§ 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
ProprietorWHEREAS, 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
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rofengoreGSTIN : 29ARVPT4172G1ZZ 5 * & 8618092391
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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 4GSTIN : 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