ALS FIRST RESPONDER AGREEMENT
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EMERGENCY MEDICAL SERVICES
ALS FIRST RESPONDER AGREEMENT
dJu~~ 02 i, 1997
PINELLAS COUNTY
EMERGENCY MEDICAL SERVICES AUTHORITY
12490 Ulmerton Road
Largo, FL 33774
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T ABLE OF CONTENTS
PARTIES ...... . ........ .. .. ... . . . . .... ....... .... ...... . .. . 1
RECITALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1
ARTICLE I
THE AGREEMENT
SECTION 101. Purpose........................................,. 2
SECTION 102. Cooperation....................................... 3
SECTION 103. Contract Documents ................................ 3
SECTION 104. Scope of Services ......."......................... 4
ARTICLE II
DEFINITIONS
SECTION 201. Words and Terms ................................. 4
SECTION 202. Terms Generally .............. _ . . . . . . , . . . . , , . . . . . . 13
ARTICLE III
REPRESENTATIONS
SECTION 301. Representations of Authority ...,........,........... 13
SECTION 302. Representations of Contractor ...................... .15
ARTICLE IV
DUTIES AND RESPONSIBILITIES OF CONTRACTOR
SECTION 401. Vehicles and Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SECTION 402. Priority Dispatch Protocols ................ _ _ . . . . . . . . 18
SECTION 403. Response Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
SECTION 404. Continuing Medical Education ..................... _ . 19
SECTION 405. Medical Quality Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
SECTION 406. Medical Audits ................................... 21
SECTION 407. Personnel...... _ . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . 21
SECTION 408. Disaster Assistance and Mutual Aid . . . . . . . . . . . . . . . . . . _ 22
SECTION 409. Automatic Aid/Closest Unit Response ................. 24
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SECTION 410.
SECTION 411.
SECTION 412.
SECTION 413.
SECTION 414.
SECTION 415.
SECTION 501.
SECTION 502.
SECTION 503.
SECTION 504.
SECTION 505.
SECTION 506.
SECTION 507.
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Medical Supplies and Inventory Control. , , . . . . . . . . . . . . . 24
Patient Care Reporting System "........,........... 25
Requests for Emergency Medical Assistance. . . . . . . . . . . . 26
Community Involvement ............................ 26
Licensure and Certification .......................... 27
Shared Recognition . . . , , . : . . . . . . . , . . . . . . . . . . . . . . . . . 27
ARTICLE V
DUTIES AND RESPONSIBILITIES OF AUTHORITY
Medical Direction and Control . . . . . . . , . . . . . . . . . . . . . . . . 27
Continuing Medical Education ...................... 27
Medical Communications Equipment . . . . . . . . . . . . . . . . . . 28
Supply Replacement .............................. 28
Extraordinary Modifications ...,...,...,............. 29
Billing ..........,.,............................. 29
Medical Equipment Maintenance ........"...,......, 29
ARTICLE VI
INSURANCE AND INDEMNIFICATION
SECTION 601. Minimum Insurance Requirements .................... 30
SECTION 602. Additional Insurance Requirements. . . . . . . . . . . . . . . . . . . . 32
SECTION 603. Indemnification.................................... 32
ARTICLE VII
COMPENSATION AND OTHER FINANCIAL PROVISIONS
SECTION 701. Compensation ........,............... . . . . . . . . . . . . 33
SECTION 702. Deduction For Failure To Comply With Response Time
Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
SECTION 703. Deduction for Failure to Provide First Responder Unit .... 34
SECTION 704. Deduction For Noncompliance .. _ . . . . . . . . . . . . . . . . . . . . 34
SECTION 705. Deduction For Faulty Documentation ... _ . . . . . . . . . . . . . . 35
SECTION 706. Automatic Annual Inflation Adjustment ................. 35
SECTION 707. Adjustment For Extraordina'ry Cost Increases ........... 36
SECTION 708. Performance Compensation ......................... 37
SECTION 709. Funds To Be Used Solely For First Responder Services ... 38
SECTION 710. Future/Additional Services. . . . . . . . . . . . . . . . . . . _ . . . . . . . 39
SECTION 711. Service Consolidation .............................. 39
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SECTION 712. Additional Units ................................... 40
SECTION 713. Audits and Inspections. . . . . . . . . . . . . , . . , . . . . . . . . . . . . . 41
SECTION 714. Fiscal Non-Funding ........................ - . . . . . . . 42
ARTICLE VIII
TERM AND TERMINATION
SECTION 801. Term ...............,........................... 42
SECTION 802. Termination ....,................................. 42
SECTION 803. Resolution of Disputes. . . . . . . . . . . . . . . . . . . . . . . . . . . - . . 43
ARTICLE IX
MISCELLANEOUS
SECTION 901. Nondiscrimination in Employment. . . . , . . . . . . . . . . . . . . . . 44
SECTION 902, Notices ...................,......,..........,... 44
SECTION 903. Entire and Complete Agreement . . . . . , . . . . . . . . . . . . . . . . 45
SECTION 904. Other Documents ,................................ 45
SECTION 905. Applicable Law ....,.............................. 45
SECTION 906. Waiver . , . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
SECTION 907. Severability ........................ - . . . . . . . . . . . . . 46
SECTION 908. Contractor Is Independent Contractor . . . . . . . . . . . . . . . . . . 46
SECTION 909. No Third-Party Beneficiaries; Assignment . . . . . . . . . . . . . . . 46
SECTION 910. Headings.................,...................... 46
SECTION 911. Counterparts ..................................... 46
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EMERGENCY MEDICAL SERVICES
ALS FIRST RESPONDER AGREEMENT
AGREEMENT made this dr.:vLday of ~--I'-f/L.; , 1997, between
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corporation ("Contractor"), and the PINELLAS COUNTY EMERGENCY MEDICAL
SERVICES AUTHORITY, a special taxing district established by Chapter 80-585, Laws of
Florida, as amended ("Authority").
RECITALS
1. TheAuthority is a special taxing district created by Chapter 80-585 Laws of
Florida ("Special Act"), for the purpose of providing emergency medical services throughout
Pinellas County ("County").
2. The Authority has determined that a single-tier all Advanced Life Support
("ALS") EMS system with a first responder component and a transport component is in the
best interest of public safety, health and welfare,
3. Pursuant to the Special Act and Chapter 54, Article III of the Pinellas County
Code, Authority has contracted with various municipalities, independent special fire districts
and not-for-profit corporations in the County to provide First Responder Services (as
defined herein) and has alsocontracted with a private ambulance company to provide ALS
emergency and non-emergency transport services.
4. The Authority wishes to enhance the current "high performance" Pinellas
County EMS System by establishing performance based contracts for First Responder
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Services (as defined herein).
5. The Authority wishes to continue to provide long-term direction and financial
stability to the entire emergency medical services system while controlling and managing
the future growth of the First Responder Services through the funding policies contained
herein.
6. Authority is authorized to enter into agreements for emergency medical
services and the Contractor is willing and able to provide First Responder Services (as
defined herein).
7. The Authority will pay a fixed price for the reasonable and customary cost
of providing First Responder Services (as defined herein).
8. The Authority wishes to continue to encourage the use of the 9-1-1 telephone
number for emergencies and to discourage the improper use of the 9-1-1 system and first
responder resources for non-emergency calls.
9. Now, therefore, in consideration of the mutual covenants, terms and
conditions herein set forth to be kept and performed by and between the parties hereto,
it is agreed as follows:
ARTICLE I
THE AGREEMENT
SECTION 101. PURPOSE. The purpose of this Agreement is to define the obligations
and responsibilities of the Parties hereto with respect to the provision of First Responder
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Services in the County.
SECTION 1 02. COOPERATION. The Parties shall cooperate and use all reasonable
efforts, pursuant to the terms of this Agreement, to facilitate the terms of this Agreement.
Accordingly, the Parties further agree in good faith to mutually undertake resolution of
disputes, if any, in an equitable and timely manner so as to limit the need for costly,
time-consuming, adversarial proceedings to resolve such disputes.
SECTION 103. CONTRACT DOCUMENTS. The following Appendices are attached to
and made part of this Agreement:
Appendix A. -ALS First Responder Units Furnished by Contractors
Appendix B. Annual Compensation For Fiscal Year 1997-1998
Appendix C. First Responder Contractors
Appendix D. EMS Districts
Appendix E. On-Scene Equipment Exchange Items
Appendix F. EMS Equipment
This Agreement, together with the foregoing Appendices, constitutes the entire Emergency
Medical Services ALS First Responder Agreement between the Parties with respect to the
provision of ALS First Responder Services, and shall supersede any prior agreement,
contract or memorandum of understanding between the Parties regarding such services.
The Parties agree that the terms and conditions of this Agreement, including the
Appendices, shall govern exclusively the obligatiuns of the Parties.
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SECTION 104. SCOPE OF SERVICES. The services to be performed under this
Agreement include the following:
The response of an ALS First Responder Unit to the scene of a medical
emergency
The on-scene patient care by Paramedics and EMT's
The continuation of patient care, when Contractor's Paramedic accompanies the
patient during transport by the Ambulance Provider or medical helicopter
The transport of patients to a medical facility, in extraordinary circumstances,
in accordance with Florida Statute 401.33 and the then current Medical
Operations Manual, Transport Protocols.
Such services shall be provided in accordance with the terms and conditions of this
Agreement. The specific terms and conditions of this Agreement shall govern and prevail
over this Section 104.
ARTICLE II
DEFINITIONS
SECTION 201. WORDS AND TERMS. Unless the context otherwise requires, capitalized
terms used herein shall have the following meanings ascribed to them:
"ALS" means Advanced Life Support.
"ALS First Responder Services" means the response of an ALS First Responder
Unit to the scene of a medical emergency and, if necessary, on-scene patient care by
EMT's and Paramedics, all in accordance with the protocols of the Authority. Except as
provided for in the Medical Operations Manual, ALS First Responder Services do not
include the transport of a Patient from a scene of an emergency to a medical facility_
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"ALS First Responder Station" means any location designated by the Contractor
and approved by the Authority at which an ALS First Responder Unit and, with the
minimum staffing required herein, are located.
"ALS First Responder Unit" means any of the ALS permitted vehicles provided
by Contractor under this Agreement and listed on Appendix A, each of which is equipped
to provide Advanced Life Support services and is used for rapid response to a medical
emergency. ALS First Responder Units may include, but not be limited to, ALS engines,
transport capable rescue units and non-transport capable rescue units.
"Advanced Life Support" means treatment of life-threatening medical emergencies
through the use of techniques such as endotracheal intubation, the administration of drugs
or intravenous fluids, cardiac monitoring, and cardiac defibrillation by a qualified person,
pursuant to rules of the Department
"Ambulance" means a vehicle constructed, equipped and permitted as an ALS
Ambulance, pursuant to the rules of the Department for the transportation of Patients.
"Ambulance Provider" means the company selected by the Authority to provide
ambulance service.
"Annual Compensation" means the fixed profeSsional services fee listed on
Appendix B, as may be adjusted pursuant to the terms of this Agreement
"At Patient Notification" means the time of arrival of a Paramedic to the Patient's
side.
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"Authority" means the Pinellas County Emergency Medical Services Authority, a
special taxing district established by Chapter 80-585, Laws of Florida, as amended.
"Automatic Aid/Clos~st Unit Response Agreement" means the Agreement by
and between every political subdivision and fire control district within Pinellas County dated
October 16, 1990.
"BLS" means Basic Life Support.
"BLS First Responder Unit" means a vehicle equipped to provide Basic Life
Support only.
"Basic Life SUpport" means treatment of medical emergencies by a qualified
person through the use of techniques described in the Emergency Medical Technician
Basic Training Course Curriculum of the United States Department of Transportation.
"CAD" means computer aided dispatch.
"Caller" means a person accessing the response system by telephone.
"Continuing Medical Education" or "CME" means (1) the minimum required
continuing medical education required for Emergency Medical Technicians and
Paramedics to maintain certified status within the EMS System, the State of Florida, and
where applicable, the National Registry of Emergency Medical Technicians; and (2)
education for individuals who have a specific deficiency that must be corrected to maintain
or restore their status within the EMS System.
"Contract Year" means, for any given year, the period commencing on October 1 st
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and ending at midnight on September 30th of the following year.
"Contractor" means anyone of the entities described on Appendix C.
"County" means Pinellas County, Florida, a political subdivision of the State of
Florida.
"County Certified" means authorized to work in the EMS System in accordance
with requirements established by the Medical Control Board, the Medical Director and
approved by the Authority.
"Department" means the State of Florida Department of Health.
"Disaster" means an occurrence of a severity and magnitude that normally results
in death, injuries and/or property damage and that can not be managed through routine
procedures and resources of the EMS system.
"Emergency Medical Technician" means any person who is trained in Basic Life
Support, who is County Certified and who is certified by the Department to perform such
services in emergency situations.
"Emergency Medical Request" means a request for emergency medical services
received directly at the 9-1-1 Center.
"EMS" means emergency medical services.
"EMS Districts" means the districts designated by Authority pursuant to the Special
Act and shown on Appendix D attached hereto and made a part hereof.
"EMS Emergency" means any occurrence or threat thereof in the County, any
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municipalities therein or in any surrounding county or counties which may result in unusual
system overload and is designated such by the Executive Director or Authority.
"EMS Equipment" means the equipment listed on Appendix F.
"Emergency Response" means, for the purposes of measuring response time
compliance in Section 403, the act of responding to a request for services in which the
Priority Dispatch Protocols have determined that red lights and sirens will be used.
"EMS Mill" means the ad valorem real property tax imposed by the Authority
pursuant to Chapter 80-585, Laws of Florida, as amended.
"EMS Ordinance" means Chapter 54, Article III of the Pinellas County Code, as
may be amended.
"EMS System" means the network of organizations and individuals, including, but
not limited to, the Ambulance Provider, the Authority, the Contractors and the Medical
Director, established to provide emergency medical services in Pinellas County.
"Executive Director" means the Director of the EMS System, or his or her
Designee, as approved by the Authority.
"First Due Unit" means the Contractor's Unit, within Contractor's primary response
area, predetermined to be the nearest to the medical eplergency, in accordance with
Section 409 hereof.
"Field Personnel" means Paramedics and EMT's employed by Contractor.
"First Responder Services" means ALS First Responder Services.
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"First Shock Notification" means radio notification by a Paramedic to the central
dispatch operator of the first defibrillator shock of Patients who are in a cardiac rhythm of
ventricular fibrillation or ventricular tachycardia.
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"Fiscal Year" means the year commencing on October 1 of any given year and
ending on September 30 of the immediately-succeeding year.
"Force Majeure" means any act, event or condition, other than a labor strike, work
stoppage or slowdown, that has had or may reasonably be expected to have a direct
material adverse effect on the rights or obligations of either Party under this Agreement,
if such act, event or condition is beyond the reasonable control of the Party relying thereon
as justification for not performing an obligation or complying with any condition required of
such Party under this Agreement and is not the result of willful or negligent action or a lack
of reasonable diligence of the Party relying thereon. Such acts or events may include, but
shall not be limited to, an act of God (except normal weather conditions for the geographic
area of the County), epidemic, landslide, or similar occurrence, an act of the public enemy,
war, blockade, insurrection, riot, general arrest or restraint of government and people, civil
disturbance or similar occurrence.
"Marginal Cost" means the cost incurred by Contr~ctor in providing First
Responder Services and which cost would not be incurred if First Responder Services
were terminated or had never been initiated,
"Medical Audit" means a service inquiry, quality assurance review or medical
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review hearing by the Medical Director and/or Medical Control Board into procedures and
practices of Field Personnel.
"Medical Control" me~ns the medical supervision of the EMS System provided by
the Medical Director.
"Medical Control Board" means the board appointed by Authority pursuant to the
EMS Ordinance and having the duties and responsibilities set forth in the EMS Ordinance.
"Medical Direction" means supervision by Medical Control through two-way
communication or through established standing orders, pursuant to rules of the
Department.
"Medical Director" means a licensed physician, or a corporation, association, or
partnership composed of physicians which employs a licensed physician for the purpose
of providing Medical Control to the EMS System.
"Medical Operations Manual" means the clinical guidelines, prepared for the EMS
System and approved by the Medical Control Board, as the same may be amended from
time to time.
"9-1-1 Center" means the Public Safety Answering Point operated and maintained
by the County for the purpose of receiving 9-1-1 calls frorD,citizens.
"On-Scene Equipment Exchange Program" means the Authority's program
whereby an equipment item listed on Appendix E is employed by Contractor in the course
of preparing a patient for transport and the ambulance personnel replaces the same from
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its own on-board inventory.
"Paramedic" means a person who is trained in Basic and Advanced Life Support,
who is County Certified, an,d who is certified by the Department to perform Basic and
Advanced Life Support procedures pursuant to the provisions of state statute, regulations
and the Medical Operations Manual.
"Party" or "Parties" means either the Authority or the Contractor, or both, as the
context of the usage of such term may require.
"Patient" means an individual who is ill, sick, injured, wounded or otherwise
incapacitated and is in need of or is at risk of needing medical care.
"Performance Compensation" means the compensation paid to Contractor
pursuant to Section 708 hereof.
"Prioritized CHARLIE/DELTA Call" means for the purposes of assessing
performance compensation in Section 708, an Emergency Medical Request which has
been determined to be a "Charlie" or "Delta" level response by an Emergency Medical
Dispatcher following the then current Priority Dispatch Protocols.
"Priority Dispatch Protocols" means the protocols adopted by the Authority, and
as may be amended from time to time, governing the EMS System's response to the
different types of service requests.
"Response" means the act of responding to a request for services, which act
begins when Contractor's Units are dispatched to a medical emergency.
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"Response Time" means the period of time commencing when Contractor's Units
are notified of a medical emergency and ending when Contractor's first Unit arrives on the
scene of an incident.
"Rules and Regulations" means the rules and regulations adopted by the Authority
on October 5, 1993, as may be amended from time to time.
"Run Cards" means the 9-1-1 Center's computer aided dispatch software database
that, based upon the map grid of the Emergency Medical Request and a predetermined
listing of Units which the Contractor has determined to be the closest by travel time or most
appropriate in ranked" order, recommends the closest or most appropriate Unit(s) to
respond to Emergency Medical Requests.
"Special Act" means Chapter 80-585, Laws of Florida, as amended.
"Special Events" means non-emergency events, such as sporting events, parades,
festivals and other group or mass gatherings, which may require BLS or ALS medical
coverage.
"State" means the State of Florida.
"State of Emergency" means a Disaster which has been declared by proclamation
of the State, County or a municipality in the County.
"Total Unit Hour Compensation" means Unit Hour Compensation multiplied by
the number of Contractor's Units provided by this Agreement.
"Transport" means the transportation of Patients to any destination by Ambulance.
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"Uncontrollable Circumstance" means a Force Majeure, an EMS Emergency or
a State of Emergency.
"Unforeseen Circumstances" means circumstances which could not reasonably
be foreseen by the Parties at the time of execution of this Agreement.
"Unit or Units" means ALS First Responder Units.
"Unit Compensation" means the Annual Compensation in a Fiscal Year divided
by the number of Contractor's Units provided by this Agreement.
"Unit Hour Compensation" means the Unit Compensation divided by Eight
Thousand, Seven Hundred and Sixty (8,760) Hours.
SECTION 202. TERMS GENERALLY. Whenever the context may require, any
pronoun shall include corresponding masculine, feminine and neuter forms. The words
"inClude," "includes" and "including" shall be deemed to be followed by the phrase "without
limitation," except as the context may otherwise require. The words "agree," "agreement,"
"approval" and "consent" shall be deemed to be followed by the phrase "which shall not be
unreasonably withheld or unduly delayed" except as the context may otherwise require.
ARTICLE III
." REPRESENTATIONS
SECTION 301. REPRESENTATIONS OF AUTHORITY. Authority represents to
Contractor that each of the following statements is presently true and correct:
(a) Existing. Authority is a speciai taxing district existing under the laws of the
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State of Florida, and has all requisite power and authority to carry on its business as now
conducted and to perform its obligations under this Agreement and each document
contemplated hereunder to vyhich it is or will be a party.
(b) Due Authorization. This Agreement has been duly authorized by all
necessary action on the part of, and has been or will be duly executed and delivered by
Authority and neither the execution and delivery thereof, nor compliance with the terms and
provisions thereof or hereof contravenes any existing law, judgment, government rule,
regulation or order applicable to or binding on Authority.
(c) Enforceability. This Agreement constitutes a legal, valid and binding
obligation of Authority enforceable against Authority in accordance with the terms thereof,
except as such enforceability may be affected or limited by applicable bankruptcy,
insolvency or similar laws, from time to time in effect, which affect creditors' rights generally
and subject to usual equitable principles in the event that equitable remedies are involved.
(d) Financial Capability. Authority is fully capable, financially and otherwise,
to perform its obligations hereunder.
(e) No Litigation. There are no pending, or to the knowledge of Authority,
threatened actions or proceedings before any court or a.dministrative agency to which
Authority is a party, questioning the validity of this Agreement or any document or action
contemplated hereunder, or which are likely, in any case or in the aggregate to materially
adversely affect the consummation of the transactions contemplated herEunder.
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SECTION 302. REPRESENTATIONS OF CONTRACTOR. Contractor represents and
warrants to Authority that each of the following statements is presently true and correct:
(a) Existing. Contractor is a Florida municipal corporation, independent special
district or not-for-profit corporation, as the case may be, having all requisite power and
authority in Florida to carry on its business as now conducted, to own or hold or otherwise
its properties, and to enter into and perform its obligations under this Agreement and under
each instrument described herein to which it is or will be party.
(b) Due Authorization. This Agreement has been duly authorized by all
necessary action on the part of and has been duly executed and delivered by Contractor
and neither the execution and delivery thereof, nor compliance with the terms and
provisions thereof or hereof contravenes any existing law, judgment, government rule,
regulation or order applicable to a binding on the Authority.
(c) Enforceability. This Agreement constitutes a legal, valid and binding
obligation of Contractor enforceable against Contractor in accordance with the terms
thereof, except as such enforceability may be limited by applicable bankruptcy, insolvency
or similar laws, from time to time in effect, which affect creditors' rights generally and
subject to usual equitable principles in the event that equit.able remedies are involved.
(d) No Litigation. There are no pending, or to the knowledge of Contractor,
threatened actions or proceedings before any court or administrative agency to which
Contractor is a party, questioning the validity of this Agreement of any document or action
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contemplated hereunder, or which are likely, in any case or in the aggregate to materially
adversely affect the consummation of the transactions contemplated hereunder.
(e) Financial Capability. Contractor is fully capable, financially and otherwise,
to perform its obligations hereunder.
ARTICLE IV
DUTIES AND RESPONSIBILITIES OF CONTRACTOR
SECTION 401. VEHICLES AND EQUIPMENT.
(a) Obligation to Provide Vehicles. Subject to the application of Section 711
hereof, at all times during the term of this Contract, Contractor shall provide the number
of ALS First Responder Units described on Appendix A. Contractor reserves the right to
select and acquire vehicles and apparatus used in the performance of this Agreement.
(b) Maintenance of Vehicles and Fuel. Contractor shall be responsible for
routine maintenance and repair of Units and for furnishing maintenance, equipment,
supplies, repairs, spare parts, replacement vehicles and fuel. Contractor shall maintain
records of maintenance and fuel in order to document that Contractor's Units are
maintained and used in accordance with this Agreement.
(c) Staffing of Vehicles. Each Unit shall be staffed in compliance with Chapter
401, Florida Statutes, with a minimum of one (1) EMT and one (1) Paramedic. Contractor
shall maintain records of staffing in order to document that Contractor's Units are staffed
in accordance with this Agreement.
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(d) Equipment and Supplies. With the exception of equipment maintained by
the Authority in Section 507, Contractor shall furnish and maintain all EMS Equipment, as
required by the Authority an~ approved by the Medical Director. Contractor shall ensure
that new equipment is compatible with that of all other providers and supports the
Authority's efforts toward equipment standardization. Contractor shall also be responsible
for the cost of replacing outdated medical supplies lost through inadequate stock rotation,
as well as the cost of medical supplies which are lost, stolen, damaged, or unaccounted
for due to Contractor's negligence. Contractor shall be subject to the Authority's On-Scene
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Equipment Exchange Program.
(e) Medical Communications Equipment. Contractor shall be responsible for
the replacement of all medical communications equipment that is lost, stolen or damaged
due to Contractor's negligence. Contractor shall also be responsible for all routine
maintenance of such equipment.
(f) Inspections. Contractor shall allow representatives of the Authority and of
the Medical Director to inspect Units, equipment and ALS First Responder Stations as may
be reasonably required to determine compliance with this Agreement.
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SECTION 402. PRIORITY DISPATCH PROTOCOLS.
Priority Dispatch Protocols. Contractor shall respond to Emergency Medical
Requests in accordance with the then current Priority Dispatch Protocols. Contractor shall
cooperate with the Authority in implementing periodic enhancements and improvements
to the Priority Dispatch Protocols.
SECTION 403. RESPONSE TIME.
(a) Emergency Medical Requests.
Response time to not less than ninety percent (90%) of all Emergency
Medical Requests which are (1) prioritized as an emergency Response; (2) are within the
Contractor's EMS District; and (3) for which Contractor's Unit is determined, in accordance
with Section 409, to be the First Due Unit, shall be within seven (7) minutes and thirty (30)
seconds or less.
(b) Deductions and Exemptions.
(1) Failure to comply with the requirements of this Section 403 shall be
subject to the deductions set forth in Section 702 hereof; provided, however, that
such deductions shall not be applicable to Responses which occur during periods
of Uncontrollable Circumstances; provided, however, that Contractor shall
document said conditions and shall apply for this exception as provided for in
subparagraph (2) below.
(2) Should Contractor experience an Uncontrollable Circumstance,
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Contractor shall, as a condition precedent to the right to claim an Uncontrollable
Circumstance, notify the executive director within three (3) business days of the
occurrence.
(3) The exemptions provided for in this subsection (b) are exhaustive and
no other cause of poor Response Time performance shall be allowed as
exemptions to these Response Time requirements and reporting provisions.
SECTION 404. CONTINUING MEDICAL EDUCATION.
Contractor shall make
available its personnel for Continuing Medical Education as required by state regulation
and the Medical Control Board. Satisfactory participation by Contractor's personnel in
Continuing Medical Education provided and made available by the Authority shall
constitute fulfillment of this obligation. Contractor shall be responsible for ensuring that
its personnel attend Continuing Medical Education in accordance with the Rules and
Regulations. Each September during the term of this Contract, Contractor shall prepare
and submit to the Authority a report evaluating performance of the CME program.
Contractor shall use any prepared forms that the Authority requests it to use for this
evaluation.
SECTION 405. MEDICAL QUALITY CONTROL.
(a) Medical Director. The Medical Director of the EMS System shall also serve
as medical director of Contractor's First Responder Services. Contractor may not use or
employ another Medical Director for the provision of emergency medical services within
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Contractor's EMS District.
(b) Rules and Regulations: Protocols. Contractor shall fully comply with the
Rules and Regulations, incl,uding the protocols established in the Medical Operations
Manual.
(c) Ride-Alongs. Contractor shall allow the Medical Director and the Executive
Director or their representative to ride in Contractor's Units during responses to medical
emergencies. However, such representatives shall conduct themselves in a professional
and courteous manner, shall not interfere with Contractor's employees in the performance
of their duties, except-as necessary to assure protocol compliance and good patient care,
and shall at all times be respectful of Contractor's employee/employer relationship.
Medical Director, Executive Director, or their representatives, shall provide proof of
employment, proof of workers' compensation insurance and complete any waiver or
release forms which may be required by the Contractor prior to riding in Contractor's Units.
(d) On-Scene Patient Care. Contractor shall comply at all times with the
Authority's protocol for on-scene control of Patient care. If Contractor's Paramedic is
requested or decides to ride to the hospital with the Ambulance Provider's Paramedic,
Contractor's Paramedic shall comply and, Contractor shall be responsible for the return of
the Paramedic.
(e) Special Events. In the event Contractor is called upon to provide either
BLS or ALS medical coverage at a Special Event in their EfviS district, Contractor shall be
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underthe auspices of the Authority, the Medical Control Board and the Medical Director.
In providing medical coverage at a Special Event, Contractor shall comply with the Rules
and Regulations and with t~e protocols established in the Medical Operations Manual.
ALS First Response units funded under this Agreement will not be used for dedicated
special events coverage without the written approval of the Executive Director.
(f) Quality Assurance. Contractor shall adhere to and assist in the Quality
Assurance and Quality Management Program established by the Medical Director.
. SECTION 406. MEDICAL AUDITS. Medical Audits may include access to data,
records review, written and verbal statements, and attendance at interviews and informal
and formal hearings, in accordance with the then current Rules and Regulations and
Florida Statute 401.425. Contractor shall provide full cooperation and ensure that its Field
Personnel attend Medical Audits when requested.
SECTION 407. PERSONNEL.
(a) Training and Qualifications. All field personnel employed by the
Contractor in the performance of work under this Agreement shall be trained and qualified
at a level consistent with the standard established by the Authority for delivering Patient
care and shall hold appropriate-permits in their respective .trades or professions.
(b) Standard of Conduct. Contractor's personnel shall conduct themselves
in a professional and courteous manner at all times. The Contractor shall address and
correct any departures from this standard of conduct.
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(c) Part-Time Employment. Contractor shall not unreasonably restrict its
employees from seeking or performing part-time employment with Authority's Ambulance
Provider and Office of the Medical Director.
(d)
EMS Coordinator.
Contractor shall designate a County Certified
Paramedic as the EMS Coordinator who will be responsible for performing or supervising,
at a minimum, for:
(1) Reviewing patient care records In accordance with procedures
established by the Medical Director.
(2) Responding to and overseeing patient care In accordance with
procedures established by the Medical Director.
(3) Monitoring Contractors' EMS personnel to insure compliance with CME
req uirements.
If, at the effective date of this Agreement, Contractor has employed or
designated as an EMS Coordinator a non-County Certified Paramedic, then that employee
will be allowed to continue as the EMS Coordinator until the position becomes vacant, at
which time the successor must be a County-certified paramedic.
SECTION 408. DISASTER ASSISTANCE. EMS EMERGENCY AND MUTUAL AID.
(a) Disaster Assistance Within Pinellas County. Immediately upon notification
by the Authority of a State of Emergency within Pinellas County, Contractor shall commit
such resources as are m::cessary and appropriate, given the ndture of the disaster, and
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shall assist in accordance with applicable plans and protocols.
During such periods, the Contractor shall be released from the requirements
of Section 403 and will not be subject to the deductions provided for in Section 702.
When disaster assistance has been terminated, the Contractor shall notify
the Authority's authorized representative that Contractor is able to resume normal
operations considering exhaustion of personnel, need for restocking and other relevant
considerations.
(b) Disaster Assistance Outside of Pinellas County. The Contractor shall
manage any disaster"assistance response outside-of Pinellas. County in a manner which
does not jeopardize the Contractor's ability to render reliable services under this
Agreement.
(c) EMS Emergency. Immediately upon notification by the Authority of an EMS
Emergency, Contractor shall assist in the locality where the EMS Emergency has occurred.
During such periods, the Contractor shall be released from the requirements
of Section 403 and will not be subject to the deductions provided for in Section 702, until
notified by Authority's authorized representative that EMS Emergency assistance may be
terminated.
When the EMS Emergency has been terminated, the Contractor shall resume
normal operations as rapidly as is practical considering exhaustion of personnel, need for
restocking, and other relevant considerations.
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During the course of an EMS Emergency, Contractor shall use best efforts
to continue to provide local ALS emergency coverage.
(d) Mutual Aid. ~ormal (non-disaster or EMS Emergency related) mutual aid
responses outside of Pinellas County, rendered by the Contractor, shall be performed in
accordance with the terms and conditions of this Agreement.
SECTION 409. AUTOMATIC AID/CLOSEST UNIT RESPONSE. Upon notification by
the 9-1-1 Center of an Emergency Medical Request, Contractor shall provide ALS First
Responder Services in accordance with the Automatic Aid/Closest Unit Response
Agreement. The ALS'First Responder Unit which is predetermined to be the closest to the
emergency scene by the Runcards, shall be dispatched without regard to EMS District or
jurisdictional boundaries. In the event that the Automatic Aid/Closest Unit Response
Agreement is terminated, Contractor shall provide ALS First Responder Services in
accordance with the then current Runcards for all Emergency Medical Requests. The
Contractor's authorized representative will periodically, or at the request of the Authority,
update their Runcards to insure their accuracy and coordinate any changes with any
affected Contractor(s).
SECTION 410. MEDICAL SUPPLIES AND INVENTORY CONTROL. Contractor shall
establish and implement inventory control procedures for the stockage and use of medical
supplies. Contractor shall report, as of September 30th during each year this Agreement
is in effect, the balance of all medical supplies held by the Contractor in inventory. Such
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report will list the item's identification number, the item's description, and the quantity held.
Contractor will report the quantity of medical supplies which are lost, damaged, or
unaccounted for, due to Contractor's negligence, and medical supplies unusable due to
\
inadequate stock rotation. Contractor agrees to not maintain more than thirty (30) days of
medical supplies in stock based upon historical use. Contractor shall maintain inventory
records that identify all Unit supplies issued from stock, and will keep stock under lock so
that access is limited to only authorized personnel. Contractor shall adhere to inventory
control procedures that the Authority may require, as long as they are reasonable and
.
prudent. Contractor'shall follow all federal, state and local laws and protocols in the
distribution and handling of controlled substances. Contractor shall provide list of
personnel authorized to receive controlled substances from the warehouse and any
change to such list.
SECTION 411. PATIENT CARE REPORTING SYSTEM. Contractor shall assist the
Authority in designing and implementing a fully-integrated, electronic patient care reporting
system. This system shall meet the information needs of the Contractor, the Medical
Director, the Medical Control Board and the Authority. Contractor shall gather and enter
data into the Authority's electronic patient care reporting system for every patient
encountered and every Emergency Medical Request responded to by the Contractor's
Field Personnel. Design, procurement, and operating costs of this information system shall
be the responsibility of the Authority.
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The database of the Authority's electronic patient care reporting system shall be fully
comprehensive, including complete and integrated information on all EMS System activities
beginning with the receipt of an Emergency Medical Request; dispatch activities and
response times; every patient assessment and all treatment rendered while Contractor's
Field Personnel are attending the patient. Contractor shall require Field Personnel to
comply with the completion of paper reports and the data entry requirements of the EMS
System and insure the accuracy and completeness of such reports, as approved and
periodically revised by the Authority. Authority agrees that the procedures used to
implement and operate the electronic patient care reporting system shall not be unduly
burdensome.
Contractor shall have unlimited access, regardless of storage location or medium, .
to electronic patient care reports generated by the Contractor's personnel and all dispatch-
related data.
SECTION 412. REQUESTS FOR EMERGENCY MEDICAL ASSISTANCE. Should
Contractor receive any request for emergency medical assistance, including walk-ins,
Contractor shall record the address and telephone number of the caller, obtain the location
and nature of the emergency, shall immediately respond ~Q the request for emergency
medical assistance, if appropriate, and shall immediately advise the 9-1-1 Center of the
information received, and the response initiated by Contractor, if any.
SECTION 413. COMMUNITY INVOLveMENT. Contractor is encouraged to make
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available to their local community, health promotions and prevention education (i.e., CPR
training, drowning prevention, health risk assessments). The programs may be developed
by the individual contractor or in coordination with the Medical Director or the Authority.
SECTION 414. LICENSURE AND CERTIFICATION. Contractor shall maintain
licensure with the Department as an ALS non-transport provider. Contractor or
Contractor's employees, as the case may be, shall be responsible for any fees associated
with EMT and Paramedic certification and recertification.
SECTION 415. SHARED RECOGNITION. Contractor and the Authority shall promote,
protect and enhance the reputation of the Authority, the _Contractor, the Authority's service
trade name and the Pinellas County EMS System throughout the term of the Agreement.
Any news releases, statements, or public information given by the Contractor's or
Authority's personnel to the public or the media shall be consistent with the design and
operation of the EMS System and include shared positive recognition of all service
providers and system components.
ARTICLE V
DUTIES AND RESPONSIBILITIES OF AUTHORITY
SECTION 501. MEDICAL DIRECTION AND CONTROL. The Authority shall be
responsible for providing, or causing to be provided, Medical Direction and Medical Control
to the Contractor.
SECTION 502. CONTINUING MEDICAL EDUCATION. Authority shall provide and
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make available to Contractor a Continuing Medical Education training program at multiple,
regionally-located training sites and not at a single, centralized training site.
SECTION 503. MEDICAL COMMUNICATIONS EQUIPMENT. Authority has provided,
or shall provide, as applicable, one (1) 800 MHZ Mobile Radio, one (1) UHF Mobile Radio
and one (1) 800 MHZ Portable Radio for each Unit approved on Appendix A. The radio
equipment shall be installed in ALS First Responder Units by the Contractor and become
their property. Contractor shall be responsible for such equipment, as provided for in.
Section 401 (e) hereof. Authority shall be responsible for replacing such equipment at the
end of a reasonable useful life, as determined by the Authority.
SECTION 504. SUPPLY REPLACEMENT. Authority shall replace, as necessary,
without cost to the Contractor, the medical supplies used by Contractor in rendering patient
care under this Contract. Authority shall deliver, or cause to be delivered, all medical
supplies, except controlled substances, on a bi-weekly basis to Contractor's designated
medical supply receiving location. Contractor may refuse delivery of medical supplies that
are within ninety (90) days of their respective expiration dates. Contractor's authorized
representative may sign for and pick up controlled substances at a central location
designated by the Authority. Authority shall not be resp~nsible for costs of replacing
inventory items lost, stolen, damaged or unaccounted for due to negligence and for costs
of replacing items remaining in stock past their respective expiration dates. Where
applicable, Contractor shall relocate supplies nearing their expiration dates to ALS First
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Responder Units serving areas of higher demand within their EMS District. All supplies
shall be returned to the Authority not later than ninety (90) days prior to the respective
expiration dates. If such supplies are not returned to Authority within ninety (90) days of
,
their respective expiration dates, Contractor shall be charged for the replacement of such
supplies. This provision, regarding expired medical supplies, shall become effective ninety
(90) days after the beginning of the term of the Agreement.
SECTION 505. EXTRAORDINARY MODIFICATIONS. N~twithstanding the provision
of Section 401(b) hereof, Authority shall separately provide and fund any modifications to
Units or equipment which may be required by the Authority and which do not constitute
routine maintenance, repair or replacement.
SECTION 506. BILLING. The Authority shall have sole responsibility for submitting
claims for transports made by either the Authority or by Contractor.
SECTION 507. MEDICAL EQUIPMENT MAINTENANCE. The Authority shall be
responsible for providing, or causing to provide, all preventative maintenance, calibration
and repair of electrocardiogram (EKG) monitoring/defibrillation equipment and pulse
oximetry/capnography equipment for Authority-approved ALS First Responder Units.
Contractor shall be responsible-for any repairs that are necessary due to Contractor's
negligence.
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ARTICLE VI
INSURANCE AND INDEMNIFICATION
SECTION 601. MINIMUM INSURANCE REQUIREMENTS. Contractor shall be self-
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insured or shall pay for and maintain at least the following insurance coverages and limits.
Insurance coverages and limits shall be evidenced by delivery to the County of: a
certificate of insurance executed by the insurers listing coverages and limits, expiration
dates and terms of policies and all endorsements whether or not required by the County,
and listing all carriers issuing said policies; and, a certified copy of each policy, including
all endorsements. Where applicable, ContractorshalJ submit to Authority a letter from
Contractor's City Attorney stating that Contractor is self~insured, the amount of insurance
per claim and per occurrence, any gap and the amount of excess insurance up to its
coverage.. The following insurance requirements shall remain in effect throughout the
term of this Agreement.
(a) Worker's Compensation limits as required by law; Employers' Liability
Insurance of not less than $100,000 for each accident.
(b) Comprehensive General Liability Insurance including, but not limited to,
Independent Contractor, Contractual Premises/Operc;ttions, Products/Completed
Operations and Personal Injury covering the liability assumed under indemnification
provisions of this Agreement, with limits of liability for personal injury and/or bodily injury,
including death, of not less than $500,000, each occurrence; and property damage of not
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less than $100,000, each occurrence. (Combined Single Limits of not less than $500,000,
each occurrence, will be acceptable unless otherwise stated). Coverage shall be on an
"occurrence" basis and the ,policy shall include Broad Form Property Damage coverage,
and Fire Legal Liability of not less than $100,000 per occurrence, unless otherwise stated
by exception herein.
(c) Professional Liability Insurance (including Errors and omissions) with
minimum limits of $1,000,000 per occurrence; if occurrence form is available; or claims
made form with "tail coverage" extending three (3) years beyond completion and
acceptance of the profect with proof of "tail coverage" to be submitted with the invoice for
final payment. In lieu of "tail coverage", Contractor may submit annually to the County a
current Certificate of Insurance proving claims made insurance remains in force throughout _
the same three (3) year period.
(d) Comprehensive Automobile and Truck liability covering owned, hired and
non-owned vehicles with minimum limits of $500,000 each occurrence for bodily injury
including death, and property damage of not less than $100,000, each occurrence.
Combined Single Limits of not less than $500,000, each occurrence, will be acceptable
unless otherwise stated. Coverage shall be on an "occurrence" basis, such insurance to
include coverage for loading and unloading hazards.
(e) One million dollars ($1,000,000) combined single limit personal injury and/or
bodily injury including death and property damage liability insurance as an excess of all
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primary coverage, required above, in follow form.
SECTION 602. ADDITIONAL INSURANCE REQUIREMENTS. Each insurance policy
shall include the following, conditions by endorsement to the policy:
,
(a) Each policy shall require that forty-five (45) days prior to expiration,
cancellation, non-renewal or any material change in coverages or limits, a notice thereof
shall be given to Authority. Contractor shall also notify Authority within twenty-four (24)
hours after receipt of any notices of expiration, cancellation, non-renewal or material
changes In coverage received by said Contractor from its Insurer.
(b) Companies issuing the insurance policy, or policies, shall have no recourse
against Authority or County for payment of premiums or assessments for any deductibles
which all are at the sole responsibility and risk of Contractor.
(c) Pinellas County shall be endorsed to the required policy or policies as an
additional insured, exclusive of professional liability insurance.
(d) The policy clause "Other Insurance" shall not apply to any Insurance
coverage currently held by County to any such future coverage, or to County's Self-Insured
Retention of whatever nature.
SECTION 603. INDEMNIFICATION. Contractor and. ,Authority agree to be fully
responsible for their own acts of negligence or their respective agents' acts of negligence
when acting within the scope of their employment, and agree to be liable for any damages
resulting from said negligence. Nothing herein is intended to serve as a waiver of
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sovereign immunity by either the County or Authority. Nothing herein shall be construed
as consent by Contractor or Authority to be sued by third parties in any manner arising out
of this Agreement.
Contractor hereby waives subrogation rights for loss or damage
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against the County.
ARTICLE VII
COMPENSATION AND OTHER FINANCIAL PROVISIONS
SECTION 701. COMPENSATION. This Agreement is a fixed price Contract for the
purchase, by the Authority, of First Responder Services as described herein. As
consideration for such services, Authority shall pay Contractor Annual Compensation.
Contractor shall be paid monthly in arrears. Payment shall be in [approximately] equal
installments beginning on November 1, 1997. Annual Compensation for the Fiscal Year
commencing October 1, 1997, shall be equal to that shown on Appendix B.
To the extent applicable, in addition to the Annual Compensation, Authority shall
pay to Contractor Performance Compensation, in accordance with Section 708 hereof.
No additional compensation shall be paid to Contractor for transport of patients in
Contractor's Units.
SECTION 702. DEDUCTION FOR FAILURE TO COMPLY WITH RESPONSE TIME
REQUIREMENTS. Failure of Contractor to meet the Response Time requirement of
Section 403(a) shall result in the deduction from the Annual Compensation of One
Hundred and 00/100 Dollars ($100.00) for only those calls which place Contractor in non-
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compliance. Compliance shall be computed on a monthly basis and any deductions shall
be made from Contractor's last monthly payment of the fiscal year.
SECTION 703. DEDUCTION FOR FAILURE TO PROVIDE FIRST RESPONDER UNIT.
\ ,
In the event Contractor fails to provide a Unit, or substitutes a BLS First Responder Unit
instead of an ALS First Responder Unit, for an extended period of time and without the
approval of the Authority, the Authority may deduct an amount equal to the Contractor's
Unit Hour Compensation multiplied by each hour or portion thereof for each day or portion
thereof that the Contractor has failed to provide an ALS First Responder Unit and likewise
for additional Units. Such deduction shall be made from the following monthly payment.
For purposes of this Agreement, "extended period of time" means, with respect to
mechanical problems and personnel, more than four (4) consecutive hours in any given
day, and with respect to training, more than ten (10) hours in any given day; provided,
however, that this Section 703 shall not be applicable when the Executive Director has
waived the provisions of this Section 703 or when Section 711 is applicable.
SECTION 704. DEDUCTION FOR NON-COMPLIANCE. In the event that Contractor
fails to comply with any provision of Section IV hereof, the Authority shall deduct from
Contractor's payment an amount equal to Unit Compensation divided by three hundred
sixty-five (365) for each day, or fraction thereof, that Contractor is not in compliance.
Such deduction shall be made from the following monthly payment. The provisions of this
Section 704 shall not apply to those instances where Section 702, Section 703, or Section
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705 are applicable.
SECTION 705. DEDUCTION FOR FAULTY DOCUMENTATION. In the event that the
Contractor transports a pat,ient, under the extreme circumstances authorized by the
Medical Operations Manual, the Contractor shall provide a billable patient care report to
the Authority. The report shall include, at a minimum, the medical reason for transport, the
patient's condition, the patient's name, the patient's address, the patient's social security
number, patient's telephone number, the origin and destination of the transport, the
transport mileage, and all medical care rendered. Contractor's EMS Coordinator shall be
.
notified by the Authority or their designee of all transports performed by. the-Contractor.
The report shall be delivered to the Authority's EMS Billing Office within two (2) business
days from the date of service. If such report is illegible, incomplete or is provided to the
Authority greater than two (2) business days from the date of service, then Contractor shall
be subject to a deduction of One Hundred Fifty Dollars ($150.00) for each such
occurrence. The amount shall be deducted from the following monthly payment.
SECTION 706. AUTOMATIC ANNUAL INFLATION ADJUSTMENT. Beginning on
October 1, 1998, and each October 1 thereafter, the Annual Compensation shall be
adjusted by the lesser of the percentage increase in the Municipal Cost Index (published
in American City and County Magazine) for the most recent twelve (12) months for which
figures are available or five and one-half percent (5 Y:z%), but in any event shall be adjusted
no lower than three percent (3%).
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SECTION 707. ADJUSTMENT FOR EXTRAORDINARY COST INCREASES.
Contractor may apply for and receive prospective compensation adjustments to the Annual
Compensation as necessary to offset documented increases in Contractor's cost of
production directly resulting from increases in the prices paid by Contractor for fuel due
to Unforeseen Circumstances and subject to the following stipulations:
(a) Contractor must document, using generally accepted accounting procedures,
the actual financial impact of the increased fuel prices upon Contractor's costs of
production.
(b) . Only the effects of increased direct fuelprices--excluding any effects of
increased fuel consumption, overhead allocations and indirect costs--shall be considered.
(c) Only the portion of increase in fuel prices not already accounted for within
the provision for automatic inflation adjustment set forth in Section 706 hereof, shall be
considered.
(d) In the event the Contractor does apply for and obtain an adjustment pursuant
to this provision, and should average fuel prices subsequently fall during a later annual
accounting period, these same calculations shall then be applied to effect an appropriate
prospective reduction in compensation applicable during .the then-following accounting
period. The Contractor shall substantiate the continuation of this adjustment the
subsequent Fiscal Year.
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SECTION 708. PERFORMANCE COMPENSA TJON.
(a) Computation of Performance Compensation. Performance Compensation
shall be awarded as follows: \
,
(1) First Due. Contractor shall be awarded, monthly, One Hundred Fifty
Dollars ($150.00) for each Unit, as listed in Appendix A, that responds to ninety
percent (90%) or greater of all Emergency Medical Requests as the First Due Unit.
(2) Rapid CHARLIE/DELTA. Contractor shall be awarded, monthly, Two
Hundred Dollars ($200.00) for each Unit, as listed in Appendix A, that responds to
.
all Prioritized CHARLIE/DELTA Calls within their EMS District within five (5) minutes
and zero (0) seconds ninety percent (90%) of the time.
(3) At Patient Notification. Contractor shall be awarded, monthly, Seventy-
five Dollars ($75.00) for each Unit, as listed in Appendix A, that advises At Patient
Notification ninety percent (90%) of the time.
(4) First Shock Notification. Contractor shall be awarded, monthly,
Seventy-five Dollars ($75.00) for each Unit, as listed in Appendix A, that provides
First Shock Notification within one (1) minute and thirty (30) seconds or less from
At Patient Notification, ninety percent (90%) of the time.
(5) CPR Training. Contractor shall be awarded, annually, One Thousand,
Two Hundred Dollars ($1,200.00) multiplied by the number of Units, as listed in
Appendix A, for each year in which the Contractor trains two percent (2%) of their
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EMS District's fixed population, as estimated by the Pinellas County Planning
Department, in a nationally-recognized Cardiopulmonary Resuscitation Course.
Training sessions shqll be held within the Contractor's EMS District.
,
Advances in technology or the adoption, promulgation, modification or
change in interpretation of any federal state or local law, regulation, ordinance, court order
or national standard which render any of the above performance standards obsolete or
irrelevant shall relieve the Authority of its obligation to pay Performance Compensation for
Contractor meeting such standard.
(b) Payment and Effect-of Payment.. Performance Compensation shall be
paid on or about October 31st of each Fiscal Year for performance in the immediately-
preceding Fiscal Year. Performance Compensation shall be separate and apart from
Annual Compensation, and shall not be carried forward to succeeding Fiscal Years, nor
shall it be subject to the provisions of Section 706.
(c) Quarterly Performance Evaluation. In addition to meeting the
performance requirements set forth in subparagraph (a) above, Contractor must participate
in quarterly performance evaluation meetings with the Authority.
SECTION 709. FUNDS TO BE USED SOLELY FOR EMS FIRST RESPONSE.
Contractor recognizes that monies received hereunder are derived from the EMS Mill and
that the EMS Mill, pursuant to referendum, has been dedicated solely to the provision of
emergency medical services. Contractor, therefore, agrees that funding provided under
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this Agreement will be used strictly for the provision of the services described herein.
SECTION 710. FUTURE/ADDITIONAL SERVICES.
Contractor and Authority
understand that, in the future!, health care delivery and Emergency Medical Services may
evolve to include pathway management, an expanded scope of practice, primary care
services or other activities where EMS resources provided under this Agreement may be
used. Contractor and Authority shall cooperate in effecting such additional services;
evaluating the relationship of such services; and the impact of such services on the EMS
System.
SECTION 711. SERVICE CONSOLIDATION. Authority agrees that in the event of a
reduction in the number of Contractor's Units as a result of voluntary consolidation or
voluntary elimination of services, with the approval of the Authority, Contractor's Annual
Compensation for such Unit shall be reduced eighty percent (80%) and Contractor shall
use the remaining funding for EMS purposes only. Should Unit availability be voluntarily
reduced in non-peak hours of operations, with the prior approval of the Authority, then
Annual Compensation for such Unit shall be reduced by the number of hours of Unit
availability, times the Unit Hour Compensation, times sixty-five percent (65%), provided the
Contractor shall use the remaining thirty-five percent (35oio) for EMS purposes. Should
the Authority be required to purchase additional EMS services from another provider or
should the Authority be required to purchase additional EMS services from the Contractor,
even if the services purchased from the Contractor are in a different area, as a result of
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voluntary service consolidation or after a voluntary service consolidation under this section
then, from the time additional services are purchased, the Contractor's compensation will
be reduced by the remaining share, plus inflation adjustments, on a go forward basis, so
II
that Contractor will receive no funding as a result of this Section 711.
SECTION 712. ADDITIONAL UNITS.
(a) Authority Funded. During the term of the Agreement, the Authority may
determine that additional Unit(s) are needed. Additionally, Contractor may request that
consideration be given for approval of an additional Unit for funding purposes. If the
Authority determines tnat additional Unit(s) are needed from Contractor, then Authority and
Contractor shall negotiate a mutually-agreeable marginal cost compensation for such
additional Unit, Units or Unit Hours. In those instances where the Contractor requests
Authority to fund additional Unit(s), the Authority shall meet with Contractor to determine
the need for the requested Unit. If approved, the Authority will negotiate a mutually-
agreeable marginal cost compensation for such additional Unit, Units or Unit Hours.
Compensation for such additional Unit(s), or Unit Hours, shall begin upon approval by the
Authority.
(b) Contractor-Funded. Contractor and Authority understand that the EMS
System is a unified, integrated system requiring the cooperation of all providers in the
System. To insure coordinated implementation of any improvements to the System and
to insure the integrity of the System, if Contractor desires to provide and fund a higher
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level of service than that funded under this Agreement, Contractor will obtain approval from
the Executive Director.
SECTION 713. AUDITS AND INSPECTIONS. At any time during normal business
"
hours, and as often as may reasonably be deemed necessary, representatives of the
Authority or Medical Director may observe Contractor's operations. Contractor shall make
available to Authority for its examination, its records with respect to all matters covered by
this Agreement, and Authority may audit, examine, copy, and make excerpts or transcripts
from such records, and may make audits of all contracts, invoices, materials, payrolls,
inventory records, records of personnel, daily logs, conditions of employment, and other
data related to all matters covered by this Agreement. Contractor shall make available to
the Medical Director its records with respect to all clinical matters covered by this
Agreement and the Medical Director may audit, examine, copy and make excerpts or
transcripts from such records. Authority's right to observe and inspect operations or
records in Contractor's business office shall, however, be restricted to normal business
hours, and reasonable notification shall be given the Contractor in advance of any such
visit. Records relating to contract activities shall be retained for three (3) years from final
payment in each year.
The right to directly observe Contractor's field operations, shall also extend to
authorized representatives of the Medical Control Board and the Medical Director; provided
that the requirements for polite conduct; completion of any training required by law; and
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non-interference with employees' duties shall be observed at all times. Audits and
inspections shall be done to the extent permitted by law.
SECTION 714. FISCAL NON-FUNDING. In the event sufficient budgeted funds are
, ,
not available for a new fiscal period, Authority shall notify the Contractor of such
occurrence and this Agreement shall terminate on the last day of current fiscal period
without penalty or expense to the County, except as provided for in the paragraph
immediately below.
ARTICLE VIII
TERM AND TERMINATION
SECTION 801. TERM. The term of this Agreement shall be for ten (10) years,
commencing October 1, 1997, and ending at midnight September 30,2007.
SECTION 802. TERMINATION. This Agreement may be terminated by the Authority
for cause upon twenty (20) days written notice to Contractor. "Cause" shall include (1) the
event that the Contractor, for any reason, fails to meet the licensing requirements in the
State of Florida pursuant to the provisions of Chapter 401, Florida Statutes, and (2) a
substantial breach of any covenant or warranty contained in this Agreement; provided,
however, that in the case of a breach of covenant or warra.nty, the Authority shall provide
written notice of such breach and the Contractor shall have the opportunity to cure such
breach within twenty (20) calendar days of receipt of such notice.
This Agreement may be terminated by the Contractor upon six (6) months written
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ALS First Responder Agreement
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notice to Authority. In the event of such termination by the Contractor, Authority shall have
sole responsibility for providing, or causing to be provided, ALS First Responder Services
in Contractor's EMS District.
SECTION 803. RESOLUTION OF DISPUTES. To facilitate the timely and effective
resolution of any controversy or dispute that may arise under this Agreement, Authority and
Contractor shall, within thirty (30) days after the date of execution of this Agreement,
designate a representative for the purpose of resolving controversies and disputes. Written
notice of such appointment shall be delivered to each member entity. The appointed
representatives are subject to change, and written notice of any such_change by any entity .
shall be delivered to all other member entities.
The respective members shall meet as often as the circumstances may deem
necessary to resolve controversies and disputes. To the extent that Contractor and
Authority cannot, after good faith attempts, resolve any controversy or dispute that may
have arisen under this Agreement, Contractor and Authority shall appoint a committee
consisting of one or more mutually agreed upon representatives from the Medical Control
Board, the Pinellas County EMS Advisory Council, and the Pinellas County Fire Chiefs
Association. Such committee shall review each party's submittal of its interpretation of the
Agreement and may request additional information as necessary. Any recommendation
of the committee shall be submitted to the Pine lias County Administrator and shall be non-
binding. Either party may thereafter refer the matt~r to mediation in the State of Florida.
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If mediation fails to resolve the dispute, either party may pursue its legal remedies,
including, but not limited to, filing a Complaint in the appropriate court possessing
com petent j u risd iction.
ARTICLE IX
MISCELLANEOUS
SECTION 901. NON-DISCRIMINATION IN EMPLOYMENT. The Contractor will not
discriminate against any applicant for employment because of age, race, color, religion,
sex or national origin. The Contractor will take affirmative action to ensure that applicants
are employed, and that employees are treated during employment, without regard to age,
race, color, religion, sex or national origin. Such action shall include, but not be limited to,
recruiting and related advertising, layoff or termination, upgrading, demotion, transfer,
rates of pay and compensation, and selection for training, including apprenticeship. The
Contractor will post in conspicuous places, available to all employees and applicants for
employment, notices setting forth the provisions of this nondiscrimination clause.
SECTION 902. NOTICES. All notices, consents and agreements required or permitted
by this Agreement shall be in writing, and, as applicable, shall be transmitted by registered
or certified mail, return receipt requested, with notice deemed to be given upon receipt;
postage prepaid, and shall be addressed as follows:
If to Authority:
Executive Director
Pinellas County Emergency Medical Services
12490 Ulmerton Road
Largo, Florida 33774
,I I.,
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If to Contractor:
See Appendix C
SECTION 903. ENTIRE AND COMPLETE AGREEMENT. This Agreement, as
amended, and all Appendices' hereto, constitute the entire and complete agreement of the
Parties with respect to the services to be provided hereunder. This Agreement, unless
provided herein to the contrary, may be modified only by written agreement duly executed
by the Parties with the same formality as this Agreement.
SECTION 904. OTHER DOCUMENTS. Each Party agrees to execute and deliver any
instruments and to perform any acts that may be necessary or reasonably requested in
order to give full effect to this Agreement.
SECTION 905. APPLICABLE LAW. The law of the State shall govern the validity,
interpretation, construction and performance of this Agreement.
SECTION 906. WAIVER. Unless otherwise specifically provided by the terms of this
Agreement, no delay or failure to exercise a right resulting from any breach of this
Agreement shall impair such right or shall be construed to be a waiver thereof, but such
may be exercised from time to time and as often as may be deemed expedient. Any
waiver shall be in writing and signed by the Party granting such waiver. If any
representation, warranty or covenant contained in this Agreement is breached by either
Party and thereafter waived by the other Party, such waiver shall be limited to the particular
breech so waived and shall not be deemed to waive any other breach under this
Agreement.
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SECTION 907. SEVERABILITY. In the event that any provision of this Agreement
shall, for any reason, be determined to be invalid, illegal, or unenforceable in any respect,
the Parties hereto shall negotiate in good faith and agree to such amendments,
"
modifications, or supplements of or to this Agreement or such other appropriate actions as
shall, to the maximum extent practicable in light of such determination, implement and give
effect to the intentions of the Parties as reflected herein, and the other provisions of this
Agreement shall, as so amended, modified, supplemented, or otherwise affected by such
action, remain in full force and effect.
SECTION 908. CONTRACTOR IS INDEPENDENT CONTRACTOR. The parties agree
that throughout the term of this Agreement, and during the performance of any obligations
hereunder, Contractor is an independent contractor in all respects and shall not be the
agent, servant, officer, or employee of the Authority or Pinellas County.
SECTION 909. NO THIRD-PARTY BENEFICIARIES: ASSIGNMENT. This Agreement
is not intended, nor shall it be construed, to inure to the benefit of any third person or entity
not a party hereto, and no right, duty or obligation of the Contractor under this Agreement,
shall be assigned to any person, private association or corporation, not-for-profit
corporation, or public body without the prior written conse~t of the Authority.
SECTION 910. HEADINGS. Captions and headings in this Agreement are for ease of
reference and do not constitute a part of this Agreement.
SECTION 911. COUNTERPARTS. This Agreement may be executed in more than one
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counterpart, each of which shall be deemed an original.
IN WITNESS WHEREOF the parties hereto, by and through their undersigned
authorized officers, have caused this Agreement to be executed on this ~;z;L
day of !fb.~
,1997.
ATTEST:
KARLEEN F. DE BLAKER, CLERK
PINELLAS COUNTY EMERGENCY
MEDICAL SERVICES AUTHORITY,
by and through its Board of County
Commissioners
7C< ~/
by '\\~.~ ~
Chairman
[seal]
APPROVED AS TO FORM:
~~
Office of the ounty Attorney
G:\USERS\A TTY\A TYKB 11 \EMS\AGMT\FIRSTRSP. '97
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Countersigned:
Approved as to form and
legal SU~Cy:
tJ.
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Emergency Medical Services
ALS First Responder Aqreement
CITY OF CLEARWATER, FLORIDA
By: ,hL--
City Manager
Attest:
c~~.
City ~rk ...
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Appendix A
ALS First Responder Units
City of Clearwater 6
City of Dunedin 3
East Lake Fire & Rescue, Inc 2
City of Gulfport 1
Indian Rocks Special Fire Control District 3
City of Largo 6
Lealman Fire & Rescue, Inc. 2
City ofMadiera Beach 1
City of Oldsmar 1
Palm Harbor Special Fire Control District 4
City of Pinellas Park 4
City of Safety Harbor 2
City of Seminole 4
City of South Pasadena 1
City of St. Petersburg Beach 2
City of Tarpon Springs 2
City of Treasure Island 1
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Appendix B
Annual Compensation far Fiscal Year 1997-1998
Clearwater $2,389,953.00
Dunedin $ 647,981.00
East Lake $ 400,000.00
Gulfport $ 401,108.00
Indian Rocks $ 722,567.00
Largo $1,924,461.00
Lealman $ 788,178.00
Madiera Beach $ 294,969.00
Oldsmar $ 200,000.00
Palm Harbor $ 845,027.00
Pinellas Park $1,165,788.00
S1. Pete Beach $ 652,290.00
Seminole $1,192,968.00
Safety Harbor $ 611,446.00
South Pasadena $ 347,379.00
Treasure Island $ 321,026.00
Tarpon Springs $ 614,556.00
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Appendix C
FIRST RESPONDER CONTRACTORS
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City Manager
CITY OF CLEARWATER
112 S. Osceloa Avenue
Clearwater, FL 33758-4748
Chairman, Board of Commissioners
PALM HARBOR SPECIAL FIRE
CONTROL DISTRICT
250 W. Lake Road
Palm Harbor, FL 34684
City Manager
CITY OF DUNEDIN
P.O. Box 1348
Dunedin, FL 34697-1348
City Manager
CITY OF PINELLAS PARK
P.O. Box 1100
Pinellas Park, FL 33780-1100
Chairman, Board of Commissioners
EAST LAKE FIRE AND RESCUE, INC.
3375 Tarpon Lake Boulevard
Palm Harbor, FL 34685
City Manager
CITY OF SAFETY HARBOR
750 Main Street
Safety Harbor, FL 34695-3597
City Manager
CITY OF GULFPORT
2401 53rd Street South
Gulfport, FL 33707
City Manager
CITY OF ST. PETE BEACH
7701 Boca Ciega Drive
St. Pete Beach, FL 33706-1701
Chairman, Board of Fire Commissioners
INDIAN ROCKS FIRE DISTRICT
304 First Street
Indian Rocks Beach, FL 33785
City Manager
CITY OF SEMINOLE
Seminole, FL 33772-5226
City Manager
CITY OF LARGO
P.O. Box 296
Largo, FL 33779-0296
City Clerk
CITY OF SOUTH PASADENA
7047 Sunset Drive South
South Pasadena, FL 33707-2895
Chairman, Board of Directors
LEALMAN FIRE AND RESCUE, INC.
4017 56th Avenue North
St. Petersburg, FL 33714
City Manager
CITY OF TARPON SPRINGS
324 Pine Street East
Tarpon Springs, FL 34689
City Manager
CITY OF MADEIRA BEACH
300 Municipal Drive
Madeira Beach, FL 33708
City Manager
CITY OF TREASURE ISLAND
120 1 08th Avenue
Treasure Island, FL 33706-4794
City Manager
CITY OF OLDSMAR
100 State Street
Oldsmar, FL 34677-3655
G:\USERSIA TTYIA TYKB 11 \EMSIAGMTlAPPENDIXIAPPENDIX. C
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Appendix D
EMS Districts
The EMS District is defined as the Fire District for the following providers:
Clearwater Madiera Beach South Pasadena
Dunedin Oldsmar St. Petersburg Beach
East Lake Palm Harbor Tarpon Springs
Gulfport Safety Harbor Treasure Island
The following EMS Districts are comprised of Multiple Fire Districts and are defined as:
The Indiart Rocks EMS District is defined as the Indian Rocks Fire District and the Redington
Beach Fire District.
The Largo EMS District is defined as the Largo Fire District, and Largo/HighPoint Fire District
and the Belleair Fire District and the Belleair Bluffs Fire District.
The Lealman EMS District is defined as the Lealman Fire District and the Kenneth City Fire
District.
The Pinellas Park EMS District is defined as the Pinellas Park Fire District and the Pinellas
ParklHigh Point Fire District.
GULF OF IlEXICO
EASTLAKE
PINELLAS COUNTY
FIRE DISTRICTS
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PINELLAS COUNTY, FLORIDA
APPROXDlATE SCALE IN FEET
SCALE 1" = 20000'
JlARCH 1991
~
PREPARED BY THE OFFICE OF THE
PINELLAS COUNTY PROPERTY APPRAISER
JIM SMITH
TAIlPA BAY
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Appendix E
On Scene Equipment Exchange Items
- Cervical Collars
- Short Spinal Immobilization Devices
- Long Spinal Immobilization Devices
- Traction Splints
- Air Splints or other Limb Immobilization Devices
- Medical Anti-Shock Trousers (Adult and Pediatric)
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Appendix F
EMS Equipment
Provided By Contractor:
EKG Monitor/Defibrillator
Medical equipment bags
Nitrous Oxide tank: and regulator
Orthopedic .stretchers
Oxygen regulators, gauges and flowmeters
Portable oxygen tanks
Portable suction unit
Pressure infusion pump with gauge
Rescue equipment required by the Department
Stair chair
Provided By Authority:
Blood pressure cuffs (Adult and Pediatric)
Broselow tape
Capnographers
Forceps
Laryngoscope blades
Laryngoscope handle
Lighted stylets
Medical Box - PIano type drug/trauma
Mouth prop
Penlight
Pulse Oximeters
Ringcutter
Scissor - bandage
Scissor - trauma
Stethoscope (Adult and Pediatric)
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BOARD OF COUNTY COMMISSIONE:RS
PINELLAS COUNTY, FLORIDA
COMMISSIONERS
EMS AND FIRE ADMINISTRATION
12490 ULMERTON ROAD
LARGO, FLORIDA 33774
PHONE: (813) 582-2000
FAX: (813) 582-2039
ROBERTB.STEWART - CHAIRMAN
BARBARA SHEEN TODD -, VICE CHAIRMAN
CALVIN D. HARRIS
SALu'E PARKS
STEVE SEIBERT
November 12, 1997
1997
Michael Roberto
ClearWater City Manager
112 S, Osceola Avenue
Clearwater, FL 33758-4748
Re: First Responder Agreements
DearMr..~
Pinellas County EMS and Fire Administration wishes to thank you for the cooperation we received from your staff during the
negotiation of the new, ten-year First Responder Agreement. This contract development process and subsequent negotiations
took over a yeartocomplt*. ,We are very pleased with the fmished product, and look forward to continuing our long-term
'professionalrelationship in serving the citiiens and visitors of Pin ell as County with a high performance emergency medical
services (EMS) system.
I have enclosed your officialcopy of the en,dorsed FirstResponder Agreement. We waited until all First Responder
Agreements were approved and signed by thePinellas County EMS Authority before forwarding them to the providers. As a
courtesy, we have already provided your Fire Chief with a working copy of the agreement. This original is for your official
records and the Pinellas County EMS Authority also has one on file.
Thank you again for your cooperation and the outstanding effort we received from your staff. This agreement forges new
ground in creating a complete high performance EMS system wherein both the First Responders and our ambulance
contractor have performance standards, incentives, and disincentives built into their agreements. We have already been
contacted by many agencies around the state and around the nation to inquire about the advanced nature of these agreements.
We are very pleased that you are our partner in setting the standard for public service in America, If you have any questions,
please feel free to contact Department Director, Guy Daines, or me at 582-2000.
Sincerely,
~BA,paramediC
Assistant Director, EMS and Fire Administration
Enclosure
cc: Fred E. Marquis
D. Gay Lancaster
Guy E. Daines
M. Julianne Yard
"Pinellas County is an Equal Opportunity Employer" . Member-Pinellas Partnership for a Drug Free Workplace
"
\..1 printed on recycled paper