7617 � r
1 RESOLUTION NO . 7 , 617
2
3 A RESOLUTION AUTHORIZING AN INTERLOCAL
4 COOPERATIVE AGREEMENT EXTENDING AMBULANCE
5 SERVICE TO THE CITY OF NORTH LITTLE ROCK.
6
7 WHEREAS, the Ambulance Authority currently holds exclusive
8 franchises for providing ambulance service to both Little Rock
9 and North Little Rock; and
10 WHEREAS, the current franchise with the City of North
11 Little Rock terminates as of October 15 , 1986; and
12 WHEREAS, the Ambulance Authority has provided service to
13 both cities for the past eight months without impairing the
14 ability of the Authority to perform.
15 NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS
16 OF THE CITY OF LITTLE ROCK, ARKANSAS:
17 Section 1 . The Little Rock Board of Directors approves
18 the Ambulance Authority entering into an Interlocal Cooperative
19 Agreement with the City of North Little Rock to provide
20 emergency services to that city provided that a provision be
21 included therein calling for a refund to be paid to the Little
22 Rock Ambulance Authority in the event of early withdrawal from
23 the system by an participant for any unamortized portion of any
24 additional capital expenditure incurred by the Little Rock
25 Ambulance Authority, in order to provide service to the with-
26 drawing participant, all in accordance with Arkansas law.
27
28 ADOPTED: June 3 , 1986
29 ATTEST: APPROVED:
30 - 1J
31 �'----c-7
CITY LERK J, E CZECH MAYOR THOMAS A. PRINCE
32
33 APP�� ;D : S r• FOR),34 LL
35 MACK STODOL, , CITY ATTORNEY
36
See Res . #7 , 617
METROPOLITAN EMERGENCY MEDICAL SERVICES
PROJECT INTERLOCAL AGREEMENT
This Agreement is made and entered into as of the 15th day
of September - , 1986, by and between the City of Little Rock ,
Arkansas ( °Little Rock" ) , a city of the first class, and the
City of North Little Rock , Arkansas ( "North Little Rock" ) a
city of the first class.
WHEREAS, in 1984 Little Rock established the Little Rock
rn
Ambulance Authority ( the °Authority" ) pursuant to Little Rock
City Ordinances Nos . 14 , 511 and 14, 574 , and granted the
Authority an exclusive franchise to establish and operate an
emergency life support ambulance system within the City of
Little Rock ; and
WHEREAS, the Authority has established the Metropolitan
Emergency Medical Services System to provide ambulance service
to the City of Little Rock ; and
WHEREAS, effective October 15, 1985, the Authority and
North Little Rock executed a one year interim agreement, with
the knowledge and consent of Little Rock, which set forth the
terms and conditions pursuant to which the Authority provided
emergency life support ambulance service to the residents of
North Little Rock ; and
WHEREAS, North Little Rock has determined that it wishes
to make available to the residents of North Little Rock on a
- /
long term basis the benefits and privileges provided to the
residents of Little Rock by the Metropolitan Emergency Medical
Service System; and
WHEREAS, Little Rock has agreed that it is in the best
interests of Little Rock and the Authority to contract with
North Little Rock to extend the operation of the Metropolitan
Emergency Medical Services System under an exclusive franchise
arrangement to the residents of North Little Rock ; and
WHEREAS, Little Rock and North Little Rock are each
authorized pursuant to Ark . Stat . Ann. §§14-901 et seq. to
enter into Interlocal Cooperation Agreements ; and
WHEREAS, the Board of Directors of Little Rock and the
City Council of North Little Rock by ordinance or resolution
have authorized the Mayors of Little Rock and North Little Rock
to enter into this Agreement.
NOW, THEREFORE, in consideration of the mutual covenants
and agreements of North Little Rock and Little Rock and on the
terms and conditions set out herein, it is agreed as follows :
1 . TERM. The term of this Agreement shall extend from
Sept. 15 , 1986, for a period of three years , subject to the
continuing right of Little Rock and North Little Rock to
modify, renew or extend the term by mutual agreement .
2. JOINT COMMISSION BOARD. Little Rock and North Little
Rock agree to create a Joint Emergency Medical Services
Commission ( "Commission" ) to be composed of seven ( 7 ) members .
2
Little Rock shall appoint its Ambulance Authority Board
members, or their replacements, as five ( 5 ) members of the
Commission. North Little Rock shall appoint two ( 2 ) members of
the Commission. Little Rock and North Little Rock shall
provide public official ' s liability insurance coverage for the
respective members of the Commission which each appoints .
3. POWERS OF THE COMMISSION. The Commission shall have
the power and authority to contract with the Little Rock
Ambulance Authority to provide emergency medical services to
the residents of North Little Rock . The Commission shall be
authorized to oversee the operations of the Metropolitan
Emergency Medical Services System to insure that service is
provided in accordance with the terms of this Agreement and
Little Rock City Ordinances Nos . 14, 511 and 14, 574 . The
Commission shall have the authority to execute such other
contracts and agreements as are necessary to implement the
terms of this Agreement ; provided however , the Commission is
not authorized to commit or expend funds of Little Rock or
North Little Rock without first obtaining the approval of the
respective City Board of Directors or City Council .
4. EXCLUSIVE FRANCHISE. North Little Rock shall grant
by ordinance to the Authority an exclusive franchise to provide
all ambulance service to the citizens of North Little Rock
within the city limits of North Little Rock , as now existing or
as modified during the term of this Agreement. The guidelines
3
and requirements for such ambulance service to be provided by
the Authority to North Little Rock shall be the same as
outlined in Little Rock City Ordinances Nos . 14, 511 and 14 , 574 ,
and such further amendments or changes to those Ordinances as
may be made by Little Rock during the term of this Agreement ,
subject only to the restrictions as provided in this Agreement .
5. NONDISCRIMINATION. Little Rock agrees that so long
as North Little Rock is in compliance with the provisions of
this Agreement , Little Rock shall not make changes to Little
Rock City Ordinances Nos . 14, 511 and 14, 574 , or other changes
with regard to the operations of the Authority, which would
cause the benefits and privileges provided by the Metropolitan
Emergency Medical Services System to the citizens of North
Little Rock to be less than the benefits and privileges
provided by the Metropolitan Emergency Medical Services System
to the citizens of Little Rock , except to the extent outlined
in this Agreement. Little Rock also agrees that it will
oversee and supervise the governance and operations of the
Authority to ensure that benefits and privileges of the
Metropolitan Emergency Medical Services System are provided and
available to all of the citizens of Little Rock and North
Little Rock on a nondiscriminatory basis .
6. PURPOSE. The purpose of this Agreement is to
establish and provide for the citizens of North Little Rock a
regulated advanced life support ambulance service system that
4
can provide each ambulance patient in the City of North Little
Rock with the best possible chance of survival without
disability or preventable complication. This Agreement also
establishes the Commission to oversee the operations of the
Metropolitan Emergency Medical Services System.
7. OPERATIONS IN NORTH LITTLE ROCK. The Authority shall
provide service to the citizens of North Little Rock as
outlined in Little Rock City Ordinances Nos . 14 , 511 and 14, 574
except as subsequently provided:
(a ) From the effective date of this Agreement until
December 31, 1986, the Authority shall provide eight minute
response time to at least 80% of all Code 1 - life threatening
emergencies within the city limits of North Little Rock. From
and after January 1 , 1987 , such eight minute response time
shall be provided to at least 90% of all Code 1 - life
threatening emergencies . The Authority shall submit to North
Little Rock monthly response time reports to reflect that it is
in compliance with this requirement.
(b) The Authority and North Little Rock shall
cooperate to provide sufficient personnel, equipment and
resource management expertise to meet these response time
standards and to determine the appropriate stationing of such
personnel and equipment in the city limits of North Little
Rock. In the event all of the following conditions are met
5
( i ) Little Rock or the Authority purchases
ambulances and on-board equipment which is in
addition to the equipment now on hand or
contemplated under the Equipment Lease Agreement
dated as of June 1 , 1985 between Little Rock and
the Authority ;
( ii ) Such purchase occurs during the term of this
Agreement and is for the express purpose of
providing service to North Little Rock under the
terms of this Agreement ; and
( iii ) North Little Rock terminates this Agreement or
revokes the exclusive franchise of the Authority
described in paragraph 4 hereof prior to three
years from the date hereof ;
then North Little Rock will pay to the Authority an amount
equal to the unamortized portion of the costs for any equipment
purchases described in subparagraph ( i ) and ( ii ) above .
(c ) All other provisions of Section 7 "Standards of
Production and Performance" under the above described
Ordinances shall be implemented by the Authority in North
Little Rock .
8. FIRST RESPONDER PROGRAM. The Authority shall notify
North Little Rock city communications of all Code 1 - life
threatening emergencies and North Little Rock agrees that North
Little Rock Fire Department personnel shall provide a four
minute response time to such Code 1 - life threatening
emergencies under the terms and with the exceptions for Fire
Department Response outlined in Section 10B of Ordinance 14 , 511 .
6
9 . MEDICAL CONTROL. North Little Rock agrees that the
Arkansas Emergency Physicians Foundation (AEPF ) , a private,
non-profit corporation which provides medical control for the
Authority, will continue to provide medical control for
operations of the Authority within the city limits of North
Little Rock . The AEPF has extended its membership to include
two physicians from North Little Rock and North Little Rock
shall continue to provide such support to AEPF as is necessary
to enable AEPF to perform its duties under this Agreement.
North Little Rock may contract with AEPF to provide the terms,
conditions, and duties of AEPF with regard to operations in
North Little Rock , provided such agreement is not inconsistent
with the terms of the Agreement between Little Rock and AEPF.
10. RATES. The Authority shall charge for its services
within the city limits of North Little Rock the same rates as
are charged for comparable services within the city limits of
Little Rock, to include any subsequent rate changes. Current
rates for services shall be as shown on the attached schedule
until modified by Little Rock . The Authority and Little Rock
agree to consider implementation of a rate reduction in both
cities and the Authority shall submit a formal report regarding
the feasibility of such rate reduction at the end of each year
during the term of this Agreement.
7
11 . SUBSCRIPTION MEMBERSHIPS. The Authority shall make
available to all of the citizens of North Little Rock its MEMS*
Alert subscription membership on the same terms and conditions
as are made available to the residents of Little Rock .
Specifically, the Authority, with the approval of Little Rock ,
will institute during the upcoming MEMS* Alert enrollment
period a system of quarterly memberships and such quarterly
memberships shall be made available to the citizens of both
Little Rock and North Little Rock . Membership fees for the
MEMS* Alert program shall be as set forth below for the
membership periods indicated with all fees subject to change
after October 31 , 1987 :
November 1, 1986 - October 31 , 1987 - $49 . 00 ( new)
$42. 50 ( renewal )
November 1 , 1986 - January 31, 1987 - $15 . 00
February 1, 1987 - April 30 , 1987 - $15. 00
May 1, 1987 - July 31, 1987 - $15. 00
August 1, 1987 - October 31 , 1987 - $15 . 00
The enrollment period for each quarterly membership period
shall be the fifteen days prior to the beginning of the
quarterly membership period.
12. FURTHER COOPERATION. The Commission, the Authority,
Little Rock and North Little Rock agree to cooperate among
themselves and make every effort to secure legislative approval
8
to increase the number of positions for the Board of Directors
of the Authority.
13. LIMITED RIGHT TO PURCHASE EQUIPMENT. In the event
that Little Rock or North Little Rock elects not to renew this
Agreement at the end of the initial term, or any subsequent
renewal term thereafter , Little Rock and the Authority hereby
grant to North Little Rock a right of first refusal to purchase
the ambulances and onboard equipment stationed within the city
limits of North Little Rock for cash equal to the highest
amount offered for such equipment by an unrelated third party
purchaser . Little Rock and the Authority reserve the right to
retain such equipment and not offer it for sale.
14 . SEVERABILITY. The provisions of this Agreement are
declared to be severable. If any provision hereof shall be
held to be invalid or to be inapplicable to any person or
circumstance, such holding shall not affect the validity or
applicability of the remainder hereof .
15. APPROVALS. This Agreement shall not be effective
until such time as it has received all approvals as required by
Ark . Stat. Ann. §14-901 et seq•
EXECUTED this 15th day of September , 1986.
9
CITY OF LITTLE ROCK, A NSAS
BY !L ...a
Mayor
ATTEST:
CityGClerk
CITY OF NORTH LITTLE ROCK,
ARKANSAS
(7 5-%6.:It:;a(
Mayor,
ATT: k
e- 4a/
Cit Clre�
This Agreement is acknowledged
the 15th day of September ,
1986.
LITTLE ROCK AMBULANCE AUTHORITY
By / ! 6k4
2427T
10
METROPOLITAN EMERGENCY MEDICAL SERVICES
CHARGES EFFECTIVE MAY 31, 1984
ALS Ambulance Service - All Inclusive $375 . 00
Ambulance Service, Base Rate, One-Way (Transfer) $120 . 00
Ambulance Service, Base Rate, Return Trip $65. 00
Ambulance Service, Base Rate, Helipad $65.00
Oxygen Administration $25 . 00
Emergency Response and Treatment at Scene $150 . 00
Waiting Time (in 15 minute increments after the first 15 minutes ) $15 . 00
Mileage, Out of City Emergency Service $4 . 00
Loaded Mile
Mileage, Long Distance Ambulance Service (Out of County transfers ) $3 . 00
Loaded Mile