Titan Anterior Lumbar Interbody Fusion (ALIF) cage(s) implants and instrumentation, or equivalent, with vendor representative in attendance during patient specific surgery scheduled for 8 August 2017. Treating physician recommends an L4-5, L5-S1 ALIF. Implants must be available in at least 36 different sizes with textured cage and screw surfaces and must allow for up to 10 degrees of medial/lateral or anterior/posterior angular variation. Implant must be a stand-alone system. SUBSTITUTE ITEMS: If you plan to provide other than the brand name cited in the purchase description, provide in your response the brand name and the catalog or part number you intend to furnish and the characteristics of the substitute item that are equivalent to the brand name. Also provide all documents which clearly describe the item(s) so that it/they can be evaluated by the end user. Failure to submit the requested substitute item information before the closing date listed above will eliminate the vendor from all further consideration. Items otherwise equal may not satisfy the requirement due to differences in material composition, size, environmental application, etc. If an item is furnished which does not meet the requirement the item will be returned at the vendor's expense for a full refund. Award will be made on the basis of the lowest evaluated price of proposals meeting or exceeding the acceptability standards for non-cost factors.

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