SR 08-23-2022 10A
City Council
Report
City Council Meeting: August 23, 2022
Agenda Item: 10.A
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To: Mayor and City Council
From: Danny Alvarez, Fire Chief, Fire Department
Subject: Introduction and First Reading of an Ordinance Amending Municipal Code
Section 4.65.030 and Approval of First Modification to Contract 10605 for
Emergency Medical Patient Transport and Billing Services
Recommended Action
Staff recommends that the City Council:
1. Authorize the City Manager to negotiate and execute a first modification to
agreement #10605 with Westmed Ambulance Service Inc. DBA McCormick
Ambulance Service for emergency ambulance services and medical billing
services for the Fire Department.
2. Authorize the City Manager to negotiate and execute a cost recovery agreement
with McCormick Ambulance for two years, on the same terms and conditions, for
a total agreement period of seven-years.
3. Introduce for first reading an ordinance to amend Municipal Code Section
4.65.030 to extend the Living Wage Ordinance exemption for the term of the
contract with McCormick Ambulance for emergency transportation and billing
services.
Executive Summary
The City has utilized an emergency ambulance and billing service company since 2004
to provide emergency medical transport and billing services for the response,
assessment, treatment and/or transportation of members of the public by Fire
Department paramedics. On January 9, 2018 Council approved Contract No. 10605
(“Agreement”) with McCormick Ambulance to provide emergency ambulance and billing
services for a three-year term beginning February 1, 2018 with two additional one-year
options to extend the term. On February 1, 2021 the City Manager notified McCormick
of its intent to extend the term for the period of one year. On January 31, 2022 the City
Manager notified McCormick of its intent to extend the term for the period of one year.
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The current Agreement term runs through January 31, 2023. This proposed modification
to the Agreement would extend the Agreement for an additional two years, or until
January 31, 2025. McCormick’s compensation under the Agreement is based on billing
for transported patient services. McCormick also generates a separate bill for City
services, resulting in anticipated cost-recovery of $973,258 as reflected in the FY 2022-
23 Budget.
Discussion
The Santa Monica Fire Department (“SMFD”) responds to nearly 17,000 emergency
calls for service annually and approximately 75% are calls for medical services.
McCormick transports approximately 7,500 patients annually. The Fire Department’s
response model includes seven paramedic engine companies, the Community
Response Unit, and other support units deployed as needed, including three rescue
ambulances that are mainly used for special events. Contracted McCormick emergency
ambulances are used to transport patients on behalf of the Santa Monica Fire
Department with Department paramedics on-board during an advanced life support
transport to provide patient treatment in the ambulance while enroute to a medical
facility.
McCormick’s compensation under the Agreement is not a direct payment from the City.
Rather, McCormick bills the patient directly for their transport services. McCormick will
also bill the patient on behalf of the Santa Monica Fire Department for Advanced Life
Support assessments provided by the Fire Department; $973,258 in cost-recovery has
been included in the Fiscal Year 2022-23 Budget.
Charges are assessed based on the Advanced Life Support (ALS) Assessment Fee
adopted by Council on June 15, 2004 and the ALS Assessment for Basic Life Support
(BLS) Transport fee adopted on October 26, 2021. The Advanced Life Support
Assessment Fee is the difference between the Los Angeles County approved Advanced
Life Support (“ALS”) rate (currently $2,710) and the Los Angeles County approved
Basic Life Support (“BLS”) rate (currently $1,809) as set forth in the most current Los
Angeles County General Public and Ambulance Rates Schedule. On the City’s behalf,
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McCormick bills approximately $901 per transport based on the current fee structure,
however Medi-Cal and Medicare patients are billed at their respective contracted rate.
McCormick bills for the BLS transport services and are paid directly from the payer.
McCormick bills the patient for ALS assessment or treatment; the City receives the ALS
billable rate for services provided by SMFD paramedics.
The City is currently under contract with McCormick Ambulance until January 31, 2023
as its ambulance provider and ambulance-related billing services provider. McCormick
has successfully provided ambulance services for over the past four years. Staff
recommends extending their term for an additional two years of service while the
Department undergoes a cost/revenue analysis of all options available for the delivery
of Fire Department-based emergency medical services including the current delivery
system and practices.
Previous Contractor Selection
On January 9, 2018 Council awarded the current emergency ambulance and billing
services. Representatives from the Fire Department and Finance Department
recommended McCormick Ambulance as the best qualified firm based on the evaluation
criteria. McCormick Ambulance’s proposal demonstrated their depth and breadth of
experience and their organizational structure displayed their highly qualified personnel.
Exemption From Living Wage Requirement
Contractors who provide emergency ambulance services to the City are different from
other City contractors subject to the Living Wage Ordinance (LWO) because emergency
ambulance providers do not control rates for the services they provide. Rather, the Los
Angeles County Board of Supervisors sets rates for all emergency transport services.
The County rates are the maximum allowable ambulance rates chargeable to the
general public. Thus, while there is an established methodology for increasing rates
that takes into account some wage changes, these factors do not include the higher
Santa Monica living wage. Additionally, revenue collected by ambulance companies is
dependent on the insurance payer mix of the patients transported. Payer mix varies
from community to community, and in Santa Monica, approximately one third of payers
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are Medicare and another third are Medi-Cal recipients. These payers pay considerably
less to the ambulance company than what is billed. All of these factors, in addition to
employee wages, influence the bottom line of any ambulance company providing
services in this community.
On June 09, 2020, Council extended Living Wage Ordinance amendment 2458 CCS
that exempted ambulance services from the living wage for a limited time which sunsets
on January 31, 2023. Staff identified that emergency ambulance services providers
have specific challenges that differentiate them from other City contractors. This action
has ensured continuous provision of effective emergency services. Impacted vendors
must still comply with the City’s minimum wage law. Staff is seeking to extend this
exemption for the duration of the contract with McCormick by adopting the attached
resolution extending the term. (Attachment A)
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Past Council Actions
Meeting Description
03/08/2005 City Council adopted Ordinance No. 2152 an ordinance of the
City Council of the City of Santa Monica adding chapter 4.65
to the Santa Monica municipal code creating minimum wage
requirements applicable to city contractors
07/11/2017 City Council adopted Ordinance No. 2548 an ordinance of the
City Council of the City of Santa Monica amending Santa
Monica municipal code section 4.65.030 to provide a
temporary exemption for emergency ambulance and billing
services
01/09/2018 City Council awarded RFP#144 to Westmed ambulance inc.
dba McCormick ambulance
06/23/2020 City Council adopted Ordinance No. 2640 an ordinance of the
City Council of the City of Santa Monica amending Santa
Monica municipal code section 4.65.030 to provide a
temporary exemption for emergency ambulance and billing
services
Financial Impacts & Budget Actions
There is no immediate budget or financial impact related to this staff report. McCormick
Ambulance’s compensation is not a direct payment from the City; the provider bills the
patient directly. McCormick Ambulance will also bill the patient on behalf of the Santa
Monica Fire Department for services provided by the Fire Department; $973,258 in cost-
recovery has been included in the Fiscal Year 2022-23 Budget.
Prepared By: Deanna Kendall, Administrative Analyst
Approved
Forwarded to Council
Attachments:
A. McCormick OAKS INITIATIVE FORM - Updated 12.2021
B. McCormick Ambulance Staff Report 1.9.2018 Item 3F
C. Attachment A Proposed Ordinance Amending LWO Exemption 2024 CAO
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D. Living Wage Exemption 2548
E. Living Wage Exemption 2640
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10.A.a
Packet Pg. 1109 Attachment: McCormick OAKS INITIATIVE FORM - Updated 12.2021 (5260 : First Modification to Contract 10605 for Emergency Medical Patient
City Council Report
City Council Meeting: January 9, 2018
Agenda Item: 3.F
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To: Mayor and City Council
From: Bill Walker, Fire Chief, Fire Department
Subject: Award RFP# 144 for Emergency Medical Patient Transport and Billing
Services
Recommended Action
Staff recommends that the City Council:
1. Award RFP#144 to Westmed Ambulance INC. DBA McCormick Ambulance, a
Colorado based company, to provide emergency ambulance and billing services
for the Fire Department;
2. Authorize the City Manager to negotiate and execute a cost recovery agreement
with McCormick Ambulance, for three years, with two additional one-year
renewal options, on the same terms and conditions over a five-year period.
Executive Summary
A private ambulance contractor has provided emergency ambulance transport and
billing services for the Fire Department since 2004. Following a competitive bidding
process, staff recommends a contract with McCormick Ambulance to provide
emergency ambulance and billing services for a three-year term beginning February 1,
2018. McCormick Ambulance bills the patient directly for transported services resulting
in the Fire Department’s anticipated annual cost recovery of $800,000, as reflected in
the FY2017-18 Budget.
Background
On April 10, 2017, the City posted a Request for Proposals (RFP) for Emergency
Ambulance Services and Patient Billing, seeking proposals from ambulance service
contractors interested in providing emergency (911) ambulance transportation and
patient billing services for the Santa Monica Fire Department (SMFD). One potential
proposer notified the City that they would not submit a proposal due to their inability to
comply with the City's Living Wage Ordinance (LWO). City staff subsequently reached
out to other service providers and concluded that industry standard pay, including that
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Packet Pg. 1110 Attachment: McCormick Ambulance Staff Report 1.9.2018 Item 3F (5260 : First Modification to Contract 10605 for Emergency Medical Patient
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of the City’s current provider, does not comply with the City’s LWO. In light of
the information received, staff cancelled that RFP.
Staff identified that emergency ambulance services providers have specific challenges
that differentiate them from other City contractors. Additionally, the City is not currently
prepared to provide emergency transport services. As a result, on July 11, 2017,
Council adopted Living Wage Ordinance amendment 2458 CCS that exempted
ambulance services from the living wage for a limited time which sunsets on June 30,
2020. This action has ensured continuous provision of effective emergency services.
Impacted vendors must still comply with the City’s minimum wage law.
Contractors who provide emergency ambulance services to the City are different from
other City contractors subject to the LWO because emergency ambulance providers do
not control rates for the services they provide. Rather, the Los Angeles County Board
of Supervisors sets rates for all emergency transport services. The Board adjusts rates
annually based on changes to the medical care and transportation line items of the
Consumer Price Index for All Urban Consumers and, starting July 1, 2017, the
percentage change of the Los Angeles County minimum wage change. The County
rates are the maximum allowable ambulance rates chargeable to the general public.
Thus, while there is an established methodology for increasing rates that takes into
account some wage changes, these factors do not include the higher Santa Monica
living wage. Additionally, revenue collected by ambulance companies is dependent on
the insurance payer mix of the patients transported. Payer mix varies from community
to community, and in Santa Monica, approximately one third of payers are Medicare
and another third MediCal recipients. These payers pay considerably less to the
ambulance company than what is billed. All of these factors, in addition to employee
wages, influence the bottom line of any ambulance company providing services in this
community.
The City is currently under contract until January 31, 2018, with Ameri-Care Ambulance
as its ambulance provider and ambulance-related billing services provider. Ameri-Care
has successfully provided ambulance services for the past five years. However, they
10.A.b
Packet Pg. 1111 Attachment: McCormick Ambulance Staff Report 1.9.2018 Item 3F (5260 : First Modification to Contract 10605 for Emergency Medical Patient
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are not recommended as the best qualified firm based on their proposal but will
continue to provide their high-level of service until the completion of their contract and
until their billing services are complete.
Discussion
The City has utilized an emergency ambulance and billing service company since 2004
to provide emergency medical transport and billing services for the response,
assessment, treatment and/or transportation of members of the public by Fire
Department paramedics. Charges are assessed based on the Advanced Life Support
Assessment Fee adopted by City Council on June 15, 2004. The Advanced Life Support
Assessment Fee is the difference between the Los Angeles County approved Advanced
Life Support (“ALS”) rate and the Los Angeles County approved Basic Life Support
(“BLS”) rate as set forth in the most current Los Angeles County Emergency Services
Agency General Public Ambulance Rates. On the City’s behalf, McCormick Ambulance
will bill approximately $796.00 per transport based on the current fee structure,
excepting Medi-Cal and Medicare patients.
The Fire Department responds to over 16,000 emergency medical calls annually and
calls for patient transport have increased 5% as compared to the previous year.
Currently approximately 7,500 patients are transported annually to local hospitals. The
Fire Department’s response model includes six paramedic engine companies, two
rescue ambulance paramedic non-transport unit, and other support units deployed as
needed. The department also maintains two additional rescue ambulances that are
mainly used for special events and non-transport responses. Contracted emergency
ambulances are used to transport patients on behalf of the Fire Department with Santa
Monica Fire Department paramedics on-board to provide patient treatment in the
ambulance while en route to a medical facility.
Contractor Selection
In October 2017, the City issued a Request for Proposals (RFP) for an emergency
ambulance and billing services. The RFP was posted on the City’s on-line bidding site,
and notices were advertised in the Santa Monica Daily Press in accordance with City
Charter and Municipal Code 2.24.072 Best Bidder provisions. Two Los Angeles County
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Packet Pg. 1112 Attachment: McCormick Ambulance Staff Report 1.9.2018 Item 3F (5260 : First Modification to Contract 10605 for Emergency Medical Patient
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approved ambulance providers submitted proposals. Proposals were evaluated on
experience, technical competence, training and continuing education of staff, billing and
collection systems, business stability and references, value added and breadth of
service, fleet and equipment quality and maintenance, capability and completeness of
proposal to meet request for proposal requirements, and operational systems. After a
thorough review, the five member selection committee comprised of representatives
from the Fire Department and Finance Department recommended McCormick
Ambulance as the best qualified firm based on the evaluation criteria. McCormick
Ambulance’s proposal demonstrated their depth and breadth of experience and their
organizational structure displayed their highly qualified personnel. McCormick’s fleet is
expansive including 83 ambulances, 3 specialty disaster units, 2 high-risk ambulance
units which can serve as isolations units for chemical exposures or suspected infectious
diseases, a mobile command and communications trailer, and a mobile generator and
fuel tender all of which could be utilized by the City in the event of a large-scale
emergency or for special events. McCormick also operates an in-house, full service
and fully accredited maintenance facility in Los Angeles County. McCormick currently
meets all applicable minimum wage laws including the City’s Minimum Wage Ordinance
(MWO), Santa Monica Municipal Code Chapter 4.62. McCormick’s proposal also
identified their extensive employee training and continuing education program. The
Fire Department is presently working with the current and prospective ambulance
transport providers to ensure a smooth and seamless transition.
Financial Impacts & Budget Actions
There is no immediate budget or financial impact related to this staff report. McCormick
Ambulance’s compensation is not a direct payment from the City; the provider bills the
patient directly. McCormick Ambulance will also bill the patient on behalf of the Santa
Monica Fire Department for services provided by the Fire Department; $800,000 in cost-
recovery has been included in the Fiscal Year 2017-18 Budget.
10.A.b
Packet Pg. 1113 Attachment: McCormick Ambulance Staff Report 1.9.2018 Item 3F (5260 : First Modification to Contract 10605 for Emergency Medical Patient
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Prepared By: Terese Toomey, Principal Administrative Analyst
Approved
Forwarded to Council
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Packet Pg. 1114 Attachment: McCormick Ambulance Staff Report 1.9.2018 Item 3F (5260 : First Modification to Contract 10605 for Emergency Medical Patient
Attachment A
City Council Meeting: August 23, 2022 Santa Monica, California
ORDINANCE NUMBER (CCS)
(City Council Series)
AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF SANTA MONICA
AMENDING SANTA MONICA MUNICIPAL CODE SECTION 4.65.030 TO PROVIDE A
TEMPORARY EXEMPTION FOR EMERGENCY AMBULANCE AND BILLING
SERVICES
WHEREAS, on March 8, 2005 the City Council of the City of Santa Monica
adopted Ordinance No. 2152 (the “Living Wage Ordinance”) to require that persons
working on City contracts over a threshold amount receive a living wage; and
WHEREAS, the findings approved as part of that ordinance established that its
purposes include ensuring that those workers have sufficient income to pay the high
costs of living in the City, region, and state, to cover health care, and to have the leisure
to participate in civic life; and
WHEREAS, the Living Wage Ordinance is broadly applicable to all City contracts
in the amount of $54,200 or more; and
WHEREAS, recent experience has demonstrated that in some circumstances
strict adherence to the requirements of the Living Wage Ordinance is detrimental to the
City's welfare and does not serve the ordinance's purposes; and
WHEREAS, providing emergency ambulance transport services is of vital
importance to the City; and
10.A.c
Packet Pg. 1115 Attachment: Attachment A Proposed Ordinance Amending LWO Exemption 2024 CAO [Revision 3] (5260 : First Modification to Contract 10605
Attachment A
WHEREAS, providers of emergency ambulance transport services do not control
rates for the services they provide and thus cannot currently comply with the City's
Living Wage Ordinance; and
WHEREAS, on July 11, 2017, the City Council adopted Ordinance No. 2548,
which amended Santa Monica Municipal Code Section 4.65.030 to provide for a
temporary exemption to the Living Wage Ordinance for emergency ambulance and
billing services until June 30, 2020; and
WHEREAS, on June 23, 2020, the City Council adopted Ordinance No. 2640,
which amended Santa Monica Municipal Code Section 4.65.030 to extend the sunset
of the temporary exemption to the Living Wage Ordinance for emergency ambulance
and billing services to until January 31, 2023; and
WHEREAS, given the likelihood that the City will ultimately opt to extend the
term of its current contract for emergency ambulance and billing services, the City’s
contract with the provider of these services could have a contract term that continues
until January 31, 2025, or two years past the expiration of the temporary exemption to
the Living Wage Ordinance; and
WHEREAS, the City wishes to amend Santa Monica Municipal Code Section
4.65.030 to further extend the sunset provision in the exemption to the Living Wage
Ordinance so that the expiration of the exemption is in alignment with the longest
possible contract term for the City’s current contract with its emergency ambulance and
billing services provider, or until January 31, 2025.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF SANTA MONICA
DOES HEREBY ORDAIN AS FOLLOWS:
SECTION 1. Section 4.65.030 of the Santa Monica Municipal Code is hereby
amended to read as follows:
10.A.c
Packet Pg. 1116 Attachment: Attachment A Proposed Ordinance Amending LWO Exemption 2024 CAO [Revision 3] (5260 : First Modification to Contract 10605
Attachment A
4.65.030 Exemption.
The requirements of this Chapter shall not apply to employers that are
government agencies, City grantees, nonprofit corporations, corporations providing
banking services, or entities providing emergency ambulance and billing services. The
exemption set forth in this Section for entities providing emergency ambulance and
billing services shall sunset on January 31, 2023 January 31, 2025.
SECTION 2. Any provision of the Santa Monica Municipal Code or appendices
thereto inconsistent with the provisions of this Ordinance, to the extent of such
inconsistencies and no further, is hereby repealed or modified to that extent necessary
to effect the provisions of this Ordinance.
SECTION 3. If any section, subsection, sentence, clause, or phrase of this
Ordinance is for any reason held to be invalid or unconstitutional by a decision of any
court of competent jurisdiction, such decision shall not affect the validity of the
remaining portions of this Ordinance. The City Council hereby declares that it would
have passed this Ordinance and each and every section, subsection, sentence, clause,
or phrase not declared invalid or unconstitutional without regard to whether any portion
of the ordinance would be subsequently declared invalid or unconstitutional.
SECTION 4. The Mayor shall sign and the City Clerk shall attest to the passage
of this Ordinance. The City Clerk shall cause the same to be published once in the
official newspaper within 15 days after its adoption. This Ordinance shall become
effective 30 days from its adoption.
APPROVED AS TO FORM:
DOUGLAS SLOAN
City Attorney
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Packet Pg. 1117 Attachment: Attachment A Proposed Ordinance Amending LWO Exemption 2024 CAO [Revision 3] (5260 : First Modification to Contract 10605
10.A.d
Packet Pg. 1118 Attachment: Living Wage Exemption 2548 (5260 : First Modification to Contract 10605 for Emergency Medical Patient Transport and Billing
10.A.d
Packet Pg. 1119 Attachment: Living Wage Exemption 2548 (5260 : First Modification to Contract 10605 for Emergency Medical Patient Transport and Billing
10.A.d
Packet Pg. 1120 Attachment: Living Wage Exemption 2548 (5260 : First Modification to Contract 10605 for Emergency Medical Patient Transport and Billing
10.A.d
Packet Pg. 1121 Attachment: Living Wage Exemption 2548 (5260 : First Modification to Contract 10605 for Emergency Medical Patient Transport and Billing
City Council Meeting: June 23, 2020 Santa Monica, California
ORDINANCE NUMBER 2640 (CCS)
City Council Series)
AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF SANTA MONICA
AMENDING SANTA MONICA MUNICIPAL CODE SECTION 4.65.030 TO PROVIDE A
TEMPORARY EXEMPTION FOR EMERGENCY AMBULANCE AND BILLING
SERVICES
WHEREAS, on March 8, 2005 the City Council of the City of Santa Monica
adopted Ordinance No. 2152 (the “Living Wage Ordinance”) to require that persons
working on City contracts over a threshold amount receive a living wage; and
WHEREAS, the findings approved as part of that ordinance established that its
purposes include ensuring that those workers have sufficient income to pay the high
costs of living in the City, region, and state, to cover health care, and to have the leisure
to participate in civic life; and
WHEREAS, the Living Wage Ordinance is broadly applicable to all City contracts
in the amount of $54,200 or more; and
WHEREAS, recent experience has demonstrated that in some circumstances
strict adherence to the requirements of the Living Wage Ordinance is detrimental to the
City's welfare and does not serve the ordinance's purposes; and
WHEREAS, providing emergency ambulance transport services is of vital
importance to the City; and
DocuSign Envelope ID: A46C7A33-A151-405E-8C3C-CC0B57915A05
10.A.e
Packet Pg. 1122 Attachment: Living Wage Exemption 2640 (5260 : First Modification to Contract 10605 for Emergency Medical Patient Transport and Billing
WHEREAS, providers of emergency ambulance transport services do not control
rates for the services they provide and thus cannot currently comply with the City's
Living Wage Ordinance; and
WHEREAS, on July 11, 2017, the City Council adopted Ordinance No. 2548,
which amended Santa Monica Municipal Code Section 4.65.030 to provide for a
temporary exemption to the Living Wage Ordinance for emergency ambulance and
billing services until June 30, 2020; and
WHEREAS, taking into account two potential one-year extensions, the City’s
current contract with the current provider of emergency ambulance transport services
will terminate on January 31, 2023; and
WHEREAS, the City wishes to amend Santa Monica Municipal Code Section
4.65.030 to extend the temporary exemption to the Living Wage Ordinance for
emergency ambulance and billing services until January 31, 2023.
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF SANTA MONICA
DOES HEREBY ORDAIN AS FOLLOWS:
SECTION 1. Section 4.65.030 of the Santa Monica Municipal Code is hereby
amended to read as follows:
4.65.030 Exemption.
The requirements of this Chapter shall not apply to employers that are
government agencies, City grantees, nonprofit corporations, corporations providing
banking services, or entities providing emergency ambulance and billing services. The
exemption set forth in this Section for entities providing emergency ambulance and
billing services shall sunset on January 31, 2023.
DocuSign Envelope ID: A46C7A33-A151-405E-8C3C-CC0B57915A05
10.A.e
Packet Pg. 1123 Attachment: Living Wage Exemption 2640 (5260 : First Modification to Contract 10605 for Emergency Medical Patient Transport and Billing
SECTION 2. Any provision of the Santa Monica Municipal Code or appendices
thereto inconsistent with the provisions of this Ordinance, to the extent of such
inconsistencies and no further, is hereby repealed or modified to that extent necessary
to effect the provisions of this Ordinance.
SECTION 3. If any section, subsection, sentence, clause, or phrase of this
Ordinance is for any reason held to be invalid or unconstitutional by a decision of any
court of competent jurisdiction, such decision shall not affect the validity of the
remaining portions of this Ordinance. The City Council hereby declares that it would
have passed this Ordinance and each and every section, subsection, sentence, clause,
or phrase not declared invalid or unconstitutional without regard to whether any portion
of the ordinance would be subsequently declared invalid or unconstitutional.
SECTION 4. The Mayor shall sign and the City Clerk shall attest to the passage
of this Ordinance. The City Clerk shall cause the same to be published once in the
official newspaper within 15 days after its adoption. This Ordinance shall become
effective 30 days from its adoption.
APPROVED AS TO FORM:
GEORGE S. CARDONA
Interim City Attorney
DocuSign Envelope ID: A46C7A33-A151-405E-8C3C-CC0B57915A05
10.A.e
Packet Pg. 1124 Attachment: Living Wage Exemption 2640 (5260 : First Modification to Contract 10605 for Emergency Medical Patient Transport and Billing
Approved and adopted this 23rd day of June, 2020.
Kevin McKeown, Mayor
State of California )
County of Los Angeles ) ss.
City of Santa Monica )
I, Denise Anderson-Warren, City Clerk of the City of Santa Monica, do
hereby certify that the foregoing Ordinance No. 2640 (CCS) had its introduction
on June 9, 2020 and was adopted at the Santa Monica City Council meeting held
on June 23, 2020, by the following vote:
AYES: Councilmembers Davis, Morena, Himmelrich, Winterer, Jara,
Mayor Pro Tem O’Day, Mayor McKeown
NOES: None
ABSENT: None
ATTEST:
Denise Anderson-Warren, City Clerk Date
A summary of Ordinance No. 2640 (CCS) was duly published pursuant to
California Government Code Section 40806.
DocuSign Envelope ID: A46C7A33-A151-405E-8C3C-CC0B57915A05
6/26/2020
10.A.e
Packet Pg. 1125 Attachment: Living Wage Exemption 2640 (5260 : First Modification to Contract 10605 for Emergency Medical Patient Transport and Billing