acs submittal package for indura medica - a8097 (2012 07 18) (1)
TRANSCRIPT
Clinical Solutions
Amico Clinical Solutions
Submittal Package
Prepared For: Indura Medica Date: July 12, 2012 PO # 204970 Quote # A8097
Approved By: __________________________ (Print)
Approved By: __________________________ (Signature)
Clinical Solutions
Contact Verification ......................................................................................................................................................... 1 Project Overview ............................................................................................................................................................... 2
System Verification Summary ........................................................................................................................................... 3
Systems Drawings ........................................................................................................................................................ 4-11
Equipment Mounting Plate Orientation ......................................................................................................................... 12
Medical Gas Outlet Type, Standard & Language Verification ......................................................................................... 13
Shipping Information ...................................................................................................................................................... 14
Terms and Conditions ..................................................................................................................................................... 15
Warranty Policy .............................................................................................................................................................. 16
Amico Clinical Solutions Team
Title Contact Person Telephone E-mail
Director of Service & Installations Phil Barlow (416) 996-9512
Project Manager Fenil Patel (905) 764-0800 Ext. 5709 [email protected]
Director of Sales Julia Elner (877) 683-0248 [email protected]
Please fill in your contact details below to better assist us in providing you our first class service.
Title Contact Person Telephone E-mail
General Contractor
Architect
Hospital Contact
Head Plumber
Head Electrician
Other
CONTACT INFORMATION PAGE Dear: ____________________________________________
At Amico, your project remains our top priority at all times. We look forward to working with you in bringing you the most efficient, state-of-the-art medical equipment for your facility. We hereby present you with our team of experts:
1
PHASES PROJECT OVERVIEW
1 • Purchase order received and reviewed by Amico Clinical Solutions (ACS)
2 • Submittal package assembled • Preliminary Production schedule is developed
3
• SIGNED Submittal package returned to ACS
• Pre-Installation Package sent out for initial review by the General Contractor or Hospital
• Finalize Production Schedule Note: Production does not commence until signed submittal is received and confirmed by an Amico Clinical Solutions representative
4
• Shipment of Pre-Installation Kit (Include: Anchor Plates, Gas Risers, Gas Riser Brackets, and Electric Brake Power Supply) Note: Shipment of parts indicated above is subject to change depending on your current project. Parts will not be shipped until signed submittal is received.
5
• General Contractor and Amico’s National Maintenance & Service Manager discuss the Pre-Installation requirements and sign-off on pre-installation package
• The Hospital or The General Contractor installs Pre-Installation Kits and completes all pre-installation requirements as stated previously
6 • Shipments of Medical Equipments are dependent upon ACS’ Production Schedule. Amico Clinical will
work closely with the hospital to ensure timely delivery Note: There is an approximate of 10 – 12 weeks lead time subsequent to received submittal
7
• Installation as scheduled with Amico’s General Contractor & National Maintenance and Service Manager Note: Installation commences ONLY if installation services are purchased from Amico and all pre- installation requirements are met
8 • In-Service Training
• Final Sign-off and Warranty
• Project Follow-up: Preventative Maintenance Contracts
2
SYSTEM VERIFICATION SUMMARY
SYSTEM A
ROOM TYPE: _________________________________
Configuration
LP-L-1N1N-N
Quantities
07
Drawing #
1 – 8
Tandem configuration consisting of two (2) 1000 mm low profile arms, with wired C40 service consoles.
3
4
5
6
7
8
9
10
11
ANCHOR PLATE ORIENTATION
VERTICAL
QUANTITIES
_________________________________________
HORIZONTAL
QUANTITIES
_________________________________________
12
MEDGAS OUTLETS PLEASE SELECT REQUIRED STANDARD & LANGUAGE
CHEMTRON
OHMEDA
US English
US Spanish
ISO English
ISO Spanish
US English
US Spanish
ISO English
ISO Spanish
ISO French
D.I.S.S PURITAN BENNETT
US English
US Spanish
ISO English
ISO French
US English
US Spanish
ISO English
ISO French
OXEQUIP / MEDSTAR BRITISH STANDARD
US English
US Spanish
ISO French
ISO English
PASSIVE WAGD / AGSS
IMPORTANT INFORMATION / SPECIAL REQUEST
ISO French
US Spanish
ISO English
13
HOSPITAL’S SHIPPING INFORMATION
Shipping Contact(s)
Shipping Address
Hours of Delivery
Floor & Room Locations
Trailer Height Capacity
Storage Facility o YES
o NO
Receiving Dock Type
o Elevated
o Ground Level Lift Gate
YES NO
Equipment Transports
o Pump Truck
o Fork Lift
AMICO CLINICAL’S PACKING TYPE
Packing Type
o Crate
o Skid
o Boxes
Size/Dimensions: 48 x 30 x 48 Weight: 9750 lbs Quantity: 15 Skids
14
TERMS AND CONDITIONS
1. The hospital and/or approval authority is responsible for verifying the medical gas outlets will meet and/or exceed the requirements of NFPA 99 (most recent edition).
2. ACS will provide gas risers with serviceable check valves for Amico’s boom system. However, it is the responsibility of the hospital to supply the required quantity of shut-off valves for each specific gas source for Amico’s boom.
3. It is the responsibility of the client to provide on-site connections for gases, fittings, and junction boxes for all control and power wiring.
4. The hospital and/or approval authority is responsible for scheduling a licensed electrician onsite to complete all electrical wirings (between boom and junction box). ACS must have the pre-installation package reviewed and completed by the on-site contractor before installation procedures can commence.
5. Ceiling Pendant/Light Fixtures will be built as per ACS’ design and dimensions specified in this package (all tubing and wiring will be completed and operationally tested prior to shipment).All electrical receptacles are factory wired according to circuits indicated in shop drawings. (Changes/alterations must be identified in this submittal and will only be included at the discretion of ACS).
6. Approval signature(s) are mandatory and are required on all drawings. (Production will not commence without signed drawings). Standard lead time is 10 – 12 weeks after receipt of approval of signed submittal and shop drawings.
7. Any delays in returning the approved submittals or returning them with incomplete or inaccurate information will cause delay in delivery or possible incompatibility of electrical and mechanical services.
8. ACS will not be held responsible for ANY damages as a result of unauthorized modifications and/or substitutions made by the client. (Unauthorized modifications/substitutions to Amico’s factory standard components will be completed at the client’s own risk and will void ALL warranty and service agreement between both parties).
Notes:
Amico provides equipment only (Installations are not included). Installation by ACS’ Installation Team may be purchased for an additional fee. Data Cable pulling and Anchor Plate installation may be purchased as optional packages.
By signing this Submittal package in the area below, you, as the customer has agreed upon and accepted all terms and conditions specified above.
Signature: _____________________________________ Title: ____________________________________
Print Name: ____________________________________ Date: ____________________________________
15
WARRANTY POLICY
1. ACS warrants its materials and workmanship to be free from defects for a period of twelve (12) months from the date of installation. Within this period, ACS will repair and/or replace any part on site or at the factory, which has proven to be defective at ACS’ costs.
2. ACS will warrant its material to be free from defect for an additional period of four (4) years, five (5) years from the date of installation. Within this period, ACS will replace any part (at no additional charge), which is deemed defective. Shipping and installation costs after the first twelve (12) months will be borne by the customer.
3. ACS will warrant its Pearl Series LED Lights, Monitor Arms & Patient Lift Pendant to be free from defect for a period of two (2) years from the date of installation. Within this period, ACS will replace any part (at no additional charge), which is deemed defective. Shipping and installation costs after the first twelve (12) months will be borne by the customer.
4. This warranty is valid only when the product has been properly installed as outlined in The ACS specifications; including but not limited to proper usage and servicing of systems according to factory recommendations. It does not cover damages as a result of shipment failures, accidents, misuse, abuse, neglect, mishandling, alternation, misapplication or damages which may be attributed to acts of God.
5. ACS shall not be liable for incidental or consequential damages resulting from the use of the equipment.
6. All claims for warranty must first be approved by ACS’ Service Department ([email protected] or 1-877-462-6426). A valid Return Goods Authorization (RGA) number must be obtained from ACS prior to commencement of any service work. Warranty work which has not been pre-authorized by ACS will not be reimbursed.
16