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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