HomeMy WebLinkAbout20- Department of Health and Human Services - Cardiac Ready Communities ProgramLIFEPAK CR2 DEFIBRILLATOR
Transfer of Ownership Agreement
Print information for person signing agreement:
Organization: ____City of Bozeman_____________________
Authorizing Agent: _____Police Chief Steve Crawford________________________
Mailing Address: ______PO Box 1230, Bozeman, MT 59771__________________________
Physical Address: _______615 S 16th Avenue___________________
City, State, Zip: ______Bozeman_______________MT_____59715______
Phone Number: ______406.582.2031_____________________
Email: _____scrawford@bozeman.net________________________
In exchange for training and grant of the LifePak CR2 Defibrillators, the Organization named above
assumes sole and exclusive responsibility for all aspects of use, attempted use, or non-use of the Units.
The Organization understands, acknowledges and agrees that the LifePak CR2 Defibrillators provided by
DPHHS are provided “as is” without any representations or warranties of any kind whether express or
implied. (All warranties by Stryker / Physio-Control still apply).
In addition, we agree that our organization will participate in project data collection and evaluation
efforts as conducted by the Cardiac Ready Communities Program. Data generated by the devices will be
transmitted to the LifeNet cloud data system to be utilized for evaluation of the impact of the project.
Data will be accessed by the Cardiac Ready Communities Program and used for education and
evaluation purposes only. Data will also be transmitted to Stryker for the purposes of troubleshooting
and pad/battery replacement purposes.
We agree to send an appropriate number of individuals to represent our organization to a “train the
trainer” session. This individual (individuals) will be responsible for educating our staff on the use of the
Units upon return from training. The Cardiac Ready Communities Program will provide periodic updates
and training by Master Trainers. We further agree competencies and/or remedial training schedules will
be developed by our agency for the LifePak CR2 defibrillators, including periodic CPR training using
training models of the devices available from the Cardiac Ready Communities Program. In the event we
are unable to continue the First Responder AED program for any reason in the first 3 years after receipt
of the Units, they will be returned to the Cardiac Ready Communities Program.
Montana law governs this Agreement. Any litigation concerning this Agreement must be brought in the
First Judicial District in and for the County of Lewis and Clark, State of Montana, and each party shall pay
its own costs and attorney fees.
No statements, promises, or inducements made by the parties or their agents are valid or binding if not
contained in this Agreement. Except as may be otherwise provided by its terms, this Agreement may not
be enlarged, modified or altered except by written amendment signed by the parties to this Agreement.
DocuSign Envelope ID: DC8D965D-3E71-4B34-BC7F-4B3F8F416F78
This agreement will be active upon signatures of both parties and organization’s receipt of the LifePak
CR2 Defibrillators.
SIGNATURES
For the Organization:
___________________________________________ __________________
Signature Date
___________________________________________
Steve Crawford, Police Chief
City of Bozeman
For the EMS and Trauma Systems Section:
___________________________________________ __________________
Jim DeTienne, Supervisor Date EMS and Trauma Systems Section Date
Department of Public Health and Human Services
For office use:
Number of LifePak CR2 Defibrillators _________________
DocuSign Envelope ID: DC8D965D-3E71-4B34-BC7F-4B3F8F416F78
8/28/2020
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8/27/2020