General Aviation Safety and Security Practices (2007)

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36 APPENDIX D Sample Agreement and Emergency Procedures with Ambulance Company MEMORANDUM OF UNDERSTANDING THIS MEMORANDUM OF UNDERSTANDING is made and entered into as of the _____ day of __________, 2006, by and between The Fort Wayne–Allen County Airport Authority, an Indiana municipal corporation as owner of Smith Field Airport (hereinafter the “Authority”), Smith Field Air Service, LLC, an Indiana limited liability company (hereinafter “SFAS”) as operator of Smith Field, and AMERICAN MEDICAL RESPONSE (hereinafter “AMR”), an……………………….. Recitals AMR has requested the use of common areas of the terminal building at Smith Field Airport (hereinafter “Smith Field”), located at 426 West Ludwig Road, Fort Wayne, Indiana. Authority and SFAS desire to grant this license request. NOW, THEREFORE, the parties agree as follows: 1. AMR shall have the license to use Smith Field only as a post for ambulances. 2. As a condition for the Authority to allow this use, AMR agrees to provide Authority and SFAS a Hold Harmless Indemnification, attached hereto as Exhibit A. 3. Authority and SFAS agree to allow AMR the use of the vending machines, coffee pots, restrooms, microwave, TV, refrigerator, and furnishings in the common areas of the terminal. 4. AMR agrees to keep the terminal in a neat and sanitary condition while its crews are at Smith Field. 5. AMR acknowledges that the terminal is non-smoking and agrees to only permit smoking in designated smoking areas. 6. AMR shall direct its staff that only local telephone calls of short duration can be made on the Smith Field telephones and that any long distance calls must be made with a calling card or collect to the other party. AMR agrees to reimburse Smith Field for any long distance calls billed to Smith Field during the hours of AMR’s use of Smith Field. 7. AMR shall be responsible to ensure the terminal is kept locked at all times during its use and properly secured when its crews leave Smith Field. 8. AMR agrees to not allow any Smith Field customers, visitors, etc. into the terminal after Smith Field business hours.

37 9. Authority agrees to provide AMR a designated ambulance parking space. 10. Either the Authority or AMR may terminate AMR’s use of Smith Field at any time with or without cause upon no less than ten (10) day’s prior written notice to the other party. 11. This Agreement shall be governed by the laws of the State of Indiana. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and year above written. Fort Wayne–Allen County Airport Authority By: __________________________ Torrance A. Richardson, A.A.E. Its: Executive Director of Airports Smith Field Air Service, LLC By: _________________________ Stephen J. Hatch, M.D. American Medical Response By: __________________________ Its: __________________________

38 Sample Ambulance Agreement Emergency Procedures Aircraft Accident During Normal Business Hours: • Contact Airport Supervisor immediately. If Airport Supervisor is unavailable, leave a message and contact the FBO. • Do not proceed to an on-airport crash site without permission from the Airport Supervisor or the FBO. The airport is still active and other aircraft could be landing and/or departing. Use all available lights while proceeding on the airport. • Provide emergency medical attention, as needed. Aircraft Accident After Normal Business Hours: • In the event of an aircraft accident, either at or near the Airport, call 911 immediately. Proceed with caution to the crash site. The airport is still active and other aircraft could be landing and/or departing. Use all available lights while proceeding on the airport. • Provide emergency medical attention, as needed. • Contact Airport Supervisor at first opportunity. If Airport Supervisor is unavailable, leave a message and contact the Public Safety Department. Security Breach During Normal Business Hours: • Contact Airport Supervisor immediately. If Airport Supervisor is unavailable, leave a message and contact FBO. • Keep violators in sight, but do not proceed on the airport. Security Breach After Normal Business Hours: • Contact Airport Supervisor immediately. If Airport Supervisor is unavailable, leave a message and contact the Public Safety Department. • Approach violators with caution and ask their business on the airport. Do not confront or attempt to physically remove the violators. Try to obtain as much information as possible, to include: intentions, name, driver’s license #, license plate #, year/type/model of vehicle, physical description, and any other useful information. Do not proceed on any runway to follow violators. The airport is active and there could be landing and/or departing aircraft. Note: The Airport operates the FBO.

39 Exhibit A Date: ___________ HOLD HARMLESS INDEMNIFICATION THIS HOLD HARMLESS INDEMNIFICATION is executed as of the date set forth above by American Medical Response (hereinafter “AMR”), a/an (insert legal identity of sponsor, e.g. Indiana nonprofit corporation, Indiana for profit partnership, etc) in favor of the Fort Wayne– Allen County Airport Authority, (hereinafter the “Authority”) and Smith Field Air Service, LLC, (hereinafter “SFAS”); and WHEREAS, AMR has requested the Authority and SFAS to allow AMR the use of the common areas of the Smith Field Airport terminal as a post for ambulances and crews; and WHEREAS, the Authority has agreed to allow AMR the use of the Smith Field terminal, in consideration of executing this Hold Harmless Indemnification in favor of the Authority and SFAS. NOW, THEREFORE, AMR does hereby indemnify the Authority and SFAS, their directors, officers, agents, employees, and each of them, jointly and severally, against any claims, actions, damages, liability, and expenses, in connection with any loss of life, personal injury, or damage to property arising from or out of any occurrence in connection with AMR’s use or occupancy of the Smith Field terminal or any part thereof, or occasioned wholly or in part by any act or omission of AMR, its agents contractors, employees, servants, invitees, licenses, or guests. IN WITNESS WHEREOF, AMR has caused this Hold Harmless Indemnification to be executed as of the date set forth above. American Medical Response By: ______________________ Its: ______________________