Laserfiche WebLink
(2) AGENCY may use or disclose protected health information as required by law. <br />(3) AGENCY may not use or disclose protected health information in a manner that would violate Subpart <br />E of 45 CFR Part 164, if done by COUNTY. <br />IN WITNESS WHEREOF, COUNTY and AGENCY have signed this Agreement in duplicate. One counterpart <br />each has been delivered to COUNTY and AGENCY. All portions of the Contract Documents have been signed <br />or identified by COUNTY and AGENCY or on their behalf. <br />This Agreement will be effective on 20_ (the date the Agreement is approved by the <br />Indian River County Board of County Commissioners, which is the Effective Date of the Agreement). <br />COUNTY: <br />INDIAN RIVER COUNTY <br />By: <br />Joseph H. Earman, Chairman <br />By: <br />John A. Titkanich, Jr., County Administrator <br />APPROVED AS TO FORM AND LEGAL SUFFICIENCY: <br />By: <br />William K. DeBraal, County Attorney <br />Ryan L. Butler, Clerk of Court and Comptroller <br />Attest: <br />Deputy Clerk <br />(SEAL) <br />Designated Representative: <br />David Johnson, Emergency Services Director <br />4225 43rd Avenue <br />Vero Beach, FL 32967 <br />772-226-3947 <br />djohnson@ircgov.com <br />AGENCY: <br />EMS Management & Consultants, Inc. <br />By: <br />(Contractor) <br />(CORPORATE SEAL) <br />Attest <br />Designated Representative: <br />Jay Gyure, CFO <br />2540 Empire Dr., Suite 100, Winston-Salem, NC 27103 <br />336-525-7079 <br />Jay.gyure@emsbilling.com <br />119 <br />