HomeMy WebLinkAbout2023 CON American Medical Response Ambulance Service Inc. Seventh Amendment - Paramedic ServicesSEVENTH AMENDMENT TO THE AGREEMENT
BY AND BETWEEN
THE CITY OF NATIONAL CITY
AND
AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE; INC.
This Seventh Amendment to the Agreement By and Between the City of National City and American Medical
Response Ambulance Service, Inc. ("Seventh Amendment") is entered into this 15th day of August, 2023, by
and between the City of National City ("CITY'') and American Medical Response Ambulance Service, Inc.,
("AMR").
RECITALS
A. WHEREAS, on June 20, 2006, CITY and AMR entered into an agreement entitled "Agreement
by and between the City of National City and American Medical Response Ambulance
Service, Inc." as has been amended from time -to -time by those First, Second, Third, Fourth,
Fifth and Sixth amendments (collectively, the "Agreement"); and
B. WHEREAS, AMR has met all of the eligibility requirements for an extension of the Agreement
as set forth in Section VI, Subsection E.1; and
C. WHEREAS, the Parties wish to make certain changes to the Agreement as set forth below;
and
NOW, THEREFORE, in consideration of the mutual benefit to be derived therefrom, CITY and
AMR agree as follows:
1. Section II, Subsection A.1 , A.11 e , A.11(f0, A.11(g), A.11(h), A.110, A.11(k), A.11(I),
A.11(m), A.11(n), A.11(o), B.4., are hereby deleted in their entirety and void ab initio.
2. Section II, Subsection A.1 is amended by replacing Subsection A.1 with the following:
Provide and maintain, at no cost to CITY, two () fully equipped, supplied, and staffed
advanced life support (ALS) type !I! ambulances available for providing paramedic
services seven (7) days per week, twenty-four (24) hours per day on a year-round
basis. These units shall have as their principal station a location within the City of
National City. AMR shall notify CITY of the locations where each ALS unit is principally
posted and shall notify the CITY if a change of location is determined necessary. Each
ALS ambulance shall be staffed at a level consistent with County of San Diego
protocols and/or requirements. For purposes of this agreement, Paramedics shall be
individuals licensed by the State of California according to Title 22, CCR Division 9,
Chapter 4 and accredited to practice as a paramedic by the County of San Diego.
B. Section II, Subsection A.11(d) is amended by modifying the Franchise Fee Payments
as follows:
Actual Estimate
FY 2022-23 FY 2023-24
$318,023 $318,023
2023 Seventh Amendment to Agreement
1
City of National City and AM R
No funds shall be used by the City in a manner that may violate 42 J.S.C. Section
1320a-7b, the federal 315 Anti -Kickback bacl Statute. The City represents that the
reimbursement bursement it receives from AMR is less than and shall be less than the it's
costs for services throughout the term of this Agreement.
4. Section IV, Subsection B.1 is amended by replacing Subsection Bal with the following:
B.1. Effective July 1, 2023, the Ambulance Service Base Rate for Advanced Life
Support will be $3,845.22. The ancillary changes are attached as Schedule B.1.
5. Section V, Subsection C.2 is amended by replacing Subsection C.2 with the following:
Effective .Idly 1, 2023, Emergency responses with lights and sirens are defined as
requests that are received in the Contractor's communications center using the MPOS
triage system and determined to be either "Bravo", "Charlie", "Delta", or "Echo" level
responses. Emergency responses no lights and sirens are defined as requests that are
received in the Contractor's communications center using the MPDS triage system
and determined to be either "Alpha" or "Omega" level responses.
6. Section V, Subsection C.4(b) is amended by replacing Subsection
C4.(b) with the following:
1f a response is downgraded from an Emergency (lights and sirens) response to an
Emergency (no lights and sirens) response by a PSAP dispatcher or if a response is
downgraded by a first responder unit prior to the arrival on scene of a transport
capable ALS ambulance, the Contractor's compliance will be determined by the
following:
If the time of downgrade occurs after the higher priority standard response time has
been exceeded, the more stringent higher priority response time standard of 11:59
will apply, or if the time of the downgrade occurs before the unit has exceeded the
higher priority response time standard, the less stringent lover priority response time
standard ndard of 19:59 will apply.
7. Section I, Subsection C.4 is amended by adding Section V,
Subsection C.4.e as follows:
Calls initially dispatched as Emergencies (lights and sirens) that result in a transport
of Code 40 or Code 50, shall be exempted from the Emergency response time
standard (lights and sirens) and shall hove the Emergency (no lights and sirens)
response time standard of 19:59 applied retrospectively.
8. Section V, Subsection C.4 is amended by adding Section V,
Subsection C.4.f as follows:
Any time the Contractor utilizes Contractor resources from outside the service area
on a !Mutual Aid basis, or requests for assistance from other agencies on a Mutual
2023 Seventh Amendment to Agreement
2
City of National City and AMR
Aid basis, the response time of the mutual aid responding unit shcrll be exempted
from inclusion in the monthly response time performance calculations.
Section VI, Subsection E.1 is amended with the term of the Agreement being
extended for an additional one year from the time the current Agreement expires on
June 30, 2023.
10. The parties further agree that with the foregoing exceptions, each and every term
and provision of the Agreement by and between the CITY and AMR, dated June 20,
2006, shall remain in full force and effect.
IN WITLESS WHEREOF, the parties hereto have caused this Seventh Amendment to be executed the day and
year first herein set forth.
CITY OF NATIONAL CITY
By:i
oWM o rrlso n, Mayor
APPROVED AS TO FORM:
City Attorney
By:
Barry City Attorney
AMERICAN MEDICAL RESPONSE
AMBULANCE SERVICE, INC.
B
Sean Russel!
Regional President
2023 Seventh Amendment to Agreement
3
City of National City and AMR
Schedule B.1
Procedure code
Current
New
1151 - ALS EMERGENCY BASE RATE
2812.60
845.22
1152 - ALS LEVEL 2
1
3,5.44
4,541.5.
1251 - BLS EMERGENCY BASE RATE
912.45
,0.0
151-MILEAGE
42.45
125.00
1111 - TREAT NO TRANSPORT
-
760.14
3001- OXYGEN
135.53
271.06
300 -HOT PACK
15.35
30.70
3040 - 4 4 STERILE
4.12
8.24
3042 - ABDOMINAL PAD
4.30
8460
3044 - ACE WRAP
12.06
4.1 2
3046 - ARMBOARD
11.19
22.38
3048 BED PAN
--
16.00
32.00
3050 - BITE STICK
8.38
16.76
351- SMARTCAPNOLINE PEDIATRIC
32.81
65.62
3052 - BODILY WASTE DISP BAG
3.70
7.40
3053 - SMARTCAPNOLINE PLUS ADULT
38.28
76.56
3058 - BULB SYRINGE
14.38
8.7
3062 - BAG VALVE MASK DISP UNIT
181.98
363.96
3072 - CATHETER/INTERCATH NEEDL
- _
24.23
48.46
3074 - CERVICAL COLLAR
193.98
387.96
3076 - CHUX
4.80
9.60
3078 - COLD PACK
16.43
32.86
2023 Seventh Amendment to Agreement
City of National City and AMR
3086 - CARDBOARD SPLINT
19.30
38.60
3088 - CPR STAT PADS ADULT
8.56
17.12
3092 - DEFIB COMBO PADS
77.97
15.94
3093 - ELECTRODES QUICK COMBO PEDS
78.36
156.72
3094 - DISK BLANKET
60.23
120.46
3096 - DISPOSABLE LINEN
16.43
32.86
3102 - ELECTRODE SET
17.86
35.72
3104 - EMESIS BASIN
2.50
5.00
310- ADDITIONAL ETT
31.95
63.9
3112 - FILTER LINE REG-ADULT/PED
19.39
38.78
3113 - BACTERIAL FILTER LTV VENT
1.89
21.78
3115 - FLTRLN SET /AIRWAY ADAPTER
_....
26.24
52.4
3118 - HUMIDIFIER 1 /ADAPTER
-
3 6. 77
73.54
-- ----
3119 - BAG ASSIST NEBULIZER
23.77
47.54
3120 - HYPODERMIC NEEDLE
1.72
3.44
3121 - PEDIATRIC NEBULIZER
5.38
10.76
3124 - INFECTIOUS PRECAUTIONARY SRVC
122.54
245.08
312 - I NTU BATI O N
_...
296.71
593.42
3130 - ISOLATION MASK
1.43
32.86
3132 - ISOLATION SUIT/KIT
109.52
219.04
3140 - I ERLIX ROLL
17.27
34.54
3142 - LANCETS
0.83
1.66
3152 - -MULTI TRAUMA DRESSING
--
31.00
62.00
2023 Seventh Amendment to Agreement
City of National City and AMR
3154 - NASAL CIV IUL1
3162 - NASAL PHARIEAL AIRWAY
3168 - NON-REBREATHER MASK
317 - OB KIT
3172 - ORAL PHARTNGEAL AIRWAY
3186 - PREP RAZOR
3190 - SKULL CAP
7.35
14.70
49,16
23.09
116.56
16.27
3192 - SOFT RESTRAINTS
3194 - STERILE WATER
3196 - GLOVES STERILE
98,32
46.18
233.12
3.,54
6.53
3,36
3198 - STYLETTE/BOUGIE
3200 - SYRINGE
3204 - TAPE ADHESIVE
3 - TRIANGULAR BANDAGE
3212 - TUBE TAM E R
3214 - URINAL
3218 - VASELINE GAUZE
3 - WASH BASIN D I P
40.24
20.54
7.35
13.06
6.72
8,48
41.08
63.10
9.62
14.70
126.20
3,32
17.04
51.96
19.24
,4
34.08
9.44
3 - NEBULIZER SETUP
3228 SALEM SUMP TUBE
3234 - EKG STRIP
14.38
9,84
103.92
18.88
28.76
20.41
19.68
40.82
34626 - HEMOSTATIC GAUZE
36220 - EZIO SUPPLY
41.78
21.94
113.27
182.21
83.56
43.88
226.54
364.42
2023 Seventh Amendment ent to Agreement
6
City of National City and AMR
4052 NITROGLYCERIN .4MG TAB
-
25.18
50.36
4053 - NORMAL SALINE
14.78
29.56
4057 - SODIUM BICARBONATE 10MEQ
52.62
105.24
41 -VERSED
40.73
1.46
40613 - FENTANYL 5 M /M L Vial 2ML
0.45
0.90
4062 - DEXTROSE 50% 5 M L
50.28
100.56
4063 - ZOFRAN INJECTION
57.67 j
11534
44 - ZFRAN ORAL
57.67
115.34
4066 - AMIODARONE SET-UP
42.75
85.50
41770 - KETAMINE
9.32
18.64
4673 - SODIUM CHLOR, SYR/12ML 0.9
1L
2.43
4.86
5002 - BANDAGE SERVICE
83.78
167.56
5004 - BVM TO NEBULIZER ADAPTER
7.35
14.70
5005 - END TIDAL CO2 MONITOR
136.49
272.98
5006 - CPR SERVICE
154.27
308.54
5009 - GLUCOMETER PROCEDURE
63.89
127.7
5016 - EKG MONITORING PROCEDURE
85.89
171.78
5018 - OB DELIVERY PROCEDURES
311.71
623.42
5020 - RESTRAINT PROCEDURES
82.11
164.22
5021 - SPLINTING SERVICE
95.95
-
191.90
5022 - SPINAL PRECAUTION SERVICE
373.43
746.86
5023 - SUCTIONING PROCEDURES
145.38
290.76
541 - PORTABLE WARMER
147.81
295.62
2023 Seventh Amendment to Agreement
City of National al City and AMR
5044 - PULSE OXIMETRY
68.44
136.88
5050 - TRACTION SPLINT
187.81
1
375.62
5052 - CONTINUOUS POSITIVE AIRWAY
PRE
448.74
87,48
5607 - PACING EXTERNAL PROCEDURE
154.27
308.54
56220 - EZIO PROCEDURE
154.27
308.54
6001 - ADDITIONAL ATTENDANT
1,198.46
,3 .
04 - PRESSURE INFUSION BAG
28.82
57.64
6024
72.45
144.90
2023 Seventh Amendment to Agreement
City of National City and AMR