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HomeMy WebLinkAboutPR 24205: KONICA ULTRA X-RAY SYSTEM FOR THE HEALTH DEPT. City of ort / rt{tu�— www.PortArthurTx.gov INTEROFFICE MEMORANDUM Date: June 6, 2025 To: The Honorable Mayor and City Council Through: Ronald Burton, City Manager From: Fay Young, Information Technology Director RE: Proposed Resolution No. 24205 Introduction: The intent of this agenda item is to seek the City Council's authorization for the City Manager to purchase a Konica Ultra 14x17 Universal DR Retrofit with EESi PACS Solution. This purchase will replace outdated and malfunctioning components of the current x-ray system at the Health Department. Background: In 2024, the Health Department's existing x-ray system experienced technical issues and required external support. The Information Technology Department worked with external support to get the system temporarily restored to a functioning state. During that process it was discovered that the system was not able to archive images as required. A temporary solution was put into place;however, several components of the current system have reached end-of-life and must be replaced to ensure continued functionality and compliance. The following vendors presented quotes to replace or retrofit the system: 1. Brown's Medical Imaging of Omaha,NE= $36,000.00 2. CIMS of San Antonio, TX=$60,438.00 3. Konica Minolta of Wayne,NJ= $38,300.00 Budget Impact: Brown's Medical Imaging will provide the Konica Ultra 14x17 Universal DR Retrofit for $23,500.00 with EESi PACS Solution for $12,500.00, for a total amount not to exceed $36,000.00. Funding is available in the Information Technology IT Equipment Account No. 001-09-023-5 241-00-10-000-. Recommendation: It is recommended that City Council authorize the City Manager to purchase a Konica Ultra 14x1 7 Universal DR Retrofit EESi PACS solution to replace the current outdated and malfunctioning x- ray system components at the Health Department in the total amount of$36,000.00. "Remember,we are here to serve the Citizens of Port Arthur" P.O.Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743 P.R. NO. 24205 FY 6/6/2025 RESOLUTION NO. A RESOLUTION AUTHORIZING THE CITY MANAGER TO PURCHASE A KONICA ULTRA 14X17 DR RETROFIT EESI PACS SOLUTION DIGITAL X-RAY/IMAGING SYSTEM FROM BROWN'S MEDICAL IMAGING OF OMAHA, NEBRASKSA FOR THE HEALTH DEPARTMENT,IN THE TOTAL AMOUNT NOT TO EXCEED $36,000.00. FUNDS AVAILABLE IN THE INFORMATION TECHNOLOGY IT EQUIPMENT ACCOUNT NO. 001-09-023-5241-00-10-000. WHEREAS, the ability to perform radiological procedures is essential to the Health Department's ability to serve the City's community; and WHEREAS,in 2024,the Health Department's existing x-ray/imaging system experienced technical issues requiring external support, during which it was discovered that the system could no longer archive images as required; and WHEREAS, a temporary solution was put into place;however, several components of the current system have reached end-of-life and must be replaced to ensure continued functionality and compliance; and WHEREAS, the Information Technology Department obtained a total of three quotes to replace/retrofit the current x-ray/imaging system as delineated in Exhibit"A"; and WHEREAS,Brown's Medical Imaging submitted the best and lowest proposal to provide replacement and retrofit components for x-ray imaging system for the Health Department for a total cost of$36,000.00; and WHEREAS,it is necessary to authorize the City Manager to proceed with the purchase of the Konica Ultra 14x17 Universal DR Retrofit for$23,500.00,along with the EESi PACS Solution for$12,500.00, in order to replace the outdated and malfunctioning X-ray system components,for a total amount not to exceed$36,000.00. NOW THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR, TEXAS: Section 1. That the facts and opinions in the preamble are true and correct. P.R. NO. 24205 FY 6/6/2025 Section 2. That the City Council hereby authorizes City Manager to purchase the Konica Ultra 14x17 Universal DR Retrofit for $23,500.00 with EESi PACS Solution for $12,500.00, for a total amount not to exceed $36,000.00 from Brown's Medical Imaging of Omaha, Nebraska for the Health Department, in substantially the same form attached hereto as Exhibit"B". Section 3. That a copy of the caption of this Resolution be spread upon the Minutes of the City Council. READ,ADOPTED AND APPROVED this the day of June,A.D. 2025 at a regular meeting of the City of Port Arthur, Texas by the following vote: Ayes: Mayor: Councilmembers: Noes: CITY OF PORT ARTHUR: Thurrrran Bill Bartie, Mayor ATTEST: Sherri Bellard, City Secretary APPROVED AS TO FORM: Roxann Pais Cotroneo, City Attorney P.R. NO. 24205 FY 6/6/2025 APPROVED FOR ADMINISTRATION: (jAita., jk, Ronald Burto , M Clifton Williams, CPPB City M er Purchasing Manager Fay Yalu , CGCIO PMP Information Technology Director APPROVED AS TO AVAILABILITY OF FUNDS: Lyn a oswell, Director of Finance P.R. NO. 24205 FY 6/6/2025 Exhibit A D. a r ›C 0 ..c m =' b cm y E 2., C n v, v)laa '"� bZ > o n n y G.• Iv Iv 0 Sao o wcA o' o y o x a 1-3 F.: ; 7 y a' x Pa n d o iaq CM od cA o 0 r y y 4 Cii z p O O ci so 0 o y ii o . r G n r P.R. NO. 24205 FY 6/6/2025 Exhibit B BROWN'S healthcare SALES QUOTE pm! solutions MEDICAL IMAGING Presented to: Elvis Rushing, Network/Systems Supervisor Health and Human Services Department 5860 9th Ave Ste A, Port Arthur,TX 77642 Date: April 1, 2025 Presented by: Joe Scalise Valid for: 60 days Phone: 832-656-4201 FOB: Prepay&Add Email: jscalise@brownsmedicalimaging.com Terms: 50/50 Oppt#: 25325402 Konica Ultra 14x17 Universal DR Retrofit EESi PACS Solution Item Item Code Qty Price Konica Ultra Wireless 14x17 Universal Retrofit KIT-ULTRA-IR- 1 $23,500.00 1417-CSI Panel Specs - Weight:7.9 lbs - Carbon Fiber Construction - Pixel Matrix-2288x2784 - 3.71p/mm - Cassette Sized - Lithium Ion Battery(2 Included) - Scintillator Type:CSI SOFTWARE/HARDWARE SPECIFICATIONS System Computer Specs(or better) - Lenova P360 - Windows 10 loT Enterprise - 12th Generation Intel Core i5-12500 vPro Processor(P-cores 3.00 GHz up to 4.60 GHz) - 16GB DDR5-4000MHz(SODIMM) - 1TB SSD Display Monitor - 24"Touch Screen Monitor - Resolution 1280 X 1024;8000:1 Ratio Ultra Software Acquisition workflow management - Automatic setting of acquisition parameters according to body part and system specific programmable APRs(Anatomically Programmed Radiography) - One console operation-generator parameters setting by the workstation as part of APR - Patient data entry, manually or automatically from the DICOM worklist(MWL) Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729 - Urgent patient registration - Preview image typically within 4-5 seconds after exposure - Exam specific image processing for optimized image quality - Automatic backup of operator accepted images Review&Processing - Patient review - CD Burning - Exam foldering - Ability to add body part or view during an exam - Touch screen post processing - Assign single or multiple technologist(s)to an exam - Add additional views and/or studies to a completed exam - Ability to suspend an exam - Built-in technique and positioning chart - Variable image rotation - Window/Level,Reverse Black/White(Window polarity inversion) - Electronic zoom with pan &scroll capabilities - Touchscreen zoom, pan,window/level and contrast capability - Magnifying glass - Multi-scale contrast enhancement and Dynamic Range - Electronic shutter for masking of image(cropping) - Multiformat display(for printing) Installation Install 1 Included Applications Training-1 day remote Apps 1 Included Performed Mon-Fri,8:00 AM to 5:00 PM CST,exclusive of BMI holidays Warranty-1 Year Parts&Labor Warranty 1 Included If"Post Warranty Service"is purchased at time of sale,then Panel Protection is included during warranty period.Panel Protection-repair of the detector or if the detector is deemed unrepairable or not cost effective to repair then BMI will replace detector.A $5,000 deductible is assessed for replacement of the detector. Does not cover damage caused by fluid exposure, misuse or intentional abuse. DR Retrofit Subtotal Total $23,500.00 Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729 Item Item Code Qty Price EESi Imaging Software Solution ISS 1 Included - A Web-Based Image Manager/Image Archive - Web Administration - DICOM Auto Routing - Delayed Send of Studies - Stores DICOM 3.0 and BTO - Unlimited Modality Connections RemotEye Diagnostic Viewer License-Basic NL-REBSC- 1 Included - 1 Concurrent Licenses 1U-V9 - RemotEye Viewer:a web-based,cross-platform,full-featured,diagnostic-level, NL- certified, DICOM-compliant medical image viewer software PCONNBSC- - CD/DVD Production Vi - DICOM Print - Paper Print - Smart Worklists - Hanging Protocols - Store/Retrieve Annotations RemotEye Lite HTMLS Viewer License RELT2 1 Included - 2 Concurrent Licenses - RemotEye Lite:a web-based,lightweight,DICOM-compliant medical image reviewing solution,mainly dedicated to portable smart devices,such as tablets or smartphones,but also working on desktop clients - Includes PACSConnector Server SERV 1 Included - Dell Tower Server - Operating System—Windows 11 - Storage—4TB Data Migration from another DICOM PACS MIG 1 Included - Migrate images from existing PACS EESi Imaging Cloud Connector ICC 1 Included - Amazon Web Services S3 Storage - Secure,Redundant Servers provided by Amazon - Designed for 99.99%durability and availability - No added fee to pull images from the cloud - Database Back Up - HIPAA Compliant Remote Installation Install 1 Included Remote Applications Training-as needed Apps 1 Included Warranty-1 year Warranty 1 Included PACS Subtotal Subtotal $12,500.00 Total Total $36,000.00 Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729 POST WARRANTY SERVICE OPTIONS Annual Check box to Equipment,Terms&Coverage Service Level Price select service Konica Ultra Wireless 14x17 Universal Retrofit Platinum $14,000.00 Includes existing Quantum FMT - Service begins after warranty period - This is a 5-year contract with Annual Payments - All Labor and travel performed during coverage hours* - All replacement parts prorated tube - Annual Preventative Maintenance Inspection performed during coverage hours - Panel Drop Protection-repair of the detector or if the detector is deemed unrepairable or not cost effective to repair then BMI will replace detector.A$5,000 deductible is assessed for replacement of the detector.Does not cover damage caused by fluid exposure,misuse or intentional abuse. - Software updates,commercially available during coverage term,with installation performed during coverage hours - Phone and remote support performed during coverage hours EESi Imaging Software Solutions Platinum $3,750.00 - Service begins after warranty period - This is a 5-year contract with Annual Payments - Amazon Web Services S3 Storage - RemotEye license and support renewal - All Labor and travel performed during coverage hours* - Phone and remote support performed during coverage hours * Labor Coverage Hours/Days: Monday-Friday,8:00 AM to 5:00 PM CST,exclusive of BMI/PMI holidays; Discounted after-hours rates(labor and travel)will apply Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729 TERMS: a) Delivery will be coordinated with customer's timeline b) 50%deposit due at time of order; Balance due net 10 after install c) Shipping&handling will be added to customer's final invoice d) Price does not include applicable sales taxes&duties e) Any applicable site preparation is customer responsibility and at customer expense. f) Accept"Complete Terms&Conditions of Sale and Service"on following pages A SIGNED QUOTATION SHALL CONSTITUTE A BINDING PURCHASE ORDER FROM THE CUSTOMER TO BROWN'S MEDICAL IMAGING. BROWN'S MEDICAL IMAGING CUSTOMER E � By. . ''v 4/1/25 By: Joe7alise Date Representative Date Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729 BROWN'S healthcare pmi solutions MEDICAL IMAGING Terms & Conditions — Equipment 1.GENERAL This document contains the terms and conditions of sale applicable to any sales of goods("Goods")and services("Services") by Prestige Medical Imaging or Brown's Medical Imaging("Seller")to a purchaser("Purchaser").These terms and conditions,together with any written agreement previously executed by both the Purchaser and Seller,any invoices generated in connection herewith,and any written addenda signed by both parties,constitute the entire agreement between the parties("Agreement").Any modification of these terms must be in writing and signed by an authorized representative of Seller.All quotations and agreements are conditioned upon the absence of any strikes,accidents,fires,unavailability of materials,or other causes beyond Seller's reasonable control.Any typographical or clerical errors herein are subject to correction without further consent of Purchaser. 2.TITLE AND OWNERSHIP Title to the Goods and any part thereof shall remain with Seller and shall not pass to Purchaser until all amounts due under any account,contract, or other obligation have been fully paid in cash.The Goods shall remain personal or movable property regardless of their mode of attachment to realty or other property.Seller retains a security interest in the Goods until full payment is received. 3.PAYMENT TERMS Unless credit terms are agreed upon in writing by the Seller,payments due under this Agreement are due upon receipt of invoice. Payments by approved credit Purchasers shall be due in full within ten(10)days from the date of the relevant invoice.Past due balances shall be subject to a 1.5%per month(18%per year)service charge,or the highest rate permitted by applicable law,if less.If Purchaser fails to timely remit payments as due or otherwise breaches the terms of the Agreement,Seller shall be entitled to reasonable costs(including attorney's fees)incurred in enforcing the Agreement.A 3%processing fee will be applied to all credit card payments for invoices,or the highest rate permitted by applicable law,if less. All applicable taxes with respect to a transaction are the obligation of the Purchaser,except taxes based upon the net income of the Seller. Purchaser and Seller have agreed to the projected install date on the sales quote.Goods may be held by Seller for up to thirty(30)days from the projected install date at no cost to Purchaser,following which such Goods may be shipped and invoiced to Purchaser at any time at Seller's sole discretion. If such Goods are not installed at Purchasers site and invoiced within 30 days after the Agreed Installation Date on the sales quote, Seller shall ship Goods to a location of Seller's choosing,thus fulfilling the order and an invoice will be generated and sent to Purchaser.Purchaser may make storage arrangements with Seller if no other suitable storage location can be provided by Purchaser and the Purchaser will be charged a warehousing fee equal to one and one-half percent(1.5%)of the invoiced price of the stored Goods per month(with each partial month counting as a full month)to be billed at the time of shipment.Purchaser shall not be held responsible under this clause for delays caused by Seller or any subcontractor of Seller. 4.DEFAULT AND REMEDIES Purchaser hereby grants to Seller a continuing first and prior purchase money security interest in the Covered Equipment(sometimes hereinafter referred to as the"Collateral")and all proceeds of the Collateral until Seller has received payment in full of all sums due or to become due hereunder.The security interest granted herein is given to secure payment and performance of every payment of Purchaser to Seller under this agreement.Purchaser covenants and agrees that the Collateral shall not be removed from the Covered Equipment Location identified above without the prior written consent of the Seller. Purchaser expressly authorizes Seller to file and/or record UCC-1 Financing Statements identifying the Collateral for the perfection of its security interest.The foregoing authorization shall extend to all additional financing statements and amendments and extensions thereto as Seller may deem appropriate in its sole and absolute discretion. Failure to timely remit any payment due hereunder or breach or violation by Purchaser of any covenant,warranty,representation,term or condition set forth herein shall be a default under this Security Agreement.In the event of a default,Seller shall have the remedies of a secured party under the Uniform Commercial Code as then in effect in jurisdiction where the Collateral is then physically located and all other rights and remedies at law or in equity available to secured creditors under the laws of such jurisdictions,including,without limitation,the right to take possession of the Collateral and any proceeds thereof.To take possession,Seller may enter upon any premises where the Collateral is kept and remove the Collateral or any proceeds thereof.In the event of a default hereunder,Purchaser shall pay to Seller on demand all expenses(including, without limitation,attorneys'fees)incurred by Seller incidental to collecting all sums due under the Agreement including without limitation taking, holding or otherwise dealing with the Collateral,or incurred by Seller in otherwise enforcing any term or condition of this Contract.in all cases of default,Purchaser shall pay all expenses incurred by Seller in the collection of amounts due,including reasonable attorney's fees. 5.LIMITED WARRANTIES AND DISCLAIMER Unless otherwise agreed in writing,Seller provides as Purchaser's sole remedy one(1)year labor and travel time warranty for any Services provided to Purchaser,measured from the time of installation of the Goods.SELLER DISCLAIMS ALL OTHER WARRANTIES,EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY,FITNESS FOR A PARTICULAR PURPOSE,OR NON- INFRINGEMENT.All Goods are sold"AS IS"and"WITH ALL FAULTS."Any manufacturer's warranty delivered with the Goods is made solely by the manufacturer and is not a warranty of Seller. Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729 6.DELIVERY AND RISK OF LOSS For goods specified in the sales quote as being delivered F.O.B.point of destination,risk of loss shall pass to Purchaser at the time of delivery.For goods shipped via common carrier,risk of loss shall pass to Purchaser at time they are tendered to the third party carrier.Shipping and delivery shall be at the Purchaser's sole expense.Shipping dates are approximate,and Seller shall not be liable for delays caused by factors beyond its control. 7.INSTALLATION Unless otherwise stated on the front of this document,all installation charges(e.g.,charges for the assembly,mounting,interconnection and calibration of components listed on this quotation,etc.)shall be in addition to the prices quoted herein.Any installation performed by SELLER shall be considered complete when the equipment is available for gainful use by the Purchaser's staff or authorized personnel,except that in the event that installation of the Goods is delayed for any reason for which Seller is not responsible,then the installation shall be deemed complete ten(10) days after date of shipment of the Goods to the Purchaser,and the terms of payment shall apply as of that date.Purchaser shall be solely responsible for preparing its facility for installation of the Goods sold hereunder,including,but not limited to,all electrical,carpentry,masonry, plumbing,and other such work,which Purchaser shall perform at its sole expense.Purchaser further acknowledges that it shall bring the proper electrical current for operation of the Goods to the safety switch according to specifications provided by Seller,and that it shall achieve compliance with all applicable building codes,all at its sole expense. 8.PURCHASER RESPONSIBILITIES Purchaser is responsible for all site preparations,including electrical,carpentry,masonry,plumbing,and network drops.Purchaser must acquire, install,and maintain anti-virus software and register radiographic suites with local municipalities.Purchaser is responsible for all management and protection of PHI,and data security. 9.SERVICE CONDITIONS Service requested due to unauthorized modifications or outside of normal business hours will be charged at current rates.Remote diagnostics are the first response method.Any on-site service not covered under this Agreement will be billed at the then-current hourly rate. 10.TRADE-INS Unless specifically noted otherwise above,quoted trade-in value assumes equipment is in complete working order and includes all accessories and components;including but not limited to MRI coils,working DR detectors,covers,chargers,cases,and monitors. MRI equipment shall be delivered to Seller with at least 75%helium capacity filled. Seller reserves the right to adjust trade-in value upon inspection of trade-in equipment if these conditions are not met,but in all cases shall communicate the modification of trade-in value to Purchaser prior to removing the equipment from 111 the Purchaser site. 11.THIRD-PARTY EQUIPMENT Seller will maintain third-party hardware listed on the quote.Purchaser is responsible for replacing third-party hardware as it ages.Maintenance may be canceled at Seller's sole option if it is no longer feasible due to unavailability of parts or OEM service discontinuance. 12.CONFIDENTIALITY Each party shall retain in strict confidence the terms of this Agreement and all information,oral or tangible,relating to the disclosing party's business.Disclosure to third parties is prohibited without prior written consent unless required by law.If disclosure is required by law,the receiving party shall promptly notify the disclosing party prior to such disclosure to allow for an opportunity to oppose the disclosure. 13.FORCE MAJEURE Neither party shall be responsible for any delay or failure of performance resulting from causes beyond its control,including acts of God, government actions,natural disasters,or other extraordinary events.Performance times shall be extended for a period equivalent to the period of the delay. 14.LIABILITY IN NO EVENT SHALL SELLER AND ITS SUPPLIERS BE LIABLE FOR ANY INCIDENTAL,CONSEQUENTIAL,DIRECT,OR INDIRECT DAMAGES ARISING OUT OFTHE AGREEMENT,INCLUDING ANY DEFECT OR FAILURE OF THE GOOD OR SERVICES.TOTAL LIABILITY IS LIMITED TO THE PRICE OF THE SERVICE WHICH IS THE BASIS FOR THE CLAIM.PURCHASER AGREES TO INDEMNIFY AND HOLD HARMLESS SELLER FROM ANY THIRD-PARTY CLAIMS ARISING FROM THE USE OR RESALE OF THE GOODS OR SERVICES.In no event shall Seller be liable for damages to equipment caused by misuse of equipment,neglect,or attempts to use equipment in ways for which it was not designed by the manufacturer. For digital radiography detectors (DR panels)that are dropped during the warranty period and are covered by panel protection,a$5,000 deductible will apply and will be payable to Seller before repairs/replacement can take place. 15.EXCLUSIONS Seller shall have no obligation for Equipment or Software problems caused by modifications,misuse,environmental conditions,electrical issues,or Purchaser error.Routine maintenance and virus removal are the Purchaser's responsibility. 16.CHANGES,TERMINATION AND DEFAULT Orders that have been approved by Seller may not be changed or cancelled by the Purchaser except with Seller's prior,written consent,and only upon such terms as will save Seller from loss.In that connection,Purchaser acknowledges that manufacturers have the right to change the Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729 construction and/or design of their Goods at any time without notice to Purchaser if,in the manufacturers'judgment,such a change would not alter the general function of the Goods.In such instances,Purchaser shall not cancel its order but shall accept any changes made by the manufacturers,and neither Seller nor the manufacturers shall be liable for them.Each of the following constitutes an event of default:non- payment,breach of terms,financial insolvency,or unauthorized sale of Goods.Upon default,Seller may cancel the Agreement,demand payment, repossess Goods,and seek other remedies.Seller may terminate this Agreement upon written notice if Purchaser is not approved for credit or upon the occurrence of any material adverse change in Purchaser's financial condition or business operations.No Goods may be returned to Seller or its suppliers without Seller's prior written permission.Any permitted returns shall be made under the terms and conditions specified in writing by Seller.Claims asserted by the Purchaser shall in no way release it from its obligation to pay the amount shown herein.Such claims may not be setoff against the amounts owed to Seller by Purchaser but shall be dealt with as a separate transaction. 17.INSURANCE AND INDEMNIFICATION Seller shall maintain general liability,automobile liability,and worker's compensation insurance.Each party agrees to indemnify,defend,and hold harmless the other party from any third-party claims resulting from breaches of this Agreement,including reasonable attorney's fees and other legal costs.In the event of any third-party infringement claim,Seller shall have sole control of the defense and settlement of such claim at its expense. 18.ASSIGNMENT This Agreement cannot be assigned by either party without the prior written consent of the other party,except to a parent or subsidiary or to a successor by merger or purchase of assets.Assignment does not relieve the assignor of its obligations.Any unauthorized assignment is void. 19.GOVERNING LAW AND JURISDICTION This Agreement shall be governed by and construed in accordance with the laws of the State of Texas without regard to its conflict of laws principles.Any disputes arising under this Agreement shall be resolved in the state or federal courts located in the state of sale,and the parties consent to the exclusive jurisdiction of such courts. 20.ENTIRE AGREEMENT This Agreement constitutes the entire agreement between the parties and supersedes all prior agreements or representations,whether written or oral,relating to the subject matter hereof.This Agreement may be amended only by a written document signed by both parties. 21.SEVERABILITY If any provision of this Agreement is held to be invalid or unenforceable,the remaining provisions shall continue to be valid and enforceable.The parties agree to replace any invalid provision with a valid provision that most closely approximates the intent and economic effect of the invalid provision. Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729 BROWN'S healthcare TERMS & CONDITIONS- SERVICE pm� solutions MEDICAL IMAGING 1.GENERAL This document contains the terms and conditions of service applicable to any service of goods("Goods")and services("Services")by Prestige Medical Imaging or Brown's Medical Imaging("Seller")to a Purchaser.These terms and conditions,together with any written agreement previously executed by both the Purchaser and Seller,any invoices generated in connection herewith,and any written addenda signed by both parties,constitute the entire agreement between the parties("Agreement").Any modification of these terms must be in writing and signed by an authorized representative of Seller.All quotations and agreements are conditioned upon the absence of any strikes,accidents,fires,unavailability of materials,or other causes beyond Seller's reasonable control.Any typographical or clerical errors herein are subject to correction without further consent of Purchaser. 2.SERVICE PERIOD AND RENEWAL The term of this Agreement shall commence on the earliest coverage start date listed on the Quote and continue until the latest coverage end date listed on the Quote("Service Period").This Agreement shall be automatically renewed for a term of one year upon the expiration date,at a rate of 110%the expiring Agreement rate,unless either party gives written notice to the other at least sixty(60)days prior to the expiration date of their intention not to renew. 3.PRE-INSPECTION Seller reserves the right to inspect any Equipment or Software in all cases where the Seller has not covered the equipment in the preceding 60 days. If Seller determines that repairs or updates are required,Seller shall perform those repairs or updates,and Purchaser shall pay Seller for such additional services together with any required parts on a time and materials basis.Seller shall then certify the inspected Equipment and Software,and the Service Period for those items shall commence. 4.SERVICES(REMOTE/ON-SITE) As a condition of Seller performing services described herein, Purchaser shall permit Seller to use its remote access tools as its first call response method for Equipment and Software service requests.Genuine replacement parts are included for all Equipment repairs and maintenance covered by a Seller service plan.Seller may use reconditioned or used parts to meet its service obligations;however,Seller warrants all such reconditioned or used parts under the same warranties applicable to new parts. Upon completion of a service call,Seller field engineer shall certify that the Equipment meets specifications.All replacement/repair parts must be approved and ordered through Seller.It is recommended that the site acquire,install,and maintain Adware,Spyware,and Anti-Virus software on the Workstations.If a virus is found,removal is not covered under any warranty or this service contract.Any on-site service not covered under this Agreement shall be billed at the then-current hourly rate with a minimum 4-hour charge.If service is requested Monday through Friday after 5 pm or on Saturdays,service will be billed at 1%times the then-current hourly rate with a minimum 4-hour charge.Any service requested on Sundays or holidays(based on the Seller holiday schedule)will be billed at 2 times the then-current hourly rate.Holidays include: o New Year's Day,President'Day,Good Friday,Memorial Day,Independence Day,Labor Day,Thanksgiving Day,Day after Thanksgiving,Christmas Eve&Christmas Day This Agreement does not cover damage due to Purchaser misuse/error,natural disaster,or system abuse.For CT and MRI contracts,Any uptime guarantees stated within this contract do not apply if Purchaser is not set up on remote monitoring with Seller.Seller shall not be liable for any cryogen refills if Purchaser is not connected to remote monitoring. I. Parts Commitment: Parts orders must be placed by 3 pm EST to receive a Parts Delivery commitment.Spare parts arrival for repair of room- down/system-down is typically within the next business day.Exchange parts removed from the Equipment shall become the property of Brown's Medical Imaging/Prestige Medical Imaging unless such exchange parts constitute"hazardous wastes," "hazardous substances,""special wastes,"or other similar materials,as such terms are defined by any federal,state or local laws, rules or regulations,in which case,at the option of Brown's Medical Imaging/Prestige Medical Imaging,the exchange parts shall remain the property of the Customer and shall be disposed of by the Customer in strict compliance with all applicable laws,rules, and regulations. II. Protection of Engineer's time: Brown's Medical Imaging/Prestige Medical Imaging service personnel will be given full and free access to the Equipment to perform inspections and service/maintenance on the Customer's premises and will make specific appointments for such maintenance,subject to reasonable limitations placed on Brown's Medical Imaging/Prestige Medical Imaging related to safety and Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729 security of Customer's premises.If the Equipment is not made available at the appointed time,waiting time beyond a reasonable allowance will be charged at prevailing per-call rates. 5.DETECTOR PROTECTION PROGRAM The Detector Protection Program applies to covered digital XRAY panels and provides replacement or repair coverage while under standard warranty and/or service agreement that includes the detector protection program.The Purchaser account must be current as per financial terms presented in the agreement. Panels replaced under the Detector Protection Program will be replaced at a fixed cost of$5,000 per replacement unless otherwise stated and based on manufacturer fees.The$5,000 premium is per detector based on the serial number of the detector per coverage year.Detector Protection Program covers detector damage due to: • Sudden and accidental impact or drop as recorded in the detector shock log within ninety(90)calendar days of the detector failure. • Damage to internal components of the detector. • Broken or cracked glass regardless of the cause. • Liquid intrusion. Seller shall have no obligation or liability for detector damage attributable to misuse,abuse,vandalism,viruses,or any other malicious or negligent act or omission by a party not under the direct control of Seller.To be effective,Purchaser must purchase this optional coverage prior to first clinical use or,if purchased thereafter,request an inspection of the detector by Seller at Purchaser's expense before coverage takes effect. Provided the conditions are met,Seller shall provide Purchaser with a refurbished replacement detector at the fixed rate listed above.Purchaser shall permit Seller to remotely access the detector to diagnose any issues and determine if those issues are covered by the Accident Protection Plan.If Seller cannot remotely access the detector,Purchaser shall pay Seller at then-current rates for both travel time and on-site time to diagnose the problem.All damaged detectors must be returned. 6.THIRD-PARTY HARDWARE Seller shall perform periodic maintenance on third-party hardware listed on the Quote as covered for service.Seller may use reconditioned or used parts,warranting them under the same terms as new parts. Purchaser is responsible for replacing third-party hardware as it ages. Seller may cancel third-party hardware maintenance if maintenance is no longer feasible due to unavailability of parts or OEM service discontinuance. 7.LIMITATIONS OF REMEDIES AND DAMAGES THE TOTAL LIABILITY OF SELLER AND ITS REPRESENTATIVES TO PURCHASER,AND PURCHASER'S SOLE AND EXCLUSIVE REMEDY RELATING TO THIS AGREEMENT AND THE SERVICE TO BE PROVIDED UNDER IT, IS LIMITED TO THE AGREEMENT PRICE FOR THE SERVICE WHICH IS THE BASIS FOR THE CLAIM.SELLER AND ITS REPRESENTATIVES HAVE NO LIABILITY TO PURCHASER FOR ANY INCIDENTAL,CONSEQUENTIAL,OR OTHER SPECIAL DAMAGES SUCH AS LOST PROFIT OR REVENUE.THIS LIMITATION DOES NOT AFFECT CLAIMS BY THIRD PARTIES FOR PERSONAL INJURY DUE TO SELLER'S OR PURCHASER'S NEGLIGENCE OR PRODUCT LIABILITY. SELLER SHALL NEVER BE RESPONSIBLE FOR LOST REVENUES FOR ANY REASON WHATSOEVER. In no event shall Seller be responsible or liable to the Purchaser,or any representative of the Purchaser,in excess of its obligation to repair,recalibrate,or replace the equipment serviced under this agreement. Seller is never responsible for damage or failure due to interruptions or anomalies caused by incoming power service,or any damage caused or implied by a failure or anomaly with any other area of Purchaser's site infrastructure I. Magnet Management&Cryogens(MMC): CUSTOMER is responsible for conducting daily magnet checks and shall maintain the Equipment site in accordance with the Equipment Manufacturer's specified electrical,environmental,and structural requirements,including as to power,air conditioning,Etc., CUSTOMER is responsible for Ensuring that the water chiller system used in conjunction with the systems cryogen cooler system is functioning properly at all times.CUSTOMER is responsible for notifying BMI immediately if the system's cryogen cooling system ("chiller pump")fails to operate at any time,for any reason.In the event that the cryogen cooling system fails to operate due to loss of electrical power to the CUSTOMER's site or the CUSTOMER's water chiller failing to supply proper temperature or flow of water to the systems Cryogen cooling system, BMI will charge CUSTOMER the then current rates of service and costs of material to refill the cryostat with cryogens,to the level it was,prior to the chilled water system failure. Includes magnet ancillary components.Covers burst disc,vent kit,valves,MSUP/MM, ERDU/MRU,Labor for Performance of the Emergency Run Down Unit(ERDU/MRU)test in accordance with OEM specifications.Cryogen fills to recover from a customer-caused quench or neglect will be chargeable,and a Holdharmless must be on file for the event. Brown's Medical Imaging/Prestige Medical Imaging is not responsible or liable for:cryogen loss or transfer efficiency during transfer to the cryostat;cryogens if cryogens are identified on the Product Schedule as excluded;or service needed on Equipment due to cryogen transfill service not otherwise provided by Brown's Medical Imaging/Prestige Medical Imaging.Also,customer-initiated helium fills that exceed factory recommended target Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729 levels for operation are excluded,as are any expedited fees for short notice fills if required by the Customer.MMC Requires 24x7 SRS connectivity for remote monitoring of magnet cooling performance,and any helium loss due to lack of connectivity will be chargeable. An additional Labor block is required for a service plan with no system labor coverage.Excluded:Labor,Refrigeration System,the supply of cryogens(liquid helium),and Magnet replacement.BMI/PMI is not liable for equipment not connected to Glassbeam. 8.EXCLUSIONS Seller shall have no obligation or liability and Purchaser shall pay for Equipment or Software problems attributable to any of the following at Seller's then-current rates for any time spent diagnosing or correcting issues caused by: • Modifications,additions,or attachments to the Operating Environment,Equipment,or Software unless performed by the Seller. • Purchaser's failure to follow Equipment or Software operating instructions and documentation,perform routine maintenance,or adhere to site preparation and environmental specifications. • Misuse,abuse,accident(other than accidents covered under the Detector Protection Program),vandalism,viruses,or any other malicious or negligent act or omission by a party not under the direct control of Seller. • Environmental conditions such as moisture,water,excessive radiation,or improper servicing. • Electrical problems caused by power surges,lightning,or Purchaser's wiring or electrical supply. • Network issues caused by Purchaser's other vendors or non-Seller equipment hardware or software. • Moving the Equipment.Purchaser is responsible for routine system administration,backups,recovery procedures,supply items, consumables,accessories,and changes to the Equipment setup. 9.WARRANTY DISCLAIMER ALL SERVICES AND PARTS PROVIDED UNDER THIS AGREEMENT ARE PROVIDED"AS IS."SELLER DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED,INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR NON-INFRINGEMENT.SELLER'S OBLIGATIONS TO PURCHASER UNDER THIS AGREEMENT END ON THE EXPIRATION OR TERMINATION OF THIS AGREEMENT. 10.CONFIDENTIALITY Each party shall retain in strict confidence the terms of this Agreement and all information relating to the other party's business, employees,affiliates,development plans,software,documentation,techniques,trade secrets,systems,and knowledge. Except for employees or subcontractors with a specific need to know,neither party shall disclose such information to any third party without the other's prior written consent unless otherwise required by law.If disclosure is required by law,the disclosing party shall promptly notify the other party prior to such disclosure to allow for an opportunity to oppose the disclosure. Either party may disclose confidential information to its employees or subcontractors on a need-to-know basis provided such employees or subcontractors have entered into a confidentiality agreement that provides the same standard of protection described in this Agreement. 11.PAYMENT TERMS Unless credit terms are agreed upon in writing by the Seller,payments due under this Service Contract are due upon receipt of invoice and must be paid in full prior to the start of the relevant coverage period(i.e.payment for March service contract must be received prior to March 1 for valid service coverage in March). Past due balances shall be subject to a 1.5%per month(18%per year)service charge,or the highest rate permitted by applicable law,if less. If Purchaser fails to timely remit payments as due or otherwise breaches the terms of the Agreement,Seller shall be entitled to reasonable costs(including attorney's fees)incurred in enforcing the Agreement.A 3%processing fee will be applied to all credit card payments for invoices,or the highest rate permitted by applicable law,if less.Seller reserves the right to deny service under this agreement until any overdue amounts are brought current. 12.TERMINATION This Agreement may not be cancelled by Purchaser except specifically as set forth hereinafter.This Agreement will be effective upon acceptance to the Seller.Seller may suspend service pursuant to the Agreement for failure of Purchaser to timely make payments as due and such suspension of service by Seller shall not affect the obligation of Purchaser to make any payments due hereunder.Seller may terminate this Agreement upon any material breach by the Purchaser so long as Seller gives Purchaser thirty(30)days prior written notice specifying the events or circumstances giving rise to the notice.Purchaser may terminate the Agreement for a material breach of the Agreement by Seller so long as Purchaser gives Seller thirty(30)days prior written notice specifying the events or circumstances giving rise to the notice and Seller fails to correct the deficiencies within such thirty(30)day period.Termination shall become effective after the lapse of such thirty-day period,unless within such thirty-day period the events or circumstances specified in the notice have been remedied or a plan to remedy them has been proposed and accepted in writing by Seller or Purchaser.The termination of the Agreement shall not affect Purchaser's rights with respect to any Product(s)purchased and paid for by Purchaser prior to the date of termination. Purchaser's obligation to make payments accrued or incurred prior to the date of termination shall survive any termination of the Agreement. 13.EFFECTS OF TERMINATION OR EXPIRATION 111 In the event of Termination for Breach resulting from Seller's breach,Purchaser shall have a right to a refund of any amounts already paid for any period following the date of termination.In the event of a Termination for Nonpayment or a Termination for Breach resulting from Purchaser's breach,any of Purchasers unpaid payment obligations(including all amounts that would be invoiced and paid the the Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729 Purchaser during the then-applicable Contract Term)shall survive and continue beyond termination and Seller shall be entitled to retain any Fees that have already been paid by Purchaser and to collect the balance of any Fees that remain unpaid by Purchaser. 14.INSURANCE REQUIREMENTS Seller shall maintain in force at Seller's sole cost and expense the following insurance coverage: • General liability insurance covering bodily and personal injury,property damage,and contractual liability in a minimum amount of One Million Dollars($1,000,000)per claim and Five Million Dollars($5,000,000)in the annual aggregate. • Automobile liability insurance covering use of all owned, non-owned,and hired automobiles in a minimum amount of One Million Dollars($1,000,000)per claim and in the annual aggregate. • Worker's compensation insurance in amounts required in accordance with applicable laws within the state where work is being performed. • Cyber liability insurance in a minimum amount of$2,000,000. 15.FORCE MAJEURE Neither party shall be responsible for any delay or failure of performance resulting from causes beyond its control,including acts of God, government actions, natural disasters,or other extraordinary events. Performance times shall be extended for a period equivalent to the period of the delay. 16.ASSIGNMENT This Agreement cannot be assigned by either party without prior written consent,except to a parent or subsidiary or to a successor by merger,consolidation,or purchase of substantially all the assets of at least that portion of the assigning party's business related specifically to this Agreement.Assignment does not relieve the assignor of its obligations.Any unauthorized assignment is void. 17.GOVERNING LAW AND JURISDICTION This Agreement shall be governed by and construed in accordance with the laws of the State of Texas without regard to its conflict of laws principles.Any disputes arising under this Agreement shall be resolved in the state or federal courts located in the state of sale,and the parties consent to the exclusive jurisdiction of such courts. 18.ENTIRE AGREEMENT This Agreement constitutes the entire agreement between the parties and supersedes all prior agreements or representations,whether written or oral,relating to the subject matter hereof.This Agreement may be amended only by a written document signed by both parties. 19.SEVERABILITY If any provision of this Agreement is held to be invalid or unenforceable,the remaining provisions shall continue to be valid and enforceable.The parties agree to replace any invalid provision with a valid provision that most closely approximates the intent and economic effect of the invalid provision. V4 Corporate Office: 14315 "C" Circle Omaha, NE 68144 www.brownsmedicalimaging.com 800-701-9729