15-5805 (Amendment

15-5805 (Amendment
University of Wisconsin - Madison
REQUEST FOR BID
THIS IS NOT AN ORDER
AGENT: Susanne Matschull
Questions regarding this bid – see Section 3.1
For Submittal of Bid Instructions – see Section #1.
OFFICIAL SEALED
CONTRACT NUMBER:
ISSUE DATE:
06/10/14
DUE DATE:
06/24/14
15-5805
2:00 PM CDT
If NO BID (check here)
and return.
Bid prices and terms shall be firm for sixty (60) days
from the date of bid opening, unless otherwise specified
in this Request for Bid by the UW-Madison Purchasing
Services.
Unless otherwise noted, public openings will be on the
date and time specified. Award(s), if any, will be made
as soon thereafter as possible.
The bid abstract will be on file and is open to public
inspection only after award determination has been
made.
15-5805 / AMENDMENT #1 / GROWTH MEDIA AND AUTOMATED BROTH INSTRUMENTATION SYSTEM
Amendment #1 issued to update Attachment C: Itemized Bid List (Pages 23-24A) to include Maintenance Options in
Lot 2, and to clarify that current part numbers are not included.. Changes are highlighted.
If this amendment is not signed and returned, your bid may be disqualified.
All other terms and conditions remain the same. Please revise and submit your bid accordingly.
In signing this bid, we have read and fully understand and agree to all terms, conditions and specifications and acknowledge that the UW-Madison Purchasing Services
bid document on file shall be the controlling document for any resulting contract. We certify that we have not, either directly or indirectly, entered into any contract or
participated in any collusion or otherwise taken any action in restraint of free competition; that no attempt has been made to induce any other person or firm to submit or
not to submit a bid; that this bid has been independently arrived at without collusion with any other bidder, competitor or potential competitor; that this bid has not been
knowingly disclosed prior to the opening of bids to any other bidder or competitor; that the stated statement is accurate under penalty of perjury. I certify that the
information I have provided in this bid is true and I understand that any false, misleading or missing information may disqualify the bid.
By submitting a bid, the bidder certifies that no relationship exists between the bidder and the University that interferes with fair competition or is a Conflict of Interest,
and no relationship exists between such bidder and another person or firm that constitutes a Conflict of Interest. Further, bidder certifies that no employee of the
University whose duties relate to this request for bid assisted the bidder in preparing the bid in any way other than in his or her official capacity and scope of
employment.
The Bidder certifies by submission of the bid that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any federal department or agency.
COMPANY NAME:
COMPANY STREET ADDRESS:
COMPANY CITY, STATE & ZIP:
SIGNATURE:
DATE :
TYPE OR PRINT NAME:
TITLE:
TELEPHONE NUMBER: (
)
FAX NUMBER:
EMAIL ADDRESS:
FEIN NUMBER:
DUNS #:
(
)
UNIVERSITY OF WISCONSIN
MADISON, WISCONSIN 53715-1218
CONTRACT NO.: 15-5805
PAGE 23 OF 39
AMENDMENT #1
ATTACHMENT C: ITEMIZED BID LIST
1NOTE: LOT 1 – Media and Drug Kits and Use of Automated Broth Instrumentation Testing System
Vendor must provide all instrumentation, including software, accessories, on-going support and maintenance/repair
necessary to perform clinical assay and manage data for the below estimated results. Consisting of, but not limited to, the
following: pipettor/diluter, washer, spectrophotometer, calibrators, specimen diluents, buffers, controls, lamps, probe,
syringe, cuvettes, paper and support parts as required to run, maintain and calibrate the instrumentation
The “Number of Patient Results” per year is based on historical information. Actual usage may vary due to departmental
workload. For bid comparison purposes the below quantities are being used.
Note: Actual usage may vary due to departmental workload. The Current Part Numbers are shown on the Itemized
Bid List are currently being used at UW-Madison. Bidder may offer an alternate manufacturer items/services
believed to be an equal to those listed. Any alternate items/services bid must be clearly identified by
manufacturer and catalog, model or stock number. Adequate detailed specifications of the alternate
items/services offered should be included with your bid to establish equivalency and to insure that the
items/services being bid meets all specifications.
ITEM
#
EST.
USAGE
DESCRIPTION
1.
5500 tubes
Growth Media
2.
Supplement
for 5500
tubes
140 tests
Media
Supplement
3.
4.
Supplement
for 140 tests
5.
140 tests
6.
140 tests
CATALOG
NO.
PACKAGING
Drug kits for
SIRE tests for TB
Susceptibility
Test Media
Supplement
Drug kits for PZA
tests for TB
Drug kits for high
concentration
INH
LOT 1 TOTAL (Items 1-6)
UNIT PRICE
TOTAL PRICE
$________
$_________
$________
$_________
$________
$_________
$________
$_________
$________
$_________
$________
$_________
$________________
All non-listed, related items from manufacturer's catalog or product list are available at ____% discount. The current price
list is titled ________________________ and is dated _____________
INSTRUMENTATION
Please list the instrumentation and software you will be furnishing to do the test procedures per specifications. State the
manufacture and model of the system and state whether the system is new or used. Please provide literature describing
the system and products.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________
Specify all utility requirements for installation and operation of instrument.
UNIVERSITY OF WISCONSIN
MADISON, WISCONSIN 53715-1218
CONTRACT NO.: 15-5805
PAGE 24 OF 39
AMENDMENT #1
LOT 2 – Media and Drug Kits with WSLH Purchasing the Instrumentation
Vendor must provide all instrumentation, including hardware, accessories, software, on-going support and
maintenance/repair necessary to perform clinical assay and manage data for the below estimated results. Consisting of, but
not limited to, the following: pipettor/diluter, washer, spectrophotometer, calibrators, specimen diluents, buffers, controls,
lamps, probe, syringe, cuvettes, paper, and support parts as required to maintain and calibrate the instrumentation
The “Number of Patient Results” per year is based on historical information. Actual usage may vary due to departmental
workload. For bid comparison purposes the below quantities are being used.
Note: Actual usage may vary due to departmental workload. The Current Part Numbers are shown on the Itemized
Bid List are currently being used at UW-Madison. Bidder may offer an alternate manufacturer items/services
believed to be an equal to those listed. Any alternate items/services bid must be clearly identified by
manufacturer and catalog, model or stock number. Adequate detailed specifications of the alternate
items/services offered should be included with your bid to establish equivalency and to insure that the
items/services being bid meets all specifications.
ITEM
#
1.
EST.
USAGE
5500 tubes
DESCRIPTION
2.
Supplement
for 5500
tubes
140 tests
Media
Supplement
3.
4.
Supplement
for 140 tests
5.
140 tests
6.
140 tests
7.
1 ea
8.
Annual
9.
Annual
10.
Annual
CATALOG
NO.
PACKAGING
UNIT PRICE
TOTAL PRICE
$________
$_________
$________
$_________
$________
$_________
$________
$_________
$________
$_________
$________
$_________
$________
$_________
$________
$________
$________
$________
$________
$________
Growth Media
Drug kits for
SIRE tests for TB
Susceptibility
Test Media
Supplement
Drug kits for PZA
tests for TB
Drug kits for high
concentration
INH
Instrumentation
Maintenance –
First Year
Maintenance –
Second Year
Maintenance –
Second Year
LOT 2 TOTAL (Items 1-10)
$________________
All non-listed, related items from manufacturer's catalog or product list are available at ____% discount. The current price
list is titled ________________________ and is dated _____________
UNIVERSITY OF WISCONSIN
MADISON, WISCONSIN 53715-1218
AMENDMENT #1
CONTRACT NO.: 15-5805
PAGE 24A OF 39
INSTRUMENTATION
Please list the instrumentation and software you will be furnishing to do the test procedures per specifications. State the
manufacture and model of the system and state whether the system is new or used. Please provide literature describing
the system and products.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________
Specify all utility requirements for installation and operation of instrument.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________
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