HomeMy WebLinkAboutStryker Sales, LLC/CFD/$31,407/LifePak 15 Preventative Maintenance - ASAStryker Sales, LLC
Fire Department - 2023
Appropriation #1120 101 43-515.01 Fund; P.O. #108562
Contract Not To Exceed $31,407.00
ADDITIONAL SERVICES AMENDMENT TO
AGREEMENT FOR SERVICES
THIS AMENDMENT TO THE AGREEMENT FOR GOODS AND SERVICES (“Agreement”) entered into by
and between the City of Carmel and Stryker Sales, LLC, (the “Vendor”), as City Contract dated April 7, 2021 shall
amend the terms of the Agreement by adding the additional services to be provided by Vendor consistent with the
Scope of Work attached hereto and incorporated herein as Exhibit “A”. The terms and conditions of the Agreement
shall not otherwise be affected by this Additional Services Amendment and shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows:
CITY OF CARMEL, INDIANA Stryker Sales, LLC
by and through its Board of Public
Works and Safety
By: By:
James Brainard, Presiding Officer Authorized Signature
Date:
Printed Name
Mary Ann Burke, Member
Date:
Title
Lori S. Watson, Member FID/TIN:
Date:
ATTEST: Date:
Sue Wolfgang, Clerk
Date:
C:\\Users\\clivingston\\AppData\\Local\\Microsoft\\Windows\\INetCache\\Content.Outlook\\562V7G6G\\Stryker Sales LLC ASA_.docx:2/28/2023 3:13 PM\]
Damesha Sheppard
Senior Procare Contract Coordinator
3/24/2023
38-1239739
By Sergey Grechukhin at 8:48 am, Mar 29, 2023
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D
4/6/2023
Not Present
4/6/2023
4/6/2023
Exhibit A
Sales Rep Name:Mandy O Grady3800 E. Centre Ave
ProCare Service Rep:Zachary FluhrPortage, MI 49009
Date:2/23/2023
ID #:230223161247
02/#!2% 02/0/3!, 35"-)44%$ 4/
Name: Billing Acc Num:1066238Andrew Young
Shipping Acct Num: 1066238Title:
Account Name CARMEL FIRE DEPTPhone:(317) 571-2663
Account Address2 CIVIC SQEmail:asyoung@carmel.in.gov
City, State ZipCARMEL, IN 46032
02/#!2% #/6%2!'%
Item Model Model DescriptionProCare ProgramQtyYrsAnnual PriceTotal
No.Number
1LP15LifePak 15LP15 Prevent Onsite151$33,060.00$33,060.00
02/'2!- ).#,5$%3
0 0±¤µ¤-³ /-²¨³¤ProCare LIFEPAK 15
Prevent Service: Annual onsite preventive maintenance inspection and unlimited repairs including parts, labor and travel with battery coverage Unless otherwise stated
on contract, payment is expected upfront.ProCare Total$33,060.00 Discount5% 4/4!,
31,
407.00 Start Date:5/
1/2023 End Date:4/
30/2024 Stryker SignatureDateCustomer SignatureDate
The Terms and
Conditions of this quote and any subsequent purchase order of the Customer are governed
by the Terms and Conditions located at ª¤±
The terms and conditions
referenced in the immediately preceding sentence do not apply where Customer
and Stryker are parties to a Master Service Agreement. Purchase Order Number 4§¨² ¨² -®³
µ®¨¢¤µ®¨¢¤ ¶¨«« ¡¤ ¬
2¤¬¨³ ¯0/µ¤±
0/ 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.
3/24/2023
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D
3%2)!, .5-"%23(%%4
Item ModelSerial NumberProgramNo.
1LP1540344397LP15 Prevent Onsite
2LP1540344402LP15 Prevent Onsite
3LP1540346172LP15 Prevent Onsite
4LP1540344404LP15 Prevent Onsite
5LP1540344401LP15 Prevent Onsite
6LP1540344400LP15 Prevent Onsite
7LP1540346171LP15 Prevent Onsite
8LP1540344395LP15 Prevent Onsite
9LP1540346170LP15 Prevent Onsite
10LP1540335281LP15 Prevent Onsite
11LP1540336526LP15 Prevent Onsite
12LP1540342627LP15 Prevent Onsite
13LP1540342937LP15 Prevent Onsite
14LP1540344399LP15 Prevent Onsite
15LP1540344398LP15 Prevent Onsite
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D
Purchase Order Form
Account ManagerPurchase Order Date
Cell PhoneExpected Delivery Date
Stryker Quote Number230223161247
Check box ifBilling same asShipping
BILL TOCUSTOMER #SHIP TOCUSTOMER #
Billing Account Num1066238Shipping Account Num1066238
Company NameCompany NameCARMEL FIRE DEPT
Contact or DepartmentContact or DepartmentAndrew Young
Street AddressStreet Address2 CIVIC SQ
Addt'lAddress LineAddt'lAddress Line
City, ST ZIPCity, ST ZIPCARMEL, IN 46032
PhonePhone(317) 571-2663
Authorized Customer InitialsAuthorized Customer Initials
DESCRIPTIONQTYTOTAL
REFERENCE QUOTE
Accounts Payable Contact Information
Name
Email
PhoneStryker Terms and Conditions
https://techweb.stryker.com
Authorized Customer Signature
Printed Name
Title
Signature
Date
AttachmentStryker Quote Number 230223161247
Sales orusetaxesondomestic (USA) deliveries willbeinvoiced inaddition tothepriceofthegoods and services ontheStryker Quote.
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D
AsofMarch2020
LIFEPAK® 15service
StrykerhasbeennotifiedbyourglobalpartsprovidersthatsomecomponentsusedoncertainLIFEPAK15monitor/defibrillatormodels (Part
NumbersbeginningwithV15-2) arenolongeravailableinthemarket. ServiceontheLIFEPAK15withPartNumberbeginningwithv15-5orv15-7
isunaffected.
Strykerwillcontinue toofferservicesupportforthissubsetoftheLIFEPAK15asfollows:
oIfacomponenthasfailedonyourdevice, yourlocalSalesRepresentativeshouldbecontactedforsupport
oStrykerwillcontinuetooffercontractualserviceonayearlybasisonly
oPreventivemaintenance willcontinuetobedoneondeviceslessthaneight (8) yearsold. Afterthispoint, wewillceaseto
conductpreventativemaintenanceandshifttodeviceinspections
oIfacomponentfailsonyourdevice, pleasecontactyourlocalSalesRepresentativeforsupport. Apro-ratedcreditforanypre-
paidservicewillbeprovided shouldaunitbecomenon-serviceable duetopartavailability
ItisimportanttonotethattheLIFEPAK15hasanexpectedlifeofeight (8) yearsfromthedateofmanufacture. Ifyouareuncertainofthe
manufacturedateofyourproducts, pleasecontactyourlocalSalesRepresentativeforafullfleetassessment.
Wewanttoensurethehighestqualityproductsandservicesforourcustomers. Assuch, itisimportanttoknowthatStrykeristheonlyFDA-
approvedserviceproviderforourproducts. Wedonotcontractwiththirdpartyserviceproviders, norwillwebeprovidingthemwithany
additional partsfortheserepairs. Assuch, wecannotguaranteethesafetyandefficacyofanydevicethatisrepairedbyathird-partyservice
agency.
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D
2/25/2023
STRYKER MEDICAL
CHICAGO, IL 60673 -
108562
PO BOX 93308
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
LifePak PM
Carmel Fire Department
10701 N. College Avenue, Ste A
Carmel, IN 46280-
00351580
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
74495
1120Department:101Fund:General Fund
43-515.01Account:
LifePak 15 Preventative Maintenance Per Proposal
220120095157
1 $31,407.00 $31,407.00Each
31,407.00SubTotal
31,407.00
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D. SHIPMENT CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 108562
ORDERED BY
TITLE
CONTROLLER
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
Denise Snyder
Accreditation/Budget Administrator
DocuSign Envelope ID: 3717C19A-663A-4AD0-AF36-36AF52C04B9D