Section A - Solicitation/Contract Form CLAUSES INCORPORATED BY FULL TEXT Fill in Blanks: TIN: ________________ CAGE: ________________ DUNS: __________________ Vendor POC: ______________________Phone: ____________________ Vendor email: ______________________ Payment in Arrears Vendor to reference RFQ number N00183-07-T-0233 on all inquiries. PROMPT PAYMENT For Prompt Payment Act Purposes, this contract is: Subject to the 7-calender day constructive acceptance period. This solicitation will be awarded on an All Or Nothing basis. Vendor?s price should be inclusive of all costs including shipping. Section B - Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 1 Each 1176000-0 TomoDose- FFP Tomoterapy Q/A System. Includes 223 2D array, completel PC software for verification of Tomotherapy output, includes a software based user calibration routine, 25 meter power-data cable, serial cable, power supply (110/220V) and includes 1 year software maintenance FOB: Destination MILSTRIP: N0018307RQRT019 PURCHASE REQUEST NUMBER: N0018307RQRT019 NET AMT Section C - Descriptions and Specifications CLAUSES INCORPORATED BY FULL TEXT This solicitation is restricted (set-aside) for small businesses. Vendor to provide a current published price or GSA/VA Federal Supply Schedule contract for supplies being procured.

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