03/11/1998 AMENDMENT TO HCBS /MEDICAID WAIVER REFERRAL
AGREEMENT
This Amendment, made this �
-� doy of
County Board of 1/110„&&41.4.114S_____ between Monroe
County Commissioners /Monroe
County In -Home Services, the case
management agency, and
tall Builde In c. the se cxovlder agency.
WHEREAS. County and Provider entered into an agreement on the 1
g 2jb day of
vember 19
WHEREAS, said agreement called for County to refer clients and provide pertinent
information on said clients to the provider agency: and
WHEREAS. it has been determined that it is in the best interest of the citer($ a
hereto to continue said agreement o � pc's
greement with certain modifications; now therefore 2 > = rn
In consideration of the promises contained herein the or- 2 :
parties agree t d � O�
agreement doted o •
November 12, 1997 as feilews z -o 330
PD
11 Paragraph II, Section 9 shall be added to read as follows: .-�< Z
-r a C'i
The service provider agency ET P , • -
county Board of County g y shall Indemnify and hold harrniess MonrotP - C:, O
cou Y Boar (including Commissioners from any and all claims for bodily
other tosses, damages. personal injury. and property damage. and any
derives des• and expenses (rnciuding attorney's fees) which
out of, in connection with or by reason of services provided by the
agency or it's employee or agents.
2) All other provision of the agreement dated
in full force and affect, 1997 shall remain
IN WITNESS WHEREOF, the parties hereto have executed this amendment as of t
above written, he date first
M' � • ' •� E COU -" IN O ICES
1 STAFF BUILDERS. INC_ �^
TITLE: NAME:
DATE: TITLE: out(Ve Vice President
KOLHAGE CLERK
L, - FEDERAL EID #VF59- DATE;
J .4
:� 6 00x749029 1 "'� —
d r
" � ' b `; P RRFISCAL YEAR ENOS: 9 30 98
ANNY L.
�ROVLD AS TO FORM
f ' .CiAt SuFFICIE s 15 .
/' c l NE A HU ON • �T. h
PLEASE REMIT TO• DATE i:�
STAFF BU ILDERS
P.O. BOX 7717•W 175 -
PHILADEL PA 1 9175 -3980