A.09.03_Combo_Synopsis_&_Solicitation.pdf

SEE ADDENDUM

(No Collect Calls)

W91YTZ19R0021 25-Jan-2019

b. TELEPHONE NUMBER

(706) 787-8856

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 30 Jan 2019

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.

W91YTZ9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

MICHAEL S. BROWN

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

0011194733-0001

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-ATLANTIC USAHCA

NORTHERN REG CONTR OFC NRCO

6021 5TH ST BLDG 1467

FORT BELVOIR VA 22060-5580

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 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

339113

X

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 OF160

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.

W91YTZ19R0021

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001 10 Each Blood gas mix sz E(CO2 4% ,02 16%) AE

FFP

Blood gas mix sz E(CO2 4% ,02 16%) AE EISENHOWER ARMY MEDICAL

CENTER AND SURROUNDING SITES.

FOB: Destination

PURCHASE REQUEST NUMBER: 0011194733-0001

PSC CD: 6515

MAX

NET AMT

UNIT UNIT PRICE MAX AMOUNT

0002 10 Each Blood gas mix sz E(26% 02 Bal NZ) AH

FFP

Blood gas mix sz E(26% 02 Bal NZ) AH FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0003 1 Each Blood gas mix sz E(2% C02, 98% N2)

FFP

Blood gas mix sz E(2% C02, 98% N2) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0004 48 Each Liquid medical Nitrogen NF AQ sz 240LT

FFP

Liquid medical Nitrogen NF AQ sz 240LT FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0005 180 Each Med Carbon Dioxide size E PN MCDE AV A

FFP

Med Carbon Dioxide size E PN MCDE AV A FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0006 72 Each Med Carbon Dioxide size G AW

FFP

Med Carbon Dioxide size G AW FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0007 12 Each Lungdiff179(.3CO,0.3%Met,02 21% sz 200AV

FFP

Lungdiff179(.3CO,0.3%Met,02 21% sz 200AV FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0008 16 Each Medical Hellium UHP 6000 psig 512 001BA

FFP

Medical Hellium UHP 6000 psig 512 001BA FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0009 90 Each Medical Nitrogen sz G PN MNIG BC

FFP

Medical Nitrogen sz G PN MNIG BC FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0010 20 Each Medical Nitrous Oxide size G PN MNOG BE

FFP

Medical Nitrous Oxide size G PN MNOG BE FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0011 3,168 Each Medical Oxygen Alum sz D PN MOAD BH X

FFP

Medical Oxygen Alum sz D PN MOAD BH X FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0012 60 Each Medical Oxygen Alum sz E PN MOAE BJ

FFP

Medical Oxygen Alum sz E PN MOAE BJ FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0013 150 Each Medical Oxygen 251 CF PN MO200 BK

FFP

Medical Oxygen 251 CF PN MO200 BK FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0014 5 Each Medical Oxygen Alum sz M PN MOM BN

FFP

Medical Oxygen Alum sz M PN MOM BN FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0015 23 Each Gas MBAG Med Breathing Air sz G CT

FFP

Gas MBAG Med Breathing Air sz G CT FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0016 4 Each Gas MN020C Med Nitro Oxide sz 20lb CY

FFP

Gas MN020C Med Nitro Oxide sz 20lb CY FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0017 24 Each Gas MNOAE Medical Nitro Oxide sz E CZ

FFP

Gas MNOAE Medical Nitro Oxide sz E CZ FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0018 12 Each Argon 6K UHP 6000 PSI DW

FFP

Argon 6K UHP 6000 PSI DW FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0019 6 Each Al USP300 Air Medical USP sz 300 OIEA

FFP

Al USP300 Air Medical USP sz 300 OIEA FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0020 24 Each Medical Oxygen size M

FFP

Medical Oxygen size M FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0021 4 Each Medical Hellium size G

FFP

Medical Hellium size G FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0022 70 Each Argon FS 40 CF

FFP

Argon FS 40 CF FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0023 5 Each Anerobic mx 210cf 10%CO2,10%Hyd bal N2

FFP

Anerobic mx 210cf 10%CO2,10%Hyd bal N2 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0024 2 Each Gas Mix-1.5% CO2, 20% O2, 79.5% N2

FFP

Gas Mix-1.5% CO2, 20% O2, 79.5% N2 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0025 48 Each LOX Dewar

FFP

LOX Dewar FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0026 2 Each HP O2 G Cylinder

FFP

HP O2 G Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0027 204 Liter Liquid Nitrogen (every 2 months)

FFP

Liquid Nitrogen (every 2 months) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0028 4 Each Industrial Oxygen size 80

FFP

Industrial Oxygen size 80 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0029 2 Each Propane

FFP

Propane FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0030 60 Each Argon FS size 150 AR 150 CG

FFP

Argon FS size 150 AR 150 CG FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0031 3 Each Med Nitrous Oxide

FFP

Med Nitrous Oxide FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0032 2 Each CO2 Research grade Sipho Tube 50 sz G

FFP

CO2 Research grade Sipho Tube 50 sz G FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0033 2 Each N2 E cylinder/Nitrogen FS 80 CF N180

FFP

N2 E cylinder/Nitrogen FS 80 CF N180 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0034 6 Each Delivery (Emergency)

FFP

Delivery (Emergency) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0035 197 Each Delivery Fees

FFP

Delivery Fees FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0036 197 Each Hazmat Fees

FFP

Hazmat Fees FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0037 3,650 Each Cylinder Rental (liquid cylinder)

FFP

Cylinder Rental (liquid cylinder) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0038 165,710 Each Cylinder Rental((High pressure cylinder)

FFP

Cylinder Rental((High pressure cylinder) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

0039 4 Each Mix balance Nitro Mix-5% C02, 20% 02

FFP

Mix balance Nitro Mix-5% C02, 20% 02 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1001 10 Each OPTION OY1-Blood Gas Mix sz E(C02,4%, 02,16%)AE

FFP

OY1-Blood Gas Mix sz E(C02,4%, 02,16%)AE EISENHOWER ARMY

MEDICAL CENTER AND SURROUNDING SITES.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1002 10 Each OPTION OY1-Blood Gas Mix sz E(26% 02,Bal NZ)AH

FFP

OY1-Blood Gas Mix sz E(26% 02,Bal NZ)AH FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1003 1 Each OPTION OY1-Blood Gas Mix sz E(2% C02, 98% N2)

FFP

OY1-Blood Gas Mix sz E(2% C02, 98% N2) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1004 48 Each OPTION OY1-Liquid Medical Nitrogen NF AQ sz 240

FFP

OY1-Liquid Medical Nitrogen NF AQ sz 240 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1005 180 Each OPTION OY1-Med CarbonDioxide sz E PN MCDE AV A

FFP

OY1-Med CarbonDioxide sz E PN MCDE AV A FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1006 72 Each OPTION OY1- Med Carbon Dioxide size G AW

FFP

OY1- Med Carbon Dioxide size G AW FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1007 12 Each OPTION Lungdiff179(.3CO,0.3%Met,02 21% sz 200AV

FFP

Lungdiff179(.3CO,0.3%Met,02 21% sz 200AV FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1008 16 Each OPTION OY1-Med Hellium UHP6000 psig 512 001BA

FFP

OY1-Med Hellium UHP6000 psig 512 001BA FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1009 90 Each OPTION OY1-Medical Nitrogen sz G PN MNIG BC

FFP

OY1-Medical Nitrogen sz G PN MNIG BC FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1010 23 Each OPTION OY1-Med Nitrous Oxide sizeG PN MNOG BE

FFP

OY1-Med Nitrous Oxide sizeG PN MNOG BE FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1011 3,168 Each OPTION OY1-Medical Oxygen Alum szD PN MOAD BH X

FFP

OY1-Medical Oxygen Alum szD PN MOAD BH X FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1012 60 Each OPTION OY1-Medical Oxygen Alum sz E PN MOAE BJ

FFP

OY1-Medical Oxygen Alum sz E PN MOAE BJ FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1013 150 Each OPTION OY1- Medical Oxygen 251 CF PN MO200 BK

FFP

OY1- Medical Oxygen 251 CF PN MO200 BK FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1014 5 Each OPTION OY1-Medical Oxygen Alum sz M PN MOM BN

FFP

OY1-Medical Oxygen Alum sz M PN MOM BN FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1015 23 Each OPTION OY1-Gas MBAG Med Breathing Air sz G CT

FFP

OY1-Gas MBAG Med Breathing Air sz G CT FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1016 4 Each OPTION OY1-Gas MN020C Med Nitro Oxide sz20lb CY

FFP

OY1-Gas MN020C Med Nitro Oxide sz20lb CY FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1017 24 Each OPTION OY1-Gas MNOAE Medical Nitro Oxide szE CZ

FFP

OY1-Gas MNOAE Medical Nitro Oxide szE CZ FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1018 12 Each OPTION OY1- Argon 6K UHP 6000 PSI DW

FFP

OY1- Argon 6K UHP 6000 PSI DW FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1019 6 Each OPTION OY1-Al USP300 Air Medical USPsz300 OIEA

FFP

OY1-Al USP300 Air Medical USPsz300 OIEA FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1020 24 Each OPTION OY1- Medical Oxygen size M

FFP

OY1- Medical Oxygen size M FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1021 4 Each OPTION OY1- Medical Hellium size G

FFP

OY1- Medical Hellium size G FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1022 70 Each OPTION OY1- Argon FS 40 CF

FFP

OY1- Argon FS 40 CF FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1023 5 Each OPTION OY1-Anerobic mx210cf10%CO2,10%Hyd bal N2

FFP

OY1-Anerobic mx210cf10%CO2,10%Hyd bal N2 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1024 2 Each OPTION OY1-Gas Mix-1.5% CO2, 20% O2, 79.5% N2

FFP

OY1-Gas Mix-1.5% CO2, 20% O2, 79.5% N2 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1025 48 Each OPTION OY1- LOX Dewar

FFP

OY1- LOX Dewar FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1026 2 Each OPTION OY1- HP O2 G Cylinder

FFP

OY1- HP O2 G Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1027 204 Liter OPTION OY1- Liquid Nitrogen (every 2 months)

FFP

OY1- Liquid Nitrogen (every 2 months) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1028 4 Each OPTION OY1- Industrial Oxygen size 80

FFP

OY1- Industrial Oxygen size 80 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1029 2 Each OPTION OY1- Propane

FFP

OY1- Propane FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1030 60 Each OPTION OY1-Argon FS size 150 AR 150 CG

FFP

OY1-Argon FS size 150 AR 150 CG FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1031 3 Each OPTION OY1-Med Nitrous Oxide

FFP

OY1-Med Nitrous Oxide FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1032 2 Each OPTION OY1CO2 Research grade Sipho Tube 50 sz G

FFP

OY1CO2 Research grade Sipho Tube 50 sz G FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1033 2 Each OPTION OY1-N2 E cylinder/Nitrogen FS 80 CF N180

FFP

OY1-N2 E cylinder/Nitrogen FS 80 CF N180 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1034 6 Each OPTION OY1-Delivery (Emergency)

FFP

OY1-Delivery (Emergency) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1035 197 Each OPTION OY1-Delivery Fees

FFP

OY1-Delivery Fees FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1036 197 Each OPTION OY1-Hazmat Fees

FFP

OY1-Hazmat Fees FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1037 3,650 Each OPTION OY1-Cylinder Rental (liquid cylinder)

FFP

OY1-Cylinder Rental (liquid cylinder) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1038 165,710 Each OPTION OY1-Cylinder Rental((High pressure cyl)

FFP

OY1-Cylinder Rental((High pressure cyl) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

1039 4 Each OPTION OY1-Mix balance Nitro Mix-5% C02, 20% 02

FFP

OY1-Mix balance Nitro Mix-5% C02, 20% 02 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2001 10 Each OPTION OY2-Blood Gas Mix sz E(C02,4%, 02,16%)AE

FFP

OY2-Blood Gas Mix sz E(C02,4%, 02,16%)AE EISENHOWER ARMY

MEDICAL CENTER AND SURROUNDING SITES.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2002 10 Each OPTION OY2-Blood Gas Mix sz E(26% 02,Bal NZ)AH

FFP

OY2-Blood Gas Mix sz E(26% 02,Bal NZ)AH FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2003 1 Each OPTION OY2-Blood Gas Mix sz E(2% C02, 98% N2)

FFP

OY2-Blood Gas Mix sz E(2% C02, 98% N2) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2004 48 Each OPTION OY2-Liquid Medical Nitrogen NF AQ sz 240

FFP

OY2-Liquid Medical Nitrogen NF AQ sz 240 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2005 180 Each OPTION OY2-Med CarbonDioxide sz E PN MCDE AV A

FFP

OY2-Med CarbonDioxide sz E PN MCDE AV A FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2006 72 Each OPTION OY2- Med Carbon Dioxide size G AW

FFP

OY2- Med Carbon Dioxide size G AW FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2007 12 Each OPTION Lungdiff179(.3CO,0.3%Met,02 21% sz 200AV

FFP

Lungdiff179(.3CO,0.3%Met,02 21% sz 200AV FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2008 16 Each OPTION OY2-Med Hellium UHP6000 psig 512 001BA

FFP

OY2-Med Hellium UHP6000 psig 512 001BA FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2009 90 Each OPTION OY2-Medical Nitrogen sz G PN MNIG BC

FFP

OY2-Medical Nitrogen sz G PN MNIG BC FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2010 23 Each OPTION OY2-Med Nitrous Oxide sizeG PN MNOG BE

FFP

OY2-Med Nitrous Oxide sizeG PN MNOG BE FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2011 3,168 Each OPTION OY2-Medical Oxygen Alum szD PN MOAD BH X

FFP

OY2-Medical Oxygen Alum szD PN MOAD BH X FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2012 60 Each OPTION OY2-Medical Oxygen Alum sz E PN MOAE BJ

FFP

OY2-Medical Oxygen Alum sz E PN MOAE BJ FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2013 150 Each OPTION OY2- Medical Oxygen 251 CF PN MO200 BK

FFP

OY2- Medical Oxygen 251 CF PN MO200 BK FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2014 5 Each OPTION OY2-Medical Oxygen Alum sz M PN MOM BN

FFP

OY2-Medical Oxygen Alum sz M PN MOM BN FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2015 23 Each OPTION OY2-Gas MBAG Med Breathing Air sz G CT

FFP

OY2-Gas MBAG Med Breathing Air sz G CT FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2016 4 Each OPTION OY2-Gas MN020C Med Nitro Oxide sz20lb CY

FFP

OY2-Gas MN020C Med Nitro Oxide sz20lb CY FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2017 24 Each OPTION OY2-Gas MNOAE Medical Nitro Oxide szE CZ

FFP

OY2-Gas MNOAE Medical Nitro Oxide szE CZ FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2018 12 Each OPTION OY2- Argon 6K UHP 6000 PSI DW

FFP

OY2- Argon 6K UHP 6000 PSI DW FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2019 6 Each OPTION OY2-Al USP300 Air Medical USPsz300 OIEA

FFP

OY2-Al USP300 Air Medical USPsz300 OIEA FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2020 24 Each OPTION OY2- Medical Oxygen size M

FFP

OY2- Medical Oxygen size M FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2021 4 Each OPTION OY2- Medical Hellium size G

FFP

OY2- Medical Hellium size G FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2022 70 Each OPTION OY2- Argon FS 40 CF

FFP

OY2- Argon FS 40 CF FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2023 5 Each OPTION OY2-Anerobic mx210cf10%CO2,10%Hyd bal N2

FFP

OY2-Anerobic mx210cf10%CO2,10%Hyd bal N2 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2024 2 Each OPTION OY2-Gas Mix-1.5% CO2, 20% O2, 79.5% N2

FFP

OY2-Gas Mix-1.5% CO2, 20% O2, 79.5% N2 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2025 48 Each OPTION OY2- LOX Dewar

FFP

OY2- LOX Dewar FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2026 2 Each OPTION OY2- HP O2 G Cylinder

FFP

OY2- HP O2 G Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2027 204 Liter OPTION OY2- Liquid Nitrogen (every 2 months)

FFP

OY2- Liquid Nitrogen (every 2 months) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2028 4 Each OPTION OY2- Industrial Oxygen size 80

FFP

OY2- Industrial Oxygen size 80 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2029 2 Each OPTION OY2- Propane

FFP

OY2- Propane FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2030 60 Each OPTION OY2-Argon FS size 150 AR 150 CG

FFP

OY2-Argon FS size 150 AR 150 CG FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2031 3 Each OPTION OY2-Med Nitrous Oxide

FFP

OY2-Med Nitrous Oxide FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2032 2 Each OPTION OY2-CO2 Research grade SiphoTube 50 sz G

FFP

OY2-CO2 Research grade SiphoTube 50 sz G FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2033 2 Each OPTION OY2-N2 E cylinder/Nitrogen FS 80 CF N180

FFP

OY2-N2 E cylinder/Nitrogen FS 80 CF N180 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2034 6 Each OPTION OY2-Delivery (Emergency)

FFP

OY2-Delivery (Emergency) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2035 197 Each OPTION OY2-Delivery Fees

FFP

OY2-Delivery Fees FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2036 197 Each OPTION OY2-Hazmat Fees

FFP

OY2-Hazmat Fees FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2037 3,650 Each OPTION OY2-Cylinder Rental (liquid cylinder)

FFP

OY2-Cylinder Rental (liquid cylinder) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2038 165,710 Each OPTION OY2-Cylinder Rental((High pressure cyl)

FFP

OY2-Cylinder Rental((High pressure cyl) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

2039 4 Each OPTION OY2-Mix balance Nitro Mix-5% C02, 20% 02

FFP

OY2-Mix balance Nitro Mix-5% C02, 20% 02 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3001 10 Each OPTION OY3-Blood Gas Mix sz E(C02,4%, 02,16%)AE

FFP

OY3-Blood Gas Mix sz E(C02,4%, 02,16%)AE EISENHOWER ARMY

MEDICAL CENTER AND SURROUNDING SITES.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3002 10 Each OPTION OY3-Blood Gas Mix sz E(26% 02,Bal NZ)AH

FFP

OY3-Blood Gas Mix sz E(26% 02,Bal NZ)AH FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3003 1 Each OPTION OY3-Blood Gas Mix sz E(2% C02, 98% N2)

FFP

OY3-Blood Gas Mix sz E(2% C02, 98% N2) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3004 48 Each OPTION OY3-Liquid Medical Nitrogen NF AQ sz 240

FFP

OY3-Liquid Medical Nitrogen NF AQ sz 240 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3005 180 Each OPTION OY3-Med CarbonDioxide sz E PN MCDE AV A

FFP

OY3-Med CarbonDioxide sz E PN MCDE AV A FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3006 72 Each OPTION OY3- Med Carbon Dioxide size G AW

FFP

OY3- Med Carbon Dioxide size G AW FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3007 12 Each OPTION Lungdiff179(.3CO,0.3%Met,02 21% sz 200AV

FFP

Lungdiff179(.3CO,0.3%Met,02 21% sz 200AV FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3008 16 Each OPTION OY3-Med Hellium UHP6000 psig 512 001BA

FFP

OY3-Med Hellium UHP6000 psig 512 001BA FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3009 90 Each OPTION OY3-Medical Nitrogen sz G PN MNIG BC

FFP

OY3-Medical Nitrogen sz G PN MNIG BC FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3010 23 Each OPTION OY3-Med Nitrous Oxide sizeG PN MNOG BE

FFP

OY3-Med Nitrous Oxide sizeG PN MNOG BE FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3011 3,168 Each OPTION OY3-Medical Oxygen Alum szD PN MOAD BH X

FFP

OY3-Medical Oxygen Alum szD PN MOAD BH X FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3012 60 Each OPTION OY3-Medical Oxygen Alum sz E PN MOAE BJ

FFP

OY3-Medical Oxygen Alum sz E PN MOAE BJ FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3013 150 Each OPTION OY3- Medical Oxygen 251 CF PN MO200 BK

FFP

OY3- Medical Oxygen 251 CF PN MO200 BK FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3014 5 Each OPTION OY3-Medical Oxygen Alum sz M PN MOM BN

FFP

OY3-Medical Oxygen Alum sz M PN MOM BN FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3015 23 Each OPTION OY3-Gas MBAG Med Breathing Air sz G CT

FFP

OY3-Gas MBAG Med Breathing Air sz G CT FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3016 4 Each OPTION OY3-Gas MN020C Med Nitro Oxide sz20lb CY

FFP

OY3-Gas MN020C Med Nitro Oxide sz20lb CY FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3017 24 Each OPTION OY3-Gas MNOAE Medical Nitro Oxide szE CZ

FFP

OY3-Gas MNOAE Medical Nitro Oxide szE CZ FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3018 12 Each OPTION OY3- Argon 6K UHP 6000 PSI DW

FFP

OY3- Argon 6K UHP 6000 PSI DW FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3019 6 Each OPTION OY3-Al USP300 Air Medical USPsz300 OIEA

FFP

OY3-Al USP300 Air Medical USPsz300 OIEA FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3020 24 Each OPTION OY3- Medical Oxygen size M

FFP

OY3- Medical Oxygen size M FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3021 4 Each OPTION OY3- Medical Hellium size G

FFP

OY3- Medical Hellium size G FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3022 70 Each OPTION OY3- Argon FS 40 CF

FFP

OY3- Argon FS 40 CF FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3023 5 Each OPTION OY3-Anerobic mx210cf10%CO2,10%Hyd bal N2

FFP

OY3-Anerobic mx210cf10%CO2,10%Hyd bal N2 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3024 2 Each OPTION OY3-Gas Mix-1.5% CO2, 20% O2, 79.5% N2

FFP

OY3-Gas Mix-1.5% CO2, 20% O2, 79.5% N2 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3025 48 Each OPTION OY3- LOX Dewar

FFP

OY3- LOX Dewar FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3026 2 Each OPTION OY3- HP O2 G Cylinder

FFP

OY3- HP O2 G Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3027 204 Liter OPTION OY3- Liquid Nitrogen (every 2 months)

FFP

OY3- Liquid Nitrogen (every 2 months) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3028 4 Each OPTION OY3- Industrial Oxygen size 80

FFP

OY3- Industrial Oxygen size 80 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3029 2 Each OPTION OY3- Propane

FFP

OY3- Propane FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3030 60 Each OPTION OY3-Argon FS size 150 AR 150 CG

FFP

OY3-Argon FS size 150 AR 150 CG FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3031 3 Each OPTION OY3-Med Nitrous Oxide

FFP

OY3-Med Nitrous Oxide FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3032 2 Each OPTION OY3-CO2 Research grade SiphoTube 50 sz G

FFP

OY3-CO2 Research grade SiphoTube 50 sz G FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3033 2 Each OPTION OY3-N2 E cylinder/Nitrogen FS 80 CF N180

FFP

OY3-N2 E cylinder/Nitrogen FS 80 CF N180 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3034 6 Each OPTION OY3-Delivery (Emergency)

FFP

OY3-Delivery (Emergency) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3035 197 Each OPTION OY3-Delivery Fees

FFP

OY3-Delivery Fees FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3036 197 Each OPTION OY3-Hazmat Fees

FFP

OY3-Hazmat Fees FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3037 3,650 Each OPTION OY3-Cylinder Rental (liquid cylinder)

FFP

OY3-Cylinder Rental (liquid cylinder) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3038 165,710 Each OPTION OY3-Cylinder Rental((High pressure cyl)

FFP

OY3-Cylinder Rental((High pressure cyl) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

3039 4 Each OPTION OY3-Mix balance Nitro Mix-5% C02, 20% 02

FFP

OY3-Mix balance Nitro Mix-5% C02, 20% 02 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4001 10 Each OPTION OY4-Blood Gas Mix sz E(C02,4%, 02,16%)AE

FFP

OY4-Blood Gas Mix sz E(C02,4%, 02,16%)AE EISENHOWER ARMY

MEDICAL CENTER AND SURROUNDING SITES.

FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4002 10 Each OPTION OY4-Blood Gas Mix sz E(26% 02,Bal NZ)AH

FFP

OY4-Blood Gas Mix sz E(26% 02,Bal NZ)AH FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4003 1 Each OPTION OY4-Blood Gas Mix sz E(2% C02, 98% N2)

FFP

OY4-Blood Gas Mix sz E(2% C02, 98% N2) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4004 48 Each OPTION OY4-Liquid Medical Nitrogen NF AQ sz 240

FFP

OY4-Liquid Medical Nitrogen NF AQ sz 240 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4005 180 Each OPTION OY4-Med CarbonDioxide sz E PN MCDE AV A

FFP

OY4-Med CarbonDioxide sz E PN MCDE AV A FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4006 72 Each OPTION OY4- Med Carbon Dioxide size G AW

FFP

OY4- Med Carbon Dioxide size G AW FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4007 12 Each OPTION Lungdiff179(.3CO,0.3%Met,02 21% sz 200AV

FFP

Lungdiff179(.3CO,0.3%Met,02 21% sz 200AV FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4008 16 Each OPTION OY4-Med Hellium UHP6000 psig 512 001BA

FFP

OY4-Med Hellium UHP6000 psig 512 001BA FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4009 90 Each OPTION OY4-Medical Nitrogen sz G PN MNIG BC

FFP

OY4-Medical Nitrogen sz G PN MNIG BC FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4010 23 Each OPTION OY4-Med Nitrous Oxide sizeG PN MNOG BE

FFP

OY4-Med Nitrous Oxide sizeG PN MNOG BE FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4011 3,168 Each OPTION OY4-Medical Oxygen Alum szD PN MOAD BH X

FFP

OY4-Medical Oxygen Alum szD PN MOAD BH X FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4012 60 Each OPTION OY4-Medical Oxygen Alum sz E PN MOAE BJ

FFP

OY4-Medical Oxygen Alum sz E PN MOAE BJ FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4013 150 Each OPTION OY4- Medical Oxygen 251 CF PN MO200 BK

FFP

OY4- Medical Oxygen 251 CF PN MO200 BK FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4014 5 Each OPTION OY4-Medical Oxygen Alum sz M PN MOM BN

FFP

OY4-Medical Oxygen Alum sz M PN MOM BN FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4015 23 Each OPTION OY4-Gas MBAG Med Breathing Air sz G CT

FFP

OY4-Gas MBAG Med Breathing Air sz G CT FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4016 4 Each OPTION OY4-Gas MN020C Med Nitro Oxide sz20lb CY

FFP

OY4-Gas MN020C Med Nitro Oxide sz20lb CY FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4017 24 Each OPTION OY4-Gas MNOAE Medical Nitro Oxide szE CZ

FFP

OY4-Gas MNOAE Medical Nitro Oxide szE CZ FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4018 12 Each OPTION OY4- Argon 6K UHP 6000 PSI DW

FFP

OY4- Argon 6K UHP 6000 PSI DW FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4019 6 Each OPTION OY4-Al USP300 Air Medical USPsz300 OIEA

FFP

OY4-Al USP300 Air Medical USPsz300 OIEA FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4020 24 Each OPTION OY4- Medical Oxygen size M

FFP

OY4- Medical Oxygen size M FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4021 4 Each OPTION OY4- Medical Hellium size G

FFP

OY4- Medical Hellium size G FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4022 70 Each OPTION OY4- Argon FS 40 CF

FFP

OY4- Argon FS 40 CF FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4023 5 Each OPTION OY4-Anerobic mx210cf10%CO2,10%Hyd bal N2

FFP

OY4-Anerobic mx210cf10%CO2,10%Hyd bal N2 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4024 2 Each OPTION OY4-Gas Mix-1.5% CO2, 20% O2, 79.5% N2

FFP

OY4-Gas Mix-1.5% CO2, 20% O2, 79.5% N2 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4025 48 Each OPTION OY4- LOX Dewar

FFP

OY4- LOX Dewar FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4026 2 Each OPTION OY4- HP O2 G Cylinder

FFP

OY4- HP O2 G Cylinder FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4027 204 Liter OPTION OY4- Liquid Nitrogen (every 2 months)

FFP

OY4- Liquid Nitrogen (every 2 months) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4028 4 Each OPTION OY4- Industrial Oxygen size 80

FFP

OY4- Industrial Oxygen size 80 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4029 2 Each OPTION OY4- Propane

FFP

OY4- Propane FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4030 60 Each OPTION OY4-Argon FS size 150 AR 150 CG

FFP

OY4-Argon FS size 150 AR 150 CG FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4031 3 Each OPTION OY4-Med Nitrous Oxide

FFP

OY4-Med Nitrous Oxide FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4032 2 Each OPTION OY4-CO2 Research grade SiphoTube 50 sz G

FFP

OY4-CO2 Research grade SiphoTube 50 sz G FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4033 2 Each OPTION OY4-N2 E cylinder/Nitrogen FS 80 CF N180

FFP

OY4-N2 E cylinder/Nitrogen FS 80 CF N180 FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4034 6 Each OPTION OY4-Delivery (Emergency)

FFP

OY4-Delivery (Emergency) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4035 197 Each OPTION OY4-Delivery Fees

FFP

OY4-Delivery Fees FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4036 197 Each OPTION OY4-Hazmat Fees

FFP

OY4-Hazmat Fees FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4037 3,650 Each OPTION OY4-Cylinder Rental (liquid cylinder)

FFP

OY4-Cylinder Rental (liquid cylinder) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4038 165,710 Each OPTION OY4-Cylinder Rental((High pressure cyl)

FFP

OY4-Cylinder Rental((High pressure cyl) FOB: Destination

UNIT UNIT PRICE MAX AMOUNT

4039 4 Each OPTION OY4-Mix balance Nitro Mix-5% C02, 20% 02

FFP

OY4-Mix balance Nitro Mix-5% C02, 20% 02 FOB: Destination

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 0025 Destination Government Destination Government 0026 Destination Government Destination Government 0027 Destination Government Destination Government

0028 Destination Government Destination Government 0029 Destination Government Destination Government 0030 Destination Government Destination Government 0031 Destination Government Destination Government 0032 Destination Government Destination Government 0033 Destination Government Destination Government 0034 Destination Government Destination Government 0035 Destination Government Destination Government 0036 Destination Government Destination Government 0037 Destination Government Destination Government 0038 Destination Government Destination Government 0039 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 1025 Destination Government Destination Government 1026 Destination Government Destination Government 1027 Destination Government Destination Government 1028 Destination Government Destination Government 1029 Destination Government Destination Government 1030 Destination Government Destination Government 1031 Destination Government Destination Government 1032 Destination Government Destination Government 1033 Destination Government Destination Government 1034 Destination Government Destination Government 1035 Destination Government Destination Government 1036 Destination Government Destination Government 1037 Destination Government Destination Government 1038 Destination Government Destination Government 1039 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 2025 Destination Government Destination Government 2026 Destination Government Destination Government 2027 Destination Government Destination Government 2028 Destination Government Destination Government 2029 Destination Government Destination Government 2030 Destination Government Destination Government 2031 Destination Government Destination Government 2032 Destination Government Destination Government 2033 Destination Government Destination Government 2034 Destination Government Destination Government 2035 Destination Government Destination Government 2036 Destination Government Destination Government 2037 Destination Government Destination Government 2038 Destination Government Destination Government 2039 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 3025 Destination Government Destination Government 3026 Destination Government Destination Government 3027 Destination Government Destination Government 3028 Destination Government Destination Government 3029 Destination Government Destination Government 3030 Destination Government Destination Government 3031 Destination Government Destination Government 3032 Destination Government Destination Government 3033 Destination Government Destination Government 3034 Destination Government Destination Government 3035 Destination Government Destination Government 3036 Destination Government Destination Government 3037 Destination Government Destination Government 3038 Destination Government Destination Government 3039 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 4025 Destination Government Destination Government 4026 Destination Government Destination Government 4027 Destination Government Destination Government 4028 Destination Government Destination Government 4029 Destination Government Destination Government 4030 Destination Government Destination Government 4031 Destination Government Destination Government 4032 Destination Government Destination Government 4033 Destination Government Destination Government 4034 Destination Government Destination Government 4035 Destination Government Destination Government 4036 Destination Government Destination Government

4037 Destination Government Destination Government 4038 Destination Government Destination Government 4039 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-FEB-2019 TO

31-JAN-2020

N/A EISENHOWER ARMY MEDICAL CENTER

EISENHOWER ARMY MEDICAL CENTER

300 EAST HOSPITAL ROAD

FORT GORDON, GA GA 30905

FOB: Destination

W33M8S

0002 04-FEB-2019 10 (SAME AS PREVIOUS LOCATION)

0003 04-FEB-2019 1 (SAME AS PREVIOUS LOCATION)

0004 04-FEB-2019 48 (SAME AS PREVIOUS LOCATION)

0005 04-FEB-2019 180 (SAME AS PREVIOUS LOCATION)

0006 04-FEB-2019 72 (SAME AS PREVIOUS LOCATION)

0007 04-FEB-2019 12 (SAME AS PREVIOUS LOCATION)

0008 04-FEB-2019 16 (SAME AS PREVIOUS LOCATION)

0009 04-FEB-2019 90 (SAME AS PREVIOUS LOCATION)

0010 04-FEB-2019 20 (SAME AS PREVIOUS LOCATION)

0011 04-FEB-2019 3,168 (SAME AS PREVIOUS LOCATION)

0012 04-FEB-2019 60 (SAME AS PREVIOUS LOCATION)

0013 04-FEB-2019 150 (SAME AS PREVIOUS LOCATION)

0014 04-FEB-2019 5 (SAME AS PREVIOUS LOCATION)

0015 04-FEB-2019 23 (SAME AS PREVIOUS LOCATION)

0016 04-FEB-2019 4 (SAME AS PREVIOUS LOCATION)

0017 04-FEB-2019 24 (SAME AS PREVIOUS LOCATION)

0018 04-FEB-2019 12 (SAME AS PREVIOUS LOCATION)

0019 04-FEB-2019 6 (SAME AS PREVIOUS LOCATION)

0020 04-FEB-2019 24 (SAME AS PREVIOUS LOCATION)

0021 04-FEB-2019 4 (SAME AS PREVIOUS LOCATION)

0022 04-FEB-2019 70 (SAME AS PREVIOUS LOCATION)

0023 04-FEB-2019 5 (SAME AS PREVIOUS LOCATION)

0024 04-FEB-2019 2 (SAME AS PREVIOUS LOCATION)

0025 04-FEB-2019 48 (SAME AS PREVIOUS LOCATION)

0026 04-FEB-2019 2 (SAME AS PREVIOUS LOCATION)

0027 04-FEB-2019 204 (SAME AS PREVIOUS LOCATION)

0028 04-FEB-2019 4 (SAME AS PREVIOUS LOCATION)

0029 04-FEB-2019 2 (SAME AS PREVIOUS LOCATION)

0030 04-FEB-2019 60 (SAME AS PREVIOUS LOCATION)

0031 04-FEB-2019 3 (SAME AS PREVIOUS LOCATION)

0032 04-FEB-2019 2 (SAME AS PREVIOUS LOCATION)

0033 04-FEB-2019 2 (SAME AS PREVIOUS LOCATION)

0034 04-FEB-2019 6 EISENHOWER ARMY MEDICAL CENTER

EISENHOWER ARMY MEDICAL CENTER

3 EAST HOSPITAL ROAD

FORT GORDON, GA 30905 GA 30905

0035 04-FEB-2019 197 (SAME AS PREVIOUS LOCATION)

0036 04-FEB-2019 197 (SAME AS PREVIOUS LOCATION)

0037 04-FEB-2019 3,650 (SAME AS PREVIOUS LOCATION)

0038 POP 01-FEB-2019 TO

31-JAN-2020

N/A (SAME AS PREVIOUS LOCATION)

0039 POP 01-FEB-2019 TO

N/A EISENHOWER ARMY MEDICAL CENTER

EISENHOWER ARMY MEDICAL CENTER

300 EAST HOSPITAL ROAD

FORT GORDON, GA GA 30905

1001 POP 04-FEB-2020 TO

03-FEB-2021

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 04-FEB-2020 180 (SAME AS PREVIOUS LOCATION)

1006 04-FEB-2020 72 (SAME AS PREVIOUS LOCATION)

1007 04-FEB-2020 12 (SAME AS PREVIOUS LOCATION)

1008 04-FEB-2020 16 (SAME AS PREVIOUS LOCATION)

1009 04-FEB-2020 90 (SAME AS PREVIOUS LOCATION)

1010 04-FEB-2020 23 (SAME AS PREVIOUS LOCATION)

1011 04-FEB-2020 3,168 (SAME AS PREVIOUS LOCATION)

1012 04-FEB-2020 60 (SAME AS PREVIOUS LOCATION)

1013 04-FEB-2020 150 (SAME AS PREVIOUS LOCATION)

1014 04-FEB-2020 5 (SAME AS PREVIOUS LOCATION)

1015 04-FEB-2020 23 (SAME AS PREVIOUS LOCATION)

1016 04-FEB-2020 4 (SAME AS PREVIOUS LOCATION)

1017 04-FEB-2020 24 (SAME AS PREVIOUS LOCATION)

1018 04-FEB-2020 12 (SAME AS PREVIOUS LOCATION)

1019 04-FEB-2020 6 (SAME AS PREVIOUS LOCATION)

1020 04-FEB-2020 24 (SAME AS PREVIOUS LOCATION)

1021 04-FEB-2020 4 (SAME AS PREVIOUS LOCATION)

1022 04-FEB-2020 70 (SAME AS PREVIOUS LOCATION)

1023 04-FEB-2020 5 (SAME AS PREVIOUS LOCATION)

1024 04-FEB-2020 2 (SAME AS PREVIOUS LOCATION)

1025 04-FEB-2020 48 (SAME AS PREVIOUS LOCATION)

1026 04-FEB-2020 2 (SAME AS PREVIOUS LOCATION)

1027 04-FEB-2020 204 (SAME AS PREVIOUS LOCATION)

1028 04-FEB-2020 4 (SAME AS PREVIOUS LOCATION)

1029 04-FEB-2020 2 (SAME AS PREVIOUS LOCATION)

1030 04-FEB-2020 60 (SAME AS PREVIOUS LOCATION)

1031 04-FEB-2020 3 (SAME AS PREVIOUS LOCATION)

1032 04-FEB-2020 2 (SAME AS PREVIOUS LOCATION)

1033 04-FEB-2020 2 (SAME AS PREVIOUS LOCATION)

1034 04-FEB-2020 6 EISENHOWER ARMY MEDICAL CENTER

3 EAST HOSPITAL ROAD

FORT GORDON, GA 30905 GA 30905

1035 04-FEB-2020 197 (SAME AS PREVIOUS LOCATION)

1036 04-FEB-2020 197 (SAME AS PREVIOUS LOCATION)

1037 04-FEB-2020 3,650 (SAME AS PREVIOUS LOCATION)

1038 POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1039 POP 01-FEB-2019 TO

N/A EISENHOWER ARMY MEDICAL CENTER

EISENHOWER ARMY MEDICAL CENTER

300 EAST HOSPITAL ROAD

FORT GORDON, GA GA 30905

2001 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 04-FEB-2021 180 (SAME AS PREVIOUS LOCATION)

2006 04-FEB-2021 72 (SAME AS PREVIOUS LOCATION)

2007 04-FEB-2021 12 (SAME AS PREVIOUS LOCATION)

2008 04-FEB-2021 16 (SAME AS PREVIOUS LOCATION)

2009 04-FEB-2021 90 (SAME AS PREVIOUS LOCATION)

2010 04-FEB-2021 23 (SAME AS PREVIOUS LOCATION)

2011 04-FEB-2021 3,168 (SAME AS PREVIOUS LOCATION)

2012 04-FEB-2021 60 (SAME AS PREVIOUS LOCATION)

2013 04-FEB-2021 150 (SAME AS PREVIOUS LOCATION)

2014 04-FEB-2021 5 (SAME AS PREVIOUS LOCATION)

2015 04-FEB-2021 23 (SAME AS PREVIOUS LOCATION)

2016 04-FEB-2021 4 (SAME AS PREVIOUS LOCATION)

2017 04-FEB-2021 24 (SAME AS PREVIOUS LOCATION)

2018 04-FEB-2021 12 (SAME AS PREVIOUS LOCATION)

2019 04-FEB-2021 6 (SAME AS PREVIOUS LOCATION)

2020 04-FEB-2021 24 (SAME AS PREVIOUS LOCATION)

2021 04-FEB-2021 4 (SAME AS PREVIOUS LOCATION)

2022 04-FEB-2021 70 (SAME AS PREVIOUS LOCATION)

2023 04-FEB-2021 5 (SAME AS PREVIOUS LOCATION)

2024 04-FEB-2021 2 (SAME AS PREVIOUS LOCATION)

2025 04-FEB-2021 48 (SAME AS PREVIOUS LOCATION)

2026 04-FEB-2021 2 (SAME AS PREVIOUS LOCATION)

2027 04-FEB-2021 204 (SAME AS PREVIOUS LOCATION)

2028 04-FEB-2021 4 (SAME AS PREVIOUS LOCATION)

2029 04-FEB-2021 2 (SAME AS PREVIOUS LOCATION)

2030 04-FEB-2021 60 (SAME AS PREVIOUS LOCATION)

2031 04-FEB-2021 3 (SAME AS PREVIOUS LOCATION)

2032 04-FEB-2021 2 (SAME AS PREVIOUS LOCATION)

2033 04-FEB-2021 2 (SAME AS PREVIOUS LOCATION)

2034 04-FEB-2021 6 EISENHOWER ARMY MEDICAL CENTER

3 EAST HOSPITAL ROAD

FORT GORDON, GA 30905 GA 30905

2035 04-FEB-2021 197 (SAME AS PREVIOUS LOCATION)

2036 04-FEB-2021 197 (SAME AS PREVIOUS LOCATION)

2037 04-FEB-2021 3,650 (SAME AS PREVIOUS LOCATION)

2038 POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2039 POP 01-FEB-2019 TO

N/A EISENHOWER ARMY MEDICAL CENTER

EISENHOWER ARMY MEDICAL CENTER

300 EAST HOSPITAL ROAD

FORT GORDON, GA GA 30905

3001 POP 04-FEB-2020 TO

N/A W3QM DDEAMC MED SUPPLY ACCT

W3QM DD EISENHOWER ARMY MEDCEN

BLDG 300

EAST HOSPITAL ROAD

FORT GORDON GA 30905-5000

210-221-7928

3002 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 04-FEB-2022 180 (SAME AS PREVIOUS LOCATION)

3006 04-FEB-2022 72 (SAME AS PREVIOUS LOCATION)

3007 04-FEB-2022 12 (SAME AS PREVIOUS LOCATION)

3008 04-FEB-2022 16 (SAME AS PREVIOUS LOCATION)

3009 04-FEB-2022 90 (SAME AS PREVIOUS LOCATION)

3010 04-FEB-2022 23 (SAME AS PREVIOUS LOCATION)

3011 04-FEB-2022 3,168 (SAME AS PREVIOUS LOCATION)

3012 04-FEB-2022 60 (SAME AS PREVIOUS LOCATION)

3013 04-FEB-2022 150 (SAME AS PREVIOUS LOCATION)

3014 04-FEB-2022 5 (SAME AS PREVIOUS LOCATION)

3015 04-FEB-2022 23 (SAME AS PREVIOUS LOCATION)

3016 04-FEB-2022 4 (SAME AS PREVIOUS LOCATION)

3017 04-FEB-2022 24 (SAME AS PREVIOUS LOCATION)

3018 04-FEB-2022 12 (SAME AS PREVIOUS LOCATION)

3019 04-FEB-2022 6 (SAME AS PREVIOUS LOCATION)

3020 04-FEB-2022 24 (SAME AS PREVIOUS LOCATION)

3021 04-FEB-2022 4 (SAME AS PREVIOUS LOCATION)

3022 04-FEB-2022 70 (SAME AS PREVIOUS LOCATION)

3023 04-FEB-2022 5 (SAME AS PREVIOUS LOCATION)

3024 04-FEB-2022 2 (SAME AS PREVIOUS LOCATION)

3025 04-FEB-2022 48 (SAME AS PREVIOUS LOCATION)

3026 04-FEB-2022 2 (SAME AS PREVIOUS LOCATION)

3027 04-FEB-2022 204 (SAME AS PREVIOUS LOCATION)

3028 04-FEB-2022 4 (SAME AS PREVIOUS LOCATION)

3029 04-FEB-2022 2 (SAME AS PREVIOUS LOCATION)

3030 04-FEB-2022 60 (SAME AS PREVIOUS LOCATION)

3031 04-FEB-2022 3 (SAME AS PREVIOUS LOCATION)

3032 04-FEB-2022 2 (SAME AS PREVIOUS LOCATION)

3033 04-FEB-2022 2 (SAME AS PREVIOUS LOCATION)

3034 04-FEB-2022 6 (SAME AS PREVIOUS LOCATION)

3035 04-FEB-2022 197 (SAME AS PREVIOUS LOCATION)

3036 04-FEB-2022 197 (SAME AS PREVIOUS LOCATION)

3037 04-FEB-2022 3,650 (SAME AS PREVIOUS LOCATION)

3038 POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3039 POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 04-FEB-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 04-FEB-2023 180 (SAME AS PREVIOUS LOCATION)

4006 04-FEB-2023 72 (SAME AS PREVIOUS LOCATION)

4007 04-FEB-2023 12 (SAME AS PREVIOUS LOCATION)

4008 04-FEB-2023 16 (SAME AS PREVIOUS LOCATION)

4009 04-FEB-2023 90 (SAME AS PREVIOUS LOCATION)

4010 04-FEB-2023 23 (SAME AS PREVIOUS LOCATION)

4011 04-FEB-2023 3,168 (SAME AS PREVIOUS LOCATION)

4012 04-FEB-2023 60 (SAME AS PREVIOUS LOCATION)

4013 04-FEB-2023 150 (SAME AS PREVIOUS LOCATION)

4014 04-FEB-2023 5 (SAME AS PREVIOUS LOCATION)

4015 04-FEB-2023 23 (SAME AS PREVIOUS LOCATION)

4016 04-FEB-2023 4 (SAME AS PREVIOUS LOCATION)

4017 04-FEB-2023 24 (SAME AS PREVIOUS LOCATION)

4018 04-FEB-2023 12 (SAME AS PREVIOUS LOCATION)

4019 04-FEB-2023 6 (SAME AS PREVIOUS LOCATION)

4020 04-FEB-2023 24 (SAME AS PREVIOUS LOCATION)

4021 04-FEB-2023 4 (SAME AS PREVIOUS LOCATION)

4022 04-FEB-2023 70 (SAME AS PREVIOUS LOCATION)

4023 04-FEB-2023 5 (SAME AS PREVIOUS LOCATION)

4024 04-FEB-2023 2 (SAME AS PREVIOUS LOCATION)

4025 04-FEB-2023 48 (SAME AS PREVIOUS LOCATION)

4026 04-FEB-2023 2 (SAME AS PREVIOUS LOCATION)

4027 04-FEB-2023 204 (SAME AS PREVIOUS LOCATION)

4028 04-FEB-2023 4 (SAME AS PREVIOUS LOCATION)

4029 04-FEB-2023 2 (SAME AS PREVIOUS LOCATION)

4030 04-FEB-2023 60 (SAME AS PREVIOUS LOCATION)

4031 04-FEB-2023 3 (SAME AS PREVIOUS LOCATION)

4032 04-FEB-2023 2 (SAME AS PREVIOUS LOCATION)

4033 04-FEB-2023 2 (SAME AS PREVIOUS LOCATION)

4034 04-FEB-2023 6 (SAME AS PREVIOUS LOCATION)

4035 04-FEB-2023 197 (SAME AS PREVIOUS LOCATION)

4036 04-FEB-2023 197 (SAME AS PREVIOUS LOCATION)

4037 04-FEB-2023 3,650 (SAME AS PREVIOUS LOCATION)

4038 POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

4039 POP 01-FEB-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

PWS

PERFORMANCE WORK STATEMENT

MEDICAL GASES

DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER

FORT GORDON, GEORGIA 30905

1. GENERAL

1.1. General: This is a non-personnel services contract to provide Medical grade gases. The contractor shall perform all pick-up, refill, and delivery of medical gases to include compressed oxygen, compressed nitrogen, liquid oxygen, propane, special gas mixes and medical compressed gas to the Dwight David Eisenhower Army Medical Center (DDEAMC) Bldg. 300, TMC#4 Bldg. 21712, Connelly Clinic Bldg.