HomeMy WebLinkAboutContract 40734CITY SECRETARY CONTRACT NO. 401 3
American Red Cross Authorized Provider Agreement
This Authorized Provider Agreement ("Agreement") is between
Chisholm Trail Chapter
(The "Chapter")
and
City of Fort Worth
(The "Authorized Provider" or "AP")
The Chapter is a unit of the American National Red Cross, a not -for -profit corporation chartered by an act
of U.S. Congress, the principal place of business of which is located at 1515 South Sylvania Avenue
Forth Worth, Texas 76111, and among other things, provides instructor education on topics such as first
aid, cardiopulmonary resuscitation ("CPR"), automated external defibrillators ("AED"), aquatics, water
safety, HIV/AIDS prevention education, mission -related caregiving and other health and safety education
programs.
The principle place of business of the AP is located at 1000 Throckmorton Street, Fort Worth, Texas
76102; the term AP shall include City of Fort Worth officers, agents, employees, and authorized
representatives.
The Chapter desires to work with the AP to provide American Red Cross training in the jurisdiction set
forth in Section 4 below.
In consideration of the statements, terms and conditions contained within this Agreement, the Chapter and
the AP (the "Parties"), intend to be bound by this Agreement and agree to the following:
1.0 Responsibilities of the Chapter:
The Chapter shall:
1.1 Support the health and safety education of the AP's employees, members, and/or clients in the
AP's provision of American Red Cross training Courses ("Courses") at the fees set forth in
Appendix A ("Fees"). The guaranteed Fees set forth in Appendix A shall include record keeping,
certificate processing, administration, promotional assistance, and support services. Any
Additional Services ("Additional Services") may be available for additional fees as outlined in
Appendix A. Fees in Appendix A may change pursuant Section 3.0.
1.2 Train all potential instructors from the AP to teach the Courses at the training fees ("Training
Fees") set forth in Appendix A so long as such instructors meet the American Red Cross training
prerequisites. These potential instructors shall be authorized as American Red Cross Health and
Safety instructors upon successful completion of the training and upon signing an Agreement to
teach the Courses. A complete list of the AP's instructors is set forth in Appendix B, which shall
be unilaterally modified by the Chapter in the event instructors are added or deleted. Fees in
Appendix A may change pursuant Section 3.0.
1.3 Upon request and depending on availability: (a) subject to Paragraph 2.10, use best efforts to
provide the AP with equipment that the AP does not possess which is necessary for an instructor
to provide the Course(s) as listed, and at the rental fees, set forth in Appendix A ("Equipment and
American Red Cross Authorized Provider Agreement I OFFICIAL RECORD
1 CITY SECRETARY
FT. WORTH, TX
08-23-1 0 A i1.1_; : 52 I N
Supplies"); and (b) provide the Course Materials ("Course Materials") and Instructor Materials
("Instructor Materials") as set forth in Appendix A If the fees in Appendix A change, the Chapter
will notify the AP a minimum of 90 days prior to implementation Fees in Appendix A may
change pursuant Section 3.0.
1.4 Maintain all Course Records ("Course Record") provided to the Chapter by an instructor for a
period of five (5) years following the date of the Course.
1.5 Support and evaluate the instructors by providing them with the following: (a) Applicable
policies and procedures and any revisions or modifications thereto; (b) Upon expiration of an
instructor's authorization, reauthorize such instructors so long as such instructors meet American
Red Cross reauthorization requirements; and (c) Opportunities for volunteer and professional skill
development with the Chapter.
1.6 Provide invoice to the Authorized Provider within 15 days (unless otherwise specified in
Appendix A) for the fees related to the Courses, equipment rental, Course/Instructor Materials,
Additional Services, and the training and retraining of Course Participants ("Course Participants")
as set forth in Paragraph 1.9 below.
1.7 Verify all instructor authorizations and notify the AP in the event an instructor is no longer
authorized to teach Courses.
1.8 Throughout the term of this Agreement (as defined in Paragraph 5.1), maintain a close and
ongoing supportive relationship with the AP and its instructors by contacting the AP a minimum
of two times per year. Contact for a National Account Network AP is quarterly.
1.9 If during any phase of evaluation, the training conducted by an AP's instructor is found to be
below minimum American Red Cross standards for that Course and the Chapter determines that
retraining is required for the Course Participants who attended the sub -standard Course, the
retraining will be conducted by the Chapter. The AP will be responsible for the cost of reti aining
as outlined in Paragraph 2.4. The Chapter will invoice the AP for the cost of the training at the
amount equal to the published full -service contract price minus the cost of any books and
materials the Course Participants already have The Chapter also reserves the right to suspend or
withdraw the authorization of an instructor for due cause.
For purposes of this Paragraph 1.9, 'due cause" means that the instructor does not or will not
abide by the standards, policies, and procedures of the Red Cross and its programs or in some
way abuses the position of an authorized Red Cross instructor. Examples of due cause include —
a. An instructor refuses to teach a nationally standardized Course according to the guidelines
and Course requirements or is found to be deficient in either knowledge or performance
skills.
b. An instructor falsifies records or provides false information to the Chapter.
c. An instructor consistently fails to communicate his or her teaching activity in an appropriate
way to the Chapter (e.g. does not notify the Chapter when a Course is to be taught, does not
process Course Record forms within 10 working days, and so forth).
An instructor exhibits behavior inconsistent with standards established and agreed to in the
Instructor Agreement and expected of a Red Cross instructor (as indicated by repeated poor
evaluations from participants) or behaves in ways that Course Participants find offensive or
insulting (e.g., making sexual advances or telling racially, socially, or sexually insensitive
jokes).
e. An instructor behaves in ways that do not reflect support (i.e. derogatory sentiments, anti -Red
American Red Cross Authorized Provider Agreement
2
Cross comments, etc.) for the American Red Cross as an organization and that, in fact, could
harm the public perception of the American Red Cross in the community.
f. An instructor is convicted of a violent or serious crime, such as sexual molestation,
embezzlement, assault, or any crime that calls into question his or her teaching or leadership
responsibilities.
These examples follow are by no means exhaustive. Each case is reviewed individually, taking
into account all relevant circumstances.
1.10 Designate Authorized Provider Program Coordinator, as a representative of the Chapter to act as
a point of contact to the AP ("Chapter Representative") at the address and telephone number set
forth in Section 7 below and notify the AP within 30 days if a different Chapter Representative is
designated.
1.11 Unless otherwise indicated on the Course Record arrange for completed Course certificates to be
delivered to the AP at the address set forth in Section 7 within ten (10) business days after receipt
of a properly completed Course Record from the AP's instructor.
1.12 As needed and upon request, provide the AP with any American Red Cross promotional materials
for use by the AP in promoting the Courses.
2.0 Responsibilities of the AP:
The AP shall:
2.1 Identify qualified instructor candidates to be trained and authorized as instructors and inform the
Chapter when it becomes aware of any modifications that should be made to Appendix B.
2.2 Support each instructor's compliance with American Red Cross policies and procedures by
ensuring that such Instructors (a) Are available to participate in periodic training, retraining or
other related events throughout the Term to gain and maintain sufficient levels of skill,
knowledge and understanding to conduct the Courses; (b) Supply only American Red Cross
Course Materials for use during the Courses, (c) Provide visual identification of the American
Red Cross name and emblem during the Courses using materials provided or approved by the
Chapter; and (d) Submit properly completed Course Records and Course evaluation forms to the
Chapter within ten (10) business days of Course completion unless special arrangements are
made with the Chapter
2.3 With respect to the Course Participants: (a) Notify Course Participants that they will be
participating in American Red Cross Courses in accordance with American Red Cross standards;
(b) In advance of each Course, provide Course Participants with information about Course
prerequisites, completion requirements, and other necessary information, (c) Ensure that Course
Records are forwarded to the Chapter by the instructors so that the Chapter can prepare American
Red Cross certificates for Course Participants who have successfully met the Course
prerequisites, objectives, and certification requirements receive.
2.4 Reimburse the Chapter for retraining of Course Participants conducted pursuant to Paragraph 1.9.
The cost of the retraining will be at the amount equal to the published full -service contract price
minus the cost of any books and materials the Course Participants may already have.
2.5 Provide payment to the Chapter within 20 days of receipt of an invoice from the Chapter (unless
American Red Cross Authorized Provider Agreement
3
otherwise specified in Appendix A).
2.6 Provide to the Chapter the names and copies of the authorizations of any previously authorized
Red Cross instructors who are new to the AP at least ten (10) days before the instructor teaches a
Course in order for the Chapter to ensure that such instructor is qualified to be the instructor.
2.7 Notify the Chapter of dates, times, and locations for each Course at least 15 days before the
Course start date.
2.8 Refrain from revising, editing, or duplicating any materials, in whole or in part for any purpose,
including, but not limited to Course videos, unless specifically approved in writing by the
American National Red Cross. Requests for any modifications to the materials are to be
channeled through the Chapter. The AP understands and agrees that all promotional materials
must be provided by the Chapter, or approved by the Chapter in advance of publication.
2.9 Obtain the materials in quantities sufficient for each Course Participant to have and retain his or
her own copy. Course workbooks, textbooks and/or skills cards cannot be used for more than one
Course Participant unless permission to do so is granted by the Chapter in writing Authorized
Providers conducting training in more than one Red Cross Chapter jurisdiction will not be granted
rights to reuse workbooks, textbooks and/or skills cards for more than one Course Participant.
2.10 Maintain responsibility for the equipment and promptly return such equipment to the Chapter in
the same condition the equipment was received by the AP The AP shall be responsible for the
cost of any damage (excluding reasonable wear and tear) to such equipment while in the
possession of the AP. Upon receipt and inspection of the equipment, the AP shall report to the
Chapter any equipment in need of service, repair, or replacement.
2.11 Red Cross insurance does not extend to the AP or its instructors. Therefore, it is the
responsibility of the AP to obtain adequate insurance or maintain adequate self-insurance
retention to cover its operations and Course instruction.
2.12 Designate William Armstrong, Safety Coordinator, as a representative of the AP to act as a point
of contact to the Chapter at the address and telephone number set forth in Section 7 below and
notify the Chapter within 30 days if a different individual is designated In the event the AP has
multiple facilities, the individuals set forth in Appendix C shall serve as additional points of
contact.
2.13 Provide classrooms and other facilities to teach the Courses that are safe, conducive to learning
and meet the minimum space requirements as set forth in the Instructor Materials . The AP shall
allow the Chapter Representative or a designee to inspect the AP's real and personal property
used for teaching the Courses and to perform random observations of the instructors during the
provision of Courses.
2.14 Submit any literature or materials using the name and/or emblem of the American Red Cross to
the Chapter for written approval before printing or distribution of such literature or materials.
2.15 Encourage its instructors to provide volunteer services for the American Red Cross.
3.0 Chapter Fees:
The Chapter reserves the right to change the Fees contained in Appendix A at its sole discretion
American Red Cross Authorized Provider Agreement
4
effective as of the ensuing January 1. The Chapter will notify the AP a minimum of 90 days prior
to the effective date of any such Fee changes. As part of this notice, the Chapter will provide the
AP with a new Appendix A If the AP does not agree to the Fee changes, it has the tight to
terminate the Agieement pursuant to Section 5 Changes to Appendix A will not effect any other
provisions contained within this Agreement
4.0 Jurisdiction of Agreement:
This Agreement is limited to the geographical jurisdiction of the American Red Cross Chapter(s)
and at the locations set forth below:
Chapter
Geographical
Jurisdiction
(County,
City, State)
Johnson,
Hood,
Parker,
Tarrant,
Wise,
Fort
Worth,
Texas
Chisholm
Trail
Chapter
Abilene
Branch
Stonewall,
Haskell,
Throckmorton,
Fisher,
Jones
Shackelford,
Stephens,
Nolan,
Taylor,
Callahan,
Eastland,
Comanche
San Angelo
Branch
Coke,
Runnels,
Coleman,
Schleicher,
Tom Green, Concho
5.0 Term and Termination:
5.1 This Agreement shall cover services rendered between September 1, 2010, and December 31,
2011, unless this Agieement is otherwise terminated sooner in accordance with this Section 5 (the
"Tei in"). This Agreement may be extended for additional one-year periods by execution of a
written addendum executed by both Parties
5.2 At any time, either Party may terminate this Agreement by providing the other Party with thirty
(30) days' written notice.
5.3 Upon termination of this Agreement, the obligations of both Parties, including, but not limited to
the provision of payment, shall remain in effect until all previously scheduled Courses are
completed.
5.4 The provisions of Sections 6, 7, 8, 12 and this Paragraph 5.4 shall survive the termination or
expiration of this Agreement.
6.0 Limitation of Liability:
Notwithstanding anything in this Agreement to the contrary, neither Party shall be liable to the
other for any loss or damage arising as a result of breach, non-performance or partial performance
of its obligations under this Agreement due to any cause beyond that Party's reasonable control
and without its fault or negligence.
7.0 Notices:
All notices (including appendices that each Party is required to give to the other Party) shall be
given to each of the Parties in writing and delivered by certified U.S first-class mail, return
receipt requested, to the to the names and addresses as follows:
If to the Chapter:
Chapter Name: Chisholm Trail Chapter
Address: 1515 South Sylvania Avenue Fort Worth , Texas 76111
American Red Cross Authorized Provider Agreement
5
Attic:
Phone Number:
Fax Number:
E-mail Address:
If to the AP:
AP Name:
Address:
Attn:
Phone Number:
Fax Number:
E-mail Address:
Authorized Provider Program Coordinator
817-335-9137 extension 215 or 817-336-8710 ext.3
817-870-2248
courserecordsTC@usa.redcross.org
City of Fort Worth, Occupational Health & Safety Division
1000 Throckmorton Street, Fort Worth, Texas 76102
William Armstrong, Safety Coordinator
817-392-8414
817-392-8526
william.armstrong@fortworthgov.org
8.0 Confidentiality and Trade Names.
8.1 Subject to the limitations expressed herein, each Party will not make any voluntary disclosures of
information regarding the provisions of this Agreement without the express written consent of the
other, except to employees or consultants who agree to be bound by the terms of this Agreement
and will take all reasonable steps to maintain confidentiality. The Chapter understands and
acknowledges that the AP is a public entity under the laws of the State of Texas, and as such, the
following information is subject to disclosure under Chapter 552 of the Texas Government Code,
the Texas Public Information Act (the "Act") - 1) all documents and data held by the City,
including this Agreement and information obtained from the Chapter and 2) information held by
the Chapter for or on behalf of the AP that relates to the transaction of AP's business and to which
the AP has a right of access. If the AP receives a request for any documents that may reveal any
of Chapter's proprietary information under the Act, or by any other legal process, law, rule, or
judicial order by a court of competent jurisdiction, the AP will utilize its best efforts to notify
Chapter prior to disclosure of such documents. The AP shall not be liable or responsible in any
way if disclosure is required by the Act or any other applicable law or court order. In the event
there is a request for such information, it will be the responsibility of the Chapter to submit
reasons objecting to disclosure. A determination on whether such reasons are sufficient will not
be decided by the AP but by the Office of the Attorney General of the State of Texas or by a
court of competent jurisdiction.
8 2 Each Party recognizes that the name, logo and marks of the other Party represent valuable assets
of that Party and that substantial recognition and goodwill are associated with such assets. Each
Party hereby agrees that neither it nor any of its affiliates shall use the other Party s name, logo or
marks without prior written authorization from such other Party.
8.3 This Agreement grants no rights in any of the American Red Cross or Chapter's Courses or
Course Materials or other intellectual property to the AP
9 0 Entire Agreement and Amendments:
9.1 Concerning the subject matter hereof, this Agreement (including all appendices and exhibits)
constitutes the entire understanding between the Parties and supersedes all prior agreements and
undertakings, both written and oral, between the Parties.
9 2 This Agreement shall not be amended or otherwise modified unless both of the Parties
affirmatively agree to such amendment and/or modification in writing
American Red Cross Authorized Provider Agreement
6
10.0 Severability:
In the event any provision of this Agreement is held invalid, illegal or unenforceable (any such
provision, an "Invalid Provision") in any Jurisdiction, the validity, legality and enforceability of
the remaining provisions shall not in any way be affected or impaired The Parties shall promptly
negotiate in good faith a lawful, valid and enforceable provision to replace the Invalid Provision.
This new provision must be as similar in terms to the Invalid Provision as may be possible in
order to keep with the intention of the original Agreement
11.0 Exculpatory Clause:
It is understood and agreed that wherever in this Agreement the term "Chapter" is used it shall
mean the Chapter(s) of The American National Red Cross set forth in Section 4; that said
Chapter(s) are duly constituted local unit of The American National Red Cross a federal
instrumentality (36 U.S. Code 1 et seq.); and that all obligations of the 'Chapter" under this
Agreement shall be undertaken and completed exclusively by said Chapter(s) without resort in
any event to, or commitment of, the funds and property of the American National Red Cross or
any unit thereof other than the Chapter(s).
12.0 Independent Contractors:
Each of the Parties shall be furnishing its services hereunder as an independent contactor, and
nothing herein shall create any association, partnership or joint venture between the Parties or an
employer -employee relationship. No agent, employee or servant of either Party shall be or shall
be deemed to be, the employee agent or servant of the other Party, and each Party shall be solely
and entirely responsible for its acts and the acts of its agents, employees and servants.
13.0 Assignment and Subcontracting:
This Agreement shall not be assigned in whole or in part, and no Party shall delegate or subcontract all or
part of its duties under this Agreement without the prior written consent of the other Party.
IN WITNESS WHEREOF, the Parties hereto, acting through their duly authorized officers, have
executed this Agreement as of the Effective Date.
SIGNATURE PAGE FOLLOWS.
American Red Cross Authorized Provider Agreement
7
CHAPTER
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ORIZED
PROVIDER
REPRESENTATIVE
REPRESENTATIVE
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Karen
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Ginny
Montgomery
Provider
Program
Assistant
City
Manager
TITLE:
Authorized
Coordinator
817-392-6222
PHONE
NUMBER:
817-928-1321
817-870-2248
817-392-6134
FAX
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karen.montgomery(fortworthgov.org
E-MAIL:
montgomeryg@usa.redcross.org
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American Red Cross Authorized Provider Agreement
8
APPENDIX A
COURSES, EQUIPMENT, MATERIALS AND FEES
A. Courses: Be Red Cross Ready; Swimming and Water Safety; Lifeguarding; Safety Training
for Swim Coaches; Basic Water Rescue; Aquatic Examiner Service; First Aid for Youth; First
Aid/CPR/AED for the Workplace, Schools and the Community; First Aid — Responding to
Emergencies; Blended Learning First Aid/CPR/AED; CPR/AFi,D for the Professional Rescuer;
Administering Emergency Oxygen; Bloodborne Pathogens Training/PDT, When Help Is
Delayed and Wilderness First Aid; Sport Safety Training; Emergency Response; Pet First Aid;
Pandemic Flu; Babysitter's Training• Nurse Assistant Training; Family Caregiving; Scrubby
Bear; and Preparedness Training System.
B. Equipment and Supplies:
Per
Rental Fee
Equipment
See Attachment
A
(
Course
Registration
/Material
Rental
Form)
C. Course/Instructor Materials:
Item
Number
Cost
Unit
Description/Stock
See Attachment
A
(Course
Registration /Material
Rental
Form)
D. Training Fees:
Unit
Fee
Fee
Description
7.00
Per student
Authorized
Provider
Fees
per enrolled
student
12.00
Per student
Authorized
Provider
Fee and
Blended
Learning
per enrolled
student
learning
17.00
Per student
Authorized
Provider
Fee and
Blended
per enrolled
student
with
chapter
handling
the
student
data
entry
set-up
American Red Cross Authorized Provider Agreement
9
APPENDIX B
INSTRUCTORS
Name
Contact Information
Chapter of
Current
including
Authorization
Instructor
address, and
Authorization
phone
mail
Endsley,
Sheri
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
AF
D
c/o
&
1000
Safety
Occupational
Throckmorton
Division
Health
St.
Fort
Worth,
TX 76102
Garcia,
Eduardo
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
AED
c/o
&
Safety
Occupational
Division
Health
1000
Throckmorton
St.
Fort
Worth,
TX 76102
Armstrong,
William
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
c/o
&
Safety
Occupational
Division
Health
AED
1000
Throckmorton
St.
Fort
Worth,
TX 76102
Bianchini,
Anthony
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
Health
AED
c/o
&
Safety
Occupational
Division
1000
Throckmorton
St.
Fort
Worth,
TX 76102
Brannan,
Brandi
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
c/o
&
Safety
Occupational
Division
Health
AED
1000
Throckmorton
St.
Fort
Worth,
TX 76102
Lacy, Adrienne
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/ ,
c/o
Occupational
Health
AED
& Safety
Division
1000
Throckmorton
St.
Fort
Worth,
TX 76102
Debusk,
Derek
City
of
Fort Worth
Chisholm
Trail
First
Aid
/
CPR
/
AED
c/o
& Safety
Occupational
Division
Health
1000
Throckmorton
St.
Fort
Worth,
TX 76102
American Red Cross Authorized Provider Agreement
to
Hixon,
Derek
City
of
Fort Worth
Chisholm
Trail
First Aid
/
CPR
/
c/o
&
Safety
Occupational
Division
Health
AED
1000
Throckmorton
St.
Fort
Worth,
TX
76102
Phillips,
Johnny
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
AED
c/o
&
Safety
Occupational
Division
Health
1000
Throckmorton
St.
Fort
Worth,
TX
76102
Karnes,
Cathey
M.
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
c/o
&
Safety
Occupational
Division
Health
AED
1000
Throckmorton
St.
Fort
Worth,
TX
76102
Senter,
Derek
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
AED
c/o
&
1000
Safety
Occupational
Throckmorton
Division
Health
St.
Fort
Worth,
TX
76102
Stuhmer,
Karen
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
c/o
&
Safety
Occupational
Division
Health
AED
1000
Throckmorton
St.
Fort
Worth,
TX
76102
Taegal,
Michael
City
of
Fort
Worth
Chisholm
Trail
First Aid
/
CPR
/
AED
c/o
&
Safety
Occupational
Division
Health
1000
Throckmorton
St.
Fort
Worth,
TX 76102
Turpen,
Gwynne
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
c/o
Occupational
Health
AED
&
Safety
Division
1000
Throckmorton
St.
Fort
Worth,
TX 76102
Wentt,
Michael
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
Health
AED
c/o
&
Safety
Occupational
Division
1000
Throckmorton
St.
Fort
Worth,
TX 76102
Vokes,
Charles
M.
City
of
Fort Worth
Chisholm
Trail
First
Aid
/
CPR
/
c/o
&
Safety
Occupational
Division
Health
AED
1000
Throckmorton
St.
Fort
Worth,
TX 76102
American Red Cross Authorized Provider Agreement
11
Winkler,
Karen
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
AED
c/o
&
1000
Safety
Occupational
Throckmorton
Division
Health
St.
Fort
Worth,
TX 76102
Lasiter,
Russell
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
c/o
& Safety
Occupational
Division
Health
AED
1000
Throckmorton
St.
Fort
Worth,
TX 76102
Rowland,
Lee
City
of
Fort
Worth
Chisholm
Trail
First
Aid
/
CPR
/
c/o
&
Safety
Occupational
Division
Health
AED
1000
Throckmorton
St.
Fort
Worth,
TX 76102
Morrison,
Jack
City
of
Fort
Worth
Chisholm
Trail
First Aid
/
CPR
/
c/o
& Safety
Occupational
Division
Health
AED
1000
Throckmorton
St.
Fort
Worth,
TX 76102
Ritzhaupt,
Alex
City
of
Fort
Worth
Chisholm
Trail
First Aid
/
CPR
/
AED;
Lifeguard;
c/o
Occupational
Health
1000
&
Safety
Throckmorton
Division
St.
Water Safety;
Fort
Worth,
TX 76102
American Red Cross Authorized Provider Agreement
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APPENDIX C
MULTIPLE FACILITY CONTACTS
Riverside Community Center
3700 Belknap Street
Fort Worth, TX 76111
Ellis, Whitney
817-871-7670
817-831-3203
whitney. ellis@fortwort
hgov.org
American Red Cross Authorized Provider Agreement
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Attachment A (Course Registration /Material Rental Form)
Equipment Rental Record
all rental fees are per item for 3 business days
Item
Stock
#
# needed
Price
Cost
$10.00
VHS
$25
00
DVD
$50.00
DVD
-
Lifeguard
Adult
Manikin
$8.00
Infant
Manikin
$8.00
$2.00
Extra
Faces
$4.00
BVM
$10.00
AED
Trainer
$15.00
Backboard
$5.00
Diving
Brick
$5.00
Rescue
Tube
$7.00
Regular
Course
Fees
$12
00
Blended
Learning
Fees
Other
(list):
Manuals/Skill Cards/Retail Items
Item
Stock
#
# needed
Price
Cost
$0.63
Extra
Adult
Lungs
$0.63
Extra
Infant
Lungs
656694
$2 50
FA/CPR/AED
Workplace
WB
656691
$7 25
Adult
CPR/AED
Skills
Card
$6.99
656692
First
Aid
Skills
Card
$7 25
656695
Infant
&
Child
CPR
Skills
Card
652145
$15.99
Man.
FA/CPR/AED
Community
$1
25
Kit
First
Aid
Training
Kit
$1.75
First
Aid/CPR
Combo
Trng.
$0.50
CPR
Training
Kit
Other
(List):
American Red Cross Authorized Provider Agreement
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