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HomeMy WebLinkAboutC-2972(A) - Emergency Ambulance Transportation Services (effective 7/1/96)• To: From: Subject: 6 8Y THE CITY COUNCIL fi CITY or ---*V PORTSEACM I r 96 --4olC Mayor and Members of the City Council Tim Riley, Fire and Marine Chief (3J June 24, 1996 Council Agenda Item No. ? Amend existing agreement for Provision of Emergency Ambulance Transportation Services and modify Paramedic Subscription Program benefits and emergency ambulance transportation services rates RECOMMENDATION: 1. Approve an amendment to the existing agreement with MedTrans for Provision of Emergency Ambulance Transportation Services. 2. Approve a resolution modifying the Paramedic Subscription Program to include emergency ambulance transportation by Fire and Marine Department personnel as a member benefit. (Rescinds Resolution 94 -98.) 3. Schedule a public hearing on July 8, 1996, for the review of emergency ambulance transportation service rates. DISCUSSION: • The City of Newport Beach has given MedTrans, the current primary provider, prior written notice of intent to terminate our existing agreement. MedTrans has agreed to waive the 60 -day notification period in order to allow the Newport Beach Fire and Marine Department to initiate emergency transportation services effective July 1, 1996. Modification of the existing agreement will allow MedTrans to provide BLS ambulance transportation until a competitive RFP process is completed by the City, which is estimated to be by August 31, 1996. The attached resolution will modify the Paramedic Subscription Program to include the provision of emergency ambulance transportation services as a member benefit. The fees and charges authorized by the resolution are intended to defray the costs of providing paramedic and emergency ambulance transportation services within the City of Newport Beach. Another proposed modification to the Paramedic Subscription Program is a change in the definition of a member to include: guests, customers, patrons, visitors or others using the facilities of a member's household or business. These users will not be directly charged if they agree to assign any applicable benefits of any insurance policy to the City for services provided. The Paramedic Subscription Program is a voluntary program where members can prepay at a fixed price, the uninsured portion of emergency medical and emergency ambulance transportation services provided by the Newport Beach Fire and Marine Department. Members do not pay for the Normal . Charges for emergency medical care and emergency ambulance transportation initiated within the City. AMENDMENT TO AGREEMENT FOR PROVISION OF EMERGENCY AMBULANCE TRANSPORTATION SERVICES PRIMARY RESPONDER This amendment will amend the existing AGREEMENT dated January 17, 1994, ( the "Agreement") between the City of Newport Beach ( "City") and Seals Ambulance d.b.a. MedTrans Ambulance Service Inc., ( "Contractor"). C -2972C On May 28, 1996, the City Council adopted Ordinance No. 96 -20, Revisions to Chapter 5.14 of the Newport Beach Municipal Code, that allowed the Fire and Marine Department to deliver Emergency Ambulance Transportation Services as part of a comprehensive emergency medical services system. Per the terms of Section 18 (C) (1) of the Agreement, the City gave Contractor 60 days notice of its intention to terminate the AGREEMENT on June 3, 1996. MedTrans has agreed to waive the 60 day requirement and allow the City to become the Primary Provider as of July 1, 1996. In consideration of the promises and agreements in this Amendment, both parties wish to amend the AGREEMENT as follows: 1. Contractor agrees to waive the sixty (60) day notice provisions of Section 18 (C, (1) and allow the City to become the primary provider of emergency ambulance transportation on July 1, 1996. As of July 1, 1996, Contractor agrees to provide BLS ambulance transportation services for the City under the terms and conditions of the Agreement as modified by this amendment. 2. City agrees to amend the Operational Standards under Section 4 (B) (1) to read as follows: Contractor shall use best efforts to provide backup BLS ambulance transportation and adhere to the fifteen (15) minute response standard for urgent or "Code 2" responses. 3. Contractor agrees the AGREEMENT shall terminate at midnight July 31, 1996 unless City and Contractor agree in writing to extend the AGREEMENT on a day -to -day basis for up to an additional 30 days thereafter. 4. Contractor agrees to post and staff one (1) BIS ambulance at the Fire and Marine Department Headquarters on July 4, 1996, from 2 PM to 10 PM at no cost to the City. 5. City agrees that Section 6, Rate Schedule, shall be amended to provide that Contractor may bill the City for payment of any uninsured portion of paramedic subscription members bills incurred from the date of this amendment through expiration of the AGREEMENT. City agrees to pay Contractor within thirty (30) days upon receipt of said bills. Except as expressly amended in this Agreement, all other terms and conditions shall remain unchanged in full force and effect This amendment, to the AGREEMENT shall be effective as of June 25,1996. Approved as to form by: . C� �- City Attorney R /Cleary/amba d.do CITY OF NEWPORT BEACH, A MUNICIPAL CORPORATION BY 9* ty r MedTrans Ambulance Service, INC. Public Corporation • RESOLUTION NO. 96 -42 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NEWPORT BEACH APPROVING PARAMEDIC SERVICE FEES PURSUANT TO CHAPTER 5.60 OF THE NEWPORT BEACH MUNICIPAL CODE. WHEREAS, the City Council is authorized, pursuant to Chapter 5.60 of the Newport Beach Municipal Code, to establish, by resolution, fees and charges for the provision of paramedic or emergency medical services; and WHEREAS, the City of Newport Beach has, since 1975, maintained and operated a paramedic service program designed to provide emergency medical services for residents of, employees in, or visitors to, Newport Beach; and WHEREAS, the City of Newport Beach currently maintains two paramedic units and also provides emergency medical services by way of the fire engine closest to the call for service; and WHEREAS, the City of Newport Beach desires to provide Emergency Ambulance Transportation Services as a component of a comprehensive EMS system; and WHEREAS, the City of Newport Beach, through mutual aid agreements, provides emergency medical services to, and receives emergency medical services from, nearby public entities such as Costa Mesa, Irvine and the County of Orange; and WHEREAS, General Fund revenues currently defray a portion of the cost of providing emergency medical and paramedic services; and WHEREAS, informal surveys suggest that 50% of the calls for emergency medical services are from non - residents; and 1 WHEREAS, the City of Newport Beach faces significant and long term reductions in revenue and may be forced to reduce its capability to provide paramedic and emergency medical services in the absence of the fees authorized by this Resolution; and WHEREAS, the revenue generated by the fees established in this Resolution will be used solely to maintain and enhance the City's ability to provide paramedic emergency medical service and emergency ambulance transportation service within Newport Beach and in neighboring jurisdictions pursuant to mutual aid agreements. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Newport Beach as follows: SECTION 1: Purpose. This Resolution establishes a paramedic service fee program. The basic concept of this program is to establish reasonable charges for all recipients of Basic Life Support, Advanced Life Support and emergency ambulance transportation services provided by the Newport Beach Fire and Marine Department and offer a mechanism for residents and businesses to cap their emergency medical service and emergency ambulance transportation costs while supporting the City's paramedic system. The fees and charges authorized by this resolution are intended to defray the costs of providing paramedic and emergency ambulance transportation services within the City of Newport Beach. The fees and charges authorized by this Resolution shall be used solely to maintain and enhance the City's ability to provide paramedic emergency medical services and emergency ambulance transportation services. In the absence of the paramedic service fee program, paramedic and emergency medical services could be curtailed or eliminated given the significant long term reductions in municipal revenue occasioned by State withholding of property tax revenues traditionally allocated to cities and counties. SECT 2: Definitions. For the purpoes of this Resolution, the following terms shall be defined as provided in this Section: (a) "Advanced Life Support or ALS" shall mean any advanced life support medical treatment performed by paramedics (EMT -P) outside of a hospital. This treatment shall follow the current "Advanced Life Support 'Treatment Guidelines" as specified by the Orange County Emergency Medical Services Agency. (b) "Basic Life Support or BLS" shall mean any basic life support treatment which is authorized by the State of California Department of Health to be performed by emergency medical technicians 1 (EMT -1) and /or paramedics (EMT -P) at the scene of a medical emergency. (c) "Paramedic Subscription Program or Program" shall mean a voluntary membership where members shall prepay at a fixed price, the uninsured portion of emergency medical and emergency ambulance transportation services provided by the Newport Beach Fire and Marine Department. (d) "Member" shall mean any person eligible to participate in the Paramedic Subscription Program and for whom the Subscription Fee has been paid. (e) "Resident Member" shall mean any person eligible to participate in the Paramedic Subscription Program because of their status as a resident in the City of Newport Beach and for whom the Subscription Fee has been paid. (f) "Business Member" shall mean any person eligible to participate in the Paramedic Subscription Program because they are the owner, operator, employee or volunteer of a business located in the City of Newport Beach, and for whom the Subscription Fee has been paid. (g) "Subscription Feel' shall mean the annual fee, as established by resolution of the City Council which, when paid, entitles eligible persons to participate in 3 the Paramedic Subscription Program and receive BLS, ALS or emergency ambulance transportation services without payment of Normal Charges. (h) "Non- member" shall mean any person who is not eligible to participate in the Paramedic Subscription Program or any eligible person for whom the Subscription Fee has not been paid. (i) "Normal Charges" or "Charges" shall mean the fee to be paid by any Non- member who receives BLS, ALS or emergency ambulance transportation services initiated within the City of Newport Beach and the fees to be paid by Business Members who receive BLS, A1S, or emergency ambulance transportation services initiated within the City of Newport Beach at a location other than their workplace. (j) "Municipal Services Statement" shall mean the bill for water, sewer and other municipal services issued by the City of Newport Beach on a bi- monthly basis. (k) "Business" shall mean any corporation, partnership, company, business, association, organization or other entity with a workplace located in the City of Newport Beach. (1) "Employee" shall mean the owner, operator, employee or volunteer of any Business who spends at least 50% of their normal work time in the workplace located in the City of Newport Beach. (m) "Medical Supplies" shall mean all non - reusable supplies used by patients during ALS or BLS treatment, including but not limited to; IV, tubing and solution, airways, cervical collars, pain medications or other drugs. (n) "Emergency ambulance transportation services" means transportation by an ambulance of one or more patients in response to an emergency giving rise to the need for basic or advanced life support services. This transportation may require Code response (red lights and siren). SECTION 3: Payment for Services. Non- members receiving BLS, AM, or emergency ambulance transportation services within the City of Newport Beach shall pay Normal Charges as specified in this Resolution. In no event shall any person be denied BLS, AM, or emergency ambulance transportation services because of the inability, or failure, to pay the Paramedic Subscription Fee or Normal Charges required by this Resolution. Members receiving BLS, AM, or emergency ambulance transportation services within the City of Newport Beach shall have their payment for services adjusted as described under Member Benefits. SECTION 4: Paramedic Subscription Program. A. Eligibility. The Paramedic Subscription Program is open to residents, businesses, and employees of businesses located within the City of Newport Beach and other persons deemed eligible by regulation promulgated by the City Manager. B. Enrollment. Any eligible person who enrolls shall become a member immediately upon receipt of payment. The member shall not be required to pay the Normal charges for emergency medical care and emergency ambulance transportation services for the next 12 months. C. Member Benefits. Member's subscription fee is considered as prepayment of the uninsured portion of BLS charges, AM charges, and emergency ambulance transportation charges. D. Paramedic Subscription Fees. (i) The annual Paramedic Subscription Fee for a Resident Member shall be $42.00 for 12 months' coverage; 40i) The annual Paramedic SAription Fee for a Business Member shall be $42.00 for 12 months' coverage, provided, however, for businesses with more than the Business Member and ten eligible employees, the annual Subscription Fee shall be an additional $12.00 for each additional group of up to ten employees, to a maximum of $210.00. E. Payment of Fees. (i) Paramedic Subscription Fees for Resident Members shall be paid as follows: (a) The payment of $42.00 upon enrollment or renewal; (b) In the event a Municipal Services Statement is sent to the dwelling unit of the Resident Member, the payment of that portion of the annual Paramedic Subscription Fee on or before the due date shown on the statement. (ii) Paramedic Subscription Fees for Business Members shall be paid as follows: (a) The payment of the required annual Paramedic Subscription Fees upon enrollment or renewal; (b) In the event a Municipal Services Statement is sent to the workplace, the payment of that portion of the annual Paramedic Subscription Fee shown on the Municipal Services Statement on or before the due date shown on the statement. Health insurance carriers for resident and business members will also be billed for charges for replacement of medical supplies at cost plus 30 percent. F. Termination of Membership. Membership may terminate in the event of any of the following: �) The City Council thCity Newport of of Beach terminates or modifies the Paramedic Subscription Program through rescission or amendment of this Resolution, or a successor resolution, in which event the City shall refund, on a prorata basis, the unused portion of the Member's Paramedic Subscription Fee; (ii) Failure to pay the Paramedic Subscription Fee on or before the due date shown on the Municipal Services Statement. Membership may be reinstated if, at any time the Paramedic Subscription Fee for that Member is paid. (iii) The member gives written notification of cancellation. Fees paid will not be refunded unless written cancellation is received within two weeks from payment of the subscription fees. SECTION 5: Normal Charges. The charges for rendering emergency medical services to Non - members shall be as specified in this Section: (a) For emergencies requiring BLS by paramedics and /or EMT - 1, the charge shall be $150.00 per response; (b) For emergencies requiring ALS by paramedics, the charge shall be $250.00 per response; (c) For replacement of medical supplies the charge shall be cost plus 30 percent. (d) These charges shall be adjusted on July 1, 1994, and on the 1st of July of each succeeding year to reflect the increase or decrease in the Consumer Price Index, as more clearly specified in regulations adopted by the City Manager, for each 12 month period (commencing April 1st and terminating March 30th) preceding the adjustment date. (e) For emergencies requiring emergency ambulance transportation services, the City Council shall by resolution establish a schedule of rates which shall be applicable to all ambulance operators as identified in Section 5.14.090 of the Newport Beach Municipal Code. SECTION 6: Implementation. The City Manager shall have the authority to promulgate regulations necessary or appropriate to the administration of the Paramedic Subscription Program, the provision of services described in this Resolution, or the billing or collection of charges due for the provision of emergency medical services. SECTION 7: Resolution No. 94 -98 is hereby repealed and rescinded. ADOPTED, this Z4th day of June , 1996. ATTEST: City Clerk _ - N MAYOR C -2972C AMENDMENT TO AGREEMENT FOR PROVISION OF EMERGENCY AMBULANCE TRANSPORTATION SERVICES PRIMARY RESPONDER This amendment will amend the existing AGREEMENT dated January 17, 1994, ( the "Agreement") between the City of Newport Beach ( "City) and Seals Ambulance d.b.a. MedTrans Ambulance Service Inc., ( "Contractor"). On May 28, 1996, the City Council adopted Ordinance No. 96 -20, Revisions to Chapter 5.14 of the Newport Beach Municipal Code, that allowed the Fire and Marine Department to deliver Emergency Ambulance Transportation Services as part of a comprehensive emergency medical services system. Per the terms of Section 18 (C) (1) of the Agreement, the City gave Contractor 60 days notice of its intention to terminate the AGREEMENT on June 3, 1996. MedTrans has agreed to waive the 60 day requirement and allow the City to become the Primary Provider as of July 1, 1996. In consideration of the promises and agreements in this Amendment, both parties wish to amend the AGREEMENT as follows: 1. Contractor agrees to waive the sixty (60) day notice provisions of Section 18 (C, (1) and allow the City to become the primary provider of emergency ambulance transportation on July 1, 1996. As of July 1, 1996, Contractor agrees to provide BLS ambulance transportation services for the City under the terms and conditions of the Agreement as modified by this amendment 2. City agrees to amend the Operational Standards under Section 4 (B) (1) to read as follows: Contractor shall use best efforts to provide backup BLS ambulance transportation and adhere to the fifteen (15) minute response standard for urgent or "Code 2" responses. 3. Contractor agrees the AGREEMENT shall terminate at midnight July 31, 1996 unless City and Contractor agree in writing to extend the AGREEMENT on a day - today basis for up to an additional 30 days thereafter. 4. Contractor agrees to post and staff one (1) BIS ambulance at the Fire and Marine Department Headquarters on July 4, 1996, from 2 PM to 10 PM at no cost to the City. 5. City agrees that Section 6, Rate Schedule, shall be amended to provide that Contractor may bill the City for payment of any uninsured portion of paramedic subscription members bills incurred from the date of this amendment through expiration of the AGREEMENT. City agrees to pay Contractor within thirty (30) days upon receipt of said bills. Except as expressly amended in this Agreement, all other terms and conditions shall remain unchanged in full force and effect. This amendment to the AGREEMENT shall be effective as of June 25,1996. Approved as to form by: CITY OF NEWPORT BEACH, A MUNICIPAL CORPORATION //� I City Attorney MedTrans Ambulance Service, INC. Public Corporation F: /Cleary/=ba d.dm (0) I January 12, 1995 Council Agenda APPROVED Item No. 9 TO: Mayor and Members of the City Council - Z `)7Z (E' FROM: Tim Riley, Fire Chief jl�. SUBJECT: Approve the Transfer of Contract for Emergency Ambulance Transportation Services from Sealson, Inc. to Laidlaw Medical Transportation, Inc. RECOMMENDATION: Authorize the Mayor to: 1. Sign an agreement to transfer the existing contract with Sealson, Inc. to serve as the City's primary emergency ambulance transportation services provider effective January 13, 1995 to Laidlaw Medical Transportation, Inc. DISCUSSION: On December 13, 1993, the Council entered into an agreement with Sealson, Inc. to serve as the City's primary emergency ambulance transportation services provider as required by Chapter 5.14 of the Newport Beach Municipal Code. Since that time, Sealson, Inc. has satisfactorily performed to the requirements of the contract. On December 12, 1994, Larry Seal, principal owner of Sealson, Inc., advised the Fire Chief by telephone that he had agreed to sell his ambulance company to Laidlaw Medical Transportation, Inc. As part of the sales agreement, Sealson, Inc. agreed to assign all existing contracts to Laidlaw Medical Transportation, Inc. As a condition of the assignment, Laidlaw Medical Transportation, Inc. is prepared to accept this assignment, execute a new contract, if necessary, and become obligated under identical terms and specifications as those in effect between Sealson, Inc. and the City of Newport Beach. However, Page 12, Section 11, of the agreement with Sealson, Inc. states: "CONTRACTOR shall not assign, sublease, hypothecate or transfer this Agreement or any interest therein directly or indirectly, by operation of law or otherwise without prior written consent of CITY." To help facilitate the City Council's decision to provide written consent to transfer the agreement to Laidlaw Medical Transportation, Inc., the Fire Chief has requested a letter from Laidlaw Medical Transportation, Inc. outlining their qualifications to assume the contract, reiterating their commitment to the existing contract language and inclusion of current certificates of insurance addressing the insurance requirements of the contract. Pending receipt and presentation to the City Council of said letter from Laidlaw Medical Transportation, Inc., the Fire Chief recommends that the City Council give written consent to the assignment of said agreement to Laidlaw Medical Transportation, Inc. AMENDMENT TO EMERGENCY AMBULANCE TRANSPORTATION SERVICES AGREEMENT PRIMARY RESPONDER THIS AGREEMENT, entered into this day of 19-!?S by and between the City of Newport Beach, hereinafter referred to as "CITY ", Seals Ambulance Service, hereinafter referred to as "CONTRACTOR," and Laidlaw Medical Transportation, Inc., hereinafter referred to as " LAIDLAW." This Amendment is made with regards to that certain Agreement for Provision of Emergency Ambulance Transportation Services, dated January 17, 1994, between CITY and CONTRACTOR, hereinafter referred to as the "AGREEMENT." RECITALS: WHEREAS, CONTRACTOR has notified CITY of its intent to sell its ambulance transportation company to LAIDLAW. CONTRACTOR desires to assign and transfer the AGREEMENT to LAIDLAW; WHEREAS, Paragraph 11 of the AGREEMENT prohibits the transfer or assignment of the AGREEMENT without prior written consent of CITY; WHEREAS, LAIDLAW has provided its written assent to the assignment pursuant to all terms and conditions of the AGREEMENT without change; WHEREAS, LAIDLAW has provided to CITY documentation and information regarding LAIDLAW's qualifications to assume the AGREEMENT and to provide the required insurance certificates and coverage; WHEREAS, .the City Council of the City of Newport Beach has determined that it is in the best interest of the City of Newport Beach to approve the assignment of the AGREEMENT to LAIDLAW. 1. NOW, THEREFORE, IT IS MUTUALLY AGREED AS FOLLOWS: The AGREEMENT between CITY and CONTRACTOR, dated January 17, 1994, is hereby assigned to LAIDLAW. LAIDLAW, by this assignment agrees to be bound by and comply with all terms and conditions of the AGREEMENT, without change or amendment. IN WITNESS WHEREOF, the parties have executed this Amendment to the AGREEMENT in the City of Newport Beach, County of Orange, State of California, on the day, month and year above written. AS TO FORM: ATTEST: CITY OF NEWPORT BEACH A Municipal Corporation BY: J Mayor CONTRACTOR: BY: LAIDLAW: BY: wb \ambamend.agt 2. December 13,1993 Council Agenda Item No. 11 TO: Mayor and Members of the City Council c - 2-972- (B) . _. FROM: Tim Riley, Fire Chief yfL . CC „ SUBJECT: Request to Award Contract for Emergency Ambulance Transportation Services n E C 1 3 1S '93 RECOMMENDATION: Authorize the Mayor to: APPROVED 1. Sign an agreement with Sealson, Inc. to serve as the City's primary emergency ambulance transportation services provider effective January 1, 1994. 2. Sign an agreement with Schaefer's Ambulance Service to serve as the City's secondary emergency ambulance transportation services provider effective January 1, 1994. DISCUSSION: On October 11, 1993, the Council authorized the City Clerk to advertise for bids to contract for emergency ambulance transportation services. Five companies responded (see list below). On December 1, 1993, an oral interview with each company was conducted by a review panel. The panel consisted of Ken Delino, City of Newport Beach; Carol Porth, Oasis Senior Center; CeCe Waite, Hoag Hospital; Bill Hamilton, local business owner; and Vickie Cleary, Newport Beach Fire Department. The panel awarded a maximum of 300 points to each company based on the oral interview and the proposals which included: 1. Commitment to Clinical Performance 2. Quality of Equipment & Equipment Maintenance Practices 3. Plan for Takeover of Service and Responsibilities 4. Commitment to Response Time 5. Experience and Background 6. Billing and Collection Services 7. Responsiveness to the Request for Proposal The point totals were as follows: Sealson, Inc. 1,319 Schaefer's Ambulance Service 1,214 Doctors Ambulance Service 1,200 Superior Ambulance 1,176 Medix Ambulance Service, Inc. 1,137 The complete proposals of all five companies are on file and available for Council review. C - 2- 972 <A) AGREEMENT FOR PROVISION OF EMERGENCY AMBULANCE TRANSPORTATION SERVICES PRIMARY RESPONDER THIS AGREEMENT, entered into this day of� 19 which date is enumerated for purposes of reference only, by and between the City of Newport Beach, hereinafter referred to as "CITY" and Seal's Ambulance Service, hereinafter referred to as "CONTRACTOR." This Agreement shall be administered by the Fire Chief for the City of Newport Beach, hereinafter referred to as "FIRE CHIEF." WITNESSETH: WHEREAS, CITY desires to assure the availability of prompt emergency medical transportation services within the City of Newport Beach; and WHEREAS, CONTRACTOR desires to provide such services upon the terms and conditions set forth in this Agreement: NOW, THEREFORE, IT IS MUTUALLY AGREED AS FOLLOWS: 1. DEFINITIONS: Agreement: The following terms and definitions shall be used in this A. "Emergency Ambulance Transportation Services," hereinafter referred to as "EATS," means the provision of ambulance services in response to an unforeseen event giving rise to the need for transport of one or more patients requiring basic or advanced life support services. This service may require Code 3 response. B. "Emergency Dispatch Center" means the designated Fire Department Communications Center, responsible for authorizing EATS provided pursuant to this Agreement. C. "Advanced Life Support" as defined in the California Health and Safety Code, Section 1797.52, as now in existence or hereafter amended or changed, means special services designed to provide definitive prehospital emergency medical care, including, but not limited to, cardiopulmonary resuscitation, cardiac monitoring, cardiac defibrillation, advanced airway management, intravenous therapy, administration of specified drugs and other medical preparations, and other specified techniques and procedures administered by authorized personnel under the direct supervision of a base hospital as part of a local EMS system at the scene of an emergency, during transport to an acute care hospital, during interfacility transfer, and while in the emergency department of an acute care hospital until responsibility is assumed by the emergency or other medical staff of that hospital. D. "Basic life support" as defined in the California Health and Safety Code, Section 1797.60, as now in existence or hereafter amended or changed, means emergency first aid and cardiopulmonary resuscitation procedures which, as a minimum, include recognizing respiratory and cardiac arrest and starting the proper application of cardiopulmonary resuscitation to maintain E • life without invasive techniques until the victim may be transported or until advanced life support is available. E. "Dry Run" means a response by CONTRACTOR to a request for EATS by the Emergency Dispatch Center, after which such EATS are determined to be unnecessary. F. "Primary Responder" means the ambulance company which shall be requested first by the Emergency Dispatch Center to provide EATS within the City limits. G. "Secondary Responder" means the ambulance company which shall be requested by the Emergency Dispatch Center to provide EATS in the event that the Primary Responder is unable to, or does not, provide such services. H. "Response Time" means the interval of time from initiation of an emergency medical response vehicle run to arrival at the scene of the emergency incident. I. "Code 3" means the use of red warning lamps and siren as permitted by Vehicle Code Section 21055 if the vehicle is being driven in response to an emergency call. J. "FIRE CHIEF" means the Director of Fire Services for the City of Newport Beach. 2. AUTHORITY: The Request for Proposals and CONTRACTOR'S response are included as part of this Agreement by reference as though set forth in full. Where the RFP and CONTRACTOR'S response conflict with this Agreement, this Agreement shall prevail. 3. 0 0 3. DESIGNATION: A. In consideration of the services CONTRACTOR agrees to provide pursuant to this Agreement, CITY designates CONTRACTOR, as Primary Responder within the City limits of Newport Beach. CITY may suspend or terminate such designation for failure to maintain compliance with, or for violation of, any provisions of this Agreement, and any applicable laws, rules, or regulations of any governmental entity. B. CITY assumes no financial liability for the cost of services to be provided to patients pursuant to this Agreement, including financial liability for the costs of Dry Runs. 4. SERVICES: A. CONTRACTOR shall possess, maintain, and provide such equipment, facilities, and supplies, and shall hire, train and provide such personnel, as are necessary to respond on a twenty -four (24) hour basis to requests by the Emergency Dispatch Center for EATS. At a minimum, CONTRACTOR shall provide ambulances and equipment described in Exhibit "B. 11 when so requested, CONTRACTOR shall respond as directed unless CONTRACTOR is incapable of thus responding, in which case CONTRACTOR shall immediately notify the Emergency Dispatch Center. B. CONTRACTOR shall adhere to the following operational standards: 1. Emergency Response Time (Code 3 -red lights and siren) shall not exceed ten (10) minutes for eighty -five percent (85 %) of responses over a ninety (90) day period. M 2. Urgent, or Code 2 Response Time (expeditious response without red lights and siren) shall not exceed fifteen (15) minutes for eighty -five percent (85 %) of the responses over a ninety (90) day period. 3. A field supervisor shall be immediately available on a twenty -four (24) hour basis. C. Personnel performing duties under this Agreement shall meet all requirements of Chapter 5.14 of the Newport Beach Municipal Code and other applicable laws, rules and regulations of governmental entities as now in existence or as hereafter amended. 1. Attendants shall be at least eighteen (18) years of age and be trained and competent in the proper use of all equipment, and shall hold a current permit or certificate issued by the County of Orange indicating compliance with all applicable state and local laws, rules and regulations. 2. Proof of license or permits required by this Agreement shall be maintained by each attendant and driver and available to the FIRE CHIEF or designee upon request. D. CONTRACTOR shall have at least one dispatcher on a twenty -four (24) hour basis who is adequately trained in radio operations and protocol standards established by all applicable laws, rules and regulations. E. CONTRACTOR shall install and maintain state of the art communications equipment such as radios and KDTS acceptable to 5. 0 0 the FIRE CHIEF in each first line and reserve units in compliance with any governmental rules, laws, or regulations. F. CONTRACTOR shall fully comply with all medical standards, protocols and ambulance rules and regulations established by the EMSA, and shall cooperate with the Program and Medical Directors in the monitoring, regulations, and oversight of the EMS system, throughout the term of this Agreement. G. CONTRACTOR agrees to perform all services hereunder in a manner commensurate with the community professional standards and agrees that all services shall be performed by qualified and experienced personnel who are not employed by CITY nor have any contractual relationship with CITY. 5. DISASTER ASSISTANCE: During a declared disaster, locally or in a neighboring jurisdiction, the normal course of business under this Agreement shall be interrupted from the moment the disaster situation is made known to the CONTRACTOR by the Fire Department. Immediately upon such notification, CONTRACTOR shall commit such resources as are necessary and appropriate, given the nature of the disaster, and shall assist in accordance with disaster plans and protocols applicable in the locality where the disaster has occurred. The disaster - related provisions of this Agreement are: A. During such periods, the CONTRACTOR shall be released from response time performance requirements until notified by the Fire Department's authorized representative that disaster assistance may be terminated. At the scene of such disasters, the W 0 0 CONTRACTOR'S personnel shall perform in accordance with local disaster protocols established by the Newport Beach Fire Department, B. When disaster assistance has been terminated, the CONTRACTOR shall resume normal operations as rapidly as is practical considering exhaustion of personnel, need for restocking, and other relevant considerations. C. During the course of the disaster, CONTRACTOR shall use best efforts to provide local emergency coverage and shall suspend non - emergency transport work as necessary, informing persons requesting such non - emergency service of the reason for the temporary suspension. 6. RATE SCHEDULE: A. CONTRACTOR may charge the maximum allowable rates for services to be provided under this Agreement as set forth in Exhibit "A" which is incorporated herein by this reference. No other rates may be charged without prior compliance with Chapter 5.14 of the Newport Beach Municipal Code. B. CONTRACTOR shall be a "Medicare Provider" for Medicare and Medi -Cal, and shall accept payments from the Orange County indigent Medical Services program as payment for services rendered. No patient covered under any of these three programs shall be billed directly by the provider for any amount in excess of the State or County approved co- payment or deductible. C. CONTRACTOR shall accept insurance payments for services rendered. Patients shall not be billed directly by the FA • ! provider for any amount in excess of the policy's approved co- payment or deductible. D. CONTRACTOR may bill for services rendered which are not covered by government programs or insurance. CONTRACTOR agrees to bill for non - covered services as follows: If the first bill is not paid, a second bill will be sent with a business letter informing the client that payment is due immediately to avoid collection. At the third billing CONTRACTOR shall notify client by business letter that it will commence appropriate procedures for collection of the bill. All billing procedures shall otherwise conform to State Consumer Protection laws. 7. ALTERATION OF TERMS: This Agreement and Chapter 5.14 of the Newport Beach Municipal Code, together with any Exhibits) attached hereto, which are incorporated herein by reference, fully express all understandings of CITY and CONTRACTOR with respect to the subject matter of this Agreement and shall constitute the total Agreement between the parties for these purposes. No addition to, or alteration of, the terms of this Agreement or any Exhibit(s) thereto, whether written or verbal, shall be valid unless made in writing and formally approved and executed by both parties. 8. INDEPENDENT PARTIES: CITY and CONTRACTOR intend that the relation between them created by this AGREEMENT is that of employer- independent contractor. The manner and means of conducting the work are under rip • • the control of CONTRACTOR, except to the extent they are limited by statute, rule or regulation and the express terms of this Agreement. No civil service status or other right of employment will be acquired by virtue of CONTRACTOR'S services. None of the benefits provided by CITY to its employees, including, but not limited to unemployment insurance, worker's compensation plans, vacation and sick leave are available from CITY to CONTRACTOR its employees or agents. Deductions shall not be made for any state or federal taxes, FICA payments, PERS payments, or other purposes normally associated with an employer- employee relationship from any fees due CONTRACTOR. Payments of the above items, if required, are the responsibility of CONTRACTOR. 9. HOLD HARMLESS: CONTRACTOR shall indemnify and hold harmless CITY, its City Council, boards and commissions, officers and employees from and against any and all negligence, loss, damages, liability, claims, suits, costs and expenses whatsoever, including defense costs and reasonable attorneys' fees, which arise out of or result from or occur in connection with CONTRACTOR'S performance of services or work conducted or performed pursuant to this Agreement. CONTRACTOR shall indemnify and hold harmless CITY, its City Council, boards and commissions, officers and employees from and against any and all loss, damages, liability, claims, suits, costs and expenses whatsoever, including reasonable attorneys' fees, accruing or resulting to any and all persons, firms, or corporations furnishing or supplying work, services, materials, a equipment or supplies arising from or in any manner connected to the CONTRACTOR'S performance of services or work conducted or performed pursuant to this Agreement. CITY shall indemnify and hold harmless CONTRACTOR from and against any and all negligence, loss, damages, liability, claims, suits, costs and expenses whatsoever, including defense costs and reasonable attorneys' fees, which arise out of or result from or occur in connection with CITY'S performance of services or work conducted or performed pursuant to this Agreement. 10. MINIMUM INSURANCE REQUIREMENTS: A. Prior to the time CONTRACTOR is entitled to commence any part of the project, work, services under this Agreement, CONTRACTOR shall procure, pay for and maintain at least the insurance coverages and limits specified below. The insurance shall be evidenced by delivery to the Fire Chief of a certificate of insurance executed by the insurers authorized to do business in the State of California listing coverages and limits; expiration dates and terms of policies and all endorsements whether or not required by the City, and listing all carriers issuing said policies and a certified copy of each policy, including all endorsements. Throughout the duration of this agreement, the Contractor shall provide current certificates of insurance to the Fire Chief. At the option of the City, Contractor shall provide to the City certified copies of all policies providing coverage as required by this contract. Such certified copies of insurance policies shall contain all policy endorsements." 0 B. The following insurance requirements shall remain in effect throughout the term of this Agreement: 1. Workers' Compensation and Employers Liability insuring statutory Workers' Compensation limits as required by the Labor Code of the State of California and $1,000,000.00 per accident Employers Liability. 2. Business Automobile Liability insurance, insuring all owned, non -owned and hired automobiles - coverage code 1 "any auto" with a limit of liability of $2,000,000.00 combined single limit per accident for bodily injury and property damage. 3. Commercial General Liability insurance with a limit of liability of $1,000,000.00 combined single limit per occurrence for bodily injury, personal injury and property damage. If the policy contains a general aggregate limit, then such aggregate limit shall not be less than $2,000,000.00. 4. Professional liability insurance in the sum of not less than one million dollars ($1,000,000.00) per person and two million dollars ($2,000,000.00) annual aggregate. C. All insurance policies except Worker's Compensation and Employer's Liability and Professional Liability shall contain the following clauses: 1. City of Newport Beach, its officers and employees are added as additional insureds as respects 11. Ll operations of the named insured performed under contract with the City of Newport Beach.,, 2. "It is agreed that any insurance maintained by the City of Newport Beach shall apply in excess of and not contribute with, insurance provided by this policy." 3. Should any of the above described policies be non - renewed, cancelled or coverage reduced before the expiration date, the insurance carrier shall provide thirty (30) days minimum advance written notice to the Fire Chief. 11. PROHIBITION AGAINST TRANSFER: CONTRACTOR shall not assign, sublease, hypothecate, or transfer this Agreement or any interest therein directly or indirectly, by operation of law or otherwise without prior written consent of CITY. Any attempt to do so without said consent shall be null and void, and any assignee, sublessee, hypothecate or transferee shall acquire no right or interest by reason of such attempted assignment, hypothecation or transfer. The sale, assignment, transfer or other disposition of any of the issued and outstanding capital stock of CONTRACTOR, or of the interest of any general partner or joint venturer or syndicate member if CONTRACTOR is a partnership or joint venture or syndicate or cotenancy, which shall result in changing the control of CONTRACTOR, shall be construed as an assignment of this Agreement. Control means fifty percent (50 %) or more of the voting power of the corporation, or a sale or transfer of over twenty -five 12. i • percent (25 %) of the assets of the CONTRACTOR. 12. LICENSES AND LAW: A. CONTRACTOR shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the County of Orange and the City of Newport Beach. CONTRACTOR shall notify the FIRE CHIEF immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waiver and exemptions. The refusal of any such application, irrespective of appeal, shall require written notification of the FIRE CHIEF. B. All services furnished by the CONTRACTOR under this Agreement shall be rendered in full compliance with all applicable federal, state and local laws, rules, and regulations. It shall be the CONTRACTOR'S sole responsibility to determine which laws, rules, and regulations apply to the Services rendered under this Agreement, and to maintain compliance with these applicable standards at all times. 13. NONDISCRIMINATION: CONTRACTOR shall not discriminate in the provision of services, employment practices, or in the allocation of benefits on the basis of color, race, religion, national origin, sex, age, physical or mental handicap in accordance with Titles VI and VII of the Civil Rights Act of 1964, Title 42 of the United States Code, Section 2000(d), rules and regulations promulgated pursuant 13. 0 thereto, and under the laws of the State of California as each law, rule or regulation may not exist or hereafter be amended. 14. CONFLICT OF INTEREST: CONTRACTOR must certify that he is not nor will not be violating, either directly or indirectly, any conflict of interest statute or any other applicable statute or principle by his performance of this service. 15. NOTICES: All notices, demands, requests or approvals to be given under this Agreement shall be given in writing and conclusively shall be deemed served when delivered personally or on the second business day after the deposit thereof in the United States mail, postage prepaid, registered or certified, addressed as hereinafter provided. All notices, demands, requests, or approvals from CONTRACTOR to CITY shall be addressed as follows at: City of Newport Beach Attention: Fire Chief 3300 Newport Boulevard P.O. Box 1768 Newport Beach, CA 92658 -8915 All notices, demands, requests, or approvals from CITY to CONTRACTOR shall be addressed to CONTRACTOR at: Seals Ambulance Service Attn: G. Larry Seal 2131 Placentia Avenue Costa Mesa, CA 92627 16. REPORTS: FIRE CHIEF may request reasonable written reports of CONTRACTOR, at no cost to CITY, in order to determine the quality 14. 0 0 of services provided hereunder. The report shall include, but not be limited to, the following: A. Dispatch; enroute, on -scene and available times; B. Mileage; C. Services performed; D. Name and permit number of attendants and driver on duty; E. Supplies and equipment expended; F. Patient information to include name, insurance information, residence, medical status, vital signs, chief complaint and disposition; G. Fees charged. H. Computer data according to file specifications of patient billing information and itemized listing of activity. FIRE CHIEF will be specific as to the information requested, and to allow CONTRACTOR five (5) business days to respond in writing. Each and every report, draft, work product, map, record and other document reproduced, prepared or caused to be prepared by CONTRACTOR pursuant to or in connection with this Agreement shall be the exclusive property of CITY. No report, information or other data given to or prepared or assembled by CONTRACTOR pursuant to this Agreement shall be made available to any individual or organization by CONTRACTOR without prior notice and approval by CITY, except as otherwise required by law. OWN 0 0 17. RECORDS: CONTRACTOR shall maintain adequate records of services provided in sufficient detail to permit an evaluation of services. All such records shall be maintained in accordance with generally accepted accounting principles and shall be clearly identified and readily accessible. At any time during normal business hours, and as often as may reasonably be deemed necessary, the Fire Department's representatives may observe CONTRACTOR'S operations and CONTRACTOR shall make available to the Fire Department for its examination, its records with respect to all matters covered by the Agreement, and the Fire Department may audit, examine, copy, and make excerpts or transcripts from such record, records of personnel, daily logs, conditions of employment, and other data related to all matters covered by this Agreement. The Fire Department representative may, at any time and without notification, directly observe CONTRACTOR'S operation of the ambulance dispatch center, maintenance facility, any ambulance post locations, and a Fire Department representative may ride as "observer" on any of the CONTRACTOR'S ambulance units at any time. Provided, however, that in exercising this right to inspection and observation, the Fire Department representatives shall conduct themselves in a professional and courteous manner, shall not interfere in any way with CONTRACTOR'S employees in the performance of their duties, and shall at all times be respectful of CONTRACTOR'S employer /employee relationships. The Fire Department's right to observe and inspect 11115 9 0 operations or records in CONTRACTOR'S business office shall be restricted to normal business hours and reasonable notification shall be given the CONTRACTOR in advance of any such visit. 18. TERMS OF AGREEMENT AND RENEWAL PROVISIONS: A. Agreement Start Date. The Agreement start date shall be 12:01 a.m., January 1, 1994, at which time the CONTRACTOR shall assume full responsibility for the provision of all emergency ambulance services throughout the designated service area. B. Initial Term of Contract. The initial term of this Agreement shall be three (3) years. Unless extended by the provision for renewal set forth below in Paragraph D, or terminated as provided in Paragraph C, this Agreement shall automatically terminate at midnight, December 31, 1996. C. Termination. 1. Either party may terminate this Agreement without cause upon providing the other party with sixty (60) days prior written notice. 2. Authorization to provide Emergency Transportation Services under this Agreement may be suspended or this Agreement may be terminated pursuant to Newport Beach Municipal Code Section 5.14.100. Any notice of suspension or termination of this Agreement shall be given in the manner set out in the paragraph called Notices of this Agreement. D. Renewal Provisions. The CONTRACTOR shall be eligible to apply for one contract extension of two (2) years, provided all of the following conditions are satisfied: 17. 1. The City Council must determine, by formal vote, that CONTRACTOR'S services rendered then -to -date are reasonably and accurately characterized as "excellent, courteous, professional, and significantly above the performance requirements of the Agreement." 2. To allow ample time to initiate and complete competitive procurement processes in the event renewal is, for any reason, denied, CONTRACTOR'S written request for renewal, and the City Council determination of eligibility for renewal must all be completed at least six months prior to the expiration of this Agreement. 3. The CONTRACTOR'S written request for renewal will include documentation of excellent, courteous and professional Services rendered. In addition, Services that are significantly above the Agreement's performance requirements which result in a higher level of patient care will be outlined and defined by the CONTRACTOR. 19. WAIVER OF DEFAULT: Waiver of any default shall not be deemed to be a waiver of any subsequent default. Waiver or breach of any provision of this Agreement shall not be deemed to be a waiver of any other or subsequent breach, and shall not be construed to be a modification of the terms of this Agreement unless stated to be such, in writing, by CITY and attached to the original Agreement. 20. MAJOR BREACH AND EMERGENCY TAKEOVER PROVISIONS: Conditions and circumstances which shall constitute a go • s major breach of Agreement by the CONTRACTOR shall include, but not be limited to, the following: A. Failure of the CONTRACTOR to operate the ambulance service system in a manner which enables the Fire Department and the CONTRACTOR to remain in substantial compliance with the requirements of applicable federal and state laws, EMSA rules and regulations, and with the requirements of Newport Beach Municipal Code and related rules and regulations; B. Supplying to the CITY false or misleading information during this bid process or supplying information so incomplete as to effectively mislead; C. Withholding or willful falsification of data supplied to the CITY, the Fire Department or to the EMSA Medical Director during the course of operation, including by way of example but not by way of exclusion, dispatch data, patient report data, response time data, financial data, or falsification or deliberate omission of any other data required under this Agreement; D. Failure to comply with or exceed the proposed and accepted plan for ambulance coverage during the first three months of operation under this Agreement; E. Deliberate and unauthorized scaling down of operations to the detriment of performance; F. Failure to maintain equipment in accordance with good maintenance practices, or to replace equipment in accordance with CONTRACTOR'S submitted and accepted equipment replacement 19. policy, except as extended use of such equipment is approved by the Fire Department as provided for herein; G. Persistent failure of CONTRACTOR'S employees to conduct themselves in a professional and courteous manner, and to present a professional appearance, to such an extent that the fire service's reputation suffers; H. Failure by the CONTRACTOR to furnish key personnel of quality and experience as bid; I. Failure by CONTRACTOR to cooperate with and assist the Fire Department in its takeover of CONTRACTOR'S operations after a major breach has been declared and confirmed by the Fire Department, as provided for herein; J. Failure to substantially and consistently meet or exceed the various clinical and response standards required hereunder. 21. COST OF LITIGATION: If any legal or equitable action is necessary to enforce any provision hereof or for damages by reason of any alleged breach of any provisions of this Agreement, the prevailing party shall be entitled to receive from the losing party all costs and expenses in such amount as the court may adjudge to be reasonable attorneys' fees. 20. rI L it IN WITNESS WHEREOF, the parties have executed this Agreement in the City of Newport Beach, County of Orange, State of California on the day, month and year above written. CITY OF NEWPORT BEACH A Municipal Corporation ATTEST: III � // City Clerk Id, 14 CONTRACTOR: BY: V/ 21. co FA Fa W W V a ;3 A a -rl C7 W zU W ED a N x 0 0 w O o w O O O S4 O O 00 If) 0 fn uw . U 00 co N O O .H H V3 yr H vi- � a H � yr r/r is u O O 0 O o 0 p O O 0 O O n w U oD . V) (14 N O O b� rd H :? N N V)- H m H (/)- t? w i/r a O O O O O O M W m m In O U Ci U Ja) u) fn a% m co M 0.11 Zi b N t? +? l? vl- a) a i? 1] O O O O O O M CO 0) 0) 1n O ' U i d fn 0) m m CD M 0-11 N M M N rl Z m a) v� a 41 ra Fl w >1 w •rl r, i4 U N w O wmmo fa E� fa a) a) m�:s 0) q H O •rl if 1-1 t) 0 ri .1.) S-1 O w Qf � m W� O fa m 0 040 E w u4 w ra C 1~ Q, > fa A m w H O r: 7 -rl O m w U i4 w f-1 -r1 w a) V 04 w m ,. -ri a) b.1 ri 0 S m>y Ei4 Z 4 w 4_1 i4w 14 w w 41 w 3 sa O 3 b 4_1 In U x m 0 H 0 w 4-1 r O it S4 -H w H 014-4 �'. 4-1 w w •• w S G Sl w fa r-I H w fa w ri U l- A w -ri 11 W Q . 7`1 U A �4 m •rl Z ,Q •r1 Q A a-) r to w .� faw of 0 fa> r faro P>,w N> m U ro w U fa -r1 U� w fa U -r1 m •ra a 0 ;J -ri w -rl O .0 - 4 Q4 u -rt w w -r1 0 rA w m w r4 fa A l� 1-1 U 4-1 ri U r--1 m $ 0 r-1 •r1 111 rt as+.f � aa)) k Qaw aD) - a'0 04 rl »� 4 0 fa QI QI W 0 .Q f- 9 fa N JJ fa f- 0 A4 m w (1) a) rt a m U A w r1 U Ul W 0 P] U r-A C a w w U ro A m i4 w C., b) U r. w Qi w w E: z o o rn Co 0 0 Exhibit "B" GROUND AMBULANCE REQUIREMENTS Section 1. GROUND AMBULANCE DESIGN /DOCUMENTATION /EQUIPMENT A. Ambulance Design: 1. The patient compartment of an ambulance shall, at a minimum, be of sufficient size and design to comply with those standards in KKK- A -1822A "Ambulance Federal Specifications," including: a. Adequate space for required personnel to perform their functions safely and efficiently. b. Adequate space for any required and necessary medical equipment and safety supplies needed to treat patients. C. Adequate space to accommodate two (2) litter patients so situated that at least one patient can be given intensive life- support during transit. 2. Each ambulance shall have: a. A rear loading doorway vertical clearance of not less than 46 inches. b. Gaskets affixed to the perimeters of all doors and windows to prevent carbon monoxide gas leaks into the vehicle. C. The word "Ambulance" affixed to the front or both sides of the vehicle. The lettering shall be 4 to 6 inches in height. d. A Black unit number (two to four digits), 3 to 4 inches in height affixed to the right rear and both sides of the vehicle. B. Required documentation in each ambulance shall include: 1. A current and valid County of Orange ambulance license (or facsimile) in the driver compartment. 2. A current and valid County of Orange ambulance license decal affixed to the lower portion of the right rear of the ambulance. 3. Proof of passage of annual vehicle inspection performed by the California Highway Patrol within the preceding twelve (12) months. Exhibit "B" Ground Ambulance Requirements Page 2 9 4. Proof of passage of annual odometer inspection performed by the Division of Weights and Measures of the Agriculture Department of the County of Orange within the preceding twelve (12) months. C. Ambulance Equipment 1. All ambulance equipment shall be maintained in a clean condition and in good working order at all times. 2. Required Non - Medical Equipment: a. Seat belts for all passengers in the patient compartment. b. Operational heating and air conditioning units in the patient compartment. 3. Required Medical Equipment and Supplies: Medical equipment and supplies used to treat patients shall be stored in the patient compartment and shall be readily accessible; such equipment shall include: a. Oxygen Delivery Supplies: 1) One (1) "H," "M," or equivalent cylinder for operation with a wall mount oxygen outlet. 2) Two (2) portable "El' cylinders: a) One (1) at full pressure at all times. b) One (1) at not less than 1000 psi. OR Four (4) portable "D" cylinders: a) Two (2) at full pressure at all times. b) Two (2) at not less than 1000 psi. 3) One (1) oxygen - powered resuscitator with LSP 40 1pm control valve which allows complete exhalation. 4) Clear plastic oxygen administration masks: a) Six (6) adult size. b) Six (6) child size. c) Six (6) infant size. Exhibit "Bn Ground Ambulance Requirements Page 3 6) Clear plastic nasal cannulas: a) Four (4) adult size. b) Two (2) child size. 7) One (1) oxygen tank wrench. b. Suction Equipment: 1) One (1) portable suction device capable of providing, at a minimum, an airflow of over 30 liters per minute at the end of a delivery tube and a vacuum of over 300 mmHg (milli- meters of Mercury) when the tube is clamped. 2) One (1) installed suction device capable of providing, at a minimum, an airflow of over 30 liters per minute at the end of a delivery tube and a vacuum of over 300 mmHg when the tube is clamped. 3) Suction Catheters: a) Two (2) 10 French with Venturi valve. b) Two (2) 14 French with Venturi valve. a) Two (2) 18 French with Venturi valve. d) Two (2) rigid pharyngeal suction tips. C. Cervical collars, rigid type (Stiffneck, Philadelphia, or equivalent): 1) One (1) large, one (1) medium, one (1) small, and one (1) pediatric size collar; or 2) Four (4) multi -size rigid cervical collars. d. One (1) disposable, single -use, humidifier. e. Four (4) cold packs. f. Two (2) heat packs. g. Four (4) pair disposable gloves. h. Four (4) surgical masks. i. Backboards with a minimum of three (3) sets of straps. 0 Exhibit "B" Ground Ambulance Requirements Page 4 Section 2. GROUND AMBULANCE COMMUNICATION EQUIPMENT /DISPATCH STANDARDS A. Communication Equipment: 1. All ambulance communication equipment shall be operational at all times. 2. Each ambulance shall have: a. One (1) UHF /EMS MED -10 Radio with roof -top five (5) db highgain antenna for communication with the Orange County Paramedic Coordinated Communication System. b. One (1) additional five (5) db highgain antenna for use with the paramedic Coronary Observation Radio (COR) Antenna to be mounted on the roof of the ambulance with 8 feet of excess cable in the patient compartment with BNC connector. 3. MED -10 Radio shall be in the "on" position at all times and the microphone attached while the ambulance is in operation. 4. The ambulance service provider shall be responsible for all maintenance and repair costs to the communications equipment installed in the ground ambulance. B. Ambulance Communication Equipment Inspection: 1. Each ambulance shall have its MED -10 Radio, five (5) db highgain antenna, antenna cable and BNC connector inspected and certified each calendar year to verify proper installation and Federal Communications Commission (FCC) compliance of equipment by one of the following agents: a. Orange County Communications (OCC). b. An authorized service representative designated by the radio manufacturer. 2. Elements of Inspection and Certification: a. All ambulance communication equipment inspections shall be documented by OCC. Exhibit "B" Ground Ambulance Requirements Page 5 1) Radio equipment will be checked for: a) Model number. b) Serial number. c) Vehicle identification number. 2) FCC compliance on: a) Frequency. b) Modulation. c) Power. d) Receive sensitivity. 3) COR accessories a) Highgain antenna. b) Antenna cable length. c) Connector. b. The inspection form shall be designed by OCC and supplied to ambulance service providers by Orange County Emergency Medical Services Authority (OCEMSA). 539 N. IFzirvkew St SnLtn Ann CA 92733 Pi3iiU7 D: (714)564-34_". o (KO) 491 -1197 December 13. 1993 Clarence Turner - Mayor City of Newport Beach 3300 Newport Boulevard Newport Beach, CA 92658 Dear Mayor Turner: DEC 13 1993 r :Er. 01TTOF CH ". i This letter is to provide written documentation of my protest and desire for appeal of the request to award the contract for emergency ambulance transportation services to Sealson, Inc. As outlined in the request for proposal, any protest or appeal on the award of the agreement must be forwarded in writing to the City Council. The written communication must list the specific areas of protest and suggested remedies. Issues The response from Sealson, Inc. in the Costs of Services section of their proposal violates Federal Anti - kickback sections of the United States Social Security Act. That Statute provides that whoever knowingly and willfully offers or pays any remuneration in exchange for the referral of Medi -Care patients is guilty of a crime. The offer from Sealson, Inc, to provide free transportation of injured city employees is a "per -se" violation of this Statute. The response from Sealson, Inc. to provide a substantially different rate for residents versus non - residents is arguably a violation of Medi -Care Fraud Statutes. By providing the residents of Newport Beach with a substantially lower price than non- residents you are requiring the overpayment from Medi -Care to subsidize residents' discounted fees. Sealons' attempts to justify this by disclaiming that all Medi -Care patients will only be billed the approved Medi -Care rates. The problem lies with the many seniors who have assigned their Medi -Care benefits to an HMO plan but still have the same legal protection afforded standard Medi -Care patients. Both of these issues were raised during your Pre -bid Conference and all providers received notification from the Fire Chief that these sections would be removed from the bid. Appropriately, all other providers left this information out of their bids. roPvIT(onagczd1 0 G. COST OF SERVICES G. COST OF SERVICES Seal's Ambulance Service shall transport for injured on -duty Newport Beach employees at no cost to the individual or the City of Newport Beach. Seal's Ambulance Service prdposes the following rates for residents of the City of Newport Beach versus non- residents: N.B. Resident Base Rate $118.00 Mileage (per mile) 6.00 Night Calls 22.00 Oxygen 22.00 Expendable Medical Equipment (maximum per response) 10.50 Standby Time (per 15 minute interval) No Charge Non - Resident $225.30 9.80 39.90 39.90 13.00 No Charge Patients who are covered by Medicare shall be charged no more than the amount designated by Medicare for services used. i �� �uA! 4� 0 OCT 1 11993 :iL i ACH TO: Mayor and Members of the City Council FROM: Tim Riley, Fire Chief J SUBJECT: Emergency Ambulance Transportation Services R.F.P. RECOMMENDATION: October 11, 1993 Council Agenda Item No. 9 Have Council authorize the City Clerk to advertise for bids to contract for emergency transportation services. DISCUSSION: The Request for Proposal, per Chapter 5.14 of the Municipal Code, will result in a three - year contract with the provision for a two -year extension by City Council approval. This contract will be for both the Primary and Secondary Responder. The contract will contain provisions for the type of equipment required, type of ambulances to be used, training of ambulance personnel and rates to be charged. The Request for Proposal guidelines and agreements are available upon request from the Fire Department and from the City Clerk. The selection process will follow the guidelines set forth in Chapter 5.14 by adhering to the following schedule: October 11, 1993 Authorization to advertise for bids. October 21 Hold a pre -bid conference for all bidders. November 17- Opening of bids by the City Clerk at 10:00 AM. December 1 Hold a panel hearing to review ambulance companies' proposals. December 13 Submit the panel's recommendations to the City Council. City Council to select and award contract. January 1, 1994 The agreements will become effective at 12:01 AM. IMPACT ON THE DEPARTMENT BUDGET: Sufficient funds have been allocated in this year's budget to complete the R.F.P. process. (2/ a1 :111:1►. SURANCE CSR CB ISBUEDATEIMMDOM CERTIFICA-0 OF IN 11/19/96 __.,... _ I$_2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND San Joaquin Valley IaearaaC• CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 7405 N. First St. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P. O. Box 28906 %n.� POLICIES BELOW. _ CS„}'.`.�,,R: Fresno CA 93729 -8906 ? COMPANIES AFFORDING COVERAGE LynFauntLeRoy ... .... .. ........ ... ......... ..... .. ... .... I .......... .... ... .... .. . ... ... ............................... ....... 209-447-4600 G�RANY A Hartford Insurance Company - °p 1995 � ..................................... ............................... .... .. .. .... ........... .... p`1 Zg _ ............... .. ... ............_.._._....._....... ..:j ......_`��. \.... .. I'.: INSURED... GT'1 CL 't ............... /.,; .. COMPANY LETTER B :. . '� HE`:RDRI 9EA a COMPANY C LETTER Medix Ambulance 4^ COMPANY D Mike Lavigne LETTER 26021 Pala Street ............ ............................... .. ............. ............................... .... Mission Viejo CA 92691 DLETTER"" E COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER :POUCY EFFECTIVE POLICY EXPIRATION UNTO DATE IMMIDDM'I DATE(MMIDOM') GENERAL LIABILITY GENERAL AGGREGATE 12000000 A $ COMMERCIAL GENERAL LIABILITY 39UUNSM6445W 11/20/96 11/20/97 PRODUCTSCOMPIOP AGO. $2000000 CLAIMS MADE $ OCCUR. PERSONAL B ADV. INJURY /1000000 OWNER'S B CONTRACTOR'S PROT. EACH OCCURRENCE *1000000 FIRE DAMAGE IAn`/om fim *50000 MED. EXPENSE IAny am as .anl * 5 00 0 AUTOMOBILE LIABILITY COMBINED SINGLE * 1000000 A ... ANY AUTO 39UUNSZ46445W 11/20/96 11/20/97 uMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per M.M * $ HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Pm .caidam) GARAGE LIABILITY PROPERTY DAMAGE * EXCESS UABILITY EACH OCCURRENCE $1000000 A $ UMBRELLA FORM 39LOSSM6446W 11/20/96 11/20/97 AGGREGATE OTHER THAN UMBRELLA PORM S.I.R. $10000 DEDUCTIBLE %41009000 WORKER'S COMPENSATION STATUTORY LIMITS MC EACH ACCIDENT 1 EMPLOYERS'UASIUTY DISEASE —POLICY LIMIT 1 DISEASE —EACH EMPLOYEE * OTHER A Equipt Floater 39UUNSM6445W 11/20/96 11/20/97 EQUIP 66000 ALL RISK 'ACV DED 250 DESCRIPTION OF OPERATIONSWCATIONSNEOCLES /SPECIAL ITEMS *IN THE EVENT OF CANCELLATION FOR NON PAY, A 10 DAY NOTICE WILL BE GIVEN. CERTIFICATE. HOLDER .. ..... ...' CANCELLATION-,: _.. ... . . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE CITY OF NEWPORT BEACH LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LICENSE SUPERINTENDENT LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 330 NEWPORT BEACH NEWPORT BEACH CA 92660 AUTHORIZED REPRESENTATIVE �. Lyn FauntLeRoy ACORD 26S (7190{ -- mpCORD- CORPORATIAN 1990 ACHIM). CERTIFICA* pF INSURANCE OP ID SA DATE(MMMOM) BACAM -1. 01/10/95 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MIMS INTERNATIONAL, LTD. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 901 DULANEY VALLEY RD # 610 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TOWSON ND 21204 COMPANIES AFFORDING COVERAGE MARY CLAIRE GOFF 410- 296 -1500 COMPANY A NATIONAL UNION FIRE INS. CO. INSURED COMPANY 1 B LAIDLAW MEDICAL TRANSPORTATION COMPANY C INC. /SUPERIOR AMBULANCE D /B /A MEDTRANS SA NORTH FAIRVIEW 92 70 STREET COMPANY CIOPi COVERAGES..., THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM /DD/YY) POLICY EXPIRATION DATE(MMIDD/YY) OMITS GENERAL UABIUTY GENERAL AGGREGATE $ 10 000 000 X PRODUCTS - COMPIOP AGG $5,000,000 • COMMERCIAL GENERAL LIABILITY RMGL3198422 09/01/94 09/01/97 CLAIMS MADE ® OCCUR PERSONAL 6 ADV INJURY $ 5,000,000 EACH OCCURRENCE $ 5,000,000 OWNER'S 6 CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $1,000,000 MED EXP (Any one person) $ 50,000 • AUTOMOBILE LIABILITY ANY AUTO RMCA1432271 09/01/94 09/01/97 COMBINED SINGLE LIMIT $5,000,000 $ $ BODILY INJURY IPer person) $ ALL OWNED AUTOS SCHEDULED AUTOS $ $ BODILY INJURY IPer e¢itlmtl $ HIRED AUTOS NON -OWNED AUTOS $ PROPERTY DAMAGE $ GARAGE UABIUTY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS UABIUTV EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM A WORXERS COMPENSATION AND $ STpTUTORV LIMITS EMPLOYERS' UABIUTV EACH ACCIDENT $5,000,000 THE PROPRIETOR/ $ INCL PARTNERS /EXECUTIVE RMWC0175126 09/01/94 09/01/97 DISEASE - POLICY LIMIT $5 0D0 000 DISEASE - EACH EMPLOYEE $5,000,000 OFFICERS ARE EXCL OTHER A PROFESSIONAL RMGL3198422 09/01/94 09/01/97 5,000,000 PER. OCC. LIABILITY 5,000,000 AGGREGATE DESCRIPTION OF OPERATONSAOCATIONSNEHICLES /SPECIAL ITEMS THE CITY OF NEWPORT BEACH, IT'S OFFICERS AND EMPLOYEE'S ARE LISTED AS ADDITIONAL INSUREDS UNDER AUTO S GENERAL LIABILITY, BUT ONLY AS RESPECTS THE OPERATIONS OF THE NAMED INSURED AS PERFORMED UNDER CONTRACT WITH THE CITY OF NEWPORT BEACH. CEATIFICATE•HOLDER CANCELLATION CITYOFN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SWORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL CITY OF NEWPORT BEACH 30 DAYS WPoTTEN NOTICE TO THE CEATIFlCATE HOLDER N ED TO THE LEFT, CITY CLERK BUT E TO MAIL SUCH NOT SHALL IMPOSE NO OBU ATION OR UABIUTY P.O. BOX 1766 -OF UPON THE COM V IT GENTS OR REM VES. NEWPORT BEACH, CA 92658 -8915 AUT 0 TATWE / /L 1 F ACORD 25x$:131931 ® CORD P 4 TION 7993 v A /DIII:11. CERTIFICAO OF INSURANCE �R NC DATEDdMDDYY SACAM -1 08 /10/94 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MIMS INTERNATIONAL, LTD. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 901 DULANEY VALLEY RD ,# 610 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TOWSON NO 21204 COMPANIES AFFORDING COVERAGE MARY CLAIRE GOFF COMPANY A NATIONAL UNION FIRE INS. CO. 410 - 296 -1500 INSURED COMPANY B LAIDLAW MEDICAL TRANSPORTATION - -� INC. /SUPERIOR AMBULANCE D /B /A COMPANY •- .�.;;, , MEDTRANS C 539 NORTH FAIRVIEW STREET COMPANY SANTA ANA, CA 92703 D.- tiPyC;.` THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER 00EUN9ENT WIjTI�RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTA TYPE OF WSIIRANCE POLICY NUMBER POUCYEFFECTiVE DATE BMNUDDIYYI POUCYEXPIRAMON DATE (MNVDD/VYI LIMITS GENERAL LIABILITY GENERAL AGGREGATE 1 10,000 000 S PRODUCTS - COMP /OP AGO $$,000,000 • COMMERCIAL GENERALLIABILITY RMGL003198422 09/01/94 09/01/97 CLAIMS MADE ®OCCUR PERSONAL S ADV INJURY 15,000,000 EACH OCCURRENCE $5,000,000 OWNER'S S CONTRACTOR'S PROT FIRE DAMAGE IAny.. fire) $ 1,000,000 MED EXP (Any one Person) $50,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i5,000,000 X • ANY AUTO RMCA001432271 09/01/94 09/01/97 X BODILY INJURY i ALL OWNED AUTOS X SCHEDULED AUTOS (Par person) X BODILY INJURY $ HIRED AUTOS X NON -OWNED AUTOS (Par accident) PROPERTY DAMAGE i GARAGE LIABILITY AUTO ONLY - EA ACCIDENT / OTHER THAN AUTO ONLY ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE S AGGREGATE i UMBRELLA FORM $ OTHER THAN UMBRELLA FORM • WORKERS COMPENSATION AND Y STATUTORY LIMA'S EACH ACCIDENT _ C 5 , 000, 000 EMPLOYERS' UABRITY DISEASE - POLICY UMIT $5,000,000 THE PROPRIETOR/ X INCL RMWC003175126 09/01/94 09/01/97 PARTNERS /EXECUTIVE OFFICERS ARE: EXCL DISEASE- EACH EMPLOYEE $5,000,000 OTHER • PROFESSIONAL RMGL003198422 09/01/94 09/01/97 2,000,000 PER OCC. LIABILITY 2,000,000 AGGREGATE DESCRIPTION OF OPERATIONSAOCATIONSA/ESCLES /SPECIAL ITEMS THE CITY OF NEWPORT BEACH, IT'S OFFICERS AND EMPLOYEE'S ARE LISTED AS ADDITIONAL INSUREDS UNDER AUTO & GENERAL LIABILITY, BUT ONLY AS RESPECTS THE OPERATIONS OF THE NAMED INSURED AS PERFORMED UNDER CONTRACT WITH THE CITY OF NEWPORT BEACH. CwftoiCATO HOLDER,. CANCELLA'TfON ':.. ..' . CITYOFN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, CITY OF NEWPORT BEACH CITY CLERK BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 3300 NEWPORT BEACH BLVD OF ANY KIND UM THE COMPANY, frd MPTS OR RFARESFNTATNFS. AUlTFkftIZEqRqrFljZMrATIVE ri m NEWPORT BEACH, CA 92659 MARY CLAIRE SOFF/ AGORD 25,S 13193) � r ... - ®HE%OIiTi (jDRPORATION 1993 J avoiati CERTIF[.CATE OF INSURANCE SSUEDATE (MM /OO /VV) ..... ,....., .. TH15 CERTIFICATE 15 155UED AS A MATTER Ur 1W CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Gregg—Miller & Associates P.O. Box 34 POLICIES BELOW. Phoenix, AZ 85001 -0034 COMPANIES AFFORDING COVERAGE 602- 222 -5700 COMPANY R A National Casualty Company COMPANY LETTER B Scottsdale Insurance Company INSURED COMPANY LETTER C Seal's Ambulance Service Sealson, Inc. DBA: P.O. Box 10789 Costa Mesa COMPANY LETTER D CA 92627 COMPANY LETTER E THIS IS 70 CERi IFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT WITHST ANDING ANY REOUIREMENT, TETRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TD ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWNMAV HAVE BEEN REDUCED BY PAID CLAMS Co LT TYPEOF INSURANCE POLICYNUMBER POLICYEFFECTIVE DATE(MM /DD /YY) POLICY EXPIRATI011 DATE(MM /DD /VV) LIMITS GENERAL LIABILITY GENERAL AGGREGATE t 1000000 X PRODUCTS-COMP /OP AGO t Not Covere A COMMERCIAL GENERAL LIABILITY X CLAIMS MADE FI OCCUR. CL034603 6/30/93 6/30/94 PERSONAL a AD.' INJURY t 1000000 EACH OCCURRENCE % 1000000 OWNER'S 8 CONTRACTOR'S PROT FIRE DAMAGE (Any one lire) 1 50000 MEO EXPENSE (Any oue person S Not COvere A AUTOMOBILE LIABILITY ANY AUTO CA031878 6/30/93 6/30/94 COMBINED SINGLE LIMIT 9 1000000 X BODILY INJURY (Per Persaol t ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY t HIRED AUTOS X NON -OWNED AUTOS (Per wdem) PROPERTY DAMAGE t GARAGE LIABILITY EXCESSLIABILITY _ lees EACH OCCURRENCE t UMBRELLA FORM OTHER THAN UMBRELLA TOW C!T)'. Gil f ..,1,. '' F, •' AGGREGATE t WORXlWS COMPENSATION STP TUTORY LIMIT$ EACH ACCIDENTS AND DISEASE- POLICY LIMIT f EMPLOVERS'LIABILITY DISEASE -EACH EMPLOYEE $ OTHER B Professional EMS000066 6/30/93 6/30/94 $1,000,000.EA OCC. Liability $1,000,000. AGGREGATE DESCRIPTION Of OPERATIONSILOCATIONSIVE WLESISPECIAL ITEMS CERTIFICATE HOLDER :�- CANCELLATION r SHOULD ANY OF THE ABO VE OESCRIBED POLICIES BE CANCELLED BEFORE THE !g, EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO (ELI MAIL 30 DAVSWRIT TENNOTICE TO THECERTIFICATE HOLDERNAMEDTO THE City of Newport Beach LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR P.O. Box 1768 LIABILIT Y OF ANY K IND UPON T HE COMPA NY. IT S AGENT S OR REPRESENT A T IVES. Newport Beach, CA 92659 -1768 Attn: City Clark ALFTHCRIIIZZZ���D RlPRESENTATNE 300425000 -.A Q ACORDCORPORATION 1,990 s