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06/25/1974AGREEMENT THIS AGREEMENT made this 25th day of June , 1974, by and between MONROE COUNTY, STATE OF FLORIDA, a political subdivision of the State of Florida, hereinafter called "THE COUNTY" and FISHERMEN'S HOSPITAL, INC., a non-profit Florida cor- poration, hereinafter called "THE HOSPITAL", WHEREAS, "THE COUNTY" and "THE HOSPITAL" desire to oper- ate an ambulance service from the "THE HOSPITAL" premises in Marathon, Florida, to service the area generally described as being between Bahia Honda, Florida and Layton, Florida. NOW THEREFORE, upon the following terms and conditions, "THE COUNTY" and "THE HOSPITAL" agree to commence operation of the above described ambulance service: 1. "THE COUNTY" agrees to pay to "THE HOSPITAL" all costs, charges or expenditures necessary or incidental to the opera tion of the ambulance service, which costs, expenditures or charges are not actually received by "THE HOSPITAL" from patients as pay- t for the ambulance services. In order to initially capitalize s project, "THE COUNTY" shall set aside for the benefit of "THE SPITAL" and the ambulance service the sum of TWENTY THOUSAND 1($20,000.00) DOLLARS as the projected cost of operation of the ervices for a period of One (1) year. For the first Six (6) the of this Agreement, "THE COUNTY" shall disburse to "THE ITAL", from the above referenced TWENTY THOUSAND ($20,000.00) , the sum of ONE THOUSAND SIX HUNDRED SIXTY-SIX and 66/100 1($1,666.66) DOLLARS per month on the first day of each and every th. "THE HOSPITAL" shall use said money solely for the opera - ion of the ambulance service. At the end of the above referenced ix (6) months, the parties shall audit the costs of the ambulance service and re-evaluate the amount to be paid to "THE HOSPITAL" Bach month for the operation of the ambulance service. 2. "THE HOSPITAL" in its sole discretion shall set the fees to be charged for the ambulance service and "THE HOSPITAL" shall have the sole authority and responsibility to render state - is to patients for services rendered by the ambulance service. "THE HOSPITAL" shall have the sole authority to determine the LAW OFFICES - CUNNINGHAM, ALBRITTON & BEE P.A. MARATHON, FLORIDA n procedures to be used in the collection of fees for the use of the ambulance service and "THE HOSPITAL" shall not be obligated to initiate any suit law or other procedure in order to collect said fee. 3. "THE HOSPITAL" shall keep accurate records of all costs, charges and expenditures paid for the operation or benefit of the ambulance service and "THE HOSPITAL" shall also make accu- rate records of all fees billed for the use of the ambulance ser- vice. A separate record shall be kept of all fees actually received by "THE HOSPITAL" in payment for the ambulance service. 4. All fees actually received by "THE HOSPITAL" for the use of the ambulance service shall be credited against the costs, charges and expenditures made for the operation of the said ambulance service. At the end of the first Six (6) month period of this agreement, the accounts of the expenditures and the actual receipts shall be the subject of the audit set out in No. 1 above. If, after said audit, it is determined that the projected costs, charges and expenditures of "THE HOSPITAL" for the ambulance service exceeds the actual receipts of fees received for the ambulance service by an amount of more than ONE THOUSAND SIX HUNDRED SIXTY-SIX AND 66/100 ($1,666.66) DOLLARS per month, then "THE COUNTY" shall set aside, in addition to the initial TWENTY THOUSAND DOLLARS ($20,000.00), an additional sum sufficient to insure the continuing operation of the ambulance service for the next sSix (6) months. If, after the audit, it is determined that the costs, charges and expendi- tures of "THE HOSPITAL" for the operation of the ambulance service, less the receipts actually received by "THE HOSPITAL" for fees for the use of the ambulance service, are less than ONE THOUSAND SIX HUNDRED SIXTY-SIX and 66/100 ($1,666.66) DOLLARS per month, then "THE COUNTY" may decrease the monthly amount distributed to "THE HOSPITAL" in accordance with the results of the audit; however, the balance of the original TWENTY THOUSAND ($20,000.00) DOLLARS set aside by "THE COUNTY" shall remain set aside to insure sufficient funds for the continuing operation of the ambulance service for the duration of this Agreement. -2- The scope of the audit shall not be solely limited to a calculation of costs, less receipts, but shall also consider any projected increases or decreases in the costs of operating in the service and any projected increases or decreases in the use or demand for the ambulance service due to seasonal fluctuations or otherwise. 5. "THE COUNTY" agrees to lease to "THE HOSPITAL" for the sum of ONE and 00/100 ($1.00) DOLLAR per year the existing county ambulance equipment owned by "THE COUNTY". This equipment being described as one (1) 1973 eight (8) cylinder Dodge Ambulance, ID #B28AF3XD91537, Tag Number X 5390 and one (1) 1970 eight (8) cylinder Pontiac Ambulance, ID #262900P201315, Tag Number X 5389. 6. The ambulances described above as one (1) 1973 eight (8) cylinder Dodge Ambulance, ID #B28AF3XD91537, Tag Number 5390 and one (1) 1970 eight (8) cylinder Pontiac Ambulance, ID #262900P201315, Tag Number X 5389 shall be replaced by "THE COUNTY" with a new ambulance when same is deemed necessary. 7. "THE HOSPITAL" shall furnish all necessary personnel to operate the ambulance service on a Twenty -Four (24) hour basis. "THE HOSPITAL" shall further maintain all ambulance service equip- ment. All costs of "THE HOSPITAL" for such personnel and mainten- ance shall be a cost, charge or expenditure within the meaning of this Agreement. Additionally, "THE HOSPITAL" shall provide insurance on the personnel operating the ambulance and insurance on the ambulance in order to protect "THE COUNTY" from any public or pri- vate liability. The cost of insurance shall be a cost, charge or expenditure of the ambulance service within the meaning of this Agreement. 8. The term of this Agreement shall commence on the first day of July, 1974, and end on the 30th day of June, 1975. -3- /l (f 93 _C v 4 � P� 3 5 8P 5"f- G 0 S'7 i 0 T� �- � ("� / c(q N It is the intent of the parties to operate the ambulance service upon the terms set out herein for a period of One (1) year as an experiment to test the feasibility of such an ambulance service. At the end of the first year the parties shall be free to enter into any other agreements concerning the operation of the ambulance service as the parties deem to be in their own best interests. IN WITNESS WHEREOF, the parties hereto have executed this Agreement this 25th day of June , 1974. Signed, Sealed and Delivered COUNTY OF MONROE, STATE OF FLORIDA in Our Presence By: Mayo of Mo roe ount and Chair- man of the Board of County Com- missioners (SEAL) i Atte is Clerk —dT he Circuit Court of Nrnn roe County, Florida and ex officio Clerk of the Board of County Commissioners of Monroe County, Florida (SEAL) FISHERMEN'S HOSPITAL, INC. --:� By V(SEAL) President Attest. v. , (SEAL) Secretary .* -4-