FSS-65-II-F - D.v.jahn, Inc. - V797D70060

Revised September 2012

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 GSAAdvantage.gov

Medical Equipment and Supplies

FSC Group 65, Part II, Section F

FSC Classes: 6530

Contract Number: V797D - 70060 Contract Period: March 15, 2017 to March 14, 2027

( For more information on ordering from Federal Supply Schedules, enter the following address into your web browser:

http://gsa.gov/portal/category/100623 )

DVJahn Inc.

4081 Ryan Rd. Unit 103

Gurnee, IL 60031

Phone: 847-573-1908

Fax: 847-573-1909 www.DVJmedical.com

Business Size: Small

DVJahn Inc, (847) 573-1908, www.DVJmedical.com

“Prices Shown Herein are Net (discount deducted)”

Customer Information:

1a. List of awarded special item number(s):

SIN: [F-1] ………………………………..... Page [4] SIN: [F-2] …………………………………. Page [4] SIN: [F-3] …………………………………. Page [5] SIN: [F-5] …………………………………. Page [5] SIN: [F-9a] ………………………………... Page [5] SIN: [F-9b] ...……………………………… Page [5] SIN: [F-9c] ………………………………... Page [5] SIN: [F-9d] ………………………………... Page [5] SIN: [F-9e] ………………………………... Page [6] SIN: [F-9f] ……………………………….....Page [6]

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.

SIN Product Number Product Description FSS Price

1c. If the Contractor is proposing hourly rates, a description of all corresponding commercial job titles, experience, functional responsibility and education for those types of employees or subcontractors who will perform services shall be provided. If hourly rates are not applicable, indicate “Not applicable” for this item:

Not Applicable

2. Maximum order: $100,000 (SIN F-1, F-2, F-3, F-5, F9a-F9f)

3. Minimum order: No minimum

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

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

Gurnee, Illinois, United States of America

6. Prices shown herein are Net (discount deducted)

7. Quantity Discounts: An additional 5% discount applied to items on invoiced orders over $10,000 (except item #ODYSSEYGT18CS). An additional 5% discount applied to item #ODYSSEYGT18CS over quantity three (3) (same order; same location).

8. Prompt Payment Terms: 1% Net 10 days; Net 30 days. Invoiced orders ONLY.

9a. Notification that Government purchase cards are accepted at or below the micro-purchase threshold:

Accepted at and below the micro-purchase threshold

9b. Notification whether Government purchase cards are accepted or not accepted above the micro-purchase threshold: Accepted above the micro-purchase threshold

10. Foreign items (list items by country of origin): Not Applicable

11a. Time of delivery: 10 Days After Receipt of Order (ARO)

11b. Expedited delivery: Next day delivery (Government is responsible for the difference in Normal and Expedited Delivery Charges)

11c. Overnight and 2-day delivery: Next day delivery (Government is responsible for the difference in Normal and Expedited Delivery Charges)

11d. Urgent requirements: The schedule customer may (as part of the “Urgent Requirements” clause) contact a DVJahn, Inc. representative to effect a faster delivery.

12. FOB Point(s): Delivery will be F.O.B. inland carrier to destination (48 contiguous states), point of exportation (FAR 52.247-38), with the transportation charges to be paid by the Government from point of exportation to destination in Alaska, Hawaii, or the Commonwealth of Puerto Rico, as designated by the ordering office. Prices offered cover delivery as provided below to POEs and destinations located within the 48 contiguous States and the District of Columbia.

13a. Ordering address(es): See below

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:

DVJahn, Inc.

4081 Ryan Rd. Unit 103

Gurnee, IL 60031

Phone: 847.573.1908

Fax: 847.573.1909

15. Warranty provision:

Please refer to end of pricelist for approved Government Warranty and Limitation of Liability.

Returned Goods Policy:

Please refer to end of pricelist for approved DVJahn, Inc. Return Goods Policy with Government concessions.

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): Gurnee, Lake County, IL

22. List of participating dealers (if applicable): [Not Applicable]

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. If applicable, indicate that Section 508 compliance information is available on Electronic and Information Technology (EIT) supplies and services and show where full details can be found (e.g., contractor’s website or other location). The EIT standards can be found at www.Section508.gov/ : [Not Applicable]

25. Data Universal Number System (DUNS) number: [049949834]

26. Notification regarding registration in System for Award Management (SAM) database: [Yes, registered]

FSS Contract Products and Pricing

SIN Product Number Product Description FSS Price

F-3 PHOENIXHD3 Scooter - Phoenix HD 3Whl Travel POV 17.5" Seat $1,183.88

F-3 PHOENIXHD4 Scooter - Phoenix HD 4Whl Travel POV 17.5" Seat $1,259.45

F-9B 10302-6 Cane,Standard,Chrome, 6/case $53.79

F-9B 10309BZW-6 Cane,Offset,BronzeWave,6/cs $83.84

F-9B RTL10304HD Cane,HD,Folding,Black,1EA,12/CS $21.25

F-9B RTL10304SM Glow N Go Fold Cane,Silver Mist,1EA,6/CS $108.63

F-9D 477200252 Auto Bath Lifter,White,1/cs $801.01

F-9D 12016-3 GrabBar,16",White,3/cs,RTL $48.06

F-9D 12024-3 GrabBar,24",White,3/cs,RTL $52.76

F-9D 12112-3 GrabBar,Chrome,12 inch,Knurled,3/cs,RTL $51.51

F-9D 12116-3 GrabBar,Chrome,16",Knurled,3/cs,RTL $52.65

F-9D RTL12045 Shower Massager,Deluxe,1EA,24/CS $25.68

F-9D RTL12118 GrabBar,Chrome,18in,Knurled,1EA,3/cs,RTL $61.09

F-9F RTL12012 Grab Bar,12",White,RTL,1EA,3/CS $53.54

F-1 1360 REAR ANTI-TIPPERS/ PAIR 9153629710 $50.51

F-1 1497 OXYGEN HOLDER PACKAGE ASSEMBLY 9153632671 $84.94

F-1 1329BKST Toggle Wheel Lock Extension (8 in.) $50.53

F-1 T93HEP Economy Hemi Footrests w/o heel loops $59.30

F-1 T420RFAP

Invacare Tracer IV Wheelchair with Full-Length Arms, 20"x18" $479.42

F-1 T420RDAP

Invacare Tracer IV Wheelchair with Desk-Length Arms, 20"x18" $479.42

F-1 T4X24RDAP

Invacare Tracer IV Wheelchair with Desk-Length Arms, 24"x18" $479.42

F-1 T424RFAP

Invacare Tracer IV Wheelchair with Full-Length Arms, 24"x18" $479.42

F-1 T424RDAP

Invacare Tracer IV Wheelchair with Desk-Length Arms, 24"x18" $479.42

F-1 T422RFAP

Invacare Tracer IV Wheelchair with Full-Length Arms, 22"x18" $479.42

F-1 T4X22RDAP

Invacare Tracer IV Heavy-Duty Wheelchair, Desk-Length

Arms, 22"x18" $479.42

F-1 T422RDAP

Invacare Tracer IV Wheelchair with Desk-Length Arms, 22"x18" $479.42

F-1 TRSX56FBP

Tracer SX5 16" x 16" Frame with Flip-Back Fixed Height

Desk Length Arm $357.90

F-1 TRSX56FBP

Tracer SX5 16" X 16" Frame with Flip-Back Fixed Height

Desk-Length Arm $282.52

F-1 TRSX58FBFP

Tracer SX5 18" x 16" Frame with Flip-Back Fixed Height

Desk Length Arm $357.90

F-1 TRSX58FBFP

Tracer SX5 18" x 16" Frame with Flip-Back Fixed Height

Full Length Arm $357.90

F-1 TRSX50FBP

Tracer SX5 20" x 16" Frame with Flip-Back Fixed Height

Desk Length Arm $357.90

F-1 TRSX50FBFP

Tracer SX5 20" x 16" Frame with Flip-Back Fixed Height

Full Length Arm $357.90

F-1 GVLK3JELR Elevating Legrest, 1 pair $52.26

F-1 GVM316DDA-ELR

M3 Wheelchair - M3, 16"x 16" Lt. Wt

Wheelchair,Det.DeskArm,ElvLg,Anti-tippers $275.97

F-1 GVM316DDA-SF

M3 Wheelchair - M3, 16"x 16" Lt.Wt

Wheelchair,Det.DeskArm,SwgFt,Anti-tippers $249.22

F-1 GVM316DDA-SF-T

M3 Wheelchair - M3, 16"x 16" Lt. Wt

Wheelchair,Det.DeskArm,SwgFt,Anti-tippers,Treaded Tires $257.29

F-1 GVM316DFA-ELR

M3 Wheelchair - M3, 16"x 16" Lt. Wt

Wheelchair,Det.FullArm,ElvLg,Anti-tippers $275.97

F-1 GVM316DFA-SF

M3 Wheelchair - M3, 16"x 16" Lt.

WtWheelchair,Det.FullArm,SwgFt,Anti-tippers $249.22

F-1 GVM318DDA-SF

M3 Wheelchair - M3, 18"x 16" Lt.Wt

Wheelchair,Det.DeskArm,SwgFt,Anti-tippers $249.22

F-1 GVM318DDA-SF-T

M3 Wheelchair - M3, 18"x 16" Lt. Wt

Wheelchair,Det.DeskArm,SwgFt,Anti-tippers,Treaded Tires $257.29

F-1 GVM320DDA-ELR

M3 Wheelchair - M3, 20"x 16" Lt. Wt

Wheelchair,Det.DeskArm,ElvLg,Anti-tippers $275.97

F-1 GVM320DDA-SF

M3 Wheelchair - M3, 20" x

16"Lt.WtWheelchair,Det.DeskArm,SwgFt,Anti-tippers $249.22

F-1 GVM320DDA-SF-T

M3 Wheelchair - M3, 20"x 16" Lt. Wt

Wheelchair,Det.DeskArm,SwgFt,Anti-tippers,Treaded Tires $257.29

F-1 GVSTDS1034 Cane Holder $14.47

F-1 GVSTDS601 6" Wheel Lock Extension $15.24

F-1 GVSTDS803 Oxygen Tank Holder E tank $43.56

F-1 GVSTDS819 Anti-tippers, 1 pair $40.06

F-1 6724-20-61-28-8 XL 2000 Wheelchair - 24 x 20; desk length removable arms, foot rest; 700 pound weight capacity $1,954.49

F-1 6724-20-61-29-8 XL 2000 Wheelchair - 24 x 20; desk length removable arms, elevating leg rests; 700 pound weight capacity $2,090.85

F-1 6724-20-61-78-29-8 XL 2000 Wheelchair - 24 x 20; desk length removable arms, elevating leg rests, reclining back, 700 pound weight capacity

$2,886.29

F-1 6724-22-61-28-8 XL 2000 Wheelchair - 24 x 22; desk length removable arms, foot rest; 700 pound weight capacity $2,227.22

F-1 6724-22-61-29-8 XL 2000 Wheelchair - 24 x 22; desk length removable arms, elevating leg rests; 700 pound weight capacity $2,363.58

F-1 6724-22-61-78-29-8 XL 2000 Wheelchair - 24 x 22; desk length removable arms, elevating leg rests, reclining back; 700 pound weight capacity

$3,158.99

F-1 6726-20-61-28-8 XL 2000 Wheelchair - 26 x 20; desk length removable arms, foot rest, 700 pound weight capacity $1,954.49

F-1 6726-20-61-29-8 XL 2000 Wheelchair - 26 x 20; desk length removable arms, elevating leg rests; 700 pound weight capacity $2,090.85

F-1 6726-20-61-78-29-8 XL 2000 Wheelchair - 26 x 20; desk length removable arms, elevating leg rests, reclining back; 700 pound weight capacity

$2,886.29

F-1 6726-22-61-28-8 XL 2000 Wheelchair - 26 x 22; desk length removable arms, foot rest; 700 pound weight capacity $2,227.22

F-1 6726-22-61-29-8 XL 2000 Wheelchair - 26 x 22; desk length removable arms, elevating leg rests; 700 pound weight capacity $2,363.58

F-1 6726-22-61-78-29-8 XL 2000 Wheelchair - 26 x 22; desk length removable arms, elevating leg rests, reclining back; 700 pound weight capacity

$3,158.79

F-1 6728-20-61-28-8 XL 2000 Wheelchair - 28 x 20; desk length removable arms, foot rest; 700 pound weight capacity $1,954.49

F-1 6728-20-61-29-8 XL 2000 Wheelchair - 28 x 20; desk length removable arms, elevating leg rests; 700 pound weight capacity $2,090.85

F-1 6728-20-61-78-29-8 XL 2000 Wheelchair - 28 x 20; desk length removable arms, elevating leg rests, reclining back; 700 pound weight capacity

$2,886.29

F-1 6728-22-61-28-8 XL 2000 Wheelchair - 28 x 22; desk length removable arms, foot rest; 700 pound weight capacity $2,227.22

F-1 6728-22-61-29-8 XL 2000 Wheelchair - 28 x 22; desk length removable arms, elevating leg rests; 700 pound weight capacity $2,363.58

F-1 6728-22-61-78-29-8 XL 2000 Wheelchair - 28 x 22; desk length removable arms, elevating leg rests, reclining back, 700 pound weight capacity

$3,159.02

F-1 6730-20-61-78-29-8 XL 2000 Wheelchair - 30 x 20, desk length removable arms, elevating leg rests, reclining back; 700 pound weight capacity

$2,886.29

F-1 6730-22-61-78-29-8 XL 2000 Wheelchair - 30 x 22, desk length removable arms, elevating leg rests, reclining back, 700 pound weight capacity

$3,159.02

F-2 P30111ARMU Gemini with seat lift, power wheelchair $2,834.32

F-2 P30111SBMU Gemini with seat lift, power wheelchair $2,834.32

F-2 P301-3ARMU Gemini, power wheelchair $2,530.53

F-2 P301-3SBMU Gemini, power wheelchair $2,530.53

F-2 P3101-ARMUB Regal, power wheelchair $2,020.93

F-2 P3101-SBMUB Regal, power wheelchair $2,020.93

F-2 P31231WRMA Dualer Power Chair $2,121.44

F-2 P31231LBMA Dualer Power Chair $2,121.44

F-2 P32032ARMU Junior, power wheelchair $1,716.39

F-2 P32032SBMU Junior, power wheelchair $1,716.39

F-2 P3211-ARMU EZ-GO, power wheelchair $1,716.39

F-2 P3211-SBMU EZ-GO, power wheelchair $1,716.39

F-2 P326A-ARMUB Vision Sport, power wheelchair $2,425.23

F-2 P326A-SBMUB Vision Sport, power wheelchair $2,425.23

F-2 P327-2ARMU Vision Super, power wheelchair $2,530.53

F-2 P327-2SBMU Vision Super, power wheelchair $2,530.53

F-2 P71022ARMU Atlantis, power wheelchair $3,138.11

F-2 P71022SBMU Atlantis, power wheelchair $3,138.11

F-2 MAVERICK20CS Maverick 3-Wheel POV, 20" Capt. Seat $3,768.84

F-2 MAVERICK22CS Maverick 3-Wheel POV, 22" Capt. Seat $3,819.10

F-2 PHOENIXHD3-20 Phoenix HD 3Whl Travel POV 20" Seat $1,189.83

F-2 PHOENIXHD4-20 Phoenix HD 4Whl Travel POV 20" Seat $1,265.78

F-2 COBRAGT420CS COBRA GT4 SCOOTER WITH 20" CAPTAIN SEAT $3,065.33

F-2 COBRAGT422CS COBRA GT4 SCOOTER WITH 22" CAPTAIN SEAT $3,216.08

F-3 S13152-SBMU Pioneer 3 Blue, electric scooter $2,020.18

F-3 S13152-ARMU Pioneer 3 Red, electric scooter $2,020.18

F-3 S14152SBMU Pioneer 4 Blue, electric scooter $2,121.44

F-3 S14152ARMU Pioneer 4 Red, electric scooter $2,121.44

F-3 S331--ARMU Pioneer 9, electric scooter $3,032.79

F-3 S341--ARMU Pioneer 10, electric scooter $2,936.59

F-3 S941L Silverado Extreme 4-Wheel Full Suspension Electric Scooter $3,483.41

F-9A GV974BK-T F-22 Rollator, Black, Tall $280.40

F-9A GV974HD-BR F-22 HD Rollator, Black $407.04

F-9A GV974RD-T F-22 Rollator, Red, Tall $280.40

F-9A GV974RD F-22 Rollator, Red, Standard $496.35

F-9A GV974GY-T F-22 Rollator, Grey, Tall $280.40

F-9A 10266-4OX Oxygen Tank Holder for F-22 - 4/CV $614.53

F-9A 10266HD-4OX Oxygen Tank Holder for F-22 HD- 4/CV $614.53

F-9A G6291-5F Invacare I-Class Adult Paddle Walker - 5" Fixed Wheels (4-pack) $231.32

F-9A G6291-1 Invacare I-Class Adult Paddle Walker - Single Pack $146.26

F-9A 6291HDA-1

Invacare I-Class Adult Heavy Duty Paddle Walker - Single

Pack $112.40

F-9A 6271 LARGE WHEELS (>3 INCH DIAMETER) (PAIR) $31.28

F-9B 10303-6 Cane, Offset,Silver, 6/CS $54.73

F-9B 10304BF-1 Cane,Fldg Black Floral, 1/ea, RTL $19.10

F-9B RTL10303PF Cane, Offset,Pink Floral,1EA $14.21

F-9B RTL10303SB Cane, Offset,Stars,1EA $14.21

F-9B RTL10303SW Cane, Offset,Swirl,1EA $14.21

F-9B RTL10304BCA FOLDING CANE, PINK, 12/CS $165.33

F-9B RTL10304BD Folding Cane ,Big Dots, 12/CS $165.33

F-9B RTL10304LB Glow N Go Foldn Cane,Light Blue,1EA $19.45

F-9B RTL10304OF Glow N Go Folding Can,Floral,1EA $19.45

F-9B RTL10304SM Glow N Go Fold Cane,Silver Mist,1EA $18.39

F-9B RTL10306AT Black all Terrain Cane,1EA $29.46

F-9B RTL10372BK Cane,Offset,Gel Grip,Black,1/EA $29.46

F-9B RTL10372RC Cane,Offset,Gel Grip,Red Crkle,1EA $19.41

F-9B RTL10304BZ Folding Cane,Bronze,RTL,1EA $19.41

F-9E 5233-26 Bariatric Commode - 26" x 20" commode, height adjustable

20" - 24", 750 pound patient weight capacity $553.27

F-9E 5233-30 Bariatric Commode - 30" x 20" commode, height adjustable

20" - 24", 750 pound patient weight capacity $553.27

F-9E 5232-26 Bariatric Commode - Commode 26" x 20"; 750 pound weight capacity $553.27

F-9E 11135-1 Commode, Heavy Duty, DropArm, 1/EA 229.10

F-9A GV200-4 Walker, Deluxe Adult Two Button Without Wheels 4/CS 164.70

F-9A GV210-4 Walker, Deluxe Adult Two Button With 5" Wheels 4/CS 177.77

F-9A GV220-2WW Walker, Bariatric Adult Two Button With 5" Wheels 2/CS 252.13

F-5 GV3063 Gen Use Foam Seat Cushion 16Wx16Dx3H 23.58

F-5 GV3064 Gen Use Foam Seat Cushion 18Wx16Dx3H 23.58

F-5 GV3065 Gen Use Foam Seat Cushion 20Wx16Dx3H 26.71

F-5 GV34889 Gen Use Back Cushion 18Wx17Dx2.5H 41.53

F-9A GVKW200 P-51 Knee Walker with Basket, Steerable 399.00

DVJAHN RETURNED GOODS POLICY

Return Policy

Returns – All D.V.Jahn, Inc. equipment and supplies may be returned within 30 days of the original purchase date. No item may be returned without a Return Merchandise Authorization (RMA) Number from our customer service department. Non-defective items can only be returned if they were purchased directly from D.V.Jahn, Inc. and must be returned in unused condition and in the unopened, original packaging - due to the nature of our products, we cannot authorize the return of a product that has been opened and/or removed from its original packaging. Retail, commercial and government customers must request an RMA within 30 days of receiving order for a full refund of the purchase price. Except as otherwise provided by an express warranty, the Contractor will not be liable to the ordering activity for consequential damages resulting from any defect or deficiencies in accepted items. If product is shipped in error by vendor, vendor is responsible for all return freight charges. The offeror will provide full credit: invoiced price less any restocking fee on returns.

Restocking Fee – All returns are subject to a 10% restocking fee.

All Return matters should be sent to:

D.V.Jahn, Inc.

Dmitriy Janoyev Dmitriy.Janoyev@dvjahn.com 847-573-1908 881 S Northpoint Blvd Waukegan, IL 60085

DVJAHN WARRANTY POLICY

Warranty

Warranty – D.V.Jahn, Inc. products are warranted against defects in packaging, material and workmanship for 12 months from the original purchase. No item may be returned without a Return Merchandise Authorization Number from our customer service department. Defective items will be repaired, replaced or refunded at our discretion. Damage caused by neglect, abuse, misuse, alteration of the product, or improper storage is not covered by this limited warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable, and fit for use for the particular purpose described in this contract.

Restocking Fee – All returns are subject to a 15% restocking fee.

All Warranty matters should be sent to:

D.V.Jahn, Inc.

Dmitriy Janoyev 847.573.1908 Dmitriy.Janoyev@dvjahn.com 881 S Northpoint Blvd Waukegan, IL 60085