MASK, OXYGEN

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 5 OF 24 PAGES SPE2DS-23-T-3169 SECTION A Procurement History for NSN/FSC:015002817/6515 CAGE Contract Number Quantity Unit Cost AWD Date Surplus Material . 1KA59 SPE2DS20V8524 1.000 71.22000 20200810 N 1KA59 SPE2DS20V7322 1.000 71.22000 20200629 N 0AG09 SPE2DS20V6763 1.000 71.48000 20200605 N 1KA59 SPE2DS20V6543 1.000 72.00000 20200529 N 0AG09 SPE2DS20V2086 1.000 72.95000 20200113 N 1KA59 SPE2DS20V0904 1.000 73.00000 20191113 N 3W8H0 SPE2DS19V9575 2.000 74.77000 20190916 N 1KA59 SPE2DS19V7732 1.000 76.00000 20190710 N CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 6 OF 24 PAGES SPE2DS-23-T-3169 SECTION B PR: 7001398758 NSN/MATERIAL:6515015002817 ITEM DESCRIPTION MASK,OXYGEN MASK,OXYGEN RP001: DLA PACKAGING REQUIREMENTS FOR PROCUREMENT 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. RQ011: REMOVAL OF GOVERNMENT IDENTIFICATION FROM NON-ACCEPTED SUPPLIES 1 PG = 50 EA DESIGN TYPE MOUTH AND NOSE HARNESS INCLUDED HEADBAND NOT PROVIDED FACEPIECE MATERIAL ANY ACCEPTABLE III OXYGEN SYSTEM TYPE NON-REBREATHER MASK HELMET FASTENER NOT INCLUDED INTAKE TUBE LENGTH 84.000 INCHES NOMINAL INTAKE TUBE CORRUGATED FEATURE NOT INCLUDED MICROPHONE NOT INCLUDED MICROPHONE POCKET NOT INCLUDED MASK SIZE DESIGNATION PEDIATRIC MASK OXYGEN PEDIATRIC SZ NON-REBREATHER MOUTH & NOSE DISP 50S SPECIAL FEATURES DISPOSABLE, LATEX-FREE, RESERVOIR BAG; SAFETY VENT, CHECK VALVE, SOFT ANATOMICAL FORM, WITH ELASTRIC STRAPS AND ADJUSTABLE NOSE CLIPS TO SECURE THE MASK; BARBED FITTINGS HELP PREVENT THE PATIENT FROM DISCONNECTING THE MASK MATERIAL PLASTIC UNIT OF ISSUE - PG(PACKAGE OF 50 EACH) 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. MEDLINE INDUSTRIES, LP 0PMN3 P/N HCS4642 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 7 OF 24 PAGES SPE2DS-23-T-3169 SECTION B PR: 7001398758 PRLI: 0001 CONT’D CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE . 0001 7001398758 0001 PG 1.000 NSN/MATERIAL:6515015002817 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 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 FM5270 FM5270 18 MDSS SGSM CP 011 81 98 938 1111 EXT 634 4572 KADENA AB BLDG 3154 KADENA AB OKINAWA 904 0203 JP MEDICAL AIR BRIDGE WEST. FOR ELIGIBLE ITEMS: SD0379. CARDINAL HEALTH, 4551 EAST PHILADELPHIA ST ONTARIO, CA (TEXT IN ENHANCEMENT) CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 8 OF 24 PAGES SPE2DS-23-T-3169 SECTION B PR: 7001398758 PRLI: 0001 CONT’D M/F: (TCN) FM527030270082 RDD: PROJ: TP 3 SUPP ADD: YAMERI SIG: A FOR GOVERNMENT USE ONLY: (IPD) 12 DIC: A01 DIST: ADV: 2A FC: 6B Need Ship Date:00/00/0000 Original Required Delivery Date:02/01/2023 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 9 OF 24 PAGES CONTINUED ON NEXT PAGE SPE2DS-23-T-3169