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Home My WebLink AboutANAHEIM MEMORIAL MEDICAL CENTER - 2009City of Santa Ana Clerk of the Council AGREEMENT TERMINATION Make sure to include all amendments if any. Please complete this form when the attached agreement is no longer in effect. Return form to the Clerk of the Council Office (M-30). Call 647-2520 if you have any questions. Pmr,C. The agreement with W. n - 9fl-D `i- I I and fir +l payment has been made. Revised 05-04-08 was completed on_J�'�� Department: Phone/Ext.:� `It' Signature: f j+ Date: A-2009-117 fNSURANCE NOT REQUIRED I,WORK MAY PROCEED MEMORIALCARE' , ��OUNCIL ANAHEIM MEMORIAL MEDICAL CENTER Agreement to Provide Service to Santa Ana Police Department for Evidence Collection on Alleged Sexual Assault Victims Anaheim Memorial Medical Center ("AMMC") and Santa Ana Police Department agree as follows: AMMC agrees to provide evidence from rape and sexual assault examinations in regards to criminal related matters. SPECIAL PROVISIONS: 1. Term of Agreement, July 1, 2009 through June 30, 2010. 2. Charge per examination to be paid by Santa Ana Police Department: Seven Hundred Fifteen Dollars ( 715.00). 3. Charge per victim follow up examination: One Hundred Ten Dollars 110.00 . 4. Charge per suspect follow up examination: One Hundred Sixty Five Dollars 165.00 . 5. AMMC agrees to provide Santa Ana Police Department approved medical exams to alleged sexual assault and rape victims for evidence. The exam is to include videotaped colposcopic examination and photographs. The colposcopic examination will be conducted by medical personnel who are competent in the use of the equipment and the interpretation of findings. 6. AMMC agrees to provide competent court testimony when required (upon receipt of summons) 7. All evidence collected, including video tape of the colposcopic examination, will be relinquished at the conclusion of that examination. Photographs will be available, upon request by investigators. 8. AMMC agrees to make results of and evidence from examination available to Santa Ana Police Department personnel at any time subsequent to the date of examination upon request of summons. 9. By signing this Agreement, AMMC certifies that it does not discriminate in hiring or treatment on the basis of race, color, creed, religion, sex, sexual orientation, age, marital status, national origin, ancestry, physical handicap or medical conditions. 10. This Agreement is not meant to prohibit the Santa Ana Police Department from utilizing the services of other hospitals. Agreed to this ,_day of June, 2009 Anaheim Memorial Medical Center 1111 W. La Palma Avenue Anaheim, CA 92801 Byrbh Schweigert, CEO --- Anaheim Memorial Medical Center Accepted this 'L-3 of Jane, 2009 Santa Ana Police Department 60 Civic Center Plaza Santa -Ana -,,CA 91702 MAKkSanmAna PDAg,cdIHL STANDARD 01: EXCELLENCE W HEALTH CARF 1111 ANu,,r La Palma Avcnuc * Anahc.ini. C:A92801-2881 0 Phonc; 714-774-1450 * kvwu.mcmurialcare.or¢ MEMORIALCARF ANAHEIM MEMORIAL MEDICAL CENTER Agreement to Provide Service to Santa Ana Police Department for Evidence Collection on Alleged Sexual Assault Victims Page 2 ha IN WITNESS WHEREOF, the parties hereto have executed this Agreement on of aAUT'k tme 2009. ATTEST: '10 /PATRICIA E. HEALY l/ Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: Laura Sheedy Assistant City Attorney CITY OF SANTA ANA DAVID N. - . -� City Manager Approved as to form: a u By. Title: _Sr Associate Counsel, MHS_ Date: __tune 8. 2009_____________ THE STANDARD OF EXCELLENCE IN LIEALTII CART M:%C Santa Ana PD Agmt.d ll 1 t WcsrGs P,3hna r\ enuc 0 Alwheim. GA 92WI-2881 • Phone_ 714-774-1450 • www.memo�ialcurcorg Im A -zoo- i i `r MEN A H M C U ANAHEIM VIA CERTIFIED MAIL Sex Crimes Unit Santa Ana Police Department 60 W. Civic Center Santa Ana, CA 92701 Re: To Whom It May Concern: Regional Medical Center March 9, 2010 AHMC Anaheim Regional Medical Center Agreement for Evidence Collection on Sexual Assault Victims Please accept this letter as notification of the change in ownership and name of what was formerly known as Anaheim Memorial Medical Center, under that certain Agreement to Provide Service to Santa Ana Police Department for Evidence Collection on Alleged Sexual Assault Victims (the "Agreement"). On July 1, 2009, the hospital was acquired by AHMC Anaheim Regional Medical Center, LP, a California limited partnership, and the name of the hospital changed to AHMC Anaheim Regional Medical Center ("ARMC"). Effective March 1, 2010, ARMC will bill the Police Department only once each month for services rendered under the Agreement. Please remit payments on these invoices to the following: AHMC Anaheim Regional Medical Center Department LA23408 Pasadena, CA 91185-3408 We apologize in advance for any inconvenience this may cause. If you have any questions regarding the foregoing, please contact Deborah Webber at (714) 999-6053. Sincerely yours, AHMC ANAHEIM REGIONAL MEDICAL CENTER TVS TO FORM 3 yae Hodge Dep City Attorney Chief Operating Officer Consent to Assignment City of Santa Aua sga:ags��---- DAVID N. REAM City Manager 1111 West La Palma Avenue 9 Anaheim, CA 92801-2881 9 Phone: 714-774-1450 A-2009-117 INSURCE NOT REQUIRED WORKMAY PROCEED ' " `EMORIALCARE CLERK FCOUNCIL ANAHLIM MEh�tOR1AL MEDICAL CENTER 04TF �9 Agreement to Provide Service to Santa Ana Police Department for Evidence Collection on Alleged Sexual Assault Victims Anaheim Memorial Medical Center ("AMMC") and Santa Ana Police Department agree as follows: AMMC agrees to provide evidence from rape and sexual assault examinations in regards to criminal related matters. SPECIAL PROVISIONS: 1. Term of Agreement, July 1, 2009 through June 30, 2010. 2. Charge per examination to be paid by Santa Ana Police Department: Seven Hundred Fifteen Dollars ( 715.00). 3. Charge per victim follow up examination: One Hundred Ten Dollars ( 11$ 0.00). 4. Charge per suspect follow up examination: One Hundred Sixty Five Dollars 165.00 . 5. AMMC agrees to provide Santa Ana Police Department approved medical exams to alleged sexual assault and rape victims for evidence. The exam is to include videotaped colposcopic examination and photographs. The colposcopic examination will be conducted by medical personnel who are competent in the use of the equipment and the interpretation of findings. 6. AMMC agrees to provide competent court testimony when required (upon receipt of summons) 7. All evidence collected, including video tape of the colposcopic examination, will be relinquished at the conclusion of that examination. Photographs will be available, upon request by investigators. 8. AMMC agrees to make results of and evidence from examination available to Santa Ana Police Department personnel at any time subsequent to the date of examination upon request of summons. 9. By signing this Agreement, AMMC certifies that it does not discriminate in hiring or treatment on the basis of race, color, creed, religion, sex, sexual orientation, age, marital status, national origin, ancestry, physical handicap or medical conditions. 10. This Agreement is not meant to prohibit the Santa Ana Police Department from utilizing the services of other hospitals. Agreed to this 1Cday of June, 2009 Anaheim Memorial Medical Center 1111 W. La Palma Avenue Anaheim, CA 92801 Byr Schweigert, CEO Anaheim Memorial Medical Center c Accepted this 1-3 of Ame,12009 Santa Ana Police Department 60 Civic Center Plaza SantaAna7,CA 91702 By: Title: -� M\K\Santa Ana PD AgmtdJ.HE STANDARD OF EXCELLENCE IN HEAETH CAR[. Ilil �1 Cs[i vP ImeAF n.nie Anaheim. <.442h01-2881 • Phone:711-174-1450 • w�vvv_memnriakcare.orr! a) MEMOMALCMRF ANAHEIM MEMORIAL MEDICAL CENTER Agreement to Provide Service to Santa Ana Police Department for Evidence Collection on Alleged Sexual Assault Victims Page 2 nA IN WITNESS WHEREOF, the parties hereto have executed this Agreement on _ of 0�11Xc�Jtm 2009. ATTEST: PATRICIA E. HEALY U0 Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney By: Laura Sheedy Assistant City Attorney CITY OF SANTA ANA Z DAVID N. REA� City Manager Approved as to form: h-' z Title: _Sr. Associate Counsel, MHSa Date: __tune 8, 2009_____________ M:\Klsana Ana PO Agmt.dPIE. STANDARD CAE EXCELLENCE IN HEALH-i CARE I I I I West r.a Palma Avenue • rAn,thuim. CA')2SM- 981 a Phone: 714-7/74-1450 • www.memmiJca rc.nr REQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: AUGUST 3, 2009 TITLE: RENEW AGREEMENT FOR SEXUAL ASSAULT EVIDENCE COLLECTION CITY MANAGER RECOMMENDED ACTION CLERK OF COUNCIL USE ONLY: APPROVED ❑ As Recommended ❑ As Amended ❑ Ordinance on 1" Reading ❑ Ordinance on Intl Reading ❑ Implementing Resolution ❑ Set Public Hearing For CONTINUED TO FILE NUMBER A-2009-117 Authorize the City Manager and the Clerk of the Council to s;;tya the attached agreement with Anaheim Memorial Medical Center for acute sexual assault exams and evidence collection services. DISCUSSION The Police Department uses the services of the Anaheim Memorial Medical Hospital to conduct sexual assault examinations and evidence collection for adult victims and suspects. The costs for services are $715 per victim exam, $110 per victim follow-up examination, and $165 per suspect examination. Results from these tests and evidence collection are necessary for the prosecution of criminal cases. Anaheim Memorial Medical Center is the only facility in the county performing rape and sexual assault examinations of adults for prosecution purposes. The Police Department has utilized their services for these purposes since 1995. FISCAL IMPACT Funds are available in the Police Department's Crimes Against Persons fund (account no. 011-341-6291). (3z,j �� Paul M. Walters Chief of Police Police Department APPROVED AS TO FUNDS AND ACCOUNTS: Francisco Gutie" Executive Director Finance & Mgmt. Services Agency MEMORIALCARE`° ANAHEIM MEMORIAL MEDICAL CENTER Agreement to Provide Service to Santa Ana Police Department for Evidence Collection on Alleged Sexual Assault Victims Page 2 IN WITNESS WHEREOF, the parties hereto have executed this Agreement on of June 2009, ATTEST: PATRICIA E. HEALY Clerk of the Council APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney M Laura Sheedy Assistant City Attorney CITY OF SANTA ANA DAVID N. REAM City Manager Approved as to form: By: C Y=�r i Y� Title: _Sr. Associate Counsel, MHS_ Date: __Tune 8, 2009_____________ MAK1Sanla Ana PDAgmIdjH Ei STANDARD 01- E.XCLLLENCE IN HE.AI TH CARE I I II'Am La Pail ran A\en tic • Anaheim. CA 92801-2M1 • Phone: 714-774-14511 • e�oe.memnrialcare.or;; MEMORIALCARF ANAHEIM MEMORIAL MEDICAL CENTER Sex Crimes Unit Santa Ana Police Department 60 W. Civic Center Santa Ana, CA 92701 The Sexual Assault Agreement contract between Santa Ana Police Department and Anaheim Memorial Medical Center has expired. Please review and sign the attached "Agreement to Provide Service to Santa Ana Police Department for Evidence Collection on Alleged Sexual Assault Victims". After signing the agreements, please retain one for your records and return the other using the self addressed envelope, which is included. At Anaheim Memorial, we remain committed to working with local organizations and law enforcement in providing sexual assault examination services. If you have any questions about the agreement renewal or about The Safe Place services, please contact me directly. Sincerely yours, J' _"Dutch" Brenenstall, RN birector, Emergency Services (714) 999-6191 FAX (714) 999-5291 Email: DBrenenstall@MemorialCare.org THE STANDARD OF EXCELLENCE IN HEALTH CARE 1111 West La Palma Avenue 9 Anaheim, CA 92801-2881 0 Phone: 714-774-1450 > www.memorialcare.org VIA CERTIFIED MAIL Sex Crimes Unit Santa Ana Police Department 60 W. Civic Center Santa Ana, CA 92701 Re: To Whom It May Concern: Im `r ■ N A H M C U ANAHUM Regional Medical Center March 9, 2010 AHMC Anaheim Regional Medical Center Agreement for Evidence Collection on Sexual Assault Victims Please accept this letter as notification of the change in ownership and name of what was formerly known as Anaheim Memorial Medical Center, under that certain Agreement to Provide Service to Santa Ana Police Department for Evidence Collection on Alleged Sexual Assault Victims (the "Agreement"). On July 1, 2009, the hospital was acquired by AHMC Anaheim Regional Medical Center, LP, a California limited partnership, and the name of the hospital changed to AHMC Anaheim Regional Medical Center ("ARMC"). Effective March 1, 2010, ARMC will bill the Police Department only once each month for services rendered under the Agreement. Please remit payments on these invoices to the following: AHMC Anaheim Regional Medical Center Department LA23408 Pasadena, CA 91185-3408 We apologize in advance for any inconvenience this may cause. If you have any questions regarding the foregoing, please contact Deborah Webber at (714) 999-6053. Sincerely yours, AHMC ANAHEIM REGIONAL MEDICAL CENTER TVSTOFORM 3 ti I v u Yv� a yan Hodge Deputy City Attorney Chief Operating Officer Consent to Assignment City of Santa Ana sga:ags DAVID N. REAM City Manager 1111 West La Palma Avenue • Anaheim, CA 92801-2881 • Phone: 714-774-1450