Okaloosa County BOCC — September 15, 2015 — 2300544184 Okaloosa County EMS 09-04-2015 — reading text

QUOTE DATE QUOTE NUMBER PAGE 09/04/2015 2300544184 1 5 LAST UPDATED TIME 09/04/2015 15:11:29 EXPIRATION DATE INCOTERMS Philips Healthcare 3000 Minuteman Road,MS0400 11/04/2015 FOB DESTINATION Andover, MA 01810-1099 PAYMENT TERMS Email PO to: Healthcare.Orders@philips.com or Net 30 Days Fax PO to: 1-800-947-3299 Subject to Credit Approval or Mail PO to: FORMAL QUOTE Philips Healthcare Order Processing, MS0400 CUSTOMER: Andover, MA 01810-1099 Attention: 800-934-7372 Okaloosa County EMS 90 College Blvd E NICEVILLE FL 32578-1343 UNITED STATES Customer Number : 94523639 SALES REPRESENTATIVE Federal EIN: 13-3429115 Jake Nyhart Ph: 315-703-1872 Fax: QUOTE CONTACT Lisa Fifty UNIT OF UNIT AMOUNT TOTAL AMOUNT ITEM PRODUCT DESCRIPTION QUANTITY MEASURE ( USD ) ( USD) SPECIAL COMMENTS 2 CC MRx- 2 MRx 10 M3536A HeartStart MRx ALS monitor 2 PCE 10,700.00 21,400.00 861289 A26 SpO2, BP, CO2, IP, Tmp - G 2 12,965.00 25,930.00 B01 Noninvasive Pacing 2 2,350.00 4,700.00 B02 12 Lead ECG acquisition 2 4,000.00 8,000.00 B06 12-LD Trans. Bluetooth 2 2,122.00 4,244.00 B08 Q-CPR 2 2,995.00 5,990.00 B09 Q-CPR Data Capture 2 200.00 400.00 B17 ACI-TIPI & TPI 2 510.00 1,020.00 C03 Data Card 2 98.00 196.00 C05 Lithium Ion Battery 2 415.00 830.00 C06 AC Power Module 2 425.00 850.00 C21 Blk soft case-pads/paddles 2 .00 .00 D01 Wireless Link-Generic 2 4,995.00 9,990.00 LP1 User Instructions Guide 2 .00 .00 LPK Label for AED emphasis 2 .00 .00 M3508A Standard Pad Cable 2 .00 .00 W22 2-yr Bench Repair Warranty 2 .00 .00 Promotion discount -2,300.00 -4,600.00 Special Discount -35.00 % -29,242.50 THIS QUOTATION CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION OF PHILIPS HEALTHCARE AND IS INTENDED FOR USE ONLY BY THE CUSTOMER WHOSE NAME APPEARS ON THIS QUOTATION. IT MAY NOT BE DISCLOSED TO THIRD PARTIES WITHOUT PRIOR WRITTEN CONSENT OF PHILIPS HEALTHCARE.  QUOTE DATE QUOTE NUMBER PAGE 09/04/2015 2300544184 2 5 LAST UPDATED TIME 09/04/2015 15:11:29 Philips Healthcare 3000 Minuteman Road,MS0400 EXPIRATION DATE INCOTERMS Andover, MA 01810-1099 11/04/2015 FOB DESTINATION FORMAL QUOTE REPRINT UNIT OF UNIT AMOUNT TOTAL AMOUNT ITEM PRODUCT DESCRIPTION QUANTITY MEASURE ( USD ) ( USD) Net price 49,707.50 20 M3536A HeartStart MRx ALS monitor 2 PCE 10,700.00 21,400.00 861289 A23 SpO2, NIBP, CO2 (Grey) 2 9,615.00 19,230.00 B01 Noninvasive Pacing 2 2,350.00 4,700.00 B02 12 Lead ECG acquisition 2 4,000.00 8,000.00 B06 12-LD Trans. Bluetooth 2 2,122.00 4,244.00 B08 Q-CPR 2 2,995.00 5,990.00 B09 Q-CPR Data Capture 2 200.00 400.00 B17 ACI-TIPI & TPI 2 510.00 1,020.00 C03 Data Card 2 98.00 196.00 C05 Lithium Ion Battery 2 415.00 830.00 C06 AC Power Module 2 425.00 850.00 C21 Blk soft case-pads/paddles 2 .00 .00 D01 Wireless Link-Generic 2 4,995.00 9,990.00 LP1 User Instructions Guide 2 .00 .00 LPK Label for AED emphasis 2 .00 .00 M3508A Standard Pad Cable 2 .00 .00 W22 2-yr Bench Repair Warranty 2 .00 .00 Promotion discount -2,300.00 -4,600.00 Special Discount -35.00 % -26,897.50 Net price 45,352.50 Total Quotation List Price 160,400.00 Less All Applicable Discounts -65,340.00 Total Quotation Net Price 95,060.00 Philips Healthcare is pleased to inform you that financing of its products and services is available to qualified applicants. To obtain more information contact Philips Medical Capital @ 866-513-4PMC. * The products listed herein are part of a Philips Promotion entitled: Buy More-Trade More-Save More - 11981NAUS To qualify for the special discounts noted herein, all products within the Promotion configuration must be ordered. No changes and/or substitutions will be allowed. All orders for this promotion must THIS QUOTATION CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION OF PHILIPS HEALTHCARE AND IS INTENDED FOR USE ONLY BY THE CUSTOMER WHOSE NAME APPEARS ON THIS QUOTATION. IT MAY NOT BE DISCLOSED TO THIRD PARTIES WITHOUT PRIOR WRITTEN CONSENT OF PHILIPS HEALTHCARE.  QUOTE DATE QUOTE NUMBER PAGE 09/04/2015 2300544184 3 5 LAST UPDATED TIME 09/04/2015 15:11:29 Philips Healthcare 3000 Minuteman Road,MS0400 EXPIRATION DATE INCOTERMS Andover, MA 01810-1099 11/04/2015 FOB DESTINATION FORMAL QUOTE REPRINT UNIT OF UNIT AMOUNT TOTAL AMOUNT ITEM PRODUCT DESCRIPTION QUANTITY MEASURE ( USD ) ( USD) be received on or before 12/31/2015 The trade-in allowance quoted herein exceeds Philips' estimate of the fair market value of the units by $1500.00. This amount may be considered a price reduction or discount under 42 USC 1001.952(h). * The discount quoted herein is a Special Negotiated Discount. * If no contract is identified in the previous sentence or the products and/or services are not covered by this contract, this quotation is issued pursuant to, and any PO for the items herein will be accepted subject to the Philips Terms and Conditions of Sale posted at http://www.healthcare.philips.com/main/terms_conditions/ and the terms herein. * MD Buyline -- Please be aware that MD Buyline utilizes Philips current list prices as the basis of calculation for discount comparisons. If you are a customer utilizing a GPO contract with fixed pricing, it is likely that the list price on this quotation is based on an older published price list, and may be considerably less than the current list pricing that MD Buyline uses in its analysis. As such, the MD Buyline discount recommendation may be higher than the Philips