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includes a metronome to guide CPR compressions and ventilations and provides an option to <br />escalate energy to 360 joules to shock the heart. <br />The LIFEPAK 15 is powered by Lithium -ion battery technology, incorporates the SunVue display <br />screen for easy view ability in bright sunlight, and data connectivity to easily and securely collect <br />and send patient information. Similar form factor and user interface with the LIFEPAK® 12 <br />defibrillator /monitor will ease transition and training costs. <br />Emergency Services is recommending purchasing the entire replacement fleet so that in- service <br />training may occur and crews will not be subject to having to use two different versions of this <br />critical medical equipment during high -risk events. Additionally, Emergency Services is <br />recommending the purchase of 14 LIFEPAK® 15's to accommodate nine active EMS units and <br />two EMS Supervisors, leaving seven units for use at special events, equipment service and to <br />ensure sufficient equipment availability should failures occur. This request is based primarily on <br />the recommendation included in the Comprehensive Assessment of Emergency Medical <br />Services & 911 /Communications Center Operations Study, supported by the ES Workgroup and <br />accepted by the Board of Commissioners. <br />Currently, of the 14 LIFEPAK® 12's that the department has in its inventory, three monitors are <br />out of service with various issues with two of these not returning to service without significant <br />funding due to breaks in the case that will not allow them to be certified. <br />The attached equipment estimate, provided by PHYSIO Control, includes the list price for each <br />unit, trade -in values given and cash discounts. <br />FINANCIAL IMPACT: The fourteen (14) cardiac monitors /defibrillators would be purchased with <br />installment financing with SunTrust Bank. The terms of the installment financing would be <br />$483,174 financed at an interest rate of 1.72% with a term of five years. The annual debt <br />service would be approximately $101,678 per year. <br />RECOMMENDATION(S): The Manager recommends that the Board approve Budget <br />Amendment #7 -B, the purchase of 14 cardiac monitors /defibrillators with the use of installment <br />financing from SunTrust Bank, contingent upon review and approval of the terms and conditions <br />by the County Attorney. <br />