QUOTE .xls
XLS spreadsheet 141 KB Posted
- Attached to
- Connectivity Engine and Related Items
- Solicitation number
- 2136937
- Issued by
- Suffolk County, New York
About this file
This is a Request for Quotation issued by Stony Brook University Medical Center's Purchasing Department for a Connectivity Engine and related items to support Oracle Health operations. The procurement seeks quotes for nine line items including device adapter cables, mounting brackets, Ethernet patch cables, USB adapters, and an OH Connectivity Engine with display unit featuring Oracle Health Advanced Exchange Support for 12 months. Quantities range from 5 to 30 units across the various items. The quotation was prepared by Jenny Luces on July 7, 2026, with responses to be submitted to the Purchasing Department at 31 Research Way, Suite 2, Room 102, East Setauket, NY 11733-3454. Contact information for inquiries is available via phone at 631-444-4050 (Monday-Friday, 8:30 AM-5:00 PM) or fax at 631-444-4202. Vendors must demonstrate equivalency through clinical and operational documentation if proposing an approved equivalent to the specified Oracle products.
Pricing shall exclude all taxes, with Stony Brook University Medical Center's Tax Exempt Number noted as 14740026K. Vendors are encouraged to utilize electronic payment options for faster processing. Award shall be made by Grand Total or Lot, with delivery designated as FOB Destination, and the vendor bearing freight costs on routine orders while Stony Brook Medical Center bears freight on emergency orders. The contract is subject to NYS Finance Law sections 139-j and 139-k (Lobbying Law), and vendors must submit certifications including Vendor Responsibility Questionnaires, State Finance Law compliance documents, HIPAA Business Associate Agreements, W-9 forms, and current NYS Workers' Compensation and Disability documentation. No set-asides for minority or women-owned businesses, disadvantaged businesses, or service-disabled veteran-owned businesses apply to this procurement. Stony Brook University has not awarded an identical or substantially similar contract in the past five years.
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Text version
Quote Shell R 0409
| REQUEST FOR QUOTATION | ||||||||||||
| Company: | ||||||||||||
| Address: | ||||||||||||
| Email: | Inquiry: | Due Date: | ||||||||||
| ATTN: | ||||||||||||
| Fax #: | Phone #: | Requested By: | JENNY LUCES | |||||||||
| INSTRUCTIONS: | Prepared By: | JENNY LUCES | Date: | 07/07/26 | ||||||||
| Please quote your best price. To insure consideration, be sure to comply with the following: | ||||||||||||
| 1. The Stony Brook Medical Center inquiry number noted above must appear on all quotations and correspondence. | ||||||||||||
| 2. Your response may be faxed to the number above, but an original form with signatures must be received prior to an award of an order. | ||||||||||||
| 3. All Price List/Discs must be labeled with Stony Brook University Hospital name on each page. | ||||||||||||
| 4. A separate price must be given for each item. All prices and conditions must be shown. Additional items not shown on this quote will not be allowed. | ||||||||||||
| (except in the case of a substitution, where an item should be added as an additional line item & should reference in the description the item it replaces. | ||||||||||||
| Please utilize the line item rows in blue for any substitutions. You may insert additional lines between these highlighted rows if more lines are needed.) | ||||||||||||
| 5. Prices must not include any taxes. Stony Brook University Medical Center's Tax Exempt # is: 14740026K. | ||||||||||||
| 6. Electronic Payment Information - Stony Brook University Medical Center encourages all of its vendors to utilize this option for payment. | ||||||||||||
| This option improves payment time on an invoice by an average of five (5) days. This link is to the OSC electronic payment guide providing information for | ||||||||||||
| vendors to utilize an electronic payment option instead of receiving checks for payment of invoices. http://www.osc.state.ny.us/epay/epayguide.pdf | ||||||||||||
| 7. Contract Termination: SUNY shall have the right to terminate this contact early for: (i) unavailability of funds; (ii) cause; (iii) convenience; | ||||||||||||
| (iv) in the event the State Finance Law sections 139-j and 139-k certifications are found to be intentionally false or intentionally | ||||||||||||
| incomplete or (v) if applicable, the Department of Taxation and Finance Contractor Certification form, ST-220-CA, statements are found | ||||||||||||
| to be intentionally false or intentionally incomplete. | ||||||||||||
| 8. By virtue of the signature on the bottom of this quote, you indicate full knowledge and acceptance of all provisions of the attached: | ||||||||||||
| a. The stated specifications (As Listed) | b. Terms and Conditions (See Above) | |||||||||||
| c. Exhibit “A” SUNY Standard Contract Clauses | d. Public Officers Law Form XIII * | |||||||||||
| e. Latex, Mercury & DEHP/PVC Certification * | f. Exhibit "F" False Claims Information | |||||||||||
| g. Exhibit "L" (Lobby Form) * | h. Exhibit “A-1” SUNY Affirmative Action Clauses | |||||||||||
| i. Exhibit C (EEO Policy Statement)* | j. Vendor Responsibility Questionnaire* | |||||||||||
| k. ST-220 (Contractor Certification)* | l. HIPAA Business Associate Agreements* | |||||||||||
| m. Certified Payroll Letter Lien Release Form Certified Weekly Payroll | ||||||||||||
| n. Request for Taxpayer Identification Number and Certification (W-9 Form) | ||||||||||||
| (The name and email of the person maintaining W-9 forms is required as well) | ||||||||||||
| o. NYS Workers Compensation and Disability Forms (to be provided by vendor)* | ||||||||||||
| (Please see the website for insurance forms - http://www.wcb.ny.gov) | ||||||||||||
| * TO BE SUBMITTED WITH SIGNED QUOTATION | ||||||||||||
| 9. If you will not be submitting a quote for this request, please complete the bottom section of the quote, check 'NO QUOTE' & return this | ||||||||||||
| request to the above address. | ||||||||||||
| (Failure to respond to this request for quotation may result in the removal of your name from future quotation solicitations.) | ||||||||||||
| Referenced Manufacturer: | ||||||||||||
| Contract Period: | to | Price Protection Through: | to | |||||||||
| Delivery Info - | FOB: | DESTINATION | Shipping: | VENDOR BEARS FREIGHT, SBUMC BEARS | Frequency: | TO BE CALLED FOR AS NEEDED | ||||||
| Award shall be made by: | GRAND TOTAL OR LOT FREIGHT ON EMERGENCY ORDERS | |||||||||||
| Quantities are estimated only. Please provide an estimated delivery date upon receipt of order and the mode of delivery below. (Ground, 2-Day, etc.) | ||||||||||||
| Item # | Hospital Inventory # | Manfacturer or Vendor Catalog # | Item Description | Quantity | Unit of Issue (UOM) | Unit Price | Amount | Delivery Date / Method | ||||
| 1 | DA-15 Male to DE-9 Male Device Adapter Cable [Mfg Part Num: DIGl15-8) | 5 | ||||||||||
| 2 | CCE V4 MOUNTING BRACKET | |||||||||||
| [Mfg Part Num: 2016-0921-00) | 25 | |||||||||||
| 3 | DE-9 Female to DE-9 Male Device Adapter Cable [Mfg Part Num: DIGl9-8) | 20 | ||||||||||
| 4 | Device Adapter, Programmable, for Oracle Health only. | |||||||||||
| [Mfg Part Num: ANA-D5000-100-A1) | 30 | |||||||||||
| Oracle Health Advanced Exchange Support | 12 mo. | |||||||||||
| 10ft CAT6 Ethernet Patch Cable Snagless, RJ45, M_M, Blue· patch cable -10 ft· blue [Mfg Part Num: A3L980-10-8LU-S) | 25 | |||||||||||
| Cables to Go • USB cable • 4 pin USB Type A (M) Mfg Part Num: 13401) | 30 | |||||||||||
| 1 Port USB to RS232 DB9 Serial Adapter Cable • M/M for select countries. Includes StarTech 3- year Standard Equipment Warranty | ||||||||||||
| [Mfg Part Num: STA-ICUS8232V2] | 20 | |||||||||||
| OH Connectivity Engine with 7in. Display (V4), for Oracle Health only. | ||||||||||||
| [Mfg Part Num: IASO-W07A-N6210-CR-R10) | 25 | |||||||||||
| Oracle Health Advanced Exchange Support | 12 mos. | |||||||||||
| Hardware Freight Fee | 1 | |||||||||||
| 5 | ||||||||||||
| 6 | ||||||||||||
| 7 | ||||||||||||
| Grand Total: | $0.00 | |||||||||||
| 1. Are the prices quoted above equal to or lower than those quoted to other corporations, institutions, or governmental agencies on similar items, terms, conditions | ||||||||||||
| and quantities? | Yes: | No: | If no, please explain: | |||||||||
| 2. Please indicate any educational discount applicable to this purchase. (See Exhibit A) | Yes: | No: | %: | |||||||||
| 3. Please indicate if the prices quoted are related to a GPO contract such as Novation or Priemier: | Yes, GPO name & contract #: | No: | ||||||||||
| 4. Please indicate if prices quoted are on the New York State Contract: | Yes, NYS name & contract #: | No: | ||||||||||
| Company: | Federal Tax ID #: | |||||||||||
| Rep Name: | Title: | |||||||||||
| E-mail Address: | Phone #: | Fax #: | ||||||||||
| If favored with an order, we agree to furnish the items enumerated herein at the price and under the conditions indicated. | ||||||||||||
| Signature: | Date: | NO QUOTE | ||||||||||
| MS excel version of quote shell created 03/09 by CMJS |
&L&"Arial,Regular"&8QUOTE SHELL (R 5/13 JNG)&C&"Arial,Regular"&9Page &P of &N&R&"Arial,Regular"&9CMJS
NOT AN ORDER
TELEPHONE: 631-444-4050
MONDAY - FRIDAY: 8:30 AM - 5:00 PM
FAX: 631-444-4202
VENDOR MAIL REPLY TO:
STONY BROOK UNIVERSITY MEDICAL CENTER
PURCHASING DEPARTMENT
31 RESEARCH WAY, SUITE 2, ROOM 102
EAST SETAUKET, NY 11733-3454
File details come from the government source that posted it. Updated .