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SECTION ONE <br /> ADVANCED LIFE SUPPORT (ALS) AMBULANCE SERVICES <br /> 1.1 City Services:City shall provide Advanced Life Support (ALS)Ambulance <br /> Services on the following terms and conditions: <br /> 1.1.1 City shall provide Advanced Life Support (ALS) Ambulance Services within <br /> Skagit County as determined by the Council and agreed upon by City. The City shall respond to <br /> emergent care responses within Hospital Service District#2. (Fidalgo and Guemes Islands) <br /> 1.1.2 Number of Ambulance Units. City shall provide two (2) Advanced Life <br /> Support (ALS) capable pre-Hospital Emergency Medical Services Response Teams on a 24- <br /> hours per day, 7-days per week basis with appropriate ALS vehicle and equipment (Med 13 and <br /> Med 14). <br /> One(1) ALS Response Team shall be available to respond primarily to East <br /> Fidalgo Island and Guemes Island. (aka Med 13) <br /> One (1) ALS Response Team shall be available to respond primarily to West <br /> Fidalgo Island. (aka Med 14) <br /> 1.1.3 Ambulance Use Restrictions: The City will reserve Med 13 and Med <br /> 14 exclusively for 9-1-1 emergency responses only, except for the purposes of providing Critical <br /> Inter-facility Transfers from Island Hospital, within the service areas specified in paragraph 1.1.1 <br /> above . All ambulances supplied for use pursuant to the terms of this agreement shall comply <br /> with applicable State rules and regulations, and be licensed by the Department of Health of the <br /> State of Washington. <br /> Both parties agree that the primary purpose of the Paramedic Ambulance services <br /> and EMS Levy funded ambulances are for the sole purpose of responding to emergency medical <br /> services 9-1-1 situations within Skagit County. However, nothing herein shall prohibit the City <br /> from providing inter-facility transports to its patients where medically indicated when minimum <br /> 9-1-1 responders are reserved as set forth in Section 1.1.3 and staffing is consistent with Section <br /> 1.1.7. <br /> 1.1.5 Ambulance Response Times. Ambulances shall have a response time of 15 <br /> minutes or less, averaged annually, from the receipt of the call at the dispatch center to arrival at <br /> location, and no greater than an 8 minute fractal response time 80 percent of the time within a 5 <br /> mile radius of the ambulance base stations. <br /> Ambulance base stations shall be located in order to maximize coverage of the population within <br /> the service area. Compliance with this requirement shall be monitored by the Council and may <br /> be waived in the event of a natural disaster or other catastrophe which renders perfoiniance of <br /> this paragraph substantially impossible. <br /> 2 <br />