CONTRACT 5141C AmendmentAgreement No. 5141 C
THIRD AMENDMENT TO SERVICES AGREEMENT
THIS THIRD AMENDMENT ("Amendment") to services agreement no. 5141 (the
"Agreement") is made and entered into by and between The Regents of the University of
California, on behalf of the UCLA Center for Prehospital Care ("UCLA") and The City of El
Segundo, a general law city and municipal corporation existing under the laws of California
("City") with reference to the following:
A. On June 7, 2016, the parties previously entered into a Services Agreement
("Agreement") under which UCLA is to provide Continuing Education programs and
Quality Improvement services as described in the Agreement.
B. The parties extended the term of the Agreement through June 30, 2024 under the
Second Amendment to the Agreement.
C. The parties desire to extend the term of the Agreement and provide for certain other
changes by this Amendment.
NOW, THEREFORE, it is mutually agreed to by and between the parties, as follows:
1. Section 4.1 of the Agreement is hereby deleted in its entirety and replaced with
the following:
"The term of this Agreement shall commence on June 7, 2016 and be in effect through June 30,
2028."
2. Section 6.1 of the Agreement is hereby deleted in its entirety and replaced with
the following:
"6.1 Compensation for Services. Department agrees to compensate UCLA for
the services provided by the Educator(s) under this Agreement. Department agrees
to pay UCLA $42,240 per year for the services covered under this Agreement.
UCLA shall bill the Department $3,520 monthly. Following the first year of the
initial term of the Agreement, on the anniversary of the Effective Date each year
that this Agreement is in effect, UCLA may increase the cost of services by no more
than 5% per year to cover increases in the cost of services. Department shall pay
the amount due within thirty (30) days of receipt of the invoice from UCLA."
3. The following shall be added as a new Section 6.3 in the Agreement, immediately
following Section 6.2:
"6.3 Compensation for Additional Services. Department agrees to
compensate UCLA for additional services referred to in Section 1.3 requested by
the Fire Chief and approved by UCLA at an approved billable rate. Any changes to
the approved rate will be shared with the Department annually."
4. The first sentence of Exhibit D, Section I.1 is revised to read:
Agreement No. 5141 C
"Commercial Form General Liability Insurance (contractual liability included) with a limit of
two million dollars ($2,000,000) per occurrence and a general aggregate of five million dollars
($5,000,000)."
Exhibit D, Section I.2. is deleted in its entirety and hereby replaced with the
following:
"Business Automotive Liability insurance with a combined single limit of not less than two
million dollars ($2,000,000) per occurrence, if such automobile insurance is not included as part
of UCLA's General Liability Coverage."
6. The first sentence of Exhibit D, Section II.1 is revised to read:
"General Liability Self -Insurance Program with a limit of two million dollars ($2,000,000) per
occurrence and a general aggregate of five million dollars ($5,000,000)."
Exhibit D, Section II.2. is deleted in its entirety and hereby replaced with the
following:
"Business Automotive Liability insurance with a combined single limit of not less than two
million dollars ($2,000,000) per occurrence, if such automobile insurance is not included as part
of City and Department's General Liability Coverage."
8. The first sentence of the third paragraph under Exhibit D, Section I and Section
II revised to read:
"The coverage referred to under paragraph three of this section 1 and 2 shall include
AFFILIATE as an additional covered party."
9. Under Section 9.1, regarding UCLA's addresses for notifications, the addresses
for UCLA are deleted and replaced with the following:
"UCLA:
Contracts Manager
UCLA Center for Prehospital Care
1100 Glendon Ave, Suite 1200
Los Angeles, CA 90024"
10. The scope of the Educator's curriculum referenced in Agreement Section 1.1
will include the items set forth in Attachment 1 to this Amendment.
11. All other terms and conditions of the Agreement shall remain unchanged, and
except as expressly modified by this Amendment, the Agreement shall remain in full force
and effect.
12. This Amendment may be executed by the parties in any number of separate
counterparts, taken together which shall constitute one and the same instrument. In
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Agreement No. 5141 C
accordance with Government Code § 16.5, the parties agree that this Amendment will be
considered signed when the signature of a party is delivered by electronic transmission.
Such electronic signature will be treated in all respects as having the same effect as an
original signature. Each party warrants that its signatory (or signatories, as applicable) to
this Amendment has the legal authority to enter this Amendment and bind it accordingly.
[SIGNATURES BEGIN ON FOLLOWING PAGE]
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Docusign Envelope ID: EFA030C4-9CO7-403F-BAB3-BB5Al9D23lF3
Agreement No. 5141 C
IN WITNESS WHEREOF, the parties have executed this Amendment effective as of July 1, 2024.
By: The REGENTS OF THE UNIVERSITY OF CALIFORNIA,
on behalf of the UCLA Center for Prehospital Care
P7nS'g"d by
M "° 29-Aug-2024 1 15:42 PDT
Moll c Holt
DGSOM Controller
TAX PAYER ID:
By: City of El Segundo
Darr 1 George, City Manage r
F.VV—t*r1
B .
Tracy'Weaver, City Clerk
APPROVED AS TO FORM:
MARK D. HENSLEY, CITY ATTORNEY
By:
Joa .-�
quiJVquez, Assistant City Attorney
Insurance Approval:
By:
Risk Management
ATTACHMENT 1
NURSE EDUCATOR CURRICULUM
Agreement No. 5141 C
ATTACHMENT 1
Detailed Scope of Services
This Scope of Services describes the Continuing Education (CE), Quality Improvement (QI) Program and
General Administrative Services to support the Emergency Medical Service delivery for the El Segundo
Fire Department. This includes a detailed service description, expected frequency of the activity and an
outcome measure to confirm it has been achieved.
_ _.�..............
CE Services
.................
Frequency
......... .......... ....... ......._
Outcome Measure
1. Provide one Nurse Educator to
'
g ment and prior to
On assignment
Department meets with new Nurse
Department to Provide CE
change in personnel
Educator and provides approval to
Programs and QI Services.
begin service.
2. CE Programs will be provided
Monthly
A minimum of 24 hours of CE delivered
three times on each of the
annually on each shift for EMTs and
three platoon shifts (A, B and
Paramedics who elect to attend all CE
C) for a period of at least two
sessions on their work shift, as
hours each.
evidenced on Department's approved
training schedule and calendar.
Reasonable effort will be made to
provide make-up sessions for those
to attend CE.
unable.. _..
_.... _........
3. CE Programs offered for
........__._.
Ongoing
Department EMTs and Paramedics can
Department meet or exceed
recertify/relicense.
the current criteria and
requirements established by
Nurse Educator ensures Department
the County of Los Angeles, and
meets the audit requirements of the
the State of California for
County of Los Angeles.
continuing education
recertification/relicensing.
CE Program content discussed
The CE Program content shall
quarterly with Department and verified
be created in partnership with
on calendar of approved topics.
Department.
4. CE Program content created in
Ongoing
Verified on training schedule and
partnership with Department
calendar of topics approved by
and shall include meet all
Department.
mandatory requirements (ie.
Blood borne pathogens, SIDs,
Abuse, EMS Update, etc.).
_ _ __...............
5. CE Programcontentcreated in
Ongoing
Verified on training schedule and
partnership with Department
calendar of topics approved by
and shall include an annual
Department.
EMS Documentation session
to make providers aware of
current laws related to EMS.
6. The Nurse Educator shall
Quarterly (or more often if
Meeting with Fire Chief or designee to
collaborate with the Fire Chief
needed)
identify content for learning
or designee on the selection of
management system.
learning modules to support
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Agreement No. 5141 C
.............. .........
EMS program available on
_. ......_ ..
_ _._._.. _._
their learning management
system.
_
_ ._........
7. The Nurse Educator shall
Annuallyand conducted
fy'ng competency of
Skills sheets verifying
conduct schedule skills
during skills sessions practice
selected skills reviewed with
practice, remediation, and skill
where possible
department leadership. All paperwork,
competency verification for
form preparation and tracking for
Paramedics and EMTs.
recertification will be performed and
maintained by Department.
8. The Nurse Educator will
Monthly (at the end of each
100% of the department members
administer required
CE session)
attending CE meets the 80% passing
competency assessment (i.e.,
threshold or receives remediation to
quiz, skill checkoff) of material
achieve competency.
presented during CE Program.
9. The Nurse Educator will
monthlyat the end of the CE
(
80 % of students rate the presentation 4
administer a student
session)
(out of 5). Completed evaluations
evaluation survey about the
reviewed bi-annually with department.
CE Program.
10. The Nurse Educator will
Monthly
Prepare a CE packet that includes all
maintain all required CE
required material for the audit
records.
including but not limited to rosters,
lessons, objectives, posttests and
evaluations. ........
11. The Nurse Educator will
__.. .........................
As scheduled
_.
Submit required survey information
prepare the Department for
including but not limited to schedules,
the Los Angeles County
rosters, lesson plans, objectives
Department of Health Services
posttests and evaluations.
EMS Agency CE Audit.
Attend meeting and obtain re -approval
of the department's ability to deliver CE
_... .............. .........
and be in good standing with DHS.
_....
... ..........._
QI Services mmmm
Frequency
Outcome Measure
1. Quarterly review and, if
Quarterly or moreoften if
QI plan discussed at quarterly meeting
necessary, modification of the
needed
and recorded in minutes.
Quality Improvement plan and
Quarterly Quality
Improvement meetings.
2. Clinical review of 100% of the
Monthly
Review of 100% of patient care records
patient care reports
and record performance against
generated, using a review
performance indicators approved by
system of quality
Department or required by the Los
improvement and assurance
Angeles County EMS Agency.
and criteria created by the
Nurse Educator in
Performance threshold on indicators is
collaboration with
90% and recorded on reports
Department.
submitted to Department and Los
Angeles County EMS Agency.
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Agreement No. 5141 C
...... ........ _�
3. Development and
........ ..
Ongoing
_. __..
Plan shall be subject to Department
implementation of a process
approval and include QI performance
and plan to review and
indicators for tracking, skill competency
evaluate provider
assessment and direct field
competency. This plan is
observation. All of this information
intended to continually review
shall be incorporated into the CE
and strategically improve core
Program approved by the Department.
competencies. In addition, the
plan will address lesser -used
Completion of required skill
skills and procedures.
competency verification forms as
required by Los Angeles County EMS
Agency for recertification of EMTs.
........... ........
4. Specific incident review. The
...........
As required
_._. .................
Review available documents (ie patient
Nurse Educator will assist
care report, EMS policies, Title 22),
Department as necessary in
contact appropriate personnel (ie.
fact-finding for specific
provider, other fire departments, or
patient -care -related incidents
base hospitals) and provide a summary
of information requested to Fire Chief.
_... _
5. The Nurse Educator shall ride
Monthly on each shift as call
on of ride -along
Completion
along/station visits
volume permits
documentation form. Documents
(introspective QI) and evaluate
reviewed with Quality Improvement
Department EMT -Paramedics
committee and Department leadership
under field conditions as
quarterly or more often if needed.
needed. The Nurse Educator
shall design and provide
Ride -along observations will be
continuing education based on
incorporated into CE topics approved
the needs and/or
by the Department or accomplished
opportunities discovered or
with concurrent education or training
created by the Educator's
material.
observations and assessment.
6. Nurse Educator will attend Los
As scheduled
resented p resente d by Nurse
Department D rep
Angeles County Quality
Educator and attendance recorded in
Improvement Committee
meeting minutes.
meetings to gather
information and report to
Department on issues related
to policy, procedure, and
other relevant updates.
will report
7. The Nurse Educator '
Monthly
The N r se Educator will provide QI
Nurse
to Department via the Fire
summaries for the Department and
Chief or his/her Quality
meet regularly with the Fire Chief or
Improvement Designee on
designee to discuss recommendations
Quality Improvement
for implementation in the CE and QI
Activities. The Nurse Educator
Programs
will implement any responsive
recommendations under the
direction of the Chief or the
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Agreement No. 5141 C
_......._�
Quality Improvement
_.........
_ ....
Designee.
8. Support the Medical Director
As assigned
Track and report data as required.
with special QI projects.
_
9 The Nurse Educator will
Quarterly
Results presented to quality
facilitate and attend the QI
improvement committee and
committee to review and
department leadership for discussion,
discuss performance
recognition, areas for improvement,
indicators.
attention or continuing education.
........._.......
.......
10. The Nurse Educator will
_... ...._. �.............
As scheduled
Attend meeting and obtain re -approval
prepare the Los Angeles
of the department's ability to deliver
County Department of Health
EMS and be in good standing with the
Services EMS Agency Provider
Los Angeles County EMS Agency.
QI Audit.
11. The Nurse Educator will
Monthly
Report completed and submitted as
collect, review and analyze
required by DHS.
hospital outcome data as
required by the Los Angeles
County EMS Agency.
......
..�.m ........_.�... _.....__
12. The Nurse Educator will
Quarterly (or as required)
Performance threshold on indicators is
submit QI performance
90%.
indicators to DHS as required.
General Administrative
Frequency
Outcome Measure
1. Collaborate with EMS Captain,
_
Quarterly, or more oftenif
Formal and informal
Fire Chief and Medical
needed
meetings/conversations.
Director.
2. The Nurse Educator shall
As requested
Report prepared,
support the Fire Chief or
designee with special reports
required for accreditation or
City Council.
_......_...
3. The Nurse Educator will assist
Bi-annually, or more often if
Required DHS forms organized and
the EMS Chief and Captain in
needed
prepared for EMT certification. All
the organization of the
paperwork, form preparation and
recertification plan for
tracking for recertification will be
Department EMTs. All
performed and maintained by
paperwork, form preparation
Department.
and tracking for recertification
will be performed and
maintained by Department.
.._..
4. The Nurse Educator will
heduled
Quarterly or as scheduled
Department represented by the Nurse
attend Los Angeles County
Educator or Designee.
Provider Agency Advisory
Committee (PACC), LA Count
Fire Chief Association
(LAAFCA), Pediatric Liaison
Nurse Advisory (PLN), LA
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Agreement No. 5141 C
_...�....._ _.
County EMS Agency Provider
_......_ ..... .. ............
..._.................
Quality Improvement
(LACPQI), and California Fire
Department Nurse Educators
(CalNep), and other meetings
as requested or required.
...._,_.
5. The Nurse Educator will serve
At committee meetings and or
g
Resolution of concerns and dialogue
as a liaison with the Los
as incidents arise
with department leadership about
Angeles County EMS Agency,
complaints and concerns.
local base hospitals and/or fire
departments.
6. The Nurse Educator will
Ongoing
Attend UCLA Nurse Educator Service
Attend Los
ensure EMS compliance with
department meetings.
local and state EMS
Angeles County Department of Health
regulations and protocols and
Services EMS Agency Provider Quality
report deficiencies to the Fire
Improvement Meetings. Attend train -
Chief or his/her designee.
the -trainer EMS Update courses
(annually).
�_. .�
7.m assess will i The Nurse Educator wa
Anonymous survey annually
Results compiled and presented to Fire
the overall quality of CE and QI
Chief.
program.
8. The Nurse Educator will work
As needed for incidents and
Review program annually, support
directly with the Department's
review of plan annually
DICO and make recommendations to
Infection Control Officer in the
Department leadership.
design and maintenance of a
department -wide infection
control and exposure
program.
........---
�.....,._._._
9. The Nurse µEducator shall have
A_
s scheduled
The Nurse Educator will participate in
experience and competence in
oral boards and skill assessments for
interview techniques and may
potential paramedic candidates as
participate on a Department
requested
oral board for potential
paramedic candidates as
requested.
10. The Nurse Educator shall have
As needed
The Nurse Educator will document such
the experience and flexibility
visits and share it with Department.
to perform home visits on
special needs patient in their
own environment.
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