FSS-65-II-F - Whill, Inc. - V797D70155

The 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 Class: 6530 Contract Number: V797D-70155

Contract Period 5/1/2017 to 4/30/2022

Contractor WHILL, Inc.

285 Old Country Road, Suite 6, San Carlos CA 94070

844-699-4455 Fax #: N/A

Contract Administration Source: sales@whill.us

Business Size: Small

Tax Identification Number (TIN) : 46-2466683

CUSTOMER INFORMATION:

1a. Table of awarded special item number(s) with appropriate cross-reference to item descriptions and awarded price(s):

SIN Item # Product Name/Description FSS Price without IFF

FSS Price with IFF

F-3

WHILL-

Model M

Whill Model M FDA-cleared Power Wheel Chair. Extremely versatile all-wheel drive with indoor and outdoor capability, patented front omni-wheels, up to 5.5 mph, 15 mile battery range, compact footprint with a very narrow 20.7” wheelbase, and power seat slide for east transfers. Included with the Model M is shipping to the location requested by the ordering agency, 5-year limited product warranty. $8490.00 $8532.66

1b. Lowest Price Model Number: WHILL-Model M, $8,490.00

2. Maximum order: $100,000

3. Minimum order: 1 unit

4. Geographic coverage (delivery area): 48 States, District of Columbia, and point of exportation to Alaska, Hawaii, and Puerto Rico

5. Point(s) of production Taiwan

6. Discount from list prices or statement of net price: 32.07% discount

7. Quantity discounts:

• 5% discount after all agencies combined have purchased 10-24 units on an annual basis

• 10% discount after all agencies combined have purchased 25+ units on an annual basis

8. Payment terms: Net 30 Days

9a. Notification that Government purchase cards are accepted up to the micro-purchase threshold: Yes, cc accepted below, equal to, and above

MPT.

9b. Notification whether Government purchase cards are accepted or not accepted above the micro-purchase threshold: no maximum amount

10. Foreign items (list items by country of origin). WHILL-Model M – Taiwan

11a. Time of delivery: 21 Days After Receipt (ARO) of Order

11b. Items available for expedited delivery are noted in this price list: 7 Days ARO for all SINs.

11c. Overnight and 2-day delivery: 7 Days ARO for all SINs. Government customers pay the difference between normal and expedited (overnight and 2-Day delivery) shipping charges.

11d. Urgent Requirements: Not applicable

12. F.o.b. point(s):

• NNR Global Logistics USA Inc 550 Eccles Ave, South San Francisco, CA 94080

• And point of exportation to Alaska, Hawaii, and Puerto Rico

13a. Ordering address(es): 285 Old Country Road, Suite 6, San Carlos CA 94070

13b. Ordering procedures: See attached “WHILL Product Order Form VA GSA” and return via email to sales@whill.us

14. Payment address(es): 285 Old Country Road, Suite 6, San Carlos CA 94070

15. Warranty provision: WHILL, Inc. (the “Company warrants that WHILL

Model M (the “Product”) will be free from material defects in materials and workmanship. The aforementioned warranty will be effective on the date the title to the Product passes from the Company to the customer and will apply to (a) the Product’s base frame for five (5) years, (b) the Product’s seat frame for five (5) years, (c) the Product’s Standard rechargeable sealed lead acid battery 12V, 50 Ah battery for one (1) year, (d) Omni-wheel 1-year warranty and € the Product’s motors, electrical components, and all other components for one (1) year. For the avoidance of doubt, this warranty is not available to the extent the alleged defects arise from or are caused by normal wear and tear.

In connection with the foregoing warranty, the Company may at its sole discretion, either repair, replace, or update, free of charge, or refund the purchase price paid for the Product if it is defective under the terms of the foregoing warranty provided that the customer promptly notifies the Company by email of such defect, (b) furnishes to the Company satisfactory proof of the defect, (c) establishes that the Product has been properly stored, maintained, operated, and used within the limits of normal usage, and in accordance with current operating and maintenance instructions furnished by the Company, (d) proves that the Product has not been altered or modified in any manner without the Company’s prior written consent, and (e) if requested, by the Company, returns the Product to the Company according to the instruction provided by the Company. A repaired, replacement or updated Product will be delivered, free of charge to the customer.

Contact (800)-699-4455 Mon-Fri 8 AM- 6 PM PST for any warranty concerns.

Return Goods Policy: WHILL will provide a 60 day return period for the WHILL Model M. The return will incur a standard 10% restocking fee.

WHILL expects the 10% restocking fee adequate to refurbish and repair, if necessary, a Model M that has been in service for 60 days.

If the Model M is returned in a condition that requires additional repairs beyond the 10% restocking fee, there may be an additional service charge. (WHILL will provide a service summary for any additional repairs required beyond the restocking fee).

WHILL will fully examine the Model M and notify you via email within an estimated 30 days regarding your refund. If you are entitled to a refund, we will initiate a process within 7 working days.

WHILL will fully examine the Model M and notify you via e-mail within an estimated 30 days regarding your refund. If you are entitled to a refund, we will initiate the process within 7 working days.

WHILL will process the refund based on the above criteria using the original method of payment.

Vendor will pay for any returns due to vendor error with no additional restocking fee added. Contact (800)-699-4455 Mon-Fri 8 AM-6PM PST for returns.

16. Export packing charges: Not Applicable

17. Terms and conditions of Government purchase card acceptance:

Yes, credit cards accepted below, equal to, and above MPT with no maximum amount.

18. Terms and conditions of rental, maintenance, and repair: In connection with the foregoing warranty, the Company may at its sole discretion, either repair, replace or update, free of charge, or refund the purchase price paid for the Product if it is defective under the terms of the foregoing warranty provided that the customer (a) promptly notifies the Company by email of such defect, (b) furnishes to the Company satisfactory proof of the defect, (c) establishes that the Product has been properly stored, maintained, operated, and used within the limits of normal usage, and in accordance with the current operating and maintenance instructions furnished by the Company, (d) proves that the Product has not been altered or modified in any manner with the Company’s prior written consent, and (e) if requested by the Company, returns the Product to the Company according to the instruction provided by the Company. A repaired, replacement or updated Product will be delivered, free of charge to the customer.

Contact (800)-699-4455 Mon-Fri 8 AM06PM for any warranty concerns.

Rental not applicable.

19. Terms and conditions of installation: Not applicable

20. Terms and conditions of repair parts indicating date of parts price lists and any discounts from list prices:

-See Item 15 Warranty Language

-See separate attached MODEL M PARTS PRICE LIST

20a. Terms and conditions for any other services: Not applicable

21. List of service and distribution points:

NNR Global Logistics USA Inc.

550 Eccles Ave, South San Francisco, CA 94080

22. List of participating dealers: Not applicable

23. Preventive maintenance: None

24a. Special attributes such as environmental attributes: None

24b. If applicable, indicate that Section 508 compliance information: Not applicable

25. Data Universal Number System (DUNS) number: 079289461

26. Notification regarding registration in the System for Award

Management (SAM) database:

WHILL Inc., Contract #: V797D-70155

SIN

Product Number Description

Unit Of Measure

FSS Net Price

F-3

WHILL-

Model M

Whill Model M FDA-cleared Power Wheel Chair. Extremely versatile all-wheel drive with indoor and outdoor capability, patented front omni-wheels, up to 5.5 mph, 15 mile battery range, compact footprint with a very narrow 20.7” wheelbase, and power seat slide for east transfers. Included with the Model M is shipping to the location requested by the ordering agency, 5-ear limited product warranty. 1 Power Chair $8490.00

285 Old Country Road, Suite 6, San Carlos, CA 94070

(844) 699-4455 sales@whill.us

Product Order Form – WHILL Model M (VA & GSA Ordering Only)

Date:

Provider Name:

Provider Address: (street, city, state, zip code) Provider Email address:

Client Name:

Client address: (street, city, state, zip code):

Client height (min height is 4’, max height is £ 6’2”):

Client weight (maximum £ 220lbs):

Product Color: m White m Black

Select Joystick Controller Position: m Left handed m Right handed

Joystick type: m Mouse controller m Easy grip controller

Lap belt: m Evoflex Pelvic Stablizer Med m Evoflex Pelvic Stablizer large

Tie-downs: m 2 additional/back +$50 (two tie-down points in the front are standard)

Client Measurements and Adjustments

Arm length: m Short m Medium m Long

Arm angle: m 450 m 480 m 520 m 560

Seating Measurements and Adjustments

Seat Depth (adjustment): m 16” m 17” m 18” m 19” m 20”

Seat Cushion Depth: m 16” m 18” m 20”

Seat Angle: m 10 m 40 m 70 m 100

Seat Cushion Upgrade: m Varilite Meridian

Back Support Measurements and Adjustments

Back Support Height (adjustment): m 16” m 17” m 18” m 19”

Back Support Angle (adjustment): m 940 m 960 m 980 m 1000

Back Support Cushion:

[Iconä] Model M: ¡ Low ¡ Mid (+$25) ¡ Tall (+$50) ¡ Deep (+$150)

Foot Plate measurements and adjustments

Seat to Foot Support: m 4XS m 3XS m 2XS m XS m S m M m L

Other Client measurements

Hip width (between 12”-20”):

Seat to elbow (between 5”-16”):

Upper leg length (between 14”-22”):

Lower leg length (between 10”-20”):

Thigh height (between 5”-10”):

Scapula height (10”-20”):

Total Price

Product: Model M (Price without IFF is $8,490.00)

Tie-downs (Model M ONLY +$50)

Back Support Cushion size upgrade

Mid (+$25) ¡ Tall (+$50) ¡ Deep (+$150)

TOTAL

Model M PARTS PRICE LIST

Item Manufacturer Part Number Price

Omni Wheel (1 each) WHILL 210-00680 320

Rear Wheel (1 each) Cian Li Jyu 310-00482 75

Battery Lead Acid 12V-50Ah (1 each) Kung Long 350-00858 120 Arm Cover A (1 each) WHILL 210-00199 30 Arm Cover B (White Left) WHILL 210-00941W 120 Arm Cover B (White Right) WHILL 210-00942-W 120 Arm Cover B (Grey Left) WHILL 210-00941-B 120 Arm Cover B (Grey Right) WHILL 210-00942-B 120 Leg Cover (Left) WHILL 300-00267 45 Leg Cover (Right) WHILL 300-00268 45 Omni Cover (1 each) WHILL 300-00160 8 Circle Cover (White Left) WHILL 210-00145-W 105 Circle Cover (White Right) WHILL 210-00146-W 105 Circle Cover (Grey Left) WHILL 210-00145-B 105 Circle Cover (Grey Right) WHILL 210-00146-B 105 Rear Cover WHILL 300-00945 24 Directional Controller WHILL 210-00149 360 Indicator Assembly (Model M-UR) WHILL 210-00150-R 240 Indicator Assembly (Model M-UL) WHILL 210-00150-L 240 Seat Actuator - LINAK LA23 LINAK 210-00991 300 Power Module, R-net 120A Curtiss-Wright 350-00324 600 Hub Box (Model M) WHILL 210-00804 300 Motor + Gearbox (Left) Parvalux 350-00323 600 Motor + Gearbox (Right) Parvalux 350-00322 600 Battery Charger (not shown) WHILL 350-00679 90 Back Support, Icon (Low) Varilite 4400321610 380 Model M Back Support, Icon (Mid) Varilite 4400121610 400 Model M Back Support, Icon (Mid)* Varilite 4400121610 25 Model M Back Support, Icon (Tall) Varilite 4400221610 420 Model M Back Support, Icon (Tall)* Varilite 4400221610 50 Model M Back Support, Icon (Deep) Varilite 4400421610 500 Model M Back Support, Icon (Deep)* Varilite 4400421610 150 Model M Seat Cushion, Meridian (16"x16") Varilite 72000216161 225 Model M Seat Cushion, Meridian (16"x18") Varilite 72000216181 225 Model M Seat Cushion, Meridian (16"x20") Varilite 72000216201 225 Model M Lap Belt, Evoflex (Medium) Body Point EB225M 67 Model M Lap Belt, Evoflex (Large) Body Point EB225L 67 Mouse Controller Set WHILL SET-103M 18