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Riverside Co/Ambulance 04MEMORANDUM OF UNDERSTANDING (MOU) FOR JOINT MONITORING OF EMERGENCY AMBULANCE SERVICES This MOU is entered into pursuant to Schedule E-I in the Agreement for "ALS Exclusive Operating Areas — American Medical Response Master Contract" (hereafter referred to as "the Contract"). The City of La Quinta herby known as "City", and the County of Riverside, acting through its Emergency Medical Services (EMS) Agency, do enter into this Agreement with reference to the following facts: A. The participants agree to consult on issues regarding provider performance, changes or cancellation of the contract with the provider and distribution of performance penalty monies received under the performance based contract and other decisions related to administration of the Contract. B. By entering into this MOU, the participants do not waive or otherwise relinquish any legal rights or obligations as they may have under law. Now therefore the participants agree as follows: 1. The EMS Agency will provide staff for day-to-day management and administration of the Contract with regular reporting of performance to the EMS Administrative Group as described in #2 below. 2. Each participating agency will designate an individual to serve on an EMS Administrative Group that will mutually review performance reports, monitor contract compliance and determine use and allocation of performance penalty monies received from the provider as well as other duties mutually agreed to, on behalf of the city. The individual will be the City Manager or designee from each city, the Riverside County Fire Chief or designee from the unincorporated areas, and the EMS Agency Director or designee. 3. The term of this agreement shall begin April 1, 2004 and run through June 30, 2009, or throughout the term of the Contract if extended with the emergency ambulance provider. 4. There shall be -no assessment to the City for the costs of administering the Contract or this MOU. 5. Performance standards will be as specified in the Contract between Riverside County and the emergency ambulance provider, or as otherwise modified from time to time. 6. City may request modified services as provided by the Contract, subject to negotiated costs or savings, and EMS Agency approval. . w MOU Page 2 of 2 7. City will invoice the County of Riverside EMS Agency annually for payment of penalties. 8. All monies collected by City under terms of this MOU will be used only for EMS system enhancements. 9. Ambulance rates will be set in accordance with County and Community Health Agency (CHA) policy with input from the involved cities. 10. All notices, statements, demands, requests, consents, approvals, authorizations, agreements, appointments or designations hereunder shall be given in writing and addressed to each party in the MOU. 11. The participants agree to cooperate in carrying out the purposed and intent of this MOU and to execute, acknowledge and deliver all additional agreements, instruments or other writings reasonably necessary to carry out this MOU. No party hereto, however, shall be compelled to surrender its discretionary powers of approval as contemplated in this MOU by virtue of this covenant. DON ADOLPH Name Mayor Title I f **01k a Signature Gary M Feldman, M.D. County of Riverside (" ( tit. i b Date �"Z S-- 0q Date