24-25 AMR Certificate of Insurance

AID 1726923 · View on Simbli

Agenda Item

i. Amendment to the Spend Limit of RFP 23-544 for Ambulance Services to the DeKalb County School District by Metro Ambulance Services, Inc. dba American Medical Response (Not to exceed $550,000)

Summary: Presented by: Dr. Triscilla Weaver, Chief of Access & Opportunity, Division of Access & Opportunity
Request: It is requested that the Board of Education approve an amendment to the spend limit of RFP 23-544 Ambulance Services for the DeKalb County School District by Metro Ambulance Services, Inc. dba American Medical Response, Inc.) in an amount not to exceed $550,000 per renewal period. With this approval, the total spend limit for the RFP will be increased by $300,000.
Why: The DeKalb County School District (DCSD) continues its partnership with Metro Ambulance Services, Inc., doing business as American Medical Response, Inc., to provide essential basic life support (BLS) ambulance services at athletic and district events. The presence of ambulance services is crucial for ensuring the safety of participants, responding to emergencies promptly, and maintaining a secure environment for all attendees.
This year, the district has expanded its athletic offerings, introducing more flag football teams and elementary-level athletics. The amendment to the spending limit will help accommodate these additional sports programs and ensure adequate ambulance coverage at other significant district events, such as the Marching Band Showcase, School Expo, and Back-to-School Rally.

The requested amendment aligns with Strategic Goal Areas 1: Student Academic Success with Equity and Access, and Strategic Goal 2: School, Family, and Community Engagement.
Details: Emergency Medical Technicians (EMTs) play a vital role in responding to sports emergencies by providing immediate medical care to athletes who are injured or experience medical issues during events. EMTs are trained to quickly assess and stabilize individuals in critical conditions, ensuring rapid intervention to reduce the severity of injuries and improve recovery outcomes. In sports, timely medical attention is crucial due to the nature of many injuries, and EMTs can significantly affect the result by preventing complications and accelerating the recovery process.

American Medical Response, Inc. has provided services for DCSD Athletics for the past seven years and was the only company capable of handling the high volume of events required.

American Medical Response, Inc. will be required to have an ambulance present for the entire duration of each event. The ambulance dispatched to DCSD athletic events will be a basic life support (BLS) unit, fully equipped with the necessary equipment as mandated by the Georgia Department of Public Health Rules and Regulations (511-9-2).
Financial impact: The total budget for these services is allocated from the cost code (100.2500.530200.00011.7090.9990.8010.092.0000) under the Athletics’ General Fund Budget in the amount not to exceed $550,000 this fiscal year.
Contact: Dr. Triscilla Weaver, Chief of Access & Opportunity, Division of Access & Opportunity, 678-676-0485
Mrs. Myss Johnson-Jelks, Executive Director of Athletics, Division of Access & Opportunity, 678.676.1824
Effective: Upon Board Approval
Status: Approved by the Office of Legal Affairs
                                                                                                                                                                      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
American Medical Response, Inc.                                                              INSURER B:         Indemnity Insurance Co of North America                    43575
6501 S Fiddlers Green Circle
Suite 100                                                                                    INSURER C:         ACE Fire Underwriters Insurance Co.                        20702
Greenwood Village CO 80111 USA                                                               INSURER D:         Lloyd's Syndicate No. 1729                                 AA1120157
                                                                                             INSURER E:
                                                                                             INSURER F:

COVERAGES                                     CERTIFICATE NUMBER: 570104610820                                                  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)




                                                                                                                                                                                                                                                                        570104610820
                                                                                                                                     PERSONAL & ADV INJURY                  $2,750,000
       GEN'L AGGREGATE LIMIT APPLIES PER:                                                                                            GENERAL AGGREGATE                      $5,000,000
                       PRO-
       X POLICY
                       JECT
                                     LOC                                                                                             PRODUCTS - COMP/OP AGG                 $2,750,000
           OTHER:                                                                                                                    SIR                                       $250,000
       AUTOMOBILE LIABILITY                                                                                                          COMBINED SINGLE LIMIT
                                                                                                                                     (Ea accident)




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


           UMBRELLA LIAB            OCCUR                                                                                            EACH OCCURRENCE

           EXCESS LIAB              CLAIMS-MADE                                                                                      AGGREGATE

          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




                                                                                                                                                                                          7777777707070700077761616045571110766524236026555107773136543725022072660457147211220761717776255566307607315563364443072441146433257110706310666364511207262374201075322076727242035772000777777707000707007
                                                                                                                                                                                          7777777707070700073525677115456000772005553463053007330105171326023075226223470375510756237725213740007532276706533115070223372520631000702233735207300107132237342163111077756163351765540777777707000707007
 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)




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.

          American Medical Response, Inc.                                             AUTHORIZED REPRESENTATIVE
          6501 S. Fiddlers Green Circle, Suite 100
          Greenwood Village CO 80111 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.                                               American Medical Response, Inc.
 POLICY NUMBER
 See Certificate Number: 570104610820
 CARRIER                                                         NAIC CODE
 See Certificate Number: 570104610820                                          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