#09-5227 (Accu-Care Nursing 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
Accu-Care Nursing Service, Inc., authorized to do business in the State of Florida, whose
business address is 2375 Tamiami Trail North, Suite 300, Naples, Florida 34103, hereinafter
called the "Vendor" and Collier County, a political subdivision of the State of Florida, Collier
County, Naples, hereinafter called the "County":
WIT N E SSE T H:
1. COMMENCEMENT. This Agreement shall commence on July 1, 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 TAX. 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 10f7
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:
Accu-Care Nursing Service, Inc.
2375 Tamiami Trail North, Suite 300
Naples, FL 34103
Attention: Kathleen K. Hughes
Telephone: 239-263-3011
Facsimile: 239-263-1552
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:
A. 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.
B. 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.
C. 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 Insured 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.
Page30f7
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
Page40f7
responsible for complying with the provisions of the Immigration Reform and Control
Act of 1986 as located at 8 US.c. 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 and/ 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:
D~
By: .,' ". .
Dated::' 1" .
:':(SijA. j" \ .:. .... . ,-
Attflt .~ to ~ ~ ,
s 1 OIlJ-ture ~." ,,~J'"~
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By, t4~ dL~
Donn la a, aIrman
Accu-Care Nursing Service, Inc.
~) L :_i ~, J i.".'
Vendor
B~~.
"""""~
Signature
~\;
! '. ..
I ~"--- ....L O-/';-~
First Witness
co. ,Q...L~
tType / print witness name
-~ 70'8>
Secon Witness
rip-PIt l y IJ{2 d ff
tType/ print witness namet
:'t~
Approved as to form and
legal sufficiency:
~~tJ- i2 L1-
p~~ County Attorney
S (A>1)- f2 fLA?L..
Print Name
Page 600
APPENDIX 1
CONTRACT RATE CAPS
SERVICE
MAXIMUM FEE/UNIT 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 100% 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 70f7
CERTIFICATE OF LIABILITY INSURANCE I CERTFlCATE NO.1 DATE
ACDRQ AC09-1S 4 00 1 0 3- 8 0 6 4 4 S
6/22/2009 1:17:S4PH
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Biqhpoint Ri.k Service. LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
14160 Dalla. Parkway '500 HOLDER. THIS CERTIFICATE DOES ~iw~ENDJ ~~~ ~~
Dall.., '1'X 75254
(800) 632-5096 (972) 715-0959
Fax: (972) 404-4450 INSURERS AFFORDING COVERAGE
INSURED: Equity Group Leasing I, Inc l/c/f: INSURER A: ~nrl ,..
ACCU-CARE FT. MYERS INSURER B:
3594 BROADWAY STE B INSURER C:
FT. MYERS, FL 33901 INSURER D:
(239) 931-9788 Fax: (239) 931-9791
INSURER E:
THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEIIOO IIDICATED. NOTWITHSTANDING
Nfl( REQUlREIENT, TERM OR CONOmON OF MY CONTRACT OR OTHER DOCUIENT WITH RESPECT TO wtICH "* CERTFlCATE IIL\Y BE ISSUED OR
IIL\Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EllCLU8lONS AND COHDrTIONS OF SUCH
POUCE8. AGGREGATE LMI'S SHOWN IIL\Y HAVE BEEN REDUCED BY PAID CLAIMS. "Rlfi~ POLICY EXPIRAj!
I~.!' TYPE OF INSURANCE POLICY NUMBER LMT8
~RAL LIABILITY EACH OCCURRENCE S
~ ORCIAl GENERAL LIABILITY FIRE DAMAGE (Any One Ant) S
~ CLAIMS MADE 0 OCCUR MED EXP (Anyone_) S
~ PERSONAl. & ADV INJURY S
~ GENERAL AGGREGATE S
nEN'L AGGREGATE LMT APPUES PER: PRODUCTS. CClMPIOP AGG S
POLICY -H r;'& rlLOC
~OII08ILE UABlLITY COMBINED SINGLE LIMIT S
ANY AUTO (Ea_)
-
- ALL OWNED AUTOS BODILY INJURY
(Per_) .
- SCHEDULED AUTOS
- HIRED AUTOS BODII. Y INURY
NClI<<)WNED AUTOS (Per_) S
-
PROPERTY DAMAGE S
(Per_)
~AGE LIABILITY AUTO ONLY - EA ACCIDENT S
ANY AUTO OTHER THAN EAACC .
AUTO ONLY: AGG .
~CES8 LIABILITY EACH OCCURRENCE .
~ OCCUR o ClAIMS MADE AGGREGATE S
~ S
~ DEDUCTIBLE S
RETENTION S x~1 .
WORKERS COIFENSATION AND WC77779990901 04/01/2009 04/01/2010 PJ:J:t-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT . 1000000
A E.L. DISEASE - EA EMPLOYEE . 1000000
E.L DISEASE - POLICY LIMIT S 1000000
~HER LIMITS S
LIMITS S
1. This certificate remains in effect, provided the client's account is in ~OOd standing with Equity
Group Leasing I, Inc. Coverage is not provided for an, employee for which he client is not reportl.ng
wages to Equite GrO~Leasin~ I, Inc. Applies to 100 of the employees of Equity Group Leasing I,
Inc leased to A CU-C FT. M ERS, effectl.ve 04/01/2009.
CERTIFICATE HOLDER I I ADllfTIDNAL INSURED: INSURER LETTER: CANCELLATION
DATE THEIIEOI', TIE III8UHO INSUIIEJl WLL ENIlEAVOIl TD__ 30 DAYS WNTTEN
COLLIER COUNTY BOARD OF COUNTY COMMISIONERS NOTICE TO TIE CERTFICATE HOLDER ~ TO TIE LEFT, BUT FAILUIIE TO DO so SHAI.L
3301 E. TAMIAMI TRL. M'08E NO OBLIGATION OR LIABILITY 01' _ KINO W'ON TIE IN8IMER. ITlI AGENTS OR
NAPLES, FL 34112 IIEPflE8ENTATlVE8.
~TQ CA -~~;t .., AlITHOIIIZEO /lEPRESENT AnVE :..:;:~ ~_.-&>
- ....
ACORD 25-S (7/97)
C ACORD CORPORATION 1988
ACORD", CERTIFICATE OF LIABILITY INSURANCE
Sabal Insurance Group, Inc.
805 E Broward Boulevard, Ste 303
Fort Lauderdale, FL 33301
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
INSURED
Accu-Care Nursing Service, Inc.
INSURERS AFFORDING COVERAGE
INSURER A American Al ternative Ins Corp
INSURER B:
INSURER C:
INSURER 0:
INSURER E:
NAIC#
1 720
2375 Tamiami Trail N, #300
Naples, FL 34103
COVERAGES
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 ISSUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR P.OO'L b~\olf)'M~!o'b~XE P8}t~~~~b~-m?N
LTR NSRn TYPE OF INSURANCE POLICY NUMBER LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1. 000 000
f.-
A COMMERCIAL GENERAL LIABILITY UAMAc,", $ 1 000 .000
PREMISES (Ea occurence)
- Lx::/ CLAIMS MADE II OCCUR MED EXP (Any one person) $ I:\n nnn
A A Professional Liab VHHG3052541-01 06/21/09 06/21/10 PERSONAL & ADV INJURY $ 1.000 000
A Retro Date* *06/21/03 GENERAL AGGREGATE $ 3.000 000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ ~ nnn nnn
II' ~PRO- II
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
f.- $ Included
ANY AUTO (Ea accident)
I--
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
A .x HIRED AUTOS VHHG3052541-01 06/21/09 06/21/10 BODILY INJURY
$
.x NON-OWNED AUTOS (Per accident)
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EAACCIDENT $
r=1 ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
=.='1 OCCUR [] CLAIMS MADE AGGREGATE $
$
=1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T~mJI~S I 10~~-
ER
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? EL. DISEASE- EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIALPROVISIONS
Collier County is named as additional insured in respect to General Liability
CERTIFICATE HOLDER
CANCELLATION
Collier County
Board of County Commissioners
Naples, Florida
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ 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.
AUTHORIZED REPRESENTATIVE
@ACORD CORPORATION 1988
~~8 ~ Oq-S:J-J--'
ACORD25 (2001/08)
DC. ~ \)\y r D\2..~~
ITEM NO.: -, \~\",.
"\ \\\O~
Q~TEJF Ff~~EIVED:
"'('1 '~11' f -'1--\ (,n\'''.'
L/ )\); "-'i ! 1\ \,)!""';j ,,~t'=.1
FILE NO.:
ROUTED TO:
2=:J~!
(" A ~..
::J i j,
;:~: 13
Date:
tj0 v1>
REQUEST FOR LEGAL SERVICES~, /' J rv 0 vi-
u () $;I- 11:- 1A
June 25, 2009 ..j-- & 'V- I
Office of the County Attorney (j) _ /,,- ~ -Iv7..a-v
Jeff Klatzkow V V' ~, ~..-
Lyn M. Wood, C.P.M., Contract Specialist ~ /.' I I,n 1
Purchasing Department, Extension 2667 t5 (....- L- ...) , I'
7' b)g ()Jo 1
DO NOT WRITE ABOVE THIS LINE
To:
From:
Re:
Contract: #09-5227 "Services for Seniors"
Contractor: Accu-Care Nursing Service, Inc.
BACKGROUND OF REQUEST:
This Contract was approved by the BCC on June 23, 2009, Agenda ./.
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 # tJr - PR./' - tJ/),39
CHECKLIST FOR REVIEWING CONTRACTS
Entity Name: !/('(iq- (lA~~ X)l1f<-<;IIU{~ SC.(?v'IC~) IN(!.
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 $ ("^ ( l
Products/CompVOp Required $
Personal & Advert Required $
Each Occurrence Required $
Fire/Prop Damage Required $
Automobile Liability
Bodily Inj & Prop Required $ I ~ l L
Workers Compensation
Each accident Required $
Disease Aggregate Required $
Disease Each Empl Required $
Umbrella Liability
Each Occurrence Provided $
Aggregate Provided $
Does Umbrella sufficiently cover any underinsured portion?
Professional Liability
Each Occurrence Required $
Per Aggregate Required $
Other Insurance
Each Occur Type:
Entity name correct on contract?
Entity registered with FL Sec. of State?
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?
Ifattached, expiration date of bond
Does dollar amount match contract?
Agent registered in Florida?
VYes
vYes
-LYes
\,../Yes
Yes
~Yes
No
No
No
No
VNo
No
Exp. Date ft, /-z.l "0
Exp. Date . ,
Exp. Date I i
Exp. Date I I
Exp. Date l (
Exp Date ra/zdlfJ
( I
Exp Date 4./, /201 ()
Exp Date ( I I
Exp Date { ,
Provided $ 3 N\l L
Provided $ ( ,
Provided $ MIL
Provided $ t I
Provided $ I I
Provided $ ~.~
Provided $
Provided $
Provided $
Provided $
Provided $
IMiL
\1
t t
Exp Date
Exp Date
Yes
Exp. Date
Exp. Date
Provided $
/'Yes
~Yes
V Yes
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?
tJ\l\
\
Yes
Yes
_~.Yes
V Yes
~Yes
V Yes
~Yes
~Yes
-LYes
--.JLYes
No
Exp Date_
No
No
No
-----1LNo
No
No
No
No
No
No
No
No
No
No
No \. A..
Reviewer Initials: Y~e...
Da te: {"p l2 '!I tJe:j'
04-COA-ofo30f 22
MEMORANDUM
FROM: Lyn M. Wood, C.P.M., Contract Specialist
Purchasing Department
v
j2j~
/t'
J
TO: Ray Carter
Risk Management Department
DATE: June 25,2009
RE: Review Insurance for Contract: #09-5227 "Services for Seniors"
Contractor: Accu-Care Nursing Service, Inc.
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.
c: Terri Daniels, Housing & Human Services
A12C12/I/12D
JUN 2 5
AISI( 2009
'1 MANAGtlvJ.
~NI
~
~;;7
dod/LMW
mausen_9
From:
Sent:
To:
Cc:
Subject:
RaymondCarter
Friday, June 26,20098:17 AM
DeLeonDiana; LynWood
DanielsTerri; mausen_9
Contract 09-5227 "Services for Seniors"
All, I have approved the Certificate(s) of Insurance provided by Accu-Care Nursing Service, Inc with respect to the above
referenced contract. The contract 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
Page 1 of2
Home
Contact Us
E-Filing Services
Document Searches
Forms
Help
Previous on List
Next on List Return To Li~t
IEntity Name Search
Submit I
No Events
No Name History
Detail by Entity Name
Florida Profit Corporation
ACCU-CARE NURSING SERVICE, INC.
Filing Information
Document Number P95000045987
FEIIEIN Number 650583500
Date Filed 06/13/1995
State FL
Status ACTIVE
Effective Date 06/10/1995
Principal Address
2375 N TAMIAMI TRAIL
SUITE 300
NAPLES FL 34103 US
Changed 04/03/2007
Mailing Address
2375 N TAMIAMI TRAIL
SUITE 300
NAPLES FL 34103 US
Changed 04/03/2007
Registered Agent Name & Address
C T CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION FL 33324 US
Name Changed: 05/13/1996
Address Changed: 05/13/1996
Officer/Director Detail
Name & Address
Title DP
HUGHES, KATHLEEN K DCEOP
1210 STONE COURT
MARCO ISLAND FL 34145
Annual Reports
Report Year Filed Date
2008 02/29/2008
http://www . sunbiz.org/ scri pts/ cordet.exe ?action= D ETFIL&inq_ doc number= P9 5 000045 9... 6/25/2009
Www.sunbiz.org - Department of State
Page 2 of2
2008 05/30/2008
2009 03/01/2009
Document Images
03/01./200\1..=ljNNLJAlBEE>QRI
0!'1!30aJLQ~=6Nf'JLJ6'=..Rl;J:.QJ3I
0.2!2.\1/2.00~~~n6J'IINl.JA'=R.l;J::>ORI
04/03/2007 -- ANNUAL REPORT
04/14/2006 -- ANNUAL REPORT
02/21J2.00!'1 -- ANNUAL REPORT
01/2(3/2004 =.- ANNUAL REPORT
01/21~003--ANNUALREPORT
03/2~/2Q02.=ANNl.JAL REPORT
01/30/2001 -- ANNUAL REPORT
01/.1.\1/2000=.6NN.l.JAl....Rl;PQRT..
OJ/2~11\1\1\1=ANNLJA'=Bl; P 0 R T
OJ/22./1 \1\1~::nANNLJAl.RE P 0 R T
01/29/19.\1] -- ANNUAL REPORT
04/19/1 \196=-ANNLJAl. REPORT
0(3/13/1\1\1!'1=POC LJMl;NI$P BIQRT OJ \197
I Note: This is not official record. See documents if question or conflict.
Previous OILList
Next on List Return To List
IEntity Name Search
$~6P1it>1
No Events
No Name History
I Home I Contact us I Document Searches I E-Filing Services I Forms I HelD I
Copyright and Privacy Policies
Copyright @ 2007 State of Florida, Department of State,
http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq doc number=P950000459... 6/25/2009