Resolution 766-1989
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Management Services
RESOLUTION NO. 766-1989
A RESOLUTION OF THE BOARD OF COUNTY COMMIS-
SIONERS OF MONROE COUNTY, FLORIDA, AUTHORIZ-
ING THE MAYOR/CHAIRMAN OF THE BOARD TO
EXECUTE AN AGREEMENT FOR BAKER ACT MATCHING
FUNDS BETWEEN THE BOARD AND THE GUIDANCE
CLINIC OF THE UPPER KEYS, INC. CONCERNING
FUNDING FOR FY89-90.
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, that the Mayor/Chairman of the Board is
hereby authorized to execute an Agreement for Baker Act Matching
Funds between the Board and the Guidance Clinic of the Upper
Keys, Inc., a copy of same being attached hereto and made a part
hereof, concerning funding for FY89-90.
PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida, at a regular meeting of said Board held
on the 13th day of
December
, A.D. 1989.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
BY: ok~~
NAYOR/CHAIRMAN
(SEAL)
ATTEST: DANNX ~ 1tOLIIAGEJ PIerk
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AGREEMENT FOR BAKER ACT MATCHING FUNDS
THIS AGREEMENT, made this day of
1989, between the BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, hereinafter referred to as "BOARD", and the
GUIDANCE CLINIC OF THE UPPER KEYS, INC., hereinafter referred to
as "CLINIC",
For and in consideration of the mutual covenants made
herein, the parties agree as follows:
(1) The Board shall reimburse the Clinic twenty~five
percent (25%) of total $57,040.00 expenditures for Baker Act
hospital, phYSiCian, and crisis stabilization services, as billed
to the Clinic on state approved Baker Act Billing Forms (HRS
1005) for clients qualifying for such services under applicable
state and federal regulations and eligibility determination
procedures. This cost shall not exceed a total reimbursement of
Fourteen Thousand Two Hundred Sixty Dollars ($14,260.00) during
the period beginning October 1, 1989, and ending September 30,
1990.
(2) The Clinic shall provide to the Board on a regular
basis a copy of the Baker Act Summary Billing Form from which
reimbursement due the Clinic can be calculated; however, in order
to comply with regulations safeguarding the patient's right to
confidentiality, copies of individual client bills shall not be
available for inspection by the Board for reimbursement purposes.
Copies of individual client bills shall be kept on file in the
Clinic business office and shall be made available under con-
trolled conditions to qualified auditors for audit purposes. The
Clinic shall also provide the Board all Baker Act statistical
data normally available to the Clinic and make an annual report
to the Board of the expenditure of County funds for the above
specified purposes.
(3) This agreement shall terminate at 11:59 P.M., September
30, 191' and the Board shall not be liable under the terms of
this agreement for any liability incurred after the time of
termination; however, the Board shall be liable for outstanding
costs incurred prior to the termination of this agreement,
provided the Clinic submits to the Board the required Baker Act
Summary Billing Form within three (3) weeks of the date of
termination of this agreement, provided, however, that the
maximum of reimbursement specified above is not exceeded. This
agreement may also be terminated by either party upon thirty (30)
days written notice delivered by certified mail to the party
receiving notice of termination.
County warrants or checks written for reimbursement to the
Clinic shall be made payable to the Guidance Clinic of the Upper
Keys, Inc.
(4) The Clinic shall indemnify Monroe County fqr all claims
of any sort that arise from the use of this funding. In this
respect, the Clinic shall hold Monroe County harmless and assume
all responsibility for any claims or damages resulting from the
use of this funding during the time wherein the funding
continues.
IN WITNESS WHEREOF, the BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, has caused these presents to be signed in
its name by its Chairman, Board of County Commissioners, and the
Clerk of the Board of County Commissioners, and the Guidance
Clinic of the Upper Keys, Inc., has caused these presents to be
signed in its name by its President/Board of Directors and
Executive Director all as of the day and year first above writ-
ten.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By
Mayor/Chairman
(Seal)
Attest:
Clerk
GUIDANCE CLINIC OF THE UPPER
KEYS, INC.
By
Yresident/Board ot Directors
By
Executive Director
Witnesses
AIWIOVED AS TO FORM
AND lEGAl. SUFFICIENCY. ~
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