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11/03/1981AGREEMENT THIS AGREEMENT, Made this 3rd day of November 1981, by and between MUNICIPAL SERVICE TAXING DISTRICT NO. 2 governed by the Board of County Commissioners of Monroe County, Florida, and City Commissioners of the City of Key Colony Beach, Florida, hereinafter called "THE DISTRICT" and FISHERMEN'S HOSPITAL, INC., a non-profit Florida corporation, hereinafter called "THE HOSPITAL". WHEREAS, THE DISTRICT and THE HOSPITAL desire to operate an ambulance service from THE HOSPITAL premises in Marathon, Florida, to service the area generally described as being between Little Duck Key, approximate Mile Marker 39, and Long Key Bridge, approxi- mate Mile Marker 66, including the City of Key Colony Beach, NOW, THEREFORE, upon the following terms and conditions, THE DISTRICT and THE HOSPITAL agree to commence operation of the above described ambulance service: 1. THE DISTRICT agrees to reimburse to THE HOSPITAL all costs, charges or expenditures necessary or incidental to the operation of the ambulance service, which costs, expenditures or charges are not actually received by THE HOSPITAL from patients as payment for the ambulance services not to exceed the sum of Fifty-five Thousand Dollars ($55,000.00). THE HOSPITAL shall use said money solely 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 statements to patients , for services rendered by the ambulance service. THE HOSPITAL shall have the sole authority to determine the 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 lawsuit or other procedure in order to collect said fee. All fees charged by THE HOSPITAL for the use of the ambulance service shall be credited against the costs of the operation of the said ambulance service. -2- 3. THE HOSPITAL shall keep accurate records of all costs paid for the operation or benefit of the ambulance service and THE HOSPITAL shall also make accurate records of all fees charged for the use of the ambulance service. A separate record shall be kept for all fees actually recovered by THE HOSPITAL in payment for the ambulance service. 4. THE HOSPITAL will provide monthly financial statements of the operation of the ambulance service. If, after examination of said monthly statements a deficit occurs, THE DISTRICT will reim- burse THE HOSPITAL for said deficit in an amount not to exceed the amount of this contract. 5. THE DISTRICT agrees to lease to THE HOSPITAL for the sum of One and 00/100 Dollars ($1.00) per year the existing county equipment owned by THE DISTRICT per Attachment A hereto. 6. When deemed necessary by both parties, Monroe County shall take the necessary steps to initiate a public referendum to approve funds for the remounting or replacement of ambulances supplied to THE HOSPITAL by Monroe County. 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 equipment. All costs of THE HOSPITAL for such personnel and maintenance shall be a cost 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 ;i DISTRICT from any public or private liability. The cost of the 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 1st day of October, 1981, and end on the 30th day of September, 1982. A •. -3- IN WITNESS WHEREOF the parties hereto have executed this Agreement the day and year first above written. MUNICIPAL SERVICE TAXING DISTRICT NO. 2 . ip 4Cha;i*h-C--of the Boardljof Governors (Seal) _ Attest: lerk FISHERMEN'S HOSPITAL, INC. President (Corporate Seal) Attest: r _ Secretary APPROVED AS TO FORS! A N/?If EEGA4 SUFFICIENCY B � Asto�'raaYs D/fiaa ATTACHMENT A IPMENT ASSIGNED TO FISHERMEN'S HOSPITAL AMBULANCE SERVICE 1. (1) 1980 Ford E-350 Cutaway, Type III Ambulance Serial Number E37LHJJIW54, County Tag #56124, County Property #1441-1 2. (1) 1978 Chevrolet Cutaway, Type III Ambulance Serial Number CGR3380105829, County Tax #47875 County Property #1423-1 COMMUNICATION EQUIPMENT 3. (l) General Electric U.H.F. Mobile Radio and Antenna System Serial Number 6161226, Model EC55PLL88B, County Property #5105-17A 4. (1) General Electric Intravehicle Communication and Control (Headset), County Property #5105-26A 5. (1) General Electric U.H.F. Mobile Radio and Antenna System County Property #5105-49 6. (1) General Electric Control Head for U.H.F. Mobile Radio, County Property #5105-52 7. (1) General Electric U.H.F. Portable Radio and Charger (Ambulance/E.M.T.), Serial Number 550248124, Model 45RBWBIIX, County Property #5105-35A 8. (1) General Electric U.H.F. Portable Radio and Charger (Ambulance/E.M.T.), Serial Number 815151022, County Property #5105-61 9. (1) General Electric U.H.F. Portable Radio and Charger (doctor) Serial Number 550247624, Model 65RBSBMX, County Property #5105-44A 10. (2) General Electric V.H.F. Plaster Executive II Mobile Radios, Serial Numbers 0140661 and 0140662, Model SX74FFN33AH, County Property # 1423-7/8 11. (2) General Electric Control Heads for Master Executive II Mobile Radios, Serial Numbers 0140663 and 0140774, Model T3FFZSAI8, County Property #1423-9/10 12. (1) Motorola Dimension IV Pager, Serial Number D10ACY6177, County Property #1423-2 13. (1) Motorola Dimension IV Pager, Serial Number D10ACY6178, County Property #1423-3 14. (1) Motorola Dimension IV Pager, Serial Number D10ACY6179, County Property #1423-4 15. (1) Motorola Dimension IV Pager, Serial Number D10ACY6180, County Property #1423-5 16. (1) Physio-Control ECG Modulator, Serial Number 0796, County Property #1423-15 17. (1) Physio-Control ECG Modulator, Serial Number 0860, County Property #1423-18 18. (1) Selectable Tone Encoder Board, Part Number 19D41786201, County Property #1423-19 -2- COMIAUNICATION EQUIPMENT (Continued) 19. (1) General Electric V.H.F. Portable Radio and Charger, Serial Number 1273145,E Model PE64KDSDCX, County Property #1423-20. MEDICAL EQUIPMENT 20. (1) Physio-Control Life Pak 5 Cardiac Monitor, Defibrillator and Charger Complete, Serial Plumber Monitor 2437, Serial Number Defibrillator 2317, Serial Number Charger 2345, County Property #5105-56 21. (1) Physio-Control Life Pak 5 Cardiac Monitor, Defibrillator and Charger Complete, Serial Number Monitor 9444, Serial Number Defibrillator 8980, Serial Number Charger 9483, County Property #1441-2 22. (1) Physio-Control Battery Discharger, Serial Number 0239, County Property #5105-74 23. (1) Dixie Thumper Mechanical CPR Machine Complete, Serial Number 0963, County Property #5105-75 OTHER EQUIPMENT 24. (1) Sony Betamax Video Cassette Player, Serial Number 16563, Model SLP-100, County Property #1423-6 25. (1) Streamlight Model SL-20 with 12V Charger, County Property #1423-11 26. (1) Streamlight Model SL-40 with 12V Charger, County Property #1423-12 27. (1) Streamlight Model SL-40 with 12V Charger, County Property #1423-14 28. (2) Wheelen Strobe Lights Model 1200, County Property #1423-16/16A 29. (1) Dynamote Battery Conditioner Model GBO-10, County Property #1423-17