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Backup Documents 10/09/2018 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO b THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU 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. Todd Henry Public Services Department TH 9/13/18 2. Jennifer A. Belpedio County Attorney Office :574• tO `g 3. BCC Office Board of County Commissioners AS �t / ) (G-11-HZ 4. Minutes and Records Clerk of Court's Office n\i\/ lob t Z 3'.I,sy/14 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. Phone Number Name of Primary Staff 252-8206 Contact/Department Alan Portis,DOH Finance&Accounting 252-8206 Please call for pick-up Agenda Date Item was 10/09/2018 Agenda Item Number ' Approved by the BCC 16D Type of Document FY18-19 Collier County Health Department Number of Original Attached Annual Core Contract Documents Attached (Between Collier County and DOH) 3 PO number or account number if document is 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?STAMPED SIGNATURE IS OK 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 signed by the Chairman,with the exception of most letters,must be reviewed and signed AP 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 AP 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 AP 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. Beaware� of your deadlines! 8. The document was approved by the BCC on I``al g It' and all changes made during N/A is not the meeting have been incorporated in the attached document. The County ( AP an option for Attorney's Office has reviewed the changes, if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for th st !'n option for Chairman's signature. is line. 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 1 6 0 2 CONTRACT BETWEEN COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AND STATE OF FLORIDA DEPARTMENT OF HEALTH FOR OPERATION OF THE COLLIER COUNTY HEALTH DEPARTMENT CONTRACT YEAR 2018-2019 This contract is made and entered into between the State of Florida, Department of Health ("State") and the Collier County Board of County Commissioners ("County"), through their undersigned authorities, effective October 1, 2018. RECITALS A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to "promote, protect, maintain, and improve the health and safety of all citizens and visitors of this state through a system of coordinated county health department services." B. County Health Departments were created throughout Florida to satisfy this legislative intent through "promotion of the public's health, the control and eradication of preventable diseases, and the provision of primary health care for special populations." C. Collier County Health Department ("CHD") is one of the created County Health Departments. D. It is necessary for the parties hereto to enter into this contract in order to ensure coordination between the State and the County in the operation of the CHD. NOW THEREFORE, in consideration of the mutual promises set forth herein, the sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 1 . RECITALS. The parties mutually agree that the foregoing recitals are true and correct and incorporated herein by reference. 2. TERM. The parties mutually agree that this contract shall be effective from October 1, 2018, through September 30, 2019, or until a written contract replacing this contract is entered into between the parties, whichever is later, unless this contract is otherwise terminated pursuant to the termination provisions set forth in paragraph 8. below. 3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall provide those services as set forth on Part III of Attachment II hereof, in order to maintain the following three levels of service pursuant to section 154.01(2), Florida Statutes, as defined below: a. "Environmental health services" are those services which are organized and operated to protect the health of the general public by monitoring and regulating activities in the environment which may contribute to the occurrence or transmission of disease. Environmental health services shall be supported by available federal, state and local funds 1 pe��` 160 and shall include those services mandated on a state or federal level. Examples of environmental health services include, but are not limited to, food hygiene, safe drinking water supply, sewage and solid waste disposal, swimming pools, group care facilities, migrant labor camps, toxic material control, radiological health, and occupational health. b. "Communicable disease control services" are those services which protect the health of the general public through the detection, control, and eradication of diseases which are transmitted primarily by human beings. Communicable disease services shall be supported by available federal, state, and local funds and shall include those services mandated on a state or federal level. Such services include, but are not limited to, epidemiology, sexually transmissible disease detection and control, HIV/AIDS, immunization, tuberculosis control and maintenance of vital statistics. c. "Primary care services" are acute care and preventive services that are made available to well and sick persons who are unable to obtain such services due to lack of income or other barriers beyond their control. These services are provided to benefit individuals, improve the collective health of the public, and prevent and control the spread of disease. Primary health care services are provided at home, in group settings, or in clinics. These services shall be supported by available federal, state, and local funds and shall include services mandated on a state or federal level. Examples of primary health care services include, but are not limited to: first contact acute care services; chronic disease detection and treatment; maternal and child health services; family planning; nutrition; school health; supplemental food assistance for women, infants, and children; home health; and dental services. 4. FUNDING. The parties further agree that funding for the CHD will be handled as follows: a. The funding to be provided by the parties and any other sources is set forth in Part II of Attachment II hereof. This funding will be used as shown in Part I of Attachment II. i. The State's appropriated responsibility (direct contribution excluding any state fees, Medicaid contributions or any other funds not listed on the Schedule C) as provided in Attachment II, Part II is an amount not to exceed $ 6,212,885 (State General Revenue, State Funds, Other State Funds and Federal Funds listed on the Schedule C). The State's obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. ii. The County's appropriated responsibility (direct contribution excluding any fees, other cash or local contributions)as provided in Attachment II, Part II is an amount not to exceed $1,491 ,400 (amount listed under the "Board of County Commissioners Annual Appropriations section of the revenue attachment). b. Overall expenditures will not exceed available funding or budget authority, whichever is less, (either current year or from surplus trust funds) in any service category. Unless requested otherwise, any surplus at the end of the term of this contract in the County Health Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract period. O 2f� w 1 6 El c. Either party may establish service fees as allowed by law to fund activities of the CHD. Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee schedule. d. Either party may increase or decrease funding of this contract during the term hereof by notifying the other party in writing of the amount and purpose for the change in funding. If the State initiates the increase/decrease, the CHD will revise the Attachment II and send a copy of the revised pages to the County and the Department of Health, Office of Budget and Revenue Management. If the County initiates the increase/decrease, the County shall notify the CHD. The CHD will then revise the Attachment II and send a copy of the revised pages to the Department of Health, Office of Budget and Revenue Management. e. The name and address of the official payee to whom payments shall be made is: County Health Department Trust Fund Collier County 3339 E. Tamiami Trail, Suite 145 Naples, FL 34112 5. CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director/administrator of the CHD shall be a State employee or under contract with the State and will be under the day- to-day direction of the Deputy Secretary for County Health Systems. The director/administrator shall be selected by the State with the concurrence of the County. The director/administrator of the CHD shall ensure that non-categorical sources of funding are used to fulfill public health priorities in the community and the Long Range Program Plan. 6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that the following standards should apply in the operation of the CHD: a. The CHD and its personnel shall follow all State policies and procedures, except to the extent permitted for the use of County purchasing procedures as set forth in subparagraph b., below. All CHD employees shall be State or State-contract personnel subject to State personnel rules and procedures. Employees will report time in the Health Management System compatible format by program component as specified by the State. b. The CHD shall comply with all applicable provisions of federal and state laws and regulations relating to its operation with the exception that the use of County purchasing procedures shall be allowed when it will result in a better price or service and no statewide Department of Health purchasing contract has been implemented for those goods or services. In such cases, the CHD director/administrator must sign a justification therefore, and all County purchasing procedures must be followed in their entirety, and such compliance shall be documented. Such justification and compliance documentation shall be maintained by the CHD in accordance with the terms of this contract. State procedures must be followed for all leases on facilities not enumerated in Attachment IV. c. The CHD shall maintain books, records and documents in accordance with the Generally Accepted Accounting Principles (GAAP), as promulgated by the Governmental Accounting Standards Board (GASB), and the requirements of federal or state law. These 3 1 6 0 2 records shall be maintained as required by the Department of Health Policies and Procedures for Records Management and shall be open for inspection at any time by the parties and the public, except for those records that are not otherwise subject to disclosure as provided by law which are subject to the confidentiality provisions of paragraphs 6.i. and 6.k., below. Books, records and documents must be adequate to allow the CHD to comply with the following reporting requirements: i. The revenue and expenditure requirements in the Florida Accounting Information Resource (FLAIR) System; ii. The client registration and services reporting requirements of the minimum data set as specified in the most current version of the Client Information System/Health Management Component Pamphlet; iii. Financial procedures specified in the Department of Health's Accounting Procedures Manuals, Accounting memoranda, and Comptroller's memoranda; iv. The CHD is responsible for assuring that all contracts with service providers include provisions that all subcontracted services be reported to the CHD in a manner consistent with the client registration and service reporting requirements of the minimum data set as specified in the Client Information System/Health Management Component Pamphlet. d. All funds for the CHD shall be deposited in the County Health Department Trust Fund maintained by the state treasurer. These funds shall be accounted for separately from funds deposited for other CHDs and shall be used only for public health purposes in Collier County. e. That any surplus/deficit funds, including fees or accrued interest, remaining in the County Health Department Trust Fund account at the end of the contract year shall be credited/debited to the State or County, as appropriate, based on the funds contributed by each and the expenditures incurred by each. Expenditures will be charged to the program accounts by State and County based on the ratio of planned expenditures in this contract and funding from all sources is credited to the program accounts by State and County. The equity share of any surplus/deficit funds accruing to the State and County is determined each month and at contract year-end. Surplus funds may be applied toward the funding requirements of each participating governmental entity in the following year. However, in each such case, all surplus funds, including fees and accrued interest, shall remain in the trust fund until accounted for in a manner which clearly illustrates the amount which has been credited to each participating governmental entity. The planned use of surplus funds shall be reflected in Attachment II, Part I of this contract, with special capital projects explained in Attachment V. f. There shall be no transfer of funds between the three levels of services without a contract amendment unless the CHD director/administrator determines that an emergency exists wherein a time delay would endanger the public's health and the Deputy Secretary for County Health Systems has approved the transfer. The Deputy Secretary for County Health Systems shall forward written evidence of this approval to the CHD within 30 days after an emergency transfer. 4 160 g. The CHD may execute subcontracts for services necessary to enable the CHD to carry out the programs specified in this contract. Any such subcontract shall include all aforementioned audit and record keeping requirements. h. At the request of either party, an audit may be conducted by an independent CPA on the financial records of the CHD and the results made available to the parties within 180 days after the close of the CHD fiscal year. This audit will follow requirements contained in OMB Circular A-133 and may be in conjunction with audits performed by County government. If audit exceptions are found, then the director/administrator of the CHD will prepare a corrective action plan and a copy of that plan and monthly status reports will be furnished to the contract managers for the parties. i. The CHD shall not use or disclose any information concerning a recipient of services except as allowed by federal or state law or policy. j. The CHD shall retain all client records, financial records, supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to this contract for a period of five (5) years after termination of this contract. If an audit has been initiated and audit findings have not been resolved at the end of five (5) years, the records shall be retained until resolution of the audit findings. k. The CHD shall maintain confidentiality of all data, files, and records that are confidential under the law or are otherwise exempted from disclosure as a public record under Florida law. The CHD shall implement procedures to ensure the protection and confidentiality of all such records and shall comply with sections 384.29, 381 .004, 392.65 and 456.057, Florida Statutes, and all other state and federal laws regarding confidentiality. All confidentiality procedures implemented by the CHD shall be consistent with the Department of Health Information Security Policies, Protocols, and Procedures. The CHD shall further adhere to any amendments to the State's security requirements and shall comply with any applicable professional standards of practice with respect to client confidentiality. I. The CHD shall abide by all State policies and procedures, which by this reference are incorporated herein as standards to be followed by the CHD, except as otherwise permitted for some purchases using County procedures pursuant to paragraph 6.b. m. The CHD shall establish a system through which applicants for services and current clients may present grievances over denial, modification or termination of services. The CHD will advise applicants of the right to appeal a denial or exclusion from services, of failure to take account of a client's choice of service, and of his/her right to a fair hearing to the final governing authority of the agency. Specific references to existing laws, rules or program manuals are included in Attachment I of this contract. n. The CHD shall comply with the provisions contained in the Civil Rights Certificate, hereby incorporated into this contract as Attachment III. o. The CHD shall submit quarterly reports to the County that shall include at least the following: 5 0 1 6 0 e I. The DE385L1 Contract Management Variance Report and the DE580L1 Analysis of Fund Equities Report; ii. A written explanation to the County of service variances reflected in the year end DE385L1 report if the variance exceeds or falls below 25 percent of the planned expenditure amount for the contract year. However, if the amount of the service specific variance between actual and planned expenditures does not exceed three percent of the total planned expenditures for the level of service in which the type of service is included, a variance explanation is not required. A copy of the written explanation shall be sent to the Department of Health, Office of Budget and Revenue Management. p. The dates for the submission of quarterly reports to the County shall be as follows unless the generation and distribution of reports is delayed due to circumstances beyond the CHD's control: i. March 1 , 2019 for the report period October 1, 2018 through December 31, 2018; ii. June 1 , 2019 for the report period October 1 , 2018 through March 31, 2019; iii. September 1, 2019 for the report period October 1 , 2018 through June 30, 2019; and iv. December 1, 2019 for the report period October 1 , 2018 through September 30, 2019. 7. FACILITIES AND EQUIPMENT. The parties mutually agree that: a. CHD facilities shall be provided as specified in Attachment IV to this contract and the County shall own the facilities used by the CHD unless otherwise provided in Attachment IV. b. The County shall ensure adequate fire and casualty insurance coverage for County- owned CHD offices and buildings and for all furnishings and equipment in CHD offices through either a self-insurance program or insurance purchased by the County. c. All vehicles will be transferred to the ownership of the County and registered as County vehicles. The County shall ensure insurance coverage for these vehicles is available through either a self-insurance program or insurance purchased by the County. All vehicles will be used solely for CHD operations. Vehicles purchased through the County Health Department Trust Fund shall be sold at fair market value when they are no longer needed by the CHD and the proceeds returned to the County Health Department Trust Fund. 8. TERMINATION. 6 160 0 2 a. Termination at Will. This contract may be terminated by either party without cause upon no less than one-hundred eighty (180) calendar days notice in writing to the other party unless a lesser time is mutually agreed upon in writing by both parties. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. b. Termination Because of Lack of Funds. In the event funds to finance this contract become unavailable, either party may terminate this contract upon no less than twenty-four (24) hours notice. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. c. Termination for Breach. This contract may be terminated by one party, upon no less than thirty (30) days notice, because of the other party's failure to perform an obligation hereunder. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. Waiver of breach of any provisions of this contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this contract. 9. MISCELLANEOUS. The parties further agree: a. Availability of Funds. If this contract, any renewal hereof, or any term, performance or payment hereunder, extends beyond the fiscal year beginning July 1 , 2019, it is agreed that the performance and payment under this contract are contingent upon an annual appropriation by the Legislature, in accordance with section 287.0582, Florida Statutes. b. Contract Managers. The name and address of the contract managers for the parties under this contract are as follows: For the State: For the County: Stephanie Vick, M.S., B.S.N., R.N. Steve Carnell Name Name Administrator, Florida Department of Public Service Division Administrator Health in Collier County Title Title 3339 E. Tamiami Trail, Suite 145 3339 E. Tamiami Trail, Suite 217 Naples, FL 34112 Naples, FL 34112 Address Address (239) 252-5332 (239) 252-8468 Telephone Telephone If different contract managers are designated after execution of this contract, the name, address and telephone number of the new representative shall be furnished in writing to the other parties and attached to originals of this contract. 4 1 6 0 2. c. Captions. The captions and headings contained in this contract are for the convenience of the parties only and do not in any way modify, amplify, or give additional notice of the provisions hereof. In WITNESS THEREOF, the parties hereto have caused this 19 page contract, with its attachments as referenced, including Attachment I (two pages), Attachment II (six pages), Attachment III (one pages), Attachment IV (one pages), and Attachment V (one pages), to be executed by their undersigned officials as duly authorized effective the 1St day of October, 2018. BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA FOR COLLIER COU DEPARTMENT OF HEALTH SIGNED BY: '' SIGNED BY •�'��---, NAME: -AN 0 ? SOL I S NAME: Celeste Philip, MD, MPH TITLE: C.k{. t it ') TITLE: Surgeon General and Secretary DATE: 0 ' c l DATE: 1/1--5//15 ATTESTED TO: SIGNED BY: ' SIGNED BY: - r NAME: NAME: Stephanie Vick, M.S., B.S.N., R.N. TITLE: TITLE: CHD Director/Administrator DATE: DATE: `} 1 1 j p proved as to form aril ,alty ATTEST: �ssis ant County nay CSA NEL„ CL st as to Chairman ! signature only. 8 0 160 ATTACHMENT I COLLIER COUNTY HEALTH DEPARTMENT PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS Some health services must comply with specific program and reporting requirements in addition to the Personal Health Coding Pamphlet(DHP 50-20), Environmental Health Coding Pamphlet(DHP 50-21)and FLAIR requirements because of federal or state law, regulation or rule. If a county health department is funded to provide one of these services, it must comply with the special reporting requirements for that service. The services and the reporting requirements are listed below: Service Requirement 1. Sexually Transmitted Disease Program Requirements as specified in F.A.C. 64D-3, F.S. 381 and F.S.384. 2. Dental Health Periodic financial and programmatic reports as specified by the program office. 3. Special Supplemental Nutrition Service documentation and monthly financial reports as specified in Program for Women, Infants and DHM 150-24`and all federal, state and county requirements detailed Children (including the WIC in program manuals and published procedures. Breastfeeding Peer Counseling Program) 4. Healthy Start/Improved Pregnancy Requirements as specified in the 2007 Healthy Start Standards and Outcome Guidelines and as specified by the Healthy Start Coalitions in contract with each county health department. 5. Family Planning Requirements as specified in Public Law 91-572,42 U.S.C. 300,et seq.,42 CFR part 59,subpart A,45 CFR parts 74&92,2 CFR 215 (OMB Circular A-110)OMB Circular A-102, F.S. 381.0051, F.A.C. 64F-7, F.A.C.64F-16,and F.A.C. 64F-19. Requirements and Guidance as specified in the Program Requirements for Title X Funded Family Planning Projects(Title X Requirements)(2014)and the Providing Quality Family Planning Services(QFP): Recommendations of CDC and the U.S. Office of Population Affairs published on the Office of Population Affairs website. Programmatic annual reports as specified by the program office as specified in the annual programmatic Scope of Work for Family Planning and Maternal Child Health Services, including the Family Planning Annual Report(FPAR), and other minimum guidelines as specified by the Policy Web Technical Assistance Guidelines. 6. Immunization Periodic reports as specified by the department pertaining to immunization levels in kindergarten and/or seventh grade pursuant to instructions contained in the Immunization Guidelines-Florida Schools,Childcare Facilities and Family Daycare Homes(DH Form 150-615)and Rule 64D-3.046, F.A.C. In addition, periodic reports as specified by the department pertaining to the surveillance/investigation of reportable vaccine-preventable diseases,adverse events,vaccine accountability, and assessment of immunization Attachment_I-Page 1 of 2 1602 ATTACHMENT I(Continued) levels as documented in Florida SHOTS and supported by CHD Guidebook policies and technical assistance guidance. 7. Environmental Health Requirements as specified in Environmental Health Programs Manual 150-4*and DHP 50-21* 8. HIV/AIDS Program Requirements as specified in F.S. 384.25 and F.A.C. 64D-3.030 and 64D-3.031. Case reporting should be on Adult HIV/AIDS Confidential Case Report CDC Form DH2139 and Pediatric HIV/AIDS Confidential Case Report CDC Form DH2140. Requirements as specified in F.A.C. 64D-2 and 64D-3, F.S.381 and F.S. 384. Socio-demographic and risk data on persons tested for HIV in CHD clinics should be reported on Lab Request DH Form 1628 in accordance with the Forms Instruction Guide. Requirements for the HIV/AIDS Patient Care programs are found in the Patient Care Contract Administrative Guidelines. 9. School Health Services Requirements as specified in the Florida School Health Administrative Guidelines(May 2012). Requirements as specified in F.S. 381.0056, F.S. 381.0057, F.S.402.3026 and F.A.C. 64F-6. 10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C. 64D-3 and F.S.392. 11. General Communicable Disease Carry out surveillance for reportable communicable and other acute Control diseases,detect outbreaks, respond to individual cases of reportable diseases, investigate outbreaks, and carry out communication and quality assurance functions,as specified in F.A.C. 64D-3, F.S. 381, F.S. 384 and the CHD Epidemiology Guide to Surveillance and Investigations. 12. Refugee Health Program Programmatic and financial requirements as specified by the program office. *or the subsequent replacement if adopted during the contract period. (i??4-.0 Attachment_I-Page 2 of 2 1 O2 5 co \ co / \ / I/ E § > k a Tis o k H co / co \ E N- o 2 w \ k k - \ m »] $ o £ e / § � 0S - 0 I = . 2 \ \ \ I- U) a = I a) f77 \ 2 I- d § 2 S I- ZCC W 0 0 0 0 § = 0 < Z 1-L ƒ Lu-I 0 2 « I G 0 ? I- \2 . k § I 2 00 1-H \ 0 o \ CC O � � k \ w ) % ƒ § 0 0 F \ 2 - vwd $ 2 = = 0 §Lu zas � 2 . co § I- ¥ CC \ « 52 \ 2 § co0. � � >/ \ a) ƒ / k a) \ % S jp co / E \ E k E c = a = 0 £ \ } ƒ \ ƒ / ƒ \ = 32 20 = o ° _ ° « 3 ° 3 0 0 \ - a � 7 } / \ E\ ) % _ V) \ w 0 w I w .- 0 \ + § a) 0 7Q of / / 0 @ - ° ° I 00 (n/ j0 \ a) - w w e � .. .< .,'51:.6, . :,..,„,,, ,,,,,,,,,,,,F,, ,,, ,-- -,;,' tp4 Mrd ii I..�y , ; -". d` 9 of :urR e•a r€loons tQ County Health Dept meat �r €18 to September 3(1a 2{119 �� ,a v is o "i iiz".i- fy !/ ;044,„, rl . a,as - �. �s �� 1.GENERAL REVENUE-STATE 015040 AIDS PATIENT CARE 140,000 0 140,000 0 140,000 015040 AIDS PREVENTION&SURVEILLANCE GENERAL REVENUE 69,571 0 69,571 0 69,571 015040 CHD•TB COMMUNITY PROGRAM 147,881 0 147,881 0 147,881 015040 DENTAL SPECIAL INITIATIVE PROJECTS 5,977 0 5,977 0 5,977 015040 FAMILY PLANNING GENERAL REVENUE 69,664 0 69,664 0 69,664 015040 HEPATITIS AND LIVER FAILURE PREVENTION&CONTROL 89,286 0 89,286 0 89,286 015040 MIGRANT LABOR CAMP SANITATION 30,181 0 30,181 0 30,181 015040 PRIMARY CARE PROGRAM 313,432 0 313,432 0 313,432 015040 SCHOOL HEALTH SERVICES GENERAL REVENUE 218,073 0 218,073 0 218,073 015050 CHD GENERAL REVENUE NON-CATEGORICAL 1,973,159 0 1,973,159 0 1,973,159 GENERAL REVENUE TOTAL 3,057,224 0 3,057,224 0 3,057,224 2.NON GENERAL REVENUE-STATE 015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM 13,027 0 13,027 0 13,027 015010 TOBACCO STATE AND COMMUNITY INTERVENTIONS 183,885 0 183,885 0 183,885 015010 TOBACCO NON PILOT EXPENDITURES 8,000 0 8,000 0 8,000 NON GENERAL REVENUE TOTAL 204,912 0 204,912 0 204,912 3.FEDERAL FUNDS-STATE 007000 WIC BREASTFEEDING PEER COUNSELING PROG 59,625 0 59,625 0 59,625 007000 COASTAL BEACH WATER QUALITY MONITORING 18,340 0 18,340 0 18,340 007000 COMPREHENSIVE COMMUNITY CARDIO•PHBG 43,000 0 43,000 0 43,000 007000 CMS MCH PURCHASED CLIENT SERVICES 20,555 0 20,555 0 20,555 007000 FAMILY PLANNING TITLE X GRANT 136,105 0 136,105 0 136,105 007000 HPP VOLUNTEER MANAGEMENT 2,398 0 2,398 0 2,398 007000 IMMUNIZATION ACTION PLAN 87,564 0 87,564 0 87,564 007000 MCH SPECIAL PRJCT UNPLANNED PREGNANCY 39,325 0 39,325 0 39,325 007000 BASE COMMUNITY PREPAREDNESS CAPABILITY 134,771 0 134,771 0 134,771 007000 BASE PUB HLTH SURVEILLANCE&EPI INVESTIGATION 66,604 0 66,604 0 66,604 007000 AIDS PREVENTION 245,520 0 245,520 0 245,520 007000 IMPROVING STD PROGRAMS 5,624 0 5,624 0 5,624 007000 WIC PROGRAM ADMINISTRATION 1,325,044 0 1,325,044 0 1,325,044 007000 ZIKA ELC Ml ARBOVIRAL DISEASE SUPPLEMENTAL 54,200 0 54,200 0 54,200 007000 ZIKA ELC M2 PREGNANCY REGISTRY 4,479 0 4,479 0 4,479 015075 INSPECTIONS OF SUMMER FEEDING PROGRAM DOE 2,500 0 2,500 0 2,500 015075 SUPPLEMENTAL SCHOOL HEALTH 33,690 0 33,690 0 33,690 015075 REFUGEE HEALTH SCREENING REIMBURSEMENT ADMIN 37,919 0 37,919 0 37,919 015075 REFUGEE HEALTH SCREENING REIMBURSEMENT SERVICES 300,000 0 300,000 0 300,000 018005 AIDS DRUG ASSISTANCE PROGRAM ADMIN HQ 102,467 0 102,467 0 102,467 018005 RYAN WHITE TITLE II GRANT/CHD CONSORTIUM 266,521 0 266,521 0 266,521 FEDERAL FUNDS TOTAL 2,986,251 0 2,986,251 0 2,986,251 4)4.FEES ASSESSED BY STATE OR FEDERAL RULES-STATE Attachment_II_Part_II-Page 2 ... , --, 1 60 '''''' ....K / / ;134:4 ,_ "'��`��� b i ik18 lw � � rry� a _ �� / i a z ; �� i n'tr"1 CfS1IE 7!t N a Cr G ., w� ,.' k \ in 1,2t}eitv �.8 to Sepf,� bc ��. r \��.� .. Ss'^',� Z 69.f'' 3 j � 3 r wee� y ;:G ,/ zvg3 as � Y �+ y>' ��� ` r/ v isoiN i/„yam / �- //i� -e� - ' \ Ir;,. r \ " iii �r �rr \ -+� .a,- _ // Fund // r1IIj . i$A n ')� r. .a 'r...�� ..l:u.. �, .>..... �a h.°.`aa ......a,"en.' h TI-44'“'" .... 8 8 3 ,� q.f i' otaL Ak 001020 CHD STATEWIDE ENVIRONMENTAL FEES 486.539 0 486,539 0 486,539 001092 CHD STATEWIDE ENVIRONMENTAL FEES 236,977 0 236,977 0 236,977 001206 ON SITE SEWAGE DISPOSAL PERMIT FEES 20,000 0 20,000 0 20,000 001206 SANITATION CERTIFICATES(FOOD INSPECTION) 2,674 0 2,674 0 2,674 001206 SEPTIC TANK RESEARCH SURCHARGE 3,465 0 3,465 0 3,465 001206 SEPTIC TANK VARIANCE FEES 50% 100 0 100 0 100 001206 PUBLIC SWIMMING POOL PERMIT FEES 10%HQ TRANSFER 20,782 0 20,782 0 20,782 001206 DRINKING WATER PROGRAM OPERATIONS 1,350 0 1,350 0 1,350 001206 REGULATION OF BODY PIERCING SALONS 30 0 30 0 30 001206 TANNING FACILITIES 219 0 219 0 219 001206 ONSITE SEWAGE TRAINING CENTER 1,075 0 1,075 0 1,075 001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 2,582 0 2,582 0 2,582 001206 MOBILE HOME&RV PARK FEES 1,366 0 1,366 0 1,366 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 777,159 0 777,159 0 777,159 5.OTHER CASH CONTRIBUTIONS-STATE: 0 0 0 0 0 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 0 0 0 0 OTHER CASH CONTRIBUTION TOTAL 0 0 0 0 0 6.MEDICAID-STATE/COUNTY 001057 CHD CLINIC FEES 0 14,650 14,650 0 14,650 001148 CHD CLINIC FEES 0 949,750 949,750 0 949,750 MEDICAID TOTAL 0 964,400 964,400 0 964,400 7.ALLOCABLE REVENUE-STATE: 018000 CHD CLINIC FEES 1,750 0 1,750 0 1,750 031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 3,000 0 3,000 0 3,000 ALLOCABLE REVENUE TOTAL 4,750 0 4,750 0 4,750 8.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND-STATE ADAP 0 0 0 1,675,152 1,675,152 PHARMACY DRUG PROGRAM 0 0 0 22,608 22,608 WIC PROGRAM 0 0 0 5,186,821 5,186,821 BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 44,044 44,044 IMMUNIZATIONS 0 0 0 1,068,593 1,068,593 OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 7,997,218 7,997,218 9.DIRECT LOCAL CONTRIBUTIONS-BCC/TAX DISTRICT 008005 CHD LOCAL REVENUE&EXPENDITURES 0 1,491,400 1,491,400 0 1,491,400 DIRECT COUNTY CONTRIBUTIONS TOTAL 0 1,491,400 1,491,400 0 1,491,400 10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION•COUNTY 001077 CHD CLINIC FEES 0 263,300 263,300 0 263,300 001077 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 6,000 6,000 0 6,000 Attachment_II_Part_II-Page. ofti , .....,„,„.„......,,,,,l 6.z. 2 c -e,,,,-,,1**- y � �F '/'�`"��j j '%f?'''-';4 tX" "°'"°IC\,',,,„,,,l'Ok, (4.-' ''''''' '\'''M''' '''' '.4 " ¢ v,�' C:"F ge- ,, '� rrxt�J is u' s'l/%' a �o�u , R <K�a�s4w�ccF� r r�a 1 s a:3: a s 'te r n a a ..‘.;ti..-,‘is �i Department ,i � ,�j _.. "� � �! , ,,...-„ .�. � \� r`°°r ���_ 1$�a�ptAml� d ,�,� %�� •� A.\4',,'''''0:,5;,-,.:::0';',";P :'!,'�y�;Y ����. •iii\�� „• ...•. J r� r i2 ," ✓µ%% / F ,, .:moi \ v7.4 s" �� eta i,,,. y, r��;: ,� iia e i yi i��✓ /%� 4i! 2t,t 4��, ,g.''qq a � ,,` Tata'CHD,. �''���`k �- ,;„A,':•• .... rr� �% ,raj \" i�: •r 1 Trust]'`!tIId, e';C:1;;,,, '5,:',4y.,0,,, _om • ,tosioi a m _ \ r, ,,w•. R i*-,,,,,,,,-, d t a q`t.- X71: + 001094 CHD LOCAL ENVIRONMENTAL FEES 0 779,365 779,365 0 779,365 001110 VITAL STATISTICS CERTIFIED RECORDS 0 395,000 395,000 0 395,000 FEES AUTHORIZED BY COUNTY TOTAL 0 1,443,665 1,443,665 0 1,443,665 11.OTHER CASH AND LOCAL CONTRIBUTIONS•COUNTY 001029 CHD CLINIC FEES 0 82,600 82,600 0 82,600 001029 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 3,000 3,000 0 3,000 001090 CHD CLINIC FEES 0 16,700 16,700 0 16,700 010300 STATE UNDERGROUND PETROLEUM RESPONSE ACT 0 3,565 3,565 0 3,565 010303 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 225 225 0 225 010500 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 3,255 3,255 0 3,255 011000 RYAN WHITE 0 36,000 36,000 0 36,000 011000 COASTAL BEACH QUALITY MONITORING 0 4,545 4,545 0 4,545 011000 CHD CASH DONATION/NON-SPECIFIC 0 1,400 1,400 0 1,400 011000 EARLY LEARNING COALITION OF SOUTHWEST FLORIDA 0 60,900 60,900 0 60,900 011000 CHD LOCAL REVENUE&EXPENDITURES 0 10,000 10,000 0 10,000 011001 CHD HEALTHY START COALITION CONTRACT 0 476,996 476,996 0 476,996 090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 577,045 577,045 0 577,045 OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 1,276,231 1,276,231 0 1,276,231 12.ALLOCABLE REVENUE-COUNTY 018000 CHD CLINIC FEES 0 1,750 1,750 0 1,750 031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 3,000 3,000 0 3,000 COUNTY ALLOCABLE REVENUE TOTAL 0 4,750 4,750 0 4,750 13.BUILDINGS-COUNTY ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 525,048 525,048 IT ALLOCATION&GOLDEN GATE RENTAL 0 0 0 9,700 9,700 UTILITIES 0 0 0 168,800 168,800 BUILDING MAINTENANCE 0 0 0 0 0 GROUNDS MAINTENANCE 0 0 0 195,149 195,149 INSURANCE 0 0 0 0 0 OTHER(Specify) 0 0 0 0 0 OTHER(Specify) 0 0 0 0 0 BUILDINGS TOTAL 0 0 0 898,697 898,697 14.OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND-COUNTY EQUIPMENT/VEHICLE PURCHASES 0 0 0 0 0 VEHICLE INSURANCE 0 0 0 0 0 VEHICLE MAINTENANCE 0 0 0 0 0 OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0 GRAND TOTAL CHD PROGRAM 7,030,296 5,180,446 12,210,742 8,895,915 21,106,657 0 Attachment_II_Part_II Pa6 3.f 3 � .. I :_,.. //iii BO�R - •I? ''D'1„�.'�.r ' � \'�\\ \ qui / °y a 'S r, • �,� °w., "1°-:: ''''''4 : �' ,..:' Service, e,,:1,;ti tiC � 83� � � (f:.\ 2Q19 r.g, c r. /dam '' - tl /� �rterlyExpeuditurePlan bv „,;,,,,....„,„?.= , y A COMMUNICABLE DISEASE CONTROL: IMMUNIZATION (101) 8.98 8,597 10,941 139,021 162,151 139,021 162,152 92,264 510,081 602,345 SEXUALLY TRANS.DIS. (102) 6.13 1,659 2,375 84,480 98,536 84,480 98,535 5,624 360,407 366,031 HIV/AIDS PREVENTION (03A1) 5.38 0 8,266 76,528 89,261 76,528 89,261 321,578 10,00000 331,578 HIV/AIDS SURVEILLANCE (03A2) 1.37 0 25 19,599 22,860 19,599 22,859 84,917 84,917 HIV/AIDS PATIENT CARE (03A3) 8.68 479 3,449 148,814 173,573 148,814 173,572 526,773 118 000 644,773 ADAP (03A4) 2.96 103 179 41,802 48,756 41,802 48,756 181,116 0 181,116 TUBERCULOSIS (104) 5.25 379 1,744 92,579 107,982 92,579 107,982 308,272 92,850 401,122 COMM.DIS.SURV. (106) 7.49 0 16,206 124,099 144,746 124,099 144,745 389,729 147,960 537,689 HEPATITIS (109) 1.67 1,621 1,985 27,638 32,237 27,638 32,237 119,750 119,760 PREPAREDNESS AND RESPONSE (116) 2.88 0 12 61,887 72,184 61,887 72,184 232,687 35,455 268,142 REFUGEE HEALTH (118) 4.94 426 691 101,278 118,128 101,278 118,128 438,812 0 438,812 VITAL RECORDS (180) 3.46 12,507 48,548 47,315 55,188 47,315 55,188 0 205,006 205,006 COMMUNICABLE DISEASE SUBTOTAL 59.19 25,771 94,421 965,040 1,125,602 965,040 1,125,599 2,701,522 1,479,759 4,181,281 B. PRIMARY CARE CHRONIC DISEASE PREVENTION PRO (210) 1.42 269 172 24,230 24,230 28,262 71,884 33,100 104,984 WIC (21W1) 26.44 11,517 81,974 368,614 45229:62946T:2. 368,614 429,944 1,597,116 0 1,597,116 TOBACCO USE INTERVENTION (212) 3.52 0 204 47,735 47,735 55,676 206,823 0 206,823 WIC BREASTFEEDING PEER COUNSELING (21W2) 2.37 0 2,603 23,024 26,854 23,024 26,854 99,756 0 99,756 FAMILY PLANNING (223) 5.86 852 1,673 101,858 118,804 101,858 118,804 399,874 41,450 441,324 IMPROVED PREGNANCY OUTCOME (225) 0.00 0 0 0 0 0 0 0 0 0 HEALTHY START PRENATAL (227) 10.62 975 4,847 173,369 202,214 173,369 202,215 156,716 594,451 751,167 COMPREHENSIVE CHILD HEALTH (229) 2.19 288 465 33,649 39,248 33,649 39,248 0 145,794 145,794 HEALTHY START CHILD (231) 5.50 1,018 4,475 83,893 97,852 83,893 97,852 0 363,490 363,490 SCHOOL HEALTH (234) 9.22 0 631,272 111,899 130,516 111,899 130,515 409,329 75,500 484,829 COMPREHENSIVE ADULT HEALTH (237) 6.74 4,364 6,258 184,557 215,263 184,557 215,264 156,766 64421",4857005 42,875 799,641 COMMUNITY HEALTH DEVELOPMENT (238) 4.89 0 88 72,388 84,432 72,388 84,432 313,640 0 313,640 DENTAL HEALTH (240) 16.13 4,967 10,012 291,973 340,550 291,973 340,550 5,977 1,259,069 1,265,046 PRIMARY CARE SUBTOTAL 94.90 24,250 744,043 1,517,189 1,769,616 1,517,189 1,769,616 3,417,881 3,155,729 6,573,610 C. ENVIRONMENTAL HEALTH: Water and Onsite Sewage Programa COSTAL BEACH MONITORING (347) 0.33 1,077 1,077 8,424 9,826 8,424 9,826 31,955 4,545 36,500 LIMITED USE PUBLIC WATER SYSTEMS (357) 0.33 72 590 7,747 9,036 7,747 9,036 11,394 22,172 33,566 PUBLIC WATER SYSTEM (358) 0.00 0 0 0 0 0 0 0 0 0 PRIVATE WATER SYSTEM (359) 0.20 0 99 4,171 4,865 4,171 4,866 0 18,073 18,073 ONSITE SEWAGE TREATMENT&DISPOSAL (361) 6.51 1,997 6,058 92,994 108,466 92,994 108,466 191,434 211,486 402,920 Group Total 7.37 3,146 7,824 113,336 132,193 113,336 132,194 234,783 256,276 491,059 Facility Programa TATTOO FACILITY SERVICES (344) 0.31 0 227 5,793 6,757 5,793 6,758 25,101 0 25,101 Attachment_II_Part_III-Pag of 2 ,,,,4,..,,,„:, :x6-0,,,,,\ .4at .;:,.,....::::,.. !:,,:::::„,,,,,,,,,,,tr,,,,:ACLIIVIEIIT II , ;a� I Ti �.Tli DEPARTMENT / r =a i, _. ndtturea By Prt gram Service Area Within Each Level of Service � � asc � , r / >�terly Expenditure Plan 0 a '„', ?''.?:,i,'' '� €� \ " :'Cliertta Se.rvicesi 4th c� v 8t �+ t ,,,,_...� ,,, '''''''''''''''''''''''''re ''',...,,,;,?'.,..'1,45!,=,,,,,m,„:,� 1�,. .;amu ,,,,,_F,_ 1., ,. r ..�„ .,� ,.yw, FOOD HYGIENE (348) 1.98 417 1,186 33,629 39,224 33,629 39,224 145,636 70 145,706 128 479 0 479 BODY PIERCING FACILITIES SERVICES (349) 0.01 0 0 111 129 111 GROUP CARE FACILITY(351) 0.74 120 202 11,421 13,321 11,421 13,322 0 49,485 49,485 MIGRANT LABOR CAMP (352) 1.87 69 391 28,510 33,253 28,510 33,252 77,225 46,300 123,525 HOUSING&PUB.BLDG. (353) 0.00 0 0 0 0 0 0 0 0 0 MOBILE HOME AND PARK(354) 1.15 227 690 16,177 18,869 16,177 18,870 69,593 70,093 POOLS/BATHING PLACES (360) 4.17 2,021 20,930 73,667 85,923 73,667 55,922 130,900 188,25°7°09 319,179 BIOMEDICAL WASTE SERVICES (364) 1.54 705 776 27,852 32,485 27,852 32,485 120,674 120,674 TANNING FACILITY SERVICES (369) 0.10 50 30 1,746 2,036 1,746 2,035 7,563 0 7,563 Group Total 11.87 3,609 24,432 198,906 231,997 198,906 231,996 577,171 284,634 861,805 Groundwater Contamination 0 0 0 0 STORAGE TANK COMPLIANCE SERVICES (355) 0.00 0 0 0 0 0 SUPER ACT SERVICES (356) 0.06 0 0 934 1,090 934 1,090 0 4,048 4,048 Group Total 0.06 0 0 934 1,090 934 1,090 0 4,048 4,048 Community Hygiene COMMUNITYENVIR.HEALTH (345) 0.63 0 0 7,168 8,361 7,168 8,361 31,058 0 31,058 INJURY PREVENTION (346) 0.00 0 0 0 0 0 0 0 0 0 LEAD MONITORING SERVICES (350) 0.00 0 0 0 0 0 0 0 0 0 PUBLIC SEWAGE (362) 0.00 0 0 0 0 0 0 0 0 0 SOLID WASTE DISPOSAL SERVICE (363) 0.00 0 0 0 0 0 0 0 0 0 SANITARY NUISANCE (365) 0.16 0 0 2,254 2,629 2,254 2,628 9,765 0 9,765 RABIES SURVEILLANCE (366) 0.00 0 0 0 0 0 0 0 0 0 ARBORVIRUS SURVEIL. (367) 0.00 0 0 0 0 0 0 0 0 0 RODENT/ARTHROPOD CONTROL (368) 0.00 0 0 0 0 0 0 0 0 0 WATER POLLUTION (370) 0.00 0 0 0 0 0 0 0 0 0 INDOOR AIR (371) 0.06 0 3 917 1,070 917 1,069 3,973 0 3,973 RADIOLOGICAL HEALTH (372) 0.00 0 0 0 0 0 0 0 0 0 TOXIC SUBSTANCES (373) 0.00 0 0 0 0 0 0 0 0 0 Group Total 0.85 0 3 10,339 12,060 10,339 12,058 44,796 0 44,796 ENVIRONMENTALHEALTH SUBTOTAL 20.15 6,755 32,259 323,515 377,340 323,515 377,338 85464:79560 56,750 544,958 1,401,708 D. NONOPERATIONAL COSTS: NON-OPERATIONAL COSTS (599) 0.00 0 0 0 0 0 0 0 0 0 0 53,643 ENVIRONMENTAL HEALTH SURCHARGE (399) 0.00 0 0 12,381 14,441 12,381 14,440 53,643 135 115 MEDICAID BUYBACK (611) 0.00 0 0 115 135 500 0 500 NON-OPERATIONAL COSTS SUBTOTAL 0.00 0 0 12,496 14,576 12,496 14,575 54,143 0 54,143 TOTAL CONTRACT 174.24 56,776 870,723 2,818,240 3,287,134 2,818,240 3,287,128 7,030,296 5,180,446 12,210,742 Attachment_II_Part_III- ®6o 1602 ATTACHMENT III COLLIER COUNTY HEALTH DEPARTMENT CIVIL RIGHTS CERTIFICATE The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans, contracts (except contracts of insurance or guaranty), property, discounts,or other federal financial assistance to programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the subsequent replacement if adopted during the contract period), if so requested by the department. The applicant assures that it will comply with: 1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C., 2000 Et seq., which prohibits discrimination on the basis of race, color or national origin in programs and activities receiving or benefiting from federal financial assistance. 2. Section 504 of the Rehabilitation Act of 1973, as amended,29 U.S.C. 794, which prohibits discrimination on the basis of handicap in programs and activities receiving or benefiting from federal financial assistance. 3. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq.,which prohibits discrimination on the basis of sex in education programs and activities receiving or benefiting from federal financial assistance. 4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq.,which prohibits discrimination on the basis of age in programs or activities receiving or benefiting from federal financial assistance. 5. The Omnibus Budget Reconciliation Act of 1981, P.L. 97-35,which prohibits discrimination on the basis of sex and religion in programs and activities receiving or benefiting from federal financial assistance. 6. All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant agrees that compliance with this assurance constitutes a condition of continued receipt of or benefit from federal financial assistance, and that it is binding upon the applicant, its successors,transferees, and assignees for the period during which such assistance is provided. The applicant further assures that all contracts, subcontractors, subgrantees 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 the above statutes, regulations, guidelines, and standards. In the event of failure to comply,the applicant understands that the grantor may, at its discretion, seek a court order requiring compliance with the terms of this assurance or seek other appropriate judicial or administrative relief,to include assistance being terminated and further assistance being denied. (6. Attachment III-Page 1 of 1 °>� 160 2 \ >. { [ \ o 0 o § ° CO CD > E 0 \� \ a E 7 o 0 co / ( / \46 to \ ur a)\ \ Id \ 2 � c � c o \ / - I 18E momoo = 0 2 111 •G 0. 0 % / 111111 k •0 ) f ® % , Do oo \ � \ • 0 o e » « E / • '- / 0 / \ k 2 W \ a z ( _ . \ ,_ - \ 0 \ / \ \ 2 \ ~ . : c : \ = w _ / / ^ E ^ \ \ \ \ \ \ \ § 0 > \ \ _ 0 \ •\ a)• § a { = m J / f 0 E . I Q { e = t % / w o g 2 ( \ \ E $ 5 o p 4 \ ) 2 $ § 0 0 0 \ p z % / \ < c _0 \ LL _ \ w / 75 5 0• ( } zz o_ • \ \ c E » 0 S / \ co ° E 2 » [ƒ 0 = \ 2 2 k } ° \ k 0 2 \ \ . _ % ) a) 7 \ / } ) ° o 0 0 ] _ \ _ ! N E \ k § • ƒ$ 0 ƒ \ o > = E \ 02 0 = O 0 / oEl I o — $ f2 ) \ \ \ / 0 ] 0 2 \ • / o ) \ / 6 _ \ k o % L c 2 7 \ .� @ \ a / $ /2 ( E o o o - ci= / ] ƒ « a o \ / o ° ( ) E � § / / '2 \ \ O ( \ ) ; 555m \ f 2 ` « = f - G = a � / \ 3 CI .6 � $ / moi \ t. ) \ 0 - E \ 2 E m o 2 E ® 0 0 z ,- az , \ c 0 ) 2 © 4 . o m » 7 % 0 § $ Q 160 2 ATTACHMENT V COLLIER COUNTY HEALTH DEPARTMENT SPECIAL PROJECTS SAVINGS PLAN CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS CONTRACT YEAR STATE COUNTY TOTAL 2017-2018* $ 0 $ 0 $ 0 2018-2019** $ 0 $ 0 $ 0 2019-2020*** $ 0 $ 0 $ 0 2020-2021*** $ 0 $ 0 $ 0 PROJECT TOTAL $ 0 $ 0 $ 0 SPECIAL PROJECTS CONSTRUCTION/RENOVATION PLAN Attachment_V-Page 1 of 1 ✓Y