#09-5227 (Arcadia Health Services, Inc.)
A G R E E MEN T 09-5227
for
Services for Seniors
THIS AGREEMENT, made and entered into on this 23rd day of June, 2009, by and between
Arcadia Health Services, Inc. d/b/a Arcadia Health Care, authorized to do business in the
State of Florida, whose business address is 4350 Fowler Street, Suite 3, Fort Myers, Florida
33901, hereinafter called the "Vendor" and Collier County, a political subdivision of the State
of Florida, Collier County, Naples, hereinafter called the "County":
WITNESSETH:
1. COMMENCEMENT. This Agreement shall commence on July I, 2009 and shall
terminate on June 30, 2012.
2. STATEMENT OF WORK. The Contractor shall provide Services for Seniors in
accordance with the terms and conditions of ITQ #09-5227 and the Vendor's proposal
referred to herein and made an integral part of this agreement. This Agreement contains
the entire understanding between the parties and any modifications to this Agreement
shall be mutually agreed upon in writing by the Vendor and the County Contract
Manager or his designee, in compliance with the County Purchasing Policy and
Administrative Procedures in effect at the time such services are authorized.
3. COMPENSATION. The County shall pay the Vendor for the performance of this
Agreement the aggregate of the units actually ordered and furnished at the unit price,
together with the cost of any other charges/ fees submitted in the proposal as set forth
in Appendix I, Contract Rate Caps, attached hereto and made an integral part hereof.
Payment will be made upon receipt of a proper invoice and upon approval by the
Contract Manager or his designee, and in compliance with Section 218.70, Fla. Stats.,
otherwise known as the "Local Government Prompt Payment Act".
4. SALES T AX. Vendor shall pay all sales, consumer, use and other similar taxes
associated with the Work or portions thereof, which are applicable during the
performance of the Work.
Page 1 of7
5. NOTICES. All notices from the County to the Vendor shall be deemed duly served if
mailed or faxed to the Vendor at the following Address:
Arcadia Health Services Inc. d/b/ a Arcadia Health Care
26777 Central Park Blvd., Ste. 200
Southfield, MI 48076
Attention: Claudia Skewes, Contracting Supervisor
Telephone: 239-466-8889
Facsimile: 239-466-5152
All Notices from the Vendor to the County shall be deemed duly served if mailed or
faxed to the County to:
Collier County Government Center
Purchasing Department - Purchasing Building
3301 Tamiami Trail, East
Naples, Florida 34112
Attention: Steve Carnell, Purchasing/ GS Director
Telephone: 239-252-8371
Facsimile: 239-252-6584
The Vendor and the County may change the above mailing address at any time upon
giving the other party written notification. All notices under this Agreement must be in
writing.
6. NO PARTNERSHIP. Nothing herein contained shall create or be construed as creating
a partnership between the County and the Vendor or to constitute the Vendor as an
agent of the County.
7. PERMITS: LICENSES: TAXES. In compliance with Section 218.80, F.s., all permits
necessary for the prosecution of the Work shall be obtained by the Vendor. Payment for
all such permits issued by the County shall be processed internally by the County. All
non-County permits necessary for the prosecution of the Work shall be procured and
paid for by the Vendor. The Vendor shall also be solely responsible for payment of any
and all taxes levied on the Vendor. In addition, the Vendor shall comply with all rules,
regulations and laws of Collier County, the State of Florida, or the U. S. Government
now in force or hereafter adopted. The Vendor agrees to comply with all laws
governing the responsibility of an employer with respect to persons employed by the
Vendor.
8. NO IMPROPER USE. The Vendor will not use, nor suffer or permit any person to use
in any manner whatsoever, County facilities for any improper, immoral or offensive
purpose, or for any purpose in violation of any federal, state, county or municipal
ordinance, rule, order or regulation, or of any governmental rule or regulation now in
Page 2 of7
effect or hereafter enacted or adopted. In the event of such violation by the Vendor or if
the County or its authorized representative shall deem any conduct on the part of the
Vendor to be objectionable or improper, the County shall have the right to suspend the
contract of the Vendor. Should the Vendor fail to correct any such violation, conduct, or
practice to the satisfaction of the County within twenty-four (24) hours after receiving
notice of such violation, conduct, or practice, such suspension to continue until the
violation is cured. The Vendor further agrees not to commence operation during the
suspension period until the violation has been corrected to the satisfaction of the
County .
9.
TERMINATION. Should the Vendor be found to have failed to perform his services in
a manner satisfactory to the County as per this Agreement, the County may terminate
said agreement for cause; further the County may terminate this Agreement for
convenience with a thirty (30) day written notice. The County shall be sole judge of
non-performance.
10.
NO DISCRIMINATION. The Vendor agrees that there shall be no discrimination as to
race, sex, color, creed or national origin.
11.
INSURANCE. The Vendor shall provide insurance as follows:
~'.
Commercial General Liability: Coverage shall have minimum limits of $1,000,000
Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property
Damage Liability. This shall include Premises and Operations; Independent
Vendors; Products and Completed Operations and Contractual Liability.
~.
Business Auto Liability: Coverage shall have minimum limits of $1,000,000 Per
Occurrence, Combined Single Limit for Bodily Injury Liability and Property
Damage Liability. This shall include: Owned Vehicles, Hired and Non-Owned
Vehicles and Employee Non-Ownership.
~
Workers' Compensation: Insurance covering all employees meeting Statutory
Limits in compliance with the applicable state and federal laws.
Special Requirements: Collier County Government shall be listed as the
Certificate Holder and included as an Additional sured on the Comprehensive
General Liability Policy.
Current, valid insurance policies meeting the requirement herein identified shall
be maintained by Vendor during the duration of this Agreement. Renewal
certificates shall be sent to the County thirty (30) days prior to any expiration date.
There shall be a thirty (30) day notification to the County in the event of
cancellation or modification of any stipulated insurance coverage.
Page 3 of7
Vendor shall insure that all subVendors comply with the same insurance
requirements that he is required to meet. The same Vendor shall provide County
with certificates of insurance meeting the required insurance provisions.
12. INDEMNIFICATION. To the maximum extent permitted by Florida law, the Vendor
shall 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, to the extent caused by the negligence, recklessness,
or intentionally wrongful conduct of the Vendor or anyone employed or utilized by the
Vendor in the performance of this Agreement. This 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 .
13. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf
of the County by the Housing and Human Services Department.
14. CONFLICT OF INTEREST: Vendor represents that it presently has no interest and
shall acquire no interest, either direct or indirect, which would conflict in any manner
with the performance of services required hereunder. Vendor further represents that no
persons having any such interest shall be employed to perform those services.
15. COMPONENT PARTS OF THIS CONTRACT. This Contract consists of the attached
component parts, all of which are as fully a part of the contract as if herein set out
verbatim: Vendor's Proposal, Insurance Certificate, and ITQ #09-5227 Specifi-
cations/Scope of Services.
16. SUBJECT TO APPROPRIATION. It is further understood and agreed by and between
the parties herein that this agreement is subject to appropriation by the Board of County
Commissioners.
17. PROHIBITION OF GIFTS TO COUNTY EMPLOYEES. No organization or individual
shall offer or give, either directly or indirectly, any favor, gift, loan, fee, service or other
item of value to any County employee, as set forth in Chapter 112, Part III, Florida
Statutes, Collier County Ethics Ordinance No. 2004-05, and County Administrative
Procedure 5311. Violation of this provision may result in one or more of the following
consequences: a.) Prohibition by the individual, firm, and/ or any employee of the firm
from contact with County staff for a specified period of time; b.) Prohibition by the
individual and/ or firm from doing business with the County for a specified period of
time, including but not limited to: submitting bids, RFP, and/or quotes; and, c.)
immediate termination of any contract held by the individual and/ or firm for cause.
18. IMMIGRATION LAW COMPLIANCE. By executing and entering into this agreement,
the Vendor is formally acknowledging without exception or stipulation that it is fully
Page 4 of7
responsible for complying with the provisions of the Immigration Reform and Control
Act of 1986 as located at 8 USe. 1324, et seq. and regulations relating thereto, as either
may be amended. Failure by the Vendor to comply with the laws referenced herein shall
constitute a breach of this agreement and the County shall have the discretion to
unilaterally terminate this agreement immediately.
19. OFFER EXTENDED TO OTHER GOVERNMENTAL ENTITIES. Collier County
encourages and agrees to the successful proposer extending the pricing, terms and
conditions of this solicitation or resultant contract to other governmental entities at the
discretion of the successful proposer.
20. AGREEMENT TERMS. If any portion of this Agreement is held to be void, invalid, or
otherwise unenforceable, in whole or in part, the remaining portion of this Agreement
shall remain in effect.
21. ADDITIONAL ITEMS/SERVICES. Additional items andj or services may be added to
this contract upon satisfactory negotiation of price by the Contract Manager and
Vendor.
22. DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding permitted
by this Agreement to resolve disputes between the parties, the parties shall make a good
faith effort to resolve any such disputes by negotiation. The negotiation shall be
attended by representatives of Vendor with full decision-making authority and by
County's staff person who would make the presentation of any settlement reached
during negotiations to County for approval. Failing resolution, and prior to the
commencement of depositions in any litigation between the parties arising out of this
Agreement, the parties shall attempt to resolve the dispute through Mediation before an
agreed-upon Circuit Court Mediator certified by the State of Florida. The mediation
shall be attended by representatives of Vendor with full decision-making authority and
by County's staff person who would make the presentation of any settlement reached at
mediation to County's board for approval. Should either party fail to submit to
mediation as required hereunder, the other party may obtain a court order requiring
mediation under section 44.102, Fla. Stat.
Any suit or action brought by either party to this Agreement against the other party
relating to or arising out of this Agreement must be brought in the appropriate federal
or state courts in Collier County, Florida, which courts have sole and exclusive
jurisdiction on all such matters.
Page 5 of7
IN WITNESS WHEREOF, the Vendor and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first above
written.
ATTEST:
Dwight E.~1(o<:k/~~~;~f Courts
By:
Dated: t
(SE~L)
Attest&st~t CJI&~:;..,
Ijgn.twe.i~;' :[,~,
BOARD OF COUNTY COMMISSIONERS
::LLlli!J::F7~
Donna Fiala, Chairman
Arcadia Health Services, Inc.
d/b/a Arcadia Health Care
d~~'
By:
First Witness
Kurnia Brown
tType/ print witness namet
cf. '-l\A.Dr~:Ou.r '()rJl ~
Second ess
Cathy Sparling, Sr. Vice President
Typed signature and title
Lindsay Ducharme
tType/print witness namet
Approved as to form and
~uff;e:2LL
AS51,,~~ctCounty Attorney
Di!p ...
S fA II R -;e4 ?-l,
Print Name
Page 6 of7
APPENDIX 1
CONTRACT RATE CAPS
SERVICE
MAXIMUM FEEIUNIT OF SERVICE
Total Cost Reimbursement
Adult Day Care (CCE) $10.00 per Hour $ 9.00
CHORE $20.00 per Hour $18.00
Enhanced CHORE* $30.00 per Hour $27.00
Emergency Alert Response System $ 1.11 per Day $ 1.00
Homemaker $20.00 per Hour $18.00
Personal Care $22.22 per Hour $20.00
Respite (In-Home) $20.00 per Hour $18.00
Respite (In- Facility)ADI $10.00 per Hour $ 10.00
Skilled Nursing $38.89 per Hour $35.00
Specialized Med Equipment 1 00% cost 90% of cost
Facility Respite (24 Hours) $138.90 per 24hr. $125.00 per 24hr.
* Enhanced Chore requires two (2) or more workers performing multiple tasks at the same time.
Page 7 of7
ACORDru CERTIFICATE OF INSURANCE ISSUE DATE
06/24/2009
PRODUCER This certificate is issued as a matter of information only and confers no rights
MCGRIFF, SEIBELS & WILLIAMS, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the
P.O. Box 10265 coverage afforded by the policies below.
Birmingham, AL 35202 COMPANIES AFFORDING COVERAGE
800-476-2211
Company Firemans Fund Insurance Company AlAfL
A 1.1~ ? :?
INSURED Company Hartford Casualty Insurance Company J-'11/rlf
Arcadia Resources, Inc. and all of it's subsidiaries B
26777 Central Park Blvd.
Suite 200 Company Hartford Fire Insurance Company " ,,,,,",
Southfield, MI 48076 C I "1f11if V
Company
D
Company
E
This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding
any requirement, term or condition of contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by
the policies described herein is subject to all the terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims.
CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY
LT EXPIRATION
A GENERAL LIABILITY HYO-1 000030-01 05/07/2008 EACH OCCURRENCE $ 1,000,000
IXI Commercial General Liability 09/01/2009 FIRE DAMAGE $ 100,000
o Claims Made IX! Occurrence MEDICAL EXPENSE $ 10,000
o Owners' and Contractors' Protection PERS. AND ADVERTISING INJURY $ 1,000,000
IX! Medical Professional Liability
0 GENERAL AGGREGATE $ 3,000,000
General Aggregate Limit applies per: PRODUCTS AND COMP. OPER. AGG. $ 3,000,000
IX! Policy 0 Project 0 Location
B AUTOMOBILE LIABILITY 21 UENIT9404 05/07/2008 COMBINED SINGLE LIMIT $ 1,000,000
IXI Any Automobile 09/01/2009 BnDILY INJURY {Per nerson\ $
o All Owned Automobiles Medical Payments: $5,000 BODILY INJURY {Per accident\ $
o Scheduled Automobiles PROPERTY DAMAGE {Per accident\ $
o Hired Automobiles
o Non-owned Automobiles COMPREHENSIVE $1000 deductible
IXIlncludes Hired Auto Physical Damage COLLISION $1000 deductible
WORKERS' COMPENSATION WC Statutorv Limit I I Other I I
AND EMPLOYERS' LIABILITY EL EACH ACCIDENT $
EL DISEAC::E {Each emnlovee\ $
EL DISEASE IPolicv Limit\ $
A EXCESS LIABILITY HE01000006-01 05/07/2008 EACH OCCURRENCE $ 10,000,000
IX! Occurrence o Claims Made 09/01/2009 AGGREGATE $ 10,000,000
C BUSINESS PERSONAL 21 UUMIT9320 05/07/2008 Personal Property Limit $ 4,386,000
09/01/2009 Deductible $ 1,000
Replacement Cost $
/ Special Form, Including theft, $
flood and earthquake $
The Certificate Holder is named as Additional Insured with respect to General Liability as required by written contract subject to policy terms, conditions, and
exclusions.
CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
Collier County Authorized Representative
Purchasing Department ~ ~..a-s.--e
3301 Tamiami Trail East
Naples, FL 34112
Paqe 1 of 1 Certificate ID # C9M62KJ6
./
/
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I OA TE (MM/DOIYYYY)
5/7/2010 4/29/2009
PRODUCER Lockton Companies, LLC Denver THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
8110 E. Union Avenue ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Suite 700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver 80237
(303) 414-6000 INSURERS AFFORDING COVERAGE NAIC # ./
INSUREO Arcadia Resources, Inc., ETAL INSURER A: ACE American Insurance Comoanv 22667 /
1305587 26777 Central Park Boulevard INSURER B:
Southfield, MI48076 INSURER C:
INSURER D:
I INSURER E:
COVERAGES
ARCHEOI
EN
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING
INSURER'S. AUTHORIZED REPRESENTAnvE OR PRODUCER AND THE CERTIFICATE HOLDER.
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADO'l POLICY NUMBER P~}+~~:~~68;Wf Pg~IfJI~~~~N LIMITS
LTR NSRi TYPE OF INSURANCE
GENERAL LIABILITY EACH OCCURRENCE I~ XXXXXXX
...;.; ~~~H9E~=~nce\
COMMERCIAL GENERAL LIABILITY NOT APPLICABLE $ XXXXXXX
- ~ CLAIMS MADE 0 OCCUR
MED EXP (Anyone person) $ XXXXXXX
-
PERSONAL & ADV INJURY $ XXXXXXX
-
GENERAL AGGREGATE $ XXXXXXX
-
GEN'L AGGREGATE LIMIT APn PER: PRODUCTS - COMP/OP AGG $ XXXXXXX
-, n PRO-
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ XXXXXXX
ANY AUTO NOT APPLICABLE (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
$ XXXXXXX
SCHEDULED AUTOS (Per person)
-
- HIRED AUTOS BODILY INJURY
$ XXXXXXX
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $ XXXXXXX
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX
~ ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX
AUTO ONLY: AGG $ XXXXXXX
OCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX
OCCUR D CLAIMS MADE NOT APPLICABLE AGGREGATE $ XXXXXXX
$ XXXXXXX
R 0 UMBRELLA
DEDUCTIBLE FORM ./ $ XXXXXXX
RETENTION $ Y $ XXXXXXX
WORKERS COMPENSATION ANO X I WC STATU- I TOTH-
A WLRC45698312 5/7/2009 5/7/2010 TORY LIMITS ER
EMPLOYERS' LIABILITY
A ANY PROPRIETOR/PARTNER/EXECUTIVE SCFC45698324 5/7/2009 5/7/2010 E.l. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUOED? E.l. DISEASE - EA EMPLOYEE $ 1,000,000
~~~'i;I~s~~v~g76~s below NO
E.L. DISEASE - POLICY LIMIT $ 1,000,000
OTHER
OESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS AODEO BY ENDORSEMENT I SPECIAL PROVISIONS
$250,000 Deductible. Waiver of Subrogation applies with regard to Worker's Compensation coverage. Alternate Employer Endorsement is provided. RE: Branch
#721.
CERTIFICATE HOLDER
3640465
CANCELLATION
SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE THE EXPIRATION
Arcadia Health Care
4350 Fowler Street, #IB
Ft. Myers, FL 33901
OATE THEREOF, THE ISSUING INSURER WILL ENOEAVOR TO MAIL 30
OA YS WRITTEN
ACORD 25 (2001/08)
DO NOT WRITE ABOVE THIS LINE
~
. c;r" r I": .,f,)ATE RECEIVED: 0" v'
UI , ,\.....t ,.J, ITiL W ~l / ~ l'J"
I,' \r;i 1'\ 11v t'l'T('\lr"'\I~Y 0 r ~
. 1\ I I' I r\ U Ii' '- .,.,..- d'O
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~vv ,j 'v ~ t1
V & · ,IJI01
~~ ;)10
REQUEST FOR LEGAL SERVICES / PI
S~ /\,)..'0
3)~
ITEM NO.: <:A,. P\2C, O\1.~~
FILE NO.:
ROUTED TO:
'-.
Date:
June 26, 2009
To:
Office of the County Attorney
Jeff Klatzkow
From: Lyn M. Wood, C.P.M., Contract Specialist
Purchasing Department, Extension 2667
Re: Contract: #09-5227 "Services for Seniors"
Contractor: Arcadia Health Services, Inc. d/b/a Arcadia Health
Care
BACKGROUND OF REQUEST:
This Contract was approved by the BCC on June 23, 2009, Agen~o!..-)
Item 16.E.10 ~
This item has not been previously submitted.
ACTION REQUESTED:
Contract review and approval.
OTHER COMMENTS:
Please forward to BCC for signature after approval. If there are any
questions concerning the document, please contact me. Purchasing would
appreciate notification when the documents exit your office. Thank you.
c: Terri Daniels, Housing & Human Services
RLS# ~9-jJJt!~- tJf;J. V3
CHECKLIST FOR REVIEWING CONTRACTS
Entity Name: AiV? Pr])t R &4L.TH Sel!VICES ,. INC!..
cI(IJ!t!'{. A~A-b/A -IfEAL.TI-/ L'A-IH.
Entity name correct on contract?
Entity registered with FL Sec. of State?
Insurance
Insurance Certificate attached?
Insured registered in Florida?
Contract # &/or Project referenced on Certificate?
Certificate Holder name correct (BCC)?
Commercial General Liability
General Aggregate Required $ I Me L
Products/Compl/Op Required $
Personal & Advert Required $
Each Occurrence Required $
Fire/Prop Damage Required $
Automobile Liability
Bodily Inj & Prop Required $ I M ( (...
Workers Compensation
Each accident Required $ S1Prr. 1-11&4/T
Disease Aggregate Required $
Disease Each Empl Required $
Umbrella Liability
Each Occurrence Provided $ If) MIL
Aggregate Provided $ t ,
Does Umbrella sufficiently cover any underinsured portion?
Professional Liability
Each Occurrence Required $
Per Aggregate Required $
Other Insurance
Each Occur TYPe:P>~N~~NAI.. Required $ '--
County required to be named as additional insured?
County named as additional insured?
Indemnification
Does indemnification meet County standards?
Is County indemnifying other party?
Performance Bond
Bond requirement referenced in contract?
If attached, expiration date of bond
Does dollar amount match contract?
Agent registered in Florida?
~Yes
-----l.L- Yes
Yes
~Yes
Provided $ 3 Me L-
Provided $ L (
Provided $ r Mol L
Provided $ II
Provided $ "0) (JOD
Provided $ l ~ll
Provided $ I kA II
Provided $ II
Provided $ l I
~Yes
~Yes
No
No
No
No
-1L- No
No
Exp. Date
Exp. Date
Exp. Date
Exp. Date
Exp. Date
'1 ( l {D'l
il
~I
l(
t'
Exp Date 0..( I (D'l
Exp Date .sf f) !?.fJID
Exp Date 'I
Exp Date I '
Exp Date q I, 109
Exp Date . p
~es
Provided $
Provided $
No
Exp. Date
Exp. Date
Exp Date ~q
No
No
Provided $Lf MIl..
----LYes
~Yes
.,r- Yes
Yes
Signature Blocks
Correct executor name in signature block?
Correct title of executor?
Executor authorized to sign for entity?
Proper number of witnesses/notary?
Authorization for executor to sign, if necessary:
Chairman's signature block?
Clerk's attestation signature block?
County Attorney's signature block?
Attachments
Are all required attachments included?
~\l\
\
--L Yes
~Yes
----L Yes
~Yes
~Yes
~Yes
-L Yes
/Yes
No
~No
Yes
No
Yes
Yes
No
No
No
No
No
No
No
No
No
No ~
ReVIewer Imtlals: ~
Date: /1/3t!)/P9
04-COA-O'] 03al222
'.';r'c r)c '{'He
,._ . ,.fL. \.1 L.
{;( :! Ir,rTV t'-f"T('j'IJ!\:CV
ME M 0 RAN DUM ~.' ,,' I ,'.. \, liL.'
?rf':,~
i..,-" .j
, , '", [', r ",,.. 3
c,:;. tl J: J
TO: Ray Carter
Risk Management Department
FROM: Lyn M. Wood, C.P.M., Contract Specialist
Purchasing Department
flYJ
r ? o,,~tr
-xcCV' ~
DATE: June 26, 2009
RE: Review Insurance for Contract: #09-5227 "Services for Seniors"
Contractor: Arcadia Health Services, Inc. d/b/a Arcadia Health
Care
This Contract was approved by the BCC on June 23, 2009, Agenda Item
16.E.10
Please review the Insurance Certificates for the above referenced contract. If
everything is acceptable, please forward to the County Attorney for further
review and approval. Also, will you advise me when it has been forwarded.
Thank you. If you have any questions, please contact me at extension 2667.
dod/LMW
C: Terri Daniels, Housing & Human Services
RECEIVED
JUN 2 6 2009
RISK MANAGEMEN
mausen_9
From:
Sent:
To:
Cc:
Subject:
RaymondCarter
Monday, June 29,20091 :17 PM
LynWood; DeLeon Diana
DanielsTerri; mausen_9
Contract 09-5227 "Services for Seniors"
All, I have reviewed and approved the certificate(s) for the following vendors under contract 09-5227:
L Arcadia Health services. Inc. d/b/a Arcadia Health Care
2. Executive Healthcare Solutions, LLC d/b/a Brightstar Healthcare
3. Eleven Ash, Inc. d/b/a Health Force
The contract s will now be forwarded to the county attorney's office for their review.
Thank you,
Ray
~~
Manager Risk Finanace
Office 239-252-8839
Cell 239-821-9370
1
www.sunbiz.org - Department of State
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Foreign Profit Corporation
ARCADIA HEALTH SERVICES, INC.
Filing Information
Document Number P21141
FEIIEIN Number 382186866
Date Filed 10/03/1988
State MI
Status ACTIVE
Last Event NAME CHANGE AMENDMENT
Event Date Filed 01/21/1994
Event Effective Date NONE
Principal Address
9229 DELEGATES ROW, SUITE 260
INDIANAPOLIS IN 46240 US
Changed 01/14/2009
Mailing Address
9229 DELEGATES ROW, SUITE 260
INDIANAPOLIS IN 46240 US
Changed 01/14/2009
Registered Agent Name & Address
NRAI SERVICES, INC.
2731 EXECUTIVE PARK DRIVE - SUITE 4
WESTON FL 33331 US
Name Changed: 05/07/2008
Address Changed: 05/07/2008
Officer/Director Detail
Name & Address
Title PRES
RICHARDSON, MARVIN R
9229 DELEGATES ROW, STE. 260
INDIANAPOLIS IN 46240 US
TitleVP
SPARLING, CATHY
26777 CENTRAL PARK BLVD, STE 200
SOUTHFIELD MI 48076 US
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Title TRS
MIDDENDORF, MATTHEW R
9229 DELEGATES ROW, STE. 260
INDIANAPOLIS IN 46240 US
Title SEC
MOLIN, MICHELLE M
9229 DELEGATES ROW, STE. 260
INDIANAPOLIS IN 46240 US
Title DIR
RICHARDSON, MARVIN R
9229 DELEGATES ROW, STE. 260
INDIANAPOLIS IN 46240 US
Annual Reports
Report Year Filed Date
2007 12/12/2007
2008 02/11/2008
2009 01/14/2009
Document Images
QJ!J4/2QQ9.=ANNUALREPQRT
Q5!Q712,QQ8"~=R~g""Age,nt,,,C,h,gng~
02/11/2QQ8 =ANNUAL REPORT
12/12/2007 -- ANNUAL REPORT
QZl16/2Q07=ANN UALBEPORT
Q1/2:3120Q6=ANN UALBEPQRT
04/14/2Q05== ANNUAL REPORT
04/12/2004 -- ANNUAL REPORT
Q212_4!2QQ~_=ANNUAJ".~EEQRT_
Q4!Q212QQ2,.:-.::..AN.NUALREP_QRI..,
05!Q:~/2001 -.:: ANN UAL REPQRT
Q'J!15!2QQO==.ANN.!.JALB.EPQRT
02/10/1999 -- ANNUAL REPORT
02/12/1998 -- ANN UAL REPORT
02/25/1997 -- ANNUAL REPORT
04/2~I199.Q-- ANNUAL REPORT
I Note: This is not official record. See documents if question or conflict.
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