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AGREEMENT FOR AMBULANCE BILLING
AND RELATED PROFESSIONAL SERVICES
THIS AGREEMENT (“Agreement”) is made and entered into this 19th day of May, 2014 (the
“Effective Date”) by and between Okaloosa County, FL, located at 90 College Blvd. East,
Niceville, FL 32578 (“Client”) and Advanced Data Processing, Inc., a subsidiary of
Intermedix Corporation, a Delaware Corporation with principal offices located at 6451 North
Federal Highway, Suite 1000, Fort Lauderdale, Florida 33308 (“Intermedix”).
RECITALS
WHEREAS, Client provides emergency and non-emergency medical services, including
ambulance transport (“EMS”), for residents and visitors in its jurisdiction, and charges for such
services; and
WHEREAS, Intermedix provides billing, collection and related consulting services and
equipment for municipalities and other providers of EMS (“EMS Services”); and
WHEREAS, Client, through a selection process conducted in accordance with the
requirements of law and County policies, has selected Intermedix to perform the EMS Services;
and
WHEREAS, the parties hereto now wish to enter into an agreement, pursuant to which
Intermedix will render the Services as hereinafter provided.
NOW THEREFORE, the parties hereto agree as follows:
1. ENGAGEMENT OF INTERMEDIX. During the Term of this Agreement, except for
accounts referred to a collection agency as provided herein, Intermedix shall be exclusively
responsible for the billing and collection of all charges and fees resulting from the delivery of
EMS by Client, including but not limited to all charges and fees to private insurers, Medicare,
Medicaid, other governmental programs, individual patients and their responsible parties
(collectively, “Payors”).
2. SCOPE OF SERVICES. Intermedix shall perform and carry out Services as
specifically described in Exhibit A (the "Scope of Services”; collectively the Scope of Services
and the SaaS Service (as defined in Section 3.01) are the "Services"), which is attached hereto
and incorporated herein by this reference. Client reserves the right to request changes in the
Scope of Services within Intermedix’s capabilities, which changes shall be implemented upon
mutual written agreement of the parties specifying such changes and any change in
compensation attributable thereto.
3. RIGHT TO USE SAAS SERVICE AND RESTRICTIONS.
3.01 Right to Use. During the Term of this Agreement, Intermedix hereby grants to
Client a limited, non-transferable, non-assignable right to access and use the following without
the right to sublicense: (i) Intermedix’s proprietary billing system software (the “SaaS Service”)
as part of the Services provided hereunder, via Internet connection, solely in support of the
billing and collection with respect to the Client’s EMS services; and (ii) any associated end-user
documentation provided by Intermedix (the “Documentation’”) in support of Client’s authorized
access and use of the SaaS Service.
3.02 User Restrictions. Client shall not, and shall not permit others to, without the
express written consent of Intermedix: (i) use, receive, reproduce, copy, market, sell, distribute,
license, sublicense, lease, timeshare, or rent the SaaS Service, any other Service or any
component thereof; (ii) modify, alter, translate or prepare derivative works based on the SaaS
Service or Documentation is permitted; (iii) disassemble, decompile, decrypt or reverse engineer
the SaaS Service or in any way attempt to discover or reproduce source code for the SaaS
Service, or any portion thereof; or (iv) develop or license any third party programs, applications,
tools or other products which interface or interact with the SaaS Service. Client agrees not to
remove the copyright, trade secret or other proprietary protection legends or notices which
appear on or in the SaaS Service, any other Service or the Documentation.
3.03 Hosting of Application. Intermedix shall establish and maintain a production
version of the SaaS Service for Client’s use, including any necessary physical links to the
Internet via an Internet service provider or through a direct Internet connection. The SaaS
Service shall reside on a server or cluster of servers which are physically located at Intermedix’s
place of business or at a third-party site. The SaaS Service may reside on a server or cluster of
servers used for the applications of other Intermedix customers.
3.04 Internet Access. Client shall be responsible for providing its own Internet access
necessary to provide the SaaS Service, and in no event shall Client be provided with direct
access (by modem or otherwise) to the SaaS Service server, other than access that is available to
third parties generally through the Internet. The parties acknowledge that, since the Internet is
neither owned nor controlled by any one entity, Intermedix makes no guarantee that any given
user will be able to access the SaaS Services at any given time. There are no assurances that
access will be available at all times and uninterrupted, and Intermedix shall not be liable to
Client for its inability to access the SaaS Service for reasons outside of Intermedix’s control.
3.05 Limitation of Access to SaaS Service. Client’s right to access and use the SaaS
Service will vary depending upon the scope of the Services being provided by Intermedix. By
way of example, if Intermedix is responsible for inputting Client’s data, Client’s access to the
SaaS Service will not include the ability to input, delete, or otherwise change such data.
Moreover, access to data shall be limited to the employees, representatives and agents of
Intermedix and the authorized Users (as defined below) of Client. A complete and signed access
form for each of Client’s Users authorized to access the SaaS Services must be submitted to and
approved by Intermedix. “User” means with respect to the SaaS Service or any other Intermedix
product identified in an Exhibit: @) any employee of Client or (ii) any medical professional who
is authorized to perform medical services for Client within the applicable Client territory or
jurisdiction as of the Effective Date. Client shall not permit the access or use of the SaaS Service
by a third party, other than Client’s Users who have complied with the terms and conditions of
this Agreement, whether to provide services for Client or otherwise, without Intermedix’s prior
written consent.
3.06 Reporting. Operational and financial data reports for Client will be available on
the SaaS Services when the SaaS Service is available. The format and content of the data will be
established and defined by Intermedix and such reports may be added, modified or deleted
without notice to Client. Notwithstanding the foregoing, Client may request that specific,
custom reports be made available to it at an additional charge to be negotiated between
Intermedix and Client.
3.07 Acknowledgement with Respect_to Reports. With respect to each report
generated for Client as part of the SaaS Service, Client acknowledges and agrees: (i) such report
represents a “snapshot” of a moment in time, and as such, the snapshot may not be accurate with
respect to financial results on the whole; (ii) the underlying data may be subject to correction
from time-to-time, which may change the results of the report or its interpretation; and (iii) the
data represented in the report constitutes only a limited portion of all data available regarding
Client’s business. Accordingly, any particular report may not accurately represent the Client’s
then-current or future financial condition.
3.08 Third Party Software. The SaaS Service may incorporate software under a license
to Intermedix from a third party (“Third Party Software”). If the licensor of any commercial off-
the-shelf Third Party Software requires Client’s agreement to the terms and conditions of such
use through an End User License Agreement (“EULA”), Intermedix will provide such EULA to
Client. In order to use the SaaS Service, Client agrees to be bound by all EULA(s) provided
during the Term whether by hardcopy or displayed upon installation or use of the SaaS Service.
Client’s use of the SaaS Service subsequent to such notice(s) shall constitute Client’s acceptance
of the EULA(s). Client shall not use any Third Party Software embedded in, or provided in
connection with the SaaS Service on a stand-alone basis or in any way other than as embedded
in, provided in connection with, or for use with the SaaS Service and the applicable EULA.
3.09 Intellectual Property. Client agrees that the equipment, computer hardware and
software, billing and collection processing, Services, SaaS Service and other related systems and
equipment are the property and trade secrets of Intermedix, and that Client will not release any
information regarding such Confidential Information (as such term is defined in Section 11.01)
and/or trade secrets of Intermedix to any third party without the prior written consent of
Intermedix. Client further agrees that, in connection with the use of certain data entry devices,
Client may gain access to the intellectual property of third parties. Client understands and agrees
that it may be required to enter into agreements with respect to such intellectual property in order
to use such equipment. Client agrees to enter into such arrangements at Intermedix’s request.
3.10 Audit Rights. From time to time and upon reasonable prior written notice,
Intermedix may audit Client’s use of the Services to help ensure that Client is in compliance with
the terms and conditions of this Agreement, including, but not limited to, any payment terms.
Any such audit will be conducted during regular business hours at the applicable facilities of
Client. Client will identify and cooperate with Intermedix (or its representatives) to provide
Intermedix (or its representatives) with reasonable access to all relevant equipment, personnel
and records.
4. CLIENT RESPONSIBILITY.
4.01 Generally. Client is responsible for all activity occurring under its User accounts
and shall abide by all applicable laws and regulations in connection with its use of the SaaS
Service. Client will immediately (and in no greater than twenty four (24) hours from Client’s
knowledge of the following) notify Intermedix and use best efforts to cease any further of the
following: (i) any unauthorized use of a password or account or any other known or suspected
breach of security; (ii) any copying or distribution of any content or other intellectual property of
Intermedix related to the Services that is known or suspected by Client or its Users; (iii) any use
of false identity information to gain access to or use the SaaS Service or (iv) any loss or theft of a
hardware device on which a User has access to the SaaS Service (each of subsections (i) through
(iv) a “Security Breach Event”). To the extent that any Security Breach Event involves Protected
Health Information (as defined below), and is subject to the Health Insurance Portability and
Accountability Act of 1996 (Pub. L. No. 104-191, 110 Stat. 1936), including the privacy and
security rules promulgated thereunder (“HIPAA”), as amended by the Health Information
Technology for Clinical Health Act (Pub. L. No. 111-5, 123 Stat. 115) (the “HITECH Act”),
Client shall comply with all applicable requirements under such laws, including any applicable
breach notification requirements (i.e. notifications to affected individuals, the Department of
Health and Human Services (“HHS”), and prominent media outlets) (the “HIPAA
Notifications”) triggered by the Security Breach Event. "Protected Health Information" means
Individually Identifiable Health Information (defined at 45 C.F.R. § 164.501), transmitted or
maintained in any form or medium, concerning individuals for whom the Client has performed.
EMS.
4.02 Rights Following Notification. Upon Intermedix’s receipt of notification given
by the Client of a Security Breach Event, Intermedix shall have the right to
