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HomeMy WebLinkAboutContract 22712271 Agreemen# This Agreement is made and entered into this date,Jan~ary 1, 2018 by and between Allina Health System, a Minnesota non-profit corporation, d/bJa Allina Haspitals and Clinics ("Allies Medical Transportation"~ located a# 167 Grand Avenue, St, Paul, Minnesota 55102 and C©iumbia Heights Fire department {uFirst Responder") having principal offices at 826 41 S~ Avenue NE, Columbia Heights, M1V 55421 1~1l~tnesseth 1/VHEREAS, First Responder is an entity engaged in providing emergency response, care and treatment services to patients within its geographical service area; and 1IUHEREAS, Allina Medical Transportation is the AI_S andlor RI_S service provider in First Responder's service area and has the personnel and resources to provide medical direction oversight to First Responder; and Allina Medical Transportation shall perform the Medical Educa#ion in a good, professional manner and in accordance with. (a} all applicable federal, state and local laws, including but not limited #o HIPAA privacy requirements and ttae federal health care program anti-kickback sta#u#e (United S#a#es Code, Title 42, §1320a-7b); (b~ substantial conformity #o industry andlor academic standards required for the Medical Educa#ion; (c) the requirements of this Agreement; Allina Medical Transportation represents and warrants that all of its employees, agents and associates whose Services may be used to fulfill A11ina Medical Transportation's obligations under this Agreement shall be properly trained to perform the Medical Education. Allina Medical Transportation agrees #o {i) develop and provide all required educational tools far the Medical Education, including but not limited to, handou#s, overheads, practice scenarios, and ceriifica#ion tests related to each of the Medical Educa#ion topics; (ii) provide all equipment required for practicing skills during the Medical Educa#ion, including but not limited to, mannequins, splints, and bandages; and {iii) complete on behalf of the participants of the Medical Education all required documentation for processing certifications, including but not limited to EMT 11 responder and APR cert~f~cat~ons, for the Medical Education parttr>ipan#s. All documentation_shall_ be_completed by Allina Medical Transportation in_ accordance_witl~_ the proper governing body in charge of the certification. 2. Contract Adminis#ra#ion. !i;ommunications between the First Responder and Allina Medical Transports#ion shall be coordinated though the paramedic coordinator ref Allina Medical Transports#ion assigned to First Responder; or through Allina's External Educa#ion Supervisor. Physician medical direction oversight will be provided through the Allina Medical Transports#ion Medical Director and such other physicians as Allina Medical Transportation may contract with from time-to-time for such services. 3. Additional Services, In addition to the medical director oversight identified above, Allina Medical Tran nation may make available from time-#o-time other services lnclud~ng, but not l~m~#ed #o, those servlce$ set #orth In Exh~b~# A attached hereto, The parties shall agree to the provision of any' a~~~iti~.~nal services. First flea nder Res~i~~ ~S~iaities. First Responder shall be lely respcnsil;ia fir the direction and control of its employees and the services provided by i#s employees when they are engaged in providing emergency response, care and treatment services to pa#ien#s. In no event shall Allina Medical Transportation be liable for the acts of First Responder or its employees. 5. Fee. In exchange for the services to be provided by Allina Medical Transportation, f=irst Responder agrees to pay Allina 111fedical Transportation the annual fees) set forth in Exhibit A attached hereto. Payment shall be due Allina Medical Transportation within thirty {3fl) days following the effective date of his Agreement and the remainder paid quarterly over the ter „~ of the Agreement. In the event Allina Medical Transports#ion terminates this Agreement prior to the expiration of the term hereof, Allina tvledical Transpr~~tatian shall refund to First Responder a pro rata portion s~f the annual fees), except that First responder is responsible for the costs of any medical direction oversight already provided. 2 6. Term and Termination, This Agreement shall be effective #or a #erm of two (2} years from the date hereof. This Agreement may be terminated at any time by either party, with or without cause, upon the giving of thirty {30) days written notice to the other. This Agreement will have an auto-renewal date of January 1, Zfli2. The auto- renewal will be for a period of no less than 2 years, and wit! include an increase of five point zera {5.U /) percent for 20f2 from 201 t prices, and then an addi#ional five point zero X5,11%) percent for 21113 based on the prices for 21112 for a1! listed offerings': Including those listed as "Per Request 7. Insurance. a. Allina Medical Transoortafion. Allina Medical Transportation agrees to maintain such policies of insurance, self-insurance reserves, or combinations thereof in amounts not less than $1,0OO,OtJ0.00 per occurrence and $3,0t)fl,flD0.00 umbrella coverage. In addition, Allina Medical Transportation agrees to hold harmless and indemnify First Responder from any and all liability which Responder may incur as a result of the negGgen# or intentional mi nduct of any Allina Medical Transportation employee providing services pursuant #o this Agreement. b, First Re rider. First Responder agrees to provide and maintain insurance with limits of not less than $1,OOO,flOt3.t'#0 per occurrence and $3,0l~{3,Oflt3.Ot3 annual aggregate. First Responder agrees to indemnify and hold harmless Allina Medical Transports#ian from any and all liability arising out of the negligent or intentional misconduc# of any of its employees. 8. Independent Contractor. In performing the medical direction oversight provided for under this Agreement, Allina Medical Transportation is acting as an independent contractor, t aS an employee or agent of First Responder, and nothing nta~ned herein shall be construed tU ConSt~tute Allina Medical Transportal~©n and First Responder a$ pa ers 9. ovemino i_aw, This Agreement shall be governed by and nstrued in a rdan with the laws of the State of Minnesota. I fl. Nothing herein shall constitute a waiver of any defense or limitation on liability established by M. S, Chapter 466. No person shall be considered as a third party beneficiary of this Agreement. Signature Page to immediately follow 3 IN WITNESS WHERE©F, the parties have entered into this Agreement as of the day and date first written above. Allina Medical Transportation Brian Crc~'n'x President .s By. ~ -~ ~ ~~ ~..~-~ ~"> ~,'.~.`:~ Date ~ .~ ,r~-~ . ~ . Charles Lick M.D. Medical Director f ,,,. ~' . a -~' ~y: >~ - .~' :` ~ . -~ - Date ~' : `~~°'~` W,~i~er Feh~t f City Manager EXHIBIT A Columbia Heights 1=tre Departmsrrt Medicai C3irecti4n c3versight Agr+eent Basic Package 2014 241 ~ • Medical director $480.00 $ 521.44 Administration Includes lUlonth~y Elt+9S Drills, BLS Quality Assurance use of Allia Medical Tra~spo~la#icgn I'r~tt~cc~ls included la~cluder~ ~~1T/first Responder refresher NC> LC3NGER includes GPR renewal per EMSRB regulations TOTAL PACKAGE COST: 1i309.Od3 241 ti. 249 9 Cost ~ S21.t'~3 The 201{3 gJie~ical [3irector Contract will a paid March 9, 2414 e 2f~9 ~ ~y"~~F~a! ~~rectt~r OCi;ira rill b+e paid .larouar~e 3, 2419 This Agreerr~en~ !mill Dave an auto-renewal date of.lanuar3+ 1, 2Li12_ The ,auto-rene ~~-a1 ~~~ i111~e tvr a ~er,'~i ref r~o less than 2 year ~, ar~d will dude an lncr of five pnlrrt z ~ per t for 21)12 : .~ ~Y ;l i p -- Then an additional fhre point zero percent for 2013 based on the prfces for 21)i2 for all listed offerin#as" Including those listed as "Per Request'; E~CH~B~T B Columbia Heigh#s Fire Department Medical @irection flversigh# Agreemerrt • lnotial Courses • El~1T's • Forst Responders • Healthcare Provider CPR EMTIFirst Responder initial ND Lt)NGER includes GPR renewal per EMSRB regulations Fee ~ched~I~e - ~9e~ice~ ~ireet~car~ I'ac~cage Course Cif#er~ngs Course First Responder Initial Refiresher Test Fee EMT Basic Initial e#resher Test Fee Csc. Fee tiCP PR $324.44 $336.00 $929.44 $927..05 $59.40 $69.95 $793.44 _$832,65 6.~ $237.30 ~i59.40 $69.95 X679.00 ~2'~''-9 $45,40 $47.25 1695.00 X95.75 ~s6.40 $69.30 Physician Presentation ~44 $247.80 6 i11dPt3RTA~IT ti the ~ holder Is an Ad3D111CN+iAL IMSUREI~, the policy~'rss) muss be endorsed. A statement on this certificate does not confer rights to the certificate hoiden 1n lip s~f sur~a endorsement{s}. tf St18RC9GATtL~+i IS WAt1lED, SUtt t0 the terms and CQI]dittOnS of the ~~y, certain pvl~aes may r kre 2Ni endomen#. A statement tlrl th1,4 CertitiGate does r1C/t confer rights to the cerfificat@ hoer in i~u rsf such endarssnaent{s}. r o- T3~s t:etti of to does rus# rstihste a c:on#racf en the issuing ~asurer{s}. au ed representative . anal the cerkiflcats holder'. nor does it atfirmativety or negatively amend, attar the s afforded by the poC~cies meted theteo:~. ACORD,~ GERTfFI~ T CAF L1~4 ILITY ISU i~C 5/8%2009 ' PRODUCER. {651} 460-6014 FAX: (651} 460-6625 first national insurance Ross Nesbit Agencies, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND COtVFERS N4 RIGHTS UPON THE CERTIFICATE HOLDER. THIS. CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3:24 Oak St, PO Box 130 Farmin ton MN 55024-0130 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:Lea a Of Minnesota City of Columbia Heights INSURER B: 5 9 0 4 0th Ave NE INSURER C: INSURER D: COlumbi.a Heights MN 55427.. INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED dR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. A -GREGATE LIMI WN AY HAVE BEEN REDUCED BY PAID CLAIMS. WSR ADO'! TYPE OF INSURANCE POLICY NUMBER DATE MM/ODE DATE MM/DDlYYON LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 1,500,000 X COMMERCIAL GENERAL LIABILITY PREM SESOEaExeur ante S SOO, OOO A CLAIMSMAGE ~ OCCUR CMC30748 6/1/2009 6/1/2010 MEDEXP An ono arson S EXClnded PER NAL & RDV INJURY $ 1 r 500 , 000 GENERA.! AGGREGATE 5 GEN'L AGGREGATE LIMIT APPLIES PER: _ PR D QTS_ ~;QMPIQP AGG S ~- r 540 e 000 POLICY JE ~ LOC , _ , AUT OMOBILE LIABILITY COMBINEG SINGLE LIMIT 1 500 000 ~' ANY AUTO (Ea accident) ~ , , A ALL OWNED AUTOS CMC29561 6/1/2009 6/1/2010 gODILYINJURY SCHEDULED AUTOS (Per person} S HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident} S PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDEWT $ ANY AUTO OTHER THAN EA ACC ~ ,_ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY E R N E $ 1 , 000 , 000 OCCUR ®CLAIMS MADE AGGREGATE $ 1 , 000 , 000 5 A DEDUCTIBLE MEL66479 6/1/2009 6/1/2010 ~ RETENTION $ $ A WORKERS COMPENSATION AND WC STATUS X OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT S 1 r 500 , 000 OFFICER/MEMBEREXCLUDED? 0020010370$ 1/1/2010 1 1 2011 I / E.L. DISEASE - EA EMPLOYEE S If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 1 500 , 000 $ r OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Allina Health System, a Minnesota non- profit corporation, d/b/a Allina Hospital Clinics 167 Grand Ave St Paul, MN 55102 RD 25 (2601/ORl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE -.. First National t7 ACORD CORPORATION 1988 inicnac ,,,,,,,,, ,,,,_ 6MPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate daes not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s}. DISCLAfMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer{s}, authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGORD 25 (2001/08y Page 2 of 2 INS025 ~o1oe>.osa