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Item G3BOARD OF GOVERNORS EIRE AND AMBULANCE DISTRICT 1 AGENDA ITEM SUMMARY Meeting Date: October 15, 2008 Division: Emergency Services Bulk Item: Yes No X Department: Fire Rescue Staff Contact Person/Phone #: Darice Hayes /6004 AGENDA ITEM WORDING: Approval of a Renewal Agreement by and between the Board of Governors of Fire and Ambulance District 1 of Monroe County, Florida and Physio- Control, Inc., formerly known as Medtronic Emergency Response Systems, Inc., for the preventative inspection and maintenance of biomedical equipment. ITEM BACKGROUND: In October of 2006 the Board of Governors of Fire and Ambulance District 1 approved a contract with Medtronic Emergency Response Systems, Inc., for the preventative inspection and maintenance of biomedical equipment which included an option to renew the contract for two (2) additional one (1) year terms. Fire Rescue is requesting approval to exercise the renewal option for the second one (1) year period. PREVIOUS RELEVANT BOCC ACTION: On September 19, 2007 the Board approved the Renewal Agreement with Medtronic Emergency Response Systems, Inc. for the period November 1, 2007 through October 31, 2008 in the amount of $15,809.00. On October 18, 2006 the Board accepted the proposal and approved the Agreement with Medtronic for the maintenance of biomedical equipment for the Fire and Ambulance District I in the amount of $15,809.00 for the period November 1, 2006 through October 31, 2007. CONTRACT /AGREEMENT CHANGES: The Renewal Agreement to provide service will be for the period November 1, 2008 through October 31, 2009 in the amount of $15,260.10. The price of the contract is lower than the previous year's contract due to the removal of coverage for the Battery Support Systems which are no longer supported by Physio - Control, Inc. STAFF RECOMMENDATIONS: It is imperative that this biomedical equipment be maintained properly as it is used for cardiac monitoring of patients. The vendor has always provided excellent service in the past. In view of the foregoing, Fire Rescue staff recommends approval of the Renewal Agreement for an additional one (1) year period. TOTAL COST : $15,260.10 BUDGETED: Yes X No COST TO COUNTY: $15,260.10 SOURCE OF FUNDS: Ad Valorem Taxes REVENUE PRODUCING: Yes No X AMTUNT PER MONTH Year APPROVED BY: County Atty urchasing Risk Management DOCUMENTATION: Included X Not Required DISPOSITION: AGENDA ITEM # Revised 11106 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract with: Pliysio Control, Inc. formerly Contract # Mcdtronic Emergency Response Systems, Inc. Effective Date: November 1, 2008 Expiration Date: October 31, 2009 Contract Purpose /Description: Renewal Agreement for preventative and corrective maintenance of biomedical eq for the Board of Governors, Fire and Ambulance District 1. Contract Manager: Darice Mayes 6004 Fire Rescue /Stop 14 (Name) (Ext.) (Department /Stop #) for BOCC meeting on Oct. 15, 2008 Agenda Deadline: Sept. 30, 2008 CONTRACT COSTS Total Dollar Value of Contract: $15,260.10 Current Year Portion: Budgeted? Yes® No ❑ Account Codes: 141- 13001 - 530460 - Grant: $ County Match: $ ADDITIONAL COSTS Estimated Ongoing Costs: $ /yr For: (Not included in dollar value above) janitorial, salaries, etc. CONTRACT REVIEW Reviewer Date Out (0lq,Cd 51 l I o�, lob t off ql UMB corm Revised 2127101 MCP #2 Da I 1 012 , Changes Needed Division Director OY Yes[:] No Risk ManagTnnentt D tQ k js Yes❑ No❑v' 0'N O.B. /Purchaling lf) t Off Yes❑ County Attorney 472 Yes❑ Nom Comments: Reviewer Date Out (0lq,Cd 51 l I o�, lob t off ql UMB corm Revised 2127101 MCP #2 RENEWAL AGREEMENT This RENEWAL AGREEMENT dated the day of , 2008, by and between the Board of Governors of Fire and Ambulance District I of Monroe County, Florida, hereinafter called the "COUNTY" and Physio - Control, Inc., formerly known as Medtronic Emergency Response Systems, Inc., hereinafter referred to as "CONTRACTOR ". WITNES S ETH WHEREAS, on October 18, 2006, the COUNTY entered into an Agreement with Medtronic Emergency Response Systems, Inc. for the preventative inspection and maintenance of biomedical equipment for the Board of Governors of Fire and Ambulance District 1; and WHEREAS, said Agreement provided an initial term of one (1) year with an option to the COUNTY to renew the contract for two (2) additional one (1) year terms; and WHEREAS, the COUNTY wishes to exercise said second one (1) year renewal option for the continuation of preventative inspection and maintenance of biomedical equipment for the Board of Governors of Fire and Ambulance District I ; and WHEREAS, in December 2006, Physio- Control, Inc., the unit performing the Agreement, which was formerly a unit of Medtronic Emergency Response Systems, Inc., was spun off by Medtronic Emergency Response Systems, Inc. as a separate company. NOW THEREFORE, IN CONSIDERATION of the mutual covenants and obligations contained herein, the parties agree as follows: I . The name of the contracting party is revised to read Physio - Control, Inc. wherever it appears in the Agreement. 2. The COUNTY elects to renew the contract for an additional year pursuant to Paragraph 4; Section A of the Agreement entered October 18, 2006, 3. The effective date of this amendment is November 1, 2008 and shall extend through October 31, 2009, under the same tennis and conditions of the contract dated October 18, 2006. 4. All other terms and conditions of the contract dated October 18, 2006 shall remain in full force and effect. (SEAL) Attest: Danny L. Kolhage, Clerk By: Deputy Clerk (CORPORATE SEAL) Attest: By: Title: MONROE COUNTY ATTORNEY APPROVED A T r3p mac,. CYNTHIAC H AEL ASSISTANT COUNTY ATTORNEY Date � 3 0 — ,R006 BOARD OF GOVERNORS, FIRE AND AMBULANCE DISTRICT I OF MONROE COUNTY, FLORIDA I� 1 Mayor /Chairman PHYSIO- CONTROL, INC. C Print Name. Title: AGREEMENT This Agreement is made and entered into this 18th clay of October 2006, by and between the Board of Governors, Fire and Ambulance District i of Monroe County, Florida, hereinafter referred to as "COUNTY" and MEDTRONIC Emergetley Response Systems, Inc., hereinafter referred to as "CONTRACTOR ". VMREAS: That the parties Hereto, for the consideration hereafter set forth, mutuaIly agree as follows: SCOPE OF THE 'WORK, The CONTRACTOR shall Rin:dsh all labor, materials, equipment, 1 , 11achineiy, tools, apparatus and transportation and perform all other work as described in the Technical Service Support Agreement for the preventive inspection and maintenance of biomedical equipment for the Board of Governors. The Technical Service Suppcart Agreement is attached hereto as Exhibit B and made a part of this Agreement by reference. 2. CONTRACT SUM The COUNTY shall pay to the CONTRACTOR a total amount of $15,809.00 for the faithful performance ofthe Contract, in lawful money of the United States. This will be paid in 12 equal monthly instalhnents, on the first of the month for the preceding Inonth after invoice rendered by Contractor. GENERAL PROVISIONS A, The CONTRACTOR, agrees to indemnify the COUNTY and hold the COUNT -'' harmless from and against all claims, damages, losses and expenses, including reasonable attorneys' fees in any action arising out of performance of the work herein, including bodily injury, illness or death, or for property damage including loss of use, resulting from the CONTRACTOR'S work, B, The CONTRACTOR warrants that it has not employed, retained or otheMse had act on its behalf any former County officer or employee subject to the prohibition Of Section 2 or Ordinance No, 010-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010 -1990. For breach or violation of this Provision the COUNTY may, in its discretion, terminate this Contract without liability and may also, in its discretion, deduct from the Contract or purchase price or otherwise recover, the frill amount of any fee, commission, percentage, gift or consideration paid to the former County officer or employee. C. Before beginning work under this Contract, the CONTRACTOR must provide evidence satisfactory to the COUNTY'S Risk Management Director that the CONTRACTOR has in force and effect the insurance required as outlined in Exhibit A. page 1 Of 5 4. CONTP - &CT TERM A. The Contract shall connnence on Novell1ber 1, 2006 and shall expire one year from ' that date on October 31, 2007. The Contract may be, renewed for two (2) additional one (1) year t erms at the option of the COUNT - Y. The COUNTY shall exercise the option by a written notice to the CONTRACTOR, 30 days before expiration of the original terns, B. The CONTRACTOR shall not be .held liable for delay in delivery caused by strilces, inability to obtain materials or equipment, production or manufacturing problems and all other causes beyond the CONTRACTOR'S control. The CONTRACTOR shall not be liable for any incidental damages caused by delays in delivery. C. Monroe County's Performance and obligation to pay under this contract, is contingent upon an annual appropriation by the Board of County Conal3issioners of Monroe, County. CONTRACTOR'S ACCEPTANCE OF CONDITIONS The CONTRACTOR understands all provisions of this Contract and of the Specifications and agrees to their sufficiency for the work to be done. Under no circumstances, conditions or situations shall this Contract be more strongly construed against the COUNTY than against the CONTRACTOR. 6. PAYMENT A. The CONTRACTOR, shall invoice the COUNTY', in accordance with the pricing and terms as outlined in the Contract doculuenis. Invoices shall be submitted to Monroe County Fire Rescue, 490 63 Street, Ocean, Suite 122, Marathoi -, Florida 33050, for approval and processing. B. All payments shall be made directly to the CONTRACTOR at the CONTRACTOR'S office, MEDTRONIC Emergency Response Systems, Inc., 11811 Willows Rd., N.E., Redmond, WA 98073. 7. INDEPENDENT CONTRACTOR At all times and for all purposes hereunder CONTRACTOR is an independent contractor and not au employee of the Board of County Commissioners of Monroe County. No statement contained in this Agreement shalt be construed so as to find the CONTRACTOR or any of his/her employees, contractors, servants or agents to be employees of the Board of County Connnissioners of Monroe County and they shall be entitled to none of the rights, privileges or benefits of employees of Monroe County. Page 2 of 5 8, COMPLIANCE WITH LAW In providing all services pursuant to this Agr the CONTRACTOR shall abide by all statutes, ordinallecs, i ides and regulations pertaining to, or regulating the pzovisiol's of'such goods, including those now in effect and hereinafter adopted. Any violation of said statutes, ordinances, rules or regulations shall constitute a Material breach of this Agreement and shall entitle the Board of County Commissioners to tQnuivate this Contract immediately upon delivery of written notice of ter to the CONTRACTOR. 9. SUBCONTRACTING/ASSIGNMENT CONTRACTOR shaII not assign, sublet, subcontract, sell or transfer any interest in this Contract without the prior written consent of'the COUNTY" thereto, 10, NOTICE - GENERAL, Any notice or notices required or permitted to be given pursuant to this Contract may be personally served on the other party by the party oir? such notice or may be served by certified mail, reftm, receipt requested, to the following addresses. COUNTY: Monroe County Fire Rescue 490 63rd Street, Ocean, Suite 122 Marathon, Florida 33050 CONTRACTOR: MEDTRONIC Emergency Response Systems, Inc. I1811 Willows Rd., N.E. Redmond, WA 98073 11. .ANTI DISCRIMINATION CONTRACTOR agrees they will not discriminate against any of'their employees or applicants for enapiaymezlt or against persons for any other benefit or service, because of their race, color, religion, sex or national origin, or physical or mental handicap where the handicap does not affect the ability of an individual to perform in a position of employment and to abide by all Federal and State laws regarding non - discrimination. 12, NON WAIV]BR Any waiver of any breach of covenants herein contained to be kept and performed by the CONTRACTOR shah not be deemed or considered as a condnui,ng waiver and shall not operate to bar or prevent the COUNTY Rom declaring a forfeiture fo any succeeding breach either of tiae same conditions or covenants or otherwise. Page 3 of 5 13. CONTRACTOR - GENERAL - The CONTRACTOR warrants that it is authorized by law to engage in the performance of the activities encompassed by the program herein described, subject to the terms and conditions set forth in the Attachment, which is attached hereto and incorporated herein as part of this A.greejuent. that: Each of the signatories for the CONTRACTOR, below, certifies and warrants A. The CONTRACTOR'S name hl this Agreement is the full name as designated its corporate charter, if CONTRACTOR is a corporation; otherwise, CONTRACTOR'S name is the business entity, whether partnership or sole Proprietorship, under which CONTRACTOR normally conducts business. B. They are empowered to act and contract for the CONTRACTOR and C. This Agreement has been approved by the Board of Directors of CONTRACTOR, if CONTRACTOR has a corporation. 14. ENTME AGREEMENT This Agreement constitutes the entire Agreement of the parties hereto with respect to the subject matter hereof and supersedes any and all prior Agreements with respect to such subject matter between CONTRACTOR. and the Fire Rescue office or the COUNTY. 15. CONSENT TO JMSDICTION This Agreement, its performance and all disputes arising hereunder, shall be governed by the laws of the State of Florida and Moth parties agree that the venue for any action shall be Monroe County. This Agreement is not subject to arbitration. 16. CONDITIONS OF TERMWATION A. The performance of work or provision of goods under this Agreement may be terminated, delayed or temporarily suspended by the COUNTY, in whole or in part, from time to tune, wherever the COUNTY shall determine that such termination is in the best interest of the COUNTY. The COUNTY shall pay all reasonable costs incurred by the CONTRACTOR up to the time oftormirration and all reasonable costs to the CONTRACTOR associated with termination, B. If the CONTRACTOR falls to fulfih the terms of this Agreement or attachments, properly or on time or otherwise violates the provisions of the Agreement or of applicable laws or regulations governing the use of fands, the COUNTY may terminate the Contract by written notice of 15 days. The notice shall specify cause. The COUNTY shall pay the CONTRACTOR fair and equitable compensation for expenses incurred prior to termination of the Agreement, less any amount of damages caused by the CONTRACTOR'S breach. If the damages Page 4 of 5 are 1110 tb-all campensatiozl payable, the CONTRA.CTOR will reualain liable after termination and the COUNTY can affirmatively collect damages, A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public worlr, may not submit bids oil leases or real property to public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the ft eshold amount provided in Section 287.017, for CATEGORY TWO for a period of 35 months from the date of being placed on the convicted vendor list. 17. The County does not pay sates tape or any otljer taxes. The provisions of this Agreernelit supersede aay conflicting provisions in Exhibit B attached hereto as the Technical Service Support Agreement_ 11\ WITNESS WHEREOF, the parties hereto have executed this Contract the day and year first above written., BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 OF MONK E COU By: MA.YOR/CHAMMAN (CORPOR#FE SEALI MEDTRO Y RESPONSE SYSTEMS, INC, Attest: an e s er Title: c k�'l ttlft7d , Title: Vice President f ����aoofl � ® �esPouse 3Ys� ®��D � ®e �� ��,G.� °ppGdeppGOnp6PeO� ��� s GORPOR a Cs SE AL . ° °8 ° O MQNROE COUN TYATTORNEY APPROVED AS T,- FORM: S M. GRIMSLE ASSIS ANT COUNTY ATT©RMEY Elate ?age 5 of 5 LARy fG-PJ P Y+! iLYPUTTLAv.. E 1,' O • r The undersigned vendor in accordance with. Florida Statute 287,087 hereby certifies that; MUM Eule enc Ides once Systems, 113c. (Nam of Business) L Publish a statement notifying employees that the unlawful manufacture, distrl4uti dispausing, Possession, or use of n controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations ofsuch prolu'bition. 2_ Inform employees about the dangexs of drug abuse in the workplace, the business's policy of maintaining a drug -free worl,TIace, any available drug counseling, rehabilitation, and employee assistapce programs, nposed upozx employees for drug $buss violations. and the penalties that may be i 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1), 4, Xu the statement specified in subsection (1), notify the employees tluet, as a condition of working on the commodities or contractual services that are under bid, the employeo will abide: by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, w violation of Chapter 843 (Worlda Statutes) or of any controlled substartoe law of the United States or any state:, for a violation occurring in the workplace no later thEM five (5) days niter such conviction. 5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, or atty employee who is so convicted. £. Make a goer) faith effort to continue to maintain a drug-free workplace: through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully V,% the above requimments. r Birlder'5 SlgfrlAtltC { p " j T Date OMB - MCP #5 B K, it "- Vii" A� rune 1 Of 3 GL'ITKTIU L LJABJ[ t Nf 0 CONTRACT yy�� 7�t ll�l��lC�1`�ICEN MOATROE COUNTY, JC'J!J®JLbJDDA C11YD Prior to the commencement ofworlc governed by this contract, the Contractor shall obtain General Liability Insurance. Coverage shall be maintained throughout the life oftlae contract and include, as a mini urn Premises Operations Products and Completed Operations Blanket Contractual Liability Personal Injury Liability Expanded Definition of Property Damage The minimum limits acceptable shall be: $300,000 Combined. Single Limit (CSL) If split limits are provided, the minimum limits acceptable shall be; $100,000 per Person $300,000 per Occurrence $ 50,000 Property Damage An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its provisions should include coverage for claims filed on or after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the acceptance of work by the County. The Monroe County Board. of County Commissioners shall be named as Additional Insured on all Policies issued to satisfy the above requirements. CCLI. rye 01H7A 11 "ge' 2 "JEMULE iNSUIRAiNc P RE QU !R I') { NTs MONROE COUNTY, FLORIDA AND Recognizing that the work governed by this contract requires the use of vehicles, the Contractor, pzior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be maintained throughout the life of the contract: and include, as a minim liability coverage for: Owned, Non-Owned, anxd Hired Vehicles The minimum limits acceptable shalt be: $100,000 Combined Single Limit (CSL) If split limits are provided, the Mfilixnum limits acceptable shall be: $ 50,000 per Person $100,000 per OeculTence $ 25,000 PropeItY Damage The Moxaxoe County Board. of County Commissioners shall be named as Additional Insured on all Policies issued to satisfy the above requirerrnents. VLI. Page 7of 8 T I , { ART 4 Teage3 of 11 8 W JLd1'ilJ_ C R 7n �i 7 QLL/I f �� i rL 8 FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Workers' Compensation Insurance with limits sufficient to respond to Florida Statute 440. In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less than: $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, policy limits $100,000 Bodily Injury by Disease, each employee Coverage shall be maintained throughout the entire term of the contract. Coverage shall be provided by a conipany or companies authorized to transact business in the state of Florida. If the Contractor has been approved by the Florida's Department of Labor, as are authorized self- insurer, the County shall recognize and honor the Contractor's status. The Contractor may be required to submit a Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing details on the Contractor's Excess Insurance Program. If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required. In addition, the Contractor may be required to submit updated financial statements from the fimnd upon request fZom the County. We Risk and Hle"'€ ?ih arad sa'I &t DATE iSST1 : 26 - -2006 WS {] D: T DI TIRONM l`IC. WDTiWNTC Mffi RGE NC RE. SPoNSF- SYSTr-11WS Medtronic, Inc. 710 Medtronic Parkway, LC310 Minneapolis, WW 554-32 tI;OR20E. NTT: COVERAGES: i 13e policies of insurance and coverages Bated below ]lave bz;en issued to the insured named Ea the WE for [lye policy period indicated. The insurance afforded by these policies is subject to all of the terms, Conditions and exclosiDas of the actual policies. This statement of insurance does not F3raut the recipient am rights under these policies. Units shown m ay We been reduced by paid claims. Waiver of Skibrogation anchor additional instwed status applies only if it is reflected in your written agreement with insured. 71'MS STiATEMlCNT ISSUE Im To. Monroe County Board of County Coanrwssioners Risk Management Dept 1100 Simonton Street N y West, I:l 33€ 40 CANCE LLA9l` ON SHOULD AM OF TM ABOVE DFSCRMM CovmAM BL- CANCEUED BEFORE TfIE E31PMATJ0N DATS TfilM0F WR WILL ENMAVORTO MAILIt DAYS V,${tTM xoTTCF_TO 'nM SCA'rM4ffW ROLDER NAKED TO TIE LEFT, BUT FAILURE TO MAIL SUM NOTICBSMLL IWOSENOOBLIGATION OR LIABU17Y OPANY i {1[WD UPON THE COMPANY, ETS AGEIM OR RT;t°=ENTATIIVES. Ga.vy A. Nelson, VP Risk Management & Chief Compliance Officer lath: l/ �trarEefi2. med2ra�tic .coln/taewrislcE�grri�stn,?tcC 312�120fl� 1 - i [l r1 !11 5 EE#u_ ge � of a �` RikagmoQ tn�sar tre,•rwrm ; ra l:,.F�'z" Contract Number: End user # 03189501 MONROE COUNTY FIRE RESCUE 490 63RD ST MARATHON, FL 33054 Bill To # 03159501 Iv:[ONROE COUNTY FIRB RESCUE 490 63RD ST MARATFION, FL 33050 This Technical Service Support.A,greement begins on 1111/2006 and expires on 10131/2007. The designated Covered Equipment and/or Softtivare is listed on Schedule A. This Technical Service Agreement is subject to the Terms and Conditions on the reverse side ofthis document and any Schedule B, if attached. If any Data Management Support and Upgrade Service is included an Schedule: A then this Technical Service Support Agreement is also subject to Medtronie's Data Management Support and Upgrade Service Terms and Conditions, rev 7/99 -1. Price of coverage specified on Schedule A is $15,809.00 per term, payable in Monthly in arrears instnliments Special Terms 17% DISCOUNT ON LP12 UPGRADES Accept d: D 1ZO mergency }{espouse Systems, Inc. Customer: p p10� By. W $y. Title � Srlan Webster Print: r',.� 114 & d6le- Date: —nh' t arketing $i 5olutians Title: C Date: f 0 — d Purchase Order Number; Territory Rep: BASS59 Customer Contact: 1111Of ROE COUNTY ATTORNEY Montero,5andra AariceHayes APPROVED AS TO FORM- Phone: 800- 442 -1142 x2091 Phone: 305 - 289 -6004 FAX: 800- 772 -3340 MX! 305- 289 -6013 SUS i 1 M. GR1MSl, EV ASelw7A COUNTY ATTORNEV Delta //I- 7—; em - ReferenceNumber: S59 -1313 Renewal Pruned: 9/11/2006 Page I of 8 l , MI. Ry 13 �l �!� U fNE€:?TP.ONICE'MERG -,N0`f RESPONSE SYSTZMS, RX. g T ECHNICAL S1=PVICE SUPPORT AGREEMENT'fEP,MS AND CONDI T IONS RENEWAL TEPM$ Madtronic Emergency Response Systems, Inc.'s ("Medtronic ") acceptance of Customer's Technical Service Support Agreement Is expressly conditioned an Customer's assent to the terms set forth in this documentand its attachments, Medtronic agrees to furnish the services ordered by Customer Only an these terms, and Customer's acceptance ofany portlon of the goods and services covered by Ihls document shall confirm their acceptance by Customer. Those terms constitute the complete agreement behreen the parties and they shalt govern any conOcting or ambiguous terms an Customers purchase order or on other documents submitted to Medtronic by Customer. These terms may not be revised in any manner vdthout the prior written consent of an officer of Medtronic, REPAIR SERVICES If "Repair" services are designated, subjeetto the Exclusions ident €fled below they shall Include, for the designated Covered Equipment, all repair parts and materials required, all required Medtronic service tachntclan labor, and all related travel expenses. For olislte (ship -fn) services, units will he returned to Customer by Medtronic freight prepaid, INSPECTION SERVICES If "Inspection" services are designated, subject to the Exclusions Identified below, [hay shall Include, for the designated Covered Equipment, verification of praperinsuument calibration, verification that instrument mechanical operations and output measurements are consistent with applicable product spacIftations, performance of an eioctrical safety check in accordance with National Fire and Protection Guidel €nes. all required Madfronlc service tachrlclan labor and all related travel expenses. For ofisite (shfp4 services, units will be returned to Customer by Medtronic freight prepaid. DOCUMENTATION Following each Repair andlor Inspection, Medtronlc will provide Customer with a written report of actions Falcon or recommended and Identification afanymater €als replaced or recommended forraplecement. LOANERS ira Medtronic product Is designated as a unit of Covered Equipment for Repair Services and needs to be removed from service to complete repairs, an appropriate Loaner unit will be provided, ifaval€ablo, unit€ the removed unit Is returned. Customer assumes complete rospcnsibil €tyfor the Loaner and shall return the Loaner to Medtronic in the same condition as received, at Customer's expense, upon the earlier of the return Of the removed unit or Medtronie s request. EXCLUSIONS This Technical Service Support Agreement does not include: supply or repair of accessories or disposables {e.g„ patientcables, recorder paper, etc.), repair or damage caused by misuse, abuse, abnomtal operating conditions, Operator errors, and/or acts of God; repairs to return an Instrument to normal operating equipment at the lima of Inttla[ service by Medtronic under this Technical Service Support Agreement, case changes; repair or replacement of items not originally distributed Or installed by Medtronfc; and exclusions on Schedule B Lr this Technical Service Support Agreement, if any, which apply to Covered Equipment. SCHEmULE SERVICES Designated Repair and Inspections Services will be performed atthe designated service frequency and during designated service hours exceptwhere service technicians are rendered unavailable due to mandatary training aommltmenls, in which case Medtronic wig provide altemate coverage. Customer is to ensure Covered Equipment is available for Repair and/or Inspection at scheduled times. IfCovored Equipment is natavallabfe as scheduled and Customer requests additional services to be performed arif Medtranic Is requested to perform Repair or Inspeellon services not designated In this Technical Service Support Agreement (due to the nature of services selected, instruments Involved not being Covered Equipment, request being outside of dasignated service frequency or hours, or application of the Occlusions): Customer shall relmburso Madhonlcat Medtronic's standard labor rates less 10% (fnciuding Overtime, If appropriate), plus standard list prices For related parts and materials less 15%, pl6s actual travel costs incurred, PAYMENT The cost of services performed by Macitronic shall be payable by Customer within thirty (30) days OF Customer's recelpt of Medtronics lnvolce (or such other terms as Medtronic confirms to Customer in waiting). In addition to the cast of services psrformed, Customer shail pay or reimburse Medtronfc for any We$ assessed Medtmnia. iflhanumberarconitguratlonofCavered' Equipment Is altered during the Term orfhls Technical Service Support Agreement, the price of Services shall be adjusted accordingly. WARRANTY Medfronic warrants Services performed under this Technical Service Support Agreement and replacement parts provided in performing such Services against dereots in material and workmanship for ninety (90) days from the date a Service was performed or a part was provided. Customer's sale remedy shall be reservictng time affected unit andfor replacement of any part determined to be defao6ve, wilhoutany additional Customer charge, provided Customer notifies Msdfronlc of any allegedly defective. condition within ten (10) calendar days of its discovary by Customer. Mediranlo makes no Other warranties, express or imptted, including, without I €mitagon, NO WARRANTY OF MERCHANTABILITY OR FITNESa FOR A PARTICULAR PURPOSE, AND IN NO E1l1 =NT SHALL MEDTRONIC BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL, OR OTHER DAMAGrS, Reference Number: S59 -1313 Renewal Printed; 9111/2006 Page 2 of 8 F *BG 3 of 8 TERMINATION Either party may terminate this Technical Sereim stippori Agreement at any time upon sixty (6.0) days prior written nollco to the other, eircept ti€ut Yedfronic may termtnate this Techn €cal Service Support Agreement €mmediately upon Cuslomer's failura ba make timely payments for services rendered under tails Technical Service Support AgreamenL In the event of termina€Jon, Customer shall be obligated to reimburse Medtronic for that portion of the designated price which corresponds to that portion of the Term and the scapo of Sanricas prnvtdad prior to the effective date of termination, DELAYS Medtronic WH not be liable for any loss or damage of any Wad due to its facture to perform or delays in its performance resulting From any cause beyond its reasonable control, including, but not limited to, acts of God, labor disputes, labor shortages, the requirements of any governmental authority, war, civil unrest, delays In manufacture, obtaining any required license or permit, and Medtron €cs inability to obtain goods from Its usual sources. Any such delay shall not be considered a broach of Madfranic's obligations and the performance dates shalt be extended forthe length ol'such delay. MISCELLANEOUS a) Customer agreos to notemploy or offer employment to anyone performing Services on Medtronic's behalf during the Term of this Technical Service Support Agreement orfor one (1) year following its elcplratlon without Medtronic's prior written consent. b) This Technical Service Support Agreement, and any related Obligation of other party, may not be asslgned In whole or In part without the prior Witten consent of the other party, c) The rights and obligations ofMadtronlc and Customer under this Technical Service Support Agreement shall be govamed by the lay's Df the State In which the service is provided, A11 costs and erEpenses incurred by the prevailing party related to the enforcement of ifs rights under this document, including reasonable at[omey's fees, shall be reimbursed bythe other party. ..... ................................. ............................... end......,........................................................... ..................,............ Reference Number. 559 -1313 Renewal Printed: 9111/2006 Page 3 of 9 XG.'e- 1( 011 T B F"ag ; 41 , of 8 , — ["D" CPI ,OYG C yNDO' IRG'21 CY RE 8810 i8L QN[1q!t P�ws, SCE 1 1 3V,T.I1.,L A Contaact N umber: Servicing Rep: Montero, Sandra,13ASS59 District: SOUTHERN Phone: 800 -442- 1142 x2081 FA"C 800- 772 -3340 Equipment Location: MONROE COUNTY FIRE RESCUE, 03189501 490 63RD ST MARATHON, FL 33050 Scope Of Service Ship hi Repair - 2 On Site Inspections per year:M -F /8-5 Made, Partlsumbcr Serial Number Ref. Lune Effective Date Expiralion Date Total LITEPAICO10 804200 -14 003137 1 fns ectlons 11/1/2006 10/31/2007 2 LlrEPAtC® I 8042nD -14 OD4475 2 1111/2006 10/31/2007 2 LTrEPAK0 10 804200 -28 007300 3 1111/2006 10131/20D7 2 LIPEPA,G t0 E0 420028 007306 4 111112006 10/31/2007 2 LIFEPAICQD t0 80420026 007327 5 11/1/,1006 10/31/2007 2 LIFEPAI'm t0 804200 -49 070414 6 11/1/2006 10/31/2067 2 L1I03PAxe t0 804200.49 070525 25 1//111006 10/31!2007 2 LIPEPAI44D 12 VL1 -OZ 005013 32624452 26 I111/2006 10/31/2007 LIP13PAICO12 VLP12- 02- OD2269 13451834 7 1111/2006 10/31/2007 2 '2 LIPEPAI(e 12 VLP12- 02402269 13451839 8 1111 /2006 10/31/2007 2 LIFEPAICGtI € VLP12.02- 002269 13451040 9 11/1/2006 10/3112007 2 LWEPAR012 VLP12 -02- 002269 13451841 10 11/02006 10135!2007 2 LIFBPAico 12 VLP12 -02. 002269 13451812 11 1111006 10131/2007 2 LIFEPAICO12 VLP12.02- 002269 13451843 12 11/1/2006 1013I12007 2 Scope Of Service Ship In Repair O111y :M - F /8 - 5 Model Ref. PartNum6er SerialNumbtr Lino BATTERY SUPPORT SYSTEM 801007 -12 012341 19 BATTERY SUPPORT SYSTEM 801007 -12 014699 20 BATTERY SUPPORT SYSTEM 801807 -12 017090 21 BATTERY SUPPORT SYSTElv1 80!$07-12 017116 22 BATTERY SUPPORT SYSTEM 601807.12 017121 23 BATTERY SUPPORT SYS3`1 I 001907 -21 034696 24 BATTERY SUPPORT SYSTEM 2 VBSS2 -02- 000009 32620322 27 13 ATTF- RYSUPPORTSYSTEIvi2 VBS82.02- 000009 11122706 1S BATTERY SUPPORT SYSTEM 2 VBS82 -02- 000009 11122707 14 BATTERY SUPPORT SYSTEM 2 VBSS2.02- 0000a9 13426192 15 BATTERY SUPPORT SYSTEM V13SS2 -02- 000009 13445563 16 Effective Date 11/1,2006 11/1/2006 11/1/2006 1111/2006 11/1/2006 I 1 /3/2006 1 1/112 0 0 6 1111/2006 111112006 l 111/2006 11 /I/d006 Exp €ragon Total Date fns actions 1013112007 0 10/31/2007 0 10/31/2007 0 1013112D07 0 10131/2007 0 10/31/2007 0 10131 /2007 0 10131!2007 0 10/31/2007 0 10/31/2007 0 10/3112007 0 Reference Number: S59 -1313 Renewal Printed: 9/] 112006 Page 4 of 8 Ei`i ttr BATT1310" SUR'ORT SYST. -m 2 vBM -02- 000009 13 IT J 1F1/2096 10/31/2007 0 13ATTEallSUPPOR SSYSTEM2 VSSS2.03- 000009 13- 45567 'IS 11/1/3006 10/3I/2007 0 Denotes an inventory line that has changed sincu t €ie last contct revision oraddenduns. Reference lumbar: S59 -1313 Renewal Printed: 911112006 Page 5 of 8 '`; '{{ j i , fii' .l � - 'tSSl1�u �. ;i1 72ge 6 of 0 Contact Number: Additional Items SeMre Type CASE CHANGE PtgP+u FnJ a , R'WJH(C vs '� lei , HDTr . 8Upp 0 RI T' AG Cu pqT Rein Quantity Start Date LP12 WMZTBD CASE CHANeEs 2 111112006 — Denotes an additional item line that has changed since the last contract revislon or addendum, End D at e 10/31/2067 Reference Number: S59 -1313 Renewal Printed: 9/1112006 pap 6 of 8 Page 7 of a OR It A '+ T1 LlrEPAKO10171I +MfC1 LATOR&I01$1TORIPACBi)/ IC✓R Paddle repairs are inclttdexd. ( Paddlc attachments are excinded, i.c. pediatric and anterior attachments). Auxiliary Po%ver Supply included when listed oit equipment inventory (Schedule A). Pacemaker repair is included. Case changes are excluded. Pacing and patient cables are excluded. FAST- PATCHo adapters and QLTM- C0'vMG'P 1 pacing/defihrUlation adapters are included. Repair coverage for Medtronico BCCr, Pacing and Defibrillation Simulators included. Medt[031W O Battery Pak Customer retain$ tho responsibility to perform 1110 battery maintenance And evaluation procedures outlind i1 the service manual and to replace batteries #hat do not pass the conditions outlined a ned under "Discardinel e ing BaEteries " Batteries failing 4r meetbaitery perFonnntt ccy ee tests should baremoved from service and properly discarded (recycled), IFcustomerprovides evidence that a Medtmaio Battery Pale fails to meet the performance tests noted above and/or ale Battery Pair age exceeds 2 years, Medtronic shall replace said Medtronic Battery Pal: (lilre for like) i.e. FASTPAXC for F.ASTPA:r,, up to a maximum of4 Medtronic Battery Paics every two years (including prior Support Plan periods) per LIFEVAt 030 defibrillator /monitor /pacemaker (listed on Schedule A). To assist in proper recycling and removal orlow capacity batteries, replaced Battery Pales become the property of Medtrarue and must be returned at the time ofexchange. • Only batteries manufactured by Medhonia are covered under #his Service Agreement, Any battct'ics manufactured by other sources are exptcssly excluded from coverage under this Service Agreement. Medtmruc cannot guarantee the operation, safety and/or performance of our product when operating with a non - Medtronic battery. Repairs and inspections performed under this Agreement meet original equipment manufactines product spcci lications only when operating with a Medtronic battery. Any repairs, as detenrdned by a Medtronio Service Representative, Eesulting fzorn the use ofa ttan- Medtmnio battery, will be billed at ourstandard listprices for parts and labor, iacluding actual travel charges incurred. Reference Number: 559 -1313 Renewal Printed: 9111/2006 Page 7 of 8 is pill WT h Nage 8 Of 9 turf DTRG - KCt 70MI Ii 1RGEdI Ncy for SPONS -R S YSTE ENC. SCJCa�'rDUJil E B LIFEPAICQ 12 DEFIBRILLATOR/I1d0i�ITOR AC Power Adapter included when listed on equipment inventory (Schedule A). DC Power Adapter included when listed on equipment inventory (Schedule A). Defibril3atm• paddle r,:pairs are included (excludes internal, sterilizable and pediatric paddles). Communications and Patient cables arc excluded. • PCMCIA Modems are excluded. Therapy cables arc excluded. Sp02 Sensors are excluded. • Case Changes are excluded. Discount Of 1,7% from the field installed list price for any current and/or future available LIFEPAK612 upgrade is included wheninstalled by Mednonio Technical Services. Discounts may not be combined with any other special terms, discounts and/or promotions. MeduOnic 1?astpal'0. Fastpak 2, Lifepak SLA and Lifepak NiCd Battery • Customer retains the responsibility to perform. the battery maintenance and evaluation procedures outlined in the operating instruction manual and to replace batteries thatdo not pass the Conditions outlined under "Discarding/ Recycling Batteries," Batteries failing to meet battery performance tests should be removed front service and properly discarded (recycled). • If customer provides evidence that a Medtronic Battery Pale fads to meet; tine perfbrmance tests noted above and/or the Battery Pale age exceeds 2 years, Medtronic shall replace said Medtronic Battery Pak (111ce for like) i.e. FASTPAK for PASTFAIC, PASTPAIC2 for IFASTPAI:(2, LWEPAK SLA for LIBSPAIC SLA, Or LIFEPAIC NiCd far LLPBPAIC NiCd, up to a maximum o£4 Medtronic Battery Palls every two years (includingprior Support Plan periods) perLlFLxpAEC(b 12 deCmbtillator /monitor (listed on Schedule A). To assist in proper recycling and remGvel ofiow capacity batteries, replaced Battery Paks become the property of Medtronic and zrmusthe returned at the time of exchange. • Only batteries manufactured by Meduanic are covered under this Service Agwerxterit. Any batteries manufactured by other sources are expressly excluded from coverage under this Service Agreement. Medtronic cannot guarantee the operation, safety and/ orperformance. of our product when Operating withanon- Medtronic battery. Repairs and inspections performed under this Agreement meet original equipment manufacturer's product speoifeations Only vvbcn operating with hnnic battery. Any repairs, as determined by a Medtronlc Service Representative, resulting $oar the use of a a Med nott- Medtronic battery, will be billed at our standard listpriees forparts and labor, including actual travel charges Incurred. Lifepak= Sofhvare Updates • If combined Repair and Inspection services are designated on the Technical Service Support Agreement inventory for Lifepalc 12 units, at the customer's request a Medtronic 'T'echnical ServicesRepresentativc will install Lifepak 12 sofivare updates atno additional charge provided It is installed at the time of a regularly scheduled inspection. In addition during the term of this agreement, where an awem'blyr such as a printed circuit board must be replaced in order to install the new software, these assemblies may be purchased by the customer atu 54% discount off the current list price of new assembly. Software updates requested to be installed at a time other than the regularly scheduled inspection will be billed at $205per unit per software update. The costafthe software update will be billed on a separate invoice. • If Repair Only services are designated on the Service Ruler inventory for Wepah 12 units, at the customer's request a Medtronic Technical Services Representative will install a Lifepak 12 sofhvare update at a discounted price of $205 per unit per software update. In addition during the term of this agreement, where an assembly such as aprinted circuit board mustbe replaced in order to install the new software, these assemblies may be purolnased by the customer at a 50% discount Off the ea,mnt list Price of new assembly. The cost of the software update will be billed on a separate invoice. • Discounts tray not be combined with any otlter special tcrns, discounts and /or promotions. Reference Number: S59 -1313 Renews] Printed: 9/1112006 page 8 of 8 , may p r � - INSURANCE , ., __.: CERTIFICATE OF CERTfFICR7ENU116ER . 9 N �. M -.�, CHf- 000298179-18 PRODUCER THIS CERTIFICATE IS MSLIED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh USA Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 333 South 7th Street Suite 1600 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE Minneapolis, MN 55402 -2400 AFFORDED BY THE POLICIES DESCRIBED HEREIN. ^., ':, r =41P AFFO RDING COVERAGE F 3840 - EMERS- GAW -08 -09 X R ' - AC - E -- AlERIJAN INSURANCE COMPANY __•._.._. INSURER MEDTRONIC, INC. 710 MEDTRONIC PARKWAY IsEti3 i a• COMPANY �,r r ?s••sY ,�ti':i�'r . <�`t<fiil' M.S. LC310 MINNEAPOLIS, MN 55432 I' ':G4MErANtYI I V � i3,GS THIS I5 TO CEnT1FY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (RMTMDIYY) POUCY EXPIRATION DATE (MM/013IYY) LIMITS { GENERAL LIABILITY HDCG 23740850 05/01/09 05/01/09 GENERAL AGGREGATE $ 10,000,000 X COMMERCIAL GENERAL LIABILITY X I CLAIMS MADE 0 OCCUR PRODUCTS • GOMPlOP AGG $ PERSONAL 8 AOV INJURY _10,000,000 $ 1,000,000 EACH OCCURRENCE $ 10,000,000 OWNER'S S CONTRACTOR'S PAOT FIRE DAMAGE (Any one lire) $ 1 MP - 13 :XP (Any one personl 10 A AUTOMOBILE LIABILITY ANY AUTO tSAH 08242008 05/01108 05/01/09 COMBINED SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIREbAUTOS NON•OWNEDAVTpS ' ,.. -• - BODILY INJURY (Peraccidenl) $ . PROPERTY DAMAGE $ GARAGE LIABILITY ANYAUTO S �S�ryS ;I '! s � 4 � fvf !I AUTO ONLY • FA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ V ' AGGREGATE $ EXCESS LIAR €CITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FOAM A A YlOR10ERSCOMPEN514TiONJ[ND EMPLOYERS' LIABILITY WLRC4434.7064(AOS) 0Ei101i06 S9 (WI) 05/01/08 05/01/09 05/01/09 Y. TORY LIMITS ER Wc PL EACHACCIDF.NT $ 1,000 A A THE PROPRIETOR! r x — 1 INCL PARTNE:RSIEXECUTIVE OFF)CERSARE EXCL WI-Ft C4 4346990 (MO,NC,NE,OK 05/01/08 SCF 644346801 (N 05/01108 05/01109 05/01/09 EL DISEASE-POLICY LIMIT $ 1 ,000,000 EL DISEASE•EACH£MPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS ILOCATIONSIVEHICLESISPECIAL ITEMS WAIVER OF SUBROGATION AND /OR ADDITIONAL INSURED STATUS APPLIES ONLY IF IT IS IN YOUR WRITTEN CONTRACT. MEDTRONIC INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING ENTITIES: MEDTRONIC EMERGENCY RESPONSE SYSTEMS, INC., MEDTRONIC SOFAMOR DANEK, INC., MEDTRONIC SPINE, LLC AND MINIMED DISTRIBUTION CORPORATION. CERTIFICATE HOLDER '1 CANCELLATION I - SHOULD ANY OF THE POLICIES DESCRIBED HEREW BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MA!L _ „'�j• 0 DAYS WAWTEN NOTICE TO THE ” CERTIFICATE HOLDER NAAIEO HEREIN. DUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR RISK MANAGEMENT DEPT. 1100 SIMONTON STREET KEY WEST, FL 33040 LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE AUTIIDRIZED REFRe"UTATIVE Marsh USA Inc. BY: Maly Aadaszewski j MItil11 (3f02), .' VALID AS OF:05/15108 �. RLNEWAL AGREEMENT This RENEWAL AGREEMENT slated the Is day of November 2007 ,b and between the Board of Governors of Fire and Ambulance District 1 of Monroe County, Florida, hereinafter called the "COUNTY" and MEDTRONIC Emergency Response Systems, Inc., hereinafter referred to as "CONTRACTOR ". WITNESSETH WHEREAS, the parties hereto did enter into an Agreement dated October 18, 2006 for the preventative inspection and maintenance of biomedical equipment for the Board of Governors of Fire and Ambulance District 1; and WHEREAS, said Agreement provided an option to the COUNTY to renew the contract for two (2) additional one (1) year tenns; and WHEREAS, the COUNTY has elected to exercise said first one (1) year renewal option for the continuation of preventative inspection and maintenance of biomedical equipment for the Board of Governors of Fire and Ambulance District 1 ; now therefore IN CONSIDERATION of tile mutual convenants and obligations contained herein, the parties agree as follows: 1. The COUNTY elects to renew the contract for an additional year pursuant to Paragraph 4; Section A of the Agreement entered October 18, 2006. 2. The effective date of this a mendment is November 1, 2007 and shall extend through October 31, 2008, under the same terms and conditions of the contract dated October 18, 2006, 3. All other terms and conditions of the contract dated October 18, 2006 shall remain in full force and effect. (SEAL) Attest: Danny L. Kolhage, Cleric B o . V�_ Deputy Clerk 130ARD OF GOVERNORS, FIRE AND AMBULANCE DISTRICT I OF MONK. COUNTY A By: Mayor /Chairman (CORPORATE SEAL) Attest: B y : Title: `I ���� COt� t QV�i n Corp orate Sea[ 1966 n gi���� , MEDTRONIC EMERGENCY RESPONSE SYSTEMS, INC. By: r A-f Title: �CS K-Pye, c+ ('0 Ir L j, MONROE COUNTY ATTORNEY A PROVED AS TO O t : (0YNI NIA i, HALL ASSISTANT �OI)NTY ATTfl�'Nr %° PRODUCER Nl;lr51l U-SA Inc 333 Socllh 7111 S1rer_l Suite 1G00 Minneapolis Mt j 55403 -2400 I NSURED 3840 _EMERS - GAW - 07.03 x If INSURED CE M MC I! E `f INISURAN, CE CERTIFICATEr•JUA7CEI. Tt115 CERTIFICATE IS ISSUED AS A MATTER OF ldf OrWATION otjUY FJ14 CONFERS 9 15 NO RIGHTS UPON THE CERTIFICATE I OTHER TI-JAN THOSE PROV€LED IN Tli,'- POLICY. THIS CERTIFICATE DOES NOT AMEND. EXTEND OP. ALTER THE COVERAGE AFFORDED BY TIdE POLICIES DESCRI€SED HEREIN COfVI('ANIES AFFORDING coVE COIv1PAN'. y A , - ACE AMERICAN INSURANCE COMPANY �t1r1: r COP.IPAN', H - ' COMPANY ' r• " Gi . '�nti IPAI•l•r D MEDTRONIC EMERGENCY RESPONSE SYSTEMS INC . MEDTRONIC, INC. 710 MEDTRONIC PARKWAY M. S. L.C310 MIN €JEAPOLI S, MN 55432 COVERAGES CATE THIS IS TO CERTIF'� THAT POLICIES OF INSURANCE DFSCRIEICO HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD 1PJDIO NOTWITHSTANDING ANY REOUIRCMENi. TERM OR CONDITION OF ANY CONTRACTOR OTHER DCCUhSENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE W^ ^SUED OR M D. PERTAIN. THE INSURANCE AFFORDED BY THE POLITIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MN( HAVE BEEN REDUCED SY PAID CLAIMS. Go LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION A ' GENERAL LIABILITY HQCG 23724236 ' X COMMERCIAL GENSRAL LIAEIUTY CLAIMSMADE OCCUR OWNERS & CONTRACTOR'$ PROT A AUTOMOBILE LIABILITY I , ANY AUTO I i ,• ALL OWNED AUTOS SCHEDULED AUTOS _—I HIRED AUTOS •_' NON -OWNED AUTO$ f GARAGE LIABILITY i.. ANY AUTO EXtE55 LIABILITY L __ UMBRELLA FORM OTHER THAN UMBRELLA FORM DATE(MMIDDIYY) DATE(Mmfo y) LIMITS 05/01/07 05lD1lIlA '05101/07 A - VVUR EMPLOYERS' LIABILITY IERS COMPENSAT €0N AND WLR CL, 4460$53 (ADS) ; 05101/07 A SCF C44460877 (WI) A THE PROPR €ETOR! I PARi;dERSE; +'E4i1T1YE 05/01107 x' INCL IWLR C4 4400865 (MO,NC,NE,OK) 05101!07 A , 01FF(CERS ARE: - .SCF 044468542 (NJ) 05;01107 D5 ro 1 /na L llaS�r4`�l €�I'�-��� I 05/01108 n5loilo$ 05/01/08 05/01108 - G ENERAL, AG GREGA TE J� �» 10,000,000 ARO DUGTS • CO MP;OP A $ 10,000,000 SONA PER & ARV INJUR $ 1 EACH OC CURREN CE +� 10,00 0,000 I FIR DAMA IAn one life $ 1 1 000,000 MEDEXPfAn one ersnn) $ 10,000 COMBINED SINGLE LIMIT ' $ 1,000,000 BODILY INJURY $ (Pbr perSgn) elDiLYINJURY -~--- s, —T -••— $ —•.— • (Peraccidenl) • ' PROPERTY DAMAGE - - - -y- -_ AUTO Of ILY - EA ACGIDENT ' OTHi=ft THAi+f AUTO ONLY• E ACMDEN AGGREGATE $ AG GREGATE �` $ _x �oinl�. OTH-, TORY LIMITS ' ER ,EL EA ACCIDENT 'EL DI SEASE - POLICY LIMIT 1,000,000 EL DISEASE -EACH E1v1PLOYEE $ LL 1,00D,000 lCaI:HIPT €ON OF OPERATIONS ILOCAT €ONSlVEHICLESlSPECIAL ITEMS THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, ITS EMPLOYEES & OFFICIALS IS NAMED AS ADDITIONAL. INSURED UNDER GENERAL AND AUTO LIABILITY AS REQUIRED BY WRITTEN CONTRACT. , Ib10N(20E COUNTY BOARD OF COUNTY COMMISSIONERS RISK MANAGEMENT DEPT. 1100 51MOPJTON STREET KEY WEST, FL 33040 i15AH 0$29065 :N9U:p SHY OF THE POLICES pESCRIBEC :EREItI BE CAtICELtED 2EFJRE Tr1E E'XPip.�ioSH GATE THEFEI:IF THE il4VrTEtT AFFylRf71;lG C9VERA3E N€LL E +IpEk' /JN ]b €:ifi1L 4l•RrTrFJI .10T3CE TG THE CEHTIFiCnTE Hu'cCFR RAn1ED H @AEC EUr FA1L`JRE T9 LV,IL SUCH :lJTICE �hA4L v.FJ ='E ii OBG1�47€Or €'lR ll.Eil:'YQF:.rly f(RID idPOH TME::tI :'.JRER AFF4RCI77rCOVEliq aE ir£A•�Er,T.:!'R kCRAE: EIITATY. E'. C1i THE :.;ueF -.;.�! nlis rr:r nF ,rare HARSH USA IA1C, aY: Kevin Jv1. BrOLJarI (;L - Nllll14(3102) !!HELD AS OF: 051021 07 STATlElvllL'eLNT OF RI SL FOR IMEDTRONIC, INC. DATE ISSUED: 01 -ALIO -2007 INSURED: Physio Control, Inc. a Division of Mccitronir Medtronic, I nc. 710 Mecit €'onic Parkway, 1,01 l0 Minneapolis. j%4N 55432 COVERAGES: The policies of insurmice and cove -mges listed below have been issued to [lie rlTwrcd named to flie Lett for the: pohc} I, €loll indicated. The inst€rtince afforded by these policies is subject to all of the tellns. Conditions and cxciusians of (lie actual poticies. This statement of insurance. does not grant The recipient any rights Linder €hest: policies. Limits shown may h ave been reduced by Paid Claims. CARRIER TYPE OF COVERAGE CO VERAGE . LIMITS PERIOD USA ,General Liability including products/ X5/1/07 :Pet' Occurrence '(Ace American ;computed operations, For tvorldwide - ;General SS,000,000 :Insurance Company) ;operations Policy ItIMCG23724236 t 5 /1 /OS ! ° ;Aggregate X5,000,000 . ;ACE LISA F(AceAmerican :Automobile Liabilit Elired, Non - owned and Owne Amos (5/1/07 - ;Combined X1,000,000 Insurance Company) iPaticY #ISA H08229065 5 /1 /08 'Single Limit l iWorkers' Compensation^" i AC 13 USA and Employers Liability (Ace American ;Policy #WLRC44460853 ;St atutory Limit J11sur ikVICC COMPS11y) ;Policy #SCF'Cd4460877 15/1/07 - ' -Each Accident :51,000,000' ;Policy #WLRC4446bS6S i 5/1/08 -1~2ch Emp. ; ;(ACE American Ins. :Policy #AVCUC44460889 - Policy Limit b.t,000,000: Co.) Tolicy wSCFC44468542 =`lviN, A7, WA self - insured COMMENTS: Waiver of Subrogation and/or additional insured status applies only if it is reflected in your wtitten agreement with insured. THIS STATEMENT ISSUE D TO: Monroe County Board of County Commissi Risk Management Dept. 1 100 Simonton St. Key West. FL 33040 CANCELLATION SHOULD ANY or T HE ABOVE3 DUCRIBED COVERAGES 13r CAN('ET_I_FD BIWORF: THE EXPIRATION OATFTHEREOFF WE WILL ENDCAVOR TO MAIL,;,QI)AYS �VRMEN NfyrECH7•o THE STXIBME:IT HOLD6t( NAMED TO THE LEF F,�IL!ittF TO MAIL SUC1-E NOTICE" SHALL_ WIPOSE. NOOBLIGATION OR LIA11TUTY OF ANY KIND UPON TI-1F COMPAN ITS AGENT'S Ott Itt tsFtt�iENTA'nVSti. Vary A. Nelson, VP, Risk M -mt & Legal Administrative Set-vices