The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin
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1 The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin within the Vendor Self Service portal at wvoasis.gov. As part of the State of West Virginia s procurement process, and to maintain the transparency of the bid opening process, this documentation submitted online is publicly posted by the West Virginia Purchasing Division at WVPurchasing.gov with any other vendor responses to this solicitation submitted to the Purchasing Division in hard copy format.
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3 Purchasing Division 2019 Washinton Street East Post Office Box Charleston, WV State Of West Virginia Solicitation Response Date issued Proc Folder : Solicitation Description : Amendment #3 Statewide Contract for Exam Gloves. Proc Type : Central Master Agreement Solicitation Closes Solicitation No Version :30:00 SR 0212 ESR VENDOR PERFORMANCE SAFETY GROUP INC FOR INFORMATION CONTACT THE BUYER Debbie Watkins (304) debbie.a.watkins@wv.gov Signature X FEIN # DATE All offers subject to all terms and conditions contained in this solicitation Page : 1 FORM ID : WV-PRC-SR-001
4 1 Vinyl Examination Gloves (Powdered) Small CASE $69.50 Vinyl Examination Gloves (Powdered) Small 2 Vinyl Examination Gloves (Powdered) Medium CASE $69.50 Vinyl Examination Gloves (Powdered) Medium 3 Vinyl Examination Gloves (Powdered) Large CASE $69.50 Vinyl Examination Gloves (Powdered) Large 4 Vinyl Examination Gloves (Powdered) X-Large CASE $69.50 Vinyl Examination Gloves (Powdered) X-Large Page : 2
5 5 Vinyl Examination Gloves (Powder Free) Small CASE $35.00 Vinyl Examination Gloves (Powder Free) Small 6 Vinyl Examination Gloves (Powder Free) Medium CASE $35.00 Vinyl Examination Gloves (Powder Free) Medium 7 Vinyl Examination Gloves (Powder Free) Large CASE $35.00 Vinyl Examination Gloves (Powder Free) Large 8 Vinyl Examination Gloves (Powder Free) X-Large CASE $35.00 Vinyl Examination Gloves (Powder Free) X-Large Page : 3
6 9 Latex Examination Gloves (Powder Free, smooth) Small CASE $45.00 Latex Examination Gloves (Powder Free, smooth) Small 10 Latex Examination Gloves (Powder Free, smooth) Medium CASE $45.00 Latex Examination Gloves (Powder Free, smooth) Medium 11 Latex Examination Gloves (Powder Free, smooth) Large CASE $45.00 Latex Examination Gloves (Powder Free, smooth) Large 12 Latex Examination Gloves (Powder Free, smooth) X-Large CASE $45.00 Latex Examination Gloves (Powder Free, smooth) X-Large Page : 4
7 13 Latex Examination Gloves (Powder Free, Textured) Small CASE $59.50 Latex Examination Gloves (Powder Free, Textured) Small 14 Latex Examination Gloves (Powder Free, Textured) Medium CASE $59.50 Latex Examination Gloves (Powder Free, Textured) Medium 15 Latex Examination Gloves (Powder Free, Textured) Large CASE $59.50 Latex Examination Gloves (Powder Free, Textured) Large 16 Latex Examination Gloves (Powder Free, Textured) X-Large CASE $59.50 Latex Examination Gloves (Powder Free, Textured) X-Large Page : 5
8 17 Nitrile Examination Gloves (Powder Free, Textured) Small CASE $59.50 Nitrile Examination Gloves (Powder Free, Textured) Small 18 Nitrile Examination Gloves (Powder Free, Textured) Medium CASE $69.50 Nitrile Examination Gloves (Powder Free, Textured) Medium 19 Nitrile Examination Gloves (Powder Free, Textured) Large CASE $59.50 Nitrile Examination Gloves (Powder Free, Textured) Large 20 Nitrile Examination Gloves (Powder Free, Textured) X-Large CASE $69.50 Nitrile Examination Gloves (Powder Free, Textured) X-Large Page : 6
9 21 Nitrile Examination Gloves (Powder Free, Smooth) Smal CASE $41.50 Nitrile Examination Gloves (Powder Free, Smooth) Smal 22 Nitrile Examination Gloves (Powder Free, Smooth) Medium CASE $41.50 Nitrile Examination Gloves (Powder Free, Smooth) Medium 23 Nitrile Examination Gloves (Powder Free, Smooth) Large CASE $41.50 Nitrile Examination Gloves (Powder Free, Smooth) Large 24 Nitrile Examination Gloves (Powder Free, Smooth) X-Large CASE $41.50 Nitrile Examination Gloves (Powder Free, Smooth) X-Large Page : 7
10 25 Polyethylene Disposable Gloves Medium CASE $80.00 Polyethylene Disposable Gloves Medium 26 Polyethylene Disposable Gloves Large CASE $90.00 Polyethylene Disposable Gloves Large Page : 8
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14 CSU Producer Resources, Inc. A subsidiary of Cincinnati Financial Corporation P.O. Box , Cincinnati, OH Date: To: 09/10/2014 Wells Fargo Insurance Services USA, Inc. 1 N Jefferson Bldg C 3rd Fl Saint Louis MO From: Megan Cosgrove Insured: Performance Safety Group, Inc Mailing Address: 781A RUDDER RD FENTON MO INSURANCE BINDER Thank you for placing your insurance with us. Please read this binder carefully since coverage terms may not be the same as you requested. This binder serves as proof of insurance beginning on the Effective Date shown below, subject to all terms and conditions of the policy or policies that will be issued. In the event of any inconsistency, the terms and conditions of the policy or policies prevail. Coverage to be provided by The Cincinnati Specialty Underwriters Insurance Company, an approved non-admitted company. NOTICE TO POLICYHOLDER: This is evidence of insurance procured and developed under the Missouri Surplus Lines Laws. It is NOT covered by the Missouri Insurance Guaranty Association. This insurer is not licensed by the state of Missouri and is not subject to its supervision. Effective Date: Policy Number: 09/12/2014 Expiration Date: 09/12/2015 CSU Description of Operations: Latex Glove Distributor Coverage: General Liability - OCCURRENCE Retroactive Date: NONE Limits of Insurance Each Occurrence $ 1,000,000 Damage to Premises Rented to You $ 100,000 Medical Expense Excluded Each Offense Personal & Advertising Injury $ 1,000,000 General Aggregate other than Completed Operations $ 2,000,000 Products/Completed Operations Aggregate Excluded Deductible Bodily Injury Property Damage Combined BI and PD Per Claim Not Applicable Not Applicable $ 500 Per Occurrence Not Applicable Not Applicable Not Applicable CSIA Page 1 of 2
15 Attached to Binder - Policy Number: CSU Binder Letter Issued: 09/10/2014 Re: Performance Safety Group, Inc Special Event Liability - OCCURRENCE Limits of Insurance Each Occurrence Damage to Premises Rented to You Medical Expense Personal & Advertising Injury General Aggregate other than Completed Operations Products/Completed Operations Aggregate Deductible Combined BI and PD Hired and Non-Owned Auto Liability - Limits of Insurance Each Occurrence General Aggregate Deductible Liability Deductible Liability Deductible Including Expenses OCCURRENCE Per Claim Not Applicable Per Occurrence Sexual Misconduct or Sexual Molestation Liability - Retroactive Date: NONE Limits of Insurance Each Occurrence General Aggregate Self Insured Retention Liability Self Insured Retention Liability Self Insured Retention Including Expenses Liquor Liability - PER COMMON CAUSE Limits of Insurance Per Common Cause General Aggregate Each Claim Retroactive Date: NONE Deductible Per Claim Per Common Cause Combined BI and PD Not Applicable Not Applicable Products/Completed Operations - OCCURRENCE Retroactive Date: NONE Limits of Insurance Each Occurrence $ 1,000,000 General Aggregate $ 2,000,000 Deductible Per Claim Per Occurrence Bodily Injury Property Damage Combined BI and PD Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Railroad Protective Limits of Insurance Each Occurrence General Aggregate Owners and Contractors Protective Liability - OCCURRENCE Limits of Insurance Each Occurrence General Aggregate $ 1,000,000 $ 2,000,000 CSIA Page 2 of 3
16 Forms and Endorsements Schedule POLICY NUMBER: CSU POLICY EFFECTIVE DATE: 09/12/2014 NAMED INSURED: Performance Safety Group, Inc FORMS APPLICABLE Forms Applicable - Common Forms CSIA501 (06/11) Common Policy Declarations CSIA501 (06/11) Common Policy Declarations CSIA409 (01/08) Named Insured Schedule CSIA410 (03/08) Notice to Policyholders CSIA417 (01/09) Cap on Losses from Certified Acts of Terrorism Forms Applicable - Commercial General Liability CSGA501 (04/08) Commercial General Liability Coverage Part Declarations CSGA403 (10/07) Liability Premises Schedule CSGA408 (04/08) Commercial General Liability Classification and Premium Schedule CG0001TOC (04/13) Commercial General Liability Coverage Form Table of Contents CG0001 (04/13) Commercial General Liability Coverage Form CSGA401TOC (02/13)Changes to Commercial General Liability Coverage Form Table of Contents CSGA401 (02/13) Changes to Commercial General Liability Coverage Form CSIA403 (08/07) Special Provisions - Premium CSIA404 (08/07) Service of Suit IL0017 (11/98) Common Policy Conditions IL0003 (09/08) Calculation of Premium CG2196 (03/05) Silica Or Silica-Related Dust Exclusion CG2147 (12/07) Employment-Related Practices Exclusion CG2104 (11/85) Exclusion - Products/Completed Operations Hazard CG0300 (01/96) Deductible Liability Insurance CSGA418 (06/08) Amendment of Pollutants Definition CSIA Page 1 of 2
17 Forms and Endorsements Schedule POLICY NUMBER: CSU POLICY EFFECTIVE DATE: 09/12/2014 NAMED INSURED: Performance Safety Group, Inc FORMS APPLICABLE Forms Applicable - Commercial General Liability CSGA364 (06/08) Exclusion - Coverage C - Medical Payments CSGA361 (06/08) Exclusion - Fungi or Bacteria CSGA439 (11/08) Amendment of Duties in the Event of Occurrence Offense Claim or Suit Condition IL0021 (09/08) Nuclear Energy Liability Exclusion Endorsement CSLL348 (01/08) Limitation - No Stacking of Limits of Insurance CG2625 (04/05) Missouri Changes - Guaranty Association CG2146 (07/98) Abuse Or Molestation Exclusion CSGA325 (01/08) Exclusion - Prior Work CSGA306 (01/08) Exclusion - Communicable Disease, Contagious Disease or Infectious Disease CSGA356 (06/08) Exclusion - Microorganisms Biological Organisms Bioaerosols or Organic Contaminants CG2149 (09/99) Total Pollution Exclusion Endorsement CG2149 (09/99) Total Pollution Exclusion Endorsement CSGA4091 (04/13) 2012 General Liability Multistate Forms Revision Notice to Policyholders CG2426 (04/13) Amendment of Insured Contract Definition CG2150 (04/13) Amendment of Liquor Liability Exclusion CSIA405 (08/09)-A Exclusion-Assault and Battery CSGA352 (04/08) Exclusion-Prior Work Successive Policy CSIA Page 2 of 2
18 Commercial General Liability Premises Schedule POLICY NUMBER: CSU POLICY EFFECTIVE DATE: 09/12/2014 X if Supplemental Declarations Is Attached NAMED INSURED: Performance Safety Group, Inc LOC. ADDRESS 1 781A RUDDER RD FENTON MO CSGA Page 1 of 1
19 EXAM / MEDICAL GRADE POWDERED SMOOTH mil Standard Weight VINYL Country of Origin: China General Description: Material: Color: Shape: FPC DNV2P Polyvinyl Clear Ambidextrous Sizes: S - XL Cuff: Beaded Type: Non-Sterile Usage: Single Use Interior: Powdered Exterior: Smooth Process: Synthetic Polyvinyl Chloride Physical Properties: Physical Properties: Tensile Strength: 11 MPa min Elongation: Tensile Strength (Aged): 11 MPa min Elongation (Aged): Size LG Weight: Thickness - Cuff:.07 mm ±.02 Palm:.11 mm ±.02 Finger:.09 mm ±.02 Width - Small: 85 ±.05 mm Medium: 95 ±.05 mm Large: 105 ±.05 mm X-Large: 115 ±.05 mm Length: 235 ± 5 mm 300% 300 % Powder Content: < 2 mg/glove Protein Content: N/A FDA Listing: 510(k) Status Device Listing: upon request Product Standard: ASTM D5250 / EN455 AQL Level: 1.5 Dimensions: 5.8 g ±.03 Eco-Friendly Packaging: Recycled Box: 100 Gloves Per Box Box Dims: 225 x 125 x 65 mm Recycled Case: 10 Boxes Per Case Case Dims: 345 x 258 x 235 mm Product Codes: Product Codes: SKINTX X-Small: Small: Small: DVPD-402-SM Medium: Medium: DVPD-402-MD Large: DVPD-402-LG Large: X-Large: DVPD-402-XL X-Large: Options: Lengths: 9 ( mm) Finish: Powdered Colors: Clear Certifications: Manufactured under GMP, ISO 9001:2008, ISO & CMDCAS Quality System and conform to international quality standards. EN & 2, ASTM D , ASTM D6124, 510(k) certified & meets FDA Regulation Title 21 CFR Section Recommended Uses:
20 EXAM / MEDICAL GRADE POWDER-FREE SMOOTH mil Standard Weight VINYL Country of Origin: China General Description: Material: Color: Shape: FPC DNV2P Polyvinyl Clear Ambidextrous Sizes: S - XL Cuff: Beaded Type: Non-Sterile Usage: Single Use Interior: Powder-Free Exterior: Smooth Process: Synthetic Polyvinyl Chloride Physical Properties: Physical Properties: Tensile Strength: 11 MPa min Elongation: Tensile Strength (Aged): 11 MPa min Elongation (Aged): Size LG Weight: Thickness - Cuff:.07 mm ±.02 Palm:.11 mm ±.02 Finger:.09 mm ±.02 Width - Small: 85 ±.05 mm Medium: 95 ±.05 mm Large: 105 ±.05 mm X-Large: 115 ±.05 mm Length: 235 ± 5 mm 300% 300 % Powder Content: < 2 mg/glove Protein Content: N/A FDA Listing: 510(k) Status Device Listing: upon request Product Standard: ASTM D5250 / EN455 AQL Level: 1.5 Dimensions: 5.8 g ±.03 Eco-Friendly Packaging: Recycled Box: 100 Gloves Per Box Box Dims: 225 x 125 x 65 mm Recycled Case: 10 Boxes Per Case Case Dims: 345 x 258 x 235 mm Product Codes: Product Codes: SKINTX X-Small: Small: Small: DVPF-402-SM Medium: Medium: DVPF-402-MD Large: DVPF-402-LG Large: X-Large: DVPF-402-XL X-Large: Options: Lengths: 9 ( mm) Finish: Powder-Free Colors: Clear Certifications: Manufactured under GMP, ISO 9001:2008, ISO & CMDCAS Quality System and conform to international quality standards. EN & 2, ASTM D , ASTM D6124, 510(k) certified & meets FDA Regulation Title 21 CFR Section Recommended Uses:
21 EXAM / MEDICAL GRADE POWDER-FREE SMOOTH POLY SILK SUPREME LATEX Country of Origin: Malaysia General General Description: Description: Material: Natural High Quality Latex Type: Non-Sterile Color: Natural Usage: Single Use Shape: Ambidextrous Interior:: Powder-Free Sizes: XS-XL Exterior: Smooth Cuff: Beaded Process: Polymer On-Line Physical Properties: Physical Properties: Tensile Strength: 18 MPa min Elongation: 650% Tensile Strength (Aged): 14 MPa min Elongation (Aged): 500% Powder Content: < 2 mg/glove Protein Content: < 100 pg FDA Listing: 510(k) Status Shelf Life: 5 Years Product Standard: ASTM D3578 / EN455 Eco-Friendly Packaging: Dimensions: Size LG Weight: 6.2 g ±.2 Thickness - Cuff:.08 mm ±.03 Palm:.10 mm ±.03 Finger:.12 mm ±.03 Width - X-Small: 75 ± Small: 85 ± Medium: 95 ± Large: 105 ± X-Large: 115 ± 5 mm 5 mm 5 mm 5 mm 5 mm Length: 240 ± 5 mm Recommended Uses: AQL Level: 1.5 Recycled Box: 100 Gloves Per Box Box Dims: 215 x 120 x 70 mm Recycled Case: 10 Boxes Per Case Case Dims: 360 x 245 x 210 mm Product Codes: Product Codes: SMC 12K X-Small: Small: Medium: Large: X-Large: DLPFWV2-552-XS DLPFWV2-552-SM DLPFWV2-552-MD DLPFWV2-552-LG DLPFWV2-552-XL Options: Lengths: 9.5 ( mm) Finish: Powder-Free Colors: Natural Certifications: Manufactured under GMP, ISO 9001:2008, ISO & CMDCAS Quality System and conform to international quality standards. ASTM D3578, D , D , D & 510(k) certified.
22 EXAM / MEDICAL GRADE POWDER-FREE TEXTURED or SMOOTH mil LATEX Country of Origin: General Description: Malaysia Material: Natural High Quality Latex Type: Non-Sterile Color: Natural Usage: Single Use Shape: Ambidextrous Interior: Powder-Free Sizes: XS-XL Exterior : Textured or Smooth Cuff: Beaded Process: Polymer On-Line Physical Properties: Physical Properties: Tensile Strength: 18 MPa min Elongation: 650% Tensile Strength (Aged): 14 MPa min Elongation (Aged): 500% Powder Content: < 2 mg/glove Protein Content: < 100 pg FDA Listing: 510(k) Status Shelf Life: 5 Years Product Standard: ASTM D3578 / EN455 AQL Level: 1.5 Dimensions: Size LG Weight: Thickness - Cuff: Palm: Finger: Width - X-Small: 76 ± 3 mm Small: 84 ± 3 mm Medium: 94 ± 3 mm Large: 104 ± 3 mm X-Large: 113 ± 3 mm Length: 6.4 g ±.2.08 mm ± mm ± mm ± ± 5 mm Eco-Friendly Packaging: Recycled Box: 100 Gloves Per Box Box Dims: 215 x 120 x 70 mm Recycled Case: 10 Boxes Per Case Case Dims: 360 x 245 x 210 mm All Boxes/Cases Contain Barcodes Product Codes: Product Codes: Skintx 90K X-Small: DLPFWV-552-XS Small: DLPFWV-552-SM Medium: DLPFWV-552-MD Large: DLPFWV-552-LG X-Large: DLPFWV-552-XL Options: Lengths: 9.5 ( mm) Finish: Powder-Free Colors: Natural Certifications: Manufactured under GMP, ISO 9001:2008, ISO & CMDCAS Quality System and conform to international quality standards. ASTM D3578, D , D , D & 510(k) certified. Recommended Uses:
23 EXAM / MEDICAL GRADE POWDER-FREE FINGER TEXTURED mil Soft, Stretch NITRILE Country of Origin: Malaysia General Description: General Description: Material: Nitrile Color: Blue Shape: Ambidextrous Sizes: XS-XL Cuff: Beaded Type: Non-Sterile Usage: Single Use Interior: Powder-Free Exterior : Finger Textured Process: Online Chlorination Physical Properties: Physical Properties: Tensile Strength: 20 MPa min Elongation: 600% Tensile Strength (Aged): 16 MPa min Elongation (Aged): 500% Powder Content: < 2 mg/glove Protein Content: N/A FDA Listing: 510(k) Status Shelf Life: 5 Years Product Standard: ASTM D-6319 AQL Level: 1.5 Dimensions: Size LG Weight: Thickness - Cuff:.07 mm ±.02 Palm:.09 mm ±.02 Finger:.11 mm ±.02 Length: 4.5 g ±.3 Width - X-Small: 76 mm ± 3 Small: 84 mm ± 3 Medium: 94 mm ± 3 Large: 105 mm ± 3 X-Large: 113 mm ± ± 5 mm Eco-Friendly Packaging: Recycled Box: Gloves/box (XL = 190/box) Box Dims: 200 x 110 x 70 mm Recycled Case: Case Dims: 10 Boxes/case 360 x 230 x 210 mm Product Codes: Product Codes: SKINTX S50000 / S X-Small: Extra-Small: DSNPF-452-XS Small: Small: DSNPF-452-SM Medium: Medium: DSNPF-452-MD Large: Large: DSNPF-452-LG X-Large: X-Large: DSNPF-452-XL Options: Lengths: 9 ( mm) Finish: Powder-Free Colors: Blue Certifications: Manufactured under GMP, ISO 9001:2008, ISO & CMDCAS Quality System and conform to international quality standards. ASTM F1671, D6319, D5151 & D6124. Recommended Uses:
24 FOOD SERVICE GLOVES POWDER-FREE FFDCA Approved HIGH & LOW DENSITY Polyethylene Country of Origin: China General Description: Material: Polyethylene Resin Color: Clear Shape: Ambidextrous Sizes: S - XL Physical Properties: Type: Non-Sterile Usage: Single Use Interior: Embossed Exterior: Smooth 12 EXTENDED CUFF Physical Tensile Properties: Strength: 18 MPa min Elongation: 450% Tensile Strength (Aged): 16 MPa min Elongation (Aged): 400% Powder Content: < 2 mg/glove Protein Content: N/A FDA Listing: N/A Device Listing: N/A Dimensions: Length: Small: 265 ± 5 mm Medium: 280 ± 5 mm Large: 290 ± 5 mm X-Large: 300 ± 5 mm Width: Small: 145 ± 5 mm Medium: 150 ± 5 mm Large: 150 ± 5 mm X-Large: 150 ± 5 mm Thickness: ± (HDPE) ± (LPE) Eco-Friendly Packaging: Recycled Box: Box Dims: Recycled Case: Case Dims: Product Codes: 500 Gloves Per Box 240 x 125 x 60 mm Boxes Per Case 495 x 260 x 320 mm High Density Polyethylene (HDPE) Small: HDPE500-SM Medium: HDPE500-MD Product Codes: Large: HDPE500-LG X-Large: HDPE500-XL X-Small: Low Density Polyethylene (LDPE) Small: Small: LDPE200-SM Medium: Medium: LDPE200-MD Large: Large: LDPE200-LG X-Large: X-Large: LDPE200-XL Options: Lengths: 11 minimum ( mm) Finish: Powdered or Powder-Free Colors: Clear, Pink Blue, Orange & White Certifications: Manufactured under GMP, ISO 9001:2008, ISO & CMDCAS Quality System and conform to international quality standards. The materials used in producing our gloves comply with FDA and European Food Handling requirements and meet with FDA Regulation Title 21 CFR Section Recommended Uses:
The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin
The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin within the Vendor Self Service portal at wvoasis.gov.
More informationThe following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin
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The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin within the Vendor Self Service portal at wvoasis.gov.
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