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LETTER OF UNDERSTANDING
BY AND BETWEEN
KITSAP COUNTY SHERIFF'S OFFICE
AND
CITY OF BREMERTON FIRE DEPARTMENT
The parties, the Kitsap County Sheriffs Office (hereinafter the"Sheriffs Office") and
City of Bremerton Fire Department (hereinafter the "Medical Service Provider"), having
negotiated regarding the cost of uninsured medical expenses for inmates at the Kitsap
County Jail as contemplated under RCW 70.48.130, hereby agree as follows:
A. The Medical Service Provider agrees to seek payment first through an inmate's
individual or group insurance program or government-sponsored program, prior
to sending a bill for services to the Sheriff's Office.
B. The Sheriff's Office agrees to provide reasonable assistance to the Medical
Service Provider in obtaining information around any individual or group
insurance program or government-sponsored program the inmate is entitled and
to pass this information on to the Medical Service Provider.
C. The Medical Service Provider agrees to make reasonable attempts toward
obtaining information around any individual or group insurance program or
government-sponsored program the inmate is entitled and to pass this
information on to the Sheriff's Office,
D, Any payment received by the Medical Service Provider from any individual or
group insurance program or government-sponsored program the inmate is
entitled to represents the full payment for such services and the Sheriffs Office
is not liable for any uncovered expenses.
E. The Sheriff's Office will pay 60% (sixty percent) of the Medical Service
Provider's current rate structure for any medical services rendered by the
Medical Service Provider retroactively beginning July 1, 2014 for inmates who
are not covered by an individual or group insurance program, or government-
sponsored program.
F. Termination: This Letter of Understanding may be terminated by either party,
for cause or convenience, on ninety (90) days written notice, delivered to the
Sheriff's Office or the Medical Service Provider.
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G. Effective Date: This Letter of Understanding shall be in full force and effect
retroactively to July 1, 2014 and shall remain in effect until terminated as
outlined above.
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For the Medical Service Provider:
Signed this . ' day of ` 2015.
Please sign • t
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ALL 1 sod l,t.,, 1r�_ �rL� Chf f&T'
Please print your name
Medical Service Provider Representative
For the Sheriff's Office:
Signed this 30'6 day of AIOVeltthett12015
Ned Newlin, Chief of ctions
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