Agreement

1 
05/10/2023
C19-0120-6 
AMENDMENT NO. 4 
EMERGENCY MEDICAL TRANSPORTATION  
(City of Glendale Solicitation No. RFP 18-57, Contract No. C19-0120) 
This Amendment No. 4 (“Amendment”) to the Emergency Medical Transportation (“Agreement”) is 
made this ______ day of ________, 2023, (“Effective Date”), by and between the City of Glendale, 
an Arizona municipal corporation (“City”) and Maricopa Ambulance, LLC, a Delaware Limited 
Liability Company, authorized to do business in Arizona (“Contractor”). 
RECITALS 
A.
City and Maricopa Ambulance, LLC (“Contractor”) previously entered into Emergency
Medical Transportation, Contract No. C19-0120, dated February 12, 2019 (“Agreement”); and
B.
The Agreement had an initial two-year term beginning February 12, 2019 and provided the
option to extend for an additional two (2) years in one-year increments; and
C.
City and Contractor entered into Amendment No. 1 amending the Agreement to include a
Performance Surety Fund and the process by which the City may withdraw the funds from
the Performance Surety Fund; and
D.
City and Contractor entered into Amendment No. 2 amending the Scope of Work to add "C";
and
E.
City and Contractor entered into Contract Extension No. 1 extending the Agreement from
February 12, 2021 through February 11, 2022; and
F.
City and Contractor entered into Amendment No. 3 amending the Compensation to a new
not-to-exceed amount of $850,800; and
G.
City and Contractor entered into Contract Extension No. 2 extending the Agreement from
February 12, 2022 through February 11, 2023; and
H.
City and Contractor entered into an additional Contract Extension extending the Agreement
from February 12, 2023 through August 11, 2023; and
I.
City and Contractor wish to modify and amend the Agreement subject to and strictly in
accordance with the terms of this Amendment.
AGREEMENT 
In consideration of the mutual promises set forth herein and other good and valuable consideration, 
the receipt and sufficiency of which are hereby acknowledged, the City and Contractor hereby agree 
as follows: 
1.
Recitals.  The recitals set forth above are not merely recitals but form an integral part of this
Amendment.

2 
05/10/2023 
2. 
Term.  Upon approval by the Arizona Department of Health Services (ADHS), the term of 
the Agreement is extended on a month-to-month basis for an additional six (6) months not to 
exceed beyond February 10, 2024,  unless otherwise terminated or canceled as provided by 
the Agreement.  All other provisions of the Agreement except as set forth in this Amendment 
shall remain in their entirety. 
 
3. 
Scope of Work. The Scope of Work is unchanged. 
 
4.  
Compensation. The compensation remains unchanged. 
 
5. 
Insurance Certificate.  Current certificate will expire on June 1, 2024 and a new certificate 
applying to the extended term must be provided prior to this date to Materials Management 
and the Contract Administrator. 
 
6. 
Non-discrimination.   Contractor must not discriminate against any employee or applicant 
for employment on the basis of race, color, religion, sex, national origin, age, marital status, 
sexual orientation, gender identity or expression, genetic characteristics, familial status, U.S. 
military veteran status or any disability. Contractor will require any Sub-contractor to be bound 
to the same requirements as stated within this section. Contractor, and on behalf of any 
subcontractors, warrants compliance with this section.  
 
7.  
No Boycott of Israel.  To the extent A.R.S § 35-393 through § 35-393.03 are applicable, the 
parties hereby certify that they are not currently engaged in, and agree for the duration of the 
Agreement to not engage in, a boycott of goods or services from Israel, as that term is defined 
in A.R.S § 35-393. 
 
8. 
Uyghur Forced Labor Prevention Act (UFLPA). Contractor certifies that it does not 
currently, and during the term of this Agreement, will not use: 
 
(a) 
the forced labor of ethnic Uyghurs in the People’s Republic of China;  
 
(b) 
any goods or services produced by the forced labor of ethnic Uyghurs in the People’s 
Republic of China; and  
 
(c) 
any contractors, subcontractors or suppliers that use the forced labor or any goods or 
services produced by the forced labor of ethnic Uyghurs in the People’s Republic of 
China. 
 
9. 
Attestation of PCI Compliance.  When applicable, the Contractor will provide the City 
annually with a Payment Card Industry Data Security Standard (PCI DSS) attestation of 
compliance certificate signed by an officer of Contractor with oversight responsibility. 
 
10. 
Ratification of Agreement.  City and Contractor hereby agree that except as expressly 
provided herein, the provisions of the Agreement shall be, and remain in full force and effect 
and that if any provision of this Amendment conflicts with the Agreement, then the provisions 
of this Amendment shall prevail. 
 
[Signatures on the following page.]

CITY OF GLENDALE, an fuizoar
nrrnicipal co4roretion
Kesin R. Phdps, City M""lger
ATTEST:
Julie IC Bos'er, City Cte*
(sEAr)
APPROTfEDASTO FORM:
Michacl D. Bdlcy, Gty Auoney
Maricopa Ambulancc, L[,C
a Dchwerc Linited Liability Compaoy
Byt
Its:
Abn
WestRerioo Presideot
3
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