HomeMy WebLinkAbout221-15 RESOLUTION113 West Mountain Street
Fayetteville, AR 72701
(479) 575-8323
Resolution: 221-15
File Number: 2015-0531
AMBULANCE SERVICES INTERLOCAL AGREEMENT:
A RESOLUTION TO APPROVE AN INTERLOCAL AGREEMENT FOR CONTINUATION
AND EXPANSION OF AMBULANCE SERVICES BY AND WITH THE CITY OF
FAYETTEVILLE, THE WASHINGTON COUNTY REGIONAL AMBULANCE
AUTHORITY, WASHINGTON COUNTY, ELKINS, ELM SPRINGS, FARMINGTON,
GOSHEN, GREENLAND, JOHNSON, LINCOLN, PRAIRIE GROVE, TONTITOWN, WEST
FORK, AND WINSLOW, AND TO AUTHORIZE THE AMBULANCE AUTHORITY TO
OPERATE CENTRAL EMERGENCY MEDICAL SERVICES 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
Services (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 CEMS should
continue to be designated the exclusive provider of emergency and non -emergency ambulance service within
all cities that are parties to this agreement.
Page 1 Printed on 1212115
File Number., 2015-0531
Resolution 221-15
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 and Expansion of Ambulance Services and for Expanded Membership in 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 Services 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 12/1/2015
Attest:
Sondra E. Smith, City Clerk Treasurer
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Page 2 Printed on 1212115
City of Fayetteville, Arkansas 113 West Mountain Street
Fayetteville, AR 72701
479 575-8323
Text File
File Number: 2015-0531
Agenda Date: 12/1/2015 Version: 1 Status: Passed
In Control: City Council Meeting File Type: Resolution
Agenda Number: C. 4
AMBULANCE SERVICES INTERLOCAL AGREEMENT:
A RESOLUTION TO APPROVE AN INTERLOCAL AGREEMENT FOR CONTINUATION AND
EXPANSION OF AMBULANCE SERVICES BY AND WITH THE CITY OF FAYETTEVILLE, THE
WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY, WASHINGTON COUNTY,
ELKINS, ELM SPRINGS, FARMINGTON, GOSHEN, GREENLAND, JOHNSON, LINCOLN,
PRAIRIE GROVE, TONTITOWN, WEST FORK, AND WINSLOW, AND TO AUTHORIZE THE
AMBULANCE AUTHORITY TO OPERATE CENTRAL EMERGENCY MEDICAL SERVICES 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 Services (LEMS) 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 CEMS
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 and Expansion of Ambulance Services and for Expanded Membership in
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 Services as the exclusive emergency and non -emergency
ambulance services provider throughout Fayetteville and every other city which is a party to this
City of Fayetteville, Arkansas Page 1 Printed on 121312015
File Number.' 2015-0531
agreement as broadly as authorized in A.C.A. § 14-266-102 and 105.
City of Fayetteville, Arkansas Page 2 Printed on 121312015
City of Fayetteville Staff Review Form
2015-0531
Legistar File ID
12/1/2015
City Council Meeting Date - Agenda Item Only
N/A for Non -Agenda Item
David Dayringer 11/12/2015
Fire /
Fire Department
Submitted By Submitted Date Division / Department
Action Recommendation:
Staff recommends approving The Interlocal Agreement for Continuation and Expansion of Ambulance Services and
for Expanded Membership in the Washington County Regional Ambulance Authority. This new agreement provides
for participating cities to pay $6.06 per capita based on the 2010 Federal Census and for Washington County to pay
$17.56 per capita for the unincorporated population based on the 2010 Federal Census throughout the five year
term of renewal (2016-2020) contingent upon 2016 Budget and Work Program approval from City Council.
Budget Impact:
Account Number
Project Number
Budgeted Item? NA Current Budget
Funds Obligated
Current Balance
Does Item have a cost? NA Item Cost
Budget Adjustment Attached? NA Budget Adjustment
Remaining Budget
Previous Ordinance or Resolution # 202-11
Fund
Project Title
V20140710
Original Contract Number: Approval Date:
Comments: Approval of the proposed new Interlocal Agreement for Ambulance Services will result in the current
$270,000 annual subsidy to increase to a $445,895 annual subsidy. This increase is due to the payment
requirement of $6.06 per capita based on the 2010 census. Funds for ambulance services are included
in the 2016 Annual Budget and Work Program Proposal and are contingent upon City Council approval.
CITY OF
ieevil1e
a
ARKANSAS
MEETING OF DECEMBER 1, 2015
TO: Mayor and City Council
FROM: David Dayringer, Fire Chief
DATE: November 12, 2015
SUBJECT: A resolution approving The Interlocal Agreement for Continuation and Expansion
of Ambulance Services and for Expanded 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 contingent upon
2016 Budget and Work Program approval from City Council.
RECOMMENDATION:
Staff recommends approving The Interlocal Agreement for Continuation and Expansion of
Ambulance Services and for Expanded Membership in the Washington County Regional
Ambulance Authority. This new agreement provides for participating cities to pay $6.06 per
capita based on the 2010 Federal Census and for Washington County to pay $17.56 per capita
for the unincorporated population based on the 2010 Federal Census throughout the five year
term of renewal (2016-2020) contingent upon 2016 Budget and Work Program approval from
City Council.
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. This current proposed
new Interlocal Agreement will add Elm Springs and Tontitown and will change the payment
amounts paid by each city and the county.
BUDGET/STAFF IMPACT:
Approval of the proposed new Interlocal Agreement for Ambulance Services will result in the
current $270,000 annual subsidy to increase to a $445,895 annual subsidy. This increase is
due to the payment requirement of $6.06 per capita based on the 2010 census. Funds for
ambulance services are included each year in the Annual Budget and Work Program and are
contingent upon 2016 Budget and Work Program approval from City Council.
ATTACHMENTS:
Agreement for Continuation and Expansion of Ambulance Services and for Expanded
Membership in the Washington County Regional Ambulance Authority
Mailing Address:
113 W. Mountain Street www.fayetteville-ar.gov
Fayetteville, AR 72701
AGREEMENT
FOR CONTINUATION AND EXPANSION OF AMBULANCE SERVICES ANI) FOR
EXPANDED MEMBERSHIP IN THE WASHINGTON COUNT Y REGIONAL
AMBULANCE AUTHORITY
THIS INTERLOCAL AGREEMENT FOR AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN 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, the County and Cities mutually agree that the continuation of an
Ambulance Authority or similar entity with participation by and coverage for the Cities of Elm
Springs and Tontitown as provided for in A.C.A. §14-14-910, A.C.A. §25-20-101 and A.C.A.
§ 14-266-101 etseq is in the best long-term interests of the parties; and,
WHEREAS, the City of Springdale, which had previously provided ambulance coverage
to the Cities of Elm Springs, Tontitown and the northern half of the City of Johnson and the
unincorporated areas of northern Washington County, will cease to provide such coverage on
December 31, 2015;
WHEREAS, The Cities of Elm Springs and Tontitown do not currently participate in
WCRAA as established in an original Interlocal Agreement in 2008, but will begin participation
beginning in 2016 and with execution of this Agreement; and,
WHEREAS, said Authority should consist of representatives of all of the above named
Cities and the County; and,
WHEREAS, the Original Agreement for Ambulance Services forming the WCRAA is
set to renew on its own terms in December 31, 2016 unless a party to that Original Agreement
notifies the other parties of its intent to withdraw by September 1, 2016; and
WHEREAS, all parties intend for the WCRAA to continue in operation and
administration beyond said December 31, 2016 renewal, with the WCRAA continuing to exist as
it does today with the exception of adding to membership the Cities of Elm Springs and
Tontitown; 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 in each of their respective cities, for the
cities, and in the unincorporated areas of Washington County for the County, and (b) beginning
or continued participation in the WCRAA; and
WHEREAS, all parties acknowledge that the continuation and expansion of membership
of the WCRAA will demand close and continued cooperation of all parties.
NOV, 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.
2
(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 he
chosen by the County appointee, the Fayetteville appointees and the small city
appointee.
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 life support emergency ambulance service 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 further effectuate the purposes
of this Agreement;
(1 1) To own and dispose of real and personal property;
3
(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.
(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 full 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 WCI'II A.C.A.
lz20-13-30I 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 ol'said
service.
ri
(b) The annual regional ambulance service -funding source for all parties of this
Agreement shall be based upon the most recent Federal Census including any special Census.
(1) All Cities shall pay $6.06 per capita based on the 2010 Federal Census.
(2) Washington County shall pay $17.56 per capita for the unincorporated population
of Washington County based on the 2010 Federal Census. 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 2016 and ending in December 31, 2020.
2010 Census
2016 payment
Farmington
5,974
$36,202
Prairie Grove
4,380
$26,543
Elkins
2,648
$16,047
Elm Springs
1,535
$9,302
Johnson
3,354
$20,325
Goshen
1,071
$6,490
Greenland
1,259
$7,630
Lincoln
2,249
$13,629
Winslow
391
$2,369
Tontitown
2,460
$14,908
West Fork
2,317
$14,041
Fayetteville
73,580
$445,895
County -Rural
38,142
$669,774
County SFll
$223,000
139,360
$1,506,155
(c) The Authority shall continue to seek a sustainable funding 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 he 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.
5
(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.
(i) In addition to the per capita payments, the County, Elm Springs. Johnson and
Tontitown agree to pay the below agreed upon cost of financing the additional
ambulance and equipment financed by the Authority to begin coverage for the area
previously covered by the City of Springdale:
Ambulance and E ui ement Costs
Financing the ambulance and equipment starting in 2016 over a five-year period will
result in an estimated payment of $4,500 per month.
The following table reflects each party's contribution for the ambulance and equipment
financing based on per capita percent of total.
EXPANDED COVERAGE 2016
Ambulance & Equipment Purchase Agreement
CENSUS
MTHLY
YEARLY
5 YEAR
ELM SPRINGS
1,535
$
562
$
6,748
$
33,742
JOHNSON
1828
$
670
$
8,036
$
40,182
TONTITOWN
2460
$
901
$
10,815
$
54,075
COUNTY
6460
$
2,367
$
28,400
$
142,001
12,283
$
4,500
$
54,000
$
270,000
ARTICLE 4. TERM.
This initial term of this Agreement shall be from January 1, 2016 at 12:00 a.m.
(midnight) through December 31, 2020 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, 2020. All parties agree to consider the effects of the 2020
Decennial Federal Census, as well as future censuses upon the division of the County Sales 'Fax
between the County and the Cities and the proportional changes of the populations of the Cities
and the unincorporated portions of Washington County and make any adjustment or amendments
advisable and necessary to Article 3 to ensure financial viability of the Authority and fairness for
all parties. A second automatic renewal shall occur on December 31, 2025 unless any party
notifies the Authority in writing of its refusal to participate in the Authority and this Agreement
by September 1, 2025. A substantial review of the financial status of the Authority and all
parties should occur in 2021 after the 2020 Federal Decennial Census and prior to further
renewals of this Agreement.
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 OF OWNERSHIP OF EQUIPMENT
BELONGING TO AND OPERATION OF WASHINGTON COUNTY REGIONAL
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 shall become full members of the WCRAA upon execution of 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.
ARTICLE 7. EFFECTIVE DATE.
This Agreement shall not be effective until approved and signed by all parties in
accordance with the law.
7
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 transport services offered by the
Authority, including management, supervision, mass gathering and community events.
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 $6.06 per capita due to the increased number of calls generated within their city
limits. The County contributes at $17.56 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 Fees: 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 thisj4 day of Lh4705.
WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY
Becky S! wart, xecutive Director
By:
Bruce Ledford, hairman of the Board
ATTEST:
By:
Ernie Penn, Secretary of the Board
22
ORDINANCE NO. /// /≤s
AN ORDINANCE APPROVING THE AGREEMENT FOR
CONTINUATION AND EXPANSION OF AMBULANCE
SERVICES AND FOR EXPANDED MEMBERSHIP IN THE
WASHINGTON COUNTY REGIONAL AMBULANCE
AUTHORITY.
WHEREAS, A.C.A. §14-14-910 and A.C.A §14-266-101 et. seq. authorize cities and
counties to enter into contracts to co-operate or join with each other to provide services
specifying 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 contracting Cities and the
County; and,
WHEREAS, the County and Cities mutually agree that continuation of and expansion of
the Washington County Regional Ambulance Authority as provided for in A.C.A. § 14-14-910
and § 14-266-101 et. seq. is in the best long-term interests of the parties; and,
WHEREAS, said Authority should consist of representatives of the contracting Cities
and the County; and,
NOW, THEREFORE, BE IT ORDAINED BY THE COUNCIL OF THE CITY OF
ELKINS, ARKANSAS:
That said Agreement for continuation and expansion of ambulance services and for
expanded membership in the Washington County Regional Ambulance Authority (attached
hereto) is hereby approved and the Mayor and Recorder -Treasurer are authorized to sign such
and the payments called for therein are authorized to be paid from the funds budgeted for
ambulance services.
PASSED AND APPROVED this day of , 2015.
. I RULE LEDFORD ayor
AVI ST:
DELIA FOSTER, Recorder -Treasurer
coc EMS Oid 110515
Signed this /f day of 110W _A X2015.
CITY OF
ELKINS, ARKANSAS
By:
ATTEST:
B j1 ti
Y_
D firs Foster; Eity eivi.
10
RESOLUTION NO. 2015
A RESOLUTION FOR CONTINUATION AND
EXPANSION OF AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN THE WASHINGTON
COUNTY REGIONAL AMBULANCE AUTHORITY
THIS INTERLOCAL AGREEMENT FOR AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN 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. §25-20-10 I, 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, the County and Cities mutually agree that the continuation of an Ambulance
Authority or similar entity with participation by and coverage for the Cities of Elm Springs and
Tontitown as provided for in A.C.A. §14-14-910, A.C.A. §25-20-10] and A.C.A. §14-266-101 et. seq
is in the best long-term interests of the parties; and,
WHEREAS, the City of Springdale, which had previously provided ambulance coverage to the
Cities of Elm Springs, Tontitown and the northern half of the City of Johnson and the unincorporated
areas of northern Washington County, will cease to provide such coverage on December 31, 2015;
WHEREAS, The Cities of Elm Springs and Tontitown do not currently participate in WCRAA
as established in an original Interlocal Agreement in 2008, but will begin participation beginning in
2016 and with execution of this Agreement; and,
WHEREAS, said Authority should consist of representatives of all of the ahoN e named Cities
and the County; and,
WHEREAS, the Original Agreement for Ambulance Services forming the WCRAA is set to
renew on its own terms in December 31. 2016 unless a party to that Original Agreement notifies the
other parties of its intent to withdraw by September 1,2016; and
WHEREAS, all parties intend for the WCRAA to continue in operation and administration
beyond said December 31. 2016 renewal, with the WCRAA continuing to exist as it does todaith the
exception of adding to membership the Cities of Elm Springs and Tontito\nm and
WHEREAS. the parties acknowledge that their linancial contributions to the 1VCRAA as set
lorth in this Agreement and previous Agreements funding the \VCRAA is for and in consideration of (a)
ambulance service coverage \\ithin in each of their respecti\e cities. for the cities. and in the
unincorporated areas of Washington County for the County. and (b) beginning or continued participation
in the WVC RAA: and
WHEREAS, all parties acknowledge that the continuation and expansion of membership of the
1 VCRAA 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 Faycttev ille;
(5) A Nursing Home or medical profession representative who shall reside in the
City of Fayetteville to be chosen by the County appointee: the Fayette ille
appointees, acid the Small city appointee.
(6) A Hospital representative ho shall reside in the City of Fayette\ ille to be
chosen by the County appointee; the Fayetteville appointees, and the small
city appointee.
(7) A representative of the financial community residing in (lie scrk ice area to be chosen
by the County appointee. the Fayetteville appointees and the small city appointee,
ARTICLE 2. PURPOSES. POWERS, RIGNTS, OBLIGATIONS AND
RESPONSIBILITIES OF THE CREATED ENTITY.
(a) All parties acknow ledge that the need to create an crility to o\\ n, operate and manauc an
am balance service is necessary and appropriate.
(b) The Authority created herein shall ha%e the follmNing powers:
(I) To provide advanced life support emergency ambulance scrn ice 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 further effectuate the purposes of this
Agreement;
(II) To 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.
(c) \ ashinoton C'ntn?ty Reeionill Ambulance Authoritv's Specitic Duties.
The Authority created herein shall have the following specific duties and
responsibilities in addition to the statutory and administrative requirements of §I4-266-109. the
Arkansas Medical Practices Act, and any other government or professional standards,
(I) Response time metrics shall he analyzed no less than monthly to determine the iced
for additional ambulances and staff to maintain agreed upon service levels.
(2) Reporting Requirements.
(A) F.jyette ills. On the third Tuesday of Jul) each year, the li'ashington
County Regional Ambulance Authority by the t o Fa)ettevillc
representatives on the Executive Committee shall appear before the
Fayetteville City Council to present:
(1) The yyritten annual, audited report of the prcyious
)ear'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 full 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. (a20-13-301
et.seu
(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 most recent Federal Census including any special Census.
(I) ) All Cities shall pay $6.06 per capita based on the 2010 Federal Census
(2) Washington County shall pay $ 17.56 per capita for the unincorporated population of
Washington County based on the 2010 Federal Census. Additionally, Washington
County :;poll pa) the amount of °)223,000, previously paid to Sprin`od,tic Fire
Department for ambulance coverage, to the Authority for a period of five %ears starting
in January 2016 and ending in December 31. 2020.
2010 Census 2016 oar meat
Fatminuton
5.974
$36,202
Prairie Grove
4.380
$26.543
Elkins
2.648
$ 16.047
Elm Springs
1.535
$9.302
Johnson
3.354
$20,325
Goshen
1,071
$6,490
Greenland
1.259
$7.630
Lincoln
2.249
$13,629
Winslow
391
$2,369
Tontitown
2,460
$14,908
West Fork
2.317
$14,041
Fayetteville
73,580
$445,895
County -Rural
38,142
$669,774
County SFD
$223,000
139,360
$1,506,155
(c) The Authority shall continue to seek a sustainable funding 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 arc 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.
(1) 1n addition to the pct capita payments, the County, Elm Springs, Johnson and
Tontitown agree to pay the below agreed upon cost of financing the additional
ambulance and equipment financed by the Authority to begin coverage for the
area previously covered by the City of Springdale:
Ambulance and Equipment Costs
Financing the ambulance and equipment starting in 2016 m er a In c -year period \\ ill
result in an estimated payment of $4,500 per month.
The f dloing table reflects each party's contribution for the ambulance and equipment
financing based on per capita percent of total.
EXPANDED COVERAGE 2016
Ambulance & Equipment Purchase Agreement
CENSUS
MTHLY
YEARLY
5 YEAR
ELM SPRINGS
1,535
$
562
$ 6,748
$
33,742
JOHNSON
1828
$
670
$ 8,036
$
40,182
TONTITOWN
2460
$
901
$ 10,815
$
54,075
COUNTY
6460
$
2,367
$ 28,400
$
142,001
12,283
$
4,500
$ 54,000
$
270,000
ARTICLE 4. TERM.
This initial term of this Agreement shall be from January 1, 2016 at 12:00 a.m. (midnight)
through December 31, 2020 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, 2020. All parties agree to consider the effects of the 2020 Decennial Federal Census,
as well as future censuses upon the division of the County Sales Tax between the County and the
Cities and the proportional changes of the populations of the Cities and the unincorporated
portions of Washington County and make any adjustment or amendments advisable and necessary
to Article 3 to ensure financial viability of the Authority and fairness for all parties. A second
automatic renewal shall occur on December 31, 2025 unless any party notifies the Authority in
writing of its refusal to participate in the Authority and this Agreement by September 1, 2025. A
substantial review of the financial status of the Authority and all parties should occur in 2021 after
the 2020 Federal Decennial Census and prior to further renewals of this Agreement.
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 pet -
capita fee for that pro -rata portion of the year.
ARTICLE 5. CONTINUATION OF OWNERSHIP OF EQUIPMENT BELONGING TO
ANN) OPERATION OF WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY.
Property currently owned by WCRAA and all other property and resources of the Authority
purchased luting its existence of o+ened by it on July 2, 201 I, or thereafter shall remain the Authority',
exclusive property throughout the Authority's existence. It is the intent of all parties that WC'R,1A'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 nov.- belonging to the WCRAA shall continue to hind or inure to the benefit of as the case
may be. the \VCRAA during the length of this Agreement. The WC'RAA 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 Tontito»n shall become full members of the 11CRA;1
upon execution of this Agreement and 'chile they honor their obligations hereunder. as am 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 hercolshall he
held to be invalid or to be inapplicable to any person or circumstance, such holdings shall not al'lcct the
iibility or the applicability of the remainder hereof.
ARTICLE 7. EFFECTIVE DATE.
This Agreement shall not be effective until approved and signed by all parties in accordance
with the law.
APPENDIX TO AGREEMENT
APPENDIS DEFINITION TO TERMS WHEN AND IF USED.
Ambulance Authority: Quasi -governmental entity created to o,.ersce and deliver ambulance scr% ice in
specified geographical service area.
Ambulance Service: Means emergency and non -emergency transport sere ices offered by the Authori1N.
including management, super N ision. mass gathering and community events.
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 $6.06
per capita due to the increased number of calls generated within their city limits. The County contributes
at $17.56 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 Fees: 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 on this _day of _ _,i '�. . 2015.
CITY OF ELM SPRINGS, ARKANSAS
Harold Douthit, Mayor
,ATTEST:
By:
Glenda Pettus, City Clerk
ORDINANCE NO, 2015-09
AN ORDINANCE TO APPROVE THE INTERLOCAL
AGREEMENT FOR AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN THE WASHINGTON COUNTY
REGIONAL AMBULANCE AUTHORITY WITH WASHINGTON
COUNTY, ARKANSAS
WHEREAS, the cities of Farmington, Prairie Grove, Elkins,
Johnson, Goshen, Greenland, Lincoln, Winslow, West Fork,
Tontitown, Elm Springs and Fayetteville have agreed to enter
into an Interlocal Agreement with Washington County, Arkansas
for the continuation of the Washington County Regional
Ambulance Authority to provide ambulance services in
accordance with Ark. Code Ann. §14-14-910, Ark. Code Ann. §25-
20-101 and Ark. Code Ann. §14-266-101; and
WHEREAS, it is acknowledged by the respective members of
the regional authority that the continued availability of
ambulance service is crucial for the continued health and
safety of the residents of the cities and the county; and
WHEREAS, the city council has determined that it is in
the best interest of the citizenry of the City of Farmington
to agree to and participate with the aforementioned cities and
Washington County in an interlocal agreement for continued
ambulance services.
NOW THEREFORE, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY
OF FARMINGTON, ARKANSAS:
Section 1: That the Interlocal Agreement for
Continuation and Expansion of Ambulance Services, which is
attached hereto and incorporated herein as Exhibit "A", should
be and is hereby approved and the mayor is hereby authorized
to execute the agreement on behalf of the City of Farmington.
Section 2: Repealing Clause. All other ordinances and
parts of ordinances in conflict herewith are hereby repealed.
Section 3: Severability Clause. In the event any part
of this ordinance is declared inoperative or invalid as a
result of a statute or judicial decision, then only that
portion expressly so declared to be inoperative or invalid
shall be affected thereby and all other provisions hereof
shall remain in full force and effect.
Section 4: Effective Date. That the City Council of the
City of Farmington, Arkansas further determines that the
renewal of the interlocal agreement and passage of this
ordinance is necessary for the continuation of ambulance
services for the citizenry of the City of Farmington;
therefore, an emergency is hereby declared and this ordinance
shall be in full force and effect from and after its passage
and approval.
PASSED AND APPROVED this 9th day of November, 2015.
APPROVED:
By:
Ernie Penn, Mayor
ATTEST:
By: LL� e
Kelly Penn, City Clerk
2
Signed this _ day of 1VV �/ . , 2015.
CITY OF
FARMINGTON, ARKANSAS
By:
Ernie Penn, Mayor
ATTEST:
By:
Kelly Penn, Ci ti Clerk
13
113 West Mountain Street
Fayetteville, AR 72701
(479) 575-8323
Resolution: 221-15
File Number: 2015-0531
AMBULANCE SERVICES INTERLOCAL AGREEMENT:
A RESOLUTION TO APPROVE AN INTERLOCAL AGREEMENT FOR CONTINUATION
AND EXPANSION OF AMBULANCE SERVICES BY AND WITH THE CITY OF
FAYETTEVILLE, THE WASHINGTON COUNTY REGIONAL AMBULANCE
AUTHORITY, WASHINGTON COUNTY, ELKINS, ELM SPRINGS, FARMINGTON,
GOSHEN, GREENLAND, JOHNSON, LINCOLN, PRAIRIE GROVE, TONTITOWN, WEST
FORK, AND WINSLOW, AND TO AUTHORIZE THE AMBULANCE AUTHORITY TO
OPERATE CENTRAL EMERGENCY MEDICAL SERVICES 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
Services (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 CEMS should
continue to be designated the exclusive provider of emergency and non -emergency ambulance service within
all cities that are parties to this agreement.
Page I Pslnted on 92/2/15
File Number, 2015-0531 Resolution 221-15
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 and Expansion of Ambulance Services and for Expanded Membership in 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 Services 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 12/1/2015
Attest:
Sondra E. Smith, City Clerk Treasurer
;FAYtIICVILLL;
,?r 911"Q1.V'�
Page 2 Printed on 12/2/15
City of Fayetteville, Arkansas 113 West Mountain Street
Fayetteville, AR 72701
(479) 575.8323
Text File
File Number: 2015-0531
Agenda Date: 12/1/2015 Version: 1 Status: Passed
In Control: City Council Meeting File Type: Resolution
Agenda Number: C. 4
AMBULANCE SERVICES INTERLOCAL AGREEMENT:
A RESOLUTION TO APPROVE AN INTERLOCAL AGREEMENT FOR CONTINUATION AND
EXPANSION OF AMBULANCE SERVICES BY AND WITH THE CITY OF FAYETTEVILLE, THE
WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY, WASHINGTON COUNTY,
ELKINS, ELM SPRINGS, FARMINGTON, GOSHEN, GREENLAND, JOHNSON, LINCOLN,
PRAIRIE GROVE, TONTITOWN, WEST FORK, AND WINSLOW, AND TO AUTHORIZE THE
AMBULANCE AUTHORITY TO OPERATE CENTRAL EMERGENCY MEDICAL SERVICES 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 Services (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 CEMS
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 and Expansion of Ambulance Services and for Expanded Membership in
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 Services as the exclusive emergency and non -emergency
ambulance services provider throughout Fayetteville and every other city which is a party to this
City of Fayetteville, Arkansas Page 1 Printed on 1213/2015
File Number. 2015-0531
agreement as broadly as authorized in A.C.A. §14-266-102 and 105.
City o/Fayetteville, Arkansas Page 2 Printed on 12/3/2015
City of Fayetteville Staff Review Form
2015-0531
Legistar File ID
12/1/2015
City Council Meeting Date - Agenda Item Only
N/A for Non -Agenda Item
Fire /
David Dayringer 11/12/2015 Fire Department
Submitted By Submitted Date Division / Department
Action Recommendation:
Staff recommends approving The Interlocal Agreement for Continuation and Expansion of Ambulance Services and
for Expanded Membership in the Washington County Regional Ambulance Authority. This new agreement provides
for participating cities to pay $6.06 per capita based on the 2010 Federal Census and for Washington County to pay
$17.56 per capita for the unincorporated population based on the 2010 Federal Census throughout the five year
term of renewal (2016-2020) contingent upon 2016 Budget and Work Program approval from City Council.
Budget Impact:
Account Number
Project Number
Budgeted Item? NA
Does Item have a cost? NA
Budget Adjustment Attached? NA
Current Budget
Funds Obligated
Current Balance
Item Cost
Budget Adjustment
Remaining Budget
Fund
Project Title
r:
$
V20140710Previous Ordinance or Resolution # 202-11
Original Contract Number:
Approval Date:
Comments: Approval of the proposed new Interlocal Agreement for Ambulance Services will result in the current
$270,000 annual subsidy to increase to a $445,895 annual subsidy. This Increase is due to the payment
requirement of $6.06 per capita based on the 2010 census. Funds for ambulance services are Included
in the 2016 Annual Budget and Work Program Proposal and are contingent upon City Council approval.
CITY OF
1�le
ARKANAS
MEETING OF DECEMBER 1, 2015
TO: Mayor and City Council
FROM: David Dayringer, Fire Chief
DATE: November 12, 2015
CITY COUNCIL AGENDA MEMO
SUBJECT: A resolution approving The Interlocal Agreement for Continuation and Expansion
of Ambulance Services and for Expanded 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 contingent upon
2016 Budget and Work Program approval from City Council,
RECOMMENDATION:
Staff recommends approving The Interlocal Agreement for Continuation and Expansion of
Ambulance Services and for Expanded Membership in the Washington County Regional
Ambulance Authority. This new agreement provides for participating cities to pay $6.06 per
capita based on the 2010 Federal Census and for Washington County to pay $17.56 per capita
for the unincorporated population based on the 2010 Federal Census throughout the five year
term of renewal (2016-2020) contingent upon 2016 Budget and Work Program approval from
City Council.
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. This current proposed
new Interlocal Agreement will add Elm Springs and Tontitown and will change the payment
amounts paid by each city and the county.
BUDGET/STAFF IMPACT:
Approval of the proposed new Interlocal Agreement for Ambulance Services will result in the
current $270,000 annual subsidy to increase to a $445,895 annual subsidy, This increase is
due to the payment requirement of $6.06 per capita based on the 2010 census. Funds for
ambulance services are included each year in the Annual Budget and Work Program and are
contingent upon 2016 Budget and Work Program approval from City Council.
ATTACHMENTS:
Agreement for Continuation and Expansion of Ambulance Services and for Expanded
Membership in the Washington County Regional Ambulance Authority
Mailing Address:
113 W. Mountain Street
Fayetteville, AR 72701
www.fay&teville-ar.gov
AGREEMENT
FOR CONTINUATION AND EXPANSION OF AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN THE WASHINGTON COUNTY REGIONAL
AMBULANCE AUTHORITY
THIS INTERLOCAL AGREEMENT FOR AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN 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, the County and Cities mutually agree that the continuation of an
Ambulance Authority or similar entity with participation by and coverage for the Cities of Elm
Springs and Tontitown as provided for in A.C.A. §14-14-910, A.C.A. §25-20-101 and A.C.A.
§ 14-266-101 et, seq is in the best long-term interests of the parties; and,
WHEREAS, the City of Springdale, which had previously provided ambulance coverage
to the Cities of Elm Springs, Tontitown and the northern half of the City of Johnson and the
unincorporated areas of northern Washington County, will cease to provide such coverage on
December 31, 2015;
WHEREAS, The Cities of Elm Springs and Tontitown do not currently participate in
WCRAA as established in an original Interlocal Agreement in 2008, but will begin participation
beginning in 2016 and with execution of this Agreement; and,
WHEREAS, said Authority should consist of representatives of all of the above named
Cities and the County; and,
WHEREAS, the Original Agreement for Ambulance Services forming the WCRAA is
set to renew on its own terms in December 31, 2016 unless a party to that Original Agreement
notifies the other parties of its intent to withdraw by September 1, 2016; and
WHEREAS, all parties intend for the WCRAA to continue in operation and
administration beyond said December 31, 2016 renewal, with the WCRAA continuing to exist as
it does today with the exception of adding to membership the Cities of Elm Springs and
Tontitown; 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 in each of their respective cities, for the
cities, and in the unincorporated areas of Washington County for the County, and (b) beginning
or continued participation in the WCRAA; and
WHEREAS, all parties acknowledge that the continuation and expansion of membership
of the WCRAA will demand close and continued cooperation of all parties,
NOW, THEREFORE, IT IS AGREED:
ARTICLE X. 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.
it does today with the exception of adding to membership the Cities of Elm Springs and
Tontitown; 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 in each of their respective cities, for the
cities, and in the unincorporated areas of Washington County for the County, and (b) beginning
or continued participation in the WCRAA; and
WHEREAS, all parties acknowledge that the continuation and expansion of membership
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:
(I) 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
appointee,
ARTICLE 2PURPOSES. 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 life support emergency ambulance service 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 further effectuate the purposes
of this Agreement;
(11) To own and dispose of real and personal property;
c
(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.
(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 full 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.
X20-13-301 ET. S) Q.
(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.
4
(b) The annual regional ambulance service -funding source for all parties of this
Agreement shall be based upon the most recent Federal Census including any special Census.
(1) All Cities shall pay $6.06 per capita based on the 2010 Federal Census.
(2) Washington County shall pay $17.56 per capita for the unincorporated population
of Washington County based on the 2010 Federal Census, 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 2016 and ending in December 31, 2020.
2010 Census
2016went
Farmington
5,974
$36,202
Prairie Grove
4,380
$26,543
Elkins
2,648
$16,047
Elm Springs
1,535
$9,302
Johnson
3,354
$20,325
Goshen
1,071
$6,490
Greenland
1,259
$7,630
Lincoln
2,249
$13,629
Winslow
391
$2,369
Tontitown
2,460
$14,908
West Fork
2,317
$14,041
Fayetteville
73,580
$445,895
County -Rural
38,142
$669,774
Coun SFD
_ _
$223,000
139,360
$1,506,155
(c) The Authority shall continue to seek a sustainable funding 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.
5
(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.
(i) In addition to the per capita payments, the County, Elm Springs, Johnson and
Tontitown agree to pay the below agreed upon cost of financing the additional
ambulance and equipment financed by the Authority to begin coverage for the area
previously covered by the City of Springdale:
Ambulance and Equipment Costs
Financing the ambulance and equipment starting in 2016 over a five-year period will
result in an estimated payment of $4,500 per month.
The following table reflects each party's contribution for the ambulance and equipment
financing based on per capita percent of total.
EXPANDED COVERAGE 2016
Ambulance & Equipment Purchase Agreement
CENSUS
MTHLY
YEARLY
5 YEAR
ELM SPRINGS
1,535
$
562
$ 6,748
$ 33,742
JOHNSON
1828
$
670
$ 8,036
$ 40,182
TONTITOWN
2460
$
901
$ 10,815
$ 54,075
COUNTY
6460
$
2,367
$ 28,400
$ 142,001
12,283
$
4,500
$ 54,000
$ 270,000
ARTICLE 4. TERM.
This initial term of this Agreement shall be from January 1, 2016 at 12:00 a.m.
(midnight) through December 31, 2020 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, 2020. All parties agree to consider the effects of the 2020
Decennial Federal Census, as well as future censuses upon the division of the County Sales Tax
between the County and the Cities and the proportional changes of the populations of the Cities
and the unincorporated portions of Washington County and make any adjustment or amendments
advisable and necessary to Article 3 to ensure financial viability of the Authority and fairness for
all parties. A second automatic renewal shall occur on December 31, 2025 unless any party
notifies the Authority in writing of its refusal to participate in the Authority and this Agreement
by September 1, 2025. A substantial review of the financial status of the Authority and all
parties should occur in 2021 after the 2020 Federal Decennial Census and prior to further
renewals of this Agreement.
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 OF OWNERSHIP OF E UIPMENT
BELONGING TO AND OPERATION OF WASHINGTON COUNTY REGIONAL
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 shall become full members of the WCRAA upon execution of 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.
ARTICLE 7. EFFECTIVE DATE.
This Agreement shall not be effective until approved and signed by all parties in
accordance with the law.
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 transport services offered by the
Authority, including management, supervision, mass gathering and community events.
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 $6.06 per capita due to the increased number of calls generated within their city
limits. The County contributes at $17.56 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 Fees: 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 j_t day of,�IPW; 2015.
CITY OF
FAYETTEVILL,.E. ARKANSAS
ATTEST:
By: tJL
-
Sondra E. Smith, City Clerk
RESOLUTION NO. 2015-7
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, in 2008, the City of Goshen joined other cities and Washington County,
Arkansas ("County") to form Washington County Regional Ambulance Authority ("WCRAA") by
means of an inter -local agreement; and,
WHEREAS, WCRAA, the County, and the cities of Elkins, Elm Springs, Farmington,
Fayetteville, Goshen, Greenland, Johnson Lincoln, Prairie Grove, Tontitown, West Fork, and
Winslow ("Cities") have indicated their desire to cooperate and join with each other to provide
ambulance service through an inter -local agreement (the "Inter -local Agreement "); 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, the County and Cities mutually agree that the continuation of an Ambulance
Authority or similar entity with participation by and coverage for the Cities of Elm Springs and
Tontitown as provided for in A.C.A. § 14-14-910, A.C.A. §25-20-101 and A.C.A. § 14-266-101 et.
seq. is in the best long-term interests of the parties; and,
WHEREAS, the City of Springdale, which had previously provided ambulance coverage to
the Cities of Elm Springs, Tontitown and the northern half of the City of Johnson and the
unincorporated areas of northern Washington County, will cease to provide such coverage on
December 31, 2015;
WHEREAS, The Cities of Elm Springs and Tontitown do not currently participate in
WCRAA as established in an original Inter -local Agreement in 2008, but will begin participation
beginning in 2016 and with execution of the Inter -local Agreement by all parties; and,
WHEREAS, said Authority should consist of representatives of all ofthe above named Cities
and the County; and,
WHEREAS, the original Inter -local Agreement for Ambulance Services forming the
WCRAA is set to renew on its own terms in December 31, 2016 unless a party to that Original
Agreement notifies the other parties of its intent to withdraw by September 1, 2016; and
WHEREAS, all parties intend for the WCRAA to continue in operation and administration
beyond said December 31, 2016 renewal, with the WCRAA continuing to exist as it does today with
the exception of adding to membership the Cities of Elm Springs and Tontitown; and
WHEREAS, all parties acknowledge that the continuation and expansion of membership of
the WCRAA will demand close and continued cooperation of all parties; and
WIIEREAS, the City Council of Goshen previously approved the Jnter-local Agreement
between the Cities and the County pursuant to Ordinance 79 and the subsequent amendment thereto
by Ordinance 95, which provided, inter alga, that should any further amendments to the Inter -local
Agreement be presented to the City Council, such amendments maybe approved byresolution, either
oral or written, and once approved by resolution may be signed by the Mayor or other official
designatedby the City Council in the resolution granting approval, without the need to further amend
either this Ordinance or Ordinance 79.
NOW, THEREFORE, BE 1T RESOLVED, BY THE COUNCIL OF THE CITY OF
GOSHEN that said Inter -local Agreement, as amended, is approved, and the Mayor and Recorder
are authorized to sign said Inter -local Agreement, conditioned upon approval by the other Cities.
PASSED AND APPROVED THIS 10`b day of November, 2015.
CITY OF GOSHEN
Jo .cnson, Mayor
Attest;
at
S a l3aggett, Cit ccorder
Signed this ( day off,, 2015.
CITY OF
ATTEST:
By: �.
Sharon Baggett, Cit corder/Treasurer
16
ORDINANCE NO. __ )
AN ORDINANCE APPROVING THE AGREEMENT FOR
CONTINUATION AND EXPANSION OF AMBULANCE
SERVICES AND FOR EXPANDED MEMBERSHIP IN THE
WASHINGTON COUNTY REGIONAL AMBULANCE
AUTHORITY.
WHEREAS, A.C.A. §14-14-910 and A.C.A §14-266-101 et. seq. authorize cities and
counties to enter into contracts to co-operate or join with each other to provide services
specifying 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 contracting Cities and the
County; and,
WHEREAS, the County and Cities mutually agree that continuation of and expansion of
the Washington County Regional Ambulance Authority as provided for in A.C.A. § 14-14-910
and § 14-266-101 et. seq. is in the best long-term interests of the parties; and,
WHEREAS, said Authority should consist of representatives of the contracting Cities
and the County; and,
NOW, THEREFORE, BE IT ORDAINED BY THE COUNCIL OF THE CITY OF
GREENLAND, ARKANSAS:
That said Agreement for continuation and expansion of ambulance services and for
expanded membership in the Washington County Regional Ambulance Authority (attached
hereto) is hereby approved and the Mayor and Recorder -Treasurer are authorized to sign such
and the payments called for therein are authorized to be paid from the funds budgeted for
ambulance services.
PASSED AND APPROVED this A day ofN 2015.
l°J' Imo,
BILL 1tOOM, Mayor
ATTEST:
^, _
S"I EPH N]E SHARP, Recorder- 'reasurer
cog EMS Ord 110515
Signed this ' day ofi _, 2015.
CITY OF
GREENLAND, ARKANSAS
By:
):�__-
Bill Gro , yor
ATTEST:
By: . p
Stephanie Sharp, City Recorder/Treasurer
ORDINANCE NO. c)-b/S -/0
AN ORDINANCE APPROVING THE AGREEMENT FOR
CONTINUATION AND EXPANSION OF AMBULANCE
SERVICES AND FOR EXPANDED MEMBERSHIP IN THE
WASHINGTON COUNTY REGIONAL AMBULANCE
AUTHORITY.
WHEREAS, A.C.A. §14-14-910 and A.C.A §14-266-101 et. seq. authorize cities and
counties to enter into contracts to co-operate or join with each other to provide services
specifying 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 contracting Cities and the
County; and,
WHEREAS, the County and Cities mutually agree that continuation of and expansion of
the Washington County Regional Ambulance Authority as provided for in A.C.A. §14-14-910
and § 14-266-101 et. seq. is in the best long-term interests of the parties; and,
WHEREAS, said Authority should consist of representatives of the contracting Cities
and the County; and,
NOW, THEREFORE, BE IT ORDAINED BY THE COUNCIL OF THE CITY OF
JOHNSON, ARKANSAS:
That said Agreement for continuation and expansion of ambulance services and for
expanded membership in the Washington County Regional Ambulance Authority (attached
hereto) is hereby approved and the Mayor and Recorder -Treasurer are authorized to sign such
and the payments called for therein are authorized to be paid from the funds budgeted for
ambulance services.
PASSED AND APPROVED this (�lday of 2015.
CHI1S 4El } Y, Mayor
TTEST:
Treasurer
cojEMS Ord110515
Signed this day of1015.
15.
CITY OF
JOHNSON, ARKANSAS
By:
ATTEST:
17
ORDINANCE NO. °2o15-
AN ORDINANCE TO AUTHORIZE THE CITY TO ENTER INTO AN
AMENDED INTE RLOCAL AGREEMENT WITH WASHINGTON COUNTY
AND OTHER CITIES FOR THE CREATION OFAN AMBULANCE
AUTHOR I'I'Y.
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF
LINCOLN, ARKANSAS, THAT:
Section One: Titic_ This Ordinance shall he known ;is the Amended Washiutgturn
Count-' Regional Ambulance Authority lnlerlocal Agreement Ordinance of 2oi ,.
Seriion Two: Par-t%es. The proposed parties to the Amended InterTrcal
Agreement are Washington County and the Cities of Elkins, Elm Springs.
Farmington, Fav't'tteNilie, Goshl°n, Greenland, Johnson, Lincoln. Prairie Grove.
Tontitown, West Fork and Winslow.
Section Three: Authorization. A,C.A. §§1.1-14-91ii. 14-266-10l el scrj,, and
25-20-101 et eq. authorize cities and counties to enter into contracts to
cooperate or join with each other to provide services: stith to specify the
responsibilities of all parties.
Section Foul;: lnterlocal A&cement. ,mended. The parties entered into an
Amended fiterlocal Agreement in 2011. Said Interlocal Agreement is amended
to account for the inclusion of the Cities of Elm Springs and Tontitown and to
increase the amount of funding provided.
Se roll File; Interlcpcal Agreement_Att(whed. The attached AGREEMENT FOR
CONTINUATION AND EXPANSION OF AIVIUULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN TIME WASHINGTON COUNTY REGIONAL
AMBt'I.ANCE AUTHORITY provides for the amendment of the Interloca]
,Agreement to include the Cities of Elm Springs and Tontitown and updates each
citv's financial contribution, and is hereby incorporated herein as if set forth
\+Ord -for -word.
; t•c�tioii Six: Officials Anthorir.cd in Sign A ,reenient. The Mayor and
Clerk/'Treasurer are hereby authorized to sign the Agreement to bind the City If,
the terms of such agreement. l he Mayor and Clerk -Treasurer are further
authorized to Iake such steps as arc necessar1 and incident to its intiplen'.i?nlalit.)I1
Section ;ti .veil: Effective Date. This Ordinance shall become effective 3u
days following its posting.
':tin _Eight Repealing Cl iuse. Ordinances or parts thereof in force at the
time that this urdinancc shall tale effect that are in conflict herewith, are heri'b
repealed, including Ordinance 2011-06.
Section Nine: Saving Clauc. Nothing hciciu shall be deemed to affect an rights
c r obligations exisling at the time of the passage of This ordinance.
Sec ii iTe_n: Stverability Oause. In the teem am portion of this ordinance i:,
declared inuperativer or invalid as a result of a siiiiaf or judiriaf dvciifn1. turn
only that portion expressly so declared to be inoperative or invalid shall be
affected thereby and all other prmisions hereof shall remain in full force and
effect.
F,
Approved this 1 ir.. _ day of November 2O15.
�i '1 • aa►ci l t flat: �r
ORDINANCE NO. 2015__
AN ORDINANCE TO AUTHORIZE THE CITY TO ENTER INTO AN
AMENDED INTERLOCAL AGREEMENT WITH WASHINGTON COUNTY
AND OTHER CITIES FOR THE CREATION OF AN AMBULANCE
AUTHORITY AND FOR OTHER PURPOSES.
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF PRAIRIE
GROVE, ARKANSAS, THAT:
Section One: Title. This Ordinance shall be known as the Amended Washington
County Regional Ambulance Authority Interlocal Agreement Ordinance of 2015.
Section Two: Parties. The proposed parties to the Amended Interlocal
Agreement are Washington County and the Cities of Elkins, Elm Springs,
Farmington, Fayetteville, Goshen, Greenland, Johnson, Lincoln, Prairie Grove,
Tontitown, West Fork and Winslow.
Section Three: Authorization. A.C.A. §§14-14-910,14-266-101 et seq., and
25-20-101 et seq. authorize cities and counties to enter into contracts to
cooperate or join with each other to provide services; such to specify the
responsibilities of all parties.
Section Four:Interlocal Agreement Amended. The parties entered into an
Amended Interlocal Agreement in 2011. Said Interlocal Agreement is amended
to account for the inclusion of the Cities of Elm Springs and Tontitown and to
increase the amount of funding provided.
Section Five: Interlocal Agreement Attached. The attached AGREEMENT FOR
CONTINUATION AND EXPANSION OF AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN THE WASHINGTON COUNTY REGIONAL
AMBULANCE AUTHORITY provides for the amendment of the Interlocal
Agreement to include the Cities of Elm Springs and Tontitown and updates each
city's financial contribution, and is hereby incorporated herein as if set forth
word-for-word.
Section Six: Officials Authorized to Sign Agreement, The Mayor and Clerk are
hereby authorized to sign the Agreement to bind the City to the terms of such
agreement. The Mayor and Clerk -Treasurer are further authorized to take such
steps as are necessary and incident to its implementation.
Section Seven: Effective Date. This Ordinance shall become effective 30
days following its posting.
Section Eight: epe ling Clause. Ordinances or parts thereof in force at the
time that this ordinance shall take effect that are in conflict herewith, are hereby
repealed, including Ordinance 2011-17.
Section Nine: SavingGlause. Nothing herein shall be deemed to affect any rights
or obligations existing at the time of the passage of this ordinance.
Section Ten: Severability Clause. In the event any portion of this ordinance is
declared inoperative or invalid as a result of a statute or judicial decision, then
only that portion expressly so declared to be inoperative or invalid shall be
affected thereby and all other provisions hereof shall remain in full force and
effect.
Approved this day of November 2015.
harle H i, Mayor
(Attest)
Christine Kelly, Clerk
AGREEMENT
FOR CONT[NUATION AND EXPANSION OF AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN THE WASHINGTON COUNTY REGIONAL
AMBULANCE AUTHORITY
THIS INTERLOCAL AGREEMENT FOR AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN 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, the County and Cities mutually agree that the continuation of an
Ambulance Authority or similar entity with participation by and coverage for the Cities of Elm
Springs and Tontitown as provided for in A.C.A. §14-14-910, A.C.A. §25-20-101 and A.G.A.
§ 14-266-101 et. seq is in the best long-term interests of the parties; and,
WHEREAS, the City of Springdale, which had previously provided ambulance coverage
to the Cities of Elm Springs, Tontitown and the northern half of the City of Johnson and the
unincorporated areas of northern Washington County, will cease to provide such coverage on
December 31, 2015;
WHEREAS, The Cities of Elm Springs and Tontitown do not currently participate in
WCRAA as established in an original Interlocal Agreement in 2008, but will begin participation
beginning in 2016 and with execution of this Agreement; and,
WHEREAS, said Authority should consist of representatives of all of the above named
Cities and the County; and,
WHEREAS, the Original Agreement for Ambulance Services forming the WCRAA is
set to renew on its own terms in December 31, 2016 unless a party to that Original Agreement
notifies the other parties of its intent to withdraw by September 1, 2016; and
WHEREAS, all parties intend for the WCRAA to continue in operation and
administration beyond said December 31, 2016 renewal, with the WCRAA continuing to exist as
it does today with the exception of adding to membership the Cities of Elm Springs and
Tontitown; 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 in each of their respective cities, for the
cities, and in the unincorporated areas of Washington County for the County, and (b) beginning
or continued participation in the WCRAA; and
WHEREAS, all parties acknowledge that the continuation and expansion of membership
of the WCRAA will demand close and continued cooperation of all parties.
NOW, THEREFORE, IT IS AGREED:
ARTICLE 1. AUTHORITY ORGANIZATION.
(a) The mayor or judge 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 on 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 board 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
appointee.
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 life support emergency ambulance service 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 further effectuate the purposes
of this Agreement;
(11) To 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.
(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) AnLQther Member ofThis Authority. Upon written request by
any other member of this authority, the Board Member
representing that entity shall provide the full 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.
§20-13-301 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 most recent Federal Census including any special Census.
(1) All Cities shall pay $6.06 per capita based on the 2010 Federal Census.
(2) Washington County shall pay $17.56 per capita for the unincorporated population
of Washington County based on the 2010 Federal Census. 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 2016 and ending in December 3 1, 2020.
2010 Census
2016 per capita
Farmington
5,974
$36,202
Prairie Grove
4,380
$26,543
Elkins
2,648
$16,047
Elm Springs
1.535
$9,302
Johnson
3,354
$20,325
Goshen
1,071
$6,490
Greenland
1,259
$7,630
Lincoln
2,249
$13,629
Winslow
391
$2,369
Tontitown
2,460
$14,908
West Fork
2,317
$14,041
Fayetteville
73,580
$445,895
County -Rural
38,142
$669,774
County SFD _
$223,000
139,360
$1,506,155
(c) The Authority shall continue to seek a sustainable funding 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.
(i) In addition to the per capita payments, the County, Elm Springs, Johnson and
Tontitown agree to pay the below agreed upon cost of financing the additional
ambulance and equipment financed by the Authority to begin coverage for the area
previously covered by the City of Springdale:
Ambulance and Equipment Costs
Financing the ambulance and equipment starting in 2016 over a five-year period will
result in an estimated payment of $4,500 per month.
The following table reflects each party's contribution for the ambulance and equipment
financing based on per capita percent of total.
EXPANDED COVERAGE 2016
Ambulance & Equipment Purchase Agreement
CENSUS
MTHLY
YEARLY
5 YEAR
ELM SPRINGS
1,535
$
562
$
6,748
$
33,742
JOHNSON
1828
$
670
$
8,036
$
40,182
TONTITOWN
2460
$
901
$
10,815
$
54,075
COUNTY
6460
$
2,367
$
28,400
$
142,001
12,283
$
4,500
$
54,000
$
270,000
ARTICLE 4. TERM.
This initial term of this Agreement shall be from January 1, 2016 at 12:00 a.m.
(midnight) through December 31, 2019 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, 2018. All parties agree to consider the effects of the 2020
Decennial Federal Census, as well as future censuses upon the division of the County Sales Tax
between the County and the Cities and the proportional changes of the populations of the Cities
and the unincorporated portions of Washington County and make any adjustment or amendments
advisable and necessary to Article 3 to ensure financial viability of the Authority and fairness for
all parties. A second automatic renewal shall occur on December 31, 2022 unless any party
notifies the Authority in writing of its refusal to participate in the Authority and this Agreement
by September 1, 2021. A substantial review of the financial status of the Authority and all
parties should occur in 2021 after the 2020 Federal Decennial Census and prior to further
renewals of this Agreement.
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 OF OWNERSHIP O1~" .EQUIPMENT
BELONGING TO AND OPERATION OF WASHINGTON COUNTY. REGIONAL
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 shall become frill members of the WCRAA upon execution of 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. SLVERABILITY.
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.
ARTICLE 7. EFFECTIVE DATE.
This Agreement shall not be effective until approved and signed by all parties in
accordance with the law.
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 transportt services offered by the
Authority, including management, supervision, mass gathering and community events.
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 $6.06 per capita due to the increased number of calls generated within their city
limits. The County contributes at $17.56 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 first term of this Agreement.
Subsidy: Government funds requested by the Authority to provide ambulance service.
User Fees: 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 . day of_j.2015.
CITY OF
ATTEST:
By: Lui.
Christine Kelly. City Cler
6� t
RESOLUTION NO. 2015-12- R
A RESOLUTION APPROVING AN INTERLOCAL
AGREEMENT WITH THE WASHINGTON COUNTY
REGIONAL AMBULANCE AUTHORITY, WASHINGTON
COpUNT�Y, 7�� ARKANSAS, �pA^ND THE CITIES OFD, ErLK 7NS,
JOHNSON, LINCOLN,
FARMINGTON, GOSHEN, �pWEST
LINCOLN, PRAIRIE GROVE, S'►"ESA FORK, Tontitown,
AND WINSLO'WT:t, ARKANSAS, REGARDING THE
FINANCING OF AMBULANCE SERVICES.
WHEREAS, the city of Tontitown, Arkansas, currently provides ambulance services
pursuant to an agreement with the city of Springdale, Arkansas; and
WHEREAS, the city of Springdale, Arkansas, will cease to provide such services on
December 31, 2015; and
WHEREAS, Ark. Code Ann. § 14-14-910, Ark, Code Ann. § 25-20-101, and Ark. Code
Ann. § 14-266-102 authorize cities and counties to enter into contracts to cooperate or join with
each other to provide emergency and non -emergency medical services and to specify the
responsibilities of the parties thereto; and
WHEREAS, the continued provision of ambulance services is crucial to the continued
health, safety, and welfare of the residents of the city of Tontitown, Arkansas.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the city of
Tontitown, Arkansas:
Section 1: That the City Council hereby approves the attached agreement with the
Washington County Regional Ambulance Authority, Washington County, Arkansas, and the
cities of Elkins, Elm Springs, Farmington, Goshen, Greenland, Johnson, Lincoln, Prairie Grove,
West Fork, and Winslow, Arkansas, concerning the provision of ambulance services for the city
of Tontitown, Arkansas, after December 31, 2015.
Section 2: That the Mayor and Recorder are hereby authorized and directed to
execute the attached agreement concerning the provision of ambulance services, and are further
authorized to execute any and all documents necessary to effectuate this purpose. A copy of said
agreement is attached hereto as Exhibit "A" and incorporated herein as if set out word for word.
PASSED AND APPROVED this 1st day of December, 2015.
PAUL COLVIN, JR., Mayor
ATTEST:
RHONDA ARDEEMAGNI, Deputy Recorder 1, ioth ni'OWN Resolutions2015-I I _ R. Appng Agr u WCRAA doe
AGREEMENT
FOR CONTINUATION AND EXPANSION OF AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN THE WASHINGTON COUNTY REGIONAL
AMBULANCE AUTHORITY
THIS INTERLOCAL AGREEMENT FOR AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN 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, the County and Cities mutually agree that the continuation of an
Ambulance Authority or similar entity with participation by and coverage for the Cities of Elm
Springs and Tontitown as provided for in A.C.A. §14-14-910, A.C.A. §25-20-101 and A.C.A.
§ 14-266-101 et. seq is in the best long-term interests of the parties; and,
WHEREAS, the City of Springdale, which had previously provided ambulance coverage
to the Cities of Elm Springs, Tontitown and the northern half of the City of Johnson and the
unincorporated areas of northern Washington County, will cease to provide such coverage on
December 31, 2015;
WHEREAS, The Cities of Elm Springs and Tontitown do not currently participate in
WCRAA as established in an original Interlocal Agreement in 2008, but will begin participation
beginning in 2016 and with execution of this Agreement; and,
WHEREAS, said Authority should consist of representatives of all of the above named
Cities and the County; and,
WHEREAS, the Original Agreement for Ambulance Services forming the WCRAA is
set to renew on its own terms in December 31, 2016 unless a party to that Original Agreement
notifies the other parties of its intent to withdraw by September 1, 2016; and
WHEREAS, all parties intend for the WCRAA to continue in operation and
administration beyond said December 31, 2016 renewal, with the WCRAA continuing to exist as
it does today with the exception of adding to membership the Cities of Elm Springs and
Tontitown; 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 in each of their respective cities, for the
cities, and in the unincorporated areas of Washington County for the County, and (b) beginning
or continued participation in the WCRAA; and
WHEREAS, all parties acknowledge that the continuation and expansion of membership
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
appointee.
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 life support emergency ambulance service 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 further effectuate the purposes
of this Agreement;
(Ii) To own and dispose of real and personal property;
3
(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.
(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 full 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.
&20-13-301. ET. SE(
(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.
4
(b) The annual regional ambulance service -funding source for all parties of this
Agreement shall be based upon the most recent Federal Census including any special Census.
(1) All Cities shall pay $6.06 per capita based on the 2010 Federal Census.
(2) Washington County shall pay $17.56 per capita for the unincorporated population
of Washington County based on the 2010 Federal Census. 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 2016 and ending in December 31, 2020.
2010 Census 2016 payment
Farmington
5,974
$36,202
Prairie Grove
4,380
$26,543
Elkins
2,648
$16,047
Elm Springs
1,535
$9,302
Johnson
3,354
$20,325
Goshen
1,071
$6,490
Greenland
1,259
$7,630
Lincoln
2,249
$13,629
Winslow
391
$2,369
Tontitown
2,460
$14,908
West Fork
2,317
$14,041
Fayetteville
73,580
$445,895
County -Rural
38,142
$669,774
County SFD
$223,000
139,360
$1,506,155
(c) The Authority shall continue to seek a sustainable funding 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.
5
(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.
(i) In addition to the per capita payments, the County, Elm Springs, Johnson and
Tontitown agree to pay the below agreed upon cost of financing the additional
ambulance and equipment financed by the Authority to begin coverage for the area
previously covered by the City of Springdale:
Ambulance and Eguipment meat Costs
Financing the ambulance and equipment starting in 2016 over a five-year period will
result in an estimated payment of $4,500 per month.
The following table reflects each party's contribution for the ambulance and equipment
financing based on per capita percent of total.
EXPANDED COVERAGE 2016
Ambulance & Equipment Purchase Agreement
CENSUS
MTHLY
YEARLY
5 YEAR
ELM SPRINGS
1,535
$
562
$ 6,748
$
33,742
JOHNSON
1828
$
670
$ 8,036
$
40,182
TONTITOWN
2460
$
901
$ 10,815
$
54,075
COUNTY
6460
$
2,367
$ 28,400
$
142,001
12,283
$
4,500
$ 54,000
$
270,000
ARTICLE 4. TERM.
This initial term of this Agreement shall be from January 1, 2016 at 12:00 a.m.
(midnight) through December 31, 2020 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, 2020. All parties agree to consider the effects of the 2020
Decennial Federal Census, as well as future censuses upon the division of the County Sales Tax
between the County and the Cities and the proportional changes of the populations of the Cities
and the unincorporated portions of Washington County and make any adjustment or amendments
advisable and necessary to Article 3 to ensure financial viability of the Authority and fairness for
all parties. A second automatic renewal shall occur on December 31, 2025 unless any party
notifies the Authority in writing of its refusal to participate in the Authority and this Agreement
by September 1, 2025. A substantial review of the financial status of the Authority and all
parties should occur in 2021 after the 2020 Federal Decennial Census and prior to further
renewals of this Agreement.
6
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 OF OWNERSHIP OF EQUIPMENT
BELONGING TO AND OPERATION OF WASHINGTON COUNTY REGIONAL
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 shall become full members of the WCRAA upon execution of 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.
ARTICLE 7. EFFECTIVE DATE.
This Agreement shall not be effective until approved and signed by all parties in
accordance with the law.
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 transport services offered by the
Authority, including management, supervision, mass gathering and community events.
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 $6.06 per capita due to the increased number of calls generated within their city
limits. The County contributes at $17.56 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 Fees: 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 I day of, lj 2015.
CITY OF
TONTITOWN, ARKANSAS
By:
C ---
Paul Colvin, Mayor
ATTEST:
By:
Rhonda Ardemagni, I)epu y Recorder
20
ORDINANCE NO. 201544
C-,
BE IT ORDAINED BY THE QUORUM COURT
OF THE COUNTY OF WASHINGTON,
STATE OF ARKANSAS, AN ORDINANCE
TO BE ENTITLED:
AN ORDINANCE APPROVING AN INTERLOCAL
AGREEMENT ("AGREEMENT") BETWEEN 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") FOR CONTINUATION AND EXPANSION OF
AMBULANCE SERVICES AND FOR EXPANDED
MEMBERSHIP IN THE WASHINGTON COUNTY
REGIONAL AMBULANCE AUTHORITY ("WCRAA").
WHEREAS, A.C,A.§14-14-910 and A.C.A.,§14-266.1Q1 el. seq.
authorize cities and counties to enter into contracts to co-operate or join with each other to provide
for emergency and non -emergency medical services; such to specify the responslhllIties of all
parties; and,
WHEREAS, all partlos 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, the County and Cities mutually agree that the
continuation of an Ambulance Authority or similar entity with participation by and coverage for the
Cities of Elm Springs and Tontitown as provided for In A.C.A. §14-14.910. A.C.A. §25.20.101 and
A.C.A. §14-266-101 et, seq is in the best long-term interests of the parties; and.
WHEREAS, the City of Springdale. which had previously provided
ambulance coverage to the Cities of Elm Springs. Tontitown and the northern half of the City of
Johnson and the unincorporated areas of northern Washington County, will cease to provide such
coverage on December 31. 2015; and,
WHEREAS, the Cities of Elm Springs and Tontitown do not currently
participate in WCRAA as established in an original Interfocat Agreement in 2006, but will begin
participation beginning in 2016 and with execution of this Agreement.
NOW, THEREFORE, BE IT ORDAINED BY THE QUORUM COURT
OF WASHINGTON COUNTY, ARKANSAS:
ARTICLE 1. That the County Judge Is authorized to sign said
Intertocal Agreement.
11/23/15
N Rl Y! _DW RDS, County Judge DATE
BEG l_EWAL Co my C ris
Sponsor; Tom Irundetrum & Joe Patterson
Date of Passage:, NQvember_19, 2015
Votes Fnr:,13 Votes Againsl: 0 _
Abstention: 0 Absent: 2
Signed this day of f;Jov. -, 2015.
WASHINGTON COUNTY, ARKANSAS
B7$ '
arilfi=w/rds. County Judge
ATTEST:
By: .�..--
13eckv Ltn cn, ou qty Clerk
21
APPROVED AS TO FOV�ll
NOV 302015
WASHINGT0N00UNTYATTIJR
RESOLUTION 2015-15
AGREEMENT
FOR CONTINUATION AND EXPANSION OF AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN THE WASHINGTON COUNTY REGIONAL
AMBULANCE AUTHORITY
THIS INTERLOCAL AGREEMENT FOR AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN 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
L[NCOLN, 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, the County and Cities mutually agree that the continuation of an
Ambulance Authority or similar entity with participation by and coverage for the Cities of Elm
Springs and Tontitown as provided for in A.C.A. § 14-14-910, A.C.A. §25-20-101 and A.C.A.
§ 14-266-101 el. seq is in the best long-term interests of the parties; and,
WHEREAS, the City of Springdale, which had previously provided ambulance coverage
to the Cities of Elm Springs, Tontitown and the northern half of the City of Johnson and the
unincorporated areas of northern Washington County, will cease to provide such coverage on
December 31, 2015;
WHEREAS, The Cities of Elm Springs and Tontitown do not currently participate in
WCRAA as established in an original Interlocal Agreement in 2008, but will begin participation
beginning in 2016 and with execution of this Agreement; and,
WHEREAS, said Authority should consist of representatives of all of the above named
Cities and the County; and,
WHEREAS, the Original Agreement for Ambulance Services forming the WCRAA is
set to renew on its own terms in December 3 ] , 2016 unless a party to that Original Agreement
notifies the other parties of its intent to withdraw by September 1, 2016; and
WHEREAS, all parties intend for the WCRAA to continue in operation and
administration beyond said December 31, 2016 renewal, with the WCRAA continuing to exist as
it does today with the exception of adding to membership the Cities of Elm Springs and
Tontitown; 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 in each of their respective cities, for the
cities, and in the unincorporated areas of Washington County for the County, and (b) beginning
or continued participation in the WCRAA; and
WHEREAS, all parties acknowledge that the continuation and expansion of membership
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.
7
(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
appointee.
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 life support emergency ambulance service 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 further effectuate the purposes
of this Agreement;
(1 1) To 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.
(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 full written and oral report
referred to in (A) to that City or to the County during its regular
July or August meeting.
Al "I'ICLE 3. FINANCING; `TRAINING, COi II'I..,IANCE 1VITIJ. A.C.A.
§20-I3-301 ET. SEO.
(a) Al! 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 oil 'said
service.
4
(b) The annual regional ambulance service -funding source for all parties of this
Agreement shall be based upon the most recent Federal Census including any special Census.
(1) All Cities shall pay $6.06 per capita based on the 2010 Federal Census.
(2) Washington County shall pay $l 7.56 per capita for the unincorporated population
of Washington County based on the 2010 Federal Census. 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 2016 and ending in December 31, 2020.
2010 Census 2016 p yment
Farmington
5,974
$36,202
Prairie Grove
4,380
$26,543
Elkins
2,648
$16,047
Elm Springs
1,535
$9,302
Johnson
3,354
$20,325
Goshen
1,071
$6,490
Greenland
1,259
$7,630
Lincoln
2,249
$13,629
Winslow
391
$2,369
Tontitown
2,460
$14,908
West Fork
2,317
$14,041
Fayetteville
73,580
$445,895
County -Rural
38,142
$669,774
County SFD_
$223,000
139,360
$1,506,155
(c) The Authority shall continue to seek a sustainable funding 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 Erv1T certified firefighters that act as first responders with said
ambulance service.
5
(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.
(i) In addition to the per capita payments, the County, Elm Springs, Johnson and
Tontitown agree to pay the below agreed upon cost of financing the additional
ambulance and equipment financed by the Authority to begin coverage for the area
previously covered by the City of Springdale:
Ambulance and E+ uipment Costs
Financing the ambulance and equipment starting in 2016 over a five-year period will
result in an estimated payment of $4,500 per month.
The following table reflects each party's contribution for the ambulance and equipment
financing based on per capita percent of total.
EXPANDED COVERAGE 2016
Ambulance & Equipment Purchase Agreement
CENSUS
MTHLY
YEARLY
5 YEAR
ELM SPRINGS
1,535
$
562
$
6,748
$
33,742
JOHNSON
1828
$
670
$
8,036
$
40,182
TONTITOWN
2460
$
901
$
10,815
$
54,075
COUNTY
6460
$
2,367
$
28,400
$
142,001
12,283
$
4,500
$
54,000
$
270,000
ARTICLE 4. TERM.
This initial term of this Agreement shall be from January 1, 2016 at 12:00 a.m.
(midnight) through December 31, 2020 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, 2020. All parties agree to consider the effects of the 2020
Decennial Federal Census, as well as future censuses upon the division of the County Sales Tax
between the County and the Cities and the proportional changes of the populations of the Cities
and the unincorporated portions of Washington County and make any adjustment or amendments
advisable and necessary to Article 3 to ensure financial viability of the Authority and fairness for
all parties. A second automatic renewal shall occur on December 31, 2025 unless any party
notifies the Authority in writing of its refusal to participate in the Authority and this Agreement
by September 1, 2025. A substantial review of the financial status of the Authority and all
parties should occur in 2021 after the 2020 Federal Decennial Census and prior to further
renewals of this Agreement.
z
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 OF OWNERSHIP OF EQUIPMENT
BELONGING TO AND OPERATION OF WASHINGTON COUNTY REGIONAL
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 shall become full members of the WCRAA upon execution of 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.
ARTICLE 7. EFFECTIVE DATE.
This Agreement shall not be effective until approved and signed by all parties in
accordance with the law.
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 transport services offered by the
Authority, including management, supervision, mass gathering and community events.
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 $6.06 per capita due to the increased number of calls generated within their city
limits. The County contributes at $17.56 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 Fees: Fees charged to patients treated or transported by the ambulance service, or fees
charged to an individual or an organization for ambulance standby coverage.
8
Signed this l U day of M , 2015.
CITY OF
WEST FORK, ARKANSAS
By:
Charlie Rossetti, Mayor
ATTEST:
is rII
$
By: : WEST FO ,K =
Marsha Hungate, City lerk
15
AGREEMENT
FOR CONTINUATION AND EXPANSION OF AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN THE WASHINGTON COUNTY REGIONAL
AMBULANCE AUTHORITY
THIS INTERLOCAL AGREEMENT FOR AMBULANCE SERVICES AND FOR
EXPANDED MEMBERSHIP IN 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, the County and Cities mutually agree that the continuation of an
Ambulance Authority or similar entity with participation by and coverage for the Cities of Elm
Springs and Tontitown as provided for in A.C.A. §14-14-910, A.C.A. §25-20-101 and A.C.A.
§14-266-101 el. seq is in the best €ong-term interests of the parties; and,
WHEREAS, the City of Springdale, which had previously provided ambulance coverage
to the Cities of Elm Springs, Tontitown and the northern half of the City of Johnson and the
unincorporated areas of northern Washington County, will cease to provide such coverage on
December 31, 2015;
WHEREAS, The Cities of Elm Springs and Tontitown do not currently participate in
WCRAA as established in an original Interlocal Agreement in 2008, but will begin participation
beginning in 2016 and with execution of this Agreement; and,
WHEREAS, said Authority should consist of representatives of all of the above named
Cities and the County; and,
WHEREAS, the Original Agreement for Ambulance Services forming the WCRAA is
set to renew on its own terms in December 31, 2016 unless a party to that Original Agreement
notifies the other parties of its intent to withdraw by September 1, 2016; and
WHEREAS, all parties intend for the WCRAA to continue in operation and
administration beyond said December 31, 2016 renewal, with the WCRAA continuing to exist as
it does today with the exception of adding to membership the Cities of Elm Springs and
Tontitown; 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 in each of their respective cities, for the
cities, and in the unincorporated areas of Washington County for the County, and (b) beginning
or continued participation in the WCRAA; and
WHEREAS, all parties acknowledge that the continuation and expansion of membership
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.
2
(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
appointee.
ARTICLE 2. PURPOSESI 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 life support emergency ambulance service 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 further effectuate the purposes
of this Agreement;
(11) To own and dispose of real and personal property;
3
(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.
(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) Fa eyeviille. 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 full 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.
§20-13-301 ET. SL'+ ".
(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.
4
(b) The annual regional ambulance service -funding source for all parties of this
Agreement shall be based upon the most recent Federal Census including any special Census.
(1) All Cities shall pay $6.06 per capita based on the 2010 Federal Census.
(2) Washington County shall pay $17.56 per capita for the unincorporated population
of Washington County based on the 2010 Federal Census. 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 2016 and ending in December 31, 2020.
2010 Census 2016 payment
Farmington
5,974
$36,202
Prairie Grove
4,380
$26,543
Elkins
2,648
$16,047
Elm Springs
1,535
$9,302
Johnson
3,354
$20,325
Goshen
1,071
$6,490
Greenland
1,259
$7,630
Lincoln
2,249
$13,629
Winslow
391
$2,369
Tontitown
2,460
$14,908
West Fork
2,317
$14,041
Fayetteville
73,580
$445,895
County -Rural
38.142
$669,774
County SFD
$223,000
139,360
$1,506,155
(c) The Authority shall continue to seek a sustainable funding 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.
5
(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.
(i) In addition to the per capita payments, the County, Elm Springs, Johnson and
Tontitown agree to pay the below agreed upon cost of financing the additional
ambulance and equipment financed by the Authority to begin coverage for the area
previously covered by the City of Springdale:
Ambulance and Equipment Costs
Financing the ambulance and equipment starting in 2016 over a five-year period will
result in an estimated payment of $4,500 per month.
The following table reflects each party's contribution for the ambulance and equipment
financing based on per capita percent of total.
EXPANDED COVERAGE 2016
Ambulance & Equipment Purchase Agreement
CENSUS
MTHLY
YEARLY
5 YEAR
ELM SPRINGS
1,535
$
562
$
6,748
$
33,742
JOHNSON
1828
$
670
$
8,036
$
40,182
TONTITOWN
2460
$
901
$
10,815
$
54,075
COUNTY
6460
$
2,367
$
28,400
$
142,001
12,283
$
4,500
$
54,000
$
270,000
ARTICLE 4. TERM.
This initial term of this Agreement shall be from January 1, 2016 at 12:00 a.m.
(midnight) through December 31, 2020 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, 2020. All parties agree to consider the effects of the 2020
Decennial Federal Census, as well as future censuses upon the division of the County Sales Tax
between the County and the Cities and the proportional changes of the populations of the Cities
and the unincorporated portions of Washington County and make any adjustment or amendments
advisable and necessary to Article 3 to ensure financial viability of the Authority and fairness for
all parties. A second automatic renewal shall occur on December 31, 2025 unless any party
notifies the Authority in writing of its refusal to participate in the Authority and this Agreement
by September 1, 2025. A substantial review of the financial status of the Authority and all
parties should occur in 2021 after the 2020 Federal Decennial Census and prior to further
renewals of this Agreement.
n
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 OF OWNERSHIP OF EQUIPMENT
_
BELONGING TO AND OPERATION OF WASHINGTON COUNTY REGIONAL
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 shall become full members of the WCRAA upon execution of 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.
ARTICLE 7. EFFECTIVE DATE.
This Agreement shall not be effective until approved and signed by all parties in
accordance with the law.
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 transport services offered by the
Authority, including management, supervision, mass gathering and community events.
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 $6.06 per capita due to the increased number of calls generated within their city
limits. The County contributes at $17.56 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 Fees: 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 �i day of ���- 2015.
CITY OF
WINSLOW, ARKANSAS
By• 4�'
Randy , g n, Mayor
ATTEST:
7
I3
By: � r+°
Mary mley, City Cier
18
AGREEMENT
FOR CONTINUATION AND EXPANSION OF AMBULANCE SERVICES ANI) FOR
EXPANDED MEMBERSHIP IN THE WASHINGTON COUNTY REGIONAL
AMBULANCE AUTHORITY
THIS INTERLOCAL AGREEMENT FOR AMBULANCE SERVICES ANI) FOR
EXPANDED MEMBERSHIP IN 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 1?LKINS.
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, the County and Cities mutually agree that the continuation of an
Ambulance Authority or similar entity with participation by and coverage for the Cities of Elm
Springs and Tontitown as provided for in A.C.A. §14-14-910, A.C.A. §25-20-101 and A.C.A.
§ 14-266-101 el. seq is in the best long-term interests of the parties; and,
WHEREAS, the City of Springdale, which had previously provided ambulance coverage
to the Cities of Elm Springs, Tontitown and the northern half of the City of Johnson and the
unincorporated areas of northern Washington County, will cease to provide such coverage on
December 31, 2015;
WHEREAS, The Cities of Elm Springs and Tontitown do not currently participate in
WCRAA as established in an original Interlocal Agreement in 2008, but will begin participation
beginning in 2016 and with execution of this Agreement; and,
WHEREAS, said Authority should consist of representatives of all of the above named
Cities and the County; and,
WHEREAS, the Original Agreement for Ambulance Services forming the WCRAA is
set to renew on its own terms in December 31, 2016 unless a party to that Original Agreement
notifies the other parties of its intent to withdraw by September 1, 2016; and
WHEREAS, all parties intend for the WCRAA to continue in operation and
administration beyond said December 31, 2016 renewal, with the WCRAA continuing to exist as
it does today with the exception of adding to membership the Cities of Elm Springs and
Tontitown: 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 in each of their respective cities, for the
cities, and in the unincorporated areas of Washington County for the County, and (b) beginning
or continued participation in the WCRAA; and
WHEREAS, all parties acknowledge that the continuation and expansion of membership
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.
ri
(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 he
chosen by the County appointee, the Fayetteville appointees and the small city
appointee.
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 life support emergency ambulance service 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;
t8) 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 further effectuate the purposes
of this Agreement:
(11) To own and dispose of real and personal property;
7
(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.
(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) Fa e�y tteville. 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 full 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 WFTII A.C.A.
20-13-30I ET. $E .
(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.
4
(b) The annual regional ambulance service -funding source for all parties of this
Agreement shall be based upon the most recent Federal Census including any special Census.
(1) All Cities shall pay $6.06 per capita based on the 2010 Federal Census.
(2) Washington County shall pay $17.56 per capita for the unincorporated population
of Washington County based on the 2010 Federal Census. 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 2016 and ending in December 31, 2020.
2010 Census 2016 payment
Farmington
5,974
$36,202
Prairie Grove
4,380
$26.543
Elkins
2,648
$16,047
Elm Springs
1,535
$9,302
Johnson
3,354
$20,325
Goshen
1,071
$6,490
Greenland
1,259
$7,630
Lincoln
2,249
$13,629
Winslow
391
$2,369
Tontitown
2,460
$14,908
West Fork
2,317
$14,041
Fayetteville
73,580
$445,895
County -Rural
38,142
$669,774
County SFD
$223,000
139,360
$1,506,155
(c) The Authority shall continue to seek a sustainable funding 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.
5
(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.
(i) In addition to the per capita payments, the County, Elm Springs, Johnson and
Tontitown agree to pay the below agreed upon cost of financing the additional
ambulance and equipment financed by the Authority to begin coverage for the area
previously covered by the City of Springdale:
Ambulance and Eguir}ment Costs
Financing the ambulance and equipment starting in 2016 over a five-year period will
result in an estimated payment of $4,500 per month.
The following table reflects each party's contribution for the ambulance and equipment
.financing based on per capita percent of total.
EXPANDED COVERAGE 2016
Ambulance & Equipment Purchase Agreement
CENSUS
MTHLY
YEARLY
5 YEAR
ELM SPRINGS
1,535
$
562
$
6,748
$
33,742
JOHNSON
1828
$
670
$
8,036
$
40,182
TONTITOWN
2460
$
901
$
10,815
$
54,075
COUNTY
6460
$
2,367
$
28,400
$
142,001
12,283
$
4,500
$
54,000
$
270,000
ARTICLE 4. TERM.
This initial term of this Agreement shall be from January 1, 2016 at 12:00 a.m.
(midnight) through December 31, 2020 at 11:59 p.m. This Agreement shall he 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, 2020. All parties agree to consider the effects of the 2020
Decennial Federal Census, as well as future censuses upon the division of the County Sales 'l'ax
between the County and the Cities and the proportional changes of the populations of the Cities
and the unincorporated portions of Washington County and make any adjustment or amendments
advisable and necessary to Article 3 to ensure financial viability of the Authority and fairness for
all parties. A second automatic renewal shall occur on December 31, 2025 unless any party
notifies the Authority in writing of its refusal to participate in the Authority and this Agreement
by September 1, 2025. A substantial review of the financial status of the Authority and all
parties should occur in 2021 after the 2020 Federal Decennial Census and prior to further
renewals of this Agreement.
6
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 OF OWNERSHIP OF EQUIPMENT
BELONGING TO AND OPERATION OF WASHINGTON COUNTY REGIONAL
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 shall become full members of the WCRAA upon execution of 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.
ARTICLE 7. EFFECTIVE DATE.
This Agreement shall not be effective until approved and signed by all parties in
accordance with the law.
7
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 transport services offered by the
Authority, including management, supervision, mass gathering and community events.
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 $6.06 per capita due to the increased number of calls generated within their city
limits. The County contributes at $17.56 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 Fees: Fees charged to patients treated or transported by the ambulance service, or fees
charged to an individual or an organization for ambulance standby coverage.
8
Signed this p� day of 4v42D45,
WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY
By: .G�.
Becky S wart, xecutive Director
By: _
Bruce Ledford, haimran of the Board
ATTEST:
By:
Ernie Penn, Secretary of the Board
22
Signed this /— day oft .ei42 , 2015.
CITY OF
FAYETTEVILUF, ARKANSAS
ATTEST:
By:
Sondra E. Smith, City Clerk
Signed this Lday of Q►7r +015.
CITY OF
ELKINS, ARKANSAS
By:
ATTEST:
By: -�r
Delia Foster, wick
10
Signed on this _Lay of _L 'L( , u_-,. _ , 2015.
CITY OF ELM SPRINGS. ARKANSAS
II
Harold Douthit, Mayor
ATTEST:
Glenda Pettus, City Clerk
Signed this R't day of, 2015.
CITY OF
GREENLAND, ARKANSAS
By:
Bill Gro , ayor
ATTEST:
By: r ay.L.yNaJ)
Stephanie Sharp, City Recorder/Trdasurer
Signed this �'`�'day of I/O V., , 2015.
CITY OF
FARMINGTON, ARKANSAS
By:
Ernie Penn, Mayor
ATTEST:
By. T _________
Kelly Penn. Ci Clerk
13
AA4I3FI.ANCE AL'THORITI' provides for the amendment of the Interlocal
Agreement to include the Cities of Elm Springs and Tontitown and updates each
city's financial cotatri.bution, and is hereby incorporated herein as if set forth
Word-for-word.
Section Six: ()fficials Authoii ed in Sett A evil eni. The Mayor and
CllyTreasurer are hereby authorized to sign thc• Agreement to bind the CII tl,
the terms of :such agreement. The Mayor and Clerk -Treasurer are further
authorized to lake ,such stcpp., as are necessare and incident to its imple n ent;alia+n
SectionScyen; Effective Date. This Ordinance shall become effective ;;ca
days following its posting.
=;p tinnhb l- I E,pc,lgling C'lutise, Ordinances or parts thereof in force at the
time that this ordinance shall take effect that are in conflict herewith, area herein
repealed. including Ordinance 2011-06.
Section N°ine:Saving Clause. Nothing herein shall be deemed to affect any rights,
or obligations existing; at the time of the la;assate of This ordinance.
Section mgr, SeveraiailitClause. In the meat nn' portion of this ordinance it
declared inoperative or invalid as }a A'Suh of it statute ur judicial decision, tilt n
only that portion expressly so declared to be inoperative or invalid shall he
affected thereby and all other provisions hereof shall remain in full force and
effect.
Approved this 1 day of November 2O15.
Mayor 4ulse-
Signed this ('v day of tb 0 . , 2015.
CITY OF
WEST FORK, ARKANSAS
By:
Charlie Rossetti, Mayor
ATTEST:
l.
•~'t�'
r w
By: F WEST FOLK ; w
"
Marsha Hungate, City lerk :E
15
Signed this ff A day of1i'q, 2015.
CITY OF
GOSHEN, ARKANSAS
t1 yor
ATTEST:
By:
Sharon Baggett, City4corder1rreasurer
16
Signed this ay of ' C)15.
CITY OF
JOHNSON, ARKANSAS
By:
ATTEST:
17
Signed this O clay of �E'_ C 2015.
CITY OF
WINSLOW, ARKANSAS
By f // Randy a ; g n, Mayor
ATTEST:
By:
Misty B 6tntey-, City C1err
18
Signed this day of f , 2015.
CITY OF
ATTEST:
By: I � " �, �„1 �,
Cllr s ine Kelly, City Clerj
Signed this I day of l} r.,; , ,2015.
CITY OF
TONTITOWN, ARKANSAS
By:
Paul Colvin, Mayor
ATTEST:
By: 14u
Rhonda Ardemagni, Depu y Recorder
20
Signed this day of iOv', , 2015.
WASHINGTON COUNTY, ARKANSAS
aril Ed►►nrds. County Judge
ATTEST:
By;
Becky Iaewa en. cu ly Clerk
21
APPROVED AS TO FORM
NOV 3 0 2015
WASHINGTON COUNTY A1TORN