2006-015MEMORANDUM OF UNDERSTANDING
BETWEEN
VILLAGE OF BUFFALO GROVE y
AND THE
VILLAGE OF ARLINGTON HEIGHTS
Charging A User Fee For Ambulance Service
The object of this agreement is to allow each agency to bill for services in each others service
area and provide a consistent fee structure for residents and non - residents of either jurisdictional
area regardless of whom shall provide the service. In essence the resident and non - residents of
the Village of Buffalo Grove or Village of Arlington Heights will pay the appropriate user fees as
specified in the Ordinance adopted by their own government body. All billing will be based upon
jurisdiction only.
In accordance with the Agreement the Village of Buffalo Grove will:
1. Provide ambulance service per automatic response agreement to the Village of
Arlington Heights.
2. Provide ambulance service per mutual aid requests in other areas of the Village of
Arlington Heights.
3. Through the use to a third party billing service, an ambulance user fee will be
charged for the aforementioned ambulance transports at a rate specified in Village of
Arlington Heights Municipal Code Section 27 -110.
In accordance with the Agreement the Village of Arlington Heights will:
1. Provide ambulance service per automatic response agreement to the Village of
Buffalo Grove.
2. : Provide ambulance service per mutual aid requests in other areas of the Village of
Buffalo Grove.
3. .-
3. Through the use to a rd party billing service, an ambulance user fee will be
charged for the aforementioned ambulance transports at a rate specified in Village of
Buffalo Grove Municipal Code Chapter 3:36.
It is recommended that this Agreement be reviewed each year by the Fire Chief s to ensure this
Agreement remains fair and equitable to all parties involved. If future fee schedules are revised
or modified by either community, proper notification will be given and the current fee structure
will become applicable.
Agreed on this date 2006
For Village of Buffalo Grove For Village of Arlington Heights
B Y (Signature) 0 ��-+� ,.► BY (Signature)
Nam e (P rint ) W "101 tt 6. Name (Print)
T
Title
Title
Title 1
D •
ORDINANCE NO. 2006- 15
AN ORDINANCE AMENDING CHAPTER 3.36, EMERGENCY MEDICAL SERVICE AND
TRANSPORTATION FEE, OF THE VILLAGE OF BUFFALO GROVE MUNICIPAL CODE
WHEREAS, the Village of Buffalo Grove is a Home Rule Unit pursuant to the Illinois
Constitution of 1970;
NOW, THEREFORE, BE IT ORDAINED BY THE PRESIDENT and BOARD OF
TRUSTEES OF THE VILLAGE OF BUFFALO GROVE, LAKE and COOK COUNTIES,
ILLINOIS, as follows:
Section 1. Section 3.36.030, Fee Established, of the Village of Buffalo Grove Municipal Code is
hereby amended to read as follows:
3.36.030 Fee Established
The following fees shall be charged to any nonresident or resident who utilizes the emergency
medical service and transportation services of the Buffalo Grove Fire Department:
Non - Resident Fees:
Description
Fee
BLS:
500.00
ALS Level 1:
600.00
ALS Level 2:
900.00
Mileage /mile:
6.05
Resident Fees:
Description
Fee
BLS:
325.00
ALS Level 1:
400.00
ALS Level 2:
575.00
Mileage /mile:
6.05
Section 2. This ordinance shall be in full force and effect as of May 1, 2006, after its
passage and approval and publication in the manner provided by law. This ordinance may be published in
pamphlet form.
AYES: 5 - Braiman Berman, Kahn, Trilling, R „hin
NAPES: 0 —
ABSENT: I — Glover
PASSED: March 20,
ATTEST:
. 210 tra.w
illage Clerk
2006. APPROVED: March 20, , 2006.
APPROjVED• .
G� /�s
1
Village President
STATE OF ILLINOIS) ss.
COUNTY OF COOK )
CERTIFICATE
I, Janet M. Sirabian, certify that I am the duly elected
and acting Village Clerk of the Village of Buffalo
Grove, Cook and Lake Counties, Illinois.
I further certify that on March 20, 2006, the
Corporate Authorities of the Village passed and
approved Ordinance No. 2006 -15 entitled: AN
ORDINANCE AMENDING CHAPTER 3.36, EMERGENCY
MEDICAL SERVICE AND TRANSPORTATION FEE, OF
THE VILLAGE OF BUFFALO GROVE MUNICIPAL CODE
provided by its terms that it should be published in
pamphlet form.
The pamphlet form of Ordinance No. 2006 -15,
including the Ordinance and a sheet thereof, was
prepared, and a copy of such Ordinance was posted
in and at the Village hall, commencing and
continuing for at least ten days thereafter. Copies of
such Ordinance were also available for public
inspection upon request in the Office of Village
Clerk.
Dated at Buffalo Grove, Illinois, this 21st day of
March, 2006.
Village Vk
C
L-0
4
i
ORDINANCE NO. 2006- 15
AN ORDINANCE AMENDING CHAPTER 3.36, EMERGENCY MEDICAL SERVICE AND
TRANSPORTATION FEE, OF THE VILLAGE OF BUFFALO GROVE MUNICIPAL CODE
WHEREAS, the Village of Buffalo Grove is a Home Rule Unit pursuant to the Illinois
Constitution of 1970;
NOW, THEREFORE, BE IT ORDAINED BY THE PRESIDENT and BOARD OF
TRUSTEES OF THE VILLAGE OF BUFFALO GROVE, LAKE and COOK COUNTIES,
ILLINOIS, as follows:
Section 1. Section 3.36.030, Fee Established, of the Village of Buffalo Grove Municipal Code is
hereby amended to read as follows:
3.36.030 Fee Established
The following fees shall be charged to any nonresident or resident who utilizes the emergency
medical service and transportation services of the Buffalo Grove Fire Department:
Non - Resident Fees:
Description
Fee
BLS:
500.00
ALS Level 1:
600.00
ALS Level 2:
900.00
Mileage /mile:
6.05
Resident Fees:
Description
Fee
BLS:
325.00
ALS Level 1:
400.00
ALS Level 2:
575.00
Mileage /mile:
6.05
Section 2. This ordinance shall be in full force and effect as of May 1, 2006, after its
passage and approval and publication in the manner provided by law. This ordinance may be published in
pamphlet form.
AYES: 5 — Braiman Berman, Kahn, Trilling, Rubin
NAYES: 0 —
ABSENT: 1 — Glov
PASSED: March 20, 2006. APPROVED: March 20, , 2006.
ATTEST:
9� Alrn . 21"„a w
Mllage Clerk
APPROVED- ,
1
Village President