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City of La Porte <br />Emergency Medical Services <br />604 West Fairmont Parkway <br />La Porte, Texas 77571 <br />(281) 471 -9244 <br />EMERGENCY 9 -1 -1 <br />Ray Nolen <br />Chief <br />October 1, 2011 <br />Emergency Medical Seivices — Provider Agreement <br />The current agreement between the City of La Porte and facilities located within the Battleground Industrial District <br />for Emergency Medical Seivices will expire on September 30, 2011. <br />The City of La Porte Avould like to re -neiv these particular agreements during the upcoming month to facilitate <br />continuous coverage of Emergency Medical Seivice for your facility for a period of 36 months. The current <br />agreement is based on a fee of $22.76 per on -site employee. The attached renewal agreement reflects an increase to <br />$26.86 per on -site employee based on increases mainly associated with the City of La Porte having to place an <br />additional 24 hour ambulance into service during the upcoming fiscal year to meet the call demand for the areas that <br />the City of La Porte EMS seines. This additional cost is fairly substantial and has to be shared 1vith contracted areas <br />as Avell as the citizens of La Porte to help better serve eveivone`s emergency medical needs. <br />This agreement Avill be valid for a period of 36 months with invoices being processed for payment amorally. <br />Facilities located ivid" the Battleground Industrial District that elect to not enter into an agreement and remit <br />associated fees will continue to receive Emergency Medical Seivices responses provided by the City of La Porte as <br />needed, however, a "Non- Member Fee" of $1500.00 will be charged to the Non - Member facility on a per response <br />basis. This fee will be separate from any customary patient billing. <br />Please review, sign and return all (3) copies of the agreement along with a copy of the completed invoice and your <br />payment. <br />Should any questions or concerns arise as a result of this notice, please feel free to contact me at your earliest <br />convenience. <br />This new agreement would expire September 30, 2014. <br />Thank v ou, <br />Rai Nolen <br />Chief <br />281.471.9244 <br />nolenrWIlaportetx.gov <br />