PART A BID SUBMISSION
Bid Opportunity No. 64-2004 Page 1 of 6 FORM A: BID (See B7) 1. Project Title 2. Bidder Name of Bidder Street City Province Postal Code (Mailing address if different) Street or P.O. Box City Province Postal Code The Bidder is: (Choose one) a sole proprietor a partnership a corporation carrying on business under the above name. 3. Contact Person The Bidder hereby authorizes the following contact person to represent the Bidder for purposes of the Bid. Contact Person Title Telephone Number Facsimile Number 4. Definitions All capitalized terms used in the Contract shall have the meanings ascribed to them in the General Conditions unless the context otherwise requires 5. Offer The Bidder hereby offers to perform the Work in accordance with the Contract for the price(s), in Canadian funds, set out on Form B: Prices, appended hereto. 6. Commencement of the Work The Bidder agrees that no Work shall commence until he is in receipt of a purchase order authorizing the commencement of the Work.
Bid Opportunity No. 64-2004 Page 2 of 6 7. Contract The Bidder agrees that the Bid Opportunity in its entirety shall be deemed to be incorporated in and to form a part of this offer notwithstanding that not all parts thereof are necessarily attached to or accompany this. 8. Addenda The Bidder certifies that the following addenda have been received and agrees that they shall be deemed to form a part of the Contract: No. Dated 9. Time This offer shall be open for acceptance, binding and irrevocable for a period of thirty (30) Calendar Days following the Submission Deadline. 10. Signatures In witness whereof the Bidder or the Bidder s authorized official or officials have signed this day of, 20. Signed and sealed in the presence of: Signature of Bidder or Bidder s Authorized Official or Officials (Witness) (Print here name and official capacity of individual whose signature appears above) (Witness) (Print here name and official capacity of individual whose signature appears above) SEAL
Bid Opportunity No. 64-2004 Page 3 of 6 SECTION A S 1. Bandage/Elastic Roller 7.5 CM x 4.5 Metres (3" x 5 Yds) 1/Pkg 41 pkg 2. Bandage/Gauze Roll 2" x 5 Yard Individual Wrap 160 bx 3. Bandage/Gauze Roll 4" x 5 Yard Individual Wrap 152 bx 4. Bandage/Fabric 1.5" x 1.5" 100/Box 13 bx 5. Bandage/Plastic 3/4" x 3" Indiv Wrap Adhesive All Sides of Pad 44 bx Individual Wrap 100/Box 6. Bandage/Fabric Fingertip Individual Wrap 100/Box 49 bx 7. Bandage/Fabric Knuckle 3" x 1 1/2" (Anchor) Individual Wrap 100/Box 36 bx 8. Bandage/Foam 7/8" x 3" 100/Box 305 bx 9. Bandage/Triangular 100% cotton Sterile 40" x 40" x 56" with 2 Safety Pins Individually Wrapped 4,342 ea 10. Applicator Tubular Bandage Plastic for finger and toe 1/Pkg 41 pkg 11. Gauze Pad Sterile 12 Ply 3" x 3" Individual Wrap 100/Box 23 bx 12. Gauze Pad Sterile 4" x 4" Indiv Wrap 100/Box 28 bx 13. Pad Sterile 8" x 10" Abdominal Pad (20.3 CM x 25.4 CM) Indv Pkg (Wet 172 pkg Proof) 14. Compress Bandage 3" x 3" Individual Wrap & Sterile 1/Pkg 11 pkg 15. Compress Bandage 4" x 4" Individual Wrap & Sterile 1/Pkg 48 pkg 16. Applicator Cotton Tip 3" 100/Pkg Cotton Both Ends 12 pkg 17. Non Stick Dressing 3 X 8 100/Box 9 bx 18. Tape/Adhesive Hospital Cut 1" x 10 Yds 12 Cuts/Roll 5 roll 19. Tape/Adhesive Individual Spool 1" x 5 Yards White Waterproof 101 spl 20. Tape/Adhisive Individual Spool 2" x 5 Yard White Waterproof 5 spl 21. Tape/Adhesive Elastoplast or Equivalent, Waterproof Plastic Tape 1" x 29 roll 3.5 Yards 22. Forcep Splinter 4 1/2" Stainless 6 ea 23. Scissors Stainless Steel 5" 47 ea 24. Scissors Seatbelt Universal A7-120 28 ea 25. Splinter Forcepts (Tweezers) 3 1/2" Flat End 22 ea 26. Benzalkonium Chloride (Professional Disposables) 100/Box 18 bx 27. Saline Solution 250ml 5 btl 28. Hydrogen Peroxide 3% 250ml 20 btl 29. Wipes/Antiseptic 3x5 CM 200/Box 18 bx 30. Antiseptic Swabs 200/Box 130 bx 31. First Aid Kit, New Regulations, Metal (Container size of 36 count, 13.5 W x 9.5 L x 3" H C/W gasket) 34 ea 32. First Aid Kit, New Regulations, Plastic (Container size of 36 count, 13.5 W x 9.5 L x 3" H C/W gasket) 129 ea 33. Sharpes Container for Needles 17 CM H X 7 CM W x 7 CM D 92 ea
Bid Opportunity No. 64-2004 Page 4 of 6 34. Needles/Disposable Med Sterile 20G 1 1/2" Regular Bevel 100/Box 5 bx 35. CPR MICROSHIELD" or Equivalent Disposables (one way valve) 5" x 5" with 1 3/4" Tube Vinyl S 25 ea 36. Pins/Safety Assorted Sizes 12/Package 15 pkg 37. Blanket/First Aid Utility Purpose Outdoor/Indoor Stitched Ends 62" X 80" 873 ea 38. Cold Pack Compress Instant Relief 10 x 15 CM 30 ea 39. Cold Pack Type Resusable 15 ea 40. Sugar Glucose (oral gel 31G (1.1oz)) single dosage 10 ea 41. Mini First Aid Manual 10 ea 42. Disposable Pen Light 10 ea SECTION B 43. Classic Ear Plug 311-1001 200 PR/Box 18 bx 44. Ear Plug E.A.R. Tapered Taper Fit 2 Pro AM Ear Plugs NRR 32 AB 200 PR/Box 98 bx 45. Ear Plug Howard Leight Max 1 Taper Fit Pre Shaped Foam NRR 33, 200 61 bx PR/Box 46. Ear Muff Bilsom #2315-70 NRR 25 db or North Oris Hornet EM2175 NRR 24 115 bx db 47. Ear Muff Bilsom Viking #2318 NRR 29 Db 29 pr 48. E-A-R. Express Pod Blue W/Cord NNR 25 db 200/Box 110 bx 49. QB2's Banded Hearing Protection 30 pr 50. QB200 replacement pods for above item 5 pr 51. Ear Plug - Orange Quiet - Howard Light QD1 100/Box 5 bx 52. Ear Plus - Orange Quiet - Howard Light QD30 uncorded 100/Box 5 bx 53. Ear Muff Peltor H7A NRR 27dB 70 pr 54. Millennia Clear CSA 148mm Style 8210CSA 412 pr 55. Millennia Black/Grey CSA 148mm Style 8210CSA 524 pr 56. Millennia Amber CSA 148mm Style 8220CSA 454 pr 57. AEARO Goggle CBT40305 82 pr 58. Fibre-Metal Faceshield Clear (4178) 8" X 16.5" 15 ea 59. Glasses Safety S4000C High Impace Protection FlashBack (Black Frame) CL- 100 ea XTR 60. Glasses Carrying Pouch Wilson Style 5355 150 ea 61. Glasses Optema Black-Frame Clear Lens Style 9500 100 ea 62. Glasses Norton 180 Clear Safety 100 ea 63. Glasses Safety UVEX Astro 3001 OTG Grey UVEX Product Code S2504C 91 pr 64. Glasses, Safety UVEX S2500 49 pr 65. Glasses Safety "NORTH" The Knight T3500 Clear 66 pr 66. Glasses Aero AO Safety Nassau Plus 14800 45 pr 67. Lens Cleaner Anti-Fog 225 ML Bottle 117 btl
Bid Opportunity No. 64-2004 Page 5 of 6 68. Lens Cleaning Tissues for 452D Paramount Dispenser 300/Pkg 44 pkg 69. Lens Cleaner Anti-Fog 4 Litre Bottle 28 btl 70. HardHat Liner with Removable Face Mask Flame Proof Heavy Quilted 240 ea 71. HardHat Embossed "CITY OF WPG" North White A 89R 166 ea 72. HardHat Embossed "CITY OF WPG" North Yellow A 89R 213 ea 73. HardHat Helmet Chin Strap North A 89C 90 ea 74. Sweatband Clip on Style for HardHat AA-102 10 ea 75. Apron Chemical Proof Neoprene Ansell YN-45H ea 76. Coveralls/Disp Tyvek Hood/Elastic Sleeve & Pant Extra Large 60 ea 77. Coveralls/Disp Tyvek Hood/Elastic Sleeve & Pant Large 45 ea 78. Coveralls/Disp Tyvek Hood/Elastic Sleeve & Pant Medium 45 ea 79. Coveralls/Disp Tyvek Hood/Elastic Sleeve & Pant Small 10 ea 80. Coveralls/Disp Tyvek Hood/Elastic Sleeve & Pant XX Large 40 ea 81. Coveralls/Disp tyvek Hood/Elastic Sleeve & Pant XXX Large 40 ea 82. Pants Disposable Tyvek XL 410 ea 83. Top Disposable Tyvek XL 398 ea 84. Flags/Nylon 16" x 16" C/W 36" Wooden Staff Florescent Orange 910 ea 85. Red Fusee, 20 Minute with Metal Stand & Self Contained Striker 792 ea 86. Red Fusee, 20 Minute with Metal Spike & Self Contained Striker 220 ea 87. Traffic Cones 28" Red/Orange PVC, 14: Weighted Base & 1" Flag Hole C/W 4" Reflexite Upper Collar Attached 88. Traffic Cones 18" Red/Orange PVC, 14: Weighted Base & 1" Flag Hole C/W 4" Reflexite Upper Collar Attached S 850 ea 200 ea 89. Delineator GPST42" with/12lb base 200 ea 90. CSA Poly/Fabric Safety Vests TV53TAE4/O-L or equivalent 100 ea 91. CSA Poly/Fabric Safety Vests TV53TAE4/O-XL or equivalent 200 ea 92. CSA Poly/Fabric Safety Vests TV53TAE4/O-XXL or equivalent 200 ea 93. CSA Poly/Fabric Safety Vests TV53TAE4/O-XXXL or equivalent 200 ea 94. CSA Poly/Fabric Safety Vests TV53TAE4/L-L or equivalent 10 ea 95. CSA Poly/Fabric Safety Vests TV53TAE4/L-XL or equivalent 10 ea 96. CSA Poly/Fabric Safety Vests TV53TAE4/L-XXL or equivalent 10 ea 97. CSA Poly/Fabric Safety Vests TV53TAE4/L-XXXL or equivalent 10 ea SECTION C 98. Gloves Nitrile Lightly Powdered Small 100/BX 24 bx 99. Gloves Nitrile Lightly Powdered Medium 100/BX 37 bx 100. Gloves Nitrile Lightly Powdered Large 100/BX 42 bx 101. Gloves Nitrile Lightly Powdered X-Large 100/BX 103 bx 102. Gloves Latex Non Sterile Light Powdered Extra Large 100 Singles/Box 44 bx
Bid Opportunity No. 64-2004 Page 6 of 6 103. Gloves Latex Non Sterile Light Powdered Small 100 Singles/Box 38 bx 104. Gloves Latex Non Sterile Light Powdered Large 100 Singles/Box 75 bx 105. Gloves Latex Non Sterile Light Powdered Medium 100 Singles/Box 54 bx 106. Gloves Nitrile Chemical Proof Embossed Grip Flock Lined 13" Large 27 bx 107. Gloves Nitrile Chemical Proof Embossed Grip Flock Lined 13" Medium pr 108. Gloves Nitrile Chemical Proof Embossed Grip Flock Lined 13" XLarge 15 pr 109. Gloves Nitrile Chemical Proof Embossed Grip Flock Lined 13" XXLarge 15 pr 110. Gloves Vinyl Ansell Fresh Touch Medium 100 Singles/Box 34-500M pr 111. Gloves Vinyl Ansell Fresh Touch Large 100 Singles/Box 34-525L 5 bx 112. Gloves Vinyl Ansell Fresh touch XLarge 100 Singles/Box 34-525 XL 15 bx 113. Gloves Nitrile 4 MIL Light Powder Extra Large 100 Singles/Box 15 bx 114. Gloves Medical Class 6 MIL Powder Free NFPA App. Best 9905PF Extra large 100 Singles/Box S 2,000 bx 115. Gloves Medical Class 6 Mil Powder Free NFPA App. Best 9905PF Large 100 2,000 bx Singles/Box 116. Gloves Medical Class 6 MIL Powder Free NFPA App. Best 9905PF Medium 100 1,000 bx Singles/Box 117. Gloves Medical Class 6 MIL Powder Free NFPA App. Best 9905PF Small 100 1,000 bx Singles/Box 118. Gloves, Touch'n Tuff Nitrile Powder Free, Ansell Edmond 92-600, Small, 33 bx 200/Box 119. Gloves, Touch'n Tuff Nitrile Powder Free, Ansell Edmond 92-600, Medium, 253 bx 200/Box 120. Gloves, Touch'n Tuff Nitrile Powder Free, Ansell Edmon 92-600, Large, 200/Box 290 bx 121. Gloves Touch'n Tuff Nitrile Powder Free, Ansell Edmon 92-600, X-Large, 200 bx 200/Box 122. Gloves Touch/n Tuff Nitrile Powder Free, Ansell Edmond 92-500, 71/2, 100/Box 50 bx 123. Gloves Touch/n Tuff Nitrile Powder Free, Ansell Edmond 92-500-10, 100/Bx 50 bx 124. Gloves Touch/n Tuff Nitrile Powder Free, Ansell Edmond 92-500-9, 100/Bx 50 bx 125. Mask/Dust Fumes & Mist Disposable High Efficiency 3M8233N100 46 bx 126. Mask/Dust 3M 8271 10/Box 34 bx 127. Mask/Dust & Mist Disposable Respirator 3M8210N95 20/Box 365 bx 128. Moldex 2200N95 Dust Mask 20/Box 114 bx Name of Bidder