MASK, ORONASAL

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 5 OF 24 PAGES SPE2DS-24-T-7684 SECTION A Procurement History for NSN/FSC:011643755/6515 CAGE Contract Number Quantity Unit Cost AWD Date Surplus Material . 0AG09 SPE2DS23V073N 3.000 73.88000 20230918 N 0AG09 SPE2DS23V057F 3.000 73.78000 20230911 N 0AG09 SPE2DS23V046J 1.000 74.55000 20230905 N 0AG09 SPE2DS23V031Y 2.000 73.88000 20230830 N 0AG09 SPE2DS23V019R 2.000 73.99000 20230823 N 0AG09 SPE2DS23V007X 2.000 73.85000 20230818 N 0AG09 SPE2DS23V9481 6.000 73.50000 20230803 N 0AG09 SPE2DS23V8555 1.000 74.77000 20230718 N 861S1 SPE2DS23V7867 4.000 74.00000 20230629 N 861S1 SPE2DS23P1584 1.000 74.40000 20230526 N 0AG09 SPE2DS23V6515 1.000 76.00000 20230524 N 0AG09 SPE2DS23V5052 1.000 75.00000 20230412 N CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 6 OF 24 PAGES SPE2DS-24-T-7684 SECTION B PR: 7007301888 NSN/MATERIAL:6515011643755 ITEM DESCRIPTION

MASK,ORONASAL MASK,ORONASAL,, MASK ORONASAL ADULT PLASTIC ELONGATED NONREBREATHING DISP 50S(>,)> ELONGATED,NONREBREATHING; DISPOSABLE; CONTOUR MOLDED; WITH RESERVOIR BAG JOINED TO MASK AT NASAL CONNECTION AND 84 IN. LONG TUBING; SWIVEL MECHANISM AT NASAL CONNECTION PERMITS ATTACHMENT OF TUBING TO AN OXYGEN SOURCE AT EITHER SIDE OF BED; DESTRUCTION AFTER 60 MONTHS 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/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. .. RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT .. RQ011: REMOVAL OF GOVERNMENT IDENTIFICATION FROM NON-ACCEPTED SUPPLIES .. BIDDER: PLEASE SPECIFY SOURCE AND PART NUMBER BEING SUPPLIED. CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 7 OF 24 PAGES SPE2DS-24-T-7684 SECTION B 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 868.5570 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 6515-01-164-3755, 6.27.2022. .. RD003, COVERED DEFENSE INFORMATION POTENTIALLY APPLIES DEFENSE MEDICAL STANDARDIZATION 64616 P/N 3-1775P ALLIED HEALTHCARE PRODUCTS, INC. 62842 P/N 64060 CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE . 0001 7007301888 0001 PG 1.000 NSN/MATERIAL:6515011643755 DELIVERY (IN DAYS):0005 DELIVER FOB: DESTINATION QTY VARIANCE: PLUS 0% MINUS 0% INSPECTION POINT: DESTINATION ACCEPTANCE POINT: DESTINATION PREP FOR DELIVERY: PKGING DATA-QUP:001 WILL BE PACKAGED IN ACCORDANCE WITH ASTM D3951. All DLA Master List of Technical and Quality Requirements take precedence over ASTM D3951. Mark and label all packaging and packing in accordance with MIL-STD-129. The Unit of Issue (U/I) and Quantity per Unit Pack (QUP) will be as specified in the contract/purchase order. PALLETIZATION SHALL BE IN ACCORDANCE WITH RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT PARCEL POST ADDRESS: V23165 USS TRUXTUN DDG 103 UNIT 100332 BOX 1 FPO AE 09588 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 8 OF 24 PAGES SPE2DS-24-T-7684 SECTION B PR: 7007301888 PRLI: 0001 CONT’D US VESSEL SHIPMENT. TRANSPORTATION SEE DLAD PROC NOTE C19. FIRST DESTINATION TRANSPORTATION SEE DLAD PROC NOTE C20 AND CONTRACT FREIGHT SHIPPING ADDRESS: V23165 USS TRUXTUN DDG 103 DLA VENDORS: USE VSM FOR US RDD 999/NMCS SHIPMENT. SHIP BY FASTEST TRACEABLE MEANS. DO NOT USE PARCEL POST. M/F: (TCN) V231654095HM09 RDD: 999 PROJ: 733 TP 1 SUPP ADD: YNHM01 SIG: A FOR GOVERNMENT USE ONLY: (IPD) 03 DIC: A4A DIST: P9B ADV: 2A FC: S7 Need Ship Date:00/00/0000 Original Required Delivery Date:04/24/2024 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 9 OF 24 PAGES CONTINUED ON NEXT PAGE SPE2DS-24-T-7684