Loading...
HomeMy WebLinkAboutPR 20560: ADDITIONAL AMBULANCE PERMITS City of \ IJ ort rthu � Te.ras www.PortArthurTx.gov INTEROFFICE MEMORANDUM Date: August 31, 2018 To: The Honorable Mayor and City Council Through: Harvey Robinson, Interim City Manager From: Larry D. Richard, Fire Chief RE: Additional Ambulance Permits Introduction: This memo is to recommend that City Council not permit additional Emergency Medical Services (EMS) for the city until such time as City Council determines that it is in the best interest of the citizens of the city as stated in Chapter 114 Vehicles for hire Sec.114-34 (4) of The Port Arthur Code of Ordinances. Background: On August 16, 2018 Deputy Chief Havens, Fire Marshal Paul Washburn and I visited the offices of City Ambulance Service located at 7007 Wimbeldon Estates Drive, Spring, Texas. Owner Mohamad Massoud provided us with an informal tour of the facility including the dispatch office and business office. VIKING ENTERPRISES INC. DBA CITY AMBULANCE SERVICE is licensed by the Texas Department of State Health Services as a Texas Emergency Medical Services provider. Copies of insurance certificates appear to meet or exceed city ordinance requirements for Commercial General Liability and Automobile Liability. No proof of Medical Malpractice was provided. The business currently operates with three (3) dispatch consoles. Mr. Massoud indicated that his dispatchers are not EMD certified. If the permit is approved City Ambulance Service will need to obtain a local telephone number so there will be no cost for citizens to contact the dispatch center located in Spring, Texas. Generator backup power will have to be "Remember,we are here to serve the Citizens of Port Arthur" P.O.Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743 City of - girt rIt y. www.PortArthurTx.gov added to the dispatch center. Radio communications will have to be added to the dispatch center and vehicles prior to the start of operations. City Ambulance Service has never provided E911 EMS service and has no history of response times. City Ambulance does not currently have the ability to provide and staff an Emergency Medical Dispatch System as required by City Ordinance. On May 25, 2010 Acadian Ambulance Service purchased Stat Care EMS and became the sole provider of all E911 operations and transfers for the Mid-South Jefferson County service area. Acadian continues to provide satisfactory service to the citizens of Port Arthur. Acadian's permit renewal date is August 12, 2019. Bay Star Ambulance Service applied for a permit on May 14, 2010. Southeast Texas EMS applied for a permit on May 21, 2010. Guardian EMS applied for a permit on May 28, 2010. Concord EMS applied for a permit on July 10, 2017. All permit applications were denied by City Council. Budget Impact: None Recommendation: The Fire Chief recommends that no additional ambulance companies be permitted to operate in the City of Port Arthur. City Ambulance Service turned in an application for a permit to operate an ambulance service on July 17, 2018. While reviewing all aspects of the current EMS application as spelled out and required by the ordinance, I considered safety and stability of the EMS service for our citizens as the driving priority in my recommendation. "Remember,we are here to serve the Citizens of Port Arthur" P.O.Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743 P. R. No. 20560 10/31/2018 gt RESOLUTION NO. A RESOLUTION APPROVING THE APPLICATION OF VIKING ENTERPRISES INC. DBA CITY AMBULANCE SERVICE FOR AN AMBULANCE AGREEMENT WHEREAS, a company that desires to operate an ambulance within the City is required to file an application, under Chapter 114 of the Code of Ordinances; and WHEREAS, the City adopted Ordinance No. 10-05, which amended the code as it pertained to emergency medical vehicles; and WHEREAS, the application shall be verified under oath and provide the following: 1) The name, resident address, and telephone number of the owner of the ambulances for which an agreement is desired to be authorized; 2) The business name, telephone number, and address of the premise which is to serve as the base of operations from which the ambulance service will be originated; 3) The make, model, motor number, and correct state license plate number of the ambulance; 4) The experience of the applicant and his employees in the transportation and care of sick or injured persons; (5) The number and type, age and patient capacity of each private ambulance proposed to be operated by the applicant; (6) History of the response time of the owner in other similar cities; and (7) Rates to be charged. ; and WHEREAS, under Section 114-41 of the Code of Ordinances, the Agreement shall only be authorized if the applicant receives a determination by majority vote of the City of s.pr20560 Council that it is in the best interests of the citizens of Port Arthur that an ambulance agreement be authorized; and WHEREAS, Viking Enterprises Inc. dba City Ambulance Service has submitted a non-refundable application fee of $1,000, and an application, a copy of which is attached hereto as Exhibit "A"; and WHEREAS, the City Council has reviewed the comments of the Fire Chief, which are attached hereto as Exhibit "B"; and WHEREAS, it has been requested that the City Council authorize a Non-Exclusive Ambulance Agreement with Viking Enterprises, Inc. dba City Ambulance Service, in substantially the same form as attached hereto as Exhibit "C". NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR, TEXAS: Section 1. That the facts and opinions in the preamble are true and correct. Section 2. That the City Manager is herein authorized to execute the Non- Exclusive Ambulance Agreement with City Ambulance Service, in substantially the same form as attached hereto as Exhibit "C". Section 3. That the effective date of the Agreement shall begin on the day of , 2018, and it shall expire on the day of , 20 . Section 4. That a copy of the caption of this Resolution be spread upon the Minutes of the City Council. s.pr20560 READ, ADOPTED AND APPROVED on this day of A.D., 2018, at a Meeting of the City Council of the City of Port Arthur, Texas, by the following vote: AYES: Mayor: , Councilmembers: , NOES: Derrick Ford Freeman, Mayor ATTEST: Sherri Bellard, City Secretary APPROVED AS TO FORM: Val Tizeno, City Attorney APPROVED FOR ADMINISTRATION: Harvey Robinson, Interim City Manager s,pr20560 interoffice MEMORANDUM To: Andrew Vasquez, Finance Director From: Gwen Thibodeaux, Legal Assistant Date: July 31, 2018 Subject: City Ambulance Service - Application Fee City Ambulance Service has submitted an application for an Ambulance agreement for the operation of an ambulance service within the city along with a nonrefundable application fee of $1, 000. 00. Attached please find a check in the amount of $1, 000. 00, Check No. 773, for deposit. Thank you. cc: Harvey Robinson, Interim City Manager Larry Richard, Fire Chief s.fin.ance CityAmbulanceiiit Service iiir CITY OF PORT ARTHUR, TEXAS REQUEST FOR AMBULANCE PERMIT COMPANY INFORMATION Owner : Mohamad Massoud 9515 Champion Cove Dr Spring, Texas 77379 (713) 530-1902 Headquarters: Viking Enterprises Inc. DBA City Ambulance Service 7007 Wimbeldon Estates Dr Spring, Texas 77379 (281) 894-7100 Fleet Vehicles: 500, Ford 7.3 Powerstroke 2 Pi BLS/MIC F350 BOX 1FDWF36FX2EC65466 2002 JXX-0046 (Diesel) Capacity U 501, Ford 2 PT BLS/MIC E350 BOX 1FDWE3FS9EDB05315 2014 HVM-5874 V10 6.8 Triton _ Capacity U 528, Ford 2 PT BLS/MIC E350 1FDSS3ES7BDB13742 2011 DS2-G014 V10-6.8 Triton Capacity U 531, Ford 2 PT I BLS/MIC E350 1FDSS3EL8DDA47648 2013 CDN-0149 V8-5.4 Triton Capacity U 532, Ford V8- 5.4 (Wheeled 2 PT BLS/MIC E350 1FDSS3EL8EDA38918 2014 DJF-3957 Coach) Capacity U 533, Ford V8-5.4 Triton 2 PT BLS/MIC [350 1FDSS3EL4EDB10729 2014 FCP-9396 (Woodard) Capacity U 535, Ford V6-3.5 Ecoboost 2 PT BLS/MIC T250 1FDYR2CGXGKAZ6869 2016 GTF-0418 (Medix) Capacity U 536, Ford V6- 3.5 Ecoboost 2 PT BLS/MIC ?'250 1FDYR2CGOGKA26864 2016 GTF-0855 (Medix) Capacity U 537, Ford V6-3.5 Ecoboost 2 PT BLS/MIC T250 1FDYR2CG5GKA68656 2016 HSK-0310 (Medix) Capacity U 538, Ford V6-3.5 Ecoboost 2 PT BLS/MIC T250 1FDYR2CGOGKA68659 2016 HSK-0311 (Medix) Capacity U 540, Ford V6- 3.5 Ecoboost 2 PT BIS/MIC 1FDYR2CG3GKA96598 2016 HZN-8519 T250 (Medix) Capacity U CityAmbulanceiiI Service pr 541, Ford V6- 3.5 Ecoboost 2 PT BLS/MIC T250 1FDYR2CG4GKB15451 2016 HZN-8518 (Medix) Capacity U 542, Ford I V6- 3.5 Ecoboost 2 PT BLS/MIC T250 1FDYR2CG7HKA0272.5 2017 KKR-5737 (Medix) Capacity U 543, Ford V6-3.5 Ecoboost 2 PT BLS/MIC 1FDYR2CG4HKA02729 2017 HZT-9857 T250 (Medix) Capacity U 544, Ford V6-3.5 Ecoboost 2 PT BLS/MIC T250 1FDYR2CG8HKA02720 2017 JLY-4480 (Medix) Capacity U 545, Ford V6- 3.5 Eccboost 2 PT BLS/MIC 1FDYR2CG2HKA02728 2017 JLY-4481 1250 I (Medix) Capacity U 546, Ford V6- 3.5 Ecoboost 2 PT BLS/MIC T250 1FDYR2CG1HKA02719 2017 JLV-8609 (Medix) Capacity U 547, Ford V6-3.5 Ecoboost 2 PT BLS/MIC 1FDYR2CM6HKA19408 2017 JLV-8608 T250 (Medix) Capacity U 548, Ford V6- 3.5 Ecoboost 2 PT BLS/MIC 1FDYR2CG9HKA17579 2017 JLV 8607 T250 (Medix) Capacity U 549, Ford I V6-3.5 Ecoboost 2 PT BLS/MIC 1FDYR2CG1HKA3S252 2017 JLV-8606 T250 (Medix) Capacity U 550, Ford 1FDYR2CGOHKA35257 2017 JLV-8605 V6 3.5 Ecoboost 2 PT BLS/MIC T250 (Medix) Capacity U 551, Ford 2 PT BLS/MIC 1FDYR2CG4HKB18660 2017 JTC-6969 V6-3.7 NA(PEV) T250 Capacity U 552, Ford 2 PT BLS/MIC T250 1IDYR2CM7iiKB48435 2017 KHJ-7215 V6-3.7 NA(Miller) Capacity U 553, Ford 1FDYR2CM2HKB48438 2017 KH1-7216 V6- 3.7 NA(Miller) 2 PT BLS/MIC T250 Capacity U 555, Ford 2 PT BLS/MIC TZ50 1FDYR2CM2HKB32448 2017 KHJ-6944 V6- 3.7 NA(Miller) Capacity U 556, Fore 2 PT BLS/MIC 1FDYR2CM9HKB48436 2017 KHJ-6943 V6- 3.7 NA(Miller) T250 Capacity U 557, Ford 1FDYR2CM1HKB42856 2017 KNB-4551 V6- 3.7 NA(Malley) ! 2 PT BLS/MIC 1250 Capacity U 558, Ford 1FDXE4FS8HDC6112O 2017 KNB-4554 V6 3.7 NA{PES 2 PT BLS/MIC E450 BOX Steve) Capacity U 559 Ford T250 1FDYR2CM3JKA07156 2018 PV-2951 V6- 3.7 NA(Miller) 2 PT > BLS/MIC Capacity U 560 Ford 2 PT BLS/MIC T250 1FDYR2CM71KA07158 2018 KKF-8491 V6-3.7 NA(Miller) --^---- - --J 'Capacity U CityAmbulanceil I Serviceii 561 Ford T250 11-DYR2CM3JKA48323 2018 KKF-8493 V6 - 3.7 NA(Miller) 2 PT BLS/MIC Capacity U 562 Ford T250 1FDYR2CM5JKA48324 2018 KKF-8492 V6-3.7 NA(Miller) 2 PT BLS/MIC Capacity U 563 Ford T250 1FDYR2CM5JKAS0500 2018 KTG6787 V6- 3.7 NA(Miller) 2 PT BLS/MIC Capacity U 701, Ford V8-5.4 (Wheeled 2 PT BLS/MIC 1FDSS3EL6EDA38917 2014 DJF-3960 EIS() Coach) Capacity U 702, Ford 1FDSS3EL7DDB21481 2013 FMF-4011 V8-5.4 Triton 2 PT BLS/MIC E350 (Woodard) Capacity U DESCRIPTION OF EXPERIENCE City Ambulance Service has been providing Emergent and Non Emergent ambulance transportation across the State of Texas since 2007. City Ambulance sought to change the way private ambulance service operated, we identified a need in the community for an all MICU transport system to provide emergency and non-emergency ambulance transportation for what was then a relatively unknown thing, freestanding emergency centers that were beginning to service the communities in and around Houston. We shaped our service based on a 911 model, instead of a traditional "transfer" ambulance model. We broke the traditional mold of pre scheduled dialysis and doctors' appointments, and instead focused on urgent and critically sick and injured patients being transferred to facilities with a higher level of care. Dispatching units as calls come into our dispatch center, tracking units with advanced GPS technology, and strategically placing units to cover the areas with the highest historical call volume, adjusting through the day based on traffic conditions and maintaining our outstanding ETA's to the many facilities that count on us to provide the urgent response their patient's needs. Using this model we are able to cover the most area while efficiently utilizing our resources. All of the 27 ambulances we currently operate (with 6 extra reserve units), 12 here in Houston, 8 in Dallas, 4 in San Antonio, 2 in College station and one in Corpus Christi are staffed and equipped every day at an MICU level, with patient monitors capable of CityAmbulanceliic Servicer 12 lead cardiac monitoring, ETCO2, SpO2, NIBP, and are AED capable. Every unit is equipped with Automatic Patient ventilators, Electronic IV pumps, CPAP, and an extensive and progressive medical protocol with Rapid Sequence Intubation, advanced Pain Management. and Sedation protocols. We have multiple on duty supervisors on shift every day that stay mobile in their district to assist with critical patients, to ensure that our field staff is operating effectively and within our strict guidelines of behavior, and that all our standard operating procedures and medical protocols are followed at all times. With an eye on the future, City Ambulance was a very early adopter of an all electronic system, utilizing a Computer Aided Dispatch System, advanced real time GPS mapping technology, an ePCR system, an electronic cloud based supply, equipment, and narcotic tracking system, advanced narcotics safes with biometric locks, and a seamless billing system that pulls it all together. These systems make it possible for us to process call and dispatch data extremely efficiently, running various reports daily, weekly and monthly identifying over and underutilized resources, tracking call volumes, and anticipating the needs of our patients and facilities before they even contact our dispatch center. City Ambulance Service is dedicated to providing advanced level care both in the prehospital and interfacility setting, using a multi-tier QA/QI process, we evaluate every PCR for every transport, ensuring the accuracy of the report, quality of care that was given, ensuring the protocol was followed, and have a review process in place if there are any questions about how care was performed. City Ambulance Service completes all billing in-house, with a billing team on staff, we process over 2000 ambulance transports per month, we are able to bill all insurance claims in an efficient and timely manner, saving patients time, headache and hassle, and keeping billing in house allows us to control how claims get billed, allowing us to be flexible and adaptable to new and different systems. CityAmbulanceiiI Service ija- HISTORICAL RESPONSE TIMES Throughout our statewide operation City Ambulance Service maintains a Received to On Scene time for non emergency request for transfer in <30 mins for 95% of received requests, and for Emergency Requests for transfer we maintain a Received to On Scene time of<15 mins for 93% of Requested transports. City Ambulance Service does not currently hold a City or County contract to provide 911 services to residents, These response times are for requests for transfer from Hospitals, Freestanding Emergency Centers, Clinics, and Nursing Facilities. If contracted to provide 911 services with dedicated MICU response vehicles within an assigned service area, response times would be greatly reduced. AMBULANCE RATES ALS 2 BASE RATE $591.21 ALS EMERGENCY BASE RATE $408.47 ALS NON EMERGENCY BASE RATE $257.98 BLS EMERGENCY BASE RATE $343.98 BLS NON EMERGENCY BASE RATE $214.99 MILEAGE RATE/MILE $7.23 EVENT STANDBY/HR MIN 4 HR $100 REFUSAL BLS ASSESSMENT $150 REFUSAL ALS ASSESSMEN r S250 O J 3 c. mow ommi 00' KIM r, ' - r. • J...... f% _ i = JI_ r•-- A j — J- Ma MOM .... - _ :or.• ,,,,, J r. ^ -. _ i i ^ r - • ' ae • 7.4 f • r x 1 s. N •� le = j v h ACC)RD CERTIFICATE OF LIABILITY INSURANCE DATEiMNifOD/Yrir) C6110/20,8 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION AMMAD HIJA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO BOX 570986 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HOUSTON TX 77257 INSURERS AFFORDING COVERAGE !NAIC# INSURED INSURER A. Alain Specialty Insurance Co • VIKING ENTERPRISES INC 'INSURER D National Liability 8,Fire Insurance Co DBA CITY AMBULANCE SERVICE INSURER C PO BOX 740371 --_ INSURER 0: HOUSTON TX 77274 INSURER E COVERAGES 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TR OMR'Lj TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION! LTR!NSR GATE(MMIDDKY) DATE(MMlDONY) LIMITS GENERAL LIABILITY A , CIP 252449 01107!2018 01/07/2019 EACH OCCURRENCE $ 1.000.00C X COMMERCIAL GENERAL LIABILITY ' DAMAGE Ee accuTEna+ce S 100,000 )lI x)CLNt.1s MADE r Xl OCCUR MED EXP(Any one Demon) S 1000 X 1 Professional Lia'Diiity PERSONAL b ADV INJURY 5 1,000,000 GENERAL AGGREGATE S 2,000,000 GEM.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPOOPAGGr 5 2,000,000 PRO- - -- I 1 POLICY II/ECT I I LOC S I AUTOMOBILE LIABILITY 73 APS 070928 02t20/2018 02/20/2019 COMBINED SINGLE LIMIT ET A'Y AUTO (Ea acudent) 8 1,000,000 A; OWNED AUTOS • (PPeDlerperINJURY s ,)person) 300,000 X SCHEDULED AUTOS HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per Accident) X UNIUD — T-- -- -? PROPERTY DAMAGE 25.000 (Per accident) GARAGE LIABILITY I AUTO ONLY EA ACCIDENT AVY ALUM ( FA ACC E OTHER THAN AUTO ONLY AGO E XCESSA)MBRELLAUABILITY EACH OCCURRENCE S :1SCUR CLAWS MADE AGGREGATE `S S DEDUCTIBLE S RETENT'ON S f WORKERS COMPENSATION AND ; WC STATU- i OTW TORY LIMITS i ER CMPLOYERS'LIABILITY _.._—. _....__.._..__..._--. ANY.ROPRIE TOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 5 OFFI:EH,!-IFMEBEH EXCLUDED? 11 I EL.DISEASE--[A EMPLOYEE 5 yes.coscnbo urxld _ SPE-CIAL VROVISION$blow I E-L.DISEASE-POLICY LIMIT S 1 OTHER 1 I I I Il DESJ CRIPTION OF OPERATIONS!LOCATIONS!VEHICLES O EXCLUSIONS ADDED BY ENDORSEAENT I SPECIAL PROVISIONS SEE ATTACI IED ACORD FORM 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TEXAS DEPARTMENT OF STATE HEALTH SERVICES DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 5425 POLK STREET#J HOUSTON,TEXAS 77023 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 AL HIJA ACORD 25(2001)08) ACORD CORPORATION 1988 ADDITIONAL REMARKS SCHEDULE Page 1 of I intermediary Insured AMMAD HIDA INSURANCE AGENCY I VIKING ENTERPRISES INC Policy number DBA CITY AMBULANCE SERVICE 73 APS 070928 PO BOX 740371 HOUSTON TX 77274 Insurer NATIONAL LIABILITY&FIRE INSURANCE CO Effecter.Date: 02/2012018 ADDITIONAL REMARKS This Additional Remarks form is a schedule to ACORD form, Form Number: 25 Form Title: ACORD 25 2002-500,Ford F350 1 F0WF36FX2EC65466 2014-501,Ford E350 1FDWE3FS9EDB05315 2011-528,Ford E350 1FDSS3ES7BDB13742 2013-531,Ford E350 1FDSS3EL800A47648 2014-532,Ford E350 1FDSS3EL8EDA38918 2014-533,Ford E350 1FDSS3EL4EDB10729 2016-535,Ford T250 1FDYR2CGXGKA26869 2016-536,Ford T250 1 FDYR2CGOGKA26864 2016-537,Ford T250 1FDYR2CG5GKA68656 2016.538,Ford T2501 FDYR2CGOGKA68659 2016-540,Ford T250 1FDYR2CG3GKA96598 2016-541,Ford 1250 1 FDYR2CG4GKB 15451 2017-542,Ford 1250 1 FDYR2CG7HKA02725 2017-543,Ford 1250 1FDYR2CG4HKA02729 2017-544.Ford 1250 1 FDYR2CG8HKA02720 2017-545.Ford T250 1 FDYR2CG2HKA02728 2017-546.Ford 1250 1FOYR2CG1HKA02719 2017-547,Ford 1250 1F0YR2CM6HKA19408 2017-548,Ford T250 1 FDYR2CG9HKA17579 2017-549,Ford T250 1FDYR2CG1HKA35252 2017-550,Ford 7250 1 FDYR2CG0HKA35257 2017-551.Ford T250 1 FDYR2CG4HKB18660 2017-552,Ford 1250 1FDYR2CM7HKB48435 2017-553,Ford T250 1 FDYR2CM2HK848438 2017-555,Ford T250 1FDYR2CM2HKB32448 2017-556,Ford 1250 1 FDYR2CM9HKB48436 2017-557.Ford T250 IFDYR2CM1HKB42856 2017-558,Ford E450 1 FDXE4FS8HDC61120 2018 559,Ford T250 1 FDYR2CM3JKAO7156 2018-560,Ford 1250 1 FOYR2CM7JKA07158 2018.561,Ford T250 1 FDYR2CM3JKA48323 2018.562.Ford 1250 1FDYR2CM5JKA48324 2018.563,Ford T250 1 FUYR2CM5JKA80500 2014-701,Ford E350 1FDSS3EL6EDA38917 2013-702,Ford E350 1FDSS3EL7DDB21481 L__ J ACORD 3101 (2012102) ©2012 ACORD CORPORATION. All rights reserved. AMMO The ACORD name and logo are registered marks of ACORD EXHIBIT "B" s.pr20560 City of - \ cw...... ,,, t rthu � www.Po rtA rt h u rTx.gov INTEROFFICE MEMORAN D U M Date: August 31, 2018 To: The Honorable Mayor and City Council Through: Harvey Robinson, Interim City Manager From: Larry D. Richard, Fire Chief RE: Additional Ambulance Permits Introduction: This memo is to recommend that City Council not permit additional Emergency Medical Services (EMS) for the city until such time as City Council determines that it is in the best interest of the citizens of the city as stated in Chapter 114 Vehicles for hire Sec.114-34 (4) of The Port Arthur Code of Ordinances. Background: On August 16, 2018 Deputy Chief Havens, Fire Marshal Paul Washburn and I visited the offices of City Ambulance Service located at 7007 Wimbeldon Estates Drive, Spring, Texas. Owner Mohamad Massoud provided us with an informal tour of the facility including the dispatch office and business office. VIKING ENTERPRISES INC. DBA CITY AMBULANCE SERVICE is licensed by the Texas Department of State Health Services as a Texas Emergency Medical Services provider. Copies of insurance certificates appear to meet or exceed city ordinance requirements for Commercial General Liability and Automobile Liability. No proof of Medical Malpractice was provided. The business currently operates with three (3) dispatch consoles. Mr. Massoud indicated that his dispatchers are not EMD certified. If the permit is approved City Ambulance Service will need to obtain a local telephone number so there will be no cost for citizens to contact the dispatch center located in Spring, Texas. Generator backup power will have to be "Remember,we are here to serve the Citizens of Port Arthur" P.O.Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743 City of ri 1'1111[1' Ir . www.PortArthurTx.gov added to the dispatch center. Radio communications will have to be added to the dispatch center and vehicles prior to the start of operations. City Ambulance Service has never provided E911 EMS service and has no history of response times. City Ambulance does not currently have the ability to provide and staff an Emergency Medical Dispatch System as required by City Ordinance. On May 25, 2010 Acadian Ambulance Service purchased Stat Care EMS and became the sole provider of all E911 operations and transfers for the Mid-South Jefferson County service area. Acadian continues to provide satisfactory service to the citizens of Port Arthur. Acadian's permit renewal date is August 12, 2019. Bay Star Ambulance Service applied for a permit on May 14, 2010. Southeast Texas EMS applied for a permit on May 21, 2010. Guardian EMS applied for a permit on May 28, 2010. Concord EMS applied for a permit on July 10, 2017. All permit applications were denied by City Council. Budget Impact: None Recommendation: The Fire Chief recommends that no additional ambulance companies be permitted to operate in the City of Port Arthur. City Ambulance Service turned in an application for a permit to operate an ambulance service on July 17, 2018. While reviewing all aspects of the current EMS application as spelled out and required by the ordinance, I considered safety and stability of the EMS service for our citizens as the driving priority in my recommendation. "Remember,we are here to serve the Citizens of Port Arthur" P.O.Box 1089 X Port Arthur,Texas 77641-1089 .409.983.8101 X FAX 409.982.6743 EXHIBIT "C" s.pr20560 STATE OF TEXAS § § COUNTIES OF JEFFERSON § AND ORANGE § NONEXCLUSIVE AMBULANCE AGREEMENT WHEREAS, Viking Enterprises Inc. dba City Ambulance Service, (Company) has applied to provide ambulance service in the City of Port Arthur; and WHEREAS, all parties agree that Viking Enterprises Inc. dba City Ambulance Service has complied with the City of Port Arthur's application process which is delineated in Section 114-33 of the Code of Ordinances; and WHEREAS, Viking Enterprises Inc. dba City Ambulance Service acknowledges that the City of Port Arthur has the authority to regulate emergency medical service providers under Section 773.051 Health and Safety Code, V.T.C.A.; and WHEREAS, all parties agree that there has been full and adequate consideration for this nonexclusive ambulance agreement; and WHEREAS, the parties agree that the following terms are reasonable, appropriate, legal, and not unduly restrictive of business activities. NOW THEREFORE, in consideration of the promises and the mutual agreements of the parties contained herein, the City of Port Arthur and Viking Enterprises Inc. dba City Ambulance Service, agree with each other as follows: Section 1. This agreement as approved by City Council Resolution No. , for a term of three years from the date of execution of this contract. 1 Section 2. Viking Enterprises Inc. dba City Ambulance Service will maintain within the City of Port Arthur fully staffed MICU capable ambulances that are strategically located throughout the City of Port Arthur, or where there is more than one (1) provider, strategically located throughout an assigned district. Section 3. The Company will respond to all emergency calls for assistance and will respond to all requests for transportation of any sick person or injured to a hospital, regardless of inclement weather or other exigent circumstances. Section 4. The Company shall respond to all emergency calls referred by the fire department and shall provide adequate ambulances, dispatch facilities, and staffing to respond to such calls. Violation of this provision shall subject the Company to revocation of agreement. Section 5. The Company will not discriminate based on race, religion, national origin, or due to the financial status of the injured or ill. The Company must not refuse to render emergency medical service after responding to an emergency call for such service. Section 6. The company shall respond an MICU capable ambulance and a paramedic for calls which are represented as priority one calls, as defined in Section 114-31 of the Code of Ordinances and an MICU capable ambulance with a minimum of two Emergency Medical Technicians on all other calls. Section 7. Pursuant to Section 114-36 of the Code of Ordinances, every ambulance permitted under this article, when transporting patients, shall be staffed 2 with personnel certified by the Department of State Health Services. Section 8. Every ambulance shall be equipped with the equipment and supplies as required by state, federal, and local statutes, regulations, rules, provider's state approved protocols, and as specifically delineated in Section 114 the City of Port Arthur's Code of Ordinances. Every ambulance shall be subject to annual and periodic inspections as delineated in Section 114-35 of the City of Port Arthur's Code of Ordinances. Section 9. No ambulance which is unsafe or in any way unsuitable for ambulance service shall be operated by the Company. Section 10. Every EMS vehicle of the Company shall be equipped with a fully operational two-way radio communications system. EMS vehicles permitted to operate in the city shall be capable of communicating with hospitals in Jefferson County and Orange County having emergency medical facilities. EMS vehicles permitted to operate in the city shall be equipped with radio equipment capable of communication with the Port Arthur Fire Departments. Each EMS unit providing service in the city will be equipped with a mobile radio capable of communicating with the fire department. The EMS vehicles of the Company shall call "in route" and "on scene" on all medical emergency calls. Every ambulance operating in the city shall meet the requirements set forth in Section 114-35 of the Code of Ordinances. Section 11. Ambulances shall be required to transport patients in a prompt and safe manner. 3 Section 12. The Company agrees to provide for the arrival of an MICU capable ambulance and a paramedic within 480 seconds travel time to a minimum of 90 percent of the incidents represented as priority one calls. Travel times will start when the responding ambulance and paramedic receive notification from the provider's dispatch center and will terminate when the ambulance and paramedic have arrived. In the event that the ambulance unit, paramedic unit or fire unit arrives before the other responding units and downgrades the call from an emergency status, then the terminating time will be the first unit's arrival time. The Company agrees to set as performance objectives, call processing times of not more than 60 seconds for at least 90 percent of the calls represented as priority one calls and not more than 90 seconds for at least 99 percent of the calls represented as priority one calls. Call processing time will begin when the provider's dispatch center picks-up on the call and will terminate when the provider's responding units receive first notification. Section 13. The Company agrees that it will have a turnout time of no more than 60 seconds. Turnout time will begin when the emergency response facility or emergency response unit is notified and will end at the beginning point of travel time. Section 14. The Company agrees that in those instances where a paramedic is responding separately from the ambulance unit, the ambulance unit will be staffed with a minimum of two emergency medical technicians. The company agrees to provide backup assistance to all other permitted companies; however, the Company also agrees that should the Fire Chief determine that the practice of rolling calls by one provider to 4 another is degrading emergency medical response and the chief imposes restrictions on the practice, the company shall abide by the restrictions. Section 15. The company shall not operate or drive an ambulance on emergency calls on the public streets of the City at a rate of speed of more than ten (10) miles per hour in excess of the legal speed limit. The Company shall not operate or drive an ambulance on an emergency call in excess of ten (10) miles per hour while entering and passing through an intersection if such intersection is controlled by a stop sign or by a traffic signal, which indicates stop by displaying a red light. Section 16. At all times, ambulance drivers and emergency medical services personnel of the Company shall be required to wear personnel identification cards, name tags or other appropriate insignia which will visibly, clearly and quickly identify them as emergency medical services personnel and identify the degree of their Texas Department of State Health Services Certification, i.e. ECA, EMT, EMT-I, or EMT-P. Section 17. It shall be a violation of this contract for the ambulance Company to refuse to render emergency medical service after responding to an emergency call for service. It shall also be a violation of this contract for the Company to charge excessive rates or to charge for services not rendered. Section 18. The ambulance company shall furnish to the city secretary, on the initial issuance of its permit, a complete schedule of rates, and thereafter, whenever its rates change, a report containing the new rates and justification for the changes. The 5 ambulance company shall also make monthly reports on response times to the Fire Chief. The monthly response time report will be submitted electronically in a format specified by the Fire Chief. Section 19. The company shall staff and operate a radio and telecommunications ambulance dispatch facility twenty-four (24) hours per day to receive emergency calls and, as appropriate, to dispatch an ambulance(s) to respond to emergency calls, as delineated in Section 114-33 of the Code of Ordinances. Section 20. Prior to the initial use and operation of any vehicles as an ambulance, the vehicle and the premises from which it is operated shall be thoroughly examined and inspected by the fire department, and found to comply with the requirements of V.T.C.A., Health and Safety Code, Chapter 773, and the provisions stated herein. Section 21. Every ambulance operating under this article shall be subject to inspection at any time and shall be inspected by the City at least once every year. Section 22. Failure to meet the response requirements specified in this agreement and as delineated in subsection 114-33(c)(3) of the Code of Ordinances will result in the following liquidated damages: a. When the percentages are averaged over a rolling three-month period, $2,000.00 for each whole percentage point below the specified level. b. For any ambulance unit providing service in the City of Port Arthur found to be noncompliant with the permit, equipment, staffing, supplies or sanitation requirements 6 of federal statutes, state statutes, local ordinances and contract requirements, $250.00 per incident. Section 23. During emergency calls, the City of Port Arthur's Fire Department will, if resources are available, as determined by the Fire Chief, provide First Response Services at the site. Nevertheless, the ambulance company shall be primarily liable for taking such precautions as is expected, pursuant to federal, state, and local statutes, ordinances, regulations, rules, and approved protocols, to respond quickly to the scene with the proper equipment and trained personnel and transport the injured or ill to suitable medical facilities. The Company shall furnish to the City's fire department replacement supplies utilized by the fire department on medical calls provided the supplies are of like kind or compatible. Section 24. The Company shall seek qualified applicants for employment by advertising in the official newspaper of the City as to give Port Arthur residents a fair opportunity to apply for employment with the Company. Section 25. The Company shall hold the City harmless and shall indemnify the City from any and all acts or omissions of the Company as it pertains to the Company's ambulance services that it provides in the City of Port Arthur and as it pertains to the Company's accounting and financial practices. Section 26. The books and records of the company, with regards to response time, rates, accounting/financial practices and complaints, shall be subject to audit by the City. The Company shall produce to the City any correspondence or pleadings 7 which alleges that the Company has violated any regulation, ordinance, statute, Generally Accepted Accounting Practices (GAAP), or industry standards. Section 27. The Company shall comply with all federal, state and local regulations, ordinances and statutes in the provision of ambulance services and shall comply with Generally Accepted Accounting Practices (GAAP) in their accounting and financial practices. Section 28. The Company shall maintain insurance as required by Chapter 114 of the City Code of Ordinances and shall comply with all other provisions of the Code of Ordinances. Section 29. This agreement can be terminated by the City or by the Company for any reason with 180 days written notice. Nevertheless, the agreement can be terminated by the City at any time if the ambulance company violates any of the terms of this agreement or of Chapter 114 of the Code of Ordinances. Section 30. When the Company applied for a permit, the Company provided information to the City that the Company had the equipment, personnel, and financial capacity or credit to provide ambulance service in the City of Port Arthur during the term of this agreement. The Company shall provide interim reports to the City as reasonably requested as to the status of its equipment, personnel, financial capacity and financial credit. The Company shall also provide audited financials within 60 days of the end of the Company's fiscal year. They shall also provide to the City of Port Arthur such documentation as reasonably requested by the Fire Chief to monitor 8 compliance with the Agreement. If the Company ceases to provide ambulance service in the City of Port Arthur without providing 180 days notice and without providing ambulances as denoted in Section 114-33 of the Code of Ordinances, then the Company shall to the City of Port Arthur a fee of $100,000. Section 31. Any notice provided in the contract shall be given in writing to the parties by certified mail, return receipt requested as follows: TO CITY: COMPANY: CITY OF PORT ARTHUR VIKING ENTERPRISES INC. Harvey Robinson CITY AMBULANCE SERVICE Interim City Manager ATTN: Mohamad Massoud P. 0. Box 1089 7007 Wimbeldon Estates Port Arthur, TX 77641-1089 Spring, Texas 77379 Section 34. This agreement is effective the day of 201 and shall expire on the day of 201 . SIGNED AND AGREED to on the day of , 2018. CITY OF PORT ARTHUR: By: Harvey Robinson, Interim City Manager ATTEST: Sherri Bellard, City Secretary 9 SIGNED AND AGREED to on the day of _ , 2018. VIKING ENTERPRISES INC. DBA CITY AMBULANCE SERVICE BY: Print Name: Title: WITNESSED BY: 10