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Agenda 2/14/2023 Item #16D 7 (Enable DAS to remain in compliance with the Collier County Animal CControl Ordinance and to comtinue to purchase lifesaving emergency veterinary services)16.D.7 02/ 14/2023 EXECUTIVE SUMMARY Recommendation to approve an increase of expenditures on exemptions to the formal competitive process for up to a maximum of $850,000, in total, for off -site veterinary medical services through FY2025. OBJECTIVE: To approve an increase of expenditures on exemptions to the existing waiver of the formal competitive process for up to a maximum of $850,000 in total to enable Domestic Animal Services (DAS) to remain in compliance with the Collier County Animal Control Ordinance and to continue to purchase lifesaving emergency veterinary services, spay/neuter services, and other veterinary medical services on an as -needed basis. CONSIDERATIONS: On May 10, 2022, the Board of County Commissioners (Board) approved waiving competition for off -site veterinary services up to $500,000 (Agenda Item #16D6) through FY2025. The waiver of competition is for services related to the care and treatment of animals when the Shelter Veterinarian is not available or does not possess the necessary equipment to diagnose, treat, or perform vital lifesaving measures or surgery. At the time of its Board's 2022 approval, the estimated annual cost for the services was estimated $500,000 through FY2025. Since the Board's approval, there have been significant cost increases for veterinary services and supplies. These cost increases have coincided with recent labor market volatility. DAS like many County Divisions and local employers has experienced unusually high staffing turnover since 2020. DAS is currently operating without a full- time veterinarian on staff. Since the position was vacated in early 2022, staff has been actively attempting to fill the vacant veterinarian position. To maximize animal welfare and public value, Staff has partnered with numerous not - for -profit organizations to provide spay/neuter days at the shelter, has sought out volunteer veterinarian help in the shelter, and has worked with community partners and local veterinary practices to decrease operating costs. DAS is entrusted with providing necessary medical care for all impounded animals. Staff has been coordinating with local veterinarian service providers to provide legally required services, while also containing costs. The increase in demand for outsourced veterinarian services for spaying/neutering, fractures, disease, neglect, and a host of other maladies has increased substantially. DAS is presented daily with a high volume of significant or severe injuries/illnesses needing immediate and often rather expensive medical attention and treatment, as well as animals requiring routine medical care. To sustain needed services, as of December 27, 2022, DAS had expended $116,346 from the Domestic Animal Services Trust Fund (180), Animal Care Sterilization Trust Fund (610), and General Fund (001) on veterinarian services, and as expected, expenses are continuing to be incurred daily. DAS has made tremendous positive progress in improving outcomes for animals and has worked with local, state, and national partners to further animal welfare and provide placement opportunities. In FY 2022 DAS significantly increased animals transferred to Pet Placement Partners by 208%, increased animals reunited with their owners by 10%, and increased animals placed in foster care by 29%. These significant increases in animal placement have resulted in a 97% live release. Approval of this item provides the continued ability to purchase these services on an as -needed basis and ensures DAS's ability to deliver on its mission to return strays to their owners and promote the adoption of homeless animals to new families. Animals will continue to receive the routine or significant medical attention required. The Procurement Services Division has made multiple attempts to solicit for emergency and specialty veterinary services, and received no responses, despite having reached out to a list of providers recommended by DAS. FISCAL IMPACT: FY22 expenditures for veterinary medical service were approximately $406,000. The FY23 annual costs for these services is expected reach between $600,000 and $850,000. Although a low -range outcome is most likely, the requested increase in the exemption of $350,000 to $850,000 will ensure sufficient approved capacity for FY23. Expenses for veterinary medical services are currently funded within Domestic Animal Services Trust Fund (180), Animal Care Sterilization Trust Fund (610), and General Fund (001). The majority of veterinary medical expenses are paid from the Domestic Animal Services Trust Fund (180) and the Animal Care Sterilization Fund (610) and not the General Fund. The annual cost for these services will decrease significantly as soon as licensed shelter veterinarian vacancies are filled. Packet Pg. 1120 16.D.7 02/ 14/2023 GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this action. LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to form and legality and requires majority vote for approval. -JAK RECOMMENDATION: To approve and authorize the Chairman to approve an increase of expenditures on exemptions from the formal competitive process for off -site veterinary services for up to $850,000 through FY2025. Prepared By: Jeffrey Newman, Manager - Financial Operations, Operations and Veteran Services Division ATTACHMENT(S) 1. 16.13.6 (2022) and 16.13.14 (2018) (PDF) Packet Pg. 1121 16.D.7 02/14/2023 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.7 Doe ID: 24280 Item Summary: Recommendation to approve an increase of expenditures on exemptions to the formal competitive process up to a maximum of $850,000, in total, for off -site veterinary medical services through FY2025. Meeting Date: 02/14/2023 Prepared by: Title: — Operations & Veteran Services Name: Jeff Newman 01/05/2023 8:00 AM Submitted by: Title: — Operations & Veteran Services Name: Jeff Newman 01/05/2023 8:00 AM Approved By: Review: Operations & Veteran Services Jeff Newman Additional Reviewer Domestic Animal Services Marcy Perry Additional Reviewer Operations & Veteran Services Jeff Weir Additional Reviewer Procurement Services Ana Reynoso Level 1 Purchasing Gatekeeper Procurement Services Todd Henry Additional Reviewer Procurement Services Sandra Herrera Additional Reviewer Public Services Department Todd Henry PSD Level 1 Reviewer Public Services Department Tanya Williams PSD Department Head Review Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Office of Management and Budget Christopher Johnson Additional Reviewer Community & Human Services Maggie Lopez Additional Reviewer County Manager's Office Dan Rodriguez Level 4 County Manager Review Board of County Commissioners Geoffrey Willig Meeting Pending Completed 01/17/2023 1:14 PM Completed 01/17/2023 1:23 PM Completed 01/17/2023 1:38 PM Completed 01/17/2023 2:34 PM Skipped 01/17/2023 3:25 PM Completed 01/17/2023 4:10 PM Completed 01/18/2023 7:48 AM Completed 01/30/2023 3:43 PM Completed 01/30/2023 3:57 PM Completed 01/31/2023 11:06 AM Completed 02/03/2023 10:37 AM Completed 02/03/2023 4:23 PM Completed 02/08/2023 10:23 AM 02/14/2023 9:00 AM Packet Pg. 1122 16.D.7.a 05/10/2022 EXECUTIVE SUMMARY Recommendation to approve expenditures on exemptions to the formal competitive process for up to $500,000 for off -site veterinary medical services. OBJECTIVE: To approve expenditures on the existing waiver of the formal competitive process for up to $500,000 to enable Domestic Animal Services (DAS) to continue to purchase lifesaving emergency veterinary services, spay/neuter services, and other veterinary medical services on an as -needed basis. CONSIDERATIONS: On June 12, 2018, the Board of County Commissioners (Board) approved a Waiver of Competitive process: Agenda Item #16D14. The Agenda Item provides for the care and treatment of animals when the Shelter Veterinarian is not available or does not possess the necessary equipment to diagnose, treat, or perform vital lifesaving measures or surgery. At the time of its approval, the estimated annual cost for the services was $250,000. Since the approval of the waiver of the formal competitive process in 2018, there have been significant cost increases for veterinary services and supplies. These cost increases have coincided with recent labor market volatility. DAS like many County divisions and local employers has experienced staffing turnover during the past year. DAS is currently operating without a full-time veterinarian on staff. Since the position vacated earlier this year, staff has been actively attempting to fill the vacant veterinarian position. Staff has also sought out volunteer veterinarian help in the interim and has worked with community partners to achieve the greatest public value. DAS is entrusted with the appropriate medical care for all animals collected as strays or surrendered to the shelter. Staff has been coordinating with local veterinarian service providers to provide legally required services, while also containing costs. The increase in demand for outsourced veterinarian service for spay/neuter, fractures, disease, neglect, and a host of other maladies has increased substantially. DAS is presented daily with a high volume of significant or severe injuries needing immediate and often rather expensive medical attention and treatment, as well as animals requiring routine medical care. To sustain needed services, as of April 1, 2022, DAS had expended $107,519.52 from the Domestic Animal Services Trust Fund (180), Animal Care Sterilization Trust Fund (610), and General Fund (001) on veterinarian services, and as expected, expenses are continuing to be incurred daily. Approval of this item provides the continued ability to purchase these services on an as -needed basis, and ensure DAS's ability to deliver on its mission to return strays to its owners and promote the adoption of homeless animals to new families. Animals will continue to receive the routine or significant medical attention required. FISCAL IMPACT: The estimated annual costs for these services is expected to reach between $350,000 and $500,000. The veterinary expenses are currently being paid using funds from the Domestic Animal Services Trust Fund (180), Animal Care Sterilization Trust Fund (610), and General Fund (001). The annual cost will decrease significantly as soon as suitable shelter veterinarians can be hired to fill vacancies. The multiple exemptions from local veterinarians will be valid through FY2025. GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this action. LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to form and legality and requires majority vote for approval. -JAK Packet Pg. 1123 16.D.7.a 05/10/2022 RECOMMENDATION: To approve and authorize the Chairman to approve expenditures on the current exemptions from the formal competitive process for off -site veterinary services for up to $500,000. Prepared By: Jeffrey Newman, Financial and Operational Support Manager, Operations and Veteran Services Division ATTACHMENT(S) 1. Agenda 06_12_2018 Item #16D14 (PDF) Packet Pg. 1124 16.D.7.a 05/10/2022 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.6 Doc ID: 21837 Item Summary: Recommendation to approve expenditures on exemptions to the formal competitive process for up to $500,000 for off -site veterinary medical services. Meeting Date: 05/10/2022 a� N R d L Prepared by: c Title: — Operations & Veteran Services Name: Jeff Newman >_ 04/01/2022 1:18 PM Submitted by: Title: Division Director - Ops Support — Operations & Veteran Services Name: Kimberley Grant 04/01 /2022 1:18 PM Approved By: Review: Procurement Services Procurement Services Domestic Animal Services Operations & Veteran Services Procurement Services Public Services Department County Attorney's Office Public Services Department Office of Management and Budget Ana Reynoso Level 1 Purchasing Gatekeeper Catherine Bigelow Additional Reviewer Marcy Perry Additional Reviewer Kimberley Grant Additional Reviewer Sandra Herrera Additional Reviewer Todd Henry PSD Level 1 Reviewer Jeffrey A. Klatzkow Level 2 Attorney Review Tanya Williams PSD Department Head Review Debra Windsor Level 3 OMB Gatekeeper Review County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Growth Management Operations Support Christopher Johnson County Manager's Office Dan Rodriguez Level 4 County Manager Review Board of County Commissioners Geoffrey Willig Meeting Pending 0 Completed 04/05/2022 3:26 PM N It N Completed 04/06/2022 7:23 AM Completed 04/12/2022 11:25 AM o N Completed 04/13/2022 2:32 PM 'q Completed 04/14/2022 11:34 AM co Completed 04/14/2022 4:08 PM Completed 04/15/2022 9:55 AM N N O Completed 04/18/2022 11:52 AM v co Completed 04/18/2022 11:58 AM C co Completed 04/19/2022 1:10 PM c Additional Reviewer Completed E t Completed 05/04/2022 7:55 AM R r Q 05/10/2022 9:00 AM Packet Pg. 1125 16.D.7.a 06/12/2018 EXECUTIVE SUMMARY Recommendation to Waive the formal competitive process to purchase off -site veterinary medical services. OBJECTIVE: To enable the Domestic Animal Services (DAS) Division to purchase lifesaving emergency veterinary services, spay/neuter services, and other veterinary medical services on an as - needed basis. CONSIDERATIONS: The purpose of these purchases is to care for and treat animals when the Shelter Veterinarian is not available or does not possess the necessary equipment to diagnose, treat, or perform vital lifesaving measures or surgery. Animals may be the property of DAS, or they may be ill, or injured, stray animals that are picked up in the field by Animal Control Officers. Animal Control Officers work around the clock and often pick up animals after hours that have been hit by a car, or otherwise injured, and constitute a medical emergency. These animals need to be examined by a licensed Veterinarian in order to determine the severity of their injuries, administer pain medication if required, determine if humane euthanasia is necessary, and medically stabilize the animal until the Shelter Veterinarian is able to take over the care and treatment. Without the examination and treatment of these animals outside of regular business hours, the animals would be left to suffer and possibly expire. DAS does not possess the requisite equipment for radiographs or specialized treatments and procedures, such as orthopedic surgeries, and must send animals to outside veterinary clinics for these diagnostics and procedures when medically necessary. In addition, state law requires that all animals adopted from the shelter be spayed or neutered and have a current rabies vaccine prior to leaving the shelter. It is sometimes necessary to employ the services of outside veterinary clinics or on -site Relief Veterinarians to administer these vaccines and perform these surgeries when the Shelter Veterinarian is on leave and not available to do so. On two separate occasions, the Procurement Services Division made attempts to solicit for both specialty veterinary services and veterinary medications and supplies. Once on October 17, 2017, the Procurement Services Division released notices of Request for Proposal No. 17-7215 to 384 vendors for Veterinary Specialists. Three (3) bid packages were downloaded, and no offers were received on November 16, 2017. Then again on January 23, 2018, the Procurement Services Division released notices of Invitation to Bid No. 18-7272 to 1,664 vendors for Veterinary Medications and Supplies. Thirty-one (31) bid packages were downloaded, and no offers were received on February 23, 2018. A list of providers recommended by DAS was also contacted with no outcome. Cost is only one consideration when purchasing these services; skill, medical specialty, availability, and geographic proximity are all important factors in determining what is in the best interest of the animal, particularly during a medical emergency. DAS uses the services of a variety of emergency pet hospitals, local veterinary clinics, and on -site Relief Veterinarians to ensure that all medical cases are treated, and required surgeries are performed in a timely manner. DAS will continue to reach out to various clinics for these services based on the needs of each case and the availability of the various providers. Without the ability to purchase these services on an as -needed basis, there would be an immediate impact on DAS' ability to deliver on its mission to return strays to their owners and promote the adoption of homeless animals to new families. Animals could not be vaccinated against rabies or sterilized and therefore would be forced to remain at the shelter; injured or ill animals would be left to suffer, Packet Pg. 1126 16.D.7.a 06/12/2018 undiagnosed and untreated, until the Shelter Veterinarian returns to duty. FISCAL IMPACT: The estimated annual costs for these services are $250,000 and are paid for using funds from the Domestic Animal Services Trust Fund and the Animal Care Sterilization Trust Fund. This action will result in no Fiscal impact to the General Fund, and no additional increase in fees is required. GROWTH MANAGEMENT IMPACT: There is no Growth Management impact. LEGAL CONSIDERATIONS: This Item has been reviewed by the County Attorney, is approved as to form and legality, and requires majority vote for approval. -JAK RECOMMENDATION: To authorize an exemption from the competitive process to DAS for the purchase of off -site veterinary services. Prepared By: Darcy Andrade, Director, Domestic Animal Services Division Packet Pg. 1127 16.D.7.a 06/ 12/2018 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.14 Doc ID: 5733 Item Summary: Recommendation to Waive the formal competitive process to purchase off -site veterinary medical services. Meeting Date: 06/12/2018 Prepared by: Title: Administrative Assistant — Domestic Animal Services Name: Kellie Carroll 05/21/2018 10:34 AM Submitted by: Title: Division Director - Domestic Animal Svc — Domestic Animal Services Name: Darcy Andrade 05/21/2018 10:34 AM Approved By: Review: Operations & Veteran Services Procurement Services Procurement Services Procurement Services Procurement Services Domestic Animal Services Public Services Department Public Services Department Procurement Services County Attorney's Office Office of Management and Budget Budget and Management Office County Manager's Office Board of County Commissioners Sean Callahan Additional Reviewer Viviana Giarimoustas Additional Reviewer Ted Coyman Additional Reviewer Catherine Bigelow Additional Reviewer Sara Schneeberger Additional Reviewer Darcy Andrade Additional Reviewer Todd Henry Level 1 Division Reviewer Steve Carnell Level 2 Division Administrator Review Opal Vann Level 1 Purchasing Gatekeeper Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Valerie Fleming Level 3 OMB Gatekeeper Review Ed Finn Additional Reviewer Nick Casalanguida Level 4 County Manager Review MaryJo Brock Meeting Pending 0 Completed 05/22/2018 10:21 AM N N Completed 05/24/2018 8:09 AM 00 Completed 05/24/2018 2:52 PM o N Completed 05/24/2018 3:01 PM q Completed 05/24/2018 4:28 PM co Completed 05/25/2018 9:54 AM Completed 05/25/2018 2:48 PM N N O Completed 05/30/2018 9:04 AM v co Completed 05/21/2018 11:07 AM C co Completed 05/30/2018 9:46 AM c Completed 05/31/2018 8:38 AM E t Completed 05/31/2018 12:25 PM R r Q Completed 06/03/2018 8:49 PM ;d8(�FaPZi7�i[�l[iI�11L Packet Pg. 1128