Section A - Solicitation/Contract Form
CLAUSES INCORPORATED BY FULL TEXT
Fill in Blanks:
TIN: ________________
CAGE: ________________
DUNS: __________________
Vendor Point of Contact: ______________________Phone: ____________________
Vendor email: ______________________
NAPS 5232.903 PROMPT PAYMENT
For Prompt Payment Act Purposes, this contract is:
Subject to the 7-calendar day constructive acceptance period.
Section B - Supplies or Services and Prices
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001 2 Each
KV10434 Glide Blade HandleFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0002 2 Each
KV10445 INTACS FORCEPSFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0003 2 Each
KV10606 POCKETING HOOKSFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0004 2 Each
KV10730-1 CORNEAL SEPARATOR, CW, 0.9mmFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0005 2 Each
KV10730-2 CORNEAL SEPARATOR, CCW, 0.9mmFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0006 2 Each
KV10732 INSPECTION GUAGE, 0.9mmFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0007 2 Each
KV10733 PROCEDURE MARKER, 0.9mmFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0008 2 Each
KV1162 SYMETRIC GLIDE SETFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0009 2 Each
2-110 BONN FORCEPFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0010 2 Each
5-362 15 DEGREE ARC DIAMOND KNIFEFFP(GUARDED)MILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0011 4 Each
6-251 SINSKEY HOOKFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0012 2 Each
9-556F SPECULUMFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0013 2 Each
9-789W-1 11mm ZONE MARKER (D & K)FFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0014 2 Each
1-7110 STERILIZATION TRAY, SMALLFFP(10.5"X6.25"X1.36")MILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0015 1
SHIPPING 3rd DAYFFPMILSTRIP: N0018304RQ68011PURCHASE REQUEST NUMBER: N0018304RQ68011
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0016 4 Each
10700-250 INTACS F/P, U.S. 0.250mmFFPTHICKNESS, 150 ARC LENGTHMILSTRIP: N0018304RQ68012PURCHASE REQUEST NUMBER: N0018304RQ68012
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0017 8 Each
10700-300 INTACS F/P, U.S. 0.300mmFFPTHICKNESS, 150 ARC LENGTHMILSTRIP: N0018304RQ68012PURCHASE REQUEST NUMBER: N0018304RQ68012
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0018 8 Each
10700-350 INTACS F/P, U.S. 0.350mmFFPTHICKNESS, 150 ARC LENGTHMILSTRIP: N0018304RQ68012PURCHASE REQUEST NUMBER: N0018304RQ68012
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0019 1 Each
KV2000 VACUUM SYSTEMFFPMILSTRIP: N0018304RQ68013PURCHASE REQUEST NUMBER: N0018304RQ68013
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0020 2 Each
KV10478-2 VACUUM CENTERING GUIDE, SLOPEDFFPSHELFMILSTRIP: N0018304RQ68013PURCHASE REQUEST NUMBER: N0018304RQ68013
NET AMT
FOB: Destination
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0021 1 Case
7K5000 VACUUM TUBING, 10/CS STERILEFFPMILSTRIP: N0018304RQ68013PURCHASE REQUEST NUMBER: N0018304RQ68013
NET AMT
FOB: Destination
Section C - Descriptions and Specifications
CLAUSES INCORPORATED BY FULL TEXT
THE MINIMUM REQUIREMENTS OF THIS ORDER ARE AS FOLLOWS:
âh Vendor to provide all items as specified in section B for the Addition technology, Inc. Standard Prolate System. These part numbers are from Addition Technology Inc.
o Minimum of 2 Service / Operators Manuals to be included for each system.
o Vendors price to include all parts, labor and transportation including Shipping.
âh Vendor to provide minimum 1 year warranty
o Warranty shall be all inclusive against manufactures defects
o Vendor to provide no cost telephone support during warranty period. Telephone support shall include services for both general system operation questions and questions concerning system faults / failures.
âh Equipment supplied must be certified for use in US adhering to UL requirements as required.
Section E - Inspection and Acceptance
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
Section F - Deliveries or Performance
DELIVERY INFORMATION
CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC
0001 15-JUL-2004 2 NAVAL MEDICAL CENTERRECEIVING DEPARTMENTMMD54 LEWIS MINORS STREETPORTSMOUTH VA 23708-2297757-953-5770FOB: Destination N00183
0002 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0003 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0004 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0005 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0006 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0007 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0008 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0009 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0010 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0011 15-JUL-2004 4 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0012 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0013 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0014 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0015 15-JUL-2004 1 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0016 15-JUL-2004 4 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0017 15-JUL-2004 8 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0018 15-JUL-2004 8 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0019 15-JUL-2004 1 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0020 15-JUL-2004 2 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
0021 15-JUL-2004 1 (SAME AS PREVIOUS LOCATION)FOB: Destination N00183
CLAUSES INCORPORATED BY REFERENCE
52.211-17 Delivery of Excess Quantities SEP 1989
52.247-34 F.O.B. Destination NOV 1991
Section G - Contract Administration Data
CLAUSES INCORPORATED BY FULL TEXT
Invoices for supplies rendered under this Task Order shall be submitted electronically through Wide Area Work Flow ¡V Receipt and Acceptance (WAWF):
The vendor shall self-register at the web site https://wawf.eb.mil. Vendor training is available on the internet at http://wawftraining.com.
One or more separate invoices will be prepared per order. Do not combine the payment claims for supplies provided under this contract ordered through multiple orders within one invoice.
Select the Create Invoice And Receiving Report combo within WAWF as the invoice type (destination/destination). The Invoice and Receiving Report combo prepares the Material Inspection and Receiving Report, DD Form 250, and the Invoice at the same time.
Back up documentation (such as delivery receipts, etc.) can be included and attached to the invoice in WAWF. Attachments created in any Microsoft Office product are attachable to the invoice in WAWF.
The following information regarding Naval Medical Center Portsmouth is provided for completion of the invoice in WAWF:
Issuing Office DODAAC: N00183
Admin DODAAC: N00183
Ship To DODAAC: N00183
LPO DODAAC: N00183
Pay DODAAC: N68688
The contractor shall submit invoices for payment per contract terms.
The Government shall process invoices for payment per contract terms.
For more information on Wide Area Workflow, please contact the Wide Area Workflow Implementation Team at
[email protected]
Section I - Contract Clauses
CLAUSES INCORPORATED BY REFERENCE
52.203-3 Gratuities APR 1984
52.213-2 Invoices APR 1984
52.219-3 Notice of Total HUBZone Set-Aide JAN 1999
52.219-6 Notice Of Total Small Business Set-Aside JUN 2003
52.219-6 Alt I Notice of Total Small Business Set-Aside (Jun 2003) - Alternate I OCT 1995
52.222-20 Walsh-Healey Public Contracts Act DEC 1996
52.222-35 Equal Opportunity For Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans DEC 2001
52.222-36 Affirmative Action For Workers With Disabilities JUN 1998
52.223-3 Hazardous Material Identification And Material Safety Data JAN 1997
52.226-1 Utilization Of Indian Organizations And Indian-Owned Economic Enterprises JUN 2000
52.232-1 Payments APR 1984
52.232-8 Discounts For Prompt Payment FEB 2002
52.233-3 Protest After Award AUG 1996
52.246-1 Contractor Inspection Requirements APR 1984
252.204-7004 Alt A Required Central Contractor Registration Alternate A NOV 2003
252.232-7003 Electronic Submission of Payment Requests JAN 2004
CLAUSES INCORPORATED BY FULL TEXT
52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):
www.arnet.gov/far
(End of clause)
Bid Protests Not Available