Common use of Maximum Amount Payable Estimated Total Contract Value Maximum Contract Clause in Contracts

Maximum Amount Payable Estimated Total Contract Value Maximum Contract. Value April 1, 2012 - March 31, 2013 $298,350.00 $387,855.00 April 1, 2013 - March 31, 2014 $298,350.00 $387,855.00 April 1, 2014 - March 31, 2015 $298,350.00 $387,855.00 April 1, 2015 - March 31, 2016 $298,350.00 $387,855.00 April 1, 2016 - March 31, 2017 $298,350.00 $387,855.00 The approved Term maximum total contract value and the contract Term procedure volumes indicated as achievable should in no way be taken to be a representation, warranty or guarantee by Alberta Health Services that the Facility will have sufficient insured procedures or capacity to achieve the stated maximum Term funding payable during the term of this Agreement. The maximum contract value includes a 30% contingency amount. No portion of the contingency may be billed without prior written approval from Alberta Health Services and Alberta Health Services is not required to pay any amount of the contingency billed by the Service Provider in the absence of such prior approval. Commencing April 1, 2014, the Service Fees may be adjusted, no more than annually, for inflation. The adjustment shall be based on the mid-point between the average of the applicable public health care sector wage settlement for Edmonton, Alberta and the Consumer Price Index (CPI) indicator “Alberta All-Items excluding Energy, excluding Tobacco and excluding Alcohol” for the previous Fiscal year and such adjustment shall follow the guiding principles defined by the Statistics Canada methodology. Any adjustment in Service Fees shall not exceed the funding granted to AHS to cover the cost of the operations of AHS in respect of the Services for the applicable Fiscal Year. Adjustments, if any, shall be effective from April 1st in the Fiscal Year in which the adjustment is made. Schedule “C” Quality Standards and Expectations Without limiting any other requirements of the Agreement, the Operator shall meet or exceed the following standards, policies, and guidelines: Facility Current NHSF Accreditation by CPSA and ongoing compliance with the CPSA‟s NHSF Standards and Guidelines, as amended. Current Designation by the Minister. Equipment & Instruments As described by the Canadian Standards Association (CSA), the Canadian Anesthesiologists' Society (CAS), and the CPSA Standards and Guidelines for NHSF and AHS, pertaining to critical, semi-critical and non-critical medical devices, in each case to the extent applicable. Equipment is to be in good working order for all scheduled and emergency surgeries. Facility to notify NHSF Contract Manager if Equipment downtime will affect scheduled Client care. Preventative Maintenance Standards of applicable Professional Governing Body. Anesthesia and surgical Equipment maintenance standards as per manufacturer specifications and guidelines, subject to review and acceptance by AHS. Supplies Standards of applicable Professional Governing Body. Medical surgical, pharmaceutical and linen supplies must be appropriate for the Client population to be served. The Operator shall ensure that the Services, Equipment and supplies comply in all respects with the IPC Standards, attached hereto as Schedule C, Appendix 1, as amended by the Minister from time to time. The Operator shall obtain copies of the IPC Standards listed in Schedule “C”, Appendix 1 from time to time during the Term from the Minister‟s website at: xxxx://xxx.xxxxxx.xxxxxxx.xx/newsroom/pub- infection-prevention.html Facility Staff At a minimum, Staff must have the appropriate experience for the needs of the Client population served, in compliance with the CPSA, Operating Room Nurses Association and the designated professional licensing body. In each Facility where general anesthetics or sedation are administered, there must be one member who is currently certified in Advanced Cardiac Life Support (ACLS) present at all times. All patient care Staff must have current Basic Cardiac Life Support (BCLS). Where a general anesthetic is administered to a child, the registered nurse in the operating room assisting the anesthesiologist must be skilled in venipuncture and airway management in children. Documented proof of these skills must be available to AHS on request. In the event that care is provided to children under ten (10) years of age, the recovery room registered nurse must have current Paediatric Advanced Life Support (PALS) certification. In addition to skilled nursing Staff, the Operator must provide for appropriately trained and experienced support Staff, including but not limited to manager, booking personnel, re-processing Staff and housekeeping Staff. Health Record Document Documentation standards are subject to audit and must meet the NHSF Accreditation standards as outlined by the CPSA. Records relating to the provision of Services shall meet or exceed the requirements of AHS Applicable Policies and procedures; Professional Governing Bodies; and record retention as defined by the CPSA Standards for NHSFs. An anesthetic record, operating room patient care record and post anesthetic recovery room record shall be completed by the medical and nursing professionals providing direct care for every Client prior to discharge from the Facility In addition to the Client record, the Operator must maintain an individual Client statement (Disclosure Respecting Sale of Enhanced Medical Goods or Services) regarding the provision of enhanced medical goods and services within the Facility, as stipulated in the HCP Regulation. Medical and/or Dental Staff The Operator shall have a medical director approved by the CPSA on staff who:

Maximum Amount Payable Estimated Total Contract Value Maximum Contract. Value April 1, 2012 - March 31, 2013 $298,350.00 586,500.00 $387,855.00 762,450.00 April 1, 2013 - March 31, 2014 $298,350.00 586,500.00 $387,855.00 762,450.00 April 1, 2014 - March 31, 2015 $298,350.00 586,500.00 $387,855.00 762,450.00 April 1, 2015 - March 31, 2016 $298,350.00 586,500.00 $387,855.00 762,450.00 April 1, 2016 - March 31, 2017 $298,350.00 586,500.00 $387,855.00 762,450.00 The approved Term maximum total contract value and the contract Term procedure volumes indicated as achievable should in no way be taken to be a representation, warranty or guarantee by Alberta Health Services that the Facility will have sufficient insured procedures or capacity to achieve the stated maximum Term funding payable during the term of this Agreement. The maximum contract value includes a 30% contingency amount. No portion of the contingency may be billed without prior written approval from Alberta Health Services and Alberta Health Services is not required to pay any amount of the contingency billed by the Service Provider in the absence of such prior approval. Commencing April 1, 2014, the Service Fees may be adjusted, no more than annually, for inflation. The adjustment shall be based on the mid-point between the average of the applicable public health care sector wage settlement for Edmonton, Alberta and the Consumer Price Index (CPI) indicator “Alberta All-Items excluding Energy, excluding Tobacco and excluding Alcohol” for the previous Fiscal year and such adjustment shall follow the guiding principles defined by the Statistics Canada methodology. Any adjustment in Service Fees shall not exceed the funding granted to AHS to cover the cost of the operations of AHS in respect of the Services for the applicable Fiscal Year. Adjustments, if any, shall be effective from April 1st in the Fiscal Year in which the adjustment is made. Schedule “C” Quality Standards and Expectations Without limiting any other requirements of the Agreement, the Operator shall meet or exceed the following standards, policies, and guidelines: Facility Current NHSF Accreditation by CPSA and ongoing compliance with the CPSA‟s NHSF Standards and Guidelines, as amended. Current Designation by the Minister. Equipment & Instruments As described by the Canadian Standards Association (CSA), the Canadian Anesthesiologists' Society (CAS), and the CPSA Standards and Guidelines for NHSF and AHS, pertaining to critical, semi-critical and non-critical medical devices, in each case to the extent applicable. Equipment is to be in good working order for all scheduled and emergency surgeries. Facility to notify NHSF Contract Manager if Equipment downtime will affect scheduled Client care. Preventative Maintenance Standards of applicable Professional Governing Body. Anesthesia and surgical Equipment maintenance standards as per manufacturer specifications and guidelines, subject to review and acceptance by AHS. Supplies Standards of applicable Professional Governing Body. Medical surgical, pharmaceutical and linen supplies must be appropriate for the Client population to be served. The Operator shall ensure that the Services, Equipment and supplies comply in all respects with the IPC Standards, attached hereto as Schedule C, Appendix 1, as amended by the Minister from time to time. The Operator shall obtain copies of the IPC Standards listed in Schedule “C”, Appendix 1 from time to time during the Term from the Minister‟s website at: xxxx://xxx.xxxxxx.xxxxxxx.xx/newsroom/pub- infection-prevention.html Facility Staff At a minimum, Staff must have the appropriate experience for the needs of the Client population served, in compliance with the CPSA, Operating Room Nurses Association and the designated professional licensing body. In each Facility where general anesthetics or sedation are administered, there must be one member who is currently certified in Advanced Cardiac Life Support (ACLS) present at all times. All patient care Staff must have current Basic Cardiac Life Support (BCLS). Where a general anesthetic is administered to a child, the registered nurse in the operating room assisting the anesthesiologist must be skilled in venipuncture and airway management in children. Documented proof of these skills must be available to AHS on request. In the event that care is provided to children under ten (10) years of age, the recovery room registered nurse must have current Paediatric Advanced Life Support (PALS) certification. In addition to skilled nursing Staff, the Operator must provide for appropriately trained and experienced support Staff, including but not limited to manager, booking personnel, re-processing Staff and housekeeping Staff. Health Record Document Documentation standards are subject to audit and must meet the NHSF Accreditation standards as outlined by the CPSA. Records relating to the provision of Services shall meet or exceed the requirements of AHS Applicable Policies and procedures; Professional Governing Bodies; and record retention as defined by the CPSA Standards for NHSFs. An anesthetic record, operating room patient care record and post anesthetic recovery room record shall be completed by the medical and nursing professionals providing direct care for every Client prior to discharge from the Facility In addition to the Client record, the Operator must maintain an individual Client statement (Disclosure Respecting Sale of Enhanced Medical Goods or Services) regarding the provision of enhanced medical goods and services within the Facility, as stipulated in the HCP Regulation. Medical and/or Dental Staff The Operator shall have a medical director approved by the CPSA on staff who:

Maximum Amount Payable Estimated Total Contract Value Maximum Contract. Value April August 1, 2012 - March 31, 2013 $298,350.00 $387,855.00 $ 649,800.00 $ 714,780.00 April 1, 2013 - March 31, 2014 $298,350.00 $387,855.00 $ 649,800.00 $ 714,780.00 April 1, 2014 - – March 31, 2015 $298,350.00 $387,855.00 $ 649,800.00 $ 714,780.00 April 1, 2015 - – March 31, 2016 $298,350.00 $387,855.00 $ 649,800.00 $ 714,780.00 April 1, 2016 - – March 31, 2017 $298,350.00 $387,855.00 $ 649,800.00 $ 714,780.00 The approved Term maximum total contract value and the contract Term procedure volumes indicated as achievable should in no way be taken to be a representation, warranty or guarantee by Alberta Health Services that the Facility will have sufficient insured procedures or capacity to achieve the stated maximum Term funding payable during the term Term of this Agreement. The maximum contract value includes a 3010% contingency amount. No portion of the contingency may be billed without prior written approval from Alberta Health Services and Alberta Health Services is not required to pay any amount of the contingency billed by the Service Provider in the absence of such prior approval. Commencing April 1, 2014, the Service Fees may be adjusted, no more than annually, for inflation. The adjustment shall be based on the mid-point between the average of the applicable public health care sector wage settlement for EdmontonCalgary, Alberta and the Consumer Price Index (CPI) indicator “Alberta All-Items excluding Energy, excluding Tobacco and excluding Alcohol” for the previous Fiscal year and such adjustment shall follow the guiding principles defined by the Statistics Canada methodology. Any adjustment in Service Fees shall not exceed the funding granted to AHS to cover the cost of the operations of AHS in respect of the Services for the applicable Fiscal Year. Adjustments, if any, shall be effective from April 1st in the Fiscal Year in which the adjustment is made. Schedule “C” Quality Standards and Expectations Without limiting any other requirements of the Agreement, the Operator shall meet or exceed the following standards, policies, and guidelines: Facility Current NHSF Accreditation by CPSA and ongoing compliance with the CPSA‟s NHSF Standards and Guidelines, as amended. Current Designation by the Minister. Equipment & Instruments As described by the Canadian Standards Association (CSA), the Canadian Anesthesiologists' Society (CAS), and the CPSA Standards and Guidelines for NHSF and AHS, pertaining to critical, semi-critical and non-critical medical devices, in each case to the extent applicable. Equipment is to be in good working order for all scheduled and emergency surgeries. Facility to notify NHSF Contract Manager if Equipment downtime will affect scheduled Client care. Preventative Maintenance Standards of applicable Professional Governing Body. Anesthesia and surgical Equipment maintenance standards as per manufacturer specifications and guidelines, subject to review and acceptance by AHS. Supplies Standards of applicable Professional Governing Body. Medical surgical, pharmaceutical and linen supplies must be appropriate for the Client population to be served. The Operator shall ensure that the Services, Equipment and supplies comply in all respects with the IPC Standards, attached hereto as Schedule C, Appendix 1, as amended by the Minister from time to time. The Operator shall obtain copies of the IPC Standards listed in Schedule “C”, Appendix 1 from time to time during the Term from the Minister‟s website at: xxxx://xxx.xxxxxx.xxxxxxx.xx/newsroom/pub- infection-prevention.html Facility Staff At a minimum, Staff must have the appropriate experience for the needs of the Client population served, in compliance with the CPSA, Operating Room Nurses Association and the designated professional licensing body. In each Facility where general anesthetics or sedation are administered, there must be one member who is currently certified in Advanced Cardiac Life Support (ACLS) present at all times. All patient care Staff must have current Basic Cardiac Life Support (BCLS). Where a general anesthetic is administered to a child, the registered nurse in the operating room assisting the anesthesiologist must be skilled in venipuncture and airway management in children. Documented proof of these skills must be available to AHS on request. In the event that care is provided to children under ten (10) years of age, the recovery room registered nurse must have current Paediatric Advanced Life Support (PALS) certification. In addition to skilled nursing Staff, the Operator must provide for appropriately trained and experienced support Staff, including but not limited to manager, booking personnel, re-processing Staff and housekeeping Staff. Health Record Document Documentation standards are subject to audit and must meet the NHSF Accreditation standards as outlined by the CPSA. Records relating to the provision of Services shall meet or exceed the requirements of AHS Applicable Policies and procedures; Professional Governing Bodies; and record retention as defined by the CPSA Standards for NHSFs. An anesthetic record, operating room patient care record and post anesthetic recovery room record shall be completed by the medical and nursing professionals providing direct care for every Client prior to discharge from the Facility In addition to the Client record, the Operator must maintain an individual Client statement (Disclosure Respecting Sale of Enhanced Medical Goods or Services) regarding the provision of enhanced medical goods and services within the Facility, as stipulated in the HCP Regulation. Medical and/or Dental Staff The Operator shall have a medical director approved by the CPSA on staff who: