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EMERGENCY MEDI(RE SERVICES I-!PSI RESPOVDER ADVANCED L:FL SUPPORT AGREEMENT (11/1/2011) SECTION 1 - INTRODUCTION 1.1 The County is designated as the Local Emergency Medical Service Agency (LEMSA) as defined in the California Health and Safety Code Division 2.5, Section 1797.94 responsible for establishing policies and procedures for the approval and designation of paramedic service providers within its jurisdiction. 1.2 The County has established an Emergency Medical Service District (EM-1983-1) and has entered into agreements with various Emergency Medical Services (EMS) providers, both public and private, to assure the availability of emergency medical response and transportation services within the District. 1.3 The Contractor is willing to provide first response to requests for all medical calls as defined by the algorithms in the Medical Priority Dispatch System (MPDS) protocols and as approved by County EMS. As per MPDS and State regulations, call prioritization must be determined under the direction of the Medical Director. 1.4 Contractor agrees to follow all medical and operational policies as defined in Alameda County EMS policy manuals. 1.5. Contractors with First Responder Advanced Life Support (FRALS) Units include the agencies/cities listed below: Alameda County Fire Department 11 FRALS City of Newark Fire Department 3 FRALS City of Union City Fire Department 4 FRALS City of Dublin Fire Department 4 FRALS City of San Leandro Fire Department 7 FRALS City of Emeryville Fire Department 2 FRALS City of Fremont Fire Department 13 FRALS City of Hayward Fire Department 11 FRALS City of Livermore Fire Department 5 FRALS City of Oakland Fire Department 26 FRALS* City of Pleasanton Fire Department 5 FRALS 1.6 The number of authorized FRALSs to be funded will not change during the duration of this agreement unless approved by Contractor and EMS Director, and funding is available. Contractor has been authorized for 5 FRALS units. 1.7 The parties hereby execute this single agreement which will constitute formal designation of Contractor as an authorized provider of First Responder Advanced Life Support Services within the Alameda County EMS system under Health & Safety Code Section 1797.178, a paramedic service provider agreement under Title 22 CCR Section 100167, and a written Page 1 of 26