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Backup Documents 09/10/2024 Item #16F 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 a 3 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 Attomey Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3. County Attorney Office County Attorney Office / 4. BCloai--11 Office Board of County Commissioners C;ft 11/ 61t0 2`( 5. Minutes and Records Clerk of Court's Office614 Oqiii/2/ C l 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 Cherie DuBock/EMS Phone Number 239-252-3756 Contact/ Department Agenda Date Item was 9/10/2024 Agenda Item Number 16.F.3 Approved by the BCC Type of Document Agreements DLC and HealthCare Network Number of Original 2 Attached Documents Attached PO number or account • number if document is to be recorded ?lease a rnwl l cod to cher, e . 4 Q bocK poi(, ei cwo-%ft .qov INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? CD 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 CD signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's CD 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 CD 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 CD signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip CD should be provided to the County Attorney Office at the time the item is input into SIRE. 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 etlrb(Zy and all changes made during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes directed by the BCC have been made,and the document is ready for the Chairman's signature. 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 1 6F3 AGREEMENT REGARDING OPIOID USE DISORDERS BETWEEN DAVID LAWRENCE MENTAL HEALTH CENTER,INC. (DLC) AND COLLIER COUNTY This Agreement is entered into and made effective 5 c r lO, 2024, by and between David Lawrence Mental Health Center,Inc.with its primary place of usiness at 6075 Bathey Lane,Naples,FL, 34116 ("DLC"), and Collier County with its principal address at 3299 Tamiami Trail East, Suite 300, Naples FL 34112,on behalf of its Collier County Emergency Medical Services,having its principal office at 8075 Lely Cultural Parkway,#267,Naples,FL 34113 ("EMS"), (individually a"Party"and collectively the"Parties"). RECITALS WHEREAS, David Lawrence Mental Health Center, Inc. is a not-for-profit entity located in Collier County, Florida,whose mission is to provide life-saving and life-changing behavioral health care through education,prevention, intervention, and treatment available to all; and WHEREAS, DLC provides Addiction Medicine/Psychiatric Evaluation, Medication-Assisted Treatment ("MAT") (e.g., Induction, Maintenance), Detoxification/withdrawal management, and a full continuum of substance use disorder evidence-based treatment services; and WHEREAS, DLC desires to provide timely access to care and services to Collier County Emergency Medical Services ("EMS") to support and assist in its emergency community induction program for individuals with Opioid Use Disorders; and WHEREAS,Collier County agrees to work with DLC pursuant to the terms of the this Agreement to accept such services. AGREEMENT NOW, THEREFORE, the parties hereto enter this Agreement in accordance with the following terms and conditions and statement of purpose: 1. RESPONSIBILITIES OF COLLIER COUNTY EMS: A. Referrals. Collier County EMS may refer individuals with Opioid Use Disorders who receive emergency medical interventions in the community (e.g.,Narcan overdose reversal) and have agreed to start Medication-Assisted Treatment induction(e.g.,Buprenorphine) to DLC. B. Induction. Collier County EMS may provide buprenorphine induction using the Collier County EMS practitioner buprenorphine induction protocol to individuals who consent prior to referral to DLC. 1 cA0 C. Release of Information. Collier County EMS will attempt to obtain a Health Insurance Portability and Accountability Act ("HIPAA") Release of Information from the individual to facilitate the coordination of care between the identified patient/referral and DLC. D. Notification of Referrals.Collier County EMS will attempt to notify the DLC Medication- Assisted Treatment referral team when a patient in their care requires an urgent appointment to facilitate continued Medication-Assisted Treatment services. • 2. RESPONSIBILITIES OF DLC: A. Warm Hand-Off. DLC shall support a warm hand-off from EMS to DLC services with the purpose of providing Medication-Assisted Treatment using evidence-based practice standards and transitioning Warm Hand-Off patients from induction to stabilization and follow-up maintenance within the DLC MAT services continuum. B. Access to Services. DLC shall coordinate access to timely Addiction Medicine Evaluation by a licensed practitioner and/or admission to the DLC Crossroads withdrawal management program for additional assessment and stabilization. C. Level of Care Determination. DLC shall provide access to direct admission to the appropriate level of care (i.e., withdrawal management program for referred patients needing withdrawal management and/or inpatient induction). (1) DLC inpatient services may include clinical triage, nursing assessment, physical examination, case management, referral and linking,peer recovery support. (2) DLC outpatient MAT services may include clinical triage, nursing intake, Addiction Medicine Evaluation, Medication Management, urinalysis drug testing, case management, peer recovery support, individual and/or group therapy, and referral and linking to other levels of care. D. Cost to Patients. DLC will be responsible for assisting the patient with the cost of evaluation, treatment, and medications while the patient is actively in DLC's care through financial screening and identification of funding sources in accordance with agency policies and procedures. 3. DATA SHARING. DLC and Collier County EMS will collect and share data to evaluate the program efficacy and outcomes. Data elements collected will include: A. Data Collected via EMS: (1) Demographic data of referred patients. (2) Number of overdose reversals by naloxone conducted by EMS. (3) Number of MAT referrals from EMS to DLC. 2 GAO 16F3 `� (4) Of the total number of patients induced by EMS, the breakdown of referrals to all agencies, (e.g., DLC Inpatient Detox, DLC Outpatient MAT Services, Healthcare Network,NCH Healthcare,Physicians Regional Healthcare System,etc. (5) The average length of time between EMS induction and the first DLC appointment/admission date. B. Data Collected via DLC: (1) Of the total number of patients induced by EMS who are referred to DLC MAT services,the number of patients who link with or are admitted by DLC to Detox or to Outpatient MAT. (2) Of the total number of patients induced by EMS who are admitted to DLC Outpatient MAT or admitted to Detox: (a)Total number who completed Detox. (b)Of the total number of patients referred by EMS and admitted to DLC detox, the total number of patients who subsequently link to DLC Outpatient MAT and/or other levels of care. (3)Total number who participated in at least 1 DLC MAT appointment. (a) Of the total number of patients referred by EMS admitted to the DLC MAT program,the percentage of patients who successfully linked with the DLC MAT Program (as evidenced by attending up to three recommended appointments). C. Confidentiality. Where applicable the parties will comply with the Health Insurance Portability and Accountability Act as well as regulations promulgated thereunder(45 CFR Parts 160, 162, and 164). 4. INSURANCE. a. DLC, at its sole cost and expense,shall obtain,keep in force,and maintain during the term of this Agreement such professional liability and general liability insurance coverage to cover the acts or omissions of the Party and its employees in the course of the Program pursuant to this Agreement,but in no event shall such coverage at any time be less than one million dollars($1,000,000.00)per covered person or event or three million dollars ($3,000,000.00) in the aggregate. In the event that this insurance is in the form of claims made, the Party shall obtain a full extended reporting endorsement ("Tail") to cover any event that may have occurred during the Agreement. The Party shall notify the other Party immediately upon receiving notice of the cancellation, expiration or non-renewal of any insurance required hereunder. b.Pursuant to Section 768.28,Fla. Stat., Collier County is self-insured. 5. INDEMNIFICATION. To the maximum extent permitted by Florida law, DLC shall defend, indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees,whether resulting from any claimed breach of this Agreement by DLC,any statutory or regulatory violations, or from personal injury, property damage, direct or consequential damages, or economic loss, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the DLC or anyone employed or utilized by DLC in the performance of this Agreement. This 3 GAO indemnification obligation shall not be construed to negate, abridge or reduce any other rights or remedies which otherwise may be available to an indemnified party or person described in this paragraph. This section does not pertain to any incident arising from the sole negligence of Collier County. The duty to defend under this Article 13 is independent and separate from the duty to indemnify, and the duty to defend exists regardless of any ultimate liability of DLC,County and any indemnified party. The duty to defend arises immediately upon presentation of a claim by any party and written notice of such claim being provided DLC. DLC's obligation to indemnify and defend under this section will survive the expiration or earlier termination of this MOU until it is determined by final judgment that an action against the County or an indemnified party for the matter indemnified hereunder is fully and finally barred by the applicable statute of limitations. 6. PATIENT RECORDS; DISCLOSURE OF PROTECTED HEALTH INFORMATION; CONFIDENTIAL INFORMATION. Both parties agree to follow all applicable laws, rules, and regulations regarding confidentiality of information, including, but not limited to, HIPAA, 42 CFR Part Two, and 45 CFR. Further, each party shall not use or disclose to any unauthorized person any information relating to the business or affairs of the other party or of any qualitied individual, except pursuant to the express written consent of the other party or the qualified individual, as applicable,by court order, or as required by law,rule, or regulation. Collier County is a political subdivision of the State of Florida and required to comply with Florida's Public Records Law, Ch. 119,Florida Statutes. 7. IF DAVID LAWRENCE CENTER HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE DAVID LAWRENCE CENTER'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT Division of Communications, Government & Public Affairs, 3299 Tamiami Trail East, Suite 801, Naples, FL 34112 email publicrecordsrequest(a'colliercountvfl.gov. DLC shall comply with public records laws, specifically to: A. Keep and maintain public records required by the public agency to perform the service. B. Upon request from the public agency's custodian of public records, provide the public agency with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. C. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor does not transfer the records to the public agency. D. Upon completion of the contract, transfer, at no cost, to the public agency all public records in possession of the contractor or keep and maintain public records required by the public agency to perform the service. If the contractor transfers all public records to the public agency upon completion of the contract, the contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the contractor keeps and maintains public records upon completion of the 4 CAC 1 6F3 contract, the contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the public agency,upon request from the public agency's custodian of public records, in a format that is compatible with the information technology systems of the public agency. 8. TERM and TERMINATION. This Agreement shall begin on the date on which it has been signed by both parties and will remain in effect until modified or terminated by the signatories. This Agreement may be modified and enforceable only if signed by both parties.Either party may terminate this Agreement at any time with thirty (30)days' written notice. 9. FORCE MAJEURE. Either Party shall be excused from any delay or failure in performance hereunder caused by reason of any occurrence or contingency beyond its reasonable control,including, but not limited to, acts of God, acts of war, terrorism, fire, insurrection, labor disputes, riots, earthquakes,or other acts of nature. 10. SEVERABILITY. If any provision of this Agreement is held to be illegal, invalid,or unenforceable under present or future laws effective during the term hereof, such provision shall be fully severable and the remainder of this Agreement shall be enforced to the fullest extent permitted by law. 11. GOVERNING LAW. This Agreement shall be subject to and governed by the laws of the State of Florida. The Parties agree that any dispute, claim, and/or action arising out of or relating in any way to this Agreement or the relationship between the Parties must and shall be brought exclusively in a state or federal court located in the State of Florida. 12.BINDING EFFECT. This Agreement shall be binding upon and inure to the benefit of the Parties hereto and their respective successors and assigns. Assignment is subject to the prior written approval of the parties. 13.NOTICES. All notices, requests, demands, or other communications hereunder must be in writing and must be given and shall be deemed to have been given upon receipt if delivered by a national overnight courier service,on the date of delivery if delivered in person, or three(3)days after mailing if sent by certified or registered mail with first-class postage prepaid,as follows: If to Collier County EMS: Bruce Gastineau, Chief, Collier County EMS 8075 Lely Cultural Parkway, Suite:#267 Naples, FL 34113 Bruce.Gastineau u.:colliercountyfl.gov If to DLC: David Lawrence Mental Health Center, Inc. Attn: Scott Burgess, CEO 6075 Bathey Lane Naples,FL 34116 5 GPG, 1 6 F 3 With copy to: David Lawrence Mental Health Center, Inc. Nancy Dauphinais,COO 6075 Bathey Lane Naples, FL 34116 14. ENTIRE AGREEMENT; MODIFICATIONS; AMENDMENTS. This Agreement,along with its Exhibits,contains all the terms and conditions agreed upon by the Parties regarding the subject matter of this Agreement and supersedes any prior agreements, oral or written,and all other communications between the Parties relating to such subject matter. This Agreement may be amended or modified at any time by written consent of the authorized representatives of both Parties. This Agreement is nonexclusive. The Parties reserve the right to enter into similar agreements with other institutions. IN WITNESS WHEREOF,the parties hereto by and through their duly authorized representatives,whose signatures appear below,have caused this MOU to be executed as of the date first written above. FOR DAVID LAWRENCE MENTAL HEALTH CENTER INC. David Lawren M tal Health Center, Inc. o Burt ss, C 0 FOR THE COUNTY ATTEST: CRYST• ,K. K1NZEL,Clerk of the BOARD 0 OUNTY COMMISSIONERS Circui/ //, ,and Corr ptrokler COLLIF TY, LORIDA 10,4 04: �� �.� By: _ ;Deputy Clerk CHRIS HALL, Chai an A.( tofd an lega Colleen M. Gree e Managing Assistant County Attorney • 6 AO 1 6F3 AGREEMENT REGARDING OPIOID USE DISORDERS BETWEEN COLLIER HEALTH SERVICES, INC. ANI) COLLIER COUNTY This Agreement is entered into and made effective b, ,by and between Collier Health Services, Inc., d/b/a Healthcare Network ("IIN") wi h its primary place of business at 1454 Madison Ave W, Immokalee, FL 34142 ("HN"), and Collier County with its principal address at 3299 Tamiami Trail East, Suite 300, Naples FL 34112, on behalf of Collier County Emergency Medical Services, having its principal office at 8075 Lely Cultural Parkway, #267, Naples, FL 34113 ("EMS"), (individually a"Party"and collectively the"Parties"). RECITALS WHEREAS, HN is a not-for-profit entity located in Collier County, Florida., whose mission is to provide quality healthcare accessible to everyone in our community; and WHEREAS, I IN provides Addiction Medicine/Psychiatric Evaluation, Medication-Assisted Treatment ("MAT") (e.g., Induction, Maintenance), Detoxification/withdrawal management, and a full continuum of substance use disorder evidence-based treatment services; and WHEREAS, HN desires to provide timely access to care and services to Collier County Emergency Medical Services to support and assist in its emergency community induction program for individuals with Opioid Use Disorders; and WHEREAS,Collier County agrees to work with I IN pursuant to the terms of the this Agreement to accept such services. AGREEMENT NOW, THEREFORE, the parties hereto enter this Agreement in accordance with the following terms and conditions and statement of purpose: 1. RESPONSIBILITIES OF COLLIER COUNTY EMS: A. Referrals. Collier County EMS may refer individuals with Opioid Use Disorders who receive emergency medical interventions in the community (e.g., Narcan overdose reversal) and have agreed to start Medication-Assisted Treatment induction (e.g., 1uprenorphine) to FIN. B. Induction. Collier County EMS may provide buprenorphine induction using the Collier County EMS practitioner buprenorphine induction protocol to individuals who consent prior to referral to ITN. 1 16F3 C. Release of Information. Collier County EMS will attempt to obtain a Health Insurance Portability and Accountability Act ("HIPAA") Release of Information from the individual to facilitate the coordination of care between the identified patient/referral and I-1N. 1). Notification of Referrals. Collier County EMS will attempt to notify the IIN Medication-Assisted Treatment referral team when a patient in their care requires care requires an urgent appointment to facilitate continued Medication-Assisted Treatment services. 2. RESPONSIBILITIES OF DLC: A. Warm Hand-Off. I-IN shall support a warm hand-off from EMS to I-IN services with the purpose of providing Medication-Assisted Treatment using evidence-based practice standards and transitioning Warm Hand-Off patients from induction to stabilization and follow-up maintenance within the FIN MAT services continuum. B. Access to Services. I-IN shall coordinate access to timely Addiction Medicine Evaluation by a licensed practitioner and/or referrals other community programs. C. Level of Care Determination. I-IN shall provide access to outpatient services. (1) I-IN Outpatient MAT services may include clinical triage, nursing intake, Addiction Medicine Evaluation, Medication Management, urinalysis drug testing, case management, peer recovery support, individual and/or group therapy, and referral and linking to other levels of care. 1). Cost to Patients. FIN will be responsible for assisting the patient with the cost of evaluation, treatment, and medications while the patient is actively in I-IN care through financial screening and identification of funding sources in accordance with I-IN policies and procedures. 3. DATA SHARING. I-IN and Collier County EMS will collect and share data to evaluate the program efficacy and outcomes. Data elements collected will include: A. Data Collected via EMS: (1) Demographic data of referred patients. (2) Number of overdose reversals by naloxone conducted by EMS. (3) Number of MAT referrals from EMS to I-IN. (4) Of the total number of patients induced by EMS, the breakdown of referrals to all agencies, (e.g., IIN Outpatient MAT Services, Healthcare Network, NCI-I I-Iealthcare, Physicians Regional healthcare System, etc.) (5) The average length of time between EMS induction and the first 11N appointment/ admission date. 2 ciao 1 6F3 B. Data Collected via HN: (1) Of the total number of patients induced by EMS who are referred to HN MAT services, the number of patients who link with or are admitted by HN to Outpatient MAT. (2) Of the total number of patients induced by EMS who are admitted to HN Outpatient MAT: (3)Total number who participated in at least one HN MAT appointment. (a) Of the total number of patients referred by EMS admitted to the ITN MAT program, the percentage of patients who successfully linked with the HN MAT Program (as evidenced by attending up to three recommended appointments. C. Confidentiality. Where applicable the parties will comply with the Health Insurance Portability and Accountability Act as well as regulations promulgated thereunder(45 CFR Parts 160, 162, and 164). 4. INSURANCE. A. HN, at its sole cost and expense, shall obtain, keep in force, and maintain during the term of this Agreement such professional liability and general liability insurance coverage to cover the acts or omissions of the Party and its employees in the course of the Program pursuant to this Agreement, but in no event shall such coverage at any time be less than one million dollars ($1,000,000.00) per covered person or event or two million dollars ($2,000,000.00) in the aggregate. In the event that this insurance is in the form of claims made,the Party shall obtain a full extended reporting endorsement("Tail")to cover any event that may have occurred during the Agreement. The Party shall notify the other Party immediately upon receiving notice of the cancellation, expiration or non-renewal of any insurance required hereunder. The parties agree that HN's coverage under the Federal Torts Claims Act meets the professional liability provisions of this section. B. Pursuant to Section 768.28, Fla. Stat., Collier County is self-insured. 5. INDEMNIFICATION. A. To the maximum extent permitted by Florida or Federal law. HN shall indemnify and hold harmless County and its officers and employees from any and all liabilities,claims, damages,penalties,demands,judgments,actions,proceedings,losses or costs,including,but not limited to, reasonable attorneys' fees and paralegals' fees, whether resulting from any claimed breach of this MOU by HN or from personal injury, property damage, direct or consequential damages, or economic loss, to the extent caused by the negligence, recklessness, or intentional wrongful misconduct of HN or anyone employed or utilized by HN in the performance of this Agreement. B. This section does not pertain to any incident arising from the sole negligence of Collier County. 3 cAc 1 6F3 C. The duty to defend under this Article 5 is independent and separate from the duty to indemnify, and the duty to defend exists regardless of any ultimate liability of I-IN, County and any indemnified party. The duty to defend arises immediately upon presentation of a claim by any party and written notice of such claim being provided I-IN. I-IN's obligation to indemnify and defend under this section will survive the expiration or earlier termination of this Agreement until it is determined by final judgment that an action against the County or an indemnified party for the matter indemnified hereunder is fully and finally barred by the applicable statute of limitations. 6. PATIENT RECORDS; DISCLOSURE OF PROTECTED HEALTH INFORMATION; CONFIDENTIAL INFORMATION. Both parties agree to follow all applicable laws, rules, and regulations regarding confidentiality of information, including, but not limited to,I-IIPAA, 42 CFR Part Two, and 45 CFR. Further, each party shall not use or disclose to any unauthorized person any information relating to the business or affairs of the other party or of any qualitied individual, except pursuant to the express written consent of the other party or the qualified individual, as applicable, by court order, or as required by law, rule, or regulation. Collier County is a political subdivision of the State of Florida and required to comply with Florida's Public Records Law, Ch. 119, Florida Statutes. 7. IF COLLIER IILALTII SERVICES, INC. HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE COLLIER HEALTH SERVICES, INC. DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT Division of Communications, Government & Public Affairs, 3299 Tamiami Trail East, Suite 801, Naples, FL 34112 email publicrecordsrequestaikolliercountvfl.gov. FIN shall comply with public records laws, specifically to: A. Keep and maintain public records required by the public agency to perform the service. B. Upon request from the public agency's custodian of public records, provide the public agency with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. C. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor does not transfer the records to the public agency. 1). Upon completion of the contract, transfer, at no cost, to the public agency all public records in possession of the contractor or keep and maintain public records required by the public agency to perform the service. If the contractor transfers all public records to the public agency upon completion of the contract,the contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the contractor keeps and maintains public records upon completion of the contract, the contractor shall meet all applicable requirements for retaining public records. All records stored CAO, 4 electronically must be provided to the public agency, upon request from the public agency's custodian of public records, in a format that is compatible with the information technology systems of the public agency. 8. TERM and TERMINATION. This Agreement shall begin on the date on which it has been signed by both parties and will remain in effect until modified or terminated by the signatories. This Agreement may be modified and enforceable only if signed by both parties. Either party may terminate this Agreement at any time with thirty (30) days' written notice. 9. FORCE MAJEURE. Either Party shall be excused from any delay or failure in performance hereunder caused by reason of any occurrence or contingency beyond its reasonable control, including, but not limited to, acts of God, acts of war, terrorism, fire, insurrection, labor disputes, riots,earthquakes, or other acts of nature. 10. SEVERABILITY. If any provision of this Agreement is held to be illegal, invalid, or unenforceable under present or future laws effective during the term hereof, such provision shall be fully severable and the remainder of this Agreement shall be enforced to the fullest extent permitted by law. 11. GOVERNING LAW. This Agreement shall be subject to and governed by the laws of the State of Florida. The Parties agree that any dispute, claim, and/or action arising out of or relating in any way to this Agreement or the relationship between the Parties must and shall be brought exclusively in a state or federal court located in the State of Florida. 12. BINDING EFFECT. This Agreement shall be binding upon and inure to the benefit of the Parties hereto and their respective successors and assigns. Assignment is subject to the prior written approval of the parties. 13. NOTICES. All notices, requests, demands, or other communications hereunder must be in writing and must be given and shall be deemed to have been given upon receipt if delivered by a national overnight courier service, on the date of delivery if delivered in person, or three (3) days after mailing if sent by certified or registered mail with first-class postage prepaid, as follows: If to Collier County EMS: Bruce Gastineau, Chief, Collier County EMS 8075 Lela Cultural Parkway. Suite: #267 Naples. FL. 34113 Bruce.Gastineau(r%col Iiercountv(f.uov If to I-IN: Healthcare Network 1454 Madison Ave W Immokalee, FL 34142 Attn: LEGAL 5 16F3 14. ENTIRE AGREEMENT; MODIFICATIONS; AMENDMENTS. This Agreement, along with its Exhibits, contains all the terms and conditions agreed upon by the Parties regarding the subject matter of this Agreement and supersedes any prior agreements, oral or written, and all other communications between the Parties relating to such subject matter. This Agreement may be amended or modified at any time by written consent of the authorized representatives of both Parties. This Agreement is nonexclusive. The Parties reserve the right to enter into similar agreements with other institutions. IN WITNESS WHEREOF, the parties hereto by and through their duly authorized representatives, whose signatures appear below, have caused this MOU to he executed as of the date first written above. Collier Health Services, Inc. Collier County By: Jamie ImerTicrig 29,2024 13:27 EDT) Chris H , hairman Jamie Ulmer,MA Print Name Print Name CEO Title Title 8/29/2024 Date Date CLEP 's nest uty cSai;ftl�tl' )ro a to form • legality: Colleen . Greene Managing Assistant County Attorney d 6