Agenda 12/01/2009 Item #16E 2
Agenda Item No. 16E2
December 1. 2009
Page 1 of 13
EXECUTIVE SUMMARY
Recommendation to approve a Letter of Agreement with Quest Diagnostics, Inc.
effective January 1, 2010 to provide onsite biometric and laboratory testing services in
support of the Wellness Based Incentives Program.
OBJECTIVE: To provide Biometric Lab Testing services in support of the Wellness Based
Incentives Program.
CONSIDERATIONS: On September 23, 2008, the Risk Management Director presented a
report to the Board of Commissioners regarding the integration of behavior based wellness
incentives into the Collier County Group Health Plan. The purpose of the program is to
engage employees to participate in various wellness related activities or "qualifiers" to prevent
illness and to manage chronic disease. Employees are enrolled in one of three plans with
progressively better benefits (Basic, Select, or Premium) based upon their completion of these
qualifiers. The qualifiers include the completion of a personal wellness profile; the gathering of
weight, height and waist measurements; a complete blood analysis; age and gender based
screenings; and participation in diabetes management and smoking cessation programs (if
applicable). The participation rate by employees was 93% in 2009.
Quest Diagnostics, Inc. provides the blood analysis and biometric measurement portion of the
program. Once the testing is completed, the results are sent to the onsite Health Advocate and
incorporated into the employee's Personal Wellness Profile currently provided by Wellsource,
Inc. This information is provided by the Health Advocate to the employee to assist the
employee with regard to improving their current health status.
As part of an ongoing critique of the program, staff determined that the number of laboratory
tests performed could be reduced from twenty (20) tests to thirteen (13). Staff also determined
that the current personal wellness profile report through Wellsource required a significant
amount of manual manipulation to integrate the lab test results and the report could not be
accessed online by the employee. Quest also offers a personal wellness profile report which
automatically integrates the lab results into the report. Staff reviewed the report format and
determined that its quality was comparable with the Wellsource report; that it provides better
data integration capability; and it permits online access by the employee.
Staff is recommending that the Letter of Agreement with Quest be approved to incorporate the
changes mentioned above.
The commencement date of the Letter of Agreement is January 1, 2010.
,..,.,~
FISCAL IMPACT: The cost per test including the personal wellness profile report is $129.50
compared to the current cost of $125.00 per test without the report. It is estimated that
approximately 1,100 employees will need to complete qualifier testing in 2010 as compared to
2,088 employees in 2009. Therefore, the maximum aggregate cost of the program is
estimated to be $142,450 in 2010 compared to $244,250 in 2009. Funds are budgeted within
Fund 517, Group Health and Life (Insurance Claims) to fund the program.
Agenda Item No. 16E2
December 1. 2009
Page 2 of 13
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with
this item.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney's Office
and is legally sufficient for Board action. - CMG
RECOMMENDATION: It is recommended that the Board of Commissioners approves a Letter
of Agreement with Quest Diagnostics, Inc. effective January 1, 2010 to provide onsite
biometric and laboratory services in support of the Wellness Based Incentives Program, and
authorizes the Chairman to execute the agreement.
PREPARED BY:
Jeff Walker, CPCU, ARM, Director Risk Management
.',~,
Agenda Item No. 16E2
December 1, 2009
Page 3 of 13
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
Item Number:
Item Summary:
16E2
Meeting Date:
Recommendation to approve a Letter of Agreement with Quest Diagnostics, Inc. effective
January 1, 2010 to provide onsite biometric and laboratory testing services in support of the
Wellness Based Incentives Program. (Fiscal Impact $142,450)
12/1/20099:00:00 AM
Prepared By
Jeffrey A. Walker, CPCU, Director ~ Risk Management Date
ARM
Administrative Services
Division Risk Management 10128/20099:17:12 AM
Approved By
Jeffrey A. Walker, CPCU,
ARM Director - Risk Management Date
Administrative Services
Division Risk Management 10/28120099:17 AM
Approved By
Lyn Wood Contracts Specialist Date
p
Administrative Services
Division Purchasing & Genera! Services 1012912009 4: 35 PM
Approved By
Colleen Greene Assistant County Attorney Date
County Attorney County Attorney 11/12/20098:41 AM
Approved By
Steve Carnell Director ~ Purchasing/General Services Date
Administrative Services
Division Purchasing & General Services 11116/200912:27 PM
Approved By
Jeff Klatzkow County Attorney Date
11117120093:06 PM
Approved By
Len Golden Price Administrator - Administrative Services Date
Administrative Services
Division Administrative Services Division 11120/200910:09 AM
Approved By
--'" Laura Davisson Management & Budget Analyst
Date
County Manager's Office Office of Management & Budget 11120/200910:37 AM
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Agenda Item No. 16E2
December 1, 2009
Page 4 of 13
Approved By
John A. Yonkosky
Office of Management &
Budget
Director ~ Management and Budget
Date
Office of Management & Budget
11/20/200910:51 AM
Agenda Item No. 16E2
December 1, 2009
Page 5 of 13
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QUEST DIAGNOSTICS INCORPORATED
LETTER OF AGREEMENT
FOR BLUEPRINT FOR WELLNESS'DI SERVICES
QUEST DlAGNOSnC8 INCORPORATED, rQUE8T D1AGN08TlCS")
ag.... to PI~4Ide Blueprtnt for w.tI,...."" 8erYI~ to:
I
J
oilier County Government
N1A
ubcontnlct name
uatomer ContactlTltle
ren ElIatman, Weltness Programs Mgr, OR
eft Walker Risk Mana ement Director
oilier County Government
301 East Tamiami Trail Bl .0
ales
34112
ran Eastman 239-252-8908 OR Jeff Walker 239-252-6092
neastman collie oV.net OR JeflWalke Ilia oV.net
INVEST IN YOUR HEALTH"
umber of Participants eligible: _Based on age eligible criteria, and
ployees > 50 years of age
otal , of Pertlclpants Eligible and
cted % Particl alion: 80 %
> List of locations for CCG is attached.
> Primary location (same address as above, w~h -1,000
participants would like to begin BFW events on 1120/09 for 2
weeks, then complete allloealions by March 3101. .,
Ust each individual location and # of
IIgible participants at each).
ole than an "Event" is considered a
alth fairfscreening at one location
or a fixed, uninterrupted period of
'me,
Event Ststllng Commitment": > Three (3) weeks before each Event
Wellness Specialist will confirm with
e customer the number of
articlpants, event hours and
ehedule event staffing three weeks
. to each event date.
Staffing Commitments finalized less than three (3) weeks requira
prior approval and will be assessed additional charges as set forth in
Section 1 of the Terms of Service, below.
09: Heallh-Plan-eligible employees of CCG to18l- 2,200
Eligibility Criteria for Participation 010: Age-based, Heallh-Plan-eligible employees of CCG -1,200
(e.g., employees only, spouses, etc.) 2011: Age-based, Heallh-Plan-eligible employees of CCG + eligible,
active spouses -2,200 .
12: Final eventa take lace Jan-March 2012
ersonal Laboratory Report Solution
below
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rt: Total cholesterol, HOL, calculated LDL, triglycerldes,
lculaled cholesterollHOL ratio (Note: no cardio-CRP as requested)
Yl'Oid: TSH- Thyroid stimulating Hormone, and Free T4
Idneys: BUN, creatinine, BUN/creatinine ratio
: Calcium
Liver: Albumin, lolal protein, globulin. A1G ratio, Alkaline
hoaphatase, AL T, AST, total & direet bilirubin, and GGT
ancl'llllll: Glucose
hole Body: Chloride, potassium, sodium
Incl'llllll: Hemoglobin A1c
Blood: CBC Hemogram
u e: Cotinine blood sam e
o
s . if other than Males > or = 40
HRA - Both
n-site Events & Remote PSC Collection Kits
Participation in BFW-PWR is a key "qualifying step" for heaith-plan-
Iiglble employees to increase coverage from "Basic" to "Seled" or
Premium" without increasing their contribution to the heaith plan.
FW-Pe~nal Wellness Report to include HRA
CCG
CG Employee ID # -this change occurred 1012108
en spouses are added in 2011 they will use the employee 10 + S
Spouse.
Laboratory Tests Included:
A (Males> or = 40) (Yes or No)
RA (on-lIne, papar or both)
paclmen CoIlec:tIon:
On-site Events, RemoteIPSCs,
ther
edlcal Authority (PWN Physician
r Cuatol"ar..uppllacl)
Biomatrlc Menure..lant Oalll
&quested:
Describe Customer uirement
Participant Incentive
ncentlve Crltarla
n Une Reglatratlon Kay
elln... Program Participant 101
Participant 10: Define unique
articlpant 10 requested as it will
ppear in the Customer eligibility
Ie em ee 10, SSN Etc.
re Prti D >
antltlable Fo ~.e., disclosure >
data other than the aggregate de-
. dentified statistical report provided to >
ustomer):
ne Customer requested Resuit
Reporting to participant or other 3'" >
parties.
e.g., third party disease
an&gement or wellness provider)
Disclosure of identifieble participant
ala require& a written directive from >
he Customer containing specific
lements, and must be received prior
o any release of PHI to anyone othe
han the rtici anl
B:FWLOA~.lll07
Agenda Item No. 16E
December 1. 200
Page 6 of 1
uest OiIIgnoslicS will provide medical authority vIa PWN-
hysician's Wellness Network.
eight, Weight, BMI, Blood/Pressure, Waist, Hip, WaistlHip Ratio
Do not send PWR data to Meritain (health plan) at this lime.
CCG identified data should go to CHP-Community Health
Partners weekly.
CCG request that all printed BFW-PLR printed reports be made
available to CHP so the CHP Health Advocates can review lab
and HRA results with each participant during their one-on-one
counseling sesaions.
All mailed PWRs should ship in bulk to:
AIln: Sandy Theobald
Community Health Partners
651 5"' Ave. North, Suite 201
Naples, FL 34102
CCG prefers no participant results be available on-line at any
time.
2
I
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- Aggregate
Hglblllty File of Partlcipanta:
ne contact that will provide the
ligibility file and target date for
livery
n eUgibllity file is required where
scheduling and/or an HRA
mponent is provided.
ote: Will participation be allowed If
ployas end/or spouse is not
Included in the eligibility file?
rogram estimated start datels)
rogrsm estimated end data(s)
BFWLOA....Il/07
Aoenda I
December 1. 200
Page 7 of 1
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l>- Exact Reporting TBD - includes program aggregate report and
weekly participation reports.
CCG would like the standard Aggregate Report following the
events (predicted to last through March 31, 2009, and aboul1
month to allow some ll8lI to visit a Quest DIagnostics PSC, After
that time, additional BFW registrations should be new
employees.
l>- They would like to gel weekly Participant participation reports
showing those employees that have had 8FW collected. CCG
wiU sort by Dept. or Cost Center to cIelermine where they need
more communication to encourage participation.
)> In subsequent years they want cohort reports that demonstrate
ch . over rior ear, stratified b De . or Cost ClI".
Eligibility File to be Provided By:
lice Toppe 239-252-8966 and James(Jim) Voung of Collier County
ovemment
)> Only names in the eligibility file are allowed to participata in
Blueprint for Wellness. CCG will send updated eligibility file
(monthly) for the 39 months of the program,
l>- Firat eligibility file iB due about Nov. 1, 2008. Beginning in 2011
spouses will be included.
algel Date for Vear 2 Eligibility File: TBD
l>- Events Jan 1 - Mar 31, 2009, then as needed for new ees
throughout the year until Dec.31, 2009
)> Events in 2010 will be limited to an age-based group, followed by
new employees.
l>- Event. In 2011 will be limited to an age-based group and
spouses, and will be followed by new employees.
)> Events in 2012 will include employees, spouses and may be age
based.
l>- Client reserves the right to adjust dates and scope of services by
year with ample advance notice to BFW.
Program will end annually on Dec. 31", and the complete
ram will end on March 31 2012
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AgeQrlaJjpm Wo.. "
December 1. 200
Page 8 of 1
BFW Pro ram Module sand Pricin
r comments or requirements:
pin of eledric invok:es (as a convenience only) to:
)> Keith Wilson: ~.wil.on@merit8in.com
)> Victoria Krenik: vic:toria.krenik merttain,com
nually - through March 31, 2012 (39 months)
] One Vear [] One-time Event (check one box)
39 MonthS - Jan 1 2008 - March 31 2012.
enn of the LetlIIr of Agreement
mm-dd-yy - mm-dd-yy)
Invoices should be sent to CCG (email preferred but not required) for
Ilnnll Ar'r'ano-nt:s: yment:
If other than bill to 'Customer" please)> Alice Toppe: 239-252-8966 or alic:eto~c:olli!.rgov.net
elail and provide billing contact )> Claire Wilson: 239-252-8120 or clairewllson@collieraov.!1ej
Alice Tappe OR Claire Wilson
CoHier County Government
3301 Tamiami Trail, Bldg 0
Naples, FL 34112
X Month :39 months Other:
R an Van Horn
NO
NO
Electronic Invoices
PROGRAMS OR COMPONENTS
ram details and s cial re uirements should be noted
)> Participant Registration and Scheduling, online and by phone
)> Physic:ian Oversight provided throughout program
)> BFW Specialist assigned as key c:ontad throughout program
)> On-Site Colledion Events.
Remote Colldon Kits provided to employees unable to attend eVllnts
Bia-Metric MIIe.ures (Height, Weight, BIP, BMI, Waist & Hip circumference)
)> Personal Wellness Report for every participant
> Health Management Data Feed provided to vendol'll you select.
)> Heart: Total chol, HDL, celc LDL, triglycerides, calc choVHDL ratio (NO CRP)
)> Thyroid: TSH-Thyroid Stimulating Hormone, and Free T4
)> Kidneys: BUN, creatinine, BUNlcnlatinine ratio
Bone: Calcium
)> Liver: Alb, total protein, globulin, AlG ratio, Alk Phos, AL T, AST, total &
direct bilirubin, and GGT
)> Pane.....: Glucose
)> Whole Body: Chloride, K, Na++
)> Pane.....: Hemoglobin A 1 c
Blood: CBC Hemogram
)> Lun : Cotinine blood sam Ie
aist circ:umference, Hip circumference, WaistIHip Ratio
TOTAL Price/Participant
Note: This price is for 201 0 Program. The 3'" and 4'" year (Jan. 2011 & Jan-
Mar 2012 ma be au 'ed to a rice increese u to but not exceedln 4%.
SPECIAL PROGRAMS OR eveNT ARRANGEMENTS
(program details and special requirements should be noted)
All lab tests Included
,
Included
129.50
PRICE PER PROGl-<AM
OR EVF Nl
BFWLOA~.IIl07
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Included
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Page 9 of 1
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n the event Collier County Government requests additional services not set forth
bow the rties shall mutuall a ree u on services and ricin .
BLUEPRINT FOR WELLNESS CUSTOM PROGRAMS
FULLY DETAIL
end invoices to: Alice Toppe and Claire Wilaon at CCG
)> Alice Toppe: 239-252-8966 or alicatolll!l@colli~rgov.net
)> Claire Wilson: 239-252-6120 or clairewiJso.n@colliel'llov.net
)> Addre.... listed above
PRICE PER PROGRAM
OR EVENT
,
BFW LOA rar. 11107
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Agenda Item No. 16E
December 1, 200
Page 10 of 1
Tenna of Service:
1. BFW SERVICES: In accordance with tha program-specific details listed above, Quest Diagnostics agrees to
provlcle the Blueprint For Wellnesl no ("BFW) Services as further set ferth herem. The BFW ServICeS
provided by Quest Diagnostics are as fellows:
I. Regllllnltion and Scheduling of participants (If seleCted by Customer): offered via online acceSI or by
calling. toll..free wetlness scheduling number,
b. Provilion of all supplies end test kits necessary to provide BFW Services.
c. Collection Services to obtain/collect all specimens from participants at an "Event'. Additional charges will
apply when:
(i) Paramedical examiner is required to collect specimens between the hours of g:oo PM and 6:00 AM
Monday-saturday and between the hours of 6:00 PM Saturday and 6:00 f>N, Monday (eddlttonal
charge of $30 per hour, per examiner applies).
(ii) Staffing of the Event is requested less than three (3) weeks prior to the Event (additional $7 per-
particlpant charge).
(iii) Staffing is requested in advance fer Events with fewer than 20 participants (8 "Small Group Even!'):
. Home or office visit to collect specimens from one participant: $95- per vls~
. Small Group Events with 10 or fewer participants (based upon a 1-2 hour even\, with one
examiner): $140-
. Smell Group Events with 11-19 participants (based upon a 1-2 hour event, with one or two
examiners as datermined by Quest Diagnostics)): $240-
. ""the surcharges speclfted above are added in addition to BFW per-particlpant charges fer
BFW Services. If addttional staffing Is requested fer a Small Group Even~ an additional $60
per hour/per examiner charge will be assessed.
. Depending on the number of Actual Participants who participate in the Small Group Even~
Customer will be assessed either the Small Group surcharges nsted above, or the per-
participant charges for at least 20 Participants, whichever amount is lower.
(iv) Paramedical examiner Is required to travel more than fifIy (50) miles each way tolfrom the Event from
the ExamOne office where the pelllllledlcal examiner II based (additional $.47/mile over 50 miles
loIfrom Event). If an overnight stay Is required, Customer win be billed actuallodginglfood expenses.
d. Based upon the specific Program components selected by Customer, Includes collection of biometrlc data,
shipment of specimens to the testing laboratory, and testtng of laboratory specimens.
e. Release of test results to an AutI10fized Provider and If authOfized, directly to participants, Customer will
also receive a report detailing aggregate de-idenlifjed statistics. Additional or reprinted reports may be
provided for an additional charge.
1. THIRD PARTY WELLNESSlDISEASE MANAGEMENT PROVIDER -
COMMUNITY HEALTH PARTNERS (CHP)
2. WELL SOURCE - Wellness Provider
Customer has directed Quest Diagnostics to release participant test results or other Identifiable health
information \0 third party disease management or wellness providers. Customer represents and warrants
that (I) it has provided the appropriate notice to participants in its HIPAA Notice of Privacy Practices to
allow such a disclosure, (In the provision of identifiable participant data is consistent with the Notice (III)
access \0 identifiable participant deta will be limited to only thoSe employees who require ace..s to the
data for the proper performance of their duties on behalf of Customer's third party diu s. e management or
wallness provider receiving the data on its behalf is acting tn its capacity as a "Business Associate" of
Customer.
2. PAYMENT TERMS: Customer agrees to pay Quest Diagnostics fer services as set forth herein within thirty
(30) days of date of Invoice, and Customer agrees not to submtt (or request Quest Diagnostics to submtt) any
daim, bill or other request for reimbursement \0 eny insurer, Managed Care OrganizatIOn, Government health
program, fund. or to any other person or entity, Quest Diagnostics reserves the right to edd a charge of the
lesser of one and one-half percent (1 14%) per month, or tha maximum rate the law permits, on all amounts
thirty (30) or more days pest due.
BFW LQA rev. 11/07
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Agenda Item No. 16E
December 1. 200
Page 11 011
3. MEDICAL AUTHORITY: Customer acknoWledges and agrees th~ onl d1edY a. PllthenloBn IW~..lsntaFulhorOwriz..edln.u.n.~
applicable statelfedelBlllIW to order those clinical laboratory tests ,nc u ,n" u'"!"'. .
productrTBSti1gi shall ordar all Testing (such penlOn shall be referred to sa an Authonzed ProvIder").
. In the event Customer provides such Authorized provider themselves, Customer repnlll8n1s and warrants
. that the Authorized Provider meets an statelfedelBllaws applicable to the ordering of Testing. Alternately,
in the event Customer electll to have Queet Diagnostics arrange for an Authorized Provider, Queet
Diagnostics shall repA!?ent and warrant that this Authorized Provider meets all stal8lfederal laws
applicable to the ordering of Tasting. .
b. Quest Diagnostics shall report labOratory results only to such Authorized Provider, unleSs such Au,!,,~rized
Provider gives permission for Quest Diagnostics to relaase the lab results to such employee participants
as dBSired. If Customer is providing such Authorized Provider, the requirement to allow release of results
dlreclly to the perticipant must be included in Customer's contract with such Authorized Provider.
c. The Authorized Provider is responsible for contacting participants in the event of alert, critical, and
significantly out-<3f-normal range laboratory results.
d. While the Authorized Provider may set hislher own alert valullS, critical ranges are not modliiable.
e. The Authorized Provider may be required to forward test results to the particlpanfs personal physician.
4. NO-SHOW. MINIMUM, AND CANCELLATION CHARGES:
At IeBst three (3) weeks prior to an Even~ Customer a~ Quest Diagnostics will finalize a Staffing Commttment
rStalling Commitment") which allows Quest Diagnostics to schedule staffing for the Event based upon the
number of expected participants and length of the Evenl At the point the S!afting Commitment is finalized,
Customer will be rasponslbie for paying no-show, minimum, and cancellation charges.
.. NO-ShoW Charg..: No-Show Charges will not apply if at least 90% of the Expected Participants
particlpa181n the Event ("Actual Participation Rate"). The 18rm "Expected Participants" means the
number of partlcipanls that were expacted to participate at the time the Stalling Commitment is
finalized (Including scheduled participants and expected walk-in participants). For all Events where the
Actual Participation Rate Is less than 90%, Customer will be charged a No-Show Charge of $20 per
participant until the Actual Participation Rate is equivalent to 90%.
For example: If an Event is held for 100 Expected Perticipants and there are 80 Actual Participants,
Customer will be charged a No-Show Charge of $20 for 10 Perticlpants. (100 Expected Participants x
90% No-Show Threshold] = 90 , and [90 minimum required participants - 80 Actual Participants) x $20
= $200 No-Show Penalty.
b. Minimum Event Participation and Hourly Participant Flow: Unless a Small Group Event Is arranged in
advance, Quest Diagnostics will only schedule and stall Events with a minimum of 20 Expected
Participants and where at least 10 participants per hour can be processed by a specimen collector. For
purposes of this section, "Evenr means one wellness screenlnglhealth fair held at a single location. For
an Event that Is expected to have less than 20 Expected Participants, Customer may make arrangements
in edvance for Quest Diagnostics to staff for a Small Group Event Small Group Event charges are further
de"", ibed in Section 1 and are assessed to Customer to equip, staff and manage the Small Group Event.
c. Cancellation Chargee: If an Event is cancelled after the Stalling Commitment has been finalized,
Customer shall be responsible for paying $20.00 for each Expected Pertlclpanl Postponement of an
Event is equivalent to a Cancellation.
S, LEGISLATIVElREGULATORY CHANGE: In the event federal or slate legislative and/or regulatory changes
Impact Quest Diagnostics' clinical reference laboratory business, Quest Diagnostics will retain the right, upon
prior written notice to Customer, to immediately amend this ag, aament to fully comply with any legislative or
reguiatory changes. All other modllicallons or amendments to this agreement will not be binding unless
reduced to writing and signed by the parties hereto.
6. TERMINATION: This agreement will lake effect on the da18 it is fully execu18d by both parties and may be
renewed on an annual basis upon mutual agreement of the parties for two additional one (1) yaer periods.
Customer wiR provide Quest Diagnostics with Bixty (60) days advanced writllln notice of Its Intent to renew,
BFWLOAm'.lU07
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Aoenda Item n 1 hF
eeember 1. 200
Page 12 of 1
7. INDEMNIFICATION: Not to exceed the maximum extent permitted by Floride ~, Quest Dndiagall'l<l08l~bllsili~U
indemnify and hold harmless Collier County, its o1ficel1l and employees ""m any a la .1,
damages, losses and costs, Including, but not limited to, leasooable attorneys' fees and paralelJals' faell, to
the extent causad by the negligence, recklessness, or Intentionally wrongful conduct of Quest Diagnostics
or anyone employed or utilized by the Quest Diagnostics in the perfOrmance of this Agreement. ThiS
indemnlflcatlon obligation shall not be conltrued to negate, abridge or reduce .any other .rights or remedies
which otherWIse may be avaVeble to an indemnified perty or person descnbed In tl1I1 paragraph. The
provlaions of this paragraph shall lurvlve termination of this Agreement. This section does not pertain to
any incident arising from the sole negligence of Collier County.
s. INSURANCE: Cluest DiagnosticS shan agree to mainteln tha following inlurance coverage during the
COUrH of this agreement Quest Diagnostics may utilize e program of self insurance for all or any portion
of the minimum limits required to be carried.
TYPE
X Wcrtel1l' Compensation
X
X
LIMITS Check
Statutory limits of Florida Statutes 440 and Federal Government Statutory Limits
and R uirements
X $500 000
$500,000 per occurrence
bodily Injury and property
damage
$1 000 000
X $1,000,000 per occurrence bodily injury and
property damage
E 10 'I LIabi
Commercial General
llabRIly (Occurrence Form)
patillmed after the current
ISO form with no limiting
endorsements.
X Professional Liability X $1,000.000 per occurrence $2,000.000 per occurrence
Insurance $1.000 000 r ate $2,000,000 ate
Collier County Board of County Commissioners shall be named as the Certificate Holder. NOTE-The "Certificate
Holder" should read as follows:
Collier County
Board of County Commissioners
Naples. Florida
No County Division, Department, or individual name should appear on the Certificate. M2 other f2!mI! will a
Thirty (30) Days Cancellation Notice required on Agreements axceeding 6 months. The contract name and number
shall be included on the certificate of Insurance.
Collier County must be named 88 "ADDITIONAL INSURED" on the Insurance Certificate for Commercial Genaral
liabil
9. ENTIRE AGREEMENT: This Agreement constitutes the entire understanding between the parties regarding
the lubject matter hereof and supersedes all prior understandings, al'Tangements and agreements relating to
the subject mailer hereof.
to. INDEPENDENT CONTRACTORS: It is expressly understood and agreed by the parties hereto that Quest
Diagnostics and CUltomer will at all times be and act as independent contractors.
t 1. TRADEMARKS: Neither party shall use the trademark, trade name, or service mark of the other party for any
purpose without the prior written consent of the other party. however, Customer authorizes the use of its name
and/or logo as a participant in the Bluaprlnt for Wellness program.
<
BFW LOA l'C'I. llra7
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'genaa lem 1\10. -, ot:..c:::
December 1. 2009
Page 13 of 13
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IN WITNESS WHEREOF, Quest Diagnostics Incorporal8d and Collier County have each, /'88pectively,
authorized person or agen~ hereunder set their ha~ds and seals on the dale and year first wrtIten above.
,
!
,
by an
ATTEST:
Dwight E. Brock. Clerk of Coul1s
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FL
By:
Deputy Clerk
Dated:
By:
Donna Fiala, Chairman
Approved as to form and legal sufficiency:
Assistant County Attorney
~~
Print Name
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BFW LOA ....11107
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