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EMERGENCY MEDICAL SEF"ICES F!RSI HISFONDER ADIANCED LIFE SJPPORT AGRtEMENI (11/1/2011) Response Time standard, the higher priority Response Time standard shall apply; or, • If the time of the downgrade occurs before the FRALS has exceeded the higher priority Response Time standard, the lower priority Response Time standard shall apply. • In all such cases, documentation must be presented for validation of the reason why the priority status was downgraded. If the downgrade was justified, in the sole discretion of the County, the longer standard shall apply. c. Reassignment Enroute If a FRALS is reassigned en-route or turned around prior to Arrival at Incident Location (e.g., to respond to a higher priority request), compliance and fines shall be calculated based on the Response Time Standard applicable to the assigned priority of the initial response. The Response Time clock shall not stop until the arrival of a FRALS on the scene from which the unit was diverted. d. Canceled Calls If a call is canceled prior to the FRALS Arrival at Incident, the compliance and fines shall be calculated based on the elapsed time from dispatch to the time the call was canceled. In situations where the FRALS has responded to a location other than the Incident Location (e.g. staging areas for hazardous materials/violent crime incidents, non- secured scenes, or where rugged terrain precludes access),Arrival at Incident shall be the time the FRALS arrives at the designated staging location or the nearest public access point to the patient's location 5.4 Response Time Late Response Exemptions a. Contractor may request that a late response be excluded from the calculation of Response Time standards ("an Exemption"), if that call falls into one of the following categories: • A declared Multi-Casualty Incident ("MCI") or disaster that the County EMS Director determines has had a material impact on Contractor's resources. • There was a delay because information relayed by the Medical Dispatch Center was substantially incorrect so as to prohibit timely arrival at the call. b. Request for an Exemption must be in writing, and received by the County EMS Director within ten (10) calendar days following the end of the month in which the event Page 5 of 26