Collier County Emergency Services Deputy Medical Director Agreement THIRD AMENDMENT TO THE COLLIER COUNTY EMERGENCY
SERVICES DEPUTY MEDICAL DIRECTOR AGREEMENT
THIS THIRD AMENDMENT, made and entered into on this 224 J day of
f pi- I 2025, by and between Douglas S. Lee, M.D., hereinafter referred to as DEPUTY
MEDICAL DIRECTOR, and Collier County, a political subdivision of the State of Florida, (the
"County") (collectively, the"Parties"):
WHEREAS, on February 1, 2014 the County entered into the Collier County Emergency
Services Deputy Medical Director Agreement (the "Agreement") with the Deputy Medical Director to
provide professional Deputy Medical Director services in conjunction with the County's Medical
Director in accordance with Chapter 401, Florida Statutes and Chapter 64-J-1, Florida Administrative
Code, Rules of the Department of Health; and
WHEREAS, on April 26, 2016 (Agenda Item No. 16.H.6),the County entered into the First
Amendment to the Agreement, which extended the termination date of the Agreement to April 26,
2019, provided for a three-year renewal term, amended the scope of work, and adjusted the terms of
compensation to Deputy Medical Director under the Agreement; and
WHEREAS, on March 22, 2022 (Agenda Item No. 16.E.2) the County entered into the
Second Amendment to the Agreement, which extended the termination date to April 26, 2025, and
provided an adjustment to the compensation for services.
WHEREAS, the Parties desire to further amend the Agreement through this Third
Amendment to extend the termination date of the Agreement for up to one hundred and eighty days
(180), replace the scope of work in its entirety to be consistent with that of the Medical Director, and
provide for an adjustment to the compensation of services for the transition of the Deputy Medical
Director to serve as the Interim Medical Director.
NOW, THEREFORE, in consideration of the mutual promises and covenants herein
contained, it is agreed by the Parties as follows:
1. ARTICLE 2- SCHEDULE AND RENEWAL, is hereby amended so that the termination date of
the Agreement shall now be October 24, 2025, or until a Medical Director and Deputy Medical
Director agreement have been approved by the County, whichever is sooner.
2. ARTICLE 4 -PAYMENTS TO DEPUTY MEDICAL DIRECTOR, is hereby amended so that
the COUNTY shall pay the position as the Interim Medical Director the sum of $15,193.83 per
month. The compensation shall become effective as of April 27, 2025.
Words Straek—Through are deleted;Words Underlined are added
3. The parties agree that Exhibit A— Scope of Work be removed in its entirety and shall be amended
as follows:
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Third Amendment to Agreement# 13-6081
Douglas S.Lee,M.D. AO
Exhibit A —Scope of Services
* * * * *
A. Attend at least once quarterly a scheduled emergency medical services meeting where discussions
will involve patient care, quality, mandated Paramedic and EMT training, Paramedic requirements,
addition or deletion of equipment available to Paramedics and EMT's. Ample notice for all such
meeting will be supplied by the County Manager or designee.
B. Except during scheduled vacations or personal emergencies, when the Deputy Medical Director or
other approved back-up physician shall be available via radio or telephone communication on a 24
hour a day, 7 day per week basis for online medical control. Notwithstanding anything to the
contrary contained herein, INTERIM MEDICAL DIRECTOR may use reasonable discretion in
determining the appropriateness of his response to calls.
C. INTERIM MEDICAL DIRECTOR shall ride as a crew member on an EMS vehicle a minimum of
ten (10) hours annually or as otherwise expressly required by state law to evaluate the skills and
maintain a working relationship with EMT's, assigned Paramedics, and probationary Paramedics.
D. As part of the quality assurance committee, INTERIM MEDICAL DIRECTOR shall assist the
COUNTY with obtaining patient outcome information from local hospitals.
E. INTERIM MEDICAL DIRECTOR shall participate in regular Quality Assurance meetings with
Dispatch personnel.
F. INTERIM MEDICAL DIRECTOR shall review and participate in the development of the Dispatch
Protocols followed by COUNTY EMS.
G. INTERIM MEDICAL DIRECTOR shall participate in direct EMS Advanced Cardiac Life Support
(ACLS) classes and shall assist the County and EMS Chief in arranging training to meet the needs
of the community and the standards of care for the industry. The INTERIM MEDICAL
DIRECTOR shall, upon request of the County Manager or designee, evaluate County EMT's and
Paramedical personnel during training exercise. INTERIM MEDICAL DIRECTOR shall review
and approve the content of EMS training form for medical correctness at the request of the County
Manager or designee.
H. INTERIM MEDICAL DIRECTOR shall be physically present in the COUNTY EMS
Administrative Offices on as needed basis, in order to confer with the EMS Chief and other
designated staff. All official meetings attended by the INTERIM MEDICAL DIRECTOR which
have been approved by the EMS Chief, will be recognized as part of the normal job duties of
INTERIM MEDICAL DIRECTOR.
I. As required under Chapter 401, Florida Statutes, and Chapter 64J-1, F.A.C., INTERIM MEDICAL
DIRECTOR shall develop, review and authorize use of ALS and BLS protocols which allow
personnel to properly manage medical emergencies. Such protocols shall be specific in nature and
shall provide for managing immediately life-threatening medical emergencies. As required by
Section 401.265, Florida Statutes, and Rule 64J-1.004, F.A.C, the INTERIM MEDICAL
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Third Amendment to Agreement# 13-6081
Douglas S. Lee,M.D.
CAO
DIRECTOR shall supervise and assume direct responsibility for the medical performance of all
EMT's and paramedics operating for COUNTY EMS, including both ground and aeromedical
personnel. INTERIM MEDICAL DIRECTOR shall develop any other protocols as required by
Chapter 401, Florida Statutes, or Chapter 64J-1, F.A.C., as they may be amended from time to
time.
J. INTERIM MEDICAL DIRECTOR shall supervise the implementation and maintenance of a
quality assurance program as required by Section 401.265, Florida Statutes and Rule 64J-1.004
F.A.C., to include spot-checking medical reports for completion and correctness. The quality
assurance program must cover dispatch, field paramedics, EMT's and Flight Medics.
K. INTERIM MEDICAL DIRECTOR shall review and provide written affirmation of recertification
training of COUNTY EMS EMT and Paramedic personnel in accordance with Section
401.2715(3), Florida Statutes.
It is understood and agreed between the parties to this Agreement that all of the legal duties and
responsibilities of a medical director as set forth in Chapter 401, Florida Statutes, Rule 64J-1.004
F.A.C., and any other applicable laws and regulations, shall remain with the INTERIM MEDICAL
DIRECTOR at all times except during scheduled vacations or personal emergencies, when the
Deputy Medical Director or other approved back-up physician shall be available pursuant to and in
accordance with Article 3, Paragraph M.
L. INTERIM MEDICAL DIRECTOR shall provide the County Manager or designee with a quarterly
report generally describing activities performed, with reference to the requirements of this
Agreement. COUNTY shall provide administrative support in order for the INTERIM MEDICAL
DIRECTOR to meet the obligations of this paragraph. Back-up physicians may be used in lieu of
the INTERIM MEDICAL DIRECTOR and/or Deputy Medical Director upon approval of the
County Manager or designee. Back-up physicians, when used, shall meet all of the qualifications
for a medical director as set forth in Section 401.265, Florida Statutes, and shall be at no additional
cost to the COUNTY.
M. INTERIM MEDICAL DIRECTOR will coordinate the provision of coverage at all times not
available during the term of this Agreement; during such times, backup coverage may include an
approved back-up physician.
N. INTERIM MEDICAL DIRECTOR shall perform all other services required of a medical director,
and assume all legal duties and responsibilities of a medical director, as provided by Section 401,
Florida Statutes, Chapter 64J-1 F.A.C., and any other applicable laws and regulations, all as may
be amended from time to time.
O. INTERIM MEDICAL DIRECTOR shall be available for consultation with the Director of
Emergency Management during activations of the County's Emergency Operations Center or
eminent emergency situation to assist in a public health emergency, disaster, pandemic, or mass
medical event. Such efforts shall be in coordination with the Public Health Director and not in
conflict with public health statutory authority.
P. INTERIM MEDICAL DIRECTOR shall receive prior approval from the County Manager or
designee preceding any COUNTY communication with the media.
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Third Amendment to Agreement# 13-6081
Douglas S. Lee,M.D.
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4. Except as amended herein, all other terms and conditions of the Agreement, which is incorporated
herein by reference, shall remain unchanged.
**Signature page to follow**
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• Third Amendment to Agreement# 13-6081
Douglas S.Lee,M.D. CAO
IN WITNESS WHEREOF, the Parties have executed this Third Amendment on the date and
year first written above by an authorized person or agent.
ATTEST:
Crystal K. Kinzel, Clerk of the Circuit BOARD OF COUNTY COMMISSIONERS
Court and Comptroller COLLIER COUNTY, FLORIDA
By: � By: -l�•4—
Burt L. Saunders, Chairman
Dated: { 416
_
(SEAL)
s J Attest as to Chaim:1 s
signature only.
INTERIM MEDICAL DIRECTOR:
Witnesses: Douglas S. Lee M.D.
,edwara
First Witness By:
Min Kim Signature
Douglas S. Lee
TType/print witness nameT
. opioril.06 TType/print signature and titleT
Second Witness
3/26/25
Jacob Lee
Date
TType/print witness nameT
pro ed as to F a Legality:
.e.....tez_L
Scott R. Teach, Deputy County Attorney
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Third Amendment to Agreement# 13-6081 'AO
Douglas S. Lee,M.D.
AFFIDAVIT REGARDING LABOR AND SERVICES
Effective July 1, 2024,pursuant to §787.06(13), Florida Statutes,when a contract is executed, renewed,or extended
between a nongovernmental entity and a governmental entity, the nongovernmental entity must provide the
governmental entity with an affidavit signed by an officer or a representative of the nongovernmental entity under
penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services.
Nongovernmental Entity's Name: Douglas S.Lee
Address: 1635 Gordon River Lane, Naples, FL 34104
Phone Number: 646-391-5600
Authorized Representative's Name: Douglas S.Lee
Authorized Representative's Title:
Email Address: duglee@hotmail_com
AFFIDAVIT
I, Douglass.Lee (Name of Authorized Representative),as authorized representative attest
that Douglass.Lee (Name of Nongovernmental Entity)does not use coercion for labor or
services as defined in§787.06, Florida Statutes.
Undty enalty of perjury,I declare that I have read the foregoing Affidavit and that the facts stated in it are true.
ANQlet(-- Z, 7.0 Z�f
(Signature of authorized representative) Date
STATE OF. Y\(1
COUNTY OF CO 1,l
Sworn to(or affirmed)and subscribed before me,by means of Vp.hysical presence or❑online notarizationthis
day of Arc)C i t ,2025, by' kt.cc� C e (Name of Affiant),who produced their Of\tree ( i C-e V 5 e
as iden 'fication or are rsonally known t'o me.
/9 YOiANDAGUILE GARZA LNiRAGA
N r Public +' :+ MY COMMISSION A�HH353225 '
%i�:',Q°, EXPIRES:Febma 14,2021
I oZ-1 _:�Oitt°n �Y
Commission Expires
Personally Known E 'OR Produced Identification a
Type of Identification Produced:
CONTRACT,RENEWAL,OR EXTENSION REQUEST FORM Version:2025.1
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