HomeMy WebLinkAboutAgreement A-25-342 with California Emergency Medical Services Authority.pdf SCo ID: 4120-C25005
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES Agreement No. 25-342
STANDARD AGREEMENT AGREEMENT NUMBER7 PURCHASING AUTHORITY NUMBER(if Applicable)
STD 213(Rev.03/2019) C25-005 EMSA-4120
1.This Agreement is entered into between the Contracting Agency and the Contractor named below:
CONTRACTING AGENCY NAME
Emergency Medical Services Authority(EMSA)
CONTRACTOR NAME
County of Fresno,Acting as the Central California Emergency Medical Services Agency
2.The term of this Agreement is:
START DATE
July 1,2025
THROUGH END DATE
June 30,2026
3.The maximum amount of this Agreement is:
$960,447.00(Nine Hundred Sixty Thousand Four Hundred Fourty-Seven Dollars and Zero Cents)
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.
Exhibits Title Pages
Exhibit A Scope of Work 8
Attachment Funding Application 11
1
Exhibit B Budget Detail and Payment Provisions 2.
+ Exhibit C" General Terms and Conditions GTC
2017
Exhibit D Special Terms and Conditions 4
Exhibit E Invoice Template 6
Items s own with an asterisk(*),are hereby incorporated by.reference an ma a part of this agreement as if attached ereto.
These documents can be viewed at hops✓/www.dgs.co.gov/OLS/Resources
IN WITNESS WHEREOF,THIS AGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO.
CONTRACTOR
CONTRACTOR NAME(if other than an individual,state whether a corporation,partnership,etc.)
County of Fresno,Acting as the Central California Emergency Medical Services Agency
CONTRACTOR BUSINESS ADDRESS CITY STATE JZIP
PO Box 11867 Fresno CA 3775
PRINTED NAME OF PERSON SIGNING TITLE
Ernest Buddy Mendes Chairman,Board of Supervisors County of Fresno
CONTRACTOR AUTHORIZED SIGNATURE DATE SIGNED
ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County of Fresno,State of California
BY_ Deputy
Page 1 of 2
SCO ID: 4120-C25005
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES
STANDARD AGREEMENT AGREEMENT NUMBER PURCHASING AUTHORITY NUMBER(If Applicable)
STD 213(Rev.03/2019) C25-005 EMSA-4120
STATE OF CALIFORNIA
CONTRACTING AGENCY NAME
Emergency Medical Services Authority(EMSA)
CONTRACTING AGENCY ADDRESS CITY STATE ZIP
11120 International Drive Suite 200 Rancho Cordova CA 95670
PRINTED NAME OF PERSON SIGNING TITLE
Elizabeth Basnett Director
CONTRACTING AGENCY AUTHORIZED SIGNATURE DATE SIGNED
CALIFORNIA DEPARTMENT OF GENERAL SERVICES APPROVAL EXEMPTION(If Applicable)
Exempt per: SCM Vol 1,4.04(A)(4)
Page 2of2
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 1 of 8
EXHIBIT A
Scope of Work
1. The Contractor (Central California EMS Agency) shall operate and manage a regional
EMS system, and report on accomplished works and duties to Emergency Medical Services
Authority (EMSA), in accordance with Division 2.5 of the Health and Safety Code and Title
22, CCR, Division 9 as described herein.
2. The Contractor shall refer to the EMSA publication #104, "Funding Multicounty EMS
Agencies with State General Funds" for the administration of this contract. All requirements
set for in EMSA#104 shall be adhered to for compliance with this contract. The EMSA#104
can be found at http://www.emsa.ca.gov/Guidelines.
3. The Contractor requesting funding shall have on file a current EMS Plan/Annual update
approved by EMSA.
4. The term of this agreement shall be July 1, 2025, through June 30, 2026.
5. Representatives
All inquiries related to and during the term of this Agreement shall be addressed to the
authorized representatives listed below:
Agency: Contractor:
Emergency Medical Services Authority Central California Emergency Medical Services
Agency
Name: Roxanna Delao Name: Daniel Lynch
Title: EMS Plans Coordinator Title: Director
Phone: (916) 903-3260 Phone: (559) 600-3387
Fax: Fax: (559) 600-7691
E-Mail: Roxanna.Delao@emsa.ca.gov Email: dlynch@fresnocountyca.gov
Direct all administrative inquiries to this agreement to:
Agency: Contractor:
Emergency Medical Services Authority Central California Emergency Medical Services
Agency
Name: Daniel Campbell Name: Daniel Lynch
Title: Contract Analyst Title: Director
Phone: 916-591-2047 Phone: (559) 600-3387
Fax: Fax: (559) 600-7691
Email: Daniel.campbell@emsa.ca.gov Email: dlynch@fresnocountyca.gov
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 2of8
EXHIBIT A
Scope of Work
6. Plan/Data Submission
A. The Contractor shall complete and submit an EMS Plan/update annually to EMSA in
compliance with Sections 1797.250 and 1797.254 of the Health and Safety Code. The
annual update shall be determined by EMSA in the agency's last EMS Plan decision.
B. The Contractor that has implemented a specialty care system shall complete and
submit a Trauma Care System, STEMI/Stroke System, and EMS for Children
Program plan and annual updates to EMSA in compliance with Sections 1797.257,
1797.258, and 1799.205 of the Health and Safety Code, and Chapters 6.1, 6.2, 6.3
and 6.4 of Title 22, CCR, Division 9.
C. The Contractor shall complete and submit a Quality Improvement (QI) program and
annual updates to EMSA in compliance with Chapter 10 of Title 22, CCR, Division 9.
D. The Contractor shall regularly provide EMSA data it receives consistent with Section
1797.227 of the Health and Safety Code that conforms to EMSA's California EMS
Information System (CEMSIS), National EMS Information System (NEMSIS), and the
California State EMS Data Set.
E. Each multicounty EMS agency must be providing coordination of local medical and
hospital disaster preparedness and response activities in cooperation with EMSA and
other local, state, and federal entities, in compliance with HSC § 1797.151, 1797.152,
and 1797.153
7. Audit
A. The Contractor shall have an annual financial audit conducted by an independent or
county auditor covering the fiscal year in which funds were allocated. The copy of the
audit must be received by EMSA by December 31 st. (See EMSA publication #104,
"Funding Multicounty EMS Agencies with State General Funds" Section 6.1 - Audit).
B. The final audit shall determine:
1. All costs incurred have been in accordance with the contract and See EMSA
publication #104, "Funding Multicounty EMS Agencies with State General Funds."
2. Proper accounting records have been maintained for the administration of the
multicounty EMS agency and source documents have been filed.
3. All reimbursements have been proper and reflect actual and allowable costs.
4. Physical inventory has been taken of all equipment/property purchased with State
General Fund money. (See EMSA publication #104, "Funding Multicounty EMS
Agencies with State General Funds" See Sections 3.4 and 5.3).
5. Provisions have been made to retain source documents supporting costs incurred
for at least three years after the applicant agency has received final payment or
until any audit exceptions are resolved.
8. Quarterly Reporting
A. First through Fourth Quarter Task Reporting
1. The Contractor shall provide Quarterly Reports to EMSA by the 15th calendar day of
the month following the end of each quarter. The fourth quarter report is due by
August 1st and must include a Supplemental Year-End Data Report.
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 3 of 8
EXHIBIT A
Scope of Work
2. Quarterly Reports must contain a detailed description of work performed, the duties
of all parties, and a summary of activities that have been accomplished during the
quarter to meet the following eight EMS system components. (See EMSA publication
#104, "Funding Multicounty EMS Agencies with State General Funds" See Section 7)
B. Component 1 — System Organization and Management
1. Objective - To develop and maintain an effective management system to meet the
emergency medical needs and expectations of the total population served.
2. Tasks: The responsibilities of the Contractor shall include, at a minimum:
A. Staff development, training, and management.
B. Allocating and maintaining office space, office equipment, and office supplies.
C. Executing and maintaining contracts with member counties, service
providers, consultants, and contractual staff.
D. Maintain a full-/part-time licensed physician/surgeon as medical director to
provide and assure medical control and accountability of the EMS system.
C. Component 2 — Manpower and Training
1. 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.
2. Tasks: The responsibilities of the Contractor shall include, at a minimum:
A. Ongoing assessment of local training program needs.
B. Authorizing and approving training programs and curriculum for all certification
levels.
C. Providing training programs and classes as needed.
D. Providing ongoing certification/authorization/accreditation or personnel approval
of local scope of practice for all certification levels.
E. Developing and maintaining treatment protocols for all certification levels.
F. Maintaining communication link with Quality Improvement program to assess
performance of field personnel.
G. Conducting investigations and taking action against certification when indicated.
H. Authorizing, maintaining, and evaluating EMS continuing education programs.
D. Component 3— Communications
1. Objective -To develop and maintain an effective communications system that meets
the needs of the EMS system.
2. Tasks: The responsibilities of the Contractor shall include, at a minimum:
A. On-going assessment of communications status and needs.
B. Assuring appropriate maintenance and inspections of EMS related
communications systems for both ground and aircraft.
C. Approving ambulance dispatch centers.
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 4 of 8
EXHIBIT A
Scope of Work
D. Providing acceptable procedures and communications for the purpose of
dispatch and on-line medical control.
E. Assure maintenance of records of communication between service providers and
the base hospital.
F. Approving emergency medical dispatch (EMD) training and/or operational
programs.
G. Assuring approved EMD program(s) communications systems are
technologically equipped to simultaneously notify EMS System Providers.
E. Component 4— Response and Transportation
1. Objective - To develop and maintain an effective EMS response and ambulance
transportation system that meets the needs of the population served.
2. Tasks: The responsibilities of the Contractor shall include, at a minimum:
A. Designating EMS responders including first responders, Limited Advanced Life
Support (LALS)/Advanced Life Support (ALS) providers, ambulance providers,
and Prehospital EMS Aircraft providers.
B. Monitoring local ordinances related to EMS.
C. Establishing policies and procedures to the system for the transportation of
patients to trauma centers and/or specialty care hospitals as needed.
D. Implementing and maintaining contracts with providers.
E. Creating exclusive operating areas
F. Component 5—Assessment of Hospitals and Critical Care
1. Objective - To establish and/or identify appropriate facilities to provide for the
standards and care required by a dynamic EMS patient care delivery system.
2. Tasks: The responsibilities of the Contractor shall include, at a minimum:
A. Designating base hospital(s) or alternate base stations for on-line medical control
and direction.
B. Identifying ambulance receiving centers including hospitals and alternative
receiving facilities in rural areas.
C. Identifying and designating, as needed, trauma centers and other specialty care
facilities.
D. Periodically assessing trauma system and plan as needed.
E. Coordinating trauma patients to appropriate trauma center(s) or approved
receiving hospitals.
F. Periodically assessing hospitals (e.g., pediatric critical care centers, emergency
departments approved for pediatrics, other specialty care centers).
G. Completing hospital closure impact reports.
G. Component 6— Data Collection and System Evaluation
1. Objective - To provide for appropriate system evaluation through the use of quality
data collection and other methods to improve system performance and evaluation.
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 5 of 8
EXHIBIT A
Scope of Work
2. Tasks: The responsibilities of the Contractor shall include, at a minimum:
A. Reviewing reportable incidents.
B. Reviewing prehospital care reports including Automated External Defibrillators
(AED) reports.
C. Processing and investigating quality assurance/improvement incident reports.
D. Monitoring and reporting on EMS System Core Measures by March 31st each
year and acknowledging completion of the monitoring and reporting as of
March 31s' each year.
E. Providing data to CEMSIS monthly.
F. Implementing Health and Safety Code Section 1797.227, including providing
data using the current versions of standards from Electronic Health Records
(EHR).
H. Component 7 — Public Information and Education
1. 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.
2. Tasks: The responsibilities of the Contractor shall include, at a minimum:
A. Information and/or access to CPR and first-aid courses taught within the EMS
system.
B. Involvement in public service announcements involving prevention or EMS
related issues.
C. Availability of information to assist the population in catastrophic events, as
appropriate.
D. Participating in public speaking events and representing the EMS Agency during
news events and incidents.
E. Seeking opportunities to collaborate with key partners, including local public
health and other community organizations, to promote healthcare and injury
prevention activities
I. Component 8 — Disaster Medical Response
1. 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.
2. Tasks: The responsibilities of the Contractor shall include, at a minimum:
A. Participating in disaster planning, training, and exercises as needed.
B. Identifying disaster preparedness, mitigation, response and recovery needs,
consistent with the State Emergency Plan and have procedures that include the
17 Medical Health Operational Area Coordination (MHOAC) functions.
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 6 of 8
EXHIBIT A
Scope of Work
C. Identifying who the MHOAC is and coordinating the MHOAC Program or
coordinating with the MHOAC Program of the affected county/counties, as
appropriate.
D. Coordinating the Regional Disaster Medical Health Coordinator (RDMHC)
Program or coordinating with the RDMHC Program within the member
county/county's California Office of Emergency Services mutual aid region.
E. Developing policies and procedures for EMS personnel in response to a multi-
casualty or disaster incident.
F. Participating in the development of mutual aid agreements, as requested.
G. Collaborating with EMS providers on Incident Command Systems (ICS) and
Standardized Emergency Management System (SEMS) training as requested.
H. Providing opportunities/exercises for Ambulance Strike Team Leader Trainees to
complete their Position Task Books, as available.
9. Supplemental Year End Data Reporting
A. The Supplemental Year-End Data Report is due to EMSA by August 1st and must be
submitted with the 4th Quarter Task Report.
B. The Supplemental Year-End Data Report must include year-end data for the
individual workload indicators.
C. Component 1 — System Organization and Management
1. Objective -To develop and maintain an effective management system to meet the
emergency medical needs and expectations of the total population served.
2. Workload indicators shall include:
A. Total static population served (Determined by DOF estimates).
B. Total annual tourism population (Determined by identified sources).
C. Number of counties.
D. Geographic size of region (in square miles).
D. Component 2— Manpower and Training
1. 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.
2. Workload indicators shall include:
A. Total number of personnel certified/authorized/accredited by EMS agency.
B. Total number and type of training programs approved by EMS agency
C. Total number and type of training programs conducted by EMS agency.
D. Total number of continuing education providers authorized by EMS agency.
E. Component 3— Communications
1. Objective -To develop and maintain an effective communications system that
meets the needs of the EMS system.
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 7 of 8
EXHIBIT A
Scope of Work
2. Workload indicators shall include:
A. Total number of primary and secondary Public Safety Answering Points.
B. Total number of EMS responses.
C. Total number of EMD training programs approved by EMS agency.
D. Total number and type of EMD programs authorized by EMS agency.
E. Total number of Radio inspections for agency's aircraft based in Contractor's
jurisdiction.
F. Total number of public safety agencies based in Contractor's jurisdiction.
F. Component 4— Response and Transportation
1. Objective -To develop and maintain an effective EMS response and ambulance
transportation system that meets the needs of the population served.
2. Workload indicators shall include:
A. Total ambulance response vehicles.
B. Total first responder agencies.
C. Total patients transported.
D. Total patients not transported (e.g., treated and released, total dry runs).
E. Total number of LALS/ALS providers authorized by EMS agency.
F. Total number of transport providers in region.
G. Component 5—Assessment of Hospitals and Critical Care
1. Objective -To establish and/or identify appropriate facilities to provide for the
standards and care required by a dynamic EMS patient care delivery system.
2. Workload indicators shall include:
A. Total patients received.
B. Total number of hospitals designated by EMS agency (e.g., base, receiving,
trauma, STEMI, Stroke, PCCC, EDAP/(PedRC), and PICU).
H. Component 6 — Data Collection and System Evaluation
1. Objective -To provide for appropriate system evaluation through the use of
quality data collection and other methods to improve system performance and
evaluation.
2. Workload indicators shall include:
A. Total patient care reports generated.
B. Total trauma patients.
C. Total cardiac patients
D. Total medical patients.
E. Total pediatric patients.
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 8 of 8
EXHIBIT A
Scope of Work
G. Total number of situational/unusual occurrence reports processed by EMS
agency.
I. Component 7— Public Information and Education
1. 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.
2. Workload indicators shall include:
A. Total number of public information and education courses approved by EMS
agency.
B. Total number of public information and education courses conducted by EMS
agency.
C. Total number of public information and education events involving EMS
agency.
J. Component 8 — Disaster Medical Response
1. 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.
2. Workload indicators shall include:
A. Total number of Disaster/Multiple Casualty Incident (MCI) Responses
(response with 5 or more victims).
B. Total number of disaster drills involving staff.
C. Total disaster-related meetings attended by staff.
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 1 of 2
EXHIBIT B
Budget Details and Provisions
1. Invoicing and Payment
A. For services satisfactorily rendered and approved by the EMSA Contract Manager, and
upon receipt and approval of the invoices, EMSA agrees to compensate the Contractor
in accordance with the Funding Application, Attachment 1 and this Exhibit B.
Incomplete or disputed invoices shall be returned to the Contractor, unpaid, for
correction.
B. Invoices shall be itemized in accordance with the Funding Application, Attachment 1,
and shall be signed and submitted on company letterhead in triplicate not more
frequently than monthly in arrears of the service.
C. Each invoice shall include:
1) Agreement Number
2) Time Period Covered
3) Invoice Number
4) Bill to Address
5) Remit to Address
6) 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 where work was
performed, the expenses claimed, and any required reports.
D. Invoices shall be submitted in triplicate to:
Emergency Medical Services Authority
Attn: Roxanna Delao
Agreement Number:C25-005
11120 International Drive Suite 200
Rancho Cordova, CA 95670
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 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 work for each general task or deliverable before payment will be made.
2. Budget Contingency Clause
A. It is mutually understood between the parties that this Agreement may have been written
before ascertaining the availability of congressional or legislative appropriation of funds,
for the mutual benefit of both parties in order to avoid program and fiscal delays that
would occur if the Agreement were executed after that determination was made.
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 2 of 2
EXHIBIT B
Budget Details and Provisions
B. This Agreement is valid and enforceable only if sufficient funds are made available to the
State of California by the United States Government or the California State Legislature
C. for the purpose of this program. In addition, this Agreement is subject to any additional
restrictions, limitations, conditions, or any statute enacted by the Congress or the State
Legislature that may affect the provisions, terms or funding of this Agreement in any
manner.
D. It is mutually agreed that if the Congress or the State Legislature does not appropriate
sufficient funds for the program, this Agreement shall be amended to reflect any
reduction in funds.
E. Pursuant to Government Code, Section 927.13, no late payment penalty shall accrue
during any time period for which there is no Budget Act in effect, nor on any payment or
refund that is the result of a federally mandated program or that is directly dependent
upon the receipt of federal funds by a state agency.
F. In accordance with Health and Safety Code Section 1797.110, the Emergency Medical
Services Authority may provide advance payment to the Contractor. An advance
payment shall not exceed 25 percent of the total annual contract amount.
3. 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.
4. Cost Limitation
Total amount of this Agreement shall not exceed $960,447.00
5. Rates
Rates for these services may be found on Funding Application, Attachment 1 of this
document.
6. 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. EMSA will pay for any applicable State or local sales
or use taxes on the services rendered or equipment or parts supplied pursuant to this
Agreement. EMSA may pay any applicable sales and use tax imposed by another state.
7. Cost Principles
A. The Contractor agrees that the Cost Principles and Procedures in 48 Code of Federal
Regulations (CFR), Part 31, and the Uniform Administrative Requirements, Cost
Principles, and Audit Requirements for Federal Awards, in 2 CFR, Part 200, shall be
used to determine the allowable individual items of cost.
B. Any costs for which payment has been made to the Contractor that are determined by
subsequent audit to be unallowable under 48 CFR, Part 31 or 2 CFR, Part 200 are
subject to repayment by Contractor to EMSA.
C. Any subcontract entered into as a result of this Agreement shall contain all of the
provisions of this Section.
General Terms and Conditions (GTC 04/2017)
EXHIBIT C
1. APPROVAL: This Agreement is of no force or effect until signed by both parties
and approved by the Department of General Services, if required. Contractor
may not commence performance until such approval has been obtained.
2. AMENDMENT: No amendment or variation of the terms of this Agreement shall be
valid unless made in writing, signed by the parties and approved as required. No
oral understanding or Agreement not incorporated in the Agreement is binding on
any of the parties.
3. ASSIGNMENT: This Agreement is not assignable by the Contractor, either in
whole or in part, without the consent of the State in the form of a formal written
amendment.
4. AUDIT: Contractor agrees that the awarding department, the Department of General
Services, the Bureau of State Audits, or their designated representative shall have
the right to review and to copy any records and supporting documentation pertaining
to the performance of this Agreement. Contractor agrees to maintain such records for
possible audit for a minimum of three (3) years after final payment, unless a longer
period of records retention is stipulated. Contractor agrees to allow the auditor(s)
access to such records during normal business hours and to allow interviews of any
employees who might reasonably have information related to such records. Further,
Contractor agrees to include a similar right of the State to audit records and interview
staff in any subcontract related to performance of this Agreement. (Gov. Code
§8546.7, Pub. Contract Code §10115 et seq., CCR Title 2, Section 1896).
5. INDEMNIFICATION: Contractor agrees to indemnify, defend and save harmless the
State, its officers, agents and employees from any and all claims and losses accruing
or resulting to any and all contractors, subcontractors, suppliers, laborers, and any
other person, firm or corporation furnishing or supplying work services, materials, or
supplies in connection with the performance of this Agreement, and from any and all
claims and losses accruing or resulting to any person, firm or corporation who may be
injured or damaged by Contractor in the performance of this Agreement.
6. DISPUTES: Contractor shall continue with the responsibilities under this
Agreement during any dispute.
7. TERMINATION FOR CAUSE: The State may terminate this Agreement and be
relieved of any payments should the Contractor fail to perform the requirements of
this Agreement at the time and in the manner herein provided. In the event of such
termination the State may proceed with the work in any manner deemed proper by
the State. All costs to the State shall be deducted from any sum due the Contractor
under this Agreement and the balance, if any, shall be paid to the Contractor upon
demand.
8. INDEPENDENT CONTRACTOR: Contractor, and the agents and employees of
Contractor, in the performance of this Agreement, shall act in an independent
capacity and not as officers or employees or agents of the State.
9. RECYCLING CERTIFICATION: The Contractor shall certify in writing under penalty
of perjury, the minimum, if not exact, percentage of post-consumer material as
defined in the Public Contract Code Section 12200, in products, materials, goods, or
supplies offered or sold to the State regardless of whether the product meets the
requirements of Public Contract Code Section 12209. With respect to printer or
duplication cartridges that comply with the requirements of Section 12156(e), the
certification required by this subdivision shall specify that the cartridges so comply
(Pub. Contract Code §12205).
10. NON-DISCRIMINATION CLAUSE: During the performance of this Agreement,
Contractor and its subcontractors shall not deny the contract's benefits to any person
on the basis of race, religious creed, color, national origin, ancestry, physical
disability, mental disability, medical condition, genetic information, marital status,
sex, gender, gender identity, gender expression, age, sexual orientation, or military
and veteran status, nor shall they discriminate unlawfully against any employee or
applicant for employment because of race, religious creed, color, national origin,
ancestry, physical disability, mental disability, medical condition, genetic information,
marital status, sex, gender, gender identity, gender expression, age, sexual
orientation, or military and veteran status. Contractor shall insure that the evaluation
and treatment of employees and applicants for employment are free of such
discrimination. Contractor and subcontractors shall comply with the provisions of the
Fair Employment and Housing Act (Gov. Code §12900 et seq.), the regulations
promulgated thereunder (Cal. Code Regs., tit. 2, §11000 et seq.), the provisions of
Article 9.5, Chapter 1, Part 1, Division 3, Title 2 of the Government Code (Gov. Code
§§11135-11139.5), and the regulations or standards adopted by the awarding state
agency to implement such article. Contractor shall permit access by representatives
of the Department of Fair Employment and Housing and the awarding state agency
upon reasonable notice at any time during the normal business hours, but in no case
less than 24 hours' notice, to such of its books, records, accounts, and all other
sources of information and its facilities as said Department or Agency shall require to
ascertain compliance with this clause. Contractor and its subcontractors shall give
written notice of their obligations under this clause to labor organizations with which
they have a collective bargaining or other agreement. (See Cal. Code Regs., tit. 2,
§11105.)
Contractor shall include the nondiscrimination and compliance provisions of this
clause in all subcontracts to perform work under the Agreement.
11. CERTIFICATION CLAUSES: The CONTRACTOR CERTIFICATION CLAUSES
contained in the document CCC 04/2017 are hereby incorporated by reference
and made a part of this Agreement by this reference as if attached hereto.
12. TIMELINESS: Time is of the essence in this Agreement.
13. COMPENSATION: The consideration to be paid Contractor, as provided herein,
shall be in compensation for all of Contractor's expenses incurred in the
performance hereof, including travel, per diem, and taxes, unless otherwise
expressly so provided.
14. GOVERNING LAW: This contract is governed by and shall be interpreted in
accordance with the laws of the State of California.
15. ANTITRUST CLAIMS: The Contractor by signing this agreement hereby certifies
that if these services or goods are obtained by means of a competitive bid, the
Contractor shall comply with the requirements of the Government Codes Sections
set out below.
a. The Government Code Chapter on Antitrust claims contains the following
definitions:
1) "Public purchase" means a purchase by means of competitive bids of
goods, services, or materials by the State or any of its political subdivisions
or public agencies on whose behalf the Attorney General may bring an
action pursuant to subdivision (c) of Section 16750 of the Business and
Professions Code.
2) "Public purchasing body" means the State or the subdivision or
agency making a public purchase. Government Code Section 4550.
b. In submitting a bid to a public purchasing body, the bidder offers and
agrees that if the bid is accepted, it will assign to the purchasing body all
rights, title, and interest in and to all causes of action it may have under
Section 4 of the Clayton Act (15 U.S.C. Sec. 15) or under the Cartwright
Act (Chapter 2 (commencing with Section 16700) of Part 2 of Division 7 of
the Business and Professions Code), arising from purchases of goods,
materials, or services by the bidder for sale to the purchasing body
pursuant to the bid. Such assignment shall be made and become effective
at the time the purchasing body tenders final payment to the bidder.
Government Code Section 4552.
C. If an awarding body or public purchasing body receives, either through
judgment or settlement, a monetary recovery for a cause of action assigned
under this chapter, the assignor shall be entitled to receive reimbursement
for actual legal costs incurred and may, upon demand, recover from the
public body any portion of the recovery, including treble damages,
attributable to overcharges that were paid by the assignor but were not paid
by the public body as part of the bid price, less the expenses incurred in
obtaining that portion of the recovery. Government Code Section 4553.
d. Upon demand in writing by the assignor, the assignee shall, within one year
from such demand, reassign the cause of action assigned under this part if
the assignor has been or may have been injured by the violation of law for
which the cause of action arose and (a) the assignee has not been injured
thereby, or (b) the assignee declines to file a court action for the cause of
action. See Government Code Section 4554.
16. CHILD SUPPORT COMPLIANCE ACT: For any Agreement in excess of
$100,000, the contractor acknowledges in accordance with Public Contract Code
7110, that:
a. The contractor recognizes the importance of child and family support
obligations and shall fully comply with all applicable state and federal laws
relating to child and family support enforcement, including, but not limited
to, disclosure of information and compliance with earnings assignment
orders, as provided in Chapter 8 (commencing with section 5200) of Part 5
of Division 9 of the Family Code; and
b. The contractor, to the best of its knowledge is fully complying with the
earnings assignment orders of all employees and is providing the names
of all new employees to the New Hire Registry maintained by the
California Employment Development Department.
17. UNENFORCEABLE PROVISION: In the event that any provision of this Agreement
is unenforceable or held to be unenforceable, then the parties agree that all other
provisions of this Agreement have force and effect and shall not be affected
thereby.
18. PRIORITY HIRING CONSIDERATIONS: If this Contract includes services in excess
of $200,000, the Contractor shall give priority consideration in filling vacancies in
positions funded by the Contract to qualified recipients of aid under Welfare and
Institutions Code Section 11200 in accordance with Pub. Contract Code §10353.
19. SMALL BUSINESS PARTICIPATION AND DVBE PARTICIPATION
REPORTING REQUIREMENTS:
a. If for this Contract Contractor made a commitment to achieve small
business participation, then Contractor must within 60 days of receiving
final payment under this Contract (or within such other time period as may
be specified elsewhere in this Contract) report to the awarding department
the actual percentage of small business participation that was achieved.
(Govt. Code § 14841.)
b. If for this Contract Contractor made a commitment to achieve disabled
veteran business enterprise (DVBE) participation, then Contractor must
within 60 days of receiving final payment under this Contract (or within
such other time period as may be specified elsewhere in this Contract)
certify in a report to the awarding department: (1) the total amount the
prime Contractor received under the Contract; (2) the name and address of
the DVBE(s) that participated in the performance of the Contract; (3) the
amount each DVBE received from the prime Contractor; (4) that all
payments under the Contract have been made to the DVBE; and (5) the
actual percentage of DVBE participation that was achieved. A person or
entity that knowingly provides false information shall be subject to a civil
penalty for each violation. (Mil. & Vets. Code § 999.5(d); Govt. Code §
14841.)
20. LOSS LEADER: If this contract involves the furnishing of equipment, materials, or
supplies then the following statement is incorporated: It is unlawful for any person
engaged in business within this state to sell or use any article or product as a "loss
leader" as defined in Section 17030 of the Business and Professions Code. (PCC
10344(e).)
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 1 of 4
EXHIBIT D
Special Terms and Conditions
1. Settlement of Disputes
A. Any dispute arising under this Agreement that is not disposed of by Agreement shall be
decided by the EMSA Contract Officer, who may consider any written or verbal evidence
submitted by the Contractor. The decision of the Contract Officer, issued in writing, shall
be EMSA' final decision on the dispute.
B. Neither the pendency of a dispute nor its consideration by the Contract Officer will
excuse the Contractor from full and timely performance in accordance with the terms of
the Agreement.
2. Termination
A. If, after award and execution of the Agreement, the Contractor's performance is
unsatisfactory, the Agreement may be terminated for default. Additionally, the Contractor
may be liable to EMSA for damages including the difference between the Contractor's
original bid price and the actual cost of performing the work by another Contractor.
Default is defined as the Contractor failing to perform services required by the
Agreement in a satisfactory manner.
B. EMSA reserves the right to terminate this Agreement for any or no cause upon 30 days
written notice to the Contractor or immediately in the event of default or material breach
by the Contractor.
C. The State may terminate this Agreement immediately for good cause. The term "good
cause" may be defined as "impossibility of performance" or "frustration of purpose," but
does not include material breach, default, or termination without cause. In this instance,
the Agreement termination shall be effective as of the date indicated on the State's
notification to the Contractor.
D. In the event that the total Agreement amount is expended prior to the expiration date,
EMSA may, at its discretion, terminate this Agreement with thirty (30) days' notice to
Contractor.
3. Subcontractors
The Contractor shall perform the work contemplated with resources available within its own
organization and no portion of the work shall be subcontracted.
4. Retention of Records/Audits
A. For the purpose of determining compliance with Government Code Section 8546.7, the
Contractor and Subcontractors shall maintain all books, documents, papers, accounting
records, and other evidence pertaining to the performance of the Agreement, including but
not limited to, the costs of administering the Agreement. All parties shall make such
materials available at their respective offices at all reasonable times during the Agreement
period and for three years from the date of final payment under the Agreement. The State,
the State Auditor, or any duly authorized representative of the Federal government having
jurisdiction under Federal laws or regulations (including the basis of Federal funding in
whole or in part) shall have access to any books, records, and documents of the Contractor
that are pertinent to the Agreement for audits, examinations, excerpts, and transactions,
and copies thereof shall be furnished if requested.
B. Any subcontract entered into as a result of this Agreement shall contain all the provisions of
this clause.
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 2 of 4
EXHIBIT D
Special Terms and Conditions
5. Assumption of Risk and Indemnifications Regarding Exposure to Environmental
Health Hazards
In addition to and not a limitation of the Contractor's indemnification obligations contained
elsewhere in this Agreement, the Contractor hereby assumes all risks of the consequences
of exposure of Contractor's employees, agents, Subcontractors, Subcontractors'
employees, and any other person, firm, or corporation furnishing or supplying work
services, materials, or supplies in connection with the performance of this Agreement, to
any and all environmental health hazards, local and otherwise, in connection with the
performance of this Agreement. Such hazards include, but are not limited to, bodily injury
and/or death resulting in whole or in part from exposure to infectious agents and/or
pathogens of any type, kind, or origin. Contractor also agrees to take all appropriate safety
precautions to prevent any such exposure to Contractor's employees, agents,
Subcontractors, Subcontractors' employees, and any other person, firm, or corporation
furnishing or supplying work services, materials, or supplies in connection with the
performance of this Agreement. Contractor also agrees to indemnify and hold harmless
EMSA, the State of California, and each and all of their officers, agents, and employees,
from any and all claims and/or losses accruing or resulting from such exposure. Except as
provided by law, Contractor also agrees that the provisions of this paragraph shall apply
regardless of the existence or degree of negligence or fault on the part of EMSA, the State
of California, and/or any of their officers, agents and/or employees.
6. Mandatory Organic Waste Recycling
It is understood and agreed that pursuant to Public Resources Code 42649.8 et. seq., if
Contractor generates four (4) cubic yards or more of organic waste or commercial solid
waste per week, the Contractor shall arrange for organic waste or commercial waste
recycling services that separate/source organic waste for organic waste recycling.
Contractor shall provide proof of compliance, i.e. organic waste recycling services or
commercial waste recycling services that separate/source organic waste recycling, upon
request from the EMSA Contract Manager
7. Force Majeure
Except for defaults of Subcontractors, neither party shall be responsible for delays or
failures in performance resulting from acts beyond the control of the offending party. Such
acts shall include but shall not be limited to acts of God, fire, flood, earthquake, other natural
disaster, nuclear accident, strike, lockout, riot, freight embargo, public regulated utility, or
governmental statutes or regulations superimposed after the fact. If a delay or failure in
performance by the Contractor arises out of a default of its Subcontractor, and if such
default of its Subcontractor, arises out of causes beyond the control of both the Contractor
and Subcontractor, and without the fault or negligence of either of them, the Contractor shall
not be liable for damages of such delay or failure, unless the supplies or services to be
furnished by the Subcontractor were obtainable from other sources in sufficient time to
permit the Contractor to meet the required performance schedule.
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 3 of 4
EXHIBIT D
Special Terms and Conditions
8. Employment of Undocumented Workers
By signing this contract, the Contractor swears or affirms that it has not, in the preceding five
years, been convicted of violating a State or Federal law relative to the employment of
undocumented workers
9. General Provisions Required in all Insurance Polices
A. Deductible: Contractor is responsible for any deductible or self-insured retention
contained within the insurance program.
B. Coverage Term: Coverage must be in force for the complete term of this Agreement. If
insurance expires during the term of this Agreement, a new certificate must be received
by the EMSA Contract Manager at least ten (10) days prior to the expiration of the
insurance. Any new insurance must continue to comply with the original terms of this
Agreement.
C. Policy Cancellation or Termination and Notice of Non-Renewal: Contractor shall provide,
to the EMSA Contract Manager within five (5) business days, following receipt by
Contactor, a copy of any cancellation or non-renewal of insurance required by this
Agreement. In the event Contractor fails to keep, in effect at all times, the specified
insurance coverage, the State may, in addition to any other remedies it may have,
terminate this Agreement upon the occurrence of such event, subject to the provisions of
this Agreement.
D. Primary Clause: Any required insurance contained in this Agreement shall be primary,
and not excess or contributory, to any other insurance carried by the State.
E. Inadequate Insurance: Inadequate or lack of insurance does not negate the Contractor's
obligations under this Agreement.
F. Endorsements: Any required endorsements requested by the State must be physically
attached to all requested certificates of insurance and not substituted by referring to
such coverage on the certificate of insurance.
G. Insurance Carrier Required Rating: All insurance companies must carry a rating
acceptable to the DGS, Office of Risk and Insurance Management (ORIM). If the
Contractor is self-insured for a portion or all of its insurance, review of financial
information including a letter of credit may be required. DGS, ORIM Website:
https://www.dgs.ca.gov/ORIM.
H. Contractor shall include all of its subcontractors as insureds under Contractor's
insurance or supply evidence of insurance to the State equal to the policies, coverages
and limits required of Contractor.
I. The State will not be responsible for any premiums or assessments on the policy.
10. Insurance Requirements
A. Commercial General Liability
1) Contractor shall maintain general liability on an occurrence form with limits not less
than $1,000,000 per occurrence and $2,000,000 aggregate for bodily injury and
property damage liability. The policy shall include coverage for liabilities arising out of
premises, operations, independent contractors, products, completed operations,
personal and advertising injury, and liability assumed under an insured Agreement.
Central California Emergency Medical Services Agency
Agreement Number: C25-005
Page 4 of 4
EXHIBIT D
Special Terms and Conditions
This insurance shall apply separately to each insured against whom claim is made or
suit is brought subject to the Contractor's limit of liability. The policy must include:
EMSA , State of California, its officers, agents, employees and servants are
included as additional insured but only with respect to work performed under this
Agreement.
2) This endorsement must be supplied under form acceptable to DGS, ORIM.
11. Licenses and Permits
A. The Contractor shall be an individual or firm qualified to do business in California and
shall obtain at its expense all license(s) and permit(s) required by law for any work under
this Agreement.
B. If Contractor is a California or foreign corporation, Contractor must be registered and
active/in good standing with the California Secretary of State.
C. If the Contractor is any other business entity, Contractor must be registered and active/in
good standing with the California Secretary of State, to the extent applicable.
D. In the event any license(s) and/or permit(s) expire at any time during the term of this
Agreement, Contractor agrees to provide EMSA Contract Manager a copy of the
renewed license(s) and/or permit(s) within thirty (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
Agreement upon occurrence of such event.
12. Prohibition of Delinquent Taxpayers
Public Contract Code Section 10295.4 prohibits the State from entering into an Agreement
for goods or services with any taxpayer, whose name appears on either list maintained by
the State Board of Equalization or the Franchise Tax Board pursuant to Revenue and
Taxation Code sections 7063 and 19195, respectively, of the 500 largest tax delinquencies.
Public Contract Code Section 10295.4 provides no exceptions to these prohibitions.
Exhibit E
Invoice Template
California Emergency Medical Service
Authority Multicounty LEMSA SGF
Multicounty LEMSA SGF Assistance Quarterly Inv• -
Invoice to: Invoice Date:
Emergency Medical Services Contract #:
Authority 1 1 120 International Drive, Invoice #:
2nd Floor
Rancho Cordova, CA 95670 Invoice Period:
Attention: Angela Wise
angela.wise@emsa.ca.gov Invoice $0
Amount:
LEMSA Name:
Address:
Submitter
Name:
Telephone #:
Email Address:
The purpose of this invoice is to reimburse the Contractor for actual expenditures associated with the
Contract # above. Supporting documentation of requested reimbursement, needs to be kept by the
contractor, which includes subcontractors' documentation and made available to EMSA upon
request. Invoices with staffing expenditures must include supporting documentation.
I certify that I am the duly appointed and acting officer of the herein named agency and the costs
being claimed herein are in all respects true, correct, and in accordance with the contract
provisions; that funds were expended or obligated during the contract period;and the amount
claimed above has not previously presented to or reimbursed by the Emergency Medical Services
Authority (EMSA).
Name: Title:
Signature: Date:
For EMSA Ude Only
Reimbursement Request has been reviewed,and I recommend payment of the requested amount.
Name: Title:
Signature: Date:
EMSA#104- Attachment H
California Emergency Medical Service
Authority Multicounty LEMSA SGF
Invoice Details
• • • - -
Local SGF Base SGF BCP Total
Total Direct Expenses $0 $0 $0 $0
Total Indirect Expenses I $01
I Total Expenses $0 $0 $0 $OI
PERSONNEL EXPENSES
i
Personnel Wages (Staff Name &Title) Local I SGF Basel SGF BCP invoiced I
$01
$01
1 $01
1 $01
$0
$0
$0
$0
Personnel Wage Expenses Subtotal $0 $01 $0 $01
Personnel Benefits (Staff Name &Title) Local SGF Base SGF BCP Invoiced)
$0
$0
$0
$0
I I $01
1 $01
I $01
I $01
IPersonnel Benefit Expenses Subtotal $0 $0 $0 $0
2 EMSA#104- Attachment H
California Emergency Medical Service
Authority Multicounty LEMSA SGF
OPERATING EXPENSES
General Expenses Local SGF Base SGF BCP Invoiced
$0
$0
I I $01
1 $01
$0
$0
$0
$0
I I I $01
I I I $01
I I I $01
$01
General Expenses Subtotal $0 $0 $0 $01
Communications Expenses Local SGF Base SGF BCP Invoiced)
$01
$01
$0
$0
$0
$0
I I I $01
I I I $01
$0
$0
$0
$0
I Communications Expenses Subtotal $01 $01 $0 $0
3 EMSA#104- Attachment H
California Emergency Medical Service
Authority Multicounty LEMSA SGF
Facilities Expenses Local SGF Base SGF BCP Invoiced
$0
$0
$0
I I $OI
I I $OI
$0
$0
$0
$0
I I $OI
I I $OI
I I $OI
Facilities Expenses Subtotal $0 $0 $0 $0
Contractors & Professional Services Local SGF Base SGF BCP Invoiced
Expenses
1 $0
1
I $OI
I $OI
I $OI
I I $OI
I I $OI
$0
$0
$0
$0
Contractors & Prof. Services Expenses $0 $0 $0 $0
Subtotal
4 EMSA#104- Attachment H
California Emergency Medical Service
Authority Multicounty LEMSA SGF
IT& Data Processing Expenses Local SGF Base SGF BCP Invoiced
$0
$0
$0
I I $OI
I I $OI
$0
$0
$0
$0
I I $OI
$OI
$OI
IT& Data Processing Expenses Subtotal $0 $0 $0 $0
Travel Expenses Local SGF Basel SGF BCP Invoiced
$0
I I $OI
I I $OI
$0
$0
$0
$0
I I $OI
I I $OI
$0
$0
$0
Travel Expenses Subtotal $0 $0 $0 $0
5 EMSA#104- Attachment H
California Emergency Medical Service
Authority Multicounty LEMSA SGF
Training Expenses Local SGF Base SGF BCP Invoiced
$0
$0
$0
I I $OI
I I $OI
$0
$0
$0
$0
I I $OI
I I $OI
I I $OI
ITraining Expenses Subtotal $0 $0 $0 $0
IOther Expenses Local SGF Basel SGF BCP Invoiced
I $0
I I $OI
I I $OI
$0
$0
$0
$0
I I $OI
I I $OI
$0
$0
$0
Other Expenses Subtotal $0 $0 $0 $0
6 EMSA#104- Attachment H
w
LLI
AZ
t� V
C
G!
Q M
N O
� Cf OOi
N 4
a
� o
� C
� � V
� � N
d
d
d C
,O
O
Q
Application
c
tr�f� t
FRESNO
STATE GENERAL ALLOCATION
FOR REGIONAL EMS AGENCIES
FY
•
KINGS
it
MADERA
TULARE
Daniel J Lynch
EMS Director
Miranda Lewis,M.D.
EMS Medical Director
Fresno County
Dept of Public Health
1221 Fulton St
P.O.Box 11867
Fresno CA 93775
(559)600-3387
Fax(559)600-7691
www.ccemsa.org
EMS AGENCY MISSION STATEMENT
The EMS Agency is committed to the needs of the multicounty pre-hospital
environment. Our mission is to inspire, educate, evaluate, direct, provide
resources, and ensure that each citizen receives the highest level of care.
Our goals are to facilitate an environment of collaboration among all providers
and agencies in which there is innovation, purpose, standardized care, proactive
technologies, preparedness, coordination, and integration.
Our values are honesty, loyalty, equality, originality, integrity, and communication.
' 01
The Central California EMS Agency is a multi-county EMS region that includes Fresno, Kings, Madera,
and Tulare Counties. With a population of more than 1.8 million people and a geographical size
exceeding 14,400 square miles, the CCEMSA region is in central California in the heart of the San
Joaquin Valley. The region is very diverse in its geography, which includes vast agricultural land
expanding through larger metropolitan areas and extending into the Sierra Nevada mountains. Tourism
has a large impact on the region since the region is the gateway to Yosemite, Kings Canyon, and
Sequoia National Parks, as well as popular recreational areas in the counties and in the Sierra and
Sequoia National Forests.
The region continues to see increases year over year in prehospital call volume. While the prehospital
providers have resources to respond to these incidents, the challenges occur at the receiving hospitals,
which are still experiencing significant overcrowding and very busy emergency departments.
AMBULANCE RESOURCES
County ALS ALS Rescue CCT Helicopter BLS Total
Fresno 77 2 2 ? 22 104
Kings 12 0 0 0 1 13
Nadera 11 0 0 0 1 11
Tulare 29 0 1 2 4 36
Total 126 2 3 5 28 164
EMS PROVIDERS
County Ambulance First Responder Helicopter Total
Fresno 22 2 30
Kincls 1 4
I,l adera 2 4
Tulare 12 2 19
Total 14 42 4 60
2 CERTIFIED PERSONNEL
024 CAL VOLUME
EMS Dispatchers 135
County Responses Transports EMTs 2.659
Fresno 208.009 142,195 Paramedics 463
Kin s 24.037 1T837 L-IICN 288
Madera 22.291 13.801 Base Phvsicians 263
Tulare 55 249 39 312 TAD Paramedics 226
Total 309,586 213,145 CCT Paramedics 20
Total 4054
EMS DISPATCH CENTERS HOSPITALS
Dispatch Center Volume Receiving 14
Fresno County ENIS Communications 254.337 Base Hospital 7
Tulare Consolidated Ambulance Dispatch 55 249 Trauma 3
Total Cal Volume 309.5861 STEMI 3
Stroke 8
Pe d 1
Stand-by 3
SCOPE OF WORK
The multicounty EMS agency shall operate and manage a regional EMS system, and report on accomplished
work and duties to EMSA, in accordance with Division 2.5 of the Health and Safety Code and Title 22, CCR,
Division 9.
PLAN/DATA SUBMISSION
The multicounty EMS agency must be in compliance with Sections 1797.250 and 1797.254 of the Health and
Safety Code. As such, the multicounty EMS agency shall have an EMS Plan approved by EMSA on file covering
the time period of the previous fiscal year of funds being received.
A multicounty EMS agency that has implemented a specialty care system such as a Trauma, STEMI /Stroke, and
EMS for Children program, shall complete and submit for each system implemented, a plan annually to EMSA in
compliance with Sections 1797.257, 1797.258, and 1799.205 of the Health and Safety Code, and Chapters 7, 7.1,
7.2, and 14 of Title 22, CCR, Division 9.
The multicounty EMS agency must complete and submit a QI program annually to EMSA in compliance with
Chapter 12 of Title 22, CCR, Division 9.
The multicounty EMS agency shall regularly provide to EMSA data it receives consistent with Section 1797.227 of
the Health and Safety Code that conforms to EMSA's California EMS Information System Standards, National
EMS Information System, and the California State EMS Data Set.
AUDIT
The multicounty EMS agency shall have an annual financial audit conducted by an independent or county auditor
covering the fiscal year in which funds were allocated. A copy of the audit must be received by EMSA by
December 31 st. (See Section 6.1 -Audit)
The final audit shall determine:
• All costs incurred have been in accordance with the contract and EMSA#104.
• Proper accounting records have been maintained for the administration of the multicounty EMS agency
and source documents have been filed.
• All reimbursements have been proper and reflect actual and allowable costs.
• Physical inventory has been taken of all equipment/property purchased with State General Fund money.
(See Sections 3.4 and 5.3)
• Provisions have been made to retain source documents supporting costs incurred for at least three years
after the applicant agency has received final payment or until any audit exceptions are resolved.
QUARTERLY REPORTING
1st THROUGH 4th QUARTER TASK REPORTS
Quarterly Reports are due to EMSA by the 15th calendar day of the month following the end of each quarter. The
fourth quarter report is due by August 1st and must include a Supplemental Year-End Data Report. Funding will
be withheld if Quarterly Reports are not submitted timely.
Quarterly Reports must contain a detailed description of work performed, the duties of all parties, and a summary
of activities that have been accomplished during the quarter to meet the following eight EMS system components:
1. System Organization and Management;
2. Manpower and Training;
3. Communications;
4. Transportation;
5.Assessment of Hospitals and Critical Care Centers;
2025/26 Regional Funding Application Page 2
6. Data Collection and Evaluation;
7. Public Information and Education; and
8. Disaster Response.
SUPPLEMENTAL YEAR-END DATA REPORT
The Supplemental Year-End Data Report is due to EMSA by August 1st and must be submitted with the 4th
Quarter Task Report.
The Supplemental Year-End Data Report must include year-end data for the above eight EMS system
components.
2025/26 Regional Funding Application Page 3
LEMSA Central California EMS Agency FY Period 2025-26
Funding 41
Funding Sou rce/Category FundingAmount
State General Fund(SGF) Base Funds $426.447
SGF Manpower and Training BCP' Funds $261.237
SGF Communications BCP' Funds $272,763
S GF Trans portation BCP• Funds $0
SGF Assessment of Hospitals and Critical Care Centers BCP" Funds $0
SGF System organization and Management BCP' Funds $0
SGF Data Collection and Evaluation BCP" Funds $0
SGF Public Information and Education BCP' Funds $0
SGF Disaster Response BCP' Funds $0
Local&Other Funds $3,377,813
'BCP=California State General Fund Budget Change Proposal 4120-022-BCP-2022-A1
Total SGF Base Funds Total SGF BCP Funds Total Local/Other Funds Total Funds
S426,447 $534.000 S3,377,813 S4.338,260
Expenses
Expenses Category Local SFG Base SGF BCP Total
Personnel Wages $931.760 $282,978 $173,349 S1,388,087
Personnel Fringe Benefits $915,429 $104,702 $64,139 S1,084,270
General Expenses $0 $0 $0 So
Communications Expenses $503,932 $0 $34,254 $538.186
Facilities Expenses $0 $0 $0 so
Contractors&Professional Services Expenses $0 $0 $0 so
IT&Data Processing Expenses $1,026,693 $0 $213,713 $1.240.406
Travel Expenses $0 $0 $0 so
Training Expenses $0 $0 $0 So
Other Expenses $0 $0 $0 s0
Administrative/Indirect Costs(Maximum 10°io) N/h $38.767 $48.545 $87.312
Total Local Expenses SGF Base Expenses SGFBCPExpenses Total Expenses
$3.377.813 S426,447 $534.000 S4,338,260
PROGRAM
Program Funding Source/Description Local Other SGF Total
State General Fund(SGF) -Total Base- BCP 5960,447 S960,447
Fire&EMS Dispatch Contracts S1,046.075 S1,046,075
1991& 2011 Health Realignment $1,204,507 S1,204,507
EMS Certification Fees $185,530 $185,530
Paramedic Program Tuition&College Fees $723,950 S723,950
Tulare, Kings, Madera County Fees $161,624 S161,624
HPP-LEMSA $56,127 S56,127
Total Program Funding $3,377,813 SO 5960,447 S4,338,260
Program Funding Notes& Explanation of Other Revenue
Communications Expenses
Communications Expenses Detail Local SGF Base SGF BCP Total
Radio Access 24x7x365 $503,932 534.254 S538,186
Total Communications Expenses $503,932 $0 $34,254 $538,186
Communications Expenses Narrative
This cost represents the current county cost for radio access charges for EMS Communications.The SGF BCP
amount accounts for approx.30 radios used in the ruraland partner counties at a rate of$95.15 per radio/per
month.
Information Technology (IT) & Data Processing Expenses
IT& Data Processing Expenses Detail Local SGF Base SGF BCP Total
CAD Software for EMS Comms. Center $53.208 S213,713 S266,921
Priority Dispatch Software 592,400 S92,400
StatusNet911 Web Hospital Comms.System $33,449 S33,449
EMS Comms Center Server Hosting Costs $847,636 5847,636
Total IT& Data Processing Expenses 51,026,693 SO 5213,713 S1,240,406
IT& Data Processing Expenses Narrative
The SGF BCP cost represents a portion of the ongoing computer aided dispatch software and software annual
maintenance costs for partner counties and rural communities.The budgeted cost represents the EMS
Communications Center annualsofrivare maintenance cost for the Central Square Dispatch System and
software,which provides the primary dispatch for the EMS Region.
IApplication
Fringe Ben ef its(Max To ta I: 37%ofWages) Total Personnel Expenses
Benefit Type %c of Wages Personnel Wages
Retirement Non SGF SGF Funded (detailed below)
Healthlnsurance Funded Local SGF Base SGFBCP
Dental Insurance $887,096 $44.664 $282.978 S173,349
Life/DisabilityInsurance Personnel FringeBenefits
Vision Insurance Non SGF SGF Funded (detailed below)
Workers Compensation Insurance Funded Local SGF Base SGF BCP
Total(Max 37%for SGF Allocation s) 37.00% $898.903 $16.526 S104.702 S64.139
SGF Base Wor BCP Funded Staff#1
Name John Cardona Wage Allocation%
Title/Classification Senior EMS Specialist Local 0.00 _
Hourly Rate TotatAnnual(FY) Hours An nu at Wages SGF Base 100.00Ce
- -- SGF BCP 0.00
Roles/ResponsibilRies Narrative Total 100.00""
Responsible foroverall supervision of Operations in Fresno.Kings,Madera aril Tulare Wage Allocation$
Counties. Responsibilities include implementation and enforcement of policyand
procedures.investigation of incidents.coordination between agencies and the EMS Local SO
agency.first responder liaison,hospital a nd ba se hospital coordination,and attendance at SGF Base S90.750
EMS related meetings. 100;t of his salary is paid for with State GF.
SGF BCP SO
Total $90.750
SGF Base Wor BCP Funded Staff#2
Narne Mato-Kuwapi Parker Wage Allocation%
Title/Classification Senior EMS Specialist Local 0.001/0
Hourly Rate TotatAnnuat(FY) Hours Annual Wages SGF Base 0.001/0
_ C S ". = SGF BCP 100.00%
Roles/Responsibilities Narrative Total 100.000/0
Responsible foroverall management cf ccntinucus quality improvement in Fresno. Kings, Wage Allocation$
f1a dera.and Tulare Counties. Responsibilities include oversight of data collection and
evaluation.quality assurancereporting,monitoringof specialty carecenters(trauma. Local SO
STEMI,stroke).and EMS certification. 100?t of this salary is paid for with State GF. SGF Base SO
SGF BCP S90.750
Total S90.750
SGF Base Wor BCP Funded Staff#3
Name Curtis Jack Wage Allocation%
Title/Classification Senior EMS Specialist Local 0.00-
Hourly Rate TotalAnnual(FY) Hours An nu at Wages SGF Base 37.32''
S43.6C SGF BCP O.CC
Roles/Responsibilities Narrative Total 3 7.3
Responsible for Disaster Medical Services for the EMS region.which includes coordination Wage Allocation S
with ambulance providers, hospitals and allied agencies in disaster response and
preparedness.37.384c of this salary is paid for with State GF. Local SO
SGF Base $33.925
SGFBCP SO
Total S33.925
SGF Base Wor BCP Funded Staff#4
Name Damiana Looney Wage Allocation%
Title/Classification EMS Specialist Local 0.00ci:
Hourly Rate TotatAnnual(FY) Hours Annual Wages SGF Base 0.00;."
S39.71 2020 $82,599 SGFBCP 100.00^-:
Roles/Responsibilities Narrative Total 100.0
Responsible for Fresno and Kings operations and oversight.which includes ambulance Wage Allocation S
inspections, performance reviews,contract compliance evaluations,performance and
appeal investigation.EMCC preparation, system performance reports.and attendance at Local $C
EMS related meetings. 100?e of her salary is paid forwith State GF. SGF Base SO
SGFBCP $82.599
Total $82.599
SGF Base Wor BCP Funded Staff#5
Name Traci e Corazzin i Wage Allocat io n%
Title/Classification EMS Specialist Local 54.074-.`
Hourly Rate TotalAnnual(FY) Hours An nu at Wages SGF Base 45.93ciii,
$39.7 S82.5�:,D SGFBCP 0.0V"
Roles/Responsibilities Narrative Total 100.00"
Responsible for Madera and-Mare operations a nd oversight.which includes ambulance Wage Allocatio n S
inspections,performance reviews,contract compliance evaluations,performance and
appeal investigation.Tulare County Ambulance Commission preparation,system Local $44,664
performance reports.and attendance at EMS related meetings.46.729;t of her salary is SGF Base $37,935
paid forwith State GF.
SGFBCP SO
Total $82.599
SGF Base Wor BCP Funded Staff#6
Name Salvador Rodriguez Wage Allocation%
Title/Classification EMS Specialist Local 0.000/0
HourlyRate TotalAnnual(FY) Hours AnnuaLWages SGF Base 100.00%
S39.71 2080 $82.599 SGF BCP 0.00%
Roles/Responsibilities Narrative Total 100.00%
,kssistswith managementof continUOUs qL13 lity improvement in Fresno Kings.Madera.and Wage Allocation $
-ulare counties.1004b of this salary is paid for vith State GF.
Local SO
SGF Base S82.599
SGF BCP SO
Total $82.599
SGF Base Wor BCP Funded Staff#7
Name Gin a Alo nso Wage Allocation%
Title/Classification Office Assistant III Local 0.00'.
Hourly Rate TotaLAnnuaL(FY) Hours An nuaLWages SGF Base 75.007
$50.359 SGF BCP 0.00'
Roles/Responsibilities Narrative Total 75.00
Responsible forclericalsupport for the operations division.Which includes miscellaneous Wage Allocation $
administrative support.meetingminutes.purchasingand inventory.requisition
management.and correspondence materials.75;E of this salary is paid forwith State GF. LocaL SO
SGF Base S37.769
SGF BCP SO
Total S37.769
Central California ENIS Agency
Division Manager
DANIEL LYNCH
Senior Staff Analyst Administrative Assistant
DOUG LOERA JULIE YANG
_j
EMS Medical Director
MIRANDA LEWIS,M.D.
Office Assistant
GINA ALONSO
Asst.EMS Medical Directors FINERGENCY MEDICAL
GEOFF STROH,M.D. $Egg $
Communications Operations Education Disaster Sen•ices Specialty Sen•ices
Coordinator Coordinator Coordinator Coordinator Coordinator
MATT MYERS JOIiV C.ARDO�tA SHELLIA ALANIZ CLTRTIS JACK XIATO PARKER
SP STY
EI�ISCO\fAiLTtICATIONS REGIONAL 7P=E TRL�GCONTINUOUS
CENTER OPERATIONS PROGRAMS DISASTER CERTIFICATION QUALITY
COURSE IMPROVEMENT
r
rJEFF
)•Items Procedure EMS S ecialist EMS Specialist EM Specialist
E\f5 Specialist EMS Specialist P D N EMS Specialist
Anal st NATIi�\COOPER DE.AVER DIIA\.a TRaCIE RICK LAKELA CH S.�I RODRIGUEZ
LOONEY CORAZZLVI
EMS Specialist _ Program Technician
VACANT MONICA BAUTISTA
"EMS Specialist •EMS Specialist
Andrew CiPolla Cesar Contreras
Office Assistant
•E_\•fS Specialist "EMS Specialist — TUB HER(Nuam)
Jacob Martinez Taylor Spierling
'EATS Specialist 'EMS Specialist
Lonnie Taylor Clarissa Torral�a
'EMS Specialist 'EMS Specialist
VACANT VACANT
*Extra-help:Part-timeinstmetors
I25/26 Regional FundingApplication
Agreement between the County of Fresno, Acting as the Central California EMS
Agency, and the California Emergency Medical Services Authority (EMSA)
Name/No.: Central California EMS Agency Grant (State Agreement No. C25-005)
Fund/Subclass: 0001/10000
Organization #: 56201692
Revenue Account #: 3503