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HomeMy WebLinkAboutItem 05 Approval of the Florida Department of Health EMS Matching Grant for the Purchase of Two (2) LUCAS Chest Compression Systems ocoee florid(' AGENDA ITEM COVER SHEET Meeting Date: December 3, 2019 Item #: 5 Reviewed By: Contact Name: John Miller, Fire Chief Department Director: John M. Mil - A Contact Number: 407-905-3140 City Manager: Robert Fr- ,er / Subject: Approval of The Florida Department of Health EMS Matching Grant for the Pu r ase of Two (2) LUCAS Chest Compression Systems. (Fire Chief Miller) Background Summary: The Ocoee Fire Department has been awarded a matching (75%125%) grant through the Florida Department of Health. The award is for two (2) LUCAS 3.0 Chest Compression Systems which allow for hands-free CPR to patients in cardiac arrest. The City has already received the State's contribution of$24,992.80. As part of the award, the Fire Department is responsible for 25% of the total cost ($4,153.80 per unit—two (2) units total $8,307.60). The State contribution is $24,992.80 for a total cost of$33,230.40. Issue: Should the Mayor and City Commission accept the Fire Department grant from the Florida Department of Health in the amount of$24,992.80, and approve the purchase of two (2) LUCAS Chest Compression Systems for the total amount of$33,230.40, with a net cost of$8,307.60 (25% responsibility)? Recommendations: •Recommendation to accept the Fire Department grant from the Florida Department of Health in the amount of $24,992.80, and approve the purchase of two (2) LUCAS Chest Compression Systems for the total amount of $33,230.40, with a net cost of$8,307.60 (25% responsibility). Attachments: Florida Department of Health EMS Matching Grant Application Florida Department of Health Award Letter Stryker quote for purchase of LUCAS Chest Compression Systems Financial Impact: This is a matching grant, 75% is paid by the State of Florida and 25% by the City of Ocoee Fire Department. The State of Florida's contribution of$24,992.80 has already been received by the City. There are sufficient funds in Equipment account 317-522-00-6400 to cover the up front, total cost of$33,230.40, including the Fire Department's net portion of$8,307.60, with the grant proceeds reimbursing the account. Type of Item: (please mark with an '5e) ❑ Public Hearing For Clerk's Dept Use: ❑ Ordinance First Reading Consent Agenda ❑ Ordinance Second Reading ❑ Public Hearing ❑ Resolution ❑ Regular Agenda 1 ❑ Resolution ❑ Regular Agenda ❑ Commission Approval ❑ Discussion& Direction ❑ Original Document/Contract Attached for Execution by City Clerk ❑ Original Document/Contract Held by Department for Execution Reviewed by City Attorney Reviewed by Finance Dept. i (1.0udo Reviewed by 2 Mission: Ron DeSantis To protect,promote&Improve the health Governor of all people in Florida through Integrated •= look EMS MATCHING GRANT APPLICATION• FLORIDA DEPARTMENT OF HEALTH 0 itEmergency Medical Services Program HEALTH Complete all items unless instructed differently within the application Type of Grant Requested: ❑ Rural ® Matching ID.Code(The State Bureau of EMS will assign the ID Code—(leave this blank) 1. Organization Name: Ocoee Fire Department 2. Grant Signer: (The applicant signatory who has authority to sign contracts, grants, and other legal documents. This individual must also sign this application) Name: John Miller Position Title: Fire Chief Address: 150 N. Lakeshore Ave City: Ocoee County: Orange State: Florida Zip Code: 34761 Telephone: 407-905-3140 Fax Number: 407-905-3129 E-Mail Address:jmilleraocoee.org 3. Contact Person: (The individual with direct knowledge of the project on a day-to-day basis and responsibility for the implementation of the grant activities. This person may sign project reports and may request project changes. The signer and the contact person may be the same.) Name: Corey Bowles Position Title: Captain Address: 150 N. Lakeshore Ave City: Ocoee County: Orange State: Florida Zip Code: 34761 Telephone: 407-202-8189 Fax Number: 407-905-3129 E-Mail Address:cbowles a@ocoee.org DH FORM 1767[2013] 64J-1,015, F.A.C. 1 1 r 4. Legal Status of Applicant Organization (Check only one response): (1) ❑ Private Not for Profit[Attach documentation-501 (3)O] (2) ❑ Private for Profit (3) ® City/Municipality/TownNillage (4) ❑ County (5) ❑ State (6)❑ Other(specify): 5. Federal Tax ID Number(Nine Digit Number). VF 596019/6_4___ 6. EMS License Number:4819 Type: ®Transport ❑Non-transport ❑Both 7. Number of permitted vehicles by type: BLS; 4 ALS Transport; 7 ALS non-transport. 8. Type of Service(check one): ❑ Rescue; ® Fire; ❑ Third Service(County or City Government, nonfire); ❑Air ambulance; ❑ Fixed wing; El Rotowing; ❑ Both; ['Other(specify) 9. Medical Director of licensed EMS provider: If this project is approved, I agree by signing below that I will affirm my authority and responsibility for the use of all medical equipment and/or the provision of all continuing EMS education in this project. [No signature is needed if medical equipment and professional EMS education are not in this project.] Signature: -111' 11) Date: 01/07/2019 Print/Type: Name of Directo tian Zuver FL Med. Lic. No. ME97144 Note: All organizations that are not licensed EMS providers must obtain the signature of the medical director of the licensed EMS provider responsible for EMS services in their area of operation for projects that involve medical equipment and/or continuing EMS education. If your activity is a research or evaluation project, omit Items 10, 11, 12, 13, and skip to Item Number 14. Otherwise,proceed to Item 10 and the following items. 10. Justification Summary: 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); B) Present situation (Describe how the situation is being handled now); C) The proposed solution (Present your proposed solution); D) Consequences if not funded (Explain what will 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 frame(s) for completing this project); G) Data Sources(Provide a complete description of data source(s) you cite); H) 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[2013] 2 10.Justification Summary A. Problem Description In 2018,the Ocoee Fire Department responded to 6,809 emergency medical calls. Of these 6,809 calls,57 involved cardiac resuscitation efforts.Of those patients receiving CPR,31 were resuscitated and transferred to the emergency room with a cardiac rhythm favorable for return of spontaneous pulse, which is 54%of the total cardiac patients treated. With exception of immediate defibrillation, chest compressions are the most important and readily accessible treatment for cardiac arrest. The American Heart Association(AHA) has continued to emphasize the importance of good quality chest compression to the point that now"hands only" has been accepted as a common practice for bystanders.AHA guidelines state that chest compressions should be delivered at a rate of at least 100 per minute and to a depth of 2 inches. Numerous studies, including a study released in the American Journal of Emergency Medicine(Cunningham,et.al.,2012), found that: • "Uninterrupted chest compressions have been associated with superior rates of survival when compared with traditional CPR with standard advanced life support." • Chest compressions are commonly interrupted by cardiac rhythm analysis, electrical defibrillation, airway management, and vascular access. • "Deep chest compressions with full chest recoil performed at an appropriate rate are important aspects of effective CPR—with direct impact on survival and neurologic outcome." • B. Present Situation Currently,all cardiac arrest calls receive an advanced life support(ALS) unit. Interruption in chest compression for other interventions,along with fatigue, leads to the diminishing quality of chest compressions. During transport, paramedics are also put in an increasingly hazardous position since they must stand in the back of the ambulance to provide adequate chest compressions.The implementation of the automated chest compression devices would improve the quality of chest compression while also { improving the safety of paramedics. Additionally,an automated chest compression device would free paramedics from the chest compression so that they can complete other critical tasks such as, intubation,obtaining IV/10 access, administering drugs, and defibrillating. C. Proposed Solution The use of an automated chest compression device has shown to improve myocardial and cerebral blood flow during cardiopulmonary resuscitation and enhances survival from cardiac arrest. Coronary perfusion pressures were improved with the use of an automated compression device (Halperin, et. al.,2004). In order to provide quality emergency medical services, it is imperative to provide first responders with the capable equipment.The utilization of automated chest compression devices would provide the patient with the best available chance for survival,due to consistent depth and rates of compression, while the patient is being treated on scene and during transport to the hospital.The Ocoee Fire Department is seeking financial assistance for the acquisition of 2 chest compression devices. D. Consequences if not funded In the event the Ocoee Fire Department does not receive funding towards the purchase of new chest compression devices, patients requesting emergency care will remain limited to the current practices of manual CPR. If this project is not funded patient care and responder safety will not be improved. E. Geographic area to be Addressed Ocoee Fire Department provides fire suppression and emergency medical services to more than 45,000 permanent residents over 15 square miles. Ocoee is also home to Health Central Hospital,which is a STEMI Alert receiving facility. F. Proposed Timeframes With approved funding,Ocoee Fire Department is committed to the proposed timeline: • Ordering the (2) Lucas systems from physio-control within 2 weeks after notification of funding. • Train all Ocoee Fire Department personnel in the use of the Lucas device within 2 weeks of receipt of the equipment. • Implement the Lucas Device on the Ocoee Fire Department Rescues and EMS Response Vehicle within 2 weeks of receipt of the equipment. • Collect data on the use and outcome of the patients who received chest compressions from the Lucas device. G. Data Sources Cunningham, L., Mattu,A., O'Connor, R., Brady, W. (2012). Cardiopulmonary resuscitation for cardiac arrest:the importance or uninterrupted chest compressions in cardiac arrest resuscitation. American Journal of Emergency Medicine, 30(8), 1630-1638. Halperin, H.R., Paradis, N., Ornato,J.,Zviman, M., LaCorte,.1., Lardo,A., Kern, K., 2004. Cardiopulmonary resuscitation with a novel chest compression device in a porcine model of cardiac arrest. Improved hemodynamics and mechanisms.Journal of the American College of Cardiology, 44(11) 2214-2220. H. Statement the proposal is not a duplication of previous effort This proposal is not a duplication of other grant projects under this grant program. Next,only complete one of the following: Items 11, 12,or 13. Read all three and then select and complete the one that pertains the most to the preceding Justification Summary. Note that on all three,that before-after differences for emergency victim data are the highest scoring items on the Matching Grants Evaluation Worksheet used by reviewers to evaluate your application form. 11. Outcome For Projects That Provide or Effect Direct Services To Emergency Victims: This may include vehicles, 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 emergency scene. Use no more than two additional one sided, double-spaced pages for your response. Include the following. A) Quantify what the situation has been in the most recent 12 months for which you have data(include the dates). The strongest 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)"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 explain the derivation of your figures. E) How does this integrate into your agency's five-year plan? 12. Outcome For Training Projects: This includes training of all types for the public, first 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). B) How many 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 emergency 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. E) How does this integrate into your agency's five-year plan? 13. Outcome For Other Projects: This includes quality assurance, management, administrative, and other. Provide numeric data in your responses, if possible, that bear directly upon the project and emergency victim deaths, injuries, and/or 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)? B) What will the situation be in the 12 months after the project services are on-line? C) If this project is designed to have an impact on injuries, deaths, or other emergency victim data, provide the impact data for the 12 months before the project and what the data should be in the 12 months after the project. D) Explain the derivation of all numbers. E) How does this integrate into your agency's five-year plan? DH FORM 1767[2013] 3 11. Outcome for Projects that Provide Direct Services to Emergency Victims A. Quantify Situation for the most recent 12 months (data on deaths and injuries) In 2018,the Ocoee Fire Department responded to 57 emergency calls for cardiac arrest patients who meet the criteria for ALS interventions.Of those patients treated within the ALS protocol,31 were transferred to the ED with favorable cardiac rhythms for ROSC.The use of automated chest compression devices will allow our paramedics and EMT's to better treat cardiac arrest patients by limiting any pause in compressions. It will also allow personnel to remain seated and belted during transport to the emergency room. Limiting this exposure by eliminating the need to stand unsecured while performing CPR in a moving vehicle should be standard practice in any modern emergency medical service. B. Estimate 12 months after outcome on (A) It is estimated that the number of patients receiving CPR via the automatic chest compression device and where a patient arrives at the hospital,with a pulse,will improve by at least 30%. Based on the number of calls represented in the City of Ocoee,that is equivalent to 17 more patients reaching ROSC at ED transfer time. It is also estimated that the risk of paramedic injury during transport will decrease since the personnel will be able to be seated and secured during transport. C.Justify B and A The Ocoee Fire Department expects to see an increased incident of cardiac arrest partly to an increase in population, assisted living facilities,and the fact that the agency has assumed patient transport responsibilities. Performing CPR via the automated device, meeting the AHA and our Medical Control Protocols,should increase survival rates and decrease disability in direct correlation to the number of patients receiving CPR. Based on the expected 30%improvement,and given the fact that these devices allow near continuous intrathoracic pressure to be delivered throughout treatment, all cardiac arrest patients(57) patients would see a benefit. D.What other outcomes of this project do you expect? The automated chest compression device would circulate drugs faster and more completely, improving the chances of inducing a rhythm that can be defibrillated. Restoring blood flow to normal levels will help the medic to establish an intravenous line due to the inflation of the veins. Using the device will reduce the stress and strain on the responding medics and make the transport safer as crews can be seated to perform treatment. The device, in relation to manual CPR, reduces rib fractures and cartilage damage. E. How does this integrate into you agency's five year plan? As part of the Ocoee Fire Departments 2016-2021 strategic plan, the organization strives to provide the highest level of emergency medical services. The Ocoee Fire Department has begun providing emergency medical transportation services within this strategic planning period (January 2, 2019). Skip Item 14 and go to Item 15, unless your project is research and evaluation and you have not completed the preceding Justification Summary and one outcome item. 14. Research and Evaluation Justification Summary, and Outcome: You may use no more than three additional one sided, double spaced pages for this item. A) Justify the need for this project as it relates to EMS. B) Identify(1)location and (2) population to which this research pertains. C) Among population identified in 14(B)above, specify a past time frame, and provide the number of deaths, injuries, or other adverse conditions during this time that you estimate the practical application of this research will reduce(or positive effect that it will increase). D) (1) Provide the expected numeric change when the anticipated findings of this project are placed into practical use. (2) Explain the basis for your estimates. E) State your hypothesis. F) Provide the method and design for this project. G) Attach any questionnaires or involved documents that will be used. H) If human or other living subjects are involved in this research, provide documentation that you will comply with all applicable federal and state laws regarding research subjects. I) Describe how you will collect and analyze the data. ALL APPLICANTS MUST COMPLETE ITEM 15. 15. Statutory Considerations and Criteria: The following are based on s.401.113(2)(b)and 401.117, F.S. Use no more than one additional double spaced page to complete this item. Write N/A for those things in this section that do not pertain to this project. Respond to all others. Justify that this project will: A) Serve the requirements of the population upon which it will impact. B) Enable emergency vehicles and their staff to conform to state standards established by law or rule of the department. C) Enable the vehicles of your organization to contain at least the minimum equipment and supplies as required by law, rule or regulation of the department. D) Enable the vehicles of your organization to have, at a minimum, a direct communications linkup with the operating base and hospital designated as the primary receiving facility. E) Enable your organization to improve or expand the provision of: 1) EMS services on a county, multi county, or area wide basis. 2) Single EMS provider or coordinated methods of delivering services. 3) Coordination of all EMS communication links, with police, fire, emergency vehicles, and other related services. DH FORM 1767[2013] 4 15.Statutory consideration and Criteria A.Serve the requirements of the population upon which it will impact With our aging population and the increase in skilled nursing facilities being added to our jurisdiction,these devices will allow us to treat our cardiac arrest patients more efficiently and safely. If awarded this grant, there is a strong possibility our ROSC rate can be increased above 50%,theoretically even higher.As of January 2,2019,the Ocoee Fire Department has taken over all emergency transport service for the City. Receiving the grant funding will allow the Ocoee Fire Department to treat our cardiac arrest patients with the best emergency medical service standards. B. Enable emergency vehicles to conform to state standards. Using automated chest compression devices allow our Paramedics and EMT's to remain seated and belted during transports thus allowing them to follow state seatbelt laws. C. Enable vehicles to contain minimum equipment. N/A. D. Enable vehicles to have direct communications. N/A E. Enable your Organization to improve or expand the provision of: 1. Ocoee Fire Department provides and has automatic/mutual response agreements with Winter Garden Fire Rescue, Orange County Fire Rescue, and Apopka Fire Department.This equipment would provide services to any jurisdiction requesting assistance. 2. N/A(addressed above) 3. N/A 16. Work activities and time frames: Indicate the major activities for completing the project(use 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 let. Work Activity Number of Months After Grant Starts Begin End Purchase(2)Automated Chest Compression Devices 0 1 Accept Reciept of the(2) Devices 1 2 Train Personnel on the Device (72 personnel) 2 3 Automated Chest Compression Device In Service 2 3 17. County Governments: If this application 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 explanation why any unspent county grant funds,which are now in your county accounts, cannot be allocated in whole or part for the costs herein. DH FORM 1767[2013] 5 18. Budget: Salaries and Benefits: For each Costs Justification: Provide a brief justification position title, provide the amount of why each of the positions and the numbers salary per hour, FICA per hour, of hours are necessary for this project. fringe benefits, and the total number of hours. TOTAL: $ 0.00 Right click on 0.00 then left click on "Update Field"to calculate Total Expenses: These are travel costs Costs: List the price Justification: Justify why each of the and the usual, ordinary, and and source(s) of the expense items and quantities are incidental expenditures by an price identified. necessary to this project. agency, such as, commodities and supplies of a consumable nature, excluding expenditures classified as operating capital outlay(see next category). • • TOTAL: $ 0.00 Right click on 0.00 then left click on "Update Field"to calculate Total DI-1 FORM 1767[2013] 6 Vehicles, equipment, and other Costs: List the price Justification: State why each of the items operating capital outlay means of the item and the and quantities listed is a necessary equipment, fixtures, and other source(s) used to component of this project. tangible personal property of a non identify the price. consumable and non expendable nature, and the normal expected life of which is 1 year or more. (2) LUCAS 3 Chest Compression 27753.00 System (2) LUCAS Battery Desk-Top 1989.00 Charger (2) LUCAS Power Supply 644.30 (4) LUCAS 3 Battery—Dark Grey 2420.80 —Rechargeable LiPo (1) LUCAS Diposable Suction 423.30 Cup (12 pack) TOTAL: $33,230.40 Right click on 0.00 then left click on "Update Field"to calculate Total State Amount (Check applicable program) Right click on 0.00 then left click on ® Matching: 75 Percent "Update Field"to calculate Total $24,922.80 p Right click on 0.00 then left click on ❑ Rural: 90 Percent $0.00 "Update Field" to calculate Total Local Match Amount (Check applicable program) Right click on 0.00 then left click on ® Matching: 25 PercentU date Field"to calculate Total $8,307.60 p Right click on 0.00 then left click on ❑ Rural: 10 Percent $ 0.00 "Update Field"to calculate Total Grand Total Q 0.00 Right click on 0.00 then left click on DH FORM 1767[2013] 7 • • 19. Certification: My signature below certifies the following. I am aware that any omissions, falsifications, misstatements, or misrepresentations in this application may disqualify me for this grant and, if funded, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. 1 certify that to the best of my knowledge and belief all of the statements contained herein and on any attachments, are true, correct, complete, and made in good faith. I agree that any and all information submitted in this application will become a public document pursuant to Section 119.07, F.S. when received by the Florida Bureau of EMS. This includes material which the applicant might consider to be confidential or a trade secret. Any claim of confidentiality is waived by the applicant upon submission of this application pursuant to Section 119.07, F.S,, 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 eject or revise any and all grant proposals or waive any minor irregularity or technicality in proposals received, and can exercise that right. I, the undersigned, understand and accept that the Notice of Matching Grant Awards will be advertised in the Florida Administrative Weekly, and that 21 days after this advertisement is published I waive any right to challenge or protest the awards pursuant to Chapter 120, F.S. I certify that the cash match will be expended between the beginning and ending dates of the grant 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 grant. cceptance of Terms and Conditions: If awarded a grant, I certify that I will comply with all of the above and also accept the attached grant terms and conditions and acknowledge this by signing below. / ✓� 01 / 07 / 2019 Signature 'Authorized Grant Signer MM / DD/YY (lndivi gal Identified in Item 2) DH FORM 1767[ +13] 8 THE TOP PART OF THE FOLLOWING PAGE MUST ALSO BE COMPLETED AND SIGNED. FLORIDA DEPARTMENT OF HEALTH EMS GRANT PROGRAM REQUEST 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 of pre-hospital EMS. DOH Remit Payment To: Name of Agency:Ocoee Fire Department Mailing Address: 150 N. Lakeshore Ave Ocoee, F-4/6 Federal Identification Number ,•6019764 Authorized Agency Official: 01/07/2019 Signature Date John Miller, Fire Chief Type Name and Title Sign and return this page with your application to: DOH Bureau of Emergency Medical Oversight EMS Section, Grants Unit 4052 Bald Cypress Way, Bin A-22 Tallahassee, Florida 32399-1722 Do not write below this line. For use by Bureau of Emergency Medical Services personnel only Grant Amount For State To Pay: Grant ID Code: Approved By: Signature of State EMS Grant Officer Date State Fiscal Year: 2017 - 2018 Organization Code E.O. OCA Object Code Category 64-61-70-30-000 03 SF003 750000 059999 Federal Tax ID: VF Grant Beginning Date: Grant Ending Date: DH FORM 1767P[2013] 9 stryker LUCAS3.1 Quote Number: 10074391 Remit to: P.O. Box 93308 Version: 1 Chicago, IL 60673-3308 Prepared For: OCOEE MAIN FIRE STATION 1 Rep: Ted Piper Attn: Email: ted.piper@stryker.com Phone Number: GPO: NASPO Quote Date: 11/07/2019 Expiration Date: 02/05/2020 Delivery Address End User-Shipping- Billing Bill To Account Name: OCOEE MAIN FIRE STATION 1 Name: OCOEE MAIN FIRE STATION 1 Name: CITY OF OCOEE Account#: 1203704 Account #: 1203704 Account#: 1203702 Address: 563 S BLUFORD AVE Address: 563 S BLUFORD AVE Address: 150 N LAKESHORE DR OCOEE OCOEE OCOEE Florida 34761 Florida 34761 Florida 34761 Equipment Products: 1.0 99576-000063 LUCAS 3, v3.1 Chest Compression System INCLUDES 2 $13,876.50 $27,753.00 HARD SHELL CASE, SLIM BACK PLATE,TWO (2) PATIENT STRAPS, (1) STABILIZATION STRAP, (2) SUCTION CUPS, (1) RECHARGEABLE BATTERY, AND INSTRUCTIONS FOR USE WITH EACH DEVICE. 2.0 11576-000060 LUCAS Desk-Top Battery Charger 2 $994.50 $1,989.00 3.0 11576-000071 LUCAS External Power Supply 2 $322.15 $644.30 4.0 11576-000080 LUCAS 3 Battery- Dark Grey- Rechargeable LiPo 4 $605.20 $2,420.80 5.0 11576-000047 LUCAS Disposable Suction Cup (12 pack) 1 $423.30 $423.30 Equipment Total: $33,230.40 Price Totals: Grand Total: $33,230.40 Prices: In effect for 60 days. Terms: Net 30 Days Ask your Stryker Sales Rep about our flexible financing options. 1 Stryker Medical-Accounts Receivable-accountsreceivablenastryker.com-PO BOX 93308-Chicago,IL 60673-3308 stryker LUCAS3.1 Quote Number: 10074391 Remit to: P.O. Box 93308 Version: 1 Chicago, IL 60673-3308 Prepared For: OCOEE MAIN FIRE STATION 1 Rep: Ted Piper Attn: Email: ted.piper@stryker.com Phone Number: GPO: NASPO Quote Date: 11/07/2019 Expiration Date: 02/05/2020 AUTHORIZED CUSTOMER SIGNATURE 2 Stryker Medical-Accounts Receivable-accountsreceivableastryker.com-PO BOX 93308-Chicago,IL 60673-3308 Deal Consummation:This is a quote and not a commitment.This quote is subject to final credit, pricing,and documentation approval. Legal documentation must be signed before your equipment can be delivered.Documentation will be provided upon completion of our review process and your selection of a payment schedule. 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Cancellation and Return Policy: In the event of damaged or defective shipments,please notify Stryker within 30 days and we will remedy the situation.Cancellation of orders must be received 30 days prior to the agreed upon delivery date.If the order is cancelled within the 30 day window,a fee of 25% of the total purchase order price and return shipping charges will apply. 3