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Home My WebLink About2005-054 Agrmt - Medtronic Physio ~ Medtronic Service Contract Billing Page: 1 Medtronic Emergency Response Systems 1 1811 Willows Road NE Post Office Box 97006 Redmond, WA 98073-9706 USA Telephone: 425.867.4000 Fax: 425.881.2405 F.E.I.N.91-0697691 INVOICE PC591671 02/09/05 BILL TO ACCOUNT: I 00189602 I ASHLAND FIRE DEPARTMENT CYO ASHLAND-CITY HALL 20 EAST MAIN STREET ASHLAND, OR 97520 UNITED STATES SHIP TO ACCOUNT: 00189603 Sold To: 00189603 ASHLAND FIRE DEPARTMENT 455 SISKIYOU BOULEVARD ASHLAND, OR 97520 UNITED STATES - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .,. - - - - - - - - - - ~. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Please return top portion with payment. Code: DATE SHIPPED PURCHASE ORDER NUMBER SALES/SERVICE REPRESENTATIVE 02/10/05 PB06F176 CARRIER GRD C0076523-00 Net 30 Days ~~tw:JilEmt.~UMtUI~~ttt1~;~t~~tttttttt~~~itMrt~9.$tttt~tttt~~tttttttt~ttttt:~~ ~~ijtt~~mwtt :':*M~ 1ttijtW~ij* ~tAttl':::. :~~ttttijHfflt~~@~1~t~ I UAL I i FOR MAINTENANCE I ! I AGREEMENT: PB06F1 76 I PERIOD: 02/01/05 I 01/31/06 I I 8290.00 8290.00 8290.00 Site: 20 *** 0 RIG I N A L *** ~~.~ ACCEPTED NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. TECHNICAL SERVICE SUPP()RT AGREEMENT ~ roniC' iPHYS;nO.CONTROt Contract Number: End User # 00189603 ASHLAND FIRE DEPARTMENT 455 SISKIYOU BOULEVARD 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 2/1/2005 and expires on 1/31/2006. The designated Covered Equipment and/or Software is listed on Schedule A. This Technical Service Agreement is subject to the Tenns 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 SI;:rvice Support Agreement is also subject to Medtronic Physio-Control Corp.'s Data Management Support and Upgrade Service Tenns and Conditions, rev 7/99-1. Price of coverage specified on Schedule A is $8,290.00 per tenn, payable in Annual installments. Special Tenns 15% DISCOUNT ON ACCESSORIES 15% DISCOUNT ON ALL ELECTRODES 17% DISCOUNT ON DATA MANAGEMENT PRODUCTS 17% DISCOUNT ON LP12 UPGRADES SOUTHERN OREGON HUB Accepted: MEDTRONIC PHYSIO-CONTROL CORP. Customer: .IJ')/-/ /.'/}/t//J ,cl//E + Ii E5ctlt.~ /2' --7 ~; By: Yl:-/' ~~Y/'-L-- Print: (';f)C"C J. CASe Title: ;)It~ff/Jlv/( &I'/~r Date: 2-- </ - E'.> By: Title: Date: Purchase Order Number: Territory Rcp: WENN55 Cole, Jon Phone: 800-442-1142 x2844 FAX: 800-772-3340 Customer Contact: Greg Case Phone: 541-482-2770 FAX: When Ufe Depends on Medical Technology Reference Number: N55-0645 Printed: 2/4/2005 Renewal Page 1 of 5 MEDTRONIC PHYSIO-CONTROL CORPORATION TECHNICAL SERVICE SUPPORT AGREEMENT TERMS AND CONDITIONS RENEWAL TERMS Medtronic Physio-Control's acceptance of Customer's Technical Service Support Agreement is expressly conditioned on Customer's assent to the terms set forth in this document and its attachmE!nts. Physio-Control agrees to furnish the services ordered by Customer only on these terms, and Customer's acceptance of any portion of the goods and services covered by this document shall confirm their acceptance by Customer. These terms constitute the complete agreement between the parties and they shall govern any conflicting or ambiguous terms on Customer's purchase order or on other documents submitted to Physio-Control by Customer. These terms may not be revised in any manner without the prior written consent of an officer of Physio-Control. REPAIR SERVICES If "Repair" services are designated, subject to the Exclusions identified below, they shall include, for the designated Covered Equipment, all repair parts and materials required, all required Physio-Control service technician labor, and all related travel expenses. For offsite (ship-in) services, units will be returned to Customer by Physio-Control freight prepaid. INSPECTION SERVICES If "Inspection" services are designated, subject to the Exclusions identified below, they shall include, for the designated Covered Equipment, verification of proper instrument calibration, verification that instrument mechanical operations and output measurements are consistent with applicable product specifications, performance of an electrical safety check in accordance with National Fire and Protection Guidelines, all required Physio-Control service technician labor and all related travel expl~nses. For offsite (ship-in) services, units will be returned to Customer by Physio-Control freight prepaid. DOCUMENTATION Following each Repair and/or Inspection, Physio-Control will provide Customer with a written report of actions taken or recommended and identification of any materials replaced or recommended for replacement. LOANERS , If a Physio-Control product is designated as a unit of Covered Equipment for Repair Services and needs to be removed from service to complete repairs, an appropriate Loaner unit will be provided, if available, until the removed unit is returned. Customer assumes complete responsibility for the Loaner and shall return the Loaner to Physio-Control in the same condition as received, at Customer's expense, upon the earlier of the return of the removed unit or Physio-Control's request. EXCLUSIONS This Technical Service Support Agreement does not include: supply or repair of accessories or disposables (e.g., patient cables, recorder paper, etc.); repair of damage caused by misuse, abuse, abnormal operating conditions, operator errors, and/or acts of God; repairs to return an instrument to normal operating equipment at the time of initial service by Physio-Control under this Technical ServicB Support Agreement; case changes; repair or replacement of items not originally distributed or installed by Physio-Controi; and exclusions on Schedule B to this Technical Service Support Agreement, if any, which apply to Covered Equipmen!:. SCHEDULE SERVICES Designated Repair and Inspections Services will be performed at the designated service frequency and during designated service hours. Customer is to ensure Covered Equipment is available for Repair and/or Inspection at scheduled times. If Covered Equipment is not available as scheduled and Customer requests additional services to be performed or if Physio-Control is requested to perform Repair or Inspection services not designated in this Technical Service Support Agreement (due to the nature of services selected, instruments involved not being Covered Equipment, request being outside of designated service frequency or hours, or application of the Exclusions); Customer shall reimburse Physio-Control at Physio-Control's standard labor rates less 10% (including overtime, if appropriate), plus standard list prices for related parts and materials less 15%, plus actual travel costs incurred. PAYMENT The cost of services performed by Physio-Control shall be payable by Customer within thirty (30) days of Customer's receipt of Physio- Control's Invoice (or such other terms as Physio-Control confirms to Customer in writing). In addition to the cost of services performed, Customer shall payor reimburse Physio-Control for any taxes assessed Physio-Control. If the number or configuration of Covered Equipment is altered during the Term of this Technical Service Support Agreement, the price of Services shall be adjusted accordingly. WARRANTY Physio-Control warrants Services performed under this Technical Service Support Agreement and replacement parts provided in performing such Services against defects in material and workmanship for ninety (90) days from the date a Service was. performed or a part was provided. Customer's sole remedy shall be reservicing the affected unit and/or replacement of any part determined to be defective, without any additional Customer charge, provided Customer notifies Physio-Control of any allegedly defective condition within ten (10) calendar days of its discovery by Customer. Physio-Control makes no other warranties, express or implied, including, without limitation, NO WARRANTY OF MERCHANTABILITY OF FITNESS FOR A PARTICULAR PURPOSE, AND IN NO EVENT SHALL PHYSIO-CONTROL BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL, OR OTHER DAMAGES. lNhen Life Depends on Medical Technology Reference Number: N55-0645 Printed: 2/4/2005 Renewal Page 2 of 5 TERMINATION Either party may terminate this Technical Service Support Agreement at any time upon sixty (60) days prior written notice to the other, except that Physio-Control may terminate this Technical Service Support Agreement immediately upon Customer's failure to make timely payments for services rendered under this Technical Service Support Agreement. In the event of termination, Customer shall be obligated to reimburse Physio-Control for that portion of the designated price which corresponds to that portion of the Term and the scope of Services provided prior to the effective date of termination. DELAYS Physio-Control will not be liable for any loss or damage of any kind due to its failure to perform or delays in its performance resulting from any cause beyond its reasonable control, including, but not limited to, acts of God, labor disputes, labor shortages, the requirements of any governmental authority, war, civil unrest, delays in manufacture, obtaining any required license of permit, and Physio-Control's inability to obtain goods from its usual sources. Any such delay shall not be considered a breach of Physio-Control's obligations and the performance dates shall be extended for the length of such delay_ MISCELLANEOUS a) Customer agrees to not employ or offer employment to anyone performing Services on Physio-Control's behalf during the Term of this Technical Service Support Agreement or for one (1) year following its expiration without Physio-Control's prior written consent. b) This Technical Service Support Agreement, and any related obligation of other party, may not be assigned in whole or in part without the prior written consent of the other party. c) The rights and obligations of Physio-Control and Customer under this Technical Service Support Agreement shall be governed by the laws of the State of Washington. All costs and expenses incurred by Physio-Control related to enforcement of its rights under this document, including reasonable attorney's fees, shall be reimbursed by Customer. VVhen Life Depends on Medical Technology Reference Number: N55-0645 Printed: 2/4/2005 Renewal Page 3 of 5 MEDTRONIC PHYSIO-CONTROL CORP. TECHNICAL SERVICE SUPPORT AGREEMENT SCIIEDULE A Contract Number: Servicing Rep: District: Phone: FAX: Cole, Jon, WENN55 ROCKY MOUNTAIN 800-442-1142 x2844 800-772-3340 Equipment Location: ASHLAND FIRE DEPARTM]I~NT, 00189603 455 SISKlYOU BOULEY ARD 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 Number Seriall Number Line Date Date Insoections LIFEPAK@ 12 VLPI2-02-oo2164 13598430 3 2/1/2005 1/31/2006 LIFEPAK@ 12 VLPI2-02-002164 13598432 4 2/1/2005 1/31/2006 LIFEP AK@ 12 VLP 12-02-002164 13598433 5 2/1/2005 1/31/2006 LIFEPAK@ 12 VLPI2-02-002164 13598434 6 2/1/2005 1/31/2006 LIFEPAK@ 12 VLPI2-02-002164 13808176 7 2/1/2005 1/31/2006 LIFEPAK@ 12 VLP 12-02-002164 13808180 8 2/1/2005 1/31/2006 LIFEPAK@ 12 VLP 12-02-002164 13808181 9 2/1/2005 1/31/2006 LIFEPAK@ 12 VLPI2-02-oo2940 30466671 10 2/1/2005 1/31/2006 LIFEPAK@ 12 VLPI2-02-002940 30491400 11 2/1/2005 1/31/2006 Scope Of Service Ship In Repair Only:M-F/8-5 Ref. Effective Expiration Total Model Part Number Serial Number Line Date Date Insoections BATTERY SUPPORT SYSTEM 2 VBSS2-02-000009 11753334 2/1/2005 1/31/2006 0 BATTERY SUPPORT SYSTEM 2 VBSS2-02-000009 11761570 2 2/1/2005 1/31/2006 0 ** Denotes an inventory line that has changed since the last contract revision or addendum. ltVhen Life Depends on Medical Technology Reference Number: N55-0645 Printed: 2/4/2005 Renewal Page 4 of 5 MEDTRONIC PHYSIO-CONTROL CORP. TECHNICAL SERVICE SUPPORT AGREEMENT SCHEDULE B LlFEPAK@ 12 DEFIBRILLATOR/MONITOR . Battery 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 inventory (Schedule A). . DC Power Adapter included when listed on equipment inventory (Schedule A). . Defibrillator paddle repairs are included (excludes internal, sterilizablc and pediatric paddles). . Communications and Patient cables are excluded. . PCMCIA Modems are excluded. . Therapy cables are excluded. . Sp02 Sensors are excluded. . Case Changes are excluded. . DiscOlmt of 17% from the field installed list price for any current and/or future available LIFEPAK@12 upgrade is included when installed by Medtronic Physio-Control Technical Services. . Discount of 17% trom 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 instruction manual and to replace batteries that do not pass the conditions outlined under "Discarding! Recycling Batteries." Batteries failing to meet battery perfonnance tests should be removed trom 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 LlFEPAK SLA, or LlFEPAK 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 recycling and removal oflow 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 tllis Service Agreement. Any batteries manufactured by other sources are expressly excluded trom 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 Medtronic Physio-Control Service Representative, resulting uom the use of a non-Medtronic Physio-Control battery, will be billed at our standard list prices for part,> and labor, including actual travel charges incurred. Lifepak@12 Software Updates . If combined Repair and Inspection services are designated on JI11e Technical Service Support Agreement inventory for Lifepak 12 units, at the customer's request, a Medtronic 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 unit 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 Medtronic Physio-Control Technical Services Representative ~Nill install a Lifepak 12 software update at a discouni:ed price of$205 per unit per software update. In addition during the tenn 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. 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. When Life Depends on Medical Technology Reference Number: N55-0645 Printed: 2/4/2005 Renewal Page 5 of 5 ~~, CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 C\T'{ RECORDER'S COpy I 5/~~TOE05 I E PO ;5u9~~ER Page 1 /1 VENDOR: 003977 MEDTRONIC PHYSIO CONTROL 12100 COLLECTIONS CENTER DRIVE REMIT TO CHICAGO, IL 60693 SHIP TO: Ashland Fire Department (541) 482-2770 455 SISKIYOU BLVD ASHLAND, OR 97520 FOB Point: Terms: Net Req. Del. Date: Speciallnst: Req. No.: Dept.: FIRE & RESCUE Contact: Greg Case Confirming? No Description Ext. Price BILL TO: Account Payable 20 EAST MAIN ST 541-552-2028 ASHLAND, OR 97520 SUBTOTAL TAX FREIGHT TOTAL 8 290.00 0.00 0.00 8,290.00 .yAccounfNumber Project Number .......... .y< Amount Account Number Project Number ..... y Amount i E 1 10.07.13.00.60416C 8,290.00 I ! ./". . i ..... . /./\ ;( ... . (/( _ =''''_",,"7''~_"''"''''''~_~_~,-=,=",_..,.,..._-=..-_ "'"~ -- ( ",~<- Authorized Signature \lENDOR COPY CITY OF ~lSHLAN[ REQUISITION FORM Date of Request: THIS REQUEST IS A: o Change Order( existing PO # Required Date of Delivery/Service: Vendor Name: Address: City, State, Zip: Phone: Fax Number Deliver Location Services Only Description Total Cost Solicitation Process: o Exempt 0 3 Written Quotes (copies attached) o Invitation to Bid (copies on file) o Request for Proposal (copies on file) --r:t t W tAl ~f rlJ ItL 4f4r11f"~ Account Number JL~ .01. L3. 04. J,~-'il~() ch the Original signed contract and Insurance certificate. Materials Only Item # Quantity Unit Unit Cost Total Cost Account Number .. - . - - - -- - - - - - - - - - - - - Employee Signature: NOTE: By signing this requisition form, I *Please attach the quotes. ........ I Supervisor/Dept. Head Signature: 7ftA..--U ?- LJ~ct (--.. that the above request meets the City of Ashland Solicitation Process req~'ments and can be provided ~ / when necessary l I