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HomeMy WebLinkAbout27939CONTRACT INFORMATION SHEET DATE: 6/9/15 Contract No.: Contract Title: Contract Period: Using Agencies: Terms: P-12-443-H Pregnancy Test Kits 9/1/2014 -8/31/2015 DBH Total Contract Amt.: $ 12 ,000.00 ---'---""--------- Buyer Name: Carolyn Flores Requisition No: _56_3_1_50_0_1_99 _______ _ D NEW x I RENEWAL 00 TICK DATE 6/1/2015 DESCRIPTION: Purchase of pregnancy test kits. Vendor Number: Name/Address: Representative: Phone No.: Email: Org: 56302003 Supersedes: .__ _ _,I ADJUSTMENT 9/26/14: Renewed through August 31, 2015 with no price changes per vendor SPECIAL INSTRUCTIONS: DISTRIBUTION: Completed By: Date: DEPARTMENT: DBH x ----------- REQUISITIONER : _B_ran_d_on_Hi_·11 ___ _ x ___ _ 0000001016 MEDLINE .__ _ _.I REFERENCE Co mpleted By: Date CONTRACT NUMBER: P-12-443-H VENDOR NAME: MEDLINE CONTRACT TITLE: PREGNANCY TEST KITS TODAYS DATE: 6/9/15 PRICING EFFECTIVE: 9/1/2014 Through 8/31/2015 USING AGENCIES: DBH Updated Description Manufacturer Mfg# Product# Unit Cost Pregnancy Test Kit , Urine, Permaxim PO 80063 545576 BX 25 $19.33 Redi Screen Pregnancy Test Kit, Peramaxim PO 80021 541515 BX 25 $25.50 Urine/Serum, Redi Screen Page 1