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1990-078-RES WHEREAS, the City Council of the City of Paris has been requested by the Commissioners Court of Lamar RESOLUTION NO. 90.:078 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, Eric S. Clifford, 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 10th day of September, 1990. ~,rOOd'~"Y" ATTEST: ~y~.~~~ MattIe Cunning am, CI er APPROVED AS T FORM: , City Attorney EMERGENCY MEDICAL SERVICES CONTRACT STATE OF TEXAS ~ COUNTY OF LAMAR ~ This contract made and entered into this the 10th day of September, 1990, by and between the CITi 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. 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, 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 med-ical 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 limi ts of the City and County, and tha t no per son 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 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 destination shall be made at the prerogative of City and shall not be covered by this contract. the 1st day of October, 1990, 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, 1990, and shall expire on the 30th day of September, 1991. 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 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: 1. ADVANCED LIFE SUPPORT (ALS) Lamar County $125.00 plus $2.00 per within mile from point of pick up to point of delivery 2. BASIC LIFE SUPPORT (BLS) wi thin l..Qm.qr r.ollnf-v $100.00 plus $2.00 per mile from noint of nick un to 5. IN HOUSE TRANSFER $50.00 from hospital to treat- ment facility and return to hospital 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 servie 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, 1991, County shall give written notice to the City on or before June 1, 1991, of its desire for service for an additional term, and upon receipt of said notice on or before June 20, 1990, City will deliver to County the rates and contract price upon which it will deliver service, and thereafter on or before July 1, 1991, County will execute the contract for service for the additional term upon the same terms and conditions as stated therein. / CITY OF PARIS 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