AAU0027583 - MEDICAL SUPPLIES II

MANITOBA REFERENCE NUMBER: MB-MBPB-AAU-00114

ISSUING DEPARTMENT: Procurement Services Branch

DATE ISSUED: 26/06/2020
ISSUED BY: J Youdeowei
TELEPHONE: 204 945-6346


The following is a Request for Quotation for approximately 2-year term
contract for Materials Distribution Agency (MDA), Government of Manitoba
for the term of August 10, 2020 to May 31, 2022.

MDA reference #0800000619 - MDA, MEDICAL SUPPLIES.

NOTE: It is important that you read the "Terms & Conditions" at the end
of this document, prior to commencing this RFQ, as they contain specific
instructions which may impact your ability to submit a quotation.

These goods are for "RESALE" and therefore "GST & PST EXEMPT". MDA's
PST number is 085981-9 and GST number is 107863847.

ASSOCIATED COMPONENTS:
The Request for Quotation documents are now "free-of-charge" and can be
downloaded from MERX. The official MERX document will be considered a
valid bid. Printed abstracts from the MERX website will not be accepted
and rejected. To obtain the official RFQ document please follow the
"Associated Components: Preview/Order" link at the top of this page.

GENERAL TERMS & CONDITIONS:
Bidders must "login" to MERX to access the General Terms & Conditions
which apply to this RFQ, in addition to those shown below. After
"login" follow the links: Information -> Government Publications ->
Manitoba Terms and Conditions -> Request for Quotation.


SUBMISSION TERMS AND CONDITIONS:
The Bid MUST be signed by a representative of the Bidder with the
authority to bind the Bidder. The name and title of the representative
signing the Bid should also be printed below their signature.

Bids MUST be received at the Submission Address no later than the
closing date and time.

ELECTRONIC SUBMISSION (BY EMAIL OR FAX): Bids submitted by email should
include the solicitation number and the bidder's name in the subject
line and should be sent in PDF format. Emails approaching 40 Megabytes
in size may be rejected by Manitoba's email system. Upon submitting a
Bid by email, Bidders will receive a reply email confirming that
Manitoba has received the Bid. Bidders not receiving a reply email
should contact Procurement & Supply Chain at 204-945-6361.

While Manitoba may allow for electronic bid submissions, the Bidder
acknowledges that electronic bid submissions are inherently unreliable.
The Bidder bears all risk associated with submitting its Bid by
electronic submission, including but not limited to delays in
transmission between the bidder's computer or fax machine and Manitoba's
email system or fax machine.

It is the bidder's sole responsibility to ensure that their Bid and all
attachments are received at the Submission Address before the closing
date and time. Bids received after the closing date and time will be
rejected.

Vendor's e-mail address: (if available) ____________________

Quantity clarification - quantity listed contains 2 or 3 decimals

CLARIFICATION / INQUIRIES:
It is the Bidder's responsibility to clarify interpretation of any item
of the RFQ document before the RFQ closing date.

For tender inquiries, submission information, enquiries, clarification
and/or additional information regarding any aspect of the products may
be sent by either telephone or e-mail and to be directed only to the
individual specified below:

JOSEPHINE YOUDEOWEI
PROCUREMENT OFFICER
Telephone: (204)945-6346
Facsimile: (204)945-1455
E-mail: Josephine.Youdeowei@gov.mb.ca

Please Note:
Bidders may verify delivery of their facsimile quote by contacting our
general inquiry line at (204)945-6361.

FOB/FREIGHT:
To be delivered FOB DESTINATION FREIGHT PREPAID to:
MATERIALS DISTRIBUTION AGENCY
RECEIVING DOOR #10
1715 ST. JAMES STREET
WINNIPEG, MANITOBA, R3H 1H3

The unit prices quoted above shall include all necessary charges,
freight, insurance, handling etc. to show a total landed cost. If any
charges are not included please explain in detail any/all charges which
will be extra to the unit prices quoted and will be charged on the
invoice.

Note: Manufacturer's name, location of manufacturer, brand name,
manufacture stock number, vendor stock number, and note all
environmental certifications on each item offered. Items not indicating
a brand name may not be considered.

If you are quoting on an in-house brand, please specify the
manufacturer's name providing product to your company. Brand names
shown represent products approved for purchase to date.

Alternate brands may be considered but may require testing and
evaluation by MDA. Acceptance of new product brand(s) will be at MDA'S
discretion.

Failure to provide adequate information to evaluate the item offered may
be cause for rejection of your quote by the Manitoba government
(Manitoba).

The lowest price on any item will not necessarily be accepted.

How do you prefer to receive the purchase orders from MDA by
email__________ or fax_______________

Quantity clarification: Quantity listed contains 2 or 3 decimals.

_________________________________________________________________________
ITEM QTY DESCRIPTION DELIVERY
NO. DATE

========================================================
ITEM 10 31/05/2022
200.000 Bottle GSIN: N8960MATERIAL: 3014
WATER, DISTILLED, 4 LITRE,
ALPINE 4 LI, STEVENS #552-903823, SOURCE #5-2100
A) MINIMUM RELEASE QUANTITY: 16

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 20 31/05/2022
96.000 Bottle GSIN: N6810MATERIAL: 5405
ALCOHOL, RUBBING, 500 ML BOTTLE,
ATLAS INC #918005, MEDICAL MART #726918005
A) MINIMUM RELEASE QUANTITY: 8

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 30 31/05/2022
10.000 Can GSIN: N9150MATERIAL: 5684
LUBRICANT, INSTRUMENT, NON-SILICONE, AEROSOL, 8 OZ (0.24L), PUMP BOTTLE,
PRE-MIXED, ANTI-CORROSIVE, STEAM PERMEABLE, WATER SOLUBLE, PREVENTS
SPOTTING, STAINING AND RUSTING,
MILTEX #3-700, STEVENS #162-3-700
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 40 31/05/2022
2.00 Each GSIN: N6135MATERIAL: 17126
BATTERY, RECHARGEABLE, FLAT NO LIP, FOR DIAGNOSTIC SET, 3.5V, S3Z,
STEVENS #X-002.99.314
A) MINIMUM RELEASE QUANTITY: 1


B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 50 31/05/2022
220.00 Each GSIN: N7210MATERIAL: 25193
BLANKET, MULTI FIBRE, 61 IN X 85 IN, COLOR GREY,
SAFECROSS #26154, CARDINAL HEALTH #SA26154
A) MINIMUM RELEASE QUANTITY: 18

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.
.


========================================================
ITEM 60 31/05/2022
180.00 Each GSIN: N6515MATERIAL: 27497
PENLIGHT, DISPOSABLE, DIAGNOSTIC, (BULK PKG 6 EA/PKG),
NORTHLAND #161-14030, AARON #PR06666, ALMEDIC #52-2010, AARON #30968-010
A) MINIMUM RELEASE QUANTITY: 18

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 70 31/05/2022
10.00 Each GSIN: N6515MATERIAL: 27498
SPHYGMOMANOMETER, BLOOD PRESSURE TESTER, ANEROID, STANDARD, ADULT SIZE,
NON-STICKING DIAL TYPE, NO SUBSTITUTE ON QUALITY,
SOURCE #2-0651, BAXTER CORP #30500-010, MABIS #01-140-011,
AMG #106-300, IMCO #72-140-011
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 80 31/05/2022
4.00 Each GSIN: N6515MATERIAL: 27499
SPHYGMOMANOMETER, BLOOD PRESSURE TESTER, ANEROID, STANDARD, CHILD SIZE,
ALMEDIC #14-2030 (J-414), AMG #106-304, STEVENS #809-LM153-C,
MABIS #380-01-140-015
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 90 31/05/2022
10.00 Each GSIN: N6515MATERIAL: 27500
STETHOSCOPE, NURSE AND RESIDENT,
ALMEDIC #10-1010, STEVENS #809-LM210, MABIS #10-422-010, AMG #108-404
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 100 31/05/2022
12.00 Each GSIN: N6515MATERIAL: 27501
SPHYGMOMANOMETER, BLOOD PRESSURE TESTER,ANEROID, STANDARD, OBESE SIZE,
ALMEDIC #14-2060, MABIS #01-140-016, AMG #106-302
(STEVENS #635-106-302)
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 110 31/05/2022
10.00 Each GSIN: N6515MATERIAL: 27504
BULB, REPLACEMENT, LATEX BAUM, SPHYGMOMANOMETER,
WELCH ALLYN #5086-01, MEDIGAS #AG16-3400, MABIS #05-288-020,
AMG MEDICAL #106-790, STEVENS #635-106-790
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 120 31/05/2022
2.00 Each GSIN: N6515MATERIAL: 27506
STETHOSCOPE, SINGLE BELL BLOOD PRESSURE, SINGLE TUBING, LITTMAN CLASS 11
, 28 IN LONG, GREY,
3M #2203, AMG #108-180, MABIS #10-404-020
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 130 31/05/2022
30.000 Pair GSIN: N6515MATERIAL: 27518
FORCEPS, DRESSING, TWEEZER TYPE, STRAIGHT, STAINLESS STEEL, 5 IN,
NON-DISPOSABLE,
ALMEDIC #P-212, I&B #M6-12, A.M.G. #635-570-504, BARIK #P212
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 140 31/05/2022
192.000 Pair GSIN: N6515MATERIAL: 27519
SCISSORS, BANDAGE, 5 1/2 IN, NON-DISPOSABLE,
ALMEDIC #P14, (STEVENS #197-P-14), AMG #570-308, (STEVENS #635-570-308)
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 150 31/05/2022
30.000 Pair GSIN: N6515MATERIAL: 27520
SCISSORS, IRIS, HEAVYWEIGHT, STRAIGHT, 4 1/2 IN, NON-DISPOSABLE,
BAXTER CORP #VHS8145, ALMEDIC #P-118
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 160 31/05/2022
624.000 Pair GSIN: N6515MATERIAL: 27523
SCISSORS, METAL, DISPOSABLE, SHARP/BLUNT, STERILE, INDIVIDUALLY WRAPPED,
IN A PEEL OPEN POUCH, 4 1/2 IN LONG, (BULK PKG 50 PR/CS),
SOURCE #85-4202, NATIONAL HEALTHCARE PRODUCT #119316A (100/CS)
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 170 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 27525
HANDLE, SCALPEL, #3,
ALMEDIC #P-800
A) MINIMUM RELEASE QUANTITY: 1
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 180 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 27526
HANDLE, SCALPEL, # 4, P-810,
ALMEDIC (P810), BARIK MEDICAL #M36-0120
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 190 31/05/2022
150.00 Each GSIN: N6515MATERIAL: 27550
TAPE, MEASURING, CLOTH, ROTARY,COMBINATION,152 CM TO 200 CM (60 TO 78
IN) LONG, 1/4 IN WIDE, (BULK PKG 10/BOX),
AMG # 116-860, ALMEDIC # 58-6150
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 200 31/05/2022
100.00 Each GSIN: N6515MATERIAL: 27741
TUBE, FEEDING, STERILE, 8 FRENCH, 15 IN LG (INFANT), STRAIGHTIN PACKAGE,
(100 EACH PER CASE),
CARDINAL HEALTH #54-8015
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 210 31/05/2022
100.000 Foot GSIN: N6515MATERIAL: 27744
TUBING, SURGICAL, LATEX, 5/16 IN ID 1/16 IN WALL, (BULK PKG 50 FT/RL),
KENT # 1004R (STEVENS #394-1004R), BAXTER # 17620-063, SOURCE # 6-0191
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 220 31/05/2022
2.000 Box GSIN: N6515MATERIAL: 27745
TUBE, STOMACH, RADIOPAQUE, LEVIN TYPE, STERILE, 12 FRENCH X 50 IN LONG,
50/BX, MEDI-CRAFT #100-132, MED-RX #56-6012, NO SUB ON QUALITY
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 230 31/05/2022
300.00 Each GSIN: N6515MATERIAL: 27747
TUBE, FEEDING, STERILE, 5 FRENCH, 15 IN LG (PREMATURE INFANT), STRAIGHT
IN PACKAGE, (BULK PKG 100 EA/CASE),
MEDITRON (MEDI-CRAFT) LTD #54-5015R
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 240 31/05/2022
50.000 Foot GSIN: N6515MATERIAL: 27750
TUBING, SURGICAL, LATEX, 1/4 IN I.D., 1/16 IN WALL, (BULK PKG 50 FT/RL),
KENT #804R, SOURCE #17615-094
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 250 31/05/2022
50.00 Each GSIN: N6515MATERIAL: 27779
TUBE, FEEDING, STERILE, 8 FRENCH, 42 IN LONG, COILED IN PACKAGE,
(BULK PKG 50 EA/CASE), NO SUB. ON QUALITY
CARDINAL #54-8042
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 260 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 27834
BAG, LEG, URINARY, LATEX, REUSABLE, 32 OZ CAPACITY, DURABLE SEAMLESS
CONSTRUCTION, EASY CLEANING AND MAINTENANCE, REMOVABLE ANTI-REFLUX VALVE
PREVENTS BACK FLOW AND BLADDER DISTENTION, THREE LATEX LEG STRAPS
INCLUDED, DRAIN VALVES ARE INTERCHANGABLE WITH OTHER UROCARE DRAIN
VALVES, CLEAN CONTROLLED DRAINAGE, SIZE LARGE, 42.5 CM X 12.1 CM (16 3/4
IN X 4 3/4 IN),
UROCARE #9532, STEVENS #992-9532
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 270 31/05/2022
150.00 Each GSIN: N6515MATERIAL: 27847
CONNECTOR, REDUCER, RIBBED, TAPERED, 3/8 IN TO 3/16 IN, (BULK PKG 10
EA/BX),
SIMS #711300, CARDINAL #P350
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 280 31/05/2022
300.000 Box GSIN: N6515MATERIAL: 27920
MASK, FACE, SURGICAL/PROCEDURE, DISPOSABLE, PAPER, PLEATED, 2 PLY,
LIGHTWEIGHT, NO NOSE PLATE, ELASTIC EAR LOOP DESIGN, WHITE, 100/BX,
AMG #018-230, NORTHLAND #112, BAXTER #47110-010
A) MINIMUM RELEASE QUANTITY: 25

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 290 31/05/2022
60.000 Case GSIN: N6515MATERIAL: 27924
GOWN, ISOLATION, PAPER, 50/CS,
AMG #18-300, STEVENS #635-018-300, NO SUB. ON QUALITY
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 300 31/05/2022
1.000 Bottle GSIN: N6515MATERIAL: 28060
POWDER, PROTECTIVE, 28.3 G (10 OZ), COMPOSED OF GELATIN, PECTIN, AND
SODIUM CARBOXYMETHYLCELLULOSE, PERFORMS A PROTECTIVE BARRIER AGAINST
EXCORIATING DISCHARGE ON WEEPING AREAS,
CONVATEC (STOMAHESIVE) #025510
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 310 31/05/2022
850.00 Each GSIN: N6510MATERIAL: 28646
SWABSTICK, POVIDONE IODINE, STERILE, INDIVIDUALLY WRAPPED, (BULK PKG 50
EA/BOX),
TRIAD #10-4101, (STEVENS #677-10-4101), SOURCE #23405-015, MEDICAL MART
(DYNAREX) #819 1201, MEDICAL MART #669 S42050
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 320 31/05/2022
100.000 Package GSIN: N6510MATERIAL: 28652
SWABSTICK, ORAL RELIEF, PREMOISTENED, LEMON-CLYCEROL, 3 PER PKG (BULK
PKG 25 PER BOX, 10 BOXES PER CASE),
TRIAD #10-4003 (23388-010), SOLRAY KINGSWOOD MOR STIR #165-101, CARDINAL
HEALTH #MDS090600
A) MINIMUM RELEASE QUANTITY: 25

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 330 31/05/2022
320.000 Box GSIN: N6510MATERIAL: 28657
APPLICATOR, PLAIN TIP, NONSTERILE, WOOD STICK, 6 IN, 1000/BOX,
INNOVATEK #4202-40-500
A) MINIMUM RELEASE QUANTITY: 30

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 340 31/05/2022
4,200.00 Each GSIN: N6515MATERIAL: 28687
TOP, COVER, TOILET, MEASURE WITH LID, 800 ML (28 OZ),
STADCO #6001 (858-4006), KENDALL #2500SA
A) MINIMUM RELEASE QUANTITY: 300

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 350 31/05/2022
168.00 Each GSIN: N6515MATERIAL: 28690
URINAL, MALE, GRADUATED PLASTIC, REUSABLE, AUTOCLAVABLE, WITH COVER AND
HANGING HANDLE, BLUE, 10 IN X 4 IN, 1000 CC (1 QT), (BULK PKG 12/CS),
VOLLRATH #00095, BAXTER #13557, CHAMPION #6091, POLARWARE #PA-90
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 360 31/05/2022
600.000 Package GSIN: N6515MATERIAL: 28738
CUP, MEDICINE, PILL, PLASTIC, DISPOSABLE, 30 ML (1 OZ) PORTION SIZE,
GRADUATIONS IN ML, FL OZ, DRAMS, TBSP, 100 EA/PACKAGE, (BULK PKG 5,000
EA/CASE),
STADCO #S2008, CARDINAL HEALTH #SM2008, NO SUBSTITUTE
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 370 31/05/2022
3,200.000 Box GSIN: N6515MATERIAL: 28787
WIPE, SWAB, PREP, ISOPROPYL, ALCOHOL 70%, MEDIUM, 2 PLY,(3 CM X 5 CM)
200/BX, (BULK PKG 20 BX/CS),
NICE-PAK PDI #B05507
A) MINIMUM RELEASE QUANTITY:260

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 380 31/05/2022
60.000 Package GSIN: N6515MATERIAL: 28794
SPECULA, OTOSCOPE, DISPOSABLE, ADULT, 4 MM, TO FIT HEINE, 50/PKG, 25
PKGS/BAG (1000 EA/BAG),
HEINE #H01-B-11.127
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 390 31/05/2022
1,500.00 Each GSIN: N6515MATERIAL: 28796
TOURNIQUET, LATEX, 1 IN WIDE X 18 IN LG X .025 T, NO SUB. ON QUALITY
DONAVAN #520-LXS3206, (BAXTER #17599-010, 250/BX), #2-10,
BIO NUCLEAR DIS-039
A) MINIMUM RELEASE QUANTITY: 250

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 400 31/05/2022
14.000 Case GSIN: N8125MATERIAL: 36996
CONTAINER, SHARPS WASTE, 10.3 LITRE, 12/CASE,
BECTON DICKINSON #300452, FISHER #14-826-143, VWR #CABD300452
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 410 31/05/2022
45.00 Each GSIN: N6515MATERIAL: 39003
TUBE, CONNECTING, NON-CONDUCTIVE, SURE GRIP FEMALE MOLDED CONNECTORS,
STERILE, INDIVIDUALLY PACKAGED, 1/4 IN LUMEN X 6 FT LENGTH, 45/CASE,
CARDINAL #PN66A
A) MINIMUM RELEASE QUANTITY: 45

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 420 31/05/2022
168.00 Each GSIN: N8465MATERIAL: 40293
BLANKET, EMERGENCY, RESCUE, METALLIC, 140 CM X 210 CM (56 IN X 84 IN)
USED IN FIRST AID KIT,
AMG #118-740
A) MINIMUM RELEASE QUANTITY: 14

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 430 31/05/2022
110.000 Box GSIN: N6508MATERIAL: 41587
PROTECTANT, SKIN BARRIER, FILM AGAINST BODY FLUIDS (INCONTINENCE),
NO STING, ALCOHOL FREE, 1.0 ML (.035 OZ) WIPE, 25 PER BOX,
3M #3344
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 440 31/05/2022
72.000 Bottle GSIN: N6508MATERIAL: 41887
PROTECTANT, SKIN BARRIER, FILM AGAINST BODY FLUIDS (INCONTINENCE),
NO STING, ALCOHOL FREE, 28 ML (.98 OZ) PUMP SPRAY BOTTLE,
12 PER BOX (BULK PACKAGE),
3M #3346
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 450 31/05/2022
48.000 Box GSIN: N6550MATERIAL: 44025
DEXTROSE, SALINE SOLUTION 0.9%, 5ML VIAL, FOR INHALATION USP, 100 VIALS
PER BOX,
SOURCE #SR0059C, ADDIPAK #200-59, STEVENS #0120059
A) MINIMUM RELEASE QUANTITY: 4

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 460 31/05/2022
12.000 Box GSIN: N6515MATERIAL: 44536
MASK, FACE, NON STERILE, LATEX FREE, BREATHABLE, FLUID RESISTANT FABRIC,
WITH POLYURETHANE HEADBAND, REGULAR SIZE, A SPECIALTY MASK USED FOR TB
AND ISOLATION PROTOCOLS, (FOR THE DEPARTMENT OF JUSTICE), COLOR YELLOW,
50 PER BOX, (BULK PACK 300 PER CASE), NO SUB ON QUALITY,
KIMBERLY CLARK (TECNOL PCM 2000) #47717 (SOURCE KC 47717)
A) MINIMUM RELEASE QUANTITY: 6

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 470 31/05/2022
720.000 Box GSIN: N6510MATERIAL: 44723
TOWELETTE, WIPE, ANTISEPTIC, NON WOVEN FABRIC, IMPREGNATED WITH 0.40%
BENZALKONIUM CHLORIDE, USE IN A NUMBER OF ANTISEPTIC APPLICATIONS AND
COMMONLY DURING THE CATHERIZATION PROCESS TO CLENSE THE AREA OF ENTRY OF
THE CATHETER, DRUG IDENTIFICATION #0555983, 100 PER BOX,
CARDINAL HEALTH #LP126-1
A) MINIMUM RELEASE QUANTITY: 60

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 480 31/05/2022
720.00 Each GSIN: N6515MATERIAL: 45256
CATHETER, EXTERNAL, MALE, STANDARD SIZE, 33 MM (1.3 IN), ONE PIECE, WITH
SOFT FOAM ADHESIVE STRAPS, REINFORCED FUNNEL END, 1 EACH PACKAGE, (BULK
PACKAGE 144 PER CASE),
KENDALL #8884-732300
A) MINIMUM RELEASE QUANTITY: 144

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 490 31/05/2022
144.00 Each GSIN: N6515MATERIAL: 47900
SET, EXTENSION, I.V. ADMINISTRATION, WITH MALE LUER LOCK ADAPTER, NO
INJECTION SITE, 30 IN LONG, 48 PER CASE,
BAXTER #2C5645
A) MINIMUM RELEASE QUANTITY: 48

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 500 31/05/2022
50.000 Box GSIN: N6515MATERIAL: 48031
ANCHORING DEVICE, LARGE, 4 IN X 1 1/2 IN, 50/BOX,
SOURCE MEDICAL #CON37449
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 510 31/05/2022
300.00 Each GSIN: N6515MATERIAL: 48034
CATHETER, SUCTION, STERI, WHISTLE TIP WITH CONTROL PORT ADAPTER, 14
FRENCH, 22 IN LONG, WITH GUIDE STRIP, 1 EA/PKG, (BULK PKG 100 PKG/BX),
BAXTER (ALLEGIANCE) #PT260C,
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 520 31/05/2022
168.00 Each GSIN: N8125MATERIAL: 48520
CONTAINER, SHARPS WASTE, 5.1 LITRE, COUNTER BALANCED DOOR, TRANSPORT
HANDLE, PUNCTURE RESISTANT CONSTRUCTION, SIDE ENTRY,
BECTON DICKINSON #300475
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 530 31/05/2022
108.00 Each GSIN: N6515MATERIAL: 52558
RESUSCITATOR, ADULT, SINGLE PERSON USE, DISPOSABLE, NON-STERILE, WITH
FACE MASK, OXYGEN TUBING, RESERVOIR BAG COMPLETE WITH TUBING AND
MEDIPORT,
AMBU SPUR 11 #520 211 000
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 540 31/05/2022
50.00 Each GSIN: N6515MATERIAL: 53795
TUBE, RECTAL, NON-STERILE, 24 FRENCH, 20 INCH, VINYL, PRE-LUBRICATED TIP
PACKAGED IN POLY BAG, 50 EACH/CASE,
CARDINAL #155731, STEVENS #102-155731
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 550 31/05/2022
150.00 Each GSIN: N6515MATERIAL: 56772
TUBE, SUCTION, SHATTER RESISTANT, SMOOTH TIPS AND EYES, ONE PIECE
CONSTRUCTION WITH TIP TROL VENT FOR BETTER SUCTION CONTROL, 50 PER CASE,
KENDALL (ARGYLE RIGID YANKAUER BULBOUS TIP) #8888505024
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 560 31/05/2022
1,400.00 Each GSIN: N7330MATERIAL: 57593
DISPENSER, CLEAR, ORAL, 20 ML, CALIBRATED IN ML'S AND TSP'S, TIPS
INCLUDED, LATEX FREE, ELIMINATES RISK OF DELIVERING ORAL MEDICATIONS
INTO IV LINES, ACCURATE, 100/PKG,
PHARMASYSTEMS (EXACTA-MED) #10220
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 570 31/05/2022
12.000 Case GSIN: N8960MATERIAL: 57616
WATER, STERILE, FOR IRRIGATION, LONG SHELF LIFE, 500 ML PLASTIC BOTTLE,
15 BOTTLES PER CASE,
BAXTER #JF7623P
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 580 31/05/2022
96.00 Each GSIN: N6505MATERIAL: 57638
GEL (DUODERM), LONG SHELF LIFE, 30 GM TUBE, (BULK PKG 3/BOX),
CONVATEC/SQUIBB STERILE #H-1879-87
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 590 31/05/2022
1,290.00 Each GSIN: N6515MATERIAL: 57658
STRIPS, FLEXIBLE, FOR ATTACHMENT OF MALE EXTERNAL CATHETERS, 120MM X 15
MM, 15/BOX,
CONVATEC/SQUIBB (URIHESIVE) #25542
A) MINIMUM RELEASE QUANTITY: 105

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 600 31/05/2022
100.00 Each GSIN: N6515MATERIAL: 57664
CATHETER, FOLEY, 2-WAY, LATEX, LIGHT DUTY SILICONE COATED, TWO DRAINAGE
EYES, STERILE, 16 FRENCH, 30 CC BALLOON, 1 EA/PKG, (BULK PKG 10 PKG/BX),
BAXTER #EFD0 170P, MENTOR #UC2316,
RUSCH (PURE GOLD) #180730160 OR 170330-16, BARD #123616
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 610 31/05/2022
144.00 Each GSIN: N6515MATERIAL: 57675
CATHETER, CONDOM, TEXAS, EXTERNAL, MALE, DISPOSABLE, FOR URINARY
DRAINAGE, WITH ADHESIVE FOAM STRIP, LATEX, 144/BX,
INTERMED IMAGYN #004002, TEXAS #4-730300,
MEDICAL MARKETING GROUP A407 (12 BX), WEST, TYCO #8884730300
A) MINIMUM RELEASE QUANTITY: 144

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 620 31/05/2022
350.00 Each GSIN: N6515MATERIAL: 57683
CATHETER, SUCTION, STERILE, WHISTLE TIP WITH CONTROL PORT ADAPTER, 8
FRENCH, 16 IN LONG, 1 EA/PKG, NO SUBSTITUTE,
AMSINO #189 AS362 (50 EA/BOX), CARDINAL HEALTH #D40108
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 630 31/05/2022
1,600.00 Each GSIN: N6515MATERIAL: 57684
CATHETER, SUCTION, STERI, WHISTLE TIP WITH CONTROL PORT ADAPTER, 10
FRENCH, 22 IN LONG, 1 EA/PKG,
NO SUB ON QUALITY, AMSINO #189 AS363 (50 EA/BOX), CARDINAL #D40900
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 640 31/05/2022
17,000.00 Each GSIN: N6515MATERIAL: 57685
CATHETER, SUCTION, STERILE, WHISTLE TIP WITH CONTROL PORT ADAPTER, 12
FRENCH, 22 IN LONG, 1 EA/PKG, (BULK PKG 50 PKG/BX), NO SUBSTITUTE
CARDINAL HEALTH #D40912, AMSINO #189 AS364
A) MINIMUM RELEASE QUANTITY: 1400

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 650 31/05/2022
14,400.00 Each GSIN: N6515MATERIAL: 57686
CATHETER, SUCTION, STERILE, WHISTLE TIP WITH CONTROL PORT ADAPTER, 14
FRENCH, 22 IN LONG, 1 EA/PKG, (BULK PKG 50 PKG/BX), NO SUBSTITUTE,
CARDINAL HEALTH #D40102, AMSINO #189 AS365
A) MINIMUM RELEASE QUANTITY: 1200

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:
Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 660 31/05/2022
2,300.000 Package GSIN: N6515MATERIAL: 57705
COMB, FINE, NIT (LICE), PLASTIC, (BULK PKG 12 EA/BX), NO SUB ON QUALITY
SOURCE #AMG 018-810, GRAHAM FIELD #80-1774, STEVENS #520-PC01
A) MINIMUM RELEASE QUANTITY: 180

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 670 31/05/2022
400.000 Package GSIN: N6515MATERIAL: 57706
APPLICATOR, RAYON OR DACRON TIP, (COTTON NOT ACCEPTABLE), WOOD STICK
(PLASTIC NOT ACCEPTABLE), STERILE, 6 IN, INDIVIDUALLY WRAPPED, (100
PKG/BOX, 10 BX/CS),
HARDWOOD #25-8061WR, CANLAB #10805-165, FISHER #14-959-90
A) MINIMUM RELEASE QUANTITY: 30

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 680 31/05/2022
37,000.00 Each GSIN: N6515MATERIAL: 57708
JELLY, LUBRICATING, WATER SOLUBLE, STERILE, BACTERIOSTATIC, NON
CONDUCTIVE, INDIVIDUAL 3.5 GM PACKET, STERILE, (BULK PKG 100/BOX),
CARDINAL #SM1322N
A) MINIMUM RELEASE QUANTITY: 3000

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 690 31/05/2022
1,100.00 Each GSIN: N6515MATERIAL: 57709
JELLY, LUBRICATING, SURGICAL, WATER SOLUBLE, STERILE, BACTERIOSTATIC,
NON-CONDUCTIVE, 140 GM SQUEEZE TUBE, 10 TUBES/BOX,
CARDINAL #SM1321N
A) MINIMUM RELEASE QUANTITY: 90

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 700 31/05/2022
180.00 Each GSIN: N6515MATERIAL: 57710
JELLY, LUBRICATING, WATER SOLUBLE, STERILE, BACTERIOSTATIC, NON
CONDUCTIVE, 150 GM FLIP TOP SQUEEZE BOTTLE, (BULK PKG 20 EACH/BX),
INGRAM & BELL (MUKO 150 GM) #SM1319
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 710 31/05/2022
250.00 Each GSIN: N6510MATERIAL: 57721
PAD, EYE, OVAL DRESSING, STERILE, COTTON COVERED WITH FINE MESH ON BOTH
SIDES, 60 MM X 40 MM, 50 PER BOX,
AMD #A1110
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 720 31/05/2022
480.000 Package GSIN: N6515MATERIAL: 57764
TAPE, MEASURING, PAPER, LINEN, INFANT, 24 IN LG, 100/PKG, (BULK PKG 10
PKG OF 100/CS),
GRAHAM FIELD #139-1336, MABIS #35780010
A) MINIMUM RELEASE QUANTITY: 40

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 730 31/05/2022
550.00 Each GSIN: N6550MATERIAL: 57786
SODIUM CHLORIDE, (SALINE), 0.9%, 10 ML SINGLE USE POLYAMP DUOFIT,
PLASTIC AMPOULES SUITABLE FOR LUER FIT AND LUER LOCK SYRINGE, 25 AMPULES
PER BOX, 4 BOXES PER CASE,
HOSPIRA #010-4888-010, CARDINAL HEALTH #954354N
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 740 31/05/2022
20.000 Box GSIN: N6515MATERIAL: 59133
CATHETER, FEP I.V., 18 G X 1 1/4 INCH, 105 ML/PER MINUTE, FOR
IRRIGATION, WINGED, STERILE, SINGLE USE, MADE WITH FEP MATERIALS, USED
WITH 30CC SYRINGES, 50 PER BOX,
B.BRAUN MEDICAL INC (INTROCAN SAFETY) #4254562-02
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 750 31/05/2022
72.000 Package GSIN: N9999MATERIAL: 59434
SALT, EPSON, CRYSTALS, 2 KG, 6 PKG/CS,
TEBA #00485853, MCKESSON #295881
A) MINIMUM RELEASE QUANTITY: 6

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 760 31/05/2022
36.000 Bottle GSIN: N9999MATERIAL: 59436
LOTION, GENERAL BODY USE, GENTLE, PH-BALANCED, CONTAINS 88% WATER, DOES
NOT CONTAIN MINERAL OIL OR PERFUME, NON-GREASY, 360 ML BOTTLE, 12
BOTTLES PER CASE,
SMITH & NEPHEW #80236
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 770 31/05/2022
108.00 Each GSIN: N8465MATERIAL: 59438
CONTAINER, SHARPS WASTE, ONE PIECE, 1.4L TRAY COLLECTOR, YELLOW, ONE-WAY
FUNNEL VALVE TO MINIMIZE NEEDLE STICKS AND OVERFILLING, PUNCTURE
RESISTANT CONSTRUCTION, 36 PER CASE, NO SUBSUTITUE,
BECTON DICKENSON #300460
A) MINIMUM RELEASE QUANTITY: 36

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 780 31/05/2022
600.00 Each GSIN: N8125MATERIAL: 59441
JAR, OINTMENT, PLASTIC, CLEAR WITH WHITE LID, 1 OZ, MUST BE ASSEMBLED,
NO SUBSTITUTE,
DIAMOND ATHLETIC #CL354,
RICHARDS PACKAGING #40110053(JAR) & #32110462(LID)
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 790 31/05/2022
1,175.00 Each GSIN: N8125MATERIAL: 59442
JAR, OINTMENT, PLASTIC, CLEAR WITH WHITE LID, 25 ML, MUST BE ASSEMBLED,
25 PER BOX, NO SUBSTUITE,
DIAMOND ATHLETIC #CL374, RIGO #19110011
A) MINIMUM RELEASE QUANTITY: 75

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 800 31/05/2022
60.000 Box GSIN: N6515MATERIAL: 59467
MASK, FACE, PROCEDURE, WITH EARLOOP, LEVEL 2 BARRIER, NON-STERILE, BLUE,
50 PER BOX, 10 BOXES/CASE,
AMD-RITMED #2115
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 810 31/05/2022
10.000 Box GSIN: N6515MATERIAL: 59468
MASK, FACE, SURGICAL ISOLATION, THREE LAYER CONSTRUCTION, PLEAT-STYLE
WITH EARLOOPS, LATEX FREE, NON-STERILE, COLOUR YELLOW, 50 PER BOX, 10
BOXES/CASE,
KIMBERLY CLARK #47117
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 820 31/05/2022
1,296.00 Each GSIN: N6532MATERIAL: 59469
SLING, TRIANGULAR, COTTON, 40 IN X 40 IN X 56 IN, WITH SAFETY PIN, 12
EACH PER PACKAGE,
MEDICOM #5460
A) MINIMUM RELEASE QUANTITY: 108

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 830 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 59481
SPLINT, TUBE-SHAPED, HEAVY DUTY NEOPRENE FOR HEAT RETENTION TO ASSIST
HEALING, OUTER RUBBER SURFACE PROVIDES GRIP SURFACE WHILE USING FINGER,
A 30 DEGREE REVERSE ANGLE UNDER THE PIP JOINT TO SIMULATE A SPRING-LIKE
MECHANISM, USED TO TREAT ANY DEGREE OF FLEXION CONTRACTURES, LATEX FREE,
SIZE SMALL (2 INCH TO 2 1/2 INCHES),
ALIMED (DYNAMIC DIGIT EXTENSOR TUBE) #5497
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 840 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 59482
SPLINT, TUBE-SHAPED, HEAVY DUTY NEOPRENE FOR HEAT RETENTION TO ASSIST
HEALING, OUTER RUBBER SURFACE PROVIDES GRIP SURFACE WHILE USING FINGER,
A 30 DEGREE REVERSE ANGLE UNDER THE PIP JOINT TO SIMULATE A SPRING-LIKE
MECHANISM, USED TO TREAT ANY DEGREE OF FLEXION CONTRACTURES, LATEX FREE,
SIZE MEDIUM (2 1/2 INCH TO 2 3/4 INCHES),
ALIMED (DYNAMIC DIGIT EXTENSOR TUBE) #5498
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 850 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 59483
SPLINT, TUBE-SHAPED, HEAVY DUTY NEOPRENE FOR HEAT RETENTION TO ASSIST
HEALING, OUTER RUBBER SURFACE PROVIDES GRIP SURFACE WHILE USING FINGER,
A 30 DEGREE REVERSE ANGLE UNDER THE PIP JOINT TO SIMULATE A SPRING-LIKE
MECHANISM, USED TO TREAT ANY DEGREE OF FLEXION CONTRACTURES, LATEX FREE,
SIZE LARGE (3 INCH TO 3 1/2 INCHES),
ALIMED (DYNAMIC DIGIT EXTENSOR TUBE) #5499
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 860 31/05/2022
24.000 Vial GSIN: N6515MATERIAL: 59484
APPLICATOR, WOODEN, TIPPED WITH 75% SILVER AND 25% POTASSIUM NITRATE,
FOR SKIN OR MUCOUS MEMBRANE CAUTERIZATIN, REMOVAL OR WARTS AND
GRANULATED TISSUE, 6 INCHES LONG, DOUBLE DIPPED, 100 PER VIAL, 12 VIALS
PER BOX,
GRAHAM-FIELD GRAFCO (SILVER NITRATE APPLICATORS) #1590, AMG #118-395
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 870 31/05/2022
24.000 Box GSIN: N6515MATERIAL: 59766
SCALPEL, DISPOSABLE, TOP QUALITY SURGICAL STEEL, STERILE BLADE COVER,
SIZE 10, INDIVIDUALLY WRAPPED, 10 PER BOX,
ALMEDIC #A6-510, DIAMOND ATHLETIC #TR2951B
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 880 31/05/2022
2.00 Each GSIN: N6515MATERIAL: 59785
SPLINT, FINGER, CUSTOMIZE TO LENGTH OF FINGER, 10 FOOT ROLL PER BOX,
GRAHAMFIELD #1946, DEROYAL #347-11001
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 890 31/05/2022
4,800.00 Each GSIN: N6515MATERIAL: 59823
PACK, HOT/COLD, REUSABLE, BLUE GEL, 4 IN X 6 IN, 24 PER CASE,
RAPID RELIEF #12246-24
A) MINIMUM RELEASE QUANTITY: 384

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 900 31/05/2022
192.00 Each GSIN: N6515MATERIAL: 59824
PACK, HOT/COLD, REUSABLE, BLUE GEL, 5 1/4 IN X 9 IN, 24 PER CASE,
RAPID RELIEF #12259-24
A) MINIMUM RELEASE QUANTITY: 24

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 910 31/05/2022
96.00 Each GSIN: N6515MATERIAL: 59825
PACK, HOT/COLD, REUSABLE, BLUE GEL, 9 IN X 11 IN, 12 PER CASE,
RAPID RELIEF #12290-12
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 920 31/05/2022
360.00 Each GSIN: N6515MATERIAL: 60302
CATHETER, FOLEY, TWO-WAY, GOLD SILICONE COATED, TWO DRAINAGE EYES,
STERILE, 12 FRENCH, 30 CC BALLOON, 16 INCH LENGTH, 10/BOX, NO
SUBSTITUTE,
RUSCH (PURE GOLD) #180730120
A) MINIMUM RELEASE QUANTITY: 30

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 930 31/05/2022
36.000 Bottle GSIN: N8530MATERIAL: 60419
CLEANSER, FOAM, 3 IN 1, NO RINSE PH BALANCED FORMULA, DESIGNED TO SOOTH
AND MOISTURIZE FOR ALL OVER BODY, HAIR AND PERIEUM, GENTLE TO SKIN AND
HAIR, 8 OZ BOTTLE, 12 BOTTLES/CASE, NO SUBSTITUTE,
CONVATEC (ALOE VESTA CLEANSING FOAM) #401871
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 940 31/05/2022
100.00 Each GSIN: N6515MATERIAL: 61166
BLADE, SURGICAL, STAINLESS STEEL, DISPOSABLE, STERILE, NO 15,
INDIVIDUALLY PACKAGED, 100 PER BOX,
MEDLINE #MDS15115
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 950 31/05/2022
60.000 Case GSIN: N6515MATERIAL: 61463
CUP, MEDICINE, TRANSLUCENT PLASTIC, WITH GRADUATIONS, 1 OZ (30 ML),
GRADUATED EASY TO READ MEASUREMENTS, ROLLED RIM, (5000/CS),
ALLIANCE #211-800-000
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 960 31/05/2022
4.000 Box GSIN: N6515MATERIAL: 61856
COVER, PROBE, DISPOSABLE, FOR WELCH ALLYN BRAUN THERMOSCAN PRO 4000 AND
PRO 6000, 200 PER BOX, 5000 PER CASE,
WELCH ALLYN BRAUN #05075-005
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 970 31/05/2022
4.000 Box GSIN: N6515MATERIAL: 62151
SWAB, TOOTHETTE, PLAIN, ORAL CARE, INDIVIDUALLY WRAPPED, 250 EACH PER
BOX 4 BOXES PER CASE,
KIMBERLY-CLARK (KIMVENT SWAB) #12240, CARDINAL HEALTH #KC12240
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 980 31/05/2022
1.000 Case GSIN: N6515MATERIAL: 62172
TUBING, SURGICAL, CONNECTING, BUBBLE, 1/4 INCH (6 MM), NON-CONDUCTIVE,
CAN BE CUT TO EXACT LENGTH NEEDED, CLEAR PVC FORMULATION RATED TO 16
INCH HG VAUUM, 100 FOOT COIL PER CASE,
COVIDIEN (ARGYLE) #8888280412
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 990 31/05/2022
84.000 Container GSIN: N8940MATERIAL: 62233
SUPPLEMENT, POWDERED, SOLUBLE FIBER, 100% INULIN, FLAVOUR FREE, NON
THICKENING, GRIT FREE, FOR PROMOTING REGULARITY AND NORMAL BOWEL
FUNCTION, 340 G CONTAINER,
NOVARTIS (BENEFIBRE) #00058478111377, MCKESSON #61245,
DIAMOND ATHLETIC #TR5706
A) MINIMUM RELEASE QUANTITY: 6

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1000 31/05/2022
6.000 Reel GSIN: T014GMATERIAL: 62393
LABEL, DANGEROUS GOODS, BLACK ON WHITE UV VARNISHED, 4 IN X 4 IN,
CORROSIVE CLASS 8, 500 PER ROLL,
GRAND MEDICINE #3401801
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1010 31/05/2022
4.000 Reel GSIN: T014GMATERIAL: 62394
LABEL, DANGEROUS GOODS, BLACK ON WHITE UV VARNISHED, 4 IN X 4 IN,
INFECTIOUS SUBSTANCE CLASS 6, 500 PER ROLL,
GRAND MEDICINE #3401611
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1020 31/05/2022
1,200.000 Bottle GSIN: N6550MATERIAL: 62398
TEST STRIPS, BLOOD GLUCOSE, FOR USE WITH MEDI+SURE GLUCOMETER, TO
QUANTITATIVELY MEASURE GLUCOSE IN CAPILLARY WHOLE BLOOD, 100 PER BOTTLE,
GRAND MEDICINE (MEDI+SURE TEST STRIPS) #DG001S
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1030 31/05/2022
12.000 Kit GSIN: N9999MATERIAL: 62399
SOLUTION, BLOOD GLUCOSE CONTROL, CONTAINS D-GLUCOSE (0.079%/0.221%),
SODIUM BENZOATE (0.2%), NON-REACTIVE INGREDIENT (0.5%), FOR USE WITH
MEDI+SURE TEST STRIPS, GOOD FOR 50 PERFORMANCE CHECKS, 2 X 6 ML BOTTLE
PER KIT,
GRAND MEDICINE (MEDI+SURE CONTROL SOLUTION)#DG001C
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1040 31/05/2022
350.00 Each GSIN: N6515MATERIAL: 62427
MASK, CPR, PROTECTIVE MOUTH BARRIER, COMES WITH VALVE, FILTER AND
EXHALATION PORT IN ZIPLOC BAG,
GLENWOOD LAB (CPR RESQ-AID) #3050, STEVENS #991-3050
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1050 31/05/2022
50.00 Each GSIN: N6515MATERIAL: 62428
VENTILATOR, CPR, POCKET, COMES WITH HEAD STRAP OXYGEN INLET, FILTER,
LATEX FREE GLOVES, CLAMSHELL HARD CASE,
GLENWOOD LAB (CPR RESQ-AID) #3100-10, STEVENS #991-3100-10
A) MINIMUM RELEASE QUANTITY: 4

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1060 31/05/2022
72.000 Package GSIN: N6530MATERIAL: 62429
PIN, SAFETY, NICKEL PLATED, MULTIPLE SIZES, 12 PER PACKAGE,
STEVENS #390-214, NEWEY #TR5000, DENTEC SAFETY #80-3259-0
A) MINIMUM RELEASE QUANTITY: 6

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1070 31/05/2022
6.00 Each GSIN: N6150MATERIAL: 62442
BULB, LARYNOGOSCOPE, REPLACEMENT, 2.5 VOLTS, .28A WATTS,
STEVENS #111-06000, WELCH ALLYN #WA06000
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1080 31/05/2022
30.00 Each GSIN: N6150MATERIAL: 62444
LAMP, AUDIOSCOPE, REPLACEMENT, 3.5 VOLTS,
BARIK MEDICAL #K03-06200, WELCH ALLYN #WA06200
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1090 31/05/2022
4.00 Each GSIN: N6150MATERIAL: 62445
LAMP, OPHTHALMOSCOPE, HALOGEN, REPLACEMENT, 2.5 VOLTS,
BARIK MEDICAL #K03-04400, WELCH ALLYN #WA04400
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1100 31/05/2022
12.00 Each GSIN: N6150MATERIAL: 62450
LAMP, SPECULA, REPLACEMENT, 4.7 VOLTS, HALOGEN, FOR KLEENSPEC VAGINAL
SPECULA ILLUMINATOR,
BARIK MEDICAL #K03-08800, WELCH ALLYN #WA08800
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1110 31/05/2022
30.00 Each GSIN: N6515MATERIAL: 62451
SPECULUM, FOR AUDIOSCOPE 3, SIZE SMALL,
WELCH ALLYN #WA23303, MEDICAL MART #163-23303
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1120 31/05/2022
36.00 Each GSIN: N6515MATERIAL: 62452
SPECULUM, FOR AUDIOSCOPE 3, SIZE MEDIUM,
WELCH ALLYN #WA23305, MEDICAL MART #163-23305
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1130 31/05/2022
30.00 Each GSIN: N6515MATERIAL: 62453
SPECULUM, FOR AUDIOSCOPE 3, SIZE LARGE,
WELCH ALLYN #WA23307, MEDICAL MART #163-23307
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1140 31/05/2022
6.00 Each GSIN: N6515MATERIAL: 62454
CUFF, SPHYGMOMANOMETER, TWO PIECE INFLATION SYSTEM, HEAVY WEIGHT NYLON,
TWO TUBE BAG, FOR USE WITH MODEL 767 WALL/MOBILE SPHYGMOMANOMETER, CHILD
SIZE,
MEDICAL MART #163,5082-21, WELCH ALLYN #WA5082-21,
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1150 31/05/2022
300.000 Box GSIN: N7210MATERIAL: 62517
PILLOWCASE, DISPOSABLE, TISSUE/POLY BLEND, 21 IN X 30 IN, WHITE, 100 PER
BOX,
DANLEE #PIA701, BARIK MEDICAL #A36-701, ALLIANCE #PC2130TP-W
A) MINIMUM RELEASE QUANTITY: 24

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1160 31/05/2022
6.000 Roll GSIN: T014GMATERIAL: 62518
LABEL, "ALLERGIC TO", FOR NURSING, 2 15/16 IN X 1 IN, FLUORESCENT PINK,
333/ROLL,
PRECISION DYNAMICS #MV06PF1440, STEVENS #175-MV06FP1440
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1170 31/05/2022
8.000 Kit GSIN: N6515MATERIAL: 62636
AIRWAY, OROPHARYNGEAL, DISPOSABLE, COLOUR CODED, EIGHT SIZES EMBOSSED IN
MM ON EACH AIRWAY, LATEX FREE, NON-STERILE, COMES IN PLASTIC CASE,
BARIK MEDICAL (ALMEDIC 9/SET) #A04-80
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1180 31/05/2022
20.00 Each GSIN: N6515MATERIAL: 62637
CHART, SNELL EYE, BLACK PRINT ON WHITE VINYL, 10 FOOT TEST DISTANCE, ONE
SIDE ENGLISH, ONE SIDE FRENCH, METAL EYELET,
AMG MEDICAL #116-855
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1190 31/05/2022
20.00 Each GSIN: N6515MATERIAL: 62638
RING, INFLATABLE, RUBBER, INVALID, TO ALLOW COMFORTABLE SITTING FOR LONG
PERIODS OF TIME, DISTRIBUTES WEIGHT EVENLY, 16 INCHES (40.6 CM),
MEDPRO #745-174
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1200 31/05/2022
60.00 Each GSIN: N6515MATERIAL: 62639
FORCEPS, SPLINTER, WITH MAGNIFIYING GLASS, STAINLESS STEEL, SMOOTH TIP,
3.5 INCHES LENGTH,
BARIK MEDICAL #50-4510
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1210 31/05/2022
4.00 Each GSIN: N6515MATERIAL: 62640
HOLDER, NEEDLE, SUTURE, HIGH QUALITY STAINLESS STEEL, 5 1/2 INCHES (14
CM),
OLSEN HAGAR #M12-0280
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1220 31/05/2022
4.00 Each GSIN: N6515MATERIAL: 62651
HOLDER, NEEDLE, SUTURE, HIGH QUALITY STAINLESS STEEL, 6 1/4 INCHES (16
CM),
OLSEN HAGAR #M12-0300
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1230 31/05/2022
36.000 Box GSIN: N6515MATERIAL: 62652
SCALPEL, DISPOSABLE, TOP QUALITY SURGICAL STEEL, STERILE BLADE COVER,
SIZE 11, INDIVIDUALLY WRAPPED, 10 PER BOX,
ALMEDIC #M92-11
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1240 31/05/2022
50.000 Box GSIN: N6515MATERIAL: 62653
SCALPEL, DISPOSABLE, TOP QUALITY SURGICAL STEEL, STERILE BLADE COVER,
SIZE 15, INDIVIDUALLY WRAPPED, 10 PER BOX,
ALMEDIC #M92-15
A) MINIMUM RELEASE QUANTITY: 4

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1250 31/05/2022
24.000 Box GSIN: N6515MATERIAL: 62654
SCALPEL, DISPOSABLE, TOP QUALITY SURGICAL STEEL, STERILE BLADE COVER,
SIZE 21, INDIVIDUALLY WRAPPED, 10 PER BOX,
ALMEDIC #M92-21
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1260 31/05/2022
40.000 Box GSIN: N6515MATERIAL: 62664
CURETTE, EAR, DISPOSABLE, STAINLESS STEEL, INDIVIDUALLY WRAPPED
NON-STERILE, LOOP TIP, WHITE, 3 MM, 50 PER BOX,
MEDICAL MART #212-19-321, MILTEX #MIL19321
A) MINIMUM RELEASE QUANTITY: 4

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1270 31/05/2022
1.000 Kit GSIN: N6515MATERIAL: 62666
KIT, SPILL, CYTOTOXIC, FOR CLEAN UP INVOLVED WITH CYTOTOXIC DRUGS,
GREEN-Z SOLIDIFIER TO CONTAIN HAZARDOUS CHEMICALS FOR QUICK AND EASY
CLEAN UP AND DISPOSAL IN POLY BAG,
MEDICAL MART #822-48725, SAFETEC #48725
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1280 31/05/2022
36.000 Bottle GSIN: N7930MATERIAL: 62667
DETERGENT, INSTRUMENT DISINFECTANT, TWO PROTEASE ENZYMES THAT OFFER THE
BROADEST CLEANING ON A VARIETY OF PROTEIN SOILS, LOW-FOAMING FOR
AUTOMATED MACHINES, 1 GL,
EMPOWER #MET10-4400
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1290 31/05/2022
24.00 Each GSIN: N6515MATERIAL: 62668
FORCEPS, HEMOSTAT, KELLY, STAINLESS STEEL, LOCKING MECHANISM TO ACT AS A
CLAMP, SERRATED TIP, STRAIGHT, 5 1/2 INCHES (14 CM),
AMG MEDICAL #570-848, MEDICAL MART #162-570-848
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1300 31/05/2022
48.00 Each GSIN: N6515MATERIAL: 62669
SCISSOR, BANDAGE, LISTER, DESIGNED FOR CROSSWAY CUTTING, BLADES HAVE 45
DEGREE ANGLE AT PIVOT, LOWER BLADE HAS ROUNDED BLUNT END TO FACILITATE
ENTRY, STAINLESS STEEL, 7 1/2 INCHES (18.1 CM),
AMG MEDI #570-312, MEDICAL MART #162-570-312
A) MINIMUM RELEASE QUANTITY: 4

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1310 31/05/2022
20.00 Each GSIN: N5110MATERIAL: 62670
SCISSOR, IRIS, SMALL, DESIGNED FOR FINE OPHTHALMIC SURGERY, EXTREMELY
SHARP AND FINE TIP, CURVED BLADE, STAINLESS STEEL, 4 1/2 INCHES (11.25
CM),
AMG MEDI #570-212, MEDICAL MART #162-570-212
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1320 31/05/2022
20.00 Each GSIN: N5110MATERIAL: 62671
SCISSOR, SURGICAL, MAYO DESIGNED TO CUT THICK TISSUES, ALLOWS DEEPER
PENETRATION INTO THE WOUND, CURVED BLADE, STAINLESS STEEL, 5 1/2 INCHES
(13.75 CM),
AMG MEDI #570-178, MEDICAL MART #162-570-178
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1330 31/05/2022
40.00 Each GSIN: N5110MATERIAL: 62672
SCISSOR, SURGICAL, MAYO DESIGNED TO CUT BODY TISSUES NEAR THE SURFACE OF
A WOUND, STRAIGHT BLADE, STAINLESS STEEL, 5 1/2 INCHES (13.75 CM),
AMG MEDI #570-170, MEDICAL MART #162-570-170
A) MINIMUM RELEASE QUANTITY: 4

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1340 31/05/2022
12.00 Each GSIN: N5110MATERIAL: 62673
SCISSOR, SURGICAL, REGULAR, O.R., HARD STAINLESS STEEL FOR ONGOING
TOUGHNESS, CURVED BLADE, SHARP/BLUNT BLADES, 5 1/2 INCHES (13.75 CM),
AMG MEDI #570-148, MEDICAL MART #162-570-148
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1350 31/05/2022
30.00 Each GSIN: N5110MATERIAL: 62674
SCISSOR, SURGICAL, REGULAR, O.R., HARD STAINLESS STEEL FOR ONGOING
TOUGHNESS, STRAIGHT BLADE, SHARP/BLUNT BLADES, 5 1/2 INCHES (13.75 CM),
AMG MEDI #570-108, MEDICAL MART #162-570-108
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1360 31/05/2022
100.000 Box GSIN: N8415MATERIAL: 62675
GOWN, EXAMINATION, PATIENT, DISPOSABLE, 3 PLY, TISSUE/POLY/TISSUE,
DURABLE AND MOISTURE RESISTANT, FRONT/BACK OPENING WITH PLASTIC TIE
STRAP, BLUE, 30 IN X 42 IN, 50 PER BOX,
ALLIANCE #EG3042TPT-B, MEDICAL MART #211-EG3042TPT-B
A) MINIMUM RELEASE QUANTITY: 8

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1370 31/05/2022
20.000 Box GSIN: N9999MATERIAL: 62679
APPLICATOR, DISPOSABLE, NON-STERILE, COTTON/RAYON TIP, HOLLOW HANDLE, 16
INCHES (40 CM) LONG, 100 PER BOX,
MEDPRO #018-480, STEVENS #635-018-480
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1380 31/05/2022
300.000 Box GSIN: N6530MATERIAL: 62680
BAG, BIOHAZARD, TRANSPORT, ZIPLOCK, TRIPLE SEAL WITH REQUIRED POUCH, 6
IN X 9 IN, 500 PER BOX,
BIONUCLEAR #DIS-028, STEVENS #024-DIS-028
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1390 31/05/2022
50.00 Each GSIN: N6530MATERIAL: 62713
BASIN, WASH, DISPOSABLE, 4.7 LITRE, TURQUOISE, ROUND SHAPED, HIGH
QUALITY, DURABLE POLYPROPYLENE, SMOOTH EDGES SERVE AS BUILT-IN HANDLES
FOR HANDLING AND TRANSPORT, 50 PER CASE,
MEDEGEN MEDICAL #H350-07, STEVENS #193-H350-07
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1400 31/05/2022
36.00 Each GSIN: N6135MATERIAL: 62714
BATTERY, ALKALINE, MEDICAL, 6 VOLT, SIZE J, 6 PER PACKAGE, 6 PACKAGES
PER CASE,
PROCTOR & GAMBLE (DURACELL)#00041333661988, CARDINAL HEALTH #PG7K67BPK
A) MINIMUM RELEASE QUANTITY: 36

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1410 31/05/2022
12.000 Box GSIN: N6515MATERIAL: 62715
BLADE, SCALPEL, SIZE 20, STAINLESS STEEL, INDIVIDUALLY WRAPPED, STERILE,
100 PER BOX,
AMG #560-1020, STEVENS #560-1020
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1420 31/05/2022
12.000 Box GSIN: N6515MATERIAL: 62716
BLADE, SCALPEL, SIZE 23, STAINLESS STEEL, INDIVIDUALLY WRAPPED, STERILE,
100 PER BOX,
AMG #560-1023, STEVENS #560-1023
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1430 31/05/2022
100.00 Each GSIN: N8125MATERIAL: 62717
BOTTLE, PERINEAL, PLASTIC, 500 ML, 8 OZ GRADUATED WITH CUBIC CENTIMETERS
AND FLUID OUNCES, SCREW CAP, FOUR SMALL HOLES TO PRODUCE A GENTLE SPRAY,
INDIVICUALLY BAGGED, 50 PER CASE,
STEVENS #002-P772888-X, PRO-ADVANTAGE #P772888
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1440 31/05/2022
50.00 Each GSIN: N6530MATERIAL: 62718
BOWL, SPONGE, UTILITY, DURABLE, HEAVYWEIGHT POLYPROPYLENE, OPAQUE BLUE,
BROAD LIP AT TOP OF BOWL OFFERS SURFACE TO REST INSTRUMENTS, MOLDED
RIDGES CIRCLE THE INSIDE ALLOWS INSTRUMENT TIPS TO REST IN SOLUTION
WITHOUT IMMERSING INSTRUMENT ENTIRELY, INDIVIDUALLY PACKAGED, STERILE,
35 OZ, 50 PER CARTON,
BUSSE HOSPITAL #401, CARDINAL HEALTH #312-401
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1450 31/05/2022
1.000 Package GSIN: N7920MATERIAL: 62719
BRUSH, CYTOLOGY, 8 INCH HANDLE, RE-SEALABLE PACKAGE, COLOUR BLUE, 100
PER PACKAGE, 10 PACKAGES PER CASE,
INNOVATEK MEDICAL #4201-CB-8B, STEVENS #553-4201-CB-8B-PKG
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1460 31/05/2022
650.00 Each GSIN: N6515MATERIAL: 62720
CANNULA, NASAL, ADULT, OXYGEN, STERILE, STRAIGHT TIP, WITH 7 FOOT (2.1M)
SUREFLOW TUBING, LATEX FREE, SINGLE USE, 50 PER CASE,
STEVENS #991-1012SC-X
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1470 31/05/2022
10.00 Each GSIN: N6530MATERIAL: 62721
BAG, INFUSER PRESSURE, DISPOSABLE, OVAL SHAPED BULB TO EASE INFLATION,
TRANSPARENT FRONT PANEL FOR VISUAL CHECK OF FLUIDS, EASY TO READ GAUGE,
SAFETY VALUE PREVENTS OVERINFLATION, LATEX FREE, 1000 ML, 5 PER BOX,
ETHOX (INFU-SURG) #ET4010H, STEVENS #276-E-4010H
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1480 31/05/2022
6.000 Box GSIN: N6530MATERIAL: 62722
BAG, URINE COLLECTION, PEDIATRIC, NON-STERILE, TRANSPARENT POLYETHYLENE,
GRADUATED FROM 10 TO 100 ML TO MEASURE SMALL AMOUNTS, HYPOALLERGENIC
ADHESIVE, 100 PER BOX,
BRIGGS HEALTHCARE #7501, CARDINAL HEALTH #MD-7501
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1490 31/05/2022
792.00 Each GSIN: N9999MATERIAL: 62729
APPLICATOR, WOUND CLOSURE FORMULATION, LIQUID BANDAGE, ADHESIVE, DEEP
VIOLET HELPS WHEN APPLYING TO WOUND, LESS TRAUMATIC FOR CHILDREN, 0.2 ML
CYANOACRYLATE, SINGLE DOSE VIAL, 12 VIALS PER BOX,
GLUSTITCH #GLUST-U-V-P, STEVENS #011-200
A) MINIMUM RELEASE QUANTITY: 60

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1500 31/05/2022
24.00 Each GSIN: N9999MATERIAL: 62730
TAPE, PEDIATRIC EMERGENCY, COLOR CODED FOR REFERENCE OF CHILD'S HEIGHT
AND WEIGHT FOR MEDICATION DOSAGES AND RESUSCITATION,
HINKLY (BROSELOW) #V247700RE, STEVENS #206-V247700RE
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1510 31/05/2022
250.00 Each GSIN: N6530MATERIAL: 62731
BASIN, EMESIS, DISPOSABLE, 9 INCH, 500 CC, 16 OZ. TURQUOISE, KIDNEY
SHAPED, ROUNDED EDGES AND FLEXIBLE DESIGN FACILITATES HANDLING AND USE,
GRADUATED IN 100 CC INCREMENTS, 250 PER CASE,
MEDEGEN MEDICAL #H300-07, STEVENS #193-H300-07
A) MINIMUM RELEASE QUANTITY: 250

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1520 31/05/2022
250.00 Each GSIN: N6530MATERIAL: 62732
BASIN, EMESIS, DISPOSABLE, 10 INCH, 700 CC, 23 OZ. TURQUOISE, KIDNEY
SHAPED, ROUNDED EDGES AND FLEXIBLE DESIGN FACILITATES HANDLING AND USE,
GRADUATED IN 100 CC INCREMENTS, 250 PER CASE,
MEDEGEN MEDICAL #H310-07, STEVENS #193-H310-07
A) MINIMUM RELEASE QUANTITY: 250

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1530 31/05/2022
350.00 Each GSIN: N6515MATERIAL: 62741
CANNULA, NASAL, PEDIATRIC, OXYGEN, STERILE, STRAIGHT TIP, WITH 7 FOOT
(2.1M) SUREFLOW TUBING, LATEX FREE, SINGLE USE, 50 PER CASE,
STEVENS #991-1011
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1540 31/05/2022
100.00 Each GSIN: N5340MATERIAL: 62742
CLAMP, UMBILICAL CORD, NEWBORN, PLASTIC, SNAP-TIGHT, CLOSURE, 5 CM,
STERILE, LATEX FREE, 100 PER PACKAGE,
DEROYAL #6833, STEVENS #347-6833
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1550 31/05/2022
144.00 Each GSIN: N5340MATERIAL: 62743
CLAMP, UMBILICAL CORD, CUTTER, DISPOSABLE, NON-STERILE, LATEX FREE, 6
PER BOX,
DEROYAL #72-7000, STEVENS #347-72-7000
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1560 31/05/2022
200.00 Each GSIN: N7350MATERIAL: 62744
CUP, SPECIMEN, PLASTIC, POLYPROPYLENE, LEAK PROOF SCREW TYPE LID,
DISPOSABLE, STERILE, DUAL SCALE GRADUATED 120 ML IN 10 ML INCREMENTS, 4
OZ IN 1/4 OZ INCREMENTS, PATIENT IDENTIFICATION LABEL, INDIVIDUALLY
BAGGED, 100 PER CASE,
SHERWOOD MEDICAL #8889-207026, STEVENS #102-8889207026
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1570 31/05/2022
20.00 Each GSIN: N5120MATERIAL: 62745
WRENCH, METAL CYLINDER, SMALL, WITH SECURITY CHAIN,
WESTERN ENTERPRISES #MCW-2BC, STEVENS #173-MCW-2BC
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1580 31/05/2022
10.00 Each GSIN: N6515MATERIAL: 62746
FORCEPS, EAR, LUCAE, DRESSING, BAYONET, SERRATED, MEDIUM GRADE,
STAINLESS STEEL, 5.5 INCHES (13.75 CM),
ALMEDIC #ALMM06-0740, SEVENS #197-M06-0740
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1590 31/05/2022
12.00 Each GSIN: N6515MATERIAL: 62747
FORCEPS, TISSUE, WITH TEETH (1 X 2) AT TIP FOR BETTER GRIP, STAINLESS
STEEL, 5 INCHES (12.5 CM),
ALMEDIC #ALMP-262, CARDINAL HEALTH #ALMP-262
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1600 31/05/2022
8.00 Each GSIN: N6515MATERIAL: 62758
FORCEPS, CRILE HEMOSTAT, STRAIGHT, 5.5 INCHES (14 CM) LENGTH, FOR
CLAMPING OFF ACTION, RING HANDLES ALLOW TO OPEN AND CLOSE INSTRUMENT,
STAINLESS STEEL,
BARIK MEDICAL #M18-0400, DISPOMED #215-M18-0400
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1610 31/05/2022
200.000 Case GSIN: N6515MATERIAL: 62759
SHEET, STRETCHER, DISPOSABLE, 3 PLY TISSUE, 40 IN X 90 IN, WHITE, LATEX
FREE, 50 PER CASE,
CARDINAL HEALTH #305
A) MINIMUM RELEASE QUANTITY: 16

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1620 31/05/2022
60.000 Box GSIN: N6515MATERIAL: 62769
SWAB, TEST, ANNIORRHESIS, TO DETECT RUPTURED AMNIOTIC MEMBRANES DURING
PREGNANCY, HIGHLY SENSITIVE, EASY TO READ, COLOR CHANGE VISABLE IN
SECONDS, 10 PER BOX,
INNOVATEK MEDICAL #4080-MWAM1-10, STEVENS #553-4080-MWAM1-10
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1630 31/05/2022
12.00 Each GSIN: N6515MATERIAL: 62770
UTERINE SOUND, SIMS, SILVER PLATED, MALLEABLE, TO DETERMINE LENGTH AND
DEPTH OF CERVICAL CANAL, SOUND FEATURES BULBOUS TIP TO PREVENT
PUNCTURING UTERINE WALL, 12.5 INCHES, GRADUATED IN CENTIMETERS,
NOVOSURGICAL #M14-0500, STEVENS #197-M14-0500
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1640 31/05/2022
12.00 Each GSIN: N6515MATERIAL: 62771
HAMMER, CHROME PLATED, BRASS HANDLE, SOLID RUBBER HEAD, REFLEX TESTING,
AMG MEDICAL (TAYLOR PERCUSSION) #112-200, STEVENS #635-112-200
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1650 31/05/2022
1.00 Each GSIN: N6530MATERIAL: 62772
JAR, DRESSING, STAINLESS STEEL, CAPACITY 1 QUART (O.95L), DIAMETER 4 1/4
INCHES (10.8 CM), HEIGHT 5 1/4 INCHES (13.3 CM),
AMG MEDICAL #020-513, STEVENS #635-020-513
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1660 31/05/2022
1.00 Each GSIN: N6530MATERIAL: 62774
JAR, DRESSING, STAINLESS STEEL, CAPACITY 2 1/4 QUART (2.13L), DIAMETER
5 INCHES (12.7 CM), HEIGHT 7 INCHES (17.8 CM),
AMG MEDICAL #020-514, STEVENS #635-020-514
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1670 31/05/2022
600.00 Each GSIN: N6515MATERIAL: 62776
MASK, OXYGEN, REBREATHING, HIGH CONCENTRATION, ADULT SIZE, COMES WITH
BAG AND 2.10M 02 SURE FLOW TUBING, 50 PER CASE,
CARDINAL #P001205
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1680 31/05/2022
350.00 Each GSIN: N6515MATERIAL: 62777
MASK, OXYGEN, REBREATHING, HIGH CONCENTRATION, PEDIATRIC SIZE, COMES
WITH BAG AND 2.10M 02 SURE FLOW TUBING,
OCTURNO #1043, STEVENS #991-1043
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1690 31/05/2022
500.00 Each GSIN: N6515MATERIAL: 62778
MASK, OXYGEN, NON-BREATHING, HIGH CONCENTRATION, ADULT SIZE, COMES WITH
BAG, CHECK VALVE, SAFETY VENTS CLOSED, AND 2.10M 02 SURE FLOW TUBING,
OCTURNO #1095, STEVENS #991-1095
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1700 31/05/2022
150.00 Each GSIN: N6515MATERIAL: 62779
MASK, OXYGEN, NON-BREATHING, HIGH CONCENTRATION, PEDIATRIC SIZE, COMES
WITH BAG, CHECK VALVE, SAFETY VENTS CLOSED, AND 2.10M 02 SURE FLOW
TUBING,
OCTURNO #1096, STEVENS #991-1096
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1710 31/05/2022
12.00 Each GSIN: N6515MATERIAL: 62780
NIPPERS, CONCAVE CUTTING EDGES, METAL, HEAVY DUTY, COILED SPRINGS, 4 1/2
INCHES,
STEVENS #197-M29-0730
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1720 31/05/2022
500.00 Each GSIN: N6515MATERIAL: 62781
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 14G X 1 1/4 INCH NEEDLE, STRAIGHT HUB, ORANGE,
SMITH MEDICAL (PROTECTIV PLUS) #3068, CARDINAL HEALTH #3068
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1730 31/05/2022
250.00 Each GSIN: N6515MATERIAL: 62782
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 16G X 1 1/4 INCH NEEDLE, STRAIGHT HUB, GRAY,
SMITH MEDICAL (PROTECTIV PLUS) #3062, CARDINAL HEALTH #3062
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1740 31/05/2022
200.00 Each GSIN: N6515MATERIAL: 62783
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 18G X 1 1/4 INCH NEEDLE, STRAIGHT HUB, GREEN,
SMITH MEDICAL (PROTECTIV PLUS) #3065, CARDINAL HEALTH #3065
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1750 31/05/2022
300.00 Each GSIN: N6515MATERIAL: 62784
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 20G X 1 INCH NEEDLE, STRAIGHT HUB, PINK,
SMITH MEDICAL (PROTECTIV PLUS) #3067, CARDINAL HEALTH #3067
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1760 31/05/2022
700.00 Each GSIN: N6515MATERIAL: 62785
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 18G X 1 1/4 INCH NEEDLE, STRAIGHT HUB, BLUE,
SMITH MEDICAL (PROTECTIV PLUS) #3060, CARDINAL HEALTH #3060
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1770 31/05/2022
100.00 Each GSIN: N6515MATERIAL: 62786
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 24G X 3/4 INCH NEEDLE, STRAIGHT HUB, YELLOW,
SMITH MEDICAL (PROTECTIV PLUS) #3063, CARDINAL HEALTH #3063
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1780 31/05/2022
20.000 Box GSIN: N6515MATERIAL: 62860
SPLINT, FINGER, ALUMINUM WITH FOAM PADDING, X-RAY LUCENT, EASY TO FORM
AND CAN BE CUT TO DESIRED LENGTH WITH SCISSORS, 1/2 INCH X 18 INCH,
12 PER BOX,
STEVENS #347-9115-02
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1790 31/05/2022
20.000 Box GSIN: N6515MATERIAL: 62861
SPLINT, FINGER, ALUMINUM WITH FOAM PADDING, X-RAY LUCENT, EASY TO FORM
AND CAN BE CUT TO DESIRED LENGTH WITH SCISSORS, 3/4 INCH X 18 INCH,
12 PER BOX,
STEVENS #347-9115-03
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1800 31/05/2022
12.000 Box GSIN: N6515MATERIAL: 62862
SPLINT, FINGER, ALUMINUM WITH FOAM PADDING, X-RAY LUCENT, EASY TO FORM
AND CAN BE CUT TO DESIRED LENGTH WITH SCISSORS, 1 INCH X 18 INCH,
12 PER BOX,
STEVENS #347-9115-04
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1810 31/05/2022
2.00 Each GSIN: N6515MATERIAL: 62863
STETHOSCOPE, PREMIER ELITE, DUAL HEAD, PEDIATRIC, STAINLESS STEEL, EXTRA
DEEP BELL ALLOWS FOR OUTSTANDING LOW FREQUENCY SOUND TRANSMISSION,
22 INCH LENGTH TUBING, GREY TUBING,
AMG MEDICAL #108-240, CARDINAL HEALTH #108-240
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1820 31/05/2022
24.000 Box GSIN: N6640MATERIAL: 62871
MICROCUVETTES, GLUCOSE, DISPOSABLE, PLASTIC, CUVETTE CAVITY CONTAINS
REAGENTS DEPOSITED ON ITS INNER WALLS AND TAKES 5uL OF SAMPLE, BLOOD
SAMPLE IS DRAWN INTO CAVITY BY CAPILLARY ACTION AND SPONTANEOUSLY MIXED
WITH REAGENT, INDIVIDUALLY PACKAGED, 50 PER PACKAGE,
HEMOCUE GLUCOSE 201 #110723, STEVENS #039-110723
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1830 31/05/2022
672.000 Box GSIN: N6640MATERIAL: 62872
MICROCUVETTES, HEMOGLOBIN, DISPOSABLE, PLASTIC, CUVETTE CAVITY CONTAINS
REAGENTS DEPOSITED ON ITS INNER WALLS AND TAKES 1OuL OF SAMPLE, BLOOD
SAMPLE IS DRAWN INTO CAVITY BY CAPILLARY, SINGLES, 100 PER BOX,
HEMOCUE HB201 PLUS # 111715, STEVENS #039-111715
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1840 31/05/2022
10.00 Each GSIN: N6515MATERIAL: 62886
TUBE, RECTAL, RED RUBBER, NON-STERILE, 20 INCH (50 CM), 28 FRENCH,
10 PER BOX,
RUSCH #436700280, STEVENS #180-436700280
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1850 31/05/2022
40.000 Box GSIN: N6515MATERIAL: 62888
WIPE, PREP PAD, 10% USP POVIDONE-IODINE SOLUTION, PVP IODINE PROVIDES
LONGER GERMICIDAL ACTIVITY THAN ORDINARY IODINE SOLUTIONS,NON-IRRATING,
NON-STINGING, USE FOR VENIPUNCTURE, I.V. STARTS, KIDNEY DIALYSIS, PRE-OP
AND MINOR INVASIVE PROCEDURES, MEDIUM SIZE, 100/BOX,
PDI #B51200, STEVENS #085-B51200
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1860 31/05/2022
400.00 Each GSIN: N6515MATERIAL: 62902
INJECTION SITE, INTERLINK, NEEDLESESS, MALE LUER LOCK ADAPTER NON-DEHP,
NON-PVC, STERILE, 200 PER BOX, 4 BOXES PER CASE,
BAXTER (INTERLINK) #2N3379
A) MINIMUM RELEASE QUANTITY: 200

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1870 31/05/2022
96.00 Each GSIN: N9999MATERIAL: 62903
SOLUTION SET, CONTINU-FLO, MALE LUER LOCK ADAPTER, 2 INJECTION SITES,
APPROXIMATE LENGTH 8.5 INCHES (2.2 M), 48 PER CASE,
BAXTER (INERLINK) #JC6519
A) MINIMUM RELEASE QUANTITY: 48

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1880 31/05/2022
240.00 Each GSIN: N6515MATERIAL: 62934
SET, EXTENSION, 0.22 MICRON DOWNSTREAM HIGH PRESSURE EXTENDED LIFE
FILTER, MALE LUER LOCK ADAPTER, POLYETHYLENE LINED TUBING, 6 INCH LENGTH
(15 CM), APPROXIMATE VOLUME 3.3 ML FLUID PATH IS NON-DEHP, STERILE, 48
PER CASE,
BAXTER #1C8363
A) MINIMUM RELEASE QUANTITY: 48

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1890 31/05/2022
7,200.00 Each GSIN: N6515MATERIAL: 62946
SOLUTION, NORMAL SALINE, SODIUM CHLORIDE 0.9% NACL, 100 ML, SQUEEZE
BOTTLE, DUAL FLOW CAP, WOUND IRRIGATION, 25 EACH PER CASE,
TRUDELL #T168000
A) MINIMUM RELEASE QUANTITY: 600

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1900 31/05/2022
1,400.00 Each GSIN: N6515MATERIAL: 62978
PACK, INSTANT COLD, CONTROLLED RELEASE DESIGN, PROVIDES CONSISTENT EVEN
THERMAL THERAPY, ELIMINATING TEMPERATURE EXTREMES ASSOCIATED WITH
ALTERNATE METHODS, SINGLE USE, 45 MINUTE THERAPY, MEDIUM, 5 IN X 6 IN,
50 PER CASE,
CARDINAL HEALTH #31346-50
A) MINIMUM RELEASE QUANTITY: 100
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1910 31/05/2022
400.000 Case GSIN: N6515MATERIAL: 63326
SHEET, STRETCHER, DISPOSABLE, WATERPROOF, TISSUE/POLY MATERIAL, 40 IN X
90 IN, 50 PER CASE,
AVALON #359, BARIK MEDICAL #8150
A) MINIMUM RELEASE QUANTITY: 30

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1920 31/05/2022
4,032.00 Each GSIN: N6515MATERIAL: 63334
CAP, DUAL LUER LOCK, MALE/FEMALE PORT PROTECTOR, NO OPEN FLUID PATH,
STERILE, NON-PVC, NON-DEHP, 504 PER CASE,
BAXTER #2C6250
A) MINIMUM RELEASE QUANTITY: 504

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1930 31/05/2022
30.000 Box GSIN: N8960MATERIAL: 63592
WATER, IRRIGATION, SOLUTION, SODIUM CHLORIDE 0.9%, CLEANSES EYES TO
REMOVE FOREIGN PARTICLES AND DANGEROUS LIQUIDS LIKE ALKALI OR ACIDS,
SINGLE USE VIAL, 15 ML, 24 VILAS PER BOX,
KIMBERLY-CLARK #116, DIAMOND ATHLETIC #CHS116
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1940 31/05/2022
48.00 Each GSIN: N6515MATERIAL: 63977
SET, EXTENSION, MACROBORE, WITH FEMALE ADAPTER, CLAVE Y-SITE, OPTION LOK
MALE ADAPTER, DIAL-A-FLOW FLOW CONTROLLER, 18 INCH (45.72 CM), 2.3 ML
PRIMING CAPACITY, NON-DEHP, 48 PER CASE,
HOSPIRA #20667-001
A) MINIMUM RELEASE QUANTITY: 48
B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1950 31/05/2022
100.00 Each GSIN: N6515MATERIAL: 64007
CATHETER, SUCTION, STERILE, ANGLED WHISTLE TIP WITH CONTROL PORT
ADAPTER, 6 FRENCH PEDIATRIC, 1 EA/PACKAGE (50 PACKAGES/BOX),
AMSINO #189 AS361, CARDINAL #D40106
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1960 31/05/2022
3,000.00 Each GSIN: N6515MATERIAL: 64025
CATHETER, URETHRAL, VINYL, STERILE, LATEX-FREE, MALE, 12 FRENCH, 16 IN
LENGTH, 1 EACH PER PACKAGE, 50 PACKAGES PER BOX,
AMSINO #AS861612
A) MINIMUM RELEASE QUANTITY: 250

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1970 31/05/2022
80.000 Roll GSIN: T014GMATERIAL: 64402
LABEL, RX PRESCRIPTION, SELF-ADHESIVE CUSTOMIZED, 3 IN X 1 3/4 IN, 1000
PER ROLL,
GRAND MEDICINE (RXLABEL) #500
A) MINIMUM RELEASE QUANTITY: 6

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1980 31/05/2022
150.000 Bottle GSIN: N6550MATERIAL: 64494
SOLUTION, 0.9% SODIUM CHLORIDE, IRRIGATION (NaCL), 500 ML, 15 BOTTLES
PER CASE,
BAXTER #JF7633P
A) MINIMUM RELEASE QUANTITY: 15

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 1990 31/05/2022
50.00 Each GSIN: N6515MATERIAL: 64648
CATHETER, I.V., SAFETY, FEP POLYMER AND RADIOPAQUE, OCRILON
POLYURETHANE, 20G X 1 1/4 INCH NEEDLE, STRAIGHT HUB, PINK,
SMITH MEDICAL (PROTECTIV PLUS) #3066, CARDINAL HEALTH #3066
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2000 31/05/2022
450.00 Each GSIN: N6515MATERIAL: 64649
CHAMBER, HOLDING, VALVED, ANTI-STATIC ACRYLONITRILE BUTADIENE STYRENE,
LOW RESISTANCE EXPIRATORY VALVE, TETHERED CAP, STEPPED MOUTHPIECE, FLAT
BOTTOM, FLEXIBLE MDI ADAPTER, 10 EACH PER CASE,
PHILIPS RESPIRONICS (OPTICHAMBER DIAMOND) #1098213
A) MINIMUM RELEASE QUANTITY: 30

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2010 31/05/2022
800.00 Each GSIN: N6515MATERIAL: 64650
CHAMBER, HOLDING, VALVED, ANTI-STATIC ACRYLONITRILE BUTADIENE STYRENE,
LITE TOUCH VHC MASK IS POLYCARBONATE (PC) SILICONE, MEDIUM MASK,
10 EACH PER CASE,
PHILIPS RESPIRONICS (OPTICHAMBER DIAMOND) #1098215
A) MINIMUM RELEASE QUANTITY: 60

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2020 31/05/2022
900.00 Each GSIN: N6515MATERIAL: 64661
CHAMBER, HOLDING, VALVED, ANTI-STATIC ACRYLONITRILE BUTADIENE STYRENE,
LITE TOUCH VHC MASK IS POLYCARBONATE (PC) SILICONE, LARGE MASK,
10 EACH PER CASE,
PHILIPS RESPIRONICS (OPTICHAMBER DIAMOND) #1098216
A) MINIMUM RELEASE QUANTITY: 7

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2030 31/05/2022
8.00 Each GSIN: N6515MATERIAL: 64690
PAD, DEFIBRILLATOR, EXTERNAL, AUTOMATED, PEDIATRIC, QUICK COMBO, EDGE
SYSTEM, FOR USE WITH LIFEPAK 12, LIFEPAK 15, LIFEPAK 20E, FOR MANUAL
DEFIBRILLATOR/MONITOR,
PHYSIO CONTROL # 11996-000093
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2040 31/05/2022
12.00 Each GSIN: N6515MATERIAL: 64696
TIE, TUBE, TRACHEOSTOMY, FOAM, ONE-PIECE COLLAR HELPS SECURE TUBE, SIZE
18 1/2 IN L X 1 IN W (47 CM X 3 CM), 12 EACH PER BOX,
POSEY #8197M
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2050 31/05/2022
100.00 Each GSIN: N6515MATERIAL: 64697
SET, EXTENSION, IV CATHETER, WITH A CLEARLINK LUER ACTIVATED VALVE, MALE
LUER LOCK ADAPTER, NON-DEHP, APPROXIMATE VOLUME 0.5 ML, LENGTH 8.2 IN
(21 CM), STERILE, 50 PER CASE,
BAXTER (CLEARLINK) #2N8374
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2060 31/05/2022
50.00 Each GSIN: N6515MATERIAL: 64698
EXTENSION SET, NON-DEHP Y-TYPE CATHETER, LUER ACTIVATED VALVE, MALE LUER
LOCK ADAPTER WITH RETRACTABLE COLLAR, 6.5 IN (16.5 CM) LENGTH,
APPROXIMATE VOLUME 1.2 ML, NONPYROGENIC, STERILE, 50 EPR CASE,
BAXTER (CLEARLINK) #2N8377
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2070 31/05/2022
48.00 Each GSIN: N6515MATERIAL: 64700
EXTENSION SET, 0.22 MICRO HIGH PRESSURE, EXTENDED LIFE FILTER, ONE
INTERLINK INJECTION SITE 6 IN FROM LUER LOCK ADAPTER, 16 IN (42 CM)
LENGTH, APPROXIMATE VOLUME 5.0 ML, STERILE PEEL POUCH, 48 PER CASE,
BAXTER (INTERLINK) #JC6671
A) MINIMUM RELEASE QUANTITY: 48

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2080 31/05/2022
2,475.00 Each GSIN: N6530MATERIAL: 64713
BOTTLE, PRESCRIPTION, 2 OUNCE (60 ML), SCREW CAP, PLASTIC, AMBER, 75
EACH PER BOX,
MCKESSON #95158
A) MINIMUM RELEASE QUANTITY: 150

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2090 31/05/2022
1,650.00 Each GSIN: N6530MATERIAL: 64714
BOTTLE, PRESCRIPTION, 4 OUNCE (125 ML), SCREW CAP, PLASTIC, AMBER, 75
EACH PER BOX,
MCKESSON #95257
A) MINIMUM RELEASE QUANTITY: 150

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2100 31/05/2022
600.00 Each GSIN: N6530MATERIAL: 64715
BOTTLE, PRESCRIPTION, 8 OUNCE (250 ML), SCREW CAP, PLASTIC, AMBER, 50
EACH PER BOX,
MCKESSON #52902
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2110 31/05/2022
125.00 Each GSIN: N6530MATERIAL: 64716
BOTTLE, PRESCRIPTION, 16 OUNCE (500 ML), SCREW CAP, PLASTIC, AMBER, 25
EACH PER BOX,
MCKESSON #639807
A) MINIMUM RELEASE QUANTITY: 25

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2120 31/05/2022
220.000 Case GSIN: N6530MATERIAL: 64717
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 7 DRAM,
450 PER CASE,
MCKESSON #78239
A) MINIMUM RELEASE QUANTITY: 18

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2130 31/05/2022
36.000 Case GSIN: N6530MATERIAL: 64718
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 12 DRAM,
275 PER CASE,
MCKEESON #78254
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2140 31/05/2022
24.000 Case GSIN: N6530MATERIAL: 64719
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 16 DRAM,
250 PER CASE,
MCKESSON #78242
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2150 31/05/2022
10.000 Case GSIN: N6530MATERIAL: 64720
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 20 DRAM,
175 PER CASE,
MCKESSON #78267
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2160 31/05/2022
2,800.00 Each GSIN: N6515MATERIAL: 64724
KIT, NEBULIZER, ADULT AEROSOL MASK, NEBULIZER CUP, 7 FT OXYGEN TUBE,
AMG MEDICAL #705-520, MCKESSON #645986
A) MINIMUM RELEASE QUANTITY: 200

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2170 31/05/2022
2,200.00 Each GSIN: N6515MATERIAL: 64725
KIT, NEBULIZER, CHILD AEROSOL MASK, NEBULIZER CUP, 7 FT OXYGEN TUBE,
AMG MEDICAL #705-530, MCKESSON #646018
A) MINIMUM RELEASE QUANTITY: 200

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2180 31/05/2022
20.000 Box GSIN: N6510MATERIAL: 64726
PATCH, EYE, ORTHOPTIC, JUNIOR, 2.44 IN X 1.18 IN (6.3 CM X 4.5 CM), 20
PER BOX,
MCKESSON #848325, 3M NEXCARE (OPTICLUDE) #1537
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2190 31/05/2022
30.000 Box GSIN: N6510MATERIAL: 64727
PATCH, EYE, ORTHOPTIC, REGULAR, 3.18 IN X 2.18 IN (8.2 CM X 5.6 CM), 20
PER BOX,
MCKESSON #130377, 3M NEXCARE (OPTICLUDE) #1539
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2200 31/05/2022
100.000 Box GSIN: N8125MATERIAL: 64729
JAR, OINTMENT, PLASTIC COVER, 50 ML, 25 PER BOX, RCH, DIN061025018715,
MCKESSON #515452
A) MINIMUM RELEASE QUANTITY: 8

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2210 31/05/2022
260.000 Box GSIN: N8125MATERIAL: 64730
JAR, OINTMENT, PLASTIC COVER, 100 ML, 15 PER BOX, RCH, DIN061025018746,
MCKESSON #799700
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2220 31/05/2022
50.00 Each GSIN: N6515MATERIAL: 64731
STOPCOCK, LARGE BORE, 4 WAY, LIPID RESISTANT, ROTATING MALE LUER LOCK
ADAPTER, STERILE PEEL POUCH, NON-PVC,NON-DEHP, 50 EACH PER CASE,
BAXER #2C6204
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2230 31/05/2022
180.000 Box GSIN: N6640MATERIAL: 64732
BOTTLE, GLASS, WITH DROPPER, AMBER, 25 ML, 12 EACH PER BOX, MCKESSON
#503458
A) MINIMUM RELEASE QUANTITY: 16

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2240 31/05/2022
504.00 Each GSIN: N6515MATERIAL: 64733
BOTTLE, WATER, HOT, 2 L (2000 CC), MOLDED RED RUBBER WITH LEAK PROOF
SEAL, (BULK 12 EACH/CASE),
GRAFCO #3868-1, STEVENS #139-3868-1
A) MINIMUM RELEASE QUANTITY: 36

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2250 31/05/2022
1,632.000 Bottle GSIN: N6550MATERIAL: 5425
SODIUM CHLORIDE, (SALINE), 0.9%, FOR IRRIGATION, LONG SHELF LIFE, 250 ML
PLASTIC BOTTLE, 24 BOTTLES PER CASE,
HOSPIRA #O6138125
A) MINIMUM RELEASE QUANTITY: 120

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2260 31/05/2022
1.000 Box GSIN: N6515MATERIAL: 64701
COVER, TRANSDUCER, CIV-FLEX, TELESCOPICALLY-FOLDED, EXTENDED LENGTH,
10.2 CM X 147 CM (4 IN X 58 IN), STERILE, 24 EACH PER BOX,
CIVCO #610-1000
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2270 31/05/2022
150.00 Each GSIN: N8530MATERIAL: 64734
BRUSH, NAIL, SCRUB, PURPLE WITH WHITE BRISTLES, 4 1/4 IN X 1 5/8 IN, 50
EACH PER BOX,
STEVENS #745-NB3381
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2280 31/05/2022
6.000 Case GSIN: N6530MATERIAL: 64741
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 30 DRAM,
140 PER CASE,
MCKESSON #78248
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2290 31/05/2022
10.000 Case GSIN: N6530MATERIAL: 64742
BOTTLE, PRESCRIPTION, EUREKA VIAL, WITH SNAP SAFE CAP, AMBER, 40 DRAM,
100 PER CASE,
MCKESSON #78292
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2300 31/05/2022
1,320.00 Each GSIN: N6515MATERIAL: 64751
ASPIRATOR, NASAL, 1 OUNCE, REMOVES NASAL CONJESTION, USE TO CLEAN MUCUS
FROM NASAL PASSAGEWAYS, SMOOTH INTERIOR PREVENTS BACTERIA TRAPPING,
MEDICAL PLASTISOL, HYPOALLERGENIC, LATEX AND BPA FREE, UPC 063636900342,
PHARMA SYSTEMS #PS900, MCKESSON #220798
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ June 1, 2020 to May 31, 2021.

Year 2 $ _____________ June 1, 2021 to May 31, 2022.

========================================================
ITEM 2310 31/05/2022
264.000 Bottle GSIN: N8520MATERIAL: 64753
SHAMPOO, BABY, SOAP-FREE, CLINICALLY PROVEN HYPOALLERGENIC, GENTLE TO
THE EYES, PARABEN-FREE, 600 ML BOTTLE (NO SUBSTITUTE),
JOHNSON & JOHNSON #100025029
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2320 31/05/2022
240.000 Box GSIN: N6510MATERIAL: 64761
PAD, NURSING, UNIQUE BREATHABLE LAYER LOCKS IN MOISTURE AND KEEPS
CLOTHING PROTECTED, MAINTAINS FORM AND SMOOTH SHAPE, QUILTED HONEYCOMB
LINING PROVIDES LEAK PROOF COVERAGE, TWO ADHESIVE STRIPS, ULTRA-THIN,
INDIVIDUALLY WRAPPED, 60 PER BOX,
MCKESSON (LANSINOH) #611830
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2330 31/05/2022
36.00 Each GSIN: N6500MATERIAL: 64762
SPLITTER, CRUSHER, STORE, 3 IN 1, FOR TABLETS/PILLS,
MCKESSON (MANSFIELD) #20099
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2340 31/05/2022
60.000 Box GSIN: N6515MATERIAL: 64763
SYSTEM, CRYOSURGICAL, HISTOFREEZER, ULTRA-PORTABLE,ONE-HANDED OPERATION,
TREATMENT TAKES 60 SECONDS, FOR WARTS, ACTINIC KERATOSES, SEBORRHEIC
KERATOSES, SKIN TAGS, AGE SPOTS, CONDYLOMA ACUMINATA, MOLLUSCUM
CONTAGIOSUM, CFC-FREE, OZONE FRIENDLY, 2 X 80 ML PER BOX,
PALADIN LABS/ORASURE (HISTOFREEZER) #2879100580
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2350 31/05/2022
10.00 Each GSIN: N6515MATERIAL: 64764
MASK, LARYNGEAL, SINGLE USE, SILICONE, LOW ATRIUM WITH EPIGLOTTIS BAR,
EASY TO INSERT, ONE PIECE DESIGN, TRANSLUCENT MATERIAL, CHILDREN 30-50
KG, SIZE 3, ID TUBE 10 MM, OD TUBE 15 MM, MAXIMUM CUFF VOLUME 20 ML, 10
EACH PER CASE,
PORTEX #100/222/300
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2360 31/05/2022
10.00 Each GSIN: N6515MATERIAL: 64765
MASK, LARYNGEAL, SINGLE USE, SILICONE, LOW ATRIUM WITH EPIGLOTTIS BAR,
EASY TO INSERT, ONE PIECE DESIGN, TRANSLUCENT MATERIAL, ADULT 50-70 KG,
SIZE 4, ID TUBE 10 MM, OD TUBE 15 MM, MAXIMUM CUFF VOLUME 30 ML, 10 EACH
PER CASE,
PORTEX #100/222/400
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2370 31/05/2022
10.00 Each GSIN: N6515MATERIAL: 64766
MASK, LARYNGEAL, SINGLE USE, SILICONE, LOW ATRIUM WITH EPIGLOTTIS BAR,
EASY TO INSERT, ONE PIECE DESIGN, TRANSLUCENT MATERIAL, ADULT 70-100 KG
,SIZE 5, ID TUBE 11.5 MM, OD TUBE 16.5 MM, MAXIMUM CUFF VOLUME 40 ML, 10
PORTEX #100/222/500
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2380 31/05/2022
10.00 Each GSIN: N6530MATERIAL: 64767
BAG, INFUSER PRESSURE, DISPOSABLE, OVAL SHAPED BULB TO EASE INFLATION,
TRANSPARENT FRONT PANEL FOR VISUAL CHECK OF FLUIDS, EASY TO READ GAUGE,
SAFETY VALVE PREVENTS OVERINFLATION, LATEX FREE, 500 ML, 5 EACH PER BOX,
ETHOX (INFU-SURG) #ET4005
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2390 31/05/2022
4.00 Each GSIN: N6515MATERIAL: 64789
SET, FILTERLINE, MONITORING, ACCESSORY, FOR INTUBATED PATIENTS,
ADULT/PEDIATRIC, 14 FT (400 CM) 25 PER BOX,
PHYSIO CONTROL (END-TIDAL CO2) #11996-000164
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2400 31/05/2022
30.00 Each GSIN: N6515MATERIAL: 64790
PAD, DEFIBRILLATOR, EXTERNAL, AUTOMATED, ADULT, QUICK COMBO, EDGE
PRECONNECT SYSTEM, REDI-PAK, FOR USE WITH LIFEPAK 12, LIFEPAK20E,
LIFEPAK 15, FOR MANUAL DEFIBRILLATOR/MONITOR, 42 IN LEADWIRE LENGTH,
PHYSIO CONTROL #11996-000017
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2410 31/05/2022
4.000 Box GSIN: N6515MATERIAL: 64875
TUBING, TRANSDUCER ARTERIAL LINE, DISPOSABLE, 3ML/HR FLUSH DEVICE, 4-WAY
STOPCOCKS FOR CONTINUOUS MONITORING, PATIENT-MOUNT, PRIMARY TUBE LENGTH
9 IN (23 CM), 10 UNITS PER BOX,
ARGON MEDICAL (ARGOTRANS) #041582505A
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2420 31/05/2022
1.000 Box GSIN: N6515MATERIAL: 64923
VALVE, CHEST DRAIN, BLUE END TO CONNECT TO PATIENT CATHETER AND
TRANSPARENT END BAG, SINGLE USE, STERILE, 10 PER BOX,
BD (HEIMLICH) #373460
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================
ITEM 2430 31/05/2022
10.00 Each GSIN: N6515MATERIAL: 64931
SET, INTRODUCER, SHEATH, PERCUTANEOUS, SHEATH 8 FR X 4 IN (10 CM)
ARROW-FLEX RADIOIPAQUE POLYURETHANE WITH INTEGRAL HEMOSTASIS VALVE/SIDE
PORT AND TISSUE DILATOR, SPRING-WIRE GUIDE .035 IN (0.89 MM) DIA. X 17
3/4 IN (45 CM) STRAIGHT SOFT TIP ON ONE END, "J" TIP ON OTHER, 18 GA X 2
1/2 IN (6.35 CM) RADIOPAQUE OVER 20 GA RW INTRODUCER NEEDLE, NEEDLE 18
GA X 2 1/2 IN (6.35 CM) XTW, OBTURATOR 8 FR, 10 PER CASE,
TELEFLEX (ARROW) #CI-09803
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2440 31/05/2022
20.00 Each GSIN: N6515MATERIAL: 65182
MASK, FACE, DISPOSABLE, SINGLE USE, CRYSTAL CLEAR DOME FOR EASY
OBSERVATION OF PATIENT, VERY SOFT, ANATOMICALLY SHAPED CUFF ENABLING A
TIGHT SEAL WITH MINIMUM APPLIED PRESSURE, FLEXIBLE, SELF-EXPANDING DOME,
COMES WITH CHECK VALVE, POLYVINYLCHLORIDE MATERIAL, #00 PREEMIE, 20 PER
CASE,
AMBU ULTRASEAL #305 001 000
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2450 31/05/2022
20.00 Each GSIN: N6515MATERIAL: 65183
MASK, FACE, DISPOSABLE, SINGLE USE, CRYSTAL CLEAR DOME FOR EASY
OBSERVATION OF PATIENT, VERY SOFT, ANATOMICALLY SHAPED CUFF ENABLING A
TIGHT SEAL WITH MINIMUM APPLIED PRESSURE, FLEXIBLE, SELF-EXPANDING DOME,
COMES WITH CHECK VALVE, POLYVINYLCHLORIDE MATERIAL, #2-3 TODDLER,
20 PER CASE,
AMBU ULTRASEAL #000-252-083
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2460 31/05/2022
20.00 Each GSIN: N6515MATERIAL: 65184
MASK, FACE, DISPOSABLE, SINGLE USE, CRYSTAL CLEAR DOME FOR EASY
OBSERVATION OF PATIENT, VERY SOFT, ANATOMICALLY SHAPED CUFF ENABLING A
TIGHT SEAL WITH MINIMUM APPLIED PRESSURE, FLEXIBLE, SELF-EXPANDING DOME,
COMES WITH CHECK VALVE, POLYVINYLCHLORIDE MATERIAL, #1-2 INFANT, 20 PER
CASE,
AMBU ULTRASEAL #305 007 000
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2470 31/05/2022
20.00 Each GSIN: N6515MATERIAL: 65185
MASK, FACE, DISPOSABLE, SINGLE USE, CRYSTAL CLEAR DOME FOR EASY
OBSERVATION OF PATIENT, DOME HAS THUMB REST FOR EASY GRIP, SOFT, SHAPED,
AIRFILLED CUFF ALLOWS A TIGHT FIT TO THE FACE, COMES WITH HOOK RING,
COMES WITH CHECK VALVE, PHTHALATE-FREE MATERIAL, SIZE TODDLER, 20 PER
CASE,
AMBU #000 252 953
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2480 31/05/2022
20.00 Each GSIN: N6515MATERIAL: 65193
MASK, FACE, DISPOSABLE, SINGLE USE, CRYSTAL CLEAR DOME FOR EASY
OBSERVATION OF PATIENT, DOME HAS THUMB REST FOR EASY GRIP, SOFT, SHAPED,
AIRFILLED CUFF ALLOWS A TIGHT FIT TO THE FACE, COMES WITH HOOK RING,
COMES WITH CHECK VALVE, PHTHALATE-FREE MATERIAL, SIZE SMALL ADULT/CHILD
,20 PER CASE,
AMBU #000 252 954
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2490 31/05/2022
20.00 Each GSIN: N6515MATERIAL: 65194
MASK, FACE, DISPOSABLE, SINGLE USE, CRYSTAL CLEAR DOME FOR EASY
OBSERVATION OF PATIENT, DOME HAS THUMB REST FOR EASY GRIP, SOFT, SHAPED,
AIRFILLED CUFF ALLOWS A TIGHT FIT TO THE FACE, COMES WITH HOOK RING,
COMES WITH CHECK VALVE, PHTHALATE-FREE MATERIAL, SIZE MEDIUM ADULT, 20
PER CASE,
AMBU #000 252 955
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2500 31/05/2022
20.00 Each GSIN: N6515MATERIAL: 65195
MASK, FACE, DISPOSABLE, SINGLE USE, CRYSTAL CLEAR DOME FOR EASY
OBSERVATION OF PATIENT, DOME HAS THUMB REST FOR EASY GRIP, SOFT, SHAPED,
AIRFILLED CUFF ALLOWS A TIGHT FIT TO THE FACE, COMES WITH HOOK RING,
COMES WITH CHECK VALVE, PHTHALATE-FREE MATERIAL, SIZE LARGE ADULT, 20
PER CASE,
AMBU #000 252 956
A) MINIMUM RELEASE QUANTITY: 20

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2510 31/05/2022
25.00 Each GSIN: N6515MATERIAL: 65198
HOLDER, ENDOTRACHEAL TUBE, ACCOMMODATES TUBE SIZES LESS THEN OR EQUAL TO
6.5 MM (INNER DIAMETER) TO 21 MM (OUTER DIAMETER), LARGE OPENING ALLOWS
FOR VIEW OF PATIENT'S MOUTH AND LIP COLOUR, EASY ACCESS FOR SUCTIONING
AND OTHER ORAL CARE NEEDS, HOOK AND LOOP PADDED STRAP, ADULT SIZE,
LAERDAL (THOMAS TUBE HOLDER) #600-10000
A) MINIMUM RELEASE QUANTITY: 25

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2520 31/05/2022
25.00 Each GSIN: N6515MATERIAL: 65199
HOLDER, ENDOTRACHEAL TUBE, ACCOMMODATES TUBE SIZES LESS THEN OR EQUAL TO
4.3 MM (INNER DIAMETER) TO 15.8 MM (OUTER DIAMETER), LARGE OPENING
ALLOWS FOR VIEW OF PATIENT'S MOUTH AND LIP COLOUR, EASY ACCESS FOR
SUCTIONING AND OTHER ORAL CARE NEEDS, HOOK AND LOOP PADDED STRAP,
PEDIATRIC SIZE,
LAERDAL (THOMAS TUBE HOLDER) #600-20000
A) MINIMUM RELEASE QUANTITY: 25

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2530 31/05/2022
100.00 Each GSIN: N6515MATERIAL: 65443
ADAPTER, ENDOTRACHEAL TUBE, FEATHER-FLEX DUAL SWIVAL, 15MM ID WITH
SWIVAL, 15 OD WITH SWIVAL, MADE OF K-RESIN KR03, 100 PER CASE,
BOMIMED #OL-544400-00
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2540 31/05/2022
2.000 Case GSIN: N6530MATERIAL: 65452
VALVE, REPLACEMENT, ONE WAY, WITH FILTER, 15 MM SIZE, 100% LATEX FREE,
FOR AMBU RES-CUE MASK, 50 PER CASE,
AMBU #000 252 253
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2550 31/05/2022
1.000 Box GSIN: N6515MATERIAL: 65464
SENSOR, PULSE OXIMETRY, SP02, DISPOSABLE, ADHESIVE, NEONATAL, FOR USE
WITH LIFEPAK 12/15/20 MONITOR/DEFIBRILLATOR, LOW NOISE CABLE SENSOR
(LNCS), WITH INTEGRAL CABLE, FOR USE ON PATIENTS <6 LBS (3 KG) OR >88
LBS (40 KG), 20 PER BOX,
PHYSIO CONTROL (NEO-L) #11171-000028
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2560 31/05/2022
8.000 Box GSIN: N6515MATERIAL: 65477
PAPER, RECORDER, STRIP CHART, FOR USE WITH LIFEPAK DEFIBRILLATOR MODELS
THAT UTILIZE 100 MM RECORDING, COMMON USE FOR CARDIAC 12-LEAD ECG
PRINTOUTS, 100 MM X 30 M, 2 PER BOX,
PHYSIO CONTROL #11240-000016
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2570 31/05/2022
1.000 Box GSIN: N6515MATERIAL: 65479
BLADE, CLEAR COVER, SINGLE USE, FOR USE WITH GLIDESCOPE AVL/RANGER
LARYNGOSCOPE, BATON SIZE 3, STERILE, ADULT, 10 KG, 10 PER BOX,
CANADIAN HOSPITAL (GVL 3 STAT) #0270-0626
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2580 31/05/2022
1.000 Box GSIN: N6515MATERIAL: 65480
BLADE, CLEAR COVER, SINGLE USE, FOR USE WITH GLIDESCOPE AVL/RANGER
LARYNGOSCOPE, BATON SIZE 4, STERILE, MORBIDLY OBESE, 10 KG, 10 PER BOX,
CANADIAN HOSPITAL (GVL 4 STAT) #0270-0628
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2590 31/05/2022
1.000 Box GSIN: N6515MATERIAL: 65521
STYLET, REUSABLE, RIGIDITY HELPS FACILITATE SUCCESSFUL INTUBATIONS,
UNIQUE ANGLE FOR GLIDESCOPE INSTRUMENTS, FOR USE WITH 6.0 MM OR LARGER
ENDOTRACHEAL TUBES, 10 PER BOX,
CANADIAN HOSPITAL (GLIDERITE RIGID STYLET) #0270-0681
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2600 31/05/2022
20.000 Set GSIN: N6515MATERIAL: 65760
NEEDLE SET, 25 MM X 15 GA STERILE ARROW EZ-IO NEEDLE, EZ-STABILIZER
DRESSING, EZ-CONNECT EXTENSION SET, PATIENT WRIST BAND, NEEDLE VISE 1
PORT SHARPS BLOCK, STAINLESS STEEL, ADULT, 5 NEEDLE SETS PER CASE,
ARROW EZ-IO #9001P
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2610 31/05/2022
10.000 Set GSIN: N6515MATERIAL: 65761
NEEDLE SET, 15 MM X 15 GA STERILE ARROW EZ-IO NEEDLE, EZ-STABILIZER
DRESSING, EZ-CONNECT EXTENSION SET, PATIENT WRIST BAND, NEEDLE VISE 1
PORT SHARPS BLOCK, STAINLESS STEEL, PEDIATRIC, 5 NEEDLE SETS PER CASE,
ARROW EZ-IO #9018P
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2620 31/05/2022
10.00 Each GSIN: N6515MATERIAL: 65860
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
TRANSPARENT, PATIENT CRITERIA LESS THAN 5 KG, CUFF VOLUME 10 ML,
EXTERNAL DIAMETER 9 MM, SUCTION CATHETER 10 FR, SINGLE INFLATION PORT,
DRAIN TUBE FOR GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE
MATERIAL, SIZE 0, PEDIATRIC, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD420
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2630 31/05/2022
30.00 Each GSIN: N6515MATERIAL: 65911
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
WHITE, PATIENT CRITERIA 5-12 KG, CUFF VOLUME 20 ML, EXTERNAL DIAMETER 9
MM, SUCTION CATHETER 10 FR, SINGLE INFLATION PORT, DRAIN TUBE FOR
GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE MATERIAL,
SIZE 1, PEDIATRIC, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD421
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2640 31/05/2022
50.00 Each GSIN: N6515MATERIAL: 65912
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
GREEN, PATIENT CRITERIA 12-25 KG, CUFF VOLUME 35 ML, EXTERNAL DIAMETER
14 MM, SUCTION CATHETER 16 FR, SINGLE INFLATION PORT, DRAIN TUBE FOR
GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE MATERIAL,
SIZE 2, PEDIATRIC, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD422
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2650 31/05/2022
40.00 Each GSIN: N6515MATERIAL: 65913
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
ORANGE, PATIENT CRITERIA 25-35 KG, CUFF VOLUME 40-45 ML, EXTERNAL
DIAMETER 14 MM, SUCTION CATHETER 16 FR, SINGLE INFLATION PORT, DRAIN
TUBE FOR GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE
MATERIAL, SIZE 2.5, PEDIATRIC, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD4225
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2660 31/05/2022
40.00 Each GSIN: N6515MATERIAL: 65914
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
YELLOW, PATIENT CRITERIA 4-5 FEET, CUFF VOLUME 50-60 ML, EXTERNAL
DIAMETER 17.6 MM, SUCTION CATHETER 18 FR, SINGLE INFLATION PORT, DRAIN
TUBE FOR GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE
MATERIAL, SIZE 3, ADULT, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD423
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2670 31/05/2022
50.00 Each GSIN: N6515MATERIAL: 65915
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
RED, PATIENT CRITERIA 5-6 FEET, CUFF VOLUME 70-80 ML, EXTERNAL DIAMETER
17.6 MM, SUCTION CATHETER 18 FR, SINGLE INFLATION PORT, DRAIN TUBE FOR
GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX FREE MATERIAL,
SIZE 4, ADULT, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD424
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2680 31/05/2022
40.00 Each GSIN: N6515MATERIAL: 65916
AIRWAY, DISPOSABLE, LARYNGEAL TUBE, SEALS IN THE ESOPHAGUS AND
OROPHARYNX TO PROVIDE POSITIVE PRESSURE VENTILATION, CONNECTOR COLOR
PURPLE, PATIENT CRITERIA GREATER THAN 6 FEET, CUFF VOLUME 80-90 ML,
EXTERNAL DIAMETER 17.6 MM, SUCTION CATHETER 18 FR, SINGLE INFLATION
PORT, DRAIN TUBE FOR GASTRIC AND SUCTION CATHETERS, PHTHALATE AND LATEX
FREE MATERIAL, SIZE 5, ADULT, 10 EA/CS,
AMBU KING (KING LTS-D) #KLTSD425
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2690 31/05/2022
60.000 Box GSIN: N6515MATERIAL: 66462
SUCTION DEVICE, ORAL AND NASAL, DESIGNED FOR SINGLE HANDED SUCTIONING,
THUMB PORT FOR INTERMITTENT SUCTIONING, 5 MM DIAMETER SOFT FLEXIBLE TIP
SIMILAR TO A BULB SYRINGE, 3 MM DIAMETER TIP OPENING, NOT MADE WITH
NATURAL RUBBER LATEX OR PLASITICIZER DEHP, LENGTH 120 MM, 50 PER BOX,
NEOTECH (LITTLE SUCKER) #N205 STANDARD
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2700 31/05/2022
20.000 Set GSIN: N6515MATERIAL: 67142
NEEDLE SET, 45 MM X 15 GA STERILE ARROW EZ-IO NEEDLE, EZ-STABILIZER
DRESSING, EZ-CONNECT EXTENSION SET, PATIENT WRIST BAND, NEEDLE VISE 1
PORT SHARPS BLOCK, STAINLESS STEEL, ADULT, 5 NEEDLE SETS PER CASE,
ARROW EZ-IO #9079P-VC-005
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2710 31/05/2022
10.00 Each GSIN: N6515MATERIAL: 67143
DRIVER, INTRAOSSEOUS VASCULAR ACCESS, SEALED LITHIUM, DIMENSIONS: 6.5 IN
X 4.5 IN X 2.5 IN (16.5CM X 11.4CM X 6.4CM), WEIGHT 11.1 OZ (315 GM),
ARROW EZ-IO DRIVER (TELEFLEX) #9058
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2720 31/05/2022
6.000 Case GSIN: N6515MATERIAL: 67290
GOWN, SURGICAL, MADE OF A UNIQUE FABRIC THAT IS SOFTER TO THE SKIN,
PROVIDES THE ULTIMATE LEVEL OF COMFORT, LIGHTWEIGHT SILKIER FABRIC THAT
HELPS YOU MOVE EFFORTLESSLY FROM TASK TO TASK, PROVIDES AAMI LEVEL 3
PROTECTION FROM BLOOD, LIQUID AND OTHER POTENTIALLY INFECTIOUS
MATERIALS, 20 PER CASE,
CARDINAL HEALTH (ROYALSILK) #A9548
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2730 31/05/2022
6.00 Each GSIN: N6150MATERIAL: 67338
LAMP, OTOSCOPE, 3.5 VOLTS, HALOGEN HPX, 6 EACH PER PACKAGE,
WELCH ALLYN #WA06500-U6
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2740 31/05/2022
1.000 Box GSIN: N6515MATERIAL: 67603
ADAPTER, METERED DOSE INHALER, 15 MM OD X 15 MM ID, 50 PER BOX,
TELEFLEX (HUDSON RCI) #1751
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2750 31/05/2022
300.00 Each GSIN: N6515MATERIAL: 68681
PUNCH, BIOPSY, DISPOSABLE, STERILE, SEAMLESS STAINLESS STEEL DESIGN,
RIBBED HANDLE TO PROVIDE COMFORT AND CONTROL, 2 MM, 50 PER CASE,
INTEGRA MILTEX #ML3331, CARDINAL HEALTH #33-31
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2760 31/05/2022
300.00 Each GSIN: N6515MATERIAL: 68682
PUNCH, BIOPSY, DISPOSABLE, STERILE, SEAMLESS STAINLESS STEEL DESIGN,
RIBBED HANDLE TO PROVIDE COMFORT AND CONTROL, 4 MM, 50 PER CASE,
INTEGRA MILTEX #ML3334, CARDINAL HEALTH #33-34
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2770 31/05/2022
12.000 Box GSIN: N6640MATERIAL: 69023
MICROCUVETTES, WHITE BLOOD CELL COUNT, PLASTIC, 10uL, CUVETTE CAVITY
CONTAINS REAGENTS DEPOSITED ON ITS INNER WALLS AND THE BLOOD SAMPLE IS
DRAWN INTO THE CAVITY BY CAPILLARY ACTION AND MIXES WITH THE REAGENTS,
160 MICROCUVETTES (4 X 40) PER BOX<(>,<)>
HEMOCUE WBC #113003, STEVENS #039-113003
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2780 31/05/2022
4.000 Box GSIN: N6505MATERIAL: 69024
SODIUM CHLORIDE, INJECTION, 0.9%, 10 ML VIAL, LUER LOCK PLASTIC AMPOULE,
20 PER BOX, DIN #02304341,
TELIGENT #C31-0195AF01, MCKESSON #941955
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2790 31/05/2022
4.000 Box GSIN: N6500MATERIAL: 69025
WATER, STERILE, FOR INJECTION, 10 ML VIAL, CLEAR POLYAMPOULE, 20 PER
BOX, DIN #02299186,
TELIGENT #0230AF01, MCKESSON #336644
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2800 31/05/2022
60.000 Container GSIN: N7920MATERIAL: 69584
WIPES, DISINFECTANT, PRE-SATURATED, RAPID CONTACT TIME OF 1 MINUTE,
ONE-STEP SURFACE DISINFECTANT, 6 INCH X 7 INCH, 160 PER CONTAINER, 12
CONTAINERS PER CASE,
ACCEL (INTERVENTION) #100906585
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2810 31/05/2022
24.000 Bottle GSIN: N6505MATERIAL: 69720
GLYCEROL, 99% PURE, FOR USE IN MOLECULAR BIOLOGY METHODS, 1 LITRE
BOTTLE,
THERMO SCIENTIFIC #17904, FISHER #PI17904
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2820 31/05/2022
60.000 Package GSIN: N6640MATERIAL: 69732
PAPER, TEST, HYDRION CHLORINE, TO MEASURE THE CONCENTRATION OF FREE
AVAILABLE CHLORINE IN SANITIZING SOLUTIONS, WITH COLOR MATCHES AT
10-25-50-100-200 PPM, MEASURES CONCENTRATIONS BETWEEN 10 - 200 PPM,
CONSISTS OF A 15 FOOT ROLL OF TEST PAPER, MATCHING COLOR CHART, PLUS 1
ADDITIONAL REFILL ROLL, FOR 2000 TESTS, 10 PACKAGES PER CASE,
MICROESSENTIAL #MESCM240, FISHER #15-240-2Q
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2830 31/05/2022
60.000 Package GSIN: N7920MATERIAL: 69761
WIPER, SPECIALTY, FOR DELICATE TASK, SOFT, NON-ABRASIVE,
CELLULOSE-FIBER, ABSORBS MANY TIMES THEIR OWN WEIGHT, SINGLE PLY, EXTRA
LOW-LINTING AND LOW-EXTRACTABLE, COLOR WHITE, 4.4 IN X 8.4 IN (11.2 CM X
21 CM), 280 WIPES PER PACKAGE, 30 PACKAGES PER CASE,
KIMBERLY CLARK PROFESSIONAL (KIMTECH SCIENCE) #KC34120, FISHER
SCIENTIFIC #06-666-2
A) MINIMUM RELEASE QUANTITY: 30

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2840 31/05/2022
20.000 Kit GSIN: N6640MATERIAL: 69762
KIT, REPLACEMENT, SEALING RINGS AND LUBRICANT, FOR USE ITH SORVALL
STRATOS TABLETOP CENTRIFUGE, ROTOR LID,
THERMO SCIENTIFIC #75003268, FISHER SCIENTIFIC #SOR75003268
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2850 31/05/2022
24.000 Package GSIN: N7920MATERIAL: 69768
CLEANER, HEMOCUE, FOR THE OPTRONIC UNIT OF SEVERAL HEMOCUE ANALYZERS,
SPONGE MADE OF POLYURETHANE FOAM, LINT AND FIBER FREE MATERIAL, HIGHLY
ABSORBENT, MOISTENED WITH A CLEANING SOLUTION, 5 PER PACKAGE,
HEMOCUE #139123, STEVENS #039-139123
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2860 31/05/2022
12.000 Package GSIN: N7920MATERIAL: 69769
CLEANER, HEMOCUE PLUS, FOR THE OPTRONIC UNIT OF HEMOCUE WBC AND WBC DIFF
ANALYZERS, SPONGE MADE OF POLYURETHANE FOAM, LINT AND FIBER FREE
MATERIAL, HIGHLY ABSORBENT, MOISTENED WITH A CLEANING SOLUTION, 5 PER
PACKAGE,
HEMOCUE #139130, STEVENS #039-139130
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2870 31/05/2022
20.000 Box GSIN: N6550MATERIAL: 69770
KIT, HEMOGLOBIN CONTROL, FOR USE WITH HEMOCUE B-HEMOGLOBIN AND HB 201
ANALYZER, LOW LEVEL, LEVEL 1, 2 X 1 ML PER BOX,
HEMOCUE (EUROTROL HEMOTROL) #171001002, STEVENS #039-171001002
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2880 31/05/2022
20.000 Box GSIN: N6550MATERIAL: 69821
KIT, HEMOGLOBIN CONTROL, FOR USE WITH HEMOCUE B-HEMOGLOBIN AND HB 201
ANALYZER, NORMAL LEVEL, LEVEL 2, 2 X 1 ML PER BOX,
HEMOCUE (EUROTROL HEMOTROL) #171002002, STEVENS #039-171002002
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2890 31/05/2022
20.000 Box GSIN: N6550MATERIAL: 69822
KIT, HEMOGLOBIN CONTROL, FOR USE WITH HEMOCUE B-HEMOGLOBIN AND HB 201
ANALYZER, HIGH LEVEL, LEVEL 3, 2 X 1 ML PER BOX,
HEMOCUE (EUROTROL HEMOTROL) #171003002, STEVENS #039-171003002
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2900 31/05/2022
200.000 Package GSIN: N6640MATERIAL: 69903
WIPE, BIO-SCREEN HEAVY (ET) ABSORBENT LAB WIPE, NON-SLIP, BRIGHT ORANGE
BIO-HAZARD WARNING COLOR, NON-STERILE, 3 INCH X 3 INCH, 200 PER PACKAGE,
10 PACKAGES PER CASE,
ESBE SCIENTIFIC #CUT-BH32000
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2910 31/05/2022
36.000 Bottle GSIN: N6505MATERIAL: 69904
ISOPROPYL ALCOHOL, STERILE SOLUTION CONTAINS 70 PERCENT BY VOLUME USP
GRADE ISOPROPYL ALCOHOL WITH 30 PERCENT USP PURIFIED WATER, 8 OUNCE
(236.5 ML) TRIGGER SPRAY BOTTLE, SUBMICRON FILTERED, GAMMA-IRADICATED,
12 BOTTLES PER CASE,
TEXWIPE #TX8270, FISHER SCIENTIFIC #19-165-611
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2920 31/05/2022
20.000 Box GSIN: N6750MATERIAL: 69907
PAPER, ULTRASOUND, UPP-210HD HIGH DENSITY FOR UP-910, UP-930, UP-960,
UP-980 PRINTERS, BLACK AND WHITE, SONY DIGITAL IMAGING MEDIA, 210 MM X
25 M, 130 PRINTS PER ROLL, 5 ROLLS PER BOX,
PHILIPS #610-619, STEVENS #721-2100254
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2930 31/05/2022
4.000 Case GSIN: N6515MATERIAL: 70090
DRAPE, CENTRAL LINE, STERILE, LATEX-FREE, ROYAL BLUE COLOUR, 36 INCH
LENGTH, 24 INCH WIDTH, FENESTRATED TYPE, 4 INCH APERTURE, 30 PER CASE,
CARDINAL #C2324
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2940 31/05/2022
100.000 Box GSIN: N6515MATERIAL: 70117
DEVICE, INTUBATION, DESIGNED TO FIT INTO AN AIRWAY KIT, EMS TRAUMA BAG,
TACTICAL TRAUMA KIT OR CARGO PANT POCKET, TEFLON, SELF-LUBRICATED,
MALLEABLE AND WILL MAINTAIN ITS MEMORY SHAPE WHEN CUSTOMIZED BY THE USER
PRIOR TO INTUBATION, BALANCED RIGIDITY WITH SOFT TISSUE PROTECTION, NON
REMOVABLE INNOVATIVE DEPTH MARKINGS, LATEX FREE, STERILE, 10 PER BOX,
BOMIMED (INTROES POCKET BOUGIE) #OL-E12102-00
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2950 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 70179
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, CLEAR, NEONATE, PINK,
INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL BITE BLOCK,
BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE CUFF, SIZE 1,
10 PER BOX,
INTERSURGICAL #8201000
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2960 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 70180
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 1.5, INFANT, 10 PER BOX,
INTERSURGICAL #8215000
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2970 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 70201
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 2, SMALL PAEDIATRIC, 10 PER BOX,
INTERSURGICAL #8202000
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2980 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 70202
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 2.5, LARGE PAEDIATRIC, 10 PER BOX,
INTERSURGICAL #8225000
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 2990 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 70203
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 3, SMALL ADULT, 25 PER BOX,
INTERSURGICAL #8203000
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3000 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 70204
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 4, MEDIUM ADULT, 25 PER BOX,
INTERSURGICAL #8204000
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3010 31/05/2022
1.00 Each GSIN: N6515MATERIAL: 70205
AIRWAY, I-GEL SUPRAGLOTTIC, 15 MM CONNECTOR, PROXIMAL END OF GASTRIC
CHANNEL, INCLUDES CONFIRMATION OF SIZE AND WEIGHT GUIDANCE, INTEGRAL
BITE BLOCK, BUCCAL CAVITY STABILIZER, EPIGLOTTIC REST, NON-INFLATABLE
CUFF, SIZE 5, LARGE ADULT, 25 PER BOX,
INTERSURGICAL #8205000
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3020 31/05/2022
60.00 Each GSIN: N6515MATERIAL: 27848
TUBE, EXTENSION, CATHETER, NON STERILE (SELF-CATH),
COLOPLAST #5078501400
A) MINIMUM RELEASE QUANTITY: 12

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3030 31/05/2022
24.000 Box GSIN: N6510MATERIAL: 28266
WIPE, SKIN PREP, SHIELD, 54/BX,
COLOPLAST #2041
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3040 31/05/2022
5.00 Each GSIN: N6515MATERIAL: 45173
CATHETER, FOLEY, 2-WAY, ALL SILICONE, ALLERGY SENSITIVE, FIRM AND LESS
BENDABLE, LONG LASTING, SHORT ROUND TIP, TWO OPPOSING DRAINAGE EYES,
STERILE, DISPOSABLE, INDIVIDUALLY WRAPPED, 14 FRENCH, 5-10 ML/CC RIBBED
BALLOON, INFLATION VALVE, CLEAR, 1 EA/PKG (5 PER BOX), END USERS
SENSITIVITY REQUIRES NO SUB ON QUALITY,
COLOPLAST #AA6114
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3050 31/05/2022
40.00 Each GSIN: N2910MATERIAL: 45175
FILTER, FUEL,
WIX #33626, BALDWIN #BF7632, FLEETGUARD #FF5324,
A) MINIMUM RELEASE QUANTITY: 5

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3060 31/05/2022
48.00 Each GSIN: N6640MATERIAL: 65033
CANISTER, 1500 CC, DISPOSABLE, WITH LID, FOR SUCTION MACHINE,
ALLIED HEALTHCARE #700-20-09-003
A) MINIMUM RELEASE QUANTITY: 48

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3070 31/05/2022
50.00 Each GSIN: N6530MATERIAL: 65429
TUBING, EXTENSION OXYGEN SUPPLY, PLASTIC, RIBBED, WITH ADAPTERS, CRUSH
RESISTANT, 14 FEET LONG, BULK PACK 50/CASE,
WEST MED #0014, CARESTREAM #WES0014, CARDINAL #P001303
A) MINIMUM RELEASE QUANTITY: 50

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3080 31/05/2022
2.000 Case GSIN: N6515MATERIAL: 65430
CANNULA, OXYGEN, NASAL PRONGS, THERMOPLASTIC ELASTOMER, EXTREME
ELASTICITY AND SOFTNESS, HYPOALLERGENIC CHARACTERISTICS FOR PATIENT
MAXIMUM COMFORT AND MINIMUM SKIN IRRITATION, STRAIGHT TIP, LARIAT STYLE,
LATEX FREE, INFANT SIZE, WITH 7 FOOT SAFLO TUBE, 50 PER CASE,
RESPAN (KRATON) #R1300S
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3090 31/05/2022
2.000 Case GSIN: N6515MATERIAL: 65441
CANNULA, OXYGEN, NASAL PRONGS, THERMOPLASTIC ELASTOMER, EXTREME
ELASTICITY AND SOFTNESS, HYPOALLERGENIC CHARACTERISTICS FOR PATIENT
MAXIMUM COMFORT AND MINIMUM SKIN IRRITATION, STRAIGHT TIP, LARIAT STYLE,
LATEX FREE, PEDIATRIC SIZE, WITH 7 FOOT SAFLO TUBE, 50 PER CASE,
RESPAN (KRATON) #R1400S
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3100 31/05/2022
2.000 Case GSIN: N6515MATERIAL: 65442
CANNULA, OXYGEN, NASAL PRONGS, THERMOPLASTIC ELASTOMER, EXTREME
ELASTICITY AND SOFTNESS, HYPOALLERGENIC CHARACTERISTICS FOR PATIENT
MAXIMUM COMFORT AND MINIMUM SKIN IRRITATION, STRAIGHT TIP, LARIAT STYLE,
LATEX FREE, ADULT SIZE, WITH 7 FOOT SAFLO TUBE, 50 PER CASE,
RESPAN (KRATON) #R1500S
A) MINIMUM RELEASE QUANTITY: 1

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3110 31/05/2022
200.000 Roll GSIN: N7530MATERIAL: 29488
PAPER, PRINTER, FOR USE ON TOA SYSMEX K1000 EA/ROLL,
GRAPHIC CONTROLS MEDI TRACE #PPR2160A,
NORTHERN SPECIALTY #32001334
A) MINIMUM RELEASE QUANTITY: 100

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3120 31/05/2022
24.000 Package GSIN: N6640MATERIAL: 4599
FILTER, MILLEX HA 33 MM STERILE ,0.45UM, 50 PER PACKAGE,
MILLIPORE #SLHA033SS
A) MINIMUM RELEASE QUANTITY: 2

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3130 31/05/2022
36.000 Package GSIN: N6640MATERIAL: 4601
FILTER, MILLEX GV 33 MM STERILE, .22 UM, 50 EA/PACKAGE,
MILLIPORE #SLGV033RS
A) MINIMUM RELEASE QUANTITY: 3

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3140 31/05/2022
120.000 Set GSIN: N6525MATERIAL: 17545
MARKER SET, LEAD, R AND L, 1/2 INCH ON PLASTIC,
ULTRARAY #LFM500-035/LFM500
A) MINIMUM RELEASE QUANTITY: 40 SETS

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.


========================================================
ITEM 3150 31/05/2022
100.00 Each GSIN: N6530MATERIAL: 62737
TRAY, OBSTETRICAL, INCLUDES DISPOSABLE SHEET, 40 IN X 84 IN, 6 IN X 6 IN
PRESSURE DRESSING, ANTISEPTIC TOWELETTES, STERILE UMBILICAL CORD CLAMPS,
4 IN X 4 IN GAUGE PADS, LARGE GLOVES, DISPOSABLE TOWELS, DISPOSABLE
SCALPEL, BULB ASPIRATOR, PLASTIC BAG, WITH ZIP LOCK CLOSURE, 50 PER
CASE,
CARDINAL #SI-80100, SANDS INC #80100
A) MINIMUM RELEASE QUANTITY: 10

B) LEAD TIME FOR MINIMUM RELEASE QUANTITY-NUMBER OF BUSINESS DAYS:____

Please indicate:

Manufacturer Name __________________________


Brand Name _________________________________

Manufacturer Stock Number ___________________

Vendor Stock Number _________________________

Identify:
Product package quantity _______________

Case quantity _________________________

Medical Device License # (if applicable)
________________________________

Please quote firm price based on the unit of measure (i.e. packaging)
requested e.g. price per package or per case etc.
If your pricing is based on a different unit than requested please
ensure you indicate that change clearly below.

Please quote firm unit prices for year 1 and 2 as follows:

Year 1 $ _____________ August 10, 2020 to May 31, 2021.

Year 2 $ _____________ June 01, 2021 to May 31, 2022.

========================================================

EXPIRY DATES ON PRODUCTS MUST BE AT LEAST 18 MONTHS FROM TIME OF
SHIPMENT UNLESS AUTHORIZED BY MDA.

GENERAL INFORMATION:
The Government of Manitoba (Manitoba) is requesting submissions from
interested Bidders in order to establish Contract/Agreement between the
successful Bidder(s) and MDA for Approximately Two-year term contract.

Requested quotations to be submitted per the outlined process and
requirements and provide Manitoba with detailed features, costs and
delivery capabilities for the specified goods and/or services.

It is the intent of the Procurement Supply Chain (PSC) to award this
tender to the least number of Bidders able to provide the goods and/or
services in the most convenient and cost-effective manner.

DEFINITIONS:
"BID" - Refers to the Bidder's bid/quotation or offer submitted in
response to the RFQ.
"BIDDER" - Refers to the person who or Company which obtains a copy of
the RFQ for the purpose of submitting a bid/quotation or offer to
provide the goods and/or services.
"CONTRACT" - Refers to the Value Contract issued to the Vendor as the
award document.
"MANITOBA" - Refers to the Government of Manitoba or the purchaser of a
department or branch of the Government of Manitoba that requires the
goods and/or services listed in the RFQ.
"MDA" - Refers to Materials Distribution Agency, a Special Operating
Agency.
"MINIMUM QUANTITY" - Refers to the smallest quantity that MDA will
release.
"PSC" - Refers to Procurement & Supply Chain that has issued the RFQ and
is listed in the RFQ document.
"RELEASE ORDER" - Refers to a specific Release Purchase Order document
issued by MDA to the Vendor to order product from the Contract.
"RFQ" - Request for Quotation or tender are defined as the tender
document to request pricing to provide the goods and/or services listed
therein.
VENDOR - Refers to the person who or Company which will provide the
goods and/or services as the successful Bidder.

SPECIAL NOTE:
Bidders to quote a single price for each item offered.

Bidders may quote on one or more of the approved products listed,
however, Bidders shall quote only one price for each approved
(brand/manufacturer) product listed.

Bidders not detailing lead-times (refer below) may result in that
items(s) being rejected from their quotation.

Bidders offering items which deviate from the requested pack size, case
quantity, etc. must detail the deviations on the return tender.

Pricing unit must be the same as requested (i.e. per package, per case,
etc.).

If your pricing is based on a different unit than requested, you must
the clearly identify the change on that item offered.

The words "must" "shall" and "will" mean a requirement is mandatory and
must be met in order for the bid to receive consideration.

BIDDER ASSISTANCE:
The Bidder shall assign a "Dedicated Service Representative(s)" to
supply information and act as contact person through the term of the
agreement. Manitoba will assign a counterpart.

It should be clearly understood that the Bidder's service
representative(s) would deal with the assigned Manitoba contact
person(s).

Bidder shall provide contact names and telephone numbers for the
following:

Contact Person: ________________________________________________

Telephone Number: _________________Fax Number: _________________

E-Mail Address: ________________________________________________


BIDS:
Bids are requested from competing Bidders in accordance with Manitoba
policies. Manitoba reserves the right to revise/cancel RFQ's as well as
accept/reject bids either in whole or in part, whichever is in the best
interests of Manitoba. Lowest or any bid not necessarily accepted.

Bids must be submitted on the form provided unless otherwise stipulated
or as directed. Failure to complete the bid submission or include all
information and documents requested may result in rejection of a bid
submission.

All bid submissions should be prepared in a legible manner. Non legible
bids may result in rejection of your bid submission.

Bids shall be considered firm until awarded, unless otherwise indicated.
Any exchange of information with Manitoba personnel prior to the
issuance of an RFQ is not a valid response to the RFQ and shall not be
considered.


Quotations or partial quotations received after this time shall not be
considered.
Quotations may be submitted by courier, personal delivery, facsimile
transmission, or sent through Canada Post. Quotations submitted by
courier, personal delivery or Canada Post shall be enclosed in a sealed
envelope or package clearly addressed, marked to the attention of the
person indicated below, and labeled with the RFQ solicitation number and
the Bidder's name and address.

The official time receipt of bids will be determined by the time
recorder clock used by Manitoba to time and date stamp bids upon
receipt.

If the Quotation is submitted by facsimile transmission, it should have
a cover sheet clearly indicating the Quotation reference number and the
Bidder's name and address, and marked to the attention of the person
indicated.

Quotations submitted by facsimile transmission will be deemed to have
been received on the date and at the time indicated by Manitoba's
equipment, as applicable.

Manitoba is not responsible if it fails to receive a Quotation submitted
by facsimile transmission before the submission deadline due to a
mechanical or system problem, failure or non-availability (regardless of
whether the problem, failure or non-availability was caused by
Manitoba's or the Bidder's machines or systems), or due to any other
reason.

All components of the RFQ must be fully completed and submitted by the
Bidder no later than the submission deadline to the address or facsimile
number indicated.

Submission Address and Facsimile Number:

ATTN: JOSEPHINE YOUDEOWEI, PROCUREMENT OFFICER
PROCUREMENT & SUPPLY CHAIN
MANITOBA FINANCE
2ND FLOOR - 270 OSBORNE STREET NORTH
(BETWEEN ST. MARY & YORK AVENUES)
WINNIPEG, MANITOBA, R3C 1V7
FACSIMILE (204) 945-1455
RFQ #AAU0027583,,MDA 08-619
EMAIL TO: bids@gov.mb.ca


Bidders are responsible for ensuring that Manitoba has received their
quotation and that the quotation has been received by Manitoba prior to
the submission deadline. Bidders may verify delivery of their facsimile
quote by contacting the PSC General Inquiry line at (204)945-6361.

Bids received by Manitoba after the Submission Deadline will not be
considered and returned to the Bidder.

Please complete each section and attach additional information if space
is not sufficient. Any attachments shall reference the applicable
numbered section.

IRREVOCABILITY OF QUOTATION:
By submission of a clear and detailed written or facsimile notice to
Manitoba, the Bidder may amend or withdraw its quotation without penalty
prior to the closing date and time. Upon closing time, all quotations
become irrevocable.

ACCEPTANCE OF BID CONDITIONS:
A Bidder should clearly understand, by submitting a bid agrees, that its
bid or any part of its bid is subject to the following conditions, in
addition to any other terms and conditions set out in the RFQ.

No bid will be considered from a Bidder where Manitoba, in its sole
discretion, determines that a potential conflict of interest exists. No
bid will be considered that is in any way conditional or that proposes
to impose conditions on Manitoba that are inconsistent with the
requirements of the RF Q and the terms and conditions stipulated
therein.

The submission of a bid, the receipt of a bid by Manitoba and the
opening of a bid, or any one of those, does not constitute acceptance,
in any way whatsoever.

ALTERATIONS/QUALIFICATIONS OF BIDS:
No bid shall be altered, amended or withdrawn after the specified
closing date and time. Manitoba issuing the RFQ is the sole agency
empowered to negotiate or alter any term, condition or stipulation of
the bid and/or any subsequent award or event arising there from.

Any terms, conditions, or stipulated qualifications on bid submission
that is contrary to, or inconsistent with the RFQ documents, may be a
cause for rejection.

Bidders are cautioned to avoid making deviations and exceptions to the
terms and conditions of the bid documents which may result in rejection
of their bid.

GENERAL AWARD INFORMATION:
No award may result from this RFQ process. If this RFQ process results
in an award, then Manitoba reserves the right to award any Contract/
Agreement, in whole or in part, and may accept goods and/or services
from one or more Bidders in such quantities as shall be advantageous to
Manitoba.

Pricing will be a consideration on individual items but preference maybe
given to overall pricing for groups of items consolidated for shipping
and receiving at the facility. The lowest price on any item will not
necessarily be accepted.

Volume of items will be considered. Items will be consolidated to allow
for reasonable delivery quantities.

Past performance of vendors and quality of product will be considered.

AUTHORIZED VENDOR:
Manitoba reserves the right, prior to any contract award, to secure
evidence to Manitoba's satisfaction that the Bidder is the manufacturer,
authorized distributor, dealer or retailer of the goods offered and is
authorized to sell, service and warranty these goods in Manitoba, Canada
and upon request will provide Manitoba with written evidence thereof.

Manitoba also reserves the right to secure evidence to Manitoba's
satisfaction that any Bidder is able to provide the goods or services
and to require the successful Bidder to furnish security, free of any
expense to Manitoba, to guarantee faithful performance of the contract.

The bidder warrants that there are no patents, trademarks or other
rights restricting use, repair or replacement of the material furnished
or any part thereof and hereby agrees to indemnify and save harmless the
Province of Manitoba, its employees and agents from and against all
claims, demands, losses, costs, damages actions, suits or other
proceedings by whomsoever made, filed or prosecuted in any manner by
reason of such use, repair or replacement of the materials being a
violation of any patent, trademark or other right.

TENDER EVALUATION:
Generally the lowest overall price of an item(s) in accordance with the
terms & conditions of the RFQ will be awarded the contract. However,
other factors as stipulated below will be considered when awarding a
contract (in no particular order).

Tenders will be evaluated based on:
i) ,,Products approved by MDA for their use<(>,<)>
ii) ,,Product offered compared to product description/specifications
requested;
iii) ,,Delivery lead-times;
iv) ,,Price;
v) ,,Quality of the Bidder's performance in past awards;
vi) ,,Quality of the proposed products in past awards;
vii) ,,Return and refund policies; and
viii) ,,Any other terms & conditions indicated on this RFQ.

Failure to provide adequate information to evaluate the item offered may
be cause for rejection of your quote by the Manitoba Government
(Manitoba).

Like items or items that need to be compatible will be considered as a
"group" for price comparison and/or award purposes.

Each product offered will be considered individually which may result in
more than one award created from this RFQ. However, the intent is to
award this RFQ to one vendor in total, if possible with economic benefit
to Manitoba, therefore Bidders should quote on all items if possible.
Economic evaluation will be at Manitoba's sole discretion.

CONTRACT TERM:
To be delivered on an "as and when requested" basis for a
2-Year term contract from: July 10, 2020 to May 31, 2022.

Any unused portion at of the end of the contract period will be
considered cancelled.

FIRM PRICING:
Bidders offering prices "subject to change without notice" or "in effect
at time of shipment" will be rejected outright. Preference will be
given to suppliers offering firm pricing.

Bidder shall quote firm pricing for year 1 and year 2 for each line
item.

Is pricing firm for the duration of the contract term?
Yes _____ No _____ Initial__________

If No, please indicate "prices firm until" date: ____________

Cost increase substantiation must be in the form of an original,
photocopy or facsimile of a letter from the appropriate
manufacturer/governing body identifying the reason for increase,
percentage increase, as well as the effective date.

Price increases shall not exceed the percentage passed on by the
manufacturer/governing body, and will be applicable only to the
percentage of true raw material costs. Any notification of price change
must reference the applicable agreement number and line item number(s).

Unless otherwise stipulated in writing, all submitted pricing shall
represent the total cost to Manitoba including all duties, shipping,
crating, packing, storage, delivery and handling charges.

QUALITY / ACCEPTABILITY:
Any product supplied must be new, unused, first quality.

All goods delivered are subject to inspection prior to delivery
acceptance. Signing of any delivery slip should not be construed as
acceptance of the product delivered.

Manitoba reserves the right to reject any product, after final
inspection that does not meet the specification or product description
requested.

Manitoba reserves the right to reject any product supplied which, upon
inspection or use, is deemed by the using department to be unacceptable
for their intended use.

Products shall be supplied as specified on the contract/purchase order.
Any substitutes shipped without prior written approval will be rejected
at time of delivery or held at shipper's risk pending return
instructions. Products rejected by the using department will be
returned to the Vendor for full credit or replacement product at no cost
to Manitoba or the contract may be cancelled.

If additional information is required and/or for approval of alternative
products please call the Contact at the phone number indicated above.

If an alternative product is offered, product description (including
illustrated literature if available) and manufacturers name and product
number as well as your product reference number (if applicable) to be
shown for each item offered

Product offered should be the most current product, however non-current
might be considered if the product is new and unused. Any alternative
product offered which has not been recently evaluated and approved might
not be accepted for this quote.


HEALTH CANADA MEDICAL DEVICES REGULATION:

Health Canada Medical Devices Regulation Schedule No.1101 (May 7/98)
established new regulatory requirements for the sale of medical devices
in Canada.

Please indicate your Medical Device Establishment License (MDEL) Number
# _______.

Please indicate (if applicable), for each product offered, the Health
Canada Medical Device License # __________.


PRODUCTS/BRANDS:
Please note any old or discontinued manufacturer's product numbers to
allow us to keep our descriptions current.

Brand names, where shown, are for reference purposes only and are not
intended as endorsement of a particular product. Some approved products
listed may not be acceptable for use by one or more facilities.

Alternate products offered, which have not been previously tested and
approved, may not be accepted for this tender.

Substitutes shipped without prior written approval will be held at
shippers risk pending return instructions.

Any substitute/alternative product supplied which upon inspection or
use, is deemed by the using department to be unacceptable for their use
will be returned for full credit or replacement at no cost to Manitoba
or the contract may be cancelled.

Vendor shall supply items with the longest shelf life available from the
date of the Release Order.

Any product supplied which upon inspection or use, is deemed by MDA to
be defective will be returned to the Vendor for replacement. All costs
related to the return and replacement of the defective product to be the
responsibility of the Vendor.

Vendor must respond to defective product concerns within 48 hours of
receiving faxed documentation from MDA.
Yes _____ No _____ Initial__________

Vendor must notify MDA immediately in writing (by fax/e-mail) of any
known defective product(s) or product recall(s) related to the
product(s) the Vendor has shipped to MDA or to MDA's clients to avoid
release of said product to MDA's end users.
Yes _____ No _____ Initial__________


Bidders must indicate the following information for each item offered:

Health Canada Medical Device License# (If applicable) _______
Manufacturer Name __________________________
Location of manufacturer ______________________
Brand Name _________________________________
Manufacturer Stock Number ___________________
Vendor Stock Number _________________________
Product package quantity _______________
Case quantity _________________________
Product volume and/or weight(if applicable) ____________

SAMPLE PRODUCTS:
Bidders may be required to provide samples as part of the evaluation
process. Manitoba will notify the Bidder(s) when samples may be
required. Samples shall be supplied at no charge and delivered FOB
Destination Freight Prepaid to WINNIPEG, MANITOBA.

ALTERNATE PRODUCTS:
Alternate products may be considered but may require testing prior to
purchase. Vendors wishing to offer alternative product for future
tenders are invited to submit samples for long term testing and
evaluation by contacting MDA. All samples become the property of MDA
and will not be returned.

MDA CONTACT PERSON:
TRACEY SAVOIE
Purchasing Coordinator
Telephone: (204) 945-1255
Facsimile: (204) 948-2831

ENVIRONMENTALLY PREFERABLE PRODUCTS:
Manitoba generally awards the bid to the lowest "overall" price of an
acceptable product, however, preference may be given to products which
are "more environmentally preferable" and support Manitoba's Sustainable
Development Procurement Guidelines.

Product pricing may be only one of the components to be considered in
the overall evaluation of "environmentally preferable products".

Examples of "Environmentally Preferable Products" are as follows:

PACKAGING - Preference may be given to products which use less
packaging, packaging containing recycled content or packaging which can
be recycled etc. (providing the packaging still provides proper and
adequate protection to the product offered for sale). Bidders shall
provide details regarding the packaging, if applicable, for each item
offered.

PRODUCTS, RECYCLED OR RECYCLABLE - Preference may be given to products
containing recycled content or which may be recycled.

Bidders should provide details regarding the percentage of "Total
Recycled Content" and "Post Consumer Waste Content" (if applicable) for
each item offered.

"TOTAL RECYCLED CONTENT" - means the percentage of all recycled
materials including manufacturer's trimmings, cuttings, overruns and
"post consumer waste".

"POST CONSUMER WASTE CONTENT" - means that proportion of recycled
material that has been sold to a consumer and collected after their use
in a recycling program, e.g. used aluminum cans etc.

PRODUCTS, MORE ENVIRONMENTALLY PREFERABLE - Preference may be given to
products which generally meet or exceed the above specifications and can
demonstrate satisfaction in relation to the end users requirements.
These products will be classified more environmentally preferable
through a recognized certification program.

REPLACEMENT PRODUCTS - Manitoba may be interested in "replacement" or
"alternative types" of products which can be proven to be "more
environmentally preferable" compared to those products specified above.
Bidders are encouraged to provide complete details of possible
replacement products.

At Manitoba's discretion any "Environmentally Preferable Products"
offered may be:
a) Accepted for this tender, or
b) Not accepted for this tender, or
c) Not accepted for this tender but considered for future study/use.

See the Province of Manitoba's Sustainable Development Act (Chapter 270)
at:
http://web2.gov.mb.ca/laws/statutes/ccsm/s270e.php

QUANTITY/ITEM RELEASES:
The Vendor is not to ship any item until a separate Release Order has
been placed by fax or mail.

Release Orders for items may be placed at any time during the period of
this contract and in various quantities.

The term "minimum quantity" means the smallest quantity that MDA will
release.

Release Orders to be shipped complete by line item, unless otherwise
approved and/or requested by MDA prior to shipping.

Vendor to accept Release Orders consisting of items from multiple
contracts to reach the Vendor's minimum order requirements.

MDA will fax the "Acknowledgement of Release Order" and the "Release
Order" to the Vendor. The Vendor must respond by signing and returning
MDA's acknowledgement of release order within "48 hours" to confirm that
the Release Order was received.

The quantities shown are the estimated annual quantities only and to be
used for evaluation purposes only and are not a guarantee of business.

The Contract Value shown as Target Value represents the total estimated
value for the contract term.

MDA will not issue Release Orders for less than the minimum quantity
shown for each item. The minimum release quantities must be available
within the lead-time you have specified for each item.

Minimum release quantities will be shown for each item. Minimum release
quantities may be adjusted to reflect full case quantities if necessary
by contacting MDA prior to delivery.

MDA reserves the right to change quantities on a Release Order, if
required, or to cancel an individual Release Order in part or in total
if necessitated by program changes/client demand or Vendor failing to
deliver products within tender stated time- frames.

FOB/FREIGHT:
To be delivered FOB DESTINATION FREIGHT PREPAID TO:
MATERIALS DISTRIBUTION AGENCY
RECEIVING DOOR #10
1715 ST JAMES STREET
WINNIPEG, MANITOBA R3H 1H3

The unit prices quoted above shall include all necessary charges,
freight, insurance, handling etc. to show a total landed cost. If any
charges are not included please explain in detail any/all charges which
will be extra to the unit prices quoted and will be charged on the
invoice.

Is there a minimum order/shipment value required to receive FOB
Destination Freight Prepaid pricing?
Yes ____ No _____ Initial __________

If Yes, indicate the minimum order/shipment value $_________________

Should an order be placed under the minimum order/shipment value, is a
delivery charge applicable?
Yes ____ No _____ Initial __________

If Yes, identify the delivery charge: $__________________________

Freight charges will not be allowed on back order quantities.


DELIVERY:
Deliveries to MDA will be accepted Monday to Friday between the hours
of: 8:00 AM to 3:00 PM.

Vendor must notify MDA immediately in writing (by fax) of any delays of
scheduled shipments.

Shipments are considered to be delayed if the delivery time is greater
than the lead time indicated for each item on the contract.

Vendor must respond to late shipment inquires within 48 hours of
receiving faxed documentation from MDA.

Failing this Manitoba reserves the right to either purchase elsewhere
and charge the Vendor for any loss incurred thereon, and/or cancel the
Contract.

The products listed will be ordered in the minimum quantities (or
possibly greater) as shown after each item and the Vendor must ship the
required quantities within the lead-time as indicated on the
tender/contract.

Delivery must occur within the time stated on the Contract unless a
deferred shipment is arranged with MDA in writing. Failing this
Manitoba reserves the right to either purchase elsewhere, charge the
Vendor for any loss incurred thereon, and/or cancel the Contract.

LEAD TIMES:
Bidders shall indicate lead-time in number of business days for delivery
of each product offered.

When calculating lead-time, bidders should take into consideration all
delivery components such as; your order desk requirements, delivery
practices, if the item is from your stock etc. If the item must come
from your manufacturer/distributor then include the
manufacturer/carrier's shipping times in your calculation.

Bidder should indicate a lead-time for the minimum release quantity.

Please show lead-time as a specific number, not a range (e.g. 3 days or
5 days, not 3-5 days).

Lead-time will be a factor for consideration in the tender evaluation.

Lead times indicated are to be calculated from the date/time that a
Purchase Order is issued (faxed) to the time the goods will be received
at MDA or MDA's client destination.

Deliveries will be monitored therefore lead times must be accurately
reflected for each item.

TIME OF ESSENCE:
Time shall be of essence hereof. Failure to meet the delivery time (i.e.
lead-time) indicated on the Contract may result in the cancellation of
the Contract item and any outstanding Contract Release Orders.

INSPECTION:
Final inspection and acceptance or rejection of the goods will be made
promptly as practicable, but failure to inspect and accept or reject
goods promptly does not mean that the Manitoba Government has accepted
these goods.

The Government of Manitoba reserves the right to inspect the goods for
up to 90 days after the date of delivery.
Yes ____ No _____ Initial __________

Partial acceptance of rejection of an order does not release the Bidder
from its responsibility to complete the order.

PACKAGING:
All goods must be packed or crated suitable for protection in storage or
shipment.

If pallets required, pallet size to be 42 inches width by 48 inches
depth, loaded to a maximum height of 53 inches.

All goods delivered must be suitably marked with proper documentation
such as packing slip, contract number, etc.

RESTOCKING CHARGES:
Restocking charges to MDA must be shown (if applicable); restocking
charge will be ________%.

Please indicate the amount of notice (number of days) that MDA must
provide in order to cancel a Release Order without being subject to any
restocking charges. Restocking charges do not apply if Release Order
cancelled with _________ days notice.

RETURNS / REFUNDS:
Any product supplied deemed unacceptable by the end-user/customer will
be immediately replaced with new product/unit at no charge to MDA?
Yes ____ No _____ Initial __________

MDA requires complete details of your Return/Replacement/Refund Policy.
The Bidder shall identify the exact detail as to what is covered in
terms of responsibility for repair/replacement/refund of product:
________________________________________________________________

________________________________________________________________

________________________________________________________________

Any/All costs associated with the return/replacement/refund of defective
products will be the responsibility of the vendor?
Yes ____ No _____ Initial __________

All defective products are requested to be replaced within five (5)
working days of notification/request.
Yes ____ No _____ Initial __________

If five (5) working days is not sufficient time for replacement, the
Bidder shall state the number of days required: ______________

Goods ordered in error will be returned to the Vendor, Freight Prepaid
by Manitoba.

WARRANTY:
Bidders shall ensure that Manitoba receives the manufacturer's warranty
for the goods purchased. Bidder shall indicate the warranty for each
item offered (if applicable) in: _____ Days; _____ Months; _____ Years.

Notwithstanding any manufacturers' warranties (which are to be supplied
where applicable), all goods must be warranted to be free of defects in
workmanship and materials for a suitable period of time consistent with
the nature of the goods.

Despite anything in the RFQ, if a defect is not corrected during the
Warranty Period within a reasonable time frame, Manitoba may reject the
goods. If the goods are rejected the Vendor must:
a) Remove the goods, at its expense and risk within a reasonable time
frame after notification that the goods have been rejected; and
b) Immediately, at Manitoba's option, either replace the goods, or if
applicable issue a credit or refund to Manitoba for all monies paid.

If the warranty period is not the same for all items offered then
indicate the warranty on a product by product basis.

Vendor to address warranty issues within 48 hours of receiving faxed
documentation from MDA.
Yes ____ No _____ Initial __________

Vendor must provide copy(s) of warranty documentation to MDA on request,
after the contract is awarded.

INDIGENOUS BUSINESS STANDARD FOR "GOODS WITH RELATED SERVICES"

DEFINITIONS:
"Indigenous Business" means a business that is at least 51% Indigenous
owned and controlled and, if it has six or more full-time employees, at
least one-third of its employees must be Indigenous persons.

"Indigenous Business Directory" means a business directory of Indigenous
businesses that meet Manitoba's definition of an Indigenous business.

'Indigenous Business Standard" means terms and conditions that indicate
that Indigenous business participation is desirable but not mandatory.

"Indigenous Person" means a First Nations, Non-status Indian, Métis or
Inuit person who is a Canadian citizen and resident of Canada.

INDIGENOUS PROCUREMENT INITIATIVE:
Manitoba is committed to community economic development as a key
component of its economic strategy. It intends to develop a provincial
economy that is more inclusive, equitable and sustainable.
Procurement practices are one means that can be used to contribute to
the growth of Indigenous businesses. In that regard, Manitoba developed
the Indigenous Procurement Initiative (IPI). The objective of IPI is to
increase the participation of Indigenous businesses in providing goods
and services to Manitoba.

INDIGENOUS BUSINESS STANDARD:
Indigenous participation is desired but bids will not be disqualified if
there is no Indigenous business participation.

INDIGENOUS BUSINESS DIRECTORY:
Manitoba has established a directory of Indigenous businesses called the
"Indigenous Business Directory". This directory is a list of Indigenous
businesses (including non profit organizations and economic development
corporations) that have self declared as an Indigenous Business meeting
that definition under the IPI. It is neither comprehensive nor
exhaustive but may be a useful resource to identifying Indigenous
businesses for potential partnering or sub-contracting purposes.
Indigenous businesses not listed in the Directory may also be used.

Registration in the Indigenous Business Directory does not guarantee
certification as an Indigenous business, as business status may change;
therefore formal certification is required in the formal tender process.

Indigenous businesses are encouraged to register by contacting
Procurement & Supply Chain.

For further information on the Indigenous Business Directory<(>,<)>
registration forms and access to a copy of the Indigenous Business
Directory please see the following website:

http://www.gov.mb.ca/finance/PSB/api/api bd.html or contact:

Manitoba Finance
Procurement & Supply Chain
2nd Floor - 270 Osborne Street N.
Winnipeg, Manitoba
General Inquiry Line
Ph.: 204-945-6361
Fax: 204-945-1455

For all other general inquiries related to this tender opportunity,
please contact the name of the individual(s) identified on page one of
this tender document.


ASSIGNMENT:
The Bidder shall have sole responsibility for the quality, liability,
coordination and completion of all work outlined in this endeavor.
Manitoba considers the Bidder to be the sole contact regarding all
Contract/ Agreement matters.

The Bidder shall be prohibited from assigning, transferring and
conveying, subletting or otherwise disposing of any Contract/ Agreement
of its rights, title or interest therein, or its power to execute such
Contract/ Agreement without the previous written approval of Manitoba.

CLARIFICATIONS AND AMENDMENTS TO REQUIREMENTS:
Manitoba reserves the right to amend or to clarify the RFQ requirements
and to seek clarifications or amendments from Bidders. However,
Manitoba is under no obligation to seek clarification.

CONFIDENTIALITY:
The content of this RFQ and any other information received by the Bidder
relating to the RFQ, gained through the RFQ process or otherwise, is to
be treated in strict confidentiality. The Bidder shall not disclose any
of the information in whole or in part to anyone not specifically
involved in the preparation of the Bidder's quotation, unless written
consent is secured from Manitoba prior to the said disclosure. The
obligation of each Bidder to maintain confidentiality shall survive the
expiration or the acceptance/rejection of their quotation and/or any
resulting Contract/ Agreement(s) to supply the requirements of this RFQ.

CONFLICT OF INTEREST:
The bidder must take appropriate steps to ensure that neither the
bidder, nor the bidders employees are placed in a position where there
is or may be an actual conflict, or a perceived potential conflict
between the bidder, its employees and any agent or representative of the
Province of Manitoba.

The bidder shall not offer or give, or agree to give, to any agent,
employee or representative of the Province of Manitoba any gift or
consideration of any kind as an inducement or reward for doing,
refraining from doing, or for having done or refrained from doing, any
act in relation to the obtaining or execution of this or any other
purchase order/contract with the Province of Manitoba.

No agent, employee or representative of the Province of Manitoba shall
either solicit or accept gratuities, favours or anything of monetary
value from the bidder.

If the bidder has reason to believe any agent, employee or
representative of the Province of Manitoba has violated any provision of
this Conflict of Interest section, the bidder shall immediately notify t
suspected violation by sending notice to the Director of Procurement &
Supply Chain, explaining the situation in full. The bidder's failure to
so notify the Director shall be a material breach of this agreement and
the Director, at his/her option, may terminate the purchase
order/contract.

DISCLOSURE OF INFORMATION:
Relative to the Freedom of Information and Protection of Privacy Act,
the Government of Manitoba reserves the right to publicly disclose
details of purchase order/contract and the prices at its discretion, or
as required by law.

ERRORS AND OMISSIONS:
Bidders must advise Manitoba of any errors or omissions they find in the
RFQ document prior to closing so that the RFQ can be revised and
communicated to all Bidders.

EXTENSION AND ADDITIONAL PRODUCTS:
By written agreement between the Government of Manitoba (Manitoba) and
the Vendor, the Contract may be amended to include additional products
or locations and/or the duration of the Contract may be extended to
continue past the expiry date specified above.

FAVOURED CUSTOMER:
If during the period of the offer the Bidders offers for sale like
quality and quantity similar to customers at more favourable terms, the
current quoted price shall be immediately altered to a level that
reflects the same favourable terms.

GOVERNING LAW:
Unless the Request for Quotation specifically state otherwise, the
request for quotation, all bids, and any subsequent purchase
order/contract(s) will be construed and interpreted in accordance with
the Laws of Manitoba and where the vendor uses sources outside of
Canada, those businesses comply with local labour laws in the country of
manufacture.

The Bidder shall be in good standing under The Corporations Act
(Manitoba), or properly registered under The Business Names Registration
Act (Manitoba), or otherwise properly registered, licensed or permitted
by law to carry on business in Manitoba, or if the Bidder does not carry
on business in Manitoba, in the jurisdiction where the bidder does carry
on business and may be required to provide evidence thereof upon
request.

All RFQ's are subject to the Agreement on Internal Trade, or any other
inter-provincial agreement.

All applicable laws of the Province of Manitoba, regulations and
standards, including all Occupational Health & Safety, and Workers
Compensation requirements will govern this Request for Quotation and any
resulting purchase order/contract.

Manitoba requires its Bidders to adhere to Provincial Labour Laws, and
to declare that in bidding for the work and in entering into a purchase
order/contract, the vendor and his subcontractors conduct their
respective business in accordance with established International Codes
as they relate to Child and Forced Labour embodied in United Nations
(UN) and International Labour Organization (ILO) conventions as ratified
by Canada.

INDEMNITY:
The Bidder warrants that there are no patents, trademarks or other
rights restricting use, repair or replacement of the material furnished
or any part thereof and hereby agrees to indemnify and save harmless the
Province of Manitoba, its employees and agents from and against all
claims, demands, losses, costs, damages actions, suits or other
proceedings by whomsoever made, filed or prosecuted in any manner by
reason of such use, repair or replacement of the materials being a
violation of any patent, trademark or other right.

The successful Bidder shall indemnify and save harmless Manitoba from
and against all losses and claims, demands, actions, payments, suits,
recoveries, judgment and settlements of every nature and description
brought or recovered against Manitoba by reason of any act or omission
of the Bidder, the Bidder's agents or employees, or sub-contractors in
the performance of this contract.

INFRINGEMENTS:
Bidder warrants that Manitoba's purchase, installation and/ or use of
the goods and/or services covered hereby shall not result in any claim
of infringement, or actual infringement of any patent, trademark,
copyright, franchise or other intellectual property right.

INSURANCE:
The Bidder shall, at its own expense, effect and maintain for the
duration of its services all insurance(s) required by law. All required
insurance shall be under written by insurers acceptable to Manitoba.

LIENS, CLAIMS AND ENCUMBRANCES:
Bidder warrants and represents that all the goods, materials and/or
services supplied shall be free and clear of al liens, claims and
encumbrances of any kind.

PUBLICITY, MEDIA, OFFICIAL ENQUIRIES & ADVERTISING:
The Bidder, suppliers/vendors, employees or consultants shall not make
any public statement making reference to, or relating to the existence
or performance of the purchase order/contract in any advertising,
testimonials or promotional material without the prior written consent
of the Province of Manitoba, which shall not be unreasonably withheld.

The provision of this condition shall apply during the extension of a
purchase order/contract and indefinitely after its expiry or
termination.

RIGHT TO REISSUE RFQ:
Manitoba reserves the right to cancel and/or reissue the RFQ where, in
Manitoba's sole opinion, none of the quotes submitted in response to the
RFQ warranty acceptance or where it would be in the best interests of
Manitoba to do so. Costs incurred in the preparation, presentation and
submission of a quote shall be borne by the Bidder. Manitoba shall not
reimburse any Bidders for any costs, if the RFQ is cancelled or
reissued.

RIGHT TO WAIVE NON-COMPLIANCE:
Manitoba reserves the right to waive any minor non-compliance with the
bid submissions at its sole discretion.

RISK OF LOSS:
Regardless of FOB Point, Bidder shall bear all risks of loss, injury or
destruction of goods and materials ordered herein which occur prior to
acceptance by Manitoba. No such loss, injury or destruction shall
release Bidder from any obligation hereunder.

TERMINATION:
Manitoba may, in its sole discretion, immediately terminate a purchase
order/contract in writing if:
A) The vendor fails to properly fulfill, perform, satisfy and carry out
each and every one of its obligations under the purchase order/contract,
or
B) The vendor fails or refuses to comply with a verbal or written
request or direction from Manitoba within three(3) days of receiving the
request or direction; or
C) The vendor become bankrupt or insolvent or liquidates; or
D) A receiver, trustee or custodian is appointed for the assets of the
vendor, or any partner thereof; or
E) The vendor or any partner thereof makes a compromise, arrangement, or
assignment with or for the benefit of the creditors of the vendor or of
that partner, as the case may be; or
F) The vendor fails to secure or renew any license or permit for the
vendors business required by law; or any such license or permit is
revoked or suspended; or
G) The vendor or any partner, officer or director of the vendor is found
guilty of an indictable offence; or
H) The vendor fails to comply with any law or regulation relating to the
employment of its employees; or
I) The vendor at any time engages in any activities or trade practices
which, in the opinion of Manitoba, are prejudicial to the interests of
Manitoba, or a department or agency thereof; or
J) There is a breach of any provision of the purchase order/contract;
K) The goods provided by the vendor are not according to the contract or
otherwise unsatisfactory; or
L) The services provided by the vendor are unsatisfactory, inadequate,
or are improperly performed; or
M) The vendor has failed to meet the delivery date indicated on the
purchase order/contract or repeatedly failed to meet the delivery lead
time, indicated on the purchase order/contract.

Manitoba may, in its sole discretion, terminate the purchase
order/contract at any time by giving at least 30 days written notice to
the vendor prior to the intended termination date.
All purchases by Manitoba under the purchase order/contract are subject
to and expressly conditional upon the Legislature of Manitoba duly
appropriating funds to the fiscal year in which they are required to be
paid. For the multi-year contracts the RFQ/contract term "fiscal year"
means the period commencing April 1st of one year and ending on March
31st of the next ensuing year.

UNFORESEEABLE EVENT:
An unforeseeable event is anything which is beyond the control of the
parties affected and which, by exercise of reasonable diligence by the
parties aforementioned, could not be avoided including, but not limited
to, the following: Fire; Explosion; Action of the Elements; Strikes;
Rationing of Materials; Adverse Government Decision; or Act of God.

Neither the Bidder nor Manitoba shall be liable to the other for any
delay in, or failure of, performance under the quotation due to an
unforeseeable event. Any such delay in or failure or performance shall
not constitute default or give rise to any liability for damages or
either party.

The existence of such causes of such delay or failure shall extend the
period for performance to such extent as determined by Manitoba to
enable complete performance by the Bidder provided reasonable diligence
is exercised after the causes of delay or failure have been removed.

ACCOUNTS RECEIVABLE ADDRESS:
Due to our computerized accounts payable system Bidders are to advise if
your invoice address (Accounts Receivable) is the same as the address
for orders/quotes shown above.
Yes ____ No _____ Initial __________

If No, provide complete details:
Contact Person: _______________________________________________

Address: ____________________________________________________

City/Province/Postal Code: _____________________________________

Telephone Number: ______________________________________________

Facsimile Number: ________________________________________________

E-Mail Address: ______________________________________________

Hours of Operation: ___________________________________________

INVOICES:
MDA shall be invoiced directly from the Vendor. Invoices must be priced
in the same amount and unit of measure as shown on the Release Order or
the Vendor must contact MDA, in writing, prior to shipping the products
on the Release Order.

For direct deliveries, the Vendor must provide a proof of delivery (that
is both a printed and signed signature by MDA's client department) with
the invoice.

This is an accounting concern and is not intended to outline a process
to request price changes.

MANITOBA RETAIL SALES TAX LICENSE:
Are you licensed by Manitoba Finance to collect and remit Manitoba
Retail Sales Tax?
Yes ____ No _____ Initial __________
If NO, disregard the following clause.

MANITOBA RETAIL SALES TAX:
Is the product(s) offered subject to Manitoba Retail Sales Tax?
Yes ____ No _____ Initial __________

If the tender consists of both taxable (T) and non-taxable (NT) items,
please indicate T or NT opposite each item offered.

These goods are for "RESALE" and therefore "PST EXEMPT". MDA's PST
number is 085981-9. MDA is also GST Exempt and their number is
107863847.

CANADIAN FUNDS
Manitoba prefers to receive quotations in Canadian funds. If the
pricing offered is quoted in a currency other than Canadian then the
currency must be clearly identified on the quote document.

PAYMENT TERMS:
The Bidder shall specify invoice terms:
_________________________________

Any applicable discounts for early payment:
Yes ____ No _____ Initial __________
If Yes, please specify: _______________________________________________

Manitoba's standard payment terms are net thirty (30) days.




Proposed Delivery Address:

Materials Distribution Agency
Unit 7 # 1715 St. James Street
Door 10
Winnipeg, MB
R3H 1H3




TENDERS TO BE RETURNED TO:

Submission Address:
Procurement & Supply Chain
Manitoba Finance
or) Fax to (204) 945-1455
or) Email to bids@gov.mb.ca