DEPARTMENT OF VETERANS AFFAIRS

Federal Supply Service

Authorized Federal Supply Schedule Price List

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[Medical Equipment and Supplies]

FSC Group [65, Part II, Section A]

FSC Classes: [6510, 6515, 6530, 6532, 6540, 6545]

Contract Number: V797D - [60704]

Contract Period: [November 1, 2016 to October 31, 2021]

( For more information on ordering from Federal Supply Schedules, enter the following address into your web browser: http://gsa.gov/portal/category/100623 )

LSL Industries, Inc.

5535 N. Wolcott Ave.

Chicago, IL 60640

Phone #: 773.878.1100

Fax: 773.878.9100

www.lslhealthcare.com

Business Size: [Small]

“Prices Shown Herein are Net (discount deducted)”

Customer Information:

1a. List of awarded special item number(s):

SIN: [A-7A] ……………………………….. Page [8]

SIN: [A-18A] …………………………...…. Page [5 through 8]

SIN: [A-22A] ……………………………… Page [6 through 8]

SIN: [A-22B] ...... Page [5 through 8]

SIN: [A-32] ………………………………... Page [5 through 7]

1b. Identification of the lowest priced model number and lowest unit price for that model for each special item number awarded in the contract. This price is the Government price based on a unit of one, exclusive of any quantity/dollar volume, prompt payment, or any other concession affecting price. Those contracts that have unit prices based on the geographic location of the customer, should show the range of the lowest price, and cite the areas to which the prices apply: See Below.

SIN / Product Number / Product Description / FSS Price with IFF
A-7A / BP371110 / Surgical Blade, Carbon Steel #10 / $153.65
A-18A / 2305F / Sterile Standard Bulb Irrigation Tray / $19.70
A-22A / 1031D / Sterile Midstream Specimen Kit with BZK / $29.06
A-22B / 1505 / Sterile Foley Catheterization Tray without Catheter / $26.48
A-32 / 8252 / Fracture Bedpan, Mauve / $15.89

1c. If the Contractor is proposing hourly rates, a description of all corresponding commercial job titles, experience, functional responsibility and education for those types of employees or subcontractors who will perform services shall be provided. If hourly rates are not applicable, indicate “Not applicable” for this item: [Not Applicable]

2. Maximum order: [$100,000.00]

3. Minimum order: [$100.00]

4. Geographic coverage (delivery area): [48 Contiguous states, Alaska, Hawaii, Puerto Rico and District of Columbia]

5. Point(s) of production (city, county, and State or foreign country):

[U.S.A.]

6. Prices shown herein are Net (discount deducted)

7. Quantity Discounts: [Purchase 100 cases receive an additional 1% off the FSS net price]

8. Prompt Payment Terms: [Net 30 Days]

9a. Notification that Government purchase cards are accepted at or below the micro-purchase threshold:

[Acceptance of the Government-wide credit card for purchases of any dollar amount]

9b. Notification whether Government purchase cards are accepted or not accepted above the micro-purchase

threshold: [Accepted up to and above the micro-purchase threshold of $3,000]

10. Foreign items (list items by country of origin): [Not Applicable]

11a. Time of delivery: [Within 14 days After Receipt of Order (ARO)]

11b. Expedited delivery: [1 day After Receipt of Order (ARO). Government is responsible for paying the differential between normal and expedited delivery charges]

11c. Overnight and 2-day delivery: [Same as for Expedited delivery]

11d. Urgent requirements: [Same as for Expedited delivery]

12. FOB Point(s): [FOB Destination 48 states including the District of Columbia and point of exportation to Alaska, Hawaii and Puerto Rico]

13a. Ordering address(es): [5535 N. Wolcott Ave.; Chicago, IL 60640]

13b. Ordering Procedures: For supplies and services, the ordering procedures, information on Blanket

Purchase Agreements (BPA’s) are found in Federal Acquisition Regulation (FAR) 8.405-3

14. Payment address(es):

LSL Industries, Inc.

P. O. Box 825

Northbrook, IL 60065

Phone #: 773.878.1100

Fax: 773.878.9100

15. Warranty provision:

[LSL Industries, Inc. warrants that all consumable and disposable Products provided under this Agreement are free from defects in material and workmanship, meet Product specifications set forth in the Product packaging and are manufactured in compliance with all applicable federal, state, and local laws and regulations provided the Product has not been abused or mishandled. No Product may be adulterated or misbranded. The warranty for each consumable and disposable Product purchased under this Agreement commences upon delivery of the respective Product to the Participating Member]

Product under SIN Warranty Period

A-7A 3 Years

A-18A 1 to 3 Years (Depending on shelf life expiration date)

A-22A 1 to 3 Years (Depending on shelf life expiration date)

Product under SIN (Continued) Warranty Period (Continued)

A-22B 1 to 3 Years (Depending on shelf life expiration date)

A-32 3 Years

Returned Goods Policy:

[LSL Industries, Inc. wants every customer to be completely satisfied with the purchases made from us. LSL also warrants its products to be free of defects for the shelf life of the product. If a product has a manufacturing defect, LSL will replace it free of charge provided the product has not been abused or mishandled.

If the goods are being returned as a result of LSL’s error in shipping, or documented damage on receiving bill of lading/documents at time of delivery, there will not be any restocking charge. The product will be replaced at no additional cost and LSL will pay all shipping charges on shipping errors or products that are damaged prior to delivery and are documented on receiving bill of lading/documents at time of delivery. Product shortage or damage claims must be reported to LSL in writing within five (5) business days of product receipt, and damaged product must be returned within 30 days of receipt for replacement shipping or credit to be issued.

However, if the ordering activity makes a mistake for any reason, and requests a replacement within 30 days of the shipment, a replacement will be made within a reasonable period of time. However, the customer will be charged a 25% restocking fee (associated with ensuring meeting quality standards of product & packaging, before placing back in inventory).

In either case, an RGA (Return Goods Authorization) number must be issued by LSL. No credit will be given for goods returned without an RGA number issued by LSL Industries, Inc. If LSL is replacing free of charge, LSL will make arrangements for pickup and delivery. However, if the customer is responsible for return freight, the facility will make arrangements for pickup and delivery.]

16. Export packing charges, if applicable: [Not Applicable]

17. Terms and conditions of Government purchase card acceptance (any thresholds above the micro-purchase

level): [Acceptance of the Government-wide credit card for purchases of any dollar amount]

18. Terms and conditions of rental, maintenance, and repair (if applicable): [Not Applicable]

19. Terms and conditions of installation (if applicable): [Not Applicable]

20. Terms and conditions of repair parts indicating date of parts price lists and any discounts from list prices (if

applicable): [Not Applicable]

20a. Terms and conditions for any other services (if applicable): [Not Applicable]

21. List of service and distribution points (if applicable): [Distribution points: Chicago, IL and Jackson, MO]

22. List of participating dealers (if applicable): [Not Applicable]

23. Preventive Maintenance (if applicable): [Not Applicable]

24a. Special attributes such as environmental attributes (e.g., recycled content, energy efficiency, and/or

reduced pollutants): [We recycle to the extent allowed and have energy conservation policies in place]

24b. If applicable, indicate that Section 508 compliance information is available on Electronic and Information

Technology (EIT) supplies and services and show where full details can be found (e.g., contractor’s

website or other location). The EIT standards can be found at www.Section508.gov/ : [Not Applicable]

25. Data Universal Number System (DUNS) number: [046703096]

26. Notification regarding registration in System for Award Management (SAM) database: [Yes, Registered]

[LSL Industries, Inc., (773) 878-1100, www.lslhealthcare.com]