HomeMy WebLinkAbout32614AGREEMENT 1
2 THIS AGREEMENT is made and entered into this ___ day of ______ , 2016, by
3 and between the COUNTY OF FRESNO, a Political Subdivision of the State of California, hereinafter
4 referred to as "COUNTY," and the RIVERDALE PUBLIC UTILITY DISTRICT, a Public Utility
5 District formed pursuant to Public Utility Code section 15501, et. seq., whose address is 21027 S
6 Brawley Avenue, Riverdale, California 93656, hereinafter referred to as "DISTRICT".
7 W I T N E S S E T H:
8 WHEREAS, DISTRICT receives calls requesting DISTRICT's fire department for emergency
9 services and emergency medical first responder services ("EMS"); and
10 WHEREAS, DISTRICT desires to receive dispatching services for fire suppression calls,
11 which will include dispatching of non-transport first responder services, (collectively, "DISTRICT
12 Dispatching Services") from COUNTY'S EMS Communications Center; and
13 WHEREAS, it is to the mutual benefit and in the best interest of the parties hereto to combine
14 EMS dispatching services and DISTRICT Dispatching Services for the purpose of providing improved
15 services to the public; and
16 WHEREAS, DISTRICT and COUNTY developed an original Agreement on August 2, 2013
17 (COUNTY Agreement No. A-13-461) beginning August 1, 2013 through June 30, 2016; and
18 WHEREAS, it has been determined by DISTRICT and COUNTY that there is a need to
19 provide EMS dispatching services and DISTRICT Dispatching Services through a centralized and
20 combined effort by COUNTY'S EMS Communications Center and DISTRICT; and
21 WHEREAS, COUNTY'S EMS Communications Center is staffed and operated by K.W.P.H.
2 2 Enterprises, Inc., doing business as American Ambulance, a California corporation ("PROVIDER")
2 3 through that certain Emergency Medical Services Provider Agreement for Emergency Ambulance
24 Services and Advanced Life Support (Paramedic) Services, dated July 10, 2007 (COUNTY
2 5 Agreement No. A-07-292, "EMS PROVIDER Agreement"), by and between COUNTY and
2 6 PROVIDER; and
2 7 WHEREAS DISTRICT acknowledges that COUNTY will be conducting a competitive bid
2 8 process for emergency ambulance services and paramedic ambulance services that will begin services
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1 to the Fresno County exclusive operating area (that includes the City of Clovis) on January 1, 2018
2 and current ambulance provider could possibly be replaced; and
3 WHEREAS, it is the intent of the COUNTY to include fire dispatch services in the competitive
4 bid process for emergency ambulance and paramedic ambulance services in order to continue fire
5 dispatch services, without interruption and in accordance with this Agreement.
6 NOW, THEREFORE, in consideration of their mutual covenants and conditions, the parties
7 hereto agree as follows:
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1. SERVICES
A. Subject to DISTRICT timely paying COUNTY for DISTRICT Dispatching
10 Services (defined in Section 4 herein):
11 (1) COUNTY shall be responsible for dispatching equipment, hardware,
12 software (including software licenses), and other technologies, which will be utilized for the triage and
13 entry of information for DISTRICT Dispatching Services in COUNTY'S EMS Communications
14 Center computer aided dispatch ("CAD") system, in connection with COUNTY'S performance of its
15 DISTRICT Dispatching Services under this Agreement. In the event that DISTRICT requests
16 additional technologies, not currently available in COUNTY'S EMS Communications Center,
17 DISTRICT shall be solely responsible for all costs to purchase and maintain said technology and/or
18 equipment; and
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(2) COUNTY shall be responsible for selection, configuration, installation,
and maintenance of all dispatching equipment, hardware, software and other technologies associated
with this Agreement. All dispatching equipment, hardware, software (including software licenses),
and other technologies purchased and/or obtained through this Agreement shall be the sole property of
COUNTY; and
(3) COUNTY, beginning no later than July 1, 2013, shall provide DISTRICT
Dispatching Services requiring responses by DISTRICT apparatuses as follows:
(a) COUNTY'S EMS Communication Center shall provide all
DISTRICT Dispatching Services in accordance with DISTRICT's Policies and Procedures affecting
DISTRICT Dispatching Services under this Agreement ("DISTRICT's Policies and Procedures") (to
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1 the extent that they relate only to dispatch). DISTRICT's Policies and Procedures shall be subject to
2 review by COUNTY'S EMS Director, or his or her designee (the "COUNTY's Representative"), as
3 provided in Section l.C.(2) herein.
4 (b) COUNTY'S EMS Communication Center shall dispatch
5 DISTRICT's apparatuses through radio and electronic communications, and in accordance with
6 DISTRICT's Policies and Procedures (to the extent that they relate only to dispatch), which shall be
7 subject to review by COUNTY's Representative, as provided in Section l.C.(2) herein. DISTRICT
8 shall work collaboratively with COUNTY on policies and procedures that are consistent with other
9 fire agencies that are being dispatched in COUNTY'S EMS Communications Center.
10 (c) COUNTY'S EMS Communications Center shall provide pre-
11 arrival instructions to callers requesting DISTRICT Dispatch Services.
12 (d) COUNTY'S EMS Communications Center shall provide inter-
13 agency coordination regarding requests for fire suppression service, mutual aid and auto aid services,
14 and order specialized fire equipment from DISTRICT or other agencies (e.g., hazardous materials
15 equipment, or "jaws of life") which may be needed to manage an incident, and perform other related
16 duties, all in accordance with DISTRICT's Policies and Procedures (to the extent that they relate only
17 to dispatch), which shall be subject to review by COUNTY'S Representative, as provided in Section
18 l.C.(2) herein.
19 (e) COUNTY'S EMS Communications Center shall track all activity
20 ofDISTRICT 'S apparatuses utilizing the COUNTY'S EMS Communications Center CAD system.
21 (f) COUNTY shall record all telephone and radio transmissions and
22 provide instant playback as needed. COUNTY shall retain recordings for a minimum of one-hundred
2 3 eighty (180) days.
24 (g) COUNTY shall provide reports to DISTRICT as requested.
2 5 COUNTY must be given sufficient time to develop custom adhoc reports or reports that are not
2 6 already developed.
2 7 (h) COUNTY shall provide one (1) radio operator for dispatching of
28 DISTRICT's apparatuses twenty-four (24) hours a day, seven (7) days a week. DISTRICT
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1 understands that the radio operator is not dedicated for the sole purpose of DISTRICT and that the
2 radio operator may be dispatching other fire and EMS providers. DISTRICT shall work
3 collaboratively with COUNTY on policies an·d procedures that are consistent with other fire agencies
4 that are being dispatched in COUNTY'S EMS Communications Center. COUNTY shall provide that
5 dispatch staff shall be trained in emergency fire dispatch.
6 (i) COUNTY shall provide that a minimum of one (1) dispatch
7 supervisor shall be on duty at COUNTY'S EMS Communications Center twenty-four (24) hours a
8 day, seven (7) days a week. The supervisor shall be available to DISTRICT's on-duty fire
9 administration as needed.
10 (j) COUNTY shall maintain an up-to-date manual of DISTRICT's
11 Policies and Procedures (subject to review by COUNTY'S Representative, as provided in Section
12 l.C.(2) herein) for all dispatch staff, and shall provide for training and continuing education of
13 dispatch staff as needed.
14 (k) The goal for the immediate dispatch of a fire apparatus, in
15 accordance with DISTRICT approved dispatch protocols, and excluding multiple unit responses,
16 reassigned responses and other situations beyond the COUNTY'S EMS Communications Center
17 control, shall be sixty (60) seconds. The dispatch time will be measured from the time the telephone is
18 answered by the call taker to the time the first fire apparatus is alerted to the incident either by radio,
19 telephone, pager or station alerting device. A review shall occur for all cases in which dispatches are
2 0 over ninety (90) seconds, and results will be evaluated for improvement opportunities by the Fire
21 Dispatch Continuous Quality Improvement (CQI) Committee.
2 2 It is understood that because of the dynamic nature of emergency
2 3 services, there are situations when the sixty (60) second dispatch goal may not be achieved. Examples
2 4 of these situations include, but are not limited to:
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1.
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Calls not received through the 9-1-1 telephone system.
Calls that do not immediately geo-verify in the CAD.
Calls in which the public safety answering points dispatcher
does not immediately transfer the calling party.
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5 B.
4. Calls in which the reporting party is either unable or
unwilling to immediately provide all required information
as part of the call taking process (i.e., non-English speaking,
hysterical, or uncooperative).
It is understood by the parties hereto that COUNTY's provision of DISTRICT
6 Dispatching Services herein does not include any COUNTY provision of fire suppression services,
7 and that COUNTY is providing DISTRICT Dispatching Services herein to DISTRICT on a non-
8 exclusive basis.
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c. DISTRICT shall perform the following functions:
(1) DISTRICT shall provide all fire suppression services for all fire
11 suppression calls dispatched by COUNTY'S EMS Communications Center requiring DISTRICT
12 apparatuses in accordance with DISTRICT's Policies and Procedures.
13 (2) DISTRICT shall consult with COUNTY's Representative in developing
14 DISTRICT's Policies and Procedures relating to dispatch only. DISTRICT shall provide DISTRICT's
15 Policies and Procedures relating to dispatch to COUNTY for review thereof by COUNTY's
16 Representative. DISTRICT shall not approve DISTRICT's Policies and Procedures relating to
17 dispatch until first having conferred with COUNTY's Representative and such representative agrees
18 that such policies and procedures are not inconsistent with the COUNTY'S EMS Communication
19 Center's Policies and Procedures, and that DISTRICT's Policies and Procedures do not create
20 additional workload for staff or impact other programs in the COUNTY'S EMS Communications
21 Center. COUNTY's Representative shall have neither the right nor the duty to approve the number of
22 DISTRICT apparatuses or personnel, or amount of DISTRICT equipment or other resources, that
2 3 DISTRICT deems sufficient to respond to any calls for DISTRICT Dispatching Services, or other
2 4 DISTRICT Policies and Procedures unrelated to dispatch. DISTRICT shall be reasonable in
2 5 developing DISTRICT 's Policies and Procedures relating to dispatch such that those polices and
2 6 procedures are substantially consistent with COUNTY'S EMS Communication Center's Policies and
2 7 Procedures.
28 (3) DISTRICT shall provide continuing education and training to
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1 COUNTY'S EMS Communications Center radio operators and staff regarding the dispatching and
2 management of DISTRICT resources, as needed.
3 (4) DISTRICT shall assure that all calls to DISTRICT for DISTRICT calls
4 for service are immediately transferred to COUNTY'S EMS Communications Center.
5 (5) DISTRICT agrees to participate in an internal quality improvement
6 program, which includes the participation of COUNTY and PROVIDER.
7 (6) DISTRICT shall be responsible for the provision and maintenance of all
8 radio and computer equipment in DISTRICT apparatuses.
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2. TERM
A. This Agreement shall become effective on July 1, 2016 and shall continue in full
11 force and effect, and terminate on June 30, 2017 at 11:59 P.M., unless sooner terminated as provided
12 herein.
13 B. This Agreement will automatically renew for one (1) two (2) year term (July 1,
14 2017 through June 30, 2019). This Agreement will automatically expire at 11:59 P.M., local time,
15 June30,2019.
16 C. Upon the termination ofthis Agreement, COUNTY shall promptly provide
17 DISTRICT with the data generated through the DISTRICT Dispatching Services provided herein in a
18 commonly usable electronic format.
19 3. TERMINATION
20 A. Non-Allocation of Funds -The terms ofthis Agreement, and the services to be
21 provided hereunder, are contingent on the approval of funds by the appropriating governmental
2 2 agency, provided however, should sufficient funds not be allocated, (i) the services provided may be
2 3 modified at any time upon the parties' mutual written agreement, or (ii) this Agreement may be
2 4 terminated at any time by DISTRICT giving at least ninety (90) days' advance written notice of an
2 5 intention to terminate to the other party.
26 B. Without Cause -Under circumstances other than those set forth above, this
2 7 Agreement may be terminated by DISTRICT or COUNTY upon the giving of at least ninety (90)
2 8 days' advance written notice of an intention to terminate to the other party.
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1 c. Material Breach -Either party may terminate this Agreement at any time for
2 cause for the other party's material breach of its obligations herein if not less than thirty (30) days'
3 advance, written notice has been given to the other party and such breach remains uncured within that
4 thirty (30) day period. The party receiving such notice may respond to said notice and any charges
5 contained therein within that thirty (30) day period.
6 D. DISTRICT shall compensate or provide funding to COUNTY for any services
7 performed or costs incurred under this Agreement prior to any termination of this Agreement.
4. COMPENSATION FOR SERVICES 8
9 A. For COUNTY's performance of Dispatching Services herein, DISTRICT agrees
10 to pay COUNTY and COUNTY agrees to receive a quarterly lump-sum payment of Five Hundred
11 Three and No/1 00 Dollars ($503 .00) pursuant to Exhibit A, attached hereto and incorporated herein by
12 this reference. In no event shall compensation for COUNTY's performance of DISTRICT FIRE
13 Dispatching Services under this Agreement be in excess of Six Thousand Thirty-Six and No/1 00
14 Dollars ($6,036.00).
15 B. Payments by DISTRICT shall be in arrears, for services provided during the
16 preceding quarter, within forty-five (45) days after receipt and verification of COUNTY's invoices by
17 DISTRICT. All payments shall be remitted to COUNTY at the following address: County of Fresno,
18 Department of Public Health-Emergency Medical Services Division, P.O. Box 11867, Fresno,
19 California, 93775.
20 c. COUNTY must submit adequate documentation to substantiate any requested
21 change in compensation.
22 5. INVOICING
23 COUNTY shall invoice DISTRICT monthly, addressed to the Riverdale Irrigation
24 District, 21027 S Brawley A venue, Riverdale, CA 93656, Attention: Fire Chief.
25 6. INDEPENDENT CONTRACTOR
26 In performance of the work, duties, and obligations assumed by COUNTY under this
27 Agreement, it is mutually understood and agreed that COUNTY, including any and all of COUNTY's
28 officers, agents, and employees will at all times be acting and performing as an independent
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1 contractor, and shall act in an independent capacity and not as an officer, agent, servant, employee,
2 joint venture, partner, or associate of DISTRICT. Furthermore, DISTRICT shall have no right to
3 control or supervise or direct the manner or method by which COUNTY shall perform its work and
4 function, except for COUNTY's compliance with DISTRICT's Policies and Procedures, herein, and as
5 described in Section l.A.(3) (j) of this Agreement. However, DISTRICT shall retain the right to
6 administer this Agreement so as to verify that COUNTY is performing its obligations in accordance
7 with the terms and conditions thereof. COUNTY and DISTRICT shall comply with all applicable
8 provisions oflaw and the rules and regulations, if any, of governmental authorities havingjurisdiction
9 over matters which are directly or indirectly the subject of this Agreement.
10 Because of its status as an independent contractor, COUNTY shall have absolutely no
11 right to employment rights and benefits available to DISTRICT employees. COUNTY shall be solely
12 liable and responsible for providing to, or on behalf of, its employees all legally-required employee
13 benefits. In addition, COUNTY shall be solely responsible and save DISTRICT harmless from all
14 matters relating to payment of COUNTY's employees, including compliance with Social Security,
15 withholding, and all other regulations governing such matters. It is acknowledged that during the term
16 of this Agreement, COUNTY may be providing services to others unrelated to DISTRICT or to this
1 7 Agreement.
18 7. MODIFICATION
19 Any matters ofthis Agreement may be modified from time to time by the written
2 0 consent of all the parties hereto without, in any way, affecting the remainder.
8. HOLD-HARMLESS 21
22 A. DISTRICT agrees to indemnify, save, hold harmless, and at COUNTY's request,
2 3 defend COUNTY, including its officers, agents, and employees, from any and all costs and expenses
2 4 (including attorneys' fees and costs), damages, liabilities, claims, and losses occurring or resulting to
2 5 COUNTY in connection with the performance, or failure to perform, by DISTRICT, including its
2 6 officers, agents, or employees under this Agreement, and from any and all costs and expenses
2 7 (including attorneys' fees and costs), damages, liabilities, claims, and losses occurring or resulting to
2 8 any person, firm, or corporation who may be injured or damaged by the performance, or failure to
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1 perform, of DISTRICT, including its officers, agents, or employees under this Agreement.
2 B. COUNTY agrees to indemnify, save, hold harmless, and at DISTRICT's request,
3 defend DISTRICT, including its officers, agents, and employees from any and all costs and expenses
4 (including attorneys' fees and costs), damages, liabilities, claims, and losses occurring or resulting to
5 DISTRICT in connection with the performance, or failure to perform, by COUNTY, including its
6 officers, agents, employees or PROVIDER, under this Agreement, and from any and all costs and
7 expenses (including attorneys' fees and costs), damages, liabilities, claims, and losses occurring or
8 resulting to any person, firm, or corporation who may be injured or damaged by the performance, or
9 failure to perform, of COUNTY, including its officers, agents, employees or PROVIDER under this
1 0 Agreement.
11 C. In the event of concurrent negligence on the part of COUNTY or any of its
12 officers, agents, employees or PROVIDER, and of DISTRICT or any of its officers, agents, or
13 employees, the liability for any and all such claims, demands and actions in law or equity for such
14 costs and expenses (including attorneys' fees and costs), damages, and losses shall be apportioned
15 under the State of California's theory of comparative negligence as presently established or as may be
16 modified hereafter.
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D. This Section 7 shall survive termination or expiration of this Agreement.
9. INSURANCE
19 Without limiting the indemnification of each party as stated in Section 7 above, it is
2 0 understood and agreed that DISTRICT and COUNTY shall each maintain, at their sole expense,
21 insurance policies or self-insurance programs including, but not limited to, an insurance pooling
2 2 arrangement and/or Joint Powers Agreement to fund their respective liabilities throughout the term of
2 3 this agreement. Coverage shall be provided for comprehensive general liability, automobile liability,
2 4 professional liability, and workers' compensation exposure. Evidence of Insurance, Certificates of
2 5 Insurance or other similar documentation shall not be required of either party under this Agreement,
2 6 except for Commercial General Liability coverage. Each party will provide the other party with an
27 appropriate Commercial General Liability insurance certificate with limits of not less than One
28 Million Dollars ($1,000,000) per occurrence and an annual aggregate of Two Million Dollars
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1 ($2,000,000) along with an appropriate endorsement naming the other party as an additional insured
2 on the Commercial General Liability policy. COUNTY shall cause PROVIDER to maintain insurance
3 coverage that is consistent with the current EMS PROVIDER Agreement between COUNTY and
4 PROVIDER.
5 10. CONFIDENTIALITY
6 All services performed by COUNTY under this Agreement shall be in strict
7 conformance with all applicable Federal, State of California and/or local laws and regulations relating
8 to confidentiality.
9 11. NON-DISCRIMINATION
10 During the performance of this Agreement, COUNTY shall not unlawfully discriminate
11 against any employee or applicant for employment, or recipient of services, because of race, religion,
12 color, national origin, ancestry, physical disability, medical condition, sexual orientation, marital
13 status, age or gender, pursuant to all applicable State of California and Federal statutes and
14 regulations.
15 12. RECORDS
16 Each party shall maintain its records in connection with the respective services referred
17 to under this Agreement. Such records must be maintained for a minimum of three (3) years. Records
18 must also be maintained a minimum of three (3) years after the termination of this Agreement. The
19 party generating the records shall maintain ownership of the records upon termination of this
2 0 Agreement.
21 13. AUDITS AND INSPECTIONS
2 2 Each party shall at any time during business hours, and as often as the other party may
2 3 deem necessary, make available to the other party for examination all of the former party's records
2 4 and data with respect to the matters covered by this Agreement. Each party shall, upon request by the
2 5 other party, permit the other party to audit and inspect all such records and data necessary to ensure
26 the former party's compliance with the terms of this Agreement.
27 Ifthis Agreement exceeds Ten Thousand and No/100 Dollars ($10,000.00), COUNTY
28 shall be subject to the examination and audit ofthe State Auditor for a period of three (3) years after
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1 final payment under contract (Government Code section 8546. 7).
2 14. PROVIDER
3 The parties hereto acknowledge that PROVIDER, or its replacement, if any during the
4 term of the PROVIDER Agreement, will carry out COUNTY's provision of dispatching services
5 herein. In the event of any such replacement of PROVIDER, the replacement EMS Provider
6 Agreement will be on substantially the same terms as the EMS Provider Agreement to the extent that
7 it concerns this Agreement, as provided herein.
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15. FORCE MAJEURE
A. If either party hereto is rendered unable, wholly or in part, by Force Majeure to
10 carry out its obligations under this Agreement, that party shall give to the other party hereto prompt
11 written notice ofthe Force Majeure with full particulars relating thereto. Thereupon, the obligations
12 ofthe party giving the notice, so far as they are affected by the Force Majeure, shall be suspended
13 during, but no longer than, the continuance of the Force Majeure, except for a reasonable time
14 thereafter required to resume performance.
15 B. During any period in which either party hereto is excused from performance by
16 reason of the occurrence of an event of Force Majeure, the party so excused shall promptly,
17 diligently, and in good faith take all reasonable action required in order for it to be able to promptly
18 commence or resume performance of its obligations under this Agreement. Without limiting the
19 generality of the foregoing, the party so excused from performance shall, during any such period of
2 0 Force Majeure, take all reasonable action necessary to terminate any temporary restraining order or
21 preliminary or permanent iftiunctions to enable it to so commence or resume performance of its
2 2 obligations under this Agreement.
23 c. The party whose performance is excused due to the occurrence of an event of
2 4 Force Majeure shall, during such period, keep the other party hereto notified of all such actions
2 5 required in order for it to be able to commence or resume performance of its obligations under this
2 6 Agreement.
27 D. "Force Majeure" is defined as an Act of God, act of public enemy, war, and
2 8 other extraordinary causes not reasonably within the control of either of the parties hereto.
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1 16. NOTICES
2 The persons having authority to give and receive notices under this Agreement and their
3 addresses include the following:
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COUNTY
Director, County of Fresno
Department of Public Health
P.O. Box 11867
Fresno, CA 93775
DISTRICT
Riverdale Public Utility District
Attn: Fire Chief
21027 S Brawley A venue
Riverdale, CA 93656
8 Any and all notices between COUNTY and DISTRICT provided for or permitted under
9 this Agreement or by law shall be in writing and shall be deemed duly served when personally
10 delivered to one of the parties hereto, or in lieu of such personal service, when deposited in the United
11 States Mail, postage prepaid, addressed to such party, except for notices of termination, which are
12 effective upon receipt. Notices under this Agreement are not modifications to this Agreement.
13 17. GOVERNING LAW
14 The parties hereto agree, that for the purposes of venue, performance under this
15 Agreement is to be in Fresno County, California.
16 The rights and obligations of the parties hereto and all interpretation and performance of
17 this Agreement shall be governed in all respects by the laws of the State of California.
18 18. SEVERABILITY
19 The provisions of this Agreement are severable. The invalidity or unenforceability of
2 0 any one provision in the Agreement shall not affect the other provisions.
21 19. ENTIRE AGREEMENT
22 This Agreement constitutes the entire agreement between DISTRICT and COUNTY
2 3 with respect to the subject matter hereof and supersedes all previous agreement negotiations,
2 4 proposals, commitments, writings, advertisements, publications, and understandings of any nature
2 5 whatsoever unless expressly included in this Agreement. This Agreement may be executed in several
2 6 counterparts by the parties hereto, in which case, all of such executed duplicate counterpart originals
2 7 thereof, taken together, shall be deemed to be one and the same legal instrument.
28 ///
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1 20. NO THIRD PARTY BENEFICIARIES
2 Notwithstanding anything stated to the contrary in this Agreement, there shall not be any
3 intended third party beneficiaries to this Agreement.
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1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the
2 day and year first hereinabove written.
3
4 COUNTY OF FRESNO:
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By:~ ~)J_,~~
Chainnan, Board of SupervsoTS
8 Date: La I a" H.o
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BERNICE E. SEIDEL, Clerk
Board of Supervisors
By:~ l., t' ~ QJ-f
Date: \.9 \d.-\\ \!??
25 PLEASE SEE ADDITIONAL
26 SIGNATURE PAGE ATTACHED
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RIVERDALE PUBLIC UTILITY
DISTRICT:
Date: .t.f / J.B /I~
I
Title: s('..fe..tav L(
Date: _4~/W__,_/_;..1 "'--
Secretary, District Board
Mailing Address:
Attn.: Fire Department
21027 S Brawley Avenue
Riverdale, CA 93656
c:< )ll~TY < Jl.' FH I ·:SI\i< l
l•re~no. ( :.\
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AGREEMENT BETWEEN COUNTY OF FRESNO
AND RIVERDALE PUBLIC UTILITY DISTRICT
APPROVED AS TO LEGAL FORM:
DANIEL C. CEDERBORG, COUNTY COUNSEL
: By:.~o<:--t....__( ~6=-
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APPROVED AS TO ACCOUNTING FORM:
VICKI CROW, CPA, AUDITOR-CONTROLLER/
TREASURER-TAX COLLECTOR
By:_~~:.....JL---#-JatJ~;..L..__:_ __
David Pomaville
Director
Department of Public Health,
Fund/Subclass: 0001110000
Organization: 56201693
Account: 5039
25 JW
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Qtr
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Exhibit A
Date Due
10/01/2016
01/01/2017
04/01/2017
07/01/2017
10/01/2017
01/01/2018
04/01/2018
07/01/2018
10/01/2018
01/01/2019
04/01/2019
07/01/2019
Amount
$503
$503
$503
$503
$503
$503
$503
$503
$503
$503
$503
$503
COUN'lY OF FRI•:SNO
l'rcsno, CA