Resolution 469-1987
David P. Rice, Director
Guidance Clinic of the
Middle Keys, Inc.
RESOLUTION NO. 469 -1987
A RESOLUTION OF THE BOARD OF COUNTY COMMIS-
SIONERS OF MONROE COUNTY, FLORIDA, AUTHORIZING
THE MAYOR/CHAIRMAN OF THE BOARD TO EXECUTE AN
AGREEMENT FOR BAKER ACT MATCHING FUNDS BY AND
BETWEEN THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, AND THE GUIDANCE CLINIC
OF THE MIDDLE KEYS, INC. CONCERNING FUNDING FOR
FISCAL YEAR 1987-88.
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, that the Mayor/Chairman of the Board is
hereby authorized to execute an Agreement for Baker Act Matching
Funds by and between the Board of County Commissioners of Monroe
County, Florida, and the Guidance> Clinic of the Middle Keys,
Inc., a copy of same being attached hereto, concerning funding
for fiscal year 1987-88.
PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida, at a special meeting of said Board held
on the 15th day of December, A.D. 1987.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
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BY: V~J:~R t/
Y RMA
(SEAL)
ATTEST: DANNY L. KOLHAGE, Clerk
-/2.1.. ~'1./).~
LERK .
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AGREEMENT FOR BAKER ACT MATCHING FUNDS
nns AGREEMENT, made this _ day of 1987, by and
between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA,
hereinafter referred to as "BOARD", and the GUIDANCE CLINIC OF THE MIDDLE
KEYS, INC., hereinafter referred to as "CLINIC".
For and in consideration of the mutual covenants made herein, the
parties hereby agree as follows:
(1) The Board agrees to reimburse the Clinic twenty-five percent (25%)
of total $145,964.00 expenditures for Baker Act hospital, physician, and
crisis stabilization services, as billed to the Clinic on state approved Baker
Act Bill ing Forms (HRS 346) for clients qualifying for such services under
applicable state and federal regulations and eligibility determination
procedures. This cost is not to exceed a total reimbursement of Thirty Six
Thousand Four Hundred Ninety One Dollars ($36,491.00) during the period
beginning October 1, 1987, and,ending September 30, 1988.
(2) The Clinic agrees to provide to the Board on a regular basis a copy
of the Baker Act Summary Billing Form from which reimbursement due the Clinic
can be calculated; however, copies of individual client bills will not be
available for inspections by the Board for reimbursement purposes in order to
comply with regulations safeguarding the patient's right to confidentiality.
Copies of individual client bills are kept on file in the Clinic business
office and will be made available under controlled conditions to qualified
auditors for audit purposes. The Clinic further agrees to provide the Board
any Baker Act statistical data normally available to the Clinic and to make an
annual report to the Board of the expendi ture of County funds for the above
specified purposes.
This agreement shall terminate at 11:59 P.M., September 30, 1988 and the
Board shall not be liable under the terms of this agreement for any liability
incurred after the time of termination; however, the Board shall be liable for
outstanding costs incurred prior to the termination of this agreement provided
the Clinic submits to the Board the required Baker Act Su_ary Billing Fora
within (three) 3 weeks of the date of termination of this aareement, provided,
however, that the maximum of reimbursement specified above is not exceeded.
This agreement may also be terminated by either party upon thirty (30) days
written notice delivered by certified mail to the party receiving notice of
termination.
County warrants or checks written for reimbursement to the Clinic shall
be made payable to the Guidance Clinic of the Middle ~eys. Inc.
IN WITNESS WHEREOF, the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY.
FLORIDA. has caused these presents to be signed in its na.e by its Chairman.
Board of County Commissioners. and the Clerk of the Board of County
C01llllissioners, and the Guidance Clinic of the Middle ~eys. Inc., has caused
these presents to be signed in its name by its President/Board of Directors
and Executive Director all as of the day and year first above written.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY. FLORIDA
By
(Seal)
Attest:
Clerk
GUIDANCE CLINIC OF THE MIDDLE
KEYS. INC.
BY~
F Execut' e Dlrector
.
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