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no portion of this Contract without the prior written
consent ofthe Coordinator.
F. This Contract is the entire agreement between the parties.
G. Attachments I and II are an integral part of the Contract and are hereby
incorporated by reference into this Contract. All subsequent attachments are of an
optional nature.
H. Notice and Contact:
The name and address of the contract manager for the Coordinator for this Contract
IS:
Abra L. McGill
600 Transit Way
Ft. Walton Beach, FL 32547
The representative/position of the Agency/Operator responsible for administration
of the program under this contract is:
Constance Irwin, RN, D.O.N, Administrator
380 Medcrest Drive
Crestview, FL 32536
In the event that difierent representatives are designated by either party after
execution of this Contract, notice of the name and address ofthe new
representative will be rendered in writing to the other party and said notification
attached to originals of this Contract.
This contract and its attachments contain all the terms and conditions agreed upon by the
parties hereto
WITNESS WHEREOF, the parties hereto have caused these presents to be executed.
AGENCY/OPERATOR: COMMUNITY TRANSPORTATION
COORDINATOR
Stnndard CoordInation/Operator Contrnct
Form · July 1!)97
9 of 10
Caring Hearts Pediatric Extended Care Okaloosa County Board of County
Commissioners
Signature: ff6AN gi lAW 21M,
Michele Wheeler
Signature: __________
Charles K. Windes, Jr
Ti tie :_ _ ---'V'-'i""ce"--'-P'-'l""oe"'si""d""en"''t --_ _ _ Title: _ _--"'C,.,h""ai"-'rm~an"___ __
Stnnd l nJ CoordlnailoniOllerator CuntrRct
Forni· July 1997
10 of 10
ATTACHMENT I
AGENCY/OPERATOR CONTRACT
SERVICE DESCRIPTION
1. The Agency/Operator will be able to provide:
Type of Service - ambulatory and non-ambulatory transportation to Okaloosa
County residents for the purpose of receiving service at the Caring Hearts Pediatric
Extended Care Facility in Crestview, Florida. TranspOitation under this agreement
will not be provided for any other facility.
2. The Agency/Operator will be available to provide transportation
Monday through Friday 5:30AM to 7:00PM, with occasional special trips on
Saturdays and Sundays
Days Agency/Operator will not be able to provide services:
None (Holidays and other days are not available.)
3. Vehicles Agency/Operator will use to transport all passengers
(Vehicle Inventory attached)
4. Vehicle/Equipment Standards
As required in the Operator's System Safety Program Plan attached.
5. Driver Requirements (if any)
As required in the Operator's System Safety Program Plan attached.
6. Training
As required in the Operator's System Safety Program Plan attached.
7. Agency/Operator fare structure
$.1.20 per grid mile for Medicaid eligible clients less the $1.00 Co-Pay pel' trip for
those client's not exempt from the Co-Pay requirements.
$4.85 wheelchair load fee will apply.
8. Billing/Invoicing and Reimbursement procedure for Agency/Operator.
Monthly invoice to the Coordinator, or designated representative, no later than the
10tl. of the month following the month for which transportation was provided.
9. Reporting Requirements
Daily trip sheets, trip add on sheets and System Safety Program Plan annually with
Safety Certification
ATTACHMENT II
The Commission for the Transportation Disadvantaged
Standards and Performance Requirements
Pursuant to Rule 41-2.006, Florida Administrative Code, the Community Transportation
Coordinator and any Transportation Operator/Agency from whom service is purchased or
aITanged by the Community Transportation Coordinator shall adhere to Commission
approved standards. These standards shaH include:
(a) Drug and alcohol testing for safety sensitive job positions within the coordinated
system regarding pre-employment, randomization, post-accident, and reasonable
suspicion as required by the Federal Highway Administration and the Federal
Transit Administration;
(b) An escort of a passenger and dependent children are to be transported as locally
negotiated and identified in the local TranspOltation Disadvantaged Service Plan;
(c) Child restraint devices shall be determined locally as to their use, responsibility,
and cost of such device in the local Transportation Disadvantaged Service Plan;
(d) Passenger property that can be carried by the passenger and/or driver in one trip
and can be safely be stowed on the vehicle, shall be allowed to be transported with
the passenger at no additional charge. Additional requirements may be negotiated
for carrying and loading rider property beyond this amount. Passenger property
does not include wheelchairs, cbild seats, stretchers, secured oxygen, personal
assistance devices, or intravenous devices;
(e) Vehicle transfer points sball provide shelter, security, and safety of passengers;
(f) A local toll free phone number for complaints or grievances shaH be posted inside
the vehicle. The local complaint process shall be outlined as a section in the local
Transportation Disadvantaged Service Plan including, advising tbe dissatisfied
person about the Commission's Ombudsman Program as a step within the process
as approved by the local Coordinating Board;
(g) Out of service area trips shaH be provided when determined locally and approved
by the local Coordinating Board, except in instances where local ordinances
prohibit sucb trips;
(h) Interior of aH vehicles shaH be free from ditt, grime, oil, trash, torn upholstery,
damaged or broken seats, protruding metal or other objects or materials which
could soil items placed in the vebicle or provide discomfort for tbe passenger;
(1) Billing requirements of the Community Transportation Coordinator to
subcontractors shall be determined locally by the local Coordinating Board and
provided in the local Transportation Disadvantaged Service Plan. All bills shall be
paid within 7 calendar days to subcontractors, after receipt of said payment by the
Community Transportation Coordinator, except in instances where the Community
Transportation Coordinator is a non-governmental entity;
(j) Passenger/trip database must be maintained or accessible by the Community
Transportation Coordinator on each rider being transported within the system;
(k) Adequate seating for paratransit services shall be provided to each rider and escort,
child, or personal care attendant, and no more passengers than the registered
passenger seating capacity shall be scheduled or transported in a vehicle at any
time. For transit services provided by transit vehicles, adequate seating or standing
space will be provided to each rider and escort, child, or personal care attendant,
and no more passengers than the registered passenger seating or standing capacity
shall be scheduled or transported in a vehicle at any time;
(1) Drivers for paratransit services, including coordination contractors, shall be
required to announce and identify themselves by name and company in a manner
that is conducive to communications with the specific passenger, upon pickup of
each rider, group ofriders, or representative, guardian, or associate of the rider,
except in situations where the driver regularly transports the rider on a recutTing
basis. Each driver must have photo identification that is in view of the passenger.
Name patches, inscriptions or badges that affix to driver clothing are acceptable.
For transit services, the driver photo identification shall be in a conspicuous
location in the vehicle;
(m) The paratransit driver shall provide the passenger with boarding assistance, if
necessary or requested, to the seating portion of the vehicle. The boarding
assistance shall include opening the vehicle door, fastening the seat belt or
utilization of wheel chair securement devices, storage of mobility assistance
devices, and closing the vehicle door. In certain paratransit service categories, the
driver may also be required to open and close doors to buildings, except in
situations in which assistance in opening/closing building doors would not be safe
for passengers remaining on the vehicle. Assisted access must be in a dignified
manner. Drivers may not assist wheelchair up or down more than one step, unless
it can be performed safely as determined by the passenger, guardian, and driver;
(n) All vehicles ordered or put into service after adoption of this section of the Rule,
and providing service within the coordinated system, shall be equipped with two-
way communications in good working order and be audible to the driver at all
times to the base.
LIST OF OPTIONAL ADDITIONAL ATTACHMENTS
Coordinator's Memorandum of Agreement, including Transportation Disadvantaged
Service Plan (Attachment III)
Coordinator's and Local Coordinating Board's Grievance Procedures (Attachment IV)
Coordinator's Safety System Plan (Attachment V)
Annual Operating Report Instructions/Forms (Attachment VI)
Any Entities Purchasing Transportation's Standards (Attachment VII)
Any Reporting Forms (Quarterly Reports to Local Coordinating Board or Coordinator
(Attachment VIII)
Any Billing/Invoicing FOlms (Attachment IX)
Current Coordinator Policies (Attachment X)
