HomeMy WebLinkAboutAgreement A-20-292 with CA EMS Authority.pdfAgreement No. 20-292
STATE OF CALIFORNIA - DEPARTMENT OF GENERAL SERVICES , __ ____ --. .... ._ .__ . ___ . __._ __...._ .~... _ _"
STANDARD AGREEMENT AGREEMENT NUMBER PURCHASINGAUTHORi7YNUMBERii(applicable)
STG 213 (Rev. 7 0/ZO i 8) C 2 0-010 E M SA-412 0
t. This Agreement is entered into between the Contracting Agency and the Contractor named below;
CONTRACTING AGENCY NAME
Emergency Medical Services Authority
CONTRACTOR NAME
County of Fresno, acting as the Central California EMS Agency
2. The term of this Agreement is:
START DATE
July 1, 2020
THROUGH END DATE
June 30, 2021
3. The maximum amount of this Agreement is:
5405,921.00 - Four Hundred Five Thousand Nine Hundred Twenty One Dollars and 00/100
4. The parties agree to comply with the terms and conditions of the following exhibits, which are by this reference made a part of the
Agreement.
EXHIBITS TITLE PAGES
Exhibit A Stope of Work g
Exhibit B Budget Detail and Payment Provisions 2
Attachment 1 Funding Application 15
Exhibit C " General Terms and Conditions GTC610
Exhibit D Special Terms and Conditions 4
Exhibit E Sample Invoice 1
Items shown with an asterisk (*), are Hereby ~nwrporatea ay reference ana maae part or rnu agreement as it attached hereto.
These documents can beviewed at www.dgs.ca.gov/o1s/resources/standordcontractlanguage.asp;
IN W1TNE55 WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO.
CONTRACTOR
CONTRACTOR NAME !i(other than an individual, state whether a corporation, partnership, etc.)
County of Fresno, acting as the Central California EMS Agency
CONTRACTOR BUSINESS ADDRESS
P. 0. Box
--PRINTEDNAME OF PERSON 51GNING
Ernest Buddy Mendes
CONTRACTOR AUTHORIZES SIGNATURE
STATE OF CALIFpRNIA
CONTRACTING AGENCY NAME
Emergency Medical Services Authority
CONTRACTING AGENCY ADDRESS
10901 Gold Center Drive, Suite 400
PRINTED NAME OF PERSON SIGNING
Dave Duncan, MD
-~
CONTRACTING AGENCY AUTHORIZED
ATTEST:
BERNICE E, SEIpEL
J Clerk of the Board of Supervisors
County of Frespo, State of California
By
Deputy
-- ------------ --CITY 57ATE ZIP
Fresno CA 93775
TITLE — -
Chairman, Board of Supervisors County of Fresno
~ DATE SIGNED
`~l~l
CITY STATE ZIP
Rancho Cordova CA 95670
TITLE
Director
DATE SIGNED
~S'- ~ G' 2G2Q
Page 1 of 2
STATE OF CALIFORNIA-DEPARTMENT OF GENERAL SERVICES .---------------,---------------------,
STANDARD AGREEMENT AGREEMENT NUMBER PURCHASING AUTHORITY NUMBER (if applicable)
STD 213 (Rev. 10/2018) C20-010 EMSA-4120
CALIFORNIA DEPARTMENT OF GENERAL SERVICES APPROVAL EXEMPTION, IF APPLICABLE
SCM Vol 1, 4.04 (A)(4)
Page 2 of 2
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 1 of 8
EXHIBIT A
Scope of Work
1. The Contractor (Multi-County 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" to assist in the administration of 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, 2020 through June 30, 2021.
5. Representatives
All inquiries related to and during the term of this Agreement shall be addressed to the
authorized representatives listed below:
Agency: Contractor:
County of Fresno, acting as the Central California Emergency Medical Services Authority EMS Agency
Name: Lisa Galindo Name: Daniel J. Lynch
Title: Contract Manager Title: EMS Director
Phone: (916) 431-3688 Phone: (559) 600-3387
Fax: Fax :
E-Mail: lisa.galindo@emsa.ca.gov E-Mail : dlynch@co.fresno.ca. us
Direct all administrative inquiries to this agreement to :
Agency: Contractor:
County of Fresno, acting as the Central California Emergency Medical Services Authority EMS Agency
Name: Yolanda D. Jackson Name : Scott Nichols
Title : Contract Analyst Title: EMS Director
Phone: (916) 431-3694 Phone: (559) 600-3387
Fax : (916) 322-1441 Fax :
Email: Yolanda.jackson@emsa.ca.gov E-Mail: dlynch@co.fresno.ca. us
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 7, 7 .1, 7.2, and 14 of
Title 22, CCR, Division 9 .
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 2 of 8
EXHIBIT A
Scope of Work
C. The Contractor shall complete and submit a Quality Improvement program and annual
updates to EMSA in compliance with Chapter 12 of Title 22, CCR, Division 9.
D. The Contractor 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.
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 31st. (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 1 and must include a Supplemental Year-End Data Report.
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.
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 3 of 8
EXHIBIT A
Scope of Work
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. Attending or participating in a minimum of 3 EMSA/LEMSA meetings annually
(following advance notice and reasonable justification provided by the
LEMSA, EMSA will make a determination on the flexibility of the attendance
requirement on a case-by-case basis, and in the event the quarterly
EMSA/LEMSA meeting is canceled, attendance at the meeting will not be
counted for/against the LEMSA).
C. Component 2 -System Organization and Management
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 of EMS related communications systems.
C . Approving ambulance dispatch centers .
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
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. Approving emergency medical dispatch (EMO) training and/or operational
programs.
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 -Facilities 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.
2. Tasks: The responsibilities of the Contractor shall include, at a minimum:
A. Reviewing reportable incidents .
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 5 of 8
EXHIBIT A
Scope of Work
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 31 st each
year and acknowledging completion of the monitoring and reporting as of
March 3pt 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 NEMSIS and CEMSIS standards from
Electronic Health Records (EHR).
G. Engaging healthcare partners and Health Information Organizations in your
jurisdiction in discussions and planning efforts to integrate EMS into developing
health information exchange networks that promote interoperability and the use
of the Search, Alert, File, Reconcile Model.
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, as
requested .
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 6 of 8
EXHIBIT A
Scope of Work
C . Coordinating the Medical Health Operational Area Coordination (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 (PTB), as available.
9. Supplemental Year End Data Reporting
A. The Supplemental Year-End Data Report is due to EMSA by August 1, 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 -Staffing 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.
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
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 EMO training programs approved by EMS agency.
0. Total number and type of EMO programs authorized by EMS agency .
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.
0. 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 -Facilities 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, EOAP/(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
0. Total medical patients .
E. Total pediatric patients.
F. Total number of situational/unusual occurrence reports processed by EMS
agency .
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 8 of 8
EXHIBIT A
Scope of Work
G . 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.
H. 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.
1. Invoicing and Payment
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 1 of 2
EXHIBIT B
Budget Details and Provisions
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: Lisa Galindo
Agreement Number:C20-010
10901 Gold Center Drive, Suite 400
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 .
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 2 of 2
EXHIBIT B
Budget Details and Provisions
8. 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.
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 $405,921.00
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.
8. 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.
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Daniel J Lynch
EMS Director
James Andrews, M.D.
EMS Medical Director
F,·esno County
Dept of Public Health
1221 Fulton Mall
P.O . Box 11867
Fresno CA 93775
(559) 600-3387
Fax (559) 600-7691
www.ccemsa.org
ATTACHMENT 1
County of Fresno , acting as the Central California EMS Agency
Agreement Number: C20 -010
Page 1 of 15
Application
STATE GENERAL FUND ALLOCATION
FOR REGIONAL EMS AGENCIES -FY 2020/21
ATTACHMENT 1
County of Fresno , acting as the Central California EMS Agency
Agreement Number: C20-010
Page 2 of 15
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.
County of Fresno , acting as the Central California EMS Agency
INTRODUCTION
ATTACHMENT 1
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The response to the COV/D19 pandemic has tested the strength and flexibility of
the EMS system and the region has responded very well.
This application to the State of California
Emergency Medical Services Authority is for
the continuation of State General Fund
assistance for the planning, implementation ,
and maintenance of a multi-county EMS
system. The Fresno County Department of
Public Health is the designated local EMS
Agency for the Counties of Fresno , Kings ,
Madera and Tulare Counties. Through
specific agreements between each County,
this integrated EMS system provides 100%
paramedic coverage with consolidated
resources of both public and private
provider agencies. The development of
regional policies and procedures assures
that out of hospital care and procedures are
consistent and that patients throughout the
region are receiving quality patient care .
Significant changes are occurring in
healthcare and the Emergency Medical
Services has an increasing role in the
delivery of prehospital and "out-of-hospital"
care . The response to the COVID19
pandemic has tested the strength and
flexibility of the EMS system and the region
has responded very well. EMS system
throughout the state , including the CCEMSA
have used EMS personnel to fill positions
that are non-EMS related but required
skilled and professional staffing , which
involved EMS . This is a testament to the
ability of EMS systems to safely and
effectively manage "mobile integrated
healthcare" or community paramedicine .
EMS systems still continue to find
themselves in an awkward position of
developing changes in the delivery model of
prehospital care, while at the same time
trying to protect the EMS system from
expansion of traditional services and roles
that are no longer needed. EMS systems
Da niel J Ly nch
furthering the use of Basic Life Support
ambulances to handle prehospital requests
for behavioral health incidents (i.e. 5150)
and many non-emergency requests for
ambulance service that data has shown not
to require the use of an paramedic
ambulance . Two years ago, the EMS
Agency reduced code 3 responses by
nearly 30% by conducting an in-depth study
of responses , which resulted in reducing
many lights and sirens responses to non-
lights and sirens responses.
The EMS agency's continuing challenge is
to assure that the integrity of the EMS
System remains intact. The EMS system
continues to move forward and ideas are in
place to further enhance the quality level of
care provided throughout the EMS region.
The funding provided by the State of
California greatly assists the EMS Agency in
maintaining this level of commitment to
each of these counties and provides a
standard level of care that may not be
possible without this assistance.
The Central California EMS Agency is
prepared to meet the challenges of the
coming year . With the challenges come
opportunities and the CCEMSA will be
aggressively pursuing any changes that will
continue to protect the citizens, continue the
provision of excellent prehospital care, and
expand the development of out-of-hospital
care .
~..J_
Daniel J. Lynch
EMS Director
CCEMSA -2020/21 Regional Funding Application Page I
I 10
15
I I I • II • It• 1• •1 • • I •• I I !.1•
SCOPE OF WORK
ATTACHMENT 1
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 . Refer to EMSA #104 "Funding Assistance Manual : Multicounty EMS
Agencies Using State General Funds" for funding criteria and requirements. EMSA #104 can be
accessed at https ://emsa.ca.gov/multicounty-info/.
PLAN/DATA SUBMISSION
The multicounty EMS agency must 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
is determined by EMSA in the agency's last EMS Plan decision.
A multicounty EMS agency that has implemented a specialty care system must 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 7, 7.1, 7.2 , and 14 of Title 22 , CCR , Division 9 .
The multicounty EMS agency must complete and submit a Quality Improvement program and annual
updates 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. The copy of the audit must be
received by EMSA by December 31st. (See Section 6 .1 -Audit)
The final audit shall determ ine :
• 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 .
CCEMSA -2020 /21 Regional Funding Application Page 2
I
cy
10
15
ATTACHMENT 1
County of Fresno , acting as the Central California EMS Agency
Agreement Number C20-010
Page 5 of 15
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.
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 .
Component 1 -System Organization and Management
Objective -To develop and maintain an effective management system to meet the emergency medical
needs and expectations of the total population served .
Tasks : The responsibilities of the EMS agency, at a minimum , include:
• Staff development, training, and, management
• Allocating and maintaining office space , office equipment, and office supplies
• Executing and maintaining contracts with member counties, service providers, consultants, and
contractual staff
• Attending or participating in a minimum of 3 EMSA/LEMSA meetings annually (following
advance notice and reasonable justification provided by the LEMSA, EMSA will make a
determination on the flexibility of the attendance requirement on a case-by-case basis, and in
the event the quarterly EMSA/LEMSA meeting is canceled, attendance at the meeting will not
be counted for/against the LEMSA)
Component 2 -Staffing and Training
Objective -To ensure LEMSA authorized personnel functioning within the EMS system are properly
trained, licensed/certified/authorized and/or accredited to safely provide medical care to the public.
Tasks: The responsibilities of the EMS agency , at a minimum, include :
• Ongoing assessment of local training program needs
• Authorizing and approving training programs and curriculum for all certification levels
• Providing training programs and classes as needed
• Providing ongoing certification/author ization/accreditation or personnel approval of local scope
of practice for all certification levels
• Developing and maintaining treatment protocols for all certification levels
• Maintaining communication link with Quality Improvement program to assess performance of
field personnel
• Conducting investigations and taking action against certification when indicated
• Authorizing, maintaining, and evaluating EMS continuing education programs
Continued on Next Page
CCEMSA -2020/21 Regional Funding Application Page 3
ATTACHMENT 1
Component 3 -Communications
County of Fresno , acting as the Central California EMS Agency
Agreement Number: C20-010
Page 6 of 15
Objective -To develop and maintain an effective communications system that meets the needs of the
EMS system.
Tasks: The responsibilities of the EMS agency, at a minimum, include:
• On-going assessment of communications status and needs
• Assuring appropriate maintenance of EMS related communications systems
• Approving ambulance dispatch centers
• Providing acceptable procedures and communications for the purpose of dispatch and on-line
medical control
• Approving emergency medical dispatch (EMD) training and/or operational programs
Component 4 -Response and Transportation
Objective -To develop and maintain an effective EMS response and ambulance transportation system
that meets the needs of the population served.
Tasks : The responsibilities of the EMS agency, at a minimum , include :
• Designating EMS responders including first responders, Limited Advanced Life Support
(LALS)/Advanced Life Support (ALS) providers , ambulance providers , and Prehospital EMS
Aircraft providers
• Monitoring local ord inances related to EMS
• Establishing policies and procedures to the system for the transportation of patients to trauma
centers and/or specialty care hospitals as needed
• Implementing and maintaining contracts with providers
• Creating exclusive operating areas
• Inspecting ambulance or LALS/ALS providers
• Developing and enforcing performance standards as needed
Component 5 -Facilities and Critical Care
Objective -To establish and/or identify appropriate facilities to provide for the standards and care
required by a dynamic EMS patient care delivery system.
Tasks : The responsibilities of the EMS agency, at a minimum , include:
• Designating base hospital(s) or alternate base stations for on-line medical control and direction
• Identifying ambulance receiving centers including hospitals and alternative receiving facilities in
rural areas
• Identifying and designating, as needed, trauma centers and other specialty care facilities
• Periodically assessing specialty care system and plan(s) as needed
• Coordinating specialty care patients to appropriate specialty care center(s) or approved
receiving hospitals
• Periodically assessing hospitals (e.g., trauma centers , STEMI centers , stroke centers, pediatric
critical care centers (PCCC), emergency departments approved for pediatrics (EDAP)/pediatric
receiving centers (PedRC), pediatric intensive care unit (PICU)
• Completing hospital closure impact reports
CCEMSA-2020/21 Regional Funding Application Page 4
ATTACHMENT 1
Component 6 -Data Collection and System Evaluation
County of Fresno , acting as the Central California EMS Agency
Agreement Number: C20-010
Page 7 of 15
Objective -To provide for appropriate system evaluation through the use of quality data collection and
other methods to improve system performance and evaluation.
Tasks: The responsibilities of the EMS agency, at a minimum, include:
• Reviewing reportable incidents
• Reviewing prehospital care reports including Automated External Defibrillator (AED) reports
• Processing and investigating quality assurance/improvement incident reports
• Monitoring and reporting on EMS System Core Measures by March 31st each year, and
acknowledging completion of the monitoring and reporting as of March 31st each year
• Providing near real time data to CEMSIS, or at no less than monthly intervals
• Implementing Health and Safety Code Section 1797.227, including providing data from
Electronic Health Records (EHR) using the current NEMSIS and CEMSIS version standards
• Engaging healthcare partners and Health Information Organizations in your jurisdiction in
discussions and planning efforts to integrate EMS into developing health information exchange
networks that promote interoperability and the use of the Search , Alert, File, Reconcile Model
Component 7 -Public Information and Education
Objective -To provide programs to establish an awareness of the EMS system , how to access and use
the system, and provide programs to train members of the public in first-aid and CPR.
Tasks: The responsibilities of the EMS agency, at a minimum, include:
• Information and/or access to CPR and first-aid courses taught within the EMS system
• Involvement in public service announcements involving prevention or EMS related issues
• Availability of information to assist the population in catastrophic events, as appropriate
• Participating in public speaking events and representing the EMS agency during news events
and incidents
• Seeking opportunities to collaborate with key partners, including local public health and other
community organizations, to promote healthcare and injury prevention activities
Component 8 -Disaster Medical Response
Objective -To collaborate with the affected county/county's Office of Emergency Services , public health
department(s), and EMS responders in the preparedness and response of the region 's EMS system in
the event of a disaster or catastrophic event within the affected operational area, region, or neighboring
jurisdictions.
Tasks : The responsibilities of the EMS agency, at a minimum, include :
• Participating in disaster planning, training, and exercises, as needed
• Identifying medical disaster preparedness, mitigation, response, and recovery needs, as
requested
• Coordinating the Medical Health Operational Area Coordination (MHOAC) Program or
coordinating with the MHOAC Program of the affected county/counties , as appropriate
CCEMSA-2020/21 Regional Funding Application Pa~r S
ATTACHMENT 1
County of Fresno , acting as the Central California EMS Agency
Agreement Number: C20-010
Page 8 of 15
• Coordinating the Regional Disaster Medical Health Coordination (RDMHC) Program or
coordinating with the RDMHC Program within the member county/county's California Office of
Emergency Services mutual aid region
• Developing policies and procedures for EMS personnel in response to multicasualty or disaster
incidents
• Participating in the development of mutual aid agreements, as requested
• Collaborating with EMS providers on Incident Command Systems (ICS) and Standardized
Emergency Management System (SEMS) training, as requested
• Providing opportunities/exercises for Ambulance Strike Team Leader Trainees to complete their
Position Task Books (PTB), as available
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 individual workload indicators.
Component 1 -System Organization and Management
Objective -To develop and maintain an effective management system to meet the emergency medical
needs and expectations of the total population served.
Workload Indicators:
• Total static population served (Determined by DOF estimates)
• Total annual tourism population (Determined by identified sources)
• Number of counties
• Geographic size of region (in square miles)
Component 2 -Staffing and Training
Objective -To ensure LEMSA authorized personnel functioning within the EMS system are properly
trained, licensed/certified/authorized and/or accredited to safely provide medical care to the public.
Workload Indicators:
• Total number of personnel certified/authorized/accredited by EMS agency
• Total number and type of training programs approved by EMS agency
• Total number and type of training programs conducted by EMS agency
• Total number of continuing education providers authorized by EMS agency
Continued on Next Page
CCEMSA-2020/21 Regional Funding Application Page 6
ATTACHMENT 1
Component 3 -Communications
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 9 of 15
Objective -To develop and maintain an effective communications system that meets the needs of the
EMS system.
Workload Indicators:
• Total number of primary and secondary Public Safety Answering Points
• Total number of EMS responses
• Total number of EMO training programs approved by EMS agency
• Total number and type of EMO programs authorized by EMS agency
Component 4 -Response and Transportation
Objective -To develop and maintain an effective EMS response and ambulance transportation system
that meets the needs of the population served.
Workload Indicators:
• Total ambulance response vehicles
• Total first responder agencies
• Total patients transported
• Total patients not transported (e.g., treated and released, total dry runs)
• Total number of LALS/ALS providers authorized by EMS agency
• Total number of transport providers in region
Component 5 -Facilities and Critical Care
Objective -To establish and/or identify appropriate facilities to provide for the standards and care
required by a dynamic EMS patient care delivery system .
Workload Indicators:
• Total patients received
• Total number of hospitals designated by EMS agency (e.g., base, receiving, trauma, STEMI ,
stroke, PCCC, EDAP/(PedRC), and PICU)
Component 6 -Data Collection and System Evaluation
Objective -To provide for appropriate system evaluation through the use of quality data collection and
other methods to improve system performance and evaluation.
Workload Indicators:
• Total patient care reports generated
• Total trauma patients
• Total cardiac patients
• Total medical patients
• Total pediatric patients
• Total number of situational/unusual occurrence reports processed by EMS agency
CCEMSA-2020/21 Regional Fonding Application !'age 7
ATTACHMENT 1
Component 7 -Public Information and Education
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 10 of 15
Objective -To provide programs to establish an awareness of the EMS system , how to access and use
the system, and provide programs to train members of the public in first-aid and CPR.
Workload Indicators:
• Total number of public information and education courses approved by EMS agency
• Total number of public information and education courses conducted by EMS agency
• Total number of public information and education events involving EMS agency
Component 8 -Disaster Medical Response
Objective -To collaborate with the affected county/county's Office of Emergency Services, public health
department(s), and EMS responders in the preparedness and response of the region's EMS system in
the event of a disaster or catastrophic event within the affected operational area , region , or neighboring
jurisdictions.
Workload Indicators:
• Total number of Disaster/Multiple Casualty Incident (MCI) Responses (response with 5 or more
victims)
• Total number of disaster drills involving staff
• Total disaster-related meetings attended by staff
CCEMSA -2020/21 Regional Fonding Application l'Hg1· 8
BUDGET I
ATTACHMENT 1
Budget Categories
Budget Categories State General fund Local Fund Total
Personnel $266 ,055 $922,239 $1,188 ,294
*Frinqe Benefits $98,440 $802,299 $900 ,739
Memberships $4,524.09 $0 $4,524.09
Administrative/Indirect 10% of Total $36,901.91 $36,901.91
Direct Costs
**Unreimbursed Indirect Cost (Local
funding includes $61 ,663 .09 $61 ,663.09 $61,663.09
unreimbursable indirect cost for the $460,624 $460 ,624
portion of 16.71% over the allowable
10% from State General Fund)
TOTALS $405,921 $2 ,246,825 .09 2,652,746.09
• Fringe benefits are reimbursable at maximum of 37% on personnel costs from State, and the exceeded costs are funded by local fund.
·•currently, Indirect cost applied in Fresno County is 26.71%.
Program Funding
Program Funding State General Fund Local Funds Total
State General Fund $405 ,921 $405,920
Kings County $53,874.60 $53,874.60
Madera County $53,874.60 $53,874.60
Tulare County $53,874 .60 $53,874.60
Fresno County $2,085 ,201 .29 $2 ,058,167.20
TOTALS $405,921 $2,246,825 .09 $2,652,746.09
CCEMSA-2020/21 Regional Funding Application l'agr 9
cy
10
15
Budget Detail/Narrative
Personnel:
ATTACHMENT 1
The following positions are funded under this agreement.
Dale Dotson, EMS Coordinator 1.0 FTE
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page12of15
2080 hours (@ $36. 762 $76,465
Responsible for overall supervision of Operations in Fresno, Kings, Madera and Tulare Counties.
Responsibilities include implementation and enforcement of policy and procedures, investigation of
incidents, coordination between agencies and the EMS agency, first responder liaison, hospital and
base hospital coordination, and attendance at EMS related meetings. 100% of his salary is paid for
with State GF.
Brandon Hill, Staff Analvst 0.5 FTE 1040 hours @ $34.1433 $35,509
Responsible for administrative functions, which includes development and processing of reports and
agenda items. This position manages data and uses data to analyze various measurements of the
EMS system. 100% of his salary is paid for with State GF.
John Cardona, EMS Specialist 1.0 FTE 2080 hours@ $33.4481 $69,572
Responsible for Tulare operations and oversight, which includes ambulance inspections, performance
reviews, contract compliance evaluations, performance and appeal investigation, Tulare County
Ambulance Commission preparation, system performance reports, and attendance at EMS related
meetings. 100% of his salary is paid for with State GF.
Monica Bautista , Office Assistant Ill 1.0 FTE 2080 hours@ $17.6221 $36,654
Responsible for clerical support for the operations division, which includes miscellaneous
administrative support, meeting minutes, purchasing and inventory, requisition management, and
correspondence materials. 100% of his salary is paid for with State GF .
Curtis Jack, EMS Coordinator . 62584 1301.75 hours@36.762 $47,855 FTE
Responsible for Disaster Medical Services for the EMS region, which includes coordination with
ambulance providers, hospitals and allied agencies in disaster response and preparedness.
Note: Personnel listed above are funded through the funds listed in Program Funding
CCEl\1SA -2020/21 Regional Funding Application Page I 0
Personnel Classification
Ml I I'..., 11•1L-1'II I
Staff State General Fund Local Funds
Personnel Person % of Pay % of
Time Rate* Time Pay Rate*
Manager Lynch 100% $54.1399
Senior Specialist Vacant 100% $36.7620
Senior Specialist Dotson 100% $36.7620
Senior Specialist Myers 100% $36.7620
Senior Specialist Parker 100% $36.762
Senior Specialist Jack 62.584% $36.7620 37.416% $36.7620
Systems Program Analyst Deaver 100% $38.7375
IT Analyst Vacant/Part-100% $20.9827 Time
EMS Specialist Barrera 100% $33.4481
EMS Specialist Cardona 100% $33.4481
EMS Specialist Vacant 100% $28.8409
EMS Specialist Rodriguez 100% $33.4481
EMS Specialist Buehler 100% $29.4529
EMS Specialist Lakela 100% $30.0615
EMS Specialist Part-time 74.33% $23.3095
Staff Analyst Hill 100% $34.1433
Secretary IV Brooks 78.44% $24.8647
Office Assistant Ill Alonso 50% $15.7865
Office Assistant Ill Bautista 100% $17.6221
Stand-by Pay Duty 13312 hrs $2.50 I hr Officers
*Salaries are based upon 2080 hours per year. Hourly rates are also rounded to the nearest cents.
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 13 of 15
Total% of State Local Time General Funds Local/State Fund
100% 0 $112,611
100% 0 $76,465
100% $76,465 0
100% 0 $76,465
100% 0 $76,465
100% $47,855 $28,610
100% 0 $80,574
100% 0 $21,822
100% 0 $69,572
100% $69,572 0
100% 0 $59,989
100% 0 $69,572
100% 0 $61,262
100% 0 $62,528
74.33% 0 $36,038
50% $35,509 0
78.44% 0 $40,568
50% 0 $16,418
100% $36,654 0
100% 0 $33,280
Total $266,055 $922,239
CCE:\ISA-2020/21 Regional Funding \pplirntion Page 11
ATTACHMENT 1
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-01 O
Page 14 of 15
F" rmge B f ene its:
Benefit Amount I Percent
Unemployment Insurance $424 0.17655%
Retirement $149,320 I 64.8%
OASDI contribution $18,336 7.650
Health Insurance $38,545 Flat Rate*
Benefits Administration $413 Flat Rate **
Life Insurance $72 Flat Rate ***
Total ****$207, 110 77.84%
• Health Insurance Is estimated at a flat rate of $8,643 per FTE. Employees with dependent coverage vanes between ($11,510 and
$11,641) is based on annual open enrollment information.
**Benefit administration is $109 per FTE.
••• Life insurance is $143.29 per FTE
****The Actual cost of fringe benefits is $207,110. The State Agreement limits fringe benefit costs to 37% of total personnel costs. The
remaining difference will be covered by local funds.
Budget Detail
Administrative/Indirect Cost:
Fresno County has chosen to claim the 10% overhead/indirect cost allowed by the State. The 25.42% of indirect
cost rates are currently applied in Fresno County, and the cost includes administrative support, departmental
support and county overhead. Fresno County will assume the responsibilities of the unreimburseable 15.42%
indirect costs.
CCEl\tSA-2020/21 Regional Funding Application l',1 g r 12
County of Fresno . acting as the Central California EMS Agency
Agreement Number: C20-010
Page 15 of 15
Central Caliifornia EMS Agency
A Di\ision of the Ffe"!i!b~"Depa.<tment of Public Health
B-IS IV[edical Director
ID-I A~"DREWS , ~1..D _
As ~t. E.:.\.!S Medical Directer
CQI
GEOFF STROH, r-.tD .
Staff Analyst
BRA.i',"DOX HILL
EMS Director
DANIEL LYNCH
Administrati\'e .-\33istant
RONE.LE BROOKS
Communicatioiu Coordinat or
Mi\TT :MYERS
Operations Coordinator
DALE DOTSON
DllMter Ser,ices Coordinator
CURTIS JACK
Education Coordinator
~l .\TO-KUWAPI PARKER
EMS COM?.IUNICATIONS
CENTER
E..\iS Spe.:ialin
\·Ac..\NT
Sy~tem! Procedure
-~-n
JEFF DEA \'ER
REGIOK
OPERATIONS
El\lSSpKialin
JOID1 C..\F.DONA
CERmICATIOX
EMS Speciali!~
SAL RODFlGUEZ
r EMS AG EN CY
Sl,-PP ORT STAFF
Office A.s~istan: Office .-'-smtallt
MOJ,,1CA OL1.lffiA GDlA ALONSO
DISASTER
EMS S;:ecillis~
LUIS BARRERA
PARA.ME.DIC
TRAINING
COUR.SE
TRAD.T.\G
PROGRAMS
E?>.15 Speci.ali!>t
illCK L.u:El.A
•E..\!S Speci.alilt
Om .-Wlellrellr,u
•E~lS SpecWist
Alex Dia
•E:.\1S Speciali~t
Sheila Hugh-es
•EMS SpecWin
Kun Kindig
E:.\iS Sped alist
JESSICA BUEHLER.
•E:.\lS Specialist
Kui.n l\kCWn
•EMS Specialist
Jea:mette Puddy
•El\!S Speci.llin
Rick Puddy
Specialty Ser-Y ices Coordinator
VACA .. "'IT
SPECIALTY
CARE
PROGRAMS
CO;\TIX l,"OUS
QuALITY
IMPR.O VEJ.tENT
Tnum ll Centers
C;u dillc ,•STE!\fl Cfflt@n
Sttob Cmter~
EMS fix Children (EMS -C)
CCEMSA-2020/21 Regional Funding Application Page 13
GTC 610
EXHIBIT C
GENERAL TERMS AND CONDITIONS
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 unlawfully discriminate, harass, or allow harassment against any
employee or applicant for employment because of sex, race, color, ancestry, religious creed,
national origin, physical disability (including HIV and AIDS), mental disability, medical
condition (e.g., cancer), age (over 40), marital status, and denial of family care leave. Contractor
and subcontractors shall insure that the evaluation and treatment of their employees and
applicants for employment are free from such discrimination and harassment. Contractor and
subcontractors shall comply with the provisions of the Fair Employment and Housing Act (Gov.
Code §12990 (a-f) et seq.) and the applicable regulations promulgated thereunder (California
Code of Regulations, Title 2, Section 7285 et seq.). The applicable regulations of the Fair
Employment and Housing Commission implementing Government Code Section 12990 (a-f), set
forth in Chapter 5 of Division 4 of Title 2 of the California Code of Regulations, are incorporated
into this Agreement by reference and made a part hereof as if set forth in full. 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.
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 307 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).)
S:\ADMIN \HOMEPAGE\GTC-610.doc
1. Settlement of Disputes
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 1 of 4
EXHIBIT D
Special Terms and Conditions
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.
8. 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 .
County of Fresno , acting as the Central California EMS Agency
Agreement Number: C20-010
Page 2 of 4
EXHIBIT D
Special Terms and Conditions
5. Assumption of Risk and Indemnifications Regarding Exposure to Environmental
Health Haza rds
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 prov ide proof of compliance , i.e . organic waste recycl ing 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.
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
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.
8. 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 .
County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
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 prohibit ions.
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County of Fresno, acting as the Central California EMS Agency
Agreement Number: C20-010
Page 1 of 1
EXHIBIT E
Sample Invoice
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Agreement between the County of Fresno, Acting as the Central California
Agency, and the California Emergency Medical Services Authority
Name/No.: Central California EMS Agency Grant (State Agreement No. C20-010)
Fund/Subclass: 0001/10000
Organization #: 56201692
Revenue Account #: 3503