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Home My WebLink About2013-464 EMS - Physio-Control Inc for Defibrillator Service and Maintenance $5,327 dot TECHNICAL SERVICE SUPPORT AGREEMENT Contract Number: End User# 00300503 Bill To# 00300502 ORANGE CTY EMERGENCY MEDICAL ORANGE CTY EMERGENCY MGMT SERVICES PO BOX 8181 510 MEADOWLAND DR HILLSBOROUGH,NC 27278 HILLSBOROUGH,NC 27278 This Technical Service Support Agreement begins on 7/1/2013 and expires on 6/30/2014. 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 Physio-Control's Data Management Support and Upgrade Service Terms and Conditions,rev 7/99-1. Price of coverage specified on Schedule A is $5,327.00 per term,payable in Annual installments. Special Terms 15%DISCOUNT ON ACCESSORIES 15% DISCOUNT ON ALL ELECTRODES f,. Accepted: P si -Cont Customer: /9 112 By: By: Title: Pfint Date_ d S Title: Date: Purchase Order Number: Territory Rep: EAAA60 Customer Contact: Lane Rushing James Grove Phone: Phone: (919)245-6100 FAX: 800-772-3340 FAX: This instrument has been pre-audited in the manner required by the Local Government Reference Number: A60-3207 New n. Budget and Fiiscal ntrol Act Printed: 10/30/2013 Page 1 of 5 Clarence G. Grier,Assistant Co. Manager& CFO PHYSIO-CONTROL,INC. TECHNICAL SERVICE SUPPORT AGREEMENT TERMS AND CONDITIONS Customer's signature or purchase order referencing this Technical Service Support Agreement are required prior to Physio-Control's acceptance of this Agreement. This Agreement covers only the equipment listed on Schedule A("Covered Equipment"). These terms constitute the complete agreement between the parties and they shall govern over any other documents.These terms may not be revised in any manner without the prior written consent of Physio-Control. SERVICES.The services provided under this Agreement are set forth on Schedule A.Physio-Control strives to return service calls within two(2)hours,and strives to resolve service issues within twenty-four(24)hours.Following service,Physio-Control will provide Customer with a written report of actions taken or recommended and identification of any materials replaced or recommended for replacement. The following services are available: "Repair Only Service"means repairs,Battery Replacement Service,parts and labor necessary to restore Covered Equipment to original specifications,subject to Exclusions. "Inspection Only Service"means inspections of Covered Equipment to verify proper device calibration,mechanical operations and output measurements,electrical safety check in accordance with National Fire Protection Association(NFPA)guidelines and labor,subject to Exclusions. "Repair and Inspect Service"means repairs,Battery Replacement Service,parts and labor necessary to restore Covered Equipment to original specifications,and inspections to verify proper device calibration,mechanical operations and output measurements,electrical safety check in accordance with NFPA guidelines and Updates(as set forth below),subject to Exclusions. "Battery Replacement Service"means replacement of batteries on a one-for-one,like-for-like basis,up to the number of batteries and/or devices listed in Schedule A. Only batteries manufactured or distributed by Physio-Control are eligible for replacement. Battery replacement is available upon Customer notification to Physio-Control of the occurrence of: (i) Battery failure as determined by Customer's performance testing and evaluation in accordance with the applicable Operating Instructions;or (ii) The end of the useful life of the battery as set forth in the applicable Operating Instructions At the discretion of Physio-Control,battery replacement shall be effected by shipment to Customer and replacement by Customer,or by on-site delivery and replacement by a Physio-Control Service Technician. Upon Customer's receipt of a replacement battery,the battery being replaced shall become the property of Physio-Control,and Customer must return the battery being replaced to Physio-Control for proper disposal.In the event that Physio-Control does not receive the battery, Customer will be charged at the then-current rate for the replacement battery. "On-Site Service"means that a Physio-Control factory-trained technician will provide service at Customer's location. Services will be performed between 8:00am and 5:00pm local time,Monday through Friday,excluding holidays. Customer is to ensure Covered Equipment is available for service at scheduled times. Some service may not be completed On-Site. Physio-Control will cover travel and/or round-trip freight for Covered Equipment that must be sent to our designated service facility for repair. "24-hour On-Site Service"means that a Physio-Control factory-trained technician will provide service at Customer's location at any time,except on the holidays listed above. Customer is to ensure Covered Equipment is available for service at scheduled times. Some service may not be completed On-Site. Physio-Control will cover travel and/or round-trip freight for Covered Equipment that must be sent to our designated service facility for repair. "Ship-In Service"means that service will be performed at Physio-Control's designated service facility. Physio-Control will cover round-trip freight for Covered Equipment that is sent to our designated service facility for repair. If Covered Equipment is not available as scheduled or Customer requests services or goods not covered by this Agreement or outside of designated service frequency or hours, Physio-Control will charge Customer at Physio-Control's standard labor rates less 10% (including overtime,if appropriate)and applicable travel costs. Parts required for such repairs will be made available at 15%off the then-current list price. EXCLUSIONS.Unless otherwise specified,this Agreement does not include: • supply or repair of accessories or disposables • repair of damage caused by misuse,abuse,abnormal operating conditions,use of batteries or other products not distributed by Physio-Control,operator errors,or acts of God • case changes • repair or replacement of items not originally distributed or installed by Physio-Control • Upgrades and installation of Upgrades • battery maintenance,performance testing,evaluation,removal and recycling Reference Number: A60-3207 New Printed: 10/30/2013 Page 2 of 5 LOANERS.If Covered Equipment must be removed from service to complete repairs, Physio-Control will provide Customer with a loaner device,if one is available,until the Covered Equipment is returned.Customer assumes complete responsibility for the loaner and shall return the loaner at Customer's expense to Physio-Control in the same condition as received,upon the earlier of the return of the removed Covered Equipment or Physio-Control's request. UPDATES."Update"means a change to a device to enhance its current features,stability,or software. If Repair and Inspect Service is designated for Covered Equipment on Schedule A,Physio-Control will install Updates at no additional cost,provided such Updates are installed at the time of regularly scheduled service.If parts must be replaced to accommodate installation of new software,such parts may be purchased at a rate of 30%less than the then-current list price.Updates installed on Covered Equipment designated as Repair Only Service,Inspect Only Service,or at a time other than regularly scheduled Repair and Inspect Service will be billed on a separate invoice at the then-current list price less 20%. UPGRADES."Upgrade"means a major,standalone version of software or the addition of features or capabilities to a device. Upgrades must be purchased separately,and are not provided under this Agreement.Upgrades are available at a rate of 17%less than the then-current list price. PRICING. Pricing is set forth on the front page of this Agreement. Prices do not include taxes. Sales,service or use taxes will be invoiced in addition to the price of the goods and services covered by this Agreement unless Physio-Control receives a copy of a valid exemption certificate. If the number or configuration of Covered Equipment changes during the Term,pricing shall be pro-rated accordingly. For Inspection Only Service and Repair and Inspect Service,no pricing deduction will be made for removal of Covered Equipment if an inspection has already been performed during the Term. Discounts will not be combined with other special terms, discounts,and/or promotions. PAYMENT.Payment is due within thirty(30)days of invoice date. WARRANTY.Physio-Control warrants services performed under this 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 additional 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 OR FITNESS FOR A PARTICULAR PURPOSE,AND IN NO EVENT SHALL PHYSIO-CONTROL BE LIABLE FOR INCIDENTAL,CONSEQUENTIAL,SPECIAL,OR OTHER DAMAGES, TERM. The initial Term is set forth on the front page of this Agreement.This Agreement shall automatically renew unless terminated by either party with written notice thirty(30)days prior to the expiration of the then-current term. Prices are subject to change upon renewal. TERMINATION.Either party may terminate this Agreement for material breach by the other parry by providing thirty(30)days'written notice to the other parry,and provided such breach is not cured within the notice period.In addition,either party may terminate this Agreement at any time upon sixty(60)days'prior written notice to the other party.In the event of such early termination,Customer shall be responsible for the portion of the designated price which corresponds to the portion of the Term prior to the effective date of termination and the cost of any services rendered during the Term. 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 or 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. DEVICE INSPECTION BEFORE ACCEPTANCE.All devices that are not under Physio-Control Limited Warranty or a current Technical Service Support Agreement must be inspected and repaired(if necessary)to meet original specifications at then-current list prices prior to being covered under a Technical Service Support Agreement. MISCELLANEOUS.(a)Customer agrees to not employ or offer employment to anyone performing services on Physio-Control's behalf during the Term of this Agreement or for one(1)year following its expiration without Physio-Control's prior written consent;(b) this 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)this Agreement shall be governed by the laws of the State in which the service is provided;(d)all costs and expenses incurred by the prevailing party related to the enforcement of its rights under this Agreement,including reasonable attorney's fees,shall be reimbursed by the other party. Reference Number: A60-3207 New Printed: 10/30/2013 Page 3 of 5 PHYSIO-CONTROL,INC. TECHNICAL SERVICE SUPPORT AGREEMENT SCHEDULE A Contract Number: Servicing Rep: Lane Rushing,EAAA60 District: MID-ATLANTIC Phone: FAX: 800-772-3340 Equipment Location: ORANGE CTY EMERGENCY MEDICAL,00300503 SERVICES 510 MEADOWLAND DR HILLSBOROUGH,NC 27278 Scope Of Service On Site Repair and I On Site Inspection per Year:M-F/8-5 Ref. Effective Expiration Total Model Part Number Serial Number Line Date Date Inspections LIFEPAK®15 V15-2-001604 41034672 1 7/1/2013 6/30/2014 1 LIFEPAK®15 V15-2-001604 41182809 2 7/1/2013 6/30/2014 1 LIFEPAK®15 V15-2-001604 41183028 3 7/1/2013 6/3012014 1 LIFEPAK®15 V15-2-001604 41183225 4 7/1/2013 6/30/2014 1 **Denotes an inventory line that has changed since the last contract revision or addendum. Reference Number: A60-3207 New Printed: 10/30/2013 Page 4 of 5 PHYSIO-CONTROL, INC. TECHNICAL SERVICE SUPPORT AGREEMENT SCHEDULE B LIFEPAK® 15 Monitor/Defibrillator Repair Service includes: • Standard detachable hard paddle repairs. • Replacement or repair of Physio-Control Redi-Charge battery charging systems(Catalog#11141-W01 1 5)on a one-for-one basis with the total number of LP15 Defibrillator/Monitors listed in Schedule A,and as determined necessary by Physio-Control. • Power Adapter repair/replacement. • Battery Coverage • Replacement of three(3)LIFEPAK Li-ion Batteries every two(2)years,or upon battery failure Reference Number: A60-3207 New Printed: 10/30/2013 Page 5 of 5 A`°R°® CERTIFICATE OF LIABILITY INSURANCE DATE 12013 NVYY) 09/27/2013 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). PRODUCER CONTACT Marsh USA,Inc. NAME: 1301 5th Avenue,Suite 1900 (A/C,NN Ext: A/C No): Seattle,WA 98101 E-MAIL Attn:Seattle,CertRequest @marsh.com I F:212-948-4326 ADDRESS: INSURER 5 AFFORDING COVERAGE NAIC# 184424-IS5-CAS-13-14 INSURER A:Valley Forge Insurance Co 20508 INSURED National Fire Insurance Cc Of Hartford 20478 Physio-Control International,Inc. INSURER B Physio-Control,Inc, INSURER C: N/A N/A 11811 Willows Road NE INSURER D Redmond,WA 98052 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002432364-01 REVISION NUMBER:2 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. rCOMMERCIAL F INSURANCE ADDL SUBR POLICY NUMBER MMIDDM/YY MM DD/YYYY LIMITS 4030507381 05/01/2013 05/01/2014 EACH OCCURRENCE $ 1'000' 0 DAMA E TO RENTED 1,000,000 GENERAL LIABILITY PREMISES Ea occurrenc e $ADE a OCCUR MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ EXCLUDED X POLICY 7 PRO- LOC I $ B AUTOMOBILE LIABILITY 4029265138(AOS) 05/01/2013 05/01/2014 COMBINED SINGLE LIMIT 1,000,000 Ea accident $ B X ANY AUTO 4029265172(MA) 0510112013 05101/2014 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident COMP/COLL DIED. $ 1,000 � UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ .DED RETENTION$ $ B WORKERS COMPENSATION 4030507378(AOS) 05/01/2013 05/01/2014 X WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN 4030507364( )CA 05101/2013 05/01/2014 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/p` 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Additional Insured status applies only if it is reflected in your written contract. CERTIFICATE HOLDER CANCELLATION Orange County Emergency Medical Services SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Chris Pope THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 510 Meadowland Dr. ACCORDANCE WITH THE POLICY PROVISIONS. Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Cheryl Bermudez @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD