CONTRACT 3672A Amendment CLOSED36r/2-P .L
Contract No. H- 702573 -1
CARDIAC CARE PROGRAM EQUIPMENT AGREEMENT
AMENDMENT NO. 1
TH AMENQpDM ENT is made and entered into this day
of cc , 2007,
and
nd between COUNTY OF LOS ANGELES
(hereafter "County"),
CITY OF EL SEGUNDO
(hereafter "Provider ").
WHEREAS, reference is made to that certain document
entitled "CARDIAC CARE PROGRAM EQUIPMENT AGREEMENT ", dated
September 5, 2006, and further identified as County Agreement
No. H- 702573 (hereafter referred to as "Agreement "); and
WHEREAS, the Department of Health Services' Emergency
Medical Services (EMS) Agency has agreed to reimburse Provider
for the cost of the initial purchase of 12 -Lead EKG equipment
and the initial training associated with the equipment's use,
unless previously funded by other grant funds; and
WHEREAS, both parties wish to extend the period of purchase
for 12 -Lead electrocardiogram (EKG) units; and
WHEREAS, Agreement provides that changes may be made in the
form of a written amendment which is formally approved and
executed by the parties.
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NOW, THEREFORE, the parties agree as follows:
1. This Amendment shall become effective upon the date of
Board approval.
2. Paragraph 2, TERM, of Agreement shall be deleted in
its entirety and replaced with the following:
" The term of this Agreement shall commence upon Board
approval and shall continue in full force and effect to and
including September 30, 2007.
In any event, this Agreement may be canceled at any
time by either party by the giving of at least thirty (30)
calendar days advance written notice thereof to the other
party."
3. Subparagraph "B" of Paragraph 4, REIMBURSEMENT FOR 12-
LEAD EKG PURCHASE, of Agreement shall be deleted in its entirety
and replaced with the following:
"B. Reimbursement shall be made by County to Provider
within ninety (90) days of receipt of a complete and
correct invoice from Provider for the initial purchase of
12 -Lead EKG equipment in accordance with the rate of
reimbursement specified hereunder. Reimbursement by County
to Provider shall be limited to the purchase of one (1) 12-
Lead EKG machine per approved ALS Unit, to be purchased by
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Provider no later than September 30, 2007. County's
reimbursement to Provider shall not exceed a total maximum
amount of Seventeen Thousand Dollars ($17,000) per 12 -Lead
EKG machine, excluding any vendor credit for exchange of
existing EKG equipment. All vendor credit for exchange of
existing equipment for new 12 -Lead EKG equipment shall be
applied to the purchase cost prior to County's
reimbursement to Provider. Notwithstanding the foregoing,
the County shall not reimburse Provider for the purchase of
a 12 -Lead EKG machine if Provider has already received
funding from a grant or any other third party source to
offset the cost of such machine."
4. Subparagraph "C" of Paragraph 4, REIMBURSEMENT FOR
INITIAL TRAINING, of Agreement shall be deleted in its entirety
and replaced with the following:
"REIMBURSEMENT FOR INITIAL TRAINING: Reimbursement
shall be made by County to Provider within ninety (90) days
of receipt of a complete and correct invoice from Provider
for initial training of Provider's paramedic and EMT
personnel in the use of 12 -Lead EKG equipment. Such
invoice must include rosters from initial training that
identify each attendee, each attendee's classification
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(paramedic or EMT), date of training, and total hours of
initial training. Reimbursement by County to Provider
shall be limited to the initial training completed no later
than September 30, 2007, and as described herein. County's
reimbursement to Provider shall not exceed a total maximum
amount of Forty -Five Dollars ($45.00) per hour of initial
training per attendee, limited to one category of training
per attendee, for the following maximum hours:
TQMTNTT\Tr rAT7r_nRV ATTENDEE MAXIMUM HOURS
ACLS Paramedic 16
(includes 12 -Lead EKG training)
MIL911=
12 -Lead EKG Paramedic 6
12 -Lead EKG EMT 2"
S. Subparagraph "D" of Paragraph 4, REIMBURSEMENT FOR 12-
LEAD EKG PURCHASE, of Agreement shall be deleted in its entirety
and replaced with the following:
"D. Reimbursement by County to Provider shall be made
in the order that invoices are received from all Providers
under this Agreement and any Amendments hereto (first -come,
first - served basis). Providers that have not received
previous grant funding for reimbursement of expenditures
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described in Section 4, Subparagraph A of this Agreement,
shall have priority for reimbursement. Reimbursement shall
be made by County to Provider for 12 -Lead EKG equipment
purchased by Provider no later than September 30, 2007, and
for initial training of Provider's paramedic and EMT
personnel on the use of such equipment that is completed no
later than September 30, 2007."
6. Subparagraph "A" of Paragraph 5, RESPONSIBLITIES OF
PROVIDER RELATING TO THE PURCHASE OF 12 -LEAD EKG EQUIPMENT AND
TRAINING, of Agreement shall be deleted in its entirety and
replaced with the following:
"A. Provider shall be responsible for the selection
of a vendor and the initial procurement of 12 -Lead EKG
equipment under the terms of the group purchase plans
developed by the Los Angeles Chapter of the California Fire
Chiefs Association. Provider agrees to equip each approved
ALS Unit within its agency with each 12 -Lead EKG machine
purchased under terms of this Agreement. Purchase of said
equipment must be made by Provider no later than
September 30, 2007, to qualify for reimbursement by
County."
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7. Subparagraph "B" of Paragraph 5, RESPONSIBLITIES OF
PROVIDER RELATING TO THE PURCHASE OF 12 -LEAD EKG EQUIPMENT AND
TRAINING, of Agreement shall be deleted in its entirety and
replaced with the following:
"B. Provider shall coordinate and arrange for the
initial training of paramedic and EMT personnel in the use of
12 -Lead EKG equipment. Such training must be completed no later
than September 30, 2007, to qualify for reimbursement by
County."
8. Subparagraph "F" of Paragraph 5, RESPONSIBLITIES OF
PROVIDER RELATING TO THE PURCHASE OF 12 -LEAD EKG EQUIPMENT AND
TRAINING, of Agreement shall be deleted in its entirety and
replaced with the following:
"F. Provider shall be responsible for: (1) all
maintenance of 12 -Lead EKG equipment purchased under terms
of this Agreement and beyond, (2) expenditure for purchase
of all replacement 12 -Lead EKG equipment, (3) expenditure
for additional and /or future 12 -Lead EKG equipment
purchased after September 30, 2007, and (4) expenditure for
training on the use of 12 -Lead EKG equipment that occurs
after September 30, 2007."
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9. Paragraph 8, MAXIMUM COUNTY OBLIGATION, of Agreement
shall be deleted and replaced by the following:
118. MAXIMUM COUNTY OBLIGATION: County has allocated
a maximum total amount of Four Million Dollars ($4,000,000)
for reimbursement of allowable costs incurred by all
Providers under terms of this Agreement and any Amendments
hereto. The parties acknowledge that this funding is
comprised by revenue generated by Measure B, Preservation
of Trauma Centers and Emergency Medical Services annual
special tax as allocated by the County Board of Supervisors
(Measure B Trauma Property Assessment [TPA] Funds). The
parties further acknowledge that, following all due payment
by County to all Providers under terms of this Agreement
and any Amendments hereto, any Measure B TPA funds unused
at the termination of this Agreement shall remain in the
Measure B Special Fund, pending additional use subject to
approval by the County Board of Supervisors."
10. Except for the changes set forth hereinabove, the
wording of Agreement shall not be changed in any respect by this
Amendment.
IN WITNESS WHEREOF, the Board of Supervisors of the County
of Los Angeles has caused this Amendment to be subscribed by its
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Director of Health Services or his designee, and Provider has caused
this Amendment to be subscribed in its behalf by its duly authorized
officer, the day, month, and year first above wr'tten.
CITY OF EL SEGUNDO COU Y OF 0 rG ES
B Y Aq By
Jeff S ewart
City Manager
Dated
By
Karl Ber er
Assistant y Attorney By
Dated y
APPROVED AS TO FORM:
OFFICE OF THE COUNTY COUNSEL
APPROVED AS TO CONTRACT
ADMINISTRATION:
Department of Health Services
By C�� (9
Cara O'Neill, Chief
Contracts and Grants Division
Bruce ernof, .D.
Direc and Chie Medical Officer
APPROVED AS TO PROGRAM:
Department of Health Services
Cathy Ch ester, Acting Director
Emergency Medical Services Agency