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09/21/1984AGREEMENT THIS AGREEMENT, Made this 21st day of September, 1984, by and between MUNICIPAL SERVICE TAXING DISTRICT NO. 1-D governed by the Board of County Commissioners of Monroe County, 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 advance life support ambulance service from premises in Big Pine Key, Florida, to service the area generally described as being between the East end of Kemp Channel, approximately mile marker 23, and the West end of Little Duck Key, approximately mile marker 39. 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 THE HOSPITAL for costs, charges or expenditures which are both reasonable and necessary, which arise out of the operation of the ambulance service, and which are not reimbursable from patients, insurers, or social service programs, in an amount not to exceed the sum of Seventy - Four Thousand Dollars ($74,000.00). THE HOSPITAL shall use said money solely for the operation of the ambulance service which is the subject of this Agreement. 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 submit bills and statements of account to patients, insurers, agencies, and programs for services rendered by the ambulance service. In the event such bills and charges become delinquent, THE HOSPITAL shall diligently pursue all avenues to collect the same including but not limited to the use of the services of a collection agency. THE HOSPITAL will credit all funds recovered to THE DISTRICT. 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. 3. THE HOSPITAL shall keep accurate records in accordance with standard and accepted accounting procedures of all sums paid for the operation of the ambulance service and of all fees charged for the use of the ambulance service. A separate record shall be kept for all amounts reimbursed or recovered by THE HOSPITAL in payment for the ambulance service. HOSPITAL will provide to THE DISTRICT not later than the f- day of each month a detailed monthly financial statement of the operation of the ambulance service covering the preceding month. If a deficit is shown on such statement, THE DISTRICT will reimburse 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 Dollar ($1.00) per year the existing County equipment owned by THE DISTRICT listed on Attachment A hereto. 6. THE HOSPITAL shall furnish all necessary personnel to operate the ambulance service on a twenty-four (24) hour basis 365 days per year. THE HOSPITAL shall maintain in good and serviceable condition all equipment leased to it pursuant to paragraph 5, above, or used by it in connection with the operation of the ambulance service. 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 and equipment in order to protect THE 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. 7. THE HOSPITAL does hereby agree to indemnify THE DISTRICT and Monroe County, their officers, agents, and employees, for any and all claims of any sort whatsoever that may arise from the operation of the ambulance service contemplated by this Agree- ment. In this respect, THE HOSPITAL does agree to hold harmless and to assume any and all responsibility for any claims, damages, or liabilities of any sort whatsoever resulting from the use of the County's equipment, the employment of personnel, and the operation of the ambulance service contemplated herein. THE 2 HOSPITAL agrees to defend and to pay any and all costs incurred in connection with such defense including attorney's fees, costs of Court, and all such expenses relating to any such claims, damages, or liabilities, should the same occur. The liability insurance carried by THE HOSPITAL shall show THE DISTRICT and Monroe County as co -insureds and a copy of said policy shall be forthwith made available to the County Administrator so reflecting. 8. The term of this Agreement shall commence on the 1st day of November, 1984, and end on the 30th day of September, 1985. IN WITNESS WHEREOF, the parties hereto have executed this Agreement by their duly authorized representatives. (SEAL) Attest • NY L. ACT AN ?�� II.!? C lerk (Corporate Seal) Attest: Secretary MUNICIPAL SERVICE TAXING DISTRICT 0. 1-D By - •'` Chairman of the Board of Governors FISHERMEN'S HOSPITAL, INC. resident APPROVED AS rO FORM AND LEGAL SUFFICIENCY. BY �1.l'yn AttomeeS Office 3 ATTAOM IT A, PAGE 1 OF 3 OFFICIAL RECEIPT Iq,lr Ch.-Ak••J �r lu,�•,.,.,r6•J FOR PROPERTY GOVERNMENTAL UNIT: BOARD Of COUNTY COMMISSIONERS (rot<►cJ us' 144kew..rhJ Icy �ARAM1S TANCOURT --- iU10 N R OE -_- ------------ County, I-Ia. l•hwLtJ or I.,..•ul..r, ON Y ME N E N D E 2 — -- - - - - I hereby &L1,now1r.lbc ,r:ril,t f,,r the full-viiag dca:r,bcd property, which is in my cuatudy, And is located at QIY PINE KEY AMsvt-ANOE SERVICE 1 22 F R. PAROs or AIs M.,.i►-„1 �p• M�1 item t •i,..• 11 li L i► 1 r' • g-2-9A4KfT_ 71__Q4o L AI�$ULA�SN, B BFX12 0 6 1 22-2 1 BERT SHAH! PORTABLE RESUSCITAOOR SN# 2�09i3 11�22-�1 BERT SHAw OEMANO VALYESN9�2154 449 C L L- W- A•LU-&,� ZP_# t:J l O!1'�_ _ .. _ - ___.-i T R;-;"&A- •O 13 -4J - L A E R.O.A L._A M 41Ejtj1L-- 11>.2______2-7,_ ,1c•a! __3,•. -__ _-_4Q _-?- T-QN€_PLEOTRON RA91_0_SN1_1 — 11124 24 1 24_9-,95 -111 1138 Sd BLACKHAwK EXTRICATOR -stdJ8505 i M 1422-18/22 4 - i 791 Ih22-21L 111 a - 5-1 __1_ 1422..26 . -..-- ... i- I' a - --1- 7 , 1422-2� jfi.r$� 1422-37A ZR - 2.... -1.422- 3841H--2� 142?-3.9 /4--- . 1422-40 _ /B 2 11i22-L1k/C A UL22 MQTQ_R_Q�,A MIN�T�R.,�NAROER sN�9�3AEAl�O!i9 OE_R61110 W/OARRYING CASE -_1cSPE_AKEk1 014_17_9921 GE--Gti.�R�ILR_.sN ollkl801 TONE _PLECTRON _41i862-110678(#2oToESTROYEo) BLOOD PRESSURE COMPUTER SN#O O 12 _J,BST ADULT MAST 3 CHAMBER __. �.QL2Q-_FORD AMBULANCE U7LHJJ1757 _ 0896 (VEH. 1422-25) LIIE PA K S MONITOR RECORDf,R��9�5� _ 1 ERSN:'MW33AGJ3t vAjt&c& . Xejj (tit --.SNM33AGJ3161 - 3??,� 2 5-MQT9AQLL M l!t 1 T O R N C H A- �.,..��1:r� 1,�i R,� "IM33AGJ;�_ 11 _ 122- 1 ' �2- ---�-z`� 1422-50_ 1 - 1422-51/53 3 494 0 _1422-54� 1 23. 0 22 0 _ 422-56✓ 9---4 ASTRON 1 35 WATT 12V POWER $UPPL�Yt so TPL LOWBANB POWER AMPLIFIER SN#0lill.2 S T.Q R A G-C. G dB..IKE. T BOeERT SHAW RESUSCITATOR au#082LQ_87_j?04.Q9j2 OF POWER AMe t 1 t cm swi)il l S33 2? _GE CHAROERSN#233 532/2332533/233253140 JOBST_ AOUt_T MAST sU 1 T_• SNPIS13.51? -- _.l "T C ku_LD_ U ASZ A 111 i ft N#wS 1134.52 _R ogERT .ciHAW REttU$CITATOR COMPLETE 9h4c;an/r%ni/r%ij,.Ace ATTACivM A PAGE 2 OF 3 CEIPT FOR PROPERTY 1110 _l 9 0 v GOVERNMENTAL UNIT: BeAR0 or GATE CHECKED OR INVENTORIED _C CHECKED OR INVENTORIED BY: _COUNTY OMMiSB10NE1R= TON P ENOEZ MONROE COUNTYI CHECKED IN IED BY: ARAMI S �3ETANCOURT 1 HEREBY ACKNOWCEDGE RECEIPT rOR THE. FOLLOWINC- DESCRIBED PROPERTY9 WHICH IB 1 MY CUSTOOYO AND IS LOCATED AT: Big PINE K Y AYkuLaNCE - n i LOCATION OF PROPERTY' 77 n SIWNATOJPE Or COST J. PAROS PROPERT NOJ ITEMS COS ITEM DESCRIPTION u FER -wA !N ~ TR T CHftt - area VAiT lilt 1 T �Y�S1i'iSJ 22-2 • Tai • 22• 8fC 12 0 HF P RTA RA w oE3K CHAMBER AIYE • ' R Od ROBERT SHAW PowTApl r wr.ua I .TA. 9% m - n n n tl R Njv n n n n n +.I.21.1 357-00 n n ff tt M•..JL77Le /:QC., i:e:�_ cv-uu-w ANEQUIN M0107-00-00 NIT M0#7900-13 _ N#P6'189q R sN#0983 •sS.N. M33BJL0970-0979 1- . 1 . 1 . © 1 1��]C�r:`:�1��;7;1/��Ij1:1111�►_i�NW.y>•u �.y:�M:r.�rr� ATTAa+n'•T A PAGE 3 OF 3 ECE 1 PT FOR PROPERTY 9/28/F4 19 GOVERNMENTF L UNIT: BOAR OF DATE CHECKED OR INVENTORIED COM'''TY COWISSIONEPS CHECKED OR INVENTORIED SY: A"Cy`TROF C OUN' CHECKED OR INVENTORIED SY: , I NERENT ACKNOWLEDSE RECEIPT FOR MY CUSTODY9 AND IS LOCATED AT: SIGDIkTTTPE OF CHIEF THE FOLLOWING DESCRIBED ►RO►ERTY9 WHICH 1 Jams F. Paros ' LOCATION Of PROPERTY SIGNATURE Of CUSTODIAN NO ITEMS COS ITEM DESCRIPTION General Flectric TTPF-Medica Portable Radio-FMT RepeaterRadio- AA M1- 1 .oe , 5105-22A 1 General Flectric UPF-Medical Mobile Radio . . i i