36C24623Q1426.docx

36C24623Q1426

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE

DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a.

PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE

ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26.

TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212

-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNAT

URE OF OFFEROR/CONTRACTOR

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C24623Q1426 12-27-2023 Audrey Wooten 757-315-3419 01-10-2024 10:00

EST

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 X Y 339113 800 Employees N/A X Richmond VA Medical Center 1201 Broad Rock Blvd.

Richmond VA 23249 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

Department of Veterans Affairs Financial Services Center

PO BOX 149971

Austin TX 78714-9971 x See CONTINUATION Page See price schedule section B Contractor to provide In-Home delivery of suplies direct delivery to patient homes IAW the SOW This procurement is for a base year plus 4 option years.

This is a Firm Fixed Price See CONTINUATION Page x X Audrey Wooten Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: TBD

b. GOVERNMENT: Contracting Officer 90c Audrey Wooten

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

VA Financial Service Center (FSC) Electronic Invoice Presentment and Payment System https://www.fsc.va.gov/einvoice.asp ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

36C24623Q1426

Page 1 of Page 1 of

1. Scope of Work The purpose of this contract is to obtain delivery services for dialysis treatment supplies, for direct delivery to patient homes. Several patients have been selected to receive direct delivery of dialysis supplies under this contract. The number of patients covered by this contract may increase or decrease during the performance period and any exercised option periods.

2. Description of Services

2.1. To support the continued increase of patients receiving dialysis treatment in the privacy of their homes, CVHCS will support the delivery of dialysis treatment supplies. The contractor shall provide for the distribution of supplies identified in Contract/Solicitation Attachment A. Deliveries shall be made directly to patients, with all required information being provided by CVHCS Pharmacy Service Ordering Officers. All activities associated with this contract shall comply with legal requirements for the protection of patient information.

2.2. The ordering and delivery process under this contract is comprised of the following tasks:

2.2.1. Supplies identified in Contract/Solicitation Attachment A will be prescribed by physicians as needed. Workload estimates for each patient, per month, are provided in Section 4. of this Statement of Work.

2.2.2. The CVHCS Pharmacy Service will fax the order (request for delivery) to the Contractor.

2.2.3. The Contractor shall process the order within 48 hours, upon receipt of the order from the Pharmacy Service.

2.2.4. All orders shall be delivered directly to the patient’s place of residence within 7 to 10 calendar days of request, or by the first of every month if supplies are scheduled for regular delivery. See Section 6. for performance objectives.

2.3. The contractor shall ensure that all patient information is protected within the guidelines of federal and state regulations, including HIPAA and the Privacy Act.

3. Performance Standards

3.1. Expedited shipping shall be available under this contract. For the purposes of this contract, expedited shipping is defined as delivery within 24 hours. Delivery on weekends (Saturday and Sunday) shall be available for the purposes of expedited deliveries.

3.2. The Contractor shall notify CVHCS of backordered items, at the time the backorder becomes apparent, and the anticipated availability date of the items.

3.3. Substitution of items is not authorized and shall only occur at the direction of the patient’s care provider at CVHCS.

3.4. All shipping costs shall be paid by the contractor for the delivery of the items in the ICGE. However, overnight delivery may incur additional charges which shall be paid for by CVHCS under a separate contract CLIN dedicated to overnight/expedited shipping costs. Shipping charges shall not exceed $250.00 per delivery under this contract and no single invoice shall request payment for shipping charges in excess of $250.00.

3.5. The contractor shall provide tracking information on all orders. The tracking information must be available to Veteran Affairs Medical Center Staff and Patients via electronic delivery.

3.6. Documentation of all deliveries made to patients shall be provided to CVHCS Pharmacy Staff within 24 hours after the Contractor receives the documentation of delivery.

3.7. The requiring facility shall forward notification or provide carbon copy of electronic communications for all delivery requests and all deliveries made under the contract.

4. Historic and Projected Workloads

4.1. BASIS OF ESTIMATED USAGE: Currently, there are 7 patients receiving monthly home hemodialysis supplies. Additional patients are being trained in the dialysis process. Up to 12 patients will be included in the program during the base period of performance. Up to 15 patients are anticipated for Option Year One.

4.2. ESTIMATED QUANTITIES: All quantities listed herein are estimated annual quantities. Each line item will vary month to month by each patient and their individual needs. The estimated annual total usage is given on the ICGE. The government is not obligated to purchase any specified amount of services under this Agreement but will be obligated to make payment for all services requested and received in the quantities and of the quality requested. The government does not guarantee or imply any fixed number of orders/referrals for services will be placed under this Agreement. Monthly orders for each patient will be based on and billed according to the Federal Supply Schedule Price List. See attachment A.

5. Price Schedule and Services

5.1. See attached Authorized Federal Supply Schedule Price List.

5.2. See the attached Independent Government Cost Estimate (IGCE) for a description of services. The IGCE reflects the volume expected for 12 patients for an entire fiscal year. Currently, there are 7 patients, and up to 12 are expected to be enrolled in the base year and up to 15 in subsequent years.

6. Reference Instructions and Publications

6.1. The contractor shall ensure that all patient information is protected within the guidelines of federal and state regulations, including HIPAA and the Privacy Act.

7. Performance Objectives

8. Deliverables

8.1. Weekly Deliveries Report -- Contractor shall provide weekly confirmation reports which include the veteran’s name, account number, quantity ordered, quantity shipped, product cost, tracking numbers, date of service and order numbers. These reports can be viewed by authorized users. These reports are emailed at the end of each month to CVHCS.

9. Quality Assurance and Quality Monitoring

9.1. CVHCS will evaluate the quality of professionalism and administrative services provided, but neither Contractor nor CVHCS shall be held liable for the activities of the other party or the other party’s agents or employees including any negligent acts or omission or other damages.

9.2. The results of all Quality Improvement activities performed by Contractor involving Department of Veteran Affairs (VA) patients will be shared with the CVHCS Quality Management Office. This shall include, but not be limited to the following, but only as they relate specifically to VA patients.

10. Government-Furnished Property

10.1. None.

11. Special Contract Requirements

11.1. Under the authority of Public Law 104-262 and 38 USC 8153, the Contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to and at the Department of Veterans Affairs Medical Center, Richmond, Virginia at the services and prices specified in the Section entitled Schedules of Supplies/Services of this contract

12. Services

12.1. The services specified in the Sections entitled Price Schedule and Services and Special Contract Requirements may be changed by written modification to this contract. The modification will be prepared by the VA Contracting Officer and, prior to becoming effective, shall be approved by the VA Under Secretary for Health or his/her designee and shall be accepted by the Contractor through signature.

13. Term of Contract

13.1. This contract is effective from TBD- September 30, 2024. The contract is Subject to Availability of Funds after September 30th of each year until the Contracting Officer authorizes such services in writing.

14. Qualifications

14.1. VA staff must maintain appropriate licensure for their clinical roles, e.g., MD/DO, NP, PA, RN, RPh., CPhT. for the duration of this contract.

14.2. The contractor is required to be a licensed home medical and service provider, maintain all licenses required by the State, and maintain accreditation from the Joint Commission for the duration of this contract. The contractor must also complete the annual online VA training for -VA Privacy and Information Security Awareness- and -Rules of Behavior and Privacy and HIPAA training.

15. Contract Performance Monitoring

15.1. The Contracting Officer’s Representative (COR) shall be the VA official responsible for verifying contract compliance. The COR will be responsible for monitoring the Contractor’s performance to ensure all specifications and requirements are fulfilled. The Contractor is advised that only the Contracting Officer has the authority to make changes to the contract. After contract award, any incidents of noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer.

16. Payment

16.1. Payment for services will be at the rates specified in the Schedule of Supplies/Services.

16.2. Payment will only be made for actual services rendered.

16.3. The Contractor shall submit invoices monthly in arrears covering the services performed under this contract. The invoice will contain the following information:

Contract Number and Purchase Order Number Date, Type, and Number of Procedures Performed Patient name and SSN Unit Cost Total Price

17. Billings

Invoicing rendered by the Contractor to CVHCS for services furnished to CVHCS under the terms of this contract shall be billed in full. The beneficiary, his/her insurer, or any other third party shall be billed.

18. Contracting Officer’s Representative

18.1. A VA Medical Center representative of the Contracting Officer shall be designated to represent the Contracting Officer in furnishing technical guidance and advice regarding the work being performed under this contract. The foregoing is not to be construed as authorization to interpret or furnish advice or information to the Contractor relative to the financial or legal aspects of the contract. Enforcement of these segments is vested and is the sole responsibility of the Contracting Officer.

PRICE/COST SCHEDULE

ITEM INFORMATION

33 GALLON BLK CAN LINER 250/CS (United stationer)

BRAND NAME OR EQUAL

United stationer Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

POP Begin: TBD POP End: 9/30/2024

ADHESIVE BANDAGE FLEXIBLE 1X3 100/CS Cardinal

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ALCAVIS 50% 500ml 1/EA Angelini Pharma

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ALCAVIS BLEACH WIPES 50/BX Angelini Pharma

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ALCOHOL PREP NS 2Ply MEDIUM 200/BX Cardinal

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ANTIMICROBIAL LIQUID SOAP 1602 EA Dial/Henkel NA

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

POP End: TBD

BACITRACIN OINTMENT INDV 144/BX Dynarex

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

BARRIER STERILE FIELD 35/CS Pro Advantage

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

POP Begin:

CATHETER ON/OFF KIT 25 Customer Packaged

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

CHLORAPREP APPLICATOR 3ML 25/BX Becton Dickson

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

CONTAINER SHARPS 4QT EA McKesson

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

DIGITAL SCALE EA Pelstar

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

EXSEPT SKIN ANTISEPTIC 50 500ML EA Angelini Pharma

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

FISTULA 15G X 1" EA Medisystems

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

FISTULA 15G X 1" (BUTTONHOLE) EA Medisystems

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

FISTULA ON/OFF KIT Custom Packaged

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

GAUZE SPONGE 2X2 50/PK AMD Ritmed

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

GAUZE SPONGE 4X4 25/PK Covidien

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

GLOVE NITRILE PF EXAM LG 100BX Metro-Pacifica

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

GLOVE NITRILE PF EXAM MEDIUM 100/BX Metro-Pacifica

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

GLOVE NITRILE PF EXAM SM 100/BX Metro-Pacifica

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

GLOVE NITRILE PF EXAM XL 100/BX Metro-Pacifica

Manufacturer name: _______________ Brand:________________ Part No.:______________ Contract Period: Base

HEPARIN 1000u 10ml vials EA Meiheal

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

MALE TO MALE ADAPTER 100 Molded products

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

ANIOSGEL ANTSPTC GEL EA Angelini Pharma

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

POP End: 09/30/2024

NEEDLE 18G X 1 100/BX NIPRO

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

NEEDLE 18G X 1 TW 100/BX NIPRO

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

PEROXIDE HYDROGEN 3% 1602 1/EA McKesson

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base POP Begin: TBD End: 9/30/2024

SALINE 0.9% 1000ML 12/CS Fresenius

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SANI-CLOTH DISPOSIBLE WIPE PDI

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

STERILE DRAPE 18 X26 Pro Advantage

ManufacturerName: _____________________ Brand:________________ Part No.:___________ Contract Period:

SYR/NDL TB 1CC 26G X 3/8 LOS 100/BOX NIPRO

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SYRINGE LL 10cc W/CAP WEI 100/BOX NIPRO

Manufacture Name _____________________ Brand:________________ Part No.:______________ Contract Period:

POP End:09/30/2024

SYRINGE LL 20cc 100/BX NIPRO

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SYRINGE LL 3CC 100/BX NIPRO

Manufacturer Name: ________________ Brand:________________ Part No.:______________ Contract Period:

SYRINGE LL 60CC 20/BX Covidien

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

TAPE CLOTH 1 X 10 YDS EA AMD Ritmed

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

TAPE PAPER 1 X10 YDS EA Cardinal

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

TEGADERM 4 x 4 3/4 50/BX 3M

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

TEGO CONNECTORS EA 3M

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

THERMOMETER - DIGITAL EA Cardinal

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Pe

33 GALLON BLK CAN LINER 250/CS (United stationer)

United stationer Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period: OPTION YEAR 1 POP Begin: 10/1/2024 POP End: 9/30/2025

ADHESIVE BANDAGE FLEXIBLE 1X3 100/CS Cardinal

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ALCAVIS 50% 500ml 1/EA Angelini Pharma

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ALCAVIS BLEACH WIPES 50/BX Angelini Pharma

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

POP Begin: 10/1/2024

ANTIMICROBIAL LIQUID SOAP 1602 EA Dial/Henkel NA

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

BACITRACIN OINTMENT INDV 144/BX Dynarex

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

BARRIER STERILE FIELD 35/CS Pro Advantage

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

CATHETER ON/OFF KIT 25 Customer Packaged

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

CHLORAPREP APPLICATOR 3ML 25/BX Becton Dickson

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

CONTAINER SHARPS 4QT EA McKesson

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

DIGITAL SCALE EA Pelstar

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

EXSEPT SKIN ANTISEPTIC 50 500ML EA Angelini Pharma

Manufacturer Name: _____________________ Brand:________________ Part No.:______________

FISTULA 15G X 1" EA Medisystems

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

FISTULA 15G X 1" (BUTTONHOLE) EA Medisystems

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

FISTULA ON/OFF KIT Custom Packaged

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GAUZE SPONGE 2X2 50/PK AMD Ritmed

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GAUZE SPONGE 4X4 25/PK Covidien

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GLOVE NITRILE PF EXAM LG 100BX Metro-Pacifica

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GLOVE NITRILE PF EXAM MEDIUM 100/BX Metro-Pacifica

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GLOVE NITRILE PF EXAM SM 100/BX Metro-Pacifica

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GLOVE NITRILE PF EXAM XL 100/BX Metro-Pacifica

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

HEPARIN 1000u 10ml vials EA Meiheal

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

MALE TO MALE ADAPTER 100 Molded products

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ANIOSGEL ANTSPTC GEL EA Angelini Pharma

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

NEEDLE 18G X 1 100/BX NIPRO

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

NEEDLE 18G X 1 TW 100/BX NIPRO

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

PEROXIDE HYDROGEN 3% 1602 1/EA McKesson

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SALINE 0.9% 1000ML 12/CS Fresenius

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SANI-CLOTH DISPOSABLE WIPE PDI

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

STERILE DRAPE 18 X26 Pro Advantage

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SYR/NDL TB 1CC 26G X 3/8 LOS 100/BOX NIPRO

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SYRINGE LL 10cc W/CAP WEI 100/BOX NIPRO

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SYRINGE LL 20cc 100/BX NIPRO

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SYRINGE LL 3CC 100/BX NIPRO

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SYRINGE LL 60CC 20/BX Covidien

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

TAPE CLOTH 1 X 10 YDS EA AMD Ritmed

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period

TAPE PAPER 1 X10 YDS EA Cardinal

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

TEGADERM 4 x 4 3/4 50/BX 3M

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

TEGO CONNECTORS EA 3M

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

THERMOMETER - DIGITAL EA Cardinal

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

33 GALLON BLK CAN LINER 250/CS (United stationer)

United stationer Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period: OPTION YEAR 2 POP Begin: 10-01-2025 POP End: 09-30-2026

ADHESIVE BANDAGE FLEXIBLE 1X3 100/CS Cardinal

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ALCAVIS 50% 500ml 1/EA Angelini Pharma

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ALCAVIS BLEACH WIPES 50/BX Angelini Pharma

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ALCOHOL PREP NS 2Ply MEDIUM 200/BX Cardinal

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ANTIMICROBIAL LIQUID SOAP 1602 EA Dial/Henkel NA

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

BACITRACIN OINTMENT INDV 144/BX Dynarex

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

BARRIER STERILE FIELD 35/CS Pro Advantage

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

CATHETER ON/OFF KIT 25 Customer Packaged

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

CHLORAPREP APPLICATOR 3ML 25/BX Becton Dickson

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

CONTAINER SHARPS 4QT EA McKesson

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

DIGITAL SCALE EA Pelstar

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

EXSEPT SKIN ANTISEPTIC 50 500ML EA Angelini Pharma

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

FISTULA 15G X 1" EA Medisystems

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

FISTULA 15G X 1" (BUTTONHOLE) EA Medisystems

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

FISTULA ON/OFF KIT Custom Packaged

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GAUZE SPONGE 2X2 50/PK AMD Ritmed

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GAUZE SPONGE 4X4 25/PK Covidien

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GLOVE NITRILE PF EXAM LG 100BX Metro-Pacifica

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GLOVE NITRILE PF EXAM MEDIUM 100/BX Metro-Pacifica

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GLOVE NITRILE PF EXAM SM 100/BX Metro-Pacifica

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GLOVE NITRILE PF EXAM XL 100/BX Metro-Pacifica

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

HEPARIN 1000u 10ml vials EA Meiheal

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

MALE TO MALE ADAPTER 100 Molded products

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ANIOSGEL ANTSPTC GEL EA Angelini Pharma

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

NEEDLE 18G X 1 100/BX NIPRO

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

NEEDLE 18G X 1 TW 100/BX NIPRO

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

PEROXIDE HYDROGEN 3% 1602 1/EA McKesson

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SALINE 0.9% 1000ML 12/CS Fresenius

Manufacturer Name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SANI-CLOTH DISPOSIBLE WIPE PDI

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

STERILE DRAPE 18 X26 Pro Advantage

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

SYR/NDL TB 1CC 26G X 3/8 LOS 100/BOX NIPRO

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SYRINGE LL 10cc W/CAP WEI 100/BOX NIPRO

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SYRINGE LL 20cc 100/BX NIPRO

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SYRINGE LL 3CC 100/BX NIPRO

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

SYRINGE LL 60CC 20/BX Covidien

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

TAPE CLOTH 1 X 10 YDS EA AMD Ritmed

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

TAPE PAPER 1 X10 YDS EA Cardinal

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

TEGADERM 4 x 4 3/4 50/BX 3M

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

TEGO CONNECTORS EA 3M

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THERMOMETER - DIGITAL EA Cardinal

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33 GALLON BLK CAN LINER 250/CS (United stationer)

United stationer Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: OPTION YEAR 3 POP Begin: 10-01-2026 POP End: 09-30-2027

ADHESIVE BANDAGE FLEXIBLE 1X3 100/CS Cardinal

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ALCAVIS 50% 500ml 1/EA Angelini Pharma

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ALCAVIS BLEACH WIPES 50/BX Angelini Pharma

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ALCOHOL PREP NS 2Ply MEDIUM 200/BX Cardinal

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ANTIMICROBIAL LIQUID SOAP 1602 EA Dial/Henkel NA

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BACITRACIN OINTMENT INDV 144/BX Dynarex

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BARRIER STERILE FIELD 35/CS Pro Advantage

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CATHETER ON/OFF KIT 25 Customer Packaged

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CHLORAPREP APPLICATOR 3ML 25/BX Becton Dickson

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CONTAINER SHARPS 4QT EA McKesson

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DIGITAL SCALE EA Pelstar

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EXSEPT SKIN ANTISEPTIC 50 500ML EA Angelini Pharma

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FISTULA 15G X 1" EA Medisystems

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FISTULA 15G X 1" (BUTTONHOLE) EA Medisystems

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FISTULA ON/OFF KIT Custom Packaged

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GAUZE SPONGE 2X2 50/PK AMD Ritmed

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GAUZE SPONGE 4X4 25/PK Covidien

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GLOVE NITRILE PF EXAM LG 100BX Metro-Pacifica

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GLOVE NITRILE PF EXAM MEDIUM 100/BX Metro-Pacifica

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GLOVE NITRILE PF EXAM SM 100/BX Metro-Pacifica

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GLOVE NITRILE PF EXAM XL 100/BX Metro-Pacifica

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HEPARIN 1000u 10ml vials EA Meiheal

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MALE TO MALE ADAPTER 100 Molded products

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ANIOSGEL ANTSPTC GEL EA Angelini Pharma

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NEEDLE 18G X 1 100/BX NIPRO

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NEEDLE 18G X 1 TW 100/BX NIPRO

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PEROXIDE HYDROGEN 3% 1602 1/EA McKesson

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SALINE 0.9% 1000ML 12/CS Fresenius

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SANI-CLOTH DISPOSIBLE WIPE PDI

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STERILE DRAPE 18 X26 Pro Advantage

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SYR/NDL TB 1CC 26G X 3/8 LOS 100/BOX NIPRO

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SYRINGE LL 10cc W/CAP WEI 100/BOX NIPRO

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SYRINGE LL 20cc 100/BX NIPRO

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SYRINGE LL 3CC 100/BX NIPRO

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SYRINGE LL 60CC 20/BX Covidien

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TAPE CLOTH 1 X 10 YDS EA AMD Ritmed

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TAPE PAPER 1 X10 YDS EA Cardinal

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TEGADERM 4 x 4 3/4 50/BX 3M

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

TEGO CONNECTORS EA 3M

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

THERMOMETER - DIGITAL EA Cardinal

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

33 GALLON BLK CAN LINER 250/CS (United stationer)

United stationer Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base POP Begin: 10-01-2027 POP End: 09-30-2028

ADHESIVE BANDAGE FLEXIBLE 1X3 100/CS Cardinal

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ALCAVIS 50% 500ml 1/EA Angelini Pharma

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ALCAVIS BLEACH WIPES 50/BX Angelini Pharma

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ALCOHOL PREP NS 2Ply MEDIUM 200/BX Cardinal

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

ANTIMICROBIAL LIQUID SOAP 1602 EA Dial/Henkel NA

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

BACITRACIN OINTMENT INDV 144/BX Dynarex

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

BARRIER STERILE FIELD 35/CS Pro Advantage

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

CATHETER ON/OFF KIT 25 Customer Packaged

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

CHLORAPREP APPLICATOR 3ML 25/BX Becton Dickson

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

CONTAINER SHARPS 4QT EA McKesson

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

DIGITAL SCALE EA Pelstar

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

EXSEPT SKIN ANTISEPTIC 50 500ML EA Angelini Pharma

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

FISTULA 15G X 1" EA Medisystems

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

FISTULA 15G X 1" (BUTTONHOLE) EA Medisystems

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

FISTULA ON/OFF KIT Custom Packaged

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GAUZE SPONGE 2X2 50/PK AMD Ritmed

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

GAUZE SPONGE 4X4 25/PK Covidien

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period:

GLOVE NITRILE PF EXAM LG 100BX Metro-Pacifica

Manufacturer name: _____________________ Brand:________________ Part No.:______________ Contract Period: Base

GLOVE NITRILE PF…