HomeMy WebLinkAbout32-21 RESOLUTION113 West Mountain Street
Fayetteville, AR 72701
(479) 575-8323
Resolution: 32-21
File Number: 2020-1187
WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY:
A RESOLUTION TO APPROVE AN INTERLOCAL AGREEMENT FOR CONTINUATION
OF AMBULANCE SERVICES THROUGH THE WASHINGTON COUNTY REGIONAL
AMBULANCE AUTHORITY, AND TO AUTHORIZE THE AMBULANCE AUTHORITY TO
OPERATE CENTRAL EMERGENCY MEDICAL SERVICE AS THE EXCLUSIVE
EMERGENCY AND NON -EMERGENCY AMBULANCE SERVICE WITHIN THE CITIES
WHEREAS, A.C.A. §14-14-910, and §14-266-102 and §25-20-101 authorize cities and counties
to enter into interlocal contracts to provide services such as emergency and non -emergency ambulance
services; and
WHEREAS, Resolution No. 68-08, which was passed on March 18, 2008, approved an interlocal
agreement creating an Ambulance Authority and establishing the Ambulance Authority and Central
Emergency Medical Service (CEMS) as the exclusive emergency and non -emergency ambulance
service within Fayetteville and the other participating cities; and
WHEREAS, continuation of the Ambulance Authority is crucial for the continued health and safety of
the residents of unincorporated Washington County and the cities that are covered by the Authority;
and
WHEREAS, in order to save taxpayer money and to reduce the need for taxpayer revenue to
subsidize the furnishing of emergency ambulance service to our citizens, the Ambulance Authority and
Central Emergency Medical Services should continue to be designated the exclusive provider of
emergency and non -emergency ambulance service within all cities that are parties to this agreement.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Page 1 Printed on 1120121
Resolution: 32-21
File Number.' 2020-1187
Section 1: That the City Council of the City of Fayetteville, Arkansas hereby approves the interlocal
Agreement For Continuation of Ambulance Services through the Washington County Regional
Ambulance Authority, a copy of which is attached to this Resolution, authorizes Mayor Jordan to sign
this agreement, and authorizes the Ambulance Authority to continue to operate Central Emergency
Medical Service as the exclusive emergency and non -emergency ambulance services provider
throughout Fayetteville and every other city which is a party to this agreement as broadly as authorized
in A.C.A. § 14-266-102 and 105.
PASSED and APPROVED on 1/19/2021
Attest:
0
Kara Paxton, City E��a� tea urer . )
0 FAYETTEVILLE;
CA
KAIA
�iz�/ LNG j WA
Page 2 Printed on 1120121
City of Fayetteville, Arkansas 113 West Mountain Street
Fayetteville, AR 72701
(479) 575-8323
/ Text File
File Number: 2020-1187
Agenda Date: 1/19/2021 Version: 1 Status: Passed
In Control: City Council Meeting File Type: Resolution
Agenda Number: A 4
WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY:
A RESOLUTION TO APPROVE AN INTERLOCAL AGREEMENT FOR CONTINUATION OF
AMBULANCE SERVICES THROUGH THE WASHINGTON COUNTY REGIONAL AMBULANCE
AUTHORITY, AND TO AUTHORIZE THE AMBULANCE AUTHORITY TO OPERATE CENTRAL
EMERGENCY MEDICAL SERVICE AS THE EXCLUSIVE EMERGENCY AND NON -EMERGENCY
AMBULANCE SERVICE WITHIN THE CITIES
WHEREAS, A.C.A. §14-14-910, and §14-266-102 and §25-20-101 authorize cities and counties to enter
into interlocal contracts to provide services such as emergency and non -emergency ambulance services; and
WHEREAS, Resolution No. 68-08, which was passed on March 18, 2008, approved an interlocal agreement
creating an Ambulance Authority and establishing the Ambulance Authority and Central Emergency Medical
Service (CEMS) as the exclusive emergency and non -emergency ambulance service within Fayetteville and the
other participating cities; and
WHEREAS, continuation of the Ambulance Authority is crucial for the continued health and safety of the
residents of unincorporated Washington County and the cities that are covered by the Authority; and
WHEREAS, in order to save taxpayer money and to reduce the need for taxpayer revenue to subsidize the
furnishing of emergency ambulance service to our citizens, the Ambulance Authority and Central Emergency
Medical Services should continue to be designated the exclusive provider of emergency and non -emergency
ambulance service within all cities that are parties to this agreement.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1: That the City Council of the City of Fayetteville, Arkansas hereby approves the interlocal
Agreement For Continuation of Ambulance Services through the Washington County Regional Ambulance
Authority, a copy of which is attached to this Resolution, authorizes Mayor Jordan to sign this agreement, and
authorizes the Ambulance Authority to continue to operate Central Emergency Medical Service as the exclusive
emergency and non -emergency ambulance services provider throughout Fayetteville and every other city which
is a party to this agreement as broadly as authorized in A.C.A. §14-266-102 and 105.
City of Fayetteville, Arkansas Page 1 Printed on 112012021
City of Fayetteville Staff Review Form
2020-1187
Legistar File ID
1/19/2021
City Council Meeting Date - Agenda Item Only
N/A for Non -Agenda Item
Brad Hardin 12/31/2020
Submitted By Submitted Date
Action Recommendation:
FIRE (300)
Division / Department
Staff recommends approving The Interlocal Agreement for Continuation of Ambulance Services and for
Membership in the Washington County Regional Ambulance Authority. This new agreement provides for
participating cities to pay $6.06 per capita based on the prior year's projection by the NWA Council and for
Washington County to pay $17.56 per capita for the unincorporated population based on the NWA Council
Population Projections throughout the five-year term of renewal (2021-2025).
Budget Impact:
Account Number Fund
Project Number Project Title
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
V20180321
Purchase Order Number: Previous Ordinance or Resolution # 221-15
Change Order Number: Approval Date:
Original Contract Number:
Comments:
CITY OF
FAYETTEVILLE
wr
ARKANSAS
MEETING OF JANUARY 19, 2021
TO: Mayor and City Council
FROM: Brad Hardin, Fire Chief
DATE: December 31, 2020
CITY COUNCIL MEMO
SUBJECT: A resolution approving The Interlocal Agreement for Continuation of Ambulance
Services and for Membership in the Washington County Regional Ambulance Authority by and
with the City of Fayetteville, Washington County, Elkins, Elm Springs, Farmington, Goshen,
Greenland, Johnson, Lincoln, Prairie Grove, Tontitown, West Fork, and Winslow for emergency
and non -emergency ambulance services.
RECOMMENDATION:
Staff recommends approving The Interlocal Agreement for Continuation of Ambulance Services
and for Membership in the Washington County Regional Ambulance Authority. This new
agreement provides for participating cities to pay $6.06 per capita based on the prior year's
projection by the NWA Council and for Washington County to pay $17.56 per capita for the
unincorporated population based on the NWA Council Population Projections throughout the
five-year term of renewal (2021-2025).
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.
DISCUSSION:
The current Interlocal Agreement was approved in December 1, 2015 by Council via
Res. 221-15 which added Elm Springs and Tontitown and changed the payment amounts paid
by each city and the county.
Mailing Address:
113 W. Mountain Street www.fayetteville-ar.gov
Fayetteville, AR 72701
BUDGET/STAFF IMPACT:
Approval of the proposed new Interlocal Agreement for Ambulance Services (2021-2025) will
result in the current $445,895 annual subsidy to increase. This increase is due to the payment
requirement of $6.06 per capita based on the prior year's population projection by the NWA
Council. This new agreement reflects the following future subsidy amounts: 2021- $540,951
2022- $554,943 2023- $563,545 2024- $572,336 2025- $581,264. Funds for ambulance
services are included each year in the Annual Budget and Work Program. 2021 Funds were
approved by City Council in the 2021 Budget and Work Program on November 17, 2020
(Resolution 295-20).
Attachments:
Agreement for Continuation of Ambulance Services
City of Fayetteville, Arkansas
2021 Operating Budget
Outside Agency Funding
Actual
Budgeted
Estimated
Budgeted
General Fund (1010):
2019
2020
2020
2021
Fayetteville Boys & Girls Club
$ 225,000 $
225,000 $
225,000 $
225,000
Community Access Television (Your Medid)
165,779
170,095
170,095
205,095
AAANWA (Senior Center)
103,887
109,080
109,080
109,080
Arkansas Air & Military Museum
23,600
26,000
26,000
26,000
7Hills Homeless Center
108,000
113,400
113,400
113,400
*NWA Regional Planning
51,506
51,506
51,506
51,506
* tral Emer ency Medical Service
445,895
445,895
445,895
540,951
Total General Fund
1,123,667
1,140,976
1,140,976
1,271,032
Street Fund (2100):
Ozark Regional Transit
$ 486,608 $
532,228 $
532,228 $
514,348
Razorback Transit
260,000
273,000
273,000
273,000
Total Street Fund
746,608
805,228
805,228
787,348
Total Outside Agency Funding
$ 1,870,275 $
1,946,204 $
1,946,204 $
2,058,380
* These Outside Agencies Have Interlocal Governmental Agreements.
295
AGREEMENT
FOR CONTINUATION OF AMBULANCE SERVICES THROUGH THE WASHINGTON
COUNTY REGIONAL AMBULANCE AUTHORITY
THIS 1NTERLOCAL AGREEMENT FOR CONTINUATON OF AMBULANCE
SERVICES THROUGH THE WASHINGTON COUNTY REGIONAL AMBULANCE
AUTHORITY ("Agreement") is made and entered into by and between the WASHINGTON COUNTY
REGIONAL AMBULANCE AUTHORITY ("Authority" or "WCRAA"), WASHINGTON COUNTY,
ARKANSAS, ("County") and the cities of ELKINS, ELM SPRINGS, FARMINGTON,
FAYETTEVILLE, GOSHEN, GREENLAND, JOHNSON LINCOLN, PRAIRIE GROVE,
TONTITOWN, WEST FORK, and WINSLOW ("Cities").
WHEREAS, A.C.A. § 14-14-910, A.C.A. §25-20-101, and A.C.A. § 14-266-102 authorize cities
and counties to enter into contracts to co-operate or join with each other to provide emergency and non -
emergency medical services and to specify the responsibilities of all parties; and,
WHEREAS, all parties acknowledge that the continued provision of ambulance service is crucial
for the continued health and safety of the residents of the named Cities and the County; and,
WHEREAS, said Authority should consist of representatives of all of the above named Cities and
the County; and,
WHEREAS, all parties agree to replace the population values and reference from the Decennial
Federal Census to the Northwest Arkansas Council annual population estimate. The NWA Council annual
estimate provides for smaller incremental changes to the parties' subsidy contribution instead of
potentially larger increases when done in ten (10) year increments; and,
WHEREAS, the Agreement for Continuation of Ambulance Services and for Expanded
Membership in the WCRAA is set to renew on its own terms in December 31, 2020 unless a party to that
Original Agreement notifies the other parties of its intent to withdraw by September 1, 2020; and
WHEREAS, all parties intend for the WCRAA to continue in operation and administration
beyond said December 31, 2020 renewal, with the WCRAA continuing to exist as it does today; and
WHEREAS, the parties acknowledge that their financial contributions to the WCRAA as set forth
in this Agreement and previous Agreements funding the WCRAA is for and in consideration of (a)
ambulance service coverage within each of their respective cities, for the cities, and in the unincorporated
areas of Washington County for the County, and (b) continued participation in the WCRAA; and
WHEREAS, all parties acknowledge that the continuation of the WCRAA will demand close and
continued cooperation of all parties.
NOW, THEREFORE, IT IS AGREED:
ARTICLE 1. AUTHORITY ORGANIZATION.
(a) The chief executive officer of each entity shall represent said entity on the Board of Directors
of the Authority to be known as the Washington County Regional Ambulance Authority.
(b) The Board shall meet no less than annually to transact all business associated with the
powers and responsibilities conferred upon it. However, the Board shall reserve to itself the right to
meet on whatever basis it determines is appropriate.
(c) The Board shall employ an executive director/chief to manage a regional ambulance system.
(d) In order to ensure maximum efficiency and effectiveness of the operation, an executive
committee shall be formed to be charged with the oversight of the day-to-day operation of the system.
The members of said executive committee shall be as follows:
(1) The County appointee who shall reside in the unincorporated service area.
(2) The Fayetteville City Council appointee;
(3) A second Fayetteville appointee (Both City Council appointees shall serve at the
pleasure of the City Council and can be removed and replaced by different
representatives by City Council Resolution.);
(4) A small city appointee to be chosen by the aforestated cities, excluding the City
of Fayetteville;
(5) A Nursing Home or medical profession representative who shall reside in the
City of Fayetteville to be chosen by the County appointee; the Fayetteville
appointees, and the small city appointee.
(6) A Hospital representative who shall reside in the City of Fayetteville to be
chosen by the County appointee; the Fayetteville appointees, and the small city
appointee.
(7) A representative of the financial community residing in the service area to be chosen by
the County appointee, the Fayetteville appointees and the small city appointee.
2
ARTICLE 2. PURPOSES, POWERS, RIGHTS, OBLIGATIONS AND
RESPONSIBILITIES OF THE CREATED ENTITY.
(a) All parties acknowledge that the need to create an entity to own, operate and manage an
ambulance service is necessary and appropriate.
(b) The Authority created herein shall have the following powers:
(1) To provide advanced and basic life support emergency ambulance service,
medical standbys and Mobile Integrated Health -Community Paramedicine
(MIH-CP) in the designated area;
(2) To provide emergency medical dispatch including pre -arrival instructions in
accordance with approved dispatch protocols;
(3) To set ambulance user fees;
(4) To own system revenues;
(5) To provide exclusive emergency and non -emergency (within the cities only)
ambulance service;
(6) To enter into mutual aid and automatic aid Agreements with neighboring
ambulance services for emergency services;
(7) Comprehensive regulatory powers over the ambulance system performance;
(8) Ownership of or access to key components of the system infrastructure;
(9) Centralize medical direction and clinical oversight of the ambulance system to
the extent deemed necessary;
(10) To promulgate rules and regulations to 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.
3
(c) Washington County Regional Ambulance Authority's Specific Duties.
The Authority created herein shall have the following specific duties and responsibilities in addition
to the statutory and administrative requirements of §14-266-109, the Arkansas Medical Practices
Act, and any other government or professional standards.
(1) Response time metrics shall be analyzed no less than monthly to determine the need for
additional ambulances and staff to maintain agreed upon service levels.
(2) Reporting Requirements.
(A) Fayetteville. On the third Tuesday of July each year, the Washington
County Regional Ambulance Authority by the two Fayetteville
representatives on the Executive Committee shall appear before the
Fayetteville City Council to present:
(i) The written annual, audited report of the previous year's
financial and response data reports;
(ii) A written report of the financial and response data for the
first half of the current year;
(iii) Plans and projections to replace or enlarge capital property
and equipment within the next 18 months;
(iv) Plans and justifications for any personnel increases within
the next 18 months; and
(v) Revenue/expense projections for the next 18 months.
(B) Any Other Member of This Authority. Upon written request by any other
member of this authority, the Board Member representing that entity shall
provide the 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. 820-13-301
ET SEQ.
(a) All parties acknowledge that the need for a guaranteed revenue source independent of and in
addition to fees for service is necessary in order to ensure the continued viability of said service.
(b) The annual regional ambulance service -funding source for all parties of this Agreement shall
be based upon the prior year's population projection by the NWA Council.
4
(1) All Cities shall pay $6.06 per capita based on the prior year's population projection by
NWA Council and will be updated annually.
(2) Washington County shall pay $17.56 per capita for the unincorporated population of
Washington County based on the prior year's population projection by NWA Council and
will be updated annually. Additionally, Washington County shall pay the amount of
$223,000, previously paid to Springdale Fire Department for ambulance coverage, to the
Authority for a period of five years starting in January 202land ending in December 31,
2025.
020
2021
2022
2023
2024
City
County
2021
Subsidy
2022
Subsidv
2023
Subsidv
2024
Subsidv
2025
Subsidy
3025
3355
3421
3489
3557
Elkins
$18,332
$20 332
$20,732
$21,141
$21,557
2514
2531
2600
2670
2743
ElmSprings
$15,236
$15,336
$15,753
$16,183
$16,624
7156
7461
7599
7739
7883
Farmington
$43,365
$45,211
$46,048
$46,901
$47.770
89266
91575
92994
94445
95918
Fayetteville
$540,951
$554,943
$563,545
$572,336
$581,264
1736
1778
1812
1846
1881
Goshcn
$10,521
$10,776
$10980
$11189
$11,402
1502
1510
1536
1564
1592
Greenland
$9,103
$9,149
$9,311
$9,476
$9,645
3962
3967
4040
4115
4191
Johnson
$24 012
$24 039
$24,484
$24,937
$25,398
2591
2618
2655
2693
2732
Lincoln
$15,638
$15,865
$16,091
$16.321
$16,555
6125
6639
6782
6929
7077
Prairie Grove
$37,115
$40,235
$41100
$41,983
$42,886
3423
3367
3434
3503
3573
Tontitown
$20,744
$20,401
$20,809
$21,226
$21,650
2647
2727
2770
2813
2857
West Fork
$16,038
$16,527
$16.784
$17,045
$17,311
437
448
454
460
466
Winslow
$2,649
12 717
$2,752
$2.788
$2,824
34282
34838
35399
35.947
36510
County
$824,985
$834 749
$844,598
$854.233
$864,111
158656
162813
165496
168212
170979
TOTAL
$1,578,689
$1,610,278
$1,632,989
$1,655.759
$1,678,997
(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.
ARTICLE 4. TERM.
This initial term of this Agreement shall be from January 1, 2021 at 12:00 a.m. (midnight) through
December 31, 2025 at 11:59 p.m. This Agreement shall be automatically renewed with possible changes
to Article 3 Financing for an additional five year term unless any party notifies the Authority in writing
of its refusal to participate in the Authority and this Agreement by September 1, 2025. A second automatic
renewal shall occur on December 31, 2030 unless any party notifies the Authority in writing of its refusal
to participate in the Authority and this Agreement by September 1, 2030.
Notwithstanding the above terms, all parties to this Agreement may withdraw from this Agreement
upon six months' written notice to the Authority and shall only be responsible to pay its per capita fee for
that pro-rata portion of the year.
ARTICLE 5. CONTINUATION 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 became full members of the WCRAA upon execution of THE
AGREEMENT FOR CONTINUATION AND EXPANDED MEMBERSHIP IN THE WASHINGTON
CONTY REGIONAL AMBULANCE AUTHORITY on November 19, 2015 this Agreement and while
they honor their obligations hereunder, as any other participating entity. This Agreement shall be
construed to effectuate this intent.
ARTICLE 6. SEVERABILITY.
The provisions of this Agreement are declared to be severable. If any provision hereof shall be
held to be invalid or to be inapplicable to any person or circumstance, such holdings shall not affect the
ability or the applicability of the remainder hereof.
ARTICLE 7. EFFECTIVE DATE.
This Agreement shall not be effective until approved and signed by all parties in accordance with
the law.
G'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 response and transport services offered by
the Authority, including management, supervision, mass gatherings, community events and Mobile
Integrated Health -Community Paramedic (MIH-CP).
Exclusivity: Sole provider emergency and non -emergency ambulance rights granted by ordinance or
resolution by each party to the extent allowed by State Law.
Per Capita: Funding structure set forth by this Agreement based on population. Cities contribute at
$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.
7
Signed this 1 day of 20.
CITY OF
FAYETTEVILLE, ARKANSAS
ATTEST:
B Y"11
:l MIA,�Iyj
Kara Paxton, City Cler
U.
FAYETTEVILLE.
����1�ii W����
Signed this jl� day of OC,1 2020.
CIW OF
LLKINS, ARKANSAS
Bv:
Bruce Ledford, r
ATTEST:
Delia
Signed this I day of 2020.
CITY OF
GREENLAND, A RKANSAS
By: 1 t
Bill room, Mayor
ATTEST:
By:
Misty McCard, City Recorder/Treasurer
10
' �
Signed this L day of 2020
CITY OF
LINCOL.N, ARKANSAS
By:
Doug H chens, Mayor ;
-
4 3
ATTEST+
-By.
Beeky C City Clerk
Signed this 19
01 day of_, 2020
CITY OF
PRAIRIE GROVE, ARKANSAS
ATTEST:
By:
C nstine Kelly, City Clerk
13
Signed this 1 day of ()C+ , 2020.
CITY OF
WEST FORK, ARKANSAS
By:
Heith Caudle, Mayor
ATTEST:
By: &== \�' I a
Ann Upton, Cit Clerk
14
Signed this is Aday of &4. , 2020.
CITY OF
GOSHEN, ARKANSAS
By:
-;�� ptrv--,--
Max t oye, MaCaf
ATTEST:
By:
inda Moore, City Recorder/Treasurer
15
Signed this 1 �tday of0�b—e6olo.
CITY OF
JOHNSON, ARKANSAS
By:
Chris ene�, Mayor
ATTEST:
By: u1 (, (Jennifer .Allen, C irk
16
Signed this 5— day of "�2020.
CITY OF
WINSLOW, ARKANSAS
By: L
Chuck Dwyer, Mayor
17
Signed this jqtL day of , 2020.
CITY OF
ELM SPRINGS, ARKANSAS
(�
By: cam'.
arold Douthit, Mayor
ATTEST:
By:d . .1 f. . An I
Twila Taylor, CityFrk
l8
Ord
Signed this day of �OY., 2020.
CITY OF
TONTITOWN, ARKANSAS
r
By:
Paul Colvin, Mayor
ATTEST:
By:
Rhonda Ardemagni, Deputy R&4der
19
uul anj11 CII wouva Iu.t-awnuJr I"11 lu'YHr 1`OOC:1-/uJrVV:JrrO io
Signed this day of , 2020.
WASHINGTON COUNTY, ARKANSAS
Docu Gigned by:
(Wd Dec 21, 202014:35 PM CST
By: 34F1g4827574441
Joseph Wood, County Judge
ATTEST:
M.
DocuSiyned by:
EI32E8027FD9469
Becky Lewallen, County Clerk
CDocuSigned by:
A8F7527CDF8845C
20
Signed this ' day of � 2020.
WASHINGTON COUNTY REGIONAL AMBULANCE AUTHORITY
i
By. —
Becky Ste art, ChieVExecutive Director
By:
Bill Groom, Chairman of the Board
ATTEST:
By:
rule Penn, Secretary of the Board
21