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EXHIBIT A <br />1523.01 CHARGES. <br />(a) Emergency medical service and ambulance transport shall be provided by the Mayfield <br />Village Fire Department in response to a call for such services within the Village, and outside <br />the Village under provisions of a mutual aid agreement, applicable law governing mutual aid, <br />by agreement with neighboring municipalities. <br />(b) Each non-resident transported by ambulance to a medical facility by the emergency <br />medical services of the Mayfield Village Fire Department shall be charged a user fee* as <br />follows: <br />(1) Basic Life Support Transport (BLS) A flat rate per transport <br /> as determined by the <br /> Village plus related <br /> administrative costs for <br /> collection <br />(2) Advanced Life Support Transport (ALS) A flat rate per transport <br /> as determined by the <br /> Village on an annual <br /> basis plus related <br /> administrative costs for <br /> collection <br />(3) ALS/BLS per loaded transport mile $.10.00 per mile <br />(i) Anon-resident shall mean an individual that resides outside of the Village and <br />excludes residents of Mayfield Village, employees of Mayfield Village and their <br />dependents. <br />(ii) Residents of Mayfield Village, employees of Mayfield Village and their <br />dependents shall not be charged a user fee corresponding to the services provided. <br />For all services provided to residents, employees of Mayfield Village and their <br />dependents the taxes paid to the Village in the form of real estate taxes and/or <br />Village income tax will be considered full payment for the services provided. <br />(c) Usual and customary rate (UCR) shall be accepted by the Village for every person <br />transported even if a provider contract does not exist with the insurance provider. <br />Notwithstanding the acceptance of UCR, co-payments due under individual contracts remain the <br />responsibility of the patient unless otherwise waived under this chapter or by the Fire Chief. <br />