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Backup Documents 10/25/2022 Item #16D ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16.d 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 Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Todd Henry Public Services Department Y4 9/21/22 2. Jeffrey A. Klatzkow County Attorney Office ji�otla° 4. BCC Office Board of County Commissioners / t'4 br (j�Sf /V3/22 Records Clerk of Court's Office I 5. Minutes and Plf 11_3-? 9.20 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 Phone Number x-8206 Contact/ Department Alan Portis, DOH Finance&Accounting 252-8206 Please Call for Pick-up Agenda Date Item was Agenda Item Number Approved by the BCC 10/25/22 16D Type of Document FY22-23 Collier County Health Number of Original Attached Department Annual Core Contract Documents Attached (Between Collier County and DOH) 3 PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) I. Does the document require the chairman's original signature?STAMPED SIGNATURE IS OK 2. Does the document need to be sent to another agency 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 signed by the Chairman,with the exception of most letters,must be reviewed and signed AP 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 AP 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 AP signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip should be provided to the County Attorney Office at the time the item is input into SIRE. N/A 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 10/25/2022 (enter date)and all 'I/A is not changes made during the meeting have been incorporated in the attached document. AP in option fo1 The County Attorney's Office has reviewed the changes, if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the IA is not BCC,all changes directed by the BCC have been made, and the document is ready for the ( n option f% Chairman's signature. this line. 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 l60 CONTRACT BETWEEN COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AND STATE OF FLORIDA DEPARTMENT OF HEALTH FOR OPERATION OF THE COLLIER COUNTY HEALTH DEPARTMENT CONTRACT YEAR 2022-2023 This contract is made and entered into between the State of Florida, Department of Health ("State"), and the Collier County Board of County Commissioners ("County"), through their undersigned authorities, effective October 1, 2022. State and County are jointly referred to as the "parties". RECITALS A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to "promote, protect, maintain, and improve the health and safety of all citizens and visitors of this state through a system of coordinated county health department services." B. County Health Departments were created throughout Florida to satisfy this legislative intent through the "promotion of the public's health, the control and eradication of preventable diseases, and the provision of primary health care for special populations." C. Collier County Health Department ("CHD") is one of the created County Health Departments. D. It is necessary for the parties hereto to enter into this contract to ensure coordination between the State and the County in the operation of the CHD. NOW, THEREFORE, in consideration of the mutual promises set forth herein, the sufficiency of which is hereby acknowledged, the parties hereto agree as follows: 1. RECITALS. The parties mutually agree that the foregoing recitals are true and correct and incorporated herein by reference. 2. TERM. The parties mutually agree that this contract shall be effective from October 1, 2022, through September 30, 2023, or until a written contract replacing this contract is entered into between the parties, whichever is later, unless this contract is otherwise terminated according to the termination provisions outlined in paragraph 8. below. 3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall provide those services as outlined in Part III of Attachment II hereof, to maintain the following three levels of service pursuant to section 154.01(2), Florida Statutes, as defined below: a. "Environmental health services" are those services that are organized and operated to protect the health of the general public by monitoring and regulating activities in the environment that may contribute to the occurrence or transmission of disease. Environmental health services shall be supported by available federal, state, and local funds and shall include 1 O 1 6 D those services mandated on a state or federal level. Examples of environmental health services include but are not limited to, food hygiene, safe drinking water supply, sewage, and solid waste disposal, swimming pools, group care facilities, migrant labor camps, toxic material control, radiological health, and occupational health. b. "Communicable disease control services" are those services that protect the health of the general public through the detection, control, and eradication of diseases that are transmitted primarily by human beings. Communicable disease services shall be supported by available federal, state, and local funds and shall include those services mandated on a state or federal level. Such services include, but are not limited to, epidemiology, sexually transmissible disease detection and control, HIV/AIDS, immunization, tuberculosis control, and maintenance of vital statistics. c. "Primary care services" are acute care and preventive services that are made available to well and sick persons who are unable to obtain such services due to lack of income or other barriers beyond their control. These services are provided to benefit individuals, improve the collective health of the public, and prevent and control the spread of disease. Primary health care services are provided at home, in group settings, or in clinics. These services shall be supported by available federal, state, and local funds and shall include services mandated on a state or federal level. Examples of primary health care services include but are not limited to first contact acute care services; chronic disease detection and treatment; maternal and child health services; family planning; nutrition; school health; supplemental food assistance for women, infants, and children; home health; and dental services. 4. FUNDING. The parties further agree that funding for the CHD will be handled as follows: a. The funding to be provided by the parties and any other sources is outlined in Part II of Attachment II hereof. This funding will be used as shown in Part I of Attachment II. i. The State's appropriated responsibility (direct contribution excluding any state fees, Medicaid contributions, or any other funds not listed on the Schedule C) as provided in Attachment II, Part II is an amount not to exceed $7,303,652 (State General Revenue, State Funds, Other State Funds and Federal Funds listed on the Schedule C). The State's obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. ii. The County's appropriated responsibility (direct contribution excluding any fees, other cash, or local contributions)as provided in Attachment II, Part II is an amount not to exceed $1,495,900 (amount listed under the "Board of County Commissioners Annual Appropriations section of the revenue attachment). b. Overall expenditures will not exceed available funding or budget authority, whichever is less, (either the current year or from surplus trust funds) in any service category. Unless requested otherwise, any surplus at the end of the term of this contract in the County Health Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract period. 2 �Pd 160 c. Either party may establish service fees as allowed by law to fund activities of the CHD. Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee schedule. d. Either party may increase or decrease funding of this contract during the term hereof by notifying the other party in writing of the amount and purpose for the change in funding. If the State initiates the increase or decrease, the CHD will revise Attachment II and send a copy of the revised pages to the County and the State's Office of Budget and Revenue Management. If the County initiates the increase or decrease, the County shall notify the CHD in writing. The CHD will then revise Attachment II and send a copy of the revised pages to the State's Office of Budget and Revenue Management. e. The name and address of the official payee to whom payments shall be made is: County Health Department Trust Fund Collier County 3339 E. Tamiami Trail, Suite 145 Naples, FL 34112 5. CHD DIRECTOR or ADMINISTRATOR. Both parties agree the director or administrator of the CHD shall be a State employee or under contract with the State and will be under the day-to-day direction of the State's Deputy Secretary for County Health Systems. The director or administrator shall be selected by the State with the concurrence of the County. The director or administrator of the CHD shall ensure that non-categorical sources of funding are used to fulfill public health priorities in the community and the Long-Range Program Plan. 6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that the following standards should apply in the operation of the CHD: a. The CHD and its personnel shall follow all State policies and procedures, except to the extent permitted for the use of County purchasing procedures as outlined in subparagraph b., below. All CHD employees shall be State or State-contract personnel subject to State personnel rules and procedures. Employees will report time in the Health Management System compatible format by program component as specified by the State. b. The CHD shall comply with all applicable provisions of federal and state laws and regulations relating to its operation with the exception that the use of County purchasing procedures shall be allowed when it will result in a better price or service and no statewide purchasing contract has been implemented for those goods or services. In such cases, the CHD director or administrator must sign a justification, therefore, and all County purchasing procedures must be followed in their entirety, and such compliance shall be documented. Such justification and compliance documentation shall be maintained by the CHD following the terms of this contract. State procedures must be followed for all leases on facilities not enumerated in Attachment IV. c. The CHD shall maintain books, records, and documents following the Generally Accepted Accounting Principles, as promulgated by the Governmental Accounting Standards Board, and the requirements of federal or state law. These records shall be maintained as 3 0 160 required by the State's Policies and Procedures for Records Management and shall be open for inspection at any time by the parties and the public, except for those records that are not otherwise subject to disclosure as provided by law which is subject to the confidentiality provisions of paragraphs 6.i. and 6.k., below. Books, records, and documents must be adequate to allow the CHD to comply with the following reporting requirements: i. The revenue and expenditure requirements in the Florida Accounting Information Resource System; and ii. The client registration and services reporting requirements of the minimum data set as specified in the most current version of the Client Information System/Health Management Component Pamphlet; and Financial procedures specified in the State's Accounting Procedures Manuals, Accounting memoranda, and Comptroller's memoranda; and iv. The CHD is responsible for assuring that all contracts with service providers include provisions that all subcontracted services be reported to the CHD in a manner consistent with the client registration and service reporting requirements of the minimum data set as specified in the Client Information System/Health Management Component Pamphlet. d. All funds for the CHD shall be deposited in the County Health Department Trust Fund maintained by the state treasurer. These funds shall be accounted for separately from funds deposited for other CHDs and shall be used only for public health purposes in Collier County. e. That any surplus or deficit funds, including fees or accrued interest, remaining in the County Health Department Trust Fund account at the end of the contract year shall be credited or debited to the State or County, as appropriate, based on the funds contributed by each and the expenditures incurred by each. Expenditures will be charged to the program accounts by State and County based on the ratio of planned expenditures in this contract and funding from all sources is credited to the program accounts by State and County. The equity share of any surplus or deficit funds accruing to the State and County is determined each month and at the contract year-end. Surplus funds may be applied toward the funding requirements of each party in the following year. However, in each such case, all surplus funds, including fees and accrued interest, shall remain in the trust fund until accounted for in a manner that clearly illustrates the amount which has been credited to each party. The planned use of surplus funds shall be reflected in Attachment II, Part I of this contract, with special capital projects explained in Attachment V. f. There shall be no transfer of funds between the three levels of services without a contract amendment unless the CHD director or administrator determines that an emergency exists wherein a time delay would endanger the public's health and the State's Deputy Secretary for County Health Systems have approved the transfer. The State's Deputy Secretary for County Health Systems shall forward written evidence of this approval to the CHD within 30 days after an emergency transfer. 4 O CaQ' 160 g. The CHD may execute subcontracts for services necessary to enable the CHD to carry out the programs specified in this contract. Any such subcontract shall include all aforementioned audit and record-keeping requirements. h. At the request of either party, an audit may be conducted by an independent certified public accountant on the financial records of the CHD, and the results made available to the parties within 180 days after the close of the CHD fiscal year. This audit will follow requirements contained in OMB Circular A-133, as revised, and may be in conjunction with audits performed by the County government. If audit exceptions are found, then the director or administrator of the CHD will prepare a corrective action plan and a copy of that plan and monthly status reports will be furnished to the contract managers for the parties. i. The CHD shall not use or disclose any information concerning a recipient of services except as allowed by federal or state law or policy. j. The CHD shall retain all client records, financial records, supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to this contract for five years after termination of this contract. If an audit has been initiated and audit findings have not been resolved at the end of five years, the records shall be retained until the resolution of the audit findings. k. The CHD shall maintain the confidentiality of all data, files, and records that are confidential under the law or are otherwise exempted from disclosure as a public record under Florida law. The CHD shall implement procedures to ensure the protection and confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65, and 456.057, Florida Statutes, and all other state and federal laws regarding confidentiality. All confidentiality procedures implemented by the CHD shall be consistent with the State's Information Security Policies, Protocols, and Procedures. The CHD shall further adhere to any amendments to the State's security requirements and shall comply with any applicable professional standards of practice concerning client confidentiality. I. The CHD shall abide by all State policies and procedures, which by this reference are incorporated herein as standards to be followed by the CHD. m. The CHD shall establish a system through which applicants for services and current clients may present grievances over denial, modification, or termination of services. The CHD will advise applicants of the right to appeal a denial or exclusion from services, of failure to take account of a client's choice of service, and right to a fair hearing to the final governing authority of the CHD. Specific references to existing laws, rules, or program manuals are included in Attachment I of this contract. n. The CHD shall comply with the provisions contained in the Civil Rights Compliance and Non-Discrimination Certificate, hereby incorporated into this contract as Attachment III. o. The CHD shall submit quarterly reports to the County that shall include at least the following: 5 C� 60 i. The DE385L1 Contract Management Variance Report and the DE580L1 Analysis of Fund Equities Report; and ii. A written explanation to the County of service variances reflected in the year- end DE385L1 report if the variance exceeds or falls below 25 percent of the planned expenditure amount for the contract year. However, if the amount of the service-specific variance between actual and planned expenditures does not exceed three percent of the total planned expenditures for the level of service in which the type of service is included, a variance explanation is not required, A copy of the written explanation shall be sent to the State's Office of Budget and Revenue Management. p. The dates for the submission of quarterly reports to the County shall be as follows unless the generation and distribution of reports are delayed due to circumstances beyond the CHD's control: i. March 1, 2023, for the reporting period of October 1, 2022, through December 31, 2022; and ii. June 1, 2023, for the reporting period of October 1, 2022, through March 31, 2023; and iii. September 1, 2023, for the reporting period of October 1, 2022 through June 30, 2023; and iv. December 1, 2023, for the reporting period of October 1, 2022 through September 30, 2023. 7. FACILITIES AND EQUIPMENT. The parties mutually agree that: a. CHD facilities shall be provided as specified in Attachment IV to this contract and the County shall own the facilities used by the CHD unless otherwise provided in Attachment IV. b. The County shall ensure adequate fire and casualty insurance coverage for County- owned CHD offices and buildings and all furnishings and equipment in CHD offices through either a self-insurance program or insurance purchased by the County. c. All vehicles will be transferred to the ownership of the County and registered as County vehicles. The County shall ensure insurance coverage for these vehicles is available through either a self-insurance program or insurance purchased by the County. All vehicles will be used solely for CHD operations. Vehicles purchased through the County Health Department Trust Fund shall be sold at fair market value when they are no longer needed by the CHD and the proceeds returned to the County Health Department Trust Fund. 6 Q 160 8. TERMINATION. a. Termination at Will. This contract may be terminated by either party without cause upon no less than 180 calendar days' notice in writing to the other party unless a lesser time is mutually agreed upon in writing by both parties. b. Termination Because of Lack of Funds. In the event funds to finance this contract become unavailable, either party may terminate this contract upon no less than 24 hours' notice. c. Termination for Breach. This contract may be terminated by either party for a material breach of an obligation hereunder, upon no less than 30 days' notice. Waiver of a breach of any provisions of this contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this contract. 9. MISCELLANEOUS. The parties further agree: a. Availability of Funds. If this contract, any renewal hereof, or any term, performance, or payment hereunder, extends beyond the fiscal year beginning July 1, 2023, it is agreed that the performance and payment under this contract are contingent upon an annual appropriation by the Legislature, under section 287.0582, Florida Statutes. b. Contract Managers. The name and addresses of the contract managers for the parties under this contract are as follows: For the State: For the County: Kimberly Kossler, MPH, RN, CPH Tanya R Williams Name Name Administrator& Health Officer Public Services Department Head Title Title 3339 E. Tamiami Trail, Suite 145 3339 E. Tamiami Trail, Suite 217 Naples, FL 34112 Naples, FL 34112 Address Address Kimberly.Kossler(cFLHealth.gov Tanya.Williams@colliercountyfl.gov Email Address Email Address 239-252-8201 239-252-7392 Telephone Telephone If different contract managers are designated after the execution of this contract, the name, address, email address, and telephone number of the new representative shall be furnished in writing to the other parties and attached to the originals of this contract. c. Captions. The captions and headings contained in this contract are for the convenience of the parties only and do not in any way modify, amplify, or give additional notice of the provisions hereof. 7 0 d. Notices. Any notices provided under this contract must be delivered by certified mail, return receipt requested, in person with proof of delivery, or by email to the email address of the respective party identified in Section 9.b., above. In WITNESS THEREOF, the parties hereto have caused this 8 page contract, with its attachments as referenced, including Attachment I (two pages), Attachment II (seven pages), Attachment III (one pages), Attachment IV (one pages), and Attachment V (one pages), to be executed by their undersigned officials as duly authorized effective the l st day of October 2022. BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA FOR COLLIER COUN DEPARTMENT OF HEALTH Ce) #1/ OP" SIGNED BY: -- - SIGNED BY: NAME: Joseph A. Ladapo, M.D., Ph.D. William L. McDaniel, Jr., Chairman TITLE: State Surgeon General DATE: DATE: Attest as to Chairman's ATTESTED TO: `' . . Sta[lat E only.. SIGNED BY: ' SIGNED BY: ///'-- ,/ Crystal K. Kinzel, Clerk NAME: , TITLE: CHD Director or Administrator DATE: �� ' 0d�p2 DATE: 1 '1 �i . c A • v �iaks t fo and leg Iity Assistant County Atlorncy KOh9l4�� 0-11\ 8 0 160 ATTACHMENT I COLLIER COUNTY HEALTH DEPARTMENT PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS Some health services must comply with specific program and reporting requirements in addition to the Personal Health Coding Pamphlet(DHP 50-20),Environmental Health Coding Pamphlet(DHP 50-21)and FLAIR requirements because of federal or state law,regulation or rule. If a county health department is funded to provide one of these services,it must comply with the special reporting requirements for that service. The services and the reporting requirements are listed below: Service Requirement 1. Sexually Transmitted Disease Requirements as specified in F.A.C.64D-3,F.S.381 and F.S.384. Program 2. Dental Health Periodic financial and programmatic reports as specified by the program office, 3. Special Supplemental Nutrition Service documentation and monthly financial reports as specified in Program for Women, Infants and DHM 150-24'and all federal,state and county requirements Children(including the WIC detailed in program manuals and published procedures. Breastfeeding Peer Counseling Program) 4, Healthy Start/Improved Pregnancy Requirements as specified in the 2007 Healthy Start Standards and Outcome Guidelines and as specified by the Healthy Start Coalitions in contract with each county health department. 5. Family Planning Requirements as specified in Public Law 91-572,42 U.S.C.300,et seq.,42 CFR part 59,subpart A,45 CFR parts 74&92,2 CFR 215 (OMB Circular A-110)OMB Circular A-102,F.S.381.0051,F.A.C. 64F-7,F.A.C.64F-16,and F.A.C.64F-19. Requirements and Guidance as specified in the Program Requirements for Title X Funded Family Planning Projects(Title X Requirements)(2014)and the Providing Quality Family Planning Services(QFP): Recommendations of CDC and the U.S.Office of Population Affairs published on the Office of Population Affairs website. Programmatic annual reports as specified by the program office as specified in the annual programmatic Scope of Work for Family Planning and Maternal Child Health Services,including the Family Planning Annual Report(FPAR),and other minimum guidelines as specified by the Policy Web Technical Assistance Guidelines. 6. Immunization Periodic reports as specified by the department pertaining to immunization levels in kindergarten and/or seventh grade pursuant to instructions contained in the Immunization Guidelines-Florida Schools,Childcare Facilities and Family Daycare Homes(DH Form 150-615)and Rule 64D-3.046,F.A.C. In addition,periodic reports as specified by the department pertaining to the surveillance/investigation of reportable vaccine-preventable diseases,adverse events,vaccine accountability,and assessment of immunization ATTACHMENT I(Continued) Q Attachment_I-Page 1 of 2 160 levels as documented in Florida SHOTS and supported by CHD Guidebook policies and technical assistance guidance, 7. Environmental Health Requirements as specified in Environmental Health Programs Manual 150-4*and DHP 50-21* 8. HIV/AIDS Program Requirements as specified in F.S.384.25 and F.A.C.64D-3.030 and 64D-3.031.Case reporting should be on Adult HIV/AIDS Confidential Case Report CDC Form DH2139 and Pediatric HIV/AIDS Confidential Case Report CDC Form DH2140. Requirements as specified in F.A.C.64D-2 and 64D-3,F.S.381 and F.S. 384. Socio-demographic and risk data on persons tested for HIV In CHD clinics should be reported on Lab Request DH Form 1628 in accordance with the Forms Instruction Guide. Requirements for the HIV/AIDS Patient Care programs are found in the Patient Care Contract Administrative Guidelines. 9. School Health Services Requirements as specified in the Florida School Health Administrative Guidelines(May 2012). Requirements as specified in F.S.381.0056, F.S.381.0057, F.S.402.3026 and F.A.C.64F-6. 10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C.64D-3 and F.S.392. 11, General Communicable Disease Carry out surveillance for reportable communicable and other acute Control diseases,detect outbreaks,respond to individual cases of reportable diseases,investigate outbreaks,and carry out communication and quality assurance functions,as specified in F.A.C.64D-3, F.S.381,F.S.384 and the CHD Epidemiology Guide to Surveillance and Investigations. 12. Refugee Health Program Programmatic and financial requirements as specified by the program office. *or the subsequent replacement if adopted during the contract period. Attachment_I•Page 2 of 2 160 `o d rn a) v co o Na. N CO (0 _ 0 V a CI .! L() co co co co cn M a1 1 c m v E c 0 co c Q To To L I— a)L() h- co No up O COO O co E co OOo L -C C cr 'S co coC W w U a) Z o 5 a a) in 0 c H _ Z o p U L U. -0 U Co a ( '0":: CD a) I- p Co N mco W H C CO C U O ZE I-ce LL Li 0 coI- a) O co d I- M M E E = G a a W aa)) W J p o E i _ U x -.I2 Q Z =_ D 2 n 0 F- 2p °D U C U = a U CO ill .a) m C J O co om N —1 LL E ID 0 0 y L C a) U W W COU a a C p o Wco Z > Z o 5 co 2 D. N a) o } C 7 M M M Q Cr) N C N A N 2 6O U N a) co U c c co C a o d 0 2 O m To } j d O N C m a a 0 o. N ` a) N a) 0 - CO C C O O O O Cn W -C 0 N a" N N aU) C 7 b-O NO - O OO L , l N 'a N o N d 2 o m T, a) a CO o moUO y o °U oo i O (CO a) a N M d' co 0 ATTACHMENT II COLLIER COUNTY HEALTH DEPARTMENT Part II,Sources of Contributions to County Health Department October 1,2022 to September 80,2023 State CHD County Total CHD Trust Fund CHD Trust Fund Other (cash) Trust Fund (cash) Contribution Total 1.GENERAL REVENUE•STATE 016090 AIDS PATIENT CARE 190,000 0 140,000 0 190,000 015040 AIDS PREVENTION&SURVEILLANCE-GENERAL REVENUE 69,571 0 69,571 0 69,571 015040 CHD-TB COMMUNITY PROGRAM 193,903 0 193,903 0 193,903 015040 DENTAL SPECIAL INITIATIVE PROJECTS 6,932 0 6,932 0 6,932 015090 FAMILY PLANNING GENERAL REVENUE 64,409 0 64,404 0 64,404 016040 HEPATITIS AND LIVER FAILURE PREVENTION&CONTROL 89,286 0 89,288 0 89,286 015040 MIGRANT LABOR CAMP SANITATION 25,339 0 25,339 0 25,339 016090 PRIMARY CARE PROGRAM 313,432 0 313,432 0 313,432 016040 RACIAL&ETHNIC DISPARITIES•CHD EXPENSES 52,000 0 52,000 0 52,000 015040 SCHOOL HEALTH SERVICES•GENERAL REVENUE 199,190 0 149,190 0 149,190 015050 CHD GENERAL REVENUE NON-CATEGORICAL 2,259,339 0 2,259,339 0 2,259,339 GENERAL REVENUE TOTAL 3,363,396 0 3,363,396 0 3,363,396 2.NON GENERAL REVENUE•STATE 1 015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM 9,713 0 9,713 0 9,713 1 015010 TOBACCO STATE AND COMMUNITY INTERVENTIONS 189,466 0 189,466 0 184,466 NON GENERAL REVENUE TOTAL 194,179 0 199,179 0 194,179 3.FEDERAL FUNDS•STATE 007000 AIDS DRUG ASSISTANCE PROGRAM ADMIN HQ 104,059 0 109,059 0 109,059 007000 WIC BREASTFEEDING PEER COUNSELING PROG 72,041 0 72,041 0 72,041 007000 COASTAL BEACH WATER QUALITY MONITORING 12,616 0 12,616 0 12,616 007000 COMPREHENSIVE COMMUNITY CARDIO•PHBG 35,875 0 35,875 0 35,875 007000 STRENGTHENING STD PREVENTION AND CONTROL 47.391 0 47,391 0 47,391 007000 ELC COVID ENHANCED DETECTION EXPANSION GRANT 1,907,376 0 1,907,376 0 1,907,376 007000 EPID&LAB FOR INFECTIOUS DISEASE COVID-19 19,180 0 19,180 0 19,180 007000 FAMILY PLANNING TITLE X•GRANT 79,646 0 74,696 0 79,646 007000 PHARMACY FAMILY PLANNING 25,068 0 25,068 0 25,068 007000 HEALTH DISPARITIES GRANT COVID-19 107,607 0 107,607 0 107,607 007000 IMMUNIZATION&VACCINES CHILDREN COVID 19 RESPON 145,843 0 145,843 0 145,843 007000 INFANT MORTALITY 20,570 0 20,670 0 20,570 007000 IMMUNIZATION ACTION PLAN 109,376 0 109,375 0 109,375 007000 MCH SPECIAL PRJCT UNPLANNED PREGNANCY 42,377 0 42,377 0 42,377 007000 MCH SPEC PRJ SOCIAL DETERMINANTS HLTH COMM EDU 1,000 0 1,000 0 1,000 007000 BASE COMMUNITY PREPAREDNESS CAPABILITY 130,969 0 130,969 0 130,969 007000 BASE PUB HLTH SURVEILLANCE&BPI INVESTIGATION 78,243 0 78,243 0 78,293 007000 AIDS PREVENTION 292,666 0 292,666 0 292,666 007000 RYAN WHITE TITLE II GRANT/CHD CONSORTIUM 306,193 0 306,143 0 305,143 007000 WIC PROGRAM ADMINISTRATION 1,346,680 0 1,346,680 0 1,346,680 016075 SUPPLEMENTAL SCHOOL HEALTH 102,573 0 102,573 0 102,573 015075 REFUGEE HEALTH SCREENING REIMBURSEMENT ADMIN 280,000 0 280,000 0 280,000 015075 REFUGEE HEALTH SCREENING REIMBURSEMENT SERVICES 700,000 0 700,000 0 700,000 FEDERAL FUNDS TOTAL 5,961,298 0 5,961,298 0 5,961,2299.8 Attachment_II_Part_II-PagUi5f 4 -13 ATTACHMENT II COI,I.TER COUNTY HEALTH DEPARTMENT ' ' Part II,Sources of Contributions to County Health Department ' October 1,2022 to September 80,2023 State CHI) County ..Total CHD Trust Fund CHD Trust Fund Other (cash) Trust Fund (web) Contribution Total 4.FEES ASSESSED BY STATE OR FEDERAL RULES•STATE 001020 CHD STATEWIDE ENVIRONMENTAL FEES 601,788 0 501,788 0 501,788 001092 ON SITE SEWAGE DISPOSAL PERMIT FEES 296,119 0 296,119 0 296,119 001092 CHD STATEWIDE ENVIRONMENTAL FEES 9,500 0 9,500 0 9,600 001206 ON SITE SEWAGE DISPOSAL PERMIT FEES 6.860 0 6,860 0 6,860 001206 SANITATION CERTIFICATES(FOOD INSPECTION) 4,266 0 4,266 0 4,265 001206 SEPTIC TANK RESEARCH SURCHARGE 5,116 0 5,116 0 6,116 001206 SEPTIC TANK VARIANCE FEES 60% 260 0 250 0 250 001206 PUBLIC SWIMMING POOL PERMIT FEES•10%HQ TRANSFER 31,310 0 31,310 0 31,310 001206 DRINKING WATER PROGRAM OPERATIONS 1,188 0 1,188 0 1,188 001206 REGULATION OF BODY PIERCING SALONS 1,799 0 1,799 0 1,799 001206 TANNING FACILITIES 247 0 247 0 247 001206 ONSITE SEWAGE TRAINING CENTER 1,000 0 1,000 0 1,000 001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 4,212 0 4,212 0 4,212 001206 MOBILE HOME&RV PARK FEES 2,418 0 2,418 0 2,418 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 866,071 0 866,071 0 866,071 6.OTHER CASH CONTRIBUTIONS•STATE: 0 0 0 0 0 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 173,719 0 173,719 0 173,719 OTHER CASH CONTRIBUTION TOTAL 173,719 0 173,719 0 173,719 6.MEDICAID•STATE/COUNTY: 001050 CHI)CLINIC FEES 0 92 92 0 92 001057 CHD CLINIC FEES 0 8,406 8,406 0 8,406 001197 CHD CLINIC FEES 0 97 97 0 97 001148 CHD CLINIC FEES 0 677,300 677,300 0 677,300 001148 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 3,100 3,100 0 3,100 MEDICAID TOTAL 0 688,995 688,996 0 688,995 7.ALLOCABLE REVENUE-STATE: 001004 CHD CLINIC FEES 1 0 1 0 1 018000 CHD CLINIC FEES 2.168 0 2,168 0 2.168 018000 ELC COVID ENHANCED DETECTION EXPANSION GRANT 1 0 1 0 1 018000 VITAL.STATISTICS CERTIFIED RECORDS 0 0 0 0 0 018000 CHD GENERAL REVENUE NON-CATEGORICAL 70 0 70 0 70 031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 21.500 0 21,600 0 21,500 038000 CHD CLINIC FEES 3 0 3 0 3 ALLOCABLE REVENUE TOTAL 23,743 0 23,743 0 23,743 8.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND•STATE ADAP 0 0 0 933,063 933,053 PHARMACY DRUG PROGRAM 0 0 0 10,385 10,385 WIC PROGRAM 0 0 0 5,192,345 5,192,345 BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 43,673 43,673rr �� Attachment_II_Part_))•Pagv2V '4 ATTACHMENT II COLLIER COUNTY HEALTH DEPARTMENT Part II,Sources of Contributions to County Health Department k October 1,2022 to September 80,2023 1 Y State CHD County Total CHD 'r Trust Fund CHD Trust Fund Other (cash) Trust Fund (cash) Contribution Total IMMUNIZATIONS 0 0 0 976,310 976,310 OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 7,155,766 7,155,766 9.DIRECT LOCAL CONTRIBUTIONS•BCC/TAX DISTRICT 008006 CHD LOCAL REVENUE&EXPENDITURES 0 1,496,900 1,496,900 0 1,495,900 DIRECT COUNTY CONTRIBUTIONS TOTAL 0 1,495,900 1,495,900 0 1,495,900 10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION•COUNTY 001026 CHD CLINIC FEES 0 20 20 0 20 001077 CHD CLINIC FEES 0 238,895 238,895 0 238,895 001077 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 1,200 1,200 0 1,200 001094 CHD LOCAL ENVIRONMENTAL FEES 0 868,006 868,005 0 868,005 001110 VITAL STATISTICS CERTIFIED RECORDS 0 610,000 610,000 0 610,000 FEES AUTHORIZED BY COUNTY TOTAL 0 1,718,120 1,718,120 0 1,718,120 11.OTHER CASH AND LOCAL CONTRIBUTIONS•COUNTY 001029 340B PRESCRIPTION DRUG SERVICE AGREEMENT 0 150,000 150,000 0 150,000 001029 CHD CLINIC FEES 0 69,551 69,551 0 69,551 001090 CHD CLINIC FEES 0 8,102 8,102 0 8,102 010300 STATE UNDERGROUND PETROLEUM RESPONSE ACT 0 1 1 0 1 010300 MIGRANT LABOR HOUSING INSPECTION H•2A PROGRAM 0 10,000 10,000 0 10,000 010303 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 150 150 0 150 011000 RYAN WHITE 0 58,681 58,681 0 58,681 011000 CHD CLINIC FEES U I 1 0 1 011000 CHD CASH DONATION/NON-SPECIFIC 0 500 500 0 500 011000 EARLY LEARNING COALITION OF SOUTHWEST FLORIDA 0 60,900 60,900 0 60,900 011001 CHD HEALTHY START COALITION CONTRACT 0 579,070 679,070 0 579,070 012020 CHD LOCAL ENVIRONMENTAL FEES 0 2,001 2,001 0 2,001 090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 •488,057 •488,057 0 -488,057 1 OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 950,900 460,900 0 450,900 12.ALLOCABLE REVENUE•COUNTY 001004 CHD CLINIC FEES 0 1 1 0 1 018000 CHD CLINIC FEES 0 2,168 2,168 0 2,168 018000 ELC COVID ENHANCED DETECTION EXPANSION GRANT 0 1 1 0 1 018000 VITAL STATISTICS CERTIFIED RECORDS 0 1 1 0 1 018000 CHD GENERAL REVENUE NON-CATEGORICAL 0 70 70 0 70 031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 21,500 21,600 0 21,500 038000 CHD CLINIC FEES 0 3 3 0 3 COUNTY ALLOCABLE REVENUE TOTAL 0 23,744 23,744 0 23,744 18.BUILDINGS•COUNTY ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 525,048 625,048 IT ALLOCATION 0 0 0 70,900 70,400 UTILITIES 0 0 0 170,700 170,700 BUILDING MAINTENANCE 0 0 0 0 0 GROUNDS MAINTENANCE 0 0 0 195,149 195,149 Attachment_II_Part_II-Page ATTACITh T II COLLIER COUNTY HEAIJFH DEPARTMENT` :Part II,Sources oli,Contril ution8 to:Coufity Health Department , ' October;42022'to September 80,2028 State CHD County Total CHD Trust Fund CHD Trust Find Dther . (cash)' Trust Fund -(cash) Contribution Toted INSURANCE 0 0 0 0 0 OTHER(Specify) 0 0 0 0 0 OTHER(Specify) 0 0 0 0 0 BUILDINGS TOTAL 0 0 0 961,297 961,297 19.OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND•COUNTY EQUIPMENT/VEHICLE PURCHASES 0 0 0 0 0 VEHICLE INSURANCE 0 0 0 0 0 VEHICLE MAINTENANCE 0 0 0 0 0 OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0 GRAND TOTAL CHD PROGRAM 10,582,406 4,377,659 14,960,065 8,117,063 23,077,128 A 4 Attachment_II_Part II-Pagof 4 16p L< 5 . . ATTACHMENT II ti xV"Lhd f. . V-7s ,a� , COLLIER COUNTY HEALTH DEPARTMENT _fit_' Part III,Planned Staffing.Clients,Services and Expenditures By Program Service Area Within Each Level of Service t r S Dip' 1 October 1,2022 to September 30,2029 rs C ''^ � � 1 .� Z •a Quarterly Expenditure Plan .. ., `' y,x, R s,` 410 .. . Y`:' PTE's Clients Services/ ' let 2nd 9rd 4th Grand r•` .) x .i ". ;, (0.00) -Unite Visite (Whole dollars only) State County Total A. COMMUNICABLE DISEASE CONTROL: IMMUNIZATION (101) 5.21 3,494 4,982 149.347 128.043 149.347 128.041 377,785 176,996 554781 SEXUALLY TRANS.DIS. (102) 4.75 717 967 94,073 80,654 94,073 80,659 271,662 77.792 349,454 HIV/AIDS PREVENTION (03A1) 5.91 0 4,105 122,453 104.986 122,453 104,987 443,528 11,351 464,879 HIV/AIDS SURVEILLANCE (03A2) 1.33 0 2 28,062 24,059 28,062 24,059 104,242 0 104,242 HIV/AIDS PATIENT CARE (03A3) 8 40 426 1,466 233,642 200,316 233,642 200,315 634,629 233,285 867.914 ADAP (03A4) 1.82 19 180 38,131 32.692 38,131 32,693 141,647 0 141,647 TUBERCULOSIS (104) 4.70 171 1,958 99,936 85,680 99,936 85,680 368,882 2,350 371,232 COMM.DIS.SURV. (106) 16.47 0 6,961 678,619 581,817 678,619 581,818 2,247,986 272,887 2,520,873 HEPATITIS (109) 1.32 455 530 32,980 28,276 32,980 28,276 122,434 78 122,512 PREPAREDNESS AND RESPONSE (116) 3.56 0 0 91,173 78,167 91,173 78,167 207,374 131,306 338,680 REFUGEE HEALTH (118) 9.33 2,576 7,243 267,390 229,248 267,390 229,248 993,276 0 993,276 VITAL RECORDS (180) 3.83 16.583 77.437 78,538 67,335 78,538 67,334 0 291,745 291,745 COMMUNICABLE DISEASE SUBTOTAL 66.62 24.441 105,837 1,914,344 1,641,272 1,914,344 1,641,276 6,913,445 1,197,790 7,111,235 B. PRIMARY CARE: CHRONIC DISEASE PREVENTION PRO (210) 2.78 0 16 63,831 46,152 63,831 46,153 82,277 117,690 199.967 WIC (21W1) 24.97 9,739 62,838 464,799 398.498 464,799 398,499 1,726,695 0 1,726,595 TOBACCO USE INTERVENTION (212) 3 00 0 42 62,914 45,366 52,914 95,366 196,559 0 196.659 WIC BREASTFEEDING PEER COUNSELING (21W2) 2.37 0 1,282 30,418 26,079 90,418 26,079 112,994 0 112,994 FAMILY PLANNING (223) 3.06 870 1,937 84,408 72,368 84,408 72,369 257,372 56,181 313,553 IMPROVED PREGNANCY OUTCOME (225) 0.25 254 255 92,633 79.419 92.633 79,420 20,570 323.535 344.105 HEALTHY START PRENATAL(227) 9.56 1,609 6.687 206,429 176,125 205,429 176,126 156,716 606.392 763.108 COMPREHENSIVE CHILD HEALTH (229) 0.81 107 170 19,519 16,735 19,519 16,736 0 72,509 72,509 HEALTHY START CHILD (231) 1.60 554 2,446 28,747 24.646 28,747 24,645 0 106,785 106,785 SCHOOL HEALTH (234) 8.60 0 200,084 155,237 133,093 155,237 133,093 405,660 171,000 576,660 COMPREHENSIVE ADULT HEALTH (237) 1.98 2,805 4,264 103,790 88,942 103,740 88,943 140,379 244,986 385,365 COMMUNITY HEALTH DEVELOPMENT (238) 437 0 103 116,356 99,759 116,356 99,759 432,160 70 432,230 DENTAL HEALTH 1240) 10.26 3,527 7,234 257,517 220,783 257,517 220,783 197,074 759,626 956,600 PRIMARY CARE SUBTOTAL 73.61 19,465 287,368 1,666,648 1,427,965 1,665,548 1,427,969 3,728,356 2,458,674 6,187,030 C. ENVIRONMENTAL HEALTH: Water and Oneite Sewage Programs COSTAL BEACH MONITORING (347) 0.87 1,711 1,711 22.929 19,659 22,929 19,659 86,176 0 85,176 LIMITED USE PUBLIC WATER SYSTEMS (367) 0.86 264 1,888 19,369 16,606 19,369 16,606 11,000 60,950 71,950 PUBLIC WATER SYSTEM (358) 0.01 0 0 310 266 310 266 0 1,162 1.152 PRIVATE WATER SYSTEM (359) 0.2G 0 0 4,646 3,982 4.645 3,982 0 17,254 17,254 ONSITE SEWAGE TREATMENT&DISPOSAL (361) 6.77 2,587 6,102 121,170 103,886 121.170 103,886 209,793 240,319 450,112 Group Total 7.77 4,662 9,701 168,423 144.399 168,423 144,399 305,969 319,676 625,644 • Facility Programs TATTOO FACILITY SERVICES (344) 0.45 257 364 11,466 9,830 11,466 9,831 42,693 0 42,593 FOOD HYGIENE (398) 1.21 225 619 25,138 21,552 26,138 21,652 93,380 0 93,380 0 Altachmenl_II_Parl_III•P)of 2 e ATTACHMENT II 1.6 0 ,n't . �+ COLLIER COUNTY HEALTH DEPARTMENT i Part III,Planned Staffing.Clients,Services and Expenditures By Program Service Area Within Each Level of Service • 6y T ;( itt 5 October I,2o2a to September ao,2023 �`. Quarterly Expenditure Plan _7 FTE'e Clients Services/ let 2nd 8rd 4th Grand rr ' s a ti'*' ' ,ri "a, 'e a`�° g:far (0A0) Unite Viaits (Whole dollars only) State County Total BODY PIERCING FACILITIES SERVICES (349) 0.03 3 22 926 794 926 793 3,439 0 3,439 GROUP CARE FACILITY (361) 1.08 204 32.1 21.621 18,451 21.621 18,450 31,193 48,750 79,943 MIGRANT LABOR CAMP (362) 1.86 129 1,411 35,932 30,807 35.932 30,807 44,163 89,315 133,478 HOUSING&PUB.BLDG (353) 0.00 0 0 0 0 0 0 0 0 0 MOBILE HOME AND PARK (354) 0.31 117 261 6,327 5,424 6,327 5,424 23.602 0 23,502 POOLS/BATHING PLACES (360) 4.98 1,880 11,613 113,423 97,244 113.423 97,244 174.005 247,329 421,334 BIOMEDICAL WASTE SERVICES (364) 1.79 831 1,208 43,461 37,262 43,461 37,262 161,446 0 161,446 TANNING FACILITY SERVICES (369) 0.03 24 30 811 696 811 696 2,251 763 3,014 Group Total 11.74 3,670 16,752 269,005 222,060 259,005 222,059 676,972 386.157 962,129 Groundwater Contamination STORAGE TANK COMPLIANCE SERVICES (355) 0.00 0 0 0 0 0 0 0 0 0 SUPER ACT SERVICES (356) 0 24 0 0 3,349 2 871 3,349 2,871 0 12,440 12,410 Group Total 0.24 0 0 3,349 2,871 3,349 2,871 0 12.440 12,440 Community Hygiene COMMUNITY ENVIR.HEALTH (345) 0 00 0 0 0 0 0 0 0 0 0 INJURY PREVENTION (346) 0.00 0 0 0 0 0 0 0 0 0 LEAD MONITORING SERVICES (350) 0 00 0 0 0 0 0 0 0 0 0 PUBLIC SEWAGE (362) 0,00 0 0 0 0 0 0 0 0 0 SOLID WASTE DISPOSAL SERVICE (363) 0,00 0 0 0 0 0 0 0 0 0 SANITARY NUISANCE (365) 0.02 0 0 567 486 567 485 0 2,105 2,105 li RABIES SURVEILLANCE (366) 0.00 0 0 0 0 0 0 0 0 0 ARBORVIRUS SURVEIL (367) 0.00 0 0 0 0 0 0 0 0 0 RODENT/ARTHROPOD CONTROL(368) 0.00 0 0 0 0 0 0 0 0 0 WATER POLLUTION (370) 0.01 0 0 139 120 139 120 0 518 518 INDOOR AIR (371) 0.00 0 0 0 0 0 0 0 0 0 RADIOLOGICAL HEALTH (372) 0.00 0 0 0 0 0 0 0 0 0 TOXIC SUBSTANCES (373) 0.00 0 0 0 0 0 0 0 0 0 Group Total 0.03 0 0 706 606 706 605 0 2.623 2,623 ENVIRONMENTAL HEALTH SUBTOTAL 19.78 8.232 26,453 431,483 369,936 431,483 369,934 881.941 720,895 1,602,836 D. NON-OPERATIONAL COSTS: NONOPERATIONAL COSTS (699) 0.00 0 0 0 0 0 0 0 0 ENVIRONMENTAL HEALTH SURCHARGE (399) 0.00 0 0 15,792 13,640 15,792 13,540 68,664 0 58,864 MEDICAID BUYBACK (611) 0.00 0 0 81 69 81 69 0 300 300 NON-OPERATIONALCOSTSSUBTOTAL 0.00 0 0 15,873 13,609 15,873 13,609 68,064 300 58,964 TOTAL CONTRACT 159.91 52,138 418,648 4.027.248 3.452,782 4.027,248 3,452,787 10,582,406 4,377,659 14,960,066 i 0 1 rI Aitechment_I Part _III-Pao 2 of 2 16D ATTACHMENT III COLLIER COUNTY HEALTH DEPARTMENT CIVIL RIGHTS COMPLIANCE AND NON-DISCRIMINATION CERTIFICATE 1. The CHD agrees to complete the Civil Rights Compliance Questionnaire, DH Forms 946 A and B(or the subsequent replacement if adopted during the contract period), if so requested by the Department. 2. The CHD assures that it will comply with the Omnibus Budget Reconciliation Act of 1981, P.L.97-35, which prohibits discrimination on the basis of sex and religion in programs and activities receiving or benefiting from federal financial assistance. 3. Assurance of Civil Rights Compliance: The CHD hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964(42 U.S.C.2000d et seq.);Title IX of the Education Amendments of 1972(20 U.S.C. 1681 et seq.);Section 504 of the Rehabilitation Act of 1973(29 U.S.C. 794);the Age Discrimination Act of 1975(42 U.S.C.6101 et seq.);Title II and Title III of the Americans with Disabilities Act(ADA)of 1990, as amended by the ADA Amendment Act of 2008(42 U.S.C. 12131-12189)and as implemented by Department of Justice regulations at 28 CFR Parts 35 and 36; Executive Order 13166, "Improving Access to Services for Persons with Limited English Proficiency"(August 11,2000);all provisions required by the implementing regulations of the U.S. Department of Agriculture(7 CFR Part 15 et seq.);and FNS directives and guidelines to the effect that no person shall,on the ground of race, color, national origin,age,sex,or disability,be excluded from participation in,be denied the benefits of, or otherwise be subjected to discrimination under any program or activity for which the agency receives Federal financial assistance from FNS;and hereby gives assurance that it will immediately take measures necessary to effectuate this agreement. By providing this assurance,the CHD agrees to compile data,maintain records and submit records and reports as required to permit effective enforcement of the nondiscrimination laws,and to permit Department personnel during normal working hours to review and copy such records, books and accounts,access such facilities,and interview such personnel as needed to ascertain compliance with the non-discrimination laws. If there are any violations of this assurance,the Department of Agriculture shall have the right to seek judicial enforcement of this assurance. This assurance is given in consideration of and for the purpose of obtaining any and all Federal financial assistance,grants,and loans of Federal funds, reimbursable expenditures,grant or donation of Federal property and interest in property,the detail of Federal personnel,the sale and lease of,and the permission to use Federal property or interest in such property or the furnishing of services without consideration or at a nominal consideration,or at a consideration that is reduced for the purpose of assisting the recipient, or in recognition of the public interest to be served by such sale,lease,or furnishing of services to the recipient,or any improvements made with Federal financial assistance extended to the Program applicant by USDA. This includes any Federal agreement, arrangement,or other contract that has as one of its purposes the provision of cash assistance for the purchase of food, and cash assistance for purchase or rental of food service equipment or any other financial assistance extended in reliance on the representations and agreements made in this assurance. This assurance is binding on the CHD,its successors,transferees,and assignees as long as it receives or retains possession of any assistance from the Department. The person or persons whose signatures appear below are authorized to sign this assurance on the behalf of the CHD. 4. Confidentiality of Data, Files, and Records:The CHD agrees to restrict the use and disclosure of confidential USDA,Women, Infant,and Children(WIC)applicant and participant information as specified in 7 CFR§246.26(d)(1)(i)in accordance with 7 CFR§246.26(d)(1)(ii), as applicable. O Attachment_III-Page 1 of . . . . .�. a o \ ( \ / 2 N ( ` { C \ % 8 co 9 \ 2 � k \ \ a o \ } » } \ / u a — u ) k k / k / k ) ) \ - az u = u , ° u $ o \ \ ) 20 L ` 2 § § & ƒ \ \ mumu 6 E \ 0 _ \ \ E 2 k t i k / \ % c a , _ % { \ § # § 0 Q \ 2 a i• / \ / \ ± % n 7 = f / ) ) / / LL > iNi / k / k Q % c . . 0 % _ c w A 5 f § § 6 \ / E cu u { @ CO a CO L. I / k § k 0 / ) 0 q —I 2 & \ \ ƒ } ) \ \ \ / . / © f ) ` o i c f e / f p = 0 » 7 3 f § L / ® U. $ f f , CO , o ; a - E 3 = 3 { { k § e) f I E [ \ > CI § f / + 2 - I ] CO § % » § / \ f {41 = / § \ P 0 CO COIL \ 2 G c = i \ o § } \ k Q ƒ c £ N ) k .- @ . \ \ - § t § \ \ 0 0 a) § EL & r ƒ c o E _ - _ t0 / § \ k k ( ® - 3# ! m { § ƒ L1 ` ra2 2 ^ § z ( ƒ \ \ ~ Si.co k O G' I ATTACHMENT V COLLIER COUNTY HEALTH DEPARTMENT SPECIAL PROJECTS SAVINGS PLAN CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS CONTRACT YEAR STATE COUNTY TOTAL 2021-2022' $ 0 $ 0 $ 0 2022-2023" $ 0 $ 0 $ 0 2023-2024"' $ 0 $ 0 $ 0 2024-2025"' $ 0 $ 0 $ 0 PROJECT TOTAL $ 0 $ 0 $ 0 SPECIAL PROJECTS CONSTRUCTION/RENOVATION PLAN PROJECT NUMBER: PROJECT NAME: LOCATION/ADDRESS: PROJECT TYPE: NEW BUILDING ROOFING RENOVATION PLANNING STUDY NEW ADDITION OTHER SQUARE FOOTAGE: 0 PROJECT SUMMARY: Describe scope of work in reasonable detail. START DATE (Initial expenditure of funds) : COMPLETION DATE: DESIGN FEES: $ 0 CONSTRUCTION COSTS: $ 0 FURNITURE/EQUIPMENT: $ 0 TOTAL PROJECT COST: $ 0 COST PER SQ FOOT: $ 0 Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and mobile health vans. •Cash balance as of 9/30/22 Cash to be transferred to FCO account. "'Cash anticipated for future contract years. Attachment_V-Page 1 of nj�O