HomeMy WebLinkAboutPhysio-Control - 2010 Agreement
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This AGREEMENT made this ~q..fkday of tliJ...J/.:.;., between:
CITY:
City of Gilroy, having a principal place of business at
7351 Rosanna Street, Gilroy, California
and CONTRACTOR: Physio-ControL Inc, having a principal place of business at
11811 Willows Rd NE, Redmond, W A 98052.
ARTICLE 1. TERM OF AGREEMENT
This Agreement will become effective on 12/01/2010 and will continue in effect through
11/30/2015 unless terminated in accordance with the provisions of Article 7 of this Agreement.
ARTICLE 2. INDEPENDENT CONTRACTOR STATUS
It is the express intention of the parties that CONTRACTOR is an independent contractor and
not an employee, agent, joint venturer or partner of CITY. Nothing in this Agreement shall be
interpreted or construed as creating or establishing the relationship of employer and employee
between CITY and CONTRACTOR or any employee or agent of CONTRACTOR. Both parties
acknowledge that CONTRACTOR is not an employee for state or federal tax purposes.
CONTRACTOR shall not be entitled to any of the rights or benefits afforded to CITY'S
employees, including, without limitation, disability or unemployment insurance, workers'
compensation, medical insurance, sick leave, retirement benefits or any other employment
benefits. CONTRACTOR shall retain the right to perform services for others during the term of
this Agreement.
ARTICLE 3. SERVICES TO BE PERFORMED BY CONTRACTOR
A. Specific Services
CONTRACTOR agrees to: Perform the services as outlined in Exhibit "A" ("Physio-Control
Technical Service Support Agreement") and Exhibit "B" (Specific Provisions).
B. Method of Performing Services
CONTRACTOR shall determine the method, details and means of performing the above-
described services. CITY shall have no right to, and shall not, control the manner or determine
the method of accomplishing CONTRACTOR'S services.
C. Employment of Assistants
CONTRACTOR may, at the CONTRACTOR'S own expense, employ such assistants as
CONTRACTOR deems necessary to perform the services required of CONTRACTOR by this
Agreement, subject to the prohibition against assignment and subcontracting contained in
Article 5 below. CITY may not control, direct, or supervise CONTRACTOR'S assistants in the
performance of those services. CONTRACTOR assumes full and sole responsibility for the
payment of all compensation and expenses of these assistants and for all state and federal income
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tax, unemployment Insurance, Social Security, disability Insurance and other applicable
withholding.
D. Place of Work
CONTRACTOR shall perform the services required by this Agreement at any place or location
and at such times as CONTRACTOR shall determine is necessary to properly and timely
perform CONTRACTOR'S services.
ARTICLE 4. COMPENSATION
A. Consideration
In consideration for the services to be performed by CONTRACTOR, CITY agrees to pay
CONTRACTOR the amounts set forth on the first page of Exhibit "A" - TECHNICAL
SERVICE SUPPORT AGREEMENT. In no event however shall the total compensation paid to
CONTRACTOR exceed $49,975.00.
B. Invoices
CONTRACTOR shall submit invoices for all services rendered.
C. Payment
Payment shall be due in annual installments of $9.995.00 beginning 12-0 I-I 0 or within thirty
(30) days of CONTRACTOR providing City with a written receipt of invoice to be as specified
on page 1 of Exhibit "A [PHYSIO TECHNICAL SERVICE SUPPORT AGREEMENT].".
D. Expenses
CONTRACTOR shall be responsible for all costs and expenses incident to the performance of
services for CITY, including but not limited to, all costs of equipment used or provided by
CONTRACTOR, all fees, fines, licenses, bonds or taxes required of or imposed against
CONTRACTOR and all other of CONTRACTOR'S costs of doing business. CITY shall not be
responsible for any expenses incurred by CONTRACTOR in performing services for CITY.
ARTICLE 5. OBLIGATIONS OF CONTRACTOR
A. Tools and Instrumentalities
CONTRACTOR shall supply all tools and instrumentalities required to perform the services
under this Agreement at its sole cost and expense. CONTRACTOR is not required to purchase
or rent any tools, equipment or services from CITY.
B. Workers' Compensation
CONTRACTOR agrees to provide workers' compensation insurance for CONTRACTOR'S
employees and agents and agrees to' hold harmless, defend with counsel acceptable to CITY and
indemnify CITY, its officers, representatives, agents and employees from and against any and all
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claims, suits, damages, costs, fees, demands, causes of action, losses, liabilities and expenses,
including without limitation reasonable attorneys' fees, arising out of any injury, disability, or
death of any of CONTRACTOR'S employees.
C. Indemnification of Liability, Duty to Defend
General Liabilitv
To the fullest extent permitted by law, CONTRACTOR shall defend through council approved
by CITY indemnify and hold harmless CITY, its officers, representatives, agents and employees
against any and all suits, damages, costs, fees, claims, demands, causes of action, losses,
liabilities and expenses, including without limitation reasonable attorneys' fees, to the extent
caused by any willful or negligent or malicious act or omission of CONTRACTOR or
CONTRACTOR'S assistants, employees or agents, including all claims relating to the injury or
death of any person or damage to any property.
D. Insurance
In addition to any other obligations under this Agreement, CONTRACTOR shall, at no cost to
CITY, obtain and maintain throughout the term of this Agreement: (a) Commercial Liability
Insurance, including coverage for owned and non-owned automobiles, with a minimum
combined single limit coverage of $1,000,000 per occurrence for all damages due to bodily
injury, sickness or disease, or death to any person, and damage to property, including the loss of
use thereof; and (b) Professional Liability Insurance (Errors & Omissions) with a minimum
coverage of $1,000,000 per occurrence and aggregate. As a condition precedent to CITY'S
obligations under this Agreement, CONTRACTOR shall furnish evidence of such coverage
(naming CITY, its officers and employees as additional insureds on the Comprehensive Liability
insurance policy referred to in (a) immediately above) and requiring thirty (30) days written
notice of policy lapse or cancellation, or of a material change in policy terms.
E. Assignment
Notwithstanding any other provision of this Agreement, neither this Agreement nor any duties or
obligations of CONTRACTOR under this Agreement may be assigned or subcontracted by
CONTRACTOR without the prior written consent of CITY, which CITY may withhold in its
sole and absolute discretion.
F. State and Federal Taxes
As CONTRACTOR is not CITY'S employee, CONTRACTOR shall be responsible for paying
all required state and federal taxes. Without limiting the foregoing, CONTRACTOR
acknowledges and agrees that:
. CITY will not withhold FICA (Social Security) from CONTRACTOR'S
payments;
. CITY will not make state or federal unemployment insurance contributions on
CONTRACTOR'S behalf;
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· CITY will not withhold state or federal income tax from payment to
CONTRACTOR;
· CITY will not make disability insurance contributions on behalf of
CONTRACTOR;
· CITY will not obtain workers' compensation insurance on behalf of
CONTRACTOR.
ARTICLE 6. OBLIGATIONS OF CITY
A. Cooperation of City
CITY agrees to respond to all reasonable requests of CONTRACTOR and provide access, at
reasonable times following receipt by CITY of reasonable notice, to all documents reasonably
necessary to the performance of CONTRACTOR'S duties under this Agreement.
B. Assignment
CITY may assign this Agreement or any duties or obligations thereunder to a successor
governmental entity without the consent of CONTRACTOR. Such assignment shall not release
CONTRACTOR from any of CONTRACTOR'S duties or obligations under this Agreement.
ARTICLE 7. TERMINATION OF AGREEMENT
A. Sale or Corporate Transfer of CONTRACTOR's Business/ Death of
CONTRACTOR.
CONTRACTOR shall attempt to notify CITY in writing of the proposed sale or Corporate
Transfer of CONTRACTOR's business no later than thirty (30) days prior to any such sale.
However, if no notice prior to sale or Corporate Transfer is given, then CONTRACTOR shall
provide written notice within ten (10) days after the occurrence of any Corporate Transfer. As
used in this Agreement, a "Corporate Transfer" shall include the dissolution, merger,
consolidation, or other reorganization of CONTRACTOR.
CITY shall have the option in its sole discretion of terminating this Agreement within thirty (30)
days after receiving notice of a Corporate Transfer. Any such CITY termination pursuant to this
Article 7.A shall be in writing and sent to the address for notices to CONTRACTOR set forth in
this Agreement, no later than thirty (30) days after CITY's receipt of such notice.
B. Termination by City for Default of CONTRACTOR
Should CONTRACTOR default in the performance of this Agreement or materially breach any
of its provisions, CITY, at CITY'S option, may terminate this Agreement by giving written
notification to CONTRACTOR. For the purposes of this section, material breach of this
Agreement shall include, but not be limited to the following:
1.
CONTRACTOR'S failure to professionally and/or timely perform any of the
services contemplated by this Agreement.
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2. CONTRACTOR'S breach of any of its representations, warranties or covenants
contained in this Agreement.
CONTRACTOR shall be entitled to payment only for work completed in accordance with the
terms of this Agreement through the date of the termination notice, as reasonably determined by
CITY, provided that such payment shall not exceed the amounts set forth in this Agreement for
the tasks described on Exhibit "A" which have been fully, competently and timely rendered by
CONTRACTOR. Notwithstanding the foregoing, if CITY terminates this Agreement due to
CONTRACTOR'S default in the performance of this Agreement or material breach by
CONTRACTOR of any of its provisions, then in addition to any other rights and remedies CITY
may have, CONTRACTOR shall reimburse CITY, the amount required to complete the services
required hereunder less the unpaid value of any services which have been fully, competently and
timely rendered by Contractor prior to termination.
C. Termination for Failure to Make Agreed-Upon Payments
Should CITY fail to pay CONTRACTOR all or any part of the compensation set forth in Article
4 of this Agreement on the date due, then if and only if such nonpayment constitutes a default
under this Agreement, CONTRACTOR, at the CONTRACTOR'S option, may terminate this
Agreement if such default is not remedied by CITY within thirty (30) days after demand for such
payment is given by CONTRACTOR to CITY.
D. Transition after Termination
Upon termination, CONTRACTOR shall immediately stop work, unless cessation could
potentially cause any damage or harm to person or property, in which case CONTRACTOR shall
cease such work as soon as it is safe to do so. CONTRACTOR shall incur no further expenses in
connection with this Agreement. CONTRACTOR shall promptly deliver to CITY all work done
toward completion of the services required hereunder, and shall act in such a manner as to
facilitate any the assumption of CONTRACTOR's duties by any new CONTRACTOR hired by
the CITY to complete such services.
ARTICLE 8. GENERAL PROVISIONS
A. Amendment & Modification
No amendments, modifications, alterations or changes to the terms of this Agreement shall be
effective unless and until made in a writing signed by both parties hereto.
B. Americans with Disabilities Act of 1990
Throughout the term of this Agreement, the CONTRACTOR shall comply fully with all
applicable provisions of the Americans with Disabilities Act of 1990 ("the Act") in its current
form and as it may be amended from time to time. CONTRACTOR shall also require such
compliance of all subcontractors performing work under this Agreement, subject to the
prohibition against assignment and subcontracting contained in Article 5 above. The
CONTRACTOR shall defend with counsel acceptable to CITY, indemnify and hold harmless the
CITY OF GILROY, its officers, employees, agents and representatives from and against all suits,
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daims. demands. damages, costs, causes of action, losses, liabilities, expenses and fees,
,nciuding without limitation reasonable attorneys' fees, that may arise out of any violations of
~he Act by the CONTRACTOR, its subcontractors. or the officers, employees, agents or
representatives of either.
C. Attorneys' Fees
If any action at law or in equity, including an action for declaratory relief, is brought to enforce
or interpret the provisions of this Agreement, the prevailing party will be entitled to reasonable
attorneys' fees, which may ~ set by the court in the same action or in a separate action brought
for that purpose, in addition to any other relief to which that party may be entitled.
D. Captions
The captions and headings of the various sections, paragraphs and subparagraphs of the
Agreement are for convenience only and shall not be considered nor referred to for resolving
questions of interpretation.
E. Compliance with Laws
The CONTRACTOR shall keep itself informed of all State and National laws and all municipal
ordinances and regulations of the CITY which in any manner affect those engaged or employed
in the work, or the materials used in the work, or which in any way affect the conduct of the
work, and of all such orders and decrees of bodies or tribunals having any jurisdiction or
authority over the same. Without limiting the foregoing, CONTRACTOR agrees to observe the
provisions of the Municipal Code of the CITY OF GILROY, obligating every contractor or
subcontractor under a contract or subcontract to the CITY OF GILROY for public works or for
goods or services to refrain from discriminatory employment or subcontracting practices on the
basis ofthe race, color, sex, religious creed, national origin, ancestry of any employee, applicant
for employment, or any potential subcontractor.
F. Conflict of Interest
CONTRACTOR certifies that to the best of its knowledge. no CITY employee or office of any
public agency interested in this Agreement has any pecuniary interest in the business of
CONTRACTOR and that no person associated with CONTRACTOR has any interest that would
constitute a conflict of interest in any manner or degree as to the execution or performance of
this Agreement.
G. Entire Agreement
This Agreement supersedes any and all prior agreements. whether oral or written. between the
parties hereto with respect to the rendering of services by CONTRACTOR for CITY and
contains all the covenants and agreements between the parties with respect to the rendering of
such services in any manner whatsoever. Each party to this Agreement acknowledges that no
representations, inducements, promises or agreements, orally or otherwise, have been made by
any party, or anyone acting on behalf of any party, which are not embodied herein, and that no
other agreement, statement or promise not contained in this Agreement shall be valid or binding.
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No other agreements or conversation with any officer, agent or employee of CITY prior to
execution of this Agreement shall affect or modify any of the terms or obligations contained in
any documents comprising this Agreement. Such other agreements or conversations shall be
considered as unofficial information and in no way binding upon CITY. In the case of any
inconsistencies between this Agreement and Exhibit "A" (Physio-Control Technical Service
Support Agreement), then the terms of this Agreement shall control.
H. Governing Law
This Agreement will be governed by and construed in accordance with the laws of the State of
California.
I. Notices
Any notice to be given hereunder by either party to the other may be effected either by personal
delivery in writing or by mail, registered or certified, postage prepaid with return receipt
requested. Mailed notices shall be addressed to the parties at the following addresses:
CITY:
City of Gilroy
7351 Rosanna Street
Gilroy, CA 95020
CONTRACTOR:
Physio-Control, Inc
11811 Willows Rd NE
Redmond, W A 98052
Each party may change the address by written notice in accordance with this paragraph. Notices
delivered personally will be deemed delivered as of actual receipt; mailed notices will be deemed
delivered as of three (3) days after mailing.
J. Partial Invalidity
If any provision in this Agreement is held by a court of competent jurisdiction to be invalid, void
or unenforceable, the remaining provisions will nevertheless continue in full force without being
impaired or invalidated in any way.
K. Waiver
CONTRACTOR agrees that waiver by CITY of anyone or more of the conditions of
performance under this Agreement shall not be construed as waiver(s) of any other condition of
performance under this Agreement.
Executed at Gilroy, California, on the date and year first above written.
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CONTRACTOR:
Physio-Control, Inc
By:LctL
Name: Bryan deLeuw
Title: Associate Contract Analyst
Social Security or Taxpayer
Identification Number 91-0697691
Approved as to Form
~~
City Attorney
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CITY:
By:
Name: Tom Haglun
Title: City Administrator
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\ -
EXHIBIT "A"
.
TECHNICAL SERVICE SUPPORT AGREEMENT -
Addendum to Physio-Control/City of Gilroy Agreement
Contract Number:
End User # 15815901
GILROY FIRE DEPARTMENT
7070 CHESTNUT ST
GILROY, CA 95020
Bill To # 15815901
GILROY FIRE DEPARTMENT
7070 CHESTNUT ST
GILROY, CA 95020
This Technical Service Support Agreement begins on 12/1 /20 I 0 and expires on 11/30/2015.
The designated Covered Equipment and/or Software is listed on Schedule A. This Technical Service Agreement
is subject to the Terms and Conditions on the reverse side of this document and any Schedule B, if attached.
If any Data Management Support and Upgrade Service is included on Schedule A then this Technical Service
Support Agreement is also subject to Physio-Control's Data Management Support and Upgrade
Service Terms and Conditions, rev 7/99-1.
Price of coverage specified on Schedule A is $49,975.00 per term, payable in Annual installments.
S ecial Terms
15% DISCOUNT ON ACCESSORIES
15% DISCOUNT ON ECG ELECTRODES
15% DISCOUNT ON ALL DEFIB/PACING ELECTRODES
This agreement can be terminiated by either party with 30 days written
notice to the other party.
Mutually agreeable modifications can be made at any time to this agreement
with signatures from both parties. In the case of any inconsistency between the terms and conditions in Exhibit "A" and
the City of Gilroy Agreement to which it is attached, the terms and conditions set forth in the City of Gilroy Contract will
control.
Acce-'6: PhYl-~ontrol, Inc.
By: t ci
Title: A?~CNk ~(\ tr~LA-' 4~., t
Date:~/1
Customer:
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By: --p tl ; L\.z I V1-5
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Title: D ; ,/ I ~ I '0 r) C '" ; ef
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Purchase Order Number:
Territory Rep: WENN66
Jim Price
Phone: 800-442-1142 x2448
FAX: 800-772-3340
Customer Contact:
Phil King
Phone: 408-846-0370
FAX: 408-848-0379
Reference Number: N66-1565
Printed: 11/22/20 II
Renewal
Page I of 9
~ }
PHYSIO.CONTROL, INC.
TECHNICAL SERVICE SUPPORT AGREEMENT TERMS AND CONDITIONS
RENEWAL TERMS
Physio-Control, Inc.'s ("Physio-Control") acceptance of Customer's Technical Service Support Agreement is expressly conditioned on
Customer's assent to the terms set forth in this document and its attachments as may have been modified by that certain Agreement between
Customer and Physio-Control, the "City of Gilroy Agreement" to which Agreement this Technical Service Support Agreement is "Exhibit A".
Physio-Control agrees to furnish the services ordered by Customer only on these terms. These terms may not be revised in any manner
without the prior written consent of an officer of Physio-Control and the City Administrator of the City of Gilroy.
REPAIR SERVICES
If "Repair" services are designated, subject to the Exclusions identified below, they shall include, for the designated Covered
Equipment, all repair parts and materials required, all required Physio-Control service technician labor, and all related travel expenses.
For offsite (ship-in) services, units will be returned to Customer by Physio-Control freight prepaid.
INSPECTION SERVICES
If "Inspection" services are designated, subject to the Exclusions identified below, they shall include, for the designated Covered
Equipment, verification of proper instrument calibration, verification that instrument mechanical operations and output measurements
are consistent with applicable product specifications, performance of an electrical safety check in accordance with National Fire and
Protection Guidelines, all required Physio-Control service technician labor and all related travel expenses. For offsite (ship-in)
services, units will be returned to Customer by Physio-Control freight prepaid.
DOCUMENTATION
Following each Repair and/or Inspection, Physio-Control will provide Customer with a written report of actions taken or recommended
and identification of any materials replaced or recommended for replacement.
LOANERS
If a Physio-Control product is designated as a unit of Covered Equipment for Repair Services and needs to be removed from service
to complete repairs, an appropriate Loaner unit will be provided, if available, until the removed unit is returned. Customer assumes
complete responsibility for the Loaner and shall return the Loaner to Physio-Control in the same condition as received, at Customer's
expense, upon the earlier of the return of the removed unit or Physio-Control's request.
EXCLUSIONS
This Technical Service Support Agreement does not include: supply or repair of accessories or disposables (e.g., patient cables,
recorder paper, etc.); repair of damage caused by misuse, abuse, abnormal operating conditions, operator errors, and/or acts of God;
repairs to return an instrument to normal operating equipment at the time of initial service by Physio-Control under this Technical
Service Support Agreement: case changes; repair or replacement of items not originally distributed or installed by Physio-Control; and
exclusions on Schedule B to this Technical Service Support Agreement, if any, which apply to Covered Equipment.
SCHEDULE SERVICES
Designated Repair and Inspections Services will be performed at the designated service frequency and during designated service
hours except where service technicians are rendered unavailable due to mandatory training commitments, in which case
Physio-Control will provide alternate coverage. Customer is to ensure Covered Equipment is available for Repair and/or Inspection at
scheduled times. If Covered Equipment is not available as scheduled and Customer requests additional services to be performed or if
Physio-Control is requested to perform Repair or Inspection services not designated in this Technical Service Support Agreement
(due to the nature of services selected, instruments involved not being Covered Equipment, request being outside of designated
service frequency or hours, or application of the Exclusions); Customer shall reimburse Physio-Control at Physio-Control's standard
labor rates less 10% (including overtime, if appropriate), plus standard list prices for related parts and materials less 15%, plus actual
travel costs incurred.
PAYMENT
The cost of services performed by Physio-Control shall be payable by Customer within thirty (30) days of Customer's receipt of
Physio-Control's Invoice (or such other terms as Physio-Control confirms to Customer in writing). In addition to the cost of services
performed, Customer shall payor reimburse Physio-Control for any taxes assessed Physio-Control. If the number or configuration of
Covered Equipment is altered during the Term of this Technical Service Support Agreement, the price of Services shall be adjusted
accordingly.
Reference Number: N66-1565
Printed: 11/22/2011
Renewal
Page 2 of 9
I.. -
WARRANTY
Physio-Control warrants Services performed under this Technical Service Support Agreement and replacement parts provided in
performing such Services against defects in material and workmanship for ninety (90) days from the date a Service was performed or
a part was provided. Customer's sole remedy shall be reservicing the affected unit and/or replacement of any part determined to be
defective, without any additional Customer charge, provided Customer notifies Physio-Control of any allegedly defective condition
within ten (10) calendar days of its discovery by Customer. Physio-Control makes no other warranties, express or implied, including,
without limitation, NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND IN NO EVENT
SHALL PHYSIO-CONTROL BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, SPECIAL, OR OTHER DAMAGES.
TERMINATION
Either party may terminate this Technical Service Support Agreement at any time upon thirty (30) days prior written notice to the other,
except that Physio-Control may terminate this Technical Service Support Agreement upon Customer's failure to make timely payments for
services rendered under this Technical Service Support Agreement subject to the provisions of Article 7, paragraph C of the City of Gilroy
Agreement. If the termination by either party is without cause, then the City shall be obligated to reimburse Physio-Control for that portion of
the designated price which corresponds to that portion of the Term and the scope of Services satisfactorily provided and accepted by the City
prior to the effective date of termination. All other events of termination and the conditions following termination are set forth in Article 7 of the
City of Gilroy Agreement.
DELAYS
Physio-Control will not be liable for any loss or damage of any kind due to its failure to perform or delays in its performance resulting
from any cause beyond its reasonable control, including, but not limited to, acts of God, labor disputes, labor shortages, the
requirements of any governmental authority, war, civil unrest, delays in manufacture, obtaining any required license or permit, and
Physio-Control's inability to obtain goods from its usual sources. Any such delay shall not be considered a breach of Physio-Control's
obligations and the performance dates shall be extended for the length of such delay.
MISCELLANEOUS
a) Customer agrees to not employ or offer employment to anyone performing Services on Physio-Control's behalf during the Term of
this Technical Service Support Agreement or for one (1) year following its expiration without Physio-Control's prior written consent.
b) This Technical Service Support Agreement, and any related obligation of other party, may not be assigned in whole or in part
without the prior written consent of the other party.
c) The rights and obligations of Physio-Control and Customer under this Technical Service Support Agreement shall be governed by
the laws of the State of California. Legal actions to enforce the rights of a party under the City of Gilroy Agreement and reimbursement of
the prevailing party's costs, including reasonable attorney's fees, are governed by Article 8, paragraph C of the City of Gilroy Agreement.
.......END
Reference Number: N66-1565
Printed: 11/22/2011
Renewal
Page 3 of 9
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PHYSIO-CONTROL,INC.
TECHNICAL SERVICE SUPPORT AGREEMENT
SCHEDULE A
Contract Number:
Servicing Rep:
Di strict:
Phone:
FAX:
Jim Price, WENN66
WEST
800-442-1142 x2448
800-772-3340
Equipment Location: GILROY FIRE DEPARTMENT, 15815901
7070 CHESTNUT ST
GILROY, CA 95020
Scope Of Service LPCR/Express Onsite Gold Plan
Ref. Effective Expiration Total
Model Part Number Serial Number Line Date Date Inspections
LIFEPAK@ CR PLUS 3200731-002 34920826 12 12/1/2010 11/30/2015 5
LIFEPAK@ CR PLUS 3200731-002 34920827 13 12/1/2010 11/30/2015 5
Scope Of Service AED I On Site Inspection per Year with I Lithium Battery
Ref. Effective Expiration Total
Model Part Number Serial Number Line Date Date Inspections
LIFEPAK@lOOO 320371500021 37007646 14 12/1 /20 \0 11/30/2015 5
LIFEPAK@IOOO 320371500021 37007647 15 12/1/20 I 0 11/30/2015 5
LIFEPAK@\oOO 320371500021 37007648 16 12/1/20 I 0 11/30/2015 5
LIFEPAK@ 500 3011790-001129 32240129 8 12/1/20 I 0 11/30/2015 5
LIFEPAK@ 500 3011790-001129 32244194 9 12/1/20 I 0 11/30/2015 5
LIFEPAK@ 500 3011790-001129 32244195 10 12/1/20 I 0 11/30/2015 5
LIFEPAK@ 500 3011790-001129 32244196 11 12/1/20 I 0 11/30/2015 5
Scope Of Service Renewal POS On Site Repair - I On Site Inspection per Year
Ref. Effective Expiration Total
Model Part Number SerIal Number Line Date Date Inspections
LIFEPAK@ 12 VLP 12-02-003484 30593244 12/1/20 I 0 11/30/2015 5
LIFEPAK@ 12 VLP 12-02-003484 30593242 2 12/1/20 I 0 11/30/2015 5
LIFEPAK@ 12 VLP 12-02-003484 30593245 3 12/1/2010 11/30/2015 5
LIFEPAK@ 12 VLP 12-02-003484 30593243 4 12/1/20 I 0 11/30/2015 5
LIFEPAK@ 12 VLP 12-02-003484 31220123 5 12/1/2010 11/30/2015 5
LIFEPAK@ 12 VLP 12-02-0050 13 32328349 6 12/1/20 I 0 11/30/2015 5
LIFEPAK@ 12 VLP 12-02-007228 36516904 7 12/1/20 I 0 11/30/2015 5
** Denotes an inventory Ime that has changed since the last contract revIsion or addendum
Reference Number: N66-1565
Printed: 11/22/2011
Renewal
Page 4 of 9
PHYSIO-CONTROL, INC.
TECHNICAL SERVICE SUPPORT AGREEMENT
SCHEDULE B
LlFEP AK@ 12 '(LP 12) Defibrillator/Monitor Service includes:
Standard detachable hard paddle repairs
LPI2 upgrade installed by Physio-Control Technical Services Representative at a rate of 17% less than the then-current
field-installed list price
All Physio-Control battery charging systems owned by contract end user, up to a one-for-one basis with the total number
ofLPI2 defibrillator/monitor's listed in Schedule A.
AC Power Adapter repair/replacement
DC Power Adapter repairlreplacement
Replacement ofPhysio-Control FASTPAK@, FASTPAK 2, LlFEPAK SLA, LlFEPAK NiCd Battery, and LlFEPAK
Li-ion Battery
Battery maintenance, performance testing, evaluation, removal, recycling, and replacement are the Customer's responsibility and
should be performed in accordance with the LP 12 Series Operating Instructions section entitled Discarding/Recycling Batteries.
Battery replacement is available upon completion of the second year of use on a one-for-one basis, up to the number of devices
listed in Equipment Inventory, Schedule A. Replacement batteries shall be like-for-like (i.e. FASTPAK for FASTPAK, LlFEPAK
LI-ion for LlFEPAK LI-ion, etc.).
One-for-one, like-for-like battery replacement is available prior to the completion of second year of use upon battery failure as
determined by Customer's performance testing and evaluation in accordance with the LP 12 Operating Instructions section entitled
Discarding/Recycling Batteries. During the Term of this Agreement, no-charge replacemerlt for battery failure shall occur no more
than four (4) times per two-year period for Physio-Control F ASTPAK@, F ASTPAK 2, LlFEPAK SLA, LlFEPAK NiCd Battery,
and no more than three (3) times per two-year period for Li-ion batteries, regardless of any terms in prior Support Plans.
Battery replacement is dependent upon Customer's notice to Physio-Control of the completion of the second year of use or battery
failure as determined by Customer's performance testing and evaluation. At the discretion ofPhysio-Control, battery replacement
shall be accomplished by shipment to Customer and replacement by Customer, or by on-site delivery and replacement by a
Physio-Control Service Technician. Upon Customer's receipt of replacement battery, the battery being replaced becomes the
property ofPhysio-Control, and Customer must return the battery being replaced to Physio-Control for proper disposal. If
Physio-Control does not receive the battery Customer will be charged at the then-current rate for the replacement battery.
Only batteries manufactured by Physio-Control are covered under this Service Agreement. Batteries not manufactured by
Physio-Control are expressly excluded from coverage under this Service Agreement. Physio-Control does not guarantee the
operation, safety, and/or performance of our product when operating with a battery not manufactured by Physio-Control. Repairs
and inspections performed under this Agreement meet original equipment manufacturer's product specifications only when
operating with a battery manufactured by Physio-Control. Any repairs, as determined by a Physio-Control Service Representative,
resulting from the use of a battery not manufactured by Physio-Control. will be billed at Physio-Control's then current standard list
prices for parts and labor, including actual travel costs incurred.
LlFEPAK 12 Software Updates
If combined Repair and Inspection services are designated for LP 12 units listed in Schedule A, a Physio-Control Technical Services
Representative will install LP 12 software updates at no additional cost, provided they are installed at the time of a regularly
scheduled inspection. In addition, during the Term of this Agreement. where an assembly, i.e., printed circuit board, must be
replaced to accommodate installation of new software, such assembly may be purchased by the Customer at a rate of 50% less than
the then-current list price. Software updates, when installed at a time other than the regularly scheduled inspection, will be billed at
the rate of $205.00 per unit per software update. The cost of such software update will be billed in a separate invoice.
If Repair-Only services are designated for LP 12 units listed in Schedule A, a Physio-Control Technical Services Representative will
install a LP 12 software update at the ratc of$205.00 per unit per software update. In addition. during the Term of this Agreement.
where an assembly, i.e., printed circuit board, must be replaced to accommodate installa1ion of new software, such assembly may be
purchased by the Customer at a rate of 50% less than the then-current list price. The cost of such software update will be billed in a
separate invoice.
Reference Number: N66-1565
Printed: 11/22/2011
Renewal
Page 5 of 9
PHYSIO-CONTROL, INC.
TECHNICAL SERVICE SUPPORT AGREEMENT
SCHEDULE B
Coin Cell Battery Replacement
Physio-Control will replace the internal coin cell battery according to the number of such batteries listed in the Additional Items
section of Schedule A. It is the Customer's responsibility to request such coin cell battery replacement. gather in a single location
the devices that will receive such battery replacement. and to provide to the Physio-Control Technical Services Representative
access to those devices. Coin cell battery replacement will take place during the Term of this Agreement, according to the number
of coin cell batteries listed in the Additional Items section of Schedule A.
LP 12 Defibrillator/Monitor Service does not include repair or replacement of the following:
Internal, sterilizable and pediatric paddles
Sp02 sensors and cables
Communication cables
Therapy cables
Patient cables
PCMCIA modems
Case changes
Discounts will not be combined with other special terms. discounts. and/or promotions.
LlFEPAK@500AED INSPECTION-ONLY WITH BATTERY OPTION
. Inspections are performed Monday thru Friday 8am to 5pm (excluding holidays)
. This plan includes periodic inspections as described on Schedule A. I f any repairs are requested by customer that are not otherwise
covered by warranty then customer shall pay Physio-Control at its then-current labor rate less 10%. Parts required for such repairs
will be at 15% less than the then-current list price for the parts.
. Customer retains the responsibility to perform the battery maintenance and evaluation procedures outlined in the service manual
and to replace batteries that do not pass the conditions outlined under "Discarding/Recycling Batteries." Batteries failing to meet
battery performance tests should be removed from service and properly discarded (recycled).
. If customer provides evidence that a Physio-Control Battery Pak fails to meet the performance tests noted above and/or the Battery
Pak age exceeds 2 years in the case of sealed lead acid batteries and 5 years in the case of lithium ion batteries. Physio-Control shall
replace said Physio-Control Battery Pak (Iike-for-like) i.e. LlFEPAK 500 SLA for LlFEPAK 500 SLA or LlFEPAK 500 lithium ion
for LlFEP AK 500 lithium ion, up to a maximum of 2 LlFEP AK 500 SLA Battery Paks every two years or up to a maximum of I
LlFEPAK 500 lithium ion Battery Pak every 5 years (including prior Support Plan periods) per LlFEPAK@ 500 automatic advisory
defibrillator (listed on Schedule A). To assist in proper recycling and removal of low capacity batteries. replaced Battery Paks
become the property of Physio-Control and must be returned at the time of exchange.
. Only batteries manufactured by Physio-Control are covered under this Service Agreement. Any batteries manufactured by other
sources are expressly excluded from coverage under this Service Agreement. Physio-Control cannot guarantee the operation, safety
and/or performance of our product when operating with a non-Physio-Control battery. Repairs and inspections performed under this
Agreement meet original equipment manufacturer's product specifications only when operating with a Physio-Control battery. Any
repairs, as determined by a Physio-Control Service Representative, resulting from the use of a non-Physio-Control battery. will be
billed at our standard list prices for parts and labor. including actual travel charges incurred.
At the time of inspection. a Physio-Control Technical Service Representative will install the latest version of software available at
the time of service. Software updates requested to be installed at a time other than the regularly scheduled time of inspection will be
billed at $205 per unit per software update. The cost of the software update will be billed on a separate invoice.
Reference Number: N66-1565
Printed: 11/22/20 II
Renewal
Page 6 of 9
PHYSIO-CONTROL,INC.
TECHNICAL SERVICE SUPPORT AGREEMENT
SCHEDULE B
LlFEPAK@ 1000 AED INSPECTION-ONLY WITH BATTERY OPTION
. Inspections are performed Monday thru Friday Sam to 5pm (excluding holidays).
. This plan includes periodic inspections as described on Schedule A. If any repairs are requested by customer that are not otherwise
covered by warranty then customer shall pay Physio-Control at its then current labor rate less 10%. Parts required for such repairs
will be at 15% less than the then current list price for the parts.
. Customer retains the responsibility to perform the battery maintenance and evaluation procedures outlined in the service manual
and to replace batteries that do not pass the conditions outlined under "Discarding/Recycling Batteries." Batteries failing to meet
battery performance tests should be removed from service and properly discarded (recycled).
. If customer provides evidence that a Physio-Control Battery Pak fails to meet the performance tests noted above and/or the Battery
Pak age exceeds 2 years in the case of sealed lead acid batteries and 5 years in the case oflithium ion batteries, Physio-Control shall
replace said Physio-Control Battery Pak (like for like) i.e. FASTPAK for FASTPAK, FASTPAK2 for FASTPAK2, LlFEPAK SLA
for LlFEPAK SLA, or LlFEPAK NiCd for LlFEPAK NiCd, up to a maximum of2 Physio-Control SLA Battery Paks every two
years or up to a maximum of I Physio-Control lithium ion Battery Pak every 5 years (including prior Support Plan periods) per
LlFEPAK@ 1000 automatic advisory defibrillator (listed on Schedule A). To assist in proper recycling and removal of low capacity
batteries, replaced Battery Paks become the property of Physio-Control and must be returned at the time of exchange.
. At the time of inspection, a Physio-Control Technical Service Representative will install the latest version of software available at
the time of service. Software updates requested to be installed at a time other than the regularly scheduled time of inspection will be
billed at $205 per unit per software update. The cost of the software update will be billed on a separate invoice.
Reference Number: N66-1565
Printed: 11/22/2011
Renewal
Page 7 of 9
- J
PHYSIO-CONTROL, INC.
TECHNICAL SERVICE SUPPORT AGREEMENT
SCHEDULE B
LIFEPAK@ CR Plus AED INSPECTION-ONLY WITH BATTERY OPTION
. This plan includes periodic inspections as described on Schedule A. If any repairs are requested by customer that are not otherwise
covered by warranty then customer shall pay Physio-Control at its then current labor rate less 10%. .Parts required for such repairs
will be at 15% less than the then current list price for the parts. I f device cannot be repaired, then customer has the option to trade in
their LIFEPAK CR Plus for another LIFEPAK CR Plus at 15% less than the then current list price for the device. or purchase the
device at the current applicable contract buying price. determined by the lesser amount.
. If customer provides evidence that the LIFEP AK@ CR Plus Battery charge stick fails to meet the performance tests noted above
and/or the LIFEPAK CR@ Plus Battery charge stick or electrodes exceed 2 years, a new chargepak/electrodes kit will be installed on
the device. To assist in proper recycling and removal of low capacity battery charge sticks. replaced Battery charge sticks become
the property of Physio-Control and must be returned at the time of exchange.
. If customer requires a chargepak/electrodes kit outside normal servicing procedures. and chargepak/electrodes is under 1 year old.
and chargepak/electrodes did not fait then customer shall pay Physio-Control at its then current rate for a new chargepak/electrodes
kit less 15%.
. At the time of inspection, a Physio-Control Technical Service Representative will install the latest version of software available at
the time of service. Software updates requested to be installed at a time other than the regularly scheduled time of inspection will be
billed at $205 per unit per software update. The cost of the software update will be billed on a separate invoice.
. Only batteries manufactured by Physio-Control are covered under this Service Agreement. Any batteries manufactured by other
sources are expressly excluded from coverage under this Service Agreement. Physio-Control cannot guarantee the operation. safety
and/or performance of our product when operating with a non-Physio-Control battery. Repairs and inspections performed under this
Agreement meet original equipment manufacturer's product specifications only when operating with a Physio-Control battery. Any
repairs. as determined by a Physio-Control Service Representative, resulting from the use of a non-Physio-Control battery, will be
billed at our standard list prices for parts and labor, including actual travel charges incurred.
. Inspections are performed Monday thru Friday 8am to 5pm (excluding holidays).
Reference Number: N66-] 565
Printed: ] 1/22/20] ]
Renewal
Page 8 of 9
~ --
PHYSIO-CONTROL, INC.
TECHNICAL SERVICE SUPPORT AGREEMENT
SCHEDULE B
EventCheck™ SERVICE TERMS
TERMS
Physio-Control's acceptance of Customer's order for EventCheck is expressly conditioned on Customer's assent to the terms set forth
in this document. These terms constitute the complete agreement between the parties and may not be revised in any manner without
the prior written consent of an officer of Physio-Control.
TERMINA TION
Either party may terminate this agreement at any time upon sixty (60) days prior written notice to the other, except that
Physio-Control may terminate this agreement immediately upon Customer's failure to make timely payments for services rendered
under this agreement. In the event of termination, Customer shall be obligated to reimburse Physio-Control for that portion of the
designated price which corresponds to that portion of the Term prior to the effective date of termination.
EventCheck ™ SERVICES
EventCheck services, subject to the Exclusions identified below, shall include, for the designated device, after device use: event data
download; device data in hard copy format; replenishment of the two (2) QUIK-P AKTM electrodes and one (I) CHARGE-P AKTM
battery charger; "EventCheck Inspection Procedure" service inspection; service report; all required materials, all required
Physio-Control service technician labor, and all related travel expenses within a fifty (50) mile radius of the nearest location ofa
Physio-Control Technical Service Representative. Travel outside of said fifty mile radius shall be billed at the current applicable
contract zone billable rate. Only one (I) EventCheck service call may be used each year for the Gold service plan and one (I) every
two years for the Silver service plan. Additional EventCheck service calls will be billed at a rate of $150 per call and includes all
services mentioned above, excluding travel. Data downloaded from the device shall be provided to the customer and will not be
retained, stored or used in any way by Physio-Control. If customer decides to ship device needing EventCheck type service to a
Physio-Control representative for service the zone billable charge will not apply.
EXCLUSIONS
EventCheck service does not include repair of damage caused by misuse, abuse, abnormal operating conditions, operator errors,
and/or acts of God.
WARRANTY
Physio-Control warrants services performed and materials provided under EventCheck against defects in material and workmanship
for ninety (90) days from the date the service was performed. Customer's sole remedy shall be reservicing the affected unit and/or
replacement of any part determined to be defective, without any additional Customer charge, provided Customer notifies
Physio-Control of any allegedly defective condition within ten (10) calendar days of its discovery by Customer. Physio-Control
makes no other warranties, express or implied, including, without limitation, NO WARRANTY OF MERCHANTABILITY OF
FITNESS FOR A PARTICULAR PURPOSE, AND IN NO EVENT SHALL PHYSIO-CONTROL BE LIABLE FOR
INCIDENTAL, CONSEQUENTIAL, SPECIAL OR OTHER DAMAGES. The rights and obligations ofPhysio-Control and
Customer under this EventCheck service shall be governed by the laws of the State of Washington. All costs and expenses incurred
by Physio-Control related to enforcement of its rights under this document. including reasonable attorney's fees, shall be reimbursed
by Customer.
Reference Number: N66-1565
Printed: 11/22/2011
Renewal
Page 9 of 9
EXHIBIT "B"
SPECIFIC PROVISIONS
A. STANDARD OF WORKMANSHIP
CONTRACTOR represents and warrants that it has the qualifications, skills and licenses
necessary to perform the Services, and its duties and obligations, expressed and implied,
contained herein, and CITY expressly relies upon CONTRACTOR'S representations and
warranties regarding its skills, qualifications and licenses. CONTRACTOR shall perform such
Services and duties in conformance to and consistent with the standards generally recognized as
being employed by professionals in the same discipline in the State of California.
Any plans, designs, specifications, estimates, calculations, reports and other documents furnished
under this Agreement shall be of a quality acceptable to CITY. The minimum criteria for
acceptance shall be a product of neat appearance, well-organized, technically and grammatically
correct, checked, and having the maker and checker identified. The minimum standard of
appearance, organization and content of the drawings shall be that used by CITY for similar
purposes.
B. RESPONSIBILITY OF CONTRACTOR
CONTRACTOR shall be responsible for the professional quality, technical accuracy, and the
coordination of the Services furnished by it under this Agreement. CONTRACTOR shall not be
responsible for the accuracy of any project or technical information provided by the CITY. The
CITY'S review, acceptance or payment for any of the Services shall not be construed to operate
as a waiver of any rights under this Agreement or of any cause of action arising out of the
performance of this Agreement, and CONTRACTOR shall be and remain liable to CITY in
accordance with applicable law for all damages to CITY caused by CONTRACTOR'S negligent
performance of any of the services furnished under this Agreement.
C. RIGHT OF CITY TO INSPECT RECORDS OF CONTRACTOR
CITY, through its authorized employees, representatives or agents, shall have the right, at any
and all reasonable times, to audit the books and records (including, but not limited to, invoices,
vouchers, canceled checks, time cards, etc.) of CONTRACTOR for the purpose of verifying any
and all charges made by CONTRACTOR in connection with this Agreement. CONTRACTOR
shall maintain for a minimum period of three (3) years (from the date of final payment to
CONTRACTOR), or for any longer period required by law, sufficient books and records in
accordance with standard California accounting practices to establish the correctness of all
charges submitted to CITY by CONTRACTOR, all of which shall be made available to CITY at
the CITY's offices within five (5) business days after CITY's request.
lLAC\862009.1
102811-04706083
-1-
D. CONFIDENTIALITY OF MATERIAL
All ideas, memoranda, specifications, plans, manufacturing procedures, data (including, but not
limited to, computer data and source code), drawings, descriptions, documents, discussions or
other information developed or received by or for CONTRACTOR and all other written and oral
information developed or received by or for CONTRACTOR and all other written and oral
information submitted to CONTRACTOR in connection with the performance of this Agreement
shall be held confidential by CONTRACTOR and shall not, without the prior written consent of
CITY, be used for any purposes other than the performance of the Services, nor be disclosed to
an entity not connected with the performance of such Services. Nothing furnished to
CONTRACTOR which is otherwise known to CONTRACTOR or is or becomes generally
known to the related industry (other than that which becomes generally known as the result of
CONTRACTOR'S disclosure thereof) shall be deemed confidential. CONTRACTOR shall not
use CITY'S name or insignia, or distribute publicity pertaining to the services rendered under
this Agreement in any magazine, trade paper, newspaper or other medium without the express
written consent of CITY.
E. NO PLEDGING OF CITY'S CREDIT.
Under no circumstances shall CONTRACTOR have the authority or power to pledge the credit
of CITY or incur any obligation in the name of CITY.
F. OWNERSHIP OF MATERIAL
All material including, but not limited to, computer information, data and source code, sketches,
tracings, drawings, plans, diagrams, quantities, estimates, specifications, proposals, tests, maps,
calculations, photographs, reports and other material developed, collected, prepared (or caused to
be prepared) under this Agreement shall be the property of CITY, but CONTRACTOR may
retain and use copies thereof subject to Section D of this Exhibit "B".
CITY shall not be limited in any way in its use of said material at any time for any work,
whether or not associated with the City project for which the Services are performed. However,
CONTRACTOR shall not be responsible for, and City shall indemnify CONTRACTOR from,
damages resulting from the use of said material for work other than PROJECT, including, but
not limited to, the release of this material to third parties for work other than on PROJECT.
G. NOTlCES_
Notices are to be sent as follows:
CITY:
City of Gilroy
7351 Rosanna Street
Gilroy, CA 95020
CONTRACTOR:
Physio-Control, Inc
11811 Willows Rd NE
Redmond, W A 98052
ILAC\862009.1
102811-04706083
-2-
H. FEDERAL FUNDING REQUIREMENTS.
D If the box to the left of this sentence is checked, this Agreement involves federal
funding and the requirements of this Section H. apply.
IZI If the box to the left of this sentence is checked, this Agreement does not involve
federal funding arid the requirements of this Section H. do not apply.
1. DBE Program
CONTRACTOR shall comply with the requirements of Title 49, Part 26, Code of Federal
Regulations (49 CFR 26) and the City-adopted Disadvantaged Business Enterprise programs.
2. Cost Principles
Federal Acquisition Regulations in Title 48, CFR 31, shall be used to determine the allowable
cost for individual items.
3. Covenant against Contingent Fees
The CONTRACTOR warrants that he/she has not employed or retained any company or person,
other than a bona fide employee working for the CONTRACTOR, to solicit or secure this
Agreement, and that he/she has not paid or agreed to pay any company or person, other than a
bona fide employee, any fee, commission, percentage, brokerage fee, gift or any other
consideration, contingent upon or resulting from the award or formation of this Agreement. For
breach or violation of this warranty, the Local Agency shall have the right to annul this
Agreement without liability or, at its discretion, to deduct from the agreement price or
consideration, or otherwise recover, the full amount of such fee, commission, percentage,
brokerage fee, gift or contingent fee.
\LAC\862009.1
102811-04706083
-3-
~
ACORD$ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
~ 08/17/2011
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER ~~~~~CT
Marsh USA Inc. rA~9N,.t "_,,. I FAX
333 South 7th Street, Suite 1600 ii-/c No':
Minneapolis, MN 55402-2400 E-MAIL
ADDRESS:
INSURER/S1 AFFORDING COVERAGE NAIC#
43840 -MEDTR-GA WAI-11-12 AI INSURER A : ACE American Insurance Company 22667
INSURED INSURER B :
MEDTRONIC, INC. AND ALL ITS SUBSIDIARIES
710 MEDTRONIC PARKWAY INSURER C :
MS LC310 INSURER 0 :
MINNEAPOLIS, MN 55432
INSURER E :
INSURER F :
COVERAGES
CERTIFICATE NUMBER:
CHI-004223132-01
REVISION NUMBER: 2
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ~~~~ ~~~ POLICY NUMBER 1,~~J1l%~1 I (~g~6%~1 LIMITS
LTR
A GENERAL LIABILITY SPLG 24561288001 05/01/2010 05/01/2012 EACH OCCURRENCE $ 15,000,000
- ~~~~;SES (Ea occurrence\
X ~MMERCIAL GENERAL LIABILITY $ 1,000,000
- X CLAIMS-MADE 0 OCCUR
MED EXP (Anyone person) $ 10,000
-
PERSONAL & ADV INJURY $ 1,000,000
-
GENERAL AGGREGATE $ 15,000,000
~'L AGG~nE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ 15,000,000
X POLICY ~~'R,: LOC $
A AUTOMOBILE LIABILITY ISA H08634671 05/01/2011 05/01/2012 fE~~~~~~~ti)lNGLE LIMIT $ 1,000,000
f--
X ANY AUTO BODILY INJURY (Per person) $
f-- ALL OWNED - SCHEDULED
BODILY INJURY (Per accident) $
I-- AUTOS - AUTOS
NON-OWNED rp~~~;c~~~t?AMAGE $
I-- HIRED AUTOS I-- AUTOS
$
UMBRELLA LIAB H OCCUR EACH OCCURRENCE $
f--
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED I I RETENTION $ $
A WORKERS COMPENSATION WLR C46478307 (AOS) 05/01/2011 05/01/2012 X WC STATU- I IOJ,t'-
AND EMPLOYERS' LIABILITY Y/N WLR C46478277 (MO, NC, NE & OK) 05/01/2011 05/01/2012 1,000,000
A ANY PROPRIETOR/PARTNER/EXECUTIVE 0 E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A SCF C46478289 (NJ) 05/01/2011 05/01/2012
A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
A ~~~~~rti;~~ 'b70PERATIONS below SCF C46478290 (WI) 05/01/2011 05/01/2012 E.L. DISEASE - POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Additional Insured status applies only if it is reflected in your written contract. Medtronic includes but is not limited to the following entities: Physio-Control, Inc., Medtronic Sofamor Danek, Inc., Medtronic Spine, LLC
(including Osteotech, Inc.), Minimed Distribution Corporation and Medtronic A TS Medical, Inc. City of Gilroy, its officers and employees are included as additional insured under general liability as required by written
ontract.
CERTIFICATE HOLDER
CANCELLATION
City of Gilroy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Attn: Leeann McPhillips THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
7370 Rosanna St ACCORDANCE WITH THE POLICY PROVISIONS.
Gilroy, CA 95020
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
I Manashi Mukherjee ~'\AQC""" ~
ACORD 25 (2010/05)
@1988-2010ACORD CORPORATION. All rights reserved,
The ACORD name and logo are registered marks of ACORD
m.
e
ace usa
INTERNATIONAL ADVANTAGE COMMERCIAL INSURANCE POLICY
Company Name: ACE American Insurance Company
GENERAL DECLARATIONS
NAMED INSURED AND MAILING ADDRESS:
Medtronlc, Inc.
710 Medtronlc Parkway
Minneapolis, MN 55432-5604
POLICY NUMBER: SPLG24561288 001
RENEWED OR IN PLACE OF: CSZ0312406
PRODUCER NUMBER/OFFICE: IT7778 5DM
NAMED INSURED IS: A Corporation
- OTHER INTEREST: None
POLICY PERIOD;
when coverage begins: May 1, 2010
when coverage ends: May 1, 2012
DECLARATIONS EFFECTIVE May 1,2010
PREMIUM AUDIT DOES NOT APPLY.
CURRENCY: UNITED STATES DOLLARS
I Premium:
These Declarations apply for the Policy Period shown above from the Declarations Effective date. Together
with the policy sections for Coverages, Common Policy Conditions and Endorsements, these Declarations
complete your policy. For renewal Policy Periods, all Endorsements for the expiring Policy Period are
continued in full force and effect unless specifically deleted.
Due When Coverage Begins
If the General Declarations Indicate that the insurance is subject to audit or a reporting option, the premium
stated is an estimate and subject to adjustment.
Name and Mailing Address of Producer:
e
Marsh USA, Inc.
333 South ih Street, Suite 1600
Minneapolis, MN 55402-2427
IT1X80 version date: 08-2008
Page 1 of 1
EM: 5.28.2010
.
MEDTRONIC, INC.
SUMMARY OF INSURANCE
'< '-'. ......,_............_.....,....:0.................._.....,........_ - ...............-~. ,...... .~..v~.., -.r.."......._,,~_._.._"'..,,~..._......~...A..._..,_~._.........._.. '.,.,.. ..~'........ ~ '... ..~~._.,."....&....,._'...~....,.._..__........, ...._.. , .. . ..._. ....... ",w.., . J. _............~, _.~_"",_ ,', .,........ _
GLOBAL LIABILITY INSURANCE POLlCY- CLAIMS MADE FORM
....".. ..,' ~"""'.-"'~"""'~' ..,..,~.............-.~.....".,. ....-............. ....-..,.....,............. ,.. "-", ,......_~,........ ,. --, ".,
___~-;:.,,~;c.~.... .::.:.~;~..:::.:~F~.'.. ~ ,~. \~..:-_.'
Carrier:
Broker:
:", . -." ,,~~' -' ':'.'~':.:-r~. -. ;~;_ . :;" ~t.< ::~
Policy Number:
Policy Term:
l - .' ~ -, :-,
Limits of LIability:
e
t
Page 1 of 3
MARSH
"4 ......._ ".,....,,~~.;,..,.:_.._.. '........._...."'_.~..'~. _. .....,_........ ,........,... ...#. ..,....'_ ....._.....,......
'. :..::..:~.(~'::,{);.. :,: ,~., .;.~~.:...:. ".". ~
/':..:~~. ,:',"
,...;:'....
ACE American Insurance Company
Marsh USA Inc.
.,' .';'. ,.:~.;,J..;}~~>-,~: ;::~...:..\/,:::/..:>..,\. ":~~"."'}"""
: .-:.-';,:' ,-.'.:', ~ .';, ~'.~'
':_'-1:'.;';" :.:: ""
SPLG 24561288 001
May 1,2010 to
May 1, 2012
;.,
.. .-
Commercial General Liability:
Each Occurrence
Damage to Premises Rented to You
Medical Expense-Anyone person
Personal & Advertising Injury Liability
General Aggregate
Products/Completed Operations Aggregate
Employed lawyers Professional Liability
Each claim
Annual aggregate
Professional Health Care Liability Coverage
Each claim
Annual Aggregate
Human Clinical Trials Liability
Each Clinical Study Incident
Aggregate
Employee Benefits liability:
- Each Claim
- Aggregate Limit
(Stop Gap) Employers liability Coverage-MN
- Each Accident
- Policy Limit
- Each Employee
$15,000,000
$1,000,000
$10,000
$1,000,000
$15,000,000
$15,000,000
$1,000,000
$2,000,000
$2,000,000
$15,000,000
$15,000,000
$15,000,000
$1,000,000
$15,000,000
$1,000,000
$1,000,000
$1,000,000
This documenl is only a synopsis of coverage alld inrended for IIse as a reference. The acfl/lIl policy con rains exclusions and/or !imjralion.f nol
slImrnar;zed herein. The aClual policy should be cOll.wlredforfll1l coverage 1e11'IS Wid conditions, including allY efldo/'semellls that may be issued
(!Iier the policy inception.
--
MEDTRONIC, INC.
SUMMARY OF INSURANCE
Defense Costs:
Limits of Insurance-Policy Aggregate
Capping of Limits Aggregate
$25,000,000
$25,000,000
Are paid in addition to the limits
Deductible/Self
Insured Retention:
Coverage Trigger: Claims-made; Retro Date
~. :.: ~:~. {;'~.:': :~~:.:(:~~~. '.:: !,;..~:,,,;:_,,\ ",:,":" :~ ,'~';;'; :'~.~., ./ '"'; ..~j__"':'_' <',;:;;:::':y!~_:, '.:,;~' .:.~:'::~~:~:.::~.": ~'.,\i~'_~.;.':';r;~i.-";;1:";"':-:~;",,, .~;~~ ..:',~.: ,~~ ~i..:l:>.: .:.: <.-','-_y,:~'\' ::",.; ;~~:~;;'_i.;;\::~}:;.:'._... ,;-. ;
$15,000,000
f-::.; <. '-:~" '<:"'/../. :~.. -.
Terms and
Conditions as Per
Coverage Form:
Notable
Endorsements (At
Policy Inception):
-
.
Page 2 of 3
MARSH
M<;1.y 1, 2004
."_",. ". '.:: . ....-.;...~, 1;
Each Occurrence
with exceptions noted below
. . ;~, ',' .'.
: : :~' :-.
CG 00 02 12 07
,,~ - . . ".'
. Broad Named Insured
· Foreign Entity Loss-Indemnity Endorsement
. Coverage Territory-Worldwide
· Human Clinical Trials Liability Coverage Endorsement- "Claims Made"
. Employed Lawyers Liability Coverage
· Professional Health Care Liability Coverage
. Employers liability
· Deductible Endorsement with No Deductible Aggregate and ALAE in
Addition
· Endorsement-Scheduled Deductible-EL Canada-$2,OOO,OOO
· Endorsement-:-Scheduled Deductible-EL Ireland-13,OOO,OOO Euro
· Endorsement-Scheduled Deductible-Mexico Tourist Auto-$100.000
. Employee Benefits Liability-$1.000,OOO Deductible
. Limits of Insurance-Policy Aggregate Limit
. Capping of Limits Endorsement
· Non-Contributory Endorsement for Additional Insureds
· Employee Benefits Liability-$1,000,000 Deductible
· Additional Insured-Designated Person or Organization
· Additional Insured-Managers or Lessors or Premises
· Additional Insured-Owners, Lessees or Contractors-Scheduled Person
or Organization
TilLs document i.r only II .IY'IO[!si.r of covert/ge and Intendedfo/' use /I.r a reference. 1he actual policy contains exclusionf and/or limitations IlOt
.fUJlI/llllrized hereill. 111e actual policy should be cO/l.rulledforjiill coverage terms wrd conditiolls. inL'/uding allY endor.rement.lthm may be is.wed
after the policy inception.
.
· Trade or Economic Sanctions Endorsement
· Disclosure Pursuant to Terrorism Risk Insurance Act
· Exception to Terrorism Exclusion for Certified Acts of Terrorism-Cap on
Losses From Certified Acts of Terrorism
· Premium Allocation and Collection Endorsement
· Recovery Calculation Endorsement
,;,::x,:.:.:-:.:{~.
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;,.:-:! fl....'...
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..... ... ,.
'.: ;\' 5:;:~~:~'- -": '.~~,:-';":
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. :./{,.',>-~.; --~- i_~'
Policy Premium:
Page 3 of 3
MARSH
This rUJCumellf~! only a synopsis of coverage and intended for use a.r a reference. n,e actual policy contains exclusion.! IlIIdlor limitations nol
sumlllorized hereirl. The actual policy should be con.wlted for/1I1I coverage terms and condi/ioll.v. including any endOl:wnems that mny be Issued
after the policy inception.
e
INTRODUCTION
This is your commercial insurance policy. It offers a wide range of protection designed to meet
today's complex insurance needs. Various provisions in this policy restrict coverage. Read the
entire policy carefully to determine rights, duties and what is and is not covered.
How to Read This Policy
This policy is keyed to the coverages shown in the Declarations. You have only those coveraaes for
which a limit or other specification is shown in the Declarations.
This policy may provide several different kinds of coverage. The forms included explain the
coverages shown in the Declarations, and include certain extensions of coverage that may apply.
Whenever a loss occurs or a claim Is to be presented, there are certain things you must do to help
us settle the claim. These are described in the CONDITIONS sections of your policy.
Finally, read the COMMON POLICY CONDITIONS. This section gives you information on when
and where the policy will be in effect, the payment of premiums, changes in the policy and
cancellation.. The COMMON POLICY CONDITIONS also contains other important information
about the policy.
You, Your, We, Us, and Our
Throughout the policy the terms "you" and "your" mean the person, people, or organization shown
as the Named Insured in the Declarations. "We," "us," and "our" mean the insurance company
issuing this policy. Besides you, there may be other people "insured" under certain parts of the
policy.
e
Insured
The word "insured" means any person or organization qualifying as such under the WHO IS AN
INSURED sections of the coverage form in which they appear.
Word in Quotation Marks
Words and phrases that appear in quotation marks have the special meaning given to them in the
Section ~ DEFINITIONS of the coverage form in which they appear.
By signing and delivering the policy to you, we state that it is a valid contract when counter-signed
by our authorized representative.
ACE AMERICAN INSURANCE COMPANY
.
~, D. MOlllGAN. 'w.",
~l
4A.-
IT1221 version date: 02-2005
Page 2 of 2
POLICY NUMBER: SPL G24561288 001 Endt. 48
COMMERCIAL GENERAL LIABILITY
CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFUU. Y.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
City of Gilroy
7370 Rosanna Street
Gilroy, CA 95020
Attention: Leeann McPhillips
Location s Of Covered 0 erations
As per contract
Information re uired to com lete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II - Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s) desig-
nated above.
CG 20 10 07 04
@ ISO Properties, Inc., 2004
B. With respect to the insurance afforded to these
additional insureds, the following additional exclu-
sions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
1. All work, including materials, parts or equip-
ment furnished in connection with such work
on the project (other than service, maintenanc~
or repairs) to be performed by or on behalf of
the additional insured(s) at the location of the
covered operations has been completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its in-
tended use by any person or organization other
than another contractor or subcontractor en-
gaged in performing operations for a principal
as a part of the same project.
EM: 9.22.2011
Page 1 of 1
D
NON-CONTRIBUTORY ENDORSEMENT FOR ADDITIONAL INSUREDS
Named Insured Endorsement Number
Medtronic, Inc. 49
Policy Symbol I Policy Number I Policy Period Effective Date of Endorsement
SPL G24561288 001 May 1,2010 to May 1,2012 August 18, 2010
Issued By (Name of Insurance Company)
ACE American Insurance Company
Insert the policy number. The remainder of the information Is to be completed only when this endorsement Is issued subsequent to the preparation of the policy.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Schedule
OrQanization
City of Gilroy
7370 Rosanna Street
Gilroy, CA 95020
Attention: Leeann McPhillips
Additional Insured Endorsement
Additional Insured - Owners, Lessees
Or Contractors - Scheduled Person or
Organization
For organizations that are listed in the Schedule above that are also an Additional Insured under an endorsement
attached to this policy, the following is added to Section IVA.a:
If other insurance is available to an insured we cover under any of the endorsements listed or described
above (the "Additional Insured") for a loss we cover under this policy, this insurance will apply to such loss
on a primary basis and we will not seek contribution from the other insurance available to the Additional
Insured.
LD-20287 (06/06)
EM: 9.22.2011
Page 1 of 1