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Home My WebLink About2003-040 Agrmt - Medtronic Physio Contract Number: M fi-t> \\20!'0 1 L- V \+-'fSl0, LDNl1'....0L- CcPY \t MedlroRie' TECHNICAL SERVICE SUPPORT AGREEMENT PHYSIO-CONTROL End User # 00189603 ASHLAND FIRE DEPARTMENT 455 SISKIYOU BOULEY ARD ASHLAND, OR 97520 Bill To # 00189602 ASHLAND FIRE DEPARTMENT CYO ASHLAND-CITY HALL 20 EAST MAIN STREET ASHLAND, OR 97520 This Technical Service Support Agreement begins on 11/1/2002 and expires on 10/31/2003, The designated Covered Equipment and/or Software is listed on Schedule A This Technical Service Agreement is subject to the Terms and Conditions on the reverse side of this document and any Schedule B, if attached If any Data Management Support and Upgrade Service is included on Schedule A then this Technical Service Support Agreement is also subject to Medtronic Physio-Control Corp.'s Data Management Support and Upgrade Service Terms and Conditions, rev 7/99-1. Price of coverage specified on Schedule A is $6,294,34 per term, payable in Annual installments, Special Terms 15% DISCOUNT ON ACCESSORIES 15% DISCOUNT ON ALL ELECTRODES 17% DISCOUNT ON DATA MANAGEMENT PRODUCTS 17% DISCOUNT ON LP12 UPGRADES Accepted: MEDTRONIC PHYSIO-CONTROL CORP, By ~L fL Title: I U:-h--Nl<..^,L ~V)(!i-}> ~, Date: h>p.. \ L 7, 1J:{) -") cu"o:;:?~~ M$Ci/E By, __ '" _ .-= Print: (}/16'& I L'/J5E Title: PIt/. C?//I'?r Date: 'I-/t - () 3 Purchase Order Number: & ~ t:J <'-1.3 Territory Rep: WENN55 JON COLE Phone: 800-442-1142 X2844 FAX: 800-772-3340 Customer Contact: Greg Case Phone: 541-482-2770 FAX: Reference Number: N55-0589 Printed: 4/2/2003 New Page 1 of 3 MEDTRONIC PHYSIO-CONTROL CORP. TECHNICAL SERVICE SUPPORT AGREEMENT SCHEDULE A Contract Number: Servicing Rep: District: Phone: FAX: JON COLE, WENN55 ROCKY MOUNTAIN 800-442-1142 X2844 800-772-3340 Equipment Location: ASHLAND FIRE DEPARTMENT, 00189603 455 SISKIYOU BOULEVARD ASHLAND, OR 97520 Scope Of Service Ship In Repair - 1 On Site Inspection per year:M-F/8-5 Ref. Effective Expiration Total Model Part Nwnber Serial Nwnber Line Date Date Inspections BATTERY SUPPORT SYSTEM 2 VBSS2-02-OOOOO9 11761570 2 11/112002 10/3112003 1 BATTERY SUPPORT SYSTEM 2 VBSS2-02-000009 11753334 1 111112002 10/3112003 LIFEPAK@ 12 VLP12-02-OO2164 13808181 9 11/112002 10/31/2003 LIFEPAK@ 12 VLP12-02-OO2164 13808180- 8 11/1/2002 10/31/2003 LIFEPAK@ 12 VLP12-02-002164 13808176 7 111112002 10/31/2003 LIFEPAK@ 12 VLP12-02-OO2164 13598434- 6 1111/2002 10/31/2003 LIFEPAK@ 12 VLP12-02-OO2164 13598433-- 5 1111/2002 10/31/2003 LIFEPAK@ 12 VLP12-02-OO2164 13598432 4 11/112002 10/31/2003 LIFEPAK@ 12 VLP12-02-OO2164 13598430'-'. 3 11/1/2002 10/31/2003 Equipment Location: ASHLAND FIRE DEPARTMENT, 00189604 1097 B STREET ASHLAND, OR 97520 Scope Of Service POS Ship In Repair - 1 On Site Inspection per Year Model LIFEPAK@ 12 LIFEPAK@ 12 Ref. Effective Expiration Total Part Nwnber Serial Nwnber Line Date Date Inspections VLP12-02-OO2940 30491400- 11 11/1/2002 10/3112003 2 VLP12-02-OO2940 30466671 10 11/112002 10/3112003 2 .. Denotes an inventory line that has changed since the last contract revision or addendwn, Reference Number: N55-0589 Printed: 4/2/2003 New Page 2 of 3 MEDTRONIC PHYSIO-CONTROL CORP. TECHNICAL SERVICE SUPPORT AGREEMENT SCHEDULE B LIFEPAK® 12 DEFIBRILLATOR/MONITOR · Batte~ Support System included when listed on equipment inventory (Schedule A). Battery Support System 2 included when listed on equipment inventory (Schedule A). AC Power Adapter included when listed on equipment inventor), (Schedule A). DC Power Adapter included when listed on equipment inventory (Schedule A). Defibrillator paddle repairs are included (excludes internal, sterilizable and pediatric paddles). Communications and Patient cables are excluded, PCMCIA Modems are excluded. Therapy cables are excluded. SpO2 Sensors are excluded. Case Changes are excluded. Discount of 17% from the field installed list price for any current and/or future available LIFEPAK®12 upgrade is included when installed by Medtrouic Physio-Control Technical Services. · Discount of 17% from list price for any Medtronic Physio-Control® Data Management product is included. · Discounts may not be combined with any other special terms, discounts and/or promotions. Medtronic Physio-Control Fastpak®, Fastpak 2, Lifepak SLA and Lifepak NiCd Battery · Customer retains the responsibility to perform the battery maintenance and evaluation procedures outlined in the operating iustmction manual and to replace batteries that do not pass the conditions outlined under "Discarding/ Recycling Batteries." Batteries failing to meet batteD· performance tests should be removed from service and properly discarded (recycled). · If customer provides evidence that a Medtronic Physio-Control Battery Pak fails to meet the performance tests noted above and/or the Battery Pak age exceeds 2 years, Medtronic Physio-Control shall replace said Medtronic Physio-Control Battery Pak (like for like) i.e. FASTPAK for FASTPAK, FASTPAK2 for FASTPAK2, LIFEPAK SLA for LIFEPAK SLA, or LIFEPAK NiCd for LIFEPAK NiCd, up to a maximum of 4 Medtronic Physio-Control Battery Paks every two years (including prior Support Plan periods) per LIFEPAK® 12 defibrillator/monitor (listed on Schedule A). To assist in proper recyclmg and removal of low capacity batteries, replaced Battery. Paks become the property of Medtronic Physio-Control and must be returned at the time of exchange. · Only batteries manufactured by Medtronic Physio-Control are covered under this Service Agreement. Any batteries manufactured by other sources are expressly excluded from coverage under this Service Agreement. Medtronic Physio-Control cannot guarantee the operation, safety and/or performance of our product when operating with a non-Medtronic Physio-Control battery. Repairs and inspections performed under this Agreement meet original equipment manufacturer's product specifications only when operating with a Medtronic Physio-Control battery. Any repairs, as determined by a Medtrouic Physio-Control Service Representative, resulting from the use of a non-Medtronic Physio-Control battery, will be billed at our standard list prices for parts and labor, including actual travel charges incurred. Lifepak® 12 Solid'are Updates · If combined Repair and Inspection services are designated on the Technical Service Support Agreement inventory for Lifepak 12 units, at the customer's request, a Medtrouic Physio-Control Technical Services Representative will install Lifepak 12 software updates at no additional charge provided it is installed at the time of a regularly scheduled inspection. In addition during the term of this agreement, where an assembly such as a printed circuit board must be replaced in order to install the new software, these assemblies may be purchased by the customer at a 50% discount off the current list price of a new assembly. Software updates requested to be installed at a time other than the regularly scheduled inspection will be billed at $205 per umt per software update. The cost of the software update will be billed on a separate invoice. · If Repair-Only services are designated on the Service Order inventory· for Lifepak 12 units, at the customer's request a Medtrouic Physio-Control Technical Services Representative will install a Lifepak 12 software update at a discounted price of $205 per unit per software update. In addition during the term of this agreement, where an assembly such as a printed circuit board must be replaced in order to install the new sof~'are, these assembhes may be purchased by thc customer at a 50% discount off the current hst price of a new assembly. The cost of the software update will be billed on a separate invoice. · Discounts may not be combined with any other special terms, discounts and/or promotions. Reference Number: N55-0589 New Printed: 4/2/2003 Page 3 of 3 ~ Medtronic. PHYSIO.CONTROl Medtronic Physio-Control Corp, II8II Willows Road NE P. 0, Box 97048 Redmond, WA 98073'9748 USA www.physiocontroLcom www.medtronic.com April 15, 2003 customer support 8000442,1142 fax 425,86704537 ATTN: Division Chief Greg Case Ashland Fire and Rescue 1097 B Street Ashland, OR 97520 Dear Greg: Enclosed is a version of your Service Agreement that will work with our system (finally). I had this pre-approved by the service agreement specialist, which I obviously should have done in the first place. My boss has approved my providing you with $300.00 worth of accessories as a token of our apologies for this being so difficult. Please let me know what you want, and I'll get things on the way. This agreement provides coverage on your LIFEP AK 12 monitors starting last November, and running through October of this year. The previous agreement was cancelled effective October 31, 2002, and appropriate credits have been issued to your account. Please review the agreement, and if it meets with your approval, sign the set marked "Medtronic Physio-Control Copy", and return it, with all attachments, to our Corporate Office. I have enclosed a postage- paid envelope, but I would appreciate it if you could use the fax option to ensure we receive the documentation more quickly. There is a fax number on the cover sheet, and we must have all pages, including the "fine print" on the back of the cover page. If you have any questions, or if! can be of further assistance, please feel free to contact me at 1- 800-442-1142, option 1, extension 2844. I sincerely appreciate the opportunity to continue working with you in maintaining your Medtronic Physio Control instruments. Respectfully, MEDTRONIC PHYSIO-CONTROL CORPORATION ~ !--tZ Jon L. Cole Technical Services Representative Enclosure When Lift Depends on Medical Technology CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 CITY REC0RDER'S COPY Page 1 / 1 VENDOR: 003977 MEDTRONIC PHYSIO CONTROL 12100 COLLECTIONS CENTER DRIVE REMIT TO CHICAGO, IL 60693 FOB Point: Terms: Net Req. Del. Date: Special Inst: SHIP TO: Ashland Fire Department ('541) 482-2770 455 SISKIYOU BLVD ASHLAND, OR 97520 Req. No.: Dept.: FIRE & RESCUE Contact: Gre.q Case Confirming? Yes Technical Service Agreement for 6 294.34 .. Lifepak 12 Monitors Term: 11/01/02 to 10/31/2003 agreement and PO 02015.) SUBTOTAL 6,294.34 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 6,294.34 ASHLAND, OR 97520 · . "Account Number Amount ACcount Numbe~ Amount E 110.07.13.00.604100 6,294.34 Authorized Signature VENDOR COPY CITY OF ASHLAND REQUISITION FORM Date of Request: 1.& ~r7'-&.al THIS REQUEST IS A: o Change Order(existing PO # Required Date of Delivery/Service: C:~ ''1 C-<:' d Y' ;y~'; h <C ~-J Vendor Name: Address: City, State, Zip: Phone: Fax Number Deliver Location Services Only t~)ZJ ?J~o 93 Total Cost Description ... ...-...",-."".'7 _----, '/ c,c ~ /(.;1 ~ t! &t ( Uu VL e._e?- 1 x~'1 <? .f 'x cY' ~(;; TUU [.~ V>. 'f- {> , /\,., l!t--<' I' c1 IE: ,/ .:2 C, 1/1 ~ i'l c c(#~ "72: r h" 1/(; t' /~ ;'L ~ c / chi /v3 $ ~.:2?1 ~.1 g Y 0 Less than ~? $5000 Solicitation Process: o Exempt 0 3 Written Quotes (copies attached) ole Source 0 Invitation to Bid (copies on file) o Request for Proposal (copies on file) Account Numbe('~~.q?!~q~ ~q-:!!~~cJ *Please attach the Original signed contract and Insurance certificate. Materials Only Item # Quantity Unit Description Unit Cost Total Cost TOT AL COST OF THE MATERIALS Employee Signature: ,/' Supervisor/Dept. Head Signature' NOTE: By signing this requisition form, I c itify that the above request meets the City of Ashland Solicitation Process requif< ments and c when necessary. Account Number _ _ _ . _ _ . _ _ . _ _ . _ _ _ _ __ *Please attach the quotes. G:FinanceIProcedureIAPIFormsI8_Requisition form,doc Updated on:07/15/02