HomeMy WebLinkAboutAgreement A-18-556 with Emergency Medical Svcs Auth..pdf STATE OF CALIFORNIA Agreement No. 18-556
STANDARD AGREEMENT
STD 213(Rev 06/03) AGREEMENT NUMBER
C18-002
REGISTRATION NUMBER
1. This Agreement is entered into between the State Agency and the Contractor named below:
STATE AGENCY'S NAME
Emergency Medical Services Authority
CONTRACTOR'S NAME
Central California Emergency Medical Services Agency
2. The term of this July 1, 2018 through June 30, 2019
Agreement is:
3. The maximum amount $405,407.00
of this Agreement is: Four Hundred Five Thousand Four Hundred Seven Dollars and 00/100
4. The parties agree to comply with the terms and conditions of the following exhibits which are by this reference made a
part of the Agreement.
® Exhibit A—Scope of Work 8 pages
® Exhibit B—Contract and Payment Provisions 3 pages
® Exhibit B-1 - Budget Detail/Narrative 5 pages
Exhibit C*—General Terms and Conditions GTC 610
Check mark one item below as Exhibit D:
® Exhibit-D Special Terms and Conditions (Attached hereto as part of this agreement) 4 pages
Exhibit-D*Special Terms and Conditions
® Exhibit E—Sample Invoice 2 pages
Items shown with an Asterisk(*), are hereby incorporated by reference and made part of this agreement as if attached hereto.
These documents can be viewed at http://www.cgS.Ca.govlolSlResourcesIStandardContractLanquage.aspx
IN WITNESS WHEREOF,this Agreement has been executed by the parties hereto.
CONTRACTOR California Department of General
Services Use Only
CONTRACTOR'S NAME(if other than an individual,state whether a corporation,partnership,etc.)
County of Fresno acting as Central California EMS Agency
BY(Authorized Signature) DATE SIGNEDD(Do not type)
PRINTE NA E ANU OF PERSON SIGNING
Sal Quintero, Chairperson, Board of Supervisors
ADDRESS
1221 Fulton Mail, 51n Floor, Fresno, CA 93721
STATE OF CALIFORNIA
AGENCY NAME
Emergency Medical Services Authority
BY(Authorized Signature DATE SIG D( Qo not t pa)
PRINTED NA E AND TITLE OF PERSON SIGNING ®Exempt per:
Howard Backer, MD, MPH, FACEP, Director SCM Vol 1,4.04(A)(4)
ADDRESS
91
10901 Gold Center Dr., Ste 400, Rancho Cordova, CA 95670-6073
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County of Fresno,State of California
By Deputy
C 18-002
Central California Emergency Medical Services Agency Exhibit A
Exhibit A
Scope of Work
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Central California Emergency Medical Services Agency Exhibit A
Scope of Work
Refer to the Emergency Medical Services Authority (EMSA) publication #104 "Funding
Multicounty EMS Agencies with State General Funds" to assist in the administration of
this contract. The EMSA #104 can be found at http://www.emsa.ca.gov/Guidelines.
Multicounty EMS Agency Objectives
The Contractor agrees to complete and submit an EMS Plan update annually per Health
and Safety Code section 1797.254, as determined by EMSA in the agency's last EMS
Plan decision.
The Contractor shall operate and manage a regional EMS system, and report on
accomplished work and duties to EMSA, as described herein.
Quarterly reports shall be submitted to EMSA on the 15t" calendar day of the month
following the end of each quarter, with exception of the fourth quarter report, which is
due August 1st, and must include a supplemental year-end data report. The quarterly
reports must contain a description of work performed, the duties of all parties, and a
summary of activities the Contractor has accomplished to meet the following eight (8)
components:
1st THROUGH 4t" QUARTER TASK REPORTING
Component 1 - System Organization and Management
Objective - To develop and maintain an effective management system to meet the
emergency medical needs and expectations of the total population served.
Tasks: The responsibilities of the EMS agency, at a minimum, include:
• Staff development, training, and, management
• Allocating and maintaining office space, office equipment, and office supplies
• Executing and maintaining contracts with member counties, service providers,
consultants, and contractual staff
• Attending or participating in a minimum of 3 EMSA/LEMSA meetings annually
(following advance notice and reasonable justification provided by the LEMSA,
EMSA will make a determination on the flexibility of the attendance requirement
on a case-by-case basis, and in the event the quarterly EMSA/LEMSA meeting is
canceled, attendance at the meeting will not be counted for/against the LEMSA)
Component 2 - Staffing and Training
Objective - To ensure LEMSA authorized personnel functioning within the EMS system
are properly trained, licensed/certified/authorized and/or accredited to safely provide
medical care to the public.
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Central California Emergency Medical Services Agency Exhibit A
Tasks: The responsibilities of the EMS agency, at a minimum, include:
• Ongoing assessment of local training program needs
• Authorizing and approving training programs and curriculum for all certification
levels
• Providing training programs and classes as needed
• Providing ongoing certification/authorization/accreditation or personnel approval
of local scope of practice for all certification levels
• Developing and maintaining treatment protocols for all certification levels
• Maintaining communication link with Quality Improvement program to assess
performance of field personnel
• Conducting investigations and taking action against certification when indicated
• Authorizing, maintaining, and evaluating EMS continuing education programs
Component 3 - Communications
Objective - To develop and maintain an effective communications system that meets the
needs of the EMS system.
Tasks: The responsibilities of the EMS agency, at a minimum, include:
• On-going assessment of communications status and needs
• Assuring appropriate maintenance of EMS related communications systems
• Approving ambulance dispatch centers
• Providing acceptable procedures and communications for the purpose of
dispatch and on-line medical control
• Approving emergency medical dispatch (EMD) training and/or operational
programs
Component 4 - Response and Transportation
Objective - To develop and maintain an effective EMS response and ambulance
transportation system that meets the needs of the population served.
Tasks: The responsibilities of the EMS agency, at a minimum, include:
• Designating EMS responders including first responders, Limited Advanced Life
Support (LALS)/Advanced Life Support (ALS) providers, ambulance providers,
and Prehospital EMS Aircraft providers
• Monitoring local ordinances related to EMS
• Establishing policies and procedures to the system for the transportation of
patients to trauma centers and/or specialty care hospitals as needed
• Implementing and maintaining contracts with providers
• Creating exclusive operating areas
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Central California Emergency Medical Services Agency Exhibit A
• Inspecting ambulance or LALS/ALS providers
• Developing and enforcing performance standards as needed
Component 5 - Facilities and Critical Care
Objective - To establish and/or identify appropriate facilities to provide for the standards
and care required by a dynamic EMS patient care delivery system.
Tasks: The responsibilities of the EMS agency, at a minimum, include:
• Designating base hospital(s) or alternate base stations for on-line medical control
and direction
• Identifying ambulance receiving centers including hospitals and alternative
receiving facilities in rural areas
• Identifying and designating, as needed, trauma centers and other specialty care
facilities
• Periodically assessing trauma system and plan as needed
• Coordinating trauma patients to appropriate trauma center(s) or approved
receiving hospitals
• Periodically assessing hospitals (e.g., pediatric critical care centers, emergency
departments approved for pediatrics, other specialty care centers)
• Completing hospital closure impact reports
Component 6 - Data Collection and System Evaluation
Objective - To provide for appropriate system evaluation through the use of quality data
collection and other methods to improve system performance and evaluation.
Tasks: The responsibilities of the EMS agency, at a minimum, include:
• Reviewing reportable incidents
• Reviewing prehospital care reports including Automated External Defibrillator
(AED) reports
• Processing and investigating quality assurance/improvement incident reports
• Monitoring and reporting on EMS System Core Measures by March 31 st each
year, and acknowledging completion of the monitoring and reporting as of
March 31 st each year
• Providing data to CEMSIS monthly
• Implementing Health and Safety Code Section 1797.227, including providing
data using the current versions of NEMSIS and CEMSIS standards from
Electronic Health Records (EHR)
• Engaging healthcare partners and Health Information Organizations in your
jurisdiction in discussions and planning efforts to integrate EMS into developing
health information exchange networks according to the models being developed
under the ONC grant
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Central California Emergency Medical Services Agency Exhibit A
Component 7 - Public Information and Education
Objective - To provide programs to establish an awareness of the EMS system, how to
access and use the system, and provide programs to train members of the public in
first-aid and CPR.
Tasks: The responsibilities of the EMS agency, at a minimum, include:
• Information and/or access to CPR and first-aid courses taught within the EMS
system
• Involvement in public service announcements involving prevention or EMS
related issues
• Availability of information to assist the population in catastrophic events, as
appropriate
• Participating in public speaking events and representing the EMS Agency during
news events and incidents
• Seeking opportunities to collaborate with key partners, including local public
health and other community organizations, to promote healthcare and injury
prevention activities
Component 8 - Disaster Medical Response
Objective - To collaborate with the Office of Emergency Services, Public Health and
EMS responders in the preparedness and response of the region's EMS systems in the
event of a disaster or catastrophic event within the regions or a neighboring jurisdiction.
Tasks: The responsibilities of the EMS agency, at a minimum, include:
• Participating in disaster planning and drills as needed
• Identifying disaster preparedness needs
• Coordinating the operational area disaster medical/health coordinator
• Coordinating the regional disaster medical/health coordinator system
• Developing policies and procedures for EMS personnel in response to a multi-
casualty or disaster incident
• Facilitating mutual aid agreements
• Collaborating with all EMS personnel on training of incident command and
Standardized Emergency Management System (SEMS)
41" QUARTER SUPPLEMENTAL DATA REPORTING
Component 1 - System Organization and Management
Objective - To develop and maintain an effective management system to meet the
emergency medical needs and expectations of the total population served.
Workload Indicators-
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Central California Emergency Medical Services Agency Exhibit A
• Total static population served (Determined by DOF estimates)
• Total annual tourism population (Determined by identified sources)
• Number of counties
• Geographic size of region (in square miles)
Component 2 - Staffing and Training
Objective - To ensure LEMSA authorized personnel functioning within the EMS system
are properly trained, licensed/certified/authorized and/or accredited to safely provide
medical care to the public.
Workload Indicators:
• Total number of personnel certified/authorized/accredited by EMS agency
• Total number and type of training programs approved by EMS agency
• Total number and type of training programs conducted by EMS agency
• Total number of continuing education providers authorized by EMS agency
Component 3 - Communications
Objective - To develop and maintain an effective communications system that meets the
needs of the EMS system.
Workload Indicators:
• Total number of primary and secondary Public Safety Answering Points
• Total number of EMS responses
• Total number of EMD training programs approved by EMS agency
• Total number and type of EMD programs authorized by EMS agency
Component 4 - Response and Transportation
Objective - To develop and maintain an effective EMS response and ambulance
transportation system that meets the needs of the population served.
Workload Indicators:
• Total ambulance response vehicles
• Total first responder agencies
• Total patients transported
• Total patients not transported (e.g., treated and released, total dry runs)
• Total number of LALS/ALS providers authorized by EMS agency
• Total number of transport providers in region
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Central California Emergency Medical Services Agency Exhibit A
Component 5 - Facilities and Critical Care
Objective - To establish and/or identify appropriate facilities to provide for the standards
and care required by a dynamic EMS patient care delivery system.
Workload Indicators:
• Total patients received
• Total number of hospitals designated by EMS agency (e.g., base, receiving,
trauma, specialty centers, etc.)
Component 6 - Data Collection and System Evaluation
Objective - To provide for appropriate system evaluation through the use of quality data
collection and other methods to improve system performance and evaluation.
Workload Indicators:
• Total patient care reports generated
• Total trauma patients
• Total cardiac patients
• Total medical patients
• Total pediatric patients
• Total number of situational/unusual occurrence reports processed by EMS
agency
Component 7 - Public Information and Education
Objective - To provide programs to establish an awareness of the EMS system, how to
access and use the system, and provide programs to train members of the public in
first-aid and CPR.
Workload Indicators:
• Total number of public information and education courses approved by EMS
agency
• Total number of public information and education courses conducted by EMS
agency
• Total number of public information and education events involving EMS agency
Component 8 - Disaster Medical Response
Objective - To collaborate with the Office of Emergency Services, Public Health and
EMS responders in the preparedness and response of the region's EMS systems in the
event of a disaster or catastrophic event within the regions or a neighboring jurisdiction.
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Central California Emergency Medical Services Agency Exhibit A
Workload Indicators:
• Total number of Disaster/Multiple Casualty Incident (MCI) Responses (response
with 5 or more victims)
• Total number of disaster drills involving staff
• Total disaster-related meetings attended by staff
Performance Evaluation
There will be periodic assessments of the EMS Agency's performance by the State
Emergency Medical Services Authority.
Contacts
The Project representatives during the term of this agreement will be:
Agency: Contractor:
Emergency Medical Services Authority Central California Emergency Medical
Services Authority
Name: Lisa Galindo Name: Daniel J. Lynch
EMS Director
Phone: (916) 431-3688 Phone: (559) 600-3387
Fax: Fax:
Email: lisa.galindo@emsa.ca.gov Email: d lynch @co.fresno.ca.us
Direct all contractual/administrative inquiries to:
Agency: Contractor:
Emergency Medical Services Authority Central California Emergency Medical
Services Authority
Section/Unit: Administrative Unit Section/Unit:
Attention: Lisa Vigil, Attention: Daniel J. Lynch
Contract Analyst EMS Director
Address: 10901 Gold Center Dr, Ste 400 Address: P.O. Box 11867
Rancho Cordova, CA 95670 Fresno, CA 93775
Phone: (916) 431-3694 Phone: (559) 600-3387
Fax: (916) 322-1441 Fax:
Email: lisa.vigil(a)-emsa.ca.gov Email: d lynch @co.fresno.ca.us
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Central California Emergency Medical Services Agency Exhibit B
Exhibit B
Contract and Payment Provisions
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Central California Emergency Medical Services Agency Exhibit B
Contract and Payment Provisions
Invoicing and Payment
Each multicounty EMS agency requesting funding must also have on file a current EMS
Plan/annual update approved by EMSA.
For services satisfactorily rendered, and upon receipt and approval of the invoices, the
State agrees to compensate the Contractor for actual expenditures incurred in
accordance with the rates listed in Exhibit B-1, titled Budget Detail/Narrative, which is
attached hereto and made a part of this Agreement.
Invoices shall be submitted in accordance with this agreement and Exhibit E-Sample
Invoice, which is attached hereto and made a part of this Agreement.
Invoices shall be submitted on company letterhead and include the following:
1. Agreement Number
2. Invoice Number
3. Bill To Address
4. Remittance Address
5. Sufficient scope and detail to define the actual work performed and specific
milestones completed, including a description of the activities of the contractor and
Subcontractor, the hours allocated to those activities, the locations were work was
performed, the expenses claimed, and any required reports.
Invoices shall be submitted in duplicate not more frequently than monthly in arrears.
Submit all invoices to:
Emergency Medical Services Authority
10901 Gold Center Drive, Suite 400
Rancho Cordova, CA 95670-6073
Attn: Lisa Vigil, Contracts Analyst
If any of this information is not on the invoice, it may cause delays in payment
processing.
Final Invoices must be submitted no later than sixty (60) days after the end date of this
agreement.
Payment will be for actual services provided or actual costs. If the Emergency Medical
Services Authority (EMSA) does not approve the invoice in accordance with identified
general tasks or deliverables in this contract, payment of the invoice will be withheld by
EMSA and the Contractor will be notified. The Contractor must take timely and
appropriate measures to correct or remedy the reason(s) for non-acceptance and
demonstrate to EMSA that the Contractor has successfully completed the scheduled
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Central California Emergency Medical Services Agency Exhibit B
work for each general task or deliverable before payment will be made.
Budget Contingency Clause
It is mutually agreed that if the Budget Act of the current year and/or any subsequent
years covered under this Agreement does not appropriate sufficient funds for the
program, this Agreement shall be of no further force and effect. In this event, the State
shall have no liability to pay any funds whatsoever to Contractor or to furnish any other
considerations under this Agreement and Contractor shall not be obligated to perform
any provisions of this Agreement.
If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this
program, the State shall have the option to either cancel this Agreement with no liability
occurring to the State, or offer an agreement amendment to Contractor to reflect the
reduced amount.
Prompt Payment Clause
Payment will be made in accordance with, and within the time specified in, Government
Code Chapter 4.5, commencing with Section 927.
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Central California Emergency Medical Services Agency Exhibit B-1
Exhibit B-1
Budget Detail and Narrative
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Central California Emergency Medical Services Agency Exhibit B-1
Budget Detail and Narrative
Budget Detail
is
Budget Categories State General fund Local Fund Total
Personnel $277,149 $943.409 $1.220.55E.
*Fringe Benefits $102,545 $815.013 $917.55E,
Administrative-'Indirect 10% of Total $25,713 S25.713
Direct Costs
"Unreimbursed Indirect Cost rLocal
funding includes $74,906 $74.906 $74.906
unreimbursable indirect cost for the $465.982 $465.982
portion of 16.5010 over the allowable
100/6 from State General Fund)
TOTALS $405,407 $2,299.310 .704.717
=ringe benefits are reimbursab;e at ma jmurn of 3; on personnel costs from State.and the ezceeoea costs are unoea by bcal fund.
"Currently, Indirect cc.s*.applied in Fresno County is 26.5%-
Program Funding
Program Funding State General Fund Local Funds Total
is
State General Fund $405.4C-
Kings County 541,442 $41.442
I'Aadera County $41,442 $41.442
Tulare County 541,442 $41.442
Fresno County $2,174,984 $2,174.98-4
T1:717AL' $405.407 $2,299,310 $2,704.71-
Budget Narrative
Personnel
The following positions are funded under this agreement.
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Central California Emergency Medical Services Agency Exhibit B-1
Dale Dotson. EMS Coordinator 1.0 FTE 2080 hours S36.4034 1 $75,719
Responsible for overall supervision of Operations in Fresno. Kings. Madera and Tulare Counties_
Responsibilities include implementation and enforcement of policy and procedures, investigation of
incidents,coordination between agencies and the EMS agency, first responder liaison, hospital and
base hospital coordination, and attendance at EMS related meetings_ 100%of his salary is paid for
with State GF.
Brandon Hill. Staff Analyst 1.0 FTE 1 2080 hours @ S31.1168 I S64,723
Responsible for administrative functions, which includes development and processing of reports and
agenda items. This position manages data and uses data to analyze various measurements of the
EMS system. i 000,c of his salary is paid for with State GF_
John Cardona EMS Specialist 1.0 FTE 2080 hours @$33.0971 S68,842
Responsible for Tulare operations and oversight.which includes ambulance inspections_ performance
reviews, contract compliance evaluations, performance and appeal investigation. Tulare County
Ambulance Commission preparation, system performance reports, and attendance at EMS related
meetings. 100%of his salary is paid for with State GF_
Monica Olvera . Office Assistant III 1.0 FTE 2080 hours @ S16.2457 $33,791
Responsible for clerical support for the operations division,which includes miscellaneous
administrative support, meeting minutes, purchasing and inventory, requisition management, and
correspondence materials. 100%of his salary is paid for with State GF_
Curtis Jack. EMS Coordinator .45 FTE 936 hours @ 36.4034 S34,074
Responsible for Disaster Medical Services for the EMS region.which includes coordination with
ambulance providers, hospitals and allied agencies in disaster response and preparedness.
Note: Personnel listed above are funded through the funds listed in Program Funding
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Central California Emergency Medical Services Agency Exhibit B-1
Personnel Classification
Staff State General Fund Local Funds Total'o of State Local
Personnel Person o.of Pay 0.of Time General Funds
Time Rate' Time Pay Rate' Local State Fund
Manager Lynch 1001-1_ $50.4313 1000/0
$104,897
Senior Specialist Becker loci-_ $36.4034 100%
$75,719
Senior Specialist Dotson 1 0-- $36.4034 100%
$75,719 0
Senior Specialist Myers 100% $36.4034 100% 0 $75,719
Senior Specialist Parker 100% $33.1971 100% 0 $69,050
Senior Specialist Jack 45-, $36.4034 55% $36.4034 100% 4,073.55 $41,645.45
Systems Program Analyst Deaver 1000/0 $38.3380 1000/0 0 $79,743
IT Analyst Vacant/Part- 1000/0 $20.9827 100%
Time $21,822
EMS Specialist Barrera 1000/0 $33.0971 1000/0 0 $68 842
EMS Specialist Cardona 10C:- $33 0971 100A/0 $68.842 0
EMS Specialist Vacant 1009. $33.0971 100% 0 $68 842
EMS Specialist Rodriguez 100% $33.0971 100% 0 $68,842
EMS Specialist Vacant 100% $33.0971 100% 0 $68,842
EMS Specialist Lakela 100% $26.6870 100% 0 $55,509
EMS Specialist Part-time 74.33% $23.3095 74.33% 0 $36,038
Staff Analyst Hill 10_- $3 1 1 1 100%
$64,723 0
Secretary IV Brooks 100% $23.3101 100"0 0 $48,485
Office Assistant III Alonso 100:: $12.5644 100%
0 $26.134
Office Assistant I II Ofvera 1 W/o $11-.=-4F.7 100% S33.791 0
Du Stan Pay Officers _•:11 d-by ^I S2 50?hr 1000/0 $33,280
'Salaries are based upon 2080 hours per year. Hourly rates are ai c rour>d-�- i :.- -- -- -
Total $277.148.55 1 $943,409.45
Frin e Benefits:
Benefit Amount Percent
Unemployment Insurance $446 0.1610%
Retirement $166,153 71.36%
OASDI contribution $21,202 7.650
Health Insurance $44,138 Flat Rate-
Benefits Administration $712 Flat Rate
Life Insurance $164 Flat Rate
Total ""$232,815 84%
' Health Insurance is estimated at a flat rate of$7,921 per FTE. Employees with dependent coverage varies between ($10,797 and
$10,928)is based on annual open enrollment information.
"Benefit administration is$160 per FTE.
"'Life insurance is$164 per FTE
"The Actual cost of fringe benefits is$232,815.The State Agreement limits fringe benefit costs to 37%of total personnel costs.The
remaining difference will be covered by local funds.
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Central California Emergency Medical Services Agency Exhibit B-1
Administrative/Indirect Cost
Fresno County has chosen to claim the 10% overhead/indirect cost allowed by the State.
The 26.5% of indirect cost rates are currently applied in Fresno County, and the cost
includes administrative support, departmental support and county overhead. Fresno
County will assume the responsibilities of the unreimburseable 16.5% indirect costs. The
local cost of$465,982 provides for the administrative and overhead costs that are not
associated with this agreement.
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Central California Emergency Medical Services Agency Exhibit C
Exhibit C
General Terms and Conditions (GTC)
GTC 610
Please Note: The General Terms and Conditions, GTC 610, will be included in the Agreement
by reference to Internet site:
http://www.dgs.ca.gov/ols/Resources/StandardContractLanquage.aspx
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Central California Emergency Medical Services Agency Exhibit D
Exhibit D
Special Terms and Conditions
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Central California Emergency Medical Services Agency Exhibit D
Special Terms and Conditions
1. Amendments
This agreement allows for amendments to add time for completion of specified
deliverables and/or to increase funding. Should either party, during the term of
this agreement, desire a change or amendment to the terms of this Agreement,
such changes or amendments shall be proposed in writing to the other party,
who will respond in writing as to whether the proposed changes/amendments are
accepted or rejected. If accepted and after negotiations are concluded, the
agreed upon changes shall be made through the State's official agreement
amendment process. No amendment will be considered binding on either party
until it is formally approved by both parties and the Department of General
Services, if such approval is required.
2. Excise Tax
The State of California is exempt from federal excise taxes, and no payment will
be made for any taxes levied on employees' wages. The State will pay for any
applicable State of California or local sales or use taxes on the services rendered
or equipment or parts supplied pursuant to this Agreement. California may pay
any applicable sales and use tax imposed by another state.
3. Force Majeure
Neither party shall be liable to the other for any delay in or failure of performance,
nor shall any such delay in or failures of performance constitute default, if such
delay or failure is caused by "Force Majeure." As used in this section, "Force
Majeure" is defined as follows: unforeseen circumstances that make
performance of the agreement impossible such as acts of war, civil unrest, acts
of governments (such as changes in law) and acts of God such as earthquakes,
floods, and other natural disasters such that performance is impossible.
4. License and Permits
The Contractor shall be an individual or firm licensed to do business in California
and shall obtain at his/her expense all license(s) and permit(s) required by law for
accomplishing any work required in connection with this contract.
A. If you are a Contractor located within the State of California, a business
license from the city/county in which you are headquartered is necessary;
however, if you are a corporation, a copy of your incorporation
documents/letter from the Secretary of State's Office can be submitted. If
you are a Contractor outside the State of California, you will need to submit
to the Emergency Medical Services Authority (EMSA) a copy of your
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business license or incorporation papers for your respective State showing
that your company is in good standing in that state.
B. In the event, any license(s) and/or permit(s) expire at any time during the
term of this contract; Contractor agrees to provide EMSA with a copy of the
renewed license(s) and/or permit(s) within 30 days following the expiration
date. In the event the Contractor fails to keep in effect at all times all
required license(s) and permit(s), the State may, in addition to any other
remedies it may have, terminate this contract upon occurrence of such
event.
5. Inspection of Services
Services performed by Contractor under this Agreement shall be subject to
inspection by EMSA at any and all times during the performance thereof.
If an EMSA official conducting the inspection determines that the services
performed by Contractor (and/or materials furnished in connection therewith) are
not in accordance with the specification, EMSA may, at its option, have the work
performed by an alternate provider, charging the Contractor with any excess cost
occasioned thereby.
6. Liability for Loss and Damages
Any damages by the contractor to the State's facility including equipment,
furniture, materials or other State property will be repaired or replaced by the
contractor to the satisfaction of the State at no cost to the State. The State may,
at its option, repair any such damage and deduct the cost thereof from any sum
due contractor under this Agreement.
7. Cancellation / Termination (SCM 7.85)
A. This agreement may be cancelled or terminated without cause by the State
by giving thirty (30) calendar days advance written notice to the Contractor.
Such notification shall state the effective date of termination or cancellation
and include any final performance and/or payment/invoicing
instructions/requirements. Contractor may submit a written request to
terminate this Agreement only if the State should substantially fail to perform
its responsibilities as provided herein.
B. Upon receipt of a notice of termination or cancellation from the State,
Contractor shall take immediate steps to stop performance and to cancel or
reduce subsequent contract costs.
C. Contractor shall be entitled to payment for all allowable costs authorized
under this agreement, including authorized non-cancelable obligations
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Central California Emergency Medical Services Agency Exhibit D
incurred up to the date of termination or cancellation, provided such
expenses do not exceed the stated maximum amounts payable.
D. This agreement may be immediately terminated without advance notice for
cause. The term "for cause" shall mean that the Contractor has committed
a material breach of the provisions of the contract. In this instance, the
contract termination shall be effective as of the date indicated on the State's
notification to the Contractor. (Refer to GC, Exhibit C, Item 7. Termination
for cause.)
E. This agreement may be suspended or cancelled without notice, at the
option of the Contractor, if the Contractor's or State's premises or
equipment are destroyed by fire or other catastrophe, or so substantially
damaged that it is impractical to continue service, or in the event the
Contractor is unable to render service as a result of any action by any
governmental authority.
8. Disputes
Any dispute concerning a question of fact arising under this contract that is not
disposed of by agreement shall be decided by the Director of EMSA, who may
consider written or verbal evidence submitted by the Contractor. The decision of
the Director of EMSA, issued in writing, shall be conclusive and binding on both
parties to the contract on all questions of fact considered and determined by the
Director of EMSA.
9. Intellectual Property Rights
All work products, intellectual property or otherwise, developed under this
contract shall become the property of EMSA. Products shall not be disclosed
without the written permission of the Director of EMSA and the Administration if
necessary. Each report developed for this contract shall also become the
property of EMSA and shall not be disclosed except in such manner and such
time as the Director of EMSA may direct. No written product(s) shall be used for
lobbying purposes.
No products, processes, or materials developed using grant funds may be
patented or copyrighted to the contractor.
4 of 4
C 18-002
Central California Emergency Medical Services Agency Exhibit E
Exhibit E
Sample Invoice
Page 1 of 2
C 18-002
Central California Emergency Medical Services Agency Exhibit E
Sample Invoice
STATE OF CALIFORNIA
EMERGENCY MEDICAL SERVICES AUTHORITY
FAIT 501B(Rev 2-2016
STATE OF CALIFORNIA
I(T EMERGENCY MEDICAL SERVICES AUTHORITY
CONTRACTOR REIMBURSEMENT INVOICE
To: Attention:Lisa Vigil DATE:
Emergency Medical Services Authority CONTRACT NUMBER:
10901 Gold Center Drive.Suite#400 INVOICE NUMBER:
Rancho Cordova,CA 95670 INVOICE PERIOD:
INVOICE AMOUNT:
Remit To:
Purpose of this invoice is to reimburse contractor for actual expenditures incurred while performing the activities agreed upon as contained in
Contract Number#.Supporting documentation of requested reimbursement wil be provided upon request
T 4a Gran' E.x enditures Rema ni^g
Budget Categories Budget rre -norYlu Balance
State Luca State Local Sate Loca State Local State Loca
Personnel Expenses
Frrge Benefits
Commun ratio-s
Travel{In Statel
Total
Less Advance fif applicable)
Total Reimbursement Request
I certify that I am the duty appointed and acting officer of the herein named agency and the costs being claimed herein are in alf respects
true.correct.and in accordance with the contract provisions:Char funds were expended or obfigated during the contract period:and the
amount claimed above has not previously presenred to or reimbursed by the Emergency Medical Services Authority.
Signature: T-rJe:
Printed Name Date-
For EWSA Use Only
I certify char this reimbursement claim is in compliance with atl rerms'condidons.iaws.and regulations governing it's payment and hereby
approved for payment
Signature: Tide:
Printed flame. Date:
Page 2 of 2
Fund/Subclass: 0001/10000
Organization: 56201692
Account: 3503