Loading...
HomeMy WebLinkAbout2005-09-26 05-306 ORDERItem No. 05 306 Date:. September 26 2005 —SEP 2 6 2665 Item/Subject ORDER, Authorizing the City Manager and Fire Chief to Execute an Ambulance Billing Service Agreement with the Town of Lincoln Responsible Department: Legal Cornmeal The Tom of Unceln has requested that the Bangor Fire Department provide ambulance billing services far gs Fire Department This Agreement is similar m those the City has with six other commumges and service proNders. It is estimated that this will generate revenue of about $1,200 per year. The Government Operations Committee unanimously recommended approval. Department Head Manageis Comment' Recommend approval. avy Ciry Manager Associated Information: Agreement Finance Director Passage _First Reading - Page _I_ of 4 _ Referral 05 306 Assimd to Counoao, aa�s SEP 2 6 2005 CITY OF BANGOR (TITLE.) ORDER, Authorizing the City Manager and Fire Chief to Execute an Ambulance Billing Service Agreement with the Town of Lincoln gy the pry Coundl of the Gty or B&ngm. ORDERED, 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 Town of Lincoln under the terms and conditions of the attached agreement IN CITT MWCIL September 26, 2005 Passed aENN p 05-306 0ND NN W.TLEldathoiM Ciy tNand o I ing Service Agreement with the imm of Lincoln Auigned to Couunc�i�bJr�//D 4 ✓' Y t ctynr an 9E��,sWine www.bange rnalne.gov September 8, 2005 To: Honorable Chair sort Members of the City Council From: Jeffrey Cammack, Fire Chief Re: Lincoln Fire Department Billing Agreement 05 s0e; 207/992-4900 fax 207/942-0213 jeff.cammackgbgrme.org BANGOR FIRE DEPARTMENT Jeffrey A. Cammack, Fire Chief Bnclosed is a billing agreement signed by the officials of Lincoln, Maine asking for the us to enter into flue sg,eeanant with them to provide ambulance -billing services, We currently before 6 other similar agreements with other services and commentaries. By providing ambWance-billing service fa the Lincoln Fire Depn9neni the we would generate approxinumely $1,200.00 in revenue. We are asking for your approval to enter into these agreement with the Lincoln Fire DryarmmenL 289 Main Street 9 Sanger, Maine 04401 005-306 AGREEMENT TIBS AGREEMENT executed t duplicate 11dsA5"'4� day ofj'/ 2005, by and between the BANGOR CITY FIRE DEPARTMENT of Bangor, Mainland LINCOLN FIRE DEPARTMENT of Lincoln, Maine. WHEREAS, Lincoln Fire Department provides ambulance service to its customers; and Wf1EREAS, the Bangor City Fire Department has the capability of billing for ®bulaoce sem ,and �REAS, Lincoln Fire Department desmes that Bangor City Fire Department bill Lincoln Fire Department custmas for ambulance services on bebalfofLincoln Fire Department NOW, THEREFORE, it is agreed as follows: 11�7;•i This agreement shall be fora term ofsixmonihs. It may betetmusted by eiWer party for anyreason upon thirty days written ounce, Attheexpirationoftbetemr,this Agreement may be extended by agrcement of the parci s for an additional tum of sur months under the same terms and conditions; as set fordo herein. RESPONSIBILITY OF BANGOR CITY FIRE DEPARThEM The Burger City Fire Deportment shall bill each customer ofLincoln Fire Departmrntihncetimes. Bangor City Fire Department shall be responsible for the mat of forms, envelopes and postage. Ltcot Fire Deportsent shall purchase billing software from Screen Softfm the we of Bangor City Fire Deportment during do tam of this Agreement Uponthe tumioationofthis Ag mmtBangor CityFire Deportmentshallreimvsaidbilling software to Lincoln Fire Department Lincoln Fire Deportment said be responsible for providing to Bangor City Fue Department coma:3 information regarding its customers. Lincoln Fire Department shall keep and hold harmless Bamgm City Fire Department from and against any, and all Claims, demands, wits, judgments, costs and expenses asserted by any person or persons by resson of Lincoln Fire Deportment's actions hereunder. Lincoln Fire E"arraen[ shall be responsible for respondingm customer inquires. FAYb1FNT Lincoln Fire DeparlmeM shall pay to Bangor City Fire Department the sum of twelve dollars (S 12.00) for every ambulmm run sheet submitted to Bangor City Fire Ikparormtf billing. PI WITNESS WHERFAF, the partceb ao have set their binds and seals We day and year first written above. Witness: BANGOR=FIRBDETA TMENT Witness: By: Name: r. I. Its: -(pw. ItlOAtay-1, #05-305 05 306 SEP 2 6 2ee5. AGREEMENT THISAGREEMENTexecutedinduphc oris dayofy 2005, by and between the BANGOR CfFY F DEPARTIrfENT of Bang or, d LINCOLN FIRE DEPARTMENT of cobs, Maine. WHEREAS, Lincoln Fire Departvmt provides ambulsace service to its cu tamers; and WHEREAS,the Ba mCity Fhe Dgrmtsetbasfiecapabilityofbilliogfor ambulance service; and WHEREAS, Lincoln For Department desires that Bangor City Fre Department bill Lincoln Fire Deparmrent customers for ambulaace services on behalf of Lincoln Fire Department; NOW, THEREFORE, it m agreed as follows: TERM This agreement shall na for astern ofsfx months. It maybe terminated by either partyfor any reason upon thirty days wrimm notice. At the exphstion of the twm, this Agreement may be a smded by agmemct of the parties for m additional term of six moths under the same tams and conditions as set forth herein. RESPONSIBUM OF BANGOR CITY FIRE DEPARTIvD;NT The Bangor City Fire Department shall bill each customer of Lincoln Fire Depaemrent three times. Bangor City Fire Department shall be responsible for the cost of forms, envelopes end postage. Lincoln Fire Department shall purcbas: billing software Ent Sweet Soft fm the use of Bangor City Fire Department during the term of this Agreement Upon the terminators athis Agramet Bangor City Five Department shall return said billing softwme m Lincoln Fire Department. Lincoln Fire Department shall be responsible for providlngm Bangor City Fire Department correct information regarding its customers. Linctn Fire Departvevt shag keep and hold harmless Bangor City Five Department from and against my and all cls®s, demands, suits, judgmerds, costs and expenses asserted by my person or persons by reason of Lincoln Fire Depemae s actions hereunder. 05 306 SEP 2 6 2005 L'mcola Fne Department shall be responsible for responding to customer inquiries PAYMENT Lincoln Fire Deperuvent shall pay to Bangor City Fire Deparhnm[ the sun of twelve dollars ($12.00) for every ambulmce ran sheet submitted to Bangor City Fire Department for billing. W WITNESS WHEREOF, the parties hereto have set the¢ hands and seals the day and year first written above. Witness:. BANGOR CM FM DEPARTMENT By:. Name: Edward A. Barrett Title: City Manager By. Nmne: Jeffrey Cammack Its: Fke Chief Witvess: L COLN FIRE DEPARTMENT By. Nam Its: -M WA°u'y"ti w..