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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 16.F.2.m 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 16.F.2.m Packet Pg. 1862 Attachment: Amendment #12 (26445 : Medical Examiner Amendment 13)