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
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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.
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Fire Chie£t +Eaecu A an oulaureBilling
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Avigned to Councilor �VJGrppyl'LdA/l
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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
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