CONTRACT 4878B Amendment CLOSEDAgreement No. 48786
SECOND AMENDMENT TO
AGREEMENT NO. 4878 BETWEEN
THE CITY OF EL SEGUNDO AND
VITAL MEDICAL SERVICES, LLC
THIS FIRST AMENDMENT ("Amendment") is made and entered into this 5th day of February,
2018, by and between the CITY OF EL SEGUNDO, a general law city and municipal corporation
existing under the laws of California ("CITY"), and VITAL MEDICAL SERVICES, LLC, a
California limited liability company ("Vital"). The parties agree as follows:
Pursuant to Section 9.4 of Agreement No. 4878 ("Agreement"), the parties desire to add
the services attached as Exhibit "A" to the Agreement, which is incorporated herein by
this reference. The CITY agrees to pay the amounts listed in Exhibit A pursuant to the
terms of the Agreement. The CITY further desires to increase the not -to -exceed amount
of the Agreement by $15,000 per year, so that the new not -to -exceed amount is $30,000
per year.
2. This Amendment may be executed in any number of counterparts, each of which will be
an original, but all of which together constitutes one instrument executed on the same
date.
3. Except as modified by this Amendment, all other terms and conditions of Agreement
No. 4878 will remain the same.
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Agreement No. 48786
IN WITNESS WHEREOF the parties hereto have executed this Amendment the day and
year first hereinabove written.
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VITAL MEDICAL SERVICES, LLC
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Alex 01vi'm1pol"Ir
Chief Operating Officer
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Taxpayer ID No.
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APPROVED AS TO FORM:
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City Attorney
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Vital Medical Services, LLC
655 North Central Avenue, 17th Floor
Glendale, CA 91203
www.vitalmedicalservices.com
Agreement No. 48786
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VITAL MEDICAL SERVICES CITY OF EL SEGUNDO NASAL NALOXONE (NARCAN) PROGRAM
Items 1-6 are further detailed in the VITAL-AO04 Policy.
1. Medical Director oversight for Nasal Naloxone (Narcan) administration
2. Executed Standing Order
3. Nasal Naloxone (Narcan) Education
4. Nasal Naloxone (Narcan) Training - The use of Naloxone via a nasal injector is relatively simple and
generally not dangerous or difficult. VITAL will create a comprehensive curriculum in accordance with
the manufacturer's suggested training recommendation, for a training course to be required for all
officers who will deploy with Naloxone kits. The course will include the following:
a. Course of instruction
b. Demonstrations
C. Brief competency skills and demonstrative examination
5. Nasal Naloxone (Narcan) Program Oversight and Implementation
6. Nasal Naloxone (Narcan) Customized Policy Implementation
EQUIPMENT
All equipment and supplies needed to provide the Scope of Services will be supplied by VITAL, except for the
Nasal Naloxone (Narcan), which the parties understand will be provided to CITY by their preferred
manufacturer (Adapt Pharma). Furthermore, it is recommended that the medication along with the
appropriate personal protective equipment be placed in a separate marked orange case (Pelican) to sustain
its integrity and to have it differentiated from other gear. CITY will be responsible for direct purchasing of the
Nasal Naloxone (Narcan) Medication through the manufacturer Adapt Pharma or any distributor of their
choice. The cost per case, excluding the medication, is $120.00.
NASAL NALOXONE (NARCAN) PROGRAM
Payment for the Nasal Naloxone (Narcan) program implementation and administration will be billed
annually at $2,100.00, which equates to $175.00 per month. This compensation includes the following:
traihing, education, competency, and continued medical director oversight.
The Chief Medical Officer of VITAL will write a standing order/ prescription for the disbursement of the Naloxone for
this program.
STAFFING
VITAL will serve as CITY's Program Coordinator, as referenced in VITAL-AO04 Policy. The Program Coordinator
will designate and be responsible for reporting requirements. The Program Coordinator will be available to
all CITY agents on an on-call basis (24) hours per day, seven (7) days per week, if needed.
City of EI Segundo Nasal Naloxone Program Fee Summary Fee
__.._ . — ._.._.._..w._ — .. ......... .— .............
Nasal Narcan Program Administration (Annual Fee) — Billed by VMS $2,100.00
Medication Cost (2 per box for 45 boxes) — Billed by Adapt Pharma or preferred vendor $3,375.00
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45 Narcan Cases with PPE (excluding medication) — One -Time Charge — Billed by VMS $5,400.00