HomeMy WebLinkAboutDocumentation_Regular_Tab 7-14_3/8/2001 /q
Memorandum
r_ _. — --�
To: Michael R. Couzzo,Jr., Village Manager
From: Gary Preston, Director of Public Works & Recreation
Date: February 27, 2001
Subject: Village Council Agenda Item for March' 8, 2001;
Consideration of Contract Award to Aiello Landscape, Inc.,
in, the Amount of $126,092 for Swale and Landscape
Improvements on Country Club Drive, Having a FY 2000/2001
Capital Improvement Fund Budget Allocation of $130,000
•
Please find attached, the following support documents for Councilmembers' review for the
above referenced agenda item:
♦ A qualified bid tabulation sheet.
♦ A single project bid in the amount of$126,092 from Aiello Landscape, Inc., for Country
Club Drive Swale and Landscape.Improvements. •
♦ A letter dated January 25, 2001 from Village Engineer Mitchell D. Thomas, Vice President
recommending contract award to Aiello Landscape, Inc.
o A letter dated January 8, 2001 from John C. Randolph, Esq., approving bid document for
legal form and sufficiency.
Aiello Landscape, Inc., provided the swale and landscape work for Phase I Country Club
Drive from the Palm Beach Martin County Line to Tequesta Circle. The quality of trees and
, service was excellent. I would recommend the Village Council award this contract to Aiello
Landscape, Inc.
Please place this item on the March 8, 2001 Village Council Meeting Agenda for
Councilmembers' consideration.
GP/mk
Attachments
Agendas[em.CouzzoAielloLandscape,Inc..2.8.01
I -.
RESOLUTION NO. 34-00/01
A RESOLUTION OF THE VILLAGE COUNCIL OF THE
VILLAGE OF TEQUESTA, PALM BEACH COUNTY,
FLORIDA, AWARDING A CONTRACT TO AIELLO
LANDSCAPE, INC. , OF HOBE SOUND, FLORIDA, IN
THE AMOUNT OF $126, 092, FOR SWALE AND
LANDSCAPE IMPROVEMENTS ON COUNTRY CLUB DRIVE,
HAVING A FY 2000/2001 CAPITAL IMPROVEMENT
FUND ALLOCATION OF $130, 000 AND AUTHORIZING
THE VILLAGE MANAGER TO EXECUTE THE APPLICABLE
CONTRACT ON BEHALF OF THE VILLAGE.
NOW, THEREFORE, BE IT RESOLVED BY THE VILLAGE
COUNCIL OF THE VILLAGE OF TEQUESTA, PALM BEACH
COUNTY, FLORIDA, AS FOLLOWS:
Section 1. Consideration to award a contract to
Aiello Landscape, Inc . , of Hobe Sound, Florida,
in the amount of $126, 092 for Swale and Landscape
Improvements on Country Club Drive, having a FY
2000/2001 Capital Improvement Fund Budget
Allocation of $130, 000 , attached hereto as Exhibit
"A" and incorporated by reference as a part of
this Resolution is hereby approved and the Village
Manager of the Village of Tequesta is authorized
to execute the same on behalf of the Village .
THE FOREGOING RESOLUTION WAS OFFERED by
Councilmember , who moved its
adoption. The motion was seconded by
Councilmember , and upon being
put to a vote, the vote was as follows :
FOR ADOPTION AGAINST ADOPTION
The Mayor thereupon declared the Resolution duly
passed and adopted this 8th day of March, A.D,
2001 .
MAYOR OF TEQUESTA
Joseph N. Capretta
ATTEST:
Joann Manganiello
Village Clerk
Word\Resolution\Aiello Landscape
•
QUALIFIED BID
TABULATION SHEET
SWALE AND LANDSCAPE IMPROVEMENTS
COUNTRY CLUB DRIVE
DAYS TO
BIDDER NAME PROPOSAL COMPLETE
Aiello Landscape, Inc. $126,092 90
•
•
EXHIBIT "A"
SINGLE PROJECT BID
COUNTRY CLUB DRIVE PHASE III
STREETSCAPE IMPROVEMENTS
VILLAGE OF TEQUESTA
•
•
BID QUOTATION OF: Name: Aiello Landscape. Tnr..
Address: P.O. Box 1122, Hobe Sound, Florida 33475
Telephone No. (561) 546-9890 •
• to perform all work in accordance with the specifications and contract documents attached hereto
for the:
Village of Tequesta
P.O.Box 3273
Tequesta,FL 33469-0273
-
_. Gentlemen:
The undersigned Bidder.has.carefully.examined.the_plans, specifications, contract documents and
the site of the proposed work and is familiar with the nature and extent of the work and any local
conditions that may'in any manner affect the work to be done and the equipment:and labor
required.
The undersigned agrees to do all work called for by said specifications and contract documents,in
the manner prescribed therein and to the standards of quality established by same at a cost to the
Village of Tequesta equal to the total amounts indicated below:
•
•
BQ - 1
•
ITEM DESCRIPTION QTY UNIT UNIT COST ESTIMATED
COST
1 Live Oaks 103 Ea.
800.00 82400.00
2 Cabbage Palms 5 Ea.
135.00 675.00 _
3 Wax Jasmine 20 Ea.
10.00 • 200.00
4 Nora Grant Ixora 15 Ea.
_ 10.00 L50.00
5 , Liriope 26 Ea.
4.50 117.00 _
6 Schillings Holly 30 E
10.00 300.00
7 Sod --- LS ---
13650.00
8 Swale Grading&Soil Removal --- LS ---
16000.00
9 Existing Irrigation Systems Rework --- LS ---
9000.00
10 One Year Maintenance&Warranty --- LS ---
(as described) 3600.00
Note:
1 Incidentals such as staking trees, fertilizer,mulch, soil, etc. to be included in the price of
the related item. .
TOTAL BID QUOTATION AMOUNT IN WORDS AND.NUMBERS p hur d ed t asty—six the
Ninety—two dollars and 1-1o/100 DOLLARS
S 126,092.00
ALTERNATE BIDS
ALTERNATE NO. 1 - Live Oak trees 18' x 11'; 4-1/2" cal.; 100 gal container in lieu of 16'x9';
4"cal.; 100 gal container(ADD)
ALTERNATE BID NO. 1 BID QUOTATION AMOUNT IN WORDS AND NUMBERS
PRODUCT NOT AVAILABLE /100 DOLLARS
S
BQ-2
The undersigned also agrees as follows:
. 1. To perform additional services and provide necessary equipment, facilities, and
materials for work not covered by the above Bid Quotations,which may be
authorized by the Village and to accept as full compensation, therefore, such
prices as may be agreed upon in writing by the Village and the Contractor in
accordance with Item 15 of the General Conditions:
2. To commence work on or about April 2,2001 within 10 days after the date of
ritten Notice to Proceed,to substantially complete the entire Work within
(indicate No.) Q0 consecutive calendar days after the date of written Notice
to Proceed, subject to such extensions of time allowed by the Conditions of the
Contract,and to achieve Final Completion of the Work by no later than 30 days
after the actual date of substantial completion.
Accompanying this proposal is a certified check or a Bid Bond in the amount of$5% Bid Bond •
(not less than five percent(5%) of the base bid),made payable to the Village of Tequesta,which
is to be forfeited as liquidated damages,if,in the event this proposal is accepted,the undersigned
shall fail to execute the contract and furnish satisfactory contract bond under the conditions and
within the time specified in the proposal; otherwise said certified or cashier's check or Bid Bond
is to be returned to the undersigned.
Dated this 23 day of January , 2001
CONTRACTOR: Tomas J. Aiello
ADDRESS: P.O. Box 1122
•
Tnhe Sound, F1 ortda 331L75
BY:
• (Signature and Title)
•
Tomas J. Aiello, President
•
•
•
BQ-3
•
, GEE&JENSON
Engineers•Architects•Planners,Inc.
• s v< SINCE 1951
One Harvard Circle
West Palm Beach,FL 33409
January 25, 2001 Telephone(561)515-6500
Executive Fax(561)515-6503
Fax(561)515-6502
Gary Preston Fax No. (561) 575-6245
Director of Department of Public Works
Village of Tequesta
P.O. Box 3273
Tequesta, FL 33469
Re: Country Club Drive Phase III and Seabrook Road Streetscape Projects •
Dear Mr. Preston: •
•
We have reviewed the bids received from interested bidders for the subject projects. Three
sealed bids were submitted by the 2:00 p.m. deadline.• One additional bid was received by fax
rather than in a sealed envelope as required and, therefore, we recommend that it be rejected.
- :All three of the bidders submitted bids for the Seabrook Road project, however, only two bids
were received for.Country Club Drive Phase III. One'of the bidders chose to offer a 2.5%
reduction in the total bid amount if selected for both projects. 'The reduction amounts to
approximately$5,000.00.
,
•
:-As'indicated-on the attached bid tabulation;:the low.bid:for.both.projects (individually and
combined)was submitted by.Green:Acres.LN:Service;_Inc.;.a.landscape-constniction firm
•
located in Fort Lauderdale. Their bid is as follows:
•
A. Country Club Drive Phase III S120,533.00
B. Seabrook Road Streetscape $ 74,035.00
C. Country Club Drive Phase III and Seabrook Road Streetscape S189,443.00
•
The combined bid submitted for both projects is S 189,443.00.
Several matters regarding this bid should be noted as follows:
1. Green Acres does not hold a Certified Landscape Contractors License as required by
the bidding documents. The firm also does not have a certified arborist or pesticide
•
applicator as required.
2. The time period indicated by Green Acres for completing both projects is 150 days or
5 months..
3. The bid cost breakdown indicates a total amount of$4,500.00 for the one-year
maintenance and warranty item for both projects. Green Acres advises that this figure
is in error and should have been doubled for a total of S9,000.00, however, the firm
will abide by the lower figure.
F:4M DTUr-G aryPreston-01-24-01_SeabrookStreetscapebids_mdt.doc
Engineering 1 ES 0002934•Architecture 1.0 C000656•Landscape Architecture 1 LC C000050•Land Surveying I LB 0002934•Interim Design 0 tB 0001020
•
The only other bid received for the Country Club Drive project was submitted by Aiello
Landscape, Inc. at $126,092.00, it is $6,459.00 (about 5%) more than the Green Acres bid. The
firm holds a Certified Landscape Contractors License and has the services of a certified arborist
and pesticide specialist.
In addition to the bid of Green Acres, two bids were received for the Seabrook Road Project.
The lower of these bids was submitted by Terracon Services, Inc. and is $75,904.00. This bid is
$1,869.00 or 2.5% more than the low bid of Green Acres. The other bid, submitted by Aiello is
$10,765.00 or nearly.15%more than the low bid. .Terracon holds a Certified Landscape
.Contractors License and has the services of a certified arborist and pesticide specialist.
Analysis and Recommendation •
•
Unless the Village was to waive the requirement that bidders must hold a Certified Landscape •.
Contractors License, the bid submitted.by Green.Acres must be rejected. The requirement has
been imposed by the Village on all recent landscape-related projects at time of bidding and is
considered very desirable in assuring competent services. That view is shared by the designers
of the two projects in question.
It is, therefore, recommended that the Country Club Drive project be awarded to Aiello
Landscape, Inc. by acceptance of its bid $126,092.00.:.The projected construction timeframe is
indicated as 90 days.
. It is further•recommended that_the-Seabrook.Road.project be.awarded.to Terracon Services,Inc.
• .. by acceptance.of its bid of$75,9.04:00: .:The.projected construction•timefrarne is 45:days. -.This
::bid is:approximately;11%-less than the Aiello..bid.for.the:project and:offers a:25.%reduction in
the construction timeframe indicated by Aiello.
Only one alternate bid•was received for substituting larger oak trees for those specified in the
base bid. The cost of that alternate bid submitted by Terracon for the Seabrook Road project
added approximately$13,000.00 or 18%to the Seabrook Road project. No alternate bid was
submitted for Country Club Drive. Availability of quality trees at the larger size is limited and
the quality of those trees may be marginal. The additional cost does not appear justified and the
alternate is, therefore, not recommended. The recommendations are based on approval by the
Village attorney, that insurance and bonding requirements are met. As you know,both firms
have performed satisfactorily under previous contracts with the Village.
Very truly yours,
/jai/ •
Mitchell D. Thomas
Vice President
Lc
21-004.01
One Harvard Circle•West Palm Beach,FL 33409•Telephone(561)515-6500•Fax(561)515-6502
Engineering a EB 000293a•Architecture*AA C000656•Landscape Architecture a LC CCCCC50•Land Surveying#LB 0002934•Interior Design RIB 0001020
•
JONES
FOS11ER Flagler Center Tower,Suite 1100 Mailing Address
JOHNSTON V STON 505 South Flagler Drive Post Office Box 3475
Q, STUBBS
� 1 p ' 7� A West Palm Beach,Florida 33401 West Palm Beach,Florida 33402-34
(x 1 1J17 l.tl. Telephone(561)659-3000 Facsimile(561)832-1454
Attorneys and Counselors
John C.Randolph,Esq.
Direct Dial: (561)650-0458
E-mail:jrandolph@jones-foster.com
January 8, 2001 VIA FAX: 575-6245
•
Mr. Gary Preston
Village of Tequesta
Public Works Department
Post Office Box 3273 •
Tequesta,Florida 33469-9273
RE: Village of Tequesta
Country Club Drive Phase III/Seabrook Road Improvements
Our File No. 13153.1
Dear Gary:
I have:reviewed.the:documents you submitted to me.under:your.letter:of•January 3, 2001,relating
-_to Country Club Drive Phase III/Seabrook Road Improvements:and have approved same as to legal
form and sufficiency.
Sincerely,
JONES,F TER, JOHNSTON & STUBBS, P.A.
C. Randolph
JCR/ssm
,s 1•N,C Ii' ..1 9 2'4
•
( j5)
Memorandum.
TO: MICHAEL R. COUZZO,VILLAGE oq '.7, R
I//
W
FROM:- JAMES M. EINAND, FIRE CHI �
SUBJECT: REVIEW OF EMS TRANSPOR S
DATE: 1/16/01
In accordance with Ordinance No. 523, Section 9-54, Determination of Fee Amounts, and the
directions given by the Public Safety Committee to review the EMS transport charges annually,.
have attached a spreadsheet denoting the surrounding advanced life support providers and their
current fee schedule for ALS transports. For comparison purposes, I have included a column
titled Four Mite Transport. This column was added to denote the total fee associated with a four-
mile transport,which represents approximately 95%of our transports in the Tequesta area.
As you can see from this spreadsheet, the average advance life support transport rate, with the
other associated charges is $323.75 and the average mileage rate is$6.52 per mile, making the
average four-mile ALS transport$349.83. Therefore, I am recommending that our EMS transport
rate be adjusted to $320.00 per transport, and the mileage rate be adjusted to $6.50 per mile.
These new rates would denote a$346 transport charge from Tequesta to Jupiter Medical Center,
which is just under the average of the survey: This also equates to.a 1.76% rate increase over
this years ambulance rates.
When this service was adopted by Ordinance, the Ordinance gave the ability to adjust the rates
on 102 annual basis by resolution. Therefore, I have attached a resolution for the Village Council's
coritderation. If you see it fit, please forward this to the February 2001 Village Council agenda
for.tleir'consideration, action or comments.
r -
I would also like the Village Council to consider adding an ALS Level 2 user fee. This level 2
charge is important to maximize the revenues allotted under the Medicare Reform Act and helps
offset the cost of additional medications given in critically injured patients. For example,we are in
the process of revising our medical protocols to include the new medication called Amiodarone
(see attached article). Tequesta Pharmacy has quoted us a price of $90.00 per 3mg. A 3mg
dose is what is administered to patients requiring this type of treatment. This medicine is
primarily used in critically injured patients (usually Cardiac Arrests) and studies have shown that
this drug has increased the survival rate by 27 percent, when utilized. To the best of knowledge,
no other EMS provider in this area is using this medication; Tequesta will again be the leader in
pre-hospital emergency care...
During the negotiated rule-making cession of the Medicare Reform Act, ambulance providers and
the International Association of Fire Chiefs were successful in demonstrating to the Medicare
Officials that critically injured patients cost more to treat than what is currently being reimbursed •
under the existing fee schedule. Medicare agreed to an ALS Level 2 rate structure and would
reimburse at a higher rate if the agency had a higher rate charge, if not they will reimburse at the
41)
ALS level 1 rate.
I recommend that we establish an ALS Level 2 treatment rate of $465.00 and $6.50 per mile.
This will help offset the cost of this new treatment and maximize the insurance reimbursement
revenues available.
An ALS level 2 charge is determined by the following Medicare definition;
Advanced Life Support, Level 2: Where medically necessary, the administration of at least three
different medications and/or the provision of one of the following ALS procedures: Manual
defibrillation/cardioversion, Endotracheal intubation, Central venous line, Cardiac pacing, Chest
decompression, Surgical airway, or Intraosseous line.
Another factor to keep in mind is that it is always prudent to keep our transport and mileage rates
above the current Medicare allowable, to maximize future revenues.
If you have any questions or concerns, please do not hesitate to contact me.
JMW/sd
Attachment
2
411
RESOLUTION NO. 35-00-01
A RESOLUTION OF THE VILLAGE COUNCIL OF THE VILLAGE
OF TEQUESTA, PALM BEACH COUNTY, FLORIDA, PROVIDING
FOR AN AMENDMENT TO THE SCHEDULE OF USER FEES
PROVIDED IN SECTION 9-55 OF CHAPTER 9 OF THE
VILLAGE CODE OF ORDINANCES; PROVIDING FOR AN
EFFECTIVE DATE.
WHEREAS, The Village of Tequesta provides in Chapter 9 of the
Village Code of Ordinances, at Section 9-54, that all changes
or adjustments in the established user fee rates may be made
by resolution; and
WHEREAS, The Village Council of the Village of Tequesta,
Florida, deems it necessary to amend its user fee rates in the
manner set forth herein.
. NOW, THEREFORE, BE IT RESOLVED BY THE VILLAGE COUNCIL OF THE
VILLAGE OF TEQUESTA, PALM BEACH COUNTY, FLORIDA, AS FOLLOWS:
Section 1. The schedule of user fees for emergency medical
care treatment and transportation within the service areas
referenced in Chapter 9 of the Village Code of Ordinances
shall be increased in the manner and form set forth herein.
Emergency Medical Treatment $ 0.00
Emergency Medical Transportation ALS $320.00
Emergency Medical Transportation ALS Level 2 $465.00
Plus, per mile charge, pickup to hospital $ 6.50
Section 2 . This Resolution shall become effective immediately
upon passage.
•
THE FOREGOING RESOLUTION WAS OFFERED by Council member
who moved its adoption. The motion was seconded by Council
member and
upon being put to a vote, the vote was as follows :
FOR ADOPTION AGAINST ADOPTION
•
The Mayor thereupon declared the Resolution duly passed and
adopted this day of , A.D. , 2001 .
MAYOR OF TEQUESTA
Joseph N. Capretta
ATTEST:
Joann Manganiello
Village Clerk
Word/Resolutions/Transport Fees
2001 AMBULANCE & FIRE RESCUE FEE SCHEDULE
BLS ALS Other Mileage Four mile ALS
Agency Rate Rate Fees Rate Rate Transport
AMR Atlantic Ambulance $317.70 $317.70 Oxygen $28.10 $6.80 $373.00
Boca Raton Fire Dept. $195.00 $297.00 Oxygen $25.00 $7.00 $350.00
Boynton Beach Fire Dept. $289.00 $289.00 $6.50 $315.00
Delray Beach Fire Dept. $218.00 $300.00 _ $6.08 $324.32
Greenacres Public Safety $197.00 $280.00 $5.70 $302.80
Lake Park • N/A $400.00 $7.00 $428.00
Lake Worth Fire Dept. $310.00 $310.00 $6.00 $334.00
North Palm Beach Public Safety $310.00 $310.00 $6.00 $334.00
Palm Beach County Fire Rescue $225.00 $325.00 $5.50$7.50 $355.00
$315.00
Palm Beach Gardens Fire Dept. $297.50 $297.50 •
Riviera Beach Fire Dept. $340.00 $340.00 Immobilization $16.00 $7.00 $384.00
West Palm Beach Fire Dept. $340.00 $340.00 $7.25 $369.00
Tequesta Fire Rescue $315.00 $315.00 $6.25 $340.00
Martin County Fire-Rescue $342.10 $342.10 6.71 $368.94
Average $264.02 $318.81 $6.52 $349.83
Current Medicare Allowable BLS 198.81 $5.00 $218.81
BLS Emergency 230.95 $5.00 $250.95
ALS 314.09 $5.00 $334.09
1 ALS Emergency 330.16 $5.00 $350.16
ALS Level 2 367.67 $5.00 $387.67
Suggested rates for year 2001
ALS S320.00 S6.50 $346.00
ALS Level 2 $465.00 $6.50 $491.00
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9 , _
. --....--..=-,-x,-..:,,:-,3....,t...---.§...„,,,_-,:,,,,.,-,..-,,-..--,-... -.., ,,.......,.•,.,?, VERY 90 SECONDS A PERSON SUFFERS SUDDEN • ,4-,,-.,.,
i'-', ' - .- - - • 1... ••'''',--,z..1,--.;,-..",,i•tz-..,=:-Ii-ic.-.-.!;..:-1,..e.",......-.,..-:-.,--.,..•;,,..,„__:.: .4.4•.r_l_s.',„ .
- _-'. ty.. -•
-- ' .•' ' • ..-i 7.,,•?...--?‘,.-••ss- ,.-•':-.7,:--:='-...-- • -' ••-•'••••ti...--. 4.• cardiac arrest in the United States,with 60-85%
T:.:-.1 ' experiencing ventricular fibrillation (VF) or
• • , -, ,,- - -'.•:---. Y ,,,-,,',-....•:4,1::\`-.,..,}•-,-..--; ,-,:•,.. ,-,,-..., •-, •
pulseless ventricular tachycardia(VT) as the initial
'-' ; - -''• -: ,•,- ,,,,--,-,'4:2=-,--.. -•••••,:.-";-:--,:-:k---,-;-•,,,,,,4,4,,5•,,o_.4.,.....,.-0,,.......,., 7;,,,=.• ,:::e•?1: ,':-' arrest rhythm.' Current advanced cardiac life support -- °N., - lc _-'-,4 •
-,- •......,:::•- - , ....<..,.",:"--1,-,•_-'••. •. :'..„-5:1-:: '''''.•-$-•,',-`-1,4;'.'"'N'..;"'IA''''.--3;.‘e-'-:•-•,"' 'i _.mt
i . ..., '—:."- ..3`'''.',•7.''41'."..-...- '1,-.:-.4...-51:1.:•1'.0*,-;.ft,.- 37.r''.-:.%7 X'..1..1-...,;;;`,'"-! ..-,.....,,,%,- (Acts)guidelines advocate electrical shock as the pri-
mall" ,,`,,,,, _, -','„''...--..":.i",--,;,-.7•--.•14t;--,;'`,
: ...,- " ':',.:"..-`,.'-'... ,•'-/...:,f •!,-;.,,--•-:',.--.2----_->-::•:;:- 4,-,`•-,.-,,,, ,-,,,asi-k--;•-:5,f--,-:-_-4,-,-‘-cF i4,'.'i•-1,-.'."--, •- " ' .-..• ,,--,,--,,...''-"-_.'--'''.1'f::-.,-s- .,..•",•-..:'•''''','.•.,,-',',-':i.- ,/i4.:2V4,-‘..-7••••1,••t,'(P-,'-'i'''..,tt )---it-'-'• ..-'''t treatment for VF/VT to simultaneously depolarize •
- , : '',••--./.-,-, t,;.• .,:i.•• ••••-=‘,.-, -,„: ......-1,,,,,,.A•;,..-,-;,,,..„ip.1•-_--,..„,-,, ,-,„..,,/,y-, •,o- , ,
• ''...':''',t'-''.'1:.-'1'''',7%,t.I.:;.--'-'-'3-'-''''''"*--•(fr--f,t,;1„r7aVP,1 •:.P. .g//•';''''!,c''' '-• •*-• ' cardiac mils and allow the natural canliac electrical sys-
• • .-'.. --z ,'• •=3. ..,. :. . $P-1';..--.:77.17341,."4'..4-515'rj,-,-•''17:1,4:?*.,,''•ii..i 4 ,!'',-
•'• - ' ',`,".• 5,'•',,i,•.„,,,,-.,f 1-,"k-,-.'.q-•f.,7::'..,-......,--:';:;.-, . :?!..--,...' ,," : .
•",,. -'•.-:::.....: .".'-', -:-.:'..-",-.:: ,s' `''',•.'''?`"-'''--,..-s---‘1:-.1A 1- % - - ••• • tem to initiate pacing.2
I
" ; . ...:---'-----7-!. '...-- :.4 4--.-,-,,•-::...i..;,:t i.---,.: •-• -.t • - A critical appraisal of prehospital literature reveals
,.„
-' . - •• •:- •'.-'.• ,.•••••"--,---,' --/•,--..!...,-2tY4?-•-•14../,!='/,..:;,...ir...•:','. ,,,..-t,Af,-- , ', ''
., little on the pharmacotherapy of cardiac arrest.Indeed,'- -.;", - :-.•-,'., •••• -• --,:-.:,•,-,;•.•••••-.7,.....---,--,"/7";,%.:-.5±,.•"P•r•-q,.',.:.,1,,nr..-"4- , •".f,,,, .. '..',,,-=:•:, :,;.:-;',4'."‘..-..'-'$:.'6..1',S,.'_:; /?'--1' '' '-'-"4:-.....?. ....-..,t-„:•-",? t.li-g- '..,:1,-'''' •-,. the majority of drugs used in cardiac arrest have i A
0 i .
1,,.;-.7-. *--.1' . . --'.--,4`."),..t;=.4,4 t-.., ii--;."•Z''.."4,•"'"4t,""--.-,...,•,_:•z'7.'„.',r---/.7-,-;.;7a'i:/./f.io•1,.. I'. -.1. •.•
,Iff,....;-.,,,,,— .,•?..,.,,,,Lti,,,,,,.., ...-.7.:5,,`..s:,...•,• •-,'.--.',%''-':'',,--;`''-;:-:•-.....i-,1Z4."5 - -. ., .' 11 . ... a part of the EMS arsenal based on tradition, • •
I i
"..4- • '
2.:.,-_1 . : :•.',20,„,e„,-..,..1,,•,.-.- • .-.,,i., ".-.....t.-.---",--• ,•••..- ,._ ,..-=•'..,•'3 -,.it armed-, e or inference_14 In 1997,refer Kudenchuk
,,-.1r:„..„");„'•:_,,,,,,,,',1'-,":•,.;"-..--1'.,'-,f,z...;•-:•;.-,,, '-'•-:.••,..',. .-.:•-• „..-2,',•-,i,•,•-•;;;;;..-,/,,,,--i•-'-,'";i1-,....'fir,;;:-.-4.'"--,,I:t.4'.4• ' and •! colleagues,evaluating the acacy of an exist-
F;;R.,•-•-:.?"..-z-',.- / ---.--- - ,...„ .-.. , .'2 .* -7(2:44...,":.4.4.-.....,V;..-.-4,--4----:14,tv. in ahliarrhydunic for out-of-hospital cardiac arrest,
;,,.-.,,,,;!„-?..,:;,.:..4, - -,•-,.•;„--,z,_,3„,_,...--..., .;. ,..;•,-,f..-..,,•,:;tr,•..„.; ••••,-, -1„.'1.,,,..,,,,L.;,-., _ ....,„; ••,-.:-..1$k,-. .,..,..., ,..ndiptted a omized stu5ly IcnOWn as the ARREST
ji
... .
(.•:••••;4- ' •,,••••---• - .--. , .-•'-':,=',-r-,•,• :-...-1.,-.,.•...-,..-1, .•,„,‘•••-„,:.,-,-.p ,-..:-•••
• on -Hivilt,1110aL..........ion o
,-.,.• •.-,,,,• ,,-;•,-,... ,.„."...,,- . .;,--•/•-•,,,5..*..: "...:.7' f."4'r r.--"....,47.7"4.....4s, r 4,,r'.5.7 75.-''}2.5 T.4`... *
4...72./.- ....5- ' ---,"!....;....:.f- •• .-,:t...:: .3444-1,..,...,- 4 4.-*'-,1.... "."'.*."-e. ;.4-51.41".'Zi..-4."-.. ' .
-..,..`-t.sf•.; " ---.4' -4:,--;;-,--,, ,•,-,:...,.. •'.:..--.... .•-.....-,),s-,. -..,...,41:4.v,...,..71%,-=4,e...s.-.3.t,/i-Adt; •:, Refracibry Sustained Ventricular Tacpyarrhyllunias).13
. . •-r; ,i• .{- --,....-.,-,:-,r:/v...!...,•,..-.../-„: ir,,..,:::•-_,,!.,g.";;*„.;r:,..,..0,-1.,-"...."4,-,---./,/,-..,„-_,..s,',-/„.„1-,,,,,...: ., ,
,--,-,..x.n......-- .,•--.:.-,-„_:,,,,,i,,...-..1.-...-.,,:.;,4e.,,,k-.1.-...,-,!..--„,..,,s:tt•-;,.-.•„,.-i,,,,,,,--,- ..„.,1.1-.•,--,,,--..,,,rt.,1!,.., it-. 4 .
-„:"".:,..f.•-•$:•--.,.1.."...,-.;...1c-:-..••,-% ,...r,`-f,..--,--,----:-•3,--It:. - The study compared standard ACLS protocols for
;,.,4,;-:--..4.5.4,:',..;;--1..;1•! .1.::= .tr=•.5kc'4"'".-T-.'Ar'•."- -• 4- • , ., „.
.1Cig,.,,,--t•'; --•':'',IC:".••*;•'"1,:."'5.-..- ..-...;•''-.2' 11-.-4-.4-•`-'-.7-1---t`•&--P-'IL.----4.7.-.17'17.;2'#'0'?1-4-1‘. -- • VF/pulseless VT with standard ACLS protocols plus IV
..-,.-„,•-,.. ,. --e,----,---••:-- .-,.,•,..---..•.,-,.••-•i•,---•,,- -.-:3,-,-"o-r-,x--_, . • i
„.,,_••-„,- ••,•••4-,.-..-.. ,•-----,,,,-,..!4----4-.,,..,----„,40-: -,=-„,,,,D-14,,,,,c,.:. -...,.,., - 4, i
--. .-4"::,'.-: -•..,f,',..:::j!,,cr:Tig:1''''''''•;'-‘'','!"-t r'''----•?`"--,!‘;',"i-r•••,A.,--:;e:-.lxit.=-"i,'-'5.•-•4'.1-2,-;---tv, '•i. ' i ainiodarone for 504 out-of-hospital arrest patients.'The
-,1-.i•, ,il'-,g,-,-,,••:: 's•;$;-..;'c-•1,,..'-'i••4,.•-.:•:•:',,-'4,j;,-,,=ir.=•-1,4iV-,-.---.•;i4>all,i-„,q-.1•ft ;-, ,
. , •
--•4. ...i.,--. .,.
',,-•,1"---''','-'17".. '-',;;',14,,'''' '''-''',-,--',3,'•:.',,.':..,,,,';.`;..:4'•,:;-,.'"1„1.1',..'.4,k,i,',-.,•,`,..4,,,-,-,„'',W,1-,'•'.,..1'---1..",'"•-.\'.g,„--....,,.9'''1,,,,,-,-k--i'-'-g-,Q"'"'tti,`,"::,,,,,, 41, '..,,,,"- data demonstrated a 27%increase in the overall sur-
-.,,,-..,,•-.- .-----‘,..•.•,...-,-.;-, tv. .;`,"..,,,,,fr$,VIVIV,;"kr,,a,,,c',4,7.,,r4F,.p24.t.4.1,2,-.4.,:t 4.4,-,,,,,,,,_ ,
i
•-t:.1-375-;',..:1:',". 13,'(I; .15;'":4:716:4:111P.:IfAct T,...tr:1-e-44'171.1:44.444:A.41,4.-t1:41V,IFs'ia-'' '- vival-to-hospital admission of patients who received
,.,..-:;:,,,,,,•,;•,.,..,.-, ...-- ,,.-,1;,;.,4!.-,,,,,1-,--.,-,,..,„(,'-' ..4:-,,'''-' --...f,--r•V-fir' -.,-x-trtf,..=-•-si:f!-K,74--*V.41.--*
•
'--''''''''''i-!?, --';')41,,:t:''''-'-';'-ift'L':;1;.71:',‘"..*•-•:,'-,•';.1-1'1.3-.:4:7'f,i'.1:.'-'2...Ad•Ktf-.71'AiT.3.'9,...,:i-jr.1..,,.-1-.0-'''z.,,,•;1-..:-12' -* amiodarone when compared with standard ACLS,but 3
.1:Fc''' ...., -;-,.•'i.,...-:-....A.J.,....,,,..-‘•-'..-•...1' '---...i.."..-ihk*,,,-.4...;1113•efi.,•44.34,-.,-4r,-*.r.440..A.,---.5,-'-':-.1.,- .1. 4
s,, '.7'.••,."4,-•."•,-st.3-,I.:'r r.."..r...t...4:'t,..r.'"0-.2l..f--;1-...!-'44--,4: .p•.,:-zy•--Ysi''' ,-•- -.-",-....,",-",2->-''.- -4•
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/.5-,7., 'IsIty,--/,:/:,c:; 46-1?..,?•{-,-st,57,,./4/4„,z4=1---V":,4i--4--V,e4t•.7-='f--„,l'xr-..,,,,,,,s.„•-•07-,„.,1......„„s*45;-,,-t- •..-• ' ,
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F'
• AN OLD DRUG WITH NEW TRICKS
The ARREST trial has significantly affected the culture and
science of prehospital arrest management.A significant number
g' — • of EMS systems have now incorporated amiodarone into their
protocols(see p.72),and the new American Heart Association
'"�`P`" (AHA)ACLS guidelines will likely include anuodarone as a key
' "0, component in the management of shock refractory VFM.
So what is this drug? How does it work—and why? To
is understand how amiodarone works (or for that matter any
•
- antiarrhythmic drug), you must first understand how •
arrhythmias occur.
QeCbUplyS10(OJCdi basis for YeI1tilClJblf arrhythmias
j. VF/VT occur for many reasons,but they have one ultimate
cause—a critical alteration in the electrical activity of myocar-
}: dial cells.Research indicates that three unique mechanisms
commonly contribute to the formation of ventricular an-hyth-
f mias abnormal automaticity,triggered activity and re-entry.6
f - • Abnormal automaticity occurs when spontaneously gener-
ated impulses occur in depressed cardiac tissue. These
E':
impulses can appear in any location of the heart,even in
fibers that would not possess the property of automaticity *'
under normal conditions. Accelerated idioventricular
rhythms and ventricular tachycardias that occur several .IP
days post-myocardial infarction(MI)are common arrhyth-
mias related to abnormal automaticity.6 :
• Triggered activity is commonly initiated by fluctuations in
41)
Maximum Durability
Maximum Value _
The Nonin 8500 z„
Hand-Held Pulse Oximeter ^---
has proven its durability
and versatility in hospitals,clinics, f}' -
A
and EMS agencies worldwide
g F• ra ws w� <r`4 F
�' ", i-r i� '..\ 0 patients
Shock and Vibration Tested who received amiodarone Increased 27%when
USAF Approved for Aeromedical Use compared with standard ACLS.
I00 Hours Battery Life—Memory&Printer Options
Weather-proof Carrying Case—Operates Below Freezing s r .;
• •r
When you want the very best:
Select Noninl '
• tr
b � ' r
atiditxA,na iiiktrluatiob 11 or smto tadA.y, ._ .
� ' p •+ s s. x w •t/ •y 0 Aft .'4 -r ` E zkf
:'` rzt*$ , x % 3 l. l, r� -1tea sx v- , .�t .-�.�,
f o t3'.xs we 1.,..f�7ry ^+'•:•'c'per at ' ' :/F` �G .„�;��.-- =- p��
'3a'" 's -�`¢41 E'i' -- `^s' �7ftVili r. fit r �' '$"� _' ` o' 0-
i5,.0 ., y Q '"s. f��z ..4 kx / ,f/7.4 a, a -�cs.r� �' ., ,,2 ,° i! - 0
;a. 'k �' `�.. =:�'is " ' ` -(n;�.� i�'3+r� . 'o _` : .; ' -� a
�. ,, �k - �- ' z Upon successful IV access,the amiodarone algorithm calls for the rapid�.t _ ,, 6z� 4� administration of 1 mg of IV epinephrine followed by 3�mg of IV amiodarone,
then a rapid 10 ml flush of normal saline(NS)to facilitate drug delivery.
For More Information Circle R56 On Reader Service Card 4
<Iy-
'r, Figure 1: Richmond Ambulance Authority afterdepolarizations include catecholamine dependent
a.. < ' Cardiac Arrest Treatment Algorithm VT,VF/V associated with ischemia and reperfusion
i
tuber •
•
and VT associated with digitalis toxicity (due to
their - hypercalcemra)e
• Re-entry is the generation of an impulse through tissue
a k n • already activated by the same impulse and is thought
'r to be a primary cause of VFM during the early phase
? To r p�pq �,,,,�y of myocardial ischemia.6 When a patient in VFNT
•any a E ¢ ` experiences a sudden loss of pulse,several major body
how t.' :-, : ': ` - r reactions occur.Sudden dramatic loss of blood Ares
Itihtl 6 r s
ttt $ . • sure causes a massive dumpof epinephrine,
� .� �,� >�,� z, �a P ephrine, norepi-
'� . nephrine and acetylcholine,creating an unstable elec-
6�t �� Y�jye s s t ,
-� f `' t'..F`Y�-. ``..�'§'V `t�(.. f: e- 4 S O
, � - z ,t trical state within the heart, lowering ventricular
t i Z .. depolarization thresholds and promoting influx of cal-
mate 1 tt7� i' T K : s A l
ocar- o.'. _ • R -, , ,' � , s' ;: •. ,..': cram ions into the ceps.Acetylcholine promotes the
+ depolarization of potassium-dependent membranes.
These significant changes in refractoriness are the
s common basis for re-entry arrhythmias, such as
r '� i "7 ram'- Y- r -2,1 rtr
miner a 3T ;t1 ( 'ii i ' �` , a.- VFlY 1.6
to in i_ '�` a--" F: .3�'X ",�• 'r x '�'+' i' `<K t x Amiodarone,first synthesized from compounds known as
ticitya `
:ular �'t "�s � • ?t. benzofurans in 1961,was originally marketed in 1967 as
�` '' , ' ' �` Yl '- an oral anti-anginal a ent because of its potent vasodilator l
vetal � �t x § tg
tyth- i :: 4 ' , effects.' In late 1985,amiodarone received FDA approval
n a i► 17 A i.,f ' for use as an oral antiarrh c€ 7 h :� ;; ythmi agent In 1995,the FDA
? $,, ' s '' approved IV amiodarone for the PP treatment of otherwise
�.e' "R z ' ' t .`: a y), . . , - . . uncontrollable,life-threatening
ji ;x , Iricular anhythrrvas.12
�eC O�OtJ• ic tharacteristics of allliodaione
Amiodarone may best be described as a broad-spectrum
antiarrhythmic agent with multiple and complex electro-
-AR''''':"'"3.:'-'":4-t i t9ry�1 y �ts "� ,to physiologic effects.Using the traditional Vaughn-Williams
�'' } �r � x £ i Antiarrhythnuc Classification for drugs,amiodarone is rate-
. i•tea$- s '23 r k
'' u tr- 7. ' "' ' .,. s 4 gonzed as a class HI antiarrhythmic drug similar to
c'
€ ' ` " �"'` p "� Y bretylium (see www jems.com).However,amiodarone
E', i • electro h iolo c
,t?
Possesses P 37$ g properties of all the Vaughn-
s " :k Williams classes.
• Class I properties include significant inhibition of
r r sodium channels, with impaired recovery of the
A xff .' myocardium due to its membrane stabilizing
Ct wyI ( ,F s properties.
ro erties.
. • A noncompetitive anti-adrenergic blockade is attrib
uted to amiodarone's Class II effects,contribut
ing to a
x
negative conduction through the AV node and pro-
r � longation of the ER?of all cardiac tissues.
i F f +s x
i'� y - i ; ,c ,-.,r '•" r r • s . • Class III effects cause a delay in repolarization
�•_< r • • . . k •, • ... , �. -> . increase in action potential duration,resulting
and an
in
? Artap�d from a�odarsne p�innl developed by Joseph P.ORAL WD•professr and chair at the ecya ent d v lengthening of the effective refractory period(EI2P)in
emergency medicine.IfirpnuCanunonwealaUniversBy.MedicalCalegaotYmgini�Rirhmaad Yz atrial, ventricular, atrioventricular(AV) nodal and
• His-Purkinje tissues.
W
the cell membrane voltage that cause afterdepolarizations. These •The Class IV effect is primarily inhibition of potassium channels,
afterdepolarizations are membrane oscillations that rely on the which prolongs repolarization in atrial and ventricular tissue
k upstroke of the cell action potential and may be further defined as (prolonging repolarization time reduces ventricular ectopy).The
- ipid early or delayed.Torsades de pointes(an unusual form of ventricu- occurrence of ventricular fibrillation is reduced after amiodarone
Inc, far tachycardia with changes in electrical axis) is thought to be administration and thought to be due to these Class IV effects
caused by early afterdepolarizations. Arrhythmias due to delayed and improved intracellular calcium stability.r.tr t3
tom•►
AN OLD DRUG WITH NEW7WCKS�___ \� EAR
YOUR
• Packaging yv cr11C r K
Wyeth-Ayerst Laboratories manufactures N amiodarone under
the trade name Cordarone and packages it in a single-use 3 mL
clear glass ampule,which contains 150 mg(50 mg/mL)of amio-
darone hydrochloride.935 'I .-This packaging limitation requires the ALS provider to with- -
•
draw medication using a needle attached to a syringe.The man-
. """" '
i
ufacturer is in the process of evaluating packaging more con-
ducive to use in acute-care situations. r.; ., •,,;, -------
Indications&dosing :: „ !-- . ....-,:..,.. ••Anchor, sr ,.,
IV amiodarone is indicated for both the treatment and prophy- " ;•• —
lands of frequently recurring ventricular fibrillation and hemody- _ !---
41-
namically unstable ventricular tachycardia in patients refractory '::i:::::•:::': ::' •&rad Placards
to other therapy.15 Because of recommendations based on the ��—�— • Periodic Tails
ARREST trial,Joseph P. Ornato,MD,Richmond (Va.)Anrbu EKG CHEATSHIRT •VA Calming
lance Authority,developed a modified ACLS algorithm. It rec- • F.A.E.ommends a prehospital dose of 300 mg(6.0 mL) of IV amio- 'Cheat Shkts-are printed upside-down on the front for the wearer.
darone for the patient in pulseless refractory VFNT when three 'Watch-my-Back Shirts'ate right-side-up on the back for your partner
initial attempts(200J,200-300J,360J)at defibrillation faiLD Check out our cool T-shirts filled with invaluable
if VFNT persists or recurs following the third defibrillation information for rescue and emergency personnel.
attempt, the protol dictates that the provider immediately
continue CPR, incubate the patient and establish rapid IV 'Technical rrs
access(if not already accomplished).
Upon successful IV access, the algorithm calls for the rapid ` 19 S w%V'IV•tCCh1-f5.CSH. i
0 administration of 1 mg of IV epinephrine followed by 300 mg of
IV amiodarone,then a rapid 10 mL flush of normal saline(NS) For More Information Circle 859 On Reader Service Card
•
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4Y :*-,:- >,2 i{ 61 s _ -.-.__..": Brass Regulator
IVffi amlodarane is indicated - . ` _" o with built in gauge!
for both the treatment ands=' — -
prophylaxis of frequently reclining ventricular fibrillation Online ^y^= �' +� -
and hemadynamically unstable ventricular tachycardiaire Auction . n:1'}'�,L. REGI,I..ITOR.S
immal
in
patients refractory to other therapy. \Ph(888)633-6908•Fax(800)4ALLMED•Online www.allmed.net�
For More Information Circle 1160 On Reader Service Card
r;.•r
ADDITIONAL VALUATION FORM
L—
5030 Champion Boulevard Suire 6-269 Boca m:ton, .zL 53,f.'F teC MC 298528
SHIPPER(Uutom¢) D'4:17 I MgitEielH'Eic
TEQUESTA POLJCE DEPT.,BOB GARLO 2/
1111
I --
OICGIN ADDNEAE DLDIINATIO.VADDW:Bi
357 TEQUESTA DR. LOCAL MOVE
CITY,STATE,ZIP CRY.STATE,LH -
TEQUESTA FL 33469 TEQUESTA FL
f!UWENUMIDmI PW)NZNudetx '
(561)575-6210 (561)575-6218
4411-Alt I "'>lipiliAiA�{iP;gt,AiC19AR3d.tFA01. ,t iVo died i +4.e f' .iiTk;,tlt tf 4.:.1 4fio0b►:,¢tN'to
Y It' e i 4�1 { v 11 plil .poiy} 0 t ttio os.! tY°t•.41 t;,,o-ei 0,v k�Il DI44Rittatoil a iv7/„o•'i4tivi kith vuoi
11 Fi t�i:"44"'rjyi� d 1 i g 66 ss e'
llt wiilWe AAtlAntit4,it,11i': .1tl 0411*tilt4,,j;tS Iati,,g Bile 4119+f4 P M1►att'glttltlito• 4 till}}44Y t04tiittiP:..'t1i'{ftt�4.1044.ti
p i WE FORMATI9IN _
Iltiw t}fix...t tl`I�.�Y'i t;.'.a Y ori}ttex,,111,14'kt,! 4i�k,ptia tj i1�bF:�} i,,,,, i 5 44iF e6t,+,( `eWt,c..:ti,°1`a�e•{I,•4 tei+ }i
tt nti 1 9 a. 4y M, t t } .5t 444i etc`,•. 41� 4e, , 56i{4 i eft �k
IAi9}4Ea' ,:i7+;.. �,{•, 'sdAG�, il�.tiS.t�t� ...ut>.4�wY1�E4a a�3WA:i4vyt..,i{t4.�.•[k4i!ad!!I�yy.i�dtl ;a,.•ii.144E'iallei}��4YeA�'1.4Nt�i1 Y1�a��tlM
tri•Utkt, VALUATION DEDIDC7lBL@ DEDUCTIBLE DEDUCTIBLE ce'1
r�iti $ 5,000 $85 00 t $55.00 $35.00 o� 7. i
rt i`�r4a1 $ 10,000 tab,i ,
$89.00 g59.00 t6+ t
�! t6 $135.00 {l
a~~.tt 1 t4
{19 1 S 15.000 _$132.00 " '! ii '97 0 614014t.
t a'
t1t4�4k1+ S 25.0(10 $?85.00 "� $175.00 I $i25,00 q t�
``lotl $ 304100 $305.00 1 '�'95.00 1 L4 4 kta ee�iit
i
lTil't 11 I t 1 • .v^{1 ill .. • i Viot i.
}dait1tri 'I ill 1,1 .7 ) , c 5 I. 'filtt�rt
fa a4}y. I I 1 1 1 $295 00 1 11 _ 1.i;}o, 1{4ft1
1i t ii} III _ 1 1, 1 c i i I ' • 1 A '01 liji
S�dl;bati s 60,QOR I $440.00 $340.00 S215.011 N•aglwiyin
00.b $ 65J)09 I _475 00 $370.00 •,, 0,00
�d t 9t1 .{{br.,0
11.0. $ /0.000 f $500.00 $395.00 ( #a1i4i{i
tiWt $ 75.00() $520.00 $41 U.00 $310,0() t4t1ii4t
1 wiy�a+i�- m;�pptil ;1 1 I I• n , lit } '. 90.00 ai 11 •�gP,,it,
f.a i-Gd :_-- t,„ 1 ea'1 i i }d', n co' r,4,;:4b 64.0,M,..,4:0, c\,.ai Y._a)1.'0.t.:aai a.,. -�,.t' 1 ,;a41 .f"ti HYi
}{1it4n4 ., ?M1iii4I'
�,10' Electronics (Released Carrier Liability) $1.75 per •$1.00.00 ($250 Deductible) �4'«Ik
t iU Fine Art&Antiques(High Value Items) $2.50 per SiC;0.00 ($250 Deductible) .y140,11,
0101,
tEB116g Auto(Released Carrier Liability) Si75per S100.00 ($250 Deductible ,i r u
ti)n11i J tltil
4�ttiij3c S.tbi^ yin'{A+ l«°2kt}tr."y{aaE*bi1ki74''4ditla•ttkt°;1 •kd`•' a4� ' 9' q 4tYa' 65°°tl{4 Orb x icw� far{a '�it}}fysl
t i;lt 04iit a�i 3- bk4 .ii ! �y{L 1t? �$/I�{aN/y/J.!iijy}p�/y e4t tb �77/ i ,till.t i�11� .,r {i„r4.4 et, KF{tdtR 40,,,it Ri>1
Yy44a l',�4AttF-4M142:it A ttl,,n itN14 Y!,:ti,�1ftt 1 3a.ct1F"a 0 4.s94 '6,,t,,,'�F1 pang.,{{. it;,{e11ll4k tf.;1144aiy1 84'.(y4
^I b Y F' tMY'{4�,i„169.ail' qv4 a� aiv.�. R� J_„ e i >iSa y yctYat/ 4�y>:bok{dl
�1_ tii'}1•�a,ei'l.t,�iib,j MKAi. aaA.a�5E3r�.:wi!#a44i.acrl•t3'!,.w.it....a4:�a. eavi.,�e..4 ,6, yrs _,t C• - w �r.t .u14t ,,,i,',rii Sii�xd9..Rtl4aJ
Y/N TYPE VALUATION DEDUCTIBLE AMOUNT NTORY #'S
1 Household G00035 'y,,,,o,E4ti.r.`, a11ai.t0's I
I Fine Art&Antiques 1.,0�'+ tar.'tl t .t�E s':•, �
Electronics IIf ex!., ..0„' }tti.,,+,ipit��a4i . _ _
_..- I I aa441ai4i1',4ri'�4N1�,0,0 tiybat _
Auto q,•id4Y.tiA,,, .r.Y��iioit`1
1 I mnn,OYY:C.,yly16ER
, MONTHLY CHARGE {;�!h� Yy t III
iWr." 41(kta 't91�t iTii li jtlR'a411;t4AIY i geltY• ti 1yk4i y,RBiLk.° ; 1.1,1 II 0,1.01. Np1'.FK,,1 i_' ._.
1t4d4N1.'4°-4e bIt'utdlllit9({`6["?{ial'i't""1?1'''-"-41 4"wi,' tl''WMtl440:13a'rt.''i 0,40'.s,l.41, ,511.0k.- 1.11.., 1,
,
TOTAL VALUATION $ TOTAL DUE $
PLEASE READ CAREFULLY.
BY NOT PURCHASING ADDITIONAL VALUATION,YOU ARE WAiVLNG CERTAIN VALUABLE COVLI.AGE
WHICH PROTE S YOU SS 9NS A OVF�THE?1/111101Uh1 AMOUNTS SET'�,y LAW.
:"1'
Lg4�Vti
k4� P,I,•k�i}�ty�5, t114 t(.it{.�yR�{1�y�tg}{i, r9r, 'i°. . t 7't00"..ifft•it iRE. .41i,tiwit {.t9' S j1i40a,''ZOP , at•`"•i98ititltl1 YY
{1kill 'lr'Iiit1 tAl ,t+e410031: 04' '74, 9(t281 id id i0p110 ' 9t iliAbY tl601 pnh�`n 044 ,ii
.lit 9l {,,, t. 4A 1 aP1 wl A fit {i 9T: tl b i a 4 v E''� r t
dto I I`"° tAt , .tt1 1t+*fit *Vi peg*,.05 r�: :,*, (Wifit1.4)war�f 41*„tA}•!
1' ,; }i t .}l4 ttl, S{ rt nl ittd adtbl jy,4 .isi}
-{,11C;a] ,t�l ,; v:,0,c 0 bl v yii9rllottptiOie p. tt)....peg*,r. {+,lt t at h 3 I k i V 14.1 111 ss{;
4,f ,d+,;,r ISa9 ,ittd 4i}t iS. ttlit 4A i 4 i 'inn *-,. 4x' ^;, ;,�3, ' k y�RSj3 ip IF 1 tk,, a I` 4414„ti }il,Af fan
I it t �. ler Ak(thua (li; ti l iaa l ... ta tt
it 11 ,, IiYk,. ( •.,d �W ',:qi 7;0 1 I 1 t xi•54) ltl 1
5t ,st� r,y ...4I �l a"Gin it),''„.fr-. ;�. ,i-eta f a.it s:�,1 rv'.at '�.o.':-t•.'� t ,i.;4. ai �.i{4i, Y
' I have read,folly understand,and agree to the terms of this agreement(including the conditions on reverse).
Customers Signature X Date ... 1?eineseutative's Signature X
II
le ■ s sf s m. ammo - _, a w V 8■■8 1 i l • If mil/- IV
TATUU . (HOURLY BASIS-RESIDENTiAL)
SONCOCOA B' ORDER NO.?2 I sss:3oov mvsvl u>=3 21.3ea-�a3 /
MOVING 8 STORAGE MELBOURNE3 21_951-2288+DELANO(904)774-5800 DATE i/ O r/
19Cor West Pals (561) 881-9800
SHOWER -re Q Vl E c7Pr U"tire. CON8IGNEF- , •
ADDRESS .73 CJ_ a v C.S'm— ADDRESS
7 o -rgEq FL- IY6j1 'Tr ,i 9 TA FZ—
PHONE NO. ( ": 7 • 6 2•I _- PHONE'1110. .
Floor i Rocs a. 1 Elev. Walkup Floor Rooms Else. Walkup
agktop Date Rewusted s, 4. Lauding Date Requested , DOWe /Oats or period of time requested
i*W'ORTANT NOTICE:This Prababls Cost of Bandon coders wry the articles and swam fisted.It is not s guerentee that the actual dope'will not exceed
the amount*sown.t.Cocain Girders de required by taw to collect transportation and other in dderttel chirp*computed on the bads of matte shown in their
lawfully published tariffs,regerdlsss of prior rate quotetiose or mimeses reeds by the carrier or its gams.Exact dteryn for leading,transporting,and un-
loading we band upon the tins required to perform these services,and suit theme may not be determined prior to the time the goods an Bonded.trsrw
ported and unloaded.Rates to be computed flonttitns of swivel'Of den as:point of origin to the time the delivery and placing Of shipment hOwse Vanilla la
e serola ad.plus impel time es shown In bsrisr'a earin.Rates and aeries do not Include ferry.*ldpe or reed tolls.Cr any otter incidental dame which,tinny
be levied.Such Maws and toils may be adwated by carrier but w dwgeble to the shipper or mroignee.Chrgss for Nalltlonal NNrvioa wilt be ached to
the tfenepiortatiut)dwell.
PROBABLE COST OP SIERvicE3(sued on Wtff O0T-NY-MT No. ) PROBABLE .
TRANSPORTATION SERVICES' CHARGES
STRAIGerrTIMEt Mani ..A n• ,� r hour $
OVERTiMca 'al ,Van(s) MMr 7! Hours• ►hour
TRAVEL T1ME' 1 Haw d t Z. P r hour VALUATION Cf1ARGk: (r«natality on vat of carrier In axons od that Named whoa Its
Iowast rateb ire~OW
On TriaNMta ds*r . $ •0.50 par Sloe.Or iraetbtt tnenet On Storege.bn•Trensft' $ •$1.00 own sloop for*eon 30 days or iraction Shone
wARENOUBE HARMING' ow • A1.1. S MUS
STV RAos iN TRANdITe From To • SE P iN CA%
PIANO CHARGE — - - CA HECK 0
HOISTING OR LOWERING
ADDITIONAL LABOR; $tralsltt Tinsel Wa•a_......_. per hour OR
Odertlmst �..,--""'•s , Per flow n
Other Charles: ISoscItY) ISCI.t�'
(sway) 6 2zan89ortation Slur lhgg tttetnded 111 QUAe
CONTAINER -PROBABLE CHARGE Moo below) Z. O C
PACKING -PROSAO CHARGE( below) _ 7 ` I
UNPACKING-PROS/ WE CHARGE ISaa clew) TOTAL iMOBATILE COST 1_
PROBABLE CAST or CONTAINERS,PACKING AND UNPACKING SERVICES
sMie1R p Loan C Supply PACKING •
UNPACKING
- CONTAINER i�ar Per Each TOTAL gisstresra T Per Bads TOTAL EN4M ;' Per_Each .:.TOYAi
BARREL.dish-ow:it.drum.encore - A _ S $ -
BOXES.not over 5:obis;feet _ .
•
over 5 not over 8 cubic feet , . I -
CARTQNS: Less then 1 h cubic lNH -
1)4 cable feet
3 cubic feet _ -
414 biefeet
.- cu_rs cubit feet v -
814 cubic feat •
WARDROBE CARTON
FRIO MATTRESS CARTON
Maumee Cirtan.(Not exceeding MI -,- - .
Mattress Carton tExcesdinp.`rd"x 75")
MATTRESS COVER lPtest4or paged ,
CRATES AND CONTAINERS ' -
CRATES AND CONTAINERS(Minimum Cher.) •
14absbM Calls i 1 PrafKBM Cogs B lkofrbM Coss i
REMARKS:
I'IIII NOTICE:It the prospective Ripper has net previously been furnished with the Surst+My of I t For Shippers d es s
Goods quired by the
psrtnrnt of Transportation,hi should be furnished is at this tire. . ....
. .- _•�_� -
_- — — —
_ - -... ..... w es ewer WEN IIMIN NOP 111101601 I %dr- cianvitoCO
• Tara ,: .1,...x.-.: .
(HOURLY BASIS-RESIDENTIAL)
eiC SOB' e ' 'I'• •
'.74: Ykv. sel...r f1«w Adrdr•uw
• COCOA BEACH?z k�8 3000 mUs111 lea 2 1.3834133 ORDER No. t______.1
MOVING&STORAGE M r G
ELBOURNE3 251.2288•DELAND ON774S800 • DATE OV°/
S �J�i?,a West Pals (561) 881-.93OQ
SHIPPER re&U 5 i 4• 7,- -t_,essC y e CONSIGNEE
ADDRESS --- (� ' esT61'„4 ADDRESS
Tet0g0-1 4 • TF Q �3ZfP sr y
PHONE N9. .5-- �' 2.SO , ft.r' 7s -6 Z PHONE NO.
Floor . Rooms - Elev. -_, Wslke}p Floor. - Rooms Elev. _ Walkup
R • - Del Clamor Period of time rsowated
IMPORTANT NOTICE:This Prababw Coat of denim covers only to adds;and servile,listed.It IS not a pmfanoe that the ootusl
the amount shown.Common terriers are required by kw to*Ow transportation and other Incldintal ate will not axoe it
wwfutly pablidied tariffs„mordent at prior rate quotations or estimates made by duo caller or its tents.E computed char en tli.for Inling.of tales shown in their
d 4n-
to ding are said based
unloaded.Rates tlsnpon the time required
p d % chasm rtuy not be deterndned prior drew t74 ilood tloe id�ttans-
contylleted,pike trawl time a atom in eut.d r tariff.slates sod point of orOssn to the time the delivery and plsdap of Incidental
ages premises is
be Wiwi.Such chews and toll;may be advanced by corder but ore c a0 not inch/Os ferry,b►idpe or road toils,of any other additional
cervices
*ages awidthadd nosy
i the aanspaltetion tiimpl< veab+e oQ ells Wpm or Consipnw.Cheraw for eddkiptad a>rs will e>•added to
•
PROOAOLE COST OF SERVICES{(resell on tarfff- nnT.r1V4AT No.
TRANSPORTATtoN 3!R ICESI 1 PR4ARG Li
STRAIGHTTIM�i VtiAte) -....,..Men '7 Y OHARGES
._MOurt•• r hour $
OVERTIME, VJnls1 ors•s ow hour
TRAVEL.TtMD we.e_,�'I par hour
VALUATION CHARGE: {for its ult*on Dart of ranter In excess of that assumed wnwn Its
•
lowest rates are cAtrWnop
On Trans ortado ss , S •840 err a200.or traction thereof
On Sto►epoisi-Tranrlti $ •$2.00 Par 01000 fairish 30 diys or fraction theater
wARBIiCIUSt NANCL1NGt Per_--.,,,,,_8 }•
STOPIA SSA TRANSIT': From To _ --�� •-
A.
" , :_s ARCS- .:US
WOisnrio OR LOWERING _ �ir `�s � �
ADDITIONAL LAeon Straight T1ms,.,.,�.�--•7 Par now P� O.,q , li'' '/h�:�6 ' 'E�i"Ir� 0
Overtime; �-n•s .�.. Per flour sef�.! .V���.•`-+`+
otn.r Chariest: (SPwb) 47. U i. a t Xt2p11 Snr_CUP Tnnliad�d to e
weewy1 6% _�3.. Sur...64hglta 7 ..=ui d^inme
CONTAINER —PROBABLE CHARGE t3e•aaeow)
PACKING—PRO8Ab E CHARGE{SW .aawl --�^"`
_....,‘„ .
b
$ L
UNPACKING—PROBABt.E CHARGE Mee Primal
TOTAL PROBABLE COST
PROBABLE COST or CONTAINERS,PACKING MCI UNPACKING SERVICES
toleraaeere.a L�:O Suppiy PACKING UNPACKING
O 1"�! I N mom Ends TOTAL sstilrreeas p,sr Each ! TOTAL irnllto9
feurrabw ;R1e�na8ar par Eafll TOTAL
•
•
EAR R6L;desh�etdt;viNiYi,ifttftrlrs $ �S" ,
BOX ES,not over 5 cubic fart � • 1
over 5 not Over 8 cubic tart --`—""' _ i
CARTONS: Last than t'A Cubic tort
1 It cubit fast ' --
S unable feet
44 otibicfeet
8Cubic f set -
••OK cubic feet
WARDROBE CARTON -
CRIB MATTRESS CARTON _ '"
Mantes Canon.(Not exorodifq 54"a 7f')
Mattress Carton{Exceeding 54"x.75") • ♦ +�. ,
MATTAES$COVER Mettler"taped 1 * ' _
CRATES AND CONTAINERS f' r -
CRATER AND CONTAINERS(Minirriton ,J
(instable Cows
Pro/gablet:asx. Probable Cols >1 •
REMARKS: -
•
NOTItX: it the prospective rhipoer het not previously been furl/shad with the Su infOr
Mkf<r Goods as fa0uirsdsby the C
torment of TnraoortKgA.heaf►ould he fufse;tf+.d it tat this time, / `
NOW Oi a. ■ IIsass•• e1®• MI .P r.III/ la NO fee. IL d �.V
'';'` ,'• ; (HOURLY BASS RESiDENT]AL)
J fir '.
�• ' .. 7�.r1a ..2L.r! aro giajok%vat :ORDER NO.
, ' ' . & SOILIT ."-' ' ':. •
COCOA 3EACK 3 21.$167.3000•mv3vlu.E 3 2 1 3034733 `
MOVING a 9TORAC ME.BOURNE,3 al 951-2 •DELAND(904)7'74•6500 PATE ./ / -
'West Pala (561) 881-9800
SHIPPERC��a ,��vl�•l � 1�( C NaIwrEE TF 1 9 M Ce ,t) r ' yr'ed;. •
ADDRESS ''5 7! / cA r2 ! . ACCEDE
PHONE Nip. PHONE NO.
' Floor . I Rooms Elsv. Wilkuo Floor • . Rooms Elev. Walkup
Ladle;Dem Rsquatte t . Delivery Date or Vinod of time requested
IMPORTANT NOTICE:this Probst).Cast of Santee chives only the entities sad swims)stud,It is note guarantee that the warm durgls will not uccb.d
j the amount slhowta.Coamton anima are required by law vo eoUeot transportation end Cathie Incidental dams computed on the bats of raw Chown in tdwk
lawfully publbbsd tariffs.repsrditas of briar rats quotations m estimates Mode by the terrier of its*Ma.Exact charges for Iosdin9,trarKporting,and un-
loaa1n/era bead Men the tutu requknd as Perham'*bets survlwu,erdl oath dunes nor/ not be depanlned prior to the time the
i ported and unloadsd.Rates to be computed from time of*Mali of van at point of ariiin to die dyne the delivery andmint'tawofshipment promises is
j son l.,i d,plut bevel time es shown in amflllr+s toriff.Rum and therges do not include ferry,prick.or rued toile,or any other lrioidental dear es which troy
! be levied.Such dsrgn and tolls may be aauanoeed by ow*but are cterapdte to the dipper or condones.Clairpee'for.dd:tioael aarvloss will be added to
the transportation chorale.
ARouABLE COST OF SERVICES(than.on tariff ')OT-NY-MT He. ) PROBABLE •
TRANWPORTATION Miff I_CEsr / CHARGES
STRAIGhHTTIMtis - .Vao(tl it Me 7----Hours•,.__L f i, 'Nf hour a
OVERTIME* Van it) ._Mere�••...,.}gpurt 9 hour
•
TRAVEL TOMEI 4Owt•e pas now
VALUATION CHARGE: trot rel�s a�wPart Of carrier in exeaes of th assumedom at umed en its •
lowest•
On Transoeftetless . a •e.fl0 per$100,or friction tMreod • •
on Storee•+n•TvsndtI $ 0 kl.110 hoer$1000 for earn 30 days or fee`gan thereof '
wARLHousa MANGLING' pe•�.......•_._... ALL - , RGE. ...'`" ;
STORA011 IN TRANSIT: From To • ®E PAI• • CAS
PIANO CHARS - -HOISTING OR LOWERING _ - _ CASHI,. y CK C
ADDITIONAL LAuORc Straight Time. IA'Sn et I,.,..,._,..r . par now
MO ORDE ,.
Em overtems: W^G p per how
tense charpp.t tspwfy) 4`ts Di.eftel Patel Sinic Map Int•7,Tid,-a i n illacaR -
(soeuty) 6% T.E.3= $a io sur Cha - n tnd -d! n Quote
CONTAINER —PROBABLE CHARGE 15e.below) - // -�
PACKING•--PROSA CE CHARGE lease below) $ /! v
UNPACKING—PROBABLE CHARGE(See totow) Tom&PROXABLa CST s.._li—k(a.... .
PROBABLE COST OF CONTAINERS,PACKING AND UNPACKING SERVICES
alawnims D t,oen:0 Suoph► fi PACKING UNPACKING
CONTAINER �ttara:� -Pir - - TOTAl. FguiNI ate*' Po E.afh TOTAL s:stin:atad Pa Each TOTA
Isusar<ser. -.-.. - rlunaar Nunt@a
BARREL,siish ,dnum,etaitars ••t $ f L 4
BOXES.not over 5 cubic feet
over 5 not over S cubic fret
CARTONS: Les than 1 Na cubit feet . .+
I K cubic feet .
.. s
3 obit feet
4'b cubic-feet
G cubic feet '
WA cubic fait _ -_
WWAARGROSE CARTON - .
CRIB MM ATTRESS CARTON - , _ . -I ,_._..
Mate=Carton_(NOt exraedim 54"x 751 r
Mattress Carlton tExcaedins 54"x 75") - .,.
MATTRESS COVER(Plastic or pa col. ,
CRATES AND CONTAINERS r .
CRATES AND CONTAINERS lMlninean Cha.) •
- _/4obebis c s 4 - Probebl Coats - - I- - - Prababb.CPAs 3
REMARKS:
NOTiCR: If the prospective*Sipper has not previously bean funikasal with the Summery of Int Shitus of H /•as raiuited by the
pertinent of Transportation.ha'Mirk)Oa furnished it at this tine. ._... .. _.-'•