Agenda 09/28/2021 Item #16H 1 (Medical Examiner Services #11-5576 Amend #11)09/28/2021
EXECUTIVE SUMMARY
Recommendation to approve and authorize the Chair to sign the Eleventh Amendment to the
Agreement for Medical Examiner Services (Agreement No. 11-5776 - Medical Examiner), which
will extend the term of the Agreement to September 30, 2022.
OBJECTIVE: To provide for medical examiner services for Collier County.
CONSIDERATIONS: On August 18, 2011, Governor Rick Scott reappointed Dr. Marta U. Coburn,
M.D. to serve as the District Twenty Medical Examiner. Thereafter, the Board, at its Se ptember 27, 2011
regular meeting, approved an agreement with Dr. Coburn (d/b/a District Twenty Medical Examiner, Inc.)
to provide medical examiner services for Collier County. The attached proposed amendment will extend
the term of that Agreement to be effective October 1, 2021 through September 30, 2022. The County will
also make payments on behalf of the Medical Examiner for County-allocated charges consisting of
Information Technology costs as well as General, Property, and Liability insurances in the a mount of
$53,900.
FISCAL IMPACT: Funds in the amount of $1,902,600 are budgeted in the General Fund (001) Medical
Examiners Services for FY22.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this
Executive Summary.
LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote
for Board approval. -SRT
RECOMMENDATION: To approve and authorize the Chair to sign the attached Eleventh Amendment
to Agreement # 11-5776 for Medical Examiner Services, extending the term of that Agreement to be
effective October 1, 2021 through September 30, 2022, and comprising a total allocation for these
services in the amount of $1,902,600.
Prepared by: Christine Boni, Sr. Accountant, Bureau of Emergency Services/Emergency Management
ATTACHMENT(S)
1. 11-5776 Medical Examiner_Agreement (PDF)
2. 11-5776-Amendment #11 (PDF)
3. Amendment #1 (PDF)
4. Amendment #2 (PDF)
5. Amendment #3 (PDF)
6. Amendment #4 (PDF)
7. Amendment #5 (PDF)
8. Amendment #6 (PDF)
9. Amendment #7 (PDF)
10. Amendment #8 (PDF)
11. Amendment #9 (PDF)
12. Amendment #10 (PDF)
16.H.1
Packet Pg. 1450
09/28/2021
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.H.1
Doc ID: 16301
Item Summary: Recommendation to approve and authorize the Chair to sign the Eleventh
Amendment to the Agreement for Medical Examiner Services (Agreement No. 11-5776 - Medical
Examiner), which will extend the term of the Agreement to September 30, 2022.
Meeting Date: 09/28/2021
Prepared by:
Title: Accountant – Emergency Management
Name: Christine Boni
06/16/2021 12:22 PM
Submitted by:
Title: Division Director - Bureau of Emer Svc – Emergency Management
Name: Daniel Summers
06/16/2021 12:22 PM
Approved By:
Review:
Emergency Management Daniel Summers Director Review Completed 06/16/2021 12:24 PM
Procurement Services Caroline Blevins Level 1 Purchasing Gatekeeper Completed 06/16/2021 3:15 PM
Agenda Clerk Preview Michael Cox Agenda Item Preview Completed 06/16/2021 4:56 PM
Procurement Services Sue Zimmerman Additional Reviewer Completed 06/16/2021 5:00 PM
Procurement Services Sandra Herrera Additional Reviewer Completed 06/16/2021 5:17 PM
County Attorney's Office Scott Teach Level 2 Attorney Review Completed 06/17/2021 8:18 AM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 06/17/2021 10:25 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 06/23/2021 2:41 PM
Office of Management and Budget Laura Wells Additional Reviewer Completed 06/28/2021 11:03 AM
County Manager's Office Sean Callahan Level 4 County Manager Review Completed 09/20/2021 5:40 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 09/28/2021 9:00 AM
16.H.1
Packet Pg. 1451
16.H.1.a
Packet Pg. 1452 Attachment: 11-5776 Medical Examiner_Agreement (16301 : Medical Examiner Services Amendment 11)
16.H.1.a
Packet Pg. 1453 Attachment: 11-5776 Medical Examiner_Agreement (16301 : Medical Examiner Services Amendment 11)
16.H.1.a
Packet Pg. 1454 Attachment: 11-5776 Medical Examiner_Agreement (16301 : Medical Examiner Services Amendment 11)
16.H.1.a
Packet Pg. 1455 Attachment: 11-5776 Medical Examiner_Agreement (16301 : Medical Examiner Services Amendment 11)
16.H.1.a
Packet Pg. 1456 Attachment: 11-5776 Medical Examiner_Agreement (16301 : Medical Examiner Services Amendment 11)
16.H.1.a
Packet Pg. 1457 Attachment: 11-5776 Medical Examiner_Agreement (16301 : Medical Examiner Services Amendment 11)
16.H.1.a
Packet Pg. 1458 Attachment: 11-5776 Medical Examiner_Agreement (16301 : Medical Examiner Services Amendment 11)
16.H.1.a
Packet Pg. 1459 Attachment: 11-5776 Medical Examiner_Agreement (16301 : Medical Examiner Services Amendment 11)
16.H.1.a
Packet Pg. 1460 Attachment: 11-5776 Medical Examiner_Agreement (16301 : Medical Examiner Services Amendment 11)
16.H.1.a
Packet Pg. 1461 Attachment: 11-5776 Medical Examiner_Agreement (16301 : Medical Examiner Services Amendment 11)
16.H.1.a
Packet Pg. 1462 Attachment: 11-5776 Medical Examiner_Agreement (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1463Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1464Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1465Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1466Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1467Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1468Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1469Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1470Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1471Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1472Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1473Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1474Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1475Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.bPacket Pg. 1476Attachment: 11-5776-Amendment #11 (16301 : Medical Examiner Services Amendment 11)
16.H.1.c
Packet Pg. 1477 Attachment: Amendment #1 (16301 : Medical Examiner Services Amendment 11)
16.H.1.c
Packet Pg. 1478 Attachment: Amendment #1 (16301 : Medical Examiner Services Amendment 11)
16.H.1.d
Packet Pg. 1479 Attachment: Amendment #2 (16301 : Medical Examiner Services Amendment 11)
16.H.1.d
Packet Pg. 1480 Attachment: Amendment #2 (16301 : Medical Examiner Services Amendment 11)
16.H.1.e
Packet Pg. 1481 Attachment: Amendment #3 (16301 : Medical Examiner Services Amendment 11)
16.H.1.e
Packet Pg. 1482 Attachment: Amendment #3 (16301 : Medical Examiner Services Amendment 11)
16.H.1.f
Packet Pg. 1483 Attachment: Amendment #4 (16301 : Medical Examiner Services Amendment 11)
16.H.1.f
Packet Pg. 1484 Attachment: Amendment #4 (16301 : Medical Examiner Services Amendment 11)
16.H.1.f
Packet Pg. 1485 Attachment: Amendment #4 (16301 : Medical Examiner Services Amendment 11)
$MSNDMENT s
I l-s??6 ApBWMn'NT rgR, MpDIQAL EX.$rgF{nR s$,&ylcs's
THIS AMENDMENT TO AGREEMEN'| FOR MEDTCAL EXAMINNR SERVICES
("Amendment") is entered into and is effestive on this lst day of Octctrer, 2016, by and between
Marta U. Cobum, M.D., Florida District Twenty Medical Examiner for Collier County, Florida,
doing business as District 20 Medical Examiner, Inc.n a Florida for Profit Corporation
(hereinafter called "Medical Examiner") and the Board of County Commissioners sf Collier
County, Florida (hereinafter called "County'), collectively referred to as the "parties."
RECITALS:
WHEREAS, the parties entsred into an Ageement for Medical Examinet Senrices
("Agreement') dated September 27 , 201I , a copy of which is atlached hereto; and
WHEREAS, the Fourth Amendment to the Agreement was approved by the Board on
September 23, 2015, and is scheduled to terminate on September 30, 2016; and
WHEREAS, the parties wish to extend the term of the Agreernent and to clariff their
respective responsibilities for certain costs relating to customary versus extraordinary
mainlenance and services regarding the upkeep of the Medical Examiner's Facility.
WITNE$SLTH:
NOW, THEREFORE, in consideration of Ten trollars ($10.00) and other good and
valuable consideration exchanged amongst the parties, and in consideration of the cov€nants
$antained herein, the parties agxee as follows:
1. All of the above RECITALS axe true and correct and are hereby tixpressly
incorporated herein by reference as if set forth fully bslow,
2. Section I of the Agreement is hereby amended by extending the term of the
Agreement from October 1,2016 through September 30,2017.
3. Section III, Paragraph A of the Agreement is replaced in its entirety to ncw read
as follows:
"Ihe County hereby egrees to compensate the Medical Examiner for services to be
performed for the term of this Agreement, begrnmng on October 1,2016, the amount of
one million two hundred forty-six thousand three hundred dollars ($1,246,300) by
semimonthly payments endiug September 30,2An. In addition, the County will make
payments on behalf cf the Medical Examiner for County-allocated charges consisting of
Information lechnolog;r costs and General, Froperty, and Liability insurances in total of
thirfy-seven thousand eight hundred dollars ($37,800). Any modifications to this Contract
shall be in compliancs with the County Procurement Ordinance and Procedures in effect
at the time such modifications are authorized.
Am€ndment *5 to Contract lt-57V6 @
16.H.1.g
Packet Pg. 1486 Attachment: Amendment #5 (16301 : Medical Examiner Services Amendment 11)
4.ExceptasmodifiedbythisAnrendme'nt,thefureeme'ntshallr€tnaininfullforce
and effect" If thcre i,
"
*oni"t U.tt""* the terms of this Amendment and the Agreement' the
terms of this Amenfuient shall p'revail'
INwTlNEssWHEREoF,thePafiiesheretohavecausedthisAmendmenttobe
executed by their appropriate officials, as of the date first above written.
ATTEST:
DWIGHT E. BROPK, Clc*
By:
eignature on\. "
Approved as to Form and kgalitY:
'l"lu.
BOARD OF COIJNTY COMMSSIONERS
COLLIER COUNTY, FLORIDA
MEDICAL EXAMINER
Bvtt
U. Coburn
M.D. Medical Examiner
Florida District TwentY
Am.ndmera fS to Co.|tract 11-526
16.H.1.g
Packet Pg. 1487 Attachment: Amendment #5 (16301 : Medical Examiner Services Amendment 11)
16.H.1.hPacket Pg. 1488Attachment: Amendment #6 (16301 : Medical Examiner Services Amendment 11)
16.H.1.hPacket Pg. 1489Attachment: Amendment #6 (16301 : Medical Examiner Services Amendment 11)
16.H.1.iPacket Pg. 1490Attachment: Amendment #7 (16301 : Medical Examiner Services Amendment 11)
16.H.1.iPacket Pg. 1491Attachment: Amendment #7 (16301 : Medical Examiner Services Amendment 11)
16E 1
EIGHTH AMENDMENT
11-5776 AGREEMENT FOR MEDICAL EXAMINER SERVICES
THIS AMENDMENT TO AGREEMENT FOR MEDICAL EXAMINER SERVICES
Amendment") is entered into and is effective on this 1st day of October, 2019, by and between
Marta U. Coburn, M.D., Florida District Twenty Medical Examiner for Collier County,
Florida, doing business as District 20 Medical Examiner, Inc., a Florida for Profit Corporation
hereinafter called "Medical Examiner") and the Board of County Commissioners of Collier
County, Florida(hereinafter called "County"), collectively referred to as the "parties."
RECITALS:
WHEREAS, the parties entered into an Agreement for Medical Examiner Services
Agreement") dated September 27, 2011, a copy of which is attached hereto; and
WHEREAS, the Seventh Amendment to the Agreement was approved by the Board on
September 25, 2018, Agenda Item 16.E.1, and is scheduled to terminate on September 30, 2019;
and
WHEREAS, the parties wish to extend the term of the Agreement and to clarify their
respective responsibilities for certain costs relating to customary versus extraordinary maintenance
and services regarding the upkeep of the Medical Examiner's Facility.
WITNESSETH:
NOW, THEREFORE, in consideration of Ten Dollars ($10.00) and other good and
valuable consideration exchanged amongst the parties, and in consideration of the covenants
contained herein, the parties agree as follows:
1.All of the above RECITALS are true and correct and are hereby expressly
incorporated herein by reference as if set forth fully below.
Amendment#8 to Contract 11-5776
16.H.1.j
Packet Pg. 1492 Attachment: Amendment #8 (16301 : Medical Examiner Services Amendment 11)
16E I
2.Section I of the Agreement is hereby amended by extending the term of the
Agreement from October 1, 2019 through September 30, 2020.
3.Section III, Paragraph A of the Agreement is replaced in its entirety to now read as
follows:
The County hereby agrees to compensate the Medical Examiner for services to be
performed for the term of this Agreement, beginning on October 1, 2019, the amount of
one million six hundred ninety thousand eight hundred dollars ($1,690,800) by
semimonthly payments ending September 30, 2020. In addition, the County will make
payments on behalf of the Medical Examiner for County-allocated charges consisting of
Information Technology costs, as well as General, Property, and Liability insurances in
total of fifty-one thousand five hundred dollars ($51,500). Any modifications to this
Contract shall be in compliance with the County Procurement Ordinance and Procedures
in effect at the time such modifications are authorized.
4.Except as modified by this Amendment, the Agreement shall remain in full force
and effect. If there is a conflict between the terms of this Amendment and the Agreement, the
terms of this Amendment shall prevail.
Signature Page to Follow)
2
Amendment#8 to Contract 11-5776
16.H.1.j
Packet Pg. 1493 Attachment: Amendment #8 (16301 : Medical Examiner Services Amendment 11)
16E I.
IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed
by authorized agent(s), as of the date first above written.
ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K. Kinzel, Comptroller and COLLIER COUNTY, FLORIDA
Clerk ofCAtxts „'' f,,,
62)
BM filLk-- ' 1lfft . _ By: 441110
Attest as toChairman's, .-
II`•uty T illiam L. McDaniel, Jr., airman
signature only.
Approv:1 a t for and legality:
owlBy: MLA& 4
Jeff 111
A atz ow, County Attorney
MEI CALEXAMINER
Br„,, ,,,
arta U. Coburn
M.D. Medical Examiner
Florida District Twenty
3
Amendment 48 to Contract 11-5776
16.H.1.j
Packet Pg. 1494 Attachment: Amendment #8 (16301 : Medical Examiner Services Amendment 11)
NINTH AMENDMENT
11-5776 AGREEMENT FOR MEDICAL EXAMINER SERVICES
THIS AMENDMENT TO AGREEMENT FOR MEDICAL EXAMINER SERVICES
Amendment") is entered into and is effective on this 1st day of October, 2020, by and between
Marta U. Coburn, M.D., Florida District Twenty Medical Examiner for Collier County,
Florida, doing business as District 20 Medical Examiner, Inc., a Florida for Profit Corporation
hereinafter called "Medical Examiner") and the Board of County Commissioners of Collier
County, Florida(hereinafter called"County"), collectively referred to as the"parties."
RECITALS:
WHEREAS, the parties entered into an Agreement for Medical Examiner Services
Agreement")dated September 27, 2011, a copy of which is attached hereto; and
WHEREAS, the Eighth Amendment to the Agreement was approved by the Board on
September 24, 2019, Agenda Item 16.E.1, and is scheduled to terminate on September 30, 2020;
and
WHEREAS, the parties wish to extend the term of the Agreement, amend the cost of
services and clarify their respective responsibilities for certain costs relating to customary versus
extraordinary maintenance and services regarding the upkeep of the Medical Examiner's Facility.
WITNESSETH:
NOW, THEREFORE, in consideration of Ten Dollars ($10.00) and other good and
valuable consideration exchanged amongst the parties, and in consideration of the covenants
contained herein,the parties agree as follows:
1.All of the above RECITALS are true and correct and are hereby expressly
incorporated herein by reference as if set forth fully below.
1
Amendment#9 to Contract 11-5776
16.H.1.k
Packet Pg. 1495 Attachment: Amendment #9 (16301 : Medical Examiner Services Amendment 11)
2.Section I of the Agreement is hereby amended by extending the term of the
Agreement from October 1, 2020 through September 30, 2021.
3.Section III,Paragraph A of the Agreement is replaced in its entirety to now read as
follows:
The County hereby agrees to compensate the Medical Examiner for services to be
performed for the term of this Agreement, beginning on October 1, 2020, the amount of
One Million Eight Hundred Twenty Thousand Five Hundred Dollars ($1,820,500)by
semimonthly payments ending September 30, 2020. In addition, the County will make
payments on behalf of the Medical Examiner for County-allocated charges consisting of
Information Technology costs, as well as General, Property, and Liability insurances in
total of Fifty-Two Thousand Five Hundred Dollars($52,500), Any modifications to this
Contract shall be in compliance with the County Procurement Ordinance and Procedures
in effect at the time such modifications are authorized.
4. Except as modified by this Amendment, the Agreement shall remain in full force
and effect. If there is a conflict between the terms of this Amendment and the Agreement, the
terms of this Amendment shall prevail.
Signature Page to Follow)
2
Amendment#9 to Contract 11-5776 i
16.H.1.k
Packet Pg. 1496 Attachment: Amendment #9 (16301 : Medical Examiner Services Amendment 11)
IN WITNESS WHEREOF, the executed have this Ninth Amendment by authorized
agent(s), as of the date first above written.
ATTEST:BOARD OF COUNTY COMMISSIONERS
Crystal K. Kinzel, Comptroller and COLLIER COUNTY, FLORIDA
Clerk of Courts
tCatBy:By:
Attest as to Chairman s ; epu rk Burt L. Saunders, Chairman
signature only.
Approved Form a Leg ity:
By: 911
Scott R. Teach, Deputy County Attorney
MEDICAL EXAMINER
By:ife aletideeitC2
Marta U. Coburn
M.D. Medical Examiner
Florida District Twenty
3
Amendment#9 to Contract 11-5776
t ;'
16.H.1.k
Packet Pg. 1497 Attachment: Amendment #9 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE10/7/202016.H.1.lPacket Pg. 1498Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE10/7/202016.H.1.lPacket Pg. 1499Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.H.1.lPacket Pg. 1500Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.H.1.lPacket Pg. 1501Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.H.1.lPacket Pg. 1502Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.H.1.lPacket Pg. 1503Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.H.1.lPacket Pg. 1504Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.H.1.lPacket Pg. 1505Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.H.1.lPacket Pg. 1506Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.H.1.lPacket Pg. 1507Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.H.1.lPacket Pg. 1508Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.H.1.lPacket Pg. 1509Attachment: Amendment #10 (16301 : Medical Examiner Services Amendment 11)