Agenda 12/13/2016 Item #16E6 16.E.6
12/13/2016
EXECUTIVE SUMMARY
Recommendation to approve a Memorandum of Understanding between Concierge Medical
Transport, LLC, and Collier County for instances where mass casualty events may occur and
additional resources and support would be requested.
OBJECTIVE: To obtain approval of a Memorandum of Understanding between Concierge Medical
Transport, LLC, and Collier County in support of Emergency Management activities related to
catastrophic and mass casualty emergencies.
CONSIDERATIONS: The purpose of the Memorandum of Understanding is to set forth, define, and
establish mutual agreements, understandings, guidelines, and obligations between Concierge Medical
Transport, LLC, and Collier County to coordinate relief efforts at the time of a disaster or mass casualty
incident.
Similar MOU's are routinely used with private sector organizations to build capability and add resources
during a disaster or local state of emergency. This agreement is voluntary and similar to existing MOU's
with local public and private organizations. Prior written agreements are necessary for such emergency
efforts to be reimbursed by FEMA, when applicable.
Concierge Medical Transport, LLC, is currently operating under a Class 2 COPCN for inter-facility
transports of ALS patients and out-of-county transportation. The COPCN is an annual renewable
certificate.
Under this MOU only the Director of the Bureau of Emergency Services or his designated representative
may approve missions for Collier County Government.
FISCAL IMPACT: There is no Fiscal Impact associated with this Executive Summary.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this
Executive Summary.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to
form and legality, and requires majority vote for approval. -JAK
RECOMMENDATION: That the Board of County Commissioners approves the MOU between
Concierge Medical Transport, LLC, and Collier County, through its Emergency Management
Department.
Prepared by: Dan E. Summers, Director, Bureau of Emergency Services and Emergency Management
ATTACHMENT(S)
1. MOU-Concierge Medical Transport -JAK signed (PDF)
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16.E.6
12/13/2016
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.6
Item Summary: Recommendation to approve a Memorandum of Understanding between
Concierge Medical Transport, LLC, and Collier County for instances where mass casualty events may
occur and additional resources and support would be requested.
Meeting Date: 12/13/2016
Prepared by:
Title: Executive Secretary—Emergency Management
Name: Kathy Heinrichsberg
11/16/2016 3:20 PM
Submitted by:
Title: Division Director-Bureau of Emer Svc—Emergency Management
Name: Daniel Summers
11/16/2016 3:20 PM
Approved By:
Review:
Emergency Management Daniel Summers Additional Reviewer Completed 11/16/2016 4:23 PM
Administrative Services Department Pat Pochopin Level 1 Division Reviewer Completed 11/17/2016 11:13 AM
Administrative Services Department Len Price Level 2 Division Administrator Review Completed 11/21/2016 1:31 PM
Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 11/21/2016 2:41 PM
Office of Management and Budget Laura Wells Additional Reviewer Completed 11/21/2016 2:55 PM
County Attorney's Office Jeffrey A.Klatzkow Level 3 County Attorneys Office Review Completed 11/22/2016 8:29 AM
County Manager's Office Leo E.Ochs Level 4 County Manager Review Completed 11/29/2016 9:03 AM
Board of County Commissioners MaryJo Brock Meeting Pending 12/13/2016 9:00 AM
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16.E.6.a
MEMORANDUM OF UNDERSTANDING
BETWEEN CONCIERGE MEDICAL TRANSPORT, LLC, AND
COLLIER COUNTY
(Mass Casualty or Serious Emergency Event)
THIS MEMORANDUM OF UNDERSTANDING ("MOU") is made and entered into v
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this 1f day of December, 2016, by and between COLLIER COUNTY, a political subdivision of c
the State of Florida, 3299 East Tamiami Trail, Naples, Florida 34112, and CONCIERGE a
MEDICAL TRANSPORT, LLC, 3200 Bailey Lane, Suite 117, Naples, Florida 34105, hereafter 13
referred to as "Parties." a�
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WITNESSETH: c
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WHEREAS, the Parties are state licensed EMS providers and believe it is mutually c
advantageous and in the interest of the public health, safety and welfare of its citizens to enter 3
into a Memorandum of Understanding (MOU) in instances where mass casualty events occur or II
a local, state, or federal state of emergency and additional equipment andior manpower is o
needed; and 0
WHEREAS, the Parties desire to enter into this MOU to define their respective M
responsibilities and liabilities in the event of a request for mutual aid from one of the parties
hereto. o
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NOW THEREFORE, in consideration of the mutual terms, conditions and promises
hereafter set forth, Collier County and Concierge Medical Transport, agree as follows:
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MUTUAL AID REQUESTS c
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I. In the event that a mass casualty event, serious emergency or local, state, or federal state
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of emergency exists within the territorial boundaries of Collier County and a party to this MOU ti
requests additional equipment andior manpower to be provided by the other party to this MOU in 0
order to meet the needs of the system, the following provisions shall apply. )
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a. The Chief Operating Officer of Concierge Medical Transport, LLC and the Chief EPaP
of Collier County EMS, Director of Emergency Management or their designees, shall determine
among themselves the operational procedures to be employed by their respective agencies in the v
implementation of a Mutual Aid response and shall instruct their respective Dispatch Operators
on the operational procedures for the routing of Mutual Aid responses to the requesting party. 0
b. All requests for Mutual Aid pursuant to this MOU shall include a statement of the
amount and type of equipment needed and/or the number of personnel needed and shall specify E
the location and type of condition or situation to which the equipment and personnel shall be c
dispatched. The decision as to the amount and type of equipment and the number of personnel Q
actually sent shall rest in the sole discretion of the responding party.
2. In addition to the above, the following provisions shall apply to Mutual Aid Requests: --
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16.E.6.a
a. The terms "requesting party" as used in this MOU shall mean the party requesting
Mutual Aid in accordance with the terms of this MOU, or the party within whose jurisdiction an
inter-facility transfer occurs. The terms "responding party" shall mean the party responding to a
request for Mutual Aid located in the other party's jurisdiction in accordance with the terms of
this MOU,
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b. If the responding party is unable to provide Mutual Aid to the requesting party due
to an emergency or other extenuating circumstance, then it shall not be deemed to be a violation -a
of this MOU. The determination of what constitutes an emergency or extenuating circumstances
shall be determined solely by Concierge Medical Transport - Chief Operating Officer or Collier
County's EMS Chief, Emergency Management Director or his/her designee. If the responding a�
party is unable to render Mutual Aid, it shall promptly notify the requesting party that it will be
unable to aid in or respond to the request for assistance. o
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c. A responding party under this MOU shall be compensated at its usual and
customary rates for its services during the Mass Casualty Incident or Serious Emergency Event.
d. Each party shall be solely responsible for the compensation of its own employees g
at all times during this MOU, including any amounts paid or due for compensation for personal
injury or death which occurs while said employees are rendering aid pursuant to this MOU, to the CO
extent permitted by law.
�-. e. Each party will charge the patient serviced by said party directly for any treatment c>
or transport provided to the patient under the terms of this MOU. However, should a local state
of emergency exist, and the County deems in the best interest of life-safety to make emergency
re- location of stretcher bound patients or citizens; the County's Emergency Management
Director shall authorize such emergency re-location cost to be borne by the Emergency a
Management Department's Emergency Operations Center operational cost.
f. Neither party nor its employees shall have a claim against the other party arising
from any aid provided pursuant to this MOU. The parties agree that in the event of any litigation
arising out of any alleged breach or non-performance of this MOU, the venue for such litigation
shall be in Collier County.
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g. Collier County and Concierge Medical Transport representatives agree to
establish mutually acceptable guidelines to conduct quality improvement review of clinical and
operational procedures and further agree to provide mutually acceptable training procedures for
their respective employees to assure dispatching procedures are followed and to provide for the 0
safety of any employees.
h. In the event either party hereunder desires or is required to provide any notice to the
other party, the party desiring or required to provide such notice shall provide it in writing, send
it by certified mail, return receipt requested, postage prepaid, to the other party at the address
listed below:
�-. If to Collier County: Dan Summers, Director
Collier County Bureau of Emergency Services
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I6.E.6.a
8075 Lely Cultural Parkway, Suite 445
Naples, FL 34113
If to Concierge Medical Transport: Chuck Bacon, Chief Operating Officer
Concierge Medical Transport, LLC v
3200 Bailey Lane, Suite 117 c.)
Naples, FL 34105 a
i. This MOU incorporates and includes all prior negotiations, correspondence,
agreements or understandings between the parties, and the parties agree that there are no a,
commitments, agreements or understandings concerning the subject matter of this MOU that are 4)
not contained in this document. o
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j. No modification, amendment or alteration in the terms or conditions contained a
herein shall be effective unless contained in a written document executed with the same formality d
and of equal dignity herewith. Ii
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k. In the event any provision of this MOU shall be held invalid and unenforceable, 0
the remaining provisions shall be valid and binding upon the parties. One or more waivers by a)
either party of any breach of any provision,term, condition or covenant shall not be construed as co
a waiver of a subsequent breach by the other party. .a
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1. The term of this MOU shall begin after the last party has approved and signed this c
MOU and it has been filed with the Clerk of the Circuit Court of Collier County
and without �
automatically renew every year. This MOU may be -)
penalty. by either party upon thirty (30) days' written notice to the other party. #.
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IN WITNESS WHEREOF, the Parties hereto have executed this Memorandum of u)
Understanding as of the date and year first above written. �`
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CONCIERGE MEDICAL TRANSPORT, LLC u
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By: ( ,.;--4.--Z---------_ w
Chink Bacon, Chief Operating Officer F.
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ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA O
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By: By: c
. Deputy Clerk DONNA FIALA, CHAIRMAN P
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