Free Motion for Leave to File - District Court of Federal Claims - federal

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8

Case 1:03-cv-00289-FMA

Document 18-17

Filed 08/15/2003

Page 1 of 10

AWARDlCONTRACT

1

RATINQ PACE OF 1. THIS CONTRACT I A RATED ORDER S UNGER DPAS (15 CFR 350) DO -C 9 01 1.EFFECTIVE DATE 14. REOUISITIONIPURCHASE REOUESTIPROACT NO.

1

fAOES

10

DEFENSE PEXSONN~L' SUPPORT CENTER 2800 SOUTH 20TH STREET PiillA,DLL?EIA, PA 19165-5099 DPSC-MSAA (N. MARTIN/215-737-8&22)
7 . NAME AND ADDRESS OF CONTRACTOR

SAME AS BLOCK 6

I
SnraandUPCodr)
8. DELIVERY

(No., UTcrL c q . ma*.

L ' N i i E D MEDICAL SUPPLY 5117 NORTHEAST PARKVAY FORT VORTH, TX 76106

WU"L

I

AS C I T E D I N

INDIVIDUAL DELIVZRY ORDERS

!3. AUTHORITY i C R USING GTHEil THAK FULL AND OPEN CCMPE3TICN:

I

114.~.CCOUNTIN3 C.?(3APPPOPRI~TIONOlTA

POFLTION OF TEE C O f i i U C i . NO STOCKLESS S A L E S ' Y I L L BE CAPTUXED ESTIMATED D LXDER THIS CONTRACT KUMBER.

HE SASE Y Z A R : $30,177, 3 4 6 . OC

,o0

I

A

I SOLICITATION/CONTRACT

FORM

I

1
1
- 1

6

C
D

I I PACKAGING AND MARKlNG

SUPPLIES OR SERVICES AND PRlCESlCOSTS DESCRIPTION/SPECS./WORK STATEME!. .

I
I

I

PART IN LIST OF DOCL)MEh'TS.BXM31iS AND OTI'ER ATTACH.
PART IV REPRIESENTATIONS AND INSRUCTIONS

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I

1

E 1 INSPECTlOH 4NDACCEPTANCE ! : ! DELIVEWS oa PERFORKAWE

I

-

1

REPRESEh7AT)ONS.CERT~lCATlO~N 0 A 0TnER STATEMENTS OF OFFERORS -

asry.

,.

*SES ?AGE 2

Case 1:03-cv-00289-FMA

Document 18-17

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PAGE 02 OF 10

ITEM N q

SUPPLIES/SERVICES
BASE YEAR

DISTRISUTION FEE JITO/EDQ
6.4% 6.4% 6.4% 6.4% 6.4%

0001 0002
0033 0004

OPTION Y E A 3 1 OPTION YE= 2
O?TIOrJ YEA!! 3 03TiON YEA3 4

.

ooc5
CONTFUKT PERIOD:

1r;spectio.r: end Acceptence shall be in accordsnce with the t e r m s and c o x d i t l c n s c o n t a i n e d i n the S t n t e m e n t of Kork (50%)Sjelivery terms s h a l l be i n a c c o r d e n c e wizh t h e te-r;ns c o n t a i n e d in t h e Statement of Work (SOW).

end conaittons

Case 1:03-cv-00289-FMA

Document 18-17

Filed 08/15/2003

Page 3 of 10

*.
CONTRACT " B E R : SP0200-97-D-7133 CONTRACTOR: UNITED MEDICAL SUPPLY MEDICJWSURICAL PRIME VENDOR LONE STAR REGION

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ATTACHMENT #I11

ORDERING AND

ORDERING POINTS(S1

RECEIVING POINT ( S L

FORT SAM HOUSTON
BRCOffE A R . ! MEDICAL C3NTER DEA RXG NO. AB6296063.
.
'

.

.

9

9

3 r o o k e A r m y Medical C e n t e r Katerial Branch, Logistics Div, Bailding 2640 F o r t Sam Houston, TX 78234

Brooke Army Medical C e n t e r Material Branch, Logistics Div. Building 2640Fort Sam Houston, TX 7 8 2 3 4

Srooke A r m y Medical Center Operating RoodDept Surgery !?din iiospital 3rd F l o o r 3uilding 1000 F o r t Sam Houston, TX 78234
'

Brooke Army Medical Center Operating Room/Dept Surgery Main Hospital 3rd Floor Building 1000 Fort Sum Houston, TX 78234

FORT SAM HOUSTON BROOXE ARMY MEDICAL CENTER
Brooke A r m y Medical Center Burn C e n t e r Ward 14A M a i n Iiospital 4th F l o o r 3uilding 1030 ' r L S z m E o c s t o n , TX 278234

Brooke ~ r ; n y Medical Center Burn Center Ward 1 4 A Main Hospital' 4th F l o o r
Building 1000
~ o r Sam X o u s t c n , TX t

78231

FORT SAM 3OUSTOfJ 3ROOKE ARMY MZDICAL CENTS2
Srocke A r m y Xedical C e n t e r OB/GYN Clinic 3uilding 1000 Rocm 187 F G r t San H o u s t o n , TX 7 8 2 3 4

Brooke A r m y Heafcal Center OB/GYN C l i n i c auilding 1000
Room 187 - Szm ,Youston, ":or:
L'A

78234

Case 1:03-cv-00289-FMA

Document 18-17

Filed 08/15/2003

Page 4 of 10

SPO200-97-D-7133 CONTRACTOR: UNITED MEDICAL SUPPLY MSDICAL/SURGICAL PRIME VENDOR - LONE STAR REGION
CONTRACT Mn;SERi

PAGE 04 OF 10

ATTACHMENT #I11 . ORDERING FACILITIES ORDERING AND RECEIVING POINTS MEDICAL/SURGICAL PRIME VENDOR PROGRAM LONZ STAR CTEXAS/OXLAHOMA/NEW ICEXICO) REGION
O2DERING POINT(S1

RECEIVING POINT(S)
FORT SAM HOUSTON BROOKE ARMY MEDICAL CENTER

-

..

Brooke Arny Medical Center Central Matoriel Section Building 2376 ijeach Pavilion aasement Fort Sam Houston, TX 78234

Brooke -Amy Hsdical Center Central M+terL& Sectizn Building 2376 aeacn Pavilion Basement iort Sclm Houston, TX 78234

FORT SAM HOUSTON BROOKE MEDICAL CENTER
A R M Y '

Brooke Arny Medical Center Operating Room/Dept Surgery Building 2376 Seach Pavilion 2nd Floor Fort Sam Houston, TX 78234

arooke Anny Medical Center Operating Rom/Dept Surgery Building 2376' Beach Pavilion 2nd Floor Fort Sam Houston, TX 7 8 2 3 4

ZORT SAM HOUSIVN
BROOKE ARMY MEDICAL CENTER

X80KVY 147TH Medlog Battalion Kedfcal Supply Support Activity Suilding 4 2 17 Fort Sam H o u s t o n , TX 78234

wa OXVY
147TH Medlog Battalion Medical Suppl-y Support ACti vity Building 4217 Fort Ssm Houston, 78234

FOFtT YOOD DXXVALL A? Y C C Y ! ! I T y .% ii0SliTAL D L 9 E G NO. 3D224i536

3;arnaJ-1 A m y Community i i o s p i t a l (4 Zach)Darnell Army Community K o s p i t a l Xedical Supply Officer Medfcal Supply Officer yarehouse 92066 Harehocsa 9 2 0 6 6 +;est Fort Hood, TX 76544-5053 xest Fort Xood, TX 7 6 5 4 4 - 5 0 6 3

Case 1:03-cv-00289-FMA

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PAGE 05 OF 10

*.

ATTACHMENT # f I I

ORDERING FACILITIES ORDERING AND RECEIVING POINTS MEDICAL/SURGICAL PRIME VENDOR PROGRAM LONE STAR (TEXAS/OKLAHOMA/NEW MEXICO) REGION
ORDERING POINT(S1

RECEIVING'POSNTf Sl
FORT BLISS WILLIAM BEAUMONT ARMY MEDICAL CENTER DEA REG NO. AW5847681
5

Material Branch (2 Each). William Beaumont Army Xedical C e n t e r Building 11156 Eiiqgs Arny A i r f i e l d 51 Paso, TX 73918

Material Branch.,2 Each) ( Williaii Beaumont Anzly Medical . . _ . . Center Building 11156 Biggs Army ..Airfield . 21 P S S O ~ ' X ; - 7 9 9 1 8 T

FORT BLISS WILLIAM BEAUMONT ARMY MEDICAL CEhTER
WSAMC

Wk aX
'

Materiel Distribution Section Suilding 7777 Room 1 - 6 7 31 Paso, TX 79920

Materiel Distribution S e c t i o n Building 7777 . Room 1 - 6 7 El Paso., TX 7 9 9 2 0
.

FORT BLISS WILLIAM BEAUMONT ARMY MEDICAL CENTER
WBAMC

Operating Room Building 7777 Room 4-389 El Paso, TX 7 9 9 2 0

WBAMC

Operating Room

Building 7 7 7 7
Room 4-389

El ?asor TX
..

79920

FORT BLISS WILLIAY BEAUMONT ARMY KEDICAL CENTER
Cznsolidated Troop Xedical C l i n i c 3uilcling 2496 Room T117 X i c k e r Road Fort B l i s s , TX 79916

Consolidated T r m ? Keaical Clinic Suilding 2496 ROO^ T117 Ricker Road Fort S l i s s , TX 79915

Case 1:03-cv-00289-FMA

Document 18-17

Filed 08/15/2003

Page 6 of 10

CONTRACT NUMBER: SP02OO-97-D-7133 CONTRACTOR: UNITED MEDICAL SUPPLY MEDICAL/SURGICAJL PRIME VENDOR LONE STAR REGION

PAGE 06 OF 10

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MEDIC.AL/SURGICAL PRIME VENDOR PROGRAM LONE STAR (TEXAS/OKLAHOMA/NEW MEXICO) REGIoY
ORDERING POINT(S1

RECEIVfNG POINT f S LFORT BLISS WILLIk?f BEAUMONT ARMY MEDICAL CENTER.

USA Health C l i n i c Building 525 White Sands Missile Range, New Mexico 8 8 0 0 2 - 5 5 0 9

USA Xealth C l i n i c

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Building525 White Sands Missile Range, New Mexico 38.002-5509 . ._
:

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.

.

.

FORT S I L L

REYNOLDS ARMY COMMUNITY HOSPITAL DEA REG NO. AU5233882
Xedical Supply WarehGuse auilding 4300 Thcrnes Street iort S i l l , OK 73503-6300

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Medical Supply Wareh,ouse Building 4300 . Thamss S t z e e t . Fort S i l l , OK 73503-6300
'

FORT SILL REMOLDS ARMY COMMUNITY HOSPITAL

DEA
Central Materiel Supply Building 4300 R o GE 11 8 om Thomas Street Fort S i l l , OK 73503-6300

FZEG

NO.

AU5233882

C e n t r a l Kateriel Supply Suilding 4300 Room GE118 . Thomas Street Fort Sill, OK 73503-6300
NAVAL HOSPITAL CORPUS CRRISTI

DEA .REG NO.
X00283

BN0235590
KG0265 Comending Off i c o r Katerials Xanagenent Dept (029) 10551 E S t r e e t a u i l d i n g H-100 Corpus Christi, TX 78419-5131

Coninazding Officer Katerials Ivr;ar.agement Dept (029) 10651 E Street Building 3-100 Corpus Christl, TX 78419-5131

Case 1:03-cv-00289-FMA

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JGN

30 '97 1 5 : 5 8

*.
CONTRACT NUMBER: SP0200-97-D-7133 CONTRACTOR: UNITED MEDICAL SUPPLY MEDICAL/SURGICAL PRIME VENDOR - LONE STAR REGION

ATTACHMENT #I11

ORDERING POINTfS)

RECEIVING POINT( S 1 NAVAL HOSPITAL CORPUS CHRIST1

XG0285

Commanding Officer Xaterials Management Dept ( 0 2 9 ) 10651 E. Street Sailding H-100 C o r p s Christi, TX 78419-5131

N32645 Officer in th:arc;e Brznch Medical Clinic 8100 Jefferson Avenue Building 9 Naval Air Station Dallas, 75211
TX.:

.
NAVAL AIR STATION
DALLAS, TX

"

3ranch Medical C l i n i c 8100 Jefferson Avenue Naval A i r Station Callas, TX 75211

Branch Medical Clinic 8100 Jefferson Avenue Naval Air Station Daiias, TX 7 5 2 1 1

. .. . .

FORT HUACHLTCA, AZ
DEA REG NO.
AR5071814

iiaynond Bliss Army Hospital Yaterials Mgt, S l d g 4 5 0 2 2 - ~ r Xuachuca, A 2 85613 r t
U.S.

Raymond Bliss A r m y Hospital Katerials Mgt, B l d g 4 5 0 2 2 Fort XxccS1uca, AZ 85613

AIR ? O K 5 CLINIC SROOKS AT3 DEA XEG NO. lG30117083

70TH Logistics Squadron/LGB 9006 Chennault Road Saite 1 Ezooks A F 3 , TX 78235

70TH Logistics Scpadron/LGB 8C06 Chennault Road Suits 1 3rocks A Z 3 , TX 78235

Case 1:03-cv-00289-FMA

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Filed 08/15/2003

Page 8 of 10

ATTACHHEN" #I11

ORDERING FACILTIES T S ORDERING AND RECEIVING PO-..W MEDICAL/SURGICAL PRIME W W R PROGRAM LONE STAR (TEXAS/OKLAHOMA/NEW MEXICO) REGIC"

-

ORDERING POINT(S)

RECEIVING POINT('S1

U.S. AIR FORCE CLINIC
DEA REG NO.
7 6 Plledical Group/SGSL 2 0 4 Wagner Drive Building 1 7 3 0 Kelly AFB, TX 7 8 2 4 1 - 5 8 4 6

KELLY AFB BU3128596
7 6 Medical Grou!p/SGSL 204 Wagner Drive Bldg 1 7 3 0

Back Warehouse Door Kelly isFa, TX 78241-5846
AIR FORCE CLINIC RANDOLPH AFB DEA REG NO. AR6241501

U.S.

"

Kedical Supply Officer 2 2 1 3rd S t West suilding 1040 Ralldolph AFB, TX 7 8 1 5 0
V.S.

Medical Supply O f f i c e r 221 3rd St West Building 1040 Randolph A F B , TX 78150

I

AI3 FSRCE ZOSPiTXL
1

LAUGIILIN AFB DEA REG NO. AU6749153

FM3099 4 7 t h Medical SquadrodSGL 5 9 0 Mitchell. Blvd 3uilding 3 7 5 L c c s h l i n A F 3 , TX 7 8 8 4 3 - 5 0 0 0
i

FM3099 47th Xedical SqUadrOA/SGL 590 Mitchell Blvd Suilding 3 7 5 Laughlin AFa, TX 7 8 8 4 3 - 5 0 0 0
SFIPPARD ArE

U.S. A I R FORCE EiOSPlTAL

82nd Medical Groug/SGAL 1 4 9 Hart S t Suilding 1200, S u i t e 7 Shoppard Ai3, TX 75311-3481

Group/SGU 119 Hart St Building 1200, Suite 7 Sheppard AFB, TX 7 6 3 1 1 - 3 4 8 4
8 2 n dM e d i c a l

C r d e r i 3 q fecilities shall refer to the DPSC Xedical Prime Vendor ProgrZl:: S S S k Reference f o r instructions on s e l e c t i n g aAd c r d e r i r , g prcdzcts.

Case 1:03-cv-00289-FMA

Document 18-17

Filed 08/15/2003

Page 9 of 10

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PAGE 09 OF 10

ATTACHMENT # I I1

ORDERING FACILITIES 0RDERIN.G AND RECEIVING POINTS M E D I C A L / S U R G I W PRIME VENDOR PROGRAM LONE STAR (TEXAS/OKLAHOMA/NEW HXXICO) REGION
GXDERING POINT(SI
RECEIVING POINT(S1

U.S. AIR FORCE HOSPITAL
ALTUS AFB

DEA REG NO.
97th Medical Group/SGAL 301 North First S t r e e t Suilding 46 A l t G S AFB, OK 73523-5005.

AU5589847.
. .

97th Xedical .Gr$u;?/SGAL 301 North. First'Street . . Building 4 6 AltuS AFS, OK 73523-5005

U.S. AIR FORCE XOSPITAL TINKER AFB DEA E G NO. AM5948041
7 2 d Medical Support Squadron/SGSL 5700 Arnold Drive suilding 5801 Tinker AFB, OK 73145-8102

72d Medical Support Squadron/SGSL
5700 Arnold Drive Building 5 8 0 1 T i n k e r AF3, O K . 73145-8102

U.S. AIR FORCE HOSPITAL
REESE AFB

DEA REG NO.
6 4 t h Medical Group/SGSLM 250 1 3 t h St.3uilding 1300 XGese AF3, TX 79489-5008

BM0465799

64th Medical. Group/SGSM
250 13th St.

suilding 1300 Xeese AFB, TX

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.

.

79489-5008

U.S. A I R FORCE HOSPITAL DYESS AFB DEA REG NO. AU5209540
7th Medical Group/SGAL 6 9 7 Xospftal Road S a i l d i n g 9201 gyess Aza, TX 79607-1367

7th Xedical Group/SGAL 697 Hospital Road Building 9201 . ,Tess E", T 79507-1367 i (

Case 1:03-cv-00289-FMA

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JfiN 30 '97 1 6 : 0 0

ATTACHMENT #In ORDERING FACILITIES

ORDERING AND RECEIVING POINTS MEDICAL/SURGICAL PRIMI: VENDOR PROGRAM LONE STAR CTEXAS/OXLAHOMA/NEW MEXICO) REGION
RECEIVING POINT S 1

U.S. AIR FORCE CLINIC

DEA REG NO.
FM3030 17th M d Support Squadron/SGL e 271 Fort Richardson Ave Building 1001 Goodfellow A F B , TX 76908-4902
'

GOODFELLOW AFB AU6006995

..

FM3030 17th' Med.Support. Squadron/SGL 271 Fort Richerdson Ave Building 1001 Goodfellow AFB, - TX 76908-4902
..

!
. .

U.S. AIR FORCE HOSPITAL HOLLOMAN AFB DEA REG NO. A C 4 8 6 8 1 6 5

49th Medical Group/SGL Xedfcal Logistics 2 8 0 First Street 3uilding 14 Holloman A F B , NM 88330-5300

49th Medical Group/SGL Medical Logistics 2 8 0 First Street Building 14 Hollonan AF3, 88330-5300
. N M

U.S. AIR FORCE HOSPITAL CANNON A.FB DEA REG NO. AU6683397
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344855 27th Xedical Group/MGAL

238 West Caszblanca Cennon AFS, !Q4 88103

F!44855 27th Medical Group/MGAL 208 "est Casablanca Cannon AFS, N?4 88103
VANCE AFB, OK DEA REG NO. 99442'6676

7 1 s t Medical GrGL? 5 2 7 G o t t Xczd

3uilding 810 Vance AFa, OK

73705-5105

7 1 s t Y e d i c a l GroLip 5 2 7 G o t t Xozd 3 u i l d i n g 810 Vance P . F 3 , OK 73705-5105