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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