IMPRESSION TRAY, DEN

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 5 OF 24 PAGES SPE2DH-24-T-2574 SECTION A Procurement History for NSN/FSC:013630583/6520 CAGE Contract Number Quantity Unit Cost AWD Date Surplus Material . 1V865 SPE2DH15M0744 1.000 3.54000 20150310 N 1V865 SPE2DH15M0535 45.000 3.54000 20150113 N 1V865 SPE2DH15M0057 2.000 3.54000 20141006 N 0NUS8 SPE2DH14V0119 2.000 1.73000 20131211 N 1V865 SPM2DH12M1937 1.000 3.36000 20120629 N 1V865 SPM2DH12M0591 1.000 3.36000 20111212 N 0NUS8 SPM2DS10MA286P00001 1.000 1.62000 20091014 N 0NUS8 SPM2DS09M5946 2.000 1.62000 20090521 N 0NUS8 SPM2DS09M4381 6.000 1.62000 20090404 N 0NUS8 SPM2DS09M2635 4.000 1.62000 20090124 N 0NUS8 SPM2DS09M0634 8.000 1.62000 20081101 N 64682 SP020099A9839D580 6.000 3.17000 19990415 N CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 6 OF 24 PAGES SPE2DH-24-T-2574 SECTION B PR: 7007167920 NSN/MATERIAL:6520013630583 ITEM DESCRIPTION IMPRESSION

TRAY,DEN IMPRESSION TRAY, DENTAL PLASTIC, SIZE 1 LARGE UPPER PRE-SHAPED; 12S; PERFORATED; LIGHT BLUE; RIGID; READILY TRIMMED OR FLAME SOFTENED FOR ADJUSTMENTS. APPLICABLE TO ALL MEDICAL ACQUISITIONS: PACKAGING AND PACKING SHALL BE COMMERCIAL AS SPECIFIED IN THE PROCUREMENT DOCUMENT. EACH COMPLETE UNIT SHALL BE PROPERLY PACKAGED IN A SUITABLE SEALED UNIT CONTAINER CAPABLE OF PROTECTING THE CONTENTS FROM DAMAGE AND/OR BREAKAGE. UNITS SHALL BE PACKED IN SUITABLE COMMERCIAL EXTERIOR (SHIPPING) CONTAINERS (EXPORT WHEN NECESSARY) WHICH SHALL INSURE ACCEPTANCE AND SAFE DELIVERY BY COMMON OR OTHER CARRIER, AT THE LOWEST RATE, TO POINT OF DELIVERY CALLED FOR IN THE CONTRACT OR ORDER. MATERIAL MUST BE MARKED IAW MEDICAL MARKING STANDARD NO. 1. THIS SUPERCEDES ALL REFERENCES TO MIL-STD-129. COPIES OF MEDICAL MARKING STANDARD NO. 1 (MMS NO. 1) MAY BE OBTAINED BY CONTACTING DLA TROOP SUPPORT VIA EMAIL TO fssb@dla.mil. MMS NO. 1 IS ALSO AVAILABLE ONLINE AT: https://www.dla.mil/Logistics-Operations/Packaging/ UNIT OF ISSUE: PG (12 PER PACKAGE) .. RA001: THIS DOCUMENT INCORPORATES TECHNICAL AND/OR QUALITY REQUIREMENTS (IDENTIFIED BY AN 'R' OR AN 'I' NUMBER) SET FORTH IN FULL TEXT IN THE DLA MASTER LIST OF TECHNICAL AND QUALITY REQUIREMENTS FOUND ON THE WEB AT: http://www.dla.mil/HQ/Acquisition/Offers/eProcurement.aspx FOR SIMPLIFIED ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE SOLICITATION ISSUE DATE OR THE AWARD DATE CONTROLS. FOR LARGE ACQUISITIONS, THE REVISION OF THE MASTER IN EFFECT ON THE RFP ISSUE DATE APPLIES UNLESS A SOLICITATION AMENDMENT INCORPORATES A FOLLOW-ON REVISION, IN WHICH CASE THE AMENDMENT DATE CONTROLS. .. RD003, COVERED DEFENSE INFORMATION POTENTIALLY APPLIES .. RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT .. RQ011: REMOVAL OF GOVERNMENT IDENTIFICATION FROM NON-ACCEPTED SUPPLIES .. 1 PG = 12 EA CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 7 OF 24 PAGES SPE2DH-24-T-2574 SECTION B .. BIDDER: PLEASE SPECIFY SOURCE AND PART NUMBER BEING SUPPLIED. ADEQUATE DATA FOR THE EVALUATION OF ALTERNATE OFFERS IS NOT AVAILABLE AT THE PROCUREMENT AGENCY. THE OFFEROR MUST PROVIDE A COMPLETE DATA PACKAGE INCLUDING DATA FOR THE APPROVED AND ALTERNATE PART FOR EVALUATION. .. This device or drug is regulated by the FDA. Note to Buyers: The contracting official shall send a referral in EBS to the product specialist for confirmation. Please include bidder name and bidder contact information, manufacturer name, manufacturer part number, and item description. REGULATION 872.6880 CLASS I EVEN THOUGH A 510(K) IS NOT REQUIRED, IT IS NECESSARY TO MEET OTHER REQUIREMENTS FOR MARKETING. THESE INCLUDE: REGISTRATION AND LISTING, LABELING OR GMP'S. .. NSN 6520-01-363-0583, 03.27.2018 ... HENRY SCHEIN, INC. 0NUS8 P/N 9004563 BENCO DENTAL SUPPLY CO. 1V865 P/N 4615-294 CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE . 0001 7007167920 0001 PG 1.000 NSN/MATERIAL:6520013630583 DELIVERY (IN DAYS):0020 DELIVER FOB: DESTINATION QTY VARIANCE: PLUS 0% MINUS 0% INSPECTION POINT: DESTINATION ACCEPTANCE POINT: DESTINATION PREP FOR DELIVERY: PKGING DATA - MIL-STD-2073-1E SPECIAL INSTRUCTIONS PRESERVATION, PACKING AND MARKING SHALL BE IN ACCORDANCE W/MIL-STD-2073-1E AS SPECIFIED IN SPECIAL PACKAGING INSTRUCTIONS MPPWN00001 REV DATED 03/30/1988 SUPPLEMENTAL INSTRUCTIONS PARCEL POST ADDRESS: HT1004 4TH MDG SGSM - PA CP 919 722 0954 BLDG 2803 - 2803 MEDICAL CAMPUS DR SEYMOUR JOHNSON AFB NC 27531 US CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 8 OF 24 PAGES SPE2DH-24-T-2574 SECTION B PR: 7007167920 PRLI: 0001 CONT’D SHIP BY TRACEABLE MEANS. DO NOT USE PARCEL POST. FREIGHT SHIPPING ADDRESS: HT1004 4TH MDG SGSM - PA CP 919 722 0954 BLDG 2803 - 2803 MEDICAL CAMPUS DR SEYMOUR JOHNSON AFB NC 27531 US M/F: (TCN) HT100441004242 RDD: PROJ: TP 3 SUPP ADD: 425511 SIG: A FOR GOVERNMENT USE ONLY: (IPD) 15 DIC: A0A DIST: ADV: 2A FC: J4 Need Ship Date:00/00/0000 Original Required Delivery Date:04/15/2024 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 9 OF 24 PAGES CONTINUED ON NEXT PAGE SPE2DH-24-T-2574