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PARIS REGIONAL MEDICAL CENTER <br />EMS QUALITY AND ACCESS AGREEMENT <br />This Agreement is made and entered into as of , 2012 by and <br />between Essent PRMC, L.P., d/b/a Paris Regional Medical Center ("PRMC") and the City of <br />Paris ("City"). PRMC and the City may be referred to in this Agreement singly as "Party" and <br />collectively as the "Parties." <br />RECITALS: <br />WHEREAS, PRMC operates two acute care hospitals located in Paris, Texas, one known <br />as "PRMC North" and the other known as "PRMC South" (singly a"Hospital" and collectively, <br />the "Hospitals"); and <br />WHEREAS, the Hospitals furnish emergency medical services to the people of Paris, <br />Texas and its surrounding area (the "Service Area") through their respective emergency <br />departments; and <br />WHEREAS, PRMC is the only acute care hospital services provider in Lamar County, <br />Texas. <br />WHEREAS, City operates an ambulance service located in Paris, Texas known as "Paris <br />EMS"; and <br />WHEREAS, Paris EMS furnishes emergency and nonemergency medical care and <br />transportation in all of Paris and Lamar Counties, Texas, including the Hospitals; and <br />WHEREAS, PRMC's governing body and administration, together with the City, have <br />determined that emergency medical services are a critical component of public safety, and that <br />access to and the provision of high quality emergency medical services, including emergency <br />medical transport, is in the best interest of residents and nonresidents of the Service Area; and <br />WHEREAS, PRMC and the City have determined that access to and maintenance of high <br />quality emergency medical services, including emergency medical transport, may best be <br />ensured by cooperation between PRMC and the City; <br />NOW, THEREFORE, in consideration of the mutual covenants herein contained, and for <br />good and valuable consideration, the sufficiency and receipt of which are hereby acknowledged, <br />the parties agree as follows: <br />ARTICLE I <br />OBLIGATIONS OF CITY <br />1.1 Ambulances, Equipment, Supplies, Staff. City shall furnish such <br />ambulances, equipment, supplies and staff (`BMS Staffl') as may be necessary to maintain <br />compliance with the requirements of the Texas Department of State Health Services as a Texas <br />Emergency Medical Services Provider. <br />4424567.5 <br />- - 95 <br />