REVISED ATTACHMENT 2 BID PRICING FORM 1. The low price determination shall be the base bid amount as indicated in Row 8. 2. Do not include sales tax in your bid. Prior to award of contract, the City will confer with the Bidder to review applicable sales and use taxes and make required adjustments. 3. Only prices that appear on this bid pricing form will considered. 4. FOB DESTINATION ONLY. All shipping and handling charges to be included in the bid prices. DESCRIPTION QUANTITY UNIT PRICE SCBA-45-minutes, w/ face piece, voice 1 amplifier, w/ spare cylinder etc. per Section 1.1 SCBA-60-minutes, w/ face piece, voice amplifier, w/ spare 2 cylinder etc. per Section 1.2 294each 40 each $ $ EXTENDED PRICE 3 Face pieces and nose cups 439 each $ 4 Additional Voice Amplifiers 419 each $ 5 Rescue Air Pack 20 each $ 6 Subtotal Cash discount for early 7 payment % <$ > (in 21 days) Total Base Bid 8 (rows 1-7) Company Signature Date Base Bid total in row 8 indicated in words dollars, Cents, (_) 1
Please provide the following information on product bid: #1 SCBA-45-minutes, w/ face piece, w/ spare cylinder: Specified in Row 1 #2 SCBA-60-minutes, w/ face piece, w/ spare cylinder Specified in Row 2 # 3 Face pieces and nose cups Specified in Row 2 #4 Voice Amplifiers Specified in Row 4 #5 Rescue Air Pack Specified in Row 5 2
Optional Equipment: The City of San Jose may purchase additional equipment and services within the term of the purchase order and/or the options years. These quantities are listed for information purposes only. The estimated quantities provided by the City are not guaranteed. The quantities may vary depending on the demands of the City. Any variation form these estimated quantities shall not entitle the Bidder to an adjustment in the price or to any additional compensation. The City may purchase additional equipment not listed in the parts and price forms, the vendor shall provide the City with discount of list price for this undetermined equipment. 1. Mask Fit Testing (Option) San Jose Fire Department is currently scheduled to complete mandatory mask fit testing for current SCBA product during January 2011. Bidder agrees to negotiate a separate contract with current vendor for mask fit testing to complete testing of new mask at this scheduled time. Current vendor contact information: Robert Thorpe Alpha & Omega Respirator Fit Testing Services 23905 Clinton Keith Road, Suite 114 Wildomar, CA 92595 Email resptest@aol.com Phone (951) 852-7357 San Jose Fire Department staff and the City of San Jose shall agree that this independent contract will allow for timely completion of this testing in the allotted time scheduled. Vendor response: Yes No 2. Additional Self Contained Breathing Apparatus (Option) Provide one hundred seven (107) additional Scott Air-Pak 75 or equal, open circuit, self-contained breathing apparatus as identified in Section 2. 3. Additional Cylinders (Option) Provide seven hundred thirty two (732) additional forty five (45) minute cylinders as identified in Section 3. 4. Additional Facepiece Assembly (Option) Provide one hundred fifty (150) additional Scott AV-3000 SureSeal facepieces or equal as identified in Section 4. Provide fifty (50) of each size small, medium, and large. 5. Facepiece Upgrade (Option) Provide upgrade to approximately six hundred twenty (620) AV3000 facepieces to Sureseal and CBRN compliance. These upgraded masks shall be NFPA 1981 and 1982, 2007 Edition compliant. 3
6. Additional Facepiece-Mounted Positive Pressure Regulator (Option) Provide four hundred thirty nine (439) additional Scott E-Z Flo II CBRN regulators or equal as identified in Section 7. 7. Facepiece Lens Kit (Option) Provide fifty (50) Scott Facepiece Lens Kits compatible with the AV 3000 Sureseal facepieces or equal. 8. Trade-In of Existing Equipment (Option) The bidder will provide an approximate trade-in value for existing equipment. Final trade-in value will be determined after the bidder has been able to evaluate the equipment and parts inventory inperson. Credit for the existing equipment will be applied against future purchases, and will not be applied to the grant funded purchase. Vendor response: Yes No If yes please provide approximate trade in value below: Vendor Response $ approximate Trade In Value The existing equipment is as follows: Scott Airpack 50 SCBAs 350 units Scott AV2000 facepieces 100 units Scott AV3000 facepieces 620 units Scott SCBA Kevlar bottles 700 cylinders Scott RIC packs/bags 16 SCBA parts inventory See below Qty. Part# Description 40 804370-02 EZ Flow Regulator (used) 24 802229-01 HP Hose Assembly 8 804594-01 Metal mask clip 300 10007861 Sticker Cover Regulator 12 10005218 Purge Knob 13 803351-01 Valve Stem EZ Flow II 20 804194-01 Cover Button Air Saver Switch Regulator 12 804110-01 Regulator Cover Assembly 12 10005233 Latch Plate metal regulator 6 10007358 Demand Lever 12 10008532 Latch regulator 6 10005229 Demand Valve Latch Spring 12 33354-016 Screw Pan-head latch 12 10010666 Bearing (2) 12 10010667 O-Ring (2) 12 18070-00 Packing Perform O-Ring 4
Qty. Part# Description 6 36684-047 Metal Retaining Ring Purge stem 6 804335-01 EBSS hose 23 804426-01 Waist Belt Female 14 804471-01 Waist Pad Assembly 23 804427-01 Waist Belt Male 35 804512-01 Backframe & Harness Assembly Qty. Part# Description 45 804421-01 Cylinder Retention Strap 15 10008880 Regulator Holder for waist belt 50 33481-107 Roll Pin for gauge block 6 804862-01 Gauge block assembly 5 804092-02 Gauge Assembly 1 50004-16 Loctite 242 Blue 1 50721-02 Loctite 271 Red 1 50756-01 Loctite 380 Black Max 1 50576-02 Loctite 422 White 1 50757-02 Loctite X-NMS 768 Solvent 1 50729-01 Lo-Phenyl Silicone 1 50728-01 Rheolube 719M 12 804094-01 4.5 Remote Gauge metal gauge line 12 10010908 Cricket (Philly) Bell Cover 15 10009514 Rubber cup hose socket protector 12 33324-041 Cricket Philly Bell cover screws 12 33460-072 Washer for Philly Bell Cover 20 804530-01 Retaining fabric strap for EBSS hose 15 804481-01 Strap long length for shoulder strap 50 Strap AV3K AV3000 Strap for headnet 6 805773-03 AV3000 Full-face w/ Kev size Large 4 805773-02 AV3000 Full-face w/ Kev size Medium 10 805773-01 AV3000 Full-face w/ Kev size Small 12 804191-08 AV2000 Full-face Comfort Seal Large 5 804191-03 AV2000 Full-face Extra large 1 804191-01 AV2000 Full-face Small 32 805753-01 AV3000 Spectacle Kit 12 804177-01 AV3000 Headnet Large Kev 12 804177-02 AV3000 Headnet Medium Kev 5
Qty. Part# Description 11 803930-01 Fit Test Adapter 401mm, Twin Cart, V-Bar 4 200260-01 Voice Amplifier Epic (new style) 15 200715-01 Voice Amp Bracket Epic AV3000 42 804530-01 WMD Adaptors 44 802229-01 High Pressure Hose w/ 90 Elbow 30 804337-01 EZ Flow Regulator Pig Tail Hose Qty. Part# Description 10 7421-113 Scott Half Mask ( cartridge type ) 43 804428-01 Shoulder Pad Assemble 13 805090-01 Cricket Assemble Kits ( Philly Bell ) 1 Interspiro Face Mask Small 1 Interspiro Face Mask Med / Large 139 804191-08 AV 2000 Face Masks 145 805773-02 AV 3000 Face Masks 9 803930-01 Scott Twin P-100 Cartridge Filters 5 805191-01 Gauge Consoles 7 10011011 AV3000 Nose Cup Small 18 10011012 AV3000 Nose Cup Medium 5 10011013 AV3000 Nose Cup Large 5 EBSS Double Male Adaptor for RIC 12 802228-01 High Pressure Hoses w / Couplings 46 10005368 EZ Flow Regulator Gaskets 12 804594-01 AV 2000 Voice Amp Brackets 36 10006383 AV 2000 Inhale Valves ( nose cups ) 35 804010-01 AV 2000 Voice Meters 9 100006289 Cylinder Valve Metal Retainer Clip 1000 O-Rings, Washers, Fasteners, Springs, Clips 12 804442-01 AV2000 Spec Kits Quantities identified are an approximation of the current inventory. 6
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