Backup Documents 09/22/2015 Item #16D13 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP —
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO Ae 13.
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. - C4 yr Community and Human / /k.
Services � /
2. County Attorney Office County Attorney Office \p .\
Yks\c/5/ tk(-66
3. BCC Office Board of County
Commissioners
4. Minutes and Records Clerk of Court's Office - T1 (Lt I(6
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff rt r�.rt\—�`�c��p�-- Phope Number
Contact/ Department It ,(-IN ��t ,�,.,� tcrc%S\ 2S 2.-(OZ,$`A
Agenda Date Item was Agenda Item Number
Approved by the BCC ".Q-Ø'. 2�" Z 0) I LQ • . )
Type of Document Number of Original
Attached GY'ak , `.oJ.,,svcSc _, Documents Attached
PO number or account
number if document is Pilek
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable colum Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? 5;-p > 4 Uhl!)
2. Does the document need to be sent to another agency for :dditional signatures? I --s,
provide the Contact Information(Name;Agency;Address, 'hone o ed sheet. _
3. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman, with the exception of most letters,must be reviewed and signed ���
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's
Office and all other parties except the BCC Chairman and the Clerk to the Board Z.A4
5. The Chairman's signature line date has been entered as the date of BCC approval of the
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required. X12
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE. �Q
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on cj l aa5 and all changes made
during the meeting have been incorporated in the attached document. The County apt,
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by thea
BCC, all changes directed by the BCC have been made, and the document is ready for the $ ,�x
Chairman's signature. ?af `
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
D I "
41
MEMORANDUM
Date: January 14, 2016
To: Kim Grant, Director
Community & Human Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Contract with David Lawrence Mental Health Center, Inc.
Attached for your records are two originals of the Agreement referenced above,
(Item #16D13) adopted by the Board of County Commissioners on Tuesday,
September 22, 2015.
If you have any questions, please feel free to contact me at 252-8411.
Thank you.
Attachment
16 1
THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
AND
DAVID LAWRENCE MENTAL HEALTH CENTER,INC
THIS CONTRACT is made and entered into by and between Collier County, a political subdivision of the State of
Florida,hereinafter referred to as "COUNTY" and David Lawrence Mental Health Center, Inc. d/b/a David Lawrence
Center,a private nonprofit corporation existing under the laws of the State of Florida,hereinafter referred to as"DAVID
LAWRENCE CENTER" or"CONTRACTOR".
WHEREAS,COUNTY believes it to be in the public interest to provide substance abuse and mental health services to the
Collier County residents through the DAVID LAWRENCE CENTER according to this Contract, and NOW
THEREFORE, in consideration of the mutual covenants, promises, and representations contained herein COUNTY and
the DAVID LAWRENCE CENTER agree as follows:
ARTICLE I SCOPE OF SERVICES
Provision of substance abuse and mental health services programs must be implemented to serve residents of Collier
County in accordance with Chapters 394 and 397,Florida Statutes,and all exhibits hereto.
ARTICLE II TERM OF CONTRACT
This Contract shall begin October 1, 2015 and end September 30, 2016 unless terminated as specified in Article IX,
Suspension/Termination.
ARTICLE III COMPENSATION AND REPORTS
A. Contract Payment
The County shall pay the Contractor for the performance of this Agreement and the total amount of One Million,Three
Hundred Eighty Four Thousand,Eight Hundred dollars, ($1,384,800),based on the submission of the required quarterly
report(Attachment A). Quarterly payments of$346,200 will be made upon receipt of a proper quarterly invoice and in
compliance with Section 218.70 Florida Statutes, otherwise known as the "Local Government Prompt Payment Act."
Collier County reserves the right to withhold and/or reduce an appropriate amount of any payments for work not
performed or for unsatisfactory performance of Contractual requirements.
The payment amount set forth in this agreement includes$230,800 to offset the elimination of federal/state funds through
what was heretofore known as the Intergovernmental Transfer Programs (IGT's) with the State Agency on Health Care
Administration (AHCA) program. Provision of this funding to the David Lawrence Center through this agreement and
associated funding program does not guarantee the recurrence of this funding under future agreements.
The Contractor shall submit quarterly progress reports to the Community and Human Services Department on the 30th
day of the month following the reporting quarter. The progress report format is outlined in Exhibit 2 and the reporting
schedule is cited below.
Quarter Service Dates Report Due
1st Quarter October 1-December 31 January 30th
2ndt Quarter January 1-March 31 April 30th
311 Quarter April 1-June 30 July 30th
4th Quarter July 1-September 30 October 30th
Page 1 of 12
16 n 3
All requests for payment shall be submitted in accordance with Exhibit 1. Funding is contingent upon the availability of
funds. The COUNTY has agreed to purchase service(s)listed in Article I.
Deferred Payment/Return of Funds
If, as a result of monitoring or audit, clients counted are not properly documented, a payment may be deferred. If
Contractor cannot provide appropriate documentation in order to determine the accuracy of the number of qualifying
clients submitted by the Contractor,or if audit by County indicates that the number of clients served may be less than the
minimum required for the Contract period under Article III B no future payment will be made until the full amount of
overpayment is remitted to the COUNTY or a repayment agreement is accepted by the COUNTY. The overpayment will
be calculated on a pro rata basis. If the monitoring or audit occurs after the term of this contract, the DAVID
LAWRENCE CENTER will be required to remit funds to the COUNTY in accordance with the repayment conditions
below.
The DAVID LAWRENCE CENTER agrees to return to the COUNTY any overpayments due to funds disallowed
pursuant to the term of this Contract and/or COUNTY, State or Federal requirements. The DAVID LAWRENCE
CENTER will be required to reimburse the COUNTY for any acts of non-compliance resulting in disallowed costs or
fines,
B. Contract Deliverables
1. Clients Served
The David Lawrence Center will serve a minimum of 5,650 non-duplicated Collier County`residents/clients with at least
1 unit of service,as defined by F.A.C.65E-14 during the contract period.
2. Required Reports
EXHIBIT 1-Payment Request-Due: Quarterly by the 30th of the following month.
EXHIBIT 2-Performance Outcomes Report-Due: As indicated on Exhibit 2.
Certificate of Insurance-Submitted annually or sooner in accordance with Article VIII B.
For all reports except the Exhibit 1 (Payment Request),either an email or hard copy of reports is acceptable. The Exhibit
1 (Payment Request) must have original signatures. Other reports requiring signatures can have an electronic signature
or a scanned copy of the report with signature.
3. Required Documents
Audited Financial Statement and Management Letter for fiscal year(s)in which contract funds are expended-Due date:
Non profits-180 days following the end of the DAVID LAWRENCE CENTER'S fiscal year(s);
Monitoring Reports-A copy of monitoring reports issued from other sources as they are issued.
ARTICLE IV AUDITS,MONITORING,AND RECORDS
A. Monitoring and Corrective Actions The COUNTY will conduct an annual financial and programmatic review.
The CONTRACTOR agrees that COMMUNITY AND HUMAN SERVICES will carry out no less than one(1)annual on-
site monitoring visit and evaluation activities as determined necessary.At the COUNTY's discretion,a desk top review of
the activities may be conducted in lieu of an on-site visit.The continuation of this Agreement is dependent upon
satisfactory evaluations as determined by COMMUNITY AND HUMAN SERVICES. The CONTRACTOR shall,upon the
request of COMMUNITY AND HUMAN SERVICES,submit information and status reports required by COMMUNITY
AND HUMAN SERVICES to enable COMMUNITY AND HUMAN SERVICES to evaluate said progress and to allow for
Page 2 of 12
E'" IIII
16 I
completion of reports required. The CONTRACTOR shall allow COMMUNITY AND HUMAN SERVICES to monitor the
CONTRACTOR on site.Such site visits may be scheduled or unscheduled as determined by COMMUNITY AND
HUMAN SERVICES. The COUNTY will monitor the performance of the CONTRACTOR based on goals and
performance standards as stated with all other applicable federal,state and local laws,regulations,and policies governing
the funds provided under this contract.Substandard performance as determined by the COUNTY will constitute
noncompliance with this Agreement.If corrective action is not taken by the CONTRACTOR within a reasonable period of
time after being notified by the COUNTY,contract suspension or termination procedures will be initiated.
CONTRACTOR agrees to provide the COUNTY's internal auditor(s)access to all records related to performance of
activities in this agreement.
Corrective Actions Corrective action plans may be required for noncompliance,nonperformance,or
unacceptable performance under this contract,Penalties may be imposed for failures to implement or to make acceptable
progress on such corrective action plans.
B. Audits and Inspections
The DAVID LAWRENCE CENTER will make all records referenced in Article IV.C, and all items included on financial
statements available for audit or inspection purposes at any time during normal business hours and as often as COUNTY
deems necessary.
The Clerk of Courts Internal Audit Division, the Federal or State grantor agency (if applicable), Collier County
Employees, or any of their duly authorized representative have the right of timely and unrestricted access to any books,
documents, papers, or other records of DAVID LAWRENCE CENTER or Certified Public Accountant (CPA) that are
pertinent to the contract, in order to make audit, examinations, excerpts, transcripts and copies of such documents, If
contract non-compliance or material weaknesses in the organization are noted, the COUNTY or other authorized
representative have the right to unlimited access to records during an audit or inspection. This includes timely and
reasonable access to a DAVID LAWRENCE CENTER's personnel for the purpose of interview and discussion related to
such documents.
C. Records
The DAVID LAWRENCE CENTER shall retain all financial,client demographics,and programmatic records,supporting
documentation, statistical records, and other records, which are necessary to document service provision, expenditures,
income and assets of category during the term of this contract and a minimum of three(3)years from the date of contract
expiration. The retention period may be longer depending on the funding source. If any litigation, claim, negotiation,
audit, or other action involving the records has been initiated before the expiration of the retention period, the records
shall be retained for one (1) year after the final resolution of the action and final resolution of all issues that arise from
such action.
D. Independent Audit
A complete independent financial audit of the agency's financial statements in accordance with Generally Accepted
Accounting Principles (GAAP) and/or Generally Accepted Government Auditing Standards (GAGAS) as applicable are
required and must include the following:
• Auditor's opinion
• Requisite reports on internal control and compliance,if required
• Management letter addressing internal controls(Note: If there were no items to be addressed,the letter must still
be completed and state that no comments were noted.)
• Management's response to such letter
• The programs that are funded by this Collier County contract either in the statement of functional expenses,
revenues and expenditures, footnotes, schedule of Federal awards and State financial assistance or as
supplemental data in the financial statements. The statement should be consistent with programs detailed in the
corresponding proposal(s),exhibit(s),and attachment(s),
Page 3 of 12
16013 3
An original, bound or disk version from auditors must be submitted. The audit must be submitted to the COUNTY no
later than one hundred eighty (180) days following the end of a non-profit DAVID LAWRENCE CENTER's fiscal year.
If applicable, any corrective action plan must be submitted. Failure to submit the report within the required time frame
can result in withholding of payment,or termination of the contract by the COUNTY.
The audit must be conducted by an independent, licensed certified public accountant with an unqualified opinion on
their current peer review and must be in accordance with the General Accounting Office (GAO) Yellow Book, Generally
Accepted Government Auditing Standards, OMB Circular A-133 "Audits of States, Local Governments and Non-Profit
Organizations" if applicable, the Florida Single Audit Act(F.S. 215.97)if applicable, and the Auditor General Rule 10.550
(Government)or 10.650(Not For Profit)as applicable.
ARTICLE V AMENDMENTS
DAVID LAWRENCE CENTER must submit in writing a request for any contract amendment, and provide supporting
documentation for the request which details the nature of, and justification for the requested change and the desired
effective date of the change(s). The COUNTY reserves the right to approve or deny all contract amendments requests.
An amendment shall be documented and signed by authorized representatives of both parties.
ARTICLE VI CONTRACTOR STATUS
A. Independent Contractor
It is the Parties'intention that the DAVID LAWRENCE CENTER will be an independent contractor and not the County's
employee for all purposes, including,but not limited to, the application of the Fair Labor Standards Act minimum wage
and overtime payments,Federal Insurance Contribution Act,the Social Security Act,the Federal Unemployment Tax Act,
the provision of the Internal Revenue Code, Florida revenue and taxation law,Florida Worker's Compensation law and
Florida Unemployment Insurance Law. The DAVID LAWRENCE CENTER will retain sole and absolute discretion in
the judgment of the manner and means of carrying out the DAVID LAWRENCE CENTER's activities and
responsibilities hereunder. The DAVID LAWRENCE CENTER agrees that it is a separate and independent enterprise
from the public employer, that it has made its own investment in its business, and that it will utilize a high level of skill
necessary to perform the work. This agreement shall not be construed as creating any joint employment relationship
between the DAVID LAWRENCE CENTER and COUNTY will not be liable for any obligation incurred by the DAVID
LAWRENCE CENTER,including,but not limited to,unpaid minimum wages and/or overtime premiums.
B. Subcontracts
Primary roles and responsibilities of DAVID LAWRENCE CENTER cannot be subcontracted.
ARTICLE VII CONFLICT OF INTEREST
The DAVID LAWRENCE CENTER agrees that it presently has no interest and shall acquire no interest,either direct or
indirect, which would conflict in any manner with the performance of services required in this contract. The DAVID
LAWRENCE CENTER further agrees that no person having any such interest shall be employed or engaged for said
performance. The DAVID LAWRENCE CENTER agrees that no employee, officer, agent of the DAVID LAWRENCE
CENTER or its sub recipients shall participate in the selection,award or administration of a contract or construction bid if
any conflict of interest, either real or implied, would be involved. The DAVID LAWRENCE CENTER or sub recipient
employees, officers and agents should refrain from accepting gratuities, favors or anything of monetary value from
contractors or potential contractors based on the understanding that the receipt of such an item of value would influence
any action or judgment of the DAVID LAWRENCE CENTER.
Page 4 of 12
t,.
fin..
16013 3
For federally funded contracts, conflict of interest provisions described in 24 CFR 85.36 and 84.42 and all other
established,applicable HUD regulations must be followed,
ARTICLE VIII RISK MANAGEMENT
A. Hold Harmless and Indemnity Clause
To the maximum extent permitted by Florida law,the DAVID LAWRENCE CENTER shall indemnify and hold harmless
Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not
limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or
intentionally wrongful conduct of the Contractor/Vendor/Consultant or anyone employed or utilized by the
Contractor/Vendor/Consultant in the performance of this Agreement. This indemnification obligation shall not be
construed to negate, abridge or reduce any other rights or remedies which otherwise may be available to an indemnified
party or person described in this paragraph.
B. Insurance-Non Profit DAVID LAWRENCE CENTER
The DAVID LAWRENCE CENTER agrees to secure and maintain the insurance coverage outlined below during the
term of this Contract. The DAVID LAWRENCE CENTER agrees that this insurance requirement shall not relieve or
limit DAVID LAWRENCE CENTER's liability and that the COUNTY does not in any way represent that the insurance
required is sufficient or adequate to protect the DAVID LAWRENCE CENTER's interests or liabilities, but are merely
minimums.
Certificate(s) of Insurance naming Collier County Board of Commissioners as Certificate Holder and additional
insured will be attached to this contract as an exhibit. Name and address for Certificate Holder should be: Collier
County Board of County Commissioners. Certificate(s)must be provided for the following:
1. Workers' Compensation - Statutory benefits as defined by Florida Statutes 440 encompassing all operations
contemplated by this contract or agreement to apply to all owners, officers, and employees. Employers' liability
will have minimum limits of:
$100,000 per accident
$500,000 disease limit
$100,000 disease limit per employee
2. Commercial General Liability - Coverage shall apply to premises and/or operations, products and/or
completed operations,independent contractors,contractual liability,and broad form property damage exposures
with minimum limits of:
$100,000 bodily injury per person(BI)
$300,000 bodily injury per occurrence(BI)
$100,000 property damage(PD)or
$300,000 combined single limit(CSL)of BI and PD
3. Business Auto Liability - The following Automobile Liability will be required and coverage shall apply to all
owned,hired,and non-owned vehicles used with minimum limits of:
$100,000 bodily injury per person(BI)
$300,000 bodily injury per occurrence(BI)
$100,000 property damage(PD)or
$300,000 combined single limit(CSL)of BI and PD
4. Directors & Officers Liability - Entity coverage to cover claims against the organization directly for wrongful
acts with limits not less than$100,000.
5. Fidelity Bonding-Covering all Contractor's employees who handle the agency's funds. The bond amount must
be equivalent to the highest daily cash balance or a minimum amount of$50,000.
6. Notice of cancellation or modification
Page 5 of 12
VC
s
16013
The COUNTY will be notified thirty(30) days prior [or immediately upon notification if less than 30 days notice is given
to the DAVID LAWRENCE CENTER] to effective date of cancellation or reduction of coverage or immediately upon
modification of any stipulated insurance. Such notification will be in writing and addressed to the designated County
staff as stated in Article XIII of this agreement.
ARTICLE IX SUSPENSION/TERMINATION
COUNTY's obligation to make any payments under any provision of this Contract shall cease on the effective date of
termination,and will include payment for services through the date of termination
A. Suspension
The COUNTY reserves the right to suspend funding for failure to comply with the requirements of this contract.
Agencies that fail to submit required documents by the due date can be suspended, and payment will be withheld until
all requirements are satisfied.
In the event DAVID LAWRENCE CENTER ceases operation for any reason or files for protection from creditors under
bankruptcy law, any remaining unpaid portion of this Contract, less funds for expenditures already incurred, shall be
retained by the COUNTY and the COUNTY shall have no further funding obligation to the DAVID LAWRENCE
CENTER with regard to those unpaid funds.
B. Termination by COUNTY
The COUNTY may at any time and for any reason cancel this Contract by giving thirty (30) days written notice to the
DAVID LAWRENCE CENTER by Certified Mail following a determination by the Board of County Commissioners, at
its sole discretion,that such cancellation is in the best interest of the people of the county. From the date of cancellation,
neither party shall have any further obligation unless specified in the termination notice.
C. Termination by DAVID LAWRENCE CENTER
The DAVID LAWRENCE CENTER may at any time and for any reason cancel this Contract by giving thirty (30) days
prior written notice to the COUNTY by Certified Mail of such and specifying the effective date.
ARTICLE X ASSURANCE,CERTIFICATIONS,AND COMPLIANCE
The DAVID LAWRENCE CENTER agrees that compliance with these assurances and certifications constitutes a
condition of continued receipt of or benefit from funds provided through this Contract, and that it is binding upon the
DAVID LAWRENCE CENTER, its successors, transferees, and assignees for the period during which service are
provided.
A.PERMITS,LICENSES,TAXES:
In compliance with Section 218.80, F.S., all permits necessary for the prosecution of the work shall be obtained by the
DAVID LAWRENCE CENTER. Payment for all such permits issued by the COUNTY shall be processed internally by
the COUNTY. All non COUNTY permits necessary for the prosecution of the work shall be procured and paid for by the
DAVID LAWRENCE CENTER. The DAVID LAWRENCE CENTER shall also be solely responsible for payment of any
and all taxes levied on the DAVID LAWRENCE CENTER. In addition,the DAVID LAWRENCE CENTER shall comply
with all rules, regulations and laws of Collier County, the State of Florida, or the U.S. Government now in force or
hereafter adopted. The DAVID LAWRENCE CENTER agrees to comply with all laws governing the responsibility of an
employer with respect to persons employed by the DAVID LAWRENCE CENTER.
B.IMMIGRATION LAWS:
Page G of 12
�i�mJ�
1 6
Q 1
},,
The COUNTY will not intentionally award contracts to any contractor/vendor who knowingly employs unauthorized
alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section 1324A(e) Section
274A(e)of the Immigration and Nationality Act(INA).
The COUNTY shall consider the employment by DAVID LAWRENCE CENTER of unauthorized aliens a violation of
Section 274A(e)of the INA. Such violation by the recipient of the employment provisions contained in Section 274A(e)of
the INA shall be grounds for unilateral cancellation of the contract by the COUNTY.
C.OTHER REQUIREMENTS:
The DAVID LAWRENCE CENTER further assures that all contractors, subcontractors, or others with whom it arranges
to provide services or benefits to participants or employees in connection with any of its programs and activities are not
discriminating against those participants or employees in violation of Statutes,regulations,guidelines and standards. By
acceptance of this funding,the DAVID LAWRENCE CENTER assures and certifies the following:
A. That they will comply with all applicable laws, ordinances, and regulations of the United States, the State of
Florida, the COUNTY, and the municipalities as said laws, ordinances, and regulations exist and are amended
from time to time. In entering into this contract,the COUNTY does not waive the requirements of any COUNTY
or local ordinance or the requirements of obtaining any permits or licenses that are normally required to conduct
business or activity contemplated by the DAVID LAWRENCE CENTER.
B. That they will comply with all applicable Federal,State and local anti-discrimination laws.
C. That they will administer their programs under procedures,supervision, safeguards, and such other methods as
may be necessary to prevent fraud and abuse,and that it will target its services to those who most need them.
D. That if clients are to be transported under this contract,the DAVID LAWRENCE CENTER will comply with the
provisions of Chapter 427, Florida Statutes, which requires the coordination of transportation of the
disadvantaged.
E. That they will comply with Chapter 39.201,Florida Statutes,that any person who knows,or has reasonable cause
to suspect,that a child is abused,abandoned,or neglected by a parent,legal custodian,caregiver,or other person
responsible for the child's welfare, as defined in this chapter, shall report such knowledge or suspicion to the
Florida Abuse Hotline(1-800-962-2873).
F. That they will comply with Chapter 415.1034, Florida Statutes, that any person who knows or has reasonable
cause to suspect that a vulnerable and or disabled adult has been abused, neglected, or exploited, shall
immediately report such knowledge or suspicion to the Florida Abuse Hotline(1-800-962-2873).
G. That if personnel in programs under this contract work directly with children or youths and vulnerable or
disabled adults, the DAVID LAWRENCE CENTER will comply with the provisions of Chapters 435.03 and
435.04,Florida Statutes,which requires employment screening.
H. That they will comply with Chapter 216.347, Florida Statutes,which prohibits the expenditure of contract funds
for the purpose of lobbying the legislature,State or county agencies.
I. That they will notify the COUNTY quarterly of any funding changes and/or additions from the Central Florida
Behavioral Health Network. This notification must include a statement as to how this change in funding affects
provision of service as well as the use of and continued need for the COUNTY funds.
J. That they will notify the COUNTY of any SIGNIFICANT changes to the DAVID LAWRENCE CENTER
organization to include Board Membership(roster),Articles of Incorporation and Bylaws within ten(10)working
days of the effective date.
K. For federally funded programs, that they will comply with applicable uniform administrative requirements as
described in 24 CFR Part 84 and 85 and HUD requirements as described in 24 CFR Part 5.
L. The DAVID LAWRENCE CENTER shall comply with requirements as defined in Section 504 of the
Rehabilitation Act of 1973
(http://www.section508.gov/index.cfm?FuseAction=Content&ID=15) and the American Disability Act (ADA)
(http://www.ada.gov) as implemented by 28 CFR Part 35 (http://ecfr.gpoaccess.gov/cgi/t/text/text-
idx?c=ecfr&tp1=/ecfrbrowse/Title28/28cfr35 main 02,tp1).
A Single Point of Contact shall be required if the agency employs fifteen (15) or more employees. The Single
Point of Contact will ensure effective communication with deaf or hard of hearing customers or companions in
accordance with Section 504 and the ADA and coordinate activities and reports with the DAVID LAWRENCE
CENTER's Single Point of Contact.
Page 7 of 12
161) 13
M. The DAVID LAWRENCE CENTER shall ensure that Collier County funds are restricted to Collier County
residents.
Items D-H and K-L will be considered in compliance unless otherwise noted in the State of Florida Department of
Children and Families and/or Central Florida Behavioral Health Care Center Annual Monitoring Report(s).
ARTICLE XI HEALTH INSURANCE PORTABILTIY AND ACCOUNTABILITY ACT OF 1996(HIPAA)
The COUNTY, pursuant to the Federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a
"covered entity" as the law defines that term. Any "personal health information" (PHI) as defined by the law that the
COUNTY receives pursuant to this Agreement is subject to the disclosure and security requirements of HIPAA. Transfer
of information to the COUNTY sufficiently"de-identified" to no longer be considered PHI is encouraged as being in the
best interest of client PHI confidentiality to the extent that client services are unaffected. Particular methods to
accomplish the highest levels of client service coupled with PHI confidentiality shall be an on-going task of the effected
staffs of the COUNTY and DAVID LAWRENCE CENTER.
ARTICLE XII CONTRACT DISPUTE RESOLUTION PROCEDURE VENUE
Prior to the initiation of any action or proceeding permitted by this Agreement to resolve disputes between the parties,
the parties shall make a good faith effort to resolve any such disputes by negotiation. The negotiation shall be attended
by representatives of Contractor with full decision-making authority and by County's staff person who would make the
presentation of any settlement reached during negotiations to County for approval. Failing resolution, and prior to the
commencement of depositions in any litigation between the parties arising out of this Agreement, the parties shall
attempt to resolve the dispute through Mediation before an agreed-upon Circuit Court Mediator certified by the State of
Florida. The mediation shall be attended by representatives of Contractor with full decision-making authority and by
County's staff person who would make the presentation of any settlement reached at mediation to County's board for
approval. Should either party fail to submit to mediation as required hereunder,the other party may obtain a court order
requiring mediation under section 44.102,Florida Statutes. Failing mediation,either party may commence a formal court
proceeding.Any suit or action brought by either party to this Contract against the other party relating to or arising out of
this Contract must be brought in the appropriate federal or state court in Collier County,Florida,which courts have sole
and exclusive jurisdiction on all such matters.
ARTICLE XIII NOTICES
Official notices concerning this Contract will be directed to the following authorized representatives:
DAVID LAWRENCE CENTER: COUNTY:
Print Name: CIL,%{ I:7,, lie 5---r Name: Kristi Sonntag
Title: C Title: Federal and State Grant Manager
Agency: Community&Human Services
Address: 6e 7 S� t "4v- Address:3339 Tamiami Trail East Suite 211
f
F/- 5`i I I ci Naples,FL 34112
Telephone: (Z2'/ ) tf j& 9c 3 Telephone: 230-252-2486
Fax:
/7,39 tf1i5 -r (�
Page 8 of 12
C,I
•
16 4,,
E-mail. -'C;C1j&ik E-mail:4c. ( kristisonntag@colliergov.net
The signatures of the two (2) persons shown below are designated and authorized to sign all applicable reports
and invoices/request for reimbursement:
5e L-r �
Name(printed/tyed) Name(printed/ ped)
% _
Si ature Signature /� i
C
Title Title
In the event that either party designates different representatives after execution of this contract, notice of the name and
address of the new representative will be rendered in writing by authorized officer of DAVID LAWRENCE CENTER to
the COUNTY.
ARTICLE XIV SPECIAL PROVISIONS
A. DISASTER/EMERGENCY ASSISTANCE: If needed, DAVID LAWRENCE CENTER may be called upon to
assist the COUNTY during a natural disaster or emergency. This includes the use of the DAVID LAWRENCE
CENTER's facility to assist with Emergency Food Stamp preregistration if facility is operational and computer
terminals are available.
DAVID LAWRENCE CENTER will be responsible to notify Collier County immediately after a disaster declaration
if the location is accessible and operational and of any DAVID LAWRENCE CENTER staff who are available to assist
with recovery efforts.
B. SUBJECT TO APPROPRIATION: It is further understood and agreed by and between the parties herein that
this Agreement is subject to appropriation by the Board of County Commissioners.
C. PROHIBITION OF GIFTS TO COUNTY EMPLOYEES: No organization or individual shall offer or give,either
directly or indirectly, any favor, gift, loan, fee, service or other item of value to any COUNTY employee, as set
forth in Chapter 112, Part III, Florida Statutes, Collier County Ethics Ordinance No. 2004.-05, and County
Administrative Procedure 5311. Violation of this provision may result in one or more of the following
consequences: a. Prohibition by the individual, firm, and/or any employee of the firm from contact with
COUNTY staff for a specified period of time; b. Prohibition by the individual and/or firm from doing business
with the COUNTY for a specified period of time, including but not limited to: submitting bids, RFP, and/or
quotes;and c.immediate termination of any contract held by the individual and/or firm for cause.
D. ASSIGNMENT: DAVID LAWRENCE CENTER shall not assign this Agreement or any part thereof, without
the prior consent in writing of the COUNTY. Any attempt to assign or otherwise transfer this Agreement or any
part herein, without the COUNTY's consent, shall be void. If DAVID LAWRENCE CENTER does, with
approval,assign this Agreement or any part thereof,it shall require that its assignee be bound to it and to assume
toward DAVID LAWRENCE CENTER all of the obligations and responsibilities that DAVID LAWRENCE
CENTER has assumed toward the COUNTY.
Page 9 of 12
��G
16 0 1
ARTICLE XV ALL TERMS AND CONDITIONS INCLUDED
ORDER OF PRECEDENCE: In the event of any conflict between or among the terms of any of the Contract Documents,
the terms of the Agreement shall take precedence over the terms of all other Contract Documents.
This contract and its attachments, and any exhibits referenced in said attachments, together with any documents
incorporated by reference, contain all the terms and conditions agreed upon by the parties. There are no provisions,
terms, conditions, or obligations other than those contained herein, and this contract shall supersede all previous
communications,representations,or agreements,either verbal or written between the parties. If any term or provision of
this contract is legally determined unlawful or unenforceable,the remainder of the contract shall remain in full force and
effect and such terms or provisions shall be stricken.
TN WITNESS THEREOF,DAVID LAWRENCE CENTER and COUNTY have caused this contract and all Contract
Exhibits and Attachments as indicated on next page to be executed by their undersigned officials as duly authorized.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF COLLIER
DWIGHT E. BROCK,CLERK COUNT/IL=DA
By: / ‹ljdifee—.
,Deputy Clerk TIM NANCE,CHAIRMAN
Dated: 4, I
Attest gt,t9Aiiiii(g)an
signature only.
DAVID LAWRENCE MENTAL HEALTH CENTER,Inc.
Approved as to form and legality
By: i&A
11.6 11111„, Scott : rgeSs,Chief Ex leYitive7:
Assistant Ike Attorney
Page 19 of 12
•
EXHIBIT 1 16 7
REQUEST FOR PAYMENT
Sub recipient Name:David Lawrence Mental Health Center,Inc.
Sub recipient Address:
Project Name: State Mandated Match Agreement
Quarter Begin Date Quarter End date
Total Agreement Amount $ 1,384,800
Total Quarterly Requested Amount $
Balance Remaining $
Check documents provided with request for payment;
Quarterly Client Served Summary(always required)
Monitoring reports from other contractors,as applicable
Insurance Certificate,as applicable
n Annual Audit,as applicable
Any changes in the Central Florida Behavioral Health Network,Inc, funding if not already provided
I certify that this request for payment has been drawn in accordance with the terms and conditions of the
Agreement between the COUNTY and us. To the best of my knowledge and belief, all contract requirements have been
followed.
Signature Date
Title
Authorizing CHS staff
CHS Supervisor (approval authority under$15,000)
CHS Dept Director (approval required$15,000 and above)
Page 11 of 12
1 ,
Exhibit 2 16 (7
David Lawrence Center(DLC)
Performance Measures Fiscal Year(2016)
Performance 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Cumulative
Measures Oct 1-Dec 31 May 1 -June 30 July 1-Sep 30 Jan 1-Apr 30 Total
# of nonduplicated
Collier County
residents/clients
with at Ieast 1 unit of
service during the
quarter.
Signature&Date:
Page 12 of 12