McDowell EMS Event Standby Agreement
  • Complete the information below to request EMS Standby Coverage for your event.  A representative from our office will contact you.

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  • Format: (000) 000-0000.
  • Resource Request Details

    Non-Dedicated coverage means a staffed EMS unit will be repositioned to the above event(s) during the indicated time(s) as available. This unit shall remain in‐service to answer all emergency calls within McDowell EMS coverage area during this time. This includes any requests for medical assistance at the event. Continuous coverage at the special event is not guaranteed for any portion of the event. Additional EMS units will not be routed to the event if and when the assigned unit is called away.
  • Host Organization Signature

  • [HOST ORGANIZATION] understands it is responsible for complying with any applicable rule, ordinance, or statute requiring the presence of EMS at a special event or community program. If [HOST ORGANIZATION] wishes to have a Dedicated EMS standby for the event, arrangements must be made at least thirty (30) days before the start of the event. If selecting Non-Dedicated EMS standby services to the sponsoring agency, the undersigned, Sponsoring Agency, hereby acknowledges the meaning of Non-Dedicated service as set forth above, understands and agrees that continuous coverage may not be available at the event and agrees to hold EMS Organization, its officers, directors, members and employ- ees harmless from any and all suits, actions, injuries, loss or damages, of any kind, arising out of any act, occurrence or omission resulting from Sponsoring Agency's or EMS Organization's failure to provide Dedicated EMS standby services during the event.

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