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2024-1302024-130 Resolution For Approval Of Ambulance Service Agreement At a Regular Meeting of the Town Board of the Town of Wappinger, Dutchess County, New York, held at Town Hall, 20 Middlebush Road, Wappingers Falls, New York, on May 28, 2024. The meeting was called to order by Joseph D. Cavaccini, Town Supervisor, and upon roll being called, the following was recorded: ✓ Vote Record - Resolution RES -2024-130 Yes/Aye No/Nay Abstain Absent Q Adopted ❑ Adopted as Amended Joseph D. Cavaccini Voter Q ❑ ❑ ❑ ❑ Defeated William H. Beale Voter 2 ❑ ❑ ❑ ❑ Tabled Angela Bettina Voter ❑ ❑ ❑ Q ❑ Withdrawn Christopher Phillips Seconder, Q ❑ ❑ ❑ Al Casella Mover Q ❑ ❑ ❑ The following Resolution was introduced by Casella and seconded by Councilman Phillips. WHEREAS, the Town and Empress Ambulance Service, Inc. ("Empress") are parties to a certain Ambulance Service Agreement which commenced on January 1, 2021 and expired on December 31, 2023; and WHEREAS, Ambulance Service Agreement has continued on a month-to-month basis since its expiration and the Town and Empress desire to formalize a new Agreement in the form attached hereto for the continued provision of ambulance services through December 31, 2026, with a one-year option for 2027. NOW, THEREFORE, BE IT RESOLVED, as follows: 1. The recitations above set forth are incorporated in this Resolution as if fully set forth and adopted herein. 2. The Town Board hereby agrees to execute and enter into the attached Ambulance Service Agreement. 3. Supervisor Joseph D. Cavaccini is hereby authorized to execute the attached Ambulance Service Agreement between the Town of Wappinger and Empress, said Ambulance Service Agreement having been subsequently reviewed and approved by the Town Attorney. The foregoing was put to a vote which resulted as follows: RESULT: ADOPTED [UNANIMOUS] MOVER: Al Casella, Councilman SECONDER: Christopher Phillips, Councilman AYES: Joseph D. Cavaccini, William H. Beale, Christopher Phillips, Al Casella ABSENT: Angela Bettina Dated: Wappingers Falls, New York 5/28/2024 The Resolution is hereby duly declared Adopted. PAOLONI, TOWN CLERK AMBULANCE SERVICE AGREEMENT TffiS AGREEMENT, made as of the 1' day of January, 2024 by and between TOWN OF WAPPINGER a municipal subdivision acting on behalf of the WAPPiNGER AMBULANCE DISTRICT an improvement district duly authorized pursuant to the Laws of the State of New York with its office located at Town Hall, 20 Middlebush Road, Wappinger Falls, New York, 12590, (hereinafter referred to as the "TOWN) and EMPRESS AMBULANCE SERVICE, LLC a New York corporation with its principal place of business located at 722 Nepperhan Avenue, Yonkers, New York, 10703, (hereinafter referred to as "CONTRACTOR"). WITNESSETH: WHEREAS, CONTRACTOR is a corporation fully authorized to do business in the State of New York and duly authorized and licensed by the State of New York to provide ambulance services in Dutchess County; and WHEREAS, the TOWN desires to contract for the provision of ambulance and emergency health services by and on behalf of the Wappinger Ambulance District (the "Districf); and WHEREAS, the TOWN desires to engage CONTRACTOR for such ambulance and emergency health services, and CONTRACTOR desires to be so engaged by the TOWN; and WHEREAS, CONTRACTOR represents that it is able to supply, render and furnish to the TOWN, adequate and efficient ambulance and emergency health services within said Town, herein before described, for treatment and transportation of all sick or injured persons found within the boundaries of the District to various hospitals and/or other facilities providing hospital services within and outside of the District; and WHEREAS, the TOWN and CONTRACTOR desire to define the terms of CONTRACTOR'S engagement by the TOWN. NOW THEREFORE, in consideration of the mutual covenants, promises and agreements herein set forth, and the payments to be made as hereinafter specified, the parties do covenant and agree as follow: 1. Recitations Incorporated. The recitations above set forth are incorporated in this Agreement as if fully set forth and adopted herein. 2. Definitions. 2.1. In this Agreement, the following teras shall have the meanings set forth below: 2.1.1. "Advanced Emergency Medical Technician" means an emergency medical technician who has satisfactorily completed an advanced course of training approved by the State Council under regulations pursuant to section 3002 of the Public Health Law. 2.1.2. "Advanced Life Support Care" (ALS) means definitive acute medical care provided, under medical control, by advanced emergency medical technicians with advanced life support systems. 2.1.3. "Advanced Life Support System" means an organized acute medical care system to provide advanced life support care on site or in route to, from or between general hospitals or other health care facilities. 2.1.4. "Advanced Life Support Mobile Unit" means an ambulance or advanced life support first response vehicle to provide advanced life support services. 2.1.5. "Ambulance Service" means the provision of emergency medical care and the transportation of sick or injured persons to, from, or between general hospitals or other health care facilities. "Ambulance Service" includes the provision of Advanced Life Support Care ("ALS') and Basic Life Support Care (`BLS") as such terms are defined herein. 2.1.6. "Ambulance Service Certificate" paeans a valid certificate issued by New York State Department of Health authorizing an ambulance service to operate within a given geographical area. Certificates must be renewed every two (2) years per NYS PHL Article 30 Section 3005. 2.1.7. "Agreement" means this Agreement by and among the parties hereto as amended, modified or supplemented from time to time. N 2.1.8. `Basic Life Support Care" (BLS) means the provision of such medical care as control ofbleeding, splinting, fractures, treatment of shock, delivery ofbabies, and cardio -pulmonary resuscitation (CPR). 2.1.9. "Contract Term" means the period beginning with the Effective Date and ending on December 31, 2026 with a one-year renewal option extending to December 31, 2027. 2.1.10. ` TOWN" shall mean the Town of Wappinger acting by and on behalf of the Wappinger Ambulance District and shall be deemed to include the area of the TOWN outside the incorporated limits of the Village of Wappingers Falls. 2.1.11. "Response Time" shall mean the time interval between CONTRACTOR being notified of an emergency and arriving at the scene measured by Dutchess County 9-1-1 dispatch data in accordance with Paragraph 16 herein. Medical Control means Physician -level support of established treatment guidelines (protocols) within an advanced life support system. Medical control is provided viatwo-way communication with the physician at the receiving or medical control hospital. Medical Control protocols are established and governed via Regional Medical Advisory Committees as per NYS PBL Article 30 section 3004-A. 3. Scope of Services. 3.1. CONTRACTOR shall provide general ambulance services (including "ALS" and `BLS") as defined herein and in §3001 of the Public Health Law for the purpose of transporting all sick or injured persons found within the boundaries ofthe District to the appropriate located hospital within a (15) mile radius of the District. CONTRACTOR shall transport such persons to any such hospital specified by the person, or in the absence of instruction or specification, to the nearest available and suitable hospital. The ALS and BLS services supplied by CONTRACTOR shall be made available at any and all hours of the day and night (24 hours per day, 7 days per week) during the term of this Agreement. 3.2. Upon request, CONTRACTOR shall also provide District residents with local or long distance, non -emergency ambulance transportation. Such transportation must be deemed medically necessary by a signed physician statement which will be provided to CONTRACTOR in advance. K 4. Term. 4.1. This Agreement shall continue in effect from January 1, 2024 through December 31, 2026 subject to the right of either party to terminate this Agreement as hereinafter provided. 4.2. This Agreement shall automatically be renewed for an additional term of one (1) year under the same terms but at an annual rate of $912,636.02, payable in monthly payments of $76,053.00, unless either parry shall notify the other no later than November 15, 2026 of its election not to renew. Thereafter, if both CONTRACTOR and the TOWN agree, a longer-term Agreement may be negotiated. 4.3. Notwithstanding anything to the contrary contained in this Agreement, the TOWN shall have the right, at its option, to terminate this Agreement at any time, without cause, upon giving CONTRACTOR sixty (60) days' notice in writing. If the TOWN shall give CONTRACTOR notice that, in the TOWN'S opinion, CONTRACTOR committed a material breach of this Agreement, and the TOWN shall have served written notice upon CONTRACTOR setting forth the details of such alleged breach, and CONTRACTOR shall not, within twenty (20) days after the date of such notice, have cured such alleged breach, or if such alleged breach is of a nature which cannot be cured within the twenty (20) day period, and CONTRACTOR shall not within such twenty (20) day period have commenced and at all times thereafter diligently pursued, a cure of such alleged breach, then CONTRACTOR shall be in default under this Agreement and the TOWN shall have the right, immediately terminate this Agreement for cause. Material breach shall be deemed repeated failure to comply with the terms and conditions of this Agreement or a failure in any two (2) out of three (3) months to meet the performance criteria established in paragraph 16 and Schedule "A" attached hereto, or, if CONTRACTOR fails to comply with applicable laws, statutes or ordinances or is otherwise guilty of a substantial violation of any provision of this Agreement. The CONTRACTOR shall have the right, at its option, to terminate this Agreement at any time, without cause, upon giving the TOWN sixty (60) days' notice in writing. 5. Ambulance Service Certificate. CONTRACTOR agrees to keep in force its 4 Ambulance Service Certificate and to maintain compliance with the applicablerequirements of Article 30 of the Public Health Law and State Emergency Medical Services Code. 6. Dispatch through Dutchess County 9-1-1. CONTRACTOR shall respond to calls for emergency medical services only when dispatched by Dutchess County 9-1-1 and shall transport sick or injured persons found within the boundaries of the TOWN needing emergency care to a hospital of their choosing unless requested by "medical control" to deliver him or her to another hospital. 6.1. Response and Identification: CONTRACTOR will utilize the radio identifiers "Town of Wappinger Medic 1" or "Town of Wappinger Medic 2" when TOWN ambulances respond to calls for service. Any responding ambulances will indicate their location upon responding to a call for service. If Town of Wappinger Medic 1 and 2 are committed on calls and another call is dispatched within the Town of Wappinger, any additional responding CONTRACTOR ambulance located inside the Town of Wappinger wx7l identify as "rown of Wappinger Medic (ALS) or Ambulance (BLS) 3" (or 4 or 5, etc.). If a CONTRACTOR ambulance is responding from outside the Town of Wappinger, it will identify as an Empress unit. If at any time a CONTRACTOR ambulance is unavailable to respond to a call for service within the TOWN or a CONTRACTOR ambulance will be unable to make patient contact in a reasonable amount of time, based on the priority level of the call, the Dutchess County 9-1-1 center shall be immediately notified and the call for service shall be honed over to mutual aid. 7. Personnel, Equipment and Facilities. CONTRACTOR shall provide, maintain and store, at its own cost and expense, State certified Advanced Life Support Mobile Units and ambulances, crew and equipment necessary and incidental to provide comprehensive ambulance and emergency health services within the District. 7.1. Personnel: CONTRACTOR shall be and CONTRACTOR will provide sufficiently trained and experienced personnel capable of furnishing both BLS and ALS service to maintain, operate and administer the ambulance and emergency health services required under this Agreement. At a minimum, each ambulance must be staffed by at least one New York State certified Emergency 5 Medical Technician (EMT) and one New York State certified Advanced Emergency Medical Technician (Paramedic). 7.2. Equipment: 7.2.1. CONTRACTOR shall, at a minimum, provide one (1) ambulance with crew, twenty-four (24) hours per day, seven (7) days per week and one (1) ambulance with crew, sixteen. (16) hours per day, seven (7) days per week which ambulances shall be capable ofproviding Advanced Life Support care (ALS). The two (2) ambulances and crews shall be located, maintained and housed within the Town of Wappinger at a place or space mutually agreed upon by the TOWN and CONTRACTOR, prior to the effective date of this Agreement. 7.2.2. All ambulances must be owned by CONTRACTOR and be New York State certified Type H or Type III style ambulances. All units must be well maintained, have New York State valid inspection stickers, be legally registered and properly insured pursuant to this Agreement. CONTRACTOR will be required to keep its ambulances maintained so that its mechanical features such as heat, air conditioning, interior and exterior lighting, emergency lighting, audible warning devices, etc. are in good working order at all times. The ambulances will be required to meet and maintain all of the standards as specified in the certification listing for New York State Ambulances and all Department of Transportation and Traffic Safety standards. 7.2.3. CONTRACTOR shall equip all ambulances with GPS navigation devices and all ambulance crews with cellular communication devices to serve as a redundant backup for dispatchers and crews. 7.2.4. The ambulances and crews dedicated to the TOWN will be visibly labeled and identified as Town of Wappinger ambulances. At a minimum, these ambulances must be lettered in not less than 6 -inch reflective lettering indicating `TOWN OF WAPPINGER'. These dedicated ambulances may not be used for non -emergency or nursing home non -emergency transportation services. 7.3. Facility: CONTRACTOR, pursuant to that certain Lease Agreement 6 commencing June 1, 2024 by and between the TOWN and the CONTRACTOR dated June 1, 2024, , has secured a leased premises located within the Town of Wappinger and shall use the same as its base of operations for the performance of its duties pursuant to the Agreement 8. Backup. In the event that both Wappinger units are dispatched, CONTRACTOR will make every reasonable effort to provide another ambulance to deliver seamless coverage to the TOWN. In the event of a major emergency incident, Dutchess County 9-1-1 will not dispatch the last Wappinger ambulance to a non-Wappinger incident without permission of the Supervisor or authorized designee. 9. Standby Coverage. CONTRACTOR will provide "standby coverage" at all serious fire emergencies that may occur within the District, or to which they are called by the TOWN as requested by fire districts located within the District 10. Mutual Aid. The TOWN unit will respond to all mutual aid calls received from Dutchess County 9-1-1 pursuant to the Dutchess County Mutual Aid Agreement. 11. Training and Education. CONTRACTOR agrees to provide training and continuing education to its employees including such certification and re -certification as may be required by law. In addition, CONTRACTOR shall participate in necessary drills at times to be mutually agreed upon, as well as, provide community training, educational programs and seminars to educate the community in emergency health practices. 12. Licensing. CONTRACTOR is required to maintain all necessary licenses, cerdfications, registrations etc. required by any Federal, State, County or local rule, ordinance or law and this Agreement. i 13. Contract Amount. 13.1. The TOWN shall pay to the CONTRACTOR for the above services the agreed amount of $47,431.43 per month for January 1, 2024 through December 31, 2024; $59,931.43 per month for January 1, 2025 through December 31, 2025; $72,431.43 per month for January 1, 2026 through December 31, 2026. Each payment will be due on the 1' of every month. The CONTRACTOR will submit invoices for such payment on a monthly basis, and, in addition, will provide monthly volume reports on the 141 day of the following month for the services rendered Pursuant to this Contract. 13.2. In addition to the monies received from the District, the CONTRACTOR will bill all users for any ambulance services rendered. The CONTRACTOR will accept insurance proceeds from residents of the Wappinger Ambulance District in full payment of their bills; the monthly payments from the TOWN shall be inclusive of any unpaid balances of TOWN residents after credit of medical insurance coverage payments. The TOWN hereby authorizes the CONTRACTOR, pursuant to State Comptroller Opinion 91-20 and the authority contained in General Municipal Law § 122-b{2},to impose the fees for charges as the same may be hereafter amended from time to time by the TOWN upon recommendation of CONTRACTOR. Such fees or charges will be billed directly to the user and user's insurance carrier, in those instances that the user's insurance contract so provides for such direct payments so long as a copy of said bill is also sent to the user. 13.3. If a resident of the District is provided ambulance coverage pursuant to this Agreement and such person is underinsured or uninsured, CONTRACTOR agrees it shall not seek reimbursement for such services from such person. 8 14. Anti -Kick Back Statute. 14.1. Both parties represent to the best of their knowledge that this Agreement complies with 42 USC 1320a-7b(B) commonly known as the "Anti -Kick Back Statute". Both parties agree to periodically review the Agreement, at least on an annual basis, for the purposes of determining that this Agreement is in compliance with the Anti -Kick Back Statute. Both parties agree to exchange all necessary documentation evidencing the services provided to all District residents. All documentation will be released in accordance with the provisions of the Health Insurance Portability and Accountability Act (HIPAA). 14.2. The TOWN agrees to assist the CONTRACTOR in any manner in providing verification of resident status to facilitate proper billing. 15. Records and Financial Accounting. 15.1. In addition to the records required for compliance with the Anti -Kick Back Statute, CONTRACTOR will provide: 15.1.1. Monthly reports to the TOWN containing the number of service calls provided under this Agreement with corresponding response times for each occurrence; 15.1.2. Upon request, CONTRACTOR will provide weekly schedules of crews and assignments; 15.1.3. All records required for litigation in any proceeding related to service under this Agreement; ld. Fractile Response Time. CONTRACTOR has entered into this Agreement based upon CONTRACTOR'S representation of performance standards identified as "Fractile Response Time criteria" identified in Schedule "A" attached hereto. For the purposes of determining "Tractile Response Time criteria", the TOWN and CONTRACTOR agree that the Dutchess County 9-1-1 dispatch data shall be controlling for determining 'Tractile Response Time criteria" and times. N 17. Periodic Meetings. 17.1. The TOWN and CONTRACTOR will assign an appropriate designee(s) to meet on a bi-annual basis to discuss issues including, but not limited to: 17.1.1. Response times; 17.1.2. Concerns/questions regarding services; 17.1.3. Response plans; 17.1.4. Special events; 17.1.5. Education and training of staff; 17.1.6. Community programs and education; and 17.1.7. Compliance with the Anti -Kick Back Statute. 18. Relationship of the Parties. CONTRACTOR'S relationship to the TOWN shall be that of an independent CONTRACTOR. Nothing in this Agreement shall be construed to create a principal -agent, employer-employee or master -servant relationship. CONTRACTOR, at all times, shall be solely responsible for all salaries and other employee remuneration as well as the payment of all applicable federal, state or local withholding or similar taxes and provision or workers' compensation and disability insurance for any person employed by it. 19. Insurance. 19.1. At all times during the Term, CONTRACTOR, at its own cost and expense, shall keep in full force and effect: 19.1.1. a commercial general liability insurance policy or policies of standard form in the State of New York, with combined single limit coverage of not less than One Million ($1,000,000.00) Dollars per occurrence and ($3,000,000.00) aggregate, including full contractual liability; 19.1.2. aprofessional liability t*?�rancepolicyorpolicies ofstandard form in the State of New York, covering itself and each professional it employs or contracts with for the provision of professional services, with limits of not less than One Million ($1,000,000.00) Dollars per occurrence and Three Million ($3,000,000.00) aggregate; 10 19.1.3. the vehicle liability policy required by the agreement shall be written with a minimum coverage of $(1,000,000.00) per occurrence and One Million. ($1,000,000.00) aggregate; 19.1.4. 'Workers' compensation insurance shall be kept in force in the amounts required by law. 19.2. CONTRACTOR shall name the TOWN as an additional named insured on all insurance policies on a primary, non-contributory basis; and 19.3. CONTRACTOR shall furaish the TOWN with satisfactory proof of all insurance coverage required pursuant to this paragraph on or before the effective date of this Agreement 19.4 The TOWN reserves the right during the term of the this Agreement to request an increase to such higher limits as TOWN or its insurance consultant believe are necessary to protect the TOWN provided the higher limits are commercially reasonable. 20. Non -exclusivity. CONTRACTOR may provide Ambulance Services to other persons or entities. 21. Non -Assignability. CONTRACTOR is hereby prohibited from assigning, transferring, conveying, subcontracting, subletting or otherwise disposing of this agreement or of its right, title or interest in this Agreement, or its power to execute this Agreement to any other person or corporation without the previous consent in writing of the TOWN. 23. Third Party Reimbursement: This Agreement shall be construed so as to be in accordance with federal and state statutes and Medicare, Medicaid and intermediary carrier rules, regulations, principles and interpretations. 24. Indemnification. CONTRACTOR will defend, indemnify and save harmless the TOWN and the District from and against all claims, costs, expenses, legal costs or their charges arising out of or related to the acts of CONTRACTOR, its agents, servants or employees and/or arising out of or related to the services to be provided by CONTRACTOR under this Agreement, and, CONTRACTOR shall defend the TOWN and the District at the expense of CONTRACTOR, against any such claims, demand, assertion of liability or other 11 cause occasioned thereby. The TOWN and the District shall defend, indemnify and hold harmless CONTRACTOR from and against any Losses which result from the negligent acts or omissions of the TOWN or District. This provision shall survive the termination of this Agreement. 25. Provisions Deemed Inserted. Each and every provision required bylaw to be inserted into this Agreement, specifically including Executive Law §§291-299 and Civil Rights Law, shall be deemed to be inserted herein and the Agreement shall be read and enforced as though it were included herein and, in the event'any such provision is not inserted or is not correctly inserted, then, upon the application of either party, this Agreement shall forthwith be physically amended to make such insertion or correction. 26. Invalidity. if any provision of this Agreement or the application of any provision hereof to any person or cirm=tance is held invalid, the remainder of this Agreement and the application of such provision to other persons and circumstances shall not be affected unless the invalid provision substantially impairs the benefits of the remaining portion of this Agreement. In the case of such invalidity which substantially impairs the benefits of the Agreement, the parties will endeavor in good faith to modify this agreement so as to preserve the benefits of this Agreement in a manner which complies with applicable laws. 27. Applicable Law. This Agreement shall be governed by and construed in accordance with the laws of the State of New York. Venue of any action to enforce the terms of this Agreement shall be the Supreme Court, Dutchess County, New York. 28. Waiver. The failure of either party to insist in any one or more instances upon performance of any term or condition of the Agreement shall not be construed as a waiver of its future performance. The obligations of either party with respect to such term, covenant or condition shall continue in full force and effect. 29. Entire Agreement. This Agreement sets forth the entire agreement and understanding between the Parties as to the matters contained herein, and merges and supersedes all prior agreements and understandings of every kind and nature among them. 12 No Party shall be bound by any condition, definition or representation other than as expressly provided for in this Agreement. 30.- Amendment of Agreement This Agreement shall not be changed, modified or amended except by writing signed by the Parties. 31. Binding Effect. This Agreement shall be binding upon, and inure to the benefit of the Parties hereto and their respective legal representatives, trustees, receivers and successors. 32. Notices. Any notices required to be given pursuant to the terns of this Agreement shall be in writing and shall be deemed to have been given at the time when personally delivered, or mailed first class U.S. certified mail, return receipt requested, or overnight courier, addressed to the Parties as follows or such other address as such Party may have fixed by notice, provided, however, that any change of address shall be effective only upon receipt: To the TOWN: Town of Wappinger Town Hall 20 Middlebush Road P.O. Box 324 Wappingers Falls, New York 12590 Attention: Joseph U. Cavaccini, Town Supervisor '_With a Copy to: Wallace .& Wallace 85 Civic Center Plaza Ste L13 Poughkeepsie, New York 12601 To the CONTRACTOR: Empress Ambulance Service 722 Nepperhan Avenue Yonkers, New York 110703 Attention: Michael Minerva, President 33. Headings. The headings of the sections hereof are inserted for 13 convenience only and in no way define, limit or prescribe the intent of this Agreement. IN VMMSS WHEREOF, this Agreement was signed this day of .SAB 2024. TOWN OF WAPPINGER EM LL( BY: BY: seph D. Cavaccini Town Supervisor ACKNOWLEDGEMENTS STATE OF NEW YORK ) ) ss.: COUNTY OF DUTCHESS ) On this L rday of J .2024, before me personally came , JOSEPH D. CAVACCI n TOWN SUPERVISOR OF THE TOWN OF WAPPINGER, to me ]mown to be the person who executed the above instrument, who, being duty sworn by me, did for himself depose and say that he is the Town Supervisor, that he executed the foregoing instrument in the name of the Town of Wappinger, and that he had authority to sign the same, and that she did duly acknowledge to me that he executed the same as the act and deed of the Town of Wappinger for the purposes xpentioned therein. "Cibtary Public Lee A. Fmno , STATE OF NEW YORK Notary Public. State of Neve York No. 01 FR6327313 ss.: Qualified in Dutchess Cc COUNTY OF DUTCHESS ) Carnmfssion t_xpin� 7ii3f27 On this f4ay of m , 2024, before me personally came Michael Minerva of EMPRESS AMB 'U" ANCE SERVICE, LLC., to me known to be the person who executed the above instrument, who, being duly sworn by me, did for himself depose and say that he is the President, that he executed the foregoing instrument in the name of Empress, and that he had authority to sign the same, and that he did duly acknowledge to me that he executed the same as the act and deed of Empress for the purposes mentioned therein. 14 MASE L. HART NOTARY POU C•STATE Of "2W YORK No. 01"61"0=3 Qwnw in wowf"Wlet CowiRY MY Commission Mite' Oclobw Schedule "A" Fractile Response Time Fractile Response Time Criteria { Fractile Response Time is defined to mean that once a dedicated unit is dispatched by Dutchess County 9-1-1, the emergency unit will arrive at the emergency scene in 9 minutes or less for 90% of requests. 1s