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Home My WebLink AboutIL007 Interlocal Agreement MEMORANDUM OF UNDERSTANDING This Memorandum of Understanding (MOU) is between Skagit Emergency Medical Services (EMS) Council, Mount Vernon, Skagit County, Washington, 98273, hereinafter referred to as Council and City of Anacortes (Anacortes Fire Department), Anacortes, Skagit County, Washington, 98221 hereinafter referred to as City or ALS provider agency. Preamble: The Council is a non-profit corporation in the State of Washington that contracts with Skagit County to administer the Countywide Emergency Medical Services excess tax levy. Latest passage of the EMS Levy was November 2000 for the years January 2001 through December 2006. Skagit County hereinafter is referred to as: County. The Council is charged with the responsibility of EMS systems coordination and planning for the County. This includes insuring that 24 hour, seven days per week Advanced Life Support (ALS) response services are available throughout the County. Advanced Life Support services are provided through various service contracts with ALS agencies in the County. The Council, in its six year planning,beginning in 2001, embarked upon a Council Ambulance Replacement Schedule purchase program to enhance and insure that newer and reliable ambulances will be available for pre-hospital ALS response through out the County. It is the initial phase of improving the pre-hospital ALS and pre-hospital Basic Life Support response and transport capability in the County. The Council and City agree that it is beneficial for the citizens of the County and the EMS system for the Council to purchase pre-hospital Advanced Life Support capable ambulances on a predetermined ambulance replacement schedule. A Council purchased predetermined ambulance replacement schedule has been approved by the Council. The Council Ambulance Replacement Schedule is subject to review and revision depending on the immediate ambulance needs within the County EMS system. Revisions to the schedule will be addressed with the input and concurrence of the Council and ALS provider agencies. ITEMS OF UNDERSTANDING: It is understood by the parties to this Memorandum of Understanding that: 1. For purposes of this MOU: Advanced Life Support ambulance is defined as a pre-hospital ALS ambulance that is primarily used for pre-hospital EMS response and routinely responds to pre-hospital EMS assistance requests in the County. The ALS ambulance is staffed with EMS qualified personnel of the provider agency through a service contract between the Council and the ALS provider agency. ALS ambulance routinely used for inter-facility or intra-facility patient transfers and not routinely responding to EMS dispatches will not be eligible for Council reimbursement nor included in this Memorandum of Understanding. AMBMOUAF 2001.doc 3/15/01 Page 2: MOU, EMS Council and City of Anacortes (Anacortes Fire Dept),March, 2001 2. Council will plan and budget for Advanced Life Support ambulances as set forth in an approved Council Ambulance Replacement Schedule for years 2001 through 2006. Council will coordinate with all County ALS provider agencies prior to revising the ambulance replacement schedule. 3. Council will reimburse the contracted pre-hospital ALS provider agency for ALS ambulance and related equipment. Related equipment is defined as essential communications equipment such as radio's and cellular telephone, emergency vehicle equipment, and pre-hospital medical equipment essential to providing pre-hospital Advanced Life Support services for the County EMS system. 4. Council will reimburse the ALS provider agency up to the maximum amount allowed as set forth in the Council Ambulance Replacement Schedule. (See attached Ambulance Replacement Schedule.) 5. ALS provider agency agrees to provide the following for Council funded ambulances: a. Submit ALS ambulance specifications and associated equipment information to Council not less than 30 days prior to submission to vendors. Council will consider the different circumstances, needs and geographic locations of ALS provider agencies when reviewing ambulance specifications. b. Submit solicitation for bids to vendors. c. Keep Council apprised of ALS ambulance delivery time frame. d. Take delivery of ALS ambulance including the installation and readiness of related equipment. e. Submit invoices for ALS ambulance and related equipment to the Council for reimbursement. (Note: the following items are not eligible for reimbursement from the Council. Cost of Items "f' through "i" will be the sole responsibility of ALS provider agency.) f. Vehicle title, registration and license in the State of Washington. g. Vehicle liability and collision insurance sufficient for replacement of like vehicle and equipment. h. Scheduled vehicle maintenance in accordance with vehicle manufacturers recommended scheduled maintenance. i. Cost of scheduled and non-scheduled maintenance and/or repairs necessary for continued use as an ALS ambulance. AMBMOUAF 2001.doc 3/15/01 Page 3: MOU, EMS Council and City of Anacortes (Anacortes Fire Dept), March, 2001 6. Pre-hospital ALS ambulance and related equipment cycle will be: (AHS: 4-year cycle; AFD (#13): 5-year cycle; AFD (#14) 6-year cycle; Aero Skagit Emergency Services: 4-year cycle) a. New (year#1) and year#2= 1st Line (Primary response ALS ambulance) b. Year#3 and year#4= 2nd Line (Backup response ALS ambulance) c. Year#5= 3rd Line or Transfer to Council designated agency 7. ALS provider agency agrees to release and transfer interest and custody of Council funded ambulance when a new replacement ambulance is placed into service as set forth in Council Ambulance Replacement Schedule. 8. Transferred ALS ambulances (ALS ambulance replaced by new ALS ambulance) will be transferred to selected emergency services response County agencies that participate in County EMS system. 9. Transferred ALS ambulances will be donated to an EMS response agency designated by the Council. Title and registration will be effected from ALS provider agency directly to EMS response agency receiving the transferred ambulance. 10. Council will not be responsible or participate in the cost for matters stipulated in paragraph 5 "f' through "i" above. These matters are the sole responsibility of the ALS provider agency. 11. Amendments to this MOU will be submitted to the parties affected in writing. Proposed and approved amendments will be documented in writing. 12. Infractions of this MOU will be resolved between the parties to this MOU. 13. This MOU will continue until terminated by both parties in writing. 14. There are no other parties to this Memorandum of Understanding. The undersigned persons are authorized to enter into this Memorandum of Understanding on this day of , 2001: Dean Maxwell John A. Pauls Mayor President City of Anacortes Skagit EMS Council AMBMOUAF 2001.doc 3/15/01 Year 2001 thru 2006 —Ambulance Replace Schedule Approved by GC:8/10/00 A B C j D E F f G H 1 I _ J K 1 L M [ N 0 P 1 1 amb95-10 Est Pop: 93,101 103,478 114,635 2 11-Jul-00 6%increase yearly _ Newest 2.5%increase yearly 3 Begin $95,000 $100,700 $106,742 $113,147 $119,935 $127,131 as of $130,310 $133,567 $136,907 $140,329 $143,838 $147,433 4 Agency/ �1-Jan-95 1995 1996(1) 1997 1998(2) 1999 2000 , 12/31/2000 2001 1 2002 2003 2004 [ 2005 2006 -5 cycle Yr Amb 6 SVH *Med 2 1992 x x x 2000 M2 7 (2yr) 1995 _ 8 1*Med 4 1986 x x x 2000 M4 M4 9 10 Med 6A 1988 1997 I 11 _ 12 A UGH *Med 1 1992 x x x x 2000 M1 M1 I 13 (2yr) 14 Med 68 1979 1995 15 x � tt`' '. �.. „ .�:=za- - •�. y - �t` � � ��_ �a P.Ax �a,..i�-air grw` c rx ..� , ?8K wL:i ':� $ ,.,. 1.' ro� �� -�'�3�bt� �'��°g,pUz�ie d;� .. � .� .- � .....� ;a � �l7"�...", a - - rs - 'i� : "?. _`�'�' t: . 16 AFD *Med/3 1992 x 1997 M13 M13 17 (3yr) M14 18 Med 14 1984 x 1995 19_ 20 Med 15 1984 1992 '� �tt� ,...4 -4- vtif tstxu��' �`AS 9f��`}ram ..._,.,.. ,. 22 AeroSka *Med 7 1991 x x 2000 M7 23 (4 yr) Med 10 1991 24 (3 yr-2001 Med 3 1976 984 25 yr ni ' 'Y§ art$°Y'ks 4 "'r 26 Total:t 4 2 2 2 1 3r 1 2 1 2 1 I 2 27 _ 28 TOTAL COST: $380,000 $201,400 $213,484 $226,293 $119,935 $381,394 $130,310 $267,135 $136,907 $280,659 $143,838 $294,867_, 29 - r, 6 yr Total: $1,522,507 _ 6 yr Total: $1,253,714 30 Notes: * =Primary ALS response ambulance 14 amb #Amb= 9 31 (yr01-06) 32 _ 33 Assumptions: Council reimburses ALS agencies for primary response ALS ambulance up to$95,000 beginning 1995, 6%increase allowed each year thereafter. 34 )ALS agency and Council contractual agreement;ambulances revert to Council if ALS agency no longer provides ALS services under contract. Agency licenses, insures and rr 35 Sample Sequence: Year#1 &#2: 1st Line(Primary response) L. J _ 36 J Year#3&#4: 2nd Line(Backup) _ J 37 Year#5: 3rd Line(Backup)or donate to fire departments/districts 38 39 NOTE: As of Yr 2001: AHS 2 to 4 yrs. _ 40 AFD#13=5 yr, #14=6 yr 41 Aero Skagit remains @ 4 yrs. 42 1 ] I 43 Rational: Dedicated 911 use and Criteria Based Dispatch will reduce#of calls for ambulance use. 44 -AFD historically has low annual mileage. ` I, ` , 45 - AeroSkagit transports all patients as of Jan II, , 1999 with 24hr Paramedic capability, in lieu of hand-off to Med#1. 46 J _47 - J j _ _ : Amb95-10.xls Briefcase/shared 7121/00 Recommended by Finance Cmte;7/26/00,by Ex Bd:7/27/00,GC 8f10/00 Sheet3