AUTHORIZED PROVIDER AGREEMENT (2)
American Red Cross
Authorized Provider Agreement
This Authorized Provider Agreement ("Agreement") effective as of date executed ("Effective Date") is between
RECEIVED
nCT 022007
American Red Cross, Tampa Bay Chapter
(The "Chapter")
and
. '. f~g5o
Oj2G(\"hZffi\\)/~ ID-:ff-.
RiSK MANAGEMENT
City of Clearwater Risk Management
(The "Authorized Provider" or "AP")
The Chapter is a unit of the American National Red Cross, a not-for-profit corporation chartered by an act ot U.S.
Congress, the principal place of business of which is located at 3310 W Main Street, Tampa, FL 33607, and among
other things, provides first aid, CPR, aquatics, water safety, HIV/AIDS prevention education, mission-related
care giving and other health and safety education programs.
The principle place of business of the AP is located at 100 South Myrtle Avenue. Clearwater, FL 33756;
The Chapter desires to work with the AP to provide American Red Cross training in the jurisdiction set forth in
Section 4 below.
In consideration of the statements, terms and conditions contained within this Agreement, the Chapter and the AP (the
"Parties"), intend to be bound by this Agreement and agree to the following:
1.0 Responsibilities of the Chapter:
The Chapter shall:
1.1 Support the health and safety education of the AP's employees, members, and/or clients in the AP's provision
of American Red Cross training Courses ("Courses") at the fees set forth in Appendix A. The guaranteed AP
fees set forth in Appendix A shall include record keeping, certificate processing, administration, promotional
assistance, and support services ("AP Fee"). Any Additional Services ("Additional Services") may be
available for additional fees as outlined in Appendix A. Fees in Appendix A may change pursuant Section
3.0.
1.2 Train all potential instructors from the AP to teach the Courses at the fees ("Training Fees") set forth in
Appendix A so long as such instructors meet the American Red Cross training prerequisites. These potential
instructors shall be authorized as American Red Cross Health and Safety instructors upon successful
completion of the training and upon signing an Agreement to teach the Courses. A complete list of the AP's
instructors is set forth in Appendix B, which shall be unilaterally modified by the Chapter in the event
instructors are added or deleted. Fees in Appendix A may change pursuant Section 3.0.
1.3 Upon request and depending on availability: (a) subject to Paragraph 2.10, use best efforts to provide
the AP with equipment that the AP does not possess which is necessary for an instructor to provide the
Course(s) as listed, and at the rental fees, set forth in Appendix A ("Equipment and Supplies"); and (b)
provide the Course Materials ("Course Materials") and Instructor Materials ("Instructor Materials") as set
forth in Appendix A. If the fees in Appendix A change the Chapter will notify the AP a minimum of 5 days
prior to implementation. Fees in Appendix A may change pursuant Section 3.0.
1.4 Maintain all Course Records ("Course Record") provided to the Chapter by an instructor for a period of five
(5) years following the date of the Course.
1.5 Support and evaluate the instructors by providing them with the following: (a) Applicable policies and
procedures and any revisions or modifications thereto; (b) Upon expiration of an instructor's authorization,
reauthorize such instructors so long as such instructors meet American Red Cross reauthorization
April 2006
requirements; and (c) Opportunities for volunteer and professional skill development with the Chapter.
1.6 Provide invoice to the Authorized Provider within 30 days unless otherwise specified in Appendix A, for the
fees related to the Courses, equipment rental, and Course/Instructor Materials, Additional Services, training,
and retraining of Course Participants ("Course Participants") as set forth in Paragraph 1.9 below.
1.7 Verify all instructor authorizations and notify the AP in the event an instructor is no longer authorized to
teach Courses.
1.8 Throughout the term of this Agreement (as defined in Paragraph 5.1), maintain a close and ongoing
supportive relationship with the AP and its instructors by contacting the AP a minimum of 4 times per year.
1.9 If during any phase of evaluation, the training conducted by an AP' s instructor is found to be below minimum
American Red Cross standards for that Course and the Chapter determines that retraining is required for the
participants that attended the Course where training was found to be below minimum standards, the retraining
will be conducted by the Chapter. The AP will be responsible for the cost of retraining as outlined in
Paragraph 2.4. The Chapter will invoice the AP for the cost of the training at the amount equal to the
published full service contract price or the training price minus the cost of books and materials the Course
Participants may already have. The Chapter also reserves the right to suspend or withdraw the authorization of
an instructor for due cause. Due cause generally means that the instructor does not or will not abide by the
standards, policies, or procedures of the Red Cross and its programs or in some way abuses the position of an
authorized Red Cross instructor. Some examples follow here but are by no means exhaustive; each case is
reviewed individually, taking into account all relevant circumstances. Examples are-
a. An instructor refuses to teach a nationally standardized Course according to the guidelines and Course
requirements or is found to be deficient in either knowledge or performance skills.
b. An instructor falsifies records or provides false information to the Chapter.
c. An instructor consistently fails to communicate his or her teaching activity in an appropriate way to the
Chapter (e.g., does not notify the Chapter when a Course is to be taught, does not process Course Record
fom1s within 10 working days, and so forth).
d. An instructor exhibits behavior inconsistent with standards established and agreed to in the Instructor
Agreement and expected of a Red Cross instructor, as indicated by repeated poor evaluations from
participants, or behaves in ways that participants find offensive or insulting (e.g., making sexual advances
or telling racially, socially, or sexually insensitive jokes).
e. An instructor behaves in ways that do not reflect support for the American Red Cross as an organization
and that, in fact, could harm the public perception of the American Red Cross in the community.
f. An instructor is convicted of a violent or serious crime, such as sexual molestation, embezzlement,
assault, or any crime that calls into question his or her teaching or leadership responsibilities.
1.10 Designate Jose Bueno as a representative of the Chapter to act as a point of contact to the AP at the address
and telephone number set forth in Section 7 below ("Chapter Representative") and notify the AP within 30
days if that individual changes.
1.11 Unless otherwise indicated on the Course Record, arrange for completed Course certificates to be delivered to
the AP at the address set forth in Section 7 within ten (10) business days after receipt of a properly completed
Course Record.
1.12 As needed and upon request, provide the AP with any American Red Cross promotional materials for use by
the AP in promoting the Courses.
2.0 Responsibilities of the AP:
The AP shall:
2.1 Identify qualified instructor candidates to be trained and authorized as instructors and inform the Chapter
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April 2006
when it becomes aware of any modifications that should be made to Appendix B.
2.2 Support each instructor's compliance with American Red Cross policies and procedures by ensunng that such
Instructors: (a) Are available to participate in periodic training, retraining or other related events throughout
the term to gain and maintain sufficient levels of skill, knowledge and understanding to conduct the Courses;
(b) Supply only American Red Cross Course Materials for use during the Courses, (c) Provide visual
identification of the American Red Cross name and emblem during the Courses using materials provided or
approved by the Chapter; and (d) Submit properly completed Course Records and Course evaluation forn1s to
the Chapter within ten (10) business days of Course completion unless special arrangements are made with
the Chapter.
2.3 With respect to the Course Participants: (a) Notify Course Participants that they will be participating in
American Red Cross Courses in accordance with American Red Cross standards; (b) In advance of each
Course, provide Course Participants with information about Course prerequisites, completion requirements,
and other necessary information; (c) Ensure that Course Participants who have successfully met the Course
prerequisites, objectives, and certification requirements receive American Red Cross certificates.
2.4 Reimburse the Chapter for retraining of Course Participants conducted pursuant to Paragraph 1.9. The cost of
the retraining will be at the amount equal to the published full service contract price minus the cost of books
and materials the Course Participants may already have.
2.5 Provide payment to the Chapter within 30 days of an invoice date unless otherwise specified in Appendix A.
2.6 Provide to the Chapter the names and copies of the authorizations of any previously authorized Red Cross
instructors that are new to the AP at least ten (10) days before the instructor teaches a Course in order for the
Chapter to ensure that such instructor is qualified to be the instructor.
2.7 Notify the Chapter of dates, times, and locations for each Course at least 5 days before the Course start date.
2.8 Refrain from revising, editing, or duplicating any materials, in whole or in part, including, but not limited to
Course videos, for teaching Courses or for any other purpose, unless specifically approved in writing by the
American National Red Cross. Requests for any modifications to the materials are to be channeled through
the Chapter. The AP understands and agrees that all such promotional materials must be provided by the
Chapter, or approved by the Chapter in advance of publication.
2.9 Obtain the materials in quantities sufficient for each Course Participant to have and retain his or her own copy.
Course workbooks, textbooks and/or skills cards cannot be used for more than one Course Participant unless
permission to do so is granted by the Chapter in writing. Authorized Providers conducting training in more
than one Red Cross Chapter jurisdiction will not be granted rights to reuse workbooks, textbooks and/or skills
cards for more than one Course Participant.
2.10 Maintain responsibility for the equipment and promptly return such equipment to the Chapter in the same
condition the equipment was received by the AP. The AP shall be responsible for the cost of any damage to
such equipment while in the possession of the AP. Upon receipt and inspection of the equipment, the AP shall
report to the Chapter any equipment in need of service, repair, or replacement.
2.11 Be responsible for all claims and liabilities of any nature whatsoever that arise out of an AP offered Red
Cross Course. Red Cross insurance does not extend to the AP or its instructors. Therefore, it is the
responsibility of the AP to obtain adequate insurance to cover its operations and Course instruction.
2.12 Designate William P. Peterson as a representative of the AP to act as a point of contact to the Chapter at the
address and telephone number set forth in Section 7 below and notify the Chapter within 30 days if that
individual changes. In the event the AP has multiple facilities, the individuals set forth in Appendix C shall
serve as additional points of contact.
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April 2006
2.13 Provide classrooms and other facilities to teach the Courses that are safe, conducive to learning and meet the
minimum space requirements as set forth in the Instructor Materials. The AP shall allow the Chapter
Representative or a designee to inspect the AP's real and personal property used to teach the Courses and to
perform random observations of the instmctors during the provision of Courses.
2.14 Submit any literature or materials using the name and/or emblem of the American Red Cross to the Chapter
for written approval before printing or distribution of such literature or materials.
2.15 Encourage its instructors to provide volunteer services for the American Red Cross.
3.0 Chapter Fees:
The Chapter reserves the right to change the fees contained in Appendix A at its sole discretion. The Chapter
will notify the AP a minimum of 30 days prior to the effective date of any such fee changes. As pmi of this
notice, the Chapter will provide the AP with a new Appendix A. If the AP does not agree to the fee changes,
it has the right to terminate the Agreement pursuant to Section 5. Changes to Appendix A will not effect any
other provisions contained within this Agreement.
4.0 Jurisdiction of Agreement:
This Agreement is limited to the geographical jurisdiction of the American Red Cross Chapter(s) and at the
locations set forth below:
Chapter
Tampa Bay Chapter
Geo2raphical Jurisdiction (County, City, State)
Pinellas County, Hillsborough County, Pasco County
5.0 Term and Termination:
5.1 This Agreement shall commence on the effective date with automatic one-year renewals thereafter on the
anniversary of the commencement date, unless either Party gives written notice to the other of its desire not to
renew at least 30 days prior to the commencement of any renewal period, or unless otherwise tern1inated
sooner in accordance with Paragraph 5.2 of this Agreement (the "Term").
5.2 At any time, either Party may terminate this Agreement with thirty (30) days written notice to the non-
tenninating Party.
5.3 Upon termination of this Agreement, the obligations of both Parties, including, but not limited to the
provision of payment, shall remain in effect until all scheduled Courses are completed.
5.4 In the event of any termination of this Agreement, the Parties are still obligated and committed to follow the
provisions of Sections 6, 7, 8,12 and this Paragraph 5.4 indefinitely.
6.0 Limitation of Liability:
Notwithstanding anything in this Agreement to the contrary, neither Party shall be liable to the other for any
loss or damage arising as a result of breach, non-performance or partial performance of its obligations under
this Agreement due to any cause beyond that Party's reasonable control and without its fault or negligence.
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April 2006
7.0 Notices:
All notices to include appendices that each Party is required to give to the other Party shall be given to each of
the Parties in writing to the names and addressees as follows:
If to the Chapter:
Chapter Name:
Address:
Attn:
Phone Number:
Fax Number:
E-mail Address:
If to the AP:
AP Name:
Address:
Attn:
Phone Number:
Fax Number:
E-mail Address:
American Red Cross Tampa Bay Chapter
3310 W Main Street
Jose Bueno
813-348-4820 ext 890
813-348-4830
~1:lUI6 j;1jJ,:fNt~mpaba}.1 t:d\:1 u~~.OI g
bvenl{j@ uJq. red GroSS. o~
City of Clearwater Risk Management
Post Office Box 4748, Clearwater, FL 33758-4748
William P Peterson
727-562-4654
727-562-4659
William. peterson@myclearwater.com
Notice of termination of this Agreement by either Party must be delivered by certified U.S. First-Class Mail,
return receipt requested.
8.0 Confidentiality and Trade Names:
8.1 Except as otherwise provided herein, each Party shall maintain the confidentiality of all provisions of this
Agreement. Without the prior written consent of the other Party, neither Party shall make any press release or
other public announcement of, or otherwise disclose, this Agreement or any of its provisions to any third
Party except for such disclosures as may be required by applicable law or regulation, in which case the
disclosing Party shall provide the other Party with prompt advance notice of such disclosure so the other Party
has the opportunity, if it so desires, to seek a protective order or other appropriate remedy.
8.2 Each Party recognizes that the name, logo and marks of the other Party represent valuable assets of that Party
and that substantial recognition and goodwill are associated with such assets. Each Party hereby agrees that
neither it nor any of its affiliates shall use the other Party's name, logo or marks without prior written
authorization from such other Party.
8.3 This Agreement grants no rights in any of the American Red Cross or Chapter's Courses or Course Materials
or other intellectual property to customer.
9.0 Entire Agreement and Amendments:
9.1 Concerning the subject matter hereof, this Agreement constitutes the entire Agreement between the Parties
and supersedes all prior Agreements and undertakings, both written and oral, between the Parties.
9.2 This Agreement shall not be amended or otherwise modified unless both of the Parties affirmatively and
unanimously agree to such amendment and/or modification in writing.
10.0 Severability:
In the event any provision of this Agreement is held invalid, illegal or unenforceable (any such provision, an
"Invalid Provision") in any jurisdiction, the Parties shall promptly negotiate in good faith a lawful, valid and
enforceable provision. This new provision must be as similar in terms to the invalid provision as may be
April 2006
5
possible in order to keep with the intention of the original Agreement.
"
11.0 Exculpatory Clause:
It is understood and agreed that wherever in this Agreement the term "Chapter" is used it shall mean the
Chapter(s) of The American National Red Cross set forth in Section 4; that said Chapter(s) are duly
constituted local unit of The American National Red Cross, a federal instrumentality (36 U.S. Code 1 et seq.);
and that all obligations of the "Chapter" under this Agreement shall be undertaken and completed exclusively
by said Chapter(s) without resort in any event to, or commitment of, the funds and property of the American
National Red Cross or any unit thereof other than the Chapter(s).
12.0 Independent Contractors:
Each of the Parties shall be furnishing its services hereunder as an independent contractor, and nothing herein
shall create any association, partnership or joint venture between the Parties or an employer-employee
relationship. No agent, employee or servant of either Party shall be, or shall be deemed to be, the employee,
agent or servant of the other Party, and each Party shall be solely and entirely responsible for its acts and the
acts of its agents, employees and servants.
13.0 Assignment and Subcontracting:
This Agreement shall not be assigned in whole or in part and no Party shall delegate or subcontract all or part of its
duties under this Agreement without the prior written consent of the other Party.
IN WITNESS WHEREOF, the Parties hereto, acting through their duly authorized officers, have executed
this Agreement as ofthe Effective Date.
SIGNATURE:
DATE: 3-27~2007
PRINTED NAME: Jose Bueno
TITLE: HSS Sales Specialist
PHONE NUMBER: 813-348-4820 ext 890
FAX NUMBER: 813-348-4830
E-MAIL: .gl] f>no- e) 1 @t::lmp::l h"~'.n~dcrosS.Ofg
1\lR. W ~ Me!; \ ". 6vel')~@ U$q. redexo,ss.oC3
CHAPTER
REPRESENTATNE
) \-''''. L./'-..
AUTHORIZED PROVIDER
REPRESENTATIVE
William B. Home II
City Manager
727-562-4040
727-562-4052
William.Home@myclearwater.com
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April 2006
APPENDIX A
COURSES, EQUIPMENT, MATERIALS AND FEES
A. Courses:
First Aid
CPR
AED
Rental - Adult Manikin Set of 10 wI 12 Lungs (ACTAR)
Rental-Infant Manikins Set of 10 wI 12 Lungs (ACTAR)
Rental - AED Manikins (Set of 5)
Rental - AED Trainer
Rental - Video (Single DVD)
3 Day Limit
3 Day Limit
3 Day Limit
3 Day Limit
3 Day Limit
$30.00
$30.00
$35.00
$15.00
$10.00
Purchase Items Price
First Aid/CPRlAED for the Workplace Participant's Workbook (pkg/10) 656694 $13.50
Adult CPRlAED Skills Card Rev. 3/06 656691 $7.25
First Aid Skills Card Rev. 3/06 656692 $7.25
Infant and Child CPR Skills Card Rev. 3/06656695 $7.25
First Aid/CPRlAED for the Workplace DVD Rev. 3/06 656690 $174.99
First Aid/CPRlAED for Schools Community Part. Manual Rev. 3/06 652145 $14.99
First Aid/CPRlAED for Schools and the Community DVD Rev. 3/06 652146 $164.99
First Aid/CPRlAED for the Workplace. Community Instructor's Manual and CD- $24.99
ROM Rev. 3/06656693
CPR Student Training Kit (pkg/100) 658227 $45.00
First Aid Student Training Kit (pkg/100) 658226 $120.00
CPRlAED for the Professional Rescuer Participant's Manual 652162 $12.99
CPRlAED for the Professional Rescuer Instructor's Manual 652161 $23.99
CPRlAED for the Professional Rescuer DVD 652160 $100.00
Responding to Emergencies Instructor's Manual with CD-ROM Rev. 3/06 656133 $27.99
Responding to Emergencies Participant's Manual Rev. 3/06 656132 $32.99
Responding to Emergencies DVD Rev. 3/06 656134 $199.99
Emergency Response Text Rev. 2/01 656523 $39.95
Emergency Response Workbook Rev. 2/01 656524 $29.95
Emergency Response Instructor's Manual Rev. 2/01 656525 $29.95
Emergency Response Videos (set of 2) Rev. 2/01 656526 $265.00
Pet First Aid Book 657100 $12.99
First Aid Fast 652117 $5.00
Lifeguard Training Participant Book 655731 $34.99
Lifeguard Training Instructor Manual 655730 $32.99
Lifeguard Management Manual with CD-ROM 654148 $27.99
Lifeguard DVD Set 655732 $290.00
GuardStart: Lifeguarding Tomorrow Workbook 655714 $8.99
GuardStart: Lifeguarding Tomorrow Leader's CD-ROM 655715 $22.00
Aquatics Banner 658004 $22.00
Ratty Learns to Swim: Learn to Swim (levis. 1 & 2) Partie. Mnl. 651307 $0.95
Waddles in the Deep: Learn to Swim (levis. 3 & 4) Partie. Mnl. 651308 $0.95
Swimming and Water Safety Manual 651300 $24.95
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April 2006
,Swimming and Diving Skills Video 651302 $95.00
Swimming and Diving Skills DVD 651304 $90.00
Water Safety Instructor's Kit 651311 $49.95
Water Safety Instructor's Manual with CD-ROM 651301 $21.95
Swimming & Diving skills and Teaching swimming and Water Safety DVD set 651305 $130.00
Longfellow's WHALE Tales K-6 educational packet and CDROM 651309 $14.95
Longfellow's WHALE Tales Video 654710 $39.99
Longfellow's WHALE Tales Stickers (5 sheets) 651310 $9.95
Water Safety Handbook 651306 $4.50
Small Craft Water Safety Manual 654153 $6.50
Babysitter's Training Handbook 655614 $9.75
Babysitter's Training Instructor's Kit 655621 $20.00
Babysitter's Training DVD 655617 (vhsj655618) $125.00
Babysitter's Training First and Safety Kit 655620 $9.95
Babysitter's Backpack First Aid Kit (work n leisure) 4350R $16.00
Nurse Assistant Training Participant's Manual 654096 $40.00
Nurse Assistant Training Instructor's Manual 654098 $50.00
Nurse Assistant Training Videos (set of 3) 654099 $449.00
Sport Safety Training Handbook 655542 $12.99
Sport Safety Training Workbook 655543 $6.50
Sport Safety Training Instructor's Manual 655544 $15.99
Sport Safety Training video (DVD format) 655546 $110.00
Sport Safety Training Participant's Set (includes SST Handbook and Workbook) 655541 $18.50
Bloodborne Pathogens Training: Preventing Disease Transmission Participant's Manual $48.00
(pkg/25) Rev. 6/03 655107
Bloodborne Pathogens Training: Preventing Disease Transmission Video Rev.6/03 $48.00
655109
Oxygen Administration Booklet (pkg/25) 652056 $50.00
Oxygen Administration Video 656702 $18.95
Basic Aid Training (BAT) Participant's Book (pkg/25) 654200 $37.50
Basic Aid Training (BAT) Instructor's Manual 654205 $6.50
Basic Aid Training (BAT) Rescue Kids Video 654210 $62.50
First Aid For Children Today (FACT) Fun Booklet (pkg/25) 654400 $47.50
First Aid For Children Today (FACT) Leader's Kit -Incl Leaders Guide, Fun Book, 7 Poster $14.15
Set & brochure. 654405
Assisting with Personal Care Participant's Booklet (pkg/10) 653985 $26.50
Caring for the Caregiver Participant's Booklet (pkg/10) 653986 $26.50
Positioning and Helping Your Loved One Move Participanfs Booklet (pkg/10) 653987 $26.50
General Caregiving Skills Participant's Booklet (pkg/10) 653988 $26.50
Home Safety Participant's Booklet (pkg/10) 653989 $26.50
Healthy Eating Participant's Booklet (pkg/10) 653990 $26.50
Caring for a Loved One with HIV/AIDS Participant's Booklet (pkg/10) 653991 $26.50
Caring for One wI Alzheimers Disease or Dementia Participanfs Booklet (pkg/10) 653992 $26.50
Legal and Financial Issues Participant's Booklet (pkg/10) 653993 $26.50
Family Caregiving DVD 653984 $45.00
Family Caregiving Home Reference Kit of 9 Booklets (1 of each nine modules) 653981 $23.85
Family Caregiving Home Reference Kit with DVD 653980 $68.85
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April 2006
Workplace Training: Managing Stress Booklet 656612 $10.00
Workplace Training: Your Heart Matters Booklet 656614 $10.00
Workplace Training: Ergonomics Booklet 656603 $10.00
Workplace Training: Slips, Trips & Falls Booklet 656604 $10.00
Workplace Training: Back Injury Prevention Booklet 656608 $10.00
Workplace Training: Workplace Violence Awareness Booklet 656609 $10.00
Steps For Choking Emergencies Poster (pkg. of 5) 656703 $19.75
Lifesaving CPR Steps Poster (pkg. of 5) 656704 $19.75
Emergency Action Steps Wallet Cards (pkg 25) 656705 $2.65
Preparing for Emergencies in the Workplace Kit 652137 $295.00
CPR Key Chain with Barrier (work n leisure) DYNWL3130 $8.00
Reusable Rescue Mask (AMBU) 252-110 $12.95
Sports and Recreation 1st Aid Kit (work n leisure) 3900 $15.00
Safety Tube 658210 $4.95
Emergency Preparedness Kit 658219 $49.95
Deluxe Emergency Preparedness Kit 658218 $64.95
Personal First Aid Kit 658222 $6.95
Family First Aid Kit 658221 $19.95
Vinyl Gloves (Small) (work n leisure) DYN2611 $10.00
Vinyl Gloves (Medium) (work n leisure) DYN2612 $10.00
Vinyl Gloves (Large) (work n leisure) DYN2613 $10.00
Vinyl Gloves (Extra Large) (work n leisure) DYN2614 $10.00
Lung Bags - Adult Actar pack of 50 AA1812 $30.00
Lung Bags - Infant Actar pack of 100 AA1862 $25.00
Lung Bags - AED Adult/Child pack of 100 LBG202 $45.00
NEW!!! AED TRAINING DEVICES! (6 PACK) $259.95
NEW!!! AED TRAINING DEVICE $49.95
Bandage Training Kits $1.75
Manikin Face Shields (ARMSTRONG) $15.00
D. Training Fees:
Lay Responder First Aid/CPR/AED Instructor Course Fees
Fee..~ Unit
aIiicipant
III course
-$Z95 Partici ant
t 3QS/fcvt-1 c,PU()t
Fee Descri tion
Authorized Provider Fees
9
April 2006
.E. Special billing or payment instructions (Optional):N/A
.F. Additional Services (Optional): N/A
10
April 2006
APPENDIX B
INSTRUCTORS
Name Contact Information including Chapter Current
address, phone and mail of Instructor
Authoriz Authorization
ation
Mike Pryor Mike. pryor@mvclearwater.com Tampa *HSSFA 801
3 I q 1.44/ City of Clearwater Solid Waste Bay Lay Responder First
1701 N. Hercules Avenue Chapter Aid and CPRJAED
Clearwater, FL 33765
727-562-4920
William Peterson William .Peterson@mvclearwater.com Tampa *HSSFA 801
City of Clearwater Risk Management Bay Lay Responder First
3fl~50~ Post Office Box 4748 Chapter Aid and CPRJAED
Clearwater, FL 33758-4748
727 -562-4654
Kathy Troiani Tampa
Bay
3\\4510 Ch3ptcr
J. Andy Stephens James .stephens@mvclearwater.com Tampa *HSSFA 801
J9G3 (~O City of Clearwater Public Services Bay Lay Responder First
1650 N. Arcturas Avenue Chapter Aid and CPRJAED
Clearwater, FL 33765
727-562-4950
Bill Buzzell William. buzzell@mvclearwater.com Tampa *HSSFA 801
'LR~~55f City of Clearwater Solid Waste Bay Lay Responder First
1701 N. Hercules Avenue Chapter Aid and CPRJAED
Clearwater, FL 33765
727 -562-4920
Pete Hegedus Pete .heqedus@mvclearwater.com Tampa *HSSFA 801
2~5G3~f City of Clearwater Building Maint. Bay Lay Responder First
1900 Grand Avenue Chapter Aid and CPRJAED
Clearwater, FL 33765
727 -562-4890
Tim Charles Tim .charles@mvclearwater.com *HSSFA 801
Yl O~ City of Clearwater Public Utilities Tampa Lay Responder First
G~~ 1650 N. Hercules Avenue Bay Aid and CPR/AED
Clearwater, FL 33765 Chapter
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April 2006
12
April 2006
!
Facility Name and Address Contact Name Phone Number
Fax Number
E-mail Address
City of Clearwater William P. Peterson See above .t/
Main Library
100 N Osceola
City of Clearwater William P. Peterson See above V V
Fleet Maintenance
1900 Grand Avenue
Any other City facility that may be
used.
April 2006
APPENDIX C
MULTIPLE FACILITY CONTACTS
13