HomeMy WebLinkAboutResolution-1999-0080
CITY OF WHEAT RIDGE, COLORADO
RESOLUTION NO. 80
Series of 1999
TITLE: A RESOLUTION PURSUANT TO SECTION 14 2 OF THE WHEAT
RIDGE HOME RULE CHARTER TERMINATING AN
INTERGOVERNMENTAL AGREEMENT AMONG THE CITY OF
WHEAT RIDGE, THE WHEAT RIDGE FIRE PROTECTION
DISTRICT, AND AMERICAN MEDICAL RESPONSE OF
COLORADO, INC., AND APPROVING AN INTERGOVERNMENTAL
AGREEMENT BETWEEN THE CITY OF WHEAT RIDGE, THE
WHEAT RIDGE FIRE PROTECTION DISTRICT. AND PRIDEMARK
PARAMEDIC SERVICES, L.L.C., AND AUTHORIZING THE MAYOR
AND CITY CLERK TO SIGN SAID INTERGOVERNMENTAL
AGREEMENT.
WHEREAS, residents of the City of Wheat Ridge and those residents within
the boundaries of the Wheat Ridge Fire Protection District (the "District") have a
need for emergency ambulance service providing Advance Life Support (ALS),
patient care and transport; and
WHEREAS, the City of Wheat Ridge and the Wheat Ridge Fire Protection
District, an independent quasi-municipal corporation, desire to ensure the
availability of adequate emergency ambulance service within the entire corporate
boundaries of the City of Wheat Ridge, and within the boundaries of the Wheat
Ridge Fire Protection District; and
WHEREAS, the City and the District entered into an intergovernmental
agreement concerning ambulance services with American Medical Response of
Colorado on or about October 24, 1995; and
WHEREAS, Section 9.0 of said Agreement provides for annual review of the
Agreement by the City Council, and further provides that the Agreement may be
terminated by the City Council following said review; and
WHEREAS. the City Council has reviewed the Agreement and has
determined that it should be canceled pursuant to Section 9.0 and a new
agreement with Pridemark Paramedic Services, L.L.C should be executed, and
WHEREAS, the City Council deems It appropriate to enter into said new
Intergovernmental Agreement with the District and Pridemark Paramedic Services,
L.L.C., and
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WHEREAS, Section 14 2 of the Home Rule Charter of the City of Wheat
Ridge authorizes the City, by resolution, to enter Into Intergovernmental
agreements.
NOW, THEREFORE, BE IT RESOLVED by the Wheat Ridge City Council as
follows:
Section 1. The Intergovernmental Agreement among the City of Wheat
Ridge, the Wheat Ridge Fire Protection District, and American Medical Response of
Colorado, Inc., approved by the City and executed by the City on or about
October 14, 1995, is hereby terminated by the City Council pursuant to
Section 9.0 thereof, effective December 27, 1999.
Section 2. The Intergovernmental Agreement among the City of Wheat
Ridge, the Wheat Ridge Fire Protection District, and Pridemark Paramedic Services,
L.L C., is hereby approved. The Mayor and City Clerk are authorized and directed
to sign said Agreement
DONE AND RESOLVED this 20th day of December, 1999
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INTERGOVERNMENT AL AGREEMENT
AN AGREEMENT AMONG THE CITY OF WHEAT RIDGE, THE WHEAT RIDGE FIRE
PROTECTION DISTRICT, AND PRIDEMARK PARAMEDIC SERVICES, L.L.C., FOR
AMBULANCE SERVICES
1.0 PARTIES. The parties to this Agreement are the City of Wheat Ridge, a
Colorado municipal corporation (hereinafter referred to as "the City"), Wheat Ridge
Fire Protection District, an independent, quasi-municipal corporation, (hereinafter
referred to as the "Fire Protection District") and Pridemark Paramedic Services,
L L.C. (hereinafter referred to as "the Company" )
2.0 RECITALS AND PURPOSE The City and Fire Protection District desire to
ensure the availability of adequate emergency ambulance service within the entire
corporate limits of the City of Wheat Ridge, and the boundaries of the Fire
Protection District, and the Company agrees to provide such service pursuant to
the terms of this Agreement.
30 TERMS AND CONDITIONS.
3.1 Service. The Company shall make available one (1) ambulance to
respond to calls for medical assistance within the City and Fire Protection
District. The Company will maintain an average response time of five (5)
minutes and zero (O) seconds on emergency responses and an average of ten
(10) minutes on nonemergency responses. The Company further agrees to
make available backup ambulances to the City and Fire Protection District
with response time of ten (10) minutes.
If the Company is unable to respond with a backup ambulance the Company
shall immediately call another ambulance company to provide the required
ambulance service and shall immediately notify the City dispatcher.
3 2 Calls. In consideration of keeping such ambulances available, the City
and Fire Protection District agree that except when a helicopter is used, in all
cases where a request is made to the City or Fire Protection District for
emergency ambulance service and/or where ambulance service is found to
be needed in the course of investigative or rescue operations, all such calls
shall be referred to the Company.
3.2.1 The Company further agrees that it shall respond to all calls
directed by the City or Fire Protection District. and shall perform its
duties under the direction and control of the Company.
3.3 Compliance with Law and Accreditation. The Company agrees to
comply with all federal, state, county, and local statutes, regulations, or
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ordinances in its prOVISion of the services described within this Agreement,
and to maintain its current ambulance license issued by Jefferson County
The Company agrees that its records and rosters regarding equipment,
vehicles, and traming may be reviewed by the City or Fire Protection District
dUring regular business hours.
3 4 Communications The Company agrees to maintain communications
capabilities with the City of Wheat Ridge Police/Fire Communications Center
and all police, fire, and ambulance vehicles and equipment, as well as
communications between the Company's vehicles and the City and Fire
Protection District personnel on scenes, and to maintain two back-up speed
dial lines containing the caller identification feature to the Communication
Center, all at the Company's expense using direct telephone line capabilities.
The Company agrees to maintain channels one and two on the frequency of
the Company's vehicles and dispatch center All radios used shall be
programmed by Legacy Communications.
3.5 Medical Supervision. The Company agrees to utilize a Physician
Advisor agreed upon by the City and Fire Protection District. A Physician
Advisor is defined as a physician who establishes protocols for medical acts
performed by paramedics, and who is specifically designated and responsible
to assure the competency of the performance of those acts allowed by such
paramedics. The parties hereto agree that this Section 3.5 shall be in effect
only for the scope of service detailed in this Agreement. The Company
further agrees to adhere to, as a minimum standard, the Denver Metropolitan
Paramedic Protocols, as amended, with respect to medical acts not governed
by the protocols developed be the Company Physician Advisor.
3.6 Rates. The Company shall be allowed to charge patients its usual and
customary rates. A copy of the Company's current rate schedule is attached
to this Agreement as Exhibit A. Any changes to the rate schedule which
exceed a Denver-Boulder Medical CPI must be approved by the City and Fire
Protection District before taking effect
4.0 HELICOPTER It is understood that in cases of extreme emergency, it may
be necessary to use a helicopter in lieu of, or in addition to, the Company's ground
services. Such medical decisions to use the helicopter service shall be made by the
police and/or fire personnel or Company personnel on scene, with the primary
responsibility for such medical decision making resting with the Company after
consultation with fire and police personnel on the scene
5 0 CONTROL The Wheat Ridge Police Department shall have control of all
crime scenes to which the Company is requested to respond. The Wheat Ridge
Fire Protection District'slFire Department's highest ranking officer on scene shall
have control of all fire and EMS scenes. Company employees shall follow the
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orders and directions given by the appropnate Police or fire personnel. as such
orders relate to scene control. The Company shall be in charge of all medical
treatment, patient care and transport issues, and shall consult appropriate police
and fire personnel upon arrival at the scene.
6.0 TRAINING. The Company agrees to provide the City police department
personnel and Fire Protection Dlstnct personnel first responder and CPR classes at
no charge, along with appropriate medical training. The above mentioned classes
shall be held at times mutually agreed upon by the parties hereto.
7.0 EQUIPMENT.
7.1 The Company shall furnish, at its own expense, ambulances and
accessory equipment.
7.2 The Company agrees that Jefferson County or any other licensing
authority shall have the right to inspect on an annual basis the Company's
vehicles used for performance of ambulance service, for the purpose of
determining safety standards of the vehicles used and, further, to ensure
that the vehicles so used are equipped with that accessory equipment
required by the Department of Health, and said equipment shall be in proper
working order for the use in Advanced Life Support treatment. A permit
issued by the County or any other licensing authority shall be deemed as
evidence of said annual inspections
7 3 The Company agrees, when operating its ambulance vehicles in an
emergency or non-emergency capacity, said vehicles will be driven in a safe
and prudent manner, in compliance with all State statutes, City and County
ordinances relating to the operation of emergency vehicles.
8.0 COMPANY EMPLOYEES. Each crew shall consist of no less than a licensed
paramedic and one qualified EMT whose qualification meet the guidelines of the
statutes, rules, and regulations of the Emergency Medical Services Division of the
Colorado Department of Health, as amended, and are acceptable to the Company
Physician Advisor.
8.1 The Company agrees, while operating its ambulance in and around the
City and Fire Protection District boundaries, the employees of the Company
shall maintain a professional attitude and performance standard and level of
conduct for Emergency Medical Technicians and Paramedics.
9.0 TERM The parties mutually agree and understand that the term of this
Agreement shall be for a period of one (1) year from December 27, 1999, and upon
the expiration of said period, this Agreement may continue for four (4) additional
one-year periods, subject to the provisions hereof, provided that in no event shall
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this Agreement continue for a period beyond five (5) years from the date of
execution hereof. Said Agreement shall be renewed for successive one (1) year
periods, as provided herein, subject to review by the Wheat Ridge City Council and
the Fire Protection District annually This Agreement may be terminated by the
either City Councilor the Fire Protection District, following said review, or pursuant
to the provisions of this Agreement. Unless so terminated, this Agreement shall
continue in full force and effect
In addition, the Company's performance shall be reviewed annually by the
Emergency Medical Services (EMS) Board. The parties further agree that the City
or Fire Protection District upon a determination that the Company is not
performing the agreed upon services in a reasonable manner and/or in a timely
fashion, shall give written notice of such dissatisfaction, and failure of the
Company to develop and implement a plan to rectify substandard practices within
ten (10) days from receipt of notice thereof, shall give rise to the cancellation of
this Agreement. Should such determination of dissatisfaction result from a
particular incident, the City or the Fire Protection District will attempt to give oral
notice within two (2) business days of the incident giving rise to the
dissatisfaction. Upon issuance of a second notice of dissatisfaction, the City or
Fire Protection District may, at its option, cancel this Agreement without affording
the Company the opportunity to correct the complained of substandard practice.
9.1 Nothing contained herein shall be construed as establishing any
obligation on behalf of the City and/or Fire Protection District to make any
monetary payment or other subsidy to the Company by virtue of this
Agreement
9.2 This Agreement shall remain in full force and effect provided.
however, that either party may terminate this Agreement sooner, other than
for cause, upon one hundred twenty (120) days' notice.
ThiS termination provision shall also be applicable to any renewable period
exercised by the parties
9.3 If any party fails to comply with any term of this Agreement, any
other party may terminate this Agreement immediately upon written notice
indicating the termination date and/or sue for breach of contract. In such
event, the prevailing party in such dispute shall be entitled to its reasonable
costs, including its attorneys' fees.
10 0 ASSIGNMENT. Except as provided in this Section, the Company may not
assign or subcontract, its rights and obligations under this Agreement, without the
prior written approval of the City and Fire Protection District.
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11.0 POLICY. The Company agrees to be a particlpatin9 member in any review
committee which is established by the City or by the Company Physician Advisor.
The purposes of this committee shall be to act in an advisory capacity only as to
the operational and administrative terms contained within this Agreement This will
include review of response times and determination of allowable exemptions as
determined by the committee.
12.0 LIABILITY. Notwithstanding any language to the contrary contained in this
Agreement, the Company is an independent contractor and is not an employee or
agent of the City or Fire Protection District The Company assumes all liability for
and agrees to indemnify and hold harmless the City and Fire Protection District
from any and all claims for injuries or damages, including attorney's fees, arising
from the Company's performance or lack of performance under this Agreement
except to the extent such claim for injury or damages which are the direct and
proximate result of an act or order of a police officer or other employee or
volunteer of the City or fire Protection District.
13 0 INSURANCE. The parties further agree and understand that the Company
shall maintain and keep in force an automobile insurance liability Policy with a
minimum coverage of One Million Dollars ($1,000,000.00) combined single limit for
bodily injury and property damage
13.1 The Company shall maintain and keep in force a Professional and
General liability insurance policy covering the employees of the Company for
any and all malpractice and/or negligent acts performed or committed by
those employees of the Company. Coverage for Professional/General liability
shall be a minimum of one million dollars ($1,000,000) for anyone claim,
three million dollars ($3,000,000) annual aggregate of Professional or
General liability and one million dollars ($1,000,000) combined single limit
bodily injury and property damage.
13.2 Provided, however, that any language contained in this paragraph 13
to the contrary notwithstanding, the Company agrees that there shall be in
effect, regardless of annual aggregate amounts of insurance provided, no
less than one million dollars ($1,000,000) of insurance protection for each of
the types of insurance protection specified in paragraph 13.1 hereof. which
one million dollars ($1,000,000) of minimum insurance coverage shall be
available to each person or patient attended to or transported by the
Company pursuant to the terms hereof. The Company also agrees to furnish
the City and Fire Protection District a Certificate of Insurance evidencing the
minimum amounts of coverage described above, and said policy shall further
provide a specific provision relating that, in the event of cancellation of said
policy, the City and Fire Protection District shall be notified in writing ten
(10) days prior to cancellation The Company agrees to name the City and
Fire Protection District as additional insured parties.
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13.3 The Company shall maintain and keep in force a Workers'
Compensation insurance policy for all its employees This coverage shall
meet the statutory limits set forth by the state of Colorado.
13.4 Each party shall be responsible for its own negligent acts, provided,
however, that nothing in this Agreement shall waive any immunity, defense,
or limitation of liability available to either the City or the Fire Protection
District under the Colorado Governmental Immunity Act, Section 24-10-101 ,
et seq., C.R.S
IN WITNESS WHEREOF, the parties have executed this Agreement and intend for it
to be in full force and effect as of 7:00 a m. on the 27th day of December, 1999.
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APPROVED AS TO FORM:
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City Attorney
PRIDEMARK PARAMEDIC SERVICES, L.L.C.
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6
EXHIBIT A
Rate Schedule
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Pridemark Paramedic Services, LLC
City of Wheat Ridge - RFP #99-20
Ambulance Service
Confidential
Note. Pridemark's average invoice for services in the Denver metro area is currently $589 00
BASE RATES
Advanced Life Support (ALS)
ALS With Multiple Patients
ALS Mileage
Basic Life Support (BLS)
BLS With Multiple Patients
BLS Mileage
SUPPLIES (Most Common)
IV Supplies
Blood Draw
Oxygen Supplies
Dressing - Major
Dressing Minor
Splint - Extremity
EKG - 12 Lead
Intubation
MEDICATIONS
Average Medication Cost
PROCEDURES (Most Common)
Blood draw
IV Start
EKG Monitor
Glucometer
Intubation
Oxygen Administration
Infection Control
$47000
$352.50
$8 00/ Mile
$365 00
$273 75
$8 00/ Mile
$10.00
$500
$300
$15.00
$500
$20 00
$20 00
$45 00
$10 10
$25 00
$25.00
$30 00
$1 0 00
$40 00
$35 00
$22.00
Wheat Ridge Ambulance RFP
Exhibit A
Detailed Usual and Customary Rates
I
. --1---~~ r --.
DE~CRI.rTION ___ _ L _ RA TE_ 1_ DESCR~TION _ __.__ __~T5_
_ __ __ _ _+-_ _ ___ __ _.. __.. _ _.._____,~H-
BLS BASE
- -~._-_. ~- --,---
BL~M~LE.A.<3~_ _ _ 8 901 rv11~E.. _ _ .J . ____I~
::::,:: SCENE - :'::::: -T - i- - --
---- -- r -- +-- - - -- - -
COLD/HO!. P.ACK .. 1_,$5 00 _ __ _ ___ __Ion'
~:;~:::~~~OMY _I~~::: _ ~~ ~-
DRESSING - MAJOR $15.00
~-_.- - --.-- ---
DRESSING - MINOR $500
-,.._.- -- -.-- - - -- -
EKG - 12 LEAD
-------
EKG - 4 LEAD
KERlIX
INTUBATION
------ - --.--
\0 SUPPLIES tl $35.00 I
::;:~~~~~K~:PP - - ~ _ ~;5~:O ~1--
IV DI3IP SUI"F:.L1ES . $1000_ _1_
IV SALINE SUPPLIES $5.00
-_.---
IV BLOOD PUMP
-- -~ --~
NEBULIZER SUPPLIES
------_.------
OB PACK
-- - ._---' --
OXYGEN SUPPLIES
--- ---
RESTRAINTS
- -----
SPLINT - EXTREMITY
SPLINT. SPINAL
- ------
SUCTION
-T----
---I - -
-- -- --1 - ---
--_ _ ----1 .--
$20 00
$500
$300
$10.00
-- ----
\- $60 00
.-
I $1500
Confidential
Wheat Ridge Ambulance RFP
Exhibit A
Detailed Usual and Customary Rates
MEDICATIONS
PROCEDURES
- --4-.
I
Charge
Charge
-------- .
ADENOCARD
$3.00
BLOOD DRAW
$25 00
$65 00
$600
CELL/BIOPHONE
ALBUTEROL
AMMONIA AMP $1 00 I CHEST COMPRESSION-CPR
ASPI~~ - - - -$1-~~-T--~- CHEST D;COMPR;SSIO-N
-~.. --- -_..__._---_._---
ATROPINE_ __ $600 tCRICOTHYROTOMY __ $500()
BENADRYL,~. ~._ .. {DEFIB/PACING -t' $35.00
BRETYLlUM TOSl'LA]'E ~ $10.QO _ jEJ<G MONITO~ ~ _ _ _ $3~
DEXTROSE 50% --t Ii - _ :150 Oo,.~ ,J _ ~ ~~~~:,~I:"- _ -j ~1000
~ . J6.92 --1 ..l10 PR()~EDUi={_~ ~__~
$6 00 IV DRIP SET UP
$25 00
$35 00
EPI 1 10000
GLUCOSE - ORAL $4 00
------
$20 00
INAPSINE $6 00 IV SALINE SET UP $25.00
~:::~::~: DRI"- ~-- -~63;:0 _1_ J ::S~~DPUMP SET UP f::~ :: -
~:::;::~:L~:FA TE - --$~16() 05:-1-- \~:BDU~~~::;EQI~A !ION -+-;1~:0:O
~OR~HIN;SULFATE -; 00 tl ~ O~~~E~-A;'~INI~T~TI~~I- $35.00
--------- I -;250-; - PULS'E-OXIMETRY -'1 $2000
-- --- -, --;~~OO~ 11- RESTRAI~~~--- n_ 1Y500--
NITRO_ _ - $5 00 ~- ~- b!,L1NT - EXTR;MI~ __ _ 1-$3~~0
SODIUM BICARB $6 00 ! SPLINT - SPINAL $50 00
::;~:;:_ - {::: 1- :~:~:TION/~TRACT - - ::
VAPONEPHRINE $2500 INFECTION/LINENS $22.00
Confidential