Agenda 09/09-10/2008 Item #10F
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AGREEMENT FOR MEDICAL EXAMINER SERVICES ,I Pg I of- I ..
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THIS AGREEMENT FOR MEDICAL EXAMINER SERVICES, (Agreement), made and
entered into this 9th day of September, 2008, by and between Marta U. Coburn, M.D.,
Florida District Twenty Medical Examiner for Collier County, Florida, doing business as District
20 Medical Examiner, a Florida for Profit Corporation, (hereinafter called "Medical Examiner"),
and the Board of County Commissioners of Collier County, Florida, (hereinafter called
"County"). Medical Examiner and County are hereinafter collectively referred to as the
"parties."
WHEREAS, Dr. Marta U. Coburn was re-appointed Florida District Twenty Medical
Examiner for Collier County, Florida, on October 19, 2005, by Jeb Bush, Governor of the State
of Florida; and
WHEREAS, Section 406.06(2), Florida Statutes, provides that the District Medical
Examiner may appoint Associate Medical Examiner(s) to provide medical examiner services at
all times and all places within the district and that said Associate Medical Examiner(s) shall
serve at the pleasure of the District Medical Examiner; and
WHEREAS, Section 406.06(3), Florida Statutes, states that District Medical Examiner(s)
and Associate Medical Examiner( s) shall be entitled to compensation and such reasonable salary
and fees as are established by the Board of County Commissioners in their respective district;
and
WHEREAS, Section 406.08(1), Florida Statutes, provides that fees, salaries and
expenses for the Medical Examiner's office may be paid from the general funds or any other
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funds under the control of the Board of County Commissioners and that the Medical Examiner
shall submit an annual budget to the Board of County Commissioners; and
WHEREAS, Section 406.08(5), Florida Statutes, provides that autopsy and laboratory
facilities utilized by the District Medical Examiner or Associate Medical Examiner(s) may be
provided on a permanent or contractual basis by the counties within the district; and
WHEREAS, Collier County desires to contract with Marta U. Coburn, M.D., Florida
District Twenty Medlical Examiner, doing business as District 20 Medical Examiner, Inc., a
Florida Corporation, to provide medical examiner services under Chapter 406, Florida Statutes,
as an independent contractor.
NOW, THEREFORE, in consideration of the mutual covenants, terms, conditions and
provisions contained herein, the parties do hereby agree as follows:
SECTION I
TERM OF AGREEMENT
The term of this Agreement shall be from October I, 2008, through September 30, 2009.
SECTION II
PURPOSE AND SCOPE OF CONTRACTUAL SERVICES
The Medical Examiner hereby agrees to furnish services, labor and all equipment not
otherwise provided for, necessary for the complete performance of the services contemplated
hereunder, to wit: to serve as Florida District Twenty Medical Examiner for Collier County,
Florida in accordance with Chapter 406, Florida Statutes, and the standards promulgated by the
Florida Medical Examiner's Commission.
SECTION ill
COMPENSATION AND PAYMENTS
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A. The County hereby agrees to compensate the Medical Examiner for services to be
performed for the term of this Agreement, beginning on October I, 2008, the amount of
$1,064,500 by semimonthly payments ending September 30, 2009.
B. Payments from the County to the Medical Examiner of the Compensation set forth in
paragraph A, above, shall be made on the 15th and 30th days of each month. If the 15th or 30th
of the month falls on a weekend or a holiday, the payment to the Medical Examiner shall be
made on the next County business day. It is expressly understood that each semimonthly
payment shall be made for the services furnished for the preceding period of time. As a
condition of said semimonthly payment by the County, the Medical Examiner shall be in full
compliance with Section VII of this Agreement regarding reports.
C. The Medical Examiner agrees and understands that under the terms of this
Agreement, a full professional staff (associate medical examiner(s) and autopsy technician(s))
must be maintained in order to perform the Medical Examiner duties set forth under this
Agreement and by Chapter 406, Florida Statutes.
D. The County agrees and understands that the compensation provided for under this
Agreement to the Medical Examiner is intended to cover the anticipated normal
activities/workload of the Medical Examiner, based upon past statistics and reasonable
projections. The County acknowledges and agrees that the semimonthly compensation of the
Medical Examiner set forth in this Section has been established without consideration of
disasters or occurrences of an unusual nature or magnitude such as would necessitate
extraordinary expenditure on the part of the Medical Examiner in fulfilling the obligations under
this Agreement and Chapter 406, Florida Statutes. In the event of such disaster(s) or
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occurrence(s), the Medical Examiner shall consult with and shall seek, but n
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the approval of the Collier County Emergency Management Director or his/her designee, for any
additional expenditures. The Medical Examiner shall in all events retain the right to and shall
then petition the Board of County Commissioners to reimburse the Medical Examiner for all
extraordinary expenses and compensation which are justified and incurred by the Medical
Examiner due to said disaster(s) or occurrence(s). The Medical Examiner shall provide invoices
and receipts in an itemized manner to support the petition to the Board of County Commissioners
for extraordinary compensation and expenditures. Examples of extraordinary disasters or
occurrences include, but are not limited to: aircraft, bus and boat accidents where a simultaneous
large loss of life has occurred; hurricanes and other natural disasters; and any other disasters or
occurrences caused by nature or man made where a large loss of life is experienced. Upon
petition of the Medical Examiner for extraordinary compensation and/or expenditures, and with
the recommendation of the Collier County Emergency Management Director, the Board of
County Commissioners shall determine, using a reasonable and obj ective standard, if
extraordinary compensation and/or expenditures shall be paid to the Medical Examiner.
SECTION IV
FACILITIES AND EQUIPMENT
A. In accordance with Section 406.08(5), Florida Statutes, the County agrees to provide
and insure, at no cost to the Medical Examiner, a facility and all medical-laboratory related
equipment reasonably required by the Medical Examiner to perform the duties as District
Medical Examiner. All costs associated with maintaining the facility and its area landscaping
will be paid by the Medical Examiner. The County shall bear the cost of the Medical Examiner's
facility.
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B. All capital equipment needed and budgeted by the County for use by the M~d;cal i--
Examiner shall be purchased by, and be inventoried through, the County as County property.
The procurement of said equipment shall be approved by the Collier County Emergency
Management Director in accordance with the Collier County Purchasing Policy, upon submission
of a requisition by the Medical Examiner. The Medical Examiner agrees to take reasonable care,
maintain and repair any equipment provided by the County. The County agrees to include all
equipment reasonably required by the Medical Examiner in the annual medical examiner budget
submitted to the Board of County Commissioners for approval.
C. Except as otherwise provided in this Agreement, the Medical Examiner shall be
solely responsible for the payment of all normal and ordinary services, fees, and costs
encumbered in the course of the Medical Examiner's office's operation.
SECTION V
PROFESSIONAL LIABILITY INSURANCE
Pursuant to Section 406.16, Florida Statutes, the County shall pay the Medical
Examiner's professional liability insurance. This payment shall be in addition to the
semimonthly compensation paid to the Medical Examiner by the County under Section III of this
Agreement. As a condition precedent to the County paying for the Medical Examiner's
professional liability insurance, the Medical Examiner shall present to the County an original
invoice evidencing the purchase by the Medical Examiner of said insurance coverage.
SECTION VI
USE OF FACILITIES AND EQUIPMENT BY THE MEDICAL EXAMINER
FOR HUMANIT ARlAN AND/OR CHARITABLE PURPOSES
The Medical Examiner shall be allowed to use the County's facility and laboratory
equipment for hum~itarian and/or charitable purposes provided that these purposes in no way
interfere with the Medical Examiner's primary duty to serve as medical examiner for Collier
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County. As provided in Section 406.\6, Florida Statutes, the County shall not be liable for any
acts of the Medical Examiner not within the scope of the official duties performed for Collier
County. The performance by the Medical Examiner of humanitarian andlor charitable services
under this paragraph shall not be considered part of the official duties of the Medical Examiner.
SECTION VII REPORTS
The Medical Examiner agrees to provide to the County quarterly reports which shall
include, minimally the following:
A. Number of all investigations and narrative reports for non-autopsy medical examiner
cases;
B. Number of all autopsies performed;
c. Court cases and medical/legal conferences, number and hours spent;
D. Number of authorizations for all cremations and burials at sea and anatomical
dissections;
E. Number of hours of scene investigations;
F. Any other activities not described above;
The quarterly report shall be submitted by the 10th day of the month due to the County's
Emergency Management Director.
SECTION VIII MEDICAL EXAMINER AS INDEPENDENT CONTRACTOR
A. It is hereby stated to be the expressed intent of the parties that under this Agreement
the Medical Examiner shall act exclusively as an independent contractor rendering professional
services for the County in accordance with Chapter 406, Florida Statutes, and the Medical
Examiner shall not be considered as an employee or agent of the County. The Medical Examiner
shall be solely responsible for the payment of all applicable taxes for compensation paid to the
Medical Examiner by the County pursuant to this Agreement. The Medical Examiner shall not
be eligible for, nor participate in, any fringe benefits from the County.
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B. The Medical Examiner shall be responsible for employing and providing by sepa;~t~-
Agreement, independent of the County, all personnel or other services necessary for the
performance of the duties and responsibilities under this Agreement and in accordance with
Chapter 406, Florida Statutes. The Medical Examiner shall have complete supervision and
control over said employees who shall not be entitled, as a result of this Agreement, to any
benefits granted employees of the County.
C. Pursuant to Section 406.16, Florida Statutes, the County shall not be liable for any
acts of the Medical Examiner that are not within the scope of the official duties as Medical
Examiner.
SECTION IX NO PARTNERSHIP
Nothing contained in this Agreement shall create or be construed as creating a partnership
between the County and the Medical Examiner.
SECTION X
NO DISCRIMINATION
Thc Medical Examiner agrees that there shall be no discrimination as to race, sex, color,
creed or national origin at any County facilities provided under this Agreement and with regard
to the provision of the services of the Medical Examiner contemplated by this Agreement.
SECTION XI
COMPENSATION FOR MEDICAL EXAMINER EXPERT TESTIMONY IN
COLLIER COUNTY CRIMINAL PROCEEDINGS
In accordance with the provisions of Chapter 29, Florida Statutes, as amended by Senate
Bill 2962, effective July I, 2004, all fees for expert testimony of the Medical Examiner in
criminal proceedings shall be paid by the State of Florida. Upon performance of service, the
Medical Examiner shall submit its fee for service to the appropriate State agency or court-
appointed counsel.
SECTION XII NOTICES
All notices from the County to the Medical Examiner shall be deemed duly served if
mailed by registered or certified mail to the Medical Examiner at the following address:
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Office of the Medical Examiner
3838 Domestic Avenue, Naples, FL 34104
All notices from the Medical Examiner to the County shall be deemed duly served if mailed by
registered mail to the County at the following address:
Collier County Emergency Management Director
3301 East Tamiami Trail
Naples, Florida 34112
The County and the Medical Examiner may change the above mailing addresses at any
time by giving the other party written notification within fifteen (15) days of said mailing address
change.
All notices under this Agreement must be in writing.
SECTION xm NO IMPROPER USE
The Medical examiner will not use, nor suffer or permit any person to use in any manner
whatsoever, County facilities for any improper, immoral or offensive pUlposes, 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 Medical Examiner or any staff of the Medical
Examiner, the County shall have the right to suspend this Agreement with the Medical Examiner.
Should the Medical Examiner fail to correct any such violation within twenty-four hours after
receiving notice of such violation, such suspension shall continue until the violation is cured.
SECTION XIV INDEMNIFICATION
The Medical Examiner, in consideration of ten dollars, the receipt and sufficiency of
which is accepted through the signing of this document, shall hold hannless and defend Collier
County and its agencies and employees from all suits and actions, including attorney fees and all
costs of litigations and judgments of any name and description arising out of, or incidental to, the
performance of this Agreement or services performed thereunder. The Medical Examiner's
obligation pursuant to this provision shall not be limited in any way by the agreed-upon
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compensation under Ithis Agreement or the Medical Examiner's limit of, or lack of, sufficient
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insurance protection.i The first ten dollars of compensation received by the Medical Examiner
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under this Agreeme~t is considered as payment of this obligation by the County. This section
does not pertain to Iy incident arising from the sole negligence of Collier County.
SECTION XV
INATION AND CONTINUlTY OF SERVICES
A. This A eement may be terminated by either party upon ninety (90) days written
notice to the other pa\rty by Registered Mail, return receipt requested. The parties shall deal with
each other in good f~th during the ninety-day period after any notice of any intent to terminate
has been given. Eit~er party may terminate this Agreement immediately for reasonable cause,
upon written notice tt the other. Reasonable cause shall include but not be limited to:
(1) Mate+al violation(s) of this Agreement;
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(2) Susp~nsion or revocation of the Medical Examiner's license to practice medicine
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or other disciplinary actions taken against the Medical Examiner by the Florida Medical
Examiners commisslon or similar regulatory authority;
(3) Revocation of the Medical Examiner's appointment as Medical Examiner for
Florida Medical Exatiner District Twenty;
(4) Any violation of the Medical Examiner's duties as required under Chapter 406,
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Florida Statutes; I
(5) Repe~ted and/or prolonged absence(s) from office substantially affecting the
performance of the d1lities of the Medical Examiner under this Agreement;
(6) The +ath of the Medical Examiner;
(7) PhYSirl and/or mental incapacitation of the Medical Examiner substantially
affecting the perform ce of the duties of the Medical Examiner under this Agreement.
B. In the eve t of a termination of this Agreement by the County, the County shall only
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be required to pay sllch compensation to the Medical Examiner as she may be entitled to for
services performed uttil the time of termination.
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SECTION XVI AMENDMENTS
This Agree~ent may be modified
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amendment is in writ,ng and signed by both parties.
by amendment at any time provided that such
SECTION xvn ATirORNEY FEES
In the event M any litigation arising under this Agreement, the prevailing party shall be
entitled to recoup at~orney fees and all costs of litigation from the non-prevailing party at both
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trial and all appellate I levels.
IN WITNESS WHEfrnOF, the parties have caused this Agreement to be executed on the day
first above written. i
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ATTEST: i
Dwight E. Brock, CI~rk
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BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
Deputy Clerk
By:
Tom Henning, Chairman
~AL EXAMINER
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Marta U. Coburn, M.D. Medical Examiner
Florida District Twenty
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Second Witness
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Typed or Printed N arhe
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10
Patricia L. Morgan
From:
Sent:
To:
brock_m [MaryBrock@colliergov.net]
Monday, September 08,200810:26 AM
Allen, Debbie; Patricia L. Morgan; Carnell, Steve; Barbetta Hutchinson; CarpenterKathy; Puig,
Judy; BenkerAmysue; Pat Pochopin; lehnhard_p
LenPrice; Brock, Mary
Additional back up material to tomorrow's agenda packet
additional back up material.pdf
Cc:
Subject:
Attachments:
Importance:
High
<<additional back up material.pdf>>
Good morning, Please find additional back up material to the September 9 agenda. (your packets should have some
back up material on these items already, this is additional material) I have scanned them in all as one document, but the
item numbers are on the top right corner of each. Items include:
~C: Requesting Board decision on local preference for Bid No. 08-5106.
10F' Recommendation to approve an Agreement between Collier County and Dr. Marta U. Coburn, MD.
6A 1: Recommend that the Board of County Commissioners authorize the submittal of the attached HCP Planning
Assistance Grant Proposal
16A2: Recommendation to approve the Release and Satisfaction of Code Enforcement Liens
16A5: Recommendation to execute a Quit Claim Deed
16A7: Recommendation to grant final approval of the roadway (private) and drainage improvements for the final plat of
Mustang Island
16A 10: Recommendation to grant final approval of the roadway (private) and drainage improvements for the final plat of
Quarry Phase 1 A
16A13: Recommendation to grant final approval of the roadway (private) and drainage improvements for the final plat of
Cedar Hammock
16F2(A): Recommendation to award RFP No. 08-5022 (Annual Contract for Right-of-Way)
16F3: Recommendation to approve a Joint Project Agreement between the State of Florida Department of
Transportation
If you have any questions, etc. please let me know. Thank you, MJ
lOP
EXECUTIVE SUMMARY
Recommendation to approve an Agreement between Collier County and Dr. Marta U. Coburn,
M.D., Florida District Twenty Medical Examiner dba District Twenty Medical Examiner, Inc. to
provide medical examiner services for Fiscal Vear 2009 at a cost of $1,085,000. (Dan Summers)
OBJECTIVE: Approval of an agreement to provide Collier County with medical examiner services
pursuant to Chapter 406, Florida Statutes.
CONSIDERATIONS:
Dr. Marta U. Cobum, M.D. was re-appointed October 19, 2005 by Jeb Bush, Governor of the State of
Florida, to serve as the District Twenty Medical Examiner. An agreement between Collier County and Dr.
Marta U. Coburn, M.D. dba District Twenty Medical Examiner, Inc. is entered into annually to provide the
County with medical examiner services. Section 406.06(3), Florida Statutes, states that the Medical
Examiner shall be entitled to compensation and such reasonable salary and fees as are established by
the Board of County Commissioners. Pursuant to Section 406.16, Florida Statutes, the County shall pay
for professional liability insurance for the Medical Examiner and Associate Medical Examiner(s). The
payment of professional liability insurance is included in the agreement as an obligation of the County
and shall be in addition to the semi-monthly compensation paid to the Medical Examiner. Dr. Coburn has
submitted an annual budget, based on past statistics and reasonable projects, of $1 ,064,500 for services
and an estimate of $20,500 for professional liability insurance. These amounts have been included in the
County’s budget for Fiscal Year 2009.
FISCAL IMPACT: The cost to the County for Fiscal Vear 2009 is $1,085,000. Funds are budgeted
in Fund 001, Medical Examiner Services.
GROWTH-MANAGEMENT IMPACT: There is no GrowlI1 Management Impact associated.
with this Executive Summary.
LEGAL CONSIDERATIONS: This contract has been reviewed and approved for legal
sufficiency by the County Attorney, and is ready for Board action. -JAK
RECOMMENDATION: That the Board of County Commissioners approves the agreement
between Collier County and Dr. Marta U. Coburn, M.D., Florida District Twenty Medical Examinerdba
District Twenty Medical Examiner, Inc. for medical examiner services for Fiscal Vear 2009 at a cost of
$1,085.000.
Prepared By:
Department
Bureau of Emergency Services
Date
8/19/2008.9:56:15 AM
Approvod By:
Department
Approval
Date
County A proved
Manager's Office p
8/26/200812:48 PM