Agenda 06/25/2013 Item #10G111�.
6/25/2013 10.G.
EXECUTIVE SUMMARY
Recommendation to accept the rankings from the Collier County Public Safety
Authority for Request for Proposals (RFP) 13 -6081 Medical Director and Deputy
Medical Director and.determine final action.
OBJECTIVE: To secure independent consultants filling the County's medical director and
deputy medical director position as defined by Florida Statute
Section 401.265.
CONSIDERATIONS: At the Board of County Commissioners' meeting on March 12, 2013,
(Agenda Item 10H), the Board authorized the issuance of a Request for Proposals for
independent consultant services with the following criteria:
1. Each basic life support transportation service or, advanced life support service must
employ or contract with a medical director. The medical director must be a licensed
physician; a corporation, association, or partnership composed of physicians; or
physicians employed by any hospital that delivers in- hospital emergency medical services
and employs or contracts with physicians specifically for that purpose. Such a hospital,
physician, corporation, association, or partnership must designate one physician from that
organization to be medical director at any given time. The medical director must supervise
and assume direct responsibility for the medical performance of the emergency medical
technicians and paramedics operating for that emergency medical services system. The
medical director must perform duties including advising, consulting, training, counseling,
and overseeing of services, including appropriate quality assurance but not including
administrative and managerial functions.
2. Each medical director shall establish a quality assurance committee to provide for quality
assurance review of all emergency medical technicians and paramedics operating under
his or her supervision. If the medical director has reasonable belief that conduct by an
emergency medical technician or paramedic may constitute one or more grounds for
discipline as provided by this part, he or she shall document facts and other information
related to the alleged violation. The medical director shall report to the department any
emergency medical technician or paramedic whom the' medical director reasonably
believes to have acted in a manner which might constitute grounds for disciplinary action.
Such a report of disciplinary concern must include a statement and documentation of the
specific acts of the disciplinary concern. Within 7 days after receipt of such a report, the
department shall provide the emergency medical technician or paramedic a copy of the
report of the disciplinary concern and documentation of the specific acts related to the
disciplinary concern. If the department determines that the report is insufficient for
disciplinary action against the emergency medical technician or paramedic pursuant to s.
401.411, the report shall be expunged from the record of the emergency medical
technician or paramedic.
3. Any medical director who in good faith gives oral or written instructions to certified
emergency medical services personnel for the provision of emergency care shall be
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6/25/2013.10.G.
deemed to be providing emergency medical care or treatment for the purposes of s.
768.13(2). /1-11�\
4. Each medical director who uses a paramedic or emergency medical technician to perform
blood pressure screening, health promotion, and wellness activities, or to administer
immunization on any patient under a protocol as specified in s. 401.272, which is not in
the provision of emergency care, is liable for any act or omission of any paramedic or
emergency medical technician acting under his or her supervision and control when
performing such services.
5. The department [Board] shall adopt and enforce all rules necessary to administer this
section.
Accordingly, the Purchasing Department issued RFP 13 -6081 Medical Director and Deputy
Medical Director on April 9, 3013. Email notices were sent to more than six hundred (600)
addresses; twenty -two (22) addresses downloaded the solicitation document; and five (5)
individuals submitted proposals. Initially, four (4) candidates proposed for the Medical
Director and three (3) candidates proposed for the Deputy Medical Director. Two (2) of the
four (4) candidates elected to withdraw their candidacy for the Medical Director position.
As directed by the Board, the Collier County Public Safety Authority interviewed and ranked
the Medical Director and Deputy Medical Director candidates on June 5, 2013 in the following
order:
IRank
t)rder <.
lilledlcal Dfrector`
'Candidate", ..
iF�rstPlaceec+ond
R ankin s
dace
1
Dr. James Augustine
7
6
2
Dr. Robert Tober
6
7
flank
De dlcal Director
FlrstIace
Second
Tfard
order
` Car�dldate _
rankings
Plate
Rar�lk�n
Place
1
Dr. Jeffrey Panozzo
8
1
3
2
Dr. Richard Judah
2
8
2
3
Dr. Douglas Lee
2
3
7
Due to the volume of the proposals, each Commissioner has received a copy of the individual
proposals; a copy of each proposal is available for review at the County Manager's Office,
3299 Tamiami Trail E, Suite 202, Naples, Fl 34112.
FISCAL IMPACT: The current budget for Medical Director and Deputy Medical Director is
$125,000. Proposals for Medical Director, not including travel and /or miscellaneous
reimbursable expenses, ranged from $75,000 to $150,000. Proposals for Deputy Medical
Director, not including travel and /or miscellaneous reimbursable expenses, ranged from
$50,000 to $125,000. Any required budget amendments will be processed subsequent to
final BCC candidate selections.
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6/25/2013 10.G.
LEGAL CONSIDERATIONS: This item is approved as to form and legality, and requires
majority vote for Board approval. —SRT
GROWTH MANAGEMENT IMPACT: There is no impact on the Growth Management Plan.
RECOMMENDATION: That the Board accepts the rankings from the Collier County Public
Safety Authority for Request for Proposals (RFP) 13 -6081 Medical Director and Deputy
Medical Director and determines final action.
PREPARED BY: Joanne Markiewicz, Interim Purchasing / General Services Director
Attachments:
• Executive Summary: March 12, 2013 Agenda Item 10H
• County Attorney Opinion to PSA on May 21, 2013
• Request for Proposal for 13 -6081 Medical Director and Deputy Medical Director
• PSA Final Rank and Individual Worksheets
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COLLIER COUNTY
Board of County Commissioners
Item Number: 10.10.G.
6/25/2013 10.G.
Item Summary: Recommendation to accept the rankings from the Collier County Public
Safety Authority for Request for Proposals (RFP) 13 -6081 Medical Director and Deputy Medical
Director and determine final action.
Meeting Date: 6/25/2013
Prepared By
Name: MarkiewiczJoanne
Title: Manager - Purchasing Acquisition,Purchasing & Gene
6/10/2013 11:51:27 AM
Submitted by
Title: Manager - Purchasing Acquisition,Purchasing & Gene
Name: MarkiewiczJoanne
6/10/2013 11:51:29 AM
Approved By
Name: MarkiewiczJoanne
Title: Manager - Purchasing Acquisition,Purchasing & Gene
Date: 6/10/2013 12:30:35 PM
Name: MuckelCynthia
Title: Applications Analyst,Information Technology
Date: 6/13/2013 10:13:06 AM
Name: TeachScott
Title: Deputy County Attomey,County Attorney
Date: 6/13/2013 1:55:58 PM
Name: PriceLen
Title: Administrator, Administrative Services
Date: 6/13/2013 2:51:50 PM
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6/25/2013 10.G.
Name: TeachScott A-IN
Title: Deputy County Attorney,County Attorney
Date: 6/13/2013 4:04:10 PM
Name: KlatzkowJeff
Title: County Attorney
Date: 6/14/2013 8:57:38 AM
Name: PryorCheryl
Title: Management/ Budget Analyst, Senior,Offiice of Manag
Date: 6/17/2013 10:59:22 AM
Name: OchsLeo
Title: County Manager
Date: 6/17/2013 12:34:36 PM
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6/25/2013 10.G.
3/12/2013 1 O. 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 state 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 loeal 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 leffal 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. y
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
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3/12/2013 1 O.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-`
Attachments - County Medical Director Contract
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March 12, 2013
coming back. Because as Commissioner Nance says, we want to not
only do it quickly but more importantly we want to do it correctly.
COMMISSIONER NANCE: When I see Mr. Sheffield walking
around with a carbide light on his hat, I know it's getting late in the
day. Thank you, sir.
CHAIRWOMAN HILLER: I've never seen him do that. What
are your talking about?
No, that's great. So if you make sure you post that for us, that
we're aware of, you know, where you are in our requests, that's
positive.
MR. OCHS: Will do, thank you.
CHAIRWOMAN HILLER: Thank you.
Item 41 OH
STAFF TO PREPARE SOLICITATIONS FOR THE POST OF
COUNTY MEDICAL DIRECTOR AND DEPUTY COUNTY
MEDICAL DIRECTOR; THAT POSITIONS FOR COUNTY
MEDICAL DIRECTOR AND DEPUTY COUNTY MEDICAL
DIRECTOR BE POSTED TO ACCEPT APPLICATIONS BY
APRIL 11 2013; FURTHER, THAT STAFF BRING BACK THE
SLATE OF ALL APPLICATIONS RECEIVED FOR BOARD
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 SQL NOT BE
AFFILIATED DIRECTLY, NOR INDIRECTLY WITH ANY
LOCAL HOSPITAL, OR, IN THE ALTERNATIVE, MUST BE
AFFILIATED WITH ALL LOCAL HOSPITALS (PER AGENDA
CHANGE SHEET). THE COUNTY MEDICAL DIRECTOR
APPROVES THE COUNTY'S EMERGENCY SERVICE
PROTOCOLS AND AS SUCH ALL CONFLICTS OF INTEREST
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IN APPEARANCE AND IN FACT MUST BE AVOIDED FOR
ETHICAL AND LEGAL REASONS - MOTION FOR STAFF TO
PREPARE RFP FOR BOTH POSITIONS, ELIMINATING THE
AFFILIATION REQUIREMENT AT THIS TIME AND TO BE
BRING BACK AT THE SECOND MEETING IN MAY —
APPROVED
MR. OCHS: That takes us to Item 10.H on your agenda,
Commissioners. It is a recommendation that the Board direct staff to
prepare solicitations for the post of County Medical Director and the
Deputy County Medical Director; that the positions of the County
Medical Director and the 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.
And also as a result of this morning's change sheet,
Commissioners, that portion of the recommendation will be modified
to add that in the alternative that the Director must be affiliated with
all local hospitals.
CHAIRWOMAN HILLER: Thank you.
MR. OCHS: That's Commissioner Hiller's item, Commissioners.
CHAIRWOMAN HILLER: Yeah.. And I believe we have how
many public speakers?
R. MILLER: Two.
CHAIRWOMAN HILLER: Two. Who are the two public
speakers?
MR. MILLER: The public speakers are Janet Vasey and Michael
Pettit.
CHAIRWOMAN HILLER.: Okay, thank you.
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And Michael Pettit is the attorney who represents --
MR. MILLER: Says on the sheet Dr. Tober, Incorporated.
CHAIRWOMAN HILLER: Right, that's my understanding.
Is Janet here on behalf of the public services -- Janet, are you
here? Are you here on your own or representing the advisory board?
MS. VASEY: I'm here on my own.
CHAIRWOMAN HILLER: Okay, just for the record, Mrs.
Vasey is here on her own, not representing the advisory board.
The reason I brought this forward is Dr. Tober has provided
tremendous service to the community over the years. He has been in
the Office of the Medical Director as the county's Medical Director
under contract directly to the Board for about 34 years. And wehave
not put this position out to bid in an obviously very, very long time.
As a consequence, in the interest of the public, it's important for
us to be aware of who's out there that might be able to serve our
current needs. And maybe at the end of the day it turns out that Dr.
Tober ends up being the right person again. But we will not know that
unless we go into the community and solicit for the post of the County
Medical Director, as well as the post of the Deputy County Medical
Director.
Right now the position of the Deputy Director falls under Dr.
Tober's contract. Basically he has assigned someone who works for
him as the deputy.
And there is a problem with that. Because now we have both
those positions wrapped up in one entity. And if that entity and the
Board decide to part company, we're left with nobody.
By having the Medical Director and the Deputy Director as two
separate contract employees, if one or the other chooses to leave for
whatever reason, the county is not left without continuity. And that's
extremely important.
The second issue is with respect to conflicts of interest. The
Medical Director, unlike the Deputy Director, actually sets protocol
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with respect to how the emergency services in the county are to be
provided. And to that end, it's important that the Medical Director be
independent both in appearance and in fact, which is why I suggest
that the solicitation provide that the Medical Director either not be
affiliated with any of the county hospitals or be affiliated with all of
them. We currently have two hospitals, Physicians Regional and
NCH, and so there are doctors who do have privileges at both
institutions, and that works. Again, all with the intent of there not
being any conflict of interest with respect to protocol
decision - making.
And just so you understand what that means, for example, a
protocol could be set that would shift for example emergency
transport to one hospital over another for a particular type of medical
condition which could result in one hospital getting for example more
stroke business than another hospital or, you know, one hospital
getting all the heart attacks versus another hospital not getting them, or
more so than another hospital.
And obviously what matters is patient care. It shouldn't be about
which hospital gets more business but rather all about patient care and
getting the patient to the best facility to provide the medical treatment
that that patient needs to receive as quickly as possible.
So what I have recommended is that we -- and by the way, the
Deputy Medical Director does not have a conflict issue because he
does not set protocol
So what I've recommended is that we request the county's
purchasing department to put out an RFP to solicit for the post of the
Medical Director and the Deputy Medical Director,
Since I had put this item on the agenda, I have gotten some
feedback from the community asking what my position was with
respect to the involvement of the Public Safety Advisory Board that
we have recently established. And my recommendation with respect
to that is that they should be involved. And this is how they should be
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member of the Board who would like to speak. I'm going to ask that
the -- that we turn it over to the public speakers and let Mr. Pettit and
Mrs. Vasey speak. But first I'm going to allow Commissioner Coyle
to speak.
COMMISSIONER COYLE: No, I'll wait'til after the speakers.
CHAIRWOMAN HILLER: Okay.
MR. MILLER: Madam Chair, your first public speaker is Janet
Vasey, and she'll be followed by Michael Pettit.
CHAIRWOMAN HILLER: Michael, why don't you come up to
the opposite podium. That way you can start speaking as soon as Mrs.
Vasey is done.
MS. VASEY: Could I use the visualizer?
MR. OCHS: Yes, ma'am.
Hello. Good morning, Commissioners -- afternoon, I guess.
CHAIRWOMAN HILLER: Welcome back, and welcome back
from all your travels.
MS. VASEY: Thank you, thank you.
CHAIRWOMAN HILLER: I understand you're headed out
again soon.
MS. VASEY: Tomorrow morning at 6:00.
CHAIRWOMAN HILLER: Well, you just made it by the skin of
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your teeth.
MS. VASEY: Well, I'm here today -- for the record, I'm Janet
Vasey, I'm the Vice Chair of the Public Safety Authority.
And while I'm not speaking for the Authority, they have not had
an opportunity to review this, I have made observations during my
time on the committee, and I'd like to offer those to you.
First I would like to say that I applaud you, Chairman Hiller and
Commissioners, for your foresight in creating the Public Safety
Authority, because it's designed to address some of these issues you're
talking about right now. It's particularly well suited to evaluate
protocol changes, and in fact we're doing that right now.
Let me just draw your attention to the -- to your ordinance. And
the ordinance here, 'basically the ordinance says that the PSA will
evaluate issues -- let me see it too affecting pre hospital emergency
medical services within all of Collier County.
And that committee is made up of amazing people. You've got
doctors, you've got hospital administrators. In fact from the two
hospitals you have one ER doc from each one, you have one hospital
administrator from each one, you have two other doctors that hold the
COPCNs in Collier County. You have the Sheriffs Office, you have
several paramedics, EMT's. You have a wide variety of people.
Sheriffs Office, police departments. This is a committee that is very
much able to deal with these issues.
Right now I wanted to tell you about something we're looking at
and that is a protocol change for EMS on how to handle stroke
victims. And basically Physicians Regional came in and showed us
that they are now a comprehensive center for stroke victims. So they
have more capabilities than NCH does. So they wanted to have a new
procedure on how the paramedics and EMS would transport the
patients. And they had a new procedure called LAMS, The L -A --
CHAIRWOMAN HILLER: L- A -M -S.
MS. VASEY: Yeah, it's the L- A -M -S. It's the LA Motor Skills
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Test. And depending on how that test is ranked, the idea would be if
you're a more severe patient, a stroke victim, you would be taken to
Physicians Regional. Otherwise you would be taken to the closest
hospital.
That came before the Public Safety Authority. It went into the
Medical Director's committee which has, you know, four doctors,
couple of paramedics, couple of EMT's.
There was a meeting between that committee and NCH and
Physicians Regional, but it's in process now of being looked at. And
my point in telling you about this is that the Medical Director, Dr.
Tober, does not make the final decision on this. This is going through
the review of the medical directors, it's going -- committee. It's going
to go then to the full public safety authority for whatever
recommendation comes out of the Medical Director's sub- committee,
and then it will come to you. Something as big as changing protocols
will come to you for a decision.
And your ordinance clearly covers all these issues, you've got all
the right people in place, and it's not -- you don't have the conflict of
interest and the legal issues because you have multiple people,
including both hospitals fully represented in looking at these issues.
So they will be making their cases, as well as anyone else who would
like to.
So I feel like as a person, not as a committee, and you might want
to check with what the PSA thinks, but I think that this is a very
comprehensive program that will eliminate any problems of conflict of
interest and legal issues because those changes, those major changes
between hospitals, are not going to happen alone.
CHAIRWOMAN HILLER; Thank you.
Just for the record, County Attorney, the advisory -- the PSA is
strictly an advisory board, correct?
MR. KLATZKOW: Yes.
CHAIRWOMAN HILLER: Thank you.
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And what that means is that as an advisory board nothing that the
PSA provides is binding on the Medical Director or the Board. So
while it's very important input, it will not guard against what you're
suggesting it will. But thank you.
MS. VASEY: But it would come to you. After it comes to the
PSA and is voted on, something like this change would come to you
and you would have an opportunity to say yes or no.
CHAIRWOMAN HILLER: Understood. But again we're in a
position where we have to have whoever represents to us free of
conflict, both in appearance and in fact in the PSA.
While it will help to maybe highlight something like that, doesn't
guarantee that it will prevent it. But thanks.
Na. MILLER: Your next public speaker is Michael Pettit.
N,M. PETTIT: Good afternoon, Commissioners. Michael Pettit
here for Dr. Tober, Inc. and Dr. Tober.
Ms. Vasey said much of what I was going to say. She said it 1111N,
better than I probably can.
But I think that we shouldn't lose sight of the fact of how
transparent the PSA process is.
Commissioner Hiller, in fact you're welcome or any member of
the public is welcome to come tomorrow when this is voted on and
reviewed and discussed among doctors from multiple hospitals in the
community.
CHAIRWOMAN HILLER: You know, I want to make sure that
Mr. Pettit gets additional time for anything I say, but I do want to
respond, if I may, to what you just said.
I'm very well aware of how important the PSA is. In fact, the
structure that was ultimately adopted by the PSA in terms of its
representation from the various medical constituencies and emergency
service providers came about as a consequence of a committee that I
actually led that involved all the players other than the county. And
we proposed it at a workshop that was then finally adopted by the
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Board. So the structure is very familiar to me and the importance of
the transparency of the structure is something that I have long
supported. So thank you for commenting on that. And I do endorse
your position on that committee.
MR. PETTIT: It's certainly our position that that Sunshine effect
from the PSA would alleviate any purported concern about conflicts
of interest.
And I think the only other thing I have to say, and I wrote to
search of you individually last week asking that this matter be put over
for a couple of meetings so that we could have further investigation
and full public comment on the criteria you had proposed. Now, those
criteria changed this morning. But they still appear to have the
potential to screen out highly qualified applicants.
And so we would again request that this item be continued and
that we give additional opportunity to talk about the criteria. And I do
want to make it clear that we're not here -- I'm not here on behalf of
Dr. Tober to object to a competitive process, but we want to be sure
it's genuinely competitive.
CHAIRWOMAN HILLER: I appreciate it, thank you.
Any other public speakers?
MR. MILLER: No, ma'am.
CHAIRWOMAN HILLER: In that case, I'd like to turn to the
we
Commissioners, but first '-,e11x--to,--Make,,z1
J, -
B6 `� 'th fur tfhe�etin Is that the -- did we say -- yeah, by
� M Ay�
the first meeting in May. And actually, let's make that the second
meeting, the second Board meeting in May, to give us more time so
I
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PSA has the opportunity to review --
MR. OCHS.- Thank you, ma'am..
CHAIRWOMAN HILLER: -- with adequate time.
MR. OCHS: We have a -- I'm sorry for the interruption, but this
-- back to Commissioner Nance's point, this is one of those where we
have a 21 -day advertising requirement. Once we put the solicitation
on the street we still have to develop the specifications.
CHAIRWOMAN HILLER: Of course. So how much time
would you like? Let me put it to you that way. You tell me.
MR. OCHS: Well, I would appreciate the second meeting of
May --
CHAIRWOMAN HILLER: Sure.
MR. OCHS: -- at the earliest, if that's --
CHAIRWOMAN HILLER: Let's do that then. Let's make the
second meeting in May to be brought back before the Board of County
Commissioners.
MR. OCHS: Thank you.
COMMISSIONER FIALA: Commissioner, I will second your
motion, but there were a couple things that I had concerns with, but I'll
ask --
CHAIRWOMAN HILLER: Sure.
COMMISSIONER FIALA: -- when my turn comes up. I think
Commissioner Coyle --
CHAIRWOMAN HILLER: Would you like to speak now?
COMMISSIONER FIALA: I think he was first.
CHAIRWOMAN HILLER: Okay, Commissioner Coyle?
COMMISSIONER COYLE: Yeah, I think that the most
important thing we can do is get the best qualified person for Medical
Director that we possibly can find. And we're certainly not going to
find the best qualified person by ignoring all those who are affiliated
with hospitals in the county.
I am greatly concerned that this appears to be an attempt to steer
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the selection of Medical Director to a single person or perhaps
organization. We are screening out all qualified people who have
affiliations with hospitals in Collier County.
CHAIRWOMAN HILLER: No, that's not correct.
COMMISSIONER COYLE: Or they must be affiliated with all
local hospitals.
CHAIRWOMAN HILLER: That's correct.
COMMISSIONER COYLE: And those are very, very difficult
requirements. That means you're going to lose a lot of very qualified
people. And where would I like for their experience to be? In Collier
County, not somewhere else, in Tennessee or New York.
And to emphasize more directly my concern, Commissioner
Hiller, would you be willing to revise this requirement so that the
applicants would not be affiliated directly nor indirectly with any fire
district? Okay?
CHAIRWOMAN HILLER: Sure.
COMMISSIONER COYLE: Because I am concerned that the
way it is currently set up, that we'll screen out all those who are not
affiliated with all the local hospitals and we're going to be left with
one person perhaps to choose from. And when you cut the pool to that
level, weire not getting the most qualified Medical Director to do the
job.
I think there is no problem here. I think this is a process of
manipulation which is not necessary. We do not have a conflict of
interest. If we have a conflict of interest, we have the mechanism in
the ordinances and the organization to deal with it.
So I think that we're trying to address an imagined issue here
with an extremely restrictive qualification that will deprive us of the
best possible candidates for a County Medical Director.
CHAIRWOMAN HILLER: Let me address what you said with
respect to eliminating candidates affiliated with the fire departments.
First of all, that actually is irrelevant to the discussion for the
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following reasons: Number one, the fire departments are not providing
transport. Number two, we do not steer business to the fire
departments for medical care. The protocols will affect the hospital's
bottom line if a protocol is adopted that shifts business by virtue of a
protocol to one hospital over another rather than a protocol that
addresses what's in the best interest of the patient.
And, you know, I'm looking at an email here that Dr. Tober
wrote where he talked about essentially -- and I'll introduce in the
record -- where essentially adopting the LAM score would divert
about 40 percent of the patients currently going to NCH et cetera, et
cetera.
I mean, the fact that that even is included in an email in a
consideration is unbelievable. It's not about whether 40 percent of
some hospital's business is being diverted as a consequence of a
protocol. The protocol shouldn't even be considering whether it
diverts business from one hospital over another. It should absolutely
be considering what is in the best interest of the patient and that is all
that this is about.
So I appreciate your comment, but it doesn't hold water.
COMMISSIONER COYLE: Weld, I --
CHAIRWOMAN HILLER: Commissioner Fiala?
COMMISSIONER COYLE: I haven't finished yet.
CHAIRWOMAN HILLER: Okay, sorry, Commissioner.
COMMISSIONER COYLE: What you've said is not correct.
There are fire districts who are aggressively pursuing transport
responsibilities and will do so even more aggressively in the future.
And there's just as much of an opportunity for conflict of interest for a
Medical Director at a fire district to influence things that benefit the
fire district as there is for a Medical Director who is affiliated with one
of the hospitals.
It is a serious issue and I would hope that the public would look
very, very closely at this manipulation of the selection of our Medical
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Director for Collier County.
CHAIRWOMAN HILLER: And really, the manipulation is
coming from your side because I will say, number one, there is no fire
department that has transport; none that has come before us requesting
transport. So, you know, doing something in anticipation of what
might be is not appropriate.
What I will say is that if there was a Medical Director affiliated
with any fire district and they did receive transport, I would find that
to be a conflict. And I would take exception to that, if that were the
reality. And if that were the case, I would certainly ask that Medical
Director to quit the district or resign as Medical Director.
Commissioner Fiala?
COMMISSIONER FIALA: Yes, I agree that we need the very
best possible person. Sometimes a doctor maybe doesn't have the
ability to run a -whole department of ambulances. I don't know that.
So you're absolutely right, we want the very best outcome for the
patient and that's what's most important.
What I've been thinking about, though, is the wording of this.
Now, I only worked for the hospital in a different capacity, in a -- I
worked there for 13 years and I was in the capacity of a community
outreach person. But from what I saw, every doctor had some sort of
an affiliation with different hospitals. They had a patient that got sick,
even if they didn't work in a hospital they had to get them over there.
Same with -- some doctors had -- didn't want to work with two
hospitals because then they were on call. You know, they'd have to
work emergency and so forth, so they would only want to work with
one and not the other. So it would be difficult for them to work for
two hospitals. I don't know what we can do to adjust that. Those are
questions that I have.
But we want to make this totally fair. We want to make this
selection in a totally fair way so that you and me and you get the very
best medical care on our way to being transported to the hospital. And
•�,
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if the doctor only works for one hospital and only works there
part -time but he's the very best selection that we could come up with,
great. I'm not so much worried about the affiliation as to making sure
that we choose somebody who can run that department. Thank you.
CHAIRWOMAN HILLER: Thank you.
Commissioner Henning?
COMMISSIONER HENNING: Well, I think the item on the
agenda is very noble. We've had a long -term contract with Dr. Tober,
and I can see where it would be a benefit to have a Medical Director
affiliated with both the hospitals. So I think the item is an appropriate
item.
However, I have all the confidence in Dr. Tober. The only thing
I see wrong with Dr. Tober is he's just not political and he says it like
it is, you know, and we see it in the paper all the time. And I cringe,
but that's Dr. Tober.
And one thing that I believe that we must do is provide the health
and safety of our residents. And I feel confident that Dr. Tober is the
right person. And I don't think it was any kind of an agenda, Madam
Chair, I just can't support it. Thank you.
CHAIRWOMAN HILLER: Commissioner Nance?
COMMISSIONER NAN CE : Yes, I'm going to try to craft a
middle ground here because I have a couple of expanded concerns that
may not be directly applicable to this recommendation, but I think are
going to come up in the end.
And that is, you know, we've got a Medical Director here that's
served us very capably for a very, very long period of time. And I
don't think any remarks that anybody makes here should be a critique
of that gentleman. He's proven himself, he's been awarded. I've heard
nobody say anything but absolutely the greatest compliments to Dr.
Tober.
I think that not only is it appropriate, however, to look at who we
have available but I think we also have to look at how we consider our
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Medical Director as a whole. I think it may well be appropriate to
update how we see our Medical Director, what we expect our Medical
Director to do, what relationships we indeed expect him to have as
well as not have. Because although we have listed hospitals in this
recommendation, I think that we are acquiring in our area other areas
of specialty care; for example, Bascom Palmer, that we may well have
an emergency where we need to actually take that person there rather
than to a hospital or to another center of care.
So I would prefer, Madam Chair, in your recommendation, I
think we should withhold how we evaluate the affiliations with the
hospitals, but we should delineate in our requests for applicants to tell
which ones they do have or would be interested in having and address
those in that way. That way I think we are open to as many applicants
as possible. I would hate to screen somebody out because of a
restriction that we put in our request.
So I would be in full support if you could expand that to include
as many people as possible. And I certainly hope that Dr. Tober will
be among those. And, you know, I could support it in that way.
I want it to be inclusive rather than to exclude somebody at this
point. If the Public Safety Authority feels there's an issue that will
give them a chance to weigh in on it, and of course this Board will
ultimately make the final selection. So I don't think we should screen
them in the application, I think we should screen them in our final
determination.
CHAIRWONLAN HILLER: I don't have a problem with that. I
think that's a very fair proposal. And screening them at the end as
opposed to in the beginning works.
COMMISSIONER NANCE: But we should ask for a declaration
with all their --
CH AIRWO- AN HILLER: Yes.
COMMISSIONER NANCE: -- you know, with all their
affiliations, and not only just hospitals, but other centers of excellence
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. CHAIRWOMAN HILLER: Well, I think that's already defined
in the ordinance that created that advisory board. And again that is an
advisory board. And the relationship between the advisory board and
the Medical Director is explicit. So I think that's not necessary.
COMMISSIONER COYLE: But your
CHAIRWOMAN HILLER: And again, in terms of the RFP, we
are going to be limited to what the statute provides, and that the role of
the Medical Director is clear.
I want to get back to what Commissioner Nance is proposing. I
absolutely have no problem whether we put the consideration of
conflicts at the beginning of the process or at the end of the process, as
lonc, as it's included in the process and as long as there's full disclosure
on the part of every applicant of every medical institution they are
affiliated with, whether it's a hospital or Bascom Palmer or a hospital
outside of the county. Like, for example, you know, if we transport
our trauma patients up to Lee to the trauma center.
COMMISSIONER NANCE: Exactly.
CHAIRWOMAN HILLER: So I don't have a problem with that.
And so I will amend my motion to require -- to eliminate the conflicts
requirements at this point and to require full disclosure of all hospital
affiliations, directly or indirectly, and to provide that then when we
bring the candidates before us that we consider the potential third
conflicts as a consequence of affiliations.
COMMISSIONER COYLE: Once again, the Public Safety
Authority provides the mechanism to identify and to resolve those
kinds of issues. The fact that they ' are an advisory board has
absolutely nothing to do with the ability to identify and correct any
conflicts of interest. They will review the medical protocol changes
that the Medical Director will wish to make and then they will make
recommendations concerning those. And if they feel that there is
some conflict of interest, it's a public hearing, people will be able to
make their arguments there and it will come to us for a final decision.
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So the issue of conflicts is an imaginary one and simply will not
exist with a Public Safety Authority that is transparent in their
recommendations. And that's what we intend to do with it.
CHAIRWOMAN HILLER: Commissioner Fiala?
COMMISSIONER FIALA: Yes, thank you.
I think as we look through this, we also have to think of what
does affiliated really mean, what does a conflict of interest really
mean.
Now, you know, I don't know that many doctors in town but I
know a few. And I would give to you right this very moment if some
doctor who was making the calls could see that that patient is a stroke
victim and he needs to go to Physicians Regional, that's where he's
going. The doctor doesn't care about his hospital. And if it's a heart
patient, he needs to go to NCH, that's it, period. Because they're the
best hospitals for those particular serious health issues.
CHAIRWOMAN HILLER: And that's exactly how it should be.
It should be like that.
COMMISSIONER FIALA: And so if they're affiliated with one
hospital or one eye doctor or whatever, I think that our doctors here
are above reproach. I don't think we have to worry too too much
about them.
But if we want to give it some kind of a definition as far as
affiliated or conflict of interest, fine. But we also have to give them
some credit too.
CHAIRWOMAN HILLER: Absolutely. And that's what we'll
do in the final selection process. I have amended my motion. Would
you be willing to amends yours?
COMMISSIONER FIALA: Oh, yeah, absolutely.
MR- OCHS: Madam Chair?
CHAIRWOMAN HILLER: Yes.
MR. OCHS: I'm sorry, I don't mean to belabor this.. I know you
have a time hearing --
1#011s,
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CHAIRWOMAN HILLER: We do.
the top 10.
MR. OCHS: Yes. And send all the proposals and the ranked
proposers to the Board; is that --
CHAIRWOMAN HILLER: No, everything -- you're correct
except sending the RFP to the PSA. Because the RFP is very
straightforward. The RFP basically has to propose what the statute
provides is the role of the Medical Director and the role of the Deputy
Medical Director. So there's really no debate as to, you know, what is
a medical director for this county.
Now, having the PSA review the candidates, certainly. But, I
mean, there is really -- I mean, the RFP is very basic, There is no
debate. And it shouldn't be expanded in any way. I mean, it should be
what the statute provides, just as the County Attorney has provided.
COMMISSIONER NANCE: Excuse me, Madam Chair, just for
clarification, are we -- we're also bifurcating the Deputy Medical
Director from the Medical Director --
CHAIRWOMAN HILLER: Right.
COMMISSIONER NANCE: -- so we're not going to have the
Deputy Medical Director be an employee of the Medical Director.
CHAIRWOMAN HILLER: No.
COMMISSIONER NANCE: We're going to bifurcate those into
two separate and distinct --
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CHAIRWOMAN HILLER: Right.
COMMISSIONER NANCE: Okay.
CHAIRWOMAN HILLER: Two independent parties.
And the reason again being from what I said in the beginning is
that, you know, right now they're all wrapped under one company. If
that one company goes, the county has no continuity. If we have two
separate contracts with two separate individuals, if the Medical
Director goes, we have the Deputy Medical Director who stays, or
conversely. So we're never dependent just on one entity or one
individual, which I think is risky for that office. Because we by law
can never be without a medical director.
COMMISSIONER NANCE: But we are going to be all inclusive
CHAIRWOMAN HILLER:
Yes.
COMMISSIONER NANCE:
-- but we're going to require them
to declare --
CHAIRWOMAN HILLER:
Yes.
COMMISSIONER NANCE:
-- all affiliations and associations
with hospitals, medical centers --
CHAIRWOMAN HILLER:
Yes.
COMMISSIONER NANCE:
-- centers of excellent --
CHAIRWOMAN HILLER:
Correct.
COMMISSIONER NANCE:
And so on and so forth. And I
think that can be a positive thing.
CHAIRWOMAN HILLER:
Yes. Yes, that's exactly correct.
MR. OCHS: Correct. Then
the scope of the RFP will essentially
be the --
CHAIRWOMAN HILLER:
The statute.
MR. OCHS -- statute.
CHAIRWOMAN HILLER:
Correct. And the requirements
under the statute.
MR. OCHS: Okay.
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CHAIRWOMAN HILLER: No?
MR. KLATZKOW: It's up to you.
CHAIRWOMAN HILLER: Yeah. That's what it should be.
That's what we're hiring. That's what we have to do by law.
COMMISSIONER COYLE: So we are excluding the PSA from
having any input on the solicitation process itself. I think it's a big
mistake.
CHAIRWOMAN HILLER: No, they are very much involved in
the solicitation, but the solicitation from the standpoint of interviewing
the candidates and ranking the resumes in terms of how they qualify
against the statute -- we cannot be without a Medical Director. We
cannot be dependent on a single Medical Director who also controls
the Deputy Director or we're without a Medical Director if that
Medical Director leaves, which again goes contrary to law. And the
role of the Medical Director is statutorily defined, and that is what we
are seeking to satisfy. I mean, that is the criteria.
COMMISSIONER COYLE: There's no argument on the issue of
bifurcating the Medical Director and the Assistant Medical Director.
There is only a proposal that we send the information to the Public
Safety Authority before we release an RFP to solicit applicants. There
are things that the Public Safety Authority could do to help improve
the solicitation process.
CHAIRWOMAN HILLER- I'm not sure what. It's statutorily
designed.
COMMISSIONER COYLE: And the statute simply does not --
it does not deal with all of the internal operating procedures of our
Public Safety Authority, and the methods of reviewing and vetting
medical policies.
.
CHAIRWOMAN HILLER: Well, that's again already legally
defined in the ordinance.
COMMISSIONER COYLE: No, it's not.
CHAIRWOMAN HILLER: Yes, it is.
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COMMISSIONER COYLE: No, it's not.
CHAIRWOMAN HILLER: It is.
MR. OCHS: Commissioner, my only concern was since you're
soliciting for independent contractor services of a physician, that a
group of physicians reviewing that solicitation before it went out may
be able to add some perspective or value added on the approach, not
necessarily changing obviously any of the statutory requirements. So
it's a recommendation you can take or leave.
CHAIRWOMAN HILLER: The only reason I say leave it is
because first of all the PSA has very few physicians.
MR. OCHS: Well, they have at least four on their medical
directory subcommittee, ma'am. They have two ER docs, plus they
have the current Medical Director and the holder of the North Naples
Fire Department COPCN.
CHAIRWOMAN HILLER: Again, I just don't see any value
add. I mean, if I believed that they would actually add value to the
process, I would completely support it. But since it's very clearly
defined, you know, the statute dictates, you know, what we're looking
for, that's really what we should be soliciting to. I mean, I don't think
that, you know, any -- what I don't want to see, and this is my concern,
I don't want to see any politics in this. And when you start massaging
what the statute provides by adding this or qualifying that way, you
basically are starting to manipulate the selection process and turn it
political. I would like to leave it as neutral and as generic as possible
so that we get all possible applicants.
Because I agree with Commissioner Fiala, you know, our goal is
to get as many qualified people as possible, have the PSA altogether
interview these candidates, because this individual will be working
with all the representatives in the PSA that are there on behalf of their
respective agencies, and that way you really have the fairest, most
clean process.
I would actually -- this is the last comment on this subject.
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Commissioner Nance?
COMMISSIONER NANCE: Yes, I agree completely with
Commissioner Coyle. You know, I felt like Commissioner Coyle's
efforts were to take the qualifications out of the solicitation, and I
don't think there's anything cleaner than what's been proposed and that
is just to take it based on the qualifi -- based on statute, and the statute
defines who a Medical Director can be. And it's actually pretty broad.
It's physicians associated -- associations of physicians, corporations,
all sorts of things. We just have to -- you know, if we do our job well
and advertise it well and get it out to people, I think we'll get a bunch
of solicitations and then we can see what we get. How could it be any
broader?
CHAIRWOMAN HILLER: Right. And it's --
COMMISSIONER NANCE: Am I missing something? If I am,
I don't know what it --
CHAIRWOMAN HILLER: I think it's very apolitical in this
matter.
COMMISSIONER COYLE: Then how could it hurt to send it to
the PS A for review before it goes out?
CHAIRWOMAN HILLER: Because it's unnecessary.
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CHAIRWOMAN HILLER: Motion carries 4 -1.
And we encourage everybody who feels they're qualified and
who will serve the best interest of the community by way of providing
emergency service protocols apply. Thank you.
MR. OCHS : Madam Chair, that moves us to your 2:00 p.m. time
certain hearing. Normally you would have taken a short break before
that hearing for the court reporter, but we've been advised that the
court reporter is swapping out with the replacement at 3 :00 and she's
indicated a willingness to keep going 'til that break, but we would ask
for a short break at 3:00, ma'am.
CHAIRWOMAN HILLER: Thank you.
Item #9B
ORDINANCE 2013 -24: PUDZ- A- PL20120000726, THE TOP HAT
AUTO COMMERCIAL PLANNED UNIT DEVELOPMENT
(CPUD), AN ORDINANCE OF THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA
AMENDING ORDINANCE 2004 -41, AS AMENDED, THE
COLLIER COUNTY LAND DEVELOPMENT CODE, WHICH
ESTABLISHED THE COMPREHENSIVE ZONING
REGULATIONS FOR THE UNINCORPORATED AREA OF
COLLIER COUNTTY, FLORIDA, BY AMENDING THE
APPROPRIATE ZONING ATLAS MAP OR MAPS BY
CHANGING THE ZONING CLASSIFICATIOl`v OF HEREIN
DESCRIBED REAL PROPERTY FROM THE PRINCESS PARK
PLANNED UNIT DEVELOPMENT ZONING :DISTRICT TO A
COMMERCIAL PLANNED UNIT DEVELOPMENT (CPUD)
ZONING DISTRICT FOR AN 11.36 + /- ACRE PARCEL TO BE
KNOWN AS THE TOP HAT AUTO CPUD, TO ALLOW
CONSTRUCTION OF AN AUTOMOTIVE SALES FACILITY
WITH ASSOCIATED REPAIR SERVICES, ON PROPERTY
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OFFICE OF THE COUNTY ATTORNEY
MEMORANDUM
TO: Members: Public Safety Authority Advisory Board
FROM: Scott R. Teach, Deputy County Attorney
Jeffrey A. Klatzkow, County Attorney
DATE: May 21, 2013
RE: Questions Raised at May 15, 2013, Public Safety Authority Meeting
The following three (3) general questions were asked at the May 15, 2013, Public Safety
Authority ( "PSA") meeting:
(1) Do any of the PSA members have a conflict that would require them to abstain
from ranking and recommending the candidates for Medical Director and Deputy
Medical Director?
(2) Should the interviews with the candidates be held in the public in accordance with
the Sunshine Law?
(3) Is the Collier County Sheriff's representative prevented from ranking the
candidates due to a "dual office holding" issue?
In addition to reviewing the law on these issues, we also conferred with the General. Counsel to
the State Commission on Ethics, Christopher Anderson, III. After some background information
regarding State law on the subject of conflicts of interest and the obligation to vote on agenda
items, we will address each of those issues in order.
Background — Conflicts of Interest
Generally, an advisory board member has a duty to vote unless a specific statutory conflict
exists. See § 286.012, Fla. Stat. ( "No member of any state, county, or municipal governmental
board, commission, or agency who is present at any meeting of any such body at which an
official decision, ruling, or other official act is to be taken or adopted may abstain from voting in
regard to any such decision, ruling, or act ..
Specific statutory conflicts are identified in Florida Statutes, § 112.3143 as follows:
(3)(a) No county, municipal, or other local public officer shall vote in an official
capacity upon any measure which would inure to his or her special private gain or
loss; which he or she knows would inure to the special private gain or loss of any
principal by whom he or she is retained or to the parent organization or subsidiary
of a corporate principal by which he or she is retained, other than an agency as
defined in s. 112.312(`2); or which he or she knows would inure to the special
private gain or loss of a relative or business associate of the public officer. Such
I
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public officer shall, prior to the vote being taken, publicly state to the assembly the
nature of the officer's interest in the matter from which he or she is abstaining from
voting and, within 15 days after the vote occurs, disclose the nature of his or her
interest as a public record in a memorandum filed with the person responsible for
recording the minutes of the meeting, who shall incorporate the memorandum in the
minutes. (emphasis added).
If an advisory committee member believes that he or she has a conflict, the member must:
1. State that he /she will abstain from voting based on Section 112.3143(3)(a), of the
Florida Statutes;
2. Clearly identify the agenda item at issue;
3. State his/her interest in the matter; AND
4. Complete a Form 8B Memorandum of Voting Conflict Form within 15 days of the
meeting and file same with minute keeper (see copy attached).
If the abstaining member wishes to participate in any discussion regarding this item, he /she
must:
1. State his/her interest in this matter; and
2. File a Form 8B Memorandum prior to the meeting which will be read at the next
meeting following this item.
3. The term "participate" means any attempt to influence the decision by oral or
written communication, whether made by the abstaining member (person to
benefit) or at the member's direction.
We recommend that an abstaining member not participate in any discussion regarding the item.
Should a committee member with a conflict fail to follow the statutory requirements and abstain
from voting or disclose his/her interest in the matter prior to participating in the discussion, the
member could be faced with a violation of this statute. Penalties vary and include removal or
suspension from office and a civil penalty not to exceed $10,000.
If a member believes that he /she has a conflict but it is not a clear conflict under Ch. 112, the
member may still abstain from voting by using the optional abstention provision found in
§ 286.012, Fla. Stat.
Voting requirement at meetings of governmental bodies:
No member of any state, county, or municipal governmental board, commission, or
agency who is present at any meeting of any such body at which an official decision,
ruling, or other official act is to be taken or adopted may abstain from voting in
regard to any such decision, ruling, or act; and a vote shall be recorded or counted for
each such member present, except when, with respect to any such member, there is,
or appears to be a possible conflict of interest under the provisions of s. 112.311, s.
112.313, or s. 112.3143. In such cases, said member shall comply with the disclosure
requirements of s. 112.3143. (emphasis added).
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If a member is unable or unwilling to vote due to a lack of information or being unprepared, the
committee may consider continuing the item (by majority vote) to the next meeting.
(1) Abstention of voting by members of the Public Safety Authority
Concerns were raised by several of the PSA members as to whether they might have a legal
conflict of interest in ranking and recommending the candidates for Medical Director and Deputy
Medical Director due to their professional relationship with some of the candidates. We will first
identify those members that appear to have an actual statutory conflict of interest and should
abstain from voting/ranking the candidates.
Dr. Robert B. Tober and Dr. Jeffrey A. Panozzo, as candidates for the Medical Director position,
have a statutory conflict in that a vote for themselves would inure to their special financial gain.
Therefore, both should abstain from voting for the Medical Director position in accordance with
the directions provided above.
Dr. Panozzo is also a candidate for the Deputy Medical Director position. He should also
abstain from voting on this position for the same reason as above. To our knowledge, none of
the candidates for the Deputy Medical Director position present a conflict that would require Dr.
Tober to abstain from voting.'
At least three other members inquired as to whether their employment might present a conflict
that would require them to abstain from voting: Paramedic Justin Gibson (North Naples Fire
Department), Mr. - Phillip C. Dutcher (Chief Operations Officer, NCH Healthcare System) and
Dr. Todd Bethel (NCH Healthcare System ER Physician). Based on our review there are no
statutory conflicts present that would require any of those members to abstain from voting.
Finally, in the absence of additional facts, we are unaware of any conflict that would require the
other PSA members to abstain from voting on the Medical Director and Deputy Medical Director
candidates.2 With the exception of Doctors Tober and Panozzo, it does not appear that ranking
the candidates would result in a special gain or loss to any of the remaining PSA members.
(2) Should the interviews with the candidates be held in the public in accordance
with the Sunshine Law?
Short Answer: Yes.
This question arose because the candidates were solicited through a competitive Request for
Proposal C RFP ") procurement process. Oral presentations and question and answer sessions
related to a competitive solicitation is exempt from the public meeting requirements under
Florida Statutes, § 286.011. The facts here, however, more closely resemble the "search -and-
None of the candidates for Deputy Medical Director is Dr. Tober's principal, relative or a business associate.
Doctor Douglas Lee, the current Deputy Medical Director, is not a "business associate" of Dr. Taber. A business
associate is defined as any person or entity engaged in or carrying on a business enterprise with the voting officer as r
a partner, joint venture, co -owner of property, or corporate shareholder.
2 The remaining issue involving the Sheriffs' representative's ability to vote is addressed below.
3
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screen" committee in the Florida Supreme Court case Woods v. Marston, 442 'So.2d 934 (Fla
n, 1983); where the court held that the committee's meetings must be held in the Sunshine.
The PSA is foremost an advisory board that conducts business in the Sunshine. The PSA's
enabling Ordinance specifically provides that it was created to hear and make recommendations
to the Board of County Commissioners on issues affecting pre- hospital emergency medical
services and "to perform or assist with any other function or duty as request by the Board." See
Ordinance No. 2012 -23, Section 1(12). Therefore, it is our recommendation that the PSA
conduct its interviews with the candidates in a public meeting.3
(3) Is the Collier County Sheriffs' PSA representative prevented from ranking
the candidates due to a "dual office holding" issue?
The final issue raised was whether the Sheriffs' representative must abstain from voting due to
the Constitutional prohibition on "dual office- holding." Section 5(a), Article 11 of the Florida
Constitution, provides in part:
"No person shall hold at the same time more than one office under the
government of the state and the counties and municipalities therein, except that
a notary public or military officer may hold another office, and any officer may be
a member of a constitution revision commission, taxation and budget reform
commission, constitutional convention, or statutory body having only advisory
powers."
n In short, that section prohibits a person from holding more than one "office" under the
governments of the State, counties, or municipalities. The provision applies to both elected and
appointed offices. Courts have held that the term "office" implies that a portion of the
sovereign's power has been delegated to the person holding the office. See Holloway v. Sheats,
83 So. 508, 509 (Fla. 1919); Fla. AGO 84 -25;
Without question, a law enforcement officer is an "officer" subject to the dual office- holding
prohibition. The Sheriffs' Attorney informed me that it is his opinion that their representative's
participation on the PSA, specifically voting/ranking the candidates, could be a violation of the
prohibition. Although we hold a contrary view because the PSA has only "advisory powers,"
the Sheriffs representative is entitled to rely on the recommendations of his counsel.4 If the
Sheriffs' representative chooses to abstain he must file the Form SB Memorandum of Voting
Conflict and comply with the other above - referenced requirements.
3 Notably, in the Woods v. Marston case the Court noted that the "nothing in this decision gives the public the right
to be more than spectators. The public has no authority to participate in or interfere with the decision- making
process." Id. at 941. As a result, there is no requirement for public comment during the interview process.
Page 16, numbered paragraph 9(l) of the RFP clearly states that the "Board of County Commissioners is the
appointed Selection Committee to review all proposals submitted." The PSA is merely ranking and making
recommendations for the Board of County Commissioners consideration.
4
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6/25/2013 10.G.
FORM 813 MEMORANDUM OF VOTING CONFLICT FOR
COUNTY MUNICIPAL AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME -FIRST NAME - MIDDLE NAME NAME OF BOARD, COUNCIL, COMMISSION, AUTHORITY, OR COMMITTEE
MAILING ADDRESS THE BOARD, COUNCIL, COMMISSION, AUTHORITY OR COMMITTEE ON
WHICH I SERVE IS A UNIT OF:
CITY COUNTY []CITY ❑ COUNTY QOTHER LOCAL AGENCY
NAME OF POLITICAL SUBDIVISION:
DATE ON WHICH VOTE OCCURRED
MY POSITION !S:
❑ ELECTIVE .. 171 APPOINTIVE
WHO MUST FILE FORM 813
This form is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council,
commission, authority, or committee. It applies equally to members of advisory and non - advisory bodies who are presented with a voting
conflict of interest under Section 112.3143, Florida Statutes.
Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before
completing the reverse side and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
inures to his or her special private gain or loss. Each elected or appointed local officer also is prohibited from knowingly voting on a mea-
sure which inures to the special gain or loss of a principal (other than a government agency) by whom he or she is retained (including the
parent Organization or subsidiary of a corporate principal by which he or she is retained); to the special private gain or loss of a relative; or
to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies under Sec. 163.356 or
163.357, F.S., and officers of independent special tax districts elected on a one -acre, one -vote basis are not prohibited from voting in that
capacity.
For purposes of this law, a "relative' includes only the officer's father, mother, son, daughter, husband, wife, brother, sister, father -in -law,
mother -in -law, son -in -law, and daughter -in -law. A '.business associate' means any person or entity engaged in or carrying on a business
enterprise with the officer as a partner, joint venturer, coowner of property, Or corporate shareholder (where the shares of the corporation
are not fisted on any national or regional stock exchange).
ELECTED OFFICERS:
In addition to abstaining from voting in the situations described above, you must disclose the conflict:
PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you
are abstaining from voting; and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the min-
utes of the meeting, who should incorporate the form in the minutes.
x w • • ♦ it ♦ ♦ w s t r w r . w
APPOINTED OFFICERS:
Although you must abstain from voting in the situations described above, you otherwise may participate in these matters. However, you
must disclose the nature of the conflict before making any attempt to influence the decision, whether orally or in writing and whether made
by you or at your direction.
IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
TAKEN:
You must complete and file this form (before making any attempt to influence the decision) with the person responsible for recording the
minutes of the meeting, who will incorporate the form in the minutes. (Continued on other side)
Packet Page -114-
6/25/2013 10.G.
APPOINTED OFFICERS {continued}
• A copy of the form must be provided immediately to the other members of the agency.
• The form must be read publicly at the next meeting after the form is filed.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
• You must disclose orally the nature of your conflict in the measure before participating.
• You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the
meeting, who must incorporate the form in the minutes. A copy of the form must be provided immediately to the other members of the
agency, and the form must be read publicly at-the next meeting after the form is filed.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
I, hereby disclose that on 20
(a) A measure came or will come before my agency which (check one)
❑ inured to my special private gain or loss;
_ inured to the special gain or doss of my business associate,
inured to the special gain or loss of my relative,
inured to the special gain or loss of by
whom I am retained; or
inured to the special gain or loss of which
is the parent organization or subsidiary of a principal which has retained me.
(b) The measure before my agency and the nature of my conflicting interest in the measure is as follows:
Date Filed Signature
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE
CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT,
EMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A
CIVIL PENALTY NOT TO EXCEED $10,000.
CE FORM 86 - EFF. 1/20DO PAGE 2
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REQUEST FOR PROPOSAL -�
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
Solicitation
13 -6081 Medical Director and Deputy Medical
Director
Joanne Markiewicz, Interim Purchasing Director
239 - 252 -8975 (Telephone)
239 - 252 -6480 (Fax)
joannemarkiewicz @colliergov.net (Email)
This proposal solicitation document is prepared in a Microsoft Word format. Any alterations to this document
made by the Vendor may be grounds for rejection of proposal, cancellation of any subsequent award, or any
other legal remedies available to the Collier County Government.
P rdhawq - 3327 Tamiam Trail East • Maples, Florida 34.112 -5001 - wwwxohiergov,navpwchasiq ^
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Table of Contents
LEGALNOTICE .................................................................................................... ..............................3
EXHIBIT I: SCOPE OF WORK, SPECIFICATIONS AND RESPONSE FORMAT . ..............................4
EXHIBITIA ........................................................................................................... .............................12
EXHIBITIB ........................................................................................................... .............................13
EXHIBITIC ........................................................................................................... .............................14
EXHIBIT II: GENERAL RFP INSTRUCTIONS ..................................................... .............................15
EXHIBIT III: COLLIER COUNTY PURCHASE ORDER TERMS AND CONDITIONS .......................18
EXHIBIT IV: ADDITIONAL TERMS AND CONDITIONS FOR RFP ................... ...............................
22
ATTACHMENT 1: VENDOR'S NON - RESPONSE STATEMENT ....................... ...............................
30
ATTACHMENT 2: VENDOR CHECK LIST ........................................................ ...............................
31
ATTACHMENT 3: CONFLICT OF INTEREST AFFIDAVIT ................................ ...............................
32
ATTACHMENT 4: VENDOR DECLARATION STATEMENT ............................. ...............................
33
ATTACHMENT 5: AFFIDAVIT FOR CLAIMING STATUS AS A LOCAL BUSINESS .......................
35
ATTACHMENT 6: IMMIGRATION AFFIDAVIT CERTIFICATION ........................ .............................36
ATTACHMENT 7: VENDOR SUBSTITUTE W — 9 ............................................. ...............................
37
ATTACHMENT 8: INSURANCE AND BONDING REQUIREMENTS ................... .............................38
ATTACHMENT 9: REFERENCE QUESTIONNAIRE ........................................... .............................40
n
2
RFP 13 -6081 Medical Director and Deputy Medical Director
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Eiwigil 0 W1 1,�
122
Legal Notice
Sealed Proposals to provide independent consulting services for the County's Medical Director and a
Deputy Medical Director positions will be received until 12 Noon Naples local time, on May 3, 2013
at the Collier County Government, Purchasing Department, 3327 Tamiami Trail E, Naples, FL 34112.
Solicitation
13 -6081 Medical Director and Deputy Medical Director
Services to be provided may include, but not be limited to the following: Medical Director and
Deputy Medical Director per Florida Statute 401.265.
All statements shall be made upon the official proposal form which may be obtained on the Collier
County Purchasing Department Online Bidding System website: www.collierclov.net /bid.
Collier County does not discriminate based on age, race, color, sex, religion, national origin, disability
or marital status.
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA,
BY: /S/ Joanne Markiewicz
Interim Purchasing & General Services Director
This Public Notice was posted on the Collier County Purchasing Department website:
www.colliergov.net/i)urchasina and in the Lobby of Purchasing Building "G ", Collier County
Government Center on April 9, 2013.
Pwo)asing Depavnert • 3301 Tamiami Trail Fast • Naples. Florida 34112 . www.00lliergov.netspurchasing
RFP 13 -6081 Medical Director and Deputy Medical Director
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6/25/2013 10.G.
Exhibit I: Scope of Work, Specifications and Response Format
As requested by the Board of County Commissioners (hereinafter, "County or "Board " ", the Collier
County Purchasing Department (hereinafter, the "Department ") has issued this Request for Proposal
(hereinafter, "RFP ") with the intent of obtaining proposals from interested and qualified Consultants in
accordance with the terms, conditions and specifications stated or attached. The Consultant, at a
minimum, must achieve the requirements of the Specifications or Scope of Work stated.
The results of this solicitation may be used by other County departments once awarded according to
the Board of County Commissioners Purchasing Policy.
Brief Description of Purchase
As directed by the Board of County Commissioners on Tuesday, March 12, 2013 (Item 10G), the
Board is interested in seeking interested consulting firms, or individuals, to provide consulting services
as the County's Medical Director and a Deputy Medical Director as independent consultants. The
annual historical spend on these two services has been $125,000.
Background
Contract roles, responsibilities and qualifications held by the current medical director are:
1.
Implement such planning and coordination which may be necessary to deliver advanced
life support by Paramedics (including EMS and Fire District personnel) trained to
�.
the level of advanced and basic medical technicians, which may require
intravenous administration of emergency resuscitative drugs and the performance
of sophisticated technical emergency procedures.
2.
Perform a broad -based medical specialty such as emergency medicine, internal
medicine, anesthesiology, or other surgical specialty, with demonstrated experience i n
pre - hospital care and hold an ACLS certification of successful course completion or be
board certified in emergency medicine.
3.
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.
4.
Supervise and accept direct responsibility for the medical performance of the paramedics
working for Collier County EMS.
5.
Develop medically correct standing orders or protocols relating to life support system
procedures when communication cannot beestablishedwith asupervising
physician or when any delay in patient care would potentially threaten the life or health of
the patient.
6.
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 level of care appropriate to the
patient's medical condition if available within the service region.
7.
Provide continuous 24- hour - per -day, 7- day - per -week of 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.
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8. Establish a quality assurance committee to provide for quality assurance review of all
paramedics operating under his supervision.
9. 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.
10. Participate in quality assurance programs that may be developed by the department.
11. Ensure and certify that security procedures of the Collier County EMS for medications, fluids
and controlled substances are in compliance with chapters 401, 499 and 893, Florida
Statutes, and chapter IOD -45 of the Florida Administrative Code.
12. 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.
13. Notify the Florida Department of Health, (hereinafter the "Department ") in writing when the use
of telemetry is not necessary.
14. Notify the department in writing of each substitution by Collier County EMS of equipment or
medication.
15. 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. Ensure that
the paramedic is trained to perform these procedures; establish written protocols for the
performance of these procedures; and provide written evidence to the department
documenting compliance with the provisions of this paragraph.
16. 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.
17. 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.
18. Ensure that all Collier County paramedics have all proper certifications and receive all
training necessary to maintain their certification.
19. Provide and maintain all insurance coverages as defined by the County, and naming the
County as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General
Liability where required.
20. Assist in the following duties:
a) Interacting with the Public Safety Authority Committee.
b) Consulting 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 service personnel training and medical policy, protocol,
planning and development.
c) Consulting in the coordination of training of paramedical personnel, including the
determination of training criteria for certification.
d) Organizing, coordinating and participating as an instructor for the in- service education
programs and quality control of the patient care in day -to -day delivery of emergency
medical services by the County.
e) Serving as a liaison between the County and the appropriate community hospitals, medical
societies, practicing physicians and training facilities in the area.
f) Providing such assistance as may be required in the preparation and administration of any
grant programs for the establishment and improvement of the system.
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g) 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 Board of County Commissioners.
h) Keeping adequate records and supporting documentation, which concern or reflect
services under the resultant contract.
i) Representing that the consultant 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.
Detailed Scope of Work
The contracted consultant(s) will each perform independent contractor responsibilities as outlined
in Section 401.265, Florida Statutes, and under the direction of the Collier County Board of
Commissioners and will serve "at the will" of the Board.
Under Florida Law, responses are considered public records and may be made available upon
request. All questions regarding this request should be made through the County's Online Bidding
System at: http: / /bid.colliergov.net/bid /, or the contact the purchasing professional listed in this
request.
In accordance with Florida Statute 401.265 (Exhibit IA) responsibilities for Medical Directors
include:
(1) Each basic life support transportation service or advanced life support service must
employ or contract with a medical director. The medical director must be a licensed physician;
10 ` a corporation, association, or partnership composed of physicians; or physicians employed by
any hospital that delivers in- hospital emergency medical services and employs or contracts
with physicians specifically for that purpose. Such a hospital, physician, corporation,
association, or partnership must designate one physician from that organization to be medical
director at any given time. The medical director must supervise and assume direct
responsibility for the medical performance of the emergency medical technicians and
paramedics operating for that emergency medical services system. The medical director must
perform duties including advising, consulting, training, counseling, and overseeing of services,
including appropriate quality assurance but not including administrative and managerial
functions.
(2) Each medical director shall establish a quality assurance committee to provide for quality
assurance review of all emergency medical technicians and paramedics operating under his or her
supervision. If the medical director has reasonable belief that conduct by an emergency medical
technician or paramedic may constitute one or more grounds for discipline as provided by this
part, he or she shall document facts and other information related to the alleged violation. The
medical director shall report to the department any emergency medical technician or paramedic
whom the medical director reasonably believes to have acted in a manner which might constitute
grounds for disciplinary action. Such a report of disciplinary concern must include a statement and
documentation of the specific acts of the disciplinary concern. Within 7 days after receipt of such a
report, the department shall provide the emergency medical technician or paramedic a copy of the
report of the disciplinary concern and documentation of the specific acts related to the disciplinary
concern. If the department determines that the report is insufficient for disciplinary action against
the emergency medical technician or paramedic pursuant to s. 401.411, the report shall be
expunged from the record of the emergency medical technician or paramedic.
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(3) Any medical director who in good faith gives oral or written instructions to certified
emergency medical services personnel for the provision of emergency. care shall be deemed to be ^
providing emergency medical care or treatment for the purposes of s. 768.13(2).
(4) Each medical director who uses a paramedic or emergency medical technician to perform
blood pressure screening, health promotion, and wellness activities, or to administer immunization
on any patient under a protocol as specified in s. 401.272, which is not in the provision of
emergency care, is liable for any act or omission of any paramedic or emergency medical
technician acting under his or her supervision and control when performing such services.
(5) The department [Board] shall adopt and enforce all rules necessary to administer this
section.
In addition, the Board has established by Resolution 2005 -92 the Collier County Public Safety
Authority (Exhibit IB and Exhibit IC) and expects that both positions will work collaboratively, and in
coordination with this Authority.
Term of Contract
The independent consulting firm or individual(s) will be expected to sign the County's standard
Medical Service contract. The term of this engagement is anticipated to be for an initial five (5)
years with the option to renew pursuant to direction of the Board of County Commissioners.
Prices shall remain firm for the initial term of this contract. Requests for consideration of a price
adjustment must be made on the contract anniversary date, in writing, to the Purchasing Director.
Price adjustments are dependent upon the consumer price index (CPI) over the past twelve (12)
months, budget availability and program manager approval.
Surcharges will not be accepted in conjunction with this contract, and such charges should be
incorporated into the pricing structure.
Projected Solicitation Timetable
The following projected timetable should be used as a working guide for planning purposes only.
The County reserves the right to adjust this timetable as required during the course of the RFP
process.
Event
Date
Issue Solicitation Notice
Aril 9, 2013
Last Date for Receipt of Written Questions
April 17, 2013,12 Noon,
Naples Local Time
Addendum Issued Resulting from Written Questions (if
needed
April 19, 2013
Solicitation Deadline Date and Time
May 3, 2013, 12 Noon,
Naples Local Time
Anticipated Evaluation of Submittals
Early May
Vendor Interviews if required)
Ma —June 2013
Anticipated Completion of Contract Negotiations
June — Jul 2013
Anticipated Board of Count Commissioner's Contract
June — July 2013
RFP 13 -6081 Medical Director and Deputy Medical Director
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Approval Date
6/25/2013 10.G.
RFP 13 -6081 Medical Director and Deputy Medical Director
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Response Format
The Vendor understands and agrees to abide by all of the RFP specifications, provisions, terms
and conditions of same, and all ordinances and policies of Collier County. The Vendor further
agrees that if it is awarded a contract, the work will be performed in accordance with the
provisions, terms and conditions of the contract.
To facilitate the fair evaluation and comparison of proposals, all proposals must conform to the
guidelines set forth in this RFP.
Any portions of the proposal that do not comply with these guidelines must be so noted and
explained in the Acceptance of Conditions section of the proposal. However, any proposal that
contains such variances may be considered non - responsive.
Proposals should be prepared simply and economically, providing a straightforward concise
description of the Vendor's approach and ability to meet the County's needs, as stated in this
RFP. All proposals should be presented as described in this RFP in PDF or Microsoft Word
format with Tabs clearly marked. If outlined in this RFP, the utilization of recycled paper for
proposal submission is strongly encouraged.
The items listed below shall be submitted with each proposal and should be submitted in the order
shown. Each section should be clearly labeled, with pages numbered and separated by tabs.
Failure by a Vendor to include all listed items may result in the rejection of its proposal.
1. Tab I, Cover Letter / Management Summary
Submission of a signed Proposal is the certification that the proposer will accept any awards
as a result of this RFP.
• Provide a cover letter, signed by the individual or an authorized officer of the firm,
indicating the underlying philosophy in providing the services stated herein.
• Include the name(s), telephone number(s) and email(s) of the authorized contact person(s)
concerning proposal.
• Complete the following information:
1. Indicate interest in being considered for an award
for the County's Medical Director.
Indicate yes if interested
2. Indicate interest in being considered for an award
for the County's Deputy Medical Director.
Indicate yes if interested
2. Tab II, Individual / Firm's Capabilities / Qualifications (40 points)
In this tab, provide the following information:
• Current licenses.
Professional vitae for either, or both, positions.
Provide evidence of:
o Training in the field of emergency medicine;
o Current State of Florida medical license (provide copy);
o Current certification from the American Board of Emergency Medicine
Certification; and
o Current ACLS certificate or be board certified in emergency medicine.
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• Provide evidence of any disciplinary action taken in the past five years (1/1/2008 —
12/21/2012). If there has been no disciplinary action, indicate "Not Applicable."
3. Tab III, Affiliation Consideration (20 points)
In this tab, include the following information regarding affiliations:
• Collier and Lee County hospital, medical, and other public health and safety affiliations
(Sheriff, EMS, Fire Department, etc.);
• Pharmaceutical and /or medical manufacturers or distributor affiliations; and
• Any other company or organization that may pose a conflict of interest risk for the Collier
County Board of County Commissioners.
4. Tab IV, Cost of Services to the County (20 points)
In this tab, provide the following information as requested in this format:
1.
Annual cost of service for Medical Director.
$
2.
Annual cost of service for Deputy Medical Director
$
245
5. Tab VI, References (10 points)
In order for the vendor to be awarded any points for this tab, the County requests that the
vendor submits three (3) completed reference forms from clients whose projects are of a
similar nature to this solicitation as a part of their proposal. The County will only use the
methodology calculations for the first three (3)references (only) submitted by the vendor in
their proposal.
Prior to the Selection Committee reviewing proposals, the following methodology will be
applied to each vendor's information provided in this area:
• The County shall total each of the vendor's three reference questionnaires and create a
ranking from highest number of points to lowest number of points. References marked
with an N/A (or similar notation will be given the score of zero (0)). Vendors who do not
turn in reference forms will be counted as zero (0).
• The greatest number of points allowed in this criterion will be awarded to the vendor who
has the highest score.
• The next highest vendor's number of points will be divided by the highest vendor's points
which will then be multiplied by criteria points to determine the vendor's points awarded.
Each subsequent vendor's point score will be calculated in the same manner.
• Points awarded will be rounded to whole numbers (per Microsoft Excel).
For illustrative purposes only, see chart for an example of how these points would be
distributed among the five proposers.
Vendor Name
Vendor Total :Reference
'Points Awarded,
Score'
Vendor ABC
245
10
10
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Vendor DEF
235
10
Vendor GHI
225
9
Vendor JKL
185
8
Vendor MNO
185
8
Vendor PQR
150
6
The points awarded by vendor will be distributed to the Selection Committee prior to their
evaluation of the proposals. The Selection Committee will review the vendor's proposal to
ensure consistency and completion of all tasks in the RFP, and review the Points Awarded per
vendor. The Selection Committee may, at their sole discretion, contact references, and /or
modify the reference points assigned after a thorough review of the proposal and prior to final
ranking by the final Selection Committee.
6. Tab Vil, Acceptance of Conditions
Indicate any exceptions to the general terms and conditions of the RFP, and to insurance
requirements or any other requirements listed in this RFP. If no exceptions are indicated in this
tabbed section, it will be understood that no exceptions to these documents will be considered
after the award, or if applicable, during negotiations. Exceptions taken by a Vendor may result
in evaluation point deduction(s) and /or exclusion of proposal for Selection Committee
consideration, depending on the extent of the exception(s). Such determination shall be at the
sole discretion of the County and Selection Committee.
7. Tab VIII, Required Form Submittals
• Attachment 2: Vendor Check List
• Attachment 3: Conflict of Interest Affidavit
• Attachment 4: Vendor Declaration Statement
• Attachment 5: Affidavit for Claiming Status as a Local Business
• Attachment 6: Immigration Affidavit Certification
• Attachment 7: Vendor Substitute W -9
• Attachment 8: Insurance and Bonding Requirements
• Attachment 9: Reference Questionnaire
• Other: Signed addenda and any other materials
11
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Exhibit IA
Florida Statute 401.265 Medical Directors
(1) Each basic life support transportation service or advanced life support service must
employ or contract with a medical director. The medical director must be a licensed physician;
a corporation, association, or partnership composed of physicians; or physicians employed by
any hospital that delivers in- hospital emergency medical services and employs or contracts
with physicians specifically for that purpose. Such a hospital, physician, corporation,
association, or partnership must designate one physician from that organization to be medical
director at any given time. The medical director must supervise and assume direct
responsibility for the medical performance of the emergency medical technicians and
paramedics operating for that emergency medical services system. The medical director must
perform duties including advising, consulting, training, counseling, and overseeing of services,
including appropriate quality assurance but not including administrative and managerial
functions.
(2) Each medical director shall establish a quality assurance committee to provide for quality
assurance review of all emergency medical technicians and paramedics operating under his or her
supervision. If the medical director has reasonable belief that conduct by an emergency medical
technician or paramedic may constitute one or more grounds for discipline as provided by this
part, he or she shall document facts and other information related to the alleged violation. The
medical director shall report to the department any emergency medical technician or paramedic
whom the medical director reasonably believes to have acted in a manner which might constitute
grounds for disciplinary action. Such a report of disciplinary concern must include a statement and
documentation of the specific acts of the disciplinary concern. Within 7 days after receipt of such a
^� report, the department shall provide the emergency medical technician or paramedic a copy of the
report of the disciplinary concern and documentation of the specific acts related to the disciplinary
concern. If the department determines that the report is insufficient for disciplinary action against
the emergency medical technician or paramedic pursuant to s. 401.411, the report shall be
expunged from the record of the emergency medical technician or paramedic.
(3) Any medical director who in good faith gives oral or written instructions to certified emergency
medical services personnel for the provision of emergency care shall be deemed to be providing
emergency medical care or treatment for the purposes of s. 768.13(2).
(4) Each medical director who uses a paramedic or emergency medical technician to perform
blood pressure screening, health promotion, and wellness activities, or to administer immunization
on any patient under a protocol as specified in s. 401.272, which is not in the provision of
emergency care, is liable for any act or omission of any paramedic or emergency medical
technician acting under his or her supervision and control when performing such services.
(5) The department [Board] shall adopt and enforce all rules necessary to administer this
section.
History. —ss. 6, 25, ch. 82 -402; ss. 12, 13, ch. 83 -196; s. 8, ch. 88 -186; s. 15, ch. 89 -275; s. 13, ch.
89 -283; s. 70, ch. 89 -374; ss. 8, 36, ch. 92 -78; s. 34, ch. 93 -211; s. 793, ch. 95 -148; s. 45, ch. 97 -237;
s. 3, ch. 98 -87; s. 20, ch. 98 -151.
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Exhibit IB
Downloadable at Collier County Online Bidding System at: http: / /bid.colliergov.net/bid/
And labeled Exhibit IB Resolution Agenda 06_26_2012R
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Exhibit IC
Downloadable at Collier County Online Bidding System at: http: / /bid.colliergov.net/bid/
And labeled Exhibit IC Ordinance 2012 -23
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Exhibit 11: General RFP Instructions
1. Questions
6/25/2013 10.G.
Direct questions related to this RFP to the Collier County Purchasing Department Online Bidding
System website: www.colliergov.net/bid. Vendors must clearly understand that the only official
answer or position of the County will be the one stated on the Collier County Purchasing
Department Online Bidding System website. For general questions, please call the referenced
purchasing professional noted on the cover page.
2. Pre - Proposal Conference
The purpose of the pre - proposal conference is to allow an open forum for discussion and
questioning with County staff regarding this RFP with all prospective Vendors having an equal
opportunity to hear and participate. Oral questions will receive oral responses, neither of which will
be official, nor become part of the RFP. Only written responses to written questions will be
considered official, and will be included as part of this RFP as an addendum.
All prospective Vendors are strongly encouraged to attend, as, this will usually be the only pre -
proposal conference for this solicitation. If this pre - proposal conference is denoted as "mandatory",
prospective Vendors must be present in order to submit a proposal response.
3. Compliance with the RFP
Proposals must be in strict compliance with this RFP. Failure to comply with all provisions of the
RFP may result in disqualification.
4. Ambiguity, Conflict, or Other Errors in the RFP
It is the sole responsibility of the Vendor if the Vendor discovers any ambiguity, conflict,
discrepancy, omission or other error in the RFP, to immediately notify the Purchasing professional,
noted herein, of such error in writing and request modification or clarification of the document prior
to submitting the proposal. The Purchasing professional will make modifications by issuing a
written revision and will give written notice to all parties who have received this RFP from the
Purchasing Department.
5. Proposal, Presentation, and Protest Costs
The County will not be liable in any way for any costs incurred by any Vendor in the preparation of
its proposal in response to this RFP, nor for the presentation of its proposal and /or participation in
any discussions, negotiations, or, if applicable, any protest procedures.
6. Delivery of Proposals
All proposals are to be delivered before 12 Noon, Naples local time, on or before May 3, 2013
to:
Collier County Government
Purchasing Department
3327 Tamiami Trail E
Naples FL 34112 r1
Attn: Joanne Markiewicz, Interim Purchasing Director
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The County does not bear the responsibility for proposals delivered to the Purchasing
Department past the stated date and /or time indicated, or to an incorrect address by
Consultant's personnel or by the Consultant's outside carrier. However, the
Purchasing /General Services Director, or designee, reserves the right to accept proposals
received after the posted close time under the following conditions:
• The tardy submission of the proposal is due to the following circumstances, which may
include but not be limited to: late delivery by commercial carrier such as Fed Ex, UPS
or courier where delivery was scheduled before the deadline.
• The acceptance of said proposal does not afford any competing firm an unfair
advantage in the selection process.
Vendors must submit one (1) paper copy clearly labeled "Master," and six (6) disks
(CD's /DVD's) with one copv of the proposal on each disk in Word, Excel or PDF. List the
Solicitation Number and Title on the outside of the box or envelope.
7. Validity of Proposals
No proposal can be withdrawn after it is filed unless the Vendor makes their request in writing to
the County prior to the time set for the closing of Proposals. All proposals shall be valid for a
period of one hundred eighty (180) days from the submission date to accommodate evaluation
and selection process.
8. Method of Source Selection
The County is using the Competitive Sealed Proposals methodology of source selection for this
procurement, as authorized by Ordinance Number 87 -25, and Collier County Resolution Number
2006 -268 establishing and adopting the Collier County Purchasing Policy.
The County may, as it deems necessary, conduct discussions with qualified Vendors determined
to be in contention for being selected for award for the purpose of clarification to assure full
understanding of, and responsiveness to solicitation requirements.
9. Evaluation of Proposals
The County's procedure for selecting is as follows:
1.
The Board of County Commissioners is the appointed Selection Committee to review all
proposals submitted.
2.
Request for Proposals issued.
3.
Subsequent to the closing of proposals, the Purchasing professional will review the proposals
received and verify whether each proposal appears to be minimally responsive to the
requirements of the published RFP.
4.
Meetings will be open to the public and the Purchasing professional shall publicly post prior
notice of such meeting in the lobby of the Purchasing Building at least one (1) day in advance
of all such meetings.
5.
The Board will ask the County's Public Safety Authority Council to review and recommend the
top ten (10) applicants.
6.
The Board will review each Proposal review and discuss the top- ranked proposals based on
the evaluation criteria stated herein.
7.
Prior to the first meeting of the selection committee, the Purchasing professional will post a
notice announcing the date, time and place of the first committee meeting. Said notice shall
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be posted in the lobby of the Purchasing Building not less than three (3) working days prior to
the meeting. The Purchasing professional will also post prior notice of all subsequent
committee meetings and shall endeavor to post such notices at least one (1) day in advance of
all subsequent meetings.
8. The Board will determine the final candidates for both positions, determine if interviews are
needed and award contract(s).
The County reserves the right to withdraw this RFP at any time and for any reason, and to issue
such clarifications, modifications, and /or amendments as it may deem appropriate.
Receipt of a proposal by the County or a submission of a proposal to the County offers no rights
upon the Vendor nor obligates the County in any manner.
Acceptance of the proposal does not guarantee issuance of any other governmental approvals.
Proposals which include provisions requiring the granting of zoning variances shall not be
considered.
10. References
The County reserves the right to contact any and all references pertaining to this solicitation and
related proposal.
11. Proposal Selection Committee and Evaluation Factors
The factors to be considered in the evaluation of proposal responses are listed below.
Tab II, Individual / Firm's Capabilities /Qualifications 40
Tab III, Affiliation Consideration 20
Tab IV, Cost of Services to the County 20
Tab VI, References 10
Local Vendor Preference 10
TOTAL -..100
Tie Breaker: In the event of a tie, both in individual scoring and in final ranking, the firm with
the lowest paid dollars by Collier County to the vendor (as obtained from the County's financial
system) within the last five (5) years will receive the higher individual ranking. If there is a multiple
firm tie in either individual scoring or final ranking, the firm with the lowest volume of work shall
receive the higher ranking, the firm with the next lowest volume of work shall receive the next
highest ranking and so on.
12. Acceptance or Rejection of Proposals
The right is reserved by the County to waive any irregularities in any proposal, to reject any or all
proposals, to re- solicit for proposals, if desired, and upon recommendation and justification by
Collier County to accept the proposal which in the judgment of the County is deemed the most
advantageous for the public and the County of Collier.
Any proposal which is incomplete, conditional, obscure or which contains irregularities of any kind,
may be cause for rejection. In the event of default of the successful Vendor, or their refusal to
enter into the Collier County contract, the County reserves the right to accept the proposal of any
other Vendor or to re- advertise using the same or revised documentation, at its sole discretion.
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Exhibit III: Collier County Purchase Order Terms and Conditions
1.
Offer
regulations. Risk of loss of any goods
This offer is subject to cancellation by the
sold hereunder shall transfer to the
COUNTY without notice if not accepted by
COUNTY at the time and place of
VENDOR within fourteen (14) days of
delivery; provided that risk of loss prior
issuance.
to actual receipt of the goods by the
COUNTY nonetheless remain with
2.
Acceptance and Confirmation
VENDOR.
This Purchase Order (including all
b) No charges will be paid by the COUNTY
documents attached to or referenced
for packing, crating or cartage unless
therein) constitutes the entire agreement
otherwise specifically stated in this
between the parties, unless otherwise
Purchase Order. Unless otherwise
specifically noted by the COUNTY on the
provided in Purchase Order, no invoices
face of this Purchase Order. Each delivery
shall be issued nor payments made
of goods and /or services received by the
prior to delivery. Unless freight and
COUNTY from VENDOR shall be deemed to
other charges are itemized, any
be upon the terms and conditions contained
discount will be taken on the full amount
in this Purchase Order.
of invoice.
c) All shipments of goods scheduled on the
No additional terms may be added and
same day via the same route must be
Purchase Order may not be changed except
consolidated. Each shipping container
by written instrument executed by the
must be consecutively numbered and
COUNTY. VENDOR is deemed to be on
marked to show this Purchase Order
notice that the COUNTY objects to any
number. The container and Purchase
additional or different terms and conditions
Order numbers must be indicated on bill
contained in any acknowledgment, invoice
of lading. Packing slips must show
or other communication from VENDOR,
Purchase Order number and must be
notwithstanding the COUNTY'S acceptance
included on each package of less than
or payment for any delivery of goods and /or
container load (LCL) shipments and /or
services, or any similar act by VENDOR.
with each car load of equipment. The
COUNTY reserves the right to refuse or
3.
Inspection
return any shipment or equipment at
All goods and /or services delivered
VENDOR'S expense that is not marked
hereunder shall be received subject to the
with Purchase Order numbers.
COUNTY'S inspection and approval and
VENDOR agrees to declare to the
payment therefore shall not constitute
carrier the value of any shipment made
acceptance. All payments are subject to
under this Purchase Order and the full
adjustment for shortage or rejection. All
invoice value of such shipment.
defective or nonconforming goods will be
d) All invoices must contain the Purchase
returned pursuant to VENDOR'S instruction
Order number and any other specific
at VENDOR'S expense.
information as identified on the
Purchase Order. Discounts of prompt
To the extent that a purchase order requires
payment will be computed from the date
a series of performances by VENDOR, the
of receipt of goods or from date of
COUNTY prospectively reserves the right to
receipt of invoices, whichever is later.
cancel the entire remainder of the Purchase
Payment will be made upon receipt of a
Order if goods and /or services provided
proper invoice and in compliance with
early in the term of the Purchase Order are
Chapter 218, Fla. Stats., otherwise
non - conforming or otherwise rejected by the
known as the "Local Government
COUNTY.
Prompt Payment Act," and, pursuant to
4.
Shipping and Invoices
the Board of County Commissioners
a) All goods are FOB destination and must
Purchasing Policy.
be suitably packed and prepared to
secure the lowest transportation rates
5. Time Is Of the Essence
and to comply with all carrier
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Time for delivery of goods or performance of
services under this Purchase Order is of the
essence. Failure of VENDOR to meet
delivery schedules or deliver within a
reasonable time, as interpreted by the
COUNTY in its sole judgment, shall entitle
the COUNTY to seek all remedies available
to it at law or in equity. VENDOR agrees to
reimburse the COUNTY for any expenses
incurred in enforcing its rights. VENDOR
further agrees that undiscovered delivery of
nonconforming goods and /or services is not
a waiver of the COUNTY'S right to insist
upon further compliance with all
specifications.
Changes
The COUNTY may at any time and by
written notice make changes to drawings
and specifications, shipping instructions,
quantities and delivery schedules within the
general scope of this Purchase Order.
Should any such change increase or
decrease the cost of, or the time required for
performance of the Purchase Order, an
equitable adjustment in the price and /or
delivery schedule will be negotiated by the
COUNTY and VENDOR. Notwithstanding
the foregoing, VENDOR has an affirmative
obligation to give notice if the changes will
decrease costs. Any claims for adjustment
by VENDOR must be made within thirty (30)
days from the date the change is ordered or
within such additional period of time as may
be agreed upon by the parties.
7. Warranties
VENDOR expressly warrants that the goods
and /or services covered by this Purchase
Order will conform to the specifications,
drawings, samples or other descriptions
furnished or specified by the COUNTY, and
will be of satisfactory material and quality
production, free from defects and sufficient
for the purpose intended. Goods shall be
delivered free from any security interest or
other lien, encumbrance or claim of any third
party. These warranties shall survive
inspection, acceptance, passage of title and
payment by the COUNTY.
8. Statutory Conformity
Goods and services provided pursuant to
this Purchase Order, and their production
and transportation shall conform to all
applicable laws, including but not limited to
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the Occupational Health and Safety Act, the
Federal Transportation Act and the Fair
Labor Standards Act, as well as any law or
regulation noted on the face of the Purchase
Order.
9. Advertising
No VENDOR providing goods and services
to the COUNTY shall advertise the fact that
it has contracted with the COUNTY for
goods and /or services, or appropriate or
make use of the COUNTY'S name or other
identifying marks or property without the
prior written consent of the COUNTY'S
Purchasing Department.
10. Indemnification
VENDOR shall indemnify and hold harmless
the COUNTY from any and all claims,
including claims of negligence, costs and
expenses, including but not limited to
attorneys' fees, arising from, caused by or
related to the injury or death of any person
(including but not limited to employees and
agents of VENDOR in the performance of
their duties or otherwise), or damage to
property (including property of the COUNTY
or other persons), which arise out of or are
incident to the goods and /or services to be
provided hereunder.
11. Warranty of Non - Infringement
VENDOR represents and warrants that all
goods sold or services performed under this
Purchase Order are: a) in compliance with
applicable laws; b) do not infringe any
patent, trademark, copyright or trade secret;
and c) do not constitute unfair competition.
VENDOR shall indemnify and hold harmless
the COUNTY from and against any and all
claims, including claims of negligence, costs
and expense, including but not limited to
attorneys' fees, which arise from any claim,
suit or proceeding alleging that the
COUNTY'S use of the goods and /or
services provided under this Purchase Order
are inconsistent with VENDOR'S
representations and warranties in section 11
(a).
If any claim which arises from VENDOR'S
breach of section 11 (a) has occurred, or is
likely to occur, VENDOR may, at the
COUNTY'S option, procure for the COUNTY
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the right to continue using the goods or
or threatens to delay timely performance of
services, or replace or modify the goods or
this Purchase Order, VENDOR shall
services so that they become non - infringing,
immediately give notice thereof, including all
(without any material degradation in
relevant information with respects to what
performance, quality, functionality or
steps VENDOR is taking to complete
additional cost to the COUNTY).
delivery of the goods and /or services to the
COUNTY.
12. Insurance Requirements
The VENDOR, at its sole expense, shall
15. Assignment
provide commercial insurance of such type
VENDOR may not assign this Purchase
and with such terms and limits as may be
Order, nor any money due or to become due
reasonably associated with the Purchase
without the prior written consent of the
Order. Providing and maintaining adequate
COUNTY. Any assignment made without
insurance coverage is a material obligation
such consent shall be deemed void.
of the VENDOR. All insurance policies shall
-
be executed through insurers authorized or
16. Taxes
eligible to write policies in the State of
Goods and services procured subject to this
Florida.
Purchase Order are exempt from Florida
sales and use tax on real property, transient
13. Compliance with Laws
rental property rented, tangible personal
in fulfilling the terms of this Purchase Order,
purchased or rented, or services purchased
VENDOR agrees that it will comply with all
(Florida Statutes, Chapter 212), and from
federal, state, and local laws, rules, codes,
federal excise tax.
and ordinances that are applicable to the
conduct of its business. By way of non-
17. Annual Appropriations
exhaustive example, this shall include the
The COUNTY'S performance and obligation
American with Disabilities Act and all
to pay under this Purchase Order shall be
i-� prohibitions against discrimination on the
contingent upon an annual appropriation of
basis of race, religion, sex creed, national
funds.
origin, handicap, marital status, or veterans'
status. Further, VENDOR acknowledges
18. Termination
and without exception or stipulation shall be
This Purchase Order may be terminated at
fully responsible for complying with the
any time by the COUNTY upon 30 days
provisions. of the Immigration Reform and
prior written notice to the VENDOR. This
Control Act of 1986 as located at 8 U.S.C.
Purchase Order may be terminated
1324, et seq. and regulations relating
immediately by the COUNTY for breach by
thereto, as either may be amended. Failure
VENDOR of the terms and conditions of this
by the awarded firm(s) to comply with the
Purchase Order, provided that COUNTY has
laws referenced herein shall constitute a
provided VENDOR with notice of such
breach of the award agreement and the
breach and VENDOR has failed to cure
County shall have the discretion to
within 10 days of receipt of such notice.
unilaterally terminate said agreement
immediately. Any breach of this provision
19. General
may be regarded by the COUNTY as a
a) This Purchase Order shall be governed
material and substantial breach of the
by the laws of the State of Florida. The
contract arising from this Purchase Order.
venue for any action brought to
specifically enforce any of the terms and
14. Force Majeure
conditions of this Purchase Order shall
Neither the COUNTY nor VENDOR shall be
be the Twentieth Judicial Circuit in and
responsible for any delay or failure in
for Collier County, Florida
performance resulting from any cause
b) Failure of the COUNTY to act
beyond their control, including, but without
immediately in response to a breach of
limitation to war, strikes, civil disturbances
this Purchase Order by VENDOR shall
and acts of nature. When VENDOR has
not constitute a waiver of breach.
knowledge of any actual or potential force
Waiver of the COUNTY by any default
majeure or other conditions which will delay
by VENDOR hereunder shall not be
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C)
d)
deemed a waiver of any subsequent
default by VENDOR.
All notices under this Purchase Order
shall be sent to the respective
addresses on the face page by certified
mail, return receipt requested, by
overnight courier service, or by personal
delivery and will be deemed effective
upon receipt. Postage, delivery and
other charges shall be paid by the
sender. A party may change its address
for notice by written notice complying
with the requirements of this section.
The Vendor agrees to reimbursement of
any travel expenses that may be
associated with this Purchase Order in
accordance with Florida Statute Chapter
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112.061, Per Diem and Travel
Expenses for Public Officers, employees
and authorized persons.
e) In the event of any conflict between or
among the terms of any Contract
Documents related to this Purchase
Order, the terms of the Contract
Documents shall take precedence over
the terms of the Purchase Order. To the
extent any terms and /or conditions of
this Purchase Order duplicate or overlap
the Terms and Conditions of the
Contract Documents, the provisions of
the Terms and /or Conditions that are
most favorable to the County and /or
provide the greatest protection to the
County shall govern.
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Exhibit IV: Additional Terms and Conditions for RFP
1. Insurance Requirements
The Vendor shall at its own expense, carry and maintain insurance coverage from responsible
companies duly authorized to do business in the State of Florida as set forth in the Insurance and
Bonding attachment of this solicitation. The Vendor shall procure and maintain property insurance
upon the entire project, if required, to the full insurable value of the scope of work.
The County and the Vendor waive against each other and the County's separate Vendors,
Contractors, Design Consultant, Subcontractors agents and employees of each and all of them, all
damages covered by property insurance provided herein, except such rights as they may have to the
proceeds of such insurance. The Vendor and County shall, where appropriate, require similar
waivers of subrogation from the County's separate Vendors, Design Consultants and Subcontractors
and shall require each of them to include similar waivers in their contracts.
Collier County shall be responsible for purchasing and maintaining, its own liability insurance.
Certificates issued as a result of the award of this solicitation must identify "For any and all work
performed on behalf of Collier County."
The General Liability Policy provided by Vendor to meet the requirements of this solicitation shall
name Collier County, Florida, as an additional insured as to the operations of Vendor under this
solicitation and shall contain a severability of interests provisions.
Collier County Board of County Commissioners shall be named as the Certificate Holder. The
Certificates of Insurance must state the Contract Number, or Project Number, or specific Project
description, or must read: For any and all work performed on behalf of Collier County. The
"Certificate Holder' should read as follows:
Collier County
Board of County Commissioners
Naples, Florida
The amounts and types of insurance coverage shall conform to the minimum requirements set forth
in the Insurance and Bonding attachment, with the use of Insurance Services Office (ISO) forms and
endorsements or their equivalents. If Vendor has any self- insured retentions or deductibles under
any of the below listed minimum required coverage, Vendor must identify on the Certificate of
Insurance the nature and amount of such self- insured retentions or deductibles and provide
satisfactory evidence of financial responsibility for such obligations. All self- insured retentions or
deductibles will be Vendor's sole responsibility.
Coverage(s) shall be maintained without interruption from the date of commencement of the Work
until the date of completion and acceptance of the scope of work by the County or as specified in this
solicitation, whichever is longer.
The Vendor and /or its insurance carrier shall provide 30 days written notice to the County of policy
cancellation or non - renewal on the part of the insurance carrier or the Vendor. The Vendor shall also
notify the 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 Vendor
from its insurer and nothing contained herein shall relieve Vendor of this requirement to provide
n notice. In the event of a reduction in the aggregate limit of any policy to be provided by Vendor
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hereunder, Vendor shall immediately take steps to have the aggregate limit reinstated to the full
extent permitted under such policy.
Should at any time the Vendor not maintain the insurance coverage(s) required herein, the County
may terminate the Agreement or at its sole discretion shall be authorized to purchase such
coverage(s) and charge the Vendor for such coverage(s) purchased. If Vendor fails to reimburse the
County for such costs within thirty (30) days after demand, the County has the right to offset these
costs from any amount due Vendor under this Agreement or any other agreement between the
County and Vendor. The County shall be under no obligation to purchase such insurance, nor shall it
be responsible for the coverage(s) purchased or the insurance company or companies used. The
decision of the County to purchase such insurance coverage(s) shall in no way be construed to be a
waiver of any of its rights under the Contract Documents.
If the initial or any subsequently issued Certificate of Insurance expires prior to the completion of the
scope of work, the Vendor shall furnish to the County renewal or replacement Certificate(s) of
Insurance not later than ten (10) calendar days after the expiration date on the certificate. Failure of
the Vendor to provide the County with such renewal certificate(s) shall be considered justification for
the County to terminate any and all contracts.
2. Offer Extended to Other Governmental Entities
Collier County encourages and agrees to the successful vendor extending the pricing, terms and
conditions of this solicitation or resultant contract to other governmental entities at the discretion of
the successful vendor.
3. Additional Items and/or Services
Additional items and / or services may be added to the resultant contract, or purchase order, in ^
compliance with the Purchasing Policy.
4. Use of Subcontractors
Intentionally left blank.
5. County's Right to Inspect
The County or its authorized Agent shall have the right to inspect the Vendor's facilities /project site
during and after each work assignment the Vendor is performing.
6. Additional Terms and Conditions of Contract
Collier County has developed standard contracts /agreements, approved by the Board of County
Commissioners (BCC). The selected Vendor shall be required to sign a standard Collier County
contract within twenty one (21) days of Notice of Selection for Award.
The County reserves the right to include in any contract document such terms and conditions, as it
deems necessary for the proper protection of the rights of Collier County. A sample copy of this
contract is available upon request. The County will not be obligated to sign any contracts,
maintenance and /or service agreements or other documents provided by the Vendor.
7. Payment Method
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Payments are made in accordance with the Local Government Prompt Payment Act, Chapter 218,
Florida Statutes. Vendor's invoices must include:
i-o • Purchase Order Number
• Description and quantities of the goods or services provided per instructions on the County's
purchase order or contract.
Invoices shall be sent to:
Board of County Commissioners
Clerk's Finance Department
ATTN: Accounts Payable
3299 Tamiami Trail E Ste 700
Naples FL 34112
Or emailed to: bccapclerk cr.colliercierk.com.
Collier County, in its sole discretion, will determine the method of payment for goods and /or services
as part of this agreement.
Payment methods include:
• Traditional — payment by check, wire transfer or other cash equivalent.
• Standard — payment by purchasing card. Collier County's Purchasing Card Program is supported
by standard bank credit suppliers (i.e. VISA and MasterCard), and as such, is cognizant of the
Rules for VISA Merchants and MasterCard Merchant Rules.
The County may not accept any additional surcharges (credit card transaction fees) as a result of
using the County's credit card for transactions relating to this solicitation. The County will entertain
bids clearly stating pricing for standard payment methods. An additional separate discounted price
for traditional payments may be provided at the initial bid submittal if it is clearly marked as an
"Additional Cash Discount."
Upon execution of the Contract and completion of each month's work, payment requests may be
submitted to the Project Manager on a monthly basis by the Contractor for services rendered for that
prior month. Services beyond sixty (60) days from current monthly invoice will not be considered for
payment without prior approval from the Project manager. All invoices should be submitted within
the fiscal year the work was performed. (County's fiscal year is October 1 - September 30.)
Invoices submitted after the close of the fiscal year will not be accepted (or processed for payment)
unless specifically authorized by the Project Manager.
Payments will be made for articles and /or services furnished, delivered, and accepted, upon receipt
and approval of invoices submitted on the date of services or within six (6) months after completion
of contract. Any untimely submission of invoices beyond the specified deadline period is subject to
non - payment under the legal doctrine of "laches" as untimely submitted. Time shall be deemed of
the essence with respect to the timely submission of invoices under this agreement.
In instances where the successful contractor may owe debts (including, but not limited to taxes or
other fees) to Collier County and the contractor has not satisfied nor made arrangement to satisfy
these debts, the County reserves the right to off -set the amount owed to the County by applying the
amount owed to the vendor or contractor for services performed of for materials delivered in
association with a contract.
n Invoices shall not reflect sales tax. After review and approval, the invoice will be transmitted to the
Finance Division for payment. Payment will be made upon receipt of proper invoice and in
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compliance with Chapter 218 Florida Statutes, otherwise known as the "Local Government Prompt
Payment Act." Collier County reserves the right to withhold and /or reduce an appropriate amount of
any payment for work not performed or for unsatisfactory performance of Contractual requirements.
8. Environmental Health and Safety
All Vendors and Sub vendors performing service for Collier County are required and shall comply
with all Occupational Safety and Health Administration (OSHA), State and County Safety and
Occupational Health Standards and any other applicable rules and regulations. Vendors and Sub
vendors shall be responsible for the safety of their employees and any unsafe acts or conditions that
may cause injury or damage to any persons or property within and around the work site. All firewall
penetrations must be protected in order to meet Fire Codes.
Collier County Government has authorized OSHA representatives to enter any Collier County facility,
property and /or right -of -way for the purpose of inspection of any Vendor's work operations. This
provision is non - negotiable by any department and /or Vendor.
All new electrical installations shall incorporate NFPA 70E Short Circuit Protective Device
Coordination and Arc Flash Studies where relevant as determined by the engineer.
All electrical installations shall be labeled with appropriate NFPA 70E arch flash boundary and PPE
Protective labels.
9. Licenses
The Vendor is required to possess the correct Business Tax Receipt, professional license, and any
other authorizations necessary to cant' out and perform the work required by the project pursuant to
all applicable Federal, State and Local Law, Statute, Ordinances, and rules and regulations of any
kind. Additionally, copies of the required licenses must be submitted with the proposal
response indicating that the entity proposing, as well as the team assigned to the County
account, is properly licensed to perform the activities or work included in the contract
documents. Failure on the part of any Vendor to submit the required documentation may be
grounds to deem Vendor non - responsive. A Vendor, with an office within Collier County is also
required to have an occupational license.
All State Certified contractors who may need to pull Collier County permits or call in inspections must
complete a Collier County Contractor License registration form and submit the required fee. After
registering the license /registration will need to be renewed thereafter to remain "active" in Collier
County.
If you have questions regarding professional licenses contact the Contractor Licensing, Community
Development and Environmental Services at (239) 252 -2431, 252 -2432 or 252 -2909. Questions
regarding required occupational licenses, please contact the Tax Collector's Office at (239) 252-
2477.
10. Principals /Collusion
By submission of this Proposal the undersigned, as Vendor, does declare that the only person or
persons interested in this Proposal as principal or principals is /are named therein and that no person
other than therein mentioned has any interest in this Proposal or in the contract to be entered into;
that this Proposal is made without connection with any person, company or parties making a
Proposal, and that it is in all respects fair and in good faith without collusion or fraud.
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11. Relation of County
It is the intent of the parties hereto that the Vendor shall be legally considered an independent
Vendor, and that neither the Vendor nor their employees shall, under any circumstances, be
considered employees or agents of the County, and that the County shall be at no time legally
responsible for any negligence on the part of said Vendor, their employees or agents, resulting in
either bodily or personal injury or property damage to any individual, firm, or corporation.
12. Termination
Should the Vendor be found to have failed to perform his services in a manner satisfactory to the
County, the County may terminate this Agreement immediately 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.
13. Lobbying
All firms are hereby placed on NOTICE that the Board of County Commissioners does not wish to be
lobbied, either individually or collectively about a project for which a firm has submitted a Proposal.
Firms and their agents are not to contact members of the County Commission for such purposes as
meeting or introduction, luncheons, dinners, etc. During the process, from Proposal closing to
final Board approval, no firm or their agent shall contact any other employee of Collier County in
reference to this Proposal, with the exception of the Purchasing Director or his designee(s). Failure to
abide by this provision may serve as grounds for disqualification for award of this contract to the firm.
14. Certificate of Authority to Conduct Business in the State of Florida (Florida Statute 607.1501)
In order to be considered for award, firms must be registered with the Florida Department of State
Divisions of Corporations in accordance with the requirements of Florida Statute 607.1501 and
provide a certificate of authority (www.sunbiz.orq /search.html) prior to execution of a contract. A
copy of the document may be submitted with the solicitation response and the document number
shall be identified. Firms who do not provide the certificate of authority at the time of response shall
be required to provide same within five (5) days upon notification of selection for award. If the firm
cannot provide the document within the referenced timeframe, the County reserves the right to award
to another firm.
15. Single Proposal
Each Vendor must submit, with their proposal, the required forms included in this RFP. Only one
proposal from a legal entity as a primary will be considered. A legal entity that submits a proposal as
a primary or as part of a partnership or joint venture submitting as primary may not then act as a sub -
consultant to any other firm submitting under the same RFP. If a legal entity is not submitting as a
primary or as part of a partnership or joint venture as a primary, that legal entity may act as a sub -
consultant to any other firm or firms submitting under the same RFP. All submittals in violation of this
requirement will be deemed non - responsive and rejected from further consideration.
16. Survivability
Intentionally left blank.
17. Protest Procedures
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Any actual or prospective Vendor to a Request for Proposal, who is aggrieved with respect to the
former, shall file a written protest with the Purchasing Director prior to the due date for acceptance of
proposals. All such protests must be filed with the Purchasing Director no later than 11:00 a.m. .-.
Collier County time on the final published date for the acceptance of the Request for Proposals.
The Board of County Commissioners will make award of contract in public session. Award
recommendations will be posted outside the offices of the Purchasing Department on Wednesdays
and Thursdays. Any actual or prospective respondent who desires to formally protest the
recommended contract award must file a notice of intent to protest with the Purchasing Director
within two (2) calendar days (excluding weekends and County holidays) of the date that the
recommended award is posted.
Upon filing of said notice, the protesting party will have five (5) days to file a formal protest and will be
given instructions as to the form and content requirements of the formal protest. A copy of the
"Protest Policy" is available at the office of the Purchasing Director.
18. Public Entity Crime
A person or affiliate who has been placed on the convicted vendor list following a conviction for a
public entity crime may not submit a bid, proposal, or reply on a contract to provide any goods or
services to a public entity; may not submit a bid, proposal, or reply on a contract with a public entity
for the construction or repair of a public building or public work; may not submit bids, proposals, or
replies on leases of real property to a public entity; may not be awarded or perform work as a
contractor, supplier, subcontractor, or consultant under a contract with any public entity; and may not
transact business with any public entity in excess of the threshold amount provided in s. 287.017 for
CATEGORY TWO for a period of 36 months following the date of being placed on the convicted
vendor list.
19. Security and Background Checks
If required, Vendor / Contractor / Proposer shall be responsible for the costs of providing background
checks by the Collier County Facilities Management Department, and drug testing for all employees
that shall provide services to the County under this Agreement. This may include, but not be limited
to, checking federal, state and local law enforcement records, including a state and FBI fingerprint
check, credit reports, education, residence and employment verifications and other related records.
Contractor shall be required to maintain records on each employee and make them available to the
County for at least four (4) years.
20. Conflict of Interest
Vendor shall complete the Conflict of Interest Affidavit included as an attachment to this RFP
document. Disclosure of any potential or actual conflict of interest is subject to County staff review
and does not in and of itself disqualify a firm from consideration. These disclosures are intended to
identify and or preclude conflict of interest situations during contract selection and execution.
21. 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, the current Collier County Ethics Ordinance and County Administrative Procedure 5311.
Violation of this provision may result in one or more of the following consequences: a. Prohibition by
the individual, firm, and /or any employee of the firm from contact with County staff for a specified
period of time; b. Prohibition by the individual and /or firm from doing business with the County for a
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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.
22. Immigration Affidavit Certification
Statutes and executive orders require employers to abide by the immigration laws of the United
States and to employ only individuals who are eligible to work in the United States.
The Employment Eligibility Verification System (E- Verify) operated by the Department of Homeland
Security (DHS) in partnership with the Social Security Administration (SSA), provides an Internet -
based means of verifying employment eligibility of workers in the United States; it is not a substitute
for any other employment eligibility verification requirements. The program will be used for Collier
County formal Invitations to Bid (ITB) and Request for Proposals (RFP) including professional
services and construction services.
Exceptions to the program:
• Commodity based procurement where no services are provided.
• Where the requirement for the affidavit is waived by the Board of County Commissioners
Vendors / Bidders are required to enroll in the E- Verify program, and provide acceptable evidence of
their enrollment, at the time of the submission of the vendor's /bidder's proposal. Acceptable
evidence consists of a copy of the properly completed E- Verify Company Profile page or a copy of
the fully executed E- Verify Memorandum of Understanding for the company. Vendors are also
required to provide the Collier County Purchasing Department an executed affidavit certifying they
shall comply with the E- Verify Program. The affidavit is attached to the solicitation documents. If the
Bidder/Vendor does not comply with providing both the acceptable E- Verify evidence and the
executed affidavit the bidder's / vendor's proposal may be deemed non - responsive.
Additionally, vendors shall require all subcontracted vendors to use the E- Verify system for all
purchases not covered under the "Exceptions to the program" clause above.
For additional information regarding the Employment Eligibility Verification System (E- Verify) program
visit the following website: http: / /www.dhs.aov /E- Verify. It shall be the vendor's responsibility to
familiarize themselves with all rules and regulations governing this program.
Vendor acknowledges, and without exception or stipulation, any firm(s) receiving an award shall be
fully responsible for complying with the provisions of the Immigration Reform and Control Act of 1986
as located at 8 U.S.C. 1324, et sea. and regulations relating thereto, as either may be amended and
with the provisions contained within this affidavit. Failure by the awarded firm(s) to comply with the
laws referenced herein or the provisions of this affidavit shall constitute a breach of the award
agreement and the County shall have the discretion to unilaterally terminate said agreement
immediately.
23. Collier County Local Preference Policy
Collier County provides an incentive to local business to enhance the opportunities of local
businesses in the award of County contracts. In the evaluation of proposals, the County rewards
Vendors for being a local business by granting a ten (10) points incentive in the evaluation criterion
points.
A "local business" is defined as a business that has a valid occupational license issued by either
Collier or Lee County for a minimum of one (1) year prior to a Collier County bid or proposal
n submission that authorizes the business to provide the commodities or services to be purchased, and
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a physical business address located within the limits of Collier or Lee Counties from which the vendor
operates or performs business. Post Office Boxes are not verifiable and shall not be used for the
purpose of establishing said physical address. In addition to the foregoing, a vendor shall not be r1
considered a "local business" unless it contributes to the economic development and well -being of
either Collier or Lee County in a verifiable and measurable way. This may include, but not be limited
to, the retention and expansion of employment opportunities, the support and increase to either
Collier or Lee County's tax base, and residency of employees and principals of the business within
Collier or Lee County. Vendors shall affirm in writing their compliance with the foregoing at the time of
submitting their bid or proposal to be eligible for consideration as a "local business" under this
section.
The vendor must complete and submit with their proposal response the Affidavit for Claiming Status
as a Local Business which is included as part of this solicitation.
Failure on the part of a vendor to submit this Affidavit with their proposal response will
preclude said Vendor from being considered for local preference under this solicitation.
A vendor who misrepresents the Local Preference status of its firm in a proposal or bid submitted to
the County will lose the privilege to claim Local Preference status for a period of up to one year.
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Corwr Cbumzy
Purchasing
Attachment 1: Vendor's Non - Response Statement
The sole intent of the Collier County Purchasing Department is to issue solicitations that are clear,
concise and openly competitive. Therefore, we are interested in ascertaining reasons for prospective
Vendors not wishing to respond to this solicitation. If your firm is not responding to this RFP, please
indicate the reason(s) by checking the item(s) listed below and return this form via email or fax, noted on
the cover page, or mail to Collier County Government, Purchasing Department, 3327 Tamiami
Trail E, Naples, FL 34112.
We are not responding to Solicitation 13 -6081 Medical Director and Deputy Medical Director
for the following reason(s):
❑ Services requested not available through our company.
❑ Our firm could not meet specifications /scope of work.
❑ Specifications /scope of work not clearly understood or applicable (too vague, rigid, etc.)
❑ Project is too small.
❑ Insufficient time allowed for preparation of response.
❑ Incorrect address used. Please correct mailing address:
❑ Other reason(s):
Name of Firm:
Address:
City, State, Zip:
Telephone:
Email:
Representative Signature:
Representative Name:
n
Date
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��W
Attachment 2: Vendor Check List
IMPORTANT: THIS SHEET MUST BE SIGNED. Please read carefully, sign in the spaces
indicated and return with your Proposal. Vendor should check off each of the following items as the
necessary action is completed:
❑ The Proposal has been signed.
❑ All applicable forms have been signed and included, along with licenses to complete the
requirements of the project.
❑ Any addenda have been signed and included.
❑ The mailing envelope has been addressed to:
Collier County Government
Purchasing Department
3327 Tamiami Trail E
Naples FL 34112
Attn: Joanne Markiewicz, Interim Purchasing Director
❑ The mailing envelope must be sealed and marked with Solicitation 13 -6081 Medical Director ,.-�
and Deputy Medical Director and May 3, 2013.
❑ The Proposal will be mailed or delivered in time to be received no later than the specified due date
and time. (Otherwise Proposal cannot be considered.)
ALL COURIER - DELIVERED PROPOSALS MUST HAVE THE RFP NUMBER AND TITLE ON THE
OUTSIDE OF THE COURIER PACKET.
Name of Firm:
Address:
City, State, Zip:
Telephone:
Email:
Representative Signature:
Representative Name:
Date
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C& minty
AdmirishWe Serwioes Di vim
Purchasing
Attachment 3: Conflict of Interest Affidavit
By the signature below, the firm (employees, officers and /or agents) certifies, and hereby discloses, that,
to the best of their knowledge and belief, all relevant facts concerning past, present, or currently planned
interest or activity (financial, contractual, organizational, or otherwise) which relates to the proposed
work; and bear on whether the firm (employees, officers and /or agents) has a possible conflict have been
fully disclosed.
Additionally, the firm (employees, officers and /or agents) agrees to immediately notify in writing the
Purchasing /General Services Director, or designee, if any actual or potential conflict of interest arises
during the contract and /or project duration.
Firm:
Signature and Date:
Print Name
Title of Signatory
State of
County of
SUBSCRIBED AND SWORN to before me this
20 ,
by
day of ,
, who is personally known to me to be the
for the Firm, OR who produced the following
identification
Notary Public
My Commission Expires
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Attachment 4: Vendor Declaration Statement
BOARD OF COUNTY COMMISSIONERS
Collier County Government Complex
Naples, Florida 34112
RE: Solicitation: 13 -6081 Medical Director and Deputy Medical Director
Dear Commissioners:
The undersigned, as Vendor declares that this proposal is made without connection or arrangement with
any other person and this proposal is in every respect fair and made in good faith, without collusion or
fraud.
The Vendor agrees, if this proposal is accepted, to execute a Collier County document for the purpose of
establishing a formal contractual relationship between the firm and Collier County, for the performance of
all requirements to which the proposal pertains. The Vendor states that the proposal is based upon the
proposal documents listed by Solicitation: 13 -6081 Medical Director and Deputy Medical Director.
(Proposal Continued on Next Page)
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PROPOSAL CONTINUED
IN WITNESS WHEREOF, WE have hereunto subscribed our names on this day of '20
in the County of in the State of
Firm's Legal Name:
Address:
City, State, Zip Code:
Florida Certificate of
Authority Document Number:
Federal Tax Identification
Number
CCR # or CAGE Code
Telephone:
FAX:
Signature by:
(Typed and written)
Title:
Additional Contact Information
Send payments to:
(required if different from above) Company name used as payee
Contact name:
Title:
Address:
City, State, ZIP
Telephone:
FAX:
Email:
Office servicing Collier
County to place orders
(required if different from above)
Contact name:
Title:
Address:
City, State, ZIP
Telephone: Email
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11 .� -
Attachment 5: Affidavit for Claiming Status as a Local Business
Solicitation: 13 -6081 Medical Director and Deputy Medical Director (Check Appropriate Boxes Below)
State of Florida (Select County if Vendor is described as a Local Business
❑ Collier County
❑ Lee County
Vendor affirms that it is a local business as defined by the Purchasing Policy of the Collier County Board of County
Commissioners and the Regulations Thereto. As defined in Section XI of the Collier County Purchasing Policy;
A "local business" is defined as a business that has a valid occupational license issued by either Collier or Lee
County for a minimum of one (1) year prior to a Collier County bid or proposal submission that authorizes the
business to provide the commodities or services to be purchased, and a physical business address located within
the limits of Collier or Lee Counties from which the vendor operates or performs business. Post Office Boxes are
not verifiable and shall not be used for the purpose of establishing said physical address. In addition to the
foregoing, a vendor shall not be considered a "local business" unless it contributes to the economic development
and well -being of either Collier or Lee County in a verifiable and measurable way. This may include, but not be
limited to, the retention and expansion of employment opportunities, the support and increase to either Collier or
Lee County's tax base, and residency of employees and principals of the business within Collier or Lee County.
Vendors shall affirm in writing their compliance with the foregoing at the time of submitting their bid or proposal to
be eligible for consideration as a "local business" under this section.
Vendor must complete the following information:
Year Business Established in []Collier County or ❑ Lee County:
Number of Employees (Including Owner(s) or Corporate Officers):
Number of Employees Living in ❑ Collier County or ❑ Lee (Including Owner(s) or Corporate Officers):
If requested by the County, vendor will be required to provide documentation substantiating the information given in
this affidavit. Failure to do so will result in vendor's submission being deemed not applicable.
Vendor Name: Date:
Collier or Lee County Address:
Signature:
STATE OF FLORIDA
❑ COLLIER COUNTY ❑ LEE COUNTY
Title:
Sworn to and Subscribed Before Me, a Notary Public, for the above State and County, on this Day of
, 20
Notary Public
My Commission Expires:
(AFFIX OFFICIAL SEAL)
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,er Cau�rty
n Serviow
Purchasing
Attachment 6: Immigration Affidavit Certification
Solicitation: 13 -6081 Medical Director and Deputy Medical Director
This Affidavit is required and should be signed, notarized by an authorized principal of the firm and submitted with
formal Invitations to Bid (ITB's) and Request for Proposals (RFP) submittals. Further, Vendors / Bidders are
required to enroll in the E- Verify program, and provide acceptable evidence of their enrollment, at the
time of the submission of the vendor's /bidder's proposal. Acceptable evidence consists of a copy of the
properly completed E- Verify Company Profile page or a copy of the fully executed E- Verify Memorandum
of Understanding for the company. Failure to include this Affidavit and acceptable evidence of enrollment
in the E- Verify program, may deem the Vendor / Bidder's proposal as non - responsive
Collier County will not intentionally award County contracts to any vendor who knowingly employs unauthorized
alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e) Section
274A(e) of the Immigration and Nationality Act ( "INA ").
Collier County may consider the employment by any vendor of unauthorized aliens a violation of Section 274A (e)
of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of the INA
shall be grounds for unilateral termination of the contract by Collier County.
Vendor attests that they are fully compliant with all applicable immigration laws (specifically to the 1986 Immigration
Act and subsequent Amendment(s)) and agrees to comply with the provisions of the Memorandum of
Understanding with E- Verify and to provide proof of enrollment in The Employment Eligibility Verification System
(E- Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration
at the time of submission of the Vendor's / Bidder's proposal.
Company Name
Print Name
Signature
State of
County of
Title
Date
The foregoing instrument was signed and acknowledged before me this day of ,
20_, by
who has produced
(Print or Type Name)
Notary Public Signature
Printed Name of Notary Public
Notary Commission Number /Expiration
(Type of Identification and Number)
as identification.
The signee of this Affidavit guarantees, as evidenced by the sworn affidavit required herein, the truth and accuracy
of this affidavit to interrogatories hereinafter made.
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..
Attachment 7: Vendor Substitute W — 9
Request for Taxpayer Identification Number and Certification
In accordance with the Internal Revenue Service regulations, Collier County is required to collect the following
information for tax reporting purposes from individuals and companies who do business with the County (including
social security numbers if used by the individual or company for tax reporting purposes). Florida Statute
119.071(5) require that the county notify you in writing of the reason for collecting this information, which will be
used for no other purpose than herein stated. Please complete all information that applies to your business and
return with your quote or proposal.
1. General Information (provide all information)
Taxpayer Name
(as shown on income tax return)
Business Name
(if different from taxpayer name)
Address
State
Telephone FAX
Order Information
Address
City State
FAX
Email
Zip
2. Company Status (check only one)
City
Zip_
Email
Remit / Payment Information
Address
City State
FAX
Email
Zip
_Individual / Sole Proprietor
_Corporation
_Partnership
_Tax Exempt (Federal income tax - exempt entity
_ Limited Liability Company
under Internal Revenue Service guidelines IRC
501 (c) 3)
Enter the tax classification
(D = Disregarded Entity, C = Corporation, P = Partnership)
3. Taxpayer Identification Number (for tax reporting purposes only)
Federal Tax Identification Number (TIN)
(Vendors who do not have a TIN will be required to provide a social security number prior to an award of the contract.)
4. Sign and Date Form
Certification: Under penalties of perjury, / certify that the information shown on this form is correct to my knowledge.
Signature Date
Title Phone Number
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❑ Maritime Coverage (Jones Act) shall be maintained where applicable to
the completion of the work.
$ Per Occurrence
❑ Aircraft Liability coverage shall be carried in limits of not less than
$5,000,000 each occurrence if applicable to the completion of the Services
under this Agreement.
$ Per Occurrence
❑ Pollution $ Per Occurrence
® Professional Liability $1.000.000 Per Occurrence
• $ 500,000 each claim and in the aggregate
• $1,000,000 each claim and in the aggregate
• $2,000,000 each claim and in the aggregate
Packet Page -153-
Purchasing'
Attachment 8: Insurance and Bonding Requirements
Insurance / Bond Type
Required Limits
1. ® Worker's
Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government
Compensation
Statutory Limits and Requirements
2. ® Employer's Liability
$1,000,000 single limit per occurrence
3. ® Commercial General
Bodily Injury and Property Damage
Liability (Occurrence Form)
patterned after the current
$1.000.000 single limit per occurrence, $2,000,000 aggregate for Bodily Injury
ISO form
Liability and Property Damage Liability. This shall include Premises and
Operations; Independent Contractors; Products and Completed Operations
and Contractual Liability
4. ® Indemnification
To the maximum extent permitted by Florida law, the
ContractorNendor /Consultant shall indemnify and hold harmless Collier
County, its officers and employees from any and all liabilities, damages,
losses and costs, including, but not limited to, reasonable attorneys' fees and
paralegals' fees, to the extent caused by the negligence, recklessness, or
intentionally wrongful conduct of the ContractorNendor /Consultant or anyone
employed or utilized by the ContractorNendor /Consultant 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.
4. ❑ Automobile Liability
$ Each Occurrence; Bodily Injury & Property Damage,
Owned /Non- owned /Hired; Automobile Included
5. ❑ Other insurance as
❑ Watercraft $ Per Occurrence
noted:
❑ United States Longshoreman's and Harborworker's Act coverage shall be
maintained where applicable to the completion of the work.
$ Per Occurrence
❑ Maritime Coverage (Jones Act) shall be maintained where applicable to
the completion of the work.
$ Per Occurrence
❑ Aircraft Liability coverage shall be carried in limits of not less than
$5,000,000 each occurrence if applicable to the completion of the Services
under this Agreement.
$ Per Occurrence
❑ Pollution $ Per Occurrence
® Professional Liability $1.000.000 Per Occurrence
• $ 500,000 each claim and in the aggregate
• $1,000,000 each claim and in the aggregate
• $2,000,000 each claim and in the aggregate
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❑ Valuable Papers Insurance $ Per Occurrence
6. ❑ Bid bond Shall be submitted with proposal response in the form of certified funds,
cashiers' check or an irrevocable letter of credit, a cash bond posted with the
County Clerk, or proposal bond in a sum equal to 5% of the cost proposal. All
checks shall be made payable to the Collier County Board of County
Commissioners on a bank or trust company located in the State of Florida and
insured by the Federal Deposit Insurance Corporation.
7. ❑ Performance and For projects in excess of $200,000, bonds shall be submitted with the
Payment Bonds executed contract by Proposers receiving award, and written for 100% of the
Contract award amount, the cost borne by the Proposer receiving an award.
The Performance and Payment Bonds shall be underwritten by a surety
authorized to do business in the State of Florida and otherwise acceptable to
Owner; provided, however, the surety shall be rated as "A -" or better as to
general policy holders rating and Class V or higher rating as to financial size
category and the amount required shall not exceed 5% of the reported policy
holders' surplus, all as reported in the most current Best Key Rating Guide,
published by A.M. Best Company, Inc. of 75 Fulton Street, New York, New
York 10038.
8. ® Vendor shall ensure that all subcontractors comply with the same insurance requirements that he is
required to meet. The same Vendor shall provide County with certificates of insurance meeting the
required insurance provisions.
9. ® Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for
Commercial General Liability where required.
10. ® The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board
of County Commissioners in Collier County, OR Collier County Government, OR Collier County. The
Certificates of Insurance must state the Contract Number, or Project Number, or specific Project
description, or must read: For any and all work performed on behalf of Collier County.
11. ® Thirty (30) Days Cancellation Notice required.
Vendor's Insurance Statement
We understand the insurance requirements of these specifications and that the evidence of insurability may be required
within five (5) days of the award of this solicitation.
Name of Firm
Vendor Signature
Print Name
Insurance Agency
Agent Name
Packet Page -154-
Date
Telephone Number
39
RFP 13 -6081 Medical Director and Deputy Medical Director
6/25/2013 10. G.
�y
A&rkiWra&re services Nam
Purc,own
Attachment 9: Reference Questionnaire
Solicitation: 13 -6081 Medical Director and Deputy Medical Director
Reference Questionnaire for:
(Name of Company Requesting Reference Information)
(Name of Individuals Requesting Reference Information)
Name: Company:
(Evaluator completing reference questionnaire) (Evaluator's Company completing reference)
Email
FAX:
T
Collier County is implementing a process that collects reference information on firms and their key personnel to be used
in the selection of firms to perform this project. The Name of the Company listed in the Subject above has listed you as
a client for which they have previously performed work. Please complete the survey. Please rate each criteria to the
best of your knowledge on a scale of 1 to 10, with 10 representing that you were very satisifed (and would hire the
firm /individual again) and 1 representing that you were very unsatisfied (and would never hire the firm /indivdival again).
If you do not have sufficient knowledge of past performance in a particular area, leave it blank and the item or form will
be scored "0."
Affiliation:
Length of Time Affiliated with the Candidate:
Item
Citena
Score
1
Ability to manage the project costs (minimize change orders to scope).
2
Ability to maintain project schedule (complete on -time or early).
3
Quality of work.
4
Quality of consultative advice provided on the project.
5
Professionalism and ability to manage personnel.
6
Close out project process (final product turnover; invoices; manuals or going
forward documentation, etc.).
7
Ability to verbally communicate and document information clearly and succinctly.
8
Abiltity to manage risks and unexpected project circumstances.
9
Ability to follow County policies, procedures, rules, regulations, etc.
10
Overall comfort level with hiring the company in the future (customer satisfaction).
TOTAL SCORE OF ALL ITEMS
Please FAX this completed survey to:
Packet Page -155-
By
40
RFP 13 -6081 Medical Director and Deputy Medical Director
|�
9
EI
E
E
t2
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2
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\a
Packet Page -156
6/25/2013 10.6
6/25/2013 10.G.
10-**1.
.:oilier County Purchasing Department
PSA Working Paper
Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
Augustine, James, MD (9AM - 10AM
Withdrawn 613/13
Withdrawn 6/3/13 Ranezze, - Je#feH
Tober, Robert, MD (2:45PM - 3:45PN
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below.
re / Date:
Packet Page -157-
6/25/2013 10.G.
Collier County Purchasing Department
PSA Working Paper
V,1401#17 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below.
Signature/Date:
Packet Page -158-
- ;oliier County Purchasing Department
PSA Working Paper
Medical Director
RFP #: 13 -6081
13�
6/25/2013 10.G.
Step 1
1. Proposers were asked to provide materials which includes responses to:
I a. Individual's / Firm's capabilities / qualificiations
I b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
12. PSA members have been given all proposer materials and should independently review proposals.
13. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
1 4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
F
sr
roposers
t,
H�ghest Rank �1,ndighesi �2, eta
Augustine, James, MD (9AM -10AM)
Z
Withdrawn 613/13 dadah, RiehaFd, MID (I I i3Q,4A/�— ^,)
Withdrawn 6/3/13
Tober, Robert, MD (2:45PM - 3:45PM)
E
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below.
'
nature /Date: "-� / - [
Packet Page -159-
6/25/2013 10.G.
Collier County Purchasing Department
PSA Working Paper
Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below.
Packet Page -160-
6/25/2013 10.G.
.:olfier County Purchasing Department
PSA Working Paper
Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
S. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
1 have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below.
Signature/Date: I f 3
Packet Page -161-
6/25/2013 10.G.
Collier County Purchasing Department
PSA Working Paper
Medical Director.
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below. ,/ t
re / Date:
Packet Page -162-
,e---
r
6/25/2013 10.G.
.:ollierCounty Purchasing Department
PSA Working Paper
Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's /Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
Name
Rank Order the Proposers
(Highest Rank =1; 2nd highest = 2; etc.)
Augustine, James, MD (9AM - 10AM)
�.
Withdrawn 6/3/13
Withdrawn 6/3/13
Tober, Robert, MD (2:45PM - 3:45PM)
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below.
/ Date:
Packet Page -163-
6/25/2013 10.G.
Collier County Purchasing. Department
PSA Working Paper
Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
S. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
Augustine, .lames, MD (9AM -10AM) vL
Withdrawn 6/3/13 Judah, RishaFd, M£ '�39AM 12:3012M)
Withdrawn 6/3/13
Tober, Robert, MD 2:45PM - 3:45PM)
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below.
Signature/ Date: ` � V Y�l
-b Aj f 13 YKENA) I " t
S/.,42®/
1 r ;
A���%i ✓t f �7 �7Ai+tii l7 ✓14 �(IYjC �t! %�E/ f C/cc�«c�k +,> owl
,f �l
Packet Page -164-
6/25/2013 10.G.
;oilier County Purchasing Department
PSA Working Paper
Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
Signature / Date:
I'► t t-3Fd €IIt ( SE cyC i11t�?lir d_i.�:��1;t_�i# (ate c:
1;yE,:rSt tt /i z q .gtal =t
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Packet Page -165-
6/25/2013 10.G.
Collier County Purchasing Department
PSA Working Paper
Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
beiow. r I
re / Date:
Packet Page -166-
i
6/25/2013 10.G.
:oilier County Purchasing Department
PSA Working Paper
Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below. .^
nature / Date:
Packet Page -167-
(�- S -13
Narne
Order the Proposers ,
r2ar1k
R d
(tl�ghestA andagiles 2, efc
r.ugustine, James, MD (9AM - 10AM)
Withdrawn 6/3/13
Withdrawn 6/3/13
Tober, Robert, MD 2:45PM - 3:45PM
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below. .^
nature / Date:
Packet Page -167-
(�- S -13
6/25/2013 10.G.
Collier County Purchasing Department
PSA Working Paper
Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below.
nature / Date:
Packet Page -168-
6/25/2013 10.G.
n
;oilier County Purchasing Department
PSA Working Paper
Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review proposals.
3. Each proposer will be given an opportunity to present /be interviewed by the PSA members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal comments (significant
positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be asked to publicly share their
rank.
Name
Rank Order the Proposers
(Highest Rank =1; 2nd highest = 2; etc.)
Augustine, James, MD (9AM -10AM)
Withdrawn 6/3/13 judah, RiehaFd, MD- (- a1:39AM- 12:' =�)
Withdrawn 6/3/13
Tober, Robert, MD 2:45PM -3:45PM)
d
I have provided the rank order of the firms who have submitted proposals for this solicitation. Sign and date the form
below.
Signature / Date:
Packet Page -169-
6/25/2013 10.G.
Collier County Purchasing Department
PSA Working Paper
Deputy,
€.l le- cal Director
RFP M 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank.
r�
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
nature / Date: �% / ° 5 — /3
Packet Page -170-
Collier County Purchasing Department
PSw ... d
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank.
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
Signature/ Date: r
Packet Page -171-
6/25/2013 10.G.
Collier County Purchasing Department
PSA Working Paper
Deputy , Medical Director
RFP #: 13 -6081
6/25/2013 1O.G.
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank.
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
Signature /Date:
Packet Page -172-
Collier County Purchasing Department
PSA Working Paper
Deputy Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank.
n
Judah, Richard, MD (11:30AM - 12:30PM)
Lee, Douglas, MD (10:15AM - 11:15AM) 7—
Panozzo, Jeffrey, DO (1:30PM - 2:30PM) r
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
nature / Date:( C. j' 6
Packet Page -173-
6/25/2013 10.G.
Collier County Purchasing Department
PSA Working Paper
Deputy Medical Director
RFP #: 13 -6081
6/25/2013 10.G.
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank.
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
%J f
Signature / Date: -t,1A•�VE1Z -�� �"` 1
Packet Page -174-
Collier County Purchasing Department
PSA Working Paper
Deputy Medical Director
RFP #: 13 -6081
i ID-5 Y-11- -1�
:Y.
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank.
Name
Rank :Order the Proposers
(Highest Rank = 1; 2nd highest= 2; etc.)
Judah, Richard, MD (11:30AM - 12:30PM)
Lee, Douglas, MD (10:15AM - 11:15AM)
Panozzo, Jeffrey, DO (1:30PM - 2:30PM)
I have provided the rank orde the firms who have submitted proposals for this solicitation.
Sign and date the form bel
Signature / Date:
r
Packet Page -175-
6/25/2013 1O.G.
6/25/2013 1O.G.
Collier County Purchasing Department
PSA Working Paper
Deputy Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank. �^
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
nature / Date:
Packet Page -176-
Rank Order the Proposers
Name
(Highest Rank = 1; 2nd highest = 2; etc.)
Judah, Richard, MD (11:30AM - 12:30PM)
°-
Lee, Dou las, MD 10:15AM - 11:15AM)
Panozzo, Jeffrey, DO (1 :30PM - 2:30PM)
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
nature / Date:
Packet Page -176-
n Collier County Purchasing Department
PSA Working Paper
Deputy Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank.
Judah, Richard, MD (11:30AM - 12:30PM)
Lee, Douglas, MD (10:15AM - 11:15AM)
Panozzo, Jeffrey, DO (1:30PM - 2:30PM)
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
nature / Date:
10-N,
. �tib (VA eAltviN f
Packet Page -177-
6/25/2013 1 0. G.
Collier County Purchasing Department
PSA Working Paper
Deputy Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank.
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
Siqnature / Date:
FA
6/25/2013 10.G.
L. C-d4 t. } -Cr— IL 0L l C ' T'f' i. a c°
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Collier County Purchasing Department
PSA Working Paper
Deputy Medical Director.
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank.
Judah, Richard, MD (11:30AM - 12:30PM) oZ
Lee, Douglas, MD (10:15AM - 11:15AM)
Panozzo, Jeffrey, DO (1:30PM - 2:30PM)
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
/ Date:
-6-13
Packet Page -179-
6/25/2013 10.G.
6/25/2013 10.G.
Collier County Purchasing Department
PSA Working Paper
Deputy Medical Director
RFP #: 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / quaffficiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank.
s-�
Judah, Richard, MD 11:30AM - 12:30PM 3
Lee, Douglas, MD (10:15AM - 11:15AM)
Panozzo, Jeffrey, DO (1:30PM - 2:30PM)
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
nature / Date:
Packet Page -180-
6/25/2013 10.G.
Collier County Purchasing Department
PSA Working Paper
Deputy Medical: Director
RFP M 13 -6081
Step 1
1. Proposers were asked to provide materials which includes responses to:
a. Individual's / Firm's capabilities / qualificiations
b. Affiliations
c. Cost of Service
d. References
e. Local Vendor Preference
2. PSA members have been given all proposer materials and should independently review
3. Each proposer will be given an opportunity to present / be interviewed by the PSA
members.
4. Once interviews are complete, PSA members will be given an opportunity to share verbal
comments (significant positive and negative critiques) of each proposer.
Step 2
6. The PSA will be asked to rank the proposers independently.
7. Once all PSA members have completed their independent rank, each member will be
asked to publicly share their rank.
Name
Rank Order the Proposers
(Highest Rank= 1; 2nd highest = 2; etc.)
Judah, Richard, MD (11:30AM - 12:30PM)
Lee, Douglas, MD 10:15AM - 11:15AM
Panozzo, Jeffrey, DO 1:30PM - 2:30PM)`
I have provided the rank order of the firms who have submitted proposals for this solicitation.
Sign and date the form below.
r
Signature / Date:
Packet Page -181-