FRA - Fire Billing

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Agreement
Resources

Number:	UT-09004-SO-2023	Signed On:	07/27/2023 12:44:00.037 MDT
Term:	04/01/2019 - 04/01/2024	Signed By:	Mike Eriksson

Fire Department / District (Cooperator)

Daggett County Sheriff Office
590 S Sheriffs Way
Manila, UT 84046

Business Phone:	4357843255
After Hours Phone:	4357894222
Fax:	4357843251

Representative
Leonard Isaacson	4356216099

Workers Compensation


District Fire Warden
Corey Auger	4358281068

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

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.

Time Period

Kind	Type	Name	Rate	Rate per Staff	Rate per Mile	Max Daily	Min Daily	Staffing (min/max)	Exp Date
Vehicle	Truck, 4X4	D-2	-	$0.00	$1.03 /mi	$0.00	$0.00	0/0	01/01/2024
Vehicle	Truck, 4X4	D-1	-	$0.00	$1.03 /mi	$0.00	$0.00	0/0	01/01/2024
Vehicle	Truck, 4X4	D-3	-	$0.00	$1.03 /mi	$0.00	$0.00	0/0	01/01/2024
Ambulance	ALS TYPE 2	Daggett Ambo 2	$140.00 /Hour	$25.00	-	$1,960.00	$0.00	2/2	-
Ambulance	ALS TYPE 1	E-200	$160.00 /Hour	$0.00	-	$2,250.00	$0.00	2/2	06/30/2024

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