HomeMy WebLinkAbout06. Auth the College-Prehospital Provider Agrmt between Orange County EMT & City of DowneyI I rZym 0
• • • THE CITY MANAGER
BY: MARK GILLASPIE, FIRE CHIEF
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SUBJECT: COLLEGE/PREHOSPITAL PROVIDER AGREEMENT BETWEEN ORANGE
• EMT AND THE CITY • r•
That the City Council authorize the College/Prehospital Provider Agreement between Orange
County EMT and the City of Downey.
There is no projected fiscal impact from this agreement.
ATTACHMENTS
Attachment A College/Prehospital Provider Agreement
Attachment B Certificate of Liability Insurance
This COLLEGE/PRE-HOSPITAL PROVIDER AGREEMENT (hereinafter
referred to as "Agreement") is entered into by and between the Orange County EMT,
(hereinafter referred to as "COLLEGE" and the City of Downey by and on behalf of
the Downey Fire Department, (hereinafter referred to as "PROVIDER"). The
COLLEGE and PROVIDER shall collectively be referred to herein as "THE PARTIES".
The COLLEGE maintains an Emergency Medical Services Program for
students studying in the fields of Emergency Medical Technician Basic ( "EMT -B"),
Emergency Medical Technician Intermediate ("EMT -I"), Emergency Medical
Technician Paramedic ("EMT -P") hereinafter collectively referred to as the ("EMS
Program").
The EMS Program has certain requirements for students to gain supervised
field experience while enrolled in the EMS Program.
The PROVIDER supplies emergency medical services to the community
which lend themselves to the provision of said supervised field experience for
students of the EMS Program.
The PROVIDER shall retain complete responsibility for fire protection,
disaster preparedness and response, fire prevention, rescue, hazardous materials
gation, technical rescue response, medical emergency services, and public
service assists (hereinafter called "FIRE SERVICES"). Students in the program are
restricted from performing any FIRE SERVICES that are not EMS related.
The students training experience will provide observation of the day to day
responsibilities of the PROVIDER as well as provide the required hours and field
experience in emergency medical patient care in correlation with the Downey Fire
Department Internship Field Guide in accordance with the pertinent sections of
Division 9 of Title 22 of the California Code of Regulations and Division 2.5 of the
California Health and Safety Code. The PROVIDER shall retain ultimate
responsibility at all times for the care of all patients receiving EMS treatment.
NOW, THEREFORE, in consideration of the mutual covenants contained
herein, the Parties hereto agree as follows:
a. Assume full responsibility for the preparation of instructors for
positions in EMS Program.
b. Be responsible for the development organization and implementation
of the EMS Program curriculum under the direction of a qualified EW
Program Director.
c. Select test and supervise the students admitted to the EMS Program at
the time of admittance and throughout the period of time prescribed
for the student's completion of the EMS Program.
,t. Provide certificated instructors to teach all prescribed courses in the
EMS Program, including any instruction or training which may be
carried on at the PROVIDER. The instructors and the Director of EMS
Program shall be named, appointed, and assigned by the COLLEGE in
accordance with its established procedures for employment of
instructional personnel.
c. Provide each new instructor an opportunity to participate in an
orientation with the PROVIDER. This orientation shall be arranged
through mutual agreement of the COLLEGE and the PROVIDER.
f. Provide all instructional supplies and equipment as needed for the
EMS Program, except those which the PROVIDER hereinafter
specifically agrees to provide.
g. Provide administrative functions, including admission, counseling,
scheduling, attendance, accounting, and achievement records in
connection with the EMS Program. Similar to those maintained for all
other students at California EMS Program.
h. Furnish copies of class schedules and student rotation assignments to
the PROVIDER, prepared by the EMS Program Director after
consultation with the PROVIDER.
i. Provide documentation that recognized the EMT - Paramedi(o
program meets national standards and is an accredited program
through CAAHEP and CoAEMSP.
All
a. The cooperation and counsel of the PROVIDER to help ensure success
1f the EMS program.
b. As broad an experience as possible with opportunities for
observation, participation, or independent activity involving day to
day responsibilities of emergency medical patient care through the
program offered by the PROVIDER.
c. Retain complete control and responsibility of victim/patient care as
well as supervision and oversight of students participation at all
times.
3. Should emergency treatment be necessary for students in the event of
accident or sudden illness, the cost of such treatment shall be covered by the
Student. College shall hold harmless, indemnify and defend Provider for any
claim filed by Student. It will be the duty and obligation of the COLLEGE to
insure that a claim is properly filed with the COLLEGE's Risk Management
Department. The parties agree that the standards of the EMS program shall
be maintained at a level equal to or exceeding those required by the State of
California as outlined in section of title of the Code of Regulations.
4. The Parties agree that the students and employees of the COLLEGE
participating in the EMS Program are not employees or agents of the
PROVIDER, nor shall they become employees or agents of the PROVIDER by
virtue of their participation in the EMS Program, but shall be subject to and
shall abide by all PROVIDER rules, regulations, and policies, including, but
not limited to: those governing professional conduct, confidentiality,
discrimination, affirmative action, substance abuse, and Blood Borne
Pathogen Control Plan. In the event a student or employee of COLLEGE fail
or refuse to do so, the PROVIDER reserves the right to deny the use of
its facilities and services by such student or employee.
5. Each student in the EMS Program, prior to beginning field training with the
PROVIDER, shall have on file, documentation of health status with the College
EMS Program Director including: documentation of negative TB test within
the previous year, and current Hepatitis B vaccination. This documentation
shall be provided by PROVIDER upon request.
6. The number of students participating in the EMS Program who are assigned
to the PROVIDER shall be determined by mutual agreement of the Parties.
7. Per Division 9 of Title 22 of the California Code of Regulations, no more than
one (1) EMT student, of any level, shall be assigned to a response vehicle at
any one time during the student's field training.
V,. Students are not authorized to drive any PROVIDER vehicle, but may ri•-
• •
eduring their participation in this program when driven by a
PROVIDER employee.
9. A strict code of confidentiality of victim/patient information from t1a
Portability and Accountability Act (HIPAA) shall be maintained by
participants in the EMS Program. i
t. Students will sign a Statement of Confidentiality as part of the
Orientation. This signature binds the student to maintain patient
confidentiality throughout the field experience. No copies of patient
records shall be made, and no records or copies thereof shall be
removed from the PROVIDER.
b. The discussion, transmission, or narration in any form by students of
any individually identifiable client/patient information, medical or
otherwise, obtained in the course of the EMS Program is forbidden.
Students hall use de -identified information only in any discussions
about the clinical experience with the COLLEGE, its employees, or
agents as a necessary part of the practical experience.
c. In the event of a student's failure to comply with the confidentiality
requirements states herein shall be grounds for removal from
PROVIDER'S facilities, or his/her refusal to enter into a
confidentiality agreement hereinafter required to be entered
into with the PROVIDER's resources, as applicable, shall be
denied approval to participate under this Agreement.
RVIN
a. The term of this Agreement shall be from the last date of final
execution to January 30, 2022.
b. One hundred eighty (180) days prior to the date of expiration of this
Agreement. Either party shall give the other party written notice of
whether the party intends to extend this Agreement or enter into a
new agreement for EMS Program Services.
Either party to this Agreement may terminate this Agreement by providing
written notice of termination to the other party hereto no less than thir
days before the effective date of termination. If such notice is
given unilaterally by PROVIDER or COLLEGE, PROVIDER agrees those
students enrolled at the time in the COLLEGE EMS Program may be
permitted to complete their field training pursuant to and under this
Agreement in thesole discretion of the PROVIDER on the condition the
COLLEGE agrees to continue the effectiveness of the provisions of this
Agreement with regard to the students. I
Menrellrop-Mer,
The COLLEGE employees, agents, and students accessing PROVIDER
resources hereunder shall not discriminate in the provision of services,
allocation of benefits, accommodation in facilities, or employment of
personnel on the basis of race, religion, medical condition, disability, marital
status, sex, age, or sexual orientation and shall comply with all other
requirements of law regarding nondiscrimination and affirmative action
including those laws pertaining to the prohibition of discrimination against
qualified handicapped persons in all programs or activities. For the purposes
of this Agreement, distinction on the grounds of race, religion, medical
condition, disability, marital status, sex, age, or sexual orientation include,
but not limited to, the following:
;t. Denying an eligible person or providing to an eligible person any
service or benefit which is different, or is provided in different
manner or at a different time from that provided to other eligible
persons under this Agreement.
b. Subjecting an eligible person to segregation or separate treatment in
any manner related to his/her receipt of any service or benefit, except
when necessary for infection control.
c. Restricting an eligible person in any way in the enjoyment of any
advantage or privilege enjoyed by others receiving a similar service or
benefit.
d. Treatment of an eligible person differently from others in determining
whether he/she has satisfied any eligibility, membership, or other
requirement or condition which individuals must meet in order to be
provided the same or similar service or benefit.
e. The assignment of times or places for the provision of services on the
basis of race, religion, medical condition, disability, marital status, sex,
age or sexual orientation of the eligible person to be served.
""WITIM,
COLLEGE shall purchase and maintain during the duration of this Agreeme
and after the expiration of this Agreement as provided below, the followi
insurance coverage: I
Worker's compensation and employer's liability coverage for College's
legal and statutory obligations for damages due to bodily injuries
either by accident or disease, occurring to College's employees,
agents, or servants as a result of employment.
b. General liability covering College, its agents, students, employees, and
servants for bodily injury personal injury, or property damage claims
arising out of the premises, products or activities of the College.
Minimum limits of liability for the above coverage shall be $2,000,000
per occurrence and $4,000,000 aggregate for bodily injury and
property damage.
c. Professional liability covering College, its agents, employees, and
servants for bodily injury and personal injury claims of
victim/patients arising out of the rendering or failure to render care
by Staff, College or its agents, students, employees or servants.
Minimum limits of liability shall be $2,000,000 per incident. In the
event such coverage is through a "claims made policy and is either
cancelled, replaced or non -renewed, College shall obtain and maintain
extended coverage ("tail") insurance covering occurrences during the
effective period of this Agreement.
d. All students performing field work, internships and similar activities
who are registered in for -credit courses for which the internships arc
required are covered with the College's general and /or professional
liability insurance with blanket policies.
e. The policies required hereunder shall provide for written notice to
Provider at least thirty (30) days prior to the cancellation or
modification of any above-mentioned insurance.
F. College shall provide Provider with certificates of insurance as
evidence that all coverage required under this Agreement listed above
have been obtained and are in full force and effect. Provider shall be
named on all policies required under this Agreement as an additional
insured per the requirements of this Agreement. Certificates of
Insurance must be supplied within five (5) days of effective date of
this Agreement, and thereafter prior to the expiration date noted
upon each certificate. Such policies and the insurers thereunder shall
be subject to reasonable and good faith approval by Provider.
g. It is understood and agreed that Orange County EMT is a self-insured
public agency of the State of California. The school also maintains
self-insurance programs to fund its respective liabilities.
To the fullest extent permitted by applicable law, COLLEGE shall and dol
agree to indemnify, protect, defend and hold harmless PROVIDER, i
agencies, departments, directors, officers, agents, employees, elected al
appointed officials and representatives (collectively, "indemnitees") for, fro
and against any and all liabilities, claims, damages, losses, liens, causes
action, suits awards, judgments and expenses, attorney and /or consulta
fees and costs, taxable or otherwise, of any nature, kind, or description of an
person or enemy, directly or indirectly arising out of, caused by, or resultin
from (1) the services performed hereunder, by COLLEGE and /or student,
any part thereof, (2) the Agreement and obligations of COLLEG
including any approved amendments or modifications, or (3) a
negligent acts of omission or willful acts misconduct or omissions
COLLEGE and / or student, its officers, employees, subcontractor
agents, or representatives (collectively, "liabilities"). Notwithstanding t
foregoing, the only liabilities with respect to which COLLEGE'S obligation
indemnify, including the cost to defend, the Indemnities does not app
is with respect to Liabilities resulting from the sole negligence or willf'
misconduct of an Indemnitee, or to the extent such claims to not ari
out of, pertain to or relate to the Agreement.
To the fullest extent permitted by applicable law, PROVIDER shall and do
agree to indemnify, protect, defend and hold harmless COLLEGE, its agencie
districts, special districts and departments, their respective directors, office
elected, and appointed officials, employees, agents and representativ
(collectively, "Indemnitees") for, from and against any and all liabilitie
claims, damages, losses, liens, causes of action, suits, awards, judgments, a•
expenses, attorney and/or consultant fees and costs, taxable or otherwise,
any nature, kind or description or any person or entity, directly or indirect
arising out of, caused by, or resulting from (1) the Services perform
hereunder by PROVIDER, or any part thereof, (2) the Agreement, includi
any approved amendments or modifications, or (3) any negligent act
omission of PROVIDER, its officers, employees, subcontractors, agents,
representatives (collectively, "Liabilities"). Notwithstanding the foregoin
the only Liabilities with respect to which PROVIDER's obligation
indemnify, including the cost to defend, the Indemnitees does not apply
with respect to Liabilities resulting from the negligence or willful miscondu
of an Indemnitee, or to the extent such claims do not arise and/or, pertain
or relate to the Scope of Work in the Agreement.
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Disputes under contract, parties will meet informally to resolve. If no
resolution, either party can terminate per Section II.
Any notices to be served pursuant to this Agreement shall be consider
delivered when deposited in the United States mail and address to: I
PROVIDER COLLEGE
Downey Fire Department Orange County EMT
Downey City Hall 26429 Rancho Parkway South#150
11111 Brookshire Ave Lake Forest, CA 92630
Downey, CA 90241
Provisions of this section do not preclude any notices being delivered in
person to the addresses shown above. Delivery in person shall constitute
service hereunder, effective when such service is made.
This Agreement contains the whole contract between the parties for the
provision of field experience to College's EMS program schedule. It may be
amended or modified upon the mutual written consent of the parties hereto.
This Agreement does NOT supplement other specific agreements entered into
by both parties for equipment or facilities, and excepting those equipment or
facilities agreements, this Agreement cancels and supersedes any previous
agreement for the same or similar service.
This Agreement may be executed in duplicate counterpart originals, each of
which is deemed to be an original, and all of which when taken shall
constitute one and the same instrument.
In WITNESS WHEREOF, the duly authorized officials of the parties hereto
have, in their respective capacities, set their hands as of the date first here in
.?bove written.
Name: Corev Greniel
Title: Chief Executive Officer
By:
11A : 11/29/2018 Orange County EMT
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Title: Secretary & Chief Operatitip-
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By:
City of Downey by and on behalf of
The Downey Fire Department
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A 1
0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDIYYYY)
111 1 7/17/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NAME: r Lindsay LUXenDerg -- - -
Sav-Lux Insurance Services PHONE1 o. Emq 888-728-5891 FAX
Nol: 949-420-2156
P.Q. Box 74913 ADDREss. Lindsay €x savlux coon
INSURER(S) AFFORDING COVERAGE NAIC #
San Clemente CA 92673 INSURER A: Mesa Underwriters Specialty Insurance
INSURED INSURER B: State Compensation Insurance Fund
Orange County EMT INSURER C: American Casualty Company of Reading, Pennsylvania
26429 Rancho Parkway INSURER D : Lloyd's of London
Unit 150 INSURER E:
Lake Forest CA 92630 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
iNSR A13DL SUBR POLICY EFF POLiCW EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDNYYY) (MMIDDNYYY) LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
CLAIMS -MADE OCCUR PREM SES rE occu ence) $ 100,000
B
Y MP0004007015125 5/2812019 5/28/2020
GEN'L AGGREGATE LIMIT APPLIES PER:
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X P6l_i+.`f rECI LOC
OTHER.
- - - ----- ------
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS .AUTOS
UMBRELLA LIAR I OCCUR
EXCESS LIARI
CLAIMS -MADE'
COED RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y ( N
ANY PROPRIETOR/PARTNEWEXECUTIVE
B OFFICER/MEMBER EXCLUDED?'W 9 N / A 923834818
(Mandatory in NH) e
If yes, describe under
DESCRIPTION OF OPERATIONS below
MED EXP (Any one person)
s 5,000
PERSONAL & ADV INJURY
$ Excluded
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS - COMP/OP AGO
$ Excluded
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liv°°ti+SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
BODILY INJURY (Per accldenq n
PROPEiti'Y DAMAGE q,
(Per accident)
EACH OCCURRENCE
AGGREGATE
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_:I ATUTE ( ER
E L EACH ACCIDENT $ 1,000,000
E L DISEASE - EA EMPLOYEE S 1,000,000
E L DISEASE - POLICY LIMIT $ 1,000,000
C Professional Liability 0127309331 6/1/2019 6/1/2020 Limit: $$2,000,000 Claim/$5,000,000 Agg
D Abuse and Molestation M1-0004007015125 5/28/2019 5/28/2020 Limit: $25,000 Occ/$50,000 Agg
DESCRIPTION OF OPERATIONS ! LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Downey and it's officers, officials, ACCORDANCE WITH THE POLICY PROVISIONS.
employees, agents and volunteers
AUTHORIZED REPRESENTATIVE
11111 Brookshire Avenue ,�
Downey CA 90241 fre'f'lw a rt r.r`,P C'
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