The School Board of Miami-Dade County, FloridaMEDICAL AND DENTAL SUPPLIES AND EQUIPMENT

REVISED

BID PROPOSAL FORM (FORMAT B)

Type or print the complete

name of the bidder in this box:

Bid No. 028-KK05 NAME OF VENDOR:

TITLE: MEDICAL & DENTAL SUPPLIES AND EQUIPMENT

BUYER: Gladys Forero-Beltran

PRICE PER UNIT

WARRANTY: Please indicate warranty if greater than one (1) year for each item as it applies.

GROUP I:The following items will be awarded as a total low bid basis. Vendor must bid all items to be considered for award. Items 1 to 4.

1 Bed, hospital electric, 1/2 side panels, 36" x 80" hard pan, casters, IV rod. Approved Brand: FL28C Stryker Medical or Equal 4 EA

2 Mattress, multi-layered foam (for hospita bed) Approved Brand: 2700-101-005 Stryker Medical or Equal 4 EA

3 Table, overbed, with dual vanity pneumatic height adjustment. Approved Brand: 3150-000-200 Stryker Medical or Equal 4 EA

4 Cabinet bedside, 3-drawer on casters, 25" W X 17 3/8" Dx 29 3/4" H. Approved Brand: 4400-503-000 Stryker or Equal 4 EA

GROUP II: The following items will be awarded on an individual item basis. Items 5 to 11.

5Stretcher, transport, adjustable height- 3 crank, stainless steel, 6" casters, metal shelf, (2) IV poles, , oxygen tank holder, safety load: 396 lb, overall size 75"L x 29 1/2"W. Approved Brand: 02-76-300 Pocket Nurse or Equal 2 EA

6 3 Panel Screen with 2" twin wheel caster, panel width: 27" each, , height: 69". Approved Brand: 02-50-3313 Pocket Nurse or Equal 2 EA

7Lifter, patient, hydraulic, adjustable, U base, with polydura sling and headrest. Weight capacity 400lbs; Width: minimum 24" - maximum: 39.5". Approved Brand: 04-76HLSL Pocket Nurse, MDS88200D Medline or Equal 3 EA

8Stool, doctor's. Contoured seat, seamless or sewn upholstery, height adjustment, two-way adjustable lumbar support, cleaneable, easy-to-use height and back adjustment levers. Approved Brand: 1601 A-dec or Equal 6 EA

9Assistant's stool. Contoured-round seat, seamless or sewn upholstery, height adjustment, height-adjustable torso support, height-adjustable foot ring, cleaneable, easy-to-use height and back adjustment levers. Approved Brand: 1622 A-dec or Equal 6 EA

10Chair, dental with programmable button footswitch, thin-profile backrest casting, lumbar support, automatic armrests, cast-aluminum baseplate, double-articulating headrest, hydraulic-lift cantilever system, chair swilvel with mechanical brake, duplex electrical outlet. Approved Brand: 1040 Cascade/Radius A-dec or Equal 5 EA

ITEM IF OFFERING OTHER THAN APPROVED BRAND, SPECIFY MANUFACTURER & MODEL (Refer to Special Conditions 6)

ESTIMATED QUANTITY DESCRIPTION OF ITEM UNIT (UOM)

1

The School Board of Miami-Dade County, FloridaMEDICAL AND DENTAL SUPPLIES AND EQUIPMENT

REVISED

BID PROPOSAL FORM (FORMAT B)

Type or print the complete

name of the bidder in this box:

Bid No. 028-KK05 NAME OF VENDOR:

TITLE: MEDICAL & DENTAL SUPPLIES AND EQUIPMENT

BUYER: Gladys Forero-Beltran

PRICE PER UNIT

ITEM IF OFFERING OTHER THAN APPROVED BRAND, SPECIFY MANUFACTURER & MODEL (Refer to Special Conditions 6)

ESTIMATED QUANTITY DESCRIPTION OF ITEM UNIT (UOM)

11

Light, radius chair-mounted. Auto on/off function with chair preset movements, three-position intensity switch with high, medium and composite settings, third axis of rotation (diagonal) for precise light head positioning, balanced light pattern for proper contrast and a clear view of tooth surfaces, includes spare quartz-halogen xenon bulb, optically designed reflector, toggle-release, scratch-resistant shield, integrates with Cascade/Decade Radius chairs, 270 degree rotation around the front Radius hub, allowing a full range of positioning for both left and right handed operators. Approved Brand: 6300 A-dec or Equal 1 EA

GROUP III: The following items will be awarded as a total low bid basis. Vendor must bid all items to be considered for award. Items 12 to 19.

12 Grandma chase patient care manikin. Includes sweat suit and interchangeable genitalia in carrying case. Also comes with tracheostomy, a rectum that accepts rectal thermometers or water enemas, and an ostomy stoma. Approved Brand: AA-8500 Armstrong Manikin or Equal 2 EA

13 CPR manikin pack , includes 10 adult manikins, one hundred disposable lungs, ten triple-action airways, video, instructions, and nylon bag with shoulder strap. Approved Brand: AA-1830 Armstrong Medical or Equal 6 EA

14AED Training System. System includes AED Trainer 2/w Soft Pack, Remote Control, AED Manikin w/Softpack Training Mat, 6 Resusci Manikin Wipes, 2 Faces, 2 Airways, Zippered Jacket, LINK Training Pads, and Directions for Use. Approved Brand: 02006001 Laerdal or Equal 2 EA

15

CPR manikin , skillguide resusci fullbody basic. Includes: Skillguide, 4 decorated Face Skins, 3 disposable Airways, Hard Carrying Case, Track Suit, Directions for Use, and 50 Manikin Wipes. Approved Brand: 31004501 Laerdal or Equal

3 EA

16

CPR manikin, skillguide resusci torso. Includes: Skillguide, 4 decorated Face Skins, 3 disposable Airways, Hard Carrying Case, Track Suit, Directions for Use, and 50 Manikin Wipes. Approved Brand: 310016 Laerdal or Equal

6 EA

17

Manikins, Resusci Baby Skillguide. Full body infant manikin, Hard plastic carry case, 3 baby faces, 6 baby airways, 6 manikin wipes, pulse bulb and tubing, Skillguide™ unit and Directions for use. Approved Brand: 14001101 Laerdal or Equal

7 EA

18Manikin pack, includes seven manikins five adult/child manikins, two infant manikins, 50 adult/child face shield/lung bags, 20 infant face shield/lung bags, and nylon carry case. Approved Brand: LF06700U Dixie EMS Supply or Equal 4 PKS

2

The School Board of Miami-Dade County, FloridaMEDICAL AND DENTAL SUPPLIES AND EQUIPMENT

REVISED

BID PROPOSAL FORM (FORMAT B)

Type or print the complete

name of the bidder in this box:

Bid No. 028-KK05 NAME OF VENDOR:

TITLE: MEDICAL & DENTAL SUPPLIES AND EQUIPMENT

BUYER: Gladys Forero-Beltran

PRICE PER UNIT

ITEM IF OFFERING OTHER THAN APPROVED BRAND, SPECIFY MANUFACTURER & MODEL (Refer to Special Conditions 6)

ESTIMATED QUANTITY DESCRIPTION OF ITEM UNIT (UOM)

19Manikin, chocking, is cast from human specimen, designed specifically for training students in the performance of the Heimlich Abdominal Thrust Maneuver. Manikin includes lifelike adult torso, 4 simulated boluses, talcum powder, tank top and carry case and directions for use. Approved Brand: 102-00001 Laerdal or Equal 2 EA

GROUP IV : The following items will be awarded as a total low bid basis. Vendor must bid all items to be considered for award. Items 20 to 30.

20 Pocket mask with one-way valve, in yellow, hard case. Approved Brand: 82001933 Laerdal or Equal 40 EA

21 Stethescope, medical. Ideal for the classroom, especially in the study of respiration and circulation. Approved Brand: STHF01 EMD United Scientific Supplies or Equal 108 EA

22

Stethescope dual head, black, latex free. Combination diaphragm/bell aluminum chestpiece for a broad acoustic range, non-chill bell ring, chrome plated binaurals adjust for a snug fit, 2" PVC tubing available in 8 colors: Royal, Pink, Black, Hunter, Purple, Teal, Burgundy & Navy. Approved Brand: 01-80-1108 Pocket Nurse or Equal 40 EA

23 Field set with matching nylon case, black, latex Approved Brand: 01-20-882 Pocket Nurse or Equal 20 EA

24Stethescope, standard teaching scope, dualhead chestpiece, latex free, 2 sets of adjustable chrome plated brass binaurals, 2 sets of flexible 22 and one straight 9.5" length of black PVC tubing, overall length 40". Approved Brand: 01-80-102T Pocket Nurse or Equal. 4 EA

25 Blood Pressure Experiment Kit Approved Brand: 5000-000 Phipps & Bird, S17033 Fisher Scientific or Equal 16 EA

26 Blood Pressure Training System deluxe with speakers. Approved Brand: 10-81-129U Pocket Nurse or Equal 2 EA

27Patient Monitoring Device, measures non-invasive blood pressure (NIBP),pulse rate, temperature and SP02 in about 30 seconds; light weight ad portable, includes training video. Approved Brand: 01-24-4200 Pocket Nurse or Equal 2 EA

28 Mobile Stand for above Patient Monitoring Device. Approved Brand: 01-24-4204 Pocket Nurse of Equal 2 EA

29Scale, eye level physician, 400 lb x 4 oz capacity, includes height rod in inches and centimeters. Heavy-duty understructure, die-cast beam, aluminum on black insert, easily read from either side. Approved Brand: 438 Detecto or Equal 2 EA

30 Econoline Illuminator, Xray, 2 bank, 110V Approved Brand: 11-91102D Pocket Nurse or Equal 2 EA

3

The School Board of Miami-Dade County, FloridaMEDICAL AND DENTAL SUPPLIES AND EQUIPMENT

REVISED

BID PROPOSAL FORM (FORMAT B)

Type or print the complete

name of the bidder in this box:

Bid No. 028-KK05 NAME OF VENDOR:

TITLE: MEDICAL & DENTAL SUPPLIES AND EQUIPMENT

BUYER: Gladys Forero-Beltran

PRICE PER UNIT

ITEM IF OFFERING OTHER THAN APPROVED BRAND, SPECIFY MANUFACTURER & MODEL (Refer to Special Conditions 6)

ESTIMATED QUANTITY DESCRIPTION OF ITEM UNIT (UOM)

GROUP V: The following items will be awarded as a total low bid basis. Vendor must bid all items to be considered for award. Items 31 to 39.

31 Air Motor: speed range from 5,000-20,000rpm. Forward/reverse speed adjustment. Standard 4-hole connection. Approved Brand: 0535.5260 Kavo, 6281174 Henry Schein or Equal 10 EA

32Low-speed handpiece: 1:1 transmission. For use with handpiece burs. Durable hygienic coating. Textured surface for easy grip. Speed u to 20,000 rpm. Air motor only. Approved Brand: 0540.1750 Kavo, 6284189 Henry Schein or Equal 5 EA

Latch head. 1:1 Transmission. Approved Brand: 0540.1750 Kavo, 628-4189 Henry Schein or Equal 5 EA

33 Matrix Retainer. Approved Brand: 07-0886515 Patterson, 1009547 Henry Schein or Equal 10 EA

34 Splash Hood with protective clear acrylic shield and light. Light to be specified right or left. Approved Brand: 86D Handler Mfg. Co., 6121771 Henry Schein or Equal 2 EA

35 Syringe, aspirating, 1.8cc Astra type. Approved Brand: 089-9773 Patterson Dental, 1004612 Henry Schein or Equal 20 EA

36 Carrier amalgam steel DE, medium/large. Approved Brand: 083-8367 Patterson Dental, 1000749 Henry Schein or Equal 10 EA

37 Vibrator, dental 4", 3 SP HD. Approved Brand: 090-9895 Patterson Dental or Equal 5 EA

38 Vaccum former machine 1 post. Approved Brand: 090-9879 Patterson Dental or Equal 2 EA

39 Pliers, cotton, serrated, regular. Approved Brand: 088-7687 Patterson Dental, 1003313 Henry Schein or Equal. 10 EA

4

The School Board of Miami-Dade County, FloridaMEDICAL AND DENTAL SUPPLIES AND EQUIPMENT

REVISED

BID PROPOSAL FORM (FORMAT B)

Type or print the complete

name of the bidder in this box:

Bid No. 028-KK05 NAME OF VENDOR:

TITLE: MEDICAL & DENTAL SUPPLIES AND EQUIPMENT

BUYER: Gladys Forero-Beltran

PRICE PER UNIT

ITEM IF OFFERING OTHER THAN APPROVED BRAND, SPECIFY MANUFACTURER & MODEL (Refer to Special Conditions 6)

ESTIMATED QUANTITY DESCRIPTION OF ITEM UNIT (UOM)

SAFETY AND PROTECTIVE PRODUCTS

GROUP VI: The following items will be awarded as a total low bid basis. Vendor must bid all items to be considered for award. Items 40 to 45.

All of the following BACK SUPPORT BELTS to be provided in either Black or Navy, silk screen imprinted in one color (White) with Miami-Dade County Public Schools (M-DCPS) logo. Awarded vendor will submit artwork/design proof to Procurement Management Services for final approval no later than (2) two weeks upon notification of award. - Approximate quantity: 187 total. Fabric composition: lycra/polyester; velcro closure, back brace w/abdominal support and suspenders

LOGO TO BE USED FOR SUPPORT BELT, BACK, Black/Navy

40 SUPPORT BELT, BACK, Small (approx. waist 30-33") Approved Brand: Universal EL-10V Small, Golden Ross/Safety Support Belt AE4000-02-BK-OCC or Equal 12 Each

41 SUPPORT BELT, BACK, Medium (approx. waist 34-36") Approved Brand: Universal EL-10V Medium or Equal 42 Each

42 SUPPORT BELT, BACK, Large (approx. waist 37-39") Approved Brand: Universal EL-10V Large, Ergodyne/Proflex 1650-L or Equal 38 Each

43 SUPPORT BELT, BACK, XLarge (approx. waist 40-42") Approved Brand: Universal EL-10V X-Large, Ergodyne/Proflex 1650-XL or Equal 33 Each

44 SUPPORT BELT, BACK, XXLarge (approx. waist 43-45") Approved Brand: Universal EL-10V XXLarge or Equal 38 Each

45 SUPPORT BELT, BACK, Large 3X (approx. waist 46-48") Approved Brand: Universal EL-10V 3X or Equal 24 Each

GROUP VII:

The following items will be awarded as a total low bid basis. Vendor must bid all items to be considered for award. Items 46 to 60.

46

COVERALL - TYVEK LIKE SUIT X-Large, disposable with attached hood, boots, elastic wrists, face opening, meets or exceeds ANSI/ISEA 101-1996. Sample Required upon buyer's request: 1 coverall with specification sheet. APPROVED BRAND: Dupont/Tyvek #TY122S-XL or Equal

1200 Each

47COVERALL , VINYL, CHEMICAL RESISTANT, Large, 0.10mm single ply PVC with attached hood with drawstring or elastic, elastic wrists, storm fly-front style, non-metallic zipper, heat-sealed seams, yellow. APPROVED BRAND: Rainfair-LaCrosse/LaCross #1800-8055 Large or Equal

23 Each

48COVERALL VINYL, CHEMICAL-RESISTANT, X-Large, 0.10mm single ply PVC, with attached hood with drawstring or elastic, elastic wrists, storm fly-front style, non-metallic zipper, heat-sealed seams, yellow. APPROVED BRAND: Rainfair-LaCrosse/LaCross #1800-8055 X-Large or Equal

12 Each

5

The School Board of Miami-Dade County, FloridaMEDICAL AND DENTAL SUPPLIES AND EQUIPMENT

REVISED

BID PROPOSAL FORM (FORMAT B)

Type or print the complete

name of the bidder in this box:

Bid No. 028-KK05 NAME OF VENDOR:

TITLE: MEDICAL & DENTAL SUPPLIES AND EQUIPMENT

BUYER: Gladys Forero-Beltran

PRICE PER UNIT

ITEM IF OFFERING OTHER THAN APPROVED BRAND, SPECIFY MANUFACTURER & MODEL (Refer to Special Conditions 6)

ESTIMATED QUANTITY DESCRIPTION OF ITEM UNIT (UOM)

49 EARMUFF, minimum NRR 20dB, with adjustable headband, EPA approved APPROVED BRAND: E-A-R Model 1000 or Equal. 150 Each

50EARPLUG Disposable, without cord, NRR 28dB, Material dermatological safe foam, bell shaped, adjustable, self-adjusting, Packaged in individual poly bags; 200 per box APPROVED BRAND: E-A-R 312-1208 or Equal

25 Box

51 FILTER-RESPIRATOR - P100 particulate, HEPA, magenta. Minimum of four (4) filters/carton APPROVED BRAND: North N7580P100; Grainger #6T451 or Equal 12 Each

52FLAG - RED ONLY, according to Florida State Law (fluorescent orange unacceptable). For extended loads, approximately 18" x 18" with grommets, includes 72"L nylon cord tie rope, 24" wooden dowel, or equal. APPROVED BRAND: No currently approved brands for this category.

20 Each

53GLASSES - PROTECTIVE, Sporty, unitary wrap around high impact polycarbonate lens, hard coat, scratch resistance, anti-fog, clear lens, 99% protection against UV rays and must meet ANSI Z87.1 APPROVED BRAND: Uvex S2000, Fisco S2000 "Skyline", Pyramex/Mayan #SB2610D or Equal.

120 Each

54GLASSES - SAFETY Over-the-glass templates, high impact polycarbonate, hard coat, scratch resistance, anti-fog, clear lens, 99% protection against UV rays and must meet ANSI Z87.1. APPROVED BRAND: Uvex 2500C, AO Safety #12159, Pyramex/Integra SB410ST or Equal.

140 Each

55GLASSES - SAFETY. Sporty, unitary wrap around high impact polycarbonate, hard coat, scratch resistance, anti-fog, tinted lens, 99% protection against UV rays and must meet ANSI Z87.1. APPROVED BRAND: AO Safety 13333 "Malibu" or Equal

2,000 Each

56RESPIRATOR-MASK, Type N95 NIOSH-approved particulate respirator. For dust/mist. White disposable, maintenance-free. Meets all applicable NIOSH/MSHA requirements. Packed 20/Box. APPROVED BRAND: 3M #8210, Gerson-1730 Respirator or Equal.

41,600 Each

57SOAP - ANTISEPTIC/ANTIBACTERIAL. Liquid, 8-oz. size, 12 bottles per case. APPROVED BRAND: Chester Labs AprilFresh # 000678, Kutol Health Guard Antibacterial Soap #5019 or Equal. Minimum Order: 300 cases

1430 Case

58

GOGGLES, SAFETY, Chemical splash & impact resistant, for Industrial Arts, Science Lab and Custodial areas.Elastic strap, CLEAR lens. Meets ANSI Z87.1-1089. APPROVED BRAND: ENCON 160 with clear EN-FOG lens, Midland # 503E, American Allsafe # 10281, Pyramex/Glasses #G304T or Equal. Minimum Order: 72 each pair

300 Each

59GOGGLES, SAFETY, Chemical splash & impact resistant, For Outdoor Custodial areas. Green or Gray Lenses with same color body with elastic strap. Meets ANSI Z87.1-1089. APPROVED BRAND: Midland # 504E, American Allsafe # 10283 or Equal. Minimum Order: 72 each pair.

100 Each

60Wool blanket in pouch, top quality, 80% wool fire-resistant blanket is portable and highly visible, black. Double-grometer handle; velcro fastener for quick "drop out" action. Dimensions 66" x 84"; Approved Brand: FR2509/2504 Cotton Goods Manufacturing, S47567 Fisher Scientific or Equal 21 EA

6

The School Board of Miami-Dade County, FloridaMEDICAL AND DENTAL SUPPLIES AND EQUIPMENT

REVISED

BID PROPOSAL FORM (FORMAT B)

Type or print the complete

name of the bidder in this box:

Bid No. 028-KK05 NAME OF VENDOR:

TITLE: MEDICAL & DENTAL SUPPLIES AND EQUIPMENT

BUYER: Gladys Forero-Beltran

PRICE PER UNIT

ITEM IF OFFERING OTHER THAN APPROVED BRAND, SPECIFY MANUFACTURER & MODEL (Refer to Special Conditions 6)

ESTIMATED QUANTITY DESCRIPTION OF ITEM UNIT (UOM)

GROUP VIII

NAME OF CATALOG AND CATALOG YEAR OR NAME OF PRICE LIST AND PRICE LIST YEAR

________% Catalog/Price

List

________% Catalog/Price

List

________% Catalog/Price

List

Company Sales (Local) Representative: ____________________________________________________________Street Address: _______________________________________________________________________________City, State and Zip Code: ________________________________________________________________________Phone Numbers: ________________________________________________________________________________Fax Number: ___________________________________________________________________________________Local/Toll-Free Phone Number: ____________________________________________________________________Universal Resource Locator (URL): _________________________________________________________________E-Mail Address: _________________________________________________________________________________

Bidders Checklist:

Catalogs/Price Lists - One (1) each for Balance of line Y or N

Local Business Tax Receipt - current (IF NOT REQUIRED BY YOUR STATE, PLEASE INDICATE) Y or N

Sales Reprsentative Contact Information: Y or NVendor Information Sheet Y or N

PERCENTAGE % DISCOUNT

Please circle Yes (Y) or No (N) as verification that each of these items are being submitted together with your bid proposal

VENDOR REPRESENTATIVE INFORMATION (per Special Condition 19)

BALANCE OF LINE: Percentage discount off pre-printed catalog or price list(s) to awarded vendors as primary and or alternate. 61 EFFECTIVE DATES EXCEPTIONSSINGLE FIX

DISCOUNT

CATALOG OR PRICE LIST COLUMN I.D.

7