HomeMy WebLinkAboutRFP - 8037 PFA EMERGENCY MEDICAL SERVICE PROVIDERRFP 8037 PFA Emergency Medical Services Page 1 of 55
REQUEST FOR PROPOSAL
8037 PFA EMERGENCY MEDICAL SERVICES
The City of Fort Collins, on behalf of the Poudre Fire Authority, is requesting proposals
from qualified firms to provide Emergency Medical Services (EMS).
Proposals must be submitted via email. Proposals shall be submitted in Microsoft
Word or PDF format and e-mailed to: purchasing@fcgov.com. Proposals will be
received before 3:00 p.m. (our clock), January 7, 2015 and referenced as Proposal
No. 8037.
The City and PFA encourages all disadvantaged business enterprises to submit
proposals in response to all requests for proposals and will not be discriminated against
on the grounds of race, color, national origin for all proposals for negotiated agreements.
A pre-proposal meeting will be held at 2:00 PM on December 5, 2014 at the Poudre
Fire Authority located at 102 Remington St, Fort Collins, CO 80524. Due to
meeting room space constraints we request firms planning to attend the pre-
proposal meeting limit attendance to not more than three (3) individuals.
Questions concerning the scope of the project should be directed to the Project
Manager, Mike Gress at (970) 416-2861 or mgress@poudre-fire.com with a copy to
Gerry Paul.
Questions regarding bid submittal or process should be directed to Gerry Paul, Director
of Purchasing and Risk Management at (970) 221-6779 or gspaul@fcgov.com.
All questions must be submitted in writing via email to Mike Gress and Gerry Paul,
no later than 3:00 PM on December 22, 2014. Questions received after this deadline
will not be answered.
A copy of the Proposal may be obtained online at: www.rockymountainbidsystem.com.
The City of Fort Collins is subject to public information laws, which permit access to most
records and documents. Proprietary information in your response must be clearly
identified and will be protected to the extent legally permissible. Proposals may not be
marked ‘Proprietary’ in their entirety. Information considered proprietary is limited to
material treated as confidential in the normal conduct of business, trade secrets,
discount information, and individual product or service pricing. Summary price
information may not be designated as proprietary as such information may be carried
forward into other public documents. All provisions of any contract resulting from this
request for proposal will be public information.
Financial Services
Purchasing Division
215 N. Mason St. 2nd Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
970.221.6707
fcgov.com/purchasing
RFP 8037 PFA Emergency Medical Services Page 2 of 55
Sales Prohibited/Conflict of Interest: No officer, employee, or member of PFA Council,
shall have a financial interest in the sale to the PFA of any real or personal property,
equipment, material, supplies or services where such officer or employee exercises
directly or indirectly any decision-making authority concerning such sale or any
supervisory authority over the services to be rendered. This rule also applies to
subcontracts with the PFA. Soliciting or accepting any gift, gratuity favor, entertainment,
kickback or any items of monetary value from any person who has or is seeking to do
business with the PFA of Fort Collins is prohibited.
Collusive or sham proposals: Any proposal deemed to be collusive or a sham proposal
will be rejected and reported to authorities as such. Your authorized signature of this
proposal assures that such proposal is genuine and is not a collusive or sham proposal.
The PFA of Fort Collins reserves the right to reject any and all proposals and to waive
any irregularities or informalities.
Sincerely,
Gerry S. Paul
Director of Purchasing & Risk Management
RFP 8037 PFA Emergency Medical Services Page 3 of 55
CONTENTS
Section 1.0 PROPOSAL REQUIREMENTS
1.1 General Description
1.2 Contract Term
SECTION 2.0 BACKGROUND
Description of Northern Larimer County Service Area
SECTION 3.0 DEFINITIONS
SECTION 4.0 PERFORMANCE REQUIREMENTS
4.1 Deployment Plan
4.2 Operations Section
Response Time: Definitions and Standards
A. Response Time
B. Arrival at Scene
C. Ninety-Percent Standard
D. Per Call Standard
E. Response Times
F. Lights and Siren
G. Coordinated Compliance Combined
H. Map Revisions
4.3 Upgrades, Downgrades, Reassignments
A. Upgrades
B. Downgrades
C. Reassignment Enroute
D. Cancelled Enroute
E. Response Times Outside Defined Service Area
F. Each Incident a Single Response
G. Delay of non-emergent Transport Responses
4.4 Response time Exceptions and Exemptions
4.5 Use of Mutual Aid and Requirements
4.6 Dispatch Requirements
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4.7 Equipment and Supplies
A. Vehicles and Equipment
B. Medical Equipment, Medications and Supplies
C. Opticom Equipment
4.8 Disaster Preparedness and Response
4.9 Committee Participation
4.10 Standby, Special Operations and Event Coverage
4.11 Courtesy Stand-by for Public Service Personnel
4.12 Public Relations and Education
5.0 PERSONNEL AND CLINICAL STANDARDS
A. Command and Control Structure
B. Ambulance Personnel Certifications & Requirements
C. Uniforms and Appearance of Personnel
D. Personnel Training
E. Medical Direction, Certification and Training
F. Destination Policy
G. Personnel Conflict Resolution
H. Operations Office Location and Access
6.0 DATA PROGRAMS/COLLECTION SYSTEMS/REPORTING/AUDIT
7.0 QUALITY CONTROL AND PERFORMANCE IMPROVEMENT
8.0 PATIENT FEES (RATES)
9.0 LIQUIDATED DAMAGES
10.0 INSURANCE
11.0 PERFORMANCE SECURITY
12.0 PROPOSAL SUBMITTAL REQUIREMENTS
13.0 SELECTION PROCESS AND EVALUATION
13.1 Selection Committee
13.2 Proposal review and Scoring
13.3 Reference Evaluation
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14.0 PROPOSAL ACCEPTANCE
15.0 SAMPLE SERVICE AGREEMENT
16.0 SERVICE AGREEMENT EXHIBITS
A. Service Area Map
B. Agreement for Dispatch Services, w/Schedule 1
C. Agreement for Use of Opticom System, w/Schedule 1
D. Insurance Requirements
E. Confidentiality
RFP 8037 PFA Emergency Medical Services Page 6 of 55
8037 PFA EMERGENCY MEDICAL SERVICES
SECTION 1.0 PROPOSAL REQUIREMENTS
1.1 General Description
The City of Fort Collins, on behalf of Poudre Fire Authority (PFA), is soliciting
proposals for a CAAS Accredited* Emergency Medical Services (EMS) provider.
PFA is seeking an exclusive contract with an EMS Contractor committed to
patient centered, outcome oriented, pre-hospital emergency care for the citizens
of the Northern Larimer County Emergency Response Area. The selected
Contractor must meet or exceed the requirements of C.R.S. 25-3.5-301-308, 6
CRR 1-15-3, Section 12, provisions of the Colorado Revised Statutes, Larimer
County Health Department and other relevant Federal, State and local laws,
regulations and rules.
This Request for Proposal (RFP) is intended to identify a partner who will
embrace an integrated team approach involving all 911 service providers and
receiving agencies focused on continuously improving patient outcomes. The
selected Contractor will actively engage all 911 stakeholders to build positive,
professional relationships.
Proposals will be evaluated in accordance with the criteria listed in Section 13.0,
Selection Process and Evaluation.
*CAAS Accredited or equivalent. At the sole option of PFA, the contract may be
award to a non CAAS Accredited Contractor subject to successful accreditation
within 12 months from the contract date.
1.2 Contract Term
The selected Contractor shall provide 100 percent, 24 hour per day coverage for
all emergency ambulance services, as PFA’s exclusive franchisee for emergency
ambulance services within the Northern Larimer County Service Area. The PFA
intends to award a one (1) year contract, with the option for the PFA to renew the
contract for up to an additional four (4) one (1) year terms. Annual renewal will be
subject to PFA’s evaluation of the Contractor’s performance and consideration of
the Fee schedule.
The contract may be extended for an additional five (5) year term if performance
is satisfactory and subject to approval by the PFA Board and negotiation of a
mutually acceptable extension agreement.
SECTION 2.0 BACKGROUND
Poudre Fire Authority (PFA) is seeking proposals for an Emergency Medical Service
provider to service the Northern Colorado Larimer Emergency Response Area
(NCLERA). The NCLERA is located approximately 60 miles north of Denver Colorado
along the eastern foothills of the Rocky Mountains and is approximately 2,200 square
miles in Northern Larimer County and parts of Western Weld County. This area includes
the PFA of Fort Collins including the campus of Colorado State University and the
Poudre Valley Fire Protection District encompassing the Town of Timnath, the
RFP 8037 PFA Emergency Medical Services Page 7 of 55
communities of LaPorte and Bellvue; and the Fire Districts of Wellington, Livermore, Red
Feather Lakes, Poudre Canyon, Glacier View, Crystal Lakes and Rist Canyon, and
certain unincorporated areas of Larimer County. The scope of service includes several
rural fire departments with adjoining jurisdictions through an Intergovernmental
Agreement with PFA. The service area map is attached as Exhibits A.
In addition to the scope of services detailed herein, PFA is requesting firms
include in their proposal an option to provide a higher level of service for the
Town of Wellington than is required by Section 4.2 below. Wellington is a rapidly
growing community 10 miles north of Fort Collins. The Wellington Fire District had a
total call volume of 565 in 2013 with 71% of those calls a medical emergency. The
Wellington Fire District desires a Zone 1 response to service their community. In the
event Wellington elects to contract Zone 1 response level service with the selected
vendor, Wellington will enter into a separate agreement. All options will be considered to
provide Wellington with Zone 1 response level service.
SECTION 3.0 DEFINITIONS
Terms used in this RFP shall have the following meaning:
"Advanced Emergency Medical Technician (AEMT)" - an individual who has a current
and valid AEMT certificate issued by the state of Colorado and who is
authorized to provide limited acts of advanced emergency medical care in
accordance with these rules.
"Ambulance" means any privately or publicly owned motor vehicle, aircraft, or marine
craft that is regularly provided or offered to be provided for the emergency
transportation of persons suffering from illness, injury or disability including
any unit registered with the State of Colorado as an advanced life support
Ambulance.
"Ambulance Provider" or "Ambulance Service Provider" means a Paramedic Staffed
Advanced Life Support Ambulance provider licensed by the State of
Colorado that responds to 911 dispatched calls.
"Ambulance Service Area" or "ASA" means a specific geographic area of Northern
Larimer County Colorado which is served by the sole Ambulance service
provider.
"Ambulance Service" means any individual, partnership, corporation, association,
governmental agency or other entity that holds an Advanced Life Support
Ambulance provider license issued by Larimer County, Colorado to provide
emergency and non-emergency care and transportation to sick, injured or
disabled persons.
“AVL/MDC” means Automatic Vehicle Locator/Mobile Data Computer.
"Board" means the PFA Board of Directors.
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"Colorado Medical Board" - the Colorado Medical Board established in Title 12, Article
36, C.R.S., formerly known as the state Board of Medical Examiners.
“Contractor” means the sole 911 Emergency Medical Service provider under contract
with the PFA.
"Department" means the Poudre Fire Authority.
“Dispatch” means the Fort Collins 911 which is a 24 hour, 365 day a year operation,
and is the Public Safety Answering Point (PSAP) responsible for answering
911 calls.
"Emergency Ambulance Service" means the provision of advanced or basic life
support, and transportation by Ambulance, if appropriate, in response to
medical and traumatic emergencies.
"Emergency Medical Technician (EMT)" - an individual who has a current and valid
EMT certificate issued by the department and who is authorized to provide
basic emergency medical care in accordance with these rules.
"Emergency Medical Technician with Intravenous Authorization (EMT-IV)" - an
individual who has a current and valid EMT certificate issued by the state of
Colorado and who has met the conditions defined in Section 5.5 of these
rules.
"Emergency Medical Technician-Intermediate (EMT-I)" - an individual who has a
current and valid EMT-Intermediate certificate issued by the state of
Colorado and who is authorized to provide limited acts of advanced
emergency medical care in accordance with these rules.
“EMD” means Emergency Medical Dispatch.
"EMS" or "Emergency Medical Services" means those pre-hospital functions and
services whose purpose is to prepare for and respond to medical and
traumatic emergencies, including rescue and Ambulance services, patient
care, communications and evaluation.
"EMS Physician Advisor" or "Medical Director" means a PFA approved Emergency
Medicine physician Colorado licensed in good standing who authorizes and
directs, through protocols and standing orders, the performance of
students-in-training enrolled in department-recognized EMS education
programs, graduate AEMTs, EMT-Is or paramedics, or EMS providers of a
pre-hospital EMS service agency and who is specifically identified as being
responsible to assure the competency of the performance of those acts by
such EMS providers as described in the physician’s medical Continuous
Quality Improvement (CQI) program.
“EMS Provider” means an individual who holds a valid emergency medical service
provider certificate issued by the Colorado Department of Health and
Environment, Health Facilities and Emergency Medical Services Division
and includes Emergency Medical Technician, Advanced Emergency
Medical Technician, Emergency Medical Technician-Intermediate and
Paramedic.
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"EMS Service Agency" - any organized agency including but not limited to a "rescue
unit" as defined in Section 25-3.5-103(11), C.R.S., using EMS providers to
render initial emergency medical care to a patient prior to or during
transport.
"First Responder", “QRT” or "First Response Agency" means fire and other
governmental or private agencies providing non-transport capable
Emergency Medical Services in the Northern Larimer County Emergency
Response Area.
“ICS” means Incident Command System which is a standardized on-scene emergency
management construct specifically designed to provide for the adoption of
an integrated organizational structure that reflects the complexity and
demands of single or multiple incidents, without being hindered by
jurisdictional boundaries. ICS is the combination of facilities, equipment,
personnel, procedures, and communications operating within a common
organizational structure, designed to aid in the management of resources
during incidents. It is used for all kinds of emergencies and is applicable to
small as well as large and complex incidents. ICS is used by various
jurisdictions and functional agencies, both public and private, to organize
field-level incident management operations.
“Incident Commander” is the individual in charge of any 911 response on scene.
“NCRETAC” is the Northern Colorado Regional EMS/Trauma Advisory Council.
“NIMS” or “National Incident Management System” is a standardized approach to
incident management developed by the Department of Homeland Security.
“NLCERA” or “Northern Larimer County Emergency Response Area” is the
geographic area currently covered by Poudre Valley Hospital Ambulance
encompassing 2,200 square miles in Northern Larimer County and parts of
Western Weld County (see attached map in Exhibit A)
“Northern Larimer County EMS Board” means the board comprised of selected
representatives of NCLERA EMS to focus a continual improvement of
outcome oriented, patient centered, pre-hospital care for the citizens in the
NCLERA.
"Paramedic" - an individual who has a current and valid paramedic certificate issued by
the state of Colorado and who is authorized to provide advanced
emergency medical care in accordance with these rules.
"Protocol" – are written standards for patient medical assessment and management
approved by the medical director.
"Participating Agency" means a fire service agency (fire district or fire department) that
has an IGA with the PFA for Emergency Medical Services.
“Participating Providers” means an agency or provider that provides Paramedic level
care.
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“Partners” refers collectively to fire service agencies which have entered into an
Intergovernmental Agreement (IGA) with the PFA to represent their interest
regarding Emergency Medical Services for their designated area.
Members of the consortium are Fire Departments represented by Poudre
Fire Authority for the purpose of contracting with a sole 911 Emergency
Medical Service provider.
“PSAP” or “Public Safety Answering Point” means the Fort Collins 911 which is
responsible for answering 911 calls.
"Response Time" means the length of time between the notification of each provider
(Participating Provider or Ambulance Provider) and the arrival of their
respective Advanced Life Support (ALS) emergency medical service unit(s)
at the incident scene or staging area.
“System Status Plan” also referred to as “Deployment Plan” is the management of the
EMS Contractor’s system to meet the fluid deployment of ambulances to
answer expected demand, expressed as calls for service, in the attempt to
provide faster response by locating ambulances at “posts” nearer their next
calls
"Zone" means one of five (5) areas into which the ambulance services area is divided
which are used for determining response times within the NLCERA. (Refer
to map in Exhibit A)
4.0 PERFORMANCE REQUIREMENTS
4.1 Deployment Plan (or System Status Plan)
Contractor shall be required to develop and maintain a current Deployment Plan
and must include the following elements:
1. Identification and the number of ambulances to be deployed during each hour
of the day and day of week.
2. A description of 24 hour system status management strategies to deploy or re-
deploy resources to meet performance requirements.
3. A description of how the Contractor will meet the demand for emergency
ambulance response during peak periods and during unexpected periods of
unusually high call volume.
4. A map identifying proposed ambulance station or post locations to meet
response times in each Zone.
5. A description of staffing plans including the number of full time or part time
employees.
6. A description of any planned use of call back crews.
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4.2 Operations Section
RESPONSE TIME: DEFINITIONS AND STANDARDS
The selected Contractor will have the flexibility to choose the means and methods
for providing efficient and effective 911 Ambulance services. Performance that
meets or exceeds the response time requirements of the RFP is the result of
Contractor’s expertise and choice of the means and methods, and therefore is
solely Contractor’s responsibility.
A. Response Time: For the purposes of this service, response times for 911
emergent and non-emergent responses will be measured from the time of unit
notification until the Contractor’s, or another authorized paramedic-staffed
response vehicle, stops the response time clock by transmission from
Contractor's Ambulance or authorized mutual aid Ambulance of the "unit
arrived on scene" status signal to Computer-Aided Dispatch (“CAD”). For
purposes of measuring response times, the official time will be the time
displayed by the CAD system in use at the Public Safety Answering Point
(“PSAP”).
B. Arrival on scene means the moment an Ambulance crew notifies the PSAP
that it is fully stopped at the location where the Ambulance will be parked while
the crew exits to approach the patient. In situations where the Ambulance has
responded to a location other than the scene (e.g. staging areas for hazardous
scenes), arrival “on scene” will be the time the Ambulance arrives at the
designated staging location. In the instance of apartment or business
complexes, such transmission shall not be made until the Ambulance actually
arrives at the point closest to the specified apartment or business to which it
can reasonably be driven. In instances when the Ambulance fails to report “on
scene,” the time of the next communication with the Ambulance will be used
as the “on scene” time. However, Contractor may appeal such instances when
it can document the actual arrival time through other means.
Ninety-percent Compliance Standard. The Contractor must operate the
Emergency Ambulance service so as to achieve 90% response time
compliance in each Zone every month, measured separately for 911 emergent
and non-emergent calls. Exceptions will be reviewed on a case by case basis.
For example, to be in compliance for 911 emergent responses in Zone 1, the
Contractor must place a Paramedic on scene for each emergent call within
eight minutes and fifty nine seconds (8:59). Response time requirements are
set forth below for 911 emergent and non-emergent calls within each Zone.
C. Per Call Standard: Contractor must meet all “standard” response times to
meet response requirements. Each call/month/Zone will be assessed for
compliance. In addition, any response that exceeds the maximum time will be
assessed a penalty. Contractor has the opportunity to submit exception
reports for any non-compliant time reports for evaluation for that month.
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D. Response Times. Response time requirements are set forth in the following
tables for 911 emergent and non-emergent calls:
Priority Nature Medical Priority Dispatch
System
Emergent Life threatening
emergency
EMD determinants: Echo, Delta,
Charlie and designated Bravo
code 3
Calls without a MPDS
classification
Non-Emergent Non-life threatening
emergency
EMD determinants: Bravo,
Bravo code 2, Alpha and
Omega
ZONE EMERGENT EMERGENT NON-EMERG NON-EMERG
Standard Maximum Standard Maximum
Zone 1 8:59 minutes 11:59 minutes 11:59 minutes 14:59 minutes
Zone 2 None 11:59 minutes None 30:00 minutes
Zone 3 None 23:59 minutes None 30:00 minutes
Zone 4 None 60:00 minutes None 120:00minutes
Zone 5 Best Effort Best Effort Best Effort Best Effort
Note: Unless a shorter response time has been established by a Participating
Provider, the response time stated above shall apply to all Zones.
E. Lights and Siren. The PFA does not require the use of lights and siren for
any call. Contractor is responsible for determining whether or not lights and
sirens are to be used for any particular call or priority.
F. Coordinated Compliance Combined. When a Coordinated Zone is
implemented as part of an agreement with a Participating Provider, calls in that
Zone will be combined for the purpose of reporting compliance under this
section.
G. Map Revisions. In the event that one or more of the Participating Providers
change their level of medical first response services, or in the event that new
Participating Providers are added, PFA may revise the Zone area map
(Attachment B).
4.3 UPGRADES, DOWNGRADES, AND REASSIGNMENT
A. Upgrades
If an assignment is upgraded, prior to the arrival on scene of the first
Ambulance (911 emergent and non-emergent), Contractor’s compliance with
contract standards and liquidated damages will be calculated based on the
shorter of:
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The time elapsed from call receipt to time of upgrade plus the higher
priority response time standard, or;
The lower priority response time standard.
B. Downgrades
Downgrades may be initiated by Fort Collins 911 Dispatch or medically trained
First Responders as authorized by the Physician Advisor. If an assignment is
downgraded prior to the arrival on scene of the first Ambulance, the
Contractor’s compliance with contract standards and penalties will be
calculated based on:
The lower priority response time requirement, if the unit is downgraded
before it would have been judged “late” under the higher priority response
time requirement, or
The higher priority response time requirement, if the unit is downgraded
after it would have been judged “late” under the higher priority response
time requirement.
C. Reassignment Enroute
If an Ambulance is reassigned by CAD enroute prior to arrival on scene (e.g.
to respond to a higher priority request), the Contractor’s compliance and
liquidated damages will be calculated based on the response time requirement
applicable to the assigned priority of the initial response. The response time
clock will not stop until the arrival of an Ambulance on the scene from which
the Ambulance was diverted.
D. Cancelled Enroute
If an Ambulance is cancelled by the Incident Commander or Dispatch, after an
assignment has been made but prior to the arrival of the first Ambulance, and
no Ambulance is required at the dispatch location, the response time clock will
stop at the moment of cancellation. If the elapsed response time at the
moment of cancellation exceeds the response time requirement for the
assigned priority of the call, the unit will be determined to be ″late″ for the
purpose of contract compliance and calculation of liquidated damages. If the
elapsed response time at the moment of cancellation is within the response
time requirement for the assigned priority of the call, the unit will be
determined ″on time″ for the purpose of contract compliance and calculation of
liquidated damages.
E. Response Times Outside Defined Service Area
Contractor will not be held accountable, under the agreement, for emergency
response time compliance for any response dispatched to a location outside of
the defined service area. Responses to requests for service outside of the
service area will not be counted in the total number of responses used to
determine compliance.
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F. Each Incident A Single Response
Each incident will be counted as a single response regardless of the number of
units that respond. The dispatch time of the 1st Ambulance dispatched and the
on scene time of the first arriving Contractor’s or authorized mutual aid ground
Ambulance will be used to compute the response time for the incident.
G. Delaying Non-Emergency transport: Contractor will agree to delay non-
emergent transport responses if doing so would compromise the Contractor’s
ability to provide a 911 response Ambulance within the NCLERA response
area.
4.4 Response Time Exceptions and Exemptions
Contractor shall maintain mechanisms for reserve capacity to increase emergency
response should temporary system overload persist. However, it is understood
that from time to time unusual factors beyond Contractor’s reasonable control may
affect achievement of the specified response time requirement. These unusual
factors are limited to unusually severe weather conditions, declared disasters,
reassignment enroute, or periods of unusually high demand for emergency
services. Unusually high demand for emergency responses, for the purpose of
considering exemption requests, will be defined according to the following:
Contractor must demonstrate that all units provided for in the System Status or
Deployment Plan were available, or assigned to, 911 calls or mutual aid calls
when requesting exceptions to response time requirements based on demand or
reassignment enroute. For the hour of the week for which an exemption is
requested, Contractor must demonstrate that at the moment the call was
received, that the number of emergency calls dispatched and being worked
simultaneously exceeds the product of the following formula:
Overload = (1.5 X (1 Standard Deviation)) + the mean rounded up to the nearest
whole call for the entire population of emergency calls for that hour for the
proceeding 20 weeks.
Equipment failures, expected traffic congestion, Ambulance failures, inability to
staff units and other causes will not be grounds for granting an exception to
compliance with the response time requirements. If Contractor determines that
any response or group of responses should be excluded from the compliance
calculations due to “unusual factors beyond the Contractor’s reasonable control,”
Contractor may provide detailed documentation to the PFA and request that the
PFA exclude these runs from response time calculations and liquidated damages
calculations. Any such exception request must be made in writing and received by
the PFA with the required monthly report. The PFA will review the request and
issue a determination. Should Contractor dispute the determination made by the
PFA, Contractor may make a written appeal to the PFA for a definitive ruling
within five (5) days of receiving the PFA decision. The PFA ruling will be final and
binding. Any response time requirement changes proposed by Contractor will be
reviewed on a case by case basis.
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4.5 Use of Mutual Aid and Requirements
A. If Contractor utilizes mutual aid services in order to comply with conditions of
this contract, any agency utilized must meet all state, county and local
requirements and the approval of PFA which shall be at PFA’s sole discretion.
B. Contractor Ambulances shall not be dispatched on mutual aid responses if
doing so would substantially compromise the Contractor’s ability to provide a
minimum of one 911 response Ambulance within the PFA response area.
C. Contractor may not incorporate a surcharge for providing mutual aid.
D. Contractor will utilize appropriate transport options (i.e. helicopter) for critical
patients as required by Protocol, even if such transport is not part of
Contractor’s service.
4.6 Dispatch Requirements
As a condition of this Agreement, the Contractor shall enter into an exclusive
contract with Fort Collins 911 for dispatch and communication services.
Contractor shall use Fort Collins 911 exclusively for dispatch and communication
services in the NCLERA. (See Exhibit B, Dispatch Service Agreement)
4.7 Equipment and Supplies
A. Vehicles and Equipment
1. Each 911 response Ambulance must meet all rules and regulations as
outlined in Larimer County Ambulance Licensing Requirements for ALS
Ambulances (6CCR1015-3, Chapter 4 – Licensure of Ground Ambulance
Services) and must meet or exceed the requirements set forth in Federal
KKK-1822C Standards.
2. Contractor must have available, at all times, a minimum number of fully-
equipped Ambulance units defined as 133% of the number of units
required at the peak load in the system status plan. Neither the PFA nor
mutual aid resources may be considered part of the Contractors fleet.
3. All required equipment and supplies must be supplied in each response
vehicle at 110% of peak-load requirements and provide all of their own
restocking of such equipment and supplies. Required Personal Protection
Equipment (PPE) will be required for emergency situations encountered
and weather as mandated by the Incident Commander and Physician
Advisor.
4. All response vehicles must display lettering which identifies the
Contractor’s business name and must meet striping and lighting visibility
standards as required by PFA and must maintain consistency in
demarcation and radio designation.
5. All response vehicles must display the unit number in at least 4-inch letters
on all sides of the vehicle and roof.
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6. Ambulances must have on board and in working order:
a. All equipment required by Colorado State and Larimer County
(reference 6CCR1015-4 available at http://www.sos.state.co.us/CCR).
b. Safety restraints for patients, children and caregivers.
c. Mobile Data Terminal (“MDT’s”)/computers and radio equipment for
adequate communications which is provided and maintained by the
Contractor. All Ambulances and supervisor units must be equipped
with AVL/Mobile Data Communications “MDC” systems which links to
the PSAP CAD and is responsible for all costs, software and
maintenance. Communication equipment must include 700-800 MHZ
compatible with FRCC DTR system, radio talk-group channel capable
to effectively communicate with all other NCLERA, PFA and Larimer
County agencies to meet or exceed the existing system. VHS radios
with a minimum of 48 channels and programmed for the current Larimer
County Type II incident communication frequencies are required. Each
Ambulance will have at least one mobile and one portable of each of
the 700-800 Mhz and VHF radios.
7. All Ambulances must be equipped with a 12-lead electrocardiogram (ECG)
capabilities.
8. Contractor will utilize the mobile client mandated by Fort Collins 911 to
display all units assigned to calls. Icon color will change to display current
status and can be viewed in the tabular unit status queue. Contractor will
coordinate with each PSAP to collect and display status information on fire
units for the integrated display including information on unit status,
responding at scene, transporting, at hospital.
9. Contractor must have a mobile client that will give the PSAPs visibility of all
active Contractor calls regardless of which PSAP initiated the call, and
display all non-911 calls being handled by Contractor units to ensure there
is a full understanding of all Ambulance activity within the Northern
Colorado Larimer Emergency Response Area. Contractor will maintain
these capabilities for the duration of the contract.
B. Medical Equipment, Medications and Supplies
1. Replacement of Supplies and Medications. Contractor must replace
medical supplies and medication utilized by First Responders in patient
care in a timely manner.
2. Contractor will provide backboards, vacuum splints (including halfback) and
02 tanks and replacement with full tanks, to all NCLERA agencies.
3. Equipment Retrieval. Contractor will replace or retrieve First Responder
equipment from hospitals which accompanies patients. Contractor will
decontaminate and deliver the equipment back to the appropriate agency
within 24 hours. When practical, equipment replacement will occur on
scene.
RFP 8037 PFA Emergency Medical Services Page 17 of 55
4. Return to Station Transportation. When a First Responder accompanies
the Ambulance to the hospital to assist in providing patient care, Contractor
will notify the dispatch center that a First Responder is onboard with them
to the hospital. Contractor is responsible for the return of the First
Responder to their station immediately after completing the call at the
hospital.
5. Contractor will advise PFA in writing of changes in medications, supplies or
equipment that would affect the interoperability between participating
partners before implementation. In the event that such changes would
result in an undue hardship for Participating Providers, the Contractor will
delay implementation or provide the required equipment until the
Participating Provider is able to obtain the item(s).
6. Contractor will provide training for Participating Providers prior to
implementation of equipment changes.
C. Opticom: As a condition of this Agreement, the Contractor shall enter into a
separate contract with PFA for the Opticom system and maintenance. (See
Exhibit C, Agreement for Use of Opticom System)
4.8 Disaster Preparedness and Response
The Contractor shall be actively involved in planning for and responding to any
declared disaster in the PFA response area, including planning for provision of
services to vulnerable populations. In the event a disaster within the Northern
Colorado Larimer Emergency Response area is declared, normal operations shall
be suspended and Contractor shall respond in accordance with the applicable
disaster plan. Contractor shall use best efforts to maintain primary emergency
services and have an approved recovery and response plan in place to assure
911 response services are maintained within 24 hours.
A. Incident Command
1. At emergency response scenes where they are present, the local fire
agency having jurisdiction has the responsibility for overall scene safety
and management. Contractor is included in standard operating procedures
within the incident command system and has command responsibilities
prior to the arrival of the fire agency. Once the fire agency arrives on
scene, the command responsibility is transferred to the ranking fire officer.
Authority and responsibility for patient care will initially be the responsibility
of the lead paramedic, regardless of rank or agency, on the first arriving
first response or Ambulance vehicle. The authority and responsibility for
patient care will be transferred to the lead paramedic, nurse or physician on
the transport Ambulance (ground or air) as described in the PFA Protocols.
Decisions regarding medical treatment will be determined according to
current Protocols and standards.
2. Participation in ICS/NIMS. Contractor will be required to fully and actively
participate in the Incident Command System (ICS/NIMS) as adopted by the
PFA.
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3. Minimum ICS/NIMS and NIMS Training Standards. Contractor must adhere
to NIMS requirements at each level of the proposed organization. Minimum
training requirements must be established for each level of the
organization. Field level employees must take at a minimum ICS/NIMS
100, 200 and NIMS 700 and 800 and a PFA ICS Orientation. Management
staff with anticipated command or general staff duties is required to take
those classes as well as ICS/NIMS 300 and 400. Contractor’s personnel
will participate yearly in Multi-agency MCI Training with PFA and
participating emergency responders.
4. Contractor will work collaboratively with all area 911 agencies to enhance
services through Multi-agency Training (MAT), on a bi-yearly basis.
5. Contractor shall respond to requests from the Incident Commander for the
protection, monitoring and rehabilitation of emergency responders without
additional compensation. If subrogation is possible, reimbursement may
be available.
6. Contractor will provide an appropriately trained administrative
representative to the PFA and/or police organizations whenever requested.
(i.e. planning, large scale or complex event response)
7. In the event a disaster within the NCLERA area is declared, normal
operations shall be suspended and Contractor shall respond in accordance
with the applicable disaster plan.
Contractor will use best efforts to maintain primary emergency services and
have an approved recovery and response plan in place to assure 911
response services are maintained within 24 hours.
4.9 Committee Participation
Contractor will attend meetings conducted by the Northern Larimer County EMS
Advisory Board, Disaster Planning and Response Committees and the Larimer
Health Care Coalition Committee.
4.10 Standby, Special Operations and Event Coverage
A. Contractor will support active search and rescue missions at the request of the
Larimer County Sheriff’s Office, based on availability.
B. When requested, Contractor agrees to provide EMS personnel for designated
high risk PFA training and Participating Provider Training.
C. Dedicated Stand-by Coverage for Community Events. Upon request,
Contractor shall provide stand-by Ambulance coverage and/or EMS personnel
for community events. Examples of community events include but are not
limited to: sporting events, civic and cultural events, and other community
sponsored events.
RFP 8037 PFA Emergency Medical Services Page 19 of 55
4.11 Courtesy Stand-by for Public Service Personnel
Upon request by police, fire or dispatch personnel, the Contractor shall furnish
stand-by coverage at emergency incidents involving a potential danger to
Emergency Response personnel at no charge.
4.12 Public Relations and Education
A. Contractor will develop and implement community programs and coordinate
these programs with other appropriate agencies.
B. Contractor will partner with other organizations to effectively participate and
coordinate health and safety activities for the public.
C. Safety Awareness. Contractor will develop and implement community
programs aimed at safety awareness and injury and illness prevention.
Contractor will coordinate these programs with other public agencies including
first responders, public health organizations and injury prevention partners.
These programs will be directed at both adult and children audiences.
Examples of programs may include, but not be limited to:
- School education addressing access to 911, helmet safety, EMS careers,
DUI awareness.
- CPR Training
- Adult education including child safety seats and fall prevention.
- Safety Fairs
- Public Safety messages
- Injury Prevention
- Safety Messaging
Contractor will partner with other organizations to effectively coordinate health
and safety activities, examples may include but not limited to: Healthcare
coalition in Larimer County, NCRETAC, Colorado Impact, Larimer Safe Kids
Coalition, Larimer County Health Department, Alliance for Community Traffic
Safety in Colorado, PFA Public Health Department, PFA Safe Communities
Program and local first responders, including local Law and Fire Agencies
including the Larimer County Sheriff’s Department.
5.0 PERSONNEL AND CLINICAL STANDARDS
A. Command and Control Structure:
The PFA or Affiliated Fire Departments are responsible for all scene activity and
safety at a scene. All responders will utilize the ICS system of organizational
response and communications.
B. Ambulance Personnel Certifications & Requirements.
When on duty and in-service, 911 Ambulances must be staffed by at least two (2)
persons. At least one of these persons must be certified by the State of Colorado at
the level of Paramedic, and authorized by Medical Direction to perform Paramedic
RFP 8037 PFA Emergency Medical Services Page 20 of 55
level care. The other person must be State licensed at the level of Paramedic,
Advanced EMT EMT-IV or EMT. All of Contractor’s personnel who render patient
care in any capacity as the Contractor’s representative must maintain a current
Colorado State certification at that level.
C. Uniforms/Identification and Appearance of Personnel
Contractor’s personnel shall at all times wear uniforms with name tags and level of
state certification that is easily visible. Uniforms must be clearly marked with the
service providers name to assure identification between services at scene.
Contractor’s uniforms shall be subject to PFA’s approval.
D. Personnel Training
Contractor will provide State and Medical Director approved monthly continuing
education opportunities (both didactic and practical) to PFA and Participating
Partners including fire department and Quick Response Teams EMS Personnel.
Training hours must meet or exceed the minimum state annual training and
recertification requirements. Contractor will also participate in joint Case Reviews as
required by the Physician Advisor.
Contractor will make a training unit available to PFA and for clinical training
opportunities.
Contractor will participate in joint training opportunities with PFA and Emergency
Management as requested.
E. Medical Direction: Certification and Training
Contractor will supply the services of a PFA approved physician advisor. PFA is
open to various options on how this service is provided. Contractor may choose
from one of the following options or submit another option for consideration.
Option 1: Contractor agrees to provide a PFA approved Physician Advisor that
meets Colorado state requirements and shall act as joint medical control for all
NCLERA First Responders. Such Physician Advisor shall provide defined
hours/week dedicated to PFA and Participating Providers for administrative and
educational requirements, subject to PFA approval.
Option 2: The Contractor and PFA will jointly fund a Physician Advisor position at
Poudre Fire Authority that meets Colorado state requirements and is approved by
PFA. This Medical Direction shall also be utilized as joint medical control for all
NCLERA First Responders. Such Physician Advisor shall have defined time
dedicated to PFA and Participating Providers for administrative and educational
requirements.
Liability Insurance for the Physician Advisor will be the responsibility of the
Contractor.
The Physician Advisor will independently certify, on a yearly basis, that the
Contractor, PFA and Participating Providers have each met or exceeded all state,
and local clinical requirements.
RFP 8037 PFA Emergency Medical Services Page 21 of 55
F. Destination Policies
Contractor will follow all state, local, PFA and Participating Participants destination
policies and protocols, including all state and regional rules and regulations
regarding transport criteria to appropriate facilities and patient requests.
G. Personnel Conflict Resolution Process
Conflicts involving Contractor’s employees that cannot or should not be resolved on
an individual level will utilize a formal conflict resolution process. Any concerns or
conflicts that may affect portions of this contract will be communicated to the
designated PFA contract manager and the appropriate supervisors.
H. Operations Office Location and Access
Contractor must maintain an office within Fort Collins, Colorado from which daily
operations are conducted and at which staff members are located who can answer
questions regarding Ambulance service operations.
6.0 DATA PROGRAMS/COLLECTION SYSTEMS/INFORMATION REPORTING/AUDIT
For each request for Ambulance service, regardless of geographic origin and including
mutual aid given or received, emergency and non-emergency, Contractor's personnel
shall complete a record in the CAD using approved coding conventions and time-
stamping rules and that the PFA analysis software will be utilized as the analysis tool for
purposes of compliance.
For each patient, whether transported or not, Contractor shall complete an electronic
patient care report.
A compatible Emergency Patient Care Reporting (EPCR) system between the
Contractor and PFA is preferred. If Contractor’s EPCR system is not compatible,
Contractor will be responsible for providing patient, treatment and outcome information
for educational and system assessment requests in a format approved by PFA.
The Contractor will provide a designated person to provide data and patient outcome
information within a timely manner upon request by PFA.
The data collected is used by Contractor, PFA and agency partners to make fact based
decisions regarding operational performance, clinical protocols, and patient treatment
methods. Should Contractor be required by state or federal regulation to change
software, Contractor will provide written notification with a plan to address required data
per contract terms.
Contractor will agree to participate in a single database as defined by the PFA statistical
evaluation of system performance. This database will store data that relates to response
numbers, time stamps, Ambulance status, patient transports, Ambulance crew
information, vehicles and any call edits performed.
Reports and records will be generated utilizing Computer Aided Dispatch Data as the
standard.
RFP 8037 PFA Emergency Medical Services Page 22 of 55
Software designated by PFA will be utilized for the production of required reports.
Definitions and formulas will be developed and agreed upon between the Contractor and
PFA. Any additional programming to this software needed to monitor and validate
Contractor’s activities will be paid for by Contractor.
As reasonably requested by PFA, Contractor agrees to promptly respond to data
requests.
A. Document Review. PFA shall have the right to access upon reasonable notice
and solely to the extent such review reasonably relates to the services provided
hereunder.
B. Response Time Audit Trail: Contractor must interface with the Fort Collins 911
Computer Aided Dispatch (CAD) system that assures a complete audit trail for all
response times and assures the PFA access to the response time data at any
time to assure compliance and to calculate liquidated damages. Data tracking
software, as defined by PFA, will be utilized to facilitate required data analysis.
This data will available to participating providers upon request.
*In situations or areas where interfacing with the Fort Collins 911 CAD system
is unavailable, the Contractor is responsible for insuring accurate times are
entered into the CAD system within 24 hours of having access to CAD/RMS
system
C. Non-Compliance report: Contractor is required to submit a non-compliance
report monthly with all other summary reports in a format approved by the PFA,
for calls in every presumptively defined category not meeting the specified
response time criteria, documenting the cause of the late response and the
Contractor’s efforts to eliminate recurrence.
D. Monthly Performance Reports. The following reports, the formats of which are
subject to PFA approval, shall be submitted to the PFA no later than five working
days after the final day of each month.
E. Monthly & Quarterly Response Time Reports. For each incident for which a
response is dispatched, the monthly response time compliance report shall
include, but not be limited to: a unique call number which shall be the call number
generated by the PFA dispatch computer or another number that a PFA reviewer
can easily link to the call number generated by CAD; the dispatch date, dispatch
time, on scene time, at patient time, time transport is begun, time transport ends,
priority, identification number of the Ambulance(s) that arrive on scene, response
priority linked to the dispatch and on scene or cancel/disregard times necessary to
calculate the response time.
F. For calls cancelled enroute, up- or downgraded, or reassigned enroute, the
aforementioned items shall be reported in a format that clearly shows the unique
measurements required in this Contract. For calls on which multiple Ambulances
arrive on scene, although only the first Ambulance to arrive is included in
compliance calculations, the responses of all Ambulances that arrive on scene
shall be reported.
RFP 8037 PFA Emergency Medical Services Page 23 of 55
G. Response Time Exception Report. For calls which result in response times in
excess of those specified in this contract, the Monthly Response Time Report
shall include the number of Ambulances in-service at the time of the exception,
the number of those Ambulances dedicated to responses, and the incident
numbers and priorities of those responses.
H. Mutual Aid Given and Received. All mutual aid either given by Contractor
Ambulances to adjoining jurisdictions for emergency or non-emergency responses
and mutual aid received by other Ambulance providers into the Contractors
service area will be reported.
I. Requests for Exemption from Response Time Standards. Any requests for
exemption from response time standards may be made with the Monthly
Response Time Report. If no such request is received by the deadline set forth by
the contract, no such request will be considered in compliance calculations.
J. Ambulance Level 0 Report. Number of times including duration that Ambulance
Level 0 occurred will be submitted with the Monthly Response Time Report.
K. Interagency Requests and/or Rendezvous Requests that were met by
Contractor each month.
L. At PFA’s request, Contractor will provide a Monthly Unit Hour Report. The
monthly unit hour report shall include, but not be limited to, the number of unit
hours produced during every hour of every day.
M. Annual Report. The Annual Report shall be due within 30 days after the close of
the contract year. The annual report shall include mutually agreed upon
information between Contractor and PFA.
N. Customer satisfaction survey results. See Quality Control Section 7.0 below.
O. The Contractor shall provide funding to PFA in the form of quarterly payments in
the amount of $70,000/year toward an individual to oversee the EMS systems
performance. At PFA’s sole discretion the position may be an employee of PFA
or PFA may engage a third party independent contractor or firm.
P. Monthly audits of Contractor’s performance will include as a minimum analysis of
the following:
Performance Improvement Programs
Quality Audits and Inspections
Submission Date Requirement
Monthly Response Time Report
Upgrades, Downgrades, Reassignments and Cancellations/month
Ambulance Zero Status
Mutual Aid Provided or Requested
Special Ops and Events Coverage
Non-Compliant Response Report
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Exception/Exemption Requests
Joint Survey results
Conflict Resolution Events
Performance Improvement and Clinical Reports
(to include parameters determined by NLC EMS Advisory Board)
Community and Safety Program Activity Report
Training Activity Report
Records Requests
Mutual Aid – requested and provided
Quarterly & Annual Reports (summaries and specifics to be defined
by PFA)
Survey outcomes and comments
7.0 QUALITY CONTROL AND PERFORMANCE IMPROVEMENT
A. Contractor shall attend the Northern Larimer County EMS Board (including
representatives of selected 911 EMS providers including Dispatch). This informal
board shall serve to assure an integrated team approach, the improvement of
outcome oriented patient care and facilitate continuing education.
B. Contractor shall provide a designated person(s) to function as liaison to PFA in
reference to EMS, Operations and Management issues.
C. Contractor shall establish and carry out its own comprehensive performance
improvement (PI) program and should not be limited to clinical functions. The
Contractor’s PI program shall interface and work collaboratively with the Fire
Department’s programs. Contractor shall prepare an annual PI program plan
delineating specific initiatives and outcomes. Contractor shall provide monthly
updates for all PI initiatives.
D. Contractor agrees to provide a designated individual(s) for conflict resolutions.
E. Contractor will participate in an ongoing joint survey mechanism to rate the patient’s
experience with their pre-hospital care and to help identify areas for improvement.
Any and all costs of development and implementation of this survey will be shared
between Contractor and PFA. The survey will be based on a statistical randomized
sampling of no less than 75% of patients who received care during a PSAP
generated response. Reports will be generated on a monthly basis by Contractor and
submitted to PFA.
F. PFA may inspect Contractor’s customer complaint files or other records maintained
by Contractor to determine customer satisfaction upon request.
G. Contractor shall provide written response to all customer complaints directed to PFA
and Participating Providers within five (5) business days.
H. Contractor agrees to provide patient treatment and outcome information to PFA on a
specific call, for educational reasons, within 5 working days of a written request.
RFP 8037 PFA Emergency Medical Services Page 25 of 55
I. Contractor shall ensure that a representative attend After Action Review (“AAR’s)
when requested.
8.0 PATIENT FEES (RATES)
A. Patient Fees will be available to the public in a transparent and accessible form.
B. There will be no charge for a non-dedicated standby which is part of the System
Status Plan unless treatment is provided.
C. Contractor will provide a telephone number on all invoices which a customer may call
to make inquiries about the services billed on the invoice. Contractor shall be
responsible for all billing and collections for such charges.
D. Contractor shall be responsible for all billing and collections for such charges.
E. PFA may request audited financial statements specific to Contractor’s operations in
PFA without charge to PFA.
F. PFA shall have the right to access, upon reasonable notice and solely to the extent,
such review reasonably relates to the services provided hereunder documents, data
collection and records to include but not limited to; 1) Requests for Ambulance
service; 2) Mutual aid given or received; and 3) Emergency and Non-Emergency
activity.
G. Contractor shall provide PFA with the Patient Fees (Rates) schedule. Contractor
shall provide PFA written notice of any changes to the Patient Fees (Rates) at least
30 days in advance of the effective date of such rates. PFA will review the Fee
schedule as part of the annual contract renewal evaluation process.
9.0 LIQUIDATED DAMAGES
A. The Contractor shall be assessed liquidated damages (“Liquidated Damages”) by
Zone for any monthly period that the response time is below 90% of the standard
response time stated in Section 4.2 or if any individual call exceeds the required
maximum response time. Contractor will be required to pay all Liquidated Penalties
within 5 working days of receiving the bill from the Contract Manager. Contractor will
be awarded credit toward any Liquidated Damages for decreasing required response
times. Funds generated by liquidated penalties will be applied by PFA to NCLERA
EMS system improvements.
B. The Contractor’s response time performance will be reported by the Contractor
monthly for each Zone. All data will be due, in electronic format, by the 5
th
working
day of the next month. Reported performance data will include:
1. Individual Call Performance each Month: Total number of calls outside the
maximum response time for each Zone and call type.
2. Monthly 90% Compliance for Standard Response times/Zone/call type.
3. Individual Call Performance less than required standard.
4. Exception Reports for assessment of Liquidated Damages.
RFP 8037 PFA Emergency Medical Services Page 26 of 55
C. Liquidated Damages for each Response exceeding the maximum response time
will be $200.00 per incident.
D. Monthly: 90% compliance based on standard response times/zone/priority will be
determined monthly. Assessed Liquid damages will be as follows:
COMPLIANCE 1
- 2
Occurrences
3 – 5
Occurrences
6 or greater
Occurrences
89% $3,500 $7,000 $10,500
88% $5,000 $10,000 $15,000
87% $7,000 $13,000 $19,000
86% $9,000 $18,000 $27,000
85% $11,000 $22,000 $33,000
84% or more $20,000
* Compliance percentage to be rounded-up to nearest percentage point
(i.e. 88.5% and above is 89%)
E. Earned Credit for Emergent Responses:
Surpassing 90% compliance (91% or higher) based on standard response
times/zone/emergent priority will be assessed on monthly basis to determine an
earned credit toward reduction on total liquidated damages/month. Earned credit will
be:
Eligible for six (6) months from month earned
Earned credit is non-cumulative within the month’s statistics. The highest single
top reduction earned will be used for credit assessment for that month
Applies only to emergent calls
99%-100% 30% reduction/total liquidated damages/month
97%-98% 25% reduction/total liquidated damages/month
95%-96% 20% reduction/total liquidated damages/month
93%-94% 15% reduction/total liquidated damages/month
91%-92% 10% reduction/total liquidated damages/month
* Compliance percentage to be rounded-up to nearest percentage point
(i.e. 96.5% to 98.4% is a 25% reduction)
F. Additional Liquidated Damages:
1. $500 – Failure to submit any monthly report required herein by either the fifth
working day of following month for which the report pertains, or if the seventh day
occurs on a Saturday or Sunday, the first Monday after the seventh day; and $250
per day until the report is received.
2. $500 per incident – Failure to timely submit responses to inquiries or tasks
assigned by the Medical Director.
3. $500 for every requested patient care form that is not accurately completed and
turned over to the Medical Director within the specified time.
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4. $500 per ambulance per incident – Failure to have equipment or supplies on board
any ambulance as required by the Medical Director.
5. $1,000 per incident – Reporting “unit arrived on scene” before the unit actually
arrives at the specific address or location.
6. $500 per incident – Failure to promptly report to the PFA EMS Supervisor any
failure to meet standards required herein which may place the health and well-
being of the citizens of PFA in jeopardy, or any significant clinical, contract or
staffing event, including but not limited to:
Ambulance levels falling below the level specified in the current system
status plan.
More than 50% of on-duty ambulances dedicated to scheduled non
emergent responses at any one time.
Any ambulance being involved in a motor vehicle accident.
10.0 INSURANCE
During the term of the Agreement, the Contractor shall maintain Insurance in accordance
with Exhibit D.
11.0 PERFORMANCE SECURITY
A. Service Delivery. Contractor expressly agrees that, in the event of breach by the
Contractor, Contractor will work with the PFA to ensure continuous delivery of
services, regardless of the underlying cause of the breach. Contractor agrees that it
has a public health and safety obligation to assist PFA to provide uninterrupted
service delivery in the event of breach, even if Contractor disagrees with the
determination of breach. Further the contractor agrees that if notified by the PFA of a
determination of breach and intent to execute an immediate takeover of the system
that the contractor will cooperate fully with the takeover and challenge or appeal the
matter only after the takeover has been completed.
B. B. Performance Security – Irrevocable Letter of Credit. Contractor will provide
performance security by providing the PFA with an irrevocable letter of credit in a
form satisfactory to the PFA. The amount of the letter of credit will be one million five
hundred thousand dollars ($1,500,000.00) issued by a federally insured (FDIC)
banking institution with a debt rating of 1A or higher by the FDIC, A or higher by
Standard & Poors, A or higher by Moody's Investors, or a comparable rating by a
comparable rating system. The federally insured banking institution on which the
irrevocable letter of credit is to be drawn shall be acceptable as determined by the
PFA’s Finance Director. In the event the performance security is used for breaches
such that the total is reduced to one million, two hundred fifty thousand dollars
($1,250,000), the performance security will be immediately replenished to one million,
five hundred thousand dollars ($1,500,000). The irrevocable letter of credit, if
applicable, may be used:
C. To ensure the payment by Contractor of (i) any Liquidated Damages in accordance
with this contract, and (ii) any expenses due to violations that result in a breach or
"step in."
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For the operation of the ambulance service should the PFA terminate the contract or
after a "step-in" has been effectuated by the PFA including, but not limited to, the cost
of takeover by the PFA, including any necessary procurement process, renewal,
negotiation, or any related administrative expenses.
D. Notice of Change. The irrevocable letter of credit shall contain the following
endorsement: "At least sixty (60) days' prior to cancellation, replacement, failure to
renew or material alteration of this irrevocable letter of credit, written notice of such
intent shall be given to PFA, Colorado by the financial institution. Such notice shall be
given by certified mail to the Larimer County Health Department of Health and the
PFA Administrator."
E. Step-In. In the event of a "step-in" by the PFA in accordance with this contract, the
PFA may draw down the irrevocable letter of credit from time to time in such amount
or amounts as it may determine to cover any expenses or losses to the PFA due to
the "step-in."
F. Irrevocable Letter of Credit Expiration. The irrevocable letter of credit shall become
the property of the PFA in the event that this contract is canceled by reason of breach
or default of the Contractor. The irrevocable letter of credit or cash shall be retained
by the PFA and returned to Contractor at the expiration of this contract, provided
there is no outstanding breach, default, unpaid Liquidated Damages or other
Contractor payment deductions or adjustments, taxes due by Contractor or any other
debts due to the PFA or debts to other entities due by Contractor or debts due to
Contractor's creditors.
G. Rights Reserved. The rights reserved to the PFA with respect to the irrevocable letter
of credit are in addition to all other rights of the PFA, whether reserved by this
contract, the PFA Code or otherwise authorized by law, and no action, proceeding or
right with respect to the irrevocable letter of credit or cash deposit shall affect any
other right the PFA has or may have.
12.0 Proposal Submittal Requirements
Each respondent must comply with the submission requirements as outlined below.
Submittals that fail to comply with the requirements as specified may be deemed non-
responsive and such determination will result in no further consideration of that
respondent or the respondent’s submittals by the City.
The City requires that firms submit the proposal in an electronic format either Microsoft
Word or PDF. Proposals shall not exceed 40 pages in length. All Proposals must be
limited to the following prescribed information and be submitted in an 8 ½” x 11” format.
Pages are to be numbered in sequence and font size will be at least 11pt. font. If
submitting in written form, graphics or charts that would not present well on 8 ½” x 11”
size paper may be presented on 11” x 17” size paper. If divider sheets are used, no
information, written or graphic, other than the section number corresponding to the
following listing is to be included on the divider sheet. This page limit is not affected by:
cover pages, divider sheets, or any other required forms.
RFP 8037 PFA Emergency Medical Services Page 29 of 55
As a minimum, each proposal shall address the following elements.
A. Letter of transmittal identifying a single project contact
B. Organizational and management structure/overview
C. Management and Project Team structure and roles
D. CAAS Accreditation or similar
E. EMS experience past and present
F. Draft Deployment Plan
G. Approach to ensure response time standards will be achieved
H. Physician Advisor including amount of time to be dedicated to PFA
I. Staffing plan
J. Medical equipment, medication and supplies summary including ambulances
K. Proposed Patient Fee schedule and summary of annual fee schedule percent
cost change for last five (5) years.
L. Overview of training programs/syllabuses
M. Third-party audited statement of financial condition
N. Regulatory investigations, findings, complaints, and resolution
O. Contract disputes/terminations within last five years
P. Litigation within last ten years
Q. Wellington Zone 1 Service Level
R. Any exceptions to the requirements including but not limited to
- Response time standards
- Liquidated Damages
- Levels of insurance
- Reporting and audit
- Agreement for Dispatch Services
- Agreement for Use of Opticom Systems
- Service Agreement
- Irrevocable Letter of Credit
- References
13.0 SELECTION PROCESS AND EVALUATION
13.1 Selection Committee
The Selection Committee will be appointed by the Fire Chief to review and
evaluate proposals based the below criteria. PFA may also seek expert advice to
help review proposals. Such advisors to the Selection Committee may attend
RFP 8037 PFA Emergency Medical Services Page 30 of 55
evaluation meetings but shall have no role in the evaluation scoring. The
Selection Committee will not participate in any communications with candidate
firms prior to the interview phase of the evaluation process.
13.2 Proposal Review and Scoring
The Selection Committee shall rank candidate firms based on their written
proposals using the below evaluation criteria. At the sole discretion of the
Selection Committee, interviews of the top ranked candidate firms may be
conducted. At the discretion of PFA, award of the contract may be based solely
on the written proposals.
Evaluation Criteria
Each response will be reviewed and scored based upon its completeness and
clarity addressing each criteria component.
Criteria 1: System Integration, Deployment and Response Times 400 points
100 points: Overview of plan to meet response time standards
50 points: Draft Deployment Plan and capabilities specifics
50 points: Fee Schedule
25 points: Special event and special coverage plan
50 points: Ability to meet all requirements of the RFP
50 points: Staffing (skill level, number full/part time employees, % overtime &
annual turnover)
25 points: Management and Project Team structure and roles
30 points: Physician Advisor
20 points: Training Capabilities
Criteria 2: Experience 125 Points
25 points: History and number of past/present EMS contracts
25 points: Demonstrated EMS experience supporting urban & rural areas
25 points: Regulatory investigations, findings, complaints and resolution
25 points: EMS contract disputes and/or terminations within the last five
25 points: Review litigations within the last ten years
RFP 8037 PFA Emergency Medical Services Page 31 of 55
Criteria 3: Qualifications & Financial Stability 100 points
50 points: Proposal & Presentation – Clarity, Completeness, Exceptions
25 points: Firms management structure and project management strength
25 points: CAAS Accreditation or equivalent
25 points: Strength of current audited statement of financial condition
Points from Criteria I - III will be combined to achieve an overall proposal
score for the top proposer.
13.3 Reference Evaluation (Top-ranked firm)
The Project Manager will check references for the top-ranked firm.
SECTION 14.0 PROPOSAL ACCEPTANCE
All proposals shall remain subject to initial acceptance 90 days after the day of submittal.
RFP 8037 PFA Emergency Medical Services Page 32 of 55
SECTION 15.0 SAMPLE SERVICES AGREEMENT
SERVICES AGREEMENT
THIS AGREEMENT made and entered into the day and year set forth below by and
between THE PFA OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter
referred to as the "PFA" and , hereinafter referred to as "Service Provider".
WITNESSETH:
In consideration of the mutual covenants and obligations herein expressed, it is agreed
by and between the parties hereto as follows:
1. Scope of Services. The Service Provider agrees to provide services in accordance with
the scope of services attached hereto as Exhibit "A", consisting of ( )
page and incorporated herein by this reference. Irrespective of references in Exhibit
A to certain named third parties, Professional shall be solely responsible for performance
of all duties hereunder.
2. The Work Schedule. [Optional] The services to be performed pursuant to this Agreement
shall be performed in accordance with the Work Schedule attached hereto as Exhibit "B",
consisting of ( ) page , and incorporated herein by this reference.
3. Time of Commencement and Completion of Services. The services to be performed
pursuant to this Agreement shall be initiated within ( ) days following
execution of this Agreement. Services shall be completed no later than . Time is of
the essence. Any extensions of the time limit set forth above must be agreed upon in a
writing signed by the parties.
4. Contract Period. This Agreement shall commence , 200 , and shall continue in
full force and effect until , 200 , unless sooner terminated as herein provided.
In addition, at the option of the PFA, the Agreement may be extended for additional one
RFP 8037 PFA Emergency Medical Services Page 33 of 55
year periods not to exceed ( ) additional one year periods. Renewals and
pricing changes shall be negotiated by and agreed to by both parties.
5. Delay. If either party is prevented in whole or in part from performing its obligations by
unforeseeable causes beyond its reasonable control and without its fault or negligence,
then the party so prevented shall be excused from whatever performance is prevented by
such cause. To the extent that the performance is actually prevented, the Service
Provider must provide written notice to the PFA of such condition within fifteen (15) days
from the onset of such condition.
6. Early Termination by PFA/Notice. Notwithstanding the time periods contained herein, the
PFA may terminate this Agreement at any time without cause by providing written notice of
termination to the Service Provider. Such notice shall be delivered at least fifteen (15)
days prior to the termination date contained in said notice unless otherwise agreed in
writing by the parties. All notices provided under this Agreement shall be effective when
mailed, postage prepaid and sent to the following addresses:
Service Provider: PFA: Copy to:
Attn:
PFA of Fort Collins
Attn:
PO Box 580
Fort Collins, CO 80522
PFA of Fort Collins
Attn: Purchasing Dept.
PO Box 580
Fort Collins, CO 80522
In the event of early termination by the PFA, the Service Provider shall be paid for
services rendered to the date of termination, subject only to the satisfactory performance
of the Service Provider's obligations under this Agreement. Such payment shall be the
Service Provider's sole right and remedy for such termination.
7. Contract Sum. The PFA shall pay the Service Provider for the performance of this
Contract, subject to additions and deletions provided herein, ($ ) as per the
attached Exhibit " ", consisting of page , and incorporated herein by this
reference.
RFP 8037 PFA Emergency Medical Services Page 34 of 55
8. PFA Representative. The PFA will designate, prior to commencement of the work, its
representative who shall make, within the scope of his or her authority, all necessary and
proper decisions with reference to the services provided under this agreement. All
requests concerning this agreement shall be directed to the PFA Representative.
9. Independent Service provider. The services to be performed by Service Provider are
those of an independent service provider and not of an employee of the PFA of Fort
Collins. The PFA shall not be responsible for withholding any portion of Service Provider's
compensation hereunder for the payment of FICA, Workmen's Compensation or other
taxes or benefits or for any other purpose.
10. Subcontractors. Service Provider may not subcontract any of the Work set forth in the
Exhibit A, Statement of Work without the prior written consent of the PFA, which shall not
be unreasonably withheld. If any of the Work is subcontracted hereunder (with the
consent of the PFA), then the following provisions shall apply: (a) the subcontractor must
be a reputable, qualified firm with an established record of successful performance in its
respective trade performing identical or substantially similar work, (b) the subcontractor will
be required to comply with all applicable terms of this Agreement, (c) the subcontract will
not create any contractual relationship between any such subcontractor and the PFA, nor
will it obligate the PFA to pay or see to the payment of any subcontractor, and (d) the work
of the subcontractor will be subject to inspection by the PFA to the same extent as the
work of the Service Provider.
11. Personal Services. It is understood that the PFA enters into the Agreement based on the
special abilities of the Service Provider and that this Agreement shall be considered as an
agreement for personal services. Accordingly, the Service Provider shall neither assign
any responsibilities nor delegate any duties arising under the Agreement without the prior
written consent of the PFA.
RFP 8037 PFA Emergency Medical Services Page 35 of 55
12. Acceptance Not Waiver. The PFA's approval or acceptance of, or payment for any of the
services shall not be construed to operate as a waiver of any rights or benefits provided to
the PFA under this Agreement or cause of action arising out of performance of this
Agreement.
13. Warranty.
a. Service Provider warrants that all work performed hereunder shall be performed with
the highest degree of competence and care in accordance with accepted standards for
work of a similar nature.
b. Unless otherwise provided in the Agreement, all materials and equipment incorporated
into any work shall be new and, where not specified, of the most suitable grade of their
respective kinds for their intended use, and all workmanship shall be acceptable to
PFA.
c. Service Provider warrants all equipment, materials, labor and other work, provided
under this Agreement, except PFA-furnished materials, equipment and labor, against
defects and nonconformances in design, materials and workmanship/workwomanship
for a period beginning with the start of the work and ending twelve (12) months from
and after final acceptance under the Agreement, regardless whether the same were
furnished or performed by Service Provider or by any of its subcontractors of any tier.
Upon receipt of written notice from PFA of any such defect or nonconformances, the
affected item or part thereof shall be redesigned, repaired or replaced by Service
Provider in a manner and at a time acceptable to PFA.
14. Default. Each and every term and condition hereof shall be deemed to be a material
element of this Agreement. In the event either party should fail or refuse to perform
according to the terms of this agreement, such party may be declared in default thereof.
RFP 8037 PFA Emergency Medical Services Page 36 of 55
15. Remedies. In the event a party has been declared in default, such defaulting party shall
be allowed a period of ten (10) days within which to cure said default. In the event the
default remains uncorrected, the party declaring default may elect to (a) terminate the
Agreement and seek damages; (b) treat the Agreement as continuing and require specific
performance; or (c) avail himself of any other remedy at law or equity. If the non-defaulting
party commences legal or equitable actions against the defaulting party, the defaulting
party shall be liable to the non-defaulting party for the non-defaulting party's reasonable
attorney fees and costs incurred because of the default.
16. Binding Effect. This writing, together with the exhibits hereto, constitutes the entire
agreement between the parties and shall be binding upon said parties, their officers,
employees, agents and assigns and shall inure to the benefit of the respective survivors,
heirs, personal representatives, successors and assigns of said parties.
17. Indemnity/Insurance.
a. The Service Provider agrees to indemnify and save harmless the PFA, its officers,
agents and employees against and from any and all actions, suits, claims, demands or
liability of any character whatsoever brought or asserted for injuries to or death of any
person or persons, or damages to property arising out of, result from or occurring in
connection with the performance of any service hereunder.
b. The Service Provider shall take all necessary precautions in performing the work
hereunder to prevent injury to persons and property.
c. Without limiting any of the Service Provider's obligations hereunder, the Service
Provider shall provide and maintain insurance coverage naming the PFA as an
additional insured under this Agreement of the type and with the limits specified within
Exhibit , consisting of one (1) page, attached hereto and incorporated herein by
RFP 8037 PFA Emergency Medical Services Page 37 of 55
this reference. The Service Provider before commencing services hereunder, shall
deliver to the PFA's Director of Purchasing and Risk Management, P. O. Box 580 Fort
Collins, Colorado 80522 one copy of a certificate evidencing the insurance coverage
required from an insurance company acceptable to the PFA.
18. Entire Agreement. This Agreement, along with all Exhibits and other documents
incorporated herein, shall constitute the entire Agreement of the parties. Covenants or
representations not contained in this Agreement shall not be binding on the parties.
19. Law/Severability. The laws of the State of Colorado shall govern the construction
interpretation, execution and enforcement of this Agreement. In the event any provision of
this Agreement shall be held invalid or unenforceable by any court of competent
jurisdiction, such holding shall not invalidate or render unenforceable any other provision
of this Agreement.
20. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101, C.R.S., et.
seq., Service Provider represents and agrees that:
a. As of the date of this Agreement:
1. Service Provider does not knowingly employ or contract with an illegal alien who
will perform work under this Agreement; and
2. Service Provider will participate in either the e-Verify program created in Public
Law 208, 104th Congress, as amended, and expanded in Public Law 156, 108th
Congress, as amended, administered by the United States Department of
Homeland Security (the “e-Verify Program”) or the Department Program (the
“Department Program”), an employment verification program established pursuant
to Section 8-17.5-102(5)(c) C.R.S. in order to confirm the employment eligibility of
all newly hired employees to perform work under this Agreement.
RFP 8037 PFA Emergency Medical Services Page 38 of 55
b. Service Provider shall not knowingly employ or contract with an illegal alien to perform
work under this Agreement or knowingly enter into a contract with a subcontractor that
knowingly employs or contracts with an illegal alien to perform work under this
Agreement.
c. Service Provider is prohibited from using the e-Verify Program or Department Program
procedures to undertake pre-employment screening of job applicants while this
Agreement is being performed.
d. If Service Provider obtains actual knowledge that a subcontractor performing work
under this Agreement knowingly employs or contracts with an illegal alien, Service
Provider shall:
1. Notify such subcontractor and the PFA within three days that Service Provider has
actual knowledge that the subcontractor is employing or contracting with an illegal
alien; and
2. Terminate the subcontract with the subcontractor if within three days of receiving
the notice required pursuant to this section the subcontractor does not cease
employing or contracting with the illegal alien; except that Service Provider shall
not terminate the contract with the subcontractor if during such three days the
subcontractor provides information to establish that the subcontractor has not
knowingly employed or contracted with an illegal alien.
e. Service Provider shall comply with any reasonable request by the Colorado
Department of Labor and Employment (the “Department”) made in the course of an
investigation that the Department undertakes or is undertaking pursuant to the
authority established in Subsection 8-17.5-102 (5), C.R.S.
RFP 8037 PFA Emergency Medical Services Page 39 of 55
f. If Service Provider violates any provision of this Agreement pertaining to the duties
imposed by Subsection 8-17.5-102, C.R.S. the PFA may terminate this Agreement. If
this Agreement is so terminated, Service Provider shall be liable for actual and
consequential damages to the PFA arising out of Service Provider’s violation of
Subsection 8-17.5-102, C.R.S.
g. The PFA will notify the Office of the Secretary of State if Service Provider violates this
provision of this Agreement and the PFA terminates the Agreement for such breach.
21. Special Provisions. Special provisions or conditions relating to the services to be
performed pursuant to this Agreement are set forth in Exhibit " " - Confidentiality,
consisting of ( ) pages, attached hereto and incorporated herein by this
reference.
RFP 8037 PFA Emergency Medical Services Page 40 of 55
CITY OF FORT COLLINS, COLORADO
a municipal corporation
By:_______________________________
Gerry Paul
Director of Purchasing and Risk Management
Date:_____________________________
POUDRE FIRE AUTHORITY
By: _________________________________
Tom DeMint, Fire Chief
Date: ______________________________
ATTEST:
_________________________________
City Clerk
APPROVED AS TO FORM:
________________________________
Assistant City Attorney
_________________________________
By:_______________________________
__________________________________
PRINT NAME
__________________________________
TITLE (Corporate President or Vice President)
Date:_____________________________
RFP 8037 PFA Emergency Medical Services Page 41 of 55
SECTION 16.0 SERVICE AGREEMENT EXHIBITS
EXHIBIT A
SERVICE AREA MAP
SEE NEXT PAGE
Glacier View
Poudre Park
Crystal Lakes
Glen Echo
I25
W HWY 14
N HWY 287
CR86
W CR74E
N CR9
CR67J
W CR80C
BUCKHORN RD
N CR1
N CR3
N CR17
N CR7
W CR80
S CR1
E CR70
N CR5
E CR82
E CR66
WELD CR19
WELD CR15
N TAFT HILL RD
CR43
E CR52
N CR15
N CR25E
RED MTN RD
W CR68C
W CR38E
N HWY 1
E HWY 14
RIST CANYON RD
S SHIELDS ST
E CR58
S TAFT HILL RD
E CR64
WELD CR21
S COLLEGE AV
N CR21
CR69
WELD CR84
PINGREE PARK RD
W CR54G
WELD CR17
STOVE PRAIRIE RD
N CR11
S TIMBERLINE RD
E CR48
E CR60
E CR56
E CR62
N CR23
RAWHIDE FLATS RD
W CR72
7TH ST
N CR27
RFP 8037 PFA Emergency Medical Services Page 42 of 55
EXHIBIT B
AGREEMENT FOR DISPATCH SERVICES
THIS AGREEMENT is entered into this __________ day of _____________, 2014, by and
between THE CITY OF FORT COLLINS, COLORADO, a municipal corporation (hereinafter
referred to as "the City"), and ________________________, a _________________________
(hereinafter referred to as "__________").
WITNESSETH:
WHEREAS, the City presently operates a Communications Center (PECC) for the
provision of dispatching services to governmental agencies serving the geographical area in
and around the City of Fort Collins, Colorado; and
WHEREAS, the parties also have entered into an agreement concerning the sharing of
costs for acquiring computer automated dispatch and records management systems. This
agreement is separate and necessary to set forth the obligations of the parties with regard to
dispatching services rendered using the systems acquired;
WHEREAS, provides certain emergency medical and transportation services,
including paramedics, emergency medical technicians and ambulances, which services require
radio communication and dispatching; and
WHEREAS, the utilization by of the dispatching services of the City avoids
duplication of services and promotes cost efficiency and maximum coordination of services
among local agencies; and
WHEREAS, the parties agree that it is fiscally responsible to pay for such services in an
amount equal to the percentage of calls generated and the overall PECC budget
NOW, THEREFORE, in consideration of the mutual promises contained below and other
good and valuable consideration, the parties hereto agree as follows:
1. Term of the Agreement. This Agreement shall remain in full force and effect from
, and automatically renew each succeeding year until
, unless earlier modified in writing by the parties hereto.
2. Services to be Provided by the City. The City shall provide dispatching services on a
twenty-four (24) hour per day basis between Poudre Emergency Communications Center
(PECC), located at the Fort Collins Police Services building, 2221 S. Timberline Road,
Fort Collins, Colorado, and such radio bases and mobile and portable dispatching units
owned by ___________ as may be designated by ____________.
Specific dispatching services to be provided by the City through PECC are itemized below
and, in rendering such services, the City shall utilize all dispatching equipment and
capabilities which may be currently owned and operated by the City to the extent that such
are reasonably necessary to effectuate the purposes of this Agreement. The City and
___________ further agree, in rendering and utilizing such services, that each will adhere
to the procedures contained in PECC Training Manuals. The following services shall be
provided by the City:
RFP 8037 PFA Emergency Medical Services Page 43 of 55
a. Monitoring, answering and dispatching emergency calls for medical treatment and
transportation services received by the City through citizen use of the "911" emergency
number.
b. Monitoring, answering and dispatching calls for such services received through non-
emergency numbers.
c. Recording all such calls for services as referred to in subparagraphs a. and b. above,
as well as all dispatch communications between PECC and the designated dispatching
units of , with such audio recordings to be preserved by the City and
retained for one (1) year after the date of recording. Upon request by , the
City shall provide with copies of any recordings made and preserved under
the provisions of this subparagraph and pertaining to the emergency services provided
by .
d. Maintaining records of all dispatch services rendered to under this Agreement,
to be made available to upon request, which records shall include the
following information:
• The date, time and call number assigned to each dispatch call for services
received and handled by the City for , together with a brief description
of the nature of each such call.
• The location to which __________ personnel responded to each such call and the
responding vehicle number.
e. Maintaining emergency, back-up power sources for dispatching equipment.
f. Maintaining current maps and other geographical information necessary to affect the
efficient and prompt response to requests for services to be rendered by .
g. Allowing access by to radio frequencies licensed to the City or its
departments when reasonably necessary for the purpose of providing reliable
communication in outlying areas served by .
h. Maintaining EMD certification of dispatchers as required to practice Medical Priority's
emergency medical dispatching.
3. Records. The services provided by the City regarding the maintenance of records and
recording of calls for service in paragraphs 2.c. and d. hereinabove shall not render the
City the "official custodian" of such records for CORA (CRS § 24-72- 201 et seq.)
purposes. remains the official custodian of such records and all requests for
inspection of records and recordings shall be forwarded to . Other than as
contained in paragraph 2.c., any preservation, retention or other requirements for such
records shall be the responsibility of .
4. Compensation. For the year 2015, hereby agrees to pay the City for services
rendered by the City and as reimbursement for anticipated expenses in accordance with
the cost reimbursement methodology provided in Schedule 1. For planning purposes and
to calculate the quarterly payments, Compensation shall be Four Hundred and Four
Thousand Two Hundred and Fifty Three dollars ($404,253)**. The Compensation will be
RFP 8037 PFA Emergency Medical Services Page 44 of 55
reconciled based on actual expenses in 2015 by the parties by February 1st of the
following year. The City will issue a credit for any overpayment by __________ and
___________ shall reimburse the City for any underpayment by _________ by March 1st.
**Please see the Important Note on Schedule 1 regarding expense allocation for 2015.
Beginning January 1, 2016 and every year of the term of this Agreement thereafter, the
amount due to the City by ___________ shall be the percentage of the PECC budget
based on the number of calls for service generated for _________ in the previous year per
the attached methodology in Schedule 1.
Number of calls will be based on medical related incidents which are generated through
the Computer Aided Dispatch System (CAD). Incident totals shall exclude all agreed upon
call types that are self-generated by ___________ staff.
All annual amounts to be paid under this Agreement shall be payable upon invoice in four
(4) equal quarterly installments; each of which shall be due and payable on the following
dates: March 1, June 1, September 1 and December 1 of each year. The Compensation
will be reconciled based on actual annual expenses by the parties by February 1st of the
following year. Any credit or payment due based on the reconciliation will be completed by
March 1st.
5. Use of Mobile Data Devices. For the purpose of dispatch accuracy and efficiency, the City
requires that each of _________'s regular duty ambulances be equipped with a Mobile
Data Device that is capable of transmitting status codes.
6. Liability. The parties hereto shall be solely responsible for the actions or omissions of their
respective officers, agents and employees and shall not be responsible or legally liable for
the negligent acts of the other party. Accordingly, to the extent authorized by law, each
party hereto hereby indemnifies and holds harmless the other party from any damages,
losses, expenses, causes of action or other liability whatsoever arising from or in any way
relating to any personal injury or damages to person or property caused by the negligent
acts or omissions of its own officers, agents or employees.
7. Notices. Any and all notices or any other communication herein required or permitted
shall be deemed to have been given when personally delivered or deposited in the United
States postal service as regular mail, postage prepaid, and addressed as follows or to
such other person or address as a party may designate in writing to the other party:
To the __________:
_____________________
_____________________
_____________________
To the City:
PECC Manager
Fort Collins Police Services 2221 S. Timberline
Post Office Box 5 80
Fort Collins, Colorado 80522-0580
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With a copy to:
City Attorney's Office City of Fort Collins
Post Office Box 580
Fort Collins, Colorado 80522-0580
8. Entire Agreement. This writing, together with Exhibit "A" attached hereto, constitutes the
entire Agreement between the parties.
9. Binding Effect. This Agreement shall be binding upon and inure to the benefit of the parties
hereto and the agents, assigns and successors in interest of each respectively.
10. Default. In the event either party should fail or refuse to perform according to the terms of
this Agreement, such party may be declared in default, and such defaulting party shall be
allowed a period of five (5) days within which to cure said default. In the event the default
remains uncorrected, the non-defaulting party may elect to:
a. Terminate the Agreement and seek damages;
b. Treat the Agreement as continuing and require specific performance; or
c. Avail itself of any other remedy at law or equity.
In the event of default of any of the Agreements herein by either party which shall require
the party not in default to commence legal or equitable actions against the defaulting party,
the defaulting party shall be liable to the non-defaulting party for the non-defaulting party's
reasonable attorney's fees that occurred because of the default.
11. Good Faith. The Parties, their agents, and employees agree to cooperate in good faith in
fulfilling the terms of this Agreement. The Parties agree that they will attempt to resolve
any disputes concerning the interpretation of this Agreement and unforeseen questions
and difficulties which may arise in implementing the Agreement by good faith negotiations
before resorting to termination of this Agreement and/or litigation.
12. Modification. This document constitutes the full understanding of the Parties, and no term,
condition, understanding or agreement purporting to modify or vary the terms of this
Agreement shall be binding unless hereafter made in writing signed by the both Parties.
13. Non-Assignment; No Third Party Beneficiary. This Agreement, and each and every
covenant herein, shall not be assignable except with the prior consent of both Parties. This
Agreement shall not be construed as or deemed to be an Agreement for the benefit of any
third party or parties, and no third party or parties shall have a right of action hereunder
for any cause whatsoever.
14. Merger. This Agreement constitutes a final written expression of all the terms of this
Agreement and is a complete and exclusive statement of those terms.
15. Contingencies. This Agreement and obligations of the City hereunder are expressly
contingent upon the City budgeting and appropriating the funds needed to fulfill the City's
obligations hereunder.
RFP 8037 PFA Emergency Medical Services Page 46 of 55
IN WITNESS WHEREOF, this Agreement has been executed the day and year first-
above written.
CITY OF FORT COLLINS, COLORADO
a municipal corporation
By:_______________________________
Gerry Paul
Director of Purchasing and Risk Management
Date:_____________________________
POUDRE FIRE AUTHORITY
By: _________________________________
Tom DeMint, Fire Chief
Date: ______________________________
ATTEST:
_________________________________
City Clerk
APPROVED AS TO FORM:
________________________________
Assistant City Attorney
_________________________________
By:_______________________________
__________________________________
PRINT NAME
__________________________________
TITLE (Corporate President or Vice President)
Date:_____________________________
RFP 8037 PFA Emergency Medical Services Page 47 of 55
Schedule 1
Dispatch Services Reimbursement Calculation Methodology
Fort Collins 911 will provide dispatching services on a twenty-four (24) hour per day basis.
Radio bases, mobile units and portable dispatching units will be owned and maintained by the
ambulance provider.
Formula for costs is:
1 FTE Emergency Services Dispatcher position – Estimated 2015 cost would be $63,884
(includes benefits).
The percentage of Fort Collins 911 year ending expenditures based on the number of calls
generated by the ambulance service.
These expenditures shall include personnel and overtime costs and other operational costs,
percentage of CAD yearly software maintenance costs; radio yearly maintenance costs,
dispatch related phone line costs and any other related dispatch related supplies and
materials.
Any additional equipment related costs procured by Fort Collins 911 to provide dispatching
services to provider. Any purchased equipment remains the property of Fort Collins 911.
o Dispatch workstation/furniture equipment replacement costs (1 position)
o Radio console/workstation replacement costs (1 position)
o Radio console replacement costs (1 position)
For example:
Yearly expenditures for 2013 totaled $2,516,635.75
Percentage of current ambulance providers calls through Computer Aided Dispatch system
= 12.2%
12.2 % of total expenditures = $307,030
$307,030 Annual expenditures excluding equipment maintenance
$ 33,339 12.2% of equipment maintenance (radio, Tiburon CAD, & analog back-up phone)
$ 63,884 Emergency Services Dispatcher Position FTE
$404, 253 Total ambulance contract costs
Important Note:
The City has an existing Agreement for Dispatch Services with the incumbent EMS
service provider which expires December 31, 2015. In the event the incumbent EMS
service provider is selected by the City, the City intends to honor the terms of the
existing Agreement which does not include funding an Emergency Services Dispatch
Position FTE in 2015. In the event a new EMS service provide is selected by the City, the
requirement to fund an Emergency Service Dispatch Position FTE will begin in 2015. The
FTE expense will be pro-rated based on the later of the Agreement date or start date for
the new FTE.
RFP 8037 PFA Emergency Medical Services Page 48 of 55
EXHIBIT C
AGREEMENT FOR USE OF OPTICOM SYSTEM
THIS AGREEMENT is entered into ___________, 2014, by and among THE POUDRE
FIRE AUTHORITY, a governmental entity created by intergovernmental agreement (hereinafter
referred to as "PFA"), and _____________________, a ___________ corporation (hereinafter
referred to as "_________") and the City of Fort Collins, a municipal corporation (hereinafter
referred to as "the City".
WITNESSETH:
WHEREAS, PFA is a governmental entity established by intergovernmental agreement
between the City of Fort Collins and the Poudre Valley Fire Protection District for the purposes
of providing fire protection and other emergency services within the territorial limits of the City
and the Poudre Valley Fire Protection District; and
WHEREAS, _________ is a __________ corporation that manages and operates,
certain emergency medical and transportation services, including paramedics, emergency
medical technicians and ambulances; and
WHEREAS, the City is a home rule municipality organized and existing under
Colorado law; and
WHEREAS, PFA owns and operates an Opticom system and related equipment
(hereinafter referred to as "the System") at certain intersections within the City of Fort Collins to
assist in emergency vehicle travel through such intersections in emergency situations in order to
increase safety and response time; and
WHEREAS, there are currently 162 out of 187 intersections in the City
controlled by traffic signals owned and maintained by the City and said traffic signals can be
manipulated and controlled by the System owned by PFA; and
WHEREAS, the City has agreed to permit PFA and ________ to utilize the System on its
traffic signals at those, and any additional, intersections to facilitate the delivery of emergency
services to the citizens for the City; and
WHEREAS, PFA has identified additional intersections that impact emergency response
routes throughout the city that will not be paid for by new development, resulting in the need for
cost sharing among users of the System in order to install the System in traffic signals at the
additional intersection; and
WHEREAS, the utilization by _______ of the System will enhance the delivery services
provided by ________ to the community; and
WHEREAS, ________ have agreed to share in and reimburse PFA for the costs in
installing additions to the System and in maintaining and repairing the system; and
WHEREAS, the City has agreed to allow PFA and __________ to utilize the System on
its traffic signals in emergency situations only; and
RFP 8037 PFA Emergency Medical Services Page 49 of 55
WHEREAS, the parties therefore enter into this Agreement to set forth the terms and
conditions by which the parties will use the System and share the costs to acquire specific
additions to the System and to provide for the continued maintenance and repair of such
System.
NOW, THEREFORE, in consideration of the mutual promises contained below and other
good and valuable consideration, the parties hereto agree as follows:
1. Term of the Agreement. This Agreement shall commence on the date above- written
through __________________, unless otherwise modified in writing by the parties hereto.
2. Services to be Provided by PFA. PFA shall provide ________ with the means and
equipment to utilize PFA's System now and in the future located at certain intersections
within the City of Fort Collins shown on Schedule 1, attached hereto and incorporated
herein by this reference, and such revisions to the Exhibit by addition or subtraction of
intersections that PFA and __________ may hereafter agree to.
3. Compensation. Inconsideration for use of the System and as reimbursement for
anticipated expenses to be incurred by PFA in the performance of its obligations under this
Agreement, _________ hereby agrees to pay to PFA half the average cost for installation
of the System in traffic signals controlling eight (8) intersections designated on Schedule 1,
at the time the System is installed on each traffic signal at those intersections.
___________ also hereby agrees to pay, on an annual basis and upon invoice from PFA,
half the cost of maintaining the entire System. The due dates for the payments of all the
financial obligations and required reimbursements by ___________ under this Agreement
shall be thirty (30) days after __________ receives a billing invoice from PFA. PFA's
financial obligation to the City for the City installing and maintaining the System on its
traffic signals is addressed separately in PFA’s annual budget with the City.
4. Ownership and Maintenance of Equipment. The parties hereby acknowledge that the
System equipment under this Agreement is owned by PFA. Compensation paid by
________ for use of the System does not in any way convey any ownership interest to
________ in and to the System, any component equipment or the traffic signals.
5. Obligations regarding use of the System. The City agrees to permit _______ and PFA to
utilize the System and will continue to install and maintain the System on its traffic signals
provided that __________ and PFA use the System only while providing emergency
services. The parties agree that the System will not be used for any other purpose and
that use of the System for any other purpose shall afford the City the right to terminate this
Agreement.
6. Liability. Each of the parties hereto shall be solely responsible for the action or omissions
of their respective officers and employees and shall not be responsible or legally liable for
the negligent acts of any other party to this Agreement or of their officers and employees.
Accordingly, to the extent authorized by law, each party hereto hereby indemnifies and
holds harmless the other parties from any damages, losses, expenses, causes of action or
other liability whatsoever arising from or in any way relating to any personal injury or
damages to person or property caused by the negligent acts or omissions of their
respective officers or employees, or caused by their breach of this Agreement, provided
that such acts or omissions of the party's officers and employees occurred during the
performance of their duties and within the scope of their employment with that party.
RFP 8037 PFA Emergency Medical Services Page 50 of 55
However, nothing in this Agreement shall be deemed a waiver of the notice requirements,
defenses, immunities and limitations of liability that each of the parties and their respective
officers and employees may have under the Colorado Governmental Immunity Act (CRS
Section 24-10-101, et seq.) and under any other law.
7. Entire Agreement. This writing, together with Schedule 1 attached hereto, and as
subsequently amended in writing, constitutes the entire Agreement among the parties.
8. Effect of Agreement. This Agreement shall be binding upon and inure to the benefit of the
parties hereto and the agents, assigns and successors in interest of each respectively.
This Agreement is not intended, nor should it be construed to effect or extend the legal
responsibilities of any of the parties hereto; or create or modify any preexisting legal
obligations, if any. This Agreement shall not be construed as or deemed to be an
agreement for the benefit of any third-party or parties, and no third-party or parties shall
have a tight of action hereunder to any cause whatsoever.
9. Default. In the event that a party should fail or refuse to perform according to the terms of
this Agreement, such party may be declared in default, and such defaulting party shall be
allowed a period of ten (10) days within which to cure said default. In the event the default
remains uncorrected, a non-defaulting party may elect to:
a. Terminate the Agreement and seek damages;
b. Treat the Agreement as continuing and require specific performance; or
c. Avail itself of any other remedy at law or equity.
In the event of default of any of the Agreements herein by a party which shall require any
party not in default to commence legal or equitable actions against the defaulting party, the
defaulting party shall be liable for the non-defaulting party's reasonable costs and
attorney's fees incurred because of the default.
10. Assignment. This Agreement shall not be assigned by any of the parties hereto without
the prior written consent of all the parties to this Agreement.
11. Relationship of the Parties. The parties enter into this Agreement as separate and
independent entities and each shall maintain such status throughout the term of this
Agreement.
12. Headings. Paragraph headings used in this Agreement are for convenience of reference
and shall in no way control or affect the meaning or interpretation of any provision of this
Agreement.
13. Construction. This Agreement shall be construed according to its fair meaning and as if
prepared by all parties hereto, and shall be deemed to be and contain the entire
understanding and agreement between the parties hereto. There shall be deemed to be
no other terms, conditions, promises, understandings, statements or representations,
express or implied, concerning this Agreement unless set forth in writing and signed by
each of the parties hereto. Whenever possible, each provision of this Agreement shall be
interpreted in such a manner so as to be effective and valid under applicable law.
RFP 8037 PFA Emergency Medical Services Page 51 of 55
14. Severability. Subject to the terms and provisions of this Agreement, if any one (1) or more
of the terms, provisions, promises, covenants or conditions of the Agreement, or the
application thereof to any person, entity or circumstance shall be adjudged or determined
to any extent to be invalid, unenforceable, void or voidable for any reason whatsoever, or
shall be an act, or cause any party to perform an act, which threatens its governmental
provider or tax status, then such term shall be deemed stricken from this Agreement and
each and all of the remaining terms, provisions, promises, covenants and conditions of this
Agreement or their application to any other person, entity or circumstance shall not be
affected thereby and shall be valid and enforceable to the fullest extent permitted by law.
Notwithstanding the aforesaid, should the severance have the effect of materially altering
the meaning of this Agreement this Agreement shall be void.
15. Notices. Other than invoice billings which may be sent by first class mail, whenever
written notice is required or permitted to be given hereunder by one party to the another, it
shall be given effect by hand delivering or by mailing the same by certified mail, return
receipt requested, to the party to whom given. Such notices shall be addressed as follows:
If to PFA: with a copy to:
Fire Chief Fort Collins City Attorney
Poudre Fire Authority City of Fort Collins
102 Remington Street P.O. Box 580
Fort Collins, CO 80524 Fort Collins, CO 80521
If to :
If to the City: with a copy to:
Traffic Engineer Fort Collins City Attorney
City of Fort Collins City of Fort Collins
PO Box 580 P.O. Box 580
Fort Collins, CO 80521 Fort Collins, CO 80521
Any party hereto may at any time designate a different person or address for the purpose
of receiving notice by so informing the other parties in writing. Notice by certified mail shall
be deemed effective upon actual receipt thereof or three (3) days after being deposited in
the United States Mail, whichever first occurs.
16. Force Majeure. Notwithstanding anything contained herein to the contrary, it is agreed
that in the event and to the extent that fire, flood, earthquake, natural catastrophe,
explosion, accident, war, illegality, act of God, or any other cause beyond the control of
any party hereto, or strikes and labor troubles (whether or not within the power of the party
affected to settle the same) prevents or delays performance by any party to this
Agreement, such party shall be relieved of the consequences thereof without liability, so
long as and to the extent that performance is prevented by such cause.
RFP 8037 PFA Emergency Medical Services Page 52 of 55
16. Waiver. No waiver by any of the parties hereto of any term or condition of this Agreement
shall be deemed to be or shall be construed as a waiver of any other term or condition, nor
shall a waiver of any breach of this Agreement be deemed to constitute a waiver of any
subsequent breach of the same provision of this Agreement.
IN WITNESS WHEREOF, this Agreement has been executed the day and year first
above written.
CITY OF FORT COLLINS, COLORADO
a municipal corporation
By:_______________________________
Gerry Paul
Director of Purchasing and Risk Management
Date:_____________________________
POUDRE FIRE AUTHORITY
By: _________________________________
Tom DeMint, Fire Chief
Date: ______________________________
ATTEST:
_________________________________
City Clerk
APPROVED AS TO FORM:
________________________________
Assistant City Attorney
_________________________________
By:_______________________________
__________________________________
PRINT NAME
__________________________________
TITLE (Corporate President or Vice President)
Date:_____________________________
RFP 8037 PFA Emergency Medical Services Page 53 of 55
Schedule 1
Agreement for Use of Opticom System
As of October 1, 2014
Currently, 162 out of 187 intersections are controlled by the Opticom system ("System") in Fort
Collins.
PFA has identified twenty (20) additional intersections that impact response routes throughout
the City that will not be paid for by new development. Of these, the following eight (8)
intersections would also contribute to improving the response times and safety of ________
ambulances:
Mountain and Mathews
Mountain and Howes
College and Magnolia
College and Olive
Elizabeth and City Park
Elizabeth and Constitution
Prospect and Sharp Point
Elizabeth and Summitview
Average cost to install the System in existing traffic signals is app.
$5,000.00/intersection.
Annual maintenance cost/intersection: $192.00
Half cost of installation of the System at the eight (8) intersections identified above (if installed)
$20,000.00 (approximate)
Half annual maintenance costs for the entire System (paid in arrears) based on 2014 number of
intersections
$15,552.00 (approximate)
RFP 8037 PFA Emergency Medical Services Page 54 of 55
EXHIBIT D
INSURANCE REQUIREMENTS
A. The Contractor including the Medical Director shall maintain and pay for all of the
following insurance coverages during the term of the contract and all renewals thereof:
(a) Medical Professional liability coverage with limits of $5 million per claim and $5
million aggregate.
(b) General liability coverage including Products, Completed Operations, Personal and
Advertising Injury with limits of $5 million per claim and $5 million aggregate.
(c) Umbrella/excess liability insurance covering professional and general liability with
limits of $2 million per claim and $2 million aggregate.
(d) Network Security and Privacy Liability Coverage related errors and omissions liability
coverage including media liability with limits of $5 million per claim and $5 million
aggregate.
(e) Property and casualty coverage for its materials, equipment, furnishings, supplies,
and all owned personal and/or business property and improvements located on
Client’s premises under the standard “Special Form” coverage to its full replacement
cost, without depreciation, adjusted yearly.
(f) Workers’ compensation and other statutory insurances as required.
B. The insurance coverages Contractor and its subcontractors shall be with insurers duly
licensed or approved to do business in the State of Colorado and that have an “A.M.
Best” rating of not less than A-VII. The coverages required in subparagraphs (a), (b), (c)
and (d) above must be written on a “per-occurrence basis”, or if written on a “claims-
made basis”, provide for continuous “tail coverage” of at least three (3) years beginning
at the time this Agreement terminates. The Client and its officers and employees shall
be named as “Additional Insureds” under the coverages required under paragraphs (b),
(c) and (d) of Section 11.5 and these policies shall be written on a primary basis, non-
contributory with any other insurance coverages and self-insurance carried by the PFA.
Prior to providing any of the services, Contractor must submit to the PFA and the PFA
must approve certificates of insurance evidencing all the insurance coverages
Contractor is required to maintain under Section 11.5. For those policies on which the
Client is to be named as an Additional Insured, the certificates of insurance shall state
that the policy carrier will provide the Client at least thirty (30) days advance written
notice for the cancellation, non-renewal or material changes to the policy. On all other
policies, Contractor shall provide the PFA with at least thirty (30) days advance written
notice for the cancellation, non-renewal or material changes to such policies. Failure of
Contractor to fully comply with the requirements of Section 11.5 shall be considered an
Event of Default under Article VII of this Agreement.
RFP 8037 PFA Emergency Medical Services Page 55 of 55
EXHIBIT E
CONFIDENTIALITY
IN CONNECTION WITH SERVICES provided to the PFA of Fort Collins (the “PFA”) pursuant to
this Agreement (the “Agreement”), the Service Provider hereby acknowledges that it has been
informed that the PFA has established policies and procedures with regard to the handling of
confidential information and other sensitive materials.
In consideration of access to certain information, data and material (hereinafter individually and
collectively, regardless of nature, referred to as “information”) that are the property of and/or
relate to the PFA or its employees, customers or suppliers, which access is related to the
performance of services that the Service Provider has agreed to perform, the Service Provider
hereby acknowledges and agrees as follows:
That information that has or will come into its possession or knowledge in connection with the
performance of services for the PFA may be confidential and/or proprietary. The Service
Provider agrees to treat as confidential (a) all information that is owned by the PFA, or that
relates to the business of the PFA, or that is used by the PFA in carrying on business, and (b)
all information that is proprietary to a third party (including but not limited to customers and
suppliers of the PFA). The Service Provider shall not disclose any such information to any
person not having a legitimate need-to-know for purposes authorized by the PFA. Further, the
Service Provider shall not use such information to obtain any economic or other benefit for itself,
or any third party, except as specifically authorized by the PFA.
The foregoing to the contrary notwithstanding, the Service Provider understands that it shall
have no obligation under this Agreement with respect to information and material that (a)
becomes generally known to the public by publication or some means other than a breach of
duty of this Agreement, or (b) is required by law, regulation or court order to be disclosed,
provided that the request for such disclosure is proper and the disclosure does not exceed that
which is required. In the event of any disclosure under (b) above, the Service Provider shall
furnish a copy of this Agreement to anyone to whom it is required to make such disclosure and
shall promptly advise the PFA in writing of each such disclosure.
In the event that the Service Provider ceases to perform services for the PFA, or the PFA so
requests for any reason, the Service Provider shall promptly return to the PFA any and all
information described hereinabove, including all copies, notes and/or summaries (handwritten or
mechanically produced) thereof, in its possession or control or as to which it otherwise has
access.
The Service Provider understands and agrees that the PFA’s remedies at law for a breach of
the Service Provider’s obligations under this Confidentiality Agreement may be inadequate and
that the PFA shall, in the event of any such breach, be entitled to seek equitable relief (including
without limitation preliminary and permanent injunctive relief and specific performance) in
addition to all other remedies provided hereunder or available at law.
W CR70
S CR7
E VINE DR
WELD CR74
CR76H
S CR23
E PROSPECT RD
E CR30
S LEMAY AV
WELD CR78
S CR5
E CR32
N CR37
WELD CR110
N SHIELDS ST
E CR74
ZIEGLER RD
GLADE RD
E CR92
E CR72
W CR56
N CR19
E CR76
HWY 257
W CR68
W CR66
WELD CR96
WELD CR90
W CR84
HWY 392
S CR3
LAPORTE AV
E CR32E
WELD CR100
W DRAKE RD
E DRAKE RD
WELD CR126
N CR13
WCR 23
W PROSPECT RD
WELD CR80
W VINE DR
MAIN ST
S OVERLAND TL
E MULBERRY EB ST
N LEMAY AV
W MULBERRY ST
JFK PY
W CR56E
E 57TH ST
WELD CR72
S CR9
WELD CR76
E CR62E
W TRILBY RD
STOVER ST
W 57TH ST
S CR13
S CR11
E CR50
E CR54
E CR44
E CR36
E CR68
W CR60E
W CR64
W CR76
W CR54
N HWY 287SB
WELD CR128
COUNTRY CLUB RD
W CR66E
THREE BELL PY
S HWY 287
BUSCH DR
HACKAMORE RD
WELD CR88
WELD CR120
WELD CR102
LABRADOR LN
WELD CR80.5
S 6TH ST
TILDEN ST
N CR9
HWY 392
E CR30
N CR11
WELD CR17
S CR3
WELD CR15
WELD CR80
E CR54
N CR23
E CR60
N CR9
N CR3
N CR5
N CR7
E CR60
I25
N CR23
WCR 23
WCR 23
S CR9
WELD CR19
WELD CR15
N CR1
E CR56
S CR5
WCR 23
E CR64
N CR21
S CR5
N CR11
E CR62
S CR1
Station 8
Station 9
Station 4
Station 1
Station 3
Station 7
Station 6
Station 14
Station 11
Station 10
Administration
Station 13 - Training Facility
EMS ZRonesepsonse
®
Printed 11/19/2014
Legend
PFA Boundary
Lakes
^_ Station
Response Zones
Zone1
Zone2
Zone3
Zone4
Zone5
0 0.5 1 2 3 4 5
Miles