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EX-10.(GG) 4 dex10gg.htm AGMT. BETWEEN U.S. DEPARTMENT OF DEFENSE AND HUMANA MILITARY HEALTHCARE SERVICES Agmt. between U.S. Department of Defense and Humana Military Healthcare Services

Exhibit 10(gg)

 

AWARD / CONTRACT   

PAGE

1

              
1.  

THIS CONTRACT IS A RATED ORDER

Under DPAS (15 CFR 700)

   Rating    C9E          
2.  

CONTRACT (Proc., Inst., Ident.) No.

MDA906-03-C-0010

3.  

EFFECTIVE DATE

1 September 2003

4.  

REQUISITION/PURCHASE REQUEST/PROJECT NO.

03-PRO-0096

                   
5.   ISSUED BY    CODE         CMD     
    Department of Defense                    
    TRICARE Management Activity                    
    16401 East Centretech Parkway                    
    Aurora, Colorado 80011-9066                    
    ***@*** (303 ###-###-####)                    
6.   ADMINISTERED BY (If other than Item)    CODE         CMD     
    Stephen Griffin                    
    Contracting Officer                    
    303 ###-###-####                    
    ***@***                    
7.   NAME AND ADDRESS OF CONTRACTOR (No., Street, City, State and ZIP Code)
    Humana Military Healthcare Services, Inc.                    
    500 West Main Street                    
    PO Box 740062                    
    Louisville, Kentucky 40202-1438                    
    Vendor ID:                    
    DUNS:                    
    CEC:                    
    Cage Code:                    
    TIN :                    
8.   DELIVERY                    
                 FOB ORIGIN                                  OTHER (See Below)                    
9.   DISCOUNT FOR PROMPT PAYMENT                    
    Net 30                    
10.   SUBMIT INVOICES                    
    (4 copies unless other-                    
    wise specified) Address                    
    Shown In: Section G                    


CODE   

FACILITY CODE

              
11.    SHIP TO/MARK FOR    CODE ZD06          
    

Department of Defense

TRICARE Management Activity

16401 East Centretech Parkway

AURORA CO 80011-9066

              
12.    PAYMENT WILL BE MADE BY         CODE            RMF
     See Section G               
13.    AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:               
             10 U.S.C. 2304 (c) (            )            41 U.S.C. 253(c) (            )               
14.   

ACCOUNTING AND APPROPRIATION DATA

9703030130.1889.102000

(CLINs 0001 and 0002 obligated)

              
15A.    ITEM NO.               
15B.    SUPPLIES/SERVICES               
    

South Contract see Schedule B

Note: Total amount in block 15G includes Base Period plus all Option periods

              
                     
15C.   

QUANTITY

              
15D.    UNIT               
15E.    UNIT PRICE               
15F.    AMOUNT               
15G.    TOTAL AMOUNT OF CONTRACT    $                                     
16.    TABLE OF CONTENTS               
(X)   Sec.   Description   Pages          
Part I – THE SCHEDULE              
X   A   Solicitation/Contract   1          
X   B   Supplies or Services and Prices/Cost   B1-B7          
X   C   Description/Specs/Work Statement   C1-C11          
X   D   Packaging and Marking   D-1          
X   E   Inspection and Acceptance   E-1          
X   F   Deliveries or Performance   F1-F5          
X   G   Contract Administration Data   G1-G4          
X   H   Special Contract Requirements   H1-H22          
Part II – CONTRACT CLAUSES          
X   I   Contracts Clauses   I1-I11          
Part III – LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.          
X   J   List of Attachments   J-1          


Part IV – REPRESENTATIONS AND INSTRUCTIONS
    K   Representations, Certifications and other Statements of Offerors
    L   Instrs., Conds, and Notices to Offerors
    M   Evaluation Factors for Award
       

Contracting Officer will complete item 17 or 18 as applicable

17. X CONTRACTOR’S NEGOTIATED AGREEMENT (Contractor is required to sign this document and return     1     copies to issuing office.) Contractor agrees to furnish and deliver all items or perform all the services set forth or otherwise identified above and on any continuation sheets for the consideration stated herein. The rights and obligation of the parties to this contract shall be subject to and governed by the following documents: (a) this award/contract, (b) the solicitation, if any, and (c) such provisions, representations, certifications, and specifications, as are attached or incorporated by reference herein. (Attached are listed herein.)
18.             AWARD (Contractor is not required to sign this document.)
      Your offer on Solicitation number                              including the additions or changes made by you which additions or changes are set forth above, is hereby accepted as to the items listed above and on any continuation sheets. This award consummates the contract which consists of the following documents: (a) the Government’s solicitation and your offer, and (b) this award/contract. No further contractual document is necessary.
19A.   Name and Title of Signer (Type or Print)
    David J. Baker
    President and CEO
19B.   NAME OF CONTRACTOR
    By:  

/S/ David J. Baker


        (Signature of person authorized to sign)
19C.   Date Signed
    8/25/03
20A.   NAME OF CONTRATING OFFICER
    BRUCE MITTERER ###-###-####
    ***@***
20B.   UNITED STATES OF AMERICA
    By:  

/S/ Bruce Mitterer


        (Signature of Contracting Officer)
20C.   Date Signed
    8/27/03

 

NSN 7540-01-152-8069

  STANDARD FORM 26 (REV. 4-85)
PREVIOUS EDITION UNUSABLE   Prescribed by GSA – FAR (48 CFR) 53.214(a)