ATTENTION ALL BIDDERS
RETURN THE ENCLOSED PROPOSAL IN A
SEALED ENVELOPE TO:
ANNIE WARD
PURCHASING MANAGER
ROOM 830 * 716 RICHARD ARRINGTON JR
BLVD NORTH
BIRMINGHAM, AL 35203
YOU MUST MARK ON THE ENVELOPE:
SEALED BID #170-08
“MISCELLANEOUS CENTRAL SUPPLIES”
RETURN BY 5:00 P.M. ON
JULY 16, 2008
For questions concerning this ITB
Contact: Sandra Tellis, Principal Buyer
Phone: (205) 325-5382
Email: telliss@jccal.org
No faxed or email responses will be accepted
PURCHASING ASSOCIATION OF CENTRAL ALABAMA
TO ALL BIDDERS:
The attached Request for Proposal presents a cooperative proposal for the Purchasing Association of Central Alabama (PACA) members below:
Adamsville, City of
Alabama School of Fine Arts
Alabaster, City of
Bessemer, City of
Bessemer Board of Education
Bessemer State Technical College
Bibb County Commission
Bibb County Firefighters Assoc
Birmingham Board of Education
Birmingham-Jefferson Civic Center
Birmingham Library System
Brighton, City of
Brookside, City of
Cahaba Valley Fire & Rescue
Center Point, City of
Chelsea, City of
Chilton County Board of Education
Chilton/Shelby Mental Health Board
Clay, City of
Columbiana, City of
Concord Fire Department
Copeland Ferry Fire Department
Eastern Valley Volunteer Fire Dept
Fairfield, City of
Fairfield Board of Education
Forestdale Fire Department
Four Mile Fire Department
Fultondale, City of
Glennwood Fire District
Gardendale, City of
Helena, City of
Homewood, City of
Hoover, City of
Hoover Board of Education
Hueytown, City of
Irondale, City of
Jefferson County Board of Education
Jefferson County Commission
Jefferson County Fire Districts
Jefferson County Assisted Housing Corp
Jefferson County Housing Authority
Jefferson County Library Coop
Jefferson State Community College
Kimberly, City of
Lakeview Fire Department
Lakeview, Town of
Lawley Fire Department
Lawson State Community College
Leeds Board of Education
Leeds, City of
Lipscomb, City of
McAdory Fire Department #1
McAdory Fire Department #2
Midfield, City of
Midfield Board of Education
Minor Heights Fire Department
Morris, City of
Mountain Brook, City of
Mountain Brook Board of Education
Mulga, Town of
North Johns, Town of
North Shelby Fire Department
Oneonta City Board of Education
Palmerdale Fire Department
Pelham, City of
Pelham Civic Center
Pelham Water Department
Pell City Fire Department
Pleasant Grove, City of
Riverside Fire Department
Rocky Ridge Fire/Rescue
Shannon Fire Department
Shelby County Board of Education
Shelby County Commission
Shelby County Work Release
St. Clair County Fire & EMS
Storm Water Management Authority
Sylvan Springs, City of
Tarrant City Board of Education
Trafford, City of
Trussville Board of Education
Trussville Volunteer Fire Department
Tuscaloosa County Board of Education
Tuscaloosa County Commission
Tuscaloosa County Firefighters Assn
Vestavia Hills, City of
Vestavia Hills Board of Education
Virginia Mines Volunteer Fire Dept
Walker County Firefighters Assn
Warrior, City of
Warrior River Fire & Rescue Service
West Blocton Volunteer Fire & Rescue
Westwood Rescue 209
Other government entities and all school systems within Jefferson County and counties adjoining thereto may elect to participate in
this cooperative bid. Vendors must agree that if any additional government entity does join the Association, vendors shall honor
prices on this Invitation to Bid for those additional entities that may join the Association.
Commodity:
“MISCELLANEOUS CENTRAL SUPPLIES”
Bid No:
170-08
Principal Buyer: SANDRA TELLIS
Telephone:
(205) 325-5382
The proposal award will be made by the Jefferson County Commission on behalf of the Association in accordance with the
provision of the intergovernmental agreement between the Jefferson County Commission and the members of the Association.
Each participating governmental entity of the Association will be responsible for issuing its own purchase orders, delivery
instructions, invoicing, insurance requirements, and issue its own tax exemption certificate as required by vendors.
This cover letter is considered an integral part of this Request for Proposal document and shall be included by reference into any
contract.
Acknowledged by
_______________________________________________
Vendor Name
__________________________________________
Authorized Signature/Title
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 3
MISCELLANEOUS CENTRAL BID INSTRUCTIONS
1. Return original form. (DO NOT RETURN A REPRODUCED COPY.)
2. Bid only items you can furnish.
3. Type bid response. Illegible bids will not be considered.
4. Return only the sheets on which items are bid.
5. Vendor name must appear on line provided at bottom of each bid sheet.
6. County Purchasing code numbers are for County’s use only.
7. Any deviations from County descriptions should be noted in appropriate square at right of bid sheet.
8. Brand: Indicate your trade name and/or generic manufacturer’s name.
9. Stock Number: Indicate manufacturer’s product number.
10. Package Quantity: Indicate how packed, ie., 10/pkg, 24/case.
11. Minimum Order Quantity: Indicate number of packages, boxes, etc.
CONTINUED ON SHEET 4
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 4
INVITATION TO BID
Sealed bids marked “MISCELLANEOUS CENTRAL” will be received by the Purchasing Manager, Room 830
716 Richard Arrington Jr Blvd N, Birmingham, Alabama.
BID DUE DATE: July 16, 2008 until 5:00 P.M. central time (standard or daylight savings time, as applicable
Bids submitted after this date and time will not be considered.
The County is not responsible for delays occasioned by the U. S. Postal Service, the internal mail delivery system
of the County, or any other means of delivery employed by the bidder. Similarly, the County is not responsible
for, and will not open, any bid/proposal responses, which are received later than the date and time indicated
above. Late bids/proposals will be retained in the bid/proposal file, unopened.
Bids will be publicly opened at 2:00 P.M. on July 17, 2008.
Contracts guaranteed, fixed firm pricing for Miscellaneous Central Supply Items required for Cooper Green
Mercy Hospital and other Jefferson County Institutions, for the period October 1, 2008 through September 30,
2009, with County’s option to renew to two additional years through September 30, 2011.
Due to bid evaluation and budgetary procedures, bid awards will not be made prior to October 1, 2008.
At that time a "Bid Award Notice and Contract Order" will be issued to successful bidder.
CONDITIONS
Bidders are required to state in their bid response the model or catalog number, and manufacturer of the
item or items that they are bidding. Bidders must submit specification information and/or descriptive
literature to completely identify the items which they consider equal to that specified. Said information shall
have county code numbers i.e. 1, 2, etc, to identify on top of first sheet of said literature.
SPECIFICATIONS:
Use of specific names and numbers is not intended to restrict the bidding of any seller and/or manufacturer, but is
solely for the purpose of indicating the type, size and quality of materials, products, service, or equipment
considered best adapted to the County's intended use.
DELIVERY:
Will be to Cooper Green Mercy Hospital ,Amerinet Member, and other Jefferson County Institutions. Cooper Green
Mercy Hospital being the primary user.
All pricing (whether Amerinet or Vendor) must be fixed firm pricing for each year of contract (10/01/08
through 09/30/09). In the event of price increase for subsequent years, notification should be received 30 days
prior to next contract year effective date (10/1/09 through 9/30/10 and 10/1/10-9/30/11).
F.O.B. Destination via best way.
CONTINUED ON SHEET 5
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 5
INVITATION TO BID CONT’D
CANCELLATION:
Failure to deliver as specified and in accordance with the bid submitted, including promised delivery, will
constitute sufficient grounds for cancellation of the order at the option of the County Commission.
TERMINATION OF CONTRACT:
This contract may be terminated by the County with a thirty (30) day written notice to the other party regardless of
reason. Any violation of this agreement shall constitute a breach and default of this agreement. Upon such breach, the
County shall have the right to immediately terminate the contract and withhold further payments. Such termination
shall not relieve the contractor of any liability to the County for damages sustained by virtue of a breach by the
contractor.
All invoices must agree with the purchase order in description and price and include the following information: 1)
Purchase Order Number; 2) Ship-to department name and address.
In order to ensure prompt payment, ALL ORIGINAL INVOICES * MUST BE SENT TO:
Jefferson County Finance Department
Room 820, Birmingham Courthouse
716 Richard Arrington Jr. Blvd. North
Birmingham, AL 35203
*If invoice does not agree with purchase order, credits or a corrected invoice will be required in order for the
County to process payment.
THIRD-PARTY “REMIT-TO”:
If Bidder has a third-party “remit-to” company, that information must appear on the Bidder’s response. Jefferson
County will send payment to the company designated by Bidder on its response, but will not be responsible for
resolving payment issues, should the Bidder change payment processing companies after a payment has been mailed or
without forty-five (45) days written notification to the Purchasing and Accounting division of Jefferson County.
Purchaser Orders will be issued as deliveries are required.
PRICES: MUST INCLUDE DELIVERY IF APPLICABLE.
If quoting alternates products in addition to specified items, bidder must copy specification sheet and specify item
name, number, packaging, and price.
TAX:
Jefferson County is exempt from all tax. Provided however, bidder shall be responsible for payment of all
sales, use, lease, ad valorem and any other tax that may be levied or assessed by reason of this transaction.
If mutually agreed upon, additional contracts may be executed, based upon this bid for the same item(s) or related
types and/or sizes.
CONTINUED ON SHEET 6
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 6
INVITATION TO BID CONT’D
PRICE REDUCTION:
In the event of a general price reduction, the County will receive the benefit of such reduction on any undelivered
portion of contract.
If requested, bidder will furnish a sample of each item on which he has bid within 7 days.
GUARANTEE:
Bidder certifies by bidding, that he is fully aware of the conditions of service and purpose for
which hospital supplies included in this bid are to be purchased, and that his offering will meet these requirements
of service and purpose to the satisfaction of the Jefferson County Commission and Its Agent.
INSURANCE:
The successful bidder will maintain such insurance as will protect him and the County from claim under Workmen's
Compensation Acts, and from claims for damage and/or personal injury, including death, which may arise from
operations under this contract. Insurance will be written by companies authorized to do business in Jefferson County,
Alabama and shall include Jefferson County, Alabama as Added Additional Insured By Endorsement including
a thirty (30) day(s) written cancellation notice. Evidence of insurance will be furnished to the Purchasing agent not
later than seven (7) day(s) after Purchase Order/contract date. Successful bidder is also required to include the bid
number on the evidence of insurance.
Insurance Minimum Coverage:
Contracting party shall file the following insurance coverage and limits of liability with the County's Risk Management
Office and Purchasing Department before beginning work
with the County.
General Liability:
$1,000,000 - Bodily injury and property damage combined occurrence
$1,000,000 - Bodily injury and property damage combined aggregate
$1,000,000 - Personal injury aggregate
Comprehensive Form including Premises/Operation, Products/Completed Operations, Contractual,
Independent contractors, Broad Form property damage and personal injury.
Automobile Liability:
$1,000,000 - Bodily injury and property damage combined coverage
Any automobile including hired and non-owned vehicles
Workers Compensation and Employers Liability:
$100,000 - Limit each occurrence
Umbrella Coverage:
$1,000,000 - Each occurrence
$1,000,000 - Aggregate
Added Additional Insured By Endorsement:
Jefferson County, Alabama
30 day(s) written cancellation notice
CONTINUED ON SHEET 7
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 7
INVITATION TO BID CONT’D
BID BOND:
Each bidder will furnish a bid bond or cashier’s check in the amount $500.00 to be included with your bid response.
AWARD:
The award will be made on all or none basis. Bidder will quote on all items.
PUBLIC DISCLOSURE:
Subject to applicable law or regulations, the content of each Bidder’s Proposal shall become public information upon
the effective date of any resulting contract.
GENERAL:
The Jefferson County Commission expressly reserves the right to reject any or all bids, or parts of
bids, and to make the award or awards as the best interest of the County appears.
NEGOTIATIONS:
Jefferson County reserves the right to enter into contract negotiations with the selected bidder. If the County and the
selected bidder cannot negotiate a successful contract, the County may terminate negotiations and begin negotiation
with the next selected bidder. This process will continue until a contract has been executed or all proposals have been
rejected. No bidder shall have any rights against the County arising from such negotiations.
Sandra Tellis
Principal Buyer
CONTINUED ON SHEET 8
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 8
BID
(Bidder must use this form)
(Fill in all spaces)
A BID BOND OR CASHIER’S CHECK IN THE AMOUNT OF $500.00 MUST ACCOMPANY ANY BID
EXCEEDING $10,000. BIDS SUBMITTED WITHOUT THE BID BOND WILL NOT BE CONSIDERED.
ANKLE SUPPORTS
ITEMS 1-4 AWARDED "ALL OR NONE"
1
Ankle Support, Small, Allegiance 43860-010 or
Zimmer # 1426-002
2
Ankle Support, Medium, Allegiance 43860-020 or
Zimmer # 1426-003
3
Ankle Support, Large, Allegiance 43860-030 or
Zimmer # 1426-004
4
Ankle Support, X-Large, Allegiance 43860-040 or
Zimmer # 1426-005
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
$
$
BLOOD PRESSURE CUFFS (VARIOUS)
ITEMS 5-10 AWARDED "ALL OR NONE"
5
Neonatal B. P. Cuff, Ethox 5201, 10/bx
6
Neonatal B. P. Cuff, Ethox 5202, 10/bx
7
Neonatal B. P. Cuff, Ethox 5203, 10/bx
8
Neonatal B. P. Cuff, Ethox 5204, 10/bx
9
Neonatal B. P. Cuff, Ethox 5205, 10/bx
10
Blood Pressure Cuff Disposable Ethox 5208
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 9
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 9
BID (CONT’D)
BLOOD PRESSURE CUFFS (VARIOUS)
ITEMS 11-18 AWARDED "ALL OR NONE"
11
Adult BP Cuff Complete, Velcro, Medline
MDS9450
12
Large Arm BP Cuff Compete, Medline MDS9453
13
Thigh BP Cuff Complete, Medline MDS 9454
14
Adult Cuff ONLY, Medline MDS9420 or
Allegiance # 30504-013, 5/bx
15
1 Pedi Blood Pressure Cuff MDS 9452
16
Extendem Tubing 4, BMS 21-320 or Baum # 2910
17
Bulb & Valve, Medline MDS9514
18
Makes & Break Connectors, Baum 2920, 12/bx
19
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
BLOOD PRESSURE CUFFS, PHILLIPS (NO SUBSTITUTES)
ITEM 19 AWARDED "ALL OR NONE"
Single Lumen Disposable Blood Pressure Cuff, All
sizes Philips # M1878A, HP M1877A, HP
M1879A, 10/BOX
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
CATHETERS & ACCESSORIES (ARROW)
ITEMS 20-26 AWARDED "ALL OR NONE"
20
Triple Lumen Central Venous Catheter, 5/cs, Arrow
# CDC 45703-1A
21
Radial Artery Catheter Arrow # RAD4220
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 10
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 10
BID (CONT’D)
CATHETERS & ACCESSORIES (ARROW)
ITEMS 22-26 AWARDED "ALL OR NONE" (CONT’D)
22
Femural Artery Cath, Arrow # FA-04018
23
Arrow AH05150H, Custom Thermoilution
Percutaneous Introducer, 7.5 Sheath, 5/cs
24
Paracentesis Tray Arrow-AK00376
25
Introducer, 7.5 Sheath Arrow-AK 09880
26
Large Bore Cath Kit Arrow-AK22123F
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
$
$
$
$
CATHETERS, FOLEY,
TEFLON COATED LATEX:
ITEMS 27-35 AWARDED "ALL OR NONE"
NUMBERS REFERENCED ARE BARD
27
Foley Catheter, 14 FR, Coude Tip Bard 0168L-14
28
Foley Catheter, 16 FR, Coude Tip Bard 0168L-16
29
Foley Catheter, 18 FR, Coude Tip Bard 0168L-18
30
Foley Catheter, 20 FR, Coude Tip Bard 0168L-20
31
Foley Catheter, 22 FR, Coude Tip Bard 0168L-22
32
Foley Catheter, 24 FR, Coude Tip Bard 0168l-24
33
Foley Catheter, 26 FR, 5cc, Bard 265-726, 12/bx
34
Catheter, 8 FR, 3 ml, Bard 0165PL-08
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 11
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 11
BID (CONT’D)
CATHETERS, FOLEY,
TEFLON COATED LATEX:
ITEMS 27-35 AWARDED "ALL OR NONE"
NUMBERS REFERENCED ARE BARD (CONT'D)
35
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
Catheter, 10 FR, 3 or 5ml, Bard # 0165PL10
$
$
CATHETERS, FOLEY, TEFLON COATED LATEX:
ITEMS 36-40 AWARDED "ALL OR NONE"
36
Catheter, 12 FR, 5 ml, Bard 265712, 12/cs
37
Catheter, 14FR, 5 ml, Bard 265714, 12/cs
38
Catheter, 14 FR, 30 ml, Bard 266714
39
Foley Catheter Latex Free, 12 Fr, 14 Fr, 16 Fr, 18
F, 12/cs O & M # 0620165812-814-816-818
40
Close Drain Bag Latex Free O & M # 0620154102,
20/cs
$
$
$
$
$
$
$
$
$
$
CATHETERS ITEMS 41-54
41
Catheter, 14 FR, 30 ml, Bard 266714
42
Catheter, 16 FR, 5 ml, Bard 265716, 12/cs
43
Catheter, 18 FR, 5 ml, Bard 265718, 12/cs
44
Catheter, 20 FR, 5 ml, Bard 265720, 12/cs
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 12
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 12
BID (CONT’D)
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
CATHETERS ITEMS 41-54 (CONT’D)
45
Catheter, 22 FR, 5 ml, Bard 265722, 12/cs
46
Catheter, 24 FR, 5 ml, Bard 265724
47
48
49
50
51
52
53
54
Catheter, 24 FR, 30 ml, Bard 0166L-22,
DO NOT SUBSTITUTE
Catheter, 24 FR, 30 ml, Bard 0166L-24,
DO NOT SUBSTITUTE
Catheter, 26 FR, 30 ml, Bard 0166L-26,
DO NOT SUBSTITUTE
Catheter, 28 FR, 30 ml, Bard 0166L-28,
DO NOT SUBSTITUTE
Catheter, 30 FR, 30 ml, Bard 0166L-30,
DO NOT SUBSTITUTE
Red Latex Foley Catheter, Council Model 18 FR, 5
cc,
Bard 0196L-18
Red Latex Foley Catheter, Council Model 20 FR, 5
cc, Bard 0196L-20
Red Latex Foley Catheter, Council Model 22 FR, 5
cc, Bard 0196L-22
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3-WAY FOLEY CATHETERS
ITEMS 55-59 AWARDED "ALL OR NONE"
55
Three Way Foley Catheter, 14 FR, 30cc, Bard
266714, 12/bx, ONLY
56
Three Way Foley Catheter, 20 FR, 30cc, Bard #
0167L-20 ONLY
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 13
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 13
BID (CONT’D)
CATHETERS ( 3-WAY FOLEY)
ITEMS 57-59 AWARDED "ALL OR NONE" (CONT’D )
57
Three Way Foley Catheter, 22 FR, 30cc, Bard #
0167L-22 ONLY
58
Three Way Foley Catheter, 24 FR, 30cc, Bard #
0167L-24 ONLY
59
Three Way Foley Catheter, 26 FR, 30cc, Bard #
0167L-26 ONLY
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
CATHETERS (RIGHT ANGLE THORACIC); ITEMS 60-63 AWARDED "ALL OR NONE"
$
Right Angle Thoracic Catheter 32, 10/cs, Argyle
60
571059
$
$
Right Angle Thoracic Catheter 36, 10/cs Argyle
61
571067
$
$
Right Angle Thoracic Catheter 28, 10/cs, Argyle
62
571042
$
$
Right Angle Thoracic Catheter, 24 10/cs, Sherwood
63
# 571034
$
CATHETERS (MENTAR) & TUBES
64
65
66
ITEMS 64-66 AWARDED "ALL OR NONE"
$
Catheter, Mentar 240-12 French, 50/cs
$
$
Catheter, Mentar 460-12 French 50/cs
$
$
Replogle Tube, 10 FR, Argyle 256503, 10/cs
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 14
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 14
BID (CONT’D)
CATHETERS (RED ROBINSON)
ITEMS 67-74
67
Red Robinson, Catheters, 8 FR, Dover # 660085,
100/cs
68
Red Robinson, Catheters, 10 FR, Dover # 660101,
100/cs
69
Red Robinson Catheters, 12 FR, Dover # 660127,
100/cs
70
Red Robinson Catheters, 14, FR, Dover # 66013,
100/cs
71
Red Robinson Catheters, 16 FR, Dover # 660168,
100/cs
72
Red Robinson Catheters, 18 FR, Dover # 660184,
100/cs
73
Red Robinson Catheters, 20 FR, Dover # 660200,
100/cs
74
Red Robinson Catheters, 22 FR, 24 FR, 26 FR, 28
FR, 30 FR, 32 FR, C. R. Bard # 056122-32, 12/bx
75
76
77
78
79
80
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
CATHETER (THORACIC) ITEMS 75-80 AWARDED "ALL OR NONE"
$
Thoracic Catheter, 20 FR, Argyle 8888-570531,
10/bx
$
$
Thoracic Catheter, 24 FR, Argyle 8888-570531,
10/bx
$
$
Thoracic Catheter, 28 FR, Argyle 8888-570549,
10/bx
$
$
Thoracic Catheter, 32 FR, Argyle 8888-570556,
10/bx
$
$
Thoracic Catheter, 36 FR, Argyle 8888-570564,
10/bx
$
$
Thoracic Catheter, 40 FR, Argyle 8888-570572,
10/bx
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 15
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 15
BID (CONT’D)
CATHETERS (COUDE TIP)
ITEMS 81-83 AWARDED "ALL OR NONE"
DO NOT SUBSTITUTE
81
Red Robinson Catheter, Coude Tip, 14 FR, Rusch
403340-14, 10/bx
82
Red Robinson Catheter, Coude Tip, 16 FR, Rusch
403340-16, 10/bx
83
Red Robinson Catheter, Coude Tip, 18 FR, Rusch
403340-18 10/bx
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
FEEDING TUBES; ITEMS 84-87 AWARDED "ALL OR NONE"
84
Feeding Tubes, 5 FR x 15”, 50/bx, Davol # 0036400
85
Feeding Tubes, 5 FR x 36”, 50/bx, Davol # 0036430
86
Feeding Tubes, 8 FR x 15”, 50/bx, Davol # 0036410
87
Feeding Tubes, 8 FR x 42”, 50/bx, Davol # 0036420
88
89
90
$
$
$
$
$
$
$
$
FEEDING TUBES & BAGS; ITEMS 88-90 AWARDED "ALL OR NONE"
Silicone-Latex Free Feeding Tubes, 9.6 FR, Flexi
$
Flo, # 476, 10/cs
$
Ross, Flexi Flo # 52040 Enteric Feeding Bag with
$
tubing, preconnected, 24/cs with service of Enteral
Feeding Pump # 52036, 20 each pumps to be
provided on a no charge lease for the contract
period. Titles of the pumps are to remain with the
successful vendor.
$
Ross, Flexi Flo # 52048 Enteric Feeding Bag with
$
tubing, preconnected, 24/cs with service of Enteral
Feeding Pump # 52036, 20 each pumps to be
provided on a no charge lease for the contract
period. Titles of the pumps are to remain with the
successful vendor.
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 16
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 16
BID (CONT’D)
CATHETERS WORD
ITEMS 91 AWARDED "ALL OR NONE"
91
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
Word Catheter, 6/bx, Rush # 564000
MALE CATHETERS
ITEMS 92-93 AWARDED "ALL OR NONE"
Extended Wear Male Catheter Inner Flap, 12/bx,
Hollister # 9317
Extended Wear Male Catheter, Inner Flap 9316,
93 Geriatric/Pediatric, #9318 – Standard, #9319 –
Intermediate or Coloplast Conveen 520 Series, 12/bx
$
$
$
92
$
CUSHIONS
ITEMS 94-96 AWARDED "ALL OR NONE"
94 Foot Waffle - Air Cushion EHOB 305FW
95 Waffle Cushion EHOB 200WC1
96 Waffle Cushion FWMX-060 EHOB 3040
$
$
$
$
$
$
DRAINS
ITEMS 97-100 AWARDED "ALL OR NONE" DO NOT SUBSTITUTE, ARGYLE ONLY
97
Penrose Drains, ½” x 12”, 50/cs, # 513606
98
Penrose Drains, ¼” x 12”, 50/cs
99
Penrose Drains, 1” x 12”, 50/cs, # 514406
100
Penrose Drains, ¼” x 18”, 50/cs, # 514604
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 17
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 17
BID (CONT’D)
DRAINS
ITEMS 101-103 AWARDED "ALL OR NONE"
DO NOT SUBSTITUTE, ARGYLE ONLY (CONT'D)
101
Penrose Drains, ½” x 18”, 50/cs, # 515205
102
Penrose Drains, 1” x 18”, 50/cs, # 515809
103
Latex Free Penrose Drain ¾ x 18”
104
105
106
107
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
DRESSINGS
ITEMS 104-107 AWARDED "ALL OR NONE"
Bioclusive Transparent Dressing, 2” x 3”, 100/bx,
J & J 2461or Convatec # 1686-H8, 6 x 7cm, 400/cs
or Kendall # 6640
Bioclusive Transparent Dressing, 4” x 5”, 50/bx, J
& J 2463 or Convatec # 1686-H9, 10 x 14cm,
200/cs or Kendall # 6641
Bioclusive Transparent Dressing, 4” x 10”, 20/bx,
J & J 2467 or Convatec # 1686-HH, 25/ctn, 8” x 10”
or Kendall # 6643
Bioclusive Transparent Dressing, 5” x 7”, 20/bx, J
& J 2465 or Convatec # 1686-HL, 25/ctn, 6” x 6” or
Kendall # 6642 40/cs
$
$
$
$
$
$
$
$
$
$
$
$
$
$
DRESSINGS
ITEMS 108-110 AWARDED "ALL OR NONE"
108
Kaltostate Wound Dressing, 2 Gram Rope, 1681-F1,
5/bx or Kendall # 923, 20/cs
109
Kaltostate Wound Dressing, 7.5 x 12 cm, 1682-F7,
10/bx or Kendall # 9232, 100/cs
110
Kaltostate Wound Dressing, 10 x 20cm, 1682-F8,
10/bx or Kendall # 9238, 50/cs
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 18
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 18
BID (CONT’D)
DRAINS (MISCELLANEOUS)
ITEMS 111-118 AWARDED "ALL OR NONE"
DO NOT SUBSTITUTE, ARGYLE ONLY
111
Montgomery Strap 24/bx, J & J # 5129
112
United Irrigation Set 2075, 5/cs
113
Female Catheter Kit, Bard # 0035380, 100/cs With
Gloves, Wipes, 8 FR Sterile. DO NOT
SUBSTITUTE
114
Emerson Pump Adapter, Argyle 571596, 10/cs
115
Catheter Leg Bag, Long, Intermed # 6031, 48/cs
116
Latex Tubing 1” x 18”, GF # 838860, 100/bx
117
Catheter Plugs, Sterile, Pharmaseal P9660, 200/cs
118
Nasal Airway, Latex Free O & M #PVC55681233
#28, #30, #32
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
EYE SUPPLIES
ITEMS 119-124 AWARDED "ALL OR NONE"
119
120
121
Morgan Therapeutic Lens, MT-100, 12/bx
Flexible Protective Goggles, Allegiance # 46969101, 50/cs
Face Protection Shield, Eye Shield, Bouffant Cap &
Procedural Mask, Anti-Fog Protection, Allegiance #
3K0418C, 40/bx
Plano Goggles With Side Shield, Gray – Vallen
Safety # 01410NS or Approved Equal
$
$
$
$
$
$
$
122
$
$
123
Eye Pads, Chaston 17-576, 50/bx, 24 boxes/cs
$
$
124
Fox Eye Shields, Allegiance # C16005, 12/bx
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 19
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 19
BID (CONT’D)
FINGER SPLINTS & COLLARS
ITEMS 125-127 AWARDED "ALL OR NONE"
125
Aluminum Finger Splints, 12/bx,
Allegiance # 43690-030 or Zimmer # 548-002
126
Aluminum Finger Splint, 12/bx,
Allegiance # 43690-020
127
Ice Collars, Adult, Allegiance # 11428-010, 100/cs
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
GASTRIC SUPPLIES (MISCELLANEOUS)
ITEMS 128-134 AWARDED "ALL OR NONE"
128
Blakemore Esophageal Tube, Davol# 0092100,
ONLY
129
Stomach Evacuator Tubes, Mallinkrodt 85803,
10/bx
130
Bile Bags, Bard # 0015850
131
Rectal Tubes, 24 FR, Promed # 15-5731, 50/cs
132
Gastrostomy Tubes, Ballard #’s 100-16, 18, 20, 22,
24, 26, 28 and 30 FR
133
Jejunostomy Intestinal Tube, 16FR,
IHP # 655600
134
Jejunostomy Adult Tube, 16FR, IHP #655300
$
$
$
$
$
$
$
$
$
$
$
$
$
$
GAUZE
ITEMS 135-136 AWARDED "ALL OR NONE"
135
Nu-Gauze Packing Strips, Plain, ¼”, J & J 8750,
12/cs or Medline # NON25-5145 or Kendall # 7631
136
Nu-Gauze Packing Strips, Plain, ½”, J & J 8751,
12/cs or Medline # NON25-5125 or Kendall # 7633
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 20
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 20
BID (CONT’D)
GAUZE
ITEMS 137-138 AWARDED "ALL OR NONE"
(CONT'D)
137
Nu-Gauze Packing Strips, Plain, 1”, J & J 8752,
12/cs or Medline # NON25-5015 or Kendall # 7633
138
Gauze Sponges, 2” x 2”, Sterile 2’s, 3000/cs,
Medline # NON-21-420
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
HANDGUNS & SPIKE SETS
ITEMS 139-141 AWARDED "ALL OR NONE"
139
Zimmer Handgun, # 5150-025, 10/bx
140
Zimmer Dual Spike Set # 5150-036, 10/bx
141
Zimmer Dual Spike Set # 5150-075, 10/bx
INSTRUMENTS (STAINLESS STEEL, NOT CHROME)
CENTRAL SUPPLY GRADE
ITEMS 142-148 AWARDED "ALL OR NONE"
Suture Scissors, 5-1/2”, Straight, Sharp/Blunt, Medi
Pak 24-201 or Sklar # 20233, 12/bx
$
$
$
$
$
$
$
$
$
Needle Holders, 5” Blunt, No Serration, Medi Pak
143
34-800 or Sklar # 222322, 12/bx
$
$
Halsted Mosquito Forceps, Straight, 5”, Medi Pak
144
34-600 or Sklar # 11705, 12/bx
$
$
Halsted Mosquito Forceps, Curved, 5” Medi Pak
145
34-601 or Sklar # 11705C, 12/bx
$
$
Hemostat (Kelly or Rochester Pean), 5-1/2”, Curved
146
Medi-Pak 34-603 or Sklar # 12615, 12/bx
$
$
Hemostate (Kelly or Rochester Pean), 5-1/2”,
147
Straight Medi-Pak or Sklar # 12605, 12/bx
$
$
Knife Handles 3 Medi Pak 34-108 or Sklar # 80013,
148
12/bx
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 21
142
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 21
BID (CONT’D)
INSTRUMENTS (STAINLESS STEEL, NOT CHROME)
CENTRAL SUPPLY GRADE
ITEMS 149-161 AWARDED "ALL OR NONE" (CONT'D)
149
Tissue Forceps with Teeth 5” Medi Pak 34-904 or
Sklar # 37209, 12/bx
150
Sponge Forceps, 9-1/2”, Medi Pak 34-702 or Sklar #
37209, 12/bx
151
Towel Clamps, 5-1/4”, Medi Pak 34-701 or Sklar #
24007, 12/bx
152
Dressing Forceps Without Teeth, 5”, TPI 382, 12/bx
or Sklar # 77650, 12/bx
153
Adson Dressing Forcep, 4-3/4” Without Teeth,
Medi Pak 34-907 or Sklar # 79475, 12/bx
154
Adson Dressing Forcep, 4-3/4” With Teeth, or Sklar
# 79479, 12/bx
155
Iris Scissors, Sharp, Straight 4-1/2”, Medi Pak 34501 or Sklar # 20201, 12/bx
156
Iris Scissors, Sharp, Curved 4-1/2”, Medi Pak 34502 or Sklar # 20203, 12/bx
157
Splinter Forceps, Straight, 3” – 3-1/2”, TPI 386,
12/bx or Sklar # 79544
158
Splinter Forceps, Curved, 3” to 3-1/2”, TPT 395,
12/bx or Graham Field # 20-2769
159
Metzenbun Scissors St. 7” SMS # 8-180
160
Mayo Scissors St., 6-3/4", SMS #8-172
161
Rochester Penn St 6/14” SMS # 12-252
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 22
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 22
BID (CONT’D)
LIFEPORT INFUSION SETS
ITEMS 162-164 AWARDED "ALL OR NONE"
162
Strato Lifeport Infusion Set, 20 ga., 1”, LPS 3009,
20/bx, Y-site, MSY2010, 12/BOX
163
Strato Lifeport Infusion Set 20 ga x 1-1/2, #
LPS3017 MSY2015, 12/BOX
164
Strato Lifeport Infusion Set, LPS 3025, ¾”, 20/bx
MSY2034, 12/box
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
LIMB HOLDERS
ITEMS 165-167 AWARDED "ALL OR NONE"
165
Epreflex Limb Holder 6 pair/bx # 9962
166
Epreflex Limb Holder 6 pair/bx # 9964
167
Limb or Wrist Restrints – Allegiance # 24444-200,
80/cs
$
$
$
$
$
$
NEEDLES
ITEMS 168-173 AWARDED "ALL OR NONE" DO NOT SUBSTITUTE
168
Spinal Needle, 18 G x 3”, BD 5184, 50/cs
169
Spinal Needle, 20 G x 3”, BD 5182, 50/cs
170
Spinal Needle, 22 G x 3”, BD 5184, 50/cs
171
Spinal Needle, 25 G x 3”, BD 5180, 50/cs
172
Hypodermic Needle, 15 ga x 1-1/2, Monoject
200029, 1000/cs
173
Tru Cut Biopsy Needle, 10/cs, Allegiance, 2N-2704T
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 23
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 23
BID (CONT’D)
NURSING CARE SUPPLIES (MISCELLANEOUS)
ITEMS 174-188 AWARDED "ALL OR NONE"
174
Disposable Skin Punch, 50/bx – Acuderm: 2MM
No. 5-352, 3MM No. 5-353, 4MM
No. 3-354, 6MM No. 356
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
Scarlet Red Dressing, 72/cs, Sherwood 441600,
176
$
DO NOT SUBSTITUTE
$
177
5 – In – 1 Connectors, 100/cs, BB# 5751-15-5650
$
$
178
Sic-Sac, Tri-state #EMEBAG 144/case
$
$
179
Room Deodorant, Bard # 700A Fresh Air, 48/cs
$
$
Incontinence Pants (Fuller Shields), Birched wood
180
7012-1, 12/bx
$
$
OB-GYN Swabs, 8”, Medipak No. 24-808 or
181
Hardwood # 875790, 500/cs
$
$
Cytology Brushes, 100/pk, Non-Sterile, Baxter
182
Scientific # S7766-10, ONLY
$
$
183
Iodine Scrub, 30 oz, Baxter 4PVP
$
$
184
Spectrum Skin Cleaner 2%, 30 oz, Baxter4CHG2
$
$
Oral Thermometers, DIGITAL,ALLEG #16811185
100 12/BX
$
$
Universal Bubble Tubing, 3/16”, Argyle 280414,
186
100 Feet/Case
$
$
3-Way Transparent Stop Cock, Sorenson 42384-01,
187
25/bx or B. Braun # D300- # 456003, 100/cs
$
$
188
Transducers, A. C. C. S. 42587-05, 10/cs
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 24
175
Halbrand Toothette Pre-moistened, GM 167719
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 24
BID (CONT’D)
NURSING CARE SUPPLIES (MISCELLANEOUS)
ITEMS 189-203 AWARDED "ALL OR NONE"
(CONT'D)
189
Close Injectate Delivery Systems, Baxter/Edwards
93-160 10/cs
190
Co-Set II Cooling Container Baxter/Edwards 93520,
6/cs
191
Disposable Jamshidi Bone Marrow Biopsy Needle,
10/cs, Allegiance # DJ4011x
192
Yankhauer Section Handle, Argyle 505016, 50/cs
193
194
195
196
Abduction Pillows, 6/cs, E. R. Carpenter 3522 or
Dermacare # 40-0303
Thoracentesis Tray, Kendall 5016, 10/cs
DO NOT SUBSTITUTE
Bone Marrow Tray, MDT# BMT1104BTL
DO NOT SUBSTITUTE
Mahkurar, 11.5 fr x 195 mm, Insertion Tray, 5/bx,
15668-007
197
Unimar Pipells Endometrial Suction Catheter, 8200,
50/bx
198
Hot packs Medline# MDS138005
199
Cold Packs Medline #MDS138000
200
Medicine Glass, 1 oz, GF 90-3486, 144/cs
201
Patient Belongings Bag, Allegiance # SH205195PB
202
Blood Culture Prep Kit II, #260299
203
35W Skin Stapler, Auto Suture # 054887
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 25
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 25
BID (CONT’D)
NURSING CARE SUPPLIES (MISCELLANEOUS)
ITEMS 204-213 AWARDED "ALL OR NONE"
(CONT'D)
204
Microfilters, Airshield Vickers, Hill Rom # 0830071
205
Telfa Pad, 3” x 4”, Kendall 9642, 2400/cs
206
Vinyl Reusable Heating Pad, 10/cs GM # 190148
207
Amber Latex Tubing, 3/16 x 1/16, GM # 04-098A –
100 ft/rl
208
Luer Tip Caps BD # 8341, 2000/cs
209
Zephiran Wipes, 2000/cs, Medline MDS094185
210
Staphene Spray, 24/20 oz./Can/Case, Calgon Vestal
6389-72
211
Urine Meter With Drain Bag, Argyle 660800, 10/cs
212
Skin Staple Extractors, 6/bx, Weck 525950 or
Centurion # 44100, 24/bx
213
Meconium Aspirator, 15mm, Neotech # N0101,
40/cs
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
ORTHOPEDIC SUPPLIES
ITEMS 214-217 AWARDED "ALL OR NONE"
OCL Splint, 2” Roll, Summitt # SR215 o r J & J #
7432
$
$
$
OCL Splint, 3” Roll, Summitt # SR315 or J & J #
215
7433
$
$
OCL Splint, 4” Roll, Summitt # SR415 or J & J #
216
7434
$
$
217
OCL Splint, 5” J & J # OR7435
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 26
214
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 26
BID (CONT’D)
ORTHOPEDIC SUPPLIES
ITEMS 218-223 AWARDED "ALL OR NONE" (CONT'D)
218
OCL Splint, 6” Roll, Summitt # SR615 or J& J #
7436
219
Russell’s Kodel Knee Sling – Universal S & N #
15-0530
220
Knee Dressing, 19”, Depuy # 79-80370
221
Tulis Heel Cup, Large & Regular
222
Heel Protector, Heelbow 6880 or Medline # MDT
82-9281, 10 pair/cs
223
Dome Paste Bandage, 4”, Beiersdorft 1053, 12/cs
Allegiance #23631-002
224
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
OSTOMY SUPPLIES
ITEMS 224-230 AWARDED "ALL OR NONE"
Karaya Powder, Hollister 7905 United 40600, 2.5
oz., 12/bx
225
Bongart Stona Bags, 10/bx, Hollister# 88501
226
Karaya Paste, Premium Paste, Hollister # 7930, 2
oz., 12/bx
227
Hollister Ostomy Belts 7300, 10/bx
228
Hollister Urocut First Choice, # 1460, 10/bx
229
Fecal Incontinence Collector, 10/bx Hollister # 9823
230
Fecal Incontinence Collector, 10/bx Hollister 9821
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 27
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 27
BID (CONT’D)
OSTOMY SUPPLIES
ITEMS 231-236 AWARDED "ALL OR NONE"
(CONT'D)
231
Hollister Bag Clamps, 7765, 20/bx
232
Endo Trach Holder # Hollister 9799
233
Hollister Drain Tube Attachment, 9781, 5/bx
234
Hollister OR-Set, Pecu Guardian 4676, Fecal Drain
235
Hollister Manager – Wound, 9775, 10/bx
236
Hollister Wound Drainage Collector, 3",# 9773,
10/bx
237
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
PATIENT AIDES
ITEMS 237-243 AWARDED "ALL OR NONE"
Walkers, Aluminum, Adjustable, 31” to 35”,
Crescent 74050-060
238
Hemi-Walker, Walkane Lumex 6015, 2/cs
239
Canes, Wooden, Walking, Baxter 74280-010
240
Vest Restraints Skillcare # 301102
241
Hand Mittens Deroyal # M2023A
242
Walker C Attachable Platform
243
Walker C Attachable Wheels
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 28
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 28
BID (CONT’D)
PATIENT AIDES
ITEMS 244-251 AWARDED "ALL OR NONE"
(CONT'D)
244
Extra Tall Crutches
Cardinal No. 74260-020
245
Extended Cane
246
4-Prong Cane, Medline MDS86-2222, 2/cs
247
Platform Crutches, Guardian 5191
248
Elevated Toilet Seat, Allegiance # 74365-020 or
Graham Fields # 6902-1
249
Heel lift smooth boot #DM SYSTEM
10831727009987
250
Hand Reachers, 25 Per Box, Sammons-Preston Inc
# 4107-25
251
Dri-Flo Under pads, 23 x 46, KCI 7046, 12/cs or
Medline # MSC 28-2110
252
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
PATIENT CARE
ITEMS 252-256 AWARDED "ALL OR NONE"
Suspensory, B. D 202110-Small, B. D 202262Medium, BD 202430-Large, 48/cs
253
Suspensory, B. D 202612, 48/cs, X-Large
254
Procto Swabs, 16-1/2”, Non-Sterile, 500/cs Chaston
13-846 or Birchwood # 3470238
255
Paper Tape Measure, Disposable, Infant, Tomac
30942, 1000/cs
256
Airway Exchange Catheter 7mm-Cook Critical Care
# C-CAE-19.0-83
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 29
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 29
BID (CONT’D)
PATIENT CARE
ITEMS 257-261 AWARDED "ALL OR NONE"
(CONT'D)
257
CSZ Pad Covers Critical System # 356, 25/ctn
258
CSZ Blankets Critical System#276A
259
Kleen Probe, Critical System, # C491B, 10/bx
260
Bowles Stethoscope, Lumiscope # 201-006
261
Stryker Patient Kit (CPM Pad), 330, 10/kit
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
$
$
$
$
ITEMS 262-267 AWARDED "ALL OR NONE"
262
Urine Strainers, Allegiance 13615-020, 250/bx
263
Hemilich Chest Drain Valve, 10/cs, BD No. 373460
264
265
266
267
Armboards, 18”, Plastic, Disposable, 100/cs Mark
Clark # 45-0002
Helmac Lint Pickup Kit, 4/bx, 320H only,
DO NOT SUBSTITUTE
Helmac Lint Pickup Refill, 320HR, 12/bx,
DO NOT SUBSTITUTE
Cervical Scrapers, Wooden, Unsterile, 500/bx,
Medi-Pak No. 24-600, 10 bx/cs
$
$
$
$
$
$
$
$
$
$
$
$
PERSONAL HYGIENE SUPPLIES
ITEMS 268-269 AWARDED "ALL OR NONE"
$
$
$
269
Hand Lotion, 4oz., KENTRON 705-04
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 30
268
Anti-Perspirant Deodorant, 1/5 oz., 96/cs
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 30
BID (CONT’D)
PERSONAL HYGIENE SUPPLIES
ITEMS 270-273 AWARDED "ALL OR NONE"
(CONT'D)
270
Toothpaste Fresh Mint, No. FM6, 720/cs or
Allegiance # 10889, 144/bx
271
Hair Combs, 7” Black Centurian No. 2727, 144/cs
or Allegiance # 10913-010, 1440 cs
272
Toothbrush, Adult, 144/bx, New World TB-30
273
Bath Sponges, 25/bx, Sammons-Preston Inc
# 6299-25
274
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
PICC SUPPLIES
ITEMS 274-278 AWARDED "ALL OR NONE"
PICC INTRODUCER, 4FR, SAFE OTN, SAFETY
NEEDLE TACY Med #380-300
275
DOUBLE LUMEN SELDINGER , 5FR TACY
MED # 502-266
276
VASCULAR IMAGING KIT, HAND FREE TACY
MED. #IN00517A
277
HD HPD SET, TACY MED, V-LOCK
SECUREMENT DEVICE, 40/BOX
278
V-Cath Insertation Tray, 10/cs, Tacy # AMS9767SF
279
BRAND
PITCHERS
ITEM 279 AWARDED "ALL OR NONE"
Pitchers, Disposable, triangular, Graduate 1000cc,
200/cs, Plastic Packaging, MCP # 10005-200
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 31
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 31
BID (CONT’D)
RINGS, RAZORS & SCALPELS
ITEMS 280-283 AWARDED "ALL OR NONE"
280
Invalid Rings, Disposable, 16” Inflatable, Dynacor
D70146, 20/cs
281
Disposable Razors, Double Edged, Seamless 139083, 100/cs or Medline # D70835
282
Scalpels, Disposable, 11 Seamless 13-1611, 100/cs
or Medline # 059641P
283
Scalpels, Disposable, 15 Seamless 13-1615, 100/cs
or Medline # 09645P
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
$
$
SHOES & BRACES
284-289 ITEMS AWARDED "ALL OR NONE"
284
Vinyl Orthopedic Shoes, 113F Small, Medium, Large
& Extra Large
285
Vinyl Orthopedic Shoe, 113M Small, Medium, Large
& Extra Large
286
Ortho Wedge Shoe,Medium, Darco # 0W2
287
Ortho Wedge Shoe, Large, Darco # 0W3
288
Ortho Wedge Shoe, X-Large, Darco #212XL
289
Royce Walker Shoe Brace, All Size, #
W0600,WO400,W0800,WO1000,WO400S,WO600S,
WO800S WO1000S
DO NOT SUBSTITUTE
290
291
STABILIZERS ITEMS 290-293
AWARDED "ALL OR NONE"
Leaf Spring Orthosis, Vulcan Medical # PLSC 200
only, All Sizes, DO NOT SUBSTITUTE
Patella Stabilizing Unit, All Sizes, Vulcan Medical
1029, DO NOT SUBSTITUTE
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 32
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 32
BID (CONT’D)
ITEMS 290-293 AWARDED "ALL OR NONE"
(CONT'D)
292
293
294
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
Myostim Tens Unit – Nerve Stimulator, Hillco
Medical Spectrum III or SOUTHERN MED #DR
AGF3X
Splint, Air Cast, Vulcan Medical Darco Augel
Universal
SKIN CARE
ITEMS 294-302 AWARDED "ALL OR NONE"
Stomahesive, 4” x 4”, CONVATEC # 0217-12,
5/bx, DO NOT SUBSTITUTE
295
Skin Prep Packets, 12/50/bx, Hollister # 7917
296
Incontinent Skin Care Kit, Sween # 1246
297
Permatype Tape, 1” Hy-Tape 10, 12/bx
298
Critic-Aid Skin Paste, Sween 1944, 2.5 oz., 12/cs
299
Bedside Care Rinse, 36/4 oz., Sween # 1768
300
Microgard Antifungal Powder, 3 oz., # SW1337
301
Duoderm, 4 x 4 – 50/cs, Comfeel # 3110
302
Duoderm, 4 x 4 – extra thin, 5/bx, Comfeel # 3533
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 33
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 33
BID (CONT’D)
STERLIZING SUPPLIES
ITEMS 303-311 AWARDED "ALL OR NONE"
303
3” x 100’ Tubular Rolls, Tower, Amsco Eaglepac
#NE103, 10 rl/cs or MDS100410S
304
6” x 100’ Tubular Rolls, Amsco Eaglepac # NE106,
10 rl/cs or MDS100420S
305
Flat Pouch, Amsco Eaglepac # NE713, 7” x 13”,
1000/cs or MDS 100245 8” x 13”
306
12 x 15 Flat Pouch, Amsco Eaglepac # NE15,
500/cs or MDS 103255
307
Flat Pouch, 1000/cs, Amsco Eaglepac # NE038, 31/2” x 8” or MDS100215 4” x 8”
308
16” x 16” Flat Pouch, Amsco Eaglepac # NE616,
500/cs
309
Flat Pouch, Amsco Eaglepac # NE824, 500/cs, 18”
x 24” or MDS100275 19” x 23”
310
Autoclave Test Strips (Steam), Tower # T4004,
250/bx
311
Autoclave Test Strips, Gas, Tower # T4005, 250/bx
312
313
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
STOCKINGS (ANTI-EMBOLISM)
312-313 ITEMS AWARDED "ALL OR NONE" INSTRUMENTS
Anti-Embolism Stockings, Knee Length, All Sizes,
Carolon
Anti-Embolism Stockings, Thigh Length, All Sizes,
Carolon
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 34
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 34
BID (CONT’D)
STOCKINGS (FAST FIT)
314-316 ITEMS AWARDED "ALL OR NONE"
INSTRUMENTS
314
Fast Fit Stocking, 25 - 35 m, Small - Jobst # 114223
315
Fast Fit Stocking, 25 - 35 m, Medium - Jobst #
114229
316
Fast Fit Stocking, 25 - 35 m, Large - Jobst # 114235
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
THERABANDS, BATH & CONTOURS
ITEMS 317-326 AWARDED "ALL OR NONE"
317
Therband, 50 Yd Green, Smith & Nephew
# A521-3
318
Therband, 50 Yd, Yellow, Smith & Nephew
# A521-1
319
Therband 50 Yd, Red, Smith & Nephew
# A521-2
320
Theraputty, 5 lb Bucket, Yellow, Smith & Nephew
# A-497-280
321
Theraputty, 5 lb Bucket, Red, Smith & Nephew #
A497-380
322
Theraputty, 5 lb Bucket, Blue, Smith & Nephew #
A497-580
323
Paraffin Bath Refill, Smith & Nephew
# A 819-20
324
Neck Contour, Regular, Smith & Nephew # A937-2
325
Neck Contour, Oversize, Smith & Nephew # A9373
326
Hydrocollator, Heat Pack, Smith & Nephew #
A937-1
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 35
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 35
BID (CONT’D)
THERABANDS, BATH & CONTOURS
ITEMS 327-330 AWARDED "ALL OR NONE"
(CONT'D)
327
Polyfoam Splinting Material, Smith & Nephew #
A292
328
Velcroloop, 1 x 25 Yd, Smith & Nephew # A338-28
329
Velcrohook, 1 x 10 Yd, Smith & Nephew # A34002
330
Oral Adapter, Luminaud # 63017
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
$
$
TRACH TIES
ITEMS 331-333 AWARDED "ALL OR NONE"
331
Trach Ties – Small Custom Product # 0810
332
Trach Ties – Medium Custom Product # 0811
333
Trach Ties-Large Custom Product # 0810
$
$
$
$
$
$
VAGINAL SPECULUMS
ITEMS 334-336 AWARDED "ALL OR NONE"
334
335
336
Sani Spec Vaginal Speculum, Plastic, 100/cs, Small,
No. 182329 or
Dawnex # 1010
Sani Spec Vaginal Speculum, Plastic, 100/cs,
Medium, No. 182330 or
Dawnex #
1020
Sani Spec Vaginal Speculum, Plastic, 100/cs, Large,
No. 182331 or
Dawnex # 1030
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 36
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 36
BID (CONT’D)
VOICE PROSTHESIS
ITEMS 337-349 AWARDED "ALL OR NONE"
337
Voice Prosthesis Sizing Device, Inhealth # BE6036
338
Low Pressure Voice Prosthesis, Inhealth, 16 FR,
LP16-008, 1.6
339
Low Pressure Voice Prosthesis, Inhealth, 16 FR,
BE6011, 2.2
340
Low Pressure Voice Prosthesis, Inhealth, 16 FR,
LP16-012, 2.0
341
Replacement Gel Caps, Inhealth (All Sizes)
342
Passy-Muir Tracheotomy Speaking Valve, PassyMuir Inc (All Sizes)
343
Washing Pipettes, Inhealth # BK4050
344
Duckbill Voice Prosthesis, Inhealth, 1.4, 0816-006
345
Duckbill Voice Prosthesis, Inhealth, 1.8, BE6000
346
Duckbill Voice Prosthesis, Inhealth, 2.2, BE6001
347
Duckbill Voice Prosthesis, Inhealth, 2.6, BE6002
348
Duckbill Voice Prosthesis, Inhealth, 3.0, BE6003
349
TEP Dilator, Inhealth, (All Sizes), 16FR, 22FR,
BE6050
BRAND
PKG QTY
PKG
PRICE
STK NO
MIN
ORDER
QTY
PRICE
EACH
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
NAME OF YOUR COMPANY ________________________________________________________
CONTINUED ON SHEET 37
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 37
BID (CONT’D)
*DELIVERY IS GUARANTEED NOT LATER THAN______________ DAYS AFTER DUE DATE.
*PRICES QUOTED HEREIN ARE GUARANTEED FOR 365 DAYS UNLESS SO STATED BELOW.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
If price increase is applicable in subsequent years (10/1/09 to 10/1/10 and 10/1/10 to 10/1/11) then pricing
is guaranteed not to increase more than ____%. All price increases must be received at least thirty (30)
days prior to expiration period and clearly marked as such.
CONTINUED ON SHEET 38
JEFFERSON COUNTY COMMISSION
PURCHASING DEPARTMENT
ROOM 830 * 716 RICHARD ARRINGTON JR BLVD N
BIRMINGHAM, AL 35203
(205) 325-5382
PRINCIPAL BUYER: SANDRA TELLIS
JUNE 16, 2008
BID NO: 170-08
SHEET NO: 38
INVITATION TO BID CONT’D
The Jefferson County Commission, or its Agent, shall have the right to waive any informality or irregularity.
Under certain limited conditions, the Purchasing Department may apply a local preference option in determining the
low bid for purchases of personal property.
All provisions of this Invitation are accepted by bidder as part of any contract or purchase resulting therefrom.
Date: _____ Company Name: _____________________ Web Address: _____________________
Terms: ______ Address: ______________________________ City: ________________________
County: __________________ State: ______ Zip: _________ Phone :(___) ___________________
If Jefferson County Business License were issued to your company for the past twelve (12) months, please list
numbers._______________________________________________________
Vendor’s Federal I.D. Number: ___________________________________________________
I certify that ______________________ has ____ has not ____ been in operation for one year at
(Company Name)
(Check one)
location(s) zoned for the type of business conducted by my company at the address stated above.
___________________________
(Authorized Signature)
___________________________
(Print Name)
___________________________
(E-Mail Address)
Toll Free Phone:__________________________ Fax Number:___________________________
Return original bid in sealed envelope. Authorized signature of bidder must be in ink.
Bids received in our office after the specified date and hour will not be considered.
INDICATE THE FOLLOWING ADDRESSES IF DIFFERENT FROM ABOVE:
1.
2.
3.
BID AWARD NOTICE ADDRESS
PURCHASE ORDER ADDRESS
REMITTANCE ADDRESS, (AND NAME IF DIFFERENT THAN ABOVE)