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C) U hJT`IiP' t?C> F R^r*J C
JH CAFE AGENCY
#035.09
Octoher 29, 1986
E
DIRECTOR
PUULiC HEALTH AND MEDICAL SERVICES
EMERGENCY MEDICAL SERVICES
US K RM STREET
BURDt1G 12
SANTA AAA, CAUFOF"A 92701
(114) 834- 447
City o" Huntington Beach
2000 (lain Street
P.O. Box 190
Huntington Beach, CA 92648
Attn: Clerk of the Council
MAILING A00119141
F.U. box 398
• SANTA ANA. CA /t101
Subject, Agreement Between the County of Orange and the City
of Huntington Beach for Rrovisicn of the Licensing
and Regulation of Ambulance Services
Enclosed is the Cit 's executed urigina' o'• the above referUnced
for agreement a
,,r _�t 9 your records.
r its' v�.i;il!}r;f,.i(4ta.
''�s .:,' �,:.�;a.''••tr'�r:`.•a Should ye!r need any additional information regarding this
agreement or ambulance licensing or regulation, please contact me
(834
Sincerely/
Marilee Miller
iaedical Transportation Coordinator
.•fTY 1,:�. ��' �, =;::� �(- �� Enclosure
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rely OFHUNTI
Ncro cH
C11Y COUNCII. OFFICE
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Submitted to:
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REQUE&H FOR CITY
%0OUNCfiL7
ACTION
Hanorable .Mayor and City Council
Charles W. Th-)mpson, City A
Raymond C. Picard, Fire C
Date
4,4 TIP
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C17-y. CL.R
M. Subloct: AMBULANCE ORDINANCE
Consiftnt with Covncll Policy? Pq yes I Now Policy or Exception
Statement of Isrue, Recommendation, Analysis, Funding Source, Alternative Actions, Attachments:
1
STATEMENT OF ISSUES
7, Ttie City Is currently exclusively receiving ambulance service via a need and necessity permit
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action adopted by the City Council In May 1969. A new Ambulance
Ordinance and competitive bid
"'m action Is required to limit the city's liability In any antitrust ac Ion taken and to Place licensing
Inspection and enforcement under County Emergency Medical Services (EMS).
RECOMMENDATIONs
App, #a the model ordinance and exocute an agreement with the County of Orange to administer
emergency .espouse ambulance service to provide uniformity throughout the County.
ANALYSISt
There are several distinct advantages nonexistent under current regulations. Competition via a
Request For Proposal (RFP) competitive bid process will be established for emergency ambulance
service. Non -emergency ambulance service will continue to be deregulated. The County will
assume Inspection, investigation, and control responeibilitles and assure adherence to State and
County EMS requirements. Emergency service charges will be the only charges regulated and
non -emergency service will be deregulated. The City wil! have control over service levels enri
operations which will be established in the RFP process. The City has the right to establish
operational requirements and standards via the RFP process.
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FUNDING SOURCESt
The County will assume all costs for administration of the contract. They will collect a fee far
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application for service and hiapection. Minimal staff time will be required for RFP process
7
preparation., A fee may be charged for the application and be considered as a revenue source to
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offset coats.
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ALTERNATIVE ACTIONS:
The City may legally continue to operate via existing need and necessity action but may be
vulnerable to any trust action Initiated by other service providers. An ordinance can be formulated
by our own City staff end the self -administration of the program. This will impact the Fire and
Police staff for inspection, enforcement and administration. Fees collected would not offset
administrative costs.
ATTACHMENTS:
Proposed Ambulance Ordinance.
Agreement with County for provisions of licensing and regulation of ambulance services.
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SUMMARY OF PROPOSED AMBULANCE ORDINANCE
Under thF' current city pollcy, ambulance services operate In the city of Huntington Beach
only after obtaining a Certificate of Need and Necessity. This is obtained by filing an
application with the City Clerk's Office. Issuance of this certificate Is made only after
the ambulance service has provided the following%
1. Proof of Iri-prance;
2. A list of officers and partners in the corporation;
3. The name, age, business and residence addresses of the applicant;
4. A deacription of each vehicle to be used;
5. A rate schedule set by the applicant and approved by Council;
6. A financial statement and;
7. Additional Information as requested by Council.
The applicant Is also required to obtain a business license.
The nevi ordinance contracts with the county of Orange for licensing and regulating of
ambulance service within the boundaries of the city of Huntington Beach. in return for
this ser'Ace, the county will retain any and all !:ees authorized by the city's municipal
ordinance ano collected by county for 0e adm'.nistration of the Ordinaace.
This neia ordinance sets forth the requirements established by the county for operating an
ambulaike service under their jurisdiction. Tile county requirements include those in the
existing, ordinance and adds to these the following:
1. Personnel standards;
2. LlmitatIons on transference;
3. A maximum rate schedule established by the Board of Supervisors;
4. An outline of procedures for suspension or revocation of the license;
5. Procedures for handling complaints against a licensed service;
6. And an appeal process.
In general, the new ordinance to be administered by the county Is more e:!talled as to
requirements, etc., and more stringent than the exlEting ordinance. As noted in Chief
PIcard,'s analysis, the new ordinance adds the advantage of a competitive bid process and
relievers the city of responsibility for inspecting, regulating, and handling complaints.
One further Item worthy of noting is that only emergency services are regulated under the
new ordinance. Non -emergency ambulance services remain regulated to minimum
standards and not subject to nerd and necessity.
in the event y,ju would like to make a more detailed comparison, a copy of the existing
ordinance has been attached and can be identified by the slash mark across Its text.
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�,' •t ', � SUMMAR i OF AGREEMENT BETWEEN THE COUNTY OF ORANGE
AND THE CITY OF HUNTINGTON BEACH FOR THE
LICENSING AND REGULATION OF AMBULANCE SERVICES
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1. The Agreement calls for the county to license and regulate ambulance cervices within
the corporate limits of the City of Huntington Beach.
Y 2. The Agreement provides Ior the enforcement of state statues ar.1% municipal ordinances
and regulations relatingto ambulance services that are the same as those adopted by the
County Board of Supervisors and any that we may specify.
3. The bns►c level of service shall be the same as Is provided In the unincorporated areas
of the county by the t:ounty's Health Care Agency. The emergency level of service shall
i be that as specified by the city in our RFP.
4. The licensing and regulation of the ambulance services will be the responsibility of the
(��tt county. Any special supplies, statlonary, notices, and forms Issued in the name cf the city
steall be supplied to the county and paid for by the City of Huntington Beach.
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5. The city has the right to examine the accotmting books and records.
G. The ordinance adc'pted by the City Council Is required to be the same as that adopted
by the County of Orar;ge. The city is also required to adopt all amendments that are
adopted by the Board of Supervisors to the ambulance ordinances that app!y to the City of
Huntington Beach. These amendments are to be adopted wit!,in 120 days of recelving
written notice from the county.
7. County officers and employees of the ambulance service within the community are
deemed to be agents of the city while performing a service for the city.
& The county will retain all fees authorized by the city's Municipal Ambulance
Ordinance. All fees shall be collected by the county.
9. Contract will stay in force until either party gives a 120 day written notice of a desire.
to terminate said contract.
10. if tht city falls to comply with the Ambulance Ordinance as adopted by the county, the
county may terminate the agreement within 5 days of written notice.
11. Except for notices of termination, all written communication affecting this agreement
shall be sent t y U. S. mail, first class, to the address indicated in the agreement.
12. Terminatir,n notices shail be sent by U. S. mail -certified, with a return receipt
requested.
0. The contract provides for a mutlal indemnification. clause.
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AGREEMENT
BETWEEN
COUM OF ORANGE /
FOR PROVISIOTHE
LICENSING AND REGULATION OF
AMBULANCE SERVICES
PU
g THIS AGREEMENT, entered into this 18 aay of June ,
9which date #s enumerated for purposes of reference only, is by and
10 between the COUNTY OF ORANGE, hereinafter referred to as "COUNTY," and
11 the CITY OF Runtington Beach, hereinafter referred to as "CITY."
12 j This Agreement shall be administered by the Health Care .Agency of the
13 ! County or" Orange, hereinafter referred to as "ADMINISTRATOR."
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14 WITNESSETH:
1.5 'I WHEREAS, CITY desires to contract with COUNTY to provide for ti'e
16 I� licensing and regulation of ambulance services within CITY`s boundaries;
17 �I
� and
16 WHEREAS, COUNTY is agreeable to rendering such services on terns
lg and conditions set forth herein;
20 NOW, THEREFORE, 1T IS MilTUALLY AGREED AS FOLLOWS:
21 1. SERVICES:
r2 A. COUNTY shall perform the licensing and regulation of
23 ambulance services within the corporate limits of CITY, in accordance
241 with the laws of the State of California, and shall give the prescribed
25 notices required.
26 �' B. The -
scope of said services shall be limited to the enforc p e
27 ment of State statutes and such municipal ordinances and regulations
28 relating to the licensing and regulation of ambulance services as are
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1 the same as those adopted by County's Board of Supervisors.
2 C. Services shall not include the enforcement of additional
3� municipal ordinances and regulations relating to ambulance service as CITY
4 may adopt.
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5 D. The level of service to be provided by COUNTY shall be that same
E basic level of service as that provided to unincorporated areas of COUNTY by
7 the Health Care Agency during the term of this Agreement.
e E. The licensing and regulation of ambulance servires and other
g matters incidental to the performance of such services by COUNTY and the
10 control of personnel so employed by COUNTY shall remain with COUNTf.
2.1 F. For the purpose of performing said functions, COUNTY shall
12 furnish and supply all necessary labor, supervision, equipment, and supplies
13 necessary to maintain the level of service to be rendered hereunder; except
14 that in all instvaces wherein special supplies, stationery, notices, and
'15 forms must be issued in the name of CITY, the same shall be supplied to
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16 1 COUNTY and paid for by CITY.
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17 G. COUNTY shall keep books and records in such form and manner as
15 the Auditor -Controller of COUNTY shall specify. Said books and records
19 shall be open for examination by CITY at all reasonable times.
.�-„..Y • 20 H. Tn event of dispute between the the parties :ts to the extent of
21 the duties and functions to be rendered hereunder, or the level and manner
22 of performance of such service, the determination thereof made by
of .:� r.'':i ",%..:..•"�,: '` i
'x +J,:, � ��,r ;:.'•. •" ?3 A0MINISTRATOR shall be final and conclusive as between the parties here,-o.
24 2. AUTHORITY TO PERFORM SERVICES
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25 A. CITY shall enact and maintain in full force and effect all
r t,r L 26
r• - provisions of Article 1, Division. 9, Title 4, of the Codified Ordinances of
I. " 3'= ! rZ. 27 the County of Orange, including the same fee schedule, and any other County
t F�� y rla t ,4'tSt
28 regulations relating to the licensing and regulation of ambill ante services
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1 which may be adopted by the Orange County Board of Supervisors. CITY shall,
2 upon request of ADMINISTRATOR, enact the same amendments to CITY's municipal
3 codo as those adopted by COUNTY's Board of Supervisors within one hundred
4 uaenty (120) days of notification in writing by ADMINISTRATOR; provided, .
5
however, CITY is not required to adopt any provision or amendment which does
6 not apply to CITY.
7 B. For thet purpose of performing services pursuant to this Agreement,
g' and for the purpose of giving official status to the performance ther:of where
g necessary, every COUNTY officer and employee engaged in the ptrformnce of any
10 service hereunder shall be deemed to be an agent of CITY`ahile performing
11 services for CITY, which services are withir the scope of this Agreement and
12 are purely municipal functions. COUNTY shall have all powers of CITY and
13 shall receive all cooperation possible from CITY to enable efficient
14 I) enforcement of applicable municipal ordinances and regulations and to
15 + effectuate collections called for thereunder.
16 13. COMPENSATION
17 For and in consideration of the licensing and regulation services
18 rendered oy COUNTY pursuant to this Agreement, CITY agrees :hat COUNTY shall
• j F `"'• -._ �. 14 retain any and all fees authorized by CITY's municipal ordinance and collected
24 by COUNTY. CIiY shall cooperate with COUNTY to effectuate such collections.
21 4. STATUS OF CONTRACTOR
22 COUNTY is, and shall at all times be deemed to be, an independent
23 contractor and shall be wholly responsible for the manner in which it
r=''. t , . �, 1` 24 Y the Lprms of this Agreement. Nothing
t:_i.' /. performs the services required of it b
25 herein contained shall be construed as creating the relationship of employer
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26 and employee between CITY and COUNTY or any of COUNTY's agents or employees.
27, COUNTY, its agents and employees, shall not be entitled to arty rights or
arivileges of CITY employees and shall not be considered in ara manner to be
28
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CI':Y employees.
S. TERM
This Agreement shall commence on 11,ftXjf_l g, and shall
remain effective until terminated as provided herein.
6. -TERMINATION PROVISIONS
A. Either party may terminate this Agreement without cause, upon one
hundred twenty (120) days' written notice given the other party.
a. COUNTY may terminate this Agreement upon five (5) days' written
notice at any time that C1rf fails to enact and to maintain in full force and
effect all provisions relating to the licensing and regulation of ambulance
services as set forth in Paragraph 2.A. of this Agreement.
C. Tarrnination of thi's Agreement shall not affect the validity or
term of any license issued by COUNTY.
141,1 7. NOTICES
is A. Except for Notices of Termination, all notices, claims
16 correspondence, reports and/nr statements authorized or required by this
17 Agreement shall be effective when written and deposited in the United States
18 mail, first class postage prepaid and addressed as follows:
19 COUNTY: HCA/Emergency Medical Services
P. 0. Box 355
20 ; Santa Ana, CA 92702
21 j1 City:
22
23 B. Termination Notices shall be effective whir, written and deposited
24 in the United States Mail, certified, return receipt requested, and addressed
25 as above.
26 B. NU11'AL_INDEMNIFICATION
27 Each party agrees to indemnify and hold harmless the other party, its
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2811 officers,, agents and employees from all liability, claims, losses and
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IN WITNESS WHEREOF, the parties have execo;ted this Agreement in the
County of Orange, California.
COUNTY OF ORANGE
by
a� naa , '',�u ery sors
ATTEST:
CITY OFQvi''s"m,v
a municipal UFForation
�... '■ Lam..
ATTEST:
72, - U�
b by �G- .+is►"
Tinda P., Roberts clerk of the councll
Cleric of �, the Board of Supervisors ��`�
of Orangi%.County, California DATED: ,
DATED: —
APPROVED Ak TO FORM:
AnRIAN KUY ER, COUNTY COUNSEL
ORANGE COUNTY, CALIFORNIA
by
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DA i ED: 4G(�ftL1 .. ,
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APPROVED AS TO FORM:
r- 1
.orney - —cY 6.
DATED:
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