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Agenda 02/12/2019 Item #11D02/12/2019 EXECUTIVE SUMMARY Recommendation to approve the purchase of an H135T3H helicopter from Airbus Helicopters, Inc. (“Airbus”), along with HCare Service coverage, and equipped with a medical interior installed by Metro Aviation, Inc. (“Metro Aviation”), in the amount of $7,911,299 to replace the current, less capable 1999 Airbus EC 135T1 helicopter, and authorize the Chairman to execute the required purchase and service agreements, and to approve a budget amendment in the amount of $435,700. OBJECTIVE: To enable the EMS Med Flight helicopter program to continue accomplishing its assigned missions with quick and efficient transport of patients to definitive specialty care, provide additional work space in the cabin of the patient compartment, and meet current recommended safety standards. CONSIDERATIONS: The Collier County EMS MedFlight program began in 1975 and currently uses a 1999 Eurocopter EC135T1 twin-engine turbine helicopter to provide airborne EMS services, covering 2,000 square miles. This service is nationally accredited and is integrated with the ground-based ambulance service operated by the Collier County Emergency Medical Services. This year, the Collier County Med Flight helicopter EMS program is projected to carry at least 350 residents and visitors from the site of medical emergencies to the nearest trauma receiving facilities, which are located in Lee and Miami-Dade counties. Collier County does not have a trauma receiving facility and the availability of air ambulance transport is critical for improved patient outcome following injury. The number of patients transported by air is growing by 15 to 20 per year and the population for Collier County is projected to increase by 1.75% per year. At its May 22, 2018 meeting, the Board approved single source waivers with Airbus and Metro Aviation and authorized EMS staff to negotiate a purchase contract with Airbus for the purchase of an H135T3H helicopter up to 10 million dollars. Staff negotiated Purchase and Service Agreements with Airbus in the amount of $7,911.299 and a service support agreement for approximately $80,000.00 per year to avoid any disruption in service. The cost of the service agreement is included in budgeted maintenance operating funds. As part of its due diligence, staff evaluated other alternatives to emergency air ambulance delivery services and concluded the current model best addresses the needs of the County’s citizens and visitors. The existing helicopter provides quality service to the County, but as it approaches 20 ye ars old, repairs are needed more frequently, decreasing availability, along with significant engine maintenance, which is both costly and time consuming. The new aircraft provides increased capabilities and safety features and will cover the County’s needs for the next 20 years. A few highlighted differences are: • Increased maximum gross weight for extra cargo and fuel capacity for longer flights. • Modern FADEC (engine control system) for fully redundant failover safety. • Modern engines for better safety and performance. o Increased single engine performance in case of one engine failure. o 9% more power allows for all HAA (Helicopter Air Ambulance) mission profiles. o 8% more one-engine inoperative power allows pilots to conduct safe landing. o More economical fuel usage • Helionix cockpit display significantly reduces pilot workload o Autopilot controls all phases of instrument approach, ending in an auto-hover for increased safety when unexpected weather is encountered o Eliminates need for pilot to conduct Helicopter Flight Data Monitoring • State-of-art Health Usage Monitoring System (HUMS) monitors aircraft component health and enables predictive rather than reactive maintenance 11.D Packet Pg. 335 02/12/2019 FISCAL IMPACT: The negotiated purchase price of the new helicopter is $7,911,299. Airbus typically requires a 20% down payment upon placing an order; however, three (3) milestone payments were negotiated in lieu of a down payment to meet the 20% requirement (attached). The total milestone payment amounts will total $1,582,260 with the remaining balance of $6,329,040 due upon final acceptance of the helicopter. After setting aside the first $2 million in FY 2015, a total of $7,475,600 is currently appropriated to acquire the new helicopter. A budget amendment from General Fund (001) reserves in the amount of $435,700 will be required to achieve the full purchase amount and proceed with the acquisition. Once the order is placed, the estimated delivery of the aircraft is expected no later than the first quarter of 2020. The projected life of this asset is 15 to 20 years. The current EC 135 is expected to remain in service up to one year after the delivery of the new aircraft. At the end of this period, the current EC 135 will be sold. The estimated value is approximately $1 million. Once sold, General Fund (001) reserves will be replenished. The HCare Service agreement spend is anticipated to be approximately $80,000 per year. GROWTH MANAGEMENT IMPACT: There are no Growth Management Impacts associated with this action. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. -SRT RECOMMENDATION: To approve the purchase of an H135T3H helicopter with HCare Service from Airbus Helicopters, Inc. in the amount of $7,911,299, authorize the negotiated milestone payments, authorize the Chairman to execute the necessary agreements and budget amendment, and authorize the County Manager or his designee to execute any forms, checklists, etc., required to take acceptance of the aircraft. Prepared by: Tabatha Butcher, EMS Chief ATTACHMENT(S) 1. Additional Forms (PDF) 2. Collier County Insurance Cert #1 (PDF) 3. Collier County Insurance Cert #2 (PDF) 4. HCare Smart Agreement Vendor Signed (PDF) 5. Master Agreement Vendor approved (PDF) 11.D Packet Pg. 336 02/12/2019 COLLIER COUNTY Board of County Commissioners Item Number: 11.D Doc ID: 7966 Item Summary: Recommendation to approve the purchase of an H135T3H helicopter from Airbus Helicopters, Inc. (“Airbus”) with HCare Service coverage equipped with a medical interior installed by Metro Aviation, Inc. (“Metro Aviation”), in the amount of $7,911,299 to replace the current, less capable 1999 Airbus EC 135T1 helicopter, to execute the required purchase and service agreements, and to authorize a budget amendment in the amount of $435,700. (Tabatha Butcher, Chief - Emergency Medical Services, Administrative Services Department) Meeting Date: 02/12/2019 Prepared by: Title: Division Director - EMS Operations – Emergency Medical Services Name: Tabatha Butcher 02/04/2019 2:06 PM Submitted by: Title: Division Director - EMS Operations – Emergency Medical Services Name: Tabatha Butcher 02/04/2019 2:06 PM Approved By: Review: Procurement Services Opal Vann Level 1 Purchasing Gatekeeper Completed 02/04/2019 4:44 PM Administrative Services Department Michael Cox Level 1 Division Reviewer Completed 02/04/2019 4:59 PM Procurement Services Sandra Herrera Additional Reviewer Completed 02/05/2019 8:53 AM Procurement Services Ted Coyman Additional Reviewer Completed 02/05/2019 1:47 PM Administrative Services Department Len Price Level 2 Division Administrator Review Completed 02/05/2019 1:55 PM County Attorney's Office Scott Teach Level 2 Attorney Review Completed 02/05/2019 2:44 PM Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 02/05/2019 2:48 PM Budget and Management Office Mark Isackson Additional Reviewer Completed 02/05/2019 4:28 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 02/06/2019 7:59 AM County Manager's Office Leo E. Ochs Level 4 County Manager Review Completed 02/06/2019 1:57 PM Board of County Commissioners MaryJo Brock Meeting Pending 02/12/2019 9:00 AM 11.D Packet Pg. 337 11.D.1Packet Pg. 338Attachment: Additional Forms (7966 : Purchase of EMS Helicopter) 11.D.1Packet Pg. 339Attachment: Additional Forms (7966 : Purchase of EMS Helicopter) 11.D.1Packet Pg. 340Attachment: Additional Forms (7966 : Purchase of EMS Helicopter) 11.D.1Packet Pg. 341Attachment: Additional Forms (7966 : Purchase of EMS Helicopter) 11.D.1Packet Pg. 342Attachment: Additional Forms (7966 : Purchase of EMS Helicopter) 11.D.1Packet Pg. 343Attachment: Additional Forms (7966 : Purchase of EMS Helicopter) 11.D.1Packet Pg. 344Attachment: Additional Forms (7966 : Purchase of EMS Helicopter) Airbus Helicopters Cert: Collier County (Aircraft purchase $5M).docx Marsh USA David A. Ekes Managing Director 500 Dallas Street, Suite 1500 Houston, TX 77002 Phone: 713-276-8515 Fax: 713-276-8664 E-Mail: david.ekes@marsh.com CERTIFICATE OF INSURANCE (Sometimes referred to herein as “this Certificate”) Subject to all of the below referenced Policy(ies)’ declarations, insuring agreements, conditions and exclusions (including but not limited to limits of liability, deductibles, warranties and/or endorsements contained therein) (hereinafter, the “Policy(ies)’ Terms”), this is to certify to: Collier County, a political subdivision of the State of Florida c/o Collier County MedFlight 2375 Tower Drive Naples, FL 34104 (Sometimes referred to herein as “the Certificate Holder(s)”) that the Insurers referred to below, each for their own part and not one for the other, are providing the following insurance: NAMED INSURED(S): Airbus Helicopters, Inc. (“AHI”) (hereinafter, the “Named Insured(s)”) NAMED INSURED(S)’ ADDRESS: ): located at 2701 N Forum Drive, Grand Prairie, Texas 75052 (hereinafter, the “Named Insured(s)’ Address”) POLICY PERIOD: 1 January 2019 to 31 December 2019 on both dates at 12:01AM local time in effect at the Named Insured(s) Address (hereinafter, the “Policy Period”) POLICY(IES) (hereinafter, the “Policy(ies)”)/INSURERS (hereinafter, “Insurers”)/POLICY NUMBERS: Allianz Global Risks US Insurance Company c/o Allianz Global Corporate & Specialty 1 Chase Manhattan Plaza, 37th Floor New York, NY 10005 Policy Number: A1PR000662419AM SEVERAL LIABILITY NOTICE: The subscribing Insurers' obligations under contracts of insurance to which they subscribe are several and not joint and is limited solely to the extent of their individual subscriptions. The subscribing Insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or part of its obligations. LSW 1001 (Insurance) GEOGRAPHICAL LIMITS: Worldwide. DESCRIPTION OF CONTRACT(S) TO WHICH THIS CERTIFICATE APPLIES: Aircraft purchase agreement between the Certificate Holder and the Named Insured regarding the Equipment (as described below) (hereinafter, the “Contract”). 11.D.2 Packet Pg. 345 Attachment: Collier County Insurance Cert #1 (7966 : Purchase of EMS Helicopter) Airbus Helicopters Cert: Collier County (Aircraft purchase $5M).docx DESCRIPTION OF EQUIPMENT INSURED: Any aircraft owned by, operated by, or in the care, custody, and control of the Named Insured (hereinafter, the “Equipment”) Summary of some of the more significant insurance coverage(s), limit(s) of liability and deductible(s) of the Policy(ies) INSURANCE COVERAGE(S) LIMIT(S) OF LIABILITY NOTE: AGGREGATE LIMITS WILL BE REDUCED DUE TO PAID CLAIMS WITHOUT FURTHER NOTICE TO THE CERTIFICATE HOLDER(S) DEDUCTIBLE(S) Aviation liability insurance including, inter alia, bodily injury liability, property damage liability, passenger legal liability, contractual liability, personal injury liability, hangarkeepers’ liability, products and grounding liability, premises liability, dram shop liability, cargo liability. Coverage includes liability arising out of the use by the Named Insured(s) of any premises owned, leased or occupied by the Named Insured(s) which relate to the Named Insured(s)’ airline operations. Coverage includes liability arising out of the use by the Named Insured(s) of any automobile or mobile equipment operated by the Named Insured(s) while on restricted airport premises. Combined single limit (bodily injury, property damage, personal injury (passengers only)) US$5,000,000 any one occurrence/offense and in the annual aggregate as respects personal injury liability, subject to the following sublimits which are included within and not in addition to the limit set forth above: Extended Coverage Endorsement (Aviation Liabilities) a.k.a. AVN52E: US$5,000,000 any one occurrence and in the annual aggregate (sublimit not applicable to passengers) Personal injury liability (to third parties other than passengers): US$5,000,000 any one occurrence, any one offense, and in the annual aggregate; US$1,250 (or tariff, whichever is greater) each and every claim as respects baggage liability. US$10,000 (or tariff, whichever is greater) each and every claim as respects cargo liability. For fixed and rotor wing aircraft: 10% of the loss with a minimum of USD 1,500 any one occurrence and with a maximum of USD 20,000 any one occurrence as respects to hangarkeepers’ liability Aircraft hull insurance* covering all aircraft owned or operated by the Named Insured(s) including engines and other equipment while attached to said aircraft, or removed therefrom and not replaced. * ground, taxiing and flight risks Aircraft agreed value as stated in the Description of Equipment Insured section above, subject to a maximum agreed value of US$50,000,000 any one aircraft (inlcuding aircraft engine(s), part(s), component(s), and/or equipment attached thereto). Each loss, each aircraft: aircraft type hull deductible Ec135 US25,000 H130 US$25,000 Deductibles not applicable to total loss, constructive total loss or arranged total loss. In the event of an occurrence involving the application of more than one deductible then the highest deductible shall be applied as an aggregate deductible for all losses arising out of such occurrence 11.D.2 Packet Pg. 346 Attachment: Collier County Insurance Cert #1 (7966 : Purchase of EMS Helicopter) Airbus Helicopters Cert: Collier County (Aircraft purchase $5M).docx SPECIAL PROVISION(S) Solely as respects: (i) the Insurance Coverage(s) noted above, (ii) the Contract(s) and only to the extent of the insurance requirements and/or the Named Insured(s)’ indemnity obligations under the Contract(s), subject to all of the Policy(ies)’ Terms applying, (iii) the Equipment (if applicable) and (iv) the operations of the Named Insured(s), the following provision(s) apply(ies): NOTE: The term “Additional Insured(s)” when used in the following Special Provision(s) in the context of other than Aviation Liability Insurance is for sole purpose of identifying party(ies) to the Contract(s) (or others party(ies), as may be required) and shall not be construed as providing any rights to said party(ies) other than as provided under the Policy(ies). Solely as respects aircraft liability insurance: Collier County Board of County Commissioners, its respective directors, officers, employees, agents, servants, partners, affiliates, successors and assignees of each referred to above is/are included as additional insured(s) (the "Additional Insured(s)”) as their respective interests may appear, warranted no operational interest. Solely as respects Aircraft Liability Insurance: This insurance is primary without right of contribution from any other insurance which is carried by the Additional Insured(s). As respects all coverages: In the event of cancellation of the Policy(ies) by Insurers or adverse material change of the Polic y(ies) by Insurers, Insurers agree that such cancellation or change shall not be effective as to the Additional Insured(s) until thirty (30) days / ten (10) days in the event of cancellation due to non-payment of premium / (seven (7) days or such shorter period as respects to war coverage) after issuance of notice to the Certificate Holder(s) (through Marsh USA) at the address(es) shown on the first page of this Certificate. If this Certificate (which for the purposes of this and the next paragraph only also includes any Broker Letter issued in connection with this Certificate) contain(s) provision(s) to give notice of certain events (as undertaken by us in this Certificate) (“Events”) to the Certificate Holder(s) and if those Events occur with respect to the Policy(ies), said notice(s) will be sent to the Certificate Ho lder(s) at the address(es) shown on the first page of this Certificate. Because this Certificate initially may be transmitted via electronic mail or means other than the U.S. Postal Service, if there is/are no address(es) shown above or if the address(es) shown above is/are incomplete, out of date or incorrect, it is incumbent upon the applicable Certificate Holder(s) to notify Marsh USA (in writing, at the above address) of the correct address(es). Failure to do so will relieve Marsh USA of any obligation to notify the applicable Certificate Holder(s) of any Events relating to the Policy(ies) other than to the address(es) (to the extent they are complete) shown on the first page of this Certificate UNLESS, prior to the Events occurring, the applicable Certi ficate Holder(s) provide(s) Marsh USA (in writing, at the above address) with the correct address(es), in which case Marsh USA will be obligated to provide notice of Events to the applicable Certificate Holder(s) as undertaken by us in this Certificate. This Certificate (and unless otherwise noted herein, the coverage(s) afforded the Certificate Holder(s) (and/or those designated as additional insured(s) and/or loss payee(s) and/or otherwise) under this Certificate and/or the Policy(ies)) shall automatically terminate, without further notice, upon the earliest of (i) natural expiration of the Policy(ies) on the date shown above; (ii) cancellation of the Policy(ies) prior to the natural expiration date (as notified to the Certificate Holder(s) in accordance with the provisions of this Certificate); (iii) termination of the Contract(s), except with respect to airline liability insurance required to be maintained after contract termination, in accordance with the provisions of the Contract(s); (i v) (solely with respect to this Certificate and not with respect to the coverage(s) afforded the Certificate Holder(s) (and/or those designated as additional insured(s) and/or loss payee(s) and/or otherwise) under this Certificate and/or the Policy(ies)) our ceasing to be the insurance broker for the Named Insured(s) in respect of the Policy(ies); and/or (v) in the case of aircraft hull insurance and/or aircraft spare parts insurance, termination of either the Named Insured(s)’ or the Certificate Holder(s)’ (and/or those designated as additional insured(s) and/or loss payee(s) and/or otherwise) under this Certificate and/or the Policy(ies) insurable interest(s) in the Equipment (and in the latter cases, only with respect to those particluar Certificate Holder(s) (and/or those designated as additional insured(s) and/or loss payee(s) and/or otherwise) under this Certificate and/or the Policy(ies)). This Certificate: (i) does not consitute a contract between Insurers, Marsh USA and the Certificate Holder(s); (ii) is issued as a summary of the Policy(ies) referred to herein; (iii) is issued as a matter of information only; (iv) confers no rights upon the Certificate Holder(s) (and/or any other party that may be named in this Certificate as additional insured(s), loss payee(s), contract party(ies) or otherwise) other than those 11.D.2 Packet Pg. 347 Attachment: Collier County Insurance Cert #1 (7966 : Purchase of EMS Helicopter) Airbus Helicopters Cert: Collier County (Aircraft purchase $5M).docx provided by the Policy(ies); (v) neither affirmatively nor negatively alter s, extends or amends any of the Policy(ies)’ Terms; and, (vi) notwithstanding any requirement, term or condition of any contract, agreement or other document with respect to which this Certificate may be issued or may pertain, is subject always to the Policy(ies)’ Terms. The undersigned has been authorized by the above Insurers to issue this Certificate on their behalf and is not an insurer and has no liability of any sort under the Policy(ies) as an insurer as a result of this certification. Date of Issue: January 1, 2019 Marsh USA 11.D.2 Packet Pg. 348 Attachment: Collier County Insurance Cert #1 (7966 : Purchase of EMS Helicopter) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANYPROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY A 1,000,000 GLUS00087865LI19A Manashi Mukherjee CLE-006394599-12 1,000,000 4,000,000 X 4,000,000 of Marsh USA Inc. Attn: CSS, TELEPHONE 202-263-7600 N X COMP/COLL DED 01/01/2019 7 01/01/2020 01/01/2020 CBA1353124 C 2,000,000 1,000,000 37257 General Casualty Company of Wisconsin 1,000,000 X X 1,000 02/01/2019 01/01/2019 Collier County, a political subdivision of the State of Florida is included as additional insured where required by written contract with respects to General Liability, Auto Liability and Umbrella Liability. X c/o Collier County MedFlight 2375 Tower Drive Collier County, Naples, FL 34104 25,000 A Praetorian Insurance Company CN117118805--GAWX-19-20 10,000 01/01/2020 1,000,000 UMUS00088585LI19A N/A 24554 500,000 1,000,000 WCA4OYRT01 1050 CONNECTICUT AVENUE, SUITE 700 MARSH USA INC. X WASHINGTON, DC 20036-5386 2550 Wasser Terrace, Suite 9100 Airbus Americas, Inc. Herndon, VA 20171 X X 01/01/2019 a political subdivision of the State of Florida X 01/01/2019 B 01/01/2020 XL Insurance America Inc 11.D.3 Packet Pg. 349 Attachment: Collier County Insurance Cert #2 (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 350Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 351Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 352Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 353Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 354Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 355Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 356Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 357Attachment: HCare 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Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 396Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 397Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 398Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 399Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.4Packet Pg. 400Attachment: HCare Smart Agreement Vendor Signed (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 401Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 402Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 403Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 404Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 405Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 406Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 407Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 408Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 409Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 410Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 411Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 412Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 413Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 414Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 415Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 416Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 417Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 418Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 419Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 420Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 421Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter) 11.D.5Packet Pg. 422Attachment: Master Agreement Vendor approved (7966 : Purchase of EMS Helicopter)