Platinum Nine Holdings LLC dba NW Ambulance 7/19/2016

Contractor receives a request for assistance from a citizen for any medical emergency. • 2.2.5 Critical Care Transport (CCT) of patients. The Contractor will record and routinely review with EFD all direct requests from medical providers to transport critical but stable patients between medical facilities for the purpose of assessing which were subsequently picked up by EFD. The Contractor shall refer to EFD all requests for inter-hospital transportation involving critically ill, unstable patients. 2.2.6 In the event the Contractor's dispatcher determines an EFD rapid initial response is required, the call will be immediately patched back to EFD. 2.2.7 In the event the Contractor's unit arrives on-scene and determines that an ALS response is required, the Contractor shall immediately notify EFD. 2.2.8 Due to the nature of BLS transport within the City of Everett EMS system, all transports to area hospitals from the scene of an incident shall be non-priority (Non-Code - without lights and sirens) unless the patient's condition is actively deteriorating in which case, EFD dispatch should be immediately notified. If transport subsequently becomes priority (Code —with lights and sirens) the incident should be reported in the next monthly performance report for an exception from liquidated damages. 2.2.9 In the event that a BLS transport being handled by the Contractor becomes an emergency requiring the services of an ALS technician, the Contractor shall immediately request the services of EFD. 2.3 Patient Care Performance Standards Monitoring The Contractor shall ensure its personnel complete documents related to responses and patient care, including, but not limited to: electronic Pre-hospital Care Reports (e- PCRs); Against Medical Advice (AMA) Summary Audits; and ambulance response failure/ unusual occurrence forms and other forms needed for providing such patient care. Such documents shall be made available to the City upon request. The City reserves the right to require the use of certain forms or to approve the content of any Contractor forms, if, in the City's judgment, the Contractor forms are not adequate to provide the information needed for quality patient care, The Contractor shall provide to EFD by the 10th day of each calendar month a report summarizing its patient care performance during the preceding month. The Contractor and EFD shall meet monthly to discuss matters of concern and to review adherence to patient care performance standards and transport protocols. The purpose of these meetings will be to maintain open and proactive communications, resolve problems, and to provide a forum to confer about patient care performance on the part of the Contractor or EFD. 2.3.1 ESO Solutions. Patient Care Reports (PCRs) shall be recorded electronically, referred to as an electronic Patient Care Report or ePCR. The required ePCR software is ESO Solutions. The Contractor will assure that each 3 of 34