EAC Subcommittee Agenda With Exhibits 3/15/13
Contents
1. PR 1 65000 THERAPY DELIVERY ACCESSORIES Accessor 11998 000326 LIFEPAK 15 internal paddles adapter cable EA 1 299 00 EA 4 00 ECG MONITORING ACCESSORIES Accessor 11111 000022 12 Lead ECG Precordial Leads AHA EA 1 128 00 nyg Cei 1 z 3 Strip chart recorder paper 100mm 2rolls bx 1 23 Accessor 11996 000125 LIFEPAK 12 NIBP Hose coiled 9 EA 21300 007298 LIFEPAK 15 NIBP Hose 9 EA Qo 0o M mM u0 domm gt o O D n o o 2 BP PP Pd PP O O O en eu eure O O O 19 JO O O GO O G G G G O O O O O O O W O O O O O O 2 JOJO 2 O SIS 5 LS E565 5 5 MM MMM m m m m MM Mm 1 25 2013 PHYSIO CONTROL pricing template CATALOG Product EA List Price Catalog Number Catalog Product Description UOM per Category ba 11160 000010 NIBP Cuff Disposable X tra Large Adult 15 00 NELLCOR SpO2 SENSORS AND CABLES Accessor 11996 000060 Durasensor Adult finger sensor EA 1 288 00 626 00 Disposable Posey Wrap for Oxiband bag of 12 33 00 87 00 89 00 619 00 1 003 00 797 00 1 a 1 3 1 1 z 1 2 110 00 110 00 808 00 60 00 66 00 Accessor 266 00 Accessor 281 00 Accessor 361 00 350 00 324 00 361 00 Masimo SET LNOP Sp02 Sensor Neonatal lt 10 KG Disposable 1 box of 20 sensors Masimo SET LNOP Sp02 Sensor Neonatal lt 1 KG Disposable 1 box of 20 sensors MASIMO SET LNCS SENSORS AND CABLES 1996 000116 Oxisensor II2. 8 PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING www zollwebstore com Page 1 Page 1 Subtotal 32 056 68 DELIVERY WILL BE MADE 60 90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER PRICES WILL BE F O B SHIPPING POINT PRICES QUOTED ARE FIRM FOR 60 DAYS APPLICABLE TAX amp FREIGHT CHARGES ARE ADDITIONAL ALL PURCHASE ORDERS ARE SUBJECT TO CREDIT APPROVAL BEFORE ACCEPTANCE BY ZOLL FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978 421 0015 Mike Williams EMS Territory Manager 800 242 9150 x9298 GUIDELINES ZOLL Medical Corporation 2010 READY Worldwide HeadQuarters U 269 Mill Rd Chelmsford Massachusetts 01824 4105 TO State of Wyoming Department of Health Emergency Medical 978 421 9655 Main Services 800 348 9011 978 421 0015 C S 6101 Yellowstone Road Suite 400 ailn o J Cheyenne WY 82002 Attn Ben Leonard QUOTATION 133902 V 3 DATE February 28 2013 email Ben Leonard heart org Tel 307 777 7955 TERMS Net 30 Days FOB Shipping Point FREIGHT Prepay and Add ITEM MODEL NUMBER DESCRIPTION QTY UNIT PRICE DISC PRICE TOTAL PRICE SP02 amp SpCO 4 540 Signal Extraction Technology SET Rainbow SET for SpCO 8 SpMet NIBP Welch Allyn includes 3 495 Smartcuff 10 foot Dual Lumen hose SureBP Reusable Adult Medium Cuff End Tidal Carbon Dioxide monitoring ETCO2 Oridion Microstream Technology 4 995 Order reguired Microstream tubing se
3. County Community College Memorial Hospital of Converse County Memorial Hospital of Converse County EMS Moorcroft EMS North Big Horn Hospital Ambulance Service Powell Valley Healthcare Star Valley Medical Center EMS Town of Burns EMS Town of Pine Haven Ambulance Service West Park Hospital District Wyoming Life Flight Wyoming Medical Center EMS American Heart Association American Heart Association 1 10 00 Welcome and Introduction Exhibit 1A EAC Subcommittee Roster Background Attendees Cindy Osborne Kelly Kalkhoff Russ Christiansen Melissa Tschimperle Christy Gutierrez Keith Noback Brad Langdorf Rasha Riad Robynn Scheehle Carlos Mesa Sheila Hansen Scott Murphey June Minchow Troy Clawson Jeff Bartles Tom Schanefelt Kevin Schlosser Kelly Jackson Mark Meyer Diana Ramirez Ben Leonard Ben Leonard Goal of this subcommittee is to review EMS resource gaps and develop a plan to allocate grant funding Action 1 Roll Call 2 Update roster as needed 3 Group to approve minutes from previous meeting Minutes e Reviewed minutes from January 8 2013 approved as is e The EAC Co chairs are Scott Murphey for EMS Agencies and Tom Richards for Hospitals Page 1 of 2 Mission Lifeline Wyoming Subcommittee Eguipment Advisory Council American American Heart Stroke January 22 2012 Association Association 2 10 10 Final review of the EAC Needs Survey Ben Leonard Background The survey
4. DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS 8 PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING www zollwebstore com Page 3 EMS Territory Manager 800 242 9150 x9298 ZOLL QUOTATION GENERAL TERMS amp CONDITIONS 1 ACCEPTANCE This Quotation constitutes an offer by ZOLL Medical Corporation to sell to the Customer the equipment including a license to use certain software listed in this Quotation and described in the specifications either attached to or referred to in this Quotation hereinafter referred to as Equipment Any acceptance of such offer is expressly limited to the terms of this Quotation including these General Terms and Conditions Acceptance shall be so limited to this Quotation notwithstanding i 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 of any purchase order specification or other document issued by the Customer Any such documen shall be wholly inapplicable to any sale made pursuant to this Quotation and shall not be binding in any way on ZOLL Medical Corporation Acceptance of this Quotation by the Customer shall create an agreement between ZOLL Medical Corporation and the Customer hereinafter referred to as the Contract the terms and conditions o which are expressly limited to the provisions of this Quotation including
5. Primary Service Offering e Any upgraded scope of service offered at 25 off list pricing plus travel Included Training e Field Clinical Specialist training provided regionally based on devices sold Local representative training as needed 12 Lead Supplemental training provided as a regional level based on devices sold e Standard training material packet provided with each purchase Included Support e Dedicated National Account Manager e Needs analysis of target states to maximize the impact of funding All Orders Are Subject to the Physio Control 200 Minimum Order Policy Services GUIDELINES 2010 READY TO State of Wyoming Department of Health Emergency Medical 6101 Yellowstone Road Suite 400 Cheyenne WY 82002 Attn Ben Leonard email Ben Leonard heart org ZOLL Medical Corporation Worldwide HeadQuarters 269 Mill Rd Chelmsford Massachusetts 01824 4105 978 421 9655 Main 800 348 9011 978 421 0015 Customer Support FEDERAL ID 04 2711626 QUOTATION 133902 V 3 DATE February 28 2013 Tel 307 777 7955 TERMS Net 30 Days FOB Shipping Point FREIGHT Prepay and Add ITEM MODEL NUMBER DESCRIPTION QTY UNIT PRICE DISC PRICE TOTAL PRICE 1 601 2231011 01 X Series Manual Monitor Defibrillator 14 995 1 40 020 00 32 056 68 32 056 68 with 4 trace tri mode display monitor defibrillator printer comes with Real CPR Help advisory algorithm advanced communications pa
6. T D0 1 3 4 995 00 3 247 00 Antimicrobial Reuseable Pediatric Cuff M4553B 29 00 22 00 Antimicrobial Reuseable Large Adult Cuff M4557B 33 00 25 00 Adult Pre Connected Pads 2 sets 63 00 54 00 Pediatric Plus Pads 1 set 31 00 27 00 Two year bench with loaner warranty W22 No Charge Additional one year bench with loaner warranty 573 00 555 00 Performance Assurance Audits 350 year x 3 years 1 050 00 945 00 18 063 00 Additional Option Q CPR B08 2 995 00 1 945 00 2 Lithium lon Battery C05 415 00 290 00 e Price includes delivery set up and in service at no charge Fast Initial Response Systems amp Training PO Box 7719 e Helena MT 59604 Phone 406 442 8194 or 800 246 3208 e Fax 406 442 6480 e email first montana com Providing products and services to help support the Chain of Survival January 15 2013 TO AHA Mission Lifeline Wyoming Revised Philips MRx Transport ALS Monitor Defibrillator ALS Unit The HeartStart MRx Monitor Defibrillator model includes manual defibrillation AED mode ECG arrhythmia detection automated testing one carry case one battery pack one metal bedrail hook one 5 lead ECG cable one pad cable one protective display cover one test load one roll of paper and one CD with Instructions for Use Description Ref List Price Your Price HeartStart MRx Monitor Defibrillator M3536A 10 700 00 6 955 00 SpO2 NBP EtCO2 and 75mm Printer A23 9 615 00 6 250 00 pulse oximeter non invasive blo
7. any part of the Equipment if such delay is due to any cause beyond the control of the ZOLL Medical Corporation including but not limited to acts of God fires epidemics floods riots wars sabotage labor disputes governmental actions inability to obtain materials components manufacturing facilities or transportation or any other cause beyond the control of ZOLL Medical Corporation In addition ZOLL Medical Corporation shall not be liable for any delay in delivery caused by failure of the Customer to provide any necessary information in a timely manner In the event of any such delay the date of shipment or performance hereunder shall be extended to the period equal to the time lost by reason of such delay In the event of such delay ZOLL Medical Corporation may allocate available Equipment among its Customers on any reasonable and equitable basis The delivery dates set forth in this Quotation are approximate only and ZOLL Medical Corporation shall not be liable for or shall the Contract be breached by any delivery by ZOLL Medical Corporation within a reasonable time after such dates 9 LIMITATIONS OF LIABILITY IN NO EVENT SHALL ZOLL MEDICAL CORPORATION BE LIABLE FOR INDIRECT SPECIAL OR CONSEQUENTIAL DAMAGES RESULTING FROM ZOLL MEDICAL CORPORATIONS PERFORMANCE OR FAILURE TO PERFORM PURSUANT TO THIS QUOTATION OR THE CONTRACT OR THE FURNISHING PERFORMANCE OR USE OF ANY EQUIPMENT OR SOFTWARE SOLD HERETO WHETHER DUE TO A BREACH OF CONTR
8. by Customer is due thirty 30 days after the ship date appearing on ZOLL Medical Corporation invoice Any amounts payable hereunder which remain unpaid after the date shall be subject to a late charge equal to 1 5 per month from the due date until such amount is paid 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 shipment or delivery except upon receipt of payment or security or upon terms regarding credit or security satisfactory to ZOLL Medical Corporation 5 TAXES amp FEES The pricing quoted in its Quotation do not include sales use excise or other similar taxes or any duties or customs charges or any order processing fees The Customer shall pay in addition for the prices quoted the amount of any present or future sales excise or other similar tax or 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 apply from time to time In lieu thereof the Customer may provide ZOLL Medical Corporation with a tax exemption certificate acceptable to the taxing authorities 6 WARRANTY a ZOLL Medical Corporation warrants to the Customer that from the earlier of the date of installation or thirty 30 days after the date of shipment from ZOLL Medical C
9. has been produced by the volunteer Task Force and needs final edits and approval in order to be presented to the Jan 30 Stakeholder meeting Actions 1 Follow the link to the Survey that is provided in the email Take the survey as a representative of your agency Minutes e Survey updated from our Task Force meeting e Asked that subcommittee review before request for vote is made o Q What service level should the agency choose o A The highest level the agency maintains or is licensed for o Consider adding a question regarding cell phone provider and or how they transmit e Subcommittee approved changes updates made and will present the survey to Stakeholder committee for vote e Anticipate to have survey distributed on February 4 and deadline to complete on February 15 subcommittee approved timeline 3 10 50 Next Steps and Upcoming Meetings Ben Leonard Background Co Chairs will present the final draft of the Equipment Needs Survey to the Voting Stakeholder Body during the Jan 30 teleconference Action 1 Jan 30 is the next Stakeholder meeting Minutes e Ben will make changes to survey e Co chairs will present survey and timeline to Stakeholder Committee for vote 4 11 00 Adjourn Ben Leonard Adjourned 10 32 am Page 2 of 2 Mission Lifeline Wyoming a A i i i i i merican merican pplication for EMS amp Hospital Equipment Funding American America March 15 2013 Association Association Aspecific goal of the AHA M
10. per Category Unit Accessory 11576 000070 LUCAS 2 Rubber Bumper PR 2 36 00 2 93 00 Accessory 11576 000051 Accessory 1996 000064 Accessory 1576 000037 za N Accessory 1576 000038 UCAS 2 Carrying Bag 302 00 1576 000046 UCAS 2 Disposable Suction Cup 3 pack 1576 000047 UCAS 2 Disposable Suction Cup 12 pack L f i L 3 L 1576 000060 LU L L L Accessory Accessory Accesory Accessory Accessory Accessory Accessory 4 1576 000039 CAS 2 Battery Rechargeable Lithium Polymer LiPo 1576 000040 UCAS 2 Battery Rechargeable Lithium Polymer LiPo 4 pack 1576 000055 1576 000048 Accessory 6500 003084 Accessory 6500 003434 LUCAS 2 2 1 Chest Compression System Instructions for Use U S English Accessor 1101 000004 AED training electrode set 5pr cable amp pouch Accessor 1101 000006 1 28 00 Accessor 1250 000042 Accessor 1250 000043 Cable connector assembly pouch for infant child AED training electrodes Accessor 1250 000045 Infant child AED training electrodes training set 80597 000001 ReadyLink 12 Lead ECG 1 7 499 00 99428 000299 99428 000296 1 1 1 1 1 122 00 i mi M M MCV M m V VMD m v A VM um U I 2 2 mimm gt gt gt O O O lt lt lt CICI Zz Z Z Rl AA mm mm Pp READYLINK 99428 000301 ReadyLink Critical Care Access Subscription 1 year Includes unlimited
11. 4 88 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 DELIVERY WILL BE MADE 60 90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER Mike Williams o0 E0N PRICES WILL BE F O B SHIPPING POINT PRICES QUOTED ARE FIRM FOR 60 DAYS APPLICABLE TAX amp FREIGHT CHARGES ARE ADDITIONAL ALL PURCHASE ORDERS ARE SUBJECT TO CREDIT APPROVAL BEFORE ACCEPTANCE BY ZOLL FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978 421 0015 OR EMAIL TO ESALES ZOLL COM 7 ALL DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS 8 PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING www zollwebstore com Page 3 EMS Territory Manager 800 242 9150 x9298 ZOLL QUOTATION GENERAL TERMS amp CONDITIONS 1 ACCEPTANCE This Quotation constitutes an offer by ZOLL Medical Corporation to sell to the Customer the equipment including a license to use certain software listed in this Quotation and described in the specifications either attached to or referred to in this Quotation hereinafter referred to as Equipment Any acceptance of such offer is expressly limited to the terms of this Quotation including these General Terms and Conditions Acceptance shall be so
12. ACT BREACH OF WARRANTY THE NEGLIGENCE OF ZOLL MEDICAL CORPORATION OR OTHERWISE 10 PATENT INDEMNITY ZOLL Medical Corporation shall at its own expense defend any suit that may be instituted against the Customer for alleged infringement of any United States patents or copyrights related to the parts of the Equipment or the Software manufactured by 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 Medical Corporation immediate notice in writing of any such suit and permits ZOLL Medical Corporation through counsel of its choice to answer the charge of infringement and defend such suit and iii the Customer gives ZOLL Medical Corporation all requested information assistance and authority at ZOLL Medical Corporation s expense to enable ZOLL Medical Corporation to defend such suit In the case of a final award of damages for infringement in any such suit ZOLL Medical Corporation will pay such award but it shall not be responsible for any settlement made without its written consent Section 10 states ZOLL Medical Corporation s total responsibility and liability s and the Customer s sole remedy for any actual or alleged infringement of any patent by the Equipment or the Software or any part thereof provided hereunder In no event shall ZOLL Medical Corporation
13. ARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE 7 SOFTWARE LICENSE a All software the Software which term shall include firmware included as part of the Equipment is licensed to Customer pursuant to a nonexclusive limited license on the terms hereinafter set forth b Customer may not copy distribute modify translate or adapt the Software and 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 tights in the Software remain the product of ZOLL Medical Corporation and Customer shall have no right or interest therein except as expressly provided herein d Customer s right to use the Software may be 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 the Equipment and may not retain any copies of the Software following such transfer f ZOLL Medical Corporation warrants that the read only memory or other media on which the Software is recorded will be free from defects in materials and workmanship for the period and on terms set forth in section 6 g Customer understands that the Software is a complex and sophisticated software product and no assurance can be given that operation of the Software will be uninterrupted or err
14. LIFEPAK15 99577 001213 LIFEPAK 15 Nellcor and Masimo SpO2 Bluetooth 15 895 00 1 LIFEPAK15 99577 001214 LIFEPAK 15 Trending Nellcor and Masimo SpO2 NIBP Bluetooth 18 795 00 LIFEPAK15 99577 001215 LIFEPAK 15 Trending Nellcor and Masimo SpO2 NIBP 2 Invasive Pressure Channels Bluetooth 27 E 21 595 00 EA 1 l l LIFEPAK15 99577 001216 IFEPAK 15 Trending Nellcor and Masimo SpO2 NIBP EtCO2 Bluetooth 23 495 00 LIFEPAK15 99577 001275 IFEPAK 15 Trending Nellcor and Masimo SpO2 NIBP 12 Lead ECG EtCO2 Bluetooth 30 595 00 1 25 2013 PHYSIO CONTROL pricing template CATALOG EA List Price prone Catalog Number Catalog Product Description UOM per Category Unit LIFEPAK15 99577 001221 LIFEPAK 15 Trending Nellcor and Masimo SpO2 NIBP 12 Lead ECG EtCO2 2 Invasive EA 1 32 495 00 Pressure Channels Bluetooth Temperature Configurations eee EISS EKT AS ESI Gollqurations ee LIFEPAK15 99577 001217 LIFEPAK 15 Trending S 002 NIBP 12 Lead ECG EtCO2 Bluetooth Temp EA 1 31 245 00 LIFEPAK15 99577 001218 oCO NIBP 12 Lead ECG EtCO2 Bluetooth Temp EA 1 34 545 00 LFEPAKIS 98577001219 JLIFEPAKIS Trending Sp02 SECO SpMet NIBP 12 Lead ECG EICO2 Bluetooth Temp EA 1 97 848 00 LIFEPAK 1000 LIFEPAK CR Plus Training System replacement training electrodes 1 25 2013 PHYSIO CONTROL pricing template CATALOG Product EA List Price Catalog Number Catalog Product Description UOM
15. LL Medical Corporation may allocate available Equipment among its Customers on any reasonable and equitable basis The delivery dates set forth in this Quotation are approximate only and ZOLL Medical Corporation shall not be liable for or shall the Contract be breached by any delivery by ZOLL Medical Corporation within a reasonable time after such dates 9 LIMITATIONS OF LIABILITY IN NO EVENT SHALL ZOLL MEDICAL CORPORATION BE LIABLE FOR INDIRECT SPECIAL OR CONSEQUENTIAL DAMAGES RESULTING FROM ZOLL MEDICAL CORPORATIONS PERFORMANCE OR FAILURE TO PERFORM PURSUANT TO THIS QUOTATION OR THE CONTRACT OR THE FURNISHING PERFORMANCE OR USE OF ANY EQUIPMENT OR SOFTWARE SOLD HERETO WHETHER DUE TO A BREACH OF CONTRACT BREACH OF WARRANTY THE NEGLIGENCE OF ZOLL MEDICAL CORPORATION OR OTHERWISE 10 PATENT INDEMNITY ZOLL Medical Corporation shall at its own expense defend any suit that may be instituted against the Customer for alleged infringement of any United States patents or copyrights related to the parts of the Equipment or the Software manufactured by 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 Medical Corporation immediate notice in writing of any such suit and permits ZOLL Medical Corporation through counsel of its choice to answer the charge of infr
16. QUIK COMBO w REDI PAK preconnect PR 42 00 11996 000090 11996 000091 11996 000092 O QO M 00 00 00 00 O O gt P X X X X mmm GI G O OJO O O r m me r a e OJojojo aoin c 0jo0jojo TEMPERATURE DISPOSABLES 0 BX 0 mim VU P P A A Mmm 1 25 2013 PHYSIO CONTROL pricing template CATALOG Catalog Number EA List Price Catalog Product Description UOM per Unit SERVICE PLANS Service SIRIMFI LIFEPAK 15 Ship In Repair 1 Ship In Inspection per Year 1 Year 1 272 00 Service LUShip R amp l LUCAS 2 Ship In Repair 1 Ship In Inspection per Year 1 295 00 Accessories disposables and electrodes will be discounted at the capital equipment discount rate when purchased along with capital equipment Physio Control extends to the Grantor and Customers the following Net Prices on the products or services indicated Devices Product ee Discount LIFEPAK 15 monitor defibrillator LUCAS Chest Compression System LIFEPAK 1000 defibrillator LIFEPAK CR Plus AED 30 ReadyLink 30 LIFENET LIFENET Enterprise Agreement pricing to be developed on a state by state basis Service The following service options are offered at point of sale of the covered device Primary Service Offering Funded by Grant e 5 year Ship In Repair amp 1 Ship In Inspection per year offered at 25 off list pricing Secondary Service Offering End User covers charges above
17. SUBJECT TO CREDIT APPROVAL BEFORE ACCEPTANCE BY ZOLL FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978 421 0015 OR EMAIL TO ESALES ZOLL COM ALL DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING www zollwebstore com Page 2 ZOLL GUIDELINES 2010 READY ZOLL Medical Corporation Worldwide HeadQuarters 269 Mill Rd Chelmsford Massachusetts 01824 4105 TO State of Wyoming Department of Health Emergency Medical 978 421 9655 Main Services 800 348 9011 A 978 421 0015 Customer Support 6101 Yellowstone Road Suite 400 ailn ID 04 2711626 Cheyenne WY 82002 Attn Ben Leonard QUOTATION 133902 V 3 DATE February 28 2013 email Ben Leonard heart org Tel 307 777 7955 TERMS Net 30 Days FOB Shipping Point FREIGHT Prepay and Add ITEM MODEL NUMBER DESCRIPTION QTY UNIT PRICE DISC PRICE TOTAL PRICE 6 4001 9907 ZOLL M Series Biphasic w Pacing Trade In 1 2 500 00 Optional 7 5001 9901 ZOLL E Series Trade In 1 5 000 00 Optional 8 7800 0307 LifePak 12 Biphasic w Pacing 1 option Trade In 1 2 500 00 Optional 9 7800 0409 LP 15 with Pacing 2 options Trade In 1 5 000 00 Optional 10 7800 0213 MRX w Pace Spo2 EtCo2 NIBP Trade In 1 4 000 00 Optional Actual trade in value will be determined by configuration and age of the devices at the individual dep
18. a Mission Lifeline Wyoming Subcommittee Equipment Advisory Council American American ear roke March 15 2013 Association Associations Teleconference Call Number 877 6861381 Participant Pass Code 2997862852 www heart org mlwyoming Co chairs Tom Richards Scott Murphey Staff Liaison Ben Leonard 1 10 00 Welcome and Introduction Scott Exhibit 1A EAC Subcommittee Roster Exhibit 1B EAC Jan 22 Meeting Minutes Background Goal of this subcommittee is to review EMS resource gaps and develop a plan to allocate grant funding Action 1 Roll Call 2 Update roster as needed 3 Group to approve minutes from previous meeting 2 10 05 Review of the EAC Needs Survey Results Tom Exhibit 2A EAC Survey Results will be presented during the meeting Background The survey results are reviewed Actions 1 Provide for a review of the survey and how to use the Excel spreadsheet to search for results 3 10 15 Equipment Application and Award Process Scott Exhibit 3A MLWY Application for Equipment Background Hospitals and EMS agencies will fill out an application for equipment and capability gaps The EAC will utilize the survey to justify the application process Action 1 Review Exhibit 3A 2 Discuss timeline for applications 4 10 45 Equipment Budget and Vendor Quotes Exhibit 4A Vendor Quotes Background To provide overview of the allotted dollar amount set for equipment purchases and review vendor quotes Informati
19. artments at time of purchase Reflects Discount Pricing Optional items are not included in the total of this quote Trade In Value valid if all units purchased are in good operational and cosmetic condition and include all standard accessories such as paddles cables etc 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 accompany this quote Any purchase order P O issued in response to this quotation will be deemed to TOTAL 32 91 4 88 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 DELIVERY WILL BE MADE 60 90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER Mike Williams o0 E0N PRICES WILL BE F O B SHIPPING POINT PRICES QUOTED ARE FIRM FOR 60 DAYS APPLICABLE TAX amp FREIGHT CHARGES ARE ADDITIONAL ALL PURCHASE ORDERS ARE SUBJECT TO CREDIT APPROVAL BEFORE ACCEPTANCE BY ZOLL FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978 421 0015 OR EMAIL TO ESALES ZOLL COM 7 ALL
20. as part of this order EMPLOYMENT OF HANDICAPPED if this order is subject to Section 503 of the Rehabilitation Act of 1973 as amended and the rules regulations or orders of the Secretary of Labor as issued thereunder the contract clause at 41 CFR 60 741 7 is hereby included as part of this order EQUAL OPPORTUNITY EMPLOYMENT if this order is subject to the provisions of Executive Order 11246 as amended and the rules regulations or orders of the Secretary of Labor issued thereunder the contract clause set forth at 41 CFR 60 1 4 a and 60 1 4 b are hereby included as a part of this order and Seller agrees to comply with the reporting requirements set forth at 41 CFR 60 1 7 and the affirmative action compliance program requirements set forth as 41 CFR 60 1 40 19 VALIDITY OF QUOTATION This Quotation shall be valid and subject to acceptance by the Customer in accordance with the terms of Section 1 hereof for the period set forth on the face hereof After such period the acceptance of this Quotation shall not be binding upon ZOLL Medical Corporation and shall not create a contract unless such acceptance is acknowledged and accepted by ZOLL Medical Corporation by a writing signed by an authorized representative of ZOLL Medical Corporation 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 agreement
21. be liable for any indirect special or consequential damages resulting from any such infringement 11 CLAIMS FOR SHORTAGE Each shipment of Equipment shall be promptly examined by the Customer upon receipt thereof The Customer shall inform ZOLL Medical Corporation of any shortage in 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 12 RETURNS AND CANCELLATION a The Customer shall obtain authorization from ZOLL Medical Corporation prior to returning any of the Equipment b The Customer receives authorization from ZOLL 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 such change in delivery caused by the Customer that causes a delivery date greater than six 6 months from the Customer s original order date shall constitute a new order for the affected Equipment in determining the appropriate list price 13 APPLICABLE LAW This Quotation and the Contract shall be governed by the substantive laws of the Commonwealth of Massachusetts without regard to any choice of law provisions thereof 14 COMPLIANCE WITH LAWS a ZOLL Medical Corporation represents that all goods and services delivered pursuant to the Contract will be produced and supplied in c
22. between Buyer and Supplier with respect to the purchase and sale of the Products described in the face hereof and only representations or statements contained herein shall be binding upon Supplier as a warranty or otherwise Acceptance or acquiescence in the course of performance rendered pursuant hereto shall not be relevant to determine the meaning of this writing even though the accepting or acquiescing party has knowledge of the nature of the performance and opportunity for objection No addition to or modification of any of the terms and conditions specified herein shall be binding upon Supplier unless made in writing and signed by a duly authorized representative of Supplier The terms and conditions specified shall prevail notwithstanding any variance from the terms and conditions of any order or other form submitted by Buyer for the Products set forth on the face of this Agreement To the extent that this writing may be treated as an acceptance of Buyer s prior offer such acceptance is expressly made conditional on assent by Buyer to the terms hereof and without limitation acceptance of the goods by Buyer to the terms hereof and without limitation acceptance of the goods by Buyer shall constitute such assent All cancellations and reschedules require a minimum of thirty 30 days notice ZOLL Medical Corporation Services GUIDELINES 2010 READY TO State of Wyoming Department of Health Emergency Medical 6101 Yellowstone Road S
23. ble for any Equipment defect failure of the Equipment to perform any specified function or any other nonconformance of the Equipment caused by or attributable to i any modification of the Equipment by the Customer unless such modification is made with the prior written approval of ZOLL Medical Corporation ii the use of the Equipment with any associated or complementary equipment accessory or software not specified by ZOLL Medical Corporation or iii any misuse or abuse of the 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 than in accordance with ZOLL Medical Corporation s instructions c Warranty does not cover items subject to normal wear and burnout during use including but not limited to lamps fuses batteries cables 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 warranty constitutes the exclusive remedy of the Customer and the exclusive liability of ZOLL Medical Corporation for any breach of any warranty related to the Equipment supplied hereunder THE WARRANTY SET FORTH HEREIN IS EXCLUSIVE AND ZOLL MEDICAL CORPORATION EXPRESSLY DISCLAIMS ALL OTHER WARRANTIES WHETHER WRITTEN ORAL IMPLIED OR STATUTORY INCLUDING BUT NOT LIMITED TO ANY W
24. ckage Wi Fi Bluetooth USB cellular modem capable USB data transfer capable and large 6 5 16 5cm diagonal screen full 12 ECG lead view with both dynamic and static 12 Iead mode display Accessories Included Six 6 foot 3 Lead ECG cable MFC cable e 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 Operator s 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 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 o0 E0N OR EMAIL TO ESALES ZOLL COM 7 ALL DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS
25. ct to a restocking charge of twenty percent 20 of the original list purchase price but not less than 50 00 per product c Any such change in delivery caused by the Customer that causes a delivery date greater than six 6 months from the Customer s original order date shall constitute a new order for the affected Equipment in determining the appropriate list price 13 APPLICABLE LAW This Quotation and the Contract shall be governed by the substantive laws of the Commonwealth of Massachusetts without regard to any choice of law provisions thereof 14 COMPLIANCE WITH LAWS a ZOLL Medical Corporation represents that all goods and services delivered pursuant to the Contract will be produced and supplied in compliance with all applicable state and federal laws and regulations including the requirements of the Fair Labor Standards Act of 1938 as amended b The Customer shall be responsible for compliance with any federal state and local laws and regulations applicable to the installation or use of the Equipment furnished hereunder and will obtain any permits required for such installation and use 15 NON WAIVER OF DEFAULT In the event of any default by the Customer ZOLL Medical Corporation may decline to make further shipments or render any further warranty or other services without in any way affecting its right under such order If despite any default by Customer ZOLL Medical Corporation elects to continue to make shipments its action s
26. customs charges or any order processing fees The Customer shall pay in addition for the prices quoted the amount of any present or future sales excise or other similar tax or 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 apply from time to time In lieu thereof the Customer may provide ZOLL Medical Corporation with a tax exemption certificate acceptable to the taxing authorities 6 WARRANTY a ZOLL Medical Corporation warrants to the Customer that from the earlier of the date of installation or thirty 30 days after the date of shipment from ZOLL Medical Corporation s facility the Equipment other than accessories and electrodes will be free from defects in material and workmanship under normal use and service for the period noted on the reverse side Accessories and electrodes shall be warranted for ninety 90 days from the date of shipment During such period ZOLL Medical 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 workmanship If ZOLL Medical Corporation s inspection detects no defects in material or workmanship ZOLL Medical Corporation s regular service charges shall apply b ZOLL Medical Corporation shall not be responsi
27. data and one installation of ie 2 299 00 WALL MOUNTS CABINETS amp SIGNS 11998 000292 Wall Cabinet Semi recessed for AED 3 Trim A 291 00 249 00 Accessory 11998 000293 Wall Cabinet Fully recessed for AED 1 5 Trim 1 1 500 00 1 11220 000076 Wall Cabinet standard surface mount SS 11220 000077 Wall Cabinet standard semi recessed SS 451 00 11220 000078 Wall Cabinet small fully recessed SS EA 430 00 mm mm 1 25 2013 PHYSIO CONTROL pricing template CATALOG Product EA List Price Catalog Number Catalog Product Description UOM per Category Unit Accessor Accessor Accessor Accessor Accessor Accessor Accessor Accessor Accessor Accessor IrDA Adaptor with 9 pin serial port for DT Express Accessor Accessor Accessor Accessor Accessor 11577 000011 Mobile Battery Charger FOR THE LP15 1 777 00 Accessor 21330 001176 LP15 Lithium ion Battery 5 7 amp hrs Accessor 11141 000115 REDI CHARGE Base 1 295 00 1 480 00 Accessor 11140 000052 LIFEPAK 15 REDI CHARGE Adapter Tra 1 797 00 i gt i 2 i Accessor 2 2 2 1 1 MM MMM MM MM MM M Mm om om Accessor Accessor Accessor CARRYING CASES amp MOUNTING OPTIONS EA MM MMM MMM Mm mm 1 25 2013 PHYSIO CONTROL pricing template CATALOG Product EA List Price Catalog Number Catalog Product Description UOM per Category Unit Accessory 11130 000061 Standard hard paddles for use wLIFEPAK 15
28. er shall remain with ZOLL Medical Corporation until ZOLL Medical Corporation delivers the Equipment to the carrier and agrees to do all acts necessary to perfect and maintain such right and title in ZOLL Medical Corporation Failure of the Customer to pay the purchase price for any product when due shall give ZOLL Medical Corporation the right without liability to repossess the Equipment with or without notice and to avail itself of any remedy provided by law 18 EQUAL EMPLOYMENT OPPORTUNITY AFFIRMATIVE ACTION VETERAN S EMPLOYMENT If this order is subject to Executive Order 11710 and the rules regulations or orders of the Secretary of Labor issued thereunder the contract clause as set forth at 41 CFR 60 250 4 is hereby included as part of this order EMPLOYMENT OF HANDICAPPED if this order is subject to Section 503 of the Rehabilitation Act of 1973 as amended and the rules regulations or orders of the Secretary of Labor as issued thereunder the contract clause at 41 CFR 60 741 7 is hereby included as part of this order EQUAL OPPORTUNITY EMPLOYMENT if this order is subject to the provisions of Executive Order 11246 as amended and the rules regulations or orders of the Secretary of Labor issued thereunder the contract clause set forth at 41 CFR 60 1 4 a and 60 1 4 b are hereby included as a part of this order and Seller agrees to comply with the reporting requirements set forth at 41 CFR 60 1 7 and the affirmative action comp
29. h Emergency Medical 978 421 9655 Main Services 800 348 9011 978 421 0015 C S 6101 Yellowstone Road Suite 400 ailn o J Cheyenne WY 82002 Attn Ben Leonard QUOTATION 133902 V 3 DATE February 28 2013 email Ben Leonard heart org Tel 307 777 7955 TERMS Net 30 Days FOB Shipping Point FREIGHT Prepay and Add ITEM MODEL NUMBER DESCRIPTION QTY UNIT PRICE DISC PRICE TOTAL PRICE SP02 amp SpCO 4 540 Signal Extraction Technology SET Rainbow SET for SpCO 8 SpMet NIBP Welch Allyn includes 3 495 Smartcuff 10 foot Dual Lumen hose SureBP Reusable Adult Medium Cuff End Tidal Carbon Dioxide monitoring ETCO2 Oridion Microstream Technology 4 995 Order reguired 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 8000 0341 SpO2 SpCO SpMet Rainbow Resuable Patient Cable 1 225 00 157 50 157 50 Connects to Single Use Sensors 4 ft 8000 000371 SpO2 SpCO SpMet Rainbow DCI Adult Reusable 1 495 00 319 55 319 55 Sensor with connector 3 ft 8000 0580 01 Six hour rechargeable Smart battery 1 495 00 381 15 381 15 8200 000100 01 Single Bay Charger for the SurePower and SurePower II 1 945 00 727 65 Optional batteries This quote is made subject to ZOLL s standard commercial terms and conditions ZOLL T s C s which accompany t
30. hall not constitute a waiver of any default by the Customer or in any way affect ZOLL Medical Corporation s legal remedies regarding any such default No claim or right arising out of a breach of the Agreement by the Customer can be discharged in whole or in part by waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by ZOLL Medical Corporation 16 ASSIGNMENT This Quotation and the Contract may not be assigned by the Customer without the prior written consent of ZOLL Medical Corporation and any assignment without such consent shall be null and void 17 TITLE TO PRODUCTS Title to right of possession of the products sold hereunder shall remain with ZOLL Medical Corporation until ZOLL Medical Corporation delivers the Equipment to the carrier and agrees to do all acts necessary to perfect and maintain such right and title in ZOLL Medical Corporation Failure of the Customer to pay the purchase price for any product when due shall give ZOLL Medical Corporation the right without liability to repossess the Equipment with or without notice and to avail itself of any remedy provided by law 18 EQUAL EMPLOYMENT OPPORTUNITY AFFIRMATIVE ACTION VETERAN S EMPLOYMENT If this order is subject to Executive Order 11710 and the rules regulations or orders of the Secretary of Labor issued thereunder the contract clause as set forth at 41 CFR 60 250 4 is hereby included
31. his quote Any purchase order P O issued in response to this quotation will be deemed to Page 2 Subtotal 32 914 88 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 o0 E0N N DELIVERY WILL BE MADE 60 90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER Mike Williams PRICES WILL BE F O B SHIPPING POINT EMS Territory Manager PRICES QUOTED ARE FIRM FOR 60 DAYS 800 242 9150 x9298 APPLICABLE TAX amp FREIGHT CHARGES ARE ADDITIONAL ALL PURCHASE ORDERS ARE SUBJECT TO CREDIT APPROVAL BEFORE ACCEPTANCE BY ZOLL FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978 421 0015 OR EMAIL TO ESALES ZOLL COM ALL DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING www zollwebstore com Page 2 ZOLL GUIDELINES 2010 READY ZOLL Medical Corporation Worldwide HeadQuarters 269 Mill Rd Chelmsford Massachusetts 01824 4105 TO State of Wyoming Department of Health Emergency Medical 978 421 9655 Main Services 800 348 9011 A 978 421 0015 Customer Support 6101 Yellowstone Road Suite 400 ailn ID 04 2711626 Cheyen
32. ingement and defend such suit and iii the Customer gives ZOLL Medical Corporation all requested information assistance and authority at ZOLL Medical Corporation s expense to enable ZOLL Medical Corporation to defend such suit In the case of a final award of damages for infringement in any such suit ZOLL Medical Corporation will pay such award but it shall not be responsible for any settlement made without its written consent Section 10 states ZOLL Medical Corporation s total responsibility and liability s and the Customer s sole remedy for any actual or alleged infringement of any patent by the Equipment or the Software or any part thereof provided hereunder In no event shall ZOLL Medical Corporation be liable for any indirect special or consequential damages resulting from any such infringement 11 CLAIMS FOR SHORTAGE Each shipment of Equipment shall be promptly examined by the Customer upon receipt thereof The Customer shall inform ZOLL Medical Corporation of any shortage in 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 12 RETURNS AND CANCELLATION a The Customer shall obtain authorization from ZOLL Medical Corporation prior to returning any of the Equipment b The Customer receives authorization from ZOLL Medical Corporation to return a product for credit the Customer shall be subje
33. ission Lifeline Wyoming is to ensure every participating EMS Agency and Hospital in this initiative has the minimal eguipment necessary to deliver optimal care for Acute Myocardial Infarction AMI and Sudden Cardiac Arrest SCA patients Grant funding is available for equipment gaps Volunteers on the Equipment Advisory Council EAC Subcommittee will review applications to identify priority equipment needs and present their recommendations to the Wyoming Stakeholder Committee for final approval Please note this funding is available for a limited time and applications for the initial equipment rollout must be received by 5 00pm MDT Monday April1 The application and allocation process and timeline is available from AHA staff or at www heart org mlwyoming MOU submitted Yes No EMS or Hospital Name Survey Completed Yes No Application Submitted by Application Date d note that the MOU must be submitted to AHA to be eligible for any grant or equipment funding This application is provided for an EMS agency or Hospital to request grant funding to purchase repair or update the equipment necessary to treat AMI and or SCA patients as outlined by the Mission Lifeline Wyoming program objectives EMS agencies and hospitals that receive this equipment grant funding must commit to maintaining the equipment in working order and submitting a report of use one year after receipt Equipment Requested Please use the pricing referenced
34. l Corporation s instructions c Warranty does not cover items subject to normal wear and burnout during use including but not limited to lamps fuses batteries cables 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 warranty constitutes the exclusive remedy of the Customer and the exclusive liability of ZOLL Medical Corporation for any breach of any warranty related to the Equipment supplied hereunder THE WARRANTY SET FORTH HEREIN IS EXCLUSIVE AND ZOLL MEDICAL CORPORATION EXPRESSLY DISCLAIMS ALL OTHER WARRANTIES WHETHER WRITTEN ORAL IMPLIED OR STATUTORY INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE 7 SOFTWARE LICENSE a All software the Software which term shall include firmware included as part of the Equipment is licensed to Customer pursuant to a nonexclusive limited license on the terms hereinafter set forth b Customer may not copy distribute modify translate or adapt the Software and 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 tights in the Software remain the product of ZOLL Medical Corporation and Customer shall have no right or interest therein except as expres
35. liance program requirements set forth as 41 CFR 60 1 40 19 VALIDITY OF QUOTATION This Quotation shall be valid and subject to acceptance by the Customer in accordance with the terms of Section 1 hereof for the period set forth on the face hereof After such period the acceptance of this Quotation shall not be binding upon ZOLL Medical Corporation and shall not create a contract unless such acceptance is acknowledged and accepted by ZOLL Medical Corporation by a writing signed by an authorized representative of ZOLL Medical Corporation 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 agreement between Buyer and Supplier with respect to the purchase and sale of the Products described in the face hereof and only representations or statements contained herein shall be binding upon Supplier as a warranty or otherwise Acceptance or acquiescence in the course of performance rendered pursuant hereto shall not be relevant to determine the meaning of this writing even though the accepting or acquiescing party has knowledge of the nature of the performance and opportunity for objection No addition to or modification of any of the terms and conditions specified herein shall be binding upon Supplier unless made in writing and signed by a duly authorized representative of Supplier The terms and conditions specified sha
36. limited to this Quotation notwithstanding i 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 of any purchase order specification or other document issued by the Customer Any such documen shall be wholly inapplicable to any sale made pursuant to this Quotation and shall not be binding in any way on ZOLL Medical Corporation Acceptance of this Quotation by the Customer shall create an agreement between ZOLL Medical Corporation and the Customer hereinafter referred to as the Contract the terms and conditions o which are expressly limited to the provisions of this Quotation including these Terms and Conditions No waiver change or modification of any of the provisions of this Quotation or the Contract shall be binding 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 signed by an authorized representative of ZOLL Medical Corporation 2 DELIVERY AND RISK OF LOSS Unless otherwise stated all deliveries shall be F O B ZOLL Medical Corporation s facility Risk of loss or damage to the Equipment shall pass to the Customer upon delivery of the Equipment to the carrier 3 TERMS OF PAYMENT Unless otherwise stated in its Quotation payment
37. ll prevail notwithstanding any variance from the terms and conditions of any order or other form submitted by Buyer for the Products set forth on the face of this Agreement To the extent that this writing may be treated as an acceptance of Buyer s prior offer such acceptance is expressly made conditional on assent by Buyer to the terms hereof and without limitation acceptance of the goods by Buyer to the terms hereof and without limitation acceptance of the goods by Buyer shall constitute such assent All cancellations and reschedules require a minimum of thirty 30 days notice ZOLL Medical Corporation
38. ltering 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 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 o0 E0N OR EMAIL TO ESALES ZOLL COM 7 ALL DISCOUNTS OFF LIST PRICE ARE CONTINGENT UPON PAYMENT WITHIN AGREED UPON TERMS 8 PLACE YOUR ACCESSORY ORDERS ONLINE BY VISITING www zollwebstore com Page 1 Page 1 Subtotal 32 056 68 DELIVERY WILL BE MADE 60 90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER PRICES WILL BE F O B SHIPPING POINT PRICES QUOTED ARE FIRM FOR 60 DAYS APPLICABLE TAX amp FREIGHT CHARGES ARE ADDITIONAL ALL PURCHASE ORDERS ARE SUBJECT TO CREDIT APPROVAL BEFORE ACCEPTANCE BY ZOLL FAX PURCHASE ORDER AND QUOTATION TO ZOLL CUSTOMER SUPPORT AT 978 421 0015 Mike Williams EMS Territory Manager 800 242 9150 x9298 GUIDELINES ZOLL Medical Corporation 2010 READY Worldwide HeadQuarters U 269 Mill Rd Chelmsford Massachusetts 01824 4105 TO State of Wyoming Department of Healt
39. ne WY 82002 Attn Ben Leonard QUOTATION 133902 V 3 DATE February 28 2013 email Ben Leonard heart org Tel 307 777 7955 TERMS Net 30 Days FOB Shipping Point FREIGHT Prepay and Add ITEM MODEL NUMBER DESCRIPTION QTY UNIT PRICE DISC PRICE TOTAL PRICE 6 4001 9907 ZOLL M Series Biphasic w Pacing Trade In 1 2 500 00 Optional 7 5001 9901 ZOLL E Series Trade In 1 5 000 00 Optional 8 7800 0307 LifePak 12 Biphasic w Pacing 1 option Trade In 1 2 500 00 Optional 9 7800 0409 LP 15 with Pacing 2 options Trade In 1 5 000 00 Optional 10 7800 0213 MRX w Pace Spo2 EtCo2 NIBP Trade In 1 4 000 00 Optional Actual trade in value will be determined by configuration and age of the devices at the individual departments at time of purchase Reflects Discount Pricing Optional items are not included in the total of this quote Trade In Value valid if all units purchased are in good operational and cosmetic condition and include all standard accessories such as paddles cables etc 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 accompany this quote Any purchase order P O issued in response to this quotation will be deemed to TOTAL 32 91
40. od pressure and end tidal C02 includes adult re usable fingertip transducer adult blood pressure cuff and interconnect cable and adult filter line Noninvasive transcutaneous pacing B01 2 350 00 1 528 00 12 lead ECG acquisition B02 4 000 00 2 600 00 AC Power Module C06 425 00 276 00 Black Soft Carry Case C21 No Charge MRx Wireless Link Generic WiFi Verizon and AT amp T DO 1 3 4 995 00 3 247 00 Antimicrobial Reuseable Pediatric Cuff M4553B 29 00 22 00 Antimicrobial Reuseable Large Adult Cuff M4557B 33 00 25 00 Adult Pre Connected Pads 2 sets 63 00 54 00 Pediatric Plus Pads 1 set 31 00 27 00 Two year bench with loaner warranty W22 No Charge Additional one year bench with loaner warranty 573 00 555 00 Performance Assurance Audits 350 year x 3 years 1 050 00 945 00 22 484 00 Additional Available Options Temperature Replace A23 with A25 additional charge 800 00 ACI TIPI amp TPI B17 495 00 322 00 2 Lithium lon Battery C05 415 00 290 00 Q CPR B08 2 995 00 1 945 00 e Price includes delivery set up and in service at no charge Fast Initial Response Systems amp Training PO Box 7719 e Helena MT 59604 Phone 406 442 8194 or 800 246 3208 e Fax 406 442 6480 e email first montana com 1 25 2013 PHYSIO CONTROL pricing template CATALOG Physio Control List Pricing 2013 V 69 1 14 13 Product EA List Price Catalog Number Catalog Product Description per Category baa III T TTT aaa LIFEPAK 15 Common Pre H
41. ompliance with all applicable state and federal laws and regulations including the requirements of the Fair Labor Standards Act of 1938 as amended b The Customer shall be responsible for compliance with any federal state and local laws and regulations applicable to the installation or use of the Equipment furnished hereunder and will obtain any permits required for such installation and use 15 NON WAIVER OF DEFAULT In the event of any default by the Customer ZOLL Medical Corporation may decline to make further shipments or render any further warranty or other services without in any way affecting its right under such order If despite any default by Customer ZOLL Medical Corporation elects to continue to make shipments its action shall not constitute a waiver of any default by the Customer or in any way affect ZOLL Medical Corporation s legal remedies regarding any such default No claim or right arising out of a breach of the Agreement by the Customer can be discharged in whole or in part by waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by ZOLL Medical Corporation 16 ASSIGNMENT This Quotation and the Contract may not be assigned by the Customer without the prior written consent of ZOLL Medical Corporation and any assignment without such consent shall be null and void 17 TITLE TO PRODUCTS Title to right of possession of the products sold hereund
42. on only 5 6 Mission Lifeline Wyoming Subcommittee Equipment Advisory Council Z American American Heart Stroke March 15 2013 Association Association 10 55 Review Action Steps Tom Information only 11 00 Adjourn Scott AHA MLWY Inititative Subcommittee EAC Roster A American American Heart Stroke March 2013 Association Association AirLife Bob Greene American Medical Response Brenda Hammock American Medical Response Cindy Osborne Campbell County EMS Kelly Kalkhoff Campbell County EMS Gregg Mentzel Campbell County Memorial Hospital Lorna Thomas Casper College Russ Christiansen Cheyenne Regional Medical Center Vicky Edwards Cheyenne Regional Medical Center Muhammad Khan Cheyenne Regional Medical Center Charlie Retz Cheyenne Regional Medical Center Melissa Tschimperle City of Torrington EMS Christy Gutierrez Classic Lifeguard Aeromedical Services Merle Potter Evansville Emergency Service Matt Gacke Fremont County EMS Lauri Wempen Glendo Volunteer Ambulance Elizabeth VanBuskirk Hot Springs County Memorial Hospital Les Snyder Lander Regional Hospital Brad Langdorf Laramie County Community College Rasha Riad Memorial Hospital of Converse County Toni Harms Memorial Hospital of Converse County Robynn Scheehle Memorial Hospital of Converse County EMS Howard Bean AHA MLWY Inititative Subcommittee EAC Roster March 2013 A American American Heart Stroke Association Association Mem
43. on the attached vendor document and attach vendor quotes to your agency or hospital to support application Total Cost Equipment Description of Need 24 081 30 x 2 Ex Zoll X Series Monitor Ex Have 2 ambulances that do not have EKGs 390 00 x 2 Ex Cell Phone Signal Booster Ex Service area has poor cell coverage For EAC Subcommittee Use Only Date EAC Co Chair Initial Decision Rationale Approved Denied Approved Denied January 15 2013 TO AHA Mission Lifeline Wyoming Revised Philips MRx Transport ALS Monitor Defibrillator BLS Intermediate Unit The HeartStart MRx Monitor Defibrillator model includes manual defibrillation AED mode ECG arrhythmia detection automated testing one carry case one battery pack one metal bedrail hook one 5 lead ECG cable one pad cable one protective display cover one test load one roll of paper and one CD with Instructions for Use Description Ref List Price Mission Lifeline HeartStart MRx Monitor Defibrillator M3536A 10 700 00 6 955 00 Sp02 NBP and 75mm Printer A22 5 165 00 3 357 00 pulse oximeter non invasive blood pressure includes adult re usable fingertip transducer adult blood pressure cuff and interconnect cable and adult filter line 12 lead ECG acquisition B02 4 000 00 2 600 00 AC Power Module C06 425 00 276 00 Black Soft Carry Case C21 No Charge MRx Wireless Link Generic WiFi Verizon and AT amp
44. or free or that the Software will meet Customer s requirements Except as set forth in section 7 f ZOLL MEDICAL CORPORATION MAKES NO REPRESENTATIONS OR WARRANTIES WITH RESPECT TO THE SOFTWARE AND IN PARTICULAR DISCLAIMS ANY IMPLIED WARRANTIES OR MERCHANTABILITY OR FITNESS OF A PARTICULAR PURPOSE WITH RESPECT THERETO Customer s exclusive remedy for any breach of warranty or defect relating to the Software shall be the 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 8 DELAYS IN DELIVERY ZOLL Medical Corporation shall not be liable for any delay in the delivery of any part of the Equipment if such delay is due to any cause beyond the control of the ZOLL Medical Corporation including but not limited to acts of God fires epidemics floods riots wars sabotage labor disputes governmental actions inability to obtain materials components manufacturing facilities or transportation or any other cause beyond the control of ZOLL Medical Corporation In addition ZOLL Medical Corporation shall not be liable for any delay in delivery caused by failure of the Customer to provide any necessary information in a timely manner In the event of any such delay the date of shipment or performance hereunder shall be extended to the period equal to the time lost by reason of such delay In the event of such delay ZO
45. orial Hospital of Converse County EMS Moorcroft EMS Moorcroft EMS Newcastle Ambulance Service North Big Horn Hospital Ambulance Service Powell Valley Healthcare Rocky Mountain Ambulance Service LLC Sheridan Area Rural Fire Department Sheridan Memorial Hospital Sheridan Memorial Hospital Sheridan Memorial Hospital Sheridan Memorial Hospital Big Horn Heart Center Star Valley Medical Center EMS Sweetwater Medics LLC Town of Burns EMS Town of Pine Haven Ambulance Service University of Wyoming West Park Hospital District Wyoming Life Flight Wyoming Medical Center EMS Carlos Dorothy Sheila Aaron Scott June Rick Marc Jennifer Chrystal Tom Sharon Troy Ron Jeff Tom Derek Kevin Kelly Mark Mesa Baron Hansen Hespe Murphey Minchow Ballard Ketcham Rasp Vaughn Rhone Richards Krueger Clawson Gatti Bartles Schanefelt Smith Schlosser Jackson Meyer Mission Lifeline Wyoming Subcommittee Eguipment Advisory Council January 22 2012 American American Heart Stroke Association Association Teleconference Call Number 877 6861381 Participant Pass Code 2997862852 www heart org mlwyoming Co chairs Tom Richards Scott Murphey Staff Liaisons Ben Leonard Wendy Segrest Organizations American Medical Response Campbell County EMS Casper College Cheyenne Regional Medical Center City of Torrington EMS Hulett EMS Osage Volunteer EMS Sundance EMS Lander Regional Hospital Laramie
46. orporation s facility the Equipment other than accessories and electrodes will be free from defects in material and workmanship under normal use and service for the period noted on the reverse side Accessories and electrodes shall be warranted for ninety 90 days from the date of shipment During such period ZOLL Medical 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 workmanship If ZOLL Medical Corporation s inspection detects no defects in material or workmanship ZOLL Medical Corporation s regular service charges shall apply b ZOLL Medical Corporation shall not be responsible for any Equipment defect failure of the Equipment to perform any specified function or any other nonconformance of the Equipment caused by or attributable to i any modification of the Equipment by the Customer unless such modification is made with the prior written approval of ZOLL Medical Corporation ii the use of the Equipment with any associated or complementary equipment accessory or software not specified by ZOLL Medical Corporation or iii any misuse or abuse of the 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 than in accordance with ZOLL Medica
47. ospital Configurations eee Perch LIFEPAK15 99577 001252 LIFEPAK 15 Trending 12 Lead ECG Bluetooth 22 595 00 LIFEPAK15 99577 001258 LIFEPAK 15 Trending Masimo SpO2 NIBP EtCO2 2 Invasive Pressure Channels Bluetooth 25 195 00 LIFEPAK15 99577 001253 LIFEPAK 15 Trending Masimo SpO2 SpCO NIBP EtCO2 Bluetooth 26 195 00 LIFEPAK15 99577 001255 LIFEPAK 15 Trending Masimo SpO2 NIBP 12 Lead ECG EtCO2 Bluetooth 29 995 00 LIFEPAK15 99577 001256 LIFEPAK 15 Trending Masimo SpO2 SpCO NIBP 12 Lead ECG EtCO2 Bluetooth 33 295 00 LIFEPAK15 99577 001257 LIFEPAK 15 Trending Masimo SpO2 SpCO SpMet NIBP 12 Lead ECG EtCO2 Bluetooth Lo ey 36 595 00 1 Common Hospital Configurations LIFEPAK15 99577 001238 LIFEPAK 15 Bluetooth 1 13 595 00 EA EA EA LIFEPAK 15 Trending Masimo SpO2 EtCO2 12 Lead ECG Bluetooth E A Common Transport Configurations LIFEPAK15 99577 001243 LIFEPAK 15 Trending Masimo SpO2 NIBP 2 Invasive Pressure Channels Bluetooth EA 1 20 995 00 LIFEPAK15 99577 001247 LIFEPAK 15 Trending Masimo SpO2 NIBP 12 Lead ECG EtCO2 2 Invasive Pressure Channels EA ET 31 895 00 Bluetooth LIFEPAK15 99577 001249 LIFEPAK 15 Trending Masimo SpO2 SpCO NIBP 12 Lead ECG EtCO2 2 Invasive Pressure EA 35 195 00 Channels Bluetooth LIFEPAK15 99577 001250 LIFEPAK 15 Trending Masimo SpO2 SpCO SpMet NIBP 12 Lead ECG EtCO2 2 Invasive Le 38 495 00 Pressure Channels Bluetooth Nellcor Configurations
48. pediatric sensor 24 BX 614 00 1 25 2013 PHYSIO CONTROL pricing template CATALOG Product EA List Price Catalog Number Catalog Product Description UOM per Category Unit Accessor Accessor Accessor Accessor Accessor Accessor Accessor Accessor Accessor Accessor Accessor Accessor Accessor 1996 000331 Accessor 1996 000332 Accessor 1996 000333 i he Mi Accessor 1996 000334 Masimo SET Red Pediatric Reusable Direct Connect Sensor 12 foot 584 00 Accessor 11996 000335 Masimo SET Rainbow Adult Reusable Direct Connect Sensor 3 foot 1 736 00 Accessor 11996 000336 Accessor 11996 000337 Accessor Accessor 1 84400 Accessor 1 796 00 10 460 00 OO 00 WO 00 00 00 09 00 00 D D mm mm Mm Rainbow R20 L Infant Adhesive Sensors SpO2 SpCO and SpMet 10 box EA r 10 700 00 725 00 Wo 0 Wo wvm mm m m m mm 1 25 2013 PHYSIO CONTROL pricing template CATALOG Product EA List Price Catalog Number Catalog Product Description UOM per Category Unit Accessory 11171 000053 Accessor 1996 000080 1996 000081 1996 000164 FilterLine Set Long Adult Pediatric box of 25 1996 000120 1996 000128 S S mim i emt D D N 0 9 9 0 U U X X X 1996 000162 1996 000163 1996 000165 1996 000166 SmartCapnoLine Plus Adult Intermediate patients gt 44lbs Cs of 100 1996 000167 SmartCapnoLine Plus w O2 delivery Adult Intermediate patients gt 44lbs Cs of 100 100 11996 000017 Electrode
49. sly provided herein d Customer s right to use the Software may be 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 the Equipment and may not retain any copies of the Software following such transfer f ZOLL Medical Corporation warrants that the read only memory or other media on which the Software is recorded will be free from defects in materials and workmanship for the period and on terms set forth in section 6 g Customer understands that the Software is a complex and sophisticated software product and no 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 CORPORATION MAKES NO REPRESENTATIONS OR WARRANTIES WITH RESPECT TO THE SOFTWARE AND IN PARTICULAR DISCLAIMS ANY IMPLIED WARRANTIES OR MERCHANTABILITY OR FITNESS OF A PARTICULAR PURPOSE WITH RESPECT THERETO Customer s exclusive remedy for any breach of warranty or defect relating to the Software shall be the 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 8 DELAYS IN DELIVERY ZOLL Medical Corporation shall not be liable for any delay in the delivery of
50. these Terms and Conditions No waiver change or modification of any of the provisions of this Quotation or the Contract shall be binding 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 signed by an authorized representative of ZOLL Medical Corporation 2 DELIVERY AND RISK OF LOSS Unless otherwise stated all deliveries shall be F O B ZOLL Medical Corporation s facility Risk of loss or damage to the Equipment shall pass to the Customer upon delivery of the Equipment to the carrier 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 hereunder which remain unpaid after the date shall be subject to a late charge equal to 1 5 per month from the due date until such amount is paid 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 shipment or delivery except upon receipt of payment or security or upon terms regarding credit or security satisfactory to ZOLL Medical Corporation 5 TAXES amp FEES The pricing quoted in its Quotation do not include sales use excise or other similar taxes or any duties or
51. ts 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 8000 0341 SpO2 SpCO SpMet Rainbow Resuable Patient Cable 1 225 00 157 50 157 50 Connects to Single Use Sensors 4 ft 8000 000371 SpO2 SpCO SpMet Rainbow DCI Adult Reusable 1 495 00 319 55 319 55 Sensor with connector 3 ft 8000 0580 01 Six hour rechargeable Smart battery 1 495 00 381 15 381 15 8200 000100 01 Single Bay Charger for the SurePower and SurePower II 1 945 00 727 65 Optional batteries This quote is made subject to ZOLL s standard commercial terms and conditions ZOLL T s C s which accompany this quote Any purchase order P O issued in response to this quotation will be deemed to Page 2 Subtotal 32 914 88 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 o0 E0N N DELIVERY WILL BE MADE 60 90 DAYS AFTER RECEIPT OF ACCEPTED PURCHASE ORDER Mike Williams PRICES WILL BE F O B SHIPPING POINT EMS Territory Manager PRICES QUOTED ARE FIRM FOR 60 DAYS 800 242 9150 x9298 APPLICABLE TAX amp FREIGHT CHARGES ARE ADDITIONAL ALL PURCHASE ORDERS ARE
52. uite 400 Cheyenne WY 82002 Attn Ben Leonard email Ben Leonard heart org ZOLL Medical Corporation Worldwide HeadQuarters 269 Mill Rd Chelmsford Massachusetts 01824 4105 978 421 9655 Main 800 348 9011 978 421 0015 Customer Support FEDERAL ID 04 2711626 QUOTATION 133902 V 3 DATE February 28 2013 Tel 307 777 7955 TERMS Net 30 Days FOB Shipping Point FREIGHT Prepay and Add ITEM MODEL NUMBER DESCRIPTION QTY UNIT PRICE DISC PRICE TOTAL PRICE 1 601 2231011 01 X Series Manual Monitor Defibrillator 14 995 1 40 020 00 32 056 68 32 056 68 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 screen full 12 ECG lead view with both dynamic and static 12 Iead mode display Accessories Included Six 6 foot 3 Lead ECG cable MFC cable e 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 Operator s 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 fi
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