FSS-65-II-A - SRS Medical Systems, Inc. - V797D30281

The Department of Veterans Affairs Federal Supply Service

Authorized Federal Supply Schedule Price List

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage!, a menu-driven database system. The INTERNET address for GSA Advantage is: www.GSAAdvantage.gov

FSC Group 65, Part II, Section A - Medical Equipment and Supplies, FSC Class: 6530 For more information on ordering Federal Supply Schedules click on the FSS Schedules button at www.fss.gsa.gov.

Contract Number: V797D-30281- Contract Period: September 15, 2013 – September 14, 2018

Contractor: SRS Medical Systems, Inc.

76 Treble Cove Road, Bldg. 3 Billerica, MA, 01862 Phone # 800-345-5642 Fax # 800-886-2774 web site: www.srsmedical.com Small Business

TIN – 04-3136274

CUSTOMER INFORMATION:

1a. Awarded Special Item Number: A-63 Urodynamic Measurement Apparatus

2. Maximum Order: $ 50,000

3. Minimum Order: None

4. Geographic Coverage: The 50 States, DC, and PR

5. Point of Production: US, GB

6. Prices herein are net, discount deducted.

7. Quantity Discounts: None

8. Prompt Payment Terms: 2% 10 days Net 30 Days (invoiced orders only)

9. Government purchase cards are accepted below and above the micro-purchase threshold with no maximum amount.

10. Foreign Items: N/A

11a. Delivery Time: 10 Days ARO

11b. Expedited: 7 Days ARO (Upon Receipt of Order) (Customer pays difference between standard andexpedited shipping)

12. F.O.B. Points: FOB Destination to The 50 States, DC, and PR

13a. Ordering Address: SRS Medical Systems 76 Treble Cove Road, Bldg. 3 Billerica, MA 01862

13b. Ordering Procedures: For supplies and services, the ordering procedures and information on BPA’s can be found at the GSA/FSS Schedule homepage (http://www.gsa.gov/bpa).

14. Payment Address: SRS Medical Systems 76 Treble Cove Road, Bldg. 3 Billerica, MA 01862

15. Warranty/Exchange Goods: See attached.

16. Export Packing Charges: N/A

17. Terms and conditions of Gov’t Purchase Card acceptance: Accepted below and above the micro-purchase threshold with no maximum amount.

18. Terms and conditions of rental, maintenance, and repair:

N/A

19. Terms and conditions of Installation/Training: N/A

20 Terms and conditions of repair parts indicated, date of parts price lists and any discounts from list prices: N/A

20a. Terms and conditions of other services: N/A

21. List of service and distribution points: N/A

22. List of participating dealers: N/A

23. Preventive maintenance: N/A

24a. Special attributes: N/A

24b. Section 508 EIT supplies and services: NA

25. DUNS Number: 79-6263598

26. System for Award Management: Yes, registered.

http://www.gsaadvantage.gov/ http://www.fss.gsa.gov/

SRS Medical Warranty Policy

SRS Medical offers a standard one-year warranty, from date of purchase, parts and labor, for all repairs resulting from defects in workmanship.

SRS Medical warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract. In the event that the terms of the contractor's standard commercial warranty conflict with the warranty terms contained in this clause, the terms of this clause will govern this contract, unless some other resolution is specified I the ward document.

Except as otherwise provided by an express warranty, the Contractor will not be liable to the Government in a breach of warranty action for consequential damages resulting from any defect or deficiencies in accepted items. In the event that the terms of the contractor's standard commercial warranty/limitation of liability clause(s) place greater limits on the contractor's liability than do the terms contained in this clause, the terms of this clause will govern the contract.

SRS Medical Return of Goods Policy

A return of goods requires obtaining a "Return of Goods Authorization" (RGA) number by calling SRS Medical at 877/345-5642.

Please have the Invoice# and serial/lot number(s) ready.

RGA numbers will be issued on eligible goods provided it is within thirty (30) days of delivery.

Capital equipment is not eligible for return.

Goods ordered in error and/or excess stock that are authorized for return by SRS Medical will be subject to a handling charge of 15%. Goods shipped in error by SRS Medical will not be subject to a handling charge. SRS Medical will pay return shipping for items that SRS Medical ships in error.

This RGA number must accompany the product and must be indicated on the outside shipping label.

Please package the product carefully and return it, freight prepaid, to the following address:

SRS Medical Company, Inc.

Attn.: Receiving/RGA # _ 76 Treble Cove Road, Building 3 North Billerica, MA 01862

Please consider insuring your shipment against loss or damage, as credit cannot be issued until the merchandise is received in original packaging and original condition.

Returns will be credited for invoice price paid, less applicable handling charge.

Every effort is made to accommodate a request to return product; however, it is not always possible. SRS Medical reserves the right to refuse any product return.

SRS Medical Systems, Inc.

Contract # V797D-30281

Effective Date: 9/15/2013

SIN Item # Product Name

Unit of

Issue

FSS

Contract Price $

A-63 4630 EMG Pre-Gelled Electrodes – Disposable Bag 43.90 A-63 21025 Double Lumen Catheter, 6F w/ext. 10 per box; urodynamic bladder catheter; single sensor w/filling lumen; latex free Box 160.10

A-63 21026 Double Lumen Catheter, 8F w/ext. 10 per box; urodynamic bladder catheter; single sensor w/filling lumen; latex free

Box 160.10

A-63 21028 Double Lumen Catheter, 6F w/o ext. 10 per box; urodynamic bladder catheter; single sensor w/filling lumen; latex free

Box 160.10

A-63 21029 Double Lumen Catheter, 8F w/o ext. 10 per box; urodynamic bladder catheter; single sensor w/filling lumen; latex free

Box 132.96

A-63 21038 Triple Lumen Catheter, 9F w/ ext. 10 per box; urodynamic catheter; dual sensor with filling lumen; latex free

Box 223.42

A-63 21039 Triple Lumen Catheter w/Pura Ridges, 7F w/ ext. 10 per box; urodynamic catheter;

dual sensor with filling lumen; latex free

Box 277.69

A-63 21044 Rectal Balloon Catheter 4.5F w/Slit and ext. 25 per box; urodynamic abdominal catheter; latex free

Box 331.96

A-63 21048 Rectal Balloon Catheter, 10F w/ Vent Lumen and ext. 10 per box; urodynamic abdominal catheter; latex free

Box 182.21

A-63 84411305 EasyFlo, UroBreeze Printer Paper, Refill. 6 rolls per box, 112mm x 25M Box 76.63 A-63 84411165-2 Water Pump Tubing Kit (25/box). EasyPro, UroBreeze Urodynamic Systems; latex free Box 288.24

A-63 84411226-2 Long Water Kit-Syringe-Stopcock-Ext Tube. 5 per box; urodynamic extension tubing;

latex free

Box 220.90

A-63 84411228-2 Short Water Kit-Syring-Stopcock-Ext Tube. 25 per box; urodynamic extension tubing;

latex free

Box 201.01

A-63 CT3 CT3000 UroCuff System. Catheterless Urodynamic System for Male LUTS Each 11,245.23 A-63 CT-3650 CT3000 Disposable Cuff, Extra Large. 48mm (25/box) disposable penile cuff for use with CT3000 UroCuff System Box 1,309.05

A-63 CT-3651 CT3000 Disposable Cuff, Large. 38mm (25/box) disposable penile cuff for use with CT3000 UroCuff System

Box 1,309.05

A-63 CTPlus CT3000Plus Multi-Modality System. Multi-modality system offering a complete Urodynamic System AND Catheterless Urodynamics for Male LUTS

Each 16,265.33

A-63 EFC EasyFlo Uroflowmetry System. Simple Stand-Alone Uroflow System including standard Commode and Funnel

Each 2,739.70

A-63 EP4-KIT EasyPro Urodynamic System. Complete 10-Channel Urodynamic System, including on-site training, computer, printer, commode, funnel and wheeled trolley

Each 11,245.23

A-63 LPD-3D Leak Point Detector, EasyPro System. Disposable, 10 per box; proprietary automatic electronic leak point detector for use with EasyPro Urodynamic System; latex free

Box 88.74

A-63 SPNR-4HA Spanner Assembly 20F, Sterile, Size 4. Temporary Prostatic Stent; latex free Each 502.51 A-63 SPNR-5HA Spanner Assembly 20F, Sterile, Size 5. Temporary Prostatic Stent; latex free Each 502.51 A-63 SPNR-6HA Spanner Assembly 20F, Sterile, Size 6. Temporary Prostatic Stent; latex free Each 502.51

A-63 SPNR-7HA Spanner Assembly 20F, Sterile, Size 7. Temporary Prostatic Stent; latex free Each 502.51 A-63 SPNR-8HA Spanner Assembly 20F, Sterile, Size 8. Temporary Prostatic Stent; latex free Each 502.51 A-63 SPNR-9HA Spanner Assembly 20F, Sterile, Size 9. Temporary Prostatic Stent; latex free Each 502.51 A-63 SURV-02 Surveyor Assembly, Sterile. Urethral Measurement Device for use with Spanner

Prostatic Stent Each No

Charge A-63 US01-KIT UroScan Ultrasound Base Unit. Ultrasound Wand, Software, Gel; image presented in

256 shades of grey Each 6,827.14

A-63 US02-KIT UroScan Ultrasound Portable System. Ultrasound Wand, Software, Netbook Computer, Printer, Carrying Case, Gel; image presented in 256 shades of grey

Each 7,339.70

A-63 US03-KIT UroScan Ultrasound Office-Based System. Ultrasound Wand, Software, Netbook Computer, Printer, Trolley, Gel; image presented in 256 shades of grey

Each 7,813.07