HomeMy WebLinkAboutbudgetary impactBudgetary Impact Analysis
I. Department Fire -Rescue Division Emergency Response Division
2. Agenda Item # (if available)
3. Title and brief description of legislation or attach ordinance/resolution:
Resolution authorizing the City Manager to execute Amendment No. 1 and approving the
extension in the Medaphis Physician Services Corporation n/k/a PST Services, Inc, (Per -Se)
contract, on a month -to -month basis, not to exceed a one -bear period, from September 20,
2004 through September 19, 2005 to provide emergency medical service billing and
collection services.
4. Is this item related to revenue? NO: YES X (If yes, skip to item #7.)
5. Are there sufficient funds in Line Item?
YES: _ Index Code Minor Obj. Code
NO: Complete the following questions:
Amount $
6 . Source of funds: Amount budgeted in the Line Item $
Balance in Line Item
$
Amount needed in the Line Item
Sufficient funds will be transferred from the followine line items:
ACTION
ACCOUNT NUMBER
ACCOUNT NAME
TOTAL
Index/Minor Object/Project No.
From
$
From
$
From
$
To
$
7. Any additional comments?
Failure to extend this contract on a month -to -month basis, not to exceed a one -near period,
from September 20, 2004 thru September 19, 2005 will result in a loss of revenue in the
amount $375,000 per month, for a total of $4,500,00 for this additional contract period.
8. Approved by:
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-Co r Department Director/Designee
7(3c 1 p`F
Date
FOR DEPARTMENT OF MANAGE , ENT AND BUDGET USE ONLY
Verified by:
-ri d by:
Transfer done by:
4101
I r
Chief of Strategic 'Ian • ' g, Budgeting, and
Performance Director Designee
Date g/a/a a i
Budget Analyst
Date 3 0 i‘q
Budget Analyst
Date