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2007-011 Resolution
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2007-011 Resolution
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Last modified
1/9/2014 3:51:30 PM
Creation date
12/30/2013 8:01:39 AM
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North Olmsted Legislation
Legislation Number
2007-011
Legislation Date
3/6/2007
Year
2007
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IMMUNIZATION CALENDAR AGREEMENT <br />This Immunization Calendar Agreement (this "Agreement") is entered into this 23rd day of January, 2007 <br />(the "Effective Date"), by and between North Olmsted Senior Center, with offices located at 28114 Lorain <br />Rd North Olmsted, OH 44070 ("FACILITY") and Maxim Health Systems, LLC, with oifices located at 7080 <br />Samuel Morse Drive, Columbia, MD 21046 ("MAXIM"). This Agreement shall terminate on (1) the <br />completion of Services on the date listed below, or (2) December 31, 2006, whichever is later <br />WHEREAS, FACILITY requests influenza andlor pneumonia immunizations (hereinafter, the "Services") for <br />its Medicare Part B patients and Non-Medicare patients (hereinafter, respectively referred to as the <br />"Medicare Part B Participants" and "Non-Medicare Participants," or, collectively, as the "RECIPIENTS") and <br />wishes to engage MAXIM to provide such Services to RECIPIENTS. <br />WHEREAS, MAXIM employs health care personnel to provide Services and is willing to provide such <br />Senrices to FACILITY on the following terms and conditions. <br />Now, therefore, FACILITY and MAXIM agree to the following terms and conditions: <br />Maxim will provide Services to FACILITY on the following day(s) and at the following time(s): <br />Dates <br />Times <br />5, 2007 1 11:00 AM - 4:00 <br />MAXIM will provide Services to eligible RECIPIENTS who sign MAXIM'S consent form in accordance with <br />the following rate schedule: <br />Services Medicare Part B Participants' Non-Medicare Participants' Rate <br /> Rate <br />Influenza No Copay* $30 <br />Pneumonia No Copay' $40 <br />"Subject to payment approval from Medicare Part B and/or participating health plan. <br />Compensation. MAXIM will bill Medicare Part B or participa6ng health plans for RECIPIENTS that have valid <br />coverage and who provide proper documentation of proof of such coverage. RECIPIENTS who do not have <br />Medicare Part B or participating health plan coverage or who do not provide proper documentation of said <br />coverage or tor whom claims for payment are denied will be solely responsible for individual payment. Rates <br />will be charged as set forth herein and RECIPIENTS agree to pay MAXIM at the time of the clinic. FACILITY <br />will not be responsible for any payments for Services. <br />Attomey's Fees. In the event either party is required to obtain legal assistance (including in-house <br />counsel) to enforce its rights under this Agreement, or to collect any monies due to such party for Services <br />provided, the prevailing party shall be entitled to receive from the other party, in addition to all other sums <br />due, reasonable attomey's fees, court costs and expenses. <br />Limitation of Liability. Neither MAXIM nor FACILITY will be responsible for special, indirect, incidental, <br />consequential, or other similar damages including, but not limited to lost profits that the other party may <br />incur or experience in connection with this Agreement or the Services provided, however caused, even if <br />such party has been advised of the possibility of such damages. <br />HIPAA Compliance. In instances where either party receives protected health information ("PHI") of a <br />RECIPIENT in the course of providing Services under this Agreement, the party receiving the PHI agrees <br />Rev. 07/06 Copyright 2003-2006 <br />MAXIM HEALTH SYSTEMS, LLC Al/ righ'z reserved. <br />
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