FY1991 11/14/1990r
F1
BRANCH OFFICE
3117 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
TEL. (305) 743.9036
Dannp 1. Rotbage
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
500 WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 294-4641
M E M O R A N D U M
To: George Harper, Director
Management Services Division
From: Rosalie L. Connolly, Deputy Clerk
Date: November 26, 1990
BRANCH OFFICE
P.O. BOX 379
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-9253
Subject: Guidance Clinic of the Middle Keys, Inc.
As you are aware, on November 14, 1990, the Board of County
Commissioners approved and authorized execution of a Funding
Agreement with the Guidance Clinic of the Middle Keys, Inc.
for Fiscal Year 1990-1991, at a total cost not to exceed
$364,735.00.
Attached is one duplicate original and one Xerox copy of the
subject Funding Agreement, now executed and sealed by all
parties. The duplicate original should be returned to the
Clinic and the Xerox copy kept in your proper departmental
records.
Rosalie L. onno11y
Deputy Clerk
Attachments
cc: County Attorney
County Administrator
Finance Director
File
r
AGREEMENT FOR BAKER ACT MATCHING FUNDS
AGREEMENT, made this J day of 0, 1990,
between the BOARD OF COUNTY COMMISSIC "QuCK M6NR& 2bUNTY,
FLORIDA, ("Board") and the GUIDANCE CLINI�J)F: THEj!.KMME KEYS,
INC., ("CLINIC"). C �_ I R. CT.
t Cl C COUMTULA.
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 total $1,458,940.00 expenditures for Baker Act
hospital, physician, and crisis stabilization services, 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 Three Hundred Sixty Four Thousand Seven Hundred
Thirty Five Dollars ($364,735.00) during the period beginning
October 1, 1990, and ending September 30, 1991.
(2) The Clinic shall also provide to the Board on a regular
basis a Baker Act Billing Summary Form from which reimbursement
due to the Clinic can be calculated; however, in order to comply
with regulations safeguarding 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.
(3) This agreement shall terminate at 11:59 P.M., September
30, 1991 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 before the termination of this agreement, if the
Clinic submits to the Board the required Baker Act Billing
Summary Form within three (3) weeks of the date of termination of
this agreement; provided, however, that the maximum of reimburse-
ment specified above is not exceeded.
(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.
(6) The Clinic shall indemnify Monroe County for all claims
of any sort that arise from the use of this funding. In this
respect, the Clinic shall hold Monroe County harmless and assume
all responsibility for any claims or damages resulting from the
use of this funding during the time wherein the funding
continues.
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 Chief
Executive Officer as of the day and year first above written.
(Seal)
Attest :DANNY L. Y-01EAGE, Clerk
,00f
er
It
itnesses
BOARD OF COUNTY COMMISSIONERS
OF MONRO COUNTY, FLORIDA
By� Playor / Cha rman
GUIDANCE CLINIC OF THE MIDDLE
KEYS, INC.
By,
re t oar o rectors
01
B "O�fj
Y-P4'-Chief Exedutive Officer
APPROVED AS TO FORM
AND LEGAL SUFFICIENCY.
BY „ \
Attorne Office