You are on page 1of 5
§ 8613092391 eee OTC St. Mary’s Ambulance Service #40, Kuvempu Vidyavardhaka Trust, Opp. Chandrakala Hospital, Kalidasa Road, V.V. Mohalla, Mysuru - 570 002 Email ID : Saintmarysambulanceservice@gmail.com Date: AGREEMENT FOR PROVIDING AMBULANCE SERVICES This agreement (hereinafter referred to as the “AGREEMENT”) is made and executed on this day of 10.07.2023 at Mysore and is been entered BY AND BETWEEN SUYOG MULTY SUPER SPECIALITY HOSPITAL, an existing within the meaning of the companies act, 2013 and having its registered office at, Dakshineshwaramarga, Ramakrishnanagar, Mysore, India, Karnata. +91 99863 99862 (hereinafter referred to as “sri suyog multi speciality hospital super speciality hospital.” which expression shall, essor-in-interest and unless repugnant to the contest there of, mean and include its su permitted assigns) of ONE PART. AND M/S SAINT MARY’S AMBULANCE SERVICE, an existing Firm registered under companies Act 1956 & 2013 having address at opp to Chandrakala Hospital Shop No. 35, Kuvemputrust Mysore. [.] (hereinafter referred to as “SAINT MARY’S AMBULANCE SERVICE” which expression shell, unless repugnant to the context are meaning hereof, be deemed to mean and include successor-in-interest and permitted assigns) to the SECOND PART SUYOG MULTI SUPER SPECIALITY HOSPITAL SUPER SPECIALITY HOSPITAL, and SAINT MARY’S AMBULANCE SERVICE, are Hereinafter collectively referred to as the “Parties” and individually as the “Party” far Ot, Mary's Ambulance Service det Proprietor WHEREAS, SAINT MARY’S AMBULANCE SERVICE, is engaged in the business of providi Jing healthcare support services such as Ambulance. Funeral, Mortuary and other related services (hereinafter referred to as the “SUPPORT SERVICES”) at various locations in India and has significant expertise and goodwill in the field of healthcare support services. A ° m OLLOWS AGRI T_WITN Whereas. SUYOG MULTI SPECIALITY HOSPITAL SUPER SPECIALITY HOSPITAL, basis the discussion had with SAINT MARY’S AMBULANCE SERVICE, has exposed willingness to avail Support Services of ST. MARY'S. AMBULANCE SERVICE for its patients at SUYOG MULTI SUPER SPECIALITY HOSPITAL SUPER SPECIALITY HOSPITAL Mysore SAINT MARY’S AMBULANCE SERVICE, shall be exclusive provider of Ambulance Support and services at SUYOG MULTI SUPER SPECIALITY HOSPITAL, >. SAINT MARY’S AMBULANCE SERVICE, shall provided the services to the patients of SUYOG MULTI SUPER SPECIALITY HOSPITAL, in a professional and satisfactory way SAINT MARY’S AMBULANCE SERVICE, shall park enough Ambulances in and around SUYOG MULTI SUPER SPECIALITY HOSPITAL, campus so as to seamlessly serve SUYOG MULTI SUPER SPECIALITY HOSPITAL SUPER SPECIALITY HOSPITAL patients. SAINT MARY’S AMBULANCE SERVICE, shall arrange for Ambulances as per SUYOG MULTI SUPER SPECIALITY HOSPITAL SUPER SPECIALITY HOSPITAL, is requirement. . Following are the support services which SAINT MARY’S AMBULANCE SERVICE, is obliged to provide to the patients of SUYOG MULTI SUPER SPECIALITY HOSPITAL, a, Pickup ambulance services as requested by SUYOG MULTI SUPER SPECIALITY HOSPITAL, rg Ambulance Service For St. Mary’ pS and! a= vngludma ey inh rofengore GSTIN : 29ARVPT4172G1ZZ 5 * & 8618092391 Bw eto St. Mary's Ambulance Service #40, Kuvempu Vidyavardhaka Trust, Opp. Chandrakala Hospital, Kalidasa Road, V.V. Mohalla, Mysuru - 570 002 Email ID : Saintmarysambulanceservice@gmail.com s Embalming services . Freezer box . Coffin box Mortuary services Funeral services mead SAINT MARY’S AMBULANCE SERVICE, can charge and collect the service charges from the patients, as per the price list with Hospital G. SAINT MARY'S AMBULANCE SERVICE, its associates or employees SHALL > Not demand more money than the > Come well groomed, clean shaven and wear a uniform > Not indulge in drink and drive practices > Behave politely with the patients and their relatives > Not indulge in over-speeding or rash driving > Nor demand driver allowances/ Bata as it is already factored in the tariff > SUYOG MULTI SPECIALITY HOSPITAL SUPER SPECIALITY HOSPITAL is not responsible for safety of vehicle. H. SUYOG MULTI SUPER SPECIALITY HOSPITAL shall provide a space inside the campus, to SAINT MARY’S AMBULANCE SERVICE, for parking of Ambulances. SAINT MARY’S AMBULANCE SERVICE, shall appoint executives, at its own cost, to manage the day-to-day activities of coordinating with ambulance, patients and call center For St. Mary's Ambulance Service ¢ J. The term of the Agreement is 36 Months from the date of signing and can be renewed further Based on mutual understanding. The Agreement can be terminated by either Party by giving a 60 day’s notice to the other Party. K. In the event of breach of this contract by any parties by not providing services as per clause(E),(F) and (G), the other parties is entitled to terminate this contract by giving 14days written notice a . SAINT MARY’S AMBULANCE SERVICE, shall be solely responsible and liable towards shall compliances whether statutory, Manpower related or insurance for the business service which it operates in M.Modification of the terms and conditions of this Contract, including any modification in the scope of the services, may only be made by written agreement between the both parties. MUTUALLY AGREED TERMS BETWEEN THE PARTIES-BOTH THE PARTIES SIGN UNDER THEIR HAND SEAL THIS PROPOSAL ARRANGEMENT DOCUMENTS AS DEFINITIVE AGREEMENT BETWEEN BOTH THE PARTIES IN WITNESS WHEREOF, THE PARTIES HAVE EXECUTED THIS AGREEMENT AT MYSORE ON THIS DAY OF 10/07/2023 extended for further period of 3 years (09/07/2026) On behalf of On behalf of SUYOG MULTI SAINT MARY’S AMBULANCE SERVICE SUPER SPECIALITY HOSPITAL For St. Mary's Ambulance Service Go dep Authorized Signature APoobiekoed Signature Witness: We 4 GSTIN : 29ARVPT4172G12Z a o + @ 8618092391 St. Mary’s Ambulance Service # 40, Kuvempu Vidyavardhaka Trust, Opp. Chandrakala Hospital, Kalidasa Road, V.V. Mohalla, Mysuru - 570 002 Email ID : Saintmarysambulanceservice@gmail.com Annexure 1: service Charges for the ambi SLNO | PARTICULARS CHARGES _ - 1 BLOOD BANK 500 / TRIP | 2 anal | 500/ TRIP [a LAB ~~ 500/ TRIP - 4 | PARCEL PICK-UP | 200/TRIP | | oe Ty con l 6 | CAMP 1000/TRIP | if | [1000 [Upto 20kms 7 PATIENT PICK-up_ ___2000_|Up to. 40kms 3000 | __Upto 60kms L : - 167 km More than 100kms 8 aera 500 / TRIP lea OTHERS. lueooy jee tL For St. Mary's Ambulance Service AS Proprietor

You might also like