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Item G2BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1 AGENDA ITEM SUMMARY Meeting Date: August 17, 2011 Division: Emergency Services Bulk Item: Yes No X Department: Fire Rescue Staff Contact Person/Phone # Susan Hover/x6088 AGENDA ITEM WORDING: Approval to Amend Agreement and purchase price from $25,133.79 to $27,633.79 with Physio Control, Inc., the sole source provider of the LIFEPAK family of products, for the scheduled replacement of a LifePak 15 cardiac monitor defibrillator unit and integral components, and approval for the Fire Chief to sign the necessary documentation to complete the purchase transaction. ITEM BACKGROUND: During the Fiscal Year 2011 budget process, funds were budgeted for the purchase of one scheduled replacement LifePak 15 cardiac monitor defibrillator unit and integral components for use in Monroe County Fire Rescue operations. Physio-Control, Inc., division of Medtronic, Inc., is the sole source provider of the LIFEPAK family of products. The original agreement and pricing of $25,133.79, approved at Board meeting on February 16, 2011, included a trade-in LifePak12 valued at $3,500, however the actual trade-in unit was a LifePak 10 valued at $1,000, therefore the agreement and purchase price has been amended to reflect the corrected price of $27,633.79, an increase of $2,500 to allow for the difference in trade-in values. PREVIOUS RELEVANT BOARD ACTION: During the Fiscal Year 2011 budget process, funds were budgeted for the purchase of one LifePak 15 cardiac monitor defibrillator unit and integral components for use in Monroe County Fire Rescue operations. On February 16, 2011 the Board approved to issue a Purchase Order to Physio-Control, Inc., the sole source provider of the LIFEPAK family of products, in the amount of $25,133.79 to purchase a scheduled replacement LifePak 15 cardiac monitor defibrillator unit and integral components, and approval for the Fire Chief to sign the necessary documentation to complete the purchase transaction. CONTRACT/AGREEMENT CHANGES: Increase in price of $2,500. STAFF RECOMMENDATIONS: Approval. TOTAL COST: $27,633.79 INDIRECT COST: N/A BUDGETED: Yes X No _ *$25,133.79 has already been paid, the balance due of $2,500.00 will be paid after Board approval of this amendment DIFFERENTIAL OF LOCAL PREFERENCE: N/A COST TO COUNTY:-$27,633.79 SOURCE OF FUNDS: Ad Valorem Taxes 13001-560-640 REVENUE PRODUCING: Yes No X AMOUNT PER MONTH Year APPROVED BY: County Atty�/ OMB/Purchasing Risk Management DOCUMENTATION: Included X Not Required DISPOSITION: AGENDA ITEM # Revised 7/09 MONROE COUNTY BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1 CONTRACT SUMMARY Contract with: Physio-Control, Inc. Contract # Effective Date: Expiration Date: Contract Purpose/Description: Approval to Amend Agreement and purchase price from $25,133.79 to $27,633.79 with Physio Control, Inc., the sole source provider of the LIFEPAK family of products, for the scheduled replacement of a LifePak 15 cardiac monitor defibrillator unit and integral components, and approval for the Fire Chief to sign the necessary documentation to complete the purchase transaction. Contract Manager: Susan Hover 6088 Fire Rescue / Stop 14 (Name) (Ext.) (Department/Stop #) for BOCC meeting on 08/ /11 Agenda Deadline: 08/ 11 CONTRACT COSTS Total Dollar Value of Contract: $ $27,633.79 Current Year $27,633.79 Portion: $ Budgeted? Yes® No ❑ Account Codes: 13001-560640 Grant: $ County Match: $ ADDITIONAL COSTS Estimated Ongoing Costs: $ /yr For: of included in dollar value Date In Division Director Risk Manage m t O.M.B./Purc s ng 11 County Attorney Comments: CONTRACT REVIEW Changes Date Out Needed iewer Yes[:] No m m Yes❑ No[Ef i Yes[:] No Yes❑ No 1f OMB Form Revised 2/27/01 MCP #2 Pricing Summary Totals List Price: $33,637.00 Trade -Ins: - $1,000.00 Cash Discounts: - $5,045.55 Tax + S&H: + $42.34 GRAND TOTAL FOR THIS QUOTE $27,633.79 TO PLACE AN ORDER, PLEASE FAX A COPY OF THE QUOTE AND PURCHASE ORDER TO: # 800-732-0956, ATTN: REP SUPPORT "Ask your sales representative how to get 25% or more off list price on your UFEPAK disposables by signing up for a disposables agreement" PHYSIO-CONTROL, INC. REQUIRES WRITTEN VERIFICATION OF THIS ORDER.A PURCHASE ORDER IS REQUIRED ON ALL ORDERS $10,000 OR GREATER BEFORE APPLICABLE FREIGHTAND TAXES.THE UNDERSIGNED IS AUTHORIZED TO ACCEPT THIS ORDER IN ACCORDANCE WITH THE TERMS AND PRICES DENOTED HEREIN. SIGN TO THE RIGHT: Ref. Code: JJIf1-2F5BRQ CUSTOMER APPROVAL (AUTHORIZED SIGNATURE) NAME TITLE DATE Notes: Taxes, Shipping and handling fees are estimates only and are subject to change at the time of order. Shipping and handling applies to ground transport only. Above pricing valid only if quote is purchased In its entirely (optional items not required). To receive a trade -In credit, the customer agrees to return the trade -In devices) within 30 days of receipt of the replacement devlce(s) to Physlo-Control's place of business or to an authorized Physlo-Control representative. Physio-Control will provide instructions for returning the devices) and will pay for the associated shipping cost In the event that the trade -In devlce(s) are not received by Physio-Control within the 30-day window, customer acknowledges that the quote shall constitute a purchase order and agrees to be Invoiced for the amount of the trade -In discount. Invoice shall be payable upon receipt. Items listed above at no change are Included as part of a package discount that involves the purchase of a bundle of Items. Customer is solely responsible for appropriately allocating the discount extended on the bundle when fulfilling any reporting obligations it might have. ,1 Physlo-Control, Inc Formerly Medtronic ERS 11811 Willows Road NE Post Office Box 97008 Redmond, WA 98073.970e USA Telephone: 42"67.4000 Fax: 426.881.240E F.EJA 91-0697691 BILL TO ACCOUNT: 031895 11 MONROE COUNTY FIRE RESCUE 490 63RD ST OCEAN MARATHON, FL 33050 UNITED STATES INVOICE Page: t INVOICE S3097494 07/25/11 SHIP TO ACCOUNT: 03189601 Sold To: 03189501 MONROE COUNTY FIRE RESCUE 490 63RD ST OCEAN MARATHON, FL 33050 UNITED STATES ._....---...-•----------------------- ---------------- ---------------.-..._.----------- DATE SHIPPED PUAGHRRS ORCER NWINK sALES�SERVICE RErRE 6 rA71VE t 00035836 CSRRP3 FAVV67 jensej5j 540302250553c/lh CARRIER CARRIER TRACKING NUMBER SALES ORDER PAYMENT TERMS GRD-NC S3097494-00 Net 30 Days 1199577-000045 P15 MONITOR DEFIB, CPR, 1 9A 29995.00� 24495.75 ` Pace, to 360J, SP02, 12L Di counk 5499.25 >r GL, NIBP, CO2, Trend, BT Unit pricir reflects trade-in discoj^%t. T d -in its must be retiurned within 60 days of receipt of new equment. I not rjecei'ved in 60 ays youwill be rellilled to reflect the pricwitho t he tr de-i discount. Pleaserefer to the trade-in information paat in lu ad in intrent al 1 shipment toy locate shipping labels an the Fe tjrn Ma rid Authori tion : number. Thtis will ensure the prompt ad ac r to acceptarce of our units 1^'f to complete the trade-in portion of y ur order E; ***Race g Clerk -Please retain pa king trial return trade-in W. } Sig units. *�* TRADE IN OF LP10 0 $1,000.00 rg. SN: 070414 Im 1 5 ACCESSORY SHIPRIT 1 A a 0.00 0.00241577-0000 2 P 13::11996-000091 LECTRODE ASSY-ADULT,QC 2 K 0.00 0.00 i TD,WORLDWIDE`' 421330-001365 ASSY - TEST LOAD, ENGLISH 1 E 0.00 0.00 5 11577-000001 IT - CARRY BAG, SHOULDER 1 0.00 0.00�- STRAP 6 21330-001176 �I-ION BATTERY S.7 AMP 4 A 390.00 1288.60 a..l b3 f CONTINUED r N ACCEPTED NOTE: TERMS CONTAINED ON THE REVERSE SIDE! OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. I Physic -Control, Inc Formerly Medtronic ERS 11811 1AB8owt Road NE Post Oifke flox 97006 Fwomond. WA 98073.9706 USA TWaphone: 425.867.4000 Fax; 425-e81.2405 F,E.I.N. 91.0697091 BILL TO ACCOUNT: 0318950, MONROE COUNTY FIRE RESCUE 490 63RD ST OCEAN MARATHON, FL 33050 UNITED STATES INVOICE SHIP TO ACCOUNT: 03189501 Pa9o: 2 INVOICE S3097494 07/26/11 Sold To: 03189501 MONROE COUNTY FIRE RESCUE 490 63RD ST OCEAN MARATHON, FL 33050 UNITED STATES iW.;.:a�n;rompperNnnor;Mv".ynau:......................•----••------------•----.........._................ ............. OATe sw E® MtIRCNAI ORDEx bV NBER sAitAsrsEnwee nlrnEwa^,mre _ $ 00035836 CSRRp3 EAW67 jensej5 540302250553c/lh E CARRIER GRD-NC CAPACITY S3097494-00 fNet 30 7, 1157-1-000004 STATION' BATTERY CH;ARCER I 61171-000017 �NCS DCI, ADULT SP02 .SENSOR REUSABLE 9111220-000028 mop Pouch ( 10111S77-000002 IT - CARRY BAG, MAIN BAG 11111260-000039 IT - CARRY BAG, REAR F POUCH 'Contact: CHRIP MUSSER Phone: 305-289-6043 �CI USTOMER NEEDS ONE INVOICE TO TOTAL $27,633 FIIS IS IN RE TO INVOICE 111089277 TOTALING $25,091.�S (PAID ON CHECK #i561895 ;AND''INVOICE 1120M 135 FOR $2,500.00 (UNPAID E7DJ x74132 79 1 1 1� 11 1 4/6/11 LAN *** CONTINUED *** Di count 67.85` 1540.00 1270.75 Di faun 269.251 270,00 229.50 Discount 40.50-4 47.00J 39.10 Di oun 7.90 L Freig 260.00J 212.50 47-50 67.0 V 55.25 11.75-+ Sub Total, 27591.45 and Handling 42.34 i M v; NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. I Physio-Control, Inc Formerly Medtronic ERS 11811 Wftws Road NE Post Office Boa 97006 Redmond. RYA 98973.9700 USA Takptxms: 425-887.4000 Fax: 425-BB1-2405 F.E.I.N. 91-0097691 BILL TO ACCOUNT: 03189501 MONROE COUNTY FIRE RESCUE 490 63RD ST OCEAN MARATHON, FL 33050 UNITED STATES INVOICE Page: 3 INVOICE 53097494 07/25/11 SHIP TO ACCOUNT: 03189501 Sold To: 03189601 MONROE COUNTY FIRE RESCUE 490 63RD ST OCEAN MARATHON, FL 33050 UNITED STATES "CHASE ORDER NUMOCR 00035836 opCARRIER TRACKING NUfWSEFI SALES ..,_>PAYMENT TERMS .s 09+r• Net 30 Days `OMER NEEDS OW INVOICE TO TOT $27,633 79 i I8 I IS TO INVOICE 111092,77 LLING $2S.091.45 (PAID 09 CHECK# S61 95 WN 4/6 11 INVOICE 11201!,3135 2,500.D0 (UNPAID BALANCE) x74132 I i f pf s g t 27.7 NOTE: TERMS CONTAINED ON THE REVERSE SIDE OF THIS DOCUMENT ARE EXPRESSLY MADE A PART OF THIS SALES AGREEMENT AND ARE INCORPORATED HEREIN. Physio-Control, Inc. 11811 Willows Road NE P.O. Box 97023 Redmond, WA98073-9723 U.S.A www.physio-control.com www.madtronic.com tel 800.442.1142 fax 800.732.0956 To: Chief Chris Musser Monroe County Fire Rescue Quote#• 1-178079412 90 63rd St Ocean MARATHON, FL 33050 Rev#: 2 Phone: (305) 289-6043 Quote Date: 07/25/2011 Fax: (305) 289-6336 Sales Consultant: Debbi Stanfield musser-chds®monroecounty-h.us 800-442-1142 x 72305 FOB: Redmond, WA Terms: Net 30, all quotes subject to credit approval and the following terms & conditions Contract: None Exp Date: 0912312011 .ro ® o o •IIIa M o. 1 99577-000045 - LP15 MONITORIDEFIB, CPR, 1 $29,995.00 $4.499.25 $1,000.00 $24,495.75 $24,495.75 Pace, to 360J, SP02,121. GL, NIBP, CO2, Trend, BT INCLUDED AT NO CHARGE: 2 PAIR QUIK-COMBO ELECTRODES PER UNIT - 11996-000091, TEST LOAD - 21330.001365, Service Manual CD-ROM 21340- 000438, ShlpKlt- 41577-000012. HARD PADDLES, BATTERIES AND CARRYING CASE NOT INCLUDED. 2 21330-001176 - LI•ION BATTERY 5.7 AMP 4 $379.00 $56.85 $0.00 $322.15 $1,288.60 HOUR CAPACITY RECHARGEABLE LITHIUM -ION, WITH FUEL GAUGE 3 11577-000004 -STATION BATTERY 1 $1,495.00 $224.25 $0.00 $1.270.75 $1,270.75 CHARGER AC OPERATION FOR STATIONARY APPLICATIONS, FOR USE WITH THE L140N 5.7 AMP BATTERY. INCLUDES AC POWER CORD, MOUNTING BRACKET AND OPERATING INSTRUCTIONS 4 11171-000017 - LNCS DC1, ADULT SP02 1 $270.00 $40.50 $0.00 $229.50 $229.50 SENSOR REUSABLE LNCS DCI,ADULT SP02 SENSOR,REUSABLE,REF 1863 5 11220-000028 -Top Pouch 1 $46.00 $6.90 $0.00 $39.10 $39.10 Storage for sensors and electrodes. Insert In place of standard paddles. 6 11577.000002 - KIT . CARRY BAG, MAIN BAG 1 $250.00 $37.50 $0.00 $212.50 $212.50 ACCESSORY 11577-000002 LP15 KIT CRY BAG. Includes shoulder strap 11577-000001 7 11260.000039 - KIT - CARRY BAG, REAR 1 $65.00 $9.75 $0.00 $55.25 $55.25 POUCH KIT - CARRY BAG, REAR POUCH SUB TOTAL $27,591.45 ESTIMATED TAX $0.00 ESTIMATED SHIPPING & HANDLING $42.34 GRAND TOTAL $27,633.79 Trade -In Detail Product Oty Unit Value Total Value 1 Sales Order Confirmation I II Physic -Control, Inc. 11811 Willows Road NE Post Office Box 97006 Redmond, WA 98073-9706 USA Telephone: 425.867.4000 Fax: 425.881.2405 F.E.I.N. 91-0697691 BILL TO ACCOUNT: 03189501 MONROE COUNTY FIRE RESCUE 490 63RD ST OCEAN MARATHON, FL 33050 UNITED STATES Page: 1 SALES ORDER S3097494 07125/11 SHIP TO ACCOUNT: 03189501 Sold To: 03189501 MONROE COUNTY FIRE RESCUE 490 63RD ST OCEAN MARATHON, FL 33050 UNITED STATES - --------------------------------------------------------------------------------------------------------------- ----- Plaasa rofumfop porlfan wNh payment. DATE SHIPPED PURCHASE ORDER NUMBER 9ALESISERVICE REPRESENTATIVE 00035836 tC'SRRP3 EAV 67 jensej5 540302250553c/lh CARRIER CARRIER TRACKING NUMBER I SALES ORDER7 fPAYMENT TERMS GRD-NC S3097494-00 ;Net 30 Days _ _. ___.. 5;=. `. S,(� 4 �.� L.,4a'K • :S7!aY �� r'!tn a 1 `, �...' ,.. _ _�f � �', HP : �\f��3}ie�� - �a„�u1��lISr3 a. �. �'-. _ 1 99577-000045 P15 MONITOR/DEFIB, CPR, 1 29995.00 24495.75 T ';Pace, to 360J, SP02, 12L �L, NIBP, CO2, Trend, BT Unit priczn}g reflects trade-in disco t. T: within 60 ,ys of receipt of new equi ment. will be re filled to reflect the price witho, refer to t e trade-in information pac et in shipment t locate shipping labels an the number. T is will ensure the prompt nd ac to complete, the trade-in portion of yaur or ***Receivi ' Clerk - Please retain paking units. *** TRADE IN O LP10 @ $1,000.00 SN: 070414 ; 2'41577-000012 �,P15 ACCESSORY SHIPKIT 1 311996-000091 ELECTRODE ASSY-ADULT,QC 2 'STD, WORLDWIDE 4121330-001365 SSY - TEST LOAD, ENGLISH 1 5 11577-000001 KIT - CARRY BAG, SHOULDER 1 !STRAP i 621330-001176 ,I -ION BATTERY 5.7 AMP 4 Di count' S499.25- d -in its ust be rerned I not ecei ed in 60 days you he tr a-i discount. Please u ed in our tew equipment t rn Mal rials Authorization r to ac eptance of our nits r' I t rial tl ret�irn trade-Iin *** CONTINUED *** 0.00 0.00 0.00 0.00 0.00 0.00 0.00 i 0.00 390.00 , 1288.60 T i Sales Order Confirmation Phyalo-Control, Inc. 11811 W hows Road NE Post Office Box 97006 Redmond. WA 98073.9706 USA Telephone: 425.867.4000 Fax: 425.881.2405 F.E.I.N. 91-0697691 BILL TO ACCOUNT: 03189501 MONROE COUNTY FIRE RESCUE 490 63RD ST OCEAN MARATHON, FL 33050 UNITED STATES Page: 2 SALES ORDER S3097494 07/25/11 SHIP TO ACCOUNT: 03189501 Sold To: 03189501 MONROE COUNTY FIRE RESCUE 490 63RD ST OCEAN MARATHON, FL 33050 UNITED STATES --------- - --- -------------------------------------------------------------------------------------------------- PleaBe slum roP portion wHh payment. I PATE SHIPPED PURCHASE ORDER NUMBER SALESISERVICE REPRESENTATIVE 00035836 CSRRP3 EAVV67 jensej5j 540302250553c/lh 1 CARRIER CARRIER TRACKING NUMBER �- ^ SALES � ORDER PAYMENT TERMS GRD-NC S3097494-00 Net 30 Days OUR CAPACITY Di count' 67.85-4 7�11577-000004 STATION BATTERY CHARGER 1 1540.00 1270.75 T Disco unt; 269.25-' 8,11171-000017 ;,NCS DCI, ADULT SP02 x 1 � 270.00229.50 T 'SENSOR REUSABLE Dis ountl 40.50-1 9i11220-000028 op Pouch 1 Discount! 47.00 1 39.10 7.90- T 10111577-000002 7CIT - CARRY BAG, MAIN BAG 1 260.00 212.50 T Dis ountl 47.50-1 I 1 11j11260-000039 IT - CARRY BAG, REAR OUCH 1 Disl 67.00 55.25 ount; 11.75- �T Contact: CHRI' MUSSER Phone: 305-I289-6043 Sub Total 27591.45 I Freight and Handlinl� 42.34 'CUS OMER NEEDS INVOICE TO TOTAL $27,63379 THI IS IN REG TO INVOICE 111089277 kOT ING $25,091.145 (PAID ON CHECK #561895 N 4/6/11 ,kNDDDINVOICE 112013135 FOR $2,500.00 (UNPAID J x74132 BALANCE) 1 i u 27633.79