Resolution 065-1984
I '
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Dr. David P. Rice, Executive Director
Guidance Clinic of the Middle Keys
RESOLUTION NO. 065 -1984
RESOLUTION AUTHORIZING THE CHAIRMAN OF THE
BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, TO EXECUTE AN AGREEMENT FOR
BAKER ACT MATCHING FUNDS BY AND BETWEEN THE
BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, AND THE GUIDANCE CLINIC OF
THE MIDDLE KEYS.
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 Agreement for Baker Act Matching Funds by and between
the Board of County Commissioners of Monroe County, Florida, and
the Guidance Clinic of the Middle Keys, a copy of same being
attached hereto.
PASSED AND ADOPTED by the Board of County Commissioners of
Monroe County, Florida, at a regular meeting of said Board held
on the 9th day of March, A.D. 1984.
BOARD O~C UNTY COMMISSIONERS
OF MONRO COUNTY, F~RIDA
/ '
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,',
By , '
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"',_./'~'- -''--;> ~",-, :--,__J
Chairman
(Seal)
At t est: J;>~.l'jY~. ~OLHAGE, ~leJ:k
1'C~M.f~ 0.(
Clerk r
f''!
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AGRE91ENI' I'-DR BAKER Ac:r MA'ICHI~ FUNDS
THIS AGREEMENr, made this
1st
day of
October
, 19~~,-, by
and between the BOARD OF COUNl'Y CU1MISSIONERS OF IDNROE COlMI'Y, FIDRIDA.,
hereinafter referred to as "BOARD", and the Guidance Clinic of the
Mirlrllp Kpys, Tnc.
, hereinafter referred to as "CLINIC"
,
For and inconsiderq,tion of the mutual covenants made herein, the
parties hereby agree as follows:
( 1 ) The Board agrees to reimburse the Clinic
Twenty-five
percent (25%1 of total
Clinic
expenditures for Baker Act
hospital, physician, and crisis stabilization services, as billed by
the
Clinic
on state approved Baker Act Bill ing Fonns (HRS 346)
for clients qualifying for such services under applicable state and
federal regulations and eligibility detenni.nation procedures. 'Ibis
cost is not to exceed a total reimburs€lIEIlt of Twentv-four thousand, four
eighty-four dollars and twenty-
fine cents;; ($23.484 ?C:;) during the period beginning October 1,
1. 9 J!l.. and ending September 30, 19 84 .
( 2 ) The
Clinic
agrees to provide to the Board on a regular
basis a copy of a Baker Act SUl11Ilary Billing Form fran which reimburs€lIEIlt
due the
Clinic;
can be calculated; however, copies of individual
client bills will not be available for inspections by the Board for
reimburs€lIEIlt purposes in order to carply with regulations safeguarding
the patient.s right to confidentiality. Copies of individual client
bills are kept on file in the
C'linic;
business office and will be
made available under controlled condition to qualified auditors for
audi t purposes. The
Clinic
further agrees to provide the Board
any Baker Act statistical data nOTIn-'3.11y 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 agreerrent shall tenninate at 11:59 P.M., September 30, 19JJ4_
and the Board shall not be liable under the tenus of this agreerrent for
any liability incurred after the time of tennination; however, the Board
shall be liable for outstanding costs incurred prior to the tennination
of this agreerrent provided the Clinic
sulxni ts to the Board the
required Baker Act Sl1ITIT\ary Bi 11 ing Fonn wi thin three (3) weeks of the
date of tennination of this agreerrent, provided, however, that the
maximum of reimbursement specif ied above is not exceeded. This agreement
may also be tenninated by either party upon thirty (30) days written
'.
,
-2-
notice delivered by certified mail to the party receiving notice of
tennination.
County warrants or checks written for reimbursement to the
Clinic
shall be made payable to the Guidance Clinic of the Middle Keys, Inc. .
IN WITNESS WHEREoF, the BOARD OF COUNI'Y CCM1ISSIONERS OF r-DNROE
COUNI'Y, FLORIDA, has caused these presents to be signed in its name by
its Chainnan, Board of County Ccm:nissioners, and the Clerk of the Board
of County Ccm:nissioners, and the Guidance Clinic of the Middle Keys,
Inc.
, has caused these presents to be signed in its
name by its President and Executive Director all as of the 9th day
of
March
, 19 84 .
BOARD OF COUNrY CX>>USSIONERS
OF r' fiffiIDA
By Jtn-_ 'A~~
Mayor/Chainnan
(SEAL)
Attest PANNX L. KOLHAGE, Clerk
1.. ~~ LN.u-> 0i\. e o\.k... Q. c. .
<s ~erk .' .
Witness
4P
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President of
,/
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Directors
Witness
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. '-'" Executi~irector
BY