OPS12.003 Medical Equipment Sample Agreement Addendum 3

STATE OF CALIFORNIA
STANDARD AGREEMENT
STD 213 (Rev 06/03) AGREEMENT NUMBER
ICM.XXXXX
REGISTRATION NUMBER
1. This Agreement is entered into between the State Agency and the Contractor named below:
STATE AGENCY'S NAME
California Department of Corrections and Rehabilitation (CDCR) See Exhibit A-4, List of Participating Institutions.
CONTRACTOR'S NAME
XXXXX
2.
The term of this Upon Approval through December 31, 2013
Agreement is:
3. The maximum amount
The total estimated amount of this Statewide Agreement shall not exceed $______ (spell
out amount).There is no monetary obligation, either written or implied, created on this Statewide
Agreement. Each participating Institution requesting services under this Statewide Agreement shall
encumber funds on separate BIS Purchase Orders (not STD 65). The State makes no commitment,
either written or implied, as to the total amount to expend during the term of this Statewide
Agreement.
of this Agreement is:
4. The parties agree to comply with the terms and conditions of the following exhibits which are by this reference made a
part of the Agreement.
This agreement is awarded based on IFB OPS12.003
Exhibit A Scope of Work 1 page
Exhibit A-1 Detailed Scope of Work 8 pages
Exhibit A-2, Equipment List 16 pages
Exhibit A-3, Service Report 1 page
Exhibit A-4, List of Participating Institutions 1 page
Exhibit B Budget Detail and Payment Provisions 1 page
Exhibit B-1 Rate Sheet X page
Exhibit C* General Terms and Conditions GTC 610
Check mark one item below as Exhibit D:
Exhibit - D Special Terms and Conditions (Attached hereto as part of this agreement) 6 pages
Exhibit E Additional Provisions, Insurance Requirements 1 pages
Items shown with an Asterisk (*), are hereby incorporated by reference and made part of this agreement as if attached hereto.
These documents can be viewed at www.ols.dgs.ca.gov/Standard+Language
IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto.
CONTRACTOR
California Department of General
Services Use Only
CONTRACTORS NAME (if other than an individual, state whether a corporation, partnership, etc.)
BY (Authorized Signature)
?
DATE SIGNED(Do not type)
PRINTED NAME AND TITLE OF PERSON SIGNING
ADDRESS
STATE OF CALIFORNIA
AGENCY NAME
California Department of Corrections and Rehabilitation
BY (Authorized Signature)
?
DATE SIGNED(Do not type)
PRINTED NAME AND TITLE OF PERSON SIGNING
Exempt per:
Terrie Reese, Staff Services Manager I
ADDRESS
P.O. Box 4038, Suite 330
Administrative Support Services/Office of Procurement Services
Sacramento, CA 95812-4038
Contractors Name
Department of Corrections and Rehabilitation OPS12.003
SCOPE OF WORK Exhibit A
Addendum 3
Page 1 of 1
1. Contractor agrees to provide California Department of Corrections and Rehabilitation (CDCR)
maintenance and repair services to CDCRs Medical Equipment listed in Attachment A-2.
2. The services shall be performed at the various CDCR adult institutions listed in the Exhibit A-
4, List of Participating Institutions.
3. The term of this agreement will vary by institution in accordance to the following:
Institution Agreement Term Dates
Calipatria State Prison (CAL) Upon approval through December 31, 2013
California Institution for Women (CIW) Upon approval through December 31, 2013
Chuckawalla Valley State Prison (CVSP) October 1, 2012 through December 31, 2013
Ironwood State Prison (ISP) Upon approval through December 31, 2013
California State Prison, Los Angeles County (LAC) January 1, 2013 through December 31, 2013
R. J. Donovan State Prison (RJD) Upon approval through December 31, 2013
4. The services shall be provided during normal business hours from 7:00 AM to 5:00 PM,
Monday-Friday, except State holidays.
5. The project representatives during the term of this agreement will be:
Contract Manager Project Representative
State Agency: CA Department of Corrections and
Rehabilitation
Contractor:
Name: Various, see participation list Name:
Phone: Various, see participation list Phone:
E-mail: Various, see participation list E-mail:
Fax: Various, see participation list Fax:
Direct all contract inquiries to:
Contract Analyst Contractor Representative
State Agency: CA Department of Corrections and
Rehabilitation
Contractor:
Section/Unit: Office of Procurement Services Section/Unit:
Attention: Chris Chilcott Attention:
Address: P.O. Box 4038, Suite 330
Address:
Phone: 916-445-1393 Phone:
E-mail: Christopher.Chilcott@cdcr.ca.gov E-mail:
Fax: 916-324-5645 Fax:
6. Contractor Agrees to provide services in the manner specified herein and as detailed
in Exhibit A-1, Detailed Scope of Work.
Contractors Name
DETAILED SCOPE OF WORK Exhibit A-1
Page 1 of 8
MEDICAL EQUIPMENT INSPECTION, PREVENTATIVE MAINTENANCE
AND REPAIR SERVICES
1. INTRODUCTION
This is a California Department of Corrections and Rehabilitation (CDCR) Master Agreement in
which the Contractor shall provide all labor, including travel and per diem, materials, non-
consumable supplies, transportation, equipment, and every other item of expense necessary to
perform maintenance, calibration, and repair services for the Medical Equipment at the various
CDCR adult institutions listed in the Exhibit A-4, List of Participating Institutions.
The State assumes no responsibility for any work commenced by the Contractor and will
not reimburse the Contractor for any work performed prior to approval and scheduling by
the Institution Contract Liaison or designee.
Contractor shall report to the Institution Contract Liaison or designee upon arrival at the
institution/facility to pick up the Service Reports, Exhibit A-3. Upon completion of the
services, the Contractor shall return the Service Report for approval and signature to the
Institution Contract Liaison or designee. Invoices will be paid only when accompanied by
the approved/signed Service Report for the services performed.
Contractor must be available via phone or in person to participate at the kick-off
meeting once an executed agreement is in place. Services shall not be performed
until after the kick-off meeting takes place.
2. SCOPE OF WORK
Upon the request of the Institutions Contract Liaison or designee, Contractor shall provide
preventative maintenance, calibration and repair services for the institutions complete inventory
of medical equipment
All equipment specified in the Exhibit A-1 Equipment List
Services provided under this agreement shall be performed by the Contractor during normal
business hours 7:00 a.m. to 5:00 p.m., Monday through Friday, State holidays and weekends
excluded, or as mutually agreed upon between the Contractor and the State.
The State reserves the right to add equipment similar to the list established at the
commencement of this agreement and delete equipment. Additional equipment will be serviced
at the unit rates specified herein. Contractor will be notified in writing by the Institution Contract
Liaison or designee of like equipment being added or removed from the equipment list.
The term of this agreement will vary by institution in accordance the listed terms date in Exhibit A,
Scope of Work, Section 3.
3. PREVENTATIVE MAINTENANCE SERVICES
Contractor shall perform all preventative maintenance (PM) services as specified herein and as
necessary to maintain the optimum level of efficiency for each specified piece of equipment in
accordance to Original Equipment Manufacturer (OEM) instructions and/or recommendations.
Services shall include, as applicable, but not be limited to: cleaning, oiling, lubrication,
adjustment, calibration, mechanical and optical alignment, timing, replacement of any filters, and
operational testing of each piece of equipment, furnishing all necessary lubricants, cleaning
Contractors Name
Page 2 of 8
supplies, filters, and testing equipment, and providing any necessary repairs and parts
replacement as specified by the manufacturer. Any parts requiring replacement will be replaced
in accordance with the Parts Replacement section specified herein.
Refrigerators listed in this agreement (Exhibit A-2, Equipment List) are for repairs only. No
PM services shall be performed on refrigerators.
If the equipment is deemed non-repairable upon completion of the PM Service, Contractor shall
tie a card to the equipment to alert State personnel that the equipment is unsafe for use or not
operable. The card shall be printed on a 3x 6.5 red card stock stating in bold and large font,
DO NOT USE DEFECTIVE EQUIPMENT. The card will provide the following information
about the equipment:
Last date of service
Type of Equipment
Make/Model/Serial number of equipment
Description of problem
Contractors name
Contractors phone number
Preventative maintenance services shall be paid by the State at the Contractors
Maintenance/Inspection Service Rates specified in the Exhibit B-1 Rate Sheet.
(a) CDCR reserves the right to request additional preventative maintenance services at
Contractors bid rate and/or to decrease the number of scheduled preventative
maintenance services. Preventative maintenance services must be scheduled and
approved by the designee and/or contract liaison. No preventative maintenance services
shall be performed without prior scheduling and approval. CDCR will not be
responsible for the cost of any unscheduled preventative maintenance services
performed.
4. CALIBRATION SERVICES
All equipment requiring calibration shall be identified by placing inspection stickers on the
equipment. The sticker shall show the date of calibration and/or date of service, and signature of
service technician servicing the equipment. All instruments used to calibrate the equipment shall
be certified and traceable to the National Institute of Standards Technology (NIST). Conductivity
tests, proper voltage out-put, and leakage current amounts tests will be performed in accordance
with applicable rules and regulations of the Medical Industry.
The Contractor shall maintain an instrument log book and provide a calibration certificate
signifying that a continuing quality control program is in existence for each piece of equipment.
The log book shall record each piece of equipment with the make, model, serial and/or property
number, date of preventative maintenance, and date of repair services. This instrument log book
will be maintained at the institution and will be the property of the State.
5. SAFETY INSPECTIONS
Contractor shall perform safety inspections of the equipment in conjunction with the preventative
maintenance schedule established by the Institution Contract Liaison or designee. Contractor
shall ensure, when applicable, that equipment meets the manufacturers specifications for safe
operation. Contractor shall notify the Institution Contract Liaison or designee of any potential
problems related to equipment safety and make recommendation(s) to correct.
Contractors Name
Page 3 of 8
Inspections shall be included in the maintenance cost and paid by the State at the Contractors
Maintenance/Inspection Service Rates specified in the Exhibit B-1 Rate Sheet.
6. SERVICE SCHEDULES
Contractor shall perform all services for the equipment listed on a monthly, quarterly, semi-
annual, or annual basis as specified by OEM instructions and/or OEM recommendations. Dates
of service will be established by the Institution Contract Liaison or designee. Contractor agrees to
provide the requested services on the dates specified or within two (2) working days, or as
mutually agreed upon between the Contractor and the State.
The State reserves the right to request additional services at the Contractors bid rate or to
decrease the scheduled number of services as the State deems necessary.
7. INSPECTIONS AND PERFORMANCE
a. Inspections: Equipment inspections shall be carried out by the Contract Liaison or
designee at the completion of each service and at various times throughout the term of
this Agreement to check on the quality of work and determine acceptability of work
performed. Authorization for payment of all or part of an invoice(s) for services
performed will be approved based on review and approval by the designee.
b. Failure to Perform: The CDCR and/or Institution will routinely evaluate the work
performance of the Contractor. Any Contractor who fails to perform or who are physically
or mentally incapable of performing the required duties as required by this Agreement
shall not be permitted to perform service. CDCR shall not pay for services by a
Contractors representative who is found to have been deemed incapable or unqualified
to perform those services. Contractor will be required to provide an immediate
replacement of personnel that meets all requirements as outlined within this Agreement.
c. Liquidated Damages: In the event the Contractor fails to appear on the agreed-upon
day without providing notification to the Contract Liaison or designee within two (2) hours
of the scheduled appointment, the Contractor will be considered a no-show, and
liquidated damages will be imposed. The parties agree that the determination of
damages to CDCR in the event of a no-show is difficult to establish and that this amount
is a reasonable assessment of the damages that CDCR would sustain, based on
circumstances existing at the time of entering into this Agreement. CDCR reserves the
right to apply liquidated damages of fifteen percent (15%), which will be deducted from
the Contractors hourly rate (a minimum of four (4) hours) on the next invoice for
subsequent service performed for that institution. If or when the institution seeks
liquidated damages, CDCR will exercise this provision of the agreement by disputing the
invoice through CDCR accounting unit.
d. Standard Notice and Termination: The Contractor is expected to respond to service
requests (SR) in a timely manner. In the event Contractor is unable to perform a SR on
three (3) occasions and/or is a no-show (i.e., no calls, no cancellation, and no
rescheduling of appointment) on three (3) or more occasions in a six (6) month period,
CDCR reserves the right to terminate this regional agreement. Contractor will not incur
liquidated damages under security situations. Upon termination of the regional
agreement, CDCR will award the regional agreement to the next lowest responsive
responsible bidder.
e. Inadequate Level of Service: Contractors shall diagnose and repair equipment to its
operating condition, as per OEM specifications, in the most cost efficient but expeditious
method(s). Should Contractors service fail to remedy a corrective solution within five (5)
Contractors Name
Page 4 of 8
days, a plan of action to resolve repair(s) must be immediately submitted by the
Contractor to the Institution Liaison or designee for review and approval. Institution
reserves the right to reject Contractors plan of action and seek alternative solutions to
remedy repair(s).
8. NON-EMERGENCY REPAIR SERVICE
Contractor shall provide unlimited visits for any non-emergency repair services requested by the
Institution Contract Liaison or designee. Repair services that are not provided during regularly
scheduled maintenance visits or not covered by the Guarantee section of the Scope of Work,
shall be paid by the State at the Contractors Repair Hourly Rate, as specified herein. Any parts
requiring replacement will be replaced in accordance with the Parts Replacement section as
specified herein.
Contractor shall respond to requests for non-emergency repair services within forty eight (48)
hours. Every effort shall be made to perform repair services during normal business hours. The
State may, at its discretion, allow access to the equipment during non-business hours, when
necessary. Non-emergency repair services performed outside of normal business hours as
specified herein must be approved in advance in writing by the Institution Contract Liaison or
designee.
Contractor shall make every effort to complete repairs the same working day. Unless the repair
requires part(s) that must be ordered, no repair shall take longer than five (5) working days to
complete. When a delay in repair occurs due to part(s) that must be ordered, written notification
must be presented immediately to the Institution Contract Liaison or designee.
If the equipment is deemed non-repairable upon completion of the repair service, Contractor shall
operable. The card shall be printed on a 3x6.5 red card stock stating in bold and large font, DO
NOT USE DEFECTIVE EQUIPMENT. The card will provide the following information about the
equipment:
Type of Equipment
Contractors name
9. EMERGENCY REPAIR SERVICE
Contractor shall provide emergency repair services as requested by the Institution Contract
Liaison or designee. Contractor must be on site to perform emergency repairs within eight (8)
hours of notification by the Institution Contract Liaison or designee.
Emergency repair services provided by the Contractor will be charged at the Contractors
Emergency Repair Hourly Rate specified in Exhibit B-1 Rate Sheet. Emergency repair services
shall be completed the same working day, unless written notification of delay is submitted to the
Institution Contract Liaison or designee immediately upon diagnosis of equipment. Any part(s)
requiring replacement will be replaced in accordance with the Parts Replacement section
specified herein.
If the Contractor finds any equipment or components not in good working order while performing
maintenance or repairs, Contractor shall immediately report findings, verbally, to the Institution
Contractors Name
Page 5 of 8
Contract Liaison or designee. Contractor shall submit a written report with recommendation for
repairs to the Institution Contract Liaison or designee within twenty-four (24) hours of findings.
If the equipment is deemed non-repairable upon completion of the repair service, Contractor shall
operable. The card shall be printed on a 3x6.5 red card stock stating in bold and large font, DO
NOT USE DEFECTIVE EQUIPMENT. The card will provide the following information about the
equipment:
Type of Equipment
Contractors name
10. LOAN EQUIPMENT
When repair(s) made by the Contractor are anticipated to last longer than five (5) working days,
the State reserves the right to require the Contractor to provide loan equipment to the State at no
additional cost. The loan equipment provided shall be the same or equivalent to the equipment
being repaired. Contractor shall provide the loan equipment to the State within twenty-four (24)
hours of request by the State.
Requests by the State for loan equipment shall only be made for those pieces of equipment
considered by the State to be vital to daily operations. Any loan equipment provided by the
Contractor to the State under this provision shall remain in the possession of the State until such
repair(s) are completed and approved by the Institution Contract Liaison or designee.
The State shall be relieved of all risks of loss or damage during the entire time the loan
equipment is in the possession of the State, except when loss or damage is due to fault or
negligence of the State. All loan equipment will be returned to the Contractor in good condition
subject to reasonable wear and tear, except for any loss or damage arising from circumstances
beyond the control of the State.
11. EQUIPMENT REMOVAL
Contractor shall perform all services under this agreement on State premises. In the event
equipment must be removed from State premises for repair, prior written approval must be
obtained from the Institution Contract Liaison or designee. The Institution Contract
Liaison or designee and Contractor shall complete the Equipment Custody Transfer Form
as hereby incorporated as Exhibit A-5. Written approval to remove equipment from State
premises by the institution designee must accompany the equipment and the Equipment
Custody Transfer Form at the entrance/exit gate and shown to the correctional officer on
duty.
The Institution Contract Liaison or designee shall keep a record as specified in the CDCR
Responsibilities section of equipment being removed from State premises. The Contractor shall
be responsible to pick up the equipment from State premises and return the equipment to original
location ready for use at the institution/facility.
Upon completion of repair, the Contractor will notify the Institution Contract Liaison or designee to
schedule a return delivery date and time. Under no circumstances shall equipment removed from
State premises be kept by the Contractor longer than five (5) working days, unless prior written
permission has been obtained from the Institution Contract Liaison or designee.
Contractors Name
Page 6 of 8
12. PARTS REPLACEMENT
This agreement includes replacement of parts that become worn or inoperable, or that otherwise
affects the equipments operability. Contractor must notify the Contract Liaison or designee prior
to ordering and/or installing any parts. A written estimate of the required repair part(s) must be
submitted by the Contractor to the Contract Liaison or designee and approved in writing before
replacement. Contractor shall provide OEM part numbers for all replacement parts. Contractor
will be reimbursed for the actual cost of the part(s) with payment substantiation. Proof of
cost of parts, such as a copy of the actual invoice or receipt for the part from the company
from which it was purchased, must be attached to Contractors invoice for parts
reimbursement. If proof of invoice or receipt is not attached to the invoice, the State will
not reimburse Contractor for the cost of parts.
The State shall retain the right to purchase repair part(s) independently. Parts with a dollar value
above one hundred dollars ($100) may be replaced only with prior written approval from the
Institution Contract Liaison or designee.
All parts replaced by the Contractor shall be new, factory manufactured, or of equivalent
manufacturer quality. Contractor agrees to maintain an adequate supply and/or be able to obtain
within a reasonable amount of time any necessary replacement parts in order to perform repairs
and maintenance as specified herein. Any parts that have been replaced by the Contractor
become the property of the State.
The State assumes no responsibility and will not reimburse the Contractor for parts
ordered and/or installed prior to written authorization by the Institution Contract Liaison or
designee. All approved parts must also be included on the Service Report. Invoices will
be paid only when accompanied by signed Service Report approved by either the
Institution Contract Liaison or designee.
Parts for Preventative Maintenance The cost for preventive maintenance (PM) kits or parts
recommended by manufacturer for preventative maintenance for each piece of equipment must
be included in the preventative maintenance/inspection service cost per piece of equipment as
specified in Exhibit B-1 Rate Sheet.
13. QUALIFICATIONS
a. The Contractor technicians must be trained to service all the equipment specified in
the Exhibit A-2 Equipment List specified herein. The Contractor must provide to
the State:
1. List three (3) professional references for each service technician who will be
providing services as specified. The proposed service technician(s) must have at
least two (2) years experience within the last two (2) consecutive years
maintaining and repairing same or similar medical equipment listed in this
agreement. The references must include all the following:
Service Technicians name.
Medical equipment serviced by manufacturer and equipment description.
Services provided (e.g., maintenance and/or repair)
Term dates that services were provided.
Verification that the service was satisfactory.
Current contact information for each of three (3) references provided.
Contractors Name
Page 7 of 8
References will be contacted and verified by CDCR to ensure that the service was satisfactory.
Only service technician(s) meeting the above criteria shall perform services on the equipment
listed herein. Apprentices or trainees are not acceptable to use under this agreement.
14. DOCUMENTATION REQUIREMENTS
After completion of service, prior to leaving the Institution, the Contractor or service technician
shall submit a complete and legible Service Report, hereby incorporated as part of this
agreement as (Exhibit A-3) to the Institution Contract Liaison or designee of the service provided,
including any necessary repairs. Report shall include: Date of service, description of service
provided, including replacement of any worn parts, name and signature of Contractors service
technician, location of equipment, equipment make, model and serial number, description of any
noted deficiencies and suggested corrective action, total labor hours expended, and signature of
Institution Contract Liaison or designee certifying indicated services were performed.
15. ACCIDENTS/DAMAGES
The Contractor shall be liable for damages arising out of injury and/or damage to the property of
the State, employees of the State, and any other person(s) other than agents or employees of the
Contractor, designated by the State for any purpose, prior to, during or subsequent to delivery,
installation, acceptance and use of the deliverables either at the Contractors site or at the States
place of business, provided that the injury or damage was caused by the fault or negligence of
the Contractor.
16. EXCLUSIONS
Services provided under this agreement do not include maintenance of accessories, attachments,
machines or other devices not specified herein. Also excluded are painting or refinishing of
equipment, and the furnishing of supplies, accessories, or devices of any nature, except such
items or equipment as may be necessary for the maintenance and repair of the equipment.
This agreement does not include service, repair or replacement of parts required as a result of
accident, neglect, abuse, misuse, alteration of equipment, or other improper operation, including
but not limited to operation of equipment outside of its specified environmental conditions.
17. GUARANTEE
The Contractor shall guarantee all maintenance/calibration and repair services performed by
Contractors service technician(s), including any replaced parts, for a minimum of ninety (90) days
from the date of service. If it is determined that failure has occurred due to defective parts or
workmanship, Contractor shall correct the failure at no additional cost to the State. Correction
shall occur during normal State business hours upon request for service by the Institution
Contract Liaison or designee within two (2) days of notification.
18. CDCR RESPONSIBILITIES
The Institution Contract Liaison or designee is the State representative responsible for the
management of this contract for the State. All services performed by the Contractor are to be
inspected by the Institution Contract Liaison or designee upon completion. The Institution
Contract Liaison or designee shall determine acceptability of services provided by the Contractor
and approve all work prior to authorizing and approving invoices for payment.
Contractors Name
Page 8 of 8
Contractor shall be escorted and supervised at all times by a State employee throughout the
duration of the service.
When it is determined that the equipment must be removed from State premises for repair
services, the Institution Contract Liaison or designee shall record the brand, make, model
number, serial number(s), and property numbers inspect and note the condition of the equipment,
and coordinate the equipment removal and return with the Contractor. Upon return, the Institution
Contract Liaison or designee shall verify the equipment identification and condition by inspecting
the equipment for acceptability and recording the data.
The Institution Contract Liaison or designee will notify the Contractor and the Regional
Accounting Office in writing of equipment that has been added and/or removed from the list.
All services performed by the Contractor are to be inspected by the Institution Contract Liaison or
designee upon completion. The State is solely responsible for determining acceptability of the
machine quality, operability, and satisfactory completion of services provided by the Contractor.
19. CDCR CONTACT INFORMATION
Should questions or problems arise during the term of this agreement, the contractor should
contact the following offices:
CDCR Scope of Service/Performance Issues:
Please refer to the agreement contact person or the appropriate Institution listed in
Exhibit A-4, List of Participating Institutions.
CDCR Billing/Payment Issues:
Department of Corrections and Rehabilitation
Sacramento Regional Accounting Office
Attn: Accounts Payable A Unit
P.O. Box 187015
Phone Number 916-255-5463/ 916-255-2090/ 916-255-2092
Email: Medical Accounts Payable A Help Desk@CDCR.CA.GOV
.
General Contract Issues:
Office of Procurement Services
Phone Number: (916) 324-3269
Fax Number: (916) 324-5645
Contractors Name
EQUIPMENT LIST Exhibit A-2
Page 1 of 16
Calipatria State Prison (CAL)
EQUIPMENT QTY MANUFACTURER MODEL SERIAL
Blood Pressure Machine 1 Welch Allyn 0005169
Blood Pressure Machine 1 Welch Allyn *
Blood Pressure Machine 1 Welch Allyn IA049818
Capillary Blood Measurer 1 Hemocue H6201 0920013289
Ceiling Mounted Tube 1 RS-580 4699
Centrifuge 1 Unico 0505008
Compressor Nebulizer 1 Phillips Respironic 004449
Defibrillator, Automated External 1 Welch Allyn 003478
Defibrillator, Automated External 1 Drive *
Defibrillator, Automated External 1 Welch Allyn AED 20 NC230842
Defibrillator, Automated External 1 Welch Allyn AED 10 017832
Defibrillator, Automated External 1 Zoll X081173616
Defibrillator, Automated External 1 Zoll V081173550
Defibrillator, Automated External 1 AED Plus X08L169980
Defibrillator/Pacer 1
MRL LITE
(BIPHASIC) 00003401
Dernatology Camera 1 AMD 2500 AMB 2789
ECG / EKG Test System 1 Burdick Atria 3100 0015237
ECG / EKG Test System 1 Burdick Atria 3100 *
EKG Machine 1 * 10003052
EKG Machine 1 Welch Allyn 10002440
EKG Machine 1 Welch Allyn 0005193
EKG Machine 1 Welch Allyn *
Endocoupler 1 AMD 500 415276
ENT Chair 1 Reliance 880HPC 0124558
Exam Table 1 UMF 5060 85337E
Exam Table 1 UMF 5050 85337B
Exam Table 1 UMF 5140 82443A
Exam Table 1 UMF 5140 82443C
Examing Chair/Bed 1 Ritter 230 *
Examing Chair/Bed 1 Ritter 230 *
Gleamer 1 Elite GL117951
Imaging/Illuminator Platform 1
Welch Allyn AMD
3005 AMD 3005 EN 102523
Instrument Stand 1 Reliance 7720 0124274
IV Pump Machine 1 Braun 346893
Lateral Cassette Holder 1 QT-TCH *
Masimo Set B/P, VS 1 * 0003488
Medication Compressor 1 John Bunn 36637
Microscope 1 American Optical *
Contractors Name
Page 2 of 16
Monitor, Vital Signs 1
Welch Allyn 500
Series JA103745
Welch Allyn 500
Series JA103746
Welch Allyn 500
Series JA103744
Occular Equipment 1 Zoiss Humphrey 0003394
Occular/Optha/Odoscope 1 Welch Allyn 0003418
Odoscope 1 Welch Allyn *
Odoscope-RN 1 Welch Allyn *
Optamaloscope 1 Welch Allyn 0003453
Optha/Otoscope 1 Elite *
Optha/Otscope 1 * 0003466
Otoscope 1
MODEL 7110
CHARGER 0003490
Otoscope Set 1 Welch Allyn 0003453
O2 Oxygen Concentrator 1 * 60064609
O2 Oxygen Concentrator 1 Platinum Invacare *
O2 Oxygen Concentrator 1 Respironics EverFlow 0350712
Aspirator (Portable) 1 Elite 00052661
Reichert 1 * 0003397
Simulscope 1 Cardionics 718-7003 0709607
Smulscope Auscultation System 1 AMD Simulscope 0411811
Spiro Card/Spirometer 1 Spirocard 2011-13 D952081
Spiro Card/Spirometer 1 Spirocard 2011-13 D982109
Super Power Battery Pack 1 Zoll 8019-0535-01 ACOOK003116
Support 1 03072456 *
Temp Machine 1 Welch Allyn 0003411
Temp Machine 1 Welch Allyn 0009103
Thermometer 1 Welch Allyn SureTempPlus 0009096
Tonometer, Computerized 1 CT-80 1583721
Ultrasonic Cleaner 1 Sultan 600 *
Ultrasonic Cleaner 1 Sultan 61057 Prosonic 600 QCG070710663E
Ultrasonic Cleaner 1 Sultan 61057 Prosonic 600 QCG110710886F
Ultrasonic Cleaner 1 Sultan 61057 Prosonic 600 1QCG110710888F
View Boxes 7 * *
View Boxes 2 Carr *
Vital Sign Machine 1 Welch Allyn *
Vital Signs (Portable) 1 Welch Allyn *
Vital Signs Machine 1 Welch Allyn *
Vital Signs Machine 1 Welch Allyn JA069799
Vital Signs Machine 1 Welch Allyn JA069797
Vital Signs Machine 1
Welch Allyn 5200-
101A 0003464
Contractors Name
Page 3 of 16
California Institution for Women (CIW)
Aspirator 3
Battery, Analyzer Charger 1
Bed, Electric 6
Centrifuge 1
Centrifuge 1 Statspin Express Tube 1222MS0108696
Coloscope (with Transformer) 1 Seiler 47390
Defibrillator, Automatic External 10
Defibrillator, Automatic External 1 Zoll AED Plus X11K527394
Defibrillator, Automatic External 1 Zoll AED Plus X11K525349
Defibrillator, Automatic External 1 Welch Allyn AED 10 20321
Defibrillator, Automatic External 1 Zoll AED Plus
Defibrillator, Monitor 4
Doppler, Blood Flow 5
Doppler, Hand Held 1 Summit LH010269
Drive O2 Oxygen Regulator 1 Welch Allyn 18302G 4Y0810013632
Drive O2 Oxygen Regulator 1 18302G 4Y0810013622
ECG 1 Welch Allyn CP100 10012168
EKG, Multi-Channel 7
Exam Light, Medical (Portable) 1 Phillips Burton SN5269779
Exam Light, Ultraviolet (Hand
Held) 1 Phillips Burton UV502 SN5269689
Exam Table 1 Brewer ET026597
Glucometer 1
Gurney 5
Gurney 1 Stryker 610079517
Infant Warmer 1
Intensity Control 2
IV Stane (5 Leg) 6
Lamp, Exam 18
Lamp, Ultraviolet 2
Laryngoscope 4
Lift 1 Hoyer
Lift Mobile For Tub Immersion 2
Light Surgical Ceiling 6
Microscope Laboratory 2
Monitor, Antepartum 1
Monitor, Blood Pressure 1 W.A. Baum Co 8073279
Monitor, Blood Pressure (on
Stand) 1 W.A. Baum Co 10075062
Monitor, Blood Pressure (Wall) 1 Welch Allyn 110330184358
Contractors Name
Page 4 of 16
Monitor, Digital Blood Pressure 1 ADC? 6008N
Monitor, Fetal Multiparameter 2
Monitor, Temperature Patient 2
Monitor, Vital Signs 1 Welch Allyn 6000 Series 103003862312
Nebulizer 1 DeVilbess PulmoAide 5650D 3D6039633
Nebulizer 1 DeVilbess PulmoAide 5650D 3D6039232
Nebulizer 1 DeVilbess PulmoAide 5650D D3924801
Nebulizer, Non-Heated 8
O2 Oxygen Concentrator 3
O2 Oxygen Regulator 1 Cramer Decker SREG8725-B2D 120101653
O2 Oxygen Regulator 1 Cramer Decker AREG8725-B2D 120101507
O2 Oxygen Regulator 1 Cramer Decker AREG8725-B2D 120101531
O2 Oxygen Regulator 1 John Bunn 106-JB6150-081
O2 Oxygen Regulator 2
O2 Oxygen SAT Monitor 1 BCI Spectro2 I30 WW103EN 4004142
O2 Oxygen SAT Monitor 1 Invacare IRC400 ZB1A12290508
Opthalmoscope 1 Welch Allyn
Opthalmoscope 1 Welch Allyn
Opthamoscope/Otoscope 20
Otoscope 1 Welch Allyn
Otoscope 1 Welch Allyn
Overbed Table 8
Oximeter 1
Pill Counter 1
Pump, Food Enternal Feeding 1
Pump, Infusion 5
Quick Dray Hand Held Suction 1 SSCOR W02787
Quick Dray Hand Held Suction 1 SSCOR W02788
Scale, Mechanical 19
Sphygmomanameter Aneriod 10
Spot Blood Pressure Monitor 1 Welch Allyn 200710196
Spot Blood Pressure Monitor 1 Welch Allyn 200710455
Spot Vital Sign Machine LXI 1 Welch Allyn 45NTO 20070300937
Standing Scale 1 Health O Meter 599KL 599T002261
Standing Scale 1 Health O Meter 599KL 599T002265
Sterilizer Steam Table Top 1
Suction 1 Schuco Inc 130 99900049280
Suction Machine 1 Schuco Inc 80300012533
Contractors Name
Page 5 of 16
Table, Exam Treatment 22
Thermometer 1 Genius
Thermometer 4
Thermoscan 1 Welch Allyn Pro400 23611K04367
Ultrasound Diagnostic 1
View Box, Radiographic 10
Warming Cabinet 1
Weighing Scale, Weighing (Wall
Mounted) 1 Tronix Wall Mounted 6202-2227
Mounted) 1 Tronix Wall Mounted Stow-A-Weigh 6202-2229
Mounted) 1 Tronix Wall Mounted Stow-A-Weigh
Mounted) 1 Tronix Wall Mounted Stow-A-Weigh 6202-2226
WheelChair Tracer EX 1 Invacare
WheelChair Tracer EX2 1 Invacare TREX28R-37774 11KJM00450
WheelChair Tracer EX2 1 Invacare TREX28R-37774 11KJM000420
WheelChair Tracer IV 1 Invacare ATO-T4 12CM004251
X-Ray Film Illuminator 1 S&S X-Ray Products 4X0042 11-98431
Chuckwalla Valley State Prison (CVSP)
Autoclave (M7 Speed Clave) 1 Ritter M7 Speed Clave Central Health
Blanket Warmer 1 Enthermic EC340
Centrifuge 3 Hamilton Bell Vanguard Central Health
Defibrillator 2 Welch Allyn PIC 50 Emergency Rooms
Defibrillator, Automatic External 8 Welch Allyn AED 10 Various
ECG / EKG Test System 6 Burdick Atria 3100 Various
Exam Lights, Surgical (TTA) 2 Armsco Steris Emergency Room
Gurney, Stryker (Electric) 2
Stryker
Gurney, Stryker (Non-Electric)
2 Stryker
Hyfrecator Plus 1 Conmed/Birtcher 7-797 Emergency Room
Infusion Pump 8 Baxter Flo-Guard 6201 Infirmary
Microscope 1 Baush & Lomb Standard 25 Laboratory
Microscope 1 Carl Zeiss 313216 Laboratory
Monitor, Vital Signs 18 Welch Allyn 42NTB Various
Nebulizer (Aspirator Pulmo) 9 Invacare Startos Pro Various
O2 Oxygen Concentrator 2 Invacare IRC: 5LX02
Oto / Opthalmoscope 14 Welch Allyn 07120 Various
Refrigerator 2 Fischer Scientific ISO TEMP Lab & Pharmacy
Scale, Stand Up (Adult Patient) 7 Decto SP7044 Various
Scale, Stand Up (Adult Patient) 1 Health O Meter SP7044 Various
Suction, Portable AC/DC 7 Armstrong AE-6976 Various
Thermometer, HandHeld D/C 6 Welch Allyn Sure Temp Various
Contractors Name
Page 6 of 16
Ironwood State Prison (ISP)
Aspirator 1 Gomeo G180
Aspirator 1 Gomeo G180
Defibrillator, Automatic External 1 Welch Allyn AED 20 NC430866
Autoscope 1 Welch Allyn 728
Autoscope 1 Welch Allyn Wall Mount
Autoscope 1 Welch Allyn
Monitor, Blood Pressure 1 Welch Allyn 420 200405872
Monitor, Blood Pressure 1 Welch Allyn 53TD 6JA067728
Monitor, Blood Pressure 1 Welch Allyn 5580TD JA007730
Monitor, Blood Pressure 1 Welch Allyn
Defibrulator 1 Phillips Heart Start US00317497
Defibrulator 1 Phillips Heart Start US00317496
Defibrulator 1 Welch Allyn AED 20 NC230869
Defibrulator 1 Welch Allyn MRL 201766
ECG 1 Atria Atria 6100 20043700
ECG 1 Burdick Atria 6100 A6100-001911
ECG 1 Burdick Eclipse 850 10670001600
Exam Light 1 Drung 1004067
Exam Light 1
Exam Light 1
Examiniation Bed 1 Hill Adjustable HA080227
Examiniation Bed 1 Pedgio 750W SN021812
Examiniation Bed 1 Pedgio 750W SN021814
Examiniation Bed 1 Pedigo 750W SN021811
Glaucometer 1 Trutrack 4864031
Glaucometer 1 Trutrack 4864040
Gurney 1 Stryker MX Pro
Gurney 1 Stryker MX Pro
Gurney 1 Stryker Power Pro
Contractors Name
Page 7 of 16
Gurney 1 Stryker Power Pro XT 70640723
Gurney 1 Stryker Power Pro XT 70540313
Oximeter, Pulse Hand Held 1 BCI 3301 AB07051326
Oximeter, Pulse Hand Held 1 BCI 3301 370315015
Oximeter, Pulse Hand Held 1 BCI 3301 BB10070317
Hydrocolater 1 Chatanooga Cool
Hydrocolater 1 Chatanooga Heat
Hyfractor 1 Conmed 2000 07JGJ289
IV Infusion Pump 1 Baxter Flow Guard 6201 5011385F8Z
IV Infusion Pump 1 B-Braun Vista 52368
Lift 1 Invicare 9805 06DLA100514
Lift 1 Sunrise G34972
MiniDoppler 1 Hadeco ES-100VX
Nebulizer 1 DeVilbiss 5650D D3143356
Nebulizer 1 DeVilbiss 5650D D2936056
Nebulizer 1 Sunrise 5650D D4113234
Ophthalmoscope 1 Welch Allyn Portable
Ophthalmoscope 1 Welch Allyn Portable
Ophthalmoscope 1 Welch Allyn Wall Mount
Ophthalmoscope 1 Welch Allyn
O2 Oxygen Concentrator 1 DeVilbiss A570277DS
O2 Oxygen Concentrator 1 Invicare IRCS1X02
Scale 1 Detecto
Scale 1 Detecto
Scale 1 Detecto
Scale 1 Detecto
Scale 1 Detecto
Scale 1 Detecto
Contractors Name
Page 8 of 16
Scale 1 Healthometer
Tense Unit 1 Sonicator Plus 994
Thermometer 1 Exergen Tempral Scanner A30098
Thermometer 1 Exergen Tempral Scanner A53780
Thermometer 1 Welch Allyn 679 1173307
Thermometer 1 Welch Allyn 679 D117397
Thermometer 1 Welch Allyn Sure Temp 679 1173276
Exam Light, Ultraviolet 1 Burton 9721
Exam Light, Ultraviolet 1 Burton UV972139
Exam Light, Ultraviolet 1 Burton UV972142
Monitor, Vital Sign 1 Welch Allyn 42NTB 200112612
Monitor, Vital Sign 1 Welch Allyn 45NTO 20071004276
Monitor, Vital Sign 1 Welch Allyn 45NTO 20071004294
Monitor, Vital Sign 1 Welch Allyn 530TO JA067731
Water Distiller 1 PureWise 47243
Wheel Chair Scale Monitor 1 Detecto 758C E19807-0274
Wheel Chair Scale Platform 1 Detecto BRW-1000 E20207-0047
California State Prison, Los Angeles County (LAC)
Defibrillator, Automatic External 1 Zoll A Series X08L183647
Defibrillator, Automatic External 1 Zoll AED Plus X08L183631
Defibrillator, Automatic External 1 Zoll AED Plus AF08L006566
Defibrillator, Automatic External 1 Zoll AED Plus AF09L006343
Defibrillator, Automatic External 1 Zoll R Series
Light, Exam (Ceiling) 1 Amsco Examiner 10
Contractors Name
Page 9 of 16
Light, Exam (Ceiling) 1 Amsco Examiner 10 007216
Light, Exam (Ceiling) 1 Burton 13410
Centrifuge 1 Hamilton Bell Vanguard V6500 1310
Centrifuge 1 Horizon
Centrifuge 1 LW Scientific E8
Centrifuge 1 LW Scientific E8 062756
Centrifuge 1 LW Scientific
Centrifuge 1 Quantum QM10C 802778
Centrifuge 1
Defibrillator 1 Medtronic LP12 (Life Pack 12) 062711
Defibrillator 1 Medtronic LP12 (Life Pack 12) 11896
ECG Machine 1 Nihon Kohden ECG-1350A 00286
ECG Machine 1 Nihon Kohden ECG-9020K 11889
O2 Regulator 1 Cramer Decker REG8708E 080500729
O2 Regulator 1 Cramer Decker REG8715E
O2 Regulator 1 Cramer Decker
O2 Regulator 1 Mada R1833-86
O2 Regulator 1 Mada Inc R1835-86B 060401912
O2 Regulator 1 Medline 1049612
Exam Light 1 Graham Field E203911 50714560
Feeding Pump 1 Kangaroo 224 0602079432
Gurney 1 Stryker 1005 0602079437
Gurney 1 Stryker 1005 0009030840
Head Therapy Lamp 1 Therapy Sperti KB HT10 9704-131
Hoyer Lift 1 Detecto IB400 ERG00-1686
Hoyer Lift 1 Linak HPL600 HW121B0457
Hyfercator Plus 1 Conmed/Birtcher 7-797 8509600013
Pump, Infusion 1 Acclaim/Abbott 85003540008
Pump, Infusion 1 Hospira Lifecare5000 082496
Nebulizer 1 Compmist 40-105-000 082503
Nebulizer 1 Compmist 40-105-000 A525289DS
O2 Oxygen Concentrator 1 DeVilbiss 515ADS
O2 Oxygen Concentrator 1 Invacare PlatinumXL 0122132
O2 Oxygen Concentrator 1 Respronics 1020000
Oxygen Regulator 1 Medline HCS8715M 030500320
Scale 1 Detecto Stand Up Manual
Contractors Name
Page 10 of 16
Scale 1 Detecto Stand Up Manual E02707-0302
Scale 1 Health O Meter Stand Up Manual
Scale 1 Health O Meter Stand Up Manual E15307-0345
Scale, Wheelchair 1 Detecto 758C A6-06951
Sterilizer 1 Pelton & Crane 78290560623
Suction Pump 1 Laerdal 4000 98520452606
Suction Pump 1 Laerdal 4000
Suction Pump 1 Laerdal 4000
Suction Pump 1 Sorensen 2110030 78130556153
Suction Pump 1 Sorenson 2110030 08450729
Suction Pump 1 Stirn Industries 2110030 78110555784
Thermometer 1 Welch Allyn 690 06269-528818
Ultrasonic Cleaner 1 Mettler ME5.55 200819514
Ultrasonic Cleaner 1 Tuttnauer T1226 65B6790
Vital Signs Machine 1 Welch Allyn 420 Series 200705830
Vital Signs Machine 1 Welch Allyn 42NTB 200818948
Water Distiller 1 Tuttnauer W2616
Contractors Name
Page 11 of 16
R. J. Donovan Correctional Institution
Air Flotation System / Air Pump 1 BioClinic 251169
Alternating Pressure Pad 2 BioClinic Bio Air 200 16864518
Alternating Pressure Pump 1 MaxHealth JACHE7320 O27625
Battery & Charger Systems 5 Zoll AC08K003006
BiPAP Machine 13 Respironics 1017343 4628584
Blood Pressure. Digital Auto 5 LifeClinic LC300 300003832
Cardio Messenger 1 Biotronike 45087480
Cast Cutter 1 Martin 4183-106 31533
CPAP Machine 15 Fisher & Paykel
Defibrillator 6 Zoll R Series ALS AF08L006273
Defibrillator, Automatic External 29 Welch Allyn AED 10 NA033991
Easyair Compressor 1 Preciso Medical PM15 OO46407
ECG Machine 14 Welch Allyn CP100 10007779
Exam Light, Ultraviolet 1 Spectroline EA140 332975
Exam Light, Ultraviolet 1 Spectroline EA140 332986
Exam Table 1 Clinton
Exam Table 1 Clinton Industries
Exam Table 1 Dynatronics
Exam Table 1 Ridter 204
Exam Table 1 UMF 5110 73242
Exam Table 1 UMF 5110 79271A
Exam Table 1 UMF 5140 92076Q
Exam Table 1 UMF 73242 5100D
Exam Table 1 UMF 73242 5110C
Exam Table 1 UMF 73242 5110F
Exam Table 1 UMF 73242 5110G
Exam Table 1 UMF 73242 5110I
Exam Table 1 UMF 73242 5110II
Exam Table 1 UMF 73242 5110J
Exam Table 1 UMF 73242 5110K
Exam Table 1 UMF 73242 5110K
Exam Table 1 Stryker
Exam Table 1 Stryker
Exam Table 1
Exam Table 1
Exam Table 1
Exam Table 1
Exam Table 1
Exam Table 1
Exam Table 1
Feeding Pump 1 Kangaroo 324 T9023556
Feeding Pump 1 Obrien KM70
Contractors Name
Page 12 of 16
Head Light 1 Welch Allyn 49003
Humidifier 1 Respironics 532053 1102524
Humidifier, Heated 1 Respironics 1005792 H1769064
Hyfrecator 1 Conmed 7-900-115 O6HGJ030
Incubator 1 Curtain Matheson Equtherm
Irrigation System, Nasal 1 Grossan CN120 0810A01
Lift, Hoyer 1 Lumex
Light, Exam 1 Burton VH1469
Light, Exam 1 Burton VH1470
Light, Exam 1 Welch Allyn 794A HC73737
Light, Exam 1 Welch Allyn 794A
Light, Exam 1 Welch Allyn LS135
Light, Exam 1
Monitor, Blood Pressure (Digital) 1 Omron HEM379AC O2OO2O7L
Nebulizer 1 DeVilbiss PulmoMate 4650D 235608
Nebulizer 1 DeVilbiss PulmoMate 4650D D1012273
Nebulizer 1 DeVilbiss Pulmo-Aid 5650D 235605
Nebulizer 1 DeVilbiss Pulmo-Aid 5650D 235607
Nebulizer 1 DeVilbiss Pulmo-Aid 5650D
Nebulizer 1 DeVilbiss Pulmo-Aid 5650D
Nebulizer 1 DeVilbiss PulmoMate 4650D 3312503
Nebulizer 1 DeVilbiss Pulmo-Aid 5650D D4143680
Nebulizer Machine 1 Schuco S3000 O60600044762
Nebulizer Machine 1 Schuco S3000 O6O6OOO44759
Nebulizer Machine 1 Schuco S5000 O4OO8144
O2 Oxygen Concentrator 1 Invacare IRC5LX 08JS2432534
O2 Oxygen Concentrator 1 Invacare IRC5LX O8JS2432544
O2 Oxygen Concentrator 1 Respironics 1020000 O172771
O2 Oxygen Concentrator 1 Respironics 1020000 O178144
O2 Oxygen Concentrator 1 Respironics 1020000 OO63817
Contractors Name
Page 13 of 16
O2 Oxygen Concentrator 1 Respironics 1020001 OO19O72
O2 Oxygen Concentrator
(Portable) 1 Respironics EverGo 128271
(Portable) 1 Respironics 150745
Ophthalmoscope 1 Propper 767
Ophthalmoscope 1 Welch Allyn 676 O8022
Ophthalmoscope 1 Welch Allyn 767 5067
Ophthalmoscope 1 Welch Allyn 767
Ophthalmoscope / Sure Temp
Termometer 1 Welch Allyn 76751 03407350A
Oximeter, Pulse 1 BCI 71000A1 390413246
Oximeter, Pulse (HandHeld) 1 BCI 3301 702386238
Contractors Name
Page 14 of 16
Oximeter, Pulse (HandHeld) 1 BCI 3301 AB06091992
Oximeter, Pulse (HandHeld) 1 BCI 3301 BB11080236
Oximeter, Pulse (HandHeld) 1 Nellcor N180 21298689
Pump, Infusion 1 Baxter 6201 15013782FA
Refrigerator 1 AEGIS Scientific
Refrigerator 1 EdgeStar CRF150SS AAT2107076930177
Refrigerator 1 EdgeStar CRF150SS AAT210707893D134
Refrigerator 1 Emerson CRS19B 105001464HRS
Refrigerator 1 GE GTS18FBMBRWW PA745684
Refrigerator 1 GoldStar 7768 11559
Refrigerator 1 GoldStar GR151SPF 006KR01417
Refrigerator 1 GoldStar GR-151SPF 105KR10960
Refrigerator 1 GoldStar GR-151SPF 105KR11559
Refrigerator 1 GoldStar GR-151SPF
Refrigerator 1 Haier Haier K2003600124
Refrigerator 1 Kelvinator TPK140EN
Refrigerator 1 Red Stage CRF150SS AAT21070078930140
Refrigerator 1 Summit A080700533
Refrigerator 1 Summit FF28
Refrigerator 1 Summit FF28L SU12037W512200043
Refrigerator 1 Summit FF28L SU12039W512200324
Refrigerator 1 Summit FFAR2L A110200059
Refrigerator 1 Summit SU12037W512200238
Refrigerator 1 Summit
Refrigerator 1 Summit
Scale, Weight 1 Detecto
Scale, Weight 1 Health O Meter 402KL 4020028728
Scale, Weight 1 Health O Meter
Scale, Weight 1 Health O Meter
Scale, Wheelchair 1 Detecto
Spot Vital Sign 1 Dynamapp 73F3 K1714
Contractors Name
Page 15 of 16
Spot Vital Sign 1 Welch Allyn 420 Series 20516527
Spot Vital Sign 1 Welch Allyn 420 Series GA104875
Spot Vital Sign 1 Welch Allyn 420 Series
Spot Vital Sign 1 Welch Allyn 42NTB 20071254
Spot Vital Sign 1 Welch Allyn 530T0 JA067605
Spot Vital Sign 1 Welch Allyn 530T0 JA067726
Suction Machine 1 Laerdal 78050779531
Contractors Name
Page 16 of 16
T Pump 1 Gaymar TP200 A1J98007
T Pump 1 Gaymar TP200 AIE98271
Thermometer 1 Sherwood 692 7244382
Thermometer 1 Sherwood F1500 L8817053
Thermometer 1 Welch Allyn 692 O72444OO
X-Ray View Box, X-Ray 1 Carr 2 E5
X-Ray View Box, X-Ray 1 Carr 2 E5
X-Ray View Box, X-Ray 1 Carr
X-Ray View Box, X-Ray 1 Wolf 29602
X-Ray View Box, X-Ray 1 Wolf
Contractors Name
Page 17 of 16
Contractors Name
SERVICE REPORT Exhibit A-3
Page 1 of 1
MEDICAL EQUIPMENT MAINTENANCE, INSPECTION, CALIBRATION, AND REPAIR SERVICE
REPORT
Use one form for EACH piece of equipment serviced. If additional space is required, use back of form
A completed, signed copy of this service report along with all applicable maintenance checklists
must be submitted at the completion of each service and maintenance visit, and must accompany
all invoice submissions. Failure to do so may delay or prevent payment.
To be completed only by Institution Designee,
prior to commencement of service
Time In Signature of Institution Designee
To be completed only by Institution Designee, immediately
following the completion of service
Time Out Signature of Institution Designee
Origination Point Total Travel Hours
Equipment Location Equipment Description
Equipment Make & Model Serial/Asset Tag Number
Preventative Maintenance Service
and Inspection
Monthly Bi-Annual Annual
Calibration? (if yes, attach report ) Yes No
Provide explanation on all services performed and parts replaced. (All removed parts remain as institution property.)
Service Repairs
Service Completed? Yes No
Were Parts replaced? Yes No
Provide explanation on all services performed and parts replaced. (All removed parts remain as institution property.)
Describe any noted deficiencies and suggested corrective action:
I certify that, to the best of my ability, the equipment described above has been tested and/or
repaired/cleaned/certified according to the procedures as stated within the contract.
Name of Service Technician/Contractor Institution RT, HPM III, or designee
Print Name and Phone Number Print Name and Phone Number
Signature Date Signature Date
Contractors Name
CA Department of Corrections And Rehabilitation OPS12.003
LIST OF PARTICIPATING INSTITUTIONS Exhibit A-4
Page 1 of 1
List of Participating Institutions
Name of Institution and
Address
Contact Name Contact Phone
Number
Contact E-Mail Address
Calipatria State Prison
(CAL)
7018 Blair Road
Calipatria, CA 92233
Theresa Shelton (760)348-7000
x5450
Theresa.Shelton@cdcr.ca.gov
Chuckawalla Valley State
Prison (CVSP)
19025 Wiley's Well Rd.
Blythe, CA 92225
Janie Herrera (760)922-5300
x7057
Janie.Herrera@cdcr.ca.gov
California Institution for
Women (CIW)
16756 Chino-Corona Road
Corona, CA 92880
Lisa Nunez (909)597-1771
x3702
Lisa.Nunez@cdcr.ca.gov
Ironwood State Prison (ISP)
19005 Wiley's Well Road
Blythe, CA 92225
George Copple (760)921-3000
x4393
George.Copple@cdcr.ca.gov
California State Prison,
Los Angeles County (LAC)
44750 60th Street West
Lancaster, CA 93536-7620
Monica Hubbs (661)729-2000
x7430
Monica.Hubbs@cdcr.ca.gov
R. J. Donovan Correctional
Facility (RJD)
480 Alta Road
San Diego, CA 92179
Wehtahnah
Tucker
(619)661-6500
x8678
Wehtahnah.Tucker@cdcr.ca.gov
Contractors Name
Equipment Transfer Form Exhibit A-5
Page 1 of 1
Equipment Custody Transfer Form (ECTF)
Institutions Name:
Pick-Up Date of Equipment: Estimated Return Date:
Equipment Description: Equipment Location:
Make/Manufacturer: Model:
Serial Number of Equipment:
Property Number (if available):
TRANSFER TO
Name of Contractor:
By signature, Contractor agrees that above mentioned equipment is released to their custody.
Picked-Up/Received by (Print
Name):
Signature (required):
CDCR Personnel Authorized by
(Print Name):
Signature (required):
Notes/Remarks:
TRANSFER TO INSTITUTION
FOR INSTITUTION PERSONNEL USE ONLY
Equipment Received Date:
Received by: Signature (required):
Notes/Remarks:
Contractors Name
BUDGET DETAIL AND PAYMENT PROVISIONS Exhibit B
Page 1 of 1
1. Invoicing and Payment
A. For services satisfactorily rendered, and upon receipt and approval of the invoices, the State
agrees to compensate the Contractor for actual expenditures incurred in accordance with the
rates listed below or specified in Exhibit B-1, Rate Sheet, which is attached hereto and made a
part of this Agreement.
B. Invoices shall include the Agreement Number, sufficient scope and detail to define the actual
work performed and specific milestones completed, including a description of the activities of the
Contractor and Subcontractor, the hours allocated to those activities, the locations where work
was performed, the expenses claimed, any required reports, and shall be submitted in duplicate
not more frequently than monthly in arrears to the following address:
California Department of Corrections and Rehabilitation
Sacramento Regional Accounting Office
Attn: Accounts Payable Unit A
P.O. Box 187016
(Invoices must reference the agreement number, PO number, date and time of work performed,
and description of services performed. If either of this information is not on the invoice, it may
cause delays in payment processing.)
C. Invoice approval requires satisfactory completion of each service performed.
2. Budget Contingency Clause
A. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years
covered under this Agreement does not appropriate sufficient funds for the program, this
Agreement shall be of no further force and effect. In this event, the State shall have no liability to
pay any funds whatsoever to Contractor or to furnish any other considerations under this
Agreement and Contractor shall not be obligated to perform any provisions of this Agreement.
B. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this program,
the State shall have the option to either cancel this Agreement with no liability occurring to the
State, or offer an agreement amendment to Contractor to reflect the reduced amount.
3. Prompt Payment Clause
A. Payment will be made in accordance with, and within the time specified in, Government Code
Chapter 4.5, commencing with Section 927.
4. Travel Reimbursement
The State will not reimburse for Contractors travel expense against this Agreement.
Contractors Name
CCHCS SPECIAL TERMS AND CONDITIONS INSTITUTIONS Exhibit D
Page 1 of 6
1. Blood borne Pathogens
Provider shall adhere to California Division of Occupational Safety and Health (CAL-OSHA) regulations
and guidelines pertaining to blood borne pathogens.
2. Clothing Restrictions
While on institution grounds, contractor and all its agents, employees, and/or representatives shall be
professionally and appropriately dressed in clothing distinct from that worn by inmates at the institution.
Specifically, blue denim pants and blue chambray shirts, orange/red/yellow/white/chartreuse jumpsuits
and/or yellow rainwear shall not be worn onto institution grounds, as this is inmate attire. The contractor
should contact the institution regarding clothing restrictions prior to requiring access to the institution to
assure the contractor and their employees are in compliance.
3. Digest of Laws
If the requirements of the Agreement require the contractor to enter an Institution, the contractor shall
sign the "Digest of Laws related to Association with Inmates", incorporated herein by reference, and
ensure that all his/her employees are aware of and abide by these rules. Employees of the Contractor,
while upon State grounds, are subject to the search of their person, property, and vehicle (Section 3288
of the CDC Director's Rules).
4. Disclosure
Neither the State nor any State employee will be liable to the contractor or its staff for injuries inflicted by
inmates or parolees of the State. The State agrees to disclose to the contractor any statement(s) known
to State staff made by any inmate or parolee which indicates violence may result in any specific situation,
and the same responsibility will be shared by the contractor in disclosing such statement(s) to the State.
5. Employment of Ex-Offenders
Contractor cannot be and will not either directly, or on a sub-contract basis, employ in connection with this
Agreement:
Ex-Offenders on active parole or probation;
o Ex-Offenders at any time if they are required to register as a sex offender pursuant to
Penal Code Section 290 or if such ex-offender has an offense history involving a "violent felony"
as defined in subparagraph (c) of Penal Code Section 667.5; or
o Any ex-felon in a position which provides direct supervision of parolees.
Ex-Offenders who can provide written evidence of having satisfactorily completed parole or probation
may be considered for employment by the contractor subject to the following limitations:
o Contractor shall obtain the prior written approval to employ any such ex-offender from the
Authorized Administrator; and Such ex-offender whose assigned duties are to involve
administrative or policy decision making, accounting, procurement, cashiering, auditing, or any
other business- related administrative function shall be fully bonded to cover any potential loss
to the State or contractor.
6. Excise Tax
The State of California is exempt from federal excise taxes, and no payment will be made for any taxes
levied on employees' wages. The State will pay for any applicable State of California or local sales or use
taxes on the services rendered or equipment or parts supplied pursuant to this Agreement. California
may pay any applicable sales and use tax imposed by another state.
Contractors Name
Page 2 of 6
7. Fingerprinting
The contractor and any employees of the contractor may be subject to fingerprinting and clearance by the
State through the Department of Justice, Bureau of Criminal Identification and Information.
8. Force Majeure
Neither party shall be liable to the other for any delay in or failure of performance, nor shall any such
delay in or failures of performance constitute default, if such delay or failure is caused by Force Majeure.
As used in this section, Force Majeure is defined as follows: Acts of war and acts of God such as
earthquakes, floods, and other natural disasters such that performance is impossible.
9. Gate Clearance
Contractor and contractors employee(s) and/or subcontractor(s) must be cleared prior to providing
services. The contractor will be required to complete a Request for Gate Clearance for all persons
entering the facility a minimum of ten (10) working days prior to commencement of service. The Request
for Gate Clearance must include the persons name, social security number, valid state drivers license
number or state identification card number and date of birth. Information shall be submitted to the
Contract Liaison or his/her designee. CDCR uses the Request for Gate Clearance to run a California
Law Enforcement Telecommunications System (CLETS) check. The check will include Department of
Motor Vehicles check, Wants and Warrants check, and Criminal History check.
Gate clearance may be denied for the following reasons: Individuals presence in the institution presents
a serious threat to security, individual has been charged with a serious crime committed on institution
property, inadequate information is available to establish positive identity of prospective individual, and/or
individual has deliberately falsified his/her identity.
All persons entering the facilities must have a valid state drivers license or photo identification card on
their person.
10. Inspection of Services
Services performed by Contractor under this Agreement shall be subject to inspection by the CPHCS at
any and all times during the performance thereof.
If the CPHCS official conducting the inspection determines that the services performed by Contractor
(and/or materials furnished in connection therewith) are not in accordance with the specification, CPHCS
may, at its option, have the work performed by an alternate provider, charging the Contractor with any
excess cost occasioned thereby.
11. Liability for Loss and Damages
Any damages by the contractor to the State's facility including equipment, furniture, materials or other
State property will be repaired or replaced by the contractor to the satisfaction of the State at no cost to
the State. The State may, at its option, repair any such damage and deduct the cost thereof from any sum
due contractor under this Agreement.
12. Liability for Nonconforming Work
The contractor will be fully responsible for ensuring that the completed work conforms to the agreed upon
terms. If nonconformity is discovered prior to the contractor's deadline, the contractor will be given a
reasonable opportunity to cure the nonconformity. If the nonconformity is discovered after the deadline for
the completion of the project, CDC, in its sole discretion, may use any reasonable means to cure the
Contractors Name
Page 3 of 6
nonconformity. The contractor shall be responsible for reimbursing CDC for any additional expenses
incurred to cure such defects.
13. License and Permits
The Contractor shall be an individual or firm licensed to do business in California and shall obtain at
his/her expense all license(s) and permit(s) required by law for accomplishing any work required in
connection with this contract.
A. If you are a Contractor located within the State of California, a business license from the
city/county in which you are headquartered is necessary; however, if you are a corporation, a
copy of your incorporation documents/letter from the Secretary of States Office can be submitted.
If you are a Contractor outside the State of California, you will need to submit to CPHCS a copy
of your business license or incorporation papers for your respective State showing that your
company is in good standing in that state.
B. In the event, any license(s) and/or permit(s) expire at any time during the term of this contract;
Contractor agrees to provide CPHCS with a copy of the renewed license(s) and/or permit(s)
within 30 days following the expiration date. In the event the Contractor fails to keep in effect at
all times all required license(s) and permit(s), the State may, in addition to any other remedies it
may have, terminate this contract upon occurrence of such event.
14. Primary Laws, Rules, and Regulations Regarding Conduct and Association with State
Prison Inmates
Individuals who are not employees of the California Department of Corrections and Rehabilitation
(CDCR), but who are working in and around inmates who are incarcerated within Californias
institutions/facilities or camps, are to be apprised of the laws, rules and regulations governing conduct in
associating with prison inmates. The following is a summation of pertinent information when non-
departmental employees come in contact with prison inmates.
By signing this contract, the Contractor agrees that if the provisions of the contract require the Contractor
to enter an institution/facility or camp, the Contractor and any employee(s) and/or subcontractor(s) shall
be made aware of and shall abide by the following laws, rules and regulations governing conduct in
associating with prison inmates:
a. Persons who are not employed by CDCR, but are engaged in work at any institution/facility or
camp must observe and abide by all laws, rules and regulations governing the conduct of their
behavior in associating with prison inmates. Failure to comply with these guidelines may lead to
expulsion from CDCR institutions/facilities or camps.
SOURCE: California Penal Code (PC) Sections 5054 and 5058; California Code of
Regulations (CCR), Title 15, Sections 3285 and 3415
b. CDCR does not recognize hostages for bargaining purposes. CDCR has a NO HOSTAGE
policy and all prison inmates, visitors, and employees shall be made aware of this.
SOURCE: PC Sections 5054 and 5058; CCR, Title 15, Section 3304
c. All persons entering onto institution/facility or camp grounds consent to search of their person,
property or vehicle at any time. Refusal by individuals to submit to a search of their person,
property, or vehicle may be cause for denial of access to the premises.
SOURCE: PC Sections 2601, 5054 and 5058; CCR, Title 15, Sections 3173, 3177, and
3288
Contractors Name
Page 4 of 6
d. Persons normally permitted to enter an institution/facility or camp may be barred, for cause, by
the CDCR Director, Warden, and/or Regional Parole Administrator.
SOURCE: PC Sections 5054 and 5058; CCR, Title 15, Section 3176 (a)
e. It is illegal for an individual who has been previously convicted of a felony offense to enter into
CDCR institutions/facilities or camps without the prior approval of the Warden. It is also illegal for
an individual to enter onto these premises for unauthorized purposes or to refuse to leave said
premises when requested to do so. Failure to comply with this provision could lead to
prosecution.
SOURCE: PC Sections 602, 4570.5 and 4571; CCR, Title 15, Sections 3173 and 3289
f. An encouraging and/or assisting prison inmate to escape is a crime. It is illegal to bring firearms,
deadly weapons, explosives, tear gas, drugs or drug paraphernalia on CDCR institutions/facilities
or camp premises. It is illegal to give prison inmates firearms, explosives, alcoholic beverages,
narcotics, or any drug or drug paraphernalia, including cocaine or marijuana.
SOURCE: PC Sections 2772, 2790, 4533, 4535, 4550, 4573, 4573.5, 4573.6 and 4574
g. It is illegal to give or take letters from inmates without the authorization of the Warden. It is also
illegal to give or receive any type of gift and/or gratuities from prison inmates.
SOURCE: PC Sections 2540, 2541 and 4570; CCR, Title 15, Sections 3010, 3399, 3401,
3424 and 3425
h. In an emergency situation the visiting program and other program activities may be suspended.
SOURCE: PC Section 2601; CCR, Title 15, Section 3383
i. For security reasons, visitors must not wear clothing that in any way resembles state issued
prison inmate clothing (blue denim shirts, blue denim pants).
SOURCE: CCR, Title 15, Section 3171 (b) (3)
j. Interviews with SPECIFIC INMATES are not permitted. Conspiring with an inmate to circumvent
policy and/or regulations constitutes a rule violation that may result in appropriate legal action.
SOURCE: CCR, Title 15, Sections 3261.5, 3315 (3) (W), and 3177.
15. Right to Terminate (SCM 7.85)
A. The State reserves the right to terminate this Agreement subject to thirty (30) days written notice
to the Contractor. Contractor may submit a written request to terminate this Agreement only if the
State should substantially fail to perform its responsibilities as provided herein.
B. However, the Agreement can be immediately terminated for cause. (Refer to GTC, Exhibit C,
Item 7. Termination for Cause)
C. This agreement may be suspended or cancelled without notice, at the option of the Contractor, if
the Contractor or States premises or equipment are destroyed by fire or other catastrophe, or so
substantially damaged that it is impractical to continue service, or in the event the Contractor is
unable to render service as a result of any action by any governmental authority.
Contractors Name
Page 5 of 6
16. Security Clearance
The State reserves the right to conduct a background check on the contractor and/or the
contractor's personnel as the State deems necessary prior to award or during the term of the
Agreement. The State further reserves the right to terminate the Agreement should a threat to
security be determined.
17. Security Regulations
a. Unless otherwise directed by the entrance gate officer and/or Contract Manager, the contractor,
contractors employees and subcontractors shall enter the institution through the main entrance
gate and park private and nonessential vehicles in the designated visitors parking lot.
Contractor, contractors employees and subcontractors shall remove the keys from the ignition
when outside the vehicle and all unattended vehicles shall be locked and secured while on
institution grounds.
b. Any State- and contractor-owned equipment used by the contractor for the provision of contract
services, shall be rendered temporarily inoperative by the Contractor when not in use, by locking
or other means unless specified otherwise.
c. In order to maintain institution safety and security, periodic fire prevention inspections and site
searches may become necessary and contractor must furnish keys to institutional authorities to
access all locked areas on the worksite. The State shall in no way be responsible for contractors
loss due to fire.
d. Due to security procedures, the contractor, contractors employees and subcontractors may be
delayed at the institution vehicle/pedestrian gates and sally ports. Any loss of time checking in
and out of the institution gates and sally ports shall be borne by the contractor.
e. Contractor, contractors employees and subcontractors shall observe all security rules and
regulations and comply with all instructions given by institutional authorities.
f. Electronic and communicative devices such as pagers, cell phones and cameras/microcameras
are not permitted on institution grounds.
g. Contractor, contractors employees and subcontractors shall not cause undue interference with
the operations of the institution.
h. No picketing is allowed on State property.
18. Temporary Nonperformance
If, because of mechanical failure or for any other reason, the contractor shall be temporarily unable to
perform the work as required, the State, during the period of the contractor's inability to perform, reserves
the right to accomplish the work by other means and shall be reimbursed by the contractor for any
additional costs above the Agreement price. person, firm or corporation furnishing or supplying work
services, materials or supplies in connection with the performance of this Agreement, and from any and
all claims and losses accruing or resulting to any person, firm or corporation who may be injured or
damaged by the contractor in the performance of this Agreement.
Contractors Name
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19. Settlement of Disputes
In the event of a dispute, Contractor shall file a "Notice of Dispute" with the California Prison Health Care
Services (CPHCS) representative within ten (10) days of discovery of the problem. Within ten (10) days,
CPHCS representative shall meet with the Contractor representative for purposes of resolving the
dispute. The decision of CPHCS shall be final.
In the event of a dispute, the language contained within this Agreement shall prevail over any other
language including that of the bid proposal
20. Tobacco-Free Environment
Pursuant to Penal Code Section 5030.1, the use of tobacco products by any person on the grounds of
any institution or facility under the jurisdiction of the Department of Corrections and Rehabilitation is
prohibited.
21. Tuberculosis (TB) Testing
In the event that the services required under this Agreement will be performed within a CDCR
institution/parole office/community based program, prior to the performance of contracted duties,
contractors and their employees who are assigned to work with inmates/parolees on a regular basis shall
be required to be examined or tested or medically evaluated for TB in an infectious or contagious stage,
and at least once a year thereafter or more often as directed by CDCR. Regular basis is defined as
having contact with inmates/parolees in confined quarters more than once a week.
Contractors and their employees shall be required to furnish to CDCR, at no cost to CDCR, a form CDCR
7336, Employee Tuberculin Skin Test (TST) and Evaluation, prior to assuming their contracted duties
and annually thereafter, showing that the contractor and their employees have been examined and found
free of TB in an infectious stage. The form CDCR 7336 will be provided by CDCR upon contractors
request.
Contractors Name
California Department of Corrections and Rehabilitation (CDCR) OPS12.003
ADDITIONAL PROVISIONS INSURANCE REQUIREMENTS Exhibit E
Page 1 of 1
Insurance Requirements
A. When Contractor submits a signed contract to the State, Contractor shall furnish to the State
a certificate of insurance, stating that there is commercial general liability insurance presently
in effect for the Contractor of not less than $1,000,000.00 per occurrence for bodily injury and
property damage liability combined.
B. The certificate of insurance will include provisions below in their entirety:
1) That the insurer will not cancel the insureds coverage without 30 days prior written notice
to the State.
2) That the State of California, its officers, agents, employees, and servants are included as
additional insured, but only insofar as the operations under this contract are concerned.
3) That the State will not be responsible for any premiums or assessment on the policy.
C. Contractor agrees that the bodily injury liability insurance herein provided for shall be in effect
at all times during the term of this contract. In the event said insurance coverage expires at
any time or times during the term of this contract, Contractor agrees to provide at least 30
days prior to said expiration date, a new certificate of insurance evidencing insurance
coverage as provided for herein for not less than the remainder of the term of the contract, or
for a period of not less than one year. New certificates of insurance are subject to the
approval of the Department of General Services, and Contractor agrees that no work or
services shall be performed prior to the giving of such approval. In the event the Contractor
fails to keep in effect at all times insurance coverage as herein provided, the State may, in
addition to any other remedies it may have, terminate this contract upon occurrence of such
event.
D. The Department will not provide for nor compensate Contractor for any insurance premiums
or costs for any type or amount of insurance.
E. In addition, the certificate evidencing general liability must include evidence of one of the
following if applicable to the service:
1) Pesticide/Herbicide Endorsement, OR
2) An endorsement deleting the general liability pollution exclusion, OR
3) A separate environmental/pollution liability policy with limits not less than $1,000,000.00
covering bodily injury and property damage from pollution and related clean up costs
incurred arising out of the work or services to be performed under this contract.
F. Automobile Liability Insurance The Contractor shall furnish to the State a certificate of
insurance evidencing automobile liability insurance presently in effect for the Contractor for
not less than $1,000,000.00 per accident while utilizing a motor vehicle in the performance of
this contract. Such insurance shall cover liability arising out of a motor vehicle including
owned, hired, and non-owned motor vehicles. For contracted services involving
transportation of hazardous materials, evidence of an MCS-90 endorsement is required.
G. Workers Compensation Insurance The Contractor shall furnish to the State a certificate
of insurance evidencing workers compensation insurance and employers liability
presently in effect with limits not less than $1,000,000.00 by an insurance carrier licensed
to write Workers Compensation Insurance in California. Such certificate shall include the
name of the carrier, policy inception and expiration dates. If the Contractor is self-insured
for workers compensation, a certificate must be presented evidencing Contractor is a
qualified self insurer in the State of California.

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