CONTRACT ADMINISTRATION DATA (Continuation from Standard Form 1449, block 18A.) 1. Contract Administration: All contract administration matters will be handled by the following individuals: A. CONTRACTOR: B. GOVERNMENT: Pauline Ludwig, Contract Specialist Great Lakes Acquisition Center 115 S 84th St. Milwaukee, WI 53214 (414) 844-4868 2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with: [X] 52.232-33, Payment by Electronic Funds Transfer System for Award Management (Jul 2013) 3. INVOICES: Invoices shall be submitted in arrears in accordance with: a. 852.232-72 Electronic Submission of Payment Requests (Nov 2012) b. Upon Acceptance of Items 4. GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be submitted electronically in accordance with 852.232-72 Electronic Submission of Payment Requests (Nov 2012). FACSIMILE, E-Mail, and Scanned Documents are Not Acceptable forms of Submission for Payment Requests. For assistance setting up e-Invoice, the below information is provided: *OB10 e-Invoice Setup Information: 1-877-489-6135 *OB10 e-Invoice email: [email protected] *FSC e-invoice contact information: 1-877-353-9791 *FSC e-invoice email: [email protected] BASIS OF AWARD: The Government will make the award to the lowest price technically acceptable offer. SCHEDULE OF SUPPLIES/SERVICES AND PRICES/COSTS (SF 1449, Continuation of Blocks 19 24) Contractor shall provide CPAP accessories for the Edward Hines Jr VAMC, Hines, IL. All products shall be delivered FOB Destination. Vendor shall be an Original Equipment Manufacturer (OEM), Manufacturer verified authorized dealer, manufacturer authorized distributor, or manufacturer authorized reseller only, for the proposed products listed below. An OEM warranty is provided and maintained by the OEM. Proof of this authorization from the manufacturer is required. Brand name or equivalent. Item No. Description QTY UNIT UNIT PRICE EST TOTAL PRICE 1 #61701 Resmed Quattro FX Full Face Medium Mask 1L x 1W 20 each 2 #61702 Resmed Mirage Quattro FX Full Face Large Mask 40 each 3 #62103 Resmed Mirage FX Nasal Mask with grey headgear standard 40 each TOTAL Important! Technical specifications on each listed product offered are required. Only original equipment manufacturers, their authorized distributors or authorized resellers may apply. Distributors and resellers must provide a dated and signed Letter of Authorization to sell along with their proposals, or they will not be considered for award. Do not send a Letter of Supply. Per the Supreme Court decision (Kingdomware) of June 2016, verified SDVOSB respondents will receive first consideration, provided they meet all the requirements listed above.

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