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County of Fresno
INTERNAL SERVICES DEPARTMENT
0� 1$5 Facilities- Fleet-Graphics• Purchasing -Security•Technology
ORES
AMENDMENT NUMBER ONE (1)
Agreement Number: P-21-499
September 30, 2024
Jorgensen Co
2467 Foundry Park Avenue
Fresno, CA 93706
Contract Number P-21-499 covering first aid and safety supplies is amended as follows:
The contract with your company expires November 27, 2024. The County of Fresno desires to extend this
contract for an additional one (1)year period effective November 28, 2024 through November 27, 2025.
Prices will be firm for the contract period. Amendment provisions shall remain in full force and effect with
any contract renewals.
The County of Fresno hereby accepts your price increase notice dated September 19, 2024 to be
effective November 28, 2024 in accordance with the terms and conditions of our Contract Number P-21-
499 and the Revised Attachment"A". All orders placed prior to November 28, 2024 will be priced in
accordance with current contract pricing.
Electronic Signatures. The parties agree that this Agreement may be executed by electronic signature as
provided in this section.
A. An "electronic signature" means any symbol or process intended by an individual signing this
Agreement to represent their signature, including but not limited to (1)a digital signature; (2) a faxed
version of an original handwritten signature; or(3)an electronically scanned and transmitted (for
example by PDF document)of a handwritten signature.
B. Each electronic signature affixed or attached to this Agreement(1) is deemed equivalent to a valid
original handwritten signature of the person signing this Agreement for all purposes, including but not
limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force
and effect as the valid original handwritten signature of that person.
C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in
the Uniform Electronic Transaction Act(Civil Code, Division 3, Part 2, Title 2.5, beginning with section
1633.1).
D. Each party using a digital signature represents that it has undertaken and satisfied the requirements
of Government Code section 16.5, subdivision (a), paragraphs (1)through (5), and agrees that each
other party may rely upon that representation.
This Agreement is not conditioned upon the parties conducting the transactions under it by electronic
means and either party may sign this Agreement with an original handwritten signature.
Please acknowledge your acceptance by returning all pages of this letter to my office via email.
333 W. Pontiac Way, Clovis, CA 93612 / (559) 600-7110
The County of Fresno is an Equal Employment Opportunity Employer
CONTRACT NO. P-21-499 Page 2
Jorgensen Co
September 30, 2024
If you have any questions, please contact Crystal Nino, Purchasing Analyst, at(559) 600-7110 or email
cnino(aUresnocountyca.gov.
FOR THE COUNTY OF FRESNO
DigitBlckbur
Riley Blackburn Dateal024.10031ly signed by�1:27:110a0700n
Riley Blackburn
Purchasing Manager
333 W. Pontiac Way
Clovis, CA 93612
P-21-499 Jorgensen Co.Amend 1.docx
CONTRACT NO. P-21-499 Page 3
Jorgensen Co
September 30,2024
CONTRACTOR TO COMPLETE:
!
Company: k i1 q
Type of Entity:
individual ! Limited Liability Company
( Sole Proprietorship j Limited Liability Partnership
, ''Corporation ( General Partnership
Signature /
Print Name and Title pate
Signature
Li
Print Name and Title Date
Address�-� /,+ p City State Zip
TELEPHONE NUMBER FAX NUMBER E-MAIL ARAR Ss
ACCOUNTING USE ONLY
ORG No.: 89250100
Account No.: 7295
Requisition No.: 8922500121
(712024)
P-21-499 Jorgensen Co.Amend 1.docx
CONTRACT NO. P-21-499 Page 4
Jorgensen Co
September 30, 2024
Revised Attachment "A "- Effective 11128124
Product Item # Price
Wound wipes, 20 per box 6197 $1.18
Alcohol wipes, 50 per box 2606 $1.37
PVP Iodine Swabs, 10 per box 0471 $4.93
Antiseptic spray, 2 oz. pump 2717 $2.10
Adhesive tape, 1" x 5 yd 1214 $1.54
Paper micropore tape, 3M 1x10 #1530-1 1241 $1.37
Cotton tipped applicators, 3", 100 per vial 1157 $2.09
Sterile eyewash, buffered 4-ounce bottle 4730 $2.41
Sterile eyewash, buffered 1 ounce bottle 4726 $1.89
Eye cups, 6 per vial 7744 $1.77
Roller gauze bandage 1"x 10 yd. sterile 1706 $0.96
Roller gauze bandage 2" x 10 yd. sterile 1707 $1.50
Roller gauze bandage 3" x 10 yd. sterile 1708 $1.89
Gauze pads, 2" x 2", 10 per box 1832 $0.69
Gauze pads, 3" x 3", 10 per box 1833 $1.15
Telfa non-stick gauze pads, 2"x 3", 25 per box 2131 $2.26
Bacitracin antibiotic ointment, .9 gram, 25 per box 1049124 $4.95
Instant cold pack, 5" x 6", 1 each 0515 $0.89
Triangular bandage, 40" x 40" X 56" 2395 $0.65
Compress bandage - 3", 2 per box 0223 $2.19
Eye dressing, sterile 4 per box 0270 $1.37
CPR mask/ barrier shield 0547 $5.35
Scissors & Forceps, wire handle 0552 $1.57
P-21-499 Jorgensen Co.Amend 1.docx
CONTRACT NO. P-21-499 Page 5
Jorgensen Co
September 30, 2024
Product Item # Price
Splinter Out, tweezers alternative, 10 per unit 7320 $2.00
Scissors & Forceps, wire handle 0552 $1.57
Disposable vinyl gloves, 2 pr./ box, one size 7718 $1.10
Disposable nitrile gloves, 2 pr./ box, one size 0586 $1.39
Adhesive bandages, assorted styles/woven - 60 assorted bandages 1088 $3.08
per box
1" x 3" adhesive sheer bandage, 16 per box 0110 $0.62
Empty 2 shelf first aid kit for wall mount 15"x 10"x 4.5" 0932 $39.00
Empty unitized first aid kit for vehicles 0887 $20.23
No minimum order quantity
Email order forms to salesorgensenco.com
Free delivery over $150.00
Orders under $150.00 are available via will call or additional shipping costs.
P-21-499 Jorgensen Co.Amend 1.docx