HomeMy WebLinkAboutContract 2249A q q
V A-
AGREEMENT FOR SERVICES
PERFORMED BY INDEPENDENT CONTRACTOR
THIS AGREEMENT is made on the _1st_ day of Janua , 2010 between the
CITY OF COLUMBIA HEIGHTS ("City"), whose business address is 590 40th Ave. NE,
Columbia Heights, MN 55421, and Medics Training Inc. ("Contractor"), whose
business address is 11441 Osage St.NW,Coon Rapids,MN 55433.
THE CITY AND CONTRACTOR AGREE AS FOLLOWS:
1. Independent Contractor. The City hereby retains the Contractor as an independent
contractor upon the terms and conditions set forth in this Agreement. The Contractor is not
an employee of the City and is free to contract with other entities as provided herein.
Contractor shall be responsible for selecting the means and methods of performing the work.
Contractor shall furnish any and all supplies, equipment, and incidentals necessary for
Contractor's performance under this Agreement. City and Contractor agree that Contractor
shall not at any time or in any manner represent that Contractor or any of Contractor's agents
or employees are in any manner agents or employees of the City. Contractor shall be
exclusively responsible under this Agreement for Contractor's own FICA payments,workers
compensation payments, unemployment compensation payments, withholding amounts,
and/or self-employment taxes if any such payments, amounts, or taxes are required to be
paid by law or regulation.
2. Contractor's Services. The Contractor agrees to provide services as described in Exhibit
A, attached and made a part of this Agreement. The Contractor shall, in the execution of
services, conform to all applicable federal, state, and local laws, codes, ordinances, and
regulations.
3. Time for Performance of Services. The Contractor shall perform the services according to
Exhibit A.
4. Compensation for Services. The City agrees to pay the Contractor for services as
described in Exhibit A. Compensation shall be in accordance with Exhibit B, attached and
made a part of this Agreement.
5. Method of Payment. The Contractor shall submit to the City,on a monthly basis, itemized
bills for professional services performed under this Agreement. Bills submitted shall be paid
in the same manner as other claims made to the City.
6. Termination. Either party,without cause,may terminate this Agreement by seven(7)days'
written notice delivered to the other party at the address written above. After termination,
the City shall have no further obligation to Contractor except to compensate Contractor for
services performed before Contractor's receipt of notice of termination.
7. Subcontractor. The Contractor shall not enter into subcontracts for services provided under
this Agreement, except as noted in Exhibit A, without the express written consent of the
City.
8. Assignment. Neither party shall assign this Agreement, or any interest arising herein,
without the written consent of the other party.
9. Indemnification. Contractor agrees to defend,indemnify and hold the City,its officers,and
employees harmless from any liability, claims, damages, costs, judgments, or expenses,
including reasonable attorney's fees, resulting directly or indirectly from an act or omission
(including without limitation professional errors or omissions) of the Contractor, its agents,
employees, or subcontractors in the performance of the services provided by this Agreement
and against all losses by reason of the failure of said Contractor fully to perform, in any
respect,all obligations under this Agreement.
10. Workers Compensation Insurance. Worker's compensation coverage shall be furnished
meeting minimum requirements of Minnesota law. The Contractor shall provide proof of
workers' compensation coverage and shall execute the form attached hereto.
11. Records Access. The Contractor shall provide the City access to any books, documents,
papers, and records which are directly pertinent to the Agreement,for the purpose of making
audit, examination, excerpts, and transcriptions, for three years after final payments and all
other pending matters related to this Agreement are closed.
12. General Liability Insurance. The Contractor shall provide the City a Certificate of
Insurance complying with the standard contractor's minimum coverage requirements of
$1,000,000. combined single limit naming the City of Columbia Heights as an additional
insured. Contractor's liability policy shall be so endorsed with a copy delivered to the City.
13. Data Privacy. The Contractor shall comply with Minnesota Statutes Chapter 13, The
Minnesota Government Data Practices Act. The Contractor shall not disclose non-public
information except as authorized by the Act.
14. Ownership of Documents. All plans, diagrams, analyses, reports, and information
generated in connection with performance of the Agreement shall become the property of
the City. The City may use the information as it sees fit. Such use by the City shall not
relieve any liability on the part of the Contractor.
15. Governing Law. The laws of the State of Minnesota shall control this Agreement.
Executed as of the day and year first written above.
CITY OF COL IA HFXGHTS CONTRAC OZ:
Ma o . � B
Y Y•
City Administrator'
Attest:
City Clerk
PROOF OF WORKERS' COMPENSATION
INSURANCE COVERAGE
Minnesota Statutes Section 176.182 requires every governmental subdivision entering
into a contract for doing any public work to obtain acceptable evidence of compliance with the
workers' compensation insurance coverage requirement of Section 176.181, subd. 2. The
information required is: the name of the insurance company, the policy number, and dates of
coverage or the permit to self-insure. This information will be collected by the licensing agency
and put in their company file. It will be furnished, upon request, to the Department of Labor and
Industry to check for compliance with Minnesota Statutes Section 176.181, subd. 2.
This information is required by law, and a contract for the doing of any public work may
not be entered into if it is not provided and/or is falsely reported. Furthermore, if this information
is not provided and/or is falsely reported, it may result in a penalty assessed against the applicant
by the Commissioner of the Department of Labor and Industry payable to the Special
Compensation Fund.
Provide the information specified above in the spaces provided, or certify the precise
reason your business is excluded from compliance with the insurance coverage requirement for
workers'compensation. / , /
INSURANCE COMPANY NAME: L -e 5 `fie ✓'"
(NOT the insurance agent) C cr
POLICY NO. OR SELF-INSURANCE PERMIT NO.: Al iojo/,01
DATES OF COVERAGE: f�Z,�3G,d2�c y - / /�e�,�&jC7
-OR-
I am not required to have workers' compensation liability coverage because:
❑ 1 have no employees covered by the law.
❑ Other(specify):
I HAVE READ AND UNDERSTAND MY RIGHTS AND OBLIGATIONS WITH REGARD TO
PUBLIC CONTRACTS AND WORKERS' COMPENSATION COVERAGE, AND I CERTIFY THAT
THE INFORMATION PROVIDED IS TRUE AND CORRECT.
Contr r(Sign ure)
Exhibit A Medics Training Incorporated
11441 Osage Street NW
Coon Rapids, MN 55433
763-755-0097-inedicstraininpinc(W?msn.com
EMT In-services & Test Scheduled for 2010
Gary Gorman,John Larkin and Dan O'Brien December 3,2009
Columbia Heights Fire Department
825-41 st Ave NE
Columbia Heights,MN 55421
Dear Gary,John and Dan:
Below you will find the dates and topics to review for training your department in 2010. Dates are
scheduled for the 2°d Monday of the month. Denny Nothnagel will be your main lead instructor.
Scheduled In-services and Training dates for 2010:
Date/Day: Course: Times: Content:
January 11 EMT In-service 7:00pm-9:00pm Medical variances and protocol
book updates(glucogon,ASA,
NTG,Nebs,etc.)(DN bring
syringes and NS)
February 8 EMT In-service 7:00pm-9:00pm Geriatrics and special needs pts.
March 8 CPRC Ref. 7:00pm-9:00pm CPRC-Ref. (In-house/No MTI)
April 12 EMT Test 7:00pm-9:00pm Trauma Patient Assessment
Practical Test Exam
May 10 EMT In-service 7:00pm-9:00pm Allina In-service(Ambulance
operations/radio procedures,etc)
(Denny observe)
June 14 No EMS drill(TBD??) 7:00pm-9:00pm Open drill night at this time
July 12 No EMS drill(TBD??) 7:00pm-9:00pin Open drill night at this time
August 9 EMT In-service 7:00pm-9:00pm Medical emergencies lecture
September 13 EMT Test 7:00pm-9:00pm Cardiac Arrest Mgmt.,AED,
Res-Q-Pod,Combitube(King)
October 11 EMT In-service 7:00pm-9:00pm Drugs/ETOH/OD/Impaired pts.
November 8 EMT In-service 7:00pin-9:00pm Respiratory and 02 lecture
December 13 EMT In-service 7:00pm-9:00pm Jeopardy/Eats
Your EMT test stations for 2010 are as follows:Cardiac arrest mgmt.,AED,Combitube,Res-Q-Pods and
Trauma Pt.Assmt.Skills. Throughout the year we will also cover SOP's and medication standing orders at the in-
services.Please call me with any changes that need to be made. Thank you.
Sincerely,
Mary Jo Gurney
Marketing Director/EMT
Exhibit B Medics Training Incorporated
11441 Osage Street NW
Coon Rapids, MN 55433
763-755-0097- medicstraininginc,,ii.msn.cotr2
EMT In-services & Test Scheduled for 2010
Gary Gorman,John Larkin and Dan O'Brien December 3,2009
Columbia Heights Fire Department
825-41 st Ave NE
Columbia Heights,MN 55421
Dear Gary,John and Dan:
Thank you for taking the time to review Medics Training, Incorporated programs. Outlined below is a proposal for
training at your facility in 2010.
Course Fees:
EMT In-services:2-3 hours
$200.00 per hour for up to 40 students.
EMT Test Nights Fees:x 3-4 a year
An additional$150.00 will be added to the EMT In-service invoice on EMT test nights.
AHA CPR Health Care Provider Course: 6-8 hrs(CPR Adult,Child,Infant,AED,BVM)
(AHA 2 year cards) Group Size Course Fees
1 -8 $ 775.00
9- 14 $ 1,155.00
15-20 $ 1,545.00
Over 20 $77.00 each additional student
AHA CPR Health Care Provider Ref Course:4 hrs(CPR Adult,Child,Infant,AED,BVM)
(AHA 2 year cards) Group Size Course Fees
1 -8 $ 515.00
9- 14 $ 750.00
15-20 $ 1,030.00
Over 20 $51.00 each additional student
Terms:Net fees due within ten days of scheduled course. Client is subject to cancellation fees if course is canceled
within 24 hrs of the scheduled starting time. Classes are invoiced according to confirmed group size.
If you have any questions,please do not hesitate to call. Thank you.
Sincerely,
Mary Jo Gurney
Marketing Director/E.M.T.