Agenda 10/28/2008 Item #16E19
Agenda Item No. 16E19
October 28,2008
Page 1 of 12
EXECUTIVE SUMMARY
Recommendation to waive formal competition and approve a Letter of Agreement with
Quest Diagnostics, Inc. effective January 1, 2009 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 County currently has an agreement with Community Health Partners (a/k/a "CHP") to
provide a physician and hospital preferred provider arrangement. The CHP network
encompasses all of the major hospital facilities, over 800 physicians, and various other medical
providers servicing Collier County. Quest Diagnostics, Inc. is an approved provider of
laboratory testing services for the CHP network.
Quest has the capability to provide the blood analysis and to gather the biometric measures
necessary to support the incentive based wellness program being implemented by the county.
Quest was the only laboratory services company in Collier County that offers onsite services
which will maximize employee productivity by reducing time away from the job. Quest also
offers five walk in centers in Collier County.
Once the test has been completed, the results will be sent to the CHP Advocate and
incorporated into the employee's Personal Wellness Profile. This information will be provided
by the Advocate to the employee to assist the employee with regard to improving their current
health status.
The fee for service has been established as part of Quest's agreement with CHP. However, a
Letter of Agreement with the County is necessary to set forth the logistical terms to implement
the program. For example, the agreement describes the estimated number of site visits that
will be required and the number of patients per site visit. It also sets forth the expected
number of services per year, contact persons, the term of the proposed work, and type of data
that will be gathered and to whom the results will be sent.
.-
Agenda Item No. 16E19
October 28, 2008
Page 2 of 12
Services will be billed directly to the County's Group Health Administrator, Meritain, Inc. for
processing as part of the wellness benefit offered by the Collier County Group Health
Plan.
Staff contacted and interviewed other CHP providers and has determined that they were either
not able or not interested in performing these services for the County. Hence, staff is
recommending waiver of formal competition and award of this Letter of Agreement to Quest
Diagnostics, Inc.
The commencement date of the Letter of Agreement is January 1, 2009.
FISCAL IMPACT: The cost per test is $125.00 and will be paid by the County's Group Health
Administrator, Meritain, Inc. for processing as part of the wellness benefit offered by the Collier
County Group Health Plan. Funds are budgeted within Fund 517, Group Health and Life
(Insurance Claims) to fund the program.
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with
this item.
LEGAL CONSIDERATIONS: William E. Mountford, Assistant County Attorney, opines that
the Executive Summary is legally sufficient.
RECOMMENDATION: It is recommended that the Board of Commissioners waives formal
competition and approves a Letter of Agreement with Quest Diagnostics, Inc. effective January
1, 2009 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
Page 1 of 1
Agenda Item No. 16E19
October 28,2008
Page 3 of 12
COLLIER COUNTY
BOARD OF COUNTY COMMiSSIONERS
Item Number:
Item Summary:
16E19
Meeting Date:
Recommendation to approve a Letter of Agreement with Quest Diagnostics. Inc. effective
January 1 2009 to provide onslte biometric and laboratory testing services in support of the
Wellness Based Incentives Program
10/28/2008 900 00 AM
Approved By
.Jeffrey A. Walker, CPCLJ,
ARM
Risk Management Director
Date
Administrative Services
Risk Management
10114/20089:47 AM
Approved By
Lyn Wood
Purcnasing Agent
Date
Administrative Services
Purchasing
10/14/200811:05 AM
Approved By
Steve Carnell
Pure hasing/Genera! Svcs Director
Date
Administrative Services
Purchasing
10/14/20084:17 PM
Approved By
Len Golden Price
Administrative Services Administmtor
Date
Administrative Services
Administrative Services Admin.
10/151200812:03 AM
Approved By
.Jeff Kiatzkow
Assistant County Attorney
Date
County Attorney
County Attorney Office
10/16/20089:01 AM
Approved B)l
OMB Coordinator
Applications .Analyst
Date
Administrative Services
Information Technology
10/1612008 11 :02 AM
Approved By
Randy Greenwald
Management/Budget Analyst
Date
County Manager's Office
Office of Management & Budget
10/16/2Q08 11:22 AM
Approved By
James V. Mudd
County Manager
Date
Board of County
Commissioners
County Manager's Office
10/21/200811:00 AM
fiIe://C:\AgendaTest\ExDort\! ] 5-0ctober%202R.%20200R\ 1 ()_%?OrnN~FNT%?OA(;FN
1 nn?nnn~
"
Agenda Item No. 16E 19
October 28,2008
Page 4 of 12
.
QUEST DIAGNOSTICS INCORPORATED
LETTER OF AGREEMENT
FOR BLUEPRINT FOR WELLNESSTM SERVICES
QUEST DIAGNOSTICS INCORPORATED, ("QUEST DIAGNOSTICS")
agrees to provide Blueprint for Wellness™ Services to:
Customer Name Collier County Government
II corporate name)
N/A
Subcontract name
Customer Contact/Title Karen Eastman, Wellness Programs Mgr, OR
Jeff Walker, Risk Management Director
Customer Contact Information Collier County Government
Street Address 3301 East Tamiami Trail, Blda. D
City Naples
State, Zip FL 34112
Phone Number Karen Eastman 239-252-8906 OR Jeff Walker 239-252-6092
Email Address kareneastman~colliergov.net OR JeffWalker@colliergov.net
Program Name/Account #(s) "INVEST IN YOUR HEALTH"
Total # of Participants Eligible and Number of Participants eligible: _ -2,200 in 2009
Estimated % participation Expected % Participation: 80 %
Requested Date(s) and Location(s) ~ List of locations for CCG is attached.
of Event ~ Primary location (same address as above, with -1,000
;Date(s) to be confirmed by BFW participants would like to begin BFW events on 1/20/09 for 2
Staff. weeks, then complete all locations by March 31 st.
List each individual location and # of
eligible participants at each).
Note than an "Event" is considered a
health fair/screening at one location
for a fixed, uninterrupted period of
time.
Event Staffing Commitment *: ~ Three (3) weeks before each Event
* Wellness Specialist will confirm with
the customer the number of **Staffing Commitments finalized less than three (3) weeks require
participants, event hours and prior approval and will be assessed additional charges as set forth in
schedule event staffing three weeks Section 1 of the Terms of Service, below.
Iprior to each event date.
2009: Health-Plan-eligible employees of CCG total - 2,200
Eligibility Criteria for Participation 2010: Age-based, Health-Plan-eligible employees of CCG -1,200
(e.g., employees only, spouses, etc.) 2011: Age-based, Health-Plan-eligible employees of CCG + eligible,
active spouses -2,200
2012: Final events take place Jan-March, 2012
Services Requested Personal Laboratory Report Solution
Program modules & pricinQ, below)
BFW LOA rev, 11/07
1
Laboratory Tests Included:
PSA (Males> or = 40) (Yes or No)
Agenda Item No. 16E19
October 28, 2008
Page 5 of 12
Heart: Total cholesterol, HDL, calculated LDL, triglycerides,
calculated cholesterol/HDL ratio (Note: no cardio-CRP as requested)
Thyroid: TSH-Thyroid Stimulating Hormone, and Free T4
Kidneys: BUN, creatinine, BUN/creatinine ratio
Bone: Calcium
Liver: Albumin, total protein, globulin, AlG ratio, Alkaline
Phosphatase, AL T, AST, total & direct bilirubin, and GGT
Pancreas: Glucose
Iwhole Body: Chloride, potassium, sodium, iron, TIBe, ironrTlBC
percent saturation, and ferritin
Pancreas: Hemoglobin A 1 c
Blood: CBC Hemogram
Lungs: Cotinine (blood sample)
NO
(specify if other than Males> or = 40)
NO HRA
On-site Events & Remote PSC Collection Kits
HRA (on-line, paper or both)
Specimen Collection:
(On-site Events, Remote/PSCs,
other)
Medical Authority (PWN Physician Quest Diagnostics will provide medical authority via PWN-
or Customer-supplied) Physician's Wellness Network.
Biometric Measurement Data
Requested:
Describe Customer reauirement)
Participant Incentive
I ncentive Criteria
On Line Registration Key
Wellness Program Participant ID?
Participant 10: Define unique
Participant 10 requested as it will
appear in the Customer eligibility
file(employee 10, SSN, Etc.)
Disclosure of ParticiDant Data in ~
Identifiable Format (Le., disclosure ~
of data other than the aggregate de-
identified statistical report provided to ~
Customer): ~
Define Customer requested Result
Reporting to participant or other 3rd
parties.
(e.g., third party disease
management or wellness provider)
* Disclosure of identifiable participant
data requires a written directive from
he Customer containing specific
elements, and must be received prior ~
o any release of PHI to anyone other
han the participant.
BFW LOA rev. ! 1/07
Height, Weight, BMI, Blood/Pressure, Waist, Hip, Waist/Hip Ratio
Participation in BFW-PLR is a key "qualifying step" for health-plan-
eligible employees to increase coverage from "Basic" to "Select" or
"Premium" without increasing their contribution to the health plan.
Well Source HRA and BFW-PLR
CCG
CCG Employee ID # - this change occurred 10/2/08
When spouses are added in 2011 they will use the employee 10 + S
or Spouse.
Do not send PLR data to Meritain (health plan) at this time.
CCG identified data should go to CHP-Community Health
Partners weekly.
CCG identified data should go to Well Source weekly.
CCG request that all printed BFW-PLR printed reports be
shipped directly to CHP so the CHP Health Advocates can
review lab and HRA results with each participant during their
one-an-one counseling sessions. CHP Health Advocate will also
give the participant their printed PLR report.
)0> All mailed PLRs should go (bulk is OK) to:
Attn: Kathy Jardone
Community Health Partners
851 5th Ave. North, Suite 201
Naples, FL 34102
CCG prefers NO participant results be available on-line at any
time..
2
i~,ii,..;;~iliil!lIJl:~~;<$lI.ir.;jik\"",:;O":~;&;;.~'~;I",,""~...;
De-Identified - Aggregate
Reporting:
Define requirements for De-Identified )0>
aggregate reporting breakout and
parties to receive the reporting.
Eligibility File of Participants:
Define contact that will provide the
eligibility file and target date for
delivery
IAn eligibility file is required where
BFW scheduling and/or an HRA
component is provided.
Note: Will participation be allowed if
employee and/or spouse is not
included in the eligibility file?
Program estimated start date(s)
Program estimated end date(s)
BFW LOA rev. J Ji07
Agenda Item No. 16E19
October 28 2008
)0> Exact Reporting TBD - includes program aggregate r~Et IiDtl12
weekly participation reports.
CCG would like the standard Aggregate Report following the
events (predicted to last through March 31, 2009, and about 1
month to allow some ees to visit a Quest Diagnostics PSC. After
that time, additional BFW registrations should be new
employees.
)0> They would like to get weekly Participant participation reports
showing those employees that have had BFW collected. CCG
will sort by Dept. or Cost Center to determine where they need
more communication to encourage participation.
)0> In subsequent years they want cohort reports that demonstrate
changes over prior year, stratified by Dept. or Cost Ctr.
Eligibility File to be Provided By:
Alice Toppe 239-252-8966 and James(Jim) Young of Collier County
Government
)> Only names in the eligibility file are allowed to participate in PLR.
CCG will send updated eligibility file (monthly) for the 39 months
of the program.
)> First eligibility file is due about Nov. 1, 2008. Beginning in 2011
spouses will be included.
Target Date: 1 week is Nov. 15th, 2008
)0> Events Jan 1 - Mar 31,2009, then as needed for new ees
throughout the year until Dec.31, 2009
)0> Events in 2010 will be limited to an age-based group, followed by
new employees.
)0> Events 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.
)0> 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. 31st, and the complete
proaram will end on March 31, 2012
3
BFW Pro ram Module sand Pricin
Agenda Item No. 16E19
October 28.2008
Page 7 of 12
Other comments or requirements:
Copies of electric invoices (as a convenience only) to:
>- Keith Wilson: keith.wilson@meritain.com
~ Victoria Krenik: victoria.krenik meritain.com
Term of the Letter of Agreement:
(mm-dd-yy - mm-dd-yy)
e.g., is the LOA effective for 1 Year
or 'ust for a one-time Event?
Customer Billin Account # s :
nnually - through March 31, 2012 (39 months)
[ ] One Year [] One-time Event (check one box)
X 39 Months - Jan 1, 2009 - March 31, 2012.
Invoices should be sent to CCG (email preferred but not required) for
Billing Arrangements: payment:
If other than bill to "Customer" please ~ Alice Toppe: 239-252-8966 or alicetoppe@collierqov.net
detail and provide billing contact ~ Claire Wilson: 239-252-6120 or clairewilson@collieraov.net
Alice Toppe OR Claire Wilson
Collier County Government
3301 Tamiami Trail, Bldg D
Naples, FL 34112
Monthl :39 months
Ann R. Brinkman
PROGRAMS OR COMPONENTS
pro ram details and special requirements should be noted
~ Participant Registration and Scheduling, online and by phone
~ Physician Oversight provided throughout program
~ BFW Specialist assigned as key contact throughout program
~ On-Site Collection Events*
~ Remote Collection Kits provided to employees unable to attend events
~ Bio-Metric Measures (Height, Weight, B/P, BMI, Waist & Hip circumference)
>- Personal Laboratory Report for every participant
>- Health Management Data Feed provided to vendors you select.
~ Heart: Total chol, HDL, calc LDL, triglycerides, calc chol/HDL ratio (NO CRP)
>- Thyroid: TSH-Thyroid Stimulating Hormone, and Free T4
>- Kidneys: BUN, creatinine, BUN/creatinine ratio
~ Bone: Calcium
~ Liver: Alb, total protein, globulin, A/G ratio, Alk Phos, AL T, AST, total &
direct bilirubin, and GGT
>- Pancreas: Glucose
~ Whole Body: Chloride, K, Na++, iron, TIBC, ironrrlBC %saturation, and
ferritin
$ All lab tests Included
~ Pancreas: Hemoglobin A 1 c
>- Blood: CBe Hemogram
>- Lun s: Cotinine blood sample
Height, Weight, BMI, B/P
Waist circumference, Hip circumference, Waist/Hip Ratio
$ Included
$ Included
BFW LOA rev. 1]/07
4
Agenda Item No. 16E 19
.:;lIr ")
'.
TOTAL Price/Participant $125.00
Note: This pricing will be in effect for 2009 and 2010. The 3rd and 4th year
(Jan. 2011 & Jan-Mar 2012 may be subject to a price increase up to but not
exceedin 4%.
SPECIAL PROGRAMS OR EVENT ARRANGEMENTS
(program details and special requirements should be noted)
In the event Collier County Government requests additional services not set forth $
bove, the arties shall mutuall a ree u on services and pricin .
PRICE PER PROGRAM
OR EVENT
BLUEPRINT FOR WELLNESS CUSTOM PROGRAMS
FULLY DETAIL
Send invoices to: Alice Toppe and Claire Wilson at CCG
~ Alice Toppe: 239-252-8966 or alicetoppe@collierQov.net
~ Claire Wilson: 239-252-6120 or clairewilson@collierQov.net
~ Addresses listed above
PRICE PER PROGRAM
OR EVENT
$ Included
$
$
BFW LOA rev. 11/07
5
Terms of Service:
Agenda Item No. 16E19
October 28, 2008
Page 9 of 12
"
1. BFW SERVICES: In accordance with the program-specific details listed above, Quest Diagnostics agrees t
provide the Blueprint For Wellness™ ("BFW") Services as further set forth herein. The BFW Servict.
provided by Quest Diagnostics are as follows:
a. Registration and Scheduling of participants (if selected by Customer): offered via online access or by
calling a toll-free wellness scheduling number.
b. Provision of all supplies and 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 9:00 PM and 6:00 AM
Monday-Saturday and between the hours of 6:00 PM Saturday and 6:00 AM Monday (additional
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-
participant charge).
(iii) Staffing is requested in advance for Events with fewer than 20 participants (a "Small Group Event"):
. Home or office visit to collect specimens from one participant: $95** per visit
. Small Group Events with 10 or fewer participants (based upon a 1-2 hour event, with one
examiner): $140**
. Small Group Events with 11-19 participants (based upon a 1-2 hour event, with one or two
examiners as determined by Quest Diagnostics)): $240**
· **the surcharges specified above are added in addition to BFW per-participant charges for
BFW Services. If additional staffing is requested for a Small Group Event, an additional $60
per hour/per examiner charge will be assessed.
. Depending on the number of Actual Participants who participate in the Small Group Event,
Customer will be assessed either the Small Group surcharges listed above, or the per-
participant charges for at least 20 Participants, whichever amount is lower.
(iv) Paramedical examiner is required to travel more than fifty (50) miles each way to/from the Event fro'
the ExamOne office where the paramedical examiner is based (additional $A7/mile over 50 mile
to/from Event). If an overnight stay is required, Customer will be billed actual lodging/food expenses.
d. Based upon the specific Program components selected by Customer, includes collection of biometric data,
shipment of specimens to the testing laboratory, and testing of laboratory specimens.
e. Release of test results to an Authorized Provider and if authorized, directly to participants. Customer will
also receive a report detailing aggregate de-identified statistics. Additional or reprinted reports may be
provided for an additional charge.
1. THIRD PARTY WELLNESS/DISEASE 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 to 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, (ii) the provision of identifiable participant data is consistent with the Notice (iii)
access to identifiable participant data will be limited to only those employees who require access to the
data for the proper performance of their duties on behalf of Customer's third party disease management or
wellness provider receiving the data on its behalf is acting in its capacity as a "Business Associate" of
Customer.
2. PAYMENT TERMS: Customer agrees to pay Quest Diagnostics for services as set forth herein within thirty
(30) days of date of invoice, and Customer agrees not to submit (or request Quest Diagnostics to submit) any
claim, bill or other request for reimbursement to any insurer, Managed Care Organization, Government health
program, fund, or to any other person or entity. Quest Diagnostics reserves the right to add a charge of the
lesser of one and one-half percent (1 Y2%) per month, or the maximum rate the law permits, on all amounts
thirty (30) or more days past due.
BFW LOA rev, II/O?
6
3.
Agenda Item No. 16E19
October 28. 2008
MEDICAL AUTHORITY: Customer acknowledges and agrees that only a person who is ~rttedfdra:der
applicable state/federal law to order those clinical laboratory tests included in the Blueprint For Wellness TM
product ("Testing") shall order all Testing (such person shall be referred to as an "Authorized Provider").
a. In the event Customer provides such Authorized Provider themselves, Customer represents and warrants
that the Authorized Provider meets all state/federal laws applicable to the ordering of Testing. Alternately,
in the event Customer elects to have Quest Diagnostics arrange for an Authorized Provider, Quest
Diagnostics shall represent and warrant that this Authorized Provider meets all state/federal laws
applicable to the ordering of Testing.
b. Quest Diagnostics shall report laboratory results only to such Authorized Provider, unless such Authorized
Provider gives permisSion for Quest Diagnostics to release the lab results to such employee participants
as desired. If Customer is providing such Authorized Provider, the requirement to allow release of results
directly to the participant 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-of-normal range laboratory results.
d. While the Authorized Provider may set his/her own alert values, critical ranges are not modifiable.
e. The Authorized Provider may be required to forward test results to the participant's personal physician.
4. NO-SHOW, MINIMUM, AND CANCELLATION CHARGES:
At least three (3) weeks prior to an Event, Customer and Quest Diagnostics will finalize a Staffing Commitment
("Staffing Commitment") which allows Quest Diagnostics to schedule staffing for the Event based upon the
number of expected participants and length of the Event. At the point the Staffing Commitment is finalized,
Customer will be responsible for paying no-show, minimum, and cancellation charges.
a. No-Show Charges: No-Show Charges will not apply if at least 90% of the Expected Participants
participate in the Event ("Actual Participation Rate"). The term "Expected Participants" means the
number of participants that were expected to participate at the time the Staffing 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 Participants and there are 80 Actual Participants,
Customer will be charged a No-Show Charge of $20 for 10 Participants. [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 staff 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, "Event" means one wellness screening/health fair held at a single location. For
an Event that is expected to have less than 20 Expected Participants, Customer may make arrangements
in advance for Quest Diagnostics to staff for a Small Group Event. Small Group Event charges are further
described in Section 1 and are assessed to Customer to equip, staff and manage the Small Group Event.
c. Cancellation Charges: If an Event is cancelled after the Staffing Commitment has been finalized,
Customer shall be responsible for paying $20.00 for each Expected Participant. Postponement of an
Event is equivalent to a Cancellation.
5. LEGISLATIVE/REGULATORY CHANGE: In the event federal or state 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 agreement to fully comply with any legislative or
regulatory changes. All other modifications or amendments to this agreement will not be binding unless
reduced to writing and signed by the parties hereto.
6. TERMINATION: This agreement will take effect on the date it is fully executed by both parties, and shall
terminate upon completion of both parties' obligations hereunder.
7. INDEMNIFICATION: Not to exceed the maximum extent permitted by Florida law, Quest Diagnostics shall
indemnify and hold harmless Collier County, its officers and employees from any and all liabilities,
BFW LOA rev. 1]/07
7
Agenda Item No. 16E19
October 28, 2008
damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paral~e' fE:t~, 1Q
the extent caused 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
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. The
provisions of this paragraph shall survive termination of this Agreement. This section does not pertain to
any incident arising from the sole negligence of Collier County.
8. INSURANCE: Quest Diagnostics shall agree to maintain the following insurance coverage during the
course of this agreement. Quest Diagnostics may utilize a program of self insurance for all or any portion
of the minimum limits required to be carried.
TYPE LIMITS (Check)
X Workers' Compensation Statutory Limits of Florida Statutes 440 and Federal Government Statutory Limits
and Requirements
X Employer's Liability iX $500,000 $1,000,000
X Commercial General $500,000 per occurrence X $1,000,000 per occurrence bodily injury and
Liability (Occurrence Form) bodily injury and property property damage
patterned after the current damage I
ISO form with no limiting I
endorsements. i
X Professional Liability X I $1,000,000 per occurrence $2,000,000 per occurrence
Insurance i $1,000,000 aaareaate $2,000,000 aggregate
. 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. No other format will be
accentable.
Thirty (30) Days Cancellation Notice required on Agreements exceeding 6 months. The contract name and number
shall be included on the certificate of insurance.
Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General
Liability.
9. ENTIRE AGREEMENT: This Agreement constitutes the entire understanding between the parties regarding
the subject matter hereof and supersedes all prior understandings, arrangements and agreements relating to
the subject matter hereof.
10. INDEPENDENT CONTRACTORS: It is expressly understood and agreed by the parties hereto that Quest
Diagnostics and Customer will at all times be and act as independent contractors.
11. 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 Blueprint for Wellness program.
BFW LOA re\'o 11/07
8
.. .
Agenda Item No. 16E19
October 28, 2008
Page 12 of 12
IN WITNESS WHEREOF, Quest Diagnostics Incorporated and Collier County have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first written above.
ATTEST:
Dwight E. Brock, Clerk of Courts
By:
Deputy Clerk
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FL
By:
Tom Henning, Chairman
Dated:
QUEST DIAGNOSTICSINCORPORA TED
Witness Signature
By:
Typed/Printed Name Here with Title
Witness Signature
ncy:
BFW LOA rev. I l/07
9