RES 2018-0808 - MOU Agmt with Physio-Control Inc for chest compression devices �� � � '1 t ` 1 E ! Fire Department
.� " rnr 1516 Jackson Street
n® ,f1 .p� Omaha,Nebraska 68102-3110
o F'7y �'=r' ''"^ �y (402)444-5700
20 h RIG 13 9• FAX(402)444-6378
�AO4�TFD FEBR�t,*
Daniel C.Olsen
City of Omaha e 11 ' C t..E,'!'i, Fire Chief
Jean Stothert,Mayor 0 HA, 4
Honorable President
and Members of the City Council,
Transmitted herewith is a Resolution ratifying a Memo of Understanding — Funding
Agreement with the Firehouse Subs Public Safety Foundation for the purchase of two (2)
Lucas Chest Compression Devices from Physio-Control, Inc. in the amount of$21,708.40
with no City match. The Firehouse Subs Public Safety Foundation has already provided
the funds to us and this resolution will authorize payment to Physio-Control, Inc. which
was part of the grant application
Pursuant to the grant application, Physio-Control.Products, Inc. is the provider of the two
(2) Lucas Chest Compression Devices awarded to the Omaha Fire Department through
the Firehouse Subs Public Safety Foundation at a cost of$21,708.40.
Payment to Physio-Control Products, Inc. for the two (2) Lucas Chest Compression
Devices will come from 12201 Fire Grants, 114582 EMS Services, 47012 Equipment over
$10,000.
Your favorable consideration of this Resolution is requested.
Respectfully submitted, Approved:
___..e 3-r g r (P-?-19
Danie C. Olsen Date ‘ii-A-,),14
anklin T. Thompson Date
Fire Chief Human Rights and Relations Director
Approved as to Funding: Referred to City Council for Consideration:
,/( ;-4 4 Cit-: e 1---,ce,t.„ _4.t, bfrA- Kboh
Step en B. Curtiss ate Mayors Office Date
Finance Director
Firehouse Subs Lucas Grant Cover Letter, 10016111
City Clerk Office Use Only:
a-- Publication Date 'f app'ca le):
RESOLUTION NO.
-a
Agenda Date:
Department: tf
Submitter:8W Latq
CITY OF OMAHA
LEGISLATIVE CHAMBER
Omaha, Nebraska
RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA:
WHEREAS, the City of Omaha applied for and has received a grant from the Firehouse
Subs Public Safety Foundation on July 11, 2018, for the purchase of two (2) Lucas Chest
Compression Devices from Physio-Control, Inc.; and,
WHEREAS, the City of Omaha entered into the attached Memo of Understanding -
Funding Agreement with the Firehouse Subs Public Safety Foundation; and,
WHEREAS, the purchase from Physio-Control, Inc. will be entirely funded by the grant
with no City match in the amount of$21,708.40 and will be paid from 12201 Fire Grants, 114582 EMS
Services, 47012 Equipment of$10,000; 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 attached signed Memo of Understanding -
Funding Agreement is hereby ratified and the purchase from Physio-Control, Inc., in the amount of
twenty one thousand seven hundred eight dollars and forty cents ($21,708.40)for the purchase of two
(2) Lucas Chest Compression Devices, is hereby approved; and,
BE IT FURTHER RESOLVED THAT, the Finance Department of the City of Omaha is
authorized to pay Physio-Control, Inc. in the amount of $21,708.40 for the purchase of two (2) Lucas
Chest Compression Devices, from the grant funds received from the Firehouse Subs Public Safety
Foundation, Fund 12201, Fire Grants, 114582 EMS Services, 47012 Equipment over$10,000.
RESOLUTION NO. \i'D%
APPROVED AS RM:
ais +g
DEPUTY CITY ATTORNEY D TE
Adopted:
AUG 21 2018 —
Attest:
City Clerk �' ,{
Approved: IL -�1 —()AA C
Mayor
Firehouse Subs Lucas Grant Resolution, 10017j11
tf464-42-- C C S
Douglas County Purchasing Department
Unique Item Justification
•For City of Omaha and Douglas County
•
Complete the entire form to request unique(sole source)products or services and return to the
Douglas County Purchasing Department.
Department: F 1"l, .�k PO#:
Product or service requested: N,e..sime.. ,!„ cs,e,
Recommended Vendor: Qh �;� -
Estimated annual expenditure for the product/service: $9.‘,��
Initial all entries that apply to the proposed product or service. More than one entry may
apply to a unique product/service. Attach a memorandum containing complete
justification and supporting documentation as directed.
1. The listed vendor is the original manufacturer or provider of this
product/service.There are no regional distributors. (Attach the manufacturer's written
certification that no regional distributors exist. Item No. 3 must be completed.)
2. The parts/equipment are not interchangeable with similar parts/equipment of
another manufacturer. (Explain In separate memorandum.)
3. This is the only known item or service that will meet the need of this
Department or perform the intended function. (Attach memorandum with details of
specialized function or application.)
4. $ The parts/equipment are required from this source to permit standardization.
(Attach memorandum describing basis for standardization request.)
5. This is the only known vendor that can supply this product (Explain in
separate memorandum why no other vendor is acceptable.)
6. None of the above apply.A detailed explanation and justification for this
unique item/sole source request is contained in an attached memorandum.
The undersigned requests that the competitive procurement process be waived and that
the vendor, identified as the supplier of the service or goods, be authorized as a unique
source (so source for the service or goods.
?- It- /_
Department Head/Elected Official • Date
' For Purchasing Department Only
Approved by: Denied by: Date:
Reason for Denial:
Revised 11/2014 Neb.Rev.Stat.§23-3109(1)
Gm "il Capt Melanie J.Bates Ma r-OmaF <melanie.bates ci ofomaha.or >
(Mayr-OmaF)) @ .ty 9
MOU Signature needed from Omaha Fire Department
1 message
Procurement<procurementfoundation@firehousesubs.com> Fri,Jul 6,2018 at 2:57 PM
To:melanie.bates@cityofomaha.org
Cc: Foundation Procurement<procurementfoundation@firehousesubs.com>
Dear Melanie,
Our Foundation has elected to submit a check to your organization for you to directly purchase the equipment per your approved grant request.
•
Please review &sign the attached memo of understanding (MOtJ) within 10 business days. E-mail procurementfoundation@firehousesubs.00m or
fax (904)886-2111 us a signed copy. Once we have your signature, we will add our signature and provide you a scanned copy. After that, we will
submit a check request.
Let us know if you have any questions.
•
Thank you,
Grants Procurement
Firehouse Subs Public Safety Foundation
12735 Gran Bay Parkway, Suite 150, Jacksonville, FL 32258
procurementfoundation@firehousesubs.com
FirehouseSubsFoundation.org •
Twitter Facebook
CONFIDENTIALITY NOTICE:The information and attachments contained in this electronic communication are confidential and intended only for the use of the intended recipients.If you
are not an intended recipient,you are hereby notified that any review,use,dissemination,distribution or copying of this communication is strictly prohibited. If you have received this
communication in error,please notify us immediately of the error by return e-mail and please permanently remove any copies of this message from your system and do not retain any
copies,whether in electronic or physical form or otherwise.
MOU-Omaha Fire Departmentpdf •
289K
0
M'' '.l 0 Capt Melanie J.Bates(Mayr-OmaF)<melanie.bates@cityofomaha.org>
try(;<1.1.Si•
Re: MOU Signature needed from Omaha Fire Department
1 message
Bobbie A King(Fin)<bobbie.king@cityofomaha.org> Mon,Jul 9,2018 at 11:41 AM
To:"Capt Melanie J.Bates(Mayr-OmaF)"<melanie.bates@cityofomaha.org>
Cc:"Sarah Egner(FIN)"<sarah.egner@cityofomaha.org>
Dio.to-the.purchase price of the devices being over$20,000,we will need this to go before Council to approve the purchase through grant funding.
Fund 12201
Org 114582
Acct 47012
•
I can deposit the check for you when it comes in to ensure it goes into the proper fund- 12201.
Thanks!
Bobbie King
Accountant II
City of Omaha
Finance Department
(P)402.444.5474
•
On Mon,Jul 9,2018 at 11:34 AM,Capt Melanie J.Bates(Mayr-OmaF)<melanie.bates@cityofomaha.org>wrote:
Captain Melanie Bates
City of Omaha
Mayor's Office
1819 Famam Suite 300
402-444-5038 office
402-740-2305 cell
melanie.bates@cityofomaha.org
Forwarded message From:Procurement<procurementfoundation@firehousesubs.com>
Date: Fri,Jul 6,2018 at 2:57 PM
Subject: MOU Signature needed from Omaha Fire Department
To: melanie.bates@cityofomaha.org
Cc:Foundation Procurement<procurementfoundation@firehousesubs.com>
Dear Melanie,
Our Foundation has elected to submit a check to your organization for you to directly purchase the equipment per your approved grant
request.
Please review &sign the attached memo of understanding (MOU) within 10 business days. E-mail procurementfoundation@firehousesubs.com or
fax (904)886-2111 us a signed copy. Once we have your signature, we will add our signature and provide you a scanned copy. After that, we will
submit a check request.
Let us know if you have any questions.
Thank you,
Grants Procurement
Firehouse Subs Public Safety Foundation
12735 Gran Bay Parkway, Suite 150,Jacksonville,FL 32258
procuremenffoundation@firehousesubs.com
FirehouseSubsFoundation.org
Twitter Facebook
CONFIDENTIALITY NOTICE:The information and attachments contained in this electronic communication are confidential and intended only for the use of the intended recipients.If
you are not an Intended recipient,you are hereby notified that any review,use,dissemination,distribution or copying of this communication is strictly prohibited. If you have received
this communication in error, please notify us immediately of the error by return e-mail and please permanently remove any copies of this message from your system and do not retain
any copies,whether in electronic or physical form or otherwise.
1
., l:,%kJ
Firehouse Subs Public Safety Foundation,Inc.
12735 Gran Bay Pkwy.,Suite 150,Jacksonville,Florida 32258
MEMO OF UNDERSTANDING-FUNDING AGREEMENT
July 6, 2018
•
Firehouse Subs Public Safety Foundation Responsibilities
• Firehouse Subs Public Safety Foundation will award a check to Omaha Fire Department for
$21,708.40 to be used toward the direct purchase of Two Lucas Chest Compression Devices.
• All purchases must match the quantities and equipment approved in the original grant request.
Failure to do so will put the grant in jeopardy.
Omaha Fire Department Responsibilities
1. A check will be remitted to the organization name as stated in this memo of understanding and must
match the EIN number submitted on the grant request. If there is a change in either information,you
must submit a W-9
2. If the mailing address where the check needs to be sent differs from the address on the submitted grant
application,please email the Foundation with the correct mailing address
3. Confirm check has been received by emailing Firehouse Subs Public Safety Foundation at
procurementfoundation(�c�,firehousesubs.com
4. Purchase the approved equipment
5. Verify purchase by providing Firehouse Subs Public Safety Foundation with one of the following:
o Copies of paid invoices,verifying your organization's name as the customer and matching the
vendor quote(s)
o A copy of the cleared check(s),verifying the payee and payment amount matches the vendor
quote(s)
6. Provide Firehouse Subs Public Safety Foundation with all SIGNED packing slips confirming receipt of
equipment
7. In the event that the purchased equipment costs less than the dollar amount awarded, all excess funds
must be returned to Firehouse Subs Public Safety Foundation
o Please email procurementfoundation(7a,firehousesubs.com with notification of excess funds
within 30 days of purchase
o Excess funds will need to be returned to Firehouse Subs Public Safety Foundation within 90 days
of purchase
8. If purchases exceed funding, Omaha Fire Department is responsible for the additional amount
VERY IMPORTANT: Deadline for submitted documentation is March 1,2019.
Firehouse Subs Public Safety Foundation Date
Omaha Fire Department Representative Date
Omaha Firc Department Representative Name(Print) Date
APP D AS TO FO
4 ' .-(-1 ie/if .
DEPUTY CITY ATTORNEY
Please do not submit this PDF,it is for reference only.Our grant application process is entirely digital.
APPLICANT AND DEPARTMENT INFORMATION
First Name Last Name Department Tax ID#
Melanie Bates
Organization/Department Email Address 47-6006304
Omaha Fire Department melanie.bates@cityofornaha.org
Alternate Name Alternate Email
Steve Swan Steven.Swan@cityofomaha.org
Address Line 1 City Omaha
1516 Jackson Street
Address Line 2 State NE Zip 68178
Shipping Address Line 1 Shipping Omaha
1516 Jackson Street . City
Shipping Address Line 2 Shipping NE Shipping 68178
State Zip
Organization Phone Number Alternate Contact Number Communities Served Population Number of Runs Per
402-444-5038 402-444-5746 Omaha Metropolitan area 508000 Year 54783
Local Approval Pre-qualifications •
Our jurisdiction does not require pre-approval from local officials.
APPLICATION REQUEST INFORMATION
The type of grant you are requesting: What is the EXACT cost of the equipment?
Equipment 21708.40
Variances in the amounts requested will be the responsibility of the grant recipient to pay directly?Yes
What Equipment are you requesting for your department? Briefly explain how the equipment will benefit your community
Two Lucas automatic high quality chest compression devices for and your department.
deployment on two ambulances not covered by this type of equipment. Providing life safety equipment that directly improves survival for persons in
cardiac arrest and increases safety for first responders providing care.
This would have a direct impact on more than 0 children in This would have a direct impact on more than 315 senior
our community. citizens in our community.
What materials are you requesting for your department?
Field not required for this category of request
What is the amount of funding Please provide a detailed description of how the funding will assist your department:
you are requesting? Field not required for this category of request
Field not required for this category of
request
COMMUNITY IMPACT
- Have you successfully reached out to the city for funds to Was there a particular instance where a life would have been
purchase the equipment? positively impacted if you would have had the equipment
Yes.This equipment is not In our budget and due to tight constraints for the available?
fire department budget in 2019,LUCAS will not be able to be considered. The LUCAS device has brought about an almost 20 percent increase in out
What positive effects will the equipment specifically have? of hospital cardiac arrest survival rates since implemented in Omaha.We
have had several documented cases of survival Including a man in his 60's
Please use statistics when possible. that was awake and alert at arrival at the hospital thanks to the LUCAS
Fully implemented 63 citizens in Omaha would have had an increased device. We need 3 additional devices to fully implement them in front line
nhenne..r e,,,,,,,,,,,,, 7n,7.„r4 net n„,,;,„,e ,„,eP,,,i,h fhe„tee of Ih1 ambulances across Omaha.We are respectfully requesting:wo from
FIREHOUSE SUBS RELATIONSHIP
Address of Firehouse Subs location nearest you. How far is this location from
721 S 72nd St,Omaha,NE 68114 your department? 1 Miles
How did you hear about our organization? Has your department received funding from Firehouse Subs
We are a community partner with Firehouse Subs. Public Safety Foundation in the past?
No
If approved for funding,we will host a press event at the Firehouse Subs restaurant nearest you.We ask that all PR be coordinated
by our Foundation,but of course we will work in conjunction with your PR team as well as the PIO of your department.
Initial Acceptance Melanie J PIO Email:Scott.fitzpatrick@cityofomaha.org
PIO(Public Information Officer)Name: PIO Phone Number:402444-5700
Scott Fitzpatrick
Please note,there are different categories of funding within the grant applica on,therefore the printed PDF document may contain some open blank fields.
Please do not contact the Foundation If fields appear blank.
•
NO. 8U
Item Submitted By: Jessica LaRocca
Department: Fire •
Council Meeting Date: August 21, 2018
Res. that as recommended by the Mayor, the signed Memo of Understanding - Funding
Agreement is hereby ratified and the purchase from Physio-Control, Inc., in the amount of
$21,708.40 for the purchase of two (2) Lucas Chest Compression Devices, is hereby approved.
(The Finance Department of the City of Omaha is authorized to pay Physio-Control, Inc. in the
amount of $21,708.40 for the purchase of two (2) Lucas Chest Compression Devices, from the
grant funds received from the Firehouse Subs Public Safety Foundation, Fund 12201, Fire
Grants, 114582 EMS Services, 47012 Equipment over$10,000.)
11 -]
Presented to City Council
August 21, 2018
APPROVED 7-0
&imbeth Rutter
City Clerk