02/04/19833
• AGREEMENT
THIS AGREE fT, Made this day of , �Q
1983, 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 FISHERMENN's
HOSPITAL, INC., a non-profit Florida corporation, hereinafter called
"'1"HE 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 comience operation of the above
described ambulance service:
1. 111E 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 stun of Fifty-five Thousand
Five Hundred Dollars ($55,500.00). 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 crud 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
as bills' and charges becoite delinquent, T11E HOSPITAL shall attempt
t () co I 1 ect the same through it co I 1 ection agency. T11E HOSPITAL
�;Iwt1 write -cuff an accoLuit pit the tirix• it is turned over to the
c'r,1 1,�ct.iuii agency and wi I crc.iiit a I I recoveries of funds back
to '1klf, lil5'I'RI(`T on receipt of th(., cash. The institution of a
1,ij!;,iit �)r arty other lugiiI I)rcx-td,we shall he strictly in the
i()ri c,f 'ME HOSPI' IU— n! 1 hE t.•s charq(�d by '171E
• -2- {
HOSPITAL for the use of the ambulance service shall be credited
against the costs of the operation of the said ambulance sielvice. iL
3. THE HOSPITAL shall keep accurate records of : all ,.c,osts-.• . .
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 sh4ll.be,`
kept for all fees actually recovered by THE HOSPITAL, in payu}ent for'
the ambulance service.
4. THE HOSPITAL will provide monthly financial $tatements 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
DISTRICT from any public or private liability. The 'c-ost of the
insurance shall be a cost, charge or expenditure of the ambulance
service within the meaning of this Agreement.
b. The term of this Agreement shall commence on the 1st day
Of October, 1982, and end on the 30th day of September, 1983.
J
0 Olt
ik
IN WITNESS WHEREOF the parties hereto have executed this'
Agreement the day and year first above written. ,<1
MUNICIPAL SERVICE'TAXING DISTRICT "_'` �•
NO. 2
By i-4
Chairman ot the -.Board of Gaverpors ,...t '
(Seal)
Attest. KALP11 CLL111�
(Corporate Seal)
Attest:
Secretary
FISHERMEN'S HOSPITAI,, INC.
B}t
President..
At 0VEO AS 10 FORM
AN GAL SUfFICIENC5
tiY 19" )-kl
AuornWs Office
f:
ATTACHMENT A
EQUIPMENT
ASSIGNED TO FISHERMEN'S HOSPITAL AMBULANCE SERVICE
1. (1)
1980 Ford E-350 Cutaway, Type III Ambulance i
jf
Serial Number E37LHJJ1754, County Tag #56124, County'
Property #1441
2. (1)
1983 Ford Cutaway Type III Ambulance
Serial Number 1FDKE30L,7DHA.31237 , County Tag #47875
County Property #1423-21
COMMUNICATION EQUIPMENT
3. (1)
General Electric U.H.F. Mobile Radio and Antenna System
Serial Number 6161226, Model EC55PLT,88B, County.',"
Property #5105-17A
4. (1)
General Electric U.H.F. Mobile Radio and Antenna System
County Property #5105-49
5. (1)
General Electric Control Head for U.H.F.• Mobile Radio,
County Property #5105-52
6. (1)
General Electric U.H.F. Portable Radio and Charger.
(Ambulance/E.M.T.), Serial Number 550248124, Model.
45RBWBMX, County Property #5105-35A,
7. (1)
General Electric U.H.F. Portable Radio and Charger
(Ambulance/E.M.T.), Serial Number 81515.1022,. County
Property #5105-61
8. (1)
General Electric U.H.F. Portable Radio and Charger
(doctor) Serial Number 550247624, Model 65RBSBMX,
County Property #5105-44A
9. (2)
General Electric V.H.F. Master Executive II Mobile
Radios, Serial Numbers 0140661 and 0140662, Model
SX74FFN33AH, County Property #1423-7/8
10. (2)
General Electric Control Heads for Master Executive II
Mobile•Radios, Serial Numbers 0140663 and 0140774,.
Model T3FFZSAI8, County Property #1423=9/10
11. (1)
Motorola Dimension IV Pager, Serial Number D10ACY6177,
County Property #1423-2
12." (1)
Motorola Dimension IV Pager, Serial Number D10ACY617.8,
County Property #1423-3
13. (1)
Motorola Dimension IV Pager, Serial Number D10ACY6179,
County Property #1423-4
14. (1)
Motorola Dimension IV Pager, Serial Number Dl0ACY6180,
County Property #1423-5
15. (1)
Physio-Control ECC Modulator, Serial Number 0796,
County Property #1423-15
16. (1)
Physio-Control ECG Modulator, Serial Number 0860,
County Property #1423-18
11. (1)
Selectable Tone Encoder Board, Part Number 19D41786201,
County Property #1423-19
1
' y y
COMMUNICATION EQUIPMENT (Continued) tr,
18. (1)
General Electric V.H.F. Portable Radio and Charger,, -
Serial Number 1273145, Model PE64KDSDCX, County.,; 'L
Property #1423-20.
MEDICAL EQUIPMENT
,
19. (1)
Physio-Control Life Pak 5 Cardiac Monitor, Detibrihlgpbr
and Charger Complete, Serial Number Monitor 2437 ;;
Serial Number Defibrillator 2317, Serial Number- '�%axger
2345, County Property #5105-56
20. (1)
Physio-Control Life Pak 5 Cardiac Monitor,' Defibr llator V,
and Charger Complete, Serial Number Monitor 944,4',;':
Serial Number Defibrillator 8980, Serial Number Chigger ',
9483, County Property #1441-2 ;.'
21. (1)
Physio-Control Battery Discharger, Seri,4l Numbers.'`
0239, County Property #5105-74 r
22. (1)
Dixie Thumper Mechanical CPR Machine Complete, Serial
Number 0963, County Property #5105-75
OTHER EQUIPMENT
23. (1) Sony Betamax Video Cassette Player, Serial Number
16563, Model SLP-100, County Property #14223-6 '
24.
(1)
Streamlight Model SL-20 with
12V
Charger,.
County -
Property #1423-11
25.
(1)
Streamlight Model SL-40 with
12V
Charger,
County
Property #1423-12
26.
(1)
Streamlight Model SL-40 with
12V
Charger,
County
Property #1423-14
,
27.
(2)
Wheelen Strobe Lights Model
1200,
County Property
#1423-16/.16A
28.
(1)
Dynamote Battery Conditioner
Model
GBO-10',-County'
Property #1423-17