Transportation Agreement Section 1: Parties to this Agreement



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Western Story County First Responder Services


Transportation Agreement
Section 1:

Parties to this Agreement

The following agencies enter this agreement to ensure all components of the EMS system are efficiently and effectively utilized to ensure appropriate transportation of patients in the given system area.



Nontransport Service

Service Name

City

Representative Name

Signature

Date
















ambulance Service

Service Name

City

Representative Name

Signature

Date

Mary Greeley Medical Center’s Mobile Intensive Care Services

Ames

Beth Frandsen







Communication Center

Name


City

Representative Name

Signature

Date

















Section 2:

Purpose of Agreement

This agreement will allow participating EMS services to ensure patient transportation is available, defines the responsibilities of each party, and provides risk management.



Iowa EMS Service Requirements:

A. Nontransport Service (NT). Iowa law requires all NT services to maintain a written transport agreement with an ambulance service that specifies the duties and responsibilities of the agreeing parties to ensure appropriate transportation of patients in a given service area.

B. 24/7 Ambulance Service. Iowa law requires an ambulance service to provide coverage with minimum staffing 24/7. Additionally, each ambulance service must maintain an EMS contingency plan that will be put into operation when coverage pursuant to the 24/7 rule is not possible due to unforeseen circumstances.

The parties have entered into this agreement to effectuate these requirements.



Section 3:

Dispatch Policy

A. Authorization Level: Nontransport. The communications center agrees to simultaneously dispatch the ambulance service with the nontransport service 24/7.


Section 4:

Duties and responsibilitieS


A. Compensation/Reimbursement. Insert applicable compensation and reimbursement provisions.
B. Liability. Each party to the agreement shall bear the liability and cost of damage to its personnel, vehicles, and equipment. Each party to the agreement shall be responsible for defending claims made against it or its staff arising from participation in this agreement.
C. Insurance. Each party to the agreement shall procure and maintain such insurance as is required by applicable federal and state law and as may be appropriate and reasonable to cover its staff, equipment, vehicles, and property, including but not limited to liability insurance, workers compensation, unemployment insurance, automobile liability, and property damage.
D. Status and Responsibilities of Parties. Nothing in this agreement shall be construed as creating or constituting the relationship of partnership or joint venture between the parties hereto. Each party shall be deemed to be an independent contractor. No party, unless otherwise specifically provided for herein, has the authority to enter into any contract or create an obligation or liability on behalf of, in the name of, or biding upon another to this agreement.
Each of the parties shall be responsible for ensuring that all persons acting on behalf of the party are properly licensed, certified, or accredited as required by applicable federal and state law.

Each of the parties to the agreement shall be responsible for withholding taxes, social security, unemployment, worker’s compensation, and other taxes for its employees and shall hold all other parties harmless for the same.

E. Termination. Any party to this agreement may terminate the agreement by providing thirty days written notice by certified mail to the other parties and to their Bureau of EMS Regional Coordinator. Staff contact information is available at www.idph.state.ia.us/ems >> Bureau >> Bureau Staff. If a party withdraws from the agreement, the agreement shall remain in effect as to all remaining parties so long as two or more service programs are parties to the agreement.
F. Duration of Agreement: The agreement shall be in effect upon signature of the service programs and communications center. The agreement shall be in effect for three years from the date of execution unless terminated earlier in accordance with the termination section of this agreement. The agreement may be extended for an additional three year term upon mutual agreement of all parties in writing at least thirty days before the termination date.


Page of Transportation Agreement October 2012






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