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Home My WebLink AboutAmbulance Service/Winnebago Cty EMERGENCY AMBULANCE SERVICE AGREEMENT BETWEEN WINNEBAGO COUNTY AND THE CITY OF OSHKOSH THIS AGREEMENT is made and entered into this a?� � day of January , 19 86 , by and between Winnebago County, a State of Wisconsin Municipal Corporation, by its County Executive and County Clerk, hereinafter called "COUNTY", and THE CITY OF OSHKOSH, a State of Wisconsin Municipal Corporation, by its proper officers, hereinafter called "PROVIDER". WITNESSETH: For and in consideration of the mutual agreements herein contained and other good and valuable consideration, the County and Provider do agree as follows: 1. DESCRIPTION, TYPE AND MANNER OF SERVICE TO BE PERFORMED: Provider agrees to provide emergency ambulance service as herein- after defined in that portion of Winnebago County, Wisconsin, as identified on EXHIBIT "A" attached hereto and made a part hereof. The area to be served by Provider may be amended by mutual agreement of the parties. 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 family or whoever calls for and/or attends the person, requires immediate medical attention and specifically excludes non-emergency transfer calls. 2. TERM: The term of this agreement shall commence January 1, 1986, and shall continue without a fixed and certain termination date unless and until terminated as provided in paragraph 10 of this agreement. 3. EQUIPMENT AND STAFFING OF AMBULANCES: Provider agrees to have a sufficient number of fully equipped and staffed ambulances to assure a response time within fifteen (15) minutes to not less than ninety percent (90%) of the requests for emergency medical services covered by this agreement. Provider further agrees that the provisions of sec. 146.50, Wis. Stats. , shall prevail insofar as equipping and staffing ambulances used by Provider to satisfy the requirements of this agreement. 4. INSURANCE: Provider agrees to carry not less than the following types and amounts of insurance: Comprehensive Vehicle Liability Insurance $250,000/$1,000,000 (bodily injury) $ 50,000/$ 100,000 (property damage) Uninsured Motorists . $ 15,000/$ 30,000 Workers' Compensation Statutory Limits or Self-Insured Professional Liability $500,000/$1,000,000 Provider further agrees to furnish a certificate of insurance in force with a ten (10) day notice of cancellation to the Winnebago County -2- Insurance Administrator, c/o Courthouse, Oshkosh, Wisconsin, 54903. 5. HOLD HARMLESS CLAUSE: Provider will indemnify and hold the County harmless from all liabilities, judgments, costs, damages and expenses which may accrue against, be charged to, or recovered from the County by reason of or on account of damage to the property of, injury to, or death of any person arising from Provider's performance of its duties under this agreement. 6. EXPENDABLE SUPPLIES: Supplies for emergency use as hereinafter defined shall be furnished by Provider as necessary. Provider may establish a reasonable charge to the ambulance user for providing said expendable supplies. Provider agrees that any charge established hereunder shall be uniform throughout the area served by Provider pursuant to this agreement. 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 critically ill and injured at the emergency scene and during transport to medical facilities, including, but not limited to the following: (a) Oxygen (b) Disposable blankets (c) Universal dressings (d) Sterile gauze pads (e) Soft roller-type bandages (f) Adhesive tape (g) Splints (h) Boards -3- In addition, Provider may charge the ambulance user an amount not to exceed Thirty-five and No/100 Dollars ($35.00) for each of the following services if prescribed by a physician: (a) Intravenous (b) Drugs (c) Heart monitoring The charge for services provided herein is subject to review and approval by the County provided any such request is preceded by a thirty (30) day advance written notice. 7. MILEAGE: Provider may establish a charge to the ambulance user to cover mileage costs. Provider agrees that the mileage rate established for emergency service shall not exceed Four and No/100 Dollars ($4.00) per mile for the distance from the emergency scene to the medical facility to which the ambulance user is transported. 8. PAYMENT BY COUNTY: For the emergency ambulance services rendered by Provider here- under, the County agrees to pay Provider the annual sum of Forty Thousand Dollars ($40,000.00) per ambulance used to provide services hereunder, but not to exceed Eighty Thousand Dollars ($80,000.00) . Payments by the County of its obligation hereunder shall be made in twelve (12) monthly installments, each installment to be made not later than the tenth (10th) of the month following the month of service.. Provider agrees that the aforementioned payments by the County shall be the only financial obligation on the part of the County for -4- any emergency ambulance services, expendable supplies, mileage, equipment, or any other costs incurred by Provider to provide the emergency ambulance services covered by this agreement. 9. AMBULANCE RATES, BILLINGS AND COLLECTIONS: Provider agrees to establish the rate to be charged for emergency ambulance service rendered pursuant to this agreement. Provider agrees that the ambulance rate established for emergency ambulance service rendered by Provider shall not exceed One Hundred Sixty-five and No/100 Dollars ($165.00) per call. The ambulance rate for emergency medical services rendered by Provider is subject to review and approval by the County provided any such request is preceded by a thirty (30) day advance written notice. Provider agrees to do the billing and collections of all charges made for emergency ambulance services rendered pursuant to this agree- ment. Any such collections made by Provider shall be the sole property of the Provider and the County agrees it will not make any claim therefor. 10. TERMINATION: Except as hereinafter provided, the County or Provider may terminate this agreement at any time upon advance written notice of not less than ninety (90) days. The County may terminate this agreement on less than ninety (90) days notice if Provider is determined by the County to be in violation as to any of the terms and conditions of this agreement and, upon receipt of a written notice of such violation, fails to correct such violation within thirty (30) days of the notice. -5- IT IS UNDERSTOOD by the County and the Provider that all agree- ments and understandings have been embodied in this agreement and no changes shall be made herein except in writing and duly signed by the County and the Provider. THIS AGREEMENT is made and entered into pursuant to the authority granted by sec. 59.07(41) and sec. 66.30, Wis. Stats. IN WITNESS WHEREOF, the parties hereto have executed this agreement on the date first above written. IN PRESENCE OF: WINNER COUNTY ("COUNTY") By: 4,614( A* -1--O Z(A --e..f Paul W. Stevenson, County Executive at......,A... A . \ /4..� Dorothy L. Pro• . , County ' 1'-rk 1 / THE CIT OF OSHKOSH ("PROVIDER") ESENCE OF: By , z___ 4, 7-t 1111 A _ 0 III AI/ _. / William D. Frueh, City Manager (Title) /777/te'e' I 6& z' ''/6' ' A1-7,71 j/4,-- (_I . ( lL2t.:Z_VA,2 Donna C. Serwas, City Clerk (Title) . f r ' / This Instrument Drafted By: CI . Gerald L. Engeldinger Cam. A' i, ,;,14.,_.,/,_ corporation Counsel City 6 =i)g Winnebago County, Wisconsin Ft, I . 10i VU -6- AMBULANCE SERVICE AGREEMENT V • DESIGNATED AREAS. TO BE SERVED BY EMERGENCY AMBULANCE SERVICE PROVIDERS : GOLD CROSS AMBULANCE OF APPLETONI, TNC. ' That area located within Winnebago County as follows : City of Appleton (.part) City of Menasha - - • • Town of Menasha lying East of Little Lake Butte des Morta - City of Neenah • Town of Neenah - Town of Menasha lying West of Little Lake Butte .des Morts Town of Vinland lying North of County Trunk GG : Town of Clayton - Town of Winchester lying East of State Highway 110 South and North of State Highway -110 West • • CITY OF OSHKOSH That area located within Winnebago County as follows : City of Oshkosh • Town of Oshkosh Town .of •Vinland lying South of County Trunk GG - OSHKOSH AMBULANCE ,SERVICE That area located within Winnebago County as follows : Town of Algoma • . Town of Black Wolf- Town of Nekini - • Town of Onro • Town of Poygan - - Town of Rushford Town of Utica Town of Winchester lying West of State Highway 110 South and South of State Highway 110 West Town of W'inneconue - Village of W'innecorznc City of Omro Lake Butte des Marts Bridge FREMONT-WOLF RI-VER _ .M. S . , LTD That area located within Winnebago County as follows : - Town of Wolf R±ve, V - •