FRA - Fire Billing

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Agreement
Resources

Number:	UT-45015-2021	Signed On:	01/16/2020 15:09:59.953 MST
Term:	01/16/2020 - 01/16/2025	Signed By:	Dave Vickers

Fire Department / District (Cooperator)

Terra Volunteer Fire Department
c/o Tooele Fire Warden
Tooele Utah, UT 84074

Business Phone:	435-833-8123
After Hours Phone:	435-241-0027
Fax:

Representative
Gerald Neil	435-830-8347

Workers Compensation
Utah Local Governments Trust	Connie Booth	720-963-7182

District Fire Warden
Dan Walton	435-241-0027

Memo

State Area Office (ADO Payment)

Utah Division of Forestry, Fire and State Lands
1594 W. North Temple, Ste# 3520
Salt Lake City, UT 84116

Fire Business Manager
Ben Huntsman	801-538-5413

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Special Provisions

Ambulance transport fees will be billed separately to patients at the prevailing service area rate. Ambulances will not bill the fire while in transport status.
FEPP – Federal Excess Property Program, rate reduced 34%.
Medical supplies used to treat incident personnel will be reimbursed at the prevailing rate.
Mileage rate, -mileage start/stop must be documented for per mile rates to apply.
Transport rate will be determined by actual miles or the daily maximum, whichever is greater.
Type 1 structure engines may reduce staffing levels to Type 2.

Time Period

Kind	Type	FEPP	Name	Rate	Rate per Staff	Rate per Mile	Max Daily	Min Daily	Staffing (min/max)	Exp Date
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