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MIAMI FIRE -RESCUE
AED / PAD PROGRAM
SERVICE AGREEMENT
FOR
FOR -PROFIT CORPORATIONS
(Print Complete Name of Organization)
This is a Service Agreement (hereinafter referred to as "Agreement") for the Automated
External Defibrillator ("AED")!Public Access Defibrillation ("PAD") Program
(hereinafter the "AED/PAD Program") between City of Miami, 3500 Pan American
Drive, Miami, Florida 33133 (hereinafter referred to as the "City"), on behalf of its Fire -
Rescue Department's Team for Life (hereinafter referred to as "MFR") and
, a Florida for -profit corporation
(hereinafter referred to as "Customer"), whose principal local business address is
and for the site location(s) of
for the period beginning ,200_ and ending on
200 .
RECITALS
WHEREAS, this Agreement provides for the terms and conditions of program
management for ( ) total AED units) at Customer's site location(s) as set forth
in Attachment A hereto and made a part hereof designating ( ) site location(s)
and Li AED units per location as set forth in Attachment A hereto and made a
part hereof; and
WHEREAS, pursuant to City of Miami Resolution Number R-04-0619, adopted by the
Miami City Commission on September 23, 2004 as set forth in Exhibit C hereto and
made a part hereof, the purpose and objective of this Agreement is to offer Customer the
experience and expertise of MFR staff to provide AED/PAD Program Management
Services and Incident Response Services as outlined below (collectively hereinafter
referred to as the "Services").
NOW, THEREFORE, in consideration of the mutual covenants and promises herein
contained, Provider and the City agree as follows:
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TERMS:
1. RECITALS AND INCORPORATIONS: The recitals are true and correct and
are hereby incorporated into and made a part of this Agreement. All exhibits and
attachments to this Agreement are true and correct and are hereby incorporated into and
made a part of this Agreement.
2. AED/PAD PROGRAM MANAGEMENT SERVICES AND
RESPONSIBILITIES.
A. MFR Services:
1. MFR shall provide Physician Medical Oversight via MFR's
Medical Director.
2. MFR shall answer general Customer questions concerning AED
related matters via telephone, e-mail, fax, etc., during normal
business hours.
3. MFR shall review and file Customer's Quarterly AED Inspection
forms.
4. MFR shall keep records of Customer's AED serial number, model
type, location, contact persons, battery and defibrillation PAD
expiration dates as provided by Customer.
5. MFR shall keep records of Customer's dates of CPR/AED
training(s), individuals trained, and dates of expiration as provided
by Customer.
6. MFR shall notify Customer in writing of expiration dates by
providing at least ( )days prior written
notice to Customer at Customer's notice address set forth in
Section 8. "Notices" below.
B. Customer Responsibilities:
1. Customer shall provide to MFR on Exhibit A hereto Customer's
AED serial number, model type, location, contact persons, batter
and defibrillation PAD expiration dates. Customer will provide
MFR any changes to the information on Exhibit A, as soon as
practicable..
2. Customer shall coordinate with MFR the date(s), time(s),
location(s), and number of individuals trained.
3. Customer shall be responsible for securing new pads, batteries and
Re -Certification training.
4. Customer shall submit Quarterly AED Inspection forms to MFR of
each AED under this Agreement, as per the instructions on the
Quarterly AED Inspection form.
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1. C. The Services will be provided over a 2-year period at a rate of Two
Hundred and Fifty Dollars and No Cents ($250.00) for the first AED, and at a
rate of Fifty Dollars and No Cents ($50.00) for each additional AED.
3.. OPTIONAL TWO-YEAR RENEWAL — MFR shall have one option to extend
the term hereof for a renewal period of two (2) years, after the completion of the initial
2-year period. The Customer's renewal rates for the term of the renewal period shall be
One Hundred and Fifty Dollars and No Cents ($150.00) for the first AED, and Fifty
Dollars and No Cents ($50.00) for each additional AED.
4. ADDITIONAL INCIDENT RESPONSE SERVICES .
At the option of the Customer, Customer may purchase additional Incident Response
Services as described in Exhibit D. The additional Incident Response Services will be
provided by MFR over a 2-year period at an additional rate of Fifty -Five Dollars and No
Cents ($55.00) per hour.
5. SUPPLIES:
A. For Customers that utilize AED's other than the Cardiac Science, Inc. manufactured
AED units, it is required that the Customer owning these units purchase and have on hand
a back stock of supplies (defibrillator pads, spare battery etc.) and needed equipment (i.e.
downloading software) as per the manufacturers' recommendation.
B. Customer shall be responsible for purchasing supplies and equipment that will be
required for the duration of the oversight period. Supply and equipment items will
include replacement defibrillator pads, batteries, etc.
C. Customer shall be solely responsible for:
1. following the manufacturer's recommendations, operational
guidelines, and other requirements for all AED/PAD supplies and
equipment,
2. for any testing, servicing, repair, replacement, recharge, or inspection
performed by others at the request of Customer and not performed by
MFR or Cardiac Science, Inc. for Cardiac Science equipment as part
of this Agreement, and
3. for the safety, security, maintenance and storage of supplies and
equipment at Customer's site(s).
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6. SCHEDULES AND TIME LINES:
A. All schedules and time lines related to the AED/PAD Program Management Services
and the optional Incident Response Service are to be established between MFR PAD
Program Personnel and ,
the Customer's agent, who can be contacted at
phone: ,
fax:
email: .
B. The above named person will be known as the AED/PAD Program Liaison who shall
be authorized and empowered by Customer to manage the AED/PAD Program site and
serve as the contact person between Customer and MFR. The responsibilities of the
AED/PAD Program Liaison will include oversight of maintenance checks, scheduling
recertification, attainment of refresher courses and provide all necessary correspondence
between Customer and MFR AED/PAD Program Coordinator, including but not limited
to the information required from Customer by MFR in Exhibit A and Composite Exhibit
B attached hereto.
7. DISPUTE RESOLUTION PROCESS:
A. Initial disputes, if any, will be discussed and resolved by and between the
AED/PAD Program Liaison and the MFR AED/PAD Program Coordinator.
B. If resolution is not achieved, then the second- and third -level supervisors of
Customer and MFR shall seek a resolution.
C. If a disagreement cannot be resolved or settled, then this Agreement will be
terminated upon a ten (10) day written notice submitted to the MFR AED/PAD
Coordinator's office and the Customer's address listed below. Once notice has been
received, the appropriate period will be prorated to the life of the Agreement and
payment must be rendered by Customer within forty-five (45) days from invoice by
MFR.
D. Please note that upon signing this Agreement, the Customer will only be invoiced for
"services agreed upon and rendered" of AED/PAD Program Management Services and/or
the Incident Response Services.
S. NOTICES:
All notices or other communications required under this Agreement shall be in writing
and shall be given by hand -delivery or by registered or certified U.S. Mail, return receipt
requested, addressed to the other party at the address indicated herein or to such other
address as a party may designate by notice given as herein provided. Notice shall be
deemed given on the day on which personally delivered; or, if by mail, on the fifth day
after being posted or the date of actual receipt, whichever is earlier.
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TO CUSTOMER:
Attn:
With Copies to:
William W. Bryson, Fire Chief
City of Miami, Fire -Rescue Department
Fire -Garage, 3 Office Cubicle: 360
1151 N.W. 7th Street
Miami, Florida 33136-3604
Jorge L. Fernandez
City Attorney
Office of the City Attorney
444 SW 2nd Avenue, 9th Fl.
Miami, FI 33130
305 416-1800
TO THE CITY:
Pedro G. Hernandez, City Manager
City Manager's Office
444 SW 2nd Avenue, 10th Floor
Miami, Florida 33130
Phone: 305 416-1025
Ricardo Mayan, AED/PAD Coordinator
City of Miami, Fire -Rescue Department
Fire -College, 5 Office Cubicle
3425 Jefferson Street
Miami, Florida 33133-5600
Phone: 305-569-3625
LeeAnn Brehm
Risk Management Director
444 SW ra Avenue, 9th Floor
Miami, Florida 33130
305 416-1700
9. TERM AND PRICING FOR SERVICES TO CUSTOMER:
The costs associated with this Agreement are described in Exhibit E.
10. INVOICING:
The City of Miami will invoice
for services rendered. It shall be the Customer's responsibility to reimburse the City of
Miami for all Services provided by MRF and the Medical Director rendered as outlined
in this Agreement within forty-five (45) days from the date the Services were provided.
All payment remittance will be sent to the address noted on the City of Miami Invoice
Statement.
11. INDEMNIFICATION:
Customer shall indemnify, defend, release, and hold harmless MFR, the Medical
Director, the City and its officials, employees and agents (collectively referred to as
"Indemnitees") and each of them from and against all loss, costs, penalties, fines,
damages, claims, expenses (including attorney's fees) or liabilities (collectively referred
to as "Liabilities") by reason of any injury to or death of any person or damage to or
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destruction or loss of any property arising out of, resulting from, or in connection with (i)
the performance or non-performance of any of the services contemplated by this
Agreement which is or is alleged to be directly or indirectly caused, in whole or in part,
by any act, omission, default or negligence (whether active or passive) of Customer or its
employees, agents or subcontractors (collectively referred to as "Customer"), regardless
of whether it is, or is alleged to be, caused in whole or part (whether joint, concurrent or
contributing) by any act, omission, default or negligence (whether active or passive) of
the Indemnitees, or any of them or (ii) the failure of Customer to comply with any of the
paragraphs herein or the failure of Customer to conform to statutes, ordinances, or other
regulations or requirements of any governmental authority, federal or state, in connection
with the performance of this Agreement. Customer expressly agrees to indemnify,
defend, release, and hold harmless the Indemnitees, or any of them, from and against all
liabilities which may be asserted by an employee or former employee of Customer, or
any of its subcontractors, as provided above, for which the Customer's liability to such
employee or former employee would otherwise be limited to payments under state
Workers' Compensation or similar laws.
Customer further agrees to indemnify, defend, release, and hold harmless the Indemnitees
from and against (i) any and all Liabilities imposed on account of the violation of any
law, ordinance, order, rule, regulation, condition, or requirement, related directly or
indirectly to Customer's performance under this Agreement, compliance with which is
left by this Agreement to Customer, and (ii) any and all claims, and/or suits for labor and
materials furnished by Customer or utilized in the performance of this Agreement or
otherwise.
Customer further specifically agrees to indemnify, defend, release, and hold harmless the
Indemnitees from all claims and suits for any liability, including, but not limited to,
injury, death, or damage to any person or property whatsoever, caused by, arising from,
incident to, connected with, or growing out of the performance or non-performance of
this Agreement which is, or is alleged to be, caused in part (whether joint, concurrent, or
contributing) or in whole by any act, omission, default, or negligence (whether active or
passive) or the Indemnities. The foregoing indemnity shall also include liability imposed
by any doctrine of strict liability.
Customer shall hold harmless, defend, release, and indemnify the City for any errors in
the provision of services and for any fines which may result from the fault of Customer,
its employees, agents, or subcontractors.
Customer's obligations to indemnify, defend, release, and hold harmless the Indemnitees
shall survive the termination of this Agreement.
Customer understands and agrees that any and all liabilities regarding the use of any
subcontractor for Services related to this Agreement shall be borne solely by Customer
throughout the duration of this Agreement and that this provision shall survive the
termination of this Agreement.
06-2397 AED For -Profit Corporation Agreement
12. RISK OF LOSS:
The CITY, MFR, and the Medical Director assume no responsibility whatsoever for any
person or property that enters the Customer's site(s) as a result of, or in connection with,
the AED/PAD Program. In consideration of the execution of this Agreement by the City,
the Customer releases and waives all claims against the City, MFR, and the Medical
Director from any and all liability for any loss, injury, death, theft, damage or destruction
to any persons or property which may occur in or about the Customer's site(s) regardless
of the cause, including such circumstances where it could be alleged that the City, MFR,
the Medical Director, or their respective employees, agents or contractors were
negligent.
13. INSURANCE:
1. Customer shall, at all times during the term hereof, maintain such insurance
coverage(s) as may be required by Customer for its site(s) and all persons entering
thereon, and all equipment stored thereon, including the AEDs.
2. Customer understand and agrees that none of the City, MFR, or the Medical
Director shall be responsible in any manner whatsoever for Customer's insurance
coverage(s) and the premiums and other expenses therefor.
3. Customer understands and agrees that any and all liabilities regarding the use of
any of Customer's employees, invitees, guests, or any of Customer's subcontractors, if
any, for services related to this Agreement shall be borne solely by Customer throughout
the term of this Agreement and that this provision shall survive the termination of this
Agreement. Customer further understands and agrees that insurance for each employee of
Customer and each subcontractor, if any, providing services related to this Agreement
shall be maintained in good standing as the sole responsibility of Customer.
4. Customer shall be responsible for assuring that the insurance coverages remain in
full force and effect for the duration of this Agreement, including any extensions hereof
5. Compliance with the foregoing insurance requirements shall not relieve Customer
of its liabilities and obligations under this Agreement.
14. NONDISCRIMINATION:
Customer represents to the City that Customer does not and will not engage in
discriminatory practices and that there shall be no discrimination in connection with
Customer's performance under this Agreement on account of race, color, sex, religion,
age, disability, sexual orientation, marital status or national origin. Customer further
covenants that no otherwise qualified individual shall, solely by reason of his/her race,
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color, sex, religion, age, disability, sexual orientation, marital status or national origin, be
excluded from participation in, be denied services, or be subject to discrimination under
any provision of this Agreement.
15. DEFAULT:
If Customer fails to comply with any term or condition of this Agreement, or fails to
perform any of its obligations hereunder, then Customer shall be in default. Upon the
occurrence of a default hereunder the City, through its City Manager on behalf of MFR,
in addition to all remedies available to it by law, may immediately, upon written notice to
Customer, terminate this Agreement whereupon all payments, advances, or other
compensation owed by the Customer to the City on behalf of MFR shall be immediately
be payable to the City on behalf of MFR. Customer understands and agrees that
termination of this Agreement under this section shall not release Customer from any
obligation accruing prior to the effective date of termination.
16. LIMITATION OF LIABILITY;
Customer understands and agrees (a) that the City is a Florida municipal corporation, that
MFR is a Department of the City, and that the Medical Director is a consultant to MFR
for the City, and (b) that the liability of Indemnitees under this Agreement and any
renewals hereof is hereby limited and subject to the sovereign immunity provisions of
Florida Statutes Section 768.28.
17. PUBLIC RECORDS:
Customer understands that the public shall have access, at all reasonable times, to all
documents and information pertaining to City contracts, subject to the provisions of
Chapter 119, Florida Statutes, and agrees to allow access by the City and the public to all
documents subject to disclosure under applicable law. Customer's failure or refusal to
comply with the provisions of this section shall result in the immediate cancellation of
this Agreement by the City.
18. CITY'S TERMINATION RIGHTS:
The City, through its City Manager on behalf of MFR, shall have the right to terminate
this Agreement, in its sole discretion, at any time, by giving written notice to Customer at
least five (5) business days prior to the effective date of such termination. In such event,
Customer shall pay the City on behalf of MFR compensation for any and all Services
rendered prior to the effective date of termination. The City, through its City Manager on
behalf of MFR, shall have the right to terminate this Agreement immediately, without
notice to Customer upon the occurrence of an event of default hereunder.
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19. CUSTOMER'S TERMINATION RIGHTS:
The Customer shall have the right to terminate this Agreement, at any time, by giving
written notice to City, through its City Manager, at least ten (10) business days prior to
the effective date of such termination. In such event, Customer shall pay the City on
behalf of MFR compensation for any and all Services rendered prior to the effective date
of termination.
20. FORCE MAJEURE.
A "Force Majeure Event" shall mean an act of God, act of governmental body or
military authority, fire, explosion, power failure, flood, storm, hurricane, sink hole, other
natural disasters, epidemic, riot or civil disturbance, war or terrorism, sabotage,
insurrection, blockade, or embargo. In the event that either party is delayed in the
performance of any act or obligation pursuant to or required by the Agreement by
reason of a Force Majeure Event, the time for required completion of such act or
obligation shall be extended by the number of days equal to the total number of days,
if any, that such party is actually delayed by such Force Majeure Event. The party
seeking delay in performance shall give notice to the other party specifying the
anticipated duration of the delay, and if such delay shall extend beyond the duration
specified in such notice, additional notice shall be repeated no less than monthly so
long as such delay due to a Force Majeure Event continues. Any party seeking delay
in performance due to a Force Majeure Event shall use its best efforts to rectify any
condition causing such delay and shall cooperate with the other party to overcome any
delay that has resulted.
21. CITY, MEDICAL DIRECTOR, AND MFR NOT LIABLE FOR
DELAYS:
Customer hereby understands and agrees that in no event shall the City, Medical
Director, or MFR be liable for, or responsible to Customer, its employees, or any
subcontractor, or to any other person, firm, or entity for or on account of, any
stoppages or delay(s) in services herein provided for, or any damages whatsoever
related thereto, because of any injunction or other legal or equitable proceedings or on
account of any delay(s) for any cause over which any of the City, Medical Director, or
MFR has no control.
22. ASSIGNMENT:
This Agreement shall not be assigned by Customer, in whole or in part, without the prior
written consent of the City, through its City Manager on behalf of MFR, which may be
withheld or conditioned, in the City's sole discretion. The City may assign this
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Agreement, at any time, by giving written notice to Customer at least ten (10) business
days prior to the effective date of such assignment.
23. MISCELLANEOUS PROVISIONS:
A. Customer represents and warrants to MFR and the City that it has not employed or
retained any person or company employed by the City to solicit or secure this Agreement
and that it has not offered to pay, paid, or agreed to pay any person any fee, commission,
percentage, brokerage fee, or gift of any kind contingent upon or in connection with the
attainment of this Agreement.
B. Customer understands that agreements between private entities and local governments
are subject to certain laws and regulations, including laws pertaining to public records,
conflict of interest, record keeping, etc. Customer agrees to comply with and observe all
applicable laws, codes and ordinances as they may be amended from time to time.
C. This Agreement shall be construed and enforced according to the laws of the State of
Florida. Venue in any proceedings between the parties shall be in Miami -Dade County,
Florida. Each party shall bear its own attorney's fees. Each party waives any defense,
whether asserted by motion or pleading, that the aforementioned courts are an improper
or inconvenient venue. Moreover, the parties consent to the personal jurisdiction of the
aforementioned courts and irrevocably waive any objections to said jurisdiction. The
parties irrevocably waive any rights to a jury trial.
D. No waiver or breach of any provision of this Agreement shall constitute a waiver of
any subsequent breach of the same or any other provision hereof, and no waiver shall be
effective unless made in writing.
E. Should any provision, paragraph, sentence, word or phrase contained in this
Agreement be determined by a court of competent jurisdiction to be invalid, illegal or
otherwise unenforceable under the laws of the State of Florida or the City of Miami, such
provision, paragraph, sentence, word or phrase shall be deemed modified to the extent
necessary in order to conform with such laws, or if not modifiable, then same shall be
deemed severable, and in either event, the remaining terms and provisions of this
Agreement shall remain unmodified and in full force and effect or limitation of its use.
F. This Agreement constitutes the sole and entire agreement between the parties hereto.
No modification or amendment hereto shall be valid unless in writing and executed by
properly authorized representatives of the parties hereto. The City's authorized
representative is the City Manager. Customer's authorized representative is
G. This Agreement and any attachments constitute the sole and only agreement of the
parties relating to the subject matter hereof and correctly set forth the rights, duties, and
obligations of each to the other as of its date. Any prior agreements, promises,
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negotiations, or representations not expressly set forth in this Agreement are of no force
or effect.
24. COUNTERPARTS:
This Agreement may be executed in three (3) or more counterparts, each of which shall
constitute an original but all of which, when taken together, shall constitute one and the
same agreement.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed by their respective officials thereunto duly authorized, effective as of the day
and year below written.
DATED this day of , 200.
"Customer"
ATTEST:
Sign By:
a
Print Name: Print Name:
ATTEST:
Priscilla A. Thompson, City Clerk
APPROVED AS TO FORM AND
CORRECTNESS:
Jorge L. Fernandez, City Manager
Title:
corporation
CITY OF MIAMI, a municipal
corporation
By:
Pedro G. Hernandez, City Manager
APPROVED AS TO INSURANCE
REQUIREMENTS:
LeeAnn Brehm, Director, Risk Management
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Street Location Address:
EXHIBIT A
Customer's Site Locations
Page 1 of Pages
Estimated Annual Number of Persons who work, live at, or visit the location:
Site 1. Manufacturer of AED:
AED Serial Number:
AED Model Type and Color:
Location within Customer's Building/Site:
Location Contact Person(s):
Battery Expiration Date:
Defibrillation PAD Expiration Date:
Site 2. Manufacturer of AED:
AED Serial Number:
AED Model Type and Color:
Location within Customer's Building/Site:
Location Contact Person(s):
Battery Expiration Date:
Defibrillation PAD Expiration Date:
Site 3. Manufacturer of AED:
AED Serial Number:
AED Model Type and Color:
Location within Customer's Building/Site:
Location Contact Person(s):
Battery Expiration Date:
Defibrillation PAD Expiration Date:
Site 4. Manufacturer of AED:
AED Serial Number:
AED Model Type and Color:
Location within Customer's Building/Site:
Location Contact Person(s):
Battery Expiration Date:
Defibrillation PAD Expiration Date:
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COMPOSITE EXHIBIT B
Reporting Forms for Customer to report to Miami -Fire Rescue
CITY OF MIAMI FIRE-RESUCE
PAD Program - Quarterly Inspection Report
Perform first week of Jan/_AprrUJuly/Oct
This reporting system is to insure that all AEDs in our program are rescue ready and fully
equipped for use in the event of a sudden cardiac arrest.
Please complete and fax to 305-400-5164
Date:
Inspector:
Company:
Department:
Team Leader:
AED Location (address and room)
Serial Number:
Please perform inspection and completeform below by circling YES or NO.
Note: Ij NO is circled please explain why in comment section below and please contact
PAD Coordinator ASAP so that we can address any concerns.
1. Cabinet was inspected and is accessible: YES NO
2. AED sign (at or above cabinet) is visible: YES NO N.A.
3. Cabinet deployment alert was activated and siren and strobe were functional:
YES NO N.A
4. All visual alerts are in ready mode and showing no problems YES NO
5. AED unit shows as Rescue Ready and without any defects: YES NO
[example: on the Cardiac Science G3, visualize the rescue readiness indicator.
located on the handle. If indicator is Green you would select Yes, if Indicator is
Red you would select No]
6. Two electrode sets are present and in date (one is installed and attached to AED
unit and the spare set is sealed and stored with unit/case): YES NO
Expiration Dates (1) (2)
7. AED has been activated (without tearing open Pads) and audible alerts are active.
YES NO
8. Confirm Rescue Ready Kit or CPR Kit is attached to AED and tamper proof seal is
intact: YES NO N.A
9. If Applicable : Pads, Maintenance, and Battery indicators are all showing operational
and rescue ready YES NO N.A
10. Battery gauge shows % charged [example 2 bars equal 50%, etc.]
COMMENTS:
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EXHIBIT C
CITY's RESOLUTION
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EXHIBIT D
ADDITIONAL INCIDENT RESPONSE SERVICES
At the option of the Customer, Customer may purchase additional Incident Response
Services as described below. The additional Incident Response Services will be provided
by MFR over a 2-year period at an additional rate of Fifty -Five Dollars and No Cents
($55.00) per hour.
A. Incident Response Services activities and responsibilities include:
1. Once MFR is notified by the Customer (via PAD Office emergency contact
number), an MFR representative will arrive at scene within the time frame of
four (4) hours from formal point of notification, to perform the following
services:
a. Downloading of data from the deployed AED unit data card;
b. Ensure replacement of defibrillation pads. Additional pads are to be
kept on hand at Customer's location and purchased by Customer. If the
AED is a Cardiac Science G3 AED, MFR will provide replacement
pad at Customer's expense.
c. Ensure AED battery is operational. If the AED is a Cardiac Science
G3 AED, MFR will provide replacement battery at Customer's
expense.
d. Process and file required reports at the time of an incident for quality
assurance and management purposes.
e. The initial reporting form(s) are attached hereto as Composite Exhibit
B, but may change from time to time as required by law and policy
practices. MFR will coordinate with Customer to provide any updated
forms as necessary.
2. Once notified by the Customer, Critical Incident Stress Debriefing ("CISD")
can be arranged with MFeR within forty-eight (48) hours of the incident to
provide counseling services for the individuals involved.
CUSTOMER MUST CHECK ONE OF THE FOLLOWING OPTIONS:
Customer agrees to purchase the Additional Incident Response Services as
described above.
YES NO
CUSTOMER:
,a
ATTEST: Florida for -profit corporation
By:
Print Name:
Title:
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15
EXHIBIT E
TERM AND PRICING FOR SERVICES TO CUSTOMER
A. INITIAL TWO-YEAR TERM:
The costs of this Agreement shall be Dollars and No Cents
{$-- -_ __ - __ ) for -a period of two- (2)-years, -beginning on 200
The costs to be paid by Customer to the City of Miami will include the following:
Management of one (1) AED at $250.00
Management of (_) additional AEDs at $50.00 each
Additional Incident Response: Yes / No (Circle): If Yes, costs will be billed separately
on the basis of $55.00 per hour for services provided by MFR including services for the
Medical Director.
Please check one of the two choices below:
Costs to be paid by Customer
Costs to be paid _by -Other -
B. RENEWAL TWO-YEAR TERM: (TO BE COMPLETED IF RENEWED)
The costs of this Agreement shall be Dollars and No Cents
{$ ) for a renewal period of two (2 years, beginning on
200 .
The costs to be paid by Customer to the City of Miami will include the following:
Management of one (1) AED at the $150.00 renewal rate
Management of ( ) additional AEDs at $50.00 each
Additional Incident Response: Yes / No (Circle): If Yes, costs will be billed separately
on the basis of $55.00 per hour provided by MFR including services for the Medical
Director.
PLEASE CHECK ONE OF THE FOLLOWING OPTIONS:
Costs to be paid by Customer
Costs to be paid by Other
Explain:
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