Fill in Blanks: TIN (tax ID): ________________ CAGE: ________________ DUNS: __________________ Vendor Point of Contact: ______________________Phone: ____________________ Vendor email: ______________________ Naval Medical Center Portsmouth POC: Dermatology Vendors quoted price shall be inclusive of all cost including shipping Payment in Arrears Note: vendor will be required to provide billing electronically via the WAWF Electronic Invoicing method. For additional information, a review of the following web sites may be required: https://wawf.eb.mil http://wawftraining (email)
contact@example.gov Vendor to reference N00183-07-T-0349 on all inquires. Government reserves the right to: (1) award based on an "All or Nothing Evaluation". (2) award a ?Best Value? requirement. Vendors with superior past performance histories may be given 1st consideration. PROMPT PAYMENT For Prompt Payment Act Purposes, this contract is: Subject to the 7-calender day constructive acceptance period. Section B - Supplies or Services and Prices ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 1 Each Palomar Starlux 500 FFP Pulsed Light System 1500-5000 FOB: Destination MILSTRIP: N0018307RQDE006 PURCHASE REQUEST NUMBER: N0018307RQDE006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002 1 Each Power supply FFP FOB: Destination MILSTRIP: N0018307RQDE006 PURCHASE REQUEST NUMBER: N0018307RQDE006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003 1 Each Lux Y handpiece - yellow FFP FOB: Destination MILSTRIP: N0018307RQDE006 PURCHASE REQUEST NUMBER: N0018307RQDE006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004 1 Each Starter kit FFP FOB: Destination MILSTRIP: N0018307RQDE006 PURCHASE REQUEST NUMBER: N0018307RQDE006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0005 1 Each Business builder kit FFP FOB: Destination MILSTRIP: N0018307RQDE006 PURCHASE REQUEST NUMBER: N0018307RQDE006 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0006 1 Each Training session (1 day) FFP FOB: Destination MILSTRIP: N0018307RQDE006 PURCHASE REQUEST NUMBER: N0018307RQDE006 NET AMT Section C - Descriptions and Specifications CLAUSES INCORPORATED BY FULL TEXT Statement of Work Vendor to provide 1 ea Palomar Medical Starlux 500 Pulsed Light System (1500-5000) in a new ready to use condition. ? Vendor to warrant for a period of no less than 1 year that all supplied items are free of manufactures defects. Vendor shall repair / replace any unsatisfactory items at vendor?s expense. ? Vendor to provide operation / service manual for all items requested ? Minimum configuration to include the following: 1. Power Supply 2. Lux Y Handpiece ? Yellow 3. Starter Kit 4. Business Builder Kit 5. Training (min 1 day / Government to pay all travel expenses) ? Vendor price shall be inclusive of all cost including shipping and handling ? Vendor to provide installation and initial set-up assistance as needed (ie: vendor to provide as a minimum telephone support to install & set-up) ? All items received are to be certified for use (where applicable) in US based hospitals.