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Backup Documents 09/24/2024 Item #16F 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 F 8 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Risk Risk Management See attached Insurance Coversheet 2. County Attorney's Office County Attorney Office 5A(4,4 917,t( 4. BCC Office Board of County Commissioners Ofbr /.sf �lZY70 y 4. Minutes and Records Clerk of Court's Office 5. Procurement Services Procurement Services PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive S ary. Primary contact information is needed in the event one of the addressees above may need to contact staff for additional or missing ormation. Name of Primary Staff Vanessa Diaz/Procurement Contact Information 239-252-8947 Contact/Department Agenda Date Item was September 24,2024 Agenda Item Number 16.F.3. Approved by the BCC Type of Document Amendment Number of Original 1 Attached Documents A hed PO number or account N/A 11-5776 / Marta U. Coburn, number if document is Marta U. Coburn, M.D., Florida to be recorded M.D., Florida District Twenty District Twenty Medical Examiner Medical Examiner 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 STAMP OK N/A 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 VD 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-throughs and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the VD 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 VD signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A should be provided to the County Attorney's 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 September 24,2024,and all changes N/A is not made during the meeting have been incorporated in the attached document. The J�, `4 an option for County Attorney's Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the i N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the 9k an option for Chairman's signature. this line. 16F3 FOURTEENTH 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, 2024, 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 Thirteenth Amendment to the Agreement was approved by the Board on September 26, 2023 (Agenda Item 16.F.2); 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 fully below. 1 Amendment#14 to Contract 11-5776 CAO 16F3 2. Section I of the Agreement is hereby amended by extending the term of the Agreement from October 1, 2024, through September 30, 2025. 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, 2024, the amount of Two Million One-Hundred and Sixty-Five Thousand Six Hundred Dollars ($2,165,600) by semimonthly payments ending September 30, 2025. 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 Eighty-Two Thousand Eight Hundred Dollars ($82,800). 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 CAO Amendment#14 to Contract 11-5776 16F3 IN WITNESS WHEREOF, the executed have this Fourteenth Amendment by authorized agent(s), as of the date first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS Crystal K.,Kinze1,:Conppoller and COLLIER COUNTY, FLORIDA Clerk of 6ourts By: By: ,.• r�Deputy Clerk Chri -fall, Chairman Attesh rg�a tp-Cha� n.s "signat&61n1y Approved as o •rnz- ga sty: .j By: Y Jeffrey ! Klat l , ounty Attorney MEDIICAL EXAMINER By. Marta U. Coburn M.D. Medical Examiner Florida District Twenty 3 (CAO) Amendment#14 to Contract 1 1-5776 ` __.