HomeMy WebLinkAboutRichmond County Hospital Authority
Augusta Richmond GA
DOCUMENT NAME: hidr.1""On& Co.n~ .HOS,?\~\ GtvtMrl\-j
DOCUMENT TYPE: 0. 9 fe e (Y\€Y\-t-
YEAR: rq 7 J
BOX NUMBER: I d--
FILE NUMBER:
NUMBER OF PAGES:
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^ C 'I.~ E J:; li E n l'
cnultl'l' OF lHCIlJ1CHW
,.}llErm!\S, nlllbu];.lIICC f:(~J:\I.i.cc: for tlte ciL:i.:~c:ns 0.1:
JU.c111l1uncl CounLy, Georgifl, h:l~; lIC;l-el()[uJ:(~ llc-en furnished llY
a pri\',1I:e lnud.nesG finn LiJll.le)~ cOlll.riict \.:IJI:111~icJlIlI()nd County,
Georgiel, [Illc1 said C(lnlTilcL~ j f.i to bc: tCIil1:i.nntcd, and
"JJlEim^s, it: is deull<::tl necci;~:;II'Y, in orclc:c to pro11lote
the hcnlt:h nnc1 gCI1(~l'fll \-)clF,l]c, to Jl):O\;:j.lh~ [or tile j'Jul)lic:
con\fC~Il:iJ:IICC, Cluc1 to providc: fen: Llw illJigcnt sick of id-cl'lilltmcl
COllnl-y, I:llal: Cin ClnILu1.nn(:(~ E~c:r\':i(;c be ]>l.'cvJc1cc1, Clnc1
\'n1Enl~/\~;, the ]loan1 of COlllil!in:iuup.TS of J(ocich; clJld
Hevenlles of H:i.chlllOlld Caulle.)' ll;;i~.: l~cqu(:~;tcc1 tlw n.:Lc:hilIUl1cl COL\nLy
II (J s rd t a 1 1\\1 t J HI r i i- Y t: 0 U 11 : 1 (: r [: n J ~ 0. t.: h cop c r ('1 t:i. 0 n 0 f ;:~ Ti i b u l;,n c ::~
s c~ r v 1 c e, Cl n c1 s ,1 :L c1 j\ \.1 t II 0 cL I: Y 11 ;:, f: [l g r c c c1 t: 0 pro v :L c1 (: S [j j d . f; C :cv :i. c C~ )
1,(lcl1 Touline. Clnd elllerg(~ncy, on ;::1 pT:olnpt. and nc1cqu8t:e l)<"ls:U:;
NOH, TlIrm EFOHE, nIClll:.lOj.m COUi'lT'Y, GEOn.GJl" herc:i r!.n f U~r
referred 1:0 [IS "County", ClI](1 \:lIe p'l.C:I.Ji'!I)jjJ) COlIN'J.'Y lIO;;r'l'.l';~T.
All'J.'llOHTTY, hercinClfter referred to as "AutI101::i. t)''') do hereby
Clgrc:e, in cons:i.c1cration. of the. p:ccllli~;cs, ::IS follo;-is:
1. The Aut:ho]~it:y \-7ill opcl'l1t:e a cOl1nt~Y'-\'ljc1c ClI,ll.lul2.ncc:
se.rvlce on Cl 2/1-.hou1: basis ud.ng p(~rsonn(;J. (Ifill cqu:i pmenL "hi.ch
[ITC genera] 1y Clcceptec1 for such pl1l:po~;cs [lnc1 llWCt: rCClf;on,lhle
stanc1ards for same. The A\ltho]~ity sllD1.1. establish reasunable
HaTE: :
Th:i.s \-'dll be Oil the Octoller 5,
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1971
ae;enc1a.
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:i.lllp(l~;C 1."C;.l:;()IIi.tldJ~' ch;lri"cs 1I1)(lll
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pol :r,CL(~I~ alHl pUJ(.:etl\lrc~s,
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Cll.::i.:~CIlS ~'Jho l1~;e said f3cTv.i.C(~::;)
Lhr~
and 11I(,in('.;.d.n
fi\lrfici(~lIt TcccJ):d:;
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ren l~Ct:i.l1g all cosl:s i1nd c.;i;pcnl;C~1; (111; lwrcd.n c1cLi.ncd) incur:cec1
by 1.1: in operClt:Lng said service aud the toUll illCUlilU rccc~:i.ved
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hy it from customers.
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by ;:1 corti ficc1 public aCCOllnUllll:.
Snid rcc.:onls shall l)e <luditec.1 CllllHwlly
2. The Coullty Sllil 11 prov.Lde the !mLhod.l:y \}L t:h
all in).U.al illl1hulanccf] nnd cqu:Lpnwllt l:u[ficicllt to Op(~nlt:c
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ambulance scrvice, or, in UIC altcrr,,"ll:iv8, pay to the ^l1t:hor:i.ty
an C1It1Cllmi: of moncy stlff:i.c:ic-:rtl: for 1.11Cl pllrch<.1f;C~ of said er]ldprncnt
hy the ^lltlIOr:ity, (l1~ 01ltl:i.1H~d ill n propof:cd lnlClgct: of capital
e ); p (~ 11 d i l: 11 r cst 0 b 8 a g n~ c d tl P (I n h y Lll 0. C () U n t y () n cl the f> 11 t: h 0 r:i. t: y .
3. ~lollthly i.1nd chlring thc term of this t1grcf:mcnt:,
the County sha1.1. pay l:n t:IlC /\l1l:110J:.i Iy on (l monUlly cLlsh has:i.s
a slim of m()nc~y ~qua1. t-o the c1:Lfrc~J:cllce l)(:~l\wc:n the tatitl COSL1;
'11"1-1 ('~~"(-'Jlr:r~0 ("r~ ll"'l-r"'lll
c..__'-_ ---..J _ _l..'-. ,j (l,~ l..~ - \......
rll-'I"j ))0,1) J'I""\I""I'(..l 1),' t-lll' ti" L!'()1-'; !.,. -j l'
- . -.. -\.. .'-' ........ ~.I",..,; ) -.. - ........ ....... -'~"".I -......
opernt:Lng' the ambulance so.rv:i.ce (lnd the Loud. cash collection,s
received [l:om citill,cns or CW~h)III(~rfi for fillCh servic(~, <lud [rom
FedcJ:nl nncl StaLe sources. },t th(~ end of cach mouth, the
Authority ~']:i.ll suhmit n' SI:itU~llIcmt to Lho. County, anc1 Ute ml\OUl1t
thercof shn1.1 be paidllY th(~ COllnty to tIle ^lltho:rity, ~.].lth:in
ten (10) c.1i1 y s aft er rcc c1 p t 0 f i1lvo:i.c e frolll the Au Lll ori ty [01:
the previous 1110nth.
/1 . A s use c1 her e:i. II, L1 L 0. UT III " C 0 S t: sail cl C); p C': n s e s "
shall \lH;.~a1l c)ny and all expcnses incun:ec1 by the Authority in
cOllncccion \d.eh the' oj)cr<ll:io:l of U:('~ <lnlblJ1"'~lllr'-'_ S"l'VJ'.c,.n. ]111. ],
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hut: \'.'.i.L!toul: Li.ndl::Lng the t',CI1'.~r:IJj I:)' (If t:11.8 fOl'cgo:i.nt" f,~I.I;(r:I.Cs,
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vclliclc (lpcr~IL:Loll cxpcn~;(~s~ in~;lIr::lll(:c prclIliuHls l'l1l.tl L~XpCII~:01; in
conC~ctiOI1 ~.,.Ll.h record Lecp:i.Jlg <llld (\clJ:lLll:i.sLrnt:i.ve c1uLicl:.
5. The. Aut:l1or:i.Ly 1:;]J;t1.1 (:1: nll U.nICt~ furn:i.t;J, (wd
maiilLain ~uff:Lc:i.el1t (\lIll:!lll<lJlc(~~;, I;l:a[,fecl HiLll <1n nc1eqllilLc 11U1llber
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of cOlnpcl:cnt personnel, ill (JJ:'dc:!: Lhat all rout:i.nc (llld ClI1c]:gcncy
<1lllhuli1IICC servicet; CHI! be fundl;he.cl and [lvailclble to the c:i.tizcns
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flrlcl sojourners of Riclllllonc1 County. Thc lWt1lOd.ty 1.:11n11 alt;o
lunrLsl1 routinc (lI1d crn(~rgcllcy mllhlil,11l(:C' I1(TV:i.C(~ to the indigenl:
sick of ]~ic:J)1110nc1 County [I~; def:i.ncc1 and c1e~[:(~J:lldn<::c1 by the Authod.l:y
[lncl the ])Cp~ll:[:lI1cnt. of FClIn:Lly [lnd C1Ji.l(1J:cn Serviccs.
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In ndd:LU.on,
the~ ^lIlJwrity l:hrl11 furnish nmbulilllCC service to Lr<lnSporl:
l11en(:.:I1.1.y ill persons \'Jllo lwvc bu~n CC?I111I1:i.!:l:0c1 by proper <lllt!to"l"ities
fro)",1 JU.cl\lllond County to Llw llwnl:nl !JO[;p:i.utJ[; of t1l0 Sta[:c.~ of
CCOq;Ll, pl~ovidcd such Cllllbu:l ClIlCC tnlllspcJJ:tal:ion is llicc1.LC':llly
ne:ccSI;nry.ClS duly C'erl:ifi.f:d J,y tIle f1ti:(~ndlng 0']" COi\llldtt:ing
phys.i.ciC111.
6. So 10J"l['; al; space if; [lv,t:llablc, the Authority sh[lll
f 1.1 r n ish, f reo. 0 f c h Cl 1: g e, n ~; u [f:i. c i c ul: ,1In (Ill n I: 0 f 0 [ f ice spa c e in
Lhe University JJo~:p:Ll:cll '101' 1I[:;C:~ by the Cl\1Jhl1J.C1nce~ sel-vice PC1'E:onncl.
The Cllllhuli'lIlCe service personlle~l (th()se~ hho [IrE: f:lflploycd pd.Jl1Clrily
in openlti ng and mClintain:i ng the: sendce) shall be cOl1l:inuollsly
trained .0111<1. educated in the pcrfo:J:ll1iHICC:: of their resporls:LlJi.litics
by the ^utl1ority, anc1.,,,l1en saic! personnel, or any of tllClll, are
not: on Cl call, in orc1o): to [ul:Lltel: their l~nm-llcdge, exped.ctlce.
Cl n d L r;n J 11 n g, l: h (! 1\1.1 tJ 10 d. L Y S] I ill. J c eJlll: i n u e to L r iI ill (\ n c1 cd U c Cl L c
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L 1(' pcrnf)1l11(~.. .Jy tll.L..:1 :.:,.1.1'11'.
ll,Citl :i II l h,:~. ('llll.~J.:gCII(:)' J"lJ(JiJl O{
j'lit, \lili"ril~Ri I'~ lIrtHp;i.f:nl,
7. Th(~ l\I.1Lllor:i ('Y <:lIlt! LlIl~ (:':1I111I:y ~;h.:;:I.:I n:~il~c
npplic:al:ion for any aVi.IL]:th]r': ::l'ill.c~ ;111<1 fc~dcrill gr<lIIL:.: \;'h:i.ch
,1l:C~ [Ipp1icnl.J:'-(~ to th(~ [jUPPOJ:t ilncl C(J[;l: of opCrtlL':i.l1g 0:1: iI11.-
t i. ElI'..L 11 g EI nil m lHll ('Ill C e s I:T vie c <t \1 d I I, C /i 1I i..l, (n: :i. t Y s 11.: I :I J, i f iI ny
such gJ"c1llts nre ):ccC':i.\icd, I:l;d llf:.:d n ,<;\1Ch n~coi:d:; i1ud b. .I.c,(; as
Ill::!)' be llecc:s:,;nry to cnnl::illllC )'cct':,i.v:i.ng ~::\It\C:.
tJ. It is )'c(:oi~rd.:~;cd UI<I.t th(~ AlIl:hor:i.t:y ni~ the\ pn~scnt
UIIlC :i.:: i1 sc] f..inslIrc:]: ;:I~; f:CJ ;:.:1 J cJ <d.rll~>
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nn.sl.nt~
[rClll1 the pi:r:sertl:
op(~nlt:iolH; of the lII1ivc:]:dt'y Jlc)~i1d I::IJ al1d L1wt:. it: :i s :LltlpOJ:ttlllt
fell: the IIospi.I'.lll to Jlln:i.llUd.n t!J:u; .I(:g<1] p(l~.;J.I::i.OIl <t)ld at the
s (1\ 11 ('. \' :i III e, :i. tis 1: C cog 11 :i. ;,'. (, d t I" It: l: It l: 1\ u t: h (l r:L t y h <.I S n () f II n d s
w.i.th '\71Iich 1:0 defend or pel)' cltlHIl[; \,;'hiclJ 111(1)' ar:i.s(~ unc1l;J: I:h18
COI1t:((]C t.
In cOJ)s:i.c1(~),i1t:i.C.HI of the i\ul:hol':i.ty a~]sunI:Lng 1:l1e obl:Lga-
UrJi'li; uncler this ciml:rnct (l!'Id i1~; <1 fUJ.-iJI,,'j,- IIVi:iil;iJ, Cl.l~;[: ],i1C:i.dcliL
to such opcn1t:ion, tlle lIul:lio:dty [I~',j'ec:~ 1:0 defend [l11 claims fc)]~
loss OJ: dc1I1!;:lgn arising out: of Llw O'i'711c::n;h:i.p, 11l(.d.ntc:n':lIlcc nnd
use of A1\lbulrlllce~; i.nclud:i.ng i111 cln:i.llls [OJ: bodily injury,
property c1n1\l.:lge or den t1l, 1)):ov:i.d(~c1, hm'7cvm:, that: the County
shaU reimburse the Author:i.l:y [OJ: nny C1nc1 all snch claims,
S(~t:t:1Clllcnt:f" suits or juc.l~lncnts, plus all c):penscs in C(111)(_~c:t:i.on
,-lith Ule de[cnse of tlw sn11lc.
The County agrees to inc1cllltllfy
C111d hold Jwnnless LlIC Authcll:ity [rom [lIlY fiuch C1Cl:i.lllS, suits,
jUcl[',IIlC:llI:S, or expenses of U.t:i.gClLion.
The Authori.ty ngrccs
l1lClt :it ,.]i] 1 make 110 sc:Ltlclllcnl or [Jil)'lIll:Ut: of any (:1('!i1l1, suit:
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or :1udu.IIl(~nl: \'I.i.l:llOUI~ !.lll.:~ :1)'j'n),\i:ll (if I.1IC CUlInl:y 'Un:mll',ll :1.1::;
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duly <llll:llor.i ~>;(~d reVJ.'(~[:(,IlLI(:i.vC: (II: l'(']\'ll:nclll.;.Il"'iv(:~:.
j 'J'hn Coun!:y ([l1il I Itl.; !\ui.hnd.ty fllJ:t:1Lel~ at'Ycc.~ l'.11;1l: it
\vl1. 1IluLui:llly e:;plon~ tIll: fCcu.:.i.hiLity of ell:tld.Lnu; l('gjsLI'--i.o!1
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by the Gennral
l\sscrnbly of G(~ori.'.:i.a 1.:0 crc;lltc a scpnrnt:c; public
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c oq) onl U. on or agency
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pr()\~:i.c1ccl, \\llrich ~:hillJ.
to OJ>CTiJi'.C Llw <llllblll<lnce
SCl'vJ.ce:~
h cl~ci n
ill tunl Cltl:cr illlo 111'1 oIH::rat::i.ng agreement
I'lil:h t:lle ^uthc)r:Lly, arH.l :;]ICluld ~;\1cll <l plAi1 prove fpCls:Lble,
the p;l1:ti.(~S hcrel'o agrc:(: to nHlluell.ly UE:!:: t:J18ir lJ(~st c:JJort~; to
hrilll'. ;lhoul: falch lcg:i.:;J;ll".:LCl[1 1-0 (']'r:;lI:C: :;l1ch [l corporClI::i.ol1.
The: COlIl1!:)', j n :i.Ui <I:i :.;cj'C'l::inn, may 'cd.ther flCt: ;H;
:;0.1 f :i n:;unT of the ^l1Lhor.i '"Y hCT(:llll(lc~r or Illi.lY procure [lnel
mn:Lnt:t1.i.n [] policy (If linhL J:i Ly :i llf;Ur<lllC(! :i.l1sln::i.l1g the CCI\mLy
<lnc1 the ^uthor:i.t:y ngil:i.n:jf~ LllC~ l.':i.sLs \1nc1(~rt:nb::~n herein) \-lith
or \',7.i thout CI c1cc.hlct:i.l)1e provlf;:i.ort, bll(~ in r;uch event: 1'1l(: County
llevcrl:11e.1e~~s shall. inclcnlll:Lfy Clllcl 1LUld harmless the ^1..lL1)(l1::i.ty
frolll any 108S, cost, or o:p(~nse <lrising \1IH.1er this parclgr[Jph
regnnllcf;s of t1w [HIlO\1Ul: or :i n,':tlr,IIICe ,-:'b1eh maybe J.n (~ffeet
nt Clny tillle i1nd t:.he Counl:y E;]wll PClY [IllY nnd all such insuJ:<lllCe
prelll L lllflS .
- ThE: Count.y shall have; tl1(~ right:. to IIla:Lnt:.<d.n oHnersh:i.p
of the mnbul[tIlces and the equipment <lnd to 1cilse tlw smile [or
One ($1.00) DollAr per year to the Authority, but: i.1l such event
<lny l:Lnh:Llit)i ilU3urance 8118J.1 include the ^uthod.ty as an insl;n~d
p<lrty lUlc1er stich insurilnce COVC;J:Clf,0..
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TIle lluLlIln:it:y ;q',ll.:::~; ,....i Ild.11 ~)O dilY~.; ft:OIlI lhLc:
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L lC /,';(:):\I].Co. lcgI.ns :(1 C~l\I!.:C
n.I:1 t1r.i.\'cr::.: ~111t.l (ll.:lc:IH1;lrl!:~;
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heel 11IC~ qUi11i f:i (~d ullde:"!: I.hc m:iid.III111l1 f:lillldiln]:; il:; :;l~[: [c.lJ.'h :i n
L 11 c: ^ 111 (~r i C <1 n ] ~ e d C r 0 S :0: 1.\ d \' ilil c: cd C () \1 r :; c! J 'F:L l' f: l: j\ :i. d l: 0 tll C
lnjuj-,:d", and. ilny ::IJ1,:icqul:rlt.Jy CII11'1(lye:d pc:r:t;()J)l1cl ::linll he
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:d.m:i.Jild.y qlla.l:i.f:i.ed \-ri.th:in <JO (k,y:; (If Lhc:iy c:mployr'1cnl-..
10. The AuLhor.il.y ;Igu':cs 1:0 cUlllrdy \.~.Lth <:11 Count:)',
Still-(~ [tnd Fcclr:.J:i.ll 1m.!!: [\nc11'-C[.~uJill.ion~; cljlpUcnb]e: to 1.1Ie
(1p(;rClL.i.oll of ill) <llliln11nllCC [;C:l.V:i.cC.
11. Ench (\llibl1J;liICl~ :;]1()] 1 he eq\l.i pped nccon1:i.ll['; to
the: ::I:(II)ll~lnl:; :i.llljHI::C.c! fnr illlilndilnc:cf; hy L11(~ l\rllcLi.ciln Collegc:
of ~;t1l-gcon~; (1;'; silnw l10\-] 01- lICTC;.::JfLc.J: m;IY (:Xl.:~t.
12. . /11.1 i111il'uLII1Ce c1d.\;cn:; ~:hflL' bE~ authorjzed (1l1d
)i.cc~l)~;l~d tn ClpernLc cllllhll]nllr.:(~~; \mclcl" thc: 1.<108 of the St::tLe or
CC01T,i il .
No ,'1!l1 b 11 L 111 C (~ d r :i vcr (I ):. (( L1: c: n d itn!: s 11:\ 11 h n v C: it n y
P(~C:l1ilinJ."Y .:Ldll:-(0.Sl. ill elll)' [llllc:n,l j,(Jill(~ OJ: \lIl(ll:J"' ;11,i Il? (:,';/:;-11,..
1:i. ~: 11111(: n l: .
No illi1hu1rtllce deLver \.;.I!o 11;:1!> bc(~n COl1v:Lci:c::c1 ()f [l
crjlll(.~ :i.l1voJ.v.i.ng !lIonl1 Ll11ld.tucll: :~klll be cllIployccl 01: i:11J()\}t:::d
to (11-jvo. <111 CllI11)ulnncc.
1. 3 . Till.:; C 0 u 11 L Y [; h a 11 b c: 1." c f; P 011 r;:i h 1. c for [I 11 ) 111 i. J) t: 0. n -
CllH'" [ll1d upkeep of the ill1lJ.,ul(ll1C:c~; lU3f.c1 by the Aut!lOriLy.
Said
veld.cl cs f,hi11l be ]::ept il1 good 1IIu:Il.1Il:i.cal l:cpc1ir and pcr:i odic--
[I]ly inspected by t:hc: County \.]j.L1ICJuL: e:>:l"'C:llsc to the Authority.
]ll. The COllnty s]I;111 1,(: J:(:f;ponsihle [01: the: pllrc:l1nf;c
of [IllY IlCh7 Cfjll:i.plllcnl: or ,11Ilhlll<lllc(:;; ,..'1I1c1l way bCCOlllt~ lIec(;~;~;c!ry
[11](1 ;lgu~r::S to prov.i.dc l:11(~ AlILllUril:y \-Ji Lh E;cllnc \,}IWIl n(:co.:~S;.lJ:Y
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<1"1 t:cnlilL1vc:, 'l.lw (:i1\111i y 11!:1)'
))'I,o\'1 c.1 c
1.11 (~ 1\ \I III ( )"J.. i, I: Y
~alrr:ici(~nt fund::: tl) 1>1.11.('11;1:;1: ~;,:I:i,(t c\jl.li,j.ll'i:,:ill: ("{lid ':\l!JhILIIICC::3)
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ilO '1"" Cnunl:)' ilnd the An'hod I)' ""':>' d.cd.d(, "n' """,,,,,;,,,,)' OJ:
ndv.i ~;ilhlt:.
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the 'use of n ~~eparClt:e hId.:! ding or 1..\l:U d:i.l"I[!.S hCCClliJ(~[:: nCcC~3sm:y
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In t:lw CVl~IIL I:JI(~ !'.\1 LhclJ:.i. I y ~;hollJ.d cl~c:i.dt>. that
I:n housc lh(~ <1111hulnncc v(:ll.:iclcf~ (n: p(:r~3ol)iH:.'1) 1:1)(~ Cc)unLy ngrC'p.s
to furn'j ~;1l f;;ll1ll~ \'Jit:1wul: (~;:I}(":il~;(; \".1) I:he l:,ul:.hc1"1::i.I:)' OJ:) ill 111(~
':111:(":1']1;11::i.V(') to ft1"i~ili,sh 1:1/(: !11I1'hl.,:t::i.Ly .fl1i"1r.lr; \-lil'h \.'ld.cl\ ~:U(;1t
fac:i.l:i.t:i.(~f; 11ln)' 1)c conr:;IJtlct(~d.
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l;\)~ IIIL 1:1 <12,(\ fjlli,l1.1 nol h(~ ;1 ffu: I:cd
11)' tldf; ilgrC'(~mcnt) nor ~;1lilll LlIC: l\1.lLllor:i.i:y :in [(uy \-in)' be re-,
q I d 1'( ~ d t: 0 nli s c its m:i. 1] .'"1 g c~ inn r cl (~ 1.' t (l P 0. Y f m: tll c: C:): p C' I) I.: c r;
of I hc ':lIllhul ;tncc s(~):\'icc.
17. TI1:i.f: [q;r(~('m:'n[: I:hi.l:ll tCj:mLnnl:c" onc yem~ [roll1
th(~ d"lt(.~ scr'.'.icE~ h0.['.:Lll~j) hut m:IY be rC:llcI:!c:d for ~:\ll:c(:r:.cl:ing
pCl":i.o(b; of one ycnr 0..1c11 11111(~s!~ Cit:1wl: par!:y I:enn:i.lwl.:c!; the:
S[(Il1C hy '\-n~iU:cn nol:i.c(~.
In the rlbsCllCC of any riCJl::Lc(~ of
tcnll:i 1][\I::L0I1, this [lgrccmcnl: ~;l)all be mlt()lil~l.I::Lcal.ly cont:i.nucd
from yp.Clr to ye[l)~. Any'noL:i.cc: of tcnll.i.lwl:ion ~;hnll be ill
'\-n:i.r-.i.ng [(11C] dc:l.:i.vcrcd to t:h(~ OppOf;:i.l:C ]1rl1:ly [((: least 90 days
}'ll:i.or La t.enninati.ol1 daLe:.
18. The tc~"J:IIlS of t:ld.f; Clgl'Cc:lIlc:::nt arc scver<.lble and
jnva]:i.tlilt::i.OIl of [lny pilrt h(;n~o.f f;lwJJ liD!: ilffect I:ltt~ rOllle-lining
t' e nw; [l n d c () 11tH t i on s .
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'-
IN \-Jl'.l'l'U~~.;~; \.'1"':I~LUF L11',~ C:U\1I"1l:y Clllc1 !\\IL-]ll.ll-.i I Y
act:i.II~~ tlll'OU[',h Lhcd.J: cluJy il\ll".Il,(I)"i,:c:d off:i(:c:rs, h,:IVC
executed thc~~;c pr(~Sf:nU; \,?:i.ell Cl1):/,DJ:ilLe sc:als ;:I.l:f:i.~{(~d il~;
of: the
,,"j ..-",1 (!
I. / ,j ,- day of
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HTClll.;CH'l1) COUl'~'J.')T, CEOgGIA
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../ ... .,1 ,/,','> /-' ,.' "
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1.\y .,.:' I( ..>(.-' I;' ',,1'"(,
. '''~'1~~' ..-'~.-':':' .:-:~.._- ----:; l:; '~-..H"l""'.'-'r:-- . ..~.-:- :_,,-:::_;':'::~"'H___' -~.~-:
(,1,1.1..1.111.111, bpl.rLl 0.. CUlll\II.I....,.I.011Cl..>
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1\ t l. (::; 1:..:;..'~I/;~:Z,,_:~h:..\.:!:.<..r..!-.:<~.. .._.... ...- ,-.-'
'C 1 I':'(k, "!Jon rc1 (l r C[;jll';IL~; ~d IJI !(~y S
A lJTl1(JI~'L'J Y.
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