Resolution - 2004-80RESOLUTION NO. 2004-80
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF WEST
COVINA, CALIFORNIA, SETTING NEW FEES REALTING TO
PROVIDING AMBULANCE SERVICES
WHEREAS, the City Council adopted Ordinance No. 1939 on August 16, 1994, a)
• establishing its policy as to the recovery of costs and more particularly the percentage of costs
reasonably borne to be recovered from users of City services and b) directing staff as to the
methodology for implementing that Ordinance; and
WHEREAS, pursuant to Government Code Section 66018 the specific fees to be charged
for services must be adopted by the City Council by resolution after providing notice and holding
a public hearing; and
WHEREAS, notice and publicly available data has been provided per Government Code
Sections 66016 and 6062 (a), and the required public hearing held at which time oral and written
presentations were made and received; and
WHEREAS, staff has developed a new schedule of fees and charges based on certain
new costs for services and operating expenses.
NOW, THEREFORE, the City Council of the City of West Covina does resolve,
determine and order as follows:
SECTION 1. Fee Schedule Adoption. The following schedule of fees and charges shall
be computed and applied by the City Fire Department and collected through the City Finance
Department for the listed services when provided by the City or its designated contractors.
SECTION 2. Separate Fee for Each Purpose. All fees set by this resolution are for each
identified process. Where fees are indicated on a per unit of measurement basis the fee is for
each identified unit or portion thereof within the indicated ranges of such units.
A. Added Fees. Additional fees shall be required for each additional process or services
that is requested or required including where the requestor's delay increases costs, or if the
original fee charged was too low or in error.
B. Refunds. Unless otherwise provided in the West Covina Municipal Code or state law,
in the event the person requesting the service withdraws his/her/its application or otherwise
terminates the request for service before completion of the provision of the service, or if an error
is made in calculating the fee, the City shall determine if any refund is owing, based on whether
all costs reasonably borne have been incurred or committed, as well as the cost of refunding the
fee. An amount not spent or committed shall be refunded, minus the cost of refunding. Any
extra amount charged in error shall be refunded without deduction. Notwithstanding, refund
amounts of $20 or less shall be refunded only upon request of the fee payor.
C. Interpretation of Fee Schedule. Administrative interpretations of this resolution,
including but not limited to provisions for waiver and appeal, shall be determined by the City
Manager as set out in West Covina Municipal Code Section 2-407.
SECTION 3. Fee Schedule. The fees set out in Exhibit A, attached and incorporated
here, are hereby approved and adopted.
SECTION 4, Reasonable Cost Finding, The City Council specifically finds that based
• on the data made available to the public, the fees and charges adopted do not exceed the
reasonable cost of the service provided.
SECTION 5. CE A. The adoption of this resolution is statutorily exempt from CEQA
as it sets fees only for operating expenses.
•
SECTION 6. Repealer. Fees contained in this resolution supersede fees set by prior
resolutions. Current fees set by prior resolutions, which are not modified by Exhibit A, remain
in place.
SECTION 7. Severability. If any portion of this resolution is found to be
unconstitutional or invalid, the City Council hereby declares that it would have enacted the
remainder of this resolution regardless of the absence of any such invalid part.
SECTION 8. Effective Date. This resolution shall be effective October 5, 2004.
APPROVED AND ADOPTED this 51h day of October 2004.
Mayor Michael L. Miller
ATTEST:
4-
- L" /L I . 1. City Clerk Janet erry
I, JANET BERRY, CITY CLERK of the City of West Covina hereby certify that the foregoing
resolution was duly adopted by the City Council of the City of West Covina, California, at a
regular meeting held on the 51h day of October 2004, by the following vote:
AYES: Herfert, Hernandez, Sanderson, Wong, Miller
NOES: None
ABSENT: None
ABSTAIN: None
ity Clerk Janet Be
Approved as to form: Cjy
City Attorney Arnold varez-Glasman
West Covina Fire Department
•
•
Medical Supplies & Medication Fees
Cost as of
September 2004
CODE
Supply/Medication
lActual Cost
Administrative
Fee
Cost
Admin Fee
Total
100
Airway, Nasal
Cost
12%
$3.52
$0.42
$3.94
101
Airway, Oral
$0.65
$0.08
$0.73
102
Ambu Bag / Adult
$14.34
$1.72
$16.06
103
Ambu Bag / Peds
$14.56
$1.75
$16.31
105
CO2 Detector
$12.93
$1.55
$14.48
107
Combi-Tube
$54.12
$6.49
$60.61
108
E.T. Tube Holder
$3.68
$0.44
$4.12
109
E.T. Tube
$4.09
$0.49
$4.58
110
Oxygen Nebulizer
$1.35
$0.16
$1.51
112
Oxygen Cannula
$0.47
$0.06
$0.53
113
Oxygen Mask / Adult
$0.87
$0.10
$0.97
114
Oxygen Mask / Peds
$1.29
$0.15
$1.44
116
Suction Catheter
$1.03
$0.12
$1.15
117
Suction Cannister
$4.28
$0.51
$4.79
118
Suction Tubing
$1.24
$0.15
$1.39
119
Suction Tip
$1.84
$0.22
$2.06
120
V-VAC Cartridge
$14.02
$1.68
$15.70
121
Bulb Aspirator
$1.24
$0.15
$1.39
122
Needle Cricothyrotomy Kit
$55.53
$6.66
$62.19
123
Neelde Thoracostomy
$50.77
$6.09
$56.86
200
Defibrillator Pads
$4.02
$0.48
$4.50
201
Blanket, Disposable
$1.57
$0.19
$1.76
202
Sheets, Disposable
$4.17
$0.50
$4.67
203
Electrodes
$1.06
$0.13
$1.19
205
Basin, Large
$0.65
$0.08
$0.73
206
Face Shield
$1.16
$0.14
$1.30
208
O.B. Kit
$7.45
$0.89
$8.34
209
Spill Kit / Bio-Hazard
$3.90
$0.47
$4.37
211
Universal Precautions Kit
$6.60
$0.79
$7.39
212
N95 Mask
$0.96
$0.12
$1.08
301
Arm Board, Long
$1.07
$0.13
$1.20
302
Arm Board, Short
$0.70
$0.08
$0.78
303
Glucose Test Strip
$1.00
$0.12
$1.12
305
I.V. Catheter
$2.60
$0.31
$2.91
307
Saline Lock
$2.73
$0.33
$3.06
308
Needles
$0.85
$0.10
$0.95
310
Syringe
$1.06
$0.13
$1.19
313
Transparent Dressing
$0.64
$0.08
$0.72
400
Irrigation H2O
$2.04
$0.24
$2.28
401
Saline Irrigation
$2.04
$0.24
$2.28
402
I.V. Tubing, Micro
$3.38
$0.41
$3.79
403
I.V.Tubing, Macro
$3.16
$0.38
$3.54
404
Normal Saline 10 cc
$0.49
$0.06
$0.55
405
Normal Saline 500 cc
$1.56
$0.19
$1.75
406
Normal Saline, 1,OOOml
$1.50
$0.18
$1.68
500
Cervical Collar
$7.85
$0.94
$8.79
501
Head Bed
$4.91
$0.59
$5.50
502
Splint, Cardboard
$1.68
$0.20
$1.88
505
Bandage, Triangular
$0.64
$0.08
$0.72
506
Restraints (pr)
$7.36
$0.88
$8.24
600
Adenosine 6 mg
$42.87
$5.14
$48.01
601
Albuterol 2.5 mg/NS 3cc
$0.35
$0.04
$0.39
602
Atropine 1mg 1 cc
$0.75
$0.09
$0.84
603
Atropine 1mg 10cc
$3.40
$0.41
$3.81
604
Benadryl 50 mg
$2.36
$0.28
$2.64
606
Calcium Chloride 500 mg
$3.07
$0.37
$3.44
607
Charcoal 50 gm
$18.43
$2.21
$20.64
608
Dextrose 50% 50 cc
$3.00
$0.36
$3.36
610
Dopamine 400 mg
$4.71
$0.57
$5.27
611
Epi 1:1,000 (Single Dose)
$0.54
$0.06
$0.60
613
Epi 1:10,000 10 cc
$3.34
$0.40
$3.74
614
Glucagon 1 mg
$88.85
$10.66
$99.51
615
Lasix 40 mg
$4.85
$0.58
$5.43
616
Lidocaine 100 mg
$2.25
$0.27
$2.52
618
Narcan 2 mg
$11.99
$1.44
$ 33.43
619
Nitroglycerin Spray
$0.45
$0.05
$0.50
620 1
Sodium Bicar 50 mE
$3.43
$0.41
$3.84
September 2004
West Covina Fire Department
is
•
621
Glucopaste
$3.80
$0.46
$4.26
702
Burn Pack/Sheets
$5.95
$0.71
$6.66
703
Cold Pack
$0.95
$0.11
$1.06
704
Gauze Bandages
$0.95
$0.11
$1.06
705
Gloves, Exam
$0.14
$0.02
$0.16
707
Trauma Dressings
$2.17
$0.26
$2.43
September 2004
West Covina Fire Department
•
•
EMS Treatment and Transport Fee Schedule
I
Item Description
Source
Fee
1
BLS Resonse
DHS
$438.00
2
ALS Response
DHS
$671.75
3
Code 2
DHS
$36.50
4
Code 3
DHS
$92.25
5
Mileage rate
DHS
$13.25
6
Non -Resident
WCFD
$175.00
7
Oxygen
DHS
$46.00
8
Backboard / KED / Extrication
DHS
$36.25
9
Traction Splints
DHS
$64.57
10
Ice Packs
DHS
$19.50
11
Bandages, Dressings
DHS
$19.50
12
Oxygen Cannula/Mask
DHS
$19.50
13
Cervical Collar
DHS
$32.75
14
Obstetrical Kit
DHS
$35.25
15
Burn Kit
DHS
$35.25
16
Pulse Oximeter
DHS
$62.50
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September 2004