CCR2008203-Rescue-agrmt
AGREEMENT FOR AMBULANCE SERVICES
FOR 2009
1. Tess Corners Volunteer Fire Department, hereinafter referred to as TC Rescue, hereby
agrees to provide ambulance rescue services, in the common meaning of those words, to
the entire City of Muskego, hereinafter referred to as the City, whenever called upon to do
so for the duration of this agreement.
a. TC Rescue shall supply ambulance vehicles, together with the necessary manpower to
utilize said equipment and agrees to maintain 3 locations within the City to house-said
vehicles and other necessary rescue apparatus.
b. TC Rescue shall promptly respond, upon being notified by the City’s designated
Dispatcher, to any location within the City’s corporate limits, with the necessary
ambulance apparatus as well as sufficient manpower to operate said apparatus, to
render emergency medical services at the scene of such emergency. Said service shall
be provided as equally as possible throughout the City’s corporate limits as it relates to
both first responder and ambulance arrival times.
c. Rescue services shall include both emergency medical care on the scene of an
emergency, rendered by two (2) State certified emergency medical technicians as well
as transportation by ambulance to a medical facility by two (2) EMT’s or other qualified
state licensed parties. Rescue services shall be provided but are not limited to instances
involving trauma, medical emergencies, automobile accidents and water and ice rescue
operations. Rescue services shall not include emergency response to incidents
involving known “hazardous materials” as that term is commonly used in the fire service
unless such personnel are qualified.
d. Services shall also include mutual aid response by fire departments or ambulance
services from surrounding communities to assist TC Rescue should TC rescue request
aid from such departments. The need for such response shall be in the sole discretion
of the TC Rescue official in charge at the time of call. There shall be no additional
charge to the City for mutual aid response.
2. TC Rescue agrees to provide State certified Basic level EMT’s on each of its ambulance
calls and further agrees to provide at least one State certified advanced Level basic EMT.
TC Rescue agrees to educate and finance the education of all its EMT’s and to also finance
their continuing education to ensure that they maintain their respective State certifications.
3. TC Rescue shall obtain and maintain in full force and effect during the term of this contract
and pay the premium thereon for the following policies of insurance. TC Rescue further
agrees to secure vehicle, liability, property damage, and errors and omissions insurance for
any and all actions of the said EMT’s, officers, and department as a whole.
a. Workers Compensation policy.
b. Commercial General Liability policy with a combined single limit of not less than
$2,000,000 per occurrence for bodily injury, personal injury and property damage.
c. Automobile Liability policy for all vehicles with a combined single limit of not less than
$2,000,000 per occurrence for bodily injury and property damage.
d. Medical Malpractice policy for the rescue and ambulance services provided for in this
agreement with a limit of not less than $2,000,000 per occurrence.
Agreement for Ambulance Services – Page 2
e. A certificate of insurance naming the City as an additional insured shall be sent to the
City showing the above requirements have been complied with, providing for written
notice to the City 30 days in advance of full or partial cancellation on the City’s approved
form.
f. Memorandum copies of the insurance policies shall be provided to the City upon
request. No payment shall be made to this Fire Department under this contract until the
appropriate insurance certificate satisfactory to the City shall be provided to the City
Clerk’s office.
4. TC Rescue shall charge a fee to the City of $382.80 for each patient transported by TC
Rescue to a medical facility. TC Rescue shall charge the City a half fee of $191.40 for each
such patient that refuses transport to a medical facility. The City shall have the right to
recoup said monies paid to TC Rescue on behalf of the patient.
5. This contract shall be in full force and effect starting on January 1, 2009 and ending on
December 31, 2009.
6. It is distinctly understood by all parties that the service contracted for in this agreement is for
emergency purposes only and that TC Rescue will not transport patients to hospitals unless
there is a true emergency as determined by the TC Rescue official in charge at the time of
the call.
7. TC Rescue shall keep an accurate and full report on all rescue calls made, with response
times and square mile destinations and shall submit such report with monthly billing to the
City Clerk/ Treasurer.
8. In consideration for the above services, the City agrees as follows:
a. The City shall agree to pay monthly in full for patient transports. Any monies allotted to
the City by Federal or State programs which are specifically designated for use by
ambulance providers shall not be included in said service fee nor shall they serve to
reduce said service fee provided hereunder.
Dated in ______________, _______________ this_____ day of _____________, 2008.
By THE CITY OF MUSKEGO: By TESS CORNERS VOLUNTEER
FIRE DEPARTMENT:
________________________________ ___________________________________
Title: Mayor John R. Johnson Title: ______________________________
________________________________ ___________________________________
Title: Clerk-Treasurer Janice Moyer Title: ______________________________
CITYHALL/COMMON COUNCIL:CCR2008203-rescue-agrmt.doc