FY09/10 Florida DOH ContractCONTRACT BETWEEN
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF
THE COLLIER COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2009 -2010
This agreement ( "Agreement ") is made and entered into between the State of Florida,
Department of Health ( "State ") and the Collier County Board of County Commissioners
( "County "), through their undersigned authorities, effective October 1, 2009.
RECITALS
A. Pursuant to Chapter 154, F.S., the intent of the legislature is to "promote,
protect, maintain, and improve the health and safety of all citizens and visitors of this state
through a system of coordinated county health department services."
B. County Health Departments were created throughout Florida to satisfy this
legislative intent through "promotion of the public's health, the control and eradication of
preventable diseases, and the provision of primary health care for special populations."
C. Collier County Health Department ( "CHD ") is one of the County Health
Departments created throughout Florida. It is necessary for the parties hereto to enter into
this Agreement in order to assure coordination between the State and the County in the
operation of the CHD.
NOW THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
1. RECITALS. The parties mutually agree that the forgoing recitals are true and
correct and incorporated herein by reference.
2. TERM. The parties mutually agree that this Agreement shall be effective from
October 1, 2009, through September 30, 2010, or until a written agreement replacing this
Agreement is entered into between the parties, whichever is later, unless this Agreement is
otherwise terminated pursuant to the termination provisions set forth in paragraph 8,
below.
3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD
shall provide those services as set forth on Part III of Attachment II hereof, in order to
maintain the following three levels of service pursuant to Section 154.01(2), Florida
Statutes, as defined below:
a. "Environmental health services" are those services which are organized and
operated to protect the health of the general public by monitoring and regulating activities
in the environment which may contribute to the occurrence or transmission of disease.
Environmental health services shall be supported by available federal, state and local
funds and shall include those services mandated on a state or federal level. Examples of
environmental health services include, but are not limited to, food hygiene, safe drinking
water supply, sewage and solid waste disposal, swimming pools, group care facilities,
migrant labor camps, toxic material control, radiological health, and occupational health.
b. "Communicable disease control services" are those services which protect the
health of the general public through the detection, control, and eradication of diseases
which are transmitted primarily by human beings. Communicable disease services shall
be supported by available federal, state, and local funds and shall include those services
mandated on a state or federal level. Such services include, but are not limited to,
epidemiology, sexually transmissible disease detection and control, HIV /AIDS,
immunization, tuberculosis control and maintenance of vital statistics.
c. "Primary care services" are acute care and preventive services that are made
available to well and sick persons who are unable to obtain such services due to lack of
income or other barriers beyond their control. These services are provided to benefit
individuals, improve the collective health of the public, and prevent and control the spread
of disease. Primary health care services are provided at home, in group settings, or in
clinics. These services shall be supported by available federal, state, and local funds and
shall include services mandated on a state or federal level. Examples of primary health
care services include, but are not limited to: first contact acute care services; chronic
disease detection and treatment; maternal and child health services; family planning;
nutrition; school health; supplemental food assistance for women, infants, and children;
home health; and dental services.
4. FUNDING. The parties further agree that funding for the CHD will be handled as
follows:
a. The funding to be provided by the parties and any other sources are set forth in Part
of Attachment II hereof. This funding will be used as shown in Part I of Attachment II.
i. The State's appropriated responsibility (direct contribution excluding any state fees,
Medicaid contributions or any other funds not listed on the Schedule C) as provided in
Attachment II, Part II is an amount not to exceed $ 7,130,317 (State General
Revenue, Other State Funds and Federal Funds listed on the Schedule C). The State's
obligation to pay under this contract is contingent upon an annual appropriation
by the Legislature.
ii. The County's appropriated responsibility (direct contribution excluding any fees,
othercash orlocal contributions) as provided in Attachment II, Part II is an amount not
to exceed $1,407,900 (amount listed under the "Board of County Commissioners Annual
Appropriations section of the revenue attachment).
b. Overall expenditures will not exceed available funding or budget authority,
whichever is less, (either current year or from surplus trust funds) in any service category.
Unless requested otherwise, any surplus at the end of the term of this Agreement in the
County Health Department Trust Fund that is attributed to the CHD shall be carried
forward to the next contract period.
2
c. Either party may establish service fees as allowed by law to fund activities of the
CHD. Where applicable, such fees shall be automatically adjusted to at least the Medicaid
fee schedule.
d. Either party may increase or decrease funding of this Agreement during the term
hereof by notifying the other party in writing of the amount and purpose for the change in
funding. If the State initiates the increase /decrease, the CHD will revise the Attachment II
and send a copy of the revised pages to the County and the Department of Health, Bureau
of Budget Management. If the County initiates the increase /decrease, the County shall
notify the CHD. The CHD will then revise the Attachment II and send a copy of the revised
pages to the Department of Health, Bureau of Budget Management.
e. The name and address of the official payee to who payments shall be made is:
County Health Department Trust Fund
Collier County
3301 Tamiami Trail E., Bldg. H
Naples, FL 34112
5. CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director /administrator
of the CHD shall be a State employee or under contract with the State and will be under
the day -to -day direction of the Deputy State Health Officer. The director /administrator
shall be selected by the State with the concurrence of the County. The
director /administrator of the CHD shall insure that non - categorical sources of funding are
used to fulfill public health priorities in the community and the Long Range Program Plan.
A report detailing the status of public health as measured by outcome measures and
similar indicators will be sent by the CHD director /administrator to the parties no later than
October 1 of each year (This is the standard quality assurance "County Health Profile" report located on
the Office of Planning, Evaluation & Data Analysis Intranet site).
6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that
the following standards should apply in the operation of the CHD:
a. The CHD and its personnel shall follow all State policies and procedures, except to
the extent permitted for the use of county purchasing procedures as set forth in
subparagraph b., below. All CHD employees shall be State or State - contract personnel
subject to State personnel rules and procedures. Employees will report time in the Health
Management System compatible format by program component as specified by the State.
b. The CHD shall comply with all applicable provisions of federal and state laws and
regulations relating to its operation with the exception that the use of county purchasing
procedures shall be allowed when it will result in a better price or service and no statewide
Department of Health purchasing contract has been implemented for those goods or
services. In such cases, the CHD director /administrator must sign a justification therefore,
and all county - purchasing procedures must be followed in their entirety, and such
compliance shall be documented. Such justification and compliance documentation shall
be maintained by the CHD in accordance with the terms of this Agreement. State
procedures must be followed for all leases on facilities not enumerated in Attachment IV.
c. The CHD shall maintain books, records and documents in accordance with those
promulgated by the Generally Accepted Accounting Principles (GAAP) and Governmental
Accounting Standards Board (GASB), and the requirements of federal or state law. These
records shall be maintained as required by the Department of Health Policies and
Procedures for Records Management and shall be open for inspection at any time by the
parties and the public, except for those records that are not otherwise subject to disclosure
as provided by law which are subject to the confidentiality provisions of paragraph 6.i.,
below. Books, records and documents must be adequate to allow the CHD to comply with
the following reporting requirements:
i. The revenue and expenditure requirements in the Florida Accounting
System Information Resource (FLAIR).
ii. The client registration and services reporting requirements of the
minimum data set as specified in the most current version of the Client
Information System /Health Management Component Pamphlet;
W. Financial procedures specified in the Department of Health's Accounting
Procedures Manuals, Accounting memoranda, and Comptroller's
memoranda;
iv. The CHD is responsible for assuring that all contracts with service
providers include provisions that all subcontracted services be reported
to the CHD in a manner consistent with the client registration and
service reporting requirements of the minimum data set as specified in
the Client Information System /Health Management Component
Pamphlet.
d. All funds for the CHD shall be deposited in the County Health Department Trust
Fund maintained by the state treasurer. These.funds shall be accounted for separately
from funds deposited for other CHDs and shall be used only for public health purposes in
Collier County.
e. That any surplus /deficit funds, including fees or accrued interest, remaining in the
County Health Department Trust Fund account at the end of the contract year shall be
credited /debited to the state or county, as appropriate, based on the funds 'contributed by
each and the expenditures incurred by each. Expenditures will be charged to the program
accounts by state and county based on the ratio of planned expenditures in the core
contract and funding from all sources is credited to the program accounts by state and
county. The equity share of any surplus /deficit funds accruing to the state and county is
determined each month and at contract year -end. Surplus funds may be applied toward
the funding requirements of each participating governmental entity in the following year.
However, in each such case, all surplus funds, including fees and accrued interest, shall
remain in the trust fund until accounted for in a manner which clearly illustrates the amount
which has been credited to each participating governmental entity. The planned use of
4
surplus funds shall be reflected in Attachment II, Part I of this contract, with special capital
projects explained in Attachment V.
f. There shall be no transfer of funds between the three levels of services without a
contract amendment unless the CHD director /administrator determines that an emergency
exists wherein a time delay would endanger the public's health and the Deputy State
Health Officer has approved the transfer. The Deputy State Health Officer shall forward
written evidence of this approval to the CHD within 30 days after an emergency transfer.
g. The CHD may execute subcontracts for services necessary to enable the CHD to
carry out the programs specified in this Agreement. Any such subcontract shall include all
aforementioned audit and record keeping requirements.
h. At the request of either party, an audit may be conducted by an independent CPA
on the financial records of the CHD and the results made available to the parties within
180 days after the close of the CHD fiscal year. This audit will follow requirements
contained in OMB Circular A -133 and may be in conjunction with audits performed by
county government. If audit exceptions are found, then the director /administrator of the
CHD will prepare a corrective action plan and a copy of that plan and monthly status
reports will be furnished to the contract managers for the parties.
L The CHD shall not use or disclose any information concerning a recipient of
services except as allowed by federal or state law or policy.
j. The CHD shall retain all client records, financial records, supporting documents,
statistical records, and any other documents (including electronic storage media) pertinent
to this Agreement for a period of five (5) years after termination of this Agreement. If an
audit has been initiated and audit findings have not been resolved at the end of five (5)
years, the records shall be retained until resolution of the audit findings.
k. The CHD shall maintain confidentiality of all data, files, and records that are
confidential under the law or are otherwise exempted from disclosure as a public record
under Florida law. The CHD shall implement procedures to ensure the protection and
confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65
and 456.057, Florida Statutes, and all other state and federal laws regarding
confidentiality. All confidentiality procedures implemented by the CHD shall be consistent
with the Department of Health Information Security Policies, Protocols, and Procedures,
dated April 2005, as amended, the terms of which are incorporated herein by reference.
The CHD shall further adhere to any amendments to the State's security requirements and
shall comply with any applicable professional standards of practice with respect to client
confidentiality.
I. The CHD shall abide by all State policies and procedures, which by this reference
are incorporated herein as standards to be followed by the CHD, except as otherwise
permitted for some purchases using county procedures pursuant to paragraph 6.b. hereof.
m. The CHD shall establish a system through which applicants for services and current
clients may present grievances over denial, modification or termination of services. The
5
CHD will advise applicants of the right to appeal a denial or exclusion from services, of
failure to take account of a client's choice of service, and of his /her right to a fair hearing to
the final governing authority of the agency. Specific references to existing laws, rules or
program manuals are included in Attachment I of this Agreement.
n. The CHD shall comply with the provisions contained in the Civil Rights Certificate,
hereby incorporated into this contract as Attachment III.
o. The CHD shall submit quarterly reports to the county that shall include at least the
following:
L The DE3851-1 Contract Management Variance Report and the DE580L1
Analysis of Fund Equities Report;
ii. A written explanation to the county of service variances reflected in the
DE3851-1 report if the variance exceeds or falls below 25 percent of the planned
expenditure amount. However, if the amount of the service specific variance
between actual and planned expenditures does not exceed three percent of the
total planned expenditures for the level of service in which the type of service is
included, a variance explanation is not required. A copy of the written
explanation shall be sent to the Department of Health, Bureau of Budget
Management.
p. The dates for the submission of quarterly reports to the county shall be as follows
unless the generation and distribution of reports is delayed due to circumstances beyond
the CND's control:
L March 1, 2010 for the report period October 1, 2009 through
December 31, 2009;
ii. June 1, 2010 for the report period October 1, 2009 through
March 31, 2010;
iii. September 1, 2010 for the report period October 1, 2009
through June 30, 2010; and
iv. December 1, 2010 for the report period October 1, 2009
through September 30, 2010.
7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
a. CHD facilities shall be provided as specified in Attachment IV to this contract and
the county shall own the facilities used by the CHD unless otherwise provided in
Attachment IV.
b. The county shall assure adequate fire and casualty insurance coverage for County -
owned CHD offices and buildings and for all furnishings and equipment in CHD offices
through either a self- insurance program or insurance purchased by the County.
c. All vehicles will be transferred to the ownership of the County and registered as
county vehicles. The county shall assure insurance coverage for these vehicles is
available through either a self- insurance program or insurance purchased by the County.
All vehicles will be used solely for CHD operations. Vehicles purchased through the
County Health Department Trust Fund shall be sold at fair market value when they are no
longer needed by the CHD and the proceeds returned to the County Health Department
Trust Fund.
8. TERMINATION.
a. Termination at Will. This Agreement may be terminated by either party without
cause upon no less than one - hundred eighty (180) calendar days notice in writing to the
other party unless a lesser time is mutually agreed upon in writing by both parties. Said
notice shall be delivered by certified mail, return receipt requested, or in person to the
other party's contract manager with proof of delivery.
b. Termination Because of Lack of Funds. In the event funds to finance this
Agreement become unavailable, either party may terminate this Agreement upon no less
than twenty -four (24) hours notice. Said notice shall be delivered by certified mail, return
receipt requested, or in person to the other party's contract manager with proof of delivery.
c. Termination for Breach. This Agreement may be terminated by one party, upon no
less than thirty (30) days notice, because of the other party's failure to perform an
obligation hereunder. Said notice shall be delivered by certified mail, return receipt
requested, or in person to the other party's contract manager with proof of delivery.
Waiver of breach of -any provisions of this Agreement shall not be deemed to be a waiver
of any other breach and shall not be construed to be a modification of the terms of this
Agreement.
9. MISCELLANEOUS. The parties further agree:
a. Availability of Funds. If this Agreement, any renewal hereof, or any term,
performance or payment hereunder, extends beyond the fiscal year beginning July 1,
2010, it is agreed that the performance and payment under this Agreement are contingent
upon an annual appropriation by the Legislature, in accordance with section 287.0582,
Florida Statutes.
b. Contract Managers. The name and address of the contract managers for the
parties under this Agreement are as follows:
For the State:
Joan M. Colfer, M.D., M.P.H.
Name
Director Collier County Health Dept
Title
3301 Tamiami Trail E., Bldg. H
Naples, Florida 34112
Address
(239) 252 -8201
Telephone
For the County:
Marla Olsvig Ramsey
Name
Public Services Administrator
Title
3301 Tamiami Trail E., Bldg. H
Naples, Florida 34112
Address
(39) 252 -8383
Telephone
If different contract managers are designated after execution of this Agreement, the name,
address and telephone number of the new representative shall be furnished in writing to
the other parties and attached to originals of this Agreement.
C. Captions. The captions and headings contained in this Agreement are for
the convenience of the parties only and do not in any way modify, amplify, or give
additional notice of the provisions hereof.
In WITNESS THEREOF, the parties hereto have caused this 27 page agreement to be
executed by their undersigned officials as duly authorized effective the 1St day of October, 2009.
BOARD OF COUNTY COMMISSIONERS
FOR COLLIER COUNTY
SIGNED BY:- BY:
NAME: Donna Fiala
TITLE: Chairman
Al,
roved as Cy
Dom! Candy Atteiney
STATE OF FLORIDA
DEPARTMENT OF HEALTH
NAME: Ana M. Viamonte Ros, M.D.. M.P.H.
TITLE: State Surgeon General
DATE:
•C - SIGNED F4J
NAME: oa . Colfer, M.D. L.P.H.
TITLE: CHD Director /Administrator
DATE: 0.90 bA,)_ l 'd , aCo9
Z
ATTACHMENT
COLLIER COUNTY HEALTH DEPARTMENT
PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING
COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS
Some health services must comply with specific program and reporting requirements in addition to the Personal Health
Coding Pamphlet (DHP 50 -20), Environmental Health Coding Pamphlet (DHP 50 -21) and FLAIR requirements
because of federal or state law, regulation or rule. If a county health department is funded to provide one of these
services, it must comply with the special reporting requirements for that service. The services and the reporting
requirements are listed below:
2.
4
5.
A
7.
E1
a
Service Requirement
Sexually Transmitted Disease Requirements as specified in FAC 64D -3, F.S. 381 and
Program F.S. 384 and the CHD Guidebook.
Dental Health Monthly reporting on DH Form 1008 *.
Special Supplemental Nutrition
Service documentation and monthly financial reports as
Program for Women, Infants
specified in DHM 150 -24* and all federal, state and county
and Children.
requirements detailed in program manuals and published
procedures.
Healthy Start/
Requirements as specified in the 2007 Healthy Start
Improved Pregnancy Outcome
Standards and Guidelines and as specified by the Healthy
Start Coalitions in contract with each county health
department.
Family Planning
Periodic financial and programmatic reports as specified
by the program office and in the CHD Guidebook, Internal
Operating Policy FAMPLAN 14*
Immunization
Periodic reports as specified by the department regarding
the surveillance /investigation of reportable vaccine
preventable diseases, vaccine usage accountability, the
assessment of various immunization levels and forms
reporting adverse events following immunization and
Immunization Module quarterly quality audits and duplicate
data reports.
Chronic Disease Program
Requirements as specified in the Healthy Communities,
Healthy People Guidebook.
Environmental Health
Requirements as specified in Environmental Health Programs
Manual 150 -4* and DHP 50 -21*
HIV /AIDS Program
Requirements as specified in.F.S. 384.25 and
64D -3.016 and 3.017 F.A.C. and the CHD Guidebook. Case
reporting should be on Adult HIV /AIDS Confidential Case
Report CDC Form 50.42A and Pediatric HIV /AIDS
Confidential Case Report CDC Form 50.42B. Socio-
demographic data on persons tested for HIV in CHD clinics
should be reported on Lab Request DH Form 1628
10
ATTACHMENT I (Continued)
or Post -Test Counseling DH Form 1628C. These reports are
to be sent to the Headquarters HIV /AIDS office within 5 days
of the initial post -test counseling appointment or within 90
days of the missed post -test counseling appointment.
10. School Health Services Requirements as specified in the Florida School Health
Administrative Guidelines (April 2007).
*or the subsequent replacement if adopted during the contract period.
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ATTACHMENT II.
COLLIER COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2009 to September 30, 2010
State CHD
County
Total CHD
Trust Fund
CHD
Trust Fund
Other
(cash)
Trust Fund
(cash)
Contribution
Total
1. GENERAL REVENUE - STATE
015040
ALG /CONTR. TO CHDS -MCH HEALTH - FIELD STAFF COST
0
0
0
0
0
015040
ALG /CONTRIBUTION TO CHDS - PRIMARY CARE
26,267
0
26,267
0
26,267
015040
ALG/IPO HEALTHY START/IPO
0
0
0
0
0
015040
ALG /SCHOOL HEALTH/SUPPLEMENTAL
0
0
0
0
0
015040
CLOSING THE GAP PROGRAM
0
0
0
0
0
015040
COMMUNITY SMILES - DADE
0
0
0
0
0
015040
COUNTY SPECIFIC DENTAL PROJECTS - ESCAMBIA
0
0
0
0
0
015040
DUVAL TEEN PREGNANCY PREVENTION
0
0
0
0
0
015040
FL CLPPP SCREENING & CASE MANAGEMENT
0
0
0
0
0
015040
HEALTHY BEACHES MONITORING
23,856
0
23,856
0
23,856
015040
HEALTHY START MED- WAIVER - CLIENT SERVICES
0
0
0
0
0
015040
MANATEE COUNTY RURAL HEALTH SERVICES
0
0
0
0
0
015040
MINORITY OUTREACH - PENALVER CLINIC -DADE
0
0
0
0
0
015040
SPECIAL NEEDS SHELTER PROGRAM
0
0
0
0
0
015040
STD GENERAL REVENUE
0
0
0
0
0
015040
ALG /CONTR TO CHDS- DENTAL PROGRAM
19,802
0
19,802
0
19,802
015040
ALG /CONTR. TO CHDS - IMMUNIZATION OUTREACH TEAMS
26,589
0
26,589
0
26,589
015040
ALG /CONTR TO CHDS -AIDS PATIENT CARE
100,000
0
100,000
0
100,000
015040
ALG /CONTR TO CHDS -AIDS PREV & SURV & FIELD STAFF
92,344
0
92,344
0
92,344
015040
ALG /CONTR. TO CHDS - INDOOR AIR ASSIST PROG
0
0
0
0
0
015040
ALG /CONTR TO CHDS - MIGRANT LABOR CAMP SANITATION
102,806
0
102,806
0
102,806
015040
ALG/FAMILY PLANNING
47,028
0
47,028
0
47,028
015040
ALG /CONTR. TO CHDS - SOVEREIGN IMMUNITY
0
0
0
0
0
015040
VARICELLA IMMUNIZATION REQUIREMENT
14,214
0
14,214
0
14,214
015040
STATEWIDE DENTISTRY NETWORK - ESCAMBIA
0
0
0
0
0
015040
PRIMARY CARE SPECIAL DENTAL PROJECTS
0
0
0
0
0
015040
METRO ORLANDO URBAN LEAGUE TEENAGE PREG PREV
0
0
0
0
0
015040
LA LIGA CONTRA EL CANCER
0
0
0
0
0
015040
HEALTHY START MED WAIVER - SOBRA
0
0
0
0
0
015040
FL HEPATITIS & LIVER FAILURE PREVENTION /CONTROL
186,012
0
186,012
0
186,012
015040
ENHANCED DENTAL SERVICES
0
0
0
0
0
015040
DENTAL SPECIAL INITIATIVE PROJECTS
0
0
0
0
0
015040
COMMUNITY TB PROGRAM
64,974
0
64,974
0
64,974
015040
COMMUNITY ENVIRONMENTAL HEALTH ADVISORY BOARD
0
0
0
0
0
015040
CATE - ESCAMBIA
0
0
0
0
0
015040
ALG/PRIMARY CARE
320,678
0
320,678
0
320,678
015040
ALG /CESSPOOL IDENTIFICATION AND ELIMINATION
0
0
0
0
0
015050
ALG /CONTR TO CHDS
2,526,982
0
2,526,982
0
2,526,982
GENERAL REVENUE TOTAL
3,551,552
0
3,551,552
0
3,551,552
2. NON GENERAL REVENUE- STATE
015010
IMMUNIZATION SPECIAL PROJECT
12,368
0
12,368
0
12,368
015010
PUBLIC SWIMMING POOL PROGRAM
0
0
0
0
0
015010
SUPPLEMENTAL /COMPREHENSIVE SCHOOL HEALTH - TOB TF
0
0
0
0
0
015010
ALG /CONTR TO CHDS- REBASING TOBACCO TF
32,134
0
32,134
0
32,134
015010
ALG /CONTR. TO CHDS - BIOMEDICAL WASTE/DEP ADM TF
9,177
0
9,177
0
9,177
015010
ALG /CONTR. TO CHDS -SAFE DRINKING WATER PRG/DEP ADM
0
0
0
0
0
015010
BASIC SCHOOL HEALTH - TOBACCO TF
137,218
0
137,218
0
137,218
ATTACHMENT H.
COLLIER COUNTY HEALTH DEPARTMENT
Part II. Sources of Contributions to County Health Department
October 1, 2009 to September 30, 2010
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
2. NON GENERAL REVENUE - STATE
015010
CHD PROGRAM SUPPORT
0
0
0
0
0
015010
ENVIRONMENTAL HEALTH PACE PROJECTS
0
0
0
0
0
015010
FOOD AND WATERBORNE DISEASE PROGRAM ADM TF/DACS
0
0
0
0
0
015010
FULL SERVICE SCHOOLS - TOBACCO TF
114,545
0
114,545
0
114,545
015020
ALG /CONTR. TO CHDS - BIOMEDICAL WASTE/DEP ADM TF
0
0
0
0
0
015020
ALG /CONTR. TO CHDS -SAFE DRINKING WATER PRG/DEP ADM
0
0
0
0
0
015020
FOOD AND WATERBORNE DISEASE PROGRAM ADM TF/DACS
0
0
0
0
0
NON GENERAL REVENUE TOTAL
305,442
0
305,442
0
305,442
3. FEDERAL FUNDS - State
007000
CHILDHOOD LEAD POISONING PREVENTION
0
0
0
0
0
007000
DIABETES PREVENTION & CONTROL PROGRAM
0
0
0
0
0
007000
FAMILY PLANNING EXPANSION FUNDS 2008 -09
0
0
0
0
0
007000
FGTFBREAST & CERVICAL CANCER -ADMIN/CASE MAN
0
0
0
0
0
007000
FGTF/FAMILY PLANNING-TITLE X
82,101
0
82,101
0
82,101
007000
FGTF /WIC ADMINISTRATION
1,834,480
0
1,834,480
0
1,834,480
007000
HEALTHY PEOPLE HEALTHY COMMUNITIES
19,155
0
19,155
0
19,155
007000
IMMUNIZATION FIELD STAFF EXPENSE
0
0
0
0
0
007000
IMMUNIZATION WIC - LINKAGES
0
0
0
0
0
007000
MCH BGTF- GADSDEN SCHOOL CLINIC
0
0
0
0
0
007000
PHP - CITIES READINESS INITIATIVE
0
0
0
0
0
007000
RAPE PREVENTION & EDUCATION GRANT
0
0
0
0
0
007000
RYAN WHITE
0
0
0
0
0
007000
BIOTERRORISM PLANNING & READINESS
13,504
0
13,504
0
13,504
007000
AFRICAN AMERICAN TESTING INITIATIVE (AATI)
0
0
0
0
0
007000
AIDS SURVEILLANCE
0
0
0
0
0
007000
RYAN WHITE -AIDS DRUG ASSIST PROG -ADMIN
77,951
0
77,951
0
77,951
007000
STD FEDERAL GRANT - CSPS
0
0
0
0
0
007000
STD PROGRAM - PHYSICIANS TRAINING CENTER
0
0
0
0
0
007000
STD PROGRAM - INFERTILITY PREVENTION PROJECT (IPP)
2,812
0
2,812
0
2,812
007000
TITLE X HIV /AIDS PROJECT
158,338
0
158,338
0
158,338
007000
WIC BREASTFEEDING PEER COUNSELING
44,056
0
44,056
0
44,056
007000
TUBERCULOSIS CONTROL - FEDERAL GRANT
114,972
0
114,972
0
114,972
007000
SYPHILIS ELIMINATION
0
0
0
0
0
007000
STD PROGRAM INFERTILITY PREVENTION PROJECT (IPP)
2,812
0
2,812
0
2,812
007000
STD PROGRAM - PHYSICIAN TRAINING CENTER
0
0
0
0
0
007000
RYAN WHITE- CONSORTIA
0
0
0
0
0
007000
BIOTERRORISM HOSPITAL PREPAREDNESS
28,000
0
28,000
0
28,000
007000
AIDS PREVENTION
208,644
0
208,644
0
208,644
007000
BIOTERRORISM SURVEILLANCE & EPIDEMIOLOGY
24,658
0
24,658
0
24,658
007000
COASTAL BEACH MONITORING PROGRAM
22,367
0
22,367
0
22,367
007000
FGTF/IMMUNIZATION ACTION PLAN
40,206
0
40,206
0
40,206
007000
FGTF /FAMILY PLANNING TITLE X SPECIAL INITIATIVES
56,313
0
56,313
0
56,313
007000
TITLE X MALE PROJECT
80,000
0
80,000
0
80,000
007000
ENVIRONMENTAL & HEALTH EFFECT TRACKING
0
0
0
0
0
007000
RYAN WHITE - EMERGING COMMUNITIES
0
0
0
0
0
007000
RISK COMMUNICATIONS
0
0
0
0
0
007000
PUBLIC HEALTH PREPAREDNESS BASE
120,010
0
120,010
0
120,010
ATTACHMENT IL
COLLIER COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2009 to September 30, 2010
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
3. FEDERAL FUNDS -State
007000
HIM MASS VACCINATION IMPLEMENTATION
007000
IMMUNIZATION -WIC LINKAGES
007000
IMMUNIZATION SUPPLEMENTAL
007000
HIV INCIDENCE SURVEILLANCE
007000
HEALTH PROGRAM FOR REFUGEES
015009
MEDIPASS WAIVER -HLTHY STRT CLIENT SERVICES
015009
MEDIPASS WAIVER -SOBRA
015075
REFUGEE SCREENING
015075
Summer Feeding Program
007050
ARRA- School Health Seasonal Flu Vaccinations
FEDERAL FUNDS TOTAL
4. FEES ASSESSED BY STATE OR FEDERALRULES - STATE
001020
TANNING FACILITIES
001020
BODY PIERCING
001020
MIGRANT HOUSING PERMIT
001020
MOBILE HOME AND PARKS
001020
FOOD HYGIENE PERMIT
001020
BIOHAZARD WASTE PERMIT
001020
PRIVATE WATER CONSTR PERMIT
001020
PUBLIC WATER ANNUAL OPER PERMIT
001020
PUBLIC WATER CONSTR PERMIT
001020
NON -SDWA SYSTEM PERMIT
001020
SAFE DRINKING WATER
001020
SWIMMING POOLS
001092
OSDS PERMIT FEE
001092
I & M ZONED OPERATING PERMIT
001092
AEROBIC OPERATING PERMIT
001092
SEPTIC TANK SITE EVALUATION
001092
NON SDWA LAB SAMPLE
001092
OSDS VARIANCE FEE
001092
ENVIRONMENTAL HEALTH FEES
001092
OSDS REPAIR PERMIT
001170
LAB FEE CHEMICAL ANALYSIS
001170
WATER ANALYSIS - POTABLE
001170
NONPOTABLE WATER ANALYSIS
010304
MQA INSPECTION FEE
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL
5. OTHER CASH CONTRIBUTIONS - STATE
010304
STATIONARY POLLUTANT STORAGE TANKS
090001
DRAW DOWN FROM PUBLIC HEALTH UNIT
OTHER CASH CONTRIBUTIONS TOTAL
6. MEDICAID - STATE /COUNTY
001056
MEDICAID PHARMACY
001076
MEDICAID TB
235,073
0
235,073
0
235,073
0
0
0
0
0
40,408
0
40,408
0
40,408
0
0
0
0
0
67,463
0
67,463
0
67,463
0
0
0
0
0
0
0
0
0
0
248,000
0
248,000
0
248,000
0
0
0
0
0
0
0
0
0
0
3,521,323
0
3,521,323
0
3,521,323
3,500
0
3,500
0
3,500
0
0
0
0
0
59,775
0
59,775
0
59,775
17,000
0
17,000
0
17,000
30,000
0
30,000
0
30,000
32,000
0
32,000
0
32,000
0
0
0
0
0
8,500
0
8,500
0
8,500
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
300,000
0
300,000
0
300,000
130,000
0
130,000
0
130,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30,470
0
30,470
0
30,470
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12,500
0
12,500
0
12,500
623,745
0
623,745
0
623,745
0
0
0
0
0
199,894
0
199,894
0
199,894
199,894
0
199,894
0
199,894
145,620
304,380
450,000
0
450,000
8,090
16,910
25,000
0
25,000
ATTACHMENT H.
COLLIER COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2009 to September 30, 2010
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
6. MEDICAID - STATE /COUNTY
001078 MEDICAID ADMINISTRATION OF VACCINE
001079 MEDICAID CASE MANAGEMENT
001081 MEDICAID CHILD HEALTH CHECK UP
001082 MEDICAID DENTAL 4
001083 MEDICAID FAMILY PLANNING
001087 MEDICAID STD
001089 MEDICAID AIDS
001147 MEDICAID HMO RATE
001191 MEDICAID MATERNITY
001192 MEDICAID COMPREHENSIVE CHILD
001193 MEDICAID COMPREHENSIVE ADULT
001194 MEDICAID LABORATORY
001208 MEDIPASS $3.00 ADM. FEE
001059 Medicaid Low Income Pool
001051 Emergency Medicaid
001058 Medicaid - Behavioral Health
001071 Medicaid - Orthopedic
001072 Medicaid - Dermatology
001075 Medicaid - School Health Certified Match
001069 Medicaid - Refugee Health
001055 Medicaid - Hospital
MEDICAID TOTAL 6
7. ALLOCABLE REVENUE - STATE
018000 REFUNDS
037000 PRIOR YEAR WARRANT
038000 12 MONTH OLD WARRANT
ALLOCABLE REVENUE TOTAL
8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE
PHARMACY SERVICES
LABORATORY SERVICES
TB SERVICES
IMMUNIZATION SERVICES
STD SERVICES
CONSTRUCTION/RENOVATION
WIC FOOD
ADAP
DENTAL SERVICES
OTHER (SPECIFY)
OTHER (SPECIFY)
OTHER STATE CONTRIBUTIONS TOTAL
9. DIRECT COUNTY CONTRIBUTIONS - COUNTY
008030 BCC Contribution from Health Care Tax
008034 BCC Contribution from General Fund
17,190 17,190 34,380 0 34,380
15,000 15,000 30,000 0 30,000
0 0 0 0 0
52,064 944,919 1,396,983 0 1,396,983
0 0 0 0 0
3,883 8,117 12,000 0 12,000
25,888 54,112 80,000 0 80,000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1,294 2,706 4,000 0 4,000
0 0 0 0 0
150 150 300 0 300
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
69,179 1,363,484 2,032,663 0 2,032,663
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 157,387 157,387
0 0 0 150,470 150,470
0 0 0 0 0
0 0 0 955,869 955,869
0 0 0 0 0
0 0 0 0 0
0 0 0 8,433,340 8,433,340
0 0 0 2,005,480 2,005,480
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 11,702,546 11,702,546
0 0 0 0 0
0 1,407,900 1,407,900 0 1,407,900
ATTACHMENT H.
COLLIER COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2009 to September 30, 2010
State CHD
County
Total CHD
Trust Fund
CHD
Trust Fund
Other
(cash)
Trust Fund
(cash)
Contribution
Total
DIRECT
COUNTY CONTRIBUTION TOTAL
0
1,407,900
1,407,900
0
1,407,900
10. FEES
AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY
001060
VITAL STATISTICS - FESS & SERVICES
0
1,000
1,000
0
1,000
001077
RABIES VACCINE
0
0
0
0
0
001077
CHILD CAR SEAT PROG
0
0
0
0
0
001077
PERSONAL HEALTH FEES
0
131,189
131,189
0
131,189
001077
AIDS CO -PAYS
0
0
0
0
0
001094
ADULT ENTER. PERMIT FEES
0
0
0
0
0
001094
LOCAL ORDINANCE FEES
0
601,087
601,087
0 .
601,087
001114
NEW BIRTH CERTIFICATES
0
60,000
60,000
0
60,000
001115
Vital Statistics - Death Certificate
0
215,000
215,000
0
215,000
001117
VITAL STATS -ADM. FEE 50 CENTS
0
3,500
3,500
0
3,500
001073
Co -Pay for the AIDS Care Program
0
0
0
0
0
001025
Client Revenue from GRC
0
0
0
0
0
FEES AUTHORIZED BY COUNTY TOTAL
0
1,011,776
1,011,776
0
1,011,776
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
001009
RETURNED CHECK ITEM
0
0
0
0
0
001029
THIRD PARTY REIMBURSEMENT
0
450,160
450,160
0
450,160
001029
HEALTH MAINTENANCE ORGAN. (HMO)
0
0
0
0
0
001054
MEDICARE PART D
0
525,000
525,000
0
525,000
001077
RYAN WHITE TITLE II
0
0
0
0
0
001090
MEDICARE PART B
0
155,200
155,200
0
155,200
001190
Health Maintenance Organization
0
0
0
0
0
005040
INTEREST EARNED
0
0
0
0
0
005041
INTEREST EARNED -STATE INVESTMENT ACCOUNT
0
0
0
0
0
007010
U.S. GRANTS DIRECT
0
0
0
0
0
008010
Contribution from City Government
0
0
0
0
0
008020
Contribution from Health Care Tax not thru BCC
0
0
0
0
0
008050
School Board Contribution
0
0
0
0
0
008060
Special Project Contribution
0
0
0
0
0
010300
SALE OF GOODS AND SERVICES TO STATE AGENCIES
0
0
0
0
0
010301
EXP WITNESS FEE CONSULTNT CHARGES
0
0
0
0
0
010405
SALE OF PHARMACEUTICALS
0
57,000
57,000
0
57,000
010409
SALE OF GOODS OUTSIDE STATE GOVERNMENT
0
0
0
0
0
011000
GRANT DIRECT -NOVA UNIVERSITY CHD TRAINING
0
0
0
0
0
011000
GRANT - DIRECT
0
357,858
357,858
0
357,858
011001
HEALTHY START COALITION CONTRIBUTIONS
0
377,480
377,480
0
377,480
011007
CASH DONATIONS PRIVATE
0
8,000
8,000
0
8,000
012020
FINES AND FORFEITURES
0
0
0
0
0
012021
RETURN CHECK CHARGE
0
0
0
0
0
028020
INSURANCE RECOVERIES -OTHER
0
0
0
0
0
090002
DRAW DOWN FROM PUBLIC HEALTH UNIT
0
133,263
133,263
0
133,263
011000
GRANT DIRECT - COUNTY HEALTH DEPARTMENT DIRECT SERVICES 0
0
0
0
0
011000
DIRECT -ARROW
0
0
0
0
0
011000
COUNTY COMMISSION - LIP FUND
0
160,050
160,050
0
160,050
011000
GRANT - DIRECT
0
0
0
0
0
011000
GRANT - DIRECT
0
0
0
0
0
ATTACHMENT II.
COLLIER COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2009 to September 30, 2010
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
011000
GRANT - DIRECT
011000
GRANT - DIRECT
011000
GRANT - DIRECT
011000
GRANT - DIRECT
011000
GRANT DIRECT-ARROW
011000
GRANT DIRECT - QUANTUM DENTAL
011000
GRANT DIRECT - HEALTH CARE DISTRICT PAHOKEE
010402
Recycled Material Sales
010303
FDLE Fingerprinting
007050
ARRA Federal Grants Direct to CHD
001010
Recovery of Bad Checks
008065
FCO Contribution
011006
Restricted Cash Donation
028000
Insurance Recoveries
001033
CMS Management Fee - PMPMPC
010400
Sale of Goods Outside State Government
010500
Refugee Health
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL
12. ALLOCABLE REVENUE - COUNTY
018000
REFUNDS
037000
PRIOR YEAR WARRANT
038000
12 MONTH OLD WARRANT
COUNTY ALLOCABLE REVENUE TOTAL
13. BUILDINGS - COUNTY
Total
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 2,224,011
2,224,011
0
2,224,011
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
ANNUAL RENTAL EQUIVALENT VALUE
0
GROUNDS MAINTENANCE
0
OTHER (SPECIFY)
0
INSURANCE
0
UTILITIES - TELEPHONE, ELECTRIC, WATER & SEWER
0
RENT - WIC GOLDEN GATE SITE
0
BUILDING MAINTENANCE
0
BUILDINGS TOTAL
0
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND
- COUNTY
EQUIPMENTNEHICLE PURCHASES
0
VEHICLE INSURANCE
0
VEHICLE MAINTENANCE
0
OTHER COUNTY CONTRIBUTION (SPECIFY)
0
OTHER COUNTY CONTRIBUTION (SPECIFY)
0
OTHER COUNTY CONTRIBUTIONS TOTAL 0
GRAND TOTAL CHD PROGRAM 8,871,135
0
0
525,048
525,048
0
0
195,149
195,149
0
0
0
0
0
0
0
0
0
0
243,000
243,000
0
0
49,000
49,000
0
0
74,342
74,342
0
0
1,086,539
1,086,539
0
0
0
0
0
0
20,200
20,200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20,200
20,200
6,007,171
14,878,306
12,809,285
27,687,591
ATTACHMENT H.
COLLIER COUNTY HEALTH DEPARTMENT
Part III. Planned Staffing, Clients, Services, And Expenditures By Program Service Area Within Each Level Of Service
October 1, 2009 to September 30, 2010
Quarterly Expenditure Plan
FfE's
Clients
1st
2nd
3rd
4th
Grand
(0.00)
Units
Services
(Whole dollars only)
State
County
Total
A. COMMUNICABLE DISEASE CONTROL:
VITAL STATISTICS (180)
3.08
10,805
39,723
40,377
35,074
48,578
39,823
0
163,852
163,852
IMMUNIZATION(101)
15.85
15,449
34,709
339,262
238,254
231,906
168,903
373,004
605,321
978,325
STD (102)
8.37
1,007
10,396
133,447
131,251
155,035
121,959
362,553
179,139
541,692
A.I.D.S. (103)
20.40
2,288
18,597
476,656
458,907
523,046
640,226
771,017
1,327,818
2,098,835
TB CONTROL SERVICES (104)
12.99
1,549
9,299
179,876
158,358
188,600
118,135
504,108
140,861
644,969
COMM. DISEASE SURV. (106)
6.39
0
7,388
135,764
107,785
127,348
117,712
300,690
187,919
488,609
HEPATITIS PREVENTION (109)
3.39
2,578
5,836
54,317
39,241
89,065
98,540
279,701
1,462
281,163
PUBLIC HEALTH PREP AND RESP (116)
5.70
0
266
247,720
239,746
217,079
213,242
834,513
83,274
917,787
COMMUNICABLE DISEASE SUBTOTAL
76.17
33,676
126,214
1,607,419
1,408,616
1,580,657
1,518,540
3,425,586
2,689,646
6,115,232
B. PRIMARY CARE:
CHRONIC DISEASE SERVICES (2 10)
1.33
65
1,552
47,818
41,453
45,676
33,154
129,539
38,562
168,101
TOBACCO PREVENTION (212)
2.70
0
2,049
78,271
23,565
64,630
55,659
160,548
61,577
222,125
HOME HEALTH (215)
0.00
0
0
0
0
0
0
0
0
0
W.I.C. (221)
37.07
16,811
125,656
489,681
481,398
493,612
425,841
1,890,532
0
1,890,532
FAMILY PLANNING (223)
1.14
2,599
5,015
107,618
76,556
104,675
63,676
351,538
987
352,525
IMPROVED PREGNANCY OUTCOME (225)
5.49
1,478
13,524
202,117
114,791
210,701
184,659
121,299
590,969
712,268
HEALTHY START PRENATAL (227)
16.21
1,644
43,813
270,129
231,844
255,453
194,019
410,739
540,706
951,445
COMPREHENSIVE CHILD HEALTH (229)
2.36
408
4,480
64,366
41,784
50,814
38,542
83,462
112,044
195,506
HEALTHY START INFANT (23 1)
3.84
752
16,541
53,117
48,288
59,115
48,573
158,884
50,209
209,093
SCHOOL HEALTH (234)
7.29
0
164,937
142,124
135,492
143,909
84,144
362,778
142,891
505,669
COMPREHENSIVE ADULT HEALTH (237)
4.36
1,440
6,961
206,815
165,609
161,384
123,216
339,287
317,737
657,024
DENTAL HEALTH (240)
15.20
3,994
25,565
308,683
254,392
328,359
275,328
433,569
733,193
1,166,762
Healthy Start Interconception Woman (232)
0.00
0
0
0
0
0
0
0
0
0
PRIMARY CARE SUBTOTAL
96.99
29,191
410,093
1,970,739
1,615,172 1,918,328
1,526,811
4,442,175
2,588,875
7,031,050
C. ENVIRONMENTAL HEALTH:
Water and Onsite Sewage Programs
COASTAL BEACH MONITORING (347)
0.33
980
980
6,411
5,416
14,222
6,210
32,259
0
32,259
LIMITED USE PUBLIC WATER SYSTEMS (357)
0.90
364
1,896
13,768
12,211
14,643
21,859
22,612
39,869
62,481
PUBLIC WATER SYSTEM (358)
0.00
0
0
0
0
0
0
0
0
0
PRIVATE WATER SYSTEM (359)
0.00
0
3
110
68
300
200
377
301
678
INDIVIDUAL SEWAGE DISP. (361)
5.79
1,690
7,492
124,866
109,164
125,035
96,457
331,438
124,084
455,522
Group Total
7.02
3,034
10,371
145,155
126,859
154,200
124,726
386,686
164,254
550,940
Facility Programs
FOOD HYGIENE (348)
3.63
344
1,810
69,880
68,978
67,967
52,563
188,014
71,374
259,388
BODY ART (349)
0.01
2
7
780
756
0
0
1,536
0
1,536
GROUP CARE FACILITY (35 1)
1.40
368
760
10,836
16,604
10,289
16,744
4,723
49,750
54,473
MIGRANT LABOR CAMP (352)
5.89
248
1,569
66,758
69,168
90,773
71,688
121,563
176,824
298,387
HOUSING,PUBLIC BLDG SAFETY,SANITATION (350.p0
0
0
0
0
0
0
0
0
0
MOBILE HOME AND PARKS SERVICES (354)
0.53
98
261
5,538
3,834
6,581
7,551
23,504
0
23,504
SWIMMING POOLS/BATHING (360)
6.62
1,608
19,436
96,735
86,145
135,458
132,889
188,793
262,434
451,227
BIOMEDICAL WASTE SERVICES (364)
0.99
522
761
16,258
9,331
13,550
13,863
50,222
2,780
53,002
ATTACHMENT II.
COLLIER COUNTY HEALTH DEPARTMENT
Part HI. Planned Staffing, Clients, Services, And Expenditures By Program Service Area Within Each Level Of Service
October 1,
2009 to September 30, 2010
Quarterly Expenditure Plan
FTE's
Clients
1st
2nd
3rd
4th
Grand
(0.00)
Units
Services
(Whole dollars
only)
State
County
Total
C. ENVIRONMENTAL HEALTH:
Facility Programs
TANNING FACILITY SERVICES (369)
0.11
24
80
1,812
1,140
1,218
1,729
5,842
57
5,899
Group Total
19.18
3,214
24,684
268,597
255,956
325,836
297,027
584,197
563,219
1,147,416
Groundwater Contamination
STORAGE TANK COMPLIANCE (355)
0.00
0
0
0
0
0
0
0
0
0
SUPER ACT SERVICE (356)
0.15
105
181
2,072
2,483
2,194
2,250
8,999
0
8,999
Group Total
0.15
105
181
2,072
2,483
2,194
2,250
8,999
0
8,999
Community Hygiene
RADIOLOGICAL HEALTH (372)
0.00
0
0
0
0
0
0
0
0
0
TOXIC SUBSTANCES (373)
0.00
0
0
0
0
0
0
0
0
0
OCCUPATIONAL HEALTH (344)
0.45
0
689
6,527
4,655
8,762
4,725
23,492
1,177
24,669
CONSUMER PRODUCT SAFETY (345)
0.00
0
0
0
0
0
0
0
0
0
INJURY PREVENTION (346)
0.00
0
0
0
0
0
0
0
0
0
LEAD MONITORING SERVICES (350)
0.00
0
0
0
0
0
0
0
0
0
PUBLIC SEWAGE (362)
0.00
0
0
0
0
0
0
0
0
0
SOLID WASTE DISPOSAL (363)
0.00
0
0
0
0
0
0
0
0
0
SANITARY NUISANCE (365)
0.00
0
0
0
0
0
0
0
0
0
RABIES SURVEILLANCE/CONTROL SERVICES (366)00
0
0
0
0
0
0
0
0
0
ARBOVIRUS SURVEILLANCE (367)
0.00
0
0
0
0
0
0
0
0
0
RODENT /ARTHROPOD CONTROL (368)
0.00
0
0
0
0
0
0
0
0
0
WATER POLLUTION (370)
0.00
0
0
0
0
0
0
0
0
0
AIR POLLUTION (37 1)
0.00
0
0
0
0
0
0
0
0
0
Group Total
0.45
0
689
6,527
4,655
8,762
4,725
23,492
1,177
24,669
ENVIRONMENTAL HEALTH SUBTOTAL
26.80
6,353
35,925
422,351
389,953
490,992
428,728
1,003,374
728,650
1,732,024
D. SPECIAL CONTRACTS:
SPECIAL CONTRACTS (599)
0.00
0
0
0
0
0
0
0
0
0
SPECIAL CONTRACTS SUBTOTAL
0.00
0
0
0
0
0
0
0
0
0
TOTAL CONTRACT
199.96
69,220
572,232
4,000,509
3,413,741 3,989,977
3,474,079 8,871,135
6,007,171
14,878,306
ATTACHMENT III
COLLIER COUNTY HEALTH DEPARTMENT
CIVIL RIGHTS CERTIFICATE
The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans,
contracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to
programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete
the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the subsequent replacement if adopted
during the contract period), if so requested by the department.
The applicant assures that it will comply with:
Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C., 2000 Et seq., which prohibits
discrimination on the basis of race, color or national origin in programs and activities receiving or
benefiting from federal financial assistance.
2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits discrimination
on the basis of handicap in programs and activities receiving or benefiting from federal financial
assistance.
3. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibits
discrimination on the basis of sex in education programs and activities receiving or benefiting from
federal financial assistance.
4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits discrimination
on the basis of age in programs or activities receiving or benefiting from federal financial assistance.
5. The Omnibus Budget Reconciliation Act of 1981, P.L. 97 -35, which prohibits discrimination on the basis
of sex and religion in programs and activities receiving or benefiting from federal financial assistance.
6. All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant
agrees that compliance with this assurance constitutes a condition of continued receipt of or benefit from
federal financial assistance, and that it is binding upon the applicant, its successors, transferees, and
assignees for the period during which such assistance is provided. The applicant further assures that all
contracts, subcontractors, subgrantees or others with whom it arranges to provide services or benefits to
participants or employees in connection with any of its programs and activities are not discriminating
against those participants or employees in violation of the above statutes, regulations, guidelines, and
standards. In the event of failure to comply, the applicant understands that the grantor may, at its
discretion, seek a court order requiring compliance with the terms of this assurance or seek other
appropriate judicial or administrative relief, to include assistance being terminated and further assistance
being denied.
21
ATTACHMENT IV
COLLIER COUNTY HEALTH DEPARTMENT
FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT
Facility
Description
Collier County Health
Department & Public
Services Building H
Immokalee Satellite
Golden Gate WIC Office
Location
3301 E. Tamiami Trail
Building H, Naples
Owned By
Collier County
419 North First Street Collier County
Immokalee
4945 Golden Gate Parkway Benderson
Unit 102, Naples Development
22
ATTACHMENT V
COLLIER COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT.
CONTRACT YEAR
STATE
COUNTY
TOTAL
2007 -2008
$
$
$ -
2008 -2009
$
$
$ -
2009 -2010
$
$
$ -
2010 -2011
$
$
$ -
2011 -2012
$
$
$ -
PROJECT TOTAL
$ 200,423
$ 133,616
$ 334,039 Balance
SPECIAL PROJECT CONSTRUCTION /RENOVATION PLAN
PROJECT NAME:
LOCATION/ ADDRESS:
PROJECT TYPE:
Renovation of CHD Offices
Building H of the Collier County Government Complex
NEW BUILDING ROOFING
RENOVATION X PLANNING STUDY
NEW ADDITION OTHER
SQUARE FOOTAGE: 0
PROJECT SUMMARY: Describe scope of work in reasonable detail.
The Collier County Health Department will be moving its Environmental Health Division from a satellite government complex
to the main building (Building H) of the government complex located on Tamiami Trail during 2005 -2006 when the
space becomes available. Medical Records will be recarpeted and the main lobby will get a information Kiosk to be staffed
by administration.
Other operating programs will also be reconfigured during the time frame 2005 -20010 including: School Health,
Disaster Preparedness, Family Health, Epidemiology, Vital Stats, Pharmacy, and clinic areas of Communicable
Disease. The Dental clinic will need to be expanded because of growth probably during the 2006 -20010 time frame.
Also it is anticipated that Information Systems, Finance & Accounting, Human Resources,
and the Director's Office will be renovated in 2007 -2010.
ESTIMATED PROJECT INFORMATION:
START DATE (initial expenditure of funds) :
110/11/2005
COMPLETION DATE:
12/31/2010
DESIGN FEES:
$
CONSTRUCTION COSTS:
$
FURNITURE/EQUIPMENT
$
TOTAL PROJECT COST:
$
1,350,000
COST PER SQ FOOT:
$
#DIV /0!
Special Capital Projects are new construction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.
23
ATTACHMENT V
COLLIER COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT.
CONTRACT YEAR
STATE
COUNTY
TOTAL
2007 -2008
$
$
$ "
2008 -2009
$
$
$ '
2009 -2010
$
$
$ '
2010 -2011
$
$
$ '
2011 -2012
$
$
$ -
PROJECT TOTAL
$ 49,365
$ 32,906
$ 82,271 Balance
SPECIAL PROJECT CONSTRUCTION /RENOVATION PLAN
PROJECT NAME:
LOCATION/ ADDRESS:
PROJECT TYPE:
WIC Renovation
Building H of the Collier County Government Complex
NEW BUILDING _ ROOFING
RENOVATION X PLANNING STUDY
NEW ADDITION OTHER
SQUARE FOOTAGE: 2300
PROJECT SUMMARY: Describe scope of work in reasonable detail.
The Collier CHD WIC operations are in critical need of additional space in Bldg. H due to rapid growth in recent
years. However, this growth cannot be accomodated within Bldg. H without extensive modifications to the
currently occupied spaces. A long -term plan has been developed to accomodate future growth as well as
alleviating the current lack of space. Given the large scope and lengthy time -frame to completion, this project
will be divided into three distinct phases. PHASE I will entail the relocation of all WIC operations in Bldg. H to
another county -owned building or commercially -own facility and all associated moving costs (network setup,
telephones, furniture, etc.) along with the demolition of current WIC spaces in Bldg. H. Phase II will commence
in FY 08 and will involve the actual construction of WIC spaces in Bldg. H. Phase III will start in FY 09 and will
involve relocating WIC operations back to Bldg. H.
ESTIMATED PROJECT INFORMATION:
START DATE (initial expenditure of funds) :
10/1/2007
COMPLETION DATE:
6/30/2010
DESIGN FEES:
$
30,000
CONSTRUCTION COSTS:
$
300,000
FURNITURE /EQUIPMENT
$
170,000
TOTAL PROJECT COST:
$
500,000
COST PER SQ FOOT:
$
217.3913043
Special Capital Projects are new construction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.
24
ATTACHMENT V
COLLIER COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT.
CONTRACT YEAR
STATE COUNTY
TOTAL
2007 -2008
$
$
$ -
2008 -2009
$
24,000 $ 16,000
$ 40,000
2009 -2010
$
$
$ -
2010 -2011
$
$
$ -
2011 -2012
$
$
$ -
PROJECT TOTAL
$
24,000 $ 16,000
$ 40,000
SPECIAL PROJECT CONSTRUCTION /RENOVATION PLAN
PROJECT NAME:
Client Registration - CDCP
LOCATION/ ADDRESS:
Building H of the Collier Government Complex
PROJECT TYPE:
NEW BUILDING ROOFING
RENOVATION X PLANNING STUDY
NEW ADDITION _ OTHER
SQUARE FOOTAGE:
300
PROJECT SUMMARY: Describe scope of work in reasonable detail.
This project is required to resolve a physical internal control issue. The Client Registration area in CDCP is
occupied by two senior clerks who function as patient registration clerks and cashiers. This space is also the
location where active patient records are stored for daily direct access by clinical staff. Although the area is
secure from clients, it is still deemed an internal control problem in that clinical staff can readily access an area
where cash is collected and cashiers can acccess medical records. This project will renovate the space to
alleviate these concerns by separating these two functions, greatly reducing internal control risks, improving
space ventilation, and providing a more functional working space for the staff. Renovation will involve demo
work, building wall(s), new flooring, counters, and A/C vents.
ESTIMATED PROJECT INFORMATION:
START DATE (initial expenditure of funds) :
11/1/2009
COMPLETION DATE:
2/1/2010
DESIGN FEES:
$
5,000
CONSTRUCTION COSTS:
$
30,000
FURNITURE /EQUIPMENT
$
5,000
TOTAL PROJECT COST:
$
40,000
COST PER SQ FOOT:
$
116.6666667
Special Capital Projects are new construction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.
25
ATTACHMENT V
COLLIER COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT.
CONTRACT YEAR
2007 -2008
2008 -2009
2009 -2010
2010 -2011
2011 -2012
PROJECT TOTAL
STATE
$ 120,000
$ 120,000
COUNTY
$ 80,000
$ 80,000
SPECIAL PROJECT CONSTRUCTION /RENOVATION PLAN
PROJECT NAME: Dental Clinic Renovation and Expansion
LOCATION/ ADDRESS: Building H of the Collier Government Complex
PROJECT TYPE: NEW BUILDING ROOFING
RENOVATION X PLANNING STUDY
NEW ADDITION OTHER
SQUARE FOOTAGE: 1200
PROJECT SUMMARY: Describe scope of work in reasonable detail.
TOTAL
$ 200,000
$ 200,000
Dental cannot currently meet all the community needs. There are primarily appointments for pediatric patients
and a limited number of adults. The Dental department itself is self- sustaining but cannot currently expand
services due to limited space and equipment. This renovation and re- design of the space will enable the
installation of two additional dental chairs and subsequently an additional dentist. An office and several walls will
be removed to provide space for the additional chairs and equipment while dramatically improving
ventilation /temperature which has been an ongoing facilities issue for the past several years.
ESTIMATED PROJECT INFORMATION:
START DATE (initial expenditure of funds) :
COMPLETION DATE:
10/l/2011
4/11/2012
DESIGN FEES: $ 25,000
CONSTRUCTION COSTS: $ 150,000
FURNITURE /EQUIPMENT $ 25,000
TOTAL PROJECT COST: $ 200,000
COST PER SQ FOOT: $ 145.8333333
Special Capital Projects are new construction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.
R
ATTACHMENT V
COLLIER COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT.
CONTRACT YEAR
STATE COUNTY
TOTAL
2007 -2008
$
$
$ -
2008 -2009
$
66,000 $ 44,000
$ 110,000
2009 -2010
$
$
$ -
2010 -2011
$
$
$ -
2011 -2012
$
$
$ -
PROJECT TOTAL
$
66,000 $ 44,000
$ 110,000
SPECIAL PROJECT CONSTRUCTION /RENOVATION PLAN
PROJECT NAME:
Family and Personal Health Renovation
LOCATION/ ADDRESS:
Building H of the Collier Government Complex
PROJECT TYPE:
NEW BUILDING ROOFING
RENOVATION X PLANNING STUDY
NEW ADDITION OTHER
SQUARE FOOTAGE:
2500
PROJECT SUMMARY: Describe scope of work in reasonable detail.
This renovation will involve painting, replacing flooring, ceiling tiles, and some of the furniture. It will also re-
design the space to provide a more funtional working area for both staff and clients. A small conference room
will be removed to provide for a more open environment and facilitate improved air circulation /ventilation.
Although not confirmed, some of the staff seated in this area have experienced respiratory issues probably due
to dust and allergens found in the carpet, ceiling tiles, and furniture.
ESTIMATED PROJECT INFORMATION:
START DATE (initial expenditure of funds) :
COMPLETION DATE:
10/1/2012
2/1/2013
DESIGN FEES: $ 10,000
CONSTRUCTION COSTS: $ 65,000
FURNITURE /EQUIPMENT $ 35,000
TOTAL PROJECT COST: $ 110,000
COST PER SQ FOOT: $ 30
Special Capital Projects are new construction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.
27