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HomeMy WebLinkAboutPR 23596: TO TERMINATE THE NON-EXCLUSIVE AMBULANCE AGREEMENT WITH ACADIAN AMBULANCE SERVICE, INC. P.R.No. 23596 02/07/2024 ht RESOLUTION NO. A RESOLUTION AUTHORIZING THE CITY MANAGER TO TERMINATE THE NON-EXCLUSIVE AMBULANCE AGREEMENT WITH ACADIAN AMBULANCE SERVICE, INC. AS IT PERTAINS TO PROVIDING AMBULANCE SERVICE IN THE CITY OF PORT ARTHUR. WHEREAS, On October 16,2023,the City Council made a Motion approving a proposed contract for the operation of ambulance services with Acadian Ambulance Service, Inc., effective December 5, 2023; and, WHEREAS, on February 1, 2024, Acadian Ambulance Service submitted a notice to terminate its Non-Exclusive Ambulance Agreement with the City of Port Arthur as described in Exhibit"A". NOW THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PORT ARTHUR: THAT,the facts and opinion in the preamble are true and correct; and, THAT, the Non-Exclusive Ambulance Agreement between the City of Port Arthur and Acadian Ambulance Service, Inc. is hereby terminated; and, THAT, Acadian Ambulance Service will cease operation in the City of Port Arthur by March 2, 2024. THAT a copy of the caption of this resolution be spread upon the minutes of the City Council. READ, ADOPTED AND APPROVED THIS day of 2024 at a Regular Meeting of the City Council of the City of Port Arthur. Texas, by the following vote: P. R. No. 23596 02/07/24 ht AYES: Mayor Councilmembers: NOES: Thurman Bartie, Mayor ATTEST: Sherri Bellard, City Secretary APPROVED AS TO FORM: (17.0)- Valecia Tizen , City Attorney APPROVED FOR ADMINISTRATION: Ronald Burton, City Manager P. R. No. 23596 02/07/24 ht EXHIBIT "A" radian ESOP; 111111 '1ULANCE SEItWYC 4. NATIONALLY P.O.Box 92970•LAtAYETrE,LA • 70509-2970 ANDULOCE ACCREDITED Dcsuml 511 800-259.1111 AONI Isnurtol' 337-291-3333 800-259-3333 BILLING 800-159-2222 February 1, 2024 Certified Mail No.: 7021 1970 0000 4341 2494 Return Receipt Requested City of Port Arthur Attn: Ron Burton, City Manager 444 4th Street Port Arthur, TX 77641-1089 Re: Termination of Non-Exclusive Ambulance Agreement Dear Mr. Burton, Please allow this letter to serve as formal notification of termination of the Non- Exclusive Ambulance Agreement between Acadian Ambulance Service, Inc and City of Port Arthur which was effective as of November 1, 2023. As stated in Section 39 of the Agreement, this correspondence officially serves as thirty(30) day written notice and terminates the Agreement as of March 2, 2024. The termination of this Agreement does not relieve any Party of its respective duties, obligations and liabilities arising from or incident to Services performed or to be performed under this Agreement before the termination, including without limitation,terms of payment, confidentiality obligations, audit rights and indemnities. If you have questions regarding this matter, please feel free to contact me directly at justin.back@acadian.com and/or 337.501.7771. Respectfully, in Back President Acadian Ambulance Service, Inc. cc: Contract File 3220.1 f ' 1 NONEXCLUSIVE AMBULANCE AGREEMENT WHEREAS, Acadian Ambulance Service, (Permit holder) has applied to provide ambulance service in the City of Port Arthur; and WHEREAS, all parties agree that Acadian 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, Acadian Ambulance Service acknowledges that the City of Port Arthur has the authority to regulate emergency medical service providers under Section 773.051 of the Health and Safety Code, V.T.C.A.; and WHEREAS, the 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 Acadian Ambulance Service agree with each other as follows: Section 1. This agreement as approved by a motion by City Council on October 24,2023 for a term of one year from November 1, 2023 November 30, 2024. A certified copy of the motion is attached as Exhibit"A". Section 2. Acadian Ambulance Service will maintain fully staffed MICU capable ambulances that are strategically located throughout the City of Port Arthur, or Non-exclusive ambulance agreement 2023 Page 1 where there is more than one (1) provider, strategically located throughout an assigned district on a shift-to-shift basis. Section 3. The permit holder will respond to all emergency calls for assistance and will respond to all requests for transportation of any sick or injured person meeting medical necessity guidelines for ambulance transportation, to the nearest and most appropriate medical hospital, regardless of inclement weather or other exigent circumstances, except to the extent such circumstances qualify as an "Event of Force Majeure" defined as neither Party shall be liable to the other for any delays, suspensions, damages, or failure to act caused by Force Majeure, which shall mean, for the purposes of this Agreement, any event that is beyond the reasonable control and foresight of the Party unable to perform and which could not have been prevented or avoided by the exercise of due diligence,prudence, or the adoption of reasonable precautions. Such Force Majeure events include hurricanes, tornados, National Weather Service named storms, wind events, loop/eddy currents, fire, explosion, acts of terrorism or piracy, riot or civil disturbance, flood, sabotage, Coast Guard or government orders or decrees, strikes and labor disputes. Furthermore, response time obligation shall be suspended during any Event of Force Majeure or any case of a Mass Casualty where call load exceeds the norm for the same time period averaged for the past 72 hours. Section 4. Subject to Section 3 above,the permit holder shall respond to all emergency calls referred by the fire department and shall provide adequate ambulances, Non-exclusive ambulance agreement 2023 Page 2 dispatch facilities, and staffing to respond to such calls. Violation of this provision shall subject the Permit holder to revocation of the agreement. Section 5. The permit holder will not discriminate based on race, religion, national origin, or due to the financial status of the injured or ill. The Permit holder must not refuse to render emergency medical service for all medically necessary transports after responding to an emergency call for such service. Section 6. The permit holder shall respond with 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 with personnel certified by the Department of State Health Services. Section 8. Every ambulance shall be equipped with the equipment and supplies required by state, federal, and local statutes, regulations, rules, permit holder state approved protocols, and as specifically delineated in Chapter 114 of 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 used to fulfill any of the permit holder's obligations under this Agreement. Section 10. Every EMS vehicle of the Permit holder shall be equipped with a fully operational two-way radio communications system. EMS vehicles permitted to operate in the city Non-exclusive ambulance agreement 2023 Page 3 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 portable radio equipment capable of communication with the Port Arthur Fire Department. 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 permit holder 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. Section 12. The permit holder agrees to provide for the arrival of an MICU capable ambulance and a paramedic within 480 seconds travel time to for a compliance rate of at least 90 percent of emergency calls. For calls that are non-emergency or downgraded to non-emergency response,the minimum response time shall be 960 seconds time travel for a compliance rate of at least 90 percent of non-emergency or downgraded to non-emergency calls. Compliance with response times to be evaluated on a monthly basis. Travel times will start when the responding ambulance and paramedic receive notification from the permit holder's dispatch center and will terminate when the ambulance and paramedic have arrived at the incident. 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 Permit holder 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 emergency calls. Call 11 Non-exclusive ambulance agreement 2023 Page 4 I processing time will begin when the permit holder dispatch center picks-up on the call and will terminate when the permit holder responding units receive first notification. Section 13. The permit holder agrees to furnish Port Arthur dispatch notification of expected extended response times and"level zero"conditions when there are no available MICU capable ambulances within the boundaries of the City of Port Arthur. Section 14. The permit holder agrees that it will have a turnout time of no more than 60 seconds. Turnout time is a measurable time segment beginning when the emergency response unit is notified of an EMS incident and will end at the beginning point of travel time. Section 15. The permit holder agrees to furnish a staffed ambulance with Paramedic to all major scene standbys, such as Structure Fires or Hazardous Materials Incidents, and who shall report to the Incident Commander. The staffed ambulance and Paramedic shall manage all medical and firefighter rehabilitation operations. A replacement staffed ambulance shall be dispatched to major scene standbys in the event the initial unit or subsequent units transport patients to the hospital. Section 16. The permit holder 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. Section 17. The permit holder agrees to furnish backup assistance to all other permitted entities; however, the permit holder also agrees that should the Fire Chief determine that the practice of rolling calls by one provider to another is degrading emergency medical response, and the Chief imposes restrictions on the practice, the permit holder shall abide by the restrictions. Non-exclusive ambulance agreement 2023 Page 5 Section 18.EMS transfer request response time averages shall not exceed 30 minutes. The emergency hospital to hospital transfers response time shall start when the EMS permit holder is notified of the request. All other medically necessary response times shall start when the transferring facility and the receiving facility approve the transfer and all preauthorization requirements are met. In the event an EMS permit holder's response time is in excess of 30 minutes, the permitted permit holder may enlist transport from a proxy service. Any complaints regarding transfer operations should be directed to the Fire Chief. These services are reasonably necessary to protect the public health pursuant to V. T. C. A., Health Safety Code § 121. 003. Section 19.The permit holder shall participate in any Post Incident Analysis(PIA)sessions initiated by the Port Arthur Fire Department as a means to assess operations for learning and improvement. The permit holder agrees to send personnel on scene at the incident to the PIA at no cost to the city. Section 20. The permit holder shall participate in monthly Quality Assurance/Quality Improvement(QA/QI) meetings with Port Arthur Fire Department. Section 21. Ambulances shall be required to transport patients in a prompt and safe manner. It shall be unlawful to operate or drive an ambulance on an emergency call 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. Section 22. It shall be unlawful to 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. Non-exclusive ambulance agreement 2023 Page 6 Section 23. At all times, ambulance drivers and emergency medical services personnel 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 Certification,i.e.,ECA,EMT,EMT- I or EMT-P. Section 24. Each ambulance company shall respond to all 911 calls referred by the fire department during the company's shift 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 25. It shall be a violation of this contract for the ambulance permit holder to refuse to render emergency medical service after responding to an emergency call for service other than as otherwise set forth herein. It shall also be a violation of this contract for the Permit holder to charge rates in excess of their usual and customary charges or to charge for services not rendered. Section 26. The ambulance permit holder 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 ambulance permit holder 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 which is not in violation of the Health Insurance Portability and Accountability Act or any other federal, state or local regulation. Non-exclusive ambulance agreement 2023 Page 7 Section 27. The Permit holder 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 28. Prior to the initial use and operation of any vehicles as an ambulance, the vehicle and the dispatch office shall be thoroughly examined and inspected by the fire department, and found to comply with the equipment requirements of state, federal and local statutes, regulations, rules and ordinances, and the provider' s state approved protocols. Furthermore, the ambulance companies will also have the following equipment on their ambulances: 1) Fire extinguisher (mounted and accessible). 2) No smoking signs (one in patient compartment and one in cab). 3) One copy " Emergency Response Guide Book". 4) Medical protocols with a medical supervisor's signature. 5) An ambulance inspection permit displayed on a window of the unit. Section 29. Every ambulance operating under this article shall be subject to inspection at any reasonable time which shall not adversely affect patient care or response times and shall be inspected by the City at least once every year. Section 30. Because the City of Port Arthur may suffer damages from any violation of this article, which damages may be uncertain and difficult to quantify, the EMS permit holder by accepting the issued permit agrees to the following schedule of liquidated damages: Non-exclusive ambulance agreement 2023 Page 8 • 1) For failure to meet the response time requirements specified in section 114- 33, when the percentages are averaged for a calendar- month, liquidated damages ofS 2, 000. 00 shall be assessed for any average below 90 percent. 2) For failure to meet the response time requirements specified in section 114- 33 for two consecutive calendars months on a minimum of 90 percent of emergency calls, the EMS permit holder shall be assessed liquidated damages of$ 3, 000. 00 for each percentage below the 90 percent level. Each additional month of non-compliance thereafter will result in an additional liquidated damages of$ 1, 000 per percentage point below the 90 percent level. 3) For failure to meet the response time requirements specified in section 114- 33, when the percentages are averaged for a three-calendar month period,liquidated damages of $4,000.00 shall be assessed for any average over 30 minutes. Additional liquidated damages of$2000.00 shall be assessed for each additional minute, or part thereof, over the specified level of response time. 4) For failure to meet the response time requirements specified in section 114- 33 for two consecutive months on a minimum of 90 percent of non- emergency calls, the EMS permit holder shall be assessed liquidated damages of$4,000. 00 for each percentage below the 90 percent level. Each additional month of non- compliance will result in additional liquidated damages of$1,000. 00 per percentage point below the 90 percent level. 5) For any ambulance unit providing service in the city found to be noncompliant with the permit, equipment, staffing, supplies or sanitation requirements of Non-exclusive ambulance agreement 2023 Page 9 federal statutes, state statutes, local ordinances and contract requirements, liquidated damages of$ 500. 00 shall be assessed per incident. 6) If a MICU ambulance and paramedic has an extended response time of more than 15 minutes to any emergency call, liquidated damages of$1,000. 00 will assessed per incident. 7) If a MICU ambulance and paramedic has an extended response time of more than 20 minutes to any non-emergency call, an additional liquidated damage of $250.00 will assessed per incident. 8) The EMS permit holder shall provide the Fire Chief response time analysis of the previous calendar month by the 15th of the following month. A liquidated damage of $500.00 will be assessed if response time analysis is not made available to the Fire Chief by the 15th of the following month. Section 31. Written notice of any liquidated damages assessed shall be given to the EMS permit holder in a timely manner. The EMS permit holder will have (10) ten business days from receipt of the notice to appeal the assessment to the fire chief. Section 32. During emergency calls, the City of Port Arthur's Fire Department will, if resources are available, as determined by the Fire Chief, provide First Responder Services at the site. Nevertheless, the ambulance permit holder shall be primarily responsible 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 permit holder Non-exclusive ambulance agreement 2023 Page 10 • 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 33. The permit holder 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 permit holder. Section 34. Independent of the requirement to provide insurance, each EMS provider must indemnify, hold harmless and defend the city, its officers, agents and employees from and against liability for any and all claims, liens, suits, demands, and/or actions for damages, injuries to persons including death), property damage ( including loss of use), and expenses, including court costs and attorney' s fees and other reasonable costs arising out of the EMS transport provider's work and/or activities conducted in connection with this ordinance, including all causes of action based upon common law, constitutional, or statutory law, or based in whole or in part upon the negligent or intentional acts or omissions of the EMS Permit holder, its officers, agents, employees, subcontractors, licensees, invitees, and other persons. Section 35. The books and records of the permit holder, with regard to response times, rates, accounting/financial practices, and complaints shall be subject to confidential audit by the City. The permit holder shall produce to the City any correspondence or pleadings which alleges that the permit holder has violated any regulation, ordinance, statute, Generally Accepted Accounting Practices (GAAP), or industry standards in the provision of services under this Agreement. Non-exclusive ambulance agreement 2023 Page 11 Section 36. The permit holder 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 37. The permit holder shall maintain insurance as required by Chapter 114 of the City of Port Arthur's Code of Ordinances and shall comply with all other provisions of the Code of Ordinances. Section 38. In the event of a default by Permit Holder the City may provide Permit Holder with a reasonable opportunity to cure, or the City may immediately terminate this Agreement. The City will give Permit Holder thirty(30)days written notice setting forth the nature of the default and an opportunity to cure. In the event of termination,Permit Holder will cooperate fully and immediately with the City to affect a prompt and orderly transfer of all responsibilities. Permit Holder may dispute a default asserted by the City;however, such dispute will not delay, in any manner,the transfer of operations. Permit Holder agrees that all rights and remedies afforded to the City in the event of termination are reasonable and necessary for the protection of public health and safety. Permit Holder's cooperation with and support of the City's termination of this Agreement will not be construed as an admission. A default is defined as a breach by the Permit Holder of any of its obligations under this contract which materially and adversely affects the performance of services, including but not limited to the protection of public health and safety. It also includes a breach by the Permit Holder of the City of Port Arthur's Code of Ordinance Chapter 114 - VEHICLES FOR HIRE, State and Federal law. Non-exclusive ambulance agreement 2023 Page 12 Section 39. When the permit holder applied for a permit, the permit holder provided information to the City that the permit holder 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 permit holder shall provide interim reports to the City as reasonably requested as to the status of its equipment, personnel, financial capacity and financial credit. The permit holder shall also provide audited financials within 60 days of the end of the Permit holder's fiscal year. The permit holder shall also provide to the City of Port Arthur such documentation as reasonably requested by the Fire Chief to monitor compliance with the Agreement. If the permit holder terminates ambulance service in the City of Port Arthur without providing 30 days' notice and without providing ambulances as denoted in Section 114-33 of the Code of Ordinances, then the permit holder shall pay the City of Port Arthur a fee of$100,000. Section 40. Any notice provided in the contract shall be given in writing to the parties by certified mail,return receipt requested as follows: TO CITY: TO THE PERMIT HOLDER: CITY OF PORT ARTHUR ATTN: Ron Burton ACADIAN AMBULANCE SERVICES P. O. Box 98000 Lafayette, LA 70509-8000 City Manager P. O. Box 1089 444 41h Street Port Arthur, TX 77641-1089 Non-exclusive ambulance agreement 2023 Page 13 , (h Section 41. This agreement is effective the day of O. 2023 and shall expire on th-1 day of NO12 2024. SIGNED AND AGREED to on the 5 day of , 2023. CITY OF PORT ARTHUR: BY: RON BURTO • CITY MANAGE SIGNED AND AGREED to on the 5612day of / a,L.,. . 2023. BY: % , l NAME Regional Vice President TITLE Non-exclusive ambulance agreement 2023 Page 14 Exhibit "A" SPECIAL MEETING — OCTOBER 16, 2023 III. DISCUSSION ITEMS (1) To Discuss And Possibly Take Action Regarding Ambulance Services In The City And A Proposed Contract For The Operation Of Ambulances Pursuant To Chapter 114, Article II Of The Code Of Ordinances MOTION IN OPEN SESSION To Approve The Proposed Contract For The Operation Of Ambulance Services Between The City Of Port Arthur With Acadian Ambulance Services And Viking Enterprises DBA City Ambulance Services Upon the motion of Councilmember Kinlaw, seconded by Councilmember Doucet and carried, the above-mentioned motion was adopted. Voting Yes: Mayor Bartie; Councilmembers Lewis, Beckcom, Doucet and Kinlaw. Voting No: None. Cam_ SHERRI BELLARD, CITY SECRETARY ~— - ro', s K14'4 ryam a a '`' ara• o ca Exhibit "B " �'....44, ACADAMB-01 SLP -41coRCo' CERTIFICATE OF LIABILITY INSURANCE DATE(MM(DDiYYYY) L------- 9/29/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. 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). CONTACT PRODUCER NAME; Dwight Andrus Insurance PHONE o,Ext):(337)981-7300 Fax a division of HUB International Gulf South > (arc,No):(337}984-2166 500 Dover Blvd.Ste.110 AD E•MORAIkss:GUS.DAI.CustomerService hubinternational.com Lafayette,LA 70503 INSURER(S)AFFORDING COVERAGE NAIL# _ INSURER A:Arch Specialty Insurance Company 21199 _ INSURED INSURER B:Travelers Property Casualty Co of America 25674 Acadian Ambulance Service INSURER c:Westchester Surplus Lines/RSUI Indemnity 10172 *See attached for Complete Named Insured Box O.Box 98000 INSURER 0:Arch Insurance Co./Arch Indemnity Co. 11150 Lafayette,LA 70509-8000 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS —R` ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE INSD yyvp POLICY NUMBERIDD/YYYY) IMM/DD/YYYYL LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,650,000 CLAIMS-MADE OCCUR UFL0018186-14 10/1/2023 10/1/2024 DAMAGETpp RENTED P_SEt84�SFSiEaascUrrnnce] $ X Includes Prof _MEDEXP(Any oneParson) $ X Prof:Claims Made _PERSONAL&ADVINJURY $ 1,650,000 GENII-AGGREGATE LIMITR APPLIES PER: GENERAL AGGREGATE $ 3,300,000 X POLICY LOC PRODUCTS-COMP/OP AGG $ OTHER: EACH EMPL GA $ 2,000,000 COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY (Ea accident) $ _ _�ANY AUTO TC2J-CAP-5H601551-23(NEU) 10/1/2023 10/1/2024 _BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOSRp ONLY AUTOS Eg BODILYOR INJURY(per accident} $ X AUTE09 ONLY X AUTOo ONNLO Warr accidentDAMAGE $ X 'Symbol 10 . $ C X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE G2197920A019/NHA104529 10/1/2023 10/1/2024 AGGREGATE $ 10,000,000 DED RETENTION$ y $ _ D AND EMPLOYERS'LIABILITY X I STATUTE ER Y 41 WC10519307144WCI0519407 10/1/2023 10/1/2024 1,000,000 ANY PROP RIIETCRIPARTNERIEXECUTIVE N/A E.L.EACH ACCIDENT $ OMandat�y In N?iR EXCLUDED? 1,000 000 { ) E.L.DISEASE-EA EMPLOYEE $ If yes,descilbe Under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B AU Ambulance(AOS) TRJ-CAP-9365B696-TIL-23 10/1/2023 10/1/2024 CSL 5,000,000 B AU-Ambulance(LA/MS) TJ-EAP-OT011814 TIL-23 10/1/2023 10/1/2024 CSL 4,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required( *Symbol 10:ANY"AUTO"other than those"autos"licensed/certified by the respective state and/or local agencies as ambulances,which are designed and dedicated for transportation and medically equipped for the treatment of the sick or injured via stretcher or other mechanical means. AOS Ambulance Policy:Symbol 10:Only those"autos"you own that are licensed/certified by the respective state and/or local agencies as ambulances In a state other than Louisiana,Mississippi or Texas,which are designed and dedicated for transportation and medically equipped for the treatment of the sick and or injured via stretcher or other mechanical means SEE ATTACHED ACORD 101 CERTIFICATE HOLDER _CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Port Arthur THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 444 4th St. Port Arthur,TX 77641 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:ACADAMB-01 SLP • ice' , LOC#: 1 ADDITIONAL REMARKS SCHEDULE Page 1 of 5 AGENCY NAMED INSURED Dwight Andrus Insurance Acadian Ambulance Service g *See attached for Complete Named Insured POLICY NUMBER P.Q.Box 98000 SEE PAGE 1 Lafayette,LA 70509-8000 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: LA/MS Ambulance Policy:Symbol 10: Only Owned,Hired and Non-Owned Ambulances classified and registered by the States of LA and MS TX Ambulance Policy:Symbol 10: Only those"autos"you own that are licensed/certified by the state of Texas and/or local Texas agencies as ambulances,which are designed and dedicated for transportation and medically equipped for the treatment of the sick and or injured via stretcher or other mechanical means,other than any such"auto"that is operating pursuant to an ambulance permit or registration issued to you in the jurisdiction of Webster, Pasadena,Frisco, Vidor, or Dallas Texas. Addendum to Certificate of Insurance Any information contained in this Addendum is general and descriptive only.The Certificate of Insurance and this Addendum may not contain descriptions of any or all operations,locations,vehicles or exclusions. Please see policy forms and endorsements for specific coverages and exclusions. Named Insured List: Acadian Ambulance Service,Inc Acadian Monitoring Services,LLC (formerly Acadian On Call, LLC) BSSTWO,LLC DIY Security, LLC Acadian Ambulance Service of New Orleans, LLC Acadian Ambulance Service of Texas,LLC Acadian Consolidated Campus, LLC Air Med Services, LLC Air Med Services,LLC,d/b/a Executive Aircraft Charter Service National EMS Academy Infinity Monitoring Services,Inc. Safety Management Systems International, LTD Safety Management Systems, LLC Safeguard Alarm Systems, LLC Acadian Total Security,LLC Acadian Ambulance Service of Tennessee LLC Acadian Health,LLC SMS Ambulance Service,LLC Inactive Named Insureds: Acadian Communications Company, LLC AIS Canada U.L.C. Calcasieu Medical Transportation, LLC LifeCare Emergency Medical Services, LLC Triple R Investors,LLC America On Watch, LLC Auto -Ambulance -Texas Policy#TRJ-CAP-3P390793-TIL-23,Travelers Property&Casualty Co of America, Effective 10/01/2023-10/01/2024,Liability Limit$5,000,000 for any one accident or loss Symbol 10: Only those"autos"you own that are licensed/certified by the state of Texas and/or local Texas agencies as ambulances, which are designed and dedicated for transportation and medically equipped for the treatment of the sick and or injured via stretcher or other mechanical means, other than any such "auto"that is operating pursuant to an ambulance permit or registration issued to you in the jurisdiction of Webster, Pasadena, Frisco,Vidor,or Dallas Texas. •CA T4 74 02 16 Blanket Additional Insured-Primary and Non-Contributory with Other Insurance ACORD 101 (2008101) C 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:ACADAMB-01 SLP LOC#: 1 ACCPRErADDITIONAL REMARKS SCHEDULE Page 2 of 5 AGENCY NAMED INSU RED Acadice 'Dwight Andrus Insurance See attached for Conce mplete Named Insured P.O.Box 98000 POLICY NUMBERLafayette,LA 70509-8000 SEE PAGE CARRIER 1 NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance •CA T3 40 02 15 Blanket Waiver of Subrogation •IL T4 00 0519 Designated Person or Organization-Notice of Cancellation or Nonrenewal Provided by Us: Number of days 30 Auto(NEU)-Policy#TC2J-CAP-5H601551-TIL-23: *CA T4 74 02 16 Blanket Additional insured-Primary and Non-Contributory with other insurance:This includes any person or organization who you are required under a written contract or agreement between you and that person or organization,this is signed by you before the"bodily injury"or"property damage" occurs and that is in effect during the policy period,to name as additional insured for Covered Autos Liability Coverage •CA T3 40 0215 Blanket Waiver of Subrogation:We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any"accident"or"loss",provided that the "accident"or"loss" arises out of the operations contemplated by such contract •IL T4 00 05 19 Designated Entity-Notice of Cancellation/Nonrenewal Provided by Us: "Person or Organization":Any person or organization to whom you have agreed in a written contract that notice of cancellation or nonrenewal of this policy will be given: Number of Days'Notice of Cancellation":Thirty(30)"Number of Days'Notice of Nonrenewal": Thirty(30) .CA 20 01 10 13&CA T8 00 10 22 Lessor—Additional Insured and Loss Payee:Additional Insured(Lessor):Any lessor under a leasing contractor agreement of six months or more that requires you to provide direct primary insurance for the lessor; Designated or Description of Leased Autos:Any Auto Leased for a period of six months or more under a leasing contract or agreement that requires you to provide direct primary insurance for the lessor. Auto(AOS Ambulance)Policy#TRJ-CAP-9365B696-TIL-23: *Symbol 10:Symbol 10: Only those"autos"you own that are licensed/certified by the respective state and/or local agencies as ambulances in a state other than Louisiana, Mississippi or Texas,which are designed and dedicated for transportation and medically equipped for the treatment of the sick and or injured via stretcher or other mechanical means •CA T3 40 02 15 Blanket Waiver of Subrogation:We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident"or"loss",provided that the"accident"or"loss" arises out of the operations contemplated by such contract .CA T4 74 02 16 Blanket Additional Insured-Primary and Non-Contributory with other insurance:This includes any person or organization who you are required under a written contract or agreement between you and that person or organization,this is signed by you before the"bodily injury"or"property damage"occurs and that is in effect during the policy period, to name as additional insured for Covered Autos Liability Coverage -IL T4 00 05 19 Designated Person or Organization—Notice of Cancellation or Nonrenewal Provided by Us: 30 days:Any person or organization to whom you have agreed in a written contract that notice of cancellation or nonrenewal of this policy will be given Auto(LA/MS Ambulance)Policy#TJ-EAP-0T011814-TIL-23: *Symbol 10-Only Owned, Hired and Non-Owned Ambulances classified and registered by the States of LA and MS •UA 4000 0100 Additional Insured Endorsement:Who Is an insured (Section Ii) is amended to include any person(s)or organization(s)for whom you have agreed in a written contract to provide insurance •UC 5010 0100 Waiver of Transfer or Rights of Recovery Against Others To US:We waive any right of recovery we may have against any person or organization when you have agreed in a written contract to such waiver prior to loss GL/PROF Policy#UFL0018186.14: •02 HUS0015 00 02 07 Additional Protected Persons Endorsements: Individuals or Organizations when required by written contract, agreement,or permit,provided the written contract, agreement or permit is executed prior to the claim being made or the suit being brought •02 HML0049 00 03 07 Waiver of Transfer of Rights of Recovery Against Others to Us,"individuals or organizations when required by written contract, provided the written contract is executed prior to the"claim"being made of the"suit"being brought." •Contractual Liability: "Assumed in a contract or agreement that is an insured contract, provided the injury or damage occurs subsequent to the execution of the contract or agreement.", per form 02 HUS0002 00 02 07 •00 ML0086 00 11 10 Notice of Cancellation-Certificate Holders-All certificate holders where written notice of the cancellation of ACORD 101 (2008/01) © ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:ACADAMB-01 SLP � � LOC#: 1 ADDITIONAL REMARKS SCHEDULE Page 3 of 5 AGENCY NAMED INSURED Aian ance Service Dwight Andrus Insurance See attached for Complete Named Insured �041CY NUMBER P.O.Box 98000 Lafayette,LA 70509-8000 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 ,SEE P 1 EFFECTIVE DATE;SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance this policy is required by written contract,permit or agreement with the Named Insured and whose names and addresses will be provided by the broker or agent fisted in the Declarations Page of this policy for the purposes of complying with such request 1•02 HUS0022 00 02 07: Employee Benefits Liability Coverage Endorsement: Schedule: Limits of Insurance: $1,000,000 Each Employee;$2,000,000 Aggregate;Retroactive date:09/30/1986 •00 ML0207 00 11 03 Exclusion Change Endorsement:The Abuse or Molestation exclusion is deleted in its entirety from the Exclusions section of your policy *Coverage C-Health Care Professional Liability Umbrella Retroactive Date:09/3011986 •Healthcare Umbrella -Excess of Retained Limit Coverage Form: --Coverage C-Health Care Professional Liability-Claims-Made Coverage ---1.Insuring Agreement:a. We will pay on behalf of the insured the"loss"in excess of the"retained limit" because of"medical professional injury"that results from acts or omissions in the providing of or failure to provide"health care professional services" by or for an insured and to which this insurance applies. Workers Compensation (AOS)Policy#44WCI0519407: •WC 00 03 01 A Alternate Employer Endorsement-Alternate Employer: Any person or organization where required by written contract provided such contract was executed prior to the date of loss •WC 00 03 13 Waiver of Our Right to Recover from Others Endorsement: "Any Person or Organization where waiver of our right to recover is permitted by law and is required by written contract provided such contract was executed prior to date of loss" •WC 04 03 06 Waiver of Our Right to Recover from Others Endorsement—California:Any Person or Organization where waiver of our right to recover is permitted by law and is required by written contract provided such contract was executed prior to date of loss •WC 42 03 04 B Texas Waiver of Our Right to Recover from Others Endorsement:Blanket Waiver:Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. •WC 43 03 05 Utah Waiver of Subrogation:Any Person or Organization Where Waiver of Our Right to Recover Is Permitted by Law and Is Required by Written Contract Provided Such Contract Was Executed Prior To Date of Loss .00 ML0086 00 11 10 Notice of Cancellation -Certificate Holders:All certificate holders where written notice of the cancellation of this policy is required by written contract,permit or agreement with the Named Insured and whose names and addresses will be provided by the broker or agent listed in the Declarations Page of this policy for the purpose of complying with such request. •WC 00 01 06 A Longshore and Harbor Workers'Compensation Act Coverage Endorsement •WC 00 01 09 C Outer Continental Shelf Lands Act Coverage Endorsement •WC 00 02 01 B Maritime Coverage Endorsement ••Description of Work:Ail work undertaken by you involving employees deemed to be classified as master or member of the crew of any vessels 'Limit of Liability:Bodily Injury by Accident:$1,000,000 each accident,Bodily Injury by Disease: $1,000,000 aggregate ...Transportation,Wages, Maintenance,and Cure: Included •WC 00 03 11 A Voluntary Compensation and Employers Liability Coverage Endorsement: Employees:All employees, excluding masters and members of crews,not subject to the workers compensation law,State of Employment:Any state named in item 3.A.or 3.0 of the information page; Designated Workers Compensation Law:State of hire •WC 00 02 03 Voluntary Compensation Maritime Coverage Endorsement Workers Compensation (FL) Policy#41WCI0519307: -00 ML0086 00 11 10 Notice of Cancellation-Certificate Holders:All certificate holders where written notice of the cancellation of this policy is required by written contract,permit or agreement with the Named Insured and whose names and addresses will be provided by the broker or agent listed in the Declarations Page of this policy for the purpose of complying with such request. •00 ML0087 00 11 10 Notice of Cancellation-Certificate Holders (Specified Days): All certificate holders where written notice of the cancellation of this policy is required by written contract, permit or agreement with the Named Insured and whose names and addresses will be provided by the broker or agent listed in the Declarations Page of this policy for the purpose of complying with such request. •WC 00 03 01 A Alternate Employer Endorsement-Alternate Employer:Any person or organization where required by written contract provided such contract was executed prior to the date of loss •WC 00 03 13 Waiver of Our Right to Recover from Others Endorsement: "Any Person or Organization where waiver of our right to ACORD 101 (2008/01) G 2008 ACORD CORPORATION. Ali rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:ACADAMB-01 SLP LOC ft: 1 A EY ADDITIONAL REMARKS SCHEDULE Page 4 of 5 AGENCY NAMED INSURED Acadian Ambulance Service Dwight Andrus Insurance *See attached for Complete Named Insured POLICY NUMBER P.0.Box 98000 Lafayette, LA 70509-8000 SEE PAGE 1 I .- CARRIER NAIC CODE SEE PAGE 1 LSEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance recover is permitted by law and is required by written contract provided such contract was executed prior to date of loss" •WC 00 01 06 A Longshore and Harbor Workers'Compensation Act Coverage Endorsement-FL •WC 00 01 09 C Outer Continental Shelf Lands Act Coverage Endorsement •WC 00 02 01 B Maritime Coverage Endorsement ••Description of Work: All work undertaken by you involving employees deemed to be classified as master or member of the crew of any vessels •Limit of Liability:Bodily Injury by Accident: $1,000,000 each accident, Bodily Injury by Disease:$1,000,060 aggregate ...Transportation,Wages, Maintenance,and Cure: Included •WC 00 03 11 A Voluntary Compensation and Employers Liability Coverage Endorsement:Employees:All employees,excluding masters and members of crews, not subject to the workers compensation law,State of Employment:Any state named in item 3.A.or 3.0 of the information page; Designated Workers Compensation Law:State of hire •WC 00 02 03 Voluntary Compensation Maritime Coverage Endorsement •WC 09 02 01 Florida Maritime Coverage Endorsement •*Description of Work:All work undertaken by you involving employees deemed to be classified as master or member of the crew of any vessels •Limit of Liability: Bodily Injury by Accident: S1,000,000 each accident,Bodily Injury by Disease: $1,000,000 aggregate **Transportation,Wages,Maintenance,and Cure: Included Excess Liability Policy#G2197920A019: •Company:Westchester Surplus Lines Insurance Company •Limits:$5,000,000 Occurrence, $5,000,000 Aggregate, Excess of Underlying •Exclusion of Certified Acts of Terrorism: --XSC-27523a(01/15)Ace Catastrophe Liability Plus Policy Following Form Excess Liability Policy •XSC-30423 (08/10)Other Insurance-Non-Contributory:With respect to coverage afforded to person or organization that is an additional insured under this policy by virtue of a written insured contract signed by you prior to the occurrence for which coverage is sought,and such contract requires that this policy will apply as primary to &not contributory with all other insurance available to that additional insured,then any other insurance that is available to such additional insured will apply excess of and not contributory with this policy •XSC-27266(05/09)Waiver of Subrogation Endorsement: In the event of any payment under our policy for a loss for which you have waived the right of recovery in a written contract entered into prior to the foss,we agree to also waive our right of recovery.This waiver shall only apply with respect to a loss occurring due to operation undertaken pursuant to the specific contract in which you waived the right of recovery •Ace Catastrophe Liability Plus Policy:--The definitions, terms, conditions,limitations and exclusions of the first policy of "underlying insurance"in effect at the inception date of this policy(as identified in the Declarations),apply to this coverage unless they are inconsistent with provisions of this policy or relate to premium,subrogation, any obligation to defend,the payment of expenses,amounts of limits of insurance,cancellation or any renewal agreement. •XSW004(07/10)Schedule A-Schedule of Underlying Insurance: --Automobile Liability(Ambulance Units-LA/MS) --Automobile Liability(Ambulance-All Other State Except LA,MS and TX) --Automobile Liability(Non-Ambulance Plus Bus) --Automobile Liability(Ambulance Frisco,TX) I --Automobile Liability(Ambulance Webster, Pasadena, Vidor,Dallas,TX) I --Automobile Liability(Ambulance TX All Other) --Commercial General Liability and Professional Liability --Employee Benefits Liability --Employers Liability and Maritime Employers --Foreign Automobile Liability --Foreign Commercial General Liability and Employee Benefits Liability --Foreign Employers Liability ACORD 101 (2008/01) I 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:ACADAMB-01 SLP LOC#: 1 `4 RSA ADDITIONAL REMARKS SCHEDULE Page 5 of 5 AGENCY NAMED INSURED Dwight Andrus Insurance See attan ched for Complete Named Insured P.0.Box 98000 POLICY NUMBER Lafayette,LA 70509-8000 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 i EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance --General Liability(Safety Management Systems) --Employee Benefits Liability(Safety Management Systems) --General Liability Including E&O(Acadian Total Security, LLC) --Aircraft Liability —Aviation General Liability —Watercraft Liability Protection &Indemnity Liability Excess Liability Policy#NHA104529: •Company:RSUI Indemnity Company 'Limits:$15,000,000 Excess of$5,000,000 •Commercial Excess Liability Policy,form RSG 31001 0507 Includes: --This insurance is subject to the same terms,conditions,agreements,exclusions and definitions as the"Underlying Insurance", except:(1)We will have no obligation under this insurance with respect to any claim or suit that is settled without our consent;and (2)With respect to any provisions to the contrary contained in this insurance. •RSG 36111 1013 NonContributory-Amended Other Insurance:you have agreed in a written contract or agreement that the relevant policies shown in the Schedule of Underlying Insurance and subsequently this policy will apply before any other valid and collectible insurance and would not seek contribution from any other insurance available to the additional insured ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD