1996-088-RES JOINT RESOLUTION NO. 96-003
RESOLUTION NO. 96-088
JOINT RESOLUTION NO. 96-003
WHEREAS, the City Council of the City of Paris has been requested by the
County of Lamar, State of Texas, to provide the emergency medical services to that area
of Lamar County outside the city limits of the City of Paris; and,
WHEREAS, the form of contract to provide such service is attached hereto as
Exhibit A; NOW, THEREFORE,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY 01<' PARIS, that
emergency medical services be extended to that area of Lamar County, State of Texas,
outside the city limits of the City of Paris, upon the terms and conditions stated in the
contract attached hereto as Exhibit A, and that the Mayor of the City of Paris, Eric S.
Clifford, be, and he is hereby authorized and directed to execute on behalf of the City of
Paris, Emergency Medical Services Contract with the County of Lamar, State of Texas,
in the form of Exhibit A attached hereto.
PASSED AND ADOPTED this 12th day of August, 1996.
Eric S. Clifford,
ATTEST:
Mattie Cunningham, City Cler
APPROVED AS TO FORM:
J~
T. K. Haynes, City Attorney
APPROVED by the Commissioners C,purt of Lamar County, Texas, by adopting
of the above Resolution on the-< t, day of /It(1usf-, 1996, as reflected in Book _,
Page _, of the Minutes of said Commissioners Court.
O~
e, County Clerk
APPROVED AS TO FORM:
~ 'lY~
Tom Wells, County Attorney
EMERGENCY MEDICAL SERVICES CONTRACT
STATE OF TEXAS ~
COUNTY OF LAMAR ~
This contract made and entered into this the 12th day of August, 1996, by and between
the CITY OF PARIS, Paris, Texas, a body politic, acting by and through its Mayor, duly
authorized, hereinafter called CITY; and the COUNTY OF LAMAR, State of Texas, acting by and
through its County Judge, duly authorized, hereinafter called COUNTY; hereby contract and agree
as follows:
KNOW ALL MEN BY THESE PRESENTS:
1. CITY covenants and agrees that it will furnish and provide adequate emergency
medical service vehicles and related emergency medical services to all persons within the County
of Lamar, without regard to race, color, sex or national origin.
2. CITY covenants and agrees that it will comply with all safety requirements of
the law pertaining to the furnishing of emergency medical services and that all vehicles used as
emergency medical service vehicles will be distinctly marked and colored as required by State law
and City ordinances. The emergency medical service shall be referred to as "CITY OF PARIS
EMERGENCY MEDICAL SERVICE" and the vehicles used in providing said service shall bear
the City of Paris decal with the additional words, "serving PARIS and LAMAR COUNTY."
3. CITY agrees that emergency medical service vehicle attendants will be certified
by the Texas State Department of Health under the terms of the Emergency Medical Services Act,
chapter 773, Vernon's Texas Codes Annotated; that each emergency medical service vehicle shall
be staffed with at least two emergency care attendants as required by Section 773.050, Subsection
(a) of Chapter 773, Vernon's Texas Codes Annotated.
4. CITY agrees to provide State of Texas Certified EMT Certification, and to
possess an in-service training program agreement with one or both of the local hospitals, in
compliance with State of Texas continuing education requirements.
5.
CITY agrees that each vehicle used as an emergency medical service vehicle
I"
shall be equipped with a two-way radio which transmits and receives on frequencies designated by
the FCC. The radio communications to and from said emergency medical vehicles and central
dispatch shall be in coordination with and by the knowledge of the Lamar County Sheriffs Office,
EMERGENCY MEDICAL SERVICES CONTRACT. Pagl' I
EXHIBIT A
the Paris Police Department, and McCuistion and St. Joseph Hospitals, with each hospital
furnishing its own radio equipment.
6. CITY agrees that all vehicles used for emergency service and the equipment
contained therein will meet or exceed requirements in accordance with the Health and Safety Code,
Chapter 773, and that all emergency medical vehicles and accessory equipment shall be subject to
inspection by designated representative of the COUNTY, and if at any time same are not in
compliance with the provisions hereof, or if any emergency medical vehicle is in need of
mechanical repairs in order to insure its satisfactory operation, the said vehicle must be removed
from service.
7. CITY agrees that it will answer all emergency calls within the limits of the City
and County, and that no person within the City and County shall be refused emergency service, and
further agrees that transfer emergency service when directed by a medical doctor will not be
refused, and agrees to deliver patients to McCuistion and St. Joseph Hospital in the following
manner:
(a) To the hospital that victim, his person physician or next of kin so designate, or
(b) To the nearest hospi tal from the poi nt of pick up of the victim when his personal
physician or next of kin cannot respond to the emergency medical vehicle
director's inquiry.
(c) To the nearest hospital from the point of pickup when life threatening situation
exists.
8. CITY agrees that at all times during the effective period of this contract to have
procured and kept in force and effect policy or policies of public liability insurance covering each
motor vehicle operated under this contract in the minimum amounts of $250,000.00 for bodily
injury or death to anyone person and $500,000.00 for all persons injured in anyone accident or
occasion and $100,000.00 for property damages arising out of anyone accident or occasion.
9. CITY agrees to furnish the County Judge, Lamar County, an annual operating
statement relating to revenues, expenses, call statistics, and the status of delinquent and uncollectible
accounts, and that all non-medical records of the services rendered under this contract, and training
and certification records of all employees, be available for inspection and review by such County
Judge or his designated representatives, and to furnish a quarterly report in the form of Exhibit A
attached hereto.
"
EMEROENt."Y MEDICAL SERVICES CONTRACT - I'age 2
10. CITY agrees to operate the emergency medical service operation in accordance
with the requirements of State law and applicable requirements of CITY and COUNTY as may be
in effect.
II. CITY agrees that it will have a minimum of two (2) emergency medical vehicles
which meet the emergency medical vehicle and equipment requirements as set out in paragraph 6
above, manned with a crew of two (2) men each, available to the citizens of the City and County
twenty-four(24) hours per day, seven (7) days per week.
12. COUNTY agrees that CITY be the exclusive sole and only provider of
emergency medical services in the County of Lamar.
13. COUNTY agrees that non-emergency transfer service from points within the City
or County to points inside or outside the County will be made at the prerogative of the CITY; that
emergency medical service from points outside the County to any destination shall be made at the
prerogative of CITY and shall not be covered by this contract.
14. The COUNTY agrees to pay to the CITY forty per cent (40 %) of the actual cost
of providing emergency and transfer ambulance service to be computed through the last day of this
contract on a cash basis, with the COUNTY making monthly payments of $21,996.00 monthly
towards the estimated 12 month term cost of $263,947.00. The first of said monthly payments to
be made on the 1st day of October, 1996, with a like payment being made on the first day of each
month thereafter.
15. In the event the charges paid by COUNTY are more than or less than the charge
that would have been made based on actual costs, the CITY will furnish calculations to COUNTY
during the month of January and COUNTY's monthly payments shall be increased or decreased
for the months of February through September by an amount which will eliminate the overcharge
or will make up the deficiency.
16. This agreement shall be effective and the term thereof shall commence on the
1st day of October, 1996, and shall expire on the 30th day of September, 1997.
17. It is further understood and agreed that neither the COUNTY nor any of its
agents, servants or employees shall be considered to be in the business of providing emergency
medical service, and the relationship between the parties shall not be considered to be that of a
partnership or joint venture, and that the status of the CITY shall be that of an independent
"
EMEROP.NCY MEDICAL SERVICES CONTRAL'T - Page 3
I
contractor providing services to the COUNTY and its inhabitants in exchange for the payment of
amounts herein set forth.
18. It is mutually understood and agreed between the parties that the payments made
by the COUNTY to the CITY shall in no way affect the right of CITY to collect the charges
hereinafter set out in paragraph 17 from persons for emergency medical service rendered, and it
is expressly understood and agreed that no one shall be entitled to free emergency medical service
under this contract, and diligent efforts shall be made to collect accounts outstanding in keeping
with good and ethical business practices.
19. It is understood and agreed that charges for services rendered under the scope
of this contract within the limits of the CITY and COUNTY shall be per patient, per call, as
follows:
(a) The following rates are established for emergency medical vehicle service for
residents of Lamar County:
1. ADV ANCED LIFE SUPPORT (ALS) $250.00 plus $3.50 per mile from point
within Lamar County of pickup to point of delivery
2. BASIC LIFE SUPPORT (BLS) $200.00 plus $3.50 per mile from point
within Lamar County of pickup to point of delivery
3. OUT OF LAMAR COUNTY $350.00 plus $3.50 per mile from point
TRANSFER SERVICE of pickup to point of delivery
4. TRANSFER SERVICE $150.00 plus $3.50 per mile from point
within Lamar County of pickup to point of delivery
5. RETURN TRIP $145.00 PLUS $3.50 per mile from point
of pickup to point of delivery
6. PERSONAL PREFERENCE $500.00 plus $3.50 per mile from point
TRANSl<"ER SERVICE of pickup to point of delivery and for
to a point outside City of return to point of origin inside City
Paris beyond a 125 mile radius Limits
7. IN HOUSE TRANSFER $60.00 from hospital to treatment facility
and return to hospital
8. REQUESTED SERVICE not used $50.00
9. STANDBY $250.00 for the 1st hour and $60.00 each
additional hour on an as available, first "
request first serve basis
(b) The following rates are established for emergency medical vehicle service for
non-residents of Lamar County:
1.
ADVANCED LIFE SUPPORT (ALS)
within Lamar County
$250.00 plus $3.50 per mile from point
of pickup to point of delivery
I
EMERGENCY MEDICAL SERVICES CONTRACT . Pag~ 4
2.
BASIC LIFE SUPPORT (BLS)
within Lamar County
$200.00 plus $3.50 per mile from point
of pickup to point of delivery
3.
OUT OF LAMAR COUNTY
SERVICE a point outside
the city of Paris
within 125 mile radius
$500.00 plus $3.50 per mile from point
of pickup to point of delivery and
return to point of origin inside City
of Paris
4.
TRANSFER SERVICE
within Lamar County
$150.00 plus $3.50 per mile from point
of pickup to point of delivery
5.
RETURN TRIP
$145.00 PLUS $3.50 per mile from point
of pickup to point of delivery
6.
IN HOUSE TRANSFER
$60.00 from hospital to treatment facility
and return to hospi tal
7.
REQUESTED SERVICE not used
$50.00
(c) In addition to the established rates, a usual, reasonable, and customary charge
for medical supplies and service used or required in connection with emergency
and non-emergency transfer service shall be made.
20. It is agreed that if any patient dies while enroute to any hospital, the paramedic
in charge shall deliver the body of such deceased person to the nearest hospital, and remain there
until a medical examiner or licensed medical doctor formally pronounces the subject dead. CITY
and COUNTY agree that CITY will not be required to transport any cadavers from any hospital.
21. It is agreed that all calls for emergency medical service that are received by
COUNTY shall be referred to the CITY 01" PARIS AMBULANCE SERVICE operated by
CITY.
22. In the event that the COUNTY desires to discontinue emergency medical service
at the end of this contract, being September 30, 1997, COUNTY shall give written notice to the
CITY on or before June 1, 1997, of its desire to cancel service. If COUNTY fails to give notice
of discontinuance of emergency medical service beyond the end of this contract, CITY will deliver
to COUNTY on or before August 31, 1997, rates and contract price upon which it will deliver
service, and thereafter on or before October I, 1996, COUNTY will execute the contract for
service for the additional term upon the same terms and conditions as stated herein.
CITY OF PARIS, PARIS, TEXAS
Eric S. Clifford, Mayor
ATTEST:
Mattie Cunningham, City Clerk
EMERGENCY MEDICAL SERVICES CONTRACT - Page. 5
APPROVED AS TO FORM:
T. K. Haynes, City Attorney
ATTEST:
Kathy Poole, County Clerk
APPROVED AS TO FORM:
Tom Wells, County Attorney
EMERGENCY MEDICAL SERVICES CONTRACT - Page 6
COUNTY O}<' LAMAR, STATE OF TEXAS
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