HomeMy WebLinkAbout08-392OCTOBER 14, 2008
08 -392 RESOLUTION
(CARRIED 7 -0 LOST
LAID OVER WITHDRAWN )
PURPOSE: APPROVAL OF AMBULANCE SERVICE AGREEMENT WITH
SURROUNDING
COMMUNITIES:
a)
Town of Algoma
b)
Town of Black Wolf
c)
Town of Nekimi
d)
Town of Omro
e)
City of Omro
f)
Town of Poygan
g)
Town of Rushford
h)
Town of Utica
i)
Town of Winneconne
j)
Village of Winneconne
INITIATED BY: FIRE DEPARTMENT
BE IT RESOLVED by the Common Council of the City of Oshkosh that the attached
Ambulance Service Agreement between the City of Oshkosh and Town of Algoma, Town of
Black Wolf, Town of Nekimi, Town of Omro, City of Omro, Town of Poygan, Town of
Rushford, Town of Utica, Town of Winneconne, Village of Winneconne for emergency
medical services is hereby approved and the proper City officials are hereby authorized to
execute and deliver the agreement in substantially the same form as attached hereto, any
changes in the execution copy being deemed approved by their respective signatures, and
said City officials are authorized and directed to take those steps necessary to implement
the terms and conditions of the Agreement.
AMBULANCE SERVICE AGREEMENT
This AGREEMENT for AMBULANCE SERVICE is made and entered into this
day of , 2008, by and between the CITY OF OSHKOSH, a
Wisconsin municipality with its principal offices located at 215 Church Avenue, Oshkosh,
Winnebago County, Wisconsin 54903 -1130 ( "CITY "), and the TOWN OF ALGOMA, a
political subdivision and body politic of the State of Wisconsin, with its principal offices
located at 15 N. Oakwood Road, Oshkosh, Winnebago County, Wisconsin 54904, the
TOWN OF BLACKWOLF, a political subdivision and body politic of the State of Wisconsin,
with its principal offices located at 380 E. Black Wolf Avenue, Oshkosh, Winnebago
County, Wisconsin 54902, the TOWN OF NEKIMI, a political subdivision and body politic of
the State of Wisconsin, with its principal offices located at 3790 Pickett Road, Van Dyne,
Winnebago County, Wisconsin 54979, the TOWN OF OMRO, a political subdivision and
body politic of the State of Wisconsin, with its principal offices located at 4205 Rivermoor
Road, Omro, Winnebago County, Wisconsin 54963, the CITY OF OMRO, a political
subdivision and body politic of the State of Wisconsin, with its principal offices located at
205 South Webster, Omro, Winnebago County, Wisconsin 54963, the TOWN OF
POYGAN, a political subdivision and body politic of the State of Wisconsin, with its
principal offices located at 8693 Town Hall Road, Winneconne, Winnebago County,
Wisconsin 54986, the TOWN OF RUSHFORD, a political subdivision and body politic of
the State of Wisconsin, with its principal offices located at Eureka, Winnebago County,
Wisconsin, the TOWN OF UTICA, a political subdivision and body politic of the State of
Wisconsin, with its principal offices located at 1730 County Road FF, Oshkosh, Winnebago
County, Wisconsin 54904, the TOWN OF WINNECONNE, a political subdivision and body
politic of the State of Wisconsin, with its principal offices located at 6494 County Road M,
Winneconne, Winnebago County, Wisconsin 54986, and the VILLAGE OF
WINNECONNE, a political subdivision and body politic of the State of Wisconsin, with its
principal offices located at Winneconne Municipal Center, 30 S. First Street, Winneconne,
Winnebago County, Wisconsin 54986, (collectively referred to as "SURROUNDING
COMMUNITIES ").
WHEREAS, SURROUNDING COMMUNITIES desire to provide emergency medical
services to their citizens, pursuant to Section 146.50, of the Wisconsin Statutes, and
Chapters HFS 110 through 113 of the Wisconsin Administrative Code, as amended from
time to time, as may be applicable herein, through contract with CITY; and
WHEREAS, CITY has indicated a desire and willingness to provide such services to
SURROUNDING COMMUNITIES.
NOW, THEREFORE, for and in consideration of the mutual agreements herein
contained and other good and valuable consideration, CITY and SURROUNDING
COMMUNITIES agree as follows:
1. DESCRIPTION OF SERVICES: CITY shall provide emergency ambulance
service in SURROUNDING COMMUNITIES. For purposes of this agreement, "emergency
ambulance service" shall be defined as that ambulance service which is necessary to
respond to a condition that in the opinion of the person, his/her family or whoever calls for
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and/or attend the person, requires immediate medical attention, but shall specifically
exclude non- emergency transfer calls. All ambulances shall be equipped to provide
Advanced Life Support Services.
2. TERM: The term of this agreement shall commence at 12:00 a.m. on
January 1, 2008, and shall continue until 11:59 p.m. on December 31, 2013, unless
terminated as provided in this agreement.
3. EQUIPMENT AND STAFFING OF AMBULANCE: CITY agrees to possess,
house and maintain a sufficient number of fully equipped and staffed ambulances within
the City of Oshkosh to assure response from time of dispatch to all requests for emergency
medical services covered by this Agreement within fifteen (15) minutes to not less than
ninety percent (90 %) for life threatening emergencies unless downgraded by first
responders of all requests for emergency medical services covered by this Agreement. For
purposes of this Agreement, a one -level system of emergency ambulance service, staffed
by emergency medical technicians -- paramedic, as defined by Sec. 146.50(1)(h), Wis.
Stats., shall apply.
4. PAYMENT AND BILLING: Ambulance Services The CITY shall be solely
responsible for invoicing and collection of all fees for ambulance service pursuant to its
schedule of costs, including mileage. CITY will implement a non - resident ambulance fee of
$150.00 for each non - resident of the City of Oshkosh transported by a City of Oshkosh
ambulance.
Per Capita Fee for Surrounding Communities. SURROUNDING COMMUNITIES
shall pay to CITY the sum of $2.90 per community'resident, based on population estimates
of Winnebago County Clerk. The per resident fee shall be adjusted annually based on the
cost of living index for the 12- month period beginning September 1 through August
preceding the calendar year. At the end of each calendar year of this agreement CITY
shall invoice each of the SURROUNDING COMMUNITIES on a per capita basis for any
remainder of the per capita amount for all SURROUNDING COMMUNITIES less any
subsidy received on behalf of the SURROUNDING COMMUNITIES from any third party
and less any non - resident fees actually collected from residents of SURROUNDING
COMMUNITIES. Payment shall be made by SURROUNDING COMMUNITIES within 45
days of invoice.
CITY shall annually submit to SURROUNDING COMMUNITIES a listing of the
number of runs to each of the SURROUNDING COMMUNITIES, number of residents of
those SURROUNDING COMMUNITIES assessed a non - resident fee, and the number of
non - resident fees actually collected.
5. HOLD HARMLESS CLAUSE: The parties each shall indemnify and hold the other
parties hereto harmless from all liabilities, judgments, costs, damages and expenses,
actions, or causes of action, including reasonable attorneys' fees and other costs and
expenses of litigation which may be asserted against, be charged to, or recovered by
reason of or on account of damage to the property of any person; injury to or death of any
person; misrepresentation; violation of any law, regulation, requirement or demand of any
2
governmental authority; or any breach of any contractual provision of whatever kind with
any third party, arising from that party's performance of its duties under this agreement. It is
the intention of the parties that each party shall be solely responsible for its own acts,
actions and activities under this Agreement.
6. SERVICES AND SUPPLIES: CITY shall provide services and supplies for
emergency use as hereinafter defined as necessary, and may establish a reasonable
charge to the ambulance user for providing such services and supplies. For purposes of
this agreement, supplies for emergency use shall be defined as those medical supplies
which are essential for the personnel who are staffing ambulances used by Provider to
provide adequate care for the critical emergency scene and during transport to medical
facilities, including, but not limited to the following: (a) Intravenous, (b) Drugs, (c) Heart
Monitoring, (d) Oxygen, (e) Disposable blankets, (f) Universal dressing, (g) Sterile gauze
pads, (h) soft roller -type bandages, (f) adhesive tape.
City shall replace those supplies used by first responders to treat patients.
City shall bill patients for such supplies.
7. RE- EVALUATION OF CONTRACT, TERMINATION: The parties understand
that this is a contract of definite term. It is understood that in the event of non - renewal, the
parties may need time to make alternative arrangements. The parties shall evaluate the
services provided under this Agreement during the month of August of each year. Agreed -
upon changes would commence on January 1 of the following year. Any party may
terminate this Agreement by written notice to all other parties delivered by first class mail to
the town and municipal clerks, postmarked no later than August 1 of any year. Termination
of this agreement by any of the undersigned parties shall terminate this agreement as to all
parties.
8. AMENDMENTS, FULL TEXT OF AGREEMENT: All agreements and
understandings have been embodied in this Agreement and no changes will be made
herein except in writing and duly signed by the authorized representatives of the respective
parties.
9. FIRST RESPONDER PROGRAM. The SURROUNDING COMMUNITIES will
maintain a first responder program to assist CITY response in the SURROUNDING
COMMUNITIES. The program will follow the State of Wisconsin emergency medical
service training guidelines, as may be amended from time to time, and shall include an
automatic defibrillator program. Upon request of the SURROUNDING COMMUNITIES,
CITY shall provide assistance in upgrading the SURROUNDING COMMUNITIES' First
Responders to the Emergency Medical Technician Basic (EMT -B) level and incorporate the
use of EMT -B's as First Responders in the CITY'S operational plan. Upgrading to the level
of EMT -B, is an option for the surrounding communities and is not a mandate for the CITY
providing service. CITY shall also assist the First Responders with funding assistance
made available for training and equipment from Wisconsin Act 102.
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IN WITNESS WHEREOF, the parties have executed this agreement on the date
first above written.
CITY OF OSHKOSH
TOWN OF ALGOMA
Mark A. Rohloff , City Manager Richard Spanbauer, Town Chairperson
Pamela R. Ubrig, City Clerk
APPROVED AS TO FORM:
Susan Miller, Town Clerk
APPROVED AS TO FORM:
Assistant City Attorney
TOWN OF BLACKWOLF
Town Attorney
TOWN OF NEKIMI
Frank Frassetto, Town Chairperson Glen Barthels, Town Chairperson
Ellen Chmielewski, Town Clerk
APPROVED AS TO FORM
Town Attorney
Jerome Braasch, Town Clerk
APPROVED AS TO FORM:
Town Attorney
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CITY OF OMRO
TOWN OF OMRO
, Village Administrator Brian Noe, Town Chairperson
, City Clerk Barbara Croisant, Town Clerk
APPROVED AS TO FORM: APPROVED AS TO FORM:
City Attorney Town Attorney
TOWN OF POYGAN TOWN OF RUSHFORD
Martin J. Johnson, Town Chairperson Thomas J. Egan, Town chairperson
Maureen B. Krueger, Town Clerk
APPROVED AS TO FORM:
Town Attorney
TOWN OF UTICA
Nelson Hinz, Town Chairperson
Camille A. Schuster, Town Clerk
APPROVED AS TO FORM:
Town Attorney
TOWN OF WINNECONNE
Harvey J. Rengstorf, Town Chairperson
Jack D. Clarke, Town Clerk
APPROVED AS TO FORM
Town Attorney
Yvonne Zobel, Town Clerk
APPROVED AS TO FORM:
Town Attorney
5
VILLAGE OF WINNECONNE
John A. Rogers, Village President
Jacquin Jensen, Village Clerk
APPROVED AS TO FORM:
Village Attorney
MEMO - OSHKOSH FIRE DEPARTMENT
DATE: October 10, 2008
TO: Mark Rohloff, City Manager
FROM: Timothy Franz, Fire Chief
SUBJECT: Ambulance Service Contract with Outlying Municipalities
Our contract with the outlying municipalities for ambulance service is set to expire at the end
of this year and, as you know, we have been working with the involved municipalities over
the past few months on a new contract. I am pleased to report that we have come to an
agreement on a new contract to cover the next five years.
The main issue or change to the contract involved the per capita cost. The new per capita cost
was developed using the budgeted cost for service, subtracting the projected revenue, and
distributing this cost over the population of the entire service area including the City. This
methodology resulted in a gross per capita subsidy needed of $2.90 per capita. I have
included the service cost breakdown spreadsheet and a spreadsheet that breaks down the cost
and per capita revenue distributions. The service cost spreadsheet used was updated after the
ambulance workshop this summer to include an overhead cost of 5% of all expenses.
Aurora Medical Center of Oshkosh is providing 70% of the subsidy cost on behalf of the
contracted municipalities as they had in the previous agreement. This leaves the contracted
municipalities with a $0.87 net per capita cost, which is beneficial for them as we obviously
are all under the same levy and budget constraints. The population of the contracted area for
the first year is 24,600, and, based on this population, the subsidy for the contract will be
$71,340 in year one. The contract is designed to allow for increases based on population and
Consumer Price Index changes over the remaining four years.
This contract covers the cost of all service provided to the contracted municipalities and does
not place any additional cost on the City. This contract actually allows us to better maintain
our level of service to our City for ambulance and fire protection, and keeps the cost down
through economies of scale. The contract was given preliminary approval at a meeting of the
contracted municipalities on September 29 and will be distributed for their formal approval
if /when our Council approves the agreement.
With the Council's approval, this contract will begin January 1, 2009, and be in place
through December 31, of 2009. Please direct any questions on this matter to my attention.
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