EMS_Supplies_(Addendum_#1_Revision).pdf

By participating in this solicitation, you, on behalf of the Vendor, understand and agree that all plans, drawings, maps, specifications, documents, or similar information included in this solicitation (“Protected Information”) may only be used by Vendor for the purpose of this solicitation and no other purpose. Without the written permission of KCAB, Vendor must not reproduce, copy, duplicate, or disclose the Protected Information by any means, except to employees and agents who have a “need to know” for the purpose of this solicitation. All employees and agents of Vendor are bound by these provisions, and Vendor shall inform those employees and agents of these terms. If Protected Information becomes available to third parties Vendor is responsible for third party compliance with these terms. Vendor shall indemnify and hold KCAB harmless from any liabilities or damages resulting from the unauthorized use or disclosure of Protected Information.

All Protected Information in any form remains the sole property of KCAB. At the request of KCAB Vendor agrees to immediately return Protected Information to KCAB. All Protected Information in any form must be destroyed upon completion of the purpose above. KCAB has all rights and remedies available by law and equity to enforce these provisions, specifically including injunctive relief to prevent unauthorized use of the Protected Information.

INVITATION TO BID

26-017-ITB -Commodities

EMS SUPPLIES

ATTENTION: This is not an order. Read all instructions, terms, and conditions carefully.

IMPORTANT: Proposals must be received no later than 2:00 pm Eastern Time (ET) on

Thursday, April 9, 2026.

BID INVITATION# 26-017-ITB -Commodities

DATE ISSUED: March 19, 2026

Table Of Contents

1. NOTICE TO BIDDERS

1.1. NOTICE TO BIDDERS

2. GENERAL INFORMATION & BID INSTRUCTIONS

2.1. SCHEDULE OF EVENTS

2.2. AUTHORITY TO RELEASE

2.3. BACKGROUND

2.4. SUBMISSION OF BIDS

2.5. BID QUESTIONS

2.6. ADDENDA

2.7. SCOPE OF SERVICES

2.8. BRAND NAME/OR EQUAL LANGUAGE

2.9. KENTUCKY OPEN RECORDS ACT

2.10. ACCEPTANCE PERIOD

2.11. AWARD

2.12. PERFORMANCE AND PAYMENT

2.13. RECORDS/FINANCIALS

2.14. GRATUITIES AND KICKBACKS

2.15. NON-COLLUSIVE VENDOR CERTIFICATION

2.16. BID CONDITIONS AND PROVISIONS

3. PRICING PROPOSAL

3.1. PRICING PROPOSAL

4. VENDOR QUESTIONNAIRE

4.1. VENDOR QUESTIONNAIRE

4.2. ATTACHMENTS

Attachments:

A - 26-017-ITB - EMS Supplies - Exhibit A - Sample Agreement

1. NOTICE TO BIDDERS

1.1. NOTICE TO BIDDERS

Pursuant to the provisions of KRS 424.260, the Kenton County Airport Board (“KCAB”) will receive bids for EMS Supplies at the Cincinnati/Northern Kentucky Int’l Airport (“CVG”). Bids will be received no later than Thursday, April 9, 2026, at 2:00 pm. No bids will be accepted after that time unless such date or time is extended pursuant to an addendum issued by KCAB.

KCAB reserves the right to waive any informality or irregularity in any proposal or bid guaranty, to reject any or all proposals, to award or refrain from awarding a contract for the work, and to negotiate with the apparent qualified responsible proposer to such extent as may be beneficial to KCAB.

Preference for Kentucky resident bidders will be applied in accordance with Kentucky law.

KCAB in accordance with the provisions of Title VI of the Civil Rights Act of 1964 (78 Stat. 252, 42

U.S.C. §§ 2000d to 2000d-4) and the Regulations, hereby notifies all bidders that it will affirmatively ensure that any contract entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full and fair opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award.

Further information and copies of the Invitation to Bid (ITB) may be downloaded from our website www.cvgairport.com/bids - KCAB's e-Procurement Portal.

KENTON COUNTY AIRPORT BOARD

Lawrence J. Krauter, Chief Executive Officer

CINCINNATI/NORTHERN KENTUCKY INTERNATIONAL AIRPORT

Hebron, KY 41048 https://www.cvgairport.com/bids

2. GENERAL INFORMATION & BID INSTRUCTIONS

2.1. SCHEDULE OF EVENTS

Release Project Date: March 19, 2026

Deadline For Questions To Be

Submitted:

March 26, 2026, 11:59pm

Answers To Questions Issued: April 2, 2026, 11:59pm

Proposals Due: April 9, 2026, 2:00pm

Contractor Selection Date: April 16, 2026

KCAB reserves the right to modify or alter the schedule of events to such extent as may be beneficial to KCAB.

2.2. AUTHORITY TO RELEASE

KCAB is the sole entity with the authority to issue and/or distribute any solicitation documents and/or related information. All solicitation documents obtained from any source other than KCAB may be incomplete or incorrect. KCAB assumes no responsibility for any error, omission or misinterpretation resulting from the reliance or use of any Solicitation Documents not issued and distributed by KCAB.

All solicitation documents are posted on KCAB’s e-procurement portal at: https://procurement.opengov.com/portal/cvgairport

2.3. BACKGROUND

The Kenton County Airport Board ("KCAB") is seeking bids for a contractor to supply EMS Supplies for its Aircraft Rescue and Firefighting (ARFF) Department to ensure continuous operational readiness in responding to emergencies at KCAB.

2.4. SUBMISSION OF BIDS

Responses to this ITB must be submitted electronically through KCAB’s online bidding system which can be accessed at https://procurement.opengov.com/portal/cvgairport. Select the project titled EMS

Supplies (Invitation #26-017-ITB -Commodities) and follow the instructions for submittal. The completed and signed bid (together with all required attachments) must be transmitted and received through

OpenGov no later than Thursday, April 9, 2026 at 2:00 pm Eastern Time (ET). Bidders should allow for sufficient time to upload and transmit all required information. Proposer is solely responsible to ensure its submission is transmitted prior to the due date and time. KCAB will not accept submissions after the due date and time and is not responsible for any error in transmission including but not limited to power outage, internet connectivity, unauthorized access, etc.

2.5. BID QUESTIONS

KCAB is not bound by, and bidders may not request or rely on any oral interpretation or clarification of this RFP. Therefore any questions regarding this ITB are encouraged and must be submitted https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fprocurement.opengov.com%2Fportal%2Fcvgairport&data=05%7C02%7Clpurcell%40cvgairport.com%7C915de49180aa4be8bfc808dd4c6e70bc%7Ce88b51b645364ffaa129350653cdad28%7C0%7C0%7C638750759399244215%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=dfJmJP4%2FJyNShw%2F66qqftK7bU4WctyXlBbuJWjH7szY%3D&reserved=0 https://procurement.opengov.com/portal/cvgairport electronically using the Question and Answer tab of this ITB on KCAB’s online bidding system, which can be accessed at https://procurement.opengov.com/portal/cvgairport.

Questions received on or before the Deadline to Submit Questions in the Schedule of Events will be posted on the Question and Answer tab of this ITB on the bidding system per the Schedule of

Events. Answers to questions from any bidder will be available to all proposers.

All communications regarding this solicitation must only be through the Questions and

Answers section of the ITB or through the Contract and Procurement Administration

Department. No communication is to be directed to any other KCAB personnel unless otherwise instructed by the Contract and Procurement Administration Department. Failure to comply may result in the disqualification of proposer’s submittal.

2.6. ADDENDA

In the event it becomes necessary to revise, change, modify or cancel this ITB or to provide additional information, addenda will be issued to all recipients of this ITB.

2.7. SCOPE OF SERVICES

2.7.1. Scope of Services

KCAB is soliciting bids for EMS Supplies that meet the following requirements:

A. The successful bidder ("Contractor") must be able to supply all of the EMS Supplies listed in

Section 3.1, Table 1.

B. Contractor must have existing online ordering capabilities.

C. Contractor must designate and maintain at least one (1) representative for questions regarding

KCAB orders and in-person product demonstrations and discussions with ARFF personnel, as needed, D. Contractor must have the capability to provide emergency and disaster resupply items within twenty-four (24) hours of a major incident, including 24/7 access to a representative for coordination of supply needs.

E. Contractor must offer discounted pricing on items not included in the EMS Supplies listed in

Section 3.1, Table 1.

2.7.2. Delivery Requirements

EMS Supplies must be delivered to the Central Warehouse located at 300 Maintenance Court, Hebron, Kentucky 41048 between the hours of 7:00 a.m. and 4:30 p.m. ET Monday through Friday.

Lead time for delivery of EMS Supplies must be no more than 14 days from receipt of order, unless an alternate delivery timeframe is mutually agreed upon between the Parties for specific items.

2.8. BRAND NAME/OR EQUAL LANGUAGE

Where this ITB includes trade and/or brand names as a part of the description of any item, any participating bidder may submit its bid on other equivalent trade-named products. Alternate products and/or manufacturers will be considered for approval if it meets or exceeds the specifications included in this ITB. It is the responsibility of the bidder to demonstrate that the alternative https://procurement.opengov.com/portal/cvgairport products/manufacturer meets or exceeds the product specifications in this ITB. All disputes concerning grades and quality of merchandise or work are determined by the Manager of

Procurement or her authorized representative. Where a manufacturer's brand name of merchandise is given in this bid, it does not mean to construe or imply an endorsement by KCAB of this brand only, but is used as a norm of quality, type, etc.

2.9. KENTUCKY OPEN RECORDS ACT

Each bidder must specifically identify any portion of its bid which it deems confidential, or which contains proprietary information, patents, copyrights or trade secrets. Bidder should provide justification of what material should not be disclosed, upon request, by KCAB to a third party. All documents received by

KCAB are subject to general inspection under the provisions of Kentucky Revised Statutes Chapter

61.870 et seq, the “Kentucky Open Records Act”, subject to very narrow exceptions. These statutes may require disclosure of documents a bidder deems confidential. KCAB may otherwise use or disclose the data submitted by each bidder for any purpose, unless such data is so identified as confidential or proprietary by the bidder. The bidder's opinion of proprietary information is not binding upon KCAB.

2.10. ACCEPTANCE PERIOD

Bids in response to this ITB must indicate it is valid for a period no less than one hundred twenty (120) days from the closing date.

2.11. AWARD

1. KCAB intends to award a contract or contracts resulting from this solicitation to the responsible bidder(s) whose bid represents the best value after evaluation.

2. KCAB reserves the right to waive any informality or irregularity in any bid guaranty, to reject any or all bids, to award or refrain from awarding a contract for the work, and to negotiate with the apparent qualified responsible bidder to such extent as may be beneficial to KCAB.

3. KCAB intends to evaluate bids and may award a contract without discussions with bidders.

Therefore, the bidder's initial bid should contain the bidder's best terms from a cost or price and technical standpoint.

4. KCAB reserves the right to make an award on any item for a quantity less than the quantity offered, at the unit cost or prices offered.

5. KCAB reserves the right to make multiple awards if, after considering the bids submitted, it is in KCAB’s best interest to do so.

6. The successful bidder will be required to enter into a contract substantially in the form of the contract included under the ATTACHMENTS Tab and incorporated by reference. All proposers are required to note any exception(s) to the Invitation to Bid or the attached contract and are required to specifically state the exception(s) and the reason(s) for the exception(s). No exceptions will be recognized to the Government

Clauses section of the proposed contract. If no exceptions to the contract are included in the bidder's response, the bidder is expected to execute the contract in the form set forth https://procurement.opengov.com/portal/cvgairport/projects/243493/document?section=2322547 herein. Final acceptance of a bid and contract is contingent upon reaching a mutually satisfactory agreement regarding noted exceptions. If an acceptable and timely agreement is not reached, KCAB reserves the right to disqualify the bidder and to reevaluate the remaining bids. KCAB reserves the right to refuse to negotiate with a successful bidder on any item not specifically excepted in its submittal.

7. KCAB will have the right, at its sole election, to alter the specifications and/or frequencies of services required and tailor the contract price to said change (increase or decrease).

8. The term of the agreement will be for three (3) years with options to renew for two (2) additional one-year terms.

9. Commencing on the first day of each year after the initial year, during the term hereof, the base price payable by KCAB may be adjusted by KCAB upon review and renegotiation with the Contractor after the first year and succeeding years thereafter. Any adjustment made pursuant to the review and negotiation shall be based upon the change of the Consumer

Price Index published quarterly for the Cincinnati/Northern Kentucky metropolitan area by the United States Department of Labor, Bureau of Labor Statistics. Such review, if applicable, will be based upon the Index at the end of the preceding twelve months.

10. For Purposes hereof, the term “Consumer Price Index” shall be the Consumer Price Index which is presently designated as the United States Department of Labor, Bureau of Labor

Statistics Consumer Price Index for all Urban Consumers - All items (1982-1984 equals

100) (All Areas) for the Midwest Region. If the statistics are not available or in the event that publication of the Consumer Price Index is modified or discontinues in its entirety, the adjustment provided for herein shall be on the basis on an index reasonably chosen by

KCAB as a comparable and recognized index of the purchasing power of the United States consumer dollar published by the U. S. Department of Labor or other government or other government agency. If the consumer Price Index contemplated herein is not reported for the months required for the calculation set forth herein, the parties agree to utilize the

Consumer Price Index reported for the month(s) nearest proceeding the months required for such calculation. Any CPI adjustment in contract price may not be greater than 3% of the current annual contract price.

2.12. PERFORMANCE AND PAYMENT

The successful bidder shall issue an invoice once per delivery along with supporting data. KCAB will pay submitted invoices on a net 30 basis subject to the terms of the attached agreement.

2.13. RECORDS/FINANCIALS

In submitting bids on any item to be purchased by KCAB, the bidder hereby agrees to make available any and all records, books of account, correspondence, or other information reasonably necessary to enable KCAB or its designated agents to investigate the responsibility of the bidder in terms of its financial status, capacity to produce, sources of supply, performance record in the business or industry, and any other matter reasonably related to the proposer’s probable ability to perform adequately under a contract if it is awarded to the bidder.

2.14. GRATUITIES AND KICKBACKS

It is a breach of ethical standards for any person to offer, give, or agree to give any employee or former employee, or for any employee or former employee to solicit, demand, accept, or agree to accept from another person, a gratuity or an offer of employment in connection with any decision, approval, disapproval, recommendation, preparation of any part of a program requirement or a purchase request, influencing the content of any specification or procurement standard, rendering of advice, investigation, auditing, or in any other advisory capacity in any proceeding of application, request for ruling, determination, claim or controversy, or other particular matter, pertaining to any program requirement or a contract or subcontract, or to any solicitation or proposal therefore.

It is a breach of ethical standards for any payment, gratuity, or offer of employment to be made by or on behalf of a subcontractor under a contract to the prime vendor or higher tier subcontractor or any person associated therewith, as an inducement for the award of a subcontract or order.

In the event that any gratuities or kickbacks are offered or tendered to any KCAB employee, the proposal shall be disqualified and shall not be reinstated.

2.15. NON-COLLUSIVE VENDOR CERTIFICATION

By the submission of this proposal, the proposer certifies that:

1. The proposal has been arrived at by the proposer independently and has been submitted without collusion with any other vendor.

2. The contents of the proposal have not been communicated by the proposer, or, to its best knowledge and belief, by any of its employees or agents, to any person not an employee or agent of the proposer or its surety on any bond furnished herewith and will not be communicated to any such person prior to the official opening of the proposal.

3. No proposer may submit more than one proposal for this purchase. It shall be the responsibility of each proposer to obtain the prior written permission of KCAB before proposal opening in every situation in which the proposer, due to corporate association or other affiliation, may be found to be impermissibly associated with another vendor. Failure to observe this requirement could result in all such affiliated proposals being rejected.

2.16. BID CONDITIONS AND PROVISIONS

The terms and conditions of this Invitation to Bid (ITB) include all general and special conditions as enumerated herein.

All participating proposers agree to comply with all of the conditions, requirements and instructions of this ITB as stated or implied herein. Any alteration, erasure or interlineation by the proposer in this proposal constitutes cause for rejection by KCAB. Should KCAB omit anything from this ITB which is necessary to a clear understanding of the work, or should it appear that various instructions are in conflict, then the proposer shall notify the Contract and Procurement Administration Department prior to the deadline for question submissions as per the time and date shown in the Schedule of Events.

Typographical errors in entering quotations on this proposal may result in the disqualification of this proposal.

All proposers are required to complete all information requested in this proposal. Failure to do so may result in the disqualification of proposal.

Unit price for each item must be shown for the unit of measurement indicated. In case of error in extension of prices, the unit price governs.

Each proposer shall fully acquaint and familiarize themselves with the conditions as they exist and the character of the operations to be carried on under the proposed contract and make such investigations as the proposer may see fit so that the proposer shall fully understand the facilities, physical conditions and restrictions associated with the services.

The successful proposer shall comply with all of the specifications, terms and conditions of this ITB.

KCAB is not liable for any costs incurred by proposer in the preparation of proposals or for any work performed in connection therein.

3. PRICING PROPOSAL

3.1. PRICING PROPOSAL

Pricing must be all-inclusive, firm fixed for three (3) years, and delivered to the address specified inclusive of all transportation charges FOB Cincinnati/Northern Kentucky International Airport.

Bids must be submitted electronically using the Line Items tab on KCAB’s electronic bidding system.

Submittals must be confirmed by a duly authorized official of the bidding company.

TABLE 1 - EMS SUPPLIES

The following item list is representative of EMS Supplies commonly used by the KCAB ARFF

Department.

Line

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

1 IV

Supplies EXTENSION SET CURAPLEX 1 Each

2 IV

Supplies

15 DROP MAXI LATEX FREE

NON VENTED WITH

INJECTION SITE

CURAPLEX 1 Each

3 IV

Supplies

60 DROP MINI LATEX FREE

NON VENTED WITH

INJECTION SIT

CURAPLEX 1 Each

Line

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

4 IV

Supplies

IV START PAK W/EXT SET, IV

DRESSING, 10ML FLUSH,

ADHESIVE BANDAGE,

TOURNIQUET, ALCOLHOL

PREP, 2X2, SURGICAL TAPE

CURAPLEX 1 Each

5 IV

Supplies 10CC SALINE FLUSH SYRINGE 1 Each

6 IV

Supplies

ANGIOCATH.14 GAUGE, 1.75",

INTROCAN SAFETY 2

BRAUN 1 Each

7 IV

Supplies

ANGIOCATH.16 GAUGE, 1.16",

INTROCAN SAFETY 2

BRAUN 1 Each

8 IV

Supplies

ANGIOCATH, 18 GAUGE, 1.16",

INTROCAN SAFETY 2

BRAUN 1 Each

9 IV

Supplies

ANGIOCATH, 20 GAUGE, 1.16",

INTROCAN SAFETY 2

BRAUN 1 Each

10 IV

Supplies

ANGIOCATH 22 GAUGE 1" ,

INTROCAN SAFETY 2

BRAUN 1 Each

11 IV

Supplies

ANGIOCATH.24 GAUGE 1.16"

INTROCAN SAFETY 2

BRAUN 1 Each

12 IV

Supplies

NEEDLE.TRANSFER 18

GAUGE X 1 1/2"

1 Each

13 IV

Supplies

NEEDLE.TRANSFER, 25

GAUGE SAFETY GLIDE

HYPODERMIC

1 Each

14 IV

Supplies

SYRINGE.WITH NEEDLE, 1CC,

SUB Q, LATEX FREE

1 Each

15 IV

Supplies

SYRINGE WITH NEEDLE, 3 CC,

23 GA X 1" DEEP, BLUE HUB,

BOX OF 100

1 Box

16 IV

Supplies

SYRINGE. NO NEEDLE, 3CC,

LATEX FREE

1 Each

17 IV

Supplies

SYRINGE.NO NEEDLE, 10CC,

LATEX FREE

1 Each

18 IV

Supplies

NEEDLE.PRECISION GLIDE,

21G X 1", REGULAR BEVEL

1 Each

19 IV

Supplies

SET.NEEDLE, BD-IO, (15

GAUGE X 15MM LONG), PINK

HUB

1 Each

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

20 IV

Supplies

SET.NEEDLE, BD-IO, (15

GAUGE X 25MM LONG), BLUE

HUB

1 Each

21 IV

Supplies

SET.NEEDLE, BD-IO, (15

GAUGE X 45MM LONG),

YELLOW HUB

1 Each

22 IV

Supplies

INFUSER BAG.INFUSER, INFU-

STA PRESSURE, 1000ML

1 Each

23 IV

Supplies

CONTAINER.SHARPS

TRANSPORTABLE SHUTTLE

W/LOCKING MECHANISM

1 Each

24 IV

Supplies

CONTAINER.SHARPS, RED

LARGE 3.3 QT

1 Each

25 IV

Supplies

CONTAINER.SHARPS

PHLEBOTOMY, RED LARGE

6.9 QT

1 Each

26 IV

Supplies CONTAINER.SHARPS MINI 1 Each

27 O2

Supplies TUBING.OXYGEN, 84" CURAPLEX 1 Each

28 O2

Supplies

MASK.CPAP SYSTEM, SM

ADULT, GOPAP, CAPNO KIT

CURAPLEX 1 Each

29 O2

Supplies

MASK.CPAP SYSTEM, MED

ADULT, GOPAP, CAPNO KIT

CURAPLEX 1 Each

30 O2

Supplies

MASK.CPAP SYSTEM, LG

ADULT, GOPAP, CAPNO KIT

CURAPLEX 1 Each

31 O2

Supplies

MASK.NON REBREATHER

WITH SAFETY VENT LATEX

FREE

CURAPLEX 1 Each

32 O2

Supplies

MASK.PEDI, NON-

REBREATHER

CURAPLEX 1 Each

33 O2

Supplies

MASK.REBREATHER, W/O

OXYGEN TUBING, INFANT, 0-2

YRS

CURAPLEX 1 Each

34 O2

Supplies

SMART CAPOLINE O2

ADULT/INTERMEDIATE

CURAPLEX 1 Each

35 O2

Supplies SMART CAPOLINE O2 PEDI CURAPLEX 1 Each

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

36 O2

Supplies

CANNULAS.NASAL, ADULT, 7'

LATEX FREE BF

CURAPLEX 1 Each

37 O2

Supplies

NASAL.CANNULAS, PEDI, 7",

LATEX FREE 50/CS

CURAPLEX 1 Each

38 O2

Supplies CANNULA.NASAL, INFANT CURAPLEX 1 Each

39 O2

Supplies

RESUSCITATOR.DISPOSABLE,

ADULT, LATEX FREE

CURAPLEX 1 Each

40 O2

Supplies

RESUSCITATOR.DISPOSABLE,

INFANT, LATEX FREE

CURAPLEX 1 Each

41 O2

Supplies MASK.POCKET WITH CASE 1 Each

42 O2

Supplies

OXYGEN.HUMIDIFIER 300CC,

3PSI

ALLIED

MEDICAL

1 Each

43 O2

Supplies NEBULIZER.HAND HELD CURAPLEX 1 Each

44 Airway

Supplies

HANDLE.LARYNGOSCOPE,

ADULT

1 Each

45 Airway

Supplies

BLADE.KING VISION

LARYNGOSCOPE, SIZE 3

1 Each

46 Airway

Supplies

BLADES.STRAIGHT, MILLER

LARYNGOSCOPE FIBER

OPTIC SIZE 3

1 Each

47 Airway

Supplies

BLADES.CURVED, MAC

LARYNGOSCOPE FIBER

OPTIC SIZE 3

-1 Each

48 Airway

Supplies

BLADES.CURVED, MAC

LARYNGOSCOPE FIBER

OPTIC SIZE 4

1 Each

49 Airway

Supplies

BOUGIE-TO-GO ET

INTRODUCER WITH COUDE

TIP, ADULT 15 FRX 60CM

1 Each

50 Airway

Supplies

BOUGIE-TO-GO ET

INTRODUCER WITH COUDE

TIP, PEDI

1 Each

51 Airway

Supplies

TUBE.ENDOTRACHEAL, SIZE

5.0MM, CUFFED, STERILE,

LATEX FREE

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

52 Airway

Supplies

TUBE.ENDOTRACHEAL, SIZE

5.5MM, CUFFED, STERILE,

LATEX FREE

CURAPLEX 1 Each

53 Airway

Supplies

TUBE.ENDOTRACHEAL, SIZE

6.0MM, CUFFED, STERILE,

LATEX FREE

CURAPLEX 1 Each

54 Airway

Supplies

TUBE.ENDOTRACHEAL, SIZE

6.5MM, CUFFED, STERILE,

LATEX FREE

CURAPLEX 1 Each

55 Airway

Supplies

TUBE.ENDOTRACHEAL, SIZE

7.0MM, CUFFED, STERILE,

LATEX FREE

CURAPLEX 1 Each

56 Airway

Supplies

TUBE.ENDOTRACHEAL, SIZE

7.5MM, CUFFED, STERILE,

LATEX FREE

CURAPLEX 1 Each

57 Airway

Supplies

TUBE.ENDOTRACHEAL, SIZE

8.0MM, CUFFED, STERILE,

LATEX FREE

CURAPLEX 1 Each

58 Airway

Supplies

TUBE.ENDOTRACHEAL, SIZE

8.5MM, CUFFED, STERILE,

LATEX FREE

CURAPLEX 1 Each

59 Airway

Supplies

TUBE.ENDOTRACHEAL, SIZE

9.0MM, CUFFED, STERILE,

LATEX FREE

CURAPLEX 1 Each

60 Airway

Supplies

ADULT-PEDOATRIC

INTUBATED CO2 FILTER LINE

1 Each

61 Airway

Supplies

AIRWAY.SUPRAGLOTTIC, I-

GEL, SIZE 1 NEONATAL

INTERSURGICAL 1 Each

62 Airway

Supplies

AIRWAY.SUPRAGLOTTIC, I-

GEL, SIZE 1.5 INFANT

INTERSURGICAL 1 Each

63 Airway

Supplies

AIRWAY.SUPRAGLOTTIC, I-

GEL, SIZE 2 SMALL

PEDIATRIC

INTERSURGICAL 1 Each

64 Airway

Supplies

AIRWAY.SUPRAGLOTTIC, I-

GEL, SIZE 2.5 LARGE

PEDIATRIC

INTERSURGICAL 1 Each

65 Airway

Supplies

PACK.RESUS, 02, I-GEL, SIZE

3 SMALL ADULT

INTERSURGICAL 1 Each

66 Airway

Supplies

PACK.RESUS, 02, I-GEL, SIZE

4 MEDIUM ADULT

INTERSURGICAL 1 Each

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

67 Airway

Supplies

PACK.RESUS, 02, I-GEL, SIZE

5 LARGE ADULT

INTERSURGICAL 1 Each

68 Airway

Supplies

DETECTOR.C02 EASY CAP

NPB ADULT

1 Each

69 Airway

Supplies

DETECTOR.CO2 EASY CAP,

LATEX FREE, PEDIATRIC

1 Each

70 Airway

Supplies KIT.QUICK TRACH , 2.0MM 1 Each

71 Airway

Supplies KIT. QUICK TRACH, 4.0MM 1 Each

72 Airway

Supplies

AIRWAYS.KIT &

REPLACEMENTS, ORAL,

ASSORTED

CURAPLEX 1 Pack

73 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 10

FRENCH

CURAPLEX 1 Each

74 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 12

FRENCH,

CURAPLEX 1 Each

75 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 14

FRENCH,

CURAPLEX 1 Each

76 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 16

FRENCH,

CURAPLEX 1 Each

77 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 18

FRENCH

CURAPLEX 1 Each

78 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 20

FRENCH

CURAPLEX 1 Each

79 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 22

FRENCH

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

80 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 24

FRENCH

CURAPLEX 1 Each

81 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 26

FRENCH

CURAPLEX 1 Each

82 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 28

FRENCH

CURAPLEX 1 Each

83 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 30

FRENCH

CURAPLEX 1 Each

84 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 32

FRENCH

CURAPLEX 1 Each

85 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 34

FRENCH

CURAPLEX 1 Each

86 Airway

Supplies

AIRWAYS.FIXED FLANGE

MEDIPRENE

NASOPHARYNGEAL, 36

FRENCH

CURAPLEX 1 Each

87 Airway

Supplies STERILE LUBRICATING JELLY CURAPLEX 1 Pack

88 Suction

Supplies

CATHETER.SUCTION, WITH

CONTROL TIP, 14 FRENCH

CURAPLEX 1 Each

89 Suction

Supplies

CATHETER.SUCTION, WITH

CONTROL TIP, 16 FRENCH

CURAPLEX 1 Each

90 Suction

Supplies

CATHETER, SUCTION, WITH

CONTROL TIP, 18 FRENCH

CURAPLEX 1 Each

91 Suction

Supplies

TUBING.SUCTION,

CONNECTING STERILE 72"

LONG

CURAPLEX 1 Each

92 Suction

Supplies DuCANTO SUCTION SET

VENTED TIP AND TUBE

CURAPLEX 1 Pack

93 Suction

Supplies

BASIN.SUCTION SYSTEM II

1200CC

BEMIS HEALTH

CARE

1 Pack

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

94 Suction

Supplies

KIT.V-VAC STARTER, ONE

HAND APPLICATION,

SUCTION UNIT

1 Each

95 Trauma

Supplies

ARM SLING SMALL MEDLINE

INDUSTRIES

1 Each

96 Trauma

Supplies

ARM SLING MEDIUM MEDLINE

INDUSTRIES

1 Each

97 Trauma

Supplies

ARM SLING LARGE MEDLINE

INDUSTRIES

1 Each

98 Trauma

Supplies

ARM SLING X-LARGE MEDLINE

INDUSTRIES

1 Each

99 Trauma

Supplies

WATER.IRRIGATION 250ML

STERILE

1 Each

100 Trauma

Supplies

TOURNIQUET.SAM XT NORTH

AMERICAN

RESCUE

COMBAT

APPLICATION

(C-A-T)

1 Each

101 Trauma

Supplies

SEAL.CHEST, NON-VALVE,

SAM (SCS)

1 Pack

102 Trauma

Supplies

SURGICAL TAPE, CLEAR,

10YDL X 2"W, TRANSPORE,

BOX OF 6

1 Box

103 Trauma

Supplies

TAPE.PLSTC, .5", SURGICAL

CLEAR POROUS, TRANSPORE

1 Each

104 Trauma

Supplies

TAPE.SURGICAL,

TRANSPORE, CLEAR, 1.5 YD L

X 1" W

1 Each

105 Trauma

Supplies

BANDAGE WRAP, SELF

ADHERENT, TAN, 3" X 5

YDS,"COBAN", BOX OF 36

1 Box

106 Trauma

Supplies

GAUZE, CONFORMING

BANDAGE, STERILE, 2",

KLING, BOX OF 12

DUKAL, INC 1 Box

107 Trauma

Supplies

GAUZE, CONFORMING

BANDAGE, STERILE, 4",

KLING, BOX OF 12

DUKAL, INC 1 Box

108 Trauma

Supplies

GAUZE, CONFORMING

BANDAGE, STERILE, 6",

KLING, BOX OF 6

DUKAL, INC 1 Box

109 Trauma

Supplies

GAUZE.PETROLATUM 3 X 9 IN DYNAREX

CORP.

1 Pack

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

110 Trauma

Supplies

GAUZE, HEMOSTATIC,

WOUNDCLOT, 3.1" X 39"

1 Pack

111 Trauma

Supplies

BANDAGE.GAUZE,

CONFORMING, STERILE,

KLING, 3"

DUKAL, INC 1 Pack

112 Trauma

Supplies

BANDAGE.NON-ADHERING

DRESSING, INDIVIDUALLY

WRAPPED, 2" X 2"

DUKAL, INC 1 Pack

113 Trauma

Supplies

BANDAGE.NON-ADHERING

DRESSING, INDIVIDUALLY

WRAPPED, 4" X 4"

DUKAL, INC 1 Pack

114 Trauma

Supplies

BANDAGE.NON-ADHERING

DRESSING, INDIVIDUALLY

WRAPPED, 3" X 3"

DUKAL, INC 1 Pack

115 Trauma

Supplies

BANDAGE.TRIANGULAR,

MUSLIN, 2 SAFETY PINS,

INDIVIDUALLY WRAPPED

1 Each

116 Trauma

Supplies

BANDAID.FLEXIBLE FABRIC,

3/4 X 3", BAND-AID BRAND

1 Box

117 Trauma

Supplies

BANDAGE.KNUCKLE,

FLEXIBLE FABRIC

1 Box

118 Trauma

Supplies

BANDAGE.SHEER STRIP, 1" X

3" PLAIN

1 Each

119 Trauma

Supplies

BANDAGE.ELASTIC, ROLL, 4"

X 4.5 YARD, 50/CASE

1 Box

120 Trauma

Supplies

BANDAGE.TRAUMA

DRESSING, INDIVIDUALLY

WRAPPED, 30" X 10"

1 Pack

121 Trauma

Supplies

DRESSING.H-BANDAGE

TRAUMA, STERILE

1 Pack

122 Trauma

Supplies

NEEDLE.DECOMPRESSION,

14GA X 3.25", W/PROTECTIVE

CASE

1 Each

123 Trauma

Supplies

SPLINT.FLEX ALL, BENDABLE

FOAM ALUMINUM ORANGE,

36" X 4" ROLLED

1 Pack

124 Trauma

Supplies SHEARS.TRAUMA 1 Each

125 Trauma

Supplies

C-COLLAR.STIFNECK SELECT,

ADJUSTABLE

LAERDAL

MEDICAL CORP.

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

126 Trauma

Suppies

C-COLLAR.PEDI, STIFNECK, LAERDAL

MEDICAL CORP.

1 Each

127 Trauma

Supplies

C-COLLAR.BABY,NO NECK,

STIFNECK

LAERDAL

MEDICAL CORP.

1 Each

128 Trauma

Supples

IMMOBILIZER.HEAD,

ADJUSTABLE WITH STRAP

1 Pack

129 Trauma

Supplies

SHEET.BURN 60" X 96" DRY

STERILE

1 Pack

130 Trauma

Supplies

PAD.ABDOMINAL, 5" X 9"

STERILE, 25/BOX

1 Pack

131 Trauma

Supplies

MORGAN LENS

TUBING.DELIVERY SET MT

1 Each

132 Trauma

Supplies

MORGAN LENSES

DISPOSABLE EYE

THERAPEUTIC

1 Each

133 Trauma

Supplies

BANDAGE.EYE OVAL, SMALL

PAD, STERILE, LATEX FREE,

1-5/18" X 2-5/8"

1 Each

134 Trauma

Supplies

SOLUTION.IRRIGATING, EYE,

4 OZ. PLSTC BOTTLE

1 Each

135 Trauma

Supplies

SAM PELVIC SLING

STANDARD

SAM MEDICAL 1 Each

136 Trauma

Supplies SAM PELVIC SLING SMALL SAM MEDICAL 1 Each

137 Trauma

Supplies SAM PELVIC SLING LARGE SAM MEDICAL 1 Each

138 PPE MASK, RESPIRATOR,

SURGICAL/BIRD FLU, N95

3M 3M 1 Box

139 PPE MICO FLEX SUPRENO SE

GLOVES SMALL, 100 Box SUPRENO 1 Each

140 PPE MICO FLEX SUPRENO SE

GLOVES MEDIUM, 100 Box SUPRENO 1 Each

141 PPE MICO FLEX SUPRENO SE

GLOVES LARGE, 100 Box SUPRENO 1 Each

142 PPE MICO FLEX SUPRENO SE

GLOVES X-LARGE, 100 Box SUPRENO 1 Each

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

143 PPE MICO FLEX SUPRENO SE

GLOVES XX-LARGE, 100 Box SUPRENO 1 Each

144 PPE INFECTION CONTROL KIT CURAPLEX 1 Each

145 PPE ALCOHOL PREPS 2 PLY

MEDIUM, BOX 100

1 Box

146 PPE OB KIT 1 Box

147 Medical

Supplies Bed Pan 1 Each

148 Medical

Supplies

ALUMINUM EYE SHIELD W/

SLOTS, 7.3CM X 6CM

1 Each

149 Medical

Supplies

3M SURICAL CLIPPER WITH

PIVOT HEAD

1 Each

150 Medical

Supplies

SINGLE-USE PIVOTING BLADE

ASSEMBLY, PURPLE

1 Each

151 Medical

Supplies FLUID FACE SHIELD 1 Each

152 Medical

Supplies

HAND SANITIZER GEL FLIP

CAP BOTTLE 2 OZ

PURELL 1 Each

153 Medical

Supplies

RAPID HEAT DISPOSABLE

HOT COMPRESS PACK

1 Each

154 Medical

Supplies INSTANT COLD PAK 1 Each

155 Medical

Supplies

SUCTION CUP FOR LUCAS 3

OR LUCAS 2 DEVICES

STRYKER 1 Each

156 Medical

Supplies SNUFFER NOSE CLIP 1 Each

157 Medical

Supplies

METALITE REUSAGLE

PENLIGHT, WHITE WITH

PUPIL GAUGE, 5 3/4IN L X 1/2

IN D

1 Each

158 Medical

Supplies

RECORDING CHART PAPER

LIFE PAK 15

STRYKER 1 Each

159 Medical

Supplies

GALLANT PREPARATION

RAZORS, PLATINUM COATED

STAINLESS STEEL BLADE, 25

BOX

1 Box

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

160 Medical

Supplies URINAL 1 Box

161 Medical

Supplies

CURPLEX PATIENT

TRANSPORTER

CURPLEX 1 Pack

162 Medical

Supplies

READY-HEAT II WARMING

BLANKET 12 PANEL 48IN X

34IN

1 Box

163 Monitor

Supplies

AMBU BLUE SENSOR R

ELECTRODE, ADULT, 25/BOX

AMBU AMBU 1 Pack

164 Monitor

Supplies

EDGE SYSTEM ELETRODE

WITH QUICK-COMBO

CONNECTOR AND REDI-PAK

PRECONNECT SYSTEM,

ADULT

STRYKER 1 Each

165 Monitor

Supplies

EDGE SYSTEM ELETRODE

WITH QUICK-COMBO

CONNECTOR AND REDI-PAK

PRECONNECT SYSTEM, PEDI

STRYKER 1 Each

166 Infection

Control

COLLECTION BAG, LATEX

FREE, 12/PK

1 Each

167 Infection

Control

BIOHAZARD BAGS 3 GALLON 1 BOX

168 Infection

Control

BIOHAZARD BAG 33 GALLON 1 BOX

169 Diabetic

Supplies

ASSURE PRISM MULTI BLOOD

GLUCOSE TEST STRIPS

ARKRAY USA.

INC

1 Each

170 Diabetic

Supplies

ASSURE PRISM MULTI BLOOD

GLUCOSE MONITORING

SYSTEM

ARKRAY USA.

INC

1 Each

171 Diabetic

Supplies

ACCU-CHEK SAFE-T-PRO

PLUS ADJUSTABLE DEPTH

LANCET, 23GA X 1.3, 1.8 AND

2.3 MM D

1 Each

172 Medication AMMONIA INHALANTS, BOX

OF 10

1 Each

173 Medication STERILE WATER 250CC 1 Each

174 Medication ADENOSINE 6MG/2ML 1 Each

175 Medication ALBUTEROL 3ML 1 Each

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

176 Medication ALBUTEROL / IPRATROPIUM

3ML

1 Each

177 Medication AMIODARONE 150MG/3ML 1 Each

178 Medication ASPIRIN 81MG 1 Bottle

179 Medication ATROPINE PRE-FILLED 1MG

IN 10ML

1 Each

180 Medication CALCIUM CHLORIDE

1MG/10ML

1 Each

181 Medication DEXTOSE 10% 250ML 1 Each

182 Medication DIPHENHYDRAMINE

50MG/1ML

1 Each

183 Medication EPINEPHINE 0.1MG/ML (EPI 1 :

10,000) 1 Each

184 Medication EPINEPHRINE 1MG/ML (EPI 1 :

1,000) 1 Each

185 Medication GLUCAGON 1MG 1 Each

186 Medication ORAL GLUCOSE 15G 1 Tube

187 Medication HYPERTONIC SALINE 3%

250CC

1 Each

188 Medication LACTATED RINGERS 1000ML 1 Each

189 Medication LIDOCAINE PRE-FILLED

100MG/5ML

1 Each

190 Medication MAGNESIUM SULFATE

1G/2ML

1 Each

191 Medication METHYLPREDNISOLONE

(SOLU-MEDROL) 125ML/2ML

1 Each

192 Medication NALOXONE (NARCAN)

2MG/10ML

1 Each

193 Medication NALOXONE (NARCAN) 4MG

SPRAY

194 Medication NITROGLYCERIN ORAL 0.4MG 1 Each

Item Item Type Description Required

Manufacturer

(No

Substitutions)

Required

Brand (No

Substitutions)

Quantity Unit of

Measure Unit

Cost Total No

Bid Bidder

Comment

195 Medication ONDANSETRON (ZOFRAN)

ORAL 4MG

1 Each

196 Medication ONDANSETRON (ZOFRAN)

2MG/2ML

1 Each

197 Medication PHENYLEPHRINE (SUDAFED)

SPRAY

1 Each

198 Medication SODIUM BICARBONATE PRE-

FILLED 50MEQ/50ML

1 Each

199 Medication SODIUM CHLORIDE (NORMAL

SALINE) 100ML

1 Each

200 Medication SODIUM CHLORIDE (NORMAL

SALINE) 1000ML

1 Each

201 Medication TETACAINE 4ML 1 Each

202 Medication TRANEXAMIC ACID (TXA)

1000MG/10ML

1 Each

203 Medication HYDROXOCOBALAMIN KIT 1 Each

204 PERCENTAGE

DISCOUNT/MARKUP ON ALL

OTHER EMS SUPPLIES

TOTAL

4. VENDOR QUESTIONNAIRE

4.1. VENDOR QUESTIONNAIRE

Each bid must include the following written information:

1. Online Ordering*

Briefly describe your company's existing online ordering capabilities and provide the website link where orders can be placed.

*Response required

2. Designated Representative*

Confirm your company will designate and maintain at least one (1) representative for questions regarding KCAB orders and availability for in-person product demonstrations and discussions with

ARFF personnel, as needed.

☐ Please confirm

*Response required

3. Emergency and Disaster Resupply *

Confirm your company has the capability to provide emergency and disaster resupply items within twenty-four (24) hours of a major incident, including 24/7 access to a representative for coordination of supply needs.

☐ Please confirm

*Response required

4. Provide a copy of your Certificate of Insurance*

*Response required

5. Exceptions to ITB or Sample Contract*

State in writing all exceptions to this ITB or sample contract attached. Exceptions should list referencing page and paragraph numbers. If no exceptions are taken, the proposal must include a statement that the bidder takes “No Exceptions”.

*Response required

6. Resident & Non Resident Status Forms*

Please download the below documents, complete, and upload.

• Resident_&_Non_Resident_Sta...

*Response required

7. Confirmation*

By submitting a bid, the bidder consents to its use and acceptance of electronic signatures to execute any awarded contract and associated agreements. Bidder agrees to be bound by electronic signatures to the same legal effect and extent as if manually signed. KCAB expects the successful bidder will execute any awarded contract using KCAB’s electronic signature service unless the bidder includes an exception with its proposal signifying its desire to sign manually. Included with the bid, bidders must identify the following information regarding the person with full authority to legally bind proposer and sign agreements on its behalf:

A. Full Name;

B. Position Title; and

C. Email Address.

Please provide this information in the next questions.

☐ Please confirm

*Response required

8. Provide the following:*

Proposers must identify the following information regarding the person with full authority to legally bind proposer and sign agreements on its behalf:

https://government-project.s3.us-west-2.amazonaws.com/134681/b1d14070-0fed-42ee-ab6f-9e9b9302c53f_Resident_%26_Non_Resident_Status_Forms.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4OZKPJSLK%2F20260319%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20260319T135203Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEFQaCXVzLXdlc3QtMiJHMEUCIAvpVRyCG%2FNlfM39sOODY7MwT594E59e%2FwzWrikDyU6KAiEA59XWmksTCo5dnTrGolmYVur6KGvcPWPximLmuferfVoqjAUIHRACGgw4OTIzNjQ2ODc2NzIiDGZdsHRCB%2BLqVzxS%2FSrpBBTiD6bXGmrvFb5YU4ZjXv%2B%2BAD86Z3HHdHSu%2FDuUrmLrvBjYKtZ%2FJ83sc6cJ6hfv4sNj%2BN494UhhX3jM1bFDMIH18GxGczBz858x%2FXU2%2Bjs63bQ8AM1p%2FIVh0XiaFft2ElMNWJTFcmRrXcNpT5DAuB6tDlx3qMwp3s1BEb%2Bidgs%2BknwMHi%2BAjqFyseicIwlpqhrzqvYBVF%2B6lHvea22Xtq%2FjZ7Ji3qhe01DK1mdarmtKtxhjE6jIr%2FGtMkvcS7nybHIZftTv7JkCTKsjXKSCzpcnk74UHfqbzbmHhbLY2%2BWeGnEa2Rfa2ylpfsJZbRCyGqgVrQgP7l0y%2BuPc9gUH4y8mGkaJZl9jiEDigAGpX%2BIAx4OBfOMkeVm6HECQ%2BrVfyxRKJB8kL6j%2FCy1ER1AucaTiNhRF2LabMF043T7X25BhP5%2FYidSTNvZ5ct19U2PJY8%2F5RtRmUyKFBbGX5QLDR%2BTIQ4I2t8co0SBIWUaxI8hE%2BZJz5MV3GPmRmAEYAArAfP2n%2FuY0aPn1YHoH0FaFdoJ3GCl9h6KcNfNro8g2uczWHzsGQ4Q%2BZwoUN1lv1XMK%2Fa218%2BUw5ZSRgpKyQ2KYqwOG4bcVjJsNoS9AxQWHEb1by28iDIn%2FXoc4GBymsgow7yhnD3TDdFVWXg%2FrekKTSNG2ORqpFmKM4U%2BNvcIZdiYB1KENVze0lvaZfxXZ0mcp5SU%2B9bZq0yPsIBNwSVoXA6ZZW%2FvaXwDcpL1AXYWmXwRhMLcLx1Ij1GTd8ljmXYViYTylJ6u4ClX9EaVqydHVDGjlyDvfj7p9sjJgfX5V4yIdGu4zV7SFN%2BW4MJjJ780GOpkB7cX0naIR%2BFDpxBzS8q2E4XvbnLNcOScSaUJSMzwP960wwyzDAvxnFlNMaAEQGC9UwUvTatCygQiiDj75cmnA5%2Fy3D%2BEK9s4hQFl0QADvQXgOStj%2BqYhoPSR4bMnchxqTkaMrrO%2BSyxb1Oa4jnMRIPlsRH8972qAKHBwunx%2FmAKgiZYL8zbedRJxkn84RY29WucyQSaMnTGdS&X-Amz-Signature=654213271a37c0cc2aecbbf316b3767d8997cfa79c70ed10ebde92bea1a7d398&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Resident_%2526_Non_Resident_Status_Forms.pdf%22&x-id=GetObject

A. Full Name;

B. Position Title; and

C. Email Address.

*Response required