Delivery Order No. NRC-HQ-13-F-10-0014. · ADM-13-015 NRC-I-Q-13-F-10-0014 FAIMIS: 130147 b STREET ADDRESS 5 ... KONICA MINOLTA BUSINESS SOLUTIONS U.S.A., INC. 8. TYPE OF ORDER b

ORDER FOR SUPPLIES OR SERVICES PAGE OF PAGES

IMPORTANT: Mark all packages and papers with contract andlor order numbers. BPA NO. 1 21

1. DATE OF ORDER 2. CONTRACT NO. (If any) 6. SHIP TO:DEC 1 1 2012 GS25F0030M a.N N uM FClNSIrNEEguaoyCmis

3. ORDER No. MODIFICATION NO. 4. REQUISITIONIREFERENCE NO, N NuleO F CONSIGNEE

ADM-13-015NRC-I-Q-13-F-10-0014 FAIMIS: 130147 b STREET ADDRESS

5. ISSUING OFFICE (Address correspondence to)

U.S. Nuclear Regulatory CommissionDiv. Of ContractsAttn: Lisa Kauffman d. STATE e. ZIPCODEMail Stop TWB 1B26M I

Washington, DC 20555 Washington DC 20555

7 TO: I. SHIP VIA

a NAME OF CONTRACTOR DUNS: 626578041

KONICA MINOLTA BUSINESS SOLUTIONS U.S.A., INC. 8. TYPE OF ORDER

b. COMPANY NAME - a. PURCHASE 7 b DELIVERY

REFERENCE YOUR Except for billing instructions on the reverse, thisPlease fumish the following on the terms and delivery order is subject to instructions

c. STREET ADDRESS conditions specified on both sides of this order contained on this side only of this form and is1595 SPRING HILL RD STE 410 and on the attached sheet, if any, including issued subject to the terms and conditions

delivery as indicated, of the above-numbered contract.

d. CITY e. STATE f. ZIP CODEVIENNA VA 221822228

9. ACCOUNTING AND APPROPRIATION DATA $50, 000.00 10. REQUISITIONING OFFICE ADM

2013-40-51-F-191 D2334 2610 31X0200 Obligate $5,000.00 Office of Administration2013-40-51-F-191 D2350 2610 31X0200 Obligate $45,000.00DUNS# 626578041 FAIMIS: 130147 NAICS: 333298 PSC: 7510

11. BUSINESS CLASSIFICATION (Check appropriate box(es)) 12. F.O.B. POINT

D a. SMALL F'• b. OTHER THAN SMALL 7 c. 'DISADVANTAGED d. WOMEN-OWNED e. HUBZone Destination

f- I SERVICE-DISABLED g WOMEN-OWNED SMALL BUSINESS (WOSBE1 h. EDWOSBVETERAN-OWNED ELIGIBLE UNDER THE WOSB PROGRAM

13. PLACE OF 14. GOVERNMENT B/L NO. 15. DELIVER TO FO.B. POINT 16. DISCOUNT TERMSON OR BEFORE (Date)

a. INSPECTION b. ACCEPTANCE N/A TO be Determined 1% 10 net 30

IAW the Statement of Work IAW the Statement of Work

17. SCHEDULE (See reverse for Rejections)

QUANTITY UNIT QUANTITYITEM NO. SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED

(a) (b) (c) (d) (e) (f) (g)

The purpose of this Requirements Delivery Order is toprovide the NRC with Konica Minolta copier supplies.

See C )NTINUAT ON PageAll supplies shall be provided in accordancewith the Statement of Work in Section A.4.

The period of performance is 12/21/2012-12/20/2017 (inclusiveof further options).

16. SHIPPfNG POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE NO

21. MAIL INVOICE TO: 17(h)

TOTAL

SEt BILLING a. NAME (Cont.INSTRUCTIONS Department of Interior / NBC pages)

ON NRCPaymentsNBCDenver@NBC. gov

REtVERSE b. STREET ADDRESS (or P.O. Box) PHONE: 17(l).Attn: Fiscal Services Branch - D2770 FAX: GRAND7301 W. Mansfield Avenue 80235-2230 GRAND1 TOTAL

c. CITY d. STATE

Denver CO e.5Z1 COOE 369,130.30

22. UNITED STATES OF AM RICA Y a I - 23. NAME (Typed)

Contracting OfficerN_" TITLE: CONTRACTING/ORDERING OFFICER

AUTHORIZED FOR LOCAL REPRODUCTION

PR.s[ uMS P SUNSI REVIEW COMPLETET AL FORM 347. (REV. 2/2012)

ZBED BY GSAIFAR 46 CFR 53.213(f)

ORDER FOR SUPPLIES OR SERVICES PAGE NO.

SCHEDULE - CONTINUATIONN 2

IMPORTANT; Mark all packages and papers with contract and/or order numbers.

DATE OF ORDER CONTRACT NO. ORDER NO.

GS25FD030M NRC-HQ-13-F-10-0014

QUANTITY UNIT QUANTITY

ITEM NO. SUPPLIES OR SERVICES ORDERED UNIT PRICE AMOUNT ACCEPTED(A) .. (B) (C) (D) (E) (F) (G)

6he Period of Performance is as follows:

3ase Period: 12/21/12 - 12/20/13:rhe estimated ceiling is $73,826.06

3ption Year One (1): 12/21/13 - 12/20/14The estimated ceiling is $73,826.06

Dption Year Two (2): 12/21/014 - 12/20/15rhe estimated ceiling is $73,826.06

3ption Year Three (3): 12/21/15 - 12/20/16The estimated ceiling is $73,826.06

Dption Year Four (4): 12/21/16 - 12/20/17The estimated ceiling is $73,826.06

rhe total estimated ceiling is: $369,130.30

ýist of Attachments:kttachment A: Sample Order Form

TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17(H))

AUTHORIZED FOR LOCAL REPRODUCTIONPREVIOUS EDITION NOT USABLE

OPTIONAL FORM 348 REV.(4/2006)Prescribed by GSAFAR (48 CFR) 53.213(f)

GS25FOO30M NRC-HQ-13-F-10-0014

A.1 CONSIDERATION AND OBLIGATION--DELIVERY ORDERS (JUN 1988)

(a) The total estimated amount of this contract (ceiling) for the products/services ordered, delivered, and acceptedunder this contract is $369,130.30. The Contracting Officer may unilaterally increase this amount as necessary fororders to be placed with the contractor during the contract period provided such orders are within any maximum orderinglimitation prescribed under this contract.

(b) The amount presently obligated with respect to this contract is $50,000.00. The Contracting Officer may issueorders for work up to the amount presently obligated. This obligated amount may be unilaterally increased from time totime by the Contracting Officer by written modification to this contract. The obligated amount shall, at no time, exceed thecontract ceiling as specified in paragraph a above. When and if the amount(s) paid and payable to the Contractorhereunder shall equal the obligated amount, the Contractor shall not be obligated to continue performance of the workunless and until the Contracting Officer shall increase the amount obligated with respect to this contract. Any workundertaken by the Contractor in excess of the obligated amount specified above is done so at the Contractor's sole risk.

A.2 52.216-18 ORDERING (OCT 1995)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders ortask orders by the individuals or activities designated in the Schedule. Such orders may be issued from the effective dateof the contract through the end of the effective period.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflictbetween a delivery order or task order and this contract, the contract shall control.

(c) If mailed, a delivery order or task order is considered "issued" when the Government deposits the order in the mail.Orders may be issued orally, by facsimile, or by electronic commerce methods only if authorized in the Schedule.

A.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount ofless than $500.00, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, thosesupplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor--

(1) Any order for a single item in excess of $50,000.00;

(2) Any order for a combination of items in excess of $369,130.30; or

(3) A series of orders from the same ordering office within 1 days that together call for quantities exceeding thelimitation in paragraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the FederalAcquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from theContractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding themaximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 5 daysafter issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons.Upon receiving this notice, the Government may acquire the supplies or services from another source.

Page 3

GS25F0030M NRC-HQ-13-F-10-0014

A.4 STATEMENT OF WORK

BACKGROUNDThe U.S. Nuclear Regulatory Commission (NRC) Headquarters is located in Rockville, Maryland. At this location, NRCoperates an in-house Print Shop that supports the daily office supply needs of approximately 4,000 NRC employeesworking at this site. A critical part of this operation is the timely shipment of supplies required for the Agency's variousKonica Minolta brand digital copiers and printers.

OBJECTIVEThe purpose is to provide the NRC with a consolidated source that can provide the agency with timely shipment of theNRC "stock" Konica-Minolta supply items listed in the Price/Cost Schedule during the period of this order. Thespecifications and estimated requirements for each NRC Stock item are provided in the Price/Cost Schedule. Theseitems shall be new Konica-Minolta brand name items.

STATEMENT OF WORKThe objective of this delivery order is to provide the NRC Headquarters location with reliable, accurate, and timelyshipment of a variety of Konica-Minolta supplies on an "as-needed" basis. This allows the NRC to maintain a smallon-site Print Shop supply inventory, which (based on actual usage) is replenished by orders placed with the vendor.During the entire period of performance of this delivery order, the vendor shall comply with all terms, conditions,deliverables, and requirements stated in this Statement of Work (SOW).

VENDOR SERVICES PERFORMANCES STANDARDSThe offeror selected as the Vendor for this delivery order shall be:

1. Reliable (i.e. - the Vendor shall ensure that any items purchased by NRC under this SOW fully comply withNRC's requirements for each item 100% of the time);

2. Accurate (i.e. - the items shipped by the Vendor to NRC shall be the correct items that NRC ordered and shall bein the correct quantity that NRC ordered 99% of the time, unless the NRC Contracting Officer's Representative[COR] has approved [in advance] any change in the type and/or quantity);

3. Timely (i.e. - the Vendor shall ship each NRC order [call] within the delivery schedule guaranteed by the Vendorunder this order, at least 99% of the time. Shipment shall occur no later than five (5) business days from thedate the supplies are ordered).

DESCRIPTION OF SUPPLIES REQUIRED TO MEET THE AGENCY'S NEEDS

Konica Minolta Manufactured ProductStaples, C550, 750, 920 copiers 751000NRC0060X 4448121 MS5C

Staples, Biz Hub 420 copier 751000NRC0061X 4623361 MS5D

Toner, black, Konica C550 685000NRC0120X A070130 TN61 1K

Toner, yellow, Konica C550 685000NRC0121X A070230 TN61 1Y

Toner, magenta, Konica C550 685000NRC01 22X A070330 TN61 1 M

Toner, cyan, Konica C550 685000NRC0123X A070430 TN61 1C

Image unit, black, Konica C550 685000NRC0124X A06003F IU610K

Image unit, yellow, Konica C550 685000NRC0125X A06007F IU610Y

Page 4

GS25F0030M NRC-HQ-13-F-10-0014

Image unit, magenta, Konica C550 685000NRC0126X A0600DF IU61OM

Image unit, cyan, Konica C550 685000NRC0127X A0600JF IU610C

Waste toner box, C550 685000NRC0134X AOATWY0

Fusing unit, C550 685000NRC0135X A00JR72100

Transfer belt unit, C550 685000NRC0136X AOOJR71400

Transfer roller unit, C550 685000NRC01 37X AO0JR71500

Toner, Biz Hub 420 copier 685000NRC0128X 024E TN511

Developer, Biz Hub 420 copier 685000NRC0129X 024G DV51

Toner, Biz Hub 750 copier 685000NRC0130X 02XJ TN710

Developer, Biz Hub 750 copier 685000NRC0131X 02XK DV710

Maintenance kit, Biz Hub 750 685000NRC0138X 57AEPM25

Toner, Biz Hub 920 copier 685000NRC0132X 022J TN910

Developer, Biz Hub 920 copier 685000NRC01 33X 022B DV91 0

Maintenance kit, Biz Hub 920 685000NRC0139X 57GAPM50

Toner, Biz Hub 161F serial #50007883 (OE) TN113

UNIT PRICINGThe Vendor shall submit unit pricing for all NRC stock supply line items listed in the Price/Cost Schedule. To be acceptedfor consideration for award of this delivery order by NRC, the vendor shall complete all of the information requested inthe attached Price/Cost Schedule.

ATTENTION: Shipment of all items under this delivery order shall be "FOB Destination" and the Vendor's unit pricing forall items shall include costs for shipping/delivery to the NRC locations listed in this SOW.

VENDOR COMPLIANCE WITH NRC SPECIFICATIONSDuring the entire period of this delivery order, the Vendor shall always provide NRC with items that fully comply with allNRC specifications. The NRC requires new, unused brand name Konica-Minolta supply items. The Vendor shall notsupply the NRC with supply items that have not been manufactured by Konica-Minolta.

GREEN PURCHASINGIn furtherance of the sustainable acquisition goals of Executive Order 13514, "Federal Leadership in Environmental,Energy, and Economic Performance" products and services provided under this contract/order shall be energy- efficient(Energy Star or Federal Energy Management Program (FEMP) designated), water-efficient, biobased, environmentallypreferable (e.g., Electronic Product Environmental Assessment Tool (EPEAT) certified), non-ozone depleting, containrecycled content, or are non-toxic or less toxic alternatives, where such products and services meet agencyperformance requirements. http://www.fedcenter.gov/programs/eo13514/.

Page 5


The contractor shall flow down this clause into all subcontracts and other delivery orders that relate to performance ofthis contract/order.

LIST OF NRC PERSONNEL AUTHORIZED TO PLACE ORDERS (CALLS)The Vendor shall only accept orders under this delivery order and NRC shall only be monetarily liable for orders placedunder this delivery order, by the following NRC personnel:

JoAnne Thweatt(301) [email protected]. Nuclear Regulatory Commission11555 Rockville PikeMail Stop: P1 C12Rockville, MD 20852

Barbara Blount(301) 415-0535Barbara. [email protected]. Nuclear Regulatory Commission11555 Rockville PikeMail Stop: P1 A4Rockville, MD 20852

METHODS OF NRC ORDER PLACEMENTThe NRC authorized personnel listed above will submit supply orders (calls) to the Vendor verbally by telephone or inwriting by fax or electronically, from specified order points identified by NRC.

Orders placed by NRC for any of the items currently listed in Price/Cost Schedule during the period of this delivery ordershall be considered order for NRC "stock" items.

NRC WRITTEN SUPPLY ORDERSThe Vendor shall accept NRC supply orders in written format either electronically or by fax when the order is approvedby one of the authorized NRC personnel listed above. Calls placed under this delivery order will usually be made by NRCusing facsimile orders or electronically on a pre-printed order form that is prepared by NRC or the Vendor. The Vendorsorder sheets must be approved by the NRC COR before the first call has been placed.

INFORMATION TO DOCUMENT NRC ORDERS (CALLS)The NRC will include the following minimum information when placing all orders (calls):

1. NRC Order Number2. Sequential Call Number assigned by NRC COR for that order3. NRC stock number matched with the Vendor's part number for each line item

(The Vendor shall ensure that the Vendor's part number listed on the NRC's order form shall be exactly the sameas what will be shown on the billing statement.) Note: Some "Special Request" items may not have an NRCstock number

4. Requested quantity of each Unit-Of-Issue (UOI) for each line item being ordered5. The UOI of each container line item (how many in a box, etc.)6. The cost per UOI7. The total cost of each line item for the quantity of the UOI being ordered8. The total cost of each order (call)9. The NRC delivery schedule10. The place of delivery

Page 6


11. Any packaging, packing, and shipping instructions12. Accounting and appropriation data13. The Vendor's account code assigned to NRC14. The Job Code identified by NRC for each item ordered15. The name of the NRC authorized person placing the order (call)16. The date the order was approved by NRC and submitted to the Vendor

DOCUMENTATION REQUIRED FOR SHIPMENTS TO NRCEach NRC order will be a separate "Call" under this delivery order. Each "Call" will be assigned a sequential call numberby NRC.

ORDERS FOR NRC "STOCK" ITEMSAll items on the Price/Cost Schedule are NRC "stock" items and any of these items shipped to NRC shall be identified onthe vendor's packing ticket and invoice by the specific NRC stock number listed for each item on the Price/CostSchedule.

VENDOR'S PACKING TICKETS FOR EACH SHIPMENTThe Vendor shall include a "Packing Ticket" with each shipment to NRC. A copy of the Packing Ticket and whateverother shipment paperwork is required by the Vendor shall be included in each shipment. All packing tickets submittedto NRC by the Vendor shall contain all of the following information:

1. Date the NRC order (Call) was placed2. NRC's Order Number and NRC's assigned Call Number3. Name of the NRC person who placed the order (Call)4. Description of each line item being shipped/invoiced5. Quantity of each line item requested by NRC, and the quantity being shipped/invoiced by the Vendor6. The Vendor's part number and the NRC stock number for each NRC "stock" item and the vendor's part number

and description for all "special-request" items being shipped/invoiced by the Vendor7. Place of shipment requested by NRC for the order

When there are multiple boxes for a line item, each box shall be clearly marked or labeled with the NRC Call Number, theline item part number, and description.

ATTENTION: NRC reserves the right to refuse to accept any shipment from the Vendor that does not include all of theinformation listed above in items 1 through 7. Further, NRC's refusal of any shipment due to the Vendor's failure toprovide all of the information listed above in items 1 through 7 shall not relieve the Vendor of the NRC's requirement forshipment of the order within the time frame guaranteed to NRC by the Vendor in this delivery order.

LATE SHIPMENTSThe vendor shall ensure that shipments are made within the time agreed upon in the delivery order or at the option ofNRC, the time agreed upon between the Vendor's representatives and the NRC authorized ordering officials at the timethe order was placed.

Upon receipt of an NRC order, the Vendor shall notify the NRC COR immediately if any line item listed in the ordercannot be shipped to the NRC within the time frame requested by NRC at the time the order is placed. Additionally, theVendor shall immediately notify the NRC COR of the discovery of any delay which will result in a line item that NRCordered not being shipped by the date agreed upon between the NRC authorized personnel placing the order and thevendor's representative who received the order.

RESOLUTION OF DISCREPANCIES IN SUPPLY SHIPMENTSPrior to NRC receiving the first shipment of supplies under this order, the Vendor shall provide the NRC COR with aspecific individual to contact for resolving all discrepancies in NRC shipments. The NRC COR will contact this person toresolve any and all discrepancies that may arise in the performance of this order. Alternates shall be identified by theVendor during any absences of the Vendor's primary contact person(s).

Page 7


All discrepancies in the compliance of a Vendor's supply item with NRC's requirements will be reported to the vendor bythe NRC COR and the Vendor shall provide a suitable replacement for the non-complying item(s) within the tim. Ir .agreed upon between the Vendor's representatives and the NRC COR (not to exceed the shipment schedule sta-ed inthe agreement for that line item). All supply line items rejected by NRC due to the wrong item being shipped or poorquality, etc. shall be returned to the Vendor within 3-business-days, at no charge to NRC.

Upon receipt of notification of a discrepancy by NRC, the Vendor shall correct the discrepancy within one business-day.If the Vendor requests to investigate the discrepancy claim, the Vendor shall respond on-site at the NRC location of thesubject supplies to perform the inspection, within one business-day.

The Vendor shall ensure that all NRC orders under this delivery order shall be shipped complete (all types andrequested quantities of items are provided) unless the NRC COR has approved a partial shipment of the itemsrequested in advance of the NRC receiving the shipment. Items that NRC ordered which the vendor cannot deliver as a"complete" shipment shall be marked by the Vendor on the order as "Back-Ordered" and the time frame for the shipmentof the Back-Ordered items shall be provided to the NRC COR. NRC reserves the right to cancel an order for any itemsplaced on Back-Order by the Vendor at any time prior to their shipment to the NRC, at no cost to the NRC.

PACKAGINGAll bulk shipments/deliveries shall be palletized and shrink-wrapped. Paper items shall be packaged sufficient toeliminate any effect of moisture, etc. during shipping and storage.

OTHER DELIVERABLESThe Vendor shall provide NRC with all deliverables stated herein with the schedule listed for that item.

PLACE(S) OF PERFORMANCEThe vendor may ship NRC supply shipments to one of the following three destinations as specified by the NRC in theindividual supply order (Call):

1. U.S. Nuclear Regulatory CommissionOne White Flint North BuildingNRC Supply StoreRoom O-P1-C1211555 Rockville PikeRockville, Maryland 20852

2. U.S. Nuclear Regulatory CommissionThree White Flint North BuildingNRC Supply RoomRoom O-B1-A611601 Landsdown StreetRockville, Maryland 20852

3. U.S. Nuclear Regulatory CommissionNRC Warehouse4934 Boiling Brook ParkwayRockville, Maryland 20852

Page 8


PRICE/COST SCHEDULEOJPTION YEAR ONE: December 21, 2013- December 20, 2014

CJiN DESCRIPTION ESTIMATED YEILD UNIT OF UNIT TOTQUANTIT' ISSUE PRICE

Staples, C550, 750, 920 copiers751000NRC0060X 4448121 MS5C

200 15,000 eachO'"I

00021 Staples, Biz Hub 420 copier 751000NRC0061X4623361 MS5D

20 15,000 each

Toner, black, Konica C550 685000NRC0120XA070130 TN611K

50 45,000

0004 Toner, yellow, Konica C550 685000NRC0121X 41 27,000 eachA070230 TN611Y

0005 Toner, magenta, Konica C550 41 27,000 each68500ONRC01221X A070330 TN61 1M

0006 Toner, cyan, Konica C550 685000NRC0123X 46 27,000 eachA070430 TN61 I C

0007 Image unit, black, Konica C550 10 300,000 each685000NRC0124X A06003F IU610K

0008 Image unit, yellow, Konica C550 8 100,000 each685000NRC0125X A06007F IU610Y

0009 image unit, magenta, Konica C550 8 100,000 each685000NRC0126X A0600DF IU61OM

0010 Image unit, cyan, Konica C550 4 100,000 each_ 685000NRC0127X A0600JF IU610 C

0011 Waste toner box, C550 685000NRC01 34X 20 57,000 eachAOATWYO I

0012 Fusing unit, C550 685000NRC0135XAOOJR72100

2 300,000 eachI

0013 Transfer belt unit, C550 685000NRC0136XAOOJR71400

3 450,000 each

0014 Transfer rolier unit, C550 685000NRC0137XA00JR71500

6 450,000 each

0015 Toner, Biz Hub 420 copier 685000NRC0128X024E TN'511

32.200 each

Developer, Biz Hub 420 coPier685000NRC0129X 024G DV51

26 250,000 each

Toner, Biz Hub 750 copier 685000NRC0130X02XJ TN710

457 55,000 each

0018 Developer, Biz Hub 750 copier 27 250,000 each•685000NRC0131X 02XK DV7 10

0019 MI aintenance kit, Biz Hub 750 7 250,000 each685000NRC0138_ 57AEPM225

0020 Toner, Biz Hub 920 copier 685000NRC0132X I 52 ' 56.000 each022J TN910 _

Developer, Biz Hub 920 copier685000NRC0133X 022B DV910

35 1,000,000 each

0022 Maintenance kit, Biz Hub 920685000NRC01 39X 57GAPM50

4 500,000 each

Toner, Bi: Hub 161 F serial #50007883 (OE)TN113

eacri

Tara! Option Year One:

1Total 5Otion Year One: S7 ,. _.06

Page 10

GS25F0030M NRC-HQ-13-F-10-0014

A.5 PRICE SCHEDULE

PRICE/COST SCHEDULE3BASE PERIOD: December 21, 2012 - December 20, 2013

DESCRIPTION ESTIMATEDQUANTITY

YEILD UNIT OFISSUE

UNIT TOTA'7._PRICE

0001 Staples, C550, 750, 920 copiers 200 15,000 each751000NRC0060X 4448121 MS5C

0002 Staples, Biz Hub 420 copier 751000NRC0061X 20 15,000 each____4623'361 MS5D _______ ____ ____

0003 Toner, black, Konica C550 685000NR00120X 50 45,000 eachA070130 TN611K K

0004 Toner, yellow, Konica 0550 685000NR00121X 41 27,000 eachA070230 TN611Y 7,000 each

0005 Toner, magenta. Konica C550 41 27,000 each685000NRC0122X A070330 TN611M

0006 Toner, cyan, Konica C550 685000NRC0123X 46 27,000 eachA070430 TN611C

0007 Image unit, black, Konica C550 10 300,000 each685000NRC0124X A06003F IU610K

0008 Image unit, yellow, Konica C550 8 100,000 each685000NRC0125X A06007F IU610Y I I

0009 Image unit, magenta, Konica C550685000NRC0126X A0600DF IU61OM

8 100,000 each)J

0010 Image unit, cyan, Konica C550685000NRC0127X A0600JF IU610C

4 100,000 each

0011 Waste toner box, C550 685000NRC01 34XAOATWYO

20 57,000 each

0012 Fusing unit, C550 685000NRC0135X 2 300,000 each,_ AOOJR72100

00i3 Transfer belt unit, C550 685000NRC0136X 3 450,000 eachS -AOJR71400 F_000

0014 Transfer rolier unit, C550 685000NRC0137X 6 450,000 eachAOJR71500 I

0015 Toner, B:z Hub 420 cooler 685000NRC0128X 55 32,200 each024E TN511

0016 Developer, Biz Hub 420 copier 26 250,000 each685000NRC0129X 024G DV51

0017 Toner, Biz Hub 750 copier 685000NRC0130X 457 55,000 each02XJ TN710

0018 Developer, Biz Hub 750 copier 27 250,000 each685000NRC0131) , 02XK D'V710

0019 Maintenance kit, Biz Hub 750 7 250,000 each685000NRC0! 38X 57AEPM25

0020 Toner, Biz Hub 920 copier 685000NRC0132X022J TN910

52 56.000 each

0021 Developer, Biz Hub 920 copier 35 1,000,000 each685000NRC0133YX 022B DV91O 0

0322 Maintenance kit, Biz Hub 920 4 500,000 each_685000N R00139X 57GAPM50 IToner, Bi- Hub 151F serial #50007883 (OE)TN113

eacn

I-T3tal E ase Year: I S73..:26.06

Page 9

GS25F0030M NRC-HQ-13-F-10-0014

PRICE/COST SCHEDULEOPTION YEAR 2: December 21, 2014 - December 20, 2015

DESCRIPTION ESTIrI&.TEDQUANTITY

YEILD UNT7 OF UNIT! E ~S- UE ppRIc=

000D Staples, C550, 750, 920 copiers 200 15,000 each_751000NRC0060X 4448121 C-_"

9002 Staples, Biz Hub 420 copier 751000NRC0061X 20 15,000 each4623361 MS5D

0003 Toner, black, Konica C550 685000NRC0120X 50 45,000 eachA070130 TN611K I I

0004 1 Toner, yellow, Konica 0550 685000NRC0121X 41 27,000 eachA070230 TN641Y I I

0005 Toner, magenta, Konica C550 1 41 27,000 each1685000NRC0122X A070330 TN611M I 1 _

0006 Toner, cyan, Konica C550 685000NRC0123XA070430 TN61 1C

46 27,000 each

0007 image unit, black, Konica C550E685000NRC0124X A06003F IU610K

10 300,000 eacn

0008 image unit, yellow, Konica C550 8 100,000 each685000NRC0125X A06007F IU610Y I 1

0009 Image unit, magenta, Konica C550 8 100,000 eacn685000NRC0126)X, A0600DF IU610M

0010 Image unit, cyan, Konica C550685000NRC0127X A0600JF IU610C

4 100,000 each

Waste toner box, C550 685000NRC0134X 20 57,000 each001 AOATWY0 eac

0012 Fusing unit, C550 685000NRC0135XAOOJR72100

2 300,000 each

1 0013 1 Transfer belt unit, C550 685000NRC0136X 3 450,000 j each!L AOOJR71400 "0014 Transfer roller unit, C550 685000NRC0137X 6 450,000 each

A00JR715000015 Toner, Biz Hub 420 copier 585000NR00128X 56 2,'200 each

024E TN5110016 Developer, Biz Hub 420 copier [26 250,000 each

685000NRC0129X 0240 DV510017 Toner, Biz Hub 750 copier 685000NRC0i30X 457 55,000 each

02XJ TN710

0018 Developer, Biz Hub 750 copier685000NRC0131X 02XK DV710

250,000 each

Maintenance kit, Biz Hub 750685000NRC0138)X 57AEPM25

250,000

0020 Toner, Biz Hub 920 copier 685000NRC0132X 52 36ýý.000 eachS022J TN910 _ _ I I

0021 Developer, Biz Hub 920 copier 35 1,000,000 each685000NRC0133X 022B DV910 I I _

0022 Miaintenance kit, Biz Hub 920 4 500,000 each685000NRC0139X 57GAPM50

0322 Toner, Biz Hub 161F seria! #500078S3 (GE) 1aTN13

Toal. ODtion Year 2-: .3. 25.0-

Page 11


PRICE/COST SCHEDULE,FTION YEAR 3: December 21, 2015 - December 20, 2016

CLIN DESCRIPTION I ESTIMATED i YEILD -UUNiT OF I UN1T4! T:I~QA IT____ SU PRZICE

000"L Staples, C550, 750, 920 copiers 200 i5.000 each571000NRW0060X 4448121 MS5C__

00,21 Staples, Biz Hub 420 copier 751000NRC0061X 20 15,000 each4623361 MS5D 7 5 each

0003 iToner, black, Konica C550 685000NRC0120X 50 45,000 each004 A070130 TN611K

D004 Toner, yellow, Konica C550 685000NRC0121X 41 27,000 eacnA070230 TN61Y I

0005 Toner, magenta, Konica C550 41 27,000 each685000NRC0122X A070330 TN611M

0006 Toner, cyan, Konica 0550 685000NRC01 23X 46 27.000 eachA070430 TN611C C

0007 Image unit, black, Konica C550 10 300,000 each I685000NRC0124X A06003F IU610K I

0008 Image unit, yellow, Konica C550 8 100,000 each685000NRC0125X A06007F IU610Y

0009 Image unit, magenta, Konica C550 8 100,000 each685000NRC0126X A0600DF IU61OM

0010 image unit, cyan, Konica C550 4 100,000 each685000NRC0127X A0600JF IU610C I

0011 [Waste toner box, C550 685000NRC0134X 20 57,000 F each_ AOATWY0 I

00121 Fusing unit, C550 685000NRC0135X 2 300,000 each_ A00JR72100

0013 T Transfer belt unit, C550 685000NRC0136X 3 450,000 each____ A00JR7i400 _____________I

0014 1 Transfer roller unit, 0550 685000NRC0137X 6 450,000 each -_ AOOJR71500 I

0015 Toner, B-: Hub 420 copier 685000N-.0'12,8X 56 36.200 eacn024E TN511 _

0016 Developer, Biz Hub 420 copier 26 250,000 each685000NRC0129X 024G DV51

0017 Toner, Biz Hub 750 cooier 685000NRC01 30X 457 55,000 each02XJ TN71 0

0018 Developer, BiZ Hub 750 copier 27 250,000 each685000NRC0131X 02XK D\1710

0019 1 Maintenance kit, Bi- Hub 750 7 250,000 each_ 685000NRC0138X _•A--PM__-"_-___-

0020 Toner, Biz Hub 920 copier 685000NRC01 32X 5 52 J 6C.000 F aIch_ 022J TN910 I 1__

0021 Developer, Biz Hub 920 copier 35 1,000,000 each685000NRC0133X 022B DV910

0022 Maintenance kit, Biz Hub 920 4 500,000 each_ _ 85000NRC0 139X 57GAPM50 I

0 Tonr Bi Hub 161F serial #500078S3 ("-) F13 ea.hTN113

Toza. Cotior Year 3: ., . ., - 06

Page 12

GS2o5F0030M NRC-HQ-13-F-10-0014

PRICEICOST SCHEDULEcATION YEAR 4: December 21, 2016 - December 20, 2017

C'I KI DESCRIPTION i ESTIMATED YEILD UNWT O F UNIT TO-7-I QUANTITY ISSUE PRICE

0001 Staples, C550. 750, 920 copiers 200 15.000 each75100ONRC0060X 448121 MS5C _

10002 Saples, Bi: Hub 420 copier 751000NRC0061X 20 15,000 each4623361 MS5D I

o000- Toner, black, Konica C550 685000NRC0120X 50 45,000 eachA070130 TN611K _

0004 Toner, yellow, Konica C550 685000NRC0121X 41 27,000 eachA0702130 TN611IY I

0005 Toner, magenta. Konica C550 41 27,000 each685000NRC0122X A070330 TN611M I II

0006 Toner, cyan, Konica C550 685000NRC00123X 46 27,000 eachA070430 TN611 C

0007 Image unit, biack, Konica C550 10 300,000 eachi 685000NRC0124X A06003F IU61OK .,

0008 Image unit, yellow, Konica C550 8 100,000 each_ 685000NRC0125X A06007F IU610Y

0009 Image unit, magenta, Konica C550 8 100,000 eacn_ 685000NRC0126X A0600DF IU61OM

0010 Image unit, cyan, Konica C550 4 100,000 each685000NRC0127X A0600JF IU610C j

0011 Waste toner box, C550 685000NRC0134X 20 57,000 each• AOATWY0O

0012 Fusing unit, 0550 685000NRCO135X 2 300,000 eachA00JR72100 I-

0013 Transfer belt unit, C550 685000NRC0136X 3 450,000 eachA00JR71400

0014 Transfer roller unit, 0550 685000NRC01, 7X 6 450,000 eachA00JR71500

0015 Toner, B;z Hub 420 copier 685000NR30128Y. 56 0200 each.024E TNI t

0016 Deveioper, Biz Hub 420 copier 26 250,000 each____685000NR0r0I29X 024G D\,51 _______I_________

0017 Toner, Biz Hub 750 copier 685000NRC0130X 457 55,000 each02XJ TN710

F-0018 Developer, Biz Hub 750 copier 27 250,000 each685000NRC0131X 02XK DV710

00i 1\ Maintenance kit, Biz Hub 750 5 50,0 010 1each

:3 C85000NRC0138;I 57AEPM250020 Toner, -,': Hub 920 cooier 685000NR001 32X 52 66,0,0 each

022J TN9100021 Developer, Biz Hub 920 copier 35 1,000,000 each

685000NRC0133). 022B DV9100022 Maintenance kit, Biz Hub 920 4 500,000 each

_ 685000NRC0139X 57GAPM500.32 Toner= Siz Hub 161F seria! #50007883 (oE) , each 0

TN1 13

Tota! GDtion Year 4: S73.&26.06Total Base + Four Option Years: $369,130.30

Page 13


A.6 DELIVERY

All material shall be shipped to one of the addresses given in Section A.4 (Place of performance). This shall becoordinated with the NRC Contracting Officer's Representative.

TERMS AND CONDITIONS

B.1 52.216-21 REQUIREMENTS (OCT 1995)

(a) This is a requirements contract for the supplies or services specified, and effective for the period stated, in theSchedule. The quantities of supplies or services specified in the Schedule are estimates only and are not purchased bythis contract. Except as this contract may otherwise provide, if the Government's requirements do not result in orders inthe quantities described as "estimated" or "maximum" in the Schedule, that fact shall not constitute the basis for anequitable price adjustment.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Orderingclause. Subject to any limitations in the Order Limitations clause or elsewhere in this contract, the Contractor shallfurnish to the Government all supplies or services specified in the Schedule and called for by orders issued inaccordance with the Ordering clause. The Government may issue orders requiring delivery to multiple destinations orperformance at multiple locations.

(c) Except as this contract otherwise provides, the Government shall order from the Contractor all the supplies orservices specified in the Schedule that are required to be purchased by the Government activity or activities specified inthe Schedule.

(d) The Government is not required to purchase from the Contractor requirements in excess of any limit on totalorders under this contract.

(e) If the Government urgently requires delivery of any quantity of an item before the earliest date that delivery may bespecified under this contract, and if the Contractor will not accept an order providing for the accelerated delivery, theGovernment may acquire the urgently required goods or services from another source.

(f) Any order issued during the effective period of this contract and not completed within that period shall becompleted by the Contractor within the time specified in the order. The contract shall govern the Contractor's andGovernment's rights and obligations with respect to that order to the same extent as if the order were completed duringthe contract's effective period; provided, that the Contractor shall not be required to make any deliveries under thiscontract after 12/20/2017.

B.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in thecontract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary ofLabor. The option provision may be exercised more than once, but the total extension of performance hereunder shallnot exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30days.

B.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

Page 14


(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; providedthat the Government gives the Contractor a preliminary written notice of its intent to extend at least 15 days before theco-•tact expires. The preliminary notice does not commi, .:ie-e ..oernmen:. s;io •n e'..e o.

(b) If the Government exercises this option, the extended contract shall be considered to include this option zIa.use.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed fiveyears and six months.

B.4 OPTION PERIODS - TASK ORDER/DELIVERY ORDER UNDER A GSA FEDERAL SUPPLYSCHEDULE CONTRACT (MARCH 2007)

The Period of Performance (PoP) for this requirement may extend beyond the Offerors current PoP on their GSASchedule. Offerors may submit proposals for the entire PoP as long as their current GSA Schedule covers therequested PoP, or their GSA Schedule contains GSA's "Evergreen Clause" (Option to Extend the Term of the Contract),which covers the requested PoP if/when the option(s) are exercised. Offerors are encouraged to submitaccurate/realistic pricing for the requirement's entire PoP, even if the proposed GSA Schedule does not include pricingfor the applicable option years, etc.

For proposal evaluation purposes, the NRC assumes that applicable Evergreen Clause Option(s) will be exercised andthe NRC will apply price analysis, as applicable. It is in the best interest of the Offeror to explain major deviations inescalation, proposed in any Evergreen Clause option years. Resulting GSA task/delivery order option years subject tothe Evergreen Clause will be initially priced utilizing the same rates proposed under the last GSA-priced year of thesubject GSA Schedule. Upon GSA's exercise of the GSA Schedule option year(s) applicable to the Evergreen Clause,the NRC will modify the awarded task/delivery order to incorporate either the proposed pricing for the option years or theGSA-approved pricing (whichever is lower).

It is incumbent upon the Offeror to provide sufficient documentation (GSA-signed schedule, schedule modifications,etc.) that shows both the effective dates, pricing and terms/conditions of the current GSA Schedule, as well asEvergreen Clause terms/conditions (as applicable). Failure to provide this documentation may result in the Offerorsproposal being found unacceptable.

B.5 52.232-18 AVAILABILITY OF FUNDS (APR 1984)

Funds are not presently available for performance under this contract beyond $50,000.00. The Government'sobligation under this contract is contingent upon the availability of appropriated funds from which payment for contractpurposes can be made. No legal liability on the part of the Government for any payment may arise until funds are madeavailable to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to beconfirmed in writing by the Contracting Officer.

B.6 PACKAGING AND MARKING (AUG 2011)

(a) The Contractor shall package material for shipment to the NRC in such a manner that will ensure acceptance bycommon carrier and safe delivery at destination. Containers and closures shall comply with the Surface TransportationBoard, Uniform Freight Classification Rules, or regulations of other carriers as applicable to the mode of transportation.

(b) On the front of the package, the Contractor shall clearly identify the contract number under which the product isbeing provided.

Page 15


B.7 PERIOD OF PERFORMANCE (AUG 2011)

Base Period: 12/21/12 - 12/20/13Option Year #1: 12/21t/13- 12/20/14Option Year #2: 12/21/14- 12/20/15Option Year #3: 12/21/15- 12/20/16Option Year #4: 12/21/16 - 12/20/17

B.8 ELECTRONIC PAYMENT (AUG 2011)

The Debt Collection Improvement Act of 1996 requires that all payments except IRS tax refunds be made byElectronic Funds Transfer. Payment shall be made in accordance with FAR 52.232-33, entitled "Payment by ElectronicFunds- Central Contractor Registration".

To receive payment, the contractor shall prepare invoices in accordance with NRC's Billing Instructions. Claimsshall be submitted on the payee's letterhead, invoice, or on the Government's Standard Form 1034, "Public Voucher forPurchases and Services Other than Personal," and Standard Form 1035, "Public Voucher for Purchases Other thanPersonal - Continuation Sheet." The preferred method of submitting invoices is electronically to the Department of theInterior at [email protected]. If the contractor submits a hard copy of the invoice, it shall besubmitted to the following address:

Department of the InteriorNational Business CenterAttn: Fiscal Services Branch - D27707301 West Mansfield AvenueDenver, CO 80235-2230

B.9 WHISTLEBLOWER PROTECTION FOR NRC CONTRACTOR AND SUBCONTRACTOREMPLOYEES (AUG 2011)

(a) The U.S. Nuclear Regulatory Commission (NRC) contractor and its subcontractor are subject to theWhistleblower Employee Protection public law provisions as codified at 42 U.S.C. 5851. NRC contractor(s) andsubcontractor(s) shall comply with the requirements of this Whistleblower Employee Protection law, and theimplementing regulations of the NRC and the Department of Labor (DOL). See, for example, DOL Procedures onHandling Complaints at 29 C.F.R. Part 24 concerning the employer obligations, prohibited acts, DOL procedures and therequirement for prominent posting of notice of Employee Rights at Appendix A to Part 24 entitled: "Your Rights Under theEnergy Reorganization Act".

(b) Under this Whistleblower Employee Protection law, as implemented by regulations, NRC contractor andsubcontractor employees are protected from discharge, reprisal, threats, intimidation, coercion, blacklisting or otheremployment discrimination practices with respect to compensation, terms, conditions or privileges of their employmentbecause the contractor or subcontractor employee(s) has provided notice to the employer, refused to engage in unlawfulpractices, assisted in proceedings or testified on activities concerning alleged violations of the Atomic Energy Act of1954 (as amended) and the Energy Reorganization Act of 1974 (as amended).

(c) The contractor shall insert this or the substance of this clause in any subcontracts involving work performed underthis contract.

Page 16


B.10 2052.215-71 CONTRACTING OFFICER'S REPRESENTATIVE (NOVEMBER 2006)

(a) The contracting officer's representative authorized for this contract is:

Name: JoAnne Thweatt(301) [email protected]. Nuclear Regulatory Commission11555 Rockville PikeMail Stop: P1 C12Rockville, MD 20852

NRC alternate contracting officer's representative:

Name: Barbara Blount(301) 415-0535Barbara. [email protected]. Nuclear Regulatory Commission11555 Rockville PikeMail Stop: P1 A4Rockville, MD 20852

Any modifications to the statement of work, cost, or period of performance of this delivery order must be issued by theContracting Officer and will be coordinated by the Project Officer.

(b) Performance of the work under this contract is subject to the technical direction of the NRC project officer. Theterm "technical direction" is defined to include the following:

(1) Technical direction to the contractor which shifts work emphasis between areas of work or tasks, authorizestravel which was unanticipated in the Schedule (i.e., travel not contemplated in the Statement of Work (SOW) orchanges to specific travel identified in the SOW), fills in details, or otherwise serves to accomplish the contractual SOW.

(2) Provide advice and guidance to the contractor in the preparation of drawings, specifications, or technicalportions of the work description.

(3) Review and, where required by the contract, approval of technical reports, drawings, specifications, andtechnical information to be delivered by the contractor to the Government under the contract.

(c) Technical direction must be within the general statement of work stated in the contract. The project officer doesnot have the authority to and may not issue any technical direction which:

(1) Constitutes an assignment of work outside the general scope of the contract.

(2) Constitutes a change as defined in the "Changes" clause of this contract.

(3) In any way causes an increase or decrease in the total estimated contract cost, the fixed fee, if any, or the timerequired for contract performance.

(4) Changes any of the expressed terms, conditions, or specifications of the contract.

Page 17


(5) Terminates the contract, settles any claim or dispute arising under the contract, or issues any unilateral directivewhatever.

(d) All technical directions must be issued in Writing by the project officer or must be confirmed by the project c,{l•er inwriting within ten (10) working days after verbal issuance. A copy of the written direction must be furnished to thecontracting officer. A copy of NRC Form 445, Request for Approval of Official Foreign Travel, which has received finalapproval from the NRC must be furnished to the contracting officer.

(e) The contractor shall proceed promptly with the performance of technical directions duly issued by the projectofficer in the manner prescribed by this clause and within the project officer's authority under the provisions of thisclause.

(f) If, in the opinion of the contractor, any instruction or direction issued by the project officer is within one of thecategories as defined in paragraph (c) of this section, the contractor may not proceed but shall notify the contractingofficer in writing within five (5) working days after the receipt of any instruction or direction and shall request thecontracting officer to modify the contract accordingly. Upon receiving the notification from the contractor, the contractingofficer shall issue an appropriate contract modification or advise the contractor in writing that, in the contracting officer'sopinion, the technical direction is within the scope of this article and does not constitute a change under the "Changes"clause.

(g) Any unauthorized commitment or direction issued by the project officer may result in an unnecessary delay in thecontractor's performance and may even result in the contractor expending funds for unallowable costs under thecontract.

(h) A failure of the parties to agree upon the nature of the instruction or direction or upon the contract action to betaken with respect thereto is subject to 52.233-1 -Disputes.

(i) In addition to providing technical direction as defined in paragraph (b) of the section, the project officer shall:

(1) Monitor the contractor's technical progress, including surveillance and assessment of performance, andrecommend to the contracting officer changes in requirements.

(2) Assist the contractor in the resolution of technical problems encountered during performance.

(3) Review all costs requested for reimbursement by the contractor and submit to the contracting officerrecommendations for approval, disapproval, or suspension of payment for supplies and services required under thiscontract.

(4) Assist the contractor in obtaining the badges for the contractor personnel.

(5) Immediately notify the Security Branch, Division of Facilities and Security (SB/DFS) (via e-mail) when acontractor employee no longer requires access authorization and return of any NRC issued badge to SB/DFS withinthree days after their termination.

(6) Ensure that all contractor employees that require access to classified Restricted Data or National SecurityInformation or matter, access to sensitive unclassified information (Safeguards, Official Use Only, and Proprietaryinformation) access to sensitive IT systems or data, unescorted access to NRC controlled buildings/space, orunescorted access to protected and vital areas of nuclear power plants receive approval of SB/DFS prior to access inaccordance with Management Directive and Handbook 12.3.

(7) For contracts for the design, development, maintenance or operation of Privacy Act Systems of Records, obtainfrom the contractor as part of closeout procedures, written certification that the contractor has returned to NRC,transferred to the successor contractor, or destroyed at the end of the contract in accordance with instructions provided

Page 18


by the NRC Systems Manager for Privacy Act Systems of Records, all records (electronic or paper) which were created,compiled, obtained or maintained under the contract.

B.11 GREEN PURCHASING (JUN 2011)

(a) In furtherance of the sustainable acquisition goals of Executive Order 13514, "Federal Leadership inEnvironmental, Energy, and Economic Performance" products and services provided under this contract/ordershall be energy- efficient (Energy Star or Federal Energy Management Program (FEMP) designated),water-efficient, biobased, environmentally preferable (e.g., Electronic Product Environmental Assessment Tool(EPEAT) certified), non-ozone depleting, contain recycled content, or are non-toxic or less toxic alternatives,where such products and services meet agency performance requirements.http://www.fedcenter.qov/proqramsleo13514/

(b) The contractor shall flow down this clause into all subcontracts and other agreements that relate to performance ofthis contract/order.

B.12 BILLING INSTRUCTIONS

General: During performance and through final payment of this contract, the contractor is responsible for the accuracyand completeness of data within the Central Contractor Registration (CCR) database and for any liability resulting fromthe Government's reliance on inaccurate or incomplete CCR data.

The contractor shall prepare invoices/vouchers for payment of deliverables identified in the contract, in the mannerdescribed herein. FAILURE TO SUBMIT INVOICESNOUCHERS IN ACCORDANCE WITH THESE INSTRUCTIONSMAY RESULT IN REJECTION OF THE INVOICENOUCHER AS IMPROPER.

Standard Forms: Payment requests for completed work, in accordance with the contract, shall be submitted on thepayee's letterhead, invoice/voucher, or on the Government's Standard Form 1034, "Public Voucher for Purchases andServices Other than Personal," and Standard Form 1035, "Public Voucher for Purchases Other thanPersonal--Continuation Sheet."

Electronic Invoice/Voucher Submissions: The preferred method of submitting invoices/vouchers is electronically tothe U.S. Department of the Interior's National Business Center, via email to: NRCPayments NBCDenver(a NBC.gov.

Hard-Copy InvoiceNoucher Submissions' If you submit a hard-copy of the invoice/voucher, a signed original andsupporting documentation shall be submitted to the following address:


Purchase of Capital Property: ($50,000 or more with life of one year or longer)

Contractors must report to the Contracting Officer, electronically, any capital property acquired with contract fundshaving an initial cost of $50,000 or more, in accordance with procedures set forth in NRC Management Directive (MD)13.1, IV, C - "Reporting Requirements" (revised 2/16/2011).

Agency Payment Office: Payment will continue to be made by the office designated in the contract in Block 12 ofStandard Form 26, Block 25 of Standard Form 33, or Block 18a of Standard Form 1449, whichever is applicable.

Page 19

GS25F0030M NRC-HQ-13-F-10-0014

Frequency: The contractor shall submit invoices/vouchers for payment once each month, unless otherwise authorizedby the Contracting Officer.

Format: invoicesNouchers shall be submittecu in the format depicted on the attached sample form entitied"InvoiceNoucher for Purchases and Services Other Than Personal". Alternate formats are permissible only if :heyaddress all requirements of the Billing Instructions. The instructions for preparation and itemization of theinvoice/voucher are included with the sample form.

Task Order Contracts: The contractor must submit a separate invoice/voucher for each individual task order withpricing information. This includes items discussed in paragraphs (a) through (p) of the attached instructions. Inaddition, the invoice/voucher must specify the contract number, and the NRC-assigned task/delivery order number.

Final vouchers/invoices shall be marked "FINAL INVOICE" or "FINAL VOUCHER".

Currency: InvoicesNouchers must be expressed in U.S. Dollars.

Supersession: These instructions supersede previous Billing Instructions for Fixed-Price Type Contracts (June 2008).

INVOICEIVOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL(SAMPLE FORMAT - COVER SHEET)

1. Official Agency Billing Office


2. Invoice/Voucher Information

a. Payee's DUNS Number or DUNS+4. The Payee shall include the Payee's Data Universal Number (DUNS) orDUNS+4 number that identifies the Payee's name and address. The DUNS+4 number is the DUNS number plus a4-character suffix that may be assigned at the discretion of the Payee to identify alternative Electronic Funds Transfer(EFT) accounts for the same parent concern.

b. Payee's Name and Address. Show the name of the Payee as it appears in the contract and its correct address.Where the Payee is authorized to assign the proceeds of this contract in accordance with the clause at FAR 52.232-23,the Payee shall require as a condition of any such assignment, that the assignee shall register separately in the CentralContractor Registration (CCR) database at http://www.ccr.gov and shall be paid by EFT in accordance with the terms ofthis contract. See Federal Acquisition Regulation 52.232-33(g) Payment by Electronic Funds Transfer - CentralContractor Registration (October 2003).

c. Contract Number. Insert the NRC contract number (including Enterprise-wide Contract (EWC)), GSA FederalSupply Schedule (FSS), Governmentwide Agency Contract (GWAC) number, or Multiple Agency Contract (MAC)number, as applicable.

d. Task Order Number. Insert the task/delivery order number (If Applicable). Do not include more than one taskorder per invoice or the invoice may be rejected as improper.

e. InvoiceNoucher. The appropriate sequential number of the invoice/voucher, beginning with 001 should bedesignated. Contractors may also include an individual internal accounting number, if desired, in addition to the 3-digitsequential number.

Page 20


f. Date of InvoiceNoucher. Insert the date the invoice/voucher is prepared.

3iliina Period. Insert the beginning and ending dates. (day, month., \ear) of the period during which deiiv-'_s.were completed and for which payment is requested.

h. Description of Deliverables. Provide a brief description of suppiies or services, quantity, unit price, and to-a; price.

i. Work Completed. Provide a general summary description of the services performed or products submitted for theinvoice period and specify the section or Contract Line Item Number (CLIN) or SubCLIN in the contract pertaining to thespecified contract deliverable(s).

j. Shipping. Insert weight and zone of shipment, if shipped by parcel post.

k. Charges for freight or express shipments. Attach prepaid bill if shipped by freight or express.

I. Instructions. Include instructions to consignee to notify the Contracting Officer of receipt of shipment.

m. For Indefinite Delivery contracts, the final invoice/voucher shall be marked FINAL INVOICE" or "FINAL VOUCHER".

n. Total Amount Billed. Insert columns for total amounts for the current and cumulative periods.

o. Adiustments. Insert columns for any adjustments, including outstanding suspensions for deficient or defectiveproducts or nonconforming services, for the current and cumulative periods.

p. Grand Totals.

Page 21

Nuclear Regulatory Commission11555 Rockville Pike, Supply Room: O-P1-C12R -ckville, MD 20852ATTN: Supply Room Receiver

Order Form

Person Placing Order / Telephone NumberJoAnne Thweatt 301-415-0187

Fax Back Number / Attention301-415-3420 JoAnne Thweatt

Call #:

Konica Minolta Business Solutions1595 Spring Hill Rd. Ste 410Vienna, VA 22182

CONTRACT#: NRC-HQ-13-F-10-0014

Qty Unit Description NRC # KM # Price CostJC: 2334

lea Staples, C550, 750, 920 copiers 751000NRC0060X 4448121 MS5C I

leaJ Staples, Biz Hub 420 copier 1751000NRC0061X 14623361 MS5D 1JC: 2350

ea Toner, black, Konica C550 685000NRC0120X A070130 TN61 1K

ea Toner, yellow, Konica C550 685000NRC0121X A070230 TN611Yea Toner, magenta, Konica C550 685000NRC0122X A070330 TN611M

ea Toner, cyan, Konica C550 685000NRC0123X A070430 TN611Cea Image unit, black, Konica C550 685000NRC0124X A06003F IU610K

ea Image unit, yellow, Konica C550 685000NRC0125X A06007F IU610Y

ea Image unit, magenta, Konica C550 685000NRC0126X A0600DF IU610M

ea Image unit, cyan, Konica C550 685000NRC0127X A0600JF IU610C

ea Waste toner box, C550 685000NRC0134X AOATWY0

ea Fusing unit, C550 685000NRC0135X AOOJR72100ea Transfer belt unit, C550 685000NRC0136X AOOJR71400

ea Transfer roller unit, C550 1685000NRC0137X AOOJR71500 I I

lea ]Toner, Biz Hub 420 copier ]685000NRC0128X 1024E TN511 I I

lea Developer, Biz Hub 420 copier 1685000NRC0129X 1024G DV51 I Iea Toner, Biz Hub 750 copier 685000NRC0130X 102XJ TN710ea Developer, Biz Hub 750 copier 685000NRC0131X 102XK D\/710

ea Maintenance kit, Biz Hub 750 685000NRC0138X 157AEPM25

ea Drum, Konica 750 copier 102XL

ea Toner, Biz Hub 920 copier 685000NRC0132X 022J TN910

ea Developer, Biz Hub 920 copier 685000NRC0133X 022B DV910

ea Maintenance kit, Biz Hub 920 685000NRC0139X 57GAPM50

ea Drum, Konica 920 copier 022H

lea IToner, Biz Hub 161F serial #50007883 (O TN113 I

TOTAL:

ATTACHMENT A

Documents

Delivery Order No. NRC-HQ-13-F-10-0014. · ADM-13-015 NRC-I-Q-13-F-10-0014 FAIMIS: 130147 b STREET ADDRESS 5 ... KONICA MINOLTA BUSINESS SOLUTIONS U.S.A., INC. 8. TYPE OF ORDER b