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Agenda 01/28/2025 Item #16E 1 (Third amendment Medical Director for Collier County for physical and drug test with Advanced Medical, LLC)1/28/2025 Item # 16.E.1 ID# 2025-23 Executive Summary Recommendation to approve a Third Amendment to Agreement No. 15-6474R, “Medical Director for Collier County and Employment Physicals and Drug Testing,” with Advance Medical of Naples, LLC. OBJECTIVE: To extend Agreement No. 15-6474R for one additional year with updated pricing to continue medical oversight services for the County’s Occupational Health Program. CONSIDERATIONS: On February 9, 2016 (Agenda Item 16.E.1), the County entered into Agreement No. 15-6474R (the “Agreement”) with Advance Medical of Naples, LLC to provide medical services and an oversight physician for the Occupational Health staff. On October 15, 2018, the County administratively approved the First Amendment to the Agreement, which added two additional testing categories to Exhibit B-Price, Part B. On January 14, 2020, the County administratively approved the Second Amendment, which extended the Agreement term for an additional five years, starting on February 9, 2020, and ending on February 8, 2025, while also updating pricing. The attached Third Amendment will extend the Agreement for one additional year, from February 9, 2025, to February 8, 2026, and update the pricing under Exhibit B-1. All other terms and conditions of the Agreement will remain unchanged unless modified by this Amendment. Advance Medical of Naples, LLC specializes in Occupational Medicine and offers services seven days a week with extended office hours, diagnostic testing for Occupational Medicine, onsite drug screening, and an in-house Medical Review Officer. FISCAL IMPACT: Funds are budgeted annually in Fund 5018 (Workers’ Compensation Fund) and department budgets for required physicals and drug tests. Total funds expended are dependent upon the need and types of services. The estimated annual expenditure for FY 2025, based upon the proposed rates and estimated volume of service is $150,000. GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this item. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. —SRT RECOMMENDATIONS: To approve a Third Amendment to Agreement No. 15-6474R, extending the Agreement for one additional year, updating the pricing for services, and authorize the Chairman to sign the attached Amendment. PREPARED BY: Andrew Kelly, Environmental Health and Safety Manager, Risk Management Division ATTACHMENTS: 1. 15-6474R_ThirdAmendment_VS 2. 15-6474R AdvanceMedical_Contract 3. 15-6474R_Amendment#1_Fully Executed 4. 15-6474R-AdvancedMedical_Amendment#2_FullyExec_20230111205119.718_X 5. 15-6474RCOI-ProfLiab_AdvanceMedical_2.25_20250115175359.228_X 6. 15-6474RInsuranceGLAuto_AdvanceMed2024_20250115175445.888_X Page 1891 of 3681 Page 1892 of 3681 Page 1893 of 3681 Page 1894 of 3681 Page 1895 of 3681 Page 1896 of 3681 Page 1897 of 3681 9th February Page 1898 of 3681 Page 1899 of 3681 Page 1900 of 3681 Page 1901 of 3681 Page 1902 of 3681 Page 1903 of 3681 Page 1904 of 3681 Page 1905 of 3681 Page 1906 of 3681 Page 1907 of 3681 Page 1908 of 3681 Page 1909 of 3681 Page 1910 of 3681 Page 1911 of 3681 Page 1912 of 3681 Page 1913 of 3681 Page 1914 of 3681 Page 1915 of 3681 Page 1916 of 3681 Page 1917 of 3681 Page 1918 of 3681 Page 1919 of 3681 Page 1920 of 3681 Page 1921 of 3681 Page 1922 of 3681 Page 1923 of 3681 Page 1924 of 3681 Page 1925 of 3681 Page 1926 of 3681 From:GonzalezGreily To:CrouchJason; HerreraSandra Cc:WalkerJeff ; AdamsRebecca Subject:FW: 15-6474R Advanced Medical Date:Wednesday, February 10, 2016 10:15:39 AM Attachments:image001.jpg Good Morning, In reference to the aforementioned agreement Risk Management would like to point out that Section 12 E on the contract is a duplicate of Section 12 D; for Medical Professional Liability and Medical Malpractice are the same coverage. During the BID process both items were checked by mistake; but the only coverage that is required is Medical Professional Liability with limits of $250,000 per occurrence and $750,000 aggregate. These limits are consistent with the limit carried under this agreement in the past. Therefore, the Certificate of Insurance providing proof of coverage for the Medical Professional Liability with a limit of $250,000 is in compliance. If you have any questions please contact our office. Respectfully, Greily Gonzalez Operations Coordinator Risk Management Division Ph: (239)252-8461 Fax: (239)252-8048 Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. 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