F&M EMS Standby Request Form--Single Event

STANDBY REQUEST MUST BE SUBMITTED TWO (2) WEEKS PRIOR TO EVENT

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    The exact unit(s) and equipment to be deployed will be determined by availability and the discretion of the F&M EMS Board of Directors.

    Terms of Payment

    The requester agrees to pay $40.00 per hour per unit for EMS services. If the requester cancels or refuses the EMS unit for requested service without reasonable notification as outlined in termination of service sections of this agreement, the requester agrees to pay for actual time the EMS unit provided service and/or one hour time, whichever is greater. If the event is less than 1 hour, $40.00 will still be charged. Upon submission of this form, F&M EMS will provide an estimated cost of services depending on time of event and the late notice clause. After the event, F&M EMS will send the requester an invoice with the actual cost, which will be equal to the original estimate, or greater if the event goes overtime (see overtime clause). A copy of the invoice will also be sent to the Business Office so that payment can be made immediately. If the event ends early, the original estimate based on the requested time will still be owed to F&M EMS. Each case will be considered for an exemption to this policy as determined by F&M EMS and explained in the e-mail providing the actual cost. If paying in a way other than through a college approved account, payment must be delivered to F&M EMS by bringing the payment to either the Department of Public Safety or the F&M EMS station in Appel Health Services room 102, in an envelope addressed to F&M EMS and includes the organization and/or requester's name. All payments must be completed within fourteen (14) days after the requester has been notified of the actual cost by F&M EMS. Late payments are subject to a $15.00 late fee. Each case will be considered for an exemption to the late fee as determined by F&M EMS through e-mail communication. F&M EMS will provide confirmation of receiving the payment through e-mail to the requester. F&M EMS reserves the right to either not agree to providing services, or to cancel already scheduled services for organizations with outstanding late payments.

    Waiver of Admissions and Entry Fee

    EMS personnel providing the requested service shall not be charged admission or entry fee to the event for which they have been requested.

    Weather Clause

    If there is a cancellation due to weather, notification can be given to F&M EMS by e-mail (ems@fandm.edu) by noon on the day of the event, or four (4) hours before the event, whichever is longer, with no penalty

    Late Notice Clause

    Any request received within two (2) weeks of the requested date will be considered late. Late requests will be charged extra along the following scale per EMS unit: $60.00/hour for within 2 weeks; $80.00/hour for within 1 week; $100/hour for within 48 hours; $130/hour for within 24 hours; $180/hour within 12 hours. Each case will be considered for an exemption to the additional charge and will be explained by F&M EMS in the e-mail providing the estimated cost.

    Overtime Clause

    If the event goes longer than the requested time, the additional time will cost 1.5 times the normal rate, or $60.00 per hour per unit, based on 15 minute intervals of overtime. Each case will be considered for an exemption to the additional charge and will be explained by F&M EMS in the e-mail providing the actual cost after the event.

    Termination Without Cause

    Without cause, either party may terminate this agreement by providing e-mail notification at least five (5) days prior to the event.

    Termination With Cause

    With reasonable cause, either party may terminate this agreement effective immediately with e-mail notification of termination for cause. Reasonable cause shall include material violation of this agreement or cancellation of event or requested service. If terminating due to cancellation of event or requested service, notice must be given to the other party at least 24 hours in advance of the event. F&M EMS can cancel services at any time if the requester has outstanding payments due.

    Release of Liability

    Requester agrees to hold F&M EMS harmless for any damages or liability whatsoever arising out of any acts or omissions of the EMS personnel, or anyone else working under or with the EMS personnel.

    Communication

    All communication prior to the event will be done through e-mail. F&M EMS can be contacted at ems@fandm.edu and the requester will be contacted using the e-mail address provided above. If F&M EMS needs to contact the requester on the day of the event, the requester will be contacted by phone, using the phone number provided above.

    By submitting this form, the requester agrees to all of the terms and conditions outlined above. If there are any questions or concerns regarding the contract, the requester can contact F&M EMS at ems@fandm.edu. The contract will be considered completed upon review of the form by F&M EMS and an e-mail response to the requester including the estimated cost.