CONCENTRATOR, OXYGEN

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 5 OF 25 PAGES SPE2DS-24-T-7478 SECTION A Contractors shall not provide parts and supplies made using additive manufacturing (AM), unless AM is specifically authorized in the solicitation/contract. See procurement note L31. Procurement History for NSN/FSC:015883083/6515 CAGE Contract Number Quantity Unit Cost AWD Date Surplus Material . 72B58 SPE2DS24V5756 6.000 6701.03000 20240416 N 6A4F9 SPE2DS24V5518 26.000 6725.00000 20240409 N 6A4F9 SPE2DS24P0948 14.000 6725.00000 20240409 N 72B58 SPE2DS24V3693 15.000 7010.31000 20240220 N 1CAY9 SPE2DS24V3402 5.000 6800.00000 20240213 N 1CAY9 SPE2DS24V2937 1.000 7000.00000 20240201 N 6A4F9 SPE2DS23V091J 4.000 7064.99000 20230925 N 6A4F9 SPE2DS23V021J 2.000 7064.99000 20230824 N 6A4F9 SPE2DS23V016K 2.000 7064.99000 20230823 N 0AG09 SPE2DS23V7827 1.000 8650.00000 20230629 N 6A4F9 SPE2DS23V7617 30.000 6895.00000 20230623 N 72B58 SPE2DS23V7010 6.000 6992.16000

20230607 N 6A4F9 SPE2DS23P1511 1.000 7064.99000 20230516 N 72B58 SPE2DS23V5630 3.000 7056.70000 20230501 N 72B58 SPE2DS23V5291 6.000 7056.70000 20230419 N 72B58 SPE2DS23V5233 30.000 7056.70000 20230418 N 72B58 SPE2DS23V3849 4.000 7065.97000 20230313 N 72B58 SPE2DS23V3709 4.000 7065.97000 20230310 N 6A4F9 SPE2DS23V1452 2.000 7200.00000 20221219 N 1CAY9 SPE2DS23F0027P00001 4.000 6854.00000 20221208 N CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 6 OF 25 PAGES SPE2DS-24-T-7478 SECTION B PR: 7007251474 NSN/MATERIAL:6515015883083 ITEM DESCRIPTION CONCENTRATOR,OXYGEN GENERATING AND CHARGING PLANT,OXYGEN SAROS PORTABLE MEDICAL OXYGEN SYSTEM MODEL 3000 DESIGNED FOR EXTREME ENVIRONMENTS GROUND, AIR, AND SEA, DELIVERS USP 93 PCT.(>,)> MEDICAL OXYGEN AT 3 LPM, DOSE MODE TO 96 ML(>,)> 15 PSI MAX, 5 PSIG SYSTEM OUTPUT PRESSURE, AC POWER SUPPLY, 130 WATTS, 24 VDC OPERATION WITH RECHARGEABLE BATTERY. UNIT OF ISSUE IS EACH (EA). 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/ 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 RD003, COVERED DEFENSE INFORMATION POTENTIALLY APPLIES This item requires Item Unique Identification (IUID) in accordance with the enclosed/referenced IUID technical requirements and MIL-STD-130. DFARS 252.211-7003 clause applies. CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 7 OF 25 PAGES SPE2DS-24-T-7478 SECTION B 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 868.5440 CLASS II EVEN THOUGH A 510(K) IS REQUIRED, IT IS NECESSARY TO MEET OTHER REQUIREMENTS FOR MARKETING. THESE INCLUDE: REGISTRATION AND LISTING, LABELING OR GMP'S. 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. TRIBALCO LLC 30TR5 P/N TICS.23.10314 PANAKEIA, LLC 6A4F9 P/N 9400 CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE . 0001 7007251474 0001 EA 6.000 NSN/MATERIAL:6515015883083 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 PARCEL POST ADDRESS: N68610 NAVAL MEDICAL READINESS LOGISITICS 564 SANDA AVENUE CHEATHAM ANNEX WILLIAMSBURG VA 23185-5830 US CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 8 OF 25 PAGES SPE2DS-24-T-7478 SECTION B PR: 7007251474 PRLI: 0001 CONT’D SHIP BY TRACEABLE MEANS. DO NOT USE PARCEL POST. FREIGHT SHIPPING ADDRESS: N68610 NAVAL MEDICAL READINESS LOGISITICS 565 ANTRIM RD BLDG 565 CHEATHAM ANNEX WILLIAMSBURG VA 23185-5830 US M/F: (TCN) N6861041074280 RDD: PROJ: TP 3 SUPP ADD: SIG: A FOR GOVERNMENT USE ONLY: (IPD) 12 DIC: A4A DIST: ADV: 2A FC: TW Need Ship Date:00/00/0000 Original Required Delivery Date:04/19/2024 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CLIN PR PRLI UI QUANTITY UNIT PRICE TOTAL PRICE . 0002 7007249867 0001 EA 6.000 NSN/MATERIAL:6515015883083 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 PARCEL POST ADDRESS: N68610 NAVAL MEDICAL READINESS LOGISITICS 564 SANDA AVENUE CHEATHAM ANNEX WILLIAMSBURG VA 23185-5830 CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: CONTINUED ON NEXT PAGE PAGE 9 OF 25 PAGES SPE2DS-24-T-7478 SECTION B PR: 7007249867 PRLI: 0001 CONT’D US SHIP BY FASTEST TRACEABLE MEANS. DO NOT USE PARCEL POST. FREIGHT SHIPPING ADDRESS: N68610 NAVAL MEDICAL READINESS LOGISITICS 565 ANTRIM RD BLDG 565 CHEATHAM ANNEX WILLIAMSBURG VA 23185-5830 US M/F: (TCN) N6861041074215 RDD: PROJ: 9GJ TP 1 SUPP ADD: ERSS02 SIG: A FOR GOVERNMENT USE ONLY: (IPD) 02 DIC: A4A DIST: ADV: 2A FC: TW Need Ship Date:00/00/0000 Original Required Delivery Date:04/19/2024 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED: PAGE 10 OF 25 PAGES CONTINUED ON NEXT PAGE SPE2DS-24-T-7478