Backup Documents 11/10/2020 Item #16D 4 60 4
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Joshua Thomas, Operations Analyst Community & Human 11/06/20
Services
2. Jennifer Belpedio County Attorney Office DOA ++ I411e
3. BCC Office Board of County
Commissioners IS t f ' 14.01tt:b
4. Minutes and Records Clerk of Courts Office
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees
above,may need to contact staff for additional or missing information.
Name of Primary Staff Joshua Thomas/CHS Operations Analyst Phone Number 239-252 84 9 _
Contact/ Department 9 Q
Agenda Date Item was November 10,2020 Agenda Item Number 16 D4
Approved by the BCC
Type of Document CAC State Mandated Agreement Number of Original 1
Attached Documents Attached
PO number or account See Routing Instructions Attached
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not A..licable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chai an's original sign. re? JT
2. Does the document need to be sent to an. • - ` y for additional signatures? If yes, N/A
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be JT
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the JT
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's JT
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JT
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 11/10/20 and all changes made during JT N/A is not an
the meeting have been incorporated in the attached document. The County option for
Attorney's Office has reviewed the changes,if applicable. • his line.
9. Initials of attorney verifying that the attached document is the version approved by the /A is not an
BCC, all changes directed by the BCC have been made,and the document is ready for the s o tion for
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
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Cotter County
Public Services Department
Community & Human Services Division
MEMO
November 10, 2020
TO: BCC—Minutes & Records
FROM: Joshua Thomas, Operations Analyst
RE: BCC Agenda Item 16D4
Children's Advocacy Council Agreement
Please have the Chairman sign his original signature, two copies of the attached agreement.
Once signed, please send one original via fed ex to Jacquelyn Griffith Stephens at the following
address:
Children's Advocacy Council of Collier County
1036 6th Avenue North
Naples, FL 34102
Minutes and Records will keep one copy. The fed ex account number is 8829-6443-0
If you have any questions, please call me at: X-8995
Thank You!
0..idp.
Community&Human Services Division•3339 Tamiami Trail East,Suite 211 •Naples,Florida 34112-5361
239-252-CARE(2273)•239-252-CAFE(2233)•239-252-4230(RSVP)•www.colliergov.net/humanservices
160 4
Martha S. Vergara
From: Martha S. Vergara
Sent: Wednesday, November 18, 2020 9:54 AM
To: ThomasJoshua
Subject: CAC State Mandated Agreement
Attachments: Joshua Thomas.pdf
Morning Joshua,
Attached is a copy of the referenced agreement that went out in yesterday's mail.
Thanks,
Martha Vergara
BMR &VAB Senior Deputy Clerk
,f. Office: 239-252-7240
Fax: 239-252-8408
E-mail: martha.vergaraCDCollierClerk.com
Office of the Clerk of the Circuit Court
& Comptroller of Collier County
rf*-cexN to,1 ,. 3299 Tamiami Trail E, Suite #401
Naples, FL 34112
www.CollierClerk.com
i
Crystal K. Kinzel 1 60 4
r; Collier County
Clerk of the Circuit Court and Comptroller
v - 3315 Tamiami Trail East, Suite 102
Naples, Florida 34112-5324
//
!r(() \11'\`
November 17, 2020
Children's Advocacy Council
of Collier County
Attn: Jacqueline Griffith Stephens
1036 6th Avenue North
Naples, FL 34102
Re: State Mandated Services Program
Transmitted herewith is one (1) original agreement of the above referenced
document, as adopted by the Collier County Board of County Commissioners of
Collier County, Florida on Tuesday, November 10, 2020, during Regular
Session.
Very truly yours,
CRYSTAL K. KINZEL, CLERK
Martha Vergara, Deputy Clerk
\)
Phone-(239) 252-2646 Fax-(239)252-2755
Website-www.CollierClerk.corn Email-CollierClerk@collierclerk.corn
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AGREEMENT.lIE'.fWEEN COWER.COUNTY
AND
COLLIER COUNTY CHILD ADVOCACY COUNCIL,INC,
STATE MANDATED SERVICES PROGRAM
THIS AGREEMENT, is.made and entered into on this IL) day of 046,41..,26.20 by
and between Collier County,a political subdivision of the State of Florida,(COUNTY)having its
principal address as :3339 I:. Tatziatxi Trail, Naples FL 341.12, and the Collier County C".hikl
. Advocacy Council, Inc. (RECTPI NIT',.>a private not—for—profit corporation,under agreement with
the State of Florida, Department of Children and Families,providing coordination of the Child
Protection Thant of Collier County(CPT),authorized to do business in the State of Florida,whose
business address is 1035 Sixth A venue North,Naples, Florida 34102.
NOW, THEREFORE, in consideration of the mutual benefits contained herein, it. is
agreed by the Parties as follows:
PART I
SCOPE OF SERVICES
1.1 SCOPE OF SERVICES
'Ihe RECIPIENT will provide the following services, in accordance with Florida Statute
§39.304( ).Appendix A:
A. :Plovide initial forensic physical examination and medical consultation services for
abused or neglected children who are residents of Collier County, pursuant to Section
9.304(5), Florida Statutes; or conduct a medical records review, in cases where such
a review can serve in place of an initial forensic physical examination
13. Possess, maintain,and keep current all necessary license(s)required by governmental
authorities.
C. Performance Deliverables
Program Deeliverable Deliverable_Supporting Submission Schedule
l:)oeutnentati.on
Insurance Insurance Certificate, Within 30 days of Ag reement
Exhibit A execution and Annually
within thin.'(30)days of
_ renewal
.._.. .,..... . _— l V ithin •cixt fi0)day:;of
Physician Agreements Arcca:ncnis aett�Lcn f.'AC (.
and physiciastk —_- ..... .` irseemern execution
Licenses Physician Licenses; Within sixty((i0)days of
Agreement execution
;Sdtoeeuy Ce.>,aet •
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•
Progress Report iExhibit C t Quarterly reports.Annually
after closeout
Financial and Compliance Audit,Management enaent Letter, Annually:nine(9)months
l Audit and Exhibit D: after 1'Y end for Sin le Audit
IOR one hundred eighty it 80)
days after F Y end
Contracts A reements with other state Within sixty (60)days of
agencies or Child Welfare A`rreement execution or as
__.�.auencies renewed/executet(
D. Payment Deliverables
•
Payment Deliverable Payment Supporting T)ocu nicnttt`1iii Submission
Schedule
Project Component 1 Physical iSubmission of supporting documents Submission of
Medical Examination must be provided as backup,as monthly invoices no
evidenced by invoice,client list with later than the'20th
ID numbers,physician invoice, day following the
cancelled check or bank statements, end of the quarter,
Exhibit I3 and any other additional
documentation as requested.
l Project Component 2:Medical Submission of supporting documents Submission of M
Consultation I must be provided as backup, as l monthly invoices no
evidenced by invoice,client Iist with. later than the 2 th
ID numbers,physician invoice. ! day following the
cancelled check or bank statements, end or the quarter
'Exhibit 13 and any other additional
t
documentation as requested t
E. RECIPIENT shall receive reimbursement for those medical services pursuant to
Section 9.304(5), Florida Statutes,in accordance with Paragraph 3.Compensation,of
this Agreement.
F. The REECIPIEN'T shall pay,from its own account,the costs fbr initial forensic physical
examination and medical consultations to the providers of medical diagnosis and
evaluation services for each child abuse or neglect case. RECIPIENT shall seek
reimbursement from the COUNTY Y in accordance with the Compensation section of
this Agreement.
Cl. The county in which.the child is a resident shall bear the initial costs of the examination
of the allegedly abused,abandoned.,or neglected child; however,the parents or legal
custodian of the child shall be required to reimburse the county fo'r the costs of such
examination,except for an initial forensic physical examination as provided in Section
Ccitiar County Child Ativi;casy Cn ttr 2
S a Murrdutett Strvices iS t202 E.001
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960 28, as well as rci:mbutse the Department for the cost of the photographs taken
pursuant to this section. A medical provider shall not bill a child victim directly, or
indirectly for the cost of an initial forensic physical examination.
FL In accordance with this Agreement,the RECIPIENT shall furnish the COUNTY with
copies of its current:contracts between the CPT and its medical provider(s),arid copies
of its contracts with DCF relating to the CPT. Any amendments or new agreemen€s
executed during the term of this Agreement between CPI'and its medical provider(s)
or DC IF shall be immediately forwarded to the COUNTY.
1. Allow inspection., review, or audit. of these records by COUNTY personnel upon
reasonable notice, subject to the confidentiality requimments of Chapter 39, Florida
Statutes.RECIPIENT will provide the COUNTY with the privacy,security,and audit
protocol agreement forms from the Department ent of Health (DII) and Department of
Children and Families(DCF). The COUNTY will execrate said fortis.
I..2 PERIOD OF PERFORMANCE
RECIPIENT'S services shall start on October 1202;and end on September 0,2021 (Term
of Agreement).The County may, at its discretion and with the consent of the RECIPIENT
renew the Agreement under all the teens and conditions contained in this Agreement for ibur
(4)additional twelve(12)month periods commencing October 1 and ending September 30.
The County shall give the RECIPIENT 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.The ae•vie:es/acti'iities of the RECIPIENT shall be undertaken and completed in light
of the purposes of this Agreement. Any finds not obligated by the expiration date of this
r•.e > '� automatically to
;•'•1�.c,..•it?ii:ct shall i3titillZ�lCZtil...l7.t,, revert the COUNTY,
1.3 AGREEMENT AMOUNT
The COUNTY agrees to make available Eighty Thousand.Dollars and 00/cents ($80,4T00..00 .
for use by the RECIPIENT,I,during each year of the Term of the Agreement(the Funds).
The COUNTY shall reimburse RECIPIENT fir the performance of this Agreement upon
completion or partial completion of the work tasks, as accepted and approved. by CMS.
RECIPIENT may not request disbursement tbnels until funds are needed'for eligible costs,
and all disbursement requests must be limited to the amount needed at the time of the request.
invoices for work performed are required every month. RECIPIENT may expend funds only
for allowable costs resulting from obligations incurred during the term of this Agreement. If
no work has been performed during that month,or if RECIPIENT NT is not yet prepared to send
during
the required backup, a $0 invoice is required. Explanations may be required if two
consecutive months of$0 invoices are submitted. Payments shall he made to RI CIPII?.N I'
when requested as work progresses, but not more frequently than once per month..
Reimbursement.will not occur if RECIPIENT hills to perform the minimum level of service
ice
required by this A greeinent.
?41.
Cattier Ccuu;ay[_gilt Act' egszy Cmi er
Stater #a>c'titecf 5etvlccs r Mf2021-E?l
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Final invoices are.due no later than 90 days after the end of the Agreement. Work performed
during the term of the program butnot invoiced within 90 days after the end of the Agreement
may not be processed without written autl3.ofirationfrom the Grant Coordinator.
The County Manager or d slut=may extend the term of this Agreement for a period of up
to ISO days ai‘er the end of the Agreement. Extensions must he autliorir..e.d, in writing,by
•formal letter to RECIPIENT.
No payment will be made until approved by CHS for compliance anti adherence to all
applicable Local, State, or Federal requirements. Payment will be made upon receipt of a
properly completed invoice and in compliance with Ch. 218, Part VII, Florida Statutes,
otherwise known as the"Local Government Prompt Payment Act."
I A COMPENSATION
The COUNTY shall reimburse the RECIPIENT at the fixed rate of 'l:IREE HUNDRED
AND FIFTY DOLLARS (S350.00j for initial forensic physical examination and
administrative costs.The COUNTY shall also reimburse t:he RECIPIENT at the fixed rate of
ONE HUNDRED AND TWENTY- MATE DOLLARS (: 125.00)ilor a medical consultation
where such a consultation can serve in place of an initial forensic physical examination.
However,the COUNTY shall in no instance be Mgt:iced to pay for both an initial forensic
physical examination and a medical consultation. A medical consultation may be provided
when a physical evaluation has already been performed by a non-CPT medical provider. A
medical consultation involves situations where the child protective investigator (or court)
requests CPT to assist with a medical opinion. A medical consultation must result in a typed.
report that references all the pertinent history,examination findings,and labonatot/imagine,
studies used to reach the medical conclusions, The CPT medical record must include copies
of the relevant records and reports used to arrive`•.4t the medical opinion.
A. Crimes Victim's Services is to be billed for all situations covered under 2019 Florida
Statutes Section 960.28, see Appendix If denied, the invoice wilt include
documentation of denial.The COUNTY will be billed at the time denial is received by
RECIPIENT. Ti reimbursement from Crimes Victim's Services is received by
RECIPIENT at any time after the COUNTY has paid RECIPIENT invoices,
RECIPIENT shall reimburse.the COUNTY for any Crimes Victim's Services monies
received, Said reimbursement shall reference the case number for which the
r'eimbur'sement is being provided.
13. There shall be a quarterly invoice that references an invoice number,invoke date, and
a CPT case number for each initial forensic physical examination and/or medical
consultation.
C. Quarterly payments will be made upon receipt of a proper ItIVOiCe and in compliance
with Chapter 218 Florida Statutes,otherwise known as the''Local Government Prompt
Payment Act." COUNTY reserves the right to withhold and/or reduce an appropriate
amount of any payment for work not performed or for unsatisfactory performance of
Collier County Child Advneecy enter 4
State Mandated S rico':S 't2O2t4)0i
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RECIPIENT requirements,The COUNTY shall pay RECIPIENT for the performance
of this Aweement,
1.5 NOTICES
Notices required by this Agreement shall he in writing and delivered via. mail (postage
prepaid), commercial courier, personal delivery, or sent by .facsi.mile or other electronic
means. Any notice delivered,or sent as aforesaid shall be effective on the date of delivery or
sending„ All notices and other written communications under this Agreement shall be
addressed to the individuals in the capacities indicated below, unless otherwise modified by
subsequent written notice.
COLLIER COUNTY ATTENTION: Community and Human Service ,Grant
Coordinator
Collier County Community&Hainan Services Division
3339 E Tamiami Trail,Suite 211
Naples,Florida 341 12
itelephone:(239)252-2271
.RECIPIENT ATIENT1ON:Jacqueline C.41ifith Stephens,
Executive Director
COLLIE.R C!OUNTY CHILD ADVOCACY CENTER
1036 Sixth Avenue North
Naples,Florida 34102
Telephone:(239)263-8383,ext. 228
RECIPIENT and the COUNTY may change the above mailing address at any lime upon
giving the other :party written notification. All notices under this Agreement must be in
writing.
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4kat: Mandated Stfrices 202 I-00
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PART i.i
CONTROL REQUIREMENTS •
2.1 AUDITS
At any time during normal nal business hours and as often as the COUNTY Y (and/or its
representatives) may deem necessary, RECIPIENT shall make available all records,
documentation, and any other data relating to all matters covered by the Agreement for
review,inspection,or audit.
Any deficiencies noted in audit reports must be fully cleared by the R.TEC:IPIE.NT within 30
days after receipt by theorganization.Faili.n'e of RECIPIENT to comply with the above audit
requirements will constitute a violation of this Atrrs ement and may result in the withholding
of future payments.RECIPIENT hereby agrees to have an annual agency audit conducted in
accordance with current COUNTY policy concerning RECIPIENT audits.
2.2 RECORDS AND DOCUMENTATION
The RECIPIENT shall maintain sufficient: records, in accordance with Florida Statute, to
determine compliance with the requirements of this Agreement,the DC:F agreement,and all
other applicable laws and regulations. This documentation shall include, but is not limited
to,the following:
A, All records required by Florida Statute, as directed by i)CE, in its contract witi).
RECIPIENT.
13. RECIPIENT shall keep and maintain public records that ordinarily and necessarily
would be required by the COUNTY in order to pert.bvnn the services.
C. All tepons., plans, surveys, information, documents, maps, hooks, tecorcls, and
other data procedures developed, prepared, assembled, or completed by the
REC.IP.iEENT for this Agreement shall be made available to the COUNTY,by the
RECIPIENT, at any time, upon request by the COUNTY or CHS. Materials
identified i>i the previous SL•i:it:Cl'itiC:shall be in aGCi;YYl:7t>G•e with ge:tii:i'iinl4 accepted
accounting principles (GAAP.), procedures, and practices, which sufficiently and
properly reflect all revenues and expenditures of fluids provided directly or
indirectly by this Agreement. These records shall be maintained lined to the went 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 Cl-1.S, if
requested, In any event, RECIPIENT shall keep all documents and records in an(
C;icier County Child Ad:.rai:y Cease^ (i
Stem Mandated S::;•vice /=S Mil .ii-L'UI
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orderly fashion, in a readily accessible,permanent, and secured location for six(6)
years after tote date of submission of the.final progress report,with the fcil.lowing
exception: if any litigation, claim,or audit is started before the expiration date of
the six((d)year period,the records will be maintained until all litigation,claim,or
audit findings involving these records are resolved, If RECIPIENT'ceases to exist
after the closeout of this Agreement,the COUNTY shall be informed., in writing,
of the address where the records are to be kept. 'the. RECIPIENT shall meet all
requirements for retaining public records and transfer, at no Gist to COUNTY,all
public records:in possession of the RECIPIENT upon termination o:t"the Agreement
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 ial xrnmatton
technology systems of the COUNTY.
IF THE R.ECIPTENT. HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE
RECIPIENT'S NT'S DUTY 'I`C)PROVIDE PUBLIC: RECORDS RELATING TO
THIS AGREEMENT, CONTACT THE CUSTODIAN OF PUBLIC
RECORDS AT 239-252-6S32, M•iebael..Cox;«:eolIiereountvfl.gov, 3299
TF.'anxiatni Trail I:-,Naples FL 34112.
RECIPIENT shall provide the public with access to public records on the same
terms and conditions that the. COUNTY would provide the records and at a cost
that does not exceed the cost pro-vided in Chapter I 19, Florida. Statutes or as
otherwise provided by law. RECIPIENT shall ensure that public records that are
exempt or confidential and exempt from public records disclosure requirements are
not disclosed.
.2,3 MONITORING
During the term of this Agreement, RECIPIENT shall submit an annual audit:monitoring
report (Exhibit D)to the COUNTY no later than nine(9) months after the Single Audit(or
one hundred eighty (180) days for Recipients exempt from. Single Audit), after
RECIPIL aNT"s fiscal year end. The COUNTY will conduct an annual financial and
programmatic.review.
Rl aPll N't'agrees that CHS may carry out no less than one(I) annual on-site. monitoring
visit and evaluation activities, as determined necessaty. At the COUN Y's discretion, a
desktop review of the.activities may be conducted in lie of an on•Site.visit.The contititiation
of this Agreement is dependent upon satisfac€ory evaluations.
Copier C€cnt)•Child Advocacy Center 7
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2,4 CORRECTIVE ACTION
Corrective action plans may be :required for noncompliance, nonperformance, or
unacceptable performance under this Agreement. Penalties may he imposed for failure to
implement or to make acceptable progress on such corrective action plans.
To effectively enforce COUNTY Resolution No.2013-228, CHS has adopted an escalation
policy to ensure continued compliance by Recipients, Subrecipients, Developers, or any
entity receiving grant funds from CHS. s escalation policy for noncompliance is as
follows:
A. Initial :aoncompliance may result in Findings or Concerns being issued to the
RECIPIENT and will require a corrective action plan be submitted to CIIS within fifteen
(I5) calendar days, following issuance of the report.
• Any pay requests that have been submitted to C:FIS for payment will be held until
the corrective action plan has been submitted.
• CH S will.be available to provide Technical Assistance(TA) to RECIPIENT,as
needed,in°Ma to correct the noncompliance issue.
B. If RECIPIENT fails to submit the correcti ye action plan in a timely manner,ClIS may
require a portion of the awarded grant amount be returned to the COUNTY.
• The COUNTY may require upwards of 5 percent of the award amount be.returned
to the COUNTY,at the discretion of the Board..
• The RECIPIENT'may be denied future consideration, as set firth in Resolution
No. 2013-228,
C. If RECIPIENT continues to fail to correct the outstanding issue or repeats an issue that
was previously corrected and has been informed by CIIS of their substantiai
noncompliance,by certified mail;CMS may require a portion of the awarded amount be
returned to the COUNTY.
• The COUNTY may require upwards of 10 percent of the award amount be
returned to the.COUNTY,at the.discretion of the Board,
• The RECIPIENT will be in violation of Resolution No.2013-228.
U. If after repeated notification,R.ECIP1ENT continues to be substantially noncompliant,
CI-IS may recommend the.Agmemetu or award be terminated,
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• CFIS will make a recommendation to the Board to immediately terminate the
Agreement.The RECIPIENT will be required to repay all fiords disbursed by the
COUNTY for the project that was terminated,This includes the amount invested
by the COUNTY for the initial acquisition of properties or o:her activities, if
,applicable.
• The RECIPIENT will be in violation of Resolution No,2013-22 i.
If•RECIPIENT has multiple agreements with CBS and is found to he noncompliant,
the above sanctions may be imposed across all awards,at the Board's discretion.
23 REPORTS
Reimbursement may be contingent upon the timely receipt of complete amid accurate
reports required by this Agreement,and on the resolution of nnoniturity findings identified
pursuant to this:Agreement,as deemed necessary by the County ,Manager or designee.
During theterm of this Agreement,RECIPIENT shall submit quarterly progress reports to
the COUNTY on the 10th day of January, A.p.ril, July, and October, respectively, for the
prior quarter period end. Exhibit C contains an example reporting form to be used in
fulfillment of this requirement. Other reporting requirements may be required by the
County Manager or designee, if the Program changes,the need for additional nibr'mation
or documentation arises, axd!or legislative amendments are enacted. Reports and/or
requested documentation not received by the due date shall be considered delinquent and
may be cause fir default and termination of this Agreement,
•
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•
PART Ill
TERMS AND CONDITIONS
3.1 SUBCONTRACTS
Any work or services subcontracted by the RECIPIENT shall be 'by written contract or
agreement,and such subcontracts shall be subject to each provision of ibis Agreement and
applicable County,State,and Federal guidelines and regulations. Such subcontracts must be
submitted by the RECIPIENT to Collier County Community and Human Services Division
(CBS)for its review and approval,prior to execution by RECIPIENT. None of the work or
services covered by the Agre.enteni,including but not liMited to consultant work or services,
shall he subcontracted by the RECIPIENT or reimbursed by the COUNTY, without prior
written approval of the OTIS Director or designee.
3,2 INDEPENDENT CON'FRACTOR
Nothing contained in this Agreement is intended to,or shall he construed in.any manner,as
creating or establishing the relationship of employer/employee between the pariii,N,s, The
RECIPIENT shall tilways remain an"independent contractor"with respect to the Services to
be performed under this Agreement. The COUNTY shall be exempt from payment:of all.
Unemployment Compensation, PICA, retirement, life and/or medical insurance, and
Workers' Compensation Insurance as RECIPIENT is an independent contractor.
3.3 AMENDMENTS
The COUNTY or RECIPIENT may amend this Agreement, at any time, provided that such
amendments make specific reference to this Agreement,and are executed in writing,signed
by a duly authorind. representative of each organiMi011, and approved by the COUNTY's
governing body.Such amendments shall not invalidate this Agreement,nor relieve or release
the COUNTY or RECIPIENT from its oblisations under tins Agreement,
The COUNTY may,at its discretion,amend this Agreement to eonfoxm with:Federal,State,
or governmental guidelines,policies,available funding amounts,or for other reasons. If such
amendments result in a change in the funding, the scope of services, or schedule of the
activities to be undertaken as part of this Agreement,such modifications will be incorporated
only by written amendment signed by both COUNTY and RECIPIENT,
3.4 INDEMNIFICATION
To the maximum extent permitted by Florida law, RECIPIENT shall indemnify and hold
harmless Collier County, its officers, agents, and employees from any and all claims,
liabilities, damages, losses, costs, aria causes of action which may arise out of an act or
omission,including but not limited to,reasonable attorneys' fees and paralegals' fees,to the
extent caused by the negligence, recklessness, or intentionally wrongful conduct of
RECIPIENT or any of its agents, officers, employees, contractors,patrons, guests, clients,
licensees, invitees, or any .persons acting under the direction, control, or supervision of.
RECIPIENT,in the performance of this Agreement.
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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 RECIPIENT shall pay all claims and losses of any nature
Whatsoever in connection therewith and shall defend all suits in the name of the COUNTY
and shall pay all costs (including attorney's es)and judgments which may issue thereon.
This Indemnification shall survive the termination and/or expiration of this Agreement.This
section does not pertain to any incident arising from the sole negligence of COUNTY.The
foregoing indemnification shall not constitute a waiver of sovereign immunity beyond the
limits set forth in Section 768.28, Florida Statutes. This section shall survive the expiration
or termination of this Agreement.
33 DEFAULTS,REMEDIES AND TERMINATION
This Agreement may be terminated for convenience by either the.COUNTY or RECIPIENT,
in whole or in part,with a thirty(30)day written notice.,by setting forth the reasons for such
termination, the effective date, and, in the case of partial terminations, the portion to be
terminated.
The ibilowirm actions or inactions by RECIPIENT shall constitute a Default under this
Agreement:
A. Failure to comply with army of the rules,regulations,or provisions refeiTed to herein,
or such statutes., regulations, executive orders, and State of Florida guidelines,
policies,or directives as may become applicable at any time
B. Failure,for any reason,by the RECIPIENT to fulfill in a timely and proper manner
its obligations under this Agreement
C. ineffective or improper use of flinds provided under this Agreement
D. Submission by RECIPIENT to the COUNTY reports that are incurrCci. or
incomplete in any material respect
E. Submission by the RECIPIENT of any false certification
F. Failure to materially comply with any terms of this Agreement
G. Failure to materially comply with the terms of any other intreernent between the
COUNTY and RECIPIENT,relating to the project
In the event of any default by RECIPIENT under this Agreement, the. COUNTY may seek
any combination of one or more.of the following remedies:
A. Require specific peribrinance of the Agreement,in whole or in part.
B. Require the use of or change in medical services provider
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C. Require immediate repayment by RECIPIENT to the COUNTY of all funds that
RECIPIENT has received under this Agreement
•
D. Apply sanctions, if determined by the COUNTY to be applicable
T�e. Stop all payments,until identified deficiencies are corrected
l Terminate this Agreement, by giving written notice to RECIPIENT of such
termination and specifying the effective date of such termination. Tribe Agreement
is terminated by the COUNTY, as provided herein, RECIPIENT shall have no
claim o:t' payment or claim of benefit for any incomplete project activities
undertaken under this Aarcelnent.
34 INSURANCE
RECIPIENT'Shall not commence any work and/or services pursuant to this Agreement,until
all required insurance, as outlined in Exhibit A has been obtained. Said insurance shall be
carried continuously during REC.IPIENT's performance under the agreement,
3.7 CIVIL RIGHTS COMPLIANCE
The RECIPIENT agrees that no person shall be excluded from the benefits of;or be subjected
to, discrimination.under any activity carried out by the performance of this Agreement on
the basis of race,color,disability,national origin,religion,age,familial status,or sex. Upon
receipt of evidence of such discrimination, the COUNTY shall have the right to terminate
this Agreement,
3.8 OPPORTUNITIES FOR SMALL AND MINORITY/WOMEN-OWNED BUSINESS
ENTERPRISES
The RECIPIENT will use its best efforts to afford small businesses,minority and women>'s
business enterprises the maximum practicable opportunity to participate in the performance
of this Agreement.As used in this Agreement,the terms"small business'means a business
that meets the criteria set forth h in section Ma) of the Small Business Act, as amended ended (IS
U.S.C. 632); and"minority and women.'s business enterprise"means a business at least j I
• percent owned and controlled by minority group members or women. For the purpose of this
definition, "minority group members" are Afro-Americans, Spanish-speaking, Spanish.
surnamed, or Spanish-heritage Americans, Asian-Americans, and American Indians,
RECIPIENT may rely on written representations by businesses regarding their status as
minority and female business enterprises in lieu of an independent investigation.
3.9 CONFLICT OF INTEREST
The R.ECIPIENT covenants that no person under its employ, who presently exercises any
functions or responsibilities in connection with the Program, has any personal financial.
.•, i 7 g t
ti'itCT:`.5t, direct or liltlil'Ll.t; �t�l'llcll ti�'Ciliif, cOl:tiliCt ii� iYn1' 1i..2iIliA:i' 01' C�.��GL l��i.h the
performance of services, required in this Agreement. RECIPIENT further agrees that no
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person having any conflict of interest shall be employed by or subcontracted by RF,CIPIENT.
The RECIPIENT NT covenants that it will comply with all provisions of Florida Statute 287.057
and any additional State and County statutes, regulations, ordinances, or resolutions
governing conflicts of interest.
The RECIPIENT will notify the COUNTY,in writing,and seek COUNTY approval prior to
entering into arty contract with an entity owned in whole Or in part by a covered person or an
entity awned or controlled,in whole or in part,by RECIPIENT. the COUNTY may review
the proposed contract to ensure that the contractor is qualified and tttaat the costs are
reasonable. Approval of an identity of interest contract will be in the COUNTY's sole
discretion. This provision is not intended to limit RECIP1ENT's ability to self-manage the
projects using tt5 own employees.
3.1(1 SUBJECT Ti,)APPRO.PRIATION
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.
3.11 ASSIGNMENT
RECIPIENT..`aL3WI not assign f,iAlJ Agreement L:Ciwltlzi t.k any part li1C:AC iLi. lY.i WAfU. the prior written
consent of the COUNTY. Any attempt to assign or otherwise transfer this Agreement or any
part herein, without the COUN•iY's consent, shall be void. if RECIPIENT does, wits
approval,assist)this Agreement or any part thereof;it shall.require that its assignee be bound
to it and to assume toward REC.IPIE.NT all the obligations and responsibilities that
RECIPIENT has assumed toward the COUNTY. If an assignment of this Agreement is
approved by the COUNTY, RECIPIENT shall be relieved of all obligations under this
Agreement arising after any assignment.
3.12 INCIDENT REPORTING
If services to clients are to be provided under this Agreement, the RECIPIENT and any
subcontractors shall report to the COUNTY knowledge or reasonable st:tspicion of abuse,
neglect,or exploitation of a child,aged person or disabled adult.
3.13 SEVERABILITY
Should arty provision of the Agreement be determined to he unenforceable or invalid,such
a determination shall not affect the validity or enforceability of any other section or part
thereof.
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•
GENERAL PROVISIONS
4.1 PERMITS, LICENSES, TAXES: In compliance with Section 218.80. Florida Statues, all
permits necessary 'for the perfbrmance of the Work shall be obtained by RECIPIENT.
Payment'for all such permits issued by the COUNTY shall be processed internally by the
COUNTY. All non-COUNTY permits necessary for the performance of the Wok shall he
procured and paid for by RECIPIENT. The RECIPIENT shall also be solely responsible'for
payment of all taxes levied.on the RECIPIENT.. In addition,.RECIPIENT shall comply with
all rules, regulations, and laws of Collier County, the State of. Florida, or the U. S.
Government now in fb.rce or hereafter adopted. The RECIPIENT agrees to comply with all
laws govetninz the responsibility of an. employer with reaped. to persons employed by
RECIPIENT.
4.2 NC) IMPROPER USE: The RECIPIEtti'.l' will not use,nor offer or permit any person to use
in any manner whatsoever, COI.JN'1'Y facilities for any imp:roper, immoral, or offensive
purpose or fi?i'any purpose in violation of any federal,state,county,or municipal ordinance,
Mile,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 RECIPIENT, or if tlxe COUNTY
or its authorized representative shall deem any conduct on the pint of the RECIPIENT to be
objectionable or improper,the COUNTY shall have the right to suspend the Agreement with
the RECIPIENT. Should RECIPIENT fail to correct any such violation,conduct,or practice
to the satittatction of the COUNTY within twenty-four ((24) hours after receiving notice of
such violation,conduct,or practice,such suspension will continue until the violation is cured.
The RECIPIENT further agrees not to commence operation during the suspension period
until the violation has been corrected to the satisfaction of the COUNTY.
4.3 PROHIBITION OF GII'TS TO COUNTY EMPLOYEES: No organization or individual
shall offer or give, either directly or indirectly, any th •or, girl., loan, fee, service, or other
item of value to any COUNTY employee, as set forth in Chapter 112, Part I.I.I, Florida
Statutes, Collier County Ethics Ordinance. No. 2004-53, 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 speii tied 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, REP,and/or quotes;and c)immediate termination of arty
contract held by the individual rind;sir firm for cause,
4.4 DRUG-FREE WORKPLACE: The RECIPIENT agrees that: it will provide drug-free
>. laof 1 13SC 701).y
workplaces,in cccat'ctznce with the 1)i•izq-.I�:rue.'Workplace Ai:t. 1988 (4< , t:
4.5 IMMIGRATION LAW COMPLIANCE:By executing and entering into this Agreement,the
RECIPIENT is formally acknowledging, without exception or stipulation, that it is folly
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 RECIPIENT to comply with the laws referenced herein shall
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constitute a breach of this Agreement and the COUNTY shall have the discretion to
unilaterally terminate this Agreement immediately,
tttps://www.eeoc,ggyiecocihistorvi35thlthelawlimahtml
4,6 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. Any situations when negotiations,
litigation antler mediation shalt he attended by representatives of RECIPIENT 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 C-oti'tn et:lw•emem 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,
Should either party fail to submit to mediation as required hereunder, the other party may
obtain a court Udder requiting mediation under § 44.102, Florida Statutes. The litigation
arising out of this Agreement shall he adjudicated in Collier County,Florida,if in state court
and the US District Court,Middle. District of Florida, if in federal court. BY ENTERING
I\'TC)7'TTI�I AGREEMENT,Cof,I.:ii R COUNTY AND 'DIE RECIPIENT EXPRESSLY
S •L.Y
WAIVE ANY RIGHTS EITHER.PARTY MAY HAVFi TO A TRIAL BY JURY OF ANY
C.'IVII,I.J'T IGA:1 lO\RELATED TO,OR ARISING OUT OF,THIS AGREEMENT.
https://www.Alsenate,p„ovil...awsiStatutes/2012.144,102
4.7 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
Agrement, the conflict shall be resolved by imposing the more strict or costly obligation
under the Contract Documents upon the Contractor at Owner's discretion.
4,8 VENUE:Any suit or action brotatht by either party to this Agreement against the other party
relating to or arising out of this Agreement must be brought iii the appropriate federal or state
courts in Collier County, Florida, which courts have sole and exclusive:jurisdiction on all
such matters.
4.9 EQUAL EMPLOYMENT OPPORTUNITY: Executive Order 11246 (`;Equal Employment
Opportunity"),as amended by Executive Orders 11375 and 12086-which establishes hiring
goals'Ibr minorities and women on projects assisted with federal funds and as supplemented
in (Department of Labor regulations. EO 11246.
htips://www.dol.goviazenclesiofccolexecutive-order-1 l246Li -tits ended
4,10 RECORDS RETENTION: Florida Statutes 119.021 Records Retention
hit(3:%,Zmlv.leg.state..fl,usIStatutes'mdex.Cfm.?App mode,,Disp.l�1; S tit � l.`;it�°`
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4.11 CONTRACTS AND PUBLIC RECORDS: Florida Statutes, 119.071, Contracts and Public
Records
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0199/0 I 19/Seetions10119.07thtml
4,12 CONVICTED VENDOR LIST:As provided in§287.133,Florida Statutes,by entering into
this.Agreement or performing any work in fitrtheranee hereof,the RECIPIENT certifies that
it, its affiliates,suppliers, subcontractors and consultants who will perform hereunder,have
not been placed on the convicted vendor list maintained by the State of Florida Department
of Management Services within the 36 Months immediately preceding the data hereof,This
notice is required by § 287,133 (3)(a),Florida Statutes.
http:fiwww.leR.state.fi.usiStatutesiindax.elm7App mode=DisnlaV ,$,tattrteSr.Searprini:T,
&st3RL,-0200-0299/0287/Sections/0287.133,htnal
4.13 FALSE. CLAIM: Criminal, or Civil Violation: RECIPIENT must promptly Tea to
COUNTY any credible evidence that a principal, employee, agent, contractor, subgrantee,
subcontractor,or Other person has either 6)submitted a false claim for grant funds under the
False Claims Act or (ii) committed a criminal or civil violation of laws pertaining to fraud,
conflict of interest, bribery, gratuity, or similar misconduct involving subaward.rtareement
funds
4.14 POLITICAL Acnv trIES PROHIBITED:None of the-funds provided directly or indirectly
under this Agreement shall he used fbr any political activities or to further the election or
defeat of any candidates for public office. Neither this Agreement nor any funds provided
hereunder shall be milind in support of tiny partisan political activities or activities for or
against the election of a candidate for an elected office.,
Signature rage to Follow
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IN WITNESS WHEREOF, R.ECIRTENT and COUNTY,have each respectively,by an
authorized lemon or agent, heretinder set their hands and Sink on the date first written above.
ATTEST: •. BOARD OF COUNTY COMMISSIONERS OF
cm's-nu,K. KINZEL,CLERK COLLIER -.!OUNTY, FLOP
•
13y:
Attes as to ChairmalfsiT URT SAUNI. CHAIRMAN
Signature only. .
•.... Date: 110 1200
COLLIER COUNTY CHILD ADVOCACY
Dated:Pr otbev- U.0 y'26 2L) CENTER
(SEAL)
By: /
ielin-blirth Stephens,Executive
Direetoti
.Date; 0/2-SV .20.1-C3
Approved a to form and legality:
Ns.> ..v.1
Jennifer, Belpe—to (\--/
AssiAant County Attorney (
-w et,
A st
Date: I Li itaaao
Item#
Agenda 412\acdo
• Date
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EXHIBIT A
INSURANCE REQUIREMENTS
The RECIPIENT shall furnish to Collier County.c/a Community and Human SmicesDivision,
3339 E. Tantiami Trail, Suite 211,Naples, Florida 34112,Certificate(s)of Insurance evidencing
insurance coverage that meets the requirements as outlined below:
1. Workers' Compensation as required by Chapter 440,Florida Statutes.
2. Commercial General Liability, including products and completed operations insurance,in.
• the amount of$1,000,000 per occurrence and S2,000,000 aggregate.Collier County must
be shown as an additional insuted with respect to this coverage,
3. Automobile liability insurance covering all owned,non-owned and hired vehicles used in
connection with this Agreement, in an amount not less than$1,000,000 combined single
limit thr combined Bodily Injury and Property Damage,
DESIGN STAGE(IF APPLICABLE)
In addition to the insurance required in 1 3 above,a Certificate of IIISAIMUCC must be provided as
follows:
4. Professional liability Insurance, in the name of the RECIPIENT or the licensed design
professional employed by the RECIPIENT, in an amount not less than SI,000,000 per
occurrencei$1,000,000 aggregate providing for all sums which the RECIPIENT and/or the
design professional shall become legally obligated to pay as damages for claims arising out
of the services performed by the RECIPIENT or any person employed by the RECIPIENT
in connection with this Agreement.This insurance shall he maintained for a period of two
(2)years after the certificate of Occupancy is issued.
CONSTRUCTION PHASE(IF APPLICABLE)
In addition to the.insurance required in 1 — 4 above,the RECIPIENT shall provide, or cause its
Subcontractors to provide, original certificates indicating the fbIlowing types of insurance
coverage prior to any construction:
5. Completed Value Builder's Risk Insurance on an"All Risk" basis, in an amount not less
than one hundred (100?4.) percent of the insurable value of the building(s) or
structure(s).The policy shall be in the name of Collier County Board of County
Commissioners and the RECIPIENT,
6. In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42
U.S.C. 4001),the RECIPIENT shall assure that for activities located in an area identified
by the Federal Emergency Management Agency(FEIMA)as baying special flood hazards,
flood insurance under the National Flood Insurance Program is obtained and maintained,
as a condition of financial assistance for acquisition or construction purposes (including
rehabilitation).
/••";••'..
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OPERATION/MANAGEMENT PHASE(IF APPLICABLE)
After the Construction Phase is completed and occupancy begins,the following insurance must be
kept in force throughout the duration of the loan and/or Agreement:
7, Workers' Compensation as required by Chapter 440,Florida Statutes.
8. Comniercial General Liability including,products and completed operations insurance in
the amount of SI,000,000 per occurrence and $2,000,000 aggregate. Collier County must
be shown as an additional insured with respect to this coverage.
9, Automobile Liability Insurance covering all owned,non-owned and hired vehicles used in
connection with this Agreement in an amount not less than $1,000,000 combined single
limit Jr combined Bodily Injury and Property Damage.
10. Property Insurance coverage on an"All Risk"basis,in an amount not less than one hundred
(100%)of the replacement:cost of the property. Collier County must be shown as a loss
payee,with respect to this coverage A.T.I.m.A.
11. Flood.insurance coverage for those properties found.to be within a flood hazard zone, for
the [WI replacement values of the structure(s) or the .maximurn amount of coverage.
available through the National Hood Insurance Program (NFIP). The policy must show
Collier County as a Loss Payee A.T,L.N.I.A.
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EXHIBIT 11
COLLIER COUNTY COMMUNITY&HUMAN SERVICES
SECTION I: REQUEST FOR PAYMENT
RECIPIENT Name; Collier County Child Advocacy Council,Inc.
RECIPIENT Address:
Project Name:
Project No: SNI 2020-00 I.: Payment Request i4
Fad Payment Minus Retainage
Period of Availability; j through
Period for which the Agency hat: incurred the indehieduess Through
SECTION II:STATUS OF FUNDS
'Recipient CBS Approved
Grant Amount Awarded
2.Total Amount.of Previous Requests
3.Amount of'Today's Request(Net of Retainage, $
if applicable) .
4, Current Grant Balance (Initial Grant Amount S
Award request)(includes Retainage)
I certify that this request for payment has been made in accordance with the terms and conditions
of the Agreement between The COUNTY and us as the RECIPIENT.To the best of my knowledge
and beliet,all grant requirements have been followed.
Signature Date
Title
Authorizing Grant Coordinator Authorizing Grant Accountant
. •
Supervisor(Approval required Si 5,000 and Division Director(Approval Required
above) $I5,000 and above)
)
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E.XIIIIIIT C
QUARTERLY PERFORMANCE REPORT
STATE MANDATED
COLLIER COUNTY CHILD ADVOCACY COUNCIL
'Report Peiod:
^
Fiscal Year;
I
Agreement:Number: SM 2021-001
Recipient Name: COLLIER COUNTY CHILD ADVOCACY COUNCIL i
Contact Name: i
Contact Telephone i
i i
Number: 1
Characteristics Report
I Report Selection Criteria:
Ethnicity
Non-
Race Ilisnanic Ii.:ntiniic
• -.). •
White ......... ........,........_._..........,....._....._ ----.....
Black/African American .
Alilail ;
American Indiatili\laak an Native
Native Hawaiian/Other'Pacific
! 1
islaader
I Other/Multi-Racial ,._•
: 1
-
2 Number of ind ivi.duals served:
1 Male Female i Male i Female i
Age quarter..,,,, _Quarter 4,, YID t YTD !
r Children age 5 or younger i i i :
......_ --4-s -4
Children.age 6-• 12 f .
; !i
1 Children age 13—1.8
.1.
1 „___,..4
I total :
.., !
•
3 Type of Services Delivered.;.
II. I 'Ti1 ,
Semice Quarter YTD
I Medic.-.zd axamituttiorts -
Medictti Consultations i
Total
: . ..
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4 Project Progress:
Describe your progress,during the reporting,period,end.any impediments,if applicable.
{
By signing this report, I certify to the best of my knowledge mid belief that the information
contained in this report is true, complete and accurate. I am aware that any t'al ti, fictitious, or
fraudulent information, or the omission of any material fact,may subject me to criminal,civil,or
administrative penahies for fraud, false statements,false claims or otherwise(U.S. Code Title l l,
Section 1001 and Title 31,Sections 3729-3730 and 3801- 8l2).
Sig gnat urn.: Date:
Printed •
Name:
Your typed na.tne here represents your electronic signature,
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EXHIBIT D
ANNUAL AUDIT MONITORING REPORT
1.:c)roof.„:.:2:;.:.g...igi!vog2ca331:1!:toipi*:.:coltiotOmiptila::4iioriitaiiirenli:76(...fecTeilt.:*,/.eaesp..4 to[ dtermibe f r pente are comp'iant with estab1ihed audit requirements (Subpart Accordingly,
600:6:6!:10:bNOnizflti;on's
,.66:Mpiiiirti56:::Wititaiiiiiiiii§-,:tWerb):'.aWgi06iiiiiiid60'iiii:dffi.6i1:3461-:. tiii.:Iicipi6r.it...trut. 66446r all
sources of F00.01*040 :15a$04-Oh..*herIPee•otivitY:telated.tO:theFederaeWard:9640*:...if)Odifexpended shall beh'i'aicordance with the uidèljnes estabshed by 2 CFR Part 08 Subpart I- -
v!
any Federal award pviUd by Collier County 1 he determination of amounts of Federal awards
Autht Requirements lids form ma b used to rnonitoi Flonda Single Audit Act
• •
':' . . •
•:' •• .'• ''''''' •••• • .
PiiiKit2071;airY•64t0110.1.6157617•77:77 "...--
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Total : ... SSIS •• C • ••;;;*--.. "....:•••••••
:1•40t001::$fa egOlid 4.d •
P
': • .•.:• • •.•
al Year
•.:• •s. „:..„.. :„„„.: „ ••• • •. I
Check A.or B.Check C if applicable
• A. The.federelistate.expenditure threshold for our fiscal.year ending as indicated above has
• been met,arid a Single'Audit as required by 2.CFR Part 200 Subpart F Ina been completed
or wiirbe cornPleted by;. . . Copies of the audit report and management letter
are attached orwill ba provided within 30 days of comple.tiori.• •
B. We are net subject to the requireMents of•OMS 2 CFR Part200; Subpart F becatise we: 0
Did not exceed the expenditure threshold for the fiscal year indicated above
0 Are a for-ptofit•organization •
El • Are exempt for other reasons explain • • • ••
••
An audited .financial :statement is attached and if applibable.. .the independent auditor's
mangeMentle.tier.
C. Findings.Were noted. 'a currentStatus Update of the responses and corrective action plan
is included separate.froin the written response'provided within the audit 'report, While we.
underlitim....1/.:-.;vN•vw..eeocaoviipsibiston,l.:15thithel;iviliren.hi431.1. stand that the audit report
n. ' contains..a written. response to the firiding(s),•We are requesting an updated status of the
correcNe:adtionis)being taken, Please do not just a copy of the written response from
•• .
you aUdit...repert, unless it incltides. details of the -actions,...procedures,. petioles etc.
implemented and when it was or-wili beimplornented. •
Certification Statement
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Signature Tbate
Print Name and Title 06/18
Collier County Child Adviscacy Cenwr 23
State M.Indatoe.3ervice t.;M202 I-Oil I
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AP P EN D IX A.
Florida Statute 39.304(5)
The county in which the ethid is a resident shall bear the initial costs of the e.xamitiation of the
allegedly abused, abandoned, or neglected child; however, the parents or legal custodian of the
child shall be required to reimburse the county for the costs or such examination, other than an
initial forensic physical examination as provided in Section 960.28, and to reimburse the
department for the cost of the photographs taken pursuant to this section. A medical provider may
not bill a child victim:directly or indirectly, for the cost t)fan initial forensic physical examination.
coma Couty Child Advocacy Centcr 24 .•••
Si elandated Scrvice:i ;SN1i)2 I-001
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APPENDIX,;
Florida Statute§9'60.28 Payment for victims' initial forensic physical examinations.
(1) A medical provider who performs an initial forensic physical examination may not bill a
victim or the victlirfs parent orguardian it the victim is a minor directly or indirectly for that
examination.
(2) rite Crime Victims' Services Office of the department shall pay for medical expenses
connected with an initial forensic physical examination of a victim of sexual battery as defined in
chapter 794 or a lewd or lascivious offense as defined in chapter 800.Such payment shall be made
regardless of whether the victim is covered by health or disability insurance and whether the victim
participates in the criminal justice system or cooperates with law enforcement.The payment shall
be made only out of moneys allocated to the Crime Victims' Services Office for the purposes of
this section,and the payment may not exceed S500 with respect to any violation.The department
shall develop and.maintain separate protocols for the initial forensic physical examination of adults
and Children. Payment wider this section is limited to medical expenses connected with the initial
forensic physical examination,and payment may be made to a medical provider using an examiner
qualified under part I of chapter 464,excluding Section 464.003(1 fi);chapter 458;or chapter 459.
Payment made to the medical provider by the department shall be considered by the provider as
payment in full fOr the initial .lbrensic physical examination associated with the collection of
evidence.The victim may not lie required to pay.directly or indirectly,the cast of an initial forensic
physical examination performed in accordance with this section.
(3) The department may allow, deny, controvert, or litigate claims made against it ander this
section.
(4) Information received or maintained by the department identifying a.n alleged victim who
seeks payment of medical expenses under this section is confidential and exempt from the
provisions of Section 119.07(.1).
(5) A defendant or juvenile offender who pleads guilty or.nolo contendere to,or is eonvici.od of
or adjudicated delinquent for, a violation of chapter 794 or chapter 800 shall be ordered by the
court to make restitution to the Crimes Compensation Trust Fund in an amount equal to the
compensation paid to the medical provider by the.Crime Victims' Services Office for the cost of
the initial forensic physieal examination.The order may be enforced by the department in the same
manner as a iudgramt in a civil action.
C..omticr county Chad Advocav e.Cnur 25 ..
ss f[ ,Maadnd Sere•ir:s e slvt2O2I-O t