Loading...
HomeMy WebLinkAboutCOW 2020-01-13 Item 4E - Contract - Ambulance Services with Tri-MedCOUNCIL AGENDA SYNOPSIS Aleefin,q Date Prepared by Mayor's review Council review 01/13/20 JCW ' 01/27/20 JCW ITEM INFORMATION ITEM NO. 4.E. STAFF SPONSOR: JAY C WITTWER 1/13/2020 AGF,NDA ITLa1 Trri_E Ambulance Contract with Tukwila Fire Department and Tri-Med Inc. CATI-.GORY ® Discussion Mtg Date 01113120 ® Motion Mtg Date 01127120 ❑ Resolution A1tg Date ❑ Ordinance Alt g Date ❑ BtdAzvard Mtg Date ❑ Public Hearing Nltg Date ❑Other g Date Alt SPONSOR ❑Council ❑Mayor ❑HR ❑DCD ❑Finance ®Fire ❑TS ❑P&R [:]Police ❑PIY/ ❑Court SPONSOR'S A Contract for service agreement made between the City of Tukwila Fire Department and SUI` NL\1zY Tri-Med Ambulance Inc. This is brought before council to review and a motion to approve is requested. RL-VIEWED BY ® C.O.V. Mtg. ❑ CDN Comm ❑ Finance Comm. ❑ Public Safety Comm. ❑ Trans &Infrastructure ❑ Arts Comm. ❑ Parks Comm. ❑ Planning Comm. DATE: 01/13/2020 CONINUTTEE CHAIR: QUINN RECOMMENDATIONS: SPONSOR/ADMIN. Fire Department CO�I��tl'I'I'FF: COST IMPACT / FUND SOURCE EYPINDI"I'URI? REQLIIRI,:D AMOUNT BUDGETED APPROPRIATION REQUIRED $0 $0 $0 Fund Source: Comments: MTG. DATE RECORD OF COUNCIL ACTION 01/13/20 Forward to Special Meeting 01/27/20 MTG. DATE ATTACHMENTS 01/13/20 Informational Memorandum dated 01/06/20 Copy of Contract 01/27/20 No attachments :• Do re City of Tukwila Allan Ekberg, Mayor INFORMATIONAL MEMORANDUM TO: Committee of the Whole FROM: Jay C. Wittwer, Fire Chief BY: Jay C. Wittwer Fire Chief CC: Mayor Ekberg DATE: 01/06/2020 SUBJECT: Ambulance Contract ISSUE The City of Tukwila has not had a service contract with an ambulance transport vendor. The attached contract is an agreement between Tri-Med Ambulance and The City of Tukwila Fire Department. BACKGROUND For many years our community has been provided transport services from Tri-Med Ambulance. They provide a basic level of ambulance transport to those that require this service. Part of this service requires the Fire Department to review those services provided to ensure that this service is meeting the needs of the community. Other communities in the region receive a reimbursement for that internal review process provided by the fire service in those communities. The reimbursement is based on the amount of service provided by the contractor. DISCUSSION The City of Tukwila will now enter into this service agreement with Tri-Med Ambulance and will receive two thousand dollars ($2000.00) for the review efforts made by the fire department as listed above. The Tukwila City Attorney designed this contract and Tri-Med Ambulance has agreed to all the terms listed in the contract. RECOMMENDATION The City Council is asked to review this agreement. Approval is requested to forward this agreement during January 13, 2020 Council of the Whole meeting for final approval at the special meeting held on January 27, 2020. 91 92 Emergency and Basic Life Support Ambulance Services Agreement between the City of Tukwila and Tri-Med Ambulance, LLC This Agreement is made this day of ti lei". , 2019 ("Effective Date"), by and between the City of Tukwila, a Washington municipal corporation ("City"), and Tri-Med Ambulance, LLC, a limited liability corporation ("Contractor"). RECITALS 1. The City of Tukwila Fire Department is the first responder for all 9-1-1 calls and performs triage and interrogation of all patients that utilize the 9-1-1 system within the areas served by the City. 2. Advanced Life Support ("ALS") services within the City are provided by King County Medic 1. 3. The City of Tukwila Fire Department may_ participate in a community assistance referrals and education services program ("FDCARES") designed to serve the community by reducing the need for emergency services (Executive Summary of FDCARES Program attached as Exhibit D). 4. The Contractor recognizes the value of the FDCARES program, supports the FDCARES program and intends to work cooperatively with the City of Tukwila Fire Department to expand and develop the FDCARES program. 5. The City desires to enter into an Agreement with the Contractor to provide backup Basic Life Support ("BLS") transport services 24 hours per day, 365 days per year within the City's Service Area as defined in section 2.14 and Exhibit A. The BLS transport service shall be provided when requested by the City, with the understanding that a Tukwila Fire Department Aid Unit may provide for the primary means of patient transport. AGREEMENT 1. Term. The initial term of this Agreement shall be one (1) year from the effective date of January 1, 2020. The City, at its sole discretion, may renew this Agreement for two additional two-year terms, each upon terms and conditions satisfactory to the City. The renewal shall be completed upon execution of an addendum by all parties. 2. Definitions. For purposes of clarity and consistency, the following terms shall have the following meanings in this Agreement, unless the context clearly requires a different meaning. 2.1 "Ambulance Unit" means the vehicle and personnel provided by the Contractor responding to a request for BLS service. 2.2 "At Scene Time" means the point in time when the ambulance unit reports it is 93 physically stopped at the correct scene. In situations where the unit has been directed to respond to a location other than the scene, e.g., staging areas for hazardous materials/violent crime incidents, or non -secured scenes, "at scene time" shall be the point in time the ambulance unit reports it has arrived at the designated staging location. In instances when an ambulance unit fails to report when it has arrived "at scene," "at scene time" shall mean the point in time of the first communication or status transmission from the scene by that ambulance unit. 2.3 "City" means the City of Tukwila. 2.4 "Contract Administrator" shall mean the City's Fire Official. 2.5 "Contractor" means Tri-Med Ambulance, LLC or any approved successors and assigns of Tri-Med Ambulance, LLC. 2.6 "Emergency and Non -Emergency BLS Services" means basic life support services provided in support of the City, which are the subject of this Agreement. 2.7 "Fire Department" or "Department" means the Tukwila Fire Department. 2.8 "Fire Official" means the Fire Chief or the Fire Chief's designee. 2.9 "Incident Commander" means the City of Tukwila Fire Department person in charge of the emergency response at an incident. 2.10 "Performance Standards" are those standards as required in Section 5 of the Agreement. 2.11 "Region" means the geographical boundaries of King County, Washington. tD 2.12 "Request Received" means the point in time when the incident address is confirmed by the Contractor's dispatcher. 2.13 "Response Time" means the time interval from the time when the Contractor's dispatcher receives a request for service from the City of Tukwila Fire Department to the time an ambulance unit arrives at the scene of the incident. 2.14 "City Service Area" means the areas described and defined in Exhibit A. 2.15 "Unit Hours" means amount of time calculated in hours that a fully staffed and equipped apparatus is available for service. 2.16 "Hospital Control" means Disaster Medical Control and is the command center that monitors bed availability and manages placement of patients at area hospitals in the event of a large-scale disaster. 2 3. Business Licensing and Ch. 5.04 of the Tukwila Municipal Code. Ch. 5.04 TMC, as now enacted or hereafter amended, shall apply for the duration of this Agreement for services provided in City limits. The Contractor shall obtain and maintain a City business license and shall meet all conditions of Ch. 5.04 TMC throughout the duration of this Agreement. A true and correct copy of Ch. 5.04 TMC, as currently enacted, is attached as Exhibit B. 4. Volume of Business. The City of Tukwila Fire Department may act as the primary provider of BLS transports in the City Service Area and does not guarantee a volume of business. Actual volume will depend upon demand for services and the Contractor's performance. 5. Scope of Services - Performance Standards. 5.1 City Service Area of the Tukwila Fire Department. The Contractor shall provide backup BLS transport services for the City Service Area of the Tukwila Fire Department as defined in Exhibit A of this Agreement. 5.2 Patient Care Performance. 5.2.1 Standards. The Contractor shall continuously meet or exceed the patient care performance standards as provided by State law and the most current King County Patient Care Guidelines for Basic Life Support. Additionally, the Contractor shall have its own Medical Direction Program. In the event there are conflicts among these standards, the controlling standard shall be State law, then the King County Patient Care Guidelines, and then the Contractor's Medical Direction Program. 5.2.2 Transport Protocols. The Contractor shall adhere to City transport protocols for services performed under this Agreement. 5.2.2.1 The Contractor agrees that it is the responsibility of the City of Tukwila Fire Department to provide rapid initial BLS response and (at times) transport to all requests for medical assistance and advanced field life support to medical emergencies within the City Service Area. Except when authorized by the City of Tukwila Fire Department, the Contractor shall not provide rapid initial BLS response and transport or advance life support to medical emergencies within the response area. 5.2.2.2 When the Contractor arrives at an incident scene in response to a City of Tukwila Fire Department request, the Contractor's personnel shall report to the incident commander, or his/her designee, in charge of the emergency who shall, when appropriate, designate the mode of transportation and the hospital to be utilized. Patients in a life -threatening or potentially life - threatening condition shall be transported to area hospitals as directed by the City of Tukwila Fire Department. 95 5.2.2.3 The Contractor shall immediately request the services of the City of Tukwila Fire Department and, if appropriate, King County Medic 1, if the Contractor receives a citizen request for emergency medical assistance. In the event that a non -life -threatening emergency being handled by the Contractor becomes an emergency requiring the services of a BLS or ALS technician, the Contractor shall immediately request the services of the City of Tukwila Fire Department. 5.2.3 Liquidated Damages. In the event the Contractor fails to meet or exceed patient care performance standards and transport protocols, the Contractor shall pay the City liquidated damages as described in section S. 5.2.4 Patient Care Performance Standards Monitoring. The Contractor shall ensure its personnel complete documents related to responses and patient care, including, but not limited to, Pre -hospital Care Reports (PCRs), Against Medical Advice summary audits (AMAs), and ambulance response failure/unusual occurrence forms. Such documents shall be made available to the City upon request. The Contractor shall provide to the City of Tukwila Fire Department by the loth day of each calendar month a report summarizing its patient care performance during the preceding month. Monthly during the first three months of operation, and quarterly thereafter, the Contractor and the City shall meet to discuss matters of concern and to review adherence to patient care performance standards and transport protocols. The purpose of these meetings will be to maintain open and proactive communications, resolve problems, and to provide an arena to confer about patient care performance on the part of the Contractor or the City. Contractor must maintain a commitment to work with the City of Tukwila Fire Department and other King County Zone 3 departments to work towards the implementation in the use of ESO sofhvare for patient care reporting. This will be done in an effort to allow patient care reporting to remain consistent amongst all agencies and provide the best patient outcomes and feedback possible. Target date to implement ESO software is March 1, 2020. Any delay to this date will be communicated to the Tukwila Fire Department Administration as soon as practical. 5.3 Response Time Performance. 5.3.1 Standards. Every calendar month, the Contractor shall meet or exceed the following standards within the City Service Area for the City of Tukwila Fire Department as set forth in Exhibit A. Response times shall be measured in minutes and seconds, and shall be timed - stamped by the Contractor's computer- aided dispatch (CAD) system. •M 5.3.1.1 Emergency Incident Response Performance Standard. The Contractor shall respond to ninety percent (90%) of all City of Tukwila Fire Department requests within 17 minutes, 59 seconds in the "'code yellow" status. If requested "code red" from time of dispatch, the Contractor shall respond to ninety percent (90%) of all City of Tukwila Fire Department requests within 12 minutes, 59 seconds. 5.3.2 Liquidated Damages. In the event the Contractor's response time does not fall within the emergency incident response performance standard, and the City of Tukwila Fire Department does not grant an exemption to the delay or non -response, the Contractor shall pay to the City liquidated damages as described in section 8. 5.3.3 Performance Incentive. During a calendar month and in the event the Contractor meets or exceeds a ninety-five percent (95%) response rate in the City of Tukwila Fire Department Service Area, the City of Tukwila Fire Department shall waive liquidated damages described in section 8.1 and 8.2 for that month, provided that during that month the City of Tukwila Fire Department has not performed BLS transport of a City of Tukwila Fire Department request due to the Contractor exceeding the maximum response time, failing to respond, failing to properly staff or equip unit, failing to report on - scene, or for mechanical failure. 5.3.4 Exemption to Response Time Performance Standards. The Contractor may apply and the City of Tukwila Fire Department may Grant exemptions to response time performance standards in situations beyond the Contractor's control that cause unavoidable delays or no response. The City of Tukwila Fire Department shall examine each request for exemption and shall take into consideration the Contractor's staffing levels, dispatch times, in- service times, traffic, street blockages, severe weather, and other influencing factors. If the City of Tukwila Fire Department determines the circumstances warrant, the City of Tukwila Fire Department shall grant an exemption of the response from the performance standards. To be eligible for such an exemption, the Contractor shall apply for the exemption with supporting documentation no later than the month following the month of the occurrence. The following subsections describe situations wherein the City of Tukwila Fire Department may grant an exemption. 5.3.4.1 Multiple Unit Response. In the event two (2) or more units are simultaneously committed to one (1) incident, the first arriving unit shall be held to the response time standard. 97 City of Tukwila Fire Department shall grant an exemption for each unit starting with the second unit provided the additional units arrive at the scene within 20 minutes. 5.3.4.2 Concurrent Responses. In the event three (3) or more units are simultaneously committed to one (1) incident, and two (2) or more additional units are concurrently responding to at least two (2) other separate incidents, the City of Tukwila Fire Department shall grant an exemption for each unit starting with the third unit. 5.3.4.3 Declared Disaster. In the event an emergency is declared as defined by Ch. 43.06 RCW, the City of Tukwila Fire Department shall grant an exemption for all units during the declared emergency. 5.3.4.4 Canceled Request. In the event a request is canceled prior to or at the unit's arrival on scene for reasons other than exceeding the maximum response time standard, the City of Tukwila Fire Department shall grant an exemption. 5.3.4.5 Response Location Errors. In the event the City of Tukwila Fire Department provides an inaccurate address, or if the location does not exist, the City of Tukwila Fire Department shall grant a response time exemption, except if the incorrect response is the result of an error made by Contractor's personnel, in that event the City of Tukwila Fire Department shall not grant an exemption. 5.3.4.6 Response Location Change. In the event the City of Tukwila Fire Department changes the incident location and the change delays the unit's response time because the unit must reroute farther than one (1) city block to respond to the call, the City of Tukwila Fire Department shall grant an exemption. 5.3.4.7 Response Delayed by Accident. In the event the unit is involved in an accident and cannot continue to respond to the call, the City of Tukwila Fire Department will grant an exemption provided the accident is not the fault of the ambulance unit. 5.3.4.8 Response Requested to Area Outside City Service Area. In the event the City of Tukwila Fire Department requests the Contractor respond to an area outside of the City Service Area, the City of Tukwila Fire Department shall grant an exemption to the Emergency Response Performance Standard on the condition that the Contractor use diligence to respond to the scene within a reasonable time. 5.3.5 Response Time Performance Monitorinfz. The Contractor shall provide to the City of Tukwila Fire Department by the 10th day of each calendar month, a report detailing its response time performance for the City of Tukwila Fire Department Service Area, as designated in Exhibit A, during the preceding month and any applications for exemptions. The Contractor shall document each instance wherein a response resulted in a response time in excess of the response performance standard, and shall detail the reason for such delayed response time. The Contractor shall take all steps necessary to eliminate causes of poor response time performance and upon request shall provide the City of Tukwila Fire Department with a summary of such corrective actions. 5.4 Inquiries and Complaints. The Contractor shall provide prompt written responses and follow-up to inquiries and complaints. Such responses shall be subject to the limitations imposed by patient confidentiality restrictions. The Contractor shall provide to the City of Tukwila Fire Department by the 1 Oth day of each calendar month a list of all complaints received and their respective dispositions. Copies of such complaints will be made available to the City of Tukwila Fire Department upon request. Any complaint received by the City shall be forwarded to the Contractor for action, and the Contractor shall forward the disposition of the incident to the City of Tukwila Fire Department within twenty-one (21) days of receipt. 5.5 Dispatch and Communications. 5.5.1 Contractor's Dispatch/Communications Equipment and Personnel. The Contractor shall furnish, operate, maintain, and replace or upgrade its dispatch and communications equipment, radios, telephone equipment, computer aided dispatch system equipment, including hardware and software, and all other equipment and software necessary for its provision of emergency BLS services. 5.5.2 Computer -Aided Dispatching. The Contractor shall utilize a CAD system to record dispatch information for all requests for services. The Contractor's CAD system shall generate, either automatically or through manual entry, a dispatch record using generally accepted coding conventions and time - stamping rules. The City of Tukwila Fire Department may require dispatch information to be provided digitally for integration and review. The Contractor shall ensure that all dispatching and communications with its ambulance units is conducted in a manner that meets or exceeds all federal, state, and local requirements, including the City's policies and procedures. • • 5.5.3 Dispatch Communications. The Contractor shall record and maintain for a minimum of 365 days audio recordings of all radio and telephone communications with and between persons or agencies requesting ambulance service, its units, personnel, and the Valley Communications Center, including time track. Such recordings and records shall be made available to the City of Tukwila Fire Department upon request. 5.5.4 Emergence Alerting Devices. The Contractor shall equip each ambulance unit with installed radio communications equipment capable of notifying ambulance personnel of response needs. In addition, each ambulance unit shall contain at least one (1) portable two-way radio to provide the driver or attendant with alerting and two-way communications capabilities when away from the ambulance unit. 5.5.5 The Contractor shall not refuse to transport any person, when such person is determined by the City of Tukwila Fire Department Incident Commander to fall under the category of having a life -threatening, potentially life -threatening, or other medical emergency. Charges for services shall be made only to a patient actually transported by the Contractor. Under no circumstances shall the City have any liability whatsoever for the Contractor's transportation of the patient, or cost incurred by the Contractor whether or not they transport. 5.5.6 The Contractor shall transport a patient to the nearest hospital capable of providing the needed emergency medical services, or to a hospital of the patient's choice. If a specific hospital is designated by Hospital Control in a multiple casualty incident or by a paramedic or higher medical authority at the scene of the emergency, the Contractor shall transport the patient to that facility. All patients may be transported to area hospitals by City of Tukwila Fire Department aid units, medic units, or ambulances as determined by the City of Tukwila Fire Department Incident Commander. 5.5.7 The Contractor shall not install or operate any device or means on its units that can be utilized to control traffic signaling devices, including, but not limited, to Opticoms. 5.6 Vehicle Markings and Advertising Restrictions. Markings on ambulance units shall not include seven (7) or ten (10) digit phone numbers or other advertising. The only telephone number allowed is "9-1-1 ". The Contractor's standard logo, including its name, is permitted. Temporary display applications must be approved by the City prior to use. 5.7 Equipment Maintenance. 5.7.1 The Contractor shall be solely responsible for furnishing all equipment and 100 parts for the maintenance of vehicles, onboard equipment, supplies, and facilities used by the Contractor in performance of its work. 5.7.2 All equipment and supplies used by the Contractor must meet and comply with all standards established by federal, state, and local laws, rules, and regulations. 5.7.3 The Contractor shall be responsible for its radio system, channel selection, securing, authorization for use, and the proper operation of the radio system. 5.8 Contractor's Personnel. 5.8.1 Staffing. For each ambulance unit responding to requests for BLS service from the City of Tukwila Fire Department, the Contractor shall have at least two (2) personnel who are certified and accredited as Emergency Medical Technicians- B ("EMT-B"). 5.8.2 Character and Competence of Personnel. The Contractor shall ensure that its personnel conduct themselves in a professional and courteous manner. The Contractor's personnel shall be competent and shall hold all required licenses, permits and certificates in their respective trades or professions. The Contractor's personnel shall wear uniforms that clearly identify the Contractor's business name as well as the name of the particular employee. All personnel shall have a neat, clean appearance; shall be courteous to patients; shall refrain from unprofessional conduct or the use of foul language; and shall abide by all applicable federal, state; and City laws and regulations. The City of Tukwila Fire Department may demand the removal of any employee or subcontractor of the Contractor, subject to appropriate investigation and determination, for misconduct or incompetent or negligent performance. Such persons shall not be allowed to perform services under this contract without the written consent of the City. 5.9 Major Emergency and Disaster Response within the City of Tukwila Fire Department Service Area. 5.9.1 Major Emergency or Disaster Declared. In the event the Mayor or Fire Official determines there is a major emergency or disaster, the City may notify the Contractor that the normal course of business under the Agreement may be interrupted. Immediately upon such notification, the Contractor shall commit such resources as are requested by the City of Tukwila Fire Department, given the nature of the incident, and shall assist in accordance with applicable disaster plans and protocols. 5.9.2 Response Time Performance Standards. The Contractor shall be released by the City of Tukwila Fire Department from response time performance standards and liquidated damages, until notified by the City, that such disaster assistance may be terminated, provided that the Contractor shall use 101 due diligence to respond to the scene in an expeditious manner. 5.9.3 City of Tukwila Fire Department - First Priority. The Contractor acknowledges that the City is entering into an Agreement with the Contractor for the benefit of the public. The Contractor shall consider the City of Tukwila Fire Department as a customer of its first priority and shall make its best effort to provide emergency and non -emergency BLS services to the City of Tukwila Fire Department in a timely manner. The Contractor shall develop a mechanism for the immediate recall of personnel to staff units during multi -casualty situations, times of peak overload, or major emergency and disaster situations. This plan shall include the ability of the Contractor to alert off -duty personnel. 5.9.4 Major Emergency or Disaster Terminated. When major emergency or disaster assistance has been terminated, the Contractor shall resume normal operations as rapidly as is practical considering exhaustion of personnel, need for restocking, and other relevant considerations. 5.1.0 Incident Response to Other Local Jurisdictions. In the event the City Fire Official determines an incident affects a local or neighboring jurisdiction, the City may notify the Contractor that the normal course of business under the Agreement may be interrupted. Immediately upon such notification, the Contractor may commit such resources as are requested by the City of Tukwila Fire Department, given the nature of the incident, and shall assist in accordance with disaster plans and protocols applicable in the locality where the disaster has occurred. Normal (i.e., not disaster related) mutual aid or multi -casualty incident assistance rendered by the Contractor shall be performed in accordance with approved instant aid/mutual aid agreements, and EMS agency policies and procedures. In the course of rendering such instant aid/mutual aid services, the Contractor shall not automatically be exempt from response time standards otherwise imposed by this Agreement. The Contractor shall manage any response to such instant aid/mutual aid requests in a manner that does not jeopardize the Contractor's ability to render response time performance as required herein for the City of Tukwila Fire Department. 5.11 Inspections. 5.11.1 Examination and Audit of Records. At any time during normal business hours and as often as may reasonably be deemed necessary, City of Tukwila Fire Department representatives and the EMS Medical Program Director(s) may observe the Contractor's operations. Additionally, the Contractor shall make available for examination and audit, all contracts, invoices, materials, payrolls, inventory records, records of personnel (with the exception of confidential personnel records), daily logs, conditions of employment, all operational and procedure policy manuals, excerpts or transcripts from such 10 102 records, all relevant fiscal records and other data related to all matters covered by this contract. 5.11.1 Observe Operations and Ride Along. City of Tukwila Fire Department representatives and the EMS Medical Program Director, may, at any time, and without notification, directly observe Contractor's operation of its EMS Communications Center, maintenance facility, and any ambulance post location. A City of Tukwila Fire Department representative and the EMS Chief, may, after providing at least five minutes notice, ride as third person on any of the Contractor's ambulance units, provided that in exercising this right to inspection and observation, such representatives shall conduct themselves in a professional and courteous manner, shall not interfere in any way with the Contractor's personnel in the performance of their duties and contractual responsibilities, and shall, at all times, be respectful of the Contractor's employer/employee relationship. 5.11.1 Time and Notification. The City of Tukwila Fire Department's right to observe and inspect the Contractor's business office operations or records shall be restricted to normal business hours, and reasonable notification shall be given to the Contractor in advance of any such visit. 5.11.1 Cooperation. The Contractor will cooperate with and respond to the City of Tukwila Fire Department and its Fire Official on all matters related to the provision of emergency and non -emergency BLS ambulance services. 5.12 Billing, Collections. and Reporting. The Contractor shall be responsible for all billing and collection functions related to services rendered pursuant to this Agreement. The Contractor shall perform all such billing and collection functions in a professional and courteous manner and in accordance with applicable federal, state, and local laws, regulations, procedures and policies including, without limitation, collection and credit reporting laws. The Contractor will not attempt to collect fees at the scene, in route, or upon delivery of the patient to a health facility for services rendered. 6. Contractor Rates. 6.1 Compensation. The Contractor's sole financial compensation for services rendered under this Agreement shall be the rates billed and collected from patients and responsible third parties. The City, local taxes, or subsidies shall not fund any services provided by the Contractor. 6.2 Rates to be Filed. The Contractor shall file with the City and the Fire Official its schedule of rates to be charged for services during the period of this Agreement. The schedule of rates shall be a matter of public record open to public inspection. The schedule of rates must be adhered to by the Contractor. If rates are periodically adjusted during the business license period, they must be filed with the City. m 103 7. Contractor Payments to the City. 7.1 Monthly Payment. By the loth day of every calendar month, the Contractor shall make a payment of $2,000 per month to the City. The first payment shall be due on January 10, 2020. Payment shall be made payable to the "City of Tukwila" to cover the City's costs of administering this Agreement and to support a future FDCARES program. Such costs include, but are not limited to, the following: 7.1.1 The City's costs associated with monitoring Contractor's compliance with this Agreement; and 7.1.2 The City's incremental costs associated with medical control. 7.2 Adjusted for Inflation. The monthly payment amount shall be effective through the initial one-year term. If the City exercises its option to renew for additional one- year terms, the monthly payment amount shall be adjusted on the anniversary of the Effective Date of this Agreement using the preceding calendar year's annual Consumer Price Index for all urban consumers Seattle -Tacoma -Bremerton metropolitan area, as determined by the U.S. Department of Labor, Bureau of Labor Statistics, to eliminate the effects of inflation. On the annual anniversary date of this Agreement, the City shall provide the Contractor with a letter delineating the basis for the monthly payments in order to satisfy Medicare requirements. 8. Liquidated Damages. This Agreement provides for the payment of liquidated damages in certain circumstances of non-performance, breach, and default. Each party agrees that the damaged party's actual damages in each such circumstance would be difficult or impossible to ascertain, and that the liquidated damages provided for herein with respect to each such circumstance are intended to place the damaged party in the same economic position as it would have been in had the circumstance not occurred. Nothing in -this section shall be construed to limit any remedies, including termination, provided for herein with respect to any non-performance, breach, or default by the Contractor. Each and every call that does not adhere to the scope of services and to the performance standards stated herein shall first be classified as an alleged performance failure. Each alleged performance failure shall be investigated by the Contractor and evaluated by the City of Tukwila Fire Department. The City of Tukwila Fire Department shall determine whether there were appropriate or acceptable extenuating circumstances that caused or significantly contributed to the performance failure. The Contractor shall pay liquidated damages to the City for all performance failures that are determined to be the fault of the Contractor and not the result of an extenuating circumstance. All payments for liquidated damages shall be made payable to the '`City of Tukwila.'' 8.1 Liquidated Damages for Emergency Request. For any individual "code red" response to a request from the City of Tukwila Fire Department at dispatch that exceeds 12 minutes, 59 seconds, the Contractor shall be assessed liquidated damages at a rate of fifty dollars ($50) per minute, or fraction thereof, for each 12 104 minute to a maximum of two hundred fifty dollars ($250). 8.2 Liquidated Damages for Exceeding the Maximum Response Time. For any individual response for the City of Tukwila Fire Department exceeding the maximum response time, or being cancelled due to exceeding the maximum response time, the Contractor shall be assessed liquidated damages of five hundred dollars ($500) and shall not be assessed the liquidated damages described in section 8.1 and 8.3. 8.3 Liquidated Damages for Failure to Respond. In the event the Contractor fails or is unable to respond to a City of Tukwila Fire Department request, the Contractor shall be assessed liquidated damages of five hundred dollars ($500) per incident. 8.4 Liquidated Damages for Failure to Properly Staff Unit for the City of Tukwila Fire Department. In the event the Contractor fails to staff any ambulance unit pursuant to subsection 5.7.1, the Contractor shall be assessed five hundred dollars ($500) per unit hour or portion thereof. 8.5 Liquidated Damages for Failure to Furnish Required Documentation. In the event the Contractor fails to furnish required information, reports, or documentation within the time period specified by this Agreement or by the City of Tukwila Fire Department's reasonable request, the City of Tukwila Fire Department may, at its option, impose liquidated damages of fifty dollars ($50) per day for each item of such information, report, or document. Such liquidated damages shall not be applied in cases where the cause of such reporting deficiency was beyond the Contractor's reasonable control. 8.6 Liquidated Damages for Mechanical Failure. If an ambulance vehicle experiences a mechanical failure (breakdown) while transporting a patient to a hospital at request of the City of Tukwila Fire Department, the Contractor shall be assessed liquidated damages of five hundred dollars ($500) except when the Contractor has provided timely and appropriate patient transfer and when the Contractor has properly maintained the vehicle. 8.7 Liquidated Damages for Failure of Crew to Report. The Contractor shall be assessed liquidated damages of fifty dollars ($50) for failure of the ambulance crew to report their on -scene arrival to its dispatcher for any of its calls for the City of Tukwila Fire Department. The Contractor shall be assessed liquidated damages of five hundred dollars ($500) for each incident where the City of Tukwila Fire Department determines that the crew, dispatchers, or management personnel of the Contractor reported a false on -scene arrival time. 8.8 Liquidated Damages for Failure to Obtain and Utilize CAD. The Contractor shall be assessed liquidated damages of two hundred fifty dollars ($250) per day for failure to utilize an acceptable CAD system within six (6) months of the effective date of this Agreement. 13 105 8.9 Aggregated Failure. If in any contract year the Contractor maintains a response time performance level at less than 90% monthly compliance in any four (4) months or two (2) consecutive months, the City shall have the right to terminate this Agreement. 8.10 Invoicing and Payment of Liquidated Damages. No more frequently than monthly and at least quarterly, the City shall invoice the Contractor for any liquidated damages assessed during the prior period. The Contractor shall pay the liquidated damages within thirty (30) days of receipt of the invoice. In the event the City fails to invoice within thirty (30) days of the end of the prior period, the liquidated damages shall be deemed waived for the period. 8.11 Appeal of Liquidated Damages Assessment. The Contractor may request that the City's Contract Administrator reconsider imposition of liquidated damages. In instances when the City's Contract Administrator reviewed the circumstances for imposing liquidated damages and determined that the grounds were sufficient to justify the imposition of the liquidated damages, the Contractor shall have the right to appeal such determination to the Tukwila Fire Official. The Contract Administrator shall report the reasons for the determination to impose liquidated damages to the Tukwila Fire Official. The ruling of the Tukwila Fire Official shall be final. 9. Termination. 9.1 Written Advance Notice. Either party may terminate this Agreement by providing ninety (90) days advance written notice to the other party of that parry's intent to terminate. A breach of the terms of this agreement need not occur to terminate under this section. If this Agreement is terminated, the City has the right to offer the remainder of the existing Agreement and its extensions to an existing contractor within the City of Tukwila Fire Department service area for right of first refusal. In the event that the Contractor chooses to exercise its right to terminate under this section, it shall pay to the City liquidated damages of ten thousand dollars ($10,000), which amount has been determined consistent with the language of Paragraph 8 to offset the City's costs in procuring a new contractor. 9.2 Contractor Breach and Provisions for Early Termination. Conditions and circumstances that constitute a breach of the Agreement include, but are not limited to, the following: 9.2.1 Failure of the Contractor to perform in accordance with any of the provisions of this Agreement. 9.2.2 Failure of the Contractor to operate the system in a manner that enables the City and the Contractor to remain in compliance with federal or state laws, 14 106 rules, or regulations. 9.2.3 Falsification of information supplied by the Contractor during the term of this Agreement, including but not limited to altering the presumptive run code designations to enhance the Contractor's apparent performance or falsification of any other data required under the contract. 9.2.4 Creating patient responses or transports so as to artificially inflate run volumes. 9.2.5 Failure of the Contractor to provide data generated in the course of operations, including but not limited to dispatch data, patient report data, response time data, or financial data. 9.2.6 Excessive and unauthorized scaling down of operations to the detriment of performance during a "lame duck" period. (See section 12.) 9.2.7 Failure of Contractor's personnel to conduct themselves in a professional and courteous manner and present a professional appearance. 9.2.8 Failure of the Contractor to maintain equipment in accordance with manufacturer recommended maintenance procedures. 9.2.9 Failure of the Contractor to cooperate with and assist the City after breach has been declared. 9.2.10 Acceptance by the Contractor or Contractor's personnel of any bribe, kickback or consideration of any kind in exchange for any consideration whatsoever, when such consideration or action on the part of the Contractor or Contractor's personnel could be reasonably construed as a violation of federal, state, or local law. 9.2.11 Payment by the Contractor or any of Contractor's personnel of any bribe, kickback, or consideration of any kind to any federal, state, or local public official or consultant in exchange for any consideration whatsoever, when such consideration could be reasonably construed as a violation of any federal, state, or local law. 9.2.12 Failure of the Contractor to meet the standard of care as established by this Agreement. 9.2.13 Failure of the Contractor to maintain insurance in accordance with this Agreement. 9.2.14 Failure of the Contractor to meet response time requirements for the City of Tukwila Fire Department as set forth in this Agreement. 15 107 9.2.15 The filing of any bankruptcy or any other similar action, which, in the opinion of the City, places the performance of the contract at risk. 9.2.16 Failure to submit reports and information under the terms and conditions outlined in this Agreement. 10. City's Remedies. 10.1 If conditions or circumstances constituting a breach as set forth above are determined to exist, the City shall have all rights and remedies available at law or in equity under this Agreement, specifically including the right to terminate the Agreement. 11. Process for Termination of Contract Due to Breach. 11.1 In the event of breach, the City will give the Contractor written notice, return receipt requested, setting forth with reasonable specificity the nature of the breach. Within five (5) calendar days of receipt of such notice, the Contractor will deliver to the City of Tukwila Fire Department, in writing, a plan to cure such breach. The plan will be updated, in writing, every five (5) calendar days until the breach is cured. The Contractor shall have the right to cure such breach within thirty (30) calendar days of receipt of notice of breach. If the Contractor fails to cure such breach within the time period allowed for cure (such failure to be determined by the sole and absolute discretion of the City of Tukwila Fire Department), or the Contractor fails to timely deliver the cure plan, or updates to the City of Tukwila Fire Department, the City may immediately terminate the Agreement. The Contractor will then cooperate completely and immediately with the City of Tukwila Fire Department to affect a prompt and orderly transfer of all responsibilities to the City. 11.2 The Contractor will not be prohibited from disputing any findings of breach through litigation, provided that such litigation will not have the effect of delaying, in any way, the immediate transfer of operations to the City. These provisions will be specifically stipulated and agreed to by both parties as being reasonable and necessary for the protection of public health and safety. Any legal dispute concerning the finding that a breach has occurred will be initiated and shall take place only after the transfer of operations to the City has been completed, and will not, under any circumstances, delay the process of transferring operations to the City. 11.3 The Contractor's cooperation with and full support of the City of Tukwila Fire Department's termination of the Agreement will not be construed as acceptance by the Contractor of the finding of breach. However, failure on the part of the Contractor to cooperate fully with the City to affect a smooth and safe transition shall itself constitute a breach of contract. 16 HE 11.4 In the event an agreement with one contractor is terminated, the remaining contractor shall have the right to assume the territory served by the terminated contractor. The intent to assume such territory shall be provided to the City in writing within fourteen (14) days of receiving notice from the City of the termination of the other contractor. 12. "Lame Duck' Provisions. Should the Contractor fail to prevail in a future procurement cycle, the Contractor will agree to continue to provide all services required in and under the Agreement until a new contractor assumes service responsibilities. To ensure continued performance fully consistent with the requirements of the Agreement through any such period, the following provisions will apply: 12.1 The Contractor will continue all operations and support services at the same level of effort and performance that were specified in the contract in effect prior to the award of the subsequent agreement to a competing provider. 12.2 The Contractor will make no changes in methods of operation that could reasonably be considered to be aimed at cutting Contractor services and operating costs to maximize profits during the final stages of the Agreement. 12.3 The City recognizes that if a competing provider should prevail in a future procurement cycle, the Contractor may reasonably begin to prepare for transition of the service to a new contractor. The City will not unreasonably withhold its approval of the Contractor's request to begin an orderly transition process, including reasonable plans to relocate staff, scale down certain inventory items, etc., as long as such transition activity does not impair the Contractor's performance during this period. 13. Proprietary and Confidential Information. The Contractor acknowledges that the City is required by law to make its records available for public inspection, with certain exceptions (see RCW Chapter 42.56). In the event the City receives a request for disclosure of proprietary descriptive or confidential information that contains valuable business policies, trade secrets or practices, financial data, customer data, designs, drawings, or formulas, such information may be protected from disclosure. If the City believes disclosure is required, the City shall notify the Contractor prior to disclosure of such information so that the Contractor may seek a protective court order or equivalent. If, in the absence of a protective order or equivalent, the City determines in good faith that it is nonetheless required to disclose the proprietary or confidential information, the City will disclose only that portion of the information which is required to be disclosed and will use reasonable efforts to preserve the confidentiality of the other proprietary and confidential information, including without limitation, cooperating with the Contractor to obtain an appropriate protective order, or by obtaining written assurance from the applicable judicial or governmental entity that it will afford the confidential information the highest level of protection afforded under applicable law or regulation. The Contractor, by submission of materials marked proprietary and confidential, nevertheless, acknowledges and agrees that the City will have no obligation or any liability to the Contractor in the event that the City 17 109 must disclose these materials. 14. Indemnification. The Contractor does hereby release and shall defend, indemnify, and hold the City and its employees and agents harmless from all losses, liabilities, claims, costs (including attorney fees), actions or damages of any sort whatsoever arising out of the Contractor's performance of the services contemplated by this Agreement except to the extent attributable to the negligent acts or omissions of the City. The indemnification provided for in this section shall survive any termination or expiration of this Agreement. If any action is brought against the City by any employee of the Contractor, the indemnification obligation of the Contractor set forth in this section shall not be limited by the amount or type of damages, compensation or benefits payable by or for Contractor under the Industrial Insurance Act (RCW Title 51), or any other employee benefit act. In addition, solely for the purpose of giving full effect to the indemnities contained herein and not for the benefit of the Contractor's employees or any third parties, the Contractor waives its immunity under RCW Title 51. The Contractor acknowledges that the foregoing waiver was mutually negotiated. 15. Insurance. The Contractor shall procure and maintain for the duration of the Agreement, insurance of the types and in the amounts described in Exhibit "C" attached and incorporated by this reference. 16. Compliance with Law. 16.1 General Requirement. The Contractor, at its sole cost and expense, shall perform and comply with all applicable laws of the United States and the State of Washington, the municipal code and ordinances of the City of Tukwila, King County, the City and rules, regulations, orders, and directives of their administrative agencies and the officers thereof. Without limiting the generality of this paragraph, the Contractor shall specifically comply with the following requirements of this section. 16.1.1 Licenses and Similar Authorizations. The Contractor, at no expense to the City, shall secure and maintain in full force and effect during the term of this Agreement all required licenses, permits, and similar legal authorizations, and comply with all requirements thereof. 16.1.2 Taxes. The Contractor shall pay, before delinquency, all taxes, levies, and assessments arising from its activities and undertakings under this Agreement, including, but not limited to, taxes levied on its property, equipment and improvements, and taxes on the Contractor's interest in this Agreement. 16.1.3 Use of Recycled Content Paper. The Contractor shall, whenever practicable, use recycled content paper on all documents submitted to the City. 17. Contractual Relationship. This Agreement does not establish the Contractor as an agent or 18 110 legal representative of the City for any purpose whatsoever, and the relationship of the Contractor to the City by reason of this Agreement shall be that of an independent contractor. The Contractor is not granted any express or implied right or authority to assume or create any obligation or responsibility on behalf of or in the name of the City or to bind the City in any manner or thing whatsoever. Both parties, in the performance of the Agreement, will be acting in their individual capacities and not as agents, employees, partners, joint ventures or associates of one another. The employees, subcontractors, or agents of one party shall not be deemed or construed to be the employees, subcontractors, or agents of the other party for any purpose whatsoever. The Contractor shall ensure that all the Contractor's employees, subcontractors, and agents are properly trained and frilly equipped to perform their assigned tasks. 18. Discrimination. 18.1 In the hiring of employees for the performance of work under this Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the Contractor or subcontractor shall not, by reason of race, religion, color, sex, age, sexual orientation, national origin, or the presence of any sensory, mental, or physical disability, discriminate against any person who is qualified and available to perform the work to which the employment relates. 19. Assignment and Subcontracting. The Contractor shall not assign or subcontract any of its obligations under this Agreement without the City's prior written consent. The City's written consent may be granted or withheld at the City's sole discretion. Any subcontract made by the Contractor shall incorporate by reference all the terms of this Agreement. The Contractor shall ensure that all subcontractors comply with the obligations and requirements of this Agreement. The City's consent to any assignment or subcontract shall not release the Contractor from liability under this Agreement, or from any obligation to be performed under this Agreement, whether occurring before or after such consent, assignment, or subcontract. 20. Amendments. No modification or amendment of the provisions hereof shall be effective unless in writing and signed by authorized representatives of the parties hereto. The parties hereto expressly reserve the right to modify this Agreement, from time to time, by mutual agreement. 21. Executory Aueement. This Agreement will not be considered valid until signed by both parties. 22. Binding Effect. The provisions, covenants and conditions in this Agreement apply to bind the parties, their legal heirs, representatives, successors, and assigns. 23. Applicable Law. This Agreement shall be construed and interpreted in accordance with the laws of the State of Washington. The venue of any action brought hereunder shall be the Superior Court for King County. 19 111 24. Remedies Cumulative. Remedies under this Agreement are cumulative; the use of one remedy shall not be taken to exclude or waive the right to use another. 25. Captions. The titles of sections are for convenience only and do not define or limit the contents. 26. Severability. If any term or provision of this Agreement shall, to any extent, be determined by a court of competent jurisdiction to be invalid or unenforceable, the remainder of this Agreement shall not be affected thereby, and each term and provision of this Agreement shall be valid and enforceable to the fullest extent permitted by law. 27. Waiver. No covenant, term, or condition or the breach thereof shall be deemed waived, except by written consent of the party against whom the waiver is claimed, and any waiver of the breach of any covenant, term, or condition shall not be deemed to be a waiver of any preceding or succeeding breach of the same or any other covenant, term, or condition. Acceptance by the City of any performance by the Contractor after the time the same shall have become due shall not constitute a waiver by the City of the breach or default of any covenant, term, or condition unless otherwise expressly agreed to by the City in writing. 28. Entire Agreement. This document, along with any exhibits and attachments, constitutes the entire agreement between the parties with respect to the scope of work herein. No verbal agreements or conversations between any officer, agent, associate, or employee of the City and any officer, agency, employee, or associate of the Contractor prior to the execution of this Agreement shall affect or modify any of the terms or obligations contained in this Agreement. 29. Negotiated Agreement. The parties to this Agreement acknowledge that it is a negotiated agreement, that they have had the opportunity to have this Agreement reviewed by their respective legal counsel, and that the terms and conditions of this Agreement are not to be construed against any party on the basis of such parry's draftsmanship thereof. 30. Breach of Agreement. The City considers any breach of the Agreement serious and will seek remedies commensurate with the severity and magnitude of the event. Remedies could include but are not limited to corrective measures, liquidated damages, probation or suspension, or termination of the Agreement. It is the intent and desire of the City to maintain a good working relationship with the Contractor while at the same time ensuring service to the community. 31. Addresses for Notices. All notices to be delivered hereunder shall be in writing and shall be delivered or mailed to the following addresses: If to Citv: If to Contractor: City of Tukwila Tri-Med Ambulance 6200 Southcenter Blvd. 18821 E Valley Hwy 20 112 Tukwila, WA 98188 Kent, WA 98032 or such other respective addresses as may be specified herein or as either party may, from time to time, designated in writing. 32. Disputes. Any disputes or misunderstandings that may arise under this Agreement concerning the Contractor's performance for the City of Tukwila Fire Department shall first be resolved through amicable negotiations, if possible, between the Contractor's project manager and the City's Contract Administrator, or if necessary, shall be referred to the Fire Official and the Contractor's senior executive(s). If such officials do not agree upon a decision within a reasonable period of time, the parties may pursue other legal means to resolve such disputes, including but not limited to alternate dispute resolution processes. 33. Authority. Each party has full power and authority to enter into and perform this Agreement, and the person signing this Agreement on behalf of each party has been properly authorized and empowered to enter into this Agreement. Each party further acknowledges that it has read this Agreement, understands it, and agrees to be bound by it. IN WITNESS WHEREOF, the City and Contractor have caused this Agreement to be executed. CITY: By: Print Name: Its: Date: CONTRACTOR: By: (�G Print Name: Its: Date: /Lfyl��f� 21 113 114 EXHIBIT A City Service Area The Tukwila Fire Department provides emergency medical response to the areas within the city limits of Tukwila, and the jurisdictional boundaries of King County Fire District No. 24. The attached map, which is incorporated into this Exhibit A, accurately sets forth the service area. einq Field./ ntema nal - !. Airpo :.,...,... Renton Municipal — — e - Airport r Tulaffla Buller = '— Seattle- Tacoma International -- - Airport SeaTae rarnialldy Park _ King Coun r Fire District 924 — = Kent EXHIBIT A 115 116 EXHIBIT B Incorporated as Exhibit B: Tukwila Municipal Code Chapter 5.04Licenses Generally. Remainder ofpage intentionally left blank EXHIBIT B-1 117 TUKWILA MUNICIPAL CODE CHAPTER 5.04 LICENSES GENERALLY Sections: 5.04.010 Definitions 5.04.012 Purpose 5.04.015 Business License Required 5.04,020 Applications and Fees Required 5.04.030 Issuance of a License and Annual Renewal 5.04.040 Prorating Fee 5.04.050 Late Acquisition or Renewal 5.04.060 Transferability 5.04.070 Change in UBI #, Ownership, Physical Location or Nature of Business 5.04.080 Required — Display 5.04.090 Exemption 5.04.100 Failure to Pay Fee 5.04.105 Additional Requirements for Issuance of Business License 5.04.110 Denial, Suspension, Revocation 5.04.112 Appeal of Notice of Denial, Suspension or Revocation 5.04,115 Penalties 5.04.116 Effect of Denial or Revocation 5.04.120 Regulation Adoption and Publication — Failure to Comply 5.04.130 Disclaimer of City Liability 5.04.010 Definitions For the purpose of this chapter, the following definitions shall apply: 1. 'Business," means and includes all activities, occupations, trades, pursuits, or professions located or engaged within the City that involves the manufacturing or processing of materials of any type; the sale of goods, wares or merchandise; the rendition of services or the repair of goods, wares or merchandise for any consideration to the person engaging in the same or to any other person or class, directly or indirectly, whether or not an office or physical location for the business lies within the City limits. 2. "Department," means Finance Department. 3. "Director," means the Finance Director or his or her designee. 4. "Engaging in business" means commencing, conducting, or continuing in business, and also the exercise of corporate or franchise powers, as well as liquidating a business when the liquidators thereof hold themselves out to the public as conducting such business. a. This section sets forth examples of activities that constitute engaging in business in the City, and establishes safe harbors for certain of those activities so that a person who meets the criteria may engage in de minimus business activities in the City without having to pay a business license fee. The Page 5-2 activities listed in this section are illustrative only and are not intended to narrow the definition of "engaging in business" as defined above. If an activity is not listed, whether it constitutes engaging in business in the City shall be determined by considering all the facts and circumstances and applicable law. b. Without being all inclusive, any one of the following activities conducted within the City by a person, or its employee, agent, representative, independent contractor, broker or another acting on its behalf constitutes engaging in business and requires a person to register and obtain a business license: (1) Owning, renting, leasing, maintaining, or having the right to use, or using, tangible personal property, intangible personal property, or real property permanently or temporarily located in the City. (2) Owning, renting, leasing, using, or maintaining, an office, place of business, or other establishment in the City. (3) Soliciting sales. (4) Making repairs or providing maintenance or service to real or tangible personal property, including warranty work and property maintenance. (5) Providing technical assistance or service, including quality control, product inspections, warranty work, or similar services on or in connection with tangible personal property sold by the person or on its behalf. (6) Installing, constructing, or supervising installation or construction of, real or tangible personal property. (7) Soliciting, negotiating, or approving franchise, license, or other similar agreements. (8) Collecting current or delinquent accounts. (9) Picking up and transporting tangible personal property, solid waste, construction debris, or excavated materials. (10) Providing disinfecting and pest control services, employment and labor pool services, home nursing care, janitorial services, appraising, landscape architectural services, security system services, surveying, and real estate services including the listing of homes and managing real property. (11) Rendering professional services such as those provided by accountants, architects, attorneys, auctioneers, consultants, engineers, professional athletes, barbers, baseball clubs and other sports organizations, chemists, consultants, psychologists, court reporters, dentists, doctors, detectives, laboratory operators, teachers, veterinarians. (12) Meeting with customers or potential customers, even when no sales or orders are solicited at the meetings. (13) Training or recruiting agents, representatives, independent contractors, brokers or others, Produced by the City of Tukwila, City Clerk's Office 118 TITLE 5 — BUSINESS LICENSES AND REGULATIONS domiciled or operating on a job in the City, acting on its behalf, or for customers or potential customers. (14) Investigating, resolving, or otherwise assisting in resolving customer complaints. (15) In-store stocking or manipulating products or goods, sold to and owned by a customer, regardless of where sale and delivery of the goods took place. (16) Delivering goods in vehicles owned, rented, leased, used, or maintained by the person or another acting on its behalf. c. If a person, or its employee, agent, representative, independent contractor, broker or another acting on the person(s behalf, engages in no other activities in or with the City but the following, it need not register and obtain a business license. (1) Meeting with suppliers of goods and services as a customer. (2) Meeting with government representatives in their official capacity, other than those performing contracting or purchasing functions. (3) Attending meetings, such as board meetings, retreats, seminars, and conferences, or other meetings wherein the person does not provide training in connection with tangible personal property sold by the person or on its behalf. This provision does not apply to any board of director member or attendee engaging in business such as a member of a board of directors who attends a board meeting. (4) Renting tangible or intangible property as a customer when the property is not used in the City. (5) Attending, but not participating in a "trade show" or "multiple vendor events". Persons participating at a trade show shall review the City's trade show or multiple vendor event ordinances. (6) Conducting advertising through the mail. (7) Soliciting sales by phone from a location outside the City, d. A seller located outside the City merely delivering goods into the City by means of common carrier is not required to register and obtain a business license, provided that it engages in no other business activities in the City. Such activities do not include those in subsection 5,04.010(4)(c). e. The City expressly intends that engaging in business include any activity sufficient to establish nexus for purposes of applying the license fee under the law and the constitutions of the United States and the State of Washington. Nexus is presumed to continue as long as the taxpayer benefits from the activity that constituted the original nexus generating contact or subsequent contacts. 5. "License or licensee," as used generally in this chapter, means and includes respectively the words "permit" or "permiftee" or the holder for any use or period of time of any similar privilege, wherever relevant to any provision of this chapter or other law or ordinance. Produced by the City of Tukwila, City Clerk's Office 6. "Nonprofit organization" includes individual person(s), partnerships, joint ventures, societies, associations, churches, clubs, trustees, trusts or corporations; or any officers, agents, employees, factors or any kind of personal representatives of any thereof, in any capacity, acting either for himself or any other person under either personal appointment or pursuant to law who qualifies under definition of and certification by the Internal Revenue Service as nonprofit. 7. 'Person," means any individual, receiver, agent, trustee in bankruptcy, trust, estate, firm, co -partnership, joint venture, company, joint stock company, business trust, corporation, society, or group of individuals acting as a unit, whether mutual, cooperative, fraternal, nonprofit or otherwise. 8. "Person engaged in business" means the owner or one primarily beneficially interested in lawful business for profit and not employees. 9. "Home occupation" means any business conducted in a residence within the corporate city limits of Tukwila, such business being subject to the requirements set forth in TMC Chapter 18.06, "Definitions," in the section entitled "Home Occupation." 10. "Employee" means and includes each of the following persons who are not required by the City to have his/her/its own separate City of Tukwila business license: a. Any person employed at any business who performs any part of their duties within the City of Tukwila or reports from a location within the City's corporate limits; and b. Any person who is on the business's payroll, and includes all full-time, part-time, and temporary employees or workers; and c. Owners, officers, managers, and partners; and d. Any other person who performs work, services or labor at the business including, but not limited to, family members, regardless of whether they receive a wage from the business. e. Self-employed persons, sole proprietors, owners, officers, managers, and partners; and f. Any other person who performs work, services or labor at the business, including an independent contractor who may be exempt from requirements to have a separate City of Tukwila business license. Employee is a unit of measure used to determine the Business License fee, (Ord. 2588 §2, 2018; Ord. 2544, §2, 2017, Ord. 2496 §1, 2016; Ord. 2381 §1, 2012; Ord, 2356 §1, 2011; Ord. 2333§1, 2011; Ord. 2315§1 (part), 2010) Page 5-3 119 TUKWILA MUNICIPAL CODE 5.04.012 Purpose The purpose of this chapter is to regulate and insure the legal conduct of businesses, assist in the effective administration of health, fire, building, zoning and other codes of the City, to impose fees for revenue purposes, and to provide a means for obtaining public information and compiling statistical information on existing and new businesses in the City. (Ord. 2315 §1(part), 2010) 5.04.015 Business License Required A. No person or persons shall conduct, maintain, operate, or engage in any business within the City without first applying for and obtaining a business license, or renewing an existing license, and paying the fee(s) as prescribed herein, unless exempted in this chapter. All businesses operating or engaging in business within the City are required to submit a business license application or renewal, as appropriate, unless exempted in this chapter. B. This license shall be in addition to any other licenses or permits required by any other section of this code or by State or Federal laws. C. Business licenses are nontransferable and a separate business license shall be obtained for each location at which a business operates. Licenses shall be displayed at each business location so as to be viewable by the public. (Ord. 2588 §3, 2018; Ord. 2381 §2, 2012; Ord. 2333 §2, 2011; Ord. 2315 §1 (part), 2010) 5.04.020 Applications and fees required A. Application Required. Any person desiring to establish or conduct any business enterprise or undertaking within the corporate limits of the City shall first file a master application through the Washington State Department of Licensing Master License Service in coordination with the City of Tukwila Finance Department for a license to conduct such business. The application shall be upon a form furnished by the Washington State Department of Licensing Master License Service on which the applicant shall state the company name and address; the nature of the business activity or activities in which he/she desires to engage; the place where the business will be conducted; the number of employees, whether full or part-time, on the payroll as of January 1, or, if a new business, the number to be employed on the opening date; the Washington State Unified Business Identifier (UBI) number; and other information pertaining to the business as required by the City. The applicant shall be required to provide all information requested on said form and failure to do so shall be grounds for refusing to issue the business license. Owners of residential rental property are not subject to the application requirements in this chapter but shall adhere to the application requirements in TMC Chapter 5.06. Page 5-4 B. Fee — General. 1. The application must be accompanied by the appropriate application fee in accordance with the fee schedule adopted by resolution of the City Council, as well as the Master License Service handling fee. The license fee for the annual license (Business License fee) issued under this chapter shall be determined based on the total number of employees. The business license fee shall be determined by multiplying the appropriate Business License fee by the number of employees working at or reporting from a location within the City's corporate limits, in accordance with the fee schedule adopted by resolution of the City Council. In no event shall the Business License fee be less than the minimum fee set forth in this chapter. If the number of employees is not known at the time of application or renewal of the license, the business shall estimate the maximum number of employees they anticipate working any time during the 12-month period subject to licensure. 2. It will be the responsibility of the business to determine the total number of employees and, if required, demonstrate to the satisfaction of the Finance Director that the information pertaining to the Business License fee is accurate. Businesses without a full year of operating history shall estimate the number of employees that will be employed in a 12-month period. C. Minimum Fee. There shall be an annual minimum fee for a Business License in accordance with the fee schedule adopted by resolution of the City Council. 1. For purposes of the license by this chapter, any person or business whose annual value of products, gross proceeds of sales, or gross income of the business in the City is equal to or less than $2,000 and who does not maintain a place of business within the City, shall submit a business license registration to the Finance Director or designee. The threshold does not apply to regulatory license requirements or activities that require a specialized permit. 2. Businesses doing business in the City that have no employees physically working within the City's corporate limits shall pay the minimum fee required under this chapter. 3. An entity subject to exemption pursuant to TMC Section 5.04.090 need not pay a Business License fee. An entity engaging in some activities or functions that are exempt from the Business License fee and some that are not exempt shall pay a Business License fee based on the number of employees involved in the functions or activities that are not exempt. D. New Businesses. The Business License fee fora new business shall be based on the estimated number of employees that will work in Tukwila for a 12-month period. If, during the first license year for a new business, the City determines the actual number of employees is significantly different than the estimated number identified by the business owner, the amount of the Business License fee will be recalculated for the new business. Produced by the City of Tukwila, City Clerk's Office 120 TITLE 5 — BUSINESS LICENSES AND REGULATIONS If the revised Business License fee is higher than the original Business License fee paid by the business owner for the first license year, the business owner must pay the difference to the City within 30 days after written notice of the amount owed is sent to the business owner by the City. E. Over -reporting of Employees. In the event the business owner miscounted the number of employees by an error factor of more than 15% and paid an excess Business License fee as a result, a business may request that the City refund the overpayment. The request must be made in writing to the Finance Department, and the City must receive the request and all supporting documentation no later than 60 days after the end of the calendar year in which the error was made. If the City is satisfied the business owner paid an excess Business License fee, the City will refund the excess amount paid to the business owner, F. Under -reporting of Employees. If, at the time of license renewal, the City determines the business owner under- reported the number of employees for the preceding year by an error factor of more than 15%, the business shall pay the balance of the corrected Business License fee (calculated as the difference between the paid Business License fee and the corrected Business License fee). The Finance Director shall mail written notice of the balance due to the business owner, and the business shall pay the balance due to the City within 30 days of the date the written notice is mailed by the City. A penalty of 20% of the balance due will be applied if payment is not received within 30 days. G. Payment by Draft or Check. Payment made by draft or check shall not be deemed a payment of the Business License fee unless and until the same has been honored in the usual course of business, nor shall acceptance of any such check or draft operate as a quittance or discharge of the Business License fee unless and until the check or draft is honored. Any person who submits a Business License fee payment by check to the Washington State Department of Licensing Master License Service or City, pursuant to the provisions of this chapter, shall be assessed an NSF fee set by the Finance Director if the check is returned unpaid by a bank or other financial institution for insufficient funds in the account or for any other reason. (Ord. 2588 §4, 2018; Ord. 2544 §3, 2017; Ord. 2496 §2, 2016; Ord. 2391 §3, 2012; Ord. 2356 §2, 2011; Ord. 2333 §3, 2011; Ord. 2315 §1 (part), 2010) Produced by the City of Tukwila, City Clerk's Office 5.04.030 Issuance of a license and annual renewal A. Upon review and approval of the application, the Washington State Department of Licensing Master License Service or the Finance Director or designee shall issue a license to the applicant, The license shall grant to the applicant the privilege to conduct such business at a designated location in the City. B. Persons continuing to engage in business within the City shall renew their business license(s) each year. Businesses must pay a renewal fee, as well as the Master License Service handling fee. The annual business license renewal fee shall be in accordance with the fee schedule adopted by resolution of the City Council. The annual fee may be prorated in order to conform the license expiration date with the expiration date established by the Master License Service. Persons not renewing their business license by the expiration date may be subject to a late renewal penalty charged by the Master License Service. (Ord. 2588 §5, 2018; Ord. 2315 §1(part), 2010) 5.04.040 Prorating fee The license fee set forth in this chapter shall be for the calendar year, and each person engaged in business must pay the full license fee for the current year. License fees are non- refundable, regardless of whether the business operates for the entire calendar year, or whether the business license is denied, revoked, withdrawn or suspended with cause. (Ord. 2356 §3, 2011; Ord. 2333 §4, 2011; Ord. 2315 §1(part), 2010) 5.04.050 Late acquisition or renewal A. Penalty. For new businesses, failure to pay the Business License fee by the first day of commencing business operations pursuant to TMC Section 5.04.020 will result in a late acquisition penalty in accordance with the fee schedule adopted by resolution of the City Council. For renewing businesses, failure to pay the Business License renewal fee by January 31 st shall constitute delinquency and shall result in a penalty in accordance with the fee schedule adopted by resolution of the City Council. No business license and/or renewal for the current period shall be granted until all delinquent fees, together with penalties, have been paid in full. The Finance Director or his/her designee is authorized, but not obligated, to waive all or any portion of the penalties and interest provided herein in the event the Finance Director determines that the late payment was the result of excusable neglect or extreme hardship. B. Collection of Fees and Penalties. Any license fee due and unpaid under this chapter, and all penalties thereon, shall constitute a debt to the City and may be collected in court proceedings in the same manner as any other debt in like amount, which remedy shall be in addition to any and all other existing remedies. C. Revocation of License. The Finance Director may revoke any business license issued pursuant to this chapter to any business or other person who is in default in payment of any Page 5-5 121 TUKWILA MUNICIPAL CODE license fee hereunder, or who shall otherwise fail to comply with any of the provisions of this chapter, Notice of such revocation shall be issued pursuant to TMC Section 5.04.110.D. On and after the date of the notice of revocation, any business subject thereto that continues to engage in business shall be deemed to be operating without a license, and shall be subject to any and all penalties herein provided. D. There shall be a penalty to reinstate any business license revoked through nonpayment of the Business License fee. The penalty shall be identified in the fee schedule adopted by resolution of the City Council. (Ord. 2544 §4, 2017; Ord. 2496 §3, 2016; Ord. 2381 §4, 2012; Ord. 2356 §4, 2011; Ord. 2333 §5, 2011; Ord. 2315 §1(part), 2010) 5.04.060 Transferability The license granted in pursuance hereof shall be personal to the licensee and it shall not be assignable or transferable to any other person. (Ord. 2315 §1 (part), 2010) 5.04.070 Change in UBI #, ownership, physical location or nature of business The license granted pursuant hereto shall be used to conduct the particular business or type of business at the designated address for which such license is issued. Any license holder with a change in the nature of the business, a change in the Unified Business Identifier (UBI) issued by the Washington State Department of Licensing, a change in the physical location of the business, and/or a change in ownership of the business shall immediately submit a new application for licensure to the Finance Department documenting the relevant change(s). A change in the UBI or a change in ownership for the business will require payment of the applicable license fee set forth in the fee schedule adopted by resolution of the City Council, in addition to the submission of a new application. (Ord. 2496 §4, 2016; Ord. 2381 §5, 2012; Ord. 2356 §5, 2011; Ord. 2333 §6, 2011; Ord. 2315 §1 (part), 2010) 5.04.080 Required — Display It is unlawful for any person to engage in or carry on any business activity in the City without first procuring a license as provided in this chapter. The license shall thereafter be prominently displayed in the place of business of the applicant. (Ord. 2315 §1 (part), 2010) Page 5-6 5.04.090 Exemption A. Exemptions. The following entities may claim an exemption from the Business License fee, but if exempt under this subsection such entities shall still register under this chapter: 1. Certain Organizations Exempt from Federal Income Tax. An organization that files with the City a copy of its current IRS 501(c)(3) exemption determination letter issued by the Internal Revenue Service. 2. A governmental entity that engages solely in the exercise of governmental functions. Activities that are not exclusively governmental, such as some of the activities of a hospital or medical clinic, are not exempt under this chapter. 3. A nonprofit business operated exclusively for a religious purpose, upon furnishing proof to the Finance Director of its nonprofit status. For the purposes of this chapter, the activities that are not part of the core religious functions are not exempt. 4. A civic group, service club, or social organization that is not engaged in any profession, trade, or occupation, but is organized to provide civic, service, or social activities in the City. a. Examples of such organizations include but are not limited to: Soroptomists, Kiwanis, Lions' Rotary, American Legion, children's and adults' athletic leagues and similar types of groups, clubs or organizations. 5. A court interpreter who provides an oral translation between speakers who speak different languages, and who is either a certified interpreter, qualified interpreter, or registered interpreter, and who makes less than $12,000 in gross annual revenue in Tukwila, Washington. Certified, qualified and registered interpreters are defined as follows: a. "Certified interpreter" means an interpreter who is certified by the administrative office of the courts. b. "Qualified interpreter" means a person who is readily able to interpret or translate spoken and written English for non -English-speaking persons and to interpret or translate oral or written statements of non -English-speaking persons into spoken English. c. "Registered interpreter" means an interpreter who is registered by the administrative office of the courts. 6. A public card room (also known as a social card room) with a house -banked license. B. Nothing in this chapter shall be construed to require a license for any farmer, gardener, or other person to sell, deliver or peddle any fruits, vegetables, berries, butter, eggs, fish, milk, poultry, meats or any farm produce or edibles raised, caught, produced or manufactured by such person in any place within the State. (Ord. 2593 §2, 2018; Ord. 2588 §6, 2018; Ord. 2544 §5, 2017; Ord. 2356 §6, 2011; Ord. 2333 §7, 2011; Ord. 2315 §1 (part), 2010) Produced by the City of Tukwila, City Clerk's Office 122 TITLE 6 — BUSINESS LICENSES AND REGULATIONS 5.04.100 Failure to Pay Fee If any person engaged in business fails or refuses to pay the license fee for any year as herein provided, they shall not be granted a license for the current year until such delinquent license fees in accordance with the fee schedule adopted by resolution of the City Council have been paid, in addition to the current years' required fee(s). Such fees may be collected by the City by proper legal action brought for that purpose if any person engaged in business fails or refuses to pay the license fee. This remedy is cumulative and not exclusive. (Ord. 2588 §7, 2018; Ord. 2315 §1(part), 2010) 5.04.105 Additional Requirements for Issuance of Business License A. A business license will only be issued provided the building, structure, operation or location of the business for which the license is sought complies with the requirements or standards of the Tukwila Municipal Code. B. In any case where an applicant seeks a business license for a business to be located in a building or structure for which a building or land use permit is required to operate the business as proposed, whether as a newly constructed building or structure or a remodeled building or structure, the permit process, including final inspections/issuance of occupancy permits, shall be completed prior to issuance of a business license. C. In any case where an applicant seeks a business license for a business to be located in a building or structure for which no building or land use permit is required to operate the business as proposed, the building department may require the business premises to be inspected for compliance with life and safety codes. If the inspection reveals outstanding code violations, the business license will not be issued until all life and safety code violations are resolved. (Ord. 2588 §8, 2018; Ord. 2315 §1 (part), 2010) 5.04.110 Denial, Suspension, Revocation A. The Finance Director may deny any business license application pursuant to TMC Section 5.04.105. B. The Finance Director may deny, suspend or revoke any license under this chapter where one or more of the following conditions exist: 1. The licensee is in default of any fee, charges or amounts due and payable to the City of Tukwila, as outlined in the Tukwila Municipal Code or City policy. 2. The license was procured by fraud or by a false or misleading representation of fact in the application, or in any report or record required to be filed with the Finance Department. Produced by the City of Tukwila, City Clerk's Office 3. The building, structure, equipment, operation or location of the business for which the license was issued does not comply with the requirements or standards of the Tukwila Municipal Code. 4. The license holder, his or her employee, agent, partner, director, officer or manager has knowingly violated any provisions of any chapter of the Tukwila Municipal Code, or has knowingly permitted, failed to prevent, or has otherwise allowed a violation of any of the provisions of any chapter of the Tukwila Municipal Code to occur on his or her business premises. 5. The license holder, his or her employee, agent, partner, director, officer or manager has repeatedly violated any provision of City policies or the Tukwila Municipal Code after having received notice of such violation. 6. Conduct of the business would be in violation of any local, state or federal law, rule or regulation prohibiting the conduct of that type of business. 7. The property at which the business is located has been determined by a court to be a chronic nuisance property, a Violation Notice and Orderfor a chronic nuisance property has been issued and not timely remedied or appealed, or the Hearing Examiner has determined the property to be a chronic nuisance property, as provided in TMC Chapter 8.27. C. Upon determination that grounds for denial, suspension or revocation of a license exist, the Finance Director shall send the applicant or license holder a Notice of Denial, Suspension or Revocation. The Notice of Denial, Suspension or Revocation shall set forth the grounds for and terms of the denial, suspension or revocation, and a statement advising the applicant or license holder that he/she may appeal the Notice of Denial, Suspension or Revocation in accordance with the provisions of TMC Section 5.04,112. The filing of such appeal shall stay the action of the Finance Director pending decision on the appeal by the City Hearing Examiner or other hearing body pursuant to TMC Section 5.04.112. D. Receipt of the Notice of Denial, Suspension or Revocation. The Notice of Denial, Suspension or Revocation shall be: (1) sent to the applicant or license holder by registered mail at the address provided on the license application; (2) hand delivered to the address provided on the license application; or (3) posted upon the premises where such applicant or license holder conducts the business that is the subject of the denied, suspended or revoked license. Notice shall be deemed received by the applicant or license holder upon posting, hand delivery, or 3 business days after mailing, whichever occurs first, (Ord. 2588 §9, 2018; Ord. 2496 §5, 2016; Ord. 2352 §2, 2011; Ord. 2333 §8, 2011; Ord. 2315 §1(part), 2010) Page 5-7 123 TUKWILA MUNICIPAL CODE 5.04.112 Appeal of Notice of Denial, Suspension or Revocation A. The applicant or license holder may appeal the decision of the Finance Director to suspend, deny or revoke a business license by filing a written notice of appeal to the City Clerk within 10 calendar days following receipt of the Notice of Denial, Suspension or Revocation. The notice of appeal must state the grounds for appeal, including a detailed explanation of why the decision to suspend, deny or revoke was incorrect. The notice of appeal must be accompanied by an Appeal Fee in accordance with the fee schedule adopted by resolution of the City Council. A timely notice of appeal shall stay the effect of the notice of non -issuance until the City's Hearing Examiner or other hearing body issues a written decision on the appeal. B. Upon timely filing of a notice of appeal, the Finance Director shall schedule a hearing on the appeal before the City's Hearing Examiner. The hearing shall be conducted no later than 30 days from the date of the notice of appeal, unless an extension is agreed to by the appellant or otherwise ordered by the Hearing Examiner for good cause shown. Notice of the hearing will be mailed to the applicant or licensee. C. The hearing shall be de novo. The decision of the City's Hearing Examiner or other hearing body shall be based upon a preponderance of the evidence. The burden of proof shall be on the appellant. The Hearing Examiner or other hearing body may affirm, reverse or modify the Finance Director's decision. D. Within 20 business days, excluding holidays recognized by the City of Tukwila, from the date of the hearing on an appeal under this section, the Hearing Examiner shall issue a written decision which shall set forth the reasons therefor. (Ord. 2496 §6, 2016; Ord. 2381 §6, 2012; Ord. 2333 §9, 2011; Ord. 2315 §1 (part), 2010) 5.04.115 Penalties Any violation of this chapter, or failure to comply with any of the requirements of this chapter, shall be subject to enforcement and penalties as prescribed in TMC Chapter 8.45 and the issuance of a Notice of Violation in accordance with TMC Section 8.45.070. Page 51-8 (Ord. 2549 §2, 2017, Ord. 2315 §1(part), 2010) 5.04.116 Effect of Denial or Revocation No person or business may reapply for a business license merely by renaming the business. The denial or revocation of a license applies to any business entity, regardless of its name, that is operating under the same ownership and/or management and engages in substantially the same type of business enterprise as that of a business that has been previously denied a license or has had its license revoked under this chapter within a year of such application for a license. (Ord. 2315 §1(part), 2010) 5.04.120 Regulation adoption and publication — Failure to comply The Finance Director shall have the power and it shall be their duty from time to time to adopt, publish and enforce rules and regulations not inconsistent with this chapter or with the law, for the purpose of carrying out the provisions hereof, and it is unlawful for any person to violate or fail to comply with any such rule or regulation. (Ord. 2315 §1 (part), 2010) 5.04.130 Disclaimer of City Liability The City of Tukwila expressly finds and requires that responsibility for compliance with the provisions of this chapter rests with license applicants and their agents and that no action, inaction, or omission of the City or any of its agents or employees shall serve to assume or shift responsibility for compliance with the provisions of this chapter to any other party, including the City. Furthermore, issuance of a license pursuant to this chapter does not constitute the creation of a duty by the City to indemnify the licensee for any wrongful acts against the public, or to guarantee the quality of goods, services or expertise of a licensee. The issuance of a license does not shift responsibility from the licensee to the City for proper training, conductor equipment of the licensee or their agents, employees or representatives, even if specific regulations require standards of training, conduct or inspection. (Ord. 2588 § 10, 2018) Produced by the City of Tukwila, City Clerk's Office 124 EXHIBIT C INSURANCE REQUIREMENT Indemnification/ Hold Harmless The Contractor shall defend, indemnify and hold the City, its officers, officials, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits including attorney fees, arising out of or resulting from the acts, errors or omissions of the Contractor in performance of this Agreement, except for injuries and damages caused by the sole negligence of the City. Insurance The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property that may arise from or in connection with the performance of the work hereunder by the Contractor, its agents, representatives, or employees. A. Minimum Scope of Insurance Contractor shall obtain insurance of the types described below: Automobile Liability insurance covering all owned, non -owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent liability coverage. If necessary, the policy shall be endorsed to provide contractual liability cove rage. 2. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors and personal injury and advertising injury. The City shall be named as an additional insured under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City. 3. Excess Liability insurance covering both the Commercial General Liability and Automobile (Emergency and Basic Life Support Ambulance Services Agreement) policies. With limits not less than $4,000,000 in excess of the limits cited above. 4. Workers' Compensation coverage as required by the Industrial Insurance laws of the State of Washington. Professional liability insurance appropriate to the Contractor's profession. B. Minimum Amounts of Insurance Contractor shall maintain the following insurance limits: Automobile Liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident. 2. Commercial General Liability insurance shall be written with limits no less than EXHIBIT C-1 125 1,000,000 each occurrence, $2,000,000 general aggregate. Excess Liability insurance shall be written with limits no less than $4,000,000 per occurrence in excess of both the CGL and Auto Liability policies cited above. 4. Professional Liability insurance shall be written with limits no less than $1,000,000 per claim and $1,000,000 policy aggregate limit. C. Other Insurance Provisions The insurance policies are to contain, or be endorsed to contain, the following provisions for Automobile Liability, Professional Liability and Commercial General Liability insurance: The Contractor's insurance coverage shall be primary insurance with respect to the City. Any insurance, self-insurance, or insurance pool coverage maintained by the City shall be in excess of the Contractor's insurance and shall not contribute with it. The Contractor's insurance shall be endorsed to state that coverage shall not be cancelled by either party, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to the City. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best rating of not less than A:VII. E. Verification of Coverage The Contractor shall furnish the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. Evidence of Insurance - The following documents must be provided as evidence of insurance coverage: A copy of the policy's declarations pages, showing the Insuring Company, policy effective dates, limits of liability and the Schedule of Forms and Endorsements. The City reserves the right to require a copy or certified copy of said policy or policies including all forms and endorsements attached. A copy of the endorsement naming the City as an Additional Insured (excluding Professional Liability Insurance), showing the policy number, and signed by an authorized representative of the insurance company on Form CG2026 (ISO) or equivalent. EXHIBIT C-2 126 3. A copy of the "Endorsements Form List" to the policy or policies showing endorsements issued on the policy, and including any company -specific or manuscript endorsements. 4. A copy of an endorsement stating that the coverages provided by this policy to the City or any other named insured shall not be terminated, reduced or otherwise materially changed without providing at Ieast forty-five (45) days prior written notice to the City. A copy of a "Separation of Insureds" or "Severability of Interests" clause, indicating essentially that, except with respect to the limits of insurance, and any rights or duties specifically assigned to the first named insured, this insurance applies as if each named insured were the only named insured, and separately to each insured against whom a claim is made or a suit is brought (Commercial General Liability & Business Automobile Liability Insurance). EXHIBIT C-3 127 128 EXHIBIT D FDCARES EXECUTIVE SUMMARY Over the last 30 years, the fire service in the U.S. has expanded the number of stations and personnel in order to meet a 400 percent increase in the number of requests for Emergency Medical Services (EMS). The expansion of fire -based emergency medical response has inextricably linked the fire service and the U.S. healthcare system. The U.S. healthcare system is currently under enormous public and congressional pressure to reform due to the lack of access to services, the poor quality of care, and the high costs of care. Critics of the U.S. healthcare system cite fire -based EMS as an example of a public service that contributes to America's over -utilization of EMS and increasing national healthcare expenditures amounting to 18 percent of the Gross Domestic Product (GDP). Is this criticism of fire -based EMS valid? Fire departments respond to a wide array of requests for medical service. The fire service is well recognized for their capacity to respond rapidly to emergencies with quality care as demonstrated by recent increases in cardiac arrest survival rates nationwide. However, a large proportion (estimated up to 40%) of medical service requests are for non -emergent medical problems and a majority of these requests are attributed to a subset of frequent users of EMS. Despite these facts, fire -based EMS personnel, response times, and medical interventions are standardized for medical emergencies. Consequently, 911 callers with non -emergent issues typically receive emergency - oriented care, which often results in the unnecessary transport of patients to an Emergency Department (ED) for more definitive care. The National Quality Forum (NQF) estimates that this response model contributes to an estimated $38 billion in wasted healthcare expenditures each year. Moreover, because fire -based EMS and EDs are designed for the episodic treatment of emergent medical problems, clients with non -emergent medical problems, who often have multiple chronic diseases and psychosocial issues, experience poor quality outcomes, poor follow-up care, and poor continuity of care. The result is subsequent and repeated use of the EMS system. Why now should the fire service change their medical response model? The Patient Protection and Affordable Care Act (PPACA) is changing the landscape of the U.S. healthcare system. Provisions in the PPACA are making insurance payers and hospitals accountable for the quality and costs of EMS care, driving the adoption of healthcare delivery organizations and innovative solutions that improve the value of EMS. The PPACA directly challenges the inefficiencies of the fire service's "one- size -fits -all" response model. How can fire departments improve the value of fire -based EMS? Fire departments should adopt a new tier within their current response model that responds directly to non -emergent medical and psychosocial problems and proactively contacts frequent callers of 911, frequent users of the ED, and patients at high -risk of hospital readmission. This Non - Emergency Medical Service (HEMS) division should be fully integrated into the operations of fire departments. The City of Tukwila in Washington State may develop a NEMS division, called Fire Department EXHIBIT D-1 129 Community Assistance, Referral, and Education Services (FDCARES). FDCARES may be staffed up to 12 or 24 hours per day, 365 days per year. FCDARES may be staffed with an Emergency Medical Technician (EMT), Social Worker, Mental Health professional or a Registered Nurse (RN), or combination of the above, who are available to respond directly to 911 callers with non - emergent medical and psychosocial requests for service. Using a non -emergency response vehicle, FDCARES staff could respond to non -emergent callers within 20 minutes. FDCARES staff may deliver a wide range of services aimed at addressing clients' immediate and long-term medical and psychosocial needs. These services include medical stabilization, care navigation and coordination, transport to alternative care settings (e.g., urgent care, primary care, etc.), medication reconciliation, patient education, referrals to social services, and injury and illness prevention. When not responding to non -emergent 911 callers, FDCARES staff may proactively contact and deliver services to frequent 911 callers, frequent users of the ED, and individuals at high risk of hospital readmission. Adopting and integrating FDCARES into a fire department's existing response model improves emergency unit reliability and response times, reduces over -utilization of EMS and the associated costs, increases access to quality care, and improves outcomes for residents by ensuring they receive the right service, at the right time, in the right place, and in the right way. EXHIBIT D-2 130