RES 2008-1192 - PO from Tri-Anim Health Services for ventilators v
otomA,kir 1
Ci��ep. '��7�\, !P .4 it_-.[1 -I- ( Y L. L.
ril_ffr Office of the Mayor
it � i �!�!� �j ( 1819 Famam Street,Suite 300
c' n,; [ ; , ,t Omaha,Nebraska 68183-0300
oar (402)444-5000
4'4i'Eo FEaR°ram _ FAX:(402)444-6059
Cityof Omaha ` f r ;"'``" 'A,
Mikeahey,Mayor 4 liz, ,', n;- ,; r.
Honorable President
and Members of the City Council,
Transmitted herewith is a Resolution authorizing the acceptance of the bid and the payment to Tri-Anim
Health Services in the amount of $180,328.00 for 13 iVent ventilators, 77 iVent stands and 14 iVent
calibration kits for the annual testing of the iVent units for the Omaha Metro Medical Response System
(OMMRS). The iVent has been approved by metropolitan area hospital respiratory departments as the
one that specifically meets the needs of both pediatric and adult patients.
VersaMed is the sole manufacturer of this product and Tri-Anim Health Services is the sole source vendor
for this product and is a firm qualified to provide the product contemplated herein. In accord with the
provisions of Section 5.16,Home Rule Charter,when there is a sole source vendor,the City Council may,
by resolution, authorize the Purchasing Division to issue a purchase order for the services.
The Mayor recommends a purchase order be issued for 13 iVent ventilators, 77 iVent stands and 14 iVent
calibration kits. Said ventilators will be used by the Omaha Metro Medical Response System(OMMRS).
The cost of the iVents, iVent stands and iVent calibration kits will be paid from the 2008 Federal
Department of Health and Human Services Assistant Secretary for the Preparedness and Response
(ASPR) Grant, award number BT-622-123108, approved by City Council on April 22, 2008 (Resolution
Number 574).
Funds of$180,328.00 have been appropriated in the ASPR Budget, Fund 12168, Organization 130758.
The Finance Department is authorized to pay these costs from the listed account.
Approved as to Funding: Referred to City Council for Consideration:
C.,....„_.4 0,5th-rk.-- sxlls 1.7 if,_.,,,,
Carol A.Ebdon Date %ayor's Office Date
Finance Director
TA)
i r510t
Gail Kinsey-Tho son atepf)
Human Rights and Relations irectof�—
P.\MAY\1020k1c
1
d,
program fidelity and federal block grant requirements. Network Management and/or the
Department will complete verification.
4. Service Provider must agree to ensure continuity and comprehensiveness of services by
operating collaboratively with other community behavioral health prevention services and
providers. This shall include coordinating services with the Regional Prevention System
Coordination Office, other providers, the State BH Prevention Manager, and the
Department.
5. Service Provider must agree to comply with information reporting (including the
Prevention Data Set) required to maximize all federal funding.
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
?4
on or before
6:00 p.m. may be reimbursed for evening meal expenses. Noon meals may be reimbursed if -
the employee leaves on or before 11:00 a.m. (for overnight travel), or returns on or after 2:00
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
35
ei+
Page 2 of 4
A licant's Name.
recipient agrees to teach only the
certified standard G.R.E.A.T.curricula,and agrees to use the approved free student workbooks and approved free
graduation certificates. The grant recipient agrees not to reproduce,in whole or in part,in any format,the student
workbooks without prior BJA approval. Order forms are available at http://www.great-online.org/.
1f1^
OJP FORM 4000/2(REV.4.88
• EQUIPMENT PROCUREMENT REQUEST FORM (EPRF)
National Bioterrorism Preparedness Program 93.889
BT-622-123108
Hospital Preparedness Program--Pandemic Influenza Supplement $ 213,983.00
Grant #U3RHS007554-01-02 I-VENT
Grant #HPP Award 07 U3REP070035-01-00 (300,000.00)
Grant #U3REP070035.01.00 I-Vent Calibration Kits + I-Vent Stands
Grant #U3RHS007554-01-01 (50,000.00) I-Vent Stands
I-VENT- I-VENT Stands-I-Vent Calibration Kits
AGENCY REQUESTING PURCHASE: OMMRS
DATE: 7-22-08
CONTACT INFORMATION: Phyllis Dutton
11128 John Galt Blvd. Suite 550
Omaha, NE 68137
(402) 717-1733
Phyllis.dutton@alegent.org
EQUIPMENT & COST as stated on approved spending plan budget: $123,500.00 (Task # 16.02) I-Vent
$14,320.00 (Task # 15.06) Cal. Kits
$ 5,000.00 (Task# 17.04) I-vent Stands
$ 46,750.00 (Task # 15.05)I-vent Stands
Total: 189,570.00
Each piece of equipment costing$20,000 or more will go out to bid except equipment procured on a State Contract or the
piece of equipment is sole-source procurement.
AEL REFERENCE NUMBER: 09ME-02-VENT
ITEM DESCRIPTION/Specifications: I-Vent 201 Ventilator unit: Turbine driven, Oxygen conserving, no
need for compressed air source, meets patients high flow demand (90-180 Ipm), High PEEP capability
(0-40 cmH2O) Pressure support (important for weaning), non-invasive ventilation, internal/external
battery (2-8 hours) or 12V DC
Calibration kit is for the annual testing for maintenance of the unit and the I-Vent stands is designed to
hold the I-Vent for use at bedside.
SHIP TO: Note: Please Contact Jerry Nevins prior to delivery for arrangements with storage.
AGENCY: Alegent Health Immanuel Medical Center OMMRS Storage Unit
ADDRESS: 6901 N 72nd Street Omaha NE 68122
CONTACT: Jerry Nevins
PHONE NUMBER: (402) 578-9656 (cell); (402) 231-7298 (pager); (402) 614-7298
FAX: (402) 572-3651
Bid 1 (Lowest Bid)
VENDOR/MANUFACTURER: Tri-anim
COMPANY REPRESENTATIVE: Tim Avard (Tri-Anim Salesperson)
ADDRESS: 13170 Telfair Avenue Sylmar, CA 91342
PHONE: 1-800-221-1939 x7408;
FAX: (818) 362-8681
STATE CONTRACT #: BT-622-123108
7/30/2008 FY06 UASI Equipment Procurement Request Form pg 1
Carol A.Ebdon Date %ayor's Office Date
Finance Director
TA)
i r510t
Gail Kinsey-Tho son atepf)
Human Rights and Relations irectof�—
P.\MAY\1020k1c
1
d,
program fidelity and federal block grant requirements. Network Management and/or the
Department will complete verification.
4. Service Provider must agree to ensure continuity and comprehensiveness of services by
operating collaboratively with other community behavioral health prevention services and
providers. This shall include coordinating services with the Regional Prevention System
Coordination Office, other providers, the State BH Prevention Manager, and the
Department.
5. Service Provider must agree to comply with information reporting (including the
Prevention Data Set) required to maximize all federal funding.
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
?4
on or before
6:00 p.m. may be reimbursed for evening meal expenses. Noon meals may be reimbursed if -
the employee leaves on or before 11:00 a.m. (for overnight travel), or returns on or after 2:00
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
35
ei+
Page 2 of 4
A licant's Name.
recipient agrees to teach only the
certified standard G.R.E.A.T.curricula,and agrees to use the approved free student workbooks and approved free
graduation certificates. The grant recipient agrees not to reproduce,in whole or in part,in any format,the student
workbooks without prior BJA approval. Order forms are available at http://www.great-online.org/.
1f1^
OJP FORM 4000/2(REV.4.88
i
UNIT COST: $9,500.00 X 13=123,500.00 I-Vents Task# 16.02
$ 550.00 x77=42,350.00 I-Vent stands Task # 17.04 and 15.05
$850.00 X 14=11,900.00 Calibration Kiits Task # 15.06
QUANTITY: I-vents # 13 I-Vent Stands # 77 Calibration Kits # 14
SHIPPING COST: $40.00 per vent-24.00 per stand-15.00 per Kit = 2,578.00
SUBTOTAL: $180,328.00
TOTAL COST: $ 180,328.00
Bid 2 (Second-Lowest Bid)
VENDER:
COMPANY REPRESENTATIVE:
ADDRESS:
PHONE:
FAX:
STATE CONTRACT # (If applicable):
UNIT COST: $
QUANTITY:
SHIPPING COST: $
SUBTOTAL: $
TOTAL COST: $
Bid 3 (Highest Bid)
VENDER:
COMPANY REPRESENTATIVE:
ADDRESS:
PHONE:
FAX: 1
STATE CONTRACT # (If applicable):
UNIT COST: $
QUANTITY:
SHIPPING COST: $
SUBTOTAL: $
TOTAL COST: $
Yes X No Sole-Source Procurement? To purchase equipment from a sole-source, complete the
justification form and return it with this EPRF.
Yes X No Is the total cost of the equipment at or over$20,000.00? If the total cost of the lowest
bid is $20,000.00 or more, formal sealed competitive bids are required. Additionally, a
resolution is required to obtain Omaha City Council approval.
Yes X No Are all three quotes attached? (Or, in the case of a sole-source procurement, is the
quote from the sole-source attached?) Informal quotes are required and necessary to
expedite the bidding process.
CITY OF OMAHA USE ONLY: Mayor's Office Approval (JR, AF, or GB) PB Approval
7/30/2008 FY06 UASI Equipment Procurement Request Form pg 1
or use at bedside.
SHIP TO: Note: Please Contact Jerry Nevins prior to delivery for arrangements with storage.
AGENCY: Alegent Health Immanuel Medical Center OMMRS Storage Unit
ADDRESS: 6901 N 72nd Street Omaha NE 68122
CONTACT: Jerry Nevins
PHONE NUMBER: (402) 578-9656 (cell); (402) 231-7298 (pager); (402) 614-7298
FAX: (402) 572-3651
Bid 1 (Lowest Bid)
VENDOR/MANUFACTURER: Tri-anim
COMPANY REPRESENTATIVE: Tim Avard (Tri-Anim Salesperson)
ADDRESS: 13170 Telfair Avenue Sylmar, CA 91342
PHONE: 1-800-221-1939 x7408;
FAX: (818) 362-8681
STATE CONTRACT #: BT-622-123108
7/30/2008 FY06 UASI Equipment Procurement Request Form pg 1
Carol A.Ebdon Date %ayor's Office Date
Finance Director
TA)
i r510t
Gail Kinsey-Tho son atepf)
Human Rights and Relations irectof�—
P.\MAY\1020k1c
1
d,
program fidelity and federal block grant requirements. Network Management and/or the
Department will complete verification.
4. Service Provider must agree to ensure continuity and comprehensiveness of services by
operating collaboratively with other community behavioral health prevention services and
providers. This shall include coordinating services with the Regional Prevention System
Coordination Office, other providers, the State BH Prevention Manager, and the
Department.
5. Service Provider must agree to comply with information reporting (including the
Prevention Data Set) required to maximize all federal funding.
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
?4
on or before
6:00 p.m. may be reimbursed for evening meal expenses. Noon meals may be reimbursed if -
the employee leaves on or before 11:00 a.m. (for overnight travel), or returns on or after 2:00
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
35
ei+
Page 2 of 4
A licant's Name.
recipient agrees to teach only the
certified standard G.R.E.A.T.curricula,and agrees to use the approved free student workbooks and approved free
graduation certificates. The grant recipient agrees not to reproduce,in whole or in part,in any format,the student
workbooks without prior BJA approval. Order forms are available at http://www.great-online.org/.
1f1^
OJP FORM 4000/2(REV.4.88
X emergency management operations.
FINANCE DEPT ONLY: EXPENSE CODE
All Information is mandatory to purchase equipment.This form must be completed.
Use this form for each different piece of equipment to be purchased. Attach budget justification document.
7/30/2008 FY06 UASI Equipment Procurement Request Form pg 1
.
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cor
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750 3,000
Commercial Transportation(2009-10) 4 750 3,000
Vehicle Mileage 2,500 .505 1,263
Total 9,363
Rev.4/97
Analyst
& It:?/u/a1Approve
Tri-anim Quotation Page 1 of 1
Tri-anim Quotation
Quotation/Contract# : BIDFE1990743 Date: 07/17/08
Account Number: 49380 A
OMMRS
ATTN: PHYLLIS DUTTON
6901 N. 72ND ST.
OMAHA , NE 68122
Contact: JERRY NEVINS
Part number Description UOM Price ExpiresQty Ext
88-501I2201-DHHS VENTILATOR, 1 /EA$9,500.00#**08/31/2008 13$123,500.00
IVENT 201 DH
88-630B0001-02 ROLL STAND, 1 /EA $550.00#**07/17/2009 77 $42,350.00
WITH
MOUNTIN
88-900K0004-01 CALIBRATION 1 /EA $850.00#**07/17/2009 14 $11,900.00
KIT,INCLUDE
Total $177,750.00
Comments: Tri-Anim Health Services is the Sole Source distributor for VersaMed and the iVent 201.
Tri-anim provides local training and in-servicing for the VersaMed products along with VersaMed/GE
personnel, and has done so for two years.
Estimated Shipping charges: $40 per vent, $24 per roll stand, $15 per Calibration kit. Estimated total:
$25 788.000_
To place an order, please visit our website at www.Tri-anim.com, login and add to your shopping cart or call
(800)TRI-ANIM (874-2646).
Terms:NET 20 DAYS
"F.O.B.Destination,Freight Prepaid and Added.
#This quotation is good until manufacturer's price increase to Tri-anim.
This quotation is subject to credit approval of your account by Tri-anim.
TIM AVARD
Tri-anim Salesperson Customer
file://C:\Documents and Settings\10396\Local Settings\Temporary Internet Files\Content.... 7/24/2008
e Contact Jerry Nevins prior to delivery for arrangements with storage.
AGENCY: Alegent Health Immanuel Medical Center OMMRS Storage Unit
ADDRESS: 6901 N 72nd Street Omaha NE 68122
CONTACT: Jerry Nevins
PHONE NUMBER: (402) 578-9656 (cell); (402) 231-7298 (pager); (402) 614-7298
FAX: (402) 572-3651
Bid 1 (Lowest Bid)
VENDOR/MANUFACTURER: Tri-anim
COMPANY REPRESENTATIVE: Tim Avard (Tri-Anim Salesperson)
ADDRESS: 13170 Telfair Avenue Sylmar, CA 91342
PHONE: 1-800-221-1939 x7408;
FAX: (818) 362-8681
STATE CONTRACT #: BT-622-123108
7/30/2008 FY06 UASI Equipment Procurement Request Form pg 1
Carol A.Ebdon Date %ayor's Office Date
Finance Director
TA)
i r510t
Gail Kinsey-Tho son atepf)
Human Rights and Relations irectof�—
P.\MAY\1020k1c
1
d,
program fidelity and federal block grant requirements. Network Management and/or the
Department will complete verification.
4. Service Provider must agree to ensure continuity and comprehensiveness of services by
operating collaboratively with other community behavioral health prevention services and
providers. This shall include coordinating services with the Regional Prevention System
Coordination Office, other providers, the State BH Prevention Manager, and the
Department.
5. Service Provider must agree to comply with information reporting (including the
Prevention Data Set) required to maximize all federal funding.
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
?4
on or before
6:00 p.m. may be reimbursed for evening meal expenses. Noon meals may be reimbursed if -
the employee leaves on or before 11:00 a.m. (for overnight travel), or returns on or after 2:00
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
35
ei+
Page 2 of 4
A licant's Name.
recipient agrees to teach only the
certified standard G.R.E.A.T.curricula,and agrees to use the approved free student workbooks and approved free
graduation certificates. The grant recipient agrees not to reproduce,in whole or in part,in any format,the student
workbooks without prior BJA approval. Order forms are available at http://www.great-online.org/.
1f1^
OJP FORM 4000/2(REV.4.88
• JUSTIFICATION FOR NON-COMPETITIVE PROCUREMENT
(SOLE SOURCE JUSTIFICATION)
I-VENT-I-VENT Stand-Calibration Kit
PARAGRAPH 1: A brief description of the program and what is being contracted.
The OMMRS Equipment and Training Committee is in the process of doing
pandemic planning. Ventilators would be needed to assist those affected
due to difficulty with breathing. It has been determined that we have a
limited number of ventilators in the metro area and all hospitals rent from
the same vendor. In a pandemic we would not have the ventilators
available to help with the treatment. The goal is to have at least 100
additional ventilators in the metro area as funding becomes available.
PARAGRAPH 2: Explanation of why a non-competitive contract is necessary, to include the
following:
The I-Vent 201 has been determined to have the ideal characteristics for a mass
casualty event. It provides adequate oxygenation and ventilation for all patient types
and categories. It is transportable,flexible and has been chosen by the Military, the
Department of Homeland Security, and leading teaching hospitals. It is a full-
featured ICU ventilator and provides real time monitoring and feedback. We
currently purchased 61 of these vents. This purchase would give additional support
to the community and provide continuity with our equipment purchases. It will also
help us in reaching our goal of having at least 100 additional Ventilators in the
metro area.
PARAGRAPH 3: Time Contract
This product is being purchased through the:
National Bioterrorism Preparedness Program 93.889
BT-622-123108
Hospital Preparedness Program—
Pandemic Influenza Supplement(213,983.00)
Grant#U3RHS007554-01-02
This contract which is from three separate funding streams has a very short time line for completion.
This equipment is being purchased through the funding that needs to be completed by 12-31-08.
PARAGRAPH 4: Uniqueness
Effectively ventilates patients for short and long term, easy to use, provides
maximal patient safety and comfort, assist in infection/environmental
control, and provides a true rugged platform.
PARAGRAPH 5: Other points that should be covered to make a convincing case.
The ventilator has a true rugged platform that has been proven by the
military with use in IRAQ.
10/20/2005 ODP Sole Source Justification Form pg I
P.\MAY\1020k1c
1
d,
program fidelity and federal block grant requirements. Network Management and/or the
Department will complete verification.
4. Service Provider must agree to ensure continuity and comprehensiveness of services by
operating collaboratively with other community behavioral health prevention services and
providers. This shall include coordinating services with the Regional Prevention System
Coordination Office, other providers, the State BH Prevention Manager, and the
Department.
5. Service Provider must agree to comply with information reporting (including the
Prevention Data Set) required to maximize all federal funding.
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
?4
on or before
6:00 p.m. may be reimbursed for evening meal expenses. Noon meals may be reimbursed if -
the employee leaves on or before 11:00 a.m. (for overnight travel), or returns on or after 2:00
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
35
ei+
Page 2 of 4
A licant's Name.
recipient agrees to teach only the
certified standard G.R.E.A.T.curricula,and agrees to use the approved free student workbooks and approved free
graduation certificates. The grant recipient agrees not to reproduce,in whole or in part,in any format,the student
workbooks without prior BJA approval. Order forms are available at http://www.great-online.org/.
1f1^
OJP FORM 4000/2(REV.4.88
PARAGRAPH 6: A declaration that this action is in the best interest of the agency.
The OMMRS Equipment and Training Committee feels that this purchase is
In the best interest of the community to maintain continuity with those
units we have already purchased.
10/20/2005 ODP Sole Source Justification Form pg 2
pg 1
.
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co
(D `L3 N.) HS 5 -+ 5 ,-f ... 0
�\ th
One Moonwalker Road, Frederica, Delaware USA 19946-2080 P: 302 335 3911 F: 302 335 0762
cor
p0cr0cr ° g ,< 0O g ° `C3
CAD O 5 CCDD 0. O 0- CT O, CD CDCD
N
750 3,000
Commercial Transportation(2009-10) 4 750 3,000
Vehicle Mileage 2,500 .505 1,263
Total 9,363
Rev.4/97
Analyst
& It:?/u/a1Approve
C-25A CITY OF OMAHA
LEGISLATIVE CHAMBER
Omaha,Nebraska
RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA:
WHEREAS, the Omaha Metropolitan Medical Response System (OMMRS)
seeks to purchase 13 iVent ventilators, 77 iVent stands and 14 iVent calibration kits;-for the"annual
testing of the iVent units in accordance with the requirements and budget of the 2008 Federal
Department of Health and Human Services Assistant Secretary for the Preparedness and
Response (ASPR) Grant; and,
WHEREAS, this is a sole-source procurement based on VersaMed is the sole
manufacturer of this product and Tri-Anim Health Services is the sole source vendor for this product;
and,
WHEREAS, the mayor recommends your favorable consideration of this
Resolution.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF OMAHA:
THAT, as recommended by the Mayor, the purchase 13 iVent ventilators, 77 iVent stands and 14
iVent calibration kits for the annual testing of the iVent unit from Tri-Anim Health Services for the
Omaha Metro Medical Response System (OMMRS) in the amount of $180,328.00 is hereby
approved; and, that the Finance Department is authorized to pay this amount from the 2008
Federal Department of Health and Human Services Assistant Secretary for the Preparedness and
Response (ASPR) Grant, award number BT-622-123108, approved by City Council on April 22,
2008 (Resolution Number 574).
P:\MAY\1020k1c.doc APPROVED AS TO FORM:
411 Cesi&IL, f
D P Y CITY ATTORNEY DATE
By. .... ... .
,,gzi
ouncilmember
Adopted S 9' 08 "Q
' ),)'--u4,44-— -;;•- ,_ City Cler ��
te440",,,...
Approved
$ Mayor
eparate funding streams has a very short time line for completion.
This equipment is being purchased through the funding that needs to be completed by 12-31-08.
PARAGRAPH 4: Uniqueness
Effectively ventilates patients for short and long term, easy to use, provides
maximal patient safety and comfort, assist in infection/environmental
control, and provides a true rugged platform.
PARAGRAPH 5: Other points that should be covered to make a convincing case.
The ventilator has a true rugged platform that has been proven by the
military with use in IRAQ.
10/20/2005 ODP Sole Source Justification Form pg I
P.\MAY\1020k1c
1
d,
program fidelity and federal block grant requirements. Network Management and/or the
Department will complete verification.
4. Service Provider must agree to ensure continuity and comprehensiveness of services by
operating collaboratively with other community behavioral health prevention services and
providers. This shall include coordinating services with the Regional Prevention System
Coordination Office, other providers, the State BH Prevention Manager, and the
Department.
5. Service Provider must agree to comply with information reporting (including the
Prevention Data Set) required to maximize all federal funding.
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
?4
on or before
6:00 p.m. may be reimbursed for evening meal expenses. Noon meals may be reimbursed if -
the employee leaves on or before 11:00 a.m. (for overnight travel), or returns on or after 2:00
Adapted from the Nebraska Department of Health and Human Services System Documents in 2005
35
ei+
Page 2 of 4
A licant's Name.
recipient agrees to teach only the
certified standard G.R.E.A.T.curricula,and agrees to use the approved free student workbooks and approved free
graduation certificates. The grant recipient agrees not to reproduce,in whole or in part,in any format,the student
workbooks without prior BJA approval. Order forms are available at http://www.great-online.org/.
1f1^
OJP FORM 4000/2(REV.4.88
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750 3,000
Commercial Transportation(2009-10) 4 750 3,000
Vehicle Mileage 2,500 .505 1,263
Total 9,363
Rev.4/97
Analyst
& It:?/u/a1Approve