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4.16 AlaCo First Responder
OF Dp\ 19-82 STAFF REPORT CITY CLERK DUBLIN CITY COUNCIL File # ❑[©-�® O�LIFOR�� L f D DATE: June 7, 2011 TO: Honorable Mayor and City Councilmembers FROM: Joni Pattillo, City Manager SUBJEC Letter of Agreement with the County of Alameda for the continuance of First Responder Advanced Life Support (FRALS) services Prepared By. Christopher L. Foss, Assistant City Manager EXECUTIVE SUMMARY: The proposed item is a Letter of Agreement between the City of Dublin and the County of Alameda to extend the current First Responder Advanced Life Support (FRALS) agreement until October 31, 2011 to allow both parties adequate time to complete a new agreement. FINANCIAL IMPACT: There is no financial impact to this action at this time. RECOMMENDATION: It is Staffs recommendation that the City Council adopt a Resolution approving a Letter of Agreement between the City of Dublin and the County of Alameda for continued First Responder Advanced Life Support services (FRALS Services). Submit d B Assistant Citv Manaqer Page 1 of 2 ITEM NO. ` d� DESCRIPTION: The County of Alameda is designated, by California Health and Safety Code Division 2.5, Section 1797.94, as the responsible agency for establishing policies and procedures for the approval and designation of paramedic service providers within its jurisdictions, including the City of Dublin. The County of Alameda established an Emergency Medical District and has entered into contracts with public and private providers to assure that emergency medical services are available within the jurisdictions. The last First Responder Advanced Life Support (FRALS) agreement the City executed with the County of Alameda was on May 5, 2009 (Attachment 1). The current agreement expires on June 30, 2011. The proposed Letter of Agreement (Attachment 2) would extend the agreement until October 31, 2011 (or until the new agreement is executed) to allow both parties an opportunity to finalize the new agreement. .The City Manager woufd execute the agreement on the City's behalf. NOTICING REQUIREMENTS/PUBLIC OUTREACH: None. ATTACHMENTS: 1. May 5, 2009 Staff Report on FRALS Agreement 2. Draft Letter of Agreement ~ 3. Resolution Approving a Letter of Agreement befinreen the City of Dublin and the County of Alameda for Continued First Responder Advanced Life Support Services (FRALS Services) 1654591.1 ~ Page 2 of 2 ~/ ~ \ ~~' ~~ ~ '~\ ~ /w ~ ~ AGENDA STATEMENT CITY COUNCIL MEETING DATE: May 5, 2009 SUBJECT: Extension of the First Responder Advanced Life Support (FRALS) Agreement with the County of Alameda Report Prepared by.~ Christopher L. Foss, Assistant City Manager ATTACHMENTS: 1. October 5, 2004 Staff Report and FRALS Agreement 2. Resolution and proposed Amendment to First Responder Advanced Life Support (FRALS) Agreement commencing July l, 2009 and continuing until June 30, 2011 RECOMMENDATION: Adopt Resolution authorizing a Two-Year Extension (July 1, 2009 to June 30, 2011) to the First Responder Advanced Life Support -;. -- (FRALS) Agreement with the County of Alameda. FINANCIAL STAT NT: The proposed amendment will compensate the City for four (4) FRALS units at a rate of $42,893.16 per unit per year for a total of . $343,145.28 over the two year term on the amendment. DESCRIPTION: . The County of Alameda is designated, by California Health and Safety Code Division 2.5, Section 1797.94, as the responsible agency for establishing policies and procedures for the approval and designation of paramedic service providers within its jurisdictions, including the City of Dublin. The County of Alameda established an Emergency Medical District and has entered into contracts with public and private providers to assure that emergency medical services are available within the jurisdictions. The City of Dublin is prctvided fire protection services through a contract with the Alameda County Fire Department (ACFD). The contract calls for ACFD to provide, in addition to basic fire suppression and prevention, emergency first aid, Basic Life Support (BLS), and Advanced Life Support (ALS)-Paramedic services on its First Responder units to enhance the emergency medical services provided to the residents as well as to allow the private ambulance provider with the ability to meet certain response time requirements. The private ambulance provider must meet the response time of being on scene at a Code 3 ------------------------------------------------------------------------ COPY TO: G:\Chris\FireWgenda Statement FRALS May 2009.doc Page 1 of 2 ; ~r ~~ ----~ ~~ ~ ~ ~ - AITACI~YIEII~ I ~~ (lights and sirens) medical assistance call within teri (10} minutes no less than ninety percent (90%) of the ~ time within any month. ~ ~J ~~ ~, ~ The City of Dublin currently provides for a paramedic on each of the department's four units (3 Engine companies and 1 Truck company) and thus has four (4) First Responder Advanced Life Support units. The proposed amendment will compensate the City for four (4) FRALS units at a rate of $42,893.16 per unit per year for a total of $343,145.28 over the two year term. The City of Dublin has approved First Responder Advanced Life Support (FRALS) agreements with the County of Alameda in 2000 and again in 2004 (see Attachment 1 for 2004 staff report and agreement). The proposed amendment to the FRALS agreement shall be in effect for two years beginning July 1, 2009 to June 30, 2011 unless terminated early. ~ The proposed agreement provides a higher level of emergency services for the residents of Dublin, and provides a funding source to compensate for the additional training necessary to upgrade the service. The agreement will reimburse the City of Dublin for providing first responder units, and will be a further enhancement to the emergency medical service within the City of Dublin. RECOMMENDATION: It is staff's recommendation that the City Council adopt Resolution authorizing a Two-Year Extension (July l, 2009 to June 30, 2011) to the First Responder Advanced Life Support (FRALS) Agreement with the County of Alameda. ~`~~~.-~, ~~ ~ y AGENDA STATEMENT C1TY COUNCIL MEETING DATE: October 5, 2004 SUBJECT: Authorization of a Five-Year (July 1, 2004 until June 30, 2009) First Responder Advanced Life Support (FRALS) Agreement with the Courny of Alameda Report Prepared By: Joni L Pattillo, Assistant City Manager ATTACHMENT: 1) Resolution and Proposed First Responder Advanced Life Support (FRALS) Agreement for a period cormmencing July 1, 2004 and continuing urrtil June 30, 2009 2) June 28, 2004 Staff Report and Amendment to FRALS Agreement RECOMN~NDATION: \ Adopt Resolution authorizing Mayor to sign the First Respoader Advanced Life Support (FRALS) Agreement for a period commencing July 1, 2004, and continuing until June 30, 2009, unless terminated earlier in accordance with this Agreement. FINANCIAL STATEMENT: This proposed agreement will compensate the City for the additional fire engine company that is associated with Fire Station 18. The City will now be compensated for four (4) FRALS units at a rate of $37,000 each for a grand total for FY 2004-2005 of $148,000. The ~ additional compensation for the fourth FRALS. unit was included as part of the City of Dublin's FY 2004-2005 budget (the compensation rate budgeted was $37,3~7 and the County rounded down to $37,000). The Agreement also includes a_ 3% escalator for subsequent fiscal years. DESCRIPTION: The City of Dublin supplies fire protection services through a Fire Protection and Emer~ency Medical Services agreement with the Alameda County Fire District (ACFD), also known as the Alameda County Fire Department. T'he contract calls for ACFD to provide basic fire suppression and prevention, emergency first aid, Basic Life Support (BLS), and Advanced Life Support (ALS)-Paramedic services on its First Responder units to enhance the ernergency medical services provided to Dublin residents. This ailows the .private ambulance provider the ability to meet the response time of being on the COPIES TO: c:~cc-rrres~zooa-~o~uaosoa~-~.a~ , scene at a Code 3(lights and sirens) medical assistance call within ten (1Q) minutes; no less than nlnety '} percent (90°/a) of the time within any month. ~~~, G ~ At the June 28, 2004, City Council meeting, the Council agreed to extend the FRALS A$reement until August 31, 2004 until a new agreement could be completed: The County of Alameda, along with a work group made up of Fire Chiefs from the various jurisdictions in Alameda County, developed this new agreement, which includes the recognition of the City of Dublin's additionai fire engine. Due to the complexities, the new agreement toak a little longer than expected; however, the agreement acknowledges a full year of reimbursement for the City of Dublin's four (4) FRALS units. Staff recommends that the City Council adopt the Resolution authorizing the Mayor to sign the First Responder Advanced Life Support (FRALS) Agreement for a period commencing Juty 1, 2004, and continuing until June 30, 2009, unless terminated earlier in accordance with this Agreement: ~ ~ ~ ~ ~ RESOLUTIUN NO. 04 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF DUBLIN **.*~~**~ AUTHURIZING A FIUE-YEAR (JULY 1, 2U04 - JUNE 30, 2009) FIRST RESP4NDER ADVANCED LIFE SUPPURT (FRALS) AGREEMENT WITH THE COUNTY OF ALA.MEDA WHEREAS, the City of Dublin svpplies fire protection services through a Fire Protection and Emergency Medical Services Agreement with the Alarneda County Fire District (ACFD}, as known as the Alameda County Fire Department; and WHEREAS, the Fire Protection and Emergency Medical Services Agreement calls for ACFD to provide basic fire suppression and prevention, emergency first aid, Basic Life Support (BLS), and Advanced Life Support (:ALS) Paraznedic services on its First Responder units to enhance the emergency medical services provided to the residents of Dublin; and WHEREAS, at its June 28, 2004, meetir~g, the City Council agreed to extend the e~sting FRALS Ageement until August 31, 2044, until a new FRALS Agreement (attaGhed as Exhibit A), which reimburses the City of Dublin for praviding four (4) first responder units, could be completed. NOW, THEREFORE, BE IT RESOLVED tha.t the City Council of the Ciry of Dublin hereby authorizes the Mayor to sign the First Respo~der Advanced Life Support (FRALS) Agreement for a period commencing July 1, 2004 and continuing until June 30, 2009, unless terminated earlier in accordance with the Agreement: PASSED, APPROVED AND ADOPTED this Sih day of October, 2004. AYES: ' NOES: ABSENT: ABSTAIN: ATTEST: City Clerk G:ICGMTC~5~2004-~410ct\10-OS-04lreso-frals_doc Mayor -1- - ~ ~. ~ ~ ADVANCED LIFE SUPPORT (ALS) FIRST RESPONDER SERVICES AGREEMENT BETWEEN ALAMEDA COUNTY AND CITY OF DUBLIN SECTION 1 INTRODUCTION ~ • 1.1 The COUNTY is designated as the Local Emergency Medical Service Agency (LEMSA) as defined in the California Health and Safety Code Division 2.5, Section 1797.94 responsible for establishing policies and procedures for the approval and designation of paramedic service providers within its jurisdiction. The COUN7Y relies on the municipalities to provide the first paramedic on scene in most cases. - 1.2 The COUNTY h~s established an Emerge~lcy Medical Service District (EM-1983-1 j and has entered into agreements with various Emergency Medical Services {EMS) providers, both public and private, to assure the availability of emergency paramedic service within the territory of the District. 1.3 The CONTRACTOR (S) are wilting to provide first paramedic response to requests for all medical calls as defined by tfie algorithms in the County EMS approved Emergency Medical Dispatch (EMD) protocols. 1.3.1 The CONTRACTORS include the agencies/cities listed below: City of Dublin Fire Deparfinent 4 FRALS Units The number of First Responder Advanced Life Support (FRALS) units listed will not change during the life of this contract unless it is determined that the system would beneft from adding additional unit(s). Additional units will be negotiated between the Contract Administrator and Contractor with justification. 1.4.1 The parties hereby execute this single agreement which will constitute formal Designation of Contractor as an authorized provider of ALS services w+thin the Alameda County EMS system under Health & Safety Code Section 1797.178, a paramedic service provider agreement under Title 22 CCR Section 100168(b)(4), and a written agreement regarding the provisivn of prehospital emergency medical services under Health & Safety.Code Section 1797_201. 1.4.2 Neither CONTRACTOR nor COUNTY waives any rights it may have pursuant to Section 1797.201. , ~/~ ~ . ~ ~ SECTION 2 TERM - 2.1.1 This Agreement shall be in effect for a period commencing July 1, 2004, and continuing until June 30, 2009 untess terminated earlier in accordance with this Agreement. SECTION 3 DEFlNITIONS For the purposes of this Agreement, the following words and phrases shall have the meanings respectively ascribed to them by this section. 3.1 Advanced Life Support (ALS) - Special services designed to provide definitive prehospital emergency medical care as defiried in Health and Safety Code Section 1797.52, 3.2 ALCO-CMED - The facility designated by the COUNTY as the central communications Center from which EMS requests may be processed and routed to the CONTRACTOR. 3.3 Ambulance - Any motor vehicle equipped with facilities to convey infirm or injured persons in a reclining position and licensed as an ambulance by the California Highway Patrol. 3_4 Ambulance Unit - An ambufance staffed with qualified perso~nel and equipped with appropriate medical squipment and supplies. 3.5 Base Hospital Phvsician - A physician licensed to practice medicine in the State of California and approved as a Base Hospital Physician by the Medical Director, and knowledgeable in the medical protocols, radio procedure and general operating policies of the County EMS system, and a person from whom paramedics may take medical direction by r~dio or other remote comrnunications device. 3.6 Basic Life SuPport (BLS) - as defined in Health and Safety Code Section 1797.60. 3.7 Computer-Aided Dispatch or CAD --Computer-Aided Dispatch system consisting of. associated hardware and software to facilitate call taking, unit selection, resource dispatch and deployment, event time stamping, creation and real time maintenance of incident database, and Management information System. 3.8 Contract Adrninistrator - An agent af the COUNTY designated by the Director of fhe Alameda County Health Care Services Agency. 3.9 Emerqencv - Any sudden or serious illness or injury requiring immediate medical or psychiatric attention under circumstances that a delay in providing such services may aggravate the medical condition or cause the loss of life. 3.10 Emeraencv Medical Technician - I or EMT-I - Personnel as defined in the Health and Safety Code Section 1.797.80. 3.11 Fire De artment Dis atch Facilit - A facility that directly dispatches Fire Depa~tmeni resources to 9-9-1 calls that come into a PSAP. 2 ~ ~ 3.12 First ResPonder - A fire department vehicle, police vehicle with personnel capable of providing necessary pre-hospital care. 3.13 First Responder ALS Unit ~FRALS~ - A unit staffed and equipped with a minimum of one Califomia State licensed and Alameda County accredited paramedic capable of providing ALS at scenes of inedical emergenc'ses. 3.14 Life Threateninq_ Emergency Respanse (Code 3) - Any emergency that is designated as life threatening in strict accordance with County approved EMD protocals. Code 3 will be counted as an emergency response. 3.15 Medical Direction - Direction given ALS personnel by a base hospital. 3.16 Medicat Director - Person designated pursuant to Section 1979.204 of the Health and Safety Code to serve as administrative officer in carrying out the duties and powers of the Health Officer. 3.17 Medical ProtoCOl -Any diagnosis-specific or problem-oriented written statement of Standard procedure, or algorithm, promulgated by the Medical Director as the normal standard of prehospital care for the given clinical condition. 3.18 Non-Life Threatenins~ Response (Code 2) - Any emergency response that is designated as non-life threatening at call recepfion by ALCO-CMED personnel or other PSAP authorized by Contract Administrator in strict accordance with County approved EMD dispatch protocols. 3.19 Non-Emerqencv Response (Code 1) - Any requsst for service that falls outs'ide the established protocols for emergency life threatening and emergency non-life threatening responses. Pre-scheduled transfers for response time purposes shall be considered non-emergency responses. Non-emergency calls may be of private or public origin. Code 1 will not be counted as an emergency response. 3.20 On-Scene Time - The time a unit arrives at the location requested_ 3.21 Paramedic - Personnel as defined in the Health and Safety Code Section '1797.84. 322 Paramedic Unit - An ambulance unit staffed and equipped to provide Advanced Life Support at the scene of a medica) emergency and during transport of a patient(s), and designated as a paramedic unit by the Medical Director. 3.23 Public Safetv Answerin~ Point (PSAP) -- Public safety answering point where 9-1-1 calls are first received 3.24 Public Safe.ty O~cer ~ Any person designated as a public safety officer by the law of the State of Califomia. . 3.25 Physician - Any person duly licensed to practice medicine in the State of California. 3.26 Qualitv Assurance - The sum of all activities undertaken to assure that prehospital emergency medicaf services maintain the standard of care established for those services, as defined by the County Medical Qirector 327 Qualitv Improvement - The evaluation of prehospital emergency medical services to identify where personnei pertormance or the system itself can be improved, the implementation of potential improvements, and their re-evaluation and refinemen# in a continuous cycle. While Quality Assurance traditionally focuses on the detection of 3 ~~ defects, Quality Improvement strives to prevent them. Thus, a Qualiry Improvement program must include, but not be limited to, Quality Assurance. 3.28 Response Time - The actuai elapsed time between receipt of a call at a PSAP or Fire Department Dispatch Facility that a unit is needed and the on-scene time, consistent with section 5. SECTION 4 PRIMARY SERVICE AREA CONTRACTOR, within the area designated herein as #he "Primary Service Area," which includes the entire area within City of DUBLIN city limits, shall be responsi~le for dispatch and response for all medical requests for emergency medical services originating within the area. SECTION 5 SCOP~ OF PRACTICE BY CONTRACTOR Contractor shall provide as part of a FRALS unit ALS-level medical service to patients until contractor relinquishes medical control of the patient to the contract ambulance provider or a medical physician of competent au#hority in accordance with EMS Physician On Scene policy. SECTION 6 PERFORMANCE STANDARDS 6.1 Response Times - CONTRACTOR'S response time on requests for emergency medical services originating from within the Primary Service Area shall meet the following. performance standards: 6.1.1 Code 3- CONTRACT~R shall place a First Responder Advanced Life Support (FRALS} unit on-scene of each Code 3 medica! assistance call within eight (8) minutes thirty (30) seconds from time of receipt of call at Fire Department Dispatch Facility or primary Public Safety Answering Point {PSAP) for those Departments not using a Fire Department Dispatch Facility, on not less than ninety percent (90%) of the responses within any month. 6.1.2 Code 2) - Response times are caiculated as 150°/a of Code 3 time. (12 minutes and 45 seconds) 6.1.3 CONTRACTOR'S responding crew shall report on-scene time or staging location time to its dispatch center immediately upon arrival at the scene/staging location. 6.1.4~ !f a FRALS unit is reassigned en route from one call to another before arrival at the scene of the first call, the response-time clock shall not stop on the first call until the arrival of a FRALS unit at the scene of the first call. 6.2 Exceptions - In COUNTY'S calculatian of GONTRACTOR'S performance in regard to these standards, every medical emergency request originating from within CONTRACTQR'S Primary Service Area shall be included except as foltows: 6.2.1 !n case of a multiple-response incident (i.e., where more than one FRALS unit is sent to the same incident), only the response time of the first arriving FRALS unit shalt be counted. 4 Id ~q 6.2.2 The response time requirements shall be suspended during any declared disaster in the County of Alameda, declared state of emergency within a Iocal jurisdiction, or during a declared disaster in a neighboring jurisdiction which has requested assistance from the COUNTY and/or jurisdiction within the County. 6.2.3 Good cause for an exception as determined by the Co~tract Administrator may include, but is not limited to, substantially incorrect or inaccurate dispatch information. The alleged grounds for exception must have been a substantial factor in producing a particufar excess response time, and CONTRACTOR musf have acted in good faith. Exemptions must be documented in detail in the ~ quarterly response time data report. 6.2.4 The response time requirement shall be suspended during the time period of mutual aid re-deployment that occurs due to multiple first alarms, or a greater alarm incident where mutual aid is required. Re-deployment is the time period from the time of the. request of mufual aid to the arrival of mutuaf aid units within the jurisdiction. 6.2.5 The response time requirement shall be suspended for incidents on all freeways or interstate highways within; when traffic congestion impedes response; or when unclear or inaccurate dispatch information is given as to scene location. 62.6 Other circumstances require contractor to submit details in writing to the Contract Administrator or his/her designee far consideration. 6.3 Exception Request Procedure - CONTRACTOR must file a response time exemption with the quarterly report. Such requests must include all of the following information: 6.3.1 a detailed description of the circumstances causing the response delay 6.3.2 date and time of the occurrence 6.3_3 dispatch agency name 6.3.4 FRALS unit number 6.3.5 originating focation of responding FRALS unit 6.4 Cooperation - CONTRACTOR'S FRALS personnel shal! cooperate fully with transporting ambulance persannel to facilitate the timely and effective transfer of patient care at the scene; according to Alameda County EMS policy. 6.5 FRALS Units - CONTRACTOR agrees that to qualify a response unit as a FRALS Unit in ~ order to receive revenue under the terms of this agreement the unit must be staffed 24 hrs/day, 7 dayslweek. 6.5.1 EXCEPTIQN: Service which is reduced greater than 12 hours in a 24 hour time period shall result in a prorata reduction of the total revenue provided to a full- time FRALS unit. Contract Administrator will be notified via email within 24 hours of such decrease in service. Hard copy to be sent via US Mail. 5 (~ ~~ SECTION 7 ADDITIONAL SERVICE PROVISlON 7.1 CONTRACTOR to the best of its ability shall respond to any medical disaster,. declared or undeclared, within Alarneda County or adjacent counties when directed by the Alameda County Fire Mutuai Aid Caordinator. 7.2 CONTRACTOR agrees that the performance of work and services pursuant to this Agreement shall conform to high professional standards and shall cnmply with ali applicable provisions of the Alameda County EMS Policy ManuaL 7.3 CONTRACTOR shall provide a representative, available to respond at all times within CONTRACTOR'S Primary Service Area, and authorized to act on behatf of CONTRACTOR in alf operational matters. 7.4 CONTRACTOR shall have an EMS coordinator or delegee who holds a valid State of California paramedic license or equivalent. The EMS Coordinator will be the primary representative at the EMS Section meetings. SEC710N 8 QUALITY IMPROVEMENT 8.1 CONTRACTOR shall either have on staff or contract with a Quality improvement coordinator who holds either a valid State of California Registered Nurse (RN) license or a valid State of California Medical poctor (MD) license. This Quality Improvement coordinator is responsible for evaluating on an ongoing basis CONTRACTOR'S Medica! Quality Assurance Program for COUNTY-contracted services. 8.2 CONTR,4CTOR agrees to participate in the creation of a comprehensive ~mergency Medical System Quality Improvement program. . $.3 CONTRACTOR shall foilow all Afameda County EMS Policies regarding Quality Assurance and Quality lmprovement, which have been provided to the contractor. 8.4 Under this Agreement, CONTRACTOR shall submit a written detailed Quality Improvement plan to the EMS Agency for approvat within ninety (9Q) days of the start date of the conVact. Any changes to the QI Plan shall be submitted in writing as they occur to the EMS Agency. A written detailed G21 Plan shall be submitted at the start of each contract period. SECTION 9 MEDICAL DIRECTION The Medical Director shall provide medical oversight to the Contractor's paramedics and EMT's on issues relating to patient care in collaboration with Contractor's Medical Director in those Departments where there is a Medical Director. 6 ~a ~ SECTION 10 SERVICES PROVIDED COUNTY and CONTRACTOR wili provide the.following respective services: 10.1 Incorporation of CONTRACTpR'S operations into the County EMS plan, including CONTRACTOR'S participation on relevant County EMS committees; 10.2 Incorporation of CONTRACTOR'S operations into the Caunty ALS system; 10.3 Authorization and monitoring of EMS training programs, base hospitals, and service providers; 10.4 Certification and/or accreditation of CON7RAC70R'S EMS personnel; 10.5 Provision of inedical contral, through its Medical Director. For those Departmenfs with a Medical Director, the EMS Medical Director will work in collaboration with him/her.Medical control requirements inc{ude medical dispatch, patient destination policies, patient care guideiines, and quality assurance/ improvement; 10.6 CONTRACTOR'S voluntary participation in COUNTY tria( studies/pifot projects/research studies, if approved by the State EMS Authority (EMSA) and approved by Alameda County Counsel when pertinent; 10.7 Incorporation of CONTRACTOF~~S operatians into the COUNTY trauma system; 10.8 System data collection and evaluation in accordance with mutually agreed upon annual calendar of due dates; 10.9 Disaster planning; and 10.10 EMS expendable supplies and equipment used during the provision of services by FRALS units under this agreement shall be restocked by the County contract ambulance provider. SECI'ION 11 EQUIPMENT 11 _1 Vehic(e Markinq -FRALS vehicles used in providing Contract services sha11 bear the marking "Paramedic" on both sides. 11,2 Generai Eguiprnent Required for Vehicles - Each FRALS unit shall carry emergency supplies and equipment as required by the Alameda County EMS Policy Manual. Vehicles, equipment, and supplies shall be maintained in a clean, sanitary, and safe mechanical condition at all times. 11.2.1 Equipment and supply requirements may be changed with the approvaf of the Contract Administrator in accordance with best practices in collaboration with Contractor with consideration given to annual budget timetines. 7 / ~ ~~ SECTION 12 C~OPERATION WITH EVOLVING EMS SYSTEM CONTRACTOR agrees to participate and assist in the development of system changes subject to negotiated costs, if any. COUNTY agrees to continue a consensus model of obtaining input from al! participating Co~tractors prior to implementing change to system policies and procedures. SECTION 13 ACCESS TO RECORDS AND REPORTING REQUIREMENTS . CONTRACTOR shalf comply with the following record keeping and reporting requirements: 13.1 Performance Reqorts - Within thirty (30) days after the end of each quarter, the GONTRACTOR shall document and report to Contract Administrator in writing, using fractile response time method, each emergency call dispatched which did not meet the performance standards set forth in Section 6~.1 (Response Times) and eacfi failure to properly report on- scene time. The specific reporting requirements are as follows: a) CONTRACTOR monthly calls which are less than or equal to response times of 8 minutes 30 seconds are added to the monthly exceptions, and this tota( is divided by the total monthly calls; this yields a fraction represented as a percentage; b) If the fraction in (a) abave equals or is greater.than 90%, then no report is filed on specific calls with response times over 8 minutes 30 seconds. c) If the fraction in (a) above is less than 90%, then the CONTRACTOR must report on each call with greater than an 8 minute 30 second response time_ The CONTRACTOR must report on each call the causes of such failures of performance, and shall document efforts to eliminate these problems. 132 Patient Report ~orms - The CONTRACTOR shall utilize the COUNTY'S "Patient Care Report" (PCR) system for all assignments including patient contact and non-transport. This form will be accurately completed and distributed according to established Alameda County EMS Policies and Pracedures. The COUNTY will provide PCR forms via CD. The form is subject to revision by the Cantract Administrator at any time. 13.3 Business Records -COUNTY shall have reasonable access to CONTRACTOR'S financia! data relating to the provision of First Responder Advanced Life Support operations. 13.4 Observation of Operations - COUNTY representatives may, with appropriate notification, directly observe CONTRACTOR'S medical dispatch center operations, and may ride to observe the operatian of any of CON7RACTOR'S FRALS units. The COUNTY'S representatives shall canduct themselves in a professional and courteous manner, shall not interfere with CONTRACTOR'S employees in the pertormance of their duties, and shall at all times be respectful of CONTRACTOR'S employerlemployee relationsf~ip. 13.5 Licensure/Accreditation - CONTRACTOR shall ensure that all of its employees are app~opriately /licensed/accredited and shall retain a record of their certification/licensure. 8 ~ ~ ~ ~MT-Is and paramedics shall comply with all training requirements as established by the 5tate of Califomia and all. applicable provisions of the Alameda County EMS Policy ManuaL Contractor shall submit via emai! an annual list of all paramedics with ficense dates and expiration dafes as per mutually agreed upon annual calendar. SEC710N 14 ADDITIONAL CONSIDERATIONS 14.1 Fee Schedules - The CONTRACTOR shall not bill patients or paybrs for supplies or medications that the private ambulance provider restocks CONTRACTOR. 14.2 Nothing is this agreement shall preclude CONTRACTOR from billing patients for non- transport services, supplies, or medications provided beyond the scope of the FRALS scope of practice as additional patient service and which has not been re-stocked by the contract ambulance provider. Such billing wi~l be approved in writing by Contract Administrator prior to start of such billing procedures. SECTIQN 15 NON-COMPET'ITION The CONTRACTOR acknowledges the exclusive nature of COUN`f'Y'S authority to operate and/or cantract for emergency ambulance services within the Primary Service Area. During the term of this Agreement, neither the CONTRACTOR, o~cers, agents, key personnel, or employees shall compete with the COUNTY for the same emergency ambulance services contracted for in any ather area of the COUNTY. INSURANCE AND INDEMNIFICATION SECTION 16 CONTRACTOR shall.at all times during the term of the Agreement maintain in force those insurance policies and bonds as designated in Exhibit C and wifl comply w(th all requirements thereof. CONTRACTOR agrees to defend, to indemnify, to save and hold harmless the County of Alameda, its officers, employees, and agents from any and a(1 acts, claims, omissions, liabilities, and losses by whomever asserted arising out of acts or omissions of CONTRAC70R in the pertormance of the scope of work except those arising by reason of the sole negligence of COUN~Y, its officers, employees, or agents. The COUNTY agrees to defend, indemnify, and ho(d harmless CONTRACTOR, its officers, employees, and agents, from any and all acts, claims, omissians, liabilities, and losses by whomever asserted arising out of acts or omissions of C~UNTY in the performance of the scope of work except those arising by reason of the sole negligence of CONTRACTOR, its officers, employees, or agents. 9 SECTION 17 ASSIGNMENT NOT~ ALLOWED CONTRACTQR shail not assign this Agreement to a third party without written consent of the COUNTY; nor shalt CONTRACTOR assign any monies due from COUN7Y under this Agreement to any third party without written consent of the COUNTY. SECTION 18 INDEPENDENT CONTRACTOR This Agreement is a~ agreement by and between two public agencies and is not intended, and shall not be construed, to create the relationship of agency, servant, emplayee, partnership, joint venture, or association. COUNTY shall not be considered the employer of CONTRACTOR'S employees for any.purpose, and CONTRACTOR holds harmless COUNTY to that extent. SLCTION 19 COMPLIANCE WI7H LAW AND SAFETY . '19.1 CONTRACTOR shall observe and comply with all applicable laws, ordinances, codes, and regulations of governmental agencies, including federal, state, municipal, and local governing bodies, having jurisdiction over the scope of services or any part hereof,. including the provisions of the Occupational Safety and Health ~Act of 1979 and all amendments thereto, and all applicable federal, state, municipal, and local safety regufations. All services performed by CONTRACT~R must be in accordance with these laws, ordinances, codes, and regulations. CONTRACTOR shall indemnify and save COUNTY harmless from any ~nd all liability, fines, penalties, and consequences from any noncompliance or viotations of such laws, ordinances, cvdes, and regulations. SECTIC)N 20 TERMINATION PROVISIONS 20.1 TeRnination by COUNTY - COUNTY may terminate this Agreement in the event of CONTRAC70R'S material breach of any provision of this Agreement as described in Section 24, C~NTRACTOR'S violation of law, the Transport Provider Contract is terminated, or if the COUNTY service area funding is no longer avaiiable. 20.2 Termination by CONTRACTOR - CONTRACTOR may terminate this Agreement, at any time, upon ninety (90) days' written notice to COUNTY. 20.3 Termination by Mutual Aqreement - COUNTY and CONTRACTOR may otherwise agree in writing to terminate this Agreement in a mutually satisfactory manner. S~C710N 21 END TERM PROVISIONS /~ ~~ 10 ~ ~~ ~~ ~ CONTRACTOR agrees to return all COUNTY-issued equipment to COUNTY in good working order, narmal wear and tear excepted, at the.termination of this Agraement. SECTION 22 CONTRACTOR'S ~ABOR AFFAIRS The CONTRACTOR shali have full autonomy and responsibi(ity for conducting its affairs with its workforce, inctuding managing persnnnef and resources fairiy ~and effectively in a manner that assures compliance with this Agreement. SECTION 23 COMPENSATION RELATED PROVISIONS For the perforrnance of this Agreement, COUNTY shail pay to CONTRACTOR the amounts specified in Exhibit B. SECTION 24 BREACH OF CONTRACT A. Notice of Default - COUNTY shalf have the right to terminate or cancei the Agreement or to pursue any appropriate legal remedy in the event the CONTRACTOR materially breaches the Agreement and shall fail to correct such default within thirty (30) calendar days following the service on it of a written notice by COUNTY specifying the default or defaults complained of and the date of int~nded termination of rights hereunder absent cure. B. Definitions of Breach -Conditions and circumstances which shall constitute a materiai breach by the CONTRACTOR shall include but not be limited to the following: 1) Failure of the CONTRACTOR to oper~fe the FRALS service system in a manner which enables the COUNTY or the CONTRAGTOR to remain in substantial compliance with the . requirements of the applicable Federal, State, and County laws, rules, and regulations; 2) Falsification of data supplied to the COUNTY by CONTRACTOR during the course of operations under this Agreement; 3) Failure by CONTRACTOR to maintain equipment in accordance with good maintenance practices; 4) Repeated failure by CONTRACTOR to meet response-time requirements after receiving notice of nancompliance from the Contract Administratar (material breach far response- time requirements is defined in the monthly financial pe~formance penalties table in Exhibit A.); . 5) Failure by CONTRACTOR to maintain the required insurance. 11 ~~ a ~ SECTION 25 PAYMENT AND PATIENT FEES CONTRAC70R agrees that it wiU not, without prior approval of COUNTY, biil patients for service provided under this Agreement. SECTION 26 MISCEL.I..ANE~US PROVISIONS A. Attornev's Fees In any claim, suit or proceeding brought or instituted by either of the parties to enforce any of the provisions of this Agreement or to seek damages, the prevailing party shall be entitled ta recover reasonable attomey's fees, costs, and necessary disbursements. B. Notice All notices required hereunder will be in writing and served personally or by mail: CONTRACTOR: Ciry of Dublin ~ 100 Civic Plaza Dublin, CA 945~ 6$ COUNTY: Alameda Countv EMS District 1000 San Leandro Boulevard, Suite 100 San Leandro, CA 94577 C. Entire Aareement This Agreement constitutes the entire agreement between the CONTRACTOR and the COUNTY and there are no agreements, understandings, warranties, or representations between the parties except as provided h.erein. D. Bindinq Effect This Agreement will inure to the bene~t of and bind the respective partles, their successors, personal representatives and permitted assigns. E. Headinqs The headings in this Agreement are inserted for convenience of reference only and are not to be used in construing or interpreting any provisions af this Agreement. F. Invalidi ~ . If any term, provision, covenant or condition of this Agreement, or any applicatian thereof, shouid be held by a court of cornpetent jurisdiction to be invalid, void, or unenforceable, all terms, provisions, covenants, and conditions of this Agreement, and all applicatio~s thereof, not held invalid, void, or unenforceable, shall continue in full force and effect and shall in no way be afFected, impaired or invalidated thereby. The laws of the State of California shall apply to the enforcement af this Agreement. . 12 G. Delav in Commencemerit If the delay in the commencement date of this Agreement is caused by events outside the direct and immediate control of the parties hereta, neither party shall be liable to fhe other for any loss caused by such delay. H. Waiver The failure of either party to insist upon strict performance of any of the terms, covenants or conditions of this Agreement in any one or more instances shall not be construed as a waiver or relinquishment of any such terms, covenants or conditions, and all of the same shall be and remain in full farce and effect. I. Third Partv Beneficiarv This Agreement shall not be deemed to have been made for the ex,press or implied bene~t of any person who is not a party hereto. J. Modification of Aqreement From time to time, amendments or modifications to the provisions of this Agreement may be initiated by either party hereto and may be incorporated into this Agreement by mutual consent and in writing as evidenced by resolution of the Board of Supervisors approving such modification. ~~ 13 ~q ~~ / IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year first above written. COUNTY OF ALAMEDA President, Board of Supervisors Approved as to form: County Counsel CONTRACTOR ay, Title Address: 100 Civic Plaza Dublin, CA 94568 Contractor !D Tax Number 94-2825202 Attest: City Clerk Approved as to Form: City Attorney 14 EXHIBIT B PAYMENT SCHEDULE Basic Subsidy for Emergency First Responder Advanced Life Support (FRALSj Services CITY OF DUBLIN In consideration for the provision of services described in this Agreement, COUNTY shall pay CONTRACTOR based on the foflowing schedule which includes an increase of 3% each County fiscal year. For the period July 1, 2004 to June 30, 2005: 148 000 (Authorized FRALS Units: 4 4 Units @$37,000 =$148,000) Forthe period July 1, 2005 to June 30, 2006: $1~2,440 (Authorized FRALS Units: 4 4 Units @$38,110 =$152,440) For the Period July 1, 2006 to June 30, 2007: $157,013.2U (Autfiorized FRALS Units: 4 4 Units @$39,253.30 =$157,013.20) For the period .luly 1, 2007 to June 30, 2008: $161,723.60 (Authorized FRALS Units: 4 4 Units a~ $40,430.90 =$161,723.60) For the Period July 1, 2008 to June 30, 2009: $166,575.32 (Authorized FRALS Units: 4 4 Units @$41,643.83 =$166,575.32) Payment to C~NTRACTOR will be made in equal quarterly installments upon receipt of quarterly invoice beginning with the receipt of the first payment on completion of the first quarter, September 30~'. COUNTY shall make every effort to remit payments within thirty (30} days. Payment to CONTRACTOR will be held until receipt of the required quarterly data per mutually agreed data cafendar. ~a 9 15 ~l EXHIBIT B-1 MONTHLY FINANCIAL PERFORMANCE PENALTIES FOR CODE 3 RESPONSES CONTRACTOR agrees and rscognizes that community performance standards are reasonabie and that any and all requests for First Respander ALS (FRALS) service shauld adhere to the standards outlined in this contract. AIf emergency cases that are outside the standard and cannot be justified by acceptable . mitigating circurr~stances are subject to compliance measurement. A. Contractor Fails to Meet 90% Compliance: For each cal~ndar month the CONTRACTOR has submitted to the Contract Administrator a report showing a failure to meet the 90%.response time standards, COUNTY shall assess the CONTRACTOR the following penalties: 1St report of non-compliance Letter of deficiency sent 2"d report of non-compliance $ 800 x number of FRALS units under contract 3'~ report of non compliance $1,875 x number of FRALS units under contract, or major breach of contract If, in any calendar month, regardless of prior deficiencies, the CONTRACTOR meets less tfian 88% of the response time standard, COUNTY at its option shall assess a$1,875 times the number of FRALS units under contract penalty or find CONTRACTOR in major breach of cantract. A report of non-compliance may be expunged after six (6) consecutive months of compliance; however, financia( p~nalties are not subj~ct to reversai. FRALS FINAL 8/31/04 Dublin 16 RESOLUTION NO. - 09 ~ ~ A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF DUBLIN **~*~*~** AUTHORIZING A TWO-YEAR EXTENSION (JULY 1, 2009 - JUNE 30, 2011) TO THE FIRST RESPONDER ADVANCED LIFE SUPPORT (FRALS} AGREEMENT . WITH THE COUNTY OF ALAMEDA WHEREAS, the City of Dublin supplies fire protection services through a Fire Protection and Emergency Medical Services Agreement with the Alameda County Fire District (ACFD), as known as the Alameda County Fire Department; and WHEREAS, the Fire Protection and Emergency Medical Services Agreement calls for ACFD to provide basic fire suppression and prevention, emergency first aid, Basic Life Support (BLS), and Advanced Life Support (ALS) Paramedic services on its First Responder units to enhance the emergency medical services provided to the residents of Dublin; and WHEREAS, at its October 5, 2004, meeting, the City Council agreed to extend the existing FRALS Agreement until June 30, 2009, (attached as Exhibit A), which reimburses the City of Dublin for providing four (4) first responder units. NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Dublin hereby authorizes the Mayor to sign the extension to the First Responder Advanced Life Support (FRALS) Agreement with the County of Alameda for a period commencing July 1, 2009 and continuing until June 30, 201 l, unless terminated earlier in accordance with the Agreement. PASSED, APPROVED AND ADOPTED this Sth day of May, 2009. AYES: NOES: ABSENT: ABSTAIN: ATTEST: City Clerk G:\ChrislFire\Resolution FRALS May 2009.doc Mayor -1- ~r1"1'~ z- a~~ ~ Contract Reference No: C 2004-807 AMENDMENT TO CONTRACT This Amendment is effective on: July 1, 2009 Reference is made to that contract made and initially entered into on the 1 st day of July, 2004, by and between the County of Alameda, a body corporate and politic of the State of Ca(ifomia and The City of Dublin, herein referred to as "CONTRACTOR". Said contract is hereby amertded as follows: . 1_ The expiration date of #he original contract is June 30, 2009. This amendment extends said contract for two (2) years beginning July 1, 2009 through June 30, 2011. 2. Exhibit B- Payment Schedule, that esiablishes compensation for the provision of First Respander advanced Life Suppor~, is also amended to continue said compensation at the cuRent rate of $42,893.'t6/per unit/year. The CONTRACTOR has been approved for 4 units, totaling $343,145.28 for the two year period of the extension. Except as he~ein amended, said contract is continued in full force and effec#. IN W ITNESS WHEREOF, the parties hereto have executed this Amendment as of the day and year frst above written. COUNTY OF ALAMEDA By: CONTRACTO R ay: President Board of Supervisors Date: for Date: Approved as to Form: County Counsel By: Date: Exhibit A to Attachment 2 ~ EXHiBIT B PAYMENT SCHEDULE BASIC SUBSIDY FOR EMERGENCY FIRST RESPONDER SERVICES. C1TY OF DUBLIN 1. In consideration for #he provision of services described in this Agreement, COUNTY shall pay CONTRACTOR $343,145.28 based on the following schedule: For the period July 't, 2009 to June 30, 2010 a sum of $42,893.16 per FRALS unit Number of authorized FRALS urtits: 4 x$42,893.16 per uniUyear =$171,.~'i72.6~4/year $42,893.16/quarter For the period July 9, 2010 to June 30, 2Q1 t a sum of $42,893.16 per FRALS unit Number of authorized FRALS units: 4 x$42,893.16 per unit/year =$171,572.64Iyear $42,893.1 fi/quarter 2. Payrnent to CONTRACTOR will be made in equal quarterly instaliments upon receipt of a quarterly invoice, beginning with receipt of the first invoice after October 1, 2009. 3. COUNTY shafl make every effort to remit payments within thirty (30) business days. 4. Payment to CONTRACTOR will be held until receipt of the required quarterly data per mutually agreed data calendar. 5. Total payments to be calculated and deterrnined by the number of authorized FRALS units actually in service. C4NTRACTOR must adhere to section 1_4 of the original agreement to add or subtract units. a LETTER OF AGREEMENT BETWEEN The County of Alameda and the City of Dublin Purpose ~ The County of Alameda, Emergency Medical Services (County), and the City of Dublin (City) are currently negotiating an agreement for continued First Responder Advanced Life Support services (FRALS Services). Currently, the County and the City have an agreement for Services that is scheduled to expire on June 30, 2011. In order to ensure continuous emergency 911 services to residents and visitors and to allow both parties to have adequate time for review and possible revisions for the new agreement, the following is established: 1. Agreement 1.1 Services: The City will continue to provide FRALS Services under the same terms and conditions of the current agreement (expiring 6/30/2011). City will continue to provide FRALS Services until October 31, 2011 or until the date the new agreement is executed by both the City and County, whichever date is sooner. 1.2 Authoritv: The County will continue to authorize the City as a provider of First Responder Advanced Life Support Services within the Alameda County EMS system under Health & Safety Code Section 1797.178, a paramedic service provider agreement under Title 22 CCR Section 100167, and a written agreement regarding the provision of prehospital emergency medical services under Health & Safety Code Section 1797.201. The County will continue such authorization until October 31, 2011 or until the date the new agreement is executed by both tlie City and County, whichever date is sooner. 1.3 Pa,~ment: IVo payments from the County to the City shall be provided under this Letter of Agreement. In lieu of payments, the payment schedule described in the subsequent FRALS Services Agreement shall be retroactive to 7/1/2011 and shall ' be based on the terms of the subsequent agreement. 1.4 Equipment Loan: In order for distribution and training to proceed on schedule, an equipment loan between ACFD and Paramedics Plus to be contained in the new agreement, shall be operative during the effective dates of this Letter of Agreement. See attached Equipment Loan Agreement (Exhibit G). 2. Amendments Any change to this Letter of Agreement, including its cancellation or replacement, requires the consent of the County and the City. This applies to the substance of the change as well as to its date of applicability. Any change shall be made by exchange of correspondence with acknowledgement by all signatories. AITACNMF.MT ~- Signatories a~ ~ County of Alameda . City By: By:_ Signature Signature Name: Joni Pattillo IVame: IVate Miley Title: City Manager Title: President of the Board of Supervisors Date: Approved as to Form: By: County Counsel Signature Date: Approved as to Form: By: Signature Title: City Attorney EXHIBIT G- EQUIPMENT LOAN AGREEMENT A. IIVTRODUCTION: ~~ Paramedics Plus has contracted with County to loan the following equipment to Contractor for use on FRALS units at no cost to Contractor: 1. Four (4) LIFEPAK 15 System a. LP 15 monitor-defibrillators capable of wireless transmission of 12-lead ECG's for each unit and sufficient data plan to accommodate and support this process. b. Temporary replacement Lifepak 15s for units undergoing repairs c. Velocitor charger d. Station charger e. One (1) spare battery 2. Four (4) Physio-Control chest compression system (LUCAS device) a. Lucas CPR device b. One (1) spare battery ` c. One (1) station charger B. CONDITIONS: 1. Acceptance of Paramedics Plus equipment is optional. By accepting equipment under this agreement, Contractor commits to utilizing equipment in the delivery of all ALS First Response services. If Contractor is not utilizing the equipment for the delivery of care (e.g.: closure of a station, reduction of FRALS units) all equipment must be immediately returned to Paramedics Plus. 2. Paramedics Plus shall maintain ownership of the equipment at all times. The terms of this exhibit and the responsibilities outlined herein are not transferable. By accepting Paramedics Plus equipment, the Contractor agrees to comply with all terms and conditions set forth herein associated with the loan of equipment. 3. The Contractor shall be solely responsible for the proper use and deployment of the equipment. Paramedics Plus shall be responsible for training personnel using the equipment on the proper use of the equipment in accordance with any equipment use procedures. The Contractor accepts sole responsibility for operating the equipment at its sole risk. 4. Contractor agrees to give this equipment the same level of care as similar property purchased by Contractor. Equipment shall be returned to Paramedics Plus in as good a condition as when received by the Contractor, reasonable wear and tear excepted. During the loan period Paramedics Plus agrees to assume all responsibility for maintenance and repair due to normal wear and tear. 5. The Contractor is responsible for the full cost of repair or replacement of any or all of the 'equipment that is damaged by intentional misuse, abuse, or neglect, lost, or stolen from the ~ ~ time Contractor assumes custody. If the equipment is lost, stolen or damaged, Contractor must immediately notify the Paramedics Plus representative. 6. Paramedics Plus shall pay for all insurance, regularly scheduled maintenance and maintenance agreements for the equipment. 7. All maintenance and repair of equipment shall be performed by personnel authorized by Paramedics Plus. Any unauthorized maintenance voids all original equipment warranties. The Contractor shall be liable for the cost of purchasing a new warranty for the equipment if unauthorized maintenance is performed on the equipment by Contractor's personnel. 8. Contractor shall make the equipment available for inspection and maintenance during regular business hours with adequate advance notice and notify Paramedics Plus in writing of any necessary repairs or if the equipment malfunctions. Inventory management and return notification. 9. Contractor shall maintain and provide annual inventory reports to Paramedics Plus when requested. These reports shall include the Paramedics Plus inventory control number and well as the Contractor unit where the equipment is assigned. 10. Failure to adhere to the conditions described above may result in withdrawal of use and possession of the equipment, through written notice by Paramedics Plus and endorsed by County. 11. Contractor shall return the equipment to Paramedics Plus upon termination of 9-1-1 Ambulance Agreement between Paramedics Plus and County. The current agreement is for the period beginning November 1, 2011, and ending October 31, 2016. County has an option to renew for five additional years, ending October 31, 2021. 12. In consideration for the equipment loan, the Contractor agrees to indemnify, defend and hold Paramedics Plus and County harmless from any and all damages, losses, claims, causes of actions, expenses and liability of any nature whatsoever associated with its use of the equipment. Name: Signature: Title: Date: / / ~ a~ RESOLUTION NO. -11 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF DUBLIN ********* APPROVING A LETTER OF AGREEMENT BETWEEN THE CITY OF DUBLIN AND THE COUNTY OF ALAMEDA FOR CONTINUED FIRST RESPONDER ADVANCED LIFE SUPPORT SERVICES (FRALS SERVICES) WHEREAS, the City of Dublin and the County of Alameda are parties to a First Responder Advanec Llfe Support Services (FRALS) agreement; and WHEREAS, the Fire Protection and Emergency Medical Services Agreement calls for ACFD to provide basic fire suppression and prevention, emergency first aid, Basic Life Support (BLS), and Advanced Life Support (ALS) Paramedic services on its First Responder units to enhance the emergency medical services provided to the residents of Dublin; and WHEREAS, at its May 5, 2009, meeting, the City Council agreed to extend the existing FRALS Agreement until June 30, 2011, which reimburses the City of Dublin for providing four (4) first responder units; and WHEREAS, in order to ensure continuous emergency 911 services to residents and to allow the City of Dublin and the County of Alameda to have adequate time to develop a new FRALS agreement, the City and County wish to enter into a Letter of Agreement extending the current FRALS agreement until October 31, 2011 or until the date a new agreement is executed by both the City and County . NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Dublin hereby approves the Letter of Agreement for continued First Responder Advanced Life Support (FRALS) Services (attached as Exhibit A), and authorizes the City Manager to sign said Letter of Agreement. PASSED, APPROVED AND ADOPTED this 7th day of June, 2011. AYES: NOES: ABSENT: ABSTAIN: ATTEST: ~ City Clerk Mayor G:\ChrisWlameda County Fire\Resolution FRALS May 2011.doc 1654590.1 _ 1 _ AITACI~YIFJIIT 3