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Employee Assistance Program (EAP) | EXHIBIT A
Village of East Aurora, NY (“Client”) 6/1/26-5/31/27
Service Charges and Payment
A. The total number of employees covered under this Agreement is 113.
B. Client agrees to pay ESI the sum of $3,550.00 annually.
C. The annual fee includes all employees and their household members, as well as
children up to age 26 who do not reside with the employee.
D. Payment of the Annual premium is due upon receipt of the invoice.
E. Flat Rate listed above covers a census of 101 to 150. Contract rate may be modified at
renewal and/or if census moves outside of this range.
F. Trauma Responses available at $300.00 per hour plus travel time.
Cancellation Policy for Trauma Response Service:
If your organization cancels a scheduled Trauma Response with less than 48 hours’ notice:
If the Trauma Response is not included in your contract: A cancellation fee of $350 will
be charged.
If the Trauma Response is included in your contract: One Trauma Response will be
deducted from your contracted total.
G. DOT required Substance Abuse Evaluations - $850.00 each.
{MMO-00175783-1}