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Home My WebLink About2021-11-01 Ordinance 553213618 AB092921 1 Ordinance No. 5532 Ordinance of the Council of the City of Palo Alto Amending the Fiscal Year 2021 Municipal Fee Schedule to Add Fire Department Ambulance Subscription Program Fees The Council of the City of Palo Alto ORDAINS as follows: SECTION 1. Findings and Declarations. The City Council finds and declares as follows: A. The City of Palo Alto Fire Department has provided an ambulance transport service since 1974. B. The City plans to establish a new Ambulance Subscription Program (Program) allowing eligible participants to pay an annual fee to have the insurance co-pay waived for ambulance transports occurring within the City. C. All residences and businesses within the City of Palo Alto are eligible for voluntary participation in the program. D. A Residential Program subscription will cover all permanent residents at the subscribing household address, as further described in the Program terms. E. A Business Program subscription will cover all employees at the subscribing business address or those who are elsewhere in the City of Palo Alto during the course of their duties, as further described in the Program terms. The City will fund the Program through a flat monthly fee for Residential and Business Program participants. SECTION 2. The Council of the City of Palo Alto approves and adopts new fees for an Ambulance Subscription Program available to residential and business participants and adopts the amendments to the Fiscal Year 2021 Municipal Fee Schedule as set forth in Exhibit “A” and incorporated here by reference. SECTION 3. The fees in this Ordinance are for voluntary enrollment in the Program. Pursuant to Art. XIII C, Section 1(e) of the California Constitution, such fees are not a tax. // // // DocuSign Envelope ID: ED77BDBE-A696-4488-B420-4378407987EF 13618 AB092921 2 // SECTION 4. The Council finds that adoption of an Ambulance Subscription Program and related fees is not a project requiring environmental review for the purpose of the California Environmental Quality Act, because the Program will not result in a direct or reasonably foreseeable indirect physical change in the environment (Pub. Res. Code sec. 21065, 14 CCR sec. 15378(b)(4)). SECTION 5. This ordinance shall be effective thirty-one days after the date of its adoption. INTRODUCED: October 18, 2021 PASSED: November 1, 2021 AYES: BURT, CORMACK, DUBOIS, FILSETH, KOU, STONE NOES: TANAKA ABSENT: ABSTENTIONS: ATTEST: ____________________________ ____________________________ City Clerk Mayor APPROVED AS TO FORM: APPROVED: ____________________________ ____________________________ Deputy City Attorney City Manager ____________________________ Fire Chief ____________________________ Director of Administrative Services DocuSign Envelope ID: ED77BDBE-A696-4488-B420-4378407987EF Exhibit A 13618 AB092921 3 Fiscal Year 2021 Municipal Fee Schedule Chapter VIII - Fire Fees New Fee: Ambulance Subscription Program Residential Rate Monthly Fee per Household $8 Business Rate Rate Tier Employee Headcount Monthly Fee 1 0-10 $20 2 11-50 $100 3 51-100 $200 4 101-250 $500 5 251-1000 $1,000 DocuSign Envelope ID: ED77BDBE-A696-4488-B420-4378407987EF Certificate Of Completion Envelope Id: ED77BDBEA6964488B4204378407987EF Status: Completed Subject: Please DocuSign: ORD 5532 Ambulance Fee Ordinance.docx Source Envelope: Document Pages: 3 Signatures: 6 Envelope Originator: Certificate Pages: 2 Initials: 0 Danielle Kang AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 250 Hamilton Ave Palo Alto , CA 94301 Danielle.Kang@cityofpaloalto.org IP Address: 199.33.32.254 Record Tracking Status: Original 11/2/2021 7:33:38 PM Holder: Danielle Kang Danielle.Kang@cityofpaloalto.org Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: City of Palo Alto Location: DocuSign Signer Events Signature Timestamp Aylin Bilir Aylin.Bilir@CityofPaloAlto.org Deputy City Attorney Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 71.202.3.196 Sent: 11/2/2021 7:35:26 PM Viewed: 11/3/2021 9:46:39 AM Signed: 11/3/2021 9:47:14 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Kiely Nose Kiely.Nose@CityofPaloAlto.org Director, Administrative Services/CFO City of Palo Alto Security Level: Email, Account Authentication (None) Signature Adoption: Uploaded Signature Image Using IP Address: 174.194.138.146 Sent: 11/3/2021 9:47:16 AM Viewed: 11/8/2021 8:57:11 AM Signed: 11/8/2021 8:57:33 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Geoffrey Blackshire Geoffrey.Blackshire@CityofPaloAlto.org Fire Chief Fire Services Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 199.33.32.254 Sent: 11/8/2021 8:57:34 AM Resent: 11/10/2021 12:30:26 AM Viewed: 11/10/2021 6:51:16 AM Signed: 11/10/2021 6:52:13 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Ed Shikada Ed.Shikada@CityofPaloAlto.org Ed Shikada, City Manager City of Palo Alto Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 199.33.32.254 Sent: 11/10/2021 6:52:14 AM Viewed: 11/10/2021 1:06:50 PM Signed: 11/10/2021 1:06:57 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Signer Events Signature Timestamp Tom DuBois tomforcouncil@gmail.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 71.204.168.76 Sent: 11/10/2021 1:06:59 PM Viewed: 11/11/2021 9:15:38 AM Signed: 11/11/2021 9:15:48 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Lesley Milton Lesley.Milton@CityofPaloAlto.org City Clerk Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 199.33.32.254 Sent: 11/11/2021 9:15:49 AM Viewed: 11/16/2021 6:43:38 PM Signed: 11/16/2021 6:43:46 PM 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 11/2/2021 7:35:26 PM Certified Delivered Security Checked 11/16/2021 6:43:38 PM Signing Complete Security Checked 11/16/2021 6:43:46 PM Completed Security Checked 11/16/2021 6:43:46 PM Payment Events Status Timestamps