Exhibit 10.21
Staffing Agreement Between
M.T. Marketing Int. Corp (DBA M.T Ultimate)
00 Xxxx xxxxxx xxxxx 000 Xxxxxxxx XX 00000
And
CABS Nursing Home
000 Xxxxxxxx Xxx.
Xxxxxxxx, XX 00000
July 9th, 2003
MT Ultimate Healthcare Staffing will endeavor provides hospitals, nursing homes,
and other medical facilities with professionals, such as Registered Nurses,
Licensed Practical Nurses, Nurse Technicians and Certified Nurses Aides.
MT Ultimate to provide CABS Nursing Home with (RNs) Registered Nurses and (LPNs)
Licensed Practical Nurses, (here after referred to as staff members), and will
guarantee the following:
That all MT supplemental staff personnel provided to CABS Nursing Home will
possess the requisite certification and demonstrate they have been verified and
documented:
(a) Current License verified in person and with the office of personnel
credentials in New York State
(b) Evidence of Professional liability Insurance Policy of $1,000,000/
$5,000,000
(c) Professional references and competency skills checklist of nursing in a
clinical area of specialization
(d) Proof of Basic Cardiac life support (BCLS), proof of Advanced Cardiac
Life Support (ACLS) certification for all critical nurses.
(e) Annual medical report indicating satisfactory health status, including
Immunization for communicable disease such as Hepatitis B, Mumps, measles,
Rubeola and Tuberculosis.
(f) Annual in service classes to assure compliance with State and Federal
Regulatory agency standard such as OSHA, infection control, JACHO and
HIPAA.
(g) Proof of identity, and Nurse referral photo ID card.
SHIFT CANCELLATIONS:
--------------------
MT Ultimate and CABS Nursing Homes agree that each can cancel its commitment to
provide staff members, with out charge or penalty, by providing such notice at
least (2) two hours in advance of the time at which such staff member was
scheduled to begin providing services. If CABS cancels a staff member CABS shall
be Liable for (4) four hours payment at current rate.
MT Ultimate agrees to adopt CABS' holiday schedule rates which is billed at a
time and half: New Years Day (1) Memorial Day (2) Independence Day (3) Columbus
Day (4) Labor Day (5) Thanksgiving Day (6) Christmas Day (7) and any other day
CABS set aside as holidays.
BILLING/PAYMENT
MT Ultimate will xxxx CABS Nursing Home on a weekly circle of Monday through
Saturday; payment is due from the date of invoice.
ORIENTATION POLICY
CABS Nursing Home will not be billed for the orientation of each of the staff
member.
RECRUITMENT BY CABS
If CABS Nursing Home desires to hire as its employee any staff members provided
to it by MT Ultimate, CABS Nursing agrees to a mutual arrangement for
replacement at No cost.
Renewal and Cancellation of Contract:
CABS Nursing Home reserves the right to renew or cancel this contract with (20)
twenty days prior written notice. Any hourly rate increase by M.T Ultimate
requires (20) twenty days prior notification by certified mail, return receipt
requested or delivered personally or overnight delivery.
Compliance with New York State Health Requirements:
Each of the parties shall comply with those provisions of chapter V of Title 10
of the New York Codes, Rules and regulations which are binding on that party
under the State of New York, Notwithstanding any other provisions in this
contract, the facility remains responsible for ensuring that any service
provided pursuant to this contract complies with all pertinent provisions of
Federal, State and Local Statutes, rules and regulations.
IN WITNESS WHEREOF, the parties hereto have executed this agreement on this day
May 9, 2003.
M.T ULTIMATE HEALTHCARE CABS NURSING HOME
/s/ XxxXxxxxx Tudeme /s/ Xx. Xxxxx Xxxxxxx
-------------------- -----------------------
President Director of Nursing
5/9/03 5/9/03
M.T Ultimate Healthcare Staffing
Rate Sheet For CABS Nursing Homes
RN $37.00 Per Hour
LPN $27.50 Per Hour @ 36.25 Hrs per week 7.25 hrs
Nurse Tech. $22.00 Per Hour
This information is based on our discussion with Xx. Xxxxx Xxxxxxx,
CABS Director of Nursing.
