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THE UNIVERSITY OF CALIFORNIA,DAVIS
PURCHASE ORDER REPR:N丁
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student Health ` wollness Center
BUSINESS CENTER′ MS 0400
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″°:ucD47028
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ROom #1301
95616-52'0
AC00unt3 Payab■ e
Student xealth ` Rollne3S Cent
One ShieldB Avenuo
x!.y equipmnr ie Located it
Roon *1301 rocat€d in rh. studenr
s..1nh ! oer lness Euifdino
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N/A
― Maintenance
and Servioo AgrOOment
for Phll'PB Digital Diagno日 tio 3 o
Fir8t Year Bo9ingヽ 07′ 11/2014 EndB`
N/A
28686 0000
,114,744 00
,l14.744 00
10 00
07/10/2015
Philips to invoice SHCS on a Yo● rly B● ●is
4 YEARLY PAyMENTS AT ,28′ 686 oo PER YEAR
Term of Agreement: 07′
11/2014 - 07′
10′
2018
SySTEH P(RCHASED ON UC DAVIS PO uCD1303757
Agreement v■ th PhiliPg Hea■ thcare for
Digital Diagno3tiC 3 0 Serial #, SN13000176
Site looation: uC Davi3 /SHCS / sllwC (Site
工D■ 58800542)NOvation Contract xR0015-RAD
ol14′ ,44 00
Total Prior to
,O OO
TolalTax:
,114′
Tolal order
'44 00
Terms and Conditions
l.
AITEI{PTS TO II4PIRSONATE UC DAVIS EURCIiASING PIRSONNEI, Ix REctNT xomHs.
PIEASE NO!E| TIlEnE EAI,'E BIEN
ORDIR OR R!-]IOI.}1E THB SIIIPI,IENf WITHOUT SPICIIIC VIRIITIN INSTRSCTIONS IROI'{ TB! ET,YIR/ANAIYST LISIED ON ISIS
ORDAR/AGREETENI. ?I.!A,sE INSURE TIIAT AJ,I, COXJTUNICATIONS AX! ADDRISSED {O TIE BVYEI/AIIAIYST At tIIE OF'ICIAI
Do Nc)|I xA(!
TflIS ORDIR/AGRBE'IIN,I. }ITIRNATIVELY, YOU CAN CONIIRN VAIID CONTACT
ITP / /PURCIIASI NG . UCDAVIS . IDU /EOUT/ INDEX . Cln? OPT- 1 .
'
2. TH! IOI,LOWING DOCUNENTS ARE INCORPORATPD IN THEIR ENIIIStY AS TII! TETXS AND CONOITIONS
IN tIIElR OIDDR Ot
Davis zol vcD41o2a univelEity ol c!Iifolnia
PRlcEDlNcr: univ€lsity of c6lilollir
"App.ndi,x-EquiprEnt M.intenanc6' r€!tu and condition.
corditions can be viosd.t
httP r / /M. ucop. edu / ploculerent- 66rvices /_t iles /app€rdix-squ ip@nt .pply to this orde!, Tb6se ts.M.nd
Mlntenaic€.pdf lhilipe AddetrdM to staDdald rsr'n3.nd conditioDg Philip. redical syat6c selvic€ aq...mnt rerE and cooditioDs Philips
addition.r Iruging syst6n s.lvice terru an.l conditionE PhiliF rochnology r&glad€g
3. rhi! o!d6! shd11 b€ subj€ct to th€ erMioaiion.nd
aDdit by th€ califolnia st.te audiror fo! a p€lio<l ol thlee years af!E! final
payrent und6! this O!de!. th€ €xanination lnd 6udit shall be coltin..l to thos6 Mtt6!3 conDected sith the p€rfolMnce of th€ ord€lr
includirg, but not linited tor th€ costs of a.tnini3taring th. o!d6!.
Public contract codo section 10513 lequires that €ach s€lle! eho eoterr into a! order eirh th. universiry
4. cllifofri!
ror 510,000 o!
lunber atd that 6uch s€11€! us. th. a.rj.gred nunbe! on all Eubeequ6nt olders with th6 univelsity.
mle be .s3iqn€d ar id€ntific.tion
the
Federal rhploye! Identif.j,catlon numlE! or social s.culity Nunb€lr .E .pplopliare on e!.h orde!.
university hdr designated the s€ll€r'.
The lurber rhAll lcMin unchang€d legaldless ot future ntu changes.
ADDRISS I]ISTED ON
Fodoral Privacy Act of re7{/ you ar. h€!.by.otifi6d
that di.cfosule of you! socill secllity nunbe! ie rond.rory.
Disclosule
of the soci.r s€curity nunber i3 lequited pulsu.nt to sections 5011 .rd 6051 of subtille r oa the Intern.l Rev.nue code and Regulltion 4.
secrion 404.1255, cod€ of Fedelll R.gDlations. unde! s€ctioD 213, Tirle rr of tho social socurity Act, .B ae..i€d. Th6 social seculity
rhe plincipal u6€E or th€ soclal secrlity runb6! shall bs to lepolt plyEnt! you h.ve !6ceived to the
.uibe! is to varify yoD! identity.
t6d€!.1 and stato gove!@Dts.
5. s€]f€! rallantt that it is .ot .xcluded tlon paltlclpation
in any govErDrental .po!.o!6d p!og.d, inefuding, withoDt Liritrtion,
the
.nd No.-procrreent llogrffi.
M€dica!€r edic.id, o! chmpus progrdg and th6 r.d6!a1 Plocu!*nt
This o!d€! ghlll be subj€cr to
telhiDation 1n the €v€nt th.t so1]6r 15 6xclud.d flom participAtio!
lmdiate
ir any lodo!.l ha.lthcare o! pr@ur€heDt p!oq.an.
5, univelsity of calitolnia r€lm Appeodi:-Equipeo.t r{.int€..nce.ppry
to thiE oide!. Th6!c terc ald co.ditions can be viesed.t
httpr//w.ucop.edu/p!ocureGot-servic€e/
f i les /.pp6nd ix-€qu lprent-Mint 6n..ce. pdr .
7, s6lle! shall plovide all .pp1.!cable reb.tes, i.conlives e.rned, !6ed, o! on account. ch6ck3 shall b€ rude payable to 'rhe iag€.te ot
and Mil.d t.o the uriv€leity ot califolli.,
the univetsity of crlifornia"
Ddvis, on€ shi€Idc Averle, c.Ehi.!'s oltice, Davis. catifo.nj!,
95616. seller shall Mke retelenc€ to d€palt@nt o.m aod pulchas€ o!d€. Durbe! ob drl check..
Peri,odic stat€rert Requi.€reDr: selle!
shall seDd p€liodl,c atatemntr li3tinq aU !ebate.. or incontives ealDedr ua€d
tor the uDiv€lsiry.
starerents 3h.ll
Page 1 ol 2
￨￨￨￨￨￨￨￨￨‖ ￨￨￨￨
丁HE UNiVERS:丁 Y
OF CAL!FORN:A,DAVIS
PURCHASE ORDER REPRIN丁
33250570
PO:UCD47028
includ€ deplltturt nam and purch.r. o!de! nuhbe!, otc.. state@rts shoul.t b€ Miled to th€ Univ€lsity of c.Litorni./ Dlvis, Irt.liel
oD€ shistds av6nu€, Drvi6! c.lifolnia 9t616, Attontion' Di!6ctor, x.t€lier
an.g6mnt.
3. Elvilorcntdl sust.inability! s.lle. rhall striv€ to conply with th€ vniversity of cllitorni. su.tainabla Plqctices lolicy. this
policy can b€ vieued at http'//policy,ucop.edu/doc/3100155/sDstainlb16l2oPllctices.
9. utriv€rsity of c.lifornia Te!ro ard conditions appl,y to ttris o!de!. rh.!€ t€ru lnd conditiors ale included in uc BlEinesE and
Finance ault€tin aus-{3, whicb c.n b€ viawed !t http://w.ucop.edu/plocurerent-3erwices/
rlnag€mnt,
Address corespondence pertaining lo this order tol
530-754-1869
mvalineeucdavls edu
to=′ /■￢_ ucdavis edu′
PurCha8■ ng
530-752-264,
,ma。
lcinie ied.vis edu
」oan
Charter
530-7,2-2317
,Chartere日 、。3 ucdavig edu
BUYER SiGNATURE
S:GNATURE
VALINE,M:CHELLE
NAME PRINTED OR TYPED
Page 2 ol 2
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Phmips HealthcarO
22100 8othe‖ Everett HⅥ リ
Bothe‖ ,wA
98021
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ADDENDUM TO SERVICE TERMS & CONDITIONS
Philips Healthcare, a division of Philips Electronics North America corporation ("philips') and
university of california Davis student Heallh and wellness center ('custome/) agree to amend
the service Agreement terms and conditions (Quote #: 1-13VBXA0) between them. lf lhere are
any conflicts between the terms of this Addendum and the terms of the Agreement, the terms of
this Addendum shall control. Capitalized terms used herein and not otherwise detined herein,
unless the context otherwise requires, 6hall have the same meanings set forth in the Agreement.
5.
PAYMENT. All payments under this Agreement are due upon Customer,s receipt of philips'
invoice until the Agreement amount and all applicable taxes and inlerest are paid in full,
13.
THIRD PARTY MANAGEMENT. The Customer has not contracted with any third party
service management organlzation at this time. However, if Customer contracts with a third party
service management organizaton, ass€t management company, maintenance management
company, technology management company, maintenance insurance organization or the like
("Third Party organization") in lh6 future, fqr purposes of centralized billing and management of
services provided to customor, at customer's wriften reguest, philips will route invoices for
payment of services rendered by Philips to such rhird party organization and accept payment
from them on Custome/s behalf. Notwithstanding the above, Cuitomer agrees that tire services
provided by Philips are subject solely lo the terms and conditions set torth in this Agreement, and
that customer guaranties the payment of all monies due or lhat may become due under this
Agreement in spite of any collateral arrangements customer may have with such rhkd party
organization or any payments customer have made to the Third party organization. philips hat
no contractual relationship for the Services rendered to Customer except as set forth herein. To
the extent that the parts and servaces Philips provides are not covered by Custome/s arrangement
with such rhird Party organization, customer agrees to prompfly pay for such parts and services
on demand.
24. SURVIVAL, WAIVER, SEVERABIL|TY, CHOTCE OF LAW. Customer,s obtigation to pay
any mon€y due to Philips under this Agreement survives qxpiration or termination of this
Agreement. All of Philips' rights, privileges and remedies with respect to this Agreement wi
continue in full force and effect after the end of this Agreement. philips' failure to enforce any
provision of this Agreement i3 not a waiver of that provision or of Philips' right to later enforce each
ald every provision. lf any part of this Agreement is found to be invalid, the remaining part will be
effective. The law of the state of California will govem any interpretation of this Agae€ment and
dispute between Philips and Customer without regard to the principles of choice of lai.
25'
ENTIRE AGREEMENT. This Agreement, philips' Addendum, and custome/s purchase
Order #: UCD47028 constitutes the entire understanding of the parties and supersedes all other
agreementa, written
or oral, regarding its subject matter. No additional terms,
conditions,
consent, waiver, alteration, or modification will be binding unless in writing and s(lned by philips;
authorized representative and Cuslomer. Additional or different terms Jnd conJitions,'whether
stated in a purchase order or other document issued by Customer and/or philips, are specifically
rejected and
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Ph“ ps Healthcare
22100 8othe‖ Everet Hwy
Bothel,wA 98021
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