HomeMy WebLinkAboutAgreement A-15-331 with KWPH Enterprises.pdfAgreement No. 15-331
AGREEMENT
2 THIS AGREEMENT is made and entered into this ':fi? day of (J~ , 2015,
3 by and between the COUNTY OF FRESNO, a Political Subdivision of the State of California,
4 hereinafter referred to as "COUNTY," and K.W.P.H. ENTERPRISES, doing business as
5 AMERICAN AMBULANCE, a California Corporation, whose address is 2911 East Tulare
6 Street, Fresno, California 93721, hereinafter referred to as "CONTRACTOR."
7 WI TN E S S E T H:
8 WHEREAS, COUNTY's Emergency Medical Services ("EMS") Communications
9 Center is staffed and operated by CONTRACTOR through that certain Emergency Medical
10 Services Provider Agreement for Emergency Ambulance Service and Advanced Life Support
11 (Paramedic) Ambulance Service dated July 10,2007 (COUNTY Agreement No. A-07-292, the
12 "EMS PROVIDER Agreement"), by and between COUNTY and PROVIDER; and
13 WHEREAS, the City ofKingsburg ("CITY") receives calls requesting both fire
14 suppression services and EMS and transfers these calls to COUNTY's EMS Communications
15 Center for dispatching the appropriate emergency vehicles; and
16 WHEREAS, CITY's FIRE Department ("FIRE") desires to receive dispatching services
17 for fire suppression calls, which may include dispatching of non-transport first responder
18 services, (collectively, "FIRE Dispatching Services") from COUNTY's EMS Communications
19 Center; and
20 WHEREAS, CONTRACTOR desires to provide dispatching services for CITY; and
21 WHEREAS, it is to the mutual benefit and in the best interest of the CITY and
22 COUNTY, and the parties hereto, to combine EMS dispatching services and FIRE Dispatching
23 Services for the purpose of providing improved services to the public; and
24 WHEREAS, it is a goal of COUNTY and CITY to consolidate dispatching services in
25 Fresno County; and
26 WHEREAS, it has been determined by CITY and COUNTY that there is a need to
27 provide EMS dispatching services and FIRE Dispatching Services through a centralized and
28 combined effort by COUNTY's EMS Communications Center and FIRE; and
COUNTY OF FRESNO
Fresno, California
1 WHEREAS,CITY and COUNTY intend to enter into an agreement which will continue
2 the provision of FIRE Dispatching Services by COUNTY (the "CITY-COUNTY Agreement");
3 and
4 WHEREAS,CONTRACTOR is willing to facilitate the CITY-COUNTY Agreement by
5 entering into this Agreement.
6 NOW,THEREFORE,in consideration of their mutual covenants and conditions,the
7 parties hereto agree as follows:
8 1.SERVICES
9 A.Subject to CITY timely paying COUNTY for FIRE Dispatching Services
10 (defined in Section 4.A.of the CITY-COUNTY Agreement)under the CITY-COUNTY
11 Agreement:
12 (1)COUNTY shall obtain and maintain dispatching equipment,
13 hardware,software (including software licenses),and other technologies,which will be utilized
14 for the triage and entry of information for FIRE Dispatching Services in COUNTY'S EMS
15 Communications Center computer aided dispatch ("CAD")system,in connection with
16 CONTRACTOR'S performance of FIRE Dispatching Services under this Agreement;and
17 (2)COUNTY shall be responsible for selection,configuration,
18 installation,and maintenance of all dispatching equipment,hardware,software and other
19 teclmologies associated with this Agreement.All dispatching equipment,hardware,software
20 (including software licenses),and other technologies purchased and/or obtained through this
21 Agreement shall be the sole property of COUNTY.
22 (3)CONTRACTOR,shall provide FIRE Dispatching Services
23 requiring responses by FIRE apparatuses as follows:
24 (a)CONTRACTOR shall provide all FIRE Dispatching
25 Services in accordance with FIRE's Policies and Procedures ("FIRE's Policies and
26 Procedures"),which shall be approved by COUNTY'S EMS Director,or his or her designee
27 (the "COUNTY'S Representative").
28 ///
COUNTY OF FRESNO
Fresno.California
1 (b)CONTRACTOR shall dispatch FIRE's apparatuses through
2 CITY's radios and electronic communications,and in accordance with FIRE's Policies and
3 Procedures approved by COUNTY'S Representative.
4 (c)CONTRACTOR shall provide pre-arrival instructions to
5 callers requesting fire suppression service responses in accordance with FIRE's Policies and
6 Procedures approved by COUNTY'S Representative.
7 (d)CONTRACTOR shall provide inter-agency coordination
8 regarding requests for fire suppression service,mutual aid and instant aid services,and order
9 specialized fire equipment from CITY or other agencies (e.g.,hazardous materials equipment,
10 or "jaws of life")which may be needed to handle an incident,and perform other related duties
11 in accordance with FIRE's Policies and Procedures approved by COUNTY'S Representative.
12 (e)CONTRACTOR shall track all activity of FIRE's
13 apparatuses responses utilizing the COUNTY'S EMS Communications Center CAD system.
14 (f)COUNTY shall provide one (1)radio operator for
15 dispatching of FIRE'S apparatuses twenty-four (24) hours a day,seven (7) days a week. CITY
16 understands that the radio operator is not dedicated for the sole purpose of CITY and that the
17 radio operator may be dispatching other fire and EMS providers.
18 (g)CONTRACTOR shall provide that a minimum of one (1)
19 dispatch supervisor shall be on duty at COUNTY'S EMS Communications Center twenty-four
20 (24) hours a day,seven (7) days a week. The supervisor shall be available to CITY's on-duty
21 fire administration as needed.
22 (h)CONTRACTOR shall maintain an up-to-date manual of
23 FIRE's Policies and Procedures (approved by COUNTY'S Representative,as provided herein)
24 for all dispatch staff, and shall provide for training and continuing education of dispatch staff as
25 needed.
26 (j) The goal for the immediate dispatch of a fire apparatus, in
27 accordance with FIRE approved dispatch protocols, and excluding multiple unit responses,
28 reassigned responses and other situations beyond the COUNTY'S EMS Communications Center
COUNTY OF FRESNO
Fresno.California
-)
control; shall be sixty (60) seconds. The dispatch time will be measured from the time the
telephone is answered by the call taker to the time the first fire apparatus is alerted to the incident
either by radio,telephone,pager, or station alerting device. A review shall occur for all cases in
which dispatches are over ninety (90) seconds and results will be evaluated for improvement
5 opportunities by the Fire Dispatch Continuous Quality Improvement (CQI)Committee.
6 It is understood that because of the dynamic nature of emergency services, there are
situations when the sixty (60)second dispatch goal may not be achieved.Examples of these
situations include,but are not limited to:
9 1. calls with incomplete,inaccurate or no ANI/ALI
10 information (including CAD-to-CAD).
2. calls that do not geo-verify in the CAD.
3. 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.,
14 non-English speaking,hysterical,or uncooperative)or use of Teletype (TTY) or
15 Telecommunication Device for the Deaf (TDD) or audio relay device.
16 Calls for service that meet one of the above exemption
17 categories shall have a dispatch time of no more than ninety (90)seconds in a minimum of ninety-
five percent (95%)of calls received each month.
9 B. It is understood by the parties hereto that (i)CONTRACTOR'S provision
20 of FIRE Dispatching Services herein does not include any CONTRACTOR or COUNTY
provision of fire suppression services,(ii) all fire suppression services for all fire suppression
22 calls to be dispatched by CONTRACTOR are to be provided by CITY pursuant to the CITY-
23 COUNTY Agreement,(iii)CONTRACTOR is providing FIRE Dispatching Services herein on
24 a non-exclusive basis,(iv)COUNTY'S compensation paid to CONTRACTOR for its
25 performance of FIRE Dispatching Services herein is for supplemental services that are in
26 addition to any other services that CONTRACTOR provides,and for which CONTRACTOR
27 acknowledges that CONTRACTOR is paid in accordance with the EMS PROVIDER
28 Agreement,and (v)CONTRACTOR shall first obtain COUNTY'S written permission to
29 provide any other dispatching services through the COUNTY'S EMS Communications Center.
COUNTY OF FRESNO
Fresno.California
1 Notwithstanding anything stated to the contrary herein,CONTRACTOR covenants,warrants,
2 and represents to COUNTY that (i) Any funds that COUNTY may pay to CONTRACTOR,or
3 that CONTRACTOR otherwise may collect from performing service in connection with the
4 EMS PROVIDER Agreement,including,but not limited to,COUNTY compensation and
5 CONTRACTOR'S fees and charges for services rendered to patients,shall not be diverted or
6 otherwise used,either directly or indirectly,by CONTRACTOR to subsidize CONTRACTOR'S
7 performance of this Agreement,and (ii)CONTRACTOR shall not directly or indirectly charge
8 any costs or expenses incurred in connection with the performance of this Agreement to any of
9 CONTRACTOR'S other operations for or approved by COUNTY,including but not limited to
10 CONTRACTOR'S operations in the COUNTY'S EMS Communications Center for COUNTY
11 under the EMS PROVIDER Agreement and/or for other COUNTY-approved agencies (e.g.,
12 agencies that may be outside of Fresno County such as the County of Kings or cities or special
13 districts,if any,within Fresno County).
14 C.CONTRACTOR'S performance of FIRE Dispatching Services herein shall
15 enhance CONTRACTOR'S peak load capacity,disaster readiness and overall efficiency in
16 providing dispatching services in COUNTY'S EMS Communications Center,and shall not
17 detract from CONTRACTOR's performance of its obligations under the EMS PROVIDER
18 Agreement,or any other agreement,if any,entered into or authorized by COUNTY.
19 D.COUNTY shall perform the following functions:
20 (1)COUNTY shall provide COUNTY-approved FIRE Policies and
21 Procedures to CONTRACTOR.
22 (2)COUNTY shall assure that all calls to CITY for EMS and fire
23 suppression services are immediately transferred to COUNTY'S EMS Communications Center.
24 (3)COUNTY agrees to provide for an internal quality improvement
25 program,which includes the participation of CONTRACTOR and FIRE.
26 2.TERM
27 This Agreement shall become effective onthe 1st day of July,2015 and terminate
28 on the 30th day of June,2017,unless sooner terminated as provided herein.
COUNTY OF FRESNO
Fresno.California
1 Notwithstanding anything stated to the contrary herein,this Agreement shall
2 automatically terminate on any earlier date that the CITY-COUNTY Agreement terminates.
3 3.TERMINATION
4 A.Non-Allocation of Funds - The terms of this Agreement,and the services
5 to be provided hereunder,are contingent on the approval of funds by the appropriating
6 governmental agency,provided however,should sufficient funds not be allocated,(i) the
7 services provided may be modified at any time upon the parties'mutual written agreement,or
8 (ii) this Agreement may be terminated at any time by the COUNTY giving at least sixty (60)
9 days'advance written notice of an intention to terminate to the CONTRACTOR.
10 B.Without Cause -Under circumstances other than those set forth above.
11 this Agreement may be terminated by CONTRACTOR or COUNTY upon the giving of at least
12 sixty (60)days'advance written notice of an intention to terminate to the other party.
13 C.Material Breach -Either party may terminate this Agreement at any time
14 for cause for the other party's material breach of its obligations herein if not less than seven (7)
15 days'advance,written notice has been given to the other party and such breach remains uncured
16 within that seven (7) day period.The party receiving such notice may respond to said notice and
17 any charges contained therein within that seven (7) day period.A "Material Breach"by
18 CONTRACTOR,as that term is defined by and used in the EMS PROVIDER Agreement,also
19 shall be deemed to be a material breach by CONTRACTOR under this Agreement.Any notice
20 by COUNTY to CONTRACTOR of CONTRACTOR'S Material Breach under the EMS
21 Provider Agreement shall satisfy the requirement of COUNTY giving notice to CONTRACTOR
22 of a material breach under this Agreement without the necessity of such notice referring to
23 CONTRACTROR's performance under this Agreement.
24 D.COUNTY shall compensate or provide funding to CONTRACTOR for
25 any services performed under this Agreement prior to any termination of this Agreement.
26 4.COMPENSATION FOR SERVICES
27 A. For CONTRACTOR'S performance of FIRE Dispatching Services herein,
28 COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive compensation
COUNTY OF FRESNO
Fresno,California
pursuant to Schedule A,attached hereto and incorporated herein by this reference.In no event
shall compensation for COUNTY'S performance of FIRE Dispatching Services under this
Agreement be in excess of the amounts listed as follows:
4 (1) For the period of July 1, 2015 through June 30, 2016, the amount
5 of this Agreement shall not exceed Three Thousand Four Hundred Sixty-Five and 00/100 Dollars
6 ($3,465.00)
7 (2) For the period of July 1,2016 through June 30,2017,the amount
of this Agreement shall not exceed Three Thousand Six Hundred Thirty-Six and 00/100 Dollars
9 ($3,636.00).
10 B.COUNTY'S obligation to compensate CONTRACTOR herein is subject to
COUNTY receiving sufficient and timely payments of funds from CITY under the CITY-
COUNTY Agreement.Subject to the foregoing sentence,COUNTY,promptly following
COUNTY'S receipt of such CITY funds, shall pay CONTRACTOR no later than the fifteenth
14 (15th)day of the month in which the services are provided by CONTRACTOR without the
15 necessity of CONTRACTOR submitting invoices to COUNTY.All payments shall be remitted
16 to CONTRACTOR at the following address:American Ambulance,2911 East Tulare Street,
17 Fresno,CA 93721.
5.INDEPENDENT CONTRACTOR
19 A. In performance of the work,duties,and obligations assumed by
20 CONTRACTOR under this Agreement,it is mutually understood and agreed that
21 CONTRACTOR,including any and all of CONTRACTOR'S officers,agents,and employees
22 will at all times be acting and performing as an independent contractor,and shall act in an
23 independent capacity and not as an officer,agent,servant,employee,joint venture,partner,or
24 associate of COUNTY.Furthermore,COUNTY shall have no right to control or supervise or
25 direct the manner or method by which CONTRACTOR shall perform its work and function.
26 except for CONTRACTOR'S compliance with FIRE's Policies and Procedures,herein.
27 However,COUNTY shall retain the right to administer this Agreement so as to verify that
28 CONTRACTOR is performing its obligations in accordance with the terms and conditions
COUNTY OF FRESNO
Fresno,California
11
thereof. CONTRACTOR and COUNTY shall comply with all applicable provisions of law and
the rules and regulations,if any,of governmental authorities having jurisdiction over matters
which are directly or indirectly the subject of this Agreement.
4 B.Because of its status as an independent contractor,CONTRACTOR shall
5 have absolutely no right to employment rights and benefits available to COUNTY employees.
6 CONTRACTOR shall be solely liable and responsible for providing to, or on behalf of, its
7 employees all legally-required employee benefits.In addition,CONTRACTOR shall be solely
responsible and save COUNTY harmless from all matters relating to payment of
9 CONTRACTOR'S employees,including compliance with Social Security,withholding,and all
10 other regulations governing such matters. It is acknowledged that during the term of this
Agreement,CONTRACTOR may be providing services to others unrelated to COUNTY or to
this Agreement.
6.MODIFICATION
14 Any matters of this Agreement may be modified from time to time by the written
15 consent of all the parties hereto without,in any way,affecting the remainder.
16 7.HOLD-HARMLESS
7 A.CONTRACTOR agrees to indemnify,save,hold harmless,and at
COUNTY'S request,defend COUNTY and CITY,including their respective officers,agents,
19 and employees from any and all costs and expenses (including attorneys'fees and costs),
20 damages,liabilities,claims,and losses occurring or resulting to COUNTY or CITY (as
applicable)in connection with the performance,or failure to perform,by CONTRACTOR,
including its officers,agents,or employees under this Agreement,and from any and all costs and
expenses (including attorneys'fees and costs),damages,liabilities,claims,and losses occurring
24 or resulting to any person,firm,or corporation who may be injured or damaged by the
25 performance,or failure to perform,of CONTRACTOR,including its officers,agents,or
26 employees under this Agreement.
27 B.COUNTY agrees to indemnify,save,hold harmless,and at
CONTRACTOR'S request,defend CONTRACTOR,including its officers,agents,and
COUNTY OF FRESNO
Fresno,California
employees from any and all costs and expenses (including attorneys'fees and costs), damages,
liabilities,claims,and losses occurring or resulting to CONTRACTOR in connection with the
performance,or failure to perform,by COUNTY or CITY,including their respective officers,
4 agents, or employees under this Agreement or under the CITY-COUNTY Agreement (as
5 applicable),and from any and all costs and expenses (including attorneys'fees and costs),
6 damages,liabilities,claims,and losses occurring or resulting to any person,firm, or corporation
7 who may be injured or damaged by the performance,or failure to perform,of COUNTY or
CITY,including their respective officers,agents,or employees under this Agreement or under
9 the CITY-COUNTY Agreement.
10 C. In the event of concurrent negligence on the part of CONTRACTOR or
any of its officers,agents or employees,and of COUNTY or CITY or any of their respective
officers,agents,or employees,the liability for any and all such claims,demands and actions in
law or equity for such costs and expenses (including attorneys'fees and costs),damages,and
14 losses shall be apportioned under the State of California's theory of comparative negligence as
15 presently established or as may be modified hereafter.
16 D.This Section 7 shall survive termination or expiration of this Agreement.
17 8.INSURANCE
CONTRACTOR shall obtain and maintain,at all times,insurance coverages,with
19 such policies,and in such amounts,as are provided in the EMS Provider Agreement.The
20 parties hereto agree that the provisions of the EMS Provider Agreement (including any future
21 amendments thereto)shall and will be incorporated herein by this reference,as though each and
22 every of such terms are set forth herein below.CONTRACTOR'S failure to maintain all such
insurance coverages shall be deemed to be a material breach of this Agreement.
24 9.CONFIDENTIALITY
25 All services performed by CONTRACTOR under this Agreement shall be in strict
26 conformance with all applicable Federal, State of California and/or local laws and regulations
27 relating to confidentiality.
28 ///
COUNTY OF FRESNO
Fresno.California
1 10.NON-DISCRIMINATION
2 During the performance of this Agreement,CONTRACTOR shall not unlawfully
3 discriminate against any employee or applicant for employment,or recipient of services,
4 because of race,religious creed, color, national origin,ancestry,physical disability,mental
5 disability,medical condition,genetic information,marital status,sex,gender,gender identity,
6 gender expression,age or sexual orientation,pursuant to all applicable State of California and
7 Federal statutes and regulations.
8 11.DISCLOSURE OF SELF-DEALING TRANSACTIONS
9 This provision is only applicable if the CONTRACTOR is operating as a
10 corporation (a for-profit or non-profit corporation)or if during the term of this agreement,the
11 CONTRACTOR changes its status to operate as a corporation.
12 Members of the CONTRACTOR'S Board of Directors shall disclose any
13 self-dealing transactions that they are a party to while CONTRACTOR is providing goods or
14 performing services under this agreement.A self-dealing transaction shall mean a transaction to
15 which the CONTRACTOR is a party and in which one or more of its directors has a material
16 financial interest.Members of the Board of Directors shall disclose any self-dealing transactions
17 that they are a party to by completing and signing a Self-Dealing Transaction Disclosure Form,
18 attached hereto as Exhibit B and incorporated herein by reference,and submitting it to the
19 COUNTY prior to commencing with the self-dealing transaction or immediately thereafter.
20 12.RECORDS
21 A.Each party shall maintain its books,accounts and records in connection
22 with the respective services referred to under this Agreement.CONTRACTOR'S books,
23 accounts and records of such services shall be kept separate and apart from CONTRACTOR'S
24 other books,accounts and records of services kept in connection with the EMS PROVIDER
25 Agreement,and any other agreement entered into or approved by COUNTY.All of such
26 CONTRACTOR'S books,accounts,and records shall be prepared and kept by CONTRACTOR
27 in an organized manner that facilitates an efficient review of the costs incurred and funds
28 received in order to give COUNTY a complete and clear understanding of the accounting
COUNTY OF FRESNO
Fresno.California
1 thereof. All of such CONTRACTOR'S books,accounts and records shall be subject to public
2 disclosure as provided in the EMS PROVIDER Agreement (including any future amendments
3 thereto),which shall and will be incorporated herein by this reference,as though each and every
4 of such terms are set forth herein below.
5 B. Each of the parties'books,accounts and records must be maintained for a
6 minimum of three (3) years.Such books,accounts and records must also be maintained a
7 minimum of three (3) years after the termination of this Agreement.The party generating the
8 books,accounts and records shall maintain ownership thereof upon termination of this
9 Agreement.
10 13.AUDITS AND INSPECTIONS
11 A.Each party shall at any time during business hours,and as often as the
12 other party may deem necessary,make available to the other party for examination all of the
13 former party's records and data with respect to the matters covered by this Agreement.Each
14 party shall,upon request by the other party,permit the other party to audit and inspect all such
15 records and data necessary to ensure the former party's compliance with the terms of this
16 Agreement.
17 B.If this Agreement exceeds Ten Thousand and No/100 Dollars
18 ($10,000.00),CONTRACTOR shall be subject to the examination and audit of the State
19 Auditor for a period of three (3) years after final payment under contract (Government Code
20 Section 8546.7).
21 14.FORCE MAJEURE
22 A.If either party hereto is rendered unable,wholly or in part, by Force
23 Majeure to carry out its obligations under this Agreement,that party shall give to the other
24 party hereto prompt written notice of the Force Majeure with full particulars relating thereto.
25 Thereupon,the obligations of the party giving the notice, so far as they are affected by the
26 Force Majeure,shall be suspended during,but no longer than, the continuance of the Force
27 Majeure, except for a reasonable time thereafter required to resume performance.
28 B. During any period in which either party hereto is excused from
COUNTY OF FRESNO
Fresno.California
performance by reason of the occurrence of an event of Force Majeure,the party so excused
shall promptly,diligently,and in good faith take all reasonable action required in order for it to
be able to promptly commence or resume performance of its obligations under this Agreement.
4 Without limiting the generality of the foregoing,the party so excused from performance shall,
5 during any such period of Force Majeure,take all reasonable action necessary to terminate any
6 temporary restraining order or preliminary or permanent injunctions to enable it to so
7 commence or resume performance of its obligations under this Agreement.
C.The party whose performance is excused due to the occurrence of an
9 event of Force Majeure shall,during such period,keep the other party hereto notified of all
10 such actions required in order for it to be able to commence or resume performance of its
obligations under this Agreement.
12 D."Force Majeure"is defined as an Act of God, act of public enemy,war,
and other extraordinary causes not reasonably within the control of either of the parties hereto.
14 15.NOTICES
15 A.The persons having authority to give and receive notices under this
16 Agreement and their addresses include the following:
17 COUNTY CONTRACTOR
18 Director,County of Fresno American Ambulance
19 Department of Public Health Attn:General Manager
20 P.O.Box 11867 2911 East Tulare Street
21 I Fresno,CA 93775 Fresno,CA 93721
22
23 I B. Any and all notices between COUNTY and CONTRACTOR provided for
24 or permitted under this Agreement or by law shall be in writing and shall be deemed duly served
25 when personally delivered to one of the parties hereto, or in lieu of such personal service, when
26 deposited in the United States Mail,postage prepaid,addressed to such party,except for notices
27 of termination,which are effective upon receipt.Notices under this Agreement are not
28 modifications to this Agreement.
29 ///
30 ///
COUNTY OF FRESNO 12
Fresno.California
16.GOVERNING LAW
A. The parties hereto agree, that for the purposes of venue,performance
under this Agreement is to be in Fresno County,California.
4 B. The rights and obligations of the parties hereto and all interpretation and
5 performance of this Agreement shall be governed in all respects by the laws of the State of
6 California.
7 17.SEVERABILITY
The provisions of this Agreement are severable.The invalidity or
9 unenforceability of any one provision in the Agreement shall not affect the other provisions.
10 18.ENTIRE AGREEMENT
This Agreement constitutes the entire agreement between COUNTY and
12 CONTRACTOR with respect to the subject matter hereof and supersedes all previous
agreement negotiations,proposals,commitments,writings,advertisements,publications,and
14 understandings of any nature whatsoever unless expressly included in this Agreement.
15 CONTRACTOR acknowledges that COUNTY detrimentally relies upon each and every of
16 CONTRACTOR'S covenants,warranties and representations made herein to COUNTY.This
17 Agreement may be executed in several counterparts by the parties hereto,in which case, all of
such executed duplicate counterpart originals thereof,taken together,shall be deemed to be one
19 and the same legal instrument.
20 19.NO THIRD PARTY BENEFICIARIES
21 Notwithstanding anything stated to the contrary in this Agreement,there shall not
22 be any intended third party beneficiaries to this Agreement.
23 ///
24 ///
25 ///
26 ///
27 ///
///
COUNTY OF FRESNO 13
Fresno.California
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day
2 and year first hereinabove written.
3
4 K.W.P.H. ENTERPRISES, dba
5 AMERICAN AMBULANCE
6
7
8
9
10
11
12
13
14
15
16
17
President, K. W .P .H. Enterprises
Print Name: \O'@~o~.e~ \
Date: os/C6/z.OE
By~2
PrintName: &/J. ~-.Pek:rc--OJ'I
Title: se.c.~f-a...r-y
7
Date: 5·-Ef ..... J~
18 Chief Financial Officer or Corporate
19 Secretary to K.W.P.H. Enterprises
20 d.b.a. American Ambulance,
21 a California Corporation
22
23 Mailing Address:
24 2911 E. Tulare St.
25 Fresno, CA 93721
26 PLEASE SEE ADDITIONAL
27 SIGNATURE PAGE ATTACHED
28
29
COUNTY OF FRESNO
Fresno, California
COUNTY OF FRESNO
Chairman, Board of Supe
Date:
Board of Supervisors
14
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
AGREEMENT BETWEEN COUNTY OF FRESNO AND
K.W.P.H.ENTERPRISES,DBA AMERICAN AMBULANCE
APPROVED AS TO LEGAL FORM:
DANIEL C.CEDERBORG,COUNTY COUNSEL
By i Umii^
APPROVED AS TO ACCOUNTING FORM:
VICKI CROW,C.P.A.,AUDITOR-CONTROLLER/
TREASURER-TAX COLLECTOR
By -JlcU L^l
REVIEWED AND RECOMMENDED FOR APPROVAL:
David Pomaville,Director
Department of Public Health
Fund/Subclass:0001/10000
Organization #:56201693
Account #:7295
COUNTY OF FRESNO 15
Fresno,California
EXHIBIT A
Quarter Dates of Service
Payment
Amount
Payment
Due Date
1 July 1,2015 to September 30,2015 $866.25 October 15,2015
2 October 1,2015 to December 31,2015 $866.25 January 15,2016
3 January 2016 to March 31,2016 $866.25 April 15,2016
4 April 1,2016 to June 30,2016 $866.25 July 15,2016
5 July 1,2016 to September 30,2016 $909.00 October 15,2016
6 October 1,2016 to December 31,2016 $909.00 January 15,2017
7 January 2017 to March 31,2017 $909.00 April 15,2017
8 April 1,2017 to June 30,2017 $909.00 July 15,2017
COUNTY OF FRESNO
Fresno.California
SELF-DEALING TRANSACTION DISCLOSURE FORM
Exhibit B
Page 1 of2
In order to conduct business with the County of Fresno (hereinafter referred to as "County"),
members of a contractor's board of directors (hereinafter referred to as "County Contractor"),must
disclose any self-dealing transactions that they are a party to while providing goods,performing
services,or both for the County.A self-dealing transaction is defined below:
"A self-dealing transaction means a transaction to which the corporation is a party and in which one
or more of its directors has a material financial interest."
The definition above will be utilized for purposes of completing this disclosure form.
INSTRUCTIONS
(1)Enter board member's name,job title (if applicable),and date this disclosure is being made.
(2)Enter the board member's company/agency name and address.
(3)Describe in detail the nature of the self-dealing transaction that is being disclosed to the
County.At a minimum,include a description of the following:
a. The name of the agency/company with which the Corporation has the transaction;
and
b.The nature of the material financial interest in the Corporation's transaction that the
board member has.
(4)Describe in detail why the self-dealing transaction is appropriate based on applicable
provisions of the Corporations Code.
(5) Form must be signed by the board member that is involved in the self-dealing transaction
described in Sections (3)and (4).
(1)Company Board Member Information:
Name;Date:
Job Title:
(2)Company/Agency Name and Address:
(3)Disclosure (Please describe the nature of the self-dealing transaction you are a party to):
Exhibit B
Page 2 of 2
(4)Explain why this self-dealing transaction is consistent with the requirements of Corporations Code 5233 (a):
(5)Authorized Signature
Signature:Date: