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1993-088-RES WHEREAS, the City Council of the City of Paris has been requested by the County of Lamar, State of RESOLUTION NO. QJ-ORR 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, George Fisher, 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 13th day of September, 1993. d~st~ ATTEST: ~m\. ~~C1r-N,J Mattie Cunningham City ClerK EMERGENCY MEDICAL SERVICES CONTRACT STATE OF TEXAS ~ COUNTY OF LAMAR ~ This contract made and entered into this the 13th day of September, 1993, 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: 1. Ci ty 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 service vehicles and 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 Par is decal wi th the add i t ional words, "serv ing 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, 5. City agrees that each vehicle used as an emergency medical service vehicle 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 Sheriff's Office, 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 personal 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 .....................t- .........".............1 ~~ ~...~ ............!.:__1 ......1...!....1.... 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 uncollectable 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. 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. 11. 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 "'......""............",r<o,..u morl;,..!:!l 0.01'"\7;,...0 f,..nm nn;nra ()11rairlp t-hp r.ollnrv to Rnv 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 $26,479.00 monthly towards the estimated 12 month term cost of $317,748.00. The first of said monthly payments to be made on the 1st day of October, 1993, with a like payment being made on the first day of each month thereafter. 14. This agreement shall be effective and the term thereof shall commence on the 1st day of October, 1993, and shall expire on the 30th day of September, 1994. 15. 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 contractor providing services to the County and its inhabitants in exchange for the payment of amounts herein set forth. 16. It is mutually understood and agreed between the parties that the payments made by the County to 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. 17. I t is understood and agreed that charges for services ~__...1___...J .._...J__ 1--1..... ................... ....~ ...h.:.... .....,........t-...."'.....t- r.,{t-h;n t-ho 1 ;mira nf 2. L. 3. 4. 5 . 6. 7 . BASIC LIFE SUPPORT (BLS) within Lamar County OUT OF LOCATION TRANSFER SERVICE TRANSFER SERVICE within Lamar County PERSONAL PREFERENCE TRANSFER SERVICE to a point outside City of Paris beyond a 125 mile radius IN HOUSE TRANSFER REQUESTED SERVICE not used STANDBY $120.00 plus $2.50 per mile from point of pick up to point of delivery $150.00 plus $2.50 per mile from point of pickup to point of delivery $90.00 plus $2.50 per mile from point of pickup to point of delivery $200.00 plus $2.50 per mile from point of pickup to point of delivery and for return to point of origin inside City Limits $50.00 from hospital to treat- ment facility and return to hospital $30.00 $150.00 for the 1st hour and $50.00 each additional hour on an as available, first request first serve basis The following rates are established for emergency medical vehicle service for non-residents of Lamar County: 8. 9. ADVANCED LIFE SUPPORT (ALS) within Lamar County BASIC LIFE SUPPORT (BLS) within Lamar County 10. OUT OF LOCATION SERVICE a point outside the City of Paris within 125 mile radius 11. TRANSFER SERVICE within Lamar County 12. OUT OF LOCATION TRANSFER SERVICE to a point outside City of Paris beyond 125 miles radius 13. IN HOUSE TRANSFER from $150.00 plus $2.50 per mile from point of pickup to point of delivery $120.00 plus from point of of delivery $2.50 per mile pickup to point $200.00 plus $2.50 per mile to point of pickup to point of delivery and return to point of origin inside City of Paris $90.00 plus $2.50 per mile from of pickup to point of delivery $200.00 plus $2.50 per mile from point of pickup to point of delivery and for return to point of origin inside City of Paris $50.00 from hospital to f--rOQrmor.r f~.... i 1 -i rU' ~nrl r~"'llrn 18. 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. 19. 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. 20. In the event that the County desires continued emergency medical service beyond the end of this contract, being September 30, 1994, County shall give written notice to the City on or before June 1, 1994, of its des i re for service for an additional term, and upon receipt of said notice on or before June 20, 1994, City will deliver to County the rates and contract price upon which it will deliver service, and thereafter on or before July 1, 1994, County will execute the contract for service for the additional term upon the same terms and conditions as stated therein. CITY OF PARIS BY George Fisher, Mayor ATTEST: Mattie Cunningham, City Clerk APPROVED AS TO FORM: ATTEST: Kathy Poole, County Clerk APPROVED AS TO FORM: COUNTY OF LAMAR, STATE OF TEXAS BY Deane A. Loughmiller, County Judge Tom Wells, County Attorney . :z: ~ 0 .... '" X .... . > '" .... '" u " " 13 u f-o .. :z: ~ '" X " t '" < " ... .. '" ... '" "" - to! ~ < C 1 0 , !-o " . " I . .. < to! ,.. .. < to! ,.. !-o '" < ... .. '" !-o .. < ::> cr '" f-o < '" I 0 !-o I .. < ... ,.. .. < ... ,.. '" .... :: . !-o .. ... t < ::> cr - ... U ... " ~ U " " U .. > ... U " ... " U .. 0 l.) .. .... " ... .... ... U .. on 0 " .. " " . .. U ... .... 0 0 . .... "'" on "'" .. .. ... ... ! .... " .... " .. .. .. '" .. .. .. '" .... '" " " .. . U u ! u >- u It >- u on ... ... U " " U ... U .. ... .... .... .... .. ... .. .. i >- >- " ... >- " ... .... .... .... U .... u u u u " ... .. U " It ... ... ... S> .. .. I I " ... 0 0 0 U ... 0 0 U IQ IQ > " " " I . u u 0 :z: ... u u :z: .. ... .... .... .. .. .... .... .... . I .. " It .. .. '" . .. U U u I I! .. 0 0 0 " ! ... ~ !-o 1-0 ~ .... . EXHIBIT A