SPECIFICATIONS FOR WOUND CARE PRODUCTS. Montgomery County Commissioners Court House Norristown, Pennsylvania

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1 SPECIFICATIONS FOR WOUND CARE PRODUCTS Montgomery County Commissioners Court House Norristown, Pennsylvania James R. Matthews, Chairman Joseph M. Hoeffel, III Bruce L. Castor, Jr. Chief Operating Officer/Chief Clerk Robert W. Graf Solicitor Barry M. Miller, Esq. Controller Diane Morgan Chief Procurement Officer F. Thomas Snyder Parkhouse Providence Pointe Melanie DeBlase, NHA, Administrator Official correspondence will be addressed to: Opening Date: September 16, 2010 Specification Number: # RBD/rn Telephone: Fax: Address: Federal ID No.

2 #79S RBD/rn INTENT OF THE SPECIFICATIONS SCOPE OF THE WORK 1. It shall be the intent of these specifications to cover the furnishing and delivering of Wound Care Products, on an as needed basis, for Parkhouse Providence Pointe, 1600 Black Rock Road, Royersford, PA 19468, for a period of one (1) year, beginning November 1, 2010, all in strict accordance with the specifications. SPECIFICATIONS 2. The successful bidder shall contemplate the furnishing and delivering of Wound Care Products, on an as needed basis, for Parkhouse Providence Pointe, 1600 Black Rock Road, Royersford, PA 19468, for aperiod of one (1) year, beginning November 1, 2010, which shall include all of, but not be limited to the following specifications. SCHEDULE #1 Acceptable Brand: Coloplast (NO SUBSTITUTIONS) ITEM# EST. QUANTITY DESCRIPTION Cases Baza Protect, 5 ounce tube, Item #1880, 12/per case Boxes Comfeel Plus, 2x2 %", Item #3530, 10/box Boxes Comfeel Ulcer Care, 1.5" x 2.5 ", Item #3233, 30/box Boxes ComfeelPlus, 1.5" x 2.5", Item #3146, 10/box Boxes Comfeel Plus, 4 x 4", Item #3533, 10/box Cases Sea Clens, 6 ounce spray bottle, Item #1061, 12/case Cases Sween 24, 5 ounce bottle, Item #7092, 12/case 8. 1 Case InterDryAg 10 x 144", Item #7910, 10/case SCHEDULE #2 Acceptable Brand: Smith & Nephew Wound Management (NO SUBSTITUTIONS) ITEM# EST. QUANTITY DESCRIPTION Cases Allevyn, 4 x 4", Hydrocellular non-adhesive foam dressing, Item # , 10/package, 7 packages/case Cases Allevyn, 2 x 2", Hydrocellular non-adhesive foam dressing Item # , 10/package, 6 packages/case 3. 2 Cases Allevyn Cavity Plus, Item # , 10/box 10 boxes/case (6-S1)

3 ITEM# EST. QUANTITY DESCRIPTION Cases Algisite M Calcium - Alginate Dressing, Ribbon, Item # , 10/package, 6 packages/case 5. 1 Case Acticoat Absorbant Dressing, Ribbon, Item #20181, 5/box 12 boxes/case Cases Secura EPC Skin Protectant, 7.75 oz. flip top tube Item # , 12/case Cases Solosite Hydrogel Wound Dressing, 3 oz. tube Item #449600, 12/case Boxes Opsite, 23/8x2 2/3" Dressing, 100/box SCHEDULE #3 Acceptable Brand: As indicated on each line item. (NO SUBSTITUTIONS) ITEM# EST. QUANTITY DESCRD7TION Boxes Calmoseptine Multipurpose Barrier Ointment, 3.5g packets, as manufactured by Calmoseptine, Inc., Item #16634, 144/box Cases No Sting Wipes, individually wrapped as manufactured by Yl^'Tr-ft/ 3>3'$~J i&s?')^ ^M* 3M, Item#13351, 25/box, 4 boxes/case 3. 1 Case Silvasorb Gel, 1.5 fluid ounce tube, Silver Antimicrobial Wound Gel, as manufactured by Medline, Item #MSC 9301, 12/case 4. 2 Cases lodoflex Pads, 4x6 Smith and Nephew, Item #SN Cases lodosorb Gel, 40 Cms Smith and Nephew, Item #SN Case Mesalt, Molnlycke, 3/4" x 39" Ribbon, Item # Case Medihoney, Derma Sciences, 1.5 oz., Item # Boxes Polymem, Ferris Mfg. Corp., Size #3, Item # Boxes Oval, Size, #5, Item # Box Size #8, Item # Cases Dimethicone Protectant Secura, 4 oz. flip top Smith and Nephew Item # CONTRACT PERIOD WITH OPTION TO EXTEND 3. The period of the contract to the successful bidder shall be for one (1) year, beginning November 1, The contract may, by mutual written assent of the parties, be extended for one (1) additional one (1) year period or portions thereof, up to a cumulative total of two (2) years. (6-S2)

4 Should the County desire to exercise this option, notification to the successful bidder shall be given prior to the expiration of the contract. The successful bidder must respond within 15 days from said notification including proposed price adjustments, if any. In the event of pricing changes due to changes in prevailing costs of labor and materials in the area, the successful bidder may submit a request for price adjustments in line with these changes for the duration of the contract extension. The County reserves the right to accept or reject said proposed adjustments. Should the County reject said proposed adjustments, or if the successful bidder does not respond within the prescribed 15 days, the contract will automatically expire at the end of the contract period. DELIVERY 4. All deliveries shall be F.O.B. Parkhouse Providence Pointe, 1600 Black Rock Road, Royersford, PA 19460, Contact person for delivery is Frances Schuda, BID PROPOSAL 5. Bidders are required to quote unit, extended price, estimated total price for each schedule and an estimated total lump sum price for all schedules bid, and any other information to be reported on the Proposal page, and a copy of the Cover Page with all requested information. In addition, bidder shall indicate any prompt payment discount terms that may be offered and if ACH (Automatic Clearing House) payments are not requested. AWARD 6. A contract may be awarded to the lowest responsible bidder, on the basis of the individual item bid, estimated total price per schedule or estimated total lump sum price bid, whichever is determined to be in the best interest of the County. ERROR IN EXTENSION 7. Where an error is made in computing the extension of a unit price to a quantity price, the unit price shall govern. QUANTITY CLAUSE 8. It shall be understood and agreed that quantities and or locations listed are estimates only and may decrease or increase according to the actual requirements of the County, and County agrees to pay only for that work and/or supplies which are actually completed and/or delivered. (6-S3)

5 PAYMENTS 9. ACH (Automatic Clearing House) direct deposit payments to bank account shall be made to the successful bidder within thirty (30) days of acceptance by the County and receipt of invoice, and approval of the invoice by the County Controller. Bidders shall note if ACH payments are not requested. CONTRACT AND PERFORMANCE BOND 10. Copies of Contract and Performance (Supply) Bond which the successful bidder will be required to execute are appended to the Proposal Form-Signature Pages and made a part hereof. REJECTION OF BED 11. A bid which is incomplete, obscure, conditioned, or which contains additions not called for, or irregularities of any kind, including alterations or erasures, may be rejected. A bid which is not accompanied by the required security or unsigned shall be rejected. A Bid Bond which is unsigned by principle or surety shall also be rejected. SURETY OF BID BOND 12. Any Bid Bond, were required, which is used and submitted along with the proposal., must be covered with surety of a company authorrzed to do business in the Commonwealth of Pennsylvania, and must have attached power of attorney. COUNTY RIGHT 13. The County reserves the right to accept or reject any or all bids or parts thereof and to award the contract as is determined to serve the County's best interest. NOTE: SEALED BIDS MUST BE IN THE CONTROLLER'S OFFICE, ONE MONTGOMERY PLAZA, 5TH FLOOR, NORRISTOWN, PENNSYLVANIA, NOT LATER THAN 10:30 A.M. ON THE DATE SCHEDULED FORBID OPENING (6-S4)

6 # RBD/rn, PROPOSAL r ORJV1...,fr-r.r-nu.t «t-r^<<~> t r-i tr»x-i/~ A I McKESSON MEDICAL-SURGICAL Submitted by MINNESOTA SUPPLY INC Date (Contractor's Name) Gentlemen: This proposal is submitted in accordance with your advertisement inviting proposals to be received for the project identified as: Furnishing and delivering of Wound Care Products, on an as needed basis, for Parkhouse Providence Ponte, 1600 Black Rock Road, Royersford, PA 19468, for a period of one (1) year, beginning November 1, Having carefully examined the Advertisement for Bids, Bidding Instructions, Scope of the Work, etc., hereinafter referred to as Specifications, together with all addenda, errata, bulletins applying thereto, and being familiar with the various conditions affecting the work, the undersigned hereby agrees to furnish all materials, perform all labor, and do all else necessary to complete the work in strict accordance with the specifications, for prices as follows: SCHEDULE #1 EST. UNIT ESTIMATED Itemfl QTY. DESCRIPTION PRICE TOTAL PRICE Cases Baza Protect, 5 ounce tube, Item #1880, 12/per case Boxes Comfeel Plus, 2x2 %", Item #3530, 10/box Boxes Comfeel Ulcer Care, 1.5" x 2.5" _. / Item #3233, 30 /box $ O J JT S Jif Boxes Comfeel Plus, 1.5" x 2.5" Boxes Comfeel Plus, 4 x 4", Item #3533, 10/box Cases Sea Clens, 6 ounce spray bottle, Item #1061, 12/case (7)

7 Item# 7. n 8. Item# 1. EST. OTY. 30 Cases 1 Case Estimated EST. OTY. 25 Cases SCHEDULE #1 - Continued DESCRIPTION Sween 24, 5 ounce bottle, 0 Item #7092, 12/case ^ InterDryAglOx 144", Item #7910, 10/case Total Price Schedule #1 SCHEDULE #2 DESCRIPTION Allevyn, 4 x 4", Hydrocellular non-adhesive foam dressing, Item # , 10/package, 7 packages/case UNIT ESTIMATED PRICE TOTAL PRICE $ yj./t? $ i, tiy.gfi 3- yytf C / ~ f UNIT ESTIMATED PRICE TOTAL PRICE Cases Allevyn, 2 x 2", Hydrocellular non-adhesive foam dressing Item # , 10/package, 6 packages/case 3. 2 Cases /1iK/\ Allevyn Cavity Plus, Item # , 10/box 10 boxes/case Cases Algisite M Calcium Alginate Dressing, Ribbon, Item # , 10/package, 6 packages/case 5. 1 Case Acticoat Absorbant Dressing, Ribbon, Item #20181, 5/box,12 boxes/case Cases Secura EPC Skin Protectant, 7.75 oz. flip top tube Item # , 12/case! Cases Solosite Hydrogel Wound Dressing, 3 oz. tube Item #449600, 12/case * S / Boxes Opsite, 2 3/8 x2 2/3" ' 100/box Estimated Total Price Schedule #2 (7-1)

8 SCHEDULE #3 EST. UNIT ESTIMATED Itemfl OTY. DESCRIPTION PRICE TOTAL PRICE Boxes Calmoseptine Multipurpose Barrier Ointment, 3.5g packets, as manufactured by Calmoseptine, Inc., Item #16634, 144/box Cases No Sting Wipes, individually wrapped as manufactured by 3M, Item #13351,25/box, 4 boxes/case $ ^ 3< l - $ 8. 1 Case Silvasorb Gel, 1.5 fluid ounce tube, Silver Antimicrobial Wound Gel, as manufactured / y / by Medline, Item #MSC 9301, 12/case $,?ti>j$, // f-y 4. 2 Cases lodoflex Pads, 4x6 Smith and Nephew #SN < 5. 2 Cases lodosorb Gel, 40 Gms Smith and Nephew Item#SN $ 6. 1 Case Mesalt, Molnlycke, 3/4" x 39" ribbon Item # Case Medihoney, Derma Sciences, 1.5 oz. Item # Boxes Polymem, Ferris Mfg. Corp., Size #3.,j Item # Boxes Oval, Size #5, Item # ' ' ffeox'' Size #8, # Cases Dimethicone Protectant Secura, 4 oz. < Q flip top Smith and Nephew, Item # Estimated Total Price Schedule #3. ESTIMATED TOTAL LUMP SUM PRICE -ALL SCHEDULES BID... $. (*) '/ (*) Basis for 5% Bid Bond or Certified Check, if required. Prompt Payment Discount Terms ACH (Automatic Clearing House) payments are not requested In case this proposal is accepted, the undersigned is hereby bound to enter into contract within thirty (30) days after receipt of notice of acceptance for above mentioned work, in accordance with such Specifications. (7-2)

9 SIGNATURE PAGE In case this proposal is accepted, the undersigned is hereby bound to commence and complete all of the work included under his contract in such time and such manner as designated for the various items he has contracted to supply. In submitting this proposal, it is understood that the unrestricted right is reserved by the County to reject any and all proposals or parts thereof, or to waive any informalities or technicalities in said proposals, and it is agreed that this proposal may not be withdrawn for a period of at least sixty (60) days from date of opening thereof. The undersigned hereby certifies that this proposal is genuine, and not a sham or collusive, or made in the interest or in behalf of any person, firm or corporation not herein named; that the undersigned has not directly or indirectly induced or solicited any bidder to refrain from bidding, and that the undersigned has not, in any manner, sought by collusion to secure for himself an advantage over any other bidder.. ' - ') / * ' FIRM NAME SIGNATURE PRINT/TYPE SIGNATURE J')"Jq ^ ^A_ (L.fa(=>[JQ I / & f^ TirLE>^iLH^O^^ _ OFFICIAL ADDRESS 3/J ~//> t/l tf /-^ A7 /h 6^.sr>> /^/^ /T) ' " TAX IDENTIFICATION NUMBER Bidder will state below whether the bid is by an individual, partnership, LLC or corporation. Bidder will state below the name of the Bonding Company to be used in case of award, and name and address of local agent thereof., BONDING COMPANY~.A&^SA^j^Wl^l^l^ NAME OF AGENT ADDRESS. Accompanying this proposal Is: In the amount of $ >^) ~ based on a total lump sum bid of $^ fjrtrris-j3^--i/j^&^?&te^<0<^ ADDENDA: Bidder agrees that the following Addenda(s) issued during the bid period have been received and considered in preparing this Proposal; and, agrees that failure to acknowledge such Addenda(s) may be a basis for rejection of bid. Addenda No. Date Addenda No Date Rev. 11/08 BID MUST BE SIGNED FOR CONSIDERATION ABSOLUTE ADHERENCE TO PROPOSAL FORM CLAUSE IS REQUIRED (7-3) Prepared By / \/l

10 NONCOLLUSION AFFIDAVIT MCKESSON MEDICAL-SURGICAL MINNESOTA SUPPLY INC I hereby affirm that (Name of Bidder) has ( ) has not () been convicted or found liable for any act prohibited by Federal or State law in any jurisdiction involving conspiracy or collusion with respect to bidding on any public contract within the last three years. McKESSON MEDICAL-SURGICAL MINNESOTA SUPPLY INC JL-Clll. (Signature) (Title) The bidder's statement on this Affidavit that (he) (she) (it) has been convicted or found liable for any act prohibited by Federal or State law in any jurisdiction involving conspiracy or collusion with respect to bidding on any public contract within the last three years does not prohibit the County of Montgomery from accepting a bid from or awarding a contract to that person, but it may be grounds for administrative suspension or debarment in the discretion of the County under the rules and regulations adopted by County Ordinance No VERIFICATION 'I ' - verify that the statements made in the (Name of Affiant) foregoing Noncollusion Affidavit are true and correct to the best of my knowledge or information and belief. I understand that false statements herein are made subject to the penalties of 18 PA C.S relating to unsworn falsification to authorities. (Signature of Affiant) Date

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