24-25 Metro Amb Svc Inc Generic COI - All Lines

AID 1634335 · View on Simbli

Agenda Item

i. Renewal for RFP 23-544 for Ambulance Services (Not to exceed $250,000) ~ Updated 4.12.2024

Summary: Presented by: Mrs. Michelle Dillard, Chief of Schools & Leadership, Division of Schools & Leadership
Request: It is requested that the Board of Education approve the first of four, one-year renewals for RFP 23-544 for ambulance services provided by Metro Ambulance Services dba American Medical Response in the amount not to exceed $250,000. This agenda item seeks the Board of Education approval for the second one-year contract, with three remaining, one-year renewal options.
Why: DCSD continues to contract with Metro Ambulance Services, Inc. dba American Medical Response to provide basic life support (BLS) ambulance services during athletic events and graduation events.

DCSD needs an ambulance onsite for all Fall and Spring athletic/sporting seasons. Ambulance services are required for all high school varsity, junior varsity, and middle school football games; varsity, junior varsity, and middle school track and field; cross-country; lacrosse, soccer games, and high school graduations (if held in one of our stadiums).

The ambulance company will be required to be present throughout the entirety of each event. The ambulance dispatched to be onsite for DCSD athletic events will be a basic life support ambulance, outfitted with all necessary and required basic life support equipment as required by the Georgia Department of Public Health Rules and Regulations 511-9-2.
Details: Emergency Medical Technicians (EMTs) play a crucial role in sports emergencies by providing immediate medical care to athletes who sustain injuries or experience medical issues during sporting events. EMTs are trained to assess and stabilize individuals in critical conditions, ensuring prompt intervention to minimize the severity of injuries and improve the chances of recovery. On-field medical interventions in sports are of paramount importance due to the time-sensitive nature of many injuries. Immediate attention from EMTs can significantly impact the outcome for an injured athlete, preventing further complications and expediting the recovery process.

The DeKalb County School District entered a five-year contract with the American Medical Response Company starting in the 2023-24 school year. The American Medical Response Company will provide medical coverage for all middle and high school sporting events at the five regional stadiums. This is year 1 of 4 renewals.

DeKalb Athletics has used the American Medical Response Company for the past 7 years. Previously, American Medical Response only covered Varsity and JV football games at the five regional stadiums. During the RFP, DeKalb Athletics requested coverage for all middle and high school athletic events held at the five regional stadiums. These athletic events would include football, soccer, lacrosse, and track and field. The American Response Company was the only company that was able to provide services for the volume of athletic events requested.
Financial impact: The total budget for these services is allocated from the cost code (100.2500.530200.00011.7090.9990.8010.040.0000) under the Athletics’ General Fund Budget in the amount of $250,000 this fiscal year.
Contact: Mrs. Michelle Dillard, Chief of Schools & Leadership, Division of Schools & Leadership
Mr. James Jackson, Executive Director of Athletics, Division of Schools & Leadership, 678.676.1824
Effective: April 17, 2024 - April 30, 2025 (Once BOE approved, services shall commence upon receipt of fully executed contract / service agreement.
Status: Approved by General Counsel
                                                                                                                                                                      DATE(MM/DD/YYYY)
                                    CERTIFICATE OF LIABILITY INSURANCE                                                                                                   03/26/2024

    THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
    CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
    BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
    REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.




                                                                                                                                                                                                                                                                     Holder Identifier :
    IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
    SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
    certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER                                                                                     CONTACT
                                                                                             NAME:
Aon Risk Services Central, Inc.                                                              PHONE                                               FAX
                                                                                             (A/C. No. Ext):   (866) 283-7122                    (A/C. No.):
                                                                                                                                                             (800) 363-0105
Philadelphia PA Office
100 North 18th Street                                                                        E-MAIL
15th Floor                                                                                   ADDRESS:
Philadelphia PA 19103 USA
                                                                                                                  INSURER(S) AFFORDING COVERAGE                                NAIC #

INSURED                                                                                      INSURER A:         ACE American Insurance Company                             22667
Metro Ambulance Service, Inc.                                                                INSURER B:         Indemnity Insurance Co of North America                    43575
1380 Beverage Drive
Suite D                                                                                      INSURER C:         ACE Fire Underwriters Insurance Co.                        20702
Stone Mountain GA 30083-2133 USA                                                             INSURER D:         Lloyd's Syndicate No. 1729                                 AA1120157
                                                                                             INSURER E:         ACE Property & Casualty Insurance Co.                       20699
                                                                                             INSURER F:

COVERAGES                                     CERTIFICATE NUMBER: 570104618962                                                  REVISION NUMBER:
 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.           Limits shown are as requested
INSR                                              ADDL SUBR                                             POLICY EFF     POLICY EXP
 LTR                TYPE OF INSURANCE             INSD WVD               POLICY NUMBER                 (MM/DD/YYYY)   (MM/DD/YYYY)                           LIMITS
  A  X     COMMERCIAL GENERAL LIABILITY                       XSLG48900860               03/31/2024 03/31/2025 EACH OCCURRENCE                                              $2,750,000
                                                              SIR applies per policy terms & conditions        DAMAGE TO RENTED
                 CLAIMS-MADE    X   OCCUR                                                                                                                                      $100,000
                                                                                                                                     PREMISES (Ea occurrence)
                                                                                                                                     MED EXP (Any one person)




                                                                                                                                                                                                                                                                        570104618962
                                                                                                                                     PERSONAL & ADV INJURY                  $2,750,000
       GEN'L AGGREGATE LIMIT APPLIES PER:                                                                                            GENERAL AGGREGATE                      $5,000,000
                       PRO-
            X
       X POLICY                      LOC                                                                                             PRODUCTS - COMP/OP AGG                 $2,750,000
                       JECT
           OTHER:                                                                                                                    SIR                                       $250,000
A      AUTOMOBILE LIABILITY                                   ISA H10818345                            03/31/2024 03/31/2025 COMBINED SINGLE LIMIT
                                                                                                                                                                           $10,000,000
                                                                                                                                     (Ea accident)




                                                                                                                                                                                                                                                                          Certificate No :
           ANY AUTO                                                                                                                  BODILY INJURY ( Per person)
       X
                                SCHEDULED                                                                                            BODILY INJURY (Per accident)
           OWNED
                                AUTOS
           AUTOS ONLY                                                                                                                PROPERTY DAMAGE
           HIRED AUTOS          NON-OWNED
                                AUTOS ONLY                                                                                           (Per accident)
           ONLY


E                                                             XCQG72514816004                          03/31/2024 03/31/2025 EACH OCCURRENCE
       X   UMBRELLA LIAB        X   OCCUR                                                                                                                                  $10,000,000
                                    CLAIMS-MADE
                                                              Umb - Auto                                                             AGGREGATE                             $10,000,000
           EXCESS LIAB
           DED      RETENTION
 B     WORKERS COMPENSATION AND                               WLRC55519870                             03/31/2024 03/31/2025 X             PER STATUTE       OTH-
       EMPLOYERS' LIABILITY                                                                                                                                  ER
                                               Y/N            AOS
       ANY PROPRIETOR / PARTNER / EXECUTIVE                                                                                          E.L. EACH ACCIDENT                     $1,000,000
 C     OFFICER/MEMBER EXCLUDED?
                                                N N/A         SCFC55520124                             03/31/2024 03/31/2025
       (Mandatory in NH)                                      WI                                                                     E.L. DISEASE-EA EMPLOYEE               $1,000,000
       If yes, describe under
       DESCRIPTION OF OPERATIONS below                                                                                               E.L. DISEASE-POLICY LIMIT              $1,000,000




                                                                                                                                                                                          7777777707070700077761616045571110747714337325555307643015662435111073441755367121100752737746346667107627214462357742073360015561035570756522734415755507403513762455012076727242035772000777777707000707007
                                                                                                                                                                                          7777777707070700073525677115456000722101506033513007631400164337462074623773420374110743336660643201507023337342063101070223373420720010703333635316311107123337242163100077756163351765540777777707000707007
 D     E&O - Professional Liability                           CSHLC2401663               03/31/2024 03/31/2025 Per Occ/Agg                                                 $15,000,000
       - Excess                                               Ex Prof(Claim Made)/Ex GL                        SIR - Ex Prof                                               $10,000,000
                                                              SIR applies per policy terms & conditions        SIR - Ex GL                                                  $3,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Evidence of Coverage.




CERTIFICATE HOLDER                                                                    CANCELLATION
                                                                                          SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
                                                                                          EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
                                                                                          POLICY PROVISIONS.

           Metro Ambulance Service, Inc.                                              AUTHORIZED REPRESENTATIVE
           1380 Beverage Drive, Suite D
           Stone Mountain GA 30083-2133 USA




                                                                                               ©1988-2015 ACORD CORPORATION. All rights reserved.
     ACORD 25 (2016/03)                                 The ACORD name and logo are registered marks of ACORD
                                                                             AGENCY CUSTOMER ID: 570000073826
                                                                                          LOC #:

                                     ADDITIONAL REMARKS SCHEDULE                                                                         Page _ of _
 AGENCY                                                                        NAMED INSURED
 Aon Risk Services Central, Inc.                                               Metro Ambulance Service, Inc.
 POLICY NUMBER
 See Certificate Number: 570104618962
 CARRIER                                                         NAIC CODE
 See Certificate Number: 570104618962                                          EFFECTIVE DATE:


 ADDITIONAL REMARKS
 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
 FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance


                 INSURER(S) AFFORDING COVERAGE                                     NAIC #
 INSURER

 INSURER

 INSURER

 INSURER


   ADDITIONAL POLICIES               If a policy below does not include limit information, refer to the corresponding policy on the ACORD
                                     certificate form for policy limits.

                                                                                        POLICY         POLICY
 INSR                                    ADDL SUBR          POLICY NUMBER              EFFECTIVE     EXPIRATION                 LIMITS
  LTR            TYPE OF INSURANCE       INSD WVD                                        DATE           DATE
                                                                                     (MM/DD/YYYY)   (MM/DD/YYYY)
        WORKERS COMPENSATION



   A                                      N/A        WCUC55520045              03/31/2024 03/31/2025
                                                     OH
                                                     SIR applies per policy terms & conditions




ACORD 101 (2008/01)                                                                                      © 2008 ACORD CORPORATION. All rights reserved.
                                       The ACORD name and logo are registered marks of ACORD