CCR2015092-Attachment
AGREEMENT FOR AMBULANCE SERVICES
FOR JANUARY 1, 2016 TO DECEMBER 31, 2017
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 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.
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 (1) State certified EMT
Intermediate or higher on every first call.
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.
Agreement for Ambulance Services – Page 2
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.
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.
4. TC Rescue will be responsible for any and all billings in regards to patient transports.
5. This contract shall be in full force and effect starting on January 1, 2016 and ending
on December 31, 2017.
6. TC Rescue shall keep an accurate and full report on all rescue calls made, and
submit the report quarterly.
a. This report shall list all individual calls for service. This report shall include
response zone and overall response time calculated from time of page for rescue
response to first responder and ambulance arrival. The times listed shall be in
detail to the minute.
7. Each party agrees to provide notice to the other party at least (60) days prior to the
expiration of this agreement if any contract terms are to be different as described
herein for any subsequent contract term.
Dated _________________________, 2015.
By THE CITY OF MUSKEGO: By TESS CORNERS VOLUNTEER
FIRE DEPARTMENT:
__________________________ ____________________________
Title: Mayor Kathy Chiaverotti Title:
__________________________ ____________________________
Title: Clerk-Treasurer Title: