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HomeMy WebLinkAbout2016-041 Contract - Zoll Medical Corporation Contract for Cardiac Monitors and Automated External Defibrillators AEDs) CITY OF CONTRACTOR: Zoll Medical Corporation -ASHLAND CONTACT: Jonathan Erickson, EMS Territory Manager 20 East Main Street Ashland, Oregon 97520 ADDRESS: 269 Mill Road, Chelmsford, MA 01824-4105 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 978-421-9655 FAX: 978-421-0025 DATE AGREEMENT PREPARED: February 3, 2016 EMAIL: JErickson@zoll.com BEGINNING DATE: February 8, 2016 COMPLETION DATE: May 1, 2016 COMPENSATION: $288,710.58 per Quotation # 204430 V:2 attached as Exhibit F. GOODS AND SERVICES TO BE PROVIDED: Cardiac Monitor/Defibrillators and Automated External Defibrillators (AEDs), accessories and training per Quotation # 204430 V:2 attached as Exhibit F. Complete delivery is required by May 1, 2016 to satisfy the mandatory requirements of the Assistance to Firefighter Grant. Approved b the City Council on January 19, 2016. ADDITIONAL TERMS: Exhibit D - General Conditions for Purchase of Equipment Exhibit E - Special Provisions for Purchase of Equipment In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Goods and Services will be primary and take precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be subordinate to and interpreted in a manner that will not conflict with the said primary City of Ashland Contract. NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the CITY AND CONTRACTOR AGREE as follows: 1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such work. 2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. Contractor must also maintain a current City business license. 3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later than the date indicated above and start performing the work under this contract by the beginning date indicated above and complete the work by the completion date indicated above. 4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated, payments will be made for work completed and accepted to date of termination. 5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory Requirements: ORS 27913.220, 27913.225, 27913.230, 27913.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract is $20,142.20 or more, Contractor is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in this chapter, to all employees performing work under this contract and to any subcontractor who performs 50% or more of the work under this contract. Contractor is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 8. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from I injury to any person (including injury resulting in death), or damage (including loss or destruction) to tangible property, of whats er natu to the extent arising GA-of--&r- directly from iRGK4e 4-tG-the performance of this contract by Contractor (including but not limited to, Contractor's employees, agents, and others designated by Contractor to perform work or services attendant to this contract). Contractor shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 9. Termination: Contract for Cardiac Monitors and Automated External Defibrillators, Page 1 of 10 a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties. b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing and delivered by certified mail or in person. C. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of written notice to Contractor, or at such later date as may be established by City under any of the following conditions- i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this contract or are no longer eligible for the funding proposed for payments authorized by this contract; or iii. If any license or certificate required by law or regulation to be held by Contractor to provide the services required by this contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or Contractor may terminate this contract in the event of a breach of the contract by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and intent to terminate. If the party committing the breach has not entirely cured the breach within 15 days of the date of the notice, or within such other period as the party giving the notice may authorize or require, then the contract may be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Contractor's performance of each and every obligation and duty under this contract. City by written notice to Contractor of default or breach, may at any time terminate the whole or any part of this contract if Contractor fails to provide services called for by this contract within the time specified herein or in any extension thereof. iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in addition to any other rights and remedies provided by law or under this contract. e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c or d of this section, Contractor shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Contractor shall deliver to City all contract documents, information, works-in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Contractor for work performed prior to the termination date if such work was performed in accordance with the Contract. 10. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City. Contractor shall have the complete responsibility for the performance of this contract. 11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated against minority, women or emerging small businesses enterprises in obtaining any required subcontracts. Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any requirement of ORS 279A.110 or the administrative rules implementing the Statute. 12. Asbestos Abatement License; If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Contractor shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible in the performance of the contract work set forth in this document. 15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a QRF if Contractor has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 16. Insurance. Contractor shall at its own expense provide the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. General Liabilit insurance with a combined single limit, or the equivalent, of not less than Enter one: Contract for Cardiac Monitors and Automated External Defibrillators, Page 2 of 10 $200,000, $500,000, $1,000,000, $2,000,000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable. d. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverage(s) without 30 days' written notice from the Contractor or its insurer(s) to the City. e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only with respect to Contractor's :s-tG be-preuid operations under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work under this contract. To the extent of loss attributable to Contractor's negligence. Tthe contractor's insurance is primary and non-contributory. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, in the event of a claim to which the City is a party complete copies of insurance policies, trust agreements; eto-shall be provided to the City. The Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-insurance. 17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and the Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONTRACTOR, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 19. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Contractor understands and agrees that City's payment of amounts under this contract attributable to work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further liability to Contractor. 20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is required before any work may begin under this contract. 21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. Contract for Cardiac Monitors and Automated External Defibrillators, Page 3 of 10 Contractor: Cit of-Ashland B By ignature De rtment Head Print Name Print Name L Title Date W-9 One copy of a W-9 is to be submitted with e the signed contract. Purchase Order No. APPR VEDAS TO FORM Ashland may Da 6_ { i i s , x i P Contract for Cardiac Monitors and Automated External Defibrillators, Page 4 of 10 EXHIBIT C-A CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified it that it is no longer subject to backup withholding. Contractor further represents and warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the Contract, when executed and delivered, shall be a valid and binding obligation of Contractor enforceable in accordance with its terms, (c) the work under the Contract shall be performed in accordance with the highest professional standards, and (d) Contractor is qualified, professionally competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on behalf of the entity designated above and authorized to do business in Oregon or is an independent Contractor as defined in the contract documents, and has checked four or more of the following criteria: (1) 1 carry out the labor or services at a location separate from my residence or is in a specific portion of my residence, set aside as the location of the business. (2) Commercial advertising or business cards or a trade association membership are purchased for the business. (3) Telephone listing is used for the business separate from the personal residence listing. (4) Labor or services are performed only pursuant to written contracts. (5) Labor or services are performed for two or more different persons within a period of one year. (6) 1 assume financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission insurance or liability insurance relating to the labor or services to be provided. &7ntra~t) (Date) Contract for Cardiac Monitors and Automated External Defibrillators, Page 5 of 10 CITY • ASHLAND, OREGON EXHIBIT C-B City of Ashland LIVING # WAGE per hour effective June 30, 2015 (Increases annually every June 30 by the ~r Consumer Price Index) portion of business of their 401 K and IRS eligible employer, if the employer has cafeteria plans (including ten or more employees, and childcare) benefits to the has received financial amount of wages received by assistance for the project or the employee. For all hours worked under a business from the City of service contract between their Ashland in excess of v Note: ~~Empioyee"' does not employer and the City of $20,142.20. include temporary or part-time Ashland if the contract employees hired for less than exceeds $20,142.20 or more. y If their employer is the City of 1040 hours in any twelve- Ashland including the Parks month period. For more For all hours worked in a and Recreation Department, detai s on applicability of this month if the employee spends pelicv please see Ashland 50% or more of the In calculating the living wage, Vunicipal Code Section employee's time in that month employers may add the value 0 working on a project or of health care, retirement, additional For Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall, 20 East Main Street, Ashland, OR 97520 or visit the city's website at +www.asnlard. or.us, Notice to Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF ASHLAND Contract for Cardiac Monitors and Automated External Defibrillators, Page 6 of 10 EXHIBIT C-D GENERAL CONDITIONS FOR PURCHASE OF EQUIPMENT GC1. Contract Documents: The contract documents are integrated. A requirement in one of the contract documents is as binding as though occurring in all. In the event of any inconsistency in the terms of the contract documents the following order of precedence shall govern unless otherwise stated: 1. City Standard Contract for Cardiac Monitors and Automated External Defibrillators (AEDs) 2. These general conditions and special provisions for purchase of equipment 3. 4. The apparent silence of the contract documents as to any detail shall be regarded as meaning that only the best practice is to prevail and that only equipment of first quality are to be provided by bidder. GC2. New Equipment: All equipment shall be new unless otherwise specified in the special provisions or specifications. GC3. Payment: Payment shall be made by City warrant within thirty days after City has inspected the equipment or has had a reasonable opportunity to do so. City may reserve payment until all equipment is received. GC4. Risk of Loss: Bidder shall have the risk of loss until the equipment has been delivered to City's facility and is approved after inspection by City. GC5. Inspection: Equipment furnished under this contract shall be subject to inspection and testing by City at times and places determined by City. If City determines that the equipment is not in compliance with the specifications, City may reject the equipment and require Bidder to either cure defects or make an equitable price reduction. If Bidder refuses to cure defects within a time deemed reasonable by City, City may cancel the contract or enforce City's remedies for default. Nothing in this provision shall impair City's rights to enforce warranties, revoke acceptance of the equipment or enforce any other remedies under ORS Chapter 72. GC6. Safety and Health Requirements: Equipment shall comply with all federal Occupational Health and Safety (OSHA) requirements and with all Oregon safety and health statutes and administrative rules including, but not limited to, those of the Workers' Compensation Department. All "Material Safety Data Sheets" for hazardous chemicals that are subject to ORS 654.750 and OAR Chapter 435, Division 155 shall be submitted to City before the chemicals are delivered. GC7. Taxes: City generally is not subject to taxation. Bidder shall be responsible for paying all taxes on the sale of the equipment, except fuel taxes included in the bid price. GC8. Compliance with Law: This agreement will be governed by and construed in accordance with laws of the State of Oregon. Each party agrees that it will perform its obligations hereunder in accordance with all applicable state, federal and local laws, rules and regulations now, or hereafter in effect. Bidder shall comply with applicable provisions of ORS 279C.505, 279C.515, 279C.520 and 279C.530. Bidder is a "subject employer" as defined in ORS 656.005. Bidder shall comply with all applicable workers' compensation laws including; but not limited to, ORS 656.017. GC9. Patented Equipment: Bidder shall defend, indemnify and hold City harmless from any claims for infringement of patent arising out of City's use of the equipment. GC 10. Severability: If any provision of the contract documents shall be held to be invalid or unenforceable, such invalidity or unenforceability shall not affect any other provision of the contract documents. The contract documents shall be construed as if such invalid or unenforceable provision had never been included. Contract for Cardiac Monitors and Automated External Defibrillators, Page 7 of 10 GC11. No Waiver: No provision of the contract documents shall be deemed waived unless such waiver is in writing and signed by the party claimed to have waived its rights. Any waiver of a breach by any party, whether expressed or implied, shall not constitute waiver of any other different or subsequent breach. GC12. Successors: The successors, assigns and legal representatives of Bidder and City shall be subject to all provisions of the contact documents. Bidder shall not assign Bidder's rights or obligations under this agreement without prior written consent of City. GC13. Indemnification: Bidder shall defend, indemnify and save City, its agents, and employees harmless from any and all losses, claims, actions, costs, or other damages resulting from injury to any person or damage to property, of whatsoever nature arising out of or incident to the performance of this agreement by Bidder or defects in the equipment. Bidder shall not be held responsible for any losses, claims, actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. GC14. Notices: Any notice required to be given under this contract, or any notice required to be given by law, shall be in writing and shall be given by personal delivery or by registered or certified mail, to Bidder at the address stated on page 1 of the contract or to City at the address stated on page 1 of the contract. GC15. Entire Agreement: The contract documents are the entire, final and complete agreement of the parties and supersede all prior and existing written or oral understandings except as otherwise continued in effect by the terms of the contract documents. No modification of the contract documents shall be valid unless in writing and signed by the parties. Contract for Cardiac Monitors and Automated External Defibrillators, Page 8 of 10 EXHIBIT C-E SPECIAL PROVISIONS FOR PURCHASE OF EQUIPMENT These special provisions are part of the contract documents for the purchase of Cardiac Monitors and Automated External Defibrillators (AEDs). The following special provisions modify and supplement the City's general conditions for this purchase. These special provisions supersede contrary general conditions. 1- Definitions: The following definitions supplement and take precedence over definitions in the general conditions- 1. 1. "Contract Documents" shall mean the written agreement signed by City and Bidder, including the exhibits. 1.2. "Goods" and "Equipment" are synonymous and shall mean the equipment specified in Bidder's bid, including all parts, components and accessories necessary for complete operating units as stated in the specifications. 2. Use of Equipment: The equipment will be used by the City's fire department, Ashland Fire and Rescue, to provide emergency services. 3. Delivery: The equipment shall be delivered to the City of Ashland, Fire Department (Ashland Fire and Rescue), 455 Siskiyou Blvd., Ashland, OR 97520, no later than 90 days. The bid price will be F.O.B. delivered. Shipment with any reservation is prohibited. Any risk of loss prior to delivery and acceptance of the equipment by the City shall be borne by Bidder. 3.1. The delivered equipment will be examined for conformance to specifications before acceptance can be made. The successful bidder will assume all responsibility for the equipment prior to acceptance by the City. 4. Liquidated Damages for Late Delivery: 4.1. Any delay in delivery of the equipment beyond the date specified in section 3 will cause inconvenience and material expense to City. It is essential that the equipment be delivered to City on or before the date specified. It is and will be impractical and difficult to ascertain the actual damage City sustains by reason of delay. Bidder -pa-)0e-City-net as a penalty, damages: for-each-mat ida end the-de v-ey date;-tire-sum -Gf 1-0 -C )t -may dedttc-t I+t{t++dated ~a~ages-f ~T ice. 4.2- City, at City's sole discretion, may grant Bidder an extension of time for delivery of the equipment if the delay is caused by occurrences beyond Bidder's control. An extension will not be granted for shortage or inadequacy of labor, equipment or materials-, negligence or fault of Bidder, Bidder's suppliers or subcontractors; or other deficiencies within the province of Bidder's control or responsibility. 5. Contract Price: The contract price shall be the "lump sum" purchase price payable to Bidder for the equipment, as stated in the bid. The contract price shall cover all costs incurred by Bidder in providing the equipment including, but not limited to, the cost all components and accessories, shipping, and insurance. 6. Payment: Payment of the contract price, less any liquidated damages, shall be made by City within thirty days after the equipment is delivered and accepted. 7. City Representative: All correspondence pertaining to the specifications shall be directed to the City of Ashland, Fleet Supervisor, or designee, and, after the written agreement is signed, the Fleet Supervisor, or designee, shall administer the contract for City. Contract for Cardiac Monitors and Automated External Defibrillators, Page 9 of 10 8. Warranties: 8. 1. Bidder warrants that equipment when delivered will be in good working order and will perform in accordance with the manufacturer's published specifications and City's specifications. In the event of any discrepancy between City's specifications and the manufacturer's specifications, City's specifications shall take precedence. 8.2. The equipment also shall be subject to the warranties provided by ORS 72.3120, 72.3130, 72.3140 and 72.3150, and any waiver of such warranties in the manufacturer's written warranty shall be void. 8.3. If the equipment continually fails to operate as warranted, City may require Bidder to provide substitute equipment or pursue other remedies that are available. 9. Delivery: The equipment shall be delivered to the City no later than 90 days unless the City agrees to a later date. 10. Manuals: For all equipment purchased for the City, the Bidder shall provide the City with two copies of all manuals, and parts and supply lists that are necessary for effective operation and maintenance of the equipment. Manuals available on CD or DVD are preferred, however, book style will be acceptable for those that are not available on CD or DVD. Contract for Cardiac Monitors and Automated External Defibrillators, Page 10 of 10 ZOLL Medical Corporation Worldwide HeadQuarters 269 Mill Rd Chelmsford, Massachusetts 01824-4105 TO: Ashland Fire & Rescue (978) 421-9655 Main (800) 348-9011 (978) 421-0015 Customer Support 455 Siskiyou Boulevard FEDERAL ID#: 04-2711626 Ashland, OR 97520 Attn: John Karns, Fire Chief QUOTATION 204430 V:2 DATE: January 25, 2016 email: John. karns(aDashland. or.us Tel: 541-482-2770 TERMS: Net 30 Days FOB: Shipping Point FREIGHT: Free Freight ITEM MODEL NUMBER DESCRIPTION QTY. UNIT PRICE DISC PRICE TOTAL PRICE 1 601-2431411-01 X Series ® Manual Monitor/Defibrillator $14,995 9 $42,810.00 $35,104.20 $315,937.80 with 4 trace tri-mode display monitor/ defibrillator/ printer, comes with Real CPR Help, advisory algorithm, advanced communications package (Wi-Fi, Bluetooth, USB cellular modem capable) USB data transfer capable and large 6.5"( 16.5cm) diagonal sreen, full 12 ECG lead view with both dynamic and static 12-lead mode display and voice recording. Accessories Included: Six (6) foot 3- Lead ECG cable • MFC cable • MFC CPR connector • A/C power adapter/ battery charger • A/C power cord • One (1) roll printer paper • 6.6 Ah Li-ion battery • Carry case • Declaration of Conformity • Operators Manual • Quick Reference Guide • One (1)-year EMS warranty Advanced Options: Real CPR Help Expansion Pack $ 995 CPR Dashboard quantitive depth and rate in real time, release indicator, interruption timer, perfusion performance indicator (PPI) • See - Thru CPR artifact filtering ZOLL Noninvasive Pacing Technology: $2,550 Masimo Pulse Oximetry This quote is made subject to ZOLL's standard commercial terms and conditions (ZOLL T's + C's) which Page 1 Subtotal $315,937.80 accompany this quote. Any purchase order (P.O.) issued in response to this quotation will be deemed to incorporate ZOLL T's + C's. Any modification of the ZOLL T's + C's must be set forth or referenced in the customer's P.O. No commercial terms or conditions shall apply to the sale of goods or services governed by this quote and the customer's P.O unless set forth in or referenced by either document. 1. DELIVERY WILL BE MADE 60-90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER. Jonathan Erickson 2. PRICES QUOTED ARE VALID FOR 60 DAYS EMS Territory Manager 3. APPLICABLE TAX, SHIPPING & HANDLING WILL BE ADDED AT THE TIME OF INVOICING. 800-242-9150, x9242 4. ALL PURCHASE ORDERS ARE SUBJECT TO CREDIT APPROVAL BEFORE ACCEPTABLE BY ZOLL. 5. FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978-421-0015 OR EMAIL TO ESALES@ZOLL.COM. 6. ALL DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS. 7. PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING W'v.v. olv; ~D~tur?.CJtil Page 1 ZOLL Medical Corporation Worldwide Head Quarters 269 Mill Rd Chelmsford, Massachusetts 01824-4105 TO: Ashland Fire & Rescue (978) 421-9655 Main (800) 348-9011 (978) 421-0015 Customer Support 455 Siskiyou Boulevard FEDERAL ID#: 04-2711626 Ashland, OR 97520 Attn: Jahn Karns, Fire Chief QUOTATION 204430 V:2 DATE: January 25, 2016 email: John.karns(a)ashland.or.us Tel: 541-482-2770 TERMS: Net 30 Days FOB: Shipping Point FREIGHT: Free Freight ITEM MODEL NUMBER DESCRIPTION QTY. UNIT PRICE DISC PRICE TOTAL PRICE SP02& SpCO $4,540 • Signal Extraction Technology (SET) • Rainbow SET (for SpCO & SpMet) NIBP Welch Allyn includes: $3,495 Smartcuff 10 foot Dual Lumen hose • SureBP Reusable Adult Medium Cuff End Tidal Carbon Dioxide monitoring (ETC02) Oddion Mtcrostream Technology: $4,995 Order required Microstream tubing sets separately Interpretative 12- Lead ECG: $8,450 • 12-Lead one step ECG cable- includes 4- Lead limb lead cable and removable precordial 6- Lead set Two Temperature monitoring channels with digital displays: $ 995 Order Temperature probes separately Voice Recording: $ 1795 2 8 0 0 0- 0 5 8 0- 0 1 Six hour rechargeable Smart battery 9 $495.00 $420.75 $3,786.75 3 8 3 0 0- 0 5 0 0- 0 1 SurePower 4 Bay Charging System including 4 2 $2,583.00 $2,195.55 $4,391.10 B2ttery Charging adapters This quote is made subject to ZOLL's standard commercial terms and conditions(ZOLL T's + C's) which Page 2 Subtotal 17$324,11565 accompany this quote. Any purchase order (P.O.) issued in response to this quotation will be deemed to incorporate ZOLL T's + C's. Any modification of the ZOLL T's + C's must be set forth or referenced in the customer's P.O. No commercial terms or conditions shall apply to the sale of goods or services governed by this quote and the customer's P.O unless set forth in or referenced by either document. 1. DELIVERY WILL BE MADE 60-90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER. Jonathan Erickson 2. PRICES QUOTED ARE VALID FOR 60 DAYS EMS Territory Manager 3. APPLICABLE TAX, SHIPPING & HANDLING WILL BE ADDED AT THE TIME OF INVOICING. 800-242-9150, x9242 4. ALL PURCHASE ORDERS ARE SUBJECT TO CREDIT APPROVAL BEFORE ACCEPTABLE BY ZOLL. 5. FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978-421-0015 OR EMAIL TO ESALES@ZOLL.COM. 6. ALL DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS. 7. PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING ws2':;'.?Oli,^.'C SIOr?.Ci?1. Page 2 ZOLL Medical Corporation 1 Worldwide HeadQuarters - 269 Mill Rd Chelmsford, Massachusetts 01824-4105 TO: Ashland Fire & Rescue (978) 421-9655 Main (800) 348-9011 455 SiskiyoU Boulevard (978) 421-0015 Customer Support FEDERAL ID#: 04-2711626 Ashland, OR 97520 Attn: John Karns, Fire Chief QUOTATION 204430 V:2 DATE: January 25, 2016 email: John.karns cDashland.or.us Tel: 541-482-2770 TERMS: Net 30 Days FOB: Shipping Point FREIGHT: Free Freight ITEM MODEL NUMBER DESCRIPTION QTY. UNIT PRICE DISC PRICE TOTAL PRICE 4 8 0 0 0- 0 3 4 1 Sp02/SpCOISpMet Rainbow Reuuable Patient 9 $245.00 $168.75 $1,518.75 Cable: Connects to Single Use Sensors (4 ft) 5 8 0 0 0- 0 0 0 3 7 1 Sp02/SpCOJSpMet Rainbow DCI Adult Reusable 9 $845.00 $340.28 $3,062.52 Sensor with connector (3 ft) 6 8 0 0 0- 0 0 0 3 7 2 SpO2/SpCO/SpMet Rainbow DCI Reusable Sensor, 9 $845.00 $364.87 $3,283.83 PM.i 7 8 0 0 0- 0 6 7 0 YSI reusable adult Skin Temperature probe 9 $125.00 $56.25 $506.25 8 8 0 0 0- 0 6 7 1 YSI reusable pediatric Skin Temperature probe 9 $125.00 $56.25 S506.25 9 8 0 0 0 - 0 8 9 5 Cuff Kt with Welch Allyn Small Adult, Large Adult and 9 $157.50 $133.88 $1,204.92 Thigh Cuffs 10 8 0 0 0- 0 0 0 9 10- 01 X Series 80mm Thermal Paper with Grid (pack of 6 9 $24.00 $19.68 $177.12 roll) 11 8 3 0 0 - 0 5 2 0 - 0 1 Filtedine Set Adult/Pediatric, Case of 25 2 $275.00 $233 75 $467.50 12 8 3 0 0 - 0 5 2 4 - 0 1 Smart Capnol-ine Plus 02 Adult (02 tubing), Case of 2 $355.00 $301 75 $603.50 25 This quote is made subject to ZOLL's standard commercial terms and conditions (ZOLL T's + C's) which Page 3 Subtotal $335 446.29 accompany this quote. Any purchase order (P.O.) issued In response to this quotation will be deemed to incorporate ZOLL T's + C's. Any modification of the ZOLL T's + C's must be set forth or referenced in the customer's P.O. No commercial terms or conditions shall apply to the sale of goods or services governed by this quote and the Customer's P.O unless set forth in or referenced by either document. 1. DELIVERY WILL BE MADE 60-90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER. Jonathan Erickson 2. PRICES QUOTED ARE VALID FOR 60 DAYS EMS Territory Manager 3. APPLICABLE TAX, SHIPPING & HANDLING WILL BE ADDED AT THE TIME OF INVOICING. 800-242-9150, x9242 4 ALL PURCHASE ORDERS ARE SUBJECT TO CREDIT APPROVAL BEFORE ACCEPTABLE BY ZOLL. 5. FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978-421-0015 OR EMAIL TO ESALES ZOLL.COM. 6. ALL DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS 7. PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING e.Cu`no Page 3 ZOLL Medical Corporation Worldwide HeadQuarters 269 Mill Rd Chelmsford, Massachusetts 01824-4105 TO: Ashland Fire & Rescue (978) 421-9655 Main (800) 348-9011 455 Siskiyou Boulevard (978) 421-0015 Customer Support Ashland, OR 97520 FEDERAL ID#: 04-2711626 Attn: John Karns, Fire Chief QUOTATION 204430 V:2 DATE: January 25, 2016 email: John.karns(d ashland.or.us Tel: 541-482-2770 TERMS: Net 30 Days FOB: Shipping Point FREIGHT: Free Freight ITEM MODEL NUMBER DESCRIPTION QTY. UNIT PRICE DISC PRICE TOTAL PRICE 13 8 3 0 0 - 0 5 2 5 - 0 1 Smart CapnoLine Plus 02 Pediatric (02 tubing), Case 2 $395.00 $335.75 $671.50 of 25 14 8 9 0 0- 0 0 0 4 4 ECG electrodes/pouch (120 pouches 1480 1 $96.00 S72.00 $72.00 electrodes) 15 8 9 0 0- 0 0 0 6 6 ECG electrodes/pouch (100 pouches) 600 1 $120.00 $90.00 $90.00 electrodes) 16 8 0 0 9- 0 7 5 1- 01 SeeThru CPR Simulator for E Series, R Series, and 3 $495.00 $371.25 $1,113.75 AFD Pro 17 8 0 1 2- 0206 12-lead ECG Simulator 3 $1,065.00 $798.75 $2,396.25 18 8 9 0 0 - 0190 Training CPR stat•padz. Includes one training cable 3 $89.00 $66.75 $200.25 with CPR Sensor, Y Connector for simulator connection, and one pair of replacement training electrodes. 19 8 0 0 0 - 0 8 3 5 - 0 1 AED Plus Demo Manikin - Includes manikin torso with 1 $199.00 $141.29 $141.29 velcro strips allached and a separate head with hardware for attachment 20 8 9 0 0 - 0 4 0 0 CPR stat•padz HVP Multi-Function CPR Electrodes - 8 2 $560.00 $420.00 S840.00 pair/case L I This quote is made subject to ZOLL's standard commercial terms and conditions (ZOLL T's + C's) which Page 4 Subtotal $340,971.33 accompany this quote. Any purchase order (P.O.) issued in response to this quotation will be deemed to incorporate ZOLL T's+ C's. Any modification of the ZOLL T's+ C's must be set forth or referenced in the customer's P.O. No commercial terms or conditions shall apply to the sale of goods or services governed by this quote and the customer's P.O unless set forth in or referenced by either document. 1. DELIVERY WILL BE MADE 60-90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER. Jonathan Erickson 2. PRICES QUOTED ARE VALID FOR 60 DAYS. EMS Territory Manager 3. APPLICABLE TAX, SHIPPING & HANDLING WILL BE ADDED AT THE TIME OF INVOICING. 800-242-9150, x9242 4. ALL PURCHASE ORDERS ARE SUBJECT TO CREDITAPPROVAL BEFORE ACCEPTABLE BY ZOLL. 5. FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978-421-0015 OR EMAIL TO ESALES ZOLL.COM. 6. ALL DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS. 7. PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING ,%-.v. _;)Il.v-bsture.o:,rn. Page 4 ZOLL Medical Corporation Worldwide HeadQuarters 269 Mill Rd Chelmsford, Massachusetts 01824-4105 TO: Ashland Fire & Rescue (978) 421-9655 Main (800) 348-9011 455 Siskiyou Boulevard (978) 421-0015 Customer Support Ashland, OR 97520 FEDERAL ID,,: 04-2711626 Attn: John Karns, Fire Chief QUOTATION 204430 V:2 DATE: January 25, 2016 email: John.karns(a)ashland.or.us Tel: 541-482-2770 TERMS: Net 30 Days FOB: Shipping Point FREIGHT; Free Freight ITEM MODEL NUMBER DESCRIPTION QTY. UNIT PRICE DISC PRICE TOTAL PRICE 21 8 9 0 0 - 0 8 1 0 - 0 1 pedi•padz011 Pediatric Multi-Function Electrodes - 12 $95.00 $67.45 $809.40 Designed for use with the AED Plus. The AED recognizes when pedi•padz II are connected and automatically proceeds with a pediatric ECG and adjusts energy to pediatric levels. Twenty four (24) month shelf-life. One pair. 22 90110202499991010 AED Pro Semi-Auto/Manual with Voice Recording 3 $4,340.00 $2,951.20 $8,853.60 Includes: Backlit LCD screen, soft carry case, rugged over-molded outer housing, multi-patient internal memory, IrDA port, operator guide, five year factory warranty, limited lifetime outer housing warranty. 23 8 0 0 0- 0 8 3 8 AED Pro ECG Cable AAMI 3 $160.00 $120.00 $360,00 24 8 0 0 0- 0 8 6 0- 0 1 AED Pro non-rechargeable lithium battery pack 3 $160.00 $120.00 $360.00 25 90110202499991010 Non Clinical AED Pro Semi-Auto/Manual with Voice 1 $4,340.00 No Charge No Charge ` Recording Includes: Backlit LCD screen, soft carry case, rugged over-molded outer housing, multi-patient internal memory, IrDA port, operator guide, five year factory warranty, limited lifetime outer housing warranty. 26 8 0 1 9- 0 5 3 5- 0 1 SurePowerl Rechargeable Lithium Ion Battery Pack 1 $475.00 $356.25 $356.25 5.8 Ah Capacity • High density lithium ion chemistry RunTime- Indicator • Automatic calibration ready Stores history of use and maintenance This quote is made subject to ZOLL's standard commercial terms and conditions (ZOLL T's + C's) which page 5 Subtotal $351,710.58 accompany this quote. Any purchase order (P.O.) issued in response to this quotation will be deemed to incorporate ZOLL T's + C's. Any modification of the ZOLL T's + C's must be set forth or referenced in the customer's P.O. No commercial terms or conditions shall apply to the sale of goods or services governed by this quote and the customer's P.O unless set forth in or referenced by either document. 1. DELIVERY WILL BE MADE 60-90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER. Jonathan Erickson 2. PRICES QUOTED ARE VALID FOR 60 DAYS. EMS Territory Manager 3. APPLICABLE TAX, SHIPPING & HANDLING WILL BE ADDED AT THE TIME OF INVOICING. 800-242-9150, x9242 4. ALL PURCHASE ORDERS ARE SUBJECT TO CREDITAPPROVAL BEFORE ACCEPTABLE BY ZOLL 5. FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978-421-0015 OR EMAIL TO ESALES @ OLL.COM. 6. ALL DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS. 7. PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING w.v.v _o!IaeLs ors cc m. Page 5 ZOLL Medical Corporation Worldwide HeadQuarters 269 Mill Rd Chelmsford, Massachusetts 01824-4105 TO: Ashland Fire & Rescue (978) 421-9655 Main (800) 348-9011 455 Siskiyou Boulevard (978) 421-0015 Customer Support Ashland; OR 97520 FEDFRAL ID#: 04-2711626 Attn: John Karns, Fire Chief QUOTATION 204430 V:2 DATE: January 25, 2016 email: John.karnsCaDashland.or.us Tel: 541-482-2770 TERMS: Net 30 Days FOB: Shipping Point FREIGHT: Free Freight ITEM MODEL NUMBER DESCRIPTION QTY. UNIT PRICE DISC PRICE TOTAL PRICE 27 7 8 0 0 - 03 12 LifePak 12 Biphasic w/Pacing, 12 lead + 3 parameters 9 ($7,000.00) ($63,000.00) or more Trade-In `Reflects National Purchasing Partners (NPP) Contract Pricing. Trade value guaranteed only through March 31, 2016 -Trade-In Value valid if all equipment purchased is in good operational and cosmetic condition, and includes all standard accessories. Customer assumes responsibility for shipping trade-in equipment to ZOLL Chelmsford within 60 days of receipt of new equipment. Customer agrees to pay cash value for trade-in equipment not shipped to ZOLL on a timely basis. This quote is made subject to ZOLL's standard commercial terms and conditions (ZOLL T's + C's) which TOTAL $288,710.58 accompany this quote. Any purchase order (P.O.) issued in response to this quotation will be deemed to incorporate ZOLL T's + C's. Any modification of the ZOLL T's + C's must be set forth or referenced in the customer's P.O. No commercial terms or conditions shall apply to the sale of goods or services governed by this quote and the customer's P.O unless set forth in or referenced by either document. 1. DELIVERY WILL BE MADE 60-90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER. Jonathan Erickson 2 PRICES QUOTED ARE VALID FOR 60 DAYS. EMS Territory Manager 3 APPLICABLE TAX, SHIPPING & I IANDLING WILL BE ADDED AT THE TIME OF INVOICING. 800-242-9150, x9242 4. ALL PURCHASE ORDERS ARE SUBJECT TO CREDITAPPROVAL BEFORE ACCEPTABLE BY ZOLL. 5. FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978-421-0015 OR EMAIL TO ESALES@ZOLL.COM. 6. ALL DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS. 7. PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING _oll,'webstore.cor Page 6 ZOLL QUOTATION GENERAL TERMS & CONDITIONS 9. LIMITATIONS OF LIABILITY. IN NO EVENT SHALL ZOLL MEDICAL CORPORATION BE LIABLE 1. ACCEPTANCE. This Quotation constitutes an offer by ZOLL Medical Corporation to sell to the FOR INDIRECT SPECIAL OR CONSEQUENTIAL DAMAGES RESULTING FROM ZOLL MEDICAL Customer the equipment (including a license to use certain software) listed in this Quotation and CORPORATIONS PERFORMANCE OR FAILURE TO PERFORM PURSUANT TO THIS QUOTATION described in the specifications either attached to or referred to in this Quotation (hereinafter referred to OR THE CONTRACT OR THE FURNISHING, PERFORMANCE, OR USE OF ANY EQUIPMENT OR as Equipment). Any acceptance of such offer is expressly limited to the terms of this Quotation, including SOFTWARE SOLD HERETO, WHETHER DUE TO A BREACH OF CONTRACT, BREACH OF these General Terms and Conditions. Acceptance shall be so limited to this Quotation notwithstanding (i) WARRANTY, THE NEGLIGENCE OF ZOLL MEDICAL CORPORATION OR OTHERWISE. any conflicting written or oral representations made by ZOLL Medical Corporation or any agent or employee of ZOLL Medical Corporation or (ii) receipt or acknowledgement by ZOLL Medical Corporation 10. PATENT INDEMNITY. ZOLL Medical Corporation shall at its own expense defend any suit that may of any purchase order, specification, or other document issued by the Customer. Any such document be instituted against the Customer for alleged infringement of any United States patents or copyrights shall be wholly inapplicable to any sale made pursuant to this Quotation, and shall not be binding in any related to the parts of the Equipment or the Software manufactured by ZOLL Medical Corporation, way on ZOLL Medical Corporation. provided that (i) such alleged infringement consists only in the use of such Equipment or the Software by itself and not as a part of or in combination with any other devices or parts, (ii) the Customer gives ZOLL Acceptance of this Quotation by the Customer shall create an agreement between ZOLL Medical Medical Corporation immediate notice in writing of any such suit and permits ZOLL Medical Corporation Corporation and the Customer (hereinafter referred to as the "Contract" the terms and conditions of through counsel of its choice, to answer the charge of infringement and defend such suit, and (iii) the which are expressly limited to the provisions of this Quotation including these Terms and Conditions. No Customer gives ZOLL Medical Corporation all requested information, assistance and authority at ZOLL waiver change or modification of any of the provisions of this Quotation or the Contract shall be binding Medical Corporation's expense, to enable ZOLL Medical Corporation to defend such suit. on ZOLL Medical Corporation unless such waiver, change or modification (i) is made in writing (ii) expressly states that it is a waiver, change or modification of this Quotation or the Contract and (iii) is In the case of a final award of damages for infringement in any such suit, ZOLL Medical Corporation will signed by an authorized representative of ZOLL Medical Corporation. pay such award, but it shall not be responsible for any settlement made without its written consent. 2. DELIVERY AND RISK OF LOSS. Unless otherwise stated, all deliveries shall be F.O.B. ZOLL Section 10 states ZOLL Medical Corporation's total responsibility and liability's, and the Customers sole Medical Corporation's facility. Risk of loss or damage to the Equipment shall pass to the Customer upon remedy for any actual or alleged infringement of any patent by the Equipment or the Software or any part delivery of the Equipment to the carrier. thereof provided hereunder. In no event shall ZOLL Medical Corporation be liable for any indirect, special, or consequential damages resulting from any such infringement. 3. TERMS OF PAYMENT. Unless otherwise stated in its Quotation payment by Customer is due thirty (30) days after the ship date appearing on ZOLL Medical Corporation invoice. Any amounts payable 11. CLAIMS FOR SHORTAGE. Each shipment of Equipment shall be promptly examined by the hereunder which remain unpaid after the date shall be subject to a late charge equal to 1.5% per month Customer upon receipt thereof. The Customer shall inform ZOLL Medical Corporation of any shortage in from the due date until such amount is paid. any shipment within ten (10) days of receipt of Equipment. If no such shortage is reported within ten (10) day period, the shipment shall be conclusively deemed to have been complete. 4. CREDIT APPROVAL. All shipments and deliveries shall at all times be subject to the approval of credit by ZOLL Medical Corporation. ZOLL Medical Corporation may at any time decline to make any 12. RETURNS AND CANCELLATION. (a) The Customer shall obtain authorization from ZOLL Medical shipment or delivery except upon receipt of payment or security or upon terms regarding credit or Corporation prior to returning any of the Equipment. (b) The Customer receives authorization from ZOLL security satisfactory to ZOLL Medical Corporation. Medical Corporation to return a product for credit, the Customer shall be subject to a restocking charge of twenty percent (20%) of the original list purchase price, but not less than $50.00 per product. (c) Any 5. TAXES & FEES. The pricing quoted in its Quotation do not include sales use, excise, or other similar such change in delivery caused by the Customer that causes a delivery date greater than six (6) months taxes or any duties or customs charges, or any order processing fees. The Customer shall pay in from the Customer's original order date shall constitute a new order for the affected Equipment in addition for the prices quoted the amount of any present or future sales, excise or other similar tax or determining the appropriate list price. customs duty or charge applicable to the sale or use of the Equipment sold hereunder (except any tax based on the net income of ZOLL Medical Corporation), and any order processing fees that ZOLL may 13. APPLICABLE LAW. This Quotation and the Contract shall be governed by the substantive laws of apply from time to time. In lieu thereof the Customer may provide ZOLL Medical Corporation with a tax the Commonwealth of Massachusetts without regard to any choice of law provisions thereof. exemption certificate acceptable to the taxing authorities. 14. COMPLIANCE WITH LAWS. (a) ZOLL Medical Corporation represents that all goods and services 6. WARRANTY. (a) ZOLL Medical Corporation warrants to the Customer that from the earlier of the date delivered pursuant to the Contract will be produced and supplied in compliance with all applicable state of installation or thirty (30) days after the date of shipment from ZOLL Medical Corporation's facility, the and federal laws and regulations, including the requirements of the Fair Labor Standards Act of 1938, as Equipment (other than accessories and electrodes) will be free from defects in material and workmanship amended. (b) The Customer shall be responsible for compliance with any federal, state and local laws under normal use and service for the period noted on the reverse side. Accessories and electrodes shall and regulations applicable to the installation or use of the Equipment furnished hereunder, and will obtain be warranted for ninety (90) days from the date of shipment. During such period ZOLL Medical any permits required for such installation and use. Corporation will at no charge to the Customer either repair or replace (at ZOLL Medical Corporation's sole option) any part of the Equipment found by ZOLL Medical Corporation to be defective in material or 15. NON-WAIVER OF DEFAULT. In the event of any default by the Customer, ZOLL Medical workmanship. If ZOLL Medical Corporation's inspection detects no defects in material or workmanship, Corporation may decline to make further shipments or render any further warranty or other services ZOLL Medical Corporation's regular service charges shall apply. (b) ZOLL Medical Corporation shall not without in any way affecting its right under such order. If despite any default by Customer, ZOLL Medical be responsible for any Equipment defect failure of the Equipment to perform any specified function, or Corporation elects to continue to make shipments its action shall not constitute a waiver of any default by any other nonconformance of the Equipment caused by or attributable to (i) any modification of the the Customer or in any way affect ZOLL Medical Corporation's legal remedies regarding any such Equipment by the Customer, unless such modification is made with the prior written approval of ZOLL default. No claim or right arising out of a breach of the Agreement by the Customer can be discharged in Medical Corporation: (ii) the use of the Equipment with any associated or complementary equipment whole or in part by waiver or renunciation of the claim or right unless the waiver or renunciation is accessory or software not specified by ZOLL Medical Corporation, or (iii) any misuse or abuse of the supported by consideration and is in writing signed by ZOLL Medical Corporation. Equipment: (iv) exposure of the Equipment to conditions beyond the environmental, power or operating constraints specified by ZOLL Medical Corporation, or (v) installation or wiring of the Equipment other 16. ASSIGNMENT. This Quotation, and the Contract, may not be assigned by the Customer without the than in accordance with ZOLL Medical Corporation's instructions. (c) Warranty does not cover items prior written consent of ZOLL Medical Corporation, and any assignment without such consent shall be subject to normal wear and burnout during use, including but not limited to lamps, fuses, batteries, cables null and void. and accessories. (d) The foregoing warranty does not apply to software included as part of the Equipment (including software embodied in read-only memory known as "firmware'). (e) The foregoing 17. TITLE TO PRODUCTS. Title to right of possession of the products sold hereunder shall remain with warranty constitutes the exclusive remedy of the Customer and the exclusive liability of ZOLL Medical ZOLL Medical Corporation until ZOLL Medical Corporation delivers the Equipment to the carrier and Corporation for any breach of any warranty related to the Equipment supplied hereunder. THE agrees to do all acts necessary to perfect and maintain such right and title in ZOLL Medical Corporation. WARRANTY SET FORTH HEREIN IS EXCLUSIVE AND ZOLL MEDICAL CORPORATION Failure of the Customer to pay the purchase price for any product when due shall give ZOLL Medical EXPRESSLY DISCLAIMS ALL OTHER WARRANTIES WHETHER WRITTEN, ORAL, IMPLIED, OR Corporation the right, without liability to repossess the Equipment, with or without notice, and to avail STATUTORY, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY OR itself of any remedy provided by law. FITNESS FOR A PARTICULAR PURPOSE. 18. EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION. 7. SOFTWARE LICENSE. (a) All software (the "Software" which term shall include firmware) included as VETERAN'S EMPLOYMENT - If this order is subject to Executive Order 11710 and the part of the Equipment is licensed to Customer pursuant to a nonexclusive limited license on the terms rules, regulations, or orders of the Secretary of Labor issued thereunder the contract clause as set forth hereinafter set forth, (b) Customer may not copy, distribute, modify, translate or adapt the Software, and at 41 CFR 60-250.4 is hereby included as part of this order. may not disassemble or reverse compile the Software, or seek in any manner to discover, disclose or use any proprietary algorithms, techniques or other confidential information contained therein, (c) All EMPLOYMENT OF HANDICAPPED - if this order is subject to Section 503 of the rights in the Software remain the product of ZOLL Medical Corporation, and Customer shall have no right Rehabilitation Act of 1973, as amended and the rules, regulations or orders of the Secretary of Labor as or interest therein except as expressly provided herein. (d) Customer's right to use the Software may be issued thereunder, the contract clause at 41 CFR 60-741.7 is hereby included as part of this order terminated by ZOLL Medical Corporation in the event of any failure to comply with terms of this quotation, (e) Customer may transfer the license conferred hereby only in connection with a transfer of EQUAL OPPORTUNITY EMPLOYMENT - if this order is subject to the provisions of the Equipment and may not retain any copies of the Software following such transfer. (f) ZOLL Medical Executive Order 11246, as amended, and the rules, regulations or orders of the Secretary of Labor Corporation warrants that the read-only memory or other media on which the Software is recorded will be issued thereunder, the contract clause set forth at 41 CFR 60-1.4 (a) and 60-1.4 (b) are hereby included free from defects in materials and workmanship for the period and on terms set forth in section 6. (g) as a part of this order and Seller agrees to comply with the reporting requirements set forth at 41 CFR Customer understands that the Software is a complex and sophisticated software product and no 60-1.7 and the affirmative action compliance program requirements set forth as 41 CFR 60-1.40, assurance can be given that operation of the Software will be uninterrupted or error-free, or that the Software will meet Customer's requirements. Except as set forth in section 7(f), ZOLL MEDICAL 19. VALIDITY OF QUOTATION. This Quotation shall be valid and subject to acceptance by the CORPORATION MAKES NO REPRESENTATIONS OR WARRANTIES WITH RESPECT TO THE Customer, in accordance with the terms of Section 1 hereof for the period set forth on the face hereof. SOFTWARE AND IN PARTICULAR DISCLAIMS ANY IMPLIED WARRANTIES OR After such period, the acceptance of this Quotation shall not be binding upon ZOLL Medical Corporation MERCHANTABILITY OR FITNESS OF A PARTICULAR PURPOSE WITH RESPECT THERETO. and shall not create a contract, unless such acceptance is acknowledged and accepted by ZOLL Medical Customer's exclusive remedy for any breach of warranty or defect relating to the Software shall be the Corporation by a writing signed by an authorized representative of ZOLL Medical Corporation. repair or replacement of any defective read-only memory or other media so that it correctly reproduces the Software. This License applies only to ZOLL Medical Corporation Software. 20. GENERAL. Any Contract resulting from this Quotation shall be governed by and interpreted in accordance with the laws of the Commonwealth of Massachusetts. This constitutes the entire 8. DELAYS IN DELIVERY. ZOLL Medical Corporation shall not be liable for any delay in the delivery of agreement between Buyer and Supplier with respect to the purchase and sale of the Products described any part of the Equipment if such delay is due to any cause beyond the control of the ZOLL Medical in the face hereof, and only representations or statements contained herein shall be binding upon Corporation including, but not limited to acts of God, fires, epidemics, floods, riots, wars, sabotage, labor Supplier as a warranty or otherwise. Acceptance or acquiescence in the course of performance disputes, governmental actions, inability to obtain materials, components, manufacturing facilities or rendered pursuant hereto shall not be relevant to determine the meaning of this writing even though the transportation or any other cause beyond the control of ZOLL Medical Corporation. In addition ZOLL acceptng or acquiescing party has knowledge of the nature of the performance and opportunity for Medical Corporation shall not be liable for any delay in delivery caused by failure of the Customer to objection. No addition to or modification of any of the terms and conditions specified herein shall be provide any necessary information in a timely manner. In the event of any such delay, the date of binding upon Supplier unless made in writing and signed by a duly authorized representative of Supplier. shipment or performance hereunder shall be extended to the period equal to the time lost by reason of The terms and conditions specified shall prevail notwithstanding any variance from the terms and such delay. In the event of such delay ZOLL Medical Corporation may allocate available Equipment conditions of any order or other form submitted by Buyer for the Products set forth on the face of this among its Customers on any reasonable and equitable basis. The delivery dates set forth in this Agreement. To the extent that this writing may be treated as an acceptance of Buyer's prior offer, such Quotation are approximate only and ZOLL Medical Corporation shall not be liable for or shall the acceptance is expressly made conditional on assent by Buyer to the terms hereof, and, without limitation, Contract be breached by, any delivery by ZOLL Medical Corporation within a reasonable time after such acceptance of the goods by Buyer to the terms hereof, and, without limitation, acceptance of the goods dates. by Buyer shall constitute such assent. All cancellations and reschedules require a minimum of thirty (30) days notice. Page 7 ZOLL Medical Corporation A` 01 0® CERTIFICATE OF LIABILITY INSURANCE DAT02/17/206YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the 2 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT tv NAME: Aon Risk Services South, Inc. PHONE (866) 283-7122 FAX (800) 363-0105 d Atlanta GA office (A/C. No. EXt): (vC. No.): 3565 Piedmont Rd NE,Blgl,#700 E-MAIL O Atlanta GA 30305 USA ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Trans Pacific ins co 41238 ZOLL medical Corporation INSURER B: Pacific Indemnity Co 20346 269 Mill Road Chelmsford MA 01824-4105 USA INSURER C: Mitsui Sumitomo Insurance USA Inc. 22551 INSURER D: Federal Insurance company 20281 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570061204799 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested TYPE OF INSURANCE POLICY NUMBER LTR INSD WVD MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPP - EACH OCCURRENCE $1,000,000 CLAIMS-MADE X❑ OCCUR DAMAGE TO RENTED $1,000,000 PREMISES Ea occurrence MED EXP (Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 rn GENIAGGREGATE LIMITAPPLIES PER GENERAL AGGREGATE $2,000,000 0 POLICY PRO- JECT LOC PRODUCTS - COMP/OPAGG Included E] E OTHER: r- r A AUTOMOBILE LIABILITY CPP 6403426-05 0710112015 07/01/2016 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY ( Per person) 0 ALL OWNED SCHEDULED Z AUTOS AUTOS BODILY INJURY (Per accident) d HIREDAUTOS NON-OWNED PROPERTY DAMAGE V AUTOS Per accident E N C X UMBRELLA LIAB HX OCCUR EXS5200217 07/01/2015 07/01/2016 EACH OCCURRENCE $30,000,000 U EXCESS LAB CLAIMS-MADE AGGREGATE $30,000,000 DED RETENTION B WORKERS COMPENSATION AND 71749922 07/01/2015 07/01/2016 X PER STATUTE OTH- EMPLOYERS' LIABILITY Y I N IER ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N /A (Mandatory in NH) E.L. DISEASE-EA EMPLOYEE S1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $1,000,000 - o Products Liab 36019266 0710112015 07/01/2016 Prod/Comp Ops/Agg $5,000,000 - Retro Date 10/1/2004 Prod/Comp Ops/Occ $5,000,000 Mill MOIL Deductible $200,000 a DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) zM__J Products Liability - claims made coverage. The City of Ashland is included as Additional Insured in accordance with the policy provisions of General Liability Policy CPP6403426-05. ~y CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland AUTHORIZED REPRESENTATIVE Attn: Kariann Olson Ashland OR 97520 USA 90 N. Mountain Avenue JvK ~~it z ~~✓na L ~ v ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000057723 LOC ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk Services South, Inc. ZOLL Medical corporation POLICY NUMBER See Certificate Number: 570061204799 CARRIER NAIC CODE See Certificate Number: 570061204799 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY INSR ADDL SUBR POLICYNUMBER POLICY LIMITS UFR TYPE OF INSURANCE INSD WVD EFFECTIVE EXPIRATION DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) EXCESS LIABILITY D 79882432 07/01/2015 07/01/2016 Aggregate $5,000,000 Ex Products Liab Each $5,000,000 Occurrence ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO® DATE(Z M/DOD1/YYYY) 016 CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). c PRODUCER CONTACT 13 NAME: AOn Risk services south, Inc. PHONE FAX 7 Atl dntd GA Offl C2 (A/C. No. Ext): (866) 283-7122 AIC. No.: (800) 363-0105 3565 Piedmont Rd NE,Blgl,#700 E-MAIL O Atlanta GA 30305 USA ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Trans Pacific Ins Co 41238 ZOLL Medical Corporation INSURER B: Pacific Indemnity CO 20346 269 Mill Road Chelmsford MA 01824-4105 USA INSURER C: Mitsui Sumitomo Insurance USA Inc. 22551 INSURERD: Federal insurance company 20281 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570061204799 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CPP - EACH OCCURRENCE $1,000,000 DAMAO - To RENTED CLAIMS-MADE F OCCUR PREMISES Ea occurrence $1, 000' 000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 0 X POLICY El F PRO- FLOC PRODUCTS-COMP/OPAGG Included 0 OTHER r` A CPP 6403426-05 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $1,000,000 X ANYAUTO BODILY INJURY ( Per person) Z ALL OW NED SCHEDULED BODILY INJURY (Per accident) r AUTOS AUTOS R NON-OWNED PROPERTY DAMAGE V HIRED AUTOS AUTOS Per accident w_ d C X UMBRELLA LIAB X OCCUR EXSS200217 07/01/201S 07/01/2016 EACH OCCURRENCE $30,000,000 L) EXCESS LIAB CLAIMS-MADE AGGREGATE $30,000,000 DED RETENTION B WORKERS COMPENSATION AND 71749922 07/01/2015 07/01/2016 X 177777710TH- EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE Y IF E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L. DISEASE-EA EMPLOYEE $1,000,000 If yes, describe under - DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $1,000,000 D Products Liab 36019266 0710112015 07/01/2016 Prod/Comp ops/Agg $5,000,000 - Retro Date 101112004 Prod/Comp ops/occ $5,000,000 Deductible $200,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Products Liability - claims made coverage. _ The City of Ashland is included as Additional insured in accordance with the policy provisions of General Liability Policy CPP6403426-05. t- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. _ City of Ashland AUTHORIZED REPRESENTATIVE Attn: Kariann Olson ti 90 N. Mountain Avenue Ashland OR 97520 USA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks ofACORD AGENCY CUSTOMER ID: 570000057723 LOC ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk services south, Inc. ZOLL Medical corporation POLICY NUMBER See Certificate Number: 570061204799 CARRIER N see Certificate Number: 570061204799 EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDL SUBR POLICY NUMBER EFFECTIVE EXPIRATION LIMITS LTR TYPE OF INSURANCE INSD WVD DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) EXCESS LIABILITY D 79882432 0710112015 07/01/2016 Aggregate $5,000,000 EX Products Liab Each $5,000,000 Occurrence ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Page 1 / 1 CITY OF ASHLAND DATE PO NUMBER II 20 E MAIN ST. 2/19/2016 13399 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 020055 SHIP TO: Ashland Fire Department ZOLL MEDICAL CORPORATION (541) 482-2770 269 MILL ROAD 455 SISKIYOU BLVD CHELMSFORD, MA 01824-4105 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Matt Freheit Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER Cardiac Monitor Defibrillators and 288,710.58 Automated External Defibrillators (AEDs) Per attached Quotation 204430 V:2 New equipment/traininq - $351,710.58 Trade in - 9 each/LifePak 12 Cardiac Monitors - ($63,000.00) Contract for Cardiac Monitors and Automated External Defibrillators (AEDs) Beqinninq date: February 8, 2016 Completion date: Mav 1, 2016 SUBTOTAL 288 710.58 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 288,710.58 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 110.07.13.00.70300 E 000472.700 171 069.58 E 110.07.13.00.70300 E 000472.999 54 641.00 R 110.480300 E 000472.700 63 000.00 Authoriz d Signature VENDOR COPY -FORM #3 CITY of ASHLAND REQUISITION Date of request: 2/3/16 Required date for delivery: Vendor Name Zoii Address, City, State, Zip 269 Mill Road Chelmsford Massachusetts 018244105 Contact Name & Telephone Number 978-421-9655 Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Wr en uote proposal attached _(Attach co of council communication If council approval required, attach co of CC ❑ Sma Pro rement Cooperative Procurement Less than, 00equest for Proposal (Copies on°fle) 17711 State of Oregon ❑ Direct A and Date approved by Council: 0 / T es 4::,, Contract # 0 Verb;Q en quote(s) or proposal(s) -(Attach copy of council communication) ❑ State of Washington Interm daate Pr urement ❑ Sole Source Contract # G00 & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract $5,000 to $100,000 ❑ Written quote or proposal attached Agency ❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement $5,000 to $75,000 ❑ Form #9, Request for Approval ❑ Agency ❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council: ❑ (3) Written proposals/written solicitation Date approved by Council: (Date) El Form #4, Personal Services $5K to $75K Valid until: Date - (Attach copy of council communication) Description of SERVICES Total Cost $31 4147-.B~ Monitor Defibrillator Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quote/proposal 7_ 2't0` e~ 5 Project Number Account Number---°---'---°--°____-- L~t`1 ~OAccourt Number--- ° a a Account Number *Expenditure must be charged to fhe appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support -Yes /No By signing this requisition form, I certify th=-L,,'Jlekrtment equirements have been satisfied. Employee: Head: l t qu to.er-Weater than $5,000) Department Manager/Supervisor: City Administrator: -Y t (Equkl to or greater than $25,000) Finds appropriated for current fiscal year: Y S NO Finance Director- (Equal to or greater than $5,000) Date Comments. Form #3 - Requisition From: Miranda Iwamoto Sent: Thursday, February 04, 2016 11:20 AM To: Kariann Olson Subject: RE: Fire Grant Split I meant to type three 9's. It's 000472.999. Sorry! From: Kariann Olson Sent: Thursday, February 04, 2016 11:18 AM To: Miranda Iwamoto; Cindy Hanks Cc: Kariann Olson; Kimberley Summers Subject: Re: Fire Grant Split Will do. Thank you. Kariann Olson Purchasing Representative City of Ashland 90 N. Mountain Avenue Ashland, OR 97520 Tel: 541.488.5354 Fax: 541.488.5320 TTY: 800.735.2900 kari.olson@ashland.or.us Visit the City's web site at: www.ashland.or.us This email transmission is official business of the City of Ashland, and it is subject to Oregon Public Records law for disclosure and retention. If you have received this message in error, please contact me at (541) 488-5354. Thank you. From: Miranda Iwamoto Sent: Thursday, February 4, 2016 11:03 AM To: Kariann Olson; Cindy Hanks Subject: Fire Grant Split Hi Kari, Oh my gosh, I just realized that since Fire went over the grant amount, it's no longer going to be a 90%-10% split. Cindy is in a meeting with Lee so I will verify this with her and call you if there's a problem. So, please put $180,641 to (E) 000472.99 (we can only be reimbursed a certain amount from that grant) and $1Q!f9 to (E) 000472.700. Thanks, 2 1A