Ground Transportation Agreement GROUND TRANSPORTATION
AGREEMENT
This AGREEMENT is made and entered into this 10th day of
JulY ,2013 between City of Salina FMS (hereinafter referred to as
"Ground Ambulance Service") and LifeTeam(hereinafter referred to as "Air Ambulance
Service".)
Whereas, "Ground Ambulance Service" owns and operates a Licensed Ground
Ambulance Service business which provides emergency and non-emergency ambulance
services; and
Whereas,"LifeTeam"operates an Air Ambulance Transportation Service and
requires ground ambulance services intermittently.
Now, Therefore, in consideration of the above premises and mutual covenants and
promises contained herein,the parties agree as follows:
1. Ground Ambulance Service agrees to provide ground transportation and
driver for the patient and flight crew and return trip for the flight crew when
necessary. Flight Crew will be in attendance throughout transport.No patient
care will be provided by Ground Ambulance.
2. Compensation: "Air Ambulance Service"agrees to reimburse "Ground
Ambulance Service" for transport services rendered and further agrees that
payment shall be made within Thirty(30)days from the date of transport.
3. Flat Fee: "Ground Ambulance Service" may invoice"Air Ambulance
Service"a Flat Fee of$300.00 to include transportation of the patient and/or
Flight Crew to and from airport/point of pickup and when necessary,the
return of the flight crew to the airport.
4. Term: The term of this agreement shall be for a period of(12)twelve months
and shall remain in effect until written notification of intent to change or
terminate is provided. Either party may terminate this Agreement or propose
its modification by providing written notification to the other party at least
(60) sixty days prior to the effective change/termination date.
5. Special Terms: It is agreed that should "Ground Ambulance Service"be
unavailable, an attempt may be made to arrange transportation through an
alternate provider. However,it is understood that this agreement will NOT
apply to alternate transportation providers and"Air Ambulance Service"will
be subject to said alternate transportation provider's rates. "Ground
Ambulance Service" assumes no responsibility for payment of any services
not provided directly by "Ground Ambulance Service".
utho . d Signat e Date Aut onzed Signature Date
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/ LtfeTeam
P.O. Box 672
Newton,KS 67114 -
(877)213-5433