07/14/2004 Agreementcleltdae
eircuilcoull Danny L. Holhage
Phone:305-292-3550 Fax:305-295-3663
To: Clark O. Martin, Jr.
Fire Chief
Attn Darice L. Hayes,
Administrative Assistant
From: Isabel C. DeSantis, • „ ,�l
Deputy Clerk J"
Date: Tuesday, October 12, 2004
At the meeting of July 14, 2004, the following was approved by the BOCC:
Agreement between Monroe County and Para-Med Academy, Inc., (d/b/a EMS
Academy) for Monroe County Fire Rescue (MCFR) to provide an EMS training
environment from date of approval of Agreement through December 31, 2005 with the
option to renew on a year-to-year basis.
Attached hereto is a fully executed duplicate original of the subject document for
your handling. Should you have any questions concerning this matter please feel free to
contact this office.
Copies: County Attorney
Finance
File .,/
AGREEMENT
I. PARTICIPATING AGENCIES
This AGREEMENT between PARA-MED ACADEMY, INC. (d/b/a EMS Academy),
hereinafter referred to as the AGENCY, and the BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as the
AMBULANCE SERVICE is entered into this _14th day of
JULY , 2004.
II. PURPOSE OF AGREEMENT
It is mutually agreed that the purpose of the AGREEMENT is to provide a
comprehensive learning experience for Participants from the AGENCY, within a clinical
setting, in accordance with provisions of the guidelines set forth in this AGREEMENT.
III. GENERAL PROVISIONS OF AGREEMENT
A. Both parties agree that there will be no distinction in employment or
placement because of race, sex, color, creed, age, national origin, religion,
marital status, disability or handicap, and adhere to the provisions of
Federal and State laws regarding discrimination.
B. The AMBULANCE SERVICE will provide to the Participant at the
Participant's expense, emergency care for injuries or acute illness while
on duty at the AMBULANCE SERVICE in accordance with the provisions
of this AGREEMENT.
C. The term of this AGREEMENT shall be from the date of the
AGREEMENT, and shall remain in full force and effect until December 31,
2005. Either party may elect annually to extend this AGREEMENT for an
additional year upon providing at least thirty (30) days prior written notice
of intent to extend. Either party hereto may terminate this AGREEMENT
by giving at least thirty (30) days written notice to the other party.
NOTICE: Where notice is required under this AGREEMENT to be given to either party,
the notice shall be mailed to:
For AGENCY:
Frank Galgano, President
Para-Med Academy, Inc.
600 N. Pine Island Rd., Suite 360
Plantation, FL 33324
For AMBULANCE SERVICE:
Clark O. Martin, Jr., Fire Chief
Monroe County Fire Rescue
490 63rd Street, Suite 140
Marathon, FL 33050
Page 1 of 4
IV. SPECIFIC RESPONSIBILITIES OF THE AGENCY
A. Agency shall designate a person or persons to coordinate and act as
liaison with the appropriate AMBULANCE SERVICE personnel.
B. AGENCY shall provide the AMBULANCE SERVICE with a list of
Participants in the learning experience at least ten (10) days before each
program is to start.
C. AGENCY shall insure that Participants have the necessary didactic
prerequisites to maximize the learning experience at the AMBULANCE
SERVICE.
D. AGENCY shall insure that the participants comply with the provisions of
Section VI.
E. AGENCY does undertake and agree that it will indemnify and hold
harmless the AMBULANCE SERVICE and its officers, directors,
employees, and agents, and reasonable attorney's fees on account
thereof, that may be sustained or incurred by reason of any and all claims,
demands, suits, actions, judgments, and executions for damages of any
and every kind and by whomever and whenever made or obtained,
allegedly caused by, arising out of, or relating in any manner to the activity
of any Participant or Participants supplied by the AGENCY pursuant to
this AGREEMENT.
F. AGENCY shall procure and maintain, during the term of this
AGREEMENT and any renewal, liability insurance to cover any and all
liability (including professional liability) for claims, damages, or injuries to
persons or property of whatsoever kind of nature arising out of the
activities of the participants carried out under this AGREEMENT. Such
insurance shall be on an occurrence basis in amounts no less than
$1,000,000/$3,000,000 for personal injuries and $50,000 for property
damage; and the AMBULANCE SERVICE shall be an additional named
insured under such general and professional liability policy or policies.
AGENCY shall submit certificates of insurance to the AMBULANCE
SERVICE evidencing such insurance at the time of the execution of this
AGREEMENT, and as requested by the AMBULANCE SERVICE.
AGENCY agrees that the AMBULANCE SERVICE will receive no less
than thirty (30) days written notice prior to cancellation, modification, or
non -renewal of any of the insurance coverage's described herein.
Participants who do not have patient contact (non -allied health
participants) will not be required to be covered by professional liability
insurance.
Page 2 of 4
V. SPECIFIC RESPONSIBILITIES OF THE AMBULANCE SERVICE
It shall be the responsibility of the AMBULANCE SERVICE to:
A. Provide an appropriate orientation of Participants in connection with its
facilities and its policies and procedures.
B. Provide opportunities for a learning experience with appropriate
supervision.
C. Retain ultimate responsibility for patient care even if that care is given by a
participating student.
D. Designate a preceptor (or coordinator) from its staff to act as the liaison
with the AGENCY in this AGREEMENT, as appropriate to the learning
objectives.
VI. SPECIFIC RESPONSIBILITIES OF THE PARTICIPANT
It shall be the responsibility of the Participant(s) assigned through this AGREEMENT to:
A. Comply with the policies and procedures of the AMBULANCE SERVICE.
B. Provide the necessary and appropriate uniform while on duty in the
AMBULANCE SERVICE.
C. Obtain prior written approval of both parties to this AGREEMENT before
publishing any material related to the learning experience provided under
the terms of the AGREEMENT.
D. Sign a "Hold Harmless Agreement" with the AMBULANCE SERVICE prior
to commencing his/her experience within the AMBULANCE SERVICE, a
copy of which is attached to this AGREEMENT as Exhibit A.
E. At all times wear the appropriate badge on every clinical rotation, and
comply in all respects with the student requirements set forth in the
requirement sheets.
VII. REQUEST FOR WITHDRAWAL OF PARTICIPANT
The AMBULANCE SERVICE shall reserve the right to deny any Participant from access
to its facilities whose conduct or work with patients or personnel is not in accordance
with the policies and procedures of the AMBULANCE SERVICE or is detrimental to
patients or others.
Page 3 of 4
VIII. MODIFICATION OF AGREEMENT
Modification of this AGREEMENT may be made by mutual consent of both parties, in
writing, and attached to this AGREEMENT and shall include the date and the signatures
of parties agreeing to the modification.
IX. COPIES OF AGREEMENT
Copies of this signed AGREEMENT shall be placed on file and be available at the
corporate office of the AGENCY and in the headquarters of the AMBULANCE
SERVICE.
IN WITNESS WHEREOF the parties hereto have caused this AGREEMENT to be
executed in their respective corporate names and their corporate seals to be affixed by
duly authorized officers, all on the day and year first set forth above.
'N
,-(SEAL)
`-Aftest- ny L. Kolhage, Clerk
z
Para-Med Academy, Inc.
(d/b/a EMS Academy)
Board of County Commissioners
of Monroe County, Florida
,.�J E
--� �
Mayor / Chairma/n
C c
2
X
C
rr
n'
C
C
x
MONROIL
ZANNE .r?. HUTT®N
kSS1STA.N,0+U�N TTORNEY
LLE
r.3
Page 4 of 4
EXHIBIT A
EMS ACADEMY
HOLD HARMLESS AGREEMENT
I, , am presently enrolled as an Emergency
Medical Technician or Emergency Medical Technician Paramedic student at EMS
Academy. My course of instruction at this school requires me to train, study, and
received instruction at EMS Academy and/or Monroe County Fire Rescue, (hereinafter
referred to as the AMBULANCE SERVICE).
In consideration for the AMBULANCE SERVICE providing me this opportunity to
acquire training and instruction, I, the undersigned agree to indemnify, protect, and hold
harmless the AMBULANCE SERVICE and its officers, directors, employees, agents and
assignees from any liability judgments, claims, costs, damages or injury arising out of or
in connection with any and al acts of negligent conduct on the part of the undersigned,
however caused, during any instructional or training activity. I agree that I will defend at
my own expense, any and all actions, lawsuits or proceedings which may be brought
against the AMBULANCE SERVICE in connection with the above and shall satisfy, pay
and discharge any and all judgments that may be entered against the AMBULANCE
SERVICE in any such proceedings.
I understand that, generally, while I am engaged in the activities of and related to this
course of instruction and training, I am not considered an employee of the
AMBULANCE SERVICE and therefore, I am not eligible for Workers Compensation
coverage pursuant to Florida Statute Chapter 440 (1989-90 or its successor
amendments/statutes); however, if I am otherwise considered lawfully "on -duty" or "on-
the-job" or as an employee for the AMBULANCE SERVICE, I understand I am entitled
to Workers Compensation coverage through the AMBULANCE SERVICE,
notwithstanding the fact that it may be on-the-job training to this course of instruction.
Date of Instructional Activities: to
Date
Signature:
Witness:
Date
Date:
Date: