HomeMy WebLinkAbout272-22 RESOLUTION113 West Mountain Street
Fayetteville, AR 72701
(479) 575-8323
Resolution: 272-22
File Number: 2022-1055
INTERLOCAL AGREEMENT FOR CONTINUATION OF AMBULANCE SERVICES:
A RESOLUTION TO APPROVE AN INTERLOCAL AGREEMENT FOR CONTINUATION
OF AMBULANCE SERVICES THROUGH THE WASHINGTON COUNTY REGIONAL
AMBULANCE AUTHORITY, AND TO AUTHORIZE THE AMBULANCE AUTHORITY TO
OPERATE CENTRAL EMERGENCY MEDICAL SERVICE AS THE EXCLUSIVE
EMERGENCY AND NON -EMERGENCY AMBULANCE SERVICE WITHIN THE CITIES
WHEREAS, A.C.A. §14-14-910, and §14-266-102 and §25-20-101 authorize cities and counties
to enter into interlocal contracts to provide services such as emergency and non -emergency ambulance
services; and
WHEREAS, Resolution No. 68-08, which was passed on March 18, 2008, approved an interlocal
agreement creating an Ambulance Authority and establishing the Ambulance Authority and Central
Emergency Medical Service (CEMS) as the exclusive emergency and non -emergency ambulance
service within Fayetteville and the other participating cities; and
WHEREAS, continuation of the Ambulance Authority is crucial for the continued health and safety of
the residents of unincorporated Washington County and the cities that are covered by the Authority;
and
WHEREAS, in order to save taxpayer money and to reduce the need for taxpayer revenue to
subsidize the furnishing of emergency ambulance service to our citizens, the Ambulance Authority and
Central Emergency Medical Services should continue to be designated the exclusive provider of
emergency and non -emergency ambulance service within all cities that are parties to this agreement.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Page 1 Printed on 1217122
Resolution: 272-22
File Number: 2022-1055
Section 1: That the City Council of the City of Fayetteville, Arkansas hereby approves the interlocal
Agreement For Continuation of Ambulance Services through the Washington County Regional
Ambulance Authority, a copy of which is attached to this Resolution, authorizes Mayor Jordan to sign
this agreement, and authorizes the Ambulance Authority to continue to operate Central Emergency
Medical Service as the exclusive emergency and non -emergency ambulance services provider
throughout Fayetteville and every other city which is a party to this agreement as broadly as authorized
in A.C.A. § 14-266-102 and 105.
PASSED and APPROVED on 12/6/2022
Attest: `��t1urrnuj'..'i
ERK
Kara Paxton, City Clerk Treasurer �4. ;p,�
Page 2 Printed on 1217122
City of Fayetteville, Arkansas 113 West Mountain Street
Fayetteville, AR 72701
e
(479) 575-8323
Text File
File Number: 2022-1055
Agenda Date: 12/6/2022 Version: 1 Status: Passed
In Control: City Council Meeting File Type: Resolution
Agenda Number: A.3
INTERLOCAL AGREEMENT FOR CONTINUATION OF AMBULANCE SERVICES:
A RESOLUTION TO APPROVE AN INTERLOCAL AGREEMENT FOR CONTINUATION OF
AMBULANCE SERVICES THROUGH THE WASHINGTON COUNTY REGIONAL AMBULANCE
AUTHORITY, AND TO AUTHORIZE THE AMBULANCE AUTHORITY TO OPERATE CENTRAL
EMERGENCY MEDICAL SERVICE AS THE EXCLUSIVE EMERGENCY AND NON -EMERGENCY
AMBULANCE SERVICE WITHIN THE CITIES
WHEREAS, A.C.A. §14-14-910, and §14-266-102 and §25-20-101 authorize cities and counties to enter
into interlocal contracts to provide services such as emergency and non -emergency ambulance services; and
WHEREAS, Resolution No. 68-08, which was passed on March 18, 2008, approved an interlocal agreement
creating an Ambulance Authority and establishing the Ambulance Authority and Central Emergency Medical
Service (CEMS) as the exclusive emergency and non -emergency ambulance service within Fayetteville and the
other participating cities; and
WHEREAS, continuation of the Ambulance Authority is crucial for the continued health and safety of the
residents of unincorporated Washington County and the cities that are covered by the Authority; and
WHEREAS, in order to save taxpayer money and to reduce the need for taxpayer revenue to subsidize the
furnishing of emergency ambulance service to our citizens, the Ambulance Authority and Central Emergency
Medical Services should continue to be designated the exclusive provider of emergency and non -emergency
ambulance service within all cities that are parties to this agreement.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1: That the City Council of the City of Fayetteville, Arkansas hereby approves the interlocal
Agreement For Continuation of Ambulance Services through the Washington County Regional Ambulance
Authority, a copy of which is attached to this Resolution, authorizes Mayor Jordan to sign this agreement, and
authorizes the Ambulance Authority to continue to operate Central Emergency Medical Service as the exclusive
emergency and non -emergency ambulance services provider throughout Fayetteville and every other city which
is a party to this agreement as broadly as authorized in A.C.A. § 14-266-102 and 105.
City of Fayetteville, Arkansas Page 1 Printed on 121712022
City of Fayetteville Staff Review Form
2022-1055
Legistar File ID
12/6/2022
City Council Meeting Date - Agenda Item Only
N/A for Non -Agenda Item
Brad Hardin 11/15/2022 FIRE (300)
Submitted By Submitted Date Division / Department
Action Recommendation:
Staff recommends approving The Interlocal Agreement for Continuation of Ambulance Services and for
Membership in the Washington County Regional Ambulance Authority for the term January 1, 2023 through
December 31, 2025 with automatic renewals for additional five year terms. This new agreement provides for
participating cities to pay $9.94 per capita based on the prior year's projection by the NWA Regional Planning
Commission and will be updated annually.
Account Number
Project Number
Budgeted Item? No
Does item have a cost? No
Budget Adjustment Attached? No
Budget Impact:
Current Budget
Funds Obligated
Current Balance
Item Cost
Budget Adjustment
Remaining Budget
Fund
Project Title
5
5 -
$
5
5
5
V20210527
Purchase Order Number: Previous Ordinance or Resolution # Res 32-21; 192-22
Change Order Number:
Original Contract Number:
Comments:
Approval Date:
CITY OF
FAYETTEVILLE
ARKANSAS
MEETING OF DECEMBER 6, 2022
TO:
Mayor and City Council
THRU:
Brad Hardin, Fire Chief
FROM:
Granville Wynn, Financial Analyst
DATE:
November 15, 2022
CITY COUNCIL MEMO
SUBJECT: A resolution approving The Interlocal Agreement for Continuation of Ambulance
Services and for Membership in the Washington County Regional Ambulance Authority by and
with the City of Fayetteville, Washington County, Elkins, Elm Springs, Farmington, Goshen,
Greenland, Johnson, Lincoln, Prairie Grove, Tontitown, West Fork, and Winslow for emergency
and non -emergency ambulance services.
RECOMMENDATION:
Staff recommends approving The Interlocal Agreement for Continuation of Ambulance Services
and for Membership in the Washington County Regional Ambulance Authority for the term
January 1, 2023 through December 31, 2025 with automatic renewals for additional five year
terms. This new agreement provides for participating cities to pay $9.94 per capita based on the
prior year's projection by the NWA Regional Planning Commission and will be updated annually.
BACKGROUND:
City Council approved Res. 68-08 on March 18, 2008, approving an Interlocal Agreement for
Ambulance Services with the City of Fayetteville, Washington County, Elkins, Farmington,
Goshen, Greenland, Lincoln, Prairie Grove, West Fork, Winslow, and Johnson and to establish
the Ambulance Authority and Central Emergency Medical Services as the exclusive emergency
and non -emergency ambulance service within the cities. This agreement was amended and
approved by City Council through Res. 202-11 on November 15, 2011. An Interlocal Agreement
was approved in December 1, 2015 by Council via Res. 221-15 which added Elm Springs and
Tontitown and changed the payment amounts paid by each city and the county. Res. 32-21
was approved by Council on 1-19-21 with an updated agreement and later amended via Res.
192-22 on 9-6-22.
DISCUSSION:
The current Interlocal Agreement was approved on September 6, 2022 via Res. 192-22 which
approved an addendum to the Interlocal agreement to provide additional funding.
Per Article 4. Term of the new agreement: "...This Agreement shall be automatically renewed
with possible changes to Article 3 Financing for an additional five year term unless any party
notifies the Authority in writing of its refusal to participate in the Authority and this Agreement by
September 1, 2025. A second automatic renewal shall occur on December 31, 2030 unless any
party notifies the Authority in writing of its refusal to participate in the Authority and this
Agreement by September 1, 2030."
Mailing Address:
113 W. Mountain Street www.fayetteville-ar.gov
Fayetteville, AR 72701
BUDGET/STAFF IMPACT:
Approval of the proposed new Interlocal Agreement for Ambulance Services will result in the
current $969,974 annual subsidy. This increase is due to the payment requirement of $9.94 per
capita based on the prior year's population projection by the NWA Regional Planning
Commission. This new agreement reflects the following future subsidy amounts: 2023-
$969,974 2024- $988,555 2025- $1,007,492. Funds for ambulance services are included
each year in the Annual Budget and Work Program.
ATTACHMENTS:
Agreement for Continuation of Ambulance Services
AGREEMENT
FOR CONTINUATION OF AMBULANCE SERVICES THROUGH THE WASHINGTON
COUNTY REGIONAL AMBULANCE AUTHORITY
THIS INTERLOCAL AGREEMENT FOR CONTINUATON OF AMBULANCE
SERVICES THROUGH THE WASHINGTON COUNTY REGIONAL AMBULANCE
AUTHORITY ("Agreement") is made and entered into by and between the WASHINGTON COUNTY
REGIONAL AMBULANCE AUTHORITY ("Authority" or "WCRAA"), WASHINGTON COUNTY,
ARKANSAS, ("County") and the cities of ELKINS, ELM SPRINGS, FARMINGTON,
FAYETTEVILLE, GOSHEN, GREENLAND, JOHNSON LINCOLN, PRAIRIE GROVE,
TONTITOWN, WEST FORK, and WINSLOW ("Cities").
WHEREAS, A.C.A. §14-14-910, A.C.A. §25-20-101, and A.C.A. §14-266-102 authorize cities
and counties to enter into contracts to co-operate or join with each other to provide emergency and non -
emergency medical services and to specify the responsibilities of all parties; and,
WHEREAS, all parties acknowledge that the continued provision of ambulance service is crucial
for the continued health and safety of the residents of the named Cities and the County; and,
WHEREAS, said Authority should consist of representatives of all of the above named Cities and
the County; and,
WHEREAS, all parties agree to replace the population values and reference from the Northwest
Arkansas Council annual population estimates to the Northwest Arkansas Regional Planning
Commission annual population estimates; and,
WHEREAS, the Agreement for Continuation of Ambulance Services and Membership in the
WCRAA is set to renew on its own terms in December 31, 2025 unless a patty to that Original
Agreement notifies the other parties of its intent to withdraw by September 1, 2025; and
WHEREAS, all parties agree to review population accuracy and financial position of the WCRAA on
an annual basis at the end of the second quarter each year to maintain appropriate funding for the
ambulance service to serve the residents of the named Cities and the County; and,
WHEREAS, all parties intend for the WCRAA to continue in operation and administration
beyond said December 31, 2025 renewal, with the WCRAA continuing to exist as it does today; and
WHEREAS, the parties acknowledge that their financial contributions to the WCRAA as set forth
in this Agreement and previous Agreements funding the WCRAA is for and in consideration of (a)
ambulance service coverage within each of their respective cities, for the cities, and in the unincorporated
areas of Washington County for the County, and (b) continued participation in the WCRAA; and
WHEREAS, all parties acknowledge that the continuation of the WCRAA will demand close and
continued cooperation of all parties.
NOW, THEREFORE, IT IS AGREED:
ARTICLE 1. AUTHORITY ORGANIZATION.
(a) The chief executive officer of each entity shall represent said entity on the Board of Directors
of the Authority to be known as the Washington County Regional Ambulance Authority.
(b) The Board shall meet no less than annually to transact all business associated with the
powers and responsibilities conferred upon it. However, the Board shall reserve to itself the right to
meet on whatever basis it determines is appropriate.
(c) The Board shall employ an executive director/chief to manage a regional ambulance system.
(d) In order to ensure maximum efficiency and effectiveness of the operation, an executive
committee shall be formed to be charged with the oversight of the day-to-day operation of the system.
The members of said executive committee shall be as follows:
(1) The County appointee who shall reside in the unincorporated service area.
(2) The Fayetteville City Council appointee;
(3) A second Fayetteville appointee (Both City Council appointees shall serve at the
pleasure of the City Council and can be removed and replaced by different
representatives by City Council Resolution,);
(4) A small city appointee to be chosen by the aforestated cities, excluding the City
of Fayetteville;
(5) A Nursing Home or medical profession representative who shall reside in the
City of Fayetteville to be chosen by the County appointee; the Fayetteville
appointees, and the small city appointee.
(6) A Hospital representative who shall reside in the City of Fayetteville to be
chosen by the County appointee; the Fayetteville appointees, and the small city
appointee.
(7) A representative of the financial community residing in the service area to be chosen by
the County appointee, the Fayetteville appointees and the small city appointed.
2
ARTICLE 2. PURPOSES, POWERS. RIGHTS, OBLIGATIONS AND
RESPONSIBILITIES OF THE CREATED ENTITY.
(a) All parties acknowledge that the need to create an entity to own, operate and manage an
ambulance service is necessary and appropriate.
(b) The Authority created herein shall have the following powers:
(1) To provide advanced and basic life support emergency ambulance service,
medical standbys and Mobile Integrated Health -Community Paramedicine
(MIH-CP) in the designated area;
(2) To provide emergency medical dispatch including pre -arrival instructions in
accordance with approved dispatch protocols;
(3) To set ambulance user fees;
(4) To own system revenues;
(5) To provide exclusive emergency and non -emergency (within the cities only)
ambulance service;
(6) To enter into mutual aid and automatic aid Agreements with neighboring
ambulance services for emergency services;
(7) Comprehensive regulatory powers over the ambulance system performance;
(8) Ownership of or access to key components of the system infrastructure;
(9) Centralize medical direction and clinical oversight of the ambulance system to
the extent deemed necessary;
(10) To promulgate rules and regulations to fiuther effectuate the purposes of this
Agreement;
(11) To purchase, own and dispose of real and personal property;
(12) To adopt and oversee comprehensive system performance on an annual basis to
include periodic revisions to comply with emerging technologies and changes in
clinical and operational standards.
3
(c) Washington County Regional Ambulance Authority's Specific Duties.
The Authority created herein shall have the following specific duties and responsibilities in addition
to the statutory and administrative requirements of §14-266-109, the Arkansas Medical Practices
Act, and any other government or professional standards.
(1) Response time metrics shall be analyzed no less than monthly to determine the need for
additional ambulances and staff to maintain agreed upon service levels.
(2) Reporting Requirements.
(A) Fayetteville. On the third Tuesday of July each year, the Washington
County Regional Ambulance Authority by the two Fayetteville
representatives on the Executive Committee shall appear before the
Fayetteville City Council to present:
(i) The written annual, audited report of the previous year's
financial and response data reports;
(ii) A written report of the financial and response data for the
first half of the current year;
(iii) Plans and projections to replace or enlarge capital property
and equipment within the next 18 months;
(iv) Plans and justifications for any personnel increases within
the next 18 months; and
(v) Revenue/expense projections for the next 18 months.
(B) Any Other Member of This Authority. Upon written request by any other
member of this authority, the Board Member representing that entity shall
provide the frill written and oral report referred to in (A) to that City or to
the County during its regular July or August meeting.
ARTICLE 3. FINANCING: TRAINING: COMPLIANCE WITH A.C.A. 420-13-301
ET SEQ.
(a) All parties acknowledge that the need for a guaranteed revenue source independent of and in
addition to fees for service is necessary in order to ensure the continued viability of said service.
(b) The annual regional ambulance service -funding source for all parties of this Agreement shall
be based upon the prior year's population projection by the NWA Regional Planning Commission.
4
(1) All Cities shall pay $9.94 per capita based on the prior year's population projection by
NWA Regional Planning Commission and will be. updated annually,
(2) Washington County shall pay $34.14 per capita for the unincorporated population of
Washington County based on the prior year's population projection by NWA Regional
Planning Commission and will be updated annually. Additionally, Washington County
shall pay the amount of $223,000, previously paid to Springdale Fire Department for
ambulance coverage, to the Authority for a period of five years starting in January 2021
and ending in December 31, 2025.
Subsidy based on NWA Planning Commission Population Estimates
2022
2023
2024
2025
2026
City 1 Couu #
Per
Capila
Rate
Actual2022
Subsid ,
2023
Subsidy
2024 SUISI h';127,504
2026 SulssldY
2027 Subsidy
3,817
3,929
4,044
4163
4,286
Elkins
S 9.94
S 32,785
$ 37 939
S 39.054S
41384
S 42 600
2,556
2.659
2.767
2,879
2,995
EIm Sarin
S 9.94
S 25,691
S 25.406
S 26,434S
28.617
$ 29,775
8,032
8,265
8,506
8,753
9,008
lFaridngtoa
S 9.94
1 S 74,220
S 79i834
1 S 82,156
S 84,546
S 67 OOS
S 89,536
97,583
S2
101357
,
103 9
t
988555
1
$ 1;007A92
$ 1,026 792
$ 1046AI4
2193
2,240
2,288
2,337
2,387
Goslien
S 9.94
S 18127
$ 21.798
$ 22,264
$ 22,741
S 23,227
S 23,725
1369
1,455
1,546
1,643
1745
Greedand
S 9.94
S 14,954
S 13.612
S 14A62
S 15,366
S 16,327
S 17,347
3,771
3,855
3,941
4,028
4,118
Unison
S 9.94
S 38,950
S 37,487
S 38,320
S 39,172
S 40,043
S 40,933
2,399
2,453
2,508
2,565
2,623 ILincoln
S 9.94 1S
26,234
S 23 843
$ 24,381
S 24931
$ 25,493
S 26,068
7,283
7,405
7,529
7,655
1783
Prairie Grove
S 9.94
S 65,006
S 72,391
$ 73,692
S 14 834
$ 76,087
S 77,360
4,767
5,018
5,283
5,561
5,855
'Pontilown
S 9.94
S 35190
S 47,381 1
$ 49,880
S 52,511
$ 55,281
S 58197
2,541
2,654
2,771
2,893
3,021
West Fork
S 9.94
S 27,063
S 25,262
S 26,318
S 27,543
"S 28,759
S 30.029
378
385 1
391
398 1
405
Winslow
S 9,94
S 4,410
S 3 757
S 3.823
S 3,891
$ 3,959
S 4929
41899
42,638
43,390
44155
44,933 1
Cormt y Rlual :g
S 34.14
$ 1374,206
S 1,651439
S 1678,659
$ 1704,323
$ 13A4410
S 1757,017
178,588
r 182,408
186,321 1
190,329
194,436 1
TOTAL
S 2,649,016
53;01242
S 3,067,970
S 3125W:
S 3183,414
S 3;243,078
** County Subsidy includes $223,000 lands previously provided Io Springdale.
(c) The Authority shall continue to seek a sustainable finding source with the goal of reducing
subsidies proportionately across the board.
(d) Except as stated above, no party to this Agreement may be financially obligated without the
approval of its governing body.
(e) All governing bodies who are parties to this Agreement must approve any increases in
subsidy.
(f) A percentage of these funds shall be set aside for replacement of capital items.
(g) The ambulance service owned or under contract with the Authority shall be required to
provide, at no additional charge, the Arkansas Department of Health 24 hour basic refresher
course to all EMT certified firefighters that act as first responders with said ambulance
service.
(h) The financing provided by the parties hereto shall be from general revenues; furthermore, the
financing and this Agreement are contingent upon compliance with A.C.A. §20-13-301 et.
seq, by the County and all the parties will cooperate to the extent necessary in complying with
such.
ARTICLE 4. TERM.
This initial term of this Agreement shall be from January 1, 2023 at 12:00 a.m. (midnight) through
December 31, 2025 at 11:59 p.m. This Agreement shall be automatically renewed with possible changes
to Article 3 Financing for an additional five year term unless any party notifies the Authority in writing
of its refusal to participate in the Authority and this Agreement by September 1, 2025. A second automatic
renewal shall occur on December 31, 2030 unless any party notifies the Authority in writing of its refusal
to participate in the Authority and this Agreement by September 1, 2030.
Notwithstanding the above terms, all parties to this Agreement may withdraw from this Agreement
upon six months' written notice to the Authority and shall only be responsible to pay its per capita fee for
that pro-rata portion of the year.
ARTICLE 5. CONTINUATION OI+' (.)WNieItSI111' Ol+' l OUIPMENT BELONGING TO
AND OPERATION OF WASHINGTON ('OI1N'I'Y R AVIONAL AMBULANCE AUTHORITY.
Property currently owned by WCRAA and all other property and resources of the Authority
purchased during its existence or owned by it on July 2, 2011, or thereafter shall remain the Authority's
exclusive property throughout the Authority's existence. It is the intent of all parties that WCRAA's
current operations, administration, policies, practices and procedures as they now exist shall continue for
the length of this Agreement. Furthermore, it is the intent of all parties that all legal obligations of and
rights now belonging to the WCRAA shall continue to bind or inure to the benefit of, as the case may be,
the WCRAA during the length of this Agreement. The WCRAA shall continue to exist as a corporate
body as it has since the first Interlocal Agreement forming the WCRAA, with the sole exception that the
Cities of Elm Springs and Tontitown became full members of the WCRAA upon execution of THE
AGREEMENT FOR CONTINUATION AND EXPANDED MEMBERSHIP IN THE WASHINGTON
CONTY REGIONAL AMBULANCE AUTHORITY on November 19, 2015 this Agreement and while
they honor their obligations hereunder, as any other participating entity. This Agreement shall be
construed to effectuate this intent.
ARTICLE 6. SEVERABILITY.
The provisions of this Agreement are declared to be severable. If any provision hereof shall be
held to be invalid or to be inapplicable to any person or circumstance, such holdings shall not affect the
ability or the applicability of the remainder hereof
2
ARTICLE 7. EFFECTIVE DATE.
the law. This Agreement shall not be effective until approved and signed by all parties in accordance with
APPENDIX TO AGREEMENT
APPENDIX DEFINITION OF TERMS WHEN AND IF USED.
Ambulance Authority: Quasi -governmental entity created to oversee and deliver ambulance service in
a specified geographical service area.
Ambulance Service: Means emergency and non -emergency response and transport services offered by
the Authority, including management, supervision, mass gatherings, community events and Mobile
Integrated Health -Community Paramedic (MIII-CP).
Exclusivity: Sole provider emergency and non -emergency ambulance rights granted by ordinance or
resolution by each party to the extent allowed by State Law,
Per Capita: Funding structure set forth by this Agreement based on population. Cities contribute at
$9.94 per capita due to the increased number of calls generated within their city limits. The County
contributes at $34.14 per capita due to the increased coverage area and decreased density of call volume
in the unincorporated areas of the County. No reduction of any entity's gross subsidy shall occur during
the initial term of this Agreement.
Subsidy: Government funds requested by the Authority to provide ambulance service.
User Nees: Fees charged to patients treated or transported by the ambulance service, or fees charged to
an individual or an organization for ambulance standby coverage.
Signed this / a day of &, 2023.
CITY OF
ELM SPRINGS, ARKANSAS
Harold Douthit, Mayor
ATTEST:
By: 010thc
Twila TvSlor, City Cle
Signed thism"day of -DES- , 2022.
CITY OF
FARMINGTON, ARICANSAS
:
BY
Ernie Penn, Mayor
ATTEST:
By:
Kelly Penn, t Clerk
Signed this J I day of A�C 2022.
CITY OF
ELKINS,ARKANSAS
By: _ 7 =mot aj--, _
L_
Bruce Ledford, Mayor
ATTEST:
By: a&ci�e L
Delih Foster, City le&,
Signed this --&— day of _Opp, 2022.
CITY OF
I'AYF TI;Vj I.LI;, ARKANSAS
AT"
0
Signed this — day oi'_:DeL_, 2022.
CITY Or
GOSHEN,ARKANSAS
By: P
Max Poye, Ma
ATTEST:
By:
4 City corder/Treasurer
Signed this & A day of kPl4i, 2023.
CITY OF
GREENLAND,ARKANSAS
By:
ATTEST:
By:
Misty Melffard, City Recorder/Treasurer
Signed this �3 day of ti0y, 2022.
CITY Or
JOHNSON,ARKANSAS
By:
Chris 7AWY, ff3—
ATTEST:
Signed this ) v day of &L-I J 2022
CITY OIL
LINCOLN,ARICANSAS
By:
Doug ibehens, Mayor
ATTEST:
Y
Belluda BeasleY, Clerk
ti.
A
Signed this I I day of, t w �, 2022
CITY OF
ATTEST:
By: &Lkk
Christine Kelly, City Clerk
Signed this day oPff—, 2022.
CITY OF
TONTITOWN, ARKANSAS
By: u[2u-&
Angela Mssell, Mayor
ATTEST:
Z/
By: �X�
Rhonda Ardemagni, Ci Ierk/Treasurer
Signed this 1 -7 day of 6 , , 2023.
CITY Or
WEST FORK, ARKANSAS
By:
Heith Candle, Mayor
ATTEST:
By:
( , � fk—e�—
Ann tpton, City i •rk
Signed this 15 day of f'S , 2021.3
CITY OF
WINSLOW,ARKANSAS
By:
Randy.k 4-nagaMayor
ATTEST:
By:
7Ann M ity Clerk
Signed this(P N-day of/la
023.
WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY
By: AL --�
Steve Harrison, Chief
By:
Ernie Penn, Chairman of the Board
Signed this I #
7_ day of
WASHINGTON COUNTY, ARKANSAS
By:
-04-e'-
littrick Deakins, County Judge
Al -TEST:
By: I
Becky Lewalie , Wuntj Clerk