MASK, ORONASAL

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 5 OF 24 PAGES SPE2DS-23-T-1050 SECTION A Procurement History for NSN/FSC:008886122/6515 CAGE Contract Number Quantity Unit Cost AWD Date Surplus Material . 0AG09 SPE2DS22V5438 1.000 37.19000 20220509 N 1KA59 SPE2DS22V5036 3.000 36.00000 20220425 N 1KA59 SPE2DS22V4934 7.000 36.45000 20220420 N 0AG09 SPE2DS22V4665 1.000 37.88000 20220411 N 0AG09 SPE2DS22V4318 3.000 36.79000 20220325 N 1KA59 SPE2DS22V3555 3.000 37.00000 20220301 N CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 6 OF 24 PAGES SPE2DS-23-T-1050 SECTION B PR: 7000593820 NSN/MATERIAL:6515008886122 ITEM DESCRIPTION MASK,ORONASAL MASK,ORONASAL NYLON AND ELASTIC, PLASTIC, DISPOSABLE(>,)> SEMI-RIGID TRANSLUCENT PLASTIC FACE-PIECE W/TUBING CONNECTOR, 7 FEET OXYGEN TUBING(>,)> FEMALE FITTING AT FREE END OF TUBING(>,)> EXTENDS TO CHIN OR UNDER CHIN, W/FLEX TRANSPARENT(>,)> GREEN-TINTED PLASTIC TUBING 60

IN. LG AND ADJ HEADBAND, FOR ADMIN OF THERAPEUTIC OXYGEN(>,)> INDIVIDUALLY SEALED UNIT OF ISSUE: PG/50EACH ,, .. 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 .. 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 868.5580 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. .. CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 7 OF 24 PAGES SPE2DS-23-T-1050 SECTION B NSN 6515-00-888-6122, 10.26.2021. .. MEDLINE INDUSTRIES, LP 0PMN3 P/N HUDRHO41U OWENS & MINOR DISTRIBUTION, INC. 9C381 P/N 3280001041 ALLIED HEALTHCARE PRODUCTS, INC. 62842 P/N 64041 ALLIED HEALTHCARE PRODUCTS, INC. 62842 P/N 64041-G KEOMED INC. 1HCP9 P/N 081 8102 CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE . 0001 7000593820 0001 PG 2.000 NSN/MATERIAL:6515008886122 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 REV DATED 03/30/1988 SUPPLEMENTAL INSTRUCTIONS 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 DSCP.PACKAGING@DLA.MIL. MMS NO. 1 IS ALSO AVAILABLE ONLINE AT: http://www.dla.mil/LandandMaritime/Offers/Services/ TechnicalSupport/Logistics/Packaging/MedicalPack1.aspx PARCEL POST ADDRESS: HT0779 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 8 OF 24 PAGES SPE2DS-23-T-1050 SECTION B PR: 7000593820 PRLI: 0001 CONT’D ACH BAYNE JONES POLK - MM 7606 VIRGINIA AVENUE BLDG 4372 FORT POLK LA 71459-5110 US SHIP BY TRACEABLE MEANS. DO NOT USE PARCEL POST. FREIGHT SHIPPING ADDRESS: HT0779 ACH BAYNE JONES POLK - MM 7606 VIRGINIA AVENUE BLDG 4372 FORT POLK LA 71459-5110 US M/F: (TCN) HT077923194219 RDD: PROJ: TP 3 SUPP ADD: YD0604 SIG: A FOR GOVERNMENT USE ONLY: (IPD) 13 DIC: A0A DIST: ADV: 2A FC: J3 Need Ship Date:00/00/0000 Original Required Delivery Date:11/21/2022 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 9 OF 24 PAGES CONTINUED ON NEXT PAGE SPE2DS-23-T-1050