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HomeMy WebLinkAbout2020-278-E Emergency Svc - PLM Equipment Services stretcher maintenance DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 [Departmental Use Only] TITLE PLM INC./EMSAR FY 19-20 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter"Agreement"), made and entered into this 30th day of April, 2020, ("Effective Date") by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and PLM Equipment Services, INC. d.b.a. EMSAR, (hereinafter, the "Provider"). WITNESSETH: That the County and Provider, for the consideration herein named, do hereby agree as follows: 1. Services a. Scope of Work. i) This Agreement is for services to be rendered by Provider to County with respect to (insert type of project): Stretcher/Stairchair/Powerload/Performance Load Maintenance Agreement. 11) By executing this Agreement, the Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner. iii) Time is of the essence with respect to this Agreement. iv) The services to be performed under this Agreement consist of Basic Services, as described and designated in Section 3 hereof. Compensation to the Provider for Basic Services under this Agreement shall be as set forth herein. 2. Responsibilities of the Provider a. Services to be provided. The Provider shall provide the County with all services required in Section 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. b. Standard of Care. i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Provider is solely responsible for the professional Revised 11/19 1 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 quality, accuracy and timely completion and/or submission of all work related to the Basic Services. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, or assigns in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. iii) The Provider shall not, except as otherwise provided for in this Agreement, subcontract the performance of any work under this Agreement without prior written permission of the County. No permission for subcontracting shall create, between the County and the subcontractor, any contract or any other relationship. iv) Provider is an independent contractor of County. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider only and not of the County, and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and responsibility of the Provider. v) If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Provider represents that it and/or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. vi) In determining the Basic Services to be provided, should any documents be referenced in this Agreement, the terms of this Agreement shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. vii) Should this Agreement involve project designs, the construction or creation of which is to be bid out and/or fulfilled by other contractors, and bidding or negotiation with contractors produce prices which, when added to the other elements of the approved total project cost, produce a cost that is in excess of the approved total project cost, the Provider shall participate with the County in negotiation and design adjustments to the extent such are necessary to obtain prices within the approved total project cost. All activity of the Provider with respect to these matters shall constitute Basic Services and shall be performed by the Provider without additional compensation. If negotiation and design adjustments fail to bring costs within the total project cost the County may reject all bids and Provider will redesign and/or reduce portions of the project in an effort to reduce the bid prices to within the total project cost and rebid the project. One such redesign is included within Basic Services. If this second letting for bids does not produce bids that are within the approved total project cost initially or after negotiations with the contractor the cost is not reduced to an amount within the total project cost, the Provider is not obligated to engage in further redesign. Revised 11/19 2 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows (fully describe services to be provided): The company agrees to provide comprehensive preventive maintenance and repair services on the equipment of the customer. This equipment is not limited to FDA Controlled Class II Medical Devices. The equipment can be Stryker EMS, and others (Service Agreement Attached). 4. Duration of Services a. Term. The term of this Agreement shall be from January 1, 2020 to June 30, 2020. b. Scheduling of Services. i) The Provider shall schedule and perform its activities in a timely manner. ii) Should the County determine that the Provider is behind schedule, it may require the Provider to expedite and accelerate its efforts, including providing additional resources and working overtime, as necessary, to perform its services in accordance with the approved project schedule at no additional cost to the County. iii) The Commencement Date for the Provider's Basic Services shall be April 30, 2020. 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services satisfactorily (as determined by the County) performed pursuant to this Agreement. The maximum amount payable for Basic Services shall not exceed Six Thousand Eighty-Five and 00/100 Dollars ($6,085.00). Payment for satisfactorily performed Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Payment shall be subject to provisions of Section 5(b). b. Disputes. In the event the amount stated on an invoice is disputed by the County, the County may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. Should Provider fail to perform its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. c. Additional Services. County shall not be responsible for costs related to any services in addition to the Basic Services performed by Provider unless County requests such additional services in writing and such additional services are evidenced by a written amendment to this Agreement. 6. Responsibilities of the County Revised 11/19 3 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 a. Cooperation and Coordination. The County has designated (Dinah Jeffries) to act as the County's representative with respect to the Project and shall have the authority to render decisions within guidelines established by the County Manager and/or the County Board of Commissioners and shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance a. General Requirements. Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by County's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http://www.orangecountync.goy/departments/purchasing division/contracts.php). If County's Risk Manager determines additional insurance coverage is required such additional insurance shall consist of NA (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 8. Indemnity a. Indemnity. To the extent authorized by North Carolina law the Provider agrees, without limitation, to defend, indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from property damage or bodily injury including death to any person or persons caused in whole or in part by the negligence or misconduct of the Provider except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this provision to require the Provider to indemnify the County to the fullest extent permitted under North Carolina law. 9. Amendments to the Agreement a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional compensation or a change in duration of this Agreement shall be made by a written Amendment to this Agreement executed by the County and the Provider. The Provider shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County. 10. Termination a. Termination for Convenience of the County. This Agreement may be terminated without cause by the County and for its convenience upon seven (7) days' prior written notice to the Provider. b. Other Termination. The Provider may terminate this Agreement based upon the County's material breach of this Agreement; provided, the County has not taken all reasonable actions to remedy the breach. The Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. Revised 11/19 4 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 c. Compensation After Termination. i) In the event of termination, the Provider shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Provider. ii) Should this Agreement be terminated, the Provider shall deliver to the County within seven (7) days, at no additional cost, all deliverables including any electronic data or files relating to the Project. d. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. e. Suspension. County may suspend the Basic Services and this Agreement at any time for County's convenience and without penalty to County upon three (3) days' notice to Provider. Upon any suspension by County, Provider shall discontinue work on the Basic Services and shall not resume the Basic Services until notified to proceed by County. 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing Law. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G.S. 147-86.81. c. Non-Discrimination. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal non-discrimination laws, policies, rules, and regulations and the Orange County Non-Discrimination Policy and Orange County Living Wage Policy(each policy is incorporated herein by reference and may be viewed at http://www.oran eg countygc. og v/departments/purchasing division/contracts.php.) Any violation of the Orange County Non-Discrimination Policy is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the Revised 11/19 5 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. d. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non-performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of such suit or action. e. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both parties. Modifications may be evidenced by facsimile signatures. f. Severability. If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. g. Ownership of Work Product. Should Provider's performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. h. Non-Appropriation. Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable and not appropriated for the performance of County's obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability and non-appropriation of public funds. It is expressly agreed that County shall not activate this non-appropriation provision for its convenience or to circumvent the requirements of this Agreement, but only as an emergency fiscal measure during a substantial fiscal crisis. In the event of a change in the County's statutory authority, mandate and/or mandated functions, by state and/or federal legislative or regulatory action, which adversely affects County's authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County's legal authority. i. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and the intent of the Parties to comply with Revised 11/19 6 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 Article 11A and Article 40 of North Carolina General Statute Chapter 66. j. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Orange County Provider's Name Attention:Dinah Jeffries PLM Equipment Services,Inc P.O. Box 8181 212 Powell Dr.,Suite 122 Hillsborough,NC 27278 Raleigh,NC 27606 IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have hereunder set their hands and seal, all as of the day and year first above written. ORANGE COUNTY: PROVIDER: DocuSignM by: UocuSigned by B 66ln�An L, �,MKALYS� /5/2020 B �M NKWIS 5/3/2020 Y —It 0637994B755E477... Y — 08BA420559A74BC... Bonnie Hammersiey, Lounty Manager Pam Mims, President Printed Name and Title Revised 11/19 7 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 2itOVIVING QUALIrr, Revised: January2l,2020 EMSRR $E�VICE AND VtF- ` PLM Equipment Services 212 Powell Dr., Unit 122 Raleigh, NC 27606 919-233-2231 Fax 919-233-3480 www.emsarncva.com STRETCHER/ STAIRCHAIR/ POWERLOAD / PERFORMANCE LOAD MAINTENANCE AGREEMENT This agreement is by and between PLM Equipment Services, Inc d.b.a. Emsar (hereinafter referred to as the "Company") and the "Customer" whose name and location of principal offices are listed on Page 3 of this agreement. 1. Maintenance Coverage The Company agrees to provide comprehensive preventive maintenance and repair services on the equipment of the Customer. This equipment is not limited to FDA Controlled Class II Medical Devices. The equipment can be Stryker EMS, and others. 2. Preventive Maintenance Service 2.1 Definition Preventive Maintenance shall consist of those routine maintenance services which are intended to keep the Equipment in proper operating condition in accordance with the original approved manufacturer's recommendations. 2.2 Frequency A scheduled preventive maintenance inspection shall be performed on each stretcher, Power Load, Performance Load, and stair chair one (1)time. 2.3 Scope During the inspection, the equipment will be hand washed, disinfected, lubricated and inspected for damage or wear. Cleaning is limited to no more than 20 minutes per unit. 2.4 Additional Repairs If damage or wear is detected during the preventive maintenance inspection, it will be noted on the Equipment Report and brought to the attention of the Customer. Fastener rails are inspected and adjusted at no additional charge. New fastener rails are available for installation at the time of service. Repairs to the fastener rail system will be billed as additional labor and parts. Note: Repair service for the stretchers and stair chairs includes parts and labor with exceptions noted in Addendum 1. 2.5 Documentation An Equipment Report shall be completed by the technician on each piece of equipment serviced. This report shall document the Customer, serial number, date, location of service, and identity of the service technician. It shall also specify which parts were replaced or repaired. Repairs and evaluation are made in accordance with proprietary and copyrighted Stryker technical manuals. 2.6 Lubrication Stryker equipment is lubricated with factory approved lubricants. 2.7 Hardware Only new genuine Stryker Parts are used in repairs. No used, modified or homemade parts will be installed. All new original parts will have met FDA approved testing standards. This practice will insure your equipment is not modified. Your equipment will be treated as if there is an FDA Enforcement Group on site. Pagel of 3 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 2.8 Labor No subcontract labor will be used in the process of inspection, testing and repair of Class II medical devices. All labor will be authorized by the device manufacturer as factory trained and certified to be competent. All Employees are covered by Workmen's Compensation. 3. Repair Services 3.1 Definition Repair Services shall consist of those services necessary to restore non- operational, damaged, or worn equipment to safe operational status and which are not included in the manufacturer's warranty or preventive maintenance agreement (equipment which is included in the agreement is listed in Addendum 2 for Orange Co. EMS and Addendum 3 for South Orange Co. EMS). 3.2 Initiation of Repairs Repair Services may be initiated following a demand for service from the Customer, or they may result from defects detected during a preventive maintenance inspection. A demand repair performed on site will be charged at the service rate of $90.00 per hour labor plus parts. Labor is billed in 15 minute increments. Parts will be invoiced in accordance with the Company's published price list. Additionally, for each cot in need of repair, a complete preventive maintenance inspection must also be performed. If an unscheduled visit is called for, there will be no travel charge if the repair can wait until technician is in the area. 4. Other Specific Terms 4.1 Pre-Contract Inspection Prior to Company's acceptance of the Equipment under this agreement, all equipment will be subject to an inspection to determine working condition and acceptability. If Company determines that the equipment is not in acceptable working condition, the Company will provide the Customer with an estimate of the cost of bringing the Equipment to acceptable working condition and necessary repairs. Estimates provided to the Customer will be in accordance with the Company's time and material rates in effect. 4.2 Non-Company Repair or Modification Company shall not be obligated under this agreement to provide maintenance or repair services on Equipment that is necessary as a result of service, repair or replacement of parts, or attachments, or modification of the Equipment performed by anyone other than an authorized Company technician. 4.3 Presentation of Equipment Equipment should be provided at least every 30 minutes; otherwise, waiting time will have to be billed as repair time. Customer will be billed for all units listed in Addendum 2 and 3 , whether or not they are presented at time of visit. Additional equipment presented for PMs that are not listed in Addendum 2 or 3 will be billed at a comparable rate as those listed in Addendum 2 and 3. 4.4 Warranty A ninety (90) day limited warranty shall apply to all workmanship and parts replaced during the scheduled preventive maintenance and demand repairs. Warranty shall be limited to the repair or replacement of the affected part at the discretion of the Company. In no case shall the Company be liable for damage or injury to persons or property, which may result from the use of products which Customer repairs. 4.5 Training The Customer is responsible for all training of its employees and users of the Equipment in its safe and proper operation. Company may provide training materials or assistance, if requested, but the sole responsibility for employee training remains with the Customer. Page 2 of 3 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 4.6 Insurance The Company shall maintain insurance coverage for the duration of this contract as follows: a) EMSAR, Inc. $3 million Comprehensive Coverage b) PLM Equipment Services, Inc. $2 million Comprehensive Coverage 4.7 Indemnity The Customer shall indemnify and hold harmless against any claims, liability or damages Company incurs as a result of: a) The negligent operation or use of the Equipment by the Customer, its employees or agents; b) The failure by the Customer, its employees or agents to properly maintain and repair the Equipment; c) The failure of the Customer to have performed the service or repair work recommended by the Company; or d) The failure of the Customer to remove from operation Equipment which needs to be repaired or serviced. 5. Payment of Maintenance Agreement Payment of all invoices shall be made directly to the Company within the invoice terms. The Company does not invoice for any work in advance, only upon completion, including preventive maintenance. 6. Terms of Contract The term of this contract is January 1, 2020 to June 30, 2020, unless sooner terminated herein. Accepted for Company: Accepted for Customer: PLM Equipment Services, Inc Organization: Orange Co. EMS 212 Powell Dr., Suite 122 Street Address: 510 Meadowland Raleigh, NC 27606 City, State,Zip: Hillsborough, NC 27278 Phone: (919) 233-2231 Phone Number: 919-968-2050 Fax: (919) 233-3480 Email: pam.mims@emsarncva.com Email: amatthews(a�oran eg countync.gov By(signature): By(signature): Printed Name: Printed Name: Title: Title: Date: 5/3/2020 Date: Page 3 of 3 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 �R0v1VING QUALIrr ee EMSRR $F�""ICE AND PLM Equipment Services Inc. 212 Powell Dr, Suite 122 Raleigh, NC 27606 919-233-2231 Fax 919-233-3480 www.emsarncva.com ADDENDUM # 1 The Gold Plan "All Inclusive Agreement" The "All Inclusive Plan" incorporates all of the foregoing standard preventive program plus all labor and parts for one guaranteed price for two, three or four visits per year. The program includes, but is not limited to the following: ❖ Worn Wheel Bearing ❖ Lift Handles ❖ Side Arm Pins with Knobs and Springs ❖ Crutch Tips ❖ Head End Release Handles ❖ Scuff Strips ❖ Foot End Release Handles ❖ Leg Return Springs The Gold level also includes the five point equipment management program, consisting of: ❑ Preventive Maintenance Cleaning Inspection Lubrication ❑ Equipment Tune-Up Hardware Tightening Alignment Adjustments ❑ Equipment Evaluation Reveals Needed Repairs Detects Potential Problems ❑ Usage Evaluation and Training Reveals Improper Usage ❑ EMSAR Equipment Report Provides a Documented History of Preventive Maintenance This service level includes the five-point maintenance program and all parts and repairs for a price which will remain fixed for the duration of the service contract. The inclusive agreement also provides, at no charge, for one emergency return trip. Any other emergency return trip will be billed for travel, labor and parts. Abuse is not covered as described by the manufacturer. ❑ Optional Accessories Repairs will be made if possible (parts may not be available), but devices can not be replaced under this agreement. Replacement is at owner expense. Consumables/ Page 1 of 2 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 accessories (StoNets, Canvas, IV Poles, Batteries, Oxygen bottle holder etc.)are not repairable. They must be replaced at owner expense. ❑ Stair Chair Exclusions Cable Assembly, Belt Track and Accessories on Stair Chairs are not included in the all inclusive agreement. Repairs will be made if possible (parts may not be available), but devices can not be replaced under this agreement. Replacement is at owner expense. ❑ Power Cot Exclusions Electronic and Hydraulic Systems are not included in the all inclusive agreement. Repairs will be made if possible (parts may not be available), but devices can not be replaced under this agreement. Replacement is at owner expense. ❑ Power Load / Performance Load Exclusions Preventive maintenance for PowerLoads and Performance Loads does not include parts and labor for any repairs that are required. Parts will be billed at list price and labor will be billed at the rate of$90/hr. ❑ Fastener Rail Fastener Rail adjustment is included under this agreement, but not repairs or replacement. ❑ Scheduled Work Dates Every effort will be made by the Company to arrange work dates which will be suitable to the Customer. If postponement is required by the Customer, it must be requested 72 hours in advance or a charge of$150.00 will be levied to defray travel costs. Page 2 of 2 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 Addendum 2 ORANGE COUNTY EMS STRETCHER MAINTENANCE PLAN 2020 GOLD ALL INCLUSIVE AGREEMENT (Labor and Parts Included) One Scheduled Visit MODEL SERIAL # AMOUNT M Stryker 6506 130440781 255 Stryker 6506 140439047 255 Stryker 6506 140439048 255 Stryker 6506 140439049 255 Stryker 6506 140439050 255 Stryker 6506 140439051 255 Stryker 6506 140439052 255 Stryker 6506 140439053 255 Stryker 6506 140439054 255 Stryker 6506 150640633 255 Stryker 6506 160341101 255 Stryker 6506 180540599 200 Total = $3005.00 Page 1 of 3 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 ORANGE COUNTY EMS STAIR CHAIR MAINTENANCE PLAN 2020 GOLD ALL INCLUSIVE AGREEMENT (Labor and Parts Included) One Scheduled Visit MODEL SERIAL # AMOUNT ($) Stryker 6252 070440393 80 Stryker 6252 100340536 80 Stryker 6252 100340537 80 Stryker 6252 100340538 80 Stryker 6252 100340539 80 Stryker 6252 100340540 80 Stryker 6252 100340541 80 Stryker 6252 100340542 80 Stryker 6252 100739577 80 Stryker 6252 100740560 80 Stryker 6252 101041377 80 Stryker 6252 111141173 80 Stryker 6252 120140979 80 Total=$1235.00 Page 2 of 3 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 ORANGE COUNTY EMS POWER LOAD 2020 BASIC MAINTENANCE PLAN (Labor and Parts Not Included) One Scheduled Visit MODEL SERIAL # AMOUNT ($) Stryker 6390 180539600 205 Stryker 6390 180539645 205 Stryker 6390 180541198 205 Stryker 6390 1907012400238 205 Stryker 6390 1907012400240 205 Stryker 6390 1908012400014 205 Stryker 6390 1908012400102 205 Total= $1435.00 ORANGE COUNTY EMS PERFORMANCE LOAD 2020 BASIC MAINTENANCE PLAN (Labor and Parts Not Included) One Scheduled Visit MODEL SERIAL # AMOUNT ($) Stryker 6392 2018000800199 25 Stryker 6392 2018000800228 25 Total= $50.00 GRAND TOTAL ORANGE CO EMS = $5725.00 Page 3 of 3 DocuSign Envelope ID:294BB418-E1F3-4C25-885F-5006334D0849 Addendum 3 SOUTH ORANGE COUNTY EMS STRETCHER AND STAIR CHAIR 2020 GOLD ALL INCLUSIVE AGREEMENT (Labor and Parts Included) One Scheduled Visit MODEL SERIAL # AMOUNT ($) Stryker 6506 180640779 255 Stryker 6252 150539735 80 Total=$335 SOUTH ORANGE COUNTY EMS PERFORMANCE LOAD 2020 BASIC MAINTENANCE PLAN (Labor and Parts Not Included) One Scheduled Visit MODEL SERIAL # AMOUNT ($) Stryker 6392 2018001000233 25 Total= $25 GRAND TOTAL SOUTH ORANGE CO EMS= $360.00 Page 1 of 1 PLMEQUI-01 KBREWER '4+c'Q►zo CERTIFICATE OF LIABILITY INSURANCE F�ATE(MM/DD/YYYY) 5/4/2020 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 have ADDITIONAL INSURED provisions or 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 Karen Brewer NAME: Hartsfield&Nash Agency,Inc. pHONE FAX 10405 Ligon Mill Rd.,Ste H (a/c,No,Et):(919)556-3698 A/C,No:(919)556-8758 Wake Forest,NC 27587 ppRIE :karen@hartsfield-nash.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Hartford Casualty Insurance Co 29424 INSURED INSURER B: PLM Equipment Services INSURERC: PO Box 10453 INSURER D: Raleigh,NC 27605 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE a OCCUR 22SBAUD5413 12/1/2019 12/1/2020 DAMAG nce E TO RENTED 300,000 PREMISES Ea occurre $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY JERCOT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY EOMBINED SINGLE LIMIT accident $ 1,000,000 X ANY AUTO 22UECAC8794 12/1/2019 12/1/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 hDXED CESS LIAB CLAIMS-MADE 22SBAUD5413 12/1/2019 12/1/2020 AGGREGATE $ 1,000,000 I X I RETENTION$ 10,000 $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N 22WBCAE4VSK 12/1/2019 12/1/2020 TAT TE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE a N/A E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange Count EMS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. att: Dinah Jeffries 510 Meadowland Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE tkoi �� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD