HomeMy WebLinkAbout2003-09-22 03-295 ORDERItem No. 03-295
Date: 9-22-03
Item/Subject: ORDER, Authorizing the City Manager to Execute Ambulance Billing Service
Agreements with the Town of Machias and Hampden Fire Department
Responsible Department: Fire
Commentary: Bangor Fire Department has recently been approached by the Town of Machias and
Hampden Fre Department regarding the posslbli ty of providing ambulance billing services. Under the
proposed agreements, Bangor Fire would be Palo twelve dollars ($12.00) for each ambulance ran sheet
submitted for billing. It is estlmatetl that $8,500 In additional annual revenue will be generated from
providing Mese services. Bangor currently has five other similar agreements with the Towns of Ororo,
Camel, Hermon, Bar Harbor and Downest Ambulance Secace. Bangor Fre has sufficient staff and
resources ter accommodate this ectra work. The proposed agreements have been prepared for
consideration by the City SolichoYs office.
Department Head
The Agreements have been reviewed and recommended for approval by the Government Operation
Commhtee. 1
A / cliff(
Aq,f city Manager
Associated Information:
Memorandum, Proposed Agreements
Budget APProval: �
Legal Approval:
Finance Diractor
Introduced for
x passage(Consent)
_ First Reading Page _ of
Referral
03-295
a iVY W c Undhx Peter SeP[eo er 22. 2003
CITY OF BANGOR
(TITLE,.) : ORDER, Authorizing the City Manager to Execute Ambulance
Billing Service Agreements with the Town of Machias and Hampden Fire
Department
By the City County/ of the Cry of BatVor.
ORDERED, THAT the City Manager is hereby authorized to execute Ambulance
Service Billing Agreements with the Town of Machias and the Hampden Fire
Department under the terms and conditions of the attached agreements.
CITY
September 22. 2003
Passed p 03-295
C uses x manes
ZITLE,) Authorialieche city Mager
saecu a ag
Agreements with the Sow of IDachiase
Assignee to Councilor` Idel-
Y
®/�""
fan ®I'
wine
w .b9rmenrg
September 5, 2003
0}295
20772-6335
hz 20]/912-6213
BANGOR FIRE DEPARTMENT -ADMINISTRATION
Je y A. Cammack, Rim CMM
To: Honorable Chair and Member City Council
From: IeffreY Cammack F"ve Chi
ltetowisurnints
Encloso are two billing agreements signed by the of6eials ofMachias and Hampden
asking for the us to enter into this agreems at with each of them to provide ambulance -
billing services. We currently have 5 other similar agreements with other services and
communities, By providing ambulance -billing services for these two services the fire
department would generate approximately $8,500.00 in recursive. We are asking far your
approval to enter into these agreements with Machias and Hampden
289
Main
Street
Hanger, Maine
04401
9
o
AGREEMENT
THIS AGREE&WNf executed in duplicate this/37 day of Lr e
2002,byandbe =the BANGORCITYF DBFARThdENTo£Baugm,Maineand
HAMPDENFIREDEPARIMENTofHampdm b4mne_
WHERFAS, Hampden Fire Department provides ambulance service torts
cashmere; and
WHEREAS, the Bangor they Fire Department bas the capability of billing fer
ambulance service; and
WIWR ,Hampden FiteDepartment desires that Bangor City Fire Department
bill Hampden Fire Department ws[omers for ambulance services on behalf of Hampton
Fire Department; -
NOW, TIM EFORE, it is agreed as Meru:
TIRM
Thisagreemevt shall be for atwrof samorahs. It rosy be teawvefed by either
p"fora reasonupou6irtydayswrif notice. At the expiration ofNeterm,tlus
Agreement maybe tended by agreemem oftlre parties foram additionattenn of=
months under the same terms and wnditions as Not forth herein.
• e I' I Y. e' 4 1' e I
The Hangar CityFne Dep�sbatlbiDeachc merofHampdcn Fire
Departmenttmeetimes.Anb semto Hampdm Fne Departmemwshmemforservice
shall be made payable to the Hampden Fire Departmem.. Bangor City Fire Department
-sha➢-be-responbts for the cost-ofto=,c Ompes
i Y•ea 01 a :ul'e •01: a gSlgdYy
Hampden Fire Depmtmeat shall pmchasebdling software from Sweet Soft fortbe
useofBangor City Ph Deparhaentdwingthetermoftbis Agreement Dpontbe
termination ofthis Agreement Bangor CityFire Department shall retum said billing
soihamre to Hampden Frte Departmevt,
Hampden Fse Depaftment shall be responsible providing to Bangor City Fire
Department correct vformstion regarding us customers. Hampden Fire Department shall
keep end hold harness Bangor City Fire Department from and against acy and all claims,
demands, suits, judgments, costs end upemsee asserted by am• person or persona by
reason of Hampden Fne Depertmem's actions hereunder. Hampden Fire Department sW
03-295
to
03-295
at least monthly, send copies of the );_p.p.'s (enplanation ofbanefits) to the Bangor Fire
Department so Bangor Fro Department can record payments end adjustments ip atimely
mariner to Hampden Fme Departments customers accomds.
Hampden Fire Department shall be responsble for responding to customer
inquiries.
PAYMENT
Hamadan Fire Depmtlnent shalt payor Bangor CityFire Department the sum of
twelve dollars ($12.00) for every ambulance run shed submitted to Bangor City Fre
Department for bt7livg.
IN WFfNBSS WHEREOF, the parties hereto have set their hands and seals the
day awl year first written above.
Witness: BA MR.CITYFIRBDEPA TMENT
By
Name: Edward A Burrett
Title: (Sty Manager
Name: Jeffrey C®mack
Its Fire Chid
Wm HAWDDEEEN FBiE DIPA TWH NT
By
Nar9e: / Ar%AMW,, A✓ag urJ
Its:
-0]/la/4003 10:03 2079020213 03-295
AGBEEME
CHIS AtiRE&NENF executed in duPEcatagds 14 day of MLx_.
2003, by and between he
BANGDR CITY FM DBPARi B1 ofBangn. Maine and,
Machias Am hrgz- Service of Mediae, Maine.
µrf>EREAS,Meclvas Ambulance provides wbWoce service toi a togneeks: and
WHEREAS, the Bogor City Fne Departmentcap
bas the ability Of'oJling for
wbulenw service; end
WBgREAS, MICL Ambummcedearesr Banemr QtyFire DepartmorbM
Maztis, Amoulws mstomacs for ambulance services onbelutfmFMohias Ambsloar,
brow,'I'11EBBroxB, itis agreed AS fonows
rBxT
]bu agreemmm shatlbetoratam of ss, 1mNha. It mry be ter®ated by ehher
Agnarroy reasonupmied by dnyg ttenftoParehao fa an addition term of er
ggreement maybe extended by agr.
rRbs uvda the same terms and mMhbna as sea forth hmdn
ppY FBANC CLTY FIRBDEPAR7nrtEl.T
The Bangor Qty Firefkpartspemt ebeg bill each ClAterm ofMachhe ofts" naa
than ting. Bogor City Fire Dapargeral shag be responsible for the curt of "ages'
emelopes and games
SPRNS Y OF MACHIAS MBrr ANCE -
Mubiae,gmbutoee shall pmcbao billing sof sAlte ftem Sweet Soft for the use of
his gmrSareasktBogor mentqu Depa ami ofddeAgreement.uWnihetermiMobis-
Ilea Agrew4at Banger Crty Fir<-lierarnnaei"Nf§il relum aaldb01in6 aofr*'en-toMoW?t
Ambulmee. -
Mathis,Ambul®eo shell b responsible providing to Bogor City Fire Departleaot
correct information regarding as mrsmrzen Ma, as Ambulance godl keep and hold
harmless Bogor Qty She Departmant Boo and aganat any and all claim& demand&
suits, judgments, corm ervl wq=SW moved by my Person or Persons by rmsen of
Machine Ambulance's actions hvmmder.
Mahias fvnbulanee atoll ba reeporoble for rupoudine to customer Iaqukr
12
0"//19/4003 L0:03 4tl�°°LOf'
balance Jsdl WYtn Bm@or Clty Fve RmFor Cloy Fve Us4
Da^floe anis of pmt
dollen 312 00)ASc+eeY embWaou dun dreatW�to SeoBor
for bWIG$
and ses"Slee
N WlPNESS WHER?AF, @e PMies hello leve setfidr bveda
day and Fw&R asittgobnno.
BAN KCi'�Y ME DEPARTMENT
Wrtaos'.
Namc Edward
Tide'. CLLy Menegn
EF'�--��
Namee Cero10BCl
its; Firee CWCodaf
TOWN OF M MliS
Wimw'. y
l^� N' S ra alreannsbet u V
63na N. 1M1eextien Ital Chaltman, Board of Selectmen
03-295
13