FY1989 11/22/1988BRANCH OFFICE
3117 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
TEL. (305) 743-9036
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CLERK OF THE CIRCUIT COURT
MONROE COUNTY
500 WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 294.4641
December 5, 1988
David P. Rice, Ph.D., Executive Director
Guidance Clinic of the Middle Keys, Inc.
11399 Overseas Highway
Marathon, Florida 33050
BRANCH OFFICE
P.O. BOX 379
PLANTATION KEY, FLORIDA 33070
TEL. 1305) 852-9253
Dear Dr. Rice:
At a Special Meeting in formal session on
November 22, 1988, the Board of County Commissioners adopted
Resolution No. 616-1988 authorizing the Mayor/Chairman of
the Board to execute an Agreement for Baker Act Matching
Funds between the Board and the Guidance Clinic of the
Middle Keys, Inc. concerning funding for Fiscal Year
1988-89.
Enclosed herewith is a certified copy of the sub-
ject Resolution and a fully -executed copy of the Agreement.
Very truly yours,
Danny L. Kolhage
Clerk of Circuit Court
and ex officio Clerk to
Board of County Commissioners
by:04- _44.
Rosalie L. onnolly
Deputy Clerk
Enclosures
cc: Mayor M. Puto
Commissioner E. Lytton
County Attorney
County Administrator
Finance Department
File
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AGREEMENT FUR BAKER ACT MNICHiNG FUNDS
AGREEMENT, made this ,P6jAj day of AIAVp
A Lei, 1988, between the
BOARD OF COUNTY COMMISSIUNEHS OF MONROEE COUNTY, FLORIDA ("Board") and
THE GUIDANCE CLINIC OF THE MIDDLE KEYS, INC. ("Clinic").
In consideration of the mutual covenants made herein, the parties
hereby agree as follows:
(1) The Board shall reimburse the Clinic twenty-five percent
(25%) of the total $829,672.00 expenditures for Baker Act hospital,
physician, and crisis stabilization services including contract
services for acquisition of new treatment facility as billed to the
Clinic for clients qualifying for such services under applicable state
and federal regulations and eligibility determination procedures. This
cost shall not exceed a total reimbursement of Two Hundred Seven
Thousand Four Hundred Sixty Eight Dollars ($207,468.U0) during the
period beginning October 1, 1988, and ending September 30, 1989.
(2) The Clinic shall 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, in order to comply with regu-
lations safeguarding the patient's right to confidentiality, copies of
individual client bills shall not be available for inspection by the
board for reimbursement purposes. Copies of individual client bills
shall be kept on file in the Clinic business office and shall be made
available under controlled conditions to qualified auditors for audit
purposes. The Clinic shall also provide the Boara all Baker Act
statistical data normally available to the Clinic and make an annual
report to the Board of the expenditure of County funds for the above
specified purposes.
(3) This agreement shall terminate at 11:59 P.M., September 30,
1569 and the Board shall not be liable under the terms of this
agreement for any liability incurred after the time of termination;
however, the Hoard shall be liable for outstanding costs incurred
before the termination of this agreement if the Clinic submits to the
Board the required baker Act Summary Billing Form within three (3)
weeks of the date of termination of this agreement; provided, nowever,
that the maximum reimbursement specified above is not exceeded.
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(4) 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.
(5) County warrants or checks written for reimbursement to the
Clinic shall be made payable to the Guidance Clinic of the Middle Keys,
Inc.
IN WITNESS WHEREOF, the Board of County Commissioners of Monroe
County, Florida, has caused these presents to be signed in its name by
its Chairman and its Clerk, and The Guidance Clinic of the Middle Keys,
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.
(Seal)
Attest: DANNY L. KCLEAGE, Clerk
W%PF,
Witnesses
HOARD OF COUNTY COMMISSIONERS
OF' MONROE COUNTY, FLORIDA
/�� -�� _-ice/
THE GUIDANCE CLINIC OF THE MIDDLE
KEYS, INC.
BY
P es' ent/Board of Directors
BY
Executive Di ector
APPROVED AS Tp FQP
AND LEGAL SUFFICE VCY
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