RF'F'ROVfa~. QF CC1NlRRC"E Wl:l'H Fi.M£i IN-fF.RLC~CR~. CCiC.3PEaaRCIVF
RioREF'Mf-.N"I` Tf~ I~pRlh THI_ N,ERI~t FIrIERGG:NCY MEC)ICi=~i_.
SER{1]:CE:S RG[_.NC•.Y ttCECMSA) RFTWEF:N THE Clll' OF- KERRVIL.U=.
fah1C; E•,r_Eala CCIUNTY taNi~ i~L1TE10F2IZI=: THL_ iv~dUNTY
,iUIif=~F TCi ~.IGN GC~N'I-RF3C"f
C]n thi.=. the I'F31:1-~ day of :~epti=tuber i99r:'y ~.~pan mo'hion mftde by
Commi :sinner Hal.ekam{:,, ser_ar:deci by Gommi.•_,si.oner• OeF~iler^, the
C:n~.irt unani®ously approved by a vote of 4-0-0, to ahF;r~:~ve tP-.e
KFMSR Co~n~trac' as ~a~at?mi.'~:ted to the C;n~.irt and a~athori~ e i;hr.:
Co,_tr~ty J'i.~dge t:o si.gn said Cc,ntract.

rHEarv of
KERRVILLE, TEXAS
September 23, 1992
Mr. Glenn Holekamp
Chairman of Public Safety Committee
Kerr County Commissioner's Court
700 Main Street
Kerrville, Texas 78028
Subject: EMS INTERLOCAL COOPERATIVE
Dear Glenn:
At the September 22, 1992 City Council meeting, the Council
voted unanimously to adopt the EMS Interlocal Cooperative
Agreement to form the Kerr Emergency Medical Services Agency.
This document has been signed and reviewed by the City Attor-
ney. I am providing the original Agreement for the county`s
review and approval. Should the county concur with this Agree-
ment, please sign and return this document to me. It is my
understanding that the Board will be official once the docu-
ment. has been signed by two entities and each entity may then
designate their Board appointees.
Please contact me should you have any questions or if I can
provide any additional information.
Sincerely,

Randy Thomas
Director of Public Services
RT/ls
Enclosure
vc: ^l.enn T). Br. own, C:ty Manager
800 JUNCTION HIGHWAY • KERRVILLE, TEXAS 78028-5069 • 512/257-8000
EMS INTERLOCAL COOPERATIVE
WHEREAS, the State of Texas, in the Interlocal Cooperation
Act, has provided in Section 791.011 of the Government Code of the
State of Texas (hereinafter called the "Government Code"), that
this local government (hereinafter called this "Jurisdiction") may
contract or agree with other local governments to perform
governmental functions and services for the public health and
welfare, and such functions and services include the purchase and
provision of ambulance services; and
WHEREAS, it is in the beat interests of the public health and
welfare of the people of this Jurisdiction to have available to
them a state-of-the-art, high performance, high quality, pre-
hospital emergency medical system, with stringent medical controls
and accountability, and adequate response times; and
WHEREAS, due to the relatively low population and low
population density of some portions of the geographic area in Kerr
County, Texas, and the extremely high start-up and fixed operating
coats of a state-of-the-art emergency medical system, it is
necessary, to the extent allowed by law, to award a single provider
the right to engage in ambulance operations within this
Jurisdiction, in order to maximize economies of scale for providing
such emergency medical services.
THEREFORE, be it resolved that this Jurisdiction hereby agrees
to join with all other jurisdictions which adopt this Interlocal
Cooperative Agreement, and this Jurisdiction agrees as follows:
1. Definitions.
(a) Administrator means the City of Kerrville, who is
responsible for furnishing staff and clerical
services to the Agency and/or the Medical Director
and performing the other duties and
responsibilities herein provided.
(b) Patient means any person being transported to or
from a health care facility in a reclining
position.
(c) Contractor means that firm/entity which is
currently under contract with the Agency to provide
ambulance services throughout the member jurisdic-
tions.
(d) Contract Service Area means the geographic area
encompassing the Service Area and the remainder of
Rerr County.
(e) Coatract means that ambulance service contract
between the Agency and the Contractor.
(f) Medical Director means that physician appointed by
the Administrator.
(g) Service Area means the combined corporate limits of
all member jurisdictions which adopt the Uniform
EMS Ordinance.
(h) Subsidy/Price Agreement means a one-year contract
ancillary to, but separate from, the Contract;
except that the initial Subsidy/Price Agreement
shall be for the period of January 1, 1993 to
September 30, 1993 and subsequent Subsidy/Price
Agreements shall be on the fiscal year basis of
October 1 to September 30 of the following year.
Such Subsidy/Price Agreement shall operate between
a member jurisdiction and the Contractor, and shall
specify that jurisdiction's annual selection from
the then-current Uniform Schedule of Subsidy/Price
Options. At the option of each jurisdiction, the
Subsidy/Price Agreement may include or omit
subsidized reductions of user-fees applicable to
patient transports originating within that
jurisdiction.
(i) Uniform Schedule of Subsidy/Price Options means the
initially established and annually revised listing
of per-capita subsidy and user-fee combinations
then-currently approved by the Agency, as provided
for in the Contract. To avoid cross-jurisdictional
subsidization of costs serving patients in more
remote jurisdictions (i.e., where patient transport
times and mileage are extended) by way of excessive
fee structures charged in less remote jurisdictions
(i.e., where patient transport time and mileage are
reduced), mileage charges shall be excluded from
subsidy/price calculations, and shall be uniform
throughout the Contract Service Area. Thus,
subsidy payments shall be applied entirely to
reduce the total base rate and add-on charges
excluding mileage, but shall not affect the system-
wide charge per loaded mile or subscription
membership fees.
(j) Uaiform EMS Ordinaace means that ordinance attached
hereto as Exhibit "A" and incorporated herein for
all purposes.
-2-
2. Creation of Agency and Election For Membership. There is
hereby created an administrative agency, pursuant to
Section 791.013 of the Government Code, called the Rerr
Emergency Medical Services Agency (hereinafter called the
"Agency"). The Agency shall have all of the powers and
duties set forth and described in Paragraph 7 below.
This Jurisdiction elects to become a member of the
Agency, by the adoption of this Agreement, and (except
for the County of Kerr) by the adoption concurrently of
the Uniform EMS Ordinance (Exhibit A).
3. Agencv Term and Membership Withdrawal. The Agency's term
of existence and provisions for withdrawal from
membership in the Agency shall be as follows:
(a) The existence of the Agency shall continue so long
as the City of Kerrville and at least one other
jurisdiction remain as members of the Agency.
(b) The dates of this Jurisdiction's right to withdraw
shall coincide with the termination date(s) of the
Contract awarded from time to time by the Agency
(subject to approval and ratification by the City
of Kerrville as herein provided) for ambulance
services with its Contractor, and the expiration
dates of all earned extensions thereof. This
Jurisdiction's right to withdraw shall be effective
on the termination date of the Contract, or the
last date of any earned extension thereof. The
termination date of the Contract and any earned
extension shall be September 30 to coincide with
the fiscal year end of each jurisdiction.
(c) As a condition precedent to withdrawal under 3(b)
above, notice to withdraw shall be given in writing
to the Agency, and to each member jurisdiction
thereof, not later than thirty (30) days prior to
the termination date of the Contract or any earned
extension thereof.
The foregoing limitations on withdrawal are subject to
the withdrawal provisions of Paragraph 8 hereinbelow.
4. Board of Directors.
(a) Composition. The Agency's Board of Directors shall
be composed of no more than seven (7) voting
members, constituted as follows:
-3-
(1) Position 1.
health care
resided for
jurisdiction
(2) Position 2.
finance, or
for at leas
A member who is knowledgeable in
administration, and who has
at least three years in a
which is a member of the Agency;
A member who is knowledgeable in
accounting, and who has resided
t three years in a jurisdiction
which is a member of the Agency;
(3) Positions 3, 4 and 5. Each shall be
knowledgeable in either business, business
administration, finance, or accounting and
each shall have resided for at least three (3)
years in a jurisdiction which is a member of
the Agency;
(4) Position 6. A licensed physician whose
principal place of practice is a jurisdiction
which is a member of the Agency, and who has
resided for at least three years in a
jurisdiction which is a member of the Agency;
(5) Position 7. A Councilperson of the City of
Kerrville;
and not more than three (3) ex officio non-voting
members, as follows:
(aa) a Councilperson of the City of Kerrville;
(bb) a Commissioner of Kerr County, so long as the
County of Kerr remains a member of the Agency;
and
(cc) the Medical Director of the Agency.
(b) Terms. Positions 1, 3, 4 and 5 of the first Board
of Directors shall have a term of three years;
Positions 2 and 6 shall have a term of two years.
Thereafter, the terms of Positions 1 through 6
shall be for a period of two (2) years; provided
that no such member shall be appointed for more
than two consecutive terms in office.
The terms for Position 7 and the ex officio
Councilperson and Commissioner members shall be
coterminous with the expiration of such member's
term of office with the City of Kerrville or the
-4-
County of Kerr, as the case may be; except that no
such member may be appointed or serve as a voting
member for more than four (4) consecutive years.
The Medical Director's ex officio term shall be
coterminous with his tenure as Medical Director.
5.
(c) Conflict of Interest. No memLer of the Board of
Directors, voting or non-voting, shall have any
interest, financial or otherwise, either directly
or indirectly, in any firm or organization which is
considered for or enters into a contract to provide
ambulance service to the Agency.
(d) Election and Appointment. The membership of the
Board shall be chosen as set forth below in
Paragraph 5.
(e) Removal. Any member of the Board who fails to
attend any three (3) consecutive, regularly
scheduled Board meetings or who fails to attend at
least one-half (~) of the regularly scheduled
meetings in any twelve (12) month period, without a
reasonable and valid reason for such absence, shall
be removed from the Board, and his position filled
as provided in Paragraph 5 below. Removal of a
member pursuant to this provision must be approved
by a majority of the members of the Board,
excluding the member in question.
(f) Vacancy. Any vacancy in the Board occurring by
resignation or otherwise shall be filled as
provided in Paragraph 5 below.
Board Appointments. The membership of the Board of
Directors shall be appointed in the following manner:
(a) The Medical Director shall be appointed by the City
of Kerrville.
(b) The City of Kerrville shall appoint (i) three (3)
voting members, two (2) of whom meet at least one
of the criteria described in Paragraph 4(a)(1)-(4)
and one (1) who will be a Councilperson of the City
of Kerrville, and (ii) one Councilperson of the
City of Kerrville as an ex officio member.
-5-
Except for its ex officio member, not more than one
(1) Councilperson of the City of Kerrville may
serve on the Board at any one time.
(e) So long as it is a member of the Agency, the County
of Kerr may appoint (i) three (3) voting members,
each of whom meet at least one of the criteria
described in Paragraph 4(a)(1)-(4) above and (ii)
one Commissioner as an ex officio member. Except
for its ex officio member, no Commissioner of Kerr
County will serve on the Board. Appointments by
the County of Kerr shall be made by the County from
nominations by the City of Kerrville as hereinafter
provided in subsection (e) of this Paragraph 5. It
is preferred, but not required, that such members
reside in the County of Kerr, but outside the city
limits of the City of Kerrville or any other city
that is a member at the time of the appointment.
(d) (i) All other member jurisdiction(s) of the Agency
combined shall be entitled to the appointment
of one (1) voting member (who shall meet at
least one of the criteria described in
Paragraph 4(a)(1)-(4) above) from nominations
by the City of Kerrville as hereinafter
provided in subsection (e) of this Paragraph
5. Such member shall reside in the city
limits of one of such member jurisdiction(s).
(ii) Until such time as other jurisdiction(s)
become a member of the Agency (as referenced
above) the City of Kerrville shall appoint
such voting member. Such voting member will
be replaced at such time as other member
jurisdiction(s) make an appointment under
subparagraph (d)(i) above, and such new
appointee will serve the remainder of the then
term in effect.
(e) All members of the Board other than those selected
by the City of Kerrville under subparagraph (b) or
subparagraph (d)(ii) above shall be chosen as
follows:
For each position, the City of Kerrville will
nominate one (1) person. If the appointing
jurisdiction(s) does not act upon such nomination
within thirty (30) days after submission of the
nomination in writing by the City of Kerrville,
-6-
then the City of Kerrville shall nominate one (1)
additional person for the position to be filled.
If the appointing jurisdiction(s) does not act upon
such additional nomination within thirty (30) days
after submission of such additional nomination, the
City of Kerrville shall be empowered to fill such
position.
(f) The filling of vacancies in the Board (whether by
expulsion, resignation or otherwise) shall be made
in the same manner as the original appointment (or
nomination and appointment) process as set forth
hereinabove for the vacated position in question.
(g) Immediately upon adoption of this Interlocal
Cooperative Agreement by the City of Kerrville and
the County of Kerr, and upon appointment by the
City of Kerrville and the County of Kerr of its
members to the Agency, the Board of Directors of
the Agency shall proceed with the process of
implementing ambulance services, with a target
start-up date of January 1, 1993.
Membership Requirements. Requirements for membership in
the Agency shall be as follows:
(a) Eligible Initial Members. Membership in the Agency
shall be open to any municipality in Kerr County,
Texas which executes and approves the Uniform EMS
Ordinance and this Interlocal Cooperative Agreement
no later than November 1, 1992.
The County of Kerr becomes a member of the Agency
by adopting and executing this Interlocal
Cooperative Agreement.
(b) Eligible Subseguent Members. Thereafter,
membership shall be open, on an annual basis, to
any municipality which is in Kerr County, Texas,
subject to approval by the Agency.
(c) First Responder. This Jurisdiction agrees to
cooperate with the Agency in its first responder
program to be regulated by the Medical Director;
provided that no jurisdiction shall be obligated to
expend funds or otherwise obligate itself
financially with respect to first responder
operations within its Jurisdiction in the absence
of subsequent approval through its budget process.
-7-
(d) Medical Director Compensation and Administrative
Expenses. The agreement and funding by the City of
Kerrville and the County of Kerr, respectively, on
an equal basis, of the Medical Director
compensation and the administrative expenses of the
Administrator for the 1992-93 fiscal year (or
portion thereof), as hereinafter provided.
(e) Price/Subsidy Selection. This Jurisdiction agrees
that, no later than January 1, 1993 (for the period
of time from January 1, 1993 to September 30, 1993)
and thereafter no later than September 30 of each
year, commencing September 30, 1993, it will
annually select, approve and adopt from the
Agency's then current Uniform Schedule of
Price/Subsidy Options a price/subsidy formula to be
effective in this Jurisdiction, and to execute and
deliver a Subsidy/Price Agreement with the
Contractor. In no event will any Jurisdiction be
obligated to elect to subsidize base rates and/or
add-on charges; it being agreed that each
Jurisdiction is free to elect not to subsidize any
such rates and charges. Prices selected shall then
become effective on October 1 of each year
(commencing October 1, 1993), and the selected
subsidy level shall be effective and commence on
the same date.
(f) Membership Discualificationa. Should any member
jurisdiction fail to maintain substantial
compliance with any membership requirement
specified herein, the Agency's Board of Directors
may, at its option and after written notice to that
jurisdiction and reasonable opportunity to correct
the deficiency, disqualify that jurisdiction from
membership in the Agency and revoke its membership
status.
7. Agencv Powers and Duties. The Agency shall have all of
the powers allowed or provided by Chapter 791 of the
Government Code, known as the "Interlocal Cooperation
Act", subject to the limitations contained herein.
The Agency shall have the following duties and powers:
(a) To set response time standards for selection by
each member jurisdiction.
-8-
(b) To group purchase (as provided herein with approval
by the City of Kerrville) for each member
jurisdiction advanced life support ambulance
service, such service to comply with all applicable
state laws and rules, as well as all rules,
regulations, and clinical standards as the Medical
Director may from time to time promulgate.
(c) To group purchase (as provided herein with approval
by the City of Kerrville) ambulance service under a
master contract by either the competitive award of
a contract by way of a request for proposal process
or by direct negotiation with a contract provider.
The contract awarded to the contractor (i) shall
require the contractor to provide ambulance
services in each member jurisdiction and (ii) shall
require medical oversight through the Medical
Director and (iii) with respect to calls
originating in the 995 telephone exchange in
eastern Kerr County, shall require the contractor
to coordinate with the Kendall County EMS for the
provision of emergency medical services by the
entity (either the EMS contractor or the Rendall
County EMS) best able to respond promptly and to
provide the necessary services.
(d) On or before January 30 of each year, commencing
January 30, 1994, the EMS Agency Board shall
provide an annual written report evaluating the
Contractor's clinical and response time performance
during the previous Contract year. In preparing
this annual evaluation, each member of the EMS
Agency Board shall rate the Contractor's clinical
reliability and response time performance. The
signed and dated individual rating sheets of each
EMS Agency Board member shall be collected by the
Administrator, distributed to all member
jurisdictions, and kept on file by the
Administrator, and shall be public documents. The
performance evaluation for the previous Contract
year shall be the basis for Contractor's
eligibility for a one-year extension to the
Contract, to be added to the then-remaining term of
the Contract, subject in all respects to approval
by the City of Kerrville as hereinafter provided.
In no event will be City of Kerrville be obligated
to grant any such extension.
-9-
(e) Subject in all respects to approval by the City of
Kerrville as hereinafter provided, the Agency shall
determine (1) the initial term of any such contract
(not to exceed five (5) years), (2) whether the
Contractor is entitled by satisfactory performance
to any earned extension(s) of the contract, (3)
whether an event of default has occurred under the
contract and to authorize action with respect to
that default, (4) whether new or additional
equipment needs to be obtained by the Contractor
and the means of payment (subject to approval by
each member of the Agency if such equipment would
result in any cost to a member or affect the
Uniform Schedule of Price/Subsidy Options), (5) the
Uniform Schedule of Price/Subsidy Options under the
Contract and any adjustments thereto and (6) the
response time standards for selection by each
member of the Agency. Unless a member elects to
subsidize, the contract will provide the same base
rates and add-on charges for each Jurisdiction.
(f) Oversee and document any adjustments provided in
the Contract with respect to the Uniform Schedule
of Subsidy/Price Options, the authorized uniform
charge per loaded mile, and the uniform
subscription membership fee.
(g) Annually verify and report to each member
jurisdiction the Contractor's per capita annual
subsidy and ambulance bills, or averages thereof
(exclusive of mileage charges) related to patient
transports originating within each member
jurisdiction. The Agency shall also annually
verify and report the Contractor's mileage charge
and membership subscription fee throughout the
entire Contract Service Area.
(h) To prepare and distribute, not later than July 1 of
each year commencing July 1, 1993, to each member
jurisdiction a schedule of price/subsidy options,
called the Uniform Schedule of Price/Subsidy
Options, which shall range from zero-level subsidy
with full cost user-fees, to zero-level user fees
with full-cost annual per capita subsidies.
(i) The Agency shall require its Contractor to
implement and maintain an ambulance service
subscription program unless otherwise prohibited by
law. That program shall be a contract which allows
-10-
a resident, and members of the resident's
household, of any member jurisdiction to annually
purchase and prepay all uninsured portions of
medically necessary ambulance service.
Notwithstanding anything contained in this Paragraph 7 to the
contrary, in no event will the Agency be authorized to create any
debt or pecuniary obligation on any Jurisdiction or otherwise take
any action without approval of each member jurisdiction if such
action would result in any increased cost to a member or affect the
Uniform Schedule of Price/Subsidy Options (except for adjustments
permitted by the Contract).
8. Member Withdrawal. In the event any member jurisdiction
experiences repeated and chronic failure of the Agency,
or the Agency's Contractor, to comply with the response
time standards established for that member jurisdiction,
and after written notice to the Agency and reasonable
opportunity to correct such deficiencies, that member
jurisdiction may withdraw subject to the following terms:
(A) The member jurisdiction must give written
notice to the Agency that the member intends
to invoke this section of this Agreement;
(B) Upon a continued failure for the following
three full months after receipt by the Agency
of the written notice described in (A) above,
the member jurisdiction may withdraw as a
member, by giving written notice to the
Agency, to be effective ten (10) days after
receipt of such notice by the Agency.
(C) Upon the effective date of the withdrawal, the
Agency shall cease ambulance service to the
former member jurisdiction; provided that such
withdrawal shall not affect such member's
right to contract with the Contractor or any
other party for ambulance services.
9. No Service To Others. The Agency is not authorized to
furnish service to any area which is not a member of the
Agency, except for service pursuant to a mutual aid
agreement approved by the Agency and the Administrator,
or emergency coverage of nonmember jurisdictions not to
exceed sixty (60) days in duration, also subject to
approval by the Administrator. The foregoing does not
preclude service to the City of Ingram, as a part of Rerr
-11-
County, even if the City of Ingram does not become a
member.
10. City Approval. Notwithstanding anything contained in
this Agreement to the contrary, the Contractor and any
Contract for ambulance services entered into by the
Agency and any modification or extension thereof shall be
subject to prior approval by the City Council of the City
of Kerrville, pursuant to Section 791.025 of the
Government Code. The Agency shall submit the proposed
contract and any modification or extension to the City
Council of the City of Kerrville for its approval. Once
approved by the City Council of the City of Kerrville the
Agency then may proceed to execute and deliver such
contract, modification or extension.
11. Medical Director Compensation and Administrative
Expenses. The parties hereto recognize that at this time
there exist legal uncertainties regarding the application
of medicare "anti-kickback" regulations not allowing
compensation to the Medical Director or payment of
administrative expenses to be funded from user fees.
Therefore, the City of Kerrville and the County of Rerr
agree that they will share equally the cost of
compensation for the services of the Medical Director and
administrative expenses of the Administrator during the
1992-93 fiscal year of each such entity, subject to
approval of such compensation and expenses by each such
entity and inclusion of such amount in the 1992-93 budget
of each such entity, or in amendments to such budget.
Such agreed amount(s) shall be payable to the EMS
Administrative Fund to be established and administered by
the City of Kerrville. The County of Kerr's
proportionate share of said agreed costs shall be paid
monthly to the EMS Administrative Fund upon receipt of a
bill from the City of Kerrville seeking reimbursement for
fifty percent (508) of actual costs for Medical Director
compensation and administrative expenses.
Should the City of Ingram become a member, no requirement
shall be made that the City of Ingram pay any portion of
such costs. However, should the City of Ingram decide to
do so, such contribution shall reduce prorata the
payments required of the City of Kerrville and the County
of Kerr.
Any future commitments of the City of Kerrville or the
County of Kerr to pay Medical Director compensation and
administrative expenses shall be on a fiscal year basis,
-12-
and subject to approval by each entity and inclusion of
such in the budget process, payable out of current
revenues; provided, however, that until such time as
Medical Director compensation and administrative expenses
can be funded from user fees, each such entity agrees to
exercise good faith efforts to include the same in each
party's budget process and to fund the same, subject in
all respects to the approval of any such budget or
amendment thereof and to the availability of funds
therefor.
12. Uniform Subsidy/Price Options. Each member jurisdiction
shall have the right to select its own subsidy/price
combination from the "Uniform Schedule of Subsidy/Price
Options" developed and periodically updated from time-to-
time by the Agency, by execution and delivery of a
Subsidy/Price Agreement with the Contractor.
13. No Ambulance Deployment Restrictions. Each member
jurisdiction shall have access to every resource of the
entire EMS system, as dictated by fluctuations in
consumer demand for service, weather conditions, and
disaster events. That is, the Agency shall prohibit the
Contractor from contractually committing any of its
ambulances to the exclusive benefit of any jurisdiction
(except for short-term special events coverage
contracts).
14. Treatment of Subsidy by County of Kerr. The subsidy, if
any, of the County of Kerr may be applied, at the option
of the County of Kerr, to either reduce user-fees or to
increase response time reliability throughout the entire
Contract Service Area.
15. Payments. Any payments by member jurisdictions pursuant
hereto shall be made only from current revenues available
to the paying jurisdictions, as required by the
Interlocal Cooperation Act.
16. Local Law. As permitted by Section 791.012 of the
Interlocal Cooperation Act, the member jurisdictions
agree to application of the local law of the City of
Kerrville.
17. Miscellaneous.
(a) The parties hereto may not assign this Agreement.
Additionally, any oral representations or
modifications concerning this Agreement shall be of
-13-
no force or effect, excepting a subsequent
modifioation in writing signed by each party and
expressly authorized by the governing body of each
party.
(b) This document (with the attached Exhibit "A" for
members other than the County of Kerr) contains the
entire Agreement of the parties. Any prior
agreements, promises, negotiations, or
representations not expressly contained in this
Agreement are of no force and effect.
(c) In case any one or more of the provisions contained
in this Agreement shall for any reason be invalid,
illegal or unenforceable in any respect, such
invalidity, illegality or unenforceability shall
not affect any other provision thereof and this
Agreement shall be construed as if such invalid,
illegal, or unenforceable provision(s) had never
been contained herein.
LIST OF EXHIBITS
Exhibit A. Uniform EMS Ordinance (For City of
Kerrville and other municipalities only)
APPROVAL
Approved and adopted by the Cit Council of the City of
Kerrville, Texas, this Z Z day of , 1992.
CI7
By:
ATTEST:
SHEILA L. D, City Clerk
-14-
APPROVED AS TO FORM:
WALLACE, MOSTY, MACHANN,
JACKSON & WILLIAMS
By: tiay.~'7 7.2Z~L
E. DWAINE MACBANN
Approved and adopted by the Commissioners Court of Rerr County
this ~R+h day of SP~t?mt~er , 1992.
COUNTY OF. KnERB
By : {,.tom' ~1
WILLIAM STACY, County Judge
APPROVED AS TO FORM:
€~,
Coorn y Atto ney
C134\67AG3
~ y .. ~ F~f
ATTEST:' `',
,y
PATRIk^,I'A, E, Cc~ y Clerk
F
r •~..
i p i ~~ .
-15-
COMM i SS I ONERS' COURT AGENDA REQUEST
*PLEASE FURNISH ONE ORIGINAL AND FIV COPIES OF THIS R QU ST AND
DOCUMENTS TO BE REVIEW D 8Y THE COURT
MADE BY: a, ann K Anl Akamn
MEETING DATE:
September 28, 1992
OFFICE: Commissioners' Court
TIME PREFERRED:
SUBJECT: (PLEASE BE SPECIFIC) consider for approval the EMS Inter local
Cooperative Agreement to form the Kerr Emergency Medical Services Agency (KEMSA)
between the City of Kerrville and Kerr County and to authorize the County Judge to
sign same.
EXECUTIVE SESSION REQUESTED: YES NO
PLEASE STATE REASON FOR EXECUTIVE SESSION
ESTIMATED LENGTH OF PRESENTATION:
PERSONNEL MATTER - NAME OF EMPLOYEE:
NAME OF PERSON ADDRESSING THE COURT: commissioner pct. 4ls
T1me for submitting this request for Court to assure that the matter is posted 1n accordance
with Article 6252-17 1s as follows:
* Meetings held on Monday: 12:00 P.M. previous Wednesday
THIS REQUEST RECEIVED BY:
THIS REQUEST RECEIVED ON
All Agenda Requests will be screened by the County Judge's Office to determine i
adequate information has been prepared for the Court's formal consideration and actlo.
at time of Court meetings. Your cooperation will be appreciated and contribute toward.
your request being addressed at the earnest opportunity. See Agenda Reques
Guidelines.
ORDER N0. 21122
APPROVAL OF CONTRACT WITH
EMS II9TERI~OC'.AL COOPERATIVE
AGREEMIIdT TO FORM THE KERB
FNIF:R~FTTCY MEDICAL SERVICES
(KE3~9SA) BEIWEIIV THE CITY
OF KERRVILLE AND KERB CbUNTY
AND AUTHORIZE THE COUNTY
JUDGE TO SIQV CONPRACP
September 28, 1992
Vol S, Page 751