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BCC Agenda 07/23/2024 Item #16F 3 (Budget Amendment toward EMS Capital Fund for the replacement of current personal safety equipment)07/23/2024 EXECUTIVE SUMMARY Recommendation to authorize a Budget Amendment in the amount of $1,023,689.31 toward EMS Capital Fund (4055) reallocating reserves to fund the replacement of current personal safety equipment. _________________________________________________________________________ OBJECTIVE: To provide EMS with funding for replacement personal safety equipment that has reached the end of its life expectancy. CONSIDERATIONS: Collier County EMS has a fleet of ambulances, and each ambulance must be equipped to move patients safely and in compliance with the standards that govern emergency medical services. Pursuant the Collier County Ordinance 2017-08, it is in the best interest of the County to standardize certain specialized equipment. On November 14, 2017, the Board approved standardization of Stryker Power Pro Ambulance Cots and power stretchers, as they comply with mandatory Federal Specification KKK-A 1822 Standards (Item 16.E.3). Equipment previously purchased through Stryker, to include stretchers and LUCAS chest compression devices, have reached the end of their life expectancy and are needing to be replaced to ensure employee and patient safety. Any equipment that is being replaced, under an existing non-standard agreement (23-005-NS) will receive a trade- in credit and supersede the previous annual billing agreement. The costs associated with the replacement of 8 stretchers at this time is $265,835.68. This includes the trade-in credit of $20,000.00. Moving forward, the division plans to replace stretchers annually in increments. The cost to replace Lucas Chest Compression devices is $618,353.63. It should be emphasized that to secure these prices with Stryker, a purchase order must be in place prior to October 2024 to avoid a 9% price increase. Structural Firefighter bunker gear is a requirement of our ALS engine program and is for the safety and protection of field personnel in hostile environments. Per NFPA 1851: Standard Selection, Care, and Maintenance of Protective Ensembles, it is a best practice to have a second set of bunker gear for employees to use after the initial bunker gear is exposed to contaminants. The costs associated with maintaining a second set of bunker safety gear for current employees is $139,500.00. Below is a summary of the items this Budget Amendment will cover: 8 Stryker Stretchers with necessary battery components $265,835.68 LUCAS Chest Compression with necessary battery packs $618,353.63 Bunker Safety Gear $139,500.00 TOTAL COST: $1,023,689.31 FISCAL IMPACT: A budget amendment is needed to transfer $1,023,689.31 out of Reserves from EMS Fund 4050 into EMS Capital Fund 4055 for the purchase of the equipment outlined above. LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, raises no legal issues and requires majority vote for approval. -JAK GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact resulting from this action. 16.F.3 Packet Pg. 1305 07/23/2024 RECOMMENDATION: To authorize a Budget Amendment in the amount of $1,023,689.31 toward EMS Capital Fund (4055) reallocating reserves to fund the replacement of current personal safety equipment. PREPARED BY: Cherie DuBock, Accounting Supervisor, Emergency Medical Services ATTACHMENT(S) 1. Stryker Quote for Lucas (PDF) 2. Stryker Sourcewell Quote Stretchers with trade-in (PDF) 3. MES Bunker Gear (PDF) 16.F.3 Packet Pg. 1306 07/23/2024 COLLIER COUNTY Board of County Commissioners Item Number: 16.F.3 Doc ID: 29296 Item Summary: Recommendation to authorize a Budget Amendment in the amount of $1,023,689.31 toward EMS Capital Fund (4055) reallocating reserves to fund the replacement of current personal safety equipment. Meeting Date: 07/23/2024 Prepared by: Title: – Emergency Medical Services Name: Cherie DuBock 06/21/2024 12:55 PM Submitted by: Title: – Emergency Medical Services Name: Bruce Gastineau 06/21/2024 12:55 PM Approved By: Review: Emergency Medical Services Bruce Gastineau EMS Chief Review Completed 07/01/2024 11:43 AM Corporate Business Operations Geoffrey Willig OMB Reviewer Skipped 07/02/2024 1:24 PM Emergency Management Michael Choate Executive Director Review Completed 07/02/2024 1:26 PM Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 07/02/2024 2:19 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 07/02/2024 3:34 PM Office of Management and Budget Agnieszka Chudy OMB Reviewer Completed 07/03/2024 1:39 PM County Manager's Office Amy Patterson Level 4 County Manager Review Completed 07/17/2024 11:38 AM Board of County Commissioners Geoffrey Willig Meeting Pending 07/23/2024 9:01 AM 16.F.3 Packet Pg. 1307 16.F.3.aPacket Pg. 1308Attachment: Stryker Quote for Lucas (29296 : Budget Amendment for EMS Personal Safety Equipment) Quote Summary Equipment Products: #   Product   Description   U/M   Qty   Sell Price   Total   1.0    650705550001    6507 POWER PRO 2, HIGH CONFIG   PCE    8   $32,398.80   $259,190.40   2.0    650700450301    ASSEMBLY, BATTERY CHARGER   PCE    8   $1,358.07   $10,864.56   3.0    650700450102    ASSEMBLY, POWER CORD, NORTH AM   PCE    8   $31.32   $250.56   4.0    650707000002    KIT, ALVARIUM BATTERY, SERVICE   PCE    12   $949.17   $11,390.04    Equipment Total:   $281,695.56   Trade In Credit: Product   Description   Qty   Credit Ea.   Total Credit   TR-SPCOT-PPXT   TRADE-IN-STRYKER POWER COT TOWARDS PURCHASE OF POWERPRO XT   8   -$2,500.00   -$20,000.00   Price Totals:       Estimated Sales Tax (0.000%):   $0.00    Freight/Shipping:   $4,140.12    Grand Total:   $265,835.68   Comments/Terms/Signatures   Comments:     Sourcewell Contract Pricing   Prices: In effect for 30 days     Terms: Net 30 Days             PP2 (8) 4.8.24      Quote Number:   10902172      Version:   1       Prepared For:   COLLIER COUNTY    Rep:   Amanda McBride    Attn:     Email:   amanda.hooker@stryker.com        Phone Number:                 Quote Date:   05/14/2024      Expiration Date:   09/05/2024           1  Stryker Medical - Accounts Receivable - accountsreceivable@stryker.com - PO BOX 93308 - Chicago, IL 60673-3308 16.F.3.b Packet Pg. 1309 Attachment: Stryker Sourcewell Quote Stretchers with trade-in (29296 : Budget Amendment for EMS Personal Safety Equipment) Terms and Conditions:  Deal Consummation: This is a quote and not a commitment. This quote is subject to ffnal credit, pricing, and documentation approval. Legal documentation must be signed before your equipment can be delivered. Documentation will be provided upon completion of our review process and your selection of a payment schedule. Conffdentiality Notice: Recipient will not disclose to any third party the terms of this quote or any other information, including any pricing or discounts, ofiered to be provided by Stryker to Recipient in connection with this quote, without Stryker’s prior written approval, except as may be requested by law or by lawful order of any applicable government agency. A copy of Stryker Medical's terms and conditions can be found at https:// techweb.stryker.com/Terms_Conditions/index.html.      PP2 (8) 4.8.24      Quote Number:   10902172      Version:   1       Prepared For:   COLLIER COUNTY    Rep:   Amanda McBride    Attn:     Email:   amanda.hooker@stryker.com        Phone Number:                 Quote Date:   05/14/2024      Expiration Date:   09/05/2024           2  Stryker Medical - Accounts Receivable - accountsreceivable@stryker.com - PO BOX 93308 - Chicago, IL 60673-3308 16.F.3.b Packet Pg. 1310 Attachment: Stryker Sourcewell Quote Stretchers with trade-in (29296 : Budget Amendment for EMS Personal Safety Equipment) 16.F.3.cPacket Pg. 1311Attachment: MES Bunker Gear (29296 : Budget Amendment for EMS Personal Safety Equipment)