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<br /> 1.�. E11-11 egt. Firstling 'Worksheet
<br /> Dist.Y,Dist, L'venatt tts North County Ciro,
<br /> FirstWatch Solutions,Inc.
<br /> 322 Encinitas Blvd.,Suite 100 System Enhancement
<br /> EnclnHas,California 92024 USA Quote
<br /> Phone:760-943-9123 Fax:760-942-8329
<br /> Atten:Terry Fitch,Regional Manager(Ph Ext 268)
<br /> Customer Information: Quote Information:
<br /> Name: Scott Dorsey Date: 6/9/2017
<br /> Organization: SNOPAC Expiration Date: 12/6/2017
<br /> Address: 1121 S.E.Everett Mall Way,Suite 200
<br /> City,ST Zip: Everett,WA 98208
<br /> Phone: (425)4074907
<br /> Email: sdorseylasnofire7.org
<br /> Y,.. lar j Description _ ,,'j -.. a Item Total
<br /> FirstPASS Module(FP)
<br /> 1 FirstPASS Module w/Protocol&Reporting Bundle(Requires ePCR data source) $30,000 $30,000
<br /> 1 FirstPASS Annual Support&Maintenance $6,600 $6,600
<br /> 3 Additional FirstPass Add-on Agency $5,000 $15,000
<br /> 3 Additional FlrstPass Add-on Agency Annual Support&Maintenance $1,100 $3,300
<br /> 3 Addon Agency Training&Consultation $3,000 $9,000
<br /> 0 - Additional FirstPASS Report Development(hours-beyond the basic bundle $150 $0
<br /> 0 Additional FirstPASS Reports Annual Support&Maintenance $33 $0
<br /> Sub-total 63,900
<br /> FirstWatch offers the following payment option choices for your consideration
<br /> Option#1-Payment of All Year One Fees
<br /> System Enhancement(Payment of A0 Year One Fees)-Total:I $63,900
<br /> -OR-
<br /> Option#2-'Software as a Service'Payments Without Monthly #AGN Each
<br /> System Enhancement'Software as a Service'Start-up Services 8lst Month Subscription Fee-Total: $14,614 $13,000 4 $3,250
<br /> Monthly Subscription Fee: $1,614 51,514 4 $403
<br /> Break Down Per Agency:
<br /> Notes:ESO Hosted ePCR Data Source is currently in place.
<br /> Snohomish County has12 clinical,2 procedural,and 3 guideline checklists used for their DI framework currently. Potentially,additional protocols will be
<br /> required to complete this framework and can be added as needed.The County may need to add the12 clinical items to be built in as FirstPass _
<br /> protocols.The FirstPass Module Includes the Standard Bundle of Care(6 protocols(I.e.,STEMI,Stroke,Cardiac,Trauma,Airway&Universal)).A
<br /> protocol can be utilized County Wide unless determined as an agency specific protocol.Additional protocol costs follow:
<br /> Additional Protocol Costs An:$1,500 r$330 per year support&maintenance(year one•51,83(1 each).
<br /> The vision of this FirstPass Module is a County-Wide Regional Clinical QANQI Tool.The County Includes an estimated 22 Agencies that would require
<br /> setup and agency specific views.This additional cost follows:
<br /> individual Add-On Agency Cost Each Is:$5,000 and$1,100 per year support&maintenance(year one•$8,500 each).
<br /> Custom Report Development will be defined and estimated upon request.
<br /> Typical report development costs:$150 per hour.support and maintenance.
<br /> INVOICING NOTE: The down payment due January 1,2018 is$14,614 and that Is 33,653 each Agency(Dint 7;Dist 1;Everett;North County)/or
<br /> the down. On-Golno Monthly payments(Mat will begin upon the first protocol live and FirstPass available for use)due area a monthly
<br /> payment of$403,each Agency,will be Invoiced to each of the respective Agency contacts:
<br /> 1. Dist 7•Deputy Fire Chief Scott Dorsey(sdorseyMsnotlre7.ora
<br /> 2. Dist 1=Deputy Fire Chief Shaughn Maxwell(sMexweliMsouthsnoflre.org)
<br /> 3. Everett Fire•Dan Pope(dpopeCbeverettwa.gov)
<br /> 4.North County Fin•Fire Chief John Cermak(icermakflmorthcountytlreems.com)
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