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Exhibit A <br />Scope of Services, Billing Rate, and Invoicing Process <br />Scope of Services <br />Pursuant to the terms and conditions of this Professional Services Agreement, which has <br />been entered into by and between the Livermore -Pleasanton Fire Department Joint Powers <br />Authority ("LPFD") and The Permanente Medical Group, Inc. ("Consultant"), Consultant <br />shall provide the following services, except that Consultant shall not provide, and LPFD <br />shall not request that Consultant provide, any direct patient care or treatment services. <br />1.Consultant shall be the Drug Enforcement Agency (DEA) Registrant, authorizing <br />the purchase and use of Schedule II and III medications by LPFD. Consultant will <br />sign DEA Form 222 and/or obtain a Controlled Substance Ordering Certificate with <br />the LPFD Controlled Substance Coordinator. <br />2.Consultant shall have access to patient care records when controlled <br />substances are administered by LPFD personnel and shall review said records when <br />required. <br />3.Consultant shall participate and advise in the selection of medical equipment at the <br />discretion of LPFD. <br />4.Consultant shall participate in Quality Improvement (QI) meetings at the discretion <br />of LPFD. <br />5.Consultant shall provide the LPFD EMS Manager any requested follow-up and <br />consultation via email or phone. <br />6.Consultant shall aid in investigation of clinical errors and QI issues at the discretion <br />of LPFD. <br />7.Consultant shall participate in corrective action plans at the discretion of LPFD. <br />8.Consultant shall be LPFD's Automated External Defibrillator (AED) prescribing <br />physician. <br />9.Consultant, at the request of LPFD, shall participate in Regi onal and State EMS <br />meetings. <br />10.Consultant, at the request of LPFD, shall c onsult with LPFD on incidents of <br />exposure or possible exposure to blood borne pathogen exposures or hazardous <br />materials. <br />11.Consultant shall attend any training sessions at the request of LPFD. Consultant <br />shall prepare and present lectures as requested by LPFD. <br />12.Consultant shall provide instruction to the Fire Academy at the request of LPFD. <br />Docusign Envelope ID: 7BD6423C-AD7B-4A90-8535-BB57FAA52A1EDocusign Envelope ID: 1056AD7A-5F75-8291-81D6-7251B9722F37