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SOLICITATION, OFFER, ACCEPTANCE, AND AWARD 1. Date Solicited October 24, 2012 2. Solicitation Number RFP-212-10-055-SUP 3. Type of Solicitation RFP 4. Date of Award 5. Contract Number 6. Issued By: 7. Mail Or Hand Deliver Bids/Offers To: 8. Due date for bids/offers: November 8, 2012 University Health System Attn: Procurement Services Department Solicitation: RFP-212-10-055-SUP 9. Time Due for bids/offers: 2:00 PM CST 355-2 Spencer Lane San Antonio, TX 78201 SOLICITATION: Dialysis Supplies and Services 10. Sealed proposals – an original, (signed in blue ink) four (4) copies and four (4) flash drives for furnishing the services in the Schedule will be received at the place, date, and time specified in Items 7, 8 and 9. Proposals received at any other location or after the due date and time specified will be disqualified. Awards are posted on the University Health System (Health System) website at www.UniversityHealthSystem.com/bid-archive . Respondents may NOT contact any Health System employee or representative regarding this solicitation. All contact must be made through the Procurement Services Department. All proposals are subject to all terms and conditions attached to this solicitation. Any additions, changes or deletions to any part of this solicitation, including the terms and conditions hereto attached, may render your proposal non-responsive and disqualify you from the solicitation process. 11. A. For information contact: Cynthia Antu B. E-mail: [email protected] C. Telephone No. 210-358-9168 D. Fax No. 210-358-9145 OFFER (All information must be filled in completely by bidder or your bid may be disqualified) 12. In compliance with the above, the vendor agrees that if this proposal is accepted within 180 calendar days from the date of receipt for offers specified above, the vendor will furnish any or all services/items at the prices offered, delivered at the designated point(s), and within the time specified in the schedule. 13. Acknowledgement of Amendments: In the event of an amendment(s) to this solicitation, the amendment document will be posted under this solicitation at www.UniversityHealthSystem.com/bids five days before the bid close date. Vendor acknowledges receipt of the following amendments/addenda: ________________________ Acknowledgement of all amendments is mandatory. Omission may render your proposal non-responsive. 14. Discount for Prompt Payment: 10 Calendar Days 20 Calendar Days 30 Calendar Days __ Calendar Days ___________% ____________% ___________% ___________% 15. Size of Business: Small Large * Provide any Certifications, if available, and complete the attached Vendor Questionnaire. 16. Type of Ownership: Minority Owned Woman Owned Veteran Owned Disadvantaged(SDB) HUB Not Applicable 17. Name and Address of vendor Company Name _________________________________ Contact Name _________________________________ Address _________________________________ City, State & Zip _________________________________ Telephone No. _________________________________ Fax No. _________________________________ E-mail address: __________________________________ 18. Name and Title of Person Authorized to Sign Offer (Failure to sign shall result in rejection of offer) Print Name _________________________________________ Title _________________________________________ Signature * _________________________________________ Original must be signed in Ink. Date _________________________________________ * By affixing your signature you certify that you have authority to bind your company to the pricing, terms and conditions contained herein. ACCEPTANCE AND AWARD (to be completed by University Health System) 19. Acceptance of the following items: _______________________________ ________________________________ 20. Term of the contract: _____________________ _____________________ 21. Amount of Award: $ __________________ 23. University Health System: ______________ Kourtney Mosby Director, Procurement Svcs. 22. Accounting & Appropriation: __________________________

SOLICITATION, OFFER, ACCEPTANCE, AND AWARDhr.universityhealthsystem.com/purchasing/pdf/860.pdf · Kourtney Mosby Director, Procurement Svcs. 22. Accounting & Appropriation: _____

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Page 1: SOLICITATION, OFFER, ACCEPTANCE, AND AWARDhr.universityhealthsystem.com/purchasing/pdf/860.pdf · Kourtney Mosby Director, Procurement Svcs. 22. Accounting & Appropriation: _____

SOLICITATION, OFFER, ACCEPTANCE, AND AWARD

1. Date Solicited

October 24, 2012 2. Solicitation Number

RFP-212-10-055-SUP 3. Type of Solicitation

RFP 4. Date of Award

5. Contract Number

6. Issued By:

7. Mail Or Hand Deliver Bids/Offers To: 8. Due date for bids/offers:

November 8, 2012 University Health SystemAttn: Procurement Services Department Solicitation: RFP-212-10-055-SUP 9. Time Due for

bids/offers:

2:00 PM CST 355-2 Spencer LaneSan Antonio, TX 78201

SOLICITATION: Dialysis Supplies and Services 10. Sealed proposals – an original, (signed in blue ink) four (4) copies and four (4) flash drives for furnishing the services in the Schedule will be received at the place, date, and time specified in Items 7, 8 and 9. Proposals received at any other location or after the due date and time specified will be disqualified. Awards are posted on the University Health System (Health System) website at www.UniversityHealthSystem.com/bid-archive. Respondents may NOT contact any Health System employee or representative regarding this solicitation. All contact must be made through the Procurement Services Department. All proposals are subject to all terms and conditions attached to this solicitation. Any additions, changes or deletions to any part of this solicitation, including the terms and conditions hereto attached, may render your proposal non-responsive and disqualify you from the solicitation process.

11. A. For information contact: Cynthia Antu

B. E-mail: [email protected]

C. Telephone No. 210-358-9168

D. Fax No. 210-358-9145

OFFER (All information must be filled in completely by bidder or your bid may be disqualified) 12. In compliance with the above, the vendor agrees that if this proposal is accepted within 180 calendar days from the date of receipt for offers specified above, the vendor will furnish any or all services/items at the prices offered, delivered at the designated point(s), and within the time specified in the schedule.

13. Acknowledgement of Amendments: In the event of an amendment(s) to this solicitation, the amendment document will be posted under this solicitation at www.UniversityHealthSystem.com/bids five days before the bid close date. Vendor acknowledges receipt of the following amendments/addenda: ________________________ Acknowledgement of all amendments is mandatory. Omission may render your proposal non-responsive.14. Discount for Prompt Payment: 10 Calendar Days 20 Calendar Days 30 Calendar Days __ Calendar Days ___________% ____________% ___________% ___________%15. Size of Business: Small Large * Provide any Certifications, if available, and complete the attached Vendor Questionnaire.

16. Type of Ownership: Minority Owned Woman Owned Veteran Owned Disadvantaged(SDB) HUB Not Applicable

17. Name and Address of vendor Company Name _________________________________ Contact Name _________________________________ Address _________________________________ City, State & Zip _________________________________ Telephone No. _________________________________ Fax No. _________________________________ E-mail address: __________________________________

18. Name and Title of Person Authorized to Sign Offer(Failure to sign shall result in rejection of offer)

Print Name _________________________________________ Title _________________________________________

Signature * _________________________________________

Original must be signed in Ink.

Date _________________________________________

* By affixing your signature you certify that you have authority to bind your company to the pricing, terms and conditions contained herein.

ACCEPTANCE AND AWARD (to be completed by University Health System)

19. Acceptance of the following items:

_______________________________

________________________________

20. Term of the contract:

_____________________

_____________________

21. Amount of Award: $ __________________

23. University Health System:

______________ Kourtney Mosby Director, Procurement Svcs.

22. Accounting & Appropriation:

__________________________

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Company Name: _____________________________________________________ RFP-212-10-055-SUP Page 2 of 19

BEXAR COUNTY HOSPITAL DISTRICT

RFP-212-10-055-SUP DUE: November 8, 2012 @ 2:00PM CST

Dialysis Supplies ____________________________________________________________________________

TABLE OF CONTENTS

I. INVITATION TO RESPOND

A. Letter to Vendors

II. INSTRUCTIONS

A. Important Bidding Instructions B. Additional Terms and Conditions C. Business Associate Information D. Proposal Format E. Evaluation and Selection Criteria F. Decision Criteria Award Matrix G. Respondent Checklist H. Respondent Question Form I. List of University Health System facilities

III. COMPANY RESPONSE

A. Specifications B. Scope C. Excel Worksheet

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 3 of 19

BEXAR COUNTY HOSPITAL DISTRICT

RFP-212-10-055-SUP DUE: November 8, 2012 @ 2:00PM CST

Dialysis Supplies ____________________________________________________________________________

I. INVITATION TO RESPOND

The Bexar County Hospital District d/b/a University Health System, herein after ‘the Health System,’ is a political subdivision of the State of Texas, and is a nationally-recognized academic medical center owned by the people of Bexar County. The Health System is San Antonio’s only Magnet healthcare organization. Magnet is a designation of the American Nurses’ Credentialing Center and is the “gold standard” of excellence in patient care. Accredited by The Joint Commission, the Health System serves as the primary teaching locations for The University of Texas Health Science Center at San Antonio and is in the top one percent of the country for going “paperless” with electronic medical records. Since 2008, the Health System has been included among the American Hospital Association’s list of the 100 Most Wired Hospitals and Health Systems. Clinical locations include University Hospital, a 498-occupied bed acute care hospital and South Texas’ Lead Level I trauma center; 16 clinics throughout Bexar County providing primary, specialty, and preventive health services; and four outpatient dialysis centers. University Health System is the joint owner of San Antonio AirLIFE, one of the nation’s most recognized emergency air medical transport services. Subsidiary organizations of the Health System include Community First Health Plans, a nonprofit HMO, and Community Medicine Associates, a nonprofit physician practice. Learn more online at www.UniversityHealthSystem.com. As a recognized leader in healthcare, the Health System is committed to Supplier Diversity. The Health System will make every effort to ensure that Diverse Vendors such as Small, Minority, Women, Veteran, and/or Disabled Individual-Owned Business Enterprises (SMWVDIBE) are provided the maximum practicable opportunity to participate as a supplier, vendor, or contractor for products and/or services provided to the Health System. The Health System is requesting sealed proposals for a Dialysis Supplies contract.

Respondents must submit proposals according to the Specifications and Standard Purchasing Terms and Conditions contained herein. The contract awarded from this solicitation will be for a period of three (3) years. At the discretion of the Health System, this contract may be renewed for up to two (2) additional one (1) year terms thereafter to perform the requested services. Pricing will be negotiated up front and will remain firm and fixed throughout the contract term, including the option years.

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 4 of 19

Respondents are invited to submit proposals (one marked ORIGINAL and three (3) copies and four (4) flash drives for this project. The Attachment A Excel file must also be saved to these flash drives. All information required in this solicitation shall be furnished or the response may be deemed non-responsive. The respondent shall print or type his or her name and manually sign the Solicitation, Offer, Acceptance, and Award page section 18, and Bid Schedule (if applicable). Solicitation responses shall be enclosed in a sealed envelope/package. The name and address of the vendor, the date and hour of the opening, solicitation number, and title of the solicitation must be marked on the outside of the package. Any costs incurred during the development, preparation, and submission of solicitation responses shall be borne solely by the respondent. Proposals will be received at the following location:

University Health System - Business Center Procurement Services Department

355-2 Spencer Lane, 2nd Floor San Antonio, TX 78201

Submissions must be received no later than 2:00 P.M. November 8, 2012. Any submission after 2:00 P.M. will be returned to the respondent unopened. Vendor’s questions regarding any aspect of this solicitation shall be submitted exclusively to Contract Specialist, Cynthia Antu no later than 12:00pm on November 1, 2012 via the following e-mail addresses: [email protected]. Questions should be asked in consecutive order, from beginning to end, following the organization of the solicitation. Each question should begin by referencing the solicitation page number and section number to which it relates. Questions received after 12:00pm on the date identified in the preceding paragraph shall not be addressed, answered, nor responded to. All timely vendor questions and Health System answers will be posted as an amendment to this solicitation via www.UniversityHealthSystem.com/bids in the “Amendments” section of the online solicitation. The process of evaluating the proposals and conducting any subsequent interviews may extend, at a minimum, one month following the solicitation deadline. No unlawful discrimination will be made against vendors or contractors, because of race, color, religion, sex, age, national origin, physical disability/handicap, or mental disability/handicap. The University Health System reserves the right, in its sole discretion, to reject any and all bids, to waive any informality, or to change the listed dates.

NOTE TO OFFERORS

UNIVERSITY HEALTH SYSTEM IS A MEMBER OF THE FOLLOWING BUYING GROUPS:

MEDASSETS (HSCA), AMERINET, FIRST CHOICE, U. S. COMMUNITIES, PURCHASING SOLUTIONS ALLIANCE, AND THE TEXAS DEPARTMENT

OF INFORMATION RESOURCES (DIR)

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 5 of 19

A. Letter to Vendors

TO: All Bid Respondents, RE: Request for Proposal

The University Health System is engaged in an initiative to reduce supply costs for dialysis supplies. The Health System is committed to provide quality products to the patients we serve as well as the physicians practicing in our facilities. Device costs, along with the demand to provide new technologies/services to our patients, forces a closer examination of dialysis supply costs. The Health System intends to partner with suppliers who will meet the objective to provide cost savings as well high quality supplies.

This Request for Participation is designed to solicit detailed responses that will be used to evaluate and select a vendor, or group of vendors, of such products as is required by the Health System. You are invited to submit a response detailing your company’s willingness to provide required products and services in our delivery of quality patient care. Responses are sought for dialysis supplies and devices.

The enclosed cross reference Section III sheet details the total spend for dialysis supplies and devices. The Health System is seeking to significantly reduce supply costs associated with these products while maintaining our commitment to quality care. Therefore, the Health System is SEEKING COMPETITIVE RESPONSES in this category and ALTERNATIVE PRODUCT SELECTIONS. Companies meeting these requirements will be allowed to continue to provide product(s) for the Health System or BECOME THE VENDOR OF CHOICE.

The reference sheet details of the total spend is provided under the condition the information will be kept confidential and will only be used for purposes of completing the RFP. Similarly, any proprietary information received by the Health System associated with this process will also be kept strictly confidential.

Please base your response on the following key requirements:

• Prices are clearly defined and are firm throughout the term of the contract.

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 6 of 19

• Enclosed is a copy of a Pricing Formulary exhibit (See “formulary” tab in excel worksheet) The enclosed pricing formulary sheet details the maximum price the Health System is willing to pay for dialysis products, services and supplies as identified.

• Products and pricing must be accepted on the attached MS Excel file, including a

complete catalog and pricing offer for other items not cross referenced. No other format will be considered.

• Proposal must include access to all Health System locations listed in section I.

• A proposal submitted in response to this RFP shall remain firm for one hundred eighty (180) days from the date of submission.

• Selected vendors must be willing to consign initial stock to the Health System facilities Any sub pilot product(s) shall be provided at no cost to the Health System.

• Contract term: The contract term will be for three (3) years with options for two (2) one-year extensions to be exercised at the Health System’s sole discretion. Agreed upon pricing structure will be firm for duration of contract. Either party may terminate this Agreement by providing 90 days written notice.

• Utilization savings proposals must include a detailed proposal and clearly define savings opportunities and supply change impact(s).

• Historic purchasing data and pre-established management reports will be provided to parent organizations at regular intervals.

• The Health System is MedAssets client. • All offers are subject to MedAssets service fees unless otherwise indicated. If a vendor is

not contracted with MedAssets, a local custom contract will be created. • Each proposal must include a competitive cross reference for all major competitors. • Include in the proposal marketing documentation/brochures and FDA 510K

documentation supporting clinical appropriateness of the cross being provided.

Please respond to this Request for Participation by 2:00 PM central time, November 8, 2012 to [email protected]. Responses must be submitted electronically in MS Word and MS Excel. Additionally, a hardcopy of the documents and electronic copies saved on a jump/external drive must be submitted to the below address:

University Health System - Business Center Procurement Services Department

355-2 Spencer Lane, 2nd Floor San Antonio, TX 78201

No extensions to the November 8, 2012 response date will be granted. All questions regarding this initiative and/or attached documents must be submitted no later than November 1, 2012, directed to the attention Cynthia Antu at [email protected]. Late or incomplete responses to the RFP will not be accepted.

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 7 of 19

GENERAL CONDITIONS

OPTION TO EXTEND: Respondents offer the option to renew this contract for up to two (2)

additional one (1) year terms.

YES____________ NO____________ (initial)

GPOs: If respondent is awarded a contract for services/items that fall under a Group Purchasing

Organization (GPO) contract, all sales will be reported back to that GPO. If Yes, what GPO? ____________________________

YES________ NO_________ (initial) PAYMENT TERMS: _________% - 10 DAYS (Must be filled in)

_________% - 20 DAYS

_________% - 30 DAYS DELIVERY [If Applicable]: Vendor’s promised delivery: on or before _________ calendar days after receipt of order. Delivery: F.O.B. Destination, (unloaded onto dock), freight prepaid to:

University Health System Attention – Receiving 4502 Medical Drive

San Antonio, TX 78229 Special note: The Health System does not pay freight. If, for whatever reason, vendor must charge freight, it needs to be incorporated into the unit cost of the item and will be evaluated as part of the standard price of the bid.

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 8 of 19

BEXAR COUNTY HOSPITAL DISTRICT

RFP-212-10-055-SUP DUE: November 8, 2012 @ 2:00PM CST

Dialysis Supplies ____________________________________________________________________________

II. INSTRUCTIONS

A. Important Bidding Instructions

1. Notice to all Contractors/Vendors/Suppliers: You must register on our website,

http://www.UniversityHealthSystem.com/vendors to be eligible to submit bids/proposals for this and all future formal/informal opportunities.

2. Registration is good for a two-year period. 3. Documents required include:

a. Workforce Composition b. Vendor Questionnaire (completed on website) c. Conflict of Interest Questionnaire d. Form W9 (Request for Taxpayer Identification Number and Certification)

This information will be used to enter your business into the Health System purchasing data base primarily for the purpose of payment and for notification of future bidding opportunities.

4. Bid opportunities may currently be found in the San Antonio Express-News.

Construction/architectural engineering projects are usually advertised in the Sunday edition.

5. Online bid opportunities are available on the Health System website:

www.UniversityHealthSystem.com/bids 6. All questions regarding any solicitation must be submitted in writing, by e-mail,

mailed, or hand-carried, and addressed to the Procurement Services Department staff member assigned to the solicitation.

7. A copy of the vendor’s Insurance Certificate 8. A copy of the vendor’s Workers’ Compensation Insurance Certificate must be on file

with the Health System’s Safety Officer for awards requiring the vendor’s personnel to perform services on Health System premises. No award will be made unless this document is on file.

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 9 of 19

9. The Bexar County Hospital District d/b/a University Health System is a political

subdivision of the State of Texas and by law is a tax-exempt entity. 10. Warranty: Include terms, routine hours of operation, and after-hours rates. 11. For the purpose of evaluation of offers and award, respondents agree to hold their

offers for one hundred twenty (120) days. 12. Price must remain firm and fixed for the duration of the contract term.

13. This proposal must be signed by a company official who is authorized to bind the

respondent. By signing the proposal, the respondent acknowledges that all facts contained in it are true to the respondent’s best knowledge and that the Health System may rely upon such.

14. A vendor who does not respond to this solicitation by the due date will be eliminated

from the selection process. Responses are due to the Procurement Services Department in accordance with the specifications of this solicitation.

B. Additional Terms and Conditions

1. The issuance of this solicitation does not imply any commitment on the part of the

Health System nor any of its individual representatives to accept in part or in whole any of the submitted proposals.

2. The Health System will independently verify the respondent’s ability to perform as

proposed. Referenced client lists are to be provided as specified.

3. The Health System is a governmental entity subject to the Texas Open Records Act. The entire contents of all submission become part of public record. All documentation considered a trade secret or proprietary shall be marked “Confidential.” If confidential information is requested from an outside source, notification will be given to respondent.

4. This solicitation is a formal competitive process. All questions or other matters

related to this solicitation are to be directed to the Director of Procurement Services or his designee only. Any respondent, including those currently contracted with the Health System, who fails to comply with this limitation, may be disqualified from the selection process.

5. The Health System reserves the right to reject any or all responses or to award the

contract to another respondent(s) if the successful respondent(s) does not execute a contract within thirty (30) days after the acceptance of the response by the Health System.

6. The Health System reserves the right to request clarification of information

submitted and to request additional information of one or more applicants.

7. Any response may be withdrawn up to the date and time specified for the submission of the responses. Any response not so withdrawn shall constitute an irrevocable offer, for a period of one-hundred twenty (120) days, to provide to the Health System the services proposed, or until one or more of the responses have

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 10 of 19

been accepted and approved by the Health System.

8. Any agreement or contract resulting from the acceptance of a response shall be approved by the Health System. The contract shall contain, at a minimum, applicable provisions of this solicitation. The Health System reserves the right to reject any agreement that does not conform to the terms and conditions and any Health System requirements for agreements and contracts.

9. Respondents who submit a response to this solicitation does so at their own expense.

The Health System will not pay or reimburse any respondent’s costs related to this solicitation or negotiation of any contract.

10. The Health System reserves the right, in its sole discretion, to modify or suspend any

and all aspects of the selection process, including, but not limited to this solicitation, and all or any portion of the selection process subsequent to the solicitation, to obtain further information from any respondent, to waive any defects as to form or content of the solicitation or any other step in the selection process, to reject any and all responses submitted, and to accept or reject any respondent for entry into any contract.

11. By respondent’s submission of a response to this solicitation, each respondent

waives any claim against the Health System or Health System property by reason of any or all of the following: any aspect of this solicitation, the selection process or any part thereof, any informalities or defects in the selection process, entering into any agreement, the failure to enter into an agreement, any statements, representations, acts, or omissions of the Health System, the exercise of any discretion set forth in or concerning any of the foregoing, and any other matters arising out of all or any of the foregoing.

12. Contract Term and Renewal Option

a. Contract Term: The contract will be awarded for the term listed above, commencing from the date of award. If delays in the bid process result in an adjustment of the anticipated contract effective date, the bidder agrees to accept a contract for the full term of the contract.

b. Contract Renewal Option: This contract may be renewed for the number of option years listed above. Any renewal of this contract under this provision will be put into effect by mutual agreement between Health System and the Contractor, with written notification being provided to the Contractor by Health System. The original terms and conditions will remain in effect for any renewal period. Unless otherwise noted in this RFP (or any Addendum thereto), pricing for each optional year is to remain the same as the final year of the original contract term.

13. Contract Transition

In the event services end by either contract expiration or termination, it shall be incumbent upon the Contractor to continue services, if requested by the Director of Procurement Services Department, until new services can be completely operational. The Contractor acknowledges its responsibility to cooperate fully with the replacement Contractor and Health System to ensure a smooth and timely transition to the replacement Contractor. Such transitional period shall not extend more than one-hundred twenty (120) days beyond the expiration date of the contract, or any extension thereof. The Contractor will be reimbursed for services during the transitional period at the rate in effect when the transitional

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 11 of 19

period clause is invoked by Health System.

14. Precedence of the Health System’s Standard Terms and Conditions The contract resulting from this procurement shall consist of the specification included herein, U n i v e r s i t y Health System’s Standard Terms and Conditions, any amendment to this RFP, the Contractor’s bid proposal, and Health System’s Contract Term Sheet.

In the event of a conflict between the provisions of this RFP, including any amendments to this RFP, and the bidder’s proposal, the RFP and/or the amendment shall govern.

15. Advertising

The Contractor shall not use the Health System’s name, logos, images, or any data or results arising from this contract as a part of any commercial advertising without first obtaining the prior written consent of the Director of Procurement Services and the Vice President of Corporate Communications.

16. License and Permits

The Contractor shall obtain and maintain in full force and effect all required licenses, permits, and authorizations necessary to perform this contract. The Contractor shall supply the Health System with evidence of such licenses, permits, and authorizations. This evidence shall be submitted subsequent to the contract award. All costs associated with any such licenses, permits, and authorizations shall have been included by the Contractor in its bid proposal.

C. Business Associate Information 1. Safeguards: Business Associate agrees to use appropriate safeguards to prevent use

or disclosure of the PHI other than as provided for by this Agreement or by law. Business Associate agrees to implement a comprehensive written privacy and security program that includes administrative, physical and technical safeguards that reasonably and appropriately protect the confidentiality, integrity and availability of ePHI that it creates, receives, maintains or transmits on behalf of Covered Entity in compliance with the HITECH Act. Business Associate agrees to provide Covered Entity with Business Associate’s a copy of its privacy and security program prior to the execution of this Agreement. Business Associate further agrees to provide Covered Entity with information concerning such safeguards as Covered Entity may from time to time request.

2. Compliance with Red Flags Rule: Business Associate agrees to implement an

identity theft protection program and require all subcontractors with access to PHI to implement an identity theft protection program and make all reasonable efforts to identify red flags that indicate identity or medical identity theft which either may be occurring or has occurred. The adopted identity theft protection program must provide for an annual red flag risk analysis; periodic workforce training; actively monitor for red flags; investigate any identified red flags and mitigate damages; document any red flag investigation and subsequent activity; annually review the program to determine if changes are necessary; and require the program to be approved by and monitored by senior management. Business Associate further agrees to provide Covered Entity with Business Associate’s identity theft protection program prior to the execution of this Agreement and provide any other information

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 12 of 19

as Covered Entity may from time to time request in order to ensure compliance with this provision.

D. Proposal Format

The Health System desires that the response to the solicitation be as succinct as possible, while still providing sufficient information for evaluation of the respondent’s qualifications, approach, and ability to meet the Health System’s needs in a responsive and cost-effective manner. In that regard, the Health System requests that the responses generally follow the outline format below, and that the vendor address all of the questions posed in this solicitation.

1. Proposal Cover Sheet: Identify the respondent name, its home office and branch

office, if any, to provide services in this proposal. Include the name, address, phone number, fax number, and e-mail for the primary contact assigned to this project.

2. Table of Contents: A listing of the required sections of the response with

appropriate page numbers. 3. Respondent Background: Provide general history and experience performing

services for public clients. Include specific information concerning the location of headquarters and branch offices that will be providing services, the number of years providing services.

4. Responses must include a list of organizations that may be contacted as references

for the respondent’s work. At least three references must be provided and at least two must be public entities similar to the Health System. Listed organizations may be contacted to determine the quality of the work performed, personnel assigned to the project, and final product rating. The following must be included for each reference:

a. Name, address, phone number, and email address of the client b. Description of the type of services performed and the length of engagement c. Names of the primary staff assigned to the project

5. Contract Terms and Conditions: In submitting a response, the respondent will be

deemed to have agreed to each clause of the solicitation and the Health System’s Standard Purchase Terms and Conditions unless the vendor’s response clearly identifies an objection, sets forth the basis for the objection, and provides substitute language addressing the respondent’s concerns.

E. Evaluation and Selection Criteria

Each proposal will be evaluated on its responsiveness to the questions contained in this solicitation regarding the respondent’s experience and qualifications, scope of services, quantitative capabilities, organizational and financial stability, and compensation requirements. The Health System, at its sole discretion, may select more than one vendor(s) which best serve the Health System’s interests. Each respondents proposal will be evaluated on the Decision Criteria Award Matrix listed below and include but are not limited to those criteria.

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 13 of 19

NOTE:

As part of the selection process, respondent(s) may be asked to make oral presentations. If an oral presentation is requested, the respondent(s) may be asked to elaborate on elements of its response and to demonstrate its understanding of the Health System request. This solicitation or request to make an oral presentation shall not obligate the Health System to accept or contract for any services whatsoever. The Health System reserves the right to request additional information or material deemed necessary to assist in the selection process and to modify or alter any or all of the requirements herein. In the event of a modification, all respondent(s) who submit responses will be given an opportunity to modify their responses in the specific areas affected.

The Health System reserves the right to award one contract to a single or multiple companies after receipt of proposals, without further discussion. Therefore, we emphasize the importance of submitting the most favorable terms in the initial response.

Material exceptions to the solicitation, including terms and conditions, delivery, specifications, or payment terms may constitute grounds for rejection of the submission. University Health System has partnered with VCS (Vendor Credentialing Services) requiring all vendors to obtain a credential. Please visit www.vcsdatabase.com to complete your registration. Proposals will be evaluated using the following decision matrix (Section F):

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 14 of 19

F. DECISION CRITERIA AWARD MATRIX

Proposals will be evaluated utilizing the Decision Matrix below: RFP-212-10-055-SUP Dialysis Supplies

FINANCIAL AND NON-FINANCIAL CRITERIA

MAX POINTS

Ven

dor

Ven

dor

Ven

dor

Ven

dor

Ven

dor

Ven

dor

Supplies provided for handling and shipping At no additional cost for established weekly delivery services 10

Shipping Special delivery at no additional cost. 10

Percentage of product offered 10 Consultation from appropriate level individuals Must be available to physicians. State hours of their availability.

10

Pricing Based on cross reference, meeting or exceeding formulary pricing or offering significant discount/s.

40

Bills Sent monthly and include patient name, date laboratory received specimen, test and breakdown of costs.

10

Suitability of cross reference products 10

Total Points 100

Financial Criteria

Proposed Pricing

FINANCIAL CRITERIA

$ CRITERIA $0 to include hardware

Proposal Score

Decision formula: Financial / Non Financial = Proposal Score

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 15 of 19

G. Respondent Checklist

This checklist is provided solely for the respondent's convenience and identifies the documents to be submitted with each response. Any response received without required documents may be rejected as being non-responsive.

Complete online Vendor Registration at www.UniversityHealthSystem.com/vendors

Signed Solicitation, Offer, Acceptance, and Award page

Signed University Health System Standard Purchase Terms and Conditions (found in Required Documents PDF on website)

Vendor Questionnaire (found at www.UniversityHealthSystem.com/vendors ) 1. Complete questionnaire online. 2. Print completed form & attach to response.

Conflict of Interest Questionnaire (found in Required Documents PDF on website)

Workforce/Employee Composition Form (found in Required Documents PDF on website)

Vendor’s Insurance Certificate

Copy of Vendor’s Workers’ Compensation Coverage

Form W-9, Request for Taxpayer Identification Number and Certification (found in Required Documents PDF on website)

*Copy of vendor’s Affirmative Action Plan or Policy

IMPORTANT

It is mandatory that forms be completed properly in order for your response to be valid. Any responses received that do not have the required forms, signatures, and/or do not have correct number of copies may be declared non-responsive.

*An affirmative action plan should reflect respondent’s current practice as it pertains to equal employment opportunities in full compliance with applicable Federal and State laws and regulations.

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 16 of 19

RFP-212-10-054-SVC Dialysis Supplies and Services

QUESTIONS DUE: November 8, 2012 @ 12:00 P.M.

H. RESPONDENT QUESTION FORM ONLY ONE QUESTION PER FORM

Company Name: ___________________________________________________________ QUESTION:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ______________________________________________

Submitter Signature: _______________________________ Date: __________________ Title: ____________________________________________ ---------------------------------------------------------------------------------------------------------------------

FOR HEALTH SYSTEM USE ONLY RFP #: __________________ ANSWER PROVIDED ON ADDENDUM #:________ DATE ADDENDUM ISSUED: _________ PROJECT MANAGER’S SIGNATURE: ___________________________ DATE: ____________ PROJECT MANAGER’S TITLE: _________________________________

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 17 of 19

I. LIST OF FACILITIES

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 18 of 19

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Company Name: ____________________________________________ RFP-212-10-055-SUP Page 19 of 19

BEXAR COUNTY HOSPITAL DISTRICT

RFP-212-10-055-SUP DUE: November 8, 2012 @ 2:00PM CST

Dialysis Supplies ___________________________________________________________________________

III. COMPANY RESPONSE

A. Specifications

The University Health System is soliciting sealed bids for the provision of a Dialysis Supplies vendor. The award from this bid will be for a three (3) year period with firm pricing for all three (3) years. University Health System requires a minimum of five (5) consecutive years of “in field” experience performing task, in accordance with UHS Specifications. If you cannot meet this requirement, please do not respond to this solicitation.

B. Scope Products related to and utilized in the delivery of hemodialysis services

The selected proposers shall:

• Provide an appropriate cross of like to like products • Provide a cross of alternative products as part of a value proposition • Include in the proposal supporting documents of clinical equivalent products and

technical specifications as appropriate for these items • Include a complete catalog of products and pricing • Assist with conversions and ongoing product support • Provide references of other clients who utilize their products if requested • Be prepared to present product offerings at a meeting if requested • Provide onsite training and support of products utilized

C. Excel Worksheet - Price Eval and Compare Conversion

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LOCAL

Contract Number Tier Total Annual Spend Current

Total Annual Spend Next Total Savings

Percent Savings ORG

$1,120,309.78 $0.00 $0.00 0.00%

$1,120,309.78 $0.00 $0.00

MEDASSETS

Contract Number Tier Total Annual Spend Current

Total Annual Spend Next Total Savings

Percent Savings ORG

$1,120,309.78 $0.00 $0.00 -$

$1,120,309.78 $0.00 $0.00

INSTRUCTIONS

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Description Target Price (Meet OR exceed)ShippingRegular weekly delivery No chargeSpecial order not on regular day (exception) No charge

EducationQuarterly training or new products No Charge

Dialyzers (Equivalent products) EACHOptiflux F-250 $11.20Optiflux 200NR $9.20Optiflux 180 NR $8.20Optiflux 160 NR $7.20

Dialysis Tubing EACHFresenius compatible $1.90

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

DATE: October 16th, 2012 Annualization Factor 2MANUFACTURER: Dialysis Supply'sGPO CONTRACT: MedAssets, VariousREASON: Sourcing, Cost reduction, Utilization

RFP Vendors CURRENT PRODUCT MANUFACT. CURRENT PRODUCT DESCRIPTION CURRENT PRODUCT MFG # UOM PUOM PRICE ISSUE

PUOM PRICE EACH ANNUAL QTY PURCHASED

ANNUALIZED COSTS

SOURCE (Direct or

Distributed) COMMENTS ALTERNATIVE

MFG

ALTERNATIVE PRODUCT DESCRIPTIO

NEXAMPLE ABC MFG PENCIL 1234 BX 100 $10.00 $0.1000 15 $ 150.00 ACME Pencil ALCO SALES SERVICE MONAURAL DUAL-WIRE EARBUDS AL-68521 CA 35 $0.0000 8 $ -

x AOSS MEDICAL SUPPLY INC Residual Chlorine Strips 5167 CA 500 $0.0000 8 $ - AOSS MEDICAL SUPPLY INC TOTAL CHLORINE TEST KIT 6819 KT 1 $0.0000 2 $ - AOSS MEDICAL SUPPLY INC Residual Chlorine Strips 811900 CA 500 $0.0000 24 $ - AOSS MEDICAL SUPPLY INC Hardness Test Strips 811911 BX 300 $0.0000 6 $ - AOSS MEDICAL SUPPLY INC Fuel Surcharge 135-80 EA 1 $0.0000 50 $ -

AOSS MEDICAL SUPPLY INC Micropore Paper Tape 1530-1 BX 12 $0.0000 40 $ - Move to Owens AOSS MEDICAL SUPPLY INC Micropore Paper Tape 1530-1 CA 120 $0.0000 68 $ - AOSS MEDICAL SUPPLY INC Lab Coats Impervious 3xl 16324-3XL CS 30 $0.0000 12 $ - AOSS MEDICAL SUPPLY INC LAB COATS IMPERVIOUS 4XL 16324-4XL CA 30 $0.0000 12 $ - AOSS MEDICAL SUPPLY INC LAB COATS IMPERVIOUS 4XL 16324-7XL CA 30 $0.0000 8 $ - AOSS MEDICAL SUPPLY INC Lab Coats Impervious Large 16324-L CS 30 $0.0000 20 $ - AOSS MEDICAL SUPPLY INC Lab Coats Impervious Medium 16324-M CS 30 $0.0000 22 $ - AOSS MEDICAL SUPPLY INC Lab Coats Impervious Medium 16324-M CS 30 $0.0000 58 $ - AOSS MEDICAL SUPPLY INC Lab Coats Impervious Small 16324-S CS 30 $0.0000 16 $ - AOSS MEDICAL SUPPLY INC Lab Coats Impervios XL 16324-XL CA 30 $0.0000 16 $ - AOSS MEDICAL SUPPLY INC Lab Coats Impervios XL 16324-XL CS 30 $0.0000 8 $ - AOSS MEDICAL SUPPLY INC TOTAL HARDNESS TEST KIT 4482-DR-LT KT 1 $0.0000 2 $ - AOSS MEDICAL SUPPLY INC 8mm Pre Pump Combi Sets A209/V803 CA 24 $0.0000 1014 $ - AOSS MEDICAL SUPPLY INC 8mm Pre Pump Combi Sets A209/V803 CA 24 $0.0000 262 $ - AOSS MEDICAL SUPPLY INC NIPRO BLOODLINE A209YV803 CA 24 $0.0000 568 $ - AOSS MEDICAL SUPPLY INC Nipro 15gaX1 Bio-Hole FD152530BC CA 500 $0.0000 2 $ - AOSS MEDICAL SUPPLY INC FREIGHT FREIGHT EA 1 $0.0000 46 $ - AOSS MEDICAL SUPPLY INC 14g x 1 Tulip Fistula FT142530BC CS 250 $0.0000 2 $ - AOSS MEDICAL SUPPLY INC 15G X 1" FISTULA NEEDLES FT152530TP CA 250 $0.0000 92 $ - AOSS MEDICAL SUPPLY INC FREIGHT FUEL SURCHARGE EA 1 $0.0000 2 $ - AOSS MEDICAL SUPPLY INC FREIGHT FUEL SURCHARGE EA 1 $0.0000 88 $ - AOSS MEDICAL SUPPLY INC LG Gowns LC 803 EA 1 $0.0000 20 $ - AOSS MEDICAL SUPPLY INC X-LG Gowns LC 804 EA 1 $0.0000 20 $ - AOSS MEDICAL SUPPLY INC 4X-LG Gowns LC 808 EA 1 $0.0000 20 $ - AOSS MEDICAL SUPPLY INC MED. BLUE DISP. LAB COATS LC802 CA 30 $0.0000 36 $ - AOSS MEDICAL SUPPLY INC XL-BLUE DISPOSABLE LAB COATS LC804 CA 30 $0.0000 40 $ - AOSS MEDICAL SUPPLY INC 4XL-BLUE DISPOSABLE LAB COATS LC807 CA 30 $0.0000 62 $ - AOSS MEDICAL SUPPLY INC 7X BLUE DISP. LAB COATS LC810 CA 30 $0.0000 2 $ - AOSS MEDICAL SUPPLY INC SHIPPING CHARGE SHIPPING CHARGE EA 1 $0.0000 2 $ -

x ASSOCIATES OF CAPE COD INC. DISPOSABLE PIPETTES 99T50 BX 250 $0.0000 2 $ - ASSOCIATES OF CAPE COD INC. Disposable Pipette PPT50 BX 250 $0.0000 6 $ - ASSOCIATES OF CAPE COD INC. PYROSATE 0.25 EU/ML PSD-25 KT 1 $0.0000 2 $ - ASSOCIATES OF CAPE COD INC. Pyrosate - 1Eu/ml PSD251 BX 1 $0.0000 4 $ - ASSOCIATES OF CAPE COD INC. Pyrosate - 1Eu/ml PSD251 KT 1 $0.0000 20 $ -

x EDLAW Potassium Additive 11.5 GRAM BX 1 $0.0000 16 $ -

University Health system Confidential 10/25/2012 Page 4

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

EDLAW Potassium Additive 12.7 GRAM BX 1 $0.0000 8 $ - EDLAW Calcium Additive 5.7 GRAM BX 1 $0.0000 8 $ - EDLAW Calcium Additive CA+ 12.5 GM BX 1 $0.0000 2 $ - EDLAW Calcium Additive CA++ 12.5 GM BX 1 $0.0000 10 $ - EDLAW CALCIUM 12.5 ADDITIVE(1 GALLON CA++12.5 EA 1 $0.0000 4 $ - EDLAW Potassium Additive K+ 12.7 GM BX 1 $0.0000 22 $ - EDLAW POTASSIUM 12.7 ADDITIVE(1 GALL K+12.7 EA 1 $0.0000 4 $ -

x FRESENIUS USA MANUFACTURING Fresenius test kit 150034 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING CHECK VALVE YELLOW 150123 EA 1 $0.0000 80 $ - FRESENIUS USA MANUFACTURING Check Valve Orange 3 150207 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING ASSEMBLY CHECK VALVE 6 WHITE 150209 EA 1 $0.0000 288 $ - FRESENIUS USA MANUFACTURING OPTICAL SENSORS (LEV DET) 150377 EA 1 $0.0000 24 $ - FRESENIUS USA MANUFACTURING optical sensors (level det) 150377 EA 1 $0.0000 6 $ - FRESENIUS USA MANUFACTURING POWER CORD 150425 EA 1 $0.0000 14 $ - FRESENIUS USA MANUFACTURING CABLE BPM-2600 150481 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING power supply 190011 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING Power supply Complete 190011 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Assy. Triac power supply 190054 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING CFS 190078 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING KIT 2008 PM PARTS 190098 EA 1 $0.0000 56 $ - FRESENIUS USA MANUFACTURING Fuctional Board 5.21 software 190193 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Actuator-Test 190234 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Assy Power Logic Board (w/12 v 190246 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING FRONT PANEL BOARD 190400 EA 1 $0.0000 6 $ - FRESENIUS USA MANUFACTURING CITRIC ACID CLEANER 190432 EA 1 $0.0000 44 $ - FRESENIUS USA MANUFACTURING 2008k2 functional board 190642 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Heater 120V- Fresenius 250169 EA 1 $0.0000 6 $ - FRESENIUS USA MANUFACTURING HEATER ROD 250169 EA 1 $0.0000 8 $ - FRESENIUS USA MANUFACTURING Blood Pump Spring 250473 EA 1 $0.0000 100 $ - FRESENIUS USA MANUFACTURING Cuff Tubing connectore Luer 370033 EA 1 $0.0000 90 $ - FRESENIUS USA MANUFACTURING Female luer lock 370045 EA 1 $0.0000 90 $ - FRESENIUS USA MANUFACTURING Spare Parts Manual Price List 450347 EA 1 $0.0000 8 $ - FRESENIUS USA MANUFACTURING SPEAKER 533203 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Microswitch 534022 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING 5 PIN PLUG 535078 EA 1 $0.0000 40 $ - FRESENIUS USA MANUFACTURING clamp nylon 3 537204 EA 1 $0.0000 80 $ - FRESENIUS USA MANUFACTURING Screw SHCS M5x16 SS. 552234 EA 1 $0.0000 60 $ - FRESENIUS USA MANUFACTURING Screw m 5x8 ss 552310 EA 1 $0.0000 50 $ - FRESENIUS USA MANUFACTURING SCREW 552334 EA 1 $0.0000 36 $ - FRESENIUS USA MANUFACTURING NUT M6 553623 EA 1 $0.0000 36 $ - FRESENIUS USA MANUFACTURING NUT SS 553682 EA 1 $0.0000 10 $ - FRESENIUS USA MANUFACTURING Washer 4mm nylon 559094 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING WASHER FLAT 5.3MM NYLON 559695 EA 1 $0.0000 130 $ - FRESENIUS USA MANUFACTURING pin 562028 EA 1 $0.0000 40 $ - FRESENIUS USA MANUFACTURING spring 563028 EA 1 $0.0000 40 $ - FRESENIUS USA MANUFACTURING Circlip 3.2MM 563149 EA 1 $0.0000 60 $ - FRESENIUS USA MANUFACTURING LD Latch complete 563149 EA 1 $0.0000 44 $ - FRESENIUS USA MANUFACTURING Retaining ring 3.2mm 563149 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING BLANCING CHAMBER MEMBRANES 565157 EA 1 $0.0000 4 $ -

University Health system Confidential 10/25/2012 Page 5

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

FRESENIUS USA MANUFACTURING PUMP DRIVE ASSY FLOW 565342 EA 1 $0.0000 6 $ - FRESENIUS USA MANUFACTURING FLOW MOTOR 565345 EA 1 $0.0000 14 $ - FRESENIUS USA MANUFACTURING UF-PUMP 565806 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING REED SWITCH 565834 EA 1 $0.0000 28 $ - FRESENIUS USA MANUFACTURING Microswitch Assy complete w 566184 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING VIBRATION ABSORBER 572597 EA 1 $0.0000 36 $ - FRESENIUS USA MANUFACTURING Band Clamp 8.7mm I.D. 572727 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING BICARB O-RING 579072 EA 1 $0.0000 200 $ - FRESENIUS USA MANUFACTURING ball 6mm 585018 EA 1 $0.0000 40 $ - FRESENIUS USA MANUFACTURING Bicarb Port 640074 EA 1 $0.0000 22 $ - FRESENIUS USA MANUFACTURING RINSE PORT BICARBONATE 640074 EA 1 $0.0000 12 $ - FRESENIUS USA MANUFACTURING Acid Port 640239 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Rinse Port Acetate 640239 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING RINSE PORT CONCENTRATE 640239 EA 1 $0.0000 6 $ - FRESENIUS USA MANUFACTURING Red Handle With Magnet 640610 EA 1 $0.0000 24 $ - FRESENIUS USA MANUFACTURING Red Nut 640612 EA 1 $0.0000 24 $ - FRESENIUS USA MANUFACTURING ACID WAND 640614 EA 1 $0.0000 10 $ - FRESENIUS USA MANUFACTURING BICARB CONN W/TUBING 640615 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING BICARB WAND 640615 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING Adapter plug Concentrate 640620 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING Adapter plug Bicarbonate 641143 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING o-ring 641362 EA 1 $0.0000 50 $ - FRESENIUS USA MANUFACTURING PUMP DRIVE ASSY DEAR. 641629 EA 1 $0.0000 6 $ - FRESENIUS USA MANUFACTURING Band Clamp 6.6mm I.D. 641640 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING CONNECTOR BLUE HANSON 641985 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING RED HANSON W/LINE 641993 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Band Clamp 13.3mm I.D. 642428 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING Balancing Chamber Valve 642951 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING VALVE SOLENOID V-12 27 31-34 642951 EA 1 $0.0000 72 $ - FRESENIUS USA MANUFACTURING Valve 30 643418 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING MOTOR DC DEAERATION ONLY 645752 EA 1 $0.0000 54 $ - FRESENIUS USA MANUFACTURING Dual barbed valve 646154 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING DUAL BARBED VALVES 646154 EA 1 $0.0000 10 $ - FRESENIUS USA MANUFACTURING Pressure Relief Valve- Flow Mo 647145 EA 1 $0.0000 6 $ - FRESENIUS USA MANUFACTURING LOADING PRESSURE REGULATOR 647610 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING Dialysate filter complete 650114 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Transducer protector and line 650158 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING hose clamp 10.3 mm 670574 EA 1 $0.0000 40 $ - FRESENIUS USA MANUFACTURING clamp hose 1/2 nylon black 670780 EA 1 $0.0000 80 $ - FRESENIUS USA MANUFACTURING Tubing Clamp 670820 EA 1 $0.0000 80 $ - FRESENIUS USA MANUFACTURING clamp spring 671796 EA 1 $0.0000 40 $ - FRESENIUS USA MANUFACTURING shaft bar 671797 EA 1 $0.0000 42 $ - FRESENIUS USA MANUFACTURING valve 25 672388 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING AIR SEPERATOR 672390 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Wire Clamp 11.9mm 673013 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING Wire Clamp 12.8mm 673132 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING Rotor Handcrank 673615 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING GEAR PUMP 675142 EA 1 $0.0000 12 $ - FRESENIUS USA MANUFACTURING 14G X 1" FISTULA NEEDLES 5008203 CA 20 $0.0000 32 $ -

University Health system Confidential 10/25/2012 Page 6

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

FRESENIUS USA MANUFACTURING RINSE PORT BICARBONATE 6470074 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Dialysate sample port 6509931 EA 1 $0.0000 64 $ - FRESENIUS USA MANUFACTURING 4 lead eco drainset 026-20224 BX 10 $0.0000 4 $ - FRESENIUS USA MANUFACTURING TUBING BLOOD FOR HEMODIALYSIS 03-2621-5 CA 24 $0.0000 136 $ - FRESENIUS USA MANUFACTURING 1.5 Delfex solution 5000 ml 044-50521 CA 5 $0.0000 20 $ - FRESENIUS USA MANUFACTURING 2.5 Delflex solution 5000ml 044-50522 BX 2 $0.0000 20 $ - FRESENIUS USA MANUFACTURING 2.5 Delflex solution 5000ml 044-50522 CA 2 $0.0000 20 $ - FRESENIUS USA MANUFACTURING 4.25 Delfex solution 044-50524 CA 10 $0.0000 20 $ - FRESENIUS USA MANUFACTURING IV PRIMING SETS 04-9006-5 CA 100 $0.0000 2 $ - FRESENIUS USA MANUFACTURING CLIP PATIENT CONNECTOR 04-9100-1 BX 1 $0.0000 8 $ - FRESENIUS USA MANUFACTURING CLIP PATIENT CONNECTOR 04-9100-1 CA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING OPTIFLUX 16 NRE 0500306E CA 12 $0.0000 268 $ - FRESENIUS USA MANUFACTURING POLYSULFONE DIALYZER F-160NRE 0500316E CA 12 $0.0000 130 $ - FRESENIUS USA MANUFACTURING OPTIFLUX 180NR DIALYZER 0500318E CA 12 $0.0000 808 $ - FRESENIUS USA MANUFACTURING OPTIFLUX 200NR DIALYZER 0500320E CA 12 $0.0000 2846 $ - FRESENIUS USA MANUFACTURING OPTIFLUX F-250 NRE 0500325E CA 12 $0.0000 238 $ - FRESENIUS USA MANUFACTURING Newton IQ 4 lead cycler set 050-87208 BX 10 $0.0000 4 $ - FRESENIUS USA MANUFACTURING Stay safe extension set 18 w/l 050-95005 BX 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING Stay safe extension set 18 w/l 050-95005 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING Stay Safe Luer Lock 18" 050-95005 EA 1 $0.0000 24 $ - FRESENIUS USA MANUFACTURING 1.5 Delfex solution 054-20221 BX 5 $0.0000 10 $ - FRESENIUS USA MANUFACTURING 1.5 Delfex solution 054-20221 CA 10 $0.0000 4 $ - FRESENIUS USA MANUFACTURING NATURALYTE 4000 1K-OCA 08-1001-0 CA 1 $0.0000 74 $ - FRESENIUS USA MANUFACTURING NATURALYTE 4000 2K-2CA 08-2201-5 CA 1 $0.0000 468 $ - FRESENIUS USA MANUFACTURING CITRASATE 08-2251-CA CA 1 $0.0000 52 $ - FRESENIUS USA MANUFACTURING BICARB LIQUID 4000 SERIES 08-4000-LB CA 1 $0.0000 792 $ - FRESENIUS USA MANUFACTURING NATURALYTE 4000 BICARB RX-12 08-4112-2 BG 1 $0.0000 3766 $ - FRESENIUS USA MANUFACTURING NATURALYTE 4000 BICARB RX-12 08-4112-2 CA 1 $0.0000 3184 $ - FRESENIUS USA MANUFACTURING NEEDLE FISTULA BLUNT BUTTON 097005-0 CA 50 $0.0000 4 $ - FRESENIUS USA MANUFACTURING DRUM NATURALYTE 2K 2.5 CA 13-2251-0 CA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING NIPRO AV DULL FISTULA 15GX1 RW 15-FD15BCR CA 300 $0.0000 10 $ - FRESENIUS USA MANUFACTURING NIPRO AV DULL FISTULA 15GX1 RW 15-FD15BCR-0 CA 300 $0.0000 2 $ - FRESENIUS USA MANUFACTURING NIPRO AV DULL FISTULA 15X1 RW/ 15-FD15BCR-0 CA 300 $0.0000 4 $ - FRESENIUS USA MANUFACTURING GOWN ISOLATION 7X WHITE 17-6984-0 CA 30 $0.0000 2 $ - FRESENIUS USA MANUFACTURING MOTHER BOARD K2 REV. E 190232 REV. E EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING EXSEPT PLUS 100ml 23-2501-0 EA 1 $0.0000 24 $ - FRESENIUS USA MANUFACTURING PLATE COUNT STANDARD 24-0532-2 BX 1 $0.0000 44 $ - FRESENIUS USA MANUFACTURING WASHER 330606-05-01 EA 1 $0.0000 72 $ - FRESENIUS USA MANUFACTURING threaded insert M-5 330904-01 EA 1 $0.0000 80 $ - FRESENIUS USA MANUFACTURING Lockwasher split 5/16" SS 330937-04-01 EA 1 $0.0000 60 $ - FRESENIUS USA MANUFACTURING clip retainer flat 1/4 " 332004-03 EA 1 $0.0000 8 $ - FRESENIUS USA MANUFACTURING connector barb 332141-01 EA 1 $0.0000 80 $ - FRESENIUS USA MANUFACTURING Tubing Connector piece TM2910 332141-02 EA 1 $0.0000 10 $ - FRESENIUS USA MANUFACTURING EARPHONES 36-0105-1 BG 10 $0.0000 702 $ - FRESENIUS USA MANUFACTURING EARPHONES 36-0105-1 EA 1 $0.0000 600 $ - FRESENIUS USA MANUFACTURING EARPHONES 36-0200-0 BG 10 $0.0000 12 $ - FRESENIUS USA MANUFACTURING bridge rectifier 362009-04 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING Power Plug 15A 125V Hospita 368002-01 EA 1 $0.0000 10 $ - FRESENIUS USA MANUFACTURING 14g x 1 Backeye Fistula Needle 820-1476 BX 1 $0.0000 8 $ -

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

FRESENIUS USA MANUFACTURING NEEDLE WINGEATER JMS FISTULA 820-5002 BX 300 $0.0000 904 $ - FRESENIUS USA MANUFACTURING NEEDLE WINGEATER JMS FISTULA 820-5002-33 BX 300 $0.0000 122 $ - FRESENIUS USA MANUFACTURING NEEDLE WINGEATER JMS FISTULA 820-5002-33 CA 300 $0.0000 8 $ - FRESENIUS USA MANUFACTURING NEEDLE WINGEATER FISTULA JMS 820-5006 BX 40 $0.0000 12 $ - FRESENIUS USA MANUFACTURING NEEDLE WINGEATER FISTULA 820-6013 BX 40 $0.0000 8 $ - FRESENIUS USA MANUFACTURING NEEDLE WINGEATER FISTULA 820-6013-33 CA 250 $0.0000 4 $ - FRESENIUS USA MANUFACTURING NEEDLE FISTULA 17 GA X 1 IN 820-7001 BX 50 $0.0000 10 $ - FRESENIUS USA MANUFACTURING JMS HARMONY FISTULA 15GX1 827-1500-33 CA 250 $0.0000 6 $ - FRESENIUS USA MANUFACTURING for returning 2008T dialysis m FREIGHT CHARGE EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Wire Clamp 14.0mm M05717 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING Optical Sensor M30344 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING LEVEL DETECTOR SENSORS-PAIR M30402 PR 1 $0.0000 10 $ - FRESENIUS USA MANUFACTURING Acid Pump M30444 EA 1 $0.0000 6 $ - FRESENIUS USA MANUFACTURING blood pump latch M30661 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING TUBING RETAING CLAMP M30661 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING MOTOR DC GEAR DRIVE TACH ASSY M30687 EA 1 $0.0000 6 $ - FRESENIUS USA MANUFACTURING DC motor gear drive and tach a M30687 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING MOTOR DC GEAR DRIVE TACH ASSY M30687 EA 1 $0.0000 12 $ - FRESENIUS USA MANUFACTURING Transducer protector and line M30971 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING BLOOD PUMP ROTOR M30990 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING level det latch M32019 EA 1 $0.0000 20 $ - FRESENIUS USA MANUFACTURING HYDRO CHAMBER M33974 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING HYDROCHAMBER COMPLETE M33974 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING tubing 3x2 mm M38205 EA 1 $0.0000 6 $ - FRESENIUS USA MANUFACTURING Silicone Tubing Clear 10ft. M38208 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING Silicone Tubing White 10ft. M38210 EA 1 $0.0000 2 $ - FRESENIUS USA MANUFACTURING CONDUCTIVITY CELL WAS 566117 M39797 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING Thermistor assembly M64584 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING THERMISTOR ASSY M64584 EA 1 $0.0000 4 $ - FRESENIUS USA MANUFACTURING GRANUFLO 2500 / 1K 2.5CA OFD-1251-3B CA 1 $0.0000 416 $ - FRESENIUS USA MANUFACTURING GRANUFLO 2500/ 2K 2.5 CA OFD-2251-3B CA 1 $0.0000 3048 $ - FRESENIUS USA MANUFACTURING GRANUFLO 2500/ 3K 2.5CA OFD-3251-3B CA 1 $0.0000 656 $ -

x HACH COMPANY SpecCheck Gel Secondary Standa 2708000 EA 1 $0.0000 2 $ - HACH COMPANY OZONE REAGENT - LR (0 - 0.25 m 25160-25 EA 1 $0.0000 12 $ - HACH COMPANY OZONE REAGENT -LR 25160-25 EA 1 $0.0000 6 $ - HACH COMPANY OZONE REAGENT LR. 0-.25 25160-25 PK 1 $0.0000 8 $ - HACH COMPANY OZONE REAGENT-LR 0-0.25 25160-25 BX 1 $0.0000 6 $ - HACH COMPANY Ozone Reagent - HR (0 - 1.50 m 25170-25 EA 1 $0.0000 4 $ - HACH COMPANY OZONE REAGENT -HR 25180-25 EA 1 $0.0000 4 $ - HACH COMPANY OZONE REAGENT HR. 0-1.50 25180-25 PK 1 $0.0000 4 $ - HACH COMPANY OZONE REAGENT-HR 0-1.50 25180-25 BX 1 $0.0000 2 $ - HACH COMPANY SpecCheck Gel Secondary Standa 27080-00 KT 1 $0.0000 2 $ - HACH COMPANY HANDLING FEE HANDLING FEE EA 1 $0.0000 4 $ - HACH COMPANY HANDLING FEE HANDLING FEE EA 1 $0.0000 8 $ - HENRY SCHEIN INC ANTI STICK NEEDLES 6666588 CA 1000 $0.0000 6 $ - HENRY SCHEIN INC ANTISTICK NEEDLES 6666588 EA 1000 $0.0000 4 $ - HENRY SCHEIN INC 15G X 1 ButtonHole Needles 6667067 CS 250 $0.0000 6 $ - HENRY SCHEIN INC 15G X 1" BUTTON HOLE NEEDLES 6667067 CA 250 $0.0000 4 $ - INTEGRATED BIOMEDICAL BLOOD LEAK STRIPS BL242-25 BT 1 $0.0000 4 $ -

University Health system Confidential 10/25/2012 Page 8

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

INTEGRATED BIOMEDICAL WATER CHECK RESIDUAL CHLORIN RC22101-6 BX 1 $0.0000 4 $ - INTEGRATED BIOMEDICAL WATERCHECK RESIDUAL CHLORINE RC22101-6 BX 1 $0.0000 2 $ - ISOPURE CORP. LO PH CLEANER CH00401 CA 1 $0.0000 2 $ - ISOPURE CORP. LO PH CLEANER CH00401 EA 1 $0.0000 2 $ - ISOPURE CORP. HI PH CLEANER CH00402 CA 1 $0.0000 2 $ - ISOPURE CORP. HI PH CLEANER CH00402 EA 1 $0.0000 2 $ - ISOPURE CORP. HAZMAT FEE HAZMAT FEE EA 1 $0.0000 4 $ - LAB SAFETY SUPPLY INC ?Total Chlorine? Test Strips 57785 EA 1 $0.0000 8 $ - LAB SAFETY SUPPLY INC Water resistant Stopwatch 9BB-25044 EA 1 $0.0000 2 $ - LAB SAFETY SUPPLY INC Graduated Cylinder250ml Tran 9BB-47313 EA 1 $0.0000 2 $ - LAB SAFETY SUPPLY INC Graduated Cylinder 500ml Tra 9BB-47314 EA 1 $0.0000 2 $ - LAB SAFETY SUPPLY INC Graduated Cylinder 250ml Tra 9BB-47320 EA 1 $0.0000 2 $ - LAB SAFETY SUPPLY INC Graduated Cylinder 500ml Tra 9BB-47321 EA 1 $0.0000 2 $ -

x LAMOTTE COMPANY TEST TUBES/CHLORINE 106 EA 1 $0.0000 20 $ - LAMOTTE COMPANY Total Chlorine Test Tubes 106 EA 1 $0.0000 20 $ - LAMOTTE COMPANY TEST TUBES/HARDNESS 608 EA 1 $0.0000 4 $ - LAMOTTE COMPANY TOTAL HARDNESS TEST TUBES 608 EA 1 $0.0000 10 $ - LAMOTTE COMPANY HARDNESS SOLUTION 5 4483-E BT 1 $0.0000 10 $ - LAMOTTE COMPANY HARDNESS TABLETS 6 4484-J BT 1 $0.0000 8 $ - LAMOTTE COMPANY DPD 4 TABLETS 6899-A-K BX 1 $0.0000 16 $ - LAMOTTE COMPANY DPD4 TAblets 6899A-K BX 1 $0.0000 24 $ - LAMOTTE COMPANY TOTAL HARDNESS TEST TUBES O6O8 EA 1 $0.0000 16 $ - LAMOTTE COMPANY HARDNESS KIT R4482-DR-LT KT 1 $0.0000 16 $ - LAMOTTE COMPANY TOTAL HARDNESS KIT REFILL R4482-DR-LT EA 1 $0.0000 4 $ - LAMOTTE COMPANY TOTAL HARDNESS KIT REFILL R4482-DR-LT KT 1 $0.0000 24 $ -

x MAR COR PURIFICATION MINNCARE COLD STERILANT 176-01-001 CA 1 $0.0000 2 $ - MAR COR PURIFICATION MINNCARE COLD STERILANT 176-01-001 CS 1 $0.0000 2 $ - MAR COR PURIFICATION MINNCARE COLD STERILANT 176-01-001 EA 1 $0.0000 2 $ - MAR COR PURIFICATION MINNCARE COLD STERILANT 176-01-001 GA 1 $0.0000 2 $ - MAR COR PURIFICATION MINNCARE RESIDUAL 185-40-004 EA 1 $0.0000 2 $ - MAR COR PURIFICATION MINNCARE RESIDUAL TEST STRIPS 185-40-004 BT 1 $0.0000 4 $ - MAR COR PURIFICATION MINNCARE RESIDUAL TEST STRIPS 185-40-004 EA 1 $0.0000 8 $ - MAR COR PURIFICATION 1 TEST STRIPS 185-40-005 EA 1 $0.0000 2 $ - MAR COR PURIFICATION Minncare Residual 1 Test Stri 185-40-005 BT 1 $0.0000 8 $ - MAR COR PURIFICATION Parksure fitting 3/4" ma 347-07-001 EA 1 $0.0000 10 $ - MAR COR PURIFICATION Parksure fitting 3/4" u x ma 347-07-002 EA 1 $0.0000 10 $ - MAR COR PURIFICATION Parksure fitting 1" ma 347-10-001 EA 1 $0.0000 10 $ - MAR COR PURIFICATION Parksure fitting 1" u x ma 347-10-002 EA 1 $0.0000 10 $ - MAR COR PURIFICATION 90 elbow ft x ft 400-08-001 EA 1 $0.0000 10 $ - MAR COR PURIFICATION 1/4" Pipe Nipples 1/4xcl 400-25-000 EA 1 $0.0000 10 $ - MAR COR PURIFICATION 3/8" Pipe Nipples 3/8xcl 400-26-000 EA 1 $0.0000 10 $ - MAR COR PURIFICATION Ball Valve 1/4" mpt x hb 425-06-103 EA 1 $0.0000 10 $ - MAR COR PURIFICATION MINNCARE RESIDUAL STRIPS 78338-000 EA 1 $0.0000 10 $ - MAR COR PURIFICATION SNSR-LISLECNDCT1CELL OS1157517 EA 1 $0.0000 2 $ - MARKS PLUMBING PARTS ADAPTOR9 AERATOR 5540 EA 1 $0.0000 10 $ - MARKS PLUMBING PARTS ADAPTOR 5 AERATOR 6958 EA 1 $0.0000 30 $ - MARKS PLUMBING PARTS DUAL THREAD DISHWASHER FTG 6995 EA 1 $0.0000 30 $ - MARKS PLUMBING PARTS ADAPTOR AERATOR SNAP X 3 / 4 13527 EA 1 $0.0000 20 $ - MASIMO AMERICAS INC SENSOR OXIMETER ADULT 23186 EA 1 $0.0000 2 $ -

University Health system Confidential 10/25/2012 Page 9

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

MEDICAL SOLUTIONS INT. PIPE CLAMP CLIC-17 EA 1 $0.0000 20 $ - MEDICAL SOLUTIONS INT. DRAIN SCREEN W-DSO1 EA 1 $0.0000 40 $ - MEDICAL WHOLESALE INC Gilmour Poly Hose End Quick C 200955 EA 1 $0.0000 40 $ -

MEDLINE INDUSTRIES INC TUBE SUCTION CONN 3/16"X6 DYND50216 CA 20 $0.0000 2 $ - Move to Owens

MEDLINE INDUSTRIES INC Alcohol Prep Pad Large MDS090670 CS 1 $0.0000 24 $ - Move to Owens x MESA LABORATORIESINC. Repair and Calibration pHoeni 1 EA 1 $0.0000 2 $ -

MESA LABORATORIESINC. Back Cover 2 EA 1 $0.0000 2 $ - MESA LABORATORIESINC. 14.0 Ms 2.0027 QT 1 $0.0000 24 $ - MESA LABORATORIESINC. 14.0 mS / 1 qt. bottle 2.0027 BT 1 $0.0000 6 $ - MESA LABORATORIESINC. 14.0ms / 1 qt. 2.0027 BT 1 $0.0000 4 $ - MESA LABORATORIESINC. 14.0ms. 1 qt./ bottle 2.0027 BT 1 $0.0000 6 $ - MESA LABORATORIESINC. NEO CARE 2.0028 QT 1 $0.0000 24 $ - MESA LABORATORIESINC. NEO Care/ 1 qt. 2.0028 BT 1 $0.0000 4 $ - MESA LABORATORIESINC. NEO-Care 1 qt. 2.0028 BT 1 $0.0000 12 $ - MESA LABORATORIESINC. NEO-Care 1qt. Bottle 2.0028 BT 1 $0.0000 6 $ - MESA LABORATORIESINC. 7.0pH / 1qt. Bottle 2.0031 BT 1 $0.0000 12 $ - MESA LABORATORIESINC. 7ph / 1 qt. 2.0031 BT 1 $0.0000 4 $ - MESA LABORATORIESINC. PH 7 2.0031 QT 1 $0.0000 28 $ - MESA LABORATORIESINC. 4 PH 2.0032 PT 1 $0.0000 2 $ - MESA LABORATORIESINC. 4.0pH 16oz/ bottle 2.0032 BT 1 $0.0000 6 $ - MESA LABORATORIESINC. PH 4 2.0032 PT 1 $0.0000 4 $ - MESA LABORATORIESINC. 10 PH 2.0034 PT 1 $0.0000 4 $ - MESA LABORATORIESINC. 10.00pH / 16oz. Bottle 2.0034 BT 1 $0.0000 6 $ - MESA LABORATORIESINC. PH 10 2.0034 PT 1 $0.0000 2 $ - MESA LABORATORIESINC. 100 mS 2.0036 PT 1 $0.0000 22 $ - MESA LABORATORIESINC. 100 mS / 16 oz. bottle 2.0036 BT 1 $0.0000 6 $ - MESA LABORATORIESINC. 100.0ms /16oz. bottle 2.0036 BT 1 $0.0000 10 $ - MESA LABORATORIESINC. 100ms / 16 oz. 2.0036 BT 1 $0.0000 4 $ - MESA LABORATORIESINC. 1 mS 2.0037 PT 1 $0.0000 12 $ - MESA LABORATORIESINC. 1.0 mS / 16 oz. bottle 2.0037 BT 1 $0.0000 6 $ - MESA LABORATORIESINC. 1.0ms. 16oz/ bottle 2.0037 BT 1 $0.0000 6 $ - MESA LABORATORIESINC. 1ms / 16ooz. 2.0037 BT 1 $0.0000 4 $ - MESA LABORATORIESINC. 150 US 2.0045 PT 1 $0.0000 30 $ - MESA LABORATORIESINC. 150ms / 16 oz. 2.0045 BT 1 $0.0000 4 $ - MESA LABORATORIESINC. 150uS/ 16oz. Bottle 2.0045 BT 1 $0.0000 12 $ - MESA LABORATORIESINC. pH Sensor 3 EA 1 $0.0000 2 $ - MESA LABORATORIESINC. NEO-2 Meter calibration and r 4 EA 1 $0.0000 2 $ - MESA LABORATORIESINC. MALE SLIP ADAPTER 93.0003 PK 1 $0.0000 2 $ - MESA LABORATORIESINC. CONTROL SYRINGE 93.0015 PK 1 $0.0000 14 $ - MESA LABORATORIESINC. PORT ASSEMBLY 98.001 PK 1 $0.0000 8 $ - MESA LABORATORIESINC. Port Assembly Rev. J and Late 98.001 PK 1 $0.0000 4 $ - MESA LABORATORIESINC. Coolection Cup Assembly 98.0021 PK 1 $0.0000 2 $ - MESA LABORATORIESINC. Annual Repair and Calibration 1010 EA 1 $0.0000 2 $ - MESA LABORATORIESINC. PCB Assy 3 in 1 10101 EA 1 $0.0000 2 $ - MESA LABORATORIESINC. Control Syringe Replacement 20202 EA 1 $0.0000 2 $ - MESA LABORATORIESINC. 1 gal 1 gal EA 1 $0.0000 2 $ - MESA LABORATORIESINC. 1 mS / 16 oz (490 ppm) 1 mS / 16 oz (490 ppm) EA 1 $0.0000 14 $ - MESA LABORATORIESINC. 10.00 pH / 16 oz 10.00 pH / 16 oz EA 1 $0.0000 14 $ -

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

MESA LABORATORIESINC. 100 mS / 16 oz 100 mS / 16 oz EA 1 $0.0000 14 $ - MESA LABORATORIESINC. 14.0 mS / 1qt (7865 ppm) 14.0 mS / 1qt (7865 ppm) EA 1 $0.0000 14 $ - MESA LABORATORIESINC. 150 mS / 16 oz (71 ppm) 150 mS / 16 oz (71 ppm) EA 1 $0.0000 14 $ - MESA LABORATORIESINC. 4.00 pH / 16 oz 4.00 pH / 16 oz EA 1 $0.0000 14 $ - MESA LABORATORIESINC. 7.00 pH / 1 qt 7.00 pH / 1 qt EA 1 $0.0000 14 $ - MESA LABORATORIESINC. 7.00 pH / 16 oz 7.00 pH / 16 oz EA 1 $0.0000 14 $ - MESA LABORATORIESINC. ANNUAL CALIBRATION AND SYRING PHOENIX METER EA 1 $0.0000 2 $ -

x MOLDED PRODUCTS Luer Caps MPC-100 BG 100 $0.0000 6 $ - MOLDED PRODUCTS RECIRCULATING SET(MALE-MALE) MPC-150 BX 100 $0.0000 2 $ - MOLDED PRODUCTS RECIRCULATING SET(MALE-MALE) MPC-150 EA 1 $0.0000 400 $ - MOLDED PRODUCTS RECIRCULATING SET(MALE-MALE) MPC150 BX 100 $0.0000 8 $ - MOLDED PRODUCTS Tube Occluding Forceps MPC-200 BG 100 $0.0000 2 $ - MOLDED PRODUCTS Tube Occluding Forceps MPC-200 PK 100 $0.0000 2 $ - MOLDED PRODUCTS DISPOSABLE CLAMPS GREEN MPC-200 G BG 100 $0.0000 2 $ - MOLDED PRODUCTS RED CLAMPS MPC-200 R PK 100 $0.0000 2 $ - MOLDED PRODUCTS Forceps economy MPC-200 Y BG 100 $0.0000 4 $ - MOLDED PRODUCTS Forceps economy MPC-200 Y PK 100 $0.0000 2 $ - MOLDED PRODUCTS BLUE PLASTIC OCCLUSION CLAMP MPC-225 BG 100 $0.0000 12 $ - MOLDED PRODUCTS FISTULA PRESSURE CLAMPS MPC-250 BG 100 $0.0000 4 $ - MOLDED PRODUCTS FISTULA PRESSURE CLAMPS MPC-250 PK 100 $0.0000 8 $ - MOLDED PRODUCTS Transducer Filters MPC-90 BX 300 $0.0000 16 $ - MOLDED PRODUCTS Transducer Filters MPC-90 EA 1 $0.0000 2400 $ - MORRIS DICKSON ACCT. 26840 STRIP TEST GLUCOSE (1 LOT ) 2030365 VI 1 $0.0000 132 $ - MORRIS DICKSON ACCT. 26841 GLUCOSE CONTROLS-1 HIGH/1 LOW2030390 EA 1 $0.0000 36 $ - MORRIS DICKSON ACCT. 91027 SET INFUSION W/CHECK VALVE 2420-0500 CA 1 $0.0000 38 $ - SALT EXCHANGE INC SALT DIAMOND CRYSTAL 40LB BAG 25654 BG 1 $0.0000 1416 $ - UNITED PLASTIC LUTZ PUMP B2 VARIO PUMP SET 93150 EA 1 $0.0000 2 $ - UNITED STATES PLASTIC CORP. 3/8" Polysulfone In Line Hose 60670 EA 1 $0.0000 30 $ - UNITED STATES PLASTIC CORP. High Flow Quick disconnect cou 60670 EA 1 $0.0000 10 $ - UNITED STATES PLASTIC CORP. 3/8" Polypropylene Hose Barb S 60813 EA 1 $0.0000 30 $ - UNITED STATES PLASTIC CORP. Nylon Wing Nuts 1/4-20 91804 PK 1 $0.0000 4 $ - UNITED STATES PLASTIC CORP. Nylon Wing Nuts 91816 PK 1 $0.0000 2 $ - UNITED STATES PLASTIC CORP. Hex Head Cap Screw 1/4-20 1- 91862 PK 1 $0.0000 4 $ - UNITED STATES PLASTIC CORP. March TE-5C-MD Series 5 pump 94004 EA 1 $0.0000 2 $ -

TOTAL = $ 1,120,309.78

IMPACT IDENTIFIED Old Spend New Spend Savings $ Savings % LOCAL 1,120,309.78$ -$ -$ 0.00% TNMCMEDASSETS 1,120,309.78$ -$ -$ 0.00% TNMC

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

ALT. PRODUCT

MANUFACT #

UOM POUM Price POUM PRICE ISSUE

EACH Local

PROPOSED ANNUALIZED

COSTS

LINE ITEM SAVINGS

OPPORTUNITY

ANNUALIZED SAVINGS

OPPORTUNITY

PERCENTAGE SAVINGS COMMENTS

PRICE ISSUE EACH

MedAssets

PROPOSED ANNUALIZED

COSTS

LINE ITEM SAVINGS

OPPORTUNITY

ANNUALIZED SAVINGS

OPPORTUNITY

PERCENTAGE SAVINGS

COMMENTS

4321 BX 100 90 $ 0.0900 $ 135.00 $ (0.01) $ (15.00) -10.00% $ 0.09 $ 135.00 $ (0.01) $ (15.00) -10.00%

University Health system Confidential 10/25/2012 Page 12

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

University Health system Confidential 10/25/2012 Page 13

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

University Health system Confidential 10/25/2012 Page 14

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

University Health system Confidential 10/25/2012 Page 15

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

University Health system Confidential 10/25/2012 Page 16

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

University Health system Confidential 10/25/2012 Page 17

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

University Health system Confidential 10/25/2012 Page 18

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UHS Dialysis Product Eval + Compare Conversion Template New Prisitine VENDOR SAFE SEND v10

$ - $ - $ - $ - $ - $ - $ - $ - $ -

TOTAL = $ - $ - TOTAL = $ - $ -

University Health system Confidential 10/25/2012 Page 19

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PRODUCT MANUFACT. CURRENT PRODUCT DESCRIPTION

CURRENT PRODUCT MFG # UOM PUOM

PRICE ISSUE PUOM

PRICE EACH

ABC MFG PENCIL 1234 BX 100 $10.00 $0.1000