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Exhibit A-2 <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. The Consultant <br />will sign DEA Form 222 and/or obtain a Controlled Substance Ordering Certificate <br />with the LPFD Controlled Substance Coordinator. <br />2.The Consultant shall have access to patient care records when controlled <br />substances are administered by LPFD personnel and shall review said records <br />when required. <br />3.The Consultant shall participate and advise in the selection of medical equipment <br />at the discretion of LPFD. <br />4.The Consultant shall participate in Quality Improvement (QI) meetings at the <br />discretion of LPFD. <br />5.The Consultant shall provide the LPFD EMS Manager any requested follow-up and <br />consultation via email or phone. <br />6.The Consultant shall aid in investigation of clinical errors and QI issues at the <br />discretion of LPFD. <br />7.The Consultant shall participate in corrective action plans at the discretion of <br />LPFD. <br />8.The Consultant shall be LPFD's Automated External Defibrillator (AED) prescribing <br />physician. <br />9.The Consultant, at the request of LPFD, shall participate in Regional and State <br />EMS meetings. <br />10.The Consultant, at the request of LPFD, shall consult with LPFD on incidents of <br />exposure or possible exposure to blood borne pathogen exposures or hazardous <br />materials. <br />11.The Consultant shall attend any training sessions at the request of LPFD. The <br />Consultant shall prepare and present lectures as requested by LPFD. <br />12.The Consultant shall provide instruction to the Fire Academy at the request of <br />LPFD. <br />Docusign Envelope ID: 1056AD7A-5F75-8291-81D6-7251B9722F37