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1994-108-RES WHEREAS, the City Council of the City of Paris has been requested by the County of Lamar, State of RESOLUTION NO. 94-108 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 OF 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, Don Shelton, 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 29th day of August, 1994. ATTEST: ~~,..~,.~.~ Mattie Cunningham, City Cler APPROVED AS TO FORM: ~!~i~f-ddJ T. K. Haynes, City Attorney EMERGENCY MEDICAL SERVICES CONTRACT STATE OF TEXAS } COUNTY OF LAMAR } This contract made and entered into this the 29th day of August, 1994, 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: I. 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 and in-service training program agreement with one or both of the local hospitals, in 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 an 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 hospital from the point 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 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 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. 13. 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 $15,689.00 monthly towards the estimated 12 month term cost of $188,273.00. The first of said monthly payments to be made on the I st day of October, 1994, with a like payment being made on the first day of each month thereafter. 14. 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. 15. This agreement shall be effective and the term thereof shall commence on the 1st day of October, 1994, and shall expire on the 30th day of September, 1995. 16. 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 17. 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. 18. 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 ANCE LIFE SUPPORT (ALS) within Lamar County $185.00 plus $3.00 per mile from point of pickup to point of delivery 2. BASIC LIFE SUPPORT (BLS) within Lamar County $150.00 plus $3.00 per mile from point of pickup to point of delivery 3. OUT OF LAMAR COUNTY TRANSFER SERVICE $185.00 plus $3.00 per mile from point of pickup to point of delivery 4. TRANSFER SERVICE within Lamar County $110.00 plus $3.00 per mile from point of pickup to point of delivery 5. PERSONAL PREFERENCE TRANSFER SERVICE to a point outside City of Paris beyond a 125 mile radius $250.00 plus $3.00 per mile from point of pickup to point of delivery and for return to point of origin inside City Limits 6. IN HOUSE TRANSFER $60.00 from hospital to treatment facility and return to hospital 7. REQUESTED SERVICE not used $30.00 8. STANDBY $200.00 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. ADV ANCED LIFE SUPPORT (ALS) within Lamar County $185.00 plus $3.00 per mile from point of pickup to point of delivery 4. TRANSFER SERVICE within Lamar County $110.00 plus $3.00 per mile from point of pickup to point of delivery 5. IN HOUSE TRANSFER $60.00 from hospital to treatment facility and return to hospital 6. REQUESTED SERVICE not used $30.00 (c) 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. 19. 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. 20. It is agreed that all calls for emergency medical service that are received by COUNTY shall be referred to the CITY OF PARIS AMBULANCE SERVICE operated by CITY. 21. In the event that the COUNTY desires to discontinue emergency medical service at the end of this contract, being September 30, 1995, COUNTY shall give written notice to the CITY on or before June I, 1995, 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, 1995, rates and contract price upon which it will deliver service, and thereafter on or before October I, 1995, 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 Don Shelton, Mayor, Mayor ATTEST: APPROVED AS TO FORM: T. K. Haynes, City Attorney ATTEST: Kathy Poole, County Clerk APPROVED AS TO FORM: Tom Wells, County Attorney COUNTY OF LAMAR, STATE OF TEXAS Deane A. Loughmiller, County Judge % V; 0 ~ ., :r ~ . :> '" ~ '" u C . E u ... U % . '" ~ :r ... '" '" < . .. u '" ... '" ... ... I- < 0 , , 0 :!" I- .1_' , . 0: < ... ,.. '" < ... ,.. l- '" < ,.J '" ... I- '" < ::> 0- W ... < '" , 0 l- I '" < W ,.. 0: < W ,.. '" ~ i= . . '" W ... '" < ::> 0- I I - "ll .. > "ll C .. . .. .. .. u .. > U u C .. .. .. .. 0 l) '" ... C ... ... ... u .. .. 0 C .. C C . U .. ... 0 0 I ... 0. .. 0. .. .. .. .. ... ~ ... ~ .. .. u '" .. u ! . .>< ... .>< c c .. u u ! u ... u .. ... u .. ... ... u ~ ~ I u ... U .. ... .... ... ... .. .. .. .. I ... ... C ... ... C ... ... ... .... u ... .. .. u .. ~ ...I .. .. ~ .. ... ... ... IJ .. .. I C .. 0 0 0 .. .. 0 0 U .. .. t ~ c c I .. u u 0 :c ... u u :c ... ... .. .. .. ... ... ... .. \ .. c .. .. .. ... . .. .. .. y I . .. 0 0 0 c ! w .. .. .. .. ... . EXHIBIT A