HomeMy WebLinkAboutContract i
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Public Health
Seattle & King County till
King County Contract No. EMS3342
Federal Taxpayer ID No. 91-6001271
This form is available in alternate formats for people with disabilities upon request.
KING COUNTY CONTRACT FOR EMERGENCY MEDICAL SERVICES
THIS CONTRACT is entered into by KING COUNTY (the "County"), and City of Renton Fire &
Emergency Services Dept (the "Contractor"), whose address is 1055 South Grady Way, 6th Fl, Renton,
WA 98057. The County department overseeing the work to be performed in this Contract is
the Seattle-King County Department of Public Health (aka, Public Health - Seattle & King County,
"PHSKC").
Contract Summary
PHSKC Division: Emergency Medical Services
Project Title: Basic Life Support Services
Contract Amount: $1,212,395.00
Contract Start Date: January 1, 2014 Contract End Date: December 31, 2019
WHEREAS, the County has been advised that the funding source for this Contract is the EMS Real
Property Tax Levy,
and
WHEREAS, the County desires to have certain services performed by the Contractor as described in this
Contract, and as authorized by the Annual Budgets of the Contract Period.
NOW THEREFORE, in consideration of payments, covenants, and agreements hereinafter mentioned,
to be made and performed by the parties hereto, the parties covenant and do mutually agree as follows:
I Incorporation of Exhibits
The Contractor shall provide services and comply with the requirements set forth in the following
attached exhibits, which are incorporated herein by reference:
A. Program Exhibits and Requirements
• Exhibit A: Scope of Work
• Exhibit B: Budget
• Exhibit C: Invoice
B. King County Required Forms
• Exhibit D: Certificate of Insurance and Additional Insured Endorsement
II Term and Termination
A This Contract shall commence on January 1, 2014, and shall terminate on December 31, 2019,
unless extended or terminated earlier, pursuant to the terms and conditions of the Contract.
B This Contract may be terminated by King County without cause, in whole or in part, prior to the
date specified in Subsection II.A. above, by providing the other party thirty (30) days advance
written notice of the termination.
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C This Contract may be terminated by the Contractor without cause, in whole or in part, prior to the
date specified in Subsection II.A. above, by providing King County six (6) months advanced written
notice of termination.
D The County may terminate this Contract, in whole or in part, upon seven (7) days advance written
notice in the event: (1)the Contractor materially breaches any duty, obligation, or service required
pursuant to this Contract, or(2)the duties, obligations, or services required herein become
impossible, illegal, or not feasible.
If the Contract is terminated by the County pursuant to this Subsection II.D. (1), the Contractor
shall be liable for damages, including any additional costs of procurement of similar services from
another source.
If the termination results from acts or omissions of the Contractor, including but not limited to
misappropriation, nonperformance of required services, or fiscal mismanagement, the Contractor
shall return to the County immediately any funds, misappropriated or unexpended, which have
been paid to the Contractor by the County.
E If County or other expected or actual funding is withdrawn, reduced, or limited in any way prior to
the termination date set forth above in Subsection II.A., the County may, upon written notification
to the Contractor, terminate this Contract in whole or in part.
If the Contract is terminated as provided in this Subsection: (1) the County will be liable only for
payment in accordance with the terms of this Contract for services rendered prior to the effective
date of termination; and (2) the Contractor shall be released from any obligation to provide such
further services pursuant to the Contract as are affected by the termination.
Funding or obligation under this Contract beyond the current appropriation year is conditional upon
appropriation by the County Council of sufficient funds to support the activities described in the
Contract. Should such appropriation not be approved, this Contract will terminate at the close of
the current appropriation year.
F Nothing herein shall limit, waive, or extinguish any right or remedy provided by this Contract or law
that either party may have in the event that the obligations, terms, and conditions set forth in this
Contract are breached by the other party.
III Compensation and Method of Payment
A The total contract compensation shall be determined annually by King County. The amount
allocated for the first year shall be One Million Two Hundred and Twelve Thousand Three
Hundred Ninety Five Dollars and Zero Cents. Subsequent allocations shall be determined by the
County consistent with the following allocation method.
1 As identified in the EMS 2014-2019 Strategic Plan, each paramedic contractor's annual ALS
allocation is determined by multiplying the number of operating medic units both by the
operating allocation and the equipment allocation. These combined amounts equate to the
standard unit allocation and is inflated yearly by a compound inflator. In addition, the
County may add to the ALS provider's annual allocation an amount not to exceed the ALS
provider's fund balance from the prior year.
2 As identified in the EMS 2014-2019 Strategic Plan, each BLS contractor's annual BLS
allocation is determined by adding the proportion of the total increase, 50% based on
assessed valuation and 50% based on call volumes, to the previous year's allocation.
B The County shall reimburse the Contractor for satisfactory completion of the services and
requirements specified in this Contract, payable in the following manner:
Upon receipt and approval by the County of a signed invoice as set forth in Exhibit C that complies
with the budget in Exhibit B. The Contractor may bill up to the full amount of the annual allocation
at any time during the specified Contract year if it can certify and document that its total
expenditures have equaled or exceeded the full amount of the annual contract.
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C The Contractor shall submit an invoice, and all accompanying reports if applicable, as specified in
the attached exhibits not more than 60 working days after the close of each indicated reporting
period. The County shall make payment to the Contractor upon receipt of approved invoice, and
the Contractor will be exempt from the County's net 30 day reimbursement policy.
D The Contractor shall submit its final invoice and all outstanding reports within 60 days of the date
this Contract terminates and their Year End Report within 90 days. If the Contractor's final invoice
and reports are not submitted by the day specified in this subsection, the County will be relieved of
all liability for payment to the Contractor of the amounts set forth in said invoice or any subsequent
invoice.
E When a budget is attached hereto as an exhibit, the Contractor must apply the funds received from
the County under this Contract in accordance with said budget. The contract may contain
separate budgets for separate program components. The Contractor shall request prior approval
from the County for an amendment to this Contract when the cumulative amount of transfers
among the budget categories is expected to exceed 10% of the Contract amount in any Contract
budget. Supporting documents necessary to explain fully the nature and purpose of the
amendment must accompany each request for an amendment.
F If travel costs are contained in the attached budget, reimbursement of Contractor travel, lodging,
and meal expenses are limited to the eligible costs based on the following rates and criteria.
1 The mileage rate allowed by King County shall not exceed the current Internal Revenue
Service (IRS) rates per mile as allowed for business related travel. The IRS mileage rate
shall be paid for the operation, maintenance and depreciation of individually owned vehicles
for that time which the vehicle is used during work hours. Parking shall be the actual cost.
When rental vehicles are authorized, government rates shall be requested. If the Contractor
does not request government rates, the Contractor shall be personally responsible for the
difference. Please reference the federal web site for current rates: http://www.gsa.gov.
2 Reimbursement for meals shall be limited to the per diem rates established by federal travel
requisitions for the host city in the Code of Federal Regulations, 41 CFR § 301, App.A.
Please reference http://www.gsa.gov for the current host city per diem rates.
3 Accommodation rates shall not exceed the federal lodging limit plus host city taxes. The
Contractor shall always request government rates.
4 Air travel shall be by coach class at the lowest possible price available at the time the
County requests a particular trip. In general, a trip is associated with a particular work activity
of limited duration and only one round-trip ticket, per person, shall be billed per trip.
IV Internal Control and Accounting System
The Contractor shall establish and maintain a system of accounting and internal controls which complies
with applicable, generally accepted government accounting standards (GAGAS).
V Debarment and Suspension Certification
Agencies receiving federal funds that are debarred, suspended, or proposed for debarment are excluded
from contracting with the County. The Contractor, by signature to this Contract, certifies that the
Contractor is not presently debarred, suspended, or proposed for debarment by any Federal department
or agency. The Contractor also agrees that it will not enter into a subcontract with a contractor that is
debarred, suspended, or proposed for debarment. The Contractor agrees to notify King County in the
event it, or a subcontractor, is debarred, suspended, or proposed for debarment by any Federal
department or agency. For more information on suspension and debarment, see Federal Acquisition
Regulation 9.4.
VI Maintenance of Records/Evaluations and Inspections
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A The Contractor shall maintain accounts and records, including personnel, property, financial, and
programmatic records and other such records as may be deemed necessary by the County to
ensure proper accounting for all Contract funds and compliance with this Contract.
B In accordance with the nondiscrimination and equal employment opportunity requirements set forth
in Section XIV. below, the Contractor shall maintain the following:
1 Records of employment, employment advertisements, application forms, and other pertinent
data, records and information related to employment, applications for employment or the
administration or delivery of services or any other benefits under this Contract; and
2 Records, including written quotes, bids, estimates or proposals submitted to the Contractor
by all businesses seeking to participate on this Contract, and any other information
necessary to document the actual use of and payments to subcontractors and suppliers in
this Contract, including employment records.
The County may visit, at any mutually agreeable time, the site of the work and the Contractor's
office to review the foregoing records. The Contractor shall provide every assistance requested by
the County during such visits. In all other respects, the Contractor shall make the foregoing
records available to the County for inspection and copying upon request.
Except as provided in Section VII of this Contract, the records listed in A and B above shall be
maintained for a period of six (6) years after termination hereof unless permission to destroy them
is granted by the Office of the Archivist in accordance with Revised Code of Washington (RCW)
Chapter 40.14.
C Medical records shall be maintained and preserved by the Contractor in accordance with state and
federal medical records statutes, including but not limited to RCW 70.41.190, 70.02.160, and
standard medical records practice. If the Contractor ceases operations under this Contract, the
Contractor shall be responsible for the disposition and maintenance of such medical records.
D The Contractor agrees to cooperate with the County or its agent in the evaluation of the
Contractor's performance under this Contract and to make available all information reasonably
required by any such evaluation process. The results and records of said evaluations shall be
maintained and disclosed in accordance with RCW Chapter 42.56.
E The Contractor agrees that all information, records, and data collected in connection with this
Contract shall be protected from unauthorized disclosure in accordance with applicable state and
federal law.
VII Compliance with the Health Insurance Portability Accountability Act of 1996 (HIPAA)
The Contractor shall not use protected health information created or shared under this Contract in any
manner that would constitue a violation of HIPAA and any regulations enacted pursuant to its provisions.
Contractor shall read and certify compliance with all HIPAA requirements at
http://www.kingcounty.gov/healthservices/health/partnerships/contracts
VIII Audits
A If the Contractor or its Subcontractor is a municipal entity or other government institution or
jurisdiction, it shall notify the County in writing within 30 days of when its annual report of
examination/audit, conducted by the Washington State Auditor, has been completed. In addition,
Contractor shall notify the County in writing for any findings of'material weakness'.
B If the Contractor subcontracts with a for-profit or non-profit, in an amount excess of$100,000 in
funds during its fiscal year from the County, the Contractor shall provide the Subcontractor's fiscal
year financial year financial statement prepared by an independent Certified Public Accountant or
Accounting Firm within six(6) months subsequent to the close of the Subontractor's fiscal year.
C Additional audit or review requirements which may be imposed on the County will be passed on to
the Contractor, and any subcontractor, and the Contractor and subcontractor will be required to
comply with any such requirements.
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IX Corrective Action
Failure to comply with the standards adopted by King County pursuant to Chapter 2.16.080 of the
King County Code or by the King County Medical Program Director(MPD) pursuant to Chapter
18.73 RCW shall be sufficient grounds for notification, remediation, and possible termination of
funding. If the County determines that a breach of contract has occurred, that is, the Contractor
has failed to comply with any terms or conditions of this Contract or the Contractor has failed to
provide in any manner the work or services agreed to herein, and if the County deems said breach
to warrant corrective action, the following sequential procedure will apply:
A The County will notify the Contractor in writing of the nature of the breach;
The Contractor shall respond in writing within three (3) working days of its receipt of such
notification, which response shall indicate the steps being taken to correct the specified
deficiencies. The corrective action plan shall specify the proposed completion date for bringing the
Contract into compliance, which date shall not be more than thirty (30) days from the date of the
Contractor's response, unless the County, at its sole discretion, specifies in writing an extension in
the number of days to complete the corrective actions;
B The County will notify the Contractor in writing of the County's determination as to the sufficiency
of the Contractor's corrective action plan. The determination of sufficiency of the Contractor's
corrective action plan shall be at the sole discretion of the County;
C In the event that the Contractor does not respond within the appropriate time with a corrective
action plan, or the Contractor's corrective action plan is determined by the County to be
insufficient, the County may commence termination of this Contract in whole or in part pursuant to
Section II.C.;
D In addition, the County may withhold any payment owed the Contractor or prohibit the Contractor
from incurring additional obligations of funds until the County is satisfied that corrective action has
been taken or completed; and
E Nothing herein shall be deemed to affect or waive any rights the parties may have pursuant to
Section II. Subsections B, C, D, and E.
X Dispute Resolution
The parties shall use their best, good-faith efforts to cooperatively resolve disputes and problems that
arise in connection with this Contract. Both parties will make a good faith effort to continue without delay
to carry out their respective responsibilities under this Contract while attempting to resolve the dispute
under this section.
XI Hold Harmless and Indemnification
A In providing services under this Contract, the Contractor is an independent Contractor, and neither
it nor its officers, agents, employees, or subcontractors are employees of the County for any
purpose. The Contractor shall be responsible for all federal and/or state tax, industrial insurance,
and Social Security liability that may result from the performance of and compensation for these
services and shall make no claim of career service or civil service rights which may accrue to a
County employee under state or local law.
The County assumes no responsibility for the payment of any compensation, wages, benefits, or
taxes by, or on behalf of the Contractor, its employees, subcontractors and/or others by reason of
this Contract. The Contractor shall protect, indemnify, and save harmless the County, its officers,
agents, and employees from and against any and all claims, costs, and/or losses whatsoever
occurring or resulting from (1) the Contractor's failure to pay any such compensation, wages,
benefits, or taxes, and/or (2) the supplying to the Contractor of work, services, materials, or
supplies by Contractor employees or other suppliers in connection with or support of the
performance of this Contract.
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B The Contractor further agrees that it is financially responsible for and will repay the County all
indicated amounts following an audit exception which occurs due to the negligence, intentional act,
and/or failure, for any reason, to comply with the terms of this Contract by the Contractor, its
officers, employees, agents, or subcontractors. This duty to repay the County shall not be
diminished or extinguished by the prior termination of the Contract pursuant to the Term and
Termination section.
C The Contractor shall defend, indemnify, and hold harmless the County, its officers, employees, and
agents from any and all costs, claims,judgments, and/or awards of damages, arising out of, or in
any way resulting from, the negligent acts or omissions of the Contractor, its officers, employees,
subcontractors and/or agents in its performance or non-performance of its obligations under this
Contract In the event the County incurs any judgment, award, and/or cost arising therefrom
including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs
shall be recoverable from the Contractor.
D The County shall defend, indemnify, and hold harmless the Contractor, its officers, employees, and
agents from any and all costs, claims,judgments, and/or awards of damages, arise out of, or in
any way result from, the negligent acts or omissions of the County, its officers, employees, or
agents in its performance or non-performance of its obligations under this Contract. In the event
the Contractor incurs any judgment, award, and/or cost arising therefrom including attorneys' fees
to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable
from the County.
E Claims shall include, but not be limited to, assertions that use or transfer of software, books,
document, report, film, tape, or sound reproduction or material of any kind, delivered hereunder,
constitutes an infringement of any copyright, patent, trademark, trade name , and/or otherwise
results in unfair trade practice.
F Nothing contained within this provision shall affect and/or alter the application of any other
provision contained within this Contract.
G The indemnification, protection, defense and save harmless obligations contained herein shall
survive the expiration, abandonment or termination of this Agreement.
XII Insurance Requirements
A By the date of execution of this Contract, the Contractor shall procure and maintain for the duration
of this Contract, insurance against claims for injuries to persons or damages to property which may
arise from, or in connection with, the performance of work hereunder by the Contractor, its agents,
representatives, employees, and/or subcontractors. The costs of such insurance shall be paid by
the Contractor or subcontractor. The Contractor may furnish separate certificates of insurance and
policy endorsements for each subcontractor as evidence of compliance with the insurance
requirements of this Contract. The Contractor is responsible for ensuring compliance with all of
the insurance requirements stated herein. Failure by the Contractor, its agents, employees,
officers, subcontractors, providers, and/or provider subcontractors to comply with the insurance
requirements stated herein shall constitute a material breach of this Contract. Specific coverages
and requirements are at http://www.kingcounty.gov/healthservices/health/partnerships/contracts;
contractors shall read and provide required insurance documentation prior to the signing of this
Agreement.
XIII Assignment/Subcontracting
A The Contractor shall not assign or subcontract any portion of this Contract or transfer or assign
any claim arising pursuant to this Contract without the written consent of the County. Said consent
must be sought in writing by the Contractor not less than fifteen (15) days prior to the date of any
proposed assignment.
B "Subcontract" shall mean any agreement between the Contractor and a subcontractor or between
subcontractors that is based on this Contract, provided that the term "subcontract" does not
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include the purchase of(1) support services not related to the subject matter of this Contract, or(2)
supplies.
C The Contractor shall include Sections III.D, III.E., IV, V, VI, VII, VIII, XI, XII, XIV, XV, XVI, XVII,
XVIII, XXV, XXVI and XXVII, in every subcontract that relates to the subject matter of this Contract.
D The Contractor agrees to include the following language verbatim in every subcontract, for
services which relate to the subject matter of this Contract:
"Subcontractor shall protect, defend, indemnify, and hold harmless King County, its officers,
employees and agents from any and all costs, claims,judgments, and/or awards of damages
arising out of, or in any way resulting from the negligent act or omissions of subcontractor, its
officers, employees, and/or agents in connection with or in support of this Contract. Subcontractor
expressly agrees and understands that King County is a third party beneficiary to this Contract and
shall have the right to bring an action against subcontractor to enforce the provisions of this
paragraph."
XIV Nondiscrimination and Equal Employment Opportunity
The Contractor shall comply with all applicable federal, state and local laws regarding discrimination,
including those set forth in this Section.
During performance of the Contract, the Contractor agrees that it will not discriminate against any
employee or applicant for employment because of the employee or applicant's sex, race, color, marital
status, national origin, religious affiliation, disability, sexual orientation, gender identity or expression or
age except by minimum age and retirement provisions, unless based upon a bona fide occupational
qualification. The Contractor will make equal employment opportunity efforts to ensure that applicants
and employees are treated, without regard to their sex, race, color, marital status, national origin,
religious affiliation, disability, sexual orientation, gender identity or expression or age. Additional
requirements are at http://www.kingcounty.gov/healthservices/health/partnerships/contracts; contractors
shall read and certify compliance.
XV Conflict of Interest
A The Contractor agrees to comply with applicable provisions of K.C.C. 3.04. Failure to comply with
such requirements shall be a material breach of this contract, and may result in termination of this
Contract pursuant to Section II and subject the Contractor to the remedies stated therein, or
otherwise available to the County at law or in equity.
B The Contractor agrees, pursuant to KCC 3.04.060, that it will not willfully attempt to secure
preferential treatment in its dealings with the County by offering any valuable consideration, thing
of value or gift, whether in the form of services, loan, thing or promise, in any form to any county
official or employee. The Contractor acknowledges that if it is found to have violated the
prohibition found in this paragraph, its current contracts with the county will be cancelled and it
shall not be able to bid on any county contract for a period of two years.
C The Contractor acknowledges that for one year after leaving County employment, a former County
employee may not have a financial or beneficial interest in a contract or grant that was planned,
authorized, or funded by a County action in which the former County employee participated during
County employment. Contractor shall identify at the time of offer current or former County
employees involved in the preparation of proposals or the anticipated performance of Work if
awarded the Contract. Failure to identify current or former County employees involved in this
transaction may result in the County's denying or terminating this Contract. After Contract award,
the Contractor is responsible for notifying the County's Project Manager of current or former
County employees who may become involved in the Contract any time during the term of the
Contract.
XVI Equipment Purchase, Maintenance, and Ownership
A The Contractor agrees that any equipment purchased, in whole or in part, with Contract funds at a
cost of$5,000 per item or more, when the purchase of such equipment is reimbursable as a
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Contract budget item, shall be treated as a capital asset, including tagging. The Contractor shall
be responsible for all such property, including the proper care and maintenance of the equipment.
The Contractor will develop an equipment asset plan showing the use of the equipment allocation
and submit the plan to the EMS Division with the Year-end Report. The plan will provide an
accounting for all equipment allocation funds, all equipment related reserve funds and any other
funds provided by King County related to the equipment plan, include balance information on each
agency's internal reserve fund, accounting for annual contributions and expenses, surplus value
and revenue received from surplusing equipment, and asset liability information. Funds from the
sale equipement must be used to provide services or purchase equipment under this Contract or
returned to the King County EMS Fund. Any unused funds from the equipment allocation must be
reported and returned to the King County EMS Fund.
,B In the event Contractor no longer provides services under a contract with the County, equipment
and the equipment allocation funds/reserves are to be returned to the King County EMS Fund or
transferred to a new Contractor, as determined by the County.
XVII Proprietary Rights
The parties to this Contract hereby mutually agree that if any patentable or copyrightable material or
article should result from the work described herein, all rights accruing from such material or article shall
be the sole property of the party that produces such material or article. If any patentable or
copyrightable material or article should result from the work described herein and is jointly produced by
both parties, all rights accruing from such material or article shall be owned in accordance with US
Patent Law. Each party agrees to and does hereby grant to the other party, irrevocable, nonexclusive,
and royalty-free license to use, according to law, any material or article and use any method that may be
developed as part of the work under this Contract.
The foregoing products license shall not apply to existing training materials, consulting aids, checklists,
and other materials and documents of the Contractor which are modified for use in the performance of
this Contract.
The foregoing provisions of this section shall not apply to existing training materials, consulting aids,
checklists, and other materials and documents of the Contractor that are not modified for use in the
performance of this Contract.
XVIII Political Activity Prohibited
None of the funds, materials, property, or services provided directly or indirectly under this Contract shall
be used for any partisan political activity or to further the election or defeat of any candidate for public
office.
XIX King County Recycled Product Procurement Policy
In accordance with King County Code 18.20, the Contractor shall use recycled paper, and both sides of
sheets of paper whenever practicable, when submitting proposals, reports, and invoices, if paper copies
are required.
XX Future Support
The County makes no commitment to support the services contracted for herein and assumes no
obligation for future support of the activity contracted herein except as expressly set forth in this
Contract.
XXI Entire Contract/Waiver of Default
The parties agree that this Contract is the complete expression of the terms hereto and any oral or
written representations or understandings not incorporated herein are excluded. Both parties recognize
that time is of the essence in the performance of the provisions of this Contract. Waiver of any default
shall not be deemed to be a waiver of any subsequent default. Waiver or breach of any provision of the
Contract shall not be deemed to be a waiver of any other or subsequent breach and shall not be
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construed to be a modification of the terms of the Contract unless stated to be such through written
approval by the County, which shall be attached to the original Contract.
XXII Contract Amendments
Either party may request changes to this Contract. Proposed changes which are mutually agreed upon
shall be incorporated by written amendments to this Contract.
XXIII Notices
Whenever this Contract provides for notice to be provided by one party to another, such notice shall be
in writing and directed to the chief executive office of the Contractor and the project representative of the
County department specified on page one of this Contract. Any time within which a party must take some
action shall be computed from the date that the notice is received by said party.
XXIV Services Provided in Accordance with Law and Rule and Regulation
The Contractor and any subcontractor agree to abide by the laws of the state of Washington, rules and
regulations promulgated thereunder, and regulations of the state and federal governments, as
applicable, which control disposition of funds granted under this Contract, all of which are incorporated
herein by reference.
In the event that there is a conflict between any of the language contained in any exhibit or attachment to
this Contract, the language in the Contract shall have control over the language contained in the exhibit
or the attachment, unless the parties affirmatively agree in writing to the contrary.
XXV Applicable Law
This Contract shall be construed and interpreted in accordance with the laws of the State of Washington.
The venue for any action hereunder shall be in the Superior Court for King County, Washington.
XXVI No Third Party Beneficiaries
Except for the parties to whom this Contract is assigned in compliance with the terms of this Contract,
there are no third party beneficiaries to this Contract, and this Contract shall not impart any rights
enforceable by any person or entity that is not a party hereto.
XXVI I Contractor Certification
By signing this Contract, the Contractor certifies that in addition to agreeing to the terms and conditions
provided herein, the Contractor certifies that it has read and understands the contracting requirements
on the PHSKC website (http://www.kingcounty.gov/health/contracts), and agrees to comply with all of the
contract terms and conditions detailed on that site, including EEO/Nondiscrimination, HIPAA, Insurance,
and Credentialing, as applicable.
IN WITNESS HEREOF, the parties hereby agree to the terms and conditions of this Contract:
KING COUNTY Co tractor Name
FOR
King County xecutive Signature
Denis Law, Mpyor
Date NAME (Please TZ in t
ATTEST : ` Zr 1
I A. #It�, De p t City Clerk
Approved as to Form:
OFFICE OF THE KING COUNTY PROSECUTING ATTORNEY
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Contract# EMS3342
Exhibit A, SCOPE OF WORK
KING COUNTY EMERGENCY MEDICAL SERVICES (EMS)
Basic Life Support(BLS) Services
A. The Contractor shall provide Basic Life Support (BLS) services within their geographic
boundaries consistent with the following requirements, and in other geographic areas
consistent with any mutual aid agreement.
B. BLS services shall comply with the requirements adopted by King County pursuant to
Chapter 2.16.080 of the King County Code or by the King County Medical Program
Director(MPD) pursuant to Chapter 18.73 RCW and shall be consistent with the scope of
work, EMS Strategic Plan, and EMS Policies.
C. Service Requirements: The Contractor shall ensure that BLS services provided under this
Contract are consistent with the following requirements:
I. Personnel: All emergency medical services personnel providing basic life support
services supported by King County funds must be certified as Emergency Medical
Technicians (EMTs) as defined by RCW 18.73. Basic EMT training will be overseen
by the EMS Division and in accordance with Washington state regulations.
II. Continuing Medical Education: EMTs will remain certified as required by WAC
246-976. Continuing Education and proficiency standards will be set by the EMS
Division and the King County MPD. The Contractor must report completion of
education and skill proficiency updates to the EMS Division annually.
III. Medical Standards: The Contractor shall adhere to standards of medical care for the
triage, treatment and transport of patient as authorized by the Medical Program
Director pursuant to RCW 18.73 and 18.71. Standards of medical care are delineated
in the EMS Division training curriculum approved by the Washington State
Department of Health, "Patient Care Guidelines for Basic Life Support."
a. Scope of Practice: Evaluation and treatment activities by EMTs from
agencies not described in the standards of medical care are deemed outside the
scope of practice. Changes or additions to this scope of practice will be issued
periodically by the King County MPD and any revisions shall be incorporated
into this requirement.
b. Patient Confidentiality: Information concerning the evaluation and treatment
of a patient by BLS personnel in the performance of their duties is to be
handled as confidential material, including patient name, medical history,
incident location, or any other confidential information. Confidential medical
information may not be released unless the patient or his/her court-appointed
representative completes and signs an Authorization for Release of
Information form.
c. Equipment:
1. All vehicles used to deliver emergency medical services must meet vehicle
standards as established by the Washington State Department of Health
pursuant to RCW 18.73, unless waived by the State Department of Health
Office of EMS Trauma Prevention Licensing.
Medical equipment used by personnel must meet appropriate federal or state standards or county
protocols.
d. Transportation Policy: The Contractor is responsible for developing a policy
for the transport of patients from the incident scene to the treatment scene.
The decision to transport a patient seen by BLS personnel will be determined
by the patient's medical condition as described in the Basic EMT core
curriculum and any mitigating circumstances. The mode of transport will be
consistent with the patient's medical condition and provide humane, efficient
and expedient care. Transport destinations should be consistent with the State
Trauma System Activation Guidelines.
e. Record Keeping and Record Submission: Patient care records must be
completed as accurately and thoroughly as possible following an incident.
Completed reports must be submitted to the EMS Division within 7 days from
the date of incident. In the case of cardiac arrest events (or other events, such
as research protocols, or as defined by the MPD), notification must be
provided to the EMS Division within 24 hours and completed records within 3
days of the event. Agencies are responsible for retention of the patient care
record per Washington state records retention requirements.
f. Service Modifications: Review and modifications of BLS requirements may
be conducted on a regular basis. BLS services shall be consistent with any
modifications to protocols or procedures as defined by the King County
Medical Program Director.
IV. Mutual Aid Agreements: A specific plan for mutual aid with adjacent BLS and ALS
agencies shall be established and available for review by the EMS Division by
December 31, 2014.
V. Joint EMS Agency Activities: The Contractor may conduct joint non-response
related activities, such as trainings or drills, with King County Medic One.
VI. Quality Improvement Program: The Contractor agrees to actively participate in an
ongoing program of Quality Improvement consistent with the regional standards
established by the King County MPD and the EMS Division. Elements of the
program should include: 1)EMT assessment and oversight, 2) sentinel event and
inquiry, 3) BLS patient care record review, and 4)EMT certification and
recertification maintenance and oversight. The Contractor must have a written
Quality Improvement Plan that specifies the BLS agency's internal quality review
activities and should be available for review by the EMS Division by December 31,
2014.
VII. Performance Measurement and Review: The Contractor agrees to participate in an
ongoing program of regional performance measurement and review. Performance
indicators will be reported by the EMS Division on an annual basis and updated as
needed. Standards for each agency will be monitored in the following major areas:
total call volume and average unit response time. Mitigation activities will be
initiated with agencies if needed.
VIII. Proposed Research and Evaluation Activities: Contractor shall request and receive
prior review and written approval from the King County MPD and the King County
EMS Division Director for any proposed clinical research or evaluation activities
involving personnel, equipment or data supported directly or indirectly by King
County funds. All such clinical research and evaluation must be in compliance with
State, County and local regulations and laws.
IX. Financial Management and Oversight: Contractor shall provide annual budget
information on a form provided by the EMS Division.
X. Emergency Medical Technician (EMT) Training Program: Contractor employees, at
the EMS Division's sole discretion, may participate in the EMS Division's EMT
Training Program (Program)to include the following elements:
a. The EMS Division will provide a letter to the Contractor indicating which
employee(s), if any, have been selected to participate in the Program. The
Contractor must sign and return the letter prior to the commencement of the
Program in order for its employee to participate.
b. Specific Learning Objectives: To provide training and information on basic
State and National Requirements for Emergency Medical Technicians and to
provide clinical observation of acutely ill patients in an emergency room
setting. Students will have the opportunity to observe patients history and
exams,treatments and perform vital signs if applicable.
c. Clinical Observation: The Program includes a 10-hour clinical rotation at
Harborview Medical Center whereby the Contractor employee's primary duty
will be to observe, however they may be called upon to perform the following
activities: Take vital signs, blood pressure, pulse, respiratory rates,
temperatures and other duties as assigned by clinical staff.
d. Ride along: Observe patient care and treatment on a Fire Department Aid car.
Main objective is to observe EMT patient interaction, physical exam, report
writing and hospital staff interaction.
e. The Contractor and the EMS Division will instruct their respective staff and
employees participating in the Program, to maintain confidentiality of patient
information as required by law and by the policies and procedures of the
Contractor and the EMS Division.
tir.►' `ter✓
2014 BLS Allocations
Agency 2014 Amount 2013 Amount % Variance
Bellevue Fire Department $2,061,945 $2,094,983 -1.6%
Eastside Fire & Life Safety $1,416,191 $1,433,949 -1.2%
Redmond Fire Department $943,111 $958,439 -1.6%
Kirkland Fire Department $870,877 $884,645 -1.6%
Kent Fire & Life Safety $1,261,773 $1,282,603 -1.6%
South King Fire & Rescue $1,342,903 $1,361,988 -1.4%
Renton Fire Department $901,567 $916,361 -1.6%
Fire District #25 $104,972 $105,875 -0.9%
Fire District #40 $205,856 $207,662 -0.9%
Mercer Island Fire Department $411,963 $418,019 -1.4%
Woodinville Fire & Life Safety $518,714 $524,965 -1.2%
Valley Regional Fire Authority $760,819 $772,125 -1.5%
Shoreline Fire Department $640,781 $649,851 -1.4%
Fire District #2 (Burien) $408,656 $414,996 -1.5%
Fire District#16 - Northshore $351,604 $356,699 -1.4%
Tukwila Fire Department $392,368 $398,440 -1.5%
Fire District #43 Maple Valley $428,761 $432,822 -0.9%
SeaTac Fire Department $371,186 $376,393 -1.4%
Bothell Fire Department $352,766 $356,068 -0.9%
Fire District#13 - Vashon/Maury $192,174 $194,443 -1.2%
Fire District #44 - Mountain View $299,405 $301,494 -0.7%
City of Black Diamond $54,187 $54,704 -0.9%
Snoqualmie Fire Department $94,244 $96,057 -1.9%
Enumclaw Fire Department $297,342 $299,841 -0.8%
Fire District #45 - Duvall $156,820 $158,317 -0.9%
Fire District #11 - North Highline $434,354 $438,808 -1.0%
Fire District #20 $181,847 $184,111 -1.2%
Fire District#27 $99,628 $100,606 -1.0%
Fire District #47 $23,902 . $24,062 -0.7%
Fire District #50 - Skykomish $44,845 $45,195 -0.8%
Fire District #51 - Snoqualmie Pass $26,325 $26,509 -0.7%
BLS Contracts $15,651,886 1 $15,871,030 -1.4%
Nov. 12. 2013 2:42PM *■rly of Renton Fire Dept *4wo No, 6057 P. 1/1
Contract# EMS 3 3 4 2 EMEGENCY MEDICAL SERVICES FUNDS
Exhibit B, Budget 2014 PROPOSED BUDGET-BASIC LIFE SUPPORT(BLS)SERVICES
Agency Name: Renton Flre&I=mergnecy Services Department
Contact Person: Greg Hartman Title: Deputy Chlef
Address: 1055 S.Grady Way.Renton 98338 Phone: 425-430.7081
BLS ALLOCATION BUDGET FOR 2014 Amount Requested
salaries&Benefits:
EMT salaries $1,212,395
Other Salaries
Overtime
Employee Benefits
Subtotal Employee Salaries&Benefits: $1,212,395
Other Casts:
Medical Supplies&Equipment
Office&Computer Supplies&Equipment
Uniforms,Fire&Safety Supplies
Dispatch
Communications
Vehicle Maintenance
Facility Costs
Training
Misc.
Subtotal Other Costs: $0
Subtotal Capital Costs:
Subtotal Reserves(saved or used): $1,212,395
TOTAL: $1,212,395
ESTIMATED TOTAL SLS ALL FOR 2014 18,0581884.
ESTIMATED'TOTAL ALS ALLOCATION FOR 2014
ESTI ATEb TOTAL FIRE DEPARTMENT BUDGET FOR 2014 $ 19,271,299.00
0TIMATEO TQTAI.REVENUES FOR 2014
BLS Levy Funds: $
ALS Levy Funds:
City or District Funrls: $
User Fees:
Other(Grants,Donations,etc)
Total Revenues: $
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Insurance Authority
P.O. Sk'.;;5so3Q
09-Jan-14 Cert#: 8723
Public Health Seattle &King County
Attn: Allen Cantara lux: 2(.)6-:�'--'4 ",
401. 5th Avenue, Ste, 1300
Seattle, WA 98104
RE: City of Renton
Basic Life Support Services Contract#EMS-33)42
Contract Dates January 1, 2014 - December 3152019
Evidence of Coverage
The above captioned entity is a member of the Washington Cities Insurance Authority
(WCIA), which is a self insured pool of over 150 public entities in the State of
Washington.
WCIA has at least S1 million per occurrence limit of liability coverage in its self
insured layer that may be applicable in the event an incident occurs that is deemed to be
attributed to the negligence of the member.
WCIA was created by an interlocal agreement among public entities and liability is self
fielded by the membership. As there is no insurance policy involved and WCIA is not
an insurance company, your organization cannot be named as an additional insured.
Sincerely,
Eric B. Larson
Deputy Director
cc: Gary.Lamb
Deputy Fire Chief Greg Hartman
cicncr