RFQ_Quote_Schedule_PEMF_Device.docx

QUOTE SCHEDULE

The quote schedule is separated to reflect: (1) Item 1 is for the first order which will be placed immediately following award and (2) item is for the estimated requirements for the remainder of the performance period. The total quantities in Items 1 – 2 represent order history from the past 12 months. Subsequent order quantities and order times/dates will be based on customer requests for products. The NSSC does not guarantee orders will reach or exceed the estimates reflected in this Quote Schedule.

Note: For all products quoted you must provide descriptive literature and specifications to validate the following Item #1 specifications are met.

1. Description: Portable battery powered non-invasive pulsed electromagnetic field (PEMF) device, SofPulse # 1IVSP7.5 or Equal used in the palliative treatment of postoperative pain and edema in superficial soft tissue.

Specifications:

a. 7.5 inch diameter applicator loop,

b. Power button

c. Activity indicator lights.

d. Manufactured and tested in accordance with IEC 60601-1, 60601-1-2 and 60601-2-3.

f. Radio frequency Output:

1. Carrier Frequency 27.12 MHZ+/- 160KHz

2. Burst Width and Rate – 2ms Burst Width at 2Hz

3. Peak Power output – ½ watt

4. Average Power (Measured over 1 sec.) – 2 milli-watts

5. Standard Load – 50 Ohm

g. Battery – CR2032 Lithium coin cell (x2)

h. Single patient use

i. Storage temperature -17degree C to 40 degree C (0 degree F to 104 degree F)

j. Operating temperature 10 degree C to 38 degree C (50 degree F to 96 degree F)

Quantity: 200 Unit: EA Unit Price: Extended Price:

Vendor and Manufacturer’s Item # Quoted:

2. Description: Same as Item 1 Estimated Quantity: 280 Unit: EA Unit Price:___ ___ Extended Price:____________ Vendor and Manufacturer’s Item # Quoted:________________________________

3. Shipping charges, if required on Item # 1___________________

4. Shipping charges, if required on Item # 2___________________

Company name:___________________________ Address:_________________________________ Duns# __________________________________

EIN#____________________________________

Telephone #:______________________________ Fax#:____________________________________ Quoted by:________________________________ Prompt payment Terms:_____________________ F.O.B. ___________________________________

Past Performance Contracts:

1. Customer:___________________ Telephone:__________________

2. Customer:___________________ Telephone:___________________

3. Customer:___________________ Telephone:___________________