HomeMy WebLinkAboutContract 51222 CITY SECRETARY
IMAGEIRE/V
ImageTrend Pilot Program Enrollment Form
Customer Organization Name: Fort Worth Fire Department
Customer Organization Mailing 505 W Felix St.
Address: Fort Worth,TX 76115
Primary Contact Name: Mark Rauscher,MPA,AICP
Primary Contact Email Address: mark.rauscher@fortworthtexas.gov
Prima Contact Phone Number: (817)392.6803
ImageTrend Contact Name: Tori Koistinen
ImageTrend Contact Email Address: tkoistinen@imagetrend.com
ImageTrend Contact Phone Number: (952)469-1589
ImageTrend Mailing Address: 20855 Kensington Blvd.,Lakeville,MN,55044
ImageTrend Contract Number: (952)469-1589
Pilot Start Date: Upon Pilot Enrollment Form Signature
Pilot End Date: 90 Days After Pilot Enrollment Signature
DEFINITIONS:
Customer and Borrower are the same party.
ImageTrend Software includes ImageTrend software products at ImageTrend's discretion,which
may include ImageTrend Elite,CAD interfaces,or other products.
TERMS:
1. SOFTWARE AND SERVICES
a. ImageTrend will provide access to ImageTrend Software,in ImageTrend's discretion,
through the period beginning an the Pilot Start Date and ending on the Pilot End Date
('Term")
b. ImageTrend will provide basic onboarding,training,and support during the Term
sufficient to enable Customer to evaluate the ImageTrend Software,in ImageTrend's
discretion
2. HARDWARE
a. ImageTrend will provide hardware sufficient to run the client-side ImageTrend Software
as detailed below in the Device Loan Agreement,and subject to those terms.
pM 1 2 3 b. The Hardware is loaned.Customer must send all of the Hardware back to ImageTrend
using the included pre-paid shipping label on or prior to the Pilot End Date.The
Hardware package must be postmarked by no later than 5 business days after the Pilot
C �iFr End Date.
CdCF %v L 3. DATA
sF�9 y � a. Customer data will be stored on ImageTrend servers throughout the Term.ImageTrend
will retain this data for 6 months beyond the Pilot End Date,or as the parties may
of otherwise agree("Retention Period")in order to preserve valuable configuration
.� 6P information should Customer decide to make a full purchase.After the Retention
Period, ImageTrend will securely and permanently delete all Customer data.All data will
be stored in accordance with HIPAA/HITECH standards and in accordance with any
CV cryo`�'O �J� Business Associate Agreement between the parties.
0, OFFICIAL RECORD
CITY SECRETARY
ImageTrend Pilot Program Enrollment Agreement F1',WORTH,TQC
I
1 MAG ETREND,
Device Loan Agreement
The borrower agrees and understands following:
• The Borrower agrees not to perform any illegal activities with this Hardware. (i.e., hacking,
pirating,etc.)and will be held strictly responsible for any such illegal activities.
• Borrower agree to accept responsibility for the loss or damage to,the Hardware and any of its
components while the Hardware is lent to him/her with total liability not to exceed$800 per
device.We recommend that borrower should verify that they have adequate insurance to cover
the loss or damage of the Hardware,for which they are liable,while in their possession.
• The loss or theft of the Hardware must be reported to ImageTrend, in writing,within 24 hours.
The borrower agrees to take adequate measures to protect sensitive from unauthorized access
or modification per HIPAA/HITECH requirements.In general,this means using strong access
controls(strong passwords)and encrypting files,documents,and messages for protection
against inadvertent or unauthorized disclosure if a file or document export must leave the
ImageTrend systems.
• The borrower is responsible for backing up and removing any personal data and software.
Returned Hardware will be re-formatted and re-imaged and all personal data,documents and
changes made during the loan period will be lost with no possibility of recovery.ImageTrend will
not reimburse for the cost of lost data or software.
• Borrower will not, nor permit any other third party to: reverse engineer,decompile,inspect,or
otherwise copy any ImageTrend Software or trade secrets accessible via the Hardware
Table of hardware("the Hardware")
Device QTY Description
Elite EMS SaaS 1
CAD Integration 1 CAD Integration with TriTech
TeleStaff Integration 1
Apple iPad 6
1 do hereby verify that I have read and understand the ImageTrend Pilot Program Enrollment Form and I,
having authority to bind my organization to these terms,agree to abide by the above terms:
Fort Worth Fire Department ImageTrend,Inc.
Name: V vU"`` ;L 1.W Vft4 N Name: Michael J. McBrady
Title: Title:President
Signature: ignature:m;&�4 vt&t
Date: OF F(?&�- Date: —?,o 1 8'
APPROVED AS TO FORM AND LEGALITY:
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ImageTrend Pilot Program Enrollment Agr emu&C
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1295: FT.WORTH,TSS
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City of Fort Worth Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and rep ing quirements.
Joe', ne4�e
Name of Employee /
Title