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HomeMy WebLinkAboutCity of Tamarac Resolution R-2012-099TR12241 August 20, 2012 Page 1 CITY OF TAMARAC, FLORIDA �4"/" RESOLUTION NO. R-2012 - A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF TAMARAC, FLORIDA ACCEPTING AN EMERGENCY MEDICAL SERVICES GRANT IN THE AMOUNT OF $22,500 FROM THE FLORIDA DEPARTMENT OF HEALTH, BUREAU OF EMERGENCY MEDICAL SERVICES FOR A CARDIAC MONITOR/DEFIBRILLATOR AND AUTHORIZING THE APPROPRIATE CITY OFFICIALS TO EXECUTE AN AGREEMENT FOR PURCHASE OF ONE (1) LIFEPAK 15 CARDIAC MONITOR AND DEFIBRILLATOR WITH RELATED ACCESSORIES FROM PHYSIO-CONTROL, A DIVISION OF MEDTRONIC, INC., A SOLE SOURCE PROVIDER NOT TO EXCEED A TOTAL AMOUNT OF $30,000 IN GRANT FUNDING AND CITY MATCH; AUTHORIZING THE DISPOSAL OF ONE (1) OUTDATED CARDIAC MONITOR AND DEFIBRILLATOR; PROVIDING FOR CONFLICTS; PROVIDING FOR SEVERABILITY; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the State of Florida requires a Cardiac Monitor and Defibrillator on every licensed Advanced Life Support (ALS) vehicle; and WHEREAS, upgrading Cardiac Monitor and Defibrillator on City of Tamarac Fire Rescue ALS vehicles maintains the Department's emergency and operational readiness; and WHEREAS, the City applied and was awarded a Florida Department of Health, Bureau of Emergency Medical Services matching grant to purchase one (1) cardiac monitor and defibrillator (attached hereto as Exhibit A and B); and WHEREAS, acceptance of these grant funds require the amending of estimated revenues and expenditures within the Department's Fund Budget; and WHEREAS, funding for cardiac monitors and defibrillators has been provided for in the Fire Rescue FY13 budget; and WHEREAS, the City Commission of the City of Tamarac deems it to be in the best interest of the citizens and residents of the City of Tamarac to accept this grant funding for the provision of cardiac monitors and defibrillators, and to execute the Florida Department of TR12241 August 20, 2012 Page 2 Health Project Agreement in the amount of $22,500 with a City match of $7,500 from the Fire - Rescue FY13 budget for a total grant amount of $30,000; and WHEREAS, the Fire Chief and the Purchasing and Contracts Manager recommend acceptance of these grant funds and execution of the project Agreement between the Florida Department of Health and the City of Tamarac, and to enter into the necessary agreements with Physio-Control, a division of Medtronics, Inc., for the purchase of one (1) LifePak 15 cardiac monitors and defibrillators, in a total grant amount not to exceed $30,000, pending legal review and approval (attached hereto as Exhibit C); and WHEREAS, Physio-Control, a division of Medtronic, Inc. does not utilize a dealer network, and markets all products directly; and WHEREAS, City Procurement Code § 6-148 (b) permits sole source purchases; and WHEREAS, as a result of standardization and the lack of dealers, Physio-Control, a division of Medtronic, Inc. is a sole source provider (letter attached hereto as Exhibit D); and WHEREAS, the Fire Chief and the Purchasing and Contracts Manager furthermore recommend disposing of one (1) LifePak 12 cardiac monitor and defibrillator; and WHEREAS, City Code §6-156.1 permits the disposal of Surplus Stock. T R 12241 August 20, 2012 Page 3 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF TAMARAC, FLORIDA: SECTION 1: The foregoing "WHEREAS" clauses are hereby ratified and confirmed as being true and correct and are hereby made a specific part of this Resolution. All Exhibits attached hereto are expressly incorporated herein and made a part hereof. SECTION 2: The City Commission of the City of Tamarac hereby accepts the award of $22,500 from the Florida Department of Health. SECTION 3: The appropriate City Officials are hereby authorized to accept the Grant Application Agreement between the City of Tamarac and the Florida Department of Health for grant funding in the amount of $22,500 with a 25% match in City funds or $7,500, for a total project cost of $30,000 (attached hereto as Exhibit A), award letter (attached hereto as Exhibit B), vendor quotation (attached hereto as Exhibit C), sole source letter (attached hereto as Exhibit D) and to enter into the necessary agreements pending legal review and approval between the City of Tamarac and Physio-Control for a cardiac monitor and defibrillator. SECTION 4: The LifePak 12 monitor and defibrillator are outdated for use by Tamarac, are considered surplus stock, and are available for trade-in toward the purchase of the LikePak 15 monitor/defibrillator and accessories. SECTION 5: All Resolutions or parts of Resolutions in conflict herewith are hereby repealed to the extent of such conflict. TR12241 August 20, 2012 Page 4 SECTION 6: If any clause, section, other part or application of this Resolution is held by any court of competent jurisdiction to be unconstitutional or invalid, in part or application, it shall not affect the validity of the remaining portions or applications of this Resolution. SECTION 7: This Resolution shall become effective immediately upon its passage and adoption. PASSED, ADOPTED AND APPROVED this ATTEST: PETER M. J. CITY CLERK HARDSON,(CRM, CMC I HEREBY CERTIFY that I have approved this RESOLUTION as to form. �,A,/SAMUEL S. GOREN CITY ATTORNEY f day of - 2012. BETH TALABISCO MAYOR RECORD OF COMMISSION VOTE: MAYOR TALABISCO:' ,< --4- DIST 1: COMM. BUSHNELL'/,-, DIST 2: COMM GOMEZV, DIST 3: V/M. GLASSER DIST 4: COMM. DRESSLEfR t a TR12241 - Exhibit A EMS MATCHING G PPLICATION FLORIDA DEPARTMENr OF HEALtH Bureau of Emergency Medical Services Complete all fems unless instructed differently within the application: E] 0 M Tvoe of Grant Requested.* Rural atching he State Bureau of EMS will assign the ID Code - leave this blank DH Form 1767, December 2008 P7 1 TR12241 - Exhibit A Lena l Status of An ralica rat C (1) U Private 4 ► ■ 1' " k 1h ./K �� A A 1. i . . 0% Y. V ... f'[ fA. 1\ �"A rY ri. 1 • ..... Profit jAttach docu me nta Lion -501 (3) 0] Private For Profit () W City/Munjci a1ityfTo nNillag (4) County (5) State (6) [,J Other (specify)- b: Federal Tax 10 Number Wine Digit Nurlberl. VF 5-, :..,- l O 3 9 5 5 2 , EMS License Number. 0636 Type. 21Tra nsport N c n-tra n sp a rt ]Both 7. Number of permitted vehicles by type: BLS 1 8 ALS Transport —.AL ncn-transport. 8Type of Service (check one). LjRescue IEFire UThird Service (County or City Gtrvernment, nonf re) DAir ambulance: E]Fixed wing EIRotowing FB,oth [JOther (specify) g: Medical Director of licensed EMS provider. If this project is approved, I agree by signing below that 1 will affirm my authority and responsibility for the use of all medical equipment and/or the provislion of all gpn �ir�uir EMS education in this project. No signature is needed if medical equipment and professional EMS education are not in this project.)' Signature, gate- Pront/Type', Name of arector Scott Minx MD, FACET FL ed L io. No. ME 40245 Mote. All organizations that are not licensed EMS providers must obtain the signature of the medical director of the licensed E M B provider responsible for EMS services in their area of ope rat#on for projects that involve medical equipment and/or continuing EARS education. �........... ................. .............._.... _......... Lf your activity is a research or evaluation project, omit Items 10, 11,12,132 and slip to Item c Number 14. Othe ise, �rpce+ed to Item 10 and the following items. 1.0 �u�ti1`ip�tio.�umma Provide on no more than three one sided, double spaced pages a summary addressing this project.,, covering each topic listed below - A) Problem description (Provide a narrative of the problem or need): Present situation (Describe how the situation is being handled nowyl: The proposed solution (Present your proposed solut on)�, Dj Consequences if not funded (Explain what wiJ1 happen if this project is not funded); E) The geographic area to be addressed (Provide a narrative description of the geographic area), F) The proposed time frames (Provide a list of the time frarne(s) for completing this project); Data Sources (Provide a complete description of data source (s) you cMte) Hj Statement attesting that the proposal is not a duplication of a previous effort (State that this project doesn't duplicate what you've done on other grant projects under this grant program) DH Form 1767, December 20108 t TR12241 - Exhibit A io. ju-stification Sum ............ A) Problem Description: F(omJanuary 1, 2011 through December 31, 2011. Tamarac Fire RescuejTFR) responded to 7,562 EMS -related calls and transporled 6,155 Patients of 85,5%r This number of calls adds up to about 13% of our total 60,000 population (nearly half that are seniors, many of whom are veterans). Of those patients transported to the emergency department., 73% requfred the use of a cardiac m itor/d.efibrillator,, 18% (809 patients) were confirmed either chest pain or cardiac . ar diac related problems, and another 9,5% (427 patients) had a card.-fac dysrhythmia related to another chief complaint that may have required additional cardiac -related intervention: Providing essential medical care for all these patients requires continuous monitoring. However, our ability to provide this monitoring and t(ansrnit vital data to the retie ivirig hospital is hindered by the limited capability of our old and outdated monitors. 8) Present Situation-. Currently, Tamarac Fire Rescue JIFR) has a monitor/defibrillator capable of using a 12-lead ECG on each prim-aryALS unit. However, in 2010 T F R was awarded a DCH-Eli S grant for rep lacing by (2) out of four (4) machines needed. These Novo remaining machines are between 10-12 years old,. use outdated technology and are not able to transmit ECG findings with an external modern. These units are some: of the oldest units in Broward County according to our Physic -Control purchase sheets, Thereforef, these monitors can only work intermittently (not as a result of broadband signals) and continue to require software tipgrades to t(ansrnit life-saving data to the Emergency Depadment. C) Proposed Solution: Our proposed solution would replace the final Nvo otjtdated:rnonitoridefibrillator units with new industry standard monitor/defibrillators with a more capable, multifunctional ca(di ac monitor and de -fibrillation systern, Modern cardiac Monitors can trim minutes from the: diagnosis and treatment of he -art attacks and other diseases requiring constant patient monitoring. This is significant when having a heart attack because the more time that lapses without definitive treatment the greater the risk of long-term permanent disability or death. Since Cardiovascular disease (CVD) claims more lives each year than the next five leading causes of death combined, ensuring the timety monitoring and treatment of CVD patients is a must The new LifePak system provides a multitude of cutting edge capabilities including: 12-lead ECG analysis using industry standard iinterpretation to immediately recognize and treat. myocardial infarction for both men and women. In addition, the, system has the abillity to transmit diagnostic quality 124ead ECG to I the hospital, automatic defibrillation through bliphasic wave fQr:m technology at the recommended energy Dl Form 1761, December 20-08 3 TR12241 - Exhibit A levels with shock. advisory system, non-invasive cardiac pacing, non-invasive blood pressure monitoring with artifact rejection and automatic measurement nodes, Masimo pulse COoximetry viithi a finger probe, offering accurate and, rellabfe oxygen saturation, met hemoglobin and carbon monoxide detection, CPR metronome to ensure 100 compression per minute,, lithium ion batteries, end -tidal capnogra,phy for both incubated and non-intubated patients, extensive data storage, transmission and retrievable capabilities, large color coded and SunVue displays for enhanced ECG viewing. and patient trending of vital signs and 50m n / 1700rnm printers to record ECGs and patient care. Consequences if not funded: If the grant is not funded, the current technological standard of care would not be available to all patients experiencing a coronary event. With decreases in taxable assessed values of 42.9% over the last four years, coupled with a stagnant economy causing further erosion of revenues to Tamarac, the cost to purchase the system is not fiscally possible, used on equipment age, the likelihood of potential equipment failure is inevitable and it will not be possible for immediate replacement even under service contracts per Physio-Control, New monitors would have to be slowly phased in over the next few years but not until at least 2015, leaving another three years of I i mited monitoring care for our CVD patients, The geographic area to be addressed: This grant will serve the entire 12 square miles of the City of Tamarac, located in west Broward County. TFR has three fire stations and uses a rininimum of four Advanced Life. Support (AL ) rescues and three ALS engines serving a population of 60,000, as well as 2,500 seasonal residents and are estimated daily transient population of 10,000 (City of Tamarac, Community Development, 2011). In addition, the City has agreements such as auternatic and/or mutual aid agreements with border cities, encompassing approximately 25 square miles including the cities of North Lauderdale, Oakland Park and Lauderhill that we respond to assist with patient care. Also, automatic a rid fo r mutual aid agreements are being established with Sunrise, Coral Springs and Lauderdale Lakes. F) Proposed Project Time Frames: TFR expects to select a vendor with -in 30-60 days of receiving the grant award and receiving purchase approval by the City Commission, The Department will order two cardiac rnonitorldefibriilatars and expects delivery in approximately three wee'ks. Training on the devices will begin within 30 days of receipt, Eth devices placed on specified vehicles for use tiw ithin `the sarne tonne period as the training. Please see # 16 for timefrarnes. 14 f orris 1767, December 2008 rI TR12241 - Exhibit A G) Data swrces: 1) National Heart Attack Alert Program coordinating Access to Care Subcommittee, 1995. "Staffing and Equipping Emergency Medical Serrvices System'. Rapid tdent4 ification and Treatment of Acute Myocardial 4 Infarction." American Journal of Emergency Medicine, Volume 18: Pages 806-811. 2.) Atherosclerosis Risk in Conrinnities (AR-111C, 1987-2000, NHLBI), 3) American Heart Association, Inc. 2010. Heart 01�sease and Stroke Statistics 201:0 update 4) AmerlcwHeart Assoication, Inc. 2010. '4Advanced Cardiac Life Support" Textbook of Advanced Cardiac. Life Support, 5) EMSTARS and internai data of Tamarac Fire Rescue, 2011. H) Statement attesting to no ftplication: The City of Tamarac project for requested Cardiac equipment is not a duplication of a pre'vious grant effort or involved in any other grant project. DH Form 1767, December 2008 5 TR12241 - Exhibit A ....... . . ............ . ... .......... ..................... ............... .. : .......... Nast, only complete one of the following: Items 11, 12, or 13. Read all three and then select and comp.lete the one that pertains the most to the receding Justification Summary. .......... I .............. TW ............ .. ... ... 11. Outcome For Projects That. Provide or Effect 11 Direct S . ery . i I ce . s To ­. Emergency ictim I S This may include vehic"es, medical and rescue equipment, communications, navigation, dispatch, and all other things that impact upon on -site treatment, rescue, and benefit of emergency victims at the emergerfICY scene. Use no rrore than two additional one sided, double-spaced pages, for your response. Include the following, A) QuanVy what the situation has 0 1 4 , s been in the most recent 1.2 months for which you have data (include the dates). The stron-gest data will include numbers of deaths and injuries during this time. B) In the 12 months after this project's resources are on-line, estimate what the numbers you provided under the preceding "(A)�l should become. C) Justify and explain how you derived the numbers in (A) and (B), above. D) What other outcome of this project do you expect? Be quantitative and exp,lain the derivation of your figures. E) Flow does this integrate into your agency's five year plan? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Outcome For Training Proiects: This includes training of all types for the public, fiat responders., law enforcement personnel, EMS and other healthcare -staff. Use no more than two additional one sided, double-spaced pages for your response. include the following" A) How many people received the training this project proposes in the most recent 12 month time period for which you have data (include the dates). 8) How man people do you estimate will successfully complete this training in the 12 months after training begins? C If this training is designed to have an impact on injuries deaths: or other ernergency victim data, provide the impact data for the 12 months, before the training and project what the data should be in the 12 months after the training. D) Explain the derivation of all figures Er) How does this integrate into your agency's five year plan? . . . ............ .......... 13. Out comeFor Other Projects. This includes quality assurance, management, adr.ninist(ative, and other. Provide numeric data in your responses, if possible, that. bear directly upon the project and emergency victim deaths, injuries. andYor other data. Use no more than two additional one sided, double- spaced pages for your response. Include the following, A) What has the situation been in the most recent 12 months for which you have data (include the dates)? 8) What will the situation be in the 12 months after the project services are on-line? C) Explain the derivation of all numbers, D) How does this integrate into your agency's five year plan? DH Form. 1767, December 2008 5 TR12241 - Exhibit A 11. Outcome for Fero pcs. that Provide or Effect Direct Services to Emergency Victims A) 12-Mont.h Situation — In 2011, TFR responded to 7,191 EMS -related calls and transpoded 6,155 patients or 85,5%, Of those transports 4,493 or 73% involved patients with conditions requiring the non invasive use of cardiac monitoring. Overall, in the period covering the year 2011,, data showed that 809 or 1611/6 of all: these patients were experiencing either chest pain or cardiac, related problems. Although the 0ty's call volume has been relatively consistent over the past several years, 68% of patients receiving a 4- lead ECG also received a 12-lead ECG and due to technology less than 3.5% should have been transmitted to the emergency department. Firefighter rehabilitation has also been difficult due to the limited ability of CO monitoring- With the primary CO monitors in the City located on the command and rescue units, the CO nnanitor is not utilized if a separate unit is used for firefighter rehabilitation on a fire scene, Command vehicles are not equipped with any ECG monitors, although staffed by paramedics. The acquisition of the new machines will allow the previous monitors to be placed on command vehicles to be used as needed. B.) Projected Outcomes — In recently published literature, the implementation of the new cardiac monitor/defibrillators in all AL S vehicles %vill allow� our services to run and transmit 12-lead data on 100% of patients,: resenting cardiac mptoms, keeping pace with the County- focus 'tor a STEMI network The P symptoms. transmission would enable the receiving facility to be alerted to potent.4 ACS patients 100% of the time as opposed to receiving the ECG upon crew arrival.. The City of Tamaracshould decrease the door to balloon time for our patients at interventionalfacilities or otherlinvasive procedures by 10-15 minutes. Also, in the case of firefighter rehabilitation, the new cardiac monitorldefibrillator with CO monitoring would be present on all fire ground operations, not only for our personnel but for structure fire victims. It would it also provide assistance to patients responded to- under our automatic and./or mutual aid agreements. C) Justif 11c at.4 on for 11 A a n d I I B - The data n u rn be rs in mart A above were derived from F to rid a Aggregate Data and are the actual figures for that year, The data presented and estimates in Part 8 are derived from Florida Aggregate Data for those years cited and frorn stud liesfresults detailed in a variety of j sources that are listed in the I USt1fr ication section of this proposal. All figures are conservative estimates with the exception of transmilission capabilities that. do not reliably exist. There is also mounting evidence in studies and actual incidences throughout EMS that indicate additional measures should be taken for cardiac patients in the field in regard to their appropriate intervention and cardiac catheter times based on DH Form 1767, Oace mbar 2008 Le TR12241 - Exhibit A North Shore Medical enter -Florida Medical Center, Hory Cross Hospital, Cleveland Clinic as well as interfacility transports to Westside Regional Medical Center. Dj Other Passible Outcomes — Other outcomes of this project would be the additions of available ECG Machines being used at the hospital for patient pacing or nnonitoring Currently, if a patient is being paced, the local hospital does not have a "transition" cable in order to continue cardiac pacing without interruption while transferring patient cafe, The urgency of placing units back in service has caused unnecessary inter(uption of pacing by the hospital_. E) Integration Into 6-Year Plan - This project integrates into our 5 year plan by improving and expandincg EMS within the community. This includes the incorporation of 12-lead transmission and hypotherrn is treatment based on updated ACLS algorithms. The new ECG machines allow pfa edic,s access to several nion itori ng devices in one unit, as apposed to h a vin g sieve ral s�e pa ra to pieces of eq u ipment to accomplish the same task As the plan is to provide the most up-to-date technology for ev r patients, this project not only assists in fulfilling these requirements, but also contributes to a key indicator under Goal 5 of the Tamarac Strategf1c Fulani to provide a Safe and Vibrant Communtly, DH FoFm 1767, Decembef 2008 7 TR12241 - Exhibit A .............. . ....... . ......... Skip Item 14 and go to Item 16, unless your project Is research and evatuation and you have not com feted the pteced�ing Justification Summary and one outcorre item. ..... ... ............ ....... ............. ....... 14, Re sear and Eva ;luatop justification Suminigify, and Outcome- You may use no more than three additional one sided, double spaced pages .for this item, A) B) C) D) Justify the need for this project as It relates to EIVIS. Identify (1) location and (2) population to which this research pertains, Among population identified in 14(8) above, specify a past time frame, and provide the number of deaths,: injuries, or other adverse conditions during this Urne that you estimate, the practical application of this research will reduce (or positive effect that it will increase). (1) Novide the expeened numeric change when the anticipated findings of this project are placed into practical use, �2) Explain the basis for your estimates, State your hypothesis. Provide the method and design for this project Attach any questionnaires or involved documents that will be used, It human or other living subjectsare involved in this research, proVide documentation that you will comply with all applicable federal and state laws regarding research subjects. Describe how you will collect and analyze the data. - 15, Statutory Considerations and Criteria: The following acre based on s.: 401,113(2)(b) and 401.11 F S. Use no more than one additional double spaced: age to complete tIA his item. Write Nfor those things in page this sect -ion that do not pertain to this project- Respond to all others. Justify that this project Di li: ­11- i , A) Serve the requirements of the population upon which it will in pact B) Enable emergency vehicles and their staff to conform to state standards established the department. by law or rule of C) Enable the vehicles of your organization to contain at least the minimum equipment and SUPPReS as i required by la-&, rule or regulation of the department D) Enable the veh riC les of your organization to have, at a minimum, a direct communications linkup with the operating base and hospitaldesigriated as the primary receiving facility E) Enable your organization toirnprove or expand the proViSioLn of 1) EMS services on a county, multi county, or area wide basis. 2) Single EMS provider or coordinated methods of'delivering sefvfces: 3) Coordination of all. EMS communication links, with police.r fire, emergency vehicles, and other related services. ............... ..... .. D1.1 Forni 11767, Decernber 2008 TR12241 - Exhibit A S. Statuto[y Considerations and Criteria A) Serve the population: This grant would provide (he needed risk protection to all cardiac -related type patients in the City as well as Broward County. It also will assist our system to respond faster and more efficiently to (hose patients that require interventional cardiac procedures. 8) Conform to State Standards: This project specifically helps TFR to address Objective 6,11, 2012 - 2014 Statewide EMS Goals and Objectives (draft), which aims to "measure and identify opportunities for 'Improvement of on -site EMS treatment (andl appropriate transport destination" under the % of time a -12dead was captured and transmitted, % using capnography and % of AMI victims to interventional farilities" and prior strategic goals from 2010 — 2012. C) Minimum equipment and supplies: Yes. Currently, under Chapter 64J these cardiac monitor/defibrillators will nneet all state and local requirements for ECG printout and electron icwaveform capnography capable of real time :monitoring and printing, D) Communications: These monitors will transmitting technology that will be used to reduce door to balloon time at our receiving cardiac interventional facilities. E) Enable your organization to improve or expand: This project improves the provision of EMS services within the city and countywide priniarilly through a single EMS provider. However, through our Autornalic Aid agreements. several surrounding cities would benefit from this project as well, These cities include the Cities of North Lauderdale, Oakland Park, Lauderhill and occasionally Coral Springs and Sunrise. OH Form 1767, December 200B TR12241 - Exhibit A 16, rk activities and time frames.- Indicate the major activities for completing the pr PiJect (us only the space provided). Be reasonable, most projects cannot be completed in less than six months and if it is a communications project,. it will take about a year, Also, if you are purchasing certain makes of ambulances., it takes, at least nine months for them to be delivered after the bid ---Is-- I_et______ Work Activity elect stretcher ar-nd dal ion! fit daviI ce vendor utchase ECG Monitortclefibrillator . . . . . . . . - - - - - - - eceive machines and train personnel I'ace FCG machines on (er$pornse unit,% Number of Months After Grant Starts ern End .......... . ......... onth 0 Month 2 .................... ..... - . . . ..... _ ................. o rith 2 Month 3 oath 3 . . . . . . . . . . . . . . . . ilimmediately after training. Month 4 - - - - - - - - - - - - - 17, Coun!y Governments- If this apphcat ion is being submitted by a county agency, describe in the space �below why this request cannot be paid for out of funds awarded under the state EMS county grant program. Include in the exptan-ation why any unspent county grant funds, accounts, cannot be allocated in whole or part for the costs herein, NIA DH Form 1767. December 2008 10 which are now in your courity TR12241 - Exhibit A E Xpensesb These are travel costs Costs: List the price and the usual, ordinary, and and source(s) of the incidental expenditures by an price identified agency, such as, corn-rModittes and supplies of a consumable nature, excl expenditures classified as operating capital outlay (see next cateoory). ............ ......... - ..... TOTAL' $ DH Form. 7, Rev. 2:002 DH Form 1767, December 2008 11 ............. ......... ....... .............. Justification: Provide a brief Justification why each of the positions and the numbers of hours are necessary for this project. . . . . . . . . . . . . . . . . . . . . Justification: justify why each of the expense items and quantities are necessarV to this project. TR12241 - Exhibit A Vehicle, s, equipment, and other operating capital outlay means equipment, fixtures, and other -tangible personal property of a non consumable and non expendable nature., and the normal expected ljfe,..,o,f.WhJ'.c'h is 1.,Ye,a,r or more. (2) ECG MonitorsiDefibrillators TOTAL: State Amount (Check applicable program) Matching, 75 Percent El Rural: 90 Percent Local Match Amount (Check. applicable program) 0 MatchJng,- 25 Percent D Ru ra[ 10 Percent Grand Total ­.­ --- --------- D14 Form 1767, 0ecember 2006 Costs: List the price ce of the item and the source(s) used to identify the price. S 30,000 per unit based on manufacturers sales department to include unit case, batteries and chargers ................. .. .. $60,000 12 Justification; State why each of the items and quantities listed is a necessary rS jec component of thi pr9* t. Actual placement of equipment on 4 ALS u n Its to respond with i n C i ty j uri sdiction and surrounding areas. ... ........... TR12241 - Exhibit A 19, Certification: My signature below certifies the follow nc� I any aware that any omissions, falsifications, misstatements, or misrepresentations in this pplication may disqualify me for this grant and, if funded, may be grounds for termination at a ater date I understand that any information I give may be investigated as allowed by lawn. I certifythat to the best of my knowledge and belief all of the statements contained herein and on any attachments are true, correct, co mpl`eta, and made in good faith. I a ree that an an11 d all information submitted in this application will become a public document pursuant to Section 11 g, 07, l� , . when received by the Fla►rid a Sure a u of E MS , This includes ateria'l which the applicant might consider to be confidential or a trade secret. Any claim of onfidentiality is waived by the applicant upon submission of this application pursuant to Section 1 .07,F4 _, effective after opening by the Florida Bureau of EMS_. I accept that in the best interests of the State., the Florida Bureau of EMS reserves the right to reject or revise any and all grant proposals or waive any minor irregularity or technicality in proposals received, and can exercise that aright. r,dvertised undersigned, understand and accept that the Notice of atchinc Grant Awards will be . in the Florida a Ad��in4str free Weekly, and that 21 days after this advertisement is hed I waive an ri _ ht to challenge or protest the awWards pursuant to Chapter 120, 1=. . y I certify that the cash match w�I'I be expended beginning between the c and ending dates of the rant and will be used in strict accordance with the content of the application and approved budget for the activities identified. In addition, the budget shall not exceed, the department, approved funds for those activities identified in the notification letter, No funds count towards satisfying this grant if the funds were also used to satisfy a matching requirement of another state grant. All cash, salaries, fringe benefits, expenses,,. equipment, and other expenses as listed in this application shall be committed and used for the activities approved as a part of this rant. ooeptan ce of Terms and Conditions-, If awarded a grant, I certify that I will comply with all of the bore and also accept the attached grant terms and conditions and acknowledge this by signing Kalov. r , AW 1 r144max..----- ignature of u h r"QeU Grant Signer MM DD I "YY (Individual Identifiedin Item DH Forin 1767, Rev, June 202 DH Form 1767, December 2008 13 TR12241 - Exhibit A FLORIDA DEPARTMENT OF HEA L TH EMS GRANT PROGRAM REgUEST FOR GRANT FUND DISTRIBUTION In accordance with the provisions of Section 401.113(2) (b), F. S., the undersigned hereby requests an EMS grant fund distribution for the improvement and expansion or continuation of pre -hospital EMS, DOH Remit, eMyrrient To,-,. Name of Agency. City of Tamarac Fire Rescue Department Mailing Address,00 Hiatus Rd, Tamarac, FL 33321 Federal Identification Numl Authorized Agency Official Michael Cernech, City Manager Type Name and Title Sigi7 at7d return this page with yow opl)Wcation to: Florida Depail ment of Health BGrant Program 4 052 Bald Cypress Way, 80 C 18 Tallahassee, Florida 32399-1738 Do not write below this fine., For use by Bureau of Emergency Medical Services personnel on 1111 ....1 ­1 1 1 ............. - --- --- Grant Amount For State To Pay: $ Grant ID Code, Approved By. Signature of EMS Grant Officer Date State Fiscal Year. 010anization Code OCA Object Code 64-25-60-00-00:0 N_ N2000 Federal Tax 10: VF. Grant Beginning Date: Grant finding Date.* . . . .............. ......... - DH Form 1767, December 2008 14 TRE12241 - Exhi't B FLORIDA DEPARTMENT 7 r Rick SCott HEALT141 John 11. Armstrong, MD Governer State Surgeon Gener(il June 11, 2012 Mr. Michael Cernech, City Manager City of Tamarac Fire Rescue 7525 Northwest 88th Avenue Tamarac, Florida 33321 Dear Mr. Cernech: am pleased to award City of Tamarac Fire Rescue an emergency medical services (EMS) matching grant in the amount of $22,500.00. The funds will be sent to you in full within 30 days. The grant ID code is M1104. In accordance with section 401.113(2)(b), Florida Statutes, the grant budget is 75 percent state funds and 25 percent matching funds. Your required local cash match for this grant is $7,500.00. The purpose of this grant is to improve and expand EMS by assisting your organization in the purchase of one ECG monitor defibrillator. This grant program is number 64.003 in the Florida Catalog of state Fit3ancial Assistance. The state money is paid from the Department of Health's EMS Trust Fund and there are no federal funds involved. Your signed grant application affirms you have read, understand, and will comply with the terms and conditions in the "Florida EMS Matching Grant Program Application Packet, June 2008." The grant begins the date of this letter and ends June 30, 2013. Reports are due the third week of October 2012, February 2013, and July 2013 (the final report). Please include with your final report a refund check for any unspent state funds and interest earned, if any. Enclosed is a copy of the expenditure report form and reporting requirements. Thank you for your participation in this state EMS grant program. If you need assistance, please feel free to contact Mr. Alan Van Lewen, Health Services and Facilities Consultant in the Bureau of EMS, at (850) 245-4440, extension 2734. Sincerely, Victor Jo[Vson, Interim Director Division of Emergency Medical Operations VJ/avI Enclosures CC' Thomas Sheridan, EMS Division Chief Division of 1'.n-iergency Medical Operat]WIS 4052 Bald Cypress'Vay, Bin C18 a `I"allahassee, Flonda 32399-1738 Phone: (850) 245-4440 ° lax: (850) 921-8162 - lhttps://wrvw. floi-idasliealtli.coin TR12241 - Exhibit C To: Chief Tom Sheridan City of Tamarac Fire Rescue 6000 Hiatus Road TAMARAC, FL 33321 Phone: (954) 597-3804 Fax: (954) 724-2438 tomsh@tamarac.org NASPO CONTRACT SW300. Serial number for LIFEPAK 12 trade-in device: 11996994 Contract: None Quote#: Rev#: Quote Date: Sales Consultant Terms: Exp Date: Physio-Control, Inc. 11811 Willows Road NE P.O. Box 97023 Redmond, WA 98073-9723 U.S.A www.physio-control.com www.medtronic.com tel 800.442.1142 fax 800.732.0956 1-237802435 1 08/14/2012 Debbi Stanfield 800-442-1142 x 72305 Redmond, WA All quotes subject to credit approval and the following terms & conditions 10/24/2012 1 99577-001256 - LP15 v2 MONITOR/DEFIB, 1 $33,295.00 $6,659.00 $5,500.00 $21,136.00 $21,136.00 CPR, Pace, to 360j, SP02/CO, 12L GL, NIBP, CO2, Trend, BT THE LIFEPAK 15 IS AN ADAPTIV BIPHASIC FULLY ESCALATING (TO 360 JOULES) MULTI -PARAMETER MONITOR/DEFIBRILLATOR . 2 PAIR QUIK-COMBO ELECTRODES PER UNIT - 11996-000091, TEST LOAD - 21330-001365, IN-SERVICE DVD - 21330-001486, SERVICE MANUAL CD- 21300-008084 (one per order) and SHIP KIT (RC Cable) 41577-00001261NCLUDED. HARD PADDLES, BATTERIES, CARRY CASE NOT INCLUDED. 2 21330-001176 - LI-ION BATTERY 5.7 AMP 4 $400.00 $80.00 $0.00 $320.00 $1,280.00 HOUR CAPACITY RECHARGEABLE LITHIUM -ION, WITH FUEL GAUGE 3 11111-000018 - CABLE, 4 WIRE LIMB LEAD - 1 $320.00 $64.00 $0.00 $256.00 $256.00 5FT AHA, 12 LEAD ECG CABLE, 4 WIRE LIMB LEAD - 5FT AHA, 12 LEAD ECG 4 11111-000022 - CABLE, 6 WIRE PRECORDIAL 1 $128.00 $25.60 $0.00 $102.40 $102.40 - AHA, 12 LEAD ECG CABLE, 6 WIRE PRECORDIAL - AHA, 12 LEAD ECG 5 21300-008054 - ASSY-4 WIRE COMB, 1 $15.00 $3.00 $0.00 $12.00 $12.00 QUANTITY 10, 12 LEAD ECG CABLE ASSY 4 WIRE COMB, QUANTITY 10, 12 LEAD ECG CABLE 6 21300-008055 - ASSY-6 WIRE COMB, 1 $15.00 $3.00 $0.00 $12.00 $12.00 QUANTITY 10, 12 LEAD ECG CABLE ASSY 6 WIRE COMB, QUANTITY 10, 12 LEAD ECG CABLE 7 11171-000037 - RC-4, PATIENT CABLE, 4FT, 5 $242.00 $48.40 $0.00 $193.60 $968.00 REF 2406 RC-4, PATIENT CABLE, 4FT, REF 2406 8 11171-000040 - M-LNCS PDTX,PED 2 $340.00 $68.00 $0.00 $272.00 $544.00 ADHESIVE SENSOR,20/BOX, REF 2510 M-LNCS PED ADHESIVE SENSOR,20/BOX, REF 2510 9 11171-000041 - M-LNCS INF,INF ADHESIVE 2 $420.00 $84.00 $0.00 $336.00 $672.00 SENSOR, 20/BOX,REF 2512 M-LNCS INF ADHESIVE SENSOR, 20/BOX, REF 2512 1 TR12241 - Exhibit C Quote#: 1-237802435 Rev#: 1 Quote Products (continued Quote Date: 08/14/2012 10 11171-000046 - M-LNCS DCI, ADULT REUSABLE SENSOR, REF 2501 M-LNCS DCI, ADULT REUSABLE SENSOR, REF 2501 11 11171-000049 - RAINBOW DCI ADT REUSABLE SENSOR, REF 2696 RAINBOW DCI ADT REUSABLE SENSOR, REF 2696 12 11160-000007 - NIBP CUFF- REUSEABLE,LARGE ADULT NIBP CUFF-REUSEABLE,LARGE ADULT 13 11996-000369 - ROHS LP12-LP15 TO PC USB CABLE,RETAIL PACKAGED ROHS LP12-LP15 TO PC USB CABLE, RETAIL PACKAGED 14 11577-000002 - KIT - CARRY BAG, MAIN BAG ACCESSORY 11577-000002 LP15 KIT CRY BAG. Includes shoulder strap 11577-000001 15 11220-000028 - Top Pouch Storage for sensors and electrodes. Insert in place of standard paddles. 16 11260-000039 - KIT - CARRY BAG, REAR POUCH KIT - CARRY BAG, REAR POUCH 17 21996-000081 - 3G Modem - AT &T Customer provides own data plan. 18 99428-000306 - GATEWAY Provisioning Fee (For non Physio-Control Data Plans) 7 $278.00 3 $773.00 1 $30.00 1 $250.00 1 $268.00 1 $48.00 1 $69.00 1 $999.00 1 $299.00 $55.60 $154.60 $6.00 $75.75 $55.50 $13.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 SUB TOTAL ESTIMATED TAX ESTIMATED SHIPPING & HANDLING GRAND TOTAL Trade-in Detail Product Pricing Summary Totals List Price: Trade-ins: Cash Discounts: GRAND TOTAL FOR THIS QUOTE $222.40 $618.40 $24.00 $174.25 $212.50 $38.40 $55.20 $799.20 $299.00 Qty Unit Value $1,556.80 $1,855.20 $24.00 $174.25 $212.50 $38.40 $55.20 $799.20 $299.00 $29,996.95 $0.00 $0.00 $29,996.95 Total Value $44,331.00 - $5,500.00 - $8,834.05 $29,996.95 2 TR12241 - Exhibit C TO PLACE AN ORDER, PLEASE FAX A COPY OF THE QUOTE AND PURCHASE ORDER TO: # 800-732-0956, ATTN: REP SUPPORT PHYSIO-CONTROL, INC. REQUIRES WRITTEN VERIFICATION OF THIS ORDER.A PURCHASE ORDER IS REQUIRED ON ALL ORDERS $10,000 OR GREATER BEFORE APPLICABLE FREIGHT AND TAXES.THE UNDERSIGNED IS AUTHORIZED TO ACCEPT THIS ORDER IN ACCORDANCE WITH THE TERMS AND PRICES DENOTED HEREIN. SIGN TO THE RIGHT: Ref. Code: MH/10308205/1-3XKXIF Notes: CUSTOMER APPROVAL (AUTHORIZED SIGNATURE) NAME TITLE 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. Physio-Control will assess a $10 handling fee on any order less than $200.00. Above pricing valid only if all items in quote are purchased (optional items not required). To receive a trade-in credit, Buyer agrees to return the trade-in device(s) within 30 days of receipt of the replacement device(s) to Physio- Control's place of business or to an authorized Physio-Control representative. Physio-Control will provide instructions for returning the device(s) and will pay for the associated shipping cost. In the event that trade-in device(s) are not received by Physio-Control within the 30-day window, Buyer acknowledges that this 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. Buyer is solely responsible for appropriately allocating the discount extended on the bundle when fulfilling any reporting obligations it might have. If Buyer is ordering service, Buyer affirms reading and accepts the terms of the Physio-Control, Inc. Technical Service Support Agreement which is available from your sales representative or http://www.physio-control.com/uploadedFiles/products/service- plans/TechnicalServiceAgreement.pdf TR12241 - Exhibit C TERMS OF SALE General Terms Physio-Control, Inc.'s acceptance of the Buyer's order is expressly conditioned on product availability and the Buyer's assent to the terms set forth in this document and its attachments. Physio-Control, Inc. agrees to furnish the goods and services ordered by the Buyer only on these terms, and the Buyer's acceptance of any portion of the goods and services covered by this document shall confirm their acceptance by the Buyer. These terms constitute the complete agreement between the parties and they shall govern any conflicting or ambiguous terms on the Buyer's purchase order or on other documents submitted to Physio-Control, Inc. by the Buyer. These terms may only be revised or amended by a written agreement signed by an authorized representative of both parties. Pricing Unless otherwise indicated in this document, prices of goods and services covered by this document shall be Physio-Control, Inc. standard prices in effect at the time of delivery. Prices do not include freight insurance, freight forwarding fees, taxes, duties, import or export permit fees, or any other similar charge of any kind applicable to the goods and services covered by this document. Sales or use taxes on domestic (USA) deliveries will be invoiced in addition to the price of the goods and services covered by this document unless Physio- Control, Inc. receives a copy of a valid an exemption certificate prior to delivery. Please forward your tax exemption certificate to the Physio- Control, Inc. Tax Department P.O. Box 97006, Redmond, Washington 98073-9706. Payment Unless otherwise indicated in this document or otherwise confirmed by Physio-Control, Inc. in writing, payment for goods and services supplied by Physio-Control, Inc. shall be subject to the following terms: • Domestic (USA) Sales - Upon approval of credit by Physio-Control, Inc., 100% of invoice due thirty (30) days after invoice date. • International Sales - Sight draft or acceptable (confirmed) irrevocable letter of credit. Physio-Control, Inc. may change the terms of payment at any time prior to delivery by providing written notice to the Buyer. Delivery Unless otherwise indicated in this document, delivery shall be FOB Physio-Control, Inc. point of shipment and title and risk of loss shall pass to the Buyer at that point. Partial deliveries may be made and partial invoices shall be permitted and shall become due in accordance with the payment terms. In the absence of shipping instructions from the Buyer, Physio-Control, Inc. will obtain transportation on the Buyer's behalf and for the Buyer's account. Delays Delivery dates are approximate. Physio-Control, Inc. will not be liable for any loss or damage of any kind due to delays in delivery or non- delivery resulting from any cause beyond its reasonable control, including but not limited to, acts of God, labor disputes, the requirements of any governmental authority, war, civil unrest, terrorist acts, delays in manufacture, obtaining any required license or permit, and Physio- Control, Inc. inability to obtain goods from its usual sources. Any such delay shall not be considered a breach of Physio-Control, Inc. and the Buyer's agreement and the delivery dates shall be extended for the length of such delay. Inspections and Returns Claims by the Buyer for damage to or shortages of goods delivered shall be made within thirty (30) days after shipment by providing Physio- Control, Inc. with written notice of any deficiency. Payment is not contingent upon immediate correction of any deficiencies and Physio- Control, Inc. prior approval is required before the return of any goods to Physio-Control, Inc. Physio-Control, Inc. reserves the right to charge a 15% restocking fee for returns. The Physio-Control Returned Product Policy is located at hftp://www.physio-control.com/uploadedFiles/support/ReturnPolicy_3308529_A.pdf. Service Terms All device service will be governed by the Physio-Control, Inc. Technical Services Support Agreement which is available from your sales representative or http://www.physio-control.com/uploadedFiles/products/service-plans/TechnicalServiceAgreement.pdf. All devices that are not under Physio-Control Limited Warranty or a current Technical Service Support Agreement must be inspected and repaired (if necessary) to meet original specifications at then -current list prices prior to being covered under a Technical Service Support Agreement. If Buyer is ordering service, Buyer affirms reading and accepts the terms of the Technical Service Support Agreement. Warranty Physio-Control, Inc. warrants its products in accordance with the terms of the standard Physio-Control, Inc. product warranty applicable to the product to be supplied. Physio-Control, Inc. warrants services and replacement parts provided in performing such services against defects in accordance with the terms of the Physio-Control, Inc. service warranty set forth in the Technical Service Support Agreement. The remedies provided under such warranties shall be the Buyer's sole and exclusive remedies. Physio-Control, Inc. makes no other warranties, express or implied, Including, without limitation, NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND IN NO EVENT SHALL PHYSIO-CONTROL, INC. BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL OR OTHER DAMAGES. Patent & Indemnity Upon receipt of prompt notice from the Buyer and with the Buyer's authority and assistance, Physio-Control, Inc. agrees to defend, indemnify and hold the Buyer harmless against any claim that the Physio-Control, Inc. products covered by this document directly infringe any United States of America patent. Miscellaneous a) The Buyer agrees that products purchased hereunder will not be reshipped or resold to any persons or places prohibited by the laws of the United States of America. b) Through the purchase of Physio-Control, Inc. products, the Buyer does not acquire any interest in any tooling, drawings, design information, computer programming, patents or copyrighted or confidential information related to said products, and the Buyer expressly agrees not to reverse engineer or decompile such products or related software and information. c) The rights and obligations of Physio-Control, Inc. and the Buyer related to the purchase and sale of products and services described in this document shall be governed by the laws of the State of Washington, United States of America. All costs and expenses incurred by the prevailing party related to enforcement of its rights under this document, including reasonable attorneys fees, shall be reimbursed by the other party. 0 TR 12241 Exhibit D SOLE SOURCE JUSTIFICATION To 8o Submitted with All Requisitions For Sole Source Purchases above $2, 500. POLICY: A contract may be awarded for a supply, service, or construction item without competition when the Purchasing and Contracts Manager determines in writing that there is only one economically feasible source for the required supply, service, or construction item, or when requirements for standardization, warranty, geographic and territorial restrictions, or other factors create a situation where competition is either not feasible or practicable. A City Department requesting sole source procurement of $2,600 or greater, must submit a written request to the Purchasing and Contracts Manager for approval, which must be accompanied by a written justification signed by the department head. Sole source requests in excess of $65,000 will require City Commission approval. (Tamarac Procurement Code Section 6-148(b)) Important Note: It is a felony to knowingly circumvont a competitivo process for commodities or services by fraudulently s eclf In sots source, Florida Statute 838.2 2. _ Date 8128i12 Department Fire _ Vendor Name Physio-Control Item or Service Being Purchased LIFEPAK Devices (Cardiac Monitor and Defibrillator Requisition Number TSD PLEASE CHECK THE CATEGORY APPROPRIATE TO THIS PURCHASE (Additional pages should be Included for detalled justification comments): One -of -a -kind The commodity or service has no competitive product (one -of -a -kind) AND IS AVAILABLE FROM ONLY ONE VENDOR. No Substitute A component or replacement part has no substitute AND CAN BE OBTAINED FROM ONL Y ONE VENDOR. X Compatibility Compatibility is the overriding consideration AND THE I T'EMISERVICE CAN BE OBTAINED FROM ONL Y ONE VENDOR. Delivery Dare The ability of ONL Y ONE VENDOR to meet a necessary delivery date. X Follow-up Service ONL Y ONE VENDOR is able to make on -call repairs at a particular location. Emergency Urgent treed or the item or service does not permit soliciting competitive bids, as in cases of emergencies, disasters, etc. Monopoly A monopoly exists as it) the case of the U.S. Post Once, Florida Power & Light, Sun -Sentinel, Broward County and so on. Requested By Dept. Head Signature PURCHASING APPROVAL. Date 8128/12 Date Date �? ( zW1 lc")— TR12241 - Exhibit D 160111,41FS'i, August 20, 2012 chief Thomas Sheridan Tamarac Fire Rescue Dept. 6000 Hiatus Rd. Tamarac, FL 33321 VY W �'v '*"s 1f1 C `0 I, p III � f 0 f G'i Dear Chief Sheridan: In response to your recent request, I am writing to confirm that Physio-Control, Inc. is the sole source provider in your marketplace for: • New LIFEPAK" devices • our factory refurbished line of RELI devices • LIFENEr Data Management Solutions • The LUCAS'�" chest compression System • Factory -authorized inspection and repair services which include repair parts, upgrades, inspections, and repairs Physio-Control does not utilize the services of any authorized resellers in the sale of these products and services in your marketplace. Best regard, Mark Watson Associate Contract Analyst Physio Control, Inc. 11811 Willows Road NE Redmond, WA 98052-2003