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CONTRACT INFORMATION SHEET DATE: 6/9/15 Contract No.: Contract Title: Contract Period: Using Agencies: Terms: Total Contract Amt.: Buyer Name: P-15-044-L BABY ITEMS 2/10/2015 -12/31/2015 DSS,DBH,DPH $90,000.00 Carolyn Flores Requisition No: _5_61_1_5_oo_9_79 _______ _ Vendor Number: Name/Address: Representative: Phone No.: Email: Org: 5610, 5630, 5620 0000001016 MEDLINE Supersedes: P-12-017-H and P-13-013-H [!]NEW [!] TICK DATE ..___~I RENEWAL 11/1/15 ..___~I ADJUSTMENT DESCRIPTION: Miscellaneous baby items based on Amerinet Pricing discounts SPECIAL INSTRUCTIONS: THIS CONTRACT REPLACES P-12-017-H AND P-13-013-H DISTRIBUTION: Completed By: Date: DEPARTMENT: DPH Purchasing, DBH, DSS X ---- REQUISITIONER: Ed Moreno X ---- Brandon Hill X Stephanie German X ___ _ Martha Deluca ----~' REFERENCE Completed By: Date CONTRACT NUMBER: P-15-044-L VENDOR NAME: MEDLINE CONTRACT TITLE: BABY ITEMS TODAYS DATE: 6/9/15 PRICING EFFECTIVE: 2/10/2015 Through 12/31/2015 USING AGENCIES: DSS, DPH, DBH Updated Description Manufacturer Mfg# PHS# Unit Cost BABY WIPES, 40/TUB M233XT 35817 CS24 $33 .00 DIAPER, LARGE, HUGGIES K-C 10518 517168 cs 108 $71 .98 DIAPER, MEDIUM HUGGIES K-C 10517 508214 cs 126 $71.98 DIAPER, SMALL HUGGIES K-C 55701 553718 cs 160 $49 .38 Ambassador Auto Booster Car Dorel Juvenile 22293BVL 613070 EA $20.50 Seat, 30-100 lbs. forward facing Car Seat, Convertible, Titan, 5 Evenflo 3702098 768857 CS2 $164 .12 point 50# harness, Rear/Forward, Factory Sealed Child Car Seat, 2 modes of Dorel Juvenile CC047FS 817431 EA $57.96 use: rear facing 5-40 M lbs./forward facing 22-40 lbs., 4 harness heights, 3 buckle locations, side impact protection, 5 point harness with up front adjuster, Latch- equipped High Back Infant Booster Seat Dorel Juvenile 22253BM 991459 EA $58.95 Q Snugride-lnfant Car Seat Graco 8F34FOF3 189309 EA $67.00 Booster Seat, AMP High B Evenflo 3192198 42911 CS2 $103.71 8 oz Baby Bottle Abbott Ped 00875 558542 cs 144 $262.50 Rubber Bottle Nipple Abbott Ped 00079 569064 cs 250 $43.75 4 oz Baby Bottle Abbott Ped 51950 138122 cs 144 $171.25 Bottle Caps Abbott Ped 54080 678810 cs 250 $37.20 2 oz Bottle w/Cap & Clips Abbott Ped 57752 779458 CS36 $125.00 Page 1