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HomeMy WebLinkAbout2006-01-23 06-061 ORDERDdte: January 23, 2006 Item No. 06 061 Item/Subject: Order, Authorizing the City Manager and Fire Chief to Execute an Ambulance Billing Service Agreement with the Indian Township Health Center. Responsible Department: Legal/Fire The Indian Township Health Center has requested that the Bangor Fire Department provide ambulance billing services. This Agreement is similar to those the City has verb seven other communities and service providers. It is estimated that this will generate revenue of about $1,200 per year. The Government Operations Committee unanimously recommended approval. Recommend approval Associated Information: Agreement Department Head 17 City Solicitor X passage Consent First Reading page I of 1 Referral 06 082 "Signed to Countilor Allen January 23, 211e6 �j+O ow9 c; CITY OF BANGOR (TITLE.) ORDER, Authorizing the City Manager and Fire Chief to Execute an Ambulance Billing Service Agreement with the Indian Township Health Center BE IT ORDERED BY THE CITY COUNCIL OF THE CITY OF BANGOR, THAT: The City Manager and Fire Chief are hereby authorized and directed, on behalf of the City of Bangor, to execute an Ambulance Billing Service Agreement with the Indian Township Health Center under the terns and conditions of the attached agreement. in CITY cooncn denary 33, zoos Yaea # 06561 cLlr C e� (TITLED♦FCit e and Fire Chie£t +Eaecu A an oulaureBilling rieF eAc nAtnn TownshipEeAlth'Center H Avigned to Councilor �VJGrppyl'LdA/l V1' ar'W44� AGREEMENT 06 061 THIS AOREEMENTececuredinduplicatethis day ofp� 1 2005, by andhetweenthe BANGOR CITYFIXE DEPAR]'MF, of Bangor, Maine and INDIAN TOWNSHIP AMBULANCE SERVICE of Passamaquoddy Township Indian _ Reservation, Maine. WHEREAS, Indian Township Ambulance Service provides ambplance service to its customers; and WHEREAS, the Bangor City Eke Deparbnem has the capability of billing for ambulance service; and WHEREAS, Indian Township Ambulance Service desves that Bangor City Fire Department bill Indian Township Ambulance Service customers for ambulance services on behalf of Indian Township Ambulance Service; NOW, THEREFORE, his agreed asfollows: TERM This agreement shag be fm a term ofsix mouths. It maybe terminated by either prtyfmanyrea =Wondlirtydaysw Umnodce. Attheexpirdtionofthetmn,tbis Agreementmay be intended by agreement ofthe pities for an additioml rano of six months under the same terms and conditions as set forth herein. RESPONSIBMITY OF BANGOR CITY FIXE DEPARTMENT The Bangor City Fire Department shall bill each customer of Man Township unbalance Service three times. Bangor City Fire Department shall be responsible her the -- cog of forms, envelopes and postage. , RESPONSIBILITY OF INDIAN TOWNSHIP AMBULANCE SERVICE Indian TowmhipA nbulance Service shall purchase billing software ftom Sweet Soft for the me of Bangor City Fire Department during the term of this Agreement. Upon the termination of this Agreement Bangor City Fire Department shall remm said billing software to Indian Township Ambulance Service. Indian Township Ambulance Service shall be responsible providmg to Bangor' . City Fire Department correct information regarding its customer& Indian Tovmship Ambulance Service shall keep and hold harmless Bangor City Fire Department from and against any and Al claims, demands,suits,judgments, costs and expenses asserted by any ' person or persons by reason of Indian Township Ambulance Service's actions hereunder. y 06 061 Indian Township Ambulance Service shall be responsible for responding to customer inquiries. PAYbfENT Indian Township Ambulance Service shall pay to Bangor City Fire Department the sum of twelve dollars ($12.00) for every ambulance run sheet submined to Bangor City Fire Department for billing IN wITNESS WHEREOF, the parties beret have set their bands and seals the day and year fust Written above. Witness: Witness: BANGOR CITY FIRE DEPARTMENT By: Name: Edward A. Benin Title: City Manager By. Name: Jeffrey Catnrvack It: Fire Chief INDLAN TOWNSH@ AMBULANCE SERVICE Nie:... /. I4: (Y[i.) 12p0 CPn uN m