---------------------------------------------------------------------
ITEM MATERIAL DESCRIPTION
Order qty Unit Price per unit Net value --------------------------------------------------------------------- 00010 OPO BT: Miscellanous EMS Supplies
1 Power unit
OPO 10/8/24 - 9/30/25 FOR EMS MEDICAL SUPPLIES FROM BOUNDTREE FOR BREVARD COUNTY FIRE RESCUE DEPARTMENT CONTRACT# 10369
BID# B-7-23-56/EMS MEDICAL SUPPLIES Exp 12/14/28
MISCELLANOUS MEDICAL SUPPLIES ANTICIPATED TOTAL- $800,000 BVM #2442-10015 ANTICIPATED TOTAL- $100,000
GLOVES, VARIOUS #1015-47143/4/5/6/7 ANTICIPATED TOTAL- $10,000 TOTAL = $910,000
OPO Period 10/1/2024 # 09/30/2025
NO CAPITAL (COMPUTERS OVER $500 OR OTHER EQUIPMENT OVER $1000 SHALL BE PURCHASED. THIS PURCHASE ORDER DOES NOT COMMIT TO ANY PURCHASE AND MAY BE CANCELED IN WRITING. NO FURTHER PURCHASES MAY BE MADE ON THIS PURCHASE ORDER AFTER THE "DELIVERY DATE" REFERENCED ON THE PURCHASE ORDER.
VENDOR SHOULD REQUEST COUNTY IDENTIFICATION FROM ANY INDIVIDUAL UTILIZING THIS PURCHASE ORDER TO OBTAIN COMMODITIES AT THE VENDOR'S LOCATION.
**************************************************************** NOTE: FIRE RESCUE STAFF WILL PLACE ORDER OR SERVICE AS NEEDED.
PLEASE SEND INVOICE TO:
ELECTRONICALLY: [email protected]; and
Cc to [email protected]
BY MAIL: Brevard County Fire Rescue Dept
Finance Office
1040 S. Florida Ave.
Rockeledge, FL 32955
Please deliver to:
Fire Rescue Logistics
300 Ansin Road
Rockledge FL 32955
Delivery date: 09/30/2025
Purchase Order
PO Number Date
4500122806 10/08/2024
Contact Person: PA 7 H Riley
I CERTIFY THAT THIS IS AN AUTHORIZED PURCHASE
Your Vendor Number With Us 8788
BOARD OF COUNTY COMMISSIONERS
FLORIDA TAX EXEMPT #85-8012621749C-1
FEDERAL TAX EXEMPT #59-6000523
Terms of payment: In accordance with the Florida Prompt Payment Act, Florida Statute section 218.70, et seq.
BOUND TREE MEDICAL LLC
5000 TUTTLE CROSSING BLVD
DUBLIN OH 43016
FAX NUMBER 800-257-5713
GENERAL: The terms set forth in this PO or attached Agreement cannot be changed by the Vendor. If the PO or attached Agreement is not acceptable to the Vendor, the Vendor shall return the PO or attached Agreement to Brevard County's Purchasing Services. Failure to comply with any of the terms and conditions of this PO or attached Agreement shall be considered a material breach and may result in termination of this PO or attached Agreement and could disqualify the Vendor from receiving future POs or Agreements.
PURCHASE ORDER NUMBER: This PO and the Vendor's name must be clearly shown on all invoices, packing slips, delivery receipts, and correspondence. Failure to clearly indicate the PO number may result in the return of invoiced material.
ACCEPTANCE: All terms and conditions referenced on the General Conditions of this PO, along with any attached Agreement, signed by both parties, constitute the entire agreement between the County and the Vendor. This PO and any attached Agreement shall not be modified except in writing and executed by all parties. In the event of any conflict between the terms and conditions of this PO and the attached Agreement, those found in the attached Agreement shall control.
DELIVERY,TITLE/RISK OF LOSS: Title shall pass to the County upon the County's acceptance of the conforming goods to the designated location. Notwithstanding any Agreement to pay the freight, express, or other transportation charges, the risk of loss of the goods and/or services passes only with title to the County. Containers and reels shall become the property of the County. Delivery shall be made during normal County working hours. All containers shall be plainly marked with the Vendor's name and PO number.
Charges are not allowed for boxing or crating unless previously agreed upon in writing.
Cash on Delivery ("COD") shipments will not be accepted. In the event that the County agrees to pay the freight, all freight charges shall be fully prepaid and included in the invoice. The original shipping bill shall be included with the invoice. Prices are to be Free on Board ("FOB") Destination unless specified in this PO to the contrary. Delivery time and completion time are of the essence on all orders. Delivery time and completion time are deciding factors for this PO and attached Agreement.
INDEMNIFICATION: The Vendor agrees to indemnify and hold harmless the County and its officers, agents, and employees from all claims, damages, losses, and expenses, including attorneys' fees, arising out of or resulting from the performance, failure in the performance of, or defect in, the products or services to be procured, provided such claim, damage, loss or expense (1) is attributable to bodily injury, sickness, disease, death, or personal injury, or to property damage, including loss of use resulting therefrom, and (2) is caused in whole or in part by any negligent, willful, or intentionally wrong act or omission of the Vendor, any subcontractor of the Vendor or any of their employees, or arises from a job-related injury.
The Vendor acknowledges adequate consideration has been exchanged for this indemnification provision.
INSURANCE: The Vendor, at its own expense, agrees to provide Workers' Compensation Coverage for all Vendor's employees, and to maintain such general and auto liability, as is deemed necessary by Brevard County Risk Management for the particular circumstances and operations of the Vendor. The Vendor further agrees to provide the County with Certificates of Insurance, mailed directly from the insurance holder's company to the ordering/requesting department or office, indicating the amount of coverage in force.
TERMINATION OF AGREEMENT: The Vendor may terminate this PO or attached Agreement, for good cause, upon ninety (90) days prior written notice. The County retains the right to terminate the PO or attached Agreement, in part or in its entirety, with or without good cause, upon thirty (30)days prior written notice. If either party fails or refuses to perform any of the provisions of this PO or attached Agreement, or otherwise fails to timely satisfy the PO or attached Agreement, the non-breaching party may notify the other party in writing of the non-performance and terminate the PO or attached Agreement, or any such part of the PO or attached Agreement as to which there has been a delay or a failure to properly perform. This shall constitute termination for good cause. Any work completed or services provided prior to the date of termination shall, at the option of the County, become the property of the County. The County is only responsible for payment for goods delivered, work completed, or services rendered prior to the effective date of termination.
WARRANTY: The Vendor warrants that the goods and/or services supplied are suitable for the intended and advertised use and shall be of good workmanship and of proper materials, free from defects and in accordancewith specifications.
TAXES: Brevard County is exempt from the payment of all Federal, State ,or local taxes.
Federal Tax Exemption Number is 59-6000523. The State ofFlorida Sales and Use Tax Exemption Number is 85-8012621749C-1.
All Vendors must submit a Form W-9 to the County's Finance Department. The County is required to obtain the Form W-9 by the US Internal Revenue Services which provides the County with the Vendor's correct Taxpayer Identification Number in order for the County to release payment to the Vendor.
INVOICING: Invoicing shall contain the vendor's name and mailing address, PO number, invoice date, itemized invoice, number of items, type of items, unit price, extended price, and total. To ensure prompt payment of invoices, send all invoices related to this PO to the delivery address on the front of the PO.
MATERIAL SAFETY DATA SHEET: The Vendor agrees to furnish Brevard County with a current Material Safety Data Sheet (MSDS) on, or before delivery of, every hazardous chemical or substance purchased, classified as toxic under Chapter 442, Florida Statutes.
Appropriate labels and MSDS sheets shall be provided for all shipments. MSDS sheets shall be submitted in duplicate to Brevard County Risk Management at 2725 Judge Fran Jamieson Way, Viera, Florida 32940, and to the ordering/requesting County department/office.
RIGHT TO AUDIT/PUBLIC RECORDS: The County and its auditors shall be entitled to audit the books and records of the Vendor to the extent that such books and records relate to the performance of this PO or attached Agreement. Said records shall be made available to the County and its auditors upon request for audit purposes only. Such books and records shall be maintained by the Vendor for a period of five (5) years from the date of final payment under this PO or attached Agreement and any extensions/renewals unless a shorter period is otherwise authorized in writing.
The Vendor understands that Brevard County is subject to the Florida Public Records Law, Chapter 119, Florida Statutes. The Vendor agrees and understands that Florida has broad public records disclosure laws, and that any written communication with the Vendor, to include emails, email addresses, a copy of this PO or attached Agreement, and any supporting documentation are subject to public disclosure upon request, unless otherwise exempt or confidential under Florida Statute.
UNAUTHORIZED ALIEN WORKERS: In accordance with Section 448.095, Florida Statutes, Brevard County may not enter into or renew a PO or attached Agreement with a Vendor unless each party to the PO or attached Agreement registers with and uses the U.S.
Department of Homeland Security E-Verify System (E-Verify). For the purpose of this Section, a Vendor is defined as a person or entity that has accepted this PO or attached Agreement with the County to provide labor, supplies, and/or services to the County in exchange for salary, wages, or other remuneration.
Brevard County will verify the Vendor's participation in the E-Verify System by confirming their enrollment on the U.S. Department of Homeland Security E-Verify website. Vendors whose participation cannot be verified on the U.S. Department of Homeland Security E-Verify website shall provide acceptable evidence of their enrollment prior to the award of the PO or attached Agreement. Acceptable evidence may include, but not be limited to, a copy of the fully executed E-Verify Memorandum of Understanding.
COMPLIANCE WITH ALL FEDERAL, STATE, AND LOCAL LAWS: The Vendor shall comply with all Federal, State of Florida, and local laws, rules, and regulations.
ATTORNEYS FEES: In the event of any legal action to enforce the terms of this PO or attached Agreement, each party shall bear its own attorney fees and costs.
GOVERNING LAW; VENUE: This PO or attached Agreement shall be governed by the laws of the State of Florida, and ANY TRIAL SHALL BE NON-JURY. Venue for any legal action to interpret, construe, or enforce this PO or attached Agreement shall be in a court of competent jurisdiction in and for Brevard County, Florida.
PAYMENT: Unless otherwise stated, payment will be made in accordance with Section 218.70, Florida Statutes, et seq., Local Government Prompt Payment Act.
BREVARD COUNTY, FLORIDA ("the County") PURCHASE ORDER ("PO") GENERALCONTRACT ---------------------------------------------------------------------
ITEM MATERIAL DESCRIPTION
Order qty Unit Price per unit Net value --------------------------------------------------------------------- 00020 OPO BT: BVM
1 Power unit
Please deliver to:
Fire Rescue Logistics
300 Ansin Road
Rockledge FL 32955
00030 OPO BT: Gloves
1 Power unit
Please deliver to:
Fire Rescue Logistics
300 Ansin Road
Rockledge FL 32955
00040 Tetracaine 0.5% Bott 15ml#372121
1 Power unit
Please deliver to:
Fire Rescue
1040 S Florida Ave
Rockledge FL 32955
Delivery date: 09/30/2025
Purchase Order
PO Number Date
4500122806 10/08/2024
Contact Person: PA 7 H Riley
I CERTIFY THAT THIS IS AN AUTHORIZED PURCHASE
Your Vendor Number With Us 8788
BOARD OF COUNTY COMMISSIONERS
FLORIDA TAX EXEMPT #85-8012621749C-1
FEDERAL TAX EXEMPT #59-6000523
Terms of payment: In accordance with the Florida Prompt Payment Act, Florida Statute section 218.70, et seq.
BOUND TREE MEDICAL LLC
5000 TUTTLE CROSSING BLVD
DUBLIN OH 43016
FAX NUMBER 800-257-5713
GENERAL: The terms set forth in this PO or attached Agreement cannot be changed by the Vendor. If the PO or attached Agreement is not acceptable to the Vendor, the Vendor shall return the PO or attached Agreement to Brevard County's Purchasing Services. Failure to comply with any of the terms and conditions of this PO or attached Agreement shall be considered a material breach and may result in termination of this PO or attached Agreement and could disqualify the Vendor from receiving future POs or Agreements.
PURCHASE ORDER NUMBER: This PO and the Vendor's name must be clearly shown on all invoices, packing slips, delivery receipts, and correspondence. Failure to clearly indicate the PO number may result in the return of invoiced material.
ACCEPTANCE: All terms and conditions referenced on the General Conditions of this PO, along with any attached Agreement, signed by both parties, constitute the entire agreement between the County and the Vendor. This PO and any attached Agreement shall not be modified except in writing and executed by all parties. In the event of any conflict between the terms and conditions of this PO and the attached Agreement, those found in the attached Agreement shall control.
DELIVERY,TITLE/RISK OF LOSS: Title shall pass to the County upon the County's acceptance of the conforming goods to the designated location. Notwithstanding any Agreement to pay the freight, express, or other transportation charges, the risk of loss of the goods and/or services passes only with title to the County. Containers and reels shall become the property of the County. Delivery shall be made during normal County working hours. All containers shall be plainly marked with the Vendor's name and PO number.
Charges are not allowed for boxing or crating unless previously agreed upon in writing.
Cash on Delivery ("COD") shipments will not be accepted. In the event that the County agrees to pay the freight, all freight charges shall be fully prepaid and included in the invoice. The original shipping bill shall be included with the invoice. Prices are to be Free on Board ("FOB") Destination unless specified in this PO to the contrary. Delivery time and completion time are of the essence on all orders. Delivery time and completion time are deciding factors for this PO and attached Agreement.
INDEMNIFICATION: The Vendor agrees to indemnify and hold harmless the County and its officers, agents, and employees from all claims, damages, losses, and expenses, including attorneys' fees, arising out of or resulting from the performance, failure in the performance of, or defect in, the products or services to be procured, provided such claim, damage, loss or expense (1) is attributable to bodily injury, sickness, disease, death, or personal injury, or to property damage, including loss of use resulting therefrom, and (2) is caused in whole or in part by any negligent, willful, or intentionally wrong act or omission of the Vendor, any subcontractor of the Vendor or any of their employees, or arises from a job-related injury.
The Vendor acknowledges adequate consideration has been exchanged for this indemnification provision.
INSURANCE: The Vendor, at its own expense, agrees to provide Workers' Compensation Coverage for all Vendor's employees, and to maintain such general and auto liability, as is deemed necessary by Brevard County Risk Management for the particular circumstances and operations of the Vendor. The Vendor further agrees to provide the County with Certificates of Insurance, mailed directly from the insurance holder's company to the ordering/requesting department or office, indicating the amount of coverage in force.
TERMINATION OF AGREEMENT: The Vendor may terminate this PO or attached Agreement, for good cause, upon ninety (90) days prior written notice. The County retains the right to terminate the PO or attached Agreement, in part or in its entirety, with or without good cause, upon thirty (30)days prior written notice. If either party fails or refuses to perform any of the provisions of this PO or attached Agreement, or otherwise fails to timely satisfy the PO or attached Agreement, the non-breaching party may notify the other party in writing of the non-performance and terminate the PO or attached Agreement, or any such part of the PO or attached Agreement as to which there has been a delay or a failure to properly perform. This shall constitute termination for good cause. Any work completed or services provided prior to the date of termination shall, at the option of the County, become the property of the County. The County is only responsible for payment for goods delivered, work completed, or services rendered prior to the effective date of termination.
WARRANTY: The Vendor warrants that the goods and/or services supplied are suitable for the intended and advertised use and shall be of good workmanship and of proper materials, free from defects and in accordancewith specifications.
TAXES: Brevard County is exempt from the payment of all Federal, State ,or local taxes.
Federal Tax Exemption Number is 59-6000523. The State ofFlorida Sales and Use Tax Exemption Number is 85-8012621749C-1.
All Vendors must submit a Form W-9 to the County's Finance Department. The County is required to obtain the Form W-9 by the US Internal Revenue Services which provides the County with the Vendor's correct Taxpayer Identification Number in order for the County to release payment to the Vendor.
INVOICING: Invoicing shall contain the vendor's name and mailing address, PO number, invoice date, itemized invoice, number of items, type of items, unit price, extended price, and total. To ensure prompt payment of invoices, send all invoices related to this PO to the delivery address on the front of the PO.
MATERIAL SAFETY DATA SHEET: The Vendor agrees to furnish Brevard County with a current Material Safety Data Sheet (MSDS) on, or before delivery of, every hazardous chemical or substance purchased, classified as toxic under Chapter 442, Florida Statutes.
Appropriate labels and MSDS sheets shall be provided for all shipments. MSDS sheets shall be submitted in duplicate to Brevard County Risk Management at 2725 Judge Fran Jamieson Way, Viera, Florida 32940, and to the ordering/requesting County department/office.
RIGHT TO AUDIT/PUBLIC RECORDS: The County and its auditors shall be entitled to audit the books and records of the Vendor to the extent that such books and records relate to the performance of this PO or attached Agreement. Said records shall be made available to the County and its auditors upon request for audit purposes only. Such books and records shall be maintained by the Vendor for a period of five (5) years from the date of final payment under this PO or attached Agreement and any extensions/renewals unless a shorter period is otherwise authorized in writing.
The Vendor understands that Brevard County is subject to the Florida Public Records Law, Chapter 119, Florida Statutes. The Vendor agrees and understands that Florida has broad public records disclosure laws, and that any written communication with the Vendor, to include emails, email addresses, a copy of this PO or attached Agreement, and any supporting documentation are subject to public disclosure upon request, unless otherwise exempt or confidential under Florida Statute.
UNAUTHORIZED ALIEN WORKERS: In accordance with Section 448.095, Florida Statutes, Brevard County may not enter into or renew a PO or attached Agreement with a Vendor unless each party to the PO or attached Agreement registers with and uses the U.S.
Department of Homeland Security E-Verify System (E-Verify). For the purpose of this Section, a Vendor is defined as a person or entity that has accepted this PO or attached Agreement with the County to provide labor, supplies, and/or services to the County in exchange for salary, wages, or other remuneration.
Brevard County will verify the Vendor's participation in the E-Verify System by confirming their enrollment on the U.S. Department of Homeland Security E-Verify website. Vendors whose participation cannot be verified on the U.S. Department of Homeland Security E-Verify website shall provide acceptable evidence of their enrollment prior to the award of the PO or attached Agreement. Acceptable evidence may include, but not be limited to, a copy of the fully executed E-Verify Memorandum of Understanding.
COMPLIANCE WITH ALL FEDERAL, STATE, AND LOCAL LAWS: The Vendor shall comply with all Federal, State of Florida, and local laws, rules, and regulations.
ATTORNEYS FEES: In the event of any legal action to enforce the terms of this PO or attached Agreement, each party shall bear its own attorney fees and costs.
GOVERNING LAW; VENUE: This PO or attached Agreement shall be governed by the laws of the State of Florida, and ANY TRIAL SHALL BE NON-JURY. Venue for any legal action to interpret, construe, or enforce this PO or attached Agreement shall be in a court of competent jurisdiction in and for Brevard County, Florida.
PAYMENT: Unless otherwise stated, payment will be made in accordance with Section 218.70, Florida Statutes, et seq., Local Government Prompt Payment Act.
BREVARD COUNTY, FLORIDA ("the County") PURCHASE ORDER ("PO") GENERALCONTRACT ---------------------------------------------------------------------
ITEM MATERIAL DESCRIPTION
Order qty Unit Price per unit Net value --------------------------------------------------------------------- 00050 Duodote auto injector 30/cs #620-01
1 Power unit
Please deliver to:
Fire Rescue
1040 S Florida Ave
Rockledge FL 32955
Delivery date: 09/30/2025
Purchase Order
PO Number Date
4500122806 10/08/2024
Contact Person: PA 7 H Riley
I CERTIFY THAT THIS IS AN AUTHORIZED PURCHASE
Your Vendor Number With Us 8788
BOARD OF COUNTY COMMISSIONERS
FLORIDA TAX EXEMPT #85-8012621749C-1
FEDERAL TAX EXEMPT #59-6000523
Terms of payment: In accordance with the Florida Prompt Payment Act, Florida Statute section 218.70, et seq.
BOUND TREE MEDICAL LLC
5000 TUTTLE CROSSING BLVD
DUBLIN OH 43016
FAX NUMBER 800-257-5713
GENERAL: The terms set forth in this PO or attached Agreement cannot be changed by the Vendor. If the PO or attached Agreement is not acceptable to the Vendor, the Vendor shall return the PO or attached Agreement to Brevard County's Purchasing Services. Failure to comply with any of the terms and conditions of this PO or attached Agreement shall be considered a material breach and may result in termination of this PO or attached Agreement and could disqualify the Vendor from receiving future POs or Agreements.
PURCHASE ORDER NUMBER: This PO and the Vendor's name must be clearly shown on all invoices, packing slips, delivery receipts, and correspondence. Failure to clearly indicate the PO number may result in the return of invoiced material.
ACCEPTANCE: All terms and conditions referenced on the General Conditions of this PO, along with any attached Agreement, signed by both parties, constitute the entire agreement between the County and the Vendor. This PO and any attached Agreement shall not be modified except in writing and executed by all parties. In the event of any conflict between the terms and conditions of this PO and the attached Agreement, those found in the attached Agreement shall control.
DELIVERY,TITLE/RISK OF LOSS: Title shall pass to the County upon the County's acceptance of the conforming goods to the designated location. Notwithstanding any Agreement to pay the freight, express, or other transportation charges, the risk of loss of the goods and/or services passes only with title to the County. Containers and reels shall become the property of the County. Delivery shall be made during normal County working hours. All containers shall be plainly marked with the Vendor's name and PO number.
Charges are not allowed for boxing or crating unless previously agreed upon in writing.
Cash on Delivery ("COD") shipments will not be accepted. In the event that the County agrees to pay the freight, all freight charges shall be fully prepaid and included in the invoice. The original shipping bill shall be included with the invoice. Prices are to be Free on Board ("FOB") Destination unless specified in this PO to the contrary. Delivery time and completion time are of the essence on all orders. Delivery time and completion time are deciding factors for this PO and attached Agreement.
INDEMNIFICATION: The Vendor agrees to indemnify and hold harmless the County and its officers, agents, and employees from all claims, damages, losses, and expenses, including attorneys' fees, arising out of or resulting from the performance, failure in the performance of, or defect in, the products or services to be procured, provided such claim, damage, loss or expense (1) is attributable to bodily injury, sickness, disease, death, or personal injury, or to property damage, including loss of use resulting therefrom, and (2) is caused in whole or in part by any negligent, willful, or intentionally wrong act or omission of the Vendor, any subcontractor of the Vendor or any of their employees, or arises from a job-related injury.
The Vendor acknowledges adequate consideration has been exchanged for this indemnification provision.
INSURANCE: The Vendor, at its own expense, agrees to provide Workers' Compensation Coverage for all Vendor's employees, and to maintain such general and auto liability, as is deemed necessary by Brevard County Risk Management for the particular circumstances and operations of the Vendor. The Vendor further agrees to provide the County with Certificates of Insurance, mailed directly from the insurance holder's company to the ordering/requesting department or office, indicating the amount of coverage in force.
TERMINATION OF AGREEMENT: The Vendor may terminate this PO or attached Agreement, for good cause, upon ninety (90) days prior written notice. The County retains the right to terminate the PO or attached Agreement, in part or in its entirety, with or without good cause, upon thirty (30)days prior written notice. If either party fails or refuses to perform any of the provisions of this PO or attached Agreement, or otherwise fails to timely satisfy the PO or attached Agreement, the non-breaching party may notify the other party in writing of the non-performance and terminate the PO or attached Agreement, or any such part of the PO or attached Agreement as to which there has been a delay or a failure to properly perform. This shall constitute termination for good cause. Any work completed or services provided prior to the date of termination shall, at the option of the County, become the property of the County. The County is only responsible for payment for goods delivered, work completed, or services rendered prior to the effective date of termination.
WARRANTY: The Vendor warrants that the goods and/or services supplied are suitable for the intended and advertised use and shall be of good workmanship and of proper materials, free from defects and in accordancewith specifications.
TAXES: Brevard County is exempt from the payment of all Federal, State ,or local taxes.
Federal Tax Exemption Number is 59-6000523. The State ofFlorida Sales and Use Tax Exemption Number is 85-8012621749C-1.
All Vendors must submit a Form W-9 to the County's Finance Department. The County is required to obtain the Form W-9 by the US Internal Revenue Services which provides the County with the Vendor's correct Taxpayer Identification Number in order for the County to release payment to the Vendor.
INVOICING: Invoicing shall contain the vendor's name and mailing address, PO number, invoice date, itemized invoice, number of items, type of items, unit price, extended price, and total. To ensure prompt payment of invoices, send all invoices related to this PO to the delivery address on the front of the PO.
MATERIAL SAFETY DATA SHEET: The Vendor agrees to furnish Brevard County with a current Material Safety Data Sheet (MSDS) on, or before delivery of, every hazardous chemical or substance purchased, classified as toxic under Chapter 442, Florida Statutes.
Appropriate labels and MSDS sheets shall be provided for all shipments. MSDS sheets shall be submitted in duplicate to Brevard County Risk Management at 2725 Judge Fran Jamieson Way, Viera, Florida 32940, and to the ordering/requesting County department/office.
RIGHT TO AUDIT/PUBLIC RECORDS: The County and its auditors shall be entitled to audit the books and records of the Vendor to the extent that such books and records relate to the performance of this PO or attached Agreement. Said records shall be made available to the County and its auditors upon request for audit purposes only. Such books and records shall be maintained by the Vendor for a period of five (5) years from the date of final payment under this PO or attached Agreement and any extensions/renewals unless a shorter period is otherwise authorized in writing.
The Vendor understands that Brevard County is subject to the Florida Public Records Law, Chapter 119, Florida Statutes. The Vendor agrees and understands that Florida has broad public records disclosure laws, and that any written communication with the Vendor, to include emails, email addresses, a copy of this PO or attached Agreement, and any supporting documentation are subject to public disclosure upon request, unless otherwise exempt or confidential under Florida Statute.
UNAUTHORIZED ALIEN WORKERS: In accordance with Section 448.095, Florida Statutes, Brevard County may not enter into or renew a PO or attached Agreement with a Vendor unless each party to the PO or attached Agreement registers with and uses the U.S.
Department of Homeland Security E-Verify System (E-Verify). For the purpose of this Section, a Vendor is defined as a person or entity that has accepted this PO or attached Agreement with the County to provide labor, supplies, and/or services to the County in exchange for salary, wages, or other remuneration.
Brevard County will verify the Vendor's participation in the E-Verify System by confirming their enrollment on the U.S. Department of Homeland Security E-Verify website. Vendors whose participation cannot be verified on the U.S. Department of Homeland Security E-Verify website shall provide acceptable evidence of their enrollment prior to the award of the PO or attached Agreement. Acceptable evidence may include, but not be limited to, a copy of the fully executed E-Verify Memorandum of Understanding.
COMPLIANCE WITH ALL FEDERAL, STATE, AND LOCAL LAWS: The Vendor shall comply with all Federal, State of Florida, and local laws, rules, and regulations.
ATTORNEYS FEES: In the event of any legal action to enforce the terms of this PO or attached Agreement, each party shall bear its own attorney fees and costs.
GOVERNING LAW; VENUE: This PO or attached Agreement shall be governed by the laws of the State of Florida, and ANY TRIAL SHALL BE NON-JURY. Venue for any legal action to interpret, construe, or enforce this PO or attached Agreement shall be in a court of competent jurisdiction in and for Brevard County, Florida.
PAYMENT: Unless otherwise stated, payment will be made in accordance with Section 218.70, Florida Statutes, et seq., Local Government Prompt Payment Act.
BREVARD COUNTY, FLORIDA ("the County") PURCHASE ORDER ("PO") GENERALCONTRACT
September 11, 2023
Brevard County Purchasing Services
2725 Judge Fran Jamieson Way
Bldg. C, 3rd Floor, Suite C-303
Viera, FL 32940
To Whom It May Concern:
Bound Tree Medical is pleased to offer the attached proposal for the “EMS Medical Supplies (Cooperative Bid)” Bid #B-7-23-56for Brevard County. Please review the following proposal for Bound Tree’s competitive pricing. We want to emphasize our continued commitment to you to provide the most complete offering of products and services.
The proposal includes the following:
Addendum #1, #2 & #3
Bid General Provisions & Specifications
Proposal Information & Pricing
Detailed Itemized Percent off Catalog Information
BTM Item Numbers & Descriptions and Resulting Percent Off Catalog Results Inventory Management Offer / UCapIt
BTM Pharmaceutical Advantage / VAWD Certification
Florida Drug License
Florida Business License
Florida Tax Reciepts
Disaster Program Information
BTM University
Customer Service Information
Distribution Center Information
Return Policy
Warranty Information
Online Ordering Capabilities
Sample COI
W-9
We thank you again for the opportunity to provide all your EMS equipment and information needs. If you require additional information, our contact information is below.
Charlie Phipps Paramedic/FF Dwight Lowry
Account Manager Pricing Analyst, Bids & Contracts
904.640.1752 614.760.5235
[email protected] [email protected]
PurchasingServices
reva
Itd2725JudgeFranJarniesonWay
_____—
--
-
Viera,Florida32940 Purchasing
Services
EMSMedicalSupplies
B-7-23-56
July31,2023
AddendumI
TOALLPROSPECTIVEBIDDERS:
ThisisanAddendumtoandshallbeconsideredaspartoftheoriginalbidpackagefortheabove- mentionedbid.PleaseacknowledgereceiptofAddendum1inthespaceprovidedonthePriceSheet.
Biddersarerequestedtoacknowledgereceiptofthisaddendumwiththeirbid.
ADDITIONALINFORMATION:
AnswerstoquestionswillbeaddressedinaforthcomingAddendum.
PleasenotethatthebidopeningdateandtimehaschangedtoWednesday,August16,2023 11:00am.
Allothertermsandconditionsremainunchanged.
Sincerely,Sl
SherryCollett
ProcurementSupervisor
ENDOFADDENDUMI
Phone(321)617-7390•hftp://www.brevardfl.gov/CentralservlcesfPurcbaslng PurchasingServices
1revard2725JudgeFranJamiesonWay
UNTBuidingC,Room303
—
—
.—Viera,Florida32940 Purchasing
Services
EMSMedicalSupplies
B-7-23-56
August01,2023
ADDENDUM2
TOALLPROSPECTIVEBIDDERS
ThisisanAddendumtoandshallbeconsideredaspartoftheoriginalbidpackagefortheabove- mentionedbid.PleaseacknowledgereceiptofAddendum2inspaceprovidedonPriceSheet.Bidders arerequestedtoacknowledgereceiptofthisaddendumwiththeirbid.
CLARIFICATIONTOQUESTIONSRECEIVED:
Question1:WillBrevardCountyprovideMFG#foreachitem?
Answer:Wedonothavetheitemnumber;the manufacturerisspecifiedintheprovided supplybidlist
Question2:Arepriceincreasespermitted?Ifso,atwhatfrequency? Answer:Publiccatalogpricingshallremainfirmforthefirsttwelvemonthsofthiscontract.
Thebidisbasedonaflatpercentageoffretailpricingwhichmustbepubliclypublishedprice.
Question3:Vendorsata minimummustprovidethelistofattachedsupplies.Ifthereare itemsthatwedonotcarrybecausetheyareexclusivetoamfg.ordistributor,canweno bid thoseitemsandstillbeconsideredforaward?
Answer:Theywillneedtobeabletoprovideasubstitutionandhaveitapprovedpriorto award.
Question4:Allproprietaryitemslistedrequirealetterfromthemanufacturer.Justtobeclear youdowantustouploadwithourbidlettersfromthemanufacturer’sstatingwearea distributorforthem?
Answer:Yes.
Question5:ItistheintentofBrevardtoawardbasedonthepercentagediscountappliedto listpriceonallincludedproductslisted.(DISCOUNTOFFPUBLICCATALOGPRICE _%PERCENTAGE)Canyouclarifythisareyoulookingforjusta%offourlistpriceforthe itemslistedontheattached,orareyoulookingforapriceforeachlineitemthatwewillhold for12months?Istheawardgoingtobebasedonthehighest%discountandnotonthe pricingofthelineitems?
Answer:Wearelookingforpercentageofpublishedcatalog.Thelistprovidedwillmakesure youcanprovideforourequipmentneeds.Musthaveasubstitutionapproved.Catalogprice mustbepubliclylistedandpublished.Lookingforhighestdiscount,measuredagainst comparativecatalogpricing.
Phone(321)517-7390•http:f/www.brevardfl.gov/CentralServices/Purchaslng EMSMedicalSupplies
6-7-23-56
August01.2023
Addendum2
Question6:BiddermustprovideinvoicingwhichshowsLISTPRICEandpricewith discount.Oursystemdoesnotshowlistpricingoninvoices,willyouacceptourinvoiceswith yourpriceonly?
Answer:Wewillneeda waytoverifylistpriceontheinvoice.Wedonotwanttohaveto calculatefromcatalogversusdiscount.
Question7:VendormusthavethecapabilitytoworkwithOPIQandUPCAIT-Doesthe Countyalreadyhavethesesystemsorareyoulookingtohavethesesystemsinstalled?Who wouldberesponsibleforthecostofnewsoftwareandequipment,theCounty,orthevendor? Answer:Wecurrentlyusebothproducts.Anysoftwarethatisrequiredforyoursystemto integratewouldbeatthevendorscost.HardwarewouldbeattheCounty’scostand discretion.
Question8:Pg.1—Regardingthisrequirement:“Thepurchaseordertermsofeachentitywill prevailfortheindividualparticipatingentity.Invoicinginstructionsandinsurancerequirements willbeinaccordancewiththerespectiveentityrequirements.”MMSGScan’treallyagreeto everyparticipatingentity’stermsandconditionswithoutreviewingthem.Wouldyouallowthe termsandrequirementsofthissolicitationtoprevailoverindividualrequirementsinthechance thattherewasaconflict?
Answer:AswearenotcurrentlysharingtheEMSbidwithanyotheragency,Icouldagreeto theseterms.Ifthesharingentitywantedtosetupsomethingdifferentwiththevendorin referencetobiDingorinsurance,Ithinkthatwouldbebetweenthevendorandparticipating entity.
Question9:Pg.7,#57—Regardingemergencyorders,wewouldneedtotakeexceptionand offerthefollowingoperationalclarification:
A.MMSGSwillworkwithBrevardCountytoaccommodateemergencyorderprocessing requestswheneverpossible.Ordersizeandtimeofdaytherequestisreceivedare factorsusedindeterminingiftherequestcanbeshippedafterthestandardcut-off time.Expediteddeliveryispossible;however,additionalfreightchargeswillbe incurred.Theactualpriceofexpeditedserviceisbasedonseveralfactorssuchas numberofboxes,weight,andshiptolocation.
Answer:Thistimelineneedstobedefined.Wewouldneedananticipatedemergencydelivery schedule.Example:Emergencyorderswillbefulfilledwithin72hoursofthereceiptofthe orderwhensuppliesareavailablewithintheState.Orsomethingtothateffect.
Question10;Pg.10(alsoPg.3,#9)regardingpricing
A,ItlookslikethisbidisrequestingbothapercentdiscountANDafixedlistprice—can youconfirmwhetherthatisthecase?MMSGScannotagreetofixedpricingonitems forwhichapercentdiscountapplies.ListpricecanvaryasMMSGSisnotthe manufacturerofitemsandcannotcontrolcostofitems.
EMSMedicalSupplies
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August01,2023
Addendum2
Answer:Weareaskingforthecurrentlistpriceandtheofferedpercentageofflist.Astrict percentageoffdoesnotalwaysensurebestpricing.A20%offa$50orderisnotthesameas 25%offa$90order.Wearenotaskingforthepricetobefrozen.Weaskthatthelistpricebe apubliclypublishedpriceandverifiable.
B.WouldBrevardCountybewillingtoacceptalistpricethatissubjecttochangetwicea yearinsteadofannually?
Answer:Yes,ifthepricewaspublishedpublicly.
C.Arethereanyparametersaroundpriceincreasesaftertheinitialterm? Answer:Thepricemustbepublishedpublicly.Ishouldbeabletogotoyour basewebsiteandverifythepricing.
0.CanyoupleaseconfirmthatBrevardCountyisrequestingaccesstotheentirevendor catalog?
Answer:Yes,wewouldneedthevendorcatalogaccessverifiedpublished pricing.
Question11:Pg.12,#1
A.Canyoupleaseexplainwhatyoumeanby‘Deliverymustbemadebycompany vehicleaminimumofonceperweek?MMSGSwoulddelivergoodswhenever ordered,notaweeklybasisandweregularlyusethird-partycarrierssuchasUPS delivery.
Answer:Weareaskingthatwhenordersareplaced,theyaredeliveredwithin sevendaysoftheorderbeingplacedifproductisavailable.Weareopen8- 4:30M-F
B.WillBrevardCountyacceptcatalogdiscountproposalsifthereareitemsonthislistthat vendordoesnotcarry?
Answer:Ifthe vendordoesnotcarrytheitemanditisnotcatalog,wewould needsomewaytoconfirmlistpriceoftheitemifbeingorderedthrougha differentvendor.Thisshouldonlybeafewitemsonthelist.Wearenotlooking foramedicalsupplybroker.
Question12:Pg.12,#5—ThestandardMMSGSinvoicedoesnotincludealistpriceand discount,isthatanegotiablerequirement?
Answer:Wemusthaveawayontheinvoicetoverifylistpriceoftheitemandbeabletosee thediscountedprice.Wewouldhavetoseetheproposalanddeliverymethodto allowusto confirmlistpricewithoutsearchingthevendorscatalogforcurrentlist.
Question13:pg.12,#6—Willthisrepresentativeberequiredtocallweeklyoristhisa requirementtocontactandsupportasneeded?
EMSMedicalSupplies
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August01,2023
Addendum2
Answer:Vendorwillbecontactedbyourlogistics.Noneedforweeklycontact.
Question14;pg.12,#7MMSGSissubjecttothesamebackordersandmanufacturedelays asotherdistributorsandwouldn’twanttopromiseguaranteeddeliverywithinthreebusiness days,butIcanconfirmthatourdeliveryestimateforstockitemsis1-3days,andweoffer next-daydeliveryto95ofthecountywith98.8%orderaccuracyanda94.4%fillrate.Forthe purposesofthiscontract,MMSGScouldutilizeadistributioncenterlocatedinOrlando,notfar fromthecustomersinthispurchasingcooperative.
AnswerWecannotexpectdeliveryofitemsthatcannotbeobtained,Thedeliveryschedule providedherewouldbewithintheparametersofthecurrentbidproposal.
Question15:Pg.13,#10—Whatformsarebeingreferredtohere?
Answer:Forexpiredorreturnedgoodsthatareguaranteedorwarranteebythemanufacture, andweareexpectedtoreturndirectlytoamanufactureforcredit,wewouldneedthoseforms suppliedtous.Ifthevendorwillhandleallexpiredandwarrantyreturnstothemanufacturer, thenwewouldnotneedanyformsandwouldhandthereturnstotheEMSsupplyvendor.
Question16:Pg.13,#12—Doeachoftheparticipatingagenciesusethesameonline orderingsystemforPurchaseOrderingorwouldweneedtoincorporateseveraldifferent orderingsystems?MMSGScustomerscanorderthroughanonlineplatformcalledSupply Manager.WouldtheparticipatingagencieswantSupplyManagertobe integratedintoeach orderingsystemorifnot,canyoupleaseclarifywhattechnologyisrequiredhere? Answer:Wecurrentlydonothaveasharingentitywithus.Itoneweretojoin,theywould eitherhavetomeetourorderingsystemrequirements,ortheywouldhavetonegotiate somethingwiththevendorforanorderingsystem.
Question17:Pg.15,#11-IfthereareinsurancerequirementsthatVendormaynotbeableto agreeto(basedontheirinternalpolicies)willBrevardCountyconsiderexceptionstoinsurance termsandconditions?MMSGSdoesnotaccepttheindemnificationclauseandoffersthe followinglanguageinstead,Isthefollowingrevisionacceptable?
1.MMSGSagreesthatitshallindemnifyandholdtheCountyofBrevardharmless fromandagainstanyandalllosses,costs,damages,claims,suitsand/or liabilities(Losses”)incurredbytheCountyofBrevardasaresultofathird-party claimofbodilyinjurytotheextentsuchLossesaresolelycausedbyMcKesson’s negligenceorwillfulmisconductintheperformanceofMMSGS’sobligationsunder theContractwiththeCountyofBrevard.Thisindemnitydoesnotextendtoany Lossesarisingoutof,resultingfrom,orrelatedtotheCountyofBrevard’s negligenceorwillfulmisconduct.
2.Aparty’srighttoindemnificationisconditionedupontheindemnifiedparty satisfyingthefollowingrequirements:(a)theindemnifiedpartymustpromptlynotify theindemnifyingpartyofanyclaimforwhichindemnificationwillbesough;(b)the indemnifiedpartymustgivetheindemnifyingpartycontrolofthedefenseagainst theclaim(includingtherighttoselectcounselandsettleorcompromisesuchclaim, EMSMedicalSupplies
B-7-23-56
August01,2023
Addendum2
buttheindemnifyingpartymustnotagreetoaconsentdecreeorsimilarorder bindingtheindemnifiedpartyortoanysettlementspecificallyapportionsfaultor liabilitytotheindemnifiedpartywithouttheindemnifiedparty’spriorwritten consent);and(c)theindemnifiedpartymustreasonablycooperatewiththe indemnifyingparty’sdefenseagainsttheclaim,that
Answer:Theinsurancerequirementsareacceptable
Question18:Onthesilkscreening,wewouldneedtoknowanestimatedquantityforline item 229,230,&231.Line229.SafetyInternational,FannyPack—Black,Screenprintedwith BrevardCountyFireRescue.Line230.SafetyInternational,FannyPack—Blue,Screen printedwithBrevardCountyFireRescue.Line231.SafetyInternational,FannyPack-Red, ScreenprintedwithBrevardCountyFireRescue
Answer:Line229—estimatedQuantity90
Line230—estimatedQuantity10
Line231—estimatedQuantity10
Question19:Isitalsopossibletogetapictureofthebagyouarecurrentlyusing? Answer:Thescreenprintingisthesameonallofthem,andthefannypacksthemselvesare thesame,justthecolorisdifferent.
Question20:Canwegetacopyofyourartworkforthesilkscreen?
Answer:Aphotooftheartworkhas beenprovidedasanattachment Question21:1wouldliketorequestthebelowitemsberemovedfromtheEMSMedical Supplybidforbeingexclusiveitemsonlyavailabledirectlyfromthemanufacturer;Line238, Ultraintubationminibagforhandtevyboxesonly;line239handtevyboxesonly.
Answer:TheseItemswillberemoved.
Question22:Howmuchquantitywillthecountyplaceorderperyear,FromAttachmentA SupplyListcontainingproductsorhowmanycasesoreach’swillthecountyplaceorder per year?
Answer:Yes,seeattachedrevisedsupplylist
Question23:Howmanycasesdoyouplaceorderforglovesinayear? Answer:Roughly765cases
Question24:Pleasegivedetailedspecification&Sizes,colorsforitemno.212,214,215, 226,227,229,230,231,238,239,272,273&300.
EMSMedicalSupplies
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Addendum2
Answer:
•212—Orange,size72inLXl6inWX1.75inD
•214—72’longwhitedotted
•215-Itemnolongerused
•226—Aluminumframewithblackstraps
•227—Aluminumframewithblackstraps
•229-Black
•230-Blue
•231-Red
•238-UltraMini-Bag,11SinLx5.SinWx2inH,RoyalBlue
•239—Pelicanboxyellow#1550-18.4”Lx14Wx7.6’D
•272—Itemnolongerused
•273—Itemnolongerused
•300—Itemnolongerused
Question25:Foritemno.72thedescriptioncontains7ft.Butthecatalogshows6ft.which oneiscorrect?
Answer:Afterverifying,6ftiscorrect.
Question26:Section57ofthesolicitationseemstorelatetoemergencyservicesonFEMA projects.WouldtheCountyconsiderremovingsection57,giventhisisaprocurementfor supplies?Wenotethatthesolicitationotherwiseincludesdeliveryrequirementsspecificto supplies(e.g.,Section7onpage12).
Answer:Section57isunabletoberemovedasitispartofourgeneralterms.
Question27:GeneralConditions,Termsand Provisions,Sections17Indemnification,18 PatentsandRoyalties,20Acceptance21SafetyWarrantyand22WarrantyIndemnification andInsuranceRequirements,Indemnification-Sinceweareadistributor,notamanufacturer, inlieuofthosetermswillyouacceptthefollowing?
“Contractor’willpassthroughtotheCounty,andtheiremployees,(hereinaftercollectively referredtoasthe“Indemnitees”),atthetimeofsale,anytransferableproductwarranties, indemnitiesandremediesprovidedtothe“Contractor’bytheManufacturer.TOTHE EXTENT PERMITtEDBYLAW,CONTRACTORPROVIDESNOWARRANTIESOFANYKIND, EXPRESSORIMPLIED.INCLUDINGWITHOUTLIMITATIONANYWARRANTYOF
MERCHANTABILITY,FITNESSFORPARTICULARPURPOSEOR NON-INFRINGEMENT,
ANDTHEINDEMNITEESSHALLLOOKTOTHEMANUFACTUREROFTHEPRODUCTFOR ANYWARRANTYTHEREON.’
Answer:Ourlanguageandtermswillremainthesame,howeverwewillacceptthelanguage above.
EMSMedicalSupplies
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August01,2023
Addendum2
Question28:Insurance:OurcompanydoesnothaveBuildersRiskInsurance.Willyou remove“Intheeventthecontractinvolvesservicesrelatedtoconstructionprojects,the ContractorshallalsoprocureandmaintainaBuildersRiskInsurancePolicyor Installation Floaterwithlosslimitsequaltothevalueoftheconstructionproject.” Answer;Thelanguagedoesnotneedberemovedfromthebiddocument.Sincethiscontract doesnotinvolveconstruction,pertheunderlyinglanguage,BuildersRiskisnotneeded.
Question29:Foritemno.140,141, 142,143,149&150forthoseitems,wecouldn’tgetthe exactmanufacturerthatyougaveinthepricesheet.Couldyoupleasespecifythesizesfor thoseitems.
Answer;
•140—Largesize6.69’Lx7.5W
•141—Largesize6.69”Lx6.69W
•142—StandardOBKit-1)Pairofgloves,latex-free,large,(1)OBnapkin,(2)OB towelettes,(2)Umbilicalcordclamps,(1)Scalpel,disposable,(1)Apron,plastic, disposable,(1)Underpad,17”x24”,(3)Towels,13”x19”,(1)Drapesheet,40”x 48”,(1)Placentabag,plastic,(1)Bulbsyringe,2oz,(8)Gauzesponges,4”x4”,(2) TwistTies
•143—size3o”x30”
•149—7.25”&Black
•150-Lightweightcorrosionresistantaluminumbarrelwithknurledfinishand approximately5inLx5/Sindia.
Question30:WillBrevardCountyacceptbidsifthe vendorcan’tprovideeachitemonthelist ofsupplies?
Answer:Thiswoulddependonthelevelofinability.Iftherearea fewitems,wecouldfind anothersource.Substitutionisanoptionbutmustbe approvedbytheofficeofEMSbeforeit isauthorized.Pleaseseeverbiagebelowfrompg.12section2onthescopeofservices locatedinthebidadvertisement.
•Unlessotherwisenoted,thebrandsandpartnumberslistedarethe desired product.Literaturemustbeprovidedwithyourbidforallsubstituteitemstoinclude manufacturer,partnumber,anddetailedspecificationoftheproduct.Failureto providethisliteratureforanysubstituteitemsmayresultinrejectionofyourbid.
BrevardCountyreservestherighttorequestasampleofthesubstituteproduct(s) toaidindeterminingwhetherthesubstituteisacceptable.Acceptanceofsubstitute itemswiflbedeterminedbyBrevardCounty.
EMSMedicalSupplies
B-7-23-56
August01,2023
Addendum2
AttachmentstobeincludedinAddendum:
RevisedSupplybidlist
PhotoofFannyPack
AttachmentB-ByrdAnti-LobbyingAmendmentCertification—Asindicatedinthecontractors checklist
Attachmentc-FEMAContractRequirements—AsindicatedintheContractorschecklist PleasenotethatthebidopeningdateandtimehaschangedtoWednesday,August16, 202311:00AM
Allothertermsandconditionsremainunchanged.
Sincerely,
51t%Coihet
SherryCollett
ProcurementSupervisor
ENDOFADDENDUM2
PurchasingServices
revaJ2725JudgeFranJarniesonWay
--
—
Viera, Florida32940 Purchasing
Services
EMSMedicalSupplies
B-7-23-56
August8,2023
Addendum3
TOALLPROSPECTIVEBIDDERS
ThisisanAddendumtoandshallbeconsideredaspartoftheoriginalbidpackageforthe above- mentionedbid.PleaseacknowledgereceiptofAddendum3inthespaceprovidedonthePriceSheet.
Biddersarerequestedtoacknowledgereceiptofthisaddendumwiththeirbid.
ADDITIONALINFORMATION:
ThedeadlineforFinalQuestionsonJuly20,2023at5:00pmholds.Nofurtherquestionsconsidered afterthisdateandtime.
AttachmentstobeincludedinAddendum:
RevisedFINALSupplylist—Excelformat
PleasenotethatthebidopeningdateandtimehaschangedtoTuesday.September12.2023 (Ü11:00am.
Allothertermsandconditionsremainunchanged.
Sincerely,
SherryCollett
ProcurementSupervisor
EndofAddendum3
Phone(321)517-7390•hup,//www.brevardfl.gov/Centralservlces/Purchaslng THE
BREVARD
COUNTY
PUBLIC
ENTITY
PURCHASING
COOPERATIVE
TOOURPROSPECTIVECONTRACTORS:
TheattachedInvitationforBidrepresentsacooperativeprocurementfortheBrevardCountyPublicEntity PurchasingCooperative.
LocalGovernmentalentitieswithintheBrevardCountyareahaveenteredintoanInterlocalAgreementto createaCooperativePurchasinggroupwithinourgeographicalarea.TheBrevardCountyPublic PurchasingCooperativewasformedinanefforttodevelopcooperativerelationshipsamongitsparticipants forthepurposeofseekingresponsestosolicitationswhichmayresultinlowercoststogroupparticipants oncommonlyusedcommodities/services,abetterqualityofproducts,andloweradministrativecosts.
BrevardCountyPublicEntityPurchasingCooperativeProcurementOperationalProcedures:
•Allquestionsconcerningthisprocurementshouldbeaddressedtotheissuingagency,hereinafter referredtoasthe“LeadEntity.”Allresponsesaretobereturnedinaccordancewiththeinstructions containedintheattachedInvitationtoBid.Anydifficultywithparticipatingentitiesreferencedinthis awardmustbebroughttotheattentionoftheLeadEntity.
•TheLeadEntitywillberesponsibleforawardingthecontract!however,eachparticipatinggovernmental entitywillberesponsibleforissuingitsownpurchaseordersandfororderplacement.Eachentitywill requireseparatebillings,beresponsibleforpaymenttotheContractor(s)awardedthiscontract,and issueitsowntaxexemptioncertificatesasrequiredbytheContractor. •Thepurchaseordertermsofeachentitywillprevailfortheindividualparticipatingentity.Invoicing instructionsandinsurancerequirementswillbeinaccordancewiththerespectiveentityrequirements. •Anyreferenceinthedocumentstoasingleentityorlocationwill,infact,beunderstoodasreferringto allparticipatingentitiesreferencedinthedocumentsandcoverletterunlessspecificallynotedotherwise, •Noneoftheparticipatinggovernmentalentitiesshallbedeemedorconstruedtobeapartytoany contractexecutedbyandbetweenanyothergovernmentalentityandtheContractor(s)asaresultof thisprocurementaction.
1.PURPOSE
BrevardCountyissolicitingannualbidsformaterials/suppliesonacontinuingbasistobepurchased asneededbythefollowingBrevardCountyPublicEntityCooperativeparticipants:
rBrevardCountyBoardofCountyCommissioners,LeadEntity
rCityofPalmBay
EasternFloridaStateCollege
-BrevardCountySchoolBoard
rCanaveralPortAuthority
—CityofCapeCanaveral
—CityofCocoa
-CityofCocoaBeach
>CityofMelbourne
>CityofMelbourneBeach
CityofRockledge
—CityofSatelliteBeach
rCityofTitusville
rBarefootBayRecreationDistrict
UGsERvICES
‘
INVITATION
TO
BID 2725JUDGEFRANJAMIESONwAy
revard
COOR.SL’ITLC-303
0Urj
Bid
Acknowledgment
PROCUREMENTANALYST:(321)617-7390ANEQUALFLORIDATAXEXEMPT#85-80l2621749C-I IleatherRileyEt5-9336OPPORTLINITh’FEDERALTAX-EXEMPT59-6O(Xi523
EMPLOYER
BIDSPECIFICATIONSIAVBEOBTAINEDATVentlorl.inkcorn
RELEASEDATEBIDTITLEBIDNUMBERBIDOPENINGDATEANDTIME June28,2023EMSMEDICALSUPPLIES(COOPERATIVEBID)0-7-23-56August02,2023riIlAM PRE-BIDDATE,TIME,ANDLOCATIONUMandatoryBIDSRECEIVEDAFTERABOVE NotApplicableDATEANDTIME QNon-NlandatorvWILLNOTBEACCEPTED
YCONTRACTORMUSTCOMPLETETHISAREAANDRETURNFORMV
LEGALNAMEOFCONTRACTORANDBUSINESSADDRESS:FEDERALIDNO.(FEIN)ORSOCIALSECURITYNO.(SSN):
HoundTreeMedical.LLC
5000TuttleCrossingBlvd31-1739487
Dublin,Oil43016IIreturnineasa‘nohid,statereason
TELEPHONENUMUERITOLL-FREENuMBER
(800)533.0523
Icertifythatthis hidismadewithoutpriorunderstanding,agreement,orTheContractorIckwledgttinformationprovidedInthisITSistrueandcorrect cnnnectionswithanycorporation,firmorpersonsubmittingahidforthesame materials,suppliesorequipment,andisinallrespectsfairandwithoutcollusion orfraudIagreetoabideby allconditionsofthis hidandcertifythatIam authorizedtosignthtshidfortheContractorInsuhmtitingahidtotlteCounty ofBrevard,theContractoroflrsandagreesthatifthebidisaccepted.the Contractorwillconvey,sell,assign,ortransfertotheCountyofBrcvardallAUTtII.10SIGN TI,ftftvir4Lt righss.Lisle,andinterestinandtoallcausesofactionitmaynoworhereafterRobMeriwether acquireuretertheantitrustlawsoftheLnitedStatesandtheStateofFlortdafor“ ti”?”71/——.
,
——.
freethingrelatingii,theparticularcommoditiesorsenicespurchasedor‘‘ acquiredbytheCountytsfBresard AttheCounty’sdiscretion.suchassignntcntPrestdent ——
—091I’2023
shalthemadeandbecomeeffectiseatthetimetheCountytendersfinalpa’mentDATE totheContractor.
*THISFORMMUSTBENOTARIZEDANDRETURNEDWITHYOURBID*
Sworntoandsubscriedbeforeme(hishdayof
So201L.
Person:NYln.:wnt.
TypeofID:
FfKtv
frCommr,
\‘AtEF%OTAR\PUBLicitR7%fl/)s/‘‘,.,,i
Mycommissionexpires________________________
BONDDATA
CONTRACTORMUSTPROVIDE:AMOUNT:
Yes
flNoBIDBOND
Yes
ENoPERFORMANCEBOND
YesNoLABOR,MATERIAL.PERFORMANCEBOND
Ineaseswheretheamountofasuretybondexceeds$500,000.thesuretycompanymusthaveanAM.Best’sratingasspecifiedinthisdocument. anddependingontheamountofthebond,shallhaveaminimumAM.Best’sfinancialsizecategory(FSC)rankingasfollows:
BONDAMOUNTUPTO:FINANCIALCLASSBONDAMOUNTUPTO:FINANCIALCLASS S1,000,000IS25,000,000V
S2,000,000IIS50,000,000VI
S5,000,000IIIS100,000,000VII
S10,000,000IV
BondsmustbeissuedbyasuretycompanywhocomplieswiththerequircmenLstsf2870935.FlaStat, PAlNIENTOFGOODSORSERVICESPROVIDEDASARESULTOFTIIISSOLICITATIONWILLBEMADEPERFLORIDASTATUTE.
ALLFIRSTTIMECONTRACTORSMUSTSUBMITAW-9FORM.
GENERALCONDITIONS. TERMS,ANDPROVISIONS
LDEFINITIONS:
a.COUNTY-Theterm“COUNTY”herein referstotheCountyofBrevard, Florida,anditsdulyauthorizedrepresentatives,
b.CONTRACTOR-Theterm“CONTRACTOR”usedhereinreferstoany
dealer/manufacturer/businessorganizationthatwillbeawardeda contract pursuanttothe terms,conditionsandquotationsofthebid, C.USINGAGENCY-Theterm“USINSAGENCY”usedhereinreferstoany department,division,agency,commission,board,committee,
authorityorotherunitIntheCountyGovernmentusingsuppliesor procuringcontractualservicesasprovidedforinthePurchasing OrdinanceoftheCountyofBrevard.
d.HEAVYDUTY-Theitem(s)towhichtheterm“HEAVY DUTY”isapplied shallexceedtheusualqualityand/orcapacitysuppledwithstandard productionequipmentandshallbeabetowithstandunusualstrain, exposure,temperature,wearanduse,
e.QUALIFIEDCONTRACTORThebestContractorwhohasthe
capabilityinallrespectstofulyperformthebidrequirements,and hasthefinancialstability,honesty, integnty,skill,businessjudgment, experience,facilities,andreliabilitynecessarytoassuregoodfaith performanceofthecontract,asdeterminedbyreferencetothe
Contractor’sQuatficationStatement,evaluat,onsbyCountystaffof theContractororitssubcontractors’pastperformancefortheBoard, ananyctherinformationrequiredbyBoardpolicies.
f,RESPONSIVECONTRACTOR-AContractorwho hassubmittedabid, whichconformsinallrespectstotherequirementsofthebid
package,including,butnot limitedto,submissionofthebidon required formswithallrequiredinformation,signatures,and notarizationsattheplaceandtimespecified.
c.DUECAUSE—Anapplicablereasonaffectingandconcerningthe
ability andfitnessofthecontractor(s)toperformtothespecifications andrequirementsofthecontract,
1SUBMISSIONOF BIDS:Allbids shallbesubmittedinasealedenvelope.
Thebidnumber,title,andopeningdateshallbeclearlydisplayedonthe outsideofthesealedenvelope.ThedetveryofsaidbidtoPurchasing Servicespnortothespecifiedopeningdateandtimeissolelyandstrictly theresponsibilityoftheContractor.AnybidsreceivedinPurchasingafter thespecifieddateandtimewillnotbeaccepted.
3.EXECUTIONOFBlO:Bidmustcontainamanualsignatureofauthorized representativeinthespace(s)provided.Bidsmustbetypedorprintedin ink,Useoferasableinkisnotpermitted.Allcorrectionsmadeby ContractortoanybidentrymustbeInitialed.Thecompanynameand FederalEmployerIdentificationNumber(FEID)numbershallappearin thespace(s)provided.
&BIDOPENING:Bidopeningshallbepubliconthedateandtimespecified.
Sealedbidsreceivedbyanagencypursuanttoinvitationstobidare exemptfromtheprovisionsofsubsection1)ands.24(a),Art.Iofthe StateConstitutionuntilsuchtimeastheagency providesnoticeofa decisionorintendeddecisionpursuanttos.120.57(3)(a)orwithin30days afterbidorproposalopening,whicheverisearlier.Inaccordancewith FloridaStatute119.071(1)(b)2,thenamesofthefirmssubmittinga competitivesolicitationwillberead aloudatthistimeoftheopening.No detailsofthe competitivesolicitationwillbereleased.Bidmustbe submittedonformsprovidedbytheCounty.Nootherformswillbe
accepted.Fax,telephone,emailed,orverbalBidsarenotacceptableand willnotbeconsidered.Nobidmay bemodifiedafteropening.Nobidmay bewithdrawnafteropeningforaperiodofninety(90)daysunless otherwisespecified.
5.BIDTABULATIONS:BidtabulationsarepostedtoVendorLinkwebsite.
6.CLARIFICATION/CORRECTIONOFBIDENTRY:TheCountyreservesthe righttoallow fortheclarificationofquestionableentriesandforthe correctionofOBVIOUSMISTAKES.
7.INTERPRETATION:Nointerpretationofthemeaningofthespecifications, orothercontractdocumentswillbemadeorallytoanyConlractor.Every requestfor suchinterpretationmustbeinwriting,addressedto PurchasingServicesat2725JudgeFranJamiesonWay,Bldg.C,3rd Floor, Suite303Viera,FL32940,oremailedtotheattentionoftheapplicable ProcurementAnalyst.Tobegivenconsideration,suchrequestsmustbe receivedbytheduedateandtimelistedundersection“Special
Conditions,Item2InformationandClarification.Anyandallsuch interpretationandsupplementalinstructionswillbeintheformofa writtenaddendum.FailureofanyContractorto receiveanysuch addendumorinterpretationshallnotrelievesaidContractorfromany obligationunderhis bidassubmitted.Alladdendasoissuedshallbecome partofthecontractdocuments,whetherornotthesuccessfulContractor receivedacopyofsuchaddendum,itbeingunderstood thatall
Contractorsareresponsibletoverifythattheyhavereceivedanysuch addendapriortosubmitting theirbid.
B.EEOSTATEMENT:Contractorsmustensurethatemployeesand
applicantsforemploymentarenotdiscriminatedagainstforreasonsof race, color,age,religion,sex,nationalorigin,orhandicappedstatus.
Minorityandfemaleownedbusinessesareencouragedtoparticipate.
BrevardCountyisanequalopportunityemployer.
9.PRICING:FirmpricesshallbeproposedandincludeFOBDESTINATION,all packing,handling,shipping charges,fuelsurchargesanddetvery,unless otherwiseindicated,toanypointwithintheCountytoasecure areaor insidedelivery.Allprices,costs,andconditionsshallremainfirmandval:d for90daysfromthedateofopening.TheobligationsofBrevardCounty underthisawardaresubjecttotheavailabilityoffundslawfully appropriatedforitspurposebytheStateof Floridaand/ortheBrevard CountyBoardofCountyCommissioners.
10.ADDITIONALTERMS&CONDITIONS:TheCountyofBrevardreservesthe righttorejectbidscontaininganyadditionaltermsorconditionsnot specificallyrequestedintheoriginalconditionsandspecifications.
11.TAXES:TheCountyofBrevardisexemptfrcmFederalexcisetaxesandall salestaxes.
12.DISCOUNTS:Alldiscounts.EXCEPTTHOSEFORPROMPTPAYMENT,shall beconsideredindeterminingthelowestnetcostforbidevaluation purposes.
13.MEETSSPECIFICATIONS:Allequipmentandaccessories furnishedunder thesespecificationsshallbenew,thelatestmodelincurrent production, andshallbeofgoodquality,workmanship,andmaterial.TheContractor representsthatallequipmentofferedunderthesespecificationsshall meetorexceedtheminimumrequirementsspecified.Delivery
specificationsshallbestrictlyadheredto.TheContractorshallbe responsibleforperformingtheworknecessarytomeetCountystandards inasafe,neat,good, andworkmanlikemanner.
14.BRANDNAMEOREQUAL:Ifitemscalledforbythisinvitationhavebeen identifiedinthespecificationsbya“BrandNameorEqual”description, suchidentificationisintendedtobedescriptive,but notrestrictive,andis toindicatethe qualityandcharacteristicsofproductsthatwillbe acceptable.Bidsoffering“equal”productswillbeconsideredforawardif suchproductsareclearlyidentifiedinthebidandaredeterminedbythe Countytomeetfullythesalientcharacteristicsrequirementslistedinthe specifications.Unlessthe Contractorclearlyindicatesinhis bidthatheis offeringan“equal”product,thebidshallbeconsideredasofferingthe samebrandnameproductreferencedinthespecifications.Ifthe Contractorproposestofurnishan“equal”product,thebrandnameifany, orthe producttobefurnishedshall beinsertedinthespaceprovidedor suchproductshallbeotherwiseclearlyidentified.Theevaluationofbids 3 andthedeterminationas toequalityofthe productofferedshallbethe responsibilityoftheCountyandwillbebasedoninformationfurnished bytheContractor.PurchasingServicesisnotresponsibleforlocatingor securinganyinformation,whichisnotidentifiedinthebidandreasonably availabletoPurchasingServices.Toensurethatsufficientinformationis availablethe Contractorshallfurnishasapartofthebid,orpriortobid opening,asindicated,alldescriptivematerialnecessaryforPurchasing Servicestodeterminewhethertheproductofferedmeetsthesalient characteristicsrequiredbythespecificationsandestablisheXactlywhat theContractorproposesto furnishandwhattheCounty wouldbebinding itselftopurchasebymaking anaward.
15.SILENCEOFSPECIFICATIONS:Theapparentsilenceofthespecifications andanysupplementalspecificationsastoanydetailsortheomission frcmsameofanydetailed descriptionconcerninganypoint,shallbe regardedasmeaningthatonlythebestcommercialpracticesareto prevailandonlymaterialsoffirstqualitybeprov;dedAllinterpretations ofthisspecificationshallbemadeuponthebasisofthisstatement.
16.ASSIGNMENT:Anypurchaseorder(P0)issuedpursuanttothisbidand themoneys,whichmaybecomeduehereunderisnotassignableexcept withthepriorwrittenapprovalofthePurchasingManager.
17. INDEMNIFICATION:ThesuccessfulContractoragreestoindemnifyand holdharmlesstheCountyandtheiremployeesfromallclaims, lossesand expenses,includingattorneys’fees,arisingoutof orresultingfromthe performance,failureintheperformanceof,ordefectIn,theproductsor services tobecontracted,providedsuchclaim,damage,lossorexpense (1)isattributabletobodilyinjury,sickness,disease,death,orpersonal injury,ortopropertydamage,includinglossofuseresultingtherefrom, and(2)iscausedinwholeorinpartbyanynegligentactoromissionof theContractor,anysubcontractororanyoftheiremployees,orarises fromajob-relatedinjury-ThesuccessfulContractoracknowledges adequateconsiderationforthis indemnificationprovision.
18.PATENTSANDROYALTIES:TheContractor,withoutexceptionshall indemnifyandsaveharmless theCountyofBrevardanditsemployees fromliabilityofanynatureofkindincludingcostandexpensesfororon accountofanycopyrighted,patented,orunpatentedinvention,process, orarticlemanufacturedorusedintheperformanceofthecontract, includingitsusebytheCountyofBrevard.Ifthe Contractorusesany design,device,ormaterialscoveredbyletters,patentor copyright,itis mutuallyagreedandunderstoodwithoutexceptionthatthebidprices shallincludeallroyaltiesor costarisingfromtheuseofsuch design, device,ormaterialsinanyinvolvedinthework,
19.TRAINING:Ifspec,fied,supplier(s)mayberequiredattheconvenienceof theCounty,toprovideemployeestrainingintheoperationand
maintenanceofanyitems(s)purchasedfromthisbid.
20.ACCEPTANCE:Itemsmay betestedforcompliancewithspecification.
Itemsoeliverednotconformingtospecificationsmayberejectedand returnedatContractor’s expense.Thoseitemsnot deliveredasper deliverydateinbidand/orpurchaseordermaybepurchasedontheopen market.AnyincreaseincostmaybechargedagainsttheContractor.Any violationsofthesestipulationsmayalsoresultintheContractorname beingremovedfromthebidlistandtheContractordisqualifiedfrom doingbusinessw;chtheCounty.
21.SAFETYWARRANTY:The sellingdealer,distributor,supplier,and manufacturershall beresponsibleforhavingcompliedwithallFederal, Stateandlocalstandards,regulations,andlawsconcerningthe equipmentspecifiedandtheusethereol,applicableandeffectiveonthe dateofmanufactureincludingsafetyandenvironmentalstandardsas applytobothprivateindustryandgovernmentalagencies.
22. WARRANTy:TheContractoragreesthat,unlessotherwisespecified,the suppliesand/orservicesfurnishedunderthisbidshallbecoveredbythe mostfavorable commercialwarrantythe Contractorgivestoany customerforcomparable quantitiesofsuchsuppliesand/orservicesand thattherightsandremediesprovided hereinareinadditiontoanddonot limitanyrightsaffordedtotheCountybyanyotherprovisionofthisbid,
23.AWARDS:AsthebestinterestoftheCountymayrequire,thetightis reservedtomakeaward(s)byindividualitems,groupofitems,allornone, oracombinationthereof;torejectanyandallbidsorwaiveany minor irregularityortechnicalityinbidsreceived.Contractorsarecautionedto makenoassumptionsunlesstheirbidhasbeenevaluatedasbeing
responsiveandqualified.Allawardsmadeasaresultofthisbidshall conformtoapplicableordinancesoftheCounty.TheBoardmayreturn, forfullcredit,anyunuseditems receivedwhichfailtomeet theBoard’s performancestandards.BrevardCountyreservestherighttocancelan awardedbiduponduecause—i.e.,Contractormisrepresentation, Contractornegligence,non-performance,etc.viawrittennotice.
24.Unlessotherwisenotedinthebiddocument,Contractorsshallsubmit onebidonly.
25CONFLICrOFINTEREST:Theawardhereunderissubjecttoprovsionsof StateofFloridaStatutesandBrevardCountyOrdinances.AllContractors mustdisclosewiththeirbidthenameofanyofficer,director,oragent whoisalsoanemployeeOtBrevard County,Further,allContractorsmust disclosethenameofanyCountyemployeewhoowns,directly or
indirectly,anyinterestintheContractor’sfirmoranyof itsbranches.
26.PURCHASINGAGREEMENTSWITHOTHERGOVERNMENTALENTITIES:
BrevardCountypermits theawardedContractor(s)toextendthepricing, termsandconditionsofthissolicitationtoother governmentalentitiesat theContractor’sdiscretion.Eachgovernmentalentitythatutilizesthis solicitationorresultingcontractwillberesponsibleforexecutionof its ownrequirementswiththeawarded Contractor(s).
27.DRUG’FREEWORKPLACE:Whenevertwoormorebids,whichareequal withrespecttoprice,quality,andservice,arereceivedbyBrevardCounty fortheprocurementofcommoditiesorcontractualservices,abid receivedfromabusinessthathasimplementedadrugfreeworkplace programper287.087,FIa.Stat.shallbegivenpreferenceintheaward process.
28.LOBBYINGSTATEMENT:AllfirmsareherebyplacedonnoticetheCounty Commissionandstaffshallnot becontactedaboutthisBid.Firmsand theiragentsare herebyplacedonnoticethattheyarenottocontact membersoftheCountyCommissionorstaff(withtheexceptionof
designatedliaison).Publicmeetingsandpublicdeliberationsofthe SelectionCommitteearetheonlyacceptableforumforthediscussionof meritsofproducts/servicesrequestedbytheInvitationtoBid;and writtencorrespondenceconcerningBidsmaybesubmitted totheCounty Manager.EachBidwillhaveone non-votingstaffmemberdesignated whowillserveastheliaison.Failuretoadheretothese requirements couldresultinBoardactiontodisqualifyyourfirmfromconsiderationof award.
29.PUBLICENTITYCRIMES:AllContractorareherebyplacedonnoticethat apersonoraffiliatewhohasbeenplacedontheconvictedvendorlist followingaconvictionforapublicentitycrimemaynotsubmitabidona contractto prov:deanygoodsorservicestoapublicentity,maynot submitabidonacontractwithapubtcentityfortheconstructionrepair ofapublic buildingorpublic work,maynotsubmitbidsonleasesofreal propertytoapublicentity,maynotbeawardedorperformworkasa cor,tractor,supplier,subcontractor,orconsultantunderacontractwitha publicentity,andmaynottransactbusinesswithanypublicentityin excessofthe thresholdamountprov:dedin287.017na.Stat.for CATEGORYTWO(currently$35,000)foraperiodofthirty-six(36)months fromthedateofbeingplacedontheconvictedvendorlist.
30.DISCRIMINATORYVENDORLIST:Anentityoraffiliateplacedonthe DiscriminatoryVendorListshallnotsubmitaBidforacontracttoprovide goodsorservicestoapublicentity,shallnotsubmitaBidonacontract withapublicentityforthe constructionorrepairofapublicbuildingor performanypublic work,shallnotsubmitBidsforleasesofrealproperty toapublicentity,shallnotawardorperformworkasacontractor, 4 suppker,subcontractor,orconsultantunderanycontractwithanypublic entity,andshallnottransactbusinesswithanypublicentityper 287.134(3)(d),Fla.Stat.
31.SCRUTINIZEDCOMPANIES:AwardedContractorshallcertifythatitand itssubcontractorsarenotontheScrutinizedCompaniesthatBoycott IsraelList.PursuanttoSeCtion287.135,P.S.IftheAgreementisformore than$1,000,000the Contractorfurthercertifiesthatitandits subcontractorsarealsonotontheScrutinizedCompanieswithActivities inSudan,ScrutinizedCompanieswithActivitiesintheIranPetroleum EnergySectorList,orengagedwithbusinessoperationsinCubaorSyria asidentifiedinSection 287.135,F.S.
ForContractsofanyamount,iftheCountydeterminestheContractor submittedafalsecertificationunderSection 287.135(5)oftheFlorida Statutes,oriftheContractorhasbeenplacedontheScrutinized CompaniesthatBoycottIsraelList,orisengagedinaboycottofIsrael,the CountyshalleitherterminatetheContractafterithasgiventhe ContractornoticeandanopportunitytodemonstratetheCounty’s determinationoffalse certificationwasinerrorpursuanttoSection 2B7.135(S)(a)oftheFloridaStatutes,oronacase-by-casebasisthe CountymaychoosetomaintaintheContractiftheconditionsofSection 287.135(4)oftheFloridaStatutesare met.ForContractsS1,X0,000and greater,iftheCountydeterminestheContractorsubmittedafalse certificationunderSection287.135(5)oftheFloridaStatutes,orifthe ContractorhasbeenplacedontheScrutinizedCompanieswithActivities intheSudanList,ortheScrutinizedCompanieswithActivitiesintheIran PetroleumEnergySectorList,theCountyshalleitherterminatethe Contractafterithasgiventhe Contractornoticeandanopportunityto demonstratetheCounty’sdeterminationoffalsecen,ficationwasinerror pursuanttoSection287.135(5)(a)oftheFloridaStatutes,oronacase’by’ casebasistheCountymaychoosetomaintaintheContractifthe
conditionsofSection287.135(4)oftheFloridaStatutesaremet.
TheContractoragreestoobservetheaboverequirementsforapplicable subcontractsenteredintofortheperformanceofworkunderthis Agreement.
AsprovidedinSubsection287.135(8),F.S.,iffederallawceasesto authorizethesecontractingprohibitions,thissectionshaltbecome inoperativeandunenforceable.
32.LICENSES,CERTIFICATIONS.ANDPERMITS:ThesuccessfulContractor willberequiredtosecure,atitsexpenseandshowproofoftheproper businesstaxreceiptand/oranyotherI:cense/certificationrequiredofthe applirabIe service/workbeingperformed.Priorto av,ard,theapparent lowContractorwillberequiredtoprovideproofoflicenseand/or certificationwithintwo(2)businessdaysofthepostedawarded recommendationandsubmitcopiesoflicense/certificationstothe PurchasingOffice.TheBrevardCountyContractorLicensingRegulation& Enforcement(LR&E)officeisresponsibleforthecountylicensingof trades:GeneralBuilding,drywall,plumbing,electric,HVAC,roofing,etc. lfyouhavequestionsconcerningthelicensingrequirementsforaBrevard Countycontractor’slicense,pleaseContacttheBrevardCountyLR&E officeat(321)633-2058, option0,foranyquestions.
Theawardedcontractorshallfullycomplywithallfederalandstatelaws, countyandmunicipalordinancesandregulationsinanymanneraffecting theperformanceofthework,ThesuccessfulContractorisresponsiblefor obtainingallpermits necessarytoconstructtheproject.BrevardCounty doesnotexemptitselffrompermittingrequirements.TheOwnershall payallBrevardCountypermit,inspectionandimpact feesrequiredfor theprojectorservicesrequiredunderthiscontract;allotherfeesfor permitsrequiredbyagencies/municipalitiesotherthanBrevardCounty shallbetheresponsibilityofthe awardedContractor.Acopyofissued permitshall beprovidedtotheUserDepartmentoftheCountyfortheir records.
33.ERRORS:Intheeventofextensionerror(s),theunitpricewillprevail.In theeventofadditionerror(s),theextendedtotalswillprevail.Ineither case,theContractor’stotalofferwillbeadjustedaccordingly,
34.CANCELLATIONANDREINSURANCE:Ifanyinsuranceshouldbecanceled orchangedbytheinsuranceexpiringduringtheperiodofthisbidaward, theContractorshallberesponsibleforsecuringotheracceptable insurancetoprovidethe coveragespecifiedinthebidtomaintain continuouscoverageduringthelifeoftheaward.
35.INCURREDCOST:BrevardCountyisnotliable foranycostincurredbyany ContractorpriortoanawardCostsfordevelopingaresponse tothis requestforbidareentirelytheobligationofthe Contractorandshallnot bechargeableinanymannertoBrevardCounty
36. MATERIALS/SUPPLIES:Nomaterialsorsuppliesfortheworkshallbe purchasedbytheContractororbyanysubcontractorsubject toany chattelmortgageorunderaconditionalsaleorotheragreementbywhich aninterestisretainedbytheseller,
37.SUBCONTRACTORS:TheContractorshallbefullyresponsibleforallacts andomissionsofhissubcontractorsandofpersonsandorganizations directlyorindirectlyemployedbythemandofpersonsandorganizations forwhoseactsandomissionsofpersonsdirectlyemployedbyhim.
38.VERBALINSTRUCTIONS:Nonegotiations,decisions,oractionsshallbe initiatedorexecutedbytheContractorasaresultofanydiscussionswitn anyCountyemployee.Onlythosecommunications,whichareinwriting fromanaulhoricedCountyrepresentative,maybeconsidered.Only writtencommunicationsfromContractors,whichareassignedbya persondesignatedasauthorizedtobindthecompany,willbe recognized bytheCountyasdutyauthorizedexpressionsonbehalfofthecompany.
39.LITIGATIONVENUE:AlllitigationshalltakeplaceeitherintheStateCourts ofFlorida,whereinvenueshalllieinBrevardCounty,Florida,orinthe Federal CourtswhereinvenueshalllieintheMiddleDistrictinandforthe StateofFlorida.TheContractorexpressly waivesvenueinanyother location.
40.ADDITION,DELETION,ORMODIFICATIONOFSERVICES:TheCounty reservestherightatits solediscretiontoincrease,decrease,ordeleteany portionofthis agreement/contractatanytimewithoutcause,andifsuch rightisexercisedbytheCounty,the totalfeeshall bereducedbyaprorate basis,Ifworkhasalreadybeenaccomplishedontheportionofthe contracttobeincreased,decreased,ordeleted,thecontractorshallbe paid forthecorrectport:ononthebasisoftheestimatedpercentage agreeduponbytheCounty,thecontractor,andthecontractmanager uponcompletionofsuchportion.
OPERATIONDURINGDISPUTE:IntheeventtheCountyhasnotcanceled thecontractinaccordancewiththetermsofthecontract,andthere remainsadisputebetweenthe ContractorandtheCounty,theContractor agreestocontinuetooperateandperformunderthetermsofthe
contractwhile suchdisputeispending.Further,theContractoragrees that,intheeventasuitisfiledforinjunctionorotherrelief,itwillcontinue tooperatethesystemuntilthefinaladjudicationofsuchsuitbythecourt.
42.CONTRACTTERMINATION:Thecontractresultingfromthisbidshall commenceuponissuanceandacceptanceofthefullyexecutedcontract.
TheCountyuseragencyshallissueordersagainstthecontractonanas neededbasis.ThecontrattmaybecanceledbytheContractor,forgood cause,upon ninety(90)dayspriorwrittennotice,TheCountyretainsthe righttoterminatethecontract,inpartorinitsentirety,withorwithout goodcause, uponthirty(30)dayspriorwrittennoticeorasstatedherein.
Intheeventofterminationbyeitherpartyasprovidedherein,the awardedContractorshallbepaid forservicesperformedthroughthedate oftermination.
43.SPECIALACCOMMODATIONS:InaccordancewiththeAmericanswith DisabilitiesAct(ADA)andSection286.26,Fla,Stat.,personswith disabilitiesneedingspecialaccommodationstoparticipateshouldcontact theADACoordinator at(321) 633’2D17orbyemailat
Brian.BresliniSBrevardFLgy.andmustbemadenolaterthan48hours priorthepublicmeeting/hearinginorderto providethe requested service.
41. 5
44.CONTRACTORRESPONSIBIUTIES:Contractors,bysubmittingabid, certifythatitunderstandsallplanning,coordinating,andimplementation ofthedescribedservicesshallbedonethroughpersonalcontactbetween theContractorandthe contractmanager,andthattelephonecontactand mailcorrespondencemay,insomecases, notbeappropriate.County approvedrepresentativesoftheContractorshallbeavailabletomeet withthecontractmanager,asmayberequired,toaccomplishthe
County’sobjectivesaseffectivelyandefficientlyaspossible,duringall phasesofthisagreement/contract/bid.
45.SUPERVISIONOFCONTRACTPERFORMANCE:TheContractors
performanceofthecontractwillbenotif;edbythecontractmanager.The Contractorshallbenotifiedoflackofperformanceinwritingbythe contractmanager.Ifatanytimeduringthetermofthecontract,
performancesatisfactorytothecontract managershallnothavebeen made,theContractor,uponwrittennotificationbythecontractmanager, shallwithinthree(3)daysincreasetheforce,toolsandequipmentas neededtoproperlyperformthecontract.Thefailureofthe contract managertofilesuchnotificationshallnot relievethe Contractorofthe obligationtoperformtheworkatthetimeandInthemannerspecified bythecontract.IftheContractordoesnot increasetheforceorneglects todotheworkproperly,thecontractmanagercanwithholdapercentage ofpaymentorwithholdtheentiredollaramountdueasperthecontract.
46.MISUNDERSTANDING:Topreventmisunderstandingandanylitigation, thecontractmanagershalldecideany andallquestions,which mayarise concerningthequalityandacceptabilityofthework,andservices performedthesufficiencyofperformance,theinterpretationofthe provisionsofthecontract,andtheacceptab’efulfillmentofthecontract onthepartoftheContractor.TheContractManagerw:Ildetermine whetherornottheamount,quantity,characterandqualityofthework performedaresatisfactory,whichdeterminat;onshallbe final,conclusive andbindinguponboththeContractorandtheCounty.Thecontract managershallmake suchexplanationasmaybenecessarytocomplete, explain,ormakedefinitetheprovisionsofthecontract,andhisCndings andconclusionsshallbefinaland bindinguponboth parties.
47.GREENPROCUREMENTPOUCY:TheBoardofCountyCommissioners
approveda“greenprocurement’policyinMarch2003toestablish procurementrequirementsthatpromotethepurchaseanduseof
EnvironmentallyPreferredProductsasdefinedbytheUnitedStates EnvironmentalProtectionAgency.EnvironmentallyPreferredProducts (EPP)arethoseproductsandservicesthathaveareducedeffectonthe humanhealthandtheenvironmentwhencomparedtootherproducts andservicesthatservethesamepurpose.EPPproducesencourage(1) wastereduction;(2)reducedexposuretohazardousmaterials;(3)natural resourceconservation;and(4)energyefficiency.
48.MONITORINGOFWORK:TheContractorshallprovidethecontract managerwitheveryreasonableopportunitytoascertainwhetherornot thework,asperformed,isinaccordancewiththerequirementsofthe contract.TheContractorshalldesignate,inwriting,apersontoserveas liaisonbetweentheContractorandtheCounty.
49.PROMPtPAyMENT:Forpaymentpromptness,BrevardCountyshall remitpaymentinacrordancewiththeFlor:daPromptPaymentAct, Section218.74,FIa.Stat.,etseq.BrevardCountydoesnotexpecttobe bilIedinexcessoftheorderedquantityandwillnotpayforanyquantity abovetheorderedquantity.Anyorderplacedasaresultofthisbidwifl besubjecttoBillingInstructionsandConditionsontheback ofthe BrevardCountyPurchaseOrderform.Contractorsmayoffercash
discountsforpromptpaymentbuttheywlInotbeconsideredin
determinationofaward.IfaContractoroffersadiscount,itisunderstood thatthe discounttimewillbefromthedateofsatisfactorydelivery,atthe placeofacceptance,andreceiptofcorrectinvoice,attheofficespecified, whicheveroccurslast.Requestsforfinalpaymentforanyv,’orkorservices for whichapermitisrequiredshallincludeacopyofallrequiredpermits andcopiesofallrequiredinspectionreports.Failuretoprovideproofof acquisitionofallrequiredpermitsandsuccessfulcompletionofall requiredinspectionsshallrepresentartincompleteinvoiceandwilldelay payment.
50.RIGHTTOAUDITRECORDS:InperformanceofthisAgreement,the Contractorshallkeepbooks,records,andaccountsofallactivitiesrelated totheAgreement,incompliancewithgenerallyacceptedaccounting procedures.Alldocuments,papers,books,records,andaccounts made orreceivedbythecontractorinconjunctionwiththeAgreementandthe performanceofthisAgreementshallbeopentoinspectionduring regular businesshoursbyanauthorizedrepresentativeoftheoffice,andshallhe retainedbythecontractorforaperiodoffive(5)yearsaftertermination ofthisAgreement—unlesssuchrecordsareekemptfromsection24(a)of ArticleIoftheStateConstitutionand section119.07(1),Fla.Stat.
51.UNAUTHORIZEDALIENWORKERS/e-Verfiy:BrevardCountywillnot acceptbidsfromContractorswhoknowinglyemployunauthorizedalien workers,constitutingaviolationoftheemploymentprovisionscontained in8U.S.Code§1324a(e)(Section2744(e)oftheImmigrationand
NationalityAct“INA”).TheCountyshallconsideraContractor’s intentionalemploymentofunauthorizedaliensasgroundsforimmediate terminationofanyawardedproposal.TheCONTRACTORshallutilizethe U.S.DepartmentofHomelandSecurity’sE’Verifysystemtoverifythe employmenteligibilityofallnewemployeeshiredbytheCONSULTANT duringthetermoftheContractandshallexpresslyrequireany
subcontractorsperformingworkorprovidingservicespursuanttothe Contract tolikewise utilizetheU.S.DepartmentofHomelandSecurity’s E-Verifysystemtoverifytheemploymenteligibilityofallnewemployees hiredbythesubcontractorduringtheContractterm,IftheCountyis unabletoelectronicallyverifythelowestresponsiveresponsible ContractorparticipatesintheE’VerlfyProgram;thelowestresponsive responsibleCONTRACTORSHALLberequired tosubmitacopyofthe fullyexecutedE-VerifyMemorandumofUnderstandingbefore the Countywillenterintocontractorissuenoticetoproceedwith
Contractor.
52.FLORIDAPUBLICRECORDSLAW:Bothpartiesunderstandthatthe CountyissubecttotheFloridaPublicRecordsLaw,Chapter119,FIa.Stat. andallotherapplicableFloridaStatutes,Ifthematerialsprov:dedbythe Contractordonotfallunderaspecificexempt:on,underFloridaorfederal law,materials providedbytheContractortotheCountywouldhavetobe providedtoanyonemakingapublicrecordsrequest.Itwillbethe Contractor’sdutytoidentifytheinformation,whichitdeemsisexempt underFlorida/federallaw,andidentifythestatutebynumber,which exemptsthatinformation.
53. ShouldanypersonorentitymakeapublicrequestoftheCounty—which requiresorwouldrequiretheCountytoallowinspectionor provide copiesofrecordswhichtheContractormaintainsareexemptfromPublic RecordsLaworareconfidential—ItshallbetheContractorsobligationto providetheCountywithin24hours(notincludingweekendsandlegal holidays),ofnotificationbytheCountytotheContractoroftherequest, ofthespecificexemptionorconfidentialityprovisionsotheCountywill abletocomplywiththerequirementsofChapter119,Fla.Stat.
ShouldtheCountyfaceanykindof legalactiontorequireorenforce inspectionorproductionofanyrecordsprovidedbytheContractortothe Countywh:chtheContractormaintainsareexemptorconfidentialfrom suchinspection/productionasapublicrecord,thentheContractorshall hireandcompensateattorney(s)whoshallrepresenttheinterestofthe CountyaswellastheContractorindefendingsuchaction.TheContractor shallalsopayanycosts todefendsuchactionandshallpayanycostsand attorneyfees,whichmaybeawardedpursuantto119.12,Fla,Stat.
AllmaterialsubmittedbecomesthepropertyoftheCounty andmaybe returnedonlyattheCounty’soption.TheCountyhastherighttouseany orallideaspresentedinanyreplytothisTB.Selectionorrejectionofany biddoesnotaffectthisright.
PREFERENCEGIVENTOCOMMODITIESMANUFACTURED,GROWN.DR
PRODUCEDINFLORIDA:Inaccordancewith 287.082,FIa.Stat.,whenever two ormorecompetitivesealedbidsarereceived,oneormoreofwhich 6 relatestocommoditiesmanufactured,grown,orproducedwithinthis State, andwheneverallthingsstatedinsuchreceivedbidsareequalwith respecttoprice,quality,andservice,thecommoditiesmanufactured, grown,orproducedwithinthisStateshallbegivenpreference.
54.CouNTySEAL:UseoftheCountySealwithouttheexpressapprovalof theBoardofCountyCommissionersisaviolationof165.043,Fla.Stat. punishableasamisdemeanor.
55.TIEBIDS:Awardofalltiequotes/bidsshallbemadebythePurchasing ManagerinaccordancewithStateStatutes,whichallowsafirmcertified asaDrug-FreeWorkplacetohaveprecedence.Whenevaluationof
Contractorresponsestosolicitationsresultsinidentical offers,with regardstobidsorquotations,oridenticalrankingwithregardsto proposals,fromtwoormoreContractors,theCountyshalldeterminethe orderofawardusingthefollowingcriteriainorderofpreferencelisted below(fromhighestprioritytolowestpriority):
a.Fortiebids,quotationsorproposals,priontyshatbegiven
totheContractorcertiingthathe/sheisaDrug-Free
Workplaceasdefinedwithin237.0S7.Fla.Stat.;
b.Intheeventthatatiestillexistsafterprogressingthrough
a,thedecisionshallbemadebylotorcointoss.The
draw:ngoflotsorcointossshallbeconductedinthe
presenceofthe effectedContractorsiftheyelecttobe
present.
56.CONTRACTORCOMPlAINTSANDDISPUTES:BrevardCcuntyencourages promptandfairhandlingofallcomplaintsanddisputeswiththebusiness community.Inordertoresolvedisputedmattersinanequitablemanner, thefollow;ngproceduresareadopted:
a.POSTiNGOFAwAReNOTIcEs
FORMALSEALEDBIDS:Nolater thanthreebusinessdaysafter
abidopeningthePurchasingManagerorhis/herdesigneeshall
postatabulationofcompet,tivesealedbidstotheVendorLink
website.Theapparentresponsivelowcontractorwillbethe
intendedawardrecommendation,Ifafterpostingthe
tabulation,the apparentowcontractorisfoundtobenon
responsivetothespecifications,arevisedtabulationwillbe
postedindicatingthatthelowcontractorisnon-responsive,and thatthenextlowestcontractoristhe :ntendedawardee.The
timeforfilingaprotestwillbeginthedateofthelaterposting. b.PROcEEDiNGS
Anycontractorwhoisalieged:yaggrievedinconnectionwith
thesolicitationorpending awardofacontractmustfileaformal writtenprotestwiththePurchasingManagerwithinfive(5)
businessdaysofthe postedawardrecommendation.
Theformalwritten protestshallreferencethe
bid/quote/proposalnumber,andshallstatewithparticularity thefactsandlawsuponwhichtheprotestisbased,including
fulldetailsofadverse effectsandthereliefsought.
Withinseven(7)calendardaysofreceiptoftheformalwritten
protest,thePurchasingManagerwillarrangeameetingofthe
ProtestCommitteeandtheaffectedparties.TheProtest
Committeeshallconsistoftwo(2)DepartmentDirectorsor
designees,bothofwhommustbefromanorganizationalgroup
whichtheuserdepartmentorgroupisnotassigned;one(1)
AssistantCountyManager,whomustbefromanorganizational
groupwhichtheuserdepartmentorgroupisnotassigned
under.ThePurchasingManagershallactasaHearing
CoordinatorandtheCountyAttorneyordesigneemayattend.
ThePurchasing Managerordesigneerecordthe meetingand
provideanyinformationasthecommitteemayrequest.The
purposeofthemeetingoftheProtestCommitteeistoprovide
anopportunityto:(1)reviewthebasisoftheprotest,(2)
evaluatethefactsandmeritsofthebidprotest,and(3)if
possible,toreacharesolutionoftheprotestthatisacceptable totheaffectedparties.ForthepurposeoftheProtest
Committeehearing,resolutionshallmeanthattheProtestor
findsthedecision oftheProtestCommitteeacceptable.
Intheeventthematterisnot resolvedwiththeProtestor’s
acceptanceoftheProtestCommittee’sdecision,thePurchasing Managerwillscheduletherecommendedawardincludingthe
detailsoftheprotestandthe ProtestCommittee’s
recommendationbeforetheBoardofCountyCommissioners
viaBoardAgenda.TheCountyManager,priortoapprovaland
placementontheBoardagenda,mayelecttoresolvethe
matterbeforepresentationtotheBoard.Intheeventthatthe
CountyManagercannotbringthemattertoresolution,acopy
oftheAgendaReportshall befurnishedimmediatelytoall
affectedparties.Theaffectedpartiesmayappearbeforethe
BoardofCountyCommissionersasafinalmeansof
administrativeremedy.
c.STAY OFPROCuREMENTsDURINGPROTESTS
Failuretoobserveanyoralloftheaboveproceduresshat
constituteawaivertherighttoprotestacontractaward.In,the eventofatimelyprotestunderthe procedure,theCountyshall
notproceedfurtherwithsolicitationorwiththe awarduntila
recommendationismadebytheCommittee,orawritten
determinationismadebytheCountyManagerthattheaward
mustbemadeimmediatelyinordertoprotectthepublic
interest.InvoicedisputesbetweenanawardedContractorand
user agencywillfollowtheguidelinessetforthinAD-33,Prompr PoymenfofInvoices.
57.Federal EmergencyManagementAgency(FEMA)ContractRequirements:
Duringahurricane,civildisturbance,orotherCountydeclaredemergency, theContractorwillberequiredtobeginresponsewithinonehour after notificationandbeonsitenolaterthantwohoursafternotificationunless duetocircumstancesbeyondcontrolofthe Contractor(roadwaydamage, etc.).Costoftheservicewillbeatthenon-standardworkir.ghours,IfState ofFloridadeclaresaStateofEmergency,Centractoragreestotheterms outlinedintheFederalEmergencyManagementAgency(FEMA)Contract Requirements(AttachmentA).
58.Unlessotherwisespecifiedinthissolicitation,allcontracts arenon- exclusiveandtheCountymayemployotherprofessionalortechnical personneltofurnishservicesfortheCounty,astheCounty,initssole discretion,findsisinthepublicinterest.TheCountyreservedtherigntto assignsuchworktothe Contractorsasitmayapproveinthesolediscretion oftheCounty.
59.Section286,101ofFloridaStatutesrequiresallprospectivecontractorsand grantrecipientsseeking tocontractwiththeCounty,orreceiveagrant fromtheCounty,wheresaidcontractorgranthasavalueof$1DD,DDDor more mustdisclosetotheCounty(1)anycurrentorpriorinterestof,(2) anycontractwith,or(3)anygrantorgiftreceivedfromaforeigncountry ofconcern(definedasthePeople’sRepublicofChina,theRussian Federation,theIslamicRepublicofIran,theDemocraticPeople’sRepublic ofKorea,theRepublicofCuba,theVenezuelanregimeofNicolasMaduro, andtheSyrian ArabRepublic,or anagencyorotherentityunderthe significantcontrolofsuchforeigncountryofconcern)ifsuchinterest, contract,orgrantorgifthasavalueof$SD,DDDormoreandsuchinterest existedatanytimeorsuchcontractorgrantorgiftwasreceivedorinforce atanytimeduringthepreviousfiveyears,Thedisclosureisspecifiedbelow, Withinone yearbeforeapplyingforanygrantorproposinganyContract, suchentitymust provideacopyofsuchdisclosureto theDepartmentof Financial Services.Disclosureisnotrequiredincertaincircumstances, outlinedontheenclosedForeignInfluenceDisclosureForm.AContractis anyagreementforthedirectbenefitoruseofanypartytosuchagreement, includinganagreementforthesaleofcommoditiesor services.AGiftis anytransferofmoneyorpropertyfromoneentitytoanotherwithout compensation.AGrantisatransferofmoneyforaspecifiedpurpose, includingaconditionalgift.Aninterestinanentity meansanydirect or indirectinvestmentInorloantotheentityvaluedat5percentormoreof theentity’snetworthoranyformofdirectorindirectcontrolexerting similarorgreaterinfluenceonthegovernanceoftheentity.
8 EMSMEDICALSUPPLIES(CooperativeBid)
B-7-23-56
CONTRACTOR’SCHECKLIST
Theitemsindicatedarerequiredforsubmissionwithyourbid.Failuretosubmitanyitems indicatedasrequiredmayresultinrejectionofthebid.Offerstoproviderequireditemsafterthe dateandtimedesignatedforthereceiptofbidwillQQ!beconsidered.
Signed/NotarizedBidInvitation,includingElectronicCopyonUSB CompletedandSignedPriceSheet,toincludeInsuranceIndemnificationAcknowledgement ConfirmationofDrug-FreeWorkplaceForm
Non-CollusionAffidavitofPrimeBidder
PublicEntityCrime
ContractorAffidavitRegardingScrutinizedCompanyList
ForeignInfluenceonContractsorGrants
FEMAContractProvisions
BYRDAnti-LobbyingAmendmentCertification
ReferenceFormwithaminimumofthree(3)!maximumoffive(5)referenceslisted Inorderforthisbidtobevalid,theaboveformsandinformationshallbecompletedintheirentirety, signedbyanauthorizedrepresentativeoftherespondingContractor,andreturnedaspartofthebid response.
9 EMSMEDICALSUPPLIES(CooperativeBid)
B-7-23-56
SPECIALCONDITIONS
1.PURPOSE
BrevardCountyPurchasingServices,onbehalfofmultipleentities,issolicitingbidsforEMS MedicalSuppliesonanasneededbasisbythefollowingBrevardCountyEntityCooperative participants:
>BrevardCountyBoardofCountyCommissioners,LeadEntity
—CityofPalmBay
—EasternFloridaStateCollege
—BrevardCountySchoolBoard
rCanaveralPortAuthority
rCityofCapeCanaveral
rCityofCocoa
—CityofCocoaBeach
—CityofMelbourne
—CityofMelbourneBeach
rCityofRockledge
rCityofSatelliteBeach
—CityofTitusville
—BarefootBayRecreationDistrict
OtherCountyPublicEntitiesnotlistedmayutilizethisbidduringthetermsofthe cooperativebid.
2.CONTRACTPERIOD
Thetermsofthisagreementshallbeeffective12)1512023through1211412028(orforfive(5)years fromthedateofaward).Theagreementmaybeextendedbymutualconsent,foranadditional two(2)one(1)yearrenewalperiods.Publiccatalogpricingshallremainfirmforthefirsttwelve (12)monthsofthiscontract.BrevardCountywillnotifytheContractorinwritingninety(90)days priortotheexpirationoftheagreementastoitsintenttorenewtheagreement.
3.DELIVERY
Allpricingfordeliveryandunloadingshallbebasedoninsidedelivery,FOB.Destination,Freight Prepaid,andAllowed,includingallpacking,shipping,handling,andfuelsurchargestothe followinglocations:
•FireRescueLogisticsOfficelocatedat300AnsinRd.,Rockledge,FL32955 •PalmBayFireRescueLogisticslocatedat899CarlyleAve.SE,PalmBay,FL32909
4.INFORMATIONORCLARIFICATION
Forinformationconcerningproceduresforrespondingtothisbid,contactHeatherRiley, PurchasingServicesat321-617-7390Ext59336orbyemailatheather.rileyTh.brevardfl.gov.
Suchcontactshallbeforclarificationpurposesonly.Materialchanges,ifany,tothe specificationswillbetransmittedbywrittenaddendumthroughPurchasingServicesandposted onlineatVendorLink.TheCountywillnotnotifyContractorsofaddenda.Itisthesole responsibilityoftheContractortocheckthewebsitepriortosubmittingabidtoverifyreceiptof alldocumentstoincludewrittenaddendum.
10 ContractorsshallpromptlynotifyPurchasingServices,priortosubmissionoftheirbid,ofany ambiguity,inconsistencyorerror,whichtheymaydiscoveruponexaminationofthebid documents.Nointerpretationofthemeaningofspecificationsorotherdocumentswillbemade toanyContractororally,normayContractorrelyonanysuchpre-bidstatementsincompleting thebid.EveryrequestforsuchinterpretationmustbeinwritingaddressedtoPurchasing Servicesat2725JudgeFranJamiesonWay,Bldg.C,Suite303,Viera,FL32940,oremailedto the attentionofHeatherRileyatheather.rileybrevardfl.gov.Tobegivenconsideration,such requestsmustbereceivedinwritingnolaterthanJuly20,2023bycloseofbusinessat 5:00pm.
5.RECEIVINGOFBIOS
BidsmustbereceivedbyBrevardCountyPurchasingServices,2725JudgeFranJamieson Way,Bldg.C,SuiteC303,Viera,FL32940nolaterthanAugust02,2023at11:00am.Bids mustbesubmittedonCountyformattobeconsidered.Theofficialtimeclockwillbethedate andtimestampclocklocatedinthePurchasingOffice.
ElectronicbidfilingisnowavailableonVendorLinkat www.myvendorlink.com Electronicbiddingispreferred;howeverhardcopybidswillstillbereceived.
Ifsubmittinghardcopies,bidsshallbesubmittedinoneoriginalandshouldbeaccompaniedby anequivalentelectronicPDFfileonUSBflashdrive.
NotetPleaseensurethatifyouuseathird-partycarrier(DHLExpress,FedEx,UPS,USPS,etc.)that theyareproperlyinstructedtodeliveryourbidonlytoPurchasingServicesonthethird(3rd)flooratthe aboveaddress.Contractorsare advisedthatU.S.PostalServicelitClassandExpressmailis deliveredtoaP.O.BoxandisnotdeliveredtothePurchasingServicesOffice.Deliveryviathe USPSisattheContractor’srisk.Tobeconsidered,abidmustbeacceptedinPurchasingServices nolaterthantheITBclosingdateandtime,Ifthebidisdeliveredanywhereelse,itmaynotreach PurchasingServicesintime.
6.PRE-BID/WALKTHROUGH
Apre-bidmeetingwillnotbeheldforthisInvitationtoBid.
7. BIDSUBMITTALPACKAGEREQUIREMENTS
IfsubmittinghardcopiesoftheBid,Vendorshalllistthefollowingdetailsontheoutsideoftheir bidsubmittalpackage:
•CompanyNameandAddress
•BidNumberandBidTitle
8.CONEOFSILENCE
Descriptivetermfortheprohibitioninsolicitationsinstructingvendorsthatonceaneedis advertised,thevendorisonlypermittedtocommunicatewiththeCounty’sdesignated representativenotedinthesolicitationdocuments.TheConeofSilenceisdesignedtoprotectthe professionalintegrityofthepublicprocurementprocessbyshieldingitfromundueinfluenceprior totherecommendationofcontractaward.Countyemployeesnotdesignatedbytherepresentative notedinthesolicitation,shallrefrainfromdiscussingthepublicprocurementwhilethecompetition isinprogress.Thevendorsareaskedbythetermsofthesolicitationtorefrainfromcontacting Commissioners,CountyOfficers,employees,oragentsregardingthependingsolicitationuntil aftertheNoticeofAwardisposted.TheConeofSilencedoesnotapplytotheCounty’sdesignated representativenotedinthesolicitationordiscussionatadulynoticedPre-ProposalConferenceor ataPublicMeeting.
11 EMS MEDICALSUPPLIES(CooperativeBid)
B-7-23-56
SCOPEOFSERVICES
1.MedicalsupplieswillbeorderedinvaryingquantitiesbyBrevardCountyFireRescueandother BrevardCountyPublicEntityCooperativeparticipantswithnominimumrestriction.Bidpricesshall includedeliverytotheuseragency.Deliverymustbemadebycompanyvehicleaminimumofonce perweek.
Vendorsmustbeabletoprovideataminimum,thelistofattached supplies.SeeAttachment A.
2.Unlessotherwisenoted, thebrandsandpartnumberslistedarethedesiredproduct.Literaturemust beprovidedwithyourbidforallsubstituteitemstoincludemanufacturer,partnumber,anddetailed specificationoftheproduct.Failuretoprovidethisliteratureforanysubstituteitemsmayresultin rejectionofyourbid.BrevardCountyreservestherighttorequestasampleofthesubstituteproduct(s) toaidindeterminingwhetherthesubstituteisacceptable.Acceptanceofsubstituteitemswillbe determinedbyBrevardCounty.
3.Allproprietaryitemslistedrequirealetterfromthemanufacturerstatingthat thebidderisanauthorized distributorandcanprovidespecificitems.
4.ItistheintentofBrevardCountytoawardthisagreementtomultiplevendors basedonthepercentage discountappliedtolistpriceonallincludedproductslisted.
5.Biddermustbeabletoprovideinvoicingwhichshowslistprice,priceperunit,andpricewithdiscount appliedonallinvoicing.Biddermustbeabletosupplyalistpricesheetthatmatchescurrentpublished catalogpricing.
6.Bidder(s)shallprovidearepresentativetopersonallycallupontheuseragency,atleastonceper week,toresolveshipping andinvoicedifficulties,productrecalls,and providestechnicalassistance.
Pleaseprovidename,addressandtelephonenumberofrepresentative:
CompanyRepresentativeNameCharliePhipps,Paramedic/FE
Address5000TuttleCrossintiBlvd
Telephone#901.640.1752Fax#877.311.2437
7.Contractormust becapableofsupplyingbiditemswithin3businessdaysoftheorder.Contractor mustbeabletodeliverwithin24-hournotice,asizeableamountofsuppliesintheeventofahurricane orothernaturaldisasterapproaching.TheCountyhastherighttoplaceemergencypurchasesfrom othersupplierswhendeliverycannotbemadeinareasonabletimeframeasdictatedbytheCounty.
8.Shouldthecontractorfailtomeetthetimelydeliveryrequirementsasoutlined,theCountymayseek toprocureitem(s)fromotherawardedvendors.Shouldstockageand/orshortordersbecomearoutine problem;thecontractwillbeterminatedbyBrevardCounty.
12 9.
Controlled
Substance
Certificate:
Awarded
Contractor
must
provide
copy
of
DEA
and/or
State
of
Florida
DOH
controlled
substances
registration
certificate
for
possession,
purchase,
and
distribution.
10. The
awarded
contractor(s)
must
provide
the
required
form(s)
to
process
returns
of
outdated
items
consistent
with
the
manufacturers
return
policies.
Credit
for
returned
goods
will
be
itemized
on
invoice.
11. The
awarded
contractor(s)
are
required
to
furnish
Brevard
County
Fire
Rescue
and
using
Brevard
County
Public
Entity
Cooperative
participants
adetailed
summary
of
sales
at
the
end
of
each
calendar
quarter.
The
sales
summary
shall
include
the
vendors
name,
the
total
volume
sold
for
each
item,
item
description
and
total
dollar
amount
for
all
purchases
during
the
reporting
period
and
credits
received
for
returned
merchandise,
12. Ordering:
The
Vendor
must
have
the
capability
of
accepting
orders
via
electronic
media
using
an
online
ordering
system
that
incorporates
the
participating
agencies
Purchase
Ordering
process.
The
Vendor’s
online
ordering
system
must
allow
chosen
agency
personnel
to
manage
user-defined
parameters,
as
well
as
monitor
the
discount
that
results
from
this
ITB.
The
vendor
must
have
the
capability
to
complete
orders,
receive
supplies
and
inventory,
via
UCAPIT
dispensing
devices
integrated
through
the
counties
in-place
inventory
management
software
which
is
Operative
10 and
IQ
Tech.
The
EMS
Division
requires
avendor
who
is
fully
integrated
with
Operative
10 which
is
used
to
centrally
manage
and
report
on
the
movement
of
medical
supplies
to
effectively
track
and
order
supplies
and
assets.
Vendor
must
be
capable
of
uploading
expiration
dating
and
lot
numbers
for
all
items
ordered
through
Operative
IQ.
The
vendor
needs
to
be
able
to
fully
integrate
with
UCAPIT
using
IQTECH
software
(Controlled
Access
Pharmacy,
CAP
for
short),
so
as
to
allow
the
ability
to
restock
units
24/7
and
have
real-time
usage
and
inventory
tracking
at
no
additional
cost
to
the
County.
13 EMSMEDICALSUPPLIES(CooperativeBid)
8-7-23-58
PRICESHEET
Seeattachedbreakdownofitemizedcomplete
**percentoffcatalogoffering. DISCOUNTOFFPUBLICCATALOGPRICE%PERCENTAGE Biddersnearestwarehouseaddress:BoundTreeMedical.LLC
2619IgnitionDrive.Suite2
Jacksonville,FL32218
ACHPAYMENTS
DoesyourcompanyacceptACHPaymentMethod?XYes/No
PROMPTPAYMENTDISCOUNT
BrevardCountyshallremitpaymentinaccordancewiththeFloridaPromptPaymentAct,Florida Statutessection218.70.Contractorsmayoffercashdiscountsforpromptpaymentbuttheywillnotbe consideredindeterminationofaward.IfaContractoroffersadiscount,itisunderstoodthatthediscount timewillbefromthedateofsatisfactorydelivery,attheplaceofacceptance,andreceiptofcorrect invoice,attheofficespecified,whicheveroccurslast.
*
IfPromptPaymentDiscountisoffered,pleasestatediscountandterms:
Net30Terms
ADDENDUMACKNOWLEDGMENT
Contractoracknowledgesreceiptofamendmentsbyindicatingamendmentnumberanddateofissue.
Add.No.1Dated7/31/2023IIAdd.No.3Dated08/08/2023
Add.No.2Dated08/01/2023IIAdd.No.Dated_______________
IherebyacknowledgethatIhaveread,understand,andagreetoallterms,conditions,insurance,scope ofwork,specificationsandpricingfor9-7-23-56EMSMEDICALSUPPLIES COMPANYNAMEBoundTree Medical.LLC
ADDRESS5000TuttleCrossingBlvd.Dan.o
AUTHORIZEDSIGNATURE________________________________________ PRINTEDSIGNATURE__RobMerivatherDATE09/11/2023
TELEPHONE#800.533.0523FAX#877.311.2437
EMAIL_submitbidsf2i)boundtree.corn
14 BREVARDCOUNTYBOARDOFCOUNTYCOMMISSIONERS
INDEMNIFICATIONANDINSURANCEREQUIREMENTS
EMSMEDICALSUPPLIES(CooperativeBid)
B-7-23-56
INDEMNIFICATION
TheCountyshallbeheldharmlessagainstanyandallclaimsforbodilyinjury,sickness,disease,death,personalinjury,damage topropertyorlossofuseofany propertyorassetsresultingtherefrom,arisingoutof orresultingfromtheperformanceofthe productsorfromtheservicesforwhichtheCountyiscontractinghereunder,providedsuchiscausedinwholeorinpartbyany negligentactoromissionofthe Contractor,oranysubcontractororanyoftheiragentsoremployees,orarisesfromajob-related injury.
TheContractoragreestoindemnifytheCountyandpaythecostoftheCounty’slegaldefenses,includingfeesofattorneysas may beselectedbytheCounty,forallclaimsdescribedintheholdharmlessclauseherein.SuchpaymentonbehalfoftheCounty shallbeinadditiontoanyandallotherlegalremediesavailabletotheCountyandshallnotbeconsideredtobetheCounty’s exclusiveremedy.
ItisagreedbythepartiesheretothattheContractorhasreceivedspecificconsiderationunderthisagreementforthishold harmlesslindemnificationprovision
INSURANCEREQUIREMENTS
TheContractorprovidingservicesunderthisagreementwillberequiredtoprocure andmaintain,attheirownexpenseand withoutcosttotheCounty,untilfinalacceptancebythe Countyofallproductsorservicescoveredbythepurchaseorderor contract.thefollowingtypesofinsurance.Thepolicylimitsrequiredaretobeconsideredminimumamounts:
GeneralLiabilityInsurancepolicywithaSi000noncombinedsinglelimitforeachoccurrencetoincludethefollowing coverage:Operations,ProductsandCompletedOperations.PersonalInjury,ContractualLiabilitycoveringthiscontract,X C-U,hazards,andErrors&Omissions.
AutoLiabilityInsurance,whichincludescoverageforallowned,non-ownedand rentedvehicleswith a combined singlelimitforeachoccurrence.
Workers’Compensationand EmployersLiabilityInsuranceWorkersCompensationinsuranceprovidingstatutorybenefits asrequiredintheStateofFlorida.TheContractorshallrequireanysubcontractortoprovideevidenceofthiscoverage.
Additionally,ifthecontract requiresworkingonoraroundanavigablewaterway, theContractorandallsubcontractors shall provideevidenceofUnitedStatesLongshoremen’sandHarborWorkers(USL&H)coverageandcontingentcoverage ofJonesAct(MarineEmployersLiability)incompliancewithFederalstatutesorproofofexemption.TheContractorshall beresponsibleforcompliancewiththeserequirementsbyeachsubcontractor,Contractororsupplierwhen applicable.
Intheeventthatthecontractinvolvesprofessionalorconsultingservices,inadditiontotheaforementionedinsurance requirements,theContractorshallalso beprotectedbyaProfessionalLiabilityInsurancePolicyintheamountofSi000 000 perclaim.
Intheeventthecontractinvolvesservicesrelatedtoconstructionprojects, theContractorshallalsoprocureandmaintaina BuildersRiskInsurancePolicyorInstallationFloaterwithlosslimitsequaltothevalueofthe constructionproject.
Inadditiontotheabove,SnecialtvInsurancepoliciescoveringspecificrisksofloss(includingbutnotlimitedto,forexample; Longshorecoverage.CraneandRigging.Inland Marine,etc.)may berequiredbyBrevard CountyInsuranceandRisk Management.Anyadditionalspecialtyinsurancecoveragerequirementwillbe dictatedbythe specificgoods,productsor servicesprovidedunderthesubjectcontractandinsuranceunderwritingstandards,practices,proceduresorproducts availableinthecommercialinsurancemarketatthetimeofthecontractinception.TheContractorisrequiredtoprocureand maintainallsuchspecialtycoverageinaccordancewithprudentbusinesspracticeswithintheContractorsindustry.
TheawardedContractorshallhavefive(5)daystoprovidecertificatesofinsurancetotheCountydemonstrating thatthe aforementionedinsurancerequirementshavebeenmetpriortothecommencementofworkunderthiscontract.The certificate(s)ofinsurance(CCI)shallindicatethatthepolicieshavebeenendorsedtocovertheCountyasanadditional insured(awaiverofsubrogationinlieuofadditionalinsuredstatusonthe workers’compensationpolicyisacceptable) andthatthesepolicies maynotbecanceledormodifiedwithoutthirty(30)dayspriorwrittennoticetotheCounty.
Theinsurancecoverageenumeratedaboveconstitutestheminimumrequirementsandshallinnowaylessenorlimittheliability oftheContractorunderthetermsofthecontract.Sub-Contractor’sinsuranceshallbetheresponsibilityofthe Contractor. 15 EMS MEDICALSUPPLIES(CooperativeBid)
B-7-23-56
CONFIRMATIONOFDRUG-FREEWORKPLACEFORM
InaccordancewithSection287.087,FloridaStatutes,“whenevertwoormorebidsare equalwithrespecttoprice,quality,andservicewhicharereceivedbyanypoliticalsubdivisionfor the procurementofcommoditiesorcontractualservices,abidreceivedfromabusinessthat certifiesthatithasimplementedadrug4reeworkplaceprogramshallbegivenpreferenceinthe awardprocess.Inordertohaveadrug-freeworkplaceprogram,abusinessshall:
(1)Publishastatementnotifyingemployeesthattheunlawfulmanufacture,distribution, dispensing,possession,oruseofacontrolledsubstanceisprohibitedintheworkplaceand specifyingtheactionsthatwillbetakenagainst employeesforviolationsofsuchprohibition. (2)Informemployeesaboutthedangersofdrugabuseintheworkplace,thebusiness’spolicyof maintainingadrug4reeworkplace,anyavailabledrugcounseling,rehabilitation, and employeeassistanceprograms, andthe penalties thatmaybeimposeduponemployeesfor drugabuseviolations.
(3)Giveeachemployeeengagedinprovidingthecommoditiesorcontractualservicesthat are underbidacopyofthestatementspecifiedinsubsection(1).
(4)Inthestatementspecifiedinsubsection(1),notifytheemployeesthat,asaconditionof workingonthecommoditiesorcontractualservicesthat areunderbid,the employeewill abidebythetermsofthestatementandwillnotifytheemployerofanyconvictionof,orplea ofguiltyornobcontendereto,anyviolationofchapter893orofanycontrolledsubstancelaw oftheUnitedStatesoranystate,foraviolationoccurringintheworkplacenolaterthan5 daysaftersuchconviction.
(5)Imposeasanctionon,orrequirethesatisfactoryparticipationinadrugabuse assistanceor rehabilitationprogramifsuchisavailableintheemployee’scommunityby,anyemployeewho issoconvicted.
(6)Makeagoodfaithefforttocontinuetomaintainadrug-free workplacethrough implementationofthissection.”
Asthepersonauthorizedtosignthestatement,Icertifythatthisfirmcomplieswiththeabove requirementsandtheFloridaStatutesSection287.087.ThisformisinconjunctionwithBrevard County’sGeneralConditions,Item27,Drug-FreeWorkplace.
BoundT,eMeqkQLLCBid#8-7-23-56/EMSMedical Supplies(CooperativeBid) Businss
/
______
BidNumberandName
_______________________________________
09/11/2023
Authizedepresentative’sSignatureDate
RobMeriwetherPresidentofEMSDivision
NamePosition
16 EMSMEDICALSUPPLIES(CooperativeBid)
B-7-23-56
CONTRACTORAFFIDAVITREGARDING SCRUTINIZEDCOMPANYLIST
AwardedContractorshallcertifythatitanditssubcontractorsarenotontheScrutinizedCompaniesthat BoycottIsraelList.PursuanttoSection287.135,F.S.IftheContractisformorethan$1,000,000 the Contractor furthercertifiesthatitanditssubcontractorsarealsonotontheScrutinizedCompanieswith ActivitiesinSudan,ScrutinizedCompanieswithActivitiesintheIranPetroleumEnergySectorList,or engagedwithbusinessoperationsinCubaorSyriaasidentifiedinSection287.135,F.S.
ForContractsofany amount,iftheCountydeterminestheContractorsubmittedafalsecertificationunder Section 287.135(5)oftheFloridaStatutes,oriftheContractorhasbeenplacedonthe Scrutinized Companies thatBoycottIsraelList,orisengagedinaboycottofIsrael,theCountyshalleither terminate theContractafterithasgiventheContractornoticeandanopportunitytodemonstratetheCounty’s determinationoffalsecertificationwasinerrorpursuanttoSection287.135(5)(a)oftheFloridaStatutes, oronacase-by-casebasistheCountymaychoosetomaintaintheContractifthe conditionsofSection 287.135(4)oftheFloridaStatutesaremet.ForContracts$1,000,000andgreater,iftheCounty determinesthe ContractorsubmittedafalsecertificationunderSection287.1 35(5)oftheFloridaStatutes, oriftheContractorhas beenplacedontheScrutinizedCompanieswithActivitiesintheSudanList,orthe ScrutinizedCompanieswithActivitiesintheIranPetroleumEnergySectorList,theCountyshalleither terminate theContractafterithasgiventheContractornoticeandanopportunitytodemonstratethe County’sdeterminationoffalsecertificationwasinerrorpursuanttoSection287.135(5)(a)oftheFlorida Statutes,oronacase-by-casebasistheCountymaychoosetomaintaintheContractiftheconditionsof Section287.135(4)oftheFloridaStatutesaremet.
STATE OFrLORtDPFOHIO
COUNTYOFFRANKLIN
BEFOREME,theundersignedauthority,personallyappeared
RobMeriweather,who,beingbymefirstdulysworn,madethe
followingstatement:
1.TheBusinessaddressofBoundTreeMedical.LLC.(nameofContractor)is 5000TuttleCrossingBlvd.
2. MyrelationshiptoBound TreeMedical,LLC.(nameofContractor)is President(relationshipsuchassoleproprietor,partner,president,vice president).
3.Iunderstandthat“Boycottof Israel”hasthesamemeaningasdefinedin§215.4725,Florida Statutes,andmeansrefusingtodeal,terminatingbusinessactivities,ortakingotheractionsto limitcommercialrelationswithIsrael,orpersonsorentitiesdoingbusinessinIsraelorinIsraeli- controlledterritories,inadiscriminatorymanner.Astatementbyacompany thatitisparticipating inaboycottofIsrael,orthatithasinitiatedaboycottinresponsetoarequestforaboycottofIsrael orincompliancewith,orinfurtheranceof,callsforaboycottofIsrael, maybeconsideredbythe StateBoardofAdministrationtobeevidence thatacompanyisparticipatinginaboycottofIsrael.
Thetermdoesnotincluderestrictivetradepracticesorboycottsfosteredorimposedbyforeign countriesagainstIsrael.
17 4.Iunderstandthat“businessoperations”means,forpurposesspecificallyrelatedtoCubaorSyria, engagingincommerceinanyforminCubaorSyria,including,but notlimitedto,acquiring, developing,maintaining,owning,selling,possessing,leasing,oroperatingequipment,facilities, personnel,products,services, personalproperty,realproperty,militaryequipment,oranyother apparatusofbusinessorcommerce.
5,BoundTreeMedical.LLC.(nameofContractor)isnotonthe ScrutinizedCompaniesthat BoycottIsraelList,createdpursuantto s.215,4725,FloridaStatutes,orisengagedinaboycottof Israel.
6.BoundTreeMedical,LLC.
ActivitiesinSudanListorthe
SectorList,createdpursuant
7. Sworn
dayof
BoundTreeMedical,LLC.
CubaorSyria.
(nameofContractor)isnotontheScrutinizedCompanieswith
ScrutinizedCompanieswithActivitiesintheIranPetroleumEnergy toa.215.473,FloridaStatutes.
(n;meofContractor)isnotengagedinbusinessoperationsin
stateandcountyfirstmentionedaboveontheh
CLJ
NotaPublic
Mycommissionexpires:GVJ2_5
ature
toand,subscribedbefore
:AFFfXSEALCiSTAMP;
KRYSTAKMARTIN
NotaryPublic,StateofOhio
MyComm.
18 EMS MEDICALSUPPLIES(CooperativeBid)
B-7-23-56
DISCLOSUREFORMFOREIGNINFLUENCEONCONTRACTSOR GRANTSHAVINGA VALUE OF$100,000ORMORE
SummaryofForm:InorderfortheCountytocomplywithsection286.101,FloridaStatutes, allprospectivecontractorsandgrantrecipientsseekingtocontractwiththeCounty,orreceivea grantfromtheCounty,wheresaidcontractorgranthasavalueof$100,000ormoremust disclosetotheCounty(1)anycurrentorpriorinterestof,(2)anycontractwith,or(3)anygrant orgiftreceivedfromaforeigncountryofconcern(definedasthePeople’sRepublicofChina, theRussianFederation,theIslamicRepublicofIran,theDemocraticPeople’sRepublicof Korea,theRepublicofCuba,theVenezuelanregimeofNicolasMaduro,andtheSyrianArab Republic,oranagencyorotherentityunderthesignificantcontrolofsuchforeigncountryof concern)ifsuchinterest,contract,orgrantorgifthasavalueof$50,000ormoreandsuch interestexistedatanytimeorsuchcontractorgrantorgiftwasreceivedorinforceatanytime duringthepreviousfiveyears.Thedisclosureisspecifiedbelow.Withinoneyearbefore applyingforanygrantorproposinganyContract,suchentitymustprovideacopyofsuch disclosuretotheDepartmentofFinancialServices.Disclosureisnotrequiredincertain circumstances,outlinedbelow.AContractisanyagreementforthedirectbenefitoruseofany partytosuchagreement,includinganagreementforthesaleofcommoditiesorservices.A Giftisanytransferofmoneyorpropertyfromoneentitytoanotherwithoutcompensation.A Grantisatransferofmoneyforaspecifiedpurpose,includingaconditionalgift.Aninterestin anentitymeansanydirectorindirectinvestmentinorloantotheentityvaluedat5percentor moreoftheentity’snetworthoranyformofdirectorindirectcontrolexertingsimilarorgreater influenceonthegovernanceoftheentity.
I.SECTIONI.Pleaseansweryesornotoeachstatementbelow:
YES/NOIAMBIDDINGONACONTRACT/APPLYINGFORAGRANTWITHA
POTENTIALVALUEUNDER$100,000.Ifyes,thisdisclosureformasbeen completed.Pleasesignanddateatthebottom.
NOIAMBIDDINGONACONTRACT/APPLYINGFORAGRANTWITHA
POTENTIALVALUEOFOVER$100,000.Ifyes,proceedtothenextquestion.
YESINOIHAVEMADEAFOREIGNINFLUENCEDISCLOSUREONLINEWITHTHE DEPARTMENTOFFINANCIALSERVICES.Ifyes,pleaseproceedtoSECTION IVandprovidethedateofthedisclosure,yournameandaddress.Thensignand dateatthebottom.
II.SECTIONII.Pleaseansweryesornotothestatementbelow:
YESBidder/Granteehas(1)acurrentorpriorinterestof,anycontractwith,orany grantorgiftreceivedfromaforeigncountryofconcern(definedasthePeople’s RepublicofChina,theRussianFederation,theIslamicRepublicofIran,the DemocraticPeople’sRepublicofKorea,theRepublicofCuba,theVenezuelan Regimeof NicolasMaduro,andtheSyrianArabRepublic,oranagencyorother entityunderthesignificantcontrolofsuchforeigncountryofconcern);and(2) suchinterest,contract,orgrantorgifthasavalueof$50,000ormore;and(3) suchinterestexisted,orsuchcontractorgrantorgiftwasreceivedorinforceat anytimeduringthepreviousfiveyears.
19 III.SECTIONIII. IfyouansweredNO toSECTIONII,youhavecompletedthisform.Please sign/dateatthebottom.IfyouansweredYEStoSECTIONII,thenanswerYESorNOtothe following:
YESINOThisisaproposaltosellcommoditiesthroughan onlineprocurementprograms establishedpursuanttosection287.057(22),FloridaStatutes.
YESINOThisisaproposalfromanentitythatdisclosesforeigngiftsorgrantsunder section1010.25orsection286.101(2),FloridaStatutes.
YES/NOThisisaproposalfromaforeignsourcethat,ifgrantedoraccepted,wouldbe disclosedundersection286.101(2)orsection1010.25,FloridaStatutes.
YES/NOThisisaproposalfromapublicornot-for-profitresearchinstitutionwithrespectto researchfundedbyanyfederalAgency.
IV.SECTIONIV.IfyouansweredYEStoanyquestioninSECTIONIII,youhavecompleted thisform.Pleasesign/dateatthebollom.IfyouansweredNOtoallofthequestionsin SECTIONIII,thenyoumustmakethefollowingdisclosuresonlinetotheStateofFlorida DepartmentofFinancialServicesbefore theCountymaycontractwithyouorawardyousaid grant.Pleasedisclosethefollowing:
DateDisclosureoftheinformationbelowwasmadebyBidder/GranteetotheStateof FloridaDepartmentofFinancialServicesonline:_____________________ NameofBidder/Grantee:_________________________________________ MailingAddressofBidder/Grantee:
___________________________________
ValueoftheContract/GrantorGift:
___________________________
Foreign CountryofConcernortheAgencyorotherentityunderthesignificant ControlofsuchForeign countryofConcern:
___________________
DateofTerminationofthe contractorinterestwiththeForeignCountryofConcern:
DateofReceiptoftheContract/GrantorGift:___________________ Nameoftheagentorcontrolledentitythatisthesourceorinterestholder:
IverifythattheinfoçJti9nvidedonthisformistrueandcorrect,andthatIamduly authorizedtomake’s%d/J’ingdisclosuresonbehalfofmyselformyCompany,asapplicable.
Signature:/o
Date:09/11/200ITitle:PresidentofEMSDivision
STATEOFa-GR+SAID
COUNTYOF
___________
SworntoandsubscribedbeforemebymeansofCphysicalpresenceorConlinenotarization, thisUtdayof•iñ-,9’(I?,by(nameofpersonmakingstatement).
20 IPersonallyKnownOR
TypeofIdentificationProduced•
1(fh
otaryFfJblicSignature
Namebiped,printedorstamped
MyCommissionExpires:
_____________
ProducedIdentification
[NoiKRVSTAKMARTIN
NotaryPublicStateqfOhio
MyComm.EcpkesAb1J4
21 StateofOHIO
CountyofFRANKLIN
EMSMEDICALSUPPLIES(CooperativeBid)
B-7-23-56
NON-COLLUSIONAFFIDAVITOFPRIMEBIDDER
RobMeriweather(“Affiant”),beingdulysworn,deposesandsaysthat:
(I)AfflantisPresident
hassubmittedtheattachedBid;
BoundTreeMedical,LLC.theBidderthat
(2)AffiantisfullyinformedrespectingthepreparationandcontentsoftheattachedBidand ofallpertinentcircumstancesrespectingsuchBid;
(3)SuchBidisgenuineandisnotacollusiveorshamBid;
(4)NeitherthesaidBiddernoranyofitsofficers,partners,owners,agents,representatives, employeesorpartiesininterest,includingthisaffiant,hasinanywaycolluded, conspired,connivedoragreed,directlyorindirectlywithanyotherBidder,firmorperson tosubmitacollusiveorshamBidinconnectionwiththeContractforwhichtheattached BidhasbeensubmittedortorefrainfrombiddinginconnectionwithsuchContract,or hasinanymanner,directlyorindirectly,soughtbycontract,orhasinanymanner, directlyorindirectly,soughtbyagreementorcollusionorcommunicationorconference withanyotherBidder,firmorpersontofixthepriceorpricesintheattachedbidorof anyotherBidder,ortofixanyoverhead,profitorcostelementoftheBidpriceortheBid priceofanyotherBidder,ortosecurethroughanycollusion,conspiracy,connivanceor unlawfulagreementanyadvantageagainsttheBoardofCountyCommissionersof BrevardCounty,Florida,oranypersoninterestedintheContract;and affiant.
Subscribedandsworntome befo
of_____________
Mycommissionexp
thisday
P$tryPublic,Sbt.&cRi,
tcaeehN23
(5)ThepriceorpricesquotedintheattachedBidArefairandproperandarenottaintedby anycollusion,conspiracy,connivanceorun}óV,ifulagreementonthepartoftheBidder oranyofitsagents,representative•Ioyees,orpartiesofinterest,including ___________
20Li.
/
tI
i,i1LL
‘JotaryPublic)
22 EMS MEDICALSUPPLIES(CooperativeBid)
B-7-23-56
PUBLICENTITYCRIMEFORM
Section287.133(3)(a),FloridaStatutes,onPublicEntityCrimes:
Apersonoraffiliatewhohasbeenplacedonthe convictedvendorlistfollowinga convictionforapublicentitycrimemaynotsubmitabid/quote/proposalona contracttoprovidegoodsorservicestoapublicentity,maynotsubmita bid/quote/proposalonacontractwithapublicentityfortheconstructionorrepairof apublicbuildingorpublicwork,maynotsubmitbids/quotes/proposalsonleasesof rentalpropertytoapublicentity,maynotbeawardedorperformworkasa contractor,supplier,subcontractor,orconsultantunderacontractwithanypublic entity,andmaynottransactbusinesswithanypublicentityinexcessofthe thresholdamountprovidedinSection287.017,forCATEGORYTWOforaperiod of38monthsfromthedatebeingplacedonthe convictedvendorlist.
Acknowledged:Date:09/11/2023
23 EMSMEDICALSUPPLIES(CooperativeBid)
B-7-23-56
REFERENCEFORM
Listaminimumofthree(3)/maximumfive(5)customersfortheservicesspecifiedinthesolicitationin thespacesprovided.Note:Acontactpersonshallbesomeonewhohaspersonalknowledgeofthe Contractor’sperformanceforthespecificrequirementlisted.Contactpersonmusthavebeeninformed thattheyarebeingusedasareferenceandthattheCountymaybecallingthem.Donolistpersonswho willbeunabletoanswerspecificquestionsregardingtherequirements.
Ref#1.Customer/Client:SanFranciscoFireDepartment
DateofServices:2010-Present
DescriptionofServices:MedicalSuppliesandPharmaceuticals StreetAddress:1415EvansAve
City,State,ZIPcode:SanFrancisco,CA34124
Telephone#:415.717.6876
contactPerson:AndyZanoff,EMSCaptain
______________________
Ref#2.
Ref#3.
Ref#4.
Ref#5.
CONTRACTORNAMEBoundTreeMedical,LL
ADDRESS5000Tuttle CrossingBlvd.Djx)fri.U430I6
PRINTEDSIGNATURE
AUTHORIZEDSIGNATURE
TELEPHONE#800.533.0523
EMAIL:submitbidsuiboundtree.com
VAX#877.311.2437DATE09/11/2023
Fax#:
Email:andy.zanoff(äisfgov.org
Customer/Client:FireDepartmentCityofNewYork
DateofServices2008-Present
DescriptionofServices:MedicalSuppliesandPharmaceuticals StreetAddress:9Metro TechCenter
City,State,ZIPCodeBrooklyn,NY11201
Telephone#:718.999.2790Fax#:
ContactPersonDouglaslsaacs,MD.DeputyMedtcalEmaildoug.isaacsfdnv.nyc.gov Three[or
customer/client:Priority.kmbulance
DateofServices2019-Present
DescriptionofServices:MedicalSuppliesandPharmaceuticals StreetAddress:910CallahanRd.Ste101
City,State,ZIPCodeKnoxville.TN37912
Telephone#:614354.4702Fax#:
ContactPerson.SteveBlackburn.ChiefOperatiniEmail:sblackbum(priorityambulance.com Officer
Customer/Client:CityofColumbusDivisionofFire
DateofServices:2007-Present
DescriptionofServices:MedicalSuppliesandPharmaceuticals StreetAddress2028WilliamsRd
City,State,ZIPCode:Columbus,OH43207
Telephone#:614.221.3132Fax#:
ContactPerson.ScottEllis.MedicalSupplyEmail:seelliscolumbus.gov Specialist
Customer/Client:CityofTampaFireDepartment
DateofServices.2007-Present
DescriptionofServices:MedicalSuppliesandPharmaceuticals StreetAddress808EastZackSt
City,State,ZIPCode:Tampa,FL33602
Telephone#:352.406.2573Fax#:
ContactPerson:BarbaraTripp,FireChiefEmail:barbara.tripptampagov.net Rob
24 ATTACHMENTB
BYRDANTI-LOBBYINGAMENDMENTCERTIFICATION
BYRDANTI-LOBBYINGAMENDMENT
Contractorswhoapplyorbidforanawardof$100,000ormoreshallfiletherequiredcertification.
EachtiercertifiestothetierabovethatitwillnotandhasnotusedFederalappropriatedfunds topayanypersonororganizationforinfluencingorattemptingtoinfluenceanofficeror employeeofanyagency,aMemberofCongress,officeroremployeeofCongress,oran employeeofaMemberofCongressinconnectionwithobtaininganyFederalcontract,grant, oranyotherawardcoveredby31U.S.C.§1352.Eachtiershallalsodiscloseanylobbying withnon-FederalfundsthattakesplaceinconnectionwithobtaininganyFederalaward.Such disclosuresareforwardedfromtiertotieruptothe recipientwhointurnwillforwardthe certification(s)totheawardingagency.
APPENDIXA,44C.F.R.PART18-CERTIFICATIONREGARDINGLOBBYING— REQUIREDFORCONTRACTSOVER$100,000
CertificationforContracts,Grants,Loans,andCooperativeAgreements Theundersignedcertifies,tothebestofhisorherknowledgeandbelief,that:
1.NoFederalappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfofthe undersigned,toanypersonforinfluencingorattemptingtoinfluenceanofficeroremployee ofanagency,aMemberofCongress,anofficeroremployeeofCongress,oranemployeeof aMemberofCongressinconnectionwiththeawardingofanyFederalcontract,themaking ofanyFederalgrant,themakingofanyFederalloan,theenteringintoofanycooperative agreement,andtheextension,continuation,renewal,amendment,ormodificationofany Federalcontract,grant,loan,orcooperativeagreement.
2.IfanyfundsotherthanFederalappropriatedfundshavebeenpaidorwillbepaid toanypersonforinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency, aMemberofCongress,anofficeroremployeeofCongress,oranemployeeofaMemberof CongressinconnectionwiththisFederalcontract,grant,loan,orcooperativeagreement,the undersignedshallcompleteand submitStandardForm-LLL,“DisclosureFormtoReport Lobbying,”inaccordancewithitsinstructions.
3.Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedin theawarddocumentsforallsubawardsatalltiers(includingsubcontracts,subgrants,and contractsundergrants,loans,andcooperativeagreements)andthatallsubrecipientsshall certifyanddiscloseaccordingly.
Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthis transactionwasmadeorenteredinto.Submissionofthiscertificationisaprerequisitefor makingorenteringintothistransactionimposedbysection1352,title31,U.S.Code.Any personwhofailstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotless than$10000andnotmorethan$100,000foreachsuchfailure.
TheContractor,BoundTreeMedical,LLC.,certifiesoraffirmsthetruthfulnessand accuracyofeachstatementofitscertificationanddisclosure,ifany.Inaddition,the Contractorunderstandsandagreesthattheprovisionsof31U.S.C.Chap.38,Administrative RemediesforFalseClaimsandStatements,applytothiscertificationanddisclosure,ifany.
CompanyNameBoundTreeMedical,LLC.
Address5000TuttleCrossingBlvd.
Dublin,OH43016
Telephone800.533.0523Fax877.311.2437
[email protected]
NameandTitleofAuthorizedSiqflreRo/ehweather-PresidentofEMSDivision AuthorizedSignature
Updated1/30/2023.Applicabletoawardsonorafter November12,2020perJune2021ProcurementDisasterAssistanceTeam (PDAT)ContractProvisionsGuide.
Attachment
C
FEDERALEMERGENCYMANAGEMENTAGENCY(FEMA)CONTRACT
REQUIREMENTS
Duringtheperformanceofthiscontract,theConsultantand/orContractor (hereinafterConsultant/Contractor)agreesasfollows:
1.ContractWorkHoursandSafetyStandardsAct.
Anycontractinanamountinexcessof$100,000issubjecttotheovertime provisionsoftheContractWorkHoursandSafetyStandardsAct.Asusedinthis section,thetermslaborersandmechanicsincludewatchmenandguards. a.Overtimerequirements.NoConsultant/Contractororsubcontractor contractingforanypartofthecontractworkwhichmayrequireorinvolvethe employmentoflaborersormechanicsshallrequireorpermitanysuchlaborer ormechanicinanyworkweekinwhichheorsheisemployedonsuchworkto workinexcessoffortyhoursinsuchworkweekunlesssuchlaboreror mechanicreceivescompensationataratenotlessthanoneandone-half timesthebasicrateofpayforallhoursworkedinexcessoffortyhoursin suchworkweek.
b.Violation;liabilityforunpaidwages;liquidateddamages.Intheeventofany violationoftheclausesetforthinparagrapha.ofthissectionthe Consultant/Contractorandanysubcontractorresponsiblethereforshallbe liablefortheunpaidwages.Inaddition,suchConsultant/Contractorand subcontractorshallbeliabletotheUnitedStates(inthecaseofworkdone undercontractfortheDistrictofColumbiaoraterritory,tosuchDistrictorto suchterritory),forliquidateddamages.Suchliquidateddamagesshallbe computedwithrespecttoeachindividuallaborerormechanic,including watchmenandguards,employedinviolationoftheclausesetforthin paragrapha.ofthissection,inthesumof$27foreachcalendardayonwhich suchindividualwasrequiredorpermittedtoworkinexcessofthestandard workweekoffortyhourswithoutpaymentoftheovertimewagesrequiredby theclausesetforthinparagraphaofthissection.
c.Withholdingforunpaidwagesandliquidateddamages.TheCountyshall uponitsownactionoruponwrittenrequestofanauthorizedrepresentativeof theDepartmentofLaborwithholdorcausetobewithheld,fromanymoneys payableonaccountofworkperformedbytheConsultant/Contractoror subcontractorunderanysuchcontractoranyotherFederalcontractwiththe sameprimeConsultant/Contractor,oranyotherfederally-assistedcontract subjecttotheContractWorkHoursandSafetyStandardsAct,whichisheld bythesameprimeConsultant/Contractor,suchsumsasmaybedetermined tobenecessarytosatisfyanyliabilitiesofsuchConsultant/Contractoror Page1of25
subcontractor
for
unpaid
wages
and
liquidated
damages
as
provided
in
the
clause
set
forth
in
paragraph
b
of
this
section.
d.
Subcontracts.
The
Consultant/Contractor
or
subcontractor
shall
insert
in
any
subcontracts
the
clauses
set
forth
in
paragraph
athrough
dof
this
section
and
also
a
clause
requiring
the
subcontractors
to
include
these
clauses
in
any
lower
tier
subcontracts.
The
prime
Consultant/Contractor
shall
be
responsible
for
compliance
by
any
subcontractor
or
lower
tier
subcontractor
with
the
clauses
set
forth
in
paragraphs
athrough
d
of
this
section.
2. Equal
Employment
Opportunity
provisions:
During
the
performance
of
this
contract,
the
Consultant/Contractor
agrees
as
follows:
a.
The
Consultant/Contractor
will
not
discriminate
against
any
employee
or
applicant
for
employment
because
of
race,
color,
religion,
sex,
sexual
orientation,
gender
identity,
or
national
origin.
The
Consultant/Contractor
will
take
affirmative
action
to
ensure
that
applicants
are
employed,
and
that
employees
are
treated
during
employment
without
regard
to
their
race,
color,
religion,
sex,
sexual
orientation,
gender
identity,
or
national
origin.
Such
action
shall
include,
but
not
be
limited
to
the
following:
Employment,
upgrading,
demotion,
or
transfer;
recruitment
or
recruitment
advertising;
layoff
or
termination;
rates
of
pay
or
other
forms
of
compensation;
and
selection
for
training,
including
apprenticeship.
The
Consultant/Contractor
agrees
to
post
in
conspicuous
places,
available
to
employees
and
applicants
for
employment,
notices
to
be
provided
setting
forth
the
provisions
of
this
nondiscrimination
clause.
b.
The
Consultant/Contractor
will,
in
all
solicitations
or
advertisements
for
employees
placed
by
or
on
behalf
of
the
Consultant/Contractor,
state
that
all
qualified
applicants
will
receive
consideration
for
employment
without
regard
to
race,
color,
religion,
sex,
sexual
orientation,
gender
identity,
or
national
origin.
c.
The
Consultant/Contractor
will
not
discharge
or
in
any
other
manner
discriminate
against
any
employee
or
applicant
for
employment
because
such
employee
or
applicant
has
inquired
about,
discussed,
or
disclosed
the
compensation
of
the
employee
or
applicant
or
another
employee
or
applicant.
This
provision
shall
not
apply
to
instances
in
which
an
employee
who
has
access
to
the
compensation
information
of
other
employees
or
applicants
as
a
part
of
such
employee’s
essential
job
functions
discloses
the
compensation
of
such
other
employees
or
applicants
to
individuals
who
do
not
otherwise
have
access
to
such
information,
unless
such
disclosure
is
in
response
to
a
formal
complaint
or
charge,
in
furtherance
ofan
investigation,
proceeding,
hearing,
or
action,
including
an
investigation
conducted
by
the
employer,
or
is
Page
2of25
consistentwiththeConsultant/Contractor’slegaldutytofurnishinformation. d.TheConsultant/Contractorwillsendtoeachlaborunionorrepresentativeof workerswithwhichhehasacollectivebargainingagreementorothercontract orunderstanding,anoticetobeprovidedadvisingthesaidlaborunionor workers’representativesoftheConsultant/Contractor’scommitmentsunder thissection,andshallpostcopiesofthenoticeinconspicuousplaces availabletoemployeesandapplicantsforemployment.
e.TheConsultant/Contractorwillcomplywith allprovisionsofExecutiveOrder 11246ofSeptember24,1965,andoftherules,regulations,andrelevant ordersoftheSecretaryofLabor.
f.TheConsultant/Contractorwillfurnishallinformationandreportsrequiredby ExecutiveOrder11246ofSeptember24,1965,andbyrules,regulations,and ordersoftheSecretaryofLabor,orpursuantthereto,andwillpermitaccess tohisbooks,records,andaccountsbytheadministeringagencyandthe SecretaryofLaborforpurposesofinvestigationtoascertaincompliancewith suchrules,regulations,andorders.
g.IntheeventoftheConsultant/Contractor’snoncompliancewiththe nondiscriminationclausesofthiscontractorwithanyofthesaidrules, regulations,ororders,thiscontractmaybecanceled,terminated,or suspendedinwholeorinpartandtheConsultant/Contractormaybedeclared ineligibleforfurtherGovernmentcontractsorfederallyassistedconstruction contractsinaccordancewithproceduresauthorizedinExecutiveOrder11246 ofSeptember24,1965,andsuchothersanctionsmaybeimposedand remediesinvokedasprovidedinExecutiveOrder11246ofSeptember24, 1965,orbyrule,regulation,ororderoftheSecretaryofLabor,oras otherwiseprovidedbylaw.
h.TheConsultant/Contractorwillincludetheportionofthesentence immediatelyprecedingparagraphaandtheprovisionsofparagraphsa throughhineverysubcontractorpurchaseorder unlessexemptedbyrules, regulations,orordersoftheSecretaryofLaborissuedpursuanttosection 204ofExecutiveOrder11246ofSeptember24,1965,sothatsuchprovisions willbebindinguponeachsubcontractororvendor.TheConsultant/Contractor willtakesuchactionwithrespecttoanysubcontractorpurchaseorderasthe administeringagencymaydirectasameansofenforcingsuchprovisions, includingsanctionsfornoncompliance:
Provided,however,thatintheeventaConsultant/Contractorbecomes involvedin,oristhreatenedwith,litigationwithasubcontractororvendorasa resultofsuchdirectionbytheadministeringagency,the
Consultant/ContractormayrequesttheUnitedStatestoenterintosuch litigationtoprotecttheinterestsoftheUnitedStates.TheCountyfurther Page3of25
agreesthatitwillbeboundbytheaboveequalopportunityclausewith respectto itsownemploymentpracticeswhenitparticipatesinfederally assistedconstructionwork:Provided,thatiftheCountysoparticipatingisa Stateorlocalgovernment,theaboveequalopportunityclauseisnot applicabletoanyagency,instrumentalityorsubdivisionofsuchgovernment whichdoesnotparticipateinworkonorunderthecontract.
TheCountyagreesthatitwillassistandcooperateactivelywiththe administeringagencyandtheSecretaryofLaborinobtainingthecompliance ofConsultant/Contractorsandsubcontractorswiththeequalopportunity clauseandtherules,regulations,andrelevantordersoftheSecretaryof Labor,thatitwillfurnishthe administeringagencyandtheSecretaryofLabor suchinformationastheymayrequireforthe supervisionofsuchcompliance, andthatitwillotherwiseassistthe administeringagencyinthedischargeof theagency’sprimaryresponsibilityforsecuring compliance.
TheCountyfurtheragreesthatitwillrefrainfromenteringintoanycontractor contractmodificationsubjecttoExecutiveOrder11246ofSeptember24, 1965,withaConsultant/Contractordebarredfrom,or whohasnot demonstratedeligibilityfor,Governmentcontractsandfederallyassisted constructioncontractspursuanttotheExecutiveOrderandwillcarryoutsuch sanctionsandpenaltiesforviolationoftheequalopportunityclauseasmay beimposeduponConsultant/Contractorsandsubcontractorsbythe administeringagencyortheSecretaryofLaborpursuanttoPartII,SubpartD oftheExecutive Order.Inaddition,theCountyagreesthatifitfailsorrefuses tocomplywiththeseundertakings, theadministeringagencymaytakeanyor allofthefollowingactions: Cancel,terminate,orsuspendinwholeorinpart thisgrant(contract,loan,insurance,guarantee);refrainfromextendingany furtherassistancetotheCountyundertheprogramwithrespecttowhichthe failureorrefundoccurreduntilsatisfactoryassuranceoffuturecompliance hasbeenreceivedfromtheCounty;andreferthecasetotheDepartmentof Justiceforappropriatelegalproceedings.
3.CleanAirActandtheFederalWaterPollutionControlAct
Contractorshallcomplywiththefollowingonallcontractsinexcessof $150,000:
a.CleanAirAct
(1)TheConsultant/Contractoragreestocomplywithallapplicable standards,ordersorregulationsissuedpursuanttothe CleanAirAct, asamended,42U.S.C.§7401et seq.
(2)TheConsultant/Contractoragreestoreporteachviolationtothe COUNTYandunderstandsthattheCOUNTYwill,inturn,reporteach violationasrequiredtoassurenotificationtotheFederalEmergency Page4of25
ManagementAgency,andtheappropriateEnvironmentalProtection AgencyRegionaloffice.
(3)TheConsultant/Contractoragreestoincludetheserequirementsin eachsubcontractexceeding$150,000financedinwholeorinpadwith FederalassistanceprovidedbyFEMA.
b.FederalWaterPollutionControlAct
(1)TheConsultant/Contractoragreestocomplywithalapplicable standards,ordersorregulationsissuedpursuanttotheFederalWater PollutionControlAct,asamended,33U.S.C.1251etseq.
(2)TheConsultant/Contractoragreestoreporteachviolationtothe CountyandunderstandsandagreesthattheCountywill,inturn,report eachviolationtoassurenotificationtotheFederalEmergency
ManagementAgency,andtheappropriateEnvironmentalProtection AgencyRegionalOffice.
(3)TheConsultant/Contractoragreestoincludetheserequirementsin eachsubcontractexceeding$150,000financedinwholeorinpadwith FederalassistanceprovidedbyFEMA.
4.SuspensionandDebarment:
a.Thiscontractisacoveredtransactionforpurposesof2C.F.R.pt.180and2 C.F.R.pt.3000.Assuch,theConsultant/Contractorisrequiredtoverifythat noneoftheConsultant/Contractor,itsprincipals(definedat2C.FR.§ 180.995),oritsaffiliates(definedat2C.F.R.§180.905)areexcluded (definedat2C.F.R.§180.940)ordisqualified(definedat2C.F.R.§180.935). b.TheConsultant/Contractormustcomplywith2C.F.R.pt.180,subpartCand 2C.F.R.pt.3000,subpartC,andmustincludearequirementtocomplywith theseregulationsinany lowertiercoveredtransactionitentersinto. c.Thiscertificationisamaterialrepresentationoffactrelieduponbythe County.IfitislaterdeterminedthattheConsultant/Contractordidnotcomply with2C.F.R.pt.180,subpartCand2C.F.R.pt.3000,subpartC,inaddition toremediesavailabletotheCounty,theFederalGovernmentmaypursue availableremedies,includingbut notlimitedtosuspensionand/ordebarment. d.Thebidderorproposeragreestocomplywiththerequirementsof2C.F.R.pt. 180,subpartCand2C.F.R.pt.3000,subpartCwhilethisofferisvalidand throughouttheperiodofanycontractthatmayarisefromthisoffer.The bidderorproposerfurtheragreestoincludeaprovisionrequiringsuch complianceinitslowertiercoveredtransactions.
Page5of25
5.ByrdAnti-LobbyingAmendment,31U.S.C..§1352(asamended):
Contractorswhoapplyorbidforanawardof$100,000ormoreshallfiletherequired certification.EachtiercertifiestothetierabovethatitwillnotandhasnotusedFederal appropriatedfundstopayanypersonororganizationforinfluencingorattemptingto influenceanofficeroremployeeofanyagency,aMemberofCongress,officeror employeeofCongress,oranemployeeofaMemberofCongressinconnectionwith obtaininganyFederalcontract,grant,oranyotherawardcoveredby31U.S.C.§1352.
Eachtiershallalsodiscloseanylobbyingwithnon-Federalfunds thattakesplacein connectionwithobtaininganyFederalaward.Suchdisclosuresareforwardedfromtier totieruptotherecipientwhointurnwillforwardthecertification(s)tothe awarding agency.
6.CertificationforContracts,Grants,Loans,andCooperativeAgreements Contractormustsubmitthiscertificationforeachbidorofferexceeding$100,000.
TheConsultant/Contractorcertifies,tothebestofhisorherknowledge,that:
a.NoFederalappropriatedfundshavebeenpaidorwillbepaid,byoronbehalf oftheundersigned,toanypersonforinfluencingorattemptingtoinfluencean officeroremployeeofanagency,aMemberofCongress,anofficeror employeeofCongress,oranemployeeofaMemberofCongressin
connectionwiththe awardingofanyFederalcontract,themakingofany Federalgrant,themakingofanyFederalloan,theenteringintoofany cooperativeagreement,andtheextension,continuation,renewal, amendment,ormodificationofanyFederalcontract,grant,loan,or cooperativeagreement.
b.Ifanyfunds otherthanFederalappropriatedfundshavebeenpaidorwillbe paidtoanypersonforinfluencingorattemptingtoinfluenceanofficeror employeeofanyagency,aMemberofCongress,an officeroremployeeof Congress,oranemployeeofaMemberofCongressinconnectionwiththis Federalcontract,grant,loan,orcooperativeagreement,theundersignedshall completeandsubmitStandardForm-LLL,“DisclosureFormtoReport Lobbying,”inaccordancewith itsinstructions.
c.Theundersignedshallrequirethatthelanguageofthiscertificationbe includedintheawarddocumentsforallsub-awardsatalltiers(including subcontracts,sub-grants,andcontractsundergrants,loans,andcooperative agreements)andthatallsub-recipientsshallcertifyanddiscloseaccordingly.
Thiscertificationisamaterialrepresentationoffactuponwhichreliancewas placedwhenthistransactionwasmadeorenteredinto.Submissionofthis certificationisaprerequisiteformakingorenteringintothistransaction imposedby31U.S.C.§1352(asamendedbytheLobbyingDisclosureActof 1995).Anypersonwhofailstofiletherequiredcertificationshallbesubjectto Page6of25
acivilpenaltyofnotless than$10,000andnotmore than$100,000foreach suchfailure.
TheConsultant/Contractorcertifiesoraffirmsthetruthfulnessandaccuracyof eac4tatementofitscertificationanddisclosure,ifany.Inaddition,the %Cg4ftuItanUContractorunderstandsandagreesthattheprovisionsof31 §3801etseq.,applytothiscertificationanddisclosure,ifany. 9/11/2023RobMeriweather-PresidentofEMSDivision
Siatur,fDateNameandTitle
7.Proc4rementofRecoveredMaterials:
Intheperformanceofthiscontract,theConsultant/Contractorshallmakemaximumuse ofproductscontainingrecoveredmaterialsthatareEPA-designateditemsunlessthe productcannotbeacquired:
a.Competitivelywithinatimeframeprovidingforcompliancewiththecontract performanceschedule;meetingcontractperformancerequirements;orata reasonableprice.
b.Informationaboutthisrequirement,alongwiththelistofEPA-designate items,isavailableatEPA’sComprehensiveProcurementGuidelineswebsite athttps://www.epa.gov/smm/comprehensive-procurement-guideline-cpg program.
c.TheConsultant/Contractoralsoagreestocomplywithallotherapplicable requirementsofSection6002oftheSolidWasteDisposalAct.
8.AdditionalFEMARequirements:
a.AccesstoRecords
(1)InadditiontobeingsubjecttoChapter119,FloridaStatutes,the Consultant/ContractoragreestoprovidetheCounty,theFEMA
Administrator,theComptrollerGeneraloftheUnitedStates,oranyof theirauthorizedrepresentativeaccesstoanybooks,documents, papersandrecordsoftheConsultant/Contractorwhicharedirectly pertinenttothiscontractforthepurposesofmakingaudits,
examinations,excerptsandtranscriptions.
(2)TheConsultant/Contractoragreestopermitanyoftheforegoing partiestoreproducebyanymeanswhatsoeverortocopyexcerptsand transcriptionsasreasonablyneeded.
(3)TheConsultant/ContractoragreestoprovidetheFEMAAdministrator orhisauthorizedrepresentativeaccesstoconstructionorotherwork sitespertainingtotheworkbeingcompletedunderthecontract. (4)IncompliancewithSection1225oftheDisasterRecoveryActof2016, Page7of25
theCountyandtheConsultant/Contractoracknowledgesandagrees thatnolanguageinthiscontractisintendedtoprohibitauditsor internalreviewsbytheFEMAAdministratorortheComptrollerGeneral oftheUnitedStates.
b.DHS(DepartmentofHomelandSecurity)Seal,LogoandFlags
TheConsultant/Contractorshall notuseDHSseal(s),logos,crests,or reproductionsofflagsorlikenessesof DHSagencyofficialswithout specificFEMApre-approval.TheConsultant/Contractorshallinclude thisprovisioninanysubcontracts.
c.CompliancewithFederalLaw,RegulationsandExecutiveOrders TheConsultant/ContractoracknowledgesthatFEMAfinancial
assistancewillbeusedtofundalloraportionofthecontract.The Consultant/Contractorwillcomplywithallapplicablefederallaw, regulations,executiveorders,FEMApolicies,proceduresand
directives.
d.NoObligationbyFederalGovernment
TheFederalGovernmentisnotapartytothiscontractandisnot
subjecttoanyobligationsorliabilitiestothenon-Federalentity, Consultant/Contractor,oranyotherpartypertainingtoanymatter resultingfromthecontract.
e.AffirmativeSocioeconomicSteps(whensubcontractorsaretobeletby Consultant/Contractor)
Ifsubcontractorsaretobelet,theConsultant/Contractorisrequiredto takeallnecessarystepsidentifiedin2C.F.R.200.321(b)(1)-(5)to ensurethatsmallandminoritybusinesses,women’sbusiness
enterprises,andlaborsurplusareafirmsareusedwhenpossible. f.LicenseandDeliveryofWorksSubjecttoCopyrightandDataRights TheConsultant/ContractorgrantstotheCounty,apaid-up,royalty free,nonexclusive,irrevocable,worldwidelicenseindatafirst producedintheperformanceofthiscontracttoreproduce,publish,or otherwiseuse,includingpreparederivativeworks,distributecopiesto thepublic,andperformpubliclyanddisplaypubliclysuchdata.For datarequiredbythecontractbutnotfirstproducedintheperformance ofthiscontract,theConsultant/Contractorwillidentifysuchdataand granttotheCountyoracquiresonitsbehalfalicenseofthesame
scopeasfordatafirstproducedintheperformanceofthiscontract.
Data,asusedherein,shallincludeanyworksubjecttocopyrightunder 17U.S.C.§102,forexample,anywrittenreportsorliteraryworks, softwareand/orsourcecode,music,choreography,picturesorimages, graphics,sculptures,videos,motionpicturesorotheraudiovisual works,soundand/orvideorecordings,andarchitecturalworks.Upon Page8of25
orbeforethecompletionofthiscontract,theConsultant/Contractorwill delivertotheCountydatafirstproducedintheperformanceofthis contractanddatarequiredbythecontractbutnotfirstproducedinthe performanceofthiscontractinformatsacceptablebytheCounty.
9.FraudandFalseorFraudulentor RelatedActs:
TheConsultant/Contractoracknowledgesthat31U.S.C.Chap.38(Administrative RemediesforFalseClaimsandStatements)appliestotheConsultant/Contractor’s actionspertainingtothiscontract.
10.Davis-BaconAct(whenapplicable)
Contractorshallcomplywiththefollowingprovisionsforanycontractinexcessof $2,000whichisenteredinto fortheactualconstruction,alterationand/orrepair, includingpaintinganddecorating,ofapublicbuildingorpublicwork,orbuildingorwork financedinwholeorinpartfromFederalfundsorinaccordancewithguaranteesofa FederalagencyorfinancedfromfundsobtainedbypledgeofanycontractofaFederal agencytomakealoan,grantorannualcontribution(exceptwhereadifferentmeaning isexpresslyindicated),andwhichissubjecttothelaborstandardsprovisionsrequired bytheapplicableFederalgrantprogram.Theseprovisionsaresubjecttoany modificationsthereoftomeetthe particularneedsoftheagency,provided,thatsuch modificationsarefirstapprovedbytheDepartmentofLabor:
a.Minimumwages.
(1)Alllaborersandmechanicsemployedorworkinguponthesiteofthe work(orundertheUnitedStatesHousingActof1937orunderthe
HousingActof1949intheconstructionordevelopmentoftheproject),will bepaidunconditionallyandnotlessoftenthanonceaweek,andwithout subsequentdeductionorrebateonanyaccount(exceptsuchpayroll deductionsasarepermittedbyregulationsissuedbytheSecretaryof LaborundertheCopelandAct(29CFRpart3)),thefullamountofwages andbonafidefringebenefits(orcashequivalentsthereof)dueattimeof paymentcomputedatratesnotlessthanthosecontainedinthewage determinationoftheSecretaryofLaborwhichisattachedheretoand madeaparthereof,regardlessofanycontractualrelationshipwhichmay be allegedtoexistbetweentheConsultant/Contractorandsuch laborers andmechanics.Contributionsmadeorcostsreasonablyanticipatedfor bonafidefringebenefitsundersection1(b)(2)ofthe Davis-BaconActon behalfoflaborersormechanicsareconsideredwagespaidtosuch laborersormechanics,subjecttotheprovisionsofparagraph(a)(1)(iv)of thissection;also,regularcontributionsmadeorcostsincurredformore thanaweeklyperiod(butnotlessoftenthanquarterly)underplans,funds, orprogramswhichcovertheparticularweeklyperiod,aredeemedtobe constructivelymadeorincurredduringsuchweeklyperiod.Suchlaborers andmechanicsshallbepaidtheappropriatewagerateandfringebenefits Page9of25
onthewagedeterminationfortheclassificationofworkactually performed,withoutregardtoskill,exceptasprovidedin§5.5(a)(4).
Laborersormechanicsperformingworkinmorethanoneclassification maybecompensatedattheratespecifiedforeachclassificationforthe timeactuallyworkedtherein:Provided,Thattheemployer’spayroll recordsaccuratelysetforththe timespentineachclassificationinwhich workisperformed.Thewagedetermination(includinganyadditional classificationandwageratesconformedunderparagrapha.(2)ofthis section)andtheDavis-Baconposter(WH-1321)shallbepostedatall timesbytheConsultant/Contractoranditssubcontractorsatthesiteofthe workinaprominentandaccessibleplacewhereitcan beeasilyseenby theworkers.
(2)
(A)Thecontractingofficershallrequirethatanyclassoflaborersor mechanics,includinghelpers,whichisnotlistedinthewage
determinationandwhichistobeemployedunderthecontractshall beclassifiedinconformancewiththewagedetermination.The
contractingofficershallapproveanadditionalclassificationand wagerateandfringebenefitsthereforeonlywhenthefollowing
criteriahavebeenmet:
(i)Theworktobeperformedbytheclassificationrequested
isnotperformedbyaclassificationinthewage
determination;and
(H)Theclassificationisutilizedintheareabythe
constructionindustry;and
(Ni)Theproposedwagerate,includinganybonafidefringe
benefits,bearsareasonablerelationshiptothewagerates
containedinthewagedetermination.
(B)IftheConsultant/Contractorandthelaborersandmechanicsto beemployedintheclassification(ifknown),ortheir
representatives,andthecontractingofficeragreeonthe
classificationandwagerate(includingtheamountdesignatedfor fringebenefitswhereappropriate),areportoftheactiontakenshall besentbythecontractingofficertothe AdministratoroftheWage andHourDivision,U.S.DepartmentofLabor,Washington,DC
20210.TheAdministrator,oranauthorizedrepresentative,will approve,modify,ordisapproveeveryadditionalclassificationaction within30daysofreceiptandsoadvisethecontractingofficerorwill notifythecontractingofficerwithinthe30-dayperiodthatadditional timeisnecessary.
(C)IntheeventtheConsultant/Contractor,thelaborersor
mechanicstobeemployedintheclassificationortheir
Page10of25
representatives,andthe contractingofficerdonotagreeonthe proposedclassificationandwagerate(includingtheamount
designatedforfringebenefits,whereappropriate),thecontracting officershallrefer thequestions,includingtheviewsofallinterested partiesandtherecommendationofthecontractingofficer,tothe Administratorfordetermination.TheAdministrator,oranauthorized representative,willissueadeterminationwithin30daysofreceipt andsoadvisethecontractingofficerorwillnotifythecontracting officerwithinthe30-dayperiodthatadditionaltimeisnecessary. (D)Thewagerate(includingfringebenefitswhereappropriate) determinedpursuanttoparagraphsa.(2)(B)or(C)ofthissection, shallbepaidtoallworkersperformingworkintheclassification underthiscontractfromthefirstdayonwhichworkisperformedin theclassification.
(3)Whenevertheminimumwagerateprescribedinthecontractfora classoflaborersormechanicsincludesafringebenefitwhichisnot expressedasanhourlyrate,theConsultant/Contractorshalleitherpaythe benefitasstatedinthewagedeterminationorshallpayanotherbonafide fringebenefitoranhourlycashequivalentthereof.
(4)IftheConsultant/Contractordoesnotmakepaymentstoatrusteeor otherthirdperson,theConsultant/Contractormayconsideraspartofthe wagesofanylaborerormechanictheamountofanycostsreasonably anticipatedinprovidingbonatidefringebenefitsunderaplanorprogram, Provided,ThattheSecretaryofLaborhasfound,uponthewrittenrequest oftheConsultant/Contractor,thattheapplicablestandardsoftheDavis- BaconActhavebeenmet.TheSecretaryofLabormayrequirethe
Consultant/Contractortosetasideinaseparateaccountassetsforthe meetingofobligationsundertheplanorprogram.
b.Withholding.The(writeinnameofFederalAgencyortheloanorgrant recipient)shalluponitsownactionoruponwrittenrequestofanauthorized representativeoftheDepartmentofLaborwithholdorcausetobewithheld fromtheConsultant/Contractor underthiscontractoranyotherFederal contractwiththesameprimeConsultant/Contractor,oranyotherfederally- assistedcontractsubjecttoDavis-Baconprevailingwagerequirements,which isheldbythesameprimeConsultant/Contractor,somuchoftheaccrued paymentsoradvancesasmaybeconsiderednecessarytopaylaborersand mechanics,includingapprentices,trainees,andhelpers,employedbythe Consultant/Contractororanysubcontractorthefullamountofwagesrequired bythecontract.Intheeventoffailuretopayanylaborerormechanic,including anyapprentice,trainee,orhelper,employedorworkingonthesiteofthework (orundertheUnitedStatesHousingActof1937 orundertheHousingActof 1949intheconstructionordevelopmentoftheproject),allorpartofthewages Page11of25
requiredbythecontract,the(Agency)may,afterwrittennoticetothe Consultant/Contractor,sponsor,applicant,orowner,takesuchactionasmay benecessarytocausethesuspensionofanyfurtherpayment,advance,or guaranteeoffundsuntilsuchviolationshaveceased.
c.Payrollsandbasicrecords.
(1)Payrollsandbasicrecordsrelatingtheretoshallbemaintainedbythe Consultant/Contractorduringthecourseoftheworkandpreservedfora periodofthreeyearsthereafterforalllaborersandmechanicsworkingat thesiteofthework(orundertheUnitedStatesHousingActof1937,or undertheHousingActof1949,intheconstructionordevelopmentofthe project).Suchrecordsshallcontainthename,address,andsocialsecurity numberofeachsuchworker,hisorhercorrectclassification,hourlyrates ofwagespaid(includingratesofcontributionsorcostsanticipatedfor bonafidefringebenefitsorcashequivalentsthereofofthetypes describedinsection1(b)(2)(B)oftheDavis-BaconAct),dailyandweekly numberofhoursworked,deductionsmadeandactualwagespaid.
WhenevertheSecretaryofLaborhasfoundunder29CFR5.5(a)(1)Ov) thatthewagesofanylaborerormechanicincludetheamountofanycosts reasonablyanticipatedinprovidingbenefitsunderaplanorprogram describedinsection1(b)(2)(B)oftheDavis-BaconAct,the
Consultant/Contractorshallmaintainrecordswhichshowthatthe commitmenttoprovidesuchbenefitsisenforceable,thattheplanor programisfinanciallyresponsible,andthattheplanorprogramhasbeen communicatedinwritingtothelaborersormechanicsaffected,and recordswhichshowthecostsanticipatedortheactualcostincurredin providingsuchbenefits.Contractorsemployingapprenticesortrainees underapprovedprogramsshallmaintainwrittenevidenceofthe
registrationofapprenticeshipprogramsandcertificationoftrainee programs,theregistrationoftheapprenticesandtrainees,andtheratios andwageratesprescribedintheappLicableprograms.
(2)
(A)TheConsultant/Contractorshallsubmitweeklyforeachweekin whichanycontractworkisperformedacopyofallpayrollstothe
(writeinnameofappropriatefederalagency)iftheagencyisa
partytothecontract,butiftheagencyisnotsuchaparty,the
Consultant/Contractorwillsubmitthepayrollstotheapplicant, sponsor,orowner,asthecasemaybe,fortransmissiontothe
(writeinnameofagency).Thepayrollssubmittedshallsetout
accuratelyandcompletelyalloftheinformationrequiredtobe
maintainedunder29CFR5.5(a)(3)(i),exceptthatfullsocial
securitynumbersandhomeaddressesshallnotbeincludedon
weeklytransmittals.Insteadthepayrollsshallonlyneedtoinclude anindividuallyidentifyingnumberforeachemployee(e.g.,thelast Page12of25
four digitsoftheemployee’ssocialsecuritynumber).Therequired weeklypayrollinformationmaybe submittedinanyformdesired.
OptionalFormWH-347isavailableforthispurposefromtheWage
andHourDivisionWebsiteat
http://www.dol.gov/esa/whd/forms/wh347instr.htmoritssuccessor site.TheprimeConsultant/Contractorisresponsibleforthe
submissionofcopiesofpayrollsbyallsubcontractors.
Consultant/Contractorandsubcontractorsshallmaintainthefull socialsecuritynumberandcurrentaddressofeachcovered
worker,andshallprovidethemuponrequesttothe(writeinname
ofappropriatefederalagency)iftheagencyisapartytothe
contract,butiftheagencyisnotsuchaparty,the
Consultant/Contractorwillsubmitthemtotheapplicant,sponsor,or owner,asthecasemaybe,fortransmissiontothe(writeinname
ofagency),theConsultant/Contractor,ortheWageandHour
DivisionoftheDepartmentofLaborforpurposesofaninvestigation orauditofcompliancewithprevailingwagerequirements.Itisnota violationofthissectionforaprimeConsultant/Contractortorequire asubcontractortoprovideaddressesandsocialsecuritynumbers totheprimeConsultant/Contractorforitsownrecords,without weeklysubmissiontothesponsoringgovernmentagency(orthe
applicant,sponsor,orowner).
(B)Eachpayrollsubmittedshallbeaccompaniedbya“Statement
ofCompliance,”signedbytheConsultant/Contractoror
subcontractororhisorheragentwhopaysorsupervisesthe
paymentofthepersonsemployedunderthecontractandshall
certifythefollowing:
(i)Thatthepayrollforthepayrollperiodcontainsthe
informationrequiredtobeprovidedunder§5.5(a)(3)çi)of
Regulations,29CFRpart5,theappropriateinformationis
beingmaintainedunder§5.5(a)(3)(i)ofRegulations,29
CFRpart5,andthatsuchinformationiscorrectand
complete:
(U)Thateachlaborerormechanic(includingeachhelper,
apprentice,andtrainee)employedonthecontractduringthe
payrollperiodhasbeenpaidthefullweeklywagesearned,
withoutrebate,eitherdirectlyorindirectly,andthatno
deductionshavebeenmadeeitherdirectlyorindirectlyfrom
thefullwagesearned,otherthanpermissibledeductionsas
setforthinRegulations,29CFRpart3;
(iii)Thateachlaborerormechanichasbeenpaidnotless
thantheapplicablewageratesandfringebenefitsorcash
equivalentsfortheclassificationofworkperformed,as
specifiedintheapplicablewagedeterminationincorporated
Page13of25
into
the
contract.
(C)
The
weekly
submission
of
a
properly
executed
certification
set
forth
on
the
reverse
side
of
Optional
Form
WH-347
shall
satisfy
the
requirement
for
submission
of
the
“Statement
of
Compliance”
required
by
paragraph
c.(2)(B)
of
this
section.
(D)
The
falsification
of
any
of
the
above
certifications
may
subject
the
Consultant/Contractor
or
subcontractor
to
civil
or
criminal
prosecution
under
section
1001
of
title
18 and
section
231
of
title
31 of
the
United
States
Code.
(3)
The
Consultant/Contractor
or
subcontractor
shall
make
the
records
required
under
paragraph
c.(1)
of
this
section
available
for
inspection,
copying,
or
transcription
by
authorized
representatives
of
the
(write
the
name
of
the
agency)
or
the
Department
of
Labor,
and
shall
permit
such
representatives
to
interview
employees
during
working
hours
on
the
job.
If
the
Consultant/Contractor
or
subcontractor
fails
to
submit
the
required
records
or
to
make
them
available,
the
Federal
agency
may,
after
written
notice
to
the
Consultant/Contractor,
sponsor,
applicant,
or
owner,
take
such
action
as
may
be
necessary
to
cause
the
suspension
of
any
further
payment,
advance,
or
guarantee
of
funds.
Furthermore,
failure
to
submit
the
required
records
upon
request
or
to
make
such
records
available
may
be
grounds
for
debarment
action
pursuant
to
29 CER
5.12. d.
Apprentices
and
trainees-
(1)
Apprentices.
Apprentices
will
be
permitted
to
work
at
less
than
the
predetermined
rate
for
the
work
they
performed
when
they
are
employed
pursuant
to
and
individually
registered
in
a
bona
fide
apprenticeship
program
registered
with
the
U.S.
Department
of
Labor,
Employment
and
Training
Administration,
Office
of
Apprenticeship
Training,
Employer
and
Labor
Services,
or
with
aState
Apprenticeship
Agency
recognized
by
the
Office,
or
ifa
person
is
employed
in
his
or
her
first
90 days
of
probationary
employment
as
an
apprentice
in
such
an
apprenticeship
program,
who
is
not
individually
registered
in
the
program,
but
who
has
been
certified
by
the
Office
of
Apprenticeship
Training,
Employer
and
Labor
Services
or
a
State
Apprenticeship
Agency
(where
appropriate)
to
be
eligible
for
probationary
employment
as
an
apprentice.
The
allowable
ratio
of
apprentices
to
journeymen
on
the
job
site
in
any
craft
classification
shall
not
be
greater
than
the
ratio
permitted
to
the
Consultant/Contractor
as
to
the
entire
work
force
under
the
registered
program.
Any
worker
listed
on
a
payroll
at
an
apprentice
wage
rate,
who
is
not
registered
or
otherwise
employed
as
stated
above,
shall
be
paid
not
less
than
the
applicable
wage
rate
on
the
wage
determination
for
the
classification
of
work
actually
performed.
In
addition,
any
apprentice
performing
work
on
the
job
site
in
Page
14 of
25 excessoftheratiopermittedundertheregisteredprogramshallbepaid notlessthantheapplicablewagerateonthewagedeterminationforthe workactuallyperformed.Where theConsultant/Contractorisperforming constructiononaprojectinalocalityotherthanthatinwhichitsprogram isregistered,theratiosandwagerates(expressedinpercentagesofthe journeyman’shourlyrate)specifiedintheConsultant/Contractor’sor subcontractor’sregisteredprogramshallbeobserved.Everyapprentice mustbepaidatnotlessthantheratespecifiedintheregisteredprogram fortheapprentice’slevelofprogress,expressedasapercentageofthe journeymenhourlyratespecifiedintheapplicablewagedetermination.
Apprenticesshallbepaidfringebenefitsinaccordancewiththeprovisions oftheapprenticeshipprogram.Iftheapprenticeshipprogramdoesnot specifyfringebenefits,apprenticesmustbepaidthefullamountoffringe benefitslistedonthewagedeterminationfortheapplicableclassification.
IftheAdministratordeterminesthatadifferentpracticeprevailsforthe applicableapprenticeclassification,fringesshallbepaidinaccordance withthat determination.IntheeventtheOfficeofApprenticeshipTraining, EmployerandLaborServices,oraStateApprenticeshipAgency
recognizedbytheOffice,withdrawsapprovalofanapprenticeship program,theConsultant/Contractorwillnolongerbepermittedtoutilize apprenticesatlessthantheapplicablepredeterminedrateforthework performeduntilanacceptableprogramisapproved.
(2)Trainees.Exceptasprovidedin29CFR5.16,traineeswillnotbe permittedtoworkatlessthanthepredeterminedrateforthework performedunlesstheyareemployedpursuanttoandindividually registeredinaprogramwhichhasreceivedpriorapproval,evidencedby formalcertificationbytheU.S.DepartmentofLabor,Employmentand TrainingAdministration.Theratiooftraineestojourneymenonthejobsite shallnotbegreaterthanpermittedundertheplanapprovedbythe EmploymentandTrainingAdministration.Everytraineemustbepaidat notlessthantheratespecifiedintheapprovedprogramforthetrainee’s levelofprogress,expressedasapercentageofthejourneymanhourly ratespecifiedintheapplicablewagedetermination.Traineesshallbepaid fringebenefitsinaccordancewiththeprovisionsofthetraineeprogram.If thetraineeprogramdoesnotmentionfringebenefits,traineesshallbe paidthefullamountoffringebenefitslistedonthewagedetermination unlesstheAdministratoroftheWageandHourDivisiondeterminesthat thereisanapprenticeshipprogramassociatedwiththe corresponding journeymanwagerateonthewagedeterminationwhichprovidesforless thanfullfringebenefitsforapprentices.Anyemployeelistedonthepayroll atatraineeratewhoisnotregisteredandparticipatinginatrainingplan approvedbytheEmploymentandTrainingAdministrationshallbepaid notlessthan theapplicablewagerateonthewagedeterminationforthe classificationofworkactuallyperformed.Inaddition,anytrainee performingworkonthejobsiteinexcessoftheratiopermittedunderthe Page15of25
registeredprogramshallbepaidnotlessthantheapplicablewagerateon thewagedeterminationfortheworkactuallyperformed.Intheeventthe EmploymentandTrainingAdministrationwithdrawsapprovalofatraining program,theConsultant/Contractorwillnolongerbepermittedtoutilize traineesatlessthantheapplicablepredeterminedrateforthework performeduntilanacceptableprogramisapproved.
(3)Equalemploymentopportunity.Theutilizationofapprentices,trainees andjourneymenunderthispartshallbeinconformitywiththeequal employmentopportunityrequirementsofExecutiveOrder11246,as amended,and29CFRpart30.
e.CompliancewithCopelandActrequirements.TheConsultant/Contractorshall complywiththerequirementsof29CFRpart3,whichareincorporatedby referenceinthiscontract.
f.Subcontracts.TheConsultant/Contractororsubcontractorshallinsertinany subcontractstheclausescontainedin29CFR5.5(a)(1)through(10)andsuch otherclausesasthe(writeinthenameoftheFederalagency)mayby appropriateinstructionsrequire,andalsoaclauserequiringthesubcontractors toincludetheseclausesinanylowertiersubcontracts.Theprime Consultant/Contractorshallberesponsibleforthecompliancebyany subcontractororlowertiersubcontractorwithallthecontractclausesin29CFR
5.5. g.Contracttermination:debarment.Abreachofthecontractclausesin29CFR
5.5maybegroundsforterminationofthecontract,andfordebarmentasa contractorandasubcontractorasprovidedin29CFR5.12.
h.CompliancewithDavis-BaconandRelatedActrequirements.Allrulingsand interpretationsofthe Davis-BaconandRelatedActscontainedin29CFRparts 1,3,and5arehereinincorporatedbyreferenceinthiscontract. i.Disputesconcerninglaborstandards.Disputesarisingoutofthelabor standardsprovisionsofthiscontractshallnotbesubjecttothegeneraldisputes clauseofthiscontract.Suchdisputesshallberesolvedinaccordancewiththe proceduresoftheDepartmentofLaborsetforthin29CFRparts5,6,and7.
Disputeswithinthemeaningofthisclauseincludedisputesbetweenthe Consultant/Contractor(oranyofitssubcontractors)andthecontracting agency,theU.S.DepartmentofLabor,ortheemployeesortheir
representatives.
j.Certificationofeligibility.
(1)Byenteringintothiscontract,theConsultant/Contractorcertifiesthat neitherit(norheorshe)noranypersonorfirmwhohasaninterestinthe Page16of25
Consultant/Contractor’sfirmisapersonorfirmineligibletobeawarded Governmentcontractsbyvirtueofsection3(a)ofthe Davis-BaconActor 29CFR5.12(a)(1).
(2)Nopartofthiscontractshallbesubcontractedtoanypersonorfirm ineligibleforawardofaGovernmentcontractbyvirtueofsection3(a)of theDavis-BaconActor29CFR5.12(a)(1).
(3)ThepenaltyformakingfalsestatementsisprescribedintheU.S.
CriminalCode,18U.S.C.1001.
11.CopelandAnti-KickbackAct
a.Contractor.TheConsultant/Contractorshallcomplywith18U.S.C.§874,40 U.S.C.§3145,andtherequirementsof29C.F.R.pt.3asmaybeapplicable,which areincorporatedbyreferenceintothiscontract.
b.Subcontracts.TheConsultant/Contractororsubcontractorshallinsertinany subcontractstheclauseaboveandsuchotherclausesasFEMAmayby appropriateinstructionsrequire,andalsoaclauserequiringthesubcontractorsto includetheseclausesinanylowertiersubcontracts.Theprime
Consultant/Contractorshallberesponsibleforthe compliancebyany subcontractororlowertiersubcontractorwithallofthesecontractclauses. c.Breach.Abreachofthecontractclausesabovemaybegroundsforterminationof thecontract,andfordebarmentasacontractorandsubcontractorasprovidedin 29C.F.R.§5.12.
12.Remedies
a.Ifaremediesclauseprovisionexistsinthecontract(excludinganyattachmentsor exhibitsthereto),then thatremediesprovisionshallcontrol.However,ifthereisno remediesprovision,thenthefollowingshallcontrol:
(1)theConsultant/Contractor’sremedyfordefaultbytheCountyisa writtenrequesttotheCountyManagerseekingthefundsfromtheCounty for workcompletedinaccordancewiththetermsofthecontract.Iftheclaim isdeniedornotpaidasrequested,then,withinthirty(30)days,the Consultant/Contractormayfileaclaimforsuchfundsinacourtof competentjurisdiction.Suchaclaimmaynot includeconsequentialor specialdamagesandshallnotexceedthetotalcontractamount.
(2)theCounty’sremedyfordefaultshallinclude terminationofthe contractandallremediesavailabletoitatlawthatarenecessarytomake theCountywhole.
b.ForceMajeure.Ifaforcemajeureprovisionexistsinthecontract(excludingany attachmentsorexhibitsthereto),thenthatremediesprovisionshallcontrol.However, Page17of25
ifthere
is
no
force
majeure
provision
clause,
then
the
following
shall
control:
neither
Party
shall
be
liable
for
its
failure
to
perform
hereunder
ifits
performance
is
rendered
impossible
by
any
act,
event
or
condition
beyond
its
reasonable
control
which
by
the
exercise
of
due
diligence
it
shall
be
unable
to
overcome.
Such
acts,
events
or
conditions
shall
include,
but
not
be
limited
to
the
following:
Acts
of
God,
hurricanes,
tornado,
lightning,
or
earthquake;
strikes
or
lockouts;
acts
of
war,
civil
insurrection,
riots
or
terrorism;
fire
or
flood
not
caused
by
the
Party
unable
to
perform;
change
in
law
not
due
to
improper
conduct
or
to
any
negligent
or
intentional
act
or
omission
on
the
part
of
the
Party
unable
to
perform;
and
global
pandemics.
Should
the
Consultant/Contractor
be
obstructed
or
delayed
in
the
prosecution
or
completion
of
its
services
or
work
as
a
result
of
said
unforeseeable
causes
beyond
the
control
of
the
Consultant/Contractor
and
not
due
to
its
own,
or
any
of
its
agents’,
fault
or
neglect,
Consultant/Contractor
shall,
within
24 hours
of
the
time
the
delay
becomes
apparent,
notify
the
County
of
such
delay
in
writing
stating
the
cause
or
causes
thereof,
failing
which
the
Consultant/Contractor
shall
waive
any
right
the
Consultant/Contractor
may
have
to
request
a
reasonable
extension
of
time
to
complete
the
work
required
by
the
contract.
Such
reasonable
extensions
of
time
to
complete
the
work
shall
be
the
sole
remedy
of
the
Consultant/Contractor
for
such
delays,
and
the
Consultant/Contractor
will
not
be
entitled
to
any
damages
or
any
claim
for
extra
compensation.
13. Termination
far
Cause
If
a
termination
for
cause
provision
exists
in
the
contract
(excluding
any
attachments
or
exhibits
thereto),
then
that
termination
for
cause
provision
shall
control.
However,
if
there
is
no
termination
for
cause
provision,
then
the
following
shall
control:
either
Party
may
terminate
this
contract
for
cause
based
upon
the
failure
of
the
other
Party
to
comply
with
the
terms
and/or
conditions
of
the
contract,
or
failure
to
fulfill
its
performance
obligations
pursuant
to
this
contract,
provided
that
the
non-defaulting
Party
shall
give
the
defaulting
Party
written
notice
specifying
the
Party’s
default.
If
within
thirty
(30)
days
after
receipt
of
such
notice,
the
defaulting
Party
shall
not
have
corrected
such
failure
or,
in
the
case
of
failure
which
cannot
be
corrected
in
thirty
(30)
days,
begun
in
good
faith
to
correct
such
failure
and
thereafter
proceeded
diligently
to
complete
such
correction,
then
the
non-defaulting
Party
may,
at
its
option,
place
the
defaulting
Party
in
default
and
the
contract
shall
terminate
on
the
date
specified
in
such
notice.
In
the
case
of
termination
notice
issued
by
the
County,
the
County
may
take
over
the
work
and
cause
itto
be
performed
to
completion
by
written
agreement
with
a
different
contractor
or
otherwise.
In
such
case,
the
County
reserves
all
rights
and
remedies
available,
including,
but
not
limited
to,
the
right
to
recover
the
County’s
additional
cost
incurred
in
securing
complete
performance.
The
rights
and
remedies
of
the
County
provided
in
this
clause
are
in
addition
to
any
other
rights
and
remedies
provided
by
law
or
under
this
contract.
If,
after
the
County’s
notice
of
termination
for
cause
is
issued,
it
is
determined
that Consultant/Contractor
had
not
breached
its
contractual
obligations,
then
the
termination
shall
be
deemed
to
be
effected
for
the
County’s
convenience.
Page
18 of25
14.TerminationforConvenience
Ifaterminationforconvenienceprovisionexistsinthecontract(excludingany attachmentsorexhibitsthereto),thenthatterminationforconvenienceprovisionshall control.However,ifthereisnoterminationforconvenienceprovision,thenthe followingshallcontrol:eitherPartymayterminatethiscontractatanytimebygiving thirty(30)dayswrittennoticetotheotherPartyofsuchtermination.Suchtermination iseffectiveupontheParty’sreceiptoftheNoticeofTermination.Uponreceiptofsuch anotice,thePartieswilldiscontinueallservicesaffected,unlessthenoticedirects otherwise.TheConsultant/Contractorshallbeentitledtopaymentforservices rendered,totheextentworkhasbeenperformedsatisfactorily.
15.ProhibitiononContractingforCoveredTelecommunicationsEquipmentof Services
a.Definitions.Asusedinthisclause,thetermsbackhaul;coveredforeigncountry; coveredtelecommunications equipmentorservices;interconnection arrangements;roaming;substantialoressentialcomponent;and telecommunicationsequipmentorserviceshavethemeaningasdefinedin FEMAPolicy405-143-1,ProhibitionsonExpendingFEMAAwardFundsfor CoveredTelecommunicationsEquipmentorServices(Interim),asusedinthis clause—
b.Prohibitions.
(1)Section889(b)oftheJohnS.McCainNationalDefenseAuthorization ActforFiscalYear2019,Pub.L.No.115-232,and2C.F.R.§200.216 prohibittheheadofanexecutiveagencyonorafterAug.13,2020,from obligatingorexpendinggrant,cooperativeagreement,loan,orloan guaranteefundsoncertaintelecommunicationsproductsorfromcertain entitiesfornationalsecurityreasons.
(2)Unlessanexceptioninparagraphc.ofthisclauseapplies,the contractoranditssubcontractorsmaynotusegrant,cooperative agreement,loan,orloanguaranteefundsfromtheFederalEmergency ManagementAgencyto:
(A)Procureorobtainanyequipment,system,orservicethatuses coveredtelecommunicationsequipmentorservicesasasubstantial oressentialcomponentofanysystem,orascriticaltechnologyof anysystem;
(B)Enterinto,extend,orrenewacontracttoprocureorobtainany equipment,system,orservicethatusescovered
telecommunicationsequipmentorservicesasasubstantialor
Page19of25
essentialcomponentofanysystem,orascriticaltechnologyofany system;
(C)Enterinto,extend,orrenewcontractswithentitiesthatuse coveredtelecommunicationsequipmentorservicesasasubstantial oressentialcomponentofanysystem,orascriticaltechnologyas partofanysystem;or
(D)Provide,aspartofitsperformanceofthiscontract,subcontract, orothercontractualinstrument,anyequipment,system,orservice thatusescoveredtelecommunicationsequipmentorservicesasa substantialoressentialcomponentofanysystem,orascritical technologyaspartofanysystem.
c.Exceptions.
(1)Thisclausedoesnotprohibitcontractorsfromproviding—
(A)Aservicethatconnectstothefacilitiesofathird-party,suchas backhaul,roaming,orinterconnectionarrangements;or
(B)Telecommunicationsequipmentthatcannotrouteorredirect userdatatrafficorpermitvisibilityintoanyuserdataorpacketsthat suchequipmenttransmitsorotherwisehandles.
(2)Bynecessaryimplicationandregulation,theprohibitionsalsodonot applyto:
(A)Coveredtelecommunicationsequipmentorservicesthat:
(i)Arenotusedasasubstantialoressentialcomponentof
anysystem;and
(D)Arenotusedascriticaltechnologyofanysystem.
(B)Othertelecommunicationsequipmentorservicesthatarenot consideredcoveredtelecommunicationsequipmentorservices. d.Reportingrequirement.
(1)IntheeventtheConsultant/Contractoridentifiescovered
telecommunicationsequipmentorservicesusedasasubstantialor essentialcomponentofanysystem,orascriticaltechnologyaspartofany system,duringcontractperformance,ortheConsultant/Contractoris notifiedofsuchbyasubcontractoratanytierorbyanyothersource,the Consultant/Contractorshallreporttheinformationinparagraphd.(2)of thisclausetotherecipientorsubrecipient,unlesselsewhereinthis contractareestablishedproceduresforreportingtheinformation.
Page20of25
(2)TheConsultant/Contractorshallreportthefollowinginformation pursuanttoparagraphd.(1)ofthisclause:
(A)Withinonebusinessdayfromthedateofsuchidentificationor notification:Thecontractnumber;theordernumber(s),if
applicable;suppliername;supplieruniqueentityidentifier(if known);supplierCommercialandGovernmentEntity(CAGE)code
(ifknown);brand;modelnumber(originalequipmentmanufacturer number,manufacturerpartnumber,orwholesalernumber);item
description;and anyreadilyavailableinformationaboutmitigation actions undertakenorrecommended.
(B)Within10businessdaysofsubmittingtheinformationin
paragraph(d)(2)(A)ofthisclause:Anyfurtheravailableinformation aboutmitigationactionsundertakenorrecommended.Inaddition, theConsultant/Contractorshalldescribetheeffortsitundertookto preventuseorsubmissionofcoveredtelecommunications
equipmentorservices,andanyadditionaleffortsthatwillbe
incorporatedtopreventfutureuseorsubmissionofcovered
telecommunicationsequipmentorservices.
e.Subcontracts.TheConsultant/Contractorshallinsertthesubstanceofthis clause,includingthisparagraphe.,inallsubcontractsandothercontractual instruments.
16.DomesticPreferencesforProcurement
Asappropriate,andtotheextentconsistentwithlaw,theConsultant/Contractorshould, tothegreatestextentpracticable,provideapreferenceforthepurchase,acquisition,or useofgoods,products,ormaterialsproducedintheUnitedStates.Thisincludes,butis notlimitedtoiron,aluminum,steel,cement,andothermanufacturedproducts.
Forpurposesofthisclause:
ProducedintheUnitedStatesmeans,forironandsteelproducts,thatall manufacturingprocesses,fromtheinitialmeltingstagethroughtheapplicationof coatings,occurredintheUnitedStates.
Manufacturedproductsmeanitems andconstructionmaterialscomposedin wholeorinpartofnon-ferrousmetals suchasaluminum;plasticsandpolymer- basedproductssuchaspolyvinylchloridepipe;aggregatessuchasconcrete; glass,includingopticalfiber;andlumber.
17.CompliancewithFederalLaws,RegulationsandExecutiveOrders ThisisanacknowledgementthatfinancialassistancefromFEMAoranotherFederal Page21of25
agencywillbeusedtofundalloraportionofthiscontract.TheConsultanUContractorwill complywithallapplicableFederallaw,regulations,executiveorders,FEMApolicies, procedures,anddirectives.
(SIGNATUREPAGEFOLLOWS)
Page22of25
AcknowledgementandCertification
THECONSULTANT/CONTRACTORAGREESTOCOMPLYWITHALLAPPLICABLE
FEDERAL,STATE,ANDLOCALLAWS,RULES,REGULATIONS,AND
ORDINANCES.ITISFURTHERACKNOWLEDGEDTHATTHE
CONSULTANT/CONTRACTORCERTIFIESCOMPLIANCEWITHALLPROVISIONS, LAWS,ACTSREGULATIONS,ETC.,ASSPECIFICALLYNOTEDABOVE.
CompanyNameBoundTreeMedical,LLC.
5000TuttleCrossingBlvd. Address
Dublin,OH43016
Telephone800.533.0523Fax877.311.2437
[email protected]
NameandTitleofAuthorizedSiatureMeriweather-PresidentofEMSDivision AuthorizedSignature
Page23 of25
BYRDANTI-LOBBYINGAMENDMENTCERTIFICATIONCONTRACTS,GRANTS,
LOANS,ANDCOOPERATIVEAGREEMENTS
REQUIREDFORCONTRACTSOVER$100,000
CONTRACTORSwhoapplyorbidforanawardof$100,000ormoreshallfilloutand returnthefollowingrequiredcertificationtoCOUNTY.Eachtiercertifiestothetier abovethatitwillnotandhasnotusedFederalappropriatedfundstopayanyperson ororganizationforinfluencingorattemptingtoinfluencean officeroremployeeofany agency,aMemberofCongress,officeroremployeeofCongress,oranemployeeof aMemberofCongressinconnectionwithobtaininganyFederalcontract,grant,or anyotherawardcoveredby31U.S.C.§1352.Eachtiershallalsodiscloseany lobbyingwithnon-Federalfundsthattakesplaceinconnectionwithobtainingany Federalaward.Suchdisclosuresareforwardedfromtiertotieruptotherecipientwho inturnwillforwardthecertification(s)totheawardingagency.
Theundersignedcertifies,tothebestofhisorherknowledgeandbelief,that:
1.NoFederalappropriatedfundshavebeenpaidorwillbepaid,byoronbehalf oftheundersigned,toanypersonforinfluencingorattemptingtoinfluenceanofficer oremployeeofanagency,aMemberofCongress,anofficeroremployeeof Congress,oranemployeeofaMemberofCongressinconnectionwiththeawarding ofanyFederalcontract,themakingofanyFederalgrant,themakingofanyFederal loan,theenteringintoofanycooperativeagreement,andthe extension,continuation, renewal,amendment,ormodificationofanyFederalcontract,grant,loan,or cooperativeagreement.
2.IfanyfundsotherthanFederalappropriatedfundshavebeenpaidorwillbepaid toanypersonforinfluencingorattemptingtoinfluenceanofficeroremployeeofany agency,aMemberofCongress,anofficeroremployeeofCongress,oranemployee ofaMemberofCongressinconnectionwiththisFederalcontract,grant,loan,or cooperativeagreement,theundersignedshallcompleteandsubmitStandardForm LLL,“DisclosureFormtoReportLobbying,”inaccordancewithitsinstructions.
3.Theundersignedshallrequirethatthelanguageofthis certificationbeincludedin theawarddocumentsforallsubawardsatalltiers(includingsubcontracts,subgrants, andcontractsundergrants,loans,andcooperativeagreements)andthatall subrecipientsshallcertifyanddiscloseaccordingly.
This certificationisamaterialrepresentationoffactuponwhichreliancewasplaced whenthistransactionwasmadeorenteredinto.Submissionofthiscertificationisa prerequisiteformakingorenteringintothistransactionimposedbysection1352,title 31,U.S.Code.Anypersonwhofailstofilethe requiredcertificationshallbesubject toacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuch failure.
(SIGNATUREPAGEFOLLOWS)
Page24of25
TheConsultant/Contractor,BoundTreeMedical,LLC;certifiesoraffirmsthe truthfulnessandaccuracyofeachstatementofitscertificationanddisclosure,ifany.
Inaddition,theConsultant/Contractorunderstandsandagreesthattheprovisionsof 31U.S.C.Chap.38,AdministrativeRemediesforFalseClaimsandStatements,apply tothiscertificationanddisclosure,ifany.
CompanyNameBoundTreeMedical,LLC.
Address5000TuttleCrossingBlvd.
Dublin,OH43016
Telephone800.533.0523Fax877.311.2437
Email
[email protected]
NameandTitleofAuthorizedSitureobMedweather-PresidentofEMSDivision AuthorizedSignature
_________________________________________________
Page25of25
To Whom It May Concern:
In response to your bid B-7-23-56 EMS Medical Supplies, Bound Tre e Medical is pleased to offer 35% off of the prices from the current Bound Tree Medical Emergency Medical Product Catalog. These items are also available for referen ce on our web site, www.boundtree.com
. Also attached on the pages that follow is an itemized offer based on the item examples of further reductions/benefits you can expect ranging up to 75% off.
In order to provide the most competitiv e discounts, it is necessary for Bound Tree to Offer certain product categories or manufacturer products at a lower discount. This is largely due to the cost variability of these items as a result of market demand and raw material costs.
Categories Offered
at 10% Off
Categories Offered
at 15% Off
Categories Offered
at 25% Off
Laerdal Cardio Partners Nasco
Custom Kits Ferno Washington Statpacks
Nonin Co-Pilot Junkin Safety
Categories Offered
at 20% Off
KingFisher Medical
Categories Offered
at 30% Off
Stryker Philips Medical Supraglottic Airways/Kits
QuikClot Dressings Sscor
Inventory & Secure Storage
Systems
Thermal Angel
IV Warmers Capital Equipment Categories Excluded
Video Laryngoscopes Preventative Maintenance 5.11 Tactical Regulators
Recertified AEDs
Vending Machines and
Software
Service Contracts Warranties
In Addition, Pharmaceutical and Iv Solution product categories will also be offered at a 40% discount from the current listed prices on www.boundtree.com .
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,
Dwight Lowry
Pricing Analyst
Bound Tree Medical, LLC
Item List for Brevard County
EMS Medical Supplies
Brevard County
Line ID Brevard County Item Description Bound Tree
Medical Item # Bound Tree Medical Item Description Vendor Name Vendor Item # Public Catalog Price - WWW.BOUNDTREE.COM
Itemized Percent
Discount
Quoted Price
With Discount
Applied
Selling
UOM
2 Safety Angio Cath 14 ga - 1-1/4" (1.16mm) - Straight, FEP; 4251890- 02 - Orange 601890
IV Catheter, Introcan Safety, 14 ga x 1.25 inch, Straight, FEP 50ea/bx 4bx/cs
B. BRAUN MEDICAL,
INC 4251890-02 4.09 50% 2.04$ 1/EA
3 Safety Angio Cath 16ga - 1 1/4" -Straight, FEP; 4252586-02 - Gray 602586 IV Catheter, Introcan Safety, 16 ga x 1.25 inch, Straight, FEP 50ea/bx 4bx/cs
B. BRAUN MEDICAL,
INC 4252586-02 4.09 50% 2.04$ 1/EA
4 Safety Angio Cath 18ga - 1 1/4" -Straight, FEP; 4252560-02 - Green 602560 IV Catheter, Introcan Safety, 18 ga x 1.25 inch, Straight, FEP 50ea/bx 4bx/cs
B. BRAUN MEDICAL,
INC 4252560-02 4.09 50% 2.04$ 1/EA
5 Safety Angio Cath 20ga - 1 1/4" - Straight, FEP; 4252535-02 - Pink 602535 Introcan Safety IV Catheter, Straight, FEP, 20ga x 1 1/4inch B. BRAUN MEDICAL,
INC 4252535-02 4.09 50% 2.04$ 1/EA
6 Safety Angio Cath 22ga - 1" - Straight, FEP; 4252519-02 - Blue 602519 IV Catheter, Introcan Safety, 22 ga x 1 inch, Straight, FEP 50ea/bx 4bx/cs
B. BRAUN MEDICAL,
INC 4252519-02 4.09 50% 2.04$ 1/EA
7 Safety Angio Cath 24ga - 3/4" - Straight, FEP; 4252500-02 - Yellow 602500 IV Catheter, Introcan Safety, 24 ga x 0.75 inch, Straight, FEP 50ea/bx 4bx/cs
B. BRAUN MEDICAL,
INC 4252500-02 4.09 50% 2.04$ 1/EA
8 Jamshidi Needle Interosseous; DIN1518X - 18ga x 1 1/2", Adjustable Depth Spacer 621518
INTRAOSSEOUS (IO) NEEDLE 18 GAUGE, JAMSHIDI, ADJUSTABLE LENGTH FROM 1/16 IN TO 1 7/16 IN 10/CS Becton Dickinson DIN1518X 62.59 35% 40.68$ 1 /EA 9 Needle, Hypodermic 18ga x 1"; 11818 - Tri-Bevel Hypodermic Needle 1641-11818 Needle, Hypodermic, 18 ga x 1 inch, 100/bx 10bx/cs B. BRAUN MEDICAL,
INC 4665118-02 11.09 35% 7.21$ 100/BX 10 Prepierced Needleless Injection Set (J-loop); # 83916 - IV Extension Set, Rotary Male Luer Lock, Roberts Clamp, Priming Vol. 2mL, 6in Long
1714-83916
Ext Set, 6 in, w/1 Needleless Connector, Roberts Clamp, Luer Lock on Distal End 100ea/cs
MEDSOURCE
INTERNATIONAL MS-83091 2.69 35% 1.75$ 1/EA 11 Tegaderm - Transparent IV Dressing Small 2-3/8" x 2-3/4"; 661469MS 661469MS
Curaplex Select Transparent Dressing, 2 3/8 inch x 2 3/4 inch 100/bx 4bx/cs
CURAPLEX BY BOUND
TREE STORM-11121 55.99 55% 25.20$ 100/BX 12 Dial-a-Flo; 11742- MacroBore Extension Set, 3mL, 18in Nominal Length 1712-74218
IV ADMIN Ext Set, Dial-a-Flo Flow Controller, 18 inch, Prepierced Y- site, Option Lok, Female Adap ICU MEDICAL 11742-28 11.69 35% 7.60$ 1 /EA 13 Metriset Burrette 60 drops/ml; G0728 - Mini-Drop Administration Set, 87" L G0728
INTRAVENOUS ADMINISTRATION SET 60 DROP 82 IN BBRAUN
METRISET
B. BRAUN MEDICAL,
INC 375113 17.29 60% 6.92$ 1/EA
14 Syringe 1ml w/25ga x 5/8" needle; 26044 - Luer Lock Tip 11278 Syringe and Needle, EXEL, 1cc Tuberculin, 25 ga x 5/8 inch 100ea/bx 10bx/cs
EXEL INTERNATIONAL,
INC. 26044 0.19 35% 0.12$ 1/EA
15 Syringe 3ml w/22ga x 1 1/2" needle; 26104 - Luer Lock Tip 620104 Syringe and Needle, EXEL, 3cc, 22 ga x 1 1/2 inch, Black Hub 100/bx 10bx/cs
EXEL INTERNATIONAL,
INC. 26104 22.49 35% 14.62$ 100/BX
16 Syringe 5ml Luer tip; 05305 - Luer Lock Tip w/o needle 1633-05305 Syringe Only, 5cc, Luer Lock, 100ea/bx 20bx/cs B. BRAUN MEDICAL,
INC 4617053V-02 0.19 35% 0.12$ 1/EA
17 Syringe 10ml Luer tip; 10010 - Luer Lock Tip w/o needle 1633-10010 Syringe Only, Luer Lock, 10cc B. BRAUN MEDICAL,
INC 4617100V-02 0.19 35% 0.12$ 1/EA
18 Syringe 20ml Luer Tip; 20720- Luer Lock Tip w/o needle 1633-20720 Syringe Only, 20cc, Luer Lock, 100ea/bx, 8bx/cs B. BRAUN MEDICAL,
INC 4617207V-02 0.39 35% 0.25$ 1/EA
19 Syringe 35ml Luer Tip; 29030 -Luer Lock Tip - general purpose syringe w/cap 1633-29030 Syringe, Luer Lock w/Cap, 30-35cc
EXEL INTERNATIONAL,
INC. 26290 1.19 35% 0.77$ 1/EA
21 Curaplex® Infu-Stat™ Pressure Infuser, 1000mL; Infu-Stat gauge incorporates a pressure release at 325mm/hg Disposable - #350310 350310 Curaplex Pressure Infuser, Bag, 1000ml 5/bx 5bx/cs
CURAPLEX BY BOUND
TREE 301-MTM310EA 22.49 55% 10.12$ 1/EA 22 Sharps 1qt; 2989000 -6.25in H X 4.5in W X 4.25in D 298900 SHARPS CONTAINER STACK RED WITH CLEAR LID 1 QUART 6.25 IN H X 4.25 IN D X 4.5 IN CARDINAL HEALTH 8900SA 5.49 35% 3.57$ 1 /EA 23 Sharps 8qt./2 gal. (8704); 99019 1860-99019 SHARPS CONTAINER RED 2 GALLON W/ HINGED LID 20/CS CARDINAL HEALTH 8990SA 11.79 35% 7.66$ 1 /EA 24 Sharps 5.4 qt wall safe container; 87085 1860-87085 Sharps Container, 5.4 quart 12ea/cs
MEDEGEN MEDICAL
PRODUCTS, LLC 8708 9.29 35% 6.04$ 1/EA 25 Sharps small lock cap 4.8 qt 7.75x10.25x6; 184R (P/N 34-575-01) - Jug style 290184
SHARPS CONTAINER OLD STYLE SQUARE RED 4.7 QUART 10 IN X 6 IN X 7.75 IN 12/CS
MEDEGEN MEDICAL
PRODUCTS 184R 23.99 35% 15.59$ 1/EA
26 Disposable Padded IV Arm Board 3"x9"; 91350 - (not cardboard splint) - Vinyl 1830-91350 Disposable IV Armboard 3 in x 9 in, 50EA/CS DICK MEDICAL SUPPLY 62309M50 2.09 35% 1.36$ 1 /EA 28 Alcohol Preps; 85300 1330-85300 Curaplex Alcohol Prep Pad, Medium, Sterile 200/BX 20BX/CS
CURAPLEX BY BOUND
TREE 1330-85300 4.09 55% 1.84$ 200/BX 29 Tourniquet 1" x 18" Nitrile, non latex-blue; 14000 1841-14000 Curaplex Tourniquet, Latex Free 1in x 18in, Rolled, Blue
CURAPLEX BY BOUND
TREE 1841-14000 53.99 55% 24.30$ 250/BG 30 IV tray - small; 117-8795 or 5227 2511-05227 carry caddy with drawer
HEALTH CARE
LOGISTICS 5227 23.99 35% 15.59$ 1/EA
31 Needle Filter 18 Gauge x 1.5" -'5 Micron Filter"; 625117 625211 Blunt Filter Needle, 5 micron with Blunt Fill Tip, 18ga x 1 1/2inch, Sterile BECTON DICKINSON 305211 0.75 35% 0.49$ 1 /EA 32 Sharps, mail box styl lid-5 qt red; 5810-8513 5810-8513
SHARPS CONTAINER IN ROOM MAILBOX STYLE LID TRANSPARENT
RED 5 QUART 20/CS CARDINAL HEALTH 85131 10.29 35% 6.69$ 1 /EA 34 Bandage 1" x 3"; Must be cloth bandage J3005
Bandage, Adhesive, Curity, Flexible Fabric, 1 in x 3 in, Latex Free 50/bx 24bx/cs CARDINAL HEALTH 44101- 4.59 35% 2.98$ 50/ BX 35 Large Digit Bandage 2" x 2.5"; Must be cloth bandage 1122-61703 Adhesive Bandage, Flexible Fabric, Sterile, Fingertip, 1 3/4inch x 2inch
DYNAREX
CORPORATION 3617 8.59 35% 5.58$ 100/BX 36 Bandage, Large Patch 2" x 3.75"; Must be cloth bandage J3004 Bandage, Adhesive, Curity, Flexible Fabric, 2 in x 3 3/4 in, Latex Free 50/bx 12bx/cs CARDINAL HEALTH 44102- 17.49 35% 11.37$ 50/ BX 37 Bandage, Knuckle 1.5 X 3"; Must be cloth bandage 279-3619BX Bandage, Adhesive, Flexible Fabric, knuckle, 1 1/2 x 3, sterile 100/bx 24bx/cs
DYNAREX
CORPORATION 3619 8.59 35% 5.58$ 100/ BX 1 of 9 Bound Tree Medical, LLC
Item List for Brevard County
EMS Medical Supplies
Brevard County
Line ID Brevard County Item Description Bound Tree
Medical Item # Bound Tree Medical Item Description Vendor Name Vendor Item # Public Catalog Price - WWW.BOUNDTREE.COM
Itemized Percent
Discount
Quoted Price
With Discount
Applied
Selling
UOM
38 4X4 Sterile 2/pk; 12102- 12 boxes of 100 each 1212-12102 Curaplex Sterile, Gauze Pad, Woven, 4in x 4in, 12-ply, 100PK/BX 12BX/CS
CURAPLEX BY BOUND
TREE 1212-12102 3.89 55% 1.75$ 100/BX 39 Unsterile 4x4 12 Ply; 3242BG - 20 bags of 200 each 279-3242BG Gauze sponge, 4 in x 4 in, 8 ply, non-sterile 200/bg 20bg/cs
DYNAREX
CORPORATION 3242 7.39 35% 4.80$ 200/BG 40 Multi-trauma Dressing 10"x30"; Multi-Trauma Abdominal Pads, Sterile, # 21459EA 536-NON21459EA Bandage, Multi-Trauma Dressing, 10 in x 30 in, Sterile, 50ea/cs
MEDLINE INDUSTRIES,
INC. NON21459 4.39 40% 2.63$ 1/EA
41 Oval Eye Pads; 80841 080841 EYE PADS OVAL STERILE 1 5/8 IN X 2 5/8 IN 50/BX 12BX/CS DUKAL CORP. 841 12.59 35% 8.18$ 50/ BX 42 Metal Eye Cover - Aluminim; 81258 081258 EYE SHIELD METAL 12/BX FOX GRAHAM FIELD, INC. 1276 2.49 35% 1.62$ 1 /EA 43 Combi ABD Pad (Surgi-pad) 8"x7.5"; 8426 1212-08426
Dressing, Abdominal, Combine Pads, Sterile, 8 in x 7.5 in 12/bx 20bx/cs
DYNAREX
CORPORATION 3502 4.19 35% 2.72$ 12/BX 44 Burn Sheet 60x96; 30061MS, - Non-woven fiber, Latex free 30061MS Curaplex Burn Sheet, 60 inch x 90 inch, Sterile 50ea/cs
CURAPLEX BY BOUND
TREE STORM-BS0033 4.69 35% 3.05$ 1/EA 45 Petroleum Gauze/Vaseline, Box/50; 413605 150066K1 Vaseline Petrolatum Gauze Strip, 3in x 9in Peelable Foil PK 200ea/cs CARDINAL HEALTH 8884413605 1.69 35% 1.10$ 1 /EA 46 Non-sterile, Kling 4"; 3104 279-3104BG
Stretch gauze bandage, non-sterile, 4 in., self adhering and conforming 12/bx 8bx/cs
DYNAREX
CORPORATION 3104 4.59 35% 2.98$ 12/BX 47 Non-sterile, Kling 2"; 8517 276-8517
Conforming stretch bandage, basic, 2 in. gauze, non-sterile, 12rl/bg, 8bg/ca DUKAL CORP. 8517 26.79 35% 17.41$ 96/ CS 48 Triangular Bandage; 3672 - 40" x 40" x 56" 1124-32400 Curaplex® Triangular Bandage, Muslin, 40in x 40in x 56in
CURAPLEX BY BOUND
TREE 1124-32400 12.99 55% 5.85$ 12/PK 49 Tape 1" Transpore; 1527-1 151527
3M Tape, Surgical, Transpore, 1 in x 10 yd, Adhesive, Clear, Porous, Latex Free, 12/bx, 10bx/cs 3M 1527-1 26.99 35% 17.54$ 12/ BX 51 Oral Airway 110mm; 4765 2010-34110 Curaplex® Berman Airway, 110mm, Light Blue, XL
CURAPLEX BY BOUND
TREE 12981 0.53 60% 0.21$ 1/EA
52 Oral Airway 100mm; 4755 2010-34100 Curaplex® Berman Airway, 100mm, Purple Or Red, LG Adult
CURAPLEX BY BOUND
TREE 12980 0.53 60% 0.21$ 1/EA
53 Oral Airway 90mm; 4745 2010-34090 Curaplex® Berman Airway, 90mm, Yellow, Medium Adult
CURAPLEX BY BOUND
TREE 12979 0.53 60% 0.21$ 1/EA
54 Oral Airway 80mm; 4735 2010-34080 Curaplex® Berman Airway, 80mm, Green, Small Adult
CURAPLEX BY BOUND
TREE 12978 0.53 60% 0.21$ 1/EA
55 Oral Airway 60mm; 4725 2010-34060 Curaplex® Berman Airway, 60mm, Black, Child
CURAPLEX BY BOUND
TREE 12976 0.53 60% 0.21$ 1/EA
56 Oral Airway 40mm; 4715 2010-34040 Curaplex? Berman Airway, 40mm, Pink, Neonatal
CURAPLEX BY BOUND
TREE 12974 0.53 60% 0.21$ 1/EA
57 Naso Airway 12 Fr; 023312 - Rusch® Fixed Nasopharyngeal Airway, 60mm x 12fr 023312
NASOPHARYNGEAL AIRWAY - NPA - LATEX FREE PVC 12 FRENCH
10/BX RUSCH Teleflex 123312 6.49 35% 4.22$ 1 /EA 58 Naso Airway 14 Fr; 14630 2021-14630
Curaplex Select Nasopharyngeal Airway, 14 Fr, Latex Free PVC 10ea/bx
CURAPLEX BY BOUND
TREE 2-0211-4630 3.29 45% 1.81$ 1/EA
59 Naso Airway 16 Fr; 14635 2021-14635
Curaplex Select Nasopharyngeal Airway, 16 Fr, Latex Free PVC 10ea/bx
CURAPLEX BY BOUND
TREE 2-0211-4635 3.29 45% 1.81$ 1/EA
60 Naso Airway 18 Fr; 14640 2021-14640
Curaplex Select Nasopharyngeal Airway, 18 Fr, Latex Free PVC 10ea/bx
CURAPLEX BY BOUND
TREE 2-0211-4640 3.29 45% 1.81$ 1/EA
61 Naso Airway 20 Fr; 14650 2021-14650
Curaplex Select Nasopharyngeal Airway, 20 Fr, 5.0mm, Latex Free PVC 10ea/bx
CURAPLEX BY BOUND
TREE 2-0211-4650 3.29 45% 1.81$ 1/EA
62 Naso Airway 22 Fr; 14655 2021-14655
Curaplex Select Nasopharyngeal Airway, 22 Fr, 5.5mm, Latex Free PVC 10ea/bx
CURAPLEX BY BOUND
TREE 2-0211-4655 3.29 45% 1.81$ 1/EA
63 Naso Airway 24 Fr; 14660 2021-14660
Curaplex Select Nasopharyngeal Airway, 24 Fr, 6.0mm, Latex Free PVC 10ea/bx
CURAPLEX BY BOUND
TREE 2-0211-4660 3.29 45% 1.81$ 1/EA
64 Naso Airway 26 Fr; 14665 2021-14665
Curaplex Select Nasopharyngeal Airway, 26 Fr, 6.5mm, Latex Free PVC 10ea/bx
CURAPLEX BY BOUND
TREE 2-0211-4665 3.29 45% 1.81$ 1/EA
65 Naso Airway 28 Fr; 14670 2021-14670
Curaplex Select Nasopharyngeal Airway, 28 Fr, 7.0mm, Latex Free PVC 10ea/bx
CURAPLEX BY BOUND
TREE 2-0211-4670 3.29 45% 1.81$ 1/EA
66 Naso Airway 30 Fr; 14675 2021-14675
Curaplex Select Nasopharyngeal Airway, 30 Fr, 7.5mm, Latex Free PVC 10ea/bx
CURAPLEX BY BOUND
TREE 2-0211-4675 3.29 45% 1.81$ 1/EA
67 Suction Cath 6 Fr; 36090 - Whistle Tip and Thumb Control Port 36090 Curaplex Suction Catheter, 6 Fr, Whistle Tip and Thumb Control Port 50ea/cs
CURAPLEX BY BOUND
TREE 36090 0.39 55% 0.18$ 1/EA
68 Suction Cath 12 Fr; 36093 - Whistle Tip and Thumb Control Port 36093 Curaplex Suction Catheter, 12 Fr, Whistle Tip and Thumb Control Port 50ea/cs
CURAPLEX BY BOUND
TREE 36093 0.39 55% 0.18$ 1/EA
69 Suction Cath 14 Fr; 36094 - Whistle Tip and Thumb Control Port 36094 Curaplex Suction Catheter, 14 Fr, Whistle Tip and Thumb Control Port 50ea/cs
CURAPLEX BY BOUND
TREE 36094 0.39 55% 0.18$ 1/EA
70 Suction Cath Yaunker; 00002 - SSCOR DuCanto Catheter 2211-00002 Suction Catheter, SSCOR DuCanto Catheter 1/EA 50EA/CS SSCOR, INC. 200-00002C 4.29 15% 3.65$ 1 /EA 71 Meconium Aspirator; N0101 - Clear 590101 SUCTION UNIT ASPIRATOR TYPE LATEX FREE 40EA/BX MECONIUM
NEOTECH PRODUCTS,
INC. NO101 8.89 35% 5.78$ 1/EA
72 1/4" Suction Tubing, 6ft; 16008 16008 SUCTION TUBING 1/4 50EA/CS AMSINO
INTERNATIONAL INC AS825 1.29 35% 0.84$ 1/EA 73 Amsure® Ear/Ulcer Bulb Syringe, 2oz, Non-sterile; AS00502S 044-AS00502EA AMSure Ear/Ulcer Bulb Syringe, Vinyl, Non-Sterile, 2oz AMSINO
INTERNATIONAL INC AS00502 0.79 35% 0.51$ 1 /EA 2 of 9 Bound Tree Medical, LLC
Item List for Brevard County
EMS Medical Supplies
Brevard County
Line ID Brevard County Item Description Bound Tree
Medical Item # Bound Tree Medical Item Description Vendor Name Vendor Item # Public Catalog Price - WWW.BOUNDTREE.COM
Itemized Percent
Discount
Quoted Price
With Discount
Applied
Selling
UOM
74 Disposable Suction Canister - 1200cc; 11200 2212-11200 Curaplex Disposable Hydrophobic Suction Canister, 1200cc
CURAPLEX BY BOUND
TREE 2212-11200 10.49 55% 4.72$ 1/EA
75 Ambu Adult SPUR II Bag Reservoir, Adult Med. Mask, Peep Valve, Sampling Line 12/CS; 2442-10015 2442-10015
Ambu Adult SPUR II Bag Reservoir, Adult Med. Mask, Peep Valve, Sampling Line 12/CS AMBU INC. 520211001E 447.99 45% 246.39$ 12/ CS 76 Spur® II Infant BVM with Bag Reservoir, Infant Mask, PediCap CO2 Detector; 065-540212000EA 065-540212000EA
BVM, SPUR II, Infant, w/Infant Mask, Bag Reservoir, Medi Port, Disp 12ea/cs AMBU 540212000 23.79 45% 13.08$ 1 /EA 77 Spur® II Pediatric BVM with Bag Reservoir, Toddler Mask, CO2 Detector; 2442-53213 2442-53213
BVM, SPUR II, Pediatric w/Toddler Mask (size 1 and size 2), Poly Bagged 12ea/cs AMBU 530213000 23.79 45% 13.08$ 1 /EA 79 ET Tube 2.0 Uncuffed; Without Stylette 2113-20320 Curaplex Endotracheal Tube, Uncuffed, w/o Stylette, 2.0mm
CURAPLEX BY BOUND
TREE 2113-20320 1.79 60% 0.72$ 1/EA
80 ET Tube 2.5 Uncuffed; Without Stylette 2113-20325 Curaplex Endotracheal Tube, Uncuffed, w/o Stylette, 2.5mm
CURAPLEX BY BOUND
TREE 2113-20325 1.79 60% 0.72$ 1/EA
81 ET Tube 3.0 Uncuffed; Without Stylette 2113-20330 Curaplex Endotracheal Tube, Uncuffed, w/o Stylette, 3.0mm
CURAPLEX BY BOUND
TREE 2113-20330 1.79 60% 0.72$ 1/EA
82 ET Tube 3.5 Uncuffed; Without Stylette 2113-20335 Curaplex Endotracheal Tube, Uncuffed, w/o Stylette, 3.5mm
CURAPLEX BY BOUND
TREE 2113-20335 1.79 60% 0.72$ 1/EA
83 ET Tube 4.0 Uncuffed; Without Stylette 2113-20340 Curaplex Endotracheal Tube, Uncuffed, w/o Stylette, 4.0mm
CURAPLEX BY BOUND
TREE 2113-20340 1.79 60% 0.72$ 1/EA
84 ET Tube 4.5 Uncuffed; Without Stylette 2113-20345 Curaplex Endotracheal Tube, Uncuffed, w/o Stylette, 4.5mm
CURAPLEX BY BOUND
TREE 2113-20345 1.79 60% 0.72$ 1/EA
85 ET Tube 5.0 Uncuffed; Without Stylette 2113-20350 Curaplex Endotracheal Tube, Uncuffed, w/o Stylette, 5.0mm
CURAPLEX BY BOUND
TREE 2113-20350 1.79 60% 0.72$ 1/EA
86 ET Tube 5.0 Cuffed; Without Stylette 2113-20250 CURAPLEX Endotracheal Tube, Cuffed, w/o Stylette, 5.0mm
CURAPLEX BY BOUND
TREE 2113-20250 1.99 55% 0.90$ 1/EA
87 ET Tube 5.5 Cuffed; Without Stylette 2113-20255 CURAPLEX Endotracheal Tube, Cuffed, w/o Stylette, 5.5mm
CURAPLEX BY BOUND
TREE 2113-20255 1.99 55% 0.90$ 1/EA
88 ET Tube 6 Cuffed; Without Stylette 2113-20260 CURAPLEX Endotracheal Tube, Cuffed, w/o Stylette, 6.0mm
CURAPLEX BY BOUND
TREE 2113-20260 1.99 55% 0.90$ 1/EA
89 ET Tube 7 Cuffed; Without Stylette 2113-20270 CURAPLEX Endotracheal Tube, Cuffed, w/o Stylette, 7.0mm
CURAPLEX BY BOUND
TREE 2113-20270 1.99 55% 0.90$ 1/EA
90 ET Tube 8 Cuffed; Without Stylette 2113-20280 CURAPLEX Endotracheal Tube, Cuffed, w/o Stylette, 8.0mm
CURAPLEX BY BOUND
TREE 2113-20280 1.99 55% 0.90$ 1/EA
91 Mucosal Atomization Device - Dart w/o Syringe; 20300 2170-20300 Curaplex DART, No Syringe, Latex Free 1/EA 25EA/CS
CURAPLEX BY BOUND
TREE DART300 9.49 55% 4.27$ 1/EA
92 ET Holder Adult; 600-20000 020400
Endotracheal Tube Holder, Thomas, Pediatric/Child, for ET/SGA Tubes 4.3mm ID to 15.8mm OD
LAERDAL MEDICAL
CORP. 600-20000 6.09 10% 5.48$ 1/EA
93 ET Holder Ped; 600-10000 020500
Endotracheal Tube Holder, Thomas, Adult, for ET/SGA Tubes 6.5mm ID to 21mm OD
LAERDAL MEDICAL
CORP. 600-10000 6.09 10% 5.48$ 1/EA
94 Laryngoscope Handle Med; 13510 - Metal Non-fiber 2141-13510 Curaplex Select Laryngoscope Handle, Reusable, LED, Water- Resistant 24ea/bx 4bx/cs
CURAPLEX BY BOUND
TREE 2141-13510 49.99 55% 22.50$ 1/EA
95 Laryngoscope Handle Sm; 028620 - Metal Non-fiber 028620 LARYNGOSCOPE HANDLE RUSCH PEDIATRIC TELEFLEX LLC 008620100 70.99 35% 46.14$ 1 /EA 96 Laryngoscope Lamp Sm; B902 301-B902 Laryngoscope lamp, conventional, small, clear pre-focused 5/pk SUN MED B-902 15.49 35% 10.07$ 5 /PK 97 Laryngoscope Lamp Large; B901 301-B901 Laryngoscope lamp, conventional, large, frosted 5/pk SUN MED B-901 15.49 35% 10.07$ 5 /PK 98 Lubricating Jelly Foil Packet, 2.7g; 27000; Cs/12bx 1340-27000 *SEE NOTES* Curaplex Lubricating Jelly, Foil Packet 2.7g 144/BX 12BX/CS ASP GLOBAL 1340-27000 19.29 55% 8.68$ 144/ BX 99 Laryngoscope Blade Miller 0; MS-001MIB0 533-MS-001MIB0 Laryngoscope blade, Miller, size 0, standard, stainless steel
MEDSOURCE
INTERNATIONAL MS-46020 37.99 35% 24.69$ 1/EA 100 Laryngoscope Blade Miller 1; MS-001MIB1 533-MS-001MIB1 Laryngoscope blade, Miller, size 1, standard, stainless steel
MEDSOURCE
INTERNATIONAL MS-46021 37.99 35% 24.69$ 1/EA 101 Laryngoscope Blade Miller 2; MS-001MIB2 533-MS-001MIB2 Laryngoscope blade, Miller, size 2, standard, stainless steel
MEDSOURCE
INTERNATIONAL MS-46022 37.99 35% 24.69$ 1/EA 102 Laryngoscope Blade Miller 3; MS-001MIB3 533-MS-001MIB3 Laryngoscope blade, Miller, size 3, standard, stainless steel
MEDSOURCE
INTERNATIONAL MS-46023 37.99 35% 24.69$ 1/EA 103 Laryngoscope Blade Miller 4; MS-001MIB4 533-MS-001MIB4 Laryngoscope blade, Miller, size 4, standard, stainless steel
MEDSOURCE
INTERNATIONAL MS-46024 37.99 35% 24.69$ 1/EA 104 Laryngoscope Blade Mac 0; 7886 7886 Laryngoscope Blade, stainless, Mac 0 SURGICAL DESIGN, INC MAC 0 BLade 16.99 35% 11.04$ 1 /EA 105 Laryngoscope Blade Mac 1; MS-001MAB1 533-MS-001MAB1 Laryngoscope Blade, Macintosh, size 1, standard, stainless steel
MEDSOURCE
INTERNATIONAL MS-46011 37.99 35% 24.69$ 1/EA 106 Laryngoscope Blade Mac 2; MS-001MAB2 533-MS-001MAB2 Laryngoscope Blade, Macintosh, size 2, standard, stainless steel
MEDSOURCE
INTERNATIONAL MS-46012 37.99 35% 24.69$ 1/EA 107 Magi; MS-001MAB3 533-MS-001MAB3 Laryngoscope Blade, Macintosh, size 3, standard, stainless steel
MEDSOURCE
INTERNATIONAL MS-46013 37.99 35% 24.69$ 1/EA 108 Laryngoscope Blade Mac 4; MS-001MAB4 533-MS-001MAB4 Laryngoscope blade, Macintosh, size 4, standard, stainless steel
MEDSOURCE
INTERNATIONAL MS-46014 37.99 35% 24.69$ 1/EA 3 of 9 Bound Tree Medical, LLC
Item List for Brevard County
EMS Medical Supplies
Brevard County
Line ID Brevard County Item Description Bound Tree
Medical Item # Bound Tree Medical Item Description Vendor Name Vendor Item # Public Catalog Price - WWW.BOUNDTREE.COM
Itemized Percent
Discount
Quoted Price
With Discount
Applied
Selling
UOM
109 Magill Forceps Adult; 400008 400008 FORCEPS MAGILL INTUBATING ADULT 10 IN 12EA/BX ZULCO
INTERNATIONAL 9-476 8.89 35% 5.78$ 1/EA 110 Magill Forceps Child; 400007 400007 FORCEPS MAGILL INTUBATING CHILD 8 IN 12/BX ZULCO
INTERNATIONAL 9-474 9.09 35% 5.91$ 1/EA 111 Medicut™ Scalpel, Size 11; 4111 400012 SCALPEL DISPOSABLE STERILE 11 10EA/BX 4111
DYNAREX
CORPORATION 4111 1.49 35% 0.97$ 1/EA
112
Bite Stick - Orange; One piece, Non-toxic, Unbreakable, Sanitary bag packaging 0003 Bite stick, latex free 10ea/pk E.M.I. 676 1.09 35% 0.71$ 1 /EA 113 Adult Nasal Cannulla; 14645 - Curved, Non-Flare, Adult 14645 O2 nasal cannula, straight, non-flare, adult, 7ft tubing 50ea/cs SUN MED 1007 1.41 35% 0.92$ 1 /EA 114
Smart CapnoLine® Plus, Oral-Nasal, Male Connector,
Adult/Intermediate; 177653 177653
SMART CAPNOLINE PLUS NON INTUBATED ORAL NASAL,
ADULT/INTERMEDIATE W/ 02 CONNECTOR NO TUBING 100EA/BX
MEDTRONIC
(covidien) MVA100U 14.59 35% 9.48$ 1 /EA 115 Oxygen Connecting Tubing, 7ft L, 3/16in ID; 3007 87-3007EA LTD QTY - Curaplex OXYGEN CONNECTING TUBING, 7 FT, 3 CHANNEL SAFETY TUBING, 3/16 IN I.D., 50EA/CS
CURAPLEX BY BOUND
TREE 3007 1.02 35% 0.66$ 1/EA
116
Adult Total Non-rebreather Oxygen Mask, High Concentration, Elongated Adult; 25060EA 533-MS-25060EA
Curaplex Oxygen Mask, Adult, Elongated, High Conc, Total NRB w/o Vent, Reservoir Bag, Tubing 50ea/cs
CURAPLEX BY BOUND
TREE BT-25060 1.79 55% 0.81$ 1/EA
117
Angiocath™ FEP Polymer Peripheral Venous IV Catheter, 14ga x
3.25in L, Orange; Decompression Needle 352832
CATHETER, DECOMPRESSION NEEDLE, 14 GA X 3.25 IN, BD
ANGIOCATH 10EA/BX, 5BX/CS Becton Dickinson 382268 59.99 35% 38.99$ 1 /EA 118
Select Nebulizer, Small-Volume, Hand-held, T-Piece, Mouthpiece, Flextube, 7ft Tubing; # 301-200EA - Nebulizer must be complete kit w/T piece
301-200EA
Curaplex Select Nebulizer, Small-volume, Hand-held, T-piece, Mouthpiece, Flextube, 7 ft Tubing 50/cs
CURAPLEX BY BOUND
TREE 301-200 1.65 55% 0.74$ 1/EA
119 Aerosol Mask; 2110 301-171EA
Aerosol Mask w/Elastic Strap, Elongated, Adjustable Nose Strap, Pediatric
CURAPLEX BY BOUND
TREE MS-25083 1.31 35% 0.85$ 1/EA
120
Pedi Oxygen Mask, High Concentration Total Non-rebreather, 7ft Tube Length, Fits-All Connector, Pediatric; 22026 410266 Total Non-Rebreathing High Concentration Mask, 7ft Oxygen Tube, Universal Connector, Infant
MEDSOURCE
INTERNATIONAL MS-25055-U 3.78 35% 2.46$ 1/EA 121 Total Non-rebreather Oxygen Mask, Elongated Infant; 2300 816724 MASK INFANT MED CONC 7FT TUBING 1/EA 50EA/CS SUNMED 2300 1.93 35% 1.25$ 1 /EA 122 Curaplex® Nasal Cannula, Pediatric; 30056 30056
Curaplex Oxygen Nasal Cannula, Pediatric, Conventional, Green, 7 ft Tubing 50ea/cs
CURAPLEX BY BOUND
TREE 30056 0.69 55% 0.31$ 1/EA
123 Softies® Over-The-Ear Nasal Cannula, Infant; A859100 A859100 CANNULA NASAL WITH 7 FT TUBE INFANT 50/CS
ALLIED HEALTHCARE
PRODUCTS INC 33504 4.89 45% 2.69$ 1/EA 124 Gasket Regulator Washer, Brass/Viton; 10868 10868 GASKET REGULATOR O-RING 50EA/CS MERET AREG-100WB50 1.19 35% 0.77$ 1 /EA 125 Nipple and Nut Adaptor, Green (Christmas Tree); 20634 020634 O2 Connector, Barb, Nipple/Nut, Tapered, Plastic 50ea/cs
MEDLINE INDUSTRIES,
INC. HUD2555 1.79 35% 1.16$ 1/EA
126 Cylinder Wrench, Black, Plastic; 385083 385083 WRENCH E CYLINDER PLASTIC SMALL BLACK 25/PK OTHER
MANUFACTURER 1600 2.09 35% 1.36$ 1/EA 127
Portable 02 Regulator CGA 870 Standard, 0 to 25lpm, with Hose Barb and 2 DISS; 14663 14288 Curaplex All Brass Regulator, Click-Style
CURAPLEX BY BOUND
TREE EMSREG8725-B2D-B 52.99 20% 42.39$ 1/EA 128 Main 02 Regulator; RR510-600 020624 Regulator Top Mount w/Contents Gauge, Left-Handed Entry
WESTERN
ENTERPRISES M1-540-P 185.99 20% 148.79$ 1/EA 129 FlowMeter, O2, 0-15LPM, 50PSI, OHMED; 1MFA1005PT0 715-1MFA1005PTO Oxygen flowmeter, 0-15 LPM, Ohmeda connector, power take off, chrome body PRECISION MEDICAL 1MFA1005PTO 98.99 35% 64.34$ 1 /EA 130 Ohmeda® Vacuum Quick Connect, 1/4in Hose Barb; 2311 592311 Vacuum Quick Connect, Ohmeda Quick Connect x Hose Barb PRECISION MEDICAL 2311 41.79 35% 27.16$ 1 /EA 131 QC Coupler, Oxygen, Ohio and DISS Female; OR201-6 A407101 Quick Connect Coupler, Oxygen, Ohmeda Female x DISS Nut and Nipple
WESTERN
ENTERPRISES OR201-6 113.99 35% 74.09$ 1/EA 132 02 Yoke; Replacement Swivel Yoke, 0.25 NPT Male Thread D4102 YOKE ASSEMBLY REPLACEMENT CGA870 TO 0.25 NATIONAL PIPE
THREAD MALE BAY CORPORATION 8704 55.99 35% 36.39$ 1 /EA 133 BP Cuff Infant - Manual; 36010 36010 Curaplex Manual Blood Pressure Cuff, Infant, with Case 50ea/cs
CURAPLEX BY BOUND
TREE 36010 12.09 35% 7.86$ 1/EA
134 BP Cuff Pedi - Manual; 36011 36011 Curaplex Manual Blood Pressure Cuff, Child, with Case 50ea/cs
CURAPLEX BY BOUND
TREE 36011 12.09 35% 7.86$ 1/EA
135 BP Cuff Adult - Manual; 36012 36012 Curaplex Manual Blood Pressure Cuff, Adult, with Case 50ea/cs
CURAPLEX BY BOUND
TREE 36012 11.99 35% 7.79$ 1/EA
136 BP Cuff Lrg Adult - Manual; 36014 36014 Curaplex Manual Blood Pressure Cuff, Thigh, with Case 50ea/cs
CURAPLEX BY BOUND
TREE 36014 10.89 35% 7.08$ 1/EA
137
Stethoscope, dual head stainless steel adult/pediatric; MDF777 flexible on color E6142 Spectrum Dual-Head/Teaching Stethoscope, Boxed, Adult, Blue BRIGGS HEALTHCARE 10-426-010 15.79 35% 10.26$ 1 /EA 139 Emesis Bags; Emesis Bags Cardboard Rim, 1000cc, Clear 1071-10208 Curaplex Emesis Bag, 1000cc, Clear, Cardboard Rim w/o Hand Protection 25/pk 10pk/cs
CURAPLEX BY BOUND
TREE 1071-10208 28.09 55% 12.64$ 25/PK
140 Hot Pack, Large, 6.69in L x 7.5in W; 67000 1432-67000-T Curaplex Hot Pack - Large - 6.69in x 7.5in 1/EA 50EA/CS *HAZMAT*
TEMPO MEDICAL-
CURAPLEX 1432-67000-T 0.99 45% 0.54$ 1/EA 141 Cold Pack, Medium, 6.69in L x 6.69in W; 66000 1431-66000 LTD QTY - Curaplex Cold Pack - Medium - 6.69in x 6.69in 1/EA 50EA/CS
CURAPLEX BY BOUND
TREE C6767 1.89 55% 0.85$ 1/EA
4 of 9 Bound Tree Medical, LLC
Item List for Brevard County
EMS Medical Supplies
Brevard County
Line ID Brevard County Item Description Bound Tree
Medical Item # Bound Tree Medical Item Description Vendor Name Vendor Item # Public Catalog Price - WWW.BOUNDTREE.COM
Itemized Percent
Discount
Quoted Price
With Discount
Applied
Selling
UOM
142
Obstetrical Kit, Sealed Standard - # 4440010; 1) Pair of gloves, latex- free, large, (1) OB napkin, (2) OB towelettes,(2) Umbilical cord clamps, (1) Scalpel, disposable, (1) Apron, plastic, disposable, (1) Underpad, 17” x 24”, (3) Towels, 13” x 19”, (1) Drape sheet, 40” x 48”, (1) Placenta bag, plastic, (1) Bulb syringe, 2oz, (8) Gauze sponges, 4” x 4”, (2) Twist Ties
4440010 Curaplex OB Kit Sealed Standard
CURAPLEX BY BOUND
TREE 4440010 16.29 55% 7.33$ 1/EA
143 Foil Baby Bunting, Sterile; 40-06 444006 FOIL BABY BUNTING STERILE BRIGGS HEALTHCARE 650-4006-0600 8.69 35% 5.65$ 1 /EA 144 Pen Light Disposable; 2762- 5in L and 1/2in Diameter 32762 Curaplex Disposable Penlight 6/pk, 60pk/cs
CURAPLEX BY BOUND
TREE CUR-PEL100 7.49 35% 4.87$ 6/PK
145 ComfortMed Disposable Pillow,; White, 24in L x 18in W B0036 Pillow, Disposable, Medium Weight, 18inch x 24inch
MEDLINE INDUSTRIES,
INC. PM1824-15 7.29 35% 4.74$ 1/EA
146 3-Piece Linen Set, Heavy Duty; (pillowcase, flat & fitted sheet) 533-MS-003PCHD Linen set, 3 pc incl white fitted sheet, pillowcase, dk bl flat sheet, disp 25/cs
MEDSOURCE
INTERNATIONAL MS-003PCHD 165.99 35% 107.89$ 25/CS 147 Disposable Pillow case 21x30; Size 22 x 30 3271-44125 Curaplex Disposable Pillow Case, 22x30 inches Tissue/Poly, White 100/CS
CURAPLEX BY BOUND
TREE 3271-44125 39.99 55% 18.00$ 100/CS 149 Curaplex® Paramedic Shears,; 05524- 7.25in, Black 2811-05524 Curaplex EMS Shears, Black, 7.25in 1/EA 200EA/CS
CURAPLEX BY BOUND
TREE 2811-05524 1.93 55% 0.87$ 1/EA
150 Window Punch, Aluminum Barrel, Center; Q89072 G1741 WINDOW PUNCH CENTER E.M.I. 1076 20.79 35% 13.51$ 1 /EA 152 Triage Tag, Airport Style; American Civil Defense 600001 TRIAGE TAGS 50/BG METTAG METTAG PRODUCTS MT-137 88.99 35% 57.84$ 50/ BG 153 Ring Cutter, Chrome Handle, Heavy Duty; 400010 400010 RING CUTTER, MAGNUM MEDICAL
MAGNUM MEDICAL,
INC. 10-4130 17.79 35% 11.56$ 1/EA
154
Emergency Blanket 54"x 80" yellow, impervious; 7303 (Must be size & type specified) 276-7303EA
Emergency blanket, 54in x 80in, yellow, hvy duty fluid impervious, ind wrapped 50ea/cs DUKAL CORP. 7303 4.19 35% 2.72$ 1 /EA 160 FluidShield® Fog-Free Procedure Mask, Orange; 290418 290418 MASK WITHOUT VISOR FLUIDSHIELD 40/BX 10BX/CS O&M Halyard, Inc 47107 27.79 35% 18.06$ 40/ BX 161
Impervious Film Gowns with Thumbhooks and Perforated Open Back, Blue, Universal; 69490EA 108-69490EA
Impervious film gown, universal, blue, thumbhooks, perforated open back, 75ea/cs O&M Halyard, Inc 69490 6.19 35% 4.02$ 1 /EA 163
N95 Mask Flat Fold -Universal; 7230N95 (mask must be "NIOSH" flat fold particulate) 670245-KIT *NON-RETURNABLE* Curaplex N95 Mask Kit (20 Masks) PARENT PRODUCTION 670245-KIT 62.99 35% 40.94$ 1 /EA 165 Ambu medium electrodes, 25pk; Blue sensor R R-00-S/25 230026 Electrodes, BlueSensor R, Adult, Foam 25/PK 40PK/CS AMBU R-00-S/25 13.59 45% 7.47$ 25/ PK 166 Shave Preparation Razor, Blue, disposable; 70837 2744-70837 Shave Prep Razor, 2 sided, Blue 100ea/cs
MEDLINE INDUSTRIES,
INC. DYND70837 0.59 35% 0.38$ 1/EA
167 ECG Chart Paper, Thermal, Red Grid, 108mm, for Lifepak 15; 10108 2745-10108 Curaplex ECG Chart Paper, Thermal,108mm,Red Grid, for Physio- Control LP11, LP12 , LP15 1/RL 60RL/CT
CURAPLEX BY BOUND
TREE 2745-10108 5.39 60% 2.16$ 1/RL
168
Curaplex Select Defib Pads, Physio Adult combo, Leads our direct Connect; 16242; 10pr/cs 16242
Curaplex Select Defib Pads, Physio Adult/Child Combo, Leads Out Direct Connect >10KG/22LBS 10pr/cs
CURAPLEX BY BOUND
TREE 6600208H 48.79 55% 21.96$ 1/PR
169
Curaplex Select Multi-function Defib Pads, Physio Control Pediatric; 16383; 10pr/cs 16383
Curaplex Select Multi-Function Defib Pads, Physio-Control Pediatric/Infant <10kg/22lb 10pr/cs
CURAPLEX BY BOUND
TREE 6600201H 46.49 55% 20.92$ 1/PR
170 Adenosine, 3mg/mL, 2mL Vial; NDC# 51662-1201-1 1000020 Adenosine 6mg, 2ml Vial HF Acquisition CO, LL
(HealthFirst) 1000020 15.49 40% 9.29$ 1/EA 171
Ipratropium Bromide 0.5mg/mL and Albuterol 3mg/mL, 3mL Vial; NDC# 0487-0201-01 0201-01
IPRATROPIUM BROMIDE 0.5MG/ALBUTEROL 3.0MG INDIVIDUALLY
WRAPPED 30EA/BX (Generic for Duoneb) 12BX/CS
NEPHRON
PHARMACEUTICALS
CORP 0487-0201-01 54.99 40% 32.99$ 30/BX 172 Amiodarone 150mg/3ml vial 50mg/ml; NDC# 63323-0616-03 9875-20 Amiodarone HCl 50MG/ML, Intravenous Injection Single Dose Vial Hikma
Pharmaceuticals USA
Inc 0143-9875-25 278.99 40% 167.39$ 25/BX 173 Aspirin, Children's Chewable 81mg. 36s; NDC# 0904-4040-73 911316 Aspirin 81mg Chewable, Orange Flavor 36/Bottle GERI-CARE 911-316 2.01 40% 1.21$ 36/ BT 174 Cardizem (Diltiazem) 50mg/10ml 10ml vial; NDC#: 0641-6014-10 6014-10 Diltiazem, 50mg, 10ml Vial *REFRIGERATE* 10ea/Box Hikma
Pharmaceuticals USA
Inc 0641601410 119.99 40% 71.99$ 10/BX
175
Dextrose Injection 50% 50ml Stickguard Prefilled Syringe; NDC# 0409-7517-16 377515 DEXTROSE 50% 25GM, 50ML ANSYR SYRINGE 1013C 10EA/BX PFIZER INC. 0409751716 229.99 40% 137.99$ 10/ BX 176 Dextrose Injection 10% 250mL saline-premix; NDC# 0264-7520-20 7520-20 IV Solution, Dextrose 10% 250ml Bag 24ea/cs B. BRAUN MEDICAL,
INC L5202 14.99 75% 3.75$ 1/EA
177
Diazepam 5mg/mL, 2mL Luer Locking Carpuject, (Requires Carpuject Holder #D250); NDC# 0409-1273-32 371104 C4 DIAZEPAM 5MG/ML 2ML LUER LOCKING CARPUJECT 10/BX CS04 PFIZER INC. 0409127332 589.99 40% 353.99$ 10/ BX 178 Diphenhydramine 50mg/1ml Vial (Benadryl); NDC# 72485-101-25 101-25 Diphenhydramine 50mg, 1ml vial 25/BX ARMAS
PHARMACEUTICALS,
INC. 72485-101-25 60.59 40% 36.35$ 25/BX 179
Epinephrine, 0.1mg/mL (1:10,000), 10mL LifeShield™ Prefilled Syringe1:1000 (1mg/ml) 1ml Ampule; NDC#0409-4933-01 374921 *MFG B/O* EPINEPHRINE 1:10000 1MG 10ML LIFESHIELD SYRINGE 1019A 10EA/BX PFIZER INC. 0409493301 168.99 40% 101.39$ 10/ BX 180 Epinephrine 1mg/mL, 1mL Ampule; NDC#: 54288-103-10 103-10 Epinephrine 1mg, 1ml Ampule BPI LABS, LLC 54288-103-10 239.9 40% 143.94$ 10/ PK 181 Amidate™ (Etomidate), 2mg/mL, 10mL Vial; NDC# 0409-6695-01 6695-01 Etomidate, 20mg, 10ml Vial 10EA/BX PFIZER INC. 0409669501 149.99 40% 89.99$ 10/ BX 182 Fentanyl 0.05mg/ml 5ml vial - 6028-25; NDC# 0641-6028-25 6028-25 C2 Fentanyl, 0.05mg/ml, 5ml Vial, 25/Bx Hikma
Pharmaceuticals USA
Inc 0641602825 211.99 40% 127.19$ 25/BX
183 Glucagen Kit 1mg, powder/dilutent; NDC# 63323-0593-03 0593-03 *SEE NOTES* Glucagon 1mg, 1ml vial kit with 1ml Sterile Water OTHER
MANUFACTURER 63323-0593-03 367.99 40% 220.79$ 1 /EA 5 of 9 Bound Tree Medical, LLC
Item List for Brevard County
EMS Medical Supplies
Brevard County
Line ID Brevard County Item Description Bound Tree
Medical Item # Bound Tree Medical Item Description Vendor Name Vendor Item # Public Catalog Price - WWW.BOUNDTREE.COM
Itemized Percent
Discount
Quoted Price
With Discount
Applied
Selling
UOM
184
Transcend™ Glucose Gel, 15g, Strawberry Flavor,; 1 oz squeezable pouch 664389
Glucose Gel, Strawberry 15gm 15/pack 5pk/cs *Will affect patients w/Strawberry Allergy* LIFE NUTRITION, LLC 4389 49.99 40% 29.99$ 15/ PK 185 Hydrogen Peroxide 3%, 16oz; Bottles 1421-40012 Hydrogen Peroxide 3%, 16 oz, 12EA/CS
MED PLUS SERVICES
USA HDX D0012 1.07 35% 0.70$ 1/EA
186 Povidone-Iodine swabsticks; NDC# 67777-130-01 601240 POVIDONE IODINE (PVP) SWABSTICKS 1/PK 50/BX (10BX/CS)
DYNAREX
CORPORATION 1201 12.49 35% 8.12$ 50/BX 187 Ketamine HCL injection 10ML 50mg/ML; NDC# 0143-9508-10 9508-10 C3 Ketamine 50mg/ml, 10ml Vial 10/ box Hikma
Pharmaceuticals USA
Inc 0143-9508-10 250.99 40% 150.59$ 10/BX 189
Lidocaine HCl 2%, 20mg/mL, 5mL LifeShield® Abboject® Syringe with Male Luer Lock Adapter (20G Protected Needle); NDC# 0409-4903- 34 374904 LIDOCAINE 2% 100MG 5ML LIFESHIELD SYRINGE 1026A 10EA/BX PFIZER INC. 0409490334 157.99 40% 94.79$ 10/ BX 190 Magnesium Sulfate 50%, 500mg/mL, 2mL Vial; NDC# 63323-064-03 064-01 Magnesium Sulfate 50% 1GM, 2ML Vial
HF ACQUISITION CO,
LLC (HEALTHFIRST) 1011950 14.79 40% 8.87$ 1/EA 191
Solu-Medrol® 125mg/mL, 2mL Act-O-Vial® System; NDC#0009-0047- 22 0409-0047-22 Solu-Medrol, 125mg, 2ml ACT-O-VIAL 25EA/BX PFIZER INC. 0009004722 437.99 40% 262.79$ 25/ BX 193 Midazolam 5mg/mL, 2mL vial 25s (versed); NDC# 0409-2308-02 371113 C4 MIDAZOLAM 10MG, 2ML VIAL (5MG/ML) 10/BOX CS13 (VERSED) PFIZER INC. 0409230802 75.99 40% 45.59$ 10/ BX 194 Morphine Sulphate 10mg/ml 1ml vial 25s; NDC# 10019-178-44 6127-25 C2 Morphine 10mg 1ml Vial 25/bx Hikma
Pharmaceuticals USA
Inc 0641612725 139.99 40% 83.99$ 25/BX
195
Narcan 1mg/mL, 2mL Luer-Jet™ Luer-Lock Prefilled Syringe; NDC# 76329-3369-1 373369 NALOXONE 2MG 2ML LUER JET 1029B 10EA/CS IMS LIMITED 7632933691 459.99 40% 275.99$ 10/ CS 196 Nitro Tabs 0.4mg (25 tabs/bottle); NDC# 0071-0418-13 8-0436-11 Nitroglycerin Sublingual Tabs 0.4mg 25/BTL
HF ACQUISITION CO,
LLC (HEALTHFIRST) 1001140 29.29 40% 17.57$ 25/BT 197 Norepinephrine, 1mg/mL, 4mL Ampule; NDC# 360000-16210 0162-10 LTD QTY - Norepinephrine 4mg, 4ml Ampule (1mg/ml) 10ea/bx
BAXTER HEALTHCARE
PHARM DIVISION AIN00610 217.9 40% 130.74$ 10/BX 198 Ondansetron, 2mg/mL, 2mL Vial (Zofran); NDC# 60505-6130-05 6130-05 Ondansetron 4mg, 2ml vial 25EA/BX
CARDINAL HEALTH-
PHARMA 5248596 49.99 40% 29.99$ 25/BX
199
Sodium Bicarbonate 8.4% Prefilled Syringe 50ml; NDC# 76329-3352- 1 371035 Sodium Bicarbonate 8.4% 50ml Luer Jet 1035B 10ea/pk IMS LIMITED 7632933521 274.99 40% 164.99$ 10/ PK 200 Sodium Chloride 0.9% Irrigation 500ml; NDC#0338-0048-03 358001 IV Solution, Sodium Chloride 0.9% 500ml Bag 24ea/cs BBraun L8001 B. BRAUN MEDICAL,
INC L8001 10.99 60% 4.40$ 1/EA
201 Sodium Chloride 0.9% 1000ml IV; NDC# 0264-7800-09 7800-09 IV Solution, Sodium Chloride 0.9% 1000ml Bag 12ea/cs B. BRAUN MEDICAL,
INC L8000 8.59 60% 3.44$ 1/EA
202
Sodium Chloride 0.9%, 250mL EXCEL® IV Container; NDC# 0264- 7800-20 358002 IV Solution, Sodium Chloride 0.9% 250ml Bag 24ea/cs BBraun L8002 B. BRAUN MEDICAL,
INC L8002 12.49 74% 3.25$ 1/EA
203 Sodium Chloride 0.9% Prefilled syringes, 10ML fill 1920-01010 IV flush syringe, Normal Saline, 10ml Prefilled in 10ml Syringe 30ea/bx 8bx/cs
AMSINO
INTERNATIONAL, INC. IVF1010TM 1.79 70% 0.54$ 1/EA 204 Sodium Chloride 0.9% 100mL IV; NDC# 00338-0049-48 358437 IV Solution, Sodium Chloride 0.9% 100ml Bag, Singles 96ea/cs
BAXTER HEALTHCARE-
DMG 2B1307 5.59 40% 3.35$ 1/EA
205 Succinylcholine (Quelicin) 200mg/10ml; NDC# 0409-6629-02 375204 QUELICIN 200MG 10ML VIAL*REFRIGERATION REQUIRED* 25EA/BX PFIZER INC. 0409662902 1089.99 40% 653.99$ 25/ BX 206 Tranexamic Acid, 100mg/mL, 10mL vial; NDC# 14789-500 0166-41 Tranexamic Acid 100mg/ml, 10ml vial 10EA/BX
CARDINAL HEALTH-
PHARMA 5099510 399.99 40% 239.99$ 10/BX
207
Mini Perfit ACE® Extrication Collar, Pediatric, Yellow/Light Grey; 260280 260280
Extrication Collar, Ambu Mini Perfit ACE, Pediatric, Adjustable 12 Settings 30ea/cs AMBU 000281106 9.89 45% 5.44$ 1 /EA 208 Perfit ACE® Extrication Collar, Adult, White/Light Grey; 260281 260281 Extrication Collar, Ambu Perfit ACE, Adult, Adjustable 16 Settings 30ea/cs AMBU 000281000 9.89 50% 4.94$ 1 /EA 210 Restraint Straps, 7ft, Metal Push Button, Loop Ends; 17202 3173-17202 Restraint Strap, Impervious, Blue, 2 piece, 7 ft, Auto Buckle, Loop Lock DICK MEDICAL SUPPLY 31172BL 21.79 35% 14.16$ 1 /EA 212
Backboard with Pins - "Orange"; Iron Duck Base Board w/pins #7819OR 7819OR
Backboard, Base Board, Orange, With Pins, 72 x 16 x 1 3/4 in, non- standard color IRON DUCK INC. 35850-P O 181.99 35% 118.29$ 1 /EA 213
Backboard Straps, Quick-clip # - 51615B4; 5' disposal strap w/speed clip & plastic buckle (Must be packaged in sets of 4) 3171-51615B4 Curaplex *BREVARD COUNTY ONLY* Restraint Straps, Orange,5 FT,2 PC, Plastic Swivel Speed Clip 4/pk
CURAPLEX BY BOUND
TREE 170516-OR BREV4 12.59 35% 8.18$ 4/PK 214 Lift/Gait Belt with metal buckle- Prestige 72"; 11275 - Dotted White 11275 Belt, Prestige, Gait Transfer, cotton, metal buckel, 72 inch long, White PRESTIGE MEDICAL 621L-WHT 15.49 35% 10.07$ 1 /EA 216
Economy Limb Restraint w/ D Rings, Pair; 501110 - Disposal; Cs/48pr 501110
RESTRAINT STRAPS LIMB HOLDER DISPOSABLE W/ DOUBLE D RING ADULT 1 IN X 60 IN 48PR/CS DICK MEDICAL SUPPLY 501110M 7.19 35% 4.67$ 1 /PR 218 Head Immobilizer, Adult, incl Head and Chin Straps; 3141-91010 3141-91010 Curaplex Head Immobilizer, Adult, incl Head and Chin
St
raps,20ea/cs
CURAPLEX BY BOUND
TREE BT-91010 5.79 35% 3.76$ 1/EA
219
Patient Transporter Plus Megamover 1900 lbs; 95204 - Disposable 40" x 80" 3246-95204
Curaplex Patient Transporter Plus, 1900 lb Capacity, 14 Handles 10EA/CS
CURAPLEX BY BOUND
TREE 3246-95204 37.99 55% 17.10$ 1/EA
220 Full On Xtremity™ Cardboard Fox Splint, 12in; 504-12 504-12 FOX SPLINT 12 IN 30EA/CS
COMPLIANCE MEDICAL
MFG, INC. 504-12 8.29 35% 5.39$ 1/EA
221 Full On Xtremity™ Cardboard Fox Splint, 18in; 505-18 505-18 FOX SPLINT 18 IN 25EA/CS
COMPLIANCE MEDICAL
MFG, INC. 505-18 9.49 35% 6.17$ 1 /EA 6 of 9 Bound Tree Medical, LLC
Item List for Brevard County
EMS Medical Supplies
Brevard County
Line ID Brevard County Item Description Bound Tree
Medical Item # Bound Tree Medical Item Description Vendor Name Vendor Item # Public Catalog Price - WWW.BOUNDTREE.COM
Itemized Percent
Discount
Quoted Price
With Discount
Applied
Selling
UOM
222 Full On Xtremity™ Cardboard Fox Splint, 24in; 506-24 506-24 FOX SPLINT 24 IN 24ea/cs
COMPLIANCE MEDICAL
MFG, INC. 506-24 13.59 35% 8.83$ 1/EA 223
Pro-Splints Adult kit; Prosplint extremity kit: small leg, large leg, small arm,large arm,wrist forearm,combo splint and case 5800-51 SPLINT KIT EXTREMITY PROSPLINT 113908 MEDSPEC 113908 317.99 15% 270.29$ 1 /EA 224 Pro-Splints Pediatric; 5800-504 5800-504
PROSPLINT COMBO SPLINT, CHILD, ANKLE/ELBOW, 15.5 IN L X 6.5 IN W MEDSPEC 113011 31.29 35% 20.34$ 1 /EA 225 Kendrick Extraction Device; Model # 125 15329 Curaplex Extrication Device w/ Case, Green
CURAPLEX BY BOUND
TREE STORM-ED2253 118.99 35% 77.34$ 1/EA 226
Traction Splint Adult, Aluminum; #95001 with 4 black leg straps & adjustable ankle strap 95001 Curaplex Traction Splint, Adult
CURAPLEX BY BOUND
TREE 95001 270.99 35% 176.14$ 1/EA
227
Traction Splint Pediatric, Aluminum; #95002 with 4 black leg straps & adjustable ankle strap 95002 Curaplex Traction Splint, Pediatric
CURAPLEX BY BOUND
TREE 95002 270.99 35% 176.14$ 1/EA
228
X-ray Translucent Break-Apart Stretcher, 63-1/2 to 78in L x 18in W - Scoop stretcher; 12419- yellow 3245-12419 SCOOP STRETCHER, PLASTIC, W/3 PATIENT RESTRAINT STRAPS
MEDSOURCE
INTERNATIONAL MS-SCP124 1029.99 35% 669.49$ 1/EA 229
EmI Fanny Pack - Black; G366729 - Screen printed with Brevard County Fire Rescue G366729 *DS ONLY* Curaplex FANNY PACK BLACK WITH BREVARD COUNTY
CURAPLEX BY BOUND
TREE 15394-FANNYP-BLK 50.99 10% 45.89$ 1/EA 230
EMI Fanny Pack - Blue; Screen printed with Brevard County Fire Rescue or Ocean Rescue G366729 *DS ONLY* Curaplex FANNY PACK BLACK WITH BREVARD COUNTY
CURAPLEX BY BOUND
TREE 15394-FANNYP-BLK 50.99 10% 45.89$ 1/EA 231
EMI Fanny Pack-Red; G366730 - Screen printed with Brevard County Fire Rescue G366730 *DS ONLY* FANNY PACK RED WITH BREVARD COUNTY SAFETY
INTERNATIONAL 15393-FANNYP-RED 61.99 10% 55.79$ 1/EA 232
Bag. Blue Trauma (21.5x13.5x10); 3 outside pockets, moveable inside dividers 68200RY
TRAUMA BAG SOFT PACK AMBULANCE BAG ROYAL BLUE 22 IN X 14 IN X 11 IN
PROPAK
MANUFACTURING PSA2RO 247.99 35% 161.19$ 1/EA 233 Intubation kit bag, Padded, zipper brief case style; MS-B3351 533-MS-B3351 Intubation kit bag, padded, internal pocket, velcro strap, elastic loops, zipper brief case style
MEDSOURCE
INTERNATIONAL MS-B3351 74.99 35% 48.74$ 1/EA 235 Hook and Loop Drug Insert- ALS lid insert; G36631 G36631 INSERT CUSTOM DRUG WITH HOOK/LOOP FOR PELICAN CASE 1550 AND 1554
SAFETY
INTERNATIONAL 83038-ALS DP W/RE 263.99 35% 171.59$ 1/EA 236
Extrication Collar Carry Case, Royal Blue; Dimensions: 24.5in x 10in x 5in 260207
Curaplex Carry Case for Extrication Collars, Royal Blue, 24.5 in x 10 in x 5 in
CURAPLEX BY BOUND
TREE 61225-260207 56.99 35% 37.04$ 1/EA 237
Case, Pelican 1550EMS, Orange with EMS organizer/dividers ID:
18.4"L x 14"W x7.6"D; 1550 Orange 689-1550EMS Case, Pelican 1550EMS, Orange with EMS Organizer/Dividers
PELICAN PRODUCTS,
INC. 1550-005-150 549.99 35% 357.49$ 1/EA 238
Ultra Intubation Mini Bag-for handtevy boxes only; Ultra Mini-Bag,
11.5in L x 5.5in W x 2in H, Royal Blue 685130RB
INTUBATION ULTRA MINI BAG, BLUE, 11.5 IN L X 5.5 IN W X 2 IN H, CORDURA, FERNO MB5130 FERNO WASHINGTON 0819847 59.99 15% 50.99$ 1 /EA 239 Handtevy box ID: 18.4"L x 14"W x7.6"D; 1550 Yellow - No foam 2511-55014 Case, Pelican 1550, Yellow with No Foam
PELICAN PRODUCTS,
INC. 1550-001-240 337.99 35% 219.69$ 1/EA 240
Assure® Lance Safety Lancet, Dark Green, 21ga x 1.8mm D; must provide sample 2764-80121 Lancets, Assure Lance, 21 ga x 1.8 mm 100/bx Arkray 980121 21.49 58% 9.03$ 100/ BX 241 Assure® Prism Multi Blood Glucose Test Strips; 53050 2763-53050 Blood Glucose Test Strips, Assure Prism Multi 50/ bottle; 1btl/ box *Approved for Multipatient Use* Arkray 530050 17.69 50% 8.84$ 50/ BX 242 Assure® Prism Multi Control Solution -; 53060 - 1 bottle of ea/bx 2762-53060 Control Solution, Assure Prism Multi, L1 and L2, 1 bottle of EA/BX Arkray 530006 14.49 35% 9.42$ 1 /BX 243 Assure® Prism Multi Blood Glucose Monitoring System; 53010 2761-53010 *SEE NOTES* Blood Glucose Meter, Assure Prism Multi*Approved for Multipatient Use* Arkray 530001 21.99 55% 9.90$ 1 /EA 244 Assure® Prism Platinum Glucometer Carrying Case; 26001 2530-26001 Universal Assure Orange Carrying Case ARKRAY USA, INC. 5260-02 10.49 35% 6.82$ 1 /EA 245 Select III IV Set Needless Set; B30-102 352230
IV ADMIN SET W/1 PREPIERCED Y SITE, 1 LUER ACTIVATED Y SITE W/SLIP TIP 48/CS BIOMEDIX, INC. B30-102 8.29 35% 5.39$ 1 /EA 246 Multi Lumen cath 20/22ga; IV-01100 IV-01100 TWIN CATH 20/22 MULTI-LUMEN PERIPHERAL CATH 25EA/CS TELEFLEX LLC IV-01100 24.49 35% 15.92$ 1 /EA 247 Multi Lumen cath 18/20ga; IV-01150 IV-01150 TWIN CATH 18/20 MULTI LUMEN PERIPHERAL CATH 25/CS TELEFLEX LLC IV-01150 24.49 35% 15.92$ 1 /EA 248 O2MAX BiTrac ED mask w/nebulizer, adult med CPAP; 313-7556XN 313-7556XNEA O2 MAX BiTrac ED Mask, w/ Neb, Adult MED, w/3-SET Valve 10ea/cs PULMODYNE 313-7556XN 80.99 35% 52.64$ 1 /EA 250
Braun Thermoscan® Dual Scale Ear Thermometer, Large/Two-box Cradle, 68 to 108°F (20 to 42.2°C) *Non-Returnable*; Pro 6000 - # 14602
2731-14602 Braun PRO 6000 Ear Thermometer, w/SM Cradle WELCH ALLYN, INC.. 06000-200 372.99 35% 242.44$ 1 /EA 251
Disposable Probe Covers, For ThermoScan PRO 6000 Ear
Thermometer; # 14605 2733-14605
Probe Covers, Braun PRO 6000 Ear Thermometer, Disposable 200/bx 25bx/cs WELCH ALLYN, INC.. 06000-005 22.79 35% 14.81$ 200/ BX 257 SSCOR III Suction Unit; 74000 596400
SUCTION UNIT S-SCORT III W/ VINYL CASE RED, W/AC CHARGER AND DC CABLE INCLUDED SSCOR, INC. 74000 829.99 15% 705.49$ 1 /EA 258 Sscor III suction battery; for SSCOR III suction unit 480638 BATTERY FOR S-SCORT III 74000 OR 2315 NEW SENTINEL SUCTION UNIT SSCOR, INC. 80638 69.99 15% 59.49$ 1 /EA 259
120V AC Fixed Volt charger for SSCOR Suction Unit; for SSCOR III suction unit 598053
CHARGER, 120V AC FIXED VOLT CHARGER FOR ASPIRATORS
2109,15002,2309,74000 SSCOR, INC. 80533 218.99 15% 186.14$ 1 /EA 263
Pre-made Adult cric kit; Must contain -iodine swab,scalpel, #6 ET tube, 10mL syringe, unsterile 4x4, roll of 1" tape 351631I-A Curaplex Cricothyrotomy Field Kit 6.0 MM W/ Instruments Kwik Cric MVP PARENT PRODUCTION 351631I-A 83.99 35% 54.59$ 1 /EA 264
Pre-made Pediatric cric kit; Must contain -iodine swab,14 ga 1.25" safety cath, 6mL syringe, 15mm tube adapter (#3 ET tube), roll of 1" tape
13302 Curaplex Pediatric Cricothyrotomy Kit
CURAPLEX BY BOUND
TREE 13302 57.99 55% 26.10$ 1 /EA
7 of 9 Bound Tree Medical, LLC
Item List for Brevard County
EMS Medical Supplies
Brevard County
Line ID Brevard County Item Description Bound Tree
Medical Item # Bound Tree Medical Item Description Vendor Name Vendor Item # Public Catalog Price - WWW.BOUNDTREE.COM
Itemized Percent
Discount
Quoted Price
With Discount
Applied
Selling
UOM
271
Combat Application Tourniquet, Tactical Black; 13022 - one handed tourniquet - windlass system 1880-13022
Combat Application Tourniquet (CAT), One-handed Tourniquet Utilizing Windlass System, Tactical Black
NORTH AMERICAN
RESCUE PRODUCTS 30-0001 40.29 35% 26.19$ 1/EA 274 Israeli Emergency Bandage, White, 6in; 15888 16888 EMERGENCY BANDAGE, ISRAELI 6 IN WHITE 100EA/CS PerSys Medical FCP-06 9.39 35% 6.10$ 1 /EA 285
Ambu medium electrodes, 25pk; Blue sensor R R-00-S/25 (dublicate of Line # 165) 230026 Electrodes, BlueSensor R, Adult, Foam 25/PK 40PK/CS AMBU R-00-S/25 13.59 45% 7.47$ 25/ PK 297 Atropine 1mg/10ml Prefilled Syringe; NDC# 76329-3340-1 371006 ATROPINE 1MG 10ML LUER JET 1006B 10EA/PK IMS LIMITED 7632933401 168.99 40% 101.39$ 10/ PK 301 ET Tube 6.0 Uncuffed; Without Stylette 2113-20360
Curaplex Select Endotracheal Tube, 6.0mm, Uncuffed, w/o Stylette 10ea/bx 10bx/cs
CURAPLEX BY BOUND
TREE 2113-20360 1.79 60% 0.72$ 1/EA
302 ET Tube 6.5 Uncuffed; Without Stylette 2113-20365
Curaplex Select Endotracheal Tube, 6.5mm, Uncuffed, w/o Stylette 10ea/bx 10bx/cs
CURAPLEX BY BOUND
TREE 2113-20365 1.79 60% 0.72$ 1/EA
303
Microstream™ Advance FilterLine® Set, Adult/Pediatric, 6.5ft; Adult/Pediatric CO2 sampling line & Airway adapter; Cs/50 174620
FILTERLINE SET, NON HUMIDIFIED, INTUBATED, ADULT/PEDIATRIC 100EA/BX
MEDTRONIC
(covidien) MVAI100U 12.39 35% 8.05$ 1 /EA 304 H*VENT Vented Chest Seals; Single Pack 1215-22191 H*VENT Vented Chest Seal Single Pack 1/EA 25EA/CS SAFEGUARD MEDICAL HVS01 30.79 35% 20.01$ 1 /EA 305 O2-RESQ™ Filter; O2 Res-Q filters CPAPs 313-7043EA O2 RESQ FILTER (30mm M X 30mm F) 10EA/CS PULMODYNE 313-7043 4.2 35% 2.73$ 1 /EA 306 CYANOKIT, 5g Hydroxocobalamin, Vial; NDC#: 50633-0310-11 0310-11 Cyanokit kit 5gm 1per kit
BTG INTERNATIONAL,
INC. 0310-11 1759.99 40% 1,055.99$ 1/EA
307 3-Way Stopcock; With swivel male Luer lock. 35411 STOPCOCK 3 WAY 50EA/CS W/SWIVEL MALE LUER LOCK Smiths Medical MX5311L 2.26 35% 1.47$ 1 /EA 308 Aquasonic® 100 Ultrasound Transmission Gel; 0.25 L Dispenser 706-01-08EA Ultrasound transmission gel, Aquasonic 100, 0.25 liter dispenser, hypoallergenic 72ea/cs PARKER LABS 01-08 5.49 35% 3.57$ 1 /EA 309 Curaplex, Triton Grip EP x2 Niatrile Gloves - small; 47143; Cs/10bx 1015-47143 Curaplex TritonGrip EP X2 Gloves, SM, White Ext/Green Int, PF Nitrile Exam 100/BX 10BX/CS
INNOVATIVE
HEALTHCARE 1015-47143 28.49 35% 18.52$ 100/BX 310
Curaplex, Triton Grip EP x2 Niatrile Gloves - Medium; 47143; Cs/10bx 1015-47144
Curaplex TritonGrip EP X2 Gloves, MED, White Ext/Green Int, PF Nitrile Exam 100/BX 10BX/CS
INNOVATIVE
HEALTHCARE 1015-47144 28.49 35% 18.52$ 100/BX 311 Curaplex, Triton Grip EP x2 Niatrile Gloves - Large; 47143; Cs/10bx 1015-47145 Curaplex TritonGrip EP X2 Gloves, LG, White Ext/Green Int, PF Nitrile Exam 100/BX 10BX/CS
INNOVATIVE
HEALTHCARE 1015-47145 28.49 35% 18.52$ 100/BX 312 Curaplex, Triton Grip EP x2 Niatrile Gloves - Xlarge; 47143; Cs/10bx 1015-47146 Curaplex TritonGrip EP X2 Gloves, XL, White Ext/Green Int, PF Nitrile Exam 100/BX 10BX/CS
INNOVATIVE
HEALTHCARE 1015-47146 28.49 35% 18.52$ 100/BX 313 Curaplex, Triton Grip EP x2 Niatrile Gloves - 2XL; 47143; Cs/10bx 1015-47147 Curaplex TritonGrip EP X2 Gloves, 2XL, White Ext/Green Int, PF Nitrile Exam 100/BX 10BX/CS
INNOVATIVE
HEALTHCARE 1015-47147 28.49 35% 18.52$ 100/BX 314 ProDefense™ Face Mask Level 2, 3-Ply, Earloops, Blue; 87529 1031-87529 LTD QTY - Surgical Face Mask, 3-Ply, Earloops, Blue, ASTM Level II, 50/bx 6bx/cs
LITTLE RAPIDS
CORPORATION/GRAHA
M MEDICAL 87529 13.69 35% 8.90$ 50/BX 315
Hand Tight Nut and Nipple, Vacuum (Suction), DISS 1220, 5/16in ID Hose Barb; 23108 2320-23108
Hand Tight Nut and Nipple for Vacuum Suction, DISS 1220 with 5/16 in ID Hose Barb, 3/4 in-16 Thread BAY CORPORATION 2231HT 25.99 35% 16.89$ 1 /EA 316
QuikClot® Combat Hemostatic Gauze®, 3in x 4yd Strip, Z-fold; G1284 G1284 QuikClot Combat Gauze, Z-Fold X-ray, 3 in x 4 yds TELEFLEX LLC 200 54.99 20% 43.99$ 1 /EA 317
Inspiratory Filter, Bacterial/Viral Filter, 22mmOD/15mmID x 22mm; 62160 2358-62160
Bacterial/Viral Inspiratory Filter 22mmOD/15mmID x 22mm 1/EA 50EA/CS AMBU 6216 4.59 45% 2.52$ 1 /EA 318 Regular Bevel Hypodermic Needle, 21G x 1in, Green Hub; 11314 11314 Needle, Exel, hypodermic, regular bevel, 21 ga x 1 in 1/ea 10ea/ct 100ea/bx 20bx/cs EXEL INTERNATIONAL 26414 0.09 35% 0.06$ 1 /EA 319 Pedi Board with Case, 47.5in x 9.75in x 0.5in; 36111 36111 Curaplex Pedi Board with Black Case, Immobilization for Children 25- 54 in (10-85lbs)
CURAPLEX BY BOUND
TREE STORM-PIBS 205.99 55% 92.70$ 1/EA
320 P.A.W.S.® Antimicrobial Hand Wipes, Canister, 160 count; F816606 F816606 ANTIMICROBIAL WIPES PERSONAL LARGE PULL OUT TUBS 160
WIPES 12/CS PAWS SAFETEC 34410 19.99 35% 12.99$ 160/ EA 321 Sample Port Elbow - capnography used w/Auto Vent; 7000 2443-07000 Sample Port Elbow with Tethered Cap AMBU INC. 7000 1.79 35% 1.16$ 1 /EA 322
Ambu® Disposable PEEP Valve, with 30mm Adaptor, 0 to 20cm Size; D4175 D4175 PEEP Valve, Disposable, Adjustable, 30mm Inner Diameter 20ea/cs AMBU 199002020 9.79 45% 5.38$ 1 /EA 323 Replacement Blade for Ring Cutter # 400010; 400011 400011 REPLACEMENT BLADES FOR MAGNUM MEDICAL RING CUTTER 4/PK
(SOLD BY THE EACH)
MAGNUM MEDICAL,
INC. 10-4130B 8.69 35% 5.65$ 1/EA
324 G3 Breather Pack, Green; 2522-00807 2522-00807 G3 Breather, Green, BBP Resistant, 20 in H x 19 in W x 7 in D STATPACKS, INC. G35008GN 336.99 25% 252.74$ 1 /EA 325
G3 Oxygen Module Bag, Green - D or Jumbo-D cylinder; 2522-03347 -
16.5in x 5.5in x 1.5in 2522-03347
G3 Oxygen Module, Green, 1 in x 5 in x 16.5 in, Attaches to D or Jumbo D Cylinder STATPACKS, INC. G33004GN 69.99 25% 52.49$ 1 /EA 326
Omni™ Pro X, Infection Control Complete, Non-Ballistics, Red; 81016- size15in x 22in x 9.5in 2521-81016 OMNI PRO X BLS/ALS System, Red ICC, (TS2 Ready) Infection Control MERET M8101F 439.99 35% 285.99$ 1 /EA 327 i-gel®O2 Resus Pack, Size 3, Small Adult; 87301 2114-87301 i-gel O2 Resus Pack, SM Adult, incl size 3 i-gel O2, Lube, Strap, for Pts 30-60 kg 6ea/cs
INTERSURGICAL
INCORPORATED 8703030 38.99 35% 25.34$ 1/EA 328 i-gel®O2 Resus Pack, Size 4, Medium Adult; 87302 2114-87302 i-gel O2 Resus Pack, MED Adult, incl size 4 i-gel O2, Lube, Strap, for Pts 50-90 kg 6ea/cs
INTERSURGICAL
INCORPORATED 8704030 38.99 35% 25.34$ 1/EA 329 i-gel®O2 Resus Pack, Size 5, Large Adult; 87303 2114-87303 i-gel O2 Resus Pack, LG Adult, incl size 5 i-gel O2, Lube, Strap, for Pts 90 plus kg 6ea/cs
INTERSURGICAL
INCORPORATED 8705030 38.99 35% 25.34$ 1/EA 330 i-gel® Supraglottic Airway, Size 2, Small Pediatric; 8202 2114-08202 I-GEL SUPRAGLOTTIC AIRWAY FOR SMALL PEDIATRICS (SIZE 2) 22-55 LBS (10-25 KG) 10EA/CS
INTERSURGICAL
INCORPORATED 8202000 23.99 30% 16.79$ 1/EA 331 i-gel® Supraglottic Airway, Size 2.5, Large Pediatric; 8225 2114-08225 I-GEL SUPRAGLOTTIC AIRWAY FOR LG PEDIATRICS (SIZE 2.5) 55-77 LBS (25-35 KG) 10EA/CS
INTERSURGICAL
INCORPORATED 8225000 23.99 30% 16.79$ 1/EA 332 T-POD™ Trauma Pelvic Orthotic Device, Orange; TPODOR TPODOR TPOD ORANGE TRAUMA PELVIC ORTHOTIC DEVICE TELEFLEX LLC T-PODR 136.19 35% 88.52$ 1 /EA 333 Curaplex® Intubation Stylette, 6fr; 12996 12996
Curaplex Stylette, ET Tube Introducer, 6 Fr (2.0 - 3.5) 1/EA 20EA/BX 10BX/CS
CURAPLEX BY BOUND
TREE 12996 2.79 55% 1.26$ 1 /EA
8 of 9 Bound Tree Medical, LLC
Item List for Brevard County
EMS Medical Supplies
Brevard County
Line ID Brevard County Item Description Bound Tree
Medical Item # Bound Tree Medical Item Description Vendor Name Vendor Item # Public Catalog Price - WWW.BOUNDTREE.COM
Itemized Percent
Discount
Quoted Price
With Discount
Applied
Selling
UOM
334 Curaplex® Intubation Stylette, 10fr; 12997 12997
Curaplex Stylette, ET Tube Introducer, 10 Fr (4.0 - 6.5) 1/EA 20EA/BX 10BX/CS
CURAPLEX BY BOUND
TREE 12997 2.79 55% 1.26$ 1/EA
335 Curaplex® Intubation Stylette, 14fr; 12998 12998
Curaplex Stylette, ET Tube Introducer, 14 Fr (7.0- 10.0) 1/EA 20EA/BX 10BX/CS
CURAPLEX BY BOUND
TREE 12998 2.79 55% 1.26$ 1/EA
336
Bougie-To-Go™ ET Tube Introducer with Coude Tip, Adult, 15fr x 60cm; 21282 2120-21282
ET Tube Introducer, Bougie-To-Go, Adult w/ Coude Tip, 15 FR, 60cm, 10/PK SUN MED 9-0212-82 11.89 35% 7.73$ 1 /EA 337
Bougie-To-Go™ Endotracheal Tube Introducer, Pediatric, Coude Tip; 17010 2120-17010
ET TUBE INTRODUCER PEDIATRIC 10 FR X 70 CM W/ COUDE TIP 10/BX SUN MED 9-0211-70 11.99 35% 7.79$ 1 /EA 338 Curaplex® Suction Catheter, 6fr; 36090 36090
Curaplex Suction Catheter, 6 Fr, Whistle Tip and Thumb Control Port 50ea/cs
CURAPLEX BY BOUND
TREE 36090 0.39 55% 0.18$ 1/EA
339 Curaplex® Suction Catheter, 12fr; 36093 36093
Curaplex Suction Catheter, 12 Fr, Whistle Tip and Thumb Control Port 50ea/cs
CURAPLEX BY BOUND
TREE 36093 0.39 55% 0.18$ 1/EA
340 Curaplex® Suction Catheter, 14fr; 36094 36094
Curaplex Suction Catheter, 14 Fr, Whistle Tip and Thumb Control Port 50ea/cs
CURAPLEX BY BOUND
TREE 36094 0.39 55% 0.18$ 1/EA
341
VENTILATION CIRCUIT VALVE W/12 IN CORRUGATED HOSE DIS;
530580 530580
VENTILATION CIRCUIT VALVE W/ 12 IN CORRUGATED HOSE DISP 10/CS AUTOVENT
ALLIED HEALTHCARE
PRODUCTS INC L599-010 13.69 35% 8.90$ 1/EA 342 Droperidol, 2.5mg/mL, 2mL Vial; NDC#: 0517-9702-25 9702-25 Droperidol 2.5Mg/Ml 2Ml Vial 25EA/BX McKesson Medical-
Surgical Minnesota
Supply Inc. 491208 729.99 40% 437.99$ 25/BX 343
Ondansetron, 4mg, 30 Orally Disintegrating Tablets; NDC#: 65862- 0390-10 0390-10 Ondansetron 4mg Orally Disintegrating Tablet 3x10UD OTHER
MANUFACTURER 203901 23.09 40% 13.85$ 30/BX 344 Rocuronium, 10mg/mL, 10mL Vial; NDC#: 0409-9558-10 9558-10 Rocuronium 10mg/ml, 10ml vial *REFRIGERATE* 10EA/BX PFIZER INC. 0409955810 482.99 40% 289.79$ 10/ BX 9 of 9 Bound Tree Medical, LLC
UCapIt Dispensing System
Bound Tree Medical would like to offer the County the UCapIt dispensing system and software as an Inventory Management Solution as part of our bid proposal. As part of Bound Tree’s proposal, we would like to offer three (3) machines and related software to the County in order to meet inventory management needs. With an annual minimum spend of $900,000 in EMS supplies, the County would be provided with a 100% rebate for three (3) UCapIt Machines and associated software for the duration of the bid. Any spend below the $900,000 would result in a pro-rated rebate to the County.
Item Description BTM Item
Retail
Price Quantity
Total
Value
CAP 5 Standard EMS Machine w/Controller,
BTM Black 4800-0001H $10,719.99 3 $32,159.97
Prox Card Reader for Standard Machine 4800-31184 $749.99 3 $2,249.97 UCapIt Annual Software Service (3 machines for
3 years) 4800-43110 $1,200.00 9 $10,800.00
Total 3-Year
Value $45,209.94
Please note that any supplementary machines and software needed would need to be negotiated between both parties or new or incremental revenue. Additionally, the County reserves the right to purchase supplementary machines outright without the need for a committed spend agreement. Bound Tree would like to offer the County the opportunity to purchase additional Standard CAP 5 machines (4800-0001H) above at 15% off list price should additional machines be needed to supplement Bound Tree’s offering.
NABP ACCREDITED
DRUG DISTRIBUTOR
located at
Period of Accreditat ion
This business has met all t he drug distributor c riteria set in place by t he National Association of Boards of P harmacy ® (NABP®). T he current status of t his business’s a ccreditat ion may also
www.nabp.pharmacy/programs/drug-distribut or/accredited-facilities/.
Lemrey “Al” Carter, PharmD, M S, RPh
Executive Director/Sec retary
RB0615659
RB0615659
07-31-2023
07-31-2023
$1850
$1850
2,2N,3,
3N,4,5
2,2N,3,
3N,4,5
DISTRIBUTOR
DISTRIBUTOR
06-06-2022
06-06-2022
BOUND TREE MEDICAL, LLC
2619 IGNITION DR STE 2
JACKSONVILLE, FL 322183555
BOUND TREE MEDICAL, LLC
2619 IGNITION DR STE 2
JACKSONVILLE, FL 322183555
RB0615659
07-31-2023
$1850
2,2N,3,
3N,4,5
DISTRIBUTOR
06-06-2022
BOUND TREE MEDICAL, LLC
2619 IGNITION DR STE 2
JACKSONVILLE, FL 322183555
State
of
Florida
Department
of
State
I
certify
from
the
records
of
this
office
that
BOUND
TREE
MEDICAL,
LLC
is
an
Ohio
limited
liability
company
authorized
to
transact
business
in
the
State
of
Florida,
qualified
on
October
12,
2001.
The
document
number
of
this
limited
liability
company
is
M01000002310.
I
further
certify
that
said
limited
liability
company
has
paid
all
fees
due
this
office
through
December
31,
2017,
that
its
most
recent
annual
report
was
filed
on
April
5,
2017,
and
that
its
status
is
active.
I
further
certify
that
said
limited
liability
company
has
not
filed
a
Certificate
of
Withdrawal.
Given
under
my
hand
and
the
Great
Seal
of
the
State
of
Florida
at
Tallahassee,
the
Capital,
this
the
Fourteenth
day
of
December,
2017
Tracking
Number:
CU6760952214
To
authenticate
this
certificate,visit
the
following
site,enter
this
number,
and
then
follow
the
instructions
displayed.
https://services.sunbiz.org/Filings/CertificateOfStatus/CertificateAuthentication
REFERENCES
National References
Andy Zanoff, EMS Captain
San Francisco Fire Department
1415 Evans Avenue
San Francisco, CA 34124
415-717-6876
[email protected]
Douglas Isaacs, MD, Deputy Medical Director
Fire Department City of New York
9 Metro Tech Center
Brooklyn, NY 11201
718-999-2790
[email protected]
Steve Blackburn, Chief Operating Officer
Priority Ambulance
910 Callahan Road, Suite 101
Knoxville, TN 37912
614-354-4702
[email protected]
Scott Ellis, Medical Supply Specialist
City of Columbus Division of Fire
2028 Williams Road
Columbus, Ohio 43207
614-221-3132
[email protected]
FFPM Lamont M Clark II, Logistics Medical
Supply Baltimore
City Fire Department
3500 West Northern Parkway
Baltimore, MD 21215
410-396-2718
[email protected]
Barbar
a Tripp, Fire Chief
City of Tampa Fire Department
808 East Zack Street
Tampa, FL 33602
352-406-2573
[email protected]
Bound Tree
800.533.0523 | www.boundtree.com
Nationwide Distribution
For oper
ational efficiency and faster disaster response, Bound Tree operates 5 distribution centers nationwide plus a dedicated kitting facility. 96% of all our customers can be reached using UPS Ground within 2 business days.
OFFICES
Bound Tree Medical
5000 Tuttle Crossing Blvd.
Dublin, OH 43016
DISTRIBUTION CENTERS
Grand Prairie, TX
Bound Tree Medical
2911 S. Great Southwest Parkway
Suite 200
Grand Prairie, TX 75052
Flower Mound, TX
Bound Tree Medical
1420 Lakeside Parkway
Suite 105
Flower Mound, TX 75028
Elizabethtown, PA
Bound Tree Medical
1605 Zeager Road
Elizabethtown, PA 17022
Greenwood, IN
Bound Tree Medical
1033 Collins Road, Suite A
Greenwood, IN 46143
Visalia, CA
Bound Tree Medical
2243 N. Plaza Drive
Visalia, CA 93291
Jacksonville, FL
Bound Tree Medical
2619 Ignition Drive, Suite 2
Jacksonville, FL 32218
Customer Service
Bound Tree Medical is focused on providing service to meet the needs of our customers throughout the United States. We have a deep commitment to help those that help others. The specialized market that we serve drives us to create the best possible solutions for our customers. We are here to serve you.
Our nationwide toll-free Customer Service line is 800-533-0523. Bound Tree Medical routes calls by origin of the zip code of the caller which, results in more customer awareness among those agents responding to customer calls.
There are a variety of methods to place orders and verify pricing:
1) Internet: Customers have access to real-time pricing and stock availability 24 hours a day, 7 days a week. www.boundtree.com
2) Email: Orders may be emailed to customer service at [email protected]. 3) Phone: Our dedicated team of customer service representatives can answer questions or take your orders from 7:30 AM to 8:00 pm EST.
4) Fax: Our nationwide toll-free fax line is available 24 hours a day at 800- 257-5713. 5) Mail: Orders may be mailed to our corporate office. An order form is included in the back of o ur catalog for convenience.
The Customer Service Department is comprised of 27 staff members. Customer Service Representatives respond to inbound calls and make outbound calls to customers to provide information regarding product availability, shipment and delivery schedule changes. These same representatives are available to answer questions about shipments or process returns when necessary.
If an item goes onto a long term backorder, Bound Tree will work to find equivalent substitute items for the backorder. If it is the customer preference to approve all substituted items, Bound Tree Customer Service will seek approval prior to shipping sub items.
Bound Tree Medical is proud to offer our customers access to an Emergency Disaster Support line at 800-863-0953, which operates 24 hours a day, 7 days per week. It is staffed by on-call managers, who are accessible through routing of calls to cell phones. After leaving a message, a return call is originated within 20 minutes.
Bound Tree Medical allows customers to purchase on open account. The proper account application must be completed and submitted. Bound Tree Medical will assign an account number to each application. Each account has one billing/payables address but may have several shipping/receiving addresses.
In addition, the Federal Drug Administration (FDA) requires Bound Tree Medical to retain a Medical Director (physician) signature, contact information and license photocopy when purchasing legend items and/or pharmaceuticals.
Customers may purchase by Master Card, VISA, Discover or American Express. Prepaid orders are also accepted
Return Policy
Prior to returning a product, please contact Bound Tree’s Customer Service Department at 800.533.0523 within 7 days of receiving the product to obtain a return merchandise authorization (“RMA”) number. This will help us expedite your return and allow us to give you the proper credit. Once you have received your RMA number please follow the return policy guidelines below.
Subject to the guidelines below, Bound Tree will accept returns and rectify the error at no cost to you if: (i) you received expired product; or (ii) Bound Tree makes an error in fulfilling or shipping your order. In such case, you must notify us within 15 days of receiving the product.
Please follow the return policy guidelines below:
Non-returnable Items Include:
1. A product that is "buy to order."
2. A product that is "non-stock."
3. Items listed as "non-returnable."
4. Items that have been marked or engraved.
5. Items returned with broken packaging or not in original packaging.
6. Any sterile product that has been opened or items determined by Bound Tree not to be in resalable condition.
7. Product that is more than 60 days older than the shipment date.
8. Recertified equipment.
9. Pharmaceutical products.
Return Policy Guidelines:
1. Items returned within 45 days of the shipment date will not be subject to a restocking fee.
2. Items returned 46-60 days from the shipment date may be subject to a restocking fee.
3. Items older than 60 days from the shipment date will not be accepted in our warehouse and will be returned to the customer at customer's expense.
4. Please write the RMA number clearly on the package label.
5. Send the package freight prepaid. Please reference the RMA to locate the return address.
6. Returns must be received by Bound Tree within 15 days of issuance of RMA number.
7. Items received without an RMA number will not be eligible for credit.
RETURN FOR REPAIRS
Items returned for repair must be prepared according to the most recent OSHA requirements. Items must be properly cleaned and verified with a statement on the outside of the package. Proof of purchase must also be included with all manufacturer warranty repairs. Please contact our Customer Service Department for additional information.
CLAIMS
All claims for damage occurring in transit must be made upon receipt of goods by customer directly to the carrier and documented with photos. Please save all boxes and packing material. All shipment errors must be reported immediately upon receipt to Bound Tree Customer Service.
Online Ordering Capabilities
a. Bound Tree Medical provides a user-friendly online ordering system with advanced features that restrict user access to predefined products that can be approved for purchase using a predefined purchasing path with maximum or minimum users as defined by the contracted customer.
b. The advanced user platform of BoundTree.com allows customers to self-administer (add/delete) their specific product offering based on the entire Bound Tree Medical online catalog.
c. Users on BoundTree.com can gather information and prepare self-administered reports based on up to two years of historical data.
Trends can be tracked by running reports that can include all shipping locations, or that can be tailored to a specific shipping address.
A purchase summary report can be self-generated to view total products purchased over a selected period of time.
The purchase summary report can be sorted in ascending order by total sales per item. Purchase summary reports and items per month reports can be self-exported in spreadsheet format for additional evaluation.
The purchase summary report provides item usage totals based on monthly, quarterly and yearly expenditures.
Reports can be self-exported in spreadsheet format.
d. Product name, short description and detailed descriptions are maintained for items on BoundTree.com. Product photography is uploaded to the website based on manufacturer availability. Custom photography is also available to supplement manufacturer-supplied items.
e. A “sold by” column is available on product detail pages to clearly describe available units of measure.
f. Purchase requisition and order processing paths are predefined and self-administered by an online administrator. User roles include “order submitters" and “order approvers". Multiple-levels of approvers can be established with the option to auto-forward orders awaiting approval with no activity.
g. Unit and total price for each order are displayed in the shopping cart checkout process.
h. A web administrator can setup and self-administer user IDs which trigger an' e-mail to the user for password setup. Self-administered password reset tools are available to users.
i. The system does permit an administrator to specify maximum quantities that can be ordered for a given item on a single order. Quotas provide a way for an administrator to self-administer total purchases. To maintain maximum item thresholds, order approvers can monitor and adjust each item on purchase requests throughout the approving and purchasing process.
j. The purchase requisition process provides date and time stamps for all purchase requisition activities.
k. Invoice history is posted on BoundTree.com for user access.
RE: Price Increase Policy
To Whom It May Concern:
As you are well aware, the COVID-19 pandemic has had a considerable impact on the global supply chain of emergency medical products, leading to limited access of personal protective equipment (“PPE”) and other crucial supplies for the EMS market. While the supply chain looks to be improving in some areas, Bound Tree is still experiencing extended lead times and product shortages on PPE and other critical supplies. Additionally, there have been significant shipping costs imposed by manufacturers. Despite the current market dynamics, Bound Tree has been working daily with our supplier partners to secure additional inventory at reasonable costs.
Even with our proactive efforts to source inventory, many our key supplier partners have increased prices and others have signaled additional price updates will be coming, some of which may be significant. In the event such a price increase occurs after the bid award, Bound Tree will notify you of such increase and will make all efforts to provide adequate documentation from the supplier as evidence of the price modifications. The new contract pricing will then go into effect based on the notification period provided in the contract . If the price increase is not accepted, Bound Tree reserves the right to remove the product(s) from the contract or provide an alternative product, which may come at a different price.
Sincerely,
Christopher Fyffe
Christopher Fyffe
Manager, Bids & Contracts
Holder Identifier : 7777777707070700077761616045571110746437336006745007643315543726021073773747244130230707263303353322007473763060332440076655042716775520736713555601744107422722562577320076727242035772000777777707000707007 7777777707070700073525677115456000732004503573116107123237253173100070233363420620110712232635217311107122337353073001071223373431621110713333635217300107022227343063110077756163351765540777777707000707007 Certificate No : 570101190852
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
08/18/2023
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
PRODUCER
Aon Risk Services Northeast, Inc.
Columbus OH Office
8940 Lyra Drive
Suite 250
Columbus OH 43240 USA
PHONE
(A/C. No. Ext):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 17400ProAssurance Specialty Insurance CompanyINSURER A:
20281Federal Insurance CompanyINSURER B:
25674Travelers Property Cas Co of AmericaINSURER C:
INSURER D:
INSURER E:
INSURER F:
FAX
(A/C. No.): (800) 363-0105
CONTACT
NAME:
Sarnova, Inc.
Bound Tree Medical, LLC
5000 Tuttle Crossing Blvd.
Dublin OH 43016 USA COVERAGES CERTIFICATE NUMBER: 570101190852 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, Limits shown are as requested
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
(MM/DD/YYYY)
SUBR
WVD
INSR
LTR
ADDL
INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
X
X
X
GEN'L AGGREGATE LIMIT APPLIES PER:
$1,000,000
$1,000,000
$10,000
$1,000,000
$2,000,000
Excluded
B 12/01/2022 12/01/202336073395
PRO-
JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS
ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
X
BODILY INJURY (Per accident)
$1,000,000B 12/01/2022 12/01/2023 COMBINED SINGLE LIMIT (Ea accident)
7363-09-65
EXCESS LIAB
X OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
X DED
$10,000,000
$10,000,000
$10,000
12/01/2022UMBRELLA LIABB 12/01/202378197881
RETENTION
X
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT $1,000,000
X OTH-ER
PER STATUTEC 12/01/2022 12/01/2023
$1,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER /
EXECUTIVE OFFICER/MEMBER N / AN
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under
DESCRIPTION OF OPERATIONS below
$1,000,000
UB3P27915122I3G
Aggregate LimitN22OH380021 12/01/2022 12/01/2023
Claims Made $150,000Agg Deductible
Per Occ Comp/Op $10,000,000
Products LiabilityA $10,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Coverage. RE: All Bound Tree warehouse locations are covered, Facility addresses: 481 Airport Industrial Drive, Suite 101, South Haven, MS 38671; 2243 N. Plaza Drive, Visalia, CA 93291; 3221 E. Arkansas Lane, Suite 145, Arlington, TX 76010; 7320 Kingspointe Parkway, Suite 580, Orlando, FL 32819-6548; 1605 Zeager Road, Elizabethtown, PA 17022; 1420 Lakeside Pkwy., Suite 105, Flower Mound, TX 75208.
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVE
Bound Tree Medical, LLC
5000 Tuttle Crossing Blvd.
Dublin OH 43016 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AGENCY CUSTOMER ID:
ADDITIONAL REMARKS SCHEDULE
LOC #:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance EFFECTIVE DATE:
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSUREDAGENCY
See Certificate Number:
See Certificate Number:
570101190852
570101190852
Aon Risk Services Northeast, Inc.
570000037575
ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.
INSURER
INSURER
INSURER
INSURER
INSURER(S) AFFORDING COVERAGE
Page _ of _
NAIC #
Sarnova, Inc.
TYPE OF INSURANCE
POLICY NUMBER LIMITS
OTHER
A Products Liability N22OH380021 12/01/2022 12/01/2023 Per Occ Deductible
$50,000
Claims Made
ADDL
INSD
INSR
LTR
SUBR
WVD
POLICY
EFFECTIVE DATE
(MM/DD/YYYY)
POLICY
EXPIRATION DATE
(MM/DD/YYYY)
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
RequestforTaxpayer
IdentificationNumberandCertification
Gotowwwjrs.govlFormW9forinstructions andthelatestinformation. 2Businessname/disregardedentityname,ifdifferentfromabove 3Checkappropriateboxforfederaltaxclassificationofthepersonwhosenameisenteredonline1.Checkonlyoneofthe4Exemptions(codesapplyonlyto followingsevenboxes,certainentities,notindividuals;see
instructionsonpage3):
ElIndividual/soleproprietororElCCorporationElSCorporationElPartnershipElTrust/estate single-memberLLCExemptpayeecode(ifany)
__________
Limitedliabilitycompany.EnterthetaxclassificationfC=Ccorporation,S=Scorporation,P=Partnership)P Note:Checkthe appropriateboxinthelineaboveforthetaxclassificationofthesingle-memberowner.DonotcheckExemptionfromFATCAreporting LLCiftheLLCisclassifiedasasingle-memberLLCthatisdisregardedfromthe ownerunlesstheowneroftheLLC5 code‘fan anotherLLCthatisnotdisregardedfromtheownerforU.S.federaltaxpurposes.Otherwise,asingle-memberLLCthat“‘ ____________________
isdisregardedfromtheowner shouldchecktheappropriateboxforthetaxclassificationofitsowner.
ElOther(seeinstructions)AIIS(00000Uflt,m&ntoThedouidethoU.S.) 5Address(number,street,and apt.orsuiteno.)Seeinstructions.Requester’snameandaddress(optional) 5000TuttleCrossingBlvd
6City,state,andZIPcode
Dublin,OH43016
IiJ’ITaxpayerIdentificationNumber(TIN)
EnteryourTINintheappropriatebox.TheTINprovidedmustmatchthenamegivenonline1to avoidSocialsecuritynumber backupwithholding.Forindividuals,thisisgenerally your socialsecurity number(SSN).However,fora residentalien,soleproprietor,ordisregardedentity,seetheinstructionsforPartI,later.Forother—— entities,itisyouremployeridentificationnumber(EIN).Ifyoudonot havea number,seeHowtogeta TIN,later.or
Note:Iftheaccountisinmorethanonename,seetheinstructionsforline1.AlsoseeWhatNameandEmployeridentificationnumber NumberToGivetheRequesterforguidelinesonwhosenumbertoenter. 31—1739487
I1lICertification
Underpenaltiesofperjury,Icertifythat:
1.Thenumbershownonthisformismycorrecttaxpayeridentificationnumber(orIamwaitingforanumbertobeissuedtome);and
2.Iam notsubjecttobackupwithholdingbecause:(a)Iamexemptfrombackupwithholding,or(b)IhavenotbeennotifiedbytheInternalRevenue Service(IRS)thatIamsubjecttobackupwithholdingasaresultofafailuretoreportallinterestordividends,or(c)theIRShasnotifiedmethatIam nolongersubjecttobackupwithholding;and
3.IamaU.S.citizen orotherU.S.person(definedbelow);and
4.TheFATCAcode(s)enteredonthisform(ifany)indicatingthatIamexemptfromFATCAreportingiscorrect.
Certificationinstructions.Youmustcrossoutitem2aboveifyouhavebeennotifiedbytheIRSthatyouarecurrentlysubjecttobackupwithholdingbecause youhavefailedtoreportallinterest anddividendsonyourtaxreturn.Forrealestatetransactions,item2doesnotapply.Formortgageinterestpaid, acquisitionorabandonmentofsecuredproperty,cancellationofdebt,contributionsto an individualretirementarrangement(IRA),andgenerally,payments other thaninterest anddividends,youarenotrequiredtosignthecertification,butyoumustprovide yourcorrectTIN.SeetheinstructionsforPartII,later.
SignSignatureof
HereU.S.person,DatectIC’%I
GeneraIInstructions•Form 1099-DIV(dividends,includingthosefromstocksormutual funds)
SectionreferencesaretotheInternalRevenue Codeunlessotherwise•Form1099-MISC(varioustypesofincome,prizes,awards, orgross noted,proceeds) Futuredevelopments.Forthelatestinformationaboutdevelopments•Form1099-B(stockor mutualfundsalesandcertainother relatedtoForm W-9anditsinstructions,suchaslegislationenactedtransactionsbybrokers) aftertheywerepublished,gotowww.irs.gov/FormW9. •Form1099-S(proceedsfromrealestatetransactions)
PurposeofForm•Form1099-K(merchant cardandthirdpartynetworktransactions) Anindividualorentity(FormW-9requester)whoisrequiredtofilean•Form1098(homemortgageinterest),1098-E(studentloaninterest), informationreturnwiththeIRSmustobtainyourcorrecttaxpayer1098-T(tuition) identificationnumber(TIN)whichmaybeyoursocialsecuritynumber•Form1099-C(canceleddebt) (SSN),individualtaxpayeridentificationnumber(ITIN),adoption •Form1099-A(acquisitionorabandonmentofsecuredproperty) taxpayeridentificationnumber(ATIN),oremployeridentificationnumber (EIN),toreportonaninformation returntheamountpaid toyou, orotherUse FormW-9onlyifyouareaU.S.person(includingaresident amountreportableonaninformationreturn.Examplesofinformationalien),toprovideyourcorrectTIN. returnsinclude,butarenotlimitedto,thefollowing.IfyoudonotreturnFormW-9totherequesterwithaTIN,youmight •Form1099-INT(interestearnedorpaid)be subjecttobackupwithholding.SeeWhatisbackupwithholding, later.
Cat.No.10237XFormW—9(Rev.70-2018)
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Inventory Management Solutions
800.533.0523 BOUNDTREE.COM /inventory-management-solutions Think you can’t afford
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The EMS industry has faced numerous challenges during COVID-19, and supply chain uncertainty is no exception. Rush buying, stock outs, price volatility and changes in guidance require agencies to understand their inventory situation now more than ever.
Bound Tree Inventory Management Solutions from UCapIt, Operative IQ and ESO provide the visibility that is critical to EMS agencies. Improve workflow, take control and monitor trends in real time with Bound Tree Inventory Solutions.
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09.21 VAWD Certified State and Nationally Licensed
Several of Bound Tree’s Distribution Centers have received VAWD (Verified - Accredited Wholesale Distributors) accreditation from the National Association of Boards of Pharmacy (NABP). VAWD accreditation is achieved after a criteria compliance review that includes a rigorous evaluation of operating policies and procedures, licensure verification, survey of facility and operations, background checks and screening through the NABP Clearinghouse. Our accreditation demonstrates that we are in compliance with state and federal laws and that our prescription drugs are distributed safely and securely.
For a complete listing of VAWD-Accredited Facilities, please visit:
https://nabp.pharmacy/programs/accreditations-inspections/drug-distributor/accredited-drug-distributors/ Compliant with DSCSA Requirements
Under the Drug Supply Chain Security Act (DSCSA), entities in the supply chain including manufacturers, wholesale distributors, and dispensers have responsibilities to meet the requirements of the DSCSA. As of May 1, 2015 all wholesalers are required by law, under the DSCSA, to provide transaction information, transaction history and transaction statements for the pharmaceuticals that they supply.
Bound Tree is compliant with these FDA standards which helps improve patient protection by preventing the distribution of substandard or ineffective drugs and while providing our customers with the product and transaction information they need to be in compliance with the FDA standards.
Under the DSCSA you are responsible for knowing that your prescription drug wholesale distributor is an authorized trading partner who holds a valid state or federal license. Bound Tree Medical is licensed federally and in all 50 states. Purchasing from a licensed and VAWD accredited distributor like Bound Tree Medical makes great strides to ensure none of your purchases will ever be counterfeit, contaminated, improperly stored and transported, ineffective, and/or unsafe.
Wholesaler Distributor licenses can be searched online:
www.fda.gov/Drugs/DrugSafety/DrugIntegrityandSupplyChainSecurity/ucm281446.htm
Controlled Substance Ordering System (CSOS)
Class II Controlled Substances can be ordered through our secure electronic Controlled Substances Ordering System (CSOS) without the supporting paper DEA Form 222! The DEA’s CSOS program is the only allowance for electronic ordering of Class II controlled substances. To participate in CSOS, the DEA registrant must first acquire a CSOS digital certificate from the DEA.
Once the certificate is received, Class II orders can be placed through our secured website: e222.boundtree.com For more information about CSOS please visit: www.deaecom.gov Bound Tree will continue to accept paper 222 forms for those who wish to utilize that method for ordering.
THE PHARMACEUTICAL ADVANTAGE
Bound Tree Medical specializes in emergency medical equipment, supplies and product expertise for EMS providers, supporting customers with EMS-experienced account managers, product specialists and customer service representatives.
In addition to a full line of EMS equipment and supplies, Bound Tree Medical also offers a full line of EMS pharmaceuticals and accessories, including Class II and Class IV drugs.
Bound Tree is known for leadership and professionalism within the industry. We protect our customers and uphold federal standards by complying with regulatory guidelines pertaining to pharmaceuticals. Because of our vast product offering and commitment to high quality service, Bound Tree is the leading choice to fulfill your pharmaceutical needs.
Bound Tree Medical is committed to compliance with these federal and state regulations for the benefit of our customers, their communities and their patients. These efforts protect our customers by helping to ensure that they are also compliant with federal and state regulations and practicing safe and effective patient care. With Bound Tree Medical, EMS providers know that they will receive pharmaceuticals through a secure and reliable distribution process.
800.533.0523 www.boundtree.com
Nationwide stats and facts
• Strategically located to service 98% of our
customers within two days.
• Over 30,000 customers serviced.
• State-of-the-art facilities focused on quality,
reducing carbon footprint and providing
best-in-class service levels.
• Over 1 million packages shipped annually.
• 20 million lbs. of medical supplies shipped
in 2020 and 2021.
• 10 million lbs. of PPE equipment shipped to help
Bound Tree Medical (BTM) is a leading, nationwide
distributor of emergency medical equipment,
supplies and pharmaceuticals to EMS, government
BOUND TREE MEDICAL
5000 Tuttle Crossing Blvd
Dublin, OH 43016800.533.0523 BOUNDTREE.COM
Solutions that matter
Operationally ready
• Bound Tree’s Curaplex ® brand is value-priced to
help overcome budget constraints.
• Curaplex ® pre-assembled kits provide safety,
convenience and cost savings.
• Inventory management solutions
control costs.
• 500 scholarships awarded to students wanting
to become EMT’s.
• Free cadaver labs held across the country to
provide hands-on clinical training.
• No charge CEUs , webinars, podcasts and other
resources offered via Bound Tree University.
• Leading provider of STOP THE BLEED ® Kits
for emergency providers to act quickly to treat
excessive bleeding and save lives.
• Over 100 sales consultants around the country,
many are former paramedics and EMT’s.
• 5 dedicated distribution centers
• 100% operational facilities throughout pandemic,
following strict health & safety protocols.
• Dedicated Customer Care staff highly responsive,
answering calls in <1 min even during peak.
• 24/7 Live Operator Emergency Disaster Hotline
to provide support for emergency medical supplies
during the pandemic and other natural disasters
Fast facts Sourcing & supply integrity
• Headquarters
• Over 40 years as the single largest distributor
• Over 15,000 medical supplies, equipment and
pharmaceuticals from hundreds of leading
healthcare manufacturers.
• Source high-quality products, carefully vetted
• Maintain strict ethical pricing standards.
• Allocate inventory fairly and equitably based
on purchase date.
• Communicate shortages pro-actively with
backorder reports and online tools.
YOUR PARTNER
in EMS.800.533.0523 BOUNDTREE.COM
800.533.0523 BOUNDTREE.COM
Advocating for EMS.
• Increased sourcing efforts during the pandemic,
making financial investments in PPE inventory.
• Partnered with US government to address challenges
in getting FDA-approved products, given significant
counterfeit in N95 masks and gloves.
• Volunteered to assist FEMA, HHS, DHS, DoD, FDA
and CDC officials as “Voice of EMS” for Committee
for the Distribution of Medical Resources Necessary
to Respond to a Pandemic, advocating for effective
distribution of PPE to first responders.
• Advocated for increased allocation and funding
for EMS and hardest-hit communities through outreach
to over 35 congressional offices.
• Providing critical data monthly to HHS Preparedness
and Response teams, providing them greater visibility of PPE needs for EMS during the COVID-19 pandemic,
as well as future pandemics and natural disasters.
• Working with the Federal Maritime Commission
and west coast terminal operators to prioritize
essential medical supplies at US ports.
How Congress can help.
• Adjust the ambulance fee schedule to cover the cost
of the emergent, urgent and preventive care provided
by EMS, and include reimbursement for treatment in
place, transport to alternate designations, telemedicine facilitation, and community paramedicine.
• Support Bound Tree’s efforts with pharmaceutical
companies and the FDA to prioritize production of key
lifesaving drugs for EMS at reasonable costs, as well as to reduce the amount of “short expiration dates.”
• Fully fund the SIREN Act (Support and Improving Rural EMS Needs) in FY2022.
• Support efforts to strengthen America’s Strategic
National Stockpile by directing SNS to partner with
healthcare distributors to manage PPE during pandemics
and natural disasters.
Current situation.
• Financial challenges plague EMS across all delivery
models; rural EMS is in a crisis. Low reimbursements
from CMS & commercial insurers, frequently below the
cost of the care provided, and lack of funding to support EMS have been the primary contributing factors.
• High levels of stress, fatigue and burnout among
the EMS workforce. Workforce shortages as reported
in national news are exacerbating an already very
challenging environment.
• EMS is a small percentage of the consumption of
PPE within the healthcare market and was left under-
allocated for PPE during the pandemic.
• EMS impacted by shortages and short expiration dates
on critical cardiac arrest and respiratory therapy drugs.
Pharmaceutical companies prioritize large hospital
GPOs & IDNs over EMS
• Inefficiencies in using the Strategic National Stockpile to provide critical PPE to EMS agencies who were the
“Tip of the Sword” during the pandemic
• Community paramedicine remains an underutilized
asset in local healthcare systems due to the lack of
reimbursement for this highly cost effective, patient-
centered type of care
TIM RUBERT
Vice President, Government Affairs
[email protected]
WHEN DISASTER STRIKES,
Get Live Assistance.
If your agency is in need of emergency medical supplies and equipment, call us 24/7 to speak to a live operator for disaster support assistance. Our Emergency Disaster Support Program is here to help you in disasters such as hurricanes, tornadoes, fires, floods, blizzards, MCI’s and more.
Get Help in Three Simple Steps
1. Call 800-863-0953
to speak to a live operator
anytime 24/7
2. Report a major incident
and your medical
supply needs
3. Receive vital medical
supplies from
Bound Tree personnel
CALL 800-863-0953
boundtree.com/emergency-disaster-support
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With 150+ hours of recorded classes available on-demand and live classes five days a week, it meets all of the requirements for NREMT , State license, CFRN, and now FP-C and CCP-C as well (meets w requirements for full renewal).
CORPORATE ACCOUNT
FEATURES AND BENEFITS
Ask your Bound Tree Account Manager
about a corporate account.
www.boundtree.com/education