Harbor-UCLA Medical Center PO-HH-26008872

CADD-SOLIS AMBULATORY GREY ITEM#: 21-2111-0402-51 *NOTE: TRADE-IN DISC: 15 X $200.00 = $3,000.00* THIS PURCHASE INCLU...

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CADD-SOLIS AMBULATORY GREY ITEM#: 21-2111-0402-51 NOTE: TRADE-IN DISC: 15 X $200.00 = $3,000.00 THIS PURCHASE INCLUDES TRADE-IN EQUIPMENT AS FOLLOWS: TRADE-IN: Quantity 15, CADD-SOLIS AMBULATORY PUMPS Infusion Pump SN 1099300 Infusion Pump SN 1099305 Infusion Pump SN 1097409 Infusion Pump SN 1099296 Infusion Pump SN 1097405 Infusion Pump SN 1097421 Infusion Pump SN 1047242 Infusion Pump SN 1097407 Infusion Pump SN 1047241 Infusion Pump SN 1099298 Infusion Pump SN 1097424 Infusion Pump SN 1097413 Infusion Pump SN 1097412 Infusion Pump SN 1097417 Infusion Pump SN 0000000 TRADE-IN NUMBER: N115 SALES AWARD NUMBER: S116 TOTAL AMOUNT OF TRADE-IN: $ 3,000.00 TRADE-IN PRICE WILL BE DEDUCTED FROM THIS COMMODITY LINE AND IS CALCULATED AS FOLLOWS: 15 X $200.00 = $3,000.00 $41,295.00 - $3,000.00 = $38,925 / 15 = $$2,595.00 EA. EQUIPMENT IS LOCATED AT: Name: HARBOR-UCLA MEDICAL CENTER Address: 1000 W. CARSON STREET City, State Zip Code: TORRANCE, CA 90502 Contact: CAMILLE BARRERA Phone Number: (424) 306-5226; CADD-SOLIS AMBULATORY YELLOW ITEM#: 21-2112-0402-51V; PHARMGUARD STARTER CADD-SOLIS ANNUAL FEE ITEM#: 22-0090-03; PHARMGUARD ESSENTIAL - STARTER IMPLEMENTATION SERVICES CADD-SOLIS - MAIN SITE ITEM#: 22-0026-001; CADD-SOLIS AC ADAPTER WITH POWER CORD ITEM#: 21-0273-01; CADD-SOLIS LOCKBOX, CLEAR ITEM#: 21-2188-25; CADD-SOLIS LOCKBOX, YELLOW ITEM#: 21-2189-25; CADD-SOLIS LOCKABLE POLE MOUNT BRACKET ITEM#: 21-6120-24 REF QUOTE#: CSC-250508-002724 SITE LOCATION: HARBOR UCLA MEDICAL CENTER 1000 W. CARSON ST. TORRANCE, CA 90502 DEPT CONTACT: CAMILLE BARRERA EMAIL: cbarrera@dhs.lacounty.gov VENDOR CONTACT: RYAN GAMBLE EMAIL: ryan.gamble@icumed.com REFERENCE PO# ON ALL INVOICES AND FORWARD TO: GHXODAP.LACOUNTY@NA.FIRSTSOURCE.COM ================================== FOR INTERNAL USE ONLY BUYER NAME: LAURALIE TECSON GHX REQ: 689-26122 UNIT: 74511 REQUESTOR OR END: CAMILLE BARRERA CUSTODIAN NAME: JASON BLACK CUSTODIAN UNIT: HUCLA-NURSING OR FOR WAREHOUSE ONLY: CAPITAL ASSET EQUIPMENT PRICING AND TERMS & CONDITIONS IN ACCORDANCE WITH VIZIENT GPO / MA-IS-1240050-172.