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Home My WebLink AboutP-16-669-T Amendment 3.pdfCounty of Fresno INTERNAL SERVICES DEPARTMENT ROBERT BASH, DIRECTOR-CIO Facility Services • Fleet Services • Graphics Information Technology • Purchasing Security • Telecommunications AMENDMENT NUMBER THREE (3) Agreement Number: P-16-669-T September 15, 2020 Jorgensen Company 2467 Foundry Park Ave. Fresno , CA 93706 Contract Number P-16-669-T covering first aid & safety supplies is amended as follows: The contract with your company expires November 27 , 2020. The County of Fresno desires to extend this contract for an additional one (1) year period effective November 28, 2020 through November 27, 2021 . 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 4 , 2020 to be effective October 4, 2020 in accordance with the terms and conditions of our Contract Number P-16-669-T , Revised Attachment A, and attached Jorgensen Order Form Revision date 10/4/2020. All orders placed prior to October 4, 2020 will be priced in accordance with current contract pricing. Please acknowledge your acceptance by returning all pages of this letter to my office via email or USPS. If you have any questions , please contact Heather Stevens, Purchasing Technician II , at (559) 600-7115 or email heastevens@fresnocountvca.gov . FOR THE COUNTY OF FRESNO Gary Cornuelle Digrtally signed byGaryCornuelle Date: 2020.09.15 13:23:06 -oToo· Gary E. Cornuelle Purchasing Manager 333 W. Pontiac Way Clovis, CA 93612 GEC:HS G:\PUBLIC\CONTRACTS & EXTRACTS\T\P-16-069-T JORGENSEN\AMEND 3\P-16-669-T AMEND 3 .DOCX 333 W. Pontiac Way, Clovis, CA 93612 I (559) 600-7110 * The County of Fresno is an Equal Employment Opportunity Employer * CONTRACT NO. P-16-669-T Jorgensen Company September 15, 2020 CONTRACTOR TO COMPLETE: Page2 Company: Jorgensen & Sons Inc. dba Jorgensen Company Type of Entity: 0 Individual 0 Limited Liability Company D Sole Proprietorship 0 Limited Liability Partnership l!l Corporation 0 General Partnership S·n~ure ~~~~~~~~~~~~~~ Darell He ey Presi 9/16/2020 Print Name and Title Date Signatu ~ ~~~ Lisa ~ntroller/Secr~tary Treasurer 9/16/2020 Print Name and Title Date 2467 Foundry Park Ave Fresno CA 93706 Address City State Zip 559-268-6241 559-268-5239 dhefley@jorgensenco.com TELEPH ONE NUMBER F AX N UM BER E-MAIL ADDRESS ACCOUNTING USE ONlY ORG No .: 89250100 Account No.: 7295 Requisition No.: 8922100114 (1/2020) G:\PUBLIC\CONTRACTS & EXTRACTS\TIP-16-669-T JORGENSEN\AMEND 3\P-16-669-T AMEND 3.DOCX CONTRACT NO. P-16-669-T Jorgensen Company September 15,2020 Revised Attachment ·~" Description Alcohol Prep Pads PVP iodine antiseptic swabs, 10 per box Wound Wipes, 20 per box 1" x 3" adhesive bandage, 16 per box Antiseptic spray , 3 oz. Pump style 1" x 5 yd adhesive tape , sterile-in plastic spool Cotton tipped applicators. 6". 100 packets of 2 ea . 4 oz . Buffered eyewash 1 oz . Buffered eyewash Eye cups , 6 per vial 1"x 10 yd . sterile gauze bandage 2" x 10 yd . Sterile gauze bandage 3" x 10 yd . Sterile gauze bandage Gauze pads, 2" sterile , 10 per box Gauze pads, 3" sterile , 4 per box Non-adhering adhesive pads, 2"x 3", 10 per bo x Bacitracin antibiotic ointment, .9 gram . 25 per box In stant cold pack, 1 per box Triangular bandage, non-sterile 3" offset bandage compress , 2 per box Sterile eye pads , 4 per box Micro shield clear mouth barrier for CPR Scissors and tweezers, 1 of each per box 3M hypoallergenic paper tape Disposable nitrile gloves, 2 pr . per box. 1 size Empty 2 shelf industrial first aid kitw/ pouch 15.5" X 10.5" X 5.34" Empty Unitized first aid kit for vehicles Flares-30 minute Emergency blankets -54" X 80" • Delivery o Incoming freight for special order items. o Local delivery is free for stock orders over $100 .00 Page3 Item Number Brand Price 2606 Hart $0.91 0471 Hart $2.61 6197 Hart $0 .81 0110 Hart $0 .47 2717 Hart $1 .69 1214 Hart $1 .20 1157 Hart $1.25 4730 Hart $1.77 4726 -$1 .60 7744 Hart $1.23 1706 Hart $0.66 1707 Hart $1 .01 1708 Hart $1 .28 1832 Hart $0.47 1833 Hart $0.76 2131 Hart $1 .46 1049124 Schein $4 .66 0515 Hart $0.62 2395 Hart $0 .42 0223 Hart $1 .40 0270 Hart $1 .23 0545 Hart $5.19 0552 Hart $0.99 1530-1 3m $0.74 0586 Hart $0.69 0932 Hart $25.67 0845 Hart $10.64 0730 Orion $2.25 2924 Hart $6.39 o Applicable outgoing freight cost for non-qualifying orders or shipmen requested orders • 1 0% -15% Off Catalog Prices • Catalogs Available on Request G:\PUBLIC\CONTRACTS & EXTRACTS\T\P-16-669-T JORGENSEN\AMEND 3\P-16-669-T AMEND 3.DOCX FRESNO COUNTY FffiST AID ORDER FORM SITE ADDRESS: __________________________ _ B~LffiGADDRESS&DEPARTMENT ____________________ _ NAME: ______________________________ _ PHONE: ______________ _ CHOOSE LOGISTICS: SHIP COMPLETE ($100 minimum required for prepaid freight) __ _ -OR- WILL CALL (partial order shipments permitted) ______ _ Date: -------Requisition # __________ _ Contract# P-16-669-T Phone: 268-6241 X 1 I FAX: 268-0710 I E-mail: sales@jorgensenco.com ITEM# PRODUCT DESCRIPTION KIT STYLE UNIT PRICE ORDER QTY. 6197 Wound wipes, 20 per box Automobiles & Office BX $0.81 2606 Alcohol wipes, 50 per box Automobiles & Office BX $.9 1 0471 PVP Iodine Swabs, 10 per box Automobiles & Office BX $2.61 27 17 Antiseptic spray, 2 oz. pump Automobiles & Office EA $1.69 1214 Adhesive tape, 1" x 5 y d Automobiles & Office EA $1.20 -On a plastic dispensing spool - 1530-1 Adhesive tape, 3M hypoallergenic paper type Automobiles & Office EA $0.74 1157 Cotton tipped applicators, 3", 100 per v ial Automobiles & Office BX $1.25 4730 Sterile eyewash, buffered 4 ounce bottle Office only EA $1.77 4726 Sterile eyewash, buffered 1 ounce bottle Office only E A $1.60 7744 Eye cups, 6 per vial Office only E A $1.23 1706 Roller gauze bandage 1"x 10 y d. sterile Automobiles & Office RL $0.66 1707 Roller gauze bandage 2" x 10 yd. sterile Automobiles & Office RL $1.01 1708 Roller gauze bandage 3" x 10 yd . sterile Automobiles & Office RL $1.28 1832 Gauze pads, 2 " x 2", 10 per box Automobiles & Office BX $0.47 1833 Gauze pads, 3" x 3", 10 per box Automobiles & Office BX $0.76 2131 Telfa non-stick gauze pads, 2"x 3", 25 per box Automobiles & Office BX $1.65 1049124 Bacitracin antibiotic ointment, . 9 gram, 25 per box Automobiles & Office BX $4.66 0515 Instant cold pack, 5" x 6" , 1 each Office only EA $0.62 2395 Triangular bandage, 40" x 40" X 56" Automobiles & Office EA $.42 Rev 10/4 /2020 0223 0270 0545 0552 7320 2641 0586 1088 0 11 0 0932 0845 2924 0730 Compress bandage -3" , 2 per box Automobiles & Office Eye dressing, st erile 4 per box Automobiles & Office CPR mask/ barrier shield Automobiles & Office Scissors & Forceps, wire handle Office only Splinter Out, tweezers alternative, 10 pe r unit Office only Disposable vinyl gloves, 2 pr./ box, one size Automobiles & Office Disposable nitrile gloves, 2 pr./ box, one size Automobiles & Office Adhesive bandages, assorted styles/ woven Automobiles & Office 60 assorted bandages per box 1" x 3" adhesive sheer bandages, Automobiles & Office 16 per box Empty 2 shelf first aid kit for wall mount Office Use 14-7/8"x10" x 4-5/8"" Empty unitized first aid kit for vehicles Automobile use Emergency blanket, yellow, 58" x 90" *Not specified* 30 minute flare * Not specified* Jorgensen Company )f.n P.mpf.oyee Owned Company 2467 Pouncfry Park)Ive Presno, Ca 93706 Page2 Comments or Questions: BX $1.40 BX $1.23 EA $5.19 PR $0.99 EA $1.62 BX $0.70 BX $.69 BX $2.45 $.47 EA $25 .67 EA $10 .64 EA $6.39 EA $2.25 Rev 10/4/2 020