HomeMy WebLinkAbout1992-09-22 - AGENDA REPORTS - SC AMBULANCE CONCERN (2)20607 West.Soleded Canyon Road
SANTA CLARITA
AMBULANCE
[a051251-3111
• Canyon Country, California 91351
On July 23, 1990 we first expressed concern with the dispatch
procedure that relayed vital response information for the Santa
Clarita Valley to Wilson Ambulance, in Palmdale, prior to being
received at our dispatch office in Canyon Country. Not having
received any reply we then restated our original message of
concern and copied the Department of Health Services. All
subsequent expressions of continued concern and difficulty were -
first addressed to the contractor and copied to the Department of
Health Services.
To date we have expressed concerns with over 475 incidents of
dispatch procedure flaws that have encumbered our ability to
respond to the medical emergency in an efficient manner
consistent with contract requirements. Although representatives
from Wilson Ambulance service and the Department of Health
Services have publicly stated that they have reviewed our
concerns and have determined that there is no problem, I confirm
to you today, as I have previously stated, that no individual
from Wilson Ambulance or the Department of Health Services has
ever visited our office to review our records or listen to our
taped recordings with regard to our expressed concerns about the
dispatch procedure.
As we continued to press our concerns, wehave obtained 'call
history' computer printouts from the 9-1-1 dispatch center.
These call histories confirm, beyond all reasonable doubt,`that
delays in receiving the accurate and complete 9-1-1 response
information relayed through the Palmdale offices of Wilson
Ambulance continue to occur at an alarming rate. We believe that
these records, have been available to the county's DHS as well as
the contractor for zone J00), yet neither have requested nor
reviewed such when considering our dispatch concerns.
These printouts clearly demnonstrate that when ground ambulances
are dispatched directly via computer, our community would enjoy
enhanced levels of service and more efficient response times.
Response information on these call history printouts contain all
that is essential for the efficient delivery of ambulance
services such as; complete addresses, correct spelling, cross
street references and fire department area of "first in"
.jurisdiction. This information is precisely what is being lost
during the dispatch relay procedure now in use.
proudly serving
Canyon Country • Castaic • Newhall • Santa Clarita • Saugus • Valencia
member American Ambulance Association
Considerable attention has been focused on the recently completed
administrative audit of contractor and subcontractor
performance/response times. This audit merely confirms that,
contract participants, both contractor and sub contractor, have
performed to a minimum standard as required by the 'Master
Contract. We do not believe that these 9-1-1 call history
records were ever reviewed or considered as evidence during this
audit process.
As has been publicly announced by Wilson Ambulance, they have
chosen to deal with this public safety issue by canceling our
service agreement. As such, we have taken preliminary steps to
comply with our contract for 9-1-1 ambulance service to the City
of Santa'Clarita.i-..;4Unless'.'and'''unti I' We directly dispatched,
via computery'ath'i's same] dilemma will prevail for all 9-1-1
responses ;within'the=•City'�.lof Santa Clarita. On behalf of the
residents of'lthe'Santa Clarita Valley and more specifically, the
City of Santa Clarita we have'.but one request;
1) That the City of Santa Clarita join forces with the
Castaic'Town Council and the residents of our valley to
insist' that the4contract'for Zone J(10) not be renewed
pending a thorough public investigation of this most
import ant'�,public'safety'issue.
Mayor Kla.iic and fellow city council members, I am privilaged to
present :.to:you'photocopies`^of the 2,193 letters addressed and
pasted to our 5th'District'-Supervisor, Michael D. Antonovich and
individually -signed 'by members of our community who are very
concerned'i'abbut'.the level of'and manner in which their emergency
ground ambulance service will'Jbe provided.
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The Honorable Michael D. Antonovich
Supervisor, 5th District
Hall. of Administration, Room 869
500. W. Temple
Los Angeles, California
90012
Dear Supervisor Antonovich:
Please consider this letter to be my firm support for
NEWHALL/SANTA CLARITA AMBULANCE and that I fully reject Wilson
Ambulance Service as the primary provider for the Santa Clarita
Valley.
Wilson Ambulance has not demonstrated any reasonable approach to
resolving the many concerns expressed by NEWHALL/SANTA CLARITA
AMBULANCE that directly affect their ability to respond to a
medical emergency in the Santa Clarita Valley. Wilsons
cancellation notice to Newhall/Santa Clarita Ambulance is purely
retaliatory and should be -'reviewed by your office. It is my
request that you implement the necessary changes to the contract
for Zone J(10) that will insure that;
1) Newhall/Santa Clarita Ambulance be directly dispatched
via computer.
2) That our public monies for the indigent—ill and dry runs.
be properly distributed to the provider delivering the
service.
3) Immediate consideration and planningbetaken to separate
the Santa Clarita-Valley from Zone J(10).
Finally, I requestthat the contract for Zone J(10) NOT BE
RENEWED -pending a thorough investigation by your office for
possible violation of public policy and ethical conduct by the
contractor that has precipitated this public safety crisis.
I look forward to your responsive attention to this matter.
Sincerely,
C)
cc: Truman F. Chaffin, EMS
Robert C. Gatesi DHS
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Call' HiqEP?y rua'.a nz.iMvvH.D.PUBLInaaE- a.T 2066505 r.G
Entered 05/01/92 11108i0,6 'BY 'lCT17 270791
Closed 05/01/92 11:13:51
itial Types TCP Initial Alarm Level: 1 Final Alarm Leval: 1 .
`pinal Type: TCP (VEHICLE/MESTRIAN) Priority: 1
Battalion: B06 Dispatch -zone: 111063
TB.Map Page: 446OH4 CoNap:
First in Station: LAC111 Law Jur.s_ SCV.S
Location: SAN FRANCISQUITO CANYM RD/SECO CANYON RD ,SGUS
Lat/Lon: 34.45981/118.53288
DBA: Phone: Source:
/1108 (270791) 'TEXT: BIKE - WEST OF SECO CANYON- SCV S ENRT
/1108 AMBREQ
/1108 (414418) AMBDSP (01) WILSON CD
/1109 ANBDSP, (01) WILSON CD
/1113 (270785) $CROSS #F92066505
/1113 DUP #F92066505
li /1113 CANCEL
/1113 CLOSE
DISPATCH TICKET
Santa Clarita Ambulance
DATE
DISPATCHER: Q
Re ested by:
Time
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.
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Name 10 1 Phone
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Call Hlsr-ory IOL':65jFrvzvt)iylS$LIC RELRTIONS
INC Nu�beri $LAC92061026
Received 05/03/92 14t40t23 BY.CT17 414419
Entered 05/03/92 14;4108 BY CT17 414419
Dispatched 05/03/92 14:43:18 BY TR08 401180
"nroute 05/03/92 14;43:43
:scene 05/03/92 14t53t58
dosed 05/03/92 i5t24:38
Initial Types CP Initial Alarm Level: 1 final Alarm Level: 1
Final Type: CP (CH$ST PAIN) Priority: 1
Battalion: B06 Dispatch Zone: 07306E
TB Map Page: 455187 CoMapt
First in Station: LAC073 Law Jur.: SCV.S
Location: 4� CLEARDALE ST ,SCLR
btwn ORO PINO MTWY
& QUIGLEY CANYON RD
Lat/Lona 34.38764/118.51442
DBA: Phone; 8052596K Source: 9
/1441 (414419) TEXT:
/1441 $ALIDATA
/1441
/1443
/1443
/1443
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/1444,.
/1453
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(296769) CLOSE
52/F - NO FURTHER DETAILS
LOC: 21610 CLEA ALE
PHONE: 805259 CITYt NWHL
SERVICE:RESD
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Entered 05/03/92 14:42:54 BY CT19 296766
Dispatched 05/03/92 14:43:48 BY TR08 401180
rnroute 05/03/92 14:44:01
.osed 05/03/92 15:,01:10
V'
Initial Type: UNC Initial Alarm Level: 1 Final Alarm Level: 1
Final Type: UNC (UNCONSCIOUS) Priority: 1
Battalion: B06 Dispatch Zone: 07306E
TB Map Page: 4550G5 CoMap:
First in Station: LAC073 Law Jur.:. SCV.S
Location: SIM N MCBEAN PKWY ,SCLR.
btwn AVENIDA NAVARRE
& ARROYO PARK DR
Lat/Lon; 34.40272/116.55061
DBA: LONGS DRUG STORES Phone: 8052541MM Source: 9
/1442
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/1443
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(296766) TEXT:
$ALIDATA
AMBREQ
(414421) AMBDSP
(401180) DISP
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*ENROUTE
(401631) DISP
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LOC: N MC BEAN PKWY
PHONE: 805254_ CITY: VLNCA
SERVICE:BUSN DBA: LONGS DRUG STORES
(01) WILSON CR
$LAC92061027
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32879
DATE
DISPATCHER:
. Requested by.
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Time
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Call �} tiEP 22 '?- Ut5:e9j'I"I bHU F'Ub"1 KLLMIIVII�
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INC Number: $LAC92070923
-En'te`red 05/23/92 18:49:41. BY TR05
Dispatched 05/23/92 18:50:27 ;BY IROS
Enroute 05/23/92 18:51:37
I%nscene 05/23/92 18:54:12
dosed 05/23/92 20=00:54
Initial Type: CP Initial Alarm Level:
Final Type: CP (CHEST PAIN) Priority;
Battalion: B06 Dispatch.Zone: 10706C
TB Map Page: 4551x4 CoMag:
First in Station:. LAC107 Law Jur.: SCV.S
Location: AMM SIERRA HWY ,SCLR
btwn SP RAILROAD
& JAKES WY
Lat/Lon: 34.41001/118.45822-
DBA:
/1849
/1849
/1850
/1850
/1850
/1850
/1851
/1851
/1854
/1856
/1901
/1917
/2000
"700:
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(401204)
(239574)
(414418)
(******)
(296767)
TEXT:
AMBREQ
DISP
ASNINC
DISP
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*ENROUTE
*ENROUTE
*ONSCNE
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*ENRHOS
*AVLMDT
CLOSE
401204
239574,
1 Final Alarm Level:
1
Phone: WILSON
E107
E107
$107
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5107
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$107
5107
SPACE #111
Source:
$LAC92070923
(01) WILSON CD
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W
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DATE
DISPATCHER:
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Time
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N9 32163
AGENDA REPORT �;•
City Manager Approval
r
Item to be presented bp:
CONSENT CALENDAR '� :e: Pukglcamn
DATE: June 25, 1991
SUBJECT: Renewal of Emergency Ambulance Service Contract
DEPARTMENT: City Manager
Background
This item is on the Agenda for renewal of the Emergency Ambulance Service
Agreement between the City of Santa Clarita and Santa Clarita Ambulance.
Per the provision of the Contract, this agreement shall automatically renew for
successive one-year terms up to a total of five -years upon the same conditions
as the original contract.
The original contract did not subrogate'any of the provisions of the contract
between Wilson and Santa Clarita Ambulance nor Wilson Ambulance's contract with
the County of Los Angeles. All rates remain the same as presently in effect in
the County area.
Throughout the year of this contract,. the contractor has complied with all
provisions. Response times have remained within appropriate ranges and the
City's identification is now clearly represented on all units.
That the City, Council renew contract with Santa Clarita Ambulance for Emergency
Ambulance Service.
TMMsjjm 380
Agenda Item:
TBM/WP/AGR01382
EMERGENCY AMBULANCE SERVICE AGREEMENT
THIS AGREEMENT is made and entered into thia)�; day of
r.
1990, by and between the CITY of SANTA
CLA ITA (hereafter referred to as "CITY"), and NEWHALL
AMBULANCE, INC. (hereafter referred to as "CONTRACTOR").
WITNESSETH
WHEREAS, the County of Los Angeles ("COUNTY") possesses
the statutory duty to provide ambulance services to indigent
persons; and
WHEREAS,.the County has contracted with Wilson Ambulance
Service, Inc. ("WILSON") to provide such services for a
"County bid area J-10," including the area incorporated as
the City; and
WHEREAS, Wilson has subcontracted with Newhall Ambulance
Service, Inca ("CONTRACTOR"), whereby contractor shall
provide emergency ambulance services within the area of
"County bid area J-10" which is incorporated as the City;
and
WHEREAS, CITY desires to secure efficient emergency
ambulance service within its geographical limits for persons
injured in traffic and other violent accidents and for
incapacitated persons unable to transport themselves to a
hospital; and
TEM/WP/AGR01382
WHEREAS, CITY does not own any ambulances to accomplish
said objective; and
WHEREAS, CONTRACTOR does possess and operate such
equipment and is willing to provide same to meet such
objective;
NOW, THEREFORE, in consideration of the mutual covenants
contained herein, the parties hereto agree as follows:
1. RESPONSIBILITY FOR INDIGENT CARE:
It is understood by the parties that the COUNTY
possesses the duty to provide medical care and emergency
transportation for all indigents residing in the County,
pursuant to City of Lomita v. County of Los Angeles (1983)
148 Cal.App.3d 671 and City of Lomita v. County of Los
Angeles (1986) 186 Cal.App.3d 479. While the CITY has
jurisdiction to contract for emergency medical services,
nothing in this Agreement abrogates or limits the
responsibility of the COUNTY to provide indigent medical
care and emergency transportation following the termination
of this Agreement.
2. TERM•
A. The effective date of this Agreement shall be
July 1, 1990, and shall continue in full force and effect
for one (1) year,; provided, however, this Agreement shall
automatically renew for successive one year terms, up to a
-2-
TBM/WP/AGR01382
total of five years upon the same terms and conditions set
forth herein.
B. Notwithstanding any other provision of this
Agreement, CITY or CONTRACTOR may terminate this Agreement
at any time upon thirty (30) days written notice at the
following addresses:
(1) For CITY:
George.Caravalho
City Manager
City of Santa Clarita
23920 Valencia Boulevard, Suite 300
Santa Clarita, California 91355
(2) For CONTRACTOR:
Tim M. Jorgensen
Newhall Ambulance, Inc.
20607 W. soledad Canyon Road
Canyon County, California 91351
Such notice shall be delivered by personal service or
deposited in the United States Mail, postage fully paid.
-3-
TBM/WP/AGR01382
C. Notwithstanding any other provision of this
Agreement, CITY may terminate this Agreement immediately
upon the determination by CITY that:
(1) CONTRACTOR, its agents, sub -contractors, or
employees are engaging in, or there is reasonable
justification to believe that CONTRACTOR, its agents,
sub -contractors, or employees, are engaging in a course of
conduct which poses a danger to the lives or health of
patients receiving or requesting emergency medical care and .
transportation service; or
(2) Insolvency of CONTRACTOR.
D. Notwithstanding any other provision of this
Agreement, the failure of CONTRACTOR or its officers, agents
or employees to comply with the terms of the Agreement shall
constitute a material breach hereof and the Agreement may be
terminated immediately. Failure to exercise this right of
termination shall not constitute waiver of such right, which
may be exercised at any subsequent time.
3. ADMINISTRATION:
A. CONTRACTOR shall designate a Contract Manager
assigned to function as liaison with CITY regarding
CONTRACTOR'S performance under this Agreement. The name of
the Contract Manager -shall be provided to CITY prior to the
effective date of this Agreement.
-4-
TBM/WP/AGR01382
4. SERVICE LOCATIONS/AMBULANCES AND CREWS:
A. CONTRACTOR shall have available for services
hereunder, on a 24 hour, round-the-clock basis, fully
equipped and operable emergency ambulance vehicles, properly
staffed with licensed personnel at the locations described
as: 20607 Soledad Canyon Rd., Canyon Country and 26011
Bouquet Canyon Rd., Santa Clarita, California.
B. CONTRACTOR shall respond with its nearest
ambulance from either of the aforesaid locations to all
calls received from a duly authorized representative of the
County of Los Angeles Sheriff's Department, County of Los
Angeles Forester and Fire Warden, the California Highway
Patrol, the Police.Department, the Department of Health
Services or any other public safety agency of CITY or
performing services for CITY; provided, however, that in the
event CONTRACTOR does not have an ambulance vehicle
immediately available from either of the aforesaid
locations, or response will be delayed beyond the time set
forth herein for response, CONTRACTOR will respond an
ambulance from the ambulance service serving the adjacent
areas of
the Santa
Clarita
Valley. CONTRACTOR
agrees to
maintain
accurate
records
of response times.
These records,
upon request, shall be made available for review by CITY.
CONTRACTOR agrees that it will keep CITY apprised, of its
branch offices and name of auxiliary ambulance companies
-5-
TBM/WP%AGR01382
under the control.of CONTRACTOR'S parent company, together
with their addresses, telephone numbers, and number of
ambulances normally available from each address and such
other pertinent information as may be required.
5. RATES:
A. CONTRACTOR shall charge no more than the rates
allowable under the COUNTY contract with WILSON and WILSON'S
contract with CONTRACTOR, up to the following rates for one
patient:
(1) Patient transport with equipment and personnel
at an Advanced Life Support (ALS) level,
$271.75;
(2) Response to call with equipment and personnel
at a Basic Life Support (BLS) level, $163.00;
(3) Code 3 used during response of transport per
incident, $60.50;
(4) Code 2 used during response or transport per
incident, $24.00;
(5) Mileage Rate. Each mile or fraction thereof,
$9.25;
(6) Waiting Time. For .each fifteen (15) minutes
or fraction thereof, after the first fifteen
minutes of waiting time at the request of the
person hiring the ambulance, $24.50;
TBM/WP/AGR01382
(7) Standby Time. The base rate for the
prescribed level of service and, in addition,
for each fifteen (15) minutes, or fraction
thereof, after the first fifteen (15) minutes
of standby time, $24.00;
B. CONTRACTOR shall charge no more than the
following rates for multiple patient loads:
(1) For multiple patient loads from the same point
of origin to the same destination, CONTRACTOR
shall charge one-half (1/2) of the base rate
and one-half (1/2) of the mileage rate for
each additional patient. The total charges
shall then be divided equally among the
patients transported.
C. Special Charges. CONTRACTOR shall charge no
more than the following rates for special ancillary
services:
(1) Requests for service after 7:00 PM and before
7:00 AM of the next day shall be subject to an
additional charge of $39.00;
(2) Persons requiring oxygen shall be subject to
an additional maximum charge per tank, or
fraction thereof, of $30.25;
(3) Backboard, Splints, KED: $23.75
(4) Traction Splints: $42.25
-7-
TBM/WP/AGR01382
(5) Transport -Medical Personnel
first half (1/2) hour: $15.25
(6) Completion of Insurance Form: $ 6.25
(7) Neonatal Transport: $90.75
(8) Disposable Linen: $ -0-
(9) Ice Packs: $13.25
(10) Bandages/Dressings: $ -0-
(11) Oxygen Cannula/Mask: $ -0-
(12) Cervical Collar: $20.75
(13) Obstetrical Kit: $23.00
(14) Burn Kit: $23.00
(15) Nurse Critical Care Transport: $108.00
per hour
(16) Helicopter Support Response: An
operator may charge all service and
supply charges that would apply if
the call was a land based response.
D. The rates charged as set forth herein shall be
adjusted effective July 1, 1991, and on July 1 of each year
thereafter, according to the Consumer Price Index. Such
adjustment shall be made by multiplying the base amounts by
the percentage change in the transportation portion of the
Consumer Price Index for All Urban Consumers, Western
Region, as compiled and reported by the Bureau of Labor
Statistics for the twelve (12) month period ending with the
last day of the prior month. The result shall be rounded to
TBM/WP/AGR01382
the nearest $0.25. CONTRACTOR shall initiate implementation
of these rate changes by proposing the appropriate
amendments to this contract by June 1 of each year.
6. AMBULANCE RESPONSE TIMES:
A. CONTRACTOR shall meet in ninety percent -(90%)
or more of all ambulance runs during any calendar month the
following response time criteria:
URBAN: 10 Minute Response. A census
tract with a population density
of more than 100 persons per
square mile.
RURAL: 25 Minute Response. All census
tracts with a population density
of 10 to 99 persons per square
mile.
WILDERNESS: 60 Minute Response. Census
tracts and enumeration districts
without census tracts which have
a population density of less than
10 persons per square mile.
B. CONTRACTOR shall perform the following
ambulance services at no cost to CITY:
(1) Emergency ambulance services for indigent
patients.
cm
TBM/WP/AGR01382
(2) Dry Run services which are defined as those
services rendered by CONTRACTOR, acting upon
an official 9-1-1 request, and where, while en
route to the scene of the emergency or upon
arrival at the scene CONTRACTOR is advised by
representatives of the agency which initially
requested CONTRACTOR'S service that such
service is not required.
(3) 9-1-1 custody cases.
C. The parties acknowledge that there shall be no
billing to CITY by CONTRACTOR for "Uncollectibles", "dry
runs", "custody cases" or "indigent transports."
7. CONTRACTOR'S GENERAL RESPONSIBILITIES:
A. Employee Performance: CONTRACTOR shall not
permit any employee, including a dispatcher, to perform
services hereunder while under the influence of any
alcoholic beverage, medication, narcotic, or other substance
which might impair the employee's physical or mental
performance. Personnel of each ambulance -when answering a
call shall be neat and clean in appearance and shall handle
the injured in a manner consistent with proper emergency
care procedures.
B. Crew Quarters: CONTRACTOR agrees that crew
quarters in all of its facilities from which emergency
-10-
TBM/WP/AGR01382
transportation services are provided under this Agreement
shall be maintained in a clean and sanitary condition.
C. Equipment: CONTRACTOR shall maintain all of
its equipment in a clean and sanitary condition at all
times. This equipment shall be subject to inspection and
approval by the CITY. All ambulances shall be equipped with
adequate equipment and supplies, including, but not
necessarily limited to, equipment designated by State
regulations and by Los Angeles County ordinances or required
by theCityManager or designee.
D. California Highway Patrol Permit: For all
ambulances used pursuant to this.Agreement, a permit shall
be obtained and kept in force by CONTRACTOR from the
California Highway Patrol for the operation of its
ambulances.
E. Expenses: All expenses incurred in operating
the ambulance service provided herein shall be borne by
CONTRACTOR.
F. Compliance: CONTRACTOR shall comply with all
applicable rules, regulations, ordinances, statutes, and
laws pertaining to the operation of an ambulance service, as
may now be in effect or as any of them may be amended from
time to time.
-11-
TBM/WP/AGRO1382
G. CITY IDENTIFICATION: CONTRACTOR shall
identify its services with. CITY by performing the following
at no charge to CITY:
(1) Change the physical identity, by lettering and
otherwise, of all ambulances to "SANTA CLARITA AMBULANCE
SERVICE" or other title as may be approved by the City
Manager; and .
(2) Display the CITY seal on all vehicles of
CONTRACTOR; and
(3) Provide assistance to CITY'S Emergency
Preparedness Committee, upon the direction of the City
Manager; and
(4) Provide available resources to all CITY
departments, at the direction of the City Manager, for in-
service training of City Staff; and
(5) Develop a Disaster Response Unit ("DRU") for
CITY to assist with multiple victim collisions related to
natural and man-made disasters, such as earthquakes,
structure collapses, multiple vehicle collisions, airplane
crashes, commercial transportation collisions, and similar
incidents; and
(6) Other acts, at the City Manager's direction,
to promote the progress and image of CITY, including but not
limited to, CITY disaster drills, educational seminars, and
public CPR training courses.
-12-
TBM/WP/AGR01382
8. CITY'S GENERAL RESPONSIBILITIES:
A. Meeting with CONTRACTOR: A representative of
CITY shall meet with representatives of CONTRACTOR at such
times as appropriate during the term of .this Agreement to
evaluate and confer on standards and to form criteria to
measure CONTRACTOR'S performance. Such meetings shall be
set at mutually agreeable dates.
B. Waiting Time and Dry Runs: The CITY and
CONTRACTOR shall take all reasonable steps to reduce Sheriff
Swat Team waiting times, helicopter, and other "dry runs"
by, including, but not limited to, reviewing dispatches and
meeting with the public safety agencies.
9. TRANSPORTATION TO MEDICAL FACILITY:
A. In the absence of decisive factors to the
contrary, CONTRACTOR shall transport an emergency patient
hereunder to the most accessible and nearest emergency
medical facility equipped, staffed, and prepared to receive
emergency cases and administer emergency medical care
appropriate to the needs of the patient. If base hospital
contact has been made for an Advanced Life Support ("ALS")
patient, the decision of the base hospital physician
relative to patient destination shall control the
destination of the ambulance and patient.
-13-
TBM/WP/AGR01382
B. Nothing stated herein shall preclude a
competent patient or his/her legal representative from
specifying a different hospital or other destination.
C. CONTRACTOR shall provide the receiving
facility with documentation, issued by the public safety
agency requesting the transport, indicating that the patient
is a patient for purposes of this Agreement.
10. INDEPENDENT CONTRACTOR STATUS:
A. CONTRACTOR is an independent contractor and
this Agreement is not intended, and shall not be construed,
to create the relationship of agent, servant, employee,
partnership, joint venture, or.association, as between CITY
and CONTRACTOR.
B. CONTRACTOR understands and agrees that all
persons furnishing services to CITY pursuant to this
Agreement are, for all purposes, including Worker's
Compensation liability, employees solely of CONTRACTOR and
not of CITY.
C. CONTRACTOR shall bear the sole responsibility
and liability for furnishing Worker's Compensation benefits
to any employee for injuries arising from or connected with
services performed on behalf of CONTRACTOR pursuant to this
Agreement.
-14-
TBM/WP/AGR01382
11. INDEMNIFICATION AND INSURANCE:
A. Indemnification: CONTRACTOR hereby
indemnifies, promises to defend, and saves harmless CITY,
its agents, officers, and employees from and against any and
all liability, suits, expenses, including defense costs and
legal fees, and claims for damages of any nature whatsoever,
including, but not limited to, bodily injury, death,
personal injury, property damage or any damage whatsoever,
arising from or connected directly or indirectly with the
performance of this Agreement or CONTRACTOR'S operations or
its services hereunder, including any Worker's Compensation
suits, liability, or expenses arising from or connected with
services performed on behalf of CONTRACTOR by any person
pursuant to this Agreement. Such indemnification includes
any challenge by any party to the ability of CITY and
CONTRACTOR to execute and enforce this Agreement.
B. Insurance: Without limiting CONTRACTOR'S
indemnification of CITY, CONTRACTOR shall provide and
maintain at its own expense during the term of this
Agreement the following form(s) of insurance covering its
operation hereunder. Evidence of such programs satisfactory
to CITY shall be delivered to CITY on or before the
effectivedateof this Agreement. Such evidence of
insurance shall specifically identify this Agreement and
shall contain the express conditions that CITY is to be
-15-
TBM/WP/AGR01382
given written notice at least thirty (30) days in advance of
any modification or termination of any program of insurance:
(1) General Liability: A program including, but
not limited to, comprehensive general
liability, endorsed for contractual liability
products/completed operations independent
CONTRACTOR, and personal injury coverage with
combined single limit of not less than One
Million Dollars ($1,000,000.00) per
occurrence; and emergency medical technicians
(EMT) malpractice insurance coverage with a
limit of not less than One Million Dollars
($1,000,000.00) per claim. Such insurance
shall be a primary to and not contributing
with any other insurance maintained by
CONTRACTOR and shall name the CITY as.an
additional insured. City shall be given
thirty (30) days written notice of any
termination or modification of such insurance
policy.
(2) Worker's Compensation: A program of worker's
compensation insurance in an amount and form
to meet all applicable requirements of the.
Labor Code of the State of California, and
which specifically covers all persons
-16-
TBM/WP/AGR01382
providing services on behalf of CONTRACTOR and
all risks to such persons under this
Agreement. City shall be given thirty (30)
days written notice of any termination or
modification of such insurance policy.
(3) Comprehensive Auto Liability: A program
endorsed for all owned and non -owned vehicles
with a combined single limit of at least One
Million Dollars ($1,000,000.00) per
occurrence. City shall be given thirty (30)
days written notice of any termination or
modification of such insurance policy.
C. Failure to Procure Insurance: Failure on the
part of CONTRACTOR to procure or maintain required insurance
shall constitute a material breach of this Agreement upon
which CITY may immediately terminate this Agreement with or
without notice.
12. CONFLICT OF INTEREST:
A. No CITY officer or employee whose position in
CITY enables said CITY employee to.influence the award or
administration of this Agreement and no spouse or economic
dependent of such officer or employee shall be employed in
any capacity by CONTRACTOR, or have any direct or indirect
financial interest in this Agreement. No officer or
subcontractor of CONTRACTOR who may financially benefit from
-17-
TBM/WP/AGR01382
7
the provision of services hereunder shall in any way
participate in CITY'S approval, or ongoing evaluation of
such services, or in any way attempt to unlawfully influence
CITY'S approval or ongoing evaluation of such services.
13. RULES AND REGULATIONS:
A. CONTRACTOR shall abide by all rules and
regulations of the California Highway Patrol, the State
Department of Health Services, and all other laws,
ordinances and regulations pertaining to the operation of
ambulance services in CITY.
14. UNLAWFUL SOLICITATION:
A. CONTRACTOR shall inform all of its employees,
and shall have them acknowledge in writing, an understanding
of agreement to comply with the provisions of Article 9 of
Chapter 4 of Division E (commencing with Section 6150) of
the Business and Professions Code of the State of California
(i.e., State Bar Act provisions regarding unlawful
solicitation as a runner or capper for attorneys) and shall
take positive and affirmative steps in its performance
hereunder to ensure that there is no violation of said
provisions by its employees. CONTRACTOR agrees to utilize
the attorney referral service for all those bar associations
within Los Angeles County that have such a service.
TBM/WP/AGR01382
15. NONDISCRIMINATION IN SERVICES:
A. CONTRACTOR shall not discriminate in the
provision of services hereunder because of race, color,
religion, national origin, ancestry, sex, age, or condition
of physical or mental handicaps in accordance with all
applicable requirements of Federal and State laws. For the
purposes of this Paragraph, discrimination in the provision
of services may include, but not limited to, the following;
denying any person any service or benefit which is not
equivalent or is not provided in an equivalent manner or at
an equivalent time, to that provided to others; subjecting
any person to segregation or separate treatment in any
manner related to the receipt of any services; restricting
by person in any way inthe enjoyment of any advantage or
privilege by others receiving any service or benefit; and
treating any person differently from others in determining
admission enrollment quota, eligibility, membership, or .any
other requirement or condition which persons must meet in
order to be provided any services or benefit. CONTRACTOR
shall take positive steps to ensure that intended benefici-
aries of this Agreement are provided services without regard
to race, color, religion, national origin, ancestry, sex,,
age, or condition of physical or mental handicap.
-19-
TBM/WP/AGR01382
16. NONDISCRIMINATION IN EMPLOYMENT:
A. CONTRACTOR certifies and agrees that all
persons employed by it, its affiliates, subsidiaries,'or
holding companies are and will be treated equally by it
without regard to, or because of race, color, religion,
ancestry, national origin, sex, age, or condition of
physical or mental handicap.
B. CONTRACTOR shalltake affirmative action to
ensure that qualified applicants are employed, and that
employees are treated during employment without regard to
race, color, religion, national origin, ancestry, sex, age
and in compliance with all applicable Federal and State
antidiscrimination laws and regulations. Such action shall
include, but is not .limited to, the following; employment,
advancement, demotion, transfer, recruitment or recruitment
advertising, layoff or termination, rates of pay or other
forms of compensation, and pay for training, including
apprenticeship.
C.• CONTRACTOR shall deal with its subcontractors,
bidders or vendors without regard to or because of race,
color, religion, ancestry, national origin, sex, and age.
D. CONTRACTOR shall allow CITY representatives
access to its employment records during regular business
hours to verify compliance with these provisions when so
requested with reasonable notice by CITY.
-20-
TBM/WP/AGRO1382
E. If CITY finds that any of the above provisions
have been violated, the same shall constitute a material
breach of agreement upon which CITY may determine to cancel,
terminate or suspend this Agreement. While CITY reserves
the right to determine independently that the anti -discrim-
ination provisions of this Paragraph have been violated, in
addition, a determination by the California Fair Employment
Practices Commission or the Federal Equal Employment
Opportunity Commission that CONTRACTOR has violated State or
Federal anti -discrimination laws or regulations shall
constitute a finding by CITY that CONTRACTOR has violated
the antidiscrimination provisions of this Paragraph.
17. CONFIDENTIALITY:
A. CONTRACTOR agrees not to release the name of
any patient receiving services hereunder to any -party,
without the prior written consent of the involved patient or
his/her legal representative,' or except as otherwise
authorized by law. CONTRACTOR shall inform all its
officers, employees, and agents providing services hereunder
of said confidentiality provisions. CONTRACTOR agrees to
maintain the confidentiality of its records, including
billings, in accordance with all applicable State and
Federal laws relating to confidentiality. Notwithstanding
the foregoing provision, authorized representatives of CITY,
CITY'S Auditor -Controller, and Sheriff shall have the right
-21-
TBM/WP/AGR01382
to request and receive all nonconfidential records required
in the administration, monitoring, or auditing of this
Agreement.
18. RECORDS.AND AUDITS:
A. CONTRACTOR shall maintain accurate records of
the necessary drivers licenses, EMT certificates, and
business licenses, including liens or certificate numbers
and expiration dates, appropriate to each employee
assignment, and records of wages of each driver and
attendant.
B. CONTRACTOR shall also maintain accurate books,
records, documents, and other information sufficient to
reflect properly its provision of services hereunder and its
cost of providing such services. All such books, records,
including records of patient fees collected, documents, and
information shall be prepared and maintained in accordance
with generally accepted accounting principles and shall be
segregated from books, records, documents, and other infor-
mation relating to patients of CONTRACTOR who. are not
receiving services under this Agreement.
C. All books, records, documents, and information
shall be retained by CONTRACTOR at a location in the CITY
for a minimum of five (5) years following expiration or
termination of this Agreement. During such five (5) year
period, as well as during the term.of this Agreement, all
-22-
TEM/WP/AGR01382
0
such records shall be made available during normal business
hours for audit and inspection to representatives of CITY,
County Sheriff, or CITY'S Auditor- Controller.
D. If and to the extent that, Section 1861
(v)(1)(i) of the Social Security Act (42 U.S.C. Section
1395x(v)(1)(I) is applicable, CONTRACTOR agrees that for a
period of four (4) years following the furnishing of
services under this Agreement CONTRACTOR shall maintain and
make available, upon written request, to the Secretary of
the United States Department of Health and Human Services or
the Comptroller General of the United States, or any of
their duly authorized representative the contract, books,
documents and records of CONTRACTOR which are necessary to
verify the nature and extent of the cost of services
provided hereunder. Furthermore, if CONTRACTOR carries out
any of the services provided hereunder through any
subcontract with a value or cost of Ten Thousand Dollars
($10,000.00).or more over a twelve (12) month period with a
related organization (as that term is defined under Federal
Law), CONTRACTOR agrees that each such subcontract shall
provide for such access to the subcontract, books,
documents, and records of the subcontract.
E. Failure of CONTRACTOR to comply with any of
the terms of this Paragraph shall constitute a material
-23-
TBM/WP/AGR01382
breach of this Agreement upon which CITY may cancel,
terminate, or suspend this Agreement.
19. REPORTS:
A. CONTRACTOR small make reports as required by
CITY concerning CONTRACTOR'S activities as they affect the
services hereunder. In no event may CITY require such
reports unless -it has provided CONTRACTOR with a least
thirty (30) days prior written notification. CITY shall
provide -CONTRACTOR with written procedures for reporting the
required information.
20. LICENSES:
A. CONTRACTOR shall obtain and maintain, during
the terms of this Agreement, all appropriate licenses,
permits, and certificates required by all applicable City,
State, County and Federal laws and regulations for the
operation of its facilities and for the provision of
services hereunder.
21. DELEGATION AND ASSIGNMENT:
A. CONTRACTOR may not delegate its duties or
assign its rights hereunder, either in whole or in part.
without the prior written consent of CITY. If CONTRACTOR is
a corporate entity, for purposes of this Paragraph the
transfer of a controlling interest or majority of
CONTRACTOR'S shares to another party or other parties 'shall
constitute a delegation and assignment.
-24-
TEM/WP/AGR01382
I
22. ALTERATION OF TERMS:
A. The body of this Agreement fully expresses all
understandings of the parties concerning all matters covered
and shall constitute the total Agreement. Any addition to,
or alteration of, the terms of this Agreement whether by
written or verbal understanding of the parties, their
officers, agents or employees, shall not be valid and
effective unless made in the form of a written amendment to
this Agreement and formally adopted and executed by the
parties in the same manner as. this Agreement form.
23. DISPUTES:
A. CONTRACTOR and CITY agree to act immediately
to mutually resolve.any disputes which may arise with
respect to this Agreement.
B. CONTRACTOR agrees that, the existence of a
dispute notwithstanding, it shall continue without delay its
performance hereunder, except for any performance which may
be affected by such dispute.
C. If CONTRACTOR fails to continue without delay
its performance hereunder, except for any performance which
may be affected by such dispute, then any additional costs
which may be incurred by CONTRACTOR or CITY as a result of
CONTRACTOR'S failure to continue to so perform shall be
borne by CONTRACTOR, and CONTRACTOR.shall make no claim
against CITY for such costs.
-25-
TSM/WP7AGR01382
24. FAIR LABOR STANDARDS:
A. CONTRACTOR shall comply with all applicable
provisions of the Federal Fair Labor Standards Act and
shall indemnify, defend, and hold harmless CITY, its agents,
officers, and employees from any and all liability,
including, but not limited to, liability for services
performed by CONTRACTOR'S employees for which CITY may be
found jointly or solely liable under the provisions of the
Federal Fair Labor Standards Act.
25. EMPLOYMENT ELIGIBILITY VERIFICATION:
A. CONTRACTOR warrants that it fully complies
with all Federal statutes and regulations regarding
employment of aliens and others, and that all its employees
performing services hereunder meet the citizenship or alien
status requirements contained in Federal statutes and
regulations. CONTRACTOR shall obtain, from all covered
employees performing services hereunder, all verification
and other documentation of employment eligibility status
required by Federal statutes and regulations as they
currently exist and as they.may be hereafter amended.
CONTRACTOR shall retain such documentation for all covered
employees for the period prescribed by law. CONTRACTOR
shall indemnify, defend, and hold harmless CITY, its
officers, and employees from employer sanctions and any
other liability which may be assessed against CONTRACTOR or
-26-
TBM/WP/AGR01382
CITY in connection with any alleged violation of Federal
statutes or regulations pertaining to the eligibility for
employment or persons performing services under this
Agreement.
IN WITNESS WHEREOF, the parties hereto have set their
hands and seals the date herein above set forth.
CITY OF SANTA CLARITA
By /7 Ar�
yor
ATTEST:
City C erk
NEWHALL AMBULANCE, INC.
-27-
�CAT� C)F
ISSUE DAM(MM/DD/ W)
C
:aNS.---
JUN 2 9 1990
THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS
CITY UANX.ENS tWhl,"i :es
CITY OF SANTA CLARITA
NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND.
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
^" "'"• ^� ����'-����
COMPANIES AFFORDING COVERAGE
602-222-5700
CODE SUIbCODE
COMPANY A
AzStar Insurance Company
COMPANY
LETTER B
INSUIRED
Newhall Ambulance Inc.,
Jorgenson Home Health Care
COMPANY `,
CEMPARNY D
20607 Soledad Canyon Rd.
Canyon Country
COMPANYLETE
mb
CA 91315
COVERAGES::' �'.w.., .,:: �,..,.,,.�'; ........._..,...,...,:.�..
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED ORMAY PERTAIN. THE INSURANCE AFFOROEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS.
CO
LT
TYPEOF INSURANCE
POLICYNUMOEN
POLIOYEFFECTNE
DATE(MM/DD/YY)
POLICYEXPPAT
DAM(MM/DD/YY)
BS N ALL LIMBS THOUSANDS
N
GENERAL AGGREGATE f 1000
PRODUCTS-COMP/GPS AGGREGATE S 1000
A
X COMMERCIAL GENERAL LIABILITY
X CLAIMS MADE OCCUR,
APK100057
7/22/69
7/22/90
PERSONAL L ADVERTISING INJURY S 1000
OWNERS 6 CONTRACTOR'$ PROT
EACH OCCURRENCE f 1000
FIRE DAMAGE (Ary cry tire) f 50
MEDICAL EXPENSE (Ary cry Person) 1 5
A
AUTOMOBLELUBLITY
ANY AUTO
TAU100804
7/22/89
7/22/90
SINGLE
LIMIT
IT
1000
X
ALL OWNED AUTOS
SCHEDULED AUTOS
INJURY
(PW wson)
_
X
AY
(Pw ccide
s
HIRED AUTOS
NON-OWNED AUTOS
X
PROPERTY
DAMAGE
f
OARApE LIABILITY
E%CESS LIAB0.17Y
0C CURNIENCE
f
f
OTHER THAN UMBRELLA FORM
WQR ER's COMPENSATION
STATUTORY
f (EACH ACCIDENT)
AND
f (DISEASE POLICYLIMIT)
EMPLOYENS'LIABLITY
f (DISEASE EACH EMPLOYEE)
OTHER
A
PROFESSIONAL
APK100057
7/22/90
7/22/91
$1,000, EACH
LIABILITY
OCCURRENCE
$1,000. AGGREGATE
DESCRPTION Of OPERATXRISILOCATIONSIVENICLESIRESTRWT1 KWWECIAL ITEMS
CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED REGARDING OPERATIONS
PERFORMED BY THE NAMED INSURED.
_
CERTIFIOATE;}IOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
!:-EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL E019IR"WOR-Ae
,St MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDERNAMED TO THE
City of Santa Clarita
<'::;� LEFT. B
23920 Valencia Blvd. *300
Santa Clarita, CA 91355
Attn: George Caravelho
City Manager
:AUTHORIMOREPRE;ENTATrvE
�/ , 287785000
Ofti-1 ORPORAT10N198i ';
A00HI e
Gregg -Miller & Associates
P.O. Box 34
Phoenix. AZ 85001-0034
602-222-5700
CODE SUB -CODE
Newhall Ambulance Inc.,
Jorgenson Home Health Care
20607 Soledad Canyon Rd.
Canyon Country
CA 91315
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEI'SI
NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND.
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
COMPANY
LEITER A
COMPANY
LEITER B
COMPANY
LEITER Ci
COMPANY
LETTER D
COMPANY
LETTER E
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS.
LTYPEOF INSURANCEI POLICYNUMBER I OAIOVEFFDTIVE POATE(MMPIRAT ALL LIMITS N THOUSANDS
A
X COMMERCIAL GENERAL LIABILITY
;', X CLAIMS MADE F� OCCUR,
OWNER'S S CONTRACTOR'S PRO?
APK 100277
"AMENDED"
7/22/90
7/22/91
PRODUCTS-COMP/OPS AGGREGATE S 2000
PERSONAL 6 ADVERTISING INJURY t 1000
EACH OCCURRENCE t 1000
FIRE DAMAGE (Arty ore lire) S 50
MEDICAL EXPENSE (My one person) 3 5
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
UL
SCHEDED AUTOS
HIRED AUTOS
NON OWNED AUTOS
GARAGE LIABILITY
TAU101451
7/22/90
7/22/91
NGLE
LIMIT
t 1000
'::ii6XXXXMD}X ffiAU1N4X4(D61R74
X
Clarita,
INIURY
(Per person)
S
Attn:
City
X
Emu—
INJURY
(Per AAPltlenl
S
X
PROPERTY
DAMAGE
_
A
EXCESSLIABILITY
-
AXG100014■
7/22/90
7/22/91
�:.
OCCURRENCE
X OTHER THAN UMBRELLA FORM 2000 2000
WORKER'S COMPENSATION
SiatuTDAY
AND S (EACH ACCIDENT)
S (DISEASEAOLICYLIMII)
EMPLOYERS' LIABILRY
- S
(DISEASE EACH EMPLOYEE)
OTHER
A PROFESSIONAL APK100277 7/22/90 7/22/91 $1,000, EACH
LIABILITY OCCURRENCE
$1,000, AGGREGATE
DESCRIPTION OF OPERATIONSILOCATIONSIVEHIMESISPECIAL ITEMS
CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED REGARDING OPERATIONS
PERFORMED BY THE NAMED INSURED. -
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
€0EXPIRA7ION DATE THEREOF. THE ISSUING COMPANY WILL
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
City
of Santa
C l a r i t aLEF
i, KXX345pX}OX}SO[DG xxxx1x
23920
Valencia
Blvd. *300
'::ii6XXXXMD}X ffiAU1N4X4(D61R74
Santa
Clarita,
CA 91355
Attn:
City
George
Manager
Caravelho
AUTHORIZED REPRESENTATIVE
/� 287785000
ac��i:u•1 RTIFICATE ` C)F
ISSUE DATE(MMIDDIVY)
INSURAIrICEMx
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Gregg—Miller & Associates
P.O. BOX 34
NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND.
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
Phoenix, AZ 95001-0034
602-222-5700
CODE SU"ODE
COMPANYA
LETTERAzStar Casualty Company
COMPANY
LETTER B
INSLIFIED
Newhall Ambulance Inc.,
Jorgenson Home Health Care
COMPANY C
COMPANY D
20607 Soledad Canyon Rd.
Canyon Country
`OMPANY ETTER E
las
CA 91315
.: ..
Ix:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAV PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS.
De
L
TYPEOY INSURANCE
POLICVNUMBER
POLICYENFECTNE
DATE(MMIDDIW)
POLIOVEXPiRATIM
OATE(MMIDDIVY)
ALL LIMITS IN THOUSANDS
GEWRAL AGGREGATE f 2000
PAMICIS COMPIOPS AGGREGATE f 2000
A
X COMMERCIAL GENERAL LIABILITY
X CLAIMS MACEa OCCUR.
APK100277
7/22/90
7/22/91
PERSONAL L ADVERTISINGINLRY f 2000
OWNER'S L CONTRACTOR'S PROT
EACH OCCURRENCE f 2000
FIRE DAMAGE (Any me fire) f 50
MEDICAL EXPENSE (Any me persm) f 5
A
AUTOMCDLE
LIABLITY
ANY AUTO
TAU 101451
7/22/90
7/22/91
COMUINE
LISINIT GLE
f 1000 -
X
BoDiv—
ALL OWNED AUTOS
SCHEDULED AUTOS
INUURY
(Per palm)
X
HIRED AUTOS
NON OWNED AUTOS
IN.ARV
(Pa aco'a (
f
X
PROPERTY
DAMAGE
f
GARAGE LIABILITY
EXCESSLIABLITY
OCCURRENCE
;tt
f
f
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION
SIAM. ORY
f (EACH ACCIDENT)
AND
t (DISEASE POLICYLIMN)
EMPLOVERS'LIAELITY
f (DISEASE EACH EMPLOYEE)
OTHER
A
PROFESSIONAL
APK100277
7/22/90
7/22/91
52,000, EACH
LIABILITY
OCCURRENCE
$2.000, AGGREGATE
DESCRPT"OY OPERATKMMMATWMVEHICLESIRESTRICTIONSISPECIAL ITEMS
CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED REGARDING OPERATIONS -
PERFORMED BY THE NAMED INSURED.
C6RTIFIpAtE HCLDFR ..:': „' CANCELLATION
• !' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
:EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL £*ivs+•=+
!s3: MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
City of Santa Clarita LEFT
23920 Valencia Blvd. *300
Santa Clarita, CA 91355'.; avrno ED VEPRES T11V
Attn: George Caravelho �% r 287785000
CiRD 2ty Mi-tianager ,I
A.GO (3198) (,�} ACO RD CO RPO RATION :191111T
aa:�n:uWCERTIFICATE `QF
INSURANCE, SSMEDATE MY/00/vv(
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
Gregg—Miller & Associates
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P.O. Box 34
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Phoenix,. AZ 05001-0034
602-222-5700
COMPANYLETA
--AzStar Casualty Company
COMPANY
LETTER B
INSURED
Newhall Ambulance Inc.,
20607 Soledad Canyon Road
COMPANY
LETTER C
LCEOMPANY TTER D .
Canyon Country
CA 91351
COMPANY
LETTER E JM
.OVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCLMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWNMAY HAVE BEEN REDUCED BY PAID CLAMS.
CC
LTI
TYPEOP INSURANCE
POLICYNUMBPJI
POLICYEPPECTN!
DAT!(MM/CO/W)
POLIOVEXPa1AT
DATE (MM/lb/VV)
LIMITS
GENERALLIABLITY
GENERAL AGGREGATE f 1000000
A
X CR+MEACIALGENFRAL LIABILITY
APK100412A
7/22/92
7/22/93
PRODUCTS-COMP/OP AGO f 1000000
X CLAIMS MADE O OCCUR.
PERSONAL a ADV. INJURY S 1000000
EACH OCCURRENCE 1 1000000
OWNER'S & CONTRACTOR'S PROT.
FIRE DAMAGE Ukar ane Eitel S 50000
MED. EXPENSE (Any one person f 5000
-
A
AViOMOBLL
LIADLRY
ANY AUTO
AA0000224A
7/22/92
7/22/93
COMBINED SINGLE f
AMIE
2000000
X
BODILY INJURY f
(Per Persool
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY f
HIRED AUTOS
X
NOWOWNED AUTOS
(Per aenden)
PROPERTY DAMAGE f
GARAGE LIABILITY
EXCESSLIABLITY
EACH OCCURRENCE f 1000000
AGGREGATE f 1000000
ARX
UMBRELLA FORM
AXG100010Ae
7/22/92
7/22/93
.. ............ ............... ..........
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
STATUTORY LIMITS
EACH ACCIDENTt"
AND
[LiLOYCRY LIABLRY
DISEASE -POLICY LIMIT S
DISEASE -EACH EMPLOYEE f
OTHER
A
PROFESSIONAL
APKIC0412A
7/22/92
7/22/93
$1,000,000. EA.000.
LIABILITY
S1,000,000.
AGGREGATE
DESCRIPTION W OPERATIONSILOCATWNXJVERICIdLSPECIAL ITEMS
CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED REGARDING OPERATIONS
PERFORMED BY THE NAMED INSURED.
*APA A F A ABI ITV
CfRT1FICkTE HOLDER
`z SHOULD ANY CF T HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL XNXNXXE=
`l>:2
MAIL30 DAYSWRITTENNOTICETOTHECERTIFICATEHOLDERNAMEDTOTHE
City of Santa Clarita
" LEFT.
23920 Valencia Blvd, *300
Santa Clarita, CA 91355`+':'
Attn: City Manager
AUTHORIZEo REPRE.WJITATIVE
287785000
'ACO RD2SS"(:7J1llj t4 `,"TACOROCORP.ORATION.ICBQ:;