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Backup Documents 10/25/2016 Item #16D10 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLID, 6 D 10 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Lisa N. Carr Community and Human /WC 10/21/16 Services 2. County Attorney Office County Attorney Office 10/.10 3. BCC Office Board of Count Y Commissioners V.)1 `k•V\�� 4. Minutes and Records Clerk of Court's Office '`I/4'7 `� 3 r� , P�sb- rY1 � cc& CoR CLC 10 -1(0 PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Lisa N. Carr,Grant Co rdinator, Phone Number 239-252-23 9 Contact/ Department Community and Hu n Services Agenda Date Item was October 25.2016 Agenda Item Number 16D10 Approved by the BCC Type of Document Contract Number of Original 3 Attached Documents Attached PO number or account number if document is N/A to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? 5. p Q u ricrc. 0((< 2. Does the document need to be sent to another agency for additional signatures? If yes, LNC provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be LNC signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's LNC Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the LNC document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's LNC signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip LNC should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 10/25/16 and all changes made during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes directed by the BCC have been made,and the document is ready for the Chairman's signature. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 Instructions 1 6 0 1 0 1) There are 3 original Contracts. Please return two Chairman signed Contracts to: Lisa N. Car Grants, Coordinator Collier County Government I Community and Human Services 3339 E. Tamiami Trail, Bldg. H, Suite 211 Naples, FL 34112 I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16010 MEMORANDUM Date: November 2, 2016 To: Lisa Carr, Grants Coordinator Housing, Human & Veteran Services From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Contract between Collier County & Collier County Child Advocacy Council, Inc. Attached is one (1) original of the document referenced above, (Item #16D10) approved by the Board of County Commissioners on Tuesday, October 25, 2016. An original has been kept by the Minutes and Record's Department for the Board's Official Record. If you have any questions, please feel free to contact me at 252-7240. Thank you Attachment 16010 THE COLLIER COUNTY BOARD OF COMMISSIONERS AND COLLIER COUNTY CHILD ADVOCACY COUNCIL, INC. THIS AGREEMENT, made and entered into on this Z `) day of kb- ' , 2016 by and between the Collier County Child Advocacy Council, Inc. (hereinafter referred to as the "CCCAC"), a not-for-profit Corporation, under agreement with the State of Florida, Department of Children and Families, providing coordination of the Child Protection Team of Collier County (hereinafter referred to as "CPT") authorized to do business in the State of Florida whose business address is 1036 Sixth Avenue North, Naples, Florida 34102, and Collier County, a political subdivision of the State of Florida, Collier County, Naples, hereinafter call the "County": 1. COMMENCEMENT. The contract shall be for a one (1) year period, commencing on October 1, 2016 and terminating on September 30, 2017. The County may, at its discretion and with the consent of the CCCAC, renew the Agreement under all of the terms and conditions contained in this Agreement for three (3) additional one (1) year periods. The County Manager or his designee may extend this Agreement for up to one hundred eighty (180) additional days following expiration of the original or subsequent one (1) year terms. The County shall give the CCCAC written notice of the County's intention to extend the Agreement term not less than ten (10) days prior to the end of the Agreement term then in effect. 1. SCOPE OF WORK: The CCCAC will provide the following services in accordance with Florida Statute § 39.304 (5), attachment A: A. Provide initial forensic physical examination and medical consultation services for abused or neglected children who are residents of Collier County pursuant to Section § 39.304(5), Florida Statutes, or conduct a medical records review in cases where such a review can serve in place of an initial forensic physical examination. B. Possess, maintain and keep current any and all necessary license(s) required by governmental authorities. C. Maintain adequate fiscal accounting procedures in accordance with generally accepted accounting principles. Maintain all financial records, documentation, and reports relating to funds paid under this Agreement. D. Allow inspection, review or audit of these records by County personnel upon reasonable notice, subject to the confidentiality requirements of Chapter 39, Florida Statutes. CCCAC will provide the County with the privacy, security and 1 —Child Advocacy Agreement for Mandated Services 1601 0 audit protocol agreement forms from the Department of Health (DH) and the Department of Children and Families (DCF) and the County will execute said forms. E. Retain all books, records and other documents relative to this Agreement for three (3) years after final payment. F. CCCAC shall receive reimbursement for those medical services pursuant to Section 39.304(5), Florida Statutes in accordance with Paragraph 3, compensation, of this Agreement. G. The CCCAC shall pay from its own account the initial forensic physical examination and medical consultations costs to the providers of medical diagnosis and evaluation services for each child abuse or neglect case and seek reimbursement from the County in accordance with the Compensation section of this agreement. H. The county in which the child is a resident shall bear the initial costs of the examination of the allegedly abused, abandoned, or neglected child; however, the parents or legal custodian of the child shall be required to reimburse the county for the costs of such examination, other than an initial forensic physical examination as provided in s. 960.28, and to reimburse the department for the cost of the photographs taken pursuant to this section. A medical provider may not bill a child victim, directly or indirectly, for the cost of an initial forensic physical examination. I. Before execution of this Agreement, the CCCAC shall furnish the County with copies of its current contracts between the CPT and its medical provider(s), and copies of its contracts with DCF relating to the CPT. Any amendments or new agreements executed during the term of this agreement between CPT and its medical provider(s) or DCF shall be immediately forwarded to the County. J. The CCCAC shall act as an independent entity and not as an agent of the County in operating the aforementioned service. 3. COMPENSATION. The County shall reimburse the CPT at the fixed rate of three hundred fifty dollars ($350.00) for initial forensic physical examination and administrative costs. The County shall also reimburse the CPT at the fixed rate of one hundred twenty five dollars ($125.00) for a medical consultation where such a consultation can serve in place of an initial forensic physical examination. However, the County shall in no instance be required to pay for both an initial forensic physical examination and a medical consultation. A medical consultation may be provided when a physical evaluation has already been performed by a non-CPT medical 2 —Child Advocacy Agreement for Mandated Services 16010 provider. A medical consultation involves situations where the child protective investigator (or court) requests CPT to assist with a medical opinion. A medical consultation must result in a typed report that references all the pertinent history, examination findings and laboratory/imaging studies used to reach the medical conclusions. The CPT medical record must include copies of the relevant records and reports used to arrive at the medical opinion. 3.1. Crimes Victim's Services is to be billed for all situations covered under 2011 Florida Statutes § 960.28, see Attachment B. If denied, the invoice will include documentation of denial. The County will be billed at the time denial is received by CCCAC. If reimbursement from Crimes Victim's Services is received by the CCCAC at any time after the County has paid CPT invoices, CCCAC shall then reimburse the County for any Crimes Victim's Services monies received. Said reimbursement shall reference the case number for which the reimbursement is being provided. 3.2 There shall be a quarterly invoice which shall reference an invoice number, invoice date, a CPT case number for each initial forensic physical examination and/or medical consultation 3.3 Quarterly payments will be made upon receipt of a proper invoice and in compliance with Chapter 218 Florida Statutes, otherwise known as the "Local Government Prompt Payment Act." Collier County reserves the right to withhold and/or reduce an appropriate amount of any payments for work not performed or for unsatisfactory performance of CCCAC requirements. The County shall pay the CCCAC for the performance of this Agreement. 3.4 Payments will be made for services furnished, delivered, and accepted, upon receipt and approval of invoices submitted on the date of services or within six (6) months after completion of contract. Any untimely submission of invoices beyond the specified deadline period is subject to non-payment under the legal doctrine of "laches" as untimely submitted. Time shall be deemed of the essence with respect to the timely submission of invoices under this agreement. 4. NOTICES. All notices from the County to CCCAC or CPT shall be deemed duly served if mailed or faxed to the CCCAC and CPT at the following address: Jacqueline Griffith Stephens, M.A. Executive Director Collier County Child Advocacy Council, Inc. 1036 Sixth Avenue North Naples, FL 34102 Phone: 239-263-8383 ext. 228 3 —Child Advocacy Agreement for Mandated Services O•a7 1 6 0 10 Fax: 239-263-7931 All notices from CCCAC to the County shall be deemed duly served if mailed or faxed to the County to: Community and Human Services 3339 Tamiami Trail East, Suite 211 Naples, Florida 34112 Ailn: Kimberley Grant Phone: 239-252-6287 Fax: 239-252-2638 The CCCAC 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 CCCAC or to constitute CCCAC as an agent of the County. 7. SUBCONTRACTS. Any work or services subcontracts by the CCCAC shall be specifically by written contract or agreements, and such subcontracts shall be subject to each provision of this Agreement and applicable County, State, and Federal guidelines and regulations. Prior to execution by the CCCAC of any subcontract hereunder, such subcontracts must be submitted by the CCCAC to Housing and Human Services for its review and approval. None of the work or services covered by the Agreement, including but not limited to consultant work or services, shall be subcontracted by the CCCAC or reimbursed by the County without prior written approval of the Housing and Human Services Director or her designee. 8. AMENDMENTS. This Agreement may not be amended unless in writing executed by all parties to the Agreement. If either of the parties is unable to perform due to a change in State or federal law (or the issuance of a court order) that materially changes the terms of the Agreement, either party may postpone performance upon providing the other party written suspension of the Agreement until the parties agree upon an amendment that conforms to the change in law; or, alternatively, terminate this Agreement as provided in numbered paragraph 11. If Collier County notifies CCCAC that it is suspending the Agreement, Collier County shall still be responsible for payment for all services provided by CCCAC or expenses incurred by CCCAC or expenses which CCCAC is obligated to pay through the date of suspension. Any amendments to this Agreement shall be in compliance with the County Purchasing Policy and Administrative Procedures in effect at the time such modifications are authorized. 4 —Child Advocacy Agreement for Mandated Services �`� 1 6 0 1 0 9. PERMITS; LICENSE; TAXES. In compliance with Section 218.80, F.S., all permits necessary for the prosecution of the Work shall be obtained by CCCAC. 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 CCCAC. The CCCAC shall also be solely responsible for payment of any and all taxes levied on the CCCAC. In addition, CCCAC 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 CCCAC agrees to comply with all laws governing the responsibility of an employer with respect to persons employed by CCCAC. 10. NO IMPROPER USE. The CCCAC 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 effect or hereafter enacted or adopted. In the event of such violation by the CCCAC or if the County or its authorized representative shall deem any conduct on the part of the CCCAC to be objectionable or improper, the County shall have the right to suspend the contract of the CCCAC. Should CCCAC 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 CCCAC further agrees not to commence operation during the suspension period until the violation has been corrected to the satisfaction of the County. 11. 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. 2004-53, 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. 12. TERMINATION. Should CCCAC or the County be found to have failed to perform its services in a manner satisfactory to the County or CCCAC as per this Agreement, the non-defaulting party shall notify the defaulting party in writing and give the non-defaulting party a reasonable opportunity to cure the default. If the default is not timely cured by the defaulting party, the non-defaulting party may 5 —Child Advocacy Agreement for Mandated Services 044 161J10 terminate this Agreement for cause. Either party may terminate this Agreement for convenience by providing the other party with a thirty (30) day written notice. 13. NO DISCRIMINATION. The CCCAC agrees that there shall be no discrimination as to race, sex, color, creed or national origin. 14. INSURANCE. The CCCAC 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 Contractors; Products and Completed Operations and Contractual Liability. B. Business Auto Liability: Coverage shall have minimum limits of $500,000 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. The coverage must include Employers' Liability with a minimum limit of $500,000 for each accident. Special Requirements: Collier County 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 CCCAC during the duration of this Agreement. Renewal certificates shall be sent to the County ten (10) 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. CCCAC shall ensure that all subcontractors comply with the same insurance requirements that he is required to meet. The same CCCAC shall provide County with certificates of insurance meeting the required insurance provisions. 15. INDEMNIFICATION. To the maximum extent permitted by Florida law, the CCCAC 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 paralegal fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of CCCAC or anyone employed or utilized by the CCCAC —Child Advocacy Agreement for 6 Mandated Services 16010 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 negligence of Collier County. 16. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf of the County by the Housing, Human and Veteran Services Department. 17. CONFLICT OF INTEREST: CCCAC 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. CCCAC further represents that no persons having any such interest shall be employed to perform those services. 18. 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. 19. IMMIGRATION LAW COMPLIANCE. By executing and entering into this agreement, the CCCAC is formally acknowledging without exception or stipulation that it is fully responsible for complying with the provisions of the Immigration Reform and Control Act of 1986 as located at 8 U.S.C. 1324, et seq. and regulations relating thereto, as either may be amended. Failure by the CCCAC 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. 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 in compliance with the Purchasing Policy. 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 CCCAC 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 CCCAC with full decision-making authority and by County's staff 7 —Child Advocacy Agreement for Mandated Services 1 601 0 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. In the event litigation is initiated under this Agreement, the prevailing party shall be entitled to recover its reasonable attorneys' fees, paralegal fees and costs, including any appeals. 23. VENUE. 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. 23. ASSIGNMENT: CCCAC shall not assign this Agreement or any part thereof, without the prior consent in writing of the County. Any attempt to assign or otherwise transfer this Agreement or any part herein, without the County's consent, shall be void. If CCCAC does, with approval, assign this Agreement or any part thereof, it shall require that its assignee be bound to it and to assume toward CCCAC all of the obligations and responsibilities that CCCAC has assumed toward the County. If an assignment of this Agreement is approved by the County, CCCAC shall be relieved of all obligations under this Agreement arising after any assignment. ********** 8 —Child Advocacy Agreement for Mandated Services 1613 10 IN WITNESS WHEREOF, the CCCAC 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: ` BOARD OF COUNTY COMMISSIONERS DWIGHT E. BROCK,.'Clerk COLLIER COUNTY, FLORIDA By: w+diek► By: alize Attest as to Chalnmap 'Cl:. k DONNA FIALA, CHAIRMAN signature Only. Date: kCs I'�'S Wie:p Approved as to form and legality: LP ennife . Bel edio J p Assistant County Attorney ezi \c6. COLLIER COUNTY CHILD ADVOCACY COUNCIL, INC. By: Jac. eline G, f ith Stephens, M.A. Executive D ector 9 -Child Advocacy Agreement for Mandated Services 16 0 1 0 ATTACHMENT A Florida Statute & 39.304(5) (5) The county in which the child is a resident shall bear the initial costs of the examination of the allegedly abused, abandoned, or neglected child; however, the parents or legal custodian of the child shall be required to reimburse the county for the costs of such examination, other than an initial forensic physical examination as provided in s. 960.28, and to reimburse the department for the cost of the photographs taken pursuant to this section. A medical provider may not bill a child victim, directly or indirectly, for the cost of an initial forensic physical examination. 10 —Child Advocacy Agreement for Mandated Services 16 0 10 ATTACHMENT B Florida Statute § 960.28 Payment for victims' initial forensic physical examinations. (1) A medical provider who performs an initial forensic physical examination may not bill a victim or the victim's parent or guardian if the victim is a minor directly or indirectly for that examination. (2) The Crime Victims' Services Office of the department shall pay for medical expenses connected with an initial forensic physical examination of a victim of sexual battery as defined in chapter 794 or a lewd or lascivious offense as defined in chapter 800. Such payment shall be made regardless of whether the victim is covered by health or disability insurance and whether the victim participates in the criminal justice system or cooperates with law enforcement. The payment shall be made only out of moneys allocated to the Crime Victims' Services Office for the purposes of this section, and the payment may not exceed $500 with respect to any violation. The department shall develop and maintain separate protocols for the initial forensic physical examination of adults and children. Payment under this section is limited to medical expenses connected with the initial forensic physical examination, and payment may be made to a medical provider using an examiner qualified under part I of chapter 464, excluding s. 464.003(16); chapter 458; or chapter 459. Payment made to the medical provider by the department shall be considered by the provider as payment in full for the initial forensic physical examination associated with the collection of evidence. The victim may not be required to pay, directly or indirectly, the cost of an initial forensic physical examination performed in accordance with this section. (3) The department may allow, deny, controvert, or litigate claims made against it under this section. (4) Information received or maintained by the department identifying an alleged victim who seeks payment of medical expenses under this section is confidential and exempt from the provisions of s. 119.07(1). (5) A defendant or juvenile offender who pleads guilty or nolo contendere to, or is convicted of or adjudicated delinquent for, a violation of chapter 794 or chapter 800 shall be ordered by the court to make restitution to the Crimes Compensation Trust Fund in an amount equal to the compensation paid to the medical provider by the Crime Victims' Services Office for the cost of the initial forensic physical examination. The order may be enforced by the department in the same manner as a judgment in a civil action. as 11 —Child Advocacy Agreement for Mandated Services115) 1 6 0 1 0 ACG DR CERTIFICATE OF LIABILITY INSURANCE DATE M/DD/YYYY) `"' 6/30/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER CONTACT Sandy Sagona Lutgert Insurance Naples PHONE FAX PO Box 112500 (A/C,Noq Ext)•239-280-3256 (A/C.No):239-262-5360 Naples FL 34108 E-MAIL ADDRESS: g@g ssa ona lut ertinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Scottsdale Insurance Co. 41297 INSURED CHILD-2 INSURERB:RetailFirst Insurance Company 107000 Children's Advocacy Center INSURER C: Collier County Child Advocacy INSURER D: 1034 6th Avenue N Naples FL 34102 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 184882304 REVISION NUMBER:1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY 1 Y OPS0066790 7/1/2016 7/1/2017 EACH OCCURRENCE $1,000,000 X CLAIMS-MADE I OCCUR DAMAGE TO RENTED I PREMISES(Ea occurrence) $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. , GENERAL AGGREGATE $3,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $3,000,000 OTHER: $ A AUTOMOBILE LIABILITY OPS0066790 7/1/2016 7/1/2017 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 052029767 1/1/2016 1/1/2017 PER X STATUTE EERH- AND EMPLOYERS'LIABILITY Y/N R ANY PROPRIETOR/PARTNER/EXECUTIVEY N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Professional Liability 0PS0066790 7/1/2016 7/1/2017 Each Claim Limit 1,000,000 -Includes D&O Aggregate Limit 3,000,000 D&O Limit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Collier County Board of Commissioners is Additional Insured on General Liability for any and all work performed on behalf of Collier County, per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County Board of Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3327 Tamiami Trl E ACCORDANCE WITH THE POLICY PROVISIONS. Naples FL 34112 AUTHORIZED RE -- . , , ,-;,:r PRESENTATIVE F. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD