Orange County NC Website
Contract Number: <br />Servicing Rep: <br />District: <br />Phone: <br />FAX: <br />Lane Rushing, EAAA60 <br />MID-ATLANTIC <br />800-772-3340 <br />TECHNICAL SERVICE SUPPORT AGREEMENT <br />PHYSIO-CONTROL, INC. <br />SCHEDULE A <br />Equipment Location:ORANGE CTY EMERGENCY MEDICAL, 00300503 <br />SERVICES <br />510 MEADOWLAND DR <br />HILLSBOROUGH, NC 27278 <br />Model Part Number Serial Number Line Date Date <br />On Site Comprehensive CoverageScope Of Service <br />Effective ExpirationRef. <br />Inspections <br />Total <br />LIFEPAK® 15 V15-2-001604 41034672 1 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 41182809 2 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 41183028 3 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 41183225 4 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42307872 5 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42310269 6 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42310380 7 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42311387 8 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42311693 9 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42312151 10 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42312298 11 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42312387 12 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42312410 13 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42312451 14 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42314251 15 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42314612 16 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42314749 17 7/1/2015 6/30/2016 1 <br />LIFEPAK® 15 V15-2-001604 42314774 18 7/1/2015 6/30/2016 1 <br />** Denotes an inventory line that has changed since the last contract revision or addendum. <br />Reference Number: SC-1155 Renewal <br />Printed: 4/3/2015 Page 4 of 5 <br />DocuSign Envelope ID: C12F223A-4347-43A3-A8B5-16DEB750E333