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Backup Documents 09/24/2024 Item #16D 4
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 4 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. ** 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. (Enter your Dept here) 3. County Attorney Office County Attorney Office JAK/mb 10/1/24 4. BCC Office Board of County CH by MB 10/1/24 Commissioners [s] 5. Minutes and Records Clerk of Court's Officeid i/ /n PRIMARY CONTACT INFORMATION 6U Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information i eeded in the event one of the addressees above may need to contact staff for additional or issing information. Name of Primary Staff Madison Bird Phone Number 2939 Contact/Department Agenda Date Item was 9/24/24 Agenda Item Number 16D4 Approved by the BCC Type of Document(s) DOH Contract Number of Original Attached Documents Attached PO number or account number if document is to be recorded 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 signature?(stamped unless otherwise stated) MB 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 legality. (All documents to be signed by MB 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 MB 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 MB 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 MB 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 Office at the time the item is uploaded to the agenda. 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_9/24/24_and all changes made JAK/mb 1/A is not during the meeting have been incorporated in the attached document. The County 6.n option fo Attorney Office has reviewed the changes,if applicable. his line. 9. Initials of attorney verifying that the attached document is the version approved by the JAK/mb IA is not BCC, all changes directed by the BCC have been made,and the document is ready for the n option for. Chairman's signature. ifi.ne. Please email a completed copy to Madison.Bird@Colliercountyfl.gov L Forms/County Forms/BCC 26.05;2.24.05; 11/30/12;4/22/16;9/10/21 16D4 CONTRACT BETWEEN COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AND STATE OF FLORIDA DEPARTMENT OF HEALTH FOR OPERATION OF THE COLLIER COUNTY HEALTH DEPARTMENT CONTRACT YEAR 2024-2025 This contract is made and entered into between the State of Florida, Department of Health ("State"), and the Collier County Board of County Commissioners ("County''), through their undersigned authorities, effective October 1, 2024, State and County are jointly referred to as the "parties". RECITALS A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to "promote, protect, maintain, and improve the health and safety of all citizens and visitors of this state through a system of coordinated county health department services." B. County Health Departments were created throughout Florida to satisfy this legislative intent through the "promotion of the public's health, the control and eradication of preventable diseases, and the provision of primary health care for special populations." C. Collier County Health Department ("CHD") is one of the created County Health Departments. D. It is necessary for the parties hereto to enter into this contract to ensure coordination between the State and the County in the operation of the CHD. NOW, THEREFORE, in consideration of the mutual promises set forth herein, the sufficiency of which is hereby acknowledged, the parties hereto agree as follows: 1 . RECITALS. The parties mutually agree that the foregoing recitals are true and correct and incorporated herein by reference. 2, TERM. The parties mutually agree that this contract shall be effective from October 1, 2024, through September 30, 2025, or until a written contract replacing this contract is entered into between the parties, whichever is later, unless this contract is otherwise terminated according to the termination provisions outlined in paragraph 8, below. 3, SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall provide those services as outlined in Part III of Attachment II hereof, to maintain the following three levels of service pursuant to section 154.01(2), Florida Statutes, as defined below: a. "Environmental health services" are those services that are organized and operated to protect the health of the general public by monitoring and regulating activities in the environment that may contribute to the occurrence or transmission of disease. Environmental health services shall be supported by available federal, state, and local funds and shall include 1 16D4 those services mandated on a state or federal level. Examples of environmental health services include but are not limited to, food hygiene, safe drinking water supply, sewage, and solid waste disposal, swimming pools, group care facilities, migrant labor camps, toxic material control, radiological health, and occupational health. b. "Communicable disease control services" are those services that protect the health of the general public through the detection, control, and eradication of diseases that are transmitted primarily by human beings. Communicable disease services shall be supported by available federal, state, and local funds and shall include those services mandated on a state or federal level. Such services include, but are not limited to, epidemiology, sexually transmissible disease detection and control, HIV/AIDS, immunization, tuberculosis control, and maintenance of vital statistics. c. "Primary care services" are acute care and preventive services that are made available to well and sick persons who are unable to obtain such services due to lack of income or other barriers beyond their control. These services are provided to benefit individuals, improve the collective health of the public, and prevent and control the spread of disease. Primary health care services are provided at home, in group settings, or in clinics. These services shall be supported by available federal, state, and local funds and shall include services mandated on a state or federal level. Examples of primary health care services include but are not limited to first contact acute care services; chronic disease detection and treatment; maternal and child health services; family planning; nutrition; school health; supplemental food assistance for women, infants, and children; home health; and dental services. 4. FUNDING. The parties further agree that funding for the CHD will be handled as follows: a. The funding to be provided by the parties and any other sources is outlined in Part II of Attachment II hereof. This funding will be used as shown in Part I of Attachment 11. i. The State's appropriated responsibility (direct contribution excluding any state fees, Medicaid contributions, or any other funds not listed on the Schedule C) as provided in Attachment II, Part II is an amount not to exceed $7,685,954 (State General Revenue, State Funds, Other State Funds and Federal Funds listed on the Schedule C). The State's obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. ii. The County's appropriated responsibility (direct contribution excluding any fees, other cash, or local contributions) as provided in Attachment II, Part II is an amount not to exceed $1,120,900 (amount listed under the "Board of County Commissioners Annual Appropriations section of the revenue attachment). b. Overall expenditures will not exceed available funding or budget authority, whichever is less, (either the current year or from surplus trust funds) in any service category. Unless requested otherwise, any surplus at the end of the term of this contract in the County Health Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract period. 2 16D4 c. Either party may establish service fees as allowed by law to fund activities of the CHD. Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee schedule. d. Either party may increase or decrease funding of this contract during the term hereof by notifying the other party in writing of the amount and purpose for the change in funding. If the State initiates the increase or decrease, the CHD will revise Attachment II and send a copy of the revised pages to the County and the State's Office of Budget and Revenue Management. If the County initiates the increase or decrease, the County shall notify the CHD in writing. The CHD will then revise Attachment II and send a copy of the revised pages to the State's Office of Budget and Revenue Management. e. The name and address of the official payee to whom payments shall be made is: County Health Department Trust Fund Collier County Health Department 3339 E. Tamiami Trail East Naples, FL 34112 5. CHD DIRECTOR or ADMINISTRATOR. Both parties agree the director or administrator of the CHD shall be a State employee or under contract with the State and will be under the day-to-day direction of the State's Deputy Secretary for County Health Systems. The director or administrator shall be selected by the State with the concurrence of the County. The director or administrator of the CHD shall ensure that non-categorical sources of funding are used to fulfill public health priorities in the community and the Long-Range Program Plan. 6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that the following standards should apply in the operation of the CHD: a. The CHD and its personnel shall follow all State policies and procedures, except to the extent permitted for the use of County purchasing procedures as outlined in subparagraph b., below. All CHD employees shall be State or State-contract personnel subject to State personnel laws, rules, and procedures. Employees will report time in the Health Management System compatible format by program component as specified by the State. b. The CHD shall comply with all applicable provisions of federal and state laws and regulations relating to its operation with the exception that the use of County purchasing procedures shall be allowed when it will result in a better price or service and no statewide purchasing contract has been implemented for those goods or services. In such cases, the CHD director or administrator must sign a justification, therefore, and all County purchasing procedures must be followed In their entirety, and such compliance shall be documented. Such justification and compliance documentation shall be maintained by the CHD following the terms of this contract. State procedures must be followed for all leases on facilities not enumerated in Attachment IV, c. The CHD shall maintain books, records, and documents following the Generally Accepted Accounting Principles, as promulgated by the Governmental Accounting Standards Board, and the requirements of federal or state law. These records shall be maintained as 3 16D4 required by the State's Policies and Procedures for Records Management and shall be open for inspection at any time by the parties and the public, except for those records that are not otherwise subject to disclosure as provided by law which is subject to the confidentiality provisions of paragraphs 6.i, and 6.k., below. Books, records, and documents must be adequate to allow the CHD to comply with the following reporting requirements: i. The revenue and expenditure requirements in the Florida Accounting Information Resource System; and ii. The client registration and services reporting requirements of the minimum data set as specified in the most current version of the Client Information System/Health Management Component Pamphlet; and iii. Financial procedures specified in the State's Accounting Procedures Manuals, Accounting memoranda, and Comptroller's memoranda; and iv. The CHD is responsible for assuring that all contracts with service providers include provisions that all subcontracted services be reported to the CHD in a manner consistent with the client registration and service reporting requirements of the minimum data set as specified in the Client Information System/Health Management Component Pamphlet. d. All funds for the CHD shall be deposited in the County Health Department Trust Fund maintained by the state treasurer, These funds shall be accounted for separately from funds deposited for other CHDs and shall be used only for public health purposes in Collier County. e. That any surplus or deficit funds, including fees or accrued interest, remaining in the County Health Department Trust Fund account at the end of the contract year shall be credited or debited to the State or County, as appropriate, based on the funds contributed by each and the expenditures incurred by each. Expenditures will be charged to the program accounts by State and County based on the ratio of planned expenditures in this contract and funding from all sources is credited to the program accounts by State and County. The equity share of any surplus or deficit funds accruing to the State and County is determined each month and at the contract year-end. Surplus funds may be applied toward the funding requirements of each party in the following year. However, in each such case, all surplus funds, including fees and accrued interest, shall remain in the trust fund until accounted for in a manner that clearly illustrates the amount which has been credited to each party. The planned use of surplus funds shall be reflected in Attachment II, Part I of this contract, with special capital projects explained in Attachment V, f. There shall be no transfer of funds between the three levels of services without a contract amendment unless the CHD director or administrator determines that an emergency exists wherein a time delay would endanger the public's health and the State's Deputy Secretary for County Health Systems have approved the transfer. The State's Deputy Secretary for County Health Systems shall forward written evidence of this approval to the CHD within 30 days after an emergency transfer. 4 16D4 g. The CHD may execute subcontracts for services necessary to enable the CHD to carry out the programs specified in this contract. Any such subcontract shall include all aforementioned audit and record-keeping requirements. h. At the request of either party, an audit may be conducted by an independent certified public accountant on the financial records of the CHD, and the results made available to the parties within 180 days after the close of the CHD fiscal year. This audit will follow requirements contained in OMB Circular A-133, as revised, and may be in conjunction with audits performed by the County government. If audit exceptions are found, then the director or administrator of the CHD will prepare a corrective action plan and a copy of that plan and monthly status reports will be furnished to the contract managers for the parties. i. The CHD shall not use or disclose any information concerning a recipient of services except as allowed by federal or state law or policy. j. The CHD shall retain all client records, financial records, supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to this contract for five years after termination of this contract. If an audit has been initiated and audit findings have not been resolved at the end of five years, the records shall be retained until the resolution of the audit findings. k. The CHD shall maintain the confidentiality of all data, files, and records that are confidential under the law or are otherwise exempted from disclosure as a public record under Florida law. The CHD shall implement procedures to ensure the protection and confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65, and 456.057, Florida Statutes, and all other state and federal laws regarding confidentiality. All confidentiality procedures implemented by the CHD shall be consistent with the State's Information Security Policies, Protocols, and Procedures. The CHD shall further adhere to any amendments to the State's security requirements and shall comply with any applicable professional standards of practice concerning client confidentiality. I. The CHD shall abide by all State policies and procedures, which by this reference are incorporated herein as standards to be followed by the CHD. m. The CHD shall establish a system through which applicants for services and current clients may present grievances over denial, modification, or termination of services. The CHD will advise applicants of the right to appeal a denial or exclusion from services, of failure to take account of a client's choice of service, and right to a fair hearing to the final governing authority of the CHD. Specific references to existing laws, rules, or program manuals are included in Attachment I of this contract. n. The CHD shall comply with the provisions contained in the Civil Rights Compliance and Non-Discrimination Certificate, hereby incorporated into this contract as Attachment III. o. The CHD shall submit quarterly reports to the County that shall include at least the following: 5 16D4 i. The DE385L1 Contract Management Variance Report and the DE580L1 Analysis of Fund Equities Report; and ii. A written explanation to the County of service variances reflected in the year- end DE385L1 report if the variance exceeds or falls below 25 percent of the planned expenditure amount for the contract year. However, if the amount of the service-specific variance between actual and planned expenditures does not exceed three percent of the total planned expenditures for the level of service in which the type of service is included, a variance explanation is not required. A copy of the written explanation shall be sent to the State's Office of Budget and Revenue Management. p. The dates for the submission of quarterly reports to the County shall be as follows unless the generation and distribution of reports are delayed due to circumstances beyond the CHD'e control: i. March 1, 2025, for the reporting period of October 1, 2024, through December 31, 2024; and ii. June 1, 2025, for the reporting period of October 1, 2024, through March 31, 2025; and iii, September 1, 2025, for the reporting period of October 1 , 2024 through June 30, 2025; and iv. December 1, 2025, for the reporting period of October 1, 2024 through September 30, 2025. 7. FACILITIES AND EQUIPMENT. The parties mutually agree that: a. CHD facilities shall be provided as specified in Attachment IV to this contract and the County shall own the facilities used by the CHD unless otherwise provided in Attachment IV. b. The County shall ensure adequate fire and casualty insurance coverage for County- owned CHD offices and buildings and all furnishings and equipment in CHD offices through either a self-insurance program or insurance purchased by the County. c. All vehicles will be transferred to the ownership of the County and registered as County vehicles. The County shall ensure insurance coverage for these vehicles is available through either a self-insurance program or insurance purchased by the County. All vehicles will be used solely for CHD operations. Vehicles purchased through the County Health Department Trust Fund shall be sold at fair market value when they are no longer needed by the CHD and the proceeds returned to the County Health Department Trust Fund. 6 16D4 8. TERMINATION. a. Termination at Will. This contract may be terminated by either party without cause upon no less than 180 calendar days' notice in writing to the other party unless a lesser time is mutually agreed upon in writing by both parties. b. Termination Because of Lack of Funds. In the event funds to finance this contract become unavailable, either party may terminate this contract upon no less than 24 hours' notice. c. Termination for Breach. This contract may be terminated by either party for a material breach of an obligation hereunder, upon no less than 30 days' notice. Waiver of a breach of any provisions of this contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this contract. 9. MISCELLANEOUS. The parties further agree: a. Availability of Funds. If this contract, any renewal hereof, or any term, performance, or payment hereunder, extends beyond the CHD fiscal year beginning July 1, 2024, it is agreed that the performance and payment under this contract are contingent upon an annual appropriation by the Legislature, under section 287.0582, Florida Statutes. b. Contract Managers. The name and addresses of the contract managers for the parties under this contract are as follows: For the State: For the County: Kimberly Kossler, MPH, RN, CPH Tanya R Williams Name Name Administrator& Health Officer Public Services Department Head Title Title 3339 E. Tamiami Trail, Suite 145 3339 E. Tamiami Trail, Suite 217 Naples, FL 34112 Naples, FL 34112 _ Address Address Kimberly.Kossler©FLHealth.gov Tanya.Williams©colliercountyfl.gov Email Address Email Address 239-252-8201 239-252-7392 Telephone Telephone If different contract managers are designated after the execution of this contract, the name, address, email address, and telephone number of the new representative shall be furnished in writing to the other parties and attached to the originals of this contract. c. Captions. The captions and headings contained in this contract are for the convenience of the parties only and do not in any way modify, amplify, or give additional notice of the provisions hereof. 7 16D4 d, Notices, Any notices provided under this contract must be delivered by certified mail, return receipt requested, in person with proof of delivery, or by email to the email address of the respective party identified in Section 9.b., above, In WITNESS THEREOF, the parties hereto have caused this 8 page contract, with its attachments as referenced, including Attachment I (two pages), Attachment II (seven pages), Attachment III (one pages), Attachment IV (one pages), and Attachment V (one pages), to be executed by their undersigned officials as duly authorized effective the 1st day of October 2024. BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA FOR COLLIER COUNTY DEPARTMENT OF HEALTH SIGNED BY', .- , SIGNED BY: NAME: Joseph A. Ladapo, M.D., Ph.D.Hall, Chairman G TITLE: State Surgeon General DATE: //2Lazy DATE: ,n•at.a a0" -. __/_r `\ ,• 0,, SIGNED BY: .:/— -•- 6,3 (-------- ArTEC : -RI( NAME: )1 (Y) 605S 4 v— 4111 if - - _� TITLE: CHD Director or Administrator ____- -- ,.r0t,t'01erk DATE: Attest as to Cair 's �-' rs`--1 signature only t 1 i ' Approved as to form and legality Jeffrey A:Klatzkoww,County Attorney 8 16D4 ATTACHMENT I COLLIER COUNTY HEALTH DEPARTMENT PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS Some health services must comply with specific program and reporting requirements in addition to the Personal Health Coding Pamphlet(DHP 60-20),Environmental Health Coding Pamphlet(DHP 50-21)and FLAIR requirements because of federal or state law,regulation or rule. If a county health department is funded to provide one of these services,it must comply with the special reporting requirements for that service. The services and the reporting requirements are listed below: Service Requirement 1. Sexually Transmitted Disease Requirements as specified in F.A.C.64D-3, F.S.381 and F.S.384. Program 2. Dental Health Periodic financial and programmatic reports as specified by the program office. 3. Special Supplemental Nutrition Service documentation and monthly financial reports as specified in Program for Women,Infants and DHM 150-24*and all federal,state and county requirements Children(including the WIC detailed in program manuals and published procedures. Breastfeeding Peer Counseling Program) 4. Healthy Start!Improved Pregnancy Requirements as specified in the 2007 Healthy Start Standards and Outcome Guidelines and as specified by the Healthy Start Coalitions in contract with each county health department. 5. Family Planning Requirements as specified in Public Law 91-572,42 U.S.C.300,et seq.,42 CFR part 59,subpart A,45 CFR parts 74&92,2 CFR 216 (OMB Circular A-110)OMB Circular A-102,F.S.381.0051,F.A,C, 64F-7, F.A.C.64F-16,and F.A.C.64F-19. Requirements and Guidance as specified in the Program Requirements for Title X Funded Family Planning Projects(Title X Requirements)(2014)and the Providing Quality Family Planning Services(QFP): Recommendations of CDC and the U.S.Office of Population Affairs published on the Office of Population Affairs website. Programmatic annual reports as specified by the program office as specified in the annual programmatic Scope of Work for Family Planning and Maternal Child Health Services,including the Family Planning Annual Report(FPAR), and other minimum guidelines as specified by the Policy Web Technical Assistance Guidelines. 6. Immunization Periodic reports as specified by the department pertaining to immunization levels In kindergarten and/or seventh grade pursuant to Instructions contained in the Immunization Guidelines-Florida Schools,Childcare Facilities and Family Daycare Homes(DH Form 150-615)and Rule 64D-3.046, F.A.C. In addition, periodic reports as specified by the department pertaining to the surveillance/investigation of reportable vaccine-preventable diseases,adverse events,vaccine accountability, and assessment of Immunization ATTACHMENT I(Continued) Atlachment_I-Page 1 of 2 16D4 levels as documented in Florida SHOTS and supported by CHD Guidebook policies and technical assistance guidance. 7. Environmental Health Requirements as specified in Environmental Health Programs Manual 150.4*and DHP 50-21* 8. HIV/AIDS Program Requirements as specified in F.S.384.26 and F.A.C.64D-3.030 and 64D-3.031,Case reporting should be on Adult HIV/AIDS Confidential Case Report CDC Form DH2139 and Pediatric HIV/AIDS Confidential Case Report CDC Form DH2140. Requirements as specified in F.A.C. 64D-2 and 64D-3, F.S.381 and F.S. 384. Soclo-demographic and risk data on persons tested for HIV In CHD clinics should be reported on Lab Request DH Form 1628 In accordance with the Forms Instruction Guide. Requirements for the HIV/AIDS Patient Care programs are found in the Patient Care Contract Administrative Guidelines. 9. School Health Services Requirements as specified In the Florida School Health Administrative Guidelines(May 2012), Requirements as specified in F.S.381.0056, F.S.381.0057, F.S.402,3026 and F.A.C.64F-6. 10. Tuberculosis Tuberculosis Program Requirements as specified In F,A.C.64D-3 and F.S.392. 11. General Communicable Disease Carry out surveillance for reportable communicable and other acute Control diseases,detect outbreaks,respond to individual cases of reportable diseases,investigate outbreaks,and carry out communication and quality assurance functions,as specified in F.A.C.64D-3,F.S.381,F.S.384 and the CHD Epidemiology Guide to Surveillance and Investigations, 12. Refugee Health Program Programmatic and financial requirements as specified by the program office. *or the subsequent replacement If adopted during the contract period. Allachmenl_I-Page 2 of 2 1 6 D4 To, M N O r 0 a. co I- r (D In rI II) N M a YI c E vi .c C U as B .G Y ro a) r a) a) I- to o r p c 2 C .4 It) ono E U a o N. c c m o o r R) o Z In ,- 0 M W ''-' U c U CO o � aa) 5 t- � wr a a) CO a) z .c F- lc U) a; ro I-- O o Ll W as X (1) CI) CD CD 0 C YC1- co H a)d U) vv 0 aC) QN0% E z mo. E 4- I In c a) ILI J C) • o ti E "a = w ,- o Q N 0 = J -c c z I Q ❑O I- 3 c Lu 0 ro W Li- O O at) O W 'o N a D c ❑ o W Z o C a. ro } a frt C) N U N 7 C•I aCO O O C N i LE O o 0 o o a) co O M C M c 0 ( O V mE NE E } l) o 0 o N C c . . a O a ro c Q) � � ` �o CO w c o 2 0 o 4 o'0 av aa- v a) N a) CVN O Li- �O ON 'b.N o a F2 pa) chi a o • .0 c0 0 - o co . Y OU 00 00 00 F a) • • a • (Ni cri 4 0 1 6 D 4' ATTACHMENT II COLLIER COUNTY HEALTH DEPARTMENT Part II,Sources of Contributions to County Health Department October 1,2024 to September 30,2028 State CHD County 'Total MID Trust Fund CHD Trust Fund Other (cash) hunt Fund (cash) Contribution Total 1,GENERAL REVENUE•STATE 016040 AIDS PATIENT CARE 140,000 0 140,000 0 110,000 016040 AIDS PREVENTION&SURVEILLANCE•GENERAL REVENUE 09,571 0 69,571 0 69,571 016040 CHD•TB COMMUNITY PROGRAM 229,881 0 229,881 0 229,881 015040 DENTAL SPECIAL INITIATIVE PROJECTS 0,303 0 6,303 0 6,303 016040 FAMILY PLANNING GENERAL REVENUE 120,474 0 120,474 0 120,474 015040 HEPATITIS AND LIVER FAILURE PREVENTION&CONTROL 89,280 0 89,286 0 89,280 016040 MIGRANT LABOR CAMP SANITATION 23,332 0 23,332 0 23,332 016040 PRIMARY CARE PROGRAM 321,348 0 321,318 0 321,348 016040 RACIALÐNIC DISPARITIES•CHD EXPENSES 52,000 0 52,000 0 52,000 016040 SCHOOL HEALTH SERVICES 218,073 0 218,073 0 218,073 015040 SWIMMING LESSONS VOUCHER PROGRAM 12,000 0 12,000 0 12,000 016050 CHD GENERAL REVENUE NON•CATEGORICAL 3,060,416 0 3,060,416 0 3,060,416 GENERAL REVENUE TOTAL 4,342,683 0 4,342,683 0 4,942,683 2,NON GENERAL REVENUE•STATE 016010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM 8,407 0 8,407 0 8,407 016010 TOBACCO STATE AND COMMUNITY INTERVENTIONS 184,466 0 184,466 0 184,466 NON GENERAL REVENUE TOTAL 192,873 0 192,873 0 102,873 3,FEDERAL FUNDS•STATE 007000 AIDS DRUG ASSISTANCE PROGRAM ADAIIN HQ 104,237 0 104,237 0 104,23? 007000 WIC BREASTFEEDING PEER COUNSELING PROG 80,068 0 80,068 0 80,068 007000 COASTAL BEACH WATER QUALITY MONITORING 12,849 0 12,849 0 12,849 007000 COMPREHENSIVE COMMUNITY CARDIO•PHBG 31,000 0 31,000 0 31,000 007000 ELC COVID ENHANCED DETECTION EXPANSION GRANT 68,640 0 68,540 0 68,540 007000 FAMILY PLANNING TITLE X•GIANT 117,865 0 117,856 0 117,865 007000 PUBLIC HLTH INFRASTRUCTURE&1VORKFORCE/CENTRAL 1 181,235 0 181,236 0 181,236 007000 IMMUNIZATION&VACCINES CHILDREN COVID 19 RESPON 5,001 0 6,601 0 6,601 007000 INFANT MORTALITY 22,399 0 22,399 0 22,399 007000 IMMUNIZATION ACTION PLAN 128,908 0 128,908 0 128,908 007000 MCH SPECIAL PROJECTS DENTAL 25,271 0 26,271 0 25,271 007000 MCH SPEC PRJ SOCIAL DETERMINANTS HLTH COMM EDU 22,399 0 22,399 0 22,399 007000 BASE COMMUNITY PREPAREDNESS CAPABILITY 163,086 0 163,085 0 163,085 007000 BASE PUB HLTH SURVEILLANCE&EPI INVESTIGATION 81,070 0 81,076 0 81,070 007000 AIDS PREVENTION 315,201 0 316,201 0 315,201 007000 RYAN WHITE'PITLE II GRANT/CHD CONSORTIUM 332,661 0 332,661 0 332,6(31 007000 WIC PROGRAM ADMINISTRATION 1,479,866 0 1,479,856 0 1,479,866 016076 SCHOOL HEALTH SERVICES 33,690 0 33,090 0 33,000 015076 REFUGEE HEALTH SCREENING REIMBURSEMENT ADMIN 272,819 0 272,819 0 272,819 016075 REFUGEE HEALTH SCREENING REIMBURSEMENT SERVICES 366,965 0 366,956 0 366,956 FEDERAL FUNDS TOTAL 3,816,706 0 3,816,705 0 3,816,705 4,FEES ASSESSED BY STATE OR FEDERAL RULES•STATE 001020 CHD STATEWIDE ENVIRONMENTAL FEES 489,567 0 180,567 0 489,667 Attachment_II_Part_It-Page 1 of 4 16D4 ATTACHMENT II COLLIER COUNTY HEALTH DEPARTMENT Part II,Sources of Contributions to County Health Department October 1,2024 to September 30,2025 State CHD County Total CHD Trust Fund CHD Truet Fund Other (cash) Trust Fund (caaW Contribution Total 001092 ON SITE SEWAGE DISPOSAL PERMIT FEES 214,975 0 214,976 0 214,975 001092 CHD STATEWIDE ENVIRONMENTAL FEES 6,850 0 6,860 0 5,860 001206 ON SITE SEWAGE DISPOSAL PERMIT FEES 15,600 0 15,500 0 15,600 001206 SANITATION CERTIFICATES(FOOD INSPECTION) 3,600 0 3,600 0 3,000 001200 SEPTIC TANK RESEARCH SURCHARGE 3,005 0 3,065 0 3,005 001206 SEPTIC TANK VARIANCE FEES 60"% 600 0 600 0 600 001206 PUBLIC SWIMMING POOL PERMIT FEES-10%I-IQ TRANSFER 28,835 0 28,835 0 28,836 001206 DRINKING WATER PROGRAM OPERATIONS 1,000 (1 1,000 0 1,000 001206 REGULATION OF BODY PIERCING SALONS 82 0 82 0 82 001200 'PANNING FACILITIES 225 (1 225 0 225 001206 ONSITE SEWAGE TRAINING CENTER 1,095 0 1,095 0 1,095 001206 TA'N'O PROGRAM ENVIRONMENTAL HEALTH 3,936 0 3,936 0 3,930 001200 MOBILE HOME&RV PARK FEES 2,340 0 2,340 0 2,340 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 770,670 0 770,670 0 770,670 5,OTHER CASH CONTRIBUTIONS•STATE: 031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 56,000 0 66,000 0 66 000 031005 I\IIGRANT LABOR HOUSING INSPECTION H•2A PROGRAM 1 0 1 0 I 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 334,546 0 334,54(3 0 334,646 OTHER CASH CONTRIBUTION TOTAL 390,647 0 390,547 0 390,54? 6,MEDICAID-STATE/COUNTY: 001050 CHD CLINIC FEES 0 10,070 10,070 0 1.0,070 001057 CHD CLINIC FEES () 9,861 9,851 0 9,851 001147 CHD CLINIC FEES 0 11 11 0 11 001148 CHD CLINIC FEES 0 656,162 065,162 0 655,162 0011.18 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 5,000 6,000 0 5,000 MEDICAID TOTAL 0 680,094 080,094 0 680,094 7,ALLOCABLE REVENUE-STATE: 001009 CHO CLINIC FEES 230 0 230 0 230 004010 VITAL STATISTICS CERTIFIED RECORDS 1 0 1 0 1 018000 CHD CLINIC FEES 889 0 889 0 889 038000 CHO CLINIC FEES 1 0 1 0 1 ALLOCABLE REVENUE TOTAL 1,121 0 1,121 0 1,121 8.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND•STATE ADAP 0 0 0 977,889 977,889 PHARMACY DRUG PROGRAM 0 0 0 13,795 13,795 WIC PROGRAM 0 0 0 6,734,624 6,734,02.1 BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 43,673 43,673 IMMUNIZATIONS 0 0 0 1,821,522 1,821,622 OTHER STATE CONTRIBUTIONS TOTAL o 0 0 8,591,503 8,691,503 9.DIRECT LOCAL CONTRIBUTIONS•BCC/TAX DISTRICT 008005 CHD LOCAL REVENUE&EXPENDITURES 0 1,120,900 1,120,900 0) 1,120,900 A8achment_II_Part_I0-Page 2 of 4 . 1 6 D ATTACHMENT II COLLIER COUNTY HEALTH DEPARTMENT Part II,Sources of Contributions to County Health Department October 1,2024 to September 80,2025 State CHD County Total CHD Trust Fund CHD Trust Fund Other (cash) Trust Fund (cash) Contribution Total DIRECT COUNTY CONTRIBUTIONS TOTAL a 1,120,900 1,120,900 0 1,120,900 10,FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION•COUNTY 001026 CHD CLINIC FEES 0 003 603 0 603 001077 CHD CLINIC FEES 0 448,938 448,338 0 448,938 001077 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 1 1 0 1 001094 CHD LOCAL ENVIRONMENTAL FEES 0 843,320 8,13,320 0 8,13,320 001110 VITAL STATISTICS CERTIFIED RECORDS 0 700,000 700,000 0 700,000 FEES AUTHORIZED BY COUNTY TOTAL 0 1,992,2132 1,992,262 0 1,992,262 11.OTHER CASH AND LOCAL CONTRIBUTIONS•COUNTY 001029 340B PRESCRIPTION DRUG SERVICE AGREEMENT 0 80,000 80,000 0 80,000 001029 CHD CLINIC FEES 0 39,801 39,801 0 39,801 001029 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 10,000 10,000 0 10,000 001090 CHD CLINIC FEES 0 4,022 4,022 0 4,022 001090 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 2,700 2,700 0 2,700 010300 STATE UNDERGROUND PETROLEUM RESPONSE ACT 0 1 1 0 1 010300 MIGRANT LABOR HOUSING INSPECTION H•2A PROGRAM 0 8,384 8,384 0 8,384 010303 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 97 97 (1 07 011000 RYAN WHITE 0 40,000 40,000 0 40,000 011000 CHD CASH DONATION/NON•SPECIFIC 0 600 500 0 600 011000 EARLY LEARNING COALITION OF SOUTHWEST FLORIDA 0 60,000 60,000 0 00,900 011001 CHD HEALTHY START COALITION CONTRACT 0 686,258 685,258 0 085,268 000002 DRAIN DOWN FROM PUBLIC HEALTH UNIT 0 1,871,530 1,871,536 0 1,871,536 OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 2,803,199 2,803,199 0 2,803,109 12,ALLOCABLE REVENUE•COUNTY 001009 CHD CLINIC FEES 0 230 230 0 230 004010 VITAL.STATISTICS CERTIFIED RECORDS 0 1 1 0 1 018000 CHD CLINIC FEES 0 891 801 0 891 038000 CHD CLINIC FEES 0 1 1 0 1 COUNTY ALLOCABLE REVENUE TOTAL 0 1,123 1,123 0 1,123 18,BUILDINGS•COUNTY ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 526,048 625,048 IT ALLOCATION 0 0 0 67,400 67,400 UTILITIES 0 0 0 204,700 204,700 BUILDING MAINTENANCE 0 0 0 0 0 GROUNDSMA1NTENANCE 0 0 0 196,149 195,149 INSURANCE 0 0 0 0 0 OTHER(Specify) 0 0 0 0 0 OTHER(Specify) 0 0 0 0 0 BUILDINGS TOTAL 0 0 0 992,297 992,297 14.OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND-COUNTY EQUIPMENT/VEHICLE PURCHASES 0 0 0 0 0 VEHICLE INSURANCE 0 0 0 0 0 Atiachmenl_II_Part_Il-Page 3 or 16D4 ATTACHMENT II COLLIER COUNTY HEALTH DEPARTMENT Part II,Sources of Contributions to County Health Department October 1,2024 to September 30,2028 State CHD County Total CHD Trust Fund CHD Trust Fund Other (cash) Trust Fund (cash) Contribution Total VEHICLE MAINTENANCE 0 0 0 0 0 O'1`HEII COUN'I'Y CONTRIBUTION(SPECII`?') 0 0 0 0 0 OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0 GRAND TOTAL CHD PROGRAM 9,613,499 6,597,578 16,111,077 9,583,800 25,694,877 Atlaclimont_II_Part_II-Page 4 of 4 16D4 ATTACHMENT II COLLIER COUNTY HEALTH DEPARTMENT Part III,Planned Staffing,Clionte,Services and Expenditures By Program Service Area Within Each Level of Service October 1,2024 to September 30,2026 quarterly Expenditure Plan { FTE's Clients Services/ let 2nd 3rd 4th Grand (0,00) Unite Visite (Whole dollars only) State County Total A, COMMUNICABLE DISEASE CONTROL! IAISIUNI'I,ATION (101) 6.71 0,277 14,621 189,5.14 162,476 189,644 105,162 499,626 207,100 706,726 SEXUALINTIIANS.010. (102) 6.64 9.18 1,100 137,869 118,173 137,869 120,126 400,194 113,823 614,017 1{IV/AIDS PREVENTION(03A1) 5.19 0 3,883 132,302 113,409 132,902 116,282 486,306 7,989 493,296 IIIV/AIDS SURVEILLANCE (03A2) 1.32 0 19 33,395 28,626 33,395 29,098 124,614 0 124,614 111V/AIDS PATIENT CARE (03A3) 7.48 482 1,476 227,828 196,293 227,828 198,522 580,109 260,362 8.19,471 ADAP (03A4) 1.64 8 146 42,036 36,032 42,036 30,628 166,730 0 166,730 TUBERCULOSIS (10.1) 6.31 348 2,930 168,846 144,734 168,846 147,126 229,881 399,671 629,652 COMM.DIS.SURV. (106) 0.64 0 6,782 210,160 180,149 210,160 183,127 139,610 643,980 783,696 1{EPATITIS (109) 1,39 981 1,146 39,430 83,799 39,480 34,359 89,280 57,782 147,018 PREPAREDNESS AND RESPONSE (116) 2.89 0 0 96,082 83,132 00,082 84,606 169,085 208,617 361,602 REFUGEE HEALTH (118) 9.99 9,812 28,410 363,228 311,368 363,228 316,604 1,364,318 0 1,364,318 VITAL RECORDS (180) 3.87 13,247 61,165 81,684 70,019 81,084 71,177 1 304,563 304,664 COMMUNICABLE DISEASE SUBTOTAL 68.92 35,103 121,572 1,723,293 1,477,200 1,723,293 1,501,617 4,221,666 2,203,737 6,426,403 B. PRIMARY CARE: CHRONIC DISEASE PREVENTION PRO (210) 1.67 0 0 46,137 39,649 46,137 40,202 62,000 120,026 172,025 WIC (21W1) 28.86 12,160 79,471 633,663 643,088 633,663 552,065 2,362,279 0 2,362,279 TOBACCO USE INTERVENTION (212) 3.21 0 0 74,760 04,076 74,760 65,134 278,709 0 278,709 WIC BREASTFEEDING PEER COUNSELING (21W2) 2.90 0 2,469 31,471 26,977 81,471 27,424 117,843 0 117,343 FAMILY PLANNING (223) 3.89 701 1,639 126,828 107,869 126,828 109,041 238,320 230,827 469,156 IMPROVED PREGNANCY OUTCOME (226) 0.36 415 429 16,604 14,233 10,604 14,468 61,909 0 61,909 HEALTHY START PRENATAL (227) 3.72 669 2,193 110,430 94,660 110,430 06,224 160,674 251,070 411,744 COIIPIIEIIENSIVE CHILD HEALTH (220) 0.81 476 734 28,747 24,642 28,747 26,050 0 107,186 107,186 HEALTHY snuff CHILD (231) 7.77 7,183 20,321 177,709 162,332 177,709 164,860 0 602,000 662,600 SCHOOL HEALTH (234) 4.17 0 286,416 108,832 93,290 108,832 94,833 261,703 164,024 405,737 COMPREHENSIVE ADULT HEALTH (237) 5.52 7,023 11,814 266,104 210,609 260,194 228,238 100,074 794,6(11 965,235 COMMUNITY HEALTH DEVELOPMENT (238) 6.51 0 367 205,623 176,174 205,623 179,085 763,305 0 766,306 DENTAL (240) 10.40 3,384 6,669 303,796 260,413 303,796 264,718 31,675 1,101,148 1,132,723 PRIMARY CARE SUBTOTAL 78.70 31,855 419,002 2,119,584 1,816,901 2,119,584 1,846,932 4,481,660 3,421,441 7,903,001 C, ENVIRONMENTAL HEALTH'. Water and Oaeite Sewage Programa COSTAL BEACH MONITORING (347) 0.47 687 687 14,987 12,847 14,987 13,059 66,880 0 56,880 LIMITED USE PUBLIC WATER SYSTEMS (357) 1.67 232 2,093 40,009 34,810 40,609 35,384 10,123 141,289 161,412 PUBLIC WATER SYSTEM (368) 0.01 0 0 382 328 382 334 0 1,426 1,426 PRIVATE WATER SYSTEM (850) 0.27 0 0 6,100 6,229 0,100 6,315 0 22,744 22,744 ONSITIO SEWAGE TREA9'MEN'I'&DISPOSAL(361) 4,34 2,034 4,142 109,302 93,603 109,302 96,242 187,782 219,767 407,539 Group Total 6.70 2,853 6,822 171,880 146,907 171,380 149,33.1 253,785 385,210 639,001 Facility Programs TA9TOO FACILITY SERVICES (344) 0.74 039 386 20,130 17,260 20,130 17,641 76,057 0 76,057 FOOD HYGIENE (348) 0.10 59 168 4,740 4,063 4,740 4,182 14,009 3,666 17,676 Allachment_II_Pari_III•Page 1 of 2 1 6 D4 APTACHMENT II COLLIER COUNTY HEALTH DEPARTMENT I Part III,Planned Staffing,Clients,Services and Expenditures By Program Service Area Within Each Level of Service I October I,2024 to September 80,2026 Quarterly Expenditure Plan FTE'a Clients Services/ lot 2nd 9rd 4th Grand I (0.00) Units Visits (Whole dollars only) State County Total 130DY PIERCING FACILITIES SERVICES (849) 0.07 9 54 1,894 1,624 1,894 1,060 7,002 0 7,062 (]I1Ot)P CARE FACILITY (361) 0.60 173 348 12,794 10,967 12,794 11,149 0 47,704 47,704 MIGRANT LABOR CAMP (362) 1.01 75 541 30,320 26,990 30,320 26,420 40,833 72,217 113,060 HOUSING&PUB.BLDG. (363) 0.00 0 0 0 0 0 0 0 0 0 MOBILE HOME AND PARK (364) 0.60 201 044 13,156 11,277 13,160 11,463 21,290 27,750 49,062 POOLS/13A'I'HING PLACES (360) 6.38 1,775 10,060 168,152 144,139 168,162 140,623 268,448 868,618 620,966 BIOMEDICAL,WASTE SERVICES (36,0 1.13 577 538 28,965 24,829 28,906 25,240 66,297 42,702 107,999 TANNING FACILITY SERVICES (309) 0.01 0 0 659 479 650 486 1,861 222 2,083 Group Total 10.66 3,608 12,728 280,710 240,624 280,710 244,604 483,863 662,785 1,046,848 Groundwater Contamination S'1'ORAGE'I'ANI(COMPLIANCE SERVICES (366) 0.00 0 0 0 0 0 0 0 0 0 SUPER ACT SERVICES (366) 0.24 0 0 4,634 3,887 4,634 3,952 0 16,907 16,907 Group Total 0.24 0 0 4,634 3,887 4,634 3,962 0 10,907 16,907 Community Hygiene COMMUNITY ENVIR.HEALTH (946) 0.00 0 0 0 0 0 0 0 0 0 INJURY PREVENTION (346) 0.00 0 0 3,218 2,759 3,218 2,805 12,000 0 12,000 LEAD MONITORING SERVICES (360) 0,00 0 0 0 0 0 0 0 0 0 PUBLIC SEWAGE (362) 0.00 0 0 0 0 0 0 0 0 0 SOLID WASTE DISPOSAL SERVICE (803) 0.00 0 0 0 0 0 0 0 0 0 SANITARY NUISANCE (365) 0.07 0 0 2,009 1,722 2,009 1,762 0 7,492 7,492 RABIES SURVEILLANCE (366) 0.00 0 0 0 0 0 0 0 0 0 ARI3ORVIRUS SURVEIL. (3(37) 0.00 0 0 0 0 0 0 0 0 0 RODENT/ARTHROPOD CONTROL(968) 0.00 0 0 0 0 0 0 0 0 0 WATER POLLUTION (370) 0.00 0 0 0 0 0 0 0 0 0 INDOOR AIR (371) 0.00 0 0 0 0 0 0 0 0 0 RADIOLOGICAL HEALTH (372) 0.00 0 0 0 0 0 0 0 0 0 TOXIC SUBSTANCES(373) 0.00 0 0 0 0 0 0 0 0 0 Group Total 0.07 0 0 6,227 4,481 6,227 4,567 12,000 7,492 10,492 ENVIRONMENTAL HEALTH SUBTOTAL 17.73 6,361 10,660 4(31,851 395,899 461,851 402,447 749,648 072,400 1,722,048 D, NON-OPERATIONAL COSTS! NONOPERATIONAL COSTS (699) 0.00 0 0 0 0 0 0 0 0 0 ENVIRONMENTAL HEALTH SURCHARGE (39D) 0.00 0 0 16,260 13,938 16,260 14,167 60,625 0 60,625 MEDICAID BUYI3ACK (611) 0.00 0 0 0 0 0 0 0 0 0 NONOPERATIONAL COSTS SUBTOTAL 0.00 0 0 16,200 13,098 16,200 14,167 60,625 0 00,625 TOTAL CONTRACT 165.44 73,310 561,024 4,320,988 3,703,938 4,320,988 3,765,103 9,513,499 6,597,578 16,111,077 ARachment_II Par1 III-Page 2 02 16D4 ATTACHMENT III COLLIER COUNTY HEALTH DEPARTMENT CIVIL RIGHTS COMPLIANCE AND NON-DISCRIMINATION CERTIFICATE 1. The CHD agrees to complete the Civil Rights Compliance Questionnaire, DH Forms 946 A and B(or the subsequent replacement if adopted during the contract period), if so requested by the Department. 2, The CHD assures that it will comply with the Omnibus Budget Reconciliation Act of 1981, PI, 97-35, which prohibits discrimination on the basis of sex and religion in programs and activities receiving or benefiting from federal financial assistance. 3. Assurance of Civil Rights Compliance: The CHD hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964(42 U.S.C. 2000d et seq.);Title IX of the Education Amendments of 1972(20 U.S.C. 1681 et seq.);Section 504 of the Rehabilitation Act of 1973(29 U.S.C, 794); the Age Discrimination Act of 1975(42 U.S.C.6101 et seq.);Title II and Title ill of the Americans with Disabilities Act(ADA)of 1990, as amended by the ADA Amendment Act of 2008(42 U.S.C. 12131-12189)and as implemented by Department of Justice regulations at 28 CFR Parts 35 and 36; Executive Order 13166, "Improving Access to Services for Persons with Limited English Proficiency'(August 11, 2000);all provisions required by the implementing regulations of the U.S. Department of Agriculture(7 CFR Part 15 et seq.);and FNS directives and guidelines to the effect that no person shall, on the ground of race, color, national origin, age, sex,or disability, be excluded from participation in, be denied the benefits of, or otherwise be subjected to discrimination under any program or activity for which the agency receives Federal financial assistance from FNS; and hereby gives assurance that it will immediately take measures necessary to effectuate this agreement. By providing this assurance,the CHD agrees to compile data, maintain records and submit records and reports as required to permit effective enforcement of the nondiscrimination laws, and to permit Department personnel during normal working hours to review and copy such records,books and accounts,access such facilities,and Interview such personnel as needed to ascertain compliance with the non-discrimination laws. If there are any violations of this assurance, the Department of Agriculture shall have the right to seek judicial enforcement of this assurance. This assurance is given in consideration of and for the purpose of obtaining any and all Federal financial assistance, grants,and loans of Federal funds, reimbursable expenditures,grant or donation of Federal property and interest in property, the detail of Federal personnel, the sale and lease of,and the permission to use Federal property or interest In such property or the furnishing of services without consideration or at a nominal consideration,or at a consideration that is reduced for the purpose of assisting the recipient, or in recognition of the public interest to be served by such sale, lease, or 4. Confidentiality of Data, Files, and Records:The CHD agrees to restrict the use and disclosure of confidential USDA,Women, Infant,and Children(WIC)applicant and participant information as specified In 7 CFR§246.26(d)(1)(i)in accordance with 7 CFR§246,26(d)(1)(ii),as applicable. Atlachment_III-Pago 1 of 1 . 1 6 D 4 / // / k t / £ ƒ / ( / k $ > u \ 0 0 S ( } \ / } # \ \ , o © > » . \ \ 3 o ƒ ; ƒ @ ƒ \ \ kE ( � 0 � 0 U § k2 7 ) \ ) / % Z g � E co O 2 ° ƒ 333 u ƒ 0 \ t 2 ` \ { \ £ - m \ / w ; \ _ / / ® 0 \ m \ ® \ f , E j § § { k 0 ) \ E \ co i m / | f f { 2 % kA ® � { mom § 2 E \ 2 LA f g / ° ° ? 7 \ S p. 0 0 5 , > \ 0 f \ / t ~ £ § ` 4 0 o \ , 0 . , 0 5 \ I. E2 \ # » c q 0 § o \ \ ) o '0 % J ~ \ 0 ƒ L. ] ® \ w / 0 § . . / • 0 0 % 0 .- ? \ _ • \ \ \ m @a — a i } .Bo u. j k \ ® } k \ \ _ J - \ # \2 \ 48 48 § , / \ ftg a \ \ \ \ 7 k ° 0 \ a Q 2 ,.(1) Q ' ) \ \ a ! / o ¢ `• — Yc7 G \ » }'AIN \ { } $ eater j ° \ 22i \ 2 a ) 7 ) t ~ 0 0 t e ii } „, ? \ \ LS § � � \ 0 C \ Q 16D4 ATTACHMENT V COLLIER COUNTY HEALTH DEPARTMENT SPECIAL PROJECTS SAVINGS PLAN CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS CONTRACT YEAR STATE COUNTY TOTAL 2023.2024* $ 0 $ 0 $ 0 2024-2025** $ 0 $ 0 $ 0 2025.2026""" $ 0 $ 0 $ 0 2026-2027"" $ 0 $ 0 $ 0 PROJECT TOTAL $ 0 $ 0 $ 0 SPECIAL PROJECTS CONSTRUCTIONIRENOVATION PLAN PROJECT NUMBER: PROJECT NAME: LOCATION/ADDRESS: PROJECT TYPE: NEW BUILDING ROOFING RENOVATION PLANNING STUDY NEW ADDITION OTHER SQUARE FOOTAGE: 0 PROJECT SUMMARY: Describe scope of work in reasonable detail. START DATE (1Ndat expenditure of funds) : COMPLETION DATE: DESIGN FEES: $ 0 CONSTRUCTION COSTS: $ 0 FURNITURE/EQUIPMENT: $ 0 TOTAL PROJECT COST: $ 0 COST PER SQ FOOT: $ 0 Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and mobile health vans. *Cash balance as of 9/30/24 "Cash to be transferred to FCO account. ""Cash anticipated for future contract years. AUachment_V-Pape t of 1