HomeMy WebLinkAboutContract 39376 Y SECRETARY
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SERVICES AGREEMENT =®NTRACT NO, �
THIS SERVICES AGREEMENT (the "Agreement") is effective March 1, 2009
("Effective Date") and is made and entered into by and between HARRIS METHODIST FORT
WORTH DB/A TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
("Hospital"), a Texas non-profit corporation, and the CITY OF FORT WORTH, a home-rule
municipal corporation of the State of Texas ("Customer").
RECITALS
WHEREAS, Hospital is in the business of providing health services; and
WHEREAS, Customer desires for Hospital to provide health services to its executives, and
Hospital is willing to provide such services; and
WHEREAS, Hospital and Customer are presently parties to an Agreement for Services, the
same being City Secretary Contract 33068; and
WHEREAS, Hospital and Customer wish to enter into this new Agreement to replace and
supersede City Secretary Contract 33068.
NOW, THEREFORE, for and in consideration of the mutual covenants herein contained
and other good and valuable consideration, the receipt of which is hereby acknowledged, the parties
agree as follows:
1. Services to be Provided. Hospital hereby agrees to provide to Customer the services
described on Exhibit A, which is attached hereto and incorporated herein for all purposes as
though it were set forth at length(the "Services").
2. Term and Termination.
2.1 Term. This Agreement shall apply to Services rendered between March 1, 2009 and
shall continue through February 28, 2011, unless sooner terminated as provided for
herein.
2.2 Termination. Either party may terminate this Agreement at any time with or without
cause upon thirty (30) days' written notice to the other party.
3. Compensation. Customer agrees to pay Hospital the compensation at a rate of up to $500
per covered employee per year as set forth in Exhibit A. Service fees exceeding $500 shall
be paid by the covered employee at the time Services are rendered. It is Customer's
responsibility to notify its covered employees of the Service rates and payment expectations.
Payments shall be made on or about the first day of the month following the month the
Services were provided, but in no event later than the 20`h day of each month, during the
term of this Agreement.
4. Insurance Coverage. Hospital agrees to carry insurance covera e wi -� arrttmrr�Sv"e ge
amounts as follows: OFFICIAL RECOR®
1 CITY SECRETARY
. WORTH,TX
Professional Liability Insurance covering Hospital, its employees, and any other persons
contracting with Hospital for the Services hereunder. Said policies shall contain minimum
limits of liability of$1,000,000 per claim/occurrence and $3,000,000 in the aggregate.
Worker's Compensation and Employers' Liability Insurance covering its statutory and legal
obligations for employee job related injuries or illnesses. Said policy shall provide for
statutory benefits and contain minimum limits of liability of$500,000.00 per accident.
5. Miscellaneous.
5.1 Amendment. This Agreement may not be altered, amended, or modified except by a
written document executed by both parties.
5.2 Assignment. Neither party may assign or transfer this Agreement, or any portion
thereof, without the prior written consent of the other party. Any attempted
assignment or transfer of this Agreement or any portion thereof without such written
consent will void this Agreement. However, Hospital shall have the power and right
to assign its interest in the Agreement to any successor-in-interest of Hospital or to
any subsidiary, parent corporation, sponsor, wholly owned or controlled affiliate of
Hospital.
5.3 Attorneys' Fees and Costs. If either party brings an action to enforce its rights under
this Agreement, each party is responsible for its own costs and attorneys' fees.
5.4 Entire Agreement. This Agreement (including any attachments, exhibits, and
schedules) constitutes the entire agreement between the parties, and supersedes any
and all prior and contemporaneous oral or written understandings.
5.5 Governing_Law, Jurisdiction and Venue. This Agreement shall be governed by,
construed and enforced in accordance with the substantive laws of the State of Texas
(but not including its conflict of laws rules if and to the extent such rules would
apply the substantive laws of another jurisdiction). Venue for litigation of any
dispute arising under this agreement or any lawsuit to enforce or interpret this
Agreement shall be in an appropriate court located in Tarrant County.
5.6 Medicare Access to Records. To the extent required by Section 1395x(v)(1)(1) of
Title 42 of the United States Code, until the expiration of four years after the
termination of this Agreement, Hospital shall, upon written request, make available
to the Secretary of the United States Department of Health and Human Services, or
to the Comptroller General of the United States General Accounting Office, or to any
of their duly authorized representatives, a copy of this Agreement and such books,
documents, and records as are necessary to certify the nature and extent of the costs
of the services Contractor provided under this Agreement.
5.7 Notices. Any notice, request, or other communication required under this Agreement
shall be in writing and shall be deemed to have been given or made if delivered
personally, by overnight delivery service, by United States mail, to the parties at the
following addresses, or at such other addresses as shall be specified in writing by
Services Agreement—CFW and Harris Methodist Fort Worth
either of the parties to the other in accordance with the terms and conditions of this
subsection:
If to Hospital: If to Customer:
Texas Health Fort Worth City of Fort Worth
Attn: Oscar L. Amparan, President Karen Montgomery,Asst City Manager
1301 Pennsylvania Avenue 1000 Throckmorton Street
Fort Worth, Texas 76104 Fort Worth,Texas 76102
Copy to: Copy to:
Legal Department City Attorney's Office
Texas Health Resources 1000 Throckmorton
612 E. Lamar Avenue, Suite 900 Fort Worth,Texas 76102
Arlington, Texas 76011
Attn: General Counsel
5.8 Relationship of Parties. Each party shall operate hereunder as an independent
contractor and not as an officer, agent, servant, or employee of the other party. Hospital
shall have exclusive control of and the exclusive right to control the details of the
Services performed hereunder, and all persons performing same, and shall be solely
responsible for the acts and omissions of its officers, agents, servants, employees, and
subcontractors. The doctrine of respondeat superior shall not apply as between the
Customer and Hospital or their respective officers, agents, servants, employees, or
subcontractors. Nothing herein shall be construed as creating a partnership or
joint enterprise between Customer and Hospital. It is expressly understood and
agreed that no officer, agent, servants, employee, or subcontractor of either party is in
the paid service of the other party. Neither Customer nor Hospital has the right to bind
the other party hereto.
5.9 Severability. Should any clause or provision of this Agreement be held or ruled
unenforceable or ineffective by a court of law, such a ruling will in no way affect the
validity or the enforceability of any other clause or provision contained herein.
IN WITNESS WHEREOF, on the dates set forth herein below:
HARRIS METHODIST FORT WORTH CITY OF FORT WORTH
DB/A TEXAS HEALTH HARRIS
METHODIST H SPITAL FORT WORTH
Joseph De Le n, Vice-President Karen Montgomery, Assist t City M ger
Date: )- D` Date:
`� rov s to Form_ :
Rebecca Tucker, Director of Ambulatory
Clinics/Physician Services
7-44ate: De i . ARREEQ
lroy, Assistant City Attorney
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AMVW Form Qn'. N it
OFFICIAL RECO�As Terri A.DeSio •
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i s VLV" �hF and Harris Methodist Fort Worth Marty Hendrix, ity Secretary
WORTH,TX
EXHIBIT A
1. Hospital shall provide the following Services to Customer for the following Compensation to be paid
by Customer:
The following examinations and tests may be performed according to the stated age guidelines:
Customized Package (male or female) -$500
• Medical History /Physical Examination
• Blood Profile/Comprehensive Labs
• Prostate Specific Antigen(PSA), male only
• Electrocardiogram (EKG)
• Stress Treadmill EKG
• Body Composition/Waist-Hip/BMI
• Chest X-ray or Pulmonary Function Test
• Auditory Test or Vision Screen
• Mammogram,female only
• Pap Smear,female only
• Nutrition Consultation/Diet analysis
• Consultation with Physician (Customized Report)
Healthy Heart Package-$500
• Medical History/Physical Examination
• Blood Profile/Comprehensive Labs
• Advanced Lipid Test
• High sensitivity C-Reactive Protein
• Homocysteine
• Prostate Specific Antigen(PSA), male
• Electrocardiogram (EKG)
• Stress Treadmill EKG
• Body Composition/Waist-Hip/BMI
• Nutrition Consultation/Diet Analysis
• Consultation with Physician/Customized Report
Imaging Services(individually priced)
• Heart Scan, $529.75
• Lung Scan, $422.75
• Abdomen Scan, $422.75
• Pelvis Scan, $422.75
• Virtual Colonoscopy CT Scan, $957.75
Health Scan Package (includes heart, lung, abdomen&pelvis scans),$1,348.25
Discovery Package (includes all scans), $2,086.50
Services Agreement—CFW and Harris Methodist Fort Worth
• Employer agrees to pay the first$500 of charges under this Agreement. Employee shall be responsible
for all charges exceeding$500,which shall be due and payable,in full,at the time services are
rendered.
• In the event an employee chooses to have a preventative scan without a physical exam,a referral from
the employee's physician shall be required (with one exception—preventative heart scans if all Texas
Department of Health requirements are met).
i Coronary Risk Factors: Cigarette smoking,Hypercholesterolemia,Hypertension,Diabetes,Positive family history of
youthful heart disease,sedentary lifestyl
Services Agreement—CFW and Harris Methodist Fort Worth