Item C22
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: November 20. 21. 200 I
Division:
Public Safety
Bulk Item: Yes -L
No
Department: Fire Rescue
AGENDA ITEM WORDING: Approval of Contract Addendum with Key Largo Volunteer
Ambulance Corps, Inc., amending the Volunteer Personnel Reimbursement to increase each volunteer
reimbursement by $50.00.
ITEM BACKGROUND: During the budget process for Fiscal Year 2002, an increase of$50.00 per
eligible volunteer was approved. The new monthly reimbursement allowance will be as follows:
Volunteers: $150.00, and Ambulance Chief: $300.00.
PREVIOUS REVELANT BOCC ACTION: On September 17,1997, the Board approved a new
basic service agreement with Key Largo Volunteer Ambulance Corps, Inc. On March 10, 1999, the
Board approved extending the agreement on a month-to-month basis pending the execution of a new
service agreement.
CONTRACT/AGREEMENT CHANGES: Paragraph I, Term of Agreement: Contract Addendum
shall become effective on October 1,2001, and shall expire on September 30,2002. Paragraph 4:
Volunteer Personnel Reimbursement: Amended to increase each volunteer reimbursement by $50.00.
The new monthly reimbursement allowance will be as follows: V oJunteers: $150.00, and Ambulance
Chief: $300.00.
STAFF RECOMMENDATIONS: Approval as stated above.
TOTAL COST:
Not to exceed budgeted amount.
BUDGETED: Yes -L No
COST TO COUNTY: Not to exceed budgeted amount.
REVENUE PRODUCING: Yes
No-X AMOUNTPERMONTH Year
APPROVED BY: County AttY-1L-
DIVISION DIRECTOR APPROVAL:
DOCUMENTATION:
DISPOSITION:
Included X
To Follow_ Not Required
AGENDA ITEM # ~~,
Revised 2/27/01
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract #
Contract with~ Kev Largo Volunteer Effective Date: 10/1/01
Ambulance Corps. Inc.
Expiration Date:9/30/02
Contract Purpose/Description:Contract Addendum amending the Volunteer Personnel
Reimbursement of Expenses Allowance to increase each volunteer reimbUrsement by $50.00.
Contract Manager:Susan Hover
(Name)
6088
(Ext.)
Fire Rescue
(Department)
for BOcC meeting on 11/20.21/2001
Agenda Deadline: 11/01/2001
CONTRACT COSTS
Total Dollar Value of Contract: $not to exceed Current Year Portion: $not to exceed
budgeted amount. baed amount.
Budgeted? Yes~ No 0 Account Codes: _~cJ6l- 5~O
Grant: $ _-_-_-_
County Match: $ _-_-_-_
- - -
----
ADDITIONAL COSTS
Estimated Ongoing Costs: $_/y For:
(Not included in dollar value above) (eg. maintenance, utilities, ian.itorial, salaries, etc.)
CONTRACT REVIEW
Changes Date Out
9ate In Needed !. I
Division Director II I ' (ZoOI YesO No II 1/ t.;.~1
Risk Management 10 l(o\o\ YesDNo\ '\ \ LJ~ ~~L~~~:-\. [0\ II \ 0\
O.M.B./Purchasing IO{lojO/YesO NoGY' IO/toJd
County Attorney I~tl /1 YesO No (" - r? -c,(
Comments:
OMB Form Revised 9/11/9~ MCP #2
CONTRACT ADDENDUM
THIS CONTRACT ADDENDUM is made and entered into this day of
, 200 I, between the Board of County Commissioners of Monroe County,
Florida, acting as the governing board for the Municipal Services Taxing District 6", hereinafter
referred to as "DISTRICT', and Key Largo Volunteer Ambulance Corps, Inc., hereinafter
referred to as "CORPORATION", in order to amend the agreement between the parties dated
September 17, 1997 as follows:
l. Term of Agreement: The original term of the agreement was one year, commencing on
October I, 1997, and expiring on September 30, 1998. On March 10, 1999, the board
approved extending the term on a month-to-month basis pending execution of a new
service agreement. This CONTRACT ADDENDUM shall become effective on October
1,2001, and shall expire on September 30,2002 unless terminated earlier under
provisions specified in agreement. Upon expiration, if necessary the contract may
continue on a month to month basis until re-negotiated.
4. V olunteer Personnel Reimbursement:
A. For each eligible volunteer, a minimum of one hundred fifty dollars ($150.00) per
month.
B. For each eligible Ambulance Chief, a minimum of three hundred dollars
($300.00) per month.
In all other respects, the agreement between the parties dated September 1 7, 1997
remains in full force and effect.
IN WITNESS WHEREOF, the parties have hereunto set their hands and seal, the day and
year first written above.
(SEAL)
ATTEST: DANNY L. KOLHAGE, CLERK
BOARD OF COUNTY COMMISSIONERS
MUNICIPAL SERVICES TAXING
DISTRICT 6
Deputy Clerk
Mayor/Chairman
(SEAL)
ATTEST:
~~
Secre ry
KEY LARGO VOLUNTEER
AMBULANCE CORPS, INe.
fl~~ ,d&fvuA--
r sldent
B
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
.4..CEND.-\ i'TEl\! S~~~l',~\RY
Meeting Date: March 10-11. 1999
Bulk Item: Yes -A- No_
Division: Public Safety
Department: -EMS
AGENDA ITEM WORDING: Approval to rescind agreement approved at the September 9, 1998 meeting
and approval to extend the service agreement with Key Largo Volunteer Ambulance Corp, Inc., which
expired on October I, 1998, on a month-to-month basis pending execution of a new service agreement
ITEM BACKGROUND: Ambulance service to Municipal Services Taxing District 6 is provided though
an agreement with the Key Largo Volunteer Ambulance Corps, Inc. The agreement provides them with
the necessary mechanism to hire paid personnel to supplement the volunteers and to reimburse them for
such costs, as well as other ambulance service related costs. In addition, it stipulates that the revenue
from the collection of fees for service be used to supplant revenue from the collection of ad valorem
taxes to the greatest extent possible.
Key Largo Volunteer Ambulance Corp has some issues regarding reimbursement to volunteers that are
currently under review by the County Attorney's Office. Until the tenns are renegotiated, they have
requested that we continue the fonner agreement on a month-to month basis, which is provided for in
Section 1.
PREVIOUS RELEVANT BOCC ACTION: At their September 9, 1998 meeting the Board approved an
agreement with Key Largo Volunteer Ambulance Corp for the period of October I, 1998 through
September 30, 1999; however, upon subsequently presenting the agreement to the ambulance corp for
signing, they chose to renegotiate the service agreement and extend the fonner agreement on a month-to
month basis.
STAFF RECOMMENDATION: Approval
TOTAL COST: Not to exceed the BUDGETED: Yes..x No
bud~eted amount of $317.5 11.00
COST TO COUNTY: Not to exceed the budieted amount of $317.511.00
REVENUE PRODUCING: Yes _ No ..x
APPROVED BY: County Attorney.t:liA
DIVISION DIRECTOR APPROVAL:
Risk Managem t NLA
3-1(5'1
James R. ~'Reggie" Paros
DOCUMENTATION: Included: -X. To Follow: _ Not Required: _
DISPOSITION: Agenda Item #:
'1~'l.,~.-l I D , J-i "i 7
'1'Nl~k Cl'\-,
99/67
Islamorada Village ot Islands' application for a Certificate of
Public Convenience and Necessity, Emergency Medical Service
(Class A).
11
Board granted approval to rescind an Agreement approved
at the September 9, 1998 meeting between Monroe County and the
Key Largo Volunteer Ambulance Corp, Inc., and granted approval to
extend the service agreement between Monroe County and Key Largo
Volunteer Ambulance Corp, Inc., which expired on October 1, 1998,
on a month-to-month basis pending execution of a new service
agreement.
Board granted approval and authorized execution of
Amendment 001 to the 1998/1999 Alzheimers Disease Initiative
Contract, Contract KG897, between Monroe County and the Alliance
for Aging, Inc.
Board granted approval and authorized execution of
Amendment 001 to the 1998/1999 Home Care for the Elderly
Contract, Contract KH072, between Monroe County and the Alliance
for Aging, . Inc.
Board granted approval and authorized execution of
Amendment 001 to the 1999 Older Americans Act Contract, Contract
KG-9S1, between Monroe County and the Alliance for Aging, Inc.
Board granted approval and authorized execution of a
Low Income Energy Assistance Program Agreement, Contract #99EA-
A9-11-S4-01-018, CFDA #93.568, between Monroe County and the
Florida Department of Community Affairs.
Board granted approval tor airlines at the Key West
International Airport and Marathon Airport to continue operations
on a month-to-month basis, pending review and execution of new
agreements by airline management.
Board granted approval and authorized execution of a
contract between Monroe County and Arnold's Auto, Marine Repair,
Inc., for the emergency removal of Derelict Vessel DV03A2765
located in Marathon.
Board granted approval and authorized execution of a
contract between Monroe County and Blue Water Marine, Inc., for
the emergency removal of Derelict Vessel DV03A2833 located in
Moser Channel, Marathon.
Board granted approval and authorized execution of a
contract between Monroe County and Blue Water Marine, Inc., for
the emergency removal of Derelict Vessel DV03A2771 located in Key
Largo.
. ,
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AGREEMENT
AGREEMENT~ made this 17th day of September , 1997, by
and between the Board of County Commissioners of Monroe County,
Florida on behalf of Municipal Service Taxing District NO.6,
hereinafter "DISTRICT" and KEY LARGO VOLUNTEER AMBULANCE CORPS,
INC., a not-for-profit Florida Corporation, hereinafter
,II AMBULANCE CORPS".
WHEREAS, the DISTRICT and the AMBULANCE CORPS desire to
provide advanced life support ambulance service from premises in
Key Largo, to serve the area generally described as being from
South Bay Harbor Drive and Lobster Lane (Approx. MM #95) North on
US 1 to the Dade County Line and North on SR 90S to the
intersection of SR 90S and Card Sound Road, Monroe County,
Florida.
WHEREAS, the Monroe County Board of County Commissioners has
provided by ordinance for the reimbursement of expenses incurred
by the various departments for said services from funds strictly
within the budget for the District, and
WHEREAS, the various Ambulance Corps volunteers within the
District are available and on constant alert, and
WHEREAS, the parties desire to enter into an AGREEMENT for
the reimbursement of expenses relating to the services provided
by the department and other related matters.
NOW, THEREFORE, in consideration of the covenants contained
herein and other good and valuable considerations the parties
agree as follows:
1. The term of this AGREEMENT shall commence as of the 1st
day of October 1997 and end on the 30th day of September 1998.
Upon expiration, if necessary, the contract may continue on a
month to month basis until renegotiated.
2. All operations of the advanced life support ambulance
service by the AMBULANCE CORPS shall conform to the Florida
Emergency Medical Services Act of 1973, as amended, and all
applicable standards, rules and regulations, including but not
limited to those standards set forth in Monroe County Code,
Chapter 6.5, the Monroe County Emergency and Non-emergency
Medical Services Ordinance of 1982, heretofore adopted by Monroe
County on January 26, 1982, and any amendments thereto.
3. The AMBULANCE CORPS shall have on call all necessary
personnel to provide the ambulance service on a twenty-four (24)
hour basis. A combination of paid part-time or full-time
employees and volunteer personnel of the AMBULANCE CORPS shall be
untilized to ensure that sufficient staffing for at least one (1)
advanced life support permitted ambulance is available at all
times. Part-time or full-time employees of the AMBULANCE CORPS
,
. . ,.
.,., .
shall be compensated by the AMBULANCE CORPS at an hourly wage or
salary level -commensurate with that of employees in similar
positions of other fire and ambulance districts within Monroe
County. The DISTRICT shall reimburse to the AMBULANCE CORPS all
costs, charges or expenditures directly relating to the
employment of the part-time or full-time personnel described in
this section of this AGREEMENT on a monthly basis.
4. The DISTRICT shall provide
personnel of the AMBULANCE CORPS
provisions of Sec. 2.261 of the Monroe
following amounts:
reimbursement of volunteer
in accordance with the
County Code and in the the
A. For each eligible Volunteer, one hundred dollars
($lOO.OO) per month.
B. For Ambulance Chief, two hundred fifty dollars
($250.00) per month.
The AMBULANCE CORPS shall have the right to establish its
own elibibility requirements for disbursement of reimbursement
based on participation in departmental activities. DISTRICT
funding for the reimbursement of volunteers shall not exceed the
budgeted allocation for such reimbursement. Said amounts may be
changed or adjusted by written approval of the DISTRICT and the
AMBULANCE CORPS, during the term of this AGREEMENT without cause
to void, cancel or violate this AGREEMENT.
5. A position, that of Staff Assistant I, shall be
maintained through the DISTRICT budget, in accordance with
procedures provided by the Board of County Commissioners. The
position shall be one of the Public Safety Division and assigned
to the AMBULANCE CORPS. The Emergency Management Director-Trauma
of the Upper Keys Health Care District shall serve as the
immediate supervisor of the employee in said position.
6. The DISTRICT shall provide the existing vehicles and
equipment owned by the DISTRICT or Monroe County, per Attachment
A hereto, for use by the AMBULANCE CORPS to provide the ambulance
service. The AMBULANCE CORPS shall be responsible .to provide for
the general and preventive maintenance of the vehicles and
equipment according to the manufacturer's recommended maintenance
schedule and specifications as a minimum; periodic testing and
certification of applicable medical equipment and devices shall
be performed accordingly; repairs or corrective maintenance shall
be performed as needed. The cost of all maintenance and repairs
to the vehicles and equipment and the cost of all periodic
testing and certification of applicable medical equipment and
devices shall be a cost, charge or expenditure of the DISTRICT;
contingent upon availability of budgeted funds and adherence to
proper procurement policies and procedures. The AMBULANCE CORPS
shall provide a general and preventive maintenance schedule for
the vehicles and a periodic testing and certification schedule
for applicable medical equipment and devices to the Emergency
Medical Services Department for concurrency. The AMBULANCE CORPS
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shall maintain, at its place of business and in proper form,
detailed records of all maintenance and repairs performed to the
vehicles and "of- all testing and certifications performed to
medical equipment and devices throughout the term of the
AGREEMENT and any renewals thereto. All such records shall be
rendered to the DISTRICT wi thin thirty (30) calendar days upon
expiration or termination of the AGREEMENT. The Emergency
Medical Services Department shall have the right to inspect the
records, vehicles and equipment at any reasonable time.
7. The AMBULANCE CORPS shall procure goods and services, for
which the DISTRICT shall be financially responsible, in
accordance with current Procurement Policies for Monroe County.
In accordance with Section IV, Level "A" requesting authority,
less than $5,000.00, the AMBULANCE CORPS may directly transmit a
"Request to Purchase" to the Purchasing Department for such
supplies, equipment and/or services required for advanced life
support ambulance service functions and for which the DISTRICT
has allocated funds in the current budget. The Chief of the
AMBULANCE CORPS or his/her designee, in writing, shall have
requesting authority applicable to such Level "A" procurements.
A "Request to Purchase" form shall be completed and forwarded to
the Emergency Medical Services Department for purchases exceeding
Level "A" dollar limits. The Emergency Medical Services
Department shall review and then forward such requests through
the Public Safety Division to the Purchasing Department for
further processing. The Purchasing Department shall, in
conjunction with the Public Safety Division, purchase or approve
the purchase by the Public Safety Division of the equipment
supplies and other support materials required by the AMBULANCE
CORPS for advanced life support ambulance service functions and
for which the DISTRICT has allocated funds in the current
budget. The procurement of goods and services occurring after
normal business hours or during weekends by the AMBULANCE CORPS
shall be limited to only those emergency situations in which such
procurement was necessary in order to avoid an interruption of
services or to maintain current service levels during such
period. For those procurements, the AMBULANCE CORPS shall obtain
a purchase order from the Purchasing Department at the beginning
of the next business day for paid or obligated procurements.
8. The AMBULANCE CORPS shall provide a system for property
control of the vehicles and equipment owned by the DISTRICT or
Monroe County, per Attachment A hereto and used by the AMBULANCE
CORPS to provide the ambulance service. The AMBULANCE CORPS
shall assist in the performance of the annual inventory of the
vehicles and equipment.
3
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9. The PISTRICT and/or Monroe
DISTRICT shall provide the following
volunteers of the AMBULANCE CORPS:
County on behalf of
insurance coverages on
the
the
A. Workers Compensation insurance as required by FS 440,
including $500,000 Employer's Liability coverage.
B. General Liability Insurance, with the minimum limits
of $5,000,000, endorsed to provide Medical Attendants
Malpractice coverage.
C. Automobile Liability Insurance with minimum limits of
$5,000,000 including Physical Damage Insurance on all
vehicles owned by the DISTRICT or Monroe County and
used by the AMBULANCE CORPS. The policy shall
provide secondary coverage on private vehicles only
during such time as they are operated in response to
a call, beginning at the time a volunteer enters the
vehicle to respond to a call and ending, either at
such time as the volunteer returns to his/her home or
to the first location at which a volunteer stops on
the way home, after completion of participation in
the emergency services that were subject to the call,
whichever occurs first.
All insurance policies shall name the AMBULANCE CORPS as an
additional insured.
10.
insurance
Corps:
(a) The AMBULANCE CORPS shall provide the following.
on all paid part-time or full-time employees of the
1. Workers Compensation in compliance with Florida
Statutes Chapter 440 and Employer's Liability with
minimum limits of $500,000.
2. General Liability and Medical Attendants Malpractice
with minimum limits of $300,000 Combined Single Limit.
3. Auto. liability insurance on all emergency vehicles
owned by the AMBULANCE CORPS and used in providing
emergency services within the District, with minimum
limits of $300,000 Combined Single Limit.
AMBULANCE
volunteers
1.
(b) If not provided by Workers Compensation, the
CORPS may provide the following insurance on all
of the Corps:
Disability income insurance for a minimum of three
hundred dollars ($300.00) weekly upon total
disability for the first thirty (30) days and
thereafter, in an amount up to six hundred dollars
($600.00) weekly, not to exceed the volunteer's
regular salary. Said benefit shall continue until
the volunteer can return to his regular work duties.
2. Death benefit insurance in the amount of twenty
thousand dollars ($20,000.00) death/permanent
disability benefit for the volunteer while engaged in
the performance of his/her duties.
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All policies are to name both the DISTRICT and Monroe County
as additional .insureds and shall provide for no less than 30 days
notice of cancellation, non-renewal or reduction in coverage.
Proof of all insurance in a form acceptable to the DISTRICT shall
be provided by the AMBULANCE CORPS upon request.
11. The cost of insurance policies required under the
provisions of Section 10 of this AGREEMENT shall be a cost,
charge or expenditure of the k~BULANCE CORPS for which the
DISTRICT, upon receipt of proper invoices and applicable
documentation, shall reimburse the AMBULANCE CORPS in a sum not
to exceed the budgeted allocation for such cost, charges or
expenditure.
12. Each of the volunteers of the AMBULANCE CORPS shall
furnish and keep in' full force and effect a policy of liability
insurance on his private vehicle (s) in such amounts of coverage
as are required under Florida law. Proof of insurance in a form
acceptable to the DISTRICT shall be provided by each volunteer
and maintained on file in the business office of the AMBULANCE
CORPS. The AMBULANCE CORPS shall provide complete copies of all
insurance policies to the DISTRICT upon request.
13. The AMBULANCE CORPS, to the fullest extent permitted by
law, shall indemnify and forever hold harmless the DISTRICT and
Monroe County, their officers, agents and employees from all
claims of any sort whatsoever that may arise from the negligence,
acts or omissions of the paid part-time and full-time employees
of the AMBULANCE CORPS, not related to the provision of emergency
medical services.
14. The AMBULANCE CORPS shall contract with a Florida
licensed physician who shall serve as the Medical Director of the
AMBULANCE CORPS. The Medical Director shall secure and provide
to the DISTRICT medical malpractice insurance, with minimum
limits of $300,000.00 per occurrence, $1,000,000.00 annual
aggregate, to cover the negligent acts, errors and/or omissions
of the Medical Director of the AMBULANCE CORPS, when said
Director is acting within the scope and in furtherance of the
duties of the Medical Director as outlined in Florida Statute
401.265. The DISTRICT shall reimburse the AMBULANCE CORPS for
the costs of the Medical Director's contractual services which
may include a prorated portion of the cost of the required
medical malpractice insurance, upon receipt of proper invoices
and other supporting documentation and in a sum not to exceed the
budgeted allocation.
15. The AMBULANCE CORPS shall be responsible for conducting
regular training sessions to enhance personnel skill levels and
keep records regarding personnel training, quality assurance and
certifications. The DISTRICT shall provide reimbursement of such
training related expenses for the volunteer personnel of the
AMBULANCE CORPS as provided for in Section 2 -221, Monroe County
Code. Travel expenses directly related to training activities
5
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shall be reimbursable by the DISTRICT in accordance with
applicable laws, rules and regulations. The AMBULANCE CORPS
shall submit requests for approval to travel to the Emergency
Medical Services Department in proper form and at least two (2)
weeks (minimum) in advance of the expected departure date. The
AMBULANCE CORPS shall assist the Emergency Medical Services in
making such travel arrangements, if and when necessary. The
volunteer personnel and the paid employees of the AMBULANCE CORPS
may, and are encouraged to, participate in emergency medical and
other emergency services related training programs provided
through the Public Safety Division. The cost of such
participation by the AMBULANCE CORPS shall be calculated
proportionally, per attendee and charged to the DISTRICT.
16. The AMBULANCE CORPS shall provide prehospital ambulance
service within their designated service area and mutual aid and
interhospital transfer services upon request and in accordance
with existing departmental protocol, applicable laws, rules,
regulations and standards; subject to resource availability.
17. The AMBULANCE CORPS may propose user fees to be
established by the DISTRICT as provided for in Section 2-238(e),
Monroe County Code and the AMBULANCE CORPS shall have the
authority to render statements to patients for services rendered
by the ambulance service. The AMBULANCE CORPS shall determine
the procedures to be used in the collection of user fees for the
ambulance service, as long as such collection procedures are
lawful under the laws of Florida and the United States. Revenue
from the collection of user fees shall be used to supplant
revenue from the collection of ad valorem taxes to the greatest
extent possible.
18. The AMBULANCE CORPS shall provide a Request for Expense
Reimbursement form, by line item accounts and with applicable
documentation attached, to the Emergency Medical Services
Department monthly. The DISTRICT shall reimburse the AMBULANCE
CORPS monthly for said expenses as provided for in this
AGREEMENT. The AMBULANCE CORPS shall provide a monthly summary
of accounts receivable which shall include the following:
1. Total active accounts receivable for fiscal year
(beginning balance)
2. Charges this month
3. Collections this month
4. Adjustments this month
5. Total active accounts receivable for fiscal year (ending
balance)
6. Average overall charge per account receivable for month
being reported
19. The DISTRICT budget, as adopted, provides funding for
utilities and other internal cost, charges or expenditures
necessary or incidental to the operation of the Emergency Medical
Services contemplated within this AGREEMENT, which have not been
previously specified herein, i.e. County/DISTRICT provided
6
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& Budget,
providing
funds.
on behalf of the DISTRICT, shall be responsible for
the_ necessary accountability and controls for these
20. The DISTRICT shall provide to the AMBULANCE CORPS a
monthly trial balance of the DISTRICT funds so as to maintain
concurrency and awareness of budgeted appropriation and
expenditures; detailed expenditure reports shall be provided upon
request.
21. The AMBULANCE CORPS shall submit to the Emergency Medical
Services Department, on a monthly basis, for the purposes of
statistical analysis and supporting documentation for grants, a
detailed operational report, including, but not limited to, the
total number of service responses and patients transported, by
appropriate categories and average response times; such reports
shall be submitted in a format approved by Monroe County and the
AMBULANCE CORPS.
22. The parties shall be accountable to each other as
required by this AGREEMENT. The Emergency Medical Services
Department shall have the authority to coordinate and control all
Emergency Medical Services resources during disasters, major
emergencies and other maj or incidents requiring the response of
multiple agencies and/or resources. The AMBULANCE CORPS shall
have the duties and responsibilities in its respective service
area which are applicable to prehospital emergency medical
services and specified in the various plans and procedures
adopted by Monroe County and/or the DISTRICT; dependent upon
resource availability. Monroe County shall provide
administrative and technical assistance, as requested, to the
AMBULANCE CORPS in matters relating to the operation of the
ambulance service. Representatives of both the DISTRICT and the
AMBULANCE CORPS shall meet on a regular basis in Key Largo for
discussions regarding the operation of the ambulance service
contemplated within this AGREEMENT and other related matters;
meeting dates to be jointly agreed upon.
23. Monroe County shall provide for an exclusive central
communications system for the dispatching of all emergency and
nonemergency calls within the service area. Said system shall
consist of the ambulances used by the AMBULANCE CORPS, the
hospitals within the County, the central dispatch centers of the
County and the two-way radios installed in the ambulances used by
the AMBULANCE CORPS. The central dispatchers of the County shall
have the right to coordinate and dispatch all ambulances of the
AMBULANCE CORPS and to receive immediate confirmation of the
status and location of all inservice ambulances. It is hereby
recognized and acknowledged that the right of the central
dispatchers to dispatch and confirm status is paramount in order
to effectively coordinate the provision of both emergency and
nonemergency ambulance service within Monroe County. The
Emergency Medical Services Department shall provide copies of
current dispatching procedures for fire and ambulance services to
7
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the AMBULANCE CORPS and shall schedule and conduct meetings when
necessary 'to r.eyjse said procedures to improve the efficiency and
effectiveness of the emergency response system.
24. Upon request of the DISTRICT, the AMBULANCE CORPS shall
submit a proposed budget appropriations request, by line item
~ccount, for the forthcoming fiscal year. When deemed necessary
by both parties, based on statistical analysis of usage, mileage
and serviceability, the DISTRICT shall consider a budget
appropriations request for remounting or replacement of
ambulances provided to the AMBULANCE CORPS by. the DISTRICT. The
AMBULANCE CORPS shall prepare and submit such ambulance
specifications to the DISTRICT for review and concurrence. The
DISTRICT shall then procure the ambulance in accordance with
applicable policies 'and procedures. The AMBULANCE CORPS shall be
involved in monitoring all phases of manufacturing and
recommending acceptance of remounted or replacement ambulances to
be used by the AMBULANCE CORPS. The Emergency Medical Services
Department shall assist the AMBULANCE. CORPS in applying for
grants for the ambulance operation.
25. In the event of unforeseen circumstances, such as
illness, injury or other cause of absence of the regular paid
part-time or full-time employees of the AMBULANCE CORPS, the
AMBULANCE CORPS shall make every reasonable attempt to
temporarily employ personnel to maintain sufficient staffing as
to ensure the uninterrupted provision of advanced life support
ambulance services within the DISTRICT. The cost of such
temporary employees shall be a cost of the AMBULANCE CORPS as
provided for in Section 3 of this AGREEMENT and shall be
reimbursable by the DISTRICT as provided for in Section 4 of this
AGREEMENT. The Emergency Medical Services Department shall
assist the AMBULANCE CORPS in attempting to obtain such temporary
employees "
26. In circumstances in which the AMBULANCE CORPS is unable
to immediately provide or send an advanced life s~pport permitted
ambulance to a request for ambulance service, regardless of
reason, the central dispatchers of the County shall follow
established procedure for such conditions.
27. The AMBULANCE CORPS has its administrative offices and
training facilities, which are integral to the operation of the
ambulance service, in a building located at 98600 Overseas
Highway, Key Largo, Florida. The AMBULANCE CORPS is hereby
authorized to provide insurance coverages and routine maintenance
on said building and property as it deems necessary. The cost of
same shall be a cost, charge or expenditure of the ANBULANCE
CORPS for which the DISTRICT, upon receipt of proper invoices and
other applicable documentation, shall reimburse the AMBULANCE
CORPS in a sum not to exceed the budgeted allocation for such
costs, charges or expenditures.
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28. The AMBULANCE CORPS may provide group heal th insurance
for the members of the AMBULANCE CORPS consistent with the
provisions of Section 112.08 (4) (a) Florida Statutes. The cost
of such insurance shall be a cost, charge or expenditure for
which the DISTRICT, upon receipt of proper invoice and applicable
documentation, shall pay in a sum not to exceed the available
funding.
29. The AMBULANCE CORPS shall present a copy of its annual
audit report, prepared by a certified public accountant licensed
to do business in the State of Florida, to the DISTRICT. The
report shall be presented to the DISTRICT within thirty (30) days
of its receipt by the AMBULANCE CORPS. The AMBULANCE CORPS shall
comply with this requirement for each audit year concurrent in
whole or in part with the term of this agreement. The cost of
such audit shall be a cost, charge, or expenditure of the
AMBULANCE CORPS for which the DISTRICT, upon receipt of proper
invoices and other applicable documentation, shall reimburse the
AMBULANCE CORPS in a sum not to exceed the budgeted allocation
for same.
30. The DISTRICT may terminate this AGREEMENT at any time
during its term if the AMBULANCE CORPS defaults under any of the
provisions specified herein, or violates any standard specified
in this AGREEMENT or violates any other law, regulations or
standard applicable to furnishing of ambulance service in Monroe
County. In such event, the Administrator of the County shall
furnish the AMBULANCE CORPS written notice of any such default or
violation and the AMBULANCE CORPS shall have thirty (30) days
from receipt of said notice to correct or remedy such default or
violation. If such violation is not corrected or such default is
not remedied within said thirty (30) day period, or is of such
nature that it cannot be corrected or remedied, this AGREEMENT
may be terminated at the discretion of the County Administrator.
The AMBULANCE CORPS may terminate this AGREEMENT without cause by
giving sixty (60) days written notice indicating their desire to
terminate same.
31. Notice under this AGREEMENT shall be given to the
DISTRICT by sending written notice to the Office of the County
Administrator, Public Service Building, Wing II, Key West,
Florida 33040 and notice shall be given to the AMBULANCE CORPS by
sending written notice to the President of the Key Largo
Volunteer Ambulance Corps, Inc., 98600 Overseas Highway, Key'
Largo, Florida 33037. All vehicles and equipment owned by the
DISTRICT or Monroe County and used by the AMBULANCE CORPS to
provide ambulance service shall be returned to the DISTRICT when
requested upon expiration or termination of this AGREEMENT.
During the interim period between expiration of this AGREEMENT
and execution of a new AGREEMENT, the AMBULANCE CORPS shall be
authorized to use the vehicles and equipment for continued
provision of ambulance service.
9
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32. Monroe County'S performance and obligation to pay under
this contract. is. contingent upon an annual appropriation by the
BOCC.
33. If any section, subsection, sentence, clause or provision
of this AGREEMENT is held invalid, the remainder of this
AGREEMENT shall not be affected by such invalidity.
IN WITNESS WHEREOF, the parties hereto have executed this
AGREEMENT as of date first above written.
,~.;'::.~\ < .f.
0_.... 4 .
,
BOARD OF COUNTY COMMISSIONERS,
MONROE COUNTY, FLORIDA ON BEHALF OF
MUN~IP. SERVICES TAXING DISTRICT
NO. .
I,.~
Attest:
~o.~~
Danny L. Kolhage, Clerk
KEY LARGO VOLUNTEER AMBULANCE
CORPS, INC.
~~~!6l!fdf7J~
(Corporate Seal)
Attest:
~1ec~~
10
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08/29/97
ID NUMBER
J.426-5
J.426-2J.
J.426-22
J.426-27A
J.426-27B
J.426-27C
J.426-27D
J.426-5J.
J.426-59
J.426-65
J.426-66
J.426-67
J.426-J.00
J.426-J.0J.
J.426-J.02
J.426-J.03
J.426-J.J.6A/B
J.426-J.23A/B/C/D
J.426-J.72
J.426-J.73
J.426-J.74
J.426-J.75
J.426-J.76
J.426-J.80
J.426-J.87
J.426-J.88
J.426-J.92
J.426-J.99
J.426-20J.
J.426-202
J.426-205
J.426-206
J.426-207
J.426-208
J.426-209
J.426-2J.0
J.4J.2-5A
(
QUANTITY
J.
J.
J.
ATTACHMENT A
KEY LARGO INVENTORY LIST
DESCRIPTION
J.
Motorola Mobile VHF Lowband Radio
SN #203CCY026J.
LifePak 5 Modulator, SN #006J.09
LifePak 5 Defib, SN #00575J.
Dixie Thumper Board, SN #J.422
Dixie Oxygen Carrier, SN #J.J.63
Dixie Cardiopulmonary Thumper
SN #J.378
Dixie Carrying Case, SN #J.390
Arrhythmia Heart Generator, SN #J.936
LDL Adult Mannequin
Battery Support System, SN #00074J.
LifePak 5 Monitor, SN #016425
LifePak 5 Defib, SN #015602
Battery Support System for LifePak 5
SN #00006546
LifePak 5 Monitor, SN #00047757
LifePak 5 Defib, SN #00026573
Femo Washington 29M Stretcher,
SN #K07075
Lifestat J.OO BP Monitor W/Charger
SN #0003907, 00003870
LifePak 10 W/Pacer, AC/DC Auxilliary,
Carrying Case, Fast Patch System,
SN #2259
Nissan Emergency Generator, #156109
Hydraulic Jack, 4 Ton
Spectra 8 Mobile, SN #671ARU0250
pak RT System,9000 VRS,SN 287ARUOOOO
Port. Radio W/Chrgr, SN 651ARQ0237
Stretcher, 29M, SN L46010
Pulse Oximeter, SN 20242503
Pulse Oximeter, SN 20242755
J.992 Ford Type III Ambulance,
VIN 1FDKE30MONHB65629
1994 Ford E-350 Ambulance,
VIN 1FKE30M9RHB55641
12,000 BTU A/C (Day Room)
4794B05447
1995 Ford E-350 Ambulance,
VIN 1FDKE30F6SHA66472
Life pak 11 Monitor, SN 2106513
Life Pak 11 Defibrillator,
SN 2645306
Life pak 11 Monitor, SN 2353901
Life Pak 11 Defibrillator,
SN 2860702
Auxpower Unit, SN A000191B
Auxpower Unit, SN A0001919
J.
1
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1
1
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1
1
1
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1
1
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2
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1
1
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1
1
1
1
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1
1
1
1
1
1
1
1
Mobile Radio, SN 246HNU0354
,
'..
'.
1412-5B
1412-5C '.
1412-50
1412-5E
1412-5F
1412-9A
1412-9B
1412-9C
1412-90
1412-9E
1412-9F
1412-12A
1412-12B
1412-12C
1412-120
1412-12E
1412-12F
1412-21C
1412-22A
1412-23B
1412-26A
141906-3
1413-31
1413-32
1413-33
1413-34
1413-35
1413-40
1413-41
1413-45
1413-46
141201-20
141201-22
141201-23
141201-32
141201-33
141306-1
141306-2
141306-3
141306-4
141306-5
141306-6
141306-7
141306-8
141306-9
(
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Pac RT, SN 287ANU0107
Portable Radi.o, SN 476ANS1617
Vehicle Charger
Desk Charger
Modulator, SN 002137
Mobile Radio, SN 246HNU0358
Pac RT, SN 287ANU0111
Portable Radio, SN 476ANS1621
Vehicle Charger
Desk Charger
Modulator, SN 002142
Mobile Radio, SN 246HNU0361
Pac RT, SN 287ANU0114
Portable Radio, SN 476ANS1624
Vehicle Charger
Desk Charger
Modulator, SN 002144
Vehicle Charger W/Amplifier
Saber Radio, SN 571APE1015
Vehicle Charger W/Amplifier
Handheld Portable, SN 571APE1019
1994 Ford E-350 Ambulance,
VIN 1FDKE30MORHB55642
Canon Copier WjStand, SN CXL71592
Heartsim 2000, Laerdal
ALS Mannequin, Laerdal
Interface Monitor, Laerdal
Kodak Projector, SN 21469700
Computer, PS/2 w/mouse, SN1RTKW
Computer, PS/2, SN 1RTKT
Teaching Torso
Microphone, FM Wireless
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Aero Thumper, SN 1420
Life-Pak 10, SN 00007546
Life pak 10, SN 00007541
AuxilIary Power Supply, SN 00002285
AuxilIary Power Supply, SN 00002288
1
Motorola MT 1000 UHF 99 Channel
Portable Radio, SN749ATS0787
Motorola MT 1000 UHF 99 Channel
Portable Radio, SN749ATS0788
Motorola MT 1000 UHF 99 Channel
Portable Radio, SN 749ATS0789
Motorola MT 1000 UHF 99 Channel
Portable Radio, SN749ATS0790
Motorola MT 1000 UHF 99 Channel
Portable Radio, SN749ATS0791
Motorola MT 1000 UHF 99 Channel
Portable Radio, SN749ATS0792
Motorola MT 1000 UHF 99 Channel
Portable Radio, SN749ATS0793
Motorola MT 1000, UHF 99 Channel
Portable Radio, SN749ATS0794
Motorola MT 1000, UHF 99 Channel
1
1
1
1
1
1
1
1
2
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~ ' .
J.4J.306-J.0
14J.306-J.J.
J.4J.306-J.2
J.4J.306-J.3
J.4J.306-J.4
J.42602-J.
J.42602-2
J.42602-3
J.42602-4
J.42602-5
J.42602-6
J.42602-7
J.42602-B
J.42602-9
J.42602-J.0
J.42602-J.J.
J.42602-J.2
J.42602-J.3
J.42603-J.
J.42603-2
J.42603-3
(
J.
Portable Radio, SN749ATS0795
Motorola MT J.OOO, UHF 99 Channel
Portable Radio, SN749ATS0796
Motorola MT J.OOO, UHF 99 Channel
Portable Radio, SN749ATS0797
Motorola MT J.OOO, UHF 99 Channel
Portable Radio, SN749ATS079B
Motorola MT J.OOO, UHF 99 Channel
Portable Radio, SN749ATS0799
Motorola MT J.OOO, UHF 99 Channel
Portable Radio, SN749ATSOBOO
J.
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J.
J.
J.
J.
J.
J..
J.
J.
J.
J.
J.
J.
J.
J.
Resusci Recording Annie, SN OB7604
Resusci Junior
Airway Management Trainer
Scorr Suction Unit, SN J.063
Mast Suit, pedi, SN 09BBOOJ.
Mast Suit, Adult, SN J.J.900J.2
Intubation, Infant
Training Table
Training Table
Training Table
Room Divider
Room Divider
Room Divider
1
IBM Computer, PS/2, SN 23G5311
W/Monitor, SN 23GWVD9
IBM Computer, PS/2, SN 23G3670
W/Monitor, SN 23CRXG3
IBM Laser Printer, SN llL4131
J.
1
3