TERMS AND CONDITIONS OF SALE

Purchase Order # / Reference Vendor's Quote #
Manufacturer / Model #
Vendor / Description
To: / From: / Phone (615)
Fax (615)
Fax: / Pages: / 2 Including this Sheet
Phone: / Date: / 9/21/2018

Instructions: Please have an authorized vendor representative read, sign and return page two of this document to the sender named above.

Purchase Order # / Reference Vendor's Quote #
Manufacturer / Model #
Vendor / Description

1.The following items are required as part of this order. Two (2) copies of operator’s manual AND one (1) copy of the technical service manual or the digital equivalents. All manuals become the sole property of Saint ThomasHospital. On an annual basis, manufacturer will provide manual updates, if applicable, to all manuals with any changes regarding upgrades, modifications, recalls etc. Such manuals shall be in compliance with NFPA 99, Chapter 9 (Manufacturer Requirements) and any other regulatory compliance requirement. Any order received without manuals shall be considered incomplete and payment will be withheld until manuals are provided. See item #’s 5 & 6 below for other requirements.

2.The vendor shall guarantee equipment meets or exceeds all current requirements and standards established by AAMI, FDA, UL, IEC, NFPA and OSHA. Equipment may be subject to acceptance testing prior to warranty expiration. Any equipment that is non-compliant with original equipment manufacturers specifications will receive an extended warranty until said equipment has met specifications.

3.Equipment failing to meet the above requirements shall be deemed unacceptable and returned to the vendor for full credit.

4.Vendor shall provide on-site training for equipment users and shall include service training at vendor’s facility, if required (see item # 5), as part of this purchase agreement.

IF BOX AT LEFT IS CHECKED, ITEM #5 IS REQUIRED WITH THIS PURCHASE

5.The vendor shall comply with all the requirements established in the attached STHS Biomedical Equipment Evaluation Form.

IF BOX AT LEFT IS CHECKED, ITEM #6 IS REQUIRED WITH THIS PURCHASE

6.In addition, complete service training for a St. ThomasHospital technical employee will be provided (exclusive of travel, lodging and meal expenses) either at the manufacturer’s training facility or at St. ThomasHospital. Such training, specialized tools, test equipment, software and service literature shall be equivalent to that provided to manufacturer’s own service representatives and shall become the sole permanent property of Saint ThomasHospital.

IF BOX AT LEFT IS CHECKED, ITEM #7 IS REQUIRED WITH THIS PURCHASE

7.Vendor agrees to perform a complete PM/Inspection of equipment approximately one month prior to the end of the original warranty and further agrees to correct any issues identified during the inspection at no charge as a part of the original warranty. Vendor further agrees that any equipment user training required prior to warranty end date will be conducted at no additional charge.

IF BOX AT LEFT IS CHECKED, ITEM #8 IS REQUIRED WITH THIS PURCHASE

8.To enable Vendor to carry out its obligations under the agreement, St. Thomas Hospital will disclose to Vendor, and/or allow Vendor to create and/or receive on behalf of St. Thomas Hospital, Individually Identifiable Health Information, as such term is defined in 45 C.F.R. Parts 160 and 164 (the “Privacy Standards”). In accordance with the Privacy Standards, Vendor will be required to execute the attached HIPAA Business Associate Contract and return it to St. ThomasHospital.

Until all requirements listed above have been met, final payment for equipment will not be made. Additionally, warranty period start dates will not begin until the day of first successful clinical use and no late payment penalties will be incurred due to vendor’s delays in fulfilling the above requirements. Vendor representative signature below indicates acceptance of the terms described in this document and all the terms described herein become a part of vendor’s proposal.

SIGNED ______DATE ______

PRINTED NAME ______TITLE ______

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