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Backup Documents 10/10/2017 Item #16E2 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 c 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. Risk Risk Management 13/A N� 2. County Attorney Office County Attorney Office51)2 /0 7 P� 4. BCC Office Board of County Commissioners V14l IcA,kz_V-1 4. Minutes and Records Clerk of Court's Office —1 I��y /1)/1414.I'� a`"110\ 5. Procurement Services Procurement Services 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 Barbara Lance Contact Information 239-252-8998 Contact/ Depai tment Agenda Date Item was 10/10/17 / Agenda Item Number 16.E.2✓ Approved by the BCC ✓ Type of Document Amendment Number of Original 02 Attached Documents Attached PO number or account N/A 14-6293 Collier County Millenium Physician number if document is On-Site Medical Clinic Group,LLC V/ to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature STAMP OK > 0 1 - 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be BL 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 N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the N/A document or the fmal negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's BL signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A should be provided to the County Attorney Office at the time the item is input into SIRE. 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 10/10/2017 and all changes made during the meeting have been incorporated in the attached document. The Countyakk .r Vtnzigt Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the L BCC,all changes directed by the BCC have been made,and the document is ready for th- + . Chairman's signature. 16E2 MEMORANDUM Date: October 12, 2017 To: Barbara Lance, Procurement Services From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Amendment to Contract #14-6293 "Collier County On-Site Medical Clinic" Contractor: Millennium Physician Group, LLC Attached for your records is one (1) original of the referenced contract above, (Item #16E2) adopted by the Board of County Commissioners on Tuesday, October 10, 2017. The Board's Minutes & Records Department has kept an original as part of the Board's Official Records. If you have any questions, please feel free to contact me at 252-8411. Thank you. Attachment FIRST AMENDMENT TO AGREEMENT#14-6293 1 V E 2 "COLLIER COUNTY ON-SITE MEDICAL CLINIC" BETWEEN COLLIER COUNTY AND MILLENNIUM PHYSICIAN GROUP,LLC THIS AGREEMENT, made and entered into on this 1(Y4m day of ultdoRr 2017, by and between Millennium Physician Group, LLC,authorized to do business in the State of Florida, whose business address is 6321 Daniels Parkway, Suite 201, Fort Myers, Florida 33921 (the "Provider" and "Millennium") and Collier County, a political subdivision of the State of Florida, (the "County" or "Owner"). WHEREAS,on September 9,2014,Item 16.E.7,the County entered into an Agreement with Provider to provide on-site primary care health services; and WHEREAS,the parties desire to amend the Agreement to expand services under all four(4) clinic model options to provide onsite limited pharmacy services for the disbursement of commonly prescribed medications and flu shot vaccinations through the Med Center; and WHEREAS, by amending the current clinic Model Option 1 to include limited pharmacy services, the future exercise of any of the other three (3) expanded clinic options will automatically include those services;and WHEREAS, the Provider will request reimbursement from the County for the actual cost paid by Provider with no additional markup to the County. NOW, THEREFORE, in consideration of the mutual promises and covenants herein contained, it is agreed by the parties as follows: Words Struek-Through are deleted; Words Underlined are added **Remainder of this page left blank intentionally** Page 1 of 3 1 6 E 2 Agreement#14-6293 Collier County On—Site Medical Clinic Exhibit A Scope of Services * * * * * 3. CLINIC OPTIONS—BRIEF DESCRIPTIONS This Agreement provides for four (4) clinic options. Option 4 is not anticipated at this time, but may be considered for implementation in the future. These options are: Option 1: Current Clinic—The current clinic services, along with the provision of onsite limited pharmacy services as further set forth in Section 4, Clinic Options—Detailed Descriptions. * * * * * 4. CLINIC OPTIONS—DETAILED DESCRIPTIONS Option 1 —Current Clinic Model—Duplicate the current clinic model, including the provision of on-site limited pharmacy services to be provided under all clinic model options under this Agreement, which will stock and dispense medications to treat acute episodic illness and chronic disease to include but not limited to: Flu Vaccine, antibiotics, and Steroid packs. Millennium will purchase medications directly from supplier and the County will reimburse Provider at actual cost paid with no additional markup to County. Staffing to match what is in the pricing sheet in Exhibit B. * * * * * (SIGNATURE PAGE TO FOLLOW) Page 2 of 3 1bE2 IN WITNESS WHEREOF,the parties hereto,have each,respectively,by an authorized person or agent,have executed this Amendment on the date and year first written above. ATTEST: Dwight E. Brock, Clerk of Courts BOARD OF COUNTY COMMISSIONERS COLLIE' I„1y Y, FLORIDA /& , By: A Penny Taylor airman O Dated: ` 1610-114- ' (SEAL) Attest as to Chairman's signature only. Providerr'tnesses P •vider Mille ium Ph sician Grou t LLC Fit ►;ip_ ess —or By: I Sia .tore TT Al e/print 'tn nameT 467 c — TType/print signature and title : cond W. nes•' ,v(/`t // z. � �ppi712 ti0e � a(ti<`t TType/phnt witness nameT Date Afficacl,,,as to Fioy d Legality: dC Deputy County Attorney \14..) if 42 - 4 Prin ame # 14oEc9-, /ends I/D��Rec'dDTD Page 3 of 3 ! ty Clerk