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EMERGENCY MEDICAL SEF <br />S FIRST RESPONDER ADVANCED LIFE SUPP AGREEMENT (7/1/2019) <br />SECTION 1- INTRODUCTION <br />1.1 The Alameda County Emergency Medical Services Agency is designated as the Local <br />Emergency Medical Service Agency (LEMSA) as defined in the California Health and Safety <br />Code Division 2.5, Section 1797.94 responsible for establishing policies and procedures for <br />the approval and designation of paramedic service providers within its jurisdiction. <br />1.2 The County has established an Emergency Medical Service District (EM-1983-1) and has <br />entered into agreements with various Emergency Medical Services (EMS) providers, both <br />public and private, to assure the availability of emergency medical response and <br />transportation services within the District. <br />1.3 The City shall provide First Responder Advanced Life Support (FRALS) services to requests <br />for medical assistance as defined by local policy and procedure. Response procedures shall <br />be based on the algorithms in the Medical Priority Dispatch System (MPDS) protocols <br />(TABLE A -PERSONNEL AND RESPONSE TIME REQUIREMENTS) including 5150 calls. As per MPDS <br />and State regulations (CA Health and Safety Code Section 1798(a) - Medical Control), call <br />prioritization must be determined under the direction of the Medical Director. <br />1.4 City agrees to follow all County EMS Policies. <br />1.5 County agrees that any change to County EMS Policies that requires a modification to the <br />City's budget requires mutual agreement between the County and City. <br />1.6 City shall adequately deploy FRALS units to continually meet the Performance Standards <br />stipulated in Section 5 of the Agreement. The number of staffed fire or rescue FRALS units is <br />at the sole discretion of the City. <br />1.7 The parties hereby execute this single agreement which will constitute formal designation <br />of City as an authorized provider of First Responder Advanced Life Support Services within <br />the Alameda County EMS system under Health & Safety Code Section 1797.178, a paramedic <br />service provider agreement under Title 22 CCR Section 100168, and a written agreement <br />regarding the provision of prehospital emergency medical services under Health & Safety <br />Code Section 1797.201. Nothing in this agreement is intended to extinguish any existing <br />rights of the parties under Section 1797.201 or 1797.224 of Division 2.5 of the California <br />Health and Safety Code. <br />Page 1 of 24 <br />