09-119 Seattle King County Public Health for AED Purchase - City of ...

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PERFORMANCE REPORT FORTo OSP Customers:Please take a moment to let us know how our services have measured up to your expectations on this contract.Please copy this form locally as needed and forward to the Office of State Procurement Purchasing Manager.For any comments marked unacceptable, please explain in remarks block.Procurement services provided:➢ Timeliness of contract actions➢ Professionalism and courtesy of staff)=- Services provided met customer needs➢ Knowledge of procurement rules and regulations➢ Responsiveness/problem resolution➢ Timely and effective communicationsComments:Excellent Goodn n111Acceptable UnacceptablenAgency:Prepared by:Contract No.: 01904 Title:Automatic External DefibrillatorsContract Title: (AEDs)Date:Phone:Send to:UNIT ManagerOffice of State ProcurementPO Box 41017Olympia, Washington 98504-101715
PERFORMANCE REPORT FORTC 'ICEComplete this form to report problems with suppliers or to report unsatisfactory product or services. You are alsoencouraged to report superior performance. Agency personnel should contact suppliers in an effort to resolve problemsthemselves prior to completion and submission of this report.Contract number and title: 01904, Automatic External Defibrillators (AED's)Supplier's name:Supplier's representative:[11 Contract item quality higher than required ❑Contract item quality lower than required.❑III Other:PRODUCT/SERVICESUPPLIER/CONTRACTOR PERFORMANCEDamaged goods deliveredItem delivered does not meet P.O./contract❑ specifications❑❑❑Late deliveryIncorrect invoice pricing.Other:❑ Slow response to problems and problem resolution1:1 Superior performanceCONTRACT PROVISIONS111 Terms and conditions inadequate❑ Specifications need to be revised❑ Other:ri Additional items or services are required.n Minimum order too high.Briefly describe situation:Agency Name:Delivery Location:Prepared By: Phone Number: Date: Supervisor:Address:Email:Send To:ROZ KNOXCONTRACTS SPECIALISTOFFICE OF STATE PROCUREMENTPO BOX 41017OLYMPIA WA 98504-101716
Page 1 and 2: REQUESI TO PURCHM3E FORMGoods (DV)
Page 3 and 4: A ED State contract Page 2 of 2We a
Page 5 and 6: "RRFinance andBusiness Operations D
Page 7 and 8: Objective:King County Project RAMPA
Page 9: Lia-HER. . ::GAW, OrW liQN .Finante
Page 12: Issue Date12/21/2009Invoice number9
Page 16 and 17: Page 2 of 2Is there any thing else
Page 18 and 19: PHILIPSPhilips Healthcare3000 Minut
Page 20 and 21: CITY OF WOODINVILLE17301 133RD AVEN
Page 22 and 23: Packing ListPHILIPSPHILIPSCUSTOMER
Page 24 and 25: SHIPPER'S DECLARATION FOR DANGEROUS
Page 26 and 27: RAMPART GrantPurpose: The RAMPART G
Page 28 and 29: King County Project RAMPARTRegional
Page 30 and 31: King County Project RAMPART -Region
Page 32 and 33: RCW 42.30.020: Definitions. Page 1
Page 34 and 35: State of WashingtonCurrent Contract
Page 36 and 37: Current Contract InformationContrac
Page 38 and 39: CONTRACTOR INFORMATIONContractor: P
Page 40 and 41: M5089A External Manikin Adapter, 5-
Page 42 and 43: CONTRACTOR INFORMATIONContractor: Z
Page 44 and 45: PRICE SHEETS — ZOLL MEDICAL CORPO
Page 46 and 47: PRICE SHEETS — CA IAC SCIENCEA J,
Page 50: WOODINVILLEPriv City Co.Count Corn

09-119 Seattle King County Public Health for AED Purchase - City of ...

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