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Home My WebLink About2012-190 Health - Wake Radiology $per view Charge ,7e) - 9 �� HecLtili [Departmental Use Only] TITLE Wake Radiology X-Ray Services FY 2012-2013 ORANGE COUNTY CONTRACT UNDER $25,000.00 NORTH CAROLINA THIS AGREEMENT, made and entered into this 15 day of June, 2012. ("Effective Date") by and between Orange County, North Carolina, a body politic and corporate organized under the laws of the State of North Carolina, (the "County"),by and through the Orange County Health Department("OCHD") party of the first part; and Wake Radiology Diagnostic Imaging, Inc. (the "Provider"), party of the second part. WDTNDlS8DITB8: For the purpose and subject to the terms and conditions hereinafter set forth, the County hereby contracts for the services of the Provider, and the Provider agrees to provide the following services to the County in accordance with the terms of this Agreement, time being of the essence: The term of this agreement shall be from July 1, 2012 to June 30, 2013. Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner to the satisfaction of the County. Provider shall be responsible for all errors or omissions, in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities,mistakes or conflicts at no additional cost to the County. Provider agrees that Provider shall not sub-contract any of the services to be provided in this Agreement, nor shall Provider assign any right or responsibility granted or required by this Agreement,without the prior written approval of the County. SPECIFIC TERMS 1. Scope of Services. The services and/or materials (hereinafter referred to collectively as "Services")to be furnished under this Agreement are as follows: A. Provider. Scope of Work. Orange County Health Department will refer patients to the Provider. Provider will provide the following x-ray services service to patients referred by the Orange County Health Department: 1) The Provider will provide a PA chest x-ray and written interpretation for OCHD referred patients without active TB symptoms. 2) Patients referred to Provider do not need an appointment, but must request the service during the Provider's regular business hours. 3) All patients referred from OCHD must at the time of service present Provider with a current completed chest x-ray voucher from{}[}{D. 4) Provider will provide patients with a PA chest x-ray that will be taken, developed, and read. If ordered by OCHD, a two view chest x-ray will be taken, developed, and read. 5) Provider will mail a written interpretation of the chest x-ray to: Orange County Health Department 2501 Homestead Road Chapel Hill,NC 27516 Attn: Sue Ran kin,R.N. 6) Provider will maintain the x-ray and voucher in their Office. Revised June 2012 1 B. Confidentiality. The Provider will comply with such confidentiality laws as may be applicable in the performance of this agreement and acknowledges that in receiving, storing, processing or otherwise dealing with any confidential information, Provider shall safeguard and not further disclose the information except as permitted by the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191, as amended. 2. Payment: The County agrees to pay at the rates specified for Services satisfactorily performed in accord with this Agreement.The rates specified for the services shall be $62.00 per single view x-ray(71010) and $ 80.00 for a two view x-ray (71020). The total amount to be paid by the County shall not exceedThree Thousand Five Hundred Dollars, ($3,500). Payment shall be within thirty (30) days of an invoice properly submitted to County and mailed to the address provided above in Section 1. Should Provider fail to perform its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. 3. Non—waiver: Failure by County at any time to require the performance by Provider of any of the provisions hereof shall in no way waive or affect the County's right hereunder to enforce the same, nor shall any waiver by the County of any breach be held to be a waiver of any succeeding breach or a waiver of this Non-Waiver Clause. 4. Independent Contractor: The Provider shall operate as an independent Provider, and the County shall not be responsible for any of the Provider's acts or omissions. The Provider shall not be treated as an employee with respect to the Services performed hereunder for federal or state tax, unemployment or workers' compensation purposes. The Provider understands that neither federal, nor state, nor payroll tax of any kind shall be withheld or paid by the County on behalf of the Provider or the employees of the Provider. The Provider understands that no benefits, including Worker's Compensation coverage, will be provided to him by the County. 5. Insurance. A. General Requirements. The Provider shall purchase and maintain during the period of performance of this Agreement Professional Liability Insurance, covering personal injury, bodily injury and property damage and claims arising out of or related to the performance under this Agreement by the Provider. B. Limits of Coverage. The Provider shall maintain professional liability insurance coverage with coverage of at least $1 million, per occurrence, $3 million aggregate while providing services to the County. C. Evidence of Insurance. Evidence of such insurance shall be furnished to the County, together with evidence that each policy provides the County with not less than thirty (30) days prior written notice of any cancellation, non-renewal or reduction of coverage. 6. Indemnity: The Provider agrees to defend, indemnify, and hold harmless Orange County from all losses, liabilities, claims, demands, suits, costs, damages or expenses (including reasonable attorney's fees) arising from bodily injury, including death, to any person or persons or damage to or destruction of any property caused in whole or in part by any negligent or intentional act or omission on the part of the Provider. 7. Termination: This Agreement may be terminated at any time without cause by either Party upon sixty (60) days written notice. This agreement may be terminated with cause at Revised June 2012 2 I any time by either party upon at least 30 days prior written notice to the other party upon default of one or more of its obligations hereunder, unless such default is cured within 30 days of the notice of termination. 8. Entire Agreement: The parties have read this Agreement and agree to be bound by all of its terms, and further agree that it constitutes the complete and exclusive statement of the Agreement between the parties unless and until modified in writing and signed by the parties. Modifications may be evidenced by telefacsimile signature. 9. Governing Law: Both parties agree that this Agreement shall be governed by the laws of the State of North Carolina. Should either party initiate litigation to settle any dispute involving the terms of this Agreement such litigation shall be initiated in the General Court of Justice of North Carolina seated in Orange County,North Carolina. 10. Non Appropriation: Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable and not appropriated for the performance of County's obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability and non-appropriation of public funds. IN WITNESS WHEREOF,Orange County and the Provider have signed this Agreement, effective as of the day first written above. ORANGE COUNTY PROVIDER By: 0:Iii BY> Fraw. W. Clift S,Jr., County Manager Robert E. Schaaf, MD, President 200 S. Came on St. PO Box 19368 P.O. Box 8181 Raleigh NC 27619 Hillsborough,NC 27278 This instrument has been approved as to technical content. Colleen Bridger, MPH, PI 11)-1. . eaTith Department Director This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. Clarence G. Grier, Financial and Administrative Services Director T i . rum been approved as to form and legal sufficiency. An I ette M. M.ire, Staff orney Revised June 2012 3 *tont:ma out $X46$ CERTIFICATE OF INSURANCE This certificate is issued as a matter of information only and confers no rights upon the certificate bolder. This certificate does not amend,extend, or alter the coverage affiirded by the policies listed below. - - INSURED: Wake Radiology Consultants PA Attn: Accounts Payable PO Box 19366 Raleigh,NC 27619 COMPANY AFFORDING COVERAGE: Medical Mutual Insurance Company of North Carolina 700 Spring Forest Road 4th Floor Raleigh,NC 27609 TYPE OF INSURANCE: ClaimsMade Professional Liability POLICY NUMBER: PG112094 RETROACTIVE DATE: April 6, 1976 POLICY PERIOD: FROM:October 1,2011;12:01 A.M. TO:October 1,2012;12:01 A.M. LIMITS OF LIABILITY: EACH CLAIM ANNUAL AGGREGATE 6,000,000 8,000,000 Date Issued; July 29,2011 Auttiorit$14(epussentative CERTIFICATE HOLDER: Wake Radiology Consultants PA Attn: Accounts Payable PO Box 19366 Raleigh,NC 27619 MEDICAL MUTUAL INSURANCE COMPANY FM090INC(06108) OF NORTH CAROLINA RICHBOI)