Backup Documents 10/10/2017 Item #16E3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 E 3
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 routingzlines#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.
2.
3. County Attorney Office County Attorney Office C rn 10
•v-•Ii
4. BCC Office Board of County `7\---bv\
Commissioners (/ / 14:>V7-5\
5. Minutes and Records Clerk of Court's Office2
10(251°7 r• ./wn
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 Artie Bay Phone Number 252-3756
Contact/ Department
Agenda Date Item was 10/10/17 Agenda Item Number 16.E.3
Approved by the BCC
Type of Document Agreement Number of Original 1
Attached Documents Attached
PO number or account
number if document is
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? c= Ydoeire
2. Does the document need to be sent to another agency for additional signatures? If yes, n/a
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
signed by the Chairman,with the exception of most letters,must be reviewed and signed "i,.nn
by the Office of the County Attorney. M`��
4. All handwritten strike-through and revisions have been initialed by the County Attorney's [Pc
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 AB
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's AB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip n/a
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 10/10/17 (enter date)and all
changes made during the meeting have been incorporated in the attached document. C +
The County Attorney's Office has reviewed the changes,if applicable.
rqiq
9. Initials of attorney verifying that the attached document is the version approved by t = � - +
BCC,all changes directed by the BCC have been made,and the document is ready,or the . +
Chairman's signature. r .
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised . '.s ; •evised 11/30/12
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Martha S. Vergara
From: Martha S. Vergara
Sent: Wednesday, October 25, 2017 4:48 PM
To: Bay, Artie (ArtieBay@colliergov.net)
Subject: Hodges University Agreement
Attachments: Artie Bay.pdf
Hi Artie,
Attached, for your records is a scanned copy of an agreement from the 10/10/2017 BCC
Meeting (Agenda Item #16E3).
Thanks,
Martha Vergara, BIM Senior Clerk
Minutes and Records .Dept.
Clerk of the Circuit Court
& Value Adjustment Board
Office: (239) 252-7240
Fax: (23 9) 252-8408
E-mail: iri trthat vergarakeollie ek.rk com,
1
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MEMORANDUM
Date: October 25, 2017
To: Artie Bay, Supervisor
EMS Operations
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Agreement for Field Internship Experience w/Collier County
Emergency Medical Services Department & BCC
Hodges University
Attached is one (1) copy of the document referenced above, (Agenda Item #16E3)
approved by the Board of County Commissioners on Tuesday, October 10, 2017.
The Board's Minutes and Records Office has kept original document as part of the
Board's Official Record.
If you have any questions, please feel free to call me at 252-7240.
Thank you.
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AGREEMENT FOR FIELD INTERNSHIP EXPERIENCE
HODGES UNIVERSITY AND
THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
THIS AGREEMENT entered into this July 6, 2017, by and between Hodges University,
2655 Northbrooke Drive Naples, Florida 34119 ("COLLEGE") and the Collier County Board of
County Commissioners on behalf of the Collier County Emergency Medical Services
Department("CCEMS-).
WITNESSETH:
WHEREAS, Hodges University provides Emergency Medical Services Technology
Programs as a part of it curriculum for its enrolled students; and
WHEREAS, Hodges University desires to augment said programs by providing skill
training/field experiences for its students through the association of certain of its student with the
activities and practices of the Collier County Emergency Medical Services Department, and
WHEREAS, Collier County Emergency Medical Services Department has the ability to
assist Hodges University in said Program endeavors, including providing opportunities for
students to observe and perform appropriate Emergency Medical Technician and/ or Paramedic
skills under supervision during field and classroom experiences; and
WHEREAS, the objective of the herein described relationship of the parties is to benefit
the community by and through the enhance education of its students.
NOW, THEREFORE, based on the premises and the mutual covenants, conditions and
considerations hereafter expressed,the parties agree as follows:
SECTION ONE: Term
This Agreement shall become effective upon approval by the Board of County
Commissioners ("COUNTY") and shall remain in effect for one year. The Agreement shall be
reviewed and may be re-negotiated and may be renewed for three (3) additional one year terms.
This Agreement may be amended only by written agreement of the parties executed with the
same formalities as herein expressed.
SECTION TWO: Instruction and Curriculum
a. The COUNTY rules and regulations shall be followed by all students and faculty of
COLLEGE when they are receiving training and education provided by the terms of this
agreement. All COLLEGE students shall be required to wear identification mandated by both
COLLEGE and the COUNTY in accordance with the policies of the COUNTY and COLLEGE.
b. The COUNTY shall not substitute students of COLLEGE for paid COUNTY staff for
any purpose, function or task while the students are participating in any activity that is covered
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by this Agreement. No student shall be considered to be an employee of the COUNTY during
the clinical courses.
c. Prior to participating in any of the COUNTY programs pursuant to this Agreement, all
students must have completed training on compliance with the confidentiality and privacy
provisions of the Health Insurance Portability and Accountability Act (HIPAA). COLLEGE is
required to provide documentation of this training for each student prior to the student
participating in any COUNTY program.
SECTION THREE: Compliance with HIPAA. COLLEGE and its agents, students, faculty,
representatives and employees agree to keep strictly confidential and hold in trust all confidential
information of the COUNTY and its patients and not disclose or reveal any confidential
information to any third party without the express prior written consent of the COUNTY.
COLLEGE will train all students related to current HIPAA compliance prior to enrollment in any
program pursuant to this Agreement. COLLEGE agrees to comply with the applicable provisions
of the Administrative Simplification section of the Health Insurance Portability and
Accountability Act of 1996, as codified at 42 U.S.C. § 1320 through d-8 ("HIPAA"), and the
requirements of any regulations promulgated thereunder, including, without limitation, the
federal privacy regulations as contained in 45 C.F.R. Part 164, and the federal security standards
as contained in 45 C.F.R. Part i42 (collectively, the "Regulations"). COUNTY shall not use or
further disclose any protected health information, as defined in 45 C.F.R. 164.504, or
individually identifiable health information, as defined in 42 U.S.C. § 1320d (collectively, the
Protected health Information"), other than as permitted by this Agreement and the requirements
of H1PAA or the Regulations. COLLEGE will implement appropriate safeguards to prevent the
use of disclosure of Protected Health Information other than as contemplated by this Agreement.
SECTION FOUR: Obligations of Hodges University
Hodges University and'or its Emergency Medical Services Technology Programs shall:
1. Provide current copies of the Program's objectives, curricula, and course objectives, and
field experiences objectives to the Collier County Emergency Medical Services Department.
2. Provide a copy of a course roster listing only students' names or other identifying
information as permitted by the Family Educational Rights and Privacy Act to the appropriate
personnel of Collier County Emergency Medical Services Department. The determination of the
number of students to be assigned to the COUNTY and their scheduled placement shall be at the
sole discretion of the COUNTY and shall not be altered by the COLLEGE or the student.
3. Maintain insurance levels COLLEGE has deemed appropriate in its sole discretion due to
its size, educational programs and circumstances. COLLEGE provides professional liability
insurance coverage for students participating in extemship activities in the amount of$1 million
per claim and $3 million in aggregate.
4. It is understood between the parties that those students participating in this program shall
not be deemed to be employees, servants, agents, or volunteers of the Collier County Emergency
Medical Services Department or the Collier County Board of Commissioners and that the Collier
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County Emergency Medical Services Department and the Collier County Board of
Commissioners shall not be liable for injury to a participant under Ch. 440, Florida Statutes,
Florida's Workers' Compensation law.
6. All students must complete background screening through Collier County Facilities
Management Department at students' expense in compliance with Ordinance No. 04-52, as
amended. The COUNTY will only allow students who have passed the screening to participate
in the program.
SECTION FIVE: Obligations of Collier County Emergency Medical Services Department
The Collier County Emergency Medical Services Department shall:
I. Provide opportunities for those qualified students of Hodges University to observe and
perform appropriate Emergency Medical Technician and / or Paramedic skills during field
experiences with department personnel.
2. Provide for direct supervision of the student interns while in association with the
Department and during field experiences, observation and training.
SECTION SIX: Mutual Responsibilities and Goals.
The Parties shall:
1. Communication. Communicate and act cooperatively through meetings and operational
plans to plan and evaluate the field experience segment of the Emergency Medical Services
Technology Programs and assist each other within the limits of their respective professional
abilities to ensure a successful field experience program for qualified students. Students will he
evaluated by Collier County preceptors on evaluation forms furnished by Hodges University.
2. Resolution. Utilize established lines of authority and communication in effectuating this
Agreement or addressing/solving problems which may arise in the implementation of this
Agreement.
3. No compensation. Each party shall perform the duties and responsibilities specified in
this Agreement without compensation. Participating students shall be treated by the COUNTY
as trainees and shall have no expectation of receiving compensation or future employment from
either party. Students shall pay for their own meal and expenses, if any, while participating in
the program.
4. Participant's Medical Care. COLLEGE, COUNTY and/or the students participating in
the program shall be responsible for arranging for the student's medical care and/or treatment, if
necessary, including transportation in the event of illness or injury while participating in the
program provided at the COUNTY'S premises. In no event shall the COUNTY or the
COLLEGE be financially or otherwise responsible for said medical care and treatment.
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5. Emergency Health Care Services. The COUNTY shall provide immediate emergency
health care services to students participating in the program in the event of accidental injury or
illness while on the COUNTY'S premises. At the time of providing such services, the COUNTY
and emergency health care facility shall accept assignment of the affected individual's personal
insurance policy. The COUNTY and COLLEGE shall not be responsible for costs involved in
the provision of'such services, the follow-up care, or hospitalization.
6. Professional Liability Insurance. The COLLEGE shall furnish to COUNTY,
Certificate(s)of Insurance which indicate that insurance coverage has been obtained which meets
the requirements as outline below:
A. Commercial General Liability Insurance on a comprehensive basis in an amount
not less than $1,000,000 combined single limit per occurrence for bodily injury and
property damage. Collier County Board of County Commissioners must be
shown as an additional insured with respect to this coverage.
B. Professional Liability Insurance in an amount not less than$1,000,000.
If the COLLEGE changes its name, the COUNTY must be notified immediately and
a new Agreement must be entered into under the new name. A Certificate of
Insurance must be resubmitted with the current name of the COLLEGE. When the
COUNTY is notified of such a change, the student rider program will be suspended
until a new agreement is signed and new certificates of insurance are approved by
Collier County Department of Risk Management.
SECTION SEVEN: Termination
1. At any time, Collier County Emergency Medical Services staff may refuse any Hodges
University student(s) from participating in the Program including but not limited to: performing
observation, ambulance ride time or practice.
2. Either party may terminate this Agreement upon ten (10) days written notice.
SECTION EIGHT: Government Regulations
To the extent applicable, the Parties agree that they will comply with:
1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C. 2000d 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.
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3. Title IX of the Education Amendments of the 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. Executive Order 11246 of September 24, 1965 as amended, and of the rules, regulations,
and relevant orders of the Secretary of Labor, which prohibit discrimination in
government employment on the basis of race, creed, color, or national origin.
7. The Vietnam Era Veteran's Readjustment Assistance Act of 1974, as amended, 38 U.S.C.
219 et seq., covering rehabilitation measures for Vietnam Veterans.
8. The Americans with Disabilities Act of 1990 and the Americans with Disabilities
Amendment Act, which prohibits discrimination on the basis of disability and/or
perceived disability.
9. Chapter 760, Florida Statutes, which prohibits discrimination on the basis race, color,
religion, sex,national origin, age handicap, or marital status.
10. Title 45 C. F. R. 160.103, Health Insurance Portability and Accountability Act which
governs privacy regulations associated with medical information.
11. All regulations, guidelines, and standards which are now or may be lawfully adopted
under the above statutes, as well as any other federal, state, or local rules, regulations and
ordinances.
SECTION NINE: Equal Opportunity
Hodges University is committed to providing an educational and working environment free from
discrimination and harassment. All programs, activities, employment and facilities of Hodges
University are available to all on a non-discriminatory basis, without regard to race, sex, age,
color, religion, national origin, ethnicity, disability, sexual orientation, marital status, genetic
information or veteran's status. The University is an equal access/equal opportunity institution.
Questions pertaining to educational equity, equal access, or equal opportunity should be
addressed to Director of Human Resources, 2655 Northbrooke Drive, Naples, Florida 34419,
Telephone: 239-513-1122.
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SECTION TEN: Indemnification
To the maximum extent permitted by Florida law, the COLLEGE 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
COLLEGE or anyone employed or utilized by the COLLEGE 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. The foregoing indemnification shall not constitute a waiver of
sovereign immunity beyond the limits set forth in section 768.28,Florida Statutes.
SECTION ELEVEN: PUBLIC RECORDS COMPLIANCE
iF THE CONTRACTOR/COLLEGE HAS QUESTIONS REGARDING THE APPLICATION
OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO
PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE
CUSTODIAN OF PUBLIC RECORDS AT
Brandon Sancho C/O Collier County Communication and Customer Relations Division
3299 Tamiami Trail East, I" Floor •
Naples, FL 34112
239/252-8069
brandonsancho@collicrgov.net
collicrgov.net
To the extent required by Florida law, the COLLEGE is required to comply with the public
records laws, specifically to:
1. Keep and maintain public records required by the public agency to perform the service.
2. Upon request from the public agency's custodian of public records, provide the public agency
with a copy of the requested records or allow the records to be inspected or copied within a
reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise
provided by law.
3. Ensure that public records that are exempt or confidential and exempt from public records
disclosure requirements are not disclosed except as authorized by law for the duration of the
contract term and following completion of the contract if the contractor does not transfer the
records to the public agency.
4. Upon completion of the contract, transfer, at no cost, to the public agency all public records in
possession of the contractor or keep and maintain public records required by the public agency to
perform the service. If the contractor transfers all public records to the public agency upon
completion of the contract, the contractor shall destroy any duplicate public records that are
exempt or confidential and exempt from public records disclosure requirements. If the contractor
keeps and maintains public records upon completion of the contract, the contractor shall meet all
applicable requirements for retaining public records. All records stored electronically must be
provided to the public agency, upon request from the public agency's custodian of public
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records, in a format that is compatible with the information technology systems of the public
agency.
To the extent applicable, a request to inspect or copy public records relating to this contract must
be made directly to the COUNTY. If the COUNTY does not possess the requested records, the
COUNTY shall immediately notify the COLLEGE of the request, and the COLLEGE must
provide the records to the COUNTY or allow the records to be inspected or copied within a
reasonable time.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement, this 10th
da), of Di` , 2017.
# 7
.' k' BOARD OF COUNTY COMMISSIONERS
C 'OUNTY, FLORIDA
im • _ _412014.4r-4111-`-
''
BY:
rid
A st as to Chairman's: ,` cr' P-10 Taylor, CO
Si C tp 0i11d
to tc,rtn and 1 ity:
Lids /. !1�� •
UT..leen . Greene
Assistant County Attorney
Vs NESS: Hodes U iver ity
BY: '71*( 17
Name an I Title 'John eyer
Executive Vice President, Academic Affairs
WITNESS:
Name and Title
N
I �
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