No preview available
HomeMy WebLinkAbout04-03 RESOLUTION• RESOLUTION NO. 04-03 A RESOLUTION APPROVING A CONTRACT EXTENSION FOR AMBULANCE SERVICES IN THE AMOUNT OF ONE HUNDRED FIFTY THOUSAND DOLLARS ($150,000.00) BETWEEN THE CITY OF FAYETTEVILLE AND CENTRAL EMERGENCY MEDICAL SERVICES, INC. TO OPERATE AND MAINTAIN AN EMERGENCY AMBULANCE SERVICE TO SERVE THE RESIDENTS OF FAYETTEVILLE IN 2003 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 an extension of a contract for services pursuant to paragraph 6 of the contract in the amount of One Hundred Fifty Thousand Dollars ($150,000.00) between the City of Fayetteville and Central Emergency Medical Services, Inc. to operate and maintain an emergency ambulance service to serve the residents of Fayetteville for all of 2003. A copy of the original contract is attached hereto marked Exhibit "A" and made a part hereof. PASSED and APPROVED this the 7th day of January, 2003. ATTEST By: eater Woodruff, Cit}fr�lerk APPROVED: By DAN COODY, May CITY OF FAYETTEVILLE CONTRACT FOR EMERGENCY MEDICAL TRANSPORT SERVICES This Agreement is entered into on this 1st day of, January 2003 between the City of Fayetteville, hereinafter known as the "City" and Central Emergency Medical Service, hereinafter known as "CEMS, "an Arkansas not-for-profit corporation. WHEREAS the City has determined that a public need exists for an emergency ambulance service that operates within the city limits of Fayetteville to serve Fayetteville residents, WHEREAS CEMS has developed an emergency ambulance service that operates within the City limits and serves Fayetteville residents. NOW, THEREFORE, in consideration of the mutual covenants contained herein, the City and CEMS agree as follows: 1. This Agreement will begin on the date first written above. 2. CEMS agrees to develop, operate, and maintain an Advanced Life Support (ALS) Emergency Ambulance Service that serves Fayetteville residents and responds to all emergency medical calls for service within the city limits of Fayetteville, Arkansas. This ALS service will be provided in conjunction with the Fayetteville Fire Department's emergency response units with the Fayetteville Fire Department agreeing to provide Basic Life Support (BLS) Non - Transport Emergency Response Service. The Fire Department shall maintain control over the use of Fire Apparatus as First Response Units and CEMS shall maintain control over the use of Ambulances. 3. The Fayetteville Fire Department agrees to operate according to the established patient treatment protocols, as identified by the CEMS' Medical Director, from the time patient contact is made until the time the patient is removed from the incident scene and transported, via ALS Ambulance, to a recognized medical treatment facility or hospital, or until CEMS personnel determine the call is a no -transport. 4. CEMS agrees to provide written quarterly and annual reports to the City's Project Coordinator, describing the activities undertaken during the preceding period and also to report on the following performance measures. Number of calls responded to, average response time for these calls, type of patient service provided for each response. (Whether the patient accepted or declined care). The parameters for calculating the average response time will be from the time the call is verified at the CEMS medical communications center until arrival at the incident location by the first arriving transporting Ambulance. "Time call is verified," shall be the moment the communications center personnel receive both sufficient location information to know where a response is required and sufficient information to determine the presumptive run pnority designation. "Arrival at incident location," means the Page 1 of 4 moment an ambulance crew notifies the medical communication center that it is fully stopped at the location where the ambulance shall be parked while the crew exits to approach the patient. In situations where the ambulance has responded to a location other than the scene (e.g. staging areas for hazardous material/violent crime incidents or non -secured scenes), arrival at the scene shall be the time the ambulance arrives at the designated staging location. The quarterly reports are to be submitted to the Project Coordinator by April 10, July 10, October 10, and January 10 for the preceding calendar quarter. The data will be reported for the current quarter, current year-to-date, and prior year-to-date. 5. CEMS agrees to make available records for review by the City and City auditors as requested, and to provide the City with an annual audit performed by a certified public accountant licensed by the State of Arkansas. CEMS agrees to comply with the Arkansas Freedom of Information Act as applicable. Requests for records shall follow compliance requirements of the Health Insurance Portability and Accountability Act (HIPAA). 6. For the purposes of this Agreement, the Project Coordinator for the City will be the City Fire Chicf or his/her designee. The Project Coordinator for CEMS will be CEMS Director Tony Hickerson or his successor or designee. Communications pertaining to this agreement will be through the respective Project Coordinators for the City and CEMS. 7. Terms of Performance. The term of performance for this agreement will expire December 31, 2003 and may be extended for an additional three years subject to approval of a budget containing funding for the service 8. CEMS will hold harmless, defend, and indemnify the City, from any and all claims, actions, suits, charges and judgments whatsoever that arise out of the performance or nonperformance of the services or subject matter in this Agreement. 9. Budget. The City agrees to pay and CEMS agrees to accept, as payment in full for its services, in 2003, $150,000.00. The amounts to be paid for services in future budget years are dependent on the amounts appropriated by City Council for each budget year. 10. CEMS must provide and maintain in force, at all times during the term of the contract, insurance for worker's compensation as provided by state statute, commercial general liability, and vehicle liability. Such policies will be issued by companies authorized to do business in the State of Arkansas Minimum amounts required for commercial general liability and vehicle liability are $1,000,000. For any work sublet, CEMS will require the subcontractor to provide similar worker's compensation insurance. In case any employee engaged in work on the project under this contract is not protected under workers' compensation insurance, CEMS will provide and will cause each subcontractor to provide adequate employers' liability insurance for the protection of such of his employees as are not otherwise protected. A certificate of insurance Page 2 of 4 • • • • addressed to the City listing the above coverage's is to be submitted with contract approval The premiums for all insurance required herein will be paid by CEMS. 11. Emergency Medical Services Committee. CEMS' hd the City agree to establish a standing Emergency Medical Service (EMS) Oversight- Committee. This EMS Committee shall consist of three (3) representative from CEMS, three (3) representatives from the Fire Department and two (2) representatives from the Police Department's Central Dispatching Office. This group will meet to discuss the coordination of services, facilitate the exchange ideas to enhance the quality of service being provided and develop a problem solving mechanism for issues that may arise. This Committee will meet no Tess than twelve (12) times in a calendar year. 12. The City agrees to compensate CEMS in the form of equal monthly installments with any remaining balances, for the calendar year, to be paid in December of the respective year. 13. Notices. All notices required or permitted under this agreement will be submitted in writing to the other party in this agreement by certified mail, return receipt requested, with the notice becoming effective no less than three (3) days after deposit therein addressed to the following: City of Fayetteville Fayetteville Fire Dept. CEMS Dan Coody Chris Bosch Tony Hickerson Mayor Fire Chief, Director 113 West Mountain St. 303 W. Center St. 645 S School Ave Fayetteville, AR 72701 Fayetteville, AR 72701 Fayetteville, AR 72701 14. Neither party may assign any of its rights or obligations under this agreement, without the express written consent of the other party. Nor shall this agreement be construed to bestow any rights or benefits upon anyone other than CEMS and the City. 15. A waiver by either party of any terms or conditions herein shall be limited to that particular instance, and shall not be construed as a general waiver of any other breaches by either party. 16. Agreement constitutes the entire understanding of the parties, and no modification or variation of the terms of this agreement shall be valid unless made in writing and signed by the duly authorized agents of the City and CEMS. 17. Severability. Each paragraph of this agreement is severable from all other paragraphs. In the event any court of competent jurisdiction determines that any paragraph or subparagraph is invalid or unenforceable for any reason, all remaining paragraphs and subparagraphs will remain in full force and effect. Page 3 of 4 • • • 18. Interpretation. This agreement shall be interpreted according to and enforced under the laws of the State of Arkansas. 19. Tax Exempt Status: Attached hereto and made parthereof is a copy of the correspondence from the Internal Revenue Service dated $ /?1I83 confirming the 501(c)(3) tax exempt status of the Central Emergency Medical Service. IN WITNESS WHEREOF, we have hereunto set our hands on the date first written above. Central Emerge i ey edical Services, Inc. City of ayetteville Tony H ckerson, Director Attested By: Page 4 of 4 Internal Revenue Service • Separtment of the Treasury :District Director • Date: May 27, 1283 Person to Contact EO Technical Assistor Contact Telephone Number. (2141 767-2728 • E0.7275:WHJ Central Emergency Medical Service, Inc. 614 North College Ave. .Fayetteville, AR 72701 • -- Dear Applicant: • • Based on the information you recently submitted, we have classified your organization as one that isnot a private foundation within the meaning of section 509(a) of the Internal Revenue Code becauseyou are an organization described in section 504Ca1C21. • Your exempt status under section .501(c)(3) of the Code is still in effect. This classification is based ontha assumption that'"your operations. will .. continue as you have stated. If your -.sources o; support, or your purposes, character, or method of operation change, please let us know so we can consider theeffect of the change on your exempt status and foundation status. Because this letter could help resolve any questions about your foundation status, you should keep it in your permanent records. If you have any questions; please contact the person whose name and telephone number are shown above. 1100 Commerce St., Dallas, Texas 75242 EB • • Sincerely yours, R C. Voskuil District Director Letter 1078(D0) (6-77) THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIW ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DATE (M W DDIYYYY( 06/24/2003 ACOBEt CERTIFIC LIABILITY INSU POUCY NUMBER PRODUCER (479)521-7800 McNai r & Associates P.O. Box 819 201 N. East Ave. Fayetteville, FAX'( AR 72702-0819 P8617 ? j‘A 14 {THIS CERTIFICATE IS ISS D AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Central Emergency Medical Service Inc 645 5 School Fayetteville, AR 72701 INSURERA American Alternative OCCUR Ins Corp 07/01/2003 INSURERB Liberty Mutual EACH OCCURRENCE $ 1,000,000 INSURERC DAMAGE TO RENTED1,000,000 PRFMICFs IFA Kninerel INSURER D. INSURER E X THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIW ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD.POLICY N RQ TYPE OF INSURANCE POUCY NUMBER EFFECTIVE DAYBOOK/Inn POUCY EXPIRATION DAIF IMM'ntyr I 113 W Mountain LIMITS A AUTHORIZED REPRESENTATIVE GENERAL LIABILITY COMMERCIAL GENERAL MADE LIABILITY OCCUR CL00013955/000 07/01/2003 07/01/2004 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED1,000,000 PRFMICFs IFA Kninerel $ 1 CLAIMS X MED EXP (Any one pHSpn) 1 5 , 000 PERSONALS ADV UUURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER POLICY n JJEEC n LOC PRODUCTS- COMP/OP AGC 1 2,000,000 A AUTOMOBIELIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CM10011655/000 07/01/2003 07/01/2004 COMBINED SINGLELIMIT (E°°O0nI) " f 1,000,000 X BODILY INJURY (Per penonl S BODILY INJURY (Per modem) 1 PROPERTY DAMAGE (Per a den*) $ GARAGE UABIUTY ANY AUTO AUTO ONLY- EA ACCIDENT $ OTHER THAN AUTO ONLY: EA ACC S AGG S A EXCESSAIMBRELLALABnJTY CLAIMS MADE CU50050803/000 07/01/2003 07/01/2004 EACHOCCURRENCE s 1,000,000 f OCCUR AGGREGATE DEDUCTIBLE S( GENERAL AGC s 2,000,000 $ RETENTION S B WORKERS EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTE OFFCER/MEMBER II yes. AL SPECIAL COMPENSATION LIABILITY EXCLUDED? AND N WC7-35S-330860-013 01/01/2003 01/01/2004 1 TWORYIMIS 0111. ELEACH ACCIDENT S 1,000,000 EL DISFASF . EA EMPLOYEE` S 1,000,000 E L DISEASE - POLICY LIMIT S 1 000 000 , r PO 1St ROVInIONS Oelpw OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEWCLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RF �FENC' JUN s 2003 PURCHIaS%NG ACORD 25 (2001/08) ©ACORD CORPORATI( 4-/.l- :.75 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO AWL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Ci ty of Fayetteville BUT FAILURE TO MNL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 113 W Mountain OF ANY HIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. Fayetteville, AR 72701 AUTHORIZED REPRESENTATIVE /� 1�/�//� Mark McNair/TERRY 11tku?C 17 111)r.�..� ACORD 25 (2001/08) ©ACORD CORPORATI( 4-/.l- :.75 NAME OF FILE: CROSS REFERENCE: Item # Date • Resolution No. 04-03 Document • 1 12/20/02 Staff Review Form w/attachments: place holder staff review form copy of contract w/o EMS letter copy of insurance certificate 2 02/07/03 Memo to Chris Bosch NOTES. FAYETTEA LLE TIF CITY OF FAYETTEV4EE. ARKANSAS DEPARTMENTAL CORRESPONDENCE • To: Chris Bosch Fire Operations From: Clarice Buffalohead-Pearman L Sr. Secretary Date: 2/7/2003 Re: Res. No. 04-03 Attached please find an executed copy of the above resolution passed by the City Council January 7, 2003, authorizing a contract between the city and Central Emergency Medical Services, Inc. The resolution will be microfilmed and filed in the city clerk's office. If anything else is needed please let the city clerk's office know. /cbp cc: Nancy Smith, Internal Auditor • AGENDA REQUEST X CONTRACT REVIEW GRANT REVIEW STAFF REVIEW FORM For the Fayetteville City Council Meeting of: • January 7, 2003 FROM: Chris Bosch Name Fire Operations Division Fire Department ACTION REQUIRED: A resolution to renew Services, Inc. for 2003. the contract with Central Emergency Medical COST TO CITY: $150,000.00 Cost of this.request 1010-6600-5705.00 Account Number Project Number 150,000.00 Category/Project Budget Funds Used to Date Remaining Balance Transfer to CEMS Program Category / Project Name Program / Project Category Name 1010 Fund Name BUDGET REVIEW: �etMan ger X Budgeted Item 12-14 '62 - Date Budget Adjustment Attached Administrative Services Director Date C' yI Antt'ofn_ey� •.te �P 6111(01°a- /2/44,10:2L dII(010x, lZ//b/o2_ Date Purchasing Manager Date S..>L la -116/0d -- Internal Au tor ADA Coordinator Grant Coordinator Date Date Date STAFF RECOMMENDATION: Staff recommends approval of this resolution. Cross Reference New Item: Division He//add? Department Director Date Date Yes Previous Ord/Res*: Orig. Contract Date No Orig. Contract Number • Staff Review Form - Page 2• Description, Meeting Date Comments: Budget Manager Accounting Manager City Attorney Purchasing Manager ADA Coordinator Internal Auditor Grants Coordinator Reference Comments: • AGENDA REQUEST X CONTRACT REVIEW GRANT REVIEW STAFF REVIEW FORM • igLAci itoL e For the Fayetteville City Council Meeting of: January 7, 2003 FROM: Chris Bosch Name Fire Operations Division Fire Department ACTION REQUIRED: A resolution to renew the contract with Central Emergency Medical Services, Inc. for 2003. COST TO CITY: S150,000.00 S 150,000.00 Transfer to CEMS Cost of this request Category/Project Budget Program Category / Project Name 1010-6600-5705.00 $ Account Number Project Number Funds Used to Date Program / Project Category Name $ 1010 Remaining Balance Fund Name BUDGET REVIEW: X Budgeted Item Budget Manager Budget Adjustment Attached Date Administrative Services Director Date CONTRACT/GRANT/LEASE REVIEW: Accounting Manager City Attorney Date Internal Auditor Date Date ADA Coordinator Date Purchasing Manager Date Grant Coordinator Date STAFF RECO t€NDATION• Staff recommends approval of this resolution. Division Head Department Director Administrative Services Director Cross Reference Date New Item: Yes No /8-7S4?-- Date Date Mayor Date Previous Ord/Res#: Orig. Contract Date Orig. Contract Number • • • CITY OF FAYETTEVILLE CONTRACT FOR EMERGENCY MEDICAL TRANSPORT SERVICES This Agreement is entered into on this 1st day of, January 2003 between the City of Fayetteville, hereinafter known as the "City" and Central Emergency Medical Service, hereinafter known as "CEMS, "an Arkansas not-for-profit corporation. WHEREAS the City has determined that a public need exists for an emergency ambulance service that operates within the city limits of Fayetteville to serve Fayetteville residents, WHEREAS CEMS has developed an emergency ambulance service that operates within the City limits and serves Fayetteville residents. NOW, THEREFORE, to consideration of the mutual covenants contained herein, the City and CEMS agree as follows: I. This Agreement will begin on the date first written above. 2. CEMS agrees to develop, operate, and maintain an Advanced Life Support (ALS) Emergency Ambulance Service that serves Fayetteville residents and responds to all emergency medical calls for service within the city limits of Fayetteville, Arkansas. This ALS service will be provided in conjunction with the Fayetteville Fire Department's emergency response units with the Fayetteville Fire Department agreeing to provide Basic Life Support (BLS) Non - Transport Emergency Response Service. The Fire Department shall maintain control over the use of Fire Apparatus as First Response Units and CEMS shall maintain control over the use of Ambulances. 3. The Fayetteville Fire Department agrees to operate according to the established patient treatment protocols, as identified by the CEMS' Medical Director, from the time patient contact is made until the time the patient is removed from the incident scene and transported, via ALS Ambulance, to a recognized medical treatment facility or hospital, or until CEMS personnel determine the call is a no -transport. 4. CEMS agrees to provide written quarterly and annual reports to the City's Project Coordinator, describing the activities undertaken during the preceding period and also to report on the following performance measures: Number of calls responded to, average response time for these calls, type of patient service provided for each response. (Whether the patient accepted or declined care). The parameters for calculating the average response time will be from the time the call is verified at the CEMS medical communtcattons center until arrival at the incident location by the first arriving transporting Ambulance. "Time call is venfled," shall be the moment the communications center personnel receive both sufficient location information to know where a response is required and sufficient information to determine the presumptive run priority designation. "Arrival at incident location," means the Page l of 4 • • moment an ambulance crew notifies the medical communication center that it is fully stopped at the location where the ambulance shall be parked while the crew exits to approach the patient. In situations where the ambulance has responded to a location other than the scene (e.g. staging areas for hazardous material/violent crime incidents or non -secured scenes), arrival at the scene shall be the time the ambulance arrives at the designated staging location. The quarterly reports are to be submitted to the Project Coordinator by April 10, July 10, October 10, and January 10 for the preceding calendar quarter. The data will be reported for the current quarter, current year-to-date, and prior year-to-date. 5. CEMS agrees to make available records for review by the City and City auditors as requested, and to provide the City with an annual audit performed by a certified public accountant licensed by the State of Arkansas. CEMS agrees to comply with the Arkansas Freedom of Information Act as applicable. Requests for records shall follow compliance requirements of the Health Insurance Portability and Accountability Act (HIPAA). 6. For the purposes of this Agreement, the Project Coordinator for the City will be the City Fire Chief or his/her designee. The Project Coordinator for CEMS will be CEMS Director Tony Hickerson or his successor or designee. Communications pertaining to this agreement will be through the respective Project Coordinators for the City and CEMS. 7. Terms of Performance. The term of performance for this agreement will expire December 31, 2003 and may be extended for an additional three years subject to approval ofa budget containing funding for the service. 8. CEMS will hold harmless, defend, and indemnify the City, from any and all claims, actions, suits, charges and judgments whatsoever that arise out of the performance or nonperformance of the services or subject matter in this Agreement. 9. Budget. The City agrees to pay and CEMS agrees to accept, as payment in full for its services, in 2003, $150,000.00. The amounts to be paid for services in future budget years are dependent on the amounts appropriated by City Council for each budget year. 10. CEMS must provide and maintain in force, at all times during the term of the contract, insurance for worker's compensation as provided by state statute, commercial general liability, and vehicle liability. Such policies will be issued by companies authorized to do business in the State of Arkansas. Minimum amounts required for commercial general liability and vehicle liability are $1,000,000. For any work sublet, CEMS will require the subcontractor to provide similar worker's compensation insurance. In case any employee engaged in work on the project under this contract is not protected under workers' compensation insurance, CEMS will provide and will cause each subcontractor to provide adequate employers' liability insurance for the protection of such of his employees as are not otherwise protected. A certificate of insurance Page 2 of 4 • • addressed to the City listing the above coverage's is to be submitted with contract approval. The premiums for all insurance required herein wil be paid by CEMS. 11. Emergency Medical Services Committee. CENTS and the City agree to establish a standing Emergency Medical Service (EMS) Oversight -Committee. This EMS Committee shall consist of three (3) representative from CEMS, three (3) representatives from the Fire Department and two (2) representatives from the Police Department's Central Dispatching Office. This group will meet to discuss the coordination of services, facilitate the exchange ideas to enhance the quality of service being provided and develop a problem solving mechanism for issues that may arise. This Committee will meet no less than twelve (12) times in a calendar year. 12. The City agrees to compensate CEMS in the form of equal monthly installments with any remaining balances, for the calendar year, to be paid in December of the respective year. 13. Notices. All notices required or permitted under this agreement will be submitted in writing to thc other party in this agreement by certified mail, return receipt requested, with the notice becoming effective no less than three (3) days after deposit therein addressed to thc following: City of Fayetteville Fayetteville Fire Dept. CEMS Dan Coody Chris Bosch Tony Hickerson Mayor Fire Chief, Director 113 West Mountain St. 303 W. Center St. 645 S School Ave Fayetteville, AR 72701 Fayetteville, AR 72701 Fayetteville, AR 72701 14. Neither party may assign any of its rights or obligations under this agreement, without the express written consent of the other party. Nor shall this agreement be construed to bestow any rights or benefits upon anyone other than CEMS and the City. 15. A waiver by either party of any terms or conditions herein shall be limited to that particular instance, and shall not be construed as a general waiver of any other breaches by either party. 16. Agreement constitutes the entire understanding of the parties, and no modification or variation of the terms of this agreement shall be valid unless made in writing and signed by the duly authorized agents of the City and CEMS. 17. Severability. Each paragraph of this agreement is severable from all other paragraphs. In the event any court of competent jurisdiction determines that any paragraph or subparagraph is invalid or unenforceable for any reason, all remaining paragraphs and subparagraphs will remain in full force and effect. Page 3 of 4 18. Interpretation. This agreement shall be interpreted according to and enforced under the laws of the State of Arkansas. 19. Tax Exempt Status: Attached hereto and made part hereof is a copy of the correspondence from the Internal Revenue Service dated 5 1 )-7 /13 confirming the 501(c)(3) tax exempt status of the Central Emergency Medical Service. IN WITNESS WHEREOF, we have hereunto set our hands on the date first written above. Central Emerg r edical Services, Inc. City • Fayetteville 0 r / Dan Coody, May ed Tony Hickerson, Director Attested By: Page 4 of 4 ‘a 6L-QtNeil Attested By: ACORD INSR LTRDATE OF LIABILITY POLICY NUMBER POLICY EFFECnVE (MMIOWYYI 06/24/2 o CERTIFIC E INSU ONCE GENERA. LIABILITY PRODUCER (479) 521-7800 McNair & Associates P.O. Box 819 201 N. East Ave. Fayetteville, FAX T479)5214617 AR 72702-0819 THIS CERTIFICATE PrrSSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Central Emergency Medical Service Inc 645 5 School Fayetteville, AR 72701 I INSURER A. American Alternative EACH OCCURRENCE Ins Corp INSURERB Liberty Mutual $ 120001000 INSURERC INSURER O INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECnVE (MMIOWYYI POLICY EXPIRATION DATE (MWDDNYI LIMITS A GENERA. LIABILITY CL00013955/000 07/01/2002 07/01/2003 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (My ore fre) $ 120001000 X COMMERCIAL GENERAL LIABILITY MED EXP (My one person) $ 5, 000 CLAIMS MADE X OCCUR PERSONAL AADV INJURY $ 1,000,000 GENERAL AGGREGATE 3 2,000,000 PRODUCTS- COMPIOP AGG $ 2,000,000 GEN. AGGREGATE LIMIT APPLIES PER: RO- POLICY n JE T n LOC A AUTOMOBILE LIABILITY CM10011655/000 07/01/2002 - 07/01/2003 COMBINED SINGLE LIMIT (Ea xaeent) 3 1,000,000 $ X ANY AUTO BODILY INJURY a+ (Per pers) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Perocodenl) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE .LABILITY AUTO ONLY. EA ACCIDENT $ _ THAN EAACC S ANY AUTOOTHER AUTO ONLY: AGG 3 A EXCESS LIABILITY CU50050803/000 07/01/2002 07/01/2003 EACH OCCURRENCE $ 1,000,000 AGGREGATE 3 OCCUR [ CLAIMS MADE GENERAL AGG s 2,000,000 $ DEDUCTIBLE 3 RETENTION 3 B WORKERSCOMPENSAI1ONAND EMPLOYERS' LIABILITY WC7-355-330860-012 01/01/2002 01/01/2003 ITORYLMTTS OTH- ER E. L. EACH ACCIDENT $ 1,000,000 E L. DISEASE - EA EMP OYEE 3 1,000,000 E . DISEASE - POLICY LIMO $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS .00ATIONSNEHICLESIEXCLUSJONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Ci ty of Fayetteville 113 W Mountain Fayetteville, AR 72701 SHOULD ANY OF TME ABOVE EXPIRATION GATE THEREOF, 10 DAYS WRITTEN DESCRIBED POLICIES BE CANCELLED BEFORE THE THE ISSUING COMPANY WILL ENDEAVOR TO MNL NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY COMPANY. ITS AGENTS OR REPRESENTATIVES. BUT FAILURE TO MNL SUCH OF ANY KIND UPON THE AUTHORIZED Mark McNair/MARK REPRESENTATIVE J� 1 I )�u� 1 ACORD 25S (7/97) ACORD CORPORATION 19 • • • IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-8 (7/97) • RESOLUTION NO. 04-03 A RESOLUTION APPROVING A CONTRACT EXTENSION FOR AMBULANCE SERVICES IN THE AMOUNT OF ONE HUNDRED FIFTY THOUSAND DOLLARS ($150,000.00) BETWEEN THE CITY OF FAYETTEVILLE AND CENTRAL EMERGENCY MEDICAL SERVICES, INC. TO OPERATE AND MAINTAIN AN EMERGENCY AMBULANCE SERVICE TO SERVE THE RESIDENTS OF FAYETTEVILLE IN 2003 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 an extension of a contract for services pursuant to paragraph 6 of the contract in the amount of One Hundred Fifty Thousand Dollars ($150,000.00) between the City of Fayetteville and Central Emergency Medical Services, Inc. to operate and maintain an emergency ambulance service to serve the residents of Fayetteville for all of 2003. A copy of the original contract is attached hereto marked Exhibit "A" and made a part hereof. PASSED and APPROVED this the 7th day of January, 2003. ATTEST By: eater Woodruff, Cit}fr�lerk APPROVED: By DAN COODY, May