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HomeMy WebLinkAboutproposal-OFD-ProCare LUCAS 8.28.2020Sales 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 Annual Payments $7,160.40 1231026 (920) 236-5247 200828130040 • Update software to the most current version • Check all batteries and battery pins • Inspect the integrity of accessories and recommend replacement as needed • Test linear sensor and recalibrate if needed • Lubricate and adjust mechanical parts, including compression module and claw lock • Clean hood, fan, intake and bellows • Perform functional test on all mechanical components and electronics • Computer-aided diagnostics • Replacement of LUCAS Disposable suction cup, LUCAS Patient Straps, or LUCAS Stabilization Strap, as deemed necessary by Stryker • Repairs (parts and labor) to restore equipment to manufacturer specifications • Replace up to 2 LUCAS chest compression system batteries in accordance with the Instructions for Use or upon battery failure* • LUCAS Battery Desk-Top Charger, LUCAS Aux Power Supply, LUCAS Car Cable repair or replacement as deemed necessary by Stryker* • Replacement of LUCAS Disposable suction cup, LUCAS Patient Straps, or LUCAS Stabilization Strap **(Onsite Repairs or Depot Depending on Agreement) ** chable@ci.oshkosh.wi.us LUCAS Prevent Onsite: 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. PROGRAM INCLUDES: 1/1/2021 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. 12/31/2023 Unless otherwise stated on contract, payment is expected upfront.ProCare Total $25,272.00 Discount 15% FINAL TOTAL $21,481.20 OSHKOSH FIRE DEPT 8/28/2020 3800 E. Centre Ave Portage, MI 49009 PROCARE PROPOSAL SUBMITTED TO: PROCARE COVERAGE 1 Item No. Model Number Qty Yrs Annual Price TotalProCare ProgramModel Description 6 3 $8,424.00 $25,272.00 Bob Waldorf LUCAS LUCAS LUCAS Prevent Onsite 12/09/2020 DocuSign Envelope ID: C70F0DDD-B526-4CBF-8060-E5CE2946E9D5 Date Payment Int Paid Prin. Remaining Balance PAYMENT SCHEDULE 21,481.20$ 14,320.80$ 7,160.40$ Starting Balance 7,160.40$ -$ 14,320.80$ -$ 7,160.40$ 7,160.40$ 7,160.40$ -$ -$ -$ 1/1/2021 1/1/2022 1/1/2023 DocuSign Envelope ID: C70F0DDD-B526-4CBF-8060-E5CE2946E9D5 LUCAS LUCAS LUCAS LUCAS LUCAS Model LUCAS Item No. 1 SERIAL NUMBER SHEET 6 4 5 2 3 30113575 LUCAS Prevent Onsite 30113013 LUCAS Prevent Onsite 30113576 LUCAS Prevent Onsite 30137764 LUCAS Prevent Onsite 30137743 LUCAS Prevent Onsite 3016H598 LUCAS Prevent Onsite Serial Number Program 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 200828130040 *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. 0 , (920) 236-5247 200828130040 OSHKOSH FIRE DEPT Chuck Hable 12310260 Stryker Terms and Conditions www.strykeremergencycare.com/terms 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