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HomeMy WebLinkAboutFD08-182 - Original - King County Department of Public Health - Basic Life Support Services - 01/01/2008 KENT ecords M eme Document LM,.9 HIHOTDN CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to City Clerks Office. All portions are to be completed, if you have questions, please contact City Clerks Office. Vendor Name: / 'el. 0�7 /> Vendor Number: JD Edwards Number Contract Number: This is assigned by Deputy City Clerk / Description: E2,az. Z'Z Detail: 17 Project Name: / Contract Effective Date: 1l�g Termination Date: Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: �/� Department: Abstract: CAA 31g 0y 5 PubOc\RecordsManagemeni\Forms\ConfracfCover\ADCL7832 07102 r This form is available In alternate King County Contract No D38129D Federal Taxpayer ID No 9/-A00 /Q FL/ formats for people with disabilities ---�- upon request. KING COUNTY CONTRACT FOR SERVICES WITH OTHER GOVERNMENT, INSTITUTION, OR JURISDICTION - 2008 Department Seattle-King County Dept. of Public Health (a k.a. Public Health — Seattle & King County) Division Emergency Medical Services Contractor Kent Fire Department Project Title Basic Life Support Services Contract Amount $ 1,196,673.00 Contract Period Start date January 1, 2008 End date December 31, 2008 THIS CONTRACT is entered into by KING COUNTY (the "County"), and Kent Fire Department (the "Contractor"), whose address is 24611 — 116"'Avenue SE, Kent, Washington 98030 WHEREAS, the County has been advised that the following are the current funding sources, funding levels and effective dates FUNDING SOURCES FUNDING LEVELS EFFECTIVE DATES OTHER Real Property Taxes- $1,196,673 00 111108 to 12/31/08 Current and WHEREAS, the County desires to have certain services performed by the Contractor as described in this Contract, and as authorized by the 2008 Annual Budget NOW THEREFORE, in consideration of payments, covenants, and agreements hereinafter mentioned, to be made and performed by the parties hereto, the parties covenant and do mutually agree as follows 1. INCORPORATION OF EXHIBITS The Contractor shall provide services and comply with the requirements set forth in the following attached exhibits, which are incorporated herein by reference • Exhibit A Scope of Work • Exhibit B Budget • Exhibit C Invoice • Exhibit D Mission, Method, and Expectations • Exhibit E Certificate of Insurance and Additional Insured Endorsement D38129DIEMS17—Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 1 of 17 IL TERM AND TERMINATION A This Contract shall commence on the 1st day of January 2008, and shall terminate on the 31 st day of December 2008, unless extended or terminated earlier, pursuant to the terms and conditions of the Contract, B This Contract may be terminated by the either parry without cause, in whole or in part, prior to the date specified in Subsection 0 A above, by providing the other party thirty (30) days advance written notice of the termination C The County may terminate this Contract, in whole or in part, upon seven (7) days advance written notice in the event (1) the Contractor materially breaches any duty, obligation, or service required pursuant to this Contract, or (2) the duties, obligations, or services required herein become impossible, illegal, or not feasible If the Contract is terminated by the County pursuant-to this Subsection II C (1), the Contractor shall be liable for damages, including any additional costs of procurement of similar services from another source. If the termination results from acts or omissions of the Contractor, including but not limited to misappropriation, nonperformance of required services, or fiscal mismanagement, the Contractor shall return to the County immediately any funds, misappropriated or unexpended, which have been paid to the Contractor by the County D If County or other expected or actual funding is withdrawn, reduced, or limited in any way prior to the termination date set forth above in Subsection 11 A , the County may, upon written notification to the Contractor, terminate this Contract in whole or in part If the Contract is terminated as provided in this Subsection (1) the County will be liable only for payment in accordance with the terms of this Contract for services rendered prior to the effective date of termination, and (2) the Contractor shall be released from any obligation to provide such further services pursuant to the Contract as are affected by the termination Funding or obligation under this Contract beyond the current appropriation year is conditional upon appropriation by the County Council of sufficient funds to support the activities described in the Contract Should such appropriation not be approved, this Contract will terminate at the close of the current appropriation year E The Contractor may terminate this Contract upon seven (7) days'written notice, should the County commit any material breach of this Contract F Nothing herein shall limit, waive, or extinguish any right or remedy provided by this Contract or law that either party may have in the event that the obligations, terms, and conditions set forth in this Contract are breached by the other party III COMPENSATION AND METHOD OF PAYMENT A The County shall reimburse the Contractor for satisfactory completion of the services and requirements specified in this Contract, payable in the following manner Upon receipt and approval of a signed invoice as set forth in Exhibit C that complies with the budget in Exhibit B The Contractor may bill up to the full amount of the D38129D/EMS17—Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 2 of 17 Contract at any time during the year if it can certify and document that its total expenditures have equaled or exceeded the full amount of the Contract B The Contractor shall submit an invoice and all accompanying reports as specified in the attached exhibits not more than 60 working days after the close of each indicated reporting period The County will initiate authorization for payment after approval of corrected invoices and reports The County shall make payment to the Contractor not more than 45 days after a complete and accurate invoice is received C The Contractor shall submit its final invoice and all outstanding reports within 90 days of the date this Contract terminates If the Contractor's final invoice and reports are not submitted by the day specified in this subsection, the County will be relieved of all liability for payment to the Contractor of the amounts set forth in said invoice or any subsequent invoice D When a budget is attached hereto as an exhibit, the Contractor shall apply the funds received from the County under this Contract in accordance with said budget The contract may contain separate budgets for separate program components The Contractor shall request prior approval from the County for an amendment to this Contract when the cumulative amount of transfers among the budget categories is expected to exceed 10% of the Contract amount in any Contract budget Supporting documents necessary to explain fully the nature and purpose of the amendment must accompany each request for an amendment E If travel costs are contained in the attached budget, reimbursement of Contractor travel, lodging, and meal expenses are limited to the eligrble costs based on the following rates and criteria 1 The mileage rate allowed by King County shall not exceed the current Internal Revenue Service (IRS) rates per mile as allowed for business related travel The IRS mileage rate shall be paid for the operation, maintenance and depreciation of individually owned vehicles for that time which the vehicle is used during work hours Parking shall be the actual cost When rental vehicles are authorized, government rates shall be requested If the Contractor does not request government rates, the Contractor shall be personally responsible for the difference Please reference the federal web site for current rates http 11www gsa gov 2 Reimbursement for meals shall be limited to the per diem rates established by federal travel requisitions for the host city in the Code of rederal Regulations, 41 CFR § 301, App A 3 Accommodation rates shall not exceed the federal lodging limit plus host city taxes The Contractor shall always request government rates 4 Air travel shall be by coach class at the lowest possible price available at the time the County requests a particular trip In general, a trip is associated with a particular work activity of limited duration and only one round-trip ticket, per person, shall be billed per trip D38129D/EMS17—Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 3 of 17 IV. INTERNAL CONTROL AND ACCOUNTING SYSTEM The Contractor shall establish and maintain a system of accounting and internal controls which complies with applicable, generally accepted accounting principles, and governmental accounting and financial reporting standards V. DEBARMENT AND SUSPENSION CERTIFICATION Agencies receiving federal funds that are debarred, suspended, or proposed for debarment are excluded from contracting with the County The Contractor, by signature to this Contract, certifies that the Contractor is not presently debarred, suspended, or proposed for debarment by any Federal department or agency The Contractor also agrees that it will not enter Into a subcontract with a contractor that is debarred, suspended, or proposed for debarment The Contractor agrees to notify King County in the event it, or a subcontractor, is debarred, suspended, or proposed for debarment by any Federal department or agency For more information on suspension and debarment, see Federal Acquisition Regulation 9 4 VI. MAINTENANCE OF RECORDS/EVALUATIONS AND INSPECTIONS A The Contractor shall maintain accounts and records, including personnel, property, financial, and programmatic records and other such records as may be deemed necessary by the County to ensure proper accounting for all Contract funds and compliance with this Contract B In accordance with the nondiscrimination and equal employment opportunity requirements set forth in Section XIV below, the Contractor shall maintain the following 1 Records of employment, employment advertisements, application forms, and other pertinent data, records and information related to employment, applications for employment or the administration or delivery of services or any other benefits under this Contract, and 2 Records, including written quotes, bids, estimates or proposals submitted to the Contractor by all businesses seeking to participate on this Contract, and any other information necessary to document the actual use of and payments to subcontractors and suppliers in this Contract, including employment records The County may visit, at any mutually agreeable time, the site of the work and the Contractor's office to review the foregoing records The Contractor shall provide every assistance requested by the County during such visits In all other respects, the Contractor shall make the foregoing records available to the County for inspection and copying upon request If this Contract involves federal funds, the Contractor shall comply with all record keeping requirements set forth in any federal rules, regulations or statutes included or referenced in the contract documents C Except as provided in Section Vll of this Contract-, the records listed in A and B above shall be maintained for a period of six (6) years after termination hereof unless permission to destroy them is granted by the Office of the Archivist in accordance with Revised Code of Washington (RCW) Chapter 40 14 D Medical records shall be maintained and preserved by the Contractor in accordance with state and federal medical records statutes, including but not limited to RCW 70 41 190, 70 02 160, and standard medical records practice If the Contractor ceases D38129D/EMS17—Kent FD 2008 SKCDPH-ALS/BLS Boderplate Page 4 of 17 operations under this Contract, the Contractor shall be responsible for the disposition and maintenance of such medical records E The Contractor shall provide right of access to its facilities—including those of any subcontractor assigned any portion of this Contract pursuant to Section XIII—to the County, the state, and/or federal agencies or officials at all reasonable times in order to monitor and evaluate the services provided under this Contract The County will give advance notice to the Contractor in the case of fiscal audits to be conducted by the County F The records and documents with respect to all matters covered by this Contract shall be subject at all time to Inspection, review, or audit by the County and/or federal/state officials so authorized by law during the performance of this Contract and six (6) years after termination hereof, unless a longer retention period is required by law G The Contractor agrees to cooperate with the County or its agent in the evaluation of the Contractor's performance under this Contract and to make available all information reasonably required by any such evaluation process The results and records of said evaluations shall be maintained and disclosed in accordance with RCW Chapter 42 17 H The Contractor agrees that all information, records, and data collected in connection with this Contract shall be protected from unauthorized disclosure in accordance with applicable state and federal law VII COMPLIANCE WITH THE HEALTH INSURANCE PORTABILITY ACCOUNTABILITY ACT OF 1996(HIPAA) Terms used in this section shall have the same meaning as those terms in the Privacy Rule, 45 CFR Parts 160 and 164 A Obligations and Activities of the Contractor 1 The Contractor agrees not to use or disclose protected health Information other than as permitted or required by law 2 Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the protected health Information that it creates, receives, maintains, or transmits on behalf of the covered entity as required by CFR Title 45, Section 164, Subpart C 3 The Contractor agrees to mitigate, to the extent practicable, any harmful effect that is known to the Contractor of a use or disclosure of protected health information by the Contractor in violation of the requirements of this Contract 4 The Contractor agrees to report to King County Public Health Compliance Office any use or disclosure of protected health information not allowed under this Contract, or security incident, within two (2) days of the Contractor's knowledge of such event - 5 The Contractor agrees to ensure that any agent, including a subcontractor, to whom it provides protected health information received from, or created or received by the Contractor on behalf of King County, agrees to the same restrictions and conditions that apply through this Contract to the Contractor with respect to such information D38129D/EMS17- Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 5 of 17 6 The Contractor agrees to make available protected health information in accordance with 45 CFR § 164 524 7 The Contractor agrees to make available protected health information for amendment and incorporate any amendments to protected health information in accordance with 45 CFR § 164-526 8 The Contractor agrees to make internal practices, books, and records, including policies and procedures and protected health information, relating to the use and disclosure of protected health information received from, or created or received by the Contractor on behalf of King County, available to the Secretary, in a reasonable time and manner for purposes of the Secretary determining King County's compliance with the privacy rule 9 The Contractor agrees to make available the information required to provide an accounting of disclosures in accordance with 45 CFR 164 § 528 B Permitted Uses and Disclosures by Business Associate The Contractor may use or disclose protected health information to perform functions, activities, or services for, or on behalf of, King County as specified in this Contract, provided that such use or disclosure would not violate the Privacy Rule if done by King County or the minimum necessary policies and procedures of King County C Effect of Termination 1 Except as provided in paragraph C 2 of this section, upon termination of this Contract, for any reason, the Contractor shall return or destroy all protected health information received from King County, or'created or received by the Contractor on behalf of King County This provision shall apply to protected health information that is in the possession of subcontractors or agents of the Contractor The Contractor shall retain no copies of the protected health information 2 In the event the Contractor determines that returning or destroying the protected health information is infeasible, the Contractor shall provide to King County notification of the conditions that make return or destruction infeasible Upon notification that return or destruction of protected health information is infeasible, the Contractor shall extend the protections of the Contract to such protected health information and limit further uses and disclosure of such protected health information to those purposes that make the return or destruction infeasible, for so long as the Contractor maintains such protected health information VIII. AUDITS A If the Contractor or subcontractor is a municipal entity or other government institution or jurisdiction, or is a non-profit organization as defined in OMB Circular A-133, and expends a total of $500,000 or more in federal financial assistance and has received federal financial assistance from the County during its fiscal year, then the Contractor or subcontractor shall meet the respective A-133 requirements described in subsections VIII B and VIII C D38129D/EMS17—Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 6 of 17 B If the Contractor is a non-profit organization, it shall have an independent audit conducted of its financial statement and condition, which shall comply with the requirements of GAAS (generally accepted auditing standards), GAO's Standards for Audits of Governmental Organizations, Programs, Activities, and Functions, and OMB Circular A-133, as amended, and as applicable The Contractor shall provide a copy of the audit report to each County division providing financial assistance to the Contractor no later than six (6) months subsequent to the end of the Contractor's fiscal year The Contractor shall provide to the County its response and corrective action plan for all findings and reportable conditions contained in its audit When reference is made in its audit to a "Management Letter" or other correspondence made by the auditor, the Contractor shall provide copies of those communications and the Contractor's response and corrective action plan Submittal of these documents shall constitute compliance with subsection VIII A C If the Contractor is a municipal entity or other government institution or jurisdiction, it shall submit to the County a copy of its annual report of examination/audit, conducted by the Washington State Auditor, within thirty (30) days of receipt, which submittal shall constitute compliance with subsection VIII A D If the Contractor, for-profit or non-profit, receives in excess of$100,000 in funds during its fiscal year from the County, it shall provide a fiscal year financial statement prepared by an independent Certified Public Accountant or Accounting Firm within six (6) months subsequent to the close of the Contractor's fiscal year E Additional audit or review requirements which may be imposed on the County will be passed on to the Contractor and the Contractor will be,regwred to comply with any such requirements IX. CORRECTIVE ACTION If the County determines that a breach of contract has occurred, that is, the Contractor has failed to comply with any terms or conditions of this Contract or the Contractor has failed to provide in any manner the work or services agreed to herein, and if the County deems said breach to warrant corrective action, the following sequential procedure will apply A The County will notify the Contractor in writing of the nature of the breach, The Contractor shall respond in writing within three (3) working days of its receipt of such notification, which response shall indicate the steps being taken to correct the specified deficiencies The corrective action plan shall specify the proposed completion date for bringing the Contract into compliance, which date shall not be more than ten (10) days from the date of the Contractor's response, unless the County, at its sole discretion, specifies in writing an extension in the number of days to complete the corrective actions, B The County will notify the Contractor in writing of the County's determination as to the sufficiency of the Contractor's corrective action plan The determination of sufficiency of the Contractor's corrective action plan shall be at the sole discretion of the County, C In the event that the Contractor does not respond within the appropriate time with a corrective action plan, or the Contractor's corrective action plan is determined by the County to be insufficient, the County may commence termination of this Contract in whole or in part pursuant to Section II C , D38129D/EMS17- Kent FD 2006 SKCDPH-ALS/BLS Boilerplate Page 7 of 17 D In addition, the County may withhold any payment owed the Contractor or prohibit the Contractor from incurring additional obligations of funds until the County is satisfied that corrective action has been taken or completed, and E Nothing herein shall be deemed to affect or waive any rights the parties may have pursuant to Section II Subsections B, C, D, and E X DISPUTE RESOLUTION A The parties shall use their best, good-faith efforts to cooperatively resolve disputes and problems that arise in connection with this Contract Both parties will make a good faith effort to continue without delay to carry out their respective responsibilities under this Contract while attempting to resolve the dispute under this section B If a dispute arises between the parties that cannot be resolved by direct negotiation, the dispute shall be submitted to a disputLT board for a non-binding determination Each party shall timely appoint one member to the dispute board Those members shall jointly appoint an additional member Any costs of the dispute board shall be split evenly between the two parties The dispute board shall timely review the facts, Contract terms and applicable law and rules, and make its determination Provided that each party and the dispute board act in a timely manner, the parties agree not to seek legal or equitable relief in the courts until the dispute board renders Its determination Thereafter, either party may seek legal or equitable relief in the courts XI. HOLD HARMLESS AND INDEMNIFICATION A In providing services under this Contract, the Contractor is an Independent Contractor, and neither it nor Its officers, agents, employees, or subcontractors are employees of the County for any purpose The Contractor shall be responsible for all federal and/or state tax, industrial insurance, and Social Security liability that may result from the performance of and compensation for these services and shall make no claim of career service or civil service rights which may accrue to a County employee under state or local law The County assumes no responsibility for the payment of any compensation, wages, benefits, or taxes by, or on behalf of the Contractor, its employees, subcontractors and/or others by reason of this Contract The Contractor shall protect, indemnify, and save harmless the County, its officers, agents, and employees from and against any and all claims, costs, and/or losses whatsoever occurring or resulting from Q) the_ Contractor's failure to pay any such compensation, wages, benefits, or taxes, and/or (2) the supplying to the Contractor of work, services, materials, or supplies by Contractor employees or other suppliers in connection with or support of the performance of this Contract B The Contractor further agrees that it is financially responsible for and will repay the County all indicated amounts following an audit exception which occurs due to the negligence, Intentional act, and/or failure, for any reason, to comply with the terms of this Contract by the Contractor, Its officers, employees, agents, or subcontractors This duty to repay the County shall not be diminished or extinguished by the prior termination of the Contract pursuant to the Duration of Contract or the Termination section D381290/EMS17-Kent FD 2008 SKCDPH-ALSIBLS Boilerplate Page 8 of 17 C The Contractor shall defend, Indemnify, and hold harmless the County, Its officers, employees, and agents from any and all costs, claims, judgments, and/or awards of damages, arising out of, or in any way resulting from, the negligent acts or omissions of the Contractor, Its officers, employees, subcontractors and/or agents in Its performance or non-performance of its obligations under this Contract In the event the County Incurs any judgment, award, and/or cost arising therefrom including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from the Contractor D The County shall defend, indemnify, and hold harmless the Contractor, its officers, employees, and agents from any and all costs, claims, judgments, and/or awards of damages, arise out of, or in any way result from, the negligent acts or omissions of the County, its officers, employees, or agents in its performance or non-performance of its obligations under this Contract In the event the Contractor incurs any judgment, award, and/or cost arising therefrom Including attorneys' fees to enforce the provisions of this article, all such fees, expenses, and costs shall be recoverable from the County E Nothing contained within this provision shall affect and/or alter the application of any other provision contained within this Contract F The indemnification, protection, defense and save harmless obligations contained herein shall survive the expiration, abandonment or termination of this Agreement XII. INSURANCE REQUIREMENTS A By the date of execution of this Contract, the Contractor shall procure and maintain for the duration of this Contract, insurance against claims for injuries to persons or damages to property which may arise from, or in connection with, the performance of work hereunder by the Contractor, its agents, representatives, employees, and/or subcontractors The costs of such Insurance shall be paid by the Contractor or subcontractor The Contractor may furnish separate certificates of insurance and policy endorsements for each subcontractor as evidence of compliance with the insurance requirements of this Contract The Contractor is responsible for ensuring compliance with all of the Insurance requirements stated herein Failure by the Contractor, its agents, employees, officers, subcontractors, providers, and/or provider subcontractors to comply with the insurance requirements stated herein shall constitute a material breach of this Contract B Minimum Scope and Limits of Insurance By requiring such minimum insurance, the County shall not be deemed or construed to have assessed the risks that may be applicable to the Contractor under this Contract The Contractor shall assess its own risks and, if it deems appropriate and/or prudent, maintain greater limits and/or broader coverage Coverage shall be at least as broad as 1 Commercial General Liability Insurance Services Office form number (CG 00 01 current edition or its equivalent) covering COMMERCIAL GENERAL LIABILITY D38129D/EMS17—Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 9 of 17 Minimum Limit- $1,000,000 combined single limit per occurrence by bodily injury, personal injury, and property damage, and for those policies with aggregate limits, a $2,000,000 aggregate limit. 2 Professional Liability Professional Liability, Errors, and Omissions coverage In the event that services delivered pursuant to this Contract either directly or indirectly involve or require professional services, Professional Liability, Errors, and Omissions coverage shall be provided Minimum Limit: $1,000,000 per claim and in the aggregate 3 Automobile Liability In the event that services delivered pursuant to this Contract require the use of a vehicle or involve the transportation of clients by Contractor personnel in Contractor-owned vehicles or non-owned vehicles, the Contractor shall provide evidence of the appropriate automobile coverage Insurance Services Office form number(CA 00 01 current edition or its equivalent) covering BUSINESS AUTO COVERAGE, symbol 1 "any auto', or the appropriate coverage provided by symbols 2, 7, 8, or 9 Minimum Limit $1,000,000 combined single limit per accident for bodily injury and property damage. 4 Workers' Compensation Workers' Compensation coverage, as required by the Industrial Insurance Act of the State of Washington, as well as any similar coverage required for this work by applicable federal or"Other States" state law Minimum Limit: Statutory requirements of the state of residency 5 Stop Gap/Employers Liability Coverage shall be at least as broad as the protection provided by the Workers' Compensation policy Part 2 (Employers Liability) or, in states with monopolistic state funds, the protection provided by the "Stop Gap" endorsement to the general _ liability policy Minimum Limit: $1,000,000 C Deductibles and Self-Insured Retentions Any deductibles or self-insured retentions must be declared to, and approved by, the County The deductible and/or self-insured retention of the policies shall not apply to the Contractor's liability to the County and shall be the sole responsibility of the Contractor D38129 D/EMS 17—Kent F D 2008 SKCDPH-ALS/BLS Boilerplate Page 10 of 17 D Other Insurance Provisions The insurance policies required in this Contract are to contain, or be endorsed to contain, the following provisions 1 Liability Policies (Except Workers Compensation and Professional/Errors and Omissions) a The County, its officers, officials, employees, and agents are to be covered as additional insureds as respects liability arising out of activities performed by or on behalf of the Contractor in connection with this Contract (CG 2010 11/85 or its equivalent) b The Contractor's insurance coverage shall be primary insurance as respects the County, its officers, officials, employees, and agents Any insurance and/or self-insurance maintained by the County, its offices, officials, employees, or agents shall not contribute with the Contractor's insurance or benefit the Contractor in any way c The Contractor's insurance shall apply separately to each insured against whom claim is made and/or lawsuit is brought, except with respect to the limits of the insurer's liability 2 All Policies a Coverage shall not be suspended, voided, canceled, reduced in coverage or in limits, except by the reduction of the applicable aggregate limit by claims paid, until after forty-five (45) days prior written notice has been given to the County b Each insurance policy shall be written on an "occurrence" form, except that insurance on a "claims made' form may be acceptable with prior County approval Jf coverage is approved and purchased on a "claims made' basis, the Contractor warrants continuation of coverage, either through policy renewals or the purchase of an extended discovery period, if such extended coverage is available, for not less than three (3) years from the date of Contract termination, and/or conversion from a "claims made'form to an "occurrence" coverage farm E Acceptability of Insurers Unless otherwise approved by the County, insurance is to be placed with insurers with a Bests' rating of no less than A VIII, or, if not rated with Bests, with minimum surpluses the equivalent of Bests' surplus size VIII Professional Liability, Errors, and Omissions insurance may be placed with insurers with a Bests' rating of B+VII Any exception must be approved by King County. If, at any time, the foregoing policies shall fail to meet the above minimum requirements the Contractor shall, upon notice to that effect from the County, promptly obtain a new policy, and shall submit the same to the County, with appropriate certificates and endorsements, for approval D38129D/EMS17—Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 11 of 17 F Verification of Coverage The Contractor shall furnish the County certificates of Insurance and endorsements required by this Contract Such certificates and endorsements, and renewals thereof, shall be attached as exhibits to the Contract The certificates and endorsements for each Insurance policy are to be signed by a person authorized by that insurer to bind coverage on Its behalf The certificates and endorsements for each insurance policy are to be on forms approved by the County prior to the commencement of activities associated with the Contract The County reserves the right to require complete, certified copies of all required insurance policies at any time G Municipal or State Contractor Provisions If the Contractor Is a Municipal Corporation or a Contractor of the State of Washington and is self-insured for any of the above insurance requirements, a certification of self- insuran'oe shall be attached hereto and be incorporated by reference and shall constitute compliance with this Section H Insurance for Subcontractors If the Contractor subcontracts any portion of this Contract' pursuant to Section XIII, the Contractor shall include all subcontractors as insureds under its policies or shall require separate certificates of Insurance and policy endorsements from each subcontractor Insurance coverages provided by subcontractors as evidence of compliance with the Insurance requirements of this Contract shall be subject to all of the requirements stated herein I All Coverages and Requirements Nothing contained within these insurance requirements shall be deemed to limit the scope, application and/or limits of the coverage afforded by said policies, which coverage will apply to each insured to the full extent provided by the terms and conditions of the policy(s) Nothing contained within this provision shall affect and/or alter the application of any other provision contained within this Contract XIII. ASSIGNMENT/SUBCONTRACTING A The Contractor shall not assign or subcontract any portion of this Contract or transfer or assign any claim arising pursuant to this Contract without the written consent of the County Said consent must be sought in writing by the Contractor not less than fifteen (15) days prior to the date of any proposed assignment B "Subcontract" shall mean any agreement between the Contractor and a subcontractor or between subcontractors that Is based on this Contract, provided that the term 'subcontract" does not include the purchase of (1) support services not related to the subject matter of this Contract, or (2) supplies C The Contractor shall include Sections III D, IV, V, VI, VII, VIII, XI, XII, XIV, XV, and XXI, in every subcontract or purchase agreement for services that relate to the subject matter of this Contract D The Contractor agrees to include the following language verbatim In every subcontract, provider agreement, or purchase agreement for services which relate to the subject matter of this Contract D38129D/EMS17—Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 12 of 17 "Subcontractor shall protect, defend. Indemnify, and hold harmless King County, its officers, employees and agents from any and all costs, claims, judgments, and/or awards of damages arising out of, or in any way resulting from the negligent act or omissions of subcontractor, its officers, employees, and/or agents in connection with or in support of this Contract Subcontractor expressly agrees and understands that King County is a third party beneficiary to this Contract and shall have the right to bring an action against subcontractor to enforce the provisions of this paragraph " XIV NONDISCRIMINATION The Contractor shall comply with all applicable federal, state and local laws regarding discrimination XV. NONDISCRIMINATION IN SUBCONTRACTING PRACTICES A In accordance with the provisions of Washington Initiative 200, no County Minority and Women Business (MANBE) utilization requirements shall apply to this Contract No minimum level of MANBE subcontractor participation or purchase from M/WBE certified vendors is required and no preference will be given by the County to a bidder or proposer for their M/WBE utilization or M/WBE status The completion of County MNVBE forms which may be included in the Contract documents is not required Provided, however, that any affirmative action requirements set forth in any federal regulations or statutes included or referenced in the Contract documents will continue to apply B During the term of this Contract, the Contractor shall not create barriers to open and fair opportunities for MANBEs to participate in all County contracts and to obtain or compete for contracts and subcontracts as sources of supplies, equipment, construction and services In considering offers from and doing business with subcontractors and suppliers, the Contractor shall not discriminate against any person on the basis of race, color, creed, religion, sex, age, nationality, marital status, sexual orientation or the presence of any disability in an otherwise qualified disabled person C The Contractor shall maintain, until at least 12 months after completion of all work under this Contract, records and information necessary to document its level of utilization of MANBEs and other businesses as subcontractors and suppliers in this Contract and in its overall public and private business activities The Contractor shall also maintain, until 12 months after completion of all work under this Contract, all written quotes, bids, estimates or proposals submitted to the Contractor by all _ businesses seeking to participate in this Contract The Contractor shall make such documents available to the County for inspection and copying upon request If this Contract involves federal funds, Contractor shall comply with all record keeping requirements set forth in any federal rules, regulations or statutes included or referenced in the Contract documents D King County encourages the Contractor to utilize small businesses, including Minority- owned and Women-owned Business Enterprises ("MANBEs") in County contracts The Washington State Office of Minority and Women's Business Enterprises (OMWBE) can provide a list of certified M/WBEs Contact OMWBE office at (360) 753-9693 or on-line through the web site at www, wsdot wa aov/omwbel D38129D/EMS17-Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 13 of 17 E Any violation of the mandatory requirements of the provisions of this Section shall be a material breach of Contract for which the Contractor may be subject to damages and sanctions provided for by Contract and by applicable law XVI. CONFLICT OF INTEREST A The Contractor agrees to comply with the provisions of KCC Chapter 3 04 Failure to comply with any requirement of KCC Chapter 3 04 shall be a material breach of this Contract, and may result in termination of this Contract pursuant to Section II and subject the Contractor to the remedies stated therein, or otherwise available to the County at law or In equity B The Contractor agrees, pursuant to KCC 3 04 060, that it will not willfully attempt to secure preferential treatment in its dealings with the County by offering any valuable consideration, thing of value or gift, whether in the form of services, loan, thing or promise, in any form to any county official or employee The Contractor acknowledges that if It is found to have violated the prohibition found in this paragraph, its current contracts with the county will be cancelled and It shall not be able to bid on any county contract for a period of two years C The Contractor acknowledges that for one year after leaving County employment, a former county employee may not have a financial or beneficial interest in a contract or grant that was planned, authorized, or funded by a county action in which the former county employee participated during county employment Contractor shall identify at the time of offer current or former County employees involved in the preparation of proposals or the anticipated performance of Work if awarded the Contract Failure to identify current or former County employees involved in this transaction may result In the County's denying or terminating this Contract After Contract award, the Contractor is responsible for notifying the County's Project Manager of current or former County employees who may become involved in the Contract any time during the term of the Contract XVII EQUIPMENT PURCHASE, MAINTENANCE, AND OWNERSHIP A The Contractor agrees that any equipment purchased, in whole or in part, with Contract funds at a cost of $5,000 per item or more, when the purchase of such equipment is reimbursable as a Contract budget item, is upon its purchase or receipt the property of the County and/or federal/state government B The Contractor shall be responsible for all such property, including the proper care and maintenance of the equipment C The Contractor shall ensure that all such equipment will be returned to the County or federal/state government upon termination of this Contract unless otherwise agreed upon by the parties D The County will provide property tags so Contractor can mark property The Contractor shall admit County staff to the Contractor's premises for the purpose of confirming property has been marked with County property tags The Contractor shall establish and maintain Inventory records and transaction documents (purchase requisitions, packing slips, invoices, receipts) of equipment purchased with Contract funds D38129D/EMS17—Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 14 of 17 XVIII. PROPRIETARY RIGHTS The parties to this Contract hereby mutually agree that if any patentable or copyrightable material or article should result from the work described herein, all rights accruing from such material or article shall be the sole property of the party that produces such material or article If any patentable or copyrightable material or article should result from the work described herein and is jointly produced by both parties, all rights accruing from such material or article shall be owned In accordance with US Patent Law Each party agrees to and does hereby grant to the other party, Irrevocable, nonexclusive, and royalty-free license to use, according to law, any material or article and use any method that may be developed as part of the work under this Contract The foregoing products license shall not apply to existing training materials, consulting aids, checklists, and other materials and documents of the Contractor which are modified for use in the performance of this Contract The foregoing provisions of this section shall not apply to existing training materials, consulting aids, checklists, and other materials and documents of the Contractor that are not modified for use in the performance of this Contract XIX. POLITICAL ACTIVITY PROHIBITED None of the funds, materials, property, or services provided directly or indirectly under this Contract shall be used for any partisan political activity or to further the election or defeat of any candidate for public office XX KING COUNTY RECYCLED PRODUCT PROCUREMENT POLICY In accordance with King County Code 10 16, the Contractor shall use recycled paper for the production of all printed and photocopied documents related to the fulfillment of this Contract In addition, the Contractor shall use both sides of paper sheets for copying and printing and shall use recycled/recyclable products wherever practical in the fulfillment of this Contract XXI FUTURE SUPPORT The County makes no commitment to support the services contracted for herein and assumes no obligation for future support of the activity contracted herein except as expressly set forth in this Contract XXII ENTIRE CONTRACTMAIVER OF DEFAULT The parties agree that this Contract is the complete expression of the terms hereto and any oral or written representations or understandings not Incorporated herein are excluded Both parties recognize that time is of the essence in the performance of the provisions of this Contract Waiver of any default shall not be deemed to be a waiver of any subsequent D38129D/EMS17- Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 15 of 17 default Waiver or breach of any provision of the Contract shall not be deemed to be a waiver of any other or subsequent breach and shall not be construed to be a modification of the terms of the Contract unless stated to be such through written approval by the County, which shall be attached to the original Contract XXIII CONTRACT AMENDMENTS Either party may request changes to this Contract Proposed changes which are mutually agreed upon shall be incorporated by written amendments to this Contract XXIV. NOTICES Whenever this Contract provides for notice to be provided by one party to another, such notice shall be in writing and directed to the chief executive office of the Contractor and the project representative of the County department specified on page one of this Contract Any time within which a party must take some action shall be computed from the date that the notice is received by said party XXV. SERVICES PROVIDED IN ACCORDANCE WITH LAW AND RULE AND REGULATION The Contractor and any subcontractor agree to abide by the laws of the state of Washington, rules and regulations promulgated thereunder, and regulations of the state and federal governments, as applicable, which control disposition of funds granted under this Contract, all of which are incorporated herein by reference In the event that there is a conflict between any of the language contained in any exhibit or attachment to this Contract, the language in the Contract shall have control over the language contained in the exhibit or the attachment, unless the parties affirmatively agree in writing to the contrary D38129DlEMS17—Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 16 of 17 XXVI. APPLICABLE LAW This contract shall be construed and Interpreted in accordance with the laws of the State of Washington The venue for any action hereunder shall be in the Superior Court for King County, Washington IN WITNESS HEREOF, the parties hereby agree to the terms and conditions of this Contract KING C UNTY CONTRAC R OR King County ecutive il Si � 3 / r rl-- Date NA (Please type or print) 00, Date Approved as to Form OFFICE OF THE KING COUNTY PROSECUTING ATTORNEY D38129D/EMS17—Kent FD 2008 SKCDPH-ALS/BLS Boilerplate Page 17 of 17 Conti act# D38129D Exhibit A—SCOPE OF WORK KING COUNTY EMERGENCY MEDICAL SERVICES Basic Life Support Standards Agencies shall comply with the following standards in oidei to be eligible for basic life support services funding from King County Failure to comply with the standards adopted by King County pursuant to Chapter 2 26 of the King County Code or b) the County Medical Program Director pursuant to Chaptei 18 73 RCW, shall be sufficient grounds tot notification, remedsation, and possible termination of funding Review and modifications of BLS standards may be conducted on an annual basis Proposed changes will be submitted to the Emergency Medical Services Advisory Committee and local provider agencies for advisory comment prior to implementation I 'Personnel: All emergency medical services personnel supported directly by King County funds must be certified as Emergency Medical Technicians ad defined by RCW 18 73 Basic EMT training standards have been established by King County Emergency Medical Services fi Continuing Medical Education: EMTs will iemam certified as requited by WAC 246-976 Continuing Education and proficiency standards will beset by King County Emergency Medical Services and the Medical Program Director Agencies must report completion of education and skill proficiency updates to King County Emergency Medical Services in an agree upon summary format III Medical Standards: Each agency piovidmg emergency medical services shall adhere to standards of medical cafe tot the triage, teatment and transport of patient as author ized by the Medical Program Director pursuant to RCW 18 73 and 18 71, and Chapter 2 26 of the King County Code Standards of medical care are delineated in the King County EMS training cuniculum approved by the Washington State Department of Health, "Patient Care Guidelines for Basic Life Support", and in the 1996, 1997, 1998, 1999, and 2000 Competency Based Tiaming (CBT) modules Additional CBT modules will continue to be issued annually CBT modules-may also be offered by the EMS Division electronically via Intet net access a Scope of Practice: Evaluation and ueatment activities by EMTs from provides agencies not described in the standards of medical care are deemed outside the scope of practice Changes of additions to this scope of practice will be issued periodically by the Medical Program Duector b Record Keeping and Record Submission: The Medical Incident Report Form (MIRF) must be completed as soon as possible following an incident These reports should them be submitted to King County Emergency Medical Services, either electronically or by mail, within 30 days from the date the incident occur ted Agencies will be responsible tot retention of copies of the reports 1 ConudLL#D38I29D c Transportation Policy: Each piovidei will be responsible for developing a policy for the tiansport of patients from the incident scene to the treatment scene Such policy should provide for transportation based upon deteinunants of transport need, including medical necessity, mitigating cucumstances, and pi ovider budget The decision to transport a patient seen by BLS personnel will be determined by the patient's medical condition as desci abed in the Basic EMT cote curriculum and any mitigating circumstances The mode of transport will be consistent with the patient's medical condition and provide humane. efficient and expedient care Transpoit destinations should be consistent with the State Trauma System Activation Guidelines d King County Medical Quality Assurance/Quality Improvement Programs: Each BLS provider will agree to participate in a King County Medical Quality Assurance/Quality Impiovement program This program will be developed by King County EMS Division, with the assistance of the EMS Advisory Committee and BLS providers Elements of this program include 1) run review by clerical and provider personnel to ensure completeness, 2) run review by a reviewer(local paramedic or personnel from within the organization for medical appropriateness and compliance with King County Emergency Medical Services standards, 3) case follow up and discussion conducted by the run review personnel, and 4) paramedic involvement in CBT Training e Patient Confidentiality: Information concerning the evaluation and treatment of a patient by BLS personnel in the performance of their duties is to be handled as confidential mateual, including patient name, medical hrstoiy, incident location, or any other confidential information Confidential medical information may not be released unless the patient of his/her court- appointed representative completes and signs an Authorization for Release of Information form IV Equipment a All vehicles used to deliver emergency medical services must meet vehicle standards as established by the Washington State Department of Health pursuant to RCW 18 73, unless waived by the State Department of Health Office of EMS Trauma Prevention Licensing b Medical equipment used by personnel supported funds must meet appropriate federal or state standards or county prot9cols V Mutual Aid Agreements. Each public agency providing basic life support sei vices shall have written mutual aid agreement of similar arrangements is effect VI Proposed Research and Evaluation Activities Any proposed clinical research or evaluation activities involving pei sonnet, equipment or data supported directly of indirectly by King County funds must receive prior review and written 2 Contract# D33129D approval by the Medical Program Director and the King County Emergency Medical Services Division Manager and must be in compliance with State County and local iegulations and laws Vii Performance Indicators and Oversight: in accordance with findings of the EMS Financial Planning Task Force, the EMS Division—with the assistance of the EMS Advisoty Committee and the Financial Staff Team—shall develop mechanisms for improved petfotmance oversight by the EMS system and elected officials Performance indicators will be established and reviewed by King County EMS and reported by the EMS Division to each BLS agency and in public presentations Mitigation activities will be initiated with local providers if needed Reports will be distributed to provider agencies on a iegulat basis Standards for each provider will be monitored in the following major areas total call volume, average response time for code led calls, percent of response times greater than of equal to 4, 6, 8, and 10 minutes, out-of-service times, number of tiansports and mode of transport Additional performance indicators ma) be added, with the assistance of the EMS Advisory Committee and the Financial Staff Team VIiI Financial Indicators and Oversight: In accordance with findings of the EMS Financial Planning Task Force, indicators shall be developed which improve financial oversight by the EMS system and elected officials The EMS Division, in conjunction with the EMS Advisory Committee and the Financial Staff Team, shall develop reporting financial reporting measures that will include, but may not be limited to a Selection, development, and tracking of system costs b. A standard costing system for reporting dollar expenditures foi BLS activities c Funding allocation mechanism 3 Exhibit B-Budge[ Contract#D38129D EMEGENCY MEDICAL SERVICES FUNDS 2008 PROPOSED BUDGET-BASIC LIFE SUPPORT SERVICES Agency Name 6t-a Contact Person Title F �,�C Address Phone 9S3, s4, V3 00 BUDGET CATEGORY Amount Requested for BLS Salanes&Benefits EMT salaries _ Other Salaries rr /I;; Overtime Subtotal Salaries $ Subtotal Employee Benefits Subtotal Employee Salaries&Benefits Other Costs: ^ Medical Supplies&Equipment Office&Computer Supplies&Equipment Uniforms, Fire&Safety Supplies Dispatch Communications Vehicle Maintenance Facility Costs Training Misc Subtotal Other Costs $ 5 o O Total Operational Costs $ - Capital Costs 124 1, 73 Subtotal Capital Costs Subtotal Operational&Capital $ - Reserves(saved or used). p / GRAND TOTAL $ Provider Signature Dale e � j / cu ® o 0 20 j j f 1 ( � EIA - m 0 � � 4 L� � ) § CL o 3 p \ G £ � im \ x LU0 k | � LLI � § Q � U) \ � kE - E ( ] f 0 \ £ \ r \ E o ) f ] M 2 ° ) 2 \ \ k ) � - ( {% ; /CL \ / CL ) 2 � - § Ea / 2 / o0 _ 0 � f / 7 2i ; / EXHIBIT D Mission,Method, and Expectations Public Health Program Activities Provided by Community Partners A. Mission • The overall mission of Public Health —Seattle& King County is to provide public health services that promote health and prevent disease to King County residents, in order to achieve and sustain healthy people and healthy communities B. Method • One of the key methods that Public Health—Seattle & King County uses to support this mission and extend the reach of public health program activities is to engage in contractual partnerships with community based organizations This partnering activity increases access to needed and mandated health services, and enables community partner agencies and the people they serve to benefit from service models that are informed by sound public health principles and practices Community partner organizations, with the support of funds provided through this contractual relationship, extend Public Health's activities to promote population health, according to goals and outcomes determined under state and national performance standards C Expectations • Public Health expects that its community based contiactmg partners will perform contracted health services in accordance with the goals, performance measures, and accountability methods that are outlined in the program-specific exhibits that accompany this contract • Public Health will provide professional and technical assistance to community partner organization program staff in order to support the development and maintenance of strong and effective program services • Public Health and community partner organizations will collaborate in developing and performing program evaluation activities that ,Nil] measure the effectiveness of program efforts, including efforts to measure the impact of program activities on the health status of residents of King County IWA - Insurance Authority P 0 Box 88030 Tukwila, WA 98138 20-Mar-08 Certg: 5526 Phone 206-575-6046 Seattle King County Public Health Atm. Jeffrey Brown Fax ZO6-575-7426 401 5th Ave , Suite 1300 Seattle,WA 98104 RE City of Kent Basic Life Support Services - EMS Levy Monies Contract Evidence of Coverage The above captioned entity is a member of the Washington Cities Insurance Authority (WCIA), which is a self insured pool of over 123 municipal corporations in the State of Washington. WCIA has at least $1 million per occurrence combined single limit of liability coverage in its self insured layer that may be applicable in the event an incident occurs that is deemed to be attributed to the negligence of the member WCIA is an Interlocal Agreement among municipalities and liability is completely self funded by the membership As there is no insurance policy involved and WCIA is not an insurance company, your organization cannot be named as an "additional insured". Sincerely, els Z-1 - Eric B. Larson Deputy Director cc: Christopher Hills Linda Mock Bien" REQUEST FOR MAYOR'S SIGNATURE RCNT Please FIII In All Applicable Boxes WASHINGTON Routing Information (ALL REQUESTS MUST FIRST BE ROUTED THROUGH THE LAW DEPARTMENT) Ongmator " '?�?- Phone (Originator). Date Sent _ �,� Date Required' 3 _3 o Return Signed Document �;7 7 CONTRACT TERMINATION DATE: VENDOR NAME: DATE OF COUNCIL APPROVAL: Brief Explanation of Document All Contracts Must Be Routed Through the Law Department (This Area to be Completed By the Law Department) Received Approval of Law Dept Law Dept Comments. MAR 1 8 2006 KE T LAW DEPT Date Forwarded to Mayor Shaded Areas to Be Completed by Administration Staff Received. Recommendations & Comments Disposition: -9 Z®d ��— A Date Returned Iake5870 • 31,05