1. Cooperative Agreement — Anaheim City Council, October 13, 2026

Electronic Delivery
Heather Legg
Bound Tree Medical, LLC
5000 Bradenton Ave
Dublin, OH 43017
Welcome to BuyBoard!

Re: Notice of National Purchasing Cooperative Award; Proposal Invitation No. 804-26, First Aid, Emergency Medical, and Athletic Trainer Supplies and Equipment
Congratulations, The National Purchasing Cooperative (National Cooperative) has awarded your company a BuyBoard® contract based on the above-referenced Proposal Invitation. The contract is effective for an initial oneyear term of June 1, 2026 through May 31, 2027, and may be subject to two possible one-year renewals. Please refer to the Proposal Invitation for the contract documents, including the National Purchasing Cooperative Vendor Award Agreement and General Terms and Conditions of the Contract.

To review the items your company has been awarded, please review Proposal Tabulation No. 804-26 at www.buyboard.com/vendor. Only items marked as awarded to your company are included in this contract award, and only those awarded items may be sold through the BuyBoard contract. All sales must comply with the contract terms and must be at or below the awarded pricing as set forth in the General Terms and Conditions.

A list of National Cooperative members is available on the buyboard.com website. In addition, the BuyBoard Administrator’s vendor relations staff is available to assist you in locating available BuyBoard informational resources and answering questions you may have as an awarded BuyBoard vendor.

On behalf of the National Cooperative, we are looking forward to your participation in the program. If you have any questions, feel free to contact me at [email protected].

Sincerely,
Victoria Lewis, Bid Analyst
Texas Association of School Boards, Inc.,
Administrator for the National Purchasing Cooperative
v.01.03.2025
To Whom It May Concern,
Please find Bound Tree Medical’s proposed discount pricing for BuyBoard Proposal 804-26 for First Aid, Emergency Medical, and Athletic Trainer Supplies and Equipment.

Bound Tree Medical is pleased to offer 28% off of the current prices from the current Bound Tree Medical Emergency Medical Product Catalog & www.boundtree.com.

There are a few items and product categories where the discounts listed above cannot be applied, in those cases, the items are either discounted by 10% or excluded. In this way, we ensure Buy Board Members have access to a wide range of products at the best prices.

Please find below a list of products that are discounted at 10% or not included in the percentage-off bid:

We are pleased to provide you with a competitive bid for the emergency medical supplies and equipment that you are seeking. Please contact our Bids and Contracts Department at 800-533-0523 with any questions. Thank you.

Sincerely,
Heather Legg
Heather Legg
Pricing Analyst, Bid & Contracts
Manufacturers Excluded Manufacturers Excluded Product Categories Excluded

5.11 TACTICAL LAERDAL (SIMMAN) PREVENTATIVE MAINTENANCE

AMBU (KING VISION ) PHILIPS HEALTHCARE (INTELLIVUE ) SERVICE CONTRACTS

ESTILL (THERMAL ANGEL) INVENTORY MANAGEMENT

SOFTWARE TRAINING COURSES
Manufacturers 10% Off Product Categories 10% Off Product Categories 10% Off

CURAPLEX (KITS) MANGAR LIFTS EDUCATION/TRAINING

DELTA QINFLOW INVENTORY MANAGEMENT -

VENDING MACHINE

FERNO WASHINGTON SAPPHIRE PUMPS & ACCESSORIES IV WARMERS HEROVENT SSCOR, INC. MANIKINS
KINGFISHER MEDICAL, INC. AED’S AND ACCESSORIES RECERTIFIED EQUIPMENT

LAERDAL DEFIBRILLATORS, NEW &

RECERTIFIED

FLEXICARE, INC PROVU VIDEO

LARYNGOSCOPE AND PARTS
804-26
Bound Tree Medical
Bound Tree Medical LLC
Supplier Response
Event Information
Number: 804-26
Title: First Aid, Emergency Medical, and Athletic Trainer Supplies and Equipment
Type: Request for Proposal
Issue Date: 11/18/2025
Deadline: 1/29/2026 04:00 PM (CT)
Notes: The Local Government Purchasing Cooperative (BuyBoard®) Proposal Invitation No. 804-26, First Aid, Emergency Medical, and Athletic Trainer Supplies and Equipment
Proposal Due Date and Time: January 29, 2026, at 4:00 PM CST
Responding to this and future proposals online is easy with our online submission system.

1. First, view and download the forms.

DO NOT log in to view and download the documents.

Visit www.buyboard.com/Vendor and click on the
“Current and Upcoming Proposal Invitations” button
to view and download the forms for this proposal.

NOTICE: DO NOT complete proposal forms in internet

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browser. No data will be stored. Download file to
computer and complete proposal forms prior to
submitting.

2. Submit completed proposal.

Visit www.buyboard.com/Vendor and click "Vendor Log
In" button to submit your proposal online.

For additional assistance click this link View our
Proposal Submission Instructions.

Addenda issued with this proposal invitation will also be placed on the website, and it will be the vendor’s responsibility to obtain the information.

Contact Information
Address: The Local Government Purchasing Cooperative
12007 Research Blvd.

Austin, TX 78759
Email: [email protected]

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Bound Tree Medical Information
Contact: Christopher Fyffe
Address: 5000 Bradenton Ave
Dublin, OH 43017
Phone: (800) 533-0523
Fax: (877) 311-2437
Toll Free: (800) 533-0523
Email: [email protected]
Web Address: www.boundtree.com
By submitting your response, you certify that you are authorized to represent and bind your company.

Corey Case [email protected]
Signature Email
Submitted at 1/29/2026 02:47:35 PM (CT)
Requested Attachments
BuyBoard Proposal Invitation No. 804-26, First Aid, Emergency Medical, and Athletic Trainer Supplies and Equipment
Proposal No. 804-26-Signed.pdf
REQUIRED-In PDF format, upload all COMPLETED and FILLED in proposal invitation documents available for download at www.buyboard.com.vendor. Click on the “Current and Upcoming Proposal Invitations” button to view and download the forms for this proposal including any additional pages, as necessary. NOTICE: DO NOT complete proposal forms in internet browser. No data will be stored. Download file to computer and complete proposal forms prior to submitting. (DO NOT password protect uploaded files.) Manufacturer Catalog(s) and/or Product Price list(s) BuyBoard Item List.pdf REQUIRED-In PDF format ONLY, upload manufacturer catalog(s) and/or product price list(s) in accordance with proposal invitation instructions. Vendors shall submit catalog(s)/price list(s) with their Proposal response or Proposal will not be considered. No paper catalogs or manufacturer/vendor websites will be accepted. File size must not exceed 250MB. (DO NOT password protect uploaded files.)
Exceptions and/or Detailed Information Related to Discount % and/or Hourly Labor Rate Proposed
BuyBoard 2026 Percentage Off
Letter.pdf
In PDF format and if necessary, vendor shall attach detailed information regarding exceptions to pricing and/or discount percentage and define the services that are proposed to be provided. NOTE: IF DETAILED INFORMATION IS NOT SUBMITTED, PROPOSAL MAY NOT BE CONSIDERED. (DO NOT password protect uploaded files.) Company Profile Proposal No. 804-26-Final.pdf
REQUIRED-Information on awarded Cooperative Contracts is available to Cooperative Members on the BuyBoard website. If your company is awarded a Contract under this Proposal Invitation, please provide a brief company description that you would like to have included with your company profile on the BuyBoard website. Submit your company profile in a separate file, in Word format, with your Proposal. (Note: Vendor is solely responsible for any content provided for inclusion on the BuyBoard website. The Cooperative reserves the right to exclude or remove any content in its sole discretion, with or without prior notice, including but not limited to any content deemed by the Cooperative to be inappropriate, irrelevant to the Contract, inaccurate, or misleading.) (DO NOT password protect uploaded files.)
IRS Form W-9 Request for Taxpayer Identification Number and Certification
BTM W-9 CORP ADDRESS
2025.pdf
REQUIRED-In PDF format, upload W-9 form. (DO NOT password protect uploaded files.)

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Response Attachments
Bound Tree Medical, LLC 804-26 VendorProductDetailList_Format.xlsx Bound Tree Medical, LLC 804-26 Product Detail List
Bid Attributes
1 Name of Proposing Company (Legal Name)
By submitting a Proposal, Vendor is seeking to enter into a legal contract with the Cooperative. As such, Vendor must be an individual or legal business entity capable of entering into a binding contract. List the LEGAL NAME of the company seeking to contract with the Cooperative. Do NOT list an assumed name, dba, aka, etc. here. Such information may be provided below.

Bound Tree Medical, LLC
2 Vendor Business Name
Name by which Vendor, if awarded, wishes to be identified on the BuyBoard. If different than the Name of Proposing Company listed above, only valid trade names (dba, aka, etc.) of the Proposing Company may be used.

Bound Tree Medical, LLC
3 Vendor Mailing/Street Address
Vendor Mailing/Street Address
5000 Bradenton Ave
4 Vendor Mailing/Street Address - City
Vendor Mailing/Street Address - City
Dublin
5 Vendor Mailing/Street Address - State
Vendor Mailing/Street Address - State (Abbreviate State Name) OH
6 Vendor Mailing/Street Address - Zip Code
Vendor Mailing/Street Address - Zip Code
43017
7 Federal Identification Number
Federal Identification Number
8 No Boycott Verification/No Excluded Nation or Foreign Terrorist Organization Certification/Historically Underutilized Business Certification
No Boycott Verification/No Excluded Nation or Foreign Terrorist Organization Certification/Historically Underutilized Business Certification

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9 No Boycott Certification
A Texas governmental entity may not enter into a contract with a value of $100,000 or more that is to be paid wholly or partly from public funds with a company (excluding a sole proprietorship) that has 10 or more full-time employees for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel and will not boycott Israel during the term of the contract (TEX. GOV’T CODE Ch. 2271), (2) does not boycott energy companies and will not boycott energy companies during the term of the contract (TEX. GOV’T CODE Ch. 2276), and (3) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association and will not discriminate during the term of the contract against a firearm entity or firearm trade association (TEX. GOV’T CODE Ch. 2274). Accordingly, this certification form is included to the extent required by law.
“Boycott Israel” means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. TEX. GOV’T CODE §808.001(1). “Boycott energy company” means, without an ordinary business purpose, refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations with a company because the company: (A) engages in the exploration, production, utilization, transportation, sale, or manufacturing of fossil fuel-based energy and does not commit or pledge to meet environmental standards beyond applicable federal and state law; or (B) does business with a company described by Paragraph (A). TEX. GOV’T CODE §809.001(1).
“Discriminate against a firearm entity or firearm trade association” means, (A) with respect to the entity or association, to: (i) refuse to engage in the trade of any goods or services with the entity or association based solely on its status as a firearm entity or firearm trade association; (ii) refrain from continuing an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; or (iii) terminate an existing business relationship with the entity or association based solely on its status as a firearm entity or firearm trade association; and (B) does not include: (i) the established policies of a merchant, retail seller, or platform that restrict or prohibit the listing or selling of ammunition, firearms, or firearm accessories; and (ii) a company’s refusal to engage in the trade of any goods or services, decision to refrain from continuing an existing business relationship, or decision to terminate an existing business relationship: (aa) to comply with federal, state, or local law, policy, or regulations or a directive by a regulatory agency; or (bb) for any traditional business reason that is specific to the customer or potential customer and not based solely on an entity’s or association’s status as a firearm entity or firearm trade association. TEX. GOV’T CODE §2274.001(3).

By signature on the Compliance Forms Signature Page, to the extent applicable, I certify and verify that Vendor does not boycott Israel, boycott energy companies, or discriminate against a firearm entity or firearm trade association and will not do so during the term of any contract awarded under this Proposal Invitation, that this certification is true, complete and accurate, and that I am authorized by my company to make this certification.

No
1 0
No Excluded Nation or Foreign Terrorist Organization Certification Chapter 2252 of the Texas Government Code provides that a Texas governmental entity may not enter into a contract with a company engaged in active business operations with Sudan, Iran, or a foreign terrorist organization – specifically, any company identified on a list prepared and maintained by the Texas Comptroller under Texas Government Code §§806.051, 807.051, or 2252.153. (A company that the U.S. Government affirmatively declares to be excluded from its federal sanctions regime relating to Sudan, Iran, or any federal sanctions regime relating to a foreign terrorist organization is not subject to the contract prohibition.) By signature on the Compliance Forms Signature Page, I certify and verify that Vendor is not on the Texas Comptroller’s list identified above; that this certification is true, complete and accurate; and that I am authorized by my company to make this certification.

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1 1
Historically Underutilized Business Certification
A Proposer that has been certified as a Historically Underutilized Business (also known as a Minority/Women Business Enterprise or “MWBE” and all referred to in this form as a “HUB”) is encouraged to indicate its HUB certification status when responding to this Proposal Invitation. The BuyBoard website will indicate HUB certifications for awarded Vendors that properly indicate and document their HUB certification on this form.

I certify that my company has been certified as a MWBE/HUB in the following categories: (Please check all that apply)
1 2
Minority Owned Business
Minority Owned Business
Minority Owned Business
1 3
Women Owned Business
Women Owned Business
Women Owned Business
1 4
Service-Disabled Veteran Owned Business
Service-Disabled Veteran Owned Business (veteran defined by 38 U.S.C. §101(2), who has a service-connected disability as defined by 38 U.S.C. § 101(16), and who has a disability rating of 20% or more as determined by the U.

S. Department of Veterans Affairs or Department of Defense) Service-Disabled Veteran Owned Business
1 5
Certification Number
Certification Number
No response
1 6
Name of Certifying Agency
Certifying Agency
No response
1 7
Non-MWBE/HUB
My company has NOT been certified as a MWBE/HUB
Non-HUB
1 8
Vendor General Contact Information
Proposal/Contract General Contact Information
1 9
Vendor Proposal/Contract Contact - First Name
Vendor Proposal/Contract Contact - First Name
Heather
2 0
Vendor Proposal/Contract Contact - Last Name
Vendor Proposal/Contract Contact - Last Name
Legg
2 1
Vendor Proposal/Contract Contact E-mail Address
Vendor Proposal/Contract Contact E-mail Address
[email protected]

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2 2
Vendor Proposal/Contract Mailing Address
Vendor Proposal/Contract Mailing Address
5000 Bradenton Ave
2 3
Vendor Proposal/Contact Mailing Address - City
Vendor Proposal/Contact Mailing Address - City
Dublin
2 4
Vendor Proposal/Contact Mailing Address - State
Vendor Proposal/Contact Mailing Address - State (Abbreviate State Name) OH
2 5
Vendor Proposal/Contact Mailing Address - Zip Code
Vendor Proposal/Contact Mailing Address - Zip Code
43017
2 6
Vendor Proposal/Contact Phone Number
Vendor Proposal/Contact Phone Number (xxx-xxx-xxxx)
800-533-0523
2 7
Vendor Proposal/Contact Extension Number
Vendor Proposal/Contact Extension Number
No response
2 8
Company Website
Company Website (www.XXXXX.com)
www.boundtree.com
2 9
Purchase Orders Contact Information
All Purchase Orders from Cooperative members will be available through the Internet. Vendors need Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be provided to Vendors to assist them with retrieving their orders.

Please select options below for receipt of Purchase Orders and provide the requested information:

I will use the internet to receive Purchase Orders at the following address Yes
3 0
Purchase Order E-mail Address
Purchase Order E-mail Address
[email protected]
3 1
Purchase Order Contact - First Name
Purchase Order Contact - First Name
Customer

Page 7 of 27 ends

3 2
Purchase Order Contact - Last Name
Purchase Order Contact - Last Name
Service
3 3
Purchase Order Contact Phone Number
Purchase Order Contact Phone Number (xxx-xxx-xxxx)
800-533-0523
3 4
Purchase Order Contact Extension Number
Purchase Order Contact Extension Number
No response
3 5
Alternate Purchase Order E-mail Address
Alternate Purchase Order E-mail Address
No response
3 6
Alternate Purchase Order Contact - First Name
Alternate Purchase Order Contact - First Name
No response
3 7
Alternate Purchase Order Contact - Last Name
Alternate Purchase Order Contact - Last Name
No response
3 8
Alternate Purchase Order Contact Phone Number
Alternate Purchase Order Contact Phone Number (xxx-xxx-xxxx) No response
3 9
Alternate Purchase Order Contact Extension Number
Alternate Purchase Order Contact Extension Number
No response
4 0
Purchase Orders Contact Information
All Purchase Orders from Cooperative members will be available through the Internet. Vendors need Internet access and at least one e-mail address so that notification of new orders can be sent to the Internet contact when a new purchase order arrives. An information guide will be provided to Vendors to assist them with retrieving their orders.

Please select options below for receipt of Purchase Orders and provide the requested information:

Purchase Orders may be received by the Designated Dealer(s) identified on my company’s Dealer Designation form as provided to the Cooperative administrator. I understand that my company shall remain responsible for the Contract and the performance of all Designated Dealers under and in accordance with the Contract.

Yes
4 1
Request for Quotes (RFQ)
Cooperative members will send RFQs to you by e-mail. Please provide e-mail addresses for the receipt of RFQs:

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4 2
Request for Quote (RFQ) E-mail Address
Request for Quote (RFQ) E-mail Address
[email protected]
4 3
Request for Quote (RFQ) Contact - First Name
Request for Quote (RFQ) Contact - First Name
Craig
4 4
Request for Quote (RFQ) Contact - Last Name
Request for Quote (RFQ) Contact - Last Name
Gray
4 5
Request for Quote (RFQ) Contact Phone Number
Request for Quote (RFQ) Contact Phone Number (xxx-xxx-xxxx) 800-533-0523
4 6
Request for Quote (RFQ) Contact Extension Number
Request for Quote (RFQ) Contact Extension Number
No response
4 7
Alternate Request for Quote (RFQ) E-mail Address
Alternate Request for Quote (RFQ) E-mail Address
No response
4 8
Alternate Request for Quote (RFQ) Contact - First Name
Alternate Request for Quote (RFQ) Contact - First Name
No response
4 9
Alternate Request for Quote (RFQ) Contact - Last Name
Alternate Request for Quote (RFQ) Contact - Last Name
No response
5 0
Alternate Request for Quote (RFQ) Contact Phone Number
Alternate Request for Quote (RFQ) Contact Phone Number (xxx-xxx-xxxx) No response
5 1
Alternate Request for Quote (RFQ) Contact Extension Number Alternate Request for Quote (RFQ) Contact Extension Number No response
5 2
Invoices
Your company will be billed monthly for the service fee due under a Contract awarded under this Proposal Invitation. All invoices are available on the BuyBoard website and e-mail notifications will be sent when they are ready to be retrieved.

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5 3
Invoices
Please choose only one (1) of the following options for receipt of invoices and provide the requested information:
(a) Service fee invoices and related communications should be provided directly to my company at:
or
(b) In lieu of my company, I request and authorize all service fee invoices to be provided directly to the following billing agent:

If Vendor authorizes a billing agent to receive and process service fee invoices, in accordance with the General Terms and Conditions of the Contract, Vendor specifically acknowledges and agrees that nothing in that designation shall relieve Vendor of its responsibilities and obligations under the Contract including, but not limited to, payment of all service fees under any Contract awarded Vendor.

Service fee invoices and notices direct to company
5 4
Invoice Company Name
Invoice Company Name
Bound Tree Medical, LLC
5 5
Invoice Company Department Name
Invoice Company Department Name
Bound Tree Medical, LLC
5 6
Invoice Contact - First Name
Invoice Contact - First Name
Victoria
5 7
Invoice Contact - Last Name
Invoice Contact - Last Name
Dodson
5 8
Invoice Mailing Address
Invoice Mailing Address (P.O. Box or Street Address)
23537 Network Pl
5 9
Invoice Mailing Address - City
Invoice Mailing Address - City
Chicago
6 0
Invoice Mailing Address - State
Invoice Mailing Address - State (Abbreviate State Name) IL
6 1
Invoice Mailing Address - Zip Code
Invoice Mailing Address (Zip Code)
60673

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6 2
Invoice Contact Phone Number
Invoice Contact Phone Number (xxx-xxx-xxxx)
800-533-0523
6 3
Invoice Contact Extension Number
Invoice Contact Extension Number
No response
6 4
Invoice Contact Fax Number
Invoice Contact Fax Number (xxx-xxx-xxxx)
No response
6 5
Invoice Contact E-mail Address
Invoice Contact E-mail
[email protected]
6 6
Invoice Contact Alternate E-mail Address
Invoice Contact Alternate E-mail Address
No response
6 7
Billing Agent Company Name
Billing Agent Company Name
No response
6 8
Billing Agent Department Name
Billing Agent Department Name
No response
6 9
Billing Agent Contact - First Name
Billing Agent Contact - First Name
No response
7 0
Billing Agent Contact - Last Name
Billing Agent Contact - Last Name
No response
7 1
Billing Agent Mailing Address
Billing Agent Mailing Address (P.O. Box or Street Address) No response
7 2
Billing Agent Mailing Address - City
Billing Agent Mailing Address - City
No response
7 3
Billing Agent Mailing Address - State
Billing Agent Mailing Address - State (Abbreviate State Name) No response

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7 4
Billing Agent Mailing Address - Zip Code
Billing Agent Mailing Address - Zip Code
No response
7 5
Billing Agent Contact Phone Number
Billing Agent Contact Phone Number (xxx-xxx-xxxx)
No response
7 6
Billing Agent Contact Extension Number
Billing Agent Contact Extension Number
No response
7 7
Billing Agent Fax Number
Billing Agent Fax Number
No response
7 8
Billing Agent Contact E-mail Address
Billing Agent Contact E-mail Address
No response
7 9
Billing Agent Alternative E-mail Address
Billing Agent Alternative E-mail Address
No response
8 0
Shipping Via
Common Carrier, Company Truck, Prepaid and Add to Invoice, or Other Common Carrier
8 1
Payment Terms
Note: Vendor payment terms must comply with the BuyBoard General Terms and Conditions and the Texas Prompt Payment Act (Texas Government Code Ch. 2251).

Net 30
8 2
Vendor's Internal/Assigned Reference/Quote Number
Vendor's Internal/Assigned Reference/Quote Number
No response
8 3
State or Attach Return Policy
Note: Only return requirements and processes will be deemed part of Vendor’s return policy. Any unrelated contract terms, terms of sale, or other information not specifically related to return requirements and processes included in Vendor’s return policy shall not apply to any awarded Contract unless specifically included as a deviation in the Deviation and Compliance Form and accepted by the Cooperative.

No response
8 4
Electronic Payments
Are electronic payments acceptable to your company?
Yes

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8 5
Credit Card Payments
Are credit card payments acceptable to your company?
Yes
8 6
Texas Regional Service Designation
Texas Regional Service Designation - Refer to Form in Proposal Invitation The Cooperative (referred to as “Texas Cooperative” in this form and in the State Service Designation form) offers vendors the opportunity to service its members throughout the entire State of Texas. If you do not plan to service all Texas Cooperative members statewide, you must indicate the specific regions you will service on this form. If you propose to serve different regions for different products or services included in your Proposal, you must complete and submit a separate Texas Regional Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. By designating a region or regions, you are certifying that you are authorized and willing to provide the proposed products and services in those regions. Designating regions in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, if awarded, termination of your Contract. Additionally, if you do not plan to service Texas Cooperative members (i.e., if you will service only states other than Texas), you must so indicate on this form.
8 7
Company Name
Company Name
Bound Tree Medical, LLC
8 8
Texas Regional Service Designation
Select only one of the following options. If you select "I will NOT serve all Regions of Texas", you must then check the individual Regions you wish to serve.

I will serve all Regions of Texas
8 9
Region 1
Region 1 - Edinburg
Region 1
9 0
Region 2
Region 2 - Corpus Christi
Region 2
9 1
Region 3
Region 3 - Victoria
Region 3
9 2
Region 4
Region 4 - Houston
Region 4
9 3
Region 5
Region 5 - Beaumont
Region 5
9 4
Region 6
Region 6 - Huntsville
Region 6

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9 5
Region 7
Region 7 - Kilgore
Region 7
9 6
Region 8
Region 8 - Mount Pleasant
Region 8
9 7
Region 9
Region 9 - Wichita Falls
Region 9
9 8
Region 10
Region 10 - Richardson
Region 10
9 9
Region 11
Region 11 - Fort Worth
Region 11
1 0
0 Region 12
Region 12 - Waco
Region 12
1 0
1 Region 13
Region 13 - Austin
Region 13
1 0
2 Region 14
Region 14 - Abilene
Region 14
1 0
3 Region 15
Region 15 - San Angelo
Region 15
1 0
4 Region 16
Region 16 - Amarillo
Region 16
1 0
5 Region 17
Region 17 - Lubbock
Region 17
1 0
6 Region 18
Region 18 - Midland
Region 18

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1 0
7 Region 19
Region 19 - El Paso
Region 19
1 0
8 Region 20
Region 20 - San Antonio
Region 20
1 0
9 State Service Designation
State Service Designation - Refer to Form in Proposal Invitation.

As set forth in the Proposal Invitation, it is the Cooperative’s intent that other governmental entities in the United States have the opportunity to purchase goods or services awarded under the Contract, subject to applicable state law, through a piggy-back award or similar agreement through the National Purchasing Cooperative BuyBoard. If you plan to service the entire United States or only specific states, you must complete this form accordingly. (Note:

If you plan to service Texas Cooperative members, be sure that you complete the Texas Regional Service Designation form.) In addition to this form, to be considered for a piggy-back award by the National Purchasing Cooperative, you must have an authorized representative sign the National Purchasing Cooperative Vendor Award Agreement that follows this form.

If you serve different states for different products or services included in your Proposal, you must complete and submit a separate State Service Designation form for each group of products and clearly indicate the products or services to which the designation applies. By designating a state or states, you are certifying that you are authorized and willing to provide the proposed products and services in those states. Designating states in which you are either unable or unwilling to provide the specified products and services shall be grounds for either rejection of your Proposal or, if awarded, termination of your Contract. 1 1
0 Company Name
Company Name
Bound Tree Medical, LLC
1 1
1 State Service Designation
Select only one of the following options. If you select "I will NOT serve all States", you must then check the individual States you wish to serve.

I will serve all states in the United States
1 1
2 Alabama
Alabama
Alabama
1 1
3 Alaska
Alaska
Alaska
1 1
4 Arizona
Arizona
Arizona
1 1
5 Arkansas
Arkansas
Arkansas

Page 15 of 27 ends

1 1
6 California
California (Public Contract Code 20118 & 20652)
California
1 1
7 Colorado
Colorado
Colorado
1 1
8 Connecticut
Connecticut
Connecticut
1 1
9 Delaware
Delaware
Delaware
1 2
0 District of Columbia
District of Columbia
District of Columbia
1 2
1 Florida
Florida
Florida
1 2
2 Georgia
Georgia
Georgia
1 2
3 Hawaii
Hawaii
Hawaii
1 2
4 Idaho
Idaho
Idaho
1 2
5 Illinois
Illinois
Illinois
1 2
6 Indiana
Indiana
Indiana
1 2
7 Iowa
Iowa
Iowa

Page 16 of 27 ends

1 2
8 Kansas
Kansas
Kansas
1 2
9 Kentucky
Kentucky
Kentucky
1 3
0 Louisiana
Louisiana
Louisiana
1 3
1 Maine
Maine
Maine
1 3
2 Maryland
Maryland
Maryland
1 3
3 Massachusetts
Massachusetts
Massachusetts
1 3
4 Michigan
Michigan
Michigan
1 3
5 Minnesota
Minnesota
Minnesota
1 3
6 Mississippi
Mississippi
Mississippi
1 3
7 Missouri
Missouri
Missouri
1 3
8 Montana
Montana
Montana
1 3
9 Nebraska
Nebraska
Nebraska

Page 17 of 27 ends

1 4
0 Nevada
Nevada
Nevada
1 4
1 New Hampshire
New Hampshire
New Hampshire
1 4
2 New Jersey
New Jersey
New Jersey
1 4
3 New Mexico
New Mexico
New Mexico
1 4
4 New York
New York
New York
1 4
5 North Carolina
North Carolina
North Carolina
1 4
6 North Dakota
North Dakota
North Dakota
1 4
7 Ohio
Ohio
Ohio
1 4
8 Oklahoma
Oklahoma
Oklahoma
1 4
9 Oregon
Oregon
Oregon
1 5
0 Pennsylvania
Pennsylvania
Pennsylvania
1 5
1 Rhode Island
Rhode Island
Rhode Island

Page 18 of 27 ends

1 5
2 South Carolina
South Carolina
South Carolina
1 5
3 South Dakota
South Dakota
South Dakota
1 5
4 Tennessee
Tennessee
Tennessee
1 5
5 Texas
Texas
Texas
1 5
6 Utah
Utah
Utah
1 5
7 Vermont
Vermont
Vermont
1 5
8 Virginia
Virginia
Virginia
1 5
9 Washington
Washington
Washington
1 6
0 West Virginia
West Virginia
West Virginia
1 6
1 Wisconsin
Wisconsin
Wisconsin
1 6
2 Wyoming
Wyoming
Wyoming
Bid Lines

Page 19 of 27 ends

1 Section I: First Aid Equipment, Products, and Supplies Discount (%) off catalog/price list for First Aid Equipment and Supplies. Catalog/Price list MUST be included or proposal will not be considered.

Total: 28%
Item Notes: PROPOSAL NOTE: Vendors shall submit catalog(s)/pricelist(s) with their Proposal response or the Proposal will not be considered. Vendors shall submit catalog(s)/pricelist(s) with the Proposal in a readily available and readable electronic format, with Excel or searchable PDF preferred. No paper catalogs or manufacturer/ vendor websites will be accepted.

Vendors proposing multiple manufacturer product lines and/or catalog/price list per line item must submit the information as follows or proposal may not be considered:

Select "Add Alternate" for each additional manufacturer product line and/or catalog/price list proposed
Vendor’s must list one specific percentage discount for each manufacturer and/or catalog/price list listed
Item Attributes