HomeMy WebLinkAboutResolution 2014-0012TITLE:
CITY OF WHEAT RIDGE, COLORADO
RESOLUTION NO. 12
Series of 2014
A RESOLUTION APPROVING THE RENEWAL AND SECOND
AMENDMENT OF AN INTERGOVERNMENTAL AGREEMENT FOR
AMBULANCE SERVICES AMONG THE CITY OF WHEAT RIDGE, THE
WHEAT RIDGE FIRE PROTECTION DISTRICT AND RURAUMETRO
OF CENTRAL COLORADO, INC . d/b/a PRIDEMARK PARAMEDIC
SERVICES
WHEREAS, the City of Wheat Ridge , Colorado (the "City), acting through its City
Council ("Council") is a home rule municipality with statutory and constitutional authority
to enact ordinances and enter into agreements for protection of the public health , safety
and welfare ; and
WHEREAS, in the exercise of that authority, effective January 1, 2012, the
Council approved an Intergovernmental Agreement (the "IGA") among the City, the
Wheat Ridge Fire Protection District (the "District") and Rural Metro of Central Colorado,
Inc. d/b/a Pridemark Paramedic Services ("Pridemark") for the provision of ambulance
services within the City boundaries; and
WHEREAS , the IGA requires annual renewal and approval; and
WHEREAS , to ensure adequate emergency ambulance service , the Council
desires to renew the IGA for calendar year 2014; and
WHEREAS , one amendment to the IGA has been previously approved , on or
about February 11 , 2013 concerning geographical response areas; and
WHEREAS , based on the parties ' two years ' experience with the Agreement,
they recognize the need to clarify the roles and responsibilities of the City and the
ambulance provider concerning certain patient transports (EXHIBIT A ), including but not
limited to liability for the payment of costs for such services ; and
WHEREAS , for such purpose and in conjunction with annual renewal of the IGA,
the Council wishes to approve the Second Amendment thereto;
WHEREAS , Section 14 .2 of the Wheat Ridge Home Rule Charter requires the
Council to approve agreements with other governmental entities by resolution or
ordinance.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the Wheat Ridge ,
Colorado , as follows :
Section 1. The Council hereby approves the renewal of the Intergovernmental
Agreement for ambulance services between the City of Wheat Ridge , the Wheat
Ridge Fire Protection District, and Rural/Metro of Central Colorado, Inc. d/b/a
Pridemark Paramedic Services .
Section 2. The Council hereby approves the Second Amendment to the
Intergovernmental Agreement renewed under Section 1 above, attached hereto
in EXHIBIT A and incorporated into this Resolution by this reference .
Section 3. This Resolution shall be effective immediately.
ATIEST:
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INTERGOVERNMENTAL AGREEMENT
AMENDMENT TO RFP 11-31
AMBULANCE SERVICES AGREEMENT
AMENDMENT # 2, February 10, 2014
Pursuant to the original contract with RURAUMETRO OF CENTRAL COLORADO,
INC ., d/b/a PRIDEMARK PARAMEDIC SERVICES, 6100 W. 54tn Avenue, Arvada,
Colorado 80002, regarding the above project , the City hereby authorizes this
amendment to the original contract as follows:
1. Part 3.0 of the Agreement, concerning Terms and Conditions of service , is
hereby amended by the addition of a new Section 3.8, to read in its entirety as follows :
3 .8. Detox and Mental Health Hold Transports. Notwithstanding any other
provision of this Agreement to the contrary, the Parties shall adhere to the
following protocols in regards to ambulance transports to detoxification facilities
or to medical facilities for purposes of mental health holds:
3.8.1. Detox Transports .
A City personnel and Company personnel will cooperatively attempt to
obtain subject consent to transport. If consent is obtained , the City and
Company shall each duly document such consent in its usual manner of
record-keeping .
B. If consent to transport cannot be obtained from an intoxicated subject
who is unable to care for himself or who requires detoxification
supervision or medical care, the Company shall transport such a subject
as a patient who lacks decision-making capacity, in accordance with the
Denver Metro Paramedic Protocols .
C. The Company shall bill the subject for the cost of detoxification
transports on the basis of either express or implied consent. The
Company agrees that it shall not seek to recover the costs of
detoxification transports from the City. The Parties recogn ize and agree
that such transports do not constitute ·custody" for purposes of Section
16-3-401 of the Colorado Revised Statutes.
3.8 .2. Mental Health Hold Transports .
A City personnel and Company personnel will cooperatively attempt to
obtain subject consent to transport if such personnel agree that consent
can be meaningfully given by the subject. If consent is obtained , the City
and Company shall each duly document such consent in Its usual manner
of record-keeping.
B. If subject consent cannot be obtained pursuant to A above:
i. If the subject lacks decision-making capac ity, the Company will
transport the subject in accordance with the Denver Metro
EXHIBIT A
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Paramedic Protocols . In such event, and when City personnel
determine that the subject meets the applicable statutory criteria ,
City personnel shall provide completed mental health hold
documentation on the subject to Company personnel. Su ch
documentation is provided by the City as a fulfillment of its Police
Department duties and intended as a corroboration of the
determination of Company personnel that a subject requires
medical evaluation and /or treatment. The Company agrees that
mental health hold documentation provided by City law
enforcement personnel is not an exercise or admission of
"custody" for purposes of CRS 16 -3-401 and shall not be used by
the Company to seek to recover the costs of such transports from
the City.
ii. If the subject does not lack decision-making capacity, or if City
personnel believe the subject lacks such capacity but Company
personnel disagree , Company personnel shall contact the Base
Physi ci an , in accordance w Gu idel ine "E" under the "Mental
Health Holds" portion of the Denver Metro Paramedic Protocols ,
for a remote evaluation of the subject. The Base Physician shall
determine whether the subject must be transported against his
will. If the Base Physician orders the subject transported for
evaluation against his will , the Company and City shall proceed
with transport, paperwork and billing as set forth under paragraph
i. above If the Base Physician does not authorize the transport of
the subject against his will , the City shall not utilize the Company
for transport .
C. The Company shall bill the subject for the cost of mental health hold
transports on the basis of either express or implied consent. The
Company agrees that it shall not seek to recover such costs from the City
and that mental health hold transports do not const itute "custody" for
purposes of Section 16-3-401 of the Colorado Revised Statutes.
3.8 .3. During transport, Company personnel shall exercise that degree of
physical control over patients as is required by relevant practices ,
customs and professional standards . If, despite the exercise of such
control, a person being transported pursuant to this Section 3.8 escapes
before he is delivered to his ultimate destination, the City expressly
agrees that such escape does not constitute a breach of this Agreement
by Company.
3.8 .4. The City and Company each recognize and agree that mental
health holds, detoxification holds and other emergency commitments
authorized by law reflect a public policy of providing care and treatment to
those unable to obtain it themselves . Emergency holds and commitments
do not serve the same purposes and goals as arrests , detainments in jails
and other forms of traditional law enforcement "custody," e .g., preventing
escape pending adjud ication , segregating offenders as punishment and
protecting the law-abiding population . Each Party seeks to play its
customary role in protecting individuals and the public and in facilitating
EXHIBIT A
2
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the provision of care to those who need it without fear of unpredictable
and uncontrollable expenses.
2 . Each and every other provision of the Agreement , as amended and ex isting as
of the date of approval of this Second Amendment, is affirmed , ratified and rema ins in
full force and effect.
All other original terms and conditions remain the same .
IN WITNESS WHEREOF, the Parties have executed this Amendment to the
Agreement and intend for it to be in full force and effect on the 10th day of February,
2014.
[Signature page follows .)
EXHIBIT A
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ATIEST:
4!~ /~ ,:201'/
D ATE 1
(Seal)
WHEAT RIDGE FIRE DISTRICT
ATIEST:
President:
Wheat Ridge F ire D istrict
APPROVED AS TO FORM:
W h eat Ridge Fire District Attorney
CITY
CITY OF WHEAT RIDGE
7500 W 29TH AVENUE
WHEAT RIDGE, CO 80033
303-234-5900
RURAUMETRO OF CENTRAL COLORADO,
INC . d /b /a PRIDEMARK PARAMEDIC
SERVICES
6100 WEST 54TH AVENUE
ARVADA, CO 80002
AUTHORIZ E D SIG NATURE
PRINT NAME
TITLE
ATIEST TO COMPANY:
NAME
TITLE
DAT E
EXHIBIT A
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