Master Agreement Purchase Order Page 1
200 S. Anahelm Blvd.
Purchasing, Sulte 620
Anahelm, CA 92805-3820
Phone: 714-765-5110
Fax: 714-765-5288
MA #: 106-496290
Revision #: 1
Attachments: 3
Councll Award: 9628 12.20.22
BOUND TREE MEDICAL LLC Vendor ID Code #: VC0000001032
P. O. BOX 8023 Master Agreement: 106-496290
DUBLIN, OH 43017 Begin Date: 12/27/22
Explration Date: 12/31/23
Supercedes MA: -
Contact Name: CHRIS EVANS Renewal options: Yes
Phone: 951-244-9179 Total purchase Not to Exceed: $254,099.90 Emall: [email protected] Payment terms: NET 30 DAYS FOB: Destination, Dellvery Charges included in price
Authorized Departments:
FIRE
his agreement documents the general terms, conditions and pricing of the City's purchases of the goods and/or service lescribed below. This Master Agreement does not authorize specific quantities or shipping dates; authorization to ship goods o deliver services will be made by issuing Dellvery Order referencing this document. Shipping locatlon, dellvery date, Items, quantitles and prices will be confirmed on the Dellvery Orders. All Involces must clearly Indicate the relevant, authorizing Dellver Order # they pertaln to.
COMMODITIES AND SERVICES COVERED BY THIS MASTER AGREEMENT:
Medical Supples
Speclal notes:
***All in Accordance with Bid 9628 Terms, Conditions and Specifications* ITEMS NOT LISTED ON THE PRICE SHEET ARE ALLOWED AS LONG AS THE ENTIRE ORDER DOES NOT EXCEED ANNUAL NTE.
DELIVERY MUST BE MADE WITHIN FIVE DAYS OF ORDER PLACEMENT. NO BACK ORDERS ACCEPTED.
THIS IS THE BASE YEAR WITH UP TO FOUR ONE-YEAR RENEWAL OPTIONS, ALL IN ACCORDANCE WITH BID # 9628.
APPROVED BY CITY COUNCIL ON DECEMBER 20, 2022
PRICE INCREASES ARE LIMITED TO THE INCREASE IN CPI FOR U.S. MEDICAL CARE, 1982-84=100 - CUURO000SAM, CA CONSUMER PRICE INDEX (CPI) FOR ALL URBAN CONSUMERS.
endor is not required to collect or transmit the sales taxes on this transaction; Purchaser pays direct to State of California. Use Tax Dire ment Exemption Certificate is attache
Line # Description Qty. U of M Unlt Price
1 47537 SAM IO Driver 0.00 EACH $140.0000
2 47537 SAM IO 15mm Needle Kit w/Extenslon, NeedleVise Block, 1/PK 0.00 EACH $63.7500 3 47537 SAM IO 25mm Needle Kit w/Extension, NeedleVise Block, 1/PK 0.00 EACH $63.7500 4 47537 SAM IO 45mm Needle Kit w/Extension, NeedleVise Block, 1/PK 0.00 EACH $63.7500 5 47537 SAM IO Fleid Storage Case 0.00 EACH $45.0000
Buyer's Signature:
CONTINUED ON NEXT PAGE
INSTRUCTIONS TO VENDORS
This Purchase Order subject to and govered by all Terms and Conditions printed at the end of this order. Esther Rosies (714) 765-4093 [email protected]
Master Agreement Purchase Order Page 2
200 S. Anahelm Blvd.
Purchasing, Sulte 620
Anahelm, CA 92805-3820
Phone: 714-765-5110
Fax: 714-765-5288
MA #: 106-496290
Revision #: 1
Attachments: 3
Councll Award: 9628 12.20.22
Line # CC Description Qty U ofM Unit Price
6 47537 SpO2 Sensor, Finger, Reusable, Adult Masimo SET Ranbow sensor 0.00 EACH $535.0000 47537 Defibrillator pad, multifunction, leads in, 60 In. lead wire, Adult/Chlld, per palr. 0.00 PAIR $18.9900 8 47537 Defibrllator pad, multifunction, leads in, B0 in. lead wire, Pedietric/Infant, per pair. 0.00 PAIR $19.9900 9 47537 SoCal CPAP/Capnoline kit, includes O2 Max Trio BiTrac ED with Neb, Adult 0.00 EACH $59.0000 Medium, w/ 3-Set Valve w/ Variable Flow, Smart Capnoline Plus, Non-Intubated, Oral/Nasal, Adult Intermediate with O2 Connector, and Microstream ETCO Sampling DFU
47537 BITrac ED full face mask, with head strap, Adult-large, for use with disposable 0.00 EACH $21.0000 CPAP system.
= 47537 IV Start Kit, includes Veln-gard dressing, alcohol prep pad, and latex toumiquet. 0.00 EACH $0.9500 12 47537 Curaplex IV Admin Set, 15 Drop, 88in, Roll Clamp, PP Y-site, Sr-Lk NeedleFree, 0.00 CASE $77.5000 Attach Ext Set, comes 50 to a case.
13 47537 Curaplex IV Extension Set with Removable Sure-Lock, Needle-Free Connector, 0.00 CASE $50.0000 Pinch Clamp, Rotating Male Luer-Lock, 8in, comes 50 to a case. 14 47537 Combat Hemostatic Gauze, QuikClot, z-fold, white, Individually packaged, 3In. X 0.00 EACH $35.0000 15 47537 Transport Chair, Up to 350 Ib. capacity 0.00 EACH $12.9900 16 47537 Patient Transporter, woven, 1,800 Ib. capacity, 14 handles. 0.00 EACH $13.9900 47537 Blanket, polyester, 40" × 80" individually packaged, gray, comes in a case of 10. 0.00 CASE $29.9900 18 47537 Blanket, fleece, 60" x 90"navy blue, comes in a case of 10. 0.00 CASE $38.0000 47537 Blood Pressure gauge, trigger style, with latex free cuff, Size 11-Adult, DuraShock 0.00 EACH $185.0000 DS66 Gold Serles
20 47537 Blood Pressure gauge, trigger style, with latex free cuff, Size 9-Child, DuraShock 0.00 EACH $245.0000 DS66 Gold Serles
21 47537 Suction Cup, for LUCAS 2 & 3 Device, package of 12 0.00 PACK $128.0000 22 47537 Microstream Smart CapnoLIne Plus Oxygen, Adult/Intermedlate CO2 oral/nasal 0.00 PACK $90.0000 Sampling set, with Oxygen tublng, disposable, 10/PK
47537 MEDICAL SUPPLIES AS APPROVED BY CITY REPRESENTATIVE: 0.00 $0.0000 IO SUPPLIES: 35% DISCOUNT
MONITORING/DEFIBRILLATION SUPPLIES: 35% DISCOUNT
MISCELLANEOUS SUPPLIES: 35% DISCOUNT
Buyer's Signature:
CONTINUED ON NEXT PAGE
INSTRUCTIONS TO VENDORS
This Purchase Order subject to and governed by all Terms and Conditions printed at the end of this order. Esther Robles (714) 765-4093 [email protected]
Master Agreement Purchase Order Page 3
200 S. Anahelm Blvd.
Purchasing, Suite 620
Anaheim, CA 92805-3820
Phone: 714-765-5110
Fax: 714-765-5288
MA #: 106-496290
Revision #: 1
Attachments: 3
Council Award: 9628 12.20.22
Speclal notes:
This Master Agreement ("MA"), along with the City's Standard Terms and Conditions, documents the Items, prices and terms and conditions of the City's agreement with the suppler to provide the goods and/or services shown. •Quantitles and/or dollars shown are estimates only. The Clty Is under no obligation to purchase any or all of the Items or services shown on this Master Agreement.
he City shall be obilgated only for the specific quantities of materials or services that are authorized by the Issuance of pecific Dellvery Order ("DO"') referencing this Master Agreement. Dellvery Orders will be Issued by the requesting departmer and shall specify the dellvery date, location and unque Dellvery Order Number.
Prices shown are to remain firm for the first year of this Agreement, unless otherwise specifled In the body of this Master Agreement.
The total purchase limit shown for this Master Agreement Is Inclusive of all taxes. Suppler Is not authorized to accept orders, nor provide goods or services in excess of this amount.
All Involces are to be sent to Accounts Payable ONLY, and must reference the specific Dellvery Order number applicable to the Invoice.
This Master Agreement may be renewable, In accordance with the terms of the applicable bid and/or City Councll award This order may be terminated by elther party, without cause, upon a thirty (30) day written notice Buyer's Signature:
CONTINUED ON NEXT PAGE
INSTRUCTIONS TO VENDORS
This Purchase Order subject to and governed by all Terms and Conditions printed at the end of this order. Esther Robles (714) 765-4093 [email protected]
Master Agreement Purchase Order Page 4
200 S. Anahelm Blvd.
Purchasing, Sulte 620
Anahelm, CA 92805-3820
Phone: 714-765-5110
Fax: 714-765-5288
MA #: 106-496290
Revision #: 1
Attachments:
Councll Award: 9628 12.20.2:
STANDARD TERMS & CONDITIONS
1. TERMS OF ORDER: This order Is limited to the terms herein 12. REJECTION OF MATERIALS/SERVICES: All materials and unless expressly agreed in writing by the City's Purchasing Division.
2. ACCEPTANCE: Seller's shipment of goods, commencement of any work, or performance of any services hereunder shall constitute acceptance by Seller of this order and all of Its terms and conditions.
No additional terms or conditions stated by Seller In acknowledging 13. F. O. B. POINT: All orders are to ship F. O. B. Destination, or otherwise accepting this order shall be binding upon the City unless otherwise specified In the P.O. unless specifically accepted in writing by Buyer. No oral agreements shall be binding unless confirmed by a written revision to this 14. TITLE: Except as otherwise and expressly provided hereln, title purchase order. to and risk of loss on all Items shipped by vendor or vendor's agent to the City shall pass to the City upon the City's Inspection and
3. SELL OR ASSIGN: The suppler shall not sell, assign, or transfer acceptance of such Items at the City's premises. any obllgations resulting from this order without the specific written consent of the City'& Purchasing Division. 15. SHIPPING & HANDLING CHARGES: Shipping, handling, packing, transportation, and any other fees or charges are not
4. MATERIAL SAFETY DATA SHEETS: Supplier shall submit allowed unless specified otherwise herein.
Material Safety Data Sheets with all orders of hazardous substances. 16. PACKING SLIPS: Packing silps specifylng quantity, description and purchase order number must be Included with each dellvery.
5. COMPLIANCE WITH LAWS: All goods and services provided shall comply with all current federal, state, and local laws relative 17. INVOICES: The purchase order number and department name thereto. Suppler further agrees to Indemnify, defend, and hold the must appear on all invoices, shipping papers, packages, and City harmless for any failure to so conform. correspondence. Unless otherwise specified, the invoice shall contaln the following Information; purchase order number, Item
6. TAXES: Unless otherwise indicated on the P.O., this order is number, description of supples or services, sizes, quantities, unlt subject to Callfomla Sales Tax, at the current Orange County tax prices, extended totals, all applicable taxes, and freight and handling rate. The City Is exempt from Federal Excise Tax. charges, where authorized.
7. WARRANTY: Supplier fully warrants all materials and equlpment, 18. PAYMENT: Payment will be made only upon recept of all including without limitation, any optional equipment purchased by materials, services, and invoices which are as specifled and in the City under the terms of this order, against poor and Inferior accordance with the terms of this order, unless otherwise stated quality and workmanship of equipment, labor and materials, for one hereln. year after the date of final acceptance by the City, unless otherwise stated herein. 19. HOLD HARMLESS AND INDEMNIFICATION: By acceptance of this purchase order, the vendor hereby agrees to Indemnify, defend,
8. LAWS GOVERNING CONTRACT: This order will be and hold harmless the City (including Its officers and employees) for/ administered and interpreted under the laws of the State of from any and all claims or actions of any kind presented against the California. City arising out of vendor's (Including vendor's employees, representatives, products, and subcontractors) performance under
9. BUSINESS LICENSE: FIrms providing goods or services to the this agreement, excepting only such claims, costs, or llabllity which City of Anahelm must have a current City business license. may arise out of sole negligence of the City.
10. AUTHORIZED DISTRIBUTOR: Vendor represents that vendor 20. INSURANCE: Vendors who perform work on City property are Is an authorized distributor of the product ordered. The City reserves required to provide acceptable proof of insurance prior to the right to cancel this order at any time if It is determined that the commencing work. Specific Insurance requrements are contained vendor is not an authorized distributor of the product ordered. within the body of the purchase order.
11. CANCELLATION: Time is of the essence in the performance of 21. NEW MATERIALS: Unless a bld specification calls for used, this Purchase Order. The City reserves the right to cancel any refurbished or recycled materlals, all Items or materials bid and portion of this order with respect to goods not dellvered, or services supplied to the City are to be new, unused products. canto seniose not performed, on or before the required delivery date. 10/26/10
Use Tax Direct Payment Exemption Certificate
I hereby certify that I hold use tax direct payment permit No. SR EA 24-069967 DP issued pursuant to California Sales and Use Tax Law Section 7051.3 and that I am authorized to report and pay directly to the State the applicable use tax with respect to the property described herein which I
BOUND TREE MEDICAL LIC
(Name of Vendor)
In the event that I fail to timely report and pay the applicable tax to the State, I understand and agree that in addition to the tax liability, I will be liable for applicable interest and the amount due may be subject to penalties:
Description of property to be purchased: AS DESCRIBED ON MA 106-496290 Purchaser: CITY OF ANAHEIM - Dato certificate given: 12.27.2022 Address: 200 S ANAHEIM BL, ANAHEIM, CA 92805
Signature and Title of Purchaser Or Authorized Agext: Esther Robles
IMPORTANT NOTICE TO VENDORS
This exemptlon certificate when thaely taken in good faith from a person who holds a use tax direct payment permit relleves a vendor from the requirement to collect and remit USE TAX on sales or leases of tangible personal property (other than lenses of motor vehicles subject to the terms of Section 7205.1 of the Sales and Use Tax LaW) to the person who laued the certifleate, It does NOT rellove a vendor of any ALES TAX oblization. Generaliy, this certificate ahonid be necented only by out-of-utate venders or b agor of tenelble pertonal property other than motor veblele fearom. Selleru can claim a deduction on the sales and use tax returns for auy sales made under this certifleate.
Vendors must retain a completed copy of this certificate in their fles for a perlod of not less than four years to substantiate the exempt status ofagles made under its authority.
This Exemption Certificate ras been approved by the California State Board of Equalization.
Approved By: 96 = Date: 2-27-98
-
(Board 6f Equalization Representative) |
Questions regarding this form should be directed to 1-800-400-7115, or write to the Board of Equalization, Audit Evaluation and Planning Section, MIC 40, P.O. Box 942879, Sacramento, CA 94279-0040.
THIS FORM MAY BE REPRODUCED
Printed 12/27/2022
Bid Results
Bidder Details
Vendor Name Bound Tree Medical
Address 5000 Tuttle Crossing Blvd
Dublin, Ohlo 43016
Untted States
Respondee Esther Robles
Respondee Thle CPPB, Buyer Il
Phone 714-765-4093
Emall [email protected]
Vendor Type
License #
CADIR
Bid Detail
Bid Format Electronic
Submitted 11/08/2022 2:07 PM (PST)
Dellvery Method planetbide portal/City of Anaheim 4:19 PM EST Bid Responsive Yes
Bld Status Submitted
Confirmation # 310070
Respondee Comment
Buyer Comment
Attachments
Flle Title Fle Name Flle Type
Non-Collusion Affidavit signed.paf Non-Collusion Affidavit signed, pdf Non-Collusion Affidavit Submission City of Anaheim Medical Supplies for First Submission City of Anaheim Medical Supplies for First Data Sheet/Specifications for Responders RFB 9628 Signed.pdf Responders RFB 9628 Signed.pdf Proposed Alternates Cllent Reference Sheet City of Anahelm Medical Client Reference Sheet City of Anaheim Medical Client Reference Sheet
Supplies for First Responders RFB 9628.pdf Supplies for First Responders RFB 9628.pdf
Printad 1277712022
Line Items
Discount Terms No Discount
roem hem Type Iom Deerpeon VOM ATY Uatfoco lineTotal Responsa Corsmaat • Code
Ю вирїї ве 838,425.0000
SAM IO Driver КАОН 10 $140.0000 11.000.0000 Y00
BAM I0 18mm Noodle KIt w/ibolenelon, NeedeVise@ Mook, 1/PK RACH 30 252.7800 01,0128000 Yo0 SAM IO 25man Needle Ilt w/iatonaion, NeedleVine® Block 1/PK Клон 280 162.7000 82891280000 т BAMI IO 48 mm Needle 13 w/tenslon, Neede Vise Stook, 1/PK KOM 20 222.7800 22,000.0000 Y00 BAM I0 Flald Mtorage Case КЛОН 10 B68.0000 9480.0000 Yes Monitoring/Defibrilletion 898,102.3000
Sp02 Seneor, Finger, Reusable, Adult Mneimo BET Reisbow sensor KACH 10 0828.0000 821,000.0000 Y00 Defibrillator pad, maltifumetion, leade In, 80 In, Iaad wire, Adult/Ohlid, per pest. PARR 090 818,9800 719,109.1000 Yoo Defibrillator pad, multatunalion, leade in; 60 in. lead wira, Pediatnlo/istast, par pals. FAIR 80 819.9800 31,0722000 Yon OPAP Supplies 89,3400000
BOOL OPAP/Oepsollna I6t, Inoludea 02 Max Trio B/Trac ID utth Neto, Adatt Medium, W 2-Bel Vaiva w/ Vactable Flos, Imart Capnoline EAOH 180 858.0000 $0,0900000 Y00 Flue, MoerIntubatad, Oral/Naesl, Acult Intermadata with 02 Consecter, and Milerostram ETOO Bampling DFU 10 MiTrac ED full fece masi, with heed strep, Acult-large, for uine wfti oil posabla CRAP oystem RACH 80 821.0000 81,280.0000 Y00 Mise. 085,168-8000
11 IV Bart Kit, Inoluden Vela-gard dressing, alcohol prop ped, und lstax touniquet. EACH 4000 $0.9800 $3,800.0000 Yeo 12 Cursple IV Admin Bat, 18 Drap, 89la, Pall Clcsp, PP Yelta, Si-Li Neadlaproo, Altadh Eas Sel, Gomes 50 ta a asse. 08 7 877.5000 85,9126000 Yus Ouraple® IV Ibitanalon Sut with Ramosable Sura-Look, Itsedle-Frea Oonneator, Ptnol Olemp, Rotating Mele Luer-Lock, Bin, comes B0 60 880.0000 $4,000.0000 Y06 12 to aces.
14 Combat Hemortatio Geusa, Quliolot, a-fold, whita, Individuyally paskaged, 8tn. X 4 yel. BACH 80 838.0000 81,780,0000 Ves 16 Transport Chei, Up to 350 lb. capuolty BACH 140 012.8800 81,818.8000 You 16 Patient Than spartac woven, 1,80D lb. ospeolty, 14 handlee. RACH 600 018.990008,613,2000 Mes 17 Bleniort, polyestar, 40° % e0" Indivisully packaged, grag, corres ir a canu of 10. CASE 280 129.8900 87407.8000 Yos 18 Bielut, fleeco, 60° x 90'navy blue, comen in a oase of 10. OASE 200 889.0000 $7,600.0000 Yeo 19 lood Prossura gruga, trigger etyla, vith letax frea ceelt, 8tae 11-Adult, Dussthach" D9n6 Oold Berled 20 0100.0000 $4,780.0000 Yoo 80 Mood Pressure grugo, trigger oferta, nilta laters fraa coll, ltse 7-Ohlil, Durati- D9616 Oold arlon EA 18 03180000 89,878.0000 Yea 21 Duotion Oup, for LUOA 2 & S Devloe, peckage of 12 125 8128.0000 $16.800.0000 Yoo Other 57,280.0000
22 Microstreem Omert OepnoLIne Ptua Oxypen, Adult/Intermediate OO1 oralitea Banopiing eel, with Osygen tubing, dispossble, 10/PK PK 80 890.0000 87,200.0000 Yeo Diacount: I0 Supplee 00,500.0000
IO SUPPLIER: PERGINT DISOOUNT OFF MERP Inier the peroset in the unit príes catumn es a daciml figure: fos a 10% discount, UED 10000 $0.4800 16,500.0000 258 @nfl. 10 -.9), & entar clacount percentage in the commenta columa so the rigisl.
Decount: Monitoring/Deftb, Supplies 89,780.0000
MONITORING/DEMIRTILLATION SUPPLISA: PERCENT DIBOOUNT OPF MARP Inter the percent in the unit prise column an a decime 24 USD 15000 $0.8500 80,780.0000 36%
gure: for a 10% diecount, ender.00 (1- 10 =.9) a enter dlecount percentage in the commenta ocum to the right Dissourt: Milsa, Supplies 012,000.0000
MISOELLAMIOUB SUPPLIED: PERONT DISOOUNT OFF MESP linter tha persent in the unlt prioa cofumn ea a decimal figure: tor a 10% 25 UED 20000 90.9800 019,000.0000 You 3000
@lacount, anter.90 (1-. 10 •.9) & enter discount persentage in the comments column fo the right.
Pege 3 of 3
bldding on 11/09/2022 2:00 PM (PST)
Line Item Subtotals
Seation Title Line Total
10 Bupplles $2B,828.0000
Monitoring/Defibriation 896,102.3000
CAP Supples 50,240.0000
Mles. 965, 166.8000
Other $7,200.0000
Dlacount: 10 supplies 86,500.0000
Dlocount Montaring/Dents. supplan $9,780.0000
Dlecoumt: Mlec. Suppiles 813,000.0000
Grand Total 8174,684.1000