SY2010 11/18/2009 (07/01/09 to 12/31/09)
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
December 2, 2009
TO:
Lourdes Francis, Transportationof {jJ
Isabel C. DeSantis, D. C. ~
FROM:
At the November 18,2009, Board of County Commissioners' meeting the Board granted
approval and authorized execution of a Contract between Monroe County and the Community
Transportation Coordinator/Guidance Clinic of the Middle Keys for the 6 month contract July 1,
2009 through December 31, 2009. Note that the Contract is 6 months to coincide with the CTC's
Contract with the Commission for the Transportation Disadvantaged.
Enclosed are two fully-executed duplicate originals of the above-mentioned for your
handling. Should you have any questions, please do not hesitate to contact our office.
cc: County Attorney
Finance
File
Effective:
07/01/09 to 12/31/09
STATE OF FLORIDA
COMMISSION FOR THE TRANSPORTATION DISADVANTAGED
STANDARD COORDINATION/OPERATOR CONTRACT
THIS CONTRACT is entered into between the COMMUNITY TRANSPORTATION COORDINATOR,
THE GUIDANCE CLINIC OF THE MIDDLE KEYS, designated pursuant to Chapter 427, F.S., to
serve the transportation disadvantaged for the community that includes the entire area of MONROE
County, and hereinafter referred to as the "Coordinator" and MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS, hereinafter referred to as the "Agency/Operator". The terms and
conditions of this Contract are effective Julv 1, 2009, and will continue through
December 31, 2009.
WHEREAS, the Coordinator is required, under Rule 41-2.011, F.A.C., when cost effective and
efficient, to enter into contract with a transportation Agency/Operator to provide transportation
services; and
~HEREAS, transportation disadvantaged funds includes any local government, state or federal
fLinds that are for the transportation of transportation disadvantaged; and
WHEREAS, the Coordinator desires to contract with the Agency/Operator for the provision of
transportation services for the transportation disadvantaged; and
WHEREAS, the Coordinator believes it to be in the public interest to provide such transportation
services through the Agency/Operator for the residents of the service area who are clients of the
Agency/Operator; and
WHEREAS, the Agency/Operator will provide the Coordinator the opportunity to develop a proposal
for any new transportation services needed; and
WHEREAS, the Agency/Operator, in an effort to coordinate available resources, will make available
transportation services to the Coordinator.
WHEREAS, this Contract allows for the provisions of transportation services be provided by the
Agency/Operator, in accordance with Chapter 427, F.S., Rule 41-2, F.A.C., and the most current
Community Transportation Coordinator policies.
NOW, THEREFORE, in consideration of the mutual covenants, promises and representations herein,
the parties agree as follows:
THE AGENCY/OPERATOR SHALL:
A. Provide services and vehicles according to the conditions specified in Attachment I.
B. Coordinate available resources and make available transportation services to the Coordinator.
Such services shall be provided in accordance with Attachment I. This contract currently
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excludes the coordination of Medicaid trips. A separate Medicaid transportation contract will
be negotiated.
C. Every three (3) months, submit to the Coordinator a Quarterly Year to Date Operating Report
(from the Annual Operating Report) detailing demographic, operational and financial data
regarding coordination activities in the designated service area. The reported data will include
information regarding all transportation provided by the Agency/Operator (including but not
limited to CTC, Medicaid...) The report shall be prepared on forms provided by the
Commission for the Transportation Disadvantaged, hereinafter Commission, and according to
the instructions for the forms.
D.
Comp~y..with a~.dit and record keeping requirements by:
I,/J i j I
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1.: iOtilizing the Commission recognized Chart of Accounts defined in the Transportation
Accountir1o Consortium Model Uniform Accountino System for Rural and Sp~cialized
'Transportation Providers (uniform accounting system) for al'l trarlsp'C>,rtatiO'nw:) >,,,,-;",ori
, 'd',sadvantaged accounting and reporting purposes. Agencies/Operators:WifH ~)(t~t1l)g .
:.' ". .', . .;, , ',' '. .' .." .'~ " , - , ,": ". 4. ~} ", . : ' '" . :'. " '.. ";"" "',
,; 1 "a~nbd e'quivalent a~counting systems are not required to adopt th~iChart of Accd'unts.'~in>'
lfeu of the'ir existing Chart of Accounts but shall prepare all reports, invoiqes.; and fiscal
. documents relating to the transportation disadvantaged functions and activities using
:ttl'e chart of accounts and accounting definitions as outlined in the above referenced
manual.
2. Maintaining and filing with the Coordinator such progres,s, fis9a[l, .inv~ntory .and other)
reports as the Coordinator may require during the period of this contract.
3. By reserving to the Coordinator, the right to conduct finance ~ndcompliancte,a~djts~t
any time. Such audits conducted by the Coordinator will be at the expense of the '
Coordinator.
E. Ret~i'n all financial records, supporting documents, statistical records, and any other
do~uments pertinent to this Agreement for a period of five (5) years after termination of this
Agreement. If an audit has been initiated and audit findings have not been resolved at the end
of the five- (5) years, the records shall be retained until resolution of the audit findings. The
Agency/Operator shall assure that these records shall be subject to inspection, review, or~udit
at ai-I reasonable times by persons duly authorized by the Coordinator or Commission,or tHi.s
Agreement. The Commission and the Coordinator shall have full access to and the right to
examine any of the records and documents during the retention period.
F. Comply with Safety Requirements by:
1 .
Complying with Section 341.061, F.S., and Rule 14-90, F.A.C., concerning System
Safety or complying with Chapter 234.051, F.S., regarding school bus safety
requirements for those services provided through a school board;
2.
Assuring compliance with local, state, and federal laws, and Commission policies
relating to drug testing, and;
3.
Complying with Coordinator's System Safety Program Plan (SSPP) for designated
service area.
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G. Comply with Commission insurance requirements by maintaining at least minimum liability
insurance coverage in the amount of $100,000 for anyone person and $200,000 per
occurrence at all times during the existence of this Contract. In the event of any cancellation or
changes in the limits of liability in the insurance policy, the insurance agent or broker shall
notify the Coordinator. The Agency/Operator shall furnish the Coordinator written verification
of the existence of such insurance coverage prior to the execution of this Contract or proof of a
self-insurance program operated by the Agency/Operator. School board vehicle insurance
coverage shall be in accordance with Section 234.03, F.S. and 234.211, F.S.
H. Safeguard information by not using or disclosing any information concerning a user of services
under this Agreement for any purpose not in conformity with the local, state and federal
regLJ'~tions, in~luding but not limited to 45 CFR, Part 205.50, except,upo,n order of a court of
competent jurisd'icti'on,' written consent of the recipient, or his/h:er respqnsiple parent; or
guardian when authorized by law. '. .., . .
I. Pr~~'qtC'ivil Ri~htsby:
, ': "," i '. ;
t.', ,'Corn'plyiAg With TitleVI of the Civil Rights Act of 1964', and '~~cf(()~50:4' bfthev
;';ii!r:~eHab~litatioh Act of 1973, as amended. The AgencY/Op~ratc)r;~iV~s'this as~urarice in
~'.;~ :";;:'~"~':con'sideration of and for the purpose of obtaining fed'eral grants, 'loans, contracts
(except contracts of insurance or guaranty), property, discounts, or other federal
ffnancial assistance to programs or activities receiving or benefiting from federal
financial' assistance and agreeing to complete a Civil Rights Compliance Questionnaire
if so require.d by the Coordinator. Agency/Operator shall also assure compliance with:
f.
g.
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a.
Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C. 2000d ,at >~eq",,;
which prohibits discrimination on the basis of race, color" or, nationCit(),rig,i;nin
programs and activities receiving or benefiting from fed~r~1 f;na,n,cl~1 a~~i$t~~?'~i'
Section 504 of the Rehabilitation Act of 1973, as amended, 29, U.S:C'.794, whi6h
prohibits discrimination on the basis of disability in programs and activities
receiving or benefiting from federal financial as'sistance.
b.
c.
Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et
seq., which prohibits discrimination on the basis of sex in education programs
and activities receiving or benefiting from federal financial assistance.
d.
The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 at seq.,which
prohibits discrimination on the basis of age in programs or activities receiving or
benefiting from federal financial assistance. '
e.
The Omnibus Budget Reconciliation Act of 1981, P. L. 97-35, which prohibits
discrimination on the basis of sex and religion in programs and activities
receiving or benefiting from federal financial assistance.
All regulations, guidelines, and standards lawfully adopted under the above
statutes.
The Americans with Disabilities Act of 1990, as it may be amended from time to
time.
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2. Agreeing that compliance with this assurance constitutes a condition of continued
receipt of or benefit from federal financial assistance, and that it is binding upon the
Agency/Operator, its successors, subcontractors, transferees, and assignees for the
period during which such assistance is provided. Assuring that operators,
subcontractors, subgrantees, or others with whom the Coordinator arranges to provide
services or benefits to participants or employees in connection with any of its programs
and activities are not discriminating against those participants or employees in violation
of the above statutes, regulations, guidelines, and standards. In the event of failure to
comply, the Agency/Operator agrees that the Coordinator may, at its discretion, seek a
court order requiring compliance with the terms of this assurance or seek other
appropriate judicial or administrative relief, to include assistance being terminated and
f~~h~r as~istance being denied.
J. The Ag'ency/Operator agrees to indemnify and hold the Coorclinator 'harmless for all 'claims,
cost (iri"c'luding legal fees), and expenses associated with the"services provid'ed under this
contra6farisin'g' o'ut of the negligent acts of the Agency/Operator. .,'
K
Complywith ~II ~tandards and performance requirements9fthe:
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1.
The COrTunission for the Transportation Disadvantaged [ Att~chment il ']; ;'
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2. The local Coordinating Board approved Transportation Disadvantaged Service Plan
and;
3. Any entities that purchase service.
Failure to meet the requirements or obligations set forth in this Contract, and performance
requirements established and monitored by the Coordinating Board in the approved
Transportation Disadvantaged Service Plan shall be due cause for non-payment of .
reimbur~ement invoices until such deficiencies have been addresseq, or corrected to' the, ..,
satisfaction of the Coordinator.
L. Provide Corrective Action. A corrective action notice is a written notice to the Agency/Operator
that the Agency/Operator is in breach of certain provisions of this Contract and that correction
is required. Any corrective action notice will specify a reasonable time for corrective action to
be completed. The Agency/Operator agrees to implement the Corrective Action specified in
the notice and provide written documentation to substantiate the implementation of the
Corrective Action.
M. All contracts, subcontracts, coordination contracts will be reviewed annually by the Coordinator
and local Coordinating Board for conformance with the requirements of this Contract.
N. Return to the Coordinator any overpayments due to unearned funds or funds disallowed
pursuant to the terms of this Contract that were disbursed to the Agency/Operator by the
Coordinator. The Agency/Operator shall return any overpayment within thirty (30) calendar
days after either discovery by the Agency/Operator, or notification of the Agency/Operator by
the Coordinator or entity purchasing transportation, whichever is earlier. In the event that the
Coordinator first discovers an overpayment has been made, the Coordinator will notify the
Agency/Operator by letter of such a finding. Should repayment not be made in a timely
manner, the Coordinator or purchasing entity will charge interest after thirty (30) calendar days
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after the date of notification or discovery, or the Coordinator will deduct said amount from
future invoices.
O. In performing this Contract, the Agency/Operator shall not discriminate against any employee
or applicant for employment because of race, age, disability, creed, color, sex or national
origin. Such action shall include, but not be limited to, the following: employment upgrading,
demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay
or other forms of compensation; and selection for training, including apprenticeship. The
Agency/Operator shall insert the foregoing provision modified only to show the particular
contractual relationship in all its contracts in connection with the development of operation of
the Contract, except contracts for the standard commercial supplies or raw materials, and
shall, require all such, contractors to insert a simi,lar provision insubcor"1tracts relating to the
pefforrnance of this Contract, except subconfractsforst~hda'rd com'mercial supplies or raw
materials. The Agency/Operator shall post, in conspicuous places available to employees
anda,ppli~a,nts for ,emplC?yment for Project w~rk, notices setting forth the provisions of the
nondiscrimination clause.
P. By' execution of this Contract, the Agehcy/OperClto~ represents th~tit ~as not paid and, al$o, '
agre'~s~ not to' pay, 'any bonus or commissib,n for th'e :purpose of obtahlin~i an'a'pr)ro\taf..pf'i{s' '
appfi6atk~nf6r the financing hereunder:' Funds disbursed, ~o' the Agency/Operator' 'uhderthis
c6ntract "sllall not be expended for'th'e purpose of 10b'bying:tt1e< Le~islafure\~' tHe jud'rJcial branch,
or a 'stat~ agency.
THE COORDI,NA TOR SHALL:
A. Recognize the Agency/Operator as described in Chapter 427, F.S., and Rule 41-2, F.A.C.
B. Insure that entities with transportation disadvantaged funds wi,lI purchase Transportation
Disadvantaged services through the coordinated system.
C. At a, minimum, annually monitor the Agency/Operator for insurance, safety and re,p,ort,ing
requirements, pursuant to Chapter 427, F.S., and Rule 4,1-2" F.A.C. , The information . ..
contained in the Annual Operating Report must be collected, at a minimum,quarferly from the
Agency/Operator.
THE OPERATOR AND COORDINATOR FURTHER AGREE:
A. Nothing in the Contract shall require the Coordinator to observe or enforce compliance with
any provision thereof, perform any other act or do any other thing in contravention of any
applicable state law. If any provision of the Contract is found by a court of law to violate any
applicable state law, the purchasing entity will at once notify the Coordinator in writing in order
that appropriate changes and modification may be made by the Coordinator and the
Agency/Operator to the end that the Agency/Operator may proceed as soon as possi'ble with
the provision of transportation services.
B. If any part or provision of this Contract is held invalid; the remainder of this Contract shall be
binding on the parties hereto.
C. Termination Conditions:
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1. Termination at Will - This Contract may be terminated by either party upon no less than
thirty (30) days notice, without cause. Said notice shall be delivered by certified mail,
return receipt required, or in person with proof of delivery.
2. Termination due to Lack of Designation - In the event that the Coordinator so
designated by the local Coordinating Board and approved by the Commission, loses its
designation, this contract is terminated immediately upon notification to the
Agency/Operator. Notice shall be delivered by certified mail, return receipt requested,
or in person, with proof of delivery. Notice shall be effective upon receipt.
3. Termination due to Disapproval of Memorandum of Agreement - In the event that the
Commission does not accept and approve any contracted transportation rates listed
within the Memorandum of Agreement, this Contract. is terminated immediately upon
notification to the Agency/Operator. Notice shall be de'livered by certified mail, return
receipt requested, or in person, with proof of delivery. Notice shall be effective upon
receipt.
4. Termination due to Lack of Funds - In the event funds to finance this contract become
unavailable, the Coordinator may terr:ninate the contract with no less than twenty-four
(24) hours written notice to the Agency/Operator. Noti,<?e s,hall be 'delivered by certified
mail, return receipt requested, or in person, with proof of delivery. Notice shall be
effective upon receipt. The Coordinator shall be the final authority as to the availability
of funds.
5. Termination for Breach - Unless the Agency/Operator's breach is waived by the
Coordinator in writing, the Coordinator may, by written notice to the Agency/Operator,
terminate this Contract upon no less than twenty-four (24) hours notice. Notice shall be
delivered by certified mail, return receipt requested, or in person with proof of delivery.
Waiver by the Coordinator of breach of any provision of this Contract shall not be
deemed to be a waiver of any other breach and shall not be construed to be a
modification of the terms of this Contract, and shall not act as a waiver or estoppel to
enforcement of any provision of this Contract. The provisions herein do not limit the
Coordinator's right to remedies at law or to damages.
6. Upon receipt of a notice of termination of this Contract for any reason, the
Agency/Operator shall cease service and prepare all final reports and documents
required by the terms of this Contract. A final invoice shall be sent to the Coordinator
within thirty (30) days after the termination of this Contract.
7. The Coordinator shall pay all bills within 7 days to the Agency/Operator after receipt of
said payment by the CTD. Nonpayment to the Agency/Operator shall be a breach for
which Agency/Operator may give 24-hour notice of termination of the contract.
D. Renegotiations or Modifications of this Contract shall only be valid when they have been
reduced to writing, duly approved by the Coordinator, and signed by both parties hereto.
E. Agency/Operator shall assign no portion of this Contract without the prior written consent of
the Coordinator.
F. This Contract is the entire agreement between the parties.
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G. Attachments I and II are an integral part of the Contract and are hereby incorporated by
reference into this Contract. All subsequent attachments are of an optional nature.
H. Notice and Contact:
The name and address of the contract manager for the Coordinator for this Contract is:
Maureen Grynewicz
Guidance Clinic of the Middle Keys
3000 41 st Street, Ocean
Marathon, FL 33050
The representative/position of the Agency/Operator responsible for administration of the
program under this contract is:
Administrator, Transportation
Monroe County Transportation
11 00 Simonton Street
Key West, Florida 33040
In the.event that different representatives are designated by either party after execution of this
Contract, notice of the name and address of the new representative will be rendered in writing
to the other party and said notification attached to originals of this Contract.
This contract and its attachments contain all the terms and conditions agreed upon by the parties
hereto.
WITNESS WHEREOF, the parties hereto have caused these presents to be executed.
AGENCY/OPERATOR:
MONROE COUNTY ATTORNEY
d!P.RO'tJtD AS TO FORM:
A-{;;;, f OJ/1H--~"'d~d\
CHRISTINE M. LIMBERT-BARROWS
ASSISTANT COUNTY ATTORNEY
Date 111;{ I/)q
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08/09
COMMUNITY TRANSPORTATIO:N 0
COORDINATOR ~(")~
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Guidance Clinic of the Middle K~~~
[ Coordinator Name] :.s=.ct
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Maureen Grynewicz ;2] ~
Typed/Printed Name of Authorized
Individual
06/24/09
Date
Transportation Director
Title
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~~1: DANNY L. K~; -1-;'.,,)
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BY OEP\JTV CLERK
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ATTACHMENT I
AGENCY/OPERATOR CONTRACT
SERVICE DESCRIPTION
1. The Agency/Operator will be able to provide: (type of service)
Ambulatory and wheelchair service, paratransit
2. The Agency/Operator will be available to provid~ transportation (schedule)
3. Days Agency/Operator will not be able to provide services:
Service will not be provided on Saturday and Sunday or County holidays
4. Vehicles Agency/Operator will use to transport all passengers(fleet list- if list does not fit
in this section, please attach a sep~rate sheet - please also include number of seats and wlc
capacity)
5. Vehicle/Equipment Standards
Air Conditioning, first aid kit, fire extinguisher, warning triangles, 2 way radios
6. Driver Requirements
License. type depended on FL DOT requirements, 3 year clean driving record, CPR & First Aid,
HIV training, Physicals, Defensive Driving, Drug Screening (see FAG 41-90 and requirements
illustrated throughout contract)
7. Training
Current CPR and First Aid certification, HIV/AIDS, Defensive Driving, Pre-employment and
biennial driver physicals, ADA training (see FAG 41-90 and requirements illustrated throughout
contract)
8. Reporting Requirements
Quarterly Operating Reports, documenting all trips provided, Annual Review (conducted by
CTC)
9. Agency/Operator fare structure
$3.00 per one way trip, plus $1.28 per mile per one way trip.
Trips will be reimbursed on a priority of need basis. The priority structure will be as follows:
1st Priority - Medical (Medical reasons include trips to treatment, the doctor,
dentist, chiropractor, the hospital and to purchase prescriptions.)
2nd Priority - School/Day Care
3rd Priority - Other (Other includes transport for the purpose of conducting personal
business. - i.e. shopping, going to the bank...)
10. Billing/Invoicing and Reimbursement procedure for Agency/Operator
Monthly invoices, due by the 15th of the month
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ATTACHMENT II
The Commission for the Transportation Disadvantaged
Standards and Performance Requirements
Pursuant to Rule 41-2.006, Florida Administrative Code, the Community Transportation Coordinator
and any Transportation Operator/Agency from whom service is purchased or arranged by the
Community Transportation Coordinator shall adhere to Commission approved standards. These
standards shall include:
(a) Drug and alcohol testing for safety sensitive job positions within the coordinated system
regarding pre-employment, randomization, post-accident, and reasonable suspicion as
required by the Federal Highway Administration and the Federal Transit Administration;
(b) An escort of a passenger and dependent children are to be transported as locally negotiated
and identified in the local Transportation Disadvantaged Service Plan;
(c) Child restraint devices shall be determined locally as to their "use, responsibility, and cost of
such device in the local Transportation Disadvantaged Service Plan;
(d) Passenger property that can be carried by the passenger and/or driver in one trip and can be
safely be stowed on the vehicle, shall be allowed to be transported with the passenger at no
additional charge. Additional requirements may be negotiated for carrying and loading rider
property beyond this amount. Passenger property does not include wheelchairs, child seats,
stretchers, secured oxygen, personal assistive devices, or intravenous devices;
(e) Vehicle transfer points shall provide shelter, security and safety of passengers;
(f) A local toll free phone number for complaints or grievances shall be posted inside the vehicle.
The local complaint process shall be outlined as a section in the local Transportation
Disadvantaged Service Plan including, advising the dissatisfied person about the
Commission's Ombudsman Program as a step within the process as approved by the Local
Coordinating Board;
(g) Out of service area trips shall be provided when determined locally and approved by the local
Coordinating Board, except in instances where local ordinances prohibit such trips;
(h) Interior of all vehicles shall be free from dirt, grime, oil, trash, torn upholstery, damaged or
broken seats, protruding metal or other objects or materials which could soil items placed in
the vehicle or provide discomfort for the passenger;
(i) Billing requirements of the Community Transportation Coordinator to subcontractors shall be
determined locally by the local Coordinating Board and provided in the local Transportation
Disadvantaged Service Plan. All bills shall be paid within 15 calendar days to subcontractors,
after receipt of said payment by the Community Transportation Coordinator, except in
instances where the Community Transportation Coordinator is a non-governmental entity;
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.. ...
0) Passenger/trip database must be maintained or accessible by the Community Transportation
Coordinator on each rider being transported within the system;
(k) Adequate seating for paratransit services shall be provided to each rider and escort, child, or
personal care attendant, and no more passengers than the registered passenger seating
capacity shall be scheduled or transported in a vehicle at any time. For transit services
provided by transit vehicles, adequate seating or standing space will be provided to each rider
and escort, child, or personal care attendant, and no more passengers than the registered
passenger seating or standing capacity shall be scheduled or transported in a vehicle at any
time;
(I) Drivers for paratransit services, includir:tg coordination contractors, shall be required to
announce and identify themselves by 'name and cdmpanY,in'a manner that is conducive to
communications with the s'peciflc'p'a's'sehger,'upon "picku'p:of"'each rider, group of riders, or
representative, guardian, or associate ofth~ rid,er, except ifl situations where the driver
regularl'y transports th'e r'ider. on "a' recurring' t:l'asis. Each ,driver must have photo identification
that is in view of the passenger. :'Namepatctle's, inscriptions or badges that affix to driver
clothing are acceptable. For transit' serVices, the driver photo identification shall be in a
conspicuous location in the vehicle;' '
(m) The paratransit driver shall provide the passenger with boarding assistance, if necessary or
requested, to the seating portion of the vehicle. The boarding assistance shall include
opening the vehicle door, fastening the seat belt or utilization of wheel chair securement
devices, storage of mobility assistive devices, and closing the vehicle door. In certain
paratransit service categories, the driver ,may, also be required to open and close doors to
buildings, except in situations in which assistance in opening/closing building doors would not
be safe for passengers remaining on the v.en,;ele. Assisted access must be in a dignified
manner. Drivers may not assist wheelchair up or down more than one step, unless it can be
performed safely as determined by the passenger, guardian, and driver;
(n) All vehicles ordered or put into service after adoption of this section of the Rule, and providing
service within the coordinated system, shall be equipped with two-way communications in
good working order and be audible to the driver at all times to the base. All vehicles that are
not equipped with two-way communications shall have two years to be in compliance after the
adoption date of this section of the Rule;
(0) All vehicles ordered or put into service after the adoption of this section of the Rule, and
providing service within the coordinated system, shall have working air conditioners and
heaters in each vehicle. Vehicles that do not have a working air conditioner or heater will be
scheduled for repair or replacement as soon as possible. All vehicles that are not equipped
with an air conditioner shall have two years to be in compliance after the adoption date of this
section of the Rule;
(p) First Aid shall be determined locally and provided in the local Transportation Disadvantaged
Service Plan; and
(q) Cardiopulmonary Resuscitation shall be determined locally and provided in the local
Transportation Disadvantaged Service Plan.
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