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Systems Design West LLC 6/22/2022
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Systems Design West LLC 6/22/2022
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Last modified
6/25/2024 2:13:35 PM
Creation date
7/8/2022 11:43:16 AM
Metadata
Fields
Template:
Contracts
Contractor's Name
Systems Design West LLC
Approval Date
6/22/2022
Council Approval Date
6/15/2022
Department
Fire
Department Project Manager
Rich Llewellyn
Subject / Project Title
Emergency medical transport billing services
Tracking Number
0003405
Total Compensation
$22.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
Document Relationships
Systems Design West, LLC 6/24/2024 Amendment 1
(Contract)
Path:
\Documents\City Clerk\Contracts\Agreement\Professional Services (PSA)
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PROFESSIONAL SERVICES AGREEMENT <br /> This Professional Services Agreement ("Agreement") is by and between the City of <br /> Everett (the "Provider") having its location at 2801 Oakes Ave Everett, WA 98201 and Systems <br /> Design West, LLC a Delaware limited liability company having their principal place of business <br /> located at 19265 Powder Hill Place NE Poulsbo, Washington 98370 (the "Consultant"). <br /> Collectively the Provider and the Consultant shall be known as the "Parties" and each a "Party." <br /> This Agreement is dated for reference purposes January 1, 2022. <br /> RECITALS <br /> WHEREAS, the Provider and the Consultant desire to enter into this Agreement for the <br /> purposes of the Consultant providing billing and payment processing of EMS patient transport <br /> services; and <br /> WHEREAS, the Consultant represented, and by entering into this Agreement now <br /> represents, that it is fully qualified to perform the work to be performed hereunder in a <br /> competent and professional manner. <br /> AGREEMENT <br /> NOW,THEREFORE, in consideration for the mutual obligations contained herein the Provider and <br /> the Consultant, each intending to be legally bound by this Agreement, hereby mutually covenant <br /> and agree as follows: <br /> 1. SCOPE OF SERVICES. The Consultant shall provide to the Provider specific services related to <br /> the billing and payment processing of EMS patient transport services that are provided to the <br /> general public by the Provider. These specific services are described in the Scope of Services, <br /> which is set forth in this section 1. Without a written directive of an authorized representative <br /> of the Provider, the Consultant shall not perform any services that are in addition to or beyond <br /> the Scope of Services. <br /> 1.1 The Provider, with assistance from Consultant, shall apply for Provider Status <br /> or updated Status with Medicare, Medicaid, and all public and private insurances which will be <br /> billed as a part of this Scope of Services. The Provider is responsible for informing the Consultant <br /> of any subsequent changes that necessitate updates (e.g., changing an Authorized Official) so <br /> that Consultant may complete its duties under this Agreement. The Provider shall assist the <br /> Consultant to obtain the necessary certifications, numbers and documentation needed for <br /> Consultant to provide the services identified in sections 1.2 and 1.3 below, obtain and maintain <br /> credentials for payer websites that require vendor access to be given only through a Provider <br /> representative, and facilitate access for the Consultant's representatives. The Provider agrees to <br /> furnish and assist the Consultant with the following: <br /> 1 <br />
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