HomeMy WebLinkAbout2002-12-09 03-25 ORDERItem No. ni-x
Date: 12-9-02
Item/Subject ORDER, Authorizing the CRY Manager to Execute an Ambulance Billing Service
Agreement with Carmel Volunteer Ambulance
Responsible Department: Fire Department -
Commentary:
Bangor Fire Department is seeking authordy to enter into an Ambulance Billing Service Agreement with
Carmel Volunteer Ambulance. This agreement Is similar m those currently in place with Orono nne
Departmen4 Downeast EMS, Corinth Ambulance Service and the Town M Bar Hadar.
The proposed agreement would generate approximately $2,150 In annual revenue and ren he
undertaken with existing department staff. This item was reviewed by the Govemment Operations
Committee on November 26, 2002 and recommended to the City Council for approval
Department Head
Managees. Comments:
City Manager
Associated Information:
Order, Ambulance Billing Agreement
Budget Approval: nn
nnance Director
City Solicitor
Introduced for
Passage
First
_ First Reading Page _ of
Ref2rral
03-25
Asmgnwdto Cmmedlw Creme December 9. 2002
wS�Es•
CITY OF BANGOR
(MME.): ORDER. Authorizing the City Manager tb Execute an Ambulance
Billing I A reemenk with Camel VolinafterAm I n -
BY Ne Qty Cmurm7 of DSe 6ryW Bangor.
ORDERED,
THAT, the City Manager is hereby authorized to execute an AmbulanceBilling
Service Agreement with Cannel Volunteer Ambulance, in accordance with the terms and
conditions attached hereto.
IN CIIT COOPCIL
Dece er 9. 2002
Passed
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(WLEJ) to rizi the city Naoager to
N ecuce an Am6ul a Ni iug Sere c
We�r virh Gr l Vol=tear A 1,,c
Assigned b CmncliM Gew
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www.bgrme.org
October 25, 2002
03925
20)ro42fi]35 'I
fax 207/942-8213
IIANGON FINE DEPARTMENT-ACMINISTNATION
Jeffrey A. Cammack Nn CbiN
To: Honorable ChairandMe Thief eCityCouncil
From: Jenny Ce Chair and Chef/f/k=/
Re: Central Billing Agreeme
Enclosed is an ambulance billing agreement signed by the Assistant D'vector for Carmel
Volunteer Ambulance. The &e department is asking for approval to enter into this
agreanem with Carmel Volunteer Ambulance. By Providing ambulant billing services
for Carmel Volunteer Ambulance the fire daparNnent would generate approximately
$2,150.00intevenue.
289 Main Street 9 Bangor, Maine 04401
0}25
Iz-
AGREEMENT
THIS AGREEMENT executed in duPEcamthis qday of o **"Z
2002, by wd between the BANGOR CITY FIRE DEPARTUBNT id Bengo , Mm°e and
CARMEL VOLUNTEER AMBULANCE of Centel, Moine.
WHRREAS, Carmel. Volunteer Ambulance provides ambulance service In Be
customers: and
WHEREAS, the Bangor City' Fire Do,omnevt him the capability ofbilhng for
ambvlerwe service, end
WHEREAS, Carmel Volmtem Ambulavrc destres 6d Bmgor City Fire
DeparrmeW bill Carmel Volw[ew Ambulance cusromem for ambulance services o° _ .
behalf of Carmel Volormes Ambulanm: _
NOW, THEREFORE, kis meed as follows:
TERM
This woomi t shall befwatermofmcone hl hmaybetenjohmedbyeither
party for a°yreasonupon thirty days wrtttwnohce. Attheexpirmonofthetem,BdIi
Agrezm®tmay be extended by agreement of thepadies form additional term of six
months imderthe semeterma and conditiorni 0 set fominnein.
RESPO'SffiB.ffY OF BANGOR CITY FlREDEPARTMENT
The Bangor City Fire Department shall WJl each emmmm ofCarmelWormer
Ambulwee three times. Bangor City Fire Depaztm shallberesponsibleforthecost'of
forms, envelopes and postage.
RESPONSffiLITYOF CA VOLFINTFPRATaBLRANCE
Carmel Volwrex Ambulance shall purchase billing software from SweerSORfor
the use ofBangm City Fire Depmlment during the termofnas Agreement UPontim
termination offhis A peemem Bangor City Fire Depa mreat shall return said billing
soflwaro to Carmel VolumeerAmbulance. -
Carmel Volunteer AmbWmce shall berespomiblepmviding to Bangor City Fire
keep
and recd harmless Sensor CRY iffi cusePeorms Carmel om innote Ambulance
shall keep and hold harmless B®gor Ciry Pire Department from and agWnat any and all
claims, demwda sults,judgmems,costa and expenses asserted by any Pemoh or Pemons
-Fry resew of Carmel Volunteer Amisrdenve's ectlous Herewder.
03-T5
i3
Carmel Voluetew Ambulance shalibe oeTeasible for ImPending to eava'ahm
inquiries.
➢AYh1ENT
Carmel V olwte¢ Ambulance shell Pay w Hangoc City Fire Deparlmeat Oie sum
of twelve dollars ($12.00) for every var'b"U°oc N° sheet sahlooled to Bangor City lire
Depamuent for billing.
)N WF[NESS WHEREOF, the Parties hmem have set their hinds and seals the
day and You first written above.
BANGOR CITY FIRE DEPARTIw"
Witness: - .
Thane: Filv>ffid A.Bazrstt
Title: City Manager
BY
Neale! bof raY
I6: Fire Chief
. CARMFZ VOLUNTEER AMBULANCE
W{fitness:
Name: r/,rr(<k� 5>•P...�_
Its: Acu:yes/ AtYrc mQ