AGENDA REPORT
Meeting Date: August 19. 2025
Item Number:
To: Honorable Mayor & City Council
From: Gregory W. Barton, Fire Chief
Subject: APPROVAL OF PILOT PROJECT TO CENTRALIZE THE POLICE
DEPARTMENT MEDICAL SERVICES UNDER THE FIRE
DEPARTMENT; AND
AMENDMENT NO. 3 TO AN AGREEMENT BETWEEN THE CITY OF
BEVERLY HILLS AND MARC R. COHEN, MD, PROFESSIONAL
CORPORATION (FORMERLY MARC R. COHEN, MD) IN
CONNECTION WITH THE NURSE PRACTITIONER PROGRAM AND
OTHER SERVICES FOR THE BEVERLY HILLS FIRE DEPARTMENT;
AND
AUTHORIZE THE CITY MANAGER TO EXECUTE AN AGREEMENT
WITH A CONTRACT EMS NURSE EDUCATOR (REGISTERED
NURSE) IN CONNECTION WITH THE NURSE PRACTITIONER
PROGRAM OF THE BEVERLY HILLS FIRE DEPARTMENT; AND
AUTHORIZE THE CITY MANAGER TO APPROVE AN ASSOCIATED
PURCHASE ORDER FOR CONTRACT EMS NURSE EDUCATOR
SERVICES IN A NOT-TO-EXCEED AMOUNT OF $198,868.00 FOR
FISCAL YEAR 2025/2026
Attachments: 1. Amendment No. 3 to an Agreement Between the City of Beverly Hills and Marc R. Cohen, MD, Professional Corporation in Connection with the Nurse Practitioner Program and Other Services for the Beverly Hills Fire Department
Meeting Date: August 19, 2025
RECOMMENDATION
Staff recommends that the City Council approve the following items to further improve the quality and efficiency of the Police Department’s medical services through a threeyear pilot program:
1. Amendment No. 3 to an Amendment No. 3 to an Agreement Between the City of Beverly Hills and Marc R. Cohen, MD, Professional Corporation to expand the Fire Department Medical Director's scope to include Police Department medical services. This amendment adds $273,482.17 for the term from September 1, 2025, through June 30, 2028, increasing the total contract value to $907,191.97.
2. Authorize the City Manager to execute an agreement with a contract EMS Nurse Educator (Registered Nurse) to staff the new centralized medical programs for a total amount not to exceed $620,817.60 for the term from September 1, 2025, through June 30, 2028.
INTRODUCTION
The Beverly Hills Police Department (BHPD) manages several essential medical service lines, including 911 Emergency Medical Dispatch (EMD), the Naloxone administration program, and medical screenings for individuals in the City jail.
To improve the oversight of all police-related medical functions, the Fire Department proposes a three-year pilot program to centralize these services under its existing EMS Division. This approach leverages the Fire Department's established medical leadership and quality improvement infrastructure. The program will be managed by expanding the role of the Fire Department’s existing Medical Director and adding an additional EMS Nurse Educator.
This strategic consolidation is designed to be primarily cost-neutral, as it will be funded almost entirely by reallocating existing Police Department funds budgeted for these services and by utilizing restricted Opioid Settlement grant funds already received, or to be received, by the City.
BACKGROUND
The City’s Police Department provides medical services that are critical to public safety but require specialized oversight to ensure regulatory compliance and adherence to community standards of care.
• Emergency Medical Dispatch (EMD): BHPD dispatchers provide pre-arrival medical instructions to 911 callers, a function that L.A. County LEMSA defines as a medical directive requiring physician oversight.
•
• Naloxone Program: BHPD officers are equipped with Naloxone to reverse opioid overdoses. As this involves medication administration, the program requires clinical oversight, quality assurance, and recurring training for officers, which is not currently formalized.
•
• Jail Medical Services: The Police Department is responsible for pre-booking medical screenings and DUI-related blood draws. These services are currently Meeting Date: August 19, 2025
outsourced to a third-party vendor and require medical oversight to ensure proper protocols are followed and acutely ill individuals receive appropriate care.
The Fire Department's EMS Division already possesses the expertise, leadership, and quality improvement frameworks necessary to manage these functions effectively and bring the City into full compliance.
DISCUSSION
This proposal consolidates the three police medical service lines under the Fire Department's EMS Division, leveraging existing personnel and proven quality management systems to create a more efficient and compliant program. This will be accomplished by expanding the duties of the Fire Department's Medical Director, Dr.
Marc Cohen, and adding one contract EMS Nurse Educator.
Ensuring Compliance and Enhancing Services
The expanded Medical Director and new EMS Nurse Educator will provide the necessary oversight and program management to fully satisfy LEMSA requirements and enhance the other medical programs.
The Medical Director's expanded duties will include:
● Update current EMD protocols to LEMSA standards (LEMSA Reference Number 227.1),
● Assist in the development of a comprehensive quality assurance and improvement program, as defined under LEMSA Reference Number 620, ● Assist in the implementation of LEMSA evidence-based initiatives to improve patient outcomes,
● Assist in the ongoing education and training for call takers, and ● Provide direct consultation on complex cases such as Mass Casualty Incidents (MCI) or special events.
In tandem with expanding the BHFD’s Medical Director to oversee the EMD program, the addition of one EMS Registered Nurse Educator will execute the deliverables. The EMS Nurse Educator will provide the following new EMD related services:
• Conduct a comprehensive review of dispatch policies and practices to assess alignment with LEMSA Reference Nos. 227 & and Pre-Arrival Instructions Reference No. 227.1,
• Evaluate and revise pre-arrival instruction protocols (32) to align with LEMSA 227.1.
• Create a quality assurance and improvement plan for EMD delivery, including measurable and reportable metrics,
• Attend LEMSA EMD related meetings, serving as an advocate for BHPD, as it relates to EMD delivery, as well as keeping current to Regional, State, and Federal EMD related changes,
• Review EMD related calls, focusing on high-risk and vulnerable populations, coordinating with BHFD response and care,
• Develop a continual education plan for BHPD Dispatchers and provide said education in regular intervals.
Meeting Date: August 19, 2025
The integration of both the BHFD Medical Director and the EMS Nurse Educator as well as the implementation of the aforesaid duties are designed to enhance the continuum of care from 911 activation to post Fire / EMS response.
In addition to attaching BHFD’s Medical Director and adding an EMS Nurse Educator to BHPD’s EMD program, both will also be integrated into BHPD’s Naloxone program.
Together, both the BHFD Medical Director and the EMS Nurse Educator will provide quality assurance and improvement measures, continual education, and medical control to the program.
Lastly, both BHFD’s Medical Director and newly added EMS Nurse Educator will be an integral part in BHPD’s Jail Medical Services, both from an administrative and operational position. Jail Medical Services administrative duties include, but are not limited to:
• Development and review of medical screening protocols for persons in custody, • Periodic continual education related to identifying acutely ill conditions, • Real time case consultations,
• Clear to Book practice management, and
• Periodic audits performed by Local, State and Federal entities (e.g. California Department of Health Care Services).
Forensic Phlebotomy & Body Fluid Collection (service administrative duties include, but are not limited to:
• Medical oversight
• Collection training,
• Collection credentialing,
• Procedures to support phlebotomy draws and collections, • Quality assurance reviews, and
• Medicolegal consultation.
Operationally, during BHFD’s Advanced Provider Response Unit (AP1) in-service hours of 0700 to 1900, Jail Medical Services will shift from BHPD’s current third-party vendor to BHFD’s Nurse Practitioner service (AP1).
For hours that AP1 is not in service, BHPD will enter into an Agreement with a third-party vendor to provide Jail Medical Services (Pre-booking medical screening evaluations and DUI blood draws). The Naloxone Program and the EMD program will be administered by BHFD.
Performance and Success Metrics
The success of this three-year pilot program will be evaluated using key performance metrics modeled after the Fire Department's comprehensive EMS Quality Improvement Plan .
These metrics will include:
EMD Program: Full compliance with LEMSA pre-arrival instruction protocols (Ref. No. 227.1) and quality improvement standards (Ref. No. 620). • Jail Services: Tracking and reporting on patient care outcomes to ensure quality and prevent negative incidents.
• Naloxone Program: Documenting the application of protocols, completion of continual education, and quality improvement measures.
Meeting Date: August 19, 2025
• Compliance Tracking: Time and effort spent by the Medical Director and Nurse Educator on opioid-related activities will be tracked to ensure compliance with the terms of the Opioid Settlement Funds.
At the conclusion of the pilot program in FY 2027-28, the City will evaluate the program's effectiveness and cost to determine future steps.
EMS Nurse Educator services are considered professional services and as such as exempt from the City’s bidding requirements pursuant to Beverly Hills Municipal Code § 3-3-112 (G). However, in order to exercise due diligence, the Fire Department conducted an informal solicitation process to identify a highly-qualified EMS nurse educator for contract award,
FISCAL IMPACT
This proposal has a minimal net fiscal impact on the City. The total new expenses of $894,299.77 over the three-year pilot period are almost entirely offset by the transfer of existing budgeted funds from the Police Department and the use of restricted opiate settlement grant funds. The total net cost to the City over three years is $17,540.73, which can be absorbed by the Fire Department’s existing budget.
Proposed Expenses (FY 2025-26 – FY 2027-28)
Item FY 2025-26 FY 2026-27 FY 2027-28 3-Year Total
EMS Nurse Educator $198,868.80 $206,835.20 $215,113.60 $620,817.60 Medical Director (New
Scope) $87,609.60 $91,113.99 $94,758.58 $273,482.17
Total Annual Cost $286,478.40 $297,949.19 $309,872.18 $894,299.77 Funding Sources/Offsets (FY 2025-26 – FY 2027-28)
Funding Source FY 2025-26 FY 2026-27 FY 2027-28 3-Year Total Police Budget Transfer $175,000.00 $175,000.00 $175,000.00 $525,000.00 Opioid Settlement Funds $118,472.44 $120,257.35 $113,029.25 $351,759.04 Total Annual Funding $293,472.44 $295,257.35 $288,029.25 $876,759.04 Net Fiscal Impact
Fiscal Year Net Impact Comments
FY 2025-26 $6,994.04 (Savings)
FY 2026-27 $2,691.84 (Cost) Available in Fire Department Budget FY 2027-28 $21,842.93 (Cost) Available in Fire Department Budget Total Over 3 Years $17,540.73 (Net Cost)
Meeting Date: August 19, 2025
Gregory W. Barton, Mark Stainbrook
Fire Chief Police Chief
Approved by Approved by
Jeff S. Muir
Director of Finance_
Approved by
ATTACHMENT 1
B0785-0001\3143670v5.doc
AMENDMENT NO. 3 TO THE AGREEMENT BETWEEN THE
CITY OF BEVERLY HILLS AND MARC R. COHEN, MD,
PROFESSIONAL CORPORATION (FORMERLY MARC R.
COHEN, MD) IN CONNECTION WITH THE NURSE
PRACTITIONER PROGRAM AND OTHER SERVICES FOR THE
BEVERLY HILLS FIRE DEPARTMENT
NAME OF CONTRACTOR: Marc R. Cohen, MD, Professional Corporation (formerly Marc R. Cohen, MD.)
RESPONSIBLE PRINCIPAL Marc R. Cohen, MD
OF CONTRACTOR:
CONTRACTOR'S ADDRESS: P.O Box 5014 Palos Verdes Peninsula, CA 90474 Attention Marc R. Cohen, MD
CONTRACTOR’S E.I.N./TAX I.D. NO.: 20-3372220
CITY'S ADDRESS: City of Beverly Hills
455 N. Rexford Drive
Beverly Hills, CA 90210
Attention: Gregory W. Barton, Fire Chief
COMMENCEMENT DATE: July 1, 2023
TERMINATION DATE: June 30, 2028
CONSIDERATION: Original Agreement:
Total not to exceed amount of $337,978.00 as
follows:
Not to Exceed:
Fiscal Year 23/24: $62,400.00
Fiscal Year 24/25: $64,896.00
Fiscal Year 25/26: $67,492.00
Fiscal Year 26/27: $70,191.00 (if extended)
Fiscal Year 27/28: $72,999.00 (if extended)
Not to Exceed: $337,978.00
Amendment No. 1:
Not to Exceed (includes the original agreement
amount):
Fiscal Year 23/24: $117,000.00
Fiscal Year 24/25: $121,680.00
(Continues next page)
Docusign Envelope ID: 87FCE074-AB1A-4AF1-992D-F4520E4B14D9 2 B0785-0001\3143670v5.doc
Fiscal Year 25/26: $126,547.20
Fiscal Year 26/27: $131,609.10 (if extended)
Fiscal Year 27/28: $136,873.50 (if extended)
Not to Exceed: $ 633,709.80
Amendment No. 2:
No additional consideration added
Total: Not to exceed $633,709.80 as detailed in
Exhibit B
Amendment No. 3: Not to Exceed:
Fiscal Year 23/24: $117,000.00
Fiscal Year 24/25: $121,680.00
Fiscal Year 25/26: $214,156.80
Fiscal Year 26/27: $222,723.09
Fiscal Year 27/28: $231,632.08
Total: Not to exceed $907,191.97, s detailed in
Exhibit B
Docusign Envelope ID: 87FCE074-AB1A-4AF1-992D-F4520E4B14D9 3 B0785-0001\3143670v5.doc
AMENDMENT NO. 3 TO THE AGREEMENT BETWEEN THE
CITY OF BEVERLY HILLS AND MARC R. COHEN, MD,
PROFESSIONAL CORPORATION (FORMERLY MARC R.
COHEN, MD) IN CONNECTION WITH THE NURSE
PRACTITIONER PROGRAM AND OTHER SERVICES FOR THE
BEVERLY HILLS FIRE DEPARTMENT
This Amendment No. 3 is to that certain Agreement between the City of Beverly Hills (hereinafter called "CITY"), and Marc R. Cohen, MD, Professional Corporation (formerly Marc R. Cohen, MD) (hereinafter called "CONTRACTOR") dated April 18, 2023 and identified as Contract No. 183-23, as amended by Amendment No. 1, June 7, 2023, Contract No. 288-23, as amended by Amendment No. 2, November 14, 2023, Contract No. 629-23 (“Agreement”).
RECITALS
A. CITY and CONTRACTOR entered into a written agreement in connection with the Nurse Practitioner Program of the Beverly Hills Fire Department, which was previously amended.
B. CITY and CONTRACTOR desire to further amend the Agreement to update the Scope of Work with additional services for CITY’s Fire and Police Departments and to increase the Consideration to compensate CONTRACTOR for these additional services.
NOW, THEREFORE, the parties agree as follows:
Section 1. The CONSIDERATION shall be amended as set forth on the cover page above.
Section 2. Exhibit A, “Scope of Work,” shall be amended and restated as attached hereto and incorporated herein
Section 3. Exhibit B, “Schedule of Payment and Rates,” shall be amended as attached hereto and incorporated herein.
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Section 4. Except as amended by this Amendment and previous amendments, if any, the remaining provisions of this Agreement shall remain in full force and effect.
EXECUTED the _____ day of __________________, 20___, at Beverly Hills, California.
CITY OF BEVERLY HILLS
A Municipal Corporation
__________________________________
SHARONA R. NAZARIAN, PsyD
Mayor of the City of Beverly Hills, California
ATTEST:
______________________(SEAL)
HUMA AHMED
City Clerk
CONTRACTOR: MARC R. COHEN, MD,
PROFESSIONAL CORPORATION
___________________________________
MARC R. COHEN, MD
[Signatures continue]
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APPROVED AS TO FORM: APPROVED AS TO FORM
_______________________ ___________________________________ LAURENCE S. WIENER NANCY HUNT-COFFEY
City Attorney City Manager
___________________________________
GREGORY W. BARTON
Fire Chief
___________________________________
SHARON L’HEUREUX DRESSEL
Risk Manager
___________________________________
ANTHONY RODSTEIN
Purchasing Services Manager
Docusign Envelope ID: 87FCE074-AB1A-4AF1-992D-F4520E4B14D9 6 B0785-0001\3143670v5.doc
EXHIBIT A
SCOPE OF WORK
ORIGINAL AGREEMENT:
I. SCOPE OF WORK
CONTRACTOR shall perform the following services:
1. Assist in the creation, implementation, and continual management of CITY's Nurse Practitioner Program;
a. Assist in the collation and reporting of correlating data for research purposes;
2. Create and implement Standardized Procedures, as it relates to the clinical practice of the Nurse Practitioner;
a. Observe said procedures and provide documentation for the purpose of the Nurse Practitioner being able to perform Standardized Procedures autonomously;
3. Provide continual clinical oversight of the Nurse Practitioner; a. Perform “ride alongs” with the Nurse Practitioner;
4. Assist in continuous quality assurance / improvement assessment;
5. Act as the liaison to the Los Angeles County (“LA County”) Emergency Medical Services Agency (“EMS”) to;
a. Report on Program to the EMS Medical Director and Medical Advisory Council; b. Ensure Program meets EMS policy and procedure, as established by LA County EMS Agency;
6. Provide education regarding the Program to;
a. CITY’s Fire Department personnel;
b. CITY Community members, CITY personnel and City Council;
7. Provide other services, directly related to the Nurse Practitioner, not listed herein, as requested by the Fire Chief;
8. Actively practice Emergency Medicine in an acute setting while serving as the Medical Director over the Nurse Practitioner Program; and
Docusign Envelope ID: 87FCE074-AB1A-4AF1-992D-F4520E4B14D9 7 B0785-0001\3143670v5.doc
9. Meet and maintain all the requirements as it pertains to Medical Director for a Fire Department, as set forth by the LA County EMS Agency, specifically, LA County EMS Prehospital Care Policy, Reference No. 411
II. INFECTIOUS DISEASE
A. CONTRACTOR shall be required to know and adhere to the California Occupational Safety and Health Act of 1973 (“CalOSHA”) COVID-19 Prevention NonEmergency Regulations, the California Department of Public Health orders and all state, federal and local regulations regarding COVID-19 and other infectious diseases that may pose a risk to public health.
B. CONTRACTOR shall advise employees who have any symptoms of COVID-19, the common cold, influenza or infectious disease not to report to work.
C. CONTRACTOR shall notify their CITY Responsible Principal and the Risk Manager immediately upon learning that an employee who was working onsite at a CITY facility has been diagnosed with COVID-19 or any infectious disease.
For questions, please contact CITY’s Responsible Principal or Risk Management at 310- 285-1073.
AMENDMENT NO. 2:
I. ADDITIONAL SCOPE OF WORK
A. CONTRACTOR shall on a routine basis, from time to time, as needed, or as requested by CITY’s Fire Chief ("Fire Chief”) or their designee, advise on and or assist with the creation, implementation, and continual evaluation of various programs within the Beverly Hills Fire Department’s (“BHFD”) Emergency Medical Services (“EMS”) Division, to include, but not be limited to:
1. Provide Emergency Medical Technician (“EMT”) and EMT-Paramedic operational policies, practices and training.
2. Assist with the EMS continuing education program by reviewing the medical content and providing guidance of EMS training in collaboration with the EMS Division and teaching Continuing Education courses.
3. Participation in Quality Improvement / Assurance/ assessment and after action measures as follows:
a. Attend BHFD Quality Improvement meetings as available b. Provide recommendations for training and operational changes based on quality improvement results
c. Review incidents with unusual or adverse patient outcomes, inadequate performance of EMS personnel and complaints related to the delivery of medical care.
d. Provide medical expertise to enhance the EMS services provided by BHFD, as it relates to: Patient care, outcomes, and delivery of pre hospital care
Docusign Envelope ID: 87FCE074-AB1A-4AF1-992D-F4520E4B14D9 8 B0785-0001\3143670v5.doc
4. Provide medical expertise as it relates to CITY BHFD’s Communicable Disease Prevention Program and review exposure related events, and the follow up care thereafter, as needed.
5. Provide input on Emergency Medical Treatment and Active Labor Act (EMTALA) and other regulatory and compliance issues, subject to review by the Fire Chief and/or City Attorney
Additionally, CONTRACTOR shall perform the following services as needed by CITY:
1. Assist in the critique and evaluation of EMS training exercises (e.g. MultiCasualty Incidents, Drills, post incident analysis).
2. Act to support the inception / continuance of evidence based practices and work with other Medical Directors potential pre hospital protocol changes
3. Act to research and consider proposed / prospective EMS delivery model changes, and other emerging Programs as requested by the Fire Chief
4. Participate in direct observation of field responses (ride-alongs) with paramedics on each BHFD shift (A, B, C) at least once per year.
5. Participate in the Los Angeles County EMS Agency quarterly Medical Council meetings, representing the interests of CITY and the BHFD
6. Participate in select community events, CITY Council events, or other Fire Department related events as requested by the Fire Chief.
7. Maintain a Drug Enforcement Agency (DEA) number for purposes of procuring medical supplies and non-controlled pharmaceuticals
8. Provide medical standing orders to the EMS Division for administration of flu vaccines and other orders as needed.
CONTRACTOR shall support CITY Fire Department's Controlled Substance Program (or "Program"), which includes, but is not limited to:
1. Allow for CITY to procure, store and manage Controlled Substances
2. Maintain the Department Controlled Substance Program's correlating DEA Registrant Number in good standing
3. Assist in the oversight of said Program
4. Assist in the Quality Assurance I Quality Improvement practices of said Program,
5. As applicable, assist in the audit(s), as conducted by the Los Angeles County EMS Agency, of said Program,
6. As applicable, participate in the audit of said Program in the event of Diversion
7. Maintain compliance with Los Angeles County EMS Agency Pre hospital Policy, specifically, Ref. No. 702 (and its subsections therein)
8. Sign prescriptions for medications and other supplies requiring the signature of a physician.
CONTRACTOR shall support CITY Fire Department's Automated External Defibrillator (AED) and Public Access Defibrillator Program (PAD), which includes, but not be limited to:
1. Allow for the BHFD to purchase AEDs
2. Assist in the medical oversight in the utilization of BHFD AEDs Docusign Envelope ID: 87FCE074-AB1A-4AF1-992D-F4520E4B14D9 9 B0785-0001\3143670v5.doc
3. CITY will provide a similar AED to CONTRACTOR at no charge to CONTRACTOR.
CONTRACTOR may be subject to represent CITY on all appropriate State and County Emergency medical services-related business as directed by the Fire Chief, including attendance at major emergency incidents, subject to CONTRACTOR's superseding obligations to Clinical Practice locations with respect to emergency incidents or duties.
CONTRACTOR shall liaison between CITY and the base hospital medical directors, and other physicians, the Local EMS Agency (Department of Health Services), and the State EMS Authority.
CONTRACTOR shall meet the following qualifications at all times during the term of the Agreement:
1. Maintain Board certification by the American Board of Emergency Medicine.
2. Maintain an active emergency medicine practice to ensure that his clinical expertise stays current. This will help ensure that advice given is consistent with current, accepted medical practice
3. Be familiar with policies and protocols of the Los Angeles County EMS Agency.
4. Be able to meet the requirements, roles, and responsibilities outlined in the Los Angeles County Department of Health Services Prehospital Care Policy Reference 411 – Provider Agency Medical Director.
5. Recent experience in EMS systems and medical direction.
CONTRACTOR shall work in coordination with other qualified physicians involved in BHFD activities.
CONTRACTOR shall undertake special assignments as directed by the Fire Chief and as mutually agreed upon in writing.
AMENDMENT NO. 3:
I. ADDITIONAL SCOPE OF WORK
CITY has identified the need for enhanced medical oversight in specific operations of CITY’s Police Department (BHPD). To fulfill this need, additional contract physician services are required. The Medical Director of the BHFD will assume these responsibilities in addition to their current duties.
1. Leave-Behind Naloxone (Narcan) Program
a. Medical oversight for administration of intranasal Naloxone by law enforcement personnel
b. Development and maintenance of standing orders for Naloxone administration
c. Creation and delivery of training programs on Naloxone use, including refresher training
d. Oversight of data collection, analysis, and reporting to the Los Angeles County EMS Agency and other required regulatory or oversight bodies
Docusign Envelope ID: 87FCE074-AB1A-4AF1-992D-F4520E4B14D9 10 B0785-0001\3143670v5.doc
e. Guidance in Quality Improvement (QI) and Quality Assurance (QA) activities related to Naloxone administration
2. Emergency Medical Dispatch (EMD) Program
a. Oversight of the medical aspects of dispatch operations and prearrival care b. Review and approval of EMD protocols, including pre-arrival instructions, triage scripts, and clinical algorithms
c. Development and review of standard operating procedures (SOPs) for medical calls
d. Establishment of training standards for initial and continuing education of dispatchers
e. Ensuring compliance of pre-arrival instructions with LA County EMS Agency Prehospital Care Policies and Treatment Protocols f. Development and oversight of a Quality Improvement Plan, including indicators, benchmarks, and corrective education, consistent with LA County EMS Policy
g. Reference No. 620eview of medical dispatch call records and participation in data interpretation for QI/QA initiatives h. Participation in EMD-related risk management, policy review, and compliance monitoring
i. Attendance at (or delegation of a representative to) EMD Advisory Committee meetings and working groups coordinated by the Los Angeles County EMS Agency
3. Field Medical Services (provided by BHFD Advanced Provider Response Unit (APRU) during service hours)
a. Pre-Booking Clearance
i. Development and oversight of medical screening protocols for individuals entering CITY Police Department (BHPD) custody ii. Development and maintenance of clearance documentation compliant with correctional health, jail, or prison facility needs. iii. Guidance on or supervision of medical care provided to arrestees or detainees
iv. Oversight of minor injury treatment protocols
v. Implementation of Title 15–compliant pregnancy testing policies
vi. Continuous Quality Improvement and Assurance of care delivered in this context
vii. Collaboration with correctional health partners, public health agencies, and affiliated hospitals to ensure safe and
appropriate detainee care
b. Forensic Phlebotomy
i. Development and periodic review of policy and protocols for evidentiary blood draws
ii. Coordination of clinical support for DUI checkpoints and other law enforcement blood draw needs
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EXHIBIT B
SCHEDULE OF PAYMENT AND RATES
(a) CITY shall compensate CONTRACTOR for the satisfactory performance of the work described in this Agreement in an amount not-to-exceed Nine Hundred and Seven Thousand, One Hundred Ninety One Dollars and Ninety-Seven Cents ($907,191.97) , as set forth in the Cost and Rates Breakdown by fiscal year below:
Fiscal Year 23/24 $117,000.00
Fiscal Year 24/25 $121,680.00
Fiscal Year 25/26 $214,156.80
Fiscal Year 26/27 $222,723.09
Fiscal Year 27/28 $231,632.08
COMBINED NOT-TO-EXCEED TOTAL $907,191.97
Fiscal Year 23/24 $ 90.00
Fiscal Year 24/25 $ 93.60
Fiscal Year 25/26 $ 121.68
Fiscal Year 26/27 $ 126.55
Fiscal Year 27/28 $ 131.61
COST BREAKDOWN
HOURLY RATES
(b) CONTRACTOR shall submit to CITY a detailed invoice, on a monthly basis or less frequently, for the services performed pursuant to this Agreement. Each invoice shall itemize the services rendered during the billing period and the amount due. Within 30 days of receipt of each invoice, CITY shall pay all undisputed amounts included on the invoice.
CITY shall pay CONTRACTOR said Consideration in accordance with the schedule of payment set forth in this Exhibit.
Docusign Envelope ID: 87FCE074-AB1A-4AF1-992D-F4520E4B14D9 Certificate Of Completion
Envelope Id: 87FCE074-AB1A-4AF1-992D-F4520E4B14D9 Status: Sent Subject: Complete with Docusign: CLEAN Amendment No. 3 - MARC R. COHEN MD PROFESSIONAL CORPORATION [FINA...
Source Envelope:
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Certificate Pages: 3 Initials: 0 Michael Liongson
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455 N. Rexford Drive
Beverly Hills, CA 90210
[email protected]
IP Address: 198.245.189.162
Record Tracking
Status: Original
8/13/2025 9:41:01 AM
Holder: Michael Liongson
[email protected]
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Signer Events Signature Timestamp
Marc R. Cohen
[email protected]
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Gregory W. Barton
[email protected]
Fire Chief
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Sharon L'Heureux Dressel
[email protected]
Risk Manager
Sharon Dressel
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Signed: 8/13/2025 12:53:53 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Signer Events Signature Timestamp
Anthony Rodstein
[email protected]
Purchasing Services Manager
City of Beverly Hills (Finance Department)
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 174.227.93.12
Signed using mobile
Sent: 8/13/2025 12:53:55 PM
Viewed: 8/13/2025 1:00:07 PM
Signed: 8/13/2025 1:00:17 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Anthony Rodstein
[email protected]
Purchasing Services Manager
City of Beverly Hills (Finance Department)
Security Level: Email, Account Authentication
(None)
Sent: 8/13/2025 1:00:18 PM
Viewed: 8/13/2025 1:00:38 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Nancy Hunt-Coffey
[email protected]
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Sharona R. Nazarian
[email protected]
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Huma Ahmed
[email protected]
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via Docusign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Keith Sterling
[email protected]
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Carbon Copy Events Status Timestamp
Dorina Mohan
[email protected]
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Michelle Ramos-Vergara
[email protected]
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Megan Grilley
[email protected]
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Michael Liongson
[email protected]
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 8/13/2025 9:50:30 AM
Envelope Updated Security Checked 8/13/2025 12:23:12 PM Payment Events Status Timestamps