https://sleepyhollow.localarchives.org/files/original/a56efdffbf8cbd8c9acc8c3e57765fc0.pdf 9cc5d1c5cc4246cc2830f42f270eb32d PDF Text Text A regular meeting of the Board of Trustees of the Village of Sleepy Hollow was held on Tuesday, February 26, 2002 at 8 pin in Village Hall, 28 Beekman Avenue, Sleepy Hollow, New York. Present: I Mayor Philip Zegarelli Mario DiFeliee Patricia Rodriguez Donald Stever Richard Zieja Robert Higle ^ Trustees Also Present: Dwight Douglas, Village Administrator Brian Murphy, Village Attorney Absent: Trustee James Hari . • Mayor Zegarelli called the meeting to order with a prayer and pledge to the flag. He asked that everyone take a moment of silence for Ilene Pwyer, who passed away last week. She was one of our former School Crossing Guards for many years. Ma\ or Zegarelli asked that we adjust the agenda; Trustee DiFeliee so moved, seconded by Trustee Zieja and carried. Mayor Zegarelli swore in our two new Auxiliary Policemen, Frank Rey and Vincent Asiudo with Frank Rey being the Captain. . .. . . . . . Approval of Minutes Trustee Stever moved, seconded by Trustee Higle to approve the minutes of February 12, 2002 with minor correction, motion carried unanimously. I Public Comments Linda Standley, owner of the Mobil Station on Broadway addressed the board stating she was upset by a comment made at the last board meeting about having many businesses working out of her station. This is not true. The Avis rental company is no longer there now. * Trustee Stever commented that we need to look further into how the village regulates commercial parking for businesses. Approval of Warrants Trustee DiFeliee moved, seconded byTrustee Stever to approve the warrants and authorize the Treasurer to pay the bills; motion carried unanimously. The amount of the General fund is $175,057.94, the Water fund total is S20,124.43 and the Capital fund total is $4,968.64. Mayor's Report Mayor Zegarelli reported that the Westchester County Municipal Officials Association meeting will be hosted by the City of Yonkers on March 14, 2002. 1 I �We are in receipt of a letter from Senator Schumer regarding FEMA. We are in receipt of correspondence from Pace University Michaelian Law Resource Center offering help in many areas. There will be a meeting with the Department of Transportation regarding the close out of the expenditures on the linkage study. The Mayor commented that we received a letter back from Milt Koffman who retired from the Gannett News thanking us for our letter wishing him well. We are in receipt of leUers from Mr. Rodrigues to Robert Stiloski, Director of Fire and Life Safety. We are in receipt oi a letter from Mr. Pierson regarding the Architectural Review Board. A letter was received from Paul Amenta regarding parking issue. Wc received correspondence from Dr. Knopper, licensed psychologist regarding his availability to counsel people in distress. The Mayor commented that he attended the St. PatrickV Day kick off luncheon on Sunday. We are in receipt of a check for S600.00 from the County for the bus shelters. Trustees' Reports Trustee BiFelice read the attached Police Report. He read the attached Public Works Report. Trustee Di! elite asked the Police Chief about the number of handicap parking spots that are needed in certain areas of the village. The Chief explained that there are a certain number needed within so many feet of each other. He asked Trustee Stcver if it was possible to put Omnipoint on the Planning Board agenda earlier so that the residents of the Van Tassel didn't have to wait so long. TJ ustee Sfevcr comaienttd that Omnipoint as on the earlier part of the agenda. Trustee Rodriguez had no report. Trustee Stever reported that the Planning Board met last Thursday with a very full agenda including the Doorley application, Omnipoint hearing and Verizon Wireless application and a continuation of the Kendal-on-Hudson application. He commented that the Rockefeller State Preserve has complimented the Board on the handling of the Kendal project and they discussed the removal of certain dead trees due to the drought situation and the possibility of fires. �The Architectural Review Board also has a very full agenda. The Knopper application will go before the Waterfront Advisory Board next week. Trustee Stever commented that the Mayor and Joe DcFeo met with representatives of Rockefeller State Preserve regarding leaf disposal. Trustee Zieja read the attached correspondence from the Fire Wardens. Trustee Zieja moved, seconded by Trustee DiFelice to approve their actions, carried. .Mayor Zegarelli commented that the response to the ambulance calls has been great so far. Trustee Higle reported on recreation items such as , girls softball registration and men's softball registration. . Trustee Higle read the attached Parks Report. Mayor Zegarelli commented that he was very pleased with the major improvements that have taken place in Douglas Park. He will be touring the park with Mrs, Pinnis of 14S New Broadway on Saturday at 1 pin to show her what has been done so far. Administrator's Report . . •.: • •-> .-.-.:•Dwight Douglas reported that he and Trustee Hart will be conducting interviews for the position of Treasurei. There will be a meuting on Wednesday at 5 pm. This will be the last one before the public session on the linkage study in mid March. We have received a S5000.00 grant from the Arts Council Resolutions- Attached Old Business-Xone • .- . Xev> Business-Xone Communications. Petitions & Requests Village Clerk read correspondence from Esther Yoland Oquendo, owner of the deli and grocery store located at 90 Beekman Avenue informing the village of their intent to renew their on premise wine and beer license. Copy to Police Chief. Village Clerk read letter from Richard Maki, co-chairman of the Central Veterans' Committee of the Tarrytowns requesting a voucher from the village to.purchase the flags that will be placed on the graves on Memorial Day. Sleepy Hollow and Tarrytown take turns in paying for the flags. Public Comments Don Caetano commented on parking tickets not being given out in the Manors, but only in the inner village. He commented that the handicap parking space on Lawrence Avenue should not be removed. �«^H> He commented that a handicap parking space is not just for one person only. Anyone with a handicap parking permit can park in a handicap parking space. He had questions regarding the Revenue Recovery Agreement pertaining to the ambulance. The Mayor explained exactly what this was. There being .<o further business, Trustee DiFelice moved, seconded by Trustee Higle to adjourn the meeting, carried. Respectfully submitted, Angela Everett Village Clerk 4 �v&/ PUBLIC WORKS REPORT FEBRUARY 26, 2002 DUE TO THE MILD WEATHER THIS YEAR, WE HA YE STARTED THE CLE A >' OUT OF STORM DRAIN USING THE VAC-ALI-. •SKASOXAL I REPAIRED A V/ATER MAIN BREAK ON WEBB ROAD, REPAIRED DAMAGED FIRE HYDRANT ON CLINTON ST. BECAUSE OF THE MILD WEATHER YARD WASTE IS STILL BEING PICKED UP ON MONDAYS. LEAVES MUST BE BAGGED. TREE TRIMMING IS ON GOING. STREET LITE REPAIRS IS ONGOING. DEPUTY MAYOR DIFELICE AND JOE DEFEO INSPECTED THE TREES ON THE DEAD END OF GORY BROOK ROAD AND APPROXIMATELY 10 DEAD TREES WERE FOUND THAT SHOULD BE REMOVED. I I NOTICE!!!!!! ""'"'".'" '.' ".'. "'".'.'.' " • - . - • • DUE TO THE DROUGHT WE ARE- URGING VILLAGE RESIDENTS TO CONSERVE WATER AS MUCH AS POSSIBLE BEFORE IT BECOMES MANDATORY. PRECIPATATION FOR THE PAST 6 MONTHS RANGES FROM 6-12 INCHES BELOW NORMAL. MANY WATER SUPPY RESEVOIRS, STREAM FLOWS AND GROUND WATER LEVELS ARE WELL BELOW NORMAL. CURRENT WINTER SNOWPACK IS ALSO WELL BELOW NORMAL. �y& i-'j ' SLEEPY HOLLOW POLICE DEPARTMENT MONTHLY REPORT JANUARY 2002 • 2001 2001 2002 DEC JAN NOV 520 26 40 8 A j NUMBER OF CALL FOR SERVICE ALARM? FIRE EMS 487 25 9 34 458 23 13 45 419 387 - — LIFE SAVING OTHER RPT CLRD RPT CLRD RPT CLRD 42 7 3 10 1 3 47 1 15 13 13 19 INDEX E|UCR CRIME PART 1 PART 2 29 ARREST PENAL LAV/ FELONY MISDEMEANOR VIOLATION WARRAN rS 2 15 10 2 DW! LOCAL QUALITY OF LIFE DEPT AVG. HIGH LO SQUAD SUPERVISOR | i SGT HOURS E TRAINING DEPARTMENTAL MANUAL IN-SERVICE TRAINING ROLL CALL TRAINING OTHER AGENCIES [E~|SFECJAL DIRECTIVES ISSUE SUMMONS FOR REFUSE ON HOLIDAY PO DP JC TE 20. 3 16 8 5 1 10 8 1 - 1254 167 4 1050 33 677 116 3 513 43 SUMMONS VTL K BETA j 32 BETA 1.24 0.05 2.23 PO VL JC TE 1081 88 2 975 16 BETA 1.7 VL 0.29 DP 2.75 GC 1.5 0.3 0.37 225 30 396 25 6 171.5 10 | 159.5 195 2d5 I| 2 2002 YTD �te PARKS REPORT i EBRUARY 26, 2002 DOUG? AS PARK ALL THE DEAD TREES HAVE BEEN CUT DOWN AND REMOVED. ALE THE DEAD BRANCHES ON THE GROUND ARE BEING CHIPPED. THE PARIC IS BEING CLEANED UP AND RESTORED TO ITS ORIGINAL STATE. WORK ORDER WILL BE FILED WITH CON EDISON TO DIRECT BURY THE ELECTRICAL LINES TO REMOVE THE UNSIGHTLY TELEPHONE POLES. NEW STORM DRAINS AND PIPES WELL INSTALLED ALONG THE ROADWAY IN THE UPCOMING WEEKS. TRAILS WILL BE RESTORED ONCE THE DRAINAGE PROJECT IS COMPLETED. BARXHARTPARK . THE STONE WALL IS 60% RESTORED. .. ' . . .. • • WITHIN TIDE NEXT FEW WEEKS, THE SECOND PHASE OF PARK RESTORATION WILL TAKE PLACE. THIS INCLUDES REMOVAL OF DEAD BRANCHES AND DEAD TREES, INSTALLATION OF NEW SEOEWALKS, VOLLEY BALL COURTS, OBSERVATION PLATFORM, BENCHES AND LITES. LANDSCAPING OF THE PARK WELL TAKE PLACE ONCE THESE PROJECTS ARE COMPLETED. CC: ALAVOR ZEGARELLI D WIGHT DOUGLAS, ADMINISTRATOR I �^f I SLEEPY HOLLOW FIRS DEPARTMENT Sleepy Hollow, New York Fire Patrol Org. 1876 Pocar.tico Hook and Ladder org. 1878 Rescue Hose Co. No. 1 Org. 1887 . Union Hose Eng. Co. No. 2 Org. 1887 Columbia Hose Co. No. 3 Org. 1899. To: Richard N. Gross Chief Engineer John Korzelius P : Assistant Chief Jose Ojito 2" d Assistant Chief Mayor and Board of Trustee's From: Sleepy Hollow Fire Dept./ Board of Fire Wardens I Date: Feb 26. 2002 Dear Mayor and Board, - —- .._•__... The following actions took place at our Feb. 2002 fir council meeting; Pocantico H&L: Many Cantillina has been passed as a driver to Ladder 38 Union Hose: Glen Klami has resigned as an active member due to address change. Fire Patrol: Melissa ScafransTci has resigned as an active member. Rescue Hose: Charles M Colfax, 39 Lawrence ave, S.H was elected as an active member. Firematicallv Yours, ^ yy< Ojito Secretary, 2nd Ass Chief J i �^M'i SLEEFY HOLLOW FIRE DEPARTMENT Sleepy Hollow, New York Fire Pairo! Org. 1876 Pocantico Hook and Ladder org. 1878 • -<escue Hose Co. No. 1 Org. 1887 , Jnion Hose Eng. Co. No. 2 Org. 1887 •?oiumbi.i Hose Co. No. 3 Org. 1899 I To: • Richard N. Gross Chief Engineer John Korzelius Is-' Assistant Chief Jose Ojiio 2 nd Assistant Chief Mayor and Board of Trustee's . From: Sleepy Hollow Fire Dept./ Board of Fire Wardens - Date: Feb 26,2002 ' "' " . "" -.:. . Dear Mayor and Board,' Please be advised that it has been reported at the Fire Council meeting that the upstairs meeting rooms, bathrooms and hallways have be'en left in a'very messy condition after the last several timss that the village board have used same.' Firematically Yours, I Jose Ojito Secretary, 2nd Ass Chief s* I , ^ V - ^ ^ J * - * ^ .«£•»£ �w Meeting Date: 02/26/02 R e s o l u t i o n #: 02/22/02 BOND RESOLUTION, DATED FEBRUARY 2 6 , 2002, AUTHORIZING THE ISSUANCE OF UP. TO 52,485,000 AGGREGATE PRINCIPAL AMOUNT SERIAL BONDS OF THE VILLAGE OF SLEEPY HOLLOW, NEW YORK, PURSUANT TO THE LOCAL FINANCE LAW, TO FINANCE THE COSTS OF THE ACQUISITION, CONSTRUCTION. AND RECONSTRUCTION OF VARIOUS PUBLIC PURPOSES IN AND FOR THE VILLAGE. WHEREAS., the Board of Trustees of the Village of Sleepy Hollow (the "Village"), located in Westchester County, in the State of New York (the "State"), hereby determines that it is in the public interest of the Village to authorize the financing of the costs of (1) the acquisition of police vehicles, (2) the assessment of fixed assets, (3) the acquisition of machinery and apparatus for construction and maintenance, (4).the acquisition of various equipment, machinery, apparatus and furnishings, (5) the construction and reconstruction of improvements to the drainage system, (6). the acquisition, construction and reconstruction of parking improvements, (7) the acquisition of a boiler, (8) the acquisition of computers, (9) tlie acquisition, construction and reconstruction of parks and recreation facilities, (10) the acquisition, construction and reconstruction of sidewalks, (11) the acquisition, construction and reconstruction of a pumphouse, (12) the acquisition, construction and reconstruction of window improvements, (13) the acquisition of a fire-fighting vehicle and apparatus, (14) the acquisition of land or rights-in-land, and (15) the acquisition, construction and reconstruction of water system improvements, in and for the Village, at a total cost not to exceed $2,485,000, in accordance with the Local Finance Law: - NOW, THEREFORE, BE IT RESOLVED by the Board of Trustees of the Village of Sleepy Hollow, as follows: Section 1. There is hereby authorized to be issued serial bonds of the Village in the aggregate principal amount of up to $2,485,000, pursuant to the Local Finance Law, in order to finance costs of the snecific objects or purposes hereinafter described. �w Section 2. The specific objects or purposes or class of objects or purposes to be financed pursuant to this bond resolution, the respective estimated maximum cost of each item of such specific objects or purposes or class of objects or purposes, the principal amount of serial bon'd-i authorized herein tor such specific objects or purposes or class of objects or purposes, and the I period "of probable us'efuIness" of such specific objects or purposes or class or" objects or purposes thereof pursuant to the applicable subdivision of paragraph a of Section 11.00 of the Local Finance law, are as follows: (a) The acquisition of police vehicles, together with applicable incidental and preliminary costs in connection therewith,":at an "estimated maximum'"cost'of $79,200 for which $79,200 principal amount of serial bonds are authorized herein and appropriated therefore, having a period of probable usefulness of five (5)-years pursuant to subdivision-29 of paragraph a of Section 11 of the Local Finance Law. Such serial bonds shall have a maximum maturity of five (5) years computed from tiie earlier of (a) ihe date of the first issue of such serial bonds or (b) by the date of the first bond anticipation notes issued in anticipation of the issuance of such serial bonds. (b) The assessment of fixed assets, together with applicable incidental and preliminary costs ^| in connection therewith, at an estimated maximum cost of $25,500 for which $25,500 principal amount of serial bonds are authorized heiein ana appropriated therefore, having a period of probable usefulness of five (5) years pursuant to subdivision 53 of paragraph a of Section 11 of the Local Finance Law. Such serial bonds shall have a maximum maturity of five (5) years computed from the earlier of (a) -he date of the first issue of such serial bonds or (b) by the date of the first bond anticipation notes issued in anticipation of the issuance of such serial bonds. 2 I �(c) The acquisition of machinery and apparatus for construction and maintenance, together with applicable incidental and preliminary costs in connection therewith, at an estimated maximum cost of S3 75,400 for which S375,400 principal amount of serial bonds are authorized herein and appropriated therefore, having a period of probable usefulness of fifteen (15) years pursuant to subdivision 28 of paragraph, a of Section 11.00 of the Local Finance Law. Such serial bonds shall have a maximum maturity of five (5) years computed from the earlier of (a) the date of the first issue of such serial bonds cr (b) by the date of the first bond anticipation notes issued in anticipation of the issuance of such serial bonds. (d) The acquisition of various equipment,'machinery, apparatus and furnishings, together with applicable incidental and preliminary costs in connection therewith, at an estimated maximum cost of 5388,000 for which $388,000 principal amount of serial bonds are authorized herein and appropriated therefore, having a period of probable usefulness of five (5) years pursuant to subdivision 32 of paragraph a of Section 11.00 of the Local Finance Law. Such serial bonds shall have a maximum maturity of five (5) years computed from the earlier of (a) the date of the first issue of such serial bonds or (b) by the date of the first bond anticipation notes issued in anticipation of the issuance of such serial bonds. - ' (e) The acquisition, construction and reconstruction of improvements to the drainage system, together with applicable incidental and preliminary costs in connection therewith, at an estimated maximum cost of $115,800 for which $115,800 principal amount of serial bonds are authorized herein and appropriated therefore, having a period of probable usefulness often (10) years pursuant to subdivision 3 of paragraph a of Section 11 of the Local Finance Law. Such serial bonds shall have a maximum maturity of five (5) years computed from the earlier of (a) the date of 3 �the first issue of such serial bonds or (b) by the date of the first bond anticipation notes issued in anticipation of the issuance of such serial bonds. (f) The acquisition, construction and reconstruction of parking improvements, together with applicable incidental and preliminary costs in connection therewith, at an estimated maximum cost of Si82,300 for which SI82,300 principal amount of serial bonds are authorized herein and appropriated therefore, having a period of probable usefulness of ten (10) years pursuant to subdivision 20(f) of paragraph a of Section 11 of the Local Finance Law. Such serial bonds shall have a maximum maturity'of five (5) years computed from the earlier of (a) the date of the first issue of such serial bonds or (b) by the date of the first bond anticipation notes issued in anticipation oftheissuw.ee of such serial bonds. '' " : "' "-" - "-. ••• •" ...:•• (g) The acquisition of a boiler for the Village I Tall, together with applicable incidental and preliminary costs in connection therewith, at an estimated maximum cost of $52,000 for which SS'^OOO principal amount of serial bonds are authorized herein and appropriated therefore, having a period of probable usefulness of ten (10) years pursuant to subdivision 13 of paragraph a of Section 11 of the Local Finance Law, such building being of Class "A" construction (as that term is defined in Section 11.00(a)(ll) of the Local Finance Law). Such serial bonds shall have a maximum maturity of five (5) years computed from the earlier of (a) the date of the first issue of such serial bonds or (b) by the date of the first bond anticipation notes issued in anticipation of the issuance of such serial bonds. • " - . . ' • • • . •- (h) The acquisition of computers, together with applicable incidental and preliminary costs in connection therewith, at an estimated maximum cost of $56,400 for which $56,400 principal -. amount of serial bonds are authorized herein and appropriated therefore, having a period of probable 4 �HP usefulness often (10) years pursuant to subdivision 81(a) of paragraph a of Section 11 of the Local Finance Law. Such serial bonds shall have a maximum maturity of five (5) years computed from the earlier of (a) the date of the first issue of such serial bonds or (b) by the date of the first bond anticipation notes issued in anticipation of the issuance of such serial bonds. (i) Tne acquisition, construction" and reconstruction of parks and recreation facilities, together with applicable incidental and preliminary costs in connection therewith, at an estimated maximum cost of 5241,400- for which $241,400 principal amount of serial bonds are authorized herein and appropriated therefore, having a period of probable usefulness of fifteen (15) years pursuant to subdivision 19(c) of paragraph a of Section 11 of the Local Finance Law. Such serial bonds shall have a maximum maturity of five (5) years computed from the earlier of (a) the date of the first issue of such serial bonds or (b) by the.date of the- first bond anticipation notes issued in anticipation of the issuance of such serial bonds. " - . (j) The acquisition, construction and reconstruction of sidewalks, together with applicable incidental and preliminary cosis in connection therewith, at an estimated maximum cost of Si31,200 for which S131,200 principal amount of serial bonds are authorized herein and appropriated therefore, having a period of probable usefulness of fifteen (15) years pursuant to subdivision 2Q(c) of paragraph a of Section 11 of the Local Finance Law. Such serial bonds shall have a maximum maturity of five (5) years computed from the earlier of (a) the date of the first issue of.well serial bonds oi (b) by the date of the first bond anticipation notes issued in anticipation of the issuance of such serial bonds. (k) The acquisition, construction and reconstruction of a pumphouse, together with applicable incidental and preliminary costs in connection therewith, at an estimated maximum cost 5 �of $11,000 for which 511,000 principal amount of serial bonds are authorized herein and appropriated therefore, having a period of probable usefulness of fifteen (15) years pursuant to subdivision 1 of paragraph a of Section 11 of the Local Finance Law. Such serial bonds shall have s marimum maturity of five (5) yenrs computed from the earlier of (a) the daie of the first issue of I sivh serial bonds or (b) by the date of the first bond anticipation notes issued hi anticipation of the issuance of such serial bonds. -' * , - - - ' •' - -. (1) The acquisition, construction and reconstruction of window improvements to the Village Hall, together with applicable* incidental and preliminary costs in connection therewith, at an estimated maximum cost of $104,000 for which $104,000 principal amount of serial bonds are authorized herein ana appropriated therefore, having a period of probable usefulness of twenty (20) years pursuant to subdivision 12(a) of paragraph'a of Section 11 of the Local Finance Law, such building being of Class ' ; A" construction (as that term is defined in Section 11.00(a)(ll) of the Local Finance Law). Such serial bonds shall have a maximum maturity of live (5) years computed from the earlier of (a) the date of the first issue of such serial bonds or (b) by the date of the first bond anticipation notes issued in anticipation of the issuance of such serial bonds. • • • (m) 1 he acquisition of- a fire-figluing vehicle and apparatus, together with applicable incidcrr.al and preliminary costs in connection therewith, at an estimated maximum cost of $527,000 for which $527,000 principal amount • of serial bonds are • authorized herein and appropriated therefore, having a period of probable usefulness of twenty (20) years pursuant to subdivision 27 of paragraph a of Section 11 of the Local Finance Law. Such serial bonds shall have a maximum maturity of five (5) years computed from the earlier of (a) the date of the first issue of . 6 I ' - �if 32s such serial bonds or (b) by the date of the first bond anticipation notes issued in anticipation of the issuance of such serial bonds. " . (n) The acquisition of land or rights-in-land, together with applicable incidental and preliminary costs in connection therewith, at an estimated maximum cost of S 122.400 for which 5122,400 principal amount of serial bonds are authorized herein and appropriated therefore, having a period of probable usefulness of thirty (30) years pursuant to subdivision 21(a) of paragraph a of Section 11 of the Local Finance Law.' Such serial bonds shall have a maximum maturity of five (5) ' years computed from the earlier of (a) the date of the first issue of such serial bonds or (b) by thedate of the first bond anticipation notes issued in anticipation of the-issuance of such serial bonds. (o) The acquisition, construction and reconstruction of water system improvements, together with applicable incidental and preliminary costs in connection therewith, at an estimated maximum cost of S73,400 for which S73,400 principal amount of serial bonds are authorized herein and appropriated therefore, having a period of probable usefulness of fort}' (40) years pursuant to subdivision i of paragraph a of Section 11 of the Local Finance Law. Such serial bonds shall have a maximum maturity of five (5) years computed from the earlier of (a) the date of the first issue of such serial bonds or (b) by the date of the first bond anticipation notes issued in anticipation of the issuance of such serial bonds. Section 3. • ' - . . . - • ' . Subject to the terms and conditions of this Resolution and the Local Finance L'iw, and pursuant to the provisions of Sections 21.00, 30.00, 50.00, 56.00 and 60.00, inclusive, of tiie Local Finance Law, the power to authorize bond anticipation notes in anticipation of the issuance of the serial bonds authorized by this Resolution and the renewal of such bond anticipation notes and the power to prescribe the terms, form and contents of such serial bonds and such bond 7 �^33 anticipation notes authorized by this Resolution, and the power to issue, sell and deliver such serial bonds and bond anticipation notes are hereby delegated to the Village Treasurer," as the chief fiscal officer of the Village. The Village Treasurer is hereby authorized to execute on behalf of the Village all serial bond:-, issued pursuant to this Resolution and all bond anticipation notes issued in I anticipation of The issuance of such serial bonds, and the Clerk of the Village is hereby authorized to affix the seal of the Village to all such serial bonds and all such bond anticipation notes and to attest such seal. Each inteK-st coupon, if any, representing interest payable on such serial bonds shall be authenticated by tiie facsimile signature of the Village Treasurer. Section -''- - • - The faith and credit of the Village is hereby and shall be irrevocably pledged for the punctual payment of the principal of and interest on all-obligations authorized and issued pursuant to this Resolution as the same shall become due. .-.•--•" Section 5. When this Resolution takes effect, the Clerk of the Village shall cause the . sanuvor a summary of the same to be published, together with a notice in substantially the form prescribed by. Section 81.00 of the Local Finance Law in J o u r n a l News , a newspaper having a general circulation in the Village. The validity of the serial bonds authorized H by this Resolution and of bond anticipation notes issued in anticipation of the sale of such serial bonds it-ny be contested only if such obligations are authorized for an objects or purposes for which the Village is not authorized to expend money, or the provisions of law which should be complied with" as of the date of tho publication of this resolution are not substantially complied with, and an action, suit or proceeding contesting such validity is commenced within twenty (20) days after the date of such publication, or if such obligations are authorized in violation of the provisions of the Constitution of the State.' - 8 I �Section 6. Prior to the issuance of obligations authorized to be issued by this bond resolution, the Board of Trustees of the Village shall comply with all applicable provisions prescribed in Article' 8 of the Environmental Conservation Law, all regulations promulgated thereunder by the New York State Department of Environmental Conservation, and all applicable Federal laws and regulations in connection with environmental quality review relating to the Project (collectively, the "environmental .compliance proceedings"). In the event that any. of the environmental compliance proceedings are not completed, or require amendment or modification subsequent to the date of adoption of this bond resolution, the Board of Trustees of the Village will re-adopt, amend or- modify this bond resolution prior to the issuance of obligations authorized to be issued herein upon the advice of bond counsel. It is hereby determined by .the Board of Trustees of the Village that the Project will not have a significant effect on the environment. Section 7. For the benefit of the holders and beneficial owners from time to time of the bonds and bond anticipation notes authorized pursuant to this resolution (the."obligations"), the Village agrees, in accordance with and as an obligated person with respect to the obligations, under Rule 15c2-12 promulgated by the Securities Exchange Commission pursuant to the Securities Exchange Act of 1934 (the "Rule"), to provide or cause to be provided such financial information and operating data, financial statements and notices, in such manner, as may be required for purposes of the Rule. In order.to describe and specify certain terms.of the Village's continuing disclosure agreement for that purpose, and thereby to implement that agreement, including provisions for enforcement, amendment and termination, the Village Treasurer is authorized and directed to sign and deliver, in the name and on behalf of the Village, the commitment authorized by subsection 6(c) of the Rule (the "Commitment") to be placed on file with the Village Clerk, which 9 �shall constitute the continuing disclosure agreement made by the Village for the benefit of holders and beneficial owners of the obligations in accordance with the.Rule, with any changes or amendments that are not inconsistent with this resolution and not substantially adverse to the Village a:id that L~C apj.--o"ved by the Village Treasiuer on behalf of the Village, all of which shall be conclusively evidenced oy the signing of the Commitment or amendments (hereto. The agreement formed, collectively, by this paragraph and the Commitment, shall be the Village's continuing disclosure agreement for purposes of the Rule, and "its performance" shall be subject to the availability, of funds and their annual appropriation to'"meet costs the Village would be required to ' ' incur to perform thereunder. •' The Village Treasurer is further authorized and directed to establish procedures in order to ensure compliance by the Village with its continuing disclosure agreement, including the timely provision "of information and nonces. Fj'ior to making any filing in accordance with the agreement or providing notice of the occurrence of any material event, the Village Treasurer'shall consult with, as appropriate, the Village Attorney and bond counsel or.other 'qualified independent special counsel to the Village." The Village Treasurer acting in the name and on behalf of the Village, shall be entitled to rely upon any legal advice provided by the Village Attorney or such bond counsel or other"speciai counsel in determining whether a filing should be made. ' - . . . ' . • Section 8. . The Village hereby declares its-intention to issue the obligations authorized hereri xo finance cost? of the Project. The Village covenants for the benefit of the holders of the obligations authorized herein that it will not make any use of the proceeds of such obligations, any funds reasonably expected to be used to pay the principal of or interest on such obligations or any other funds of the Village, and will not make any use of any of the equipment financed with the 10 �-<$;•=->:•- proceeds of such obligations which would cause the interest on such obligations to become subject to Federal income taxation under the Internal Revenue Code of 1986, as amended (the "Code"), (except for the alternative minimum tax imposed on corporations by section 55 of the Code) or subject the Village to an} penalties under section 148 of the Code, and that it will not take any action or omit to take any action with respect to such obligations, the proceeds thereof or any of the vehicles financed thereby if such action or omission would cause the interest on such obligations to become subject to Federal income taxation under the Code (except for the alternative minimum tax imposed on corporations by section 55 of the Code) or subject the Village to any penalties voider section 148 of the Code. The foregoing covenants shall, remain in full - force and effect notwithstanding the defeasance of the bonds'or any other provisions hereof until the date which is sixty (60) days after the final maturity date or earlier prior redemption dote thereof. The proceeds of any obligations authorized herein may be applied to reimburse expenditures or commitments of the Village made for such purposes on or after a date which is not more than sixty (60) days prior to the •date of adootion of this Resolution bv the Village.' Section 9. Moved: ..-•.- . . , . - • This Resolution wilj take effect immediately upon its adoption. Trustee Rodriguez Seconded: 11 Trustee Higle Vote: 6-0 �^37 VILLAGE OF SLEEPY HOLLOW $2.485.000 Serial Bond Resolution I I I Location Project 2(d) Rifle Range Additional Costs Deposit ijn GM Land 2(n) 2(c) Vehicles, Equif.vneot ..-. -2(d) Security . - . •2(b) fixed Asset Identification Project Water Mains • ' .. • 2(o) • Drainage. Retaining Walls, etc. 2(e) ; Parking • 2(1) 2(d) Telephone, Security : Boiler . •••'. . • " • - • . '-2(g)-.-• •-< . 20) Windows • -2(h) •{ Computers . - ••".".• ". '. " • 2(i) Parks and Recreation Improvements Fire Equipment • •••-•":•-:"-"-''- >; • .•-.->:«• 2 ( r n ) . - .-" :••_. 2<m) Fire Truck Radio Equipment •' • -"->"..-»-^-<" :• - : — 2(d> . 2(d) Equipment and Security 2(a) Police Vehicles Sidewalks 20 Pumphouse , •'- .'•:"2(kH Total: '• Costs of Issuance: (allocated) (2.018%) Total Issue Amount $28,329 $120,000 $367,768 $16,432 $25,000 $72,000 $113,496 $178,742 $41,645 .- $50,937 $102,118 $55,335 $236,683 . .$64,595 $451,966 $740 $292,955 S77,622 $128,673 - $10,800 $2,435,836 S49,164 $2,485,000 �HW 02/22/2892 16:19 914S743B83 MSP PAGE Meeting Date: February 26,2002 Resolution #: 2 / 2 3 /02 BE IT RESOLVED, that the Board of Trastees of the Village of Sleepy Hollow hereby calls for a public hearing on March. 26} 2002 to hear and consider a local law amending Chapter 57 of the Village Code to create alternate side of the street parking regulations on Depeyster Street in the Village of Sleepy Hollow which would prohibit persons from parking their vehicles on the North side of Depeyster Street on Mondays, Wednesdays and.Fridays between the hours of 8:00 A.M. and4:00 P.M. and also prohibit persons from parking on the South side of Depeyster Street on Tuesdays and Thursdays " between the hours of 8:00 A.M. and 4:00 P.M. Trustee MOVED: St ever •" •' " 'Trustee SECONDED:Rodriguez '" ' : ..VOTE: 6 ~° 83/03 �82/22/2302 15:19 9146743S88 MSP PAGE e2/B3 HSI Meeting Date: February 26,2002 Resolution??: 2/ ?-4/02 I BE IT RESOLVED, that the Board of Trustees of the Village of Sleepy Hollow hereby calls for a public hearing on March 26,2002 to hear and consider a local law amending Chapter 57 of the Village Code which would create a fire iarie at 49 Clinton Street in the Village of Sleepy Hollow. Said fire lane would prohibit persons from parking their vehicles in the designated areas at 49 Clinton Street in the Village of Sleepy Hollow, Trustee MOVED: I I S t e v e r " Trustee • SECONDED: H l g l e " '_ VOTE: 6-0 �*f/D Meeting Sate: 02/26/02 Resolution #: 02/25/02 Resolution of the Board of Trustees of the Village of Sleepy Hollow Authorizing Request for Qualifications For Engineering Sendees for Construction Plan Review and Inspection Whereas, the Mayor and Trustees of the Village of Sleepy Hollow have by prior action issued a special permit for the^proposed Kendal-on-Hudson project to be located on the grounds of Phelps Hospital, and ' Whereas, in anticipation of submission of building construction plans and inspection of construction activity for the subject project, the Mayor and Trustees of the Village of • Sleepy Hollow now wish to solicit statements of qualifications (RFQ attached hereto) to provide engineering services for the project and to provide technical support to the Building Department, .•-.-. • - '• • .-'.-..•-. Now, Therefore. Be It Resolved that, the Village Board.herein authorizes the solicitation of statements of qualifications for professional engineering sendees to assist with . Building Construction Plan review and provide inspection services for the Kendal-onHudson project. ' • Moved: .Trustee Rodriguez Seconded: . . Trustee-Stever Vote: 6-0 �VILLAGE OF SLEEPY HOLLOW REQUEST FOR QUALIFICATIONS FOR PROFESSIONAL ENGINEERING SERVICES FOR. BUILDING PERMIT PHASE AND INSPECTION PHASE OF THE KF.SDAL-ON-HUDSON CONTINUING CARE RETIREMENT COMMUNITY Introduction The Village of Sleepy Hollow is seeking Statement of Qualifications from pre-selected Consulting. Engineers to perform engineering services in support of the Village Inspection Force in their performance of building permit review and construction inspection relating to the Kendal-onHudson Continuing Care Retirement Community." The proposed project is located west of Phelps Memorial Hospital and east of the Hudson River in the Village of Sleepy Hollow, Westchester County, New York. -The project will provide for independent living, assisted living and skiHed nursing care. Data describing the project is available Monday through Friday, 10:00 AM to 3:00 PM at the Village Hall including: Draft Environmental Impact Statement Final Environmental Impact Statement Zoning Change Special Use Permit ; . Site Plan ( still under review at time of this writing ) The work is scheduled for approximately 2002 and 2003. Instructions to Respondents Consultants must submit ten (10 ) complete copies of the Statement of Qualifications, in sealed • envelopes clearly marked with the name of the submitting entity, to the Village Clerk, Village of Sleepy Hollow, 28 Beekman Avenue, Sleepy Hollow, New York 10591 by 2:00 PM on March 8S 2002. Responses received after the indicated time and date will be returned unopened. All technical questions must be made in writing to the Village Administrator. Dwight Douglas, Village of Sleepy Hollow, 28 Beekman Avenue, Sleepy Hollow, New York 10591 - telephone number 914-366-5105. Written inquiries received after the deadline of two business days prior to the due date for qualification submittals will not be considered. The Statement of Qualifications will be reviewed and ranked by the Village. The Village of Sleepy Hollow reserves the right to reject any or all of the Statements of Qualifications in the best interest of the Village. �General Requirements Provide professional engineering services for the Building Permit phase and Inspection Phase for the Kendal-on-Hudsort Continuing Care Retirement Community. Documents describing the project are on file with the Village Clerk. The engineering work required for the aforementioned phases will be to supplement the Village Inspection Department and provide the necessary support and backup for the procedure to approve a Building Permit and Certificate of Occupancy. Scone of Services The Scope of Services is delineated on Exhibit 1. The section on Site Plan compliance is not included in this Statement-of Qualifications. The Village board has approved SEQRA, and the Special Use Permit. In these documents, which are available from the Village Clerk, conditions were placed on the Applicant. Therefore, the Building Permit Department must review and ascertain that the Code Compliance, SEQRA Compliance, Special Use Permit Compliance, and certain public interface requirements are included in the scope of the Building Permit. The consulting engineering work that is the subject of this Statement of Qualifications will provide engineering support and backup to the Village Inspection Force as required." ' ' Similarly, the Village Inspection Force will be supplemented by the selected consulting Engineer to aid the Village Inspection Force to ensure that the items included in the Building Permit phase have been performed in accordance with the approved Building Permit and provide written certification to the Village Inspection Force in support of the Certificate of Occupancy. Qualifications Prospective consulting firms will have a minium of 15 years of municipal consulting experience, and will have experience dealing directly with contractors on behalf of municipal clients. The candidate will also have field experience with multi-prime contracts in New York State, and will have contract administration knowledge. The proposing consultant shall have on staff professional engineers specializing in the following disciplines: structural electrical mechanical plumbing Subconsultants must be identified. �yv3 The selected consultant must provide within ten ( 10 ) days of selection, certificates of insurance in the following amounts: I Worker's Compensation Statutory per NY Law w/o regard to jurisdiction (See Section l.Oi.l below) employer's i lability Statutory (See Section 1.01.2) Commercial General Liability CG 00 01 (ed. 11/88) or equivalent. Combined Single Limit - Bodily Injury and Property Damage S1,000,000 per Occurrence •' SI, 000,000 products/completed ' operations aggregate 52,000,000 general.aggregate $25,000 maximum deductible Automobile Liability: CA 00 01 (ed. 01/80) or equivalent. Combined Single Limit r Bodily Injury and Property Damage $500,000 each occurrence . The following coverage must be provided: • Comprehensive Form; Owned; Hired; Non-Owned i OtherInsuiance: Consultant shall maintain and present evidence of a professional Errors and Omissions policy with a U.S. domiciled company providing limits of not iess that S1 Million per claim, SI Million aggregate, and a deductible or self-insured retention not to exceed S25,000 per claim. The Village of Sleepy Hollow shall be named as an additional insured. Submittal shall be limited to twenty ( 20 ) pages and must contain the following information: A. Company Profile . _ Provide a description of the Firm, indicating the services offered and the firm's experience. Indicate the office where this project would be conducted. Include information related to: type of organization, ( proprietorship, partnership, corporation, etc ), address, year established, location of principal office. B. Key Personnel Provide the names of the key personnel who will be assigned to this project (include an organizational chart ). The Village is interested in obtaining information regarding specific qualifications and experience of key management personnel and I -_,-*' ^"sL> ^ ^ i s r - t - ^ r ' A i i - T L - ^ v i ' K ' i J ^ �staff to be assigned to this project; provide summary resumes of the key personnel indicating their project role and past experience. Include resumes for ail key personnel, including subcontractor's personnel, detailing their" professional background, qualifications', experience, education, certifications, registrations, etc. C. Project Understanding and Technical Approach Provide a general. statement of the project to be undertaken based on your understanding of the project. Include a description of your proposed approach to the project. Indicate the critical issues to be addressed during the course of this contract. D. Refeiences Please provide the names of at least three ( 3 ) references who can advise the Village of your past performance on projects of a similar nature. Provide the name, recentlyverified phone number and address of these individuals. E. Evaluation of Proposals In determining the "most advantageous" Statement of Qualifications, factors other than cost shaii be considered. The proponent whose submittal provides a thorough and detailed approach construed as most advantageous to the Village of Sleepy Hollow shall be selected. _ ' • After one consultant is. selected as having submitted the most advantageous Statement of Qualifications, the Village will initiate negotiations with that consultant regarding the detailed scope of services to be provided, and a final: compensation agreement. ' • If, for some reason, an agreement cannot be reached, then, discussions with the topranked firm will be closed, it will be so notified, and the second-ranked firm will be invited to undertake negotiations. This process will continue. �EXHIBIT .1 1 VILLAGE OF SLEEPY HOLLOW . i ! ; WESTCHESTER COUMTY. NEW YORK '1 KF.NOAL BUILDING PERViT ! AND L-ONS>T RUCTION PHASE • I !! • ~ 1 " • • • 6 MONTHS REVIEW TOR COMPLIANCE WITH SECRA CONDITIONS ' 1 "' - .;; i ; CODE COMPLIANCE! ! - | , -- ^>— 1 1 - PLUV31N3 ( -IRE 4 SAFETY MONTHLY MEETINGS PU3UC INTERFACE BLASTiNG TRAFFIC DUST SECURITY •- .., . ; i "" 1 —. " IN . i ! i ': | j 1 ! : i 1 i . 1 i i i NOISE [ EROSION ! SCHEDULING • i I - REVIEW FIRE FLOW REPORT CODE REC! liREMENTS ! ELECTRICAL : - i r! REViEV. SPECIAL USE PERMIT CONDITION? FOR COMPLIANCE REVIEW W.V PUMP STATION •• i1 N STRUCTURE ••• • [.-• - . - { I v_ | ! 1 • I • I ! SITE WORK | LANDSCAPING ••• .V.V PL."/? STATION .VATERMAIN . - • SITE PLAN COMPLIANCE 5EGRA COMPLIANCE i 1 PUBLIC RELATIC JS ~ ) 1 i 1 1 i I ! 1 • ) 24 MONTHS "- VOfl T HLY MEETINGS 1 t 1 ! •I ! CONSTRUCTION INSPECTION 1 i SPECIAL USE PERMIT COMPLIANCE--^' I ! ! ! I r BUILDING PERMIT j • i 1 ! ! 1 1 1 1 i j_ - 1 I PUBLIC INTERFACE 3LASTIN3 > • "JTRAFriO OUST NO.SS - . EROSION SCHSDUL'NG SECURITY i - i - , • 1 i i I.... I 1 .!... • i ! j 1 { t '• 1 { ! i ! 1 ! : LANDSCAPING ; PUBLIC RELA7:ONS '.V.V PUVP STATION ."/ATERMAIN : : ; STTE PLAN! COMPLIANCE '• SECRA COMPLIANCE ! S^ECAL USE PERMIT COMPLIANCE CODE REQUIREMENTS | • • IELECTFJCAL (STRUCTURAL PLUM3LNG | RRE a SAFETY I 1 - i ! ! { : '. j �4^ feting Date": 02/26/02 Resolution #: 02/26/02 Resolution of the Board of Trustees of the Village of Sleepy Hollow Authorizing Execution of Revenue Recovery Agreement Whereas, the Mayor and Trustees of the Village of Sleepy Hollow have by prior action undertaken the reorganization of the Sleepy Hollow Ambulance Corp. as a separate Village department with general administrative support provided by the Sleepy Hollow Police Department, and Whereas, Chief Warren has explored various options and entities to assisl with third party billing and lias recommended acceptance with, some limited modifications of a proposal from the Certified Ambulance Group. Wethersfield Connecticut to provide said billing as ' detailed in their February 13, 2002 "Revenue Recovery Agreement", attached hereto and made a part of this resolution, and Whereas, the proposal still requires clarification and final drafting before it is in a suitable form for execution, - - --. . : Now, Therefore, Be It Resolved that, the Village Board herein accepts the recommendation of Chief Warren and authorizes execution of the February 13, 2002 Agreement subject to final negotiations and review and sign off by the Mayor and Village Counsel . , ...-,:- : . . . - - . . - Moved: Trsutee Zieia Seconded:.. Trustee.DiFelice Vote: 6-0 .- . : �9V7 The REVENUE RECOVERY Service Dedicated to the" _. Volunteer, Municipal and Non-Profit' . Emergency Resporiders of America. " •TIFIED AMBULANCE GROUP I February 13, 2002 Chief Jim Warren Sleepy Hollow Police Department 28 Beekrhan Avenue Sleepy Hollow, NY 1059! .. RB: Revenue Recovery Agreement De;fa Chief W'arreu: First, let me apologize for the delay in getting ibis contract to you. After we talked on Friday. I received an update from our Corporate Compliance officer regarding what needed to be included in our future contracts in regards to the Centers for Medicare & Medicaid Services (CMS). I ' • wanted to make sure we had the most up to date information before I sent you this contract. • • The new application for Medicare is sixty five (65) pages long and has quite a bit of detail in it. For this reason, I would like to sit down with you to fill this application out. I would rather take the time to do it right the first time rather than risk having it rejected. |The contract does include on page nine a list of required documentation. The first two items are i client profile and the CMS 855 B form. We will take care of those when we meet. You also do not have to worry about number twelve (12), thirteen (13) and fourteen (14)- These items are for other states or for sendees already billing. . - I It would be very helpful if you could gather the remaining information prior to our meeting. ". . This will speed up and ease the start-up process. If you have any questions regarding any part of the contract or the list of required documentation, please feeiffee to contact me at 866-435-7224 Ext 106. I look forward to hearing from you. . Sincerely, Mark C. Gentile Director Post Office Box 290184 * Wethersfield, CT 06129 * (860) 257-9201 I .-wi-jwrr ._-«»»!* v * * « "I �4^ KF.W.NTIF, R E C O V E R Y S E R V I C E A G R E E M E N T THIS „ AGREEMENT, made and entered into, and . to.-. become . effective as of • - . " • . . - , by " and between Certified ' Ambulance. Group, Inc., a Connecticut corporation having its principal place of business at 920 Cromwell Avenue, Rocky Hill, Connecticut (hereinafter "Certified Ambulance Group") and Sleepy Hollow Police Department, a corporate entity having an address of 2S Beekman Avenue, Sleepy Hollow. NY 10591 (hereinafter the "Provider"). . " •. WITNESSETH ' .• • WHEREAS, the Provider supplies certain emergency medical services to the residents and visitors of their primary service area and other individuals; and, WHEREAS, the Provider desires to- be reimbursed, to the extent legally permissible, by the individuals utilizing the Provider's emergency medical- service; and, " '*-... - WHEREAS, Certified Ambulance Group, has certain experience in revenue recovery for services as a third party billing service and is walling to provide such service to the Provider for a fee; and, - . " " . _ . ' ' • WHEREAS,-the Provider desires to Have Certified Ambulance Group prqvid^certain revenue .recovery- sendees in accordance with the terms and conditions of this Agreement as a third party billing ser.-ice. .---*.-.--.-.-•-•*"-NOW, THEREFORE, in consideration 'of the foregoing premises and the usual covenants and - ' promises con tained herein, the parties agree as follows: - " '" " ' ' .-'_"/.-. 1. Work Tn Rp "Pprfonrpd And Servicer T o R e Rendered (A) - Certified Ambulance Group shall provide revenue recovery services on behalf of the Provider for revenues owed to the Provider. Such revenue recovery sendees and . ' procedures are specified in Attachment A attached hereto and incorporated as part of this Agreement. . . . . . (B) Certified Ambulance Group's sendees to the Provider shall include the filing of annual rate application filings when necessary, or provide assistance to the Provider in the determination of annual rate, adjustments. - . ' • - • '(C)- Certified Ambulance GrouD will assist the Provider wdth'oublic relations andconsultation relating to revenue recovery services. •- - . (D) The Provider shall authorize Certified Ambulance Group to act as the Provider's representative for the purpose of obtaining. the necessary authorizations, provider ' numbers and insurance company contracts required for revenue recovery. " (£) Certified Ambulance Group shall maintain its records in electronic'format for a period . of two (2) years beginning on the day the first Statement of Sendees Rendered (as - described in Attachment A) is mailed to the Provider. The Provider understands and - agrees that, after the two-year period, summary data may be available but original documents are destroyed upon data entry. . . . - �Revenue Recovery Agreement Page 2 of 11 • . • : - . . (F) I 2. 1 ' '.- • • ' " •- .. - .,-- . ' Certified Ambulance Group shall upon receipt of any payment by or on behalf of any • patient who received the service from the Provider, forward'said payment, no less frequently than four (4) times per month,.to the Provider or deposit said payment in a , bank account established for receipt of said payments.- (G) • The services to be rendered by Certified Ambulance Group hereunder shall be performed by Certif ed-Ambulance Group, and such, services may not be subcontracted or otherwise, performed1 by third parties' on .behalf of Certified Ambulance Group; without the prior written permission of the-Provider. • The lone exception to this ' paragraph is" the use of Medical Claims' Corp.; Inc., of Bristol, Connecticut, as a compiler for the purposes of compiling and transmitting electronic claims. (H) " The revenue recovery services rendered.by Certified "Ambulance Group hereunder"are . contingent upon the Provider supplying .to Certified Ambulance Group certain information and- KCFA mandated documentation in accordance .with the terms and' conditions described in Attachment B, "Table of Required Information and Documentation'" which is attached and becomes part of this Agreement. - This required documentation and information must be accurate, complete and provided to Certified • Ambulance Grouo upon executj.quiof this Agreement. Certified Ambulance Group's duties under th.v Agreement, are. contingent upon the Provider supplying ihe . information' required by Section 2 hereof and within the time period. specified ?- thereunder. -The Provider's failure to timely supply such information to Certified "Ambulance Group shall release Certified Ambulance Group from any obligation under this • Agreement to recover revenue from any patient or Payor for whom such - information and documentation was" not supplied." - . • •-.-"-• . Pompon nation and F P P S (A) -- -. - " - -' .' - . Within five (5) days alter the last day of every, calendar month, Certified .Ambulance Group shall determine the total payments received by it on behalf of the Provider. The • Provider shall also give to Certified Ambulance Group, within 3 days after the last day .of each calendar month, a monthly accounting for payments received by it or from a party other than Certified Ambulance Group. After Certified Ambulance Group has determined-the total payments received from all sources for the previous month, Certified Ambulance Group shall invoice the Provider according to the 'Tee Schedule" described in Attachment C attached hereto and incorporated herein, for the appropriate percentage of the.total payments received.- "Payments" as used in this section shall mean those funds that are paid to the Provider as a..result of the activities of Certified ' - Ambulance Group and "shall not include donations, grants or other funds received by. .. "theProvider. " (B) •-" The Provider shall pay Certified Ambulance Group's invoice within thirty (30) days . from date of invoice from Certified Ambulance Group. (C) The right of Certified Ambulance Group to receive payments for services performed ' pursuant to this Agreement shall survive termination of this Agreement. • ' �$<p Revenue Recover)" Agreement • • • • Page 3 of 11 . . . . - . (D) . It is understood between the parties that Sleepy Hollow Police Department has sole control of the funds recovered and any and all bank accounts into which the funds are - " deposited. Certified Ambulance Group has no access to norofrect use of the collected revenues. - --..;.-••:.*... -•"-'.* • (A) (B) A financial report wii! be mailed to the Provider" each calendar month by Certified Ambulance Group. The financial report shall detail for each patient (i) whether payment" has been received; and (ii)the total dollar .amount and source of any. payments. At the request of the Provider,. Certified Ambulance- Group shall also provide a fiscal year end report. ' • • " :' If the Provider requests additional reports from Certified Ambulance. Group and if " Certified Ambulance Group agrees to prepare such additional reports, the.Provider agrees to provide' any additional information required to prepare such reports. A fee, to be mutually agreed upon between the parties, shall be paid to Certified Ambulance Group for the compilation or preparation of such additional reports requested by the • Provider. -'".._ ..• : . -. . • • .- .' - . . - " - Avaiinbi!:ty of Records^ Audits 4.' (A) •(B) - • - ' " - All records generated by Certified Ambulance Group with respect to this Agreement shall be open and available to the Provider for inspection at any time during the normal business hours of Certified Ambulance Group. All records generated by Certified Ambulance Group'with, respect-to this Agreement shall be available at the office of Certified Ambulance Group in Rocky Kill, Connecticut. Likewise, the Provider shall allow for similar inspection by Certified Ambulance Group of its records relating to the services provided and fees due to Certified Ambulance Group. .Upon any reasonable request by the Provider, Certified Ambulance.Group shall permit the Provider to retain the right to perform or have performed an audit of "its billing records held by Certified Ambulance Group.' The cost of expense of any audits shall be borne solely by the Provider and shall under no circumstances' be charged to Certified Ambulance Group or be used to.offset.any payment owed to Certified Ambulance Group. Certified Ambulance Group shall provide necessary staff time for one (1) such . audit per year, without additional cost. The cost of additional audits will increase Certified Ambulance Group's fee'only to the extent that Certified Ambulance Group. spends additional time to supply information for such audits.' The then standard hourly " rate of Certified Ambulance Group for -consulting services' will be charged on an hourly basis to a maximum of five hundred.dollars (S500.00). ' . (C) • Should any audit by the Provider or designated.agent of the Provider of records held.by' Certified Ambulance Group specified in Section 4(A) above,- reveal any discrepancy concerning sums cue to the Provider in excess of five thousand dollars (S5,000) per annum, the cost of said audit shall be bome solely by Certified Ambulance Group.- �Revenue Recovery Agreement Page 4 of 11 • 5. T i m i t a t o r , o f T i?hility (A) I (B) 6. I - • . .: . . ; ' • • . ' . " . . " . . • . . • If any action aiises from inaccurate or inappropriate billing based on inaccurate or inappropriate information, that the Provider .has provided to Certified Ambulance Group, the Provider shall be solely responsible for any and all actions. The Provider shall indemnify, hold harmless and defend Certified Ambulance Group and its officeu, directors, agents and employees from and against all claims, damages or suits inlaw or in equity arising from or relating to the provision by the Provider of incomplete or inaccurate information to Certified'Ambulance Group or the Provider's negligence or willful misconduct in its performance under this Agreement.' Certified ..Ambulance Group may act upon any instalment of other writing believed by it, in good faith, to be genuine and to have been supplied by the Provider, Patient, Payor or their "agents or "attorneys, and shall not be liable, to any party hereto in .' connection.with the performance of its duties hereunder except for its own gross negligence or-willful misconduct. Certified Ambulance Group's duties shall be determined only with reference to tills Agreement. Certified Ambulance Group is not charged with knowledge of or any duties or responsibilities in connection with any other document, or agreement. .-^Certified Ambulance Group's sole obligation is to -• provide the Provider with revenue recover)' services based on the information and documentation provided by the Provider or its agents in accordance with the terms and .."conditions of this Agreement, and shall have no responsibility .or liability for the - accuracy of any such information provided by the Provider or its agents. ' Ternv.r.qrion o f A o r p p m ^ n t . -. • - • _. • - * , - . . ' (A) Either party may terminate this Agreement at any time by giving written notice of one hundred and twenty.(120) days to the other party. " . " - • - . ' - ' (B) If the Provider>terminates the Agreement.in accordance with §6(A), Certified Ambulance Group shall continue to provide agreed upon services for the 120 days following the notice of termination. However, additional Statements of Services Rendered for new account5: will not be mailed by. Certified Ambulance Group from the date" of .receipt of the termination "notice. If this Agreement is terminated by the Provider within one (1) year of the date' of execution, then Certified AmbulanceGroup's fee will increase to twenty-five percent (25%) of payments received from the date of receipt of the termination notice to the effective date of termination. If this agreement is a multi-year agreement and is terminated by the Provider within the term specified in Section 8 of this Agreement, then the following termination fee will be calculated using the following formula: • .- . -• " • " ((AT)x(APR)x(PR)x(BT)) .' with "AT" representing the average of the number of transports for the three (3) year period as supplied by "the Provider on the attached Client Profile, multiplied by the �tjia Revenue Recover}* Agreement ' ' • • pageS of 11 . .-• "APR", which represents- the calculated average of all payments received by Certified • Ambulance Group on behalf of the Provider, multiplied by the "PR", which represents the then current percentage rate, from the attached Fee Schedule, at the. time of notice of termination by the Provider, multiplied by the "BT" which represents the balance in year(s) or year(s) and fractions thereof of the agreed to term of agreement as specified in Section 8 of this Agreement, to arrive.at.a total dollar amount to be invoiced and collected from the Provider as settlement for termination. (C) (D) 7. if Certified Ambulance Group is the party that desires to terminate this Agreement, ' ' Certified Ambulance Group shall continue to provide all services hereunder for the 120-day period. Certified Ambulance Group's fee will not increase during this 120-day period. However, the Provider agrees to pay'Certified Ambulance Group the standard fee, as provided in this Agreement for all-payments received as a result of revenue recovery which Certified-Ambulance Group initiated.'. This commitment shall survive • -- termination of this Agreement. '- - . - . - • Certified Ambulance Group shall have the right to'terminate this Agreement if Provider has materially defaulted on its obligations under this Agreement, provided that Certified Ambulance Group has given Provider written notice at least (10) days in advance of such termination and such default has not been cured within the ten day period. ' Cnnndpntiplity _ - Each party acknowledges that by reason of the relationship contemplated hereunder that it may have access to certain information and materials concerning each other's business (including without limitation the terms and pricing of this Agreement), technology, service or products that constitute trade secrets of the other party and/or is confidential ("Confidential" Information"), which Confidential Information has substantial value. Each party acknowledges. that said value would be impaired if such Confidential Information was disclosed to third -. parties. Each, psriy ("Recipient") agrees that it will protect the Confidential Information of the • other party ("Discloser") with at least the same degree of care and skill, but not less than a reasonable standard of care, as it uses for its own confidential information; pmviried, how-ever, that the Recipient may provide access to and use of the Confidential Information only to those third parties that: (1) provide services io the Recipient, .and (2) need to use and access the Discloser's Confidential Information in the provision of such services, and (3) have agreed to substantially similar nondisclosure obligations as those" imposed hereunder. This Agreement imposes no obligation upon the-Recipient with respect to the Discloser's Confidential - '•' Information for which the Recipient can establish by legally sufficient evidence:- (i) was in the possession of. or was rightfully known by. the Recipient without aa obligation to maintain its confidentiality prior to receipt from Discloser; (ii) is or becomes generally known to the public ' '- without violation of this Agreement;.(iii) is obtained by the Recipient in good faith from a third. party having a right to disclose it without an obligation of confidentiality; or (iv) was required . to be disclosed by applicable law, provided that Recipient notifies Discloser of such requirement prior to disclosure, and provided further that Recipient makes diligent efforts to - limit disclosure. . " ? . " - . ' ' The obligations and requirements of this section shall survive termination of this . '. ' -"- A*2reernent. :• " . . . - . . - . �Revenue Recovery Agreement Page 6 ofl1 S: I I . . .. • • ' Term nf Agreement. • •-.- . ' • .'...•....- This "Agreement shall be in ^effect for. a period of •• year(s) from the date of execution, unless terminated as provided herein." Upon expiration of this agreement,'payments to Certified Ambulance Group shall continue fcr services rendered as a result of billings which Certified Ambulance Group initiated. This Agreement j'nali automatically renew for additional oiie -ear terms unless one party notifies the other party 120 days before expiration .of the term, ofils intent not to renew. -.: . ..." Ginf.ral ' ' : ' . - . • • • - . - (A) This Agreement is the sole and entire understanding between the'parties relating to the subject matter hereof, and • supersedes all prior understandings, agreements,- and documentation relating to the subject hereof. This Agreement may be amended only • by an instalment executed by the authorized representatives of both parties. (B) This Agreement shall be governed by the laws" of the State of Connecticut,- without regard to conflict of laws.pro visions. . ' ; . . • - (C) Certified Ambulance Group and its representatives are independent contractors of the Provider,'and Certified Ambulance Group and its representatives in no event will be considered an agent, employee or.joint venturer of, or-with the Provider or its ' —representative or agents."-The lone .exception to this paragraph is for the purpose of obtaining necessary authorizations, provider numbers and insurance company contracts . as cited in Section 1., paragraph (D).' - ' _ - • " • ' • (D) . Provider understands and agrees that .Certified Ambulance Group is not a "collection agency" and Certified Ambulance Group ."shall not be responsible for collection of ' . payments for Provider services through the use of "collection agency" methodologies or strategies. The duties of Certified Ambulance Group are solely that of a revenue recovery service. • ' - . - " ' •_.--. "" " Any waiver of any provision of this; Agreement must be in writing.. No waiver of any provision of this Agreement will constitute a waiver of. any other provision hereof, whether or not similar, or a continuing waiver The failure of either-party to enforce at any time any of the provisions of this Agreement shall not b'edeemed to be a waiver of -. - the right of such parly thereafter to enforce any such provision. Except for payment obligations, neither party shall be liable for any failure to perform due to causes beyond - " i t s reasonable control and where . failure - is not ..caused by negligence of thenonperforming party." •' . (E) (F) - If any provision of this Agreement is held to be invalid by a court of competent jurisdiction, then the remaining provisions shall nevertheless remain in foil force and - effect.' " -'* - �$9/ I RevenueRecovery Agreement t . ' Page 7 of 11 . (G) ~ - - • . ' • • . . . -..---•• - . - . - " - . . . .' In addition to the reports provided .by Certified Ambulance Group, the Provider agrees . to maintain such records of expenditures and other income as is needed for the purpose • • - of filing any necessary rate application, or the determination of any rate adjustments made by the Provider. .'. - • . - • ' ' : • ' ' • (H) . Any notice to a party hereto pursuant to this Agreement v/ill be given in writing by certified or registered mail, addressed as follows, or at such other address for a party as shaU be specified pursuant hereto and shall be deemed received five days after- mailing: • If to Certified Ambulance Group, to: ; , " -.•.._ , ".-••..' Certified Ambulance Group, Inc. ' Post Office-Box290184 - - ., . - V. "_-.-: .-' "' -Wethersfield, Connecticut-06129.' - .. - -.", -'• . • - '., . • . : If to the Provider, to: . Sipppy HoltriwPoliceDepartmenf 28 Brr-kmnn Avpnim '-• Sjpppy HnllnW. NY mS9i . . - . . . .. .--.'-. •-•. . = . ' - , . .-.-. "'•... / IN WITNESS WHEREOF, the parties' hereto have" caused this Agreement to be " executed by their duly authorized representative as of the date last below written. • -•''.•" Certified Ambulance Group, Inc. . By: . Name: Title: Chris A. Gentile President" . - Date: . . - - - . -. " . " ; - - _ • -. I -. :• - .- Sleepy.Hollow Police Department ; - - . By: - • Name:_ .. - Titled : Date:_ I �^ Revenue Recovery Agreement. : Page 8 of 11 • "•'. . . ftr-VFNTir. .. . KFCOWTW SERVICE . . ; ' " . ' " • . ATTACHMENT A p^orF.mm^ Reference: Section 1(A) , " " " " . ' • • ' ' « . Cenified Ambulance Group will mail or electronically transmit a standard HCFA-1500 claim to the insurer's health" care provider or other-entity within one (1) week of receipt of the required information from the Provider. -If the Provider fails to supply the required information • or the Patient is uninsured, Certified Ambulance Group shall mail a Statement of Se; vices Rendered to the patient.' Upon the. request 'of the Provider,' Certified Ambulance Group will • enclose a letter approved by the Provider with; such Statement of Services Rendered. The first mailing will include a postage paid reply card to expedite the recovery of insurance information if any. " . . . . ' For Insured Patients: . -Thirty (30) days- after the mailing or 'electronic transmission."of the first HGFA1500..claim, Certified Ambulance Group will mail or electronically send a second claim to the insurance carrier, if the insurance company has not contacted Certified. Ambulance Group. . .-'-•' . Sixty. (60) days after the mailing or electronic transmission of "the first HCFA-1500 claim, Certified .Ambulance Group will mail a Statement of Services Rendered to the patient,. if. the. insurance company has not contacted Certified Ambulance Group. This Statement of Services Rendered will explain'that the claim has been filed with their insurance carrier over sixty days ago but we haven't received a V-. •" response from that insurance carrier. If no response is received within thirty (30) - days, this account will now process the same as: .—'•'•.' . : ' • :--_'_. Uninsured Patients: . ... : . Thirty (30) days after mailing the first Statement ; of Services Rendered, a second Statement will be mailed, if the patient or responsible party has not contacted ' Certified Ambulance Group- - . . . • : • -.- • . Sixty (60) days after mailing the first Statement of Services' Rendered, a third and final Statement will be mailed, if the patient or responsible party has not contacted Certified Ambulance Group. ' ;. ' " - . " " " I .. Thirty. (30) days'after the mailing of the third Statement of Services Rendered to the Patient, the account will be considered as uncollectible and the account will be closed and so reported.to The Provider. The-Provider then has the option to send all or selected accounts on to "Choice Account Processing", a pre-collectioa letter and telephone contact service administered by Certified Ambulance Group through' an outside vendor. The cost. of this program is an additional three percent (3%) over the regular Revenue Recovery. ' .. - * fee. The Provider does not wish to utilize the "Choice" option no action, independent or 'otherwise, will be taken by Certified Ambulance Group regarding any closed account. No " reports of such" accounts will be given to any person, organization or entity other than the Provider, the Patient or the Patient's insurance, carrier of record. The Provider retains the : - . right to have any account closed at any time on a case-by-case basis; . • XTOTF- No insert letters will be enclosed for statements mailed directly or electronically transmitted to third party payers. *. " " . - . I �c).^ Revenue Recovery Agreement •;. . Page 9 of 11 . . " " • • . " ATTACHMENT B TAKT.F, O F TtFQTTraFD I N F O R M A T T O N AND D O C U M E N T A T I O N " • ' • _ " - - . : ; ClientProSs 2) Completed CMS S 5 5 B F o r m ' 3) • Verification from IRS of Tax Identification Number (TIN) (This miist be from the Internal Revenue Service preferably Form CP 575) . ' - . - . . 5) '••_•• . 1) . 4) -' .' " • .. Verification cf Tax Exempt status (if applicable) ' ' . . . . . . . Qualifications of Cr?.w. -(Copies of all Personnel's EMT and CPR cards (current)) 7) Current Certificate of Liability Insurance S) Proof of Vehicle insurance if not bundled under liability policy - 9) 10) .11) •".'". '- "' - - . '"" . List of Board of Directors with Social Security Numbers, addresses, date of birth, and place of birth. . . - ' - "-' • ' ' ' "• --.-•-._-..-••• • . Certificate of Incorporation (if applicable) "." -. *-.-- ••••': •'•-•• I f bundle billing for ALS, copies of contracts with ALS intercept providers 12) For C T Providers; Rate Schedule from State Department of Health, Primary Service Area Responder frcm State Department of Health - . _ . . . . . 13) For N C Providers current vehicle inspection reports 14) For Providers already billing; Rate Schedule, Provider Numbers, Contact name and phone number fcr previous billing office, signed letter authorizing remittance address chanse* ' . ' * " . • " . ' " . . - " . ... • -. - • �Revenue Recovery Agreement-. • Page 10 of 11 . \ ' . •' ' No less frequently than once per week, Provider shall mail to Certified Ambulance Group the following information, with respeci to all services provided by the Provider during the preceding week. • . * * 1) The date and time the Provider or its representative^) rendered die service to an •individual or individuals. . . •2) The location where the service originated and occurred. I • 3) The apparent reason why the service was requested (e.g. auto" accident, heart attack, nonvehicle trauma, seizure, etc.) ; . " •. . 4) If the service is, in part or in whole, transportation, the destination of the service including tlte name of any hospital. •.• ' 5) ' The name, address, Social Security Number and gender of the individtial(s) who received tlie service." " - • . . . ." 6) The name and address of the legally responsible party if ether than the individuals) who received the service. ' -."' " " 7) Tlie date of birth'cf the individuals) who received the service. - . . S) An assessment of the illness/injury of the individuals) who received the service. 9) Whether ihe injury/illness to the individual who received the service is work related. I 10) If the service is provided to an individual who is insured for any portion of the cost of the service, the name and address of the insurer and the insured's insurance identification. number(s) including group and individual numbers, also, any signatures required for revenue recovery. . - " . -. .• . ' 11) Any supplemental insurance information requested by Certified Ambulance Group where the service is provided to an insured individual. ' 12) Whether the Provider desires direct^billing to a third party (such as a third party payer) for the service.provided to an insured individuals). _-- -"" " For the purposes of this Attachment B "service" shall mean any ambulance, transportation or emergency medical service provided by the- Provider or other individuals), whether treated and/or transported by.the. Provider or its reoresentatives. ' - . ". -•. . �^ Revenue Recovery Agreement Page 11 of 11 ATTACHMENT C F P > SrTipriiilp: The following represents the percentage charged for each-year of the contract term. This contract will be a one, two, three, foi-r or five year term and the percent charged must be filled in for each year of the contract term. ' • - . I. 1 Year One 1 Year Two 1 Year Three ! % - Year Four - 1.-.- '• Year Five 'i his contract represents a %! • " 1 - - % 0/ -' ./o • %l Level Revenue Recovery Program. Basic Level Revenue Recovery — Full Revenue Recovery program utilizing computer generated bill in the form of pre-packaged envelopes and patient statements. This program DOES NOT. include letters .when the statement is sent to the patient.. All other benefits of the CertifiedAmbulance Program are aDolied to this Drosram. Advanced Level Revenue Recovery —"Full Revenue Recovery program utilizing computer generated bills and letters for statements sent to the patient. This program is recommended for" seryicesthat are just beginning the Revenue Recovery process. All other benefits of the Certified Ambukr.ee Program are applied to this program. . • • . .. . _. . � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Board of Trustees Meeting Minutes & Resolutions-2002 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource MINS_TRUST_2002-02-26 Subject The topic of the resource Board of Trustees Minutes-2002 Date A point or period of time associated with an event in the lifecycle of the resource 2002 Rights Information about rights held in and over the resource Village of Sleepy Hollow All Rights Reserved. Type The nature or genre of the resource Text