#09-5227 (Premier Home Health Care of Florida)
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
Maranatha Home Care Inc. d/b/ a Premier Home Health Care of Florida, authorized to do
business in the State of Florida, whose business address is 5440 Park Central Court, Naples,
Florida 34109-6003, 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. ST A TEMENT 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 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:
Maranatha Home Care, Inc. d/b/ a Premier Home Health Care of Fla.
5440 Park Central Court
Naples, FL 34109-6003
Attention: Gregory Turchan, COO
Telephone: 239-597-7118
Facsimile: 239-597-7624
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.
h'
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
}imits 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 AdditiOJ';Yc(1 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.
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 U.s.e. 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.
By: ( .
Dateo.;'\ . . "
.~...J.SE.A.4)_'.""'a.,"* ,
/~IJI:~~'
...-.. ::, 'S~;I ',:'
BOARD OF COUNTY COMMISSIONERS
COLLIER C~OU TY, FLORIDA _
~d~
By:
Donna Fiala, Chairman
ATTEST:
Dwight E. Brock, Clerk of Courts
Maranatha Home Care, Inc. d/b/a
Premier Home Health Care of Florida
',.L:"".)
~~~M
.~ V 4v~ ()
tType print witness namet
~ af1,
Second Witness f
By:
e~
Gregory Turchan, COO
Typed signature and title
])ad~e Gd~
tType/print witne s namet
Approved as to form and
~f;e7?j~
AssiBtam County Attorney
btf~ ~I
S {.; If 12 kA-~L...
Print Name
Page 6 of7
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 7 of7
~
~R CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
OP ID GR 07/23/09
PREMI-4
Ruuuc;t:R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Miller & Miller Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
720 Commerce street AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Thornwood NY 10594
Phone: 914-741-6400 Fax:914-741-6407 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Columbia Casualty Co 1/1,7
Maranatha Home Care Inc INSURER 8 National Continental Ins ifn.q "3
DBA premier Home Health Care INSURER c. Hartford Fire Insurance Co 162
of Florida
5440 Park Central Court, ste 2 INSURER D' Commerce & Industry Ins Co 19410
Naples FL 34108
I INSURER E Allied World Hat' 1 AssuranceCo
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED N01\'l/ITHSTANDING
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
'L~!i' NSR[ POLICY NUMBER Dl'T~(MMlDDIYYYY) 'ULll.Y LIMITS
T'!PE OF INSURANCE DATE (MMlDDIYYYY)
GENERAL LIABILIT'! EACH OCCURRENCE $1,000,000 ,/
- 02/02/09 -UAMAlit: I U r<co" I eLl
A X X COMMERCIAL GENERAL LIABILITY HMA2097466454-1 02/02/10 PREMISES (Ea occurence) $ 50,000
- o CLAIMS MADE ~ OCCUR
- MED EXP (Anyone person) $ 5,000
A X Professional Liab HMA2097466454-1 02/02/09 02/02/10 PERSONAL & PDV INJURY $1,000,000
-
CLAIMS MADE GENERAL AGGREGATE $ 3,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS, COMP/OP AGG $3,000,000
I n PRO- nLOC
POLICY JECT ./
AUTOMOBILE LIABILITY
- COMBINED SINGLE LIMIT $1,000,000../
B ANY AUTO CNYOO070829939 02/02/09 02/02/10 lEa accidenl)
-
ALL OWNED AUTOS BODIL Y INJURY
- (Per person) $
SCHEDULED AUTOS
-
X HIRED AUTOS BODIL Y INJURY
- (Per aCCident) $
X NON, OWNED AUTOS
-
C Fidelity Coverage 16BDDBP3248 02/02/09 02/02/10 PROPERTY DAMAGE
- $
Limit $50,000 (Per accident)
GARAGE LIABILITY AUTO ONL Y . EA ACCIDENT $
l ANY AUTO OTHER THAN EAACC $
AUTO ONL Y AGG $
EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 10,000,000
A ~ OCCUR ~ CLAIMS MADE HMC2097466468-1 02/02/09 02/02/10 AGGREGATE $10,000,000
$
~ DEDUCTIBLE $
X RETENTION $10,000 --:.;;" $
WORKERS COMPENSATION x~1 IU~~- ./
AND EMPLOYERS' LIABILITY YIN
D ANY PROPRIETOR/PARTNER/EXECUTIVE D WC5317307 02/19/09 02/19/10 E,L. EACH ACCIDENT $500,000 "'"
OFFICERiMEMBER EXCLUDED?
(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $500,000
If yes, describe under $ 500,000
SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT
OnlER
E Excess Liability C008983002 1/ 02/02/09 02/02/10 EachClaim 10,000,000
/ Aggregate 10,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDO~MENT I SPECIAL PROVISIONS
Collier County Government is named as additional insured AS PER WRITTEN
CONTRACT.*Policies shown are subject to terms, conditions, exclusions,
sublimits and deductibles not listed on this certificate. We recommend that
requests for policy copies be directed to the Named Insured shown above. *
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
COLLIE7 DATE nlEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRnTEN
NOTICE TO nlE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Collier County Government
3301 Tamiami Trail East
ales FL 34112
ACORD 25 (2009/01)
/
@1988-2009ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s),
DISCLAIMER
This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized
representative or producer, and the certificate holder, nor does it affirmatively or negatively amend,
extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2009/01)
Date:
tf'~~
,.;.:!3if ~
(l 1
s (O,~
~v ,).f ,~: ~ l
YJ'f.,J1 ~~
REQUEST FOR LEGAL SERVICES t;1tr
July 24, 2009
Office of the County Attorney \' vJ. 1 ( (\ ~ j
Jeff Klatzkow ~ J- 1<- ~ '::> IV ' .
Lyn M. Wood, C.P.M., Contract Specialist ..kJ ({,.J,l l ) ~1
Purchasing Department, Extension 2667 'lJf ~ ~ J--o 1" i>~
Contract: #09-5227 "Services for Seniors" ., I'+~ ~ YI "
Contractor: Maranatha Home Care, Inc. d/b/a Premier Home I":..n A
Health Care of Florida &} ~:) b 1
"'ts~;*d. ~-\\ -09
-Ow (-\"0-0
! "~(:::(IDAT,E1BECEIVED:
\","i i ,',/:...... 1_..Jj [J;r
1<\ \/ ~ - \ ~:.- /
'I j r i
ITEM NO.: 01.- we- Ot~~q
FILE NO.:
ROUTED TO:
DO NOT WRITE ABOVE THIS LINE
To:
From:
Re:
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
MEMORANDUM
TO: Ray Carter
Risk Management Department
FROM: Lyn M. Wood, C.P.M., Contract Specialist
Purchasing Department
yY
Ji: <</"' 2j->r
DATE: July 24,2009
RE: Review Insurance for Contract: #09-5227 "Services for Seniors"
Contractor: Maranatha Home Care, Inc. d/b/a Premier Home
Health Care of Florida
This Contract was approved by the BCC on June 23, 2009, Agenda Item
16. E.1 0
Please review the I nsurance 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
RE.C€.\\IE.D
~\}l 111'U'U~
N~Gt.N\E-~n
H\S\Z W\P--
mausen_g
From:
Sent:
To:
Cc:
Subject:
RaymondCarter
Monday, July 27,200910:04 AM
LynWood
mausen_g; DeLeonDiana; DanielsTerri
Contract 09-5227 " Services for Seniors"
All, I have approved the certificate of insurance provided by Maranatha Home Care, Inc. d/b/a/ Premier Home Health
Care of Florida. 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
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MARANATHA HOME CARE, INC.
Filing Information
Document Number G07577
FElfEIN Number 592329885
Date Filed 11/08/1982
State FL
Status ACTIVE
Last Event CANCEL ADM DISS/REV
Event Date Filed 12/09/2008
Event Effective Date NONE
Principal Address
5440 PARK CENTRAL COURT
SUITE # 2
NAPLES FL 34109 US
Changed 12/09/2008
Mailing Address
360 HAMILTON AVENUE
SUITE 120
WHITE PLAINS NY 10601 US
Changed 12/09/2008
Registered Agent Name & Address
SCHWABE, ARTHUR
5440 PARK CENTRAL COURT
SUITE 2
NAPLES FL 34109 US
Name Changed: 11/06/2006
Address Changed: 12/09/2008
Officer/Director Detail
Name & Address
Title PD
SCHWABE, ARTHUR
360 HAMILTON AVENUE
WHITE PLAINS NY 10601
Title ST
http://www.sunbiz.org/scripts/cordet.exe?action=D ETFIL&inq_ doc _ number=G07577 &in... 6/24/2009
www.sunbiz.org - Department of State
SCHWABE, PAUL
360 HAMilTON AVENUE
WHITE PLAINS NY 10601
Annual Reports
Report Year Filed Date
2007 04/18/2007
2008 12/09/2008
2009 03/19/2009
Document Images
03,119/2009 = ANNlJAl REPORT
12/09/200a = REINSIA Ti::MENT
04/18/2007 = ANNUAL REPORT
lliOJ3/2009-- ANNUAL REF:QB.I
02/03/2009 =ANNUALRE:pORT
04/15/2005 = ANNUAL REPORT
05/0~120(H=At'lNJ.JAL. RI;PORI
Q1LO~,I2QQ3 -- ANNUAL REPORT
0~/22t2002=ANNL.JALBI;PORT
09/25/200 1=ANNL.JAL REPO RT
09/15,12000 =ANNlJAL, RI;PORT
Q~L1/1999 =.-AN.1J UAL"REF:>QB.I
03/23/1998 -- ANNUA.-LBEF:QRJ
03/14!1~91_-=--ANf'-JL.J.AL-BEPQB~
01118/1996 -- ANNUAL REPORT
04/17/1995 -- ANNUAL REPORT
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· Pl};;!!/}!!1;:!i7da
June 26,2009
To: Collier County
SIGNATURE AUTHORIZATION LETTER
I, Arthur Schwabe, President and CEO of Maranatha Home Care, Inc. d/b/a
Premier Home Health Care of Florida, authorize Gregory Turchan, Chief
Operating Officer, to sign a Contract on behalf Maranatha Home Care, Inc, d/b/a
Premier Home Health Care of Florida.
~jkta !i~~
Signed
UrfhLA-Y ~chWL1hf '~/Sld'fiI1+attcl C[()
Printed Name and Title: I
'7/2.3/0q
Date ' { ,
~~// vt/l ~ 1-23~-(~
7' ?&GL-:7 " I
AlI~t: J. LOUS8ERG "__
NOTARY PUBLIC S11\TE OF NEWYOttlK
r\'O D';C()6043539
<'I.. QIJAL.!m;UI:\:,i~~;TC:HF:::;S COUNTY
COMfy1I"SluN L\I'IRt:S.lLii~Elg, 20lJl.
360 Hamilton Avenue, Suite 120, White Plains. ~~ew York 10601 Phone 914-428-7722 Fax 914A28.2404
P!i!i!):!~lj/!id(/
June 26, 2009
To: Collier County
SIGNATURE AUTHORIZATION LETTER
I, Arthur Schwabe, President and CEO of Maranatha Home Care, Inc. d/b/a
Premier Home Health Care of Florida, authorize Gregory Turchan, Chief
Operating Officer, to sign a Contract on behalf Maranatha Home Care, Inc. d/b/a
Premier Home Health Care of Florida.
~~
Signed
drfhlAY Schwahe f;tt;I(J~J-aV\cI CE()
Printed Name and Title: I
(/23 J 01
Date l
360 Hamilton Avenue, SUite 120, White PlainS, New York 106O'i Phone 914/128/722 Fax 914-428-2404
RLS# tFl-lu- ()/2Z1'
CHECKLIST FOR REVIEWING CONTRACTS
dlp/4 IR. €M1~ Hht'C.. ~t4"-r/l CARE ()F
( I FU'/t.,.p~
~Yes No
~-- -
~_Yes No
Entity Name: M !+1iA.NA-ri411 ffoyuf- dA~f.. . INe.
,
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 $ j I\II.l .....
Products/CompVOp Required $
Personal & Advert Required $
Each Occurrence Required $__
Fire/Prop Damage Required $
Automobile Liability
Bodily Inj & Prop Required $ l M.l L..
Workers Compensation
Each accident Required $ 5'\1t1. '-IMI1
Disease Aggregate Required $
Disease Each Empl Required $
Umbrella Liability
Each Occurrence Provided $ I ()MtL
Aggregate Provided $~_
Does Umbrella sufficiently cover any underinsured portion?
Professional Liability
Each Occurrence Required $
Per Aggregate Required $
Other Insurance
Each Occur Type:f{I'~SS ~a.
~_Yes
~_Yes
Yes
~_Yes
Provided $
Provided $
Provided $
Provided $
Provided $
3 MolL
, \
I \Mol L-
t.
ro, ,eo
Provided $ l tv\..1I
Provided $ . f'~PJ 9f)()
Provided $ I "
Provided $ I'
No
No
-LNo
No
Exp. Date
Exp. Date
Exp. Date
Exp. Date
Exp, Date
Z[-z..(ID
If
. I
'"
II
Exp Date 2. ["%oIID
Exp Date 2./t"/iD
Exp Date , (
Exp Date ' I
Exp Date ? Jz.. l,D
Exp Date \ J
--0' es
Provided $
Provided $
Provided $ If) M.t L
Required $
-
County required to be named as additional insured?
County named as additional insured?
~Yes
\/,Yes
Indemnification
Does indemnification meet County standards?
Is County indemnifying other party?
/Yes
Yes
Performance Bond
Bond requirement referenced in contract?
If attached, expiration date of bond
Does dollar amount match contract?
Agent registered in Florida?
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: k 'ell (IF
Chairman's signature block?
Clerk's attestation signature block?
County Attorney's signature block?
-L.. Y es
....... Yes
~es
~Yes
","r@l\..(~A 7/''';
~Yes
V'" Yes
~Yes
Attachments
Are all required attachments included?
/Yes
No
Exp. Date
Exp. Date
Exp Date 2 /-z.. /,,
No
No
No
~o
Yes
No
?i III ) ~~ ",
~/
No
No
No
No ~
ReViewer Imtlals:
Date: q
04-COA- 0301 22