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CONTRACT INFORMATION SHEET DATE: 6/9/15 Contract No.: P-12-013-H Vendor Number: 0000001016 Contract Title: Name/Address: MISC SHARPS CONTAINERS MEDLINE Contract Period: 10/1/14 -9/30/15 Representative: Using Agencies: DPG Phone No.: Email: Terms: Total Contract Amt.: $42,000.00 -'---'--------- 8 u ye r Name: Carolyn Flores Requisition No: 5621401236 , 5621500110 Org: 56201500, 56201654 Supersedes: P-11-231-H --------------~ DNEW ru TICK DATE x I RENEWAL 6/1/15 ~-~I ADJUSTMENT DESCRIPTION: Purchase of miscellaneous sharps containers at a discounted Amerine! rate. 10/8/14: pricing adjusted and renewed for an additional one year. ~-~I REFERENCE SPECIAL INSTRUCTIONS: NOTE: P-11-231-H HAS BEEN COMBINED INTO THIS AGREEMENT 10/8/14 DISTRIBUTION: Completed By: Date: Completed By: Date DEPARTMENT: DPH Purchasing X ---- REQUISITIONER: Martha Deluca X __ _ Crystal Karim X ---- CONTRACT NUMBER: P~2~13~ VENDOR NAME: MEDLINE CONTRACT TITLE: MISC SHARPS CONTAINERS TODAYS DATE: 6/9/15 PRICING EFFECTIVE: 10/1/2014 Through 9/30/2015 USING AGENCIES: DPH Updated Description Manufacturer Mfg# Product# Unit Cost xx CONTAINER SHARPS SGL BECTON 305491 28660 cs $65 .74 DICKINSON xx CONTAINER SHARPS 2GL KENDALL 31142222 178707 cs $70.95 CS/20 RED HEALTHCARE xx CONTAINER SHARPS lGL KENDALL 31143699 372714 cs $94.27 RIGID HEALTHCARE xx CONTAINER 10 GL RED KENDALL 31143665 456330 cs $68.75 HEALTHCARE xx CONTAINER SHARPS MEDEGEN 185 630915 cs $63 .50 1.7 QT RED MEDICAL PRODUCTS LLC xx CONTAINER SHARPS 5 KENDALL 31144010 735940 cs $94 .34 QT RED/CLR HEALTHCARE xx CONTAINER SHARPS 5 BEMIS HEAL TH 175030 864772 cs $132.40 QT RED LF CARE xx CONTAINER SHARPS 3 BECTON 305436 870606 cs $73.24 GLRED DICKINSON xx CONTAINER SHARPS 2 BECTON 305435 877735 cs $58 .20 GLRED DICKINSON xx CONTAINER SHARPS 2 BEM IS HEAL TH 102030 958672 cs $136.50 GLRED CARE Pagel