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Item K6I_TCW_bX AGENDA ITEM SUMMARY Meeting Date: November 20, 2013 Division: Emergency Services Bulk Item: Yes X No Department: Fire Rescue AGENDA ITEM WORDING: Approval to waive purchasing policy and issue a purchase order, and approval for the Fire Chief to execute an Application Service Provider Agreement with ZOLL Data Systems, Inc., provider of RescueNet suite software products, for hosted RescueNet Billing software, in the annual amount of $13,692.00, plus a one-time $7,500.00 deployment fee. This agreement will provide for the use of ambulance billing software which will interface with Fire Rescue's patient care reporting software. In addition, the responsibility for configuration, maintenance, and backups of the software and patient accounts database will be the responsibility of ZOLL Data Systems, Inc. ITEM BACKGROUND: Monroe County Emergency Services has outsourced ambulance transport billing and collections since 2000. This service is provided under contract by Advanced Data Processing (ADPI). In order to measure the effectiveness of this service and revenue collection, the BOCC approved a consultant's evaluation of the current billing and collections processes which was completed in 2013. The consultant determined that current ground- and air -ambulance collections were not effective, did not maximize potential revenue collections, and there was a lack of ADPI managerial oversight. As a result of these findings, the consultant's number one recommendation for resolution was to bring ambulance billing and collections in-house. In order to achieve this goal, it is software, which is maintained under license from ZOLL Data Systems, Inc. PREVIOUS RELEVANT BOG ACTION: N/A STAFF RECOMMENDATIONS: Approval INDIRECT COST: BUDGETED: Yes X No REVENUE PRODUCING: Yes No X fapAPPROVED BY: County Atty (-A`�/O urchasing � Risk Management DISPOSITION: AGENDAITEM# Revised 7/09 W83 gal I *j W-10 Iff.10T 1.1111 WWI% Do 116110 Ij Ina I Contract # Effective Date: Expiration Date: 11/20/2013 11/19/2014 Contract Purpose/Description: Application Service Provider Agreement with ZOLL Data Systems, Inc., provider of RescueNet suite software products, for hosted, RescueNet Billing software,.in the annual amount of $13,692.00, plus a one-time $7,500.00 deployment fee. Contract Manager: Holly Pfiester 6088 Emergency Services / Stop 14 (Department/Stop for BOG meeting on 11/20/2013 o a lo Value of Contralt: -2)M7MrTTFUF1 Grant: $ 'County Match: $ RescueNet ePCR Deployment (excludes T&E) Current = $7,500 one-timejee FY14 (7) Hosted RescueNet ePCR Plus (per vehicle) Portion: = $13,692 annually ($1, 141 monthly charge) E FA 110111 Estimated Ongoing Costs FYI 5 forward: $13,692 / year included in dollar value above IM. $21,192 For: (7) Hosted RescueNet ePCR Plus (per vehicle) Date In Needed evi 9 Division Director YesFj No Risk Management Yes[:] No O.M.B)Purcrasing YesFj NoC1 fv,.,), LvIcL LJ3 I 3 County Attorney OIZYesn No[2/ ri Comments: OMB Form Revised 2/27/01 MCP #2 iitofial, salaries, etc.) Date Out e, / 3 Z/-- 10/y,dzon ZOLL Data Systems, Inc. Sales Order#: APPLICATION SERVICE PROVIDER AGREEMENT THIS APPLICATION SERVICE PROVIDER AGREEMENT ("Agreement") is made as of 11/20/2013 (the "Effective Date"), by and between ZOLL Data Systems, Inc., a Delaware corporation with offices at 11802 Ridge Parkway, Suite 400, Broomfield, CO 80021 ("ZOLL") and the party identified below (the "Customer"). Customer: Monroe County Fire Rescue Sales Rep: Meyer, Jason Bill To: Monroe County Fire Rescue Address: 490 63rd Street Marathon, FL 33050 Item License Description Qty. List Price Adj. Price Ext. Price Re'scueNet Billingr, HL HBB Hosted RescueNet Billing Base (Per Vehicle) 7 $163.00 $163.00 $1,141.00 Implementation - Deployment I Project Management I Other Special RNB RescueNet Billing Deployment (Excludes T&E) 5 $7,500.00 $7,500.00 $7,500.00 TOTAL IMPLEMENTATION: $7,500.00 MONTHLY FEES: $1,141.00 * ANNUAL FEE: $13,692.00 Note: Taxes (if applicable) will be added at the appropriate rate upon invoking. * Annual Fee: The Annual Fee is $13,692.00 for twelve-month periods during the Term (beginning on the Effective Date), which will be invoiced and paid as the Monthly Fees of $1,141.00 . * Monthly Fee Subject to Adjustment: The Monthly Fees shown above are based on the defined number of Customer vehicles in the line items above. Should the number of vehicles change during the Term of this Agreement, Customer will notify ZOLL in writing (or via email) no later than within 15 days and ZOLL will issue a Contract Addendum to this Agreement to adjust future billings. Payment Terms: The first invoice issued under this Agreement will be issued upon completion of the implementation services and will be for the sum of the TOTAL IMPLEMENTATION fees and any ONETIME CHARGES listed above. In addition, ZOLL will invoice Customer at the end of each calendar month during the Term for the amount of the Monthly Fees listed above. The invoice for the first Monthly Fees hereunder will be issued 30 days after the Effective Date, or upon completion of the implementation, whichever is earlier. All amounts will be paid in accordance with the Florida Local Government Prompt Payment Act. The Total Implementation fees, the One Time Charges and the Monthly Fees are hereinafter referred to collectively as the 'Software Fees'. Agreement expires if not signed by 12/3 V2013 The person signing below represents and warrants that she or he has the authority to bind Customer to the terms of this Agreement. By signing below, the parties agree to the terms and conditions of this Agreement. Once signed, any reproduction of this Agreement, or any attachment or exhibit hereto, made by reliable means (for example, photocopy or facsimile) is considered an original and all ASP Services ordered and provided under this Agreement will be subject to it. ZOLL Data Systems, Inc. Signature: Name: Title: Date: Page 1 of 9 Monroe County Fire Rescue 9= "M ZOLL Data Systems, Inc. Sales Order#-. APPLICATION SERVICE PROVIDER AGREEMENT Terms and Conditions 1. Definitions 1.1. "ASP Services" means the provision of Fire or EMS data management functionality as described hosted by ZOLL and made available to its customers for their internal business use in accordance with the terms of this Agreement. 1.2. "BAA" means the Business Associate Addendum attached hereto as ExhibitA. 1.3. "Confidential Information" means all trade secrets, business and financial information, computer software, machine and operator instructions, business methods, procedures, know how, and other information that relates to the business or technology of either party and is marked or identified as confidential, or is disclosed in circumstances that would lead a reasonable person to believe such information is confidential. The Software and the Instructions shall be considered ZOLL's Confidential Information, notwithstanding any failure to mark or identify it as such. 1.4. "Fee Based Services" means the ASP Services for which ZOLL charges Customer a fee. 1.5. "Initial Order" means the written, mutually executed document preceding these terms and conditions. 1.6. "Instructions" means the instructions for use of the ASP Services and the documentation and users manuals from time -to -time provided by ZOLL on the ZOLL Site. 1.7. "Intellectual Property Rights" means any and all existing or future copyrights, trademarks, service marks, trade secrets, patents, patent applications, know how, moral rights, contract rights, and other proprietary rights, and all registrations, applications, renewals, extensions, and combinations of the foregoing. 1.8. "Order Form" means a written document mutually agreed to and signed by the parties and made a part of this Agreement, setting forth additional ASP Services to be provided to Customer under the terms of this Agreement during the Tenn. 1.9. "Software" means the ZOLL software that underlies the ASP Services provided to Customer, as modified, updated, and enhanced. 1.10. "ZOLL Site" means the web site located at a unique URL to be provided by ZOLL to Customer where end users may download the Software and access and use the ASP Services. 3. License Grant; Restrictions; Ownership. 3.1. License Grant. Subject to the terms and conditions of this Agreement, ZOLL grants to Customer, during the Term, a non exclusive, non transferable, non sublicensable license to access and use the ASP Services using the Software, each as made available to Customer through the ZOLL Site, solely for Customer's internal business purposes and solely in accordance with the Instructions. 3.2. Restrictions. Customer shall not, and shall not permit any third party to: (a) modify, adapt, alter, translate, or create derivative works from the ASP Services, Software or the Instructions; (b) allow any third party access to or use of the ASP Services; (c) reverse engineer, decompile, disassemble, or otherwise attempt to alter or derive the source code for the Software; or (d) otherwise use or copy the Software or the Instructions or the ASP Services in any manner not expressly permitted hereunder. Customer agrees not to use the ASP Services in excess of its authorized login protocols. Customer shall immediately notify ZOLL of any unauthorized use of Customer's login ID, password, or account or any other breach of security. 3.3. Remediation. If Customer becomes aware of any actual or threatened activity contemplated by the restrictions on use set forth in Section 3.2 above, Customer will, and will cause its users to, immediately take all reasonable measures necessary to stop the activity or threatened activity and to mitigate the of of such activity including: (a) discontinuing and limiting any improper access to any data; (b) preventing any use and disclosure of improperly obtained data; (c) destroying any copies of improperly obtained data that may have been made on their systems; (d) otherwise attempting to mitigate any hann from such events; and (e) immediately notifying ZOLL of any such event(s) so that ZOLL may also attempt to remedy the problem(s) and prevent its future occurrence. ZOLL Data Systems, Inc. Sales Order M the Confidential Information of the Disclosing Party only to the employees or contractors of the Receiving Party who have a need to know such Confidential Information for purposes of this Agreement and who are under a duty of confidentiality no less restrictive than the Receiving Party's duty hereunder. The Receiving Party will protect the Disclosing Party's Confidential Information from unauthorized use, access, or disclosure in the same manner as the Receiving Party protects its own confidential or proprietary information of a similar nature and with no less than reasonable care. 8.2. Exceptions. The Receiving Party's obligations under Section 8.1 above with respect to any Confidential Information of the Disclosing Party will terminate if and when the Receiving Party can document that such information: (a) was already lawfully known to the Receiving Party at the time of disclosure by the Disclosing Party; (b) is disclosed to the Receiving Party by a third party who had the right to make such disclosure without any confidentiality restrictions; (c) is, or through no fault of the Receiving Party has become, generally available to the public; or (d) is independently developed by the Receiving Party without access to, or use of, the Disclosing Party's Confidential Information. In addition, the Receiving Party may disclose Confidential Information of the Disclosing Party to the extent that such disclosure is: (i) approved in writing by the Disclosing Party, (ii) necessary for the Receiving Party to enforce its rights under this Agreement in connection with a legal proceeding; or (iii) required by law or by the order of a court or similar judicial or administrative body, provided that the Receiving Party notifies the Disclosing Party of such required disclosure in writing prior to making such disclosure and cooperates with the Disclosing Party, at the Disclosing Party's reasonable request and expense, in any lawful action to contest or limit the scope of such required disclosure. Indemnification. M. ZOLL will defend. at its own ex:iense -anrLaction-against :tr any copyrights or misappropriate any trade secrets of a third party, and ZOLL will pay those costs and damages finally awarded against Customer in any such action that are specifically attributable to such claim or those costs and damages agreed to in a monetary settlement of such action. The foregoing obligations are conditioned on Customer: (a) notifying ZOLL promptly in writing of such action; (b) giving ZOLL sole control of the defense thereof and any related settlement negotiations; and (c) cooperating and, at ZOLL's request and expense, assisting in such defense. If the ASP Services become, or in ZOLL's opinion are likely to become, the subject of an infringement claim, ZOLL may, at its option and expense, either: (i) procure for Agreement, in whole or in part, as appropriate. Notwithstanding the foregoing, ZOLL will have no obligation under this Section 9.1 or otherwise with respect to any infringement claim based upon: (1) any use of the ASP Services not in accordance with this Agreement; (2) any use of the ASP Services in combination with products, equipment software, or data not supplied by ZOLL if such infringement would have been avoided but for the combination with other products, equipment software or data; (3) the failure of Customer to implement any replacements, corrections or modifications made available by ZOLL for the ASP Services; (4) Customer Content; or (5) any modification of the ASP Services or use thereof by any person other than ZOLL or its authorized agents or subcontractors. This Section states ZOLL's entire liability and the Customer's exclusive remedy for any claims of infringement. 9.2. Customer shall indemnify, defend and hold ZOLL harmless from and against any and all liabilities, losses, expenses, damages and claims that arise out of information provided to ZOLL by Customer or Customer's use of the ASP Services except to the extent same are due to ZOLL's breach hereof or ZOLL's gross negligence or intentional misconduct. 10. General Provisions. 10.1. Compliance with Laws and Export Regulations. Customer shall comply with all applicable laws and regulations concerning its use of the ASP Services, including without limitation if applicable all export and import control laws and regulations. Customer will not use the Services for any purpose in violation of any applicable laws. Customer agrees to defend, indemnify, and hold harmless ZOLL from and against any and all liabilities, losses, expenses, damages and claims that arise out of violation of any applicable laws or regulations by Customer or any of its agents, officers, directors, or employees. 10.2. Audits and Inspections. Upon written request from ZOLL, Customer shall furnish ZOLL with a certificate signed by an officer of Customer stating that the ASP Services are being used strictly in accordance with the terms and conditions of this Agreement. In addition, upon prior written notice, ZOLL will have the right, during normal business hours, to inspect, or have an independent audit firm inspect, Customer's records relating to Customer's use of the ASP Services to ensure it is in compliance with the terms of this Agreement, including with any limitation on the number of vehicles or other mechanism upon which pricing is based hereunder. The costs of the audit will be paid by ZOLL, unless the audit reveals that Customer's underpayment of Fees exceeds 5%. Customer will promptly pay to ZOLL any amounts shown by any such audit to be owing (which shall be calculated at ZOLL's standard, non -discounted rates) plus interest as provided in Section 2.4 above. 10.3. Assignment. Customer may not assign or transfer, by operation of law or otherwise, any of its rights under this Agreement to any third party without ZOLL's prior written consent. Any attempted assignment or transfer in violation of the foregoing will be null and void. ZOLL shall have the right to assign this Agreement to an affiliate or to any successor to its business or assets to which this Agreement relates, whether by merger, sale of assets, sale of stock, reorganization or otherwise. 10.4. U.S. Government End Users. If Customer is a branch or agency of the United States Government, the following provision applies. The Software and Instructions are comprised of "commercial computer software" and "commercial computer software documentation" as such terms are used in 48 C.F.R. 12.212 (SEPT 1995) and if provided hereunder are (i) for acquisition by or on behalf of civilian agencies, consistent with the policy set forth in 48 C.F.R. 12.212; or (ii) for acquisition by or on behalf of units of the Department of Defense, consistent with the policies set forth in 48 C.F.R. 227.7202 1 (JUN 1995) and 227.7202 3 (JUN 1995). 10.5. Notices. All notices, consents, and approvals under this Agreement must be delivered in writing by electronic mail, courier, electronic facsimile (fax), or certified or registered mail (postage prepaid and return receipt requested) to the other party at the address set forth in the Initial Order (or such other address as from time to time provided by such party in accordance with this Section), and will be effective upon receipt or three (3) business days after being deposited in the mail as required above, whichever occurs sooner. 10.6. Governing Law and Venue; Waiver of Jury Trial. This Agreement will be governed by and interpreted in accordance with the laws of the State of Colorado without reference to its choice of law rules. The United Nations Convention on Contracts for the International Sale of Goods does not apply to this Agreement. Any action or proceeding arising from or relating to this Agreement shall be brought in a federal or state court in Denver, Colorado, and each party irrevocably submits to the jurisdiction and venue of any such court in any such action or proceeding. EACH PARTY HEREBY ZOLL Data Systems, Inc. Sales Order#: 10.7. Remedies. Except as otherwise expressly provided in this Agreement, the parties' rights and remedies under this Agreement are cumulative. Customer acknowledges that the ASP Services are built on valuable trade secrets and proprietary information of ZOLL, that any actual or threatened breach hereof may constitute immediate, irreparable harm to ZOLL for which monetary damages would be an inadequate remedy, and that injunctive relief is an appropriate remedy for such breach. If any legal action is brought to enforce this Agreement, the prevailing party will be entitled to receive its attorneys' fees, court costs, and other collection expenses, in addition to any other relief it may receive. 10.8. Waivers. Any waiver or failure to enforce any provision of this Agreement on one occasion will not be deemed a waiver of any other provision or of such provision on any other occasion. 10.9. Severability. If any provision of this Agreement is held by a court of competent jurisdiction to be unenforceable, such provision will be changed and interpreted to accomplish the objectives of such provision to the greatest extent possible under applicable law and the remaining provisions of this Agreement will continue in full force and effect. 10.10. Independent Contractors. The parties are entering into, and will perform, this Agreement as independent contractors. Nothing in this Agreement will be construed to make either party the agent of the other for any purpose whatsoever, to authorize either party to enter into any contract or assume any obligation on behalf of the other or to establish a partnership, franchise or joint venture between the parties. 10.11. Subcontracting by ZOLL. ZOLL may, in its sole discretion, contract with any third party to provide the ASP Services. 10.12. Counterparts. This Agreement may be executed in counterparts, each of which will be considered an original, but all of which together will constitute the same instrument. 10.13. Force majeure. Neither party shall be liable for damages for any delay or failure of performance hereunder (other than payment obligation) arising out of causes beyond such parry's reasonable control and without such parry's fault or negligence, including, but not limited to, Acts of God, acts of civil or military authority, fires, riots, wars, embargoes, Internet disruptions, hacker attacks, or communications failures. 10.14. Entire Agreement; Amendment; No Third -Party Beneficiaries; Survival. This Agreement, including the Initial Order and any Order Forms executed hereunder and any exhibits hereto (including the BAA), and the Terms of Use and Privacy Policy that are accessible on the ZOLL Site constitute the entire agreement between the parties regarding the subject hereof and supersedes all prior or contemporaneous agreements, understandings, and communication, whether written or oral. If there is any conflict between this Agreement and the Terms of Use, this Agreement shall take precedence. This Agreement may not be amended or any provision hereof waived except in writing signed by both parties. There are no third -party beneficiaries of this Agreement. Those provisions of this Agreement that may be reasonably interpreted as surviving termination of this Agreement or the survival of which is necessary for the interpretation or enforcement of this Agreement shall continue in full force and effect in accordance with their terms notwithstanding the termination hereof. Exhibit A Business Associate Addendum This Business Associate Addendum (this "Addendum") is entered into by and between Monroe County Fire Rescue ("Covered Entity") and ZOLL Data Systems, Inc. ("Business Associate") in order to comply with 45 C.F.R. § 164.502(e) and § 164.504(e), governing protected health information ("PHI") and business associates under the Health Insurance Portability and Accountability Act of 1996 (P.L. 104 191), 42 U.S. C. Section 1320d, et. seq. and regulations promulgated thereunder, as amended from time to time (statute and regulations collectively referred to as "HIPAA") This Addendum amends the terms and conditions of and is hereby incorporated as part of that certain agreement between Covered Entity and Business Associate entitl Application Service Provider Agreement (the "Services Agreement") and attached hereto. I §1. Definitions. Terms used, but not otherwise defined, in this Addendum shall have the same meaning as those terms in HIPAA; provided that PHI shall refer only to protected health information of Covered Entity unless otherwise stated. §2. Compliance and Agents. Business Associate agrees that to the extent it has access to PHI, Business Associate will ftilly comply with the requirements of this Addendum with respect to such PHI. Business Associate will ensure that every agent, including a subcontractor, of Business Associate to whom it provides PHI received from, or created or received by Business Associate on behalf of, Covered Entity will comply with the same restrictions and conditions asset forth in this Addendum. If Covered Entity is required by HIPAA to maintain a Notice of Privacy Practices, Covered Entity shall notify Business Associate of any limitations in such notice to the extent that such limitation may affect Business Associate's use or disclosure of PHI. §3. Use and Disclosure; Rights. Business Associate agrees that it shall not use or disclose PHI except as permitted under this Addendum, including Section 16 hereof, and in compliance with each applicable requirement of 45 CFR Section 164.504(e). Business Associate may use or disclose the PHI received or created by it, (a) to perform its obligations under this Addendum, (b) to perform functions, activities, or services for, or on behalfof, Covered Entity as specified in the Services Agreement, or (c) to provide data aggregation functions to Covered Entity as permitted by HIPAA. Further, Business associate may use the PHI received by it in its capacity as Business Associate, if necessary, to properly manage and administer its business or to carry out its legal responsibes. Business Associate may disclose the PHI received by it in its capacity as Business Associate to properly manage and administer its business or to carry out its legal responsibilities if. (a) the disclosure is required by law, or (b) the Business Associate obtains reasonable assurances from the person to whom the information is disclosed that it will be held confidentially and used or further disclosed only as required by law or for the purpose for which it is disclosed to the person and the person notifies Business Associate of any instances of which it is aware that the confidentiality of the information has been breached. Covered Entity shall not request Business Associate to use or disclose PHI in any manner that would not be permissible under HIPAA if done by Covered Entity. 9:..� • ^, ZOLL Data Systems, Inc. Sales Order#: APPLICATION SERVICE PROVIDER AGREEMENT §4. Safeguards. Business Associate agrees to develop, document, use, and keep current appropriate procedural, physical, and electronic safeguards, as required in 45 C.F.R. §§ 164.308 - 164.312, sufficient to prevent any use or disclosure of electronic PHI other than as permitted or required by this Addendum. §5. Minimum Necessary. Business Associate will limit any use, disclosure, or request for use or disclosure to the minimum amount necessary to accomplish the intended purpose of the use, disclosure, or request. §6. Report of Improper Use or Disclosure. Business Associate shall report to Covered Entity any information of which it becomes aware concerning any use or disclosure of PHI that is not permitted by this Addendum and any security incident of which it becomes aware. Business Associate will, following the discovery of a breach of "unsecured protected health information," as defined in 45 C.F.R. § 164.402, notify Covered Entity of such breach within 15 days. The notice shall include the identification of each individual whose unsecured protected health information has been, or is reasonably believed by Business Associate to have been, accessed, acquired, or disclosed during such breach. Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is known to Business Associate of a use or disclosure of PHI by Business Associate in violation of this Addendum. §7. Individual Access. In accordance with an individual's right to access to their own PHI in a designated record set under 45 CFR §164.524 and the individual's right to copy or amend such records under 45 CFR §164.524 and §164.526, Business Associate shall make available all PHI in a designated record set to Covered Entity to enable the Covered Entity to provide access to the individual to whom that information pertains or such individual's representative. §8. Amendment of and Access to PHI. Business Associate shall make available for amendment PHI in a designated record set and shall incorporate any amendments to PHI in a designated record set in accordance with 45 CFR § 164.526 and in accordance with any process mutually agreed to by the parties. §9. Accounting. Business Associate agrees to document such disclosures of PHI and information related to such disclosures as would be required for Covered Entity to respond to an individual's request for an accounting of disclosures of their PHI in accordance with 45 CFR §164.528. Business Associate agrees to make available to Covered Entity the information needed to enable Covered Entity to provide the individual with an accounting of disclosures as set forth in 45 CFR §164.528. I - I - , I . I , 11 � , 1 1 a I , I I - I . I . a 1 1. 1 . . W&VIN91"MA�A glillol,v,i- Exhibit A Business Associate Addendum (Continued) §11. Individual Authorizations; Restrictions. Covered Entity will notify Business Associate of any limitation in its notice of privacy practices, any restriction to the use or disclosure of PHI that Covered Entity has agreed to with an individual and of any changes in or revocation of an authorization or other permission by an individual, to the extent that such limitation, restriction, change, or revocation may affect Business Associate's use or disclosure of PHI. §12. Compliance with ARRA. Covered Entity and Business Associate agree to comply with the amendments to HIPAA included in the American Recovery and Reinvestment Act of 2009 ("ARRA'") (P.L. 1115), including all privacy and security regulations issued under AR RA that apply to Business Associate as and when those regulations are effective. §13. Term. This Addendum shall take effect on the effective date of the Services Agreement, and shall continue in effect unless and until either party terminates this Addendum or the Services Agreement. S14. Breach; Termination; Mitigation. If Covered Entity knows of a pattern of activity or practice of Business Associate that constitutes a material breach or violation of Business Associate's obligations under this Addendum, Covered Entity and Business Associate shall take any steps reasonably necessary to cure such breach and make Business Associate comply, and, if such steps are unsuccessful, Covered Entity may terminate this Addendum. Business Associate shall take reasonable actions available to it to mitigate any detrimental effects of such violation or failure to comply. P PHI received from Covered Entity, or created or received by Business Associate on behalf of Covered Entity, that Business Associate maintains in any form or manner and retain no copies of such information or, (b) if such return or destruction is not feasible, immediately notify Covered Entity of the reasons return or destruction are not feasible, and extend indefinitely the protection of this Addendum to such PHI and limit further uses and disclosures to those purposes that make the return or destruction of the PHI not feasible. §16. De -identified Health Information. Business Associate may de -identify any and all PHI and may create a "Limited Data Set" in accordance with 45 C.F.R. § 164.514(b)&(e). Customer acknowledges and agrees that deidentified information is not PHI and that Business Associate may use such de -identified information for any lawful purpose. Use or disclosure of a Limited Data Set must comply with 45 CFR 164.514(e). §17.Survival. All representations, covenants, and agreements in or under this Addendum or any other documents executed in connection with the transactions contemplated by this Addendum, shall survive the execution, delivery, and performance of this Addendum and such other documents. The Page 6 of 9 ZOLL Data Systems, Inc. Sal::Order#: APPLICATION SERVICE PROVIDER AGREEMENT IIIIIIF IFIRII III I !III Ill I ill I , I Ill I I!I - I §18. Further Assurances; Conflicts. Each party shall in good faith execute, acknowledge or verify, and deliver any and all documents which may from time to time be reasonably requested by the other party to carry out the purpose and intent of this Addendum. The terms and conditions of this Addendum will override and control any conflicting term or condition of the Services Agreement. All non conflicting terms and conditions of the Service Agreement shall remain in full force and effect. Any ambiguity in this Addendum with respect to the Services Agreement shall be resolved in a manner that will permit Covered Entity to comply with HIPAA. §19. Applicable Law. The parties acknowledge and agree that HIPAA may be amended and additional guidance or regulations implementing HIPAA maybe issued after the date of the execution of this Addendum and may atTect the parties' obligations under this Addendum. The parties agree to take such action as is necessary to amend this Addendum from time in order as is necessary for Covered Entity to comply with HIPAA. Exhibit B Service Level Agreement This Service Level Agreement (the "SLA") defines the service levels provided by ZOLL in accordance with delivering its software as a hosted service pursuant to the Application Service Provider Agreement (the "ASP Agreement"), to which this SLA is attached as an exhibit. This SLA is efTective upon ZOLL's acceptance of a signed copy of the ASP Agreement from Customer and receipt from Customer of all fees due and payable. Capitalized terms used but not defined herein shall have the same meanings as assigned to such terms in the ASP Agreement. 1 Service Overview ZOLL' hosted services (the "Hosted Services") are defined as the service of hosting, on ZOLL's IT platform, the web based Software for use by ejj o t vicl ZOLL's developed software) or systems operating on Customer's premises. 2 Service Deliverables PF19Y17"Iffl, IIII I �11 I 2.1.1 Downtime. Downtime, expressed in minutes, is any time the Hosted Service is not accessible to Customer and Customer's users. 2.1.2 Planned Downtime. Planned Downtime is Downtime including scheduled periods where the Hosted Services may not be available in order for ZOLL to continue to bring the best possible service, features and performance to its customers. Planned Downtime includes, but is not limited to: 1) Standard Maintenance; and 2) Emergency Maintenance. Standard Maintenance is performed when upgrades or system updates need to be applied (i.e. standard software release, non -critical software updates). Emergency maintenance happens when there is a critical system update that needs to be applied quickly to avoid significant downtime (such as hardware patches that address server vulnerabilities or a critical software update). Standard Maintenance Windows: Weekly, Monday and Wednesday between the hours of 7prn to llpm Mountain Time. Notice will go out at least 24 hours in advance of the planned outage. Emergency Maintenance Windows: As needed. Best efforts will be made to provide notice at least 30 minutes in advance of the planned outage. 2.1.3 Excused Downtime. Excused Downtime time is Downtime caused by: a) services, software or hardware provided by anyone other than ZOLL (such as the cellular network carrier or the mobile handset provider), b) software, services or systems operating outside of ZOLL hosted infrastructure, including any software (including ZOLL's developed software) or systems operating on Customer's premises; c) a Force Majeure event or a customer related action (e.g. a customer's failure to comply with its obligations under the Application Service Provider Agreement or use of the Hosted Services in ways that were not intended). 2.1.4 Unplanned Downtime. Unplanned Downtime in a calendar month is expressed as a percentage calculated as follows: (Downtime - (Planned Downtime + Excused Downtime) Total number of minutes in the calendar month 2.1.5 Unplanned Downtime Goal. ZOLL shall provide the Hosted Services such that there is less than 1% of Unplanned Downtime in a calendar month. 2.1.6 Incident Monitoring and Reporting. Problems with the Hosted Services can be logged by Customer through the ZOLL support website at support@zoll.com or through the ZOLL's call center at 800-663-3911. An incident report will be created and escalated as appropriate. ZOLL Data Systems, Inc. Sales Order #: Online hicident Reporting: 240 reporting through the ZOLL support site, support@zoll.com. Responses shall be provided within 24 hours during normal business hours. Call Center Standard Support: Monday to Friday 6:00am to 6:00pm, Mountain Time. 2.2 Covered Services lCustomer Content 2.2.1 Covered Services. The Hosted Services covered by the Unplanned Downtime Goal are those identified in the ASP Agreement as the ASP Services, that have been activated for Customer, and Customer has accepted and is using in the course of carrying out their normal business operations. Exhibit B Service Level Agreement (Continued) FPVP4WftTWT"" n I n1i I MW I I I . I I 1 0 1 FUww." lIg1116 11ILL111gV11trVTp ILL 1 tits ulaulins. Viniess specitielTmernise in 7110 Out it UL;LIVC Y defined below), for [51 years (calculated from the date of creation of such Customer Content, or ZOLL's receipt of such Customer Content, whichever is later) in ZOLL's working data set. Upon the expiration of such [5]-year period, ZOLL will notify Customer in writing and will provide Customer the option, which Customer shall exercise by informing ZOLL in writing, within 30 days of receiving the notice, that either (a) Customer wishes to receive Customer Content in a ZOLL-provided tool that allows Customer to view, search and print such Customer Content, or (b) Customer will pay ZOLL, at ZOLL's then -current storage rates and upon ZOLL's then -current terms and conditions, to continue to store such Customer Content. If Customer fails to exercise one of the foregoing options within such 30-day period, ZOLL will have the right to destroy all Customer Content in its possession or under its control. During the time ZOLL stores Customer Content for Customer hereunder, ZOLL will periodically identify Customer Content that has had no av)�,A-30�.t IL working data set and destroy such data, unless Customer requests, in writing, within 30 days of receiving the notice from ZOLL, that either (a) Customer wishes to receive such Inactive Data in a ZOLL-provided tool that allows Customer to view, search and print such Inactive Data, or (b) Customer will pay ZOLL, at ZOLL's then -current storage rates and upon ZOLL's then -current terms and conditions, to continue to store such Inactive Data. If Customer fails to exercise one of the foregoing options within such 30-day period, ZOLL will have the right to destroy the applicable Inactive Data in its possession or under its control. Except for this Section 2.2.2, the terms of this SLA (including, without limitation, the Unplanned Downtime Goal) do not apply to Customer's access of Inactive Data. P.3 Remedies A "Service Credit" means a percentage of the monthly service fee to be credited to Customer (subject to Customer's written request therefor and ZOLL's verification thereof) for the service for which the Unplanned Downtime Goal is exceeded in a calendar month. For any calendar month where the aggregate total of Unplanned Downtime for a particular service exceeds 1%, ZOLL will provide a 10% Service Credit w W2,r,&J—, wa�lwq&' E-wil of the end of the calendar month in which the Unplanned Downtime occurred and the Unplanned Downtime is verified by ZOLL. include details on the nature of the outage and date and time of occurrence. Prior to issuance of Service Credits, the incident must be verified by ZOLL. Failure to submit a written request for Service Credit as noted above shall constitute a waiver of such Service Credits by Customer. Further, Service Credits shall not be issued if Customer is not current on all fees due and payable. 3 Term The term of this SLA shall be coincident with the term of the ASP Agreement. 4 Other Conditions 4.1 General Terms & Conditions Terms and conditions on use of Hosted Services are contained in the ASP Agreement. 4.2 Alodifications Changes to this SLA may be made from time to time at ZOLL's sole discretion. Customer will be notified of any material changes to this SLA. 4.3 Limitations On Remedies. The remedies of Section 2 of this SLA shall be Customer's sole and exclusive remedies with respect to ZOLL exceeding the Unplanned Downtime Goal. ZOLL Data Systems, Inc. Sales Order#: 4TPLIC.4,TION SE Description of License Types The license to install and use the Software shall be in accordance with the following license options. The Software may contain a software license management tool (a "License Manager") that regulates Customer's use of the Software. If so, all of the licensed activity described below must be subject to the control of the License Manager, and Customer may not install or use the Software in a manner that circumvents or interferes with the operation of the License Manager or any other technological measure that controls access to the Software. 'HL' - Hosted License. Hosted License provides access to the ASP Services as described in Section 3.1 and provides Customer the right to install the Software on an unlimited number of compatible personal computers or devices, for use by any number of Customer users based on the number of total vehicles in Customer's fleet, as specified on the Initial Order. The license is not limited to any specifically identified Customer users but is limited by the total number of vehicles in the Customer's fleet. Total number of vehicles is determined based on the following: In an EMS agency - the number of vehicles that are capable of transporting patients. In a First Response Only agency - the number of vehicles that carry an EMT/Paramedic for the purpose of providing emergency medical care. In a Fire Department that does not provide EMS Services - the number of vehicles capable of pumping water. In the case of a Fire Department that also provides EMS Services - a combination of the number of vehicles that are capable of transporting patients and those that are capable of pumping water. Or in the case of a multi -agency system a combination of the above. The following products are exceptions to the above: * RescueNet NetTransit - Based on the number of facilities multiplied by the Adjusted Price on page I with a maximum monthly charge of $1,200.00. * Standalone RescueNet Crew Scheduler ASP - Based on the number of resources scheduled. * RescueNet @Work - Based on the number of vehicles in the fleet excluding supervisory vehicles. * RescueNet Navigator - Based on the number of vehicles where Navigator will be used.