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Agenda 11/10/2020 Item #16D 7 (Agreement w/Physician Led Access Network of Collier County)11/10/2020 16.D.7 EXECUTIVE SUMMARY Recommendation to approve and authorize the Chairman to sign an agreement between Collier County and Physician Led Access Network of Collier County Inc., to provide medical referral services for low-income residents in Collier County. OBJECTIVE: To promote availability and access to healthcare for low-income residents of Collier County. CONSIDERATIONS: Physician Led Access Network of Collier County Inc., (PLAN) is a 501(c)(3) local non-profit community -based referral network that coordinates volunteer medical care for eligible adults. Led by physicians, it is a community partnership that brings together physicians, community clinics, hospitals, diagnostic and laboratory facilities, and other healthcare providers through an integrated delivery system of care. The intent of the PLAN agreement is to help fund medical referral services to low-income residents who lack medical insurance in Collier County. The PLAN referral service is available to any Collier County low-income residents who may not be able to afford a health care procedure. A resident may be referred by a current volunteer of PLAN, a specialty healthcare member of PLAN, or one of the community clinics or hospitals. If accepted into the PLAN program, the resident may receive medical care treatment at no cost. The term of the new agreement with PLAN is October 1, 2020 to September 30, 2021, and the cost for the existence and delivery of the PLAN service contract is $12,500 per quarter (total annual cost: $50,000). The agreement allows for four (4) 12-month renewals. County staff will collect performance metrics to quantify the impact of the PLAN program within the community. PLAN must provide a minimum of 500 services per quarter. FISCAL IMPACT: Funds in the amount of $50,000 will be paid out of FY21 Community and Human Services Client Assistance cost center within the General Fund (001-155930). LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority vote for Board action. -JAB GROWTH MANAGEMENT IMPACT: There is no Growth Management impact. RECOMMENDATION: To approve and authorize the Chairman to sign the agreement between Collier County and Physician Led Access Network of Collier County Inc., for a total amount of $50,000 for FY21. Prepared By: Kristi Sonntag, Director, Community and Human Services Division ATTACHMENT(S) 1. PLAN Agreement CAO Stamped (PDF) Packet Pg. 1690 16.D.7 11/10/2020 COLLIER COUNTY Board of County Commissioners Item Number: 16.13.7 Doe ID: 14016 Item Summary: Recommendation to approve and authorize the Chairman to sign an agreement between Collier County and Physician Led Access Network of Collier County Inc., to provide medical referral services for low-income residents in Collier County. Meeting Date: 11/10/2020 Prepared by: Title: Grants Support Specialist — Community & Human Services Name: Joshua Thomas 10/22/2020 4:04 PM Submitted by: Title: Manager - Federal/State Grants Operation — Community & Human Services Name: Kristi Sonntag 10/22/2020 4:04 PM Approved By: Review: Community & Human Services Jose Alvarado Additional Reviewer Community & Human Services Tami Bailey Additional Reviewer Community & Human Services Kristi Sonntag CHS Review Community & Human Services Maggie Lopez Additional Reviewer Operations & Veteran Services Kimberley Grant Level 1 Reviewer Public Services Department Todd Henry Level 1 Division Reviewer Public Services Department Steve Carnell Level 2 Division Administrator Review Grants Erica Robinson Level 2 Grants Review County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Budget and Management Office Ed Finn Additional Reviewer Grants Therese Stanley Additional Reviewer County Manager's Office Geoffrey Willig Level 4 County Manager Review Board of County Commissioners MaryJo Brock Meeting Pending Completed 10/22/2020 4:59 PM Completed 10/26/2020 9:50 AM Completed 10/26/2020 9:52 AM Completed 10/26/2020 10:19 AM Completed 10/26/2020 1:25 PM Completed 10/28/2020 8:09 AM Completed 10/28/2020 9:09 AM Completed 10/28/2020 11:53 AM Completed 10/29/2020 1:20 PM Completed 10/29/2020 1:35 PM Completed 10/29/2020 1:39 PM Completed 10/29/2020 1:47 PM Completed 11/02/2020 9:37 AM Completed 11/02/2020 11:10 AM 11/10/2020 9:00 AM Packet Pg. 1691 16.D.7.a AGREEMENT for Physician Led Access Network of Collier County, Inc. (PLAN) THIS AGREEMENT, made and entered into on this day of , by and between Physician Led Access Network of Collier County, Inc. (PLAN), authorized to do business in the State of Florida, whose business address is 2671 Airport Road South Suite 202, Naples, FL 34112, hereinafter called the "Contractor" and Collier County, a political subdivision of the State of Florida, (the "County"): WITNESSETH: 1. COMMENCEMENT. The Contractor shall commence the work on the date of the issuance of a Purchase Order. 2. CONTRACT TERM. The contract shall be for a one year period commencing on October 1, 2020, and terminating on September 30, 2021. The County may, at its discretion and with the consent of the Contractor renew the Agreement under all the terms and conditions contained in this Agreement for four (4) additional twelve (12) month periods commencing October 1 and ending September 30. The County shall give the Contractor written notice of the County's intention to extend the Agreement term not less than ten (10) days prior to the end of the Agreement term then in effect. 3. STATEMENT OF WORK. The Contractor shall assist income eligible residents of Collier County with access to medical services provided by medical providers in PLAN's network. The network providers will accept income eligible persons and provide no fewer than five hundred (300) professional services per quarter, which may include, but are not limited to, an appointment with a physician, lab work, diagnostic testing, surgical hospitalization, medical testing. These will be medical services required by a physician. Intakes will be completed and verified by the Patient Coordinator of PLAN who will obtain all necessary household documentation and determine eligibility for this program in accordance with the PLAN'S policy. All documentation will be stored and made presentable to Community and Human Services upon request for monitoring of this contract. This Agreement contains the entire understanding between the parties and any modifications to this Agreement shall be mutually agreed upon in writing by the Contractor and the County Project or Contract Manager or his designee, in compliance with the County Purchasing Policy and Administrative Procedures in effect at the time such services are authorized. 4. COMPENSATION. The County shall pay the Contractor for the performance of this Agreement an estimated total amount of fifty thousand dollars, ($50,000), based on the submission of the required quarterly report. Quarterly payments of 512,500 will be made upon receipt of a proper quarterly invoice and in compliance with Section 218.70 Florida Statutes, otherwise known as the "Local Government Prompt Payment Act." Collier County reserves the right to withhold and/or reduce an appropriate amount of any payments for work not performed or for unsatisfactory performance of Contractual requirements. The Contractor shall submit quarterly progress reports to the Community and Human Services Department on the 30th day of the month following the reporting quarter. The progress report format is outlined in Attachment A and the reporting schedule is cited below. Quarter Service Dates Report Due 1NI Quarter October 1 - December 31 January 30t1l 2"d Quarter January 1 - March 31 April 3011, 3rd Quarter 1 April 1 - June 30 July 30th I Page I of 9 Packet Pg. 1692 16.D.7.a 4tn Quarter July 1 - September 30 October 301i 5. NOTICES. All notices from the County to the Provider shall be deemed duly served if mailed or faxed to the Contractor at the following Address: Physician Led Access Network of Collier County, Inc. (PLAN) 2671 Airport Road South, Suite 202 Naples, FL 34112 :Margaret Eadington, Chair Phone: (239) 434-0008 Fax: (239) 417-8900 All Notices from the Contractor to the County shall be deemed duly served if mailed or faxed to the County to: ATTENTION: Community and Human Services, Grant Coordinator Collier County Community & I iuman Services Division 3339 E Tamiami Trail. Suite 211 Naples. Florida 34112 Telephone: (239) 252-2273 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. 6. 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. 7. 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. 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. 8. 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 contract 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. 9. TERMINATION. Should the Contractor be found to have failed to perform the services in a manner satisfactory to the County as per this Agreement, the County may terminate said agreement for cause with a thirty (30) day written notice; further the County may terminate this Agreement for convenience with a thirty (30) day written notice. The County shall be sole judge of non-performance. In the event that the County terminates this Agreement, Contractor's recovery against the County shall be Iimited to that portion of the Contract Amount earned through the date of termination. The Contractor shall Page 2 of 9 Packet Pg. 1693 16.D.7.a not be entitled to any other or further recovery against the County, including, lint not limited to, any damages or any anticipated profit on portions of the services not performed. 10. NO DISCRIMINATION. The Contractor agrees that there shall be no discrimination as to race, sex, color, creed or national origin. 11. INSURANCE. The Contractor shall provide insurance as follows: A. 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. Business Auto Liability: Coverage shall have minimum limits of $500,000 Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property Damage Liability. 'Phis 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. The coverage must include Employers' Liability with a minimum limit of S500,000 for each accident. D. Professional Liability: Shall be maintained by the Consultant to ensure its legal liability for claims arising out of the performance of professional services under this Agreement. Consultant 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 in the aggregate. Special Requirements: Collier County Government shall be listed as the Certificate Holder and included as an Additional Insured on the Comprehensive General Liability Policy. 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 ten (10) days prior to any expiration date. Coverage -afforded under the policies will not be canceled or allowed to expire until the greater of: ten (10) 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 Consultant from its insurer, and nothing contained herein shall relieve Contractor of this requirement to provide notice. Contractor shall ensure that all subcontractors/Consultants comply with the same insurance requirements that he is required to meet. 12.INDEMNIFICATION. To the maximum extent permitted by Florida law, the Contractor shall 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. 12.1 The duty to defend under this Article 12 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 park, and written notice of such claim being provided to Contractor. Contractor's obligation to indemnify and defend under this Article 13 wiII survive the expiration or earlier termination of this Agreement until it is determined by final judgment Page 3 of 9 Packet Pg. 1694 16.D.7.a 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. 13. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf of the County by the Housing and Human Services Department. 14. 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. 15. SUBTECT 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, 16. 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, 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 contract held by the individual and/or firm for cause. 17. IMMIGRATION LAW COMPLIANCE. By executing and entering into this agreement, the Contractor is formally acknowledging without exception or stipulation that it is fully responsible for complying with the provisions of 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. Failure by the Contractor to comply with the laws referenced herein shall constitute a breach of this agreement and the County shall have the discretion to unilaterally terminate this agreement immediately. 18. OFFER EXTENDED TO OTHER GOVERNMENTAL ENTITIES. Collier County encourages and agrees to the successful proposer extending the pricing, terms and conditions of this solicitation or resultant contract to other governmental entities at the discretion of the successful proposer. 19. AGREEMENT TERMS. If any portion of this Agreement is held to be void, invalid, or otherwise unenforceable, in whole or in part, the remaining portion of this Agreement shall remain in effect. 20. ADDITIONAL ITEMS/SERVICES. Additional items and/or services may be added to this contract in compliance with the Purchasing Policy. 21. DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding permitted by this Agreement to resolve disputes between the parties, the parties shall make a good faith effort to resolve any such disputes by negotiation. The negotiation 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 during negotiations to County for approval. Failing resolution, and prior to the 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. 22. 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. 23. KEY PERSONNEUPROTECT STAFFING: The Contractor's personnel and management to be utilized for this project shall be knowledgeable in their areas of expertise. The County reserves the right to Page 4 of 9 Packet Pg. 1695 16.D.7.a perform investigations as may be deemed necessary to ensure that competent persons will be utilized in the performance of the contract. The Contractor shall assign as many people as necessary to complete the project on a timely basis, and each person assigned shall be available for an amount of time adequate to meet the dates set forth in the Project Schedule. The Contractor shall not change Key Personnel unless the following conditions are met: (1) Proposed replacements have substantially the same or better qualifications and/or experience. (2) that the County is notified in writing as far in advance as possible. The Contractor shall make commercially reasonable efforts to notify Collier County within seven (7) days of the change. The County retains final approval of proposed replacement personnel. The Contractor's personnel and management to be utilized for this project 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 contract. The Contractor shall assign as many people as necessary to complete the contract on a timely basis, and each person assigned shall be available for an amount of time adequate to meet the required service delivery dates. 24.ORDER OF PRECEDENCE: In the event of any conflict between or among the terms of any of the Contract Documents, 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 imposing the more strict or costly obligation under the Contract Documents upon the Contractor at Owner's discretion. 25. ASSIGNMENT: Contractor shall not assign this Agreement or any part thereof, without the prior consent in writing of the County. Anv attempt to assign or otherwise transfer this Agreement, or any part herein, without the County's consent, shall be void. If Contractor does, with approval, assign this Agreement or any part thereof, it shall require that its assignee be bound to it and to assume toward Contractor all of the obligations and responsibilities that Contractor has assumed toward the County. 26. RECORDS AND DOCUMENTATION The Contractor shall maintain sufficient records to determine compliance with the requirements of this Agreement, and all other applicable laws and regulations. This documentation shall include, but not be limited to, the following: A. All records required by County regulations. B. CONTRACTOR shall keep and maintain public records that ordinarily and necessarily would be required by COUNTY in order to perform the service. C. All reports, plans, surveys, information, documents, maps, books, records and other data procedures developed, prepared, assembled, or completed by the Contractor for the purpose of this Agreement shall be made available to the COUNTY by the CONTRACTOR at any time upon request by the COUNTY or COMMUNITY AND I IUMAN SERVICES. Materials identified in the previous sentence shall be in accordance with generally accepted accounting principles (GAAP), procedures and practices, which sufficiently and properly reflect all revenues and expenditures of funds provided directly or indirectly by this Agreement, including matching funds and Program Income. These records shall be maintained to the extent of such detail as will properly reflect all net costs, direct and indirect labor, materials, equipment, supplies and services, and other costs and expenses of whatever nature for which reimbursement is claimed under the provisions of this Agreement. D. Upon completion of all work contemplated under this Agreement copies of all documents and records relating to this Agreement shall be surrendered to COMMUNITY AND IIUMAN SERVICES if requested. In any event the CONTRACTOR shall keep all documents and records in an orderly fashion in a readily accessible, permanent and secured location for three (3) years with the following exception: if any litigation, claim or audit is started before the expiration date Page 5 of 9 Packet Pg. 1696 16.D.7.a of the three (3) year period, the records will be maintained until all litigation, claim or audit findings involving these records are resolved. The COUNTY shall be informed in writing if an agency ceases to exist after closeout of this Agreement of the address where the records are to be kept. Meet all requirements for retaining public records and transfer, at no cost, to COUNTY all public records in possession of the CONTRACTOR upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the COUNTY in a format that is compatible with the information technology systems of the public agency. E. The CONTRACTOR will be responsible for the creation and maintenance of income eligible files on clients served and documentation that all households are eligible under Income Guidelines. The CONTRACTOR agrees that COMMUNITY AND HUMAN SERVICES shall be the final arbiter on the CONTRACTOR's compliance. F. CONTRACTOR shall provide the public with access to public records on the same terms and conditions that the public agency would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. CONTRACTOR shall ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law. 27, MONITORING During the term, CONTRACTOR shall submit an annual audit report and monitoring report to the COUNTY no later than one hundred eighty (180) days after the CONTRACTOR's fiscal year end. The COUNTY will conduct an annual financial and programmatic review. The CONTRACTOR agrees that COMMUNITY AND HUMAN SERVICES will carry out no less than one (1) annual on -site monitoring visit and evaluation activities as determined necessary. At the COUNTY's discretion, a desk top review of the activities may be conducted in lieu of an on -site visit. The continuation of this Agreement is dependent upon satisfactory evaluations. The CONTRACTOR shall, upon the request of COMMUNITY AND HUMAN SERVICES, submit information and status reports required by COMMUNITY AND HUMAN SERVICES to enable COMMUNITY AND HUMAN SERVICES to evaluate said progress and to allow for completion of reports required. The CONTRACTOR shall allow COMMUNITY AND HUMAN SERVICES to monitor the CONTRACTOR on site. Such site visits may be scheduled or unscheduled as determined by COMMUNITY AND HUMAN SERVICES. The COUNTY will monitor the performance of the CONTRACTOR based on goals and performance standards as stated with all other applicable federal, state and local laws, regulations, and policies governing the funds provided under this contract. Substandard performance as determined by the COUNTY will constitute noncompliance with this Agreement. If corrective action is not taken by the CONTRACTOR within a reasonable period of time after being notified by the COUNTY, contract suspension or termination procedures will be initiated. CONTRACTOR agrees to provide the COUNTY's internal auditor(s) access to all records related to performance of activities in this agreement. CORRECTIVE ACTION Corrective action plans may be required for noncompliance, nonperformance, or unacceptable performance under this contract. Penalties may be imposed for failures to implement or to make acceptable progress on such corrective action plans. Page 6 of 9 Packet Pg. 1697 16.D.7.a In order to effectively enforce Resolution No. 2013-228, Housing Human and Veteran Services (COMMUNITY AND HUMAN SERVICES) has adopted an escalation policy to ensure continued compliance by Contractors, Developers, or any entity receiving funds from COMMUNITY AND HUMAN SERVICES. COMMUNITY AND HUMAN SERVICES's policy for escalation for non-compliance is as follows: 1. Initial non-compliance may result in Findings or Concerns being issued to the entity and will require a corrective action plan be submitted to the Department within 15 days following the monitoring visit. o Any pay requests that have been submitted to the Department for payment will be held until the corrective action plan has been submitted. o COMMUNITY AND HUMAN SERVICES will be available to provide Technical Assistance (TA) to the entity as needed in order to correct the non-compliance issue. 2. If in the case an Entity fails to submit the corrective action plan in a timely manner to the Department, the Department may require a portion of the awarded grant amount be returned to the Department. o The County may require upwards of five percent (5%) of the acquisition amount be returned to the Department, at the discretion of the Board of County Commissioners. o The entity may be considered in violation of Resolution No. 2013-228 3. If in the case an Entity continues to fail to correct the outstanding issue or repeats an issue that was previously corrected, and has been informed by the Department of their substantial non-compliance by certified mail; the Department may require a portion of the awarded grant amount be returned to the Department. o The Department may require upwards of ten percent (10%) of the acquisition amount be returned to the Department, at the discretion of the Board of County Commissioners. o 'the entity will be considered in violation of Resolution No. 2013-228 4. If in the case after repeated notification the Entity continues to be substantially non -compliant, the Department may recommend the contract or award be terminated. o The Department will make a recommendation to the Board of County Commissioners to immediately terminate the agreement or contract. The Entity will be required to repay all funds disbursed by the County for project that was terminated. This includes the amount invested by the County for the initial acquisition of the properties. o The entity will be considered in violation of Resolution No. 2013-228 If in the case the Entity hasmultiple agreements with the Department and is found to be non -compliant, the above sanctions may be imposed across all awards at the discretion of the Board of County Commissioners. Page 7 of 9 Packet Pg. 1698 16.D.7.a IN WITNESS WHEREOF, the Contractor and the County, have each, respectively, by an authorized person or agent, hereunder set their hands and seals on the date and vear first above written. J ATTEST: Crystal Kinzel By: Dated: (SEAL) Approved as to form and legality: BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA Bv: J Burt L. Saunders, Chairman a PHYSICIAN LED ACCESS NETWORK OF COLLIER COUNTY, INC. U) z a J d By: -Qto Signa re r a� a E o Type/print title E L a z a J IL C1 � E Jennifer A. Belpedio a Assistant County Attorney I--' �o ` Page 8 of 9 Packet Pg. 1699