Laserfiche WebLink
<br />Rider <br />to <br />MASTER SERVICES AGREEMENT <br />between <br />MAXIM HEALTH SYSTEMS, LLC <br />and <br />City of North Olmsted <br />FOR FACILITY AND PUBLIC IMMUNIZATION <br />THIS RIDER (this "Rider") TO THE MASTER SERVICES AGREEMENT (the "AgreemenY") is entered into <br />as of the 28t1i day of January, 2008 (the "Effective Date"), by and between MAXIM and CLIENT referenced therein. <br />WHEREAS, CLIENT desires to provide Services for members, residents, employees and/or the general <br />public as identified by CLIENT (whether one or more, collectively, the "RECIPIENTS") at the CLIENT'S facility, and <br />has entered into an Agreement with MAXIM to provide Services at CLIENT requested locations ("CLINIC(S)"); and <br />WHEREAS, MAXiM employs Personnel and is willing to provide such Personnel to provide these Services <br />at CLIENT'S CLINIC(S) according to the terms and conditions set forth herein. <br />1.1 Personnel. MAXIM wili supply CLIENT with Personnel who meet the following criteria: <br />1) Possess current state license/registration and/or certification <br />2) Possess CPR certification. <br />3) Possess proof of pre-employment screening, including, as required by state law, a physical and TB skin <br />test, professional references, criminal background check(s) (and drug screenings as requested by <br />CLIENT at CLIENT'S sole expense). <br />1.2 Promotional Materials. MAXIM shall provide reasonable quantities of promotional materials for CLINICS. <br />1.3 Consent Forms. RECIPIENTS will each be required to read and sign a consent form prior to receiving <br />Services. MAXIM will provide consent forms to RECIPIENTS at the time Services are rendered. <br />1.4 Compensation. <br />CLIENT to choose one of the following payment methods by initialing: <br />a. MAXIM will bill Medicare Part B for RECIPIENTS that have coverage through Medicare Part B and who <br />provide proper documentation prior to receiving Services as proof of such coverage. CLIENT will be <br />responsible for payment for RECIPIENTS that do not have Medicare Part B coverage or who do not provide <br />proper documentation of said coverage. Rates wilt be charged as set forth in Section 1.6 below. <br />b. XX MAXIM will bill Medicare Part B for RECIPIENTS that have coverage through Medicare Part B and <br />who provide proper documentation prior to receiving Services as proof of such coverage. RECIPIENTS will <br />be responsible for payment for Services if they are not covered by Medicare Part B or do not provide proper <br />documentation of such coverage at the time of the CLINIC. Rates will be charged as set forth in Section 1.6 <br />below. <br />c. CLIENT will be responsible for payment for Services received by RECIPIENTS. Rates will be charged <br />as set forth in Section 1.6 below. <br />1.5 Promotions. CLIENT shall promote CLINICS to RECIPIENTS. Promotions will include, but not be limited to, <br />displaying promotional materials in highly visible settings at least two (2) weeks prior to the date of the CLINIC. <br />Rev. 67/06 ' Copyright 2003-2006 <br />MAXIM HEALTH SYSTEMS, LLC All rights reserved.