HomeMy WebLinkAbout379008 SMITHS MEDICAL PM - PURCHASE ORDER - 6600699Date: 02/06/06
City of Fort Collins
City of Fort Collins
Page Number: 1
Purchase Order Number: 6600699
...c....vey vaay. Wu iww Buyer: 6t7NNETTE, ED
Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence.
Note:
Line Qty/Units Description
Extended Price
1 1 LOT
12,795.00
pulse oximeters (20)
PER PROPOSAL #012506-PFA-3301-20 FROM WENDELL BASSETT,
DATED JANUARY 25, 2006.
PRICING IS GSA PRICING; THROUGH COLORADO 1122 FEDERAL
PROCUREMENT PROGRAM (COUNTER -DRUG ACTIVITIES) FOR
POUDRE FIRE AUTHORITY; PER THEIR AGENCY LETTER.
(QTY 20) #3301 BCI 3301 HAND-HELD PULSE OXIMETERS @ $470.05/EA
= $9,401.00 (SYSTEM INCLUDES: #3301 MONITOR, #1818R OPERATION/
SERVICE MANUAL, #3044 OXIMETRY FINGER SENSOR, ALKALINE "C"
CELL BATTERIES (QTY OF 3)).
(QTY 20) #3318 PROTECTIVE RUBBER BOOT W/CARRYING STRAP
@ $25.00/EA = $500.00
(QTY 20) #3178 PEDIATRIC REUSABLE OXIMETRY FINGER SENDSOR
@ $142.20/EA = $2,844.00
FREIGHT @ $50.00 FOR ENTIRE ORDER; SHIPPED F.O.B. FT. COLLINS, CO
ORDER TOTAL $12,795.00
PLEASE SHIP TO ATTN : JOHN VANGORDER, CONTACT #(970)416-2086.
Total $12,795.00
City of Fort Cqrinf Director of Purchasing and Risk Management
This order is rtQlhalid over $2000 unless signed by James B. O'Neill II, CPPO, FNIGP
City of Fort Collins
Accounting Department
City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580
PO Box 580
Phone: 970-221-6775 Fax: 970-221-6707 Email: info@ci.fortcollins.co.us
Fort Collins, CO 80522-0580
smLths
BCl® 3301 Hand -Held Pulse Oximeter Quote
Smiths Medical PM, Inc.
Patient Monitoring and Ventilation
N7 W22025 Johnson Drive, Waukesha, Wisconsin 53186 USA
Phone 262-542-3100 Fax 262-542-0718 Toll Free 1-800-558-2345
Internet: http://www.smiths-medical.com
To:
Poudre Fire Authority
3400 W. Vine
Ft. Collins, CO 80521
Attn:
Ed Sonnette
Phone:
970-416-2247
Fax:
January 25, 2006
Prepared by: Wendell Bassett
Pricing Authorized by: GSA PRICING
Proposal* 012506-PFA-3301-20
TERMS
CONDITIONS
FOB
FREIGHT
SALESPERSON
NET 30
VALID FOR 30 DAYS
W AUKESHA, W l
Prepay & Add
We
CATALOG
CITY
DESCRIPTION
LIST UNIT
DISCOUNT
NET UNIT
TOTAL
#
PRICE
PRICE
3301
20
BCI® 3301 Hand -Held Pulse Oximeter
$595.00
-$124.95
$470.05
$9,401.00
System includes:
3301 — Monitor
1818R — OperationlService Manual
3044 — Oximetry Finger Sensor
Alkaline "C" cell batteries —quantity of 3
3318
20
Protective rubber boot with carrying strap
$50.00
425.00
$25.00
$500.00
3178
20
Pediatric Reusable Oximetry Finger Sensor
$180,00
-$37.80
$142.20
$2,844.00
FREIGHT
1
FREIGHT FOR THIS SHIPMENT
$50.00
0.00
$50.00
$50.00
THIS ORDER TO BE SENT FOB FT. Collins, CO.
$0.00
$0.00
Visa and Mastercard Accepted Total $12,795.00
Subject to applicable sales tax and freight charges
Warranly
24 months on monitor
12 months on reusable sensor and patient cable
U.S. Patent No.5,437,275 Signature
SCl is a trademark of the SmBhs Madical family of companies I ` _ w
(�'(,./�
The symbol ® mU. indicates the trademark is registered in the S. Patent and Trademark Once and certain other PO# 6 l
�a
countries J /
02oo4 Smiths Medical Family of companies. All rights reserved Date
All products liated are covered by the Smiths Medical PM, Inc. Terns and conditions of Sale
Please include this quote, signed and dated, with your company purchase order (if applicable) when placing your order.
RV 111604
2006-02-02 17:05 4
JAN-27-06 FRI 11,22 AID 0175T OQLLINSt PURCHAS FAX NO. 970 2216707 P.91
The Colorado 1122 Federal Procurement Program
Phone: 303-239-5776 pars 30-239-5775
ps
I USE Oat lernal 1 f''und { Agocy i org Appr qDJ i CRL ITivisiOP G7i4r 1
1122 Spee& Urder Form
BCI 3178 Pediatric Reusable Oximetry Finger
Sensor
FAch
Qvanttty to he
20 each
NA
sadcbs Medical F".Y1, lrw-
norm
#3178
Unit Price
$2,844.00
Pnp" #012506-PFA-33oi-20
NT W22025 dobnson Drive
Waukesba, W153186 Karly Pride, Customer Service
PUM: 262-542-3100 I Pax 262-so. Is BmaO
John Vangorder,Puudre Fire j 970-416-2086 970-221.0854
Authority
Email - - — "- OrdaC Date —� RequirEA Date of DI
1Vaagordotic6ovcnm 1-26-06 As soon as
po
I
----
Poudre Tire Authority
3400 W Vine
Fort Collins, CO 80521
Attu; John'Vangorder
This oM'W is placad Pw% am to Stour and Local Law
8atoteetnem Equipment envorEmEat Program (1 w
Prog=) in support of Omnter-chug activium
Dee
----Invoke--- - 1122 C AppwQl
Colorado State Patlroi This order is placed putsuaw to Wee and Local Law Fnfineanere Equiplrmtt
1127FederaiProcurement Program Ptocumnant0122P in*%Wtofooulger4ma4avvlilac.
7001Cip1ing, Sttita 3000 g &n�o�S Ye v A pt cial
Denver, CO $0215 Please fax tot E03a39-57't5
2006-02-02 17:0 4
JAN-27-06 FRI 11i22 Ail CITY/FT COLLINS, PURCHAS FAX NO, 070 2216707 P.(P9/�
The Colorado 1122 Federal Procurement Program
Phone: 303-239-5776 Fax: 303-239-5773
CI1P51gtet7tal Fund II I",({ Org Appr Obj ' CAL Dtvisioa i 1122PON
CseOnly L_ ..,L . 1
1122 Special Order Form
Staff use 0Ny-Fsaed: Confirmed
product poaerioden or Nalwast Stock Member � ; Model or Part Number
BC13318 Protective Rubber Boot with Carrying #3319
Strap
i
UnitPrice $25.00/each ..-,
FAO
Quseft to be ordered _ — Extended Prim (Veit mes x Qoanfity)
20 each SSAA.00
Additional $hipping Cents Total Prite
NA $500.00
i
Voador Informatm Sinoinde as much information as >:ottatbisl
(( lnrra Nam* GSA Contract Nuutbar
j Smiths 1ledical PH, Inc. Proposal #0125*"A-3301-20
Address -- � Vender Point of Costar
�V7 W22025 Jahnsan Drive
! Wauk/wha, WI 53I86 Karly Pride, Customer Service
i
Phnntt7.e2.54Z�t0li �Fs:267•s42�f+7'Ig �.���- F.rdait.�"...u...". —�
I
Cuidamer Information _
O ericgOffici1W?0C Ph4na Fax �-
1 John Wnngorder, Poudre Fire: 970-416-2086 97422.1.085E
Authority
EMU _--� OrderWty -� RequtredAAbetDclrvery -
JVao°�+Prdtr�iyfcgor,eom 1.26.06 As soon as possible
l This order is placed mumm to State and (local Law
FafotcemenrF.gtdpm=ftcemmm Nagam (f 1 Y2
Poudre Fire Authority Program) in Support ofCaunttFdiag acoritirS.
3400 W vine
Fort Collins, CO 80521 »at,
AMA John Vangorder
-- ....... -.
1122LSPOC.Approval
Colorado State Patrol ibis OWcr is placed pursrwm to State and 1=al LAW Enf atom Ewipman
1127Federal Proeureawat Program t4oeumrnent (t tz2� )support ofccwmarMhug-cdvlria.
j 700 Klpiing, Suite 3b0A �, r a% o cr,
{ Denver, CO 80215 Signature of SPOC 4mving offie at
Pteasefsx to: 3ti3.334.5775
Z JAN-FQO FRi IIID% CITY/FT COLLINS, FURCHAS FAX NO, 970 2216707 P. A/Y4
The Colorado 1122 Federal Procurement Program
Phone: 303-239-5776 Fax: 303-239-5775
CDPS interest Fund t A,ncv Org Appr Obj GRL Di wow ; t12i rM t
1122 Special Order Form
Star We otty Faxed:
COD&MC&
A odoaDeseeipeWeorNawndStock:Vnmbor
ModdorPan Naftaber
BCI 3301 Hwid-held Irnlse Oximeters
i
i
+�330I
Unit otTune -- --'—
Cob
UnFtPrice $470.09eaeh
Qu%Pft to be ordered
Lxtot Prig (dolt him x Quantity)
20 each
—
59,401.00
--
! Additioio 3blpPCosta
Total Price
�$9,asLoa
Vendor InfQEM#tion (include as much Information as pettatibkl
firm Name.
Smiths Medical I t, Inc.
— �� GSA t oapxst Marcher
PropoW #01250&PFA 3301.20
.�..-
Address
Vendor point ofCoatact
N7 W22025 Johtrson Drive
Waukesha, WI 53186
Karly Pride, Customer Service
Phone_ 2JS2.SOb3100 Fax 262 M2411*
Email
Customer lnformadon
OrderiagOtFicial/MC Mae � � Fix - --•�-
John V=gnrder, Poudre Fire 970416-2086 ; 970-2-21.0854
Authority
i
iEfaaSl order
JvattgiMerfcgoe eom
Dace Ragaired Date of nakwy
I-26-06 _ As soon as possible
Thin erdor is plsued puraumt to State avid Low law
Edamernm PAuonwit hoctaaaem Program (1 r2
Poudre Fire Authority
>' )iinnsupperofCamter-dtasactivitim
4 3400 W Vine
pate
Fort C oklins, CO $0521
r
Attn: John 'Vangoxcier
1l22 SIWOC Approval
Caletrado State Patrol
Tbis orda is placed xaswnt to State and Local Law Waxemeut Equipment
i 1122Federal Procurement Prograln
procurawtC2.FUP1°.� �FAi'P°^taCcawtwda+gacthitioa.
I-A.7-v�
�o
700Kj)&g,3taite3000
Sgn n-Mvirts [cial
Denver, CO 90215
please rax to; 3o3-a39471s
it
{ Poudre Fire Authority
Ptcanim
3400 West Vine Drive
Fort Collins, Colorado 80521
January 31, 2006
To Colorado State Patrol 1122 program.
We are requesting authorization for purchase of pulse oxymetry monitoring devices to
carry on our fire apparatus as part of anti -drug program through the state.
Pulse oxymetry is utilized to assess physical status of individuals, including law
enforcement and fire personnel, who may have been exposed to fumes and vapors from
methamphetamine and other illegally manufactured drugs. The respiratory effects of
these uncontrolled dangerous processes directly affects the cardio-vascular system of
parties exposed, and pulse oxymetry monitoring is a rapid means to assess the extent of
such exposures and serves as starting point for definitive treatment.
Respectfully,
John VanGorder
Captain, Poudre Fire Authority
Warehouse/Purchasing Division