IVHM Wound Vacuum RFQ.doc

Illinois Department of Veterans Affairs R E Q U E S T F O R Q U O T E

AGENCY:

Illinois Department of Veterans Affairs

ADDRESS:

1 Veterans Drive

CITY:

Manteno

CONTACT:

Travis V. Kutemeier

PHONE:

815-468-6581 ext. 208

EMAIL:

travis.kutemeier@illinois.gov

Specifications and Requirements:

(QTY 1) Wound Vacuum

· Must be lightweight and portable

· Interactive w/ easy to read LCD screen

· Step-by step troubleshooting guide for alarms

· Multiple features for clinical improvement of negative pressure wound therapy such as:

· Patient runtime

· Sleep feature

· Alarm log

· Lock restriction

· Variable intermittent and continuous therapy modes

· Battery charger

· Carrying case/bag

· (1) case each of small, medium, and large granu foam dressing kits

· (3) cases 1000ml canisters w/ gel

· Vendor must submit full specification sheet of products w/ bid

Item Description

Item Number

Brand

Product Description

Price

Quantity

Extended Price

Wound Vacuum

1/Each

Small Dressing Kits

1/Case

Medium Dressing Kits

1/Case

Large Dressing Kits

1/Case

1000ml Canister w/ Gel

3/Case

Freight

Grand Total

CONFLICT BETWEEN INFORMATION ON PAPER AND BIDBUY: If the Bidder provides information on paper that is different or in conflict with the information the Bidder provides in BidBuy, then the information on paper shall represent the Bidder’s intended submission.

*The use of a brand name is for describing the standard of quality, performance, and characteristics desired and is not intended to limit or restrict competition. "Or equal" submissions will not be rejected because of minor differences in design, construction or features that do not affect the suitability of the product for its intended use. Burden of proof that the product is equal is on the bidder.

COMPANY NAME:

COMPANY ADDRESS:

COMPANY PHONE #:

COMPANY E-MAIL:

COMPANY FEIN #:

VENDOR’S QUOTE TOTAL:

DATE:

WARRANTY:

All Products will be new and will carry a minimum 1-year warranty from date of delivery.

Estimated delivery time:

Notes to Vendor: All Quoted prices must be valid for 180 days from date of submission. All prices must include shipping and handling charges. No price increased will be accepted. In the event of a price decrease, the agency is guaranteed to receive the lowest price. We reserve the right to reject all offers; to reject individual offers for failure to meet any requirement; to award by item, part or portion of an item, group of items, or total; and to waive minor defects. Vendor must agree to partial ship equipment in case of a delay on total order. Vendor may attach separate page describing his proposal for equipment or services. Winning vendor will be chosen on low total bid for all product.

*IF THIS FORM IS NOT FILLED OUT IN ITS ENTIRETY THE BID MAY BE DISQUALIFIED