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DEPARTMENT OF VETERANS AFFAIRS

Federal Supply Service

Authorized Federal Supply Schedule Price List

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage!™, a menu-driven database system. The INTERNET address for GSA Advantage!™ is

Medical Equipment and Supplies

FSC Group 65, Part VII – Invitro Diagnostics, Reagents, Test Kits and Test Sets

FSC Classes: 6550

Contract Number: V797D - 50597

Contract Period: May 15, 2016 to May 14, 2021

(For more information on ordering from Federal Supply Schedules, enter the following address into your web browser: )

Roche Diabetes Care, Inc.

9115 Hague Road

Indianapolis, IN 46250

Phone #: 866-775-2014 Toll-Free 866-775-2015

accu-

Business Size: Large

“Prices Shown Herein are Net (discount deducted)”

Customer Information:

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

SIN: 555-11(c) ……………………………….. Page [8]

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 |

|555-11(c) |06908349001 |Accu-Chek Aviva Plus Test Strips HN |$13.50 |

|555-11(c) |04528638001 |Accu-Chek Aviva Plus Control Solution |$4.06 |

|555-11(c) |05509661001 |Accu-Chek Softclix Lancet Device |$4.99 |

|555-11(c) |04980263001 |Accu-Chek Softclix Lancets |$3.67 |

|555-11(c) |08256292001 |Accu-Chek Guide Test Strips HN |$13.50 |

|555-11(c) |07748906001 |Accu-Chek Guide Control Solution |$4.06 |

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: $25,000 per item/per order (SIN 555-11(c)

3. Minimum order: $0.00

4. Geographic coverage (delivery area): All 50 states including Washington, D.C. and Puerto Rico. No overseas.

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

Indianapolis, IN; Huntsville, AL; Poland; Japan; Germany

6. Prices shown herein are Net (discount deducted)

7. Quantity Discounts: None

8. Prompt Payment Terms: Net 30 days

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

Accepted at and below the micro-purchase threshold

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

threshold: Accepted above the micro-purchase threshold

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

11a. Time of delivery: 7-10 Days ARO (After Receipt of Order)

11b. Expedited delivery: 1-2 days ARO; the government is responsible only for the difference between standard and expedited delivery costs.

(The contractor will insert the sentence “Items available for expedited delivery are noted in this pricelist” under this heading. The contractor may use a symbol of its choosing to highlight items in its price lists that have expedited delivery - Delete this note for final version of pricelist)

11c. Overnight and 2-day delivery: 2 days expedited for all products at an additional charge. Customer may contact Roche Diabetes Care, Inc. for rates for overnight and 2-day delivery.

(The contractor will indicate whether overnight and 2-day delivery is available. Also, the contractor will indicate that the schedule customer may contact the Contractor for rates for overnight and 2-day delivery - Delete this note for final version of pricelist)

11d. Urgent requirements: Call Roche Diabetes Care, Inc. Customer Service

(The contractor will note in its price list the “Urgent Requirements” clause of its contract and advise agencies that they can also contact the Contractor’s representative to effect a faster delivery - Delete this note for final version of pricelist)

12. FOB Point(s): FOB Destination to 50 states, including Washington D.C.

13a. Ordering address(es): See below

Roche Diabetes Care, Inc.

9115 Hague Road, P.O. Box 50469

Indianapolis, IN 46250-0457

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):

The US Postal Service mailing address includes the critical 9-digit zip code:

Roche Diabetes Care, Inc.

Mail Code 5632

PO Box 105046

Atlanta, GA 30348-5046

Phone: 1-866-775-2014 (Customer Service)

Fax: 1-866-775-2015 (Customer Service)

-or-

Should a customer wish to send their payments via an overnight delivery courier, the physical address for the two locations is:

First Data/Roche Diabetes Care, Inc.

Lockbox #5632

One Remitco Way

Columbus, GA 31907

15. Warranty provision: Per Government Clauses Warranty Provision FAR52.212-4 (o) (p):

(o) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(p) Limitation of liability. Except as otherwise provided by an express warranty, the Contractor will not be liable to the Government for consequential damages resulting from any defect or deficiencies in accepted items.

Returned Goods Policy:

RDCI Return Goods Policy

1. The following are acceptable return reasons:

•  RDCI shipping error

Includes the following:

-  Incorrect product or quantity received

-  Delivered to the wrong destination

RDCI must be notified of the shipping error within 10 business days of receipt of the shipment.

•  Damage in transit

If goods arrive damaged in transit, please note the damage when signing for the shipment. Contact RDCI Customer Service at 1-866-775-2014 within 10 business days after receipt of product to report the damage. Roche must be contacted to

discuss product disposition alternatives.

•  Customer order error

RDCI must be notified of the error within 10 business days of receipt of the shipment to discuss product disposition. All shipping and handling charges associated with returns are the responsibility of the customer.

•  Outdated product

Only products listed on the Diabetes Products/Lancing Devices Price List are eligible for outdated returns. No other Roche products may be returned for outdating. Credit will be issued in the form of a credit memo to your account.

2. Discontinued product will be handled on a case-by-case basis. Please contact your Customer Service Representative if you have any questions.

3. The following products will not be accepted as returns due to bloodborne pathogen risks:

•  Nondated diabetes meters (packaged as meters only)

•  Refrigerated items

4. Do not return any products without receiving an RDCI Return Authorization (RA) from Customer Service.

•  Any product returned without first receiving a valid RA will be destroyed, and no credit will be issued.

•  All RA numbers have a 45-day expiration period from date of issue. If product is not received within 45 days of issue, the RA becomes void.

5. Credit will not be issued for returned product

not in the original carton or packaging.

6. Credit will not be issued until after product is received and inspected at RDCI. Credit will be issued for authorized returns in the form of a credit memo to your account within 10 business days after receipt.

7. RDCI is not responsible for shipping, handling and/or processing fees on returns for

outdated product.

8.  Refused shipments will be accepted, but no credit will be issued.

9. RDCI will not authorize or accept returns of product distributed by any other company. If non-Roche products are delivered to Roche, Roche reserves the right to ship the items back to the sender at sender’s cost. Upon Roche’s request, sender will provide to Roche, in writing, the proper DOT shipping and classifications of these non-Roche products. Sender will indemnify Roche for any liability Roche incurs arising out of sender’s shipment of non-Roche product.

Any Roche Diabetes Care products not approved for distribution in the United States, and therefore obtained through an unapproved distributor, are not eligible for credit under the above Return Goods Policy. Any possible credit on such products is between the party seeking credit and the unauthorized distributor of such product.

16. Export packing charges, if applicable: Not Applicable

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

level): Accepted above the micro-purchase threshold

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):

Kuehne + Nagel

1810 South Lynhurst Drive, #A

Indianapolis, IN 46241

1-866-775-2014

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): Not Applicable

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 : Not Applicable

25. Data Universal Number System (DUNS) number: 07-969-7551

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

Standard FSS Price List

On-line access to contract ordering information, terms & conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage!®, a menu-driven database system. The Internet address for GSA Advantage!® is: .

In Vitro Diagnostic Substances, Test Kits, and Sets - FSC Group 65, Part VII

| |CONTRACT NUMBER |

| |V797D-50597 |

| | |

| |CONTRACT PERIOD |

| |May 15, 2016 through May 14, 2021 |

| | |

| |BUSINESS SIZE: |

| |Large |

| |CONTRACTOR |

| |Roche Diabetes Care, Inc. |

| |9115 Hague Road, PO Box 50469 |

| |Indianapolis, IN 46250-0457 |

| |Phone: 1-866-775-2014 (Customer Service) |

| | |

| |Website: |

INFORMATION FOR ORDERING ACTIVITIES

|1a. |Special Item Numbers (SIN): | |

| |555-11(c) Page 2 | |

|1b. |Lowest Priced Item within the SIN: | |

| |555-11(c): One Product $3.00 | |

|2. |Delivery Order Limitation (DOL): | |

| |$25,000.00, per item, per order | |

|3. |Minimum Order: $0.00 | |

|4. |Geographic Coverage: 50 States, including Washington D.C., and | |

| |Puerto Rico. No overseas. | |

|5. |Points of Production: | |

| |Indianapolis, IN; | |

| |Huntsville, AL; | |

| |Poland; Japan; Germany | |

|6. |Discount: | |

| |Prices shown herein are net (discounts deducted) | |

|7. |Quantity Discounts: None | |

|8. |Prompt Payment Terms: Net 30 Days | |

|9a. |Gov’t Purchase Card Accepted at/below micro-purchase threshold: | |

| |Yes | |

|9b. |Gov’t Purchase Card Accepted above micro-purchase threshold: Yes | |

|10. |Foreign Items: None | |

|11a. |Standard Delivery Time: 7-10 Days ARO (After Receipt of Order) | |

|11b. |Expedited Delivery Time: 1-2 Days ARO; the government is | |

| |responsible only for the difference between standard and expedited| |

| |delivery costs. | |

|11c. |Urgent Requirements: Call Customer Service. | |

|12. |FOB Point: | |

| |FOB Destination to 50 states, including Washington D.C. and to | |

| |Puerto Rico | |

|13a. |Ordering Address: | |

| |Roche Diabetes Care, Inc. | |

| |9115 Hague Road, P.O. Box 50469 | |

| |Indianapolis, IN 46250-0457 | |

|13b. |Ordering Procedures: Per FAR 8.405-3 | |

|14. |Payment Address: Review invoice accordingly | |

| |The US Postal Service mailing address includes the critical | |

| |9-digit zip code: | |

| |Roche Diabetes Care, Inc. | |

| |Mail Code 5632 | |

| |PO Box 71209 | |

| |Charlotte, NC 28272-1209 | |

| |-or- | |

| |Should a customer wish to send their payments via an overnight | |

| |delivery courier, the physical address for the two locations is: | |

| |First Data/Roche Diabetes Care, Inc. | |

| |Lockbox #5632 | |

| |One Remitco Way | |

| |Columbus, GA 31907 | |

|15. |Warranty Provision: Per FAR52.212-4 (o) (p) | |

|16. |Special Attributes: None | |

|17. |Prime Vendor Participation: Yes as detailed per Product Line | |

|18. |DUNS Number: 07-969-7551 | |

|19. |CCR Registration: Registered | |

This price list includes a 0.50% fee imbedded in the price of each item in accordance with the Industrial Funding Fee.

| | |Contract # |

|DIABETES PRODUCTS |Special Item Number 555-11(c) |V797D-50597 |

| | |Catalog Number |NDC |Package |Order |Government Price (each) |

| |BLOOD GLUCOSE TEST STRIPS | |Number |Size |Multiple* | |

| | | | | | |

|FOR PATIENT SELF-TESTING | | | | | |

|Accu-Chek® Aviva Plus Health Network |06908349001 |65702-0438-10 |50/vial |36 each |$13.50 |

|Test Strips | | | | | |

|For use with Accu-Chek® Aviva Meter | | | | | |

|Accu-Chek® Aviva Glucose Control Solution |04528638001 |65702-0107-10 |1/box |6 each |$4.06 |

|Accu-Chek® Softclix Lancet Device |05509661001 |65702-0400-10 |1/unit |12 each |$4.99 |

| | | | | | |

|Accu-Chek® Softclix Lancets |04980263001 |65702-0156-10 |100/box |12 each |$3.67 |

|For use with Accu-Chek® Softclix Lancing Device | | | | | |

|Accu-Chek® Guide Health Network |08256292001 |65702-0719-10 |50/vial |36 each |$13.50 |

|Test Strips | | | | | |

|For use with Accu-Chek® Guide Me Meter | | | | | |

|Accu-Chek® Guide Glucose Control Solution |07748906001 |65702-0713-10 |1/box |6 each |$4.06 |

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