QUOTE5.xls
XLS spreadsheet 139 KB Posted
- Attached to
- CYTOSCOPY
- Solicitation number
- 2113358
- Issued by
- Suffolk County, Syracuse City, New York
About this file
This document is a Request for Quotation (RFQ) issued by the Stony Brook University Medical Center for various medical equipment and supplies. The RFQ includes 11 line items for items such as telescopes, light-guide cables, cystoscopy sheaths, and stopcocks. The requested quantities range from 3 to 12 units per item. The due date for submitting quotations is September 24, 2024. The contract period is not specified, but the RFQ indicates that prices must be held through an unspecified date. Delivery is required FOB Destination, with the vendor bearing the freight costs except for emergency orders.
The RFQ outlines detailed terms and conditions, including requirements for the bidder's standard terms and conditions, tax exemption, electronic payment, and contract termination clauses. It also references several exhibits that must be completed and submitted with the quotation, such as SUNY Standard Contract Clauses, Public Officers Law forms, and various certifications. Pricing must be equal to or lower than that quoted to other entities, and any educational discounts must be indicated. The RFQ does not mention any set-asides, incumbents, or specific funding sources.
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Text version
Quote Shell R 0409
| REQUEST FOR QUOTATION | |||||||||||
| Company: | |||||||||||
| Address: | |||||||||||
| Email: | Inquiry: | Q24-027 | Due Date: | 09/24/24 | |||||||
| ATTN: | |||||||||||
| Fax #: | Phone #: | Requested By: | JENNY LUCES | ||||||||
| INSTRUCTIONS: | Prepared By: | Date: | 08/30/24 | ||||||||
| 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. A copy of bidder’s standard terms and conditions will not be considered relevant to this quote and should not be included. | |||||||||||
| 3. 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. | |||||||||||
| 4. All Price List/Discs must be labeled with Stony Brook University Hospital name on each page. | |||||||||||
| 5. 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.) | |||||||||||
| 6. Prices must not include any taxes. Stony Brook University Medical Center's Tax Exempt # is: 14740026K. | |||||||||||
| 7. 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 | |||||||||||
| 8. 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. | |||||||||||
| 9. 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. Public Officers Law | f. Exhibit "F" False Claims Information | ||||||||||
| g. Exhibit "L" (Lobby Form)* | h. Exhibit “A-1” SUNY Affirmative Action Clauses | ||||||||||
| i. Exhibit H (Finance Law 139-I) | j. EO16 Certification | ||||||||||
| k. Exhibit E (EO177) | |||||||||||
| l. 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 | |||||||||||
| 10. 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 | WA2T430A | Telescope "OES Elite", 4 mm, 30 deg,HD,g | 3 | ||||||||
| 2 | WA2T470A | Telescope "OES Elite", 4 mm, 70 deg, HD | 3 | ||||||||
| 3 | W A03300A | Light- guide cable, 2. 8 mm, 3 m, CF type | 3 | ||||||||
| 4 | A20911A | CYSTO SHEA TH 17 FR | 3 | ||||||||
| 5 | A20913A | CYSTOURETHROSC OPE SHEA TH 21 FR | 3 | ||||||||
| 6 | A20914A | CYSTO SHEA TH 22.5 F | 3 | ||||||||
| 7 | A20915A | CYSTO SHEA TH 25FR | 3 | ||||||||
| 8 | A20976A | CYSTO BRIDGE SINGLE CHANNEL | 3 | ||||||||
| 9 | A20977 A | CYSTO BRIDGE DOUBLE CHANNEL | 3 | ||||||||
| 10 | 75U | UNJVERSAL STOPCOCK LUER LOCK | 3 | ||||||||
| 11 | CS-B612 | Seal Kit 6-12Fr 12/Box | 3 | ||||||||
| 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 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 |
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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
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