FSS-65-II-A - Earlysense Inc. - V797D40249

DEPARTMENT OF VETERANS AFFAIRS

Federal Supply Service Authorized Federal Supply Schedule Price List Medical Equipment and Supplies FSC Group 65, Part II, Section A FSC Classes: 6530 Contract Number: V797D - 40249 Contract Period, September 1, 2014 to August 31, 2019 EarlySense, Inc 135 Beaver Street, Suite 307 Waltham, MA 02452 Phone #: 781.373.3228 Fax: 781.373.2367 www.earlysense.com Business Size: Small

"Prices Shown Herein are Net (discount deducted)"

Revised September 2012 Customer Information:

la. List of awarded special item number(s):

SIN: A-50A ...................................... Page 1 1b. Identification of the lowest priced model number and lowest unit price for that model for each special item number awarded in the contract. This price is the Government price based on a unit of one, exclusive of any quantity/dollar volume, prompt payment, or any other concession affecting price. Those contracts that have unit prices based on the geographic location of the customer, should show the range of the lowest price, and cite the areas to which the prices apply: See Below.

ASOA

MSH-00033

Metallic Plates (adhesive) for sensor placement $30.15 1c. Not Applicable

2. Maximum order: $600,000 or one system.

3. Minimum order: $100.00

4. Geographic coverage (delivery area): All 50 states, District of Columbia and Puerto Rico

5. Point(s) of production (city, county, and State or foreign country):

Ramat Gan, Israel

6. Prices shown herein are Net (discount deducted)

7. Quantity Discounts: 1-15 None, 16-31 units l %, 32-75 units 3%, 76-180 units 5%

8. Prompt Payment Terms: Net 30 days 9a. Notification that Government purchase cards are accepted at or below the micro-purchase threshold: Accepted at and below $3,000.00 9b. Notification whether Government purchase cards are accepted or not accepted above the micro-purchase threshold: Accepted above the micro-purchase threshold with no maximum amount.

10. Foreign items (list items by country of origin):

PSP-001OOUS

VMP-001 OOUS PSP-00101US

VMP-00101US

Patient Safety Package for Fall Prevention and a Pressure Ulcer management capability-Includes CDS, 2 Hallway Displays, Pagers, Installation and Training Israel Vitals Monitoring Package for Heart and Respiratory rate monitoring-Includes Bedside Unit, CDS, 2 Hallway Displays, Pagers, Installation and Training Israel To add the Patient Safety Package to the Vitals Monitoring Package after initial installation Israel To add Vitals Monitoring Package to the Patient Safety Package after initial sale- it will be an added cost of $4,250 per device upgraded.

Israel l la. Time of delivery: 30 days ground (UPS or another carrier) 11b. Expedited delivery: 2 days expedited for all products on pricelist. The government has agreed to pay the difference between the standard and expedited delivery charges.

11c. Overnight and 2-day delivery: 2 days expedited available for all products at an additional charge. The schedule customer may contact EarlySense for rates for overnight and 2-day delivery. All items on pricelist are available for expedited delivery 11d. Urgent requirements: The schedule customer may (as part of the "Urgent Requirements" clause) contact the EarlySense representative to affect a faster delivery.

12. FOB Point(s): Destination to all 50 states, and District of Columbia; Point of Exportation to AK, HI and Puerto Rico.

13a. Ordering address:

EarlySense, Inc 135 Beaver Street, Suite 307 Waltham, MA 02452 13b. Ordering Procedures: For supplies and services, the ordering procedures, information on Blanket Purchase Agreements (BPA's) are found in Federal Acquisition Regulation (FAR) 8.405-3

14. Payment address:

EarlySense, Inc 135 Beaver Street, Suite 307 Waltham, MA 02452 Phone #: 781.373.3228 Fax: 781.373.2367

15. Warranty provision:

Warranty Provision attached at the end of this FSS pricelist

Returned Goods Policy:

Returned Goods Policy attached at the end of this FSS pricelist

16. Export packing charges, if applicable: Not Applicable

17. Terms and conditions of Government purchase card acceptance (any thresholds above the micro-purchase level): Accepted above the micro-purchase threshold

18. Terms and conditions of rental, maintenance, and repair (if applicable): Not Applicable

19. Terms and conditions of installation (if applicable): Not Applicable

20. Terms and conditions of repair parts indicating date of parts price lists and any discounts from list prices (if applicable): Not Applicable 20a. Terms and conditions for any other services (if applicable): Not Applicable

21. List of service and distribution points (if applicable): Waltham, MA 02452

22. List of participating dealers (if applicable): Bitterroot Services & Technology, Service Disabled Veteran Owned, Florence MT 59833 Phone number: 406.926.2625

23. Preventive Maintenance (if applicable): Not Applicable 24a. Special attributes such as environmental attributes (e.g., recycled content, energy efficiency, and/or reduced pollutants): Not Applicable 24b. Section 508 - Not Applicable

25. Data Universal Number System (DUNS) number: 809688729

26. Notification regarding registration in System for Award Management (SAM) database: Yes, registered Expedited, overnight and 2 days delivery is available for all products at an additional charge. The government has agreed to pay the difference between the standard and expedited delivery charges. The schedule customer may contact EarlySense for rates for expedited, overnight and 2-day delivery. The schedule customer may (as part of the "Urgent Requirements" clause) contact the EarlySense representative to affect a faster delivery.

Warranty and Return of Goods Policy

WARRANTY

EarlySense warrants that its products meet the labeled specification of the products and will be free from defects in materials and workmanship that occur within one year after the date of purchase.

The date of purchase is: 1) the date specified in our records if you purchased the Product directly from us, 2) the date specified in the warranty registration card that we ask you to send us, or 3) the date of purchases of Product from the authorized EarlySense distributor as documented from a receipt from said distributor.

The warranty does not cover damage caused by, 1) handling during shipping, 2) use or maintenance contrary to labeled instructions, 3) alteration or repair by anyone not authorized by EarlySense, and 4) accidents.

If a Product or accessory covered by this warranty is determined to be defective because of defective material, components, or workmanship, and the warranty claim is made, EarlySense will replace the defective Product or accessory free of charge.

The customer must obtain a service notification number from EarlySense to return the Product before it is sent to EarlySense's designated service center for repair. Contact EarlySense Technical Support to receive a service notification number.

THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTI ES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS. THIS WARRANTY IS LIMITED TO REPAIR OR REPLACEMENT OF PRODUCTS CONTAINING A DEFECT.

COMMERCIAL GOODS RETURN POLICY

A written request to return the Product within the first 60 days of use will be honored at no charge. There will be no charge for restocking or return shipping costs during that period. A written request to return product after 60 days but prior to 9 months of use: EarlySense will charge a 15% restocking fee. Request made beyond 9 months of use: No refund.

EarlySense shall reimburse purchaser for any costs associated with any product corrective action, withdrawal or recall requested by EarlySense or required by any governmental entity.

EarlySense, 781.373.3228, www.earlysense.com

EarlySense, 781.373.3228, www.earlysense.com