Fill in Blanks: TIN (tax ID): ________________ CAGE: ________________ DUNS: __________________ Vendor Point of Contact: ______________________Phone: ____________________ Vendor email: ______________________ Naval Medical Center POC: Main OR / HM2 Holder: (757) 953-3141 Payment Monthly, Quarterly, Annually (circle one) in Arrears Note: vendor will be required to provide billing electronically via the WAWF Electronic Invoicing method. 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 N00183-04-T-0229 on all Inquires. Government reserves the right to award contract based on an "All or Nothing 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. Pursuant to FAR 52.232-18, the Contracting Officer will provide confirmation of availability of funds at http://www.nmlc.med.navy.mil/acquisitions/services.htm Section B - Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 Maintenance in Accordance with Section CFFPon various Stryker Neptune and docking station items. Location Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AA 12 Months Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403603; PIN # 18392717 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AB 12 Months Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 311203333; PIN # 18392715 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AC 12 Months Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403613; PIN # 18392716 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AD 12 Months Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403573; PIN # 18392718 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AE 12 Months Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 331704413; PIN # 18353564 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AF 12 Months Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 331703163; PIN # 18390370 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AG 12 Months Maintenance in Accordance with Section CFFPon 1 ea Stryker Docking Station (#1) Model # 0700-005-000W; Serial # NA; PIN # NA Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AH 12 Months Maintenance in Accordance with Section CFFPon 1 ea Stryker Docking Station (#2) Model # 0700-005-000W; Serial # NA; PIN # NA Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002 OPTION Maintenance in Accordance with Section CFFPon various Stryker Neptune and docking station items. Location Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AA 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403603; PIN # 18392717 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AB 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 311203333; PIN # 18392715 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AC 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403613; PIN # 18392716 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AD 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403573; PIN # 18392718 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AE 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 331704413; PIN # 18353564 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AF 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 331703163; PIN # 18390370 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AG 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Docking Station (#1) Model # 0700-005-000W; Serial # NA; PIN # NA Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AH 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Docking Station (#2) Model # 0700-005-000W; Serial # NA; PIN # NA Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003 OPTION Maintenance in Accordance with Section CFFPon various Stryker Neptune and docking station items. Location Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003AA 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403603; PIN # 18392717 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003AB 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 311203333; PIN # 18392715 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003AC 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403613; PIN # 18392716 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003AD 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403573; PIN # 18392718 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003AE 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 331704413; PIN # 18353564 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003AF 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 331703163; PIN # 18390370 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003AG 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Docking Station (#1) Model # 0700-005-000W; Serial # NA; PIN # NA Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003AH 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Docking Station (#2) Model # 0700-005-000W; Serial # NA; PIN # NA Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004 OPTION Maintenance in Accordance with Section CFFPon various Stryker Neptune and docking station items. Location Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004AA 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403603; PIN # 18392717 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004AB 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 311203333; PIN # 18392715 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004AC 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403613; PIN # 18392716 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004AD 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 310403573; PIN # 18392718 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004AE 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 331704413; PIN # 18353564 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004AF 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Neptune Rover Model # 0700-001-000W; Serial # 331703163; PIN # 18390370 Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004AG 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Docking Station (#1) Model # 0700-005-000W; Serial # NA; PIN # NA Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004AH 12 Months OPTION Maintenance in Accordance with Section CFFPon 1 ea Stryker Docking Station (#2) Model # 0700-005-000W; Serial # NA; PIN # NA Location: Main ORMILSTRIP: N0018305RQSU015PURCHASE REQUEST NUMBER: N0018305RQSU015 NET AMT FOB: Destination Section C - Descriptions and Specifications CLAUSES INCORPORATED BY FULL TEXT THE MINIMUM REQUIREMENTS OF THIS SOLICITATION ARE AS FOLLOWS: „h Vendor to provide full maintenance on Neptune Rovers and Neptune Docking Stations manufactured by Stryker Instruments (see Section B for covered items and quantities). o Maintenance may be performed on site or off site, either by repair of the individual item or by a ¡§Repair by Exchange¡¨. In the event of Repair by Exchange exchanged item must be of equal or greater value and technical capability. o Vendors price to include all parts, labor and transportation including Shipping (the Government will pay outbound shipping Vendor to pay return shipping). o Services to be performed via a Service Call. Service Calls will be issued by the NMCP Main OR Supply Officer. Vendor shall not be held responsible for items damaged as a result of vandalism nor shall vendor be held responsible for scopes destroyed / damaged beyond repair or altered by Naval Medical Center Portsmouth Personnel (or its agents). o In the event of service, vendor shall perform requested repairs per manufactures recommendations. All repairs are required to be completed within 7 business days and returned by 3-day express shipment or better. o All replacement parts are to be new and certified as equal or better by the original equipment manufacturer (OEM). All repairs are to be completed by a repair facility that is OEM authorized / certified. The Government reserves the right to request proof of OEM Certification. „h Vendor to warrant that all repairs have been accomplished using the most current OEM recommendations. o Vendor to warrant all repairs for a minimum of 90 days All repaired items shall be cleaned of industrial products (grease, oil, metal shavings etc) prior to return

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