11/24/2009 Resolutions 2009-304RESOLUTION 2009-304
WHEREAS, Medicare requires the periodic revalidation of the City of Grand Island's
enrollment in the Medicare program through the completion of aCMS-855B; and
WHEREAS, the revalidation is due to Medicare on December 12, 2009
NOW, THEREFORE, BE IT RESOLVED BY THE MAYOR AND COUNCIL OF
THE CITY OF GRAND ISLAND, NEBRASKA, that
1. The City of Grand Island shall revalidate its enrollment in the Medicare
program.
2. The Finance Director, Mary Lou Brown, is named as the Authorized Official.
The Accounting Clerk, Karen Schneider, is named as the Delegated Official.
4. Mary Lou Brown is authorized to sign those documents necessary for the
revalidation process, including, but not limited to, a Letter of Financial
Responsibility that indicates that if there are any monies owed to Medicare
from Ambulance Service, that the City will be responsible.
Karen Schneider is authorized to execute those forms related to the Medicare
program that would typically be given to a delegate to sign.
Adopted by the City Council of the City of Grand Island, Nebraska, November 24, 2009.
Margar Hornady, Mayor
Attest:
RaNae Edwards, City Clerk
Approved as to Form a ~
November 23, 2009 e City Attorney