83--630-14-2-6469-0091 PURCHASE OF LAUNDRY HAMPER FLUID RESISTANT BAGS

CONTRACT ADMINISTRATION DATA (Continuation from Standard Form 1449, block 18A.) 1. Contract Administration: All contract administration matters will be handled by the following individuals: A. CONTRACTOR: H.G. Maybeck Co. Inc. 179-30 93 Ave Jamaica, NY 11433 Gus Costas +1 (555) 000-0000 contact@example.gov DUNS: 057437006 TIN: 112322382 B. GOVERNMENT: Aleta Jennette 2094 Albany Post Road Montrose, NY 10548 (914) 737-4400xt2068 2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with: [X] 52.232-34, Payment by Electronic Funds Transfer - Other than Central Contractor Registration, or 3. INVOICES: Invoices shall be submitted in arrears in accordance with: a. 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012) b. UPON ACCEPTANCE OF ITEMS c. Reference PO IFCAP: 630-A40059 on all invoices to avoid delay in payment. 4. GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be submitted electronically in accordance with 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012) FACSIMILE, E-MAIL, AND SCANNED DOCUMENTS ARE NOT ACCEPTABLE FORMS OF SUBMISSION FOR PAYMENT REQUESTS. For assistance setting up e-Invoice, the below information is provided: * OB10 e-Invoice Setup Information: +1 (555) 000-0000 * OB10 e-Invoice email: contact@example.gov * FSC e-Invoice Contact Information: +1 (555) 000-0000 * FSC e-invoice email: contact@example.gov Vendor inquires: Toll Free Number +1 (555) 000-0000 E-mail Address: www.fsc.va.gov/fsc/vendors.htm BASIS OF AWARD: The Government will make the award to the vendor presenting the best value to the Government. SECURITY & PRIVACY CONTROL: The Certification & Accreditation (C&A) requirements of VHA Handbook 6500.6 do not apply to this requirement; therefore, a Security Accreditation package is not required. No C&A or MOU/ISA is required. Sensitive information exposure as part of this contract involves applicable security controls within the facility as part of the VA Information Security Program. If there are any questions related to privacy, please have a member of your staff contact the VA Privacy Service at +1 (555) 000-0000. If there are any questions related to the information security, please have a member of your staff contact the Office of Cyber Security at +1 (555) 000-0000. SCHEDULE OF SUPPLIES/SERVICES AND PRICES/COSTS (SF 1449, Continuation of Blocks 19 - 24) Contractor shall provide the following products for the ST ALBANS Campus. All equipment shall be delivered FOB Destination and be received by the VA within 30 days after receipt of award. The applicable North American Classification System (NAICS) Code for this requirement is 335224 and the small business size standard is 500 Employees. Responses due are to be submitted by e-mail to contact@example.gov. The information requested must be received no later than 3:00pm Eastern standard time on March 27, 2014. The following items are known to meet the VA's needs. Offeror shall provide the following items: Item No. Description QTY UNIT UNIT PRICE TOTAL PRICE 1. 9310-01101-3832 Laundry Hamper Fluid Resistant Bags elastic top (36X43) Special Cut Finish size W/& Dump handles the quantity is 9000 each 9000 EA $7.43 $66,870.00 TOTAL COST $66,870.00 All Items to be delivered to: VA New York Harbor Healthcare System ST Albans Campus 179-01 Linden Blvd St Albans, NY 11425-1428 Delivery shall be coordinated with George Jordan - +1 (555) 000-0000 x2328. The product should be delivered during normal working hours, between 7:30am and 4:00pm, Monday through Friday. Terms of Warranty: The Contractor warrants that the items will be free from defects from materials and workmanship under normal use for a period of not less than one (1) year for equipment defined herein. Contractor will replace or repair equipment if necessary to the satisfaction of the Government. Contractor shall provide a copy of the written warranty upon acceptance of the equipment.