HomeMy WebLinkAbout29941 / 79-09�
Januz�y 18, 1979 # 9
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PUfiPC�"iE: �v�'ER INPO AGREET�4�+T WITfi 'v1INi3F,BFG-0 CCXTr7PY FOR E�5F�7:.`Y AMP.UI�ANCE SEFL�7ICE
TN.CTIATID BY: CITl' F1IY�7INISTRATION
BE IT RESOLVED by the Com[ion d�uncil of the City of �hkosh that the proper
City officials are hereby authorized and direct.ed to enter into t'he attachecl
agr�nt for emergency ambulance servi.ce between Winn�ago CAUnty an1 the City
of Cshkosh.
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EDIERGENCY A'!BUI.Ai�CE S£RYICE
ACREE:tENT flF•.TWEEN
WINNEBACO COUYTY AN6 CITY OF OSHKDSH
THIS AGREEMENT is made and entered into this llth
day of December , 2978, by and between Winnebaga Coanty,
a State of Wiscoasin Municipal Corporation, by its County
Execu[ive and County Clerk, �eereivaftez called "County", and
the CzTY OF OSHKOSH, a State of Wisconsin Municipal Corporation,
b}r its pro�er officers ,.bereinafter called "Provlder",
iTI3NE5SETH :
For aad in considazatian of tfie nutual agreer�ents
herein contained and other good and valuable consl�eratioa, the
County and Provider da agree as follo.ws:
1. DESCP,IPTION� TYPF AND MA?TNER
OF SERVIC° TO BE PF.RFORMED:
Provider agrees to provide energency ambulance
service as hereinafter defined in that portion o£
Ainaebago rou��y, *disconsin, as i3ea�ifie3 oa F.fiIIIAIT
"A" stt2che3 hereCo and made a part hereof. The area
Co be served 'ny Provider m�y be amended bq r�uteal agree=
ment of the parties.
For purposes of Chis agreenent, ener.gency arnbulance
service shall be defined as that ambulance service wh3ch
is necessary to respond to a condition tha[ Sn tha opinion
of the persor., his £aTaily dr whoecer ca11s for and/or
attends the person, requires imnediate aedical attantioa
and specificallp exclu3es non-eQergency transfer calls.
2 . T L F.'-i :
Th_ �cruz of. taAs agreer�znC sha21 be fro� Jan;:�ry
3.� 19?7, tht^eEh ;;ecam��•r 31, 197,, unle.^,s tenz;.r.atc3
sooncr t:�rsea�! Lo othe, provisior.s of t?:.'.s a�ree��at.
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3. E�UZPMENT ANII STAEFINC OF AMBULANCES:
° Provider agrees to have available on a 24—hour
basis at l.east fiW� (2) fully equlpped and staffed
anbulanceig) for use in the area to be served by Provxder.
Yirovider £urther agrees thaC the proy3slons of
Wis. Stats., Sec. 146.50. shall prevail insofar as
equipping aad staffing ambulaceces used by Provider to
satisfp the requiremants of this agreement. '
4. INSIIRA'i CE : �
Provider agrees to carry not less than the fo1�.oWing
tppes and amounts of 3nsuraace:
Coesprehensive Vehicle
` Liability Insuraace ........... $250,000/$1,000,000
(bodilp �ujury) .
$ 50,OOOJ$ 100,000
(property damage) -
Uninsured Motorists .....:.. $ 15,000/$ '30,000
Workaen's Compettsation . ...... �Statutory limits or
• � Self-insured
Professiaaal Liability ........ $250,000/$ 500,000
Provider further agrees to furnish a certificate of
insuraace iu force with.a ten (10) day notice of cancella-
tion to the Winnebago County Insurance Adninistrator, c/o
CourChouse, Oshkosh, Wisconsin, 549n1.
S. HOLD HAP.24LESS CLAUSE:
Providar wiJ.Z indennify and hold the County hazmless
f rom all li,abilities, judgnents, costs, damages and ex-
penses s:hich may accrue against, be charged to, or recovered
from �:>_ County by reason of or on account of damage to the
prope_:-,� of. injury to, or death of any person arising fror.e
Provi.d_r's perforraance of its duties under this agrcenent.
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EXPENDABLE ��?oPLIES:
Supplies for emergency use as hereinafter defined
shall be furnished by Yrovider as necessary. Provider may
establish a reasoaable charge to the ambulance user for
providing said expendable supplies. Provider agrees that
any charge established hereunder shall be unifora Chrough-
out the�area served by Provider puzsuant to this agreement
For purposes of thls agreenent, supplies.far
emergency use shall be defined as those medical supplies
Which a-e essentiaZ for the personnel who are staffing
ambulances used by Provider to provide adequate care for
the critical2y ili and injured at the emergency scene and •
during transport to medica2 facilities, including, but not
13mited to the folloving:
(a) Oxygen .
(b) Disposable blankets
(c) IIniversal dressings
{d) S*_erile gauze pads
(e) Soft roller-type banda�es
(f) Adhesive tape
(g) Splints
(h) Boards
MILEAG°:
Yrovider may estahlish a charge to the ambulance user
to cover mileage costs. Provider agrees that the mileage
rate estzblished for emergency anbulance servfce rendered
by Provider outs3de Provider's municipal boundaries shall
not exceed One Do1Zar ($1.00) per mile for the distance
from the emergency scene to the medical fac3lity to which
the arbulance user is transported.
PAYtie.`:T nF COI;fiTY:
Fo= the er.iergency anbuZance services rendered by Pro-
vider he:eunder, the County agrees'to pay Provider the anaual
sup of SIXTY-EIGRT TAOUSAND NINE HUNDRED TWENTY-ONE DOLLARS
AND TWENTY-PIVE CENTS ($68,921.25)
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Which sum is determined by multiplying One Dollar and
Twenty-five Cents ($1.25) ti�es the number of residents in
the area to be served by Provider. Yayments by the County
of its obligation hereundez shall be made in twelve (12)
monthls installments, each installnent ta be made noC later
than the tenth (lOth) of the month following the month o�
Bervice�
�provider agrees that the One Dollar and Twenty-five
Ceats ($I.25) payaent by Che Covnty shall be the only�
financial obligation oa the part of the County for any
emergency ambulance servfces, expendable supplies, mileage,
equi�aent, or anp other costs, incurred by Provl3er xo
provide the emergency ambulance sarvices cnvered by this
agreemeat.
For purposes of this agreeme�t� the number of residents
in the area served.by Provider shall be as designated cn the
1975 final population estiaates foz muuiciQalities in Winne-
bsgo County as puhlished by the Hisconsin Department of
Adminisiration, Bureau of Program Managenent, dated OcCober
10, 1975, a copp of which is,attached hereto and aade a part
of this agreement.
AMBULASCE RATES, BIL�INGS AND COLiECTIQ:S:
pxovider agrees to establish the rate to be charged far
emerge�cy zBbulance service rendered pursuant to tiis agree-
ment. Provider agrees that the anbulanc� r-ate estab�ished
for ene^gency ambulance service rendered by Provider outsida
Prov3ce-'s munic3pal boundarxes shal� not exceed Fifty-ttiree
Dollars !$53.00) per call.
Frovider agrees to do the billing and collections ot all
charges aade for emergency anbulance services rendered pursuanC
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to this agreenent. Any such collections made by Frovider
shall be the sole property of Provider and the CounEy agrees
it caill not make any claiin therefor.
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10. TERMINATZON:
The County or Provider may terminate this agreement
st anp ti�e upon advance written nottce of not less than
siz (6) months.
It is understood by the County and Provider that all
agreemeats aad understandings have been embodied in this agree-
ment and no chaages shall be made herein except in writing and
duly sigaed by the County aad Yrovider.
This agreement is made and entered into pnrsuant to
the authority granted by Wisconsin Statutes, Sec. 59.07(41) and
Sec. 66.30.
IN WITNESS WHEREOF, the parties hereto have executed
this agree�ent ou the da2e first above written.
In Yresence Of:
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WINNEBAGO COUNTY ("COUNTY") ,
By.�,, , �(� (,.., ,�. Ct � -.
Jacies P. Coughlin,�County Executive
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Dorothy L�ropp, Coun y Clerk
CITY OE OSHKOSii ("PROVIDER")
In Presence Of:
Ey:
itJ.e
(31t1e).
This Instruuent drafted by:
Cerald L. £nFeidin�e:
Corporatior. Co�:nsel
Winnebago Cauut� , [liscor.si.r.
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, RJCUMENT V0. PE—A—dT-101C7E-3
T7
HISGJYSTN DEPARTNENT OF AD`tI�lIS7RA7IGh
, � ' BU�EAU CF PFC�RAM �A^;aGc�"=`7T
RM B-110, 1 t+. HIISGti STREET
� � MAOISC�, kT 53702
DQR07NY L PRDpP
GOUNiY CLERK, 1�IFJVE34G0
COUNTY L�UR7hF�U5c
OSHK�SH, t:I 549Q1
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OCTO�FR 1�, 1978
Tfic 1978 FIt3At AOPUL.ATIOP! E�liMATES FG� t�Utd3CIPA4iTlES 7N .
NINNEBAGa GOU\TY '�2E ASiFDLL0h5:
T�htJ OF kLG�J:'1ti' �
• "TJ4sh DF . BLACK u7LF
TGNt�t O� CLaYTaN
' TDYlN OF }1=1dGSHA
n wr: �F n=� ���,H
T�4!ti rJF ldcKlrlI
TGh'ht �F tvtP='JSKUN
TJti7N OF O���D
?Jkh �F OSFit�DSH
T7WN OF PDYG:+EJ
T�kt�I �F RUS4-IFD�D
T3NP�1 L'F UTICA
T� W?. DF VI ^3lA�D
TO'n"J OF tiINGH�STER
TJW.N OF F�INIV�GUN�c
TDHP: QF ti7LF RI V£R
VI LLAG� �� :4i 1�i�JEC�Nt�E
�IiY Dr AP°L=70Pd IPAFcT)
CITY �F M=?J4SHA
�I TY CF hE�'�aH
Gi 7Y OF O;:RO
�ITY OF �SH{JS4
HTN.'�EB"o0 C`JUVTY TO1AL
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3 �144 - " -
2,230 '
2aI94
zi,sze
3r`��7
1�41Z .
598
1,454
k,502
II33
1,312
1 r134
�.,bi5 *.
2 �252 **
Lr71G
1.0�1
2,024
0
15,010
23 *571
2,779
ri0 s2S9
132 �793
x 76.71% (Town of Vinland) to Gold Cross Ambulance of Appleton, Inc.
23.29! (Town of Vinland) to City. of Oshkosh.
** S07> (Town o£ Winchester) to Gold Cross Ambulance of Appleton, Znc.
50% (Tocan o_° Winchesterj to Qshkosh AmUulance Service.
' OJCUMENT V0. PE—A—JT—LOIG7E-3
T�
NISCO�ISTN DEP�RTNENT OF AUMI:�lISTRATICti
, � � BU�EAU L'F PRC�RAM X,5^:AG=1dc"�:T
RM 8-110, 1 b. t,IISGA STREF7
' � MAOISC�, kI 53702
DOROTNY L PFOPP
GOUNTY CLcRK� HIN.YE34G0
GOUNTY C�UR7t+7USE
OSHKOSFi. M! I 5490I
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bC70Es[R J0, 1973
THc 1578 FIPdAt POPULATIQN ESiIMA1ES FGR FU1�3CIP�LI77ES'7N
NINNEBAGa G0U\TY ARE ASiFQLLC.MS'
. 7Dhtd �F �LG�M�" - . 3s1�+�, _
• • -TJh'k �JF.BLALK L!O!F 2,230 �
7UNW DF CLaYTON 2a144
' - TD4lN OF M:�JASNA - )1>5I6
T]WP: rJF Nc�N'vH 3,427 .
7�i�!ti `JF f1cKli�lI 1,417_
TQhtV �F htP='JSKUTJ 598
TJY1N 0� D?1R0 1,454
7�kN OF OSHKOSH 4,502
' T]WN 0� POYG:�iJ � II33
� T�kly �F RUSHFtI�D 1 �312
TaHP•1 OF UTILA 1,134
T�Wiv DF VIMLAID 1 �615 *
TD'n�1 OF NINGN�STER 1,252 **
T�W.tJ OF NTNN�GON�c ' I,714
TDK+; OF Y;7lF RI VER 1,031
VILLAG� OF !�Ii�iNF,CONidE 2,OZ4
�,ITY CF A?.°LTON iPRkT) 0
CITY .�.F MEP1".SHA 15�010
GI TY CF hE"�AH 23 s571
C1TY OF C;:R� 2�774
G I TY DF OSNKJ SH .ri0 �2�9
�r'IN.'�EB�oO G�']U�ITY IOTAL 132,793
* 76.71% (Town of Vinland) to Gold Cross Ambulance of llppleton, Inc
23.29% (Town of Vinland) to City of Oshkosh.
** 507 (Town of WinchesCer)' to Gold Cross Ambulance of Appleton, Inc.
50�6 (Tocaa of Wlnchester) to Oshkosh Ambulance Service.
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