HomeMy WebLinkAboutContract 61987CSC No. 61987
FORT WORTH,
VENDOR SERVICES AGREEMENT
This VENDOR SERVICES AGREEMENT ("Agreement") is made and entered into by and
between the CITY OF FORT WORTH ("City"), a Texas home rule municipal corporation, acting by and
through its duly authorized Assistant City Manager, and *ITCH & ASSOCIATES, LLC, a Delaware
Limited Liability Company ("Vendor"), and acting by and through its duly authorized representative, each
individually referred to as a "party" and collectively referred to as the "parties."
WHEREAS, on October 31, 2023, the Fort Worth City Council approved an agreement with
Vendor for an Emergency medical Services ("EMS") comprehensive study, by and through M&C 23-0929;
WHEREAS, Vendor provided services related to the EMS study including, conferring with City
staff, conducting research, participating in stakeholder meetings, and attending meetings of the City's Ad
Hoc EMS Advisory committee;
WHEREAS, the study resulted in the presentation of various options for the delivery of EMS
Services and the Fort Worth City Council chose the option of a fire -based delivery model;
WHEREAS, implementation of the fire -based delivery model will take time and careful planning
and the City requires Vendor's assistance in the process; and
WHEREAS, on April 23, 2024, by and through M&C 24-034, the Fort Worth City Council
authorized a professional services agreement with Vendor for the implementation of the study's findings
and the City's transition to a fire -based EMS delivery model.
1. Scope of Services. Vendor will provide the City with implementation and EMS delivery
transition services related to: fine tuning the delivery model, operationalizing the current services with IFT
services; the EMS System governance structure; the office of the medical director; marketing; EMS service
leadership and recruiting; communications; compliance; licensure; fleet; logistics; inventory and assets;
personnel; and other support and guidance as may be required; additionally Vendor will provide on -site
management services through July 1, 2024 ("Services"), all of the Services referenced above are set forth
in more detail in Exhibit "A," attached hereto and incorporated herein for all purposes.
2. Term. The initial term of this Agreement is for one year(s), beginning on the date that this
Agreement is executed by the City's Assistant City Manager ("Effective Date"), unless terminated earlier
in accordance with this Agreement ("Initial Term"). City will have the option, in its sole discretion, to
renew this Agreement under the same terms and conditions, for up to one one-year renewal option(s) (each
a "Renewal Term").
3. Compensation.
3.1 Total compensation under this Agreement will not exceed $400,000.00.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
3.2 City will pay Vendor in accordance with the Prompt Payment Act (Chapter 2251
of the Texas Government Code) and provisions of this Agreement, including Exhibit "A,"
which is attached hereto and incorporated herein for all purposes.
3.3 Vendor will not perform any additional services or bill for expenses incurred for
City not specified by this Agreement unless City requests and approves in writing the
additional costs for such services. City will not be liable for any additional expenses of
Vendor not specified by this Agreement unless City first approves such expenses in
writing.
4. Termination.
4.1. Written Notice. City or Vendor may terminate this Agreement at any time and for
any reason by providing the other party with 30 days' written notice of termination.
4.2 Non-abbroariation of Funds. In the event no funds or insufficient funds are
appropriated by City in any fiscal period for any payments due hereunder, City will notify Vendor
of such occurrence and this Agreement will terminate on the last day of the fiscal period for which
appropriations were received without penalty or expense to City of any kind whatsoever, except as
to the portions of the payments herein agreed upon for which funds have been appropriated.
4.3 Duties and Obligations of the Parties. In the event that this Agreement is
terminated prior to the Expiration Date, City will pay Vendor for services actually rendered up to
the effective date of termination and Vendor will continue to provide City with services requested
by City and in accordance with this Agreement up to the effective date of termination. Upon
termination of this Agreement for any reason, Vendor will provide City with copies of all
completed or partially completed documents prepared under this Agreement. In the event Vendor
has received access to City Information or data as a requirement to perform services hereunder,
Vendor will return all City provided data to City in a machine readable format or other format
deemed acceptable to City.
5. Disclosure of Conflicts and Confidential Information.
5.1 Disclosure of Conflicts. Vendor hereby warrants to City that Vendor has made full
disclosure in writing of any existing or potential conflicts of interest related to Vendor's services
under this Agreement. In the event that any conflicts of interest arise after the Effective Date of this
Agreement, Vendor hereby agrees immediately to make full disclosure to City in writing.
5.2 Confidential Information. Vendor, for itself and its officers, agents and employees,
agrees that it will treat all information provided to it by City ("City Information") as confidential
and will not disclose any such information to a third party without the prior written approval of
City.
5.3 Public Information Act. City is a government entity under the laws of the State of
Texas and all documents held or maintained by City are subject to disclosure under the Texas Public
Information Act. In the event there is a request for information marked Confidential or Proprietary,
City will promptly notify Vendor. It will be the responsibility of Vendor to submit reasons objecting
to disclosure. A determination on whether such reasons are sufficient will not be decided by City,
but by the Office of the Attorney General of the State of Texas or by a court of competent
jurisdiction.
5.4 Unauthorized Access. Vendor must store and maintain City Information in a secure
manner and will not allow unauthorized users to access, modify, delete or otherwise corrupt City
Information in any way. Vendor must notify City immediately if the security or integrity of any
City Information has been compromised or is believed to have been compromised, in which event,
Vendor will, in good faith, use all commercially reasonable efforts to cooperate with City in
identifying what information has been accessed by unauthorized means and will fully cooperate
with City to protect such City Information from further unauthorized disclosure.
6. Right to Audit. Vendor agrees that City will, until the expiration of three (3) years after
final payment under this Agreement, or the final conclusion of any audit commenced during the said three
years, have access to and the right to examine at reasonable times any directly pertinent books, documents,
papers and records, including, but not limited to, all electronic records, of Vendor involving transactions
relating to this Agreement at no additional cost to City. Vendor agrees that City will have access during
normal working hours to all necessary Vendor facilities and will be provided adequate and appropriate work
space in order to conduct audits in compliance with the provisions of this section. City will give Vendor
reasonable advance notice of intended audits.
7. Indenendent Contractor. It is expressly understood and agreed that Vendor will operate
as an independent contractor as to all rights and privileges and work performed under this Agreement, and
not as agent, representative or employee of City. Subject to and in accordance with the conditions and
provisions of this Agreement, Vendor will have the exclusive right to control the details of its operations
and activities and be solely responsible for the acts and omissions of its officers, agents, servants,
employees, Vendors, and subcontractors. Vendor acknowledges that the doctrine of respondeat superior
will not apply as between City, its officers, agents, servants and employees, and Vendor, its officers, agents,
employees, servants, contractors, and subcontractors. Vendor further agrees that nothing herein will be
construed as the creation of a partnership or joint enterprise between City and Vendor. It is further
understood that City will in no way be considered a Co -employer or a Joint employer of Vendor or any
officers, agents, servants, employees, contractors, or subcontractors. Neither Vendor, nor any officers,
agents, servants, employees, contractors, or subcontractors of Vendor will be entitled to any employment
benefits from City. Vendor will be responsible and liable for any and all payment and reporting of taxes on
behalf of itself, and any of its officers, agents, servants, employees, or contractors.
Liabilitv and Indemnification.
8.1 LIABILITY - VENDOR WILL BE LIABLE AND RESPONSIBLE FOR ANY
AND ALL PROPERTY LOSS, PROPERTY DAMAGE AND PERSONAL INJURY,
INCLUDING, INCLUDING, BUT NOT LIMITED TO, DEATH, TO ANY AND ALL
PERSONS, OF ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, TO THE
EXTENT CAUSED BY THE NEGLIGENT ACTS) OR OMISSION(S), MALFEASANCE OR
INTENTIONAL MISCONDUCT OF VENDOR, ITS OFFICERS, REPRESENTATIVES,
AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, OR SUBCONTRACTORS.
8.2 GENERAL INDEMNIFICATION- VENDOR HEREBY COVENANTS AND
AGREES TO INDEMNIFY, HOLD HARMLESS, AND DEFEND CITY, ITS OFFICERS,
AGENTS, REPRESENTATIVES, SERVANTS, AND EMPLOYEES, FROM AND AGAINST
ANY AND ALL CLAIMS OR LAWSUITS OF ANY KIND OR CHARACTER, WHETHER
REAL OR ASSERTED, FOR EITHER PROPERTY DAMAGE OR LOSS (INCLUDING
ALLEGED DAMAGE OR LOSS TO VENDOR'S BUSINESS AND ANY RESULTING LOST
PROFITS) AND PERSONAL INJURY, INCLUDING, BUT NOT LIMITED TO, DEATH, TO
ANY AND ALL PERSONS, ARISING OUT OF OR IN CONNECTION WITH THIS
AGREEMENT, TO THE EXTENT CAUSED BY THE NEGLIGENT ACTS OR OMISSIONS
OR MALFEASANCE OF VENDOR, ITS OFFICERS, AGENTS, REPRSENTATIVES,
SERVANTS, EMPLOYEES, CONTRACTORS, OR SUBCONTRACTORS.
8.3 INTELLECTUAL PROPERTY INDEMNIFICATION — Vendor agrees to
defend, settle, or pay, at its own cost and expense, any claim or action against City for
infringement of any patent, copyright, trade mark, trade secret, or similar property right
arising from City's use of the software or documentation in accordance with this Agreement,
it being understood that this agreement to defend, settle or pay will not apply if City modifies
or misuses the software and/or documentation. So long as Vendor bears the cost and expense
of payment for claims or actions against City pursuant to this section, Vendor will have the
right to conduct the defense of any such claim or action and all negotiations for its settlement
or compromise and to settle or compromise any such claim; however, City will have the right
to fully participate in any and all such settlement, negotiations, or lawsuit as necessary to
protect City's interest, and City agrees to cooperate with Vendor in doing so. In the event
City, for whatever reason, assumes the responsibility for payment of costs and expenses for
any claim or action brought against City for infringement arising under this Agreement, City
will have the sole right to conduct the defense of any such claim or action and all negotiations
for its settlement or compromise and to settle or compromise any such claim; however,
Vendor will fully participate and cooperate with City in defense of such claim or action.
City agrees to give Vendor timely written notice of any such claim or action, with copies of
all papers City may receive relating thereto. Notwithstanding the foregoing, City's
assumption of payment of costs or expenses will not eliminate Vendor's duty to indemnify
City under this Agreement. If the software and/or documentation or any part thereof is held
to infringe and the use thereof is enjoined or restrained or, if as a result of a settlement or
compromise, such use is materially adversely restricted, Vendor will, at its own expense and
as City's sole remedy, either: (a) procure for City the right to continue to use the software
and/or documentation; or (b) modify the software and/or documentation to make it non -
infringing, provided that such modification does not materially adversely affect
City's authorized use of the software and/or documentation; or (c) replace the software and
documentation with equally suitable, compatible, and functionally equivalent non -infringing
software and documentation at no additional charge to City; or (d) if none of the foregoing
alternatives is reasonably available to Vendor terminate this Agreement, and refund all
amounts paid to Vendor by City, subsequent to which termination City may seek any and all
remedies available to City under law.
9. Assignment and Subcontracting.
9.1 Assignment. Vendor will not assign or subcontract any of its duties, obligations
or rights under this Agreement without the prior written consent of City. If City grants consent to
an assignment, the assignee will execute a written agreement with City and Vendor under which
the assignee agrees to be bound by the duties and obligations of Vendor under this Agreement.
Vendor will be liable for all obligations of Vendor under this Agreement prior to the effective date
of the assignment.
9.2 Subcontract. If City grants consent to a subcontract, the subcontractor will execute
a written agreement with Vendor referencing this Agreement under which subcontractor agrees to
be bound by the duties and obligations of Vendor under this Agreement as such duties and
obligations may apply. Vendor must provide City with a fully executed copy of any such
subcontract.
10. Insurance. Vendor must provide City with certificate(s) of insurance documenting
policies of the following types and minimum coverage limits that are to be in effect prior to commencement
of any Services pursuant to this Agreement:
10.1 Coverage and Limits
(a) Commercial General Liability:
$1,000,000 - Each Occurrence
$2,000,000 - Aggregate
(b) Automobile Liability:
$1,000,000 - Each occurrence on a combined single limit basis
Coverage will be on any vehicle used by Vendor, or its employees, agents, or
representatives in the course of providing Services under this Agreement. "Any
vehicle" will be any vehicle owned, hired and non -owned.
(c) Worker's Compensation:
Statutory limits according to the Texas Workers' Compensation Act or any other
state workers' compensation laws where the Services are being performed
Employers' liability
$100,000 -
Bodily Injury by accident; each accident/occurrence
$100,000 -
Bodily Injury by disease; each employee
$500,000 -
Bodily Injury by disease; policy limit
(d) Professional Liability (Errors & Omissions): ❑ Applicable I❑ N/A
$1,000,000 - Each Claim Limit
$1,000,000 - Aggregate Limit
Professional Liability coverage may be provided through an endorsement to the
Commercial General Liability (CGL) policy, or a separate policy specific to
Professional E&O. Either is acceptable if coverage meets all other requirements.
Coverage must be claims -made, and maintained for the duration of the contractual
agreement and for two (2) years following completion of services provided. An
annual certificate of insurance must be submitted to City to evidence coverage.
10.2 General Reauirements
(a) The commercial general liability and automobile liability policies must
name City as an additional insured thereon, as its interests may appear. The term
City includes its employees, officers, officials, agents, and volunteers in respect to
the contracted services.
(b) The workers' compensation policy must include a Waiver of Subrogation
(Right of Recovery) in favor of City.
(c) A minimum of Thirty (30) days' notice of cancellation or reduction in
limits of coverage must be provided to City. Ten (10) days' notice will be
acceptable in the event of non-payment of premium. Notice must be sent to the
City in accordance with the notice provision of this Agreement.
(d) The insurers for all policies must be licensed and/or approved to do
business in the State of Texas. All insurers must have a minimum rating of A- VII
in the current A.M. Best Key Rating Guide, or have reasonably equivalent financial
strength and solvency to the satisfaction of Risk Management. If the rating is
below that required, written approval of Risk Management is required.
(e) Any failure on the part of City to request required insurance
documentation will not constitute a waiver of the insurance requirement.
(f) Certificates of Insurance evidencing that Vendor has obtained all required
insurance will be delivered to the City prior to Vendor proceeding with any work
pursuant to this Agreement.
11. Compliance with Laws. Ordinances. Rules and ReLyulations. Vendor agrees that in the
performance of its obligations hereunder, it will comply with all applicable federal, state and local laws,
ordinances, rules and regulations and that any work it produces in connection with this Agreement will also
comply with all applicable federal, state and local laws, ordinances, rules and regulations. If City notifies
Vendor of any violation of such laws, ordinances, rules or regulations, Vendor must immediately desist
from and correct the violation.
12. Non -Discrimination Covenant. Vendor, for itself, its personal representatives, assigns,
contractors, subcontractors, and successors in interest, as part of the consideration herein, agrees that in the
performance of Vendor's duties and obligations hereunder, it will not discriminate in the treatment or
employment of any individual or group of individuals on any basis prohibited by law. IF ANY CLAIM
ARISES FROM AN ALLEGED VIOLATION OF THIS NON-DISCRIMINATION COVENANT
BY VENDOR, ITS PERSONAL REPRESENTATIVES, ASSIGNS, CONTRACTORS,
SUBCONTRACTORS, OR SUCCESSORS IN INTEREST, VENDOR AGREES TO ASSUME
SUCH LIABILITY AND TO INDEMNIFY AND DEFEND CITY AND HOLD CITY HARMLESS
FROM SUCH CLAIM.
13. Notices. Notices required pursuant to the provisions of this Agreement will be
conclusively determined to have been delivered when (1) hand -delivered to the other party, its agents,
employees, servants or representatives, (2) delivered by facsimile with electronic confirmation of the
transmission, or (3) received by the other party by United States Mail, registered, return receipt requested,
addressed as follows:
To CITY:
City of Fort Worth
Attn: Assistant City Manager
100 Fort Worth Trl.
Fort Worth, TX 76102-6314
Facsimile: (817) 392-8654
To VENDOR:
Fitch and Associate, LLC
Thomas Moore, Junior Partner
PO Box 1701, Williamsburg Terr. Ste. G
Platte City, MO 64079
Facsimile: 816-431-2653
With copy to Fort Worth City Attorney's Office at
same address
14. Solicitation of Emvlovees. Neither City nor Vendor will, during the term of this
Agreement and additionally for a period of one year after its termination, solicit for employment or employ,
whether as employee or independent contractor, any person who is or has been employed by the other
during the term of this Agreement, without the prior written consent of the person's employer.
Notwithstanding the foregoing, this provision will not apply to an employee of either party who responds
to a general solicitation of advertisement of employment by either party.
15. Governmental Powers. It is understood and agreed that by execution of this Agreement,
City does not waive or surrender any of its governmental powers or immunities.
16. No Waiver. The failure of City or Vendor to insist upon the performance of any term or
provision of this Agreement or to exercise any right granted herein does not constitute a waiver of City's or
Vendor's respective right to insist upon appropriate performance or to assert any such right on any future
occasion.
17. Governing Law / Venue. This Agreement will be construed in accordance with the laws
of the State of Texas. If any action, whether real or asserted, at law or in equity, is brought pursuant to this
Agreement, venue for such action will lie in state courts located in Tarrant County, Texas or the United
States District Court for the Northern District of Texas, Fort Worth Division.
18. Severability. If any provision of this Agreement is held to be invalid, illegal or
unenforceable, the validity, legality and enforceability of the remaining provisions will not in any way be
affected or impaired.
19. Force Maieure. City and Vendor will exercise their best efforts to meet their respective
duties and obligations as set forth in this Agreement, but will not be held liable for any delay or omission
in performance due to force majeure or other causes beyond their reasonable control, including, but not
limited to, compliance with any government law, ordinance, or regulation; acts of God; acts of the public
enemy; fires; strikes; lockouts; natural disasters; wars; riots; epidemics or pandemics; government action
or inaction; orders of government; material or labor restrictions by any governmental authority;
transportation problems; restraints or prohibitions by any court, board, department, commission, or agency
of the United States or of any States; civil disturbances; other national or regional emergencies; or any other
similar cause not enumerated herein but which is beyond the reasonable control of the Party whose
performance is affected (collectively, "Force Majeure Event"). The performance of any such obligation is
suspended during the period of, and only to the extent of, such prevention or hindrance, provided the
affected Party provides notice of the Force Majeure Event, and an explanation as to how it prevents or
hinders the Party's performance, as soon as reasonably possible after the occurrence of the Force Majeure
Event, with the reasonableness of such notice to be determined by the City in its sole discretion. The notice
required by this section must be addressed and delivered in accordance with Section 13 of this Agreement.
20. Headings not Controlling. Headings and titles used in this Agreement are for reference
purposes only, will not be deemed a part of this Agreement, and are not intended to define or limit the scope
of any provision of this Agreement.
21. Review of Counsel. The parties acknowledge that each party and its counsel have
reviewed and revised this Agreement and that the normal rules of construction to the effect that any
ambiguities are to be resolved against the drafting party will not be employed in the interpretation of this
Agreement or Exhibits A, B, and C.
22. Amendments / Modifications / Extensions. No amendment, modification, or extension
of this Agreement will be binding upon a party hereto unless set forth in a written instrument, which is
executed by an authorized representative of each party.
23. Counterparts. This Agreement may be executed in one or more counterparts and each
counterpart will, for all purposes, be deemed an original, but all such counterparts will together constitute
one and the same instrument.
24. Warranty of Services. Vendor warrants that its services will be of a high quality and
conform to generally prevailing industry standards. City must give written notice of any breach of this
warranty within thirty (30) days from the date that the services are completed. In such event, at Vendor's
option, Vendor will either (a) use commercially reasonable efforts to re -perform the services in a manner
that conforms with the warranty, or (b) refund the fees paid by City to Vendor for the nonconforming
services.
25. Immigration Nationalitv Act. Vendor must verify the identity and employment eligibility
of its employees who perform work under this Agreement, including completing the Employment
Eligibility Verification Form (I-9). Upon request by City, Vendor will provide City with copies of all I-9
forms and supporting eligibility documentation for each employee who performs work under this
Agreement. Vendor must adhere to all Federal and State laws as well as establish appropriate procedures
and controls so that no services will be performed by any Vendor employee who is not legally eligible to
perform such services. VENDOR WILL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM
ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH
BY VENDOR, VENDOR'S EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, OR
AGENTS. City, upon written notice to Vendor, will have the right to immediately terminate this Agreement
for violations of this provision by Vendor.
26. Ownership of Work Product. City will be the sole and exclusive owner of all reports,
work papers, procedures, guides, and documentation that are created, published, displayed, or produced in
conjunction with the services provided under this Agreement (collectively, "Work Product"). Further, City
will be the sole and exclusive owner of all copyright, patent, trademark, trade secret and other proprietary
rights in and to the Work Product. Ownership of the Work Product will inure to the benefit of City from
the date of conception, creation or fixation of the Work Product in a tangible medium of expression
(whichever occurs first). Each copyrightable aspect of the Work Product will be considered a "work -made -
for -hire" within the meaning of the Copyright Act of 1976, as amended. If and to the extent such Work
Product, or any part thereof, is not considered a "work -made -for -hire" within the meaning of the Copyright
Act of 1976, as amended, Vendor hereby expressly assigns to City all exclusive right, title and interest in
and to the Work Product, and all copies thereof, and in and to the copyright, patent, trademark, trade secret,
and all other proprietary rights therein, that City may have or obtain, without further consideration, free
from any claim, lien for balance due, or rights of retention thereto on the part of City.
27. Signature Authoritv. The person signing this Agreement hereby warrants that they have
the legal authority to execute this Agreement on behalf of the respective party, and that such binding
authority has been granted by proper order, resolution, ordinance or other authorization of the entity. This
Agreement and any amendment hereto, may be executed by any authorized representative of Vendor. Each
party is fully entitled to rely on these warranties and representations in entering into this Agreement or any
amendment hereto.
28. Change in Companv Name or Ownership. Vendor must notify City's Purchasing
Manager, in writing, of a company name, ownership, or address change for the purpose of maintaining
updated City records. The president of Vendor or authorized official must sign the letter. A letter indicating
changes in a company name or ownership must be accompanied with supporting legal documentation such
as an updated W-9, documents filed with the state indicating such change, copy of the board of director's
resolution approving the action, or an executed merger or acquisition agreement. Failure to provide the
specified documentation so may adversely impact future invoice payments.
29. No Bovcott of Israel. If Vendor has fewer than 10 employees or this Agreement is for
less than $100,000, this section does not apply. Vendor acknowledges that in accordance with Chapter
2271 of the Texas Government Code, the City is prohibited from entering into a contract with a company
for goods or services unless the contract contains a written verification from the company that it: (1) does
not boycott Israel; and (2) will not boycott Israel during the term of the contract. The terms "boycott Israel"
and "company" has the meanings ascribed to those terms in Section 2271 of the Texas Government Code.
By signing this Agreement, Vendor certifies that Vendor's signature provides written verification to
the City that Vendor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of
the Agreement.
30. Prohibition on Bovcotting Energv Companies. Vendor acknowledges that in accordance
with Chapter 2276 of the Texas Government Code, the City is prohibited from entering into a contract for
goods or services that has a value of $100,000 or more that is to be paid wholly or partly from public funds
of the City with a company with 10 or more full-time employees unless the contract contains a written
verification from the company that it: (1) does not boycott energy companies; and (2) will not boycott
energy companies during the term of the contract. The terms "boycott energy company" and "company"
have the meaning ascribed to those terms by Chapter 2276 of the Texas Government Code. To the extent
that Chapter 2276 of the Government Code is applicable to this Agreement, by signing this Agreement,
Vendor certifies that Contractor's signature provides written verification to the City that Contractor: (1)
does not boycott energy companies; and (2) will not boycott energy companies during the term of this
Agreement.
31. Prohibition on Discrimination Against Firearm and Ammunition Industries. Vendor
acknowledges that except as otherwise provided by Chapter 2274 of the Texas Government Code, the City
is prohibited from entering into a contract for goods or services that has a value of $100,000 or more that
is to be paid wholly or partly from public funds of the City with a company with 10 or more full-time
employees unless the contract contains a written verification from the company that it: (1) does not have a
practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade
association; and (2) will not discriminate during the term of the contract against a firearm entity or firearm
trade association. The terms "discriminate," "firearm entity" and "firearm trade association" have the
meaning ascribed to those terms by Chapter 2274 of the Texas Government Code. To the extent that
Chapter 2274 of the Government Code is applicable to this Agreement, by signing this Agreement, Vendor
certifies that Contractor's signature provides written verification to the City that Contractor: (1) does not
have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade
association; and (2) will not discriminate against a firearm entity or firearm trade association during the
term of this Agreement.
32. Electronic Signatures. This Agreement may be executed by electronic signature, which
will be considered as an original signature for all purposes and have the same force and effect as an original
signature. For these purposes, "electronic signature" means electronically scanned and transmitted versions
(e.g. via pdf file or facsimile transmission) of an original signature, or signatures electronically inserted via
software such as Adobe Sign.
33. Entirety of Agreement. This Agreement contains the entire understanding and agreement
between City and Vendor, their assigns and successors in interest, as to the matters contained herein. Any
prior or contemporaneous oral or written agreement is hereby declared null and void to the extent in conflict
with any provision of this Agreement.
(signature page follows)
IN WITNESS WHEREOF, the parties hereto have executed this Agreement in multiples.
City:
-14
By:
Valerie Washington (Jul 11, 2024 09:14 CDT)
Name: Valerie Washington
Title: Assistant City Manager
Date: Jul 11, 2024
Vendor:
By:
Name: Steven Knight
Title: Partner
Date: Jul 9, 2024
FOR CITY OF FORT WORTH INTERNAL PROCESSES:
Approved as to Form and Legality:
By:
Name: Taylor C. Paris
Title: Assistant City Attorney
Contract Authorization:
M&C: [M&C 24-03411
Form 1295: 2023-1071736
Contract Compliance Manager:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
of this contract, including ensuring all
performance and reporting requirements.
VA -W"--A
Valerie Washington (Jul 11, 2024 09:14 CDT)
By:
Name: Valerie Washington
Title: Assistant City Manager
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City Secretary: �p o F..... Ad
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By:
Name: Jannette Goodall
Title: City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Exhibit A
EMS SYSTEM TRANSITION CONSULTING — SCOPE OF WORK TASKS
Transitioning EMS services from the current model to a city -operated model is a significant
undertaking that requires careful planning, coordination, stakeholder engagement, phased
implementation, and dedication to ensure a seamless transition and high -quality emergency
medical care for the community. The following tasks should be completed for such a transition:
TASK 1
Fine Tune Delivery Model
�Z Update staffing, scheduling, and deployment models with increased workload.
:D Operationalize all system factors and performance with the City, Fire Chief, and other
key stakeholders.
�Z Work with the Fire Chief and Medical Director to define and operationalize reporting
relationships, clinical and operations boundaries, and roles and responsibilities for
QA/QI, curriculum development, training, continuing education, and licensure.
�Z Explain and fine-tune performance for member cities.
:) Support the city with analyses regarding cost -sharing strategies, including in -kind
services and fiscal equivalencies.
�Z Provide updated budget information for an operationalized model and work with the
Fort Worth Lab to finalize the necessary steps following the transition period.
:) Support the City and its Legal Department in aligning ILA changes that accommodate the
operationalized delivery model.
TASK 2
Operationalize the Current Services with the IFT Workload
:D Update staffing, scheduling, and deployment models with increased workload.
:) Establish transition period expectations for service.
�Z Operationalize all system factors and performance with the City, Fire Chief, and other
key stakeholders.
�Z Provide updated budget information for an operationalized model and work with FW
Lab to finalize the remainder of 2024 and/or the transition period regarding IFTs.
Support the City and its Legal Department in aligning ILA changes that accommodate the
operationalized delivery model.
TASK 3
EMS System Governance Structure
Recruit or transition the Medical Director to an independent relationship with the
CoFW.
o Include contractual and/or job description requirements for reporting
relationships, performance expectations, etc.
o Considerations for associate medical directors' reporting relationships (e.g.,
OMD employees, city employees, etc.).
Support the City and its Legal Department in interlocal agreement modifications,
including the legal transition of assets, if needed.
Establish a timeline for the execution of all ILA changes.
:Z Establish the new EMS system governance structure.
Establish the new EMS Advisory Board membership.
Establish the new Medical Control Board membership.
Establish contractual relationships with member cities.
TASK 4
Office of the Medical Director — Ensuring Patient -Centric Clinical Excellence
Establish MPDS call prioritization strategy.
Establish or continue the use of the current patient care protocols.
Establish or continue using the current Learning Management System for clinical
providers continuing medical education.
Establish a credentialing process for the EMS System.
Establish or refine the quality assurance and quality improvement program.
Establish or continue the use of the current competency -based field training strategies.
Establish or continue the use of the current EMS clinical performance indicators.
TASK 5
Marketing
Consider utilization of the MedStar service moniker.
Consider or develop a new service logo.
Consider or develop a new EMS first responder vehicle branding scheme.
Disseminate a press release about the new EMS service.
Develop a uniform standard for single -role employees.
Consider any implications of dual service provision during the transition period (e.g.,
MedStar and CoFW Fire apparatus and uniforms).
Purchase necessary uniforms.
Conduct interviews with designated city PIO staff to evaluate the efficacy of the public.
information and education efforts regarding the new EMS service.
Develop a process to complete a quarterly assessment of public access and utilization of
social media and other platforms.
TASK 6
EMS Service Leadership — Recruitment and Onboarding
Finalize and establish the EMS service leadership structure within the existing City
organization.
Develop job descriptions and desired KSAs.
:Z Approve employee classifications.
Develop the materials to promote the new service.
Develop interview questions, scoring criteria, and other necessary materials.
Determine what leadership personnel are needed to interview candidates.
Identify where interviews will be conducted.
Develop a timeline for interviews, new hire orientation, and any required medical
screening.
Execute hiring and onboarding to ensure administrative capacity for the demands of the
transition process.
TASK 7 (Integrated with 911 Project)
Communications
Determine radio infrastructure interoperability as part of the 911 project.
Determine bi-directional communications capability between CAD systems and mobile
data terminals as part of the 911 project.
Evaluate automatic vehicle location feasibility with the City CAD system as part of the
911 project.
Evaluate MPDS call prioritization strategy needs.
Determine the ability to provide a seamless deployment strategy during the transition
with the potential of two dispatch centers.
Adopt and program MUM or other dynamic deployment software strategies to meet
system design parameters and call prioritization.
Evaluate the totality of IT, CAD, and Software between the City and MedStar and
determine the future utilization.
Eliminate duplicative costs and services.
TASK 8
Evaluation of All Technology (Informs Task 1)
:D Scheduling
:D Payroll
Durable medical equipment tracking software.
Vehicle service maintenance program.
Radio infrastructure.
Mobile data terminals.
CAD
Deployment plan management software
Incident reporting software
:) Patient Care Reporting software
TASK 9
Apparatus and Fleet (Informs Task 1)
Complete an assessment of the current first responder vehicle, ambulances, and other
vehicles utilized in the system.
Develop or refine a replacement schedule for EMS first responder vehicles and
ambulances.
:D Develop or refine an EMS preventative maintenance program.
Establish a contractual relationship with a vendor for vehicle maintenance items.
Develop adequate building and capital asset titling structure.
Consider working capital available to the system from MedStar (i.e., —$10m residual).
TASK 10
Finance (Informs Task 1)
:) Develop the operating budget.
:D Develop the capital budget.
:) Establish where in the current budgeting structure EMS service items should be.
Develop a strategy to continually evaluate the total costs (hard and soft) to staff an
ambulance.
TASK 11
Revenue Cycle Management
:) Complete an audit of past documents and billing.
:D Select and contract with a third -party revenue cycle management and EMS billing
company.
:) Develop and adopt an EMS chargemaster.
:) Provide recommendations for establishing contracts with payers.
Develop a process to apply for Ambulance Supplemental Payment Program (ASPP)
dollars.
Establish a process to have a yearly audit of the third -party billing company completed
by an outside vendor.
TASK 12
Compliance
:D Develop an EMS service compliance program that meets federal and state
requirements.
Establish a process that ensures the City has a designated Records Management Officer
to develop and establish policies and procedures for a records management program.
:D Establish policies that define the acceptable use of computer equipment for EMS
personnel.
:D Establish a process for all employees to complete annual compliance and HIPAA
education.
TASK 13
EMS Service Licensure
:D Complete the requisite Texas Department of State Health Services licensure application.
o Consider multiple providers (FDs and/or MedStar during transition)
Assign a leadership team member as the designated Texas DSHS Administrator of
Record (AOR)
:) Have the Administrator of Record complete the AOR course.
TASK 14
Insurance
:D Support the City and its Legal Department in establishing a general liability insurance
policy.
Support the city and its legal department in establishing a professional liability insurance
policy.
TASK 15
Logistics
:D Complete an assessment of the current logistics capabilities and processes of the FWFD
and MedStar's operations to provide and efficient and seamless integration
Develop process to manage street level exchange of equipment and the recovery
process for the system
Review and optimize the HUB design and logistics management of the deployment
related to the adopted schedules
TASK 16
Durable Medical Equipment
:) Complete an assessment of the current durable medical equipment used in the EMS
System.
:D Develop a replacement schedule for durable medical equipment.
Establish a process for each electronic and mechanical equipment to be inspected daily.
Contract with durable medical equipment biomedical servicing companies.
Purchase the needed or continue using current Wi-Fi apparatus technology to provide
telemetry data to receiving facilities.
Budget recommendations will be integrated with the existing procurement and capital
planning structures.
TASK 17
Disposable Medical Equipment
:D Obtain a detailed list of all medical disposable supplies.
Establish disposable medical equipment purchasing agreements with local and national
vendors.
Budget recommendations will be integrated with the existing procurement and capital
planning structures.
TASK 18
Fleet Management Services
:) Evaluate the needs and integrate current MedStar fleet strategies and capacity.
:D Work with CoFW Fleet to integrate the new demands with city services and the
utilization of MedStar facilities.
TASK 19
EMS System Management
:) Establish standard operating procedures that align with federal, state, and local statutes
for administrative, communications, and operations -related department sectors.
:) Establish a process to eliminate or reduce hazards and decrease the probability of loss,
adversely affecting productivity, efficiency, and health.
Develop a process that requires all leadership team members to complete EMS
management courses, emergency preparedness programs, and other leadership
programs.
:) Develop response time, workload, reliability, and call concurrency KPIs for daily system
evaluation.
:) Develop late call review processes that include roles, responsibilities, and necessary
personnel assigned with late call review activities.
:) Contract with an EMS patient surveying company to collect and measure patient
satisfaction from patient contacts.
:D Develop a process to handle customer service inquiries.
:) Establish operational performance measure thresholds and mechanisms to evaluate
commonly measured EMS -timed performance measures.
:) Establish an annual EMS strategic management process with (monthly or quarterly
reporting).
TASK 20
EMS System Mutual Aid
Review mutual -aid agreements between EMS, providers, and municipalities and ensure
they are up to date for day-to-day operations and events requiring scale -up capacity.
:) Ensure the process contains provisions for sharing and performing the functions of pre -
hospital patient care and transportation.
:D Ensure any considerations for state and federal disaster assistance and integration are in
place regarding patient transportation services.
:D Develop a process for AMBUS deployment; the AMBUS is a state, regional, and local
resource with the primary mission of providing advanced medical transport and
evacuation services for various EMS needs.
TASK 21
Human Resources and the Hiring Process for Field Personnel
:D Consider all collective bargaining items to be addressed.
Create job classifications.
Create or adopt job descriptions with expectations for KSAs.
Consider and define the process for upward mobility and transfers between single -role
EMS providers and other Fire Department positions.
Z Develop a shift bid process and policy (if desired).
Develop shift bid communication materials (if desired).
Conduct structured interviews with the City Human Resources staff to identify historical
recruitment, retention, and hiring difficulties.
Z Develop the hiring requirements for incumbent staff.
Integrate with payroll and scheduling software.
Post the clinical, communications (based on the 911 project), administrative, operations,
and support roles.
Develop or purchase an employee satisfaction and feedback loop and ensure exit
interviews are completed to identify trends.
TASK 22
Provide an Updated Implementation and Transition Timeline
:D Create a realistic timeline for onboarding field personnel to accommodate the hiring
and training requirements.
Update the timeline for the city administration, HR, and FW Lab.
TASK 23
Begin Onboarding
Determine what leadership personnel are needed to interview candidates.
Develop interview questions, scoring criteria, and other necessary materials.
Identify where interviews will be conducted.
Develop the materials to promote the new service.
:) Develop a new -hire orientation and onboarding curriculum that includes documentation
training.
:) Develop a timeline for interviews, new hire orientation, backgrounds, and any required
medical screening.
:) Establish a strategy to ensure that all EMS personnel complete required compliance
training within the first thirty days and each year.
:) Establish a strategy to ensure that all EMS personnel complete required infection
control training within the first thirty days and each year.
:) Establish a strategy to ensure all personnel complete necessary clinical and protocol -
related training.
:) Establish a training strategy to ensure that all personnel complete necessary
operational -related training!
:) Create a realistic timeline for onboarding field personnel to accommodate the hiring
and training requirements.
:) Update the timeline for the city administration, HR, and FW Lab.
TASK 24
Ongoing System Support and Guidance
:) Provide ongoing support to ensure efficient, effective, and sustainable services meet
design expectations.
EMS SYSTEM TRANSITION CONSULTING — COST PROPOSAL
We understand the importance of consultant availability and the 24/7 365 nature of an EMS
System. Operating an EMS System requires constant attention, energy, and effort, particularly
during a system transition. We propose the EMS System Transition consulting services scope of
work tasks as an hourly consultancy. This will be billed at our blended professional services fee
of $275 per hour per consultant. Any usual and customary travel and related expenses are not
included in the professional fees and would be billed separately at actual cost, without markup.
This includes all elements described in tasks 1— 24, including off -site project development,
meetings, data collection, examination, and necessary analysis.
ON -SITE EMS EXECUTIVE MANAGEMENT SERVICES — SCOPE OF WORK
FITCH's management services division, Medsery Management Services, LLC, "Medserv," will
provide an On -site EMS Executive for a selected number of days per week, 52 weeks per year,
to lead, manage, and operate the EMS service as directed by the City. In cooperation with
designated City staff, such services would include direct management and supervision of the
ambulance transportation service, including all business, financial activities, and personnel.
The Fitch on -site management person we propose is Frank Gresh who has a careers worth of
experience in managing high-performance EMS systems and PUM experience.
ON -SITE EMS EXECUTIVE MANAGEMENT SERVICES — COST PROPOSAL
Option 1— Five Days per Week $29,179
Option 2 — Four Days per Week $27,760
Option 3 —Three Days per Week $26,341
Option 2 —Two Days per Week $24,922
This on -site management portion of the original scope of work provided on 4-7-24, will sunset
concurrent with the executive of on -site management services contract with MedStar
beginning as early as July 1, 2024.
All work to date will be billed through July 111 and then a monthly billing schedule will be
established for all future work associated with the transition management services.
Sincerely,
- = MO, -
A MW
Steven Knight, PhD
Partner
EMS System Transition Strategy Fort Worth, TX
Fitch & Associates, LLC
Start: Tue 5/28/2024
End: #VALUE'
1 Fine Tune DelimModel
1A Update staffing. sc ulmg, and deployment molds with increased workload
1.2 Opdoicnaliu all system factors and pedotmonce Win the City, Fire Chid, and other key dakdaidde
1 3 Work vn h the Rre Chief and Medical Director W define and operd,nali.. repoding relationships, clinical and op.ne.h. boundaries, and
roles and responsibilities kx OA/OI, cunial,m development, training, continuing education, and 11,,mure
1A EVIe. endfine-Wnepedormance Wr member ccties
1.5 Suppcd the cry v.ln and,ve ragaNmg cast -snaring drategiea inciuengn-knd aemcea and fiscal equivalencies.
1.6 Pr ..pdalee budgd mfamahon Wr an operab.^.1, d model and wnrk vnth tM1 Fod Wodh Lab W final. the necessary sWps following
the transition p-d
1.7 Support the City and its Legal Department in ali9^�^g ILA changes that aaommodde the cperationalized delivery model
2 9n:.tatm lize the Current Services with the IFT Workload
2.1 Update sW#ing, scheduling, and deployment models with increased w Iwd
2.2 Edkb1ah Mv,.tionpenodexpectadonsfasemce
2.3 Op"honalize all system factors and pedormonce with the City, Fire Chief, and other key stakdaidde
2A Provide updated budget Wormalion for an op,ational¢ed model and w with FW Lab tafinalca the remands, at 2024 andlcr the
tandbon period re deg IFT..
2.5 Support the City and,% Legal Departinentn amebvery model bgning-charge. thataxomadece the opdiev iced d
3 EMS SYs(�jn `i-J,jy)tr�yp(yr@ e
3.1 Recruit or lransitionl (vl d Di�rec� fo nmdepeneen[relabonaM1ip th the COFVJ
31 Include ant 0-1 antllorlob description requirements Mr rep.d,ng resat-IM s, performance expedahons, etc.
3.3 Assist We dtyin aysvx.g reporting reed... Mp.Ie g., OMD employee., city employees, etc.).
3A Supped Me City end its Legal Oeparhnen[ in nfedocal agreement mcdfiraliona, including the legal lransNon ot asset, rc neetletl
3.s Estentah a timeline far Meemcuba d all lLA ch-ges.
3.6 Establish the new EMS system governance s Wna
3.7 Establlsh the new EMS Adwsay tMent m rvehip
3.0 Establlsh lM1e new Medi Conkd tMent membership.
3.1 Establish conlraclual 1 Mps wrath member c,ta,
4 Office of the Medical Director- Ensuring Patient -Centric Clinical Excellence
4.1 Establish MPDS call prioritization Mne.y.
4.2 Establlsn new or decide W anbnus using the current syad, patent care prolocots.
4.3 Da.d. a the Learning Management System Mr dr-I p.der conbmmng metlmal ed.caten
4.4 Establisn a oe,fivneing process Mr the EMS System
4.5 Establisn quality assurance and qualM1yimp,vement pogram.
4.6 Establlsn can pale-y-bale fielstr Mild hammg ategies
4.7 Edeciv, EMS chmral pedarmancemeicdare.
5 Marketing
5.1 Decd. on agency name.
5.2 Developanewsemialogo
5.3 Develop a -EMS first respond.-IMcle bandng scheme
5.4 Di.s.,.deapressreleassaboul Menew EMS..rce
5.5 Develop a uniform slandddl for sngie-,le employees.
5.6 Consider eny,.pleabonsddu.1s.,c.p.,.,.d..ngth.trn.,ti.np..W(..g,M.dSWr.nd C.MF,..pp..Wsandun,Wrm.)
5.7 Eachaae necessary an.-.
5.0 Can udmtervtewsw6M1dedgnataeccty Ppslaftloevalu.Wffi. ftnacydthepubin, .M,.naneeducabonercmisr .M,nglM1 new
EMS service
5.9 Devdop a process W complete a quarterly assessment of publicaaace and utitizalion d seal mad, and oIhd platforms.
e EMS Service Leaders -Recruitment and Onboard�W
6.1 Finalis and establish the Ssa_leadershipslmcWrewitihnlhe existing City organization.
6.2 Devdop job descnptions and desired KS.
8.3 A,,prove employee d.adficatiam.
BA Devdop%amakd.1. to pron,te the new service
8.5 Devdop interview questions. swnng criteria, and other necessary materials.
6.6 Ddermin.whdleaddahip personnel are needed Win.,iew candidates.
6.7 Identity where n-liv , will be cenduded.
8.8 Develop a timeline fvereewiews, new hire orientation, and any required medical scrcening
6.9 Ex ... a hiring and o,bwrdi,g W ensure ad,i,i,t,d,e capacity for the demands atthe transition process
7 (Irdegrated with 911 Proje& arm unit
7.1 dermine radio infi,stmhxa epeabiliry as padof the 911 project
7.2 Ddernene b,l,-,onal communications capability I -en CAD systemect s and motile data termnals se pad at 911 proj
7.3 Evduate,utomab,,ehideimM,,^teasibllitywiththe City CADsystemaspaddthe911 projed
7A Evaluate MPDS call p-itnecon strategy ... 1,
]s Ddermine the ability W provide,sedri... deployment strategy during the transition aam the potential at two dispatch centers THREE
DISPATCH CENTERS
7.6 Adopt antl pro gran MUM or oInd dynammdepioyment software stratanse to ..at system design paremetere and rail prio Mad.n.
7.7 Evaluate the totality d IT, CAD and Software hetivee. the City and M.dSWr and dars-ne the Wt.. ubiaden
7.0 Eliminate duplirafiva costs and services
8 Evaluation of All Technologv(Informs Task 1)
8.1 Schatluling
8.2 Payroll
8.3 OuraN.-dlral equipmenttrecu.gsoftware
8A Vehcle se ,rain tan.. program
8.5 R.da,,tiaslruclure.
8.6 Mobile delalernnaldevices
8.7 CAD
8.8 Deployment plan management software
8.. r.d.nt reporting software
8.1. Pdi.ht Care Reporting software
8.11 E.luda the use dvahcl. monitoring system
8.12 Identify if MOU language Is...- Mr the v lMde momlaing system use
e �pparatus and Fleet `Informs Task 11
9.1 omplalsan assessment ottM1e currentfirst respondervennle,ambulances, and olM1er veM1mles uhlrzetl mlhe system.
9.2 Dayslopa refinsarepiacemsnl scM1edule Wr EMSfirel reapatler veM1ides antl ambulances.
9.3 Oayslop an EMS prove" '. maintenance p,a.
9A Evaluate city m^tracle Mr vshcls mmhtenance supph.
es rcriapeaaaD•, ealaM'iah aadm.rial ahrapWal rdabaanw w6n aveneprWrvennle manteriana lWma.
9.6 Detarmne buiiding titling structure.
9.7 Determnev hd. titing --
Display: Weekly
Week: 1 i Weeks 1-7 I Weeks 8-14 Weeks 15-21 I Weeks 22-28 Weeks 2935 Weeks 3642 Weeks 43-49 I Weeks 5056 I Weeks 57-63 Weeks 64-70
nw.da Mn Mav2024-Ju12024 Ju12024-A,,2024 Sh,2024-Od2024 Oct2024-Dec2024 Dec2024-Jan2025 Jan2025-10ar2025 Mar2025-Av2025 Mav2025-Jun2025 Jun2025-A..2025 Auc2025-Seo2025
512812024 K Tue S/28/24 Mon 7101124
6/1212024 B Wed6/12124 Thu 8101124
811/2024 B Thu S/01/24 Thu 13ro1124
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6112024 B Sd6/01/24 Wed 7ro3124
6401 K Mon 6110/24 Thu 8ro1124
W1012024 B Mon 6110/24 Thu 8ro1124
611012024 B Mon 6110/24 Thu 8ro1124
611012024 B Mon 6110/24 Thu 8ro1124
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Wed 6112124
Sun 9ro1124
6Y4/2024 2
Mon 6/17/24
Sun 9ro1124
811/2024 2
Mon 6/17/24
Man 9ro2124
121212024 2
Man 6/17/24
Wed 1ro1n5
811/2024 2
Mon 6/17/24
Wed 1ro1n5
811/2024 2
Mon 6/17/24
WW 1ro1n5
6/25/2024 2
Mon 6/17/24
Wed 1ro1n5
2
Mon 6/17/24
WW 1ro1125
2
Mon 6/17/24
WW 1ro1n5
K
Mon 5/27/24
Wed 1ro1n5
3
Mon 5/27/24
Wed 1ro1n5
3
Mon 5/27/24
WW 1roln6
3
Mon 5/27/24
WW 1ro1n5
3
3
3
3
3
K
2
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2
2
2
2
2
2
2
2
2
31 M024 K
5/28I2024 G
6/10/2054 G
G
G
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G
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Mon 5/27/24
Mon 5 4
Mon S/2]l24
Mon 52]/24
1n-714
Mon 6117/24
Mon 611]24
Mon-11
Mon 6117R4
Mon.17R4
Mon 6117-
Man .1-4
Mon 6117/24
Mon 61-4
Mon aft 7.4
Mon 6117.4
Mon 61-4
Mon 6/17/24
Tue S/28124
Tue SI28124
Tue SI28124
Tue S/28124
Tue S/28124
Tue S/28124
Tue S/28124
Tue S/28124
Wed 1ro1n5
Wee 110-
Wed 1ro1125
Wed 1ro1125
Wed 11115
Wed 1ro1125
Wed 1ro112s
Wee 1ro112s
Wed 1ro 5
Wed 1ro 5
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Wed 7103R4
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Man 611724
Man6117-
Man 611724
Man6117-
End'#VALUE( Week: 1 (Weeks 1-7 (Weeks 8-14 Masks 15-21 Weeks 22-28 Weeks 2935 Weeks 36-42 Weeks 4349 Weeks 5056 Masks 57-63 Weeks 64-70
)day: Mon 6/24/2024 Tao Show Gvardue No May2024-Ju12024 Ju12024-Aug2024 Sap2024-Oct2024 Oct2024-Dec2024 Dec2024-Jan2025 Jan2025-Mar2025 Mar2025-Apr2025 May2025-Jun2025 Jun2025-Aug2025 Aug 2025-Sep 2025
9.8
IL1
10.2
10.3
10.4
11
11.1
11.2
11.3
I.4
11.5
11.8
11.7
12
12.1
12.2
12.3
12.4
3
3.1
13.2
13.3
13.4
14
14.1
14.2
5
I.A
16.2
16.3
15.4
16.5
16.6
16.7
16.8
16.9
18
16.1
16.2
18.3
I.A
18.5
18.8
16.7
1]
1I.1
17.2
17.3
18
18.1
18.2
19
19.1
19.4
19.5
19.6
,. Z
19.
19.9
20
20.1
20.2
20.3
20.4
21
21.1
21.2
21.3
21.4
21.5
21.6
21.7
21.8
21.9
21.10
21.11
21.12
21.13
21.16
21AS
21.16
21.1]
21.18
22
22.1
Considerwork.ng c,pit,l.... table to the system trait Mail lac (i a, -$10m residuat).
Finance Irdorms Taskl
Develop Ins operating budge
Develop the capita b,dget.
Establish wherein the current budgeting sWCWre EMS service items should be
Develop a strategy to coninudly evaluate the late1 wits lined and soft) to staff an ambulance
Revenue Cycle Mangy meat
Complete an audit of pas, documents and billing.
Select and contract with a 1hiM-parry revenue Wde management and EMS billing company.
Develop and adopt an EMS chargemasts,
-id, racommendabms for establishing centmrs cts with yes.
Develop a process to apply for ambulance SUDDlemental Payment Program (ASPP) dollars
Establish a process to have a yearly audit of the third -party billing company wmplated by an outside vendor
Ca,tl
pee tthe CMS-10114 Nabrovider on,l Pklentifia (NPI) Applies-
CDevej�p an EMS service co.ph.n. program that meets fedeil and sbts requirements
Establish a process that ensures the Ciry has a designated Rewrds Management oRcer to develop and establish policies and procedures
for a recalls management Program .
Establlah'dicta.Nat',the acceptable use d computer equ.pme M, EMS personnel.
Establish a process for all employees b complete annual compliance and HIPAAeducaton.
EMS Service Llcensure
Complete the rsqu.aite Texas Department d State Health Services l.censum applusb-
Consider multiple providers (FDs in- Med-dunng the -lit)
Assign a leadership team member as the d-B-ated Texas DSHS Admm.ababor of 1- (AOR)
Have the Administrator of R..M complete the AOR course
Insurance
Support the City end Its Legal Deparhnent m establ,i. general IlabAity -uince policy.
Support the city and Ii legal d.parhnent m establ,i. professmnal Ilablllty Insursnce policy
LocilsHcs
Complete an assessment d Ne current Ioglshcs cepablllties antl processes dthe FW FD antl MedStar s operetions b prov.tle antl ethc.ent
and seamless'mteenst-
DevNop process to manage street Ievd exchange of equipment and the rewvery process for the system
Review and mini , the HUB design and Iogislics management d Na deployment related W the adopted schedules
Evaluate the expense of utilizing a station -based resupply model
Review city refud.ng pictices
Evaluate the benefit dfuel wntracis
DevNop a refueling process for EMS
Review city medical gas pictices
Develop a medical gas exchange process
Durable Medicalm
E sity nerd
Complete an assessent d the current durable medical equipment used in Na EMS System
Develop a replacement schedule for doable medical equipment
Establish a process for each else -and mechanical equipment to be Inspected daily
Review city biomedical maintenance picticee.
Contract with durable un. iequipment blomedlcal servicing wmp.N..
Purchase the needed or wntinue using cunent W, Fi apparatus tachndogy W provide talematry data W nietwing facilities
Budget recommendalionsWill be integrated with the existing procurement and capital planning sbuctuee.
Did� y.oble Al F1�Y �nent
OGla.n a detailed list of a((mea disposablasuppli
tabes.
Eslish tlispos"I" medical equipment purchasing agreements witdors. h local and national ven
Budget recommendalions will be integrated with the existing procurement and capital planning seucturee.
Fleet Services
Evaluate the needs and Integrals current MedSW test strategies and capacity
W oM.nth COFW Fleet to Integile the new demands with city services antl the utilization of Madi tacilites
EMS Syystem Management
EatatlPsh atand.rd ops abng procedures that align with fedi al, slate. and local statutes for sdminisbetWe. wmmumi and operatlms-
.1sed department sectors
Establish a process to eliminate a reduce hazards and decrease the p.bab.bty of loss, adversely affecting productmty, affi-ncy, and
health
Developaprocess thstmqunes all lest.-pteam members bcomplete EMS managemwtcourses,emergency prennead ss programs,
and elver Ie-ish'e programs
DevNop response time, workload, ahabilri and call concurrency KPk for daily system evaluation
Develop We .I1 review processes that .dude roles. responsibilities, and necessary personnel assigned with late can review activities
Contract with an EMS bell surveying company 0 celled and measure patient cabsfwdon from patient wntects.
Develop a process to handle customer semce Inqu.riss.
Establish opaationat performance measure thresholds and mechanisms to evaluate co nmwly measured EMSS-timed padamance measures.
Establish an annual EMS strategic management process with (-11i or quarterly repointing)
EMS Stiehl Mutual Aid
Review u'.l-aid agreements between EMS, providers, and mumorpatibes and ensure they are up to data for day -today opeati-and
events squinrg state -up -,city
Ensum the process came., prw.smns for shanng and peel Ne functons of pre -hospital patent rare and b.nspodshon
Ensure any consbaratons fa stale and federal tlisastar assistance and mtagiton.. in piece regaining paten[ banspodebon aervmes.
Develop a process for AMBUS deployment, the AMBUS Is a stele, igmnal, and Beal rssa . mth the p-ey m.ssmn of p-nung
te-nced metlical transport .,itavacuaton --ii, for venous EMS needs
Human Resources and the Hiring Process for Field Personnel
Consider all wllecal bargaining Items to be addressed.
Create job classifications.
Create or adapt job dasmpbons with wpedat.ons for KSAa.
Consider and define the process for upward mobility and banters between singlai EMS providers and ether Flre Depanmmt peadons
Develop a shift bid process and policy (if desired)
Develop shift bid commun.cabm meta i is (if desired)
Conduct strucNred interviews nth the City Human Reswrces staff to.dentity lu-ncal... ini etention, and hmng dificult,,
Develop the hin" requirements for incumbent staff
Integrate nth payroll and scheduling seRwora
Post the clinical, communnat.ms (based on the 911 project), administrative, operations, and support roles.
Devdop er purchase an employee s,bafection and feedback loop and ensure exit mtarviews are complded to fell trends.
Devdop the packet that describes liming, Insurance, wellness program, vacation, sanionry related pobores, sic
Work.nth HR to integrate the necessary EMSretated .mining in. the City Learning Management System
Data ins how the stand process will work for hire dates
Work.nth designated C.ry staff todetermine if there as any CBA implications for shift titles, vacation. etc
Communcate with the w- employees regarding the phase 1 employee bansi0on strategy Nat was discussed In the w May 23M
Communicate with the wrrent employees regarding the phase 2 employee eansi0on strategy Nat was discussed m them May.
Work.nth the City to determine how workman', wmp.... tion will be handled
Provide an 4abedIemMtwitand Tri nsigoTimeline
Create a rele tundmnfield p-cenel 0 awommodate the hiring and tralning requirements.
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Today: Mon 6/24/2024
Tao
22.2 Updatethe0md—fia thedryadminislmbw.HR.and FWLab.
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23 Beni �Onboardir��
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23.1 D e ne what lea ership personnel are needed to mterv—cl dates.
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23.2 Develop interview questions. swnng cHW,,, and other necessary matenals.
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23.3 MenWy where interviews well be wnd—
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23.4 Develop Nematerialstoprwwtethe newsemce
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23.5 Devdopanew4ure dienta0on and wboarding cumwlum that includes dwumentagon training
8/26/2024 G
23.6 Develop a0mekne furmterviews. new hire an—., and any required medical screening
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23.7 E.-Imbastrokgyroensure that ell EMS personnel complete reqused compliance training within the first thirty days and each year
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23.8 Esbblisbas"ategy to ensure that ell EMS personnel complete required infection wntrol training within the first Nirty days and each year
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23.9 Esbblish a strategy to ensure all personnel complete necessary diamal and protocol -related training
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23.10 Establish a hammg strategy to ensure that all personnel —plate necessary operMiwal-reIMed training
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23.11 Create a realanc M1mehne for onboarEing field personnel toawommodate the hinng and trammg requirements.
W26)2024j G
23.12 Update Me 0mekne for Me dry adminidra9w. HR. and FW lab.
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26 On..?�P System Support and Guidance
5/312024 K
26.1 Providongoing support to eno—Iffldent, eff th . and sustainable semoes meetdesiga aVedagons
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26.2 Work with the Ciry W send the message about the membership program
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City of Fort Worth, Texas
Mayor and Council Communication
DATE: 04/23/24 M&C FILE NUMBER: M&C 24-0341
LOG NAME: 02FITCH 911 STUDY AND EMS IMPLEMENT
SUBJECT
(ALL) Authorize Execution of Agreements with Fitch & Associates, LLC, with One in an Amount Up to $140,000.00 for a 9-1-1 Call Center Study
and the Second in an Amount Up to $400,000.00 for Transition and Implementation Management Services for the Emergency Medical Services
Study
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize execution of an agreement with Fitch & Associates, LLC in an amount up to $140,000.00 for a 9-1-1 Call Center Study; and
2. Authorize a second agreement with Fitch & Associates, LLC in an amount up to $400,000.00 for transition and implementation service
associated with enacting the results of the emergency medical services comprehensive study.
DISCUSSION:
The purpose of this Mayor and Council Communication (M&C) is to authorize actions related to Fitch & Associates, LLC (Fitch) providing
professional services related to the City's efforts to enhance emergency services response.
Aareement for 9-1-1 Call Center Studv
Currently when a Fort Worth resident telephones for assistance, there are three different 9-1-1 call centers that may be involved depending on the
nature of the emergency. The Police and Fire Departments each have a 9-1-1 call center as does the Metropolitan Area EMS Authority, d/b/a
Medstar.
Depending on the specific situation a resident is calling about, they may end up having to speak to more than one call center and answer basic
questions multiple times. Having multiple 'touches' and repetitious questions on an emergency call causes delays in situations where every
second can make a difference.
The goal of the 9-1-1 study is to review the current call centers and identify ways to increase their interoperability in an effort to improve response
times and get emergency responders on -site faster.
Based on the agreed scope of work, the anticipated cost of the study is $140,000.00. Approval of this M&C will authorize execution of a
professional services contract with Fitch for up to this amount.
Aareement for Implementation and Transition Services for EMS Studv
On October 31, 2023, the City Council approved an agreement with Fitch & Associates, LLC in an amount up to $182,500.00 for an Emergency
Medical Services comprehensive study. (M&C 23-0929)
Over the course of several months, Fitch has provided services related to the EMS study, including conferring with City staff, conducting research,
participating in stakeholder meetings, and attending meetings of the City Council's Ad Hoc EMS Advisory Committee.
The study resulted in the presentation of various options for the delivery of EMS services. The EMS Committee is scheduled to meet to make its
final recommendations on EMS system and governance -related items on April 30, 2024, which will then be forwarded to the entire City Council for
consideration and action.
Implementation of whichever option is ultimately selected will take time and careful planning. The City Manager's Office is seeking authorization to
enter into a professional services agreement with Fitch for the implementation of the study's findings and Council's resulting decision and the
transitions related thereto.
Funding is budgeted in the Consultant & Other Prof Service account within the General Fund for the City Manager Department.
DIVERSITY AND INCLUSION (DVIN) - A Professional Service 252 Exemption Form was submitted for each of these services and approved by
the City Attorney's Office. Therefore, the business equity goal requirement is not applicable.
AGREEMENT TERMS - Upon City Council approval, each agreement shall begin upon execution and expire upon completion and payment of all
services.
ADMINISTRATIVE CHANGE ORDER: An administrative change order or increase may be made by the City Manager to either of both
agreements up to the amount allowed by relevant law and the Fort Worth City Code and does not require specific City Council approval as long as
sufficient funds have been appropriated.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that upon approval of the recommendation, funds are available in the current operating budget, as appropriated,
in the General Fund. Prior to an expenditure being incurred, the City Manager Department has the responsibility to validate the availability of funds.
Submitted for Citv Manaaer's Office bv: Valerie Washington 6192
Oriainatina Business Unit Head:
Additional Information Contact: Taylor Paris 6285
Expedited