Resolution No. 6933
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RESOLUTION NO. 6933
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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 AND AMBULANCE SERVICES AND USE
OF CITY VEHICLE, EQUIPMENT AND FACILITIES BY
AND BETWEEN THE CITY OF VERNON AND AMERICAN
MEDICAL RESPONSE, INC.
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WHEREAS, the City of Vernon has authority to provide
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emergency medical services for persons injured in traffic and other
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accidents,
and for incapacitated persons in need of medical
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attention in circumstances where prompt action is required; and
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WHEREAS, the City is authorized by law to subcontract for
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said services; and
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WHEREAS, the city has determined that mobile intensive
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care unit (MICU) paramedic and ambulance services are required for
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the health and welfare of its citizens; and
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WHEREAS, American Medical Response, Inc. (AMR) is in the
business of providing MICU paramedic and ambulance services and
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desires to be retained for such services as City may require; and
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WHEREAS, AMR will utilize the City's ambulance and
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appurtenant equipment and will house its personnel in Vernon Fire
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Station Nos. 1, 2 or 3, as so designated by the City's Fire Chief,
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so as to perform the services provided for herein in a prompt and
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efficient manner; and
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WHEREAS, Bruce V. Malkenhorst, City Administrator, has
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recommended approval of an agreement with AMR for such services.
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NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF VERNON AS FOLLOWS:
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SECTION 1: The City council of the city of Vernon hereby
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finds and determines that the recitals contained hereinabove are
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true and correct.
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SECTION 2: The City Council of the City of Vernon hereby
approves the Agreement for Mobile Intensive Care unit (MICU)
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Paramedic and Ambulance Services and Use of City Vehicle, Equipment
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and Facilities with American Medical Response, Inc., a copy of which
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has been presented to the ci ty Council concurrently with this
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resolution, and the City Council hereby orders said Agreement to be
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received and filed by the City Clerk.
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SECTION 3: The City Council of the City of Vernon hereby
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authorizes the Mayor and the City Clerk to execute said Agreement
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for, and on behalf of, the City of Vernon.
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SECTION 4: The City Clerk of the City of Vernon shall
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thereafter the same shall be in full force and effect.
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APPROVED AND ADOPTED this 25th day of March, 1997.
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ATr~ /~~
BRUCE V. MALKENHORST, City Clerk
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STATE OF CALIFORNIA )
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COUNTY OF LOS ANGELES )
I, BRUCE V. MALKENHORST, ci ty Clerk of the ci ty of
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Vernon, do hereby certify that the foregoing Resolution, being
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Resolution No. 6933, was duly adopted by the City Council of the
City of Vernon at an adjourned regular meeting of the City Council
duly held on Tuesday, March 25, 1997, and thereafter was duly signed
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by the Mayor of the City of Vernon.
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BRUCE V. MALKENHORST, City Clerk
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EXECurION COpy
AGREEMENT FOR MOBILE INTENSIVE CARE UNIT
CMICU) PARAMEDIC AND AMBULANCE SERVICES AND USE
OF CITY VEHICLE. EOUIPMENT ~ FACJLITIES '
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THIS AGREEMENT FOR MOBILE INTENSIVE CARE UNIT '(MICU)
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PARAMEDIC AND AMBULANCE SERVICES AND USE OF CITY VEHICLE,
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EQUIPMENT AND FACILITIES (hereinafter "Agreement") is made,
entered into and executed in duplicate originals, either copy of
which may be considered and used as the original hereof for all
purposes, as of this :;;.[4.J.- day of 1Y}t1/l~JJ, 1997, to be
effective OIVLJ I 1997,
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BY AND BETWEEN
CITY OF VERNON, a municipal
corporation (hereinafter
referred to as "CITY")
4305 Santa Fe Avenue
Vernon, CA 90058-0805
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AND
AMERICAN MEDICAL RESPONSE, INC.
(hereinafter referred to as
"PROVIDER" )
8633 California Avenue
South Gate, CA 90280
Telephone: (213) 567-1251
RECITALS:
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WHEREAS, CITY has authority to provide emergency medical
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services for persons injured in traffic and other accidents, and
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for incapacitated persons in need of medical attention in
circumstances where prompt action is required; and
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WHEREAS, CITY is authorized by law to subcontract for
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said services; and
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WHEREAS, CITY has determined that mobile intensive care
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unit (MICU) paramedic and ambulance services are required for the
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health and welfare of its citizens; and
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WHEREAS, PROVIDER is in the business of providing MICU
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paramedic and ambulance services and desires to be retained for
1 such services as CITY may require; and
2 WHEREAS, it has been mutually agreed that PROVIDER shall
3 utilize CITY's paramedic vehicle and appurtenant equipment and
4 shall house its personnel in Vernon Fire Station Nos. 1, 2 or 3,
5 as so designated by CITY's Fire Chief, so as to perform the
6 services provided for herein in a prompt and efficient manner.
7 NOW, THEREFORE, IN CONSIDERATION OF THESE MUTUAL
8 COVENANTS, THE PARTIES HERETO AGREE AS FOLLOWS:
9 SECTION 1: L~ASE OF PREMISES.
10 CITY shall permit PROVIDER to lease and occupy, subject
11 to this Agreement, space and facilities within Fire station Nos.
12 1, 2 or 3 for housing, as designated by CITY's Fire Chief.
13 (a) PROVIDER shall compensate CITY for the right to
14 occupy space within Fire station Nos. 1, 2 or 3, as designated by
15 CITY's Fire Chief, at a nominal rental of $1.00 per month, payable
16 in advance on or before the 10th day of each month.
17 (b) PROVIDER personnel shall keep said premises clean
18 and orderly at all times.
19 (c) The relationship, under this Agreement, between
20 PROVIDER and CITY's Fire Department shall be that of guest and
21 host, respectively. PROVIDER personnel shall be subordinate to
22 the Fire Station Commander on all matters relating to the station
23 maintenance, internal security, training and drills.
24 SECTION 2: LEASE OF VEHICLE.
25 CITY shall permit PROVIDER to lease and use CITY's
26 paramedic vehicle (License No. E 342042) subject to the following
27 terms and conditions:
28 (a) Said vehicle shall be used within and dedicated to
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1 service within CITY, except as otherwise authorized herein.
2 (b) CITY shall perform or be responsible for the expense
3 of all necessary heavy maintenance and shall supply all necessary
4 gas, oil, and supplies for said paramedic vehicle.
5 (c) PROVIDER personnel will be responsible for the
6 condition and cleanliness of said vehicle and for proper fueling
7 and servicing of said vehicle, when necessary, using reasonable
8 care while said vehicle is in their possession. Further, PROVIDER
9 shall be responsible for all damage to said vehicle caused by such
10 personnel's negligent maintenance or operation.
11 (d) PROVIDER shall compensate CITY for the lease and use
12 of said vehicle at a nominal rate of $1.00 per month payable in
13 advance on the 10th day of each month.
14 SECTION 3: CITY'S PARAMEDIC EOUIPMENT SUPPLIES, AND
15 INVENTORY.
16 CITY shall provide the paramedic equipment, supplies and
17 inventory listed and shown on Exhibit A, which is attached hereto
18 and made a part hereof by reference. Exhibit A may be revised
19 from time to time to show upgrading of equipment, supplies, and
20 inventory.
21 (a) CITY shall permit PROVIDER to use said paramedic
22 equipment, supplies, and inventory.
23 (b) PROVIDER personnel shall use and maintain said
24 paramedic equipment, supplies, and inventory in a good and proper
25 condition.
26 (c) In the event of any loss or destruction due to
27 negligence, PROVIDER will reimburse CITY the reasonable cost of
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1 (d) After termination hereof, the paramedic equipment,
2 supplies and inventory shall be returned to CITY or replaced by
3 PROVIDER.
4 SECTION 4: PROVIDER'S SPECIALIZED EOUIPMENT.
5 (a) PROVIDER shall equip CITY's paramedic vehicle and
6 each of its backup MICU paramedic ambulances with specialized
7 equipment approved by the Department of Health Services, County of
8 Los Angeles. This equipment shall include, but not be limited to,
9 electrocardiograph oscilloscope, defibrillator, portable
10 telemetry, portable suction apparatus, resuscitator, traction
11 splint, and esophageal airway except to the extent that the above-
12 indicated equipment is supplied by CITY for CITY's paramedic
13 vehicle as listed on Exhibit A.
14 (b) PROVIDER shall make available backup MICU ambulance
15 service as provided herein. Each backup MICU paramedic ambulance
16 utilized in CITY by PROVIDER must be approved by the Department of
17 Health Services, County of Los Angeles.
18 SECTION 5: MISSION AND RESPONSIBILITIES.
19 Each party hereto acknowledges and recognizes the vital
20 community services each is providing and will, as further set
21 forth in Exhibit B, which is attached hereto and made a part
22 hereof by reference, assist each other in the fulfillment of their
23 mission and responsibilities.
24 SECTION 6: PROVIDER'~ STAFF.
25 The CITY's paramedic vehicle and each MICU paramedic
26 ambulance shall be staffed with a driver and an attendant, both of
27 whom shall wear uniforms identifying such persons as employees of
28 PROVIDER. Both driver and attendant shall be trained in
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1 accordance with the Wedworth-Townsend Paramedic Act and shall be
2 certified by the County of Los Angeles as MICU paramedics. Both
3 shall hold a current valid ambulance driver's certificate issued
4 by the state of California.
5 SECTION 7: CITY'S DISPATCHER.
6 CITY shall utilize its dispatcher for gathering necessary
7 medical and location information and will promptly dispatch CITY's
8 paramedic vehicle and, if needed, PROVIDER's MICU paramedic
9 ambulance(s) to the scene of medical emergencies, when the need
10 for such services is determined. PROVIDER shall, in each instance
11 of an authorized call, transport the injured party to the nearest
12 available appropriate hospital or emergency medical facility
13 approved under the Los Angeles County Emergency Aid Program;
14 provided, however, that nothing stated herein shall preclude the
15 patient from specifying a different hospital or other destination.
16 SECTION 8: P~RAMEDIC SERVICES.
17 PROVIDER shall provide ambulance service using CITY's
18 paramedic vehicle or PROVIDER's MICU paramedic ambulances to all
19 places within the CITY's boundaries. PROVIDER shall respond
20 promptly and without delay on all paramedic calls received by the
21 dispatcher.
22 (a) CITY's paramedic vehicle will be committed to CITY
23 paramedic responses.
24 (b) PROVIDER shall have available a backup MICU
25 paramedic ambulance within a fifteen (15) minute response time for
26 any call within CITY's boundaries.
27 (c) If a backup MICU paramedic ambulance is unavailable,
28 PROVIDER will respond with an emergency ambulance staffed with
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1 Emergency Medical Technicians l's (EMT-1) on any subsequent backup
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(d) At such times when all PROVIDER ambulances are
unavailable, PROVIDER agrees to arrange, at its own expense, for
additional backup from other ambulance companies. However, it is
expressly understood that PROVIDER shall have available a backup
unit in accordance with paragraph (b) 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.
(e) PROVIDER shall furnish a proper MICU paramedic
ambulance in the event CITY's paramedic vehicle (License No.
E 342042) is temporarily out of commission for any reason.
SECTION 9: STANDBY RESPONSE TO INCIDENTS.
PROVIDER shall respond on all Fire Department first
alarms in the CITY and on request to all police Department
incidents in the CITY. PROVIDER, at the request of the CITY, will
respond on similar alarms and incidents outside the CITY involving
CITY Fire or Police Department officers.
(a) PROVIDER shall provide paramedic standby at all such
major events or incidents.
(b) CITY shall provide necessary manpower needed to
assist in cases of extrication, heart attack, crowd control, and
disasters as deemed necessary by CITY's Fire Chief.
SECTION 10: TELEPHONE LINE.
PROVIDER shall maintain a direct telephone line from its
office to the Fire Department dispatcher in order to provide an
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1 efficient and prompt response.
2 SECTION 11: REPORTS.
3 PROVIDER agrees to be responsible for the filing,
4 accumulation, assimilation and preparation of all MICU required
5 reports arising from use of CITY's paramedic vehicle, and
6 duplicate copies of such reports will be filed with CITY's Finance
7 Director.
8 SECTION 12: INSURANCE.
9 PROVIDER shall furnish and maintain the policies of
10 insurance and proof of insurance set forth in the Insurance
11 Schedule, which is attached hereto as Exhibit C and made a part
12 hereof by reference.
13 SECTION 13: INDEMNIFICATION.
14 PROVIDER shall indemnify and hold harmless CITY and its
15 agents and employees from and against all claims, damages, losses
16 and expenses including attorney's fees arising out of or resulting
17 from the performance of the services caused in whole or in part by
18 any negligent act or omission by PROVIDER, any subcontractor of
19 PROVIDER, anyone directly or indirectly employed by any of them,
20 or anyone for whose acts PROVIDER may be held liable.
21 SECTION 14: CONTINUING EDUCATION.
22 PROVIDER agrees to maintain or make provision for a
23 continuing education program for all employed MACAW Paramedics as
24 required by the Department of Health Services, county of Los
25 Angeles. PROVIDER shall give training to CITY's firefighters in
26 assisting paramedic operations, including drills, as deemed
27 necessary by the Fire Chief.
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1 SECTION 15: PROVIQER'S RATES.
2 Under the terms of this Agreement, PROVIDER shall furnish
3 service to persons at rates in accordance with the Los Angeles
4 county Ordinance No. 11,806, and Ordinance amending Chapter IV, or
5 Ordinance No. 5860, or as such Ordinances are further amended, or
6 as modified by Medicare andlor Medi-Cal (see Exhibit D, which is
7 attached hereto for information, which Exhibit may be revised in
8 accordance with Los Angeles County rates from time to time).
9 SECTION 16: ~TE WAIVER FOR RESIDENTS AND EMPLOYEES OF
10 CITY.
11 PROVIDER shall provide MACAW paramedic and ambulance
12 services to CITY residents, to their immediate family members
13 residing with them, and to CITY employees located in the CITY at
14 no charge to CITY, to CITY's self-insured health plan, to the
15 resident, to their immediate family members, or to such CITY
16 employees. Nothing in this section shall prohibit PROVIDER from
17 billing any other insurance carrier providing coverage, and
18 nothing in this Agreement shall constitute a waiver of such
19 additional coverage.
20 SECTION 17: LIMITATIONS OF RATES RE COUNTY OF LOS
21 ANGELES.
22 Effective November 26, 1991, CITY entered into an
23 Emergency Ambulance Service Agreement with the county of Los
24 Angeles recognizing CITY's jurisdiction over emergency ambulance
25 service within CITY's boundaries, but on condition that CITY not
26 bill the County of Los Angeles for service to indigents. This
27 Agreement shall be subject to the terms of said agreement and
28 CONTRACTOR shall abide by said condition with respect to indigents
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1 which is set forth in Section 5 to said agreement, a copy of which
2 is attached hereto as Exhibit E and made a part hereof by
3 reference.
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SECTION 18: PAYMENT TQ PROVIDER.
For MACAW paramedic and ambulance services, CITY agrees
to pay to PROVIDER a monthly service fee by the 10th day of the
month following submission of an invoice in the amount of Eighteen
Thousand Two Hundred Fifty Dollars ($18,250.00). Said invoice
shall be in writing and shall provide a detailed report of all
calls made, location, time, names, and destination. Said payment
shall be in addition to amounts collected by PROVIDER pursuant to
sections 15 and 16.
SECTION 19: ASSIGNMENT.
PROVIDER shall not assign any portion of this Agreement
or the services to be rendered hereunder without the written
consent first obtained from CITY, and any assignment made contrary
to the provisions of this section shall serve to terminate this
Agreement at the option of CITY and shall not convey any rights to
the assignee.
SECTION 20: ADMINISTRATIVE IMPLEMENTATION.
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, submitted in written form to be approved
by the City Attorney and City Administrator and executed on CITY's
behalf by the Fire Chief. It is anticipated that such documents,
if required, shall take the form of Letters of Administration.
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1 SECTION 21: TERM OF AGREEMENT.
2 The term of this Agreement shall be from April 1, 1997
3 through and including July 31, 1998. In the event said Agreement
4 is not terminated prior to July 31, 1998, it shall continue on a
5 month-to-month basis thereafter and all charges and fees shall be
6 applicable on the same basis as provided for herein. If either
7 party wishes to terminate this Agreement before July 31, 1998, or
8 thereafter, such party shall give the other party a written notice
9 (registered or certified letter) at least thirty (30) days prior
10 to said termination date indicating the intent to terminate.
11 However, notwithstanding the above, CITY shall have the right to
12 unilaterally terminate said Agreement on five (5) days written
13 notice if PROVIDER is in violation of the L.A. County MICU Rules
14 and Regulations.
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1 IN WITNESS WHEREOF the parties hereto have caused this
2 Agreement to be executed as of the month, day and year first above
3 written.
CITY OF VERNON
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Date:
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ATTESTd /. "7 #' /:-
By: /~~~n/Y~
BRUCE V. MALKENHORST, City Clerk
Date: '-IY)tlM.h C;;,\ /997
APPROVED AS TO FORM:
By: D~~ ~~~~i'
Date: 5!d~ q7
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Attorney
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INC. )
AMR ~DICAL RESPONSE,
By: ~~
CHAD DRUTEN, D1rector of
Administrative Services
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EXHIBIT A
INVENTORY OF SUPPLIES AND EQUIPMENT
PROVIDED BY CITY
QUANTITY
1 Hare Traction splint
1 Powers I Burn Pac & accessories, handles, saline carrier
1 P.M.R. bag complete with childladult masks and reservoir tubing
2 Burn Sheets
1 Resuscitator and airway bag (including reserves)
2 Spare D bottles - oxygen
1 Trauma box complete with:
1 B/P cuff 4 Kold packs
2 Bottles Saline 2 Nasal cannula
6 D units 3 Coban
1 rotating tourniquets (box) 1 Syringe
1 Scoop stretcher
1 Flat stretcher
1 First aid kit including:
1 Child B/P cuff
1 Adult BIP cuff
1 Airway #3
1 Set electrodes
1 Stethoscope
1 Rico fixed suction unit
1 Puritan compensated flow meter
1 Kit - assorted airways (total 11 each)
1 Supine pillow
1 Syringe
11 wrist splints
7 Adult E & J face masks
3 25' extension hoses (oxygen)
20 Kerlix
8 Long arm boards
3 Short arm boards
36 Topper sponges
2 O.B. kits
12 Coban
1 H bottle
5 Backboard belts
1 Large leg splint
1 Datascope charging unit (kept at Fire station #3)
1 Biocom
1 2 1/2 lb dry chemical extinguisher
1 1992 Ford paramedic vehicle, 1 ton van, Lic. E342042
1 Motorola spectra mobile radio serial #671ASJ0327
1 Motorola Sabre portable radio serial #426ARY2218
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EXHIBIT A
EXHIBIT B
A. IMPLEMENTATION.
The following matters shall be implemented by CITY and by the
PROVIDER:
1. 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.
2. PROVIDER shall furnish the Fire Chief with a duty roster,
indicating the personnel assigned to the CITY's paramedic
vehicle (Rescue Vehicle No.3, hereinafter "rescue unit").
The Fire Chief or his authorized representative, shall have
the authority to verify the duty roster.
3. PROVIDER personnel shall comply with the Fire Department
work schedule consisting of three twenty-four (24) hour
shifts, designated "A" Shift, "B" Shift and "c" Shift.
4. PROVIDER shall supply a roster of personnel to work on each
shift. Shifts are from 0700 hours to 0700 hours the next
day.
5. The Fire Department Officer or Acting Officer in charge of
a station shall be in charge of paramedics. Whenever
PROVIDER personnel are dispatched to emergency incidents
where Fire Department units are working, the personnel shall
come under the command of the Fire Officer in charge of the
incident. It is understood that such command does not
extend to medical treatment of patient(s).
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EXHIBIT B
6. PROVIDER personnel shall be stationed at Fire station Nos.
1, 2 or 3, as designated by the Fire Chief.
7. The Fire Department will furnish beds, clothing lockers, and
a medical supply locker.
8. PROVIDER personnel shall be responsible for their own food
preparation. A refrigerator and cooking facilities are
available at the Fire station.
9. PROVIDER personnel will participate in normal Fire station
care and cleaning which is not related to fire conditions.
Exclusion of these duties shall be at the discretion of the
Fire Department Officer or Acting Officer in charge.
10. PROVIDER personnel are responsible for the daily care and
maintenance (not mechanical) of the rescue unit.
B. COMKUNICATIONS PROCEDURE.
The Fire Department dispatcher will initiate each emergency
call. The following communication procedure shall be followed:
1. An alarm to the rescue unit shall be given over the radio
and paging system as follows:
(i) The alarm shall consist of one (1) tone.
(ii) The Fire Department apparatus and the rescue unit
shall respond.
(iii) The Fire Department dispatcher will then give the
address, the name of business or company and, if
possible, the type of incident.
(iv) The rescue unit personnel will acknowledge receipt of
the alarm and message by radio.
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2. The Fire Department dispatcher will notify PROVIDER's
dispatcher of the incident over the direct telephone line.
3. If the rescue unit is in the field, PROVIDER personnel will
notify the Fire Department dispatcher at the time of leaving
the Fire station and immediately upon returning to the Fire
station. For example, the rescue unit immediately upon
arrival shall acknowledge, "Rescue No.3 on the scene,>
Vernon".
4. The rescue unit shall let the Fire Department dispatcher
know if it is transporting a patient, if it is enroute to a
hospital, or if not transporting a patient, returning to the
Fire station.
5. The rescue unit shall notify the Fire Department dispatcher
when it arrives at the hospital, if possible. If due to
radio reach this message cannot be received, the rescue unit
shall make contact with the Fire Department dispatcher by
telephone.
6. The rescue unit shall notify the Fire Department dispatcher
when it is leaving the hospital and is available.
7. The rescue unit shall respond on all Fire Department first
alarms in the CITY and on police Department incidents in the
CITY when requested. The rescue unit, at the request of the
Fire Department dispatcher, shall respond on similar alarms
and incidents outside the CITY involving Fire or police
Department officers.
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EXHIBIT C
INSURANCE SCHEDULE (CONTRACTOR)
The Contractor shall provide proof of insurance, including a standard
certificate of insurance, in at least the following amounts and
coverage (combined single limit permitted):
Coveraae and Limits
Bodily Injury Prooerty Damaae
Each Person Each Acqident Ea9h Accident
I.
Hazards
Automobile Liability
Owned Automobiles
Hired Automobiles
Non-Owned Automobiles
Workers' Comoensation
Emplovers" Liability
II. General and
Professional Liability
Premises Operations
Elevators
(if applicable)
Independent
Contractors
Products - Completed
Operations
Contract Liability
Professional Liability
$1,000,000
$1,000,000
$1.000.000
$ 500,000
$ 500,000
$ 500.000
$ statutory
$1.000.000 per emoloyer
$1,000,000
$1,000,000
$1,000,000
$1,000,000
$1.000.000
$2.000.000
$2,000,000
$2,000,000
$2,000,000
$2,000,000
$2.000.000
$2.000.000
$
$
$
500,000
500,000
500.000
$1,000,000
$1,000,000
$1,000,000
$1,000,000
$1.000.000
$2.000.000
a. The general liability policy shall contain the following special
endorsements which shall be noted on or attached to the standard
certificate of insurance:
1. An endorsement naming the City of Vernon, its officers, and
employees as insureds under the policy.
2. An endorsement providing the city of Vernon thirty (30) days
notice of cancellation or material reduction of coverage. .
3. An endorsement providing coverage for all operations under
this Agreement.
4. Such other endorsement as may be required by addendum
hereto.
b. In addition to the standard certificate of insurance, proof of
general and umbrella liability coverage shall be furnished in the
form checked below. certification of the followina oroofs bY the
insurance agent or broker will not be acceoted:
X For each policy, a notarized letter from the underwriter or
carrier certifying that the coverage and statements in the
standard certificate of insurance (attached thereto) are
true and correct and that the signature is an officer
authorized to so certify.
A copy of each policy certified by an officer of the
underwriter or carrier and notarized.
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EXHIBIT C
EXHlplT 0
USER F~E RATE SCHEDULE
BASIC LIFE SUPPORT (B.L.S.) AND ADVANCED LIFE SUPPORT (A.L.S.)
TRANSPORTATION CHARGES
B.L.S.
A.L.S.
Base Rate
Mileage
Night (1900-0700)
Emergency
Waiting Time - per fifteen minutes
Return Trip
$274.75
$ 11. 00
$ 47.75
$ 74.25
$ 29.50
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$462.00
$ 11.00
$ 47.75
$ 74.25
$ 29.50
*
DEFINITIVE CARE CHARGES
Oxygen
Mask and Tubing
Linens and Gloves
Bandages and Dressings
Spine Board
Cervical Collar
Ice Packs
O.B. Kit
Burn Kit
Telemetry
EKG
Invasive Procedures
CPR
suction
Airway
MAST Suit
$ 37.00 $ 37.00
$ 15.75 $ 15.75
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$ 15.75 $ 15.75
$ 29.25 $ 29.25
$ 26.00 $ 26.00
$ 15.75 $ 15.75
$ 28.25 $ 28.25
$ 28.25 $ 28.25
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*This is treated as a separate trip or as "waiting time" plus mileage
and destination. The determination is based on which means is least
expensive to the patient.
**INCLUDED IN A.L.S./EMERGENCY RATES
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:
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EXHIBIT 0