HomeMy WebLinkAboutC20030483 Contract Modification 1 SKAGIT COUNTY
AMENDMENT#1 Contract # A20040036
ORIGINAL AGREEMENT#C20030483 Page I of 1
The City of Anacortes, hereinafter called "Anacortes", and Skagit County, hereinafter called
"County", agree to amend Agreement No.C20030483, as set forth below under "Terms of
Amendment.'
TERMS OF AMENDMENT:
4. TERM OF AGREEMENT: The term of this Agreement shall be from April 1, 2003
through December 31, 2004.
5. MANNER OF FINANCING: This Agreement shall be funded with EMS levy funds and
no other County funds. County agrees to pay Anacortes a total of$334,319.56 for
April 1-December 31, 2003, and $463,590.40 for 2004 for the services provided herein.
Payment shall occur in monthly installments upon submission of an invoice by
Anacortes.
8. REPORTS: Anacortes shall complete a Medical Incident Report (MIR) form, approved
by the EMS Commission, for the recording of pertinent ambulance response and patient
care information for each call. Anacortes shall retain a file copy of this report, separate
from any other patient care record, and provide one (1) copy of the report to the Skagit
County EMS Medical Program Director, or his/or her designee, for review. A copy of the
currently-approved form is attached hereto as Exhibit D.
Anacortes shall submit the MIR information electronically to the EMS Commission, at the
end of each month, but no later than the 5th of the ensuing month. Anacortes shall
provide a data transfer application so that the information is received in the same format
as the Skagit County EMS Commission data collection system. The County shall
reimburse Anacortes up to a maximum of $5,000 for the development of a data
transfer application program. The data transfer application program shall be
installed and functioning prior to April 1, 2004. ALS Ambulance operational and
financial information shall be provided to the EMS Commission, upon request, to assist
in the cost efficiency review process.
All other terms and conditions of the original contract shall remain in effect.
Date: Alotn r� oho
APPROVED: i
CITY OF ANACORTES BOARD OF UNTY CI MISSIONERS
SKAGI COUNTY, WASHINGTON
(7\/- (thZed./..AGZOOC--)
H. Dean Maxwell, Mayor ed W. Anderson, Chairman
Mailing Address Gig.Y)
Sixth Street & Q Avenue Do Munks, Com sinner
Anacortes WA 98221 Q
Kenneth A. Dahlstedt, Commissioner
Approved: f�
By: �y — �/ Recommended:
Ian S. Munce �j
City Attorney By: ,/a aid.--
Department Head
•
By:
Financ rector
Approved as to Indemnification:
By: --,
Risk Manager
Attes Approved as to Form:
ilLt r1, By: `0
J.Anne ':sbrecht, lerk of the Board Deputy Prosecuting Attorney