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Home My WebLink AboutSanta Rosa Junior College 2021-04-01 COU No. 2021-192 SANTA ROSA JUNIOR COLLEGE SANTA ROSA TRAINING CENTER AGREEMENT FOR PARAMEDIC TRAINING FIELD INTERNSHIP EXPERIENCE This is an agreement between Santa Rosa Junior College,hereinafter referred to as "College"or"District" and City of Ukiah Fire Department hereinafter referred to as "Agency" made and entered on the following date,April 1, 2021. SECTION 1 GENERAL CONSIDERATIONS The parties hereto have mutually covenanted and agreed and by these present to covenantand agree as follows: a. The District operates the Santa Rosa Junior College. As part of the educational program at said College, the District offers a paramedic training program which provides prehospital care training for persons desiring to become paramedics in accordance with the provisions of S.B. 125 and California regulations pertinent to paramedic training. b. In order to provide prepared paramedics to the community,the District, through its College and the operator of the Agency desire to cooperate so that students participating in the paramedic program are able to obtain field internship experience by being assigned to mobile intensive care units operated by the Agency. c. Students and instructors will at all times be students and employees, respectively of the College and not employees of the Agency. In the performance of this agreement, it is mutually understood and agreed thatthe College and Agency are at all times acting and performing as independent contractors. Therefore, the parties understand and agree that the Agency is notresponsible in any way, directly or indirectly,for any employment-related benefits for students or College instructors. College shall ensure thatstudents and instructors understand thatthey are not employees of the Agency and are not beneficiaries of any benefits or employee programs of the Agency. d. Students shall receive no salaries or stipend forservices provided as a student. e. Nothing in this agreement is intended to restrict the employment by the Agency of students, nor shall any provision in this agreement be construed to apply to such employment. f. The parties recognize the limitations on financial commitments by the District and,to the extent possible,the parties shall endeavor to provide such notice sufficiently in advance of its effective date to permit adjustments to be made in the school class offerings. g. It is not the intent of the College or Agency that the students or College instructors occupy the position of third-party beneficiary of any obligations assumed by either party pursuant to this Agreement. SECTION 2 RESPONSIBILITIES OF COLLEGE AND AGENCY a. Agency has facilities forfumishing this field internship experience to the student participating in the College program and is desirous of making its facilities available for this purpose. b. Agency agrees to provide a supervised program of field internship experience to the selected students in accordancewith the terms and conditions stated in this agreement. Individuals supervising the internship experience shall be mutually acceptable to the parties. C. The period of time foreach student's field internship experience shall be mutually agreed upon between College and Agency priorto the beginning of each student's field internship. Learning objectives will be made available prior to the start of internship. Reasonable extensions of the internship may be agreed to by the parties if a particular trainee requires additional experience. d. The number of students to participate in the field internship with Agency at any given time shall be mutually agreed upon by College and Agency priorto the beginning of the internship program,and may be modified from time to time by mutual agreement upon the request of either party. e. The students will be assigned to a preceptorwho is an employee of the Agency. Hours of duty will correspond with the preceptorschedule. Duties of the student will be those of a paramedic. The College, through the instructors, shall share supervision responsibilities of the student with the Agency. f. College shall be responsible for selecting the individual students who will be assigned to Agency and such selection will be made without regard to race, creed, color,sex, handicap, or national origin of the student. On or about four(4)weeks priorto the beginning of each student's field internship with Agency, College shall forward the name, biographical data, report of health status, and other appropriate information of each student selected by College to participate in Agency field internship program. Agency shall have the right, prior to the arrival of the student,to request from College additional reasonable information concerning any or all of the selected students. g. College clinical coordinator shall schedule regular visits with the student and preceptor and shall participate in informal and formal evaluation. h. Agency may request College to withdraw from Agency field internship program any student who Agency determines is not performing satisfactorily, orwho refused to follow Agency administrative and patient care policies, procedures, rules and regulations. Such request must be in writing and must include a statement of the reason or reasons why Agency desires to have the student withdraw. All matters of discipline shall be referred to the College instructor. However, in the event of an emergency or if any student represents a threat to patient safety or fails to meet Agency standards for health, safety, cooperation orethical behavior, Agency may immediately exclude the student from the Agency until final resolution of the matter with the College. i. The College agrees to instruct students and instructors regarding confidentiality of patient information. j. It is the responsibility of College to notify the student that the student will be responsible for: 1. Following the administrative and patient care policies, procedures, rules and regulations of the Agency. 2. Acquiring and using the necessary and appropriate uniforms. 3. Arranging for their own transportation and personal living accommodations and costs when not provided by Agency,and k. Agency shall maintain complete attendance and progress records and reports on each student's performance and shall provide an evaluation for each student to the College on forms provided by the College. 1. Agency shall, upon reasonable request, permit College and/or appropriate governmental agencies charged with the responsibility of accrediting or approving the paramedic training program to inspect Agency facilities, services,student records, and such other materials which pertains to the field internship program. SECTION 3 INSURANCE a. The District shall, as required by Education Code Section 5992, provide such Worker's Compensation Insurance as may be required to protect the Agency and the District against any liability under the Worker's Compensation laws of the State of California for injuries to students while on duty at the Agency. b. The District shall provide Comprehensive General Liability(including Premises/Operations, Products/Completed Operations, Contractual Insurance, and Personal Injury): Bodily injury-$1,000,000 each occurrence, $3,000,000 aggregate, and Property Damage-$500,000; or combined Single Limit of$1,000,000 each occurrence forbodily injury and property damage, $3,000,000 aggregate. The insurance policy shall provide forthirty(30) day written notice of insurance cancellation. C. The District shall provide professional(malpractice)liability insurance in the amount of $1,000,000 each occurrence and $3,000,000 in aggregate. d. Within thirty(30) days of execution of this Agreement, College shall provide Agency with a certificate evidencing all such insurance for all participating students. Further, all insurance policies shall provide forthirty days prior written notice of insurance cancellation to Agency. SECTION 4 INDEMNIFICATION a. District shall indemnify,defend and hold harmless the Agency and its directors, officers, employees and agent, against all claims, demands, suits,judgements,expenses and costs of any and every kind, including reasonable attorney fees, caused solely out of the acts or omissions of the District and its directors, officers, or associates, employees, agents, instructors or students,in the performance of this Agreement and activities contemplated within. b. Agency shall indemnify,defend and hold harmless the District and its directors, officers, employees and agent, againstall claims, demands, suits,judgements,expenses and costs of anyand every kind, including reasonable attorney fees, caused solely outof the acts or omissions of the Agencyand its directors, officers,or associates, employees, agents, in the performance of this Agreement and activities contemplated within. SECTION 5 TERMS OF AGREEMENT a. This Agreement shall be reviewed annually but may at any time be altered, changed or amended by mutual agreement of the parties in writing. b. This Agreement shall become effective and shall continue until terminated by either party after giving the other party six(6) months advance written notice,with or without cause, of its intention to so terminate. C. Written notice shall be sent by registered mail to the following persons,as the case may be: Agency: City of Ukiah Fire Department 1500 South State Street Ukiah,CA 95482 Contact: Justin Buckingham, Email:juckingham@cityofukiah.com College: Santa Rosa Junior College Public Safety Training Center Paramedic Program Course Director 5743 Skylane Blvd. Windsor, CA 95492 Contact: Arthur Hsieh, Email: ahsieh(a7santarosa.edu IN WITNESS THEREOF, the parties have affixed theirhands and seals the day and year first above written. AGENCY: COLLEGE: BY: � BY: TITLE: City Manager TITLE: DATE: Apr 30, 2021 DATE: Keenan&Associates 1111 Broadway,Suite 2000 Oakland,CA 94607 MAI-L DOCU�ENT sure ] li s ]iA Ukiah Valley Fire Authority Sender: Robyn Tryon Attn: Justin Buckingham, Battalion Chief 1500 South State Street Phone: 510-986-6750 Ukiah CA 95482-6709 Subject. Cert No.61037004-Certificate of Coverage: Sonoma County Junior College-Ukiah Valley Fire Authority Date: 4/2/2021 No of Pages:. 3 Ik www.keenan.com This document was created by eCertsONLINE. The attached document(s) contain certification of insurance coverage for the insured named in the subiect above.Your company is listed as the organization requesting receipt of these documents. If this document is sent via e-mail you must click on the attached PDF document. The document is in a pdf format, and you must have Adobe Acrobat Reader installed on your system. To download the Adobe Reader for free, visit www.Adobe.com. If you have any questions regarding the content of this message, you should contact the Producer/ Agency listed on the attached/linked documents. THIS MESSAGE IS INTENDED FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WNICH IT ISADDRESSEO AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED,CONFIDENT#ALAND EXEMPT FROM DISCLOSURE UNDER.APPLICABLE LAW.IF THE READER OF THE MESSAGE IS NOT THE INTENDED RECIPIENT.OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT,YOU ARE HEREBYNOTINED THAT ANY DISSEMINATION,DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED.IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR,PLEASE NOTIFY US IMEDIATELY BYTELEPHONE,AND RETURN THE _ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS V fA REGULAR POSTAL SERVICE. Certificate of Insurance Delivered by ecertsonlineTm Insurance Visions,Inc.All rights reserved. Statewide Association of Community College �RTIFICATE OF COVERAGE Issue Date Protected Insurance Program for Schools 4/2/2021 ADMINISTRATOR: LICENSE# 0451271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Keenan &Associates AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 1111 Broadway, Suite 2000 CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE Oakland, CA 94607 AFFORDED BY THE COVERAGE DOCUMENTS BELOW, 510-986-6750 ENTITIES AFFORDING COVERAGE: www.keenan.com ENTITYA: Statewide Association of Community Colleges COVERED PARTY: ENTITY B: protected Insurance Program for Schools Sonoma County Junior College 1501 Mendocino Avenue ENTITYC: Santa Rosa CA 95401 ENTITY0: ENTITY E: THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED HEREIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. MEMBER ENT TYPE OF COVERAGE COVERAGE EFFECTIVE/ RETAINED LIMIT rLTR DOCUMENTS EXPIRATION DATE !DEDUCTIBLE LIMITS A GENERAL LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE I VI GENERAL M LIABILITY $;141C 00400-31 7/1/2020 S 50,000 s 1,000,000 ( CLAIMS �DCGURRENCE [ GOVERNMENTCODES 71112021 [ ERRORS&OMISSIONS A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE [ ANYAUTO SWC 00400-31 7/1/2020 S 50,000 s 1,000,000 ( HIRED AUTO I NON-OWNED AUTO 7/1/2021 [ GARAGE LIABILITY ( AUTO PHYSICAL DAMAGE A PROPERTY SWC 00400-31 7/1/2020 $ 10,000 s 250,250,000 ( ALL RISK 7/1/2021 EACH OCCURRENCE [ EXCLUDES EARTHQUAKE&FLOOD [ ]BUILDER'S RISK A STUDENT PROFESSIONAL LIABILITY SVVC 00400-31 7/1/2020 $ 5,000 s Included 7/1/2021 EACH OCCURRENCE B WORKERS COMPENSATION [ I WC STATUTORY LIMITS [vj OTHER (✓I EMPLOYERS'LIABILITY PIPS 00201-16 7/1/2020 $ 7/1/2021 s 1,000,000 E.L.EACH ACCIDENT EXCESS WORKERS COMPENSATION S 1,000,000 ( ]EMPLOYERS'LIABILITY 5 E.L.DISEASE-EACH EMPLOYEE S 1,000,000 E.L.DISEASE-POLICY LIMITS OTHER 5 S DESCRIPTION OF OPERATIONS/LOCATIONSrVEHICLESIRESTRICTtONS!SPECIAL PROVISIONS: As respects to the agreement between the Sonoma County Junior College and the Ukiah Valley Fire Authority for Santa Rosa Junior College's paramedic training program through the coverage expiration date. $3.000,000 annual aggregate as required by contract. CERTIFICATE HOLDER: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ukiah Valley Fire Authority THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Attn: Justin Buckingham, Battalion Chief ACCORDANCE WITH THE POLICY PROVISIONS 1500 South State Street Ukiah CA 95482-6709 John Stephens AUTHORIZED REPRESENTATIVE ww.cCrruOnlinr rom 614370CM I SONG[{COJ 120/?l Super P001 P4L I Robyn Tryon I 4/2/2021 11:21:36 All (PDT} 3 Page 1 of 2 r DISCLAIMER The Certificate of coverage an the reverse side of this form does not constitute a contract between the issuing entity(ies),authorized representative or producer,and the certificate holder,nor does it affirmatively or negatively amend,extend or alter the coverage afforded by the coverage documents listed thereon. I f I F cCcnsUnl�ne.<om 61037004 1 SONONCOJ 1 20/21 Super Pool P&L I Robyr. Tryon 1 4/2/2021 11:21;36 AM (PDT} i Page 2 of 2