Agenda 11/14/2017 Item #16D 111/14/2017
EXECUTIVE SUMMARY
Recommendation to approve the FY17-18 contract with the State of Florida Department of Health
for the operation of the Collier County Health Department in the amount of $1,455,000.
OBJECTIVE: To approve the FY17-18 Collier County Health Department annual core contract.
CONSIDERATIONS: Each year, in accordance with Section 154, F.S., the County enters into a core
contract with the State of Florida Department of Health to provide funds and facilities for the provision of
public health services. The attached represents the FY17-18 contract effective October 1, 2017 through
September 30, 2018.
The contract identifies the services that will be provided as well as the estimated cost shared between the
State and the County. The total amount of funding to be provided directly to the Department of Health in
Collier County under the contract is $1,455,000. The County also provides $360,600 for Health
Department facility and motor pool operating costs.
FISCAL IMPACT: The County General Fund (001) budget provides for the base County Health
Department contract of $1,455,000 as well as $360,600 to provide for Health Department facility and
motor pool operating costs.
GROWTH MANAGEMENT IMPACT: There is no growth management impact.
LEGAL CONSIDERATIONS: The contract is a standard form prepared by the State Department of
Health. This item is approved for form and legality, and requires a majority vote for Board approval. -
JAB
RECOMMENDATION: To approve and authorize the Chairman to execute the annual core contract
with the State of Florida Department of Health for the operation of the Collier County Health Department.
Prepared by: Alan Portis, Finance & Accounting Director, Collier County Health Department
ATTACHMENT(S)
1. 2017-2018 Contract between DOH-Collier County (PDF)
16.D.1
Packet Pg. 881
11/14/2017
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.D.1
Doc ID: 3741
Item Summary: Recommendation to approve the FY17-18 contract with the State of Florida
Department of Health for the operation of the Collier County Health Department in the amount of
$1,455,000.
Meeting Date: 11/14/2017
Prepared by:
Title: – Public Services Department
Name: Todd Henry
09/05/2017 3:53 PM
Submitted by:
Title: Department Head - Public Services – Public Services Department
Name: Steve Carnell
09/05/2017 3:53 PM
Approved By:
Review:
Public Services Department Joshua Hammond Level 1 Division Reviewer Completed 09/05/2017 4:24 PM
Operations & Veteran Services Sean Callahan Additional Reviewer Completed 09/05/2017 5:45 PM
County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 09/06/2017 2:23 PM
Grants Erica Robinson Level 2 Grants Review Completed 09/18/2017 11:52 AM
Public Services Department Steve Carnell Level 2 Division Administrator Review Completed 10/25/2017 11:27 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 10/25/2017 2:44 PM
Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 10/26/2017 8:43 AM
Grants Therese Stanley Additional Reviewer Completed 11/03/2017 3:16 PM
County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 11/06/2017 10:44 AM
Board of County Commissioners MaryJo Brock Meeting Pending 11/14/2017 9:00 AM
16.D.1
Packet Pg. 882
CONTRACT BETWEEN
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF THE
COLLIER COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2017-201 8
This contract 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, 2017.
RECITALS
A. Pursuant to Chapter 154, Florida Statutes, 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 created County Health
Departments.
D. lt is necessary for the parties hereto to enter into this contract in order to ensure
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 foregoing recitals are true and correct
and incorporated herein by reference.
2. TERM. The parties mutually agree that this contract shall be effective from October 1,
2017, through September 30, 2018, or until a written contract replacing this contract is entered
into between the parties, whichever is later, unless this contract 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
orovide those services as set forth on Part lll of Attachment ll hereof, in order to maintain the
foflowing 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 activittes 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
,t'ti
16.D.1.a
Packet Pg. 883 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
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
kansmissible 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 serviies 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
forwomen, infants, and children; home health; and dental services.
4. FUNDING. ThepartiesfurtheragreethatfundingfortheCHDwill behandledasfollows:
a. The fundang to be provided by the parties and any other sources is set forth in Part ll of
Attachment ll hereof. This funding will be used as shown in Part I of Attachment ll.
r. The State's appropriated responsibility (direct contribution excluding any sfate fees,
Medicaid contributions or any other funds not listed on the Schedule C; as provided in
Attachment ll, Part ll is an amount not to exceed $ 6,617,807 (state ceneral
Revenue, State Funds, Other Stat6 Funds and Federal Funds listed on the Schedule C).
The State's obligation to pay underthis contract is contingent upon an annual
appropriation by the Legislature.
ii The County's appropriated responsibility (direct contribution excluding any fees,
other cash or local contributions) as provided in Attachment ll, Part ll is an amount
not to exceed $ 1,455,000 (amount listed under the "Board of County Commissioners
Annual Appropriations section of the revenue aftachment).
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 contract in the County Health Department
Trust Fund that is attributed to the CHD shall be carried fonrvard to the next contract period.
'')1,,
16.D.1.a
Packet Pg. 884 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
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 contract during the term hereof by
notifying the other party in writing of the amount and purpose for the change in funding. lf the
State initiates the increase/decrease, the CHD will revise the Attachment ll and send a copy of
the revised pages to the County and the Department of Health, Office of Budget and Revenue
Management. lf the County initiates the increase/decrease, the County shall notify the CHD.
The CHD will then revise the Attachment ll and send a copy of the revised pages to the
Department of Health, Office of Budget and Revenue Management.
e. The name and address of the official payee to whom payments shall be made is:
County Health Department Trust Fund
Collier County
3339 E. Tamiami Trail, Suite 145
Naples, FL 3/.112
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 Secretary for County Health Systems. The director/administrator
shall be selected by the State with the concurrence of the County. The director/administrator
of the CHD shall ensure that non-categorical sources of funding are used to fulfill public health
priorities in the community and the Long Range Program Plan.
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
Drocedures 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 contract. State procedures must be followed for all
leases on facilities not enumerated in Attachment lV.
c. The CHD shall maintain books, records and documents in accordance with the
Generally Accepted Accounting Principles (GAAP), as promulgated by the Governmental
Accounting Standards Board (GASB), and the requirements of federal or state law. These
16.D.1.a
Packet Pg. 885 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
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 paragraphs 6.i. and 6.k., below. Books,
records and documents must be adequate to allow the CHD to comply with the following
reporting requirements:
l. The revenue and expenditure requirements in the Florida Accounting
Information Resource (FLAIR) System;
, .
The client registration and services reporting requirements of the minimum
data set as specified in the most current version of the Client lnformation
System/Health Management Component Pamphlet,
Financial procedures specified in the Department of Health's Accounting
Procedures Manuals, Accounting memoranda, and Comptroller's
memoranoa;
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 regishation 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 this 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 surplus funds shall be reflected in Attachment ll, 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 Secretary for County
Health Systems has approved the transfer. The Deputy Secretary for County Health Systems
shall forward written evidence of this approval to the CHD within 30 days after an emergency
transfer.
'!''
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Packet Pg. 886 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
g. The CHD may execute subcontracts for services necessary to enable the CHD to carry
out the programs specified in this contract. 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. lf
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.
i. 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 contract for a period of five (5) years after termination of this contract. lf 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 lnformation
Security Policies, Protocols, and Procedures. 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.
L 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 btherwise permitted for
some purchases using County procedures pursuant to paragraph 6.b.
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 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 conkact.
n. The CHD shall comply with the provisions contained in the Civil Rights Certificate,
hereby incorporated into this contract as Attachment lll.
o. The CHD shall submit quarterly reports to the County that shall include at least the
following:
16.D.1.a
Packet Pg. 887 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
l. The DE385L1 Contract Management Variance Report and the DE580L1
Analysis of Fund Equities Report;
17. A written explanation to the County of service variances reflected in the year
end DE385L1 report if the variance exceeds or falls below 25 percent of the
planned expenditure amount for the contract year. 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, Office of Budget and Revenue 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 CHD's
control:
t.March 1 , 2018 for the report period October 1 , 2017 through
December 31,2017;
June 1 , 2018 for the report period October 1 ,2017 through
March 31.2018:
iii. September 1 ,2018 for the report period October 1 ,2017
through June 30, 2018; and
iv. December 1,2018 for the report period October 1,2017
through September 30, 2018.
7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
a. CHD facilities shall be provided as specified in Attachment lV to this contract
and the County shall own the facilities used by the CHD unless otherwise provided in
Attachment lV.
b. The County shall ensure 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 ensure 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.
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Packet Pg. 888 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
a. Termination at Will. This contract 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. ln the event funds to finance this conkact
become unavailable, either party may terminate this contract 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 contract 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 contract 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 contract.
9. MISCELLANEOUS. The parties further agree:
a. Availabilitv of Funds. lf this contract, any renewal hereof, or any term, performance or
payment hereunder, extends beyond the fiscal year beginning July 1, 2018, it is agreed that
the performance and payment under this contract are contingent upon an annual appropriation
by the Legislature, in accordance with section 287.0582, Florida Statutes.
b. Contract Manaqers. The name and address of the contract managers for the parties
under this contract are as follows:
For the State:For the County:
Stephanie Vick. M.S.. B.S.N.. R.N. Steve Carnell
Name Name
Administrator. Florida Department of Public Service Division Administrator
Health in Collier Countv
Title
3339 E. Tamiami Trail. Suite 145
Naples. Florida 34112
Address
(239\ 252-5332
Telephone
lf different contract managers are designated after execution of this contract, 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 contract.
c. Captions. The captions and headings contained in this contract are for the convenrence
of the parties only and do not in any way modify, amplify, or give additional notice of the
orovisions hereof.
Title
3339 E. Tamiami Trail. Suite 217
Naples. Florida 34112
Address
(239\ 252-8468
Teleohone
16.D.1.a
Packet Pg. 889 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
In WITNESS THEREOF, the parties hereto have caused this 19 page contract, with its
attachments as referenced, including Attachment | (two pages), Attachment ll (six pages),
Attachment lll (one pages), Attachment lV (one pages), and Attachment V (one pages), to be
executed by their undersigned officials as duly authorized effective the 1st day of October,2O17.
BOARD OF COUNry COMMISSIONERS
FOR COLLIER COUNTY
SIGNED BY:
NAME:
TITLE:
DATE:
ATTESTED TO:
SIGNED BY:
NAME:
TITLE:
DATE:
STATE OF FLORIDA
DEPARTMENT OF HEALTH
SIGNED BY:
NAME: Celeste Philip. MD. MPH
TITLE: Surqeon General and Secretarv
DATE:
SIGNED BY:
NAME: Stephanie Vick. M.S.. B.S.N.. R.N.
TITLE: GHD Director/Administrator
DATE:
Approved ss to tbrm and lcgulitY
Ot\
,t
16.D.1.a
Packet Pg. 890 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
ATTACHMENT I
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. lf 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:
Service Reouirement
1. Sexually Transmitted Disease Requirements as specified in F.A.C. 64D-3, F.S. 381 and F.S. 384.
Program
2. Dental Health Periodic financial and programmatic reports as specified by the
Program office.
3. Special Supplemental Nutrition Service documentation and monthly tinancial reports as specified in
Program forWomen, Infants and DHM '150-24'and allfederal, state and county requirements
Children (including the WIC detailed in program manuals and published procedures.
Breastfeeding Peer Counseling
Program)
4. Healthy Starv lmproved Pregnancy Requirements as specifled in the 2007 Healthy Start Standards and
Outcome cuidelines and as specified by the Healthy Start Coalitaons in
contract wath each county health department.
5. Family Planning Requirements as specified in Public Law 91-572, 42 U.S.C. 300, et
seq., 42 CFR part 59, subpart A, 45 CFR parts 74 & 92, 2 CFR215
(OMB CircularA-110) OMB Circular A-102, F.S.381.0051, F.A.C.
64F-7, F.A.C. UF-16, and F.A.C.64F-19. Requirements and
Guidance as specified in the Program Requirements for Title X
Funded Family Planning Projects (Title X Requirementsx2ol4) and
the Providing Quality Family Planning Services (QFP):
Recommendations of CDC and the U.S. Office of Population Affairs
published on the Offlce of Population Affairs website.
Programmatic annual reports as specified by the program office as
specified in the annual programmatic Scope of Work for Family
Planning and Maternal Child Health Services, including the Family
Planning Annual Report (FPAR), and other minimum guidelines as
specified by the Policy Web Technical Assistance Guidelines.
6. lmmunization Periodic reports as specified by the department pertaining to
immunization levels in kinderga(en and/or seventh grade pursuant
to instructions contained in the lmmunization Guidelines-Florida
Schools, Childcare Facilities and Family Daycare Homes (DH Form
150€15) and Rule &D-3.046, F.A.C. ln addition, periodic reports
as specified by the department pertaining to the
surveillance/investigation of reportable vaccine-preventable
diseases, adverse events, vaccine accountability, and assessment
of immunization
ATTACHMENT | (Continued)
nttacnnrentlPagelof2
16.D.1.a
Packet Pg. 891 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
7. EnvironmentalHealth
8. HIV/AIDS Program
levels as documented in Florida SHOTS and supported by CHD
Guidebook policies and technical assistance guidance.
Requirements as specifled in Environmental Health Programs
lvanual 150-4* and DHP 50-21'
Requirements as specified in F.S. 384.25 and F.A.C. 64D-3.030
and 64D-3.031. Case reporting should be on Adult HIV/AIDS
Confidential Case Report CDC Form DH2139 and Pediatric
HIV/AIDS Confidential case Report CDC Form DH2140.
Requirements as specified in F.A.C.64D2 and AD-3, F.S. 381 and
F.S. 384. Socjo-demographic and risk data on persons tested for
HIV in CHD clinics should be reported on Lab Request DH Form
1628 in accordance with the Forms Instruction Guide.
Requirements for the HIV/AIDS Patient Care programs are found in
the Patient Care Contract Administrative Guidelines.
9. School Health Services Reauirements as specified in the Florida School Health
Administrative Guidelines (May 2012). Requirements as specified
in F.s. 381.0056. F.S. 381.0057, F.S. 402.3026 and F.A.C. 64F-6.
10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C.64D-3
and F.s. 392.
11. General Communicable Disease Carry out surveillance for reportable communicable and other acute
Control diseases, detect outbreaks, respond to individual cases of
reportable diseases, investigate outbreaks, and carry out
communication and quality assurance functions, as specified in
F.A.C. 64D-3, F.S. 381, F.S. 384 and the CHD Epidemiology Guide
to Surveillance and lnvestigations.
'12. Refugee Health Program Programmatic and financial requirements as specified by the
program offlce.
'or the subsequent replacement if adopted during the contract period.
;,::.iii.nent-l Page 2 oi 2
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Packet Pg. 892 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
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16.D.1.a
Packet Pg. 893 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
1. GENERAL REI'ENI'E . STATE
O15O4O AIDS PATIENT CARE
OT5O4O AIDS PREVENTION & SURVEILLANCE - GENERAL RE\ENUE
OI5O4O CHD ' TB COMMUMTY PROGRAM
OT5O4O DENTAL SPECIAI INITIATIVE PROJECTS
OI5O4O FAMILY PLANNING GENERAL RE\TNUE
OI5O4O HEPATITIS AND LI!'ER FAILURE PREWNTION & CONTROL
O15O4O MIGRANT LABOR CAMP SANITATION
O15O4O PRIMARY CARE PROGRAM
0r50,t0 SCHOOL HEALTH SDRVICES - GENERAL RE\iTNUE
OT5O5O CHD GENERAL REVENUE NON-CATEGORICA],
GENDRAL REVENUE TOTAI
2. NON GENERAL REVENUE . STATE
OT5OTO STATE UNDERGROI'ND PETROLEIJM RESPONSE ACT
OT5OTO EI{VIRONN'ENTA]- BIOMEDICAI WASTE PROGRAM
OT5OTO TOBAOCO STATE AND COMMUNITY INT!]RVENTIONS
O15O1O HURRICAN T'IA1"THEW EXECUTIID ORDER T6'230
NON GENERAL REWNIJE TOTAL
3. FEDERAL FUNDS . STATE
OO?OOO AIDS DRUG ASSISTANCI] PROGRAM ADT'IIN HQ
OO?OOO \YIC BREASTFEEDING PEER COUNSELING PROG
OO?OOO COASTAL T]EACH WATER QUALITY MONITORING
OO?OOO COMPREHENSI\T COMMUNITY CARDIO ' PHBG
OO?OOO CT{S-IUCH PURCHASED CLIENT SERVICES
00?000 FA:\{ILY PLANNING TITLE X-GRA,\T
00?000 IMMUN-IZATION ACTION PLAN
OO?OOO MCH SPECIAI, PRJCT UNPLANNED PRECNANCY
OO?OOO BASE CONTMUNITY PR,EPAREDNESS CA?ABILITY
OOTOOO BASE PUI} HLTH SURVEII,L{NCE & EPI IN1DSTIGATION
OO?OOO AIDS PREVENTION
OOTOOO RYAN WI]ITE TITLE II GMNT/CHD CONSORTIUM
OOTOOO IN1PROVING STD PROGRAMS
OO?OOO \'!'IC PROGI|{V ADI{INISTMTION
OI5O?5 INSPECTIONS OF SUMMER FEEDING PROGRAM - DOE
015075 SUPPLEMI'NTAL SCHOOI, HTJAITH
OT5O?5 REFUGEE HE..\I,TH SCREENINC REIMBURSEVENT ADT'IN
OT5075 REFUGDE HEiLTH SCREENING REIMBURSEME.\"T SEITVICES
FEDERAL FUNDS TOTAL
4. FI)ES ASS-ESSDD IJY STATE OR FEDERAL RULI]S ' S1\1'.U
OOIO2O CHD STATEWIDE EVIRONMENTAI FEES
OO1O92 CHD STATDWIDE ENVIITONMENTAI- I'DES
00r20ti ()N StlL SLI\V,\GD DISI\is,\l- fllL\llT ITIjLS
140,000
69,571
149,661
6,200
70,681
89,286
74,533
3r3,432
218,0?3
1,892,126
3,023,563
r3,086
183,886
5,434
205,970
103,096
6r,296
16,308
36,000
33,000
124,425
87,564
39,976
131,814
ffi,422
2a5.Ma
287,051
5,624
1,384,924
1,725
33,690
?8,281
652,336
3,430,380
472,554
r99,532
10,6i;ri
r40,000
69,57 t
r49,661
6,200
70,641
89,286
74.533
313,432
218,073
1,892.126
3,023,563
3,565
13,086
r$,885
5,434
205,970
103,096
61,296
16,308
36,000
33,000
124,425
87,564
39,976
l3r,8l4
67,422
285,448
287,051
5,621
r,384,924
33,690
78,281
652.336
3,430.380
412,554
r99,532
10.0;u
r40,000
69,571
r49,661
6,200
70,681
89,286
14,533
313,432
2r8,073
1,892,126
3,023,563
13,086
r83,885
5,434
205,9?0
r03,096
6r,206
16,308
36,000
33,O00
124,425
a7,564
39,976
131,814
61.422
245,448
287,051
5.424
1,384,924
t,725
33,690
7A,2al
652.336
3,430,380
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
o
o
0
o
0
0
o
o
0
0
o
0
0
0
0
0
o
o
0
0
0
0
o 472,a554
0 199,532
u 16,{;;rrJ
.r:i..,., - :_ l_,:irl_l' ;.!Jc i ur i
16.D.1.a
Packet Pg. 894 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
001206 SANITATION CERTIFICATES (FOOD INSPECTION)
00T206 SEPTIC TA,\K RESEARCH SURCHARGE
00T206 SEPTIC TANK VARIANCE FEES 50%
001206 PUBLIC SWIMMINO POOL PERMIT FEES'10o/o HQ TRANSFER
001206 DRINKING WATER PROGRAM OPERATIONS
001206 REGUL{TION OF BODY PIERCING SAIONS
00T206 TANNINGFACILITIES
001206 ONSITE SEWAGE TRAINING CENTER
001206 TAT1'O PROGRAM ENVIRONMENTAL HEALTH
001906 MOBILE HOME & RV PARK FDES
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL
5. OTIIER CASII CONTRIBUTIONS - STATE:
O9OOO1 DRAW DOWN FROM PUBLIC HEAITH UNIT
OTHER CASH CONTRIBUTION TOTAL
6. MEDICAID . STATE/COUNTY:
OO1O5? CHD CLINIC FEF]S
OOTT{8 CHD CLINIC FEES
MEDICA]D TOTAI
7. ALLOCABLE REVENUE . STATE:
O18OOO CHD CLINIC FEES
ALI,OCASLE RE\'ENUE TOTAI
S. OTHER STATD CONTRIAUTIONS NOT IN CHD TRUST FUND ' STATE
ADAP
PHARMACY DRUG PROGRAM
WIC PROGR{T,I
BUREAU OF PUBT,IC HEALTH T,ABORATORIES
IMMUNIZA?IONS
OTHEB STATE CONTRIBUTIONS TO1AI
9. DIRECT LOCAL CONTRIBUTIONS ' BCC/TAX DISTRICT
OOSOO5 CHD LOCAL RDVENUE & EXPENDITURES
DIRECT COUNTY CONTRIBUTIONS TOIIAI
rO. FEES AUTIIORIZED BY COUNTY ORDINANCE OR RESOLUTION ' COUNTY
OOTO77 CHD CI,INIC FIIES
001077 GDNEtu\L CLINI(-- IL\BIES SERVICES & DRUC PURCHASES
OOTO94 CIID LOCAI, ENVIRONMENTAI, FEES
OOIllO VT'f]\L STATIS'I'ICS CERTIT'IIID RI'CORDS
FBES AUTHORIZED BY COUNTY TOTAI
I ]. OTHT:R CASH ANT) T,OCAI, OONTRIRIITIONS ' COIINTY
4,'t49
2,105
350
33,380
1,305
30
338
1,110
2,094
2,157
736,942
0
0
0
0
0
0
;
0
0
0
49,600
983,000
1,032,600
4,i49
2,'io5
350
33,380
r,305
30
338
I,ll0
2,O94
2,t67
736,942
49,600
983,000
1,032,600
1,000
1,000
4,749
2.705
350
33,380
1,305
30
338
1,110
2,O94
736,942
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
o
o
o
0
u
0
0
0
0
0
0
0
1,000
1,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
t,.155,000
1,455,000
:52.r50
8,500
706,650
390,OOO
r,35?,300
0
0
0
0
0
r,.155,000
1,455,000
:52,150
8,,500
706,61')o
390,000
135?,300
1,456,6rO
37,691
5,632,203
52,103
1,222,538
8,401,145
49,600
983,000
1,032,600
1,000
1,000
1,456,610
37,691
5,632,203
52,103
1,222,53a
8,40r,145
1,.r55,000
1,455,000
252,150
8,500
706,650
:J90,000
1,357,300
0
0
0
0
0
,...-,. : i_r Parl-i-i.9e2oii
16.D.1.a
Packet Pg. 895 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
OOTO29 CHD CLINIC FEES
OOTO9O CHD CLINIC FEES
OTOSOO CHD SALE OF SER\'ICES IN OR OUTSIDE OF STATE GOVT
O]TOOO RYAN WHITE
O11OOO CHD CASH DONATION / NON.SPECIFIC
OTIOOO E.{RLY LEARNING COALITION OF SOUTHWEST FLORIDA
OT1OOO CHD LOCAL REVENUE & EXPENDITIIRES
OTIOOT CHD HEAI,TITY START COALITION CONTRACT
OT2O2O CHD IOCAL ENVIRON}IENTAL FEES
O9OOO2 DRAW DOWN FROM PUBLIC HEALTH UNIT
OTHER CASIT AND IOCAL CONTRJBUTIONS TOTAL
12. ALLOCABI,E REVENUE . COUNTY
O18OOO CHD CLINIC FEES
COUNTY ALIDCAI}I,E REWNUD TOTAL
13. BUILDINGS . COIJNTY
ANNUAL RENTAI DQUIVAI-ENT VALUE
IT ALLOCATION & COLDEN GATE RENTAL
UTILITIES
BUILDING MAINTENANCE
GROUNDS MAINTENANCE
INSURANCE
OTHER (Specify)
OTHER (Specify)
BIJILDINGS TOTAL
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FIJND ' COUNTY
EQUIPMENT / WHICLE PT]RCH.{SES
\'EHICLE INSURA}iCE
lDHICLD MAINTENANCE
OTHER COUNTY CONTRIBUTION GPECI}-Y)
OTHER COUNTY CONTRIBUTION 6PECIFY)
OTHER COUNTY CONTRJBUTIONS TOTAL
GRAND TMAL CHD PROGRAM
0
0
o
0
0
0
0
0
0
0
0
0
o
0
0
0
0
0
0
0
0
0
7,397,855
82,500
t't,'t50
3,OO0
21,000
12,100
60,900
10,000
475,265
1,000
322.817
1,012,332
r,000
r,000
0
0
0
0
0
o
o
o
0
0
0
0
0
o
4858,232
82,500
t1,750
3,000
27,000
12,100
60,900
10,000
475,265
I,000
322,817
r,0r2,332
r,000
I,O00
0
0
0
0
0
0
0
o
o
0
0
0
0
0
0
r2,256,087
o
o
o
0
0
o
0
0
0
0
0
525,048
91,000
164,500
0
t95,r49
0
0
0
9?5,697
86,400
r8,700
0
0
0
105,100
9,481,942
82,500
17,150
3,000
27,000
12,100
60,900
10,000
475.265
1,000
322,417
I,O12,332
r,000
1,000
525,O48
91,000
164,500
0
195,149
o
0
0
I'i5,697
86,400
18,700
0
o
0
105,100
21,?38,029
/,i!,- ,.:, i_ _i ari_i Page I ol3
16.D.1.a
Packet Pg. 896 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
A. COMMI'NICABIJ DISEASE CONTROL:
IMIIUNIZATION (1OI)
SEXUALLY TR.ANS. DIS, (IO2)
HIV/AIDS PREVENTION (O3AT)
HIY/AIDS SURVEILT \NCE (03A2)
HIV/AIDS PATIENT CARE (03A3)
ADAP (03A4)
TUBDRCULOSIS OO4
COMM. DIS, SURV. (106)
HEPATITIS (T09)
PBEPAREDNESS AND RESPONSE (1T6)
REFIJCEE }IEAI-TH (1I8)
\IITAI RDCORDS (T8O)
COMMUNICASIJ DISEAIIE SUBMTAL
B. PRIMARY CARE:
CHRONIC D]SEASE PREVENTION PRO (2IO)
wrc (2lwl)
TOBACCO USE INTERVENTION (2I2)
WIC BRDASTFEEDING PDER COUNSELIb"G (21W2)
FAIVTILY PLANNI'\'G (223)
IMPRO\'ED PREGNANCY OUTCOIIE (225)
HEA]-THY START PRENATAL O2?)
COMPREHENSIVD CHILD HEALTH (229)
HEALTHY START CHILD (23T)
SCSOOL HEAI-TII 834)
COMPREIIENSI\,'E ADULT }IEA]-TH (23?)
CO}INTUNITY HEALT}I DEITIOPMEN'T ($8)
DENTAI, HEALTH E4O)
PRIMARY CA.RE SIJBTOTAL
C. E}MRONMENIALHEALTH:
Wlter and ODsite S€f,ags P!ocr@3
COSIAI, I]EACH IUONITORING (31?)
UMITED USE PUBLIC WATER SYSTEMS (357)
PUBLIC WATER SI'STEI\I (354)
PRlvAlt \YATER SYSTE,V (359)
oNstru sEtvAGE Ttt0A'IMDNT & DlSt'OSAr, (i]61)
TA'I'To0 li\CILIfi SERVICES (34,1)
FOOD HYCIENE (348)
a39 6,196 8,496 123,$a M4442 123,838 144,442 187,034 349,526 536,560
5 38 1,287 1,906 69,2?9 80,805 69,279 80,80.1 5,624 294,543 300,167
5.39 0 E,042 77,W3 m,165 ?7,303 90,164 324,935 10,000 334,935
1.33 0 u 18,485 21,560 18,485 21,561 80,091 0 80,091
7.62 628 3,648 r4r,993 165,618 141,993 165,618 192,022 123,2$ 6t6,222
2.90 49 345 39,965 46,614 39,965 46,615 173,159 0 173,t59
5.36 .|a7 2,934 92,491 107,6a3 92,494 107,843 302,004 98,750 .100,?54
9.r4 0 7,509 r3r,837 153,772 131,837 153,',1i2 67,422 503,396 57t,218
l.6r r,509 1,899 27,\34 3r,649 27,134 3r,649 117,566 0 117,566
3.40 0 45 67,558 ?8,798 6?,558 ?8,708 257,512 35,200 n2,712
10.60 2,255 6,145 210,655 245,703 210,655 245,704 912,7),7 0 912,717
3.45 t2,325 15,952 ,13,486 50,122 43,486 50,722 0 184,416 188,416
U.:,7 24,614 86,931 r,044,027 1,217.73r r,044,02? 1,217,732 2,920,.1{t6 1,603,031 4,523,517
1.38 l0l l0l 23,\a2 27,040 23,182 27,040 36,000 61,4U rm,444
28.56 16,347 9?,961 373,501 435,643 3?3.501 435,64? I,618,?87 0 1,618,287
2.93 0 232 4i,382 55,265 47,3a2 55,266 20a,295 0 205,295
2.43 0 3,447 23,79b 27,754 23,795 27,755 103,099 0 103,099
5.56 2,64 4,84,1 90,274 105,294 90,274 105,293 312,635 ?a,500 39r,135
0.00 0 0 ?3,856 86,144 ?3,856 86,141 0 3m.000 3m,000
10.92 955 5,210 168,921 t96,9m 1€f'221 19€,209 156,716 572,144 ?2a,860
1.99 307 506 30,796 35,920 30,?96 35,921 0 133,433 r$,433
5.97 1,356 6,255 84,628 98,?08 84,628 94,707 245,939 W,732 366,6?r
8.15 0 413,108 106,646 124,390 106,6'16 12i1,390 386,5t2 75,500 462,072
1.94 2,394 3,363 108,?81 126,880 108,?81 126,6a1 131,?96 339,527 471,323
4.30 0 266 U,212 ?4,a95 U,212 74,896 274,2t5 0 274,215
14.0a 4,745 9,785 252,024 293,955 252,021 293,956 6,200 1,085,?59 r,091,959
91.51 28,869 545,078 r,447,298 1,688,m7 1,447,298 1,688,100 3,520,751 2,750,039 6,270,793
0.37
o.57
0.00
00?
G.77
7.74
o.26
1.66
l,t0l 1,104
145 1,336
o0
298
1,780 5,t24
3,028 i,lj62
8,459 9,866 8,459 9,867 36,651 0 36,651
10,592 12,351 10,592 12,353 21,896 23,995 45,89r
0000000
r,a{o l,?96 1540 r,79i 0 6,6?3 6,673
i09,164 127,326 109,164 t2'.1,327 274,796 194.185 472,981
t29i5i 15t.349 l29,ia5 151.3,r,! tlilt il13 :224,853 502.t!ii
0 148 4,69?
329 r,004 !7,464
5,479 4,897
32.034 2?,468
5,479 20 352
39,039 118,893
0 20,352
120 119,013
^racf .,r_r_rd,i_ i.,Jr i.:.
16.D.1.a
Packet Pg. 897 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
BODY PIERCING FACILITIES SERVICES (349)
GROUP CARE FACILITY (351)
MIGMNT T.\BOR CAMP (35,
HOUSINC & PUB. BLDC. (353)
TIOBIII HOME AND PARX (354)
POOI,S/BATHING PI,ACES (360)
BIOMEDICAI, WASTE SERVICES (364)
TANM:.IG FACILITY SERVICES (369)
&ourdwrtor Coltsailatiot
STOMGE TANK COMPLIA"\CE SERVICES (355)
SUPER AC'T SERi'ICES (356)
Gloup Tolal
Cohmuitt HyAiens
COIIMUNIfi EN!'IR. HEALTH G45)
INJURY PREVENTION (346)
LEAD MONITORING SERI']CES (350)
PUBLICSEWACE (362)
SOLID WASTE DISPOSAL SERVICE (363)
SANITARY NUISANCE (305)
RABIES SUR\TILLqNCE (366)
ARBOR\'IRUS ST]R\TTL. (367)
RODENT/ARTHROMD CONTROL (368)
WATER POLLUTION (370)
INDOOR AIR (37T)
RADIOLOCICA], HEAI,TH (3?2)
TOXIC SUBSTANCES (373)
Gmup Toral
ENVIRONMtrNTAI- HEALTH SUBTO?AL
D. NON.OPBRATIONALCOSTS:
NON.OPERATIONAI COSTS (599)
EIn'lRONMENTAL HEALT}I SURCHANGA (399)
MEDICAID BWBACK (6TI)
NON.OPERATIONAL COSTS SUBTOTAI-
TOTAL CONTMCT
0.10
055
2.7r
o00
049
428
r.28
0.08
11.41
0.00
0.06
0.06
0_00 0
0.00 0
0.00 0
0.00 0
0.00 0
0.02 272
0.00 0
0.00 0
0.00 0
0.00 0
0.00 0
0.00 0
0.00 0
0.02 272
t9.27 6,497
27
r38 231-
100 1,073
00
77 242
1,755 18,169
ts1 gla
21 29
3,089 2\a27
0
t08
108
0
224
228
0
0
0
0
0
1
0
0
0
0
0
0
0
4
29,721
1,361 r,58?
9,0m 10,521
37,629 43,889
00
9,841 ll,,At
76,122 88,787
23,268 27,t40
1,347 1.571
190,?56 222,493
r,361 1,586
9,020 10,520
37,629 43,889
00
9,844 11,481
78,122 88,787
23,268 27,110
r,347 1,5i2
190,766 222,493
00
r,003 1,,274
1,0€3
',271
5,895 0 5,895
0 39,081 39,08r
115,986 47,050 163,036
000
42,2fi /rco 42,650
136,160 193,658 329,818
100,816 0 100,816
5,837 0 5,837
546,189 280,3m a26,498
0
4,735
4,?35
0
r,m3
r,093
0
0
0
338
0
0
0
0
0
0
$a
32r,942
o
1,275
t,275
0
0
0
0
395
0
o
0
0
0
0
0
395
3?5,505
0
0
0
o
o
$a
0
0
0
0
0
0
0
338
32t,C42
0
0
0
0
395
0
0
0
0
395
375,506
00
o 4,735
o 4,735
0.00000000000
0 00 0 0 14,969 17,459 14,969 l?,450 64,856 0 64,856
0.00 0 0 468 515 468 545 2,026 0 2,026
0.00 0 0 15.437 18,004 ti,437 18,004 66.842 0 66,842
1?5.35 59,980 661,?30 2.828,704 3,299,33? 2,82a,?0'l 3,299,342 ?,39?,855 4,858,23? 12,256,087
000
000
000
000
000
1,466 0 1,466
000
000
000
000
000
000
000
r,466 0 I,466
889,?33 505,162 1,394,E95
16.D.1.a
Packet Pg. 898 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
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,
conlracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to
programs or activities receiving or benefiting from federal financial assislance. 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:
1.
3.
Title Vl 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.
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 benetiting from federal financial
asststance.
Tille lX 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.
The Age Discrimination Act of 1975, as amended,42 U.S.C.6101 et seq., which prohibits discrimination
on lhe basis of age in programs or activities receiving or benefiting from federal financial assistance.
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.
All regulations, guidelines and standards laMully adopted under the above statutes. The applicant agrees
that compliance with lhis assurance constitutes a condition of continued receipt of or benefit from federal
linancial assislance, 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,
subcontraclors, 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.
4.
5.
i. i ,, rr_l :,ec i !1 1
16.D.1.a
Packet Pg. 899 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
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16.D.1.a
Packet Pg. 900 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)
ATTACHMENT V
COLLIER COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
CASH RESERVED ORANTICIPATED TO BE RESERVED FOR PROJECTS
STATE COUNTY TOTAL
0$$
0$
CONTMCT YEAR
2016-2017.
2017-2018*
2018-2019*'
2019-2020"',
PROJECT TOTAL
0$
0$$0
$00$
SPECIAL PROJECTS CONSTRUCTION/RENOVATION PLAN
PROJECT NUMBER:
PROJECT }tAME:
LOCATION/ADDRESS:
PROJECT ryPE:NEW BUILDING
RENOVATION
NEW ADDITION
ROOFING
PLANNING STUDY
OTHER
SQUARE FOOTAGE:
PROJECT SUMMARY:Descibe scope of v/otk in Easonable detail.
START DATE (tninat etpenditure ot tunds)
COMPLETION DATEI
DESIGN FEES:
CONSTRUCTION COSTS:
FURNITURE/EOUIPMENT:
TOTAL PROJECT COST:
COST PER SQ FOOT:
I
$
$
$
Special Capital Prolects are new construction or renovation projects and new Iurnituae orequipmgnt associated with thess projects and
mobile health vans.
' Cash balance as of 9/30/17
" Cash to be transtefred to FCO account-
"'Cash anticipaled for futuae conlract years.
,,i .- -,, : :r,i_ , i.J! t!l i
16.D.1.a
Packet Pg. 901 Attachment: 2017-2018 Contract between DOH-Collier County (3741 : DOH Contract with Collier County)