Agenda 03/12/2013 Item #10H Proposed Agenda Changes
Board of County Commissioners Meeting
March 12,2013
Continue Item 6B to the March 26,2013 BCC Meeting: This item continued from the February 26,2013
BCC Meeting. Public Petition request from Randall J.Cohen regarding practices and procedures.
(Petitioner's request)
Move Item 8A to Item 9A: This item to be heard at 1:00 p.m. This item requires that ex parte
disclosure be provided by Commission members.Should a hearing be held on this item,all
participants are required to be sworn in.Recommendation to approve the Creekside Commerce Park
Commercial Planned Unit Development amendment. (Staffs request)
Move Item 8B to Item 9B: This item to be heard at 2:00 p.m. This item requires that ex parte
disclosure be provided by Commission members.Should a hearing be held on this item,all
participants are required to be sworn in. Recommendation to approve the Top Hat Auto Commercial
Planned Unit Development amendment. (Staffs request)
Continue Indefinitely Item 11C: Recommendation to review the history and public benefit associated
with the proposed Whippoorwill Lane and Marbella Lakes Drive connection project,consider current
comments from the public and after consideration,provide direction to the County Manager or his
designee prior to soliciting an invitation to bid for this project. (Staffs request in conjunction with
the Homeowners Association request in order to further evaluate traffic impacts and the appropriate
timing of improvements.)
Note
Item 10H: Recommendation is modified, in part, as follows:
"...the applicant shall not be affiliated directly, nor indirectly
with any local hospital, or, in the alternative, must be affiliated
with all local hospitals..." (Commissioner Hiller)
Time Certain Items:
Item 13A to be heard at 10:00 a.m.
Item 11B to be heard at 11:00 a.m.
Item 14A1 to be heard at 11:15 a.m.
Item 8A 9A to be heard at 1:00 p.m.
Item 8B-9B to be heard at 2:00 p.m.
3/20/2013 4:00 PM
3/12/2013 10.H.
EXECUTIVE SUMMARY
Recommendation that the Board of County Commissioners direct staff to prepare
solicitations for the post of County Medical Director and Deputy County Medical Director;
that the positions of County Medical Director and Deputy County Medical Director be
posted to accept applications by April 1, 2013; further, that staff bring back the slate of all
applications received for the board's review and consideration by the first board meeting
in May, 2013. The solicitation for the position of County Medical Director shall provide
that the applicant shall not be affiliated directly, nor indirectly with any local hospital. The
County Medical Director approves the county's emergency service protocols and as such
all conflicts of interest in appearance and in fact must be avoided for ethical and legal
reasons.
OBJECTIVE: That the Board of County Commissioners direct staff to prepare solicitations for
the post of County Medical Director and Deputy County Medical Director; that the positions of
County Medical Director and Deputy County Medical Director be posted to accept applications
by April 1, 2013; further, that staff bring back the slate of all applications received for the
board's review and consideration by the first board meeting in May, 2013. The solicitation for
the position of County Medical Director shall provide that the applicant shall not be affiliated
directly, nor indirectly with any local hospital. The County Medical Director approves the
county's emergency service protocols and as such all conflicts of interest in appearance and in
fact must be avoided for ethical and legal reasons.
CONSIDERATIONS: The Board of County Commissioners owes the community the duty to
ensure that it is staffing the county at the administrative leadership level with the best and
brightest. The board further owes the community the assurance that the staffing of leadership
positions within the county's top administration is such that the individuals selected have no
conflicts of interest in appearance or in fact, to ensure that the decisions made by such
individuals doesn't unfairly inure to the benefit or detriment of any special interest or the public
in general. As such, the board in good conscience shall post the position of County Medical
Director and Deputy County Medical Director to seek applicants that can provide the highest
level of emergency service leadership, and in the case of the County Medical Director, (the
decision maker as to county emergency service protocols), that there be no conflicts of interest.
Such conflicts of interest are avoided by requiring the County Medical Director be completely
independent of any local hospital.
FISCAL IMPACT: None
LEGAL CONSIDERATIONS: This item has been approved by the County Attorney and
raises no legal issues at this time. Dr. Tober's contractual issues will be addressed at such time,
if any, the Board elects to retain a different County Medical Director. This item requires
majority vote for approval. -JAK
RECOMMENDATION: Recommendation that the Board of County Commissioners direct
staff to prepare solicitations for the post of County Medical Director and Deputy County Medical
Packet Page-586-
3/12/2013 10.H.
Director; that the positions of County Medical Director and Deputy County Medical Director be
posted to accept applications by April 1, 2013; further, that staff bring back the slate of all
applications received for the board's review and consideration by the first board meeting in May,
2013. The solicitation for the position of County Medical Director shall provide that the
applicant shall not be affiliated directly, nor indirectly with any local hospital. The County
Medical Director approves the county's emergency service protocols and as such all conflicts of
interest in appearance and in fact must be avoided for ethical and legal reasons.
PREPARED BY: Commissioner Georgia Hiller, Chair-District 2
Attachments - County Medical Director Contract
Packet Page -587-
3/12/2013 10.H.
COLLIER COUNTY
Board of County Commissioners
Item Number: 10.10.H.
Item Summary: Recommendation that the Board of County Commissioners direct staff to
prepare solicitations for the post of County Medical Director and Deputy County Medical
Director;that the positions of County Medical Director and Deputy County Medical Director be
posted to accept applications by April 1, 2013;further,that staff bring back the slate of all
applications received for the board's review and consideration by the first board meeting in
May, 2013. The solicitation for the position of County Medical Director shall provide that the
applicant shall not be affiliated directly, nor indirectly with any local hospital. The County
Medical Director approves the county's emergency service protocols and as such all conflicts of
interest in appearance and in fact must be avoided for ethical and legal reasons.
(Commissioner Hiller)
Meeting Date: 3/12/2013
Prepared By
Name: BrockMaryJo
Title:Executive Secretary to County Manager, CMO
3/6/2013 9:01:56 AM
Submitted by
Title:Executive Secretary to County Manager, CMO
Name: BrockMaryJo
3/6/2013 9:01:57 AM
Approved By
Name: OchsLeo
Title: County Manager
Date: 3/6/2013 9:24:25 AM
Packet Page -588-
- 3/12/2013 10.H.
Cov-4t4-,z),dc
•
3 ar(r.rc `r'r.r....Nri
COLLIER COUNTY EMERGENCY SERVICES
MEDICAL CONSULTANT CONTRACT
THIS MEDICAL CONSULTING CONTRACT made this // day of
Qp, , 2001 by and between ROBERT BOYD TOBER,INC.,hereinafter referred to as
Consultant,and COLLIER COUNTY,FLORIDA,hereinafter referred to as the County.
WITNESSETH
WHEREAS, the County is responsible for emergency services in COLLIER COUNTY,
Florida; and
WHEREAS, Emergency Medical Services, (hereinafter"EMS"), are a logical extension
of existing health carve services performed by the County in the above described geographic area
and
WHEREAS, Consultant ROBERT TOBER, M.D., a duly licensed physician in the State
of Florida who is specially trained in the field of emergency medicine;and
WHEREAS, the County and Consultant have previously entered into a Medical
Consulting Contract dated June 18, 1996 which provides for automatic renewal pursuant to
certain conditions; and
WHEREAS, said conditions have been met for renewal of the contract and the parties
hereto manifest their mutual desire to renew same with certain changes contained herein; and
NOW THEREFORE, in consideration of the promises and the mutual covenants
hereinafter set forth, the parties hereto agree as follows:
1. LICENSE: ROBERT TOBER, M.D. is at the present time a duly licensed
physician in the State of Florida and he has agreed to maintain his license in full force and effect
during the term of this contract. If for any reason during the term of this Contract,the County no
longer contracts with DR. TOBER, or if DR. TOBER should lose his license to practice
medicine, this contract shall immediately become null and void.
Packet Page-589-
3/12/2013 10.H.
2. GENERAL DUTIES; Consultant shall be an independent contractor and shall
be directly responsible to the Division Administrator of the Emergency Services Division for the
performances of services as Medical Director as more specifically defined in this agreement and
as set forth in Section 401.265, Florida Statutes. The Consultant shall be responsible for the
implementation of such planning and coordination as may be necessary to deliver advanced life
support by Paramedics (including EMS and Fire District personnel) trained to the level of
• I
advanced and basic medical technicians, which may require intravenous administration of
emergency resuscitative drugs and the performance of sophisticated technical emergency
procedures,
3. TERM OF CONTRACT: The initial term of this contract shall be from October
1, 2000 to September 30, 2001. The parties agree that the term of the Contract shall be
automatically renewed on a yearly basis from October 1, through September 30 with the same
terms,conditions and obligations as set forth herein,unless terminated by County upon sixty(60)
days written notice to Consultant.
4. COMPENSATION: The County shall pay to the Consultant the sum of
$50,000 per annum, as full compensation for the services rendered herein and no other
compensation. The County will pay the cost of the professional liability insurance. The Medical
Director shall not be eligible for any employee benefits other than this compensation. This sum
shall be paid to the Consultant in twelve (12) equal monthly payments commencing with the
effective date of the Contract, with each monthly payment being payable by the 10th of each
month. The Consultant will be entitled to a 5% annual increase beginning October 1,2001 upon
written notification by the Emergency Services Administrator by September 15th of each year,
beginning on September 15,2001,and upon approval by the Board of County Commissioners.
5. PATIENT RECORDS: The County shall make available, within two days of
request, any and all medical records, reports, documents and other relevant materials, including
9
Packet Page -590-
3/12/2013 10.H.
audio and visual tapes requested by the Consultant. This includes all run reports, medical test
results,recordings on tape and any other reasonably available similar information.
6. CONFIDENTIAL COMMUNICATIONS: Except as may be provided by
general law, the County agrees to keep all medical records confidential and allow no
communication of records or patient information without a written release from the patient or the
Consultant.
7. REPORT: The County agrees to give the Consultant full and detailed reports
regarding any case which it reasonably believes has the potential for legal action against the
County or its employees pertaining to EMS.
8. DISCIPLINARY ACTIONS: The County agrees to give the Consultant a full
written report of any and all Emergency Medical Services personnel who are known to have
violated any standing or verbal orders. Consultant shall be given full support for removal of any
program participant as provided for in State regulations governing Advanced Life Support
Providers.
9. DUTIES AND RESPONSISILMES OF THE CONSULTANT;
a. He shall be from a broad-based medical specialty such as emergency medicine,
internal medicine, anesthesiology,or other surgical specialty,with demonstrated
experience in pre-hospital care and hold an ACLS certificate of successful course
completion or be board certified in emergency medicine.
b.He shall demonstrate and have available for review documentation of active
participation in a regional or statewide physician group involved in pre-hospital care.
c. He shall supervise and accept direct responsibility for the medical performance of
the paramedics working for Collier County EMS.
d. He shall develop medically correct standing orders or protocols relating to life
support system procedures when communication cannot be established with a
•
3
Packet Page -591-
3/12/2013 10.H.
supervising physician or when any delay in patient care would potentially threaten the
life or health of the patient.
e. He shall issue standing orders and protocols to Collier County EMS to ensure that
it transports each of its patients to facilities that offer a type and Ievel of care
appropriate to the patient's medical condition if available within the service region.
f. He or his appointee shall provide continuous 24-hour-per-day, 7-day-per-week
medical direction which shall include,in addition to the development of protocols and
standing orders, direction to Collier County EMS personnel as to the availability of
"off-line" service to resolve problems, system conflicts, and provide services in an
emergency as that term is defined by section 252.34(3),Florida Statutes.
g. He shaII establish a quality assurance committee to provide for quality assurance
review of all paramedics operating under his supervision.
h. He shall audit the performance of system personnel by use of a quality assurance
program that includes but is not limited to a prompt review of patient care records,
direct observation, and comparison of performance standards for drugs, equipment,
system protocols and procedures. He shall be responsible for participating in quality
assurance programs that may be developed by the department.
i. He shall ensure and certify that security procedures of the Collier County EMS
for medications, fluids and controlled substances are in compliance with chapters 40I,
499 and 893, Florida Statutes, and chapter 10D-45 of the Florida Administrative
Code.
j. He shall create, authorize and ensure adherence to, detailed written operating
procedures regarding all aspects of the handling of medications, fluids and controlled
substances by the EMS personnel and comply with all requirements of chapters 401,
499 and 893,Florida Statutes.
4
Packet Page -592-
3/12/2013 10.H.
k. He shall notify the Florida Department of Health, (hereinafter the "Department")
in writing when the use of telemetry is not necessary.
1. He shall notify the department in writing of each substitution by Collier County
EMS of equipment or medication.
m. He shall assume direct responsibility for the use by a Collier County paramedic of
an automatic or semi-automatic defibrillator and the performance of esophageal
intubation, and on routine interfacility transports, the monitoring and maintenance of
non-medicated I.V.s. He shall ensure that the paramedic is trained to perform these
procedures; shall establish written protocols for the performance of these procedures;
and shall provide written evidence to the department documenting compliance with the
provisions of this paragraph.
n. He shall ensure that all paramedics are trained in the use of the trauma scorecard
methodologies as provided in sections 64E-2.017 of the F.A,C.,for adult
trauma patients and 64E-2.0175,F.A.C., for pediatric trauma patients.
o. He shall participate as a crewmember on an EMS vehicle for a minimum of 10
hours per year and complete a minimum of 10 hours per year of continuing medical
education related to pre-hospital care or teaching or a combination of both.
p. He shall ensure that all Collier County paramedics have all proper certifications
and receive all training necessary to maintain their certification.
10. ADDITIONAL DUTIES: Consultant shall also be responsible for assisting in
the following additional duties:
a. Consultation in the planning for Emergency Medical Services Department to be
provided by the County, including the design of vehicles, equipment, supplies,
distribution resources, emergency medical services personnel ,training and medical
policy,protocol,planning and development.
5
Packet Page-593-
3/12/2013 10.H.
b. Consultation in the coordination of training of paramedical personnel, including
the determination of training criteria for certification.
c. Organizing, coordinating and participating as an instructor in the in-service
education programs and quality control of the patient care in day-to-day delivery of
emergency medical services by the County.
d. Serving as a liaison between the County and the appropriate community hospitals,
medical societies,practicing physicians and training facilities in the area.
e. Providing such assistance as may be required in the preparation and administration
of any grant programs for the establishment and improvement of the system.
f. All duties outlined in Rule 64-E Florida Administrative Code for Emergency
Medical Services.Medical Director that are not specifically set forth herein and as may
be changed from time to time by the department..
g. He shall keep adequate records and supporting documentation, which concern or
reflect his services under this Contract.
h. Consultant 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.
11. LIABILITY AND REMEDIES IN BREACH OF CONTRACTS: It is
recognized that the provision of advanced life support services requires that the County have a
Medical Director. Accordingly, the Consultant shall not refuse to perform these services during
the terms of this Contract so long as it is able to so perform, and the County shall have the right
to specific performance of the provisions of this contract. In addition, the Consultant shall be
liable to the County for his unreasonable failure or refusal to perform the services required
hereunder.
6
Packet Page-594-
3/12/2013 10.H.
No modification, or change in this Agreement shall be valid or binding upon the parties,
unless in writing,and executed by the party or parties intended to be bound by it.
Unless otherwise specified,the laws,rules and regulations of the State of Florida shall
govern this Agreement. 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 Florida
State Court in Collier County,Florida.
12. CONFLICTING EMPLOYMENT OR CONTRACTUAL RELATIONSHIP:
Nothing in this Contract shall be interpreted as preventing the Consultant from operating
any other business or being similarly employed with any other emergency medical service that is
lawfully licensed by the County(within Collier County,Florida)and the State. However the
Consultant shall not accept any employment or enter into any contractual relationship that would
create a conflict between such interest and the performance of its duties hereunder.
Nothing in this Contract shall be interpreted as preventing the Consultant, a contractual
employee of the County, from being employed in any other capacity, including but not limited
to the operation of a medical practice, the employment as a staff member of any hospital, or the
serving as a medical director for any other emergency medical service which is lawfully licensed
by the County(if located within Collier County)and the State.
13. SUCCESSOR: The Contract shall be binding upon the successors of the County.
This Contract shall not be assignable by the Consultant.
I4. TERMINATION: This Contract may be terminated by either party, with or
without cause, upon sixty (60) days written notice to the other party of such party's intention to
terminate the Contract.
15. PRO-RATIONS UPON TERMINATION: In the event of the termination of
this Contract, the Consultant's compensation due under Paragraph 4 shall be prorated on the basis
oweftx
7
Packet Page-595-
3/12/2013 10.H.
of the number of days elapsed from the effective date of the Contract, divided by three hundred
sixty-five (365).
16. MANUALS: All manuals of procedure and instructional material, which are
created or prepared by the Consultant,shall be and remain the property of the Consultant.
17. ADDITIONAL LICENSES: Consultant agrees to obtain and maintain
throughout the period of this Agreement, all such Iicenses as are required to do business by the
Consultant in the State of Florida and in Collier County,Florida, including, but not limited to,all
licenses required by any State Boards or other Governmental agencies responsible for regulating
and licensing the professional services to be provided and performed by the Consultant,pursuant
to this Agreement.
18. INSURANCE:
The County shall, pay for, and maintain, during the life of this agreement, professional liability
insurance. Collier County shall be named as an additional insured on the certificate of insurance
for the policy.
8
Packet Page-596-
3/12/2013 10.H.
•
IN WITNESS WHEREOF, the parties have executed this agreement as of the date first
written above.
At 1-EST: •
DWIGHT E`FROCK, CLERK BOARD OF COUNTY COMMISSIONERS
of Courts ^ OF COLT MR COUNTY,FLORIDA
•
Ala
`.� By:
Attest to JAMES a, ARTER,Ph.D., IRMAN
to Che#ran•s q- 1.1--or
s1 plater* only.
Witnessed by:by: ROBERT BOYD TOBER,INC.
BY: 1
ROBERT BOYD TOBER,PRESIDENT
Approved as to form and
Legal Sufficiency:
(ia,21-,,L,. le,./ /262.
CQLIELINE HUBBARD ROBINSON
pfssistant County Attorney
W3ackie/EMS Contract/Taber
Medicat Contact 2001-Revised —
1
9
Packet Page-597-
3/12/2013 10.H.
7 .
chi r C
bK2 =�
err
FIRST AMENDMENT TO COLLIER COUNTY EMERGENCY SERVICES �.. -+
MEDICAL CONSULTANT CONTRACT =
w �
c1a
This First Amendment to the Collier County Emergency Services Medical Consultant
Contract ("Amendment") is made this 14th day of October,2008, by and between Robert Boyd
Tober,Inc.("Consultant"),and Collier County,Florida("County").
WHEREAS, by agreement dated September 1, 2001, the parties entered into a Collier
County Emergency Services Medical Consultant Contract ("Agreement"), a copy of which is
attached to this Amendment;and
WHEREAS, at a regularly noticed public meeting on September 23, 2008, the Board of
County Commissioners directed that the Agreement be amended to authorize the Consultant to
be directly responsible to the Board of County Commissioners;and
WHEREAS, the parties believe that such an amendment is in the interest of health,
safety and welfare of the citizens of the County.
NOW, THEREFORE, the parties hereby amend Paragraph 2 of the Agreement as
follows:
"Consultant shall be an independent contractor and shall be directly
responsible to the • -. . - - - . _ _
Board of County Commissioners of Collier County, Florida for the performances
of services as Medical Director as more specifically defined in this agreement and
as set forth in Section 401,Florida Statutes... "
Except as specifically set forth herein, all other terms and conditions of the Agreement
remain in full force and effect.
IN WITNESS THEREOF, the parties have executed this First Amendment to the
Agreement as of the date first written above.
Page l of 2
Packet Page-598-
3/12/2013 10.H.
161( 2
ROBERT BOYD TOBER, INC.
By: j % � � r' 77? 444•47-?
ROBERT BOYD TOBER,PRESIDENT
Arstt'1'' ;'`r ., BOARD OF COUNTY COMMISSIONERS
6 •
�7�'VIOI T.E.SRiaCK,CLERK OF COLLIER OUNTY FLORIDA•
e a 4'
Z By:
,Deputy Clerk TOM NNIN ', CHAIRM
Approval as to form
and legal sufficiency:
Jeffrey A. kow
County Attorney
08-COA-00127/2
Rem# L
Date 10 0
Date rU/dk
Roe'. L 1
k
Page 2 of 2
1
Packet Page-599-
,
-- 3/12/2013 10.H.
16E 9
SECOND AMENDMENT TO COWER COUNTY EMERGENCY SERVICES MEDICAL CONSULTANT
CONTRACT
This Second Amendment to the Collier County Emergency Services Medical Consultant
Contract("Amendment") is made this , (, ay of Mi y , 2009, by and
between Robert Boyd Taber, inc. ("Consultant") and Collier County, Florida ("County").
WHEREAS, by Agreement dated September 1, 2001, the parties entered into a Collier
County Emergency Services Medical Consultant Contract ("Agreement"), a copy of which is
incorporated herein by reference;and
NOW, THEREFORE, the parties hereby amend the Agreement to add Item 19,
EXPENSES, as follows:
19. EXPENSES. County shall pay expenses for Dr.Tober, and/or his assistant related to County
business, to include, but not be limited to, mailings, office supplies, training, education,
seminars, lodging (actual cost of lodging at single occupancy rate with a cap of no more than
$150.00 per night), air travel (actual ticket cost limited to tourist or coach class fare), and
rental car(actual rental cost limited to compact or standard-size vehicles).
Except as specifically set forth herein, all other terms and conditions of the Agreement remain
in full force and effect.
IN WITNESS WHEREOF,the parties have executed this Second Amendment to the Agreement
as of the date first written above.
CONSULTANT:
TW7 TNE55ES : / ROBERT BOYD Ts lse ;INC'°
. i By: 'G/ ��
• T WIT O Robert Boyd Tober, President
It i ►'
Type/Print Name
SE • 4•.V ITNE '
�£- ?,L64
Type/Print Name
Packet Page-600-
• 3/12/2013 10.H.
16E 9 A
Date: 114C4c, 2 6.1 2 Coct OWNER:
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
DWIGHT E;\iXX4,� COLLIER COUNTY FLORIDA
CLERK O COURTS .
Dated- Z-` !t ry BY: 417-714c- •�
AL) Donna Fiala,Chairman
Attest tic#1,111440sevi I
S 1'mature i�
Approved As To Form a d L at Sufficiency:
See ?V 4.0.4 e
Assiesteet a County Attorney
Print Name: eeW P• 7-44.1..1
Packet Page-601-
3/12/2013 10.H.
f
1 iN ,1' ,
THIRD AMENDMENT TO COLLIER COUNTY
EMERGENCY SERVICES MEDICAL CONSULTANT CONTRACT
THIS THIRD AMENDMENT to the Collier County Emergency Services Medical
Consultant Contract is made this 13th day of November, 2012, by and between Robert Boyd
Tober,Inc. ("Consultant"), and Collier County,Florida("County").
WHEREAS, by agreement dated September 1, 2001, the parties entered into a Collier
County Emergency Services Medical Consultant Contract, a copy of which is attached hereto,
together with the First Amendment dated October 14, 2008, and the Second Amendment dated
May 26,2009(collectively referred to as the"Agreement"); and
WHEREAS, at a regularly noticed public meeting on October 9, 2012, the Board of
County Commissioners directed that the Agreement be amended to provide for annual
performance evaluations;and
WHEREAS, certain clarifications are recommended as it relates to compensation upon
termination; and
WHEREAS,the parties believe that such amendments are in the interest of health,safety
and welfare of the citizens of the County.
NOW, THEREFORE, IN CONSIDERATION of the mutual promises and for other
good and valuable consideration, the receipt and sufficiency of which are acknowledged by the
parties,it is agreed that:
1. Paragraph 15 of the Agreement is hereby amended as follows:
15. PRO RATIONS UPON TERMINATION COMPENSATION UPON
TERMINATION:
In the event of the termination of this Contract,the '
Consultant shall be paid only for services rendered
in accordance with this Contract. Compensation due for any partial month's services will
be at a daily rate determined by dividingthe annual contract rate by three hundred sixty-
five(365).
2. Paragraph 20 is hereby added to the Agreement as follows:
Words ugh are deleted;Words Underlined are added
1
Packet Page-602-
. .. . ._. .... ..._ ...., -._..._. , . ...z ....... .. . : ....... .. . 3/12/2013 10.H.
1 i
20. ANNUAL PERFORMANCE EVALUATION
The Consultant will prepare a performance self-assessment along with proposed goals for
/he next year on an annual basis and submit this evaluation to the Public Safety Authority
(PSA) no later than the first day of June. The PSA will review the Consultant's self-
assessment and will make an independent performance evaluation and recommendations,
which the PSA will forward to the Board of County Commissioners no later than the first
day of July. The Commissioners will review both the Consultant's self-assessment and
the Public Safety Authority's performance evaluation and will prepare separate
performance evaluations and recommendations. The Consultant will forward the self-
assessment, PSA review and recommendations, and the individual Commissioners'
evaluations as an agenda item on the last regular meeting in July. The Commissioners
will conduct the required evaluation, approve the proposed goals. and recommend any
additional areas of focus for the next evaluation period. An updated performance
evaluation plan may be developed in good faith between the Consultant and the County
and adopted by the County prior to October 15` of each year for implementation in the
next year.
3. Except as expressly provided herein, the Agreement, as amended, remains in full force
and effect according to the terms and conditions contained therein.
IN WITNESS WHEREOF, the Consultant and the County have executed this Third
Amendment to Collier County Emergency Services Medical Consultant Contract as of the date
first'written,above.
==='<.' BOARD OF COUNTY COMMISSIONERS
BROC .,Clerk COLLIER COUNTY,FLORIDA
Bye- �._ ;.naafi:' By: . •
Attest-at to (*.VW Deputy l FRED W. COYLE, CH '
WITNESSES: ROBERT BOYD TOBER, INC.
By: i
Print Name: Robert Boyd obe , resident
Print Name:
A,p • form and legal sufficiency:
i