Download 3 - Orange County Fire Authority

Rental Agreement and Support Agreement
Pyxis Product Schedule: Conversion
Customer Name: ORANGE COUNTY FIRE AUTHORITY
Customer Number: 206309
Rental Agreement Date: November 30, 2011
GPO: Standard
HSPA: N/A
Support Level: Basic Svc Support Term: 60 mo
Discounts: Product +
*A GPO:
*B QTY:
Notes:
Support +
*A GPO
*B QTY
*D Initial Installation Incentive:
+Product discounts are applied to applicable products
0.0%
5.0%
+Support discounts are applied to all Support list prices
The fees stated in this Agreement are offered by CareFusion Solutions, LLC for acceptance by the Customer for a period expiring on: January 29, 2012
Type of Conversion: HC
Current Agreement
New Rental Agreement
M
M
M
M
M
M
M
M
M
8000122851
6033780
8000122852
6033780
8000122853
6033780
8000122854
6033780
8000122855
6033780
8000122856
6033780
8000122857
6033780
8000122858
6033780
8000122624
6033780
Current
Location in
Hospital
B3FS21
B2FS10
B1FS64
B7FS45
B5FS36
B8FS63
B6FS9
B4FS22
OCFA
Product Number
N4MB2DRW2
N4MB2DRW2
N4MB2DRW2
N4MB2DRW2
N4MB2DRW2
N4MB2DRW2
N4MB2DRW2
N4MB2DRW2
Product Name
N4 Mn2dr 2PremBio
N4 Mn2dr 2PremBio
N4 Mn2dr 2PremBio
N4 Mn2dr 2PremBio
N4 Mn2dr 2PremBio
N4 Mn2dr 2PremBio
N4 Mn2dr 2PremBio
N4 Mn2dr 2PremBio
N4M3DO0DRNV N4 SglMn RAD+0Dr NV
Install
Code
UPU
UPU
UPU
UPU
UPU
UPU
UPU
UPU
UPU
Oct-06
Oct-06
Oct-06
Oct-06
Oct-06
Oct-06
Oct-06
Oct-06
Oct-06
Initial Term
Serial
Number
Contract Number
Rent Start
Unit
Type
Intentionally
Blank
Monthly
60
60
60
60
60
60
60
60
60
Product Price*
$
$
$
$
$
$
$
$
$
374
374
374
374
374
374
374
374
324
New Term: 60
Support
$
$
$
$
$
$
$
$
$
85
85
85
85
85
85
85
85
57
Proposed
Location
B3FS21
B2FS10
B1FS64
B7FS45
B5FS36
B8FS63
B6FS9
B4FS22
OCFA
Ship To
206309
206309
206309
206309
206309
206309
206309
206309
206309
Monthly Rental Fee
Product Number
Product Name
List
M4MB2DR7W2
M4MB2DR7W2
MedStation 4000 2 Drawer Main with up to 2 Cubie/
Mini Drawers, BioID
$
M4MB2DR7W2
MedStation 4000 2 Drawer Main with up to 2 Cubie/
Mini Drawers, BioID
$
M4MB2DR7W2
MedStation 4000 2 Drawer Main with up to 2 Cubie/
Mini Drawers, BioID
$
M4MB2DR7W2
MedStation 4000 2 Drawer Main with up to 2 Cubie/
Mini Drawers, BioID
$
M4MB2DR7W2
MedStation 4000 2 Drawer Main with up to 2 Cubie/
Mini Drawers, BioID
$
M4MB2DR7W2
MedStation 4000 2 Drawer Main with up to 2 Cubie/
Mini Drawers, BioID
$
M4MB2DR7W2
MedStation 4000 2 Drawer Main with up to 2 Cubie/
Mini Drawers, BioID
$
M4MB5DR7W2
MedStation 4000 4 Drawer Main with up to 2 Cubie/
Mini Drawers, Permanent Bin Drawer, BioID
$
M4C7NWA
MedStation 4000 NonProfile Console with up to 1 printer, montor, UPS
$
466
$
-
C
6033780
8000123969
OCFA
N4FC
Fac Console v4.x
UPU
Oct-06
60
$
158
$
57
OCFA
206309
O
6033780
123427
OCFA
BIDP
NM 3.0 BioID Upg
CNL
Oct-06
60
$
-
$
-
OCFA
206309
Return Pyxis Product to CareFusion
206317
MedStation 4000 2 Drawer Main with up to 2 Cubie/
Mini Drawers, BioID
$
M
12821262
6052510
B6FS29
N4MB2DRW2
1
N4 Mn2dr 2PremBio
Total Existing Equipment:
UPU
Nov-08 60
1 ATR
$
$
381 $
3855
3,855
$
91
885
B6FS29
885
M4MB2DR7W2
Total Conversion Equipment:
$
Net
*Applied Disc
MedStation 4000 2 Drawer Main with up to 2 Cubie/
Mini Drawers, BioID
$
Monthly Support
List
Net
468
B-3
D-42.2
$
262
$
96
$
91
468
B-3
D-42.2
$
262
$
96
$
91
468
B-3
D-42.2
$
262
$
96
$
91
468
B-3
D-42.2
$
262
$
96
$
91
468
B-3
D-42.2
$
262
$
96
$
91
468
B-3
D-42.2
$
262
$
96
$
91
468
B-3
D-42.2
$
262
$
96
$
91
468
B-3
D-42.2
$
262
$
96
$
91
684
B-3
D-42.2
$
383
$
96
$
91
B-3
D-42.2
$
259
$
96
$
90
$
-
$
-
$
-
$
262
$
96 $
1056
91
$
3,000
$
1,000
468
5,362
B-3
D-42.2
*Product Price may represent monthly rental fee or purchase price as applicable to the original agreement
11051
Project
Document #: 206309 206309 4000 Med 2011-12-16 160450 11051
Carefusion Use Only: STD PPL 11-2011
0
Customer Initials:
12/16/2011 9:41 AM
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