Three Months Ended
EX-10.5 3 a22805exv10w5.htm EXHIBIT 10.5 exv10w5
Customer Quote Equipment, Procedures, and/or Products | ||
201 Technology Dr. Irvine California 92618 | ||
Tel: 866 ###-###-#### Fax: 866 ###-###-#### or ###-###-#### |
Exhibit 10.5
Date Initiated | 12/13/05 | |||||
Customer Name | Advanced medical partners, Inc. (AMPI) (dba Cryosyndicators)-National | |||||
Address | 701 Interstate 20 East | |||||
Arlington, TX 76018 | ||||||
Customer Contact Name | Robert Yonke/Chris Ringel | Tel No. | 817 ###-###-#### | |||
Endocare Sales Representative | Dan Callahan | Tel No. | 319 ###-###-#### |
Qty. | Model No. | Description | List Price ($) | Quote ($) | ||||||
(U.S. Dollars) | (U.S. Dollars) | |||||||||
1 | CRYO-206F | Prostate CryoAblation Procedure Kit · SIX (6) CRYO-44 F (2 mm CryoProbe) · SIX (6) CRYO-55 F (TempProbe Short) · ONE (1) CRYO-60 (Urethral Warming Catheter Kit) | $ | 8,000.00 | ** | |||||
1 | CRYO-103 | Custom Prostate CryoAblation Procedure Kit · SIX (6) CRYO-40 F (3 mm CryoProbe) · FIVE(5) CRYO-55 F (TempProbe Short Direct Access System) · ONE (1) CRYO-60 (Urethral Warming Catheter Kit) · ONE (1) CRYO-72 (FastTrac CryoProbe Direct Access Set 1 mm) | TBD | ** | ||||||
1 | CRYO-103 Short Ice | Custom Prostate CryoAblation Procedure Kit · SIX (6) 2.4S CryoProbe Short Ice Sharp Tip · SIX (6) CRYO-55 F (TempProbe Short) · ONE (1) CRYO-60 (Urethral Warming Catheter Kit) | TBD | ** | ||||||
1 | CRYO-2.4S | 2mm 2.4S CryoProbe Short Ice Sharp Tip | $ | 2,000.00 | ** | |||||
1 Box | CRYO-103 2.4S | Custom CRYO-2.4S Box 2mm 2.4S CryoProbe Short Ice Sharp Tip (Packaged as Ten (10) Probes) | N/A | ** | ||||||
1 | CRYO-44 F | 2 mm CryoProbe (Direct Access System) | $ | 2,000.00 | ** | |||||
1 Box | CRYO-103 44 F | Custom CRYO-44 F Box 2 mm CryoProbe (Direct Access System) (Packaged as Ten (10) Probes) | N/A | ** | ||||||
1 | CRYO-40 F | 3 mm CryoProbe | $ | 2,250.00 | ** | |||||
1 Box | CRYO-103 40 F | Custom CRYO-40 F Box 3 mm CryoProbe (Packaged as Ten (10) Probes) | N/A | ** | ||||||
1 | CRYO-46 F | 5 mm CryoProbe (Manufacturing of this Product to be discontinued) | $ | 2,500.00 | ** | |||||
1 | CRYO-48 F | 8 mm CryoProbe | $ | 2,750.00 | ** | |||||
1 | CRYO-54 | TempProbe Long | $ | 150.00 | ** |
See page 5 for Terms & Conditions | FM00-0190 Rev. A (June -2005) |
** Asterisks indicate confidential terms that were redacted pursuant to a request for confidential treatment filed with the Securities and Exchange Commission pursuant to Rule 24b-2 under the Securities Exchange Act of 1934, as amended.
Customer Quote Equipment, Procedures, and/or Products | ||
201 Technology Dr. Irvine California 92618 | ||
Tel: 866 ###-###-#### Fax: 866 ###-###-#### or ###-###-#### |
Qty. | Model No. | Description | List Price ($) | Quote ($) | ||||||
(U.S. Dollars) | (U.S. Dollars) | |||||||||
1 | CRYO-55 F | TempProbe Short Direct Access System | $ | 150.00 | ** | |||||
1 | CRYO-75 | TempProbe Trocar Needles, 3-Pack (for use with CRYO-54) | $ | 75.00 | ** | |||||
1 | CRYO-72 | FastTrac CryoProbe Direct Access Set 1 mm (includes CRYO-73) | $ | 500.00 | ** | |||||
1 | CRYO-73 | FastTrac Introducer Sheaths, 8-Pack | $ | 100.00 | ** | |||||
1 | CRYO-74 | FastTrac CryoProbe Direct Access Set 2 mm (includes CRYO-73) | $ | 500.00 | ** | |||||
1 | CRYO-60 | Urethral Warming Catheter Kit | $ | 350.00 | ** | |||||
1 | R3.8L | RenalCryo 3.8mm Angled Probe oblong ice long shaft | $ | 3,500.00 | ** | |||||
1 | R3.8 | RenalCryo 3.8mm Angled Probe oblong ice *Upon Availability | $ | 3,500.00 | ** | |||||
1 | R2.4L | 2.4 mm Renal Probe Sharp Tip, Oblong Ice Long Shaft | $ | 3,500.00 | ** | |||||
1 | R2.4 | 2.4 mm Renal Probe Sharp Tip, Oblong Ice | $ | 3,500.00 | ** | |||||
1 | R1.7 | 1.7 mm Renal Probe Sharp Tip, Oblong Ice | $ | 2,500.00 | ** |
Payment Terms:
Net 30 days, fob irvine/origin. All customers subject to credit approval. Pricing does not include applicable local or state taxes.
SPECIAL CONDITIONS SPECIFIC TO ADVANCED MEDICAL PARTNERS, INC (AMPI)
Volume Discount Pricing
**
**
Packaged CRYO-40F, CRYO-44F & CRYO 2.4S Probes*
**
**
The following conditions apply to Packaged CRYO-40F, CRYO-44F & CRYO 2.4S Probes*:
**
New Products
Additional products introduced by Endocare, Inc. during the term of this agreement will be negotiated at the time of product release.
Customer Service Representative: Michelle Kennedy Tel No. :   ###-###-####
Endocare Approval
x Required | o Not Required | Mary Syiek, Vice president | Date 12-13-05 | |||
x Required | o Not Required | Kevin Quilty, Sr.V P, Sales & Marketing | Date 12-13-05 | |||
x Required | o Not Required | Michael rodriguez, CFO or William Nydam, President | Date 12-13-05 |
The customer quote is valid between 12/13/05 thru 1/13/06 upon acceptance of the pricing, terms, & conditions, the customer quote and its contents are valid until 12/31/06. **
See page 5 for Terms & Conditions | FM00-0190 Rev. A (June -2005) |
** Asterisks indicate confidential terms that were redacted pursuant to a request for confidential treatment filed with the Securities and Exchange Commission pursuant to Rule 24b-2 under the Securities Exchange Act of 1934, as amended.
Customer Quote Equipment, Procedures, and/or Products | ||
201 Technology Dr. Irvine California 92618 | ||
Tel: 866 ###-###-#### Fax: 866 ###-###-#### or ###-###-#### |
Printed Name | Robert A. Yonke | |||
Signature | /s/ Robert A. Yonke | Date 01-09-06 | ||
Title | CEO |
See page 5 for Terms & Conditions | FM00-0190 Rev. A (June -2005) |
** Asterisks indicate confidential terms that were redacted pursuant to a request for confidential treatment filed with the Securities and Exchange Commission pursuant to Rule 24b-2 under the Securities Exchange Act of 1934, as amended.
Endocare, Inc
Standard Terms and Conditions
Standard Terms and Conditions
Effective June 1, 2005
Payment:
1) | Payment terms will be based on Endocares customer credit evaluation and may include filing of UCC-1 on disposables until payment in full has been received by Endocare. | |
2) | Endocare standard payment terms are Net 30 Days. |
Delivery:
1) | Goods will be shipped F.O.B. Irvine, California. | |
2) | Shipping and handling charges are to be incurred by the customer. |
Returned Goods Policy:
1) | All product exchanges/ returns require Endocare management approval. | |
2) | A Return Merchandise Authorization number must be obtained prior to the exchange/return of product for any reason. To obtain authorization for return Contact Endocare Customer Service 866 ###-###-####. Items returned without prior approval will not be accepted. | |
3) | Defective product will be replaced only upon Endocares review and approval. | |
4) | With the exception of the return of defective product, all product exchanges must be in their original package and in saleable condition. The sterile packaged product must have an expiration date exceeding six (6) months from the date of return. | |
5) | Product exchanges will be subject to a 10% restocking fee. | |
6) | No credit memos or cash refunds will be issued. Any exceptions to this policy require Endocare management approval. | |
7) | Purchased Cryocare Disposables returned will only be considered if defective or opened (unused). In this instance, the Cryocare Disposable(s) would be replaced as an exchange only. Endocare Senior Management must approve. |
Warranty:
1) | Endocare warrants all products to be free of manufactures defect one year from the date of purchase. |
Page 5 of 5 | FM00-0190 Rev. A (June -2005) |
** Asterisks indicate confidential terms that were redacted pursuant to a request for confidential treatment filed with the Securities and Exchange Commission pursuant to Rule 24b-2 under the Securities Exchange Act of 1934, as amended.