Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 | 802:775.7111 | wwww.RRMC.org. October 15, 2018 Ms. Donna Jerry Health Policy Analyst Green Mountain Care Board 144 State Street Montpelier, VT 05602 Re: Docket No. GMCB-019-18con, Replacement of CT Scanner and Related Renovations Project Dear Donna: am writing in response to your letter of October 1, 2018 asking questions regarding Rutland Regional Medical Center’s Replacement of CT Scanner and Related Renovations project. The responses are as follows: 1. Confirm the total of $2,033,980 includes all equipment and associated renovation costs to make the project and equipment fully operational. Please see attached quotes: © RRMCCT Replacement Equipment Cost Summary GE Quote PRI1-C111422 CIVCO Quote 00020882 GE Quote PR8-C113408 GE Quote PRI1-C111422 (Pages 2 & 31) GE Quote Q-00500521 (Page 3) HP Cummings Budget Estimate Cardinal Quote 00185 2. Explain whether the project includes any changes required in shielding. If so, identify associated costs and whether that cost is included in the total project cost. specialist and determined that the current shielding is sufficient, thus there is no shielding cost included in the total project costs. 3. The revised HP Cummings quote dated June 20, 2019 reflects a total project cost of $1,943,238. Financial Table 1 shows a total project cost of $2,033,980. Please explain the reason(s) for the $90,742 difference in total project cost. HP Cummings has reconciled their project summary sheet to reflect the actual equipment quotes. Please see same in Number I above. aeRRMC Docket No, GMCB-019-18con Page 2 October 15, 2019 5. l Provide the detailed vendor quote for all components of the CT scanner to be purchased including the trade-in value of the existing equipment. See Number 1 above. Provide a project timetable for the project. Explain whether there is any period of time when no or limited CT service will be available. Please see attached timeline from HP Cummings. We will be providing continuation of CT services utilizing a mobile CT scanner. We anticipate a possibility of delay or referred treatment in our area of radiation oncology where we use the stationary CT with lasers for 4D lung treatment planning and Left Breast treatment planning. Our Radiation Oncologist, Dr. Lovett, felt these would be of minimum impact due to low volume for ‘both the 4D tung (1-2 patients are done a yeat) and for Left Breast (2-4 patients affected during the project). Once one of these is scheduied for surgery, it would provide Dr. Lovett with better ‘guidance as to whether he would wait and have the patient done at RRMC with the new scanner or send the patient to UVM for treatment planning, Provide a letter from the architect confirming that the project will be compliant with all applicable FGI Guidelines. Please see same attached, Provide the source for the information on the number of seans per 1,000 noted on page 4 of the application, The CT utilization data of scans per 1000 was provided by the Vermont Association of Hospitals and Health Systems. The data represents calendar year 2017. ‘not hesitate to contact us should you have further questions. Claudio D. Fort President and CEO CDFijsb Enclosures Ce: Barb Robinson Jim Greenough Judi FoxInte: Rutland Regional Medical Center 160 Allen Stret, Rutland, VT 05701 | 802.775.7111 | www.RRMC.org Form A - Verification Form STATE OF VERMONT DEPARTMENT OF BANKING, INSURANCE, SECURITIES AND HEALTH CARE ADMINISTRATION Docket No. GMCB-019-18con Replacement of CT Scanner and Related Renovations Rutland Regional Medical Center Exhibit A — Form of Verification Under Oath when filing a Certificate of Need Application. Claudio D. Fort, being duly swom, states on oath as follows: My name is Claudio D. Fort. I am President and Chief Executive Officer of Rutland Regional Medical Center. I have reviewed the attached response letter regarding Docket No. GMCB-019- 18con Replacement of CT Scanner and Related Renovations from myself to Donna Jerry, Health Policy Analyst, dated October 15, 2018. Based on my personal knowledge, after diligent inquiry, the information contained in this response letter dated October 15, 2018 is true, accurate and complete, does not contain any untrue statement of a material fact, and does not omit to state a material fact necessary to make the statement made therein not misleading, except as specifically noted herein, My personal knowledge of the truth, accuracy and completeness of the information contained in the response letter dated October 15, 2018 is based upon either my actual knowledge of the subject. information or, where identified below, upon information reasonably believed by me to be reliable and provided to me by the individuals identified below who have certified that the information they have provided is true, accurate and complete, does not contain any untrue statement of a material fact, and does not omit to state a material fact necessary to make the statement made therein not misleading. Thave evaluated, within the 12 months preceding the date of this affidavit, the policies and procedures by which information has been provided by the certifying individuals identified below, Pee fe Respect, Weand I have determined that such policies and procedures are effective in ensuring that all information submitted or used by Rutland Regional Medical Center in connection with the Certificate of Need program is true, accurate, and complete. I have disclosed to the RRHS-RRMC Board of Directors all significant deficiencies, of which I have personal knowledge after diligent inquiry, in such policies and procedures, and I have disclosed to the RRHS-RRMC Board of Directors any misrepresentation of facts, whether or not material, that involves management or any other employee participating in providing information submitted or used by Rutland Regional Medical Center in connection with the Certificate of Need program, . The following certifying individuals have provided information or documents to me in connection with the response letter regarding Docket No. GMCB-019-18con Replacement of CT Scanner and Related Renovations from myself to Donna Jerry, Health Policy Analyst, dated October 15, 2018, and each such individual has certified, based on his or her actual knowledge of the subject information or, where specifically identified in such certification, based on information reasonably believed by the certifying individual to be reliable, that the information or documents they have provided are true, accurate and complete, do not contain any untrue statement of a material fact, and do not omit to state a material fact necessary to make the statement made therein not misleading: (a) Judi K. Fox, VP Fiseal Services, CFO ‘The information or documents provided by the certifying individual. All financial related information, Subject information of which the certifying individual has actual knowledge. As stated above. ‘The individuals and the information reasonably relied on b In the case of documents identify the custodian of the documents. Judi K. Fox (b) James Greenough, VP Corporate Support Services ‘The information or documents provided by the certifying individual. Al scope related information, Subject information of which the certifying individual has actual knowledge. As stated above. ‘The individuals and the information reasonably relied on by the certifying individual. In the case of documents identify the custodian of the documents, James Greenough(©) Barbara M. Robinson, VP Clinical Services ‘The information or documents provided by the certifying individual. Alll scope related information. ject information of which the certifying individual has actual knowledge. As stated above. The individuals and the information reasonably relied on by the certifying individual, In the case of documents identify the custodian of the documents. Barbara M. Robinson, 6. In the event that the information contained in the response letter regarding Docket No. GMCB-019- 18con Replacement of CT Scanner and Related Renovations from myself to Donna Jerry, Health Policy Analyst, dated October 15, 2018 becomes untrue, inaccurate or incomplete in any material respect, | acknowledge my obligation to notify the Department of Banking, Insurance, Securities and Health Care Administration, and to supplement the Interim Report as soon as I know, or reasonably should know, that the information or document has become untrue, inaccurate or jn any material respect. Claudio On October 15, 2018, Claudio D. Fort appeared before me and swore to the truth, accuracy and completeness of the foregoing. Grate uth [seal] lotary public My commission expires February 10, 2019 is€al Services, CFO On October 15, 2018 Judi K. Fox appeared before me and swore to the truth, accuracy and completeness of the foregoing. [seal] ly commission expires February 10, 2019ough, VP Corporate Support Services On October 15, 2018, James Greenough appeared before me and swore to the truth, accuracy and completeness of the foregoing. tary public [seal] ly commission expires February 10, 2019 (uloran We plan Parbara M. Robinson, VP Clinical Services On October 15, 2018, Barbara M. Robinson appeared before me and swore to the truth, accuracy and completeness of the foregoing. fotary public {seal] ‘My commission expires February 10, 2019Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 | 802.775.7111 | www.RRMC.org RRMC CT Replacement Equipment Cost Summary Quote # Description Price Equipment | GEPRII-CIAI422V6 | Revolution TES $1,798,77726 + MidRadinjector & interface 4+ SIM for oncology, including able and lasers ‘+ 3-year Technology Non- Obsolescence guipment | CIVC0 00020887 | €-Gual Carbon Fiber Breast boards 19,528 Equipment | GE PRE-C113408V2 | AW Server upgrade 3.2 Ext 2XL CT and Oncology $45,000, Equipment | GE PRII-C111472.V6_| LightSpeed VCT trade in ($33,000) Page 31 Equipment | GE PRIECLII422.V6 | Lghtspeed VCT Fair Market Value (FMV) 33,000 Page 33] RRMIC Assumption based on the Tradedin “Amount Receved Installation | GE Q-00500521-Vi_| Professional Services work effort elated to CT replacement 3560 and AW server upgrade aay HPC Est Rev3 062016 | Construction, Admin, FFE and Owner Contingency 164565 Purchased | Cardinal Medical | Physicist survey new CT sconner $2,450 Service Physkes quo00185 __| Radiation safety survey of CT scanner room On eeeote: 06-19-2018, Quote @ “PREECE? Version: 6 -6:p-Date: 08-30-2018, GeHealthcore Issued By: Customer Address: Attention: GE Healthcore Rutlond Regional Medical Center Shari Patch FEIN: 14-0689340 1160 Allen St 160 Allen St Rutland Rutlond VT 05701-4560 VT 05701-4560 The terms of the Master Purchasing Agreement, Strategic Alliance Agreement or GPO Agreement referenced below os the Governing Agreement shall govern this Quotation. No aduitional or diferent terms shall apply unless agreed to in writing by authorized representatives of both partis. Governing Agreement: Novation - Vizient Supply LLC ‘Customer Number: 123i6ck Terms of Delivery F08 Destination ling Terms: 80% delivery / 208 Instlaton Payment Terms: Net Due in 45 Days $1,765,777.26 Total Quote Net Selling Price: Exemption Certificate on File Soles And Use Tox Stotus: Tetalowng ip ean dort pou ecu ln (AK, OE, MT, HOR}. Ne tampon crete equ. [NOICATE FORO OF PAYMENT °C HEF Loar” GE HEF Lease" NOT sled athe nee gare then you may NOT eat ook Maren Wh Nencare Equipment France (OE HEF to td sarang afer shipment |—cesvroraParytoantchack —_ GE HEF Loon [GE HEF Lasse Tire Pay Lase(pase erty rang eo By signing below, each party certifies thot it hos not made any handwritten modifications. Manual changes or rork-ups on this ‘Agreement except signatures inthe signature blocks and an indication inthe form of payment section below) wil be void, Each party hos caused this agreement to be executed by its duly authorized representative os ofthe date set forth below, customer GE HEALTHCARE Matt Deyo 06-19-2018 ‘Authorized Customer Signature Dote Spa pr Print Nome Print Title Imaging Account Manoger Email mott.deyo@gecom Purchase Order Number lif applicable) Office: +1 663 $12 5684 use GE Heothcore Confidential and Proprietaryote 06-19-2018 vote #: Prii-ciiaee Version & 6 O-Esp-oote, 08-30-2038 Ge Heothcore Total Quote Selling Price 179077726 Tradesinond Other Cres '33,000.00 ‘Total Quote Net Selling Price $1,765,777.26 To Accept thi Quotation Payment structions | Please gn orden the Guctton together wth ink Roger fies ours (erhirnne beers ease Ret ayant fr mee ose et eyo Office: +1 603 312 5694 GE Heoltheare Etat mat. deyoogecom 0, tox 6483 Lchicago,neosss To Accept This Quotation + Please sign the quote and any included attachments where requested f equested, please incicte, your form of payment. + you include the purchase order, please make sure itreferences the following information ‘+The correct Quote number and version number above + The correct Remit To information os incited in "Payment instruction + The correct SHIP 0 ste nome and address bove ‘The correct SILL TO site name ond address. ‘The correct Total Quote Net Selig Price as indicated above “Upon subision ofa purchase orden response otis quotation, E Heatneae requ the okowing to evidence oprement to convct tems. ‘Signature page on quot lec outwith ignore and 2. numb. \erbiage onthe purchase order mus state one afte lowing Perth tems of Quotation #_i Pern toms cf GPOH_fiPe he te. of MP “arta Pertheterms of SAA Include the epplable quote/oyeerent nur ith the reference onthe purchase ert inaden sours offs hoc of Cashed Party Loon or GE WE Lest o GE HEF Loan Th Port Leas though. must be necotad, which moy be 2,000,000:1 + Scintilotor speed: 0,03us 100 times faster than GOS) + Afterglow: 0.00296 (4 times lower than GOS) + Raiation damage: 0.039620 times less thon GOS) * Scatter to Primary Ratio: <109% + Detection efficiency: 98% @ 120 kV Performix HOw tube ‘The Performix HOw tube isa next generation anode-grounded, rmetol-ceramic x-ray tube. The tube enables improved spatial resolution vio dynamic in-plane focal spot deflection and independent control of the focal spot size in both X and 2-oxis \which optimizes the focal spot to deliver consistent beom quality ‘across the full 80 mm Z-axis coverage, making it one ofthe most innovotive CT tubes offered today, The design is optimized for ‘exams requiring a large number of scans without tube cooling, It is powered by on onboard high frequency generator capable of ultra-fast kVp switching. Due to the ultrashort exposure times cossocioted with wide coverage scanning, traditional metres related to tube cooling such os anode heat content & cooling rate lose their relevance. The GE Performix HDw tube includes 0 standard license that automatically enables the use of tube dependent advanced applications, The use of a third party X-roy ‘tube will require an additional license for the activation of these features, Uitra-fost kv Switching Generator ‘The new generator features 3x faster rise ond fll times for kV 738 GE Healthcare Confidentil ond Propriety General Bectic Comoanu, GE Healthcare DivisionCcIVCO Radiotherapy obetior way Propared For ueteNumber — onoz8H proton Date 1907018 Name Shel Mecay Prepared By Chae Yarbrough AccourtName RUTLAND REGIONAL MEDICAL CTR Company Name CIVCO Ratitherany Account Number 15800400 Adress 160 Aten Steet. Aros ‘uot an st se ory utand Orange Ciy.1A 51041 Stterovnce —Varmont Prone (057) 246-0657 posilCoseostos Em ctatie yrbrouph@veor.com Prone Soa 747-1645 AIP Customer Service: 1-800-842-8688 Fax 02-75-5202 NP MT400C-Qual C in compatible, including armiist supports 200 $9,764.00 $19,528.00 ‘Subtotal $19,528.00, Grand Total $19,828.00 Purchasing Terms and Conditions Except 9s may have been otherwise agreed by separate writen docursntaion duly executed by CIVCO, tis quote is expressiy subject to and condoned upon your acceptance of CIVCO's Standard Terme and Candtions of Sele ("Terms of Sale), a complete copy of which can be ‘viewed on our website (yamy.civcor com). The Terms of Sale supersede al other tems and conditions, writen or oral and together with he tom. quantity, delivery, and oer terms detailed inthis quote constlute the entre purchase of goods and services speciied above, except 3 ‘may have been otherwise agreed by separate writen documentation duly executed by CIVCO. Al other terme. neuding any erent terms or ‘onions now or hereafter funished by you in connection with this transaction, are hereby expressly objected toby CIVCO. Ifyou do rot ‘accept the Terms of Sale asthe sole terms governing this transaction, please notiy CIVCO in vring. Otherwise, any objection fo such terms, land any alteate tems now or horealer proposed by you related to tls aneaction, shal be deemed rrevocably waivedDate: — pone Version C-69p-Date: 08-29-2018 GEHealticare Issued By: Customer Address: Attention: GE Healthcare Rutland Regional Medical Center Shari Patch FEIN: 14-0689340 160 Allen St 160 Allen St Rutland VT 05701-4560 Rutland, VT 05701 ‘Th oon se tthe ty este tary tin ee occ, atom apy go ean Ps tan by coe os dace pines ac eG sear. pen acc. ho Quin andthe eed wr one score Gary han ash cr he ape ee ena ae ei oe Governing Agreeme None Customer Number: +-23166k Terms of Delivery: FOB Destination Billing Terms: 80% delvery / 20% installation Payment Terms: Due ON Receipt - 30 Days Total Quote Net Selling Price: $45,000.00 Soles And Use Tax Status: Exemption Certificate on Fle “~The foloving ship to ste do notmpoe a slstne tx (AK DE, TNH, OR). No exemption cnt requed "°GE HEF Loar "GE HEF Lease" is NO selected the time sgnatire, hen you may NOT elect sok francing wih GE Hstnar Equpmant Finance (GE HEF) Yo |_casttirs Pay Loancheck —_GE HEF Loan CE HEF Lease Te Pay Lossless nly fn company) y signing below, each party certifies that it i has received a complete copy of this Quotation, including the GE Healthcare terms, conditions and warranties, ond [il has not made any handwritten or electronic modifications. Manual changes or mark-ups on this ‘Agreement (except signatures in the signature blocks ond on indication in the form of payment section below willbe void Each party has caused this agreement to be executed by its duty authorized representative as of the date set forth below. CUSTOMER. GE HEALTHCARE —_ Matt Deyo 06-25-2018 ‘Authorized Customer Signature Date 3g es Print Name Print Tile Imaging Account Manager Emait matt deyo@ge.com Gifice: F603 $12 Sb90 Purchase Order Number ff applicable) ano GE Heolthcare Confidentil and Proprietory General Bectric Company, GE Healthcare DivisionDoe 06-12-2018, uote #: Re-C113408 Version 2 o8p-02te 08-29-2018 SeHeattncore Total Quote Selling Price ‘$45,000.00 ‘Trade-In and Other Credits $0.00 Total Quote Net Selling Price ‘$45,000.00 ro accept this Quotation Payment instructions Cee rer amt totter with Please Remit Payment for invoices associated eeoae with this quotation te: Office: +1 608 312 5694 Ge Healthcare Email. matt deyo@ge com 0, Gox 96483 Chicago 60695, To Accept This Quotation ‘Please sign the quote ond any included attachments where requested) + Ifrequested, please indicate. our form of payment * Ifyou include the purchase order, please make sure it references the following information + The correct Quote number ond version number above ' The correct Remit To information as indicated in "Payment instructions” above * The correct SHIP TO site nome ond adress ‘+ The correct BLL TO site name ond address + The correct Total Quote Net Selig Price as indcoted above “Upon submission of «purchase order in response to this quotation, GE Healthcare requests the following to evidence agreement to contact terms, Sigoture page on quote files out with signature ond PO, number. \erbiage onthe purchase order must tote one ofthe fling: (Pe the ters of Quotation #_i Per the ers of GPOR__ fi Pershe terms of MPA 1 ortwiPerthe terns of AA. Include the applicable quote/egreement number wit the reterence onthe purchase ode Inaddon, source of funds note of CashThitd Port Lean or GE HEF Lease or GE HEF Loan or Thed Pty Leadethvough must be indicated, which may be dove onthe quot signature page or signed quotes onthe purchase order there quotes are nat signe avin separate writen source of funds stoterent ff Provided by Ge Heatncarel” 2ho GE Heathcare Confidential ond Proorietary General Blectric Company GE Healthcare DivisionDote: 06-12-2018 Quote #: Rec 13408 Version i 2 0 -6x0-Date 08-29-2018 GE Healthcare Item No. Qty Catalog No. Description 1 [AW Server 3x2 1 1 163108 AW Server XL 2.0 Software Only Upgrade to AW Server 3.2 Ext 2 XL AW Server XL 2.0 Software Only Upgrade to AW Server 3.2 Ext 2 XL Includes: + AW Server 3.2 Ext 1 Software Upgrade + Pre:processing Software Enabler * Qty 6 of Volume Viewer Single floating licenses 2 1 mgisies PACS 3rd Porty integration PACS 3rd Party Integration 3 1 mpoi71Ls ‘AW Floating License Manager ‘AW Floating License Manager ‘AW Floating license manager isthe license server software that manager AW floating licenses at your facility, You will need ONE license server per faciity to manage licenses. The software will be loaded on hardware provided and maintained by your IT department (Note: Not Applicable with AW Server purchase). The hardware should ‘meet the following minimum specifications: + P415GHz Processor + S12MBRAM ‘+ 100MB free hard disk space (568 recommended for license metering log files) Operating System specifications: + Windows 2000 Professional, Server, 2003 Server or XP Professional Included with this order is the AW Floating license manager software package, 4 1 meli7isw AW Floating Licenses Software Package ‘AW Floating Licenses Software Package ‘AW Floating Licenses Software Package includes all pre-requisite software required for floating licenses to function on an AW and also the server software that goes on the license server hardware provided by the customer. The package does not include license keys for any software, The keys willbe part of individual catalog numbers such {9 Floating License Monager, Concurrency Enabler, et. Included with this order is the AW Floating Licenses Software Package. sho GE Heatthcore Confidential and Proprietary General Electric Companys, GE Healthcare DivisionDate 06-12-2018 Quote # PRB-C115408 Version # al Q-Sxp-Date: 08-29-2018 GE Heatheare Item No. Qty Catolog No. Description 5 1 879031MK ‘AdvantageSiM M09 Full Upgrade ‘AdvontageSi™ M09 Full Upgrade from any previous version Upgrade your existing AdvantogeSIM MO license to Release 9 of AdvontagesIM MO Upgrade can start at any version of AdvtanogesiMt MO including Release 7 or Release 8 - Basic orFull ‘All Upgrades end at AdvantageSiM MD Ful version Upgrade from previous generation Advantagesim MD with Organ Segmentation and Mult-Modality/Multi Phase to AdvantogeSimMO3 with Organ Segmentation cond Multi Modalty/Multi Phase Prerequisite includes already existing previous generation AdvantageSim MO with Organ Segmentation ond Multi-Modality/Muti Phose software Requires AW VolumeShare 5 or higher. Includes: © Advantagesim MD © Organ Segmentation © Mult-Modaiity/Mult-Phase ‘AdvontogeSim MD is used to prepare geometric and ‘enotomicol data relating too proposed external beam radiotherapy treatment prior to dosimetry planning. Anatomical volumes can be defined with ‘outomated or manuct tools in three dimensions using a set of CT images acquired withthe Patient inthe proposed treatment position, Definition of the anatomical volumes may be assisted by additional CT, MR or PET studies that have been co-reistered with the planning ano GE Healthcare Confidential and Proprietary General Electric Company, GE Healthcare Division@ GE Heathcare Date. 06-12-2018 Quote #: PRB-C113408 Version #: 2 0-£sp-Dote 08.23.2018 Item No. Oty Cotalog No. Description CT scan. Additionally, CT & PET data from a respiratory tracked examination may be used to allow the user to define the target or treatment volume over @ defined range of the respiratory cucle The geometric parameters of a proposed treatment field are selected to allow non-dosimetrc, interactive optimization of field coverage. ‘Anatomical structures and geometric treatment fields are displayed on orthogonal plane CT images, or reformatted sagittal, coronal views structures ore displayed with or without the digitaly reconstructed radiograph, Integration: Review multi-modality image date ICT, PET & MRI on one desktop by using up to eight view ports on two monitors which can help increase speed and precision by contouring on all simultaneously, Incorporation of CT simulation with the following enhancements in one integrated environment for advanced clinical functionality ‘ond flexibility ‘0 Multimodality target definition from registered MR and PET image volumes (04D CT & PET respiratory review & analysis: (0.40 MIP. Ave-IP, Min-IP on-the-fly Organ Auto-Segmentation: Contour up to 15 structures in as few os 4 minutes with Auto-segmentation features which delineate itil organs and structures in 3D at the touch of a button. This can help improve speed tnd accuracy of organ delineation for sho GE Healthcare Confidential and Proprietery General Electric Company, GE Healthcare DivisionGE Heathcare Date 06-12-2018 Quote: PR8-C113408 Version # 2 Q-fxp-Dote 06-29-2018, Item No. Qty Catalog No. Description conventional treatment methods as well as ‘advanced 40 techniques, Currently supported structures include: o Lungs 0 Spinal Cord Liver o Kidneys o Spleen © Ocular globes © Optic lenses © Optic nerves © Optic chasm 0 External body contour 3D contour interpolation: This allows the user to define a full volume contour with a minimum cof 2 contours in orthogonal views. This may be particularly useful for bladder delineation, ‘Speed: The package allows complete 30 volumes to be defined and manipulated using automatic thresholding tools, the paintbrush tool, structure drawing with or without “Live Wire" to pixel value gradients ond automatic interpolation. Beam placement is faciitoted with cutomatic isocenter ond beam's eye view. ose of use: The package is mouse driven with a windows user interface. The press ofa single button using pre-defined and configurable treatment plan templates linked to patient ‘anatomy offers many functions, Protocol specific structure names and properties, beam geometry ‘ond field shape can be loaded from a palette of templates. Pre-defined sequences of actions con eno GE Heathcare Confidential ond Propeetary General Electric Company, GE Heaithcare DivisionGe Healthcare Date. 06-12-2018 Quote #: Ra-c113408 Version a 2 @-€xp-Date: 08-29-2018 Item No. Qty Catalog No. Description. 6 1 877061FB then be applied adding to the ease of use. Flexibility: Contouring and field definition parameters can be modified to allow thresholds, ‘margins and display characteristics to be toilored to a given patient dota. Efficiency: The package is designed for use independently of a treatment planning system, enabling the physician to define volumes and select treatment technique ot a dedicated workstation, Any plon can be saved and pushed to RTP systems os standard DICOM RT objects, DICOM RT Structure Set and RT Pian objects can cso be received from DICOM RT compliant systems and re-simuloted in Advantagesim MD. Requires AW VolumeShare § or Higher. ‘Advantage 40 2 conversion from node lock license to single floating license Convert Advantage 40 2 Single Floating License for AW Server 3.2 Conversion from Node Locked to Single Flooting License converts tn existing node locked license ‘owned by the customer to Single Floating License. This conversion will entitle {you to additional single floating license purchases for this opplication. Requires proof of ownership by providing host ID of the AW wihich has the node locked license installed. Upon conversion, existing mode locked license wil be removed from the AW. Included with this order is the Conversion of Node Locked to Single Floating License. mo GE Healthcare Confidential and Proprietary Genera Electric Compony, GE Heaithcare Division@ GE Healthcare Date 06-12-2018 Quote PR-C113408 Version a 2 0-6sp-Dote 08-29-2018 tem No. Qty Cotalog No, Description 7 1 1 879061SR, 8790L1Mv Convert AdvantageSIM M09 Basic to Single Floating License Convert AdvantageSIM MD9 Basic to Single Floating License for AW Server 32 Conversion from Node Locked to Single Floating License converts ton existing node locked license ‘owned by the customer to Single Floating License. This conversion will entitle {you to additional single floating license purchases for this application. Requires proof of ownership by providing host 1D of the ‘AW which has the node locked license installed. Upon conversion, existing mode locked license will be removed from the AW. Included with this order isthe Conversion of Node Locked to Single Floating License. Convert AdvantageSiM MO9 Full1o Single Floating License Convert AdvantageSIM MO9 Full Single Floating License for AW Server 3.2 Conversion from Node Locked to Single Floating License converts ‘on existing nade lacked license ‘owned by the customer to Single Floating License. This conversion will entitle {you to additional single floating license purchases for this application. Requires proof of ownership by providing host 10 of the ‘AW which has the node locked license installed Upon conversion, existing mode locked license will be remioved from the AW. Included with this order is the Conversion of Node Locked to Single Floating License. an GE Healthcare Confidential and Proprietary General Electric Company, GE Healthcare Division@ GEHealthcore Date 06-12-2018 Quote RB-C113408 Version # 2 (2-6p-Dote: 08-29-2018 Item No, Qty Catalog No. Description 10 uu 1 1 1 87716184 Mg156106 87986186 Convert Vessel & AutoBone Xpress to Single Floating License Convert VesselQ xpress and Autobone Xpress to Single Floating License for AW Server 32 Conversion from Node Locked to Single Floating License converts an existing node lacked license owned by the customer to Single Floating License. This conversion will entitle you to additional single floating icense purchases for this application. Requires proof of ownership by providing host ID of the AW which has the node locked license installed. Upon conversion, existing mode locked license willbe removed from the AW. Included with this order is the Conversion of Node Locked to Single Floating License, Convert integrated Registration to Single Floating License Convert Integrated Registration Full Fusion to Single Floating License for AW Server 3.2 Conversion from Node Locked to Single Floating License converts an existing node locked license owned by the customer to Single Floating License. This conversion will entitle you to additional single floating license purchases for this application, Requires proof of ownership by providing host ID of the AW which has the node locked license installed. Upon conversion, existing mode locked license will be remaved from the AW, Included with this order is the Conversion of Node Locked to Single Floating License. Convert CardiQ Xpress 2.0 Reveal to Single Floating License Convert CardiQ Xpress 2.0 Reveal to Single Floating License for AW Server 32 Conversion from Node Locked to Single Floating License converts n existing node locked license ‘owned by the customer to Single Floating License. This carversion will entitle {you to additional single loating license purchases for this opplication. Requires proof of ownership by providing host 10 of the ‘AW which has the node locked license installed Upon conversion, existing mode locked license will be removed from the AW. Included with this order s the Conversion of sno GE Healthcare Confidential ond Proprietory General Electric Company, GE Healthcare Division@ GE Healthcare Date 06-12-2018, Quote Hi pRe-c113408 Version # 2 2-Exp-Dote: 08-29-2018 Item No. Qty Catalog No. Description R B 1 1 wosooct W700sNW Node Locked to Single Floating License, CT TiP Training Package, 2 Consecutive Days Onsite CT TiP Training Package, Non Discountable 2 consecutive days onsite Training is provided from BAM to SPM, Monday through Friday, Includes TAL. expenses. This training program must be scheduled and completed within 12 months after the dote of product delivery 2 DAY AW SERVER 2.Day AW Server Training Two Day TiP AW Server Training One 2-day onsite applications training visit for AW Server. Includes T&L expenses. Days provided consecutively, ‘This training program must be scheduled and completed within 12 months after the date of product delivery, Quote Summary: Total Quote Net Selling Price {$45,000.00 (Quoted prices do not reflect state ond locol taxes if applicable. Tota Net Selling Price Includes Trade in alowance, if opplicable} 10 GE Heothcore Confidential and Proprietary General Elecsic Company, GE Healthcare DivisionGE Healthcare Terms & Conditions with Positron Emission Tomography and Computed Tomography Additional Terms & Conditions 1. Definitions, As identified in this Agreement, Equipment’ is hardware and embedded software thats Icensed with the purchase ofthe hardware delivered to Customer in GE Healthcare's packaging and with ts labeling: “Softwore” is softwore developed by GE Healthcare ond/or delivered to Customer in GE Healthcare's packoging and with its labeling, and Oacumentation associated with the softwore: “Thifd Porty Softwore" and “Thisd Party Equipment” cre respectively sofware developed by a tied porty, and hardware and embedded software that licensed with the purchase of the hardware, thot is delivered to Customer in te trird party's packaging and with ts labeling collectively, “Thicg Posty Product" "Product's Equipment, Software and Third Porty Product: and "Services" is Product support or professional sevices, “Heaktncare [Products' ore: Softwore identified in the Quotation os “Centricity: i Third Ponty Software licensed for use in connection with Centricity Software il hardware used to operate Centricity or Third Paty Software; lv Services provides for implementation, instalation or support ond meintenance of Centricity or Third Party Software; and/or u) any Product oe Service that is identied in HealthcareIT Quotation. “Spectications’ are GE Healthcare's written specifications and manuels as ofthe date the Equipment is shipped, "Qocumentation’ i the online he'p functions, User instructions and manuals regarding the instalction and operation ofthe Product as made avaiable by GE Healthcare to Customer. 2. Term and Termination. Services andlor Software icenses will hove individual term lengths identified in the Quotation. if there is ‘material breach ofthis Agreement thot is not cured by the breaching party within 60 days from receipt of written nouce, the nen-breaching party can terminate it. Other thon as set forth in this Agreement, neither porty can unicterally terminate this Agreement. Any remaining Undisputed unpaid fees become immediately due and payable on expiration ar termination. 3. Software License, Other thon os identified in the Quotation, GE Healthcare grants Customer o non-exclusive, nan-trensferabe, non sublicensable, perpetual license to use the Software for Customer’ intern business purposes only. Customers employees, agents and independent contractors may use the Software, but Customer is responsible fr thei acts, Customer-contolled entities may use the Software. but these ents will agree to these terms and poy addtional cense fees. Independent contractors that supply products comparable tothe Software cannot be provided access to the Software unless GE Healthcare has provided is prior written consent. Customer may make 3 reasonable numberof copies ofthe Softwarein machine-readable form for backup, testing or archivol purpases. If GE Heatheare provdes Third Party Software, Customer willcomply with the relevont license tems, andlicensees ore third-party benefciones of ths Agreement Customer must not: i display or make available the Sotware to ary other entity transfer the Software outside the UnitedStates or Customer's ‘networks il decompile, d'sossemble or reverse engineer the Software or temp to learn its source code, structure or algorithms; bv mody, translate or create derivative works based on the Software v1 modify markings, labels or notices of proptietcry rights of the Software oF Documentation: vi celease results of testing or benchmarking ofthe Software; or (il use the Software ouside of the scope eefined inthis ‘Agreement or the Quotation, Software and Documentation islcensed to Customer, but no title or other ownership interest passes, No rights are granted encept os expressly provided inthis Agreement or the Quotation. I the parties enter into statement af work related to @ Quotation SOW, GE Healthcare owns 1 deliverables and intellectuol property developed during performance. Customer assigns, and will cause ts employees and independent contractors to assign, to GE Hea'thcore all of is rights to the SOW deliverables and intellectual property. GE Healthcare grants to Customer a ‘non-exclusive, non-transferable, non-sublicensable license to use the SOW deliverables subject to thelimitations inthis Agreement. 4 Commercial Logistics. 44. Order Cancelation and Madificotions 4111. Cancellation if Customer cancels on order priar to shipment without GE Healthcare's written consent, GE Healthcare may chorge: (i. fee of up to 10% of the Product price; and fi for ste evcluctions performed prior to cancellation, GE Heathcore will etoin, as a erect, ‘payments received up to the amount of the cancelation charge. Customer must pay applicable pragress payments jother than finol payment Prior to final calibration, and GE Healthcare may delay calibration until those payments are received. if Customer does net schedule @ delivery ‘ote within 6 months ater order enty, GE Healthcare may cancel on written notice. This Section does not apply to Software Quotations, Third Porty Products onda professional or installation services included on thase Quotations; those orders are non-cancelable, ‘412. Used Equipment. Equipment identified os pre-owned, refurbished, remanufactured or demonstration Equipment hos been previously used 'Used Equipment’ its not new. When delivered, Used Equipment may have received reconditioning, os necessary, to meet Specifications. Since Used Equipment may be offered simultaneously to severol customers, its soles subject to availolty. If iis no longer 130 ‘weeks Uptimeis calculated as follows: pamee = all Upto “Uptime Bose’ = ("0° hours per day X"b* days per week X26 weeks| -Plonned Maintenance ’PM"Ihours during prior 26 weeks! where“ hours ‘er doy and "b days per week are determined by the standord worcanty for the CT Equipment. "Downtime isthe number of hours during which the CTEquipmentis subject to Critica! Malfunction. Oowntimestarts when Customer notifies GE Healthcare thal the CT Equipment is inoperable ‘nd unovalicble for use due to GE Healthcare's design, manufacturing, material or performance folure Citical Molunctiar'|. Downtime ends When the CT Equiomenti availble for cinical use. To be eligible forthe Uptime Commitment, customer must maintain operfermonce log that includes data required to caleuate Downtime, 9. General Terms, 9.1 Confidentoity. Eoch party wil trot this Agreement ond the other party's proprietory information as confidential, meaning it will not use ‘or disclose the information to third partes unless permitted in this Agreement or required bylaw. Customers are not prohibited fom discussing patient safety issues in appropriate venues. 9.2. Governing Law. The aw ofthe Stote where the Products installed or the Services provided will govern this Agreement. 93. Force Moieure. For non-monetary obligations, performance time willbe reasonably extended for delays beyond a party's control 94, Assignment: Use of Subcontractors Rights and obligations under this Agreement connot be ossigned without the other party's prioe written consent, unless: (ts to on entity lexcept to 0 GE Healthcare competitor that las on affitote er parent ofthe party or (b acquires supstantaly ol of the stock or ossets of such partys opp cable business, Product line or Service thereo and lil the assignee agrees in writing to be bound by this Agreement, including payment of outstonding fees. GE Healthcare may hire subcontractors to perform work under this Agreement but will remain responsible for its obligations. 25. Woiver, Survival. If any provision of th’s Agreements not enforced itis note waiver ofthat provision or of « pory’s right toloter enforce ‘t Terms in tis Agreement relate to intellectual property, complionce, date rights ond terms that by ther nature ore intended to sunvveits eng will continue in fll effect ater its end, 10. Compliance, 101. Generally. Each porty wil comply with appicable lows and regulations. Customer is oly purchasing or licensing Products for its own ‘medical. iling and/or nan-entertainment use inthe United States. GE Healthcare wil not deliver, instal service r train it discovers Products have been or are intended to be used contrary to this Agreement, This Agreement is subject to GE Healtncore’s ongoing recit review and ‘pproval. Customer is aware o its legal obligations for cast reporting, inuding 42 CFR. § 1001.952\q) and Ih, and wll request from GE Healthcare ory information beyond the invoice needed to full Customer's cost reporting oligetions. GE Heothcore will provide safety-related Equipment and Software updates required by oppiicabe laws and requlations at no additional cherge 102, Security, Customer must provide network and Product security, virus protection, backup, dota integrity. and recovery of deta, images, software of equipment: GE Healthcare is not responsible for recovery of lost or damaged data or images. NEITHER PARTY WIL BE LIABLE FOR [DAMAGES CAUSED BY UNAUTHORIZED ACCESS TO THE NETWORK OR PRODUCT IN SPITE OF A PARTY'S COMPLIANT SECURITY MEASURES. 103. Environmental Health and Safety. GE Heclthcare has no obligation to provide Products andlor Services untd Customer: i}provides and mainters « sofe, hazard-free environment in moteriol compliance with oppiicabie Federal, State, and local requitements ond writen requirements provided by Ge Healthcare; i provides to GE Healthcare onsite persennel with alist of chemicaU/hazardous materials with which these personnel may come into contac, related safety dota sheets andits writen safety procedures ill performs GE Healthcare recommended routine maintenance and operator adjustments; and iv] ensures thot service not provided by GE Healthcare is performed, and Products ore Used. in accordance with applicable documentation. Before Customer sends a Product to GE Healhcaee (eg, for repair loaner return or GE Healthcare services « Product, Customer wil remove bodily kids and remediate hazardous conditions that may couse inly or llness, ond be responsible for managing, string and disposing ofall waste material, unless GE Healthcare is legally required to toke back the moterils Customer is responsible. tits expense, fr: (ol controling access to, and all operations and protocols of, the Praduct and the sie, a well 05 «ensuring compliance with environmental ond health and safely regulations; (ol obtcining required permits ondlicenses, including any requires tohondle or produce radioactive materils( decommissioning and disposal requirements ofits facilities; and (él as applicable, complying with .GuP and/or phormaceutical regulations. Customer wll provide racioactive material for eclbeation and testing of the Product 104. Parts and Tubes, GE Healthcare: I recommends the use of ports it hos veldated for use with the Producti isnot responsible forthe queclty of ports supplies by third partes to Customer; and ill connat assure Product functionality or performance when non-GE Heoltheare parts core used. Certain Products are designed to recognize GE Healthcare-supplied tubes and report the presence of @ non-GE Healthcare tube, GE Heclthcore isnot responsible fr the use of, or effects from, ron-GE Healthcare supplied tubes, 105. Training. GE Heclthcare’strining does not guorantee thot: {i Customer trainees ore fully veined on Product use, maintenance or ‘operation o il taining wil satisty any licensure or accreditotion. Customer must ensute ts trcinees ore fully quified inthe use and operation Of the Product. Uniess otherwise identified inthe training catalog, Customer will complete vairing within 12 months after. (lif wth & Product ppurchose, the date of Product delivery: bf with a Services purchase, the stort date for Services; or cif witha training-only purchose, the dote training is ordered. If not done within tis time perid fother thon because of GE Healthcare's faut taining expires without refund. ‘GE Heathcore Terms & Conditions Poge3of4 with Positron Emission Tomeorophy and Computed Tomagrophy Adonal Terms & Conon Rev 20:16) GE Heatheare Contentil & Proprietary106, Medical Diagnosis ond Treatment. Al clinical ond medical trectment, diagnostic endlerbiling decisions are Customer's responsibility. 10.7. Connectivity. Ifa Product has remote access capability, Customer must provide GE Healthcare with, ond mointain, remote access to the Product’by 0 GE Healthcare-validated connection to permit GE Healthcare to perform Services. If remote access isnot provided, GE Healthcare ‘eserves the right to chorge Customer for onsite support ot GE Healthcare's then-current biling rate, The remote connection and collection of ‘mochine data e.g. temperoture, helium level wil continue offer the end of this Agreement unless Customer requests in writing that GE Heolthcore disable it, 108, Use of Date. 10.8.1. Protected Heoith information If GEHealthcare creates, receives, maintains, ronsmits or otherwise has access to Protected Health Information os such term is defined in 4S CFR. § 260.105 PH" under this Agreement, it will nly use and disclose the PHI as permited by low tnd by the Business Associate Agreement between the porties. 1082. Data Rights. GE Healthcare ond is subcontractors may access, collect, maintain, analyze, prepare derivatives from andothenwise Use information about Products and/or Services that isnot PHI including, but not limited to, machine, techrcal, systems, uscge and related information I'Squree Octo’ to facitate the provision of Products andor Services to Customer ond for research, development and continuous improvement of GE Heoithcare's products, software and services, GE Heatheare will own all discovenes, ideas, improvements, products, services software, data intellectual property and other rights arising from ondforrelotes to GE Healthcare's andits subcontractors use, cnolysis, reseorch andlor development of the Source Data, 109. Customer Policies. GE Heathcare will use reosonoble efforts to respect Customer-provided policies thet apply to GE Healthcare, and do ‘not materially contradict GE Healthcare polices. Falure to respect Customer palicies is not a meteriol breoch uniess its wilful ond adversely offects GE Healthcare's obilty to perform its obligations 1010, insurance. GE Healthcare will maintain coverage in accordance with its standard certficate of insuronce, 10.2. Excluded Provider. To its knowledge, neither GE Healthcare nor its employees performing Services under this Agreement have been ‘excluded from portcipation in a Federal Heatthcare Program. If an employee performing Services under this Agreement is excluded, GE Healthcare wil replace thot employee within a reasonable time; f GE Healthcare is excluded, Customer may terminate this Agreement upon \wetten notice to GE Healthcare, 11, Disputes, Lcbility ond indemnity. 11.1. Dispute Resolution The portes wil first attempt to resolve in good faith ary disputes relcted to this Agreement. Violation of GE Heolthcore's icense, confidentiality or intelectual property rights wil cause irreparable harm for which the award of money damages olone is inadequate. GE Hedlthcare may: {seek injunctive relief ond ary ather available remedies: crd/or (il immediotely terminate the license grant ‘ond require Customer to cease use of ond return the Software and Third Party Software. Other than these violations or collection matters, unresolved disputes wil be submitted to mediation prior to initiation of other means of dispute resolution. 112. Limitotion of Uabilty. GE HEALTHCARE'S ENTIRE LIABILITY, AND CUSTOMER'S EXCLUSIVE REMEDY, FOR DIRECT DAMAGES INCURRED BY CUSTOMER FROM ANY CAUSE, REGARDLESS OF THE FORM OF ACTION, ARISING LINDER THIS AGREEMENT O8 RELATED HERETO, WILL NOTEKCECO: UW FOR PRODUCTS, THE PRICE FOR THE PRODUCT THAT IS THE BASIS FOR THE CLAIM OR il FOR SERVICE OR SUBSCRIPTIONS, THE AMOUNT OF ‘THE SERVICE OR SUBSCRIPTION FEES FOR THE 12 MONTHS IMMEDIATELY PRECEDING THE ACTION THAT IS THE BASIS FOR THE CLAIM. THIS LUMITATION OF LIABILITY WILL NOT APPLY TO GE HEALTHCARE'S DUTIES TO INDEMNIFY CUSTOMER IN ACCORDANCE WITH THIS AGREEMENT. THE LIMITATION OF LIABILITY WILL APPLY EVEN IF THE LIMITED REMEDIES FAIL OF THEIR ESSENTIAL PURPOSE, 11.3. fxclusion of Damages NETHER PARTY WILL BE LIABLE FOR INDIRECT. SPECIAL, PUNITIVE, INCIDENTAL, CONSEQUENTIAL OR REPUTATIONAL DAMAGES, OR FOR LOSS OF PROFITS. REVENUE, TIME, OPPORTUNITY OR DATA, REGARDLESS OF THE FORM OF ACTION OR BASIS (OF THE CLAIM. THE EXCLUSION OF DAMAGES WILL APPLY EVEN IF THE LIMITED REMEDIES FAIL OF THEIR ESSENTIAL PURPOSE 11.4. IP indemnification GE Healthcare will indemnify and hold Customer harmless from third-party claims for infringement of United States intellectual property rights coused soley by Customers use ofthe Equipment and Software in accordance with the Documentation and license (GE Healthcare wl control the defense. Customer may retoin counsel but at Customers expente. 11.5. General indemnification, GE Healthcare will indemnify ond hold Customer harmless foe third party damages thot Customer becomes legaly obligated to pay related to bodily injury or damage to real ar tangible personel property to the extent the domoges ore caused by a ‘manifacturing or design defect, negligent filure to worn, negigent installation, ar negligent Service with respect to Products manufactured by GE Healthcare and supplied under this Agreement. GE Heatthcare has no obligation ta indemnify and hold Customer harmless for damages cused by: i} Customers fout er legal expenses incurred by Customer in defending itself against suits sealing damages caused by Customer's fauit or id ery Product mecification not authorized in writing by GE Healthcare, Customer willindemnify and hold GE Healthcore harmless from third party damages that GE Healthcare bacomes legally obligated to poy related ‘0 bodiy injury or damage to real or tangible personal property to the extent the damoges are caused by Customers (ol medical diagnosis or ‘treatment decisions; b misuse or negligent use of the Product; cnd/ar le use a the Product in a manner or environment of for any purpose for ‘which GE Healthcare dint design it, or in violation of GE Healthcare's recommendations or instructions, ‘Tne above obligations are conditional onthe indemnified party providing the indernifying party prompt writen natce ofthe claim aftr receiving otice oft, clowing the indemnifying pay the option to control defense and dispesition ofthe claim, and reasonably cooperating withthe indemnifying partyin the defense. The indermitying party will aot be responsible fer any compromise made without its consent. 12, Notices. Notices willbe in writing and considered delvered when received if sent by cetified mail, postage prepaid, return receipt Fequested, by overnight mai, or by fox Notice to Customer willbe directed tothe address an this Agreement, ond notice to GE Healthcare to ‘General Counsel, 9900 innovation Br, Wauwatoso, WM 53226, ‘GE Healthcare Tes & Conditions Page daft with Posiron Emission Tomog‘ophy and Computed Tomography Addonal Terms & Condition Rev 10.16) GE Heathcare Content &PropstaryGE Healthcare Warranty Statement 1. Warranty 1.1. Equipment. For non-customized Equipment purchased from GE Healthcare or its authorized distributors unless otherwise identified in the Quotation, GE Heolthcare warrants that Equipment wil be free from defects i title, ond, for 1 year from Equipment Acceptance, it wil. () be free from defects in moterial and workmanship under normal use and service; and lil perform substantially in accordance with the Specifications. The warranty covers ports and lator and only applies to end-users that purchase Equipment from GE Heokhcare or is uthorized distributors, 1.2. Sofware. For Sofware licensed from GE Healthcare, GE Healthcare warronts that it has the right to license or sublicense Software to Customer lilt has not inserted Disabling Code into Software: iit will use efforts consistent with indusity standards to temove viruses from Software before delivery: and (v) unless otherwise identified inthe Quotation, for 90 days from Software Acceptance. Softwore will perform substantial in accordance withthe Documentation. "Disabling Code” is code designed to interfere with the norma! operation of Sofware, but ‘code thot prohibits use outside of the license scope s at Disabling Code, 13. Services. GE Heolthcare warrants thot its Service willbe performed by trained ind viduals ino professional, workman ike manner. 14. Used Equipment. Certain Used Equipment is provided with GE Healthcare's standard warranty for the duration identified in the (Quotation, but ino event more than 1 yecr. fire warranty is identified, the Used Equipment isnot warranted by GE Healthcare 1.5, Acessories ond Supolies. Warranties for accessories ond supplies are in GE Healthcare's catalog ond at www qehealtncore.com, 1.6, Third Party Product. Third Porty Product is covered by the third partys warranty ond not GE Healthcare's worranties. 2. Remedies. if Customer promotly notes GE Healthcare of its cloim during the worronty ond mokes the Product available, GE Healthcare wil.) ot its option, repair, adjust or repioce the non-conforming Equipment or components i) atts option, correct the non= ‘conformity of replace the Software; ond/or il e-perfarm non-conforming Service, Warranty service willbe performed from 8am to Spm loco! time, Monday-Friday, excluding GE Healthcare holidays, and outside those hours at GE Healtheares then-current service rates ond subject to personne! ovalbiliy, GE Heolthcare may require warranty repairs to be performed va a secure, remote connection or ot on authorized service center. if GE Healthcare replaces Equipment or o component, the original becomes GE Healthcare property and Customer wil return the original to GE Heolthcore within § days after the replacement is provided to Customer. Customer cannot stockpile replacement ports. Prior to returning Equioment to GE Healthcare, Customer wil {o} obtain ¢ return to manufacturer gutherization; and fl back up and remove ol information stored on the Equipment [stored data moy be removed during repair. Customer i responsible for damage during shipment to GE HHeoltncare. The worranty for 0 Product or component provided to cowect @ warranty failure isthe unexpired term of the worronty for the repaired or replaced Product. GE Healthcare moy provide o loaner unit during extended periods of Product service, If @ loaner unit is provided: i itis for Customers temporary use atthe location identified inthe Quotation; iit will be returned to GE Healthcare within 5 days after the Product is returned to Customer, and if its not, GE Heolthcore may repossess it or invaice Customer forts fll ist pric: lt, and el programs ond information pertaining to it remoin GE Heatthcare propery: risk of loss i with Customer during its possession lv Customer wil maintain andelurn iin ‘proper condition, no:mal wear and teor excepted, in accordance with GE Healthcare's instructions; vit will net be repaired except by GE Healthcare; [vil GE Healthcare will be given reasonable access tot; vil Customer is not paying fori use, ond Customer will ensure charges (oF claims submitted to c government heaithcore program or patient are submitted cccordingly: ond fx prior to returning it to GE Heoltheare, Customer wil delete all information including PHI, from itand its occessories, in compliance with industry standards and instructions provides bby GE Heotthcore, INO OTHER EXPRESS OR IMPLIED WARRANTIES, INCLUDING IMPLIED WARRANTIES OF NON-INFRINGEMENT, MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, WILL APPLY. SERVICE MANUALS ANO DOCUMENTATION ARE PROVIDED “AS IS". GE HEALTHCARE DOES NOT ‘GUARANTEE PRODUCTS WILL OPERATE WITHOUT ERROR OR INTERRUPTION 3. Limitations. GE Healthcare hos no obligation to Customer for warranty cisims if Customer uses the Product: jl for non-medical or etertainment use or outside the Urited States; (in combination with softwore, hardware, o services not recommended in writing by GE FHeaithcore: ond jc) in @ manner or environment for which GE Healthcare did not design or license it. or in violaten of GE Healthcare's ‘recommendations or instructions. In odetion, these warranties do not cover ia defect or deficiency from improper storage or handling, inadequate backup or virus protection, cyber-attacks, falure to maintain within Specifications power quay, grounding, temperature, humidity and repairs due to power anomalies, ‘oF ony couse external tothe Products or beyond GE Healthcare's cortrok fil payment or reimbursement of facility costs arising from repair or replacement of the Products or ports: i) adjustment, clgnment, calibration, or planned mointenance: [vl network and antenna installations ‘ot performed by GE Healthcare or its subcontractors: vost or stolen Products i Products with serial numbers eltered. defoced or removed, {wi mosfication of Product not approved in writing by GE Healthcare; il Products imerersed in quid; ond lid cansumabie/teplaceable terns, 4. Exceptions to Standard Warranty. DoseWatch Explore: OOSEWATCH EXPLORE SOFTWARE, SERVICES AND INFORMATION IS PROVIDED "AS IS" WITH NO WARRANTY Partial System Equipment Upgrades for CT, MR, X-Ray, PET (Scanners, Cyclotrons ond Chemistry Labs) and Nuclear systems: 6 months (only applies to the upgraded components! Cyclotron and Radiopharmacy: Warranty starts onthe earlier of i 3 months after the date GE Healthcare completes mechanical instalation. ori the date Product testing is successfully completed Werrnty Stotement Rev 10.6) Poge 1of2 GE Heatteare Confidential & ProprietyMR Systems: Worranty does not cover: (a defect or deficiency from failure of water chillers supplied or serviced by Customer. and il for MR systems with LHe/LN oF shield cooler configured superconducting magnets [except for MR Systems with LCC magnets, any cryogen supply cryogenic service or service to the magnet, cryostat, coldhead, shield cooler compressor or shi coils unless the need for supoly or service f= ‘coused by a defect in material o workmanship covered by this worranty, Proteus XR/a, Definium and Precision 5000 X-Ray Systems: Worranty does not cover collimator bulbs 'MX1S0 Vascular and Performix 160A (MX160] Tubes: 3 years X-Ray High Voltoge Rectifiers and TV Camera Pick-Up Tubes: 6 months X-Ray Wireless Digital Detectors: In addon to the standard worranty, GE Heolthcore wil provide coverage for detector domage due to ‘occidental dropping or mishandling. If accidental damoge occurs, GE Healthcare will provide Customer with 1 replacement detector during Wworranty at ne addtional charge. if subsequent accidental domage occurs during warranty, each addtional replacement wil be provided for '$80.000 per replacement. This additional coverage excludes damage caused by ary use that does not conform to OEM guidelines, use that uses fluid invasion, holes, deep scratches or the detector case to crack and damage coused by abuse, thef, loss. fe, power failures or surges. Ifthe warranty is voided by these conditions, cenit a” replacement i Customers responsibilty Bone Mineral Densitometry: Aisha Source, Inc wil perform installation, agpicctien support and warranty services. Direct worcanty claims to ‘Alpho Source, Inc, ot 1-800-654-9845, Upgraded computer, printer ond monitor companents include a 1’month warranty. Customer wil not be credited tne value of this warranty agonst pre-existing worranties or service egreements. GE OEC New or Exchange Service/Mointenance Ports: $ months GE OEC Refurbished C-Arms: 1 year afte installation HealthNet Lan, Advantage Review ~ Remote Products: 3 months Vivid Ta: 3 yeots, includes TEE probes purchased with the Vivid TS Vivid , Vivid e, Vivid 9, Vivid iq ond Voluson i: Worranty includes (repair at GE Healthcare fcities, il business day turnaround repair for Products shigped vie overnight delivery (where avaiable), measured from shipment date [GE Healthcare is not responsite for deloys in cvernight shipment i 72-hour loaner unit or probe replacement service via Fed Ex, and lvl phane support from 7am to Tpm Cental Time, Monday-Friday, excluding GE Mecltheare holidays. For on additional charge. GE Healthcare may provide field sunport/sensce, planned maintenance, endior coverage for damage due to accidental dropping or mishandling with a maximum of 2 replacement systems during warranty. LOGIQ ¢, Venue, Vivid iq and related transducers and peripherals purchased with them: 5 years (3 years far Vivid il except the folowing have year warranty: Transducers: BTC-RS,i739-85, 1739-85, andi22L Cons: Venue Docking Cart, LOGIQ e Isolation Cort and Tal Docking Carts Other Accessories: Venue & LOGIQ ebotteres intemal & external, TEE cleaning & storage system ond printers \Wareanty includes: repair ot a GE Healthcare Sersice Depot. phone support fram 7am to 7pm Central Time, Monday-Friday excluding GE Healthcare holidays, andi clearer Preduct when avaiable chipping charges included Vscan: 3 yeors, except Vscon Version 1.1 Demonstration systems, which ore warranted for 2 year. Warranty includes: i repair ot a GE Healthcare Service Depot il fepcr within 5 days after receipt ofthe Vscan, excluding GE Healthcare holidays [GE Healthcare is net responsible for delays in shipment cn li phone support from 7am to Tom Central Time, Monday-Friday, excluding GE Healthcore holigoys. Uttrasound Partial System Equipment Upgrades: 3 months (only applies to the upgraded components). Customer will net be cretited the \volue ofthe warranty against pre-exsting worcantis or service agreements Botteries: 3 months, except for x-ray nickel cadmium cf lead acc batteries and Vson boteres, which are warranted for 1 year CCARESCAPE Monitors 8450, B650 and 8850: 5 yeors parts, 1 year labor excluding dsploys, which are stondard) ‘B40 Monitors: 2 years pas, 1 year labor excluding displays, which ore standard [MAC 800, 1200, 1600, 2000 and 3500: 3 years ‘CARESCAPE V100 ond VC150 Vital Signs Monitors: 2 years Exergen: & years Ponda? iRes Warmers, Graffe® Wormer and Giratfe® Carestation OmniBed: 7 yea: parts warranty on heater col od Microenvironment and Phototherapy consumable components: 1 month Corometrics® Fetal Monitoring: Worranty includes: [i] warranty starting on the eater of aif GE Heothcare or Customer isto, $ days after installation or Ib 40 doy after shipment; and til 2 yeors parts, 1 yeor labor Corometrics® Nautilus Transducers: 2 years Lullaby Phototherapy System: 3 years on lamp assembly ‘Oximeters: 3 years from instalation, or 39 months from date of G= Healthcare invoice, whichever occurs fst ‘Anesthesia Monitor Mounting Solutions: f purchased directly from GE Healthcare, wl be warranted as 0 GE Healthcare Product Tec 7 Vaporizers: 3 years Tec 6 Plus Vaporizers: 2 years, ‘Werranty Starement Rey 1016) Foge 20f2 GE Heathcare Confidential § Proprietary@ GE Heaitheare Issued By: Customer Address: GE Healthcare FEIN: 14-0689340 160 Allen St Rutland VF 08701-4560 Rutland Regionol Medical Center Date: 06.19.2018 Quote a: Version # -6ep-Date: 08-30-2018, Attention: Shari Patch 160 Allen St Rutiond vros701-4560 The terms of the Master Purchasing Agreement, Strategic Alionce Agreement or GPO Agreement referenced below os the Governing Agreement shall govern this Quotation, No additional or different terms sholl apply unless agreed to in writing by outhorized representatives of both parties, Novation - Vizient Supply LLC 1-23166K FO8 Destination 80% delivery / 20% Installation ‘Net Due in 45 Days $1,765,777.26 Exemption Certificate on File Governing Agreement: Customer Number: Terms of Delivery: Billing Terms: Payment Terms: Total Quote Net Seling Price: Soles And Use Tax Status: "The folowing sip to sts do not mpase a slstse tx (AK, DE, MTN, OR), No exemption carta equ, IRIGATE FOR OF PRYWENT 'F°GE HEF Loan" “GE HEF Leae” lt NOT soto at ho tine of grate, en you may NOT ela io sae fancy wb GE Healthcare Eaupment Finance (GE HEF) Yo und tis erangemont ar shipment. |_—caph tira Pay Leoncheck —__GE HEF Loan Th Party Leaseplease nly oan company 8y signing below, each porty certifies that it has not made any handwritten modifications. Manuel changes or mark-ups on this, Agreement (except signatures in the signature blocks and an indication in the form of payment section below! will be void Each party has coused this agreement to be executed by its duly authorized representative as of the date set forth below. CUSTOMER GE HEALTHCARE —— Matt Deyo 06-19-2018 ‘Authorized Customer Signature Date ae wae Print Name Print Title imaging Account Manager Email mot deyo@ge.com Purchase Order Number ff opplicable) Office: +1603 5125894 usa GE Heaithcore Confidential ond Proprietary Genera Electric Company, GE Healthcore DivisionDate, 06-19-2018 uote # pRIL-ciniaze Version #: 6 0-6 Dote: 08-30-2018, GE Healthcare Total Quote Selling Price $1,798,777.26 Trade-In ond Other Credits ‘$33,000.00 Total Quote Net Selling $1,765,777.26 ‘To Accept this Quotation Payment Instructions | Fiease sign and retum this Quotation together with sleaze Remit aymnen for voices osock {your Purchase Order Tr ease Remit Payment for invoices associoted Mott Deyo with this quottion to: Office: +1 603 312 $694 GE Heolthcare Emit matt deyo@gecom To Accept This Quotation ' Please sign the quote ond any included attochments where requested), ‘requested, please indicate, your form of payment. ‘If youinclude the purchose order, please make sure i references the following information +The correct Quote number and version number above ‘The correct Remit To information as indicated in "Payment Instructions" above ‘+The correct SHIP TO ste nome ond address ‘The correct BILL TO site name ond address ‘© The correct Total Quote Net Seling Price as indicated above ‘Upon submission of purchase ederin response otis quotation, GE Healthcare request he following o evidence agreement to contrac terms. SSgnoture page on quoted out with signature and 20. number Soclteeesngansoeetenatteemernereert Verbiage onthe purchase order must state one ofthe following: Fe he terms of Qutation #__ i) Perthe terms of.GPO#__ Per the terms of MOA 4 oriviPertheterms of Sa. Include the applicable quote/ogreeent number with the reference onthe purchase ede, inadalion source of funds chace of Cosh Party Loon o GE HEF Leoseo GE HEF Laon or Third ParlyLecze through must be ndcated, which may be ‘dane onthe quote sgnoture poge or signed quotes} on the purchase order where quotes eerot signed vio a separte wren source of funds statement if provided by GE Heathcarel” 2h GE Healthcare Confidential and Proprietary General Electric Company, GE Healthcare Division06-19-2018 Date: Quote #: pRiLciilaze Version a 6 0-Bp-Date: 08-30-2018 GE Healthcare 06-19-2018 GPO Agreement Reference Information Customer: Shori Patch Contract Number: PLEASE SEE NOVATION CONTRACT it BELOW Start Date, End Date: 32/3/2021 Biling Terms: 80% delivery / 20% Installation Payment Terms: Net Due in 45 Days Shipping Terms: FOB Destination NOTICE REGARDING COMPUTED TOMOGRAPHY ("CT") PRODUCTS. This notice opplies only to the following GE Healthcare products: CCT: Revolution CT and EVO, Optima 680 CT and Optima $20 CT. GE Healthcare has reclassified several advanced software tools and ossociated documentation to a GE Healthcare Technical Service Technology package that GE Healthcare feels will bring greater value and interest to our customers. GE Heatthcare will continue to provide troined Customer employees with access to the GE Healthcare Technical Service Technology package under a seporate agreement, GE Healthcare will continue to provide customers tnd their third party service providers with access to software tools and associated documentation in order to perform basic service ‘on the CT, MR and NM products listed above upon a request for registration for such access. This will allow GE Healthcare to react faster to the future service needs of GE Healthcare customers. If you have any questions, you can contact your sales Service Specialist, This product offering is made per the terms and conditions of Novation/GE Healthcare GPO Agreement # XRO321 (CT) and # KRO3S1 (PeT-cn. For access to the applicable Novation Agreement and Contract Summary, please lagin to the Novation Marketplace website. if you require assistance or are experiencing issues please contact one of the following for support: Novation Customer Service (888] 7-NOVATE NOVCustomerService@novationco.com \Web Site Technical Support 800] 327-8116 NovationTechSupport@novationco.cam 3/38 GE Healthcare Confidential and Proprietary General Bectric Company, GE Healthcare DivsionGEHeatthcare Date Quote a: Version #: o-Fap-Date 06-19-2018 PRILCILIA22 6 08-30-2018 tem Qty No. Catolag No. Description Ext sell Price 1 $732965 Revolution CT Revolution CT ES Configuration The Revolution CT ES configuration is @ premium CT scanner that brings the essence of Revolution CT experience into @ scolable platform. Built upon ground-breaking ond clinically proven Revolution CT hardware platform, it delivers HD image quality, fast volumetric scanning and lower dose with optimized contrast use. And it has scalability with its ability to be upgraded in-room t0.0 160mm detector coverage system, allowing you to grow its clinical copabiltes with your needs. The Revolution CT ES delivers industry leading technical specifications for a premium CT system, including + VHO reconstruction, 30 Collmator, and focal aligned detectors Provide high-definition image quality, while overcoming the chollenges of typical wide detector systems such os cone beam ortfacts, HU uniformity, scatter and beam hardening artifacts. + ASIR-V provides integrated advanced iterative reconstruction technology that reduces noise and reduces low-signal streak ‘ortifact at very low signal levels. This technology is designed to deliver reduced noise levels, improved low contrast detectability ‘and may enable a reduction in dose for all clinical applications. Inclinical practice, the use of ASIR-V may reduce CT patient dose depending on the clinical task, patient size, anatomical location ‘nd clinical practice. A consultation with a radiologist ond a physicist should be made to determine the appropriate dose to obtain diagnostic imoge quality forthe particular clinical task. Clinical Highlights * High-Definition imaging ‘The clinical needs for better image quality never stop. Visualizing the finest image detcils significantly enhances diagnostic confidence. Equipped with the 80 mm Gemstone Clarity Detector ‘and the Performix@ HOw tube, the Revolution CT ES achieves best-in-class 0.23 mm spatial resolution across all detector coverage, all FOV, all applications, even obese patients. + Low Dose Lung Cancer Screening Empowered by low dose high definition imoge chain and new {$1,350,000 38 GE Hecithcare Confidential and Proprietery General Electric Company, GE Heaithcare Division@ GEHealthcore Date Quote a: Version # (@-Exp-Date: 06-19-2018 PRUL-CI11422 Item Qty No, Catalog No. Description Ext Sell Price low-dose CT lung cancer screening protocols, Revolution CT ES. can deliver low dose, short scan times and sharp images for the detection of small lung nodules. * Contrast Optimized Scanning X-ray radiation ond iodine hazards hove become the major concerns associated with CT scan with contrast enhancement. Due to increased use of iodinated contrast media in diagnostic imaging and interventional procedures, Contrast-induced nephropathy has become a significant source of hospital morbidity and mortality. Equipped with the ASIR-V and Low kVp scanning, Revolution CT ES addresses these two challenges with tone unique solution: echieving lower dose scan with optimized contrast usage. + Fost Emergency & Trauma imaging The system allows for robust Triple RuleOut™ acquisition for oll Patients providing HO, motion free coronories, PE & aortic dissection ina single exam covering the entire thorax. ECG gating ‘ond mA modulation along with flexible colimations enable low dose acquisition personalized to the patient. 80 mm helical mode combined with fast table speed of 300 ‘mm/s allows for ultra-fast scanning, thus reducing the effect of breathing ond other motion during the scan. + Sedation-free Pediatrie Scanning Split second pediatric trauma acquisition of abdomen / pelvis is enabled by wide 80 mm z-coverage and fast table speed up to 300 mm/s, thus reducing the need for sedation and eliminating unnecessary repetition of scansin young children due to failed sedation, as is the case in 23% of conventional exams, shown in ‘large trial British Journal of Anesthesia 84 (6), 743-8 [2000), 7OKV scan mode allows for minimizing dose to pediatric patients while preserving excellent contrast to noise ratio and image quality, Neurology (To achieve the full benefits described below, an AW workstation with dynamic and perfusion post processing tools ay be required. Please consult with your GE soles representative) Routine non-contrast whole brain scons can be performed in a s/s GE Healthcare Confidential nd Proprietary General lectric Company, GE Heclthcare Divisionote: 06-19-2018 Quote # PRII-CLLI422 Version # 6 (6x9 Date: 08-30-2018 GE Healthcare Item Qty Catalog No Description Ext Sell Price No, Single rotation without moving the table. VHD reconstruction technology ensures CT number uniformity across the whole brain coverage. Iterative MMAR can reduce the beam hardening artefacts at bone / brain interface and posterior fossa region. Enhanced Contrast can achieve excellent grey white matter differentiation, + Smart Stroke, the stroke-dedicated hardware, software and post-processing solution on Revolution CT, can help physicians to reduce "CT scen-to-report” time and “door-to-treatment" time, thus to save more brain tissue of patient with stroke. ‘= Dual Energy Scanning Revolution CT ES features protocols which alfow easy configuration of back to back axial or helical scons of the some ‘anatomy at two different X-ray energies (kVp's), To further improve registration accuracy patient immobilization may be utilized. The additionally acquired dual energy dota can be post-processed on AW WS using Add/Sub function to gain ‘additional cinical information, Key Hardware Components Gemstone Clority Detector The Gemstone Clarity detector features o unique focally aligned layout of the detector sub-modules and 0 30 collimator (post patient} to minimize scatter ortifacts, ensure HU uniformity & reduce beam hardening artifacts associoted with wide coverage systems. Combined with VHD reconstruction technology, the system delivers excellent image quality at ful 80 mm coverage, ‘The Gemstone Clarity detector also features @ revolutionary ultra-low capacitance photo diode with new ASIC technology that redefines electronic noise at the quantum limit to less than 3 Photons @ 120 keV (3100 electrons), The detector includes ‘Acquisition electronics which allow 4x faster bandwidth and 3x. faster trigger rate than previous generations and reduces electronic noise by 25% which may improve image quality and reduce artifacts in low signal conditions os may be encountered inlarge patients. 3D Collimator Scatter Reduction Technology reduces scatter to primary ratio by more than 5086 (R Melnyk, J Boudry, X Liu, and M Adamak, “Anti-scatter grid evaluation for Wide- cone CT, Proc. of SPIE, Vol. 9033, 90332P1-7, 2014) and 6n8 GE Heaithcore Confidentiol and Proprietory General Electric Company, GE Healthcare Division2% 06-19-2018 Quote PRIL-CLi1a22 Version #: 6 C-Eap-ote 08-30-2018 GEHealthcare Item Qty Catalog No. Description Ext Sell Price No, results in significant improvement in image quality and reduction in beam hardening and metal artifacts Gemstone Clarity detector specifications: + Z-Coverage/360 degree rotation: 80 mm «Number of slices: 256 «Number of detector rows: 128 + Number of detector elements: 106,496 cells with individual electronic/OAS channels ' Sampling rate: Up to 2,496 views per rotation lup to 8914 He) ‘Electronic noise: less than 3 photons noise (3100 electrons) + Effective analog to digital conversion range >2,000,000:1 + Scintiltor speed: 0,03us (100 times faster thon GOS) + Afterglow: 0.001% (a times lower than GOS) + Radiation damage: 0.03% (20 times less than GOS) + Scatter to Primary Ratio: <10% * Detection efficiency: 98% @ 120 kV Perforrix HOw tube ‘The Performix HOw tubes a next generation anode-grounded, metal-ceramic x-ray tube. The tube enables improved spatial resolution via dynamic in-plane focal spot deflection and independent control ofthe focal spot size in both x and Z-axis which optimizes the focal spot to deliver consistent beam quality ‘across the full 80 mm Z-oxis coverage, making it one of the most innovative CT tubes offered today, The design is optimized for ‘exams requiring « large numberof scans without tube cooling. It is powered by an onboord high frequency generator capable of Ultro-fast kVp switching, Oue to the ultrashort exposure times associated with wide coverage scanning, traditional metrics, related to tube cooling such as anode heat content & cooling rate lose their relevance. The GE Performix HDw tube includes a standard license that automatically enables the use of tube dependent advanced applications. The use of a third party X-ray tube will equire an additional license for the activation of these features, Ultre-fast kv Switching Generator ‘The new generator features 3x foster rise ond fall times for kV 7138 GE Heatheare Confidential and Proprietary Generol Electric Company, GE Healthcare DivisionDate: 06-19-2018 Quote a PRIL-C111422 Version 6 -bxp- bate 08-30-2018, GE Healthcare fem Qty Catalog No. Description Ext Sel Price No, ‘switching compared to previous generator, This would allow for more time to be spent at the target energy levels and result in better energy separation between the datasets acquired at different kV levels using fast kV switching. * Generator maximum peok power: 103 KW ‘Tube current range: 10-740 mA with § mA increments + Tube voltage: 70, 80, 100, 120, 140 KV. Automatically selected through kV Assist based on potient body habitus and examination type + Max x-ray tube assembly heat content: $.0 M168 MHU) * Max continuous heat dissipation: 3.0 KW * Focal spot size according to IEC 6036/2005: 1.0% 0.7mm, 1.6% Lamm, 20xL2mm Gantry and Slipring Revolution CT's gantry platform has been designed from the ground up to support the demands of today's scanning environment. Exclusive Whisper Drive system technology reduces audible noise during gantry rotation ot 0.285 by more than 50% compared to a typical bett driven system thus improving patient comfort (audible gantry noise is measured at 69 dBA ‘The contactless slipring transfers power and data to and from the rotating side of the gantry (slp ring] to the stationary side through contactless RF technology, Ths eliminates corbon dust due to brush weor- out in typical CT systems thereby increasing the reliability of the system. In addition, the gantry frame features redundant fail-safe mounts for all major components that is designed and tested to stringent standards to ensure sofe ‘ond reliable operation even at fast rotation speeds, ‘Aperture: 80 em + Focus-to- detector Distance: 109.7 em + Focus-to- isocenter Distance: 62.6 cm + Scan FOV: 50.em + Rotation speeds: 0.285, 0.38s, 0.5s, 0.65, 0.75,0.85. 095, 1.08 per 360° acquisition ‘= Temporal resolution: 140ms cardiac temporal resolution arse GE Healthcare Confidential ond Proprietary General Electric Company, GE Hecltheare DisionDate: 06.19.2018 Quote a: PRLLCLLLA2 Version a: 6 O-Eap-Date 08-30-2018 GE Healthcare Item Qty Catalog No. Description Ext Sell Price No. without using SnapShot Freeze, 29ms effective temporal resolution using SnapShot Freeze. (As demonstrated in ‘mathematical phantom testingXCardiac Acquisition software and ‘AW workstation or server with CardlQ Xpress 2.0 required to process SnapShot Freeze datal ‘Data chain bandwidth: 40 Gbps *Table and gantry control panels: Define both internal ond external scan planes to +/-1 mm accuracy, Activated any time during exam (with tube stationary) ‘ Front and rear integrated gantry LCD Oisplay: Display patient information, ECG data from the integrated ECG module (optional, built-in patient breathing lights and countdown timer, cardiac gating indicator light and potient information videos + Flexible cable manage system with coordinated strops attached to the gantry sides to keep cables connected to the gantry away from the floor and to reduce clutter Operator Console The Revolution CT scanner desktop allows simultaneous scanning, image reconstruction, display, processing and onalysis, os well os networking and archival It features the new “Clarity Operator Environment" designed with {your everyday needs in mind. The environment allows for more real time adaptive copobilties thus enabling dramatically improved timing with Smart Prep including automatically transitioning to acquisition in as quickly as 1 second when the set HU threshold is reached, The benefits provided by the new interface include: « Smart prescription workflow automates scan set up by recommending scon parameters specific to the patient bosed on scout attenuation and ECG information, in the case of cardiac, to ‘enable consistent image quality & dose performance across scans, irrespective of the technologist expertise evel + Seamless multi-tasking through ability to have multiple patient sessions open with one active patient for acquisition and the rest for post-acquisition tasks + "Plan chead” tasklist os port of scan setup cutomates repetitive tasks such os reconstructions, image transfer, mage 968 GE Heaithcore Confidential and Proprietary General Electric Company, GE Healthcore DivisonDote 06-19-2018 Quote a: PRUI-CLLLaze Version # 6 (O-Exp-Date: 08-30-2018 GEHeatthcare Item Qty Catalog No, Description Ext Sell Price No, processing etc. without requiring technologist intervention + Ability to prospectively prescribe multiplanar reconstructions for anatomies such as spine as port of the protocol, thus ‘utorating the workflow seamlessly ‘Clear stotus visibility across oll automated patient tasks without {any interaction enables you to focus on the primary task at hand + Manage your patient flow better with the ability to pre- pare ‘scan prescription for the next patient while the current patient is getting off the table * Quickly select scan protocols through global search, ‘anatomical selection or user specific favorites in the new- ly designed protocol management system + Facilitates protocol consistency by controling access to ‘changes ond simplifying inputs required + Integration with AW allows prescribing automatic image processing steps to be performed on the AW / AW Server post acquisition + Better dose awareness through clearly visible realtime projected dose indicator for the selected protocol Operator console specifications + Intel Xeon performance processor: 2.60GH2/8-Core CPU (or equivalent) + Nvidia high performance GPU (or equivalent) + 64 GB ODR3 unbuffered ECC for equivalent) ‘= 24 inch dual monitors with screen resolution of 1920x1200 + Image dato storage up to 700,000 uncompressed DICOM images (512x512) ‘Scan data storage of 1 18 [up to 1500 scan files ore supported) * DVD-ROM (supports DVD-R, DVD-RW, DVD+R, DVD+RW, DVD-R DL, CD-R, CD- RW) * USB 3.0 Port for External Hard Disk Drive Connectivity scan dato storage and image data storage ore supported) * Recon Server Xtream enables recon task parallelism and achieves up to 1.8 foster reconstruction throughput than Recon Server Pro 1038 GE Healthcare Confidential and Proprietary Genera Electric Company, GE Healthcare DivisionDate: 06-19-2018 Quote #: panciilaz2 Version a 6 G60 ote 06-30-2018 GE Healthcare tem Qty _Cotolag No. Description Ext Sell Price No. + Imoge reconstruction speed up to 65 fps with FBP and up to 25, fs with ASIR-V System Software + Smart Flow ‘Simplified, automated scan prescriptions, personalized to the patient and easy-to-use reference protocols make the Revolution CT fast and efficient in patient set-up, prescription & scanning. ‘The following features further help you streamline your workflow. + Protocol Management System Protocols can be copied, built and edited intuitively using the Protocol Management System, * GE Reference Protocol: A set of predefined protocols for adult patients that cannot be modified but can be copied and used, ‘These protocols are factory installed. They have been developed in collaboration with clinical portners to provide users with a convenient and clinical relevont starting point for tailoring your departmental protocols, + Recently Scanned Protocols: A copy of the last 90 proto- cols reside exactly os they were used for review purposes only, These protocols can also be copied and used within into your departmental protocols, + Anatomical Selector: Use the Anatomical Selector area to select ‘a specific anatomical region to show only protocols related to that region, ‘Favorites: A user con add to alist of fovorite protocols ‘commonly used by your site Clinical 1D Clinical 1 is designed to streamline the clinical application specific workflow from protocol setup to reconstruction Prioritization and automated reformatted views for timely diagnostic decisions. ‘AutoVoice™ ‘Auto Voice provides recorded breathing instructions for the patient. Consistent breathing instructions ossist with more precise timing during an exam. Auto Voice also provides o pre message in the SmartPrep feature. The system also comes equipped with microphones at the console and gantry for 138 GE Healthcare Confidential and Proprietary General lectric Company. GE HealtDate: 06-19-2018 Quote PRLL-CII1A22 Version #: 6 O-bxp-Dote 08-30-2018, GE Healtheare Item Qty Catalog No. Description Ext Sell Price No. ‘communicating with the patient. The system has three, pre-recorded messages in ten selectable languages that connot bbe deleted. You can also record up to 17 additional messages for each language. Defauit lan- guage options include: Chinese, English (Female, English Molel, French, German, italian, Korean, Japanese, Spanish (European, Spanish (Latin America}, ‘Smart Potient Centering The smart patient centering feature helps to detect suboptimal centering prior to the diagnostic scan, When scout is acquired, the system will assess patient centering, if the patient is off-centered greater than 2 cm, the system wil display the table height location and an up or down arrow to indicate the elevation needed to reach that height. SmortstartT™ + Gontry-mounted start scan button and countdown dis- play, + Facilitates single-technologist operation by allowing start of ‘scan at the gantry, with a visual reminder of time until X-ray initiation ‘SmartPrepTM with Dynamic Transition Enobles real-time monitoring of IV contrast and a user-selectable ‘mode to dynamically transition to the diagnostic scan phase when a user entered Enhancement Threshold is reached in the Transition RO1 Trauma Patient entry ‘Allows patient scans and image display/analysis without entering patient doto before scanning, Prospective Exam Split Prospective Exam Split allows operator to specify how to split images from o scan into separate requested procedures/accession numbers in protocol management. This capability is especially useful in cases of full body trauma or for chest, abdomen and pelvis exams, Prospective Exam Split works with primary, secondary and reformatted images. ‘Smart OMPR ‘Smart OMPR can automatically generate reformatted views with prospectively set window width and window level and ane GE Hecthcare Confidento! ond Proprietary Generel Electric Company, GE Healthcare Division@ GE Healthcare Date: Quote # Version O-Exp-Dote, 06-19-2018 PRit-ciiiaze 6 08-30-2018 Hem Qty No. Catalog No. Description Ext Sell Price ‘automatically transferring these image datasets to the designated PACS destination for fast review and diagnosis. Digitol Tit The system has preset protocols that can be selected prospectively, which allows images to be reconstructed at a specified tit angle, This copobilty, combined with organ dose ‘modulation and tied head holder accessory forthe potient allows for reducing the dose to sensitive organs such as the eyes while olso reducing dental artifacts. Enhanced xtream injector Requires 0 compatible Bayer or Nemoto Injector systern} ‘The Enhanced Xtream injector provides synchronization of the stort ofthe scan and the stort ofthe contrast injector using the stort scan button on the Scan Control Interface or the gantry controls, The Enhanced Xtream Injector also allows setting of the contrast injector parameters within the CT scan protocol and Creation of an injector Report at End Exam of what was delivered by the injector. The system and injector are operated independent after the start scan button is pressed on the system. System Softwore Volume High Definition Reconstruction ‘The system features stote of the art image reconstruction technology designed to mitigate cone beam artifacts associated with wide coverage systems. In addition, the algorithm preserves temporal uniformity and provides excellent image quality ot full ‘80 mm coverage. It further reduces variation in iodinated contrast HU uniformity across the full 80 mm z-caverage, typically coused due to heel effect. n addition, Multi-Moterial Artifact Reduction [MARI technology utlizes material physics learnings from GS! incorporated in single energy acquisition, In Conjunction with the 3D Collimator, this reduces beam hardening artifacts due to iron, bone, metal & other dense objects, Iterative Reconstruction: ASIR-V Integrated advanced iterative reconstruction technology [ASIR-V} reduces noise, even at very low signal levels, The ASIR- V gorithm focuses primarily on the modeling ofthe system noise asa GE Heclthcare Confidential and Proprietary Genera lectric Company, GE Healthcore DivisionGe Healthcare Date, Quote # Version a: O-eap-Date 06-19-2018 PriL-ciiaze 6 08-30-2018 Item Qty No. Catalog No. Description Ext Sell Price statistics, objects. ond physics and de-emphasizes the modeling of the system optics. The most time-consuming portion of the IR process isthe modeling of the system optics. By excluding the most time-consuming component, system optics, ond focusing on the other terms during the IR process significant image quality improvement can be achieved with- out paying alarge penalty in reconstruction speed. The advanced system noise model includes the modeling ofthe data acquisition system (photon noise ond electronic noise) as well as noise characteristics ofthe reconstructed images. The photon noise ‘model includes characterization of the photon statistics as it propagates through the imaging chain. The modeling of the reconstructed image noise includes characterization ofthe scanned object, using information obtsined fom extensive phantom and clinical data. This technology is designed to deliver reduced noise levels, improved low contrast detectability ond may enable up to 82% reduction in dose when compored to FBP for all inical opplications Smart Dose technologies ‘Automatic Exposure Control AEC) AEC iso versotie and powerful tool designed to tailor the scanner’ radiation output to each potient based on the patients size, age, shape and attenuation and the user's re- quested level of imoge noise/qualty criterion. AEC technology uses estimated Patient attenuation values to odjust the ma dynamically in order to achieve the requested level of image noise/qualty criterion, 30 Dose Modulation Utizing SmartmA Volumetric knowledge prior to scanning allows you to personalize protocols and optimize dose for every patient, large and smal During the scan, real-time, 3D dose modulation helps deliver consistent image quolity becouse it automatically ‘accounts for the changing dimensions of your patient's anatomy. In addition, the system provides guidance to assistin centering the potient to maximize the benefit of mA medulation Organ Dose Modulation Organ Dose Modulation (00M! builds onthe Smartma feature to enable even further patient dose reduction. 8y reducing the ma exposure profile as a function of the X-ray tube angle, 138 GE Heaithcore Confidential ond Proprietary Genera Electric Company, GE Healthcare DivisionDate: 06-19-2018 Quote PRuL-ciiiaee Version # 6 -Exp-Date: 08-30-2018 GEHeattheare Item Qty Catalog No Description Ext Sell Price No, radiosensitive orgons towords the anterior surface of the patient, such os the eues, breasts and thorax, can benefit from enhonced dose reduction while the overall image noise is still maintained, kv Assist KV Assist mokes it easy to select optimal kV settings for the Patient being scanned. itrecommends tube voltage and current to achieve the lowest dose while meeting desired image quality goa, 70 kV Scanning 70 kVp scan mode enables low dose pediatric ond small patient ECG Modulated ma For cardiac applications (optional, prospective ECG dose ‘modulation automaticaly adjusts the mA to minimize the patient's expo- sure to X-rays - reducing mA, and thus dose, neor the beginning and end of each prescribed phase range. Up to 3 phose ranges are selected within a heart cycle with different ma levels. The peok mA for the first phase range is automatically 16fps on a 1000baseT network, Warranty: The published Company worranty in effect on the date of shipment shall apply. The Company reserves the right to make changes. All specifications are subject to change. Regulatory Compliance: This product is designed to comply with applicable standards under the Radiation Control for Health and Safety Act of 1968, Loser alignment devices contained within this product ‘are appropriately labeled according to the requirements of the Center for Devices and Radiological Health This product complies with the performance standards of 21 CFR, sub-chapter J, ond the applicable IEC 60601-1 series This product complies with NEMA Standard XR29-2013 / MITA ‘Smart Dose Standard. ‘See the Pre-Instollation manual for details ofthe sting requirements for GE Revolution CT. Rev CT English keyboard Inch English keyboard UE) GE Heoltncare Confidential and Proprietary Genera Electric Company, GE Healthcare Dvsion@ GtHeatheare bate: 06-19-2018 Quote #: pRUL-cuiaaze Version # 6 Q-p-Dote 08-30-2018 Item Qty No, Catalog No. Description Ext Sell Price 1 1 1 B7919AE B79196m 87900C REVOLUTION STD CABLE SET Incl Stondard cable set for Revolution CT system Revolution CT heavy table with X-strong foot-switch cover $30,000.00 The heavy table has been designed with 10x more stiffness to reduce deflection and provide the best possible images under 675 lbs (306 kg) load load The X-strong foot switch cover, capable of supporting 1350 Ibs (612 kg] load, has been specially designed for ER settings to support physicians or technologies to stond atop of it to implement diagnostic and/or treatment procedures to patients. The heavy table olso features: # Moximal metal free horizontal scannable range: 2000 mm 4# X-strong foot switch cover, capable of supporting 1350 lbs 4 Moximal horizontal travel speed: 300 mm/s (stondard) (437.5 mm/s optional with Hyperdrive) 4# Horizontal positioning accuracy +/- 0.25 mm from any direction # Motor-driven table height adjustment from min, $50 mm to ‘max. 1030 mm +# Maximal vertical travel speed: 40 mm/s # Control elements on both sides on front and rear gantry contral panels. Table height can be controlled alternatively by means of foot switch (2 each on both sides of the patient table) 4# Integrated ECG module with waveform and configuration through the gantry display ## Workflow hub area with o see-through tray to give you the ‘most flexibility in placing scanning related supplies, etc. without limiting visibility to the integrated ECS inputs, 4# IV Pole integrated at the foot-end of the table helps to prevent \vlines from becoming crossed and tangled, and helps keep lines in place during patient table travel Low Dose CT Lung Screening Option with Indication For Use Incl. This option provides lung screening reference protocols that are tailored to the CT system, patient size small, average largel, and 19/38 GE Healthcare Confidential and Proprietary General Electric Company, GE Heatheore DisionDate: 06-19-2018 Quote # PRLLcii1a2e, Version # 6 y GEp-dote 08-30-2018 GE Healthcare Item Qty Catalog No, Description Ext Sell Price No. the most current recommendations from a wide range of professional medical and governmental organizations. Now, uolfied GE Healthcare CT scanners with this option are formally indicated for, nd can be confidently used by physicians for low dose CT lung cancer screening of identified high-risk patient populations. These protocols deliver low dose, short scan times, ‘ond clear and sharp images for the detection of small lung nodules. Early detection from on annual lung screening with low dose CT in high-risk individuals can prevent a substantial number of lung cancer-related deaths. All new GE 64-slice and greater CT scanners, and virtually all of the 16-slice CT scanners that GE Healthcare sells ore qualified for this screening option. This solution is also available to thousands of qualified GE CT scanners currently in use, increasing access to the quality scanners that satisfy both patient and physicion needs. The new protocols, do include the choice for the user to be table to utilize GE Healthcare's industry-leading technologies such OS ASIRTM, ASIR-VTM and VeoTM that are designed to reduce image noise, which is undesirable for physicians looking for smal nodules This option contains two documents. Lung Cancer Screening Option Reference Protocol Guide, and the Lung Cancer Screening Option User Manual / Technical Reference Manual |} The following GE Healthcare CT scanners are qualified to receive the new low dose CT Lung Cancer Screening Option Lightspeed 16, BrightSpeed Elte,LightSpeed Pro16, Optima CTS40, Discovery CT590 RT, Optima CT580, Optima CTSBOW, Optima CT590 RT, LightSpeed tro, LightSpeed R16, LightSpeed VCT, LightSpeed VCT x7, LightSpeed VCT Te, LightSpeed VCT Select, Optima C7660, Revolution EVO, Discovery CT750 HO, Revolution HD, Revolution CT, Revolution Frontier. i Moyer V. Screening for Lung Cancer: US. Preventive Services Task Force Recommendation Statement. Ann intern Med, 2014:160:330-338, http://mwuwaspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal 6 1 8750628€ Enhanced Xtream integrated Injector Interface Kit - Class IV ‘$10,000.00 Xtream Injector provides one handed synchronized start of the 19138 GE Heolthcare Confidential ond Proprietary General Electric Company, GE Healthcare DivisionGEHealtheare date: 06.19.2018, Quote pRIL-c1ii422 Version 6 -Eop-Dote: 08-30-2018 tem Qty No, Catalog No. Description Ext Sell Price 1 Bro19FT sscon and injection from the CT Operators console or from the scan room providing consistent simultoneous stort of contrast injection and scan acquisition protocols. It utilizes the CiA Class 4 functionality which includes the following benefits: Up to 0 50% reduction in the number of user interface selections needed when compared to systems not utiizing the Xtream Injector. The 50% reduction comes from the fact that users select ‘one button to start the scan acquisition and injection. ‘© Better control of contrast enhancement by synchronizing start time of the contrast injection ond CT scan o Improved warkfiow bby enabling single-button start ofboth the injector and sconner from the scanner o injection parameter preview from the scanner console prior to beginning the scan o Post-study review of injection results from the scanner console o Automatic, documentation of injection results in PACS. Revolution CT SmartStep with Monitor Fluoro Package $22,500.00 SmartStep for Revolution CT enables an imaging mode for performing biopsies and other interventional procedures, A 24 inch in-room monitor, hand held controller, X-ray exposure foot pedal and cradle handle provide in-room control for image ‘acquisition and image review. The hand-held controller provides the operator with controls to prepare the scanner for imaging, to turn alignment lights on and off, to move the cradle, review images and adjust the window width and level; ond the foot pedal provides in-room control of Xray exposure, ‘Anhighly functional image display presents a set of 3 Interventional images in 3 viewports, a viewport for scout ond localizer, a free viewport, and timers for the remaining and accumulated time, real time dose information. The display control panel provides roam, zoom, magnify, measurement, ‘annotation, grid, image orientation, and save screen image review capabilities. ‘Smartstep for Revolution CT utilizes a cine pulse acquisition ‘mode using 5 mm (8x0.625 mm), 10 mm |16x0.625 mm), and 20 alsa GE Heathcore Confidential and Proprietary General Electric Company, GE Hecitncare Divisionote: 06-19-2018, Quote #: PRIL-C111a22 Version 6 C-bap- Date 08-30-2018 GEHeathcare Item Qty Catalog No. Description Ext Sell Price No. ‘mm {52x0.625 mm) detector configurations. AllkVp stations ffrom ‘OkVp to 140kVp] and scan fields of view are compatible. Prospective image reconstruction includes 1i mode, overlap 3 mode and non-overlap 31 mode. ‘System Includes the In-room Monitor & Boom. 81 876608 Chair $150.00 Choir for CT scanner 9 4 B79I9Ay Revolution Desk - Adjustable $850.00 Revolution Desk - Adjustable wo 1 879196 Rear Gantry Display $2,500.00 Optional Revolution CT rear gantry display showing patient information, patient comforting videos, and current scan parameters such as kV, mA, scan time, table position, heart rate ‘and ECG trace from integrated ECG module) “uo Br7292C8 CT Service Cabinet Incl Service cabinet for system accessories storage moa E6315€ DIACOR RTP Flat Tabletop for CT and PET/CT Systems - RTAE, $12,000.00 DVCT, Disc 600/690, HO750 and VCT DIACOR RTP Flat Tabletop for CT and PET/CT Systems- RTI6, OVCT, Discovery PET/CT 600, 610, 690, 710, HD750, ond VCT Diacor Radiation Therapy Planning Overlay For GE Healthcore Global Tables, Mode! 1700, 2000 ond PET/CT The Radiation Therapy Planning Overlay, or “CT Overlay’, provides a secure flat surface for CT Simulation applications, Consistent with the treatment couch, for accurate and reproducible patient positioning FEATURES/BENEFITS ‘© Carbon fiber construction with foam core provides durable, light-weight device with outstanding imaging properties o Varian Exact Technology ond indexing Immobilization Patient Positioning system along entire length of the overlay o Designed specifically for GE Heaithcore's Global Table o Easily locks ond 2138 GE Healthcare Confidentil and Proprietory Genera Electric Companys GE Healthcare Ovsion@ GE Healvicare Date 06-19-2018 vote pRILciniuze Version 6 CEsp-Date: 08-30-2018 Item No. ty Catalog No, Description Ext Sell Price B 4 15 1 1 1 eas0sTC e8sosRw easo2F Unlocks from the CT Table, providing easy transition between, therapy and diagnostic procedures INCLUDED: © Carbon Fiber CT Overlay with locking accessories 0 Two Varian Exact Couch indexing Bars o One Varian Respiratory Gating Interface Plate and associated mounting hardware SPECIFICATIONS: Weight: 30 tbs. [13.61 kal Length: 85.25 in. [217.17 em Width, 2087 in. (53.0 cm Height: 1.62 in, (4.12 cm) LAP Loser Table Mount Monitor for use with CARINAsim only $1,32000 LAP Loser Table Mount Monitor for use with CARINAsim only LAP DORADOnova 3 Green Post system with CARINAsim Remote $64,796.00 copobilty) LAP DORADOnova 3 Green Post system with CARINAsim Remote copabilty) 14 KVA 3-Phose Partial UPS for VCT $21,924.00 The 14KVA Portial UPS hos been specifically designed to coordinate with GE Healthcare CT & PET/CT scanners. In the event of a power outage ‘© partial system UPS provides continuous backup power to the scanner host and control computers, thus assuring no loss of usable scan date © Critical circuits in the gantry and table remain powered which focltate the safe removal ofthe patient from the sconner. lf power is restored within the battery hold-up time, the operator can continue ‘sconner operations without the need to reboot the system, ‘© When longer power outages are anticipated, the UPS provides time for the operator to 22138 GE Heolthcore Confidentiol and Proprietary Genera Electric Compony, GE Healthcare Division@ GEHeattheare ote: 06-19-2018, Quote # PRILCI: Version #: 6 Q-Eop-Dote 08-30-2018 Item Qty No, Cotolog No. Description Ext Sell Price 16 1 e4s028 sofely remove the patient and complete an orderly shutdown of the system software © Maintoins system electronics and allows critical scanner operations to continue for 10 minutes typical after loss of power ‘© Protects electronics from under voltage, brownouts, line sags, over voltage and transients ‘SPECIFICATIONS (Dimensions (H x W x Di: 49" x 12° « 32 (0 Weight: 620 lbs. ‘© Output Frequency: SO or 60 Hz, outo-sensing NOTE: ITEM IS NON-RETURNABLE AND NON-REFUNDABLE NOTE: REMOVAL/DISPOSAL OF OLD UPS IS THE CUSTOMER'S RESPONSIBILITY NOTE: INSTALLATION ANO RIGGING IS NOT INCLUDED NOTE: CONTACT GE SERVICE OR EATON FOR START-UP ASSISTANCE CT Main Disconnect and UPS Control 380-480V SO 60H2 125A, $6375.20 Main Disconnect Panel [MDP] UL 125A 400/480V SO/6H2 3 phases for CT, PET and PETCT The (Moin Disconnect and UPS Control Panel serves as the main facility power disconnect source installed ahead of the CT system PDU. On systems where the optional partial system UPS is included in the system, the panel provides NEC mandated UPS emergency power-off control function via © UPS control cable included with the UPS, The optimized design PDB saves time, installation lobor, and valuable mounting space by consolidating the main circuit breaker, control power source and required ‘warning lights into a compact factory manufactured panel, The Panel provides short circuit protection, overload protection ond Notional Electrical Code ond Conadian Electrical Code required emergency shutdown for the system. The 24-volt low voltage controls cll power, using either the panel cover mounted EMERGENCY OFF push button or the remote EMERGENCY OFF 2338 GEHeatthcare Confidentil and Proprietary General lecric Company, GE Healthcare DivisionDate 06-19-2018 Quote # PRIT-CILAz2 Version #: 6 -Exp-Date: 08-30-2018 GE Healthcare item Qty Catalog No, Description Ext Sell Price No, push button included with each system, The POBis painted to ‘match the imaging system for a total coordinated system ‘appearance. Available in a combination surfacesemi-fush mounted enclosure. The system provides stock availabilty of otherwise special-order devices, saving time and installation costs. Benefits + The System Main Disconnect saves time, installation labor, and valuable mounting space by consolidating the main circuit breoker, the feeder overcurrent devices, magnetic contactors, ‘ond UPS emergency power-off into one compact panel + The system provides stock availabilty of otherwise special-order devices, saving time and installation casts ‘+ Reduces instalation time and cost by eliminating delays in obtaining individually enclosed components and by eliminating on site assembly + UPS emergency power-off functions are included for future, Partial system UPS addition. * Disconnects system power on frst loss of incoming power, preventing damage to system components + Provides o standardized platform for UPS or other future GE engineered modifications or upgrades + Main power disconnect operating handle can be padlocked in the OFF position for servicing sofety and OSHA lock out/tag out ‘The door has provisions for padlocking + Enclosure door is interlocked with ON / OFF disconnect handle to prevent unauthorized access if disconnect isin the ON position Features * Optional partial system UPS provides clean uninterrupted ower to the system computer, maintaining system integrity during power loss while also providing « solution to power quality problems * UL, cULlisted, ond CE labeled + Supplied with low voltage, cover mounted Push to Stop, Twist to Restore pushbutton and long-life LED pilot lights * Provides overcurrent and short circuit protection with GE 20/38 GE Healthcare Confidential and Proprietary General Electric Company, GE Healthcare DivisionDate, 06-19-2018 Quote pRtLcaiiaze Version a: 6 o-bip-Date 08-30-2018, GE Healthcare Item Qty Catalog No. Description Ext Sell Price No, GuardEON solid-state circuit breakers + Suitable for use on systems with 25,0008 of short circuit current. Itis the installe's responsibilty to verity that the ‘ovoilable shout circuit current is 25,000A or less for complionce to allelectrical codes ‘+ Emergency-off disconnects power to both the PDU and optional partial system UPS output, per National Electric Code + Foctory wired ond tested + All devices are selected for high reliability and long life + Panel disconnect provides OSHA lockout / tag out provisions Remote EPO «This MOP comes with two normally closed contact blocks ‘tached to the back of the emergency off push button Seismic Specifications ‘This Ponel hos been certified by on independent California structural engineer in conformance with the shake testing requirements of ICC-AC 156. The California OSHPD number is osP-0487-10. «The seismic performance characteristics are as follows: SOSIg) #256; 2/h #10; Ip #15 Physical Characteristics * Dimensions: Height x Width x Depth: 30 x 16 x 8 inches (762 x 407 x 203 mm) + Handle depth: 2.75 inches (70 mm) ‘= Weight: 55 pounds 25 kg) Components supplied with each panel + The Main Disconnect and UPS Control Panel * An Installation, Operations & Service Manual + (2} sets of Emergency Power Off pushbuttons with 2NC on each PO ‘Drawings and Electrical Schematics wo. £8007) (OCS ll Mounting Plate $520.00 CS Ill Mounting Plate woot 80141H0 MEDRAD Stellant D DuaiFiow IsI-ready on ceiling mount (L00cm $54,112.00 25/38 GE Healthcare Confidential ond Proprietary General Electric Company. GE Healthcare Divisionote: 06-19-2018 Quote PRIL-CII1422 Version 6 Q-Exp-Dote: 08-30-2018 GE Healthcare Item Qty Catalog No. Description Ext Sell Price No. post length] with Certegra Workstation and 1S19006 CT ‘communication kit GE Healthcare now offers the Medrad Stellant D injector with Certegra workstation. The dual syringe CT injection system is reliable ond easy to use. it features saline flush and DualFlow copabilties allowing users to test vein accesses with saline. ond prime potient tubing with saline to save contrast. Medrad Stellant D CT injection System users are armed with ‘+ Automation features to help maximize throughput: integrated ‘auto load, auto retract, auto prime and auto syringe sensing + Save up to 250 protocols * Quick, easy install ond detachment * Check for air confirmation button and arming on the injector head * Pressure monitor graph and flow profile preview ‘+ Up to 6 phases including pouse and hold capabilities ‘= Programmable pressure limit * Colour touch sereen + Either ceiling counterpoise or pedestal-mount configurations Certegra Workstation From study set-up ond preparation to study administration ond results management, the Certegra Workstation serves os a \workflow-centralzed technologist interface to help users enhance efficiencies and patient care, enabling options such as P3T 20 [Personalized Patient Protocoll software environment, The benefits of OualFlow [simultaneous injection of contrast and saline) * Provide more uniform attenuation ofthe right and left ventricles *= Minimize artefacts by achieving proper attenuation levels, + Visualize the right coronary arteries and right ventricles in 0 single study by achieving more uniform attenuation MEDRAD Stellant D Certegra injector with Integrated CT Communication Designed to save time and increase CT scan throughput, the MEDRAO Stellant D with Certegra Workstation is validated for use 26/38 GE Heathcare Confidential ond Proprietary General Electric Compony, GE Healthcare Divisionate 06-19-2018 Quote a PRIL-cLiiaze Version st 6 O-Exp-Date: 08-30-2018 GE Healthcare ltem Qty Cotolog No, Description Ext Sell Price No, with GE's Enhanced xtream injector option on selected scanners enabling CAN Class 4 functionality for seamless communication, The resulting injector and CT scanner integration benefits include: ‘+ Reduced overall programming time ‘+ Improved scanner and injector protocol matching through programming ofthe injector from the scanner console «= Better control over contrast injection procedure with a synchronized CT scan start time. A single button-press on the ssconner starts both the injector and scanner + Preview injection parameters before beginning the scon * Complete post-study reviews of injection results ot the scanner console + Automatic documentation of the injection results in PACS system Ceiling-mount configuration includes: ‘+ Ducl injector head on Overhead Ceiling Counterpoise + Syringe heat maintainer * Certegra Workstation with USB drive * DualFlow software + ISi-ready software + 1819006 CT communication kit * Bose control unit +228 m(75 ft} head extension cable + 7.6m (25 tI base to display cable + Power cord, North America * Power cord, international ‘Product information package + Operations manual + Installation, customer’s operational training at time of installation, and one year full on-site worranty in Bayer service countries System Specifications + Flow Rate (range & increments: 0.1 to 10 mi/sec in 0.1 ml increments 27138 GE Heathcare Confidential ond Proprietary General Electric Company, GE Healthcare DhisionDate: 06-19-2018 uote # PruL-ciii2e Versions 6 Esp Date: 08-30-2018 Ge Healthcare item Qty Catalog No. Description Ext Sell Price No. ‘= Volume (range & increments: 1 ml to syringe capacity in 1 ml increments * Programmable Pressure Limit 200 mi syringe: 325 psi, 2241 kPa + Scon delay: 0-300 seconds {§ minutes] in 1 second increments ‘+ Pause: 1-900 seconds 115 minutes! in 1 second increments * Hold: maximum HOLD time is 20 minutes ‘= Syringes volume capacity: 200 mi sterile disposable syringe ‘+ Number of phases: 6 ‘+ Number of protocols: 250 + Electrical Requirements (VAC/H2}: 100-240 VAC, S0/60 Hz * Syringe Heot Maintainer Range: 35°C +/-5, 95 °F +/-9 * Dual Injector Head: 15.5 cm (6.1°)H x 30.7 cm (12.1"1W x 368 em {145'1 0, 8.1 kg (17.0 Ib) without syringe + Certegra Workstation (CWS 34.2 em [13.5°1H x 40.0 em [158 Wx 300 em (10210, 8.0 kg {17.6 Ib} + Bose Unit: 29.2 crn (21.5%) H x27,9 cm (11.0")W x 222 em 88") > wo 801604 TABLE SLICKER FOR CT REVO $360.00 The GEHC Revolution CT table slicker is specifically designed to ‘maximize contaminant protection, Manufactured to be used in Conjunction with the table restraining belts, this slicker adds versatility to your CT procedures. Latex fre, itis strongly suggested that the slicker is cleaned with a water/bleach solutio} prior to every procedure. Features: ‘+ Toble gray cushion sealed in viny! slicker Dimension 2403 x 788 + Table extender gray cushion sealed in vinyl slicker Dimension 406 x 788 + Cover for catheter bag hanger + Increase system uptime by protecting table from spills and particulate contaminants * Easy to install ond comfortable for patients + Willnot interfere with normal operation of CT table 2338 GE Heaithcare Confidential and Proprietary General Hectic Company, GE Healthcare Division@ GEHeattheare Date: Quote #: Version a O-Eap-Dote 06-19-2018 pati-ciitaze 6 08-30-2018 Item No, oy Catolog No. Description Ext Sell Price 20 aa 22 2B 24 1 eso160c R21013AC 87716WM E8B19KZ eo0usF + Cleor PVC plastic facilitates foster cleanup of blood and fluids + Prevents contaminant build up in hard to clean areas + Thermosealed seams and flaps + Recommended for trauma centers and sites concerned ‘bout exposure to blood and fiuid-borne disease FOOT SLICKER FOR CT REVOL. ‘The GEHC Revolution CT Foot Switch sicker is specifically designed to maximize contaminant protection. Latex free, itis strongly suggested that the slicker is cleaned with a water/bleach soluti prior to every procedure Standard Service License GE Healthcare has reclassified its service tools, diagnostics and documentation into various classes (pleose refer to the Service Licensing Notification statement at the beginning ofthis Quotation. The Standard License provides access to service tools used to perform basic level service on the Equipment and is included atrno charge for the warranty period. Discovery RT Instolled Base Gating Cable RPM CABLE: cable for connecting CT and RPM CT Accessories Varian RGSC - Respiratory Gating for Scanners, configured for couch mounting with installation - US only Varian R6SC- Respiratory Gating for Sconners, configured for couch mounting with installation - US only CT Accessories ‘Smol Shoulder/Ankle Support for HiSpeed Advantage Small knee/Head Pad for HiSpeed Advontage GE designed replacement toble accessories to make your CT ‘exams more productive for the CT 8800, 9800, CT/, HiLight, ond $6000 Incl $386.86 $582,500.00 $3200 29r8 GE Healthcare Confidential and Proprietory General Electric Company. GE Healthcare Division@ GE Healthcare ote Quote #: Version #: Qeap0 06-19-2018 Pritciiiaze 6 08-30-2018 Item Qty Catalog No Description Ext Sell Price No, HiSpeed Advantage systems, This small shoulder/angle support pad measures 3 in. Lx 6 in. Wx 6 in, H, and is mist gray in color.H eB 4 E80030H Chin Strops for Axial Headholder - Set of 3 $37.60 Chin Straps for Axial Headholder (Metal Systems) Set of 3 This product will improve exam productivity ond enhance patient ‘comfort with these Velcro straps, which help secure patients and bbed linen within the field of view during scanning FEATURES/BENEFITS ‘+ ids in immobilizing the patients head ‘+ Velcro connectors secure the chin strap and permit easy removal + Lightweight material can be cleaned between patients SPECIFICATIONS + Length: 25.5 in, + Weight: 2b, comparieiLity ‘+ GE CT 8800, 9800, HiLight Advantage, HiSpeed Systems 2% 1 E8004GE CT Strops, Medium (21 540mm, 1060mm $64.00 CT Straps, Medium (2) 540mm, 1060mm 1 side measures 21.25 in (S4ommi, other side measures 41.73 in 1060mml. Both straps with Velcro. Warranty Code: H wot Ee004GF CT Straps, Wide (2) 340mm, 1060mm $96.00 CT Straps, Wide (2) 540mm, 160mm 1 side measures 21.25 in (540mm, other side measures 41,73 in (1060mm, Both straps. with Velcro, Warranty Code: H 1 NonProducts wet £80036 FOAM SPONGES SET OF 6,FOR AXIAL-SUPINE $7.20 HEADHOLDER - NEW STYLE 1 NonProducts 30/38 GE Healthcare Confidentil and Proprietary Genera Ee Company, GE Healtote 06-19-2018 Quote pRnt-citiaee Version 6 2-519 00te 08-30.2018 GEHeakthcare Item Qty Cotalog No. Description Ext Sell Price No. a4 8007TT Ivy ECG Chart Poper- Pack of 10 alls, $5200 1 NonProducts soot £8004SL CORONAL HO HLDR INSERT $30.40 1 NonProducts a1 £80045 HEAD-KNEE PAD ~ SMALL $10400 1 NonProducts Bo Rigging allowance to move the asset into the site at $3,000 $3000.00 1 NonProducts Boa 3 years Technology Non Obsolescence @$135k, per addendum $135,000.00 Quote Summary: Trade In LightSpeed VCT 802747vcT (833,000.00) Total Quote Net Selling Price $1,765,777.26 [Quoted prices do not reflect state ond local toxesif applicable. Total Net Selling Price Includes Trade in allowance, if opplicobe. ) Options {These items are not included in the total quototion amount! Item Qty Catalog No, Description Ext Sell Price No, 341 woldocT TiP CT imaging Academy Training: Revolution CT $53,700.00 Core Training Package INew to Revolution CT) Troining designed for users new to Revolution CT; package includes HQ, onsite ond remote training options ond involves a blended approach for continuous learning and skill building, ‘Training package includes partnership ond planning suse GE Healthcare Confidential ond Proprietary General Electric Company, GE Healthcare DivisionGE Heatthcore ate: 06-19-2018 Quote pRiLciniaze Version #: 6 O-Esp-Date 06-30-2018 Item Qty No, Catalog No. Description Ext Sell Price discussions, console simulator user interface overview and protocol building sessions, CE ‘accredited go-live, follow-up, and advanced training over the course of 24 onsite days, 1 HQ class, and upto 8 remote training sessions; additional CE ‘accredited online and remote training is also included, Key components include Preparation, Pre-Onsite, Onsite, and Ongoing Training + The Preparation component aligns the training plan with customer specific needs and expectations, Itincludes discussion of a program overview and customized training options os well as staffing and scheduling and identification of IT needs and support, + The Pre-Onsite component includes online self-paced prerequisite learning token prior to and in preparation for onsite training. This will help build foundational knowledge to enable maximum, engagement and retention during onsite training, Learners can immediately apply new concepts into clinical practice. + The Onsite component provides agendas thot include a focus on the User Interface, Workflow and Protocol buidling using o console simulator, @ structured Phose one agenda featuring training on ‘the key functions and features of the scanner and including hands on practice and additional protocol building, Several customized agenda options are ‘available post turnover based on clinical specializations and advanced scanning designed to cater to stoff competencies and desired outcomes. This component is delivered onsite by an experienced Clinical Applications Specialist. + The Ongoing component provides the opportunity for continued learning, anywhere ond anytime, through virtual training sessions with GE experts, continued access to online training modules, 32138 GE Heaithcore Confdertial and Proprietary General Electric Compony, GE Healthcare Ov'sionDate: Quote # Version i (Q-Exp-Dote 08-30-2018 GE Heatheare Item Qty Catalog No. Description xt Sell Price No. reference guides and tutorials and non-emergency assistance via the Answerline, These resources will help to maintain clinical performance, continue to improve upon knowledge and competencies and ‘ongoing development of skis Instruction is provided from 8 AM to 5 PM, Monday through Friday ond includes TEL expenses. Program concludes two years after the initial stort date. 35 1 wouaict TIP CT imaging Academy Training: Revolution CT $72;300.00 x Expert Training Package (New to GE/Revolution CT with GSI) TiP-CT Imoging Academy Training: Revolution CT Expert Training Package (New to GE/Revolution CT with st) Training designed for users new to GE or thet hove purchased the Revolution CT with GSI; package includes HQ, onsite and remote training options ond involves o blended approach for continuous learning cond skill building, Training package includes partnership and planning discussions, console simulator user interface ‘overview and protocol building sessions, CE ‘accredited go-live, follow-up, and advanced training over the course of 28 onsite days, 1 HQ class, and Lp to 40 remote training sessions sessions: additional CE accredited oniine and remote training is also included Key components include Preparation, Pre-Onsite, Onsite, ond Ongoing Training ‘The Preparation component aligns the training plan with customer specific needs and expectations. includes discussion of a program overview and customized training options as well as staffing and scheduling and identification of T needs and support. + The Pre-Onsite component includes online self-paced prerequisite learning taken prior to and in 33/88 GE Hecithcare Confidential and Proprietary General Electric Company, GE Healthcare DivisionDate 06-19-2018 Quote f: Prui-caiaze Version # 6 0-Exp-Date: 08-30-2018 GE Healthcare Item Qty Cotalog No. Description Ext Sell Price No. Preparotion for onsite training, This will help build foundational knowledge to enable moximum engagement and retention during onsite training, Learners can immediately apply new concepts into clinical practice. + The Onsite component provides agendas that include a focus on the User Interface, Workfiow and Protocol buidling using a console simulator, 0 structured Phase one agenda featuring training on the key functions and features of the scanner and including hands on practice and additional protocol building, Several customized agenda options are available post turnover based on clinical ‘specializations and advanced scanning designed to cater to staff competencies ond desired outcomes. This components delivered onsite by an experienced Clinical Applications Specialist + The Ongoing component provides the opportunity for continued learning, onywhere ond anytime, through virtual training sessions with GE experts, continued access to online training modules, reference guides ond tutorials and non-emergency assistance via the Answerline. These resources will help to maintain clinical performance, continue to improve upon knowledge and competencies and ‘ongoing development of skils. Instruction is provided from 8 AM to 5 PM, Monday through Friday and includes T&L expenses, Program concludes two years after the intial start date. 3601 woo12He CT Headquarters Class - 45 Day Revolution CT - Full $5,600.00 Service, Non Discountable CTTIP Training Package, Non Discountable 4.5 day CT course held in the Mihwaukee area, includes travel and modest living expenses. This course is designed to introduce the technologist to the Revolution CT system This training program must be scheduled and 34/38 GE Heatthcare Confidentil ond Proprietary General Electric Company, GE Healthcare DivisionGE Healthcare ate Quote # Version # exp 0 06-19-2018 PRUL-CLILG22 6 08-30-2018 Item Qty No. Catalog No. Description Ext Sell Price 7 38 39 1 1 1 wor12He wo134He wo13SHe completed within 12 months after the date of product delivery CTTIP Troining Package, 4.5 day TiP HQ Class $3,900.00 Revolution CT ~ Tuition Only, Non Discountable CTTiP Training Package, Non Discountable 4.5 day CT course held in the Miwoukee oreo, Includes tuition only, This course is designed to introduce the technologist to the Revolution CT system, This training program must be scheduled and completed within 12 months after the date of product delivery, CT Headquarters Closs ~3 Day Revolution CT $5,000.00 Cardiac imaging , Full Service CTTiP Training Package, Non Discountable 3 day CT course held in the Milwaukee areo, The blended training package includes instructor-led training at the GE Healthcare Institute in Milwaukee and online training. Program concludes one year after the inticl start date. The 3 day instructor-led portion ofthe training at the GE Healthcare institute in Milwaukee is designed to prepare CT Technologists for onsite applications training focusing on Revolution CT Cardiac imaging, Itmay also enhance the learning experience for those attending after their onsite applicotions ‘raining, The lecture and hands-on session is conducted on alive scanner, with additional ‘demonstration consoles, The course cavers cardiac ‘onatomy, cardiac physics, patient preporation, ECG setup, protocol selections, all cardiac scan parameters, and ECG editing, Includes travel and modest living expenses. (CT Headquarters Class ~ 3 Day Revolution CT $5,40000 Cardiac Imaging, Tuition only 35/38 GE Healthcare Confidential and Proprietary General Electric Company, GE Healthcare DivisionDate: 06-19-2018 Quote PRin-ciaze Version #: 6 O-bp-Date: 08-30-2018 GE Healthcare Item Qty Catalog No. Description Ext Sell Price No. CCTTiP Training Package, Non Discountable 3 day CT course held in the Milwaukee area. The blended training package includes instructor-led training at the GE Healthcare institute in Miwaukee and online training. Program concludes one year after the initial start date. The 3 day instructor-led portion of the training at the GE Healthcare Institute in Milwaukee is designed to prepare CT Technologists for onsite applications training focusing on Revolution CT Cardiac Imaging, It may also enhance the learning experience for those attending after their onsite applications training. The lecture and hands-on session is conducted on a live scanner, with additional demonstration consoles, The course covers cardiac anatomy, cardiac physics, patient preparation, ECG setup, protocol selections, all cardiac scan parameters, and ECG editing. Ooes nat include travel or living expenses. 40 1 WoL3eHC CT Headquarters Class ~ 45 day Rev CT Cardiae $5,80000 x Imaging with Post Processing, Full Service CTTiP Training Package, Non Discountable 4.5 day CT course held in the Milwaukee area, The blended ‘taining package includes instructor-led training at the GE Healthcare Institute in Milwaukee and online training, Program concludes one year after the initial start date. The 4.5 day instructor-led portion of the training ot the GE Healthcare institute in Milwaukee is designed to prepore CT Technologists for onsite applications training it may also enhance the learning experience for those attending after their onsite applications training focusing on Revolution CT Cardiac imaging, The lecture ond hands-on session is conducted on o lve scanner, with additional demonstration consoles. The course covers cordiac anatomy, cardiac physics, patient preparation, ECG setup, protocol selections, al cardiac scan parameters, and ECG editing, The curriculum includes post processing as wel. This, 36/38 GE Heatheore Confidential and Proprietary Genero Elecie Company, GE Healthcare DivisionGe Heatheore ote: 06-19-2018 Quote : PRuL-c11i422 Version 6 GeExp-ote: 08-30-2018 Item Qty No. Catalog No. Description Ext Sel Price an 42 1 1 wo137HC wooo1vT package includes travel and modest living expenses. CT Headquarters Class ~ 45 Day Rev CT Cardiac $4,100.00 x, Imaging with Post Processing, Tuition Only CT Tie Training Package, Non Discountable 4 5 day CCT course held in the Miwaukee area. The blended training package includes instructor-led training at the GE Healthcare Institute in Miiwaukee and online training, Program concludes one year ofter the initial start date. The 4.5 day instructor-led portion of the training ot the GE Healthcare Insitute in Milwaukee is designed to prepare CT Technologists for onsite applications training, it may also enhance the learning experience for those attending after their onsite applications training focusing on Revolution CT Cardiac Imaging, The lecture ond hands-on session is conducted on ¢ lve scanner, with additional demonstration consoles. The course covers cordiac enatomy, cardiac physics, patient preparation, ECG setup, protocol selections, al cardiac scan parameters, ond ECG editing. The curriculum includes post processing as well Virtual Onsite Trainer 10 Weeks $14,500.00 Licensed access for users to the oniine and mobile scheduling platform, Loaned use of the Virtual Onsite Trainer (VOT) mobile telepresence platform for GE experts ta provide training sessions remotely. Includes access to 40 training sessions, delivered via the VOT by GE experts A training session is one instance of a GE expert Connecting to the VOT system with 0 duration of 30 t0 60 minutes. There is no limit to number of attendees. 10-week access to all VOT features, begins at product delivery and GE Healthcare's obligation to provide VOT training expires without refund thereafter. Shipping the VOT to and from the site, remote set up, installation and tech support is included during the 10-week durotion. VOT storage 37138 GE Heathcore Confidentil and Proprietary General Eecric Company, GE Healthcare DivisionDate 06-19-2018 Quote #: PRuL-cit1aze Version 6 QE Date: 08-30-2018 GeHeattheare Item Qty Catalog No, Description Ext Sell Price No, ‘and maintenance of operable condition is the responsibilty of the customer. “31 e7500¢S Onsite CT 4D Training $7,000.00 x 15 Days Oncology Applications Training a 2 B7500CT Onsite Oncology (Advantage SIMI Training $18,000.00 CT Advantage Sim Training + (1)25 Day On Site Visit for Training Advantage ‘Sim and Advantage CT/MR Fusion (Quoted prices do not reflect state and local taxes if applicable, Total Net Selling Price Includes Trade In allowance, if applicable. ) 38/38 GE Heathcore Confidential ond Proprietary General Elecvic Company, GE Healthcare DivisionDate: 06-21-2018 ‘Account: Rutland Regional Medical Center GE Healthcare UCM 10:1-2316GK. Quotation: @-00500521-Version: 1 Opportunity Name: Effort related to CT replacement and AW server upgrade Rutland Regional Medical Center 460 Alen st Rutland, VT 05701-4560 This Agreement (as defined below) is by and between the Customer and the GE Healthcare business ("GE Healthcare"), each as identified herein, for the sale and purchase of the Products and/or Services identified inthis Quotation, together with any applicable schedules referred to hercin ( Quotation”). “Agreement” is defined as this Quotation and either: () the Governing Agreement dentiied below; or (i) fno Governing ‘Agreement isidentifiee, the GE Healthcare Terms and Conditions and Warranties that apply tothe Products and/or Services identified inthis Quotation. In the event of conflict, the Quotation supersedes. {GE Healthcare can withdraw this Quotation at any time before Customer: () signs and returns ths Quotation or (i provides evidence of Quotation acceptance satisactory to GE Healthcare (“Quotation Acceptance’). On Quotation Acceptance this Agreement i the complete and final agreement of the parties relating tothe Products and/or Services identified inthis Quotation. There no reliance an any terms othe than those expressly stated or incorporated by reference inthis Agreement and, except as permitted in this Agreement, no attempt to modify willbe binding Unless agreed to n writing bythe parties. Modifications may result in additonal fees and cannat be made without GE Healthcare's prior written, Handwritten or electronic modifications on this Agreement (except an indication af the form of payment, Customer purchase order number and signatures onthe signature blocks below) are voi. Biling Terms: Details in Payment Summary Payment Terms: Upon Receipt Investment Totals: Detallsin investment Summary Governing Pricing Agreement/IO: None ‘Governing Agreement: (Eusting Agreement) IMPORTANT CUSTOMER ACTION ~ INDICATE FORM OF PAYMENT: If you are financing this Agreement, please check one ofthe financing options below. By executing this Agreement without checking one ofthe financing options, our payment method defaults to cash and you wil not have an option to finance with GE Healthcare Equipment Finance (°GEHEE") fortis Agreement. SEHEF Loan __GEHEF Lease ___ Third-Party Lease (Please identity finance company) ‘The partes have caused this Agreement to be executed by their authorized representative as ofthe lst signature date below. Rutland Regional Medical Canter General Electric Company, trough Re division, GE Healthcare Signatur: Signature Print Name: Print Name: . Tite Tile Date: Date: Purchase Order Number, Wapplicable as (6 Heathcare Confident and PrometryDate: 06-21-2018 ‘Account: Rutland Regional Medical Center GE Healthcare cM 10:1-2316GK Quotation: 0-00500521 Version: 1 Opportunity Name: Effort related to CT replacement and AW server upgrade Investment Summary Total Net Price Professional Services $7,760.00 Total Price: $7,760.00 2/5 GE Heathcare Confident and ProprietaryDate: 06-21-2018, ‘Account: Rutland Regional Medical Center GE Healthcare UCM ID:1-231GGK Quotation: 0-00500521 Version: 1 Opportunity Name: Effort related to CT replacement and AW server upgrade Payment Summary Billing Occurs Upon Amount DELIVERY $6,208.00, INSTALLATION. $1,552.00, Payment Schedule i | em casietion [2 “aan Anosit | oeuveny salon ra 12001 TTPSPHOIECT MGMT Fe “Baee.004 OELVERY Toning 0 wxaiz 30 ADVANTAGE TRANG $3,360.00 OFLVERY Talon = ‘ess SYCENG VABORSTO RS ‘sa7s000} TOTAL DEUVERY 3620000] (53,52 TNSTALATION Tstalaton 2 aor THSPRORCT MGMT EH sam | INSTAUATION isan 20 123005 SYCENG ABOR STO RS ‘seaoon-\ 7 TRSTALATION Training 20 Tao SD ADVANTAGE TRANG $80.00 TOTAL $52.00 INSTAUATION is (Ge Heatncare Confiental and ProprietaryGE Healthcare Date: 06-21-2018 Account: Rutland Regional Medical Center UcM 1D:1-23166K Quotation: 0-00500521 Version: 1 ‘Opportunity Name: Effort related to CT replacement and AW server upgrade Tsign the Quotation and any included attachments (where requested); Indicate your form of payment on the Quotation; i ityou include a purchase order, make sure it references the ¥- Quotation and version number; ‘Remit To! information as indicated in the Payment Instructions ¥ ‘Ship To’ and Bl To site name and address; and ¥ Total price as indicated in the Investment Summary ‘Bayment instructions Please remit payment for invoices associated with this Quotation t: (GE Healthcare IS USA Corp (FEIN 03-0363612) 15724 Collections Center Drive Chicago, 1L 60693, United States (Fedex Overnight address is same) Fed Wite Transfer Info Beneficiary Name: GE Healthcare IS USA Corp Account Number: 4426811442 ACH ABA Number: 112000012 Wire ABA Number: 026009593 i Return all ofthe above to: ‘GE Heatheare i now offering ell for Heathcae I customers. els an on line portal designed to provide a complete view of your Healtheare 7 aecunt- Aaron Dulac Email: aaron.dulac@ge.com provides access to view your ivoies on-demand, econ biling and Pron payment history, and lows you to instantly satiety invoice payments through det deb Fax ‘cess el rough ovr Customer Service Porta ‘ov. gehelthearecom/sergeportal.f you dont aeady have acces tothe on ‘oral eck on: "Signup now". To 2ecess or setup an el accourt, simply lek ‘on the “eB” button displayed under the "Resources" section of yoursolton Usa Ennees home page. Email lisa.enners@ge.com Phone: (262) 951-9769, Fax: (02) 419.5319 Contacts GE Healthcare Contacts: Sales Specialist - Radiology IT Aaron Dulac Associate - Digital inside Specialty Usa Enners Sales 2aron.dulae@ge.com (262) 951-9768 (802) 419.5319 /fax __lss.enners@ge-com Billi ment Footn 4. Transportation Title, Risk of Loss and Delivery: Shipping terms are FOB Destination, Title and risk of loss to Equipment and Third Party Equipment passes to Customer on delivery to Customer's designated delivery location. Software and Documentation is licensed to Customer, but no ttle to or other ownership interest passes. Delivery dates are approximate Produets may be delivered in installments, and Customer will pay for the delivery as invoiced. Delvery occurs: (for Product, an electronic or physical delivery to Customer; and {i} for Services, on performance, Products cannot be returned for tefund oF esi if they match the Quotation 2. Taxes: Prices do not include applicable taxes, which ae Customers responsiblity. 3. "GorLive Date" means the date Customer first uses the Software to process actual data in the operation of Customer's business (ec, to register a patient, produce abil, record a treatment or diagnosis or process or view a medieal mage) 4. Payments are due upon the events specified below. 5. Late fees accrue on all amounts not paid within 4S days of invoice date 6. Thisquote expres 60 days fram date of sue, 7. Maintenance/Supporti2 recurring charge which wil begin atthe listed event. als GE heatnare Confidential and Progretary* Date: 06-21-2018 ‘Account: Rutland Regional Medical Center GE Healthcare UCM 1D:1-23166K Quotation: 0-00500521 Version: 1 Opportunity Name; Effort related to CT replacement and AW server upgrade Professional Services Schedule Part Number ty Neterice 23008 4 $1,360.00 TPS PROJECT MGMT 1 He ‘This sone (1) hour work effort for GE ITPS Project Management services. The quantity quated reflects units required to perform these Professional Project Management Services Pact Number ayy Net Price 230015 a $2,200.00 SVC ENG LABOR STO HAS ‘GE imaging Soltions Service Labor This isa one hour block of service labor eHort during standard business hours. Minimum quantity of 2 required foreach service event. Part Number ow Ne Price Kano 1 $4,200.00 30 ADVANTAGE TRAINING 830 Advantage Package Training. 2 day onsite applications traning for up to three radiologist includes TAL expences. Days are provided onsecutivey, delivered during standard business hours. Total Net Price $7,760.00 Professional Services Schedule Footnotes: 1 2 ‘Additional effort hours within the scope ofthis project may be purchased at the then current rate. Cancellations and rescheduling request for any IT professional services engagement must be received in wating by mail, fax, or emallin advance ofthe scheduled session as follows: a) Onsite Servic Visits require atleast 20 days rior notification and (b) Remote Scheduled Sessions require at least 2 business days prior notification Fallure to provide a cancellation notice In the manner stated above may result Ina cancelation fee of $1200 for onsite visits or $200 for remate sessions and will require payment in fl fall non-refundable travel expenses incurred by GE Healthcare. Such fes shall be paid immediately and non-payment of fees stated in this section a material breach ofthis Agreement Effort hours and effort days are estimated. 1 day equals 8 hours {GE Healthcare reserves the right to reallocate effort between software applications. Uniess otherwise noted, effort days quoted above are billed as incurred, Trained Customer personnel assume responsibility for training other Custome staff unless otherwise requested. 3/5 (GE Hestheare Confidential and ProgeetaryRRMC CT Scan Budget Estimate Rev 4 10.03.18 Construction Cost estimate s1t7.617, ‘Owner /soft cost: to include AVE fees 15.00% $17,643 FFE 15.00% $17,643, GE Equipment 1.00 Ls $1,869,915 ‘Owner Contingency 10.00% $11,762 9:12 AM 10/3/2018 ‘S\ProposallRRMC CT Scan\éstimates\RRMC CT Scan Budget Estimate rev 4 10.03.18 1013Pape HP Commins Coton ft ne hen ‘i arb rua bg sxe ta, 8a ni a) cet ‘Hhcrontmucc owicemiene or en Bp Cae 4068)8 ‘em seskeesses! eek : 32. seedeees ae sEsleeskesesleses: Eee sesssesfese! feekeses HP CUMMINGS Be i : : : 5 . ad mo ne Boo'd Hee Bfeeesdesss!) aaa 3g ef £ seebeceseeescestiee’nero [RRMC CT Scan Budget Exinate Rev Tomawezcot saat ‘Prpred oH. Crmige Comin eae “are & % ed ad =e e i i ei ff ‘TPeyouinR cr Saneas RANE ean peut e490 oaardinal ~~ 5 S . juotati ‘Medical Physics | Services, 11 Quotation (603) 801-1417 32 Main Street, Suite 206 Montpelier, VT 05602 Quote produced for: Shari Patch, Director of Radiology Quote no. Rutland Regional Medical Center Quote date 21-Jun-18 160 Allen Street Valid until 2At-Jun-19 Rutland, VT 05701 Description of Service Amount Physicist survey new CT scanner $2,200 Radiation safety survey of CT scanner room $250 TOTAL: $2,450 Comments 1, Cardinal Medical Physics Services, LLC will maintain minimum lability insurance of 1 million, 2, Cardinal Medical Physics Services, LLC will maintain current calibration certificates (on all equipment. 3. Physicists will maintain appropriate credentials,“Rutland Regional Medical Center ‘CT Sean Renovations Prato Pre! Temas Rao 1208.18 > aad ° 7 TT] : 1 a satcon 17 wae conn tie re a | a Str = ere saureens Tay eaaareeay me te pe sam twiem dowhanreinpce il Smet sam sie — sag ter v [construction ime ara ) sags srs [| ett mei teat | ome reo ar] —aeame aaa | eon Towra ‘Steer ere HE ae [ar] Raton em | epee — | iste TERT Tote [ “ @LAVALLEE|BRENSINGER ARCHITECTS {CHITECT — BUILDING CODE and FGI Guidelines COMPLIANCE Project: Rutland Regional Medical Center, CT Scanner replacement Project Number: Project Location: Rutland Regional Medical Center, Rutland Vermont Center To the best of my ability, the CT Scanner Replacement Project at the Rutland Regional Medi will be designed to conform to the following building codes, regulations and guidelines: ‘The Facilties Guidelines Institute, Guidelines for the Design and Construction of Hospitals BUILDING CODE: IBC ACCESSIBILITY CODE: VERMONT ACCESS RULES LIFE SAFETY CODE: NFPA 101 ‘Throughout the design documentation phases, the project will be reviewed for code conformance. Each review will consult the adopted edition of each of the above building codes, regulations and guidelines. Please contact the undersigned at (603) 622-5450 if you have any questions. 2018 Date Joseph Britton Sr. RA Vice President, Lavallee Brensinger Architects Boston | Manchester | Portland | wwe. LBPA.com