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City of Kelsey
GENERAL SERVICES AGREEMENT
THIS AGREEMENT, dated this 7th day of February 2008, is
made by and between the City of
Kelsey, hereinafter referred to as the "City", and the Taylor
Ambulance Company, hereinafter
referred to as “Taylor.”
WHEREAS, the City is desirous of contracting with Taylor for
the performance by its appropriate
officers and employees of emergency transport services within
the jurisdictional boundaries of
the City, and
WHEREAS, Taylor is agreeable to performing such services
pursuant to the terms and conditions
hereinafter set forth, and
WHEREAS, such contracts are authorized and provided for by
the provisions of the ordinances
of the City.
THEREFORE, THE PARTIES MUTUALLY AGREE AS
FOLLOWS:
1. Taylor agrees, through its officers and employees, to provide
emergency transport
services for the City.
a. Taylor shall provide such services for those incidents and at
such places and
times as the City shall direct through the City’s 911-dispatch
system.
b. “Emergency Transport” shall encompass
i. Having appropriately trained personnel appear at the scene of
each
incident to which the City’s 911 dispatch system directs Taylor
to
respond.
ii. Providing on-scene emergency aid as necessary and
appropriate.
iii. Physically transporting all injured parties at said scene who
require
additional medical attention to the nearest facility that can
provide the
appropriate care for the patient’s injuries.
General Services Agreement
Taylor Ambulance Company
2
2. Taylor is responsible for providing and maintaining all of its
own equipment at its own
expense.
a. The City is aware that as of the date of the execution of this
contract, Taylor does
not have appropriately appointed airplanes or helicopters to
transport injured
patients and, therefore, it is understood that during the term of
this contract,
“transport” shall be by means of a motor vehicle ambulance.
b. Taylor must maintain communication with the City’s 911-
dispatch center on a
24-hour/7 days per week basis.
i. The City will allow Taylor to connect to its 911-dispatch
facility via a hard
telephone line. Taylor will be responsible for all expenses
associated with
the connection of said line and the rental and maintenance of
said line.
ii. Taylor shall also connect to the 911-dispatch facility via
radio and the
Internet. The City will provide technical information to
facilitate said
connections. Taylor will be solely responsible for any costs
associated
with establishing and maintaining said connection to the 911-
dispatch
facility.
iii. Taylor is required to be in two-way communication with all
of its
ambulances that are currently in service.
c. Taylor must have a minimum of eighteen (18) ambulances
that are running,
staffed and stocked in service and available for emergency
transport at all times
during the term of this contract.
3. Taylor shall serve as the primary provider of emergency
transport services for the City of
Kelsey.
a. Taylor acknowledges that the City of Kelsey Fire Department
may also provide
emergency transport services.
b. The City’s 911 dispatch facility shall make the determination
as to which entity
will be sent to an incident scene based upon the number of
patients, the
seriousness of the reported injuries, the type of incident, the
location of
emergency transport vehicles and such other factors as the City
may determine
to be relevant. The City’s 911 dispatch facility decisions as to
what entity will be
used for a particular emergency transport shall be final.
c. Taylor may subcontract with another emergency transport
company to fulfill the
terms of this contract.
i. Any such subcontract must be expressly approved by the City
prior to the
delegation of any of Taylor’s responsibilities.
General Services Agreement
Taylor Ambulance Company
3
ii. Any company to which Taylor subcontracts duties under this
contract
must be duly licensed and bonded as required by applicable
state and
local laws.
iii. Any such subcontractor may not respond to more than 20%
of the
emergency transport calls directed to Taylor within any given
month
under this contract.
iv. Taylor agrees to indemnify and hold the City harmless for
any claims that
may be made against any company that acts as a subcontractor
for Taylor
under this contract.
4. Any ambulance owned by Taylor or any of its designees
shall:
a. Be in good working order, shall have passed any applicable
inspections and shall
be duly licensed.
b. Be staffed by properly trained and licensed personnel, in
accordance with any
applicable state or local laws or ordinances.
c. Be stocked with appropriate supplies and equipment, in
sufficient quantities to
meet the needs of reasonably anticipated emergency situations.
d. Be able to respond to emergency situations and provide
assistance and medical
treatment that meets the standard of care established in the City
of Kelsey.
5. Taylor agrees to fully indemnify the City from any and all
claims that may be made
against Taylor and/or the City that arises out of the actions of
Taylor, its officers,
directors, employees, subcontractors or assignees in
performance of this contract.
6. The City shall pay Taylor the sum of Eight Hundred Twenty-
Nine and 40/100’s Dollars
($829.40) for each emergency transport it performs.
a. Taylor is responsible for all costs associated with each
emergency transport
including, but not limited, gas and oil for the ambulance, gauze,
bandages, tape,
medications, gloves, masks, syringes, tubing, oxygen, blankets,
bedding,
depreciation of equipment, etc.
b. At the close of each month, the City’s Purchasing Department
shall prepare a
report summarizing all of the emergency transports authorized
by the City
during the immediately preceding month. Said report shall
show the total
number of emergency transports handled by the City of Kelsey
Fire Department
and Taylor. Upon completion of the report, a copy shall be sent
to Taylor via
First-Class mail, postage prepaid.
c. Upon receipt of the report, Taylor shall have ten (10) days in
which to inform the
City of whether it accepts or rejects the accounting.
d. In the event Taylor rejects the monthly accounting, it shall
notify the City of such
decision within ten (10) days. Said notice shall be in writing,
sent via First-Class
General Services Agreement
Taylor Ambulance Company
4
mail, postage prepaid, to the appropriate officer of the City of
Kelsey Purchasing
Department.
i. Upon learning that Taylor is opting to reject the monthly
accounting, the
Director of Purchasing shall schedule a meeting within ten (10)
days of
the receipt of Taylor’s notice of rejection. Representatives of
Taylor, the
City Purchasing Department, the City of Kelsey Fire
Department and the
City’s 911 dispatch facility shall be invited to the meeting.
• The Director of Purchasing may also invite such other people
to
the meeting as he/she, in his/her sole discretion, believes may
have knowledge helpful to a resolution of the matters in dispute.
• Taylor may have legal counsel in attendance at the meeting,
but
legal counsel is not to appear in place of Taylor and such
officers
or employees of Taylor with knowledge of the matters in
dispute
must be in attendance.
• Any of Taylor’s subcontractors to this contract may also be
present at the meeting. Notice of the time and place of the
meeting to be given to the subcontractors is the sole
responsibility of Taylor.
ii. After discussion of the disputed issues, if all parties consent,
the monthly
accounting shall be modified as the parties agree. In that event,
payment
to Taylor shall be made in accordance with §6.e. herein.
iii. After discussion of the disputed issues, if all parties cannot
agree on an
adjustment to the monthly accounting, the issue shall be
referred to
binding arbitration in accordance with procedures of the City of
Kelsey
Purchasing Department.
e. In the event Taylor accepts the monthly accounting, it shall
notify the City of
such decision within ten (10) days. Said notice shall be in
writing, sent via First-
Class mail, postage prepaid, to the appropriate officer of the
City of Kelsey
Purchasing Department.
i. The City shall have thirty (30) days from the receipt of
Taylor’s notice of
acceptance in which to tender payment to Taylor for the
services
performed and reflected in the monthly accounting.
ii. Taylor is solely responsible to compensating any of its
subcontractors for
any services they may have performed in the emergency
transports
reflected in the monthly accounting. Taylor shall completely
indemnify
the City for any claims for payment made by any of Taylor’s
subcontractors.
General Services Agreement
Taylor Ambulance Company
5
7. Taylor shall begin providing emergency transport services to
the City as of 12:00 a.m. on
March 1, 2008 and for purposes of calculating the term of this
contract, March 1, 2008
shall be deemed as the start date of the contract.
a. The parties acknowledge that between the date of the
execution of this
agreement and the start date of the contract as provided above,
Taylor will need
to expend time, effort and money in ensuring that its
communication system is
fully integrated with that of the City’s 911 dispatch facility. In
the event that
Taylor is unable to perform its duties under this agreement, for
whatever reason,
and is unable or unwilling to begin performing emergency
transports on the start
date, the City will not be liable for any of the costs that Taylor
may have made in
preparation for the contract.
8. The initial term of this agreement shall be for a period of
eight (8) years beginning at
12:00 a.m. on March 1, 2008 and ending at 11:59 p.m. on
February 28, 2016.
9. The City shall have the option to extend the agreement for
two additional terms of two
years each. If the City elects to use both of its options to
extend the term of the
agreement, then the agreement will terminate as of 11:59 on
February 29, 2020.
a. In event that the City desires to extend the term of this
agreement for either of
its two, 2-year extensions, the City shall notify Taylor of its
intent to extend the
term of the agreement no later than the last business day of
January of the year
in which the agreement is set to terminate.
b. Notice shall be given in writing and sent to Taylor’s address
via First-Class mail,
postage prepaid.
10. This agreement constitutes the entire agreement between
Taylor and the City. Neither
party shall be bound by any other written or oral statements or
agreements unless
specifically incorporated by reference herein.
IN WITNESS WHEREOF, the parties hereto have caused this
Agreement to be executed by their
duly authorized officers.
______________________________
______________________________
City of Kelsey Taylor Ambulance Company, Inc.
By: Perla Musgraves By: Donna Taylor
Mayor Owner
ENG125: Introduction to Literature
List of Literary Works
For your Literary Analysis, select at least two works from the
list below that share the same type(s) of
conflict(s). Remember, one of them must be a short story. You
can either compare two short stories, a
short story and a poem, or a short story and a play.
o “Country Lovers” (Gordimer, 1975)
o “Hills Like White Elephants” ( Hemingway, 1927)
o “Good Country People” (O’Connor, 1953)
o “The Things They Carried” (O’Brien, 1990)
o “No Name Woman” (Kingston, 1975)
o “Sonny’s Blues” ( Baldwin, 1957)
o “Sweat” (Hurston, 1926)
o “Where Are You Going, Where Have You Been” (Oates,
1966)
o “A Rock Trying to Be a Stone” (Troncoso, 1997)
o “Greasy Lake” (Boyle, 1985)
o “What You Pawn, I Will Redeem” (Alexie, 2003)
o “Let America Be America Again” (Hughes, 1935)
o “What It’s Like to Be a Black Girl” (Smith, 1991)
o “Child of the Americas” (Morales, 1986)
o “To Live in the Borderlands” (Anzaldua, 1987)
o “A Point West of San Bernardino” (Delgado, 2013)
o “America” (Blanco, 1998)
o “Oranges” (Soto, 1995)
o “Poetry” (Neruda, 1982)
o “Burial” (Che, 2014)
o “Ways of Talking” (Jin, 1996)
o “Bright Copper Kettles” (Seshadri, 2010)
o “Blood” (Nye, 1986)
https://docs.google.com/document/d/1YCpWdAG29ub0xMKHg
Ra3fYQuxpThVL9tG-u0Nl3Vp1A/edit?pli=1
http://macaulay.cuny.edu/eportfolios/seminar1fall2010hong/file
s/2010/08/Baldwin-Sonnys-Blues.pdf
http://biblioklept.org/2013/01/21/sweat-zora-neale-hurston/
https://www.d.umn.edu/~csigler/PDF%20files/oates_going.pdf
http://sergiotroncoso.com/stories/rock/index.htm
http://teacherweb.com/WA/CloverParkHighSchool/MsSelby/Gre
asy-Lake.pdf
http://www.newyorker.com/magazine/2003/04/21/what-you-
pawn-i-will-redeem?currentPage=all
http://www.poetryfoundation.org/poem/247372
http://www.poets.org/poetsorg/poem/burial-1
http://www.poetryfoundation.org/poetrymagazine/poem/28203
http://www.poetryfoundation.org/poetrymagazine/poem/240830
ENG125: Introduction to Literature
o “Do Not Go Gentle Into That Good Night” (Thomas, 1952)
o “My Last Duchess” (Browning, 1842)
o “The Boxer” (Simon, 1968)
o “Grief Calls Us to the Things of This World” (Alexie, 2009)
o “The Raven” (Poe, 1845)
o Macbeth (Shakespeare, 1606)
o A Midsummer’s Night Dream, (Shakespeare, 1590)
o Mistaken Identity (Cooper, 2008)
o The Importance of Being Earnest (Wilde, 1895)
Taylor Ambulance
Company
Orientation
&
Field Training Program
New Hire Orientation Schedule (Day 1- 5)
Day Time Duration Training Instructor Total Hrs/day
Mon
0800-0830 0.5hr Welcome – Operation Orientation TBD
0830-1230 4.5hr EVOC - Classroom TBD 8.5 hr
1230-1300 0.5hr Lunch TBD
1300-1700 4hr City of Kelsey Geography TBD
Tues.
0800-0900 1hr Paperwork TBD
0900-1200 3hr EVOC Driving Practice TBD 8 hr
1200-1300 1hr Lunch TBD
1300-1700 4hr Practice and Timed Competition TBD
Wed
0800-0900 1hr Scheduling Software Training TBD
0900-0930 0.5hr Meet & Greet with Leadership
Team
TBD
0930-1030 1hr Dispatch Orientation TBD
1030-1100 0.5hr Ninth Brain/Training Website TBD
1100-1200 1hr Lunch TBD
1200-1300 1hr City of Kelsey Geography TBD 8 hr
1300-1400 1hr Gurney Operation and Safety
Policies
TBD
1400-1500 1hr Cab and Bariatric Orientation TBD
1500-1600 1hr Introduction to PCRs TBD
1600-1700 1hr City of Kelsey Geography TBD
Thurs
0800-0900 1hr Radio Procedures TBD
0900-1100 2hr Capnography, Albuterol, CPAP,
EZ-IO
TBD
1100-1200 1hr Monthly Check/Unit Familiarization TBD 7.5 hr
1200-1300 1hr Lunch TBD
1300-1500 2hr Monthly Check/Unit Familiarization TBD
1500-1530 0.5hr Meet & Greet with Leadership
Team
TBD
1530-1630 1hr Field Training Program Orientation TBD
Fri
0800-1000 2hr Detox TBD
1000-1200 2hr D.A.R. 7 – Step Process TBD 8hr
1200-1300 1hr Lunch TBD
1300-1700 4hr Psych – Restraint and Search TBD
Total Paid Hours = 37.5 hrs
40
Field Training Program Overview – Paramedic and EMT
Clearing Process
Upon successful completion of the new hire training academy,
the employee will move to the appropriate
field training program and begin scheduling their training rides
through the local CES office. The field
training program is a 3 phase process:
Phase 1 – Medical (to include a minimum of 5 scene/911
response calls)
• Employee will drive at all times except when patients are on
board
• Employee will be responsible for medical care and scene
management as appropriate for
certification level
Phase 2 – Driving/Geography
• Employee will be responsible for all ambulance operations to
include driving, routing and
overall operation of the unit
Phase 3 – Clinical Education Services (CES) Clearance Ride
• Trainee will 2nd seat with a member of the CES Department
for final clearance
Testing:
• City of Kelsey Metropolitan Protocols
• Basic Pharmacology – EMT Only
• EKG – Paramedic Only
• Initial Geography Test
• Final Geography Test
Additional Tasks:
• Completion of online training (see Appendix A)
• Completion of Corporate Compliance Training (see Appendix
A)
• Completion of FEMA, ICS, & NIMS Training (see Appendix
A)
• Completion of IV Clinical & Stick Log – EMT Only
• 1 – 8 hour shift on a wheelchair car
• 1 – 4 hour shift observing in dispatch
100% of Patient Care Reports completed by new employees will
be audited by the CES
Department
New employees will receive written evaluations on a daily basis
New employees will complete written evaluations of each FTO
with whom they worked
Training Requirements
Phase One: Medical
Employee Demonstrated
Consistent Competence
(Indicate Shift # when
mastered & FTO signature)
Notes
Shifts 1-2:
Employee is able to effectively
operate on an EMS scene
Employee is able to demonstrate
appropriate safety & awareness
while on scene of calls
Employee is able to correctly
identify the trauma level
designations of all metro area
hospitals
Employee is able to correctly
identify the specialties of metro
area hospitals (to include burn
centers, pediatrics, & hyperbaric
facilities)
Employee achieves a score
>80% for all protocol quizzes.
Employee achieves a score
>80% for all pharmacology
quizzes
Employee is able to complete
mock patient care reports with
minimal assistance.
Shifts 3-4:
Employee is able to accurately
complete primary assessments
Employee is able to accurately
complete secondary
assessments
Employee is able to accurately
interpret EKGs (paramedics only)
Employee is able to correctly
formulate a differential diagnosis
for each patient encountered
Employee demonstrates
proficiency with all skills
appropriate for his/her level of
certification
Employee demonstrates
appropriate knowledge of
customer service issues and
skills
Employee is able to effectively
communicate with patients,
patient’s families, bystanders,
and other agencies
Employee is able to handle all
calls with minimal assistance
from the FTO
Shifts 5-8:
Employee is able to manage all
calls without FTO assistance
Employee is able to effectively
communicate patient information
via radio and hand-off reports
Employee is able to achieve an
80% on Final Protocol Test
Employee is able to complete all
patient care reports
independently
Employee is able to complete all
bubble forms independently
Employee demonstrates
knowledge of Medicare patient
paperwork
Employee demonstrates
knowledge of Medicaid patient
paperwork
Employee demonstrates
knowledge of M1 hold paperwork
Employee demonstrates
knowledge of flight team
transport paperwork
Employee demonstrates
knowledge of the legal blood
draw procedure
Phase 2: Driving/Geography
Employee Demonstrated
Consistent Competence
(Indicate Shift # when
mastered & FTO signature)
Notes
Shifts 1-3:
Employee is able to drive within
established standards without a
patient onboard
Employee is able to drive within
established standards with a
patient onboard
Employee demonstrates ability to
use all emergency lights, signals,
and siren appropriately
Employee is able to safely park
the vehicle on scene
Employee is able to park the
vehicle on scene in a manner
that allows for efficient egress
Employee demonstrates
knowledge of appropriate radio
channel usage
Employee demonstrates
appropriate radio
communications
Shift 4:
Employee completes FTO
administered geography Quizzes
(>80%)
Employee requires minimal FTO
assistance with locating calls
Shifts 5-8:
Employee is able to identify the
major crossroads of locations
dispatched to in less than 15
seconds
Employee is able to navigate
completely to locations
dispatched to in agreed company
timeframe
Employee is able to navigate to
all scenes independently
Employee is able to navigate to
all hospitals independently
Employee is able to
independently function as a
Medic or EMT
Phase 3: Clearance Ride with CES
TOTAL TIME: Approximately 5-8 weeks to clear to
independent duty
NOTE: All 3 phases must be completed in a maximum of 17
rides/shifts or less for the employee to be
cleared to independent duty.
Appendix A
REQUIRED TRAINING FOR EMPLOYEES
Available via Taylor Ambulance Company website/training
portal or via CD ROM/DVD
– Introduction to Incident Command System
- ICS for Single Resources and Initial Action
Incidents
– National Incident Management System (NIMS), An
Introduction
– National Response Framework, An Introduction
Control and Airborne Pathogens
& Risk
rofessional Documentation
Operations Overview
2010
As 2009 comes to a close, Taylor Ambulance Company will
soon begin its third year of
providing emergency transport services to the City of Kelsey.
The City had a little over
57,000 ambulance transports during
2009. This number is consistent with
towns the size of Kelsey and was
slightly more than the number of
transports in 2008. In February
2008, Taylor entered into an eight
year agreement with the City of
Kelsey to provide emergency
services transport for the City. Taylor
began operations under that contract
on March 1, 2008.
While Taylor acts as the primary
provider of emergency transport
services, it does not handle all of the emergency transports.
The City of Kelsey Fire
Department still makes a significant number
of emergency transports when the Fire
Department units are in a better position to
respond to the emergency call and/or patient
care would be compromised by not using
the Fire Department for transport. During
2009, the City of Kelsey Fire Department
was responsible for 2,190 of the 911
emergency transports in the city. In order to
ensure that sufficient coverage is provided
for emergency transports, Taylor also has
an agreement with Gibb Medical Transport,
Inc. whereby Gibb will handle such
emergency calls as Taylor directs. During
2009, Gibb handled 350 emergency transports. The bulk of the
emergency transports
was handled by Taylor making 39,148 emergency transports
during the year.
City of Kelsey
Ambulance Transports
2009
911 Emergency
Transports
Non-
Emergency
Transports
Emergency Transports
Taylor
Ambulance
Company
City of Kelsey
F.D.
Gibb Medical
Transport
2
Non-emergency transports within the City of Kelsey during
2009 were handled primarily
by Gibb Medical Transport, although Taylor Ambulance did
handle 28% of the 15,813
non-emergency transports during the year.
During 2009, Taylor had revenues of $15,384,335 and operating
expenses of
$14,513,667 leaving a profit of $870,668. Revenues came from
a governmental
subsidy, emergency transport revenues and non-emergency
transport revenues.
A breakdown of our 2009 revenue and operating expenses is
attached.
Non-Emergency
Transports
Taylor
Ambulance
Company
Gibb Medical
Transport
2009 Revenue Sources
Govt. Subsidy
Emergency
Transports
Non-Emergency
Transports
3
Emergency Transport Net
Rev
Non-Emergency Transport Net
Rev
GROSS $829.40 $631.80
NET $345.05 $289.22
Collection Rate 42% 46%
Emergency Transports 39,148
Non-Emergency Transports 4,500
Total Transports 43,648
Govt. Subsidy $575,000
Emergency Transport Net Revenue $13,507,845
Non-Emergency Transport Net
Revenue $1,301,490
Total Net Revenue $15,384,335
Operating Expense Per Transport $332.52
Salary Expense $7,101,198
Salary Exp per Trans $53.69
Benefits $1,846,120
As % of total net Rev 12%
4
Vehicle Operating Cost $578,329
Cost Per Trans $13.25
Medical Supply expense $479,250
Cost Per Trans $10.98
Telephone Expense $156,966
Occupancy Expense $452,630
Other Operating expenses $1,236,685
External Services $198,659
Billing and Collection Expense $65,265
Professional Fees $256,366
Insurance Expense $1,156,563
G&A Expenses $985,636
Total Operating Expense $14,513,667
Profit/Loss $870,668
% 5.7%
5
Annual Unit Hours 132,265
Weekly UH 2,544
UHU 0.33
# of Ambulances Peak 18
Back Up/Reserve Ambulances 8
Field Employees
Paramedics 28
EMTs 42
Total FTE's 70
Management Staff
Owner 2
Operations Manager 1
Supervisor 4
Training Supervisor 1
Instructor 1
Dispatch Supervisor 1
Dispatcher 10
Human Resources 1
Finance Department 1
6
Billing Department 1
Fleet Maintenance 2
Technical Service/Logistics Manager 1
Management Staff TOTAL 26
TOTAL EMPLOYEES 96
Narrative description of the organizational structure of Taylor
Ambulance Company
Operations Manager
The operations of Taylor Ambulance Company are overseen by
the Operations Manager. Assisting the Operations Manager is a
Billing Clerk.
Personnel reporting to the Operations Manager are separated
into four functional areas. These are Communications, Field
Operations, Training & Education and Support Functions.
Communications
The Communications Supervisor reports directly to the
Operations Manager. The Communications Supervisor manages
ten Dispatchers.
Field Operations
Field Operations are managed by four Operations Supervisors.
The Operations Supervisors report directly to the Operations
Manager. The Operations Supervisors manage the Field Staff
which consists of 42 Emergency Medical Technicians (EMT)
and 28 Medics.
Training & Education
The Training & Education department consists of the Training
Supervisor, who reports directly to the Operations Manager, and
an Instructor, who reports to the Training Supervisor.
Support Functions
The support functions are represented by four managers, each of
whom reports directly to the Operations Manager. These support
managers are the Finance Manager, the Fleet Manager, the
Human Resources Manager and the Technical Services and
Logistics Manager. Two Mechanics report to the Fleet Manager.
Balance SheetTaylor Ambulance Company, Inc.Balance Sheetas
of December 3120082009Cash$ 180,000$ 1,290,668Accounts
Receivable$ 2,504,232$ 2,000,000Medical Supplies
Inventory$ 40,000$ 40,000Total Current Assets$
2,724,232$ 3,330,668Fixed Assets$ 3,250,000$
3,510,000Total Assets$ 5,974,232$ 6,840,668Accounts
Payable$ 459,184$ 450,000Accrued Salaries and Benefits$
165,048$ 170,000Total Current Liabilities$ 624,232$
620,000Due to City$ - 0$ - 0Total Liabilities$ 624,232$
620,000Fund Balance - Beginning of Year$4,504,692$
5,350,000Net Income$ 845,308$ 870,668Fund Balance - End
of Year$ 5,350,000$ 6,220,668Total Liabilities and Equity$
5,974,232$ 6,840,668
Cash FlowTaylor Ambulance Company, Inc.Statement of Cash
Flows20092009Sources of CashNet Income$ 870,668Decrease
in Accounts Receivable$ 504,232Increase in Accounts
Payable$ - 0Increase in Accrued Salaries and Benefits$
4,952Increase in payable to City$ - 0Total Sources$
1,379,852Uses of CashIncrease in Accounts Receivable$ -
0Decrease in Accounts Payable$ 9,184Purchase of Fixed
Assets$ 260,000Total Uses$ 269,184Net Increase (decrease)
in cash$ 1,110,668Cash balance beginning of year$
180,000Cash balance end of year$ 1,290,668Cash per Balance
sheet$ 1,290,668Days of Cash on Hand - end of year32

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City of Kelsey GENERAL SERVICES AGREEMENT THIS.docx

  • 1. City of Kelsey GENERAL SERVICES AGREEMENT THIS AGREEMENT, dated this 7th day of February 2008, is made by and between the City of Kelsey, hereinafter referred to as the "City", and the Taylor Ambulance Company, hereinafter referred to as “Taylor.” WHEREAS, the City is desirous of contracting with Taylor for the performance by its appropriate officers and employees of emergency transport services within the jurisdictional boundaries of the City, and WHEREAS, Taylor is agreeable to performing such services pursuant to the terms and conditions hereinafter set forth, and WHEREAS, such contracts are authorized and provided for by the provisions of the ordinances of the City. THEREFORE, THE PARTIES MUTUALLY AGREE AS FOLLOWS:
  • 2. 1. Taylor agrees, through its officers and employees, to provide emergency transport services for the City. a. Taylor shall provide such services for those incidents and at such places and times as the City shall direct through the City’s 911-dispatch system. b. “Emergency Transport” shall encompass i. Having appropriately trained personnel appear at the scene of each incident to which the City’s 911 dispatch system directs Taylor to respond. ii. Providing on-scene emergency aid as necessary and appropriate. iii. Physically transporting all injured parties at said scene who require additional medical attention to the nearest facility that can provide the appropriate care for the patient’s injuries. General Services Agreement Taylor Ambulance Company 2 2. Taylor is responsible for providing and maintaining all of its own equipment at its own
  • 3. expense. a. The City is aware that as of the date of the execution of this contract, Taylor does not have appropriately appointed airplanes or helicopters to transport injured patients and, therefore, it is understood that during the term of this contract, “transport” shall be by means of a motor vehicle ambulance. b. Taylor must maintain communication with the City’s 911- dispatch center on a 24-hour/7 days per week basis. i. The City will allow Taylor to connect to its 911-dispatch facility via a hard telephone line. Taylor will be responsible for all expenses associated with the connection of said line and the rental and maintenance of said line. ii. Taylor shall also connect to the 911-dispatch facility via radio and the Internet. The City will provide technical information to facilitate said connections. Taylor will be solely responsible for any costs associated with establishing and maintaining said connection to the 911- dispatch facility. iii. Taylor is required to be in two-way communication with all of its ambulances that are currently in service. c. Taylor must have a minimum of eighteen (18) ambulances
  • 4. that are running, staffed and stocked in service and available for emergency transport at all times during the term of this contract. 3. Taylor shall serve as the primary provider of emergency transport services for the City of Kelsey. a. Taylor acknowledges that the City of Kelsey Fire Department may also provide emergency transport services. b. The City’s 911 dispatch facility shall make the determination as to which entity will be sent to an incident scene based upon the number of patients, the seriousness of the reported injuries, the type of incident, the location of emergency transport vehicles and such other factors as the City may determine to be relevant. The City’s 911 dispatch facility decisions as to what entity will be used for a particular emergency transport shall be final. c. Taylor may subcontract with another emergency transport company to fulfill the terms of this contract. i. Any such subcontract must be expressly approved by the City prior to the delegation of any of Taylor’s responsibilities. General Services Agreement
  • 5. Taylor Ambulance Company 3 ii. Any company to which Taylor subcontracts duties under this contract must be duly licensed and bonded as required by applicable state and local laws. iii. Any such subcontractor may not respond to more than 20% of the emergency transport calls directed to Taylor within any given month under this contract. iv. Taylor agrees to indemnify and hold the City harmless for any claims that may be made against any company that acts as a subcontractor for Taylor under this contract. 4. Any ambulance owned by Taylor or any of its designees shall: a. Be in good working order, shall have passed any applicable inspections and shall be duly licensed. b. Be staffed by properly trained and licensed personnel, in accordance with any applicable state or local laws or ordinances. c. Be stocked with appropriate supplies and equipment, in sufficient quantities to meet the needs of reasonably anticipated emergency situations.
  • 6. d. Be able to respond to emergency situations and provide assistance and medical treatment that meets the standard of care established in the City of Kelsey. 5. Taylor agrees to fully indemnify the City from any and all claims that may be made against Taylor and/or the City that arises out of the actions of Taylor, its officers, directors, employees, subcontractors or assignees in performance of this contract. 6. The City shall pay Taylor the sum of Eight Hundred Twenty- Nine and 40/100’s Dollars ($829.40) for each emergency transport it performs. a. Taylor is responsible for all costs associated with each emergency transport including, but not limited, gas and oil for the ambulance, gauze, bandages, tape, medications, gloves, masks, syringes, tubing, oxygen, blankets, bedding, depreciation of equipment, etc. b. At the close of each month, the City’s Purchasing Department shall prepare a report summarizing all of the emergency transports authorized by the City during the immediately preceding month. Said report shall show the total number of emergency transports handled by the City of Kelsey Fire Department and Taylor. Upon completion of the report, a copy shall be sent to Taylor via First-Class mail, postage prepaid.
  • 7. c. Upon receipt of the report, Taylor shall have ten (10) days in which to inform the City of whether it accepts or rejects the accounting. d. In the event Taylor rejects the monthly accounting, it shall notify the City of such decision within ten (10) days. Said notice shall be in writing, sent via First-Class General Services Agreement Taylor Ambulance Company 4 mail, postage prepaid, to the appropriate officer of the City of Kelsey Purchasing Department. i. Upon learning that Taylor is opting to reject the monthly accounting, the Director of Purchasing shall schedule a meeting within ten (10) days of the receipt of Taylor’s notice of rejection. Representatives of Taylor, the City Purchasing Department, the City of Kelsey Fire Department and the City’s 911 dispatch facility shall be invited to the meeting. • The Director of Purchasing may also invite such other people to the meeting as he/she, in his/her sole discretion, believes may have knowledge helpful to a resolution of the matters in dispute.
  • 8. • Taylor may have legal counsel in attendance at the meeting, but legal counsel is not to appear in place of Taylor and such officers or employees of Taylor with knowledge of the matters in dispute must be in attendance. • Any of Taylor’s subcontractors to this contract may also be present at the meeting. Notice of the time and place of the meeting to be given to the subcontractors is the sole responsibility of Taylor. ii. After discussion of the disputed issues, if all parties consent, the monthly accounting shall be modified as the parties agree. In that event, payment to Taylor shall be made in accordance with §6.e. herein. iii. After discussion of the disputed issues, if all parties cannot agree on an adjustment to the monthly accounting, the issue shall be referred to binding arbitration in accordance with procedures of the City of Kelsey Purchasing Department. e. In the event Taylor accepts the monthly accounting, it shall notify the City of such decision within ten (10) days. Said notice shall be in writing, sent via First- Class mail, postage prepaid, to the appropriate officer of the City of Kelsey Purchasing Department. i. The City shall have thirty (30) days from the receipt of
  • 9. Taylor’s notice of acceptance in which to tender payment to Taylor for the services performed and reflected in the monthly accounting. ii. Taylor is solely responsible to compensating any of its subcontractors for any services they may have performed in the emergency transports reflected in the monthly accounting. Taylor shall completely indemnify the City for any claims for payment made by any of Taylor’s subcontractors. General Services Agreement Taylor Ambulance Company 5 7. Taylor shall begin providing emergency transport services to the City as of 12:00 a.m. on March 1, 2008 and for purposes of calculating the term of this contract, March 1, 2008 shall be deemed as the start date of the contract. a. The parties acknowledge that between the date of the execution of this agreement and the start date of the contract as provided above, Taylor will need to expend time, effort and money in ensuring that its communication system is fully integrated with that of the City’s 911 dispatch facility. In the event that Taylor is unable to perform its duties under this agreement, for
  • 10. whatever reason, and is unable or unwilling to begin performing emergency transports on the start date, the City will not be liable for any of the costs that Taylor may have made in preparation for the contract. 8. The initial term of this agreement shall be for a period of eight (8) years beginning at 12:00 a.m. on March 1, 2008 and ending at 11:59 p.m. on February 28, 2016. 9. The City shall have the option to extend the agreement for two additional terms of two years each. If the City elects to use both of its options to extend the term of the agreement, then the agreement will terminate as of 11:59 on February 29, 2020. a. In event that the City desires to extend the term of this agreement for either of its two, 2-year extensions, the City shall notify Taylor of its intent to extend the term of the agreement no later than the last business day of January of the year in which the agreement is set to terminate. b. Notice shall be given in writing and sent to Taylor’s address via First-Class mail, postage prepaid. 10. This agreement constitutes the entire agreement between Taylor and the City. Neither party shall be bound by any other written or oral statements or agreements unless specifically incorporated by reference herein.
  • 11. IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their duly authorized officers. ______________________________ ______________________________ City of Kelsey Taylor Ambulance Company, Inc. By: Perla Musgraves By: Donna Taylor Mayor Owner ENG125: Introduction to Literature List of Literary Works For your Literary Analysis, select at least two works from the list below that share the same type(s) of conflict(s). Remember, one of them must be a short story. You can either compare two short stories, a short story and a poem, or a short story and a play. o “Country Lovers” (Gordimer, 1975)
  • 12. o “Hills Like White Elephants” ( Hemingway, 1927) o “Good Country People” (O’Connor, 1953) o “The Things They Carried” (O’Brien, 1990) o “No Name Woman” (Kingston, 1975) o “Sonny’s Blues” ( Baldwin, 1957) o “Sweat” (Hurston, 1926) o “Where Are You Going, Where Have You Been” (Oates, 1966) o “A Rock Trying to Be a Stone” (Troncoso, 1997) o “Greasy Lake” (Boyle, 1985) o “What You Pawn, I Will Redeem” (Alexie, 2003) o “Let America Be America Again” (Hughes, 1935) o “What It’s Like to Be a Black Girl” (Smith, 1991) o “Child of the Americas” (Morales, 1986) o “To Live in the Borderlands” (Anzaldua, 1987) o “A Point West of San Bernardino” (Delgado, 2013) o “America” (Blanco, 1998)
  • 13. o “Oranges” (Soto, 1995) o “Poetry” (Neruda, 1982) o “Burial” (Che, 2014) o “Ways of Talking” (Jin, 1996) o “Bright Copper Kettles” (Seshadri, 2010) o “Blood” (Nye, 1986) https://docs.google.com/document/d/1YCpWdAG29ub0xMKHg Ra3fYQuxpThVL9tG-u0Nl3Vp1A/edit?pli=1 http://macaulay.cuny.edu/eportfolios/seminar1fall2010hong/file s/2010/08/Baldwin-Sonnys-Blues.pdf http://biblioklept.org/2013/01/21/sweat-zora-neale-hurston/ https://www.d.umn.edu/~csigler/PDF%20files/oates_going.pdf http://sergiotroncoso.com/stories/rock/index.htm http://teacherweb.com/WA/CloverParkHighSchool/MsSelby/Gre asy-Lake.pdf http://www.newyorker.com/magazine/2003/04/21/what-you- pawn-i-will-redeem?currentPage=all http://www.poetryfoundation.org/poem/247372 http://www.poets.org/poetsorg/poem/burial-1 http://www.poetryfoundation.org/poetrymagazine/poem/28203 http://www.poetryfoundation.org/poetrymagazine/poem/240830 ENG125: Introduction to Literature o “Do Not Go Gentle Into That Good Night” (Thomas, 1952) o “My Last Duchess” (Browning, 1842)
  • 14. o “The Boxer” (Simon, 1968) o “Grief Calls Us to the Things of This World” (Alexie, 2009) o “The Raven” (Poe, 1845) o Macbeth (Shakespeare, 1606) o A Midsummer’s Night Dream, (Shakespeare, 1590) o Mistaken Identity (Cooper, 2008) o The Importance of Being Earnest (Wilde, 1895) Taylor Ambulance Company Orientation & Field Training Program
  • 15. New Hire Orientation Schedule (Day 1- 5) Day Time Duration Training Instructor Total Hrs/day Mon 0800-0830 0.5hr Welcome – Operation Orientation TBD 0830-1230 4.5hr EVOC - Classroom TBD 8.5 hr 1230-1300 0.5hr Lunch TBD 1300-1700 4hr City of Kelsey Geography TBD Tues. 0800-0900 1hr Paperwork TBD 0900-1200 3hr EVOC Driving Practice TBD 8 hr 1200-1300 1hr Lunch TBD 1300-1700 4hr Practice and Timed Competition TBD Wed 0800-0900 1hr Scheduling Software Training TBD 0900-0930 0.5hr Meet & Greet with Leadership
  • 16. Team TBD 0930-1030 1hr Dispatch Orientation TBD 1030-1100 0.5hr Ninth Brain/Training Website TBD 1100-1200 1hr Lunch TBD 1200-1300 1hr City of Kelsey Geography TBD 8 hr 1300-1400 1hr Gurney Operation and Safety Policies TBD 1400-1500 1hr Cab and Bariatric Orientation TBD 1500-1600 1hr Introduction to PCRs TBD 1600-1700 1hr City of Kelsey Geography TBD Thurs 0800-0900 1hr Radio Procedures TBD 0900-1100 2hr Capnography, Albuterol, CPAP, EZ-IO TBD 1100-1200 1hr Monthly Check/Unit Familiarization TBD 7.5 hr 1200-1300 1hr Lunch TBD 1300-1500 2hr Monthly Check/Unit Familiarization TBD 1500-1530 0.5hr Meet & Greet with Leadership Team TBD
  • 17. 1530-1630 1hr Field Training Program Orientation TBD Fri 0800-1000 2hr Detox TBD 1000-1200 2hr D.A.R. 7 – Step Process TBD 8hr 1200-1300 1hr Lunch TBD 1300-1700 4hr Psych – Restraint and Search TBD Total Paid Hours = 37.5 hrs 40 Field Training Program Overview – Paramedic and EMT Clearing Process Upon successful completion of the new hire training academy, the employee will move to the appropriate field training program and begin scheduling their training rides through the local CES office. The field training program is a 3 phase process: Phase 1 – Medical (to include a minimum of 5 scene/911 response calls)
  • 18. • Employee will drive at all times except when patients are on board • Employee will be responsible for medical care and scene management as appropriate for certification level Phase 2 – Driving/Geography • Employee will be responsible for all ambulance operations to include driving, routing and overall operation of the unit Phase 3 – Clinical Education Services (CES) Clearance Ride • Trainee will 2nd seat with a member of the CES Department for final clearance Testing: • City of Kelsey Metropolitan Protocols • Basic Pharmacology – EMT Only • EKG – Paramedic Only • Initial Geography Test • Final Geography Test Additional Tasks:
  • 19. • Completion of online training (see Appendix A) • Completion of Corporate Compliance Training (see Appendix A) • Completion of FEMA, ICS, & NIMS Training (see Appendix A) • Completion of IV Clinical & Stick Log – EMT Only • 1 – 8 hour shift on a wheelchair car • 1 – 4 hour shift observing in dispatch 100% of Patient Care Reports completed by new employees will be audited by the CES Department New employees will receive written evaluations on a daily basis New employees will complete written evaluations of each FTO with whom they worked Training Requirements Phase One: Medical Employee Demonstrated Consistent Competence (Indicate Shift # when
  • 20. mastered & FTO signature) Notes Shifts 1-2: Employee is able to effectively operate on an EMS scene Employee is able to demonstrate appropriate safety & awareness while on scene of calls Employee is able to correctly identify the trauma level designations of all metro area hospitals Employee is able to correctly identify the specialties of metro area hospitals (to include burn centers, pediatrics, & hyperbaric facilities) Employee achieves a score >80% for all protocol quizzes. Employee achieves a score >80% for all pharmacology quizzes
  • 21. Employee is able to complete mock patient care reports with minimal assistance. Shifts 3-4: Employee is able to accurately complete primary assessments Employee is able to accurately complete secondary assessments Employee is able to accurately interpret EKGs (paramedics only) Employee is able to correctly formulate a differential diagnosis for each patient encountered Employee demonstrates proficiency with all skills appropriate for his/her level of certification Employee demonstrates appropriate knowledge of customer service issues and skills
  • 22. Employee is able to effectively communicate with patients, patient’s families, bystanders, and other agencies Employee is able to handle all calls with minimal assistance from the FTO Shifts 5-8: Employee is able to manage all calls without FTO assistance Employee is able to effectively communicate patient information via radio and hand-off reports Employee is able to achieve an 80% on Final Protocol Test Employee is able to complete all patient care reports independently Employee is able to complete all bubble forms independently
  • 23. Employee demonstrates knowledge of Medicare patient paperwork Employee demonstrates knowledge of Medicaid patient paperwork Employee demonstrates knowledge of M1 hold paperwork Employee demonstrates knowledge of flight team transport paperwork Employee demonstrates knowledge of the legal blood draw procedure Phase 2: Driving/Geography Employee Demonstrated Consistent Competence (Indicate Shift # when mastered & FTO signature)
  • 24. Notes Shifts 1-3: Employee is able to drive within established standards without a patient onboard Employee is able to drive within established standards with a patient onboard Employee demonstrates ability to use all emergency lights, signals, and siren appropriately Employee is able to safely park the vehicle on scene Employee is able to park the vehicle on scene in a manner that allows for efficient egress Employee demonstrates knowledge of appropriate radio
  • 25. channel usage Employee demonstrates appropriate radio communications Shift 4: Employee completes FTO administered geography Quizzes (>80%) Employee requires minimal FTO assistance with locating calls Shifts 5-8: Employee is able to identify the major crossroads of locations dispatched to in less than 15 seconds Employee is able to navigate completely to locations dispatched to in agreed company timeframe Employee is able to navigate to all scenes independently Employee is able to navigate to
  • 26. all hospitals independently Employee is able to independently function as a Medic or EMT Phase 3: Clearance Ride with CES TOTAL TIME: Approximately 5-8 weeks to clear to independent duty NOTE: All 3 phases must be completed in a maximum of 17 rides/shifts or less for the employee to be cleared to independent duty.
  • 27. Appendix A REQUIRED TRAINING FOR EMPLOYEES Available via Taylor Ambulance Company website/training portal or via CD ROM/DVD – Introduction to Incident Command System - ICS for Single Resources and Initial Action Incidents – National Incident Management System (NIMS), An Introduction – National Response Framework, An Introduction Control and Airborne Pathogens & Risk
  • 28. rofessional Documentation Operations Overview 2010 As 2009 comes to a close, Taylor Ambulance Company will soon begin its third year of providing emergency transport services to the City of Kelsey. The City had a little over 57,000 ambulance transports during 2009. This number is consistent with towns the size of Kelsey and was slightly more than the number of transports in 2008. In February 2008, Taylor entered into an eight year agreement with the City of Kelsey to provide emergency services transport for the City. Taylor began operations under that contract on March 1, 2008. While Taylor acts as the primary
  • 29. provider of emergency transport services, it does not handle all of the emergency transports. The City of Kelsey Fire Department still makes a significant number of emergency transports when the Fire Department units are in a better position to respond to the emergency call and/or patient care would be compromised by not using the Fire Department for transport. During 2009, the City of Kelsey Fire Department was responsible for 2,190 of the 911 emergency transports in the city. In order to ensure that sufficient coverage is provided for emergency transports, Taylor also has an agreement with Gibb Medical Transport, Inc. whereby Gibb will handle such emergency calls as Taylor directs. During 2009, Gibb handled 350 emergency transports. The bulk of the emergency transports was handled by Taylor making 39,148 emergency transports during the year. City of Kelsey Ambulance Transports 2009 911 Emergency Transports Non- Emergency Transports Emergency Transports
  • 30. Taylor Ambulance Company City of Kelsey F.D. Gibb Medical Transport 2 Non-emergency transports within the City of Kelsey during 2009 were handled primarily by Gibb Medical Transport, although Taylor Ambulance did handle 28% of the 15,813 non-emergency transports during the year. During 2009, Taylor had revenues of $15,384,335 and operating expenses of $14,513,667 leaving a profit of $870,668. Revenues came from a governmental subsidy, emergency transport revenues and non-emergency transport revenues.
  • 31. A breakdown of our 2009 revenue and operating expenses is attached. Non-Emergency Transports Taylor Ambulance Company Gibb Medical Transport 2009 Revenue Sources Govt. Subsidy Emergency Transports Non-Emergency Transports 3 Emergency Transport Net
  • 32. Rev Non-Emergency Transport Net Rev GROSS $829.40 $631.80 NET $345.05 $289.22 Collection Rate 42% 46% Emergency Transports 39,148 Non-Emergency Transports 4,500 Total Transports 43,648 Govt. Subsidy $575,000 Emergency Transport Net Revenue $13,507,845 Non-Emergency Transport Net Revenue $1,301,490 Total Net Revenue $15,384,335 Operating Expense Per Transport $332.52
  • 33. Salary Expense $7,101,198 Salary Exp per Trans $53.69 Benefits $1,846,120 As % of total net Rev 12% 4 Vehicle Operating Cost $578,329 Cost Per Trans $13.25 Medical Supply expense $479,250 Cost Per Trans $10.98 Telephone Expense $156,966 Occupancy Expense $452,630 Other Operating expenses $1,236,685 External Services $198,659 Billing and Collection Expense $65,265 Professional Fees $256,366
  • 34. Insurance Expense $1,156,563 G&A Expenses $985,636 Total Operating Expense $14,513,667 Profit/Loss $870,668 % 5.7% 5 Annual Unit Hours 132,265 Weekly UH 2,544 UHU 0.33 # of Ambulances Peak 18 Back Up/Reserve Ambulances 8
  • 35. Field Employees Paramedics 28 EMTs 42 Total FTE's 70 Management Staff Owner 2 Operations Manager 1 Supervisor 4 Training Supervisor 1 Instructor 1 Dispatch Supervisor 1 Dispatcher 10 Human Resources 1 Finance Department 1 6 Billing Department 1 Fleet Maintenance 2
  • 36. Technical Service/Logistics Manager 1 Management Staff TOTAL 26 TOTAL EMPLOYEES 96 Narrative description of the organizational structure of Taylor Ambulance Company Operations Manager The operations of Taylor Ambulance Company are overseen by the Operations Manager. Assisting the Operations Manager is a Billing Clerk. Personnel reporting to the Operations Manager are separated into four functional areas. These are Communications, Field Operations, Training & Education and Support Functions. Communications The Communications Supervisor reports directly to the Operations Manager. The Communications Supervisor manages ten Dispatchers. Field Operations Field Operations are managed by four Operations Supervisors. The Operations Supervisors report directly to the Operations Manager. The Operations Supervisors manage the Field Staff
  • 37. which consists of 42 Emergency Medical Technicians (EMT) and 28 Medics. Training & Education The Training & Education department consists of the Training Supervisor, who reports directly to the Operations Manager, and an Instructor, who reports to the Training Supervisor. Support Functions The support functions are represented by four managers, each of whom reports directly to the Operations Manager. These support managers are the Finance Manager, the Fleet Manager, the Human Resources Manager and the Technical Services and Logistics Manager. Two Mechanics report to the Fleet Manager. Balance SheetTaylor Ambulance Company, Inc.Balance Sheetas of December 3120082009Cash$ 180,000$ 1,290,668Accounts Receivable$ 2,504,232$ 2,000,000Medical Supplies Inventory$ 40,000$ 40,000Total Current Assets$ 2,724,232$ 3,330,668Fixed Assets$ 3,250,000$ 3,510,000Total Assets$ 5,974,232$ 6,840,668Accounts Payable$ 459,184$ 450,000Accrued Salaries and Benefits$ 165,048$ 170,000Total Current Liabilities$ 624,232$ 620,000Due to City$ - 0$ - 0Total Liabilities$ 624,232$ 620,000Fund Balance - Beginning of Year$4,504,692$ 5,350,000Net Income$ 845,308$ 870,668Fund Balance - End of Year$ 5,350,000$ 6,220,668Total Liabilities and Equity$ 5,974,232$ 6,840,668 Cash FlowTaylor Ambulance Company, Inc.Statement of Cash Flows20092009Sources of CashNet Income$ 870,668Decrease in Accounts Receivable$ 504,232Increase in Accounts Payable$ - 0Increase in Accrued Salaries and Benefits$ 4,952Increase in payable to City$ - 0Total Sources$ 1,379,852Uses of CashIncrease in Accounts Receivable$ - 0Decrease in Accounts Payable$ 9,184Purchase of Fixed Assets$ 260,000Total Uses$ 269,184Net Increase (decrease) in cash$ 1,110,668Cash balance beginning of year$
  • 38. 180,000Cash balance end of year$ 1,290,668Cash per Balance sheet$ 1,290,668Days of Cash on Hand - end of year32