262860MN_Solicitation_Documents.pdf

REQUEST FOR PROPOSALS (“RFP”) – PART I

RFP Template Revised 02/10/25 Page 1 of 6

RFP #: 262860MN

RFP TITLE: MEDICAL DIRECTOR SERVICES FOR SARASOTA COUNTY FIRE

1.0 PURPOSE

Sarasota County (“County”), a political subdivision of the State of Florida, will receive proposals on the date indicated in OpenGov Procurement (OpenGov), the County’s electronic procurement portal, for the purpose of selecting a qualified consultant to serve as the Medical Director for Sarasota County Fire Department Emergency Medical Services (EMS). Proposers are required to comply with Part II, Scope of Services.

OpenGov is located at https://procurement.opengov.com/portal/scgov

2.0 BACKGROUND

Sarasota County Fire Department (SCFD) is an all-hazards County fire department whose services to the community include basic and advanced life support and hazardous materials support. SCFD strives to achieve the Institute for Healthcare Improvement’s “Triple Aim” of improved population health, improved patient satisfaction and reduced system costs through high- quality, evidence-based, patient-centered services.

Medical Director services for SCFD are currently contracted with an emergency medicine physician in compliance with Section 401.265, Florida Statutes. The County’s protocols are maintained by the County’s Medical Director. These protocols are currently used by the following agencies, each under separate contract with Sarasota County’s Medical Director; Northport Fire and Rescue, Longboat Key Fire Department, Venice Fire Department, Englewood Fire District, and the Sarasota-Bradenton Airport Authority.

3.0 PROPOSER

3.1 For the purpose of this RFP, the term “Proposer” is defined as the legal entity submitting a proposal.

3.2 Proposers intending to submit a bid as a joint venture with another company must provide documentation attesting to the formation of that joint venture with their submittal. For purposes of this solicitation, all vendors who make up the joint venture will be considered together as the Proposer.

4.0 QUALIFICATIONS

It is the intent of the County to contract with either an individual or a team, provided the team is a legal entity. In either scenario, the individual or the team must possess all of the minimum qualifications and be capable of providing the required services.

4.1 The Medical Director and Associate Medical Director(s) identified by the Proposer (“Project Team”) must have the ability to provide emergency medical services oversight.

https://procurement.opengov.com/portal/scgov

RFP Template Revised 02/10/25 Page 2 of 6

4.2 The Medical Director and Associate Medical Director(s) identified in the Proposal must each be licensed and registered as a Florida physician with the State of Florida Department of Health, Division of Medical Quality Assurance at the time of submittal.

4.3 The Medical Director and Associate Medical Director(s) identified in the Proposal must each be certified in Emergency Medicine by the American Board of Emergency Medicine (ABEM) and/or the American Board of Physician Specialties (ABPS).

4.4 The Medical Director identified in the Proposal must have a Drug Enforcement Administration (DEA) registration number in good standing at the time of submittal.

4.5 Preferred Qualifications

4.5.1. Proposer has at least five (5) years of experience serving as a Medical Director for an Advanced Life Support (ALS) EMS system.

4.5.2. Proposer has experience directing EMS Quality Improvement activities.

5.0 MEETINGS & SCHEDULE

An anticipated schedule is provided in the Timeline posted in OpenGov. All meetings will take place at the time, date, and location specified in the solicitation Timeline.

Short-listed Proposers should be prepared to attend presentations and/or interviews either in Sarasota, Florida or virtually, at the County’s discretion.

6.0 SUBMITTAL INSTRUCTIONS

Refer to Submittal Instructions section in OpenGov for instructions on how to submit a proposal. Proposers are advised to review the General Terms and Conditions of Solicitations which are available in OpenGov.

7.0 VENDOR QUESTIONNAIRE

7.1 All proposers must complete the required forms and information included in the Vendor Questionnaire section of OpenGov. Completed forms and other requested documents must be uploaded with proposer’s submittal in OpenGov. Proposers who fail to complete and upload required forms and documents or fail to provide responses to questions in the Vendor Questionnaire section of OpenGov may be found non-responsive.

8.0 WRITTEN PROPOSALS

The information requested in each section below will be used by the evaluation committee to evaluate and score written proposals. All proposal documents must be submitted in the Vendor Questionnaire section in OpenGov in the format requested.

8.1 Qualifications

8.1.1. Single page Letter of Interest summarizing Proposer’s

qualifications.

RFP Template Revised 02/10/25 Page 3 of 6

8.1.2. Required and preferred Licenses and Certifications.

8.1.3. Resumes of key personnel, including subcontractors, demonstrating individual qualifications and experience

8.2 Experience

8.2.1. Narrative – Provide a narrative that describes the Proposer’s experience, including, but not limited to the number of years in business, pertinent capabilities, evidence of experience and resources necessary to successfully provide the requested services, and any current appointments of the proposed Medical Director and Associate Medical Director(s).

8.2.2. References – Provide a minimum of five (5) client / project references. Include customer name, a brief description of the services provided, contract start and end dates, and the name, email, and telephone number of a contact person who can verify information.

8.3 Approach

Provide a detailed approach for providing the services described in the Scope. Identify staff to be assigned where appropriate. Approach should include, but not be limited to, each of the following areas:

a. Protocols – Describe proposed process for the review of existing protocols, drafting, adoption, and implementation of new protocols and monitoring of such protocols for compliance. Include a timeline for adoption and implementation of new protocols;

b. Training – Describe proposed participation in the development and oversight of an EMS training plan, in collaboration with SCFD;

c. Continuous Quality Improvement (CQI) – Describe proposed participation in the development and oversight of a CQI Program, in collaboration with SCFD;

d. Collaboration - Describe how you will build relationships and partnerships with other local EMS providers, technical colleges and healthcare providers and/or agencies. Describe participation in statewide and national events;

e. Reports - Provide a description of reports to be provided, including report schedule;

f. Organizational Response Plan - Describe proposed process for reviewing and recommending revisions to the existing plan, in collaboration with SCFD.

Required Optional Not Applicable

8.4 Compensation

Provide a description of the total costs associated with this scope of work.

Compensation methods shall include hourly rates and detail all direct

RFP Template Revised 02/10/25 Page 4 of 6 expense costs for all anticipated services,

9.0 SELECTION PROCESS

9.1 Written Proposals

9.1.1. All timely responses meeting the criteria set forth in this RFP shall be considered by the County.

9.1.2. Written proposals will be evaluated and scored using the evaluation criteria in the Evaluation Criteria section of OpenGov.

9.1.3. Only proposers who submit required documentation will be eligible to receive Local and American Preference points.

9.1.4. When evaluating written proposals, the evaluation committee will use the scale below to score each criterion. Only whole numbers are to be used when scoring. Scores will be given weight as indicated in the evaluation criteria in OpenGov.

Score Description

5 Excellent

4 Very Good

3 Good

2 Satisfactory

1 Unsatisfactory

0 N/A

9.2 Presentations

9.2.1. If any member of the evaluation committee requests presentations, presentations shall be scheduled.

9.2.2. If presentations are requested or required, the evaluation committee shall determine the number of Proposers to be short-listed for presentations prior to scoring. The format of presentation will be determined by the County and may consist of presentations, interviews, or a combination of presentations and interviews.

Presentations will be required from no fewer than the three highest scoring Proposers (or all responsive and responsible Proposers if there are 3 or fewer) under the following circumstances.

1. The estimated costs of services are in excess of $350,000 (either annually or for the total project); or

2. Scoring results in 5 points or less between the highest scoring proposer and the 2nd highest scoring proposer; or

RFP Template Revised 02/10/25 Page 5 of 6

3. The solicitation documents specify that presentations or interviews will be required.

4. The Procurement Official has determined that presentations are required for this solicitation.

If this box is checked, the Procurement Official has determined that presentations are required for this solicitation

9.3 Ranking

Following presentations, the evaluation committee will rank the short-listed proposers. The ranking shall be based on the written proposals, clarifications (if any), and information presented during presentations.

9.4 Evaluation Committee Recommendation of Award

9.4.1. If presentations are not requested or required, the evaluation committee will recommend the highest scoring Proposer for award.

9.4.2. If presentations are requested or required, following presentations the evaluation committee will rank the short-listed Proposers, and recommend the first ranked Proposer for award.

10.0 AWARD

10.1 It is the intent of the County to award a contract to the Proposer who, in the sole opinion of the evaluation committee is most qualified to provide the scope of services required and will provide the best value to the County.

10.2 The County reserves the right to contract for a term less than or greater than the duration indicated in OpenGov.

10.3 The successful Proposer(s) shall be required to submit proof of licenses or certifications as required by the County.

10.4 In the event of a tie, the RFP tie-breaking procedures identified in the Sarasota County Procurement Manual will apply. To be considered, tied Proposers will be required to provide documentation certifying they have implemented a drug-free workplace program meeting the requirements stipulated in Section 287.087, Florida Statutes. Documentation must be provided within the time specified by the County at the time of request.

10.5 Preferences

Proposers wishing to be considered for Local Business Preference or American Business Preference must complete and submit a Local & American Business Certification Form with their submittal. The Local & American Business Certification Form can be found in the Vendor Questionnaire section of OpenGov.

In awarding this RFP, preference shall be given to local businesses and American businesses in accordance with Section 2-215 of the Sarasota County Procurement Code.

Local and American business preferences do not apply to the award of this

RFP Template Revised 02/10/25 Page 6 of 6

RFP, due to Grant funding requirements

10.6 Contract

A draft of the contract that the successful Proposer(s) will be expected to sign (a Consultant Agreement) is posted on the Procurement website, shown below. The County may, in its sole discretion, select a different contract type or make revisions to the one referenced above following the recommended award of this solicitation.

https://www.scgov.net/government/procurement/contract-templates

11.0 CHANGES IN KEY PERSONNEL

11.1 A change in the key personnel of a short-listed firm after the submission of the response to this RFP could result in reconsideration of the scoring of applicable evaluation criteria, at the sole discretion of the County.

11.2 Any changes in the key personnel of a short-listed firm should be brought to the attention of the County as soon as possible after the change is made.

The changes, the reasons for the changes, and resumes for the individuals being substituted for an individual identified in the response, must be submitted, prior to oral presentations, to the Procurement Analyst identified on the Solicitation Summary.

11.3 Decreases in scoring may result from the reconsideration of changes in the key personnel of a short-listed firm. No increases in scoring will result from the reconsideration of changes in the key personnel of a short-listed firm.

11.4 After award of a contract, the successful Proposer shall not be allowed to substitute key personnel named in this response, including subcontractors, without the prior written permission of the County. Substitution may, in the sole opinion of the County, be grounds for cancellation of selection, or termination of contract.

https://www.scgov.net/government/procurement/contract-templates

PART II

SCOPE OF SERVICES

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1.0 OVERVIEW

The Sarasota County Fire Department (SCFD) is seeking Medical Director services to support the Department’s emergency medical services operations.

Services shall be provided by a Florida-licensed physician in compliance with Section 401.265, Florida Statutes, and all applicable requirements. The Proposer shall designate the Medical Director, ensure compliance with the requirements of the contract, and maintain overall responsibility for the services and actions performed by the designated Medical Director.

2.0 STAFFING

2.1 Medical Director

a. The Medical Director shall be a licensed medical provider: Medical Doctor licensed in the State of Florida.

b. The Medical Director shall perform all legal duties and responsibilities of a Medical Director, as provided for by Section 401.265, Florida Statutes, Chapter 64J-1 F.A.C., and any other applicable laws, regulations, and rules of any governmental agency. The Medical Director shall also perform any other required additional duties of a Medical Director that may be added or amended upon written notice from the Florida Department of Health. The Medical Director shall have full knowledge of legislation relating to 911 dispatch functions, pre-hospital Emergency Medical Services (EMS), and community paramedicine or mobile integrated healthcare.

c. The Medical Director shall provide medical direction for pre-hospital healthcare services provided to the Sarasota County community by the Sarasota County Fire Department (SCFD).

Services include pre-hospital EMS, Emergency Medical Dispatch (EMD), Medical Priority Dispatch (MPD) and Mobile Integrated Healthcare Services (MIH). The Medical Director shall be responsible for maintaining and improving patient safety and ensuring medical care provided under the Medical Director’s license is safe, medically correct and free from reasonably avoidable medical errors.

d. The Medical Director shall be fully responsible for the performance of the Associate Medical Director(s) and the Medical Team. The Medical Director shall promptly remedy any deficiency of performance by the Associate Medical Director or the Medical Team.

2.2 Associate Medical Director

a. The Medical Director shall appoint one or more Associate Medical Director(s) to serve in the capacity of the Medical Director in the Medical Director’s absence. Each Associate Medical Director shall

Prepared by EMS Department Part II - Page 2 of 9 meet all the qualifications for a Medical Director as set forth in Rule 64J-1.004 F.A.C. and Section 401.265, Florida Statutes.

b. Each Associate Medical Director shall be a licensed Florida physician trained in emergency medicine in areas such as; critical care, cardiology, neurology, pulmonary, internal/family medicine, and pediatrics.

c. Any proposed staffing change in the Associate Medical Director must be approved in writing by the Chief of EMS prior to being appointed by the Medical Director.

2.3 Medical Team

a. The Medical Director shall appoint a Medical Team that provides services, including research, to supplement those services performed by the Medical Director. Services provided by the Medical Team shall in no way relieve the Medical Director of his/her responsibilities and duties.

b. Medical Team members shall act as advisors and will not have the privileges assigned to the Medical Director.

2.0 MEDICAL DIRECTOR REQUIREMENTS

2.1 The Medical Director shall be available for consultation via County-provided radio or telephone communication 24 hours a day, 7 days per week for Online Medical Control (OLMC). OLMC communications shall occur through County-approved communication methods that are capable of being recorded and retained in accordance with County policy and applicable law. The Medical Director shall be expected to respond in person to any major or catastrophic incident, as determined by the County.

2.2 The Medical Director shall supervise and exercise direct responsibility for the medical performance of all Emergency Medical Responders (EMRs), Emergency Medical Technicians (EMTs), and paramedics operating for Sarasota County Fire Department, including both ground and hazardous materials personnel.

2.3 The Medical Director shall be knowledgeable with the standards as set forth by the National Fire Protection Association (NFPA) Standard 1581:

Standard on Fire Rescue Department Infection Control.

2.4 The Medical Director shall participate in the grant application process and provide medical expertise in support of system funding, expansion, research, pilot programs, and other strategic clinical initiatives, as determined by the County's Chief of EMS.

2.5 The Medical Director shall have a working knowledge of the Incident Command System. The Medical Director shall have a period of 18 months from date of contract execution to obtain County provided

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NIMS IS-100, IS-200, IS-300, IS-700, and IS-800 to meet NIMS compliance.

2.6 The Medical Director will staff the Emergency Operations Center during declared emergencies and function as part of the SCFD Operations Team.

2.7 The Medical Director shall be familiar with the challenges identified by the National Academy of Medicine, including, but not limited to:

workforce shortage, variation in training requirements, exposure to occupational hazards, lack of disaster preparedness, and the ability to care for the wide spectrum of ages from pediatrics to geriatrics.

2.8 The Medical Director shall provide clinical oversight and consultation regarding medication formulary management, medication utilization, and medication safety initiatives as requested by the Chief of EMS.

3.0 PROTOCOLS

3.1 The Medical Director shall review existing protocols, develop new protocols, and authorize, implement, and monitor the use of all such protocols. Protocols will include Advanced Life Support (ALS), Basic Life Support (BLS), EMD, and hazardous materials. The protocols shall ensure personnel properly manage medical emergencies, and permit specific ALS and BLS procedures for all patient care activities from dispatch through triage, treatment, and transport. Such protocols shall be specific in nature and shall provide for managing immediate life threatening medical emergencies.

a. The Medical Director shall approve the EMS component of dispatch protocols, including mechanisms to determine call priority.

b. The Medical Director shall establish written criteria for standards of care including EMR, EMT, Paramedic, MIH, and community-based non-emergency care.

c. The Medical Director shall maintain and update the existing Trauma Transport Protocol for submission to the Florida Bureau of Emergency Medical Services for approval. The Medical Director shall ensure that all EMTs and paramedics are trained in the use of the trauma score methodology for adult and pediatric patients.

d. The Medical Director shall review dispatch recordings as necessary for review of quality or patient care issues.

e. The Medical Director shall have the authority to limit patient care activities of those EMTs and Paramedics who deviate from established standards or do not meet training standards.

f. The Medical Director shall have authority to recommend or make appropriate changes to protocol, policy and procedures.

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g. The Medical Director shall ensure ongoing clinical competency and certification is maintained by all EMS personnel.

h. The Medical Director shall review and approve medication management protocols, including medication storage, security, handling, dispensing, inventory control, replacement processes, and controlled substance accountability in accordance with applicable federal and state laws, regulations, and accepted EMS practice.

i. The Medical Director shall establish or approve clinical documentation standards related to patient care reporting, protocol compliance, medical necessity, and continuity of patient care.

j. The Medical Director shall develop and recommend protocols utilizing current evidence-based medicine, nationally recognized clinical guidelines, and applicable state and federal standards.

k. The Medical Director shall develop, review, and approve clinical protocols, medical guidelines, and operational recommendations supporting Tactical Emergency Medical Services (TEMS), including law enforcement support operations, as requested by the Chief of EMS.

3.2 At the request of the Chief of EMS, the Medical Director shall assist in the development and review of protocols, policies, procedures, and medical plans as they relate to EMS personnel, special event EMS operations, and the delivery of EMS.

3.3 The Medical Director shall interact with EMS Operations Captains and/or rescue units for a minimum of five (5) hours per month to evaluate the competency of EMS personnel.

a. During scheduled ride time, the Medical Director shall provide hands-on training to field personnel as situations are encountered on calls.

b. Training may include topics identified in the Chief of EMS’ predetermined training agenda.

c. Interaction shall be coordinated and scheduled through the Chief of EMS.

3.4 The Medical Director shall spend a minimum of three (3) hours per quarter in the Public Safety Communications Center Office as observation time for Continuous Quality Improvement purposes and to assist with the EMD program.

4.0 CONTINUOUS QUALITY IMPROVEMENT (CQI) PROGRAM

4.1 The Medical Director shall oversee the implementation and maintenance of a multilevel Continuous Quality Improvement (“CQI”)

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Program as required by section 401.265 Florida Statutes and Rule 64J-1.004 F.A.C. A CQI Program is defined as the continuous monitoring of the system performance to identify opportunities for improving operational policies, treatment protocols and processes.

a. The CQI program shall include auditing electronic patient care reports, as referenced in the CQI departmental policy, for completion and correctness.

b. The CQI Program shall address dispatchers, Paramedics, EMTs and Hazardous Materials personnel.

4.2 The CQI Program shall differentiate between CQI and QA (Quality Assurance).

a. Quality Assurance (QA) is the process by which the performance of the individual EMTs or paramedics will be continuously monitored to ensure compliance with treatment protocols and operational policies.

b. CQI is the continuous monitoring of the system performance to identify opportunities for improving operational policies, treatment protocols and processes.

4.3 Under the CQI Program, the Medical Director shall provide oversight of the EMS system by review of electronic patient care records, direct observation and comparison of performance standards for medications, medication security, controlled substance accountability, equipment, protocol, and policy adherence.

a. When deficiencies are recognized, appropriate quality improvement actions will be taken to preserve the high quality of patient care being delivered. This is an integral part and comprises the oversight of the CQI program.

b. The Medical Director shall report to the Florida Bureau of EMS any EMT or paramedic who has their privileges to provide patient care removed by the Medical Director. Any report of disciplinary action must include a statement and documentation of specific acts of the disciplinary action.

c. The Medical Director, in collaboration with the Chief of EMS, shall develop a review and appeal process for any EMT or paramedic who has had their patient care privileges suspended.

d. The Medical Director shall assist the County in obtaining patient outcome information from resource hospitals and shall maintain an open working relationship with those hospitals.

e. The Medical Director shall support the County's CQI Program efforts toward EMS accreditation, specialty recognition, and other clinical quality initiatives by providing medical oversight, Prepared by EMS Department Part II - Page 6 of 9 documentation review, clinical guidance, and participation as requested by the Chief of EMS.

5.0 TRAINING

5.1 The Medical Director, in collaboration with the Chief of EMS, shall develop a training plan that addresses the clinical competency of the EMS personnel and supports the establishment of minimal competency standards utilizing the National Registry of Emergency Medical Technicians (NREMT) guidelines and skill sheets which define critical skills. The training plan shall include, but is not limited to:

a. Basic Life Support (BLS)

b. Advanced Cardiac Life Support (ACLS)

c. Pediatric Advanced Life Support (PALS)

d. Advanced Medical Life Support (AMLS)

e. Pre-Hospital Trauma Life Support (PHTLS)

f. Emergency Medical Responder (EMR)

g. Emergency Medical Technician (EMT) education and certification

h. Paramedic education and certification

i. Continuing Medical Education (CME)/Continuing Education (CE)

5.2 The Medical Director shall observe and evaluate EMTs and paramedics during training exercises.

5.3 The Medical Director shall ensure the qualifications of EMTs and paramedics involved in patient care are maintained on an ongoing basis through education, protocol testing, competency assessment, and credential maintenance.

5.4 The Medical Director shall review and approve EMT and paramedic continuing medical education credit, monthly training, and unscheduled training provided by SCFD at the request of the Chief of EMS.

5.5 The Medical Director shall ensure appropriate training is provided following any changes in EMS protocols, policies or procedures, medication management practices, medications, implementation of new clinical procedures, medical equipment, medical technologies, and other patient care modalities. Changes or introduction of new modalities shall be monitored for a period of 90 days post implementation.

5.6 The Medical Director shall recommend additional educational components for existing training programs to further the education of SCFD personnel.

5.7 The Medical Director shall provide a quarterly training video to deliver an ongoing connection to the station level regarding the medical

Prepared by EMS Department Part II - Page 7 of 9 direction of the SCFD. Videos shall provide a clear and concise explanation of any changes in protocols, equipment, medications, and other EMS policies and/or procedures. Subject matter shall be coordinated with the Chief of EMS.

5.8 The Medical Director shall review and provide written affirmation of recertification training of EMT and paramedic personnel in accordance with Section 401.2715(3), Florida Statutes.

5.9 The Medical Director shall participate in the onboarding and certification of EMRs, probationary EMTs, and paramedics, as applicable.

5.10 The Medical Director shall participate in the EMS portion of the new hire orientation, on an as-needed basis determined by the Chief of EMS.

5.11 The Medical Director shall present an introduction to medical direction to each new hire, EMR, Field Training, Bridge Program, or other EMS certification class as requested by the Chief of EMS.

6.0 COLLABORATION

6.1 The Medical Director shall collaborate with other Fire and EMS agencies within Sarasota County, and local technical colleges to maintain a common standard of practice and open communication.

6.2 The Medical Director shall actively participate in local and statewide EMS organizations as referenced in the Handbook for EMS Medical Director.

6.3 The Medical Director shall notify and coordinate with the Chief of EMS prior to initiating or participating in research studies, clinical collaboratives, grant-funded initiatives, pilot programs, special projects, or other activities involving Sarasota County Fire Department personnel, patients, data, or operational resources. Participation in such activities shall be coordinated to ensure alignment with departmental priorities, operational readiness, regulatory requirements, and applicable County policies.

6.4 The Medical Director shall support the County's participation in EMS accreditation programs, specialty recognition initiatives, and other regional, state, or national quality improvement efforts as requested by the Chief of EMS.

6.5 The Medical Director shall provide medical consultation and support for Community Risk Reduction (CRR), public education, injury prevention, community health, and public health initiatives as requested by the Chief of EMS.

7.0 REPORTING

The Medical Director shall routinely provide written reports to the Chief of EMS. Reports shall include, but are not limited to, a summary of all services

Prepared by EMS Department Part II - Page 8 of 9 provided by the Medical Director and protocol violations of EMS personnel.

8.0 MEETING ATTENDANCE

8.1 The Medical Director shall attend monthly meetings with EMS Operations Captains and EMS Quality Improvement Coordinator at a location designated by the Chief of EMS.

8.2 The Medical Director shall attend meetings upon the request of the Chief of EMS. Meetings may include, but are not limited to: Post Incident Analysis, 9-1-1 system use, and/or educating public on public safety system at Assisted Living Facilities (ALFs), Skilled Nursing Facilities (SNFs), or nursing homes.

8.3 The Medical Director shall attend a minimum of two equipment and/or vendor review sessions annually. The Medical Director shall participate in hands-on activities involved in the equipment review process.

Equipment review is a cooperative initiative through the EMS Peer- Driven Quality Improvement (PDIQ) Committee through which the Medical Director is encouraged to introduce new ideas and equipment for evaluation and discussion.

a. The Medical Director shall participate in the clinical evaluation of new medications, medical equipment, emerging technologies, electronic clinical decision support systems, and other innovations prior to implementation, providing recommendations regarding clinical effectiveness, patient safety, operational impact, regulatory compliance, and training requirements.

8.4 The Medical Director shall participate, as requested by the Chief of EMS, in the Sarasota County EMS Executive Council Committee comprised of representatives of ALS and BLS agencies, aeromedical agencies, EMS agencies, Emergency Department representatives, Suncoast Technical College, and the Florida Department of Health.

8.5 The Medical Director is required to attend a minimum of 75% of EMS Council state meetings.

9.0 ORGANIZATIONAL RESPONSE PLAN

9.1 The Medical Director shall review the County's current organizational response plan and make recommendations to address the future needs of SCFD, including emerging clinical practices, evidence-based medicine, EMS system development, and future service delivery models.

9.2 The response plan should enhance the level of service and counter revenue reduction due to the everchanging healthcare environment, while implementing a tiered response system that includes, but is not limited to: mobile integrated healthcare, non-emergency transport, and rapid response units. Recommended changes should align with current legislative changes occurring on both a national and state level as well as industry standards.

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a. Recommended changes should address the yearly incremental increases anticipated in medical direction costs that can be directly attributed to improvements and/or changes in response, types of services, additional training, management of a residency program, etc.

b. Recommended changes should address medical oversight for any non-EMS personnel who may be involved with MIH or rapid response units.

c. The Medical Director shall provide medical consultation and recommendations regarding disaster medicine, mass casualty incident (MCI) planning, surge capacity, patient distribution, and other emergency medical response considerations to support the County's emergency preparedness and operational readiness.

10.0 KEY PERSONNEL

10.1 The Proposer shall designate a Medical Director who shall be responsible for providing the services described in this Scope of Services throughout the term of the contract. The Medical Director may only be replaced with the prior written approval of the County. After the Medical Director has disclosed all his/her current appointments as a Medical Director or Associate Medical Director for other EMS agencies or organizations and the County has approved such appointments, the Medical Director shall not accept any additional Medical Director or Associate Medical Director appointments without the prior written approval of the County.

PART III – INSURANCE REQUIREMENTS

Insurance Template Adopted 04/19/19 Page 1 of 2

CONTRACTOR’S INSURANCE

Contractor shall, on a primary basis and at its sole expense, maintain in full force and effect, at all times during the life of this Contract, insurance coverage (including endorsements) and limits as described herein. These requirements, as well as the County’s review or acceptance of insurance maintained by Contractor, are not intended to and shall not in any manner limit or qualify the liabilities or obligations assumed by Contractor under this Contract.

Insurance requirements itemized in this Contract and required of the Contractor shall extend to all subcontractors to cover their operations performed under this Contract.

The Contractor shall be responsible for any modifications, deviations, or omissions in these insurance requirements as they apply to subcontractors.

Insurance carriers providing coverage required herein must be licensed to conduct business in the State of Florida and must possess a current A.M. Best’s Financial Strength Rating of A- Class VII or better.

Each insurance policy required by this Contract shall apply separately to each insured against whom claim is made and suit is brought, except with respect to limits of the insurer’s liability.

The Contractor shall be solely responsible for payment of all premiums for insurance contributing to the satisfaction of this Contract and shall be solely responsible for the payment of all deductibles and retentions to which such policies are subject.

Contractor shall furnish Certificates of Insurance to the County Administrative Agent evidencing the types and amounts of coverage, including endorsements, required by this Contract prior to commencement of work and prior to expiration of the insurance contract, when applicable. Such Certificate(s) of Insurance shall, to the extent allowable by the insurer, include a minimum thirty (30) day notice of cancellation (10 days for non-payment of premium) or non-renewal of coverage. Notwithstanding these notification requirements, the Contractor will be required to provide County with 5-day prior written notice of any policy cancellation or non-renewal.

The County reserves the right to review, modify, reject, or accept any required policies of insurance, including limits, coverage, or endorsements, herein from time to time throughout the term of this Contract. County reserves the right, but not the obligation, to review and reject any insurer providing coverage due to its poor financial condition or failure to operate legally.

A. WORKERS’ COMPENSATION: Contractor agrees to maintain Workers’ Compensation insurance in accordance with Florida Statutes, Chapter 440.

Employers Liability to be included with a minimum limit of $500,000 per accident/per disease/per employee. If work is to be performed over or adjacent to navigable water and involves maritime exposure, applicable LHWCA, Jones Act, or other maritime law coverage shall be included.

In the event the Contractor has “leased” employees, the Contractor or the

PART III – INSURANCE REQUIREMENTS

Insurance Template Adopted 04/19/19 Page 2 of 2 employee leasing company must provide evidence of a Workers’ Compensation policy for all personnel on the worksite.

Contractors who are exempt from Florida’s Workers’ Compensation law must provide proof of such exemption issued by the Florida Department of Financial Services, Bureau of Workers’ Compensation.

B. COMMERCIAL GENERAL LIABILITY: Contractor shall maintain Commercial General Liability per ISO form CG0001 or its equivalent, including but not limited to coverage for premises and operations, personal injury, products & completed operations, liability assumed under an insured contract, and independent contractors with limits of not less than $1,000,000.00 each occurrence, $2,000,000.00 aggregate covering all work performed under this Contract.

Contractor agrees to endorse Sarasota County Government as an additional insured on the Commercial General Liability coverage.

C. BUSINESS AUTOMOBILE LIABILITY: Contractor agrees to maintain Business Automobile Liability insurance with limits not less than $1,000,000 combined single limit for each accident covering all Owned, Non-Owned & Hired automobiles used in the performance of this contract. In the event Contractor does not own automobiles, Contractor agrees to maintain coverage for Hired & Non-Owned Auto Liability, which may be satisfied by way of endorsement to the Commercial General Liability policy or separate Business Auto Liability policy.

D. PROFESSIONAL LIABILITY: Contractor shall maintain Professional Liability, or equivalent Errors & Omissions Liability, with limits not less than $5,000,000.00 per claim/occurrence for professional services rendered under this Contract. If coverage is written on a claims-made basis: a. Any retroactive date shall precede the effective date of this Contract; b. Contractor shall provide certificates of insurance evidencing the required coverage for a period of two years after final payment under this Contract is made, or provide evidence showing Contractor has obtained a two-year extended reporting period endorsement.