3rd Renewal & Amendment 07/19/2017KEVIN MADOK, CPA
MONROE COUNTY CLERK OF THE CIRCUIT COURT & COMPTROLLER
DATE: August 23, 2017
TO: Holly Piicstcr
Emergency Services /Stop 14
FROM: Paniela G. Hance k C.
SUBJECT: July 19t1i BOCC Meeting
Attached is a duplicate original of Items C10 and H2 (executed as one document),
extending the current agreement with Professional Emergency Services, Inc. to include
additional medical oversight in the expansion of the Trauma Star secondary air transport
ambulance, for your handling.
Should you have any questions, please feel lree to contact me at ext. 3130. 'Thank you.
cc: County Attorney w/o document
Finance
File
EXTENSION AND AMENDMENT AGREEMENT TO THE CONTRACT BETWEEN
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
AND
THE BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1
AND
PROFESSIONAL EMERGENCY SERVICES, INC.
This AGREEMENT is dated the 19` of July, 2017 by and between the Board of County
Commissioners of Monroe County, Florida, and the Board of Governors of Fire and Ambulance
District 1, hereinafter called the "COUNTY" and Professional Emergency Services, Inc.,
hereinafter referred to as "MEDICAL DIRECTOR ".
WITNESSETH:
WHEREAS, the parties hereto entered into an agreement August 17, 2011, for medical
direction of Fire and Emergency Medical Services and Aeromedical Operations, as required by
FAC 64J- 2.005, and
WHEREAS, the parties desire to extend the AGREEMENT in order to avoid interruption
in continuity of ground and air emergency care and transport services to critically ill and injured
patients and to allow for the increased personnel oversight responsibilities required with the
addition, coordination and integration of a third air transport helicopter;
NOW THEREFORE, the parties agree as follows:
Section 1 . Paragraph 1 of the original agreement is amended to read as follows;
1. Term
This extension to the contract shall become effective October 1, 2017 and shall run
through September 30, 2020.
Section 2. Paragraph 2 of the original agreement is amended to read as follows;
2. Compensation
2.1 Ground Ambulance
MEDICAL DIRECTOR shall be paid at a rate of $58,000.00 annually to provide ground
ambulance medical direction. Payments shall be made monthly in arrears by COUNTY
pursuant to the Florida Local Government Prompt Payment Act after receipt of proper
invoice submitted by MEDICAL DIRECTOR.
2.2 Air Ambulance
a. MEDICAL DIRECTOR shall be paid at a rate of $36,000.00 annually to provide air
ambulance medical direction. Payments shall be made monthly in arrears by COUNTY
pursuant to the Florida Local Government Prompt Payment Act after receipt of proper
invoice submitted by MEDICAL DIRECTOR.
b. MEDICAL DIRECTOR will be paid an additional $1,000 per month first two years of
extension beginning October 1, 2017 through September 30, 2019, and an additional
$1,500 per month third year of extension beginning October 1, 2019 through September
30, 2020, for air medical direction of the Trauma Star air medical services.
c. These payments are contingent upon COUNTY's decision to continue to operate air
ambulance services under its ALS license, and if, for any reason, COUNTY decides not
to continue to operate air ambulance EMS service under its ALS license, then MEDICAL
DIRECTOR shall have no responsibility to serve as MEDICAL DIRECTOR for the air
ambulance service and COUNTY shall have no liability for this portion of MEDICAL
DIRECTOR's compensation.
2.3
Physician "peer to peer" services for collection of denied medical claims will be paid,
subject to administrative review, at a rate of $250.00/hour in order to collect funds that
would otherwise be unpaid.
2.4
COUNTY will reimburse MEDICAL DIRECTOR for any direct expenses associated
with meetings required by COUNTY or Monroe County Sheriff's Office. For the purpose
of this paragraph, the term "direct expenses" means per diem or subsistence allowances,
transportation costs or mileage allowances, and miscellaneous travel expenses, as those
terms are defined by Section 112.061, Florida Statues. All requested travel for required
meetings will require prior approval and will be reimbursed at the County rate for
mileage reimbursement. All compensation shall be paid according to County Ordinance
and State law.
2.5
a. MEDICAL DIRECTOR will be provided a county phone and any other equipment
required as approved by the Chief of Fire Rescue.
b. COUNTY will reimburse MEDICAL DIRECTOR for the yearly application fee
required for renewal of the County's Drug Enforcement Administration (DEA)
certificate, if the MEDICAL DIRECTOR has paid the application fee in advance on
behalf of the COUNTY.
2.6
Invoices received from MEDICAL DIRECTOR shall be reviewed and approved by
COUNTY Fire Chief or his designee, indicating that the services have been rendered in
conformity with the contract, and then will be sent to the Finance Department for
payment.
2.7
In order for both parties to close their books and records, MEDICAL DIRECTOR must
clearly state "FINAL INVOICE" on MEDICAL DIRECTOR's final and last billing to
COUNTY. This certifies that all services have been properly performed and all charges
and costs have been invoiced to Monroe COUNTY. Since this account will thereupon be
closed, any and other future charges if not properly included in this final invoice are
waived by MEDICAL DIRECTOR.
2.8
Nothing in this agreement prohibits MEDICAL DIRECTOR from billing any third party
for medical services rendered outside the scope of this agreement that may arise during or
after the term of this agreement.
Section 3. All other terms and conditions of the original agreement entered into on August 17,
2011 not inconsistent herewith shall remain in full force and effect.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
BOARD OF GOVERNORS, FIRE AND
AMBULANCE DISTRICT 1 OF MONROE
COUNTY, FLORIDA
Y Y
Mayor / George Nuegent Chairman, George Nuegelft
PROFESSIONAL EMERGENCY SERVICES, INC.
LIN
Authorized Representative,
Sandra Schwemmer
MONROE COUNTY ATTORNEY:
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