SPA AGREEMENT SPECIAL CONDITIONS FOR REHABILITATION EQUIPMENT Begin Date 04/28/2005 End Date 04/27/2006 Agreement #4653137-PA

COMMODITY NO. 465-800

PURPOSE The purpose of this eQuote is to establish a one (1) year State Purchasing Agreement (SPA) for the purchase of Rehabilitation Equipment by all State of Florida agencies and other eligible users.

TECHNICAL DOCUMENTATION & PRICE LIST All products/services quoted must meet or exceed all requirements of this eQuote. When technical documentation and/or price list is required, its purpose is to demonstrate compliance of the product quoted and to allow a technical evaluation of the product and verification of a true savings to the State of Florida Eligible Users. Vendor to supply documentation showing equipment being quoted or provide a website where products can be viewed. Successful vendor shall provide ordering agencies with documentation of product if requested.

DELIVERY Delivery to the ordering agency shall be FOB destination and shall be delivered within thirty (30) days after receipt of purchase order or as specified by the ordering agency. The delivery charge is to be added to the invoice as a separate item.

PURCHASING CARD PROGRAM The State has implemented a purchasing card program through the Bank of America, using the VISA network. Vendors will receive payment from the purchasing card in the same manner as other Visa purchases. Accordingly, vendors must presently have the ability to accept VISA or take whatever steps necessary to implement the ability before the start of the agreement term. The State reserves the right to revise this program in conjunction with implementation of an on-line procurement system. VISA acceptance is mandatory but is not the exclusive method of payment. Please indicate your ability to accept VISA in the space provided on the Ordering Instruction sheet of the eQuote.

When an ordering State agency makes a purchase using the State Purchasing Card as method of payment, the language in paragraph 7, Transaction Fee, on the attached form PUR 7722 does NOT apply. When the State Purchasing Card is not used as a method of payment, or a purchasing card other than the State Purchasing Card is used, paragraph 7 DOES apply.

MINIMUM REQUIREMENTS Respondents shall:

1. Quote a discount off list prices (price charged to customer off the street) of the products that you are quoting on the pricing page(s). Price should include, List Price, Percent Discount given, and Discounted SPA Price. 2. Indicate number of years your company has been providing these services.

Failure to submit the information required in this section will be grounds for disqualification of your quote and/or removal from any resulting agreement.

1 CERTIFICATION By completing and responding to this eQuote, vendor is agreeing to all terms and conditions and certifies that the discounted prices stated will hold for the duration of the agreement and that the products quoted meet or exceed equipment manufacturer’s warranty requirements. Price decreases are acceptable on invoice(s) presented for payment. This agreement may be superseded by an new State Term Contract that may be put in place before the expiration of this agreement, if any is awarded.

QUESTIONS If you have questions regarding how to use the eQuote tool (i.e., how to log in, review a quote, submit a response, download and attachment, etc.), please contact the My Florida Market Place Customer Service Desk at 1-866-352-3776 or at [email protected] .

If you have questions pertaining to the content of the eQuote itself, please contact the agency contact person listed on the eQuote. The contact person for this eQuote is Peggy Yown, telephone 850-414-6200 or email [email protected] Response to Minimum Requirements paragraph may be submitted through email, fax or regular mail. The fax number is 850-488-5498. Mailing address is Department of Management Services, 4050 Esplanade Way, Suite 360.1Z, Tallahassee, Florida 32399-0950.

EVALUATION/AWARD eQuotes will be evaluated and awarded to the supplier(s) offering the highest discount from their price list. The lowest price(s) will be determined by applying the discount offered to the list price to get the lowest net price for the Eligible Users of the ensuing agreement, if awarded. Additional items/services which may be needed by the ordering agency, but not listed on this agreement, will be negotiated between the user and vendor at the same discounted prices.

2 SOUTH FLORIDA MOBILITY, INC. D/B/A ACTIVE MOBILITY CENTER PRICE SHEET FOR REHABILITATION EQUIPMENT COMMODITY NO. 465-800

Description List Price % Discount SPA Price

18” Wheelchair with Fixed Arm and Foot Rests $200.10 30% $140.07 Brand: Invacare Tracer EX2 Weight Capacity: 250 Lbs. Product Weight: 36 Lbs. Product ID: TREX2 Color: Chrome/Blue Upholstery Website to View Product: http://www.invacare.com

Adjustable Folding Canes $ 23.70 30% $ 16.59 Brand: Invacare Color: Black, Folding Weight Capacity: 250 Lbs. Product Weight: 15 Ozs. Product ID: 40800-6 Website to View Product: http://www.invacare.com

Standard 7/8” Decorative Aluminum Adjustable Canes $ 21.85 30% $ 15.30 Brand: Drive Medical Weight Capacity: 300 Lbs. Product Weight: <1 Lb. Colors: Vary (see website) Website to View Product: http://www.drivemedicaldesign.com

Folding Adjustable Walker $ 81.00 30% $ 56.70 Brand: Invacare Dual Blue Release Weight Capacity: 300 Lbs. Product Weight: 5 Lbs. 13 Ozs. Adjustments: 5’3” – 6’4” Product ID: 6241-A Website to View Product: http://www.invacare.com

Adjustable Aluminum Folding Walker $ 81.00 30% $ 56.70 Brand: Invacare Dual Blue Release Weight Capacity: 300 Lbs. Product Weight: 5 Lbs. 13 Ozs. Adjustments: 5’3” – 6’4” Product ID: 6241-A Website to View Product: http://www.invacare.com

3 Description List Price % Discount SPA Price

Pedal Exerciser $ 40.00 30% $ 28.00 Brand: DMI #2009 The Pedal Exerciser (No website picture available, vendor can supply)

Long Handle Shoe Horn $ 12.00 30% $ 8.40 Brand: DMI #8112 Size: 24” Long, Chrome-Plated Flexible Head for easy use (No website picture available, vendor can supply)

Reachers $ 15.00 30% $ 10.50 Brand: DMI-1764 26” Aluminum Reacher (No website picture available, vendor can supply)

Blow-Molded Bath Seats $ 34.30 30% $ 24.01 Brand: Invacare Weight Capacity: 250 Lbs. Product Weight: 3 Lbs. 3 Ozs. Product ID: 50-3 Website to View Product: http://www.invacare.com

Heavy Duty Bath Seat With/Without Back $ 77.05 30% $ 53.94 Brand: Drive Medical Product ID: 12021KDR Weight Capacity: 500 Lbs. W/Back Support Website to View Product: http://www.drivemedicaldesign.com

Hygienic Sliding Transfer Bench $270.00 30% $189.00 Brand: DMI #1717 Weight Capacity: 250 Lbs. (No website picture available, vendor can supply)

Deluxe Adjustable Steel Commode $ 72.00 30% $ 50.40 Brand: DMI Economy #1240 Weight Capacity: 250 Lbs. (No website picture available, vendor can supply)

Heavy Duty Extra-Wide Steel Commode $ 99.95 30% $ 69.97 Brand: DMI #1207 Weight Capacity: 500 Lbs. (No website picture available, vendor can supply)

4 Description List Price % Discount SPA Price

Adjustable Shower/Tub Seat $ 50.00 30% $ 35.00 Brand: DMI #1701-1 Adjustments: 15” – 20” Weight Capacity: 250 Lbs. (No website picture available, vendor can supply)

Powder Coated Steel Drop-Arm Commode $158.00 30% $ 110.60 Brand: DMI #1213 Adjustments: 19” – 23” (No website picture available, vendor can supply)

Locking Raised Toilet Seat With Arms $ 64.00 30% $ 44.80 Brand: DMI #1566 Weight Capacity: 250 Lbs. Width Between Arms: 18” Seat Width: 17” (No website picture available, vendor can supply)

Shower Transport Chair $179.80 30% $125.86 Brand: DMI #1702 Anodized 1” Aluminum Frame Molded Plastic Ring Seat Seat Height: 21”, 21W, 20D 18” Between Armrests Weight Capacity: 250 Lbs.

Adult Shroud Kit $ 5.90 30% $ 4.13 Brand: DMI #87-01 Shroud Sheet, Chin Strap, Cellulose Pads, Limb Ties, and ID Tags

Opthalmoscope Co-Axial Set $409.80 15% $348.33 Brand: Welch-Allyn Portable Set, W/23 Lenses Redline #9400-25-00

Isolation Cart (PVC Linen Cart) $358.00 30% $250.60 Brand: Healthy Line Product #: LC422W5 Size: 43.5” height x 52” wide x 21.5” deep Website to View Product: http://www.healthlinemedical.com/lincarts.html

Transfer Board, 24” Wood $ 37.00 30% $ 25.90 Brand: DMI #1753 8 x 24” solid wood

5 Description List Price % Discount SPA Price

Trapeze Overhead Frame W/Trapeze $422.00 30% $295.40 Brand: Invacare Floor Base and Overhead Trapeze Website to View Product: http://www.invacare.com

Patient Lifting Device, Mobil, Battery Operated, Tempo w/scale or equivalent, Includes 2 batteries for 24 hour use. $2486.00 30% $1740.20 Brand: Invacare Reliant 450 Weight Capacity: 450 Lbs. Product ID: RPA450-1 Website to View Product: http://www.invacare.com Slings are additional

DELIVERY/SHIPMENT CHARGES ARE TO BE FOB DESTINATION AND ADDED TO THE INVOICE AS A SEPARATE ITEM. ORDERING AGENCY SHOULD CALL FOR APPROXIMATE SHIPPING CHARGES BEFORE ISSUING THE ORDER TO THE VENDOR.

In the event that product is not available or discontinued, vendor will substitute equal value products for the same price.

Number of Years Your Company Has Been Providing These Products: 13 Years

6 Ordering Instructions CONTRACTOR: South Florida Mobility, Inc., D/B/A Active Mobility Center

SPURS VENDOR NUMBER: F-650337655-001

SPA Agreement Administration

Please identify the person who will be responsible for administering the Agreement on your behalf if award is made, and include an emergency contact phone number:

Name: Carey J. Britton Title: President Street Address: 1404 SW 13 th Court, Pompano Beach, FL 33069 Email Address: [email protected] Phone Number(s): 954-946-5793 Fax Number: 954-946-5716

If the person responsible for answering questions about the Agreement is different from the person identified above, please provide the same information for that person.

Name: Benay Britton Title: Street Address: 1404 SW 13 th Court, Pompano Beach, FL 33069 Email Address: [email protected] Phone Number(s): 954-946-5793 Fax Number: 954-946-5716

Direct Orders Please provide the following information about where the Customers should direct orders. You must provide a regular mailing address. If equipped to receive purchase orders electronically, you may also provide an Internet address.

Street Address or P.O. Box: 1404 SW 13 th Court City, State, Zip: Pompano Beach, FL 33069 Phone Number: 954-946-5793 Toll Free Number: 800-326-4463 Ordering Fax Number: 954-946-5716 Internet Address: www.wheelchairguys.com Federal ID Number: F-650337655 Remit Address: 1404 SW 13 th Court City, State, Zip: Pompano Beach, FL 33069 Email Address: [email protected]

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