for proper maintenance. Cylinders that have been scheduled for maintenance procedures shall be serviced IAW 49 CFR 180-205 “General Requirements for Requalification of Specification Cylinders” and MIL-STD-1411A. After maintenance, each cylinder shall pass the detailed serviceability requirements outlined in MIL-STD-1411A, paragraph 5.3.

5.11.7 Cylinders that cannot be upgraded by maintenance/reconditioned to meet the serviceability standards of MIL-STD-1411A, paragraph 5.2 shall be rejected at maintenance, tagged for repair or rebuild or metal stamped “condemned” with a justification IAW condemnation standards outlined in MIL-STD-1411A, paragraphs 4.1.1.1, 4.1.2.1, 4.1.3.1, and 4.1.4.1. Disposition of condemned cylinders shall be IAW MIL-STD-1411A, paragraph 4, or as directed by the contract.

5.11.8 Rejected and/or condemned cylinders shall be handled IAW MIL-STD-1 411A, paragraph 4.

5.11 .9 The contractor shall be responsible for demilitarization of cylinders.

5.11.10 Records of scheduled maintenance shall be made on DD Form 250 or similar tabulation provided by the contractor.

5.12 Cylinder Retest Date.

5.12.1 Cylinders requiring Hydrostatic/UE retesting must be taken out of service 9 months prior to expiration.

5.12.2 Cylinder Hydrostatic/UE test date must not be within 36 months of expiration upon delivery.

5.12.3 Cylinders shall be retested as required by applicable Department of Transportation (DOT) Title 49 of the CFR, CGA C-1 and MIL-STD-1411A. Contractor shall be required to retest any government/ contractor-owned cylinder when requested by LAHC, the ordering activity, regardless of scheduled retest date.

5.12.4 Hydrostatic test equipment will be capable of performing the desired testing in a range of 25 to 75 percent of its designated maximum capability with an accuracy of 1 percent of any designated test pressure and resultant expansion valve.

5.13 Valve Inspection and Replacement.

5.13.1 All cylinder valves will be checked/inspected for serviceability by designated LAHC warehouse supply technicians and contractor representative (delivery/driver personnel/designee) prior to cylinder delivery acceptance and receipt IAW CGA V-1 “Standard for Compressed Gas Cylinder Valve Outlet and Inlet Connections”, MIL-DTL-2G and MIL-STD-1411A.

5.13.2 Each valve will be inspected for damaged hand wheels, bent or leaking stems and damaged or nicked outlet seats or threads. Further inspection shall be made for dirt, grease, or insect residue. Packing nuts shall be snug to control leakage and bonnet nuts shall be locked tight. Valve inlet threads should expose more than one thread between the cylinder neck and the wrenching boss of the valve. The valve shall be functional and shall control the gas flow at the valve seat when residual gas is checked. Valve outlets shall be IAW MIL-DTL-2G and the applicable specification sheet as specified in the PID. Damaged or faulty valves shall be scheduled for maintenance or replaced by contractor IAW MIL-DTL-2G.

5.13.3 Government and contractor owned cylinder valves damaged upon and/or after delivery receipt and acceptance shall be replaced by servicing contractor on all government and/or contractor owned cylinders at the cost of the government, unless the government exercises its post delivery acceptance rights (1) within 24 hours after the defect is discovered or should have been discovered; and (2) before substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

5.13.4 Damaged government and contractor owned cylinder valves on all government and contractor owned cylinders will be replaced at the expense of the contractor if damaged during transport, delivery and/or prior to designated MACH warehouse supply technician delivery receipt and acceptance.

5.14 Cylinder/Valve Protection Caps

5.14.1 Cylinder/valve protection caps shall be installed on all cylinders designed with neck rings or flanges.

5.14.2 Valve hood protection caps for cylinders designed to receive such caps shall be the correct size and securely attached with full thread engagement to the cylinders in a manner to protect the valves from damage during transit, delivery, and storage. Refer to 49 CFR 173-301 (h) “General Requirements for Shipment of Compressed Gases in Cylinders and Spherical Pressure Vessels”, and MIL-STD-1411A.

5.14.3 Replacement valves shall be threaded IAW CGA V-1.

5.14.4 Cylinder/valve protection caps will be inspected for cracks, dents, and/or a mismatch in size. Caps with internal threads that are stripped or damaged, making hand mounting on the cylinder impractical and/or showing rust and corrosion shall be rejected.

5.14.5 Hydrocarbon lubrication is not allowed on cap or flange threads; however, fire resistant fluorocarbon or silicon lubricants are permissible, if approved for use on medical gas cylinders.

5.15 Permanent Markings, Tags, and Labels

5.15.1 The permanent marking requirements for compressed gas cylinders will be IAW DOT specification in part 178.255-14 of Title 49 CFR, and in the government procurement specifications. These markings must be maintained in a legible condition as required by Part 173 of Title 40 CFR.

5.15.2 All cylinders shall be appropriately labeled, tagged, and/or marked IAW MIL-STD-1411A, and Title 49 CFR by contractor utilizing required lettering, stenciling, decals, metal lettering, and/or number stamping when required by applicable regulation. Contractor shall verify before delivery receipt and acceptance by LAHC that all required identifying medical gas labels; including lot number, labels, and/or tags are properly affixed or secured to the cylinders.

5.15.3 Cylinders shall be labeled or tagged and shipping documents annotated IAW requirements of contract delivery order to comply with MIL-STD-129, Military Marking for Shipment and Storage. Cylinders shall also have a label to tag attached with the statement “Dangerous-Compressed Gas Cylinder-Only Trained Personnel Should Handle”. Condition Codes A, D, F, H, J, K, or L as defined in Title 49 CFR will be assigned as applicable.

5.16 Sandblasting, Painting and Cleanliness.

5.16.1 Cylinder and cylinder/valve protection cap paint shall conform to Federal Specification A-A-3165 “Lacquer, Gloss for Aircraft Use”.

5.16.2 The use of color coding is mandatory for all departments and agencies of the Department of Defense, with regards to the purchase and use of compressed gas cylinders IAW MIL-STD-101B, “Color Code for Pipelines and Compressed Gas Cylinders”, and the specified PID. Medical gas cylinder colors shall be IAW CGA Pamphlet C-9, “Standard Color Markings for Compressed Gas Cylinders for Medical Use”.

5.16.3 Cylinder/valve protection caps shall be painted to comply with the color code requirements of the cylinder on which they are installed.

5.16.4 Cylinders and cylinder valve protection caps shall be sandblasted and primed prior to painting if required by the applicable paint specification. Refer to MIL-STD-101B, MIL-STD-1411A, DOD-P-15328D “Military Specification Primer (Wash), Pretreatment (Formula No. 117 for Metals) and Amendment 1 to DOD-P-15328D.

5.16.5 Sandblasting and painting of cylinders and cylinder/valve protection caps will be completed and shipped back to LAHC within 21 days of pick-up by contractor or upon the requested pick-up date from LAHC.

5.16.6 Contractor shall replace and repaint any cylinder showing signs of rust, scale, cracked paint, chipping, scratches, chalking, and/or peeling paint IAW MIL-STD-1411A, “Notice 1 “Inspection and Maintenance of Compressed Gas Cylinders”. Cylinders displaying a random pattern of chipping or peeling shall be stripped/ sandblasted and repainted. Cylinders displaying localized chipping for a specific use pattern may be spot painted to seal the denuded metal. When a cylinder requires coverage of more than 10 percent of its area, stripping/sandblasting and painting must be performed. Cylinder/valve protection caps shall be considered a part of the cylinder package and is to be repainted along with the cylinder when it is to be repainted.

5.16.7 Bore, throat, and threads of the valve outlet shall be free of any paint splatter or paint over spray. Paint, if found on other parts of the valve, must not effect valve operation.

5.17 Cleanliness.

5.17.1 Cylinders shall be free of oil, grease and all foreign matter. Anti-seize compound, approved oxygen compatible sealant only, may be found where the valve is inserted into the cylinder. All excess threading compound shall be removed and the area wiped clean.

5.17.2 Rust, scale, caked paint and all remnants of adhesive labels, decals and tags will be removed prior to painting as outlined in MIL-STD-1411A, Notice 1, “Inspection and Maintenance of Compressed Gas Cylinders”.

5.17.3 Valves shall be free of insects, insect webs/residue, dirt, corrosion, oil or grease. Do not mistake thread compound as oil or grease or vice versa.

5.17.4 Cleaning shall be performed IAW MIL-STD-1411A.

5.18 Government Owned Cylinders. Any necessary cylinder delivery to be furnished at additional cost under the terms of this contract shall be performed by the contractor on approval of the following activity:

Lyster Army Health Clinic
ATTN: TBD
Fort Rucker, Alabama, 36362

5.19 The following personnel are authorized to request pickup, delivery, refill, or services for their respective sections:

Mr. Dennis Ard (primary contact) 334-255-7720

5.20 Mr. Michael Sherman (alternate contact) 334-255-7083

SECTION 6 APPLICABLE PUBLICATIONS AND FORMS.

6.1 TO43D8-3-1-101

6.2 TO43D8-3-2-22

6.3 TO43D8-3-2-6

6.449 CFR, 180.605, Requirements for Periodic Testing, Inspection
and Repair of Portable Tanks.
6.549 CFR, 180.205, General Requirements for Requalification of
Cylinders.

6.6 DD Form 250, Material Inspection and Receiving Report.

6.7MIL-DTL-2G, Valves, Cylinder, Gas (for Compressed or Liquefied
Gases), General Specifications.
6.849 CFR, 173.301, General Requirements for Shipment of
Compressed Gases in Cylinders and Spherical Pressure Vessels.

6.9 49 CFR, 178.255-14, Marking.

6.10MIL-STD-129P, DOD Standard Practice for Military Marking for
Shipment and Storage.

6.11 TT-L-32, Lacquer, Gloss for Aircraft Use.

6.12MIL-STD-101B, DOD Standard Practice for Color Code for
Pipelines and for Compressed Gas Cylinders.
6.13DOD-P-15328D, Primer (Wash), Pretreatment (Formula No. 117 for
Metals) (Metric).
6.14Amendment 1 to DOD-P-15328D, Primer (Wash), Pretreatment
(Formula No. 117 for Metals) (Metric).

6.15 DODI6000.2 Health Service Operations and Readiness

SECTION 7 ATTACHMENT/TECHNICAL EXHIBIT LISTING

7.1 Attachment 1/Technical Exhibit 1-Quality Assurance Surveillance Plan

(QASP)

7.2 Attachment1/Technical Exhibit 2- Deliverable Schedule

Technical Exhibit 1 Quality Assurance Plan

PERFORMANCE OBJECTIVES
STANDARDS
REF PWS
METHOD OF ASSESSMENT
REMEDY
Provide pick-up, refill and delivery of all medical gases
Timeliness
Para 1, 5.3,5.4, 5.5
Observation
Address w/ Contractor
Emergency Service
Timeliness
Para 5.6
Observation
Address w/ Contractor
Hours of performance
7 days a week, 24 hours a day
Para 1.7.1
Observation, Log monthly work hour report
Address w/ Contractor
Contractor furnished items and services
100%
Para 4.1
Observation and evaluation of furnished equipment and services
Address w/ Contractor
Contractor’s paperwork
100%
Para 5.9.1
Inspection
Address w/ Contractor
Cylinder equipment maintenance
Technical accuracy
Para 5.11, 5.11.1, 5.11.2, 5.11.3
Observation, maintain logs
Address w/ Contractor
Contractor to provide Material Safety Data Sheets
Technical accuracy, clarity and effectiveness
Para 5.10
Observation, Inspection, COR Maintains Log
Address w/Contractor

TECHNICAL EXHIBIT 2

DELIVERABLES SCHEDULE

Deliverable
Frequency
# of Copies
Medium/Format
Submit To
5.3, 5.4, 5.4
Monthly
1
May be a invoice on paper or a faxed copy of the invoice

COR

CLAUSES INCORPORATED BY REFERENCE

52.204-9
Personal Identity Verification of Contractor Personnel
JAN 2011
52.204-10
Reporting Executive Compensation and First-Tier Subcontract Awards
OCT 2015
52.209-6
Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, or Proposed for Debarment
OCT 2015
52.212-4
Contract Terms and Conditions--Commercial Items
MAY 2015
52.219-6
Notice Of Total Small Business Set-Aside
NOV 2011
52.222-3
Convict Labor
JUN 2003
52.222-19
Child Labor -- Cooperation with Authorities and Remedies
JAN 2014
52.222-21
Prohibition Of Segregated Facilities
APR 2015
52.222-26
Equal Opportunity
APR 2015
52.222-36
Equal Opportunity for Workers with Disabilities
JUL 2014
52.222-50
Combating Trafficking in Persons
MAR 2015
52.223-2
Affirmative Procurement of Biobased Products Under Service and Construction Contracts
SEP 2013
52.223-3
Hazardous Material Identification And Material Safety Data
JAN 1997
52.223-5
Pollution Prevention and Right-to-Know Information
MAY 2011
52.223-18
Encouraging Contractor Policies To Ban Text Messaging While Driving
AUG 2011
52.225-13
Restrictions on Certain Foreign Purchases
JUN 2008
52.232-18
Availability Of Funds
APR 1984
52.232-33
Payment by Electronic Funds Transfer--System for Award Management
JUL 2013
52.232-39
Unenforceability of Unauthorized Obligations
JUN 2013
52.232-40
Providing Accelerated Payments to Small Business Subcontractors
DEC 2013
52.233-3
Protest After Award
AUG 1996
52.233-4
Applicable Law for Breach of Contract Claim
OCT 2004
52.237-2
Protection Of Government Buildings, Equipment, And Vegetation
APR 1984
52.242-13
Bankruptcy
JUL 1995
52.245-1
Government Property
APR 2012
252.203-7000
Requirements Relating to Compensation of Former DoD Officials
SEP 2011
252.203-7002
Requirement to Inform Employees of Whistleblower Rights
SEP 2013
252.204-7003
Control Of Government Personnel Work Product
APR 1992
252.225-7036
Buy American--Free Trade Agreement--Balance of Payments Program--Basic (Nov 2014)
NOV 2014
252.225-7048
Export-Controlled Items
JUN 2013
252.232-7003
Electronic Submission of Payment Requests and Receiving Reports
JUN 2012
252.232-7010
Levies on Contract Payments
DEC 2006

CLAUSES INCORPORATED BY FULL TEXT

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (NOV 2015)

(a) Definitions. As used in this clause--

Inverted domestic corporation means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

Subsidiary means an entity in which more than 50 percent of the entity is owned--

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

(b) If the contractor reorganizes as an inverted domestic corporation or becomes a subsidiary of an inverted domestic corporation at any time during the period of performance of this contract, the Government may be prohibited from paying for Contractor activities performed after the date when it becomes an inverted domestic corporation or subsidiary. The Government may seek any available remedies in the event the Contractor fails to perform in accordance with the terms and conditions of the contract as a result of Government action under this clause.

(c) Exceptions to this prohibition are located at 9.108-2.

(d) In the event the Contractor becomes either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation during contract performance, the Contractor shall give written notice to the Contracting Officer within five business days from the date of the inversion event.

(End of clause)

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS--COMMERCIAL ITEMS (NOV 2015)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

(2) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: (Contracting Officer check as appropriate.)

___ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

____ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509).

____ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (June 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

___ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2015) (Pub. L. 109-282) (31 U.S.C. 6101 note).

___ (5) [Reserved]

___ (6) 52.204-14, Service Contract Reporting Requirements (JAN 2014) (Pub. L. 111-117, section 743 of Div. C).

___ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (JAN 2014) (Pub. L. 111-117, section 743 of Div. C).

___ (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Oct 2015) (31 U.S.C. 6101 note).

____ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (July 2013) (41 U.S.C. 2313).

____ (10) [Reserved]

____ (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (NOV 2011) (15 U.S.C. 657a).

____ (ii) Alternate I (NOV 2011) of 52.219-3.

____ (12) (i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

____ (ii) Alternate I (JAN 2011) of 52.219-4.

____ (13) [Reserved]

____ (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2011) (15 U.S.C. 644).

____ (ii) Alternate I (NOV 2011).

____ (iii) Alternate II (NOV 2011).

____ (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

____ (ii) Alternate I (Oct 1995) of 52.219-7.

____ (iii) Alternate II (Mar 2004) of 52.219-7.

____ (16) 52.219-8, Utilization of Small Business Concerns (OCT 2014) (15 U.S.C. 637(d)(2) and (3)).

____ (17)(i) 52.219-9, Small Business Subcontracting Plan (Oct 2015) (15 U.S.C. 637(d)(4)).

____ (ii) Alternate I (Oct 2001) of 52.219-9.

____ (iii) Alternate II (Oct 2001) of 52.219-9.

____ (iv) Alternate III (Oct 2015) of 52.219-9.

____ (18) 52.219-13, Notice of Set-Aside of Orders (NOV 2011) (15 U.S.C. 644(r)).

____ (19) 52.219-14, Limitations on Subcontracting (NOV 2011) (15 U.S.C. 637(a)(14)).

____ (20) 52.219-16, Liquidated Damages—Subcon-tracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

____ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (NOV 2011) (15 U.S.C. 657f).

____ (22) 52.219-28, Post Award Small Business Program Rerepresentation (July 2013) (15 U.S.C. 632(a)(2)).

____ (23) 52.219-29, Notice of Set-Aside for Economically Disadvantaged Women-Owned Small Business (EDWOSB) Concerns (July 2013) (15 U.S.C. 637(m)).

____ (24) 52.219-30, Notice of Set-Aside for Women-Owned Small Business (WOSB) Concerns Eligible Under the WOSB Program (July 2013) (15 U.S.C. 637(m)).

____ (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

____ (26) 52.222-19, Child Labor—Cooperation with Authorities and Remedies (JAN 2014) (E.O. 3126).

____ (27) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

____ (28) 52.222-26, Equal Opportunity (Apr 2015) (E.O. 11246).

____ (29) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212).

____ (30) 52.222-36, Equal Opportunity for Workers with Disabilities (July 2014) (29 U.S.C. 793).

____ (31) 52.222-37, Employment Reports on Veterans (Oct 2015) (38 U.S.C. 4212).

____ (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).

x (33)(i) 52.222-50, Combating Trafficking in Persons (March 2, 2015) (22 U.S.C. chapter 78 and E.O. 13627).

____ (ii) Alternate I (March 2, 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

____ (34) 52.222-54, Employment Eligibility Verification (Oct 2015). (E. O. 12989).

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