HomeMy WebLinkAboutOFD-ProCare proposal for LikePak 9.8.2020Sales Rep Name:
ProCare Service Rep:
Date:
ID #:
Billing Acc Num:Name:Chuck Hable
Shipping Acct Num:Title:Chief
Account Name Phone:
Account Address Email:
City, State Zip
See below for complete payment schedule
Start Date:
End Date:
Stryker Signature Date Customer Signature Date
If contract is over $5,000 please send hard copy PO
LP1000 LifePak 1000 LP1000 Prevent Onsite
Bob Waldorf
12 3 $7,056.00 $21,168.00
LP1000 Prevent Onsite:
Item
No.
Model
Number Qty Yrs Annual Price TotalProCare ProgramModel Description
1
JULIE SCHMITZ 3800 E. Centre Ave
Portage, MI 49009
PROCARE PROPOSAL SUBMITTED TO:
PROCARE COVERAGE
OSHKOSH FIRE DEPT
101 Court Street
9/8/2020
COMMENTS:
Please email signed Proposal and Purchase Order to procarecoordinators@stryker.com.
All information contained within this quotation is considered confidential and proprietary and is not subject to public disclosure.
**Quote pricing valid for 30 days.
1/28/2024
Unless otherwise stated on contract, payment is expected upfront.ProCare Total $21,168.00
Discount 15%
FINAL TOTAL $17,992.80
PROGRAM INCLUDES:
1/29/2021
Purchase Order Number
The Terms and Conditions of this quote and any subsequent purchase order of the
Customer are governed by the Terms and Conditions located at
https://techweb.stryker.com
The terms and conditions referenced in the immediately preceding sentence do
not apply where Customer and Stryker are parties to a Master Service Agreement.
chable@ci.oshkosh.wi.us
200908165330
• Update software to the most current version
• Check all batteries and battery pins
• Inspect the integrity of accessories and recommend replacement as needed
• Test the integrity of all cables and recommend replacement as needed
• Electrical safety check in accordance with NFPA guidelines
• Computer-aided diagnostics to verify the unit functions accurately, including waveform shape and defibrillation energy
• Replace up to 1 battery pack in accordance with the device operating instructions or upon battery failure
• Replace 1 set of expired adult therapy electrodes at schedule ed time of service
• Repairs (parts and labor) to restore equipment to manufacturer specifications
**(Onsite Repairs or Depot Depending on Agreement) **
(920) 236-5247
Annual Payments $5,997.60
Oshkosh, WI 54901
1231026
12/09/2020
DocuSign Envelope ID: C70F0DDD-B526-4CBF-8060-E5CE2946E9D5
Date Payment Int Paid Prin. Remaining Balance
1/1/2021
1/1/2022
1/1/2023 5,997.60$ -$ -$ -$
Starting Balance
5,997.60$ -$ 11,995.20$
-$ 5,997.60$ 5,997.60$
PAYMENT SCHEDULE
17,992.80$
11,995.20$
5,997.60$
DocuSign Envelope ID: C70F0DDD-B526-4CBF-8060-E5CE2946E9D5
Serial Number Program
42147769 LP1000 Prevent Onsite
42147775 LP1000 Prevent Onsite
42147766 LP1000 Prevent Onsite
42147768 LP1000 Prevent Onsite
42147776 LP1000 Prevent Onsite
42147767 LP1000 Prevent Onsite
42147771 LP1000 Prevent Onsite
42147770 LP1000 Prevent Onsite
42147772 LP1000 Prevent Onsite
42147777 LP1000 Prevent Onsite
42147774 LP1000 Prevent Onsite
42147773 LP1000 Prevent Onsite
11
8
9
6
7
4
5
2
3
10
SERIAL NUMBER SHEET
Model
LP1000
Item
No.
1
LP1000
LP1000
LP1000
LP1000
LP1000
LP1000
LP1000
LP1000
LP1000
LP1000
12 LP1000
DocuSign Envelope ID: C70F0DDD-B526-4CBF-8060-E5CE2946E9D5
Purchase Order Form
Account Manager Purchase Order Date
Cell Phone Expected Delivery Date
Stryker Quote Number
Check box if Billing same as Shipping
BILL TO CUSTOMER #SHIP TO CUSTOMER #
Billing Account Num Shipping Account Num
Company Name Company Name
Contact or Department Contact or Department
Street Address Street Address
Addt'l Address Line Addt'l Address Line
City, ST ZIP City, ST ZIP
Phone Phone
Authorized Customer Initials Authorized Customer Initials
DESCRIPTION QTY TOTAL
REFERENCE QUOTE
Accounts Payable Contact Information
Name
Email
Phone
Authorized Customer Signature
Printed Name
Title
Signature
Date
Attachment Stryker Quote Number 200908165330
*Sales or use taxes on domestic (USA) deliveries will be invoiced in addition to the price of the goods and services on the Stryker Quote.
Stryker Terms and Conditions
www.strykeremergencycare.com/terms
0
200908165330
OSHKOSH FIRE DEPT
Chuck Hable
1231026
101 Court Street
Oshkosh, WI 54901
(920) 236-5247
DocuSign Envelope ID: C70F0DDD-B526-4CBF-8060-E5CE2946E9D5
City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 http://www.ci.oshkosh.wi.us
IN WITNESS WHEREOF, the City of Oshkosh, Wisconsin, has caused this contract to be sealed
with its corporate seal and to be subscribed to by its City Manager and City Clerk and countersigned by
the Comptroller of said City, and CONSULTANT hereunto set its hand and seal the day and year first
above written.
In the Presence of: Name of CONSULTANT Company/Firm
____________________________
By: _____________________________
____________________________
___________________________
(Seal of CONSULTANT if a Corporation) (Specify Title)
CITY OF OSHKOSH
By: _______________________________
_____________________________ Mark A. Rohloff, City Manager
(Witness)
_____________________________ And: _______________________________
(Witness) Pamela R. Ubrig, City Clerk
APPROVED: I hereby certify that the necessary
provisions have been made to pay
the liability which will accrue under
this contract
_____________________________
City Attorney
_______________________________
City Comptroller
Procare Contract Coordinator
DocuSign Envelope ID: C70F0DDD-B526-4CBF-8060-E5CE2946E9D5