PURCHASING ROOM 830 JEFFERSON COUNTY COURTHOUSE BIRMINGHAM, AL 35263 (205) 325-5382 JEFFERSON COUNTY, ALABAMA CONTRACT AWARDED TO: COLOPLAST CORPORATION 1955 WEST OAK CIRCLE MARIETTA, GA 30062-2249 Attn: Kimberly Durgan Phone: 800-788-0293 FAX: 800-403-0027 TERMS: Net 30 days F.O.B.: Destination DATE: SEPTEMBER 15, 2004 INVITATION TO BID#: 216-04 SERVICE: PACA SICKROOM SUPLS BUYER: Sandra Tellis 205-325-5382, phone 205-325-4888, fax THIS IS NOT AN ORDER: THIS CONTRACT IS HEREBY AWARDED BY THE COUNTY COMMISSION OF JEFFERSON COUNTY. THE CONTRACT CONSISTS OF THE TERMS AND CONDITIONS OF THE INVITATION TO BID AS REFERENCED ABOVE AND YOUR BID. IT IS UNDERSTOOD AND AGREED THAT THE COUNTY MAY PURCHASE ANY OR ALL OF ITS REQUIREMENTS FOR DELIVERY AS NEEDED AT THE PRICES UNDER THE TERMS INCLUDED IN THIS AGREEMENT. THE COUNTY IS TO BE GIVEN THE BENEFIT OF ANY REDUCTION IN PRICE BELOW THE CONTRACT PRICE. SAID REDUCTION TO APPLY ON THE UNDELIVERED PORTION OF THE CONTRACT. PURCHASE ORDERS OR CHANGE ORDERS WILL BE ISSUED PERIODICALLY IN ACCORDANCE WITH PRICES AND TERMS OF THIS CONTRACT. DELIVERIES OF SUPPLIES OR SERVICE ARE NOT TO EXCEED THE TOTAL MONETARY VALUE SPECIFIED IN SUCH PURCHASE ORDERS OR CHANGE ORDERS. UNDER NO CIRCUMSTANCES SHALL THE COUNTY BE UNDER ANY OBLIGATION TO THE CONTRACTOR FOR SUPPLIES OR SERVICE NOT SPECIFICALLY ORDERED. ALL SUPPLIES OR SERVICE MUST BE SATISFACTORY TO THE COUNTY AT ALL TIMES. FAILURE TO COMPLY WITH ANY PART OF THE INVITATION TO BID, YOUR BID OR ANY TERM OF THIS DOCUMENT SHALL, AT THE OPTION OF THE COUNTY, CONSTITUTE A DEFAULT. UPON DEFAULT, THE COUNTY MAY TERMINATE THIS AGREEMENT BY WRITTEN NOTICE OF TERMINATION MAILED TO THE CONTRACTOR AT THE ADDRESS SHOWN ABOVE. PERIOD OF CONTRACT: 7/23/04 through 6/15/05 with option to renew through 6/15/06. __________________________________________ JACK COLLAR, PURCHASING MANAGER AWARD LIST BID #216-04 COLOPLAST CORP. ITEM DESCRIPTION NO. 78 Purell instant hand sanitizer Isagel 21 oz bottle w/wall Mount bracket (#0890) or equivalent 80 Purell instant hand sanitizer aloe 21 oz refill 12/cs 81 Purell instant hand sanitizer aloe 12 fl.Oz. Pump bottle 12/cs – Isagel #1645 or equiv. MFG. NAME & NO. Coloplast Corp Isagel, 21 oz #1645 Coloplast Corp Isagel, 21 oz # 1645 Coloplast Corp Isagel, 21 oz # 1645 PKG SIZE MIN ORDER QTY UNIT PRICE 12/CS No min. $ 47.63 12/CS No min. $ 47.63 12/CS No min. $ 47.63 PURCHASING ROOM 830 JEFFERSON COUNTY COURTHOUSE BIRMINGHAM, AL 35263 (205) 325-5382 JEFFERSON COUNTY, ALABAMA CONTRACT SUPREME MEDICAL P.O. BOX 850247 MOBILE, AL 36685 DATE: SEPTEMBER 15, 2004 INVITATION TO BID#: 216-04 SERVICES: PACA SICKROOM SPLS Attn: Tony Mason FAX: 800-461-1277 TERMS: Net 30 days F.O.B.: Destination BUYER: Sandra Tellis 205-325-5382, phone 205-325-4888, fax THIS IS NOT AN ORDER: THIS CONTRACT IS HEREBY AWARDED BY THE COUNTY COMMISSION OF JEFFERSON COUNTY. THE CONTRACT CONSISTS OF THE TERMS AND CONDITIONS OF THE INVITATION TO BID AS REFERENCED ABOVE AND YOUR BID. IT IS UNDERSTOOD AND AGREED THAT THE COUNTY MAY PURCHASE ANY OR ALL OF ITS REQUIREMENTS FOR DELIVERY AS NEEDED AT THE PRICES UNDER THE TERMS INCLUDED IN THIS AGREEMENT. THE COUNTY IS TO BE GIVEN THE BENEFIT OF ANY REDUCTION IN PRICE BELOW THE CONTRACT PRICE. SAID REDUCTION TO APPLY ON THE UNDELIVERED PORTION OF THE CONTRACT. PURCHASE ORDERS OR CHANGE ORDERS WILL BE ISSUED PERIODICALLY IN ACCORDANCE WITH PRICES AND TERMS OF THIS CONTRACT. DELIVERIES OF SUPPLIES OR SERVICE ARE NOT TO EXCEED THE TOTAL MONETARY VALUE SPECIFIED IN SUCH PURCHASE ORDERS OR CHANGE ORDERS. UNDER NO CIRCUMSTANCES SHALL THE COUNTY BE UNDER ANY OBLIGATION TO THE CONTRACTOR FOR SUPPLIES OR SERVICE NOT SPECIFICALLY ORDERED. ALL SUPPLIES OR SERVICE MUST BE SATISFACTORY TO THE COUNTY AT ALL TIMES. FAILURE TO COMPLY WITH ANY PART OF THE INVITATION TO BID, YOUR BID OR ANY TERM OF THIS DOCUMENT SHALL, AT THE OPTION OF THE COUNTY, CONSTITUTE A DEFAULT. UPON DEFAULT, THE COUNTY MAY TERMINATE THIS AGREEMENT BY WRITTEN NOTICE OF TERMINATION MAILED TO THE CONTRACTOR AT THE ADDRESS SHOWN ABOVE. PERIOD OF CONTRACT: 7/23/04 through 6/15/05 with option to renew through 6/15/06. __________________________________________ JACK COLLAR, PURCHASING MANAGER AWARD LIST BID #216-04 SUPREME MEDICAL ITEM DESCRIPTION NO. MFG. NAME & NO. PKG SIZE MIN ORDER QTY UNIT PRICE 1 Exam table paper (24" or 21") please specify size w/price Stanford #900009 12/cs CS $ 24.75 2 IMCO professional plastic backed disposable towels 13 1/2 x 19", 500 case – Crosstex CX001 or equiv. Stanford #200401 500/cs CS $ 10.35 3 IMCO professional disposable washcloths 12 x 13 1/2, 500 case – Standard Roper KPK577 or equiv. Dynarex # 1315 13" X 10" 500/cs CS $ 9.93 4 K/C white facial tissue, 175/box – Central Paper 331127 or equivalent Disposable pillow cases, 100 case Non-sterile medium powder free vinyl exam glove, 100/box, Cypress 2594 or equivalent Non-sterile medium powder free latex exam gloves, 100/box, PT Maja Agung Latexindo, MG2302 or equivalent Med Line #243277 Stanford # 700024 30 X 90/cs CS $ 17.60 100/CS CS $ 17.51 Dynarex #2612 100 BX 10 BX/CS BX $ 2.65 Kimberly Clark 10 X 100/CS CS $ 29.69 8 MDI CPR microshields, regular 5 x 5 – MDI MD170150 or equivalent Dynarex #4921 10/PK PK $ 9.75 9 Webcol medium 2 ply individually pkgd alcohol pads, 200/box, 4000/case Triad GRA700 or equiv. Dynarex #1103 200/BX 10 BX/CS CS $ 11.86 10 3M Scotchcast custom length splint, 2 x 15 3M 76005 or equivanlent 3M Scotchcast custom length splint, 5 x 15 – 3M 76005 or equivalent 3M Scotchcast custom length splint dispenser door 6" x 6 1/2" – 3M 76002D or equivalent 3M #76002 1 RL RL $ 53.57 5 6 7 11 12 13 3M Scotchcast custom length splint dispenser door 9 1/2" x 6 1/2" – 3M 76005D or equivalent 3M # 76005 RL RL $ 100.00 3M # 76002D EA EA $30.12 3M # 76005D EA EA $ 30.12 Dynarex # 3652 10/BX BX $ 2.89 Dynarex # 3654 10/BX BX $ 4.89 14 Dyna-flex elastic bandage 2" x 5 yds – 15 Cypress 50-25 or equivalent Dyna-flex elastic bandage 4" x 5 yds Cypress 50-45 or equivalent 16 Dyna-flex elastic bandage 6"x5 yds - De Healthcare FBR 18146 or equivalent individually pkgd bleached muslin triangular bandages Dynarex # 3656 10/BX BX $ 7.65 Dynarex # 3680 DZ DZ $4.09 Ivax # 7082-64 15ML/EA EA $2.43 Ivax # 7051-37 40z/EA EA $1.96 sterile individually packed oval eye pads – J&J 8771 or equivalent Dynarex # 3360 50/BX BX $ 3.84 Sterile individually wrapped 4 ply 4"x4" general use gauze pads Cypress 4248 or equivalent Dynarex # 3354 100/BX BX $ 4.61 Dynarex # 3352 100/BX BX $2.33 Dynarex # 3423 100/BX BX $3.44 Dynarex # 3434 100/BX BX $ 4.89 Conco # 19100000 96/CS CS $ 36.62 Dynarex # 3112 12/BG BG $2.48 Dynarex # 3114 12/BG BG $3.27 EA EA $ 4.20 Dynarex # 3619 100/BX BX $ 3.73 Dynarex # 3617 Conco # 46130000 100/BX 50/BX 24 BX/CS BX $ 3.34 BX $ 2.87 Dynarex # 3602 100/BX BX $1.44 Dynarex # 3525 500/BX BX $ 32.83 17 40x40x56 w/safety pins 18 1 oz Sterile Artificial Tears (Specify brand) 20 4 oz. Sterile Isotonic Buffered Eye Wash – Optic KE002 or equivalent 21 Johnson & Johnson small 1 5/8 x 2 5/8 22 23 Sterile individually wrapped 4 ply 2"x2" general use gauze pads Hermitage 5119 or equivalent 24 Sterile individually wrapped small 2 x 3 25 non-stick pads Starline 1070565 or equiv. Sterile individually wrapped medium 3 x 4 non-stick pads Am. White Cross 1070575 or equivalent 26 Sterile individually wrapped Sof-Kling flexible conforming gauze 1" x 60" J&J JJ6981 or equivalent 27 Sterile individually wrapped Sof-Kling flexible conforming gauze 2" x 65" Cypress 4152 or equivalent 28 Sterile individually wrapped Sof-Kling flexible conforming gauze 4" x 75" – Cypress 4154 or equiv. 29 Individually wrapped thermal rescue blanket 56" x 86" (specify brand) – Healer 41815 or equivalent DMJ/Gam # 111-3 30 3" Knuckle flexible fabric non-adhesive pads adhesive bandages (specify brand) Acme WC 310 or equivalent 31 2" Finger tip flexible fabric non-adhesive pads adhesive bandages – Abco 057204 or equivalent 32 2" x 3" lg elastic patch/ bandages with 33 non-adhesive pad Abco PV23D or equiv. 1"x 3" adhesive bandage strips with nonadhesive pads (specify brand) De Healthcare MTM1X3 or equivalent 34 1/4" x 4" steri-strip skin closures 35 1" x 10 yd microfoam 3M latex-free surgical tape 12 rolls/bx – Starline 1528-1 or equivalent 3-M # 1528-1 12/BX BX $ 22.10 100/BX BX $ 2.00 36 Sterile individually wrapped 2/env 6" cotton tipped applicators, 100/bx – Solo 256568 or equivalent 37 38 39 40 Sterile individually wrapped junior 5 1/2" tongue blades Solo 256569 or equivalent Assorted safety pins (50-100 count) Gra 8330393C or equivalent Ziplock-style sandwich-size storage bags 100/bx –Zippit or equivalent Ziplock-style jewelry or pharmacy-size storage bags - 100/bx (specify brand) 41 1 oz - Vaseline pure petroleum jelly- Four 42 0053-31 or equivalent 1/32 oz packets industrial box (144/bx) Vaseline petroleum jelly – Fougera FG5345 or equivalent 43 1 oz Benadryl cream – Ame 3618873 or 44 equivalent Benadryl liquid - #6552 or equivalent 45 Halls cherry cough drops (30 count) 46 Equate or equiv. 1/32 oz packets industrial box (144/bx) triple antibiotic or neosporin ointment – Fou 0012-09 or equivalent Cit Med # 22-9588 Cit Med # 22-9599 Makis # 39-902 # 2 Donovcen Zip 69 100/BX BX $ 2.21 144/PK 1000/BX 6" x 9" PK $ 1.35 BX $ 20.63 Donovcen Zip 2"X 3" 1000/BX BX $ 5.11 Donovan # PJ4326 144/CS Foregera #0053-45 Ivax #5121-34 Ivax # 2001-37 Apoth Supply Larynex Foregera #0012-09 EA $ 0.53 GROSS EA $ 9.10 1/OZ EA $ 2.63 4/OZ EA $ 1.02 500/BX BX $ 24.69 6 gross/CS GROSS EA $ 23.47 100-UD 100 UD (unit dose) $ 2.62 100-UD 100 UD $ 3.90 72/CS CS $ 14.36 3/PK PK $ 9.75 20/BX BX $9.79 EA $ 4.01 PK $7.19 6 gross/CS 47 Industrial box (ct 100-50/2's) 325 mg regular strength Tylenol – Goldline 001820-14101 or equivalent 48 Industrial box (ct 200-100/2's) Ibuprofen – 49 OTC50883C2 or equivalent B-B 5g. Glucose tablets 50 Glucose 15 g. tubes - 3 tubes/package – 51 52 53 Glucose P0004 or equivalent Lister stainless steel 3 1/2" bandage scissors – Lister 81035 or equivalent Magnifying splinter tweezers (built-in magnifying glass) Abco 82415 or equivalent Hi-intensity disposable penlight (6 lights/pk) – Profession Plastic ZPL02 or equivalent Ivax #8447-89 Ivax #8688-89 BD #328230 SEE #S3704 Medicare Action # 56247 DMI #8204 Aaron #66RN 6/PK 54 Omron oral digital fever thermometer Fahrenheit – Graham Field, ZTH25 or equivalent MPD $ 2.80 55 Omron disposable thermometer probe covers 100/pkg – Min bx, Tidi APP100D2 or equivalent 56 Courier II Style adjustable wheel chairs or 57 comparable brand (specify brand) Omron regency series 725C automatic inflation system with adult cuff – Omron HEM-722-CR or equiv. Lumiscope #2050 Invacare Trex 28R T393HE 1000/BX Tracer 2 Chair BX $14.58 2 Chairs $179.00 Mabis #04-330001 EA EA $ 74.46 Braun #03000200 EA EA $ 137.42 800/CS CS $54.63 100/BX BX $ 25.00 EA EA $ 51.75 MPD #P3016 50/BX BX $ 20.22 Kendall #31143731 30/CS CS $ 81.97 Time Med BH55 Smart Practice 63779 Med Line NON024220 5"x5" 250/RL RL $29.69 EA EA $14.39 5000/CS CS $37.13 Dynarex 4252 Med Line NON05003 5000/CS CS $26.25 5000/CS CS $109.23 PDI H21082 10X50/CS CS $63.66 Kendall #1380 288/CS CS $34.24 Smart Practice WW560R 100/BX BX $39.74 Bayer # 2881 100/BTL BTL $15.12 Donovan HS # 3794 Derma Sei # 46741 8 oz 48/CS CS $ 50.05 24/CS CS $ 7.25 58 Braun thermoscan Pro-1 (heavy-use model) instant thermometer – Thermoscan PRO3000 or equivalent 59 Disposable ear probe covers for Braun Thermoscan (800/cs)- Thermoscan #THERMPCK or equiv. 60 Owen Mumvord unistick 2 capillary blood 61 62 63 sampler lancets (50/bx) One-Touch basic blood glucose monitor – 010325 or equivalent One-Touch Reagent Strips (25/bx) – 020297 or equiv. 2 Gal. Or 5 Qt. Capacity, plastic red, locking hinge lid/flip style top Sharps disposal system – MDS70212 (2 gal) and MDS704100 (qt) or equiv. WA #05074800 ATO704 Owen Mumford MPD #P3172 64 Bright orange paper flourescent 3"x4" Biohazard self-adhesive labels (250/rl) Time BH45 or equivalent 65 Save-A-Tooth kits – TPS001 or equivalent 66 1/2 or 1 oz paper medicine cup pleated 67 68 71 72 74 (specify size) Strauss ZCP075 or equiv. 1 oz plastic medicine cup graduated – Cypress 9500 or equivalent 3 oz Solo-type water cups Cen 3.5N25 or equivalent PDI Sani-cloth germicidal disp cloths packets - 50/tub – PDI H21082/ equivalent Self-adherent, individually wrapped sanitary napkins Kendall 1380 or equivalent Orthodontic braces wax 77 Individually wrapped urine ketone strips 79 10/bx Purell instant hand sanitizer 800 ml dispenser w/child hand surface adapter #7251 or equivalent 83 Instant cold packs – Jack Frost or equivalent 84 Conney fanny pack first aid kit or 86 comparable contents/brand - specify 3/4" x 3" band aids fabric only – Starline 10701275 or equivalent Acme United # 30500 EA EA $16.66 Dynarex # 3611 100/BX BX $1.65 Dynarex # 3612 Dynarex # 3614 Lumiscope # 2050 Fougera # 01231 Fougera # 15431 100/BX BX $ 1.99 50/BX BX $ 2.79 1000/BX BX $14.58 6/BX Hydrocortison 6/PK EA $ 3.59 EA $ 1.35 Dynarex 200/BG BG $ 0.54 Dynarex # 3232 200/BG BG $ 1.44 Dynerex # 3561 (1/2), # 35621 (1") 24/BX 12/BX BX $ 6.40 12/BX BX $ 3.51 12x 16OZ/CS CS $ 7.91 12x 16OZ/CS CS $ 6.16 864/BX BX $ 2.54 3" Double End 120 x 200/CS CS $ 71.42 4000/CS CS $ 9.57 4oz EA $ 1.04 100/UD 100/UD $ 3.90 87 1" x 3" band aids fabric only 88 89 90 91 Beiersdorf, BF0231 or equivalent 2" x 41/2" X-Lg band aids AWC 1070033 or equivalent Thermometer covers – glass APP100M2 or equivalent 1 oz. Triple antibiotic ointment – om.opis ZMX81 or equivalent 1 oz. Cortaid – Abco 015431 or equivalent 92 2 x 2 gauze – Abco 052113 or equivalent 93 3 x 3 gauze – Abco 052122 or equivalent 94 1" and 1/2" dermicel tape Abco 005143 or equivalent 1" paper tape – PF005116 or equivalent 95 96 1 pt. Alcohol – Divina ZMX93 or 97 98 99 equivalent 1 pt. Peroxide – Divina ZMX52 or equivalent 6" standard applicator sticks De Healthcare ZAP05 or equivalent Q-tips – Abco 220362 or equivalent Dynarex # 3552 Med Line # 0980032 Med Line # 098002 Cit Med # 229605 Amsino #CTA003PC Cotton balls – Abco 053028 or equivalent 100 101 Calamine lotion – ZMX28 or equivalent 102 Advil (generic ok) – Abco 495276 or equivalent Dynarex # 3170 IVAX # 603037 IVAX Scene as line "48