CONTRACT 5907 Professional Services Agreement CLOSEDAgreement No. 5907
CONSULTING SERVICES AGREEMENT
MEDICAL DIRECTOR
THIS MEDICAL DIRECTOR CONSULTING AGREEMENT ("Agreement") is made
as of May 01, 2020 by and between the City of El Segundo, California municipal
corporation (hereinafter collectively referred to as "City") on the one hand and Marc
Cohen, M.D., A Professional Corporation ('"'Consultant") on the other hand.
RECITALS
A. On March 4, 2020, Governor Newsom proclaimed a statewide emergency
because of COVID-19; on March 11, 2020, the World Health Organization declared
COVID-19 to be a pandemic; on March 13, 2020, the President declared a National
Emergency; on March 16, 2020, the City of El Segundo declared a local emergency
(ratified by the El Segundo City Council on March 17, 2020).
B. The City desires to retain Consultant to serve as City's Agency Medical
Director, to provide medical advice and guidance to matters affecting all City employee
medical surveillance and testing following contact or exposure to COVID-19 and to
provide recommendations related to policy decisions impacting the City; and to serve as
the City's Drug Authorizing Physician to purchase drugs, medical devices, and controlled
substances for El Segundo Fire Department and to advise on and coordinate medical
aspects of field care as defined by the Los Angeles County EMS Agency.
C. Consultant represents that he is fully qualified to perform such consulting
services by virtue of his experience, training, education and expertise.
NOW, THEREFORE, in consideration of performance by the parties of the covenants and
conditions herein contained, the parties hereto agree as follows:
1. Consultant's Services.
A. Scope of Services. The nature and scope of the specific services to
be performed by Consultant are as described in Exhibit "A" the Scope of Services.
B. Level of Services/Time of Performance. The level of and time of the
specific services to be performed by Consultant are as set forth in Exhibit "A."
2. Term of Agreement. This Agreement shall take effect May 01, 2020, and
shall continue for a term of 7 months until December 31, 2020, unless earlier terminated
pursuant to the provisions herein.
3. Compensation. As compensation for the Consultant's services hereunder,
the City shall pay the Consultant the rate of $6,000 per month, not to exceed $50,000
without prior written amendment to this Agreement.
4. City Representative. Unless otherwise designated in writing, the Incident
Commander, Jeff Leyman shall serve as the City's representative for the administration
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of this Agreement. All activities performed by the Consultant shall be coordinated with
the City's representative.
5. Addresses for Notices.
City: City of El Segundo
Attn: Chris Donovan
314 Main Street
El Segundo, CA 90245
Consultant:
Marc R. Cohen, M.D., A Professional Corporation
346 Manhattan Ave
Hermosa Beach, CA 90254
6. Status as Independent Contractor.
A. Consultant is, and shall at all times remain as to the City, a wholly
independent contractor. Consultant shall have no power to incur any debt, obligation, or
liability on behalf of City or otherwise act on behalf of City as an agent. Neither City nor
any of their agents shall have control over the conduct of Consultant except as set forth
in this Agreement. Consultant shall not, at any time, or in any manner, represent that he
is in any manner an agent or employee of the City.
B. Consultant agrees to pay all required taxes on amounts paid to
Consultant under this Agreement, and to indemnify and hold City harmless from any and
all taxes, assessments, penalties, and interest asserted against City by reason of the
independent contractor relationship created by this Agreement. In the event that City are
audited by any Federal or State agency regarding the independent contractor status of
Consultant and the audit in any way fails to sustain the validity of a wholly independent
contractor relationship between City and Consultant, then Consultant agrees to reimburse
City for all costs, including accounting and attorney's fees, arising out of such audit and
any appeals relating thereto.
7. Standard of Performance. Consultant shall perform all work at the
standard of care and skill ordinarily exercised by members of the profession under similar
conditions.
8. Indemnification. Consultant shall indemnify, defend with counsel
approved by City, and hold harmless City, its officers, officials, employees and volunteers
from and against all liability, loss, damage, expense, cost (including without limitation
reasonable attorneys fees, expert fees and all other costs and fees of litigation) of every
nature arising out of or in connection with Consultant's performance of work hereunder
or his failure to comply with any of his obligations contained in this Agreement, regardless
of City's passive negligence, but excepting such loss or damage which is caused by the
sole active negligence or willful misconduct of the City. Should City in its sole discretion
find Consultant's legal counsel unacceptable, then Consultant shall reimburse the City its
costs of defense, including without limitation reasonable attorneys fees, expert fees and
Agreement No. 5907
all other costs and fees of litigation. The Consultant shall promptly pay any final judgment
rendered against the City (and its officers, officials, employees and volunteers) covered
by this indemnity obligation. It is expressly understood and agreed that the foregoing
provisions are intended to be as broad and inclusive as is permitted by the law of the
State of California and will survive termination of this Agreement.
9. Insurance. The Consultant shall at all times during the term of this
Agreement carry, maintain, and keep in full force and effect, with an insurance company
authorized to do business in the State of California and approved by the City, the following
types of insurance with coverage limits complying, at a minimum, with the limits set forth
below:
TYQe of Insurance
Commercial general liability:
Professional Liability
Business automobile liability
Workers compensation
Limits igombined sln le
$1,000,000
$3,000,000
$1,000,000
statutory requirement.
A. Commercial general liability insurance will be a combined single limit per
occurrence for bodily injury, personal injury, and property damage for the policy coverage.
Commercial General Liability policy will be endorsed to name City, its officials, and
employees as "additional insureds" under said insurance coverage and to state that such
insurance will be deemed "primary" such that any other insurance that may be carried by
City will be excess thereto. Such insurance will be on an "occurrence," not a "claims
made," basis and will not be cancelable or subject to reduction except upon thirty (30)
days prior written notice to City.
B. The professional liability insurance (errors and omissions) must cover or
partially cover damages that may be the result of errors, omissions, or negligent acts of
Consultant, in an amount of not less than $1,000,000 per occurrence and at least
$3,000,000 aggregate. When coverage is provided on a "claims made basis," Consultant
will continue to maintain the insurance in effect for a period of three years after this
Agreement expires or is terminated ("extended insurance"). Such extended insurance will
have the same coverage and limits as the policy that was in effect during the term of this
Agreement, and will cover Consultant for all claims made by City arising out of any errors
or omissions of Consultant, or its officers, employees or agents during the time this
Agreement was in effect.
C. All insurance policies shall provide that the insurance coverage shall not be
non -renewed, canceled, reduced, or otherwise modified (except through the addition of
additional insureds to the policy) by the insurance carrier without the insurance carrier
giving City thirty (30) day's prior written notice thereof. Consultant agrees that he will not
cancel reduce or otherwise modify the insurance coverage.
D. All insurance required will be primary coverage as respects City and any
insurance or self-insurance maintained by City will be excess of Consultant's insurance
coverage and will not contribute to it.
Agreement No. 5907
E. All policies of insurance shall cover the obligations of Consultant pursuant
to the terms of this Agreement shall be placed with a current A.M. Best's rating of no less
that A VII.
F. Self Insured Retention/Deductibles. All policies required by this Agreement
shall allow City, as additional insured, to satisfy the self -insured retention ("SIR") and/or
deductible of the policy in lieu of the Consultant (as the named insured) should Consultant
fail to pay the SIR or deductible requirements. The amount of the SIR or deductible shall
be subject to the approval of the City Attorney and the Finance Director. Consultant
understands and agrees that satisfaction of this requirement is an express condition
precedent to the effectiveness of this Agreement. Failure by Consultant as primary
insured to pay its SIR or deductible constitutes a material breach of this Agreement.
Should City pay the SIR or deductible on Consultant's behalf upon the Consultant's failure
or refusal to do so in order to secure defense and indemnification as an additional insured
under the policy, City may include such amounts as damages in any action against
Consultant for breach of this Agreement in addition to any other damages incurred by City
due to the breach.
G. Consultant will furnish to City duly authenticated Certificates of Insurance
evidencing maintenance of the insurance required under this Agreement, endorsements
as required herein, and such other evidence of insurance or copies of policies as may be
reasonably required by City from time to time.
10. Confidentiality. Consultant in the course of his duties may have access to
confidential data of City, private individuals, or employees of the City. Consultant
covenants that all data, documents, discussion, or other information developed or
received by Consultant or provided for performance of this Agreement are deemed
confidential and shall not be disclosed by Consultant without written authorization by City.
City shall grant such authorization if disclosure is required by law. All City's data shall be
returned to City upon the termination of this Agreement. Consultant's covenant under
this section shall survive the termination of this Agreement.
11. Ownership of Materials. All materials provided by Consultant in the
performance of this Agreement shall be and remain the property of City without restriction
or limitation upon its use or dissemination by City. Consultant may, however, make and
retain such copies of said documents and materials as Consultant may desire.
12. Conflict of Interest. Consultant covenants that he presently has no
interest and shall not acquire any interest, direct or indirect, which may be affected by the
services to be performed by Consultant under this Agreement, or which would conflict in
any manner with the performance of its services hereunder. Consultant further covenants
that, in performance of this Agreement, no person having any such interest shall be
employed by him. Furthermore, Consultant shall avoid the appearance of having any
interest which would conflict in any manner with the performance of its services pursuant
to this Agreement.
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Agreement No. 5907
13. Termination. Either party may terminate this Agreement with or without
cause upon ninety (90) days' written notice to the other party. The effective date of
termination shall be upon the date specified in the notice of termination, or, in the event
no date is specified, upon the ninetieth (90th) day following delivery of the notice. In the
event of such termination, City agree to pay Consultant for services satisfactorily rendered
prior to the effective date of termination. Immediately upon receiving written notice of
termination, Consultant shall discontinue performing services.
14. Personnel. Consultant represents that he has, or will secure at his own
expense, all personnel required to perform the services under this Agreement. All of the
services required under this Agreement will be performed by Consultant or under his
supervision, and all personnel engaged in the work shall be qualified to perform such
services.
15. Non -Discrimination and Equal Employment Opportunity. Consultant
shall not discriminate as to race, color, creed, religion, sex, marital status, national origin,
ancestry, age, physical or mental handicap, medical condition, or sexual orientation, in
the performance of his services and duties pursuant to this Agreement, and will comply
with all rules and regulations of City relating thereto. Such nondiscrimination shall include
but not be limited to the following: employment, upgrading, demotion, transfers,
recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship.
16. Assignment. Consultant shall not assign or transfer any interest in this
Agreement nor the performance of any of Consultant's obligations hereunder, without the
prior written consent of City, and any attempt by Consultant to so assign this Agreement
or any rights, duties, or obligations arising hereunder shall be void and of no effect.
17. Compliance with Laws. Consultant shall comply with all applicable laws,
ordinances, codes and regulations of the federal, state, and local governments.
18. Non -Waiver of Terms, Rights and Remedies. Waiver by either parry of
any one or more of the conditions of performance under this Agreement shall not be a
waiver of any other condition of performance under this Agreement. In no event shall the
making by City of any payment to Consultant constitute or be construed as a waiver by
City of any breach of covenant, or any default which may then exist on the part of
Consultant, and the making of any such payment by City shall in no way impair or
prejudice any right or remedy available to City with regard to such breach or default.
19. Attorney's Fees. In the event that either party to this Agreement shall
commence any legal or equitable action or proceeding to enforce or interpret the
provisions of this Agreement, the prevailing party in such action or proceeding shall be
entitled to recover its costs of suit, including reasonable attorney's fees and costs,
including costs of expert witnesses and consultants.
20. Mediation. Any dispute or controversy arising under this Agreement, or in
connection with any of the terms and conditions hereof, shall be referred by the parties
hereto for mediation. A third party, neutral mediation service shall be selected, as agreed
upon by the parties and the costs and expenses thereof shall be borne equally by the
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parties hereto. In the event the parties are unable to mutually agree upon the mediator
to be selected hereunder, the City shall select such a neutral, third party mediation service
and the City's decision shall be final. The parties agree to utilize their good faith efforts
to resolve any such dispute or controversy so submitted to mediation. It is specifically
understood and agreed by the parties hereto that referral of any such dispute or
controversy, and mutual good faith efforts to resolve the same thereby, shall be conditions
precedent to the institution of any action or proceeding, whether at law or in equity with
respect to any such dispute or controversy.
21. Notices. Any notices, bills, invoices, or reports required by this Agreement
shall be deemed received on (a) the day of delivery if delivered by hand during regular
business hours or by facsimile before or during regular business hours; or (b) on the third
business day following deposit in the United States mail, postage prepaid, to the
addresses heretofore set forth in the Agreement, or to such other addresses as the parties
may, from time to time, designate in writing pursuant to the provisions of this section.
22. Governing Law. This Contract shall be interpreted, construed and
enforced in accordance with the laws of the State of California.
23. Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be deemed to be the original, and all of which together
shall constitute one and the same instrument.
24. Entire Agreement. This Agreement, and any other documents
incorporated herein by specific reference, represents the entire and integrated agreement
between Consultant and City. This Agreement supersedes all prior oral or written
negotiations, representations or agreements. This Agreement may not be amended, nor
any provision or breach hereof waived, except in a writing signed by the parties which
expressly refers to this Agreement. Amendments on behalf of the City will only be valid
if signed by the City Manager or Mayor and attested by the City Clerk.
25. Exhibits. All exhibits referred to in this Agreement are incorporated herein
by this reference.
[signatures on following page]
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Agreement No. 5907
IN WITNESS WHEREOF, the parties have executed this Agreement as of
the date first written above.
CITY OF EL SEGUNDO,
A g�eral law city
AA
itnick,
City Manager
APPROVED AS TO FORM:C�
for
Mark D. Hensley,
Cit
y Attorney
MARC R. COHEN, M.D.
A Professional Corporation
Taxpayer ID No.: 20-3372220
Agreement No. 5907
EXHIBIT A
Scope of Work
During the City response to the COVID-19 response, the Consultant shall serve as the
City's Agency Medical Director and shall provide medical advice and guidance to
matters affecting all City employee medical surveillance and testing following contact or
exposure to COVID-19, as well as provide advice and recommendations related to
policy decisions impacting the City.
In addition, the Consultant will serve as the Drug Authorizing Physician that utilizes
his/her medical license and DEA number to purchase drugs, medical devices, and
controlled substances for El Segundo Fire Department. The Agency Medical Director
will also advise on and coordinate medical aspects of field care as defined by the Los
Angeles County EMS Agency.
Qirector Rgggiremenjs
The Agency Medical Director must be:
1. Board certified by the American Board of Emergency Medicine..
2. Engaged in the clinical practice of emergency.
3. Knowledgeable on the current policies, procedures, and protocols of the Los
Angeles County EMS Agency.
The Agency Medical Director is:
1. Responsible for advising the provider agency in planning and evaluating the
delivery of prehospital medical care by EMTs and paramedics.
2. Responsible for reviewing and approving the medical content of all EMS
training performed by the provider agency and shorts compliance with
continuing education requirements of the state and local EMS agency.
3. Responsible for reviewing and approving the medical component of the
provider agencies dispatch system.
4. Responsible for assisting in the development of procedures to optimize
patient care.
5. Responsible for reviewing and recommending to the EMS Agency Medical
Director any new medical monitoring devices under consideration and
ensures compliance with state and local regulations.
6. Responsible for evaluating compliance with the legal documentation
requirements of patient care.
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Agreement No. 5907
7. Responsible for participating as needed with appropriate EMS committees
and the local medical community.
8. Responsible for ensuring provider agency compliance with Los Angeles
County EMS Agency controlled substance policies and procedures.
a. Responsible for overseeing the purchasing, storing, and distributing
controlled drugs for the provider agencies in accordance with County
of Los Angeles' Department of Health Services Reference No. 702,
Controlled Drugs Carried on ALS Units.
b. Responsible for assisting the agency in maintaining written controlled
drug policies.
c. Responsible for providing input into disciplinary actions that have
controlled drug implications
9. Responsible for assisting the provider agency in the development and
implementation of a continuous quality improvement program to ensure the
provision of quality medical care. Provide recommendations for training and
operational changes based on quality improvement results.
10. Responsible for evaluating the adherence of provider agency medical
personnel to medical policies, procedures, and protocols of the Los Angeles
County EMS agency.
11. Responsible for coordinating delivery and evaluation of patient care with base
and receiving hospitals.
12. Responsible for reviewing incidents with unusual or adverse patient
outcomes, inadequate performance of EMS personnel, and complaints
related to the delivery of medical care.
13. Responsible for evaluating the medical performance, gathering appropriate
facts and, as needed, forwarding these facts in writing to the Los Angeles
County EMS agency medical director.
14. Responsible for ensuring that appropriate actions are taken on cases with
patient care issues with adverse outcomes, e.g., training, counseling, etc.
The controlled drugs will be stored at El Segundo Fire Station 1. The Consultant will
manage the program from a facility provided by the City. City will be responsible for
record keeping.
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