HomeMy WebLinkAbout2009 CON SD County, Health & Human Services, Public Health Services, Emergency Medical Services (EMS) - ALS First Responder - 1.44
COUNTY OF SAN DIEGO, HHSA, PUBLIC HEALTII SERVICES,
EMERGENCY MEDICAL SERVICES BRANCII
MEMORANDIJM OF AGREEMENT FOR
ADVANCED LIFE SIJPPOR'I' FIRST RESPONDER SERVICES
THIS MEMORANDUM OF AGREEMENT is made between thcCOUNTY OF SAN DIF.GO, hereinafter
referred to as COUNTY, and CITY OF NATIONAL CITY, hereinafter referred to as CITY, to provide
Advanced Life Support (ALS)First Responder Services.
WITNESSETH
WHEREAS CITY possesses certain skills, experience, education and competency to perform certain
specialized services regarding the provision and management of advanced life support: and
WHEREAS, pursuant to the provisions of Division 2.5, Chapter4, Section 1797.201 of the California l lealth
and Sakty Code, the County of San Diego is required to enter into a contract which authorizes and
standardizes the provision of such services withim given region.
NOW, THEREFORE, the parties hereto do mutually agree to the terms and conditions as attached and set
forth in this document.
By:
City of National City Courfy of San Diego
Ry:
in Morrison. Mayor Nick Mdcchione, MS, MPII, FACILE
City of National City
Dated: July 7, 2009
APPROVED AS TO FORM:
George H. tser, III lir
City Attorney
Dated:
Director, I lealth & I Iuman Services Agency
APPROVED AS TO FORM AND LEGALITY
COUNTY COUNSEL
BY
NI DfI�U 1r'—
City of Nutiond City
Advanced Lite Support first Respondct crvices MOA
Paget of S
April 2009
COUNTY OF SAN DIEGO, HHSA, PUBLIC HEALTH SERVICES,
EMERGENCY MEDICAL, SERVICES BRANCII
MEMORANDUM OF AGREEMENT FOR
ADVANCED LIFE SUPPORT FIRST RESPONDER SERVICES
1. Administration of Agreement
COUNTY's, Emergency Medical Services (EMS) Chief, hereinafter called County's Administrator, shall
represent COUNTY in all matters pertaining to the performance under this Agreement and shall
administer this Agreement on behalf of COUNTY. Fire Chief of the City of National Citv Fire
Department shall represent the Cli'Y and shall administerthis Agreement in accordance with its terms
and conditions on behalf of C I"I'Y. All reports, letters, notices and/or other correspondence shall be sent
to the attention of the designated representativestt their respective addresses as follows
Citv of National City
Walter Amedee, Management Analyst I11
National City Fire Department
I200 National City Blvd.
National City. CA 91950
Phone: (619) 336-4556
Email: wamedee(iitnationalcityca.gov
2. Term of Agreement
County of San Diego
Rebecca Pate, EMS Coordinator
Emergency Medical Services
6255 Mission (forge Road
San Diego, Ca 92120
Phone: (619) 285-6416
Fax: (619) 285-6531
Email: Rehecca.Pate'Tisdcounty.ca.gov
This Memorandum of Agreement shall he effective upon signature and will remain in effect until
terminated by either party.
3. Responsibilities of Contracting Parties
3.1
Responsibilities ofCOUNTY:
3.1.1 To provide, under the authority of Section 1797 et seq. of the Health and Safety Code, the
I flowing services:
3.1. I . I Approval of the AI.S training program(s) in the County of San Diego pursuant to the
California Code of Regulations, Title 22, Division 9, Chapter 4.
3.1.1.2 Standards for certification%accreditation/authorizationof paramedics, and Mobile
Intensive Care Nurses (M ICNs) pursuant to California Code of Regulations, Title 22,
Division 9.
3.1.1.3 Contracts with designated base hospitals to provide immediate medical direction and
supervision of the ALS system for the area defined by the local EMS agency. For the
purpose of this Agreement, the area is defined as the geographic area within the City
of National City as well as any other geographic area(s) designated by mutual
agreement between CITY and COUNTY.
3.1.2 To provide prehospital report forms or the framework for an electronic data collection
system in accordance with California Code of Regulations, Title 22, Division 9, Chapter 4.
City of atioral City
Advanced Lite Support First Responde6ervices \t()A
Page 2 oft April 2009
COUNTY OF SAN DIEGO, IIIISA, PUBLIC HEALTH SERVICES,
EMERGENCY MEDIC.AI. SERVICES BRANCI I
MEMORANDUM OF AGREEMENT FOR
ADVANCED LIFE SUPPORT FIRST RESPONDER SERVICES
3.1.3 To review this Agreement every two years to ensure compliance with applicable standards,
regulations, policies, procedures and protocols.
3.1.4 To take immediate corrective action where there is a failure to meet "Responsibilityofthe
COUNTY„
3.2 Responsibilities ofCITY:
3.2.1 To provide ALS First Responder (non -transporting) services within the boundaries of its
local jurisdiction, and within adjoining areas as specified by Agreements with adjoining
ALS service providers. This agreement does not authorize the implementation of an ALS
transport service.
3.2.2 To participate in the ALS program consistent with the applicable provisions of Title 22 of
the California Code of Regulations, Division 9, Chapters 2 and 4 within the limitations of
the ALS Firs! Responder role.
3.2.3 To develop and operate Ai,S First Responder services consistent with the California Health
and Safety Code and the California Code of Regulations, Title 22, Division 9, Chapters 2
and 4. The CITY may subcontract all or a portion of these services. However, the CITY is
responsible for insuring that any and all subcontractorsprovide services consistent with the
Health & Safety Code, the California Code ofRegulations,Title 22, Division 9, Chapter 4's
applicable provisions, and all San Diego County EMS policies, protocols and procedures.
3.2.4 To implement an ALS First Responder deployment plan that includes at least one fully
equipped, supplied and staffed ALS First Responder unitscven days a week, twenty four
hours a day, in accordance with the policies, procedures and protocols established by
County. it is recognized that special circumstances or emergencies may necessitate a
temporary interruption in the seven day / 24 hour plan.
3.2.5 To staffeach ALS first responding unit with at least one (1) Paramedic and one (1) EMT-1
at all times, or with an alternate staffing configuration agreed upon between CITY and
COUNTY. For the purpose of this Agreement, Paramedics are individuals licensed in the
State of California as an ALS Paramedic, and accredited by the County EMS Director to
operate as an ALS Paramedic in County. pursuant to Section 1797 et seq. of the Health and
Safety Code. EMT-1's are those individuals certified within the State of California to
operate as an F.M 1=B pursuant to Section 1797 et seq. of the Health and Safety Code.
3.2.6 To provide the citizens of the local jurisdiction with infi rmation on 9-1-1 system and where
and how to obtain cardiopulmonary resuscitation (CPR) training.
3.2.7 To provide suitable facilities for housing the ALS First Responder units.
3.2.8 To cooperate with the approved ALS training programs in providing field internship
locations for ALS interns.
City of Natioral City
Adyaneed Life Support First RespondctServices MOA
Page 3 of 8 April 2009
COUNTY OF SAN I)IEGO, HHSA, PUBLIC HEALTH SERVICES,
EMERGENCY MEDICAL SERVICES BRANCI-I
MEMORANDUM OF AGREEMENT FOR
ADVANCED LIFE SUPPORT FIRST RESPONDER SERVICES
3.2.9 To immediately notify the County's Administrator, or designee, whenever any condition
exists which adversely affects the local jurisdiction's ability tmrteet the conditions of this
Agreement.
3.2.10 To appoint an Agency ALS Coordinator, to serve as liaison between the Agency, the
associated AI _S transporting agency, the County, base hospitals, receiving hospitals, BLS
provider agencies and public safety agencies operating within the service area.
3.2.11 To participate and collaborate in the development of continuing education activities
designed to integrate the care delivered between ALS First Responders and transporting
agencies.
3.2.12 To provide for a planned maximum ALS First Responder response time of 8 minutes zero
seconds, 90% of the time.
3.2.13 To implement staffing patterns for Paramedics that does not routinely require them to work
scheduled shifts for greater than 48 hours within a 60 hour period.
3.2.14 To participate in local emergency medical services planning activities, including disaster
management.
3.2.15 To implement and maintain a continuous quality improvement (CQi) program that
interfaces with the local EMS agency's system -wide CQI program, which includes
cooperation with the base hospitals'CQl process, the associated ALS transporting agency's
CQI process, and is approved by the local EMS agency. This program will focus on, among
other things, integration of care between various phases of prehospital care and skills
retention issues for ALS First Responders.
3.2.16 To fully participate in the COUNTY's electronic patient data collection system (the Quality
Assurance Network Collection System- QCS.
3.2.17 To advise the County's Administrator in writing of plannedninor changes in the CITY's
status plan at least thirty (30) days in advance of the implementation of those changes.
CiTY shall convey to the COUNTY any proposed major changes, in writing, at least ninety
(90) days in advance of the proposed implementation to allow for County review. CiTY
shall secure County approval of any major system status plan changes prior to
implementation.
3.2.18 To provide quarterly a response time compliance report summary. This report shall include,
at a minimum, a summary of total calls dispatchedtotal number of completed responses,
total transports, and a breakdown of responses by response time demonstrating compliance
with section 32.13 of this document.
3.2.19 To take immediatecorrectiveaction where there is a failure to meet "Responsibilities of the
CITY."
3.2.20 CITY shall adopt CiTY's own standards for the purposes of paragraph 3.2 and shall
monitor its ALS Service Provider'scompliance with them.
City of NallondI Cih
Advanced Life Support First Kesponde& &vices \10A
Page 4 of 8 April 2009
COUNTY OF SAN DIEGO, HHSA, PUBLIC I IEALTH SERVICES,
EMERGENCY MEDICAL. SERVICES BRANCH
MEMORANDUM OF AGREEMENT FOR
ADVANCED LIFE SUPPORT FIRST RESPONDER SERVICES
4. Notice
4.1. Notice Pursuant To This Agreement: Any notice or notices required or permitted to he given pursuant
to this Agreement may be personally served on the other party by the pally giving such notice, or may
he served by certified mat or registered mail, to the officials cited in paragraph one.
4.2. Notice of Dclav: CITY shall, within five days of the beginning of any delay irthe pertirmance of
this Agreement, notify the County's Administrator, in writing, of the said delay, causes and remedial
action to he taken by CITY.
5. Amendments, Operating Memoranda, and Termination
5.1. Amendments: COUNTY or CITY may request written amendment to this Agreement. Such
amendments, as agreed upon in writing, by and between COI IN I'Y's Director. I lealth & Human
Services Agency and CITY are not in force until approved by the Director, County Health and
I luman Services Agency and the CITY.
5.2. Termination of Agreement for Cause: tipon breach of this Agreement. COUNTY shall have the right
to terminate this Agrcernent by giving written notice to CITY of such termination and the reasons and
specifying the effective date of such termination, and specifying the effective date of such
termination.
5.3 Termination of Agreement for Convenience: Either party may terminate this Agreement upon 45 days
written notice to the other party.
5.4. Operating Memoranda It is recognized by the parties herein that a close degree of cooperation will be
required so that rnanagement and operation of this service can be conducted in the best interests of the
citizens of CITY, and the parties contracting hereto. It is further realized that experience will indicate
and demonstrate certain changes that will be required in the methods of management and operation
and that a certain degree of flexibility may be required. To preserve such flexibility. certain items
have been covered in this Agreement in general terms only with the understanding that the details
shall be set forth in "Operating Memoranda" or may be referred to in this Agreement as being
subsequently set forth in "Operating Memoranda." Each and every "Operating Memorandum" shall
be attached hereto as an addendum and become a part of this Agreement and may be changed or
amended from time to time as necessary subject to the approval of the Director, County Health and
Human Services Agency and CITY.
6. independent Contractor
It is agreed that CITY shall perform as an independent contractor under this Agreement. CITY is for all
purposes arising out of this Agreement, an independent contractor, and shall not be deemed an employee
officer, or agent of COI NTY. It is expressly understood and agreed that CITY shall in no event he entitled
to any benefits to which County employees are entitled, including, but not limited to, overtime, any
retirement benefit, worker compensation benefits, and leave benefits
City of Nation' City
.Advanced Life Support First Respondetiemees MOA
l'age 5 of 8 April 2009
COUNTY OF SAN DIEGO, HHSA, PUBLIC HEALTH SERVICES,
EMERGENCY MFDICAI, SERVICES BRANCH
MEMORANDUM OF AGREEMENT FOR
ADVANCED LIFE SUPPORT FIRST RESPONDER SERVICES
7. Subcontracts of CITY
7.1. In the event that the CI -IN chooses to subcontracts all or a part of Paramedic services the CITY shall
ensure such sery ices are consistent with I lealth and Safety Codes and Emergency Medical Service
policy and procedures.
7.2. Any subcontracts for Paramedic services entered into by CITY shall be in writing and the
subcontractor shall deliver such services consistent with Title 22 of the California Code of
Regulations, Division 9, Chapter 4. A copy of any such subcontract shall be provided to COUNTY.
7.3. No such subcontract shall act to terminate any legal responsibility of CITY to COUNTY to assure
complete performance of all activities and functions required ()CITY under this Agreement.
8. Confidentiality
CITY shall maintain the confidentialityof its records, including billings, in accordance with all applicable
State and Federal laws relating to confidential ity.CITY shall inform all its officers, employees and agents,
and others providing services hereunder of said confidentiality provisions. COUNTY shall maintain the
confidentiality of all records made available hereunder during and after the terms of this Agreement
9. Maintenance of Records
9.1.
All administrative records under this Agreement shall he maintained by the CITY fora minimum of
five years after term ination date. COUNTY, at its option, may take custody ofa copy, of CITY non -
patient administrative records related to this Agreement upon contract termination.
9.2. All continuous quality improvement (COI) and medical control records under this Agreement shall
be maintained by the City for a minimum of 3 years. COUNTY, at its option, may make a copy, at
COUNTY expense, of CITY'sCQI and medical control records.
10. Fiscal and Performance Audits, and Inspectionof Records
Authorized Federal, State or County representatives shall have the right to monitor, assess and evaluate
CITY performance pursuant to this Agreement. Said monitoring, assessments and evaluations to include
but not be limited to audits, inspection of premises, reports (excluding personnel records and reports),
patient records and interviews of staff in matters dealing with issues covere&y this Agreement. At any
tirne during normal business hours and as often as COUNTY deems necessary. CITY shall make available
to County, State and Federal officials for examination, all its records with respect to matters coverctiy
this agreement and will permit authorized County, State or Federal officials to audit, examine, copy and
make excerpts or transcripts from such records. It is understood that COUNTY shall coordinate all such
audits and inspections through the CITY designee.
11. Indemnity
1 1.1. CITY agrees that its performance under this Agreement is at its own risk and that it shall indemnity
the County of San Diego, its agents and employees against and hold harmless from any and all
liabilities, both real and alleged, for damages, cost losses, and legal and investigative expenses
resulting from, arising out of or in any way connected with the CITY negligence, wrongful
City of Natianl City.
Advanced fife Support rirst Respondcfieniccs MOA
Paec 6 of t April 2009
COUNTY OF SAN DiEGO, HHSA, PUBLIC IIEALTH SERVICES,
EMERGENCY MEDICAL SERVICES BRANCH
MEMORANDUM ()F AGREEMENT FOR
ADVANCED LIFF, SUPPORT FIRST RESPONDER SERVICES
performanceor failure to perform fully under this agreement provided, however, that CITY's duty to
indemnify and hold harmless shall not include any claims or liability arising from the established
sole negligence or willful misconduct of theCOUNTY, its agents, officers or employees
11.2. COUNTY shall defend, indemnify and hold harmless CITY, its officers, agents, physicians, students
or employees harm less from and against any and all liability expense, including costs and legal fees
incurred in connection with claims or demands for damages of any nature whatsoever, including but
not limited to bodily injury, death. personal injury, or property damage arising from or caused by the
acts or failures of COUNTY, its officers, agents or employees. However, COUNTY's duty to
indemnify and hold harmless shall not include any claims or liability arising from the established
sole negligence or willful misconduct of CITY,its agents, officers or employees
12. Drug and Alcohol -Free Work Place
COI 5NTY and CITY agree to the mutual objective of a safe, healthful and productive work place and the
prohibition of drugs or alcohol use or impairment from same while performing Paramedic services. Both
agencies and their subcontractors have and shall maintain policies and procedures to ensure a drug and
alcohol -free work place, and services within their organizations
13. AIDS Discrimination
The CiTY shall not deny any person the full and equal enjoyment of, or impose less advantageous terms,
or restrict the availability of, the use of any County facility or participation in any County funded or
supported service or program on the grounds that such person has Acquired immune Deficiency Syndrome
(AIDS), AiDS-related complex (ARC) or AIDS -related status (ARS), as those terms are defined in
Chapter 1, Section 32.1203, San Diego Code of Regulatory Ordinance, a copy of which can be obtained
from the Clerk of the Board of Supervisors, 1600 Pacific 1 lighway, San Diego, CA 92101
14. Americans with Disabilities
The CITY shall comply with the Americans with Disabilities Act of 1990, pertaining to discrimination
against qualified people with disabilities in employment, public services, transportation, public
accommodations, and telecommunications services
15. Religious Activity Prohibited
There shall be no religious worship, instructions or proselytization as part of, or in connection with, the
performance of this Agreement
16. Zero Tolerance in Coaching Undocumented immigrants:
16.1. The County of San Diego, in recognition of its unique geographical location, and the utilization of
Welfare and Medi-Cal system by foreign nationals who are not legal residents of this County or
Country, has adopted a Zero Tolerance policy and shall aggressively prosecute employees and
contractors who coach undocumented immigrants.
City of Nauornl City
Advanced I ire Support first Rcspondc6crvices MOA
Page of April 2009
COUNTY OF SAN DIEGO, HHSA, PUBLIC HEALTH SERVICES,
EMERGENCY MEDICAI, SERVICES BRANCH
MEMORANDUM ()F AGREEMENT FOR
ADVANCED LIFE SUPPORT FIRST RESPONDER SERVICES
16.2. As a material condition of this Agreement, the CITY agrees that the CITY and the CiTY's
employees,while performing services pursuant to this Agreement for the COUNTY, on COUNTY
property, or while usingCOUNTY equipment:
16.2.1. Shall not in any way coach, instruct, advise, or guide any Medi-Cal or
Welfare clients or prospective clients who are undocumented immigrants
on ways to obtain or qualify for MediCal assistance.
16.2.2. Shall not support or provide funds to any organization engaged directly or
indirectly in advising undocumented immigrants on ways to obtain or
qualify for Medi-Cal assistance.
16.2.2.1. The CITY shall inform all employees that are performing services pursuant to
this Agreement on COUNTY property or using COUNTY equipment, of the
County's Zero Tolerance policy.
16.2.2.2. The COUNTY may terminate t1r Default or Breach this Agreement if the CITY
or CITY employees are determined by the County not to be in compliance with
conditions listed herein
17. Zero Tolerance for Fraudulent Conduct in County Services
17.1. CITY shall voluntarily comply with Board of Supervisor's Policy A-120 -Zero Tolerance for
Fraudulent Conduct in County Services. Copy of policy is available from the Clerk of the Board of
Supervisors, 1600 Pacific highway, San Diego, CA 92101
17.1. I . The CITY shall inform the COUNTY of all the CITY interests. if any, which are or which the
CiTY believes to he incompatible with any interests of the COUNTY.
17.1.2. The CiTY shall not, under circumstanceswhich might reasonably he interpreted as an attempt
to influence the recipient in the conduct of his duties, accept any gratuity or special favor from
individuals or organizations with whom the CiTY is doing business or proposing to do
business, in accomplishing the work under the contract.
17.1.3. The CiTY shall not use for personal gain or make other improper use of privileged
information. which is acquired in connection with his employment. In this connection, the
term "privileged information" includes, but is not limited to, unpublished information relating
to technological and scientific development; medical, personnel, or security records of
individuals; anticipated material requirementsor pricing actions; and knowledge of selections
of contractors of subcontractors in advance of official announcements.
17.1.1. The CITY or employees thereof, shall not offer directly or indirectly gifts, gratuity, favors,
entertainment, travel. or other item of monetary value to an employee of the COUNTY.
17.1.5. CITY may be suspended from doing business with the COUNTY upon adequate evidence
that the CiTY has been convicted of any of the offenses listed in Policy Board of Supervisor's
Policy A-120.
City of Nauoral City
Ad%anced Life Support First Respondce crvices MOA
Page 8 of 8 April 200')
RESOLUTION NO. 2009 — 170
RESOLUTION OF THE CITY COUNCIL
OF THE CITY OF NATIONAL CITY
AUTHORIZING THE MAYOR TO EXECUTE
A MEMORANDUM OF AGREEMENT WITH
THE COUNTY OF SAN DIEGO, HEALTH AND
HUMAN SERVICES AGENCY, PUBLIC HEALTH
SERVICES, AND EMERGENCY MEDICAL SERVICES
TO PROVIDE ADVANCED LIFE SUPPORT (ALS)
FIRST RESPONDER SERVICES
WHEREAS, the proposed Memorandum of Agreement between the City and San
Diego County, Health and Human Services Agency, Public Health Services, and Emergency
Medical Services ("County") authorizes and standardizes the provision of Advanced Life
Support (ALS) First Responder Services within National City; and
WHEREAS, the City is required to implement an ALS First Responder
deployment plan that includes at least one fully -equipped, supplied, and staffed ALS First
Responder unit seven days a week, twenty-four hours a day, in accordance with the policies,
procedures, and protocols established by the County; and
WHEREAS, each ALS first responding unit will have at least one paramedic and
one EMT-1 at all times, or with an alternative staffing configuration agreed upon by the City and
County.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of
National City that the Mayor is hereby authorized to execute a Memorandum of Agreement with
the County of San Diego, Health and Human Services Agency, Public Health Services, and
Emergency Medical Services to provide advanced Life Support (ALS) First Responder Services.
Said Memorandum of Agreement is on file in the office of the City Clerk.
PASSED and ADOPTED this 7th day of July, 2009.
ATTEST:
it
Michael R. Dalla, Ci Clerk
APPROVED AS TO FORM:
JeaLt: Air
Georiser, Fi. III
City Attorney
Ron Morrison, Mayor
Passed and adopted by the Council of the City of National City, California, on July 7,
2009 by the following vote, to -wit:
Ayes: Councilmembers Morrison, Parra, Sotelo-Solis, Van Deventer, Zarate.
Nays: None.
Absent: None.
Abstain: None.
AUTHENTICATED BY: RON MORRISON
Mayor of the City of National City, Califomia
City Clerk of the City of Nat 6nal City, California
By:
Deputy
I HEREBY CERTIFY that the above and foregoing is a full, true and correct copy of
RESOLUTION NO. 2009-170 of the City of National City, California, passed and
adopted by the Council of said City on July 7, 2009.
City Clerk of the City of National City, California
By:
Deputy
City of National City, California
COUNCIL AGENDA STATEMENT
MEETING DATE July 7. 2009
AGENDA ITEM NO.
s
ITEM TITLE RESOLUTION OF THE CITY COUNCIL OF THE CITY OF NATIONAL CITY AUTHORIZING THE
MAYOR TO SIGN A MEMORANDUM OF AGREEMENT (MOA) BETWEEN THE COUNTY OF SAN DIEGO,
HEALTH AND HUMAN SERVICES AGENCY. PUBLIC HEALTH SERVICES EMERGENCY MEDICAL SERVICES
(EMS) AND THE CITY OF NATIONAL CITY TO PROVIDE ADVANCED LIFE SUPPORT (ALS) FIRST
RESPONDER SERVICES.
PREPARED BY Walter Amedee, 1.24 DEPARTMENT Fir
Homeland Security Manager
EXPLANATION This Memorandum of Agreement (MOA) was previouslpproved at the February 17.
2009. City Council Meeting with Resolution # 2009-33. The County has subsequently made several
changes to the MOA. See attached ALS First Responder Agreement Revisions.
This MOA authorizes and standardizes the provision of Advanced Life Support (ALS) First
Responder Services within the City of National City. The City is required to implement an ALS First
Responder deployment plan that includes at least one fully equipped, supplied and staffed ALS First
Responder unit seven days a week, twenty four hours a day, in accordance with the policies, procedures
and protocols established by the County. Each ALS first responding unit will have at least one (1)
Paramedic and one (1) EMT-1 at all times. or with an alternate staffing configuration agreed upon
between the City and County.
Environmental Review v NIA
Financial Statement Approveddy:, ) ..
Finance' Director
No negative impact.
Account No.
STAFF RECOMMENDATION
Staff recommends the City Council authorize the Mayor to sign the Memorandum of Agreement between
the County and the City to provide Advanced Life Support (ALS) First Responder Services within the City
of National City.
BOARD / COMMISSION RECOMMENDATION
ATTACHMENTS ( Listed Below) Resolution No.
•c.` \'\0
ALS First Responder Agreement Revisions
MOA between the County and the City — Advanced Life Support First Responder Services
Resolution
A-200(9/99,
City of National City
Office of the City Clerk
1243 National City Boulevard, National City, CA 91950-4397
Michael R. DaIla, CMC - City Clerk
(619) 336-4228 Fax: (619) 336-4229
July 15, 2009
Ms. Rebecca Pate
County of San Diego
Emergency Medical Services
6255 Mission Gorge Road
San Diego, CA 92120
Dear Ms. Pate,
On July 7th, 2009, Resolution No. 2009-170 was passed and adopted by the City
Council of the City of National City, authorizing execution of a Memorandum of
Agreement with the County of San Diego, Health and Human Services Agency,
Public Health Services, and Emergency Medical Services.
We are forwarding a certified copy of the above Resolution and two partially
executed original agreements. Please return one fully executed original
agreement to us for our files.
Michael R. Dalla, CMC
City Clerk
Enclosures
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