Resolution 289-1986
David P. Rice, Ph.D.
Executive Director - Guidance
Clinic of the Middle Key, Inc.
RESOLUTION NO. 289 -1986
A RESOLUTION AUTHORIZING THE MAYOR AND
CHAIRMAN OF THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA, TO EXECUTE AN
ADDENDUM TO AGREEMENT BY AND BETWEEN THE
BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, AND THE GUIDANCE CLINIC OF
THE MIDDLE KEYS, INC. CONCERNING AN INCREASE
IN FUNDING FOR BAKER ACT SERVICES.
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, as follows:
That the Mayor and Chairman of the Board of County Commis-
sioners of Monroe County, Florida, is hereby authorized to
execute an Addendum to Agreement by and between the Board of
County Commissioners of Monroe County, Florida, and the Guidance
Clinic of the Middle Keys, Inc., a copy of same being attached
hereto, concerning an increase in funding for Baker Act Services.
PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida, at a regular meeting of said Board held
on the u;1::1.
day of Se..rie.m be t"
, A. D. 1986.
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
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to: L)....."'~~ . ~ ......"'
Bv .-
J ~~YOR/CHAIRMAN ~
(Seal)
A ttes t : PM:NX_4 ~O~GE, Clerk
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ADDENDUM TO AGREEMENT
THIS ADDENDUM, made this
day of
, 1986,
by and between the BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, hereinafter referred to as "BOARD", and the
GUIDANCE CLINIC OF THE MIDDLE KEYS, INC., hereinafter referred to
as "CLINIC".
Act hospital, physician and crisis stabilization services for
For and in consideration of the provision of providing Baker
Monroe County patients, the parties hereby agree as follows:
(1) To amend paragraph one (1) of its Agreement entered
into on January 24, 1986, copy attached hereto, by adding to the
amount payable by the BOARD a sum not to exceed $4,120.00 for the
providing
of Baker Act hospital,
physician and crisis
'stabilization services for Monroe County patients, for a total of
$32,277.00.
IN WITNESS THEREOF, the BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, has caused these presents to be signed in
its name oy its Chairman, Board of County Commissioners, and the
GUIDANCE CLINIC OF THE MIDDLE KEYS, INC., has caused these pre-
sents 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/ CRA IR~..AN
(SEAL)
Attest:
CLERK
~
BY
Signed, Sealed and Delivered
In Our Presence:
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fJ~ ~~
GUIDANCE CLINIC OF THE MIDDLE
KEYS, INC.
BY~
L~~.L en ar 0 l.rectors
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By_ ~
xecu t1. ve' l.~ec tor
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AGREEMENT FOR BAKER ACT MATCHING FUNDS
THIS A~REEMENT, made this ~ day of ~q II \.4 a r'-j ,. 1986, by
and between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,
FLORIDA, hereinafter referred to as "BOARD", and the GUIDANCE
CLINIC OF THE MIDDLE 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 $112;628.00 expenditures for Baker Act
hospital, .physician, and crisis stabilization services, as billed
to the Clinic on state approved Baker Act Billing Forms (HRS 346)
for-~lients qualifying for such services under ~pplicable state
'and federal regulations and eligibility determination procedures.
This cost is not,to exceed a total reimbursement of Twenty Eight
"
Thousand One Hundred Fifty Seven Dollars ($28,157.00) during the
period beginning October 1~ 1985, and ending September 30, 1986,'
(2) :The C1iriic 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 bill~ 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 annua~
report to th~ Board of the expenditure of County funds for the
above specified purposes.
This agreement shall terminate at 11:59 P.M., September 30,
1986 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
Clinic SUI:Jill.L l..o to the Board the .required Baker Ac... ..,uuunary
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 writt~n 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 payab1~ to the Guidance Clinic of the Middle
Keys, Inc.
IN WITNESS WHEREOF, the BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA, has caused these presents to be signed in
its name ~y its Chairman, Board of County Commissioners, and the
Clerk of the Board of County Commissioners, and the Guidance
Clinic of the Middle Keys, Inc., has caused the~e 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
BY'~\~>-~.
Mayor/Chairman
(Seal)
Attest:
'-42L/4"''<7 J)L
" / C erk
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, GUIDANCE CLINIC OF THE MIDDLE
KEYS, I
1rectors
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By 4T({:!,-.L. L -----
xecutiv~'6irector
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; Witnesses
APPROVED AS TO FORM
EGAL surFICIEf~CY.
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BY Attornols Ofllc{J
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