Agenda 01/12/2016 Item #16K 3 1/12/2016 16.K.3.
EXECUTIVE SUMMARY
Recommendation to approve a Retention Agreement for specialized legal services with the
law firm of Kelley Stiffler PLLC on workers' compensation matters.
OBJECTIVE: That the Board approves a Retention Agreement with Kelley Stiffler PLLC for
outside legal services on an "as needed" basis for workers' compensation matters.
CONSIDERATIONS: Attached for the Board's approval is a Retention Agreement with the
law firm of Kelley Stiff ler, PLLC (the "Firm") to provide specialized legal services on workers'
compensation matters. The contract does not address any specific project or assignment but
rather sets forth the criteria under which payment will be made when services are requested. The
Firm has legal expertise in the area of workers' compensation and has provided services to the
County's Risk Management Department in that area since 2005.
Under the proposed Retention Agreement, the Firm shall be compensated for its services
according to the fee schedule attached to the Agreement as Exhibit "A." Exhibit `B" of the
Agreement also provides for reimbursement of actual out-of-pocket expenses to be paid in
accordance with Chapter 112, Florida Statutes.
FISCAL IMPACT: The approval and execution of the attached retention agreement has no
fiscal impact in and of itself but there will be a fiscal impact in accordance with the terms and
conditions of such contracts, upon the County's request for legal services. The Firm's services
will be primarily utilized and paid for by the Risk Management Department.
GROWTH MANAGEMENT IMPACT: None
RECOMMENDATION: That the Board approves and authorizes the Chairman to execute the
attached Retention Agreement with the law firm of Kelley Stiffler PLLC for specialized legal
services on workers' compensation matters.
Prepared by: Scott R. Teach, Deputy County Attorney
Attachment: Retention Agreement
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.K.16.K.3.
Item Summary: Recommendation to approve a Retention Agreement for specialized legal
services with the law firm of Kelley Stiffler PLLC on workers' compensation matters.
Meeting Date: 1/12/2016
Prepared By
Name:NeetVirginia
Title: Legal Assistant/Paralegal, CAO Office Administration
12/28/2015 9:52:34 AM
Submitted by
Title: Deputy County Attorney, County Attorney
Name: TeachScott
12/28/2015 9:52:35 AM
Approved By
Name: WalkerJeff
Title: Division Director-Risk Management,Risk Management
Date: 12/28/2015 9:58:31 AM
Name: TeachScott
Title: Deputy County Attorney, County Attorney
Date: 12/29/2015 7:26:44 AM
Name: KlatzkowJeff
Title: County Attorney,
Date: 12/29/2015 10:45:26 AM
Name: IsacksonMark
Title: Division Director-Corp Fin&Mgmt Svc,Office of Management&Budget
Date: 12/29/2015 11:05:14 AM
Name: CasalanguidaNick
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Title:Deputy County Manager, County Managers Office
Date: 12/29/2015 4:23:30 PM
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RETENTION AGREEMENT WITH
KELLEY STIFFLER PLLC
This RETENTION AGREEMENT is made by and between the Board of County
Commissioners of Collier County, Florida (the "County"), and the Law Firm of Kelley Stiff ler
PLLC of Bonita Springs, Florida.
WHEREAS, Kelley Stuffier PLLC has special expertise and resources in a wide range of
legal matters,particularly in workers' compensation; and
WHEREAS, the County from time to time has a requirement and need for legal services
which are particularly within the expertise of Kelley Stiffler PLLC; and
WHEREAS, this Retention Agreement is intended to supersede and replace the Retention
Agreement approved by the County on September 27, 2005, Agenda Item 16E2.
NOW, THEREFORE, in consideration of the premises contained herein, the County
hereby hires and retains Kelley Stiffler PLLC, and Kelley Stiffler PLLC hereby agrees to provide
legal services to County in defense of workers' compensation claims.
ARTICLE 1
COMPENSATION; METHOD OF PAYMENT
1.1 Compensation shall be paid to Kelley Stiffler PLLC in accordance with the terms set
forth in Exhibit "A" attached hereto and made a part hereof. Requirements for
reimbursable expenses are set forth in Exhibit "B," attached hereto and made a part
hereof. Expenses other than automobile expenses must be documented by copies of paid
receipts or other evidence of payment. The Certificate contained in Exhibit "C" must be
included with every invoice submitted for payment.
1.2 The rates set forth in Exhibit"A" shall remain in effect without change for a minimum of
two (2) years from the effective date of this Agreement. In the subsequent years of the
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Agreement, upon the request of Kelley Stiff ler PLLC, the County Attorney is authorized
to negotiate to increase the hourly rate up to a maximum of ten (10) percent without
approval by the Board of County Commissioners. In the negotiation process, Kelley
Stiff ler PLLC must substantiate the reason the request is being made (i.e. market
conditions,increase in CPI, etc.)
1.3 Multiple Attorney Assignments.
The County acknowledges that, from time to time, it may be advisable for Kelley Stiffler
PLLC to assign more than one attorney to a project or case. Nevertheless, in order to
ensure that such multiple attorney assignments are efficient and cost-effective for the
County, Kelley Stiffler PLLC agrees to the following procedures and billing limitations
for multiple attorney assignments.
1.3.1 A primary attorney will be identified for such projects or cases and that
attorney will be the contact attorney for the County except in the case of an
emergency or the County's written pre-approval. In practice, this means that
generally only the primary attorney will meet or communicate directly with
County personnel or attend meetings, court, arbitrations, mediations or other
proceedings on behalf of the County.
1.3.2 Attorneys assigned to a project or case other than the primary attorney will be
less senior attorneys with lower billing rates unless the additional attorney(s)
has/have a demonstrated expertise that will demonstrably enhance the value
and efficiency of the legal services being provided to the County.
1.3.3 Kelley Stiffler PLLC agrees that internal or in-house conferences among
multiple attorneys assigned to a project or case shall be kept to the minimum
reasonably necessary for the provision of the legal services in question. To the
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extent internal or in-house conferences among multiple attorneys assigned to a
project or case are necessary, each such attorney may bill his or her customary
rate for up to thirty (30) minutes for any such conference. To the extent such a
conference exceeds thirty (30) minutes in length, Kelley Stiff ler PLLC agrees
that it will discount the total billings for all attorneys involved in the
conference by forty-five (45)percent.
1.4 Kelley Stiff ler PLLC may submit invoices for hourly work assignments pursuant to
Exhibit "A" only after the services for which the invoices are submitted have been
completed or expenses incurred. An original invoice plus one copy is due within fifteen
(15) days of the end of the month, except the final invoice which must be received no
later than sixty(60) days after the work is completed or the expiration of this Agreement.
1.5 To be deemed proper, all invoices must comply with the requirements set forth in this
Agreement and must be submitted on the form and pursuant to the instruction prescribed
by County. Payment may be withheld for failure of Kelley Stuffier PLLC to comply with
a term, condition, or requirement of this Agreement.
1.6 Payment shall be made to J. Eric Stiffler at:
Kelley Stiffler PLLC
2799 Riverview Ctr. Blvd. Ste. 209
P.O. Box 2485
Bonita Springs, Florida 34134-2485
ARTICLE 2
INSURANCE
2.1 Kelley Stiffler PLLC shall as a minimum, provide, pay for, and maintain in force at all
times during the term of this Agreement, professional liability insurance in an amount
and form not less than One Million Dollars ($1,000,000.00) per claim and in the
aggregate and remain at that level unless this Agreement is amended or until this
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Agreement expires. Kelley Stiffler PLLC shall also supply a coverage declaration/policy
renewal sheet to the Risk Management Director for each policy year that this Agreement
remains in effect. Such insurance shall also provide, in the event of cancellation or non-
renewal, that the discovery period for insurance claims (tail coverage) shall not be less
than three (3) years following the completion of the assigned work and acceptance by the
County.
2.2 Such policy or policies shall be issued by United States Treasury approved companies
authorized to do business in the State of Florida.
2.3 Kelley Stiffler PLLC shall furnish to the Risk Management Director Certificates of
Insurance or endorsements evidencing the insurance coverages specified by this Article
prior to beginning performance of work under this Agreement.
ARTICLE 3
TERM AND TIME OF PERFORMANCE
3.1 The term of this Agreement shall be for a period of three (3) years to begin December 1,
2015, and to end on December 1, 2018, unless terminated earlier in accordance with the
provisions of this Agreement. Absent notice of intent to terminate, the Agreement may
be renewed upon mutual consent of the parties for three (3) additional terms of one (1)
year each. In the event the term of this Agreement extends beyond a single fiscal year of
County, the continuation of this Agreement beyond the end of any fiscal year shall be
subject to the availability of funds from County in accordance with Chapter 129, Florida
Statutes.
3.2 Time shall be deemed to be of the essence in performing the duties, obligations and
responsibilities by this Agreement.
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3.3 Any amendments, alterations, variations, modifications or waivers of provisions of this
Agreement shall only be valid when they have been reduced to writing, duly signed by
both parties hereto, and attached to the original of this Agreement.
ARTICLE 4
TERMINATION
4.1 This Agreement may be terminated by either party for cause upon ten(10) days' notice or
by either party for convenience upon no less than thirty (30) days' advance written notice
in accordance with the "NOTICES" section of this Agreement.
4.2 Termination of this Agreement for cause shall include, but not be limited to, failure to
suitably perform the work, failure to continuously perform the work in a manner
calculated to meet or accomplish the objectives of County as set forth in this Agreement,
or multiple breach of the provisions of this Agreement notwithstanding whether any such
breach was previously waived or cured.
4.3 In the event this Agreement is terminated for convenience, Kelley Stiffler PLLC shall be
paid for any services performed to the date the Agreement is terminated; however, upon
notice by either party to terminate, Kelley Stiffler PLLC shall refrain from performing
further services or incurring additional expenses under the term of this Agreement.
Kelley Stiffler PLLC acknowledges and agrees that Ten Dollars ($10) of the
compensation to be paid by County, the adequacy of which is hereby acknowledged by
Kelley Stiffler PLLC, is given as specific consideration to Kelley Stiffler PLLC for
County's right to terminate this Agreement for convenience. Kelley Stiffler PLLC's
obligations to the County as provided for hereunder shall cease upon termination, except
for participating in an orderly and professional transfer of such responsibilities and files
or copies of files to the County or its designee. Such transfer of responsibilities and files
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shall also be in accordance with all requirements of the Rules Regulating The Florida
Bar.
ARTICLE 5
RECORD AUDIT AND INSPECTION
5.1 County shall have the right to audit the books and records of Kelley Stuffier PLLC
pertinent to the funding under this Agreement. Kelley Stiffler PLLC shall preserve and
make available, at reasonable times for examination and audit by County, all financial
records, supporting documents, and other documents pertinent to this Agreement for a
period of three (3) years after termination of this Agreement or, if any audit has been
initiated and audit findings have not been resolved at the end of the three years, the books
and records shall be retained until resolution of the audit findings.
5.2 If the Florida Public Records Act (Chapter 119, Fla. Stat.) is determined by County to be
applicable to Kelley Stiffler PLLC's records, Kelley Stiffler PLLC shall comply with all
requirements thereof, however, no confidentiality or non-disclosure requirement of either
federal or state law shall be violated by Kelley Stiffler PLLC.
ARTICLE 6
CONFLICT OF INTEREST
6.1 Kelley Stiffler PLLC states that it is familiar with and will comply with the terms and
conditions of Chapter 112, Part III, Florida Statutes (Code of Ethics).
6.2 It is important that Kelley Stiffler PLLC be independent and impartial in order to
un Kelley iffier PLLC shall not act as counsel
I conduct its services to the County.. Sti
properly co d s y y
in any lawsuit or other adversary proceeding in which County is named as an adversary
party or in which Kelley Stiffler PLLC takes an adverse position to the County. Kelley
Stiffler PLLC agrees that it will comply at all times with all of the Rules Regulating the
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Florida Bar, including without limitation Rules 4-1.6, 4-1.7 and 4-1.8 concerning
confidentiality and the scrupulous avoidance of conflicts of interest.
6.3 Neither Kelley Stuffier PLLC nor its employees shall have or hold any continuing or
frequently recurring employment or contractual relationship that is substantially
antagonistic or incompatible with Kelley Stiffler PLLC's loyal and conscientious exercise
of judgment related to its performance under this Agreement.
6.4 In the event Kelley Stuffier PLLC is permitted to utilize subcontractors, herein, to
perform any services required by this Agreement, Kelley Stiffler PLLC agrees to prohibit
such subcontractors, by written contract, from having any conflicts as within the meaning
of this section.
6.5 If at any time Kelley Stiffler PLLC's firm represents a client in matters having to do with
the Collier County government, be it before the Board of County Commissioners or any
other agency or division of Collier County government, Kelley Stiffler PLLC will contact
the County Attorney's Office before undertaking such representation so that it can be
determined whether a conflict of interest exists.
ARTICLE 7
INDEMNIFICATION
7.1 Kelley Stiffler PLLC acknowledges and agrees that Ten Dollars ($10.00) of the
compensation to be paid by County, the adequacy of which is hereby acknowledged by
Kelley Stiffler PLLC, is given as specific consideration to Kelley Stiffler PLLC so that
Kelley Stiffier PLLC shall at all times hereafter indemnify, hold harmless and, at
County's option, defend or pay for an attorney selected by County to defend County, its
officers, agents, servants, and employees against any and all claims, losses,liabilities, and
expenditures of any kind, including attorney fees, court costs, and expenses, caused by a
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negligent act or omission of Kelley Stuffier PLLC, its employees, agents, servants, or
officers, accruing, resulting from, or related to the subject matter of this Agreement
including, without limitation, any and all claims, demands or causes of action of any
nature whatsoever resulting from injuries or damages sustained by any person or
property. Notwithstanding anything herein to the contrary, Kelley Stiff ler PLLC's
obligations and liabilities, as well as the County's rights, under the preceding sentence
shall be limited solely to the indemnification coverage (if any), terms and policy limits
set forth in the professional liability insurance obtained by Kelley Stiff ler PLLC pursuant
to Article 2 herein and, further, Kelley Stiff ler PLLC shall have no personal liability for
the indemnification or hold harmless obligations set forth in this Section 7.1. The
provisions of this section shall survive the expiration or earlier termination of this
Agreement. Subject to the limitations set forth in this Section 7.1, to the extent
considered necessary by County, any sums due Kelley Stiffler PLLC under this
Agreement may be retained by County until all of County's claims for indemnification
pursuant to this Agreement have been settled or otherwise resolved, and any amount
withheld shall not be subject to payment of interest by County.
ARTICLE 8
OWNERSHIP OF DOCUMENTS
8.1 Any and all reports, photographs, surveys, and other data and documents provided or
created in connection with this Agreement are and shall remain the property of County.
In the event of termination of this Agreement, any reports, photographs, surveys, and
other data and documents prepared by Kelley Stiff ler PLLC, whether finished or
unfinished, shall become the property of County and shall be delivered by Kelley Stiff ler
PLLC to the County within seven (7) days of termination of this Agreement by either
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party. Any compensation due to Kelley Stiff ler PLLC shall be withheld until all
documents are received as provided herein.
ARTICLE 9
INDEPENDENT CONTRACTOR
9.1 Kelley Stiffler PLLC is an independent contractor under this Agreement. Services
provided by Kelley Stiffler PLLC shall be subject to the supervision of Kelley Stiffler
PLLC, and such services shall not be provided by Kelley Stiffler PLLC as officers,
employees, or agents of the County. The parties expressly acknowledge that it is not
their intent to create any rights or obligations in any third person or entity under this
Agreement.
ARTICLE 10
NONDISCRIMINATION, EQUAL OPPORTUNITY
AND AMERICANS WITH DISABILITIES ACT
10.1 Kelley Stiffler PLLC shall not unlawfully discriminate against any person in its
operations and activities in its use or expenditure of the funds or any portion of the funds
provided by this Agreement and shall affirmatively comply with all applicable provisions
of the Americans with Disabilities Act (ADA) in the course of providing any services
funded in whole or in part by County, including Titles .I and II of the ADA (regarding
nondiscrimination on the basis of disability), and all applicable regulations, guidelines,
and standards.
10.2 Kelley Stiffler PLLC's decisions regarding the delivery of services under this Agreement
shall be made without regard to or consideration of race, age, religion, color, gender,
national origin, marital status, physical or mental disability, political affiliation, or any
other factor which cannot be lawfully or appropriately used as a basis for service
delivery.
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10.3 Kelley Stiffler PLLC shall comply with Title I of the Americans with Disabilities Act "*
regarding nondiscrimination on the basis of disability in employment and further shall not
discriminate against any employee or applicant for employment because of race, age,
religion, color, gender, national origin, marital status, political affiliation, or physical or
mental disability. In addition, Kelley Stiffler PLLC shall take affirmative steps to ensure
nondiscrimination in employment against disabled persons. Such actions shall include,
but not be limited to, the following: employment, upgrading, demotion, transfer,
recruitment or recruitment advertising, layoff, termination, rates of pay, other forms of
compensation, terms and conditions of employment, training (including apprenticeship),
and accessibility.
10.4 Kelley Stiff ler PLLC shall take affirmative action to ensure that applicants are employed
and employees are treated without regard to race, age, religion, color, gender, national
origin, marital status, political affiliation, or physical or mental disability during
employment. Such actions shall include, but not be limited to, the following:
employment, upgrading, demotion, transfer, recruitment or recruitment advertising,
layoff, termination, rates of pay, other forms of compensation, terms and conditions of
employment, training (including apprenticeship), and accessibility.
10.5 Kelley Stiff ler PLLC shall not engage in or commit any discriminatory practice in
performing the Scope of Services or any part of Scope of Services of this Agreement.
ARTICLE 11
NOTICES
11.1 Whenever either party desires to give notice to the other, such notice must be in writing,
sent by registered or certified United States Mail, postage prepaid, return receipt
requested, or by hand-delivery, addressed to the party for whom it is intended at the place
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last specified. The place for giving notice shall remain the same as set forth herein until
changed in writing in the manner provided in this section. For the present, the parties
designate the following:
FOR COLLIER COUNTY:
Jeffrey A. Klatzkow, County Attorney
Government Center
3299 Tamiami Trail East, Suite 800
Naples, Florida 34112
FOR KELLEY STIFFLER PLLC:
J. Eric Stiffler, Esq.
Kelley Stiff ler PLLC
2799 Riverview Ctr. Blvd. Ste. 209
P.O. Box 2485
Bonita Springs, Florida 34134-2485
ARTICLE 12
MISCELLANEOUS
12.1 WAIVER OF BREACH AND MATERIALITY
Failure by County to enforce any provision of this Agreement shall not be deemed a
waiver of the provision or modification of this Agreement. A waiver of any breach of a
provision of this Agreement shall not be deemed a waiver of any subsequent breach and
shall not be construed to be a modification of the terms of this Agreement.
12.2 COMPLIANCE WITH LAWS
Kelley Stiffler PLLC shall comply with all federal, state, and local laws, codes,
ordinances, rules, and regulations in performing its duties, responsibilities, and
obligations related to this Agreement.
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12.3 SEVERANCE
In the event a portion of this Agreement is found by a court of competent jurisdiction to
be invalid, the remaining provisions shall continue to be effective unless County and
Kelley Stiffler PLLC elect to terminate this Agreement. The election to terminate this
Agreement based upon this provision shall be made within seven (7) days after the
finding by the court becomes final.
12.4 APPLICABLE LAW AND VENUE
This Agreement shall be interpreted and construed in accordance with and governed by
the laws of the State of Florida. Venue for litigation concerning this Agreement shall be
in Collier County, Florida.
12.5 PRIOR AGREEMENTS
This document supersedes all prior negotiations, correspondence, conversations, and
agreements and understandings applicable to the matters contained herein and the parties
agree that there are no commitments, agreements or understandings concerning the
subject matter of this Agreement that are not contained in this document. Accordingly,
the parties agree that no deviation from the terms hereof shall be predicated upon any
prior representations or agreements, whether oral or written. It is further agreed that no
modification, amendment or alteration in the terms or conditions contained herein shall
be effective unless contained in a written document in accordance with Article 3 above.
12.6 INCORPORATION BY REFERENCE
The truth and accuracy of each "Whereas" clause set forth above is acknowledged by the
parties. The attached Exhibits "A," "B," and "C" are incorporated into and made a part
of this Agreement.
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ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, Clerk COLLIER COUNTY,FLORIDA
By: By:
,Deputy Clerk TIM NANCE, CHAIRMAN
Approved as to form
and legality:
Scott R. Teach
Deputy County Attorney
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
REMAINING SIGNATURE PAGE TO FOLLOW
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Aii TIFFLER,PLLC
;;y: i a A44,4-1114 ter czy7
J.Eric S 7ifier A'
Its: ,: ,. ..
C.")
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EXHIBIT A
For professional services rendered, Kelley Stiff ler PLLC's fee shall be based on the hourly rate
as follows:
Attorneys(J. Eric Stiffler) $175.00 per hour;
All other Partners $175.00 per hour
Paralegal Rate $ 120.00 per hour
Kelley Stiffler PLLC's fee shall not exceed $100,000.00 per new matter assigned without the
approval of the Board of County Commissioners. Any expenditure beyond the initial
$100,000.00 must have Board approval prior to additional work being performed. Where
appropriate a "not to exceed" sum shall be agreed to when each assignment is made to Kelley
Stiffler PLLC.
In the event that Kelley Stiffler PLLC is required or requested to perform any additional or
extraordinary services not herein contemplated, Kelley Stiff ler PLLC shall be entitled to apply
for additional compensation, the amount of which shall be subject to the approval of County and
no such additional compensation in excess of the amount herein stated shall be paid unless
specifically authorized in advance by County in its sole discretion.
Kelley Stiffler PLLC shall provide, at no cost to County, the annual response to County's
auditors regarding pending or threatened litigation. The auditors typically request information
regarding all litigation, claims and assessments considered to be material. The response should
include the nature of the litigation, the progress of the case to date, an estimate of the amount or
range of potential loss, and any other information considered necessary to explain the case.
Kelley Stiffler PLLC shall provide said response within 30 days of receipt of the request.
NOTES:
• Divisions, or departments within such divisions, shall be responsible and pay for legal
counsel services relating to litigation and outside counsel specifically for cases, matters
or issues relating to such division or department, as determined by the County Attorney
in coordination with the County Manager.
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EXHIBIT B
1. In addition to the charges for professional fees set forth in Exhibit "A," and the
Schedules attached hereto, County shall reimburse Kelley Stuffier PLLC for out-of-
pocket expenses reasonably incurred in the course of rendering such legal services,
including costs of long distance calls, printing, costs of reproduction, and necessary
travel expenses incurred in accordance with the requirements of Chapter 112, F.S.
Kelley Stuffier PLLC shall not charge for travel of attorneys between its offices so
that it can provide the best available and most appropriate lawyer in any of its office
locations for the issues involved.
2. Kelley Stiffler PLLC shall submit invoices on a monthly basis for the payment of out-
of-pocket expenses. Each invoice shall include a signed certificate listing all costs,
expenses, vouchers, invoices and other documentary evidence that will describe in
reasonable detail the basis for expenditures for which reimbursement is sought as set
forth below.
3. REQUIREMENTS
The following represents Collier County's payment requirements for legal costs
• Your federal employee identification number must be on all invoices submitted.
✓ The applicable Purchase Order number must be on all invoices submitted.
• No service, interest, or other charge of like nature is to be imposed with regard to
any item, invoice, or request. All firms doing business with Collier County must
have a current W-9 "Request for Taxpayer Identification Number and
Certification" on file.
• Services rendered must be specifically and concisely identified,-
y Names of persons performing services, hourly rates, and dates must be listed. The
County agrees to reimburse Kelley Stiffler PLLC for retention and utilization of
sub-consultants.
> Reimbursable expense must be verified by attached receipts or copies thereof.
Claims for mileage and meals cannot exceed statutory allowance as provided for
under Chapter 112, F.S. Meals and mileage cannot be charged unless the
professional has traveled outside the county of the principal business location.
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• Claims for lodging at single rate(actual cost)must be substantiated by paid bill or
charge, with a cap of no more than$150.00 per night.
• Car rentals required for travel should include compact or standard-size vehicles
only.
• Common carrier travel shall be reimbursable at tourist or coach class fares only.
y Accounting Division requires original receipts, or copies of receipts which have
been individually certified to be true copies of the originals. In addition the
Certificate contained in Exhibit C must accompany each invoice. The certifying
person must sign the Certification form and a description provided of the items,
which are certified.
✓ Faxes shall not be reimbursed
• Legal Research costs (Lexis-Nexis, Westlaw, etc.) shall not be reimbursed
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•
EXHIBIT C
CERTIFICATE
IT IS HEREBY CERTIFIED that:
1• has been duly designated as special counsel to
render legal services or provider of services for or on behalf of Collier County;
2. Each of the documents hereinafter identified and attached is a true and correct copy of the
original record;
3. Expenditure(s) enumerated represent costs necessarily incurred during the course of
official business for which payment has not been received and for which documentation is
not available or reasonably retrievable;
4. Claims are in compliance with the applicable statutes and administrative orders, and with
the express provision that all other parties are barred from entitlement to any part of these
costs.
RE: Invoice No. , Dated
Period Covered: , Amount
IN-HOUSE CHARGES:
Photocopies: copies @ $0.15/each $
Mileage: miles @ $0.29/mile $
(outside of Monroe, Collier, and Lee Counties)
OTHER (Copies of invoices required):
Long Distance Calls $
Other: $
TOTAL:
FOR THE FIRM
Signed:
Print Name:
Title:
Date:
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