JANUARY 1, 200l TO

                                                        JUNE 30,2002



BPERS01

06/08/01



     AGREEMENT made as of the 22nd day of February 2002, between the City of New

York, acting through the Department of Social Services of the Human Resources

Administration (hereinafter called "Department" or "Social Services District")

with offices located at 180 Water Street, New York, New York 10038 and American

Medical Alert Corporation (hereinafter called "Contractor" or "Supplier" or

"Provider"), with offices located at 3265 Lawson Boulevard, Oceanside, New York

11572



                              W I T N E S S E T H:



     WHEREAS, the Department's Home Care Services Program (hereinafter "HCSP")

provides a program of personal home care services for individuals eligible for

such services, pursuant to applicable Federal and State laws and regulations;

and



     WHEREAS, the Department, pursuant to Section 367-g of the Social Services

Law and Title 18 NYCRR, Section 505.33, may authorize personal emergency

response services (hereinafter "PERS") to be provided to individuals whom the

Department or its designee has determined to be eligible to receive such

services; and



     WHEREAS, the Department's program of personal cart services includes, but

is not limited to, Supervisory and Assessment Nursing Visits and Housekeeper and

Home Attendant Services components; and



     WHEREAS, the HCSP instituted a program designed to allow home care services

clients, living alone, to call for assistance, by using an electronic call

device; and



     WHEREAS, the parties hereto entered into an Agreement for the provision of

such services, for the period from July 1, 1999 through June 30, 2000, which

Agreement was thereafter extended for the period from July 1, 2000 through

December 31, 2000; and



     WHEREAS, the Contractor has been providing personal emergency response

services to date; and



         WHEREAS, a Request for Proposals for a new solicitation for such

services has been prepared and is scheduled for release. A new contract is as

yet unavailable to continue the provision of such services and replace the

existing contract, the absence of which would result in HRA being without

essential Personal Emergency Response Services to serve the needs of the

Department's clients eligible to receive such services; and



         WHEREAS, HRA has a compelling need for the continuation of Contractor's

services, and pursuant to the provisions of Section 3-04 of the Procurement

Policy Board Rules, has negotiated this Agreement with the Contractor; and,

further



{PAGE}



         WHEREAS, the Department has requested the Contractor to provide PERS in

accordance with the terms and conditions contained herein, and the Contractor is

ready, willing, and able to do so.



         NOW, THEREFORE, in consideration of the mutual covenants herein

contained, the parties have agreed, and do hereby agree, as follows:



                                     PART I



ARTICLE 1.   TERM OF PERFORMANCE



         The term of performance for this Agreement shall be for a period of

eighteen (18) months, from January 1, 200l through June 30, 2002, unless sooner

terminated pursuant to the terms hereof.



ARTICLE 2.   DEFINITIONS



A.       Electronic Call Device (hereinafter "ECD") -- the Contractor's

         electronic call service system, which consists of a two-way voice base

         (Help console), a help button (Personal Transmitter), a panic button at

         the primary entrance, an activator mounted in the bathroom, and smoke

         detector. This equipment incorporates an emergency response activator

         and an emergency response communicator as required by 18 NYCRR Section

         505.33.



B.       Electronic Communication Equipment (hereinafter "PERS equipment") --

         shall mean the Contractor's ECD equipment that electronically signals a

         monitoring agency for help via recipient telephone lines.



C.       Emergency Responder -shall mean a recipient's neighbor, family member,

         or any other person who, at the recipient's request, has agreed to

         respond to a signal for help when notified by the ERC.



D.       Emergency Response Activator --shall mean an electronic device that the

         recipient presses or otherwise activates to send a signal for help to

         the monitoring agency.



E.       Emergency Response Communicator -- shall mean an electronic unit

         connected to a recipient's telephone line. The emergency response

         communicator accepts a signal for help from the emergency response

         activator and also has its own device to generate a signal for help. It

         sends the signal via telephone lines to the monitoring agency.



F.       Emergency Response Organization -- shall mean police or fire

         department, an ambulance service, a hospital or other entity that the

         recipient has designated to respond to signals for help when notified

         by the ERC or the Emergency Responder.



G.       Funds -- shall mean money or anything of value transferred by the

         Department or MMIS or both to the Contractor in accordance with this

         Agreement, and shall include, but shall not be limited to rate

         payments.





                                      -2-

{PAGE}





H.       MMIS -- shall mean the New York State Department of Health Medicaid

         Management Information System.



I.       Monitoring Agency -- shall mean an agency (hereinafter "Emergency

         Response Center" or "ERC") that is capable of receiving signals for

         help from a recipient's PERS equipment 24 hours per day, seven (7) days

         per week; determining whether an emergency exists; and notifying an

         emergency response organization or an emergency responder that the PERS

         recipient needs emergency help.



J.       Personal Emergency Response Services (hereinafter "PERS") -- shall mean

         (1) the provision and maintenance of electronic communication equipment

         in the home of a recipient which signals a monitoring agency for help

         when activated by the recipient, or after a period of time if a timer

         mechanism has not been rest, or by any other activating method, and (2)

         the continuous monitoring of such signals by trained operators and, in

         case of receipt of such signal, the immediate notification of such

         emergency response organizations or person, if necessary, as the

         recipient has previously specified.



K.       Recipient -- shall mean a person determined by the Department to be

         eligible for and authorized by the Department to receive program

         services in accordance with this Agreement.



L.       Recipient Data Record -- a record of recipient information that must

         contain the following information:



         1.    The recipient's name, telephone number and address, including his

               or her apartment number and floor, if applicable;



         2.    The recipient's personal medical history, including his or her

               age, sex, medical condition, diagnosis, and other relevant

               medical history;



         3.    The name, telephone number, and address of the person or persons

               whom the recipient has designated as the emergency responder

               responders;



         4.    The name, telephone number, and address of the person whom the

               recipient has designated as his or her representative, if

               different from an emergency responder;



         5.    The name, phone number, and address of the police department,

               fire department, ambulance service, hospital, or other entity

               that the recipient has designated as an emergency response

               organization;



         6.    The recipient's written authorization for the emergency response

               organization and an emergency responder to enter his or her home

               and provide emergency treatment and transportation; provided that

               the Department has obtained the recipient's authorization

               pursuant to Article 4.A.2.c., below.



         7.    The name, telephone number, and address of the recipient's

               physician and the recipient's preferred hospital.





                                      -3-

{PAGE}



ARTICLE 3.   EQUIPMENTt



A.       Pursuant to 18 NYCRR, Sec. 505.33, subsection (g), all PERS equipment

         must be approved by the Federal Communications Commission and meet the

         Underwriters Laboratories, Inc. (hereinafter "UL") safety standard

         number 1637, which is the UL safety standard for the home health care

         signaling equipment.



B.       The Contractor agrees to provide to the Department as many ECD's as the

         Department may require during the term of this Agreement. The ECDs

         shall include the following:



         1.    An emergency response activator that is activated either by

               breath, by touch, or some other means and is usable by persons

               who are visually or hearing impaired or physically disabled.



         2.    An emergency response communicator that is attached to the

               recipient's telephone line that will not interfere with normal

               telephone use. It must be capable of operating without external

               power during a power failure at the recipient's home in

               accordance with all requirements for home health care signaling

               equipment with stand-by capability.



C.       Pursuant to Title 18, section 505.33, subsection (g) of the NYCRR, the

         monitoring agency must be capable of simultaneously responding to

         multiple signals for help from:



         1.    a primary receiver and back-up receiver, which must be

               independent and interchangeable;

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