Fill in Blanks: TIN: ________________ CAGE: ________________ DUNS: __________________ Vendor Point of Contact: ______________________Phone: ____________________ Vendor email: ______________________ Naval Medical Center POC: Danny Davis 757-953-2910 Equipment location: Gastroenterology Clinic Billing/Payment in Arrears (Circle One): Monthly Quarterly Annually Note: Vendor will be required to provide billing electronically via the WAWF Electronic Invoicing Method per Section G of this RFQ. For additional information, a review of the following web sites may be required: https://wawf.eb.mil http://wawftraining Email: [email protected] Vendor to reference Request for Quotation (RFQ) Number N00183-07-T-0017 on all correspondence relating to this RFQ. GOVERNMENT RESERVES THE RIGHT TO MAKE AWARD BASED ON AN ?ALL OR NONE? EVALUATION. NAPS 5232.903 PROMPT PAYMENT For Prompt Payment Act Purposes, this contract is: Subject to the 7-calender day constructive acceptance period. ?AVAILABILITY OF FUNDS. Pursuant to Section I, Availability of Funds (FAR 52.232-18), of the contract, funds are not presently available for this contract. The Government?s obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing to the Contracting Officer. Section B - Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 9 Months Scope Service Contract FFP Service contract to cover the following scopes to open, inspect, and to repair damaged units. Period of Performance: 01 JAN 2006 to 30 SEP 2007. See sub-CLINs for a detailed list of all items to be covered under this maintenance contract. FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000101 Model: CF-H180AL FFP Serial Numbers: 2601611, 2601626, 2601261, 2601622, 2601630, 2601609, 2601606, 2601574, 2601363, 2601624. Number of units: 10 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000102 Model: PCF-H180AL FFP Serial numbers: 2603515, 2603501. Number of units: 2 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000103 Model: GIF-H180 FFP Serial numbers: 2601688, 2601605, 2601700, 2601698, 2601680, 2601685, 2601691, 2601764, 2601673, 2601677. Number of units: 10 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000104 Model: GIF-1TQ160 FFP Serial number: 2600716. Number of units: 1 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000105 Model: GIF-2T160 FFP Serial number: : 2601269. Number of units: 1 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000106 Model: GIF-XP160 FFP Serial number: 2612194. Number of units: 1 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000107 Model: GIF-N180 FFP Serial number: 2600400. Number of units: 1 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000108 Model: TJF-160VF FFP Serial numbers: 2601278, 2601279, 2601281, 2601262. Number of units: 4 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000109 Model: PCF-160AL FFP Serial number: 2338600. Number of units: 1 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000110 Model: CF-Q160L FFP Serial numbers: 2304642, 2304886, 2305038. Number of units: 3 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000111 Model: GF-UM130 FFP Serial number: : 1300500. Number of units: 1 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000112 Model: GF-UCT160 FFP Serial number: 1410114. Number of units: 1 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000113 Model: CV - 180 FFP Description: Evis Exera II Video Processor, Serial number: 7644531, 7644537, 76444538, 7644540, 7644598, 7644658. Number of units: 6 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000114 Model: CLV - 180 FFP Description: Evis Exera II 300w Xenon light source. Serial numbers: 7604409, 7604491, 7604493, 7604502, 7604505, 7604508. Number of units: 6 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000115 Model: OFP FFP Description: Olympus flushing pump. Serial numbers: 2614301, 2614304, 2614307, 2614308, 2614436, 2614437. Number of units: 6 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000116 Model: OEV - 191H FFP Description: 19" LCD HD TV flat panel monitor. Serial numbers: 7614908, 7615034, 7615054, 7615060, 7615064, 7615067. Number of units: 6 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 000117 Model: OEV - 191 FFP Description: 19" LCD SD TV flat panel monitor. Serial numbers: 7615521, 7615526, 7615530, 7615538. Number of units: 4 FOB: Destination MILSTRIP: N0018307RQGE032 PURCHASE REQUEST NUMBER: N0018307RQGE032 NET AMT Selected vendor must be able to provide full contract support immediately upon award of a resulting order. Vendor will provide full maintenance support for the items listed in Section B. This contract shall provide for maintenance services which include on-site corrective repairs, normal working hour coverage (8:00 A.M. to 4:30 P.M. Monday through Friday excluding Federal holidays) and 24-hour emergency service and routine preventive maintenance services to Department of Defense owned equipment, as listed on the: DD Form 1155 ?Order for Supplies or Services?. It shall include all systems, subsystem components, and assemblies, (i.e.: contractor responsible for total maintenance of entire system). All maintenance provisions shall apply to hardware, firmware, and software, as appropriate, unless otherwise stated. Vendor allowed to make repairs off-site. In the event of offsite repair, vendor will be responsible to arrange / pay for shipping both ways (to vendor & return to NMCP). Onsite repairs are to be responded to within 2 business days. 1. General a. The Contractor shall comply with Federal, State, and Local Laws, plus any Federal Regulations as applicable to the performance of this contract. b. The Contractor shall not accept any instructions issued by any person employed by the U. S. Government, other than: the Contracting Officer (KO), or Biomedical Engineering Division (BME), all acting within the limits of their authority. THE BME POC IS HM2 CHRIS LEONARD, 757-953-5336. c. The Contractor shall be qualified / authorized by the Original Equipment Manufacturer (OEM) in the repair of all equipment listed within this contract. Contractor shall maintain qualifications throughout entire contract period. Qualification includes but not limited to the certification of all repair persons and repair facilities by the OEM as being trained / qualified to perform required repairs. The Government shall maintain the right to seek proof of qualification prior to award and anytime during contract period of performance. This posting is restricted by size of its electronic file. Call or email Danny Davis for the distribution of a complete solicitation package.

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