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HomeMy WebLinkAboutOrdinance 22613-02-2017 ORDINANCE NO.22613-02-2017 AN ORDINANCE AMENDING CHAPTER 5 "AMBULANCES/EMERGENCY MEDICAL SERVICES," OF THE CODE OF THE CITY OF FORT WORTH, TEXAS (2015), AS AMENDED, BY REPEALING ARTICLE I "IN GENERAL," ARTICLE II "EMERGENCY PHYSICIANS ADVISORY BOARD," AND ARTICLE III "AREA METROPOLITAN AMBULANCE AUTHORITY" AND ENACTING A NEW ARTICLE I "IN GENERAL," ARTICLE II "BOARDS; THE AUTHORITY," AND ARTICLE III "VIOLATIONS; PENALTIES; TRAFFIC LAW EXEMPTION" ESTABLISHING A REGULATED PREHOSPITAL EMERGENCY SERVICES AND MEDICAL TRANSPORTATION SYSTEM AND PROVIDING FOR MOBILE INTEGRATED HEALTHCARE SERVICES FOR THE CITY OF FORT WORTH ADMINISTERED BY THE METROPOLITAN AREA EMS AUTHORITY, AN AGENCY CREATED BY INTERLOCAL AGREEMENT THAT IS SUBJECT TO CLINICAL REGULATION BY THE EMERGENCY PHYSICIANS ADVISORY BOARD AND ADVISED BY THE FIRST RESPONDER ADVISORY BOARD; PROVIDING THAT THIS ORDINANCE SHALL BE CUMULATIVE OF ALL PRIOR ORDINANCES AND REPEAL CONFLICTING ORDINANCES; PROVIDING FOR A SEVERABILITY CLAUSE; PROVIDING FOR A SAVINGS CLAUSE; PROVIDING A PENALTY CLAUSE; PROVIDING FOR PUBLICATION IN THE OFFICIAL NEWSPAPER OF THE CITY; AND PROVIDING AN EFFECTIVE DATE. WHEREAS,the City Council of the City of Fort Worth ("City Council") seeks to protect the public safety,preserve the quality of life, and promote efficiency within the City; and WHEREAS, it is in the best interests of the public health and welfare of the people of the City of Fort Worth to have available to them a regulated prehospital emergency medical services and medical transportation system which can provide quality clinical care with performance measures and standards, with the goal of facilitating the best possible outcomes for each patient; WHEREAS, through the adoption of a Uniform EMS Ordinance and Interlocal Cooperative Agreement between local governments ("Member Jurisdictions"), the Area Metropolitan Ambulance Authority (the "Authority") was created in 1988 as a governmental administrative agency to administer and operate a prehospital emergency medical services and medical transportation system in a service area comprised of the Member Jurisdictions ("Service Area"); and WHEREAS, due to the relatively low population and low population density of some portions of the Service Area and the extremely high, start-up and fixed operating costs of a state- of-the-art prehospital emergency medical services and medical transportation system, it is Ordinance No.22613-02-2017 Page 1 of 10 necessary to designate a single provider of emergency and nonemergency ambulance transportation within the City of Fort Worth in order to maximize clinical proficiency, enhance operational effectiveness, and maximize economies of scale for providing such services; and WHEREAS, it is the desire of the City of Fort Worth and the other Member Jurisdictions to amend and restate the Uniform EMS Ordinance and the Restated Interlocal Cooperative Agreement in its entirety as set forth herein and to change the name of the Authority to the "Metropolitan Area EMS Authority;" WHEREAS, establishing a multi jurisdictional first responder advisory board will facilitate coordination and communication between first responder agencies in the service area, the Emergency Physicians Advisory Board and the Board of Directors of the Authority: WHEREAS, it is in the best interests of the public health and welfare of the people of the City of Fort Worth to have available to them a mobile integrated healthcare program operated by the Authority; WHEREAS, it is advisable to amend Chapter 5 of the Fort Worth Code of Ordinances as set forth herein; and WHEREAS,the City Council finds this Ordinance to be reasonable and necessary; NOW,THEREFORE,BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF FORT WORTH,TEXAS,THAT: SECTION 1. Chapter 5 "Ambulances/Emergency Medical Services" of the Code of the City of Fort Worth is hereby amended by repealing Article I "In General," Article II "Emergency Physicians Advisory Board," and Article III "Area Metropolitan Ambulance Authority" and enacting a new Article I "In General," Article Il "Boards; The Authority," and Article III "Vioations; Penalties; Traffic Law Exemption,"the text of which shall read as follows: "ARTICLE I: GENERAL § 5-1 STATUTORY AUTHORITY. This chapter is enacted by the City of Fort Worth("this Jurisdiction"), pursuant to Tex. Health and Safety Code § 773.051, which provides that local governments may establish standards for ambulances, and pursuant to Tex. Government Code Chapter 791, which authorizes combinations of local governmental units to contract for the provision of governmental services, Ordinance No.22613-02-2017 Page 2 of 10 including the creation of administrative agencies to promote public health and welfare. § 5-2 GENERAL PURPOSES AND INTENT OF ORDINANCE. It is the purpose of this Ordinance: (a) To establish a regulated prehospital emergency medical services and medical transportation system which can provide quality clinical care with performance measures and standards, with the goal of facilitating the best possible outcomes for each patient; (b) To establish a mobile integrated healthcare program with effective medical direction and quality assurance and review; (c) To form an administrative agency to administer and operate the prehospital emergency medical services and medical transportation system in a service area comprised of member jurisdictions and to administer and operate the mobile integrated healthcare program; (d) To designate the administrative agency as the sole-provider of emergency and non-emergency ambulance service within this jurisdiction to maintain consistent, high-quality service while controlling costs through efficiencies and economies of scale; (e) To provide for effective medical direction by establishing a multi- jurisdictional emergency physicians advisory board to advise the administrative agency's board and, through the agency's office of the medical director, to oversee and regulate all clinical aspects of prehospital emergency medical services, the administrative agency's mobile integrated healthcare program, and medical transportation which affect patient care in the service area; and (f) To provide for effective coordination and communication between first responder agencies in the service area, the emergency physicians advisory board, and the board of the administrative agency by establishing a multi jurisdictional first responder advisory board. § 5-3 DEFINITIONS. For the purposes of this Ordinance, the following words and phrases shall have the meanings respectively ascribed to them by this section: (a) Advanced Life Support. Out-of-hospital care that uses invasive medical acts (as defined in Tex. Health and Safety Code § 773.003(1). (b) Acromedical Transportation Unit. Any rotary or fixed wing aircraft providing basic or advanced life support services and patient transportation that originates within the Service Area. (c) Ambulance Mutual Aid Agreement. A written agreement between the Authority and one or more entities whereby the signing parties agree to provide backup ambulance service to one another under the terms and conditions specified in the agreement. Ordinance No.22613-02-2017 Page 3 of 10 (d) Ambulance Service. The transportation of Patients by emergency or non-emergency ambulance. (e) Associate Medical Director. A licensed physician who assists the Medical Director in carrying out EPAB's duties under this Ordinance through the OMD. (f) Authority (Metropolitan Area EMS Authority). The public administrative agency, formerly known as the Area Metropolitan Ambulance Authority, established to administer and operate the Medical Transportation and prehospital emergency medical services system and the MIH program established by this Ordinance. (g) Basic Life Support. Out-of-hospital care that uses noninvasive medical acts (as defined in § 773.003(2), Tex. Health and Safety Code). (h) Board. The Board of Directors of the Authority. (i) Emergency Care Attendant. A person certified as an "emergency care attendant"under § 773.046 of the Tex. Health and Safety Code. 0) Emergency Medical Technician (EMT). A person certified as an "emergency medical technician" under § 773.047 or an "advanced emergency medical technician" under § 773.048 of the Tex. Health and Safety Code, and any other class of EMT recognized by state law or regulation. (k) EMS Communications Center. The single facility designated by the Authority as the central communications center from which all services offered by the Authority shall be dispatched and controlled. (1) First Responder. Any agency that provides first response to requests for emergency medical services and, in cooperation with the Ambulance Service, provides immediate on-scene care to ill or injured persons but does not transport those persons to healthcare facilities. (m) Medical Director. The licensed physician appointed by EPAB who is responsible for carrying out EPAB's duties and for directing the Office of the Medical Director. (n) Medical Transportation. The transportation of Patients by ambulance, Specialized Mobile Intensive Care Unit, Specialty Care Transport, or Aeromedical Transportation Unit, including both emergency and non-emergency transports, where such transportation originates within the Service Area. (o) MIH Associate Medical Director. An Associate Medical Director who is specifically tasked with assisting the Medical Director in overseeing the clinical aspects of the Authority's MIH program. (p) Mobile Integrated Healthcare (MIH). Services provided by the Authority that are designed to enhance, coordinate, effectively manage, and integrate out of hospital care, in order to improve outcomes, enhance the client's experience of care, and improve the efficiency and effectiveness of healthcare services provided to the enrolled clients. Ordinance No.22613-02-2017 Page 4 of 10 (q) Office of Medical Director. The clinical office of the Authority through which EPAB carries out its rights and duties under this Ordinance. The Office of the Medical Director is comprised of the Medical Director, the MIH Associate Medical Director and any other Associate Medical Directors, and the employees of the Authority who are assigned to the Office of the Medical Director to assist the medical directors in carrying out EPAB's rights and duties under this Ordinance. (r) Paramedic. A person qualified as a certified or licensed "paramedic" as defined by Tex. Health and Safety Code Sections 773.049 and 773.0495. (s) Patient. An individual who is ill, sick, injured, wounded, or otherwise incapacitated, and in need of or at risk of needing medical care at the scene of a medical emergency or during transport to or from a healthcare facility. (t) Person. Any individual, firm, association, partnership, corporation, governmental entity, or other group, or a combination of the same acting as a unit. (u) Restated Interlocal Cooperative Agreement. The interlocal contract, as it may be amended from time to time, adopted by this Jurisdiction concurrently with the passage of this Ordinance pursuant to Chapter 791 of the Tex. Government Code (the Interlocal Cooperation Act). (v) Service Area. That geographical area which is contained within the boundaries of all the jurisdictions which become members of the Authority by adopting this Uniform EMS Ordinance and executing the Restated Interlocal Cooperative Agreement. (w) Special Event. Any public event located within the Service Area for which standby ambulance service is arranged in advance, and for which an ambulance is hired by the sponsor of the event or other interested party. (x) Specialty Care Transport. The transportation of a critically injured or ill patient at a level of service beyond the scope of the EMT-Paramedic when the patient's condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area; for example, emergency or critical care nursing, emergency medicine, respiratory care, cardiovascular care, or a paramedic with additional training. (y) Specialized Mobile Intensive Care Unit. A vehicle which is specially constructed, equipped, staffed, and employed in the inter-facility transport of patients whose requirements for en route medical support are likely to exceed the clinical capabilities of an Advanced Life Support ambulance. § 5-4-5-15 Reserved Ordinance No.22613-02-2017 Page 5 of 10 ARTICLE II: BOARDS; THE AUTHORITY § 5-16 EMERGENCY PHYSICANS ADVISORY BOARD (a) There is hereby created an Emergency Physicians Advisory Board ("EPAB") which, acting through the Office of the Medical Director, shall, on behalf of this Jurisdiction, oversee and regulate all clinical aspects of Medical Transportation, the Authority's MIH program, and prehospital emergency medical services in this Jurisdiction, including such services provided by the Authority and First Responders, and shall exercise independent professional judgment in all matters related to Patient care. (b) EPAB's membership and other matters relating to EPAB shall be set forth in the Restated Interlocal Cooperative Agreement and in the Bylaws adopted by EPAB. § 5-17 METROPOLITAN AREA EMS AUTHORITY By adopting this Ordinance and executing and approving the Restated Interlocal Cooperative Agreement, this Jurisdiction has joined the Authority, which shall now be known as the Metropolitan Area EMS Authority. § 5-18 POWERS AND DUTIES OF METROPOLITAN AREA EMS AUTHORITY The Authority shall have the following powers and duties: (1) The Authority is hereby designated as the sole provider of Ambulance Service and Special Event ambulance standby service within this Jurisdiction, whether directly or indirectly through contractors, pursuant to the terms, conditions and provisions of the Restated Interlocal Cooperative Agreement, except for those services exempted by Section 5-31(b). (2) The Authority shall comply with all terms of the Restated Interlocal Cooperative Agreement and have all the powers and duties enumerated therein. (3) The Authority is required to provide this Jurisdiction with Basic and Advanced Life Support Ambulance Service in accordance with system performance standards and all applicable law, rules and regulations, as well as all patient care standards that EPAB may from time to time promulgate; (4) The Authority is authorized to operate an MIH program on a non- exclusive basis in this Jurisdiction. (5) The Authority shall enter into a First Responder Agreement with this Jurisdiction and may issue, suspend, revoke, and renew permits for the delivery of First Responder services in this Jurisdiction by other agencies, subject to the credentialing process by EPAB and the Office of the Medical Director and subject to rights of appeal to the Board. Ordinance No.22613-02-2017 Page 6 of 10 (6) The Authority shall adopt standards approved by EPAB governing the operation of Specialized Mobile Intensive Care units and for Specialty Care Transport within the Service Area, including standards limiting the types of patients which may be transported thereby, and, subject to the credentialing process by EPAB and the Office of the Medical Director, may issue, suspend, revolve, and renew permits for the operation of such units as required by this Ordinance. (7) The Authority shall adopt standards approved by EPAB governing the operation of Aeromedical Transportation Units within the Service Area, including standards defining the circumstances under which such units may be deployed to emergency scenes and, subject to the credentialing process by EPAB and the Office of the Medical Director, may issue, suspend, revoke, and renew permits for the operation of such units as required by this Ordinance. (8) The Authority shall adopt standards approved by EPAB governing the provision of Special Event ambulance standby service within the Service Area and, subject to the credentialing process by EPAB and the Office of the Medical Director, may issue, suspend, revolve, and renew permits for the provision of such ambulance standby service. § 5-19 MEMBERSHIP OF METROPOLITAN AREA EMS AUTHORITY The Authority Board's membership and other matters relating to the Authority shall be set forth in the Restated Interlocal Cooperative Agreement and in the Bylaws adopted by the Authority's Board. § 5-20 FIRST RESPONDER ADVISORY BOARD (a) There is hereby created a First Responder Advisory Board ("FRAB") which shall advise and inform the Authority and EPAB on matters related to first response and prehospital emergency medical services in the Service Area. (b) The FRAB's membership and other matters relating to the board shall be set forth in the Restated Interlocal Cooperative Agreement and in the Bylaws adopted by the FRAB. § 5-21-5-30 Reserved ARTICLE III: VIOLATIONS; PENALTIES; TRAFFIC LAW EXEMPTION § 5-31 VIOLATIONS. (a) It shall be unlawful: Ordinance No.22613-02-2017 Page 7 of 10 (1) To knowingly give false information to induce the dispatch of an ambulance or Aeromedical Transportation Unit. (2) To perform duties as an ECA, EMT, Paramedic or emergency ambulance dispatcher without current credentials issued by the Office of the Medical Director, unless participating in a training program approved by Office of the Medical Director; (3) To permit a person to work as an ECA, EMT, Paramedic or emergency ambulance dispatcher without current credentials issued by the Office of the Medical Director, unless participating in a training program approved by Office of the Medical Director; (4) To use, or cause to be used, any ambulance service other than the Authority, except as permitted in subsection(b) below; (5) For any person or entity other than the Authority to provide Ambulance Service within this Jurisdiction, unless pursuant to a written agreement with the Authority; (6) For any person to provide Medical Transportation originating in the Service Area without a permit issued by the Authority; (7) For any agency to provide First Responder services without a First Responder permit issued by the Authority, unless pursuant to a First Responder Agreement with the Authority or a written automatic aid or mutual aid agreement with this Jurisdiction; (8) To use an ambulance for the transportation of persons other than in connection with the transportation of a Patient. (b) It shall be a defense to any alleged violation of this section that a vehicle is being used or service is provided solely in any of the following manners: (1) As a privately owned vehicle not ordinarily used in the business of transporting persons who are sick, injured, wounded, incapacitated or helpless; (2) Rendering service as an ambulance at the request of the EMS Communications Center upon the declaration of a disaster by this Jurisdiction, the State of Texas, or the United States; or a declaration of a major catastrophe or extreme system overload by the Chief Executive Officer of the Authority; (3) Any ambulance owned or operated by the federal or state government; (4) Ambulance mutual aid calls when rendered pursuant to an Ambulance Mutual Aid agreement approved by the Authority; (5) Special Event ambulance standby coverage, so long as such service is provided without charge by an emergency medical services volunteer provider, as defined in Tex. Health and Safety Code § 773.003(13), or the Authority has first declined to provide coverage and the entity providing coverage has been issued a permit by the Authority; (6) Wheelchair transport services for persons other than Patients, when the service is not provided by ambulance; and Ordinance No.22613-02-2017 Page 8 of 10 (7) Medical Transportation of a Patient where the transport originates outside the Service Area. § 5-32 PENALTIES. (a) Any person convicted of violating the provisions of Section 5-31 shall be guilty of a Class C misdemeanor and shall be punished by a fine not to exceed $500 (Tex. Penal Code §12.23). (b) This Section does not serve to limit any other remedies available to the Jurisdiction in law or equity. (c) Each violation of this Ordinance shall constitute a separate offense. § 5-33 TRAFFIC LAWS; EXEMPTION. When the driver of an emergency medical response vehicle has reasonable grounds to believe that an emergency exists, as determined by the EMS Communication Center, the vehicle shall be treated as an "authorized emergency vehicle" within the meaning of Chapter 546 of the Tex. Transp. Code and shall be exempt from traffic laws as provided therein. § 5-34-5-39 Reserved" SECTION 2. This ordinance shall be cumulative of all provisions of ordinances of the Code of the City of Fort Worth, Texas (2015), as amended, except where the provisions of this ordinance are in direct conflict with the provisions of such ordinances and such Code, in which event conflicting provisions of such ordinances and such Code are hereby repealed. SECTION 3. It is hereby declared to be the intention of the City Council that the phrases, clauses, sentences, paragraphs and sections of this ordinance are severable, and, if any phrase, clause, sentence, paragraph or section of this ordinance shall be declared unconstitutional by the valid judgment or decree of any court of competent jurisdiction, such unconstitutionality shall not affect any of the remaining phrases, clauses, sentences, paragraphs and sections of this ordinance, since the same would have been enacted by the City Council without the incorporation in this ordinance of any such unconstitutional phrase, clause, sentence,paragraph or section. SECTION 4. All rights and remedies of the City of Fort Worth, Texas, are expressly saved as to any and all violations of the provisions of the Code of the City of Fort Worth, or any other ordinances of the City, that have accrued at the time of the effective date of this ordinance; and, Ordinance No.22613-02-2017 Page 9 of 10 as to such accrued violations and all pending litigation, both civil and criminal, whether pending in court or not, under such ordinances, same shall not be affected by this ordinance, but may be prosecuted until final disposition by the courts. SECTION 5. Any person convicted of violating the provisions of the Code of the City of Fort Worth Section 5-31 as enacted by this Ordinance shall be guilty of a Class C misdemeanor and shall be punished by a fine not to exceed $500 (Tex. Penal Code §.12.23). This Section does not serve to limit any other remedies available to the Jurisdiction in law or equity. Each violation of this Ordinance shall constitute a separate offense. SECTION 6. The City Secretary of the City of Fort Worth, Texas is hereby directed to publish the caption, penalty clause and effective date of this ordinance for two (2) days in the official newspaper of the City of Fort Worth, Texas, as authorized by Texas Local Government Code, Section 52.013. SECTION 7. All other provisions of Chapter 5 of the Code of the City of Fort Worth, as amended, shall remain in full force and effect, save and except as amended by this ordinance. SECTION 8. This ordinance shall take effect upon adoption and publication as required by law, and it is so ordained. APPROVED AS TO FORM AND LEGALITY: ATTEST: 1f �� ]Leann Guzman,Assi ant City Attorney Mary J. s , C' Swcretary ADOPTED: February 21, 2017 EFFECTIVE: rn SDI / Ordinance No.22613-02-2017 Page 10 of 10 City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION: Approved on 2/21/2017 - Ordinance No. 22613-02-2017 DATE: Tuesday, February 21, 2017 REFERENCE NO.: **C-28120 LOG NAME: 36MEDSTARORDINANCEINTERLOCALAGREEMENT SUBJECT: Adopt Uniform Emergency Medical Services Ordinance and Authorize Execution of the Restated Interlocal Cooperative Agreement for Ambulance Services By the Metropolitan Area Emergency Medical Services Authority d/b/a Medstar (ALL COUNCIL DISTRICTS) RECOMMENDATION: It is recommended that the City Council: 1. Adopt the attached Uniform Emergency Medical Services Ordinance; and 2. Authorize the execution of the Restated Interlocal Cooperative Agreement to be entered into with qualifying local governmental entities for ambulance services to be provided by the Metropolitan Area Emergency Medical Services Authority d/b/a Medstar, an administrative agency, in substantial form to the attached Agreement. DISCUSSION: In 1988, an administrative agency was created, pursuant to Sec. 791.013 of the Interlocal Cooperation Act through an interlocal cooperation agreement, called the Area Metropolitan Ambulance Authority d/b/a Medstar, to ensure the provision of ambulance service to the City of Fort Worth. In December 1998, the City entered into a Council-approved Restated Emergency Medical Services Interlocal Agreement (M&C C-17191) to further define the Authority's term of existence, makeup of the Board of Directors, requirements for Authority membership, financial responsibilities and the Authority's duties and powers. Until 2005, Medstar provided ambulance service through a contractor, then due to contractor default Medstar took over the direct operation of the ambulance service. It is now necessary to update the previous interlocal agreement with a Restated Interlocal Cooperative Agreement ("ILA") and to adopt a new Uniform EMS Ordinance ("Ordinance"). Primary terms of the Ordinance and ILA include: -A shift to more clearly develop and enhance the original "system" approach to medical transportation and out of hospital emergency medical services. With this in mind, the Authority Board has authorized a name change from the "Area Metropolitan Ambulance Authority" to the "Metropolitan Area EMS Authority" ("MAEMSA"). - The First Responders of member jurisdictions will be fully integrated into the system through the establishment of a First Responder Advisory Board ("FRAB")that will inform and advise the Authority Board. The FRAB will also have two ex officio non-voting seats on the Authority Board. The First Responders will participate in a standing system performance task force with the Emergency Physicians Advisory Board (EPAB) and the Authority's Executive Team. The task force will develop performance goals and standards for all aspects of the system and make annual recommendations of the same to the Logname: 36MEDSTARORDINANCEINTERLOCALAGREEMENT Page I of 3 Authority Board. The task force will also continually monitor and address performance improvement opportunities and make recommendations to modify performance goals where appropriate. •Additional clarity regarding the relationship between EPAB and the Authority to better reflect recent changes to the organizational structure agreed upon by EPAB and the Board. EPAB will continue to exercise medical oversight of medical transportation and prehospital emergency care through the Medical Director and the Office of the Medical Director, using the Authority's legal authority. The Authority will directly fund EPAB and the Office of the Medical Director in lieu of the per transport fee used in the past. The Authority and EPAB will each have a voting member on the other's board. • The Authority maintains its status as the direct provider of ambulance services but continues to have the discretion to use a subcontractor should the member jurisdictions so choose through their representatives on the Authority Board. • The Authority will continue its current practices that enhance fiscal and operational transparency, including independent financial audits on a yearly basis. EPAB and the Office of the Medical Director will be part of the Authority budget and financial reports. • The member cities continue to have discretion in providing subsidies to the Authority. The subsidy may be in any amount, with no subsidy as a required option in the Interlocal Agreement. • The Authority's voting board seats will remain at their current number because that distribution continues to reflect the population ratio among the member jurisdictions. The Board is empowered to add additional voting seats in connection with the admission of new member jurisdictions, but only if population proportionality is maintained. Any other change in voting members requires unanimous member consent. • The previous provisions requiring capital contributions for joining the Authority have been removed. A current member jurisdiction withdrawing due to the Authority's failure to provide adequate service to that jurisdiction (a "for cause"withdrawal) will continue to be entitled to a pro rata share of the net worth of the Authority, as defined in the revised Interlocal Agreement. • The Authority will provide mobile integrated healthcare. The Authority is currently providing a number of programs under this service, including 911 Nurse Triage and Home Health Partnership, and it will continue to do so. • The Ordinance continues to carry a penalty of a Class C Misdemeanor for violations thereof. Under the Ordinance, it is unlawful, among other things, to knowingly give false information to induce the dispatch of an ambulance or to use or cause to be used any ambulance service other than the Authority (except in an expressly authorized manner). If found guilty of a Class C Misdemeanor for a violation as set out in the Ordinance, a person shall be punished by a fine not to exceed $500 per violation. This contract will be with a governmental entity, state agency or public institution of higher education: Other local governments. FISCAL INFORMATION /CERTIFICATION: The Director of Finance certifies that approval of the above recommendation will not result in any impact to the Fiscal Year 2017 Budget. Logname: 36MEDSTARORDINANCEINTERLOCALAGREEMENT Page 2 of 3 FUND IDENTIFIERS (FIDS): TO Fund Department ccoun Project �Programl,&ctiivity Budget Reference # moun ID ID Year (Chartfield 2) FROM Fund Department ccoun Project Program ctivity Budget Reference # moun ID ID Year (Chartfield 2) CERTIFICATIONS: Submitted for City Manager's Office by: Valerie Washington (6199) Originating Department Head: Rudy Jackson (6801) Additional Information Contact: Mark Rauscher (6803) Logname: 36MEDSTARORDINANCEINTERLOCALAGREEMENT Page 3 of 3