1991-064-RES WHEREAS, the City Council of the City of Paris has been requested by the Commissioners Court of Lamar
RESOLUTION NO. 91-064
WHEREAS, the City Council of the City of Paris has been
requested by the Commissioners Court of Lamar County, 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 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 the Emergency
Medical Services Contract with the Commissioners Court of
Lamar County, Texas, in the form of Exhibit A attached
hereto.
Passed and adopted this 20th day of June, 1991.
~~/~~
Ge rge isner, Mayor
ATTEST:
Mattie Cunningham,
APPROVED
.----~
EMERGENCY MEDICAL SERVICES CONTRACT
STATE OF TEXAS ~
COUNTY OF LAMAR ~
This contract made and entered into this the 20th day of
June, 1991, 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. 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 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. Tbe 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
Pari s 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
Heal th under the terms of the Emergency Med ical Serv ices Ac t,
Article 44470, Vernon's Texas Civil Statutes; that each emergency
medical service vehicle shall be staffed with at least two
emergency care attendants as required by Section 3.03, Subsection
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 mandated by the Texas State Department of Health
attached hereto as Exhibit A, 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
cannot respond to the emergency medical vehicle
8. City agrees that at all times during the effective
pe.riod 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 B 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
emergency medical service from points outside the County to any
contract on a cash basis, with the County making monthly payments
of $31,000.00 monthly towards the estimated 12 month term cost of
$372,000.00. The first of said monthly payments to be made on
the 1st day of October, 1991, 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, 1991, and shall expire
on the 30th day of September, 1992.
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. 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:
The following rates are established for emergency medical
vehicle service for Lamar County:
5 .
IN HOUSE TRANSFER
$100.00 plus $2.00 per mile
from point of pick up to
point of delivery and for
return to point of origin
inside City of Paris
$50.00 from hospital to treat-
ment facility and return to
hospital
4.
PERSONAL PREFERENCE
TRANSFER SERVICE
to a point outside City
of Paris beyond a 125
mile radius
6.
REQUESTED SERVICE
not used
$30.00
7.
STANDBY SERVICE
$125.00 for the first hour and
$50.00 each additional hour or
partial hour on an as
available, first request first
serve basis.
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.
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, 1992, County shall give written notice to the City
on or before June l, 1992, of its desire for service for an
additional term, and upon receipt of said notice on or before
June 20, 1992, City will deliver to County the rates and contract
price upon which it will deliver service, and thereafter on or
before July 1, 1992, County will execute the contract for service
e.
.....L_ _..J..1.:.....:..............1 t-OT"rn II"An t-hp .Q.;lmp terms and conditions as
ATTEST:
Mattie Cunningham, City Clerk
APPROVED AS TO FORM:
T. K. Haynes, City Attorney
ATTEST:
Linda Sudduth, County Clerk
APPROVED AS TO FORM:
Tom Wells, County Attorney
COUNTY OF LAMAR,
STATE OF TEXAS
BY
Deane A. Loughmiller,
County Judge