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Agenda 01/27/2015 Item #16D 7 1/27/2015 16.D.7. EXECUTIVE SUMMARY Recommendation to approve an agreement with the Physician Led Access Network to provide medical referral services for low-income residents in Collier County. OBJECTIVE: To promote availability and access to healthcare for low-income residents of Collier County. CONSIDERATIONS: In 2003, the Board directed staff to develop and enter into an agreement with the Physician Led Access Network (PLAN). The intent of the PLAN agreement was to help fund medical referral services to low-income residents who lack medical insurance in Collier County. PLAN is a local community-based referral network that coordinates volunteer medical care for eligible adults. Led by physicians, it is a community partnership that brings together physicians, community clinics, hospitals, diagnostic and laboratory facilities, and other healthcare providers through an integrated delivery system of care. The PLAN referral service is available to any Collier County low income resident who may not be able to afford a health care procedure. A resident may be referred by a current volunteer of PLAN, a specialty healthcare member of PLAN or one of the community clinics or hospitals. If accepted into the PLAN program,the resident may receive medical care treatment at no cost. The previous agreement expired on December 31, 2014 and all renewal options have been exhausted. The term of the new agreement with PLAN is January 1, 2015 to December 31, 2015, and the cost for the existence and delivery of the PLAN service contract is $12,500 per quarter(total annual cost: $50,000). County staff will continue to collect performance metrics to quantify the impact of the PLAN program within the community. Plan must provide a minimum of 500 services per quarter. In order to provide continuity and support, PLAN continued to provide services to low income families during the transition period (January 1 through Board approval) and staff asks the Board to approve a contract commencement date of January 1, 2015. Staff conducted a search for a no-cost medical care referral service organization in Collier County and PLAN was the only service found; Healthcare Network of Southwest Florida was identified in the search, however they do not offer the same comprehensive services as PLAN. Staff recommends that the Board determine that it is in the best interest of the County (Purchasing Ordinance 9 B 4) and to waive competition to award this contract. GROWTHMANAGEMENT: There is no growth management impact from this recommendation. FISCAL IMPACT: Funds in the amount of$50,000 are budgeted for FY15 in Community and Human Services Client Assistance cost center within the General Fund(001). LEGAL CONSIDERATIONS: This item has been approved as to form and legality and requires a majority vote for Board approval. -ERP RECOMMENDATIONS: That the Board of County Commissioners waives the competitive requirements set forth under the County's purchasing ordinance approves and authorizes the Chairman to sign the agreement with PLAN effective January 1, 2015. Prepared by: Leslie Hayes,Grant Coordinator,Community and Human Services Packet Page-476- 1/27/2015 16.D.7. COLLIER COUNTY Board of County Commissioners Item Number: 16.16.D.16.D.7. Item Summary: Recommendation to approve an agreement with the Physician Led Access Network to provide medical referral services for low-income residents in Collier County. Meeting Date: 1/27/2015 Prepared By Name: HayesLeslie Title:VALUE MISSING 1/8/2015 4:01:56 PM Submitted by Title:VALUE MISSING Name: HayesLeslie 1/8/2015 4:01:57 PM Approved By Name: TownsendAmanda Title:Director-Operations Support,Public Services Division Date: 1/12/2015 11:28:50 AM Name: GrantKimberley Title: Director-Community and Human Services, Community&Human Services Date: 1/12/2015 4:04:44 PM Name: Bendisa Marku Title: Supervisor-Accounting,Community &Human Services Date: 1/12/2015 4:18:30 PM Name: SonntagKristi Title:Manager-Federal/State Grants Operation,Community&Human Services Date: 1/12/2015 4:37:39 PM Name: MarkiewiczJoanne Packet Page-477- 1/27/2015 16.D.7. Title: Director-Purchasing/General Services,Purchasing&General Services Date: 1/13/2015 10:09:55 AM Name: AlonsoHailey Title: Operations Analyst,Public Services Division Date: 1/13/2015 11:46:19 AM Name: JohnsonScott Title: Manager-Procurement,Purchasing&General Services Date: 1/14/2015 9:03:35 AM Name: HerreraSandra Title:Manager-Procurement,Purchasing&General Services Date: 1/15/2015 9:15:55 AM Name: DendroulakisEwelina Title: Procurement Specialist,Purchasing&General Services Date: 1/15/2015 12:07:22 PM Name: CarnellSteve Title: Administrator-Public Services,Public Services Division Date: 1/16/2015 7:41:45 AM Name: PepinEmily Title:Assistant County Attorney, CAO Litigation Date: 1/16/2015 4:09:42 PM Name: FinnEd Title: Management/Budget Analyst, Senior,Transportation Engineering&Construction Management Date: 1/20/2015 8:56:30 AM Name: KlatzkowJeff Title: County Attorney, Date: 1/20/2015 9:03:57 AM Name: OchsLeo Title: County Manager,County Managers Office Date: 1/20/2015 10:31:35 AM Packet Page-478- 1/27/2015 16.D.7. AGREEMENT14-6358 for Physician Led Access Network (PLAN) THIS AGREEMENT, made and entered into on this day of 2015, by and between Physician Led Access Network of Collier County, Inc. (PLAN), authorized to do business in the State of Florida, whose business address is 501 Goodlette Road North Suite B- 300, Naples, FL 34102, hereinafter called the "Provider" or "PLAN" and Collier County, a political subdivision of the State of Florida, (the "County"): WITNESSETH: 1. COMMENCEMENT. The Provider shall commence the work on the date of January 1, 2015, provided a Purchase Order has been issued. 2. CONTRACT TERM. The contract shall be nine (9) months commencing on January 1, 2015, and terminating on September 30, 2015. The County may, at its discretion and with the consent of the Provider, renew the Agreement under all of the terms and conditions contained in this Agreement for two (2) additional twelve (12) month periods commencing October 1 and ending September 30. The County shall give the Provider written notice of the County's intention to renew the Agreement term not less than ten (10) days prior to the end of the Agreement term then in effect. The County Manager,or his designee, may, at his discretion, extend the Agreement under all of the terms and conditions contained in this Agreement for up to ninety (90) days. The County Manager, or his designee, shall give the Contractor 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. 3. STATEMENT OF WORK. The Provider shall assist income eligible residents of Collier County with access to medical services provided by medical providers in PLAN's network. The network providers will accept PLAN approved eligible persons and provide no fewer than five hundred (500) services per quarter. Services are defined as each encounter with each patient to include but not limited to referral, enrollment, clinical and routine service,etc. Intakes will be completed and verified by the Patient Coordinator of PLAN who will obtain all necessary household documentation and determine eligibility for this program in accordance with PLAN's policy. PLAN will track performance measures and report them quarterly to Community and Human Services as part of the invoice process. All documentation supporting the performance measures will be stored and made presentable to Community and Human Services upon request for monitoring of this contract. This Agreement contains the entire understanding between the parties and any modifications to this Agreement shall be mutually agreed upon in writing by the Provider and the County Project Manager or Contract Manager or his designee, in Page l of 11 Packet Page-479- 1/27/2015 16.D.7. compliance with the County Purchasing Ordinance and Purchasing Procedures in effect at the time such services are authorized. Provider's failure to perform any term or condition of this Agreement as a result of conditions beyond its control such as, but not limited to, war, strikes or lock-outs, fires, floods, epidemics, quarantine regulations, acts of nature, acts of government or of the County, shall not be deemed a breach of this Agreement. 4. COMPENSATION. The County shall pay the Provider for the performance of this Agreement and the total amount of fifty-thousand dollars and 00/100 ($50,000), based on the submission of the required quarterly report, attached hereto as Attachment A. Quarterly payments of twelve thousand five hundred dollars and 00/100 ($12,500) will be made upon receipt of a proper quarterly invoice and in compliance with Section 218.70 Florida Statues, 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 Contractual requirements. The Provider shall submit quarterly progress reports to the Community and Human Services Department on the 30th day of the month following the reporting quarter. The progress report format is outlined in Attachment A and the reporting schedule is cited below. Quarter Service Dates Report Due 1st Quarter January 1 - March 31 April 30th 2nd Quarter April 1 -June 30 July 30th 3rd Quarter July 1 -September 30 October 30th 4th Quarter October 1 - December 31 January 30th 5. SALES TAX. Provider shall pay all sales, consumer, use and other similar taxes associated with the Work or portions thereof, which are applicable during the performance of the Work. Collier County, Florida as a political subdivision of the State of Florida, is exempt from the payment of Florida sales tax to its vendors under Chapter 212, Florida Statutes,Certificate of Exemption#85-8015966531C-2. 6. NOTICES. All notices from the County to the Provider shall be deemed duly served if mailed or faxed to the Provider at the following Address: Physician Led Access Network of Collier County, Inc. (PLAN) 501 Goodlette Road North Suite B-300 Naples,FL 34102 Dr. Bill Kuzbyt,Chair Phone: (239) 776-3016 Fax: (239) 435-1297 Page 2 of 11 Packet Page-480- CA 1/27/2015 16.D.7. All Notices from the Provider to the County shall be deemed duly served if mailed or faxed to the County to: Community and Human Services Department 3339 Tamiami Trail East,Suite 211 Naples, FL 34112-5361 Attention: Leslie Hayes,Grants Coordinator Phone: (239) 252-2903 The Provider 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. 7. NO PARTNERSHIP. Nothing herein contained shall create or be construed as creating a partnership between the County and the Provider or to constitute the Provider as an agent of the County. 8. PERMITS: LICENSES: TAXES. In compliance with Section 218.80, F.S., all permits necessary for the prosecution of the Work shall be obtained by the Provider. The County will not be obligated to pay for any permits obtained by Subproviders/Subconsultants. Payment for all such permits issued by the County shall be processed internally by the County. All non-County permits necessary for the prosecution of the Work shall be procured and paid for by the Provider. The Provider shall also be solely responsible for payment of any and all taxes levied on the Provider. In addition, the Provider 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 Provider agrees to comply with all laws governing the responsibility of an employer with respect to persons employed by the Provider. 9. NO IMPROPER USE. The Provider 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 Provider or if the County or its authorized representative shall deem any conduct on the part of the Provider to be objectionable or improper, the County shall have the right to suspend the contract of the Provider. Should the Provider 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 Provider further agrees not to commence operation during the suspension period until the violation has been corrected to the satisfaction of the County. Page 3 of 11 Packet Page-481- GA 1/27/2015 16.D.7. 10. TERMINATION. Should the Provider be found to have failed to perform the services in a manner satisfactory to the County as per this Agreement, the County may terminate said agreement for cause; further the County may terminate this Agreement for convenience with a thirty (30) day written notice. The County shall be sole judge of non- performance. In the event that the County,terminates this Agreement, Provider's recovery against the County shall be limited to that portion of the Contract Amount earned through the date of termination. The Provider shall not be entitled to any other or further recovery against the County, including, but not limited to, any damages or any anticipated profit on portions of the services not performed. 11. NO DISCRIMINATION. The Provider agrees that there shall be no discrimination as to race, sex, color,creed or national origin. 12. INSURANCE.The Provider shall provide insurance as follows: A. Commercial General Liability: Coverage shall have minimum limits of$1,000,000 Per Occurrence, $2,000,000 aggregate for Bodily Injury Liability and Property Damage Liability. This shall include Premises and Operations; Independent Providers; 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 Government 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 Provider during the duration of this Agreement. The Provider shall provide County with certificates of insurance meeting the required insurance provisions. Renewal certificates shall be sent to the County ten (10) days prior to any expiration date. Coverage afforded under the policies will not be canceled or allowed to expire until the greater of: ten (10) days prior written notice, or in accordance with policy provisions. Provider shall also notify County, in a like manner, within twenty- four (24) hours after receipt, of any notices of expiration, cancellation, non-renewal or material change in coverage or limits received by Consultant from its insurer, and nothing contained herein shall relieve Provider of this requirement to provide notice. Provider shall ensure that all Subproviders/Subconsultants comply with the same insurance requirements that he is required to meet. Page 4 of 11 CA Packet Page-482- 1/27/2015 16.D.7. 13. INDEMNIFICATION. To the maximum extent permitted by Florida law, the Provider 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, whether resulting from any claimed breach of this Agreement by Provider, any statutory or regulatory violations, or from personal injury, property damage, direct or consequential damages, or economic loss, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the Provider or anyone employed or utilized by the Provider in the performance of this Agreement. This indemnification obligation shall not be construed to negate, abridge or reduce any other rights or remedies which otherwise may be available to an indemnified party or person described in this paragraph. This section does not pertain to any incident arising from the sole negligence of Collier County. 13.1 The duty to defend under this Article 13 is independent and separate from the duty to indemnify, and the duty to defend exists regardless of any ultimate liability of the Provider, County and any indemnified party. The duty to defend arises immediately upon presentation of a claim by any party and written notice of such claim being provided to Provider. Provider's obligation to indemnify and defend under this Article 13 will survive the expiration or earlier termination of this Agreement until it is determined by final judgment that an action against the County or an indemnified party for the matter indemnified hereunder is fully and finally barred by the applicable statute of limitations. 14. CONTRACT ADMINISTRATION. This Agreement shall be administered on behalf of the County by the Community and Human Services Department. 15. CONFLICT OF INTEREST. Provider 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. Provider further represents that no persons having any such interest shall be employed to perform those services. 16. COMPONENT PARTS OF THIS CONTRACT. This Contract consists of the following component parts, all of which are as fully a part of the contract as if herein set out verbatim: Insurance Certificate(s), and Attachment A: Performance Measures Calendar Year. 17. 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. 18. PROHIBITION OF GIFTS TO COUNTY EMPLOYEES. No organization or individual shall offer or give, either directly or indirectly, any favor, gift, loan, fee, service or other item of value to any County employee, as set forth in Chapter 112, Part III, Florida Statutes, Collier County Ethics Ordinance No. 2004-05, as amended, and County Page 5 of 11 Packet Page-483- CA 1/27/2015 16.D.7. 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. 19. COMPLIANCE WITH LAWS. By executing and entering into this agreement, the Provider is formally acknowledging without exception or stipulation that it agrees to comply, at its own expense, with all federal, state and local laws, codes, statutes, ordinances, rules, regulations and requirements applicable to this Agreement, including but not limited to those dealing with 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; taxation, workers' compensation, equal employment and safety (including, but not limited to, the Trench Safety Act, Chapter 553, Florida Statutes), and the Florida Public Records Law Chapter 119 (including specifically those contractual requirements at F.S. § 119.0701(2)(a)-(d) and (3))). If Provider observes that the Contract Documents are at variance therewith, it shall promptly notify the County in writing. Failure by the Provider 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. OFFER EXTENDED TO OTHER GOVERNMENTAL ENTITIES. Collier County encourages and agrees to the successful proposer extending the pricing, terms and conditions of this Agreement to other governmental entities at the discretion of the successful proposer. 21. 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. 22. ADDITIONAL ITEMS/SERVICES. Additional items and/or services may be added to this contract in compliance with the Purchasing Ordinance and Purchasing Procedures. 23. 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 Provider 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 Provider with full decision-making authority and by County's staff person who would make the presentation of any settlement reached at mediation to Page 6 of 11 Packet Page-484- `=AO 1/27/2015 16.D.7. 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. 24. 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. 25. ORDER OF PRECEDENCE. In the event of any conflict between or among the terms of any of the Contract Documents, the terms of the Agreement shall take precedence over the terms of all other Contract Documents. 26. ASSIGNMENT. Provider 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 Provider does, with approval, assign this Agreement or any part thereof, it shall require that its assignee be bound to it and to assume toward Provider all of the obligations and responsibilities that Provider has assumed toward the County. 27. RECORDS AND DOCUMENTATION. The Provider shall maintain sufficient records to determine compliance with the requirements of this Agreement, and all other applicable laws and regulations. This documentation shall include, but not be limited to, the following: A. All records required by County regulations. B. Provider shall keep and maintain public records that ordinarily and necessarily would be required by County in order to perform the service. C. All reports, plans, surveys, information, documents, maps, books, records and other data procedures developed, prepared, assembled, or completed by the Provider for the purpose of this Agreement shall be made available to the County by the Provider at any time upon request by the County or Community and Human Services Department. Materials identified in the previous sentence shall be in accordance with generally accepted accounting principles (GAAP), procedures and practices, which sufficiently and properly reflect all revenues and expenditures of funds provided directly or indirectly by this Agreement, including matching funds and Program Income. These records shall be maintained to the extent of such detail as will properly reflect all net costs, direct and indirect labor, materials, equipment, supplies and services, and other costs and expenses of whatever nature for which reimbursement is claimed under the provisions of this Agreement. D. Upon completion of all work contemplated under this Agreement copies of all documents and records relating to this Agreement shall be surrendered to Community and Human Services Department if requested. In any event the Page 7 of 11 Packet Page-485- 1/27/2015 16.D.7. Provider shall keep all documents and records in an orderly fashion in a readily accessible, permanent and secured location for three (3) years with the following exception: if any litigation, claim or audit is started before the expiration date of the three (3) year period, the records will be maintained until all litigation, claim or audit findings involving these records are resolved. The County shall be informed in writing if an agency ceases to exist after closeout of this Agreement of the address where the records are to be kept. Meet all requirements for retaining public records and transfer, at no cost, to County all public records in possession of the Provider upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the County in a format that is compatible with the information technology systems of the public agency. E. The Provider will be responsible for the creation and maintenance of income eligible files on clients served and documentation that all households are eligible under Income Guidelines. The Provider agrees that Community and Human Services Department shall be the final arbiter on the Provider's compliance. F. Provider shall provide the public with access to public records on the same terms and conditions that the public agency would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. Provider shall ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law. 28. MONITORING. During the term, Provider shall submit an annual audit report and monitoring report to the County no later than one hundred eighty (180) days after the Provider's fiscal year end. The County will conduct an annual financial and programmatic review. The Provider agrees that Community and Human Services Department will carry out no less than one (1) annual on-site monitoring visit and evaluation activities as determined necessary. At the County's discretion, a desk top review of the activities may be conducted in lieu of an on-site visit. The continuation of this Agreement is dependent upon satisfactory evaluations. The Provider shall, upon the request of Community and Human Services Department, submit information and status reports required by Community and Human Services Department to enable Community and Human Services Department to evaluate said progress and to allow for completion of reports required. The Provider shall allow Community and Human Services Department to monitor the Provider on site. Such site visits may be scheduled or unscheduled as determined by Community and Human Services Department. The County will monitor the performance of the Provider based on performance standards as stated with all other applicable federal, state and local laws, regulations, and policies governing the funds provided under this contract. Substandard performance as Page 8 of 11 Packet Page-486- �'�` 1/27/2015 16.D.7. determined by the County will constitute noncompliance with this Agreement. If corrective action is not taken by the Provider within a reasonable period of time after being notified by the County, contract suspension or termination procedures will be initiated. Provider agrees to provide the County's internal auditor(s) access to all records related to performance measures under this agreement. 29. CORRECTIVE ACTIONS. Corrective action plans may be required for noncompliance, nonperformance, or unacceptable performance under this contract. Penalties may be imposed for failures to implement or to make acceptable progress on such corrective action plans. (signature page to follow) Page 9 of 11 C;)* Packet Page -487- 1/27/201516.D.7. IN WITNESS WHEREOF, the Provider 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. BOARD OF COUNTY COMMISSIONERS ATTEST: COLLIER COUNTY, FLORIDA Dwight E. Brock, Clerk of Courts By: By: ,Chairperson Dated: (Seal) Provider: Physician Led Access Network of Collier County, Inc. Provider's First Witness: By: Signature Signature TType/print witness name?' Provider's Second Witness: Signature Type/print signature and title TType/print witness nameT Approved as to form and legality: Assistant County Attorney Print Name Page 10 of 11 Packet Page-488- GP 1/27/2015 16.D.7. Attachment A Physician Led Access Network of Collier County, Inc. (PLAN) Performance Measures Calendar Year(insert correct year) Performance 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Cumulative Measures Jan 1-Apr 30 May 1 —June 30 July 1 —Sep 30 Oct 1 —Dec 31 Total Number of patient Services: Value of donated services: Number of new medical providers enrolled in program: Signature & Date: *Services are defined as all encounters with each patient to include but not limited to Referral date, Enrolment date, Clinical service date, etc. Services do not include phone calls, and other routine customer service. Page 11 of 11 Packet Page-489- CA