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#18-7470 (Vendor #3: Summit Home Respiratory Services, Inc. d/b/a Summit Home Healthcare Products) FIXED FEE PROFESSIONAL SERVICE AGREEMENT # 18-7470 for Services for Seniors Program THIS AGREEMENT, made and entered into on this l I*\day of - .(211)6P{ 20a , by and between Summit Home Respiratory Services, Inc.dba Summit Home Healthcare Products , authorized to do business in the State of Florida, whose business address is 1085 Business Lane, Unit 2, Naples, FL 34110 , (the "Contractor") and Collier County, a political subdivision of the State of Florida, (the "County"): WITNESSETH: 1. The Agreement shall be for a three (3 ) year period, commencing LJ upon the date of Board approval on and terminating on three (3 ) year(s) from that date or until all outstanding Purchase Order(s) issued prior to the expiration of the Agreement period have been completed or terminated. The County may, at its discretion and with the consent of the Contractor, renew the Agreement under all of the terms and conditions contained in this Agreement for three (3 ) additional one ( 1 ) year(s) periods. The County shall give the Contractor written notice of the County's intention to renew the Agreement term prior to the end of the Agreement term then in effect. The County Manager, or his designee, may, at his discretion, extend the Agreement under all of the terms and conditions contained in this Agreement for up to one hundred and eighty (180) days. The County Manager, or his designee, shall give the Contractor written notice of the County's intention to extend the Agreement term prior to the end of the Agreement term then in effect. 2. COMMENCEMENT OF SERVICES. The Contractor shall commence the work upon issuance of a [■J Purchase Order E Notice to Proceed n Work Order. 3. STATEMENT OF WORK. The Contractor shall provide services in accordance with the terms and conditions of* Request for Proposal (RFP) n 4-17-133 _ Other ( ) # 18-7470 , including all Attachment(s), Exhibit(s) and Addenda and the Contractor's proposal referred to herein and made an integral part of this Agreement. n The Contractor shall also provide services in accordance with Exhibit A — Scope of Services attached hereto. Page 1 of 15 Fixed Price Professional Service Agreement#2017-001 (Ver.2) 0 3.1 This Agreement contains the entire understanding between the parties and any modifications to this Agreement shall be mutually agreed upon in writing by the Parties, in compliance with the County's Procurement Ordinance, as amended, and Procurement Procedures in effect at the time such services are authorized. 3.2 The execution of this Agreement shall not be a commitment to the Contractor to order any minimum or maximum amount. The County shall order items/services as required but makes no guarantee as to the quantity, number, type or distribution of items/services that will be ordered or required by this Agreement. 4. THE AGREEMENT SUM. The County shall pay the Contractor for the performance of this Agreement based on Exhibit B- Fee Schedule, attached hereto and the price methodology as defined in Section 4.1. Payment will be made upon receipt of a proper invoice and upon approval by the County's Contract Administrative Agent/Project Manager, and in compliance with Chapter 218, Fla. Stats., otherwise known as the "Local Government Prompt Payment Act". 4.1 Price Methodology (as selected below): _ u e _... • =e ' -= • .. _.ee. .- a -= e•s. ••e. e _ e_e._ ; .= • - -• •aa •: _._a • •:.. _.. e.' ... .._.._ a a - ' .-- •:are no hourly or material invoices presented, rather, the contractor must perform e •- -- - - - .e.. e •: _ e_a .. a a -- ••_ •-e: e_ e _ e- •a . e •: • -e price contract is authorized. • Time and Materials: The County agrees to pay the contractor for the amount of labor time spent by the contractor's employees and subcontractors to perform the work (number of hours times hourly rate), and for materials and equipment used in the project (cost of materials plus the contractor's markup). This methodology is generally used in projects in which it is not possible to accurately estimate the size of the project, or when it is expected that the project requirements would most likely change. As a general business practice, these contracts include back-up documentation of costs; invoices would include number of hours worked and billing rate by position (and not company (or subcontractor) timekeeping or payroll records), material or equipment invoices, and other reimbursable documentation for the project. _ .• - _ . _ ._ ... _e :-- e e. _ .•. • _ _.. a .•- __' : e -._ . , .. _ .. •• _. _. .•u-• e..: •:-e - -, e - _e- '. ; e ee-- e- • - -e - •a ea e - e_ e• _• a -: eS e.. .. . e: e carton, etc.). •_ • e _- .. _ ._. . . - ._: ._ ... e . received (no contractor inventory or cost verification). Page 2 of 15 Fixed Price Professional Service Agreement#2017-001(Ver.2) 6. NOTICES. All notices from the County to the Contractor shall be deemed duly served if mailed or emailed to the Contractor at the following: Summit Home Respiratory Services, Inc. Company Name: dba Summit Home Healthcare Products Address: 1085 Business Lane, Unit 2 Naples, FL 34110 Authorized Agent: Nancy A. Eckhardt, President/CEO Attention Name & Title: Nancy A. Eckhardt, President/CEO Telephone: 239-596-5000 E-Mail(s): Nancy@summithome.net All Notices from the Contractor to the County shall be deemed duly served if mailed or emailed to the County to: Board of County Commissioners for Collier County, Florida Division Director: Kristi Sonntag Division Name: Community and Human Services Division Address: 3339 East Tamiami Trail Building H, Room 211 Naples, Florida 34112 Administrative Agent/PM: Wendy Klopf, Grants Coordinator Telephone: 239-252-2901 E-Mail(s): wendy.klopf@colliercountyfl.gov The Contractor and the County may change the above mailing address at any time upon giving the other party written notification. All notices under this Agreement must be in writing. 7. NO PARTNERSHIP. Nothing herein contained shall create or be construed as creating a partnership between the County and the Contractor or to constitute the Contractor as an agent of the County. 8. 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 Contractor. The County will not be obligated to pay for any permits obtained by Subcontractors. 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 Contractor. The Contractor shall also be solely responsible for payment of any and all taxes levied on the Contractor. In addition, the Contractor 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 Contractor agrees to comply with all laws governing the responsibility of an employer with respect to persons employed by the Contractor. Page 4 of 15 Fixed Price Professional Service Agreement#2017-001(Ver.2) 9. NO IMPROPER USE. The Contractor will not use, nor suffer or permit any person to use in any manner whatsoever, County facilities for any improper, immoral or offensive purpose, or for any purpose in violation of any federal, state, county or municipal ordinance, rule, order or regulation, or of any governmental rule or regulation now in effect or hereafter enacted or adopted. In the event of such violation by the Contractor or if the County or its authorized representative shall deem any conduct on the part of the Contractor to be objectionable or improper, the County shall have the right to suspend the Agreement of the Contractor. Should the Contractor fail to correct any such violation, conduct, or practice to the satisfaction of the County within twenty-four(24) hours after receiving notice of such violation, conduct, or practice, such suspension to continue until the violation is cured. The Contractor further agrees not to commence operation during the suspension period until the violation has been corrected to the satisfaction of the County. 10. TERMINATION. Should the Contractor be found to have failed to perform his services in a manner satisfactory to the County as per this Agreement, the County may terminate said Agreement for cause; further the County may terminate this Agreement for convenience with a thirty (30) day written notice. The County shall be the sole judge of non-performance. In the event that the County terminates this Agreement, Contractor's recovery against the County shall be limited to that portion of the Agreement Amount earned through the date of termination. The Contractor shall not be entitled to any other or further recovery against the County, including, but not limited to, any damages or any anticipated profit on portions of the services not performed. 11. NO DISCRIMINATION. The Contractor agrees that there shall be no discrimination as to race, sex, color, creed or national origin. 12. INSURANCE. The Contractor shall provide insurance as follows: A. II Commercial General Liability: Coverage shall have minimum limits of $ 1,000,000 Per Occurrence, $2,000,000 aggregate for Bodily Injury Liability and Property Damage Liability. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. B. (U] Business Auto Liability: Coverage shall have minimum limits of $ 1,000,000 Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property Damage Liability. This shall include: Owned Vehicles, Hired and Non- Owned Vehicles and Employee Non-Ownership. C. ❑� Workers' Compensation: Insurance covering all employees meeting Statutory Limits in compliance with the applicable state and federal laws. Page 5 of 15 Fixed Price Professional Service Agreement#2017-001(Ver.2) S The coverage must include Employers' Liability with a minimum limit of $ 1,000,000 for each accident. D. n Professional Liability: Shall be maintained by the Contractor to ensure its legal liability for claims arising out of the performance of professional services under this Agreement. Contractor waives its right of recovery against County as to any claims under this insurance. Such insurance shall have limits of not less than $ 1,000,000 each claim and aggregate. E. ❑fiber Liability'Coverage shall have minimum limits of$ per occurrence. 7 _ . . • • . _ ._ _ _ e $ per occurrence. +, ri , - - .. _ w. - e.- ... .. •_ . _ ••.•. •• _ u. .• _ e. occurrence. - - _ - - _ e: _ be maintained where applicable to the completion of the work $ per occurrence. " ••. • • • • • e _ e • • •••••••_ .• •••• _ • $ per occurrence. L. 111 Crime/Employee Dishonesty (other): Coverage shall have minimum limits of $50,000 per occurrence. Special Requirements: Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR, Collier County Government shall be listed as the Certificate Holder and included as an "Additional Insured" on the Insurance Certificate for Commercial General Liability where required. This insurance shall be primary and non-contributory with respect to any other insurance maintained by, or available for the benefit of, the Additional Insured and the Contractor's policy shall be endorsed accordingly. Current, valid insurance policies meeting the requirement herein identified shall be maintained by Contractor during the duration of this Agreement. The Contractor shall provide County with certificates of insurance meeting the required insurance provisions. Renewal certificates shall be sent to the County thirty (30) days prior to any expiration date. Coverage afforded under the policies will not be canceled or allowed to expire until the greater of: thirty (30) days prior written notice, or in accordance with policy provisions. Contractor shall also notify County, in a like manner, within twenty-four (24) hours after receipt, of any notices of expiration, cancellation, non-renewal or material change in coverage or limits received by Contractor from its insurer, and nothing contained herein shall relieve Contractor of this requirement to provide notice. Page 6 of 15 Fixed Price Professional Service Agreement#2017-001(Ver.2) 0 Contractor shall ensure that all subcontractors comply with the same insurance requirements that the Contractor is required to meet. 13. INDEMNIFICATION. To the maximum extent permitted by Florida law, the Contractor shall defend, 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, whether resulting from any claimed breach of this Agreement by Contractor, any statutory or regulatory violations, or from personal injury, property damage, direct or consequential damages, or economic loss, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the Contractor or anyone employed or utilized by the Contractor 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. This section does not pertain to any incident arising from the sole negligence of Collier County. 13.1 The duty to defend under this Article 13 is independent and separate from the duty to indemnify, and the duty to defend exists regardless of any ultimate liability of the Contractor, County and any indemnified party. The duty to defend arises immediately upon presentation of a claim by any party and written notice of such claim being provided to Contractor. Contractor's obligation to indemnify and defend under this Article 13 will survive the expiration or earlier termination of this Agreement until it is determined by final judgment that an action against the County or an indemnified party for the matter indemnified hereunder is fully and finally barred by the applicable statute of limitations. 14. AGREEMENT ADMINISTRATION. This Agreement shall be administered on behalf of the County by the Community and Human Services Division 15. CONFLICT OF INTEREST. Contractor represents 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 hereunder. Contractor further represents that no persons having any such interest shall be employed to perform those services. 16. COMPONENT PARTS OF THIS AGREEMENT. This Agreement consists of the following component parts, all of which are as fully a part of the Agreement as if herein set out verbatim: Contractor's Proposal, Insurance Certificate(s), ❑� Exhibit A Scope of Services, Exhibit B Fee Schedule, n RFP/n ITB/(l Other #18-7470 , including Exhibits, Attachments and Addenda/Addendum, n subsequent quotes; and ❑ Other Exhibit/Attachment: Grant Documents Page 7 of 15 Fixed Price Professional Service Agreement#2017-001(Ver.2) 17. APPLICABILITY. Sections corresponding to any checked box (111) will expressly apply to the terms of this Agreement. 18. 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. 19. 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, as amended, 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 Agreement held by the individual and/or firm for cause. 20. COMPLIANCE WITH LAWS. By executing and entering into this Agreement, the Contractor is formally acknowledging without exception or stipulation that it agrees to comply, at its own expense, with all federal, state and local laws, codes, statutes, ordinances, rules, regulations and requirements applicable to this Agreement, including but not limited to those dealing with the Immigration Reform and Control Act of 1986 as located at 8 U.S.C. 1324, et seq. and regulations relating thereto, as either may be amended; taxation, workers' compensation, equal employment and safety including, but not limited to, the Trench Safety Act, Chapter 553, Florida Statutes, and the Florida Public Records Law Chapter 119, including specifically those contractual requirements at F.S. § 119.0701(2)(a)-(b) as stated as follows: IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT: Communication and Customer Relations Division 3299 Tamiami Trail East, Suite 102 Naples, FL 34112-5746 Telephone: (239) 252-8383 The Contractor must specifically comply with the Florida Public Records Law to: 1. Keep and maintain public records required by the public agency to perform the service. Page 8 of 15 Fixed Price Professional Service Agreement 1/2017-001(Ver.2) 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, Fla. Stat. 25. VENUE. Any suit or action brought by either party to this Agreement against the other party relating to or arising out of this Agreement must be brought in the appropriate federal or state courts in Collier County, Florida, which courts have sole and exclusive jurisdiction on all such matters. 26. I I ... • -- . ,_, .- _e. _ ___.e_' e.:...._e._..:. _ • ...._ ._e:..:• e ,._. _ ..._..t, e this project shall-ba-knowledgeable in their-areas-o e: -:. =- !:.! .. ._ - .e•s as may be dee.._! .:____-_._ !__•__ : ...e- •_ !: _e._ . ' e: _e ._ •: •:•e .... _- e__ .:_£ . ::.._• ._ _ e.__ _ _ ,. • _..e.. _ _ •._ • ate!..- .- - ... e -ease : - *- -• •_:_ e•. _ '...- e__"_, and each pers.• _.__ !•-. _. e �• _ .!_a , .._ ! ..:_ a- :1_.. :e _-•. .__ e_ •.: _!.•_ .____e.. _.._. •e.. _._.!: : _eoot _ --- following conditions are met: (1) Proposed replacements have substantially the same ' .___.!_! : e . _ •o ':o •in advance as possible. ._ _ . _ _ e _.- so_ . : _.....: _..- ! : :... _ •!.. _e : _.!_a ••■ __ _• !. •: _•_a!: .: _ !_• : -••_ ••._ _.!.!.!. _ e !. !!!_te -! _-_• _•. !: _a••: • AGREEMENT STAFFING. The Contractor's personnel and management to be utilized for this Agreement shall be knowledgeable in their areas of expertise. The County reserves the right to perform investigations as may be deemed necessary to ensure that competent persons will be utilized in the performance of the Agreement. The Contractor shall assign as many people as necessary to complete required services on a timely basis, and each person assigned shall be available for an amount of time adequate to meet required services. 27. ORo.RDE-Q^-F---P-RECEDENCE. In th_ _ _e* •- ::11 or among the term_ e !__ .._. _ •- aa- e _ •!. •e Contractor's �. .•.a. _oe e. ._.. _!_. '_ .._ !. _...e e = __...._. •: _ ea_ _ _. 1111 ORDER OF PRECEDENCE (Grant Funded). In the event of any conflict between or among the terms of any of the Contract Documents and/or the County's Board approved Executive Summary, the terms of the Agreement shall take precedence over the terms of all other Contract Documents, except the terms of any Supplemental Conditions shall take precedence over the Agreement. To the extent any conflict in the terms of the Contract Documents cannot be resolved by application of the Supplemental Conditions, if any, or the Agreement, the conflict shall be resolved by Page 10 of 15 Fixed Price Professional Service Agreement#2017-001(Ver.2) 0 IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person or agent, have executed this Agreement on the date and year first written above. ATTEST: BOARD OF N Y COMM O ERS -' COLLIER •U '. , FLO- 4 ' Crystal K. Kinzel, Clerk& Comptroller e j By: IV - :t a„/ilrior. - - BY: A �� - dy Solis, Esq. , Chairman Dated' 1 ' 11 ►1'. I, (SEAL) Attest as to rrman's Summit Home Respiratory Services, Inc. `a l Hesses: ure s Contractor's ' d.b.a Summit Home Health Care Products � IPContractor 1 4 , By: 4 Vie/ Contractor's First Witness Signature d Lklin cAA A . L ckh el e��e5& Grube 'Type/printcgignature and title! 'Type int witness n. • e' Contractor's Second Witness (A.v)()oQCc, C -e !Type/print witness name! Ap• ed as t/ or and Legality: ►_ County Attorney t Print Name Page 12 of 15 G{�J Fixed Price Professional Service Agreement#2017-001(Ver.2) N Exhibit A Scope of Services 10 following this page (pages 1 through 3 ) n this exhibit is not applicable Page 13 of 15 Fixed Price Professional Service Agreement#2017-001(Ver.2) 18-7470 Services for Seniors SCOPE OF SERVICES The Contractors ("Service providers" or"Vendors") providing the services detailed in this scope must adhere to all requirements in the Request for Proposal (RFP), in addition to maintaining adherence with the guidelines set forth by the current DOEA Handbook. Lack of knowledge of all requirements of a service listed in the proposal SHALL NOT relieve the provider of liability and obligations under the agreement. Collier County Community & Human Services (CHS) shall lead all service authorization and coordination. In an effort to comply with the requirements of the OAA, ADI, CCE and HCE Programs, clients entering the service system will be assessed and prioritized by CHS. Upon determination of the service level to be provided, the CHS will offer the client a listing of service vendors for the specific service(s) outlined within their care plan. The client will be encouraged to pick a service provider of their choice and have the option of interviewing potential service providers. Should the dient not have a preference, CHS will select a service provider from the centralized provider list, using a rotation basis (rotating to the next vendor on the list). In this manner, all service providers will be equally treated unless the client has a preference. CHS shall not endorse one service provider over another. Upon the determination of the service, the service levels, and the selected vendor, CHS will contact the vendor agency, and authorize the service, number of hours, and frequency. In keeping with the state policy of client choice of service providers, Collier County does not guarantee a minimum or maximum number of clients that will be referred, nor a minimum or maximum number of service hours that will be requested during the contract period. Should a client later indicate dissatisfaction with the chosen service provider, they will again be offered their choice of provider. CHS shall send the agreed-upon Service Authorization to the chosen provider. These "service authorizations" or"service orders" must contain necessary client information, such as street address, telephone number, and services or items needed, as well as the name and telephone number of the CHS case manager authorizing the service. In order to meet client needs, some services may be required outside of normal office hours(8:00 AM to 5:00 PM, Monday- Friday). CHS reserves the right to request adding additional service providers throughout the resultant agreement period. The County may do so through a competitive and publidy announced selection process, which shall be coordinated through the County's Procurement Department. Services shall be provided in the manner described in the most current DOEA manual and outlined herein. Should funding for additional Senior Services be identified the County reserves the right to add to the resultant agreements the services, descriptions, rates, etc. by way of a contract addendum. Services covered by this agreement include, but are not limited to: 1. Adult Day Care: A program of therapeutic social and health activities and services provided to adults who have functional impairments, in a protective environment that provides as non-institutional an environment as possible. 2. Chore: Performance of routine house or yard tasks including such jobs as seasonal cleaning, yard work, lifting and moving furniture, appliances, or heavy objects, household repairs which do not require a permit or specialist, and household maintenance. 3. Enhanced Chore: This service is beyond the scope of chore due to the level of service needed.The service includes a more intensified, thorough cleaning to address more demanding circumstances. 4. Homemaking: Specific home management duties including housekeeping, laundry, cleaning refrigerators, clothing repair, minor home repairs, assistance with budgeting and paying bills, client Page 1 of 3 r) transportation, meal planning and preparation, shopping assistance, and routine house-hold activities by a trained homemaker. 5. Personal Care: Assistance with eating, dressing, personal hygiene and other activities of daily living. This service may include assistance with meal preparation, housekeeping chores such as bed making, dusting, and vacuuming incidental to the care furnished or essential to the health and welfare of the individual. Personal care can include accompanying the client to clinics, physician office visits, or trips for the purpose of health care provided that the client does not require special medical transportation. Personal care can also include shopping assistance to purchase food, clothing, and other items needed for the client's personal care needs. 6. In Home Respite: Relief or rest for a primary caregiver from the constant/continued supervision, companionship, therapeutic and/or personal care, of a functionally impaired older person for a specified period of time. 7. Skilled Nursing: Part-time or intermittent nursing care administered to an individual by a licensed practical nurse, registered nurse, or advanced registered nurse practitioner, in the client's place of residence, pursuant to a care plan approved by a licensed physician. 8. Emergency Alert Response Services: Emergency alert/response service is defined as a community based electronic surveillance service which monitors the frail homebound elder by means of an electronic communication link with a response center. 9. Specialized Medical Equipment, Services, and Supplies: Adaptive devices, controls, appliances, or services, which enable individual;to increase their ability to perform activities of daily living and repair of such services which may include: dentures, walkers, reaching devices, bedside commodes, telephone amplifiers, touch lamps, adaptive eating equipment, glasses, hearing aids, and other mechanical or non- mechanical, electronic, and non-electronic adaptive devices. Supplies may include such things as adult briefs, bed pads, oxygen or nutritional supplements. 10. Facility Respite: 24-hour care in a State of Florida Licensed Nursing home. 11. Establish protocols for contacting CHS Case Managers in emergency or unusual circumstances and include the documentation requirements (oral and written) in the Service Provider Application. 12. Provide disaster response protocols, plans and services: In the event of a natural disaster (hurricane, tropical storm, tornado, flood, heat wave, etc.), the provider will have staff available to serve those clients in critical need of services, as designated by the CHS Case Managers. 13. Establish a client grievance process: Each service provider agency must have a policy addressing client grievances and/or complaints. 14. Establish and provide staff training: All services provided with funding from DOEA require service delivery personnel to have general pre-service orientation and training specific to the service being provided. Lead Agencies are responsible for provision of the pre-service training (on program and billing requirements, in particular) for all paid staff, volunteer staff and assigned staff of service providers. Pre-service orientation also must include: • An overview of the aging process •An overview of the aging network • Communication techniques with the elderly • Observation of abuse, neglect, exploitation and incident reporting • Local agency service procedures and protocol • Client confidentiality. NOTE: All "hands-on" service personnel must receive training emphasizing the necessity of Universal Precautions. Home Health Aides must have documentation of successful completion of 40 hours required e training, and CNAs must have on file a copy of their State of Florida certification. In-service training hours Page 2 of 3 and topics are to be provided at the discretion of the service provider agency and shall meet state requirements. 15. Compile and report program service delivery statistics and other data as identified by CHS. This may be required to be provided in an electronic format at the choosing of CHS. These are reported to the Area Agency on Aging and Department of Elder Affairs in accordance with the reporting requirements developed by the Department. Lead agencies are responsible for entry of data in the Client Information and Registration Tracking System (CIRTS), which generates payment to the service provider agency. Therefore, service provider agencies are required to provide Lead Agencies with correct and timely service data to comply with these requirements. Timely submission is no later than noon on Wednesday of the week following the week services are performed (service week defined as Monday through Sunday). 16. Maintain complete and accurate records: Service delivery logs, at a minimum, must be legible and contain the name of client, type/s of services and date/s and hour/s of delivery. The client/caregiver must sign the log at the time of each service visit. The service worker must sign and date the log upon completion, and submit it to the service provider agency. Provide complete, clear and accurate invoices: Weekly invoices, which may be required to be provided electronically in a system provided by CHS, must be submitted by noon on the Wednesday following the week that the service was provided and shall include service provided. The service week is defined as Monday through Sunday. Monthly reporting requirements for CIRTS dictate that all client and service data for the previous month to be entered into CIRTS by the 10th day of the month. Collier County "Services for Seniors" will coordinate with vendors to determine due dates for invoices. This will insure compliance with DOEA reporting requirements. Failure to record or report units of service will result in nonpayment(or delayed payment)for such services. Data required on weekly invoices and weekly timesheets include: • Vendor name • Vendor address • Vendor telephone number • Client name • Service Provider employee who delivered the service(s) • Services ordered and services delivered date • Number of service hours, cost per hour and total cost • Person preparing the report and the date it was prepared •Weekly timesheets signed and dated by the client and Service Provider employee •Additional information as determined by CHS 17. Prepare for annual on-site compliance audits by CHS or members of the Collier County staff as directed by the CHS or grant requirements 19 Page 3 of 3 Exhibit B Fee Schedule following this page (pages 1 through 1 ) Page 14 of 15 Fixed Price Professional Service Agreement#2017-001 (Ver.2) EXHIBIT B- FEE SCHEDULE Reimburseme Cost Per Service In-kind 10% nt Rate Per Unit(Cost your Match(Grant Unit(Amount Item Services Grant company charges Amount your the County Service Unit for the service) company will be will reimburse paying) your company for a given service) 1. Skilled CCE Per Hour $40.00 $4.00 $36.00 Nursing 2. Enhance Chore ADI,CCE, Per Hour $40.00 $4.00 $36.00 OAA 3. Respite(In-Home) ADI,CCE, Per Hour $24.11 $2.41 $21.70 OAA 4. Respite(Facility Based) ADI,CCE, Daily Rate $200.00 0 $200.00 OAA 5. Personal Care ADI,CCE, Per Hour $24.11 $2.41 $21.70 OAA 6. Chore ADI,CCE, Per Hour $24.00 $2.40 $21.60 OAA 7. Homemaking ADI,CCE, Per Hour $23.33 $2.33 $21.00 OAA 8. Adult Day Care ADI,CCE, Per Hour $13.89 $1.39 $12.50 OAA 9. Emergency Alert ADI,CCE, Per Day $1.09 $0.11 $0.98 Response OAA le PRODUCT ID PRODUCT DESCRIPTION RETAIL 10%Price Reimbursement PRODUCT CATEGORY PRIM _ Match Rat. CRR107080 MetriMist Air Freshner Fresh Scent Boa/Pump Spray Bottle $20.00 $2.00 $18.00 Cleaning Products>Air Freshner,Cleaning Products KDL61038 Antimicrobial Cleanser $8.33 $0.83 $7.50 Cleaning Products>Antimicrobial,Cleaning Products 10M049/7 Control III Surface Disninfectant Cleaner Concentrate 16oz/Bottle $21.44 $2.14 $19.30 Cleaning Products,Cleaning Products>Disinfectant 4075 Thick-It Food and Beverage Thickiner 100:/Cannister 12 Cannlster/Case $85.56 $8.56 $77.00 Food Thickiner,Food Thickiner>Powder 4081-1 Thick-It Food and Beverage Thickiner 3602/Cannister $33.33 $3.33 $30.00 Food Thickiner,Food Thickiner>Powder 4085 Thick-It Food and Beverage Thickiner 6.4 Gram Packet/200 Packets/Case $85.56 $8.56 $77.00 Food Thickiner,Food Thickiner>Powder VINSM Vinyl Exam Gloves Powder Free Small McKesson $7.78 $0.78 $7.00 Gloves,Gloves Vinyl VIN MD Vinyl Exam Gloves Powder Free Medium McKesson $7.78 $0.78 $7.00 Gloves,Gloves Vinyl VINLG Vinyl Exam Gloves Powder Free Large McKesson $7.78 $0.78 $7.00 Gloves,Gloves>Vinyl VINXL Vinyl Exam Gloves Powder Free%large McKesson $7.78 $0.78 $7.00 Gloves,Gloves>Vinyl MDS80316 2-in-1 Locking Raised Toilet Seat wIth Tool-Free Removable Arms $73.89 $7.39 $66.50 Home Medical Equipment>Bath Saftey,Home Medical Equipment M0589740RW Aluminum Shower Bench without Back $48.89 $4.89 $44.00 Home Medical Equipment>Bath Saftey,Home Medical Equipment MDS89745R Deluxe Aluminum Shower Chair with Back $66.39 $6.64 $59.75 Home Medical Equipment>Bath Saftey,Home Medical Equipment MD586952 Transfer Tub Bench $97.78 $9.78 $88.00 Home Medical Equipment>Bath Saftey,Home Medical Equipment MDS86945 Padded Transfer Tub Bench $142.22 $14.22 $128.00 Home Medical Equipment>Bath Saftey,Home Medical Equipment BP-W American Diagnostics Wrist Digital Auto Blood Pressure unit $127.78 $12.78 $115.00 Home Medical Equipment>Blood Pressure Monitor,Home Medical Equipment S.-HEM-601 Drive Automatic Blood Pressure Monitor Wrist Model $127.78 $12.78 $115.00 Home Medical Equipment>Blood Pressure,Home Medical Equipment B-HEM-712-C Drive Deluxe automatic Upper Arm Blood Pressure Monitor $79.50 $7.95 $71.55 Home Medical Equipment>Blood Pressure,Home Medical Equipment MOS89664XW Bariatric Folding Commode 650lb Weight Capacity $168.89 $16.89 $152.00 Home Medical Equipment>Commode,Home Medical Equipment MDS86964 Bedside Commode Steel Folding $105.56 $10.56 $95.00 Home Medical Equipment>Commode,Home Medical Equipment MDS86024H Sunmark Wall Grab Bar White Steel 24"Long $27.78 $2.78 $25.00 Home Medical Equipment>Grabber,Home Medical Equipment GB24CH McKesson Chrome Wall Grabbar 24" $27.78 $2.78 $25.00 Home Medical Equipment>Grabber,Home Medical Equipment MDS86018H McKesson White Wall Grabber 18" $26.67 $2.67 $24.00 Home Medical Equipment>Grabber,Home Medical Equipment DR13606 Pressure Sensitive Bed Patient Alarm 11"Wx30"1 $165.56 $16.56 $149.00 Home Medical Equipment,Home Medical Equipment>Patient Saftey 5P4109 Reaching Aid 26.5" $17.72 $1.77 $15.95 Home Medical Equipment,Home Medical Equipment>Reaching Aids G98035 Deluxe Hand Held Shower Spray with Diverter Valve $33.33 $3.33 $30.00 Home Medical Equipment,Home Medical Equipment>Shower Head 13008 Drive Deluxe Tilt-Top Overbed Table $138.89 $13.89 $125.00 Home Medical Equipment,Home Medical Equipment>Table FP706-00 Carex Female Urinal 32oz Capactiy $12.32 $1.23 $11.09 Home Medical Equipment,Home Medical Equipment>Urinal 58-104 McKesson Alchol Prep Pad Individual Packet Sterile 3,5"L x 1.7"H $4.44 $0.44 $4.00 Hygiene>Alcohol Wipe,Hygiene PV-324 Prevail Belted Undergarment Heavy Absorbency 120/CS $64.44 $6.44 $58.00 Incontinence>Belted Pads,Incontinence KDL1100B Sure Care Bladder Control Pad Moderate Absorbency 9.75"L 132/CS $44.00 $4.40 $39.60 Incontinence>Bladder Control Pads,Incontinence KDL1110B Sure Care Bladder Control Pad Moderate Absorbency 10.75"1.120/CS $45.33 $4.53 $40.80 Incontinence>Bladder Control Pads,Incontinence KDL1140A Sure Care Bladder Control Pad Night Time Absorbency 12.5"L 96/CS $46.93 $4.69 $42.24 Incontinence>Bladder Control Pads,Incontinence 11011130A Sure Care Bladder Control Pad Extra Heavy Absorbency 14.5L 168/CS $82.13 $8.21 $73.92 Incontinence>Bladder Control Pads,Incontinence PV-926 Prevail Bladder Control Pad Very Light Absorbency 7.5"L 312/CS $53.33 $5.33 $48.00 Incontinence>Bladder Control Pads,Incontinence BC-012 Prevail Bladder Control Pads Moderate Absorbency 9.5"L 180/CS $48.00 $4.80 $43.20 Incontinence>Bladder Control Pads,Incontinence PV-916 Prevail Bladder Control Pads Heavy Absorbency 1r1 192/CS $65.20 $6.52 $58.68 Incontinence>Bladder Control Pads,Incontinence PV-915 Prevail Bladder Control Pads Heavy Absorbency 13"L 156/CS $62.40 $6.24 $56.16 Incontinence>Bladder Control Pads,Incontinence PV-923 Prevail Bladder Control Pads Heavy Absorbency 16"L 120/CS $64.53 $6.45 $58.08 Incontinence>Bladder Control Pads,Incontinence P019564 Poise Pads Moderate Absorbency 10.9"L 120/CS $66.67 $6.67 $60.00 Inconbnence>Bladder Control Pads,Incontinence P019598 Poise Pads Moderate Absorbency 10.9"L 264/CS $85.67 $8.57 $77.10 Incontinence>Bladder Control Pads,Incontinence P019063 Poise Pads Heavy Absorbency 12.4"L 192/CS $85.44 $8.54 $76.90 Incontinence>Bladder Control Pads,Incontinence P019283 Poise Pads Heavy Absorbency 14"L 156/C5 $84.17 $8.42 $75.75 Incontinence>Bladder Control Pads,Incontinence P019295 Poise Pads Ultimate Absorbency 15.5"1 132/CS $102.22 $10.22 $92.00 Incontinence>Bladder Control Pads,Incontinence 47300 Serenity Bladder Control Pads Heavy Absorbency 15"1 72/Case $68.33 $6.83 $61.50 Incontinence>Bladder Control Pads,Incontinence BC-013 Prevail Bladder Control Pad Light Absorbency 11"L 144/CS $45.56 $4.56 $41.00 Incontinence>Bladder Control Pads,Incontinence BST0192 Attends Booster Pads Light Absorbency 11.5"1 192/CS $66.67 $6.67 $60.00 Incontinence>Booster Pad,Incontinence CRB-014 Procare Brief Heavy Absorbency Extra Large 56"-64"W 60/Case $77.78 $7.78 $70.00 Incontinence>Briefs,Incontinence PF012 Per-Fit Briefs Heavy Absorbency Medium 32"-44"W 96/Case $53.33 $5.33 $48.00 Incontinence>Briefs,Incontinence NU0131 Prevail NU-Fit Brief Heavy Absorbency large 45"-58"W 72/Case $55.56 $5.56 $50.00 Incontinence>Briefs,Incontinence KDL63072 Wings Ultra Hook&Loop Quilted Briefs Small 20"-31"W 96/Case $68.89 $6.89 $62.00 Incontinence>Briefs,Incontinence PF013 Per-Fit Briefs Heavy Absorbency Large 45"-58"W 72/Case $53.64 $5.36 $48.28 Incontinence>Briefs,Incontinence CRB-013 Procare Brief Heavy Absorbency Large 45"-58"W 72/Case $66.67 $6.67 $60.00 lncontinence>Briefs,Incontinence CRB-012 Procare Brief Heavy Absorbency Medium 32"-44"W 96/Case $55.56 $5.56 $50.00 Incontinence>Briefs,Incontinence NU0121 Prevail Nu-Fit Brief Heavy Absorbency 32"-44"W 96/Case $55.56 $5.56 $50.00 Incontinence>Briefs,Incontinence KDL67035 Wings Overnight Briefs Heavy Absorbency Extra Large 59"-64"60/Case Waist $88.89 $8.89 $80.00 Incontinence>Briefs,Incontinence DE19317 Depend Protection with Tabs Brief Heavy Absorbency Large 35"-49"Waist 48/Case $88.89 $8.89 $80.00 Incontinence>Briefs,Incontinence PV011 Prevail Brief Heavy Absorbency Small 2T-31"Waist 96/Case $50.13 $5.01 $45.12 Incontinence>Briefs,Incontinence TEN72425 Tena Extra Protective Underwear Heavy Absorbency Extra Large 55"-66"Waist 48/Ca $91.11 $9.11 $82.00 Incontinence>Briefs,Incontinence BRPLMD McKesson Lite Brief Light Absorbency Medium 32"-44"Waist 96/Case $51.11 $5.11 $46.00 Incontinence>Briefs,Incontinence BRPLLG McKesson Lite Brief Light Absorbency Large 45"-58"Waist 72/Case $51.11 $5.11 $46.00 Incontinence>Briefs,Incontinence BRPLXL McKesson Lite Brief Light Absorbency Extra Large 59"-64"Waist 60/Case $51.11 $5.11 $46.00 Incontinence>Briefs,Incontinence BRCLMD McKesson Regular Brief Moderate Absorbency Medium 32"-44"Waist 96/Case $56.67 $5.67 $51.00 Incontinence>Briefs,Incontinence BRCLLG McKesson Regular Brief Moderate Absorbency Large 44"-58"Waist 72/Case $56.67 $5.67 $51.00 Incontinence>Briefs,Incontinence BRCLXL McKesson Regular Brief Moderate Absorbency Extra Large 58"-63"Waist 60/Case $56.67 $5.67 $51.00 Incontinence>Briefs,Incontinence BRULSM McKesson Ultra Brief Heavy Absorbency Small 22"-36"Waist 96/Case $61.11 $6.11 $55.00 Incontlnence>Briefs,Incontinence BRULMD McKesson Ultra Brief Heavy Absorbency Medium 32"-44"Waist 96/Case $61.11 $6.11 $55.00 Incontinence>Briefs,Incontinence BRULLG McKesson Ultra Brief Heavy Absorbency large 45"-58"Waist 72/Case $61.11, $6.11 $55.00 Incontinence>Briefs,Incontinence BRULXL McKesson Ultra Brief Heavy Absorbency Extra Large 59"-64"Waist 60/Case $61.11 $6.11 $55.00 Incontinence>Briefs,Incontinence BRULXXL McKesson Ultra Brief Heavy Absorbency XXL 63"-69"Waist 48/Case $61.11 $6.11 $55.00 Incontinence>Briefs,Incontinence PV-094 . Prevail Brief Heavy Absorbency>1008V 40/CS $77.78 $7.78 $70.00 Incontinence>Briefs,Incontinence KDL67093 Wings Super Quilted Brief Heavy Absorbency 2XL 6S"-78"W $70.40 $7.04 $63.36 Incontinence>Briefs,Incontinence KDL67095 Wings Super Quilted Brief Heavy Absorbency Bariatric 74"-100"W $77.78 $7.78 $70.00 Incontinence>Briefs,Incontinence K0160032OP Wings Adult Brief Heavy Absorbency Small 20"-31"W 96/CS $58.67 $5.87 $52.80 Incontinence>Briefs,Incontinence KDL600330P Wings Adult Brief Heavy Absorbency Medium 32"-44"W 96/CS $59.73 $5.97 $53.76 Incontinence>Briefs,Incontinence KDL60034DP Wings Adult Brief Heavy Absorbency Large 45"-58"W 72/0 $58.40 $5.84 $52.56 Incontinence>Briefs,Incontinence KDL60035DP Wings Adult Brief Heavy Absorbency Extra large 59"-64"W 60/CS $56.67 $5.67 $51.00 Incontinence>Briefs,Incontinence KDL66032 Wings Plus Quilted Adult Brief Super Absorbency Small 20"-31"W 96/CS $67.20 $6.72 $60.48 Incontinence>Briefs,Incontinence KDL66033 Wings Plus Quilted Adult Brief Super Absorbency Medium 32"-44"W 96/CS $73.60 $7.36 $66.24 Incontinence>Briefs,Incontinence KDL66034 Wings Plus Quilted Adult Brief Super Absorbency Large 45"-58"W 72/CS $64.00 $6.40 $57.60 Incontinence>Briefs,Incontinence KDL66035 Wings Plus Quilted Adult Brief Super Absorbency Extra Large S9"-64"W 60/CS $60.00 $6.00 $54.00 Incontinence>Briefs,Incontinence KDL60043 Simplicity Extra Adult Brief Moderate Absorbency Medium 32"-44"W 96/CS $53.33 $5.33 $48.00 Incontinence>Briefs,Incontinence KDL60044 Simplicity Extra Adult Brief Moderate Absorbency Large 45"-58"W 72/CS $51.20 $5.12 $46.08 Incontinence>Briefs,Incontinence KDL60045 Simplicity Extra Adult Brief Moderate Absorbency Extra Large 59"-64"W 60/CS $50.00 $5.00 $45.00 Incontinence>Briefs,Incontinence KDL65033 Simplicity Adult Brief Heavy Absorbency Medium 32"-44"W 100/CS $55.56 55.56 $50.00 Incontinence>Briefs,Incontinence KDL6503-IR Simplicity Adult Brief Heavy Absorbency Large 45"-S8"W 100/CS $66.67 $6.67 $60.00 Incontinence>Briefs,Incontinence 0 K01.65035R Simplicity Adult Brief Heavy Absorbency Extra Large 59"-64"W 100/CS $77.78 $7.78 $70.00 Incontinence>Briefs,Incontinence PR-012 Prevail NU-Fit Brief Maximum Absorbency Medium 32"-44"W 96/CS $55.56 $5.56 $50.00 Incontinence>Briefs,Incontinence PR-013 Prevail NU-Fit Brief Maximum Absorbency Large 45"-58"W 72/CS $55.56 $5.56 $50.00 Incontinence>Briefs,Incontinence PR-014 . Prevail NU-Fit Brief Maximum Absorbency Extra Large 59"-60"W 60/CS $55.56 $5.56 $50.00 Incontinence>Briefs,Incontinence IB-017 Prevail Bariatric Ultimate Absorbency Brief geriatric 62"-73"W $66.67 $6.67 $60.00 Incontinence>Briefs,Incontinence TQ2187 Tranquility ATN Overnight Brief Heavy Absorbency Medium 56"-64"72/Case $105.56 $10.56 $95.00 Incontinence>Briefs,Incontinence KDL63074 Wings Hook&Loop Quitted Adult Briefs Heavy Absorbency Large 45"-58"Waist 72/C $68.89 $6.89 $62.00 Incontinence>Briefs,Incontinence NU0141 Prevail NU-Fit Brief Heavy Absorbency Large 59"-64"W 72/Case $68.89 $6.89 $62.00 Incontinence>Briefs,Incontinence BRCH20 Attends Care Briefs Heavy Absorbency Medium 32"-44"W 96/Case $50.00 $5.00 $45.00 Incontinence>Briefs,Incontinence BRCH30 Attends Care Briefs Heavy Absorbency Large 44"-58"W 72/Case $50.00 $5.00 $45.00 Incontinence>Briefs,Incontinence BRCH40 Attends Care Briefs Heavy Absorbency XL 58"-63"W 60/Case - $50.00 $5.00 $45.00 Incontinence>Briefs,Incontinence BRBX15 Attends Briefs Heavy Absorbency Small 24"-35"W 96/Case $57.78 $5.78 $52.00 Incontinence>Briefs,Incontinence BRB20 Attends Classic Briefs Heavy Absorbency Medium 32"-44"W 96/Case $55.56 $5.56 $50.00 Incontinence>Briefs,Incontinence BRB30 Attends Classic Briefs Heavy Absorbency Large 44"-58"W 72/Case $55.56 $5.56 $50.00 Incontinence>Briefs,Incontinence BR840 Attends Classic griefs Heavy Absorbency XL 58"-63"W 60/Case $55.56 $5.56 $50.00 Incontinence>Briefs,Incontinence DDP20 Attends Dermadry Plus Briefs Moderate Absorbency Medium 32"-44"W 96/Case $53.33 $5.33 $48.00 Incontinence>Briefs,Incontinence DDP30 Attends Dermadry Plus Briefs Moderate Absorbency Large 44"-58"W 72/Case $53.33 $5.33 $48.00 Incontinence>Briefs,Incontinence DDP40 Attends Dermadry Plus Briefs Moderate Absorbency XL 58"-63'W 60/Case $53.33 $5.33 $48.00 Incontinence>Briefs,Incontinence D050 Attends Bariatric Briefs Heald Absorbency XXL 63"-70"W 48/Case $70.00 $7.00 $63.00 Incontinence>Briefs,Incontinence 0060 Attends Bariatric Briefs Heavy Absorbency 3XL 70"-100"W 32/Case $100.00 $10.00 $90.00 Incontinence>Briefs,Incontinence DE10699 Depend Guards for Men Heavy Absorbency 128104/CS $60.00 $6.00 $54.00 Incontinence>Guards,Incontinence PV811 Prevail Guards for Men Moderate Absorbency 13"L 126/CS $52.22 $5.22 $47.00 Incontinence>Guards,Incontinence CRU514 ProCare Pull On Moderate Absorbency Extra Large 58"-68"W 56/Case $43.56 $4.36 $39.20 Incontinence,Incontinence>Pullups CRU512 ProCare Pull On Moderate Absorbency Medium 34"-46"Waist 80/Case $43.56 $4.36 $39.20 Incontinence,Incontinence>Pullups CRU513 ProCare Pull On Moderate Absorbency Large 44"-58"Waist 72/Case $44.00 $4.40 $39.60 Incontinence,Incontinence>Pullups TRQ2115 Tranquility Premium Overnight Pullon Heavy Absorbency Medium 34"-48"Waist 72/I $97.78 $9.78 $88.00 Incontinence,Incontinence>Pullups AP0720 Attends Underwear Moderate Absorbency Medium 34"-44"W 80/CS $49.44 $4.94 $44.50 Incontinence,Incontinence>Pullups AP0730 Attends Underwear Pullup Moderate Absorbency Large 44"-58"W 72/Case $49.44 $4.94 $44.50 Incontinence,Incontinence>Pullups AP0740 Attends Underwear Moderate Absorbency Extra Large 58"-68"W 56/CS $49.44 $4.94 $44.50 Incontinence,Incontinence>Pullups APP0710 Attends Underwear Heavy Absorbency Small 22"-34"W 80/CS $68.89 $6.89 $62.00 Incontinence,Incontinence>Pullups APP0720 Attends Advanced Underwear Heavy Absorbency Medium 34°-44"W 80/CS $68.89 $6.89 $62.00 Incontinence,Incontinence>Pullups APP0730 Attends Advanced Underwear Heavy Absorbency Large 44"-58"W 72/CS $68.89 $6.89 $62.00 Incontinence,Incontinence>Pullups APP0740 Attends Advanced Underwear Heavy Absorbency XLarge 58"-68"W 56/CS $68.89 $6.89 $62.00 Incontinence,Incontinence>Pullups TRQ2117 Tranquility Premium Overnight Pullon Heavy Absorbency Extra Large 48"-64"Waist S $97.78 $9.78 $88.00 Incontinence,Incontinence>Pullups TRQ2118 Tranquility Premium OverNight Pullon Heavy Asorbencey XXL 62"-80"Waist 48/Case $97.78 $9.78 $88.00 Incontinence,Incontinence>Pullups UWEMD McKesson Lite Pullon Light Absorbency Medium 34"-44"Waist 80/Case $49.44 $4.94 $44.50,Incontinence,Incontinence>Pullups UWELG McKesson Lite Pullon Light Absorbency Large 44"-58"Waist 72/Case $49.44 $4.94 $44.50 Incontinence,Incontinence>Pullups UWEXL McKesson Lite Pullon Light Absorbency Extra Large 58"-68"Waist 56/Case $49.44 $4.94 $44.50 Incontinence,Incontinence>Pullups UWGMD McKesson Regular Pullon Moderate Absorbency Medium 34"-44"Waist 80/Case $52.22 $5.22 $47.00 Incontinence,Incontinence>Pullups UWGLG McKesson Regular Pullon Moderate Absorbency Large 44"-68"Waist 72/Case $52.22 $5.22 $47.00 Incontinence,Incontinence>Pullups UWGXL McKesson Regular Pullon Moderate Absorbency Extra Large 58"-68"Waist 56/Case $52.22 $5.22 $47.00 Incontinence,Incontinence>Pullups UWBSM McKesson Ultra Pullon Heavy Absorbency Small 25"-32"Waist 88/Case $64.44 $6.44 $58.00 Incontinence,Incontinence>Pullups UWBMD McKesson Ultra Pullon Heavy Absorbency Medium 32"-44"Waist 80/Case $64.44 $6.44 $58.00 Incontinence,Incontinence>Pullups UWBLG McKesson Ultra Pullon Fleecy Absorbency Large 44"-58"Waist 72/Case $64.44 $6.44 $58.00 Incontinence,Incontinence>Pullups UWGXL McKesson Ultra Pullon Heavy Absorbency Extra Large 58"-68"Waist 56/Case $64.44 $6.44 $58.00 Incontinence,Incontinence>Pullups UWBXXL McKesson Ultra Pullen Heavy Absorbency 2XL 68"-80"Waist 48/Case $64.44 $6.44 $58.00 Incontinence,Incontinence>Pullups KDL1840R Simplicity Extra Protective Underwear Moderate Absorbency Medium 34"-46"W 100, $55.56 $5.56 $50.00 Incontinence,Incontinence>Pullups KDL1845R Simplicity Extra Protective Underwear Moderate Absorbency Large 44"-54"W 100/CS $61.11 $6.11 $55.00 Incontinence,Incontinence>Pullups KDL1850R Simplicity Extra Protective Underwear Moderate Absorbency XL 48"-66"W 100/CS $72.22 $7.22 $65.00 Incontinence,Incontinence>Pullups KDL1605 Surecare Plus Protective Underwear Heavy Absorbency Medium 34"-46"W 80/CS $49.44 $4.94 $44.50 Incontinence,Incontinence>Pullups 1011615 Surecare Plus Protective Underwear Heavy Absorbency Large 44"-54"W 72/CS $49.44 $4.94 $44.50 Incontinence,Incontinence>Pullups KDL1625 Surecare Plus Protective Underwear Heavy Absorbency XL 48"-66"W 56/CS $49.44 $4.94 $44.50 Incontinence,Incontinence>Pullups KDL1630 Surecare Plus Protective Underwear Heavy Absorbency 2XL 60"-80"W 48/CS $55.56 $5.56 $50.00 Incontinence,Incontinence>Pullups KDL1605R Surecare Plus Protective Underwear Heavy Absorbency Medium 34"-46"W 100/CS $58.89 $5.89 $53.00 Incontinence,Incontinence>Pullups KDL1615R Surecare Plus Protective Underwear Heavy Absorbency Large 44°-54"W 100/C5 $66.67 $6.67 $60.00 Incontinence,Incontinence>Pullups K DL1625R Surecare Plus Protective Underwear Heavy Absorbency XL 48"-66"W 100/CS $77.78 $7.78 $70.00 Incontinence,Incontinence>Pullups KDL1205 Surecare Super Protective Underwear Maximum Absorbency Medium 34"-46"W 72/I $64.00 $6.40 $57.60 Incontinence,Incontinence>Pullups KDL1215 Surecare Super Protective Underwear Maximum Absorbency Large 44"-54"W 64/C5 $64.00 $6.40 $57.60 Incontinence,Incontinence>Pullups KDL1225 Surecare Super Protective Underwear Maximum Absorbency XL 48"-66"W 48-CS $65.60 $6.56 $59.04 Incontinence,Incontinence c Pullups PF-512 Prevail Per-Fit Protective Underwear Extra Absorbency Medium 32"-46"W 80/CS $55.56 $5.56 $50.00 Incontinence,Incontinence>Pullups PF-513 Prevail Per-Fit Protective Underwear Extra Absorbency Large 44"-58"W 72/CS $55.56 $5.56 $50.00 Incontinence,Incontinence>Pullups 11 PF-514 Prevail Per-FR Protective Underwear Extra Absorbency XL 58"-68"W 56/CS $55.56 $5.56 550.00 Incontinence,Incontinence>Pullups PV511 Prevail Extra Protective Underwear Extra Absorbency Small 20"-34"W 88/CS $66.67 $6.67 $60.00 Incontinence,Incontinence>Pullups P 0512 Prevail Extra Protective Underwear Extra Absorbency Medium 34"-46"W 80/CS $66.67 $6.67 $60.00 Incontinence,Incontinence>Pullups PV513 Prevail Extra Protective Underwear Extra Absorbency Large 44"-58"W 72/CS $66.67 $6.67 $60.00 Incontinence,Incontinence>Pullups PV514 Prevail Extra Protective Underwear Extra Absorbency Xlarge 58"-68"W 56/CS $66.67 $6.67 $60.00 Incontinence,Incontinence>Pullups PV517 Prevail Super Plus Protective Underwear Maximum Absorbency 2XL 68"-80"W 48/CS $66.67 $6.67 $60.00 Incontinence,Incontinence>Pullups PVS512 Prevail Super Plus Protective Underwear Maximum Absorbency Medium 34"-46"W 7 $66.67 $6.67 $60.00 Incontinence,Incontinence>Pullups PV5513 Prevail Super Plus Protective Underwear Maximum Absorbency Large 44"-58"W 64/C $66.67 $6.67 $60.00 Incontinence,Incontinence>Pullups PV5514 Prevail Super Plus Protective Underwear Maximum Absorbency XL 58"-68"W 56/CS $66.67 $6.67 $60.00 Incontinence,Incontinence>Pullups NU-512 Prevail Nu-Fit Protective Underwear Heavy Absorbency Medium 34"-46"W 100/CS $66.67 $6.67 $60.00 Incontinence,Incontinence>Pullups NU-513 Prevail Nu-Fit Protective Underwear Heavy Absorbency Large 44"-58"W 100/CS $72.22 $7.22 $65.00 Incontinence,Incontinence>Pullups NU-514 Prevail Nu-Fit Protective Underwear Heavy Absorbency XL 58"-68"W 100/CS $83.33 $8.33 $75.00 Incontinence,Incontinence>Pullups 0119558 Depend Underwear For Women Moderate Absorbency Small/Medium 28"-40"W 84/ $98.61 $9.86 $88.75 Incontinence,Incontinence>Pullups 5E19561 Depend Underwear For Women Moderate Absorbency Large 34"-54"W 76/CS $98.61 $9.86 $88.75 Incontinence,Incontinence>Pullups DE19761 Depend Fit-Flex Underwear for Women Heavy Absorbency Large 38"-44"W 68/CS $98.61 $9.86 $88.75 Incontinence,Incontinence>Pullups DE19779 Depend Fit-Flex Underwear for Women Heavy Absorbency XLarge 45"-64"W 60/CS $98.61 $9.86 $88.75 Incontinence,Incontinence>Pullups DE19840 Depend Fit-Flex Underwear for Men Heavy Absorbency Small/Medium 20"-40"W 76- $98.61 $9.86 $88.75 Incontinence,Incontinence>Pullups O 149174 Depend Adjustable Underwear Super Plus Absorbency Small-Medium 28"-45"W 36/C $56.11 $5.61 $50.50 Incontinence,Incontinence>Pullups DE49175 Depend Adjustable Underwear Super Plus Absorbency Large-XL 44"-64"W 32/Case $56.11 $5.61 $50.50 Incontinence,Incontinence>Pullups 0647915 Depend Fit-Flex Underwear for Women Heavy Absorbency Small20"-30"W 38/Case $49.30 $4.93 $44.37Incontinence,Incontinence>Pullups DE47932 Depend Fit-Flex Underwear for Women Heavy Absorbency Medium 31"-37"W 34/Ca. $49.30 $4.93 $44.37 Incontinence,lncontinence>Pullups DE47926 Depend Fit-Flex Underwear for Men Heavy Absorbency Large 35"-43"W 34-Case $49.30 $4.93 $44.37 Incontinence,Incontinence>Pullups DE47930 Depend Fit-Flex Underwear for Men Heavy Absorbency Extra Large 44"-64"W 30-Cas $49.30 $4.93 $44.37 Incontinence,Incontinence>Pullups APV20 Attends Care Underwear Moderate Absorbency Medium 34"-44"W 80/CS $46.67 $4.67 $42.00 Incontinence,Incontinence>Pullups APV30 Attends Care Underwear Moderate Absorbency Large 44"-58"W 72/CS $46.67 $4.67 $42.00 incontinence,Incontinence>Pullups APV40 Attends Care Underwear Moderate Absorbency Extra Large 58"-68"W 56/CS $46.67 $4.67 $42.00 Incontinence,Incontinence>Pullups 0 TN72235 TENA Overnight Super Protective Underwear Medium Super Absorbency 34"-44"W 5 $88.89 $8.89 $80.00 Incontinence,Incontinence>Pullups TN72325 TENA Overnight Super Protective Underwear Large Super Absorbency 45"-58"W 56/( $96.67 $9.67 $87.00 Incontinence,Incontinence>Pullups TN72427 TENA Overnight Super Protective Underwear XL Super Absorbency 55"-66"W 48/Cas $96.67 $9.67 $87.00 Incontinence,Incontinence>Pullups UP-100 Prevail Underpad w/Polymer Light Absorbency 30%30 100/CS $54.44 $5.44 $49.00 Incontinence,Incontinence>Underpads UP-150 Prevail Fluff Underpad Light Absorbency 23)(36150/CS $47.78 $4.78 $43.00 Incontinence,Incontinence>Underpads 601948 Wings Plus Underpad Heavy Absorbency 30X30100/CS $54.44 $5.44 $49.00 Incontinence,Incontinence>Underpads KDL958B10 Wings Plus Underpad Heavy Absorbency 30X36 50/CS $36.11 $3.61 $32.50 Incontinence,Incontinence>Underpads KDL968 Wings Plus Underpad Heavy Absorbency 36036 48/CS $53.69 $5.39 $48.50 Incontinence,Incontinence>Underpads KDL988 Wings Breathable Underpad Heavy Absorbency 23X3672/CS $76.67 $7.67 $69.00 Incontinence,Incontinence>Underpads KDL949B10 Simplicity Extra Underpad Moderate Absorbency 30X30100/CS $37.78 $3.78 $34.00 Incontinence,Incontinence>Underpads RU3636-1 Birdseye Reusable Reusable Polyester/Rayon Heavy Absrorbency 34"x36" $16.67 $1.67 $15.00 Incontinence,Incontinence>Underpads RU3236-1 Becks Reusable Underpad Polyester/Rayon 32x36 Each $12.59 $1.26 $11.33 Incontinence,Incontinence>Underpads UPMD3030 Regular Underpad Moderate Absorbency 30"x30"150/Case McKesson $56.67 $5.67 $51.00 Incontinence,Incontinence>Underpads 6017158 Wings Ultra Underpad Heavy Absorbency 30"030"75/Case $40.00 $4.00 $36.00 Incontinence,incontinence>Underpads UPP30365 Attends Night Preserver Underpad Heavy Absorbency 30"06"100/Case $47.78 $4.78 $43.00 Incontinence,Incontinence>Underpads CRF150 ProCare Fluff Underpad Light Absorbency 23"036"150/Case $38.89 $3.89 $35.00 Incontinence,Incontinence>Underpads 91111100 McKesson Surgical Mask Non-Sterile One Size Fits Most $19.44 $1.94 $17.50 Mask,Mask>Surgical 89621100 McKesson Disposable Poly Bib 16"x24"500/Case $113.33 $11.33 $102.00 Miscellaneous>Bib,Miscellaneous 553996 Enemeez Mini Enema Docusate Sodium 283mg 5cc 30-BX $200.28 $20.03 $180.25 Miscellaneous>Enema,Miscellaneous 20512700 Sunmark Stool Softener Sofgel Capsule 100mg Strength Docusate Sodium 100/Bottle $7.78 $0.78 $7.00 Miscellaneous,Miscellaneous>Stool Softener 0C1306 Offset Cane Aluminum 30"-39"H Black $16.67 $1.67 $15.00 Mobility Aids>Canes,Mobility Aids 25713800 4 Wheel Rollator Red with Basket 30016 Weight Capacity $103.33 $10.33 $93.00 Mobility Aids,Mobility Aids>Rollator 12153800 Go-Lite Bariatric Steel Rollator Red with Basket 50016 Weight Capacity $177.78 $17.78 $160.00 Mobility Aids,Mobility Aids>Rollator RL6926 4 Wheel Rollator Blue with Basket 30016 WeightCapacity $103.33 $10.33 $93.00 Mobility Aids,Mobility Aids>Rollator 37014500 Steel Transport Chair 25016 Weight Capacity $144.44 $14.44 $130.00 Mobility Aids,Mobility Aids>Transport Chair DR10253 Dual Release Folding Walker Aluminum 28 3/4"-38 1/2"Height $61.11 $6.11 $55.00 Mobility Aids,Mobility Aids>Walker BST360100 Boost Glucose Control Very Vanilla 2708oz Brick Pack $53.33 $5.33 $48.00 Nutritional Supplements>Diabetic Drinks,Nutritional Supplements BST360200 Boost Glucose Control Rich Chocloate 27080:Brick Pack $53.33 $5.33 $48.00 Nutritional Supplements>Diabetic Drinks,Nutritional Supplements BST360300 Boost Glucose Creamy Strawberry 2708oz Brick Pack $53.33 $5.33 $48.00 Nutritional Supplements>Diabetic Drinks,Nutritional Supplements GL54328 Glucerna Shake Homemade Vanilla 24x8oz Cartons $64.44 $6.44 $68.00 Nutritional Supplements>Diabetic Drinks,Nutritional Supplements GL54544 Glucerna Shake Rich Chocolate 240800 Cartons $64.44 $6.44 $58.00 Nutritional Supplements>Diabetic Drinks,Nutritional Supplements 5156052 Glucerna Shake Creamy Strawberry 240800 Cartons $64.44 $6.44 $58.00 Nutritional Supplements>Diabetic Drinks,Nutritional Supplements I GL54326 Glucerna Shake Classic Butter Pecan 24x8oz Cartons $64.44 $6.44 $58.00 Nutritional Supplements>Diabetic Drinks,Nutritional Supplements GL50240 Glucerna 1.0 Cal Vanilla Oral Supplement 237zal/can 24080z Cartons $64.44 $6.44 $58.00,Nutritional Supplements>Diabetic Drinks,Nutritional Supplements EN64283 Ensure Enlive Chocolate 240800 Botle/Case $50.00 $5.00 $45.00 Nutritional Supplements>Drinks,Nutritional Supplements EN64286 Ensure Enlive Vanilla 24x60:Botle/Case $50.00 $5.05 $45.00 Nutritional Supplements>Drinks,Nutritional Supplements EN64281 Ensure Enlive Strawberry 240800 Botle/Case $50.00 $5.00 $45.00 Nutritional Supplements>Drinks,Nutritional Supplements EN50460 Ensure Original Therapeutic Nutrition Vanilla 24x8oz Cartons $38.89 $3.89 $35.00 Nutritional Supplements>Drinks,Nutritional Supplements EN50462 Ensure Original Therapeutic Nutrition Chocolate 24x8oz Cartons $38.89 $3.89 $35.00 Nutritional Supplements>Drinks,Nutritional Supplements EN50648 Ensure Original Therapeutic Nutrition Strawberry 2408ozCartons $38.89 $3.89 $35.00 Nutritional Supplements>Drinks,Nutritional Supplements EN51892 Ensure Original Therapeutic Nutrition Butter Pecan 24x8oz Cartons $38.89 $3.89 $35.00 Nutritional Supplements>Drinks,Nutritional Supplements EN50464 Ensure Plus Vanilla Therapeutic Nutrition 24x8oz Cartons $41.11 $4.11 $37.00 Nutritional Supplements>Drinks,Nutrttional Supplements EN50466 Ensure Plus Chocolate Therapeutic Nutrition 240800 Cartons $41.11 $4.11 $37.00 Nutritional Supplements>Drinks,Nutritional Supplements EN50646 Ensure Plus Strawberry Therapeutic Nutrition 24x8oz Cartons $41.11 $4.11 $37.00 Nutritional Supplements>Drinks,Nutritional Supplements • EN51894 Ensure Plus Butter Pecan Therapeutic Nutrition 24x8oz Cartons $41.11 $4.11 $37.00 Nutritional Supplements>Drinks,Nutritional Supplements BVAN27 Boost Very Vanilla 270802 Brick Pack $46.67, $4.67 $42.00 Nutritional Supplements>Drinks,Nutritional Supplements BCHO27 Boost Rich Chocolate 27xeoz Brick Pack $46.67 $4.67 $42.00 Nutritional Supplements>Drinks,Nutritional Supplements BSTW27 Boost Creamy Strawberry 270800 Brick Pack $46.67 $4.67 $42.00 Nutritional Supplements>Drinks,Nutritional Supplements BPVAN27 Boost Plus Very Vanilla 27080z Brick Pack $48.89 $4.89 $44.00 Nutritional Supplements>Drinks,Nutritional Supplements BPCHO27 Boost Plus Rich Chocolate 27xeoz Brick Pack $48.89 $4.89 $44.00 Nutritional Supplements>Drinks,Nutritional Supplements BPSTW27 Boost Plus Creamy Strawberry 27xeoz Brick Pack $48.89 $4.89 $44.00 Nutritional Supplements>Drinks,Nutritional Supplements EN56622600 Ensure Clear Mixed Berry 3206.802 Brick Pack $46.67 $4.67 $42.00 Nutritional Supplements>Drinks,Nutritional Supplements D01/186000 Boost Breeze Wild Berry 270800 Brick Pack $60.00 $6.00 $54.00 Nutritional Supplements>Drinks,Nutritional Supplements NEP50632 Nepro with Carb Steady Homemade Vanilla 240800 Cans $93.33 $9.33 $84.00 Nutritional Supplements>Drinks,Nutritional Supplements EN83032600 Ensure Plus Vanilla Therapeutic Nutrition 24x8oz Bottles $50.00 $5.00 $45.00 Nutritional Supplements>Drinks,Nutritional Supplements EN82972600 Ensure Vanilla Therapeutic Nutrition 240800 Bottles $45.56 $4.56 $41.00 Nutritional Supplements>Drinks,Nutritional Supplements EN92832600 Ensure Chocolate Therapeutic Nutrition 240802 Bottles $45.56 $4.56 $41.00 Nutritional Supplements>Drinks,Nutritional Supplements EN92992600 Ensure Plus Chocolate Therapeutic Nutrition 24080z Bottles $45.56 $4.56 $41.00 Nutritional Supplements>Drinks,Nutritional Supplements EN92952600 Ensure Theraputic Nutrition Strawberry 240800 Bottles/Case $45.56 $4.56 $41.00 Nutritional Supplements>Drinks,Nutritional Supplements 1EV57333 levity 1.5Cal Unflavored 240800 Cans $44.44 $4.44 $40.00 Nutritional Supplements>Drinks,Nutritional Supplements 69902600 Pulmocare Vanlilla 24x8oz Cans $66.67 $6.67 $60.00 Nutritional Supplements>Drinks,Nutritional Supplements BHPV27 Boost High Protien Very Vanilla 27xeoz Brick Pack $48.89 $4.89 $44.00 Nutritional Supplements>Drinks,Nutritional Supplements EN00792 Ensure Pudding Vanilla 4808oz Cups $60.00 $6.00 $54.00 Nutritional Supplements,Nutritional Supplements>Pudding EN00790 Ensure Pudding Chocolate 480802 Cups $60.00 $6.00 $54.00 Nutritional Supplements,Nutritional Supplements>Pudding EN00798 Ensure Pudding Butterscotch 4881300 Cups $60.00 $6.00 $54.00 Nutritional Supplements,Nutritional Supplements>Pudding BP0945-03 Boost Pudding Very Vanilla 48x50:Cans $65.56 $6.56 $59.00 Nutritional Supplements,Nutritional Supplements>Pudding BP0946-03 Boost Pudding Chocolate 480502 Cans $65.56 $6.56 $59.00 Nutritional Supplements,Nutritional Supplements>Pudding 5602UT Toothette Oral Swabstick Foam Tip 250/Park Sage Products $55.56 $5.56 $50.00 Oral Care,Oral Care>Swabstick 95711701 McKesson Toothpaste Mint Flavor 1.5oz/Tube $11.09 $1.11 $9.98 Oral Care,Oral Care>Toothpaste 20622700 Sunmark Pain Relief Cream 3oz/Tuke McKesson $16.67 $1.67 $15.00 Pain Relief>Cream,Pain Relief 13E11796 Biofreze Cold Therapy Pain Relief Gel 4oz/Tube $16.67 $1.67 $15.00 Pain Relief>Gel,Pain Relief TD54645 Triderma MD Eczema Fact Healing Anti-Itch Cream 6.4az/Tube $24.44 $2.44 $22.00 Skin Care>Anti Itch,Skin Care AFP3OZ Thera Anti-Fungal Body Powder 3oz Shaker Bottle $11.11 $1.11 $10.00 Skin Care>Antifungal,Skin Care KDL61074 Selan Antifungal Cream 2%Strength 4oz/Tube $13.33 $1.33 $12.00 Skin Care>Antifungal,Skin Care 558387 Balmex Ointment Diaper Rash Treatment 16oz/lar $21.11 $2.11 $19.00 Skin Care>Anti-Rash,Skin Care . MCK16011600 Medi-Pak Performance Body Powder with Cornstarch Boz/Shaker Bottle $4.44 $0.44 $4.00 Skin Care>Baby Powder,Skin Care MSC095392 Medi-Pak Performance Baby Powder Fresh Scent 14oz/Shaker Bottle $4.44 $0.44 $4.00 Skin Care>Baby Powder,Skin Care KDL61054 Selan Moisture Barrier Cream Zinc Oxide 4oz/Tube $7.50 $0.75 $6.75 Skin Care>Barrier Cream,Skin Care KDL61054C Selan Moisture Barrier Cream Zinc Oxide 4oz/Tube 12 Tube/Case $66.67 $6.67 $60.00 Skin Care>Barrier Cream,Skin Care MSC095420 Selan Moisture Barrier Cream Zinc Oxide 4oz/Tube $7.50 $0.75 $6.75 Skin Care>Barrier Cream,Skin Care 70551800 Bath Wipe Bedside-Care EsiCleanse Scented 8"x8"30/Soft Pack $11.67 $1.17 $10.50 Skin Care>Bath Wipe,Skin Care GB1357 Gold Bond Ultimate Body Powder Fresh Scent 10oz/Shaker $12.22 $1.22 $11.00 Skin Care>Body Powder,Skin Care EV1358 Shampoo&Body Wash Summer Rain Scent 8o2/Bottle $5.28 $0.53 $4.75 Skin Care>Body Wash,Skin Care EV1350 No Rinse Shampoo&Body Wash Light Floral Scent 802/Bottle $6.11 $0.61 $5.50 Skin Care>Body Wash,Skin Care 8727271 Aloe Vest No-rinse Body Wash Foaming 4oz Pump Bottle $14.44 $1.44 $13.00 Skin Care>Body Wash,Skin Care EV 1361 Tearless Shampoo&Body Wash Lavender Scent Boz Bottle $5.28 $0.53 $4.75 Skin Care>Body Wash,Skin Care K0161029 Shampoo&Body Wash Apricot Scent Boz Bottle $8.89 $0.89 $8.00 Skin Care>Body Wash,Skin Care 4O 246538 Aloe Vesta Shampoo&Body Wash Scented Boz Bottle $7.78 $0.78 $7.00 Skin Care>Body Wash,Skin Care MSC095061-1 Shampoo&Body Wash Summer Ram Scent Boz/Bottle McKesso $6.11 $0.61 $5.50 Skin Care>Body Wash,Skin Care NR422469 No Rinse Shampoo&Body Wash Light Floral Scent Boz/Bottle $5.56 $0.56 $5.00 Skin Care>Body Wash,Skin Care NR428524 No Rinse Body Bath Body Wash 16oz Bottle $11.11 $1.11 $10.00 Skin Care>Body Wash,Skin Care TN64410 TENA Cleansing Cream Unscented 8.Soz/Tube $8.33 $0.83 $7.50 Skin Care>Body Wash,Skin Care TN64363 TENA Body Wash&Shampoo 16.9oz/Pump Bottle $8.33 $0.83 $7.50 Skin Care>Body Wash,Skin Care H5001 Porch!Advanced Hand Sanitiser with Aloe 12oz/Pump Bottle $13.33 $1.33 $12.00 Skin Care>Hand Sanitiser,Skin Care KDL61044 Moisturizer Body Lotion Summer Rain Scent 4oz/Bottle $6.67 $0.67 $6.00 Skin Care>Moisturizer,Skin Care EV1351 Moisturizer Body Lotion Summer Rain Scent 8oz/Bottle $5.56 $0.56 $5.00 Skin Care>Moisturizer,Skin Care RP1374 Neutrogena Moisturizer Lotion 8.5oz/Pump Bottle $6.67 $0.67 $6.00 Skin Care>Moisturizer,Skin Care GB2016 Gold Bond Diabetics Moisturizer Unscented 13oz/Pump $17.78 $1.78 $16.00 Skin Care>Moisturizer,Skin Care MSC095332 Moisturizer Body Lotion Summer Rain Scent 8oz/Battle $8.89 $0.89 $8.00 Skin Care>Moisturizer,Skin Care MSC095332C Moisturizer Body Lotion Summer Rain Scent 802/48 Bottle/Case $88.89 $8.89 580.00 Skin Care>Moisturizer,Skin Care 36061500 Aveeno Moisturizer lotion Unscented 12oz Pump Bottle $13.80 $1.38 $12.42 Skin Care>Moisturizer,Skin Care MSC095362 Provos Moisturizer Lotion Scented 8oz/Bottle $6.67 $0.67 $6.00 Skin Care>Moisturizer,Skin Care TN64414 TENA Moisturizing Lotion Unscented 3.4ox/Tube $8.33 $0.83 $7.50 Skin Care>Moisturizer,Skin Care RP1363 No Rinse Perineal Wash Fresh Scent 8oz/Pump Bottle $10.56 $1.06 $9.50 Skin Care>Perineal Wash,Skin Care KDL61018 No Rinse Perineal Wash Fresh Scent 8oz/Pump Bottle $9.44 $0.94 $8.50 Skin Care>Perineal Wash,Skin Care MCK50501600 Swoon Body Powder Lightly Scented 8oz/Shaker Battiest 55.56 $0.56 $5.00 Skin Care>Powder,Skin Care MCK53652700 Skin Protectant Zinc Oxide 16oz Jar Centel $8.89 $0.89 $8.00 Skin Care>Protectant,Skin Care 6984-46 Aloe Vesta Skin Protectant Ointment Unscented 8oz/Tube $12.89 $1.29 $11.60 Skin Care>Protectant,Skin Care 0070-05-S Skin Protectant A&D Ointment 13oz/Jar $17.22 $1.72 $15.50 Skin Care>Protectant,Skin Care 31101400 Lantiseptic Skin Protectant Barrier Ointment 12oz/lar $30.00 $3.00 $27.00 Skin Care>Protectant,Skin Care RP1373 Derma Gran Skin Protectant Ointment 4oz/Tube 511.11 51.11 $10.00 Skin Care>Protectant,Skin Care NG4622 Skin Protectant Zink Oxide 16oz Jar Centel 516.67 $1.67 $15.00 Skin Care>Protectant,Skin Care SW0202 Sweet Cream Skin Protectant 9oz/Tube $18.89 $1.89 $17.00 Skin Care>Protectant,Skin Care AD1134 Skin Protectant Ointment with A&D Unscented 4oz/Tube $10.00 $1.00 $9.00 Skin Care>Protectant,Skin Care TN64414-1 TENA Protective Cream 3.4oz/Tube $8.33 $0.83 $7.50 Skin Care>Protectant,Skin Care KDL61064 Perishield Skin Protectant Zinc Oxide Ointment 4oz Tube Ameriderm $7.78 $0.78 57.00 Skin Care>Protectorant,Skin Care KD161064C Perishield Skin Protectant Zinc Oxide Ointment 1204oz Tube/Case $72.22 $7.22 565.00 Skin Care>Protectorant,Skin Care DVND15202 Urinary Drain Bag Anti-Reflux Valve 2000ml Capacity Vinyl 55.04 $0.50 $4.54 Urologicals>Drain Bag,Urologicals 8919 Lubricating Jelly Sterile 4oz/Tube $2.78 $0.28 $2.50 Urologicals>Lubricant,Urologicals DW-501 Dry Washcloth 10'x12"48/Soft Pack $4.44 $0.44 $4.00 Wipes>Dry Wipe,Wipes DW-501C Dry Washcloth 10'012"48Wipes/16 Soft Pack/Case $38.89 $3.89 $35.00 Wipes>Dry Wipe,Wipes A500F48C Hygea Flusable Wipe Aloe with Floral Scent 8"x6"48/12 Pack/Case $61.11 $6.11 $55.00 Wipes>Flushable,Wipes ' CRW-050 ProCare Adult Washcloth 8"x12"Soft Pack 50/Pack $5.00 $0.50 $4.50 Wipes>Wet,Wipes CRW-050C ProCare Adult Washcloth 8"x12"Soft Pack 50/Pack l2Pack/Case $44.44 $4.44 $40.00 Wipes>Wet,Wipes KDL52995 Curity Personal Wipe with Aloe 8"012"48/Pack $7.78 $0.78 $7.00 Wipes>Wet,Wipes A500F48 Hygea Flusable Wipe Aloe with Floral Scent 8"x6"48/Pack $8.89 $0.89 $8.00 Wipes>Wet,Wipes MSC263150 Aloetouch Cleansing Wipes w/aloe 7"x8"Soft Pack $5.00 $0.50 $4.50 Wipes>Wet,Wipes NG4402 Personal Wipe Attends Aloe 8"012"48/Soft Pack $7.78 $0.78 $7.00 Wipes>Wet,Wipes NG4402C Personal Wipe Attends Aloe 11"x12"96/PK 8 Soft Pack/Case $50.00 $5.00 $45.00 Wipes>Wet,Wipes 1 WH25500 Compose Ultrashield Washcloth Aloe 91113950/Soft Pack $12.22 $1.22 511.00 Wipes>Wet,Wipes MSC263750 Curity Personal Wipe with Aloe 8"012"48/Pack $7.78 $0.78 $7.00 Wipes>Wet,Wipes MSC263750C Curity Personal Wipe with Aloe 8"012"48/12 Pack/Case $50.00 $5.00 $45.00 Wipes>Wet,Wipes WH25500C Compose Ultrashield Washcloth Aloe 9®13860/Soft Pack 12 Soft Pack/Case $98.89 $9.89 $89.00 Wipes>Wet,Wipes KDL5299SC Curity Personal Wipe with Aloe 8"012'48/12 Pack/Case $50.00 $5.00 $45.00 Wipes>Wet,Wipes HyJ15095 Wings Personal Wipe with Aloe Light Scent 64/Tub $14.44 $1.44 $13.00 Wipes>Wet,Wipes MSC263850 Attends Unscented Washcloth Aloe 8"x12"48/Soft Pack $8.89 $0.89 $8.00 Wipes>Wet,Wipes MSC263850C Attends Unscented Washcloth Aloe 8"x12"48/12 Soft Pack/Case $62.22 $6.22 $56.00 Wipes>Wet,Wipes HYJ15095C Wings Personal Wipe with Aloe Light Scent 8'x12"64/Tub 8 Tubs/Case $66.67 $6.67 $60.00 Wipes>Wet,Wipes MSC263150C Aloetouch Cleansing Wipes w/aloe 7"x8"48/Soft Pack 8 Soft Pack/Case $66.67 $6.67 $60.00 Wipes>Wet,Wipes 16-42426 McKesson Brand Iv/Drain Split Dressing Sterile Square 4'x4"2/30 Pack/Box $12.78 $1.28 $11.50 Wound Care>Dressing,Wound Care NON21448 Medi-Pak Performance Plus Sterile Gauze Sponge 4"x4"50/Box $7.22 $0.72 $6.50 Wound Care>Sponge,Wound Care 0 Other Exhibit/Attachment Description: Grant Documents ■following this page n this exhibit is not applicable Page 15 of 15 Fixed Price Professional Service Agreement#2017-001(Vert) Collier County Solicitation 18-7470 EXI-IIBIT I.A FEDERAL CONTRACT PROVISIONS FEDERAL UNITED STATE DEPARTMENT OF AGING AND FLORIDA DEPARTMENT OF ELDER AFFAIRS The supplemental conditions contained in this section are intended to cooperate with,to supplement, and to modify the general conditions and other specifications.In cases of disagreement with any other section of this contract,the Supplemental Conditions shall govern. Contractor means an entity that receives a contract. The services performed by the awarded Contractor shall be in compliance with the provisions of 45 Code of Federal Regulations(CFR)75 and/or 45 CFR Part 92,2 CFR Part 200 and other applicable regulations. It shall be the awarded Contractor's responsibility to acquire and utilize the necessary manuals and guidelines that apply to the work required to complete this project.In general, 1)The contractor(including all subcontractors)must insert these contract provisions in each lower tier contracts(e.g. subcontract or sub-agreement); 2)The contractor(or subcontractor)must incorporate the applicable requirements of these contract provisions by reference for work done under any purchase orders, rental agreements and other agreements for supplies or services; 3) The prime contractor is responsible for compliance with these contract provisions by any subcontractor,lower-tier subcontractor or service provider. :A FCP-1 11/1/2018 6:12 AM p.13 Collier County Solicitation 18-7470 EXHIBIT I.A FEDERAL CONTRACT PROVISIONS FEDERAL CONTRACT PROVISIONS Administrative,contractual,or legal remedies(Ref.41 U.S.C. 1908, 2 CFR§200 Appendix 11 (A) Unless otherwise provided in this contract, all claims, counter-claims, disputes and other matters in question between the local government and the contractor,arising out of or relating to this contract,or the breach of it, will be decided by arbitration, if the parties mutually agree, or in a Florida court of competent jurisdiction. Access to Records and Reports(Reference: 2 CFR§200.333, 2 CFR§200.336) The contractor/vendor agrees to maintain all books, records, accounts and reports required under this contract for a period of not less than three years after the date of termination or expiration of this contract, except in the event of litigation or settlement of claims arising from the performance of this contract,in which case the Contractor agrees to maintain same until the Purchaser,the Grantor Administrator,the Comptroller General,or any of their duly authorized representatives,have disposed of all such litigation,appeals,claims or exceptions related thereto. Furthermore,the County shall maintain written policies and procedures for computer system backup and recovery and shall have the same requirement of its Contractors. No Government Obligation to Third Parties-The Federal Government is not a party to this contract and is not subject to any obligations or liabilities to the non-Federal entity, contractor, or any other party pertaining to any matter resulting from the contract." Program Fraud and False or Fraudulent Statements of Related Acts The contractor acknowledges that 31 U.S.C. Chap.38(Administrative Remedies for False Claims and Statements)applies to the contractor's actions pertaining to this contract." Clean Air and Federal Water Pollution Control Acts(Reference:2 CFR§200 Appendix II (G)) Contracts and subgrants of amounts in excess of $150,000 shall contain a provision that requires the Contractor or recipient to comply with all applicable standards, orders, or requirements issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency(EPA). Energy Policy and Conservation Act- (Reference 2 CFR§200 Appendix 1I (H) The contractor shall comply with any mandatory standards and policies relating to energy efficiency which are contained in the Florida state energy conservation plan issued in compliance with the Energy Policy and Conservation Act(Pub. L 94-163, 89 Stat. 871,42 U.S.0 Section 6201) Debarment and Suspension (Reference 2 CFR§200 Appendix II (I) Contract awards that exceed the small purchase threshold and certain other contract awards shall not be made to parties listed on the government wide Excluded Parties List System in the System for Award Management(SAM),in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR Part 1986 Comp., p. 189) and 12689 (3 CFR Part 1989 Comp., p. 235), "Debarment and Suspension." The Excluded Parties List System in SAM contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. The successful bidder, by administering each lower tier subcontract that exceeds$25,000 as a"covered transaction", must verify each lower tier participant of a "covered transaction" under the project is not presently debarred or otherwise disqualified from participation in this federally assisted project. Byrd Anti-Lobbying Amendment(31 U.S.C. 1352)(Reference 2 CFR§200 Appendix II (J) Vendors must certify it will not and has not used Federal appropriated funds have been paid or will be paid, by or to any person or organization for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the FCP-2 11/1/2018 6:12 AM p.14 Collier County Solicitation 18-7470 EXHIBIT I.A FEDERAL CONTRACT PROVISIONS making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. The certification includes any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Procurement of Recovered Materials(Reference 2 CFR§200.322) Contractor and subcontractor agree to comply with Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act, and the regulatory provisions of 40 CFR Part 247. (1)In the performance of this contract,the Contractor shall make maximum use of products containing recovered materials that are EPA designated items unless the product cannot be acquired(i)Competitively within a timeframe providing for compliance with the contract performance schedule; (ii) Meeting contract performance requirements;or (iii)At a reasonable price. (2)Information about this requirement is available at EPA's Comprehensive Procurement Guidelines web site, http:l/www.epa.gov/.The list of EPA-designate items is available at https://www.epa.l;ov/smm/comprehensive-procurement-guideline-cpg-program. Diversity(Reference 2 CFR§200.321) The County is dedicated to fostering the continued development and economic growth of small, minority-, women-, and service-disabled veteran business enterprises. All contracting and subcontracting opportunities afforded by this solicitation/contract are strongly encouraged to contribute as both Contractors and Sub-Contractors. Firms may be required to submit documentation addressing diversity and describing the efforts being made to encourage the participation of small, minority-, women-, and service-disabled veteran business enterprises. Information on Certified Minority Business Enterprises(CMBE)and Certified Service-Disabled Veteran Business Enterprises(CSDVBE)is available from the Office of Supplier Diversity at: http://dms.myflorida.com/other programs/office of supplier diversity osd/ Termination for Cause and Convenience See County's Standard Terms and Conditions. Nondiscrimination-Civil Rights Compliance The Contractor will 1. not discriminate against any person in the provision of services or benefits under this contract or in employment because of age, race, religion, color, disability, national origin, marital status or sex in compliance with state and federal law and regulations. 2.Assumes others with whom it arranges to provide services or benefits in connection with any of its programs and activities are not discriminating against clients or employees because of age, race, religion, color, disability, national origin, marital status or sex. And 3. Assures 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. Computer Use and Social Media Policy The Florida Department of Elder Affairs has implemented a Social Media Policy, in addition to its Computer Use Policy, which applies to all employees, contracted employees, consultants, OPS and volunteers, including all personnel affiliated with third parties, such as, but not limited to, contractors and subcontractors. Any entity that uses the Department's computer resource systems must comply with the Department's policy regarding social media. Social Media includes, but is not limited to blogs, podcasts, discussion forums, Wikis, RSS feeds, video sharing, social networks like MySpace, Facebook and Twitter, as well as content sharing networks such as flickr and YouTube.This policy is available on the Department's website at: http://elderaffairs.state.fl.us/doea/financial.php STATE CONTRACT PROVISIONS Discriminatory Vendors List In accordance with Section 287.134, Florida Statutes, an entity or affiliate who has been placed on the discriminatory vendor list may not submit a bid on a contract to provide any goods or services to a public CAO. FCP-3 11/1/2018 6:12 AM p.15 Collier County Solicitation 18-7470 EXHIBIT I.A FEDERAL CONTRACT PROVISIONS entity,may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity. Inspector General Cooperation The Parties agree to comply with Section 20.055(5), Florida Statutes, for the inspector general to have access to any records, data and other information deemed necessary to carry out his or her duties and incorporate into all subcontracts the obligation to comply with Section 20.055(5), Florida Statutes. Equal Employment Opportunity The Contractor shall not discriminate against any employee or applicant for employment because of race, age, creed, color, sex or national origin. The Agency will take affirmative action to ensure that applicants are employed,and that employees are treated during employment,without regard to their race, age,creed, color, sex, or national origin. Such action shall include, but not be limited to, the following: Employment upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation;and selection for training,including apprenticeship.Contractors must insert a similar provision in all subcontracts, except subcontracts for standard commercial supplies or raw materials. Interest of Members of Congress No member of or delegate to the Congress of the United States shall be admitted to any share or part of this contract or to any benefit arising therefrom. Interest of Public Officials No member, officer, or employee of the public body or of a local public body during his tenure or for two years thereafter shall have any interest, direct or indirect, in this contract or the proceeds thereof. For purposes of this provision, public body shall include municipalities and other political subdivisions of States; and public corporations, boards, and commissions established under the laws of any State. Interest of Public Officials No member, officer, or employee of the MPO or of a local public body during his tenure or for two years thereafter shall have any interest, direct or indirect, in this contract or the proceeds thereof. Lobbying No funds received pursuant to this Agreement may be expended for lobbying the Legislature, the judicial branch or a state agency. EVerify Vendors/Contractors/Subcontractors: 1. shall utilize the U.S. Department of Homeland Security's E-Verify system to verity the employment eligibility of all new employees hired by the Vendor/Contractor during the term of the contract and 2.shall expressly require any subcontractors performing work or providing services pursuant to the state contract to likewise utilize the U.S.Department of Homeland Security's E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract term. CAO FCP-4 11/1/2018 6:12 AM p.16 Collier County Solicitation 18-7470 EXHIBIT LB GRANT CERTIFICATIONS AND ASSURANCES GRANT CERTIFICATIONS AND ASSURANCES THE FOLLOWING DOCUMENTS NEED TO BE RETURNED WITH SOLICIATION DOCUMENTS BY DEADLINE TO BE CONSIDERED RESPONSIVE 1. Certification Regarding Debarment, Suspension, and Other Responsibility Matters - Primary Covered Transactions 2. Certification regarding Lobbying 3. Conflict of Interest 4. Anticipated DBE,M/WBE or VETERAN Participation Statement 5. Opportunity List for Commodities and Contractual Services and Professional Consultant Services 6. Acknowledgement of Grant Terms and Conditions 7. Scrutinized Companies Certification Co8 GCA- 1 p.17 11/1/2018 6:12 AM Collier County Solicitation 18-7470 EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES COLLIER COUNTY Certification Regarding Debarment,Suspension,and Other Responsibility Matters Primary Covered Transactions (1) The prospective primary participant certifies to the best of its knowledge and belief,that it and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification;and (d) Have not within a three-year period preceding this application/proposal had one or more public transactions(Federal, State or local)terminated for cause or default. (2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. PJB, tcv-A -3fSnn ts> Name Project Name Plpe5 ApAA--Jc e D G�-7 X11 C7 Title Project Number Firm S L.e5 r Tax ID Number DUNS Number k-0 5� -5 0s.c jir\ u-- 2, KIN)(ro< u i Y 0 Street Address,City, State,Zip Signature CAO GCA-2 11/1/2018 6:12 AM p.18 Collier County Solicitation 18-7470 EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES I COLLIER COUNTY Certification Regarding Lobbying The undersigned certifies,to the best of his or her knowledge,that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract,grant, loan,or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement,the undersigned shall complete and submit Standard Form- LLL, "Disclosure Form to Report Lobbying,"in accordance with its instructions, (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The Contractor,(S& JI (A. �<ka 1001 i-- , certifies or affirms the truthfulness and accuracy of each statement of its certific ion and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 et seq.,apply to this certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 11.062, Florida Statutes., apply to this certification and disclosure, if any. (,i .( d_ Signature of Contractor's Authorized Official N-4,. 41_ e C1<J VA�tM` Name of Authorized Official and Title V ./0).(9\ Date CAO GCA-3 11/1/2018 6:12 AM p.19 I Collier County Solicitation 18-7470 EXHIBIT LB GRANT CERTIFICATIONS AND ASSURANCES COLLIER COUNTY Conflict of.Interest Certification ted--7 no Collier County Solicitation No. I, n� &V kij„yrA+ , hereby certify that to the best of my knowledge, neither I nor my sp use, dependent child, general partner, or any organization for which I am serving as an officer, director,trustee,general partner or employee,or any person or organization with whom I am negotiating or have an arrangement concerning prospective employment has a fmancial interest in this matter. I further certify to the best of my knowledge that this matter will not affect the financial interests of any member of my household. Also, to the best of my knowledge, no member of my household; no relative with whom I have a close relationship; no one with whom my spouse, parent or dependent child has or seeks employment; and no organization with which I am seeking a business relationship nor which I now serve actively or have served within the last year are parties or represent a party to the matter. I also acknowledge my responsibility to disclose the acquisition of any financial or personal interest as described above that would be affected by the matter, and to disclose any interest I, or anyone noted above, has in any person or organization that does become involved in,or is affected at a later date by,the conduct of this matter. - Name Signature Prr°67tC*A'b /c�0 15-1/2D IC( Position Dat Privacy Act Statement Title I of the Ethics in Government Act of 1978 (5 U.S.C.App.),Executive Order 12674 and 5 CFR Part 2634, Subpart I require the reporting of this information.The primary use of the information on this form is for review by officials of The Justice Department to determine compliance with applicable federal conflict of interest laws and regulations. Additional disclosures of the information on this report may be made: (1)to a federal, state or local law enforcement agency if the Justice Department becomes aware of a violation or potential violation of law or regulations; (2)to a court or party in a court or federal administrative proceeding if the government is a party or in order to comply with a judge-issued subpoena; (3)to a source when necessary to obtain information relevant to a conflict of interest investigation or decision; (4) to the National Archives and Records Administration or the General Services Administration in records management inspections; (5)to the Office of Management and Budget during legislative coordination on private relief legislation; and (6) in response to a request for discovery or for the appearance of a witness in a judicial or administrative proceeding, if the information is relevant to the subject matter. This confidential certification will not be disclosed to any requesting person unless authorized by law. See also the OGE/GOVT-2 executive branch-wide Privacy Act system of records. GCA-4 GNoo 11/1/2018 6:12 AM Collier County Solicitation 18-7470 1IA EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES COLLIER COUNTY ANTICIPATED DISADVANTAGED, MINORITY,WOMEN OR VETERAN PARTICIPATION STATEMENT Status will be verified. unverifable statuses yr 11 require the PIIrAIE to either prtsyde a revised statement or provide source documentation that validates a status. A". PRIME'V'ENDOR/CON 'RACTOR INFORMA11QN PRIM E NAME PRIME FE=D NUMBER CONTRACT DOLLAR AMOUNT if'THE PRIME A F ORIDA-CEATiFtED DISADVANTAGED,ED, i. ERAN Y N S THE ACm/ire OF THIS CONTR€ACT... MINORITY OR WOMEN BUSINESS ENTER PRISE? DBE? Y N CONSTRUCTION? IDEEFMBE,"WBE)OR HAVE ASMALL DISADVAN DISADVANTAGED BUSINESS SA CERTIFICATION FROM TdESMALL BUSINESS MBE? Y N CONSULTATTGN? Y tJ ADMINISTRATION? ASERVICE DISABLED VETERAN? bYBE? Y N OTHER? V N SOB DA? 'Y 1'J St-isSUBMISSRONA REVISION)? Y U ;f YES,REVISION NUMBER } 11 PRIME LAS S1JB NTRA(JO O# SUPPLIER WHO ISAIISADVAN A6Et:MINORITY,ifl O EN-OWNED,SMAll BLISI#IESS IDNCERN OR SERVICE;DISABLED VETERAN,PRIME IS TO COMPLETE THI NEX1"SECTION DBE M/WeE SUBCONTRACTOR OR SUPPLIER TYPE OF WORX OR ETHNICITY CODE SUB/SUPPLIER PERCENT OF CONTRACT VETERAN NAME SPECIALTY (See Bow) DOLLAR AMOUNT DOLLARS TOTALS: C SECTION T€l BE COMPL€T€D>BY PRIME VENDOR/Ct31 TRACTOR NAME OF SUBMITTER DATE TITLE Of SU BMI I L tR EMAIL ADDRESS OF PRIME(-SUBMITTER) TELEPHONE NUMBER FAX NUMBER NOTE:This information is used to track and report anticipated DBE MBE participation in federally-funded contracts. The anticipated DBE or FAZE amount is voluntary and still not become part of the contractual terms. This form must be submitted at time of response to a sol'iitaticn. tf and when a^,.arded a County contract,the prime will be asked to update the information for the grant compliance fries. BladiAnrencan BA Hispanic American HA i+tatmeAmerican .:NA' Subcoit.Asian American SAA Asian-Pacific American APA . Non-',?inch r Women NMLr Other:not of any other groop listed 0 IiiEI'T1UIV Tt3 I1E CAIIII11LfTft3 RY C£N ii1?R I✓t)UITY .. :' ;, DEPARTMENT NAME COLLIER CONTRACT'FFB/.RFP orPOiRERS GRANTPROGRANI/CONITP.ACT DATE ACCEPTED BY: GCA- 5 p t () 11/1/2018 6:12 AM Collier County Solicitation 18-7470 EXHIBIT LB GRANT CERTIFICATIONS AND ASSURANCES c4.,LLiEp couiin r..;F.:471 Caf 4P u;=1,41:E P(.24LIA rt1D OPPORTUNITY LIST FOR COMMODITIES AND CONTRACTUAL SERVICES AND PROFESSIONAL CONSULTANT SERVICES 11 is the policy rf Collier County the:disadvantaged in.isinezes and minonty vendors,as dened in the CodE of Federal Regulations(CFR)or Hari,*statut in),mosthave the op portunitp.to particivate on contracts with federal and/or state wont oss,Stunce. Plitt*ContractorOnme Constittany. 6()-(pArv\i\-\-kiceon eSQ:esprnareoc3S9PV-7\c-e_c X iv, Address and Plicrte Number 1,05 8txs1nes5 1-scui\e, u' 2- )c1V) • Procurement Number/Advertisement Number: SO VCCO\/\\\))l g.-74470 The list below b intended to be a fisting of firms that are,or attempting to,participate on the project numbered aboa. The list must inidude the firm bidding or quoting as prime,e well as subs and suppkiers quoting for participation.Prime contractors and consultants must provide information for Numbers 1,2,3,and a;and,should provide any information they have for Numbers 5,6,7,and B.This form must be submitted with the bid package. 1. federal Tax ID Number: ' 5c(- '..\2-t-0 5. DBE aAnnualGTossecelpts — Z.firm Name: Ski rwmAt-l.4ovvi.e.t")-ig5t,1 cycsrtre()),.. 2,.. PM-DBE ieS5 than$1 minion 3.Phone Norriber. 7-Vt-l-501li7etween$1-$maim .,—... A Addressvo%f-suctwc..,..,c_.‘," Between$5-10 nation , — (.4.5.CL, -7)4 l (0 7. Subcontractor Between$10-15 region Subconsultant Morethan 5 15 million 5. Year firm Established: (et S — . 1. federal Tax ID Number: 6. DBE S. Annual Gross Recepts — — 2. firm Name: Non-DBE Less than$1 million ..----. —.. 3, Phone!umber. Between$1-5 million -- 4, Address Between$5-10 million 7. B subcontractor subc.uttant _ Between$10-15 niii.liOn -- ...._..more than$15 million 5. Year firm Established: 1. federal Tax ID Number: 6. DBE S.Annual Gross Rt-c4nts 2. Firm Name: hart-DBE /r,,c,c then$1 million 3. Phone Number: Between$1-5 million 4.Address Between 55-10 million 7,. sukontractor EI ___... Between$10-15 million stib.,,,..t.„t — more than S 15 malion 5. Year Firm Established: 1. Federal Tax to Number: 6.Ei DBE B. Annual Gross Receipts .--....„ 2.Firm Name: hart-DOE 11,CS than 5 a ninon ......... 3. Phone Number Between$1-5 maims --,. a.Address Between$5-10 million 7_ Sisk.. ontracor El _ Between 5 10-15 million 5.....i.t More than$15 raglan 5.Year Finn Established: ' C.A.() GCA-6 11/1/2018 6:12 AM p.22 Collier County Solicitation 18-7470 EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES COLLIER COUNTY Acknowledgement of Terms,Conditions and Grant Clauses Flow Down of Terms and Conditions from the Grant Agreement Subcontracts: If the vendor subcontracts any of the work required under this Agreement, a copy of the signed subcontract must be available to the Department for review and approval. The vendor agrees to include in the subcontract that (1) the subcontractor is bound by the terms of this Agreement, (ii) the subcontractor is bound by all applicable state and federal laws and regulations, and (iii) the subcontractor shall hold the Department and Recipient harmless against all claims of whatever nature arising out of the subcontractor's performance of work under this Agreement, to the extent allowed and required by law. The recipient shall document in the quarterly report the subcontractor's progress in performing its work under this agreement. For each subcontract,the Recipient shall provide a written statement to the Department as to whether the subcontractor is a minority vendor as defined in Section 288.703,Fla. Stat. Certification On behalf of my firm, I acknowledge, and agree to perform all of the specifications and grant requirements identified in this solicitation document(s). Vendor/Contractor Name $t 40,,,4 ks(_lq-bNvAR9 RIO5() Sed•v ce5 Date :r4 Authorized Signature L/,(juc., Address 1,@g' t(/) 5' LA te t' l 1vut4-2— Oaf[es , 34-( I U Solicitation/Contract# l2'-7(4'70 CAO GCA-7 p.23 11/1/2018 6:12 AM Collier County Solicitation 18-7470 EXHIBIT I.B GRANT CERTIFICATIONS AND ASSURANCES COLLIER"COUNTY Scrutinized Companies Certification The undersigned MQ 1oc (Vendor/ Contractor) certifies, to the best of his or her knowledge and belief,that it is not listed on the • Scrutinized Companies with Activities in Sudan List, • Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List,and/or • Scrutinized Companies with Activities in Israel List (eff. 10.1.2016), pursuant to Section 215.473, F.S. The subcontractor further agrees the County may immediately terminate this contract for cause if the vendor/contractor is found to have submitted a false certification or is placed on the Scrutinized Companies list during the term of the contract. Nkt AAO A kr* Name of Authorized Official P(SI +/CC° Title ' vv 4- ' A2A—_€Jt/� Signature of Vendor/Contractor's Authorized Official \1612-0 Date CAO GCA- 8 11/1/2018 6:12 AM p.24 ...----•1 ACCFRD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM1I/DD/YYYY) �--- 11/30/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: David R.Mettler Integrated Insurance Services,Inc. our tit,„t).(239)549-5420 FAX No)(239)549-7905 1639 Cape Coral Parkway E,#203 E-MAIL dave mte ratedinsfI.com ADDRESS' g Cape Coral,FL 33904 INSURER(S)AFFORDING COVERAGE NAIC B INSURERA: Hanover Insurance Company INSURED INSURER B:Technolo y Insurance Company Summit Home Respiratory Services,Inc. INSURER C: DBA:Summit Home Healthcare Products INSURER D: 1085 Business Lane,Unit 2 INSURER E: Naples,FL 34110 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLISUBRI POLICY EFF POLICY EXP LIR TYPE OF INSURANCE INSR I WVrt I POLICY NUMBER (MM/DOIYYYYI I UMM/DD/YYYY) LIMITS GENERAL LIABILITY I �� EACH OCCURRENCE s 1,000,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE S(RENTED PREMISES(Fa r.^nurenr,A) $100,000 CLAIMS-MADE 5(1 OCCUR X ZHJ 9287527 09 9/27/2018 9/27/2019 MED EXP(Any one person) S 5,000 X Products/Compl.Ops. PERSONAL&ADV INJURY 51,000,000 X Professional Liability GENERAL AGGREGATE s 3,000,000 GEM.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 53,000,000 X POLICY I I PRO- IFf.T LOC 5 AUTOMOBILE UABILITY COMBINED SINGLE LIMIT I 1,000,000 (En nreidontl A ANY AUTO BODILY INJURY(Per person) 5 — ALL OWNED SCHEDULED X ZHJ 9287527 09 9/27/2018 9/27/2019 BODILY INJURY(Per accit AUTOS — AUTOS ___ den) 5 X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE 15 AUTOS IP.r acddanll I I S - X UMBRELLA LIAB X OCCUR EACH OCCURRENCE I S 2,000,000 A EXCESS UAB CLAIMS-MADE X UHJ D534845 01 09/27/2018 09/27/2109 AGGREGATE 52,000,000 I DED RETENTIONS S WORKERS COMPENSATION X 17 Rv i ATUC I PR AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVEY I N I E.L.EACH ACCIDENT s 1,000,000 B OFFICER/MEMBER EXCLUDED? N NIA TWC3735558 09/27/2018 09/27/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 1,000,000 I(yes,describe under DESCRIPTION OF OPERATIONS be:ow E.L.DISEASE-POLICY LIMIT 151,000,000 A Crime/Employee Dishonesty X ZHJ 9287527 09 09/27/2018 09/27/2019 Per Occurrence $50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space is required) Collier County Board of County Commissioners,OR,Board of County Commissioners in Collier County,OR,Collier County Government, OR,Collier County included as an additional insured under the captioned Commercial General Liability and Automobile Liability Policies on a primary and non-contributory basis if and to the extent required by written contract for any and all work performed on behalf of Collier County. Sales of medical supplies. Collier County Services for Seniors,Solicitation/Contract No.18-7470. CERTIFICATE HOLDER CANCELLATION Collier County Board of County Commisioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN , 3295 Tamiami Trail East ACCORDANCE WITH THE POLICY PROVISIONS, Naples,FL 34112 AUTHORIZED REPRESENTATIVEy <DRM> CP'C ." " ' " I ©198E-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD