SPECIAL CONDITIONS for a STATE PURCHASING AGREEMENT for Rehabilitation Equipment 2006 SPA Commodity Code: EFFECTIVE 06/27/06 06/26/07

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1 SPECIAL CONDITIONS for a STATE PURCHASING AGREEMENT for Rehabilitation Equipment 2006 SPA Commodity Code: EFFECTIVE 06/27/06 06/26/07 Purpose The purpose of this equote is to establish a one (1) year State Purchasing Agreement (SPA) for the purchase of Rehabilitation Equipment 2006 by all State of Florida agencies and other governmental Eligible Users. There are no existing quantities known. Vendor must contact all State of Florida agencies and other governmental Eligible Users (Customers) to sell these products or services, if this Agreement is awarded. Vendor, please be aware that this equote is not for any specific quantities for an actual order. All State of Florida agencies and other governmental Eligible Users will provide that information when you contact them. Installation Where installation is required, vendor shall be responsible for placing and installing the product in the required locations, unless otherwise designated on the purchase order. Installation will be a separate invoiced charge, if applicable. Vendor s authorized product and price list shall clearly and separately identify any additional installation charges. All materials used in the installation shall be of good quality and shall be free of defects that would diminish the appearance of the product or render it structurally or operationally unsound. Installation includes the furnishing of any equipment, rigging, and materials required to install or replace the product in the proper location. Vendor shall protect the site from damage and shall repair damages or injury caused during installation by vendor or its employees or agents. If any alteration, dismantling, excavation, etc., is required to achieve installation, the vendor shall promptly restore the structure or site to its original condition. Vendor shall perform installation work so as to cause the least inconvenience and interference with Customers and with proper consideration of others on site. Upon completion of the installation, the location and surrounding area of work shall be left clean and in a neat and unobstructed condition, with everything in satisfactory repair and order. Delivery and Shipping s quoted shall include all charges for packing, handling, freight, distribution, and inside delivery. Transportation of goods shall be FOB Destination to any point within the State of Florida. Delivery and shipping and handling charges are to be prepaid and added to invoice as a separate invoiced item. State of Florida agencies and other governmental Eligible Users are encouraged to contact vendor for estimated charges before placing order, and prior to issuing purchase order; to obtain delivery and shipping and handling charges. Delivery shall be made to the ordering State of Florida agency or other governmental Eligible User, 15 to 30 days after Customer places an order and upon receipt of purchase order, or as agreed. A vendor, within five (5) days after receiving a purchase order, shall notify the Customer of any potential delivery delays. Evidence of inability to deliver, or intentional delays, shall be cause for Agreement cancellation and vendor suspension. Certification and Electronic Signature By completing and responding to this equote, vendor is agreeing to all terms and conditions, of the Agreement, including those of PUR The vendor certifies that the discounted prices stated will hold for the duration of the Agreement, if awarded, and that they meet or exceed manufacturer s warranty. decreases are acceptable on invoice(s) presented for payment. Technical Documentation & List All products/services quoted must meet or exceed all requirements of this equote. The vendor must provide a scanned copy of their current catalog or a website address where their products can be viewed and price list. 1

2 The effective date and the discount off list price should be shown on the Sheet pages for each quoted response. The purpose of this request, for technical documentation and/or price list, is required to demonstrate compliance of the product/service quoted and to allow a technical evaluation of the product/service and verification of a true savings to the State of Florida agencies and other governmental Eligible Users. Successful vendor shall provide ordering agencies with catalog of products, if requested. The successful vendor may be required to provide a catalog of products to this office, if needed. Purchasing Card Program The State has implemented a purchasing card program through the Bank of America, using the VISA network. Vendors will receive payment from the purchasing card in the same manner as other VISA purchases. Accordingly, vendors must presently have the ability to accept VISA or take whatever steps necessary to implement the ability before the start of the Agreement term. The State reserves the right to revise this program in conjunction with implementation of an on-line procurement system. VISA acceptance is mandatory but is not the exclusive method of payment. Please indicate your ability to accept VISA in the space provided on the Ordering Instructions page of the equote. When an ordering State agency makes a purchase using the State Purchasing Card as method of payment, the language in paragraph 7, Transaction Fee, on the attached form PUR 7722 does NOT apply. When the State Purchasing Card is not used as a method of payment, or a purchasing card other than the State Purchasing Card is used, paragraph 7 DOES apply. Minimum Requirements Respondents shall: 1. Quote a discount off list prices (price charged to customer off the street) of the products that you are quoting on the pricing page(s). should include, List, Percent Discount given, and Discounted SPA. 2. Indicate number of years your company has been providing these services. Failure to submit the information required in this section will be grounds for disqualification of your quote and/or removal from any resulting Agreement. Questions If you have questions regarding how to use the equote tool (i.e., review a quote, submit a supplier response, download an attachment, etc.), please contact the MyFloridaMarketPlace (MFMP) Customer Service Desk at or at VendorHelp@myfloridamarketplace.com. If you have questions pertaining to the content of this equote document, please contact the agency contact person Kimberly Jones at telephone or at Kimberly.Jones@dms.myflorida.com. If Agreement is Awarded Award will be made to the lowest responsive and responsible vendor(s) who offers the highest discount from their list price, resulting in the lowest net cost (Discounted SPA ) to the State of Florida agencies and other governmental Eligible Users. Possible Eligibility for Award will be based on the Vendor s submission of their equote response for Rehabilitation Equipment 2006 as depicted in this document. Vendors may respond and receive awards in all geographic districts (regions) or statewide, as depicted on the District Map. The district response shall be at the vendor s option (discretion). Please indicate your choice(s) at the end of the Sheet pages. Do NOT return the MAP AND TERMS document with your equote response. All other provisions of this document shall prevail. Current SPA Expiration or Cancellation As a result of this equote, the new Agreement, if awarded, will replace the present or current upon its expiration, if one exists. Any State Term Contract established, in whole or in part, subsequent to this equote, for like items or services, will cancel this State Purchasing Agreement. 2

3 COMMODITY NO PRICE SHEET (EXHIBIT A) FOR Rehabilitation Equipment 2006 In the event that product is not available or discontinued, vendor will substitute equal value products for the same price. Customer, please contact Vendor for product availability. Where indicated please provide the website address for a picture of the products revealing the List (see the Technical Documentation & List section). Please indicate if a website picture is not available. Customer, please paste website address into your browser if clicking it does not link. Rehabilitation Equipment Description and Specifications List % Discount from List SPA Discounted Steel Heavy Duty Rollator Brand: Sunrise Guardian 485 Steel Rolling Walker or equivalent Specifications: $ % $ Weight Capacity: 300 Lbs. Product Weight: 24 Lbs. Size: Width/31 Depth. Handle Height Range is to Seat Height is 22, Seat Size is 16.5W x 9 D. Website to View Product: Aluminum Rollator Brand: Sunrise Guardian 460 Economy Specifications: $ % $ Weight Capacity: 275 Lbs. Product Weight: 15.5 Lbs. Size: 24 W x 23 D. Handle Height is 34 to 38. Seat Height is 21.75, Width Between Handles is Seat Width is 12 W x 13 D. Website to View Product: The same brand is quoted for the two products named, above and below. 3

4 Rehabilitation Equipment Description and Specifications List % Discount from List SPA Discounted Aluminum Rollator with Adjustable Seat Height Brand: Sunrise Guardian 460 Economy Specifications: $ % $ Weight Capacity: 275 Lbs. Product Weight: 15.5 Lbs. Size: 24 W x 23 D. Handle Height is 34 to 38. Seat Height is 21.75, Width between handles is Seat width is 12 W x 13 D. Website to View Product: Light Weight Aluminum Rollator Brand: Drive Medical Design Specifications: $ % $ Product No.: 10208PS-1 Weight Capacity: 300 Lb. Product Weight: 13 Lbs. Website to View Product: Extra Wide Heavy Duty Rollator Brand: Duro Med Industries Specifications: $ % $ Product No.: Weight Capacity: 375 Lbs. Size: Overall width 30 ½ Website to View Product: Ultra Light Weight Transport Chair Brand: Drive Medical Design Specifications: $ % $ Product No.: AFW19 Weight Capacity: 300 Lbs. Seat width is 19. Website to View Product: Products=

5 Rehabilitation Equipment Description and Specifications List % Discount from List SPA Discounted 18 Wheelchair with Removable Desk Arm Rests and Swing Away Foot Rests Brand: Medline Industries Specifications: $ % $ Product No.: MDS806250D Weight Capacity: 300 Lb. Seat width is 18, seat depth is 16 Website to View Product: 18 Wheelchair with Removable Desk Arm Rests and Elevating Leg Rests Brand: Medline Industries Specifications: $ % $ Product No.: MDS806300D Weight Capacity: 300 Lbs. Website to View Product: Lap Buddy For Wheelchair Brand: Medline Industries Specifications: $ % $53.50 Product No.: MSC for full length arms Product No.: MSC for desk length arms Website to View Product: Push Button Aluminum Crutches Brand: Medical Industries Specifications: $ % $22.50 Product No.: MDS80335HW Specs: Standard Adult, Tall Adult, Youth. Website to View Product: 5

6 Rehabilitation Equipment Description and Specifications List % Discount from List SPA Discounted Standard Front-Opening Forearm Crutches Brand: Medline Industries Specifications: $65 23% $50 Product No.: MDS Tall adult/pt. Ht Product No.: MDS Std Adult/pt. ht Website to View Product: Adjustable Quad Cane Brand: Medline Industries Specifications: $ % $24.85 Product No.: MDS86222chr Small or Large Base. Website to View Product: Folding Shopping Cart Brand: Drive Medical Design Specifications: $ % $32.00 Product No.: 605 Winnie Wagon, Color Red Website to View Product: 18 Wheelchair with Fixed Arm and Foot Rests Brand: Invacare Tracer EX2 Specifications: $ % $ Weight Capacity: 250 Lbs. Product Weight: 36 Lbs. Product ID: TREX2 Color: Chrome/Blue Upholstery Website to View Product: 6

7 Rehabilitation Equipment Description and Specifications List % Discount from List SPA Discounted Adjustable Folding Canes Brand: Invacare Specifications: $ % $15.50 Color: Black, Folding Weight Capacity: 250 Lbs. Product Weight: 15 Ozs. Product ID: Website to View Product: The same brand is quoted for the two products named below. Folding Adjustable Walker Brand: Invacare Dual Blue Release Specifications: $ % $42.00 Weight Capacity: 300 Lbs. Product Weight: 5 Lbs. 13 Ozs. Adjustments: Product ID: 6241-A Website to View Product: A&catOID=null Adjustable Aluminum Folding Walker Brand: Invacare Dual Blue Release Specifications: $ % $42.00 Weight Capacity: 300 Lbs. Product Weight: 5 Lbs. 13 Ozs. Adjustments: Product ID: 6241-A Website to View Product: 7

8 Rehabilitation Equipment Description and Specifications List % Discount from List SPA Discounted The product named below is supplied by both vendors. Pedal Exerciser Brand: DMI #2009 Specifications: $ % $26.00 The Pedal Exerciser Website to View Product: Pedal Exerciser Brand: DMI #2009 Specifications: $ % $26.00 The Pedal Exerciser Website to View Product: Long Handle Shoe Horn Brand: DMI #8112 Specifications: $12 34% $7.95 Size: 24 Long, Chrome-Plated Flexible Head for easy use Website to View Product: website not available, brochures available on request Reachers Brand: DMI-1764 Specifications: $15 33% $10 26 Aluminum Reacher Website to View Product: website not available, brochures available on request Blow-Molded Bath Seats Brand: Invacare Specifications: $ % $22.98 Weight Capacity: 250 Lbs. Product Weight: 3 Lbs. 3 Ozs. Product ID: 50-3 Website to View Product: 8

9 Rehabilitation Equipment Description and Specifications List % Discount from List SPA Discounted Heavy Duty Bath Seat With/Without Back Brand: Drive Medical Specifications: $ % $53.00 Product ID: 12021KDR Weight Capacity: 500 Lbs. W/Back Support Website to View Product: Hygienic Sliding Transfer Bench Brand: DMI #1717 Specifications: $ % $ Weight Capacity: 250 Lbs. Website to View Product: Deluxe Adjustable Steel Commode Brand: DMI Economy #1240 Specifications: $ % $46.99 Discontinued by manufacture. New Item # 1243 Weight Capacity: 250 Lbs. Website to View Product: website not available, brochures available on request Heavy Duty Extra-Wide Steel Commode Brand: DMI #1207 Specifications: $ % $66.97 Weight Capacity: 500 Lbs. Website to View Product: Adjustable Shower/Tub Seat Brand: DMI # Specifications: $ % $29.00 Adjustments: Weight Capacity: 250 Lbs. Website to View Product: website not available, brochures available on request 9

10 Rehabilitation Equipment Description and Specifications List % Discount from List SPA Discounted Powder Coated Steel Drop-Arm Commode Brand: DMI #1213 Specifications: $ % $ Adjustments: Website to View Product: Locking Raised Toilet Seat With Arms Brand: DMI #1566 Specifications: $ % $42.88 Weight Capacity: 250 Lbs. Width Between Arms: 18 Seat Width: 17 Website to View Product: Shower Transport Chair Brand: DMI #1702 Specifications: $ % $ Anodized 1 Aluminum Frame Molded Plastic Ring Seat Seat Height: 21, 21W, 20D 18 Between Armrests Weight Capacity: 250 Lbs. Website to View Product: Adult Shroud Kit Brand: DMI #87-01 Specifications: $ % $2.99 Shroud Sheet, Chin Strap, Cellulose Pads, Limb Ties, and ID Tags Website to View Product: website not available, brochures available on request 10

11 Rehabilitation Equipment Description and Specifications List % Discount from List SPA Discounted Opthalmoscope Co-Axial Set Brand: Welch-Allyn Specifications: $ % $ Portable Set, W/23 Lenses Redline # Website to View Product: Isolation Cart (PVC Linen Cart) Brand: Healthy Line Specifications: $ % $ Product #: LC422W5 Size: 43.5 height x 52 wide x 21.5 deep Website to View Product: Transfer Board, 24 Wood Brand: DMI #1753 Specifications: $ % $ x 24 solid wood Website to View Product: Trapeze Overhead Frame W/Trapeze Brand: Invacare Specifications: $ % $ Floor Base and Overhead Trapeze Website to View Product: Patient Lifting Device, Mobil, Battery Operated, Tempo w/scale or equivalent, Includes 2 batteries for 24 hour use. Brand: Invacare Reliant 450 Specifications: $2, % $1, Weight Capacity: 450 Lbs. Product ID: RPA450-1 Website to View Product: 11

12 Number of Years Your Company Has Been Providing These Products: 23 Years According to the District/Region/Section Map, Vendor will provide Statewide coverage. Number of Years Your Company Has Been Providing These Products: 32 Years According to the District/Region/Section Map, Vendor will provide Statewide coverage. 12

13 SAVINGS/PRICE REDUCTIONS Rehabilitation Equipment 2006 Respondent is required to furnish the percent (%) savings in prices offered in this equote compared to retail, list, published or other usual and customary prices that would be paid by the purchaser without benefit of an agreement resulting from this equote. DATE COMPETITIVE PRICES OFFERED AVERAGE 40.5 % SAVINGS. HOW CAN WE VERIFY THE CLAIMED SAVINGS (example: retail or other usual and customary prices published at (url), or other source of benchmark prices)? AUTHORIZED SIGNATURE: (optional) TELEPHONE NUMBER: RESPONDENT NAME: David Bruinsma (typed or printed) COMPANY NAME: Florida Home Medical Supply (typed or printed) Do Not Write in Area Below: IF AGREEMENT IS AWARDED, STATE PURCHASING ANALYST/SPECIALIST/AGENT TOOK THE FOLLOWING STEPS TO VERIFY SAVINGS: WHAT WERE THE RESULTS? 39.82% PURCHASING ANALYST/SPECIALIST/AGENT: Kimberly Jones 13

14 Ordering Instructions for Rehabilitation Equipment 2006 VENDOR COMPANY NAME: FLORIDA HOME MEDICAL SUPPLY dba/ COLONIAL MEDICAL SUPPLIES VENDOR NUMBER / FEIN/FEID: F equote/agreement Administration Please identify the person who will be responsible for administering the Agreement on your behalf if award is made, and include an emergency contact phone number: Name: David Bruinsma Title: General Manager Street Address: 915 S Orange Ave Orlando, fl Address: Orlando@colonialmed.com Phone Number(s): Fax Number: If the person responsible for answering questions about the agreement is different from the person identified above, please provide the same information for that person. Name: Title: Street Address: Address: Phone Number(s): Fax Number: Direct Orders Please provide the following information about where the Customers should direct orders. You must provide a regular mailing address. If equipped to receive purchase orders electronically, you may also provide an Internet address. Street Address or P.O. Box: 915 S Orange Ave City, State, Zip: Orlando, Fl Phone Number: Toll Free Number: Ordering Fax Number: Internet Address: Federal ID Number: Remit Address: same City, State, Zip: Address: same X WILL ACCEPT THE STATE OF FLORIDA PURCHASING CARD (VISA) Attach additional addresses for all locations in Florida authorized to perform services under this agreement. All locations must be registered in MyFloridaMarketPlace. 14

15 VENDOR COMPANY NAME: FLORIDA HOME MEDICAL SUPPLY dba/ COLONIAL MEDICAL SUPPLIES AUTHORIZED DEALERS/DISTRIBUTORS AND/OR SERVICE REPRESENTATIVES LOCATIONS: FOR Rehabilitation Equipment 2006 LIST BELOW CONTACT INFORMATION FOR ONE OR MORE FLORIDA REPRESENTATIVES, INCLUDING MAILING AND ADDRESSES, AND TELEPHONE NUMBERS. COMPANY NAME US POSTAL & ADDRESSES, & TELEPHONE # Colonial Medical Supplies Main Store/Billing office Colonial Medical Supplies Winter Park Office 915 S Orange Ave. Orlando, Fl Phone Fax Aloma Ave Winter Park, Fl Phone Fax Colonial Medical Supplies Warehouse 1018 Sligh Blvd. Orlando, Fl

16 EMERGENCY SITUATIONS Emergency situations, resulting from events such as natural disasters, may require immediate supply of commodities and services to various government entities. If your firm is capable and willing to supply item(s) offered in this equote during an emergency, please complete the following: EQUOTE / AGREEMENT TITLE _ Rehabilitation Equipment 2006 CONTACT PERSON NAME (24 HOURS) David Bruinsma EMERGENCY TELEPHONE NUMBER PAGER TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER ANSWERING SERVICE/AFTER HOURS TELEPHONE NUMBER _ _ The above information will be used by this office should the State of Florida determine an emergency situation exists. Florida Home Medical Supply is recognized by the State of Florida as a member of the Emergency Supplier Network.. VENDOR COMPANY NAME:_ FLORIDA HOME MEDICAL SUPPLY dba/ Colonial Medical Supplies_ 16

17 SAVINGS/PRICE REDUCTIONS Rehabilitation Equipment 2006 Respondent is required to furnish the percent (%) savings in prices offered in this equote compared to retail, list, published or other usual and customary prices that would be paid by the purchaser without benefit of an agreement resulting from this equote. DATE 04/21/2006 COMPETITIVE PRICES OFFERED AVERAGE % SAVINGS. HOW CAN WE VERIFY THE CLAIMED SAVINGS (example: retail or other usual and customary prices published at (url), or other source of benchmark prices)? Either use the websites listed under each product or call the manufacture at the numbers listed below. Sunrise Medical , Medline , Drive DMI , Invacare , Welch Alynn , Healthline , Mabis AUTHORIZED SIGNATURE: (optional) TELEPHONE NUMBER: RESPONDENT NAME: Mike Menszycki (typed or printed) COMPANY NAME: Health Aid Company, Inc. (typed or printed) Do Not Write in Area Below: IF AGREEMENT IS AWARDED, STATE PURCHASING ANALYST/SPECIALIST/AGENT TOOK THE FOLLOWING STEPS TO VERIFY SAVINGS: WHAT WERE THE RESULTS? 33.55% PURCHASING ANALYST/SPECIALIST/AGENT: Kimberly Jones 17

18 Ordering Instructions for Rehabilitation Equipment 2006 VENDOR COMPANY NAME: Health Aid Company, Inc. VENDOR NUMBER / FEIN/FEID: F equote/agreement Administration Please identify the person who will be responsible for administering the Agreement on your behalf if award is made, and include an emergency contact phone number: Name: Mike Menszycki Title: President Street Address: 4502 N. Armenia Ave., Tampa, FL Address: mike@healthaidcompany.com Phone Number(s): Fax Number: If the person responsible for answering questions about the agreement is different from the person identified above, please provide the same information for that person. Name: Same Title: Street Address: Address: Phone Number(s): Fax Number: Direct Orders Please provide the following information about where the Customers should direct orders. You must provide a regular mailing address. If equipped to receive purchase orders electronically, you may also provide an Internet address. Street Address or P.O. Box: 4502 N. Armenia Ave. City, State, Zip: Tampa, FL Phone Number: Toll Free Number: Ordering Fax Number: Internet Address: Federal ID Number: Remit Address: 4502 N. Armenia Ave. City, State, Zip: Tampa, FL Address: mike@healthaidcompany.com X WILL ACCEPT THE STATE OF FLORIDA PURCHASING CARD (VISA) Attach additional addresses for all locations in Florida authorized to perform services under this agreement. All locations must be registered in MyFloridaMarketPlace. 18

19 VENDOR COMPANY NAME: Health Aid Company, Inc. AUTHORIZED DEALERS/DISTRIBUTORS AND/OR SERVICE REPRESENTATIVES LOCATIONS: FOR Rehabilitation Equipment 2006 LIST BELOW CONTACT INFORMATION FOR ONE OR MORE FLORIDA REPRESENTATIVES, INCLUDING MAILING AND ADDRESSES, AND TELEPHONE NUMBERS. COMPANY NAME US POSTAL & ADDRESSES, & TELEPHONE # Health Aid Company, Inc. Mike Menszycki 4502 N. Armenia Ave. Tampa, FL mike@healthaidcompany.com 19

20 EMERGENCY SITUATIONS Emergency situations, resulting from events such as natural disasters, may require immediate supply of commodities and services to various government entities. If your firm is capable and willing to supply item(s) offered in this equote during an emergency, please complete the following: EQUOTE / AGREEMENT TITLE _ Rehabilitation Equipment 2006 CONTACT PERSON NAME (24 HOURS) Mike Menszycki EMERGENCY TELEPHONE NUMBER PAGER TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER ANSWERING SERVICE/AFTER HOURS TELEPHONE NUMBER _ _ The above information will be used by this office should the State of Florida determine an emergency situation exists. VENDOR COMPANY NAME: Health Aid Company, Inc._ State purchasing agreement form PAGE 20 of 20

SOLAR OUTDOOR LIGHTING SPA AGREEMENT FOR COMMERCIAL SOLAR ELECTRIC (PHOTOVOLATAIC) LIGHTING SYSTEMS COMMODITY NO.

SOLAR OUTDOOR LIGHTING SPA AGREEMENT FOR COMMERCIAL SOLAR ELECTRIC (PHOTOVOLATAIC) LIGHTING SYSTEMS COMMODITY NO. 285-260 Begin Date 05/23/2005 End date 05/22/2006 Agreement #2853148-PA PURPOSE The purpose