MODIFICATION
D -- VTC Capabilities RFQ
- Notice Date
- 7/24/2012
- Notice Type
- Modification/Amendment
- NAICS
- 334310
— Audio and Video Equipment Manufacturing
- Contracting Office
- Department of the Navy, Bureau of Medicine and Surgery, NMC Portsmouth, 54 Lewis Minor St, Portsmouth, Virginia, 23708-2297, United States
- ZIP Code
- 23708-2297
- Solicitation Number
- N00183-12-T-0381
- Archive Date
- 8/14/2012
- Point of Contact
- Harold D Woodley, Phone: 757-953-7276, Danny W Davis, Phone: 757-953-2910
- E-Mail Address
-
harold.woodley@med.navy.mil, danny.davis2@med.navy.mil
(harold.woodley@med.navy.mil, danny.davis2@med.navy.mil)
- Small Business Set-Aside
- Total Small Business
- Description
- Section A - Solicitation/Contract Form CLAUSES INCORPORATED BY FULL TEXT TIN: 980157899 CAGE: 350C9 DUNS: 176091424 Vendor Point of Contact: _________ Phone: _____________ Vendor email: Billing/Payment in Arrears. Naval Medical Center Contracting POC: Harold Woodley Phone: 757-953-7276 Fax: 757-953-5006 Email: harold.woodley@med.navy.mil Product/Services for: Naval Dental Clinic Camp Lejeune POC: Karen Henriquez Phone: 910-450-5259 Fax: Email: karen.henriquez@med.navy.mil Vendor to reference RFQ number N00183-12-T-0381 on all inquires. Reference: NOTE: Award will be made on an all or nothing best value evaluation based on price, technical capability and past performance. NOTE TO VENDOR: FAILURE TO LABEL MATERIAL REQUIRINIG SPECIAL HANDLING OR REFRIGERATION MAY RESULT IN NON-PAYMENT AND RETURN OF MATERIAL AT VENDOR'S EXPENSE. PROMPT PAYMENT For Prompt Payment Act Purposes, this contract is: Subject to the 7-calender day constructive acceptance period. SITE VISIT: There will be a site visit on July 30, 2012 from 8:00 a.m. until 9:30 a.m. All interested vendors should attend this site visit. Vendors will need to contact the Main Gate to get a vehicle pass. The point of contact (POC) is Ms. Karen Henriquez who may be reached by phone at 910-450-5259, or via email at karen.henriquez@med.navy.mil. Vendors need to get in touch with the POC by 12 noon July 27, 2012 to verify their names. Section B - Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 VTC Capability in Bldg. 344 FFP FOB: Destination PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AA 2 Each Model V651-AVT FFP 65" LCD Monitor w/RS232 & Tuner. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AB 2 Each Model E462 FFP 46" LCD Monitor w/RS232 & Tuner. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AC 2 Each Model LTAU FFP Wall Mount w/Tilt. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AD 2 Each Model PWRUB FFP Wall Mount w/Swing Arm. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AE 1 Each Model G7200-23150-001 FFP HDX8000 Codec w/Eagle Eye HD Camera. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AF 1 Each Model 2215-26690-001 FFP Quad BRI Module. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AG 1 Each Model 4870-00380-336 FFP 3 Year Total Coverage on HDX8000 Codec. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AH 1 Each Model 2200-23809-001 FFP HDX Ceiling Mic. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AJ 1 Each Model 535-2000-221 FFP Wall Mount Bracket for Camera. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AK 1 Each Model DM-MD8x8 FFP 8x8 Digital Media Switcher. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AL 3 Each Model DMC-DVI FFP DVI/RGB Input Card. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AM 1 Each Model DMCO-55 FFP HDMI Output Card. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AN 1 Each Model DMCO-30 FFP 2 HDMIw/Stereo Audio Output Card. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AQ 1 Each Model DMC-CAT FFP CAT Input Card. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AR 1 Each Model DM-TX-200-2G FFP CAT Transmitter. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AS 4 Each Model DM-RMC-100-1 FFP CAT Receivers. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AT 1 Each Model Pro 2 FFP Control Processor. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AU 1 Each Model TPMC-8X-GA FFP 8.4" Wireless Touch Panel. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AV 1 Each Model TPMC-8X-BTPE FFP External Battery Pack. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AW 1 Each Model Custom FFP Custom Made Podium. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AX 1 Each Shipping FFP Shipping Charges. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AY 3 Each Cable Pk 50' FFP Cables, Connectors, & Misc. See Section C for Statement of Work.. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001AZ 96 Each Basic FFP Basic Labor. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001BA 32 Each Technical FFP Technical Labor. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001BB 16 Each PM FFP Project Management. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001BC 16 Each Eng FFP Eng / System Design. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001BD 40 Each Prog FFP System Programming / Training. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001BE 16 Each Per Diem FFP Hotel Meals & Per Diem. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001BF 1 Each Electrical FFP Electrical Work. See Section C for Statement of Work. FOB: Destination MILSTRIP: N6841012RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002 VTC Capability in Bldg. 4389 FFP FOB: Destination PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AA 2 Each Model LTAU FFP Wall Mount w/ Tilt. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AB 1 Each Model 2200-23809-001 FFP HDX Ceiling Mic. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AC 1 Each Model 535-2000-221 FFP Wall Mount Bracket for Camera. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AD 1 Each Model Pro 2 FFP Control Processor. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AE 1 Each Model TPMC-8X-GA FFP 8.4" Wireless Touch Panel. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AF 1 Each Model TPMC-8X-BTPE FFP External Battery Pack. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AG 1 Each Rack FFP Equipment Rack. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AH 1 Each Shipping FFP Shipping Charges. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AJ 2 Each Cable Pk 50' FFP Cables, Connectors, & Misc. See Section C for Statement of Work.. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AK 48 Hours Basic FFP Basic Labor. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AL 16 Hours Technical FFP Technical Labor. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AM 8 Hours PM FFP Project Management. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AN 8 Hours Eng FFP Eng / System Design. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AP 32 Hours Prog FFP System Programming / Training. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AQ 8 Days Per Diem FFP Hotel Meals & Per Diem. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002AR 1 Lot Electrical FFP Electrical Work. See Section C for Statement of Work. FOB: Destination MILSTRIP: N68410RC5A245 PURCHASE REQUEST NUMBER: N6841012RC5A245 NET AMT Section C - Descriptions and Specifications CLAUSES INCORPORATED BY FULL TEXT STATEMENT OF WORK 1. The vendor shall provide, install, and maintain an Unclassified, ISDN-based VTC system for the 2nd Dental Battalion at Camp Lejeune, NC. All equipment and cables (including power) must be mounted behind the plaster walls and above the ceiling. The Government will provide the Network Termination Device, ISDN circuits, and power for all monitors and the equipment rack. 2. The system will consist of 2 - 65" monitors and 2 - 46" side-mounted monitors, ceiling microphones, audio system, and a Polycom HDX 8000-720 codec to mirror the system in place. The system will also contain a wireless control system with control for all system components. All equipment will be housed in a furniture-grade credenza with equipment racks and fan. 3. The vendor shall transport the existing 8000 HDX integrated system from Camp Lejeune to Cherry Point, install the NT4 into GFE ISDN lines, and provide a wireless control system with touch panel. The system will stay in its current wheel-base configuration. 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 0001AA Destination Government Destination Government 0001AB Destination Government Destination Government 0001AC Destination Government Destination Government 0001AD Destination Government Destination Government 0001AE Destination Government Destination Government 0001AF Destination Government Destination Government 0001AG Destination Government Destination Government 0001AH Destination Government Destination Government 0001AJ Destination Government Destination Government 0001AK Destination Government Destination Government 0001AL Destination Government Destination Government 0001AM Destination Government Destination Government 0001AN Destination Government Destination Government 0001AQ Destination Government Destination Government 0001AR Destination Government Destination Government 0001AS Destination Government Destination Government 0001AT Destination Government Destination Government 0001AU Destination Government Destination Government 0001AV Destination Government Destination Government 0001AW Destination Government Destination Government 0001AX Destination Government Destination Government 0001AY Destination Government Destination Government 0001AZ Destination Government Destination Government 0001BA Destination Government Destination Government 0001BB Destination Government Destination Government 0001BC Destination Government Destination Government 0001BD Destination Government Destination Government 0001BE Destination Government Destination Government 0001BF Destination Government Destination Government 0002 N/A N/A N/A Government 0002AA Destination Government Destination Government 0002AB Destination Government Destination Government 0002AC Destination Government Destination Government 0002AD Destination Government Destination Government 0002AE Destination Government Destination Government 0002AF Destination Government Destination Government 0002AG Destination Government Destination Government 0002AH Destination Government Destination Government 0002AJ Destination Government Destination Government 0002AK Destination Government Destination Government 0002AL Destination Government Destination Government 0002AM Destination Government Destination Government 0002AN Destination Government Destination Government 0002AP Destination Government Destination Government 0002AQ Destination Government Destination Government 0002AR Destination Government Destination Government Section F - Deliveries or Performance DELIVERY INFORMATION CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC 0001 30-SEP-2011 1 NAVAL MEDICAL CENTER RECEIVING OFFICER, BLDG. 250 PORTSMOUTH VA 23708-2297 FOB: Destination N00183 0001AA 20-AUG-2012 2 NAVAL HOSPITAL CAMP LEJEUNE 2ND DENTAL BATTALION 100 BREWSTER BOULEVARD CAMP LEJEUNE NC 28547 910-450-4133 FOB: Destination N68093 0001AB 20-AUG-2012 2 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AC 20-AUG-2012 2 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AD 20-AUG-2012 2 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AE 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AF 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AG 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AH 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AJ 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AK 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AL 20-AUG-2012 3 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AM 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AN 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AQ 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AR 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AS 20-AUG-2012 4 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AT 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AU 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AV 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AW 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AX 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AY 20-AUG-2012 3 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001AZ 20-AUG-2012 96 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001BA 20-AUG-2012 32 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001BB 20-AUG-2012 16 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001BC 20-AUG-2012 16 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001BD 20-AUG-2012 40 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001BE 20-AUG-2012 16 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0001BF 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002 N/A N/A N/A N/A 0002AA 20-AUG-2012 2 NAVAL HOSPITAL CAMP LEJEUNE 2ND DENTAL BATTALION 100 BREWSTER BOULEVARD CAMP LEJEUNE NC 28547 910-450-4133 FOB: Destination N68093 0002AB 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AC 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AD 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AE 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AF 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AG 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AH 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AJ 20-AUG-2012 2 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AK 20-AUG-2012 48 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AL 20-AUG-2012 16 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AM 20-AUG-2012 8 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AN 20-AUG-2012 8 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AP 20-AUG-2012 32 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AQ 20-AUG-2012 8 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 0002AR 20-AUG-2012 1 (SAME AS PREVIOUS LOCATION) FOB: Destination N68093 CLAUSES INCORPORATED BY REFERENCE 52.242-15 Stop-Work Order AUG 1989 Section G - Contract Administration Data CLAUSES INCORPORATED BY FULL TEXT FOR SERVICES SECTION SF 30 BLOCK 14 CONTINUATION PAGE INVOICING INSTRUCTIONS AND PAYMENT FOR SERVICES Invoices for supplies rendered under this Task Order shall be submitted electronically through Wide Area Work Flow - 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: N68410 LPO DODAAC: N68410 Pay DODAAC: HQ0248 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 wawf@med.navy.mil. Section H - Special Contract Requirements CLAUSES INCORPORATED BY FULL TEXT N00183-0004 Privacy and Security of Protected Health Information Department of Defense Business Associate Agreement Introduction In accordance with DoD 6025.18-R "Department of Defense Health Information Privacy Regulation," January 24, 2003, the Contractor meets the definition of Business Associate. Therefore, a Business Associate Agreement is required to comply with both the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security regulations. This clause serves as that agreement whereby the Contractor agrees to abide by all applicable HIPAA Privacy and Security requirements regarding health information as defined in this clause, and in DoD 6025.18-R and DoD 8580.02-R, as amended. Additional requirements will be addressed when implemented. (a) Definitions. As used in this clause generally refer to the Code of Federal Regulations (CFR) definition unless a more specific provision exists in DoD 6025.18-R or DoD 8580.02-R. Individual has the same meaning as the term "individual" in 45 CFR 160.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g). Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E. Protected Health Information has the same meaning as the term "protected health information" in 45 CFR 160.103, limited to the information created or received by the Contractor from or on behalf of the Government pursuant to the Contract. Electronic Protected Health Information has the same meaning as the term "electronic protected health information" in 45 CFR 160.103. Required by Law has the same meaning as the term "required by law" in 45 CFR 164.103. Secretary means the Secretary of the Department of Health and Human Services or his/her designee. Security Rule means the Health Insurance Reform: Security Standards at 45 CFR part 160, 162 and part 164, subpart C. Terms used, but not otherwise defined, in this Clause shall have the same meaning as those terms in 45 CFR 160.103, 164.501 and 164.304. (b) The Contractor shall not use or further disclose Protected Health Information other than as permitted or required by the Contract or as Required by Law. (c) The Contractor shall use appropriate safeguards to prevent use or disclosure of the Protected Health Information other than as provided for by this Contract. (d) The Contractor agrees to use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits in the execution of this Contract. (e) The Contractor agrees to mitigate, to the extent practicable, any harmful effect that is known to the Contractor of a use or disclosure of Protected Health Information by the Contractor in violation of the requirements of this Clause. (f) The Contractor shall report to the Government any security incident involving protected health information of which it becomes aware. (g) The Contractor shall report to the Government any use or disclosure of the Protected Health Information not provided for by this Contract of which the Contractor becomes aware. (h) The Contractor shall ensure that any agent, including a subcontractor, to whom it provides Protected Health Information received from, or created or received by the Contractor, on behalf of the Government, agrees to the same restrictions and conditions that apply through this Contract to the Contractor with respect to such information. (i) The Contractor shall ensure that any agent, including a subcontractor, to whom it provides electronic Protected Health Information, agrees to implement reasonable and appropriate safeguards to protect it. (j) The Contractor shall provide access, at the request of the Government, and in the time and manner reasonably designated by the Government to Protected Health Information in a Designated Record Set, to the Government or, as directed by the Government, to an Individual in order to meet the requirements under 45 CFR 164.524. (k) The Contractor shall make any amendment(s) to Protected Health Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government, and in the time and manner reasonably designated by the Government. (l) The Contractor shall make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the Contractor, on behalf of the Government, available to the Government, or at the request of the Government to the Secretary, in a time and manner reasonably designated by the Government or the Secretary, for purposes of the Secretary determining the Government's compliance with the Privacy Rule. (m) The Contractor shall document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528. (n) The Contractor shall provide to the Government or an Individual, in time and manner reasonably designated by the Government, information collected in accordance with this Clause of the Contract, to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528. General Use and Disclosure Provisions Except as otherwise limited in this Clause, the Contractor may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for treatment, payment, or healthcare operations purposes, in accordance with the specific use and disclosure provisions below, if such use or disclosure of Protected Health Information would not violate the HIPAA Privacy Rule, the HIPAA Security Rule, DoD 6025.18-R or DoD 8580.02-R if done by the Government. Specific Use and Disclosure Provisions (a) Except as otherwise limited in this Clause, the Contractor may use Protected Health Information for the proper management and administration of the Contractor or to carry out the legal responsibilities of the Contractor. (b) Except as otherwise limited in this Clause, the Contractor may disclose Protected Health Information for the proper management and administration of the Contractor, provided that disclosures are required by law, or the Contractor obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person, and the person notifies the Contractor of any instances of which it is aware in which the confidentiality of the information has been breached. (c) Except as otherwise limited in this Clause, the Contractor may use Protected Health Information to provide Data Aggregation services to the Government as permitted by 45 CFR 164.504(e)(2)(i)(B). (d) Contractor may use Protected Health Information to report violations of law to appropriate Federal and State authorities, consistent with 45 CFR 164.502(j)(1). Obligations of the Government Provisions for the Government to Inform the Contractor of Privacy Practices and Restrictions (a) The Government shall provide the Contractor with the notice of privacy practices that the Government produces in accordance with 45 CFR 164.520. (b) The Government shall provide the Contractor with any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, if such changes affect the Contractor's permitted or required uses and disclosures. (c) The Government shall notify the Contractor of any restriction to the use or disclosure of Protected Health Information that the Government has agreed to in accordance with 45 CFR 164.522. Permissible Requests by the Government The Government shall not request the Contractor to use or disclose Protected Health Information in any manner that would not be permissible under the HIPAA Privacy Rule, the HIPAA Security Rule, or any applicable Government regulations (including without limitation, DoD 6025.18-R and DoD 8580.02-R) if done by the Government, except for providing Data Aggregation services to the Government and for management and administrative activities of the Contractor as otherwise permitted by this clause. Termination (a) Termination. A breach by the Contractor of this clause, may subject the Contractor to termination under any applicable default or termination provision of this Contract. (b) Effect of Termination. (1) If this contract has records management requirements, the records subject to the Clause should be handled in accordance with the records management requirements. If this contract does not have records management requirements, the records should be handled in accordance with paragraphs (2) and (3) below (2) If this contract does not have records management requirements, except as provided in paragraph (3) of this section, upon termination of this Contract, for any reason, the Contractor shall return or destroy all Protected Health Information received from the Government, or created or received by the Contractor on behalf of the Government. This provision shall apply to Protected Health Information that is in the possession of subcontractors or agents of the Contractor. The Contractor shall retain no copies of the Protected Health Information. (3) If this contract does not have records management provisions and the Contractor determines that returning or destroying the Protected Health Information is infeasible, the Contractor shall provide to the Government notification of the conditions that make return or destruction infeasible. Upon mutual agreement of the Government and the Contractor that return or destruction of Protected Health Information is infeasible, the Contractor shall extend the protections of this Contract to such Protected Health Information and limit further uses and disclosures of such Protected Health Information to those purposes that make the return or destruction infeasible, for so long as the Contractor maintains such Protected Health Information. Miscellaneous (a) Regulatory References. A reference in this Clause to a section in DoD 6025.18-R, DoD 8580.02-R, Privacy Rule or Security Rule means the section currently in effect or as amended, and for which compliance is required. (b) Survival. The respective rights and obligations of Business Associate under the "Effect of Termination" provision of this Clause shall survive the termination of this Contract. (c) Interpretation. Any ambiguity in this Clause shall be resolved in favor of a meaning that permits the Government to comply with DoD 6025.18-R, DoD 8580.02-R, the HIPAA Privacy Rule or the HIPAA Security Rule. INFORMATION ONLY: This document has been designated for posting to the Navy Electronic Commerce Online (NECO) at http://www.neco.navy.mil Section I - Contract Clauses CLAUSES INCORPORATED BY REFERENCE 52.203-3 Gratuities APR 1984 52.219-6 Notice Of Total Small Business Set-Aside NOV 2011 52.222-42 Statement Of Equivalent Rates For Federal Hires MAY 1989 52.222-49 Service Contract Act -- Place Of Performance Unknown MAY 1989 52.222-50 Combating Trafficking in Persons FEB 2009 52.223-18 Encouraging Contractor Policies To Ban Text Messaging While Driving AUG 2011 52.232-1 Payments APR 1984 52.232-8 Discounts For Prompt Payment FEB 2002 52.232-23 Alt I Assignment of Claims (Jan 1986) - Alternate I APR 1984 52.233-3 Protest After Award AUG 1996 52.237-2 Protection Of Government Buildings, Equipment, And Vegetation APR 1984 52.237-3 Continuity Of Services JAN 1991 252.203-7002 Requirement to Inform Employees of Whistleblower Rights JAN 2009 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Alt A Central Contractor Registration Alternate A SEP 2007 252.232-7001 Disposition Of Payment DEC 1991 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports MAR 2008 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): http://www.arnet.gov/far (End of clause) 252.204-7006 BILLING INSTRUCTIONS (OCT 2005) When submitting a request for payment, the Contractor shall-- (a) Identify the contract line item(s) on the payment request that reasonably reflect contract work performance; and (b) Separately identify a payment amount for each contract line item included in the payment request. (End of clause) Section K - Representations, Certifications and Other Statements of Offerors CLAUSES INCORPORATED BY REFERENCE 52.222-25 Affirmative Action Compliance APR 1984 52.225-18 Place of Manufacture SEP 2006 252.204-7007 Alternate A, Annual Representations and Certifications MAY 2012 CLAUSES INCORPORATED BY FULL TEXT 52.204-3 TAXPAYER IDENTIFICATION (OCT 1998) (a) Definitions. Common parent, as used in this provision, means that corporate entity that owns or controls an affiliated group of corporations that files its Federal income tax returns on a consolidated basis, and of which the offeror is a member. Taxpayer Identification Number (TIN), as used in this provision, means the number required by the Internal Revenue Service (IRS) to be used by the offeror in reporting income tax and other returns. The TIN may be either a Social Security Number or an Employer Identification Number. (b) All offerors must submit the information required in paragraphs (d) through (f) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the IRS. If the resulting contract is subject to the payment reporting requirements described in Federal Acquisition Regulation (FAR) 4.904, the failure or refusal by the offeror to furnish the information may result in a 31 percent reduction of payments otherwise due under the contract. (c) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's TIN. (d) Taxpayer Identification Number (TIN). ___ TIN:.-------------------------------------------------------- ___ TIN has been applied for. ___ TIN is not required because: ___ Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States; ___ Offeror is an agency or instrumentality of a foreign government; ___ Offeror is an agency or instrumentality of the Federal Government. (e) Type of organization. ___ Sole proprietorship; ___ Partnership; ___ Corporate entity (not tax-exempt); ___ Corporate entity (tax-exempt); ___ Government entity (Federal, State, or local); ___ Foreign government; ___ International organization per 26 CFR 1.6049-4; ___ Other-------------------------------------------------------- (f) Common parent. ___ Offeror is not owned or controlled by a common parent as defined in paragraph (a) of this provision. ___ Name and TIN of common parent: Name------------------------------------------------------------------- TIN-------------------------------------------------------------------- (End of provision) Section L - Instructions, Conditions and Notices to Bidders CLAUSES INCORPORATED BY REFERENCE 52.214-34 Submission Of Offers In The English Language APR 1991 52.214-35 Submission Of Offers In U.S. Currency APR 1991 CLAUSES INCORPORATED BY FULL TEXT 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) This solicitation incorporates one or more solicitation provisions 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. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): http://www.arnet.gov/far (End of provision
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