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EMERGENCY MEDICAL SERVICES FIRST RESPONDER ADVANCED LIFE SUPPORT AGREEMENT (7/1/2019) SECTION 2 - TERM 2.1 The term of the agreement shall be July 1, 2019 through June 30, 2024. The EMS Agency and City may extend this Agreement by mutual agreement for up to an additional five (5) years. SECTION 3 - SERVICES/PRIMARY SERVICE AREA 3.1 City shall identify and provide a representative, available to respond at all times within City's Primary Service Area and authorized to act on behalf of City in all operational matters. City shall provide the specific means for contacting the designated representative. 3.2 City shall be responsible for ensuring dispatch and responding to requests for emergency medical services originating within its primary service area. 3.3 First Responder Advanced Life Support (FRALS) Services The City shall provide FRALS services to requests for medical assistance as defined by local policy and procedure. Response procedures shall be based on the algorithms in the Medical Priority Dispatch System (MPDS) protocols (TABLE A-PERSONNEL AND RESPONSE TIME REQUIREMENTS) including 5150 calls.As per MPDS and State regulations (CA Health and Safety Code Section 1798(a) - Medical Control), call prioritization must be determined --under the direction of the Medical Director. a. City shall provide FRALS service to patients until transfer of patient care to arriving transport resource if applicable, according to County EMS Policies, or a medical physician of competent authority in accordance with County EMS Physician-on-scene policy. b. Services shall be provided to all areas within the Primary Service Area and as otherwise required by this Agreement.A map of the City's Primary Service Area is attached as EXHIBIT A-DEPICTION AND DEFINITION OF CITY'S PRIMARY SERVICE AREA. 3.4 Standards a. City shall be available to provide FRALS services 24 hours per day, 7 days per week, 52 weeks per year without interruption, for the full term of the Agreement. These services shall be provided without regard to the patient's race, color, national origin, religion, sexual orientation, age, sex, or ability to pay. b. City shall work cooperatively with the County EMS Director, EMS Medical Director, and other County staff and agencies to fulfill the terms and conditions of this Agreement. Likewise, the County EMS Director, EMS Medical Director, and other County staff and agencies shall work cooperatively with the City's Fire Chief and other City staff. Page 2 of 24