2014-642 EMS - Physio Control - Technical Support Agreement $16,997 per term

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PHYSIO-CONTROL, INC. TECHNICAL SERVICE SUPPORT AGREEMENT SCHEDULE A Contract Number: Servicing Rep: Lane Rushing,EAAA60 District: MID-ATLANTIC Phone: FAX: 800-772-3340 Equipment Location: ORANGE CTY EMERGENCY MEDICAL,00300503 SERVICES 510 MEADOWLAND DR HILLSBOROUGH,NC 27278 Scope Of Service On Site Preventative Maintenance Ref. Effective Expiration Total Model Part Number Serial Number Line Date Date Inspections LIFEPAKO1000 320371500021 37275549 1 7/1/2014 6/30/2015 1 Scope Of Service On Site Preventative Maintenance w Lithium Battery Ref. Effective Expiration Total Model Part Number Serial Number Line Date Date Inspections LIFEPAKO 500 3011790-000113 13161556 7 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-000113 13161557 8 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-000113 13161565 9 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-000113 13161566 10 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-000127 13326803 13 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-000113 13993444 14 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 33125844 18 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 33127344 25 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 33127345 26 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 33127346 27 7/1/2014 6/30/2015 l LIFEPAKO 500 3011790-001129 33127347 28 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 33127349 29 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 33127350 30 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 33127351 31 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 33127352 32 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 33125847 20 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 33125848 21 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 33127342 23 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001502 34595096 36 7/1/2014 6/30/2015 1 LIFEPAKO 500 3011790-001129 30811669 38 7/1/2014 6/30/2015 1 Reference Number: A60-3262 Renewal Printed: 8/9/2014 Page 4 of 9