Resolution 264-1988
Monroe County Commission
RESOLUTION NO. 264 -1988
A RESOLUTION OF THE BOARD OF COUNTY COmlIS-
SIONERS OF MONROE COUNTY, FLORIDA, AUTHORIZ-
ING THE MAYOR/CHAIRMAN OF THE BOARD TO
EXECUTE AN ADDENDUM TO AGREEMENT FOR BAKER
ACT MATCHING FUNDS BY AND BETWEEN THE BOARD
OF COUNTY COMMISSIONERS OF MONROE COUNTY,
FLORIDA AND THE GUIDANCE CLINIC OF THE UPPER
KEYS.
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 Addendum to Agreement for Baker
Act Matching Funds by and between the Board of County
Commissioners of Monroe County, Florida, and the Guidance Clinic
of the Upper Keys, a copy of same being attached hereto, for the
purpose of providing additional funds for Baker Act hospital,
physician and crisis stablization services for patients in Monroe
County.
PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida, at a regular meeting of said Board held
on the 5th day of July, A.D. 1988.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
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BY~~/ b/
a al.rman
(Seal)
Attest:DANNY L. KOLHAGE, Clerk
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ADDENDUM TO AGREEMENT FOR
BAKER ACT MATCHING FUNDS
THIS ADDENDID1, made this
day of
, 1988,
by and 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 provisions of Baker Act
hospital, physician and crisis stabilization services for Monroe
County patients, the parties hereby agree as follows:
(1) To amend paragraph (1) of its Agreement entered into on
December 15, 1987, copy attached hereto, by increasing the amount
payable by the BOARD, by a sum not to exceed $3,333.00, for Baker
Act hospital, physician and crisis stabilization services, for a
total reimbursement of twenty-five percent (25%) of $42,756.00,
and
(2) By increasing the sum of total reimbursement during the
period beginning October 1, 1987 and ending September 30, 1988 to
$10,689.00.
IN WITNESS WHEREOF, the BOARD OF COUNTY CONMISSIONERS OF
MONROE COUNTY, FLORIDA, has caused these presents to be signed in
its name by the Chairman 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
hereinabove set forth.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
, By
MAYOR/CHAIRMAN
(SEAL)
CLERK
Attest:
Signed, Sealed and Delivered
In Our Presence:
GUIDANCE CLINIC OF THE UPPER
KEYS, INC.
By
President/Board of Directors
By
Executive Director
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AGREEMENT FOR BAKER ACT MATCHING FUllDS
THIS AGREEMENT, made this 15tl day of ~, 198~, by
and 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 hereby agree as follows:
(1) The Board agrees to reimburse the Clinic twenty-five
percent (25%) of total $29,424.00 expenditures for Baker A~t
hospital, physician, and crisis stabilization services, as billed
to the Clinic on state approved Baker Act Billing Forms (HRS 346)
for clients qualifying for such services under applicable state
and federal regulations and eligibility determination procedures.
This cost is not to exceed a total reimbursement of Seven
Thousand Three Hundred Fifty Six Dollars ($7,356.00) during the
period beginning October 1, 1987, and ending September 30, 1988.
(2) The Clinic agrees to 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, copies
of individual client bills will not be available for inspections
by the Board for reimbursement purposes in order to comply with
regulations safeguarding the patient's right to confidentiality.
.
Copies of individual client bills are kept on file in the Clinic
business office and will be made available under controlled
condition to qualified auditors for audit purposes. The Clinic
further agrees to provide the Board any Baker Act statistical
"
data normally available to the Clinic and to make an annual
report to the Board of the expenditure of County funds for the
above specified purposes.
This agreement shall terminate at 11:59 P.M., September 30,
1988 and the Board shall not be liable under the terms of this
agreement for any liability incurred after the time of termina-
tion; however, the Board shall be liable for outstanding costs
incurred prior to the termination of this agreement provided the
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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 reimburse-
ment 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.
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
written.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
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BY~T7'~_ .Y
Ma 81rman
(Seal)
Attest: DANNY 1.. KOLHAGE, Clerk
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Cler
GUIDANCE CLINIC OF THE UPPER
KEYS, INC.
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