Agenda 09/26/2023 Item #16F 2 (Thirteeth amendment to the agreement for Medical Examiner Services)09/26/2023
EXECUTIVE SUMMARY
Recommendation to approve and authorize the Chairman to sign the Thirteenth 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, 2024.
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 September 27, 2011 regular meeting,
approved Agreement No. 11-5776 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
Agreement No. 11-5776 to be effective October 1, 2023 through September 30, 2024, and increase the
compensation for the Medical Examiner’s services and for payments that the County makes 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 total allocated amount of $2,163,800.
FISCAL IMPACT: Funds in the amount of $2,163,800 are budgeted in the General Fund (001) Medical
Examiners Services for FY24.
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 Chairman to sign the attached Thirteenth Amendment to
Agreement No. 11-5776 for Medical Examiner Services, extending the term of that Agreement to be effective
October 1, 2023 through September 30, 2024, and comprising a total allocation fo r these services in the amount of
$2,163,800.
Prepared by: Christine Boni, Accountant II, Bureau of Emergency Services/Emergency Management
ATTACHMENT(S)
1. 11-5776 Amend13_MartaCoburn_VendorSigned (PDF)
2. Amendment #1 (PDF)
3. Amendment #2 (PDF)
4. Amendment #3 (PDF)
5. Amendment #4 (PDF)
6. Amendment #5 (PDF)
7. Amendment #6 (PDF)
8. Amendment #7 (PDF)
9. Amendment #8 (PDF)
10. Amendment #9 (PDF)
11. Amendment #10 (PDF)
12. Amendment #11 (PDF)
13. Amendment #12 (PDF)
16.F.2
Packet Pg. 1806
09/26/2023
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.F.2
Doc ID: 26445
Item Summary: Recommendation to approve and authorize the Chairman to sign the Thirteenth 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, 2024.
Meeting Date: 09/26/2023
Prepared by:
Title: Accountant – Emergency Management
Name: Christine Boni
08/22/2023 9:37 AM
Submitted by:
Title: Division Director - Bureau of Emer Svc – Emergency Management
Name: Daniel Summers
08/22/2023 9:37 AM
Approved By:
Review:
Emergency Management Daniel Summers Director Review Completed 08/22/2023 9:58 AM
Procurement Services Vanessa Miguel Level 1 Purchasing Gatekeeper Completed 08/22/2023 11:19 AM
Procurement Services Sue Zimmerman Additional Reviewer Completed 09/07/2023 3:52 PM
Emergency Management Michael Choate Executive Director Review Completed 09/11/2023 1:29 PM
County Attorney's Office Scott Teach Level 2 Attorney Review Completed 09/12/2023 10:40 AM
Procurement Services Sandra Herrera Procurement Director Review Completed 09/12/2023 3:21 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 09/13/2023 8:44 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 09/13/2023 10:37 AM
Office of Management and Budget Agnieszka Chudy Additional Reviewer Completed 09/13/2023 4:35 PM
County Manager's Office Amy Patterson Level 4 County Manager Review Completed 09/18/2023 11:31 AM
Board of County Commissioners Geoffrey Willig Meeting Pending 09/26/2023 9:00 AM
16.F.2
Packet Pg. 1807
16.F.2.aPacket Pg. 1808Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1809Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1810Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1811Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1812Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1813Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1814Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1815Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1816Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1817Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1818Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1819Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1820Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.aPacket Pg. 1821Attachment: 11-5776 Amend13_MartaCoburn_VendorSigned (26445 : Medical Examiner Amendment 13)
16.F.2.b
Packet Pg. 1822 Attachment: Amendment #1 (26445 : Medical Examiner Amendment 13)
16.F.2.b
Packet Pg. 1823 Attachment: Amendment #1 (26445 : Medical Examiner Amendment 13)
16.F.2.c
Packet Pg. 1824 Attachment: Amendment #2 (26445 : Medical Examiner Amendment 13)
16.F.2.c
Packet Pg. 1825 Attachment: Amendment #2 (26445 : Medical Examiner Amendment 13)
16.F.2.d
Packet Pg. 1826 Attachment: Amendment #3 (26445 : Medical Examiner Amendment 13)
16.F.2.d
Packet Pg. 1827 Attachment: Amendment #3 (26445 : Medical Examiner Amendment 13)
16.F.2.e
Packet Pg. 1828 Attachment: Amendment #4 (26445 : Medical Examiner Amendment 13)
16.F.2.e
Packet Pg. 1829 Attachment: Amendment #4 (26445 : Medical Examiner Amendment 13)
16.F.2.e
Packet Pg. 1830 Attachment: Amendment #4 (26445 : Medical Examiner Amendment 13)
$MSNDMENT s
I l-s??6 ApBWMn'NT rgR, MpDIQAL EX.$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.F.2.f
Packet Pg. 1831 Attachment: Amendment #5 (26445 : Medical Examiner Amendment 13)
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.F.2.f
Packet Pg. 1832 Attachment: Amendment #5 (26445 : Medical Examiner Amendment 13)
16.F.2.gPacket Pg. 1833Attachment: Amendment #6 (26445 : Medical Examiner Amendment 13)
16.F.2.gPacket Pg. 1834Attachment: Amendment #6 (26445 : Medical Examiner Amendment 13)
16.F.2.hPacket Pg. 1835Attachment: Amendment #7 (26445 : Medical Examiner Amendment 13)
16.F.2.hPacket Pg. 1836Attachment: Amendment #7 (26445 : Medical Examiner Amendment 13)
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.F.2.i
Packet Pg. 1837 Attachment: Amendment #8 (26445 : Medical Examiner Amendment 13)
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.F.2.i
Packet Pg. 1838 Attachment: Amendment #8 (26445 : Medical Examiner Amendment 13)
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.F.2.i
Packet Pg. 1839 Attachment: Amendment #8 (26445 : Medical Examiner Amendment 13)
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.F.2.j
Packet Pg. 1840 Attachment: Amendment #9 (26445 : Medical Examiner Amendment 13)
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.F.2.j
Packet Pg. 1841 Attachment: Amendment #9 (26445 : Medical Examiner Amendment 13)
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.F.2.j
Packet Pg. 1842 Attachment: Amendment #9 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE10/7/202016.F.2.kPacket Pg. 1843Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE10/7/202016.F.2.kPacket Pg. 1844Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.F.2.kPacket Pg. 1845Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.F.2.kPacket Pg. 1846Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.F.2.kPacket Pg. 1847Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.F.2.kPacket Pg. 1848Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.F.2.kPacket Pg. 1849Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.F.2.kPacket Pg. 1850Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.F.2.kPacket Pg. 1851Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.F.2.kPacket Pg. 1852Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.F.2.kPacket Pg. 1853Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
DocuSign Envelope ID: 94E9B5BE-46D9-48B8-8D6E-F9D34FFECEFE16.F.2.kPacket Pg. 1854Attachment: Amendment #10 (26445 : Medical Examiner Amendment 13)
ELEVENTH AMENDMENT TO
AGREEMENT NO. 11-5776
FOR MEDICAL EXAMINER SERVICES
THIS ELEVENTH AMENDMENT TO AGREEMENT NO. 11-5775 FOR MEDICAL
EXAMINER SERVICES (the "Amendment") is entered into and is effective on this 1st day of
October, 2021, 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 No. 11-5775 for Medical Examiner
Services (the "Agreement") dated September 27, 2011, a copy of which is attached hereto; and
WHEREAS, the Board approved the Ninth Amendment to the Agreement on September
22, 2020 (Agenda Item 16.E.1), with the Tenth Amendment being administratively approved on
October 7, 2020, to correct the payment ending date from September 30, 2020 to September 30,
2021; and
WHEREAS, the parties wish to extend the term of the Agreement and to clarify their
respective responsibilities for certain costs relating to County-allocated charges consisting of
Information Technology costs as well as General, Property, and Liability insurances pertaining to
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
Amendment#11 to Contract 11-5776 CAO
16.F.2.l
Packet Pg. 1855 Attachment: Amendment #11 (26445 : Medical Examiner Amendment 13)
1. All of the above RECITALS are true and correct and are hereby expressly
incorporated herein by reference as if set forth fully below.
2.Section I of the Agreement is hereby amended by extending the term of the
Agreement from October 1, 2021 through September 30, 2022.
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, 2021, the amount of
One Million Eight Hundred Forty-Eight Thousand Seven Hundred Dollars
1,848,700) by semimonthly payments ending September 30, 2022. 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-Three Thousand Nine Hundred Dollars ($53,900).
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 CAO
Amendment#11 to Contract 11-5776
16.F.2.l
Packet Pg. 1856 Attachment: Amendment #11 (26445 : Medical Examiner Amendment 13)
IN WITNESS WHEREOF, the parties executed this Eleventh Amendment by their
authorized agents as of the date first above written.
ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K. Kinzel,Comptroller and COLLIE 0 TY, FLORIDA
Clerk of Cqurts .. , L4/14-
By: V& 0( . By
A1/1
eputy Clerk PENNY TAYLOR, Chair
Attestto.Chone40
signature'anI
Approved as to Form and Legality:
By: P/2e--
ott R. Teach
Deputy County Attorney
MEDICAL EXAMINER
atle,G(AA,t it4XC)By
Marta U. Coburn
M.D. Medical Examiner
Florida District Twenty
t`
3 CAO
Amendment#11 to Contract 11-5776
16.F.2.l
Packet Pg. 1857 Attachment: Amendment #11 (26445 : Medical Examiner Amendment 13)
TWELFTH AMENDMENT TO
AGREEMENT FOR MEDICAL EXAMINER SERVICES
THIS TWELFTH AMENDMENT TO AGREEMENT FOR MEDICAL EXAMINER
SERVICES ("Amendment") is entered into and is effective on this 1st day of October, 2022, 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 Eleventh Amendment to the Agreement was approved by the Board on
September 28, 2021 (Agenda Item 16.H.1); and
WHEREAS, the parties wish to extend the term of the Agreement and to clarify their
respective responsibilities pertaining to compensation for the Medical Examiner's services and for
certain costs relating to County-allocated charges consisting of Information Technology costs as
well as General, Property, and Liability insurances pertaining to 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 frilly below.
1
Amendment#12 to Contract 11-5776
16.F.2.m
Packet Pg. 1858 Attachment: Amendment #12 (26445 : Medical Examiner Amendment 13)
2.Section I of the Agreement is hereby amended by extending the term of the
Agreement from October 1, 2022 through September 30, 2023.
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, 2022, in the amount of
Two Million Seven Thousand Six Hundred Dollars ($2,007,600) by semimonthly
payments ending September 30, 2023. 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 the total amount
of Sixty One Thousand Five Hundred Dollars ($61,500). 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 further 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#12 to Contract 11-5776
C
16.F.2.m
Packet Pg. 1859 Attachment: Amendment #12 (26445 : Medical Examiner Amendment 13)
IN WITNESS WHEREOF, the executed have this Twelfth Amendment by authorized
agents, as of the date first above written.
ATTEST:BOARD OF COUNTY COMMISSIONERS
Crystal K. Kinzel, Comptroller and COLLIER COUNTY, FLORIDA
Clerk of Colitis
S. F
l 0
By:
r
a# -W. By:
Attest aS O R' 'm' deputy Clerk Wi am L. McDaniel, Jr., Chairman
ci,_
St ature tm111'
5'tit i N 1,1 °'*.
Approv Form and e ality:
By:
R. Te ch
Deputy County Attorney
MEDI L EXAMINER
By:
I I12 2117/11/`-Q4
arta U. Coburn
M.D. Medical Examiner
Florida District Twenty
3 r
Amendment#12 to Contract 11-5776 A
16.F.2.m
Packet Pg. 1860 Attachment: Amendment #12 (26445 : Medical Examiner Amendment 13)
Client#: 711232 DISTR201
ACORD,,, CERTIFICATE OF LIABILITY INSURANCE 6/09
DATE(M/
2022
WDD1M/DD/YYYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on
this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Gabriela Kelley
Marsh&McLennan Agency PHONE 727 447-6481 FAX
NC,No,Ext): A/C,No):
Bouchard Region E-MAIL
abriela.kelle marshmma.com
101 N.Starcrest Drive
ADDRESS: 9 y@marshmma.com
AFFORDING COVERAGE NAIC#
Clearwater, FL 33765
INSURER A:Employers Preferred Insurance Company 10346
INSURED INSURER B:Lloyds of London 555555
District 20 Medical Examiner
INSURER C:
3838 Domestic Avenue
INSURER D:
Naples, FL 34104
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER
POLICY EFF POLICY EXP
LIMITSMOLIC/YEFF (MM/DDIVYYY)
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
DAMAGE T RENTED
CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-
POLICY JECT LOC PRODUCTS-COMP/OPAGG $
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident)
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY Per accident)
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTION$
A WORKERS COMPENSATION EIG277943403 11/30/2021 11/30/2022 X IPERSTATUTE I IOTH-ERANDEMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 100,000
OFFICER/MEMBER EXCLUDED? y N/A
Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000
B Professional Liab LHM793384 12/16/2021 12/16/2022 $1,000,000/claim
3,000,000/aggregate
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Workers Comp Information**
Other States Coverage
Proprietors/Partners/Executive Officers/Members Excluded:
Marta U Coburn, MD, Owner
All states except ND, OH,WA,WY,self-insured states,those
See Attached Descriptions)
CERTIFICATE HOLDER CANCELLATION
COLLIER COUNTY BOARD OF COUNTY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
COMMISSIONERS ACCORDANCE WITH THE POLICY PROVISIONS.
3327 TAMIAMI TRAIL EAST
NAPLES, FL 34112 AUTHORIZED REPRESENTATIVE
1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD
S10925029/M10924997 RCGXK
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Packet Pg. 1861 Attachment: Amendment #12 (26445 : Medical Examiner Amendment 13)
DESCRIPTIONS (Continued from Page 1)
states insu
Supplemental Name**
First Supplemental Name applies to all policies-District 20 Medical Examiner, Inc.
SAGITTA 25.3(2016/03) 2 of 2
S10925029/M10924997
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Packet Pg. 1862 Attachment: Amendment #12 (26445 : Medical Examiner Amendment 13)