IMPRESSION TRAY, DEN

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 5 OF 24 PAGES SPE2DH-24-T-2305 SECTION A Procurement History for NSN/FSC:015732767/6520 CAGE Contract Number Quantity Unit Cost AWD Date Surplus Material . 0NUS8 SPE2DH23P0784 5.000 4.12000 20230224 N 0NUS8 SPE2DH23V0695 20.000 4.12000 20230207 N 0NUS8 SPE2DH23P0693 2.000 4.12000 20230207 N 0NUS8 SPE2DH23P0180 3.000 3.90000 20221026 N 0NUS8 SPE2DH23V0122 10.000 3.90000 20221025 N 0NUS8 SPE2DH22V1687 4.000 5.75000 20220606 N 0NUS8 SPE2DH22V0077 20.000 2.85000 20211014 N 0NUS8 SPE2DH22V0045 5.000 2.85000 20211006 N 0NUS8 SPE2DH21P2522 1.000 2.48000 20210706 N 0NUS8 SPE2DH21V1879 1.000 2.48000 20210610 N 0NUS8 SPE2DH21V1457 15.000 2.22000 20210423 N 82CP7 SPE2DH21V0310 4.000 21.80000 20201112 N CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 6 OF 24 PAGES SPE2DH-24-T-2305 SECTION B PR: 7006946066 NSN/MATERIAL:6520015732767 ITEM DESCRIPTION IMPRESSION

TRAY,DEN IMPRESSION TRAY, DENTAL PLASTIC, SIZE 5 SMALL UPPER PRE-SHAPED; 12S; PERFORATED; BLUE; RIGID; READILY TRIMMED OR FLAME SOFTENED FOR ADJUSTMENTS. . UNIT OF ISSUE: BG (12 PER BAG) .. 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/ RD003, COVERED DEFENSE INFORMATION POTENTIALLY APPLIES 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. .. RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT .. RQ011: REMOVAL OF GOVERNMENT IDENTIFICATION FROM NON-ACCEPTED SUPPLIES .. CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 7 OF 24 PAGES SPE2DH-24-T-2305 SECTION B 1 BG = 12 EA .. 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 6520-01-573-2767, 08.23.2013 ... HENRY SCHEIN, INC. 0NUS8 P/N 9004567 CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE . 0001 7006946066 0001 BG 10.000 NSN/MATERIAL:6520015732767 DELIVERY (IN DAYS):0005 DELIVER FOB: DESTINATION QTY VARIANCE: PLUS 0% MINUS 0% INSPECTION POINT: DESTINATION ACCEPTANCE POINT: DESTINATION PREP FOR DELIVERY: PKGING DATA - MIL-STD-2073-1E QUP:001 PRES MTHD:ZZ CLNG/DRY:Z PRESV MAT:ZZ WRAP MAT:ZZ CUSH/DUNN MAT:ZZ CUSH/DUNN THKNESS:Z UNIT CONT:ZZ OPI:M INTRMDTE CONT:ZZ INTRMDTE CONT QTY:ZZZ PACK CODE:U MARKING SHALL BE IN ACCORDANCE WITH MIL-STD-129. SPECIAL MARKING CODE:ZZ -ZZ Special Requirements PALLETIZATION SHALL BE IN ACCORDANCE WITH RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 8 OF 24 PAGES SPE2DH-24-T-2305 SECTION B PR: 7006946066 PRLI: 0001 CONT’D PARCEL POST ADDRESS: V21560 USS WASP LHD 1 UNIT 100261 BOX 1 FPO AE 09514 US VESSEL SHIPMENT. TRANSPORTATION SEE DLAD PROC NOTE C19. FIRST DESTINATION TRANSPORTATION SEE DLAD PROC NOTE C20 AND CONTRACT FREIGHT SHIPPING ADDRESS: V21560 USS WASP LHD 1 DLA VENDORS: USE VSM FOR US SHIP BY FASTEST TRACEABLE MEANS. DO NOT USE PARCEL POST. M/F: (TCN) V215604082MH82 RDD: PROJ: EP5 TP 1 SUPP ADD: YNMH01 SIG: A FOR GOVERNMENT USE ONLY: (IPD) 02 DIC: A4A DIST: V9B ADV: 2A FC: S7 Need Ship Date:00/00/0000 Original Required Delivery Date:03/27/2024 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 9 OF 24 PAGES CONTINUED ON NEXT PAGE SPE2DH-24-T-2305