Loading...
Resolution No. 5391 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 RESOLU'l'IOB RO. 5391 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF VERNON APPROVING AND AUTHORIZING THE EXECUTION OF AN AGREEMENT FOR MOBILE INTENSIVE CARE UNIT (MICU) PARAMEDIC SERVICES AND USE OF VEHICLE, EQUIPMENT AND FACILITIES BY AND BETWEEN THE CITY OF VERNON AND AIDS MEDICAL ENTERPRISES, INC. (AME) WHEREAS, Bruce V.Malkenhorst, Director of letter dated May 5. 1987, to the Fina.nce Committee, that AME be awarded the paramedic service contract for the B8 fiscal year, and WHEREAS, the Finance Committee on May 7, 1987 mended that the City Council approve therecommendat.ion Director of Finance to award t.he AME for t.he 1987-88 fiscal year. NOW ,THEREFORE, BE IT RESOLVED THE CITY OF VERNON AS FOLLOWS: SECTION 1: That the Cit.y Council hereby finds and determines that. the recitals hereinabove are true and correct. SECTION 2: That the City Council of the City of Vernon hereby approves the Agreement for Mobile Intensive Care Unit (MIeu) Paramedic Services and Use of Vehicle Equipment and Facilities, a copy of which has been presented t.o the CityCoun- ') ci1 concurrently with this resolution and the Cit.y Council hereby orders said Agreement. to be received and filed by theCit.y Clerk. SECTION 3: That the City Council of t.he City of Vernon hereby authorizes the Mayor and the City Clerk to execute said Agr~ementfor, and on behalf of, the City of Vernon. 8 9 10 .11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1 2 3 4 SECTION 4: . r C. certify to the passage o;f this resolution and thereupon thereafter the same shall be in ful1forceand effect. 5 APPROVED AND ADOPTED this 12th day of May, 1987. 6 7 Z/g/~ BRUCE V. MALKENHORST, City Clerk -2- /5 /~ .' . 1 STATE OF CALIFORNIA ) ) SSe 2 COUNTY OF LOS ANGELES ) 3 4 I, BRUCE V. MALKENHORST, City Clerk of the City of 5 Vernon, do hereby certify that the foregoing Resolution, 6 Resolution No. 5391 ,was duly adopted by 7 the City of Vernon, and was approved by the Mayor of said an adjourned 8 at m</regular meeting of the City Council held on Tuesday, 9 10 11 12 13 14 (SEAL) 16 16 17 18 19 20 21 22 23 24 25 26 27 28 t1ay 12 I 19 87. BRUCE V. MALKEN}{ORST, City Clerk -3- - . " AGREEMENT FOR MOBILE INTENSIVE CARE UNIT CMICU) PARAMEDIC 'SERVICES AND USE OF VEHICLE, EQUIPMENT AND FACILITIES THIS AGREEMENT, made and entered into this 5th day of May, 1987, by and between the CITY OF VERNON (hereinafter referred to as the "CITY"), and AME (Aids Medical Enterprises, Inc.) (hereinafter referred to as "PROVIDER", to be effective and operational 07:30 A.M., July 1, 1987. WIT N E SSE T H: WHEREAS, CITY has a health and safety duty to its inhabitants to provide emergency medical services for persons injured in traffic and other violent accidents, and for incapacitated persons unable, through themselves or their agents, to obtain medical attention in circumstances where there is need for prompt action; and WHEREAS, the CITY's Employer-Employee Relations Resolution No. 4027 and applicable state law provides authority for the CITY to subcontract for said services; and WHEREAS, the CITY has determined that MICU Paramedic Services are required for the health and welfare of its citizens; and WHEREAS, PROVIDER is in the business of providing emergency, paramedic and ambulance service and desires to be retained for such MICU Paramedic Ambulance Service as CITY may require of it; and WHEREAS, it has been mutually agreed upon that it is desirable to allow PROVIDER to utilize some of the CITY's equipment and to house their personnel in either Vernon Fire -1- .' . ,'~ , Station Nos. 1, 2 or 3, as so designated by the CITY's Fire Chief so as to perform the aforesaid services in a prompt and efficient manner. NOW, THEREFORE, IN CONSIDERATION OF THESE MUTUAL COVENANTS, TBE PARTIES BERETO AGREE AS FOLLOWS: I CITY agrees to permit PROVIDER to lease and occupy, subject to this Agreement, space and facilities within either Fire Station 1, 2 or 3, as designated by the CITY's Fire Chief. II PROVIDER agrees to compensate CITY for the right to occupy space within Fire Station Nos. 1, 2 or 3, as designa~ed by the CITY's Fire Chief, at a nominal rental of $1.00 per month, payable in advance on the 10th day of each month. III CITY agrees to permit PROVIDER to lease and use CITY's paramedic vehicle (License No. (E) 442482) subject to the following terms and conditionsl (a) Said vehicle must be used wi thin and dedicated to service within the CITY. (b) CITY shall perform or be responsible for the expense of all necessary heavy maintenance and shall supply all necessary gas, oil, and supplies for said paramedic vehicle, however, PROVIDER personnel will be responsible for the condition of said vehicle and for proper servicing of said vehicle when necessary using reasonalbe care while said vehicle is in their possession. Futher, PROVIDER shall be responsible for all damage -2- ", to said vehicle caused by its negligent maintenance or operation. (c) PROVIDER agrees to compensate the CITY for the right to lease and use said vehicle at a nominal rate of $1.00 per month payable in advance on the 10th day of each month. IV CITY agrees to permit PROVIDER to use the CITY's existing paramedic equipment, supplies and inventory which is listed and shown on the attached Exhibit -A-, incorporated herein by this reference as though fully set forth at length, and said equipment and paraphernalia must be used and maintained in a good and proper condition while being used and in the possession of PROVIDER personnel and in the event of any loss or destruction due to negligence, PROVIDER will reimburse CITY the reasoqab1e cost of said items. After termination hereof, the equipment and supplies will be returned to the CITY or replaced by PROVIDER. V The term of the Agreement shall be from July 1, 1987, through and including June 30, 1988. This shall be considered the minimum term of the Agreement and neither the CITY nor PROVIDER will have the right or option to terminate said Agreement during said twelve (12) month period, unless PROVIDER fails to provide required services. However, in the event either party wishes to terminate said agreement on June 30, 1988, or thereafter, either party must give the other party a written notice (registered or certified letter) at least thirty (30) days prior to said termination date indicating the intent to terminate. In the event said Agreement is not terminated, it shall continue on a month-to-month basis and all charges and fees -3- shall be applicable on the same basis as provided for herein. However, notwithstanding the above, CITY shall have the right to unilaterally terminate said Agreement on five (5) days written notice if PROVIDER is in violation of the L.A. County MICD Rules and regulations. VI Each party hereto acknowledges and recognizes the vital community services each is providing and will as further set forth in the attached Exhibit "B", which is incorporated herein by this reference as though fully set forth at length, assist each other in the fulfillment of their mission and responsibilities. The rela ti on ship, under thi s AgreeJl}ent, between PROVIDER and CITY Fire Department shall be that of guest and host. PROVIDER personnel shall be subordinate to the Fire Station Commander on all matters relating to the station maintainence, internal security, training and drills. VII Each MIcn Paramedic Ambulance shall be staffed with a driver and an attendant, both of whom shall wear uniforms identifying such persons as employees of PROVIDER. Both driver and attendant shall be trained in accordance with the Wedworth- Townsend Paramedic Act and shall be certified by the County of Los Angeles as MIcn Paramedics. The driver shall, in addition, hold a current valid ambulance driver's certificate issued by State of California. VIII PROVIDER shall, in each instance of an authorized call, -4- transport the injured party to the nearest available appropriate hospital or emergency medical facility approved under the Los Angeles County Emergency Aid Program; provided, however, that nothing stated herein shall preclude the patient from specifying a different hospital or other destination. IX PROVIDER shall furnish said MICU Paramedic Ambulance Service to all places within the CITY's boundaries. In addition, PROVIDER futher agrees to provide a backup unit within a fifteen (15) minute response time for any call within the CITY's boundaries. X PROVIDER shall furnish and maintain the following policies of insurance: (a) General Liability: Such policy shall include, but not limited to, automobile, professional, and general liability coverag.e. This policy's single limit liability amount shall be not less than One Million Dollars ($1,000,000.00). (b) Workers' Compensation: A policy of Workers' Compensation Insurance covering all its employees shall be in effect or be self-insured with respect to such Workers' Compensation in accordance with the laws of the State of California. -5- XI PROVIDER shall indemnify and hold harmless the CITY and its agents and employees from and against all claims, damages, losses and expenses inClUding attorney's fees arising out of or resulting from the performance of the services caused in whole or in part by any negligent act or omission of PROVIDER, any subcontractor, anyone directly or indirectly employed by any of them or anyone from whom acts of them may be liable. XII PROVIDER shall maintain on file in the office of the City Clerk at all times a certificate evidencing such insurance coverage and naming CITY, its officers and employees, as an additional insured, and provided herein that CITY shall receive thirty (30) days notice prior to any termination, modification, or cancellation of any portion or all of the insurance coverage contained therein. XIII PROVIDER agrees to make provisions for maintaining a continuing education program for all employed HICU Paramedics as required by the Department of Health Services, County of Los Angeles. XIV PROVIDER agrees to respond promptly and without delay on all paramedic calls received by the dispatcher. The CITY's paramedic ambulance will be committed to only CITY paramedic responses. If a backup paramedic service is unavailable, PROVIDER -6- will respond with an emergency ambulance staffed with Emergency Medical Technicians l's (EMT-l) on any subsequent backup call. At such times when all PROVIDER ambulances are unavailable, PROVIDER agrees to arrange for, at its own expense, additional backup from other ambulance companies. However, it is expressly understood that PROVIDER agrees to arrange to provide a backup unit in accordance with Paragraph IX above and PROVIDER must provide evidence of good and sufficient cause if said service is unavailable. Failure to demonstrate proper cause shall be sufficient ground at CITY's option for immediate termination of this agreement. PROVIDER further agrees to provide a proper MICO Ambulance in the event the CITY's paramedic vehicle (License (E) 442482) is temporarily out of commission for any reason. XV PROVIDER agrees to maintain a direct telephone line to the CITY dispatcher in order to provide an efficient and prompt response. XVI PROVIDER agrees to provide service under the terms of this Agreement at rates in accordance with the Los Angeles County Ordinance No. 11,806, and Ordinance amending Chapter IV, or Ordinance No. 5860, or as such Ordinances are further amended, or as modified by Medicare and/or Medi-Cal (see Exhibit .C. which is attached hereto and made a part hereof by this reference as though fully set forth at length). -7- XVII PROVIDER further agrees to provide paramedic standby at all major events or incidences and will respond to any fire and police incidences and will provide paramedic services to CITY residents and/or their immediate family, residing with them, and CITY employees at no charge to the CITY, the resident, their immediate family or the employee. XVIII PROVIDER agrees to provide training to the CITY's firefighters in assisting paramedic operations, including drills, as deemed necessary by the CITY's Fire Chief. XIX In support of said Paramedic service, CITY agre~s to pay PROVIDER a monthly service fee in arrears by the 10th day of the following month the amount of Ten Thousand Dollars ($10,000.00). XX CITY agrees to provide necessary manpower needed to assist in cases of extrication, heart attack, crowd control, and disasters as deemed necessary by CITY's Pire Chief. XXI CITY shall continue utilization of its dispatcher for gathering necessary medical and location information and will promptlydispatch paramedic ambulances to the scene of medical emergencies, where the need for such service is anticipated. XXII PROVIDER shall not assign any portion of the Agreement -8- or the services to be rendered thereunder without the written consent first obtained from the CITY, and any assignment made contrary to the provisions of this Section shall serve to terminate this Agreement at the option of the CITY and shall not convey any rights to the assignee. XXIII PROVIDER agreesto equip each of its MICD Paramedic Ambulances with specialized equipment approved by the Department of Health Services, County of Los Angeles. This equipment shall include, but not be limited to, electrocardiograph oscilloscope, defibrillator, portable telemetry, portable suction apparatus, resuscitator, traction splint, and esophageal airway. However, it is contemplated that certain of the above-indicated equipment is to be supplied by the CITY pursuant to and listed on the attached Exhibit -A-: however, in the event of a backup vehicle being utilized in the CITY, said MICD Paramedic Vehicle must be approved by the Department of Health Services, County of Los Angeles and contain the above-mentioned equipment. XXIV It is mutually agreed by both parties hereto that certain administrative details as may be desirable or necessary for the implementation of the Agreement shall be, if desired, or required by either party hereto, in written form approved by CITY's Attorney and Finance Director and executed on CITY's behalf by CITY's Fire Chief. It is anticipated that such documents, if required, shall take the form of Letters of Administration. -9- xxv PROVIDER agrees to be responsible for the filing, accumulation, assimulation and preparation of all MICU required reports and duplicate copies of such reports will be filed with the CITY's Finance Director. IN WITNESS WHEREOF the parties hereto have caused this Agreement to be ",executed as of the month, day and year., first above written. CITY OF VERNON BY~~' - .. Leonis C. .alburg, May~r. ATTEST: /? L/ /44~ Bruce V. Malkenhorst, City Clerk APPROVED AS TO FORM: \)o.--J~('>~ David B. Brearley, City A orney INC.~/ / / / President -10- 5 6 1 8 9 10 11 12 13 14 15 16 1'1 18 19 20 21 22 23 24 25 26 27 28 J. 2 3 4 Quantity 1 1 1 2 1 2 1 1 1 1 1 1 2 1 1 11 7 3 20 10 8 3 36 9 3 5 2 12 1 5 1 1 1 1 EXHIBIT ..,.... I uv r.N TORY Hare Traction Splint Powers/Burn Pac' accessories, P.M.R. Bag Complete with child and reservoir tubing Burn Sheets E , J Lytport .111 complete Spare D bottles - oxygen Trauma Box complete with: 1 B/P cuff . 2 Bottles saline 6 D Units 1 Box Rotating Tourniquets Scoop Stretcher Flat stretcher Handles,Saline carrier masks , adult masks 4 Xold Pacs 2 Nasal Cannula 3 Coban . ~ Syringe First Aid'Xit including: Child's B/P cuff Adult B/P cuff 1 Airway .3 1 set Electrodes . Stethescope Rico Fixed Suction Unit Puritan Compensated Flow Meter Kits - Assorted Airways - Total 11 Supine Pillow . Syringe Wrist Splint Adult E , J Face !~sks 25' Extension Hoses (O~gen) Xerl~x . ' D Units Long Arm Boards Short Arm Boards Topper sponges (3x3) Xerlix ' D Units Airless Splints with pumP. O.B. Kits Cohan J! Bottle back board belts I! large leg splint . Datascope ch'arging unit !~ Diocom II 2 1/2 lb., dry chemical ExtinguiSher A-I / ,,/' " ! : I , .. : . ',. -. ...-.... ....- . 1 . , f 2 1 3 1 4 5 6 '1 '8 9 10 11 12 ,13 14 15 16 17 18 19 20 21 22 23 24 25 ,26 27 28 - Quanti ty 1984 Ford 1 Ton Van, Lie. (E) 442482 Motorola Radio artdPortable Radio 4rlHJG1239 Portable. 230 ACN 1558 Road At as . I : I ' . ,. .'-.. . :-'- .. ,...-. -,..... '='. .' . .-. ... . A-2 EXHIBIT -B- The following are items for the implementation of the Paramedic Services Contract entered into by and between the CITY OF VERNON (hereinafter the -CITY-), a Municipal Corporation of the State of California, and AME (Aids Medical Enterprises, Inc.) (hereinafter -PROVIDER-), a professional Paramedic Service. A. PROVIDER shall furnish the Fire Chief with a list of all certified paramedics to be employed by PROVIDER in the CITY. This list shall be kept current at all times. B. PROVIDER shall furnish the Fire Chief with a duty roster, indicating the personnel assigned to the paramedic rescue serving the CITY. The Fire Chief . or his authorized representative, shall have the authority to verify the duty roster. C. PROVIDER personnel will work with the Vernon Fire Department work schedule consisiting of three twenty-four (24) hour shifts, desiqnated -A- Shift, -B- Shift and .C- Shift. D. PROVIDER will supply a roster of personnel to work on each shift. E. :Working hours are from 0730 hours to 0730hours the next day. P. Officer or Acting Officers in charge of Station shall be in charge of paramedics. G. Paramedics and Rescue will be stationed at either Vernon Fire Station Nos. l, 2 or 3, as designated by the CITY's Fire Chief. B-l H. CITY Fire Department will furnish beds, clothing locker, medical supply locker: refrigerator and -cooking facilities are available at the Fire Station. I. Whenever paramedics are dispatched to emergency - incidents where Fire units are working, the paramedics shall come under the command of the Fire Department Officer or Acting Officer in charge of the incident. It is understood that command does not extend to medical treatment of patient(s). J. PROVIDER personnel will participate in Station care and maintenance which is not related to Fire conditions. Exclusion of these duties shall be at the discretion of the Officer in charge. K. Paramedics are responsible for the daily care and maintenance of the Rescue Vehicle (not mechanical). COMMUNICATIONS PROCEDURE The Vernon Pire Department Dispatcher shall initiate each emergency call. l. Over paging system witb tbe following response. .Rescue Only. following witb tbree (3) tones to Station involved. Will t~eD give address, name of Company and, if possible, type of incident. Receipt of alarm is acknowledged by RAcknowledgeW button. These buttons are located in different B-2 areas of the Station. 2. Dispatcher will notify PROVIDER's dispatcher over direct telephone line of incident. 3. If rescue is not in the Station, he will be notified by radio as follows: three tones--Vernon Rescue 1 address--Company and type of incident, if possible. 4. If rescue is in the field, they will notify Vernon Dispatcher at time of leaving the Station and immediately upon return to the Station. S. Rescue shall acknowledge, -Rescue No. 1 on the Scene, Vernonw, immediately upon arrival. 6. Rescue shall let Dispatcher know if ~e is transporting patient or en route to hospital or WReturning to Quartersw if he is not transporting patient to hospital. 7. Rescue shall notify Dispatcher when he arrives at hospital. Due to radio reach, this may not be received. 8. Rescue shall notify Dispatcher when he is leaving the hospital and is available. 9. Rescue will respond on all Fire Department first alarms and Police Department incidents when requested. B-3 .. EXHIBIT .C. USER FEE RATE SCHEDULE Transportation Charqes B.L.S. A.L.S. Base Rate Mileage Night (l900-0700) Emergency Waiting time - per lS minutes RetUrn Trip $1011.110 7 ?11 1h.?'i 1 f, . ?S 1 f, _ ?s * $?9f, on 7 ?c:; 1 f, ?5 i nt" l11npn 1 f,. ?Cj * Definitive Care Charges Telemetry EKG Invasive Procedures CPR Oxygen Suction Airway MAST Suit Spine Board $ 20.00 11).00 -0- ?o.oo 16.2'5 10.00 ?'iO -0- A.OO ine]ud"'d iTlcllJl1ed ~ iTlclud"'d inelllnF>d 16 . ?I) :I Tlt" 1 1]('1 pn 1Y"lt"lm'lPrl :I Tlt" 1 nn pi! i Tlt" 1 nil pi! The A.L.S. Rate (Paramedic) will apply only when ~unica- tions are established with the Base Station Sospital and orders are given. The ,rates may be adjusted from time to time to be in accordance with the Los Angeles County Ordinance establishing such rates, or as modified by Medicare or Medi-cal. Date, 04/2':i/R7 · This is treated 'as 8. sepe.ra.te trip or as "vaiting time" :'plus mileage and destination. The determination is' based onvhich means 'is least expensive to the patient.