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RESOLUTION NO. 2023-49 PAGE 8 Exhibit A Guidelines for Provision of Emergency Medical Services Mayfield Village will strive to respond to calls for emergency service in Gates Mills in the same manner and with the same efficiency as calls to assist Mayfield Village residents. The following guidelines indicate best practices in specific situations: 1. The Mayfield Village Fire Department will respond to a Gates Mills medical emergency with a minimum of two (2) personnel, an advanced life support ambulance and, if available, a chase vehicle. 2. For injury traffic accidents, the Mayfield Village Fire Department will also respond a Rescue Pumper if available. 3. Paramedic ambulances will attempt to arrive on the scene within 12 minutes from the time the call is received by the Mayfield Village Fire Department Station. The 12-minute response time is based upon the furthest point in the Village (area along County Line Road and the southeast Geauga County line). Severe weather conditions will play a factor in response times which may result in a response time of greater than 12 minutes. 4. Mayfield Village will provide the latest in emergency medical services (EMS) to the residents of Gates Mills. 5. Mayfield Village will strive to achieve the following benchmarks: • Hold trauma scene times to under 20 minutes 90% of the time. • Hold heart attack scene times to under 25 minutes 90% of the time. • Hold stroke (CVA) scene times to under 15 minutes 90% of the time. 6. Mayfield Village will provide for "back-up" or for additional emergency medical services when Mayfield Village Fire Department is unavailable. It is understood by both parties that response times for additional resources may be greater than 12 minutes. During EMS and/or injury traffic accidents, Mayfield Village Fire Department personnel will provide the Incident Commander (IC) and utilize the Incident Command System per current National Fire Protection Association (NFPA) standards. Upon the arrival of Gates Mills Fire Department personnel and at the discretion and request of the Mayfield Village IC, Incident Command shall be transferred to Gates Mills Fire Department to assume as the Authority Having Jurisdiction. 8. Gates Mills Fire Department personnel will function in a support role within the Incident Command System during injury traffic accidents or when requested to respond to EMS 200856221 4857-4477-9637, v. 1