ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT0001 12 Months Safety Eyewear FFP See section "C" for a description of supplies and services to be provided. FOB: Destination PURCHASE REQUEST NUMBER: N0010509RCP0501 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002 600 Each Single Vision FFP Safety eyewear single vision lenses for Value Group and Group 1 frames for an estimated 600 prescriptions a year. FOB: Destination PURCHASE REQUEST NUMBER: N0010509RCP0501 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003 175 Each Bifocal Vision FFP Safety eyewear bifocal vision lenses for Value Group and Group 1 frames for an estimated 175 prescriptions a year. FOB: Destination PURCHASE REQUEST NUMBER: N0010509RCP0501 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004 585 Each Progressive Vision FFP Safety eyewear progressive vision lenses for Value Group and Group 1 frames for an estimated 585 prescriptions a year. FOB: Destination PURCHASE REQUEST NUMBER: N0010509RCP0501 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0005 90 Each Trifocal Vision FFP Safety eyewear trifocal vision lenses for Value Group and Group 1 frames for an estimated 90 prescriptions a year. FOB: Destination PURCHASE REQUEST NUMBER: N0010509RCP0501 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0006 50 Each Double Segment Vision FFP Safety eyewear double segment vision lenses for Value Group and Group 1 frames for an estimated 50 prescriptions a year. FOB: Destination PURCHASE REQUEST NUMBER: N0010509RCP0501 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0007 180 Each Lense Tint Option FFP Safety eyewear tint option ofor an estimated 20% (180) of all total prescription orders. FOB: Destination PURCHASE REQUEST NUMBER: N0010509RCP0501 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0008 60 Kit MSA Spec Kits FFP Not to exceed 60 kits annually. SV 13.80; Bifocal (FT28) 15.40; Trifocal (FT7X28) 21.40, Progressive 30.20. FOB: Destination PURCHASE REQUEST NUMBER: N0010509RCP0501 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0009 3 Kit Air Fed Spec Kits FFP Not to exceed 3 kits annually. Single Vision: $ Bifocal (FT 28): $ Trifocal (FT 7X28): $ Progressive: $ FOB: Destination PURCHASE REQUEST NUMBER: N0010509RCP0501 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0010 3 Kit Ultra Twin Spec Kits FFP Not to exceed 3 kits per year. Single Vision: $ Bifocal (FT 28): $ Trifocal (FT 7X28): $ Progressive: $ FOB: Destination PURCHASE REQUEST NUMBER: N0010509RCP0501 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0011 15 Each Onguard 016C Cable Option FFP Cable option for up to 15 glasses annually. Estimated 3 pair annually - Single vision onguard 016C: $ Estimate 5 pair annually - Bifocal Onguard 016C: $ Estimated 5 pair annually - Trifocal Onguard 016C: $ Estimate 1 pair annually - Progressive Onguard 016C: $ Estimate 1 pair annually - DD onguard 016C: $ FOB: Destination MILSTRIP: N0010509RCP0501 PURCHASE REQUEST NUMBER: N0010509RCP0501 NET AMT Section C - Descriptions and Specifications CLAUSES INCORPORATED BY FULL TEXT Statement of Work Perscription Safety Glasses Fabrication Selected contractor must be able to provide prescription safety fabrication immediatley upon award of a resulting action for Naval Branch Health Clinic (NBHC), Portsmouth, NH. Dates of service will be from 01 October 2008 through 30 September 2009. Contractor shall have all the following options availible: Single Vision Lenses Flat Top Bifocal Lenses Progressive Lenses Trifocal Lenses Double segment Lenses Polycarbonate Lenses Plastic Lenses Tint Anti-scratch coatings Glass Frames Permanent Side-shields MSA Spec Kits Ultra Twin Spec Kits Cable Option Delivery Complete lense/frames shall be manufactured according to the prescription and delivered to the NBHC Portsmouth, NH within 10 days or less. Contractror must be available to provide the following estimated yearly requirements: 600 - Single vision lens fabrication. 175 ? Bifocal lens fabrication. 585 ? Progressive lens fabrication. 90 ? Trifocal lens fabrication. 50 ? Double segments lens fabrication. 180 ? Tint options. Note: Quantities listed above are estimates only. Actual quantites of lens and frame type are unknow and will be determined by the individual patient?s perscription. Contract is being setup as a firm fixed price with not to exceed total. These are only estimates. Group 1 Safety Frame List: Hudson SL-1, SL-2 and SL-3 On-Guard 026, 027, 027S, 034S, 043, 043S, 068S, 069, 070, 071, 079, 079S, 085, 091, 092, 093, 094, 095, 104, 105, 106S, and 107 Titmus Astro RX3003, FC421Z, FC601A, FC601AU, FC704, FC705, PC205, SP83BF, TM6A, TM6AU, and TM10