Agenda 01/25/2011 Item #16D4
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1/25/2011 Item 16.0.4.
EXECUTIVE SUMMARY
Recommendation to approve Change Order No.1 to Contract 08~5083 with Heart of
Adoptions Alliance, Inc. for Distribution of Choose Life Funds.
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Heart of Adoptions Alliance, Inc. to utilize the revenue received for the distribution of Choose
Life License Plate funds.
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CONSIDERATIONS: On September 9, 2008, Agenda Item 16D37, the Board of County
Commissioners approved Contract # 08~5083 with Heart of Adoptions Alliance, Inc. to
authorize the distribution of funds received from the sale of Choose Life license plates. The
Contract presently is for a distribution of $39,974.01.
Section 320.08058(29), Florida Statutes states that a portion of fees associated from the sale of
the "Choose Life" license plates program be reapportioned to each county so that funds can be
distributed amongst qualified non~governmental not-for~profit agencies whose services involve
counseling and meeting the needs of pregnant women who are committed to placing their
children for adoption. Funds may not be distributed to any agency that is involved or associated
with abortion activities, including counseling for or referrals to abortion clinics, providing
medical abortion~re1ated procedures, or pro abortion advertising, and funds may not be distributed
to any agency that charges women for services received.
Heart of. Adoptions Alliance, Inc. is eligible to receive the funds for adoption awareness
activities and have been performing the responsibilities according to the specifications of the
Agreement.
Additional funds from the State have been received into Fund 170 and recognized by the BCC
on June 8, 2010. This Contract is being increased by $80,000 to bring the total contract amount
to $119,974.00. These funds are being distributed to Heart of Adoption Alliance, Inc. for
performing the eligible activities.
FISCAL IMPACT: The fiscal impact to the Change Order No.1 is $80,000. The total contract
amount is $119,974. The additional revenue was recognized by the BCC on June 8, 2010, Fund
170. No general funds are associated with this item.
GROWTH MANAGEMENT IMP ACT: There is no growth management impact associated
with this Executive Summary.
LEGAL CONSIDERATIONS: This item is legally sufficient for Board action. This item
requires a simple majority vote. - mw
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RECOMMENDATiON ;-Thai-t;h.c:B9ard of C<funtf~6intiJ.i$sio~ers- approves;charige- order No.-
1 to Contract 08-5083 with Heart of Adoptions Alliance to increase the contract amount by
$80,000 to utilize the revenue received for the distribution of Choose Life License Plate funds
and authorizes the Chairman to sign the Change Order.
Prepared by: Marcy Krumbine, Director, Housing, Human and Veteran Services
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1/25/2011 Item 16.D.4.
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.0.4.
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Adoptfons Alliance, Inc. for Distribution of Choose Life Funds.
Meeting Date:
1/25/2011
Prepared By
Name: KrumbineMarcy
Title: Director - Housing & Human Services,Housing, Human & Veteran Services
1/7/2011 5:02:45 PM
Submitted by
. Title: Director - Housing & Human Services,Housing, Human & Veteran Services
Name: KrumbineMarcy
1/7/2011 5:02:46 PM
Approved By
Name: AlonsoHailey
Title: Administrative Assistant,Domestic Animal Services
Date: 1/11/201111:46:22 AM
Name: AlonsoHailey
Title: Administrative Assistant,Domestic Animal Services
Date: 1/11/2011 12:44:00 PM
Name: AlonsoHailey
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Name: AlonsoHailey
Title: Administrative Assistant,Domestic Animal Services
Date: 1/11/20113:28:56 PM
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1/25/2011 Item 16.D.4.
Name:A1onsoHailey
Title: Administrative Assistant,Domestic Animal Services
Date: 1/11/2011 3:43:52 PM
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Title: Administrative Assistant,Domestic Animal Services
Date: 1/11/20113:45:26 PM
Name: WoodLyn
Title: Contracts Specialist,Purchasing & General Services
Date: 1/13/2011 9:11:45 AM
Name: CarnellSteve
Title: Director - Purchasing/General Services,Purchasing
Date: 1/13/2011 9:32:52 AM
Name: WhiteJennifer
Title: Assistant County Attorney,County Attorney
Date: 1/13/20114:16:44 PM
Name: RamseyMarla
Title: Administrator, Public Services
Date: 1/14/2011 8:49:50 AM
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Name: KlatzkowJeff
Title: County Attorney,
Date: 1/14/20111:30:59 PM
Name: PryorChery1
Title: Management! Budget Analyst, Senior, Office of Management & Budget
Date: 1/14/20112:12:25 PM
Name: OchsLeo
Title: County Manager
Date: 1/17/2011 1:20:34 PM
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CONTRACT/WORK ORDER MODIFICATION
CHECKLIST FORM
1/25/2011 Item 16.0.4.
_OJECT NAME: Distribution of Choose Life Funds PROJE. CT#:_. PROJECT MANAGER: .Terri Daniels
NTRACT #: 08-5083 MOD #: I PO#: d-f1-e,.,c.' ~D! oq.3 WORK ORDER #: ,JiA
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DEPARTMENT: Housin!:l. Human and Veteran Services CONTRACTOR/FIRM NAME: Heart of Adoptions Alliance, Inc.
Original ContractIWork Order Amount: $ 39.974.00
(Starting Point)
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. . . '(Last Total Amount Approved by the BCC)
Current ContractIWork Order Amount: $ 39.974.00
(Including All Changes Prior To This Modification)
Change Amount: $ 80.000.00
Revised ContractIWork Order Amount: $ 119.974.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 80.000.00
Date of Last BCC Approval 9/9/2008
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Agenda Item # 16037
Percentage of the change over/under current contractlwork order amount
Formula: (Revised Amount / Last BCC approved amount)-1
213
%
CURRENT COMPLETION DATE (S): ORIGINAL: 9/30/2011
CURRENT:
9/30/2011
.Jfis change order will: ",~_~dd a new Task for $
. 'faJ'-"1;;1
o Increase Task Number
by$
Describe the change{s):_Addition of payment terms/schedule for fiscal year 2010
Specify the reasons for the change(s) x 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
x 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: If chanQe is not
orocessed. the County will be out of compliance with administerina the Choose life license plate
revenues.
This change was requested by: r1Contractor/Consultant rI Owner x Using Department r CDES
rDesign Professional rlRegulatory Agency (Specify) rOther (Specify)
.IEWED BY:
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes x No
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Revised 4.10
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1/25/2011 Item 16.D.4.
EXIllBIT A-I Contract Amendment #1
"Distribution of Choose Life Revenues"
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This amendment, dated ~ . . _ to the referenced agreement shall be by
and between the parties to the original Agreement, Heart of Adoptions Alliance, Inc. (to be referred to as
"Distributor") and Collier County, Florida, (to be referred to as "Owner").
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RE: Contract # 08-5083 - "Distribution of Choose Life Revenues"
In order to continue the services provided for in the original Contract document referenced above, the
Contractor agrees to amend the above referenced Contract as follows:
Add the items "d" and <<e" to Section 3, Contract Sum:
d. Fifty-Thousand and 00/100 Dollars ($50,000) . Payable October 1, 2010.
e. _ Thirty-Thousand and 0011000 ($30,000), or the balance of revenue funds:
. Payable October 1, 2011.
All other terms and conditions of the agreement shall remain in force.
IN WITNESS WHEREOF, the Contractor and the County have each, respectively, by an authorized
person or agent, hereunder set their hands and seals on the date(s) indicated below.
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Accepted: ~ .
DISTRIBUTOR:
Heart of Adoptions Alliance, Inc.
OWNER:
BOARD OF COUNTY
COMMISSIONERS
OF COLLIER COUNTY, FLORIDA
BY:flMtM :J ~~ ~N'"
:Jeanne. T. Taf e,
Type Name of Signatory
By:
T~-ri Daffi~~, Projc;ct M~er <(;\V
By: D~ ~
"M cy Krumbine I
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Amendment #1
Distribution of Choose Life Revenues
CONTRACT SPECIALIST
Br ~")}1 ~)~
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1/25/2011 Item 16.0.4.
Lyn Wood
Pu~CHASING/GENERAL SERVICES
DIRECTOR
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Stephen Y. Carnell -
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BOARD OF COUNTY COMlvrrSSIONERS
ATIEST: COLLIER COUNTY, FLORIDA
D"wight E. Brock, Oerk of Courts
By:
Dated:
(SEAL)
By:
, Chairman
Approved as to form and
leg;;ll sufficie!lcy:
Deputy County Attonley
Print Name
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Amendment # 1 2
08-5083 - Distribute Choose Life License Plate Revenue
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1/25/2011 Item 16.D.4.
AGREEMENT
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for
Distribution of Choose Life License Plate Revenues
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THIS AGREEMENT, made -. and - .. entered . 'mto on thiS . 9th day of
September 2008, by and between Heart of Adoptions Alliance, Inc., authorized to do business
in the State of Florida, whose business address is 418 West Platt Street, Suite B, Tampa,.
'Florida 33606-2244, he:r;einafter called tlle "Distributor" and Collier County, a political
subdivision of the State of Florida, Collier County, Naples, hereinafter called the "Countyl/:
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WITNESSETH:
1. COMMENCEMENT. The Distributor shall commence the work upon receipt of tlle
Choose Life ~cel1Se plate funds, hereinafter "Funds" from tlle County.
The contract shall be for a twenty four (24) month period, commencing on
October 1, 2008, and terrninatIDg on September 30, ?010.
The County may, at its discretion an.d with the consent of the Distributor, reneW tlle
Agreement under all of tlle terms and conditions contained in tlus Agreement for two
(2) additional twelve (12) month periods. The County shall give the Distributor
vvTitten notice of the County's intention to extend the Agreement term not less than ten
(10) days prior to the end of the Agreement term tllen in effect.
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2. STATEMENT OF WORK. Pursuant to Subsection 320.08058(29), Florida Statutes, tlle
County is authorized to receive annual use fees derived frOln the sale of Choose Life
license plates. Subsection 320.08058(29)b, Florida Statutes, provides that each county
shall distribute the Funds to nongovernmental, not-far-profit agencies within the
countY, which agencies' services are limited to counseling and meeting tlle physical
needs of pregnant women who are committed to placing tlleir children for adoption.
The Distributor shall receive Funds from the County for the Distribution of Choose Life
License Plate Revenues in accordance with Subsection 320.08058(29). This Agreement
contains the entire understanding between the parties and any modifications to this
Agreement shall be mutually agreed upon in writing by. the Distributor and the County
project manager or his designee, in compliance with the County Purchasing Policy and
Admini~trati.ve.Pr{)cedUZel'LiI;l'effect-:at $etim~ such-servic;_e~: ar~. authoIiz~d. /7~~ ~,;_;., ..
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Subsection 320.08058(29)(3) requires for each agency that receives such Funds must
submit all_ annual attestation to the County. Any unused Funds that exceed 10 percent
of the Funds received by an agency during its fiscal year must be retw.ned to tlle .
County, which shall distribute them to other qualified agencies,
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3.
THE CONTRACT SUM. Pursuant to Subsection 320.08058(29) (b)1. Florida Statutes, the
annual use fees shall be distributed to each county in the ratio that the annual use fees
collected by each county bears to the total fees collected for the plates within the state.
COUNTY shall make disbursements to Distributor as follows:
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o ,-- --~Fiffe~h=Th01i~kldN~7H~<fr~d'cii{~YS~~~1;ty~Fo~ '~d-;'b171od~Dbllais~($:t5,974.oi)' ~~_:,:'_:~ -
from the period beginning the date of this Agreement.
b. Twelve Thousand and 00/100 Dollars ($12,000) from October 1, 2008 through
September 30, 2009, or the balance of the revenue received from October 1, 2008 .
through September 30, 2009.
c. Twelve Thousand and 00/100 Dollars ($12,000) from October I, 2009 through
September 30, 2010, or the balance of the revenue received from October 1, 2009
through September 30, 2010.
TIus schedule is subject to change alU1Ually if the number of appliCal1ts increases, or if the
C!ffi1ual distributiOl~ to -the County decreases.
4.
NOTICES. All notices from the County to the Distributor shall be deemed duly served
if Inailed or faXed to the Distributor at the following Address:
Heart of Adoptions Alliance, Inc.
5633 Strand Boulevard, Suite 316
Naples, FL 34110
Atten: Ms. Daneille D. Stewart
Telephone: 239.594.2830
Facsimile: 239.594.2838
All Notices from the Distributor to the County shall be deemed duly served if mailed or
faxed to the County to:
. Collier County Govermnent Center
Purchasing Depal"tment - Purchasing Building
3301 Tamiami Trail, EaSt
, ' Naples, Florida 34112
Attention: Steve Carnell, Purchasing/ General Services Director
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. .' FacsiririIe:-239':252-6584. ' " , '0
The Distributor and the County may change the above mailing address at any time
upon giving the other party written notification. . All notices under this Agreement
must be in writing. '
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1/25/2011 Item 16.D.4.
6.
NO PARTNERSHIP. Nothing herein cqntained shall create or be.cQnstr1,led as creating , .
a partnership between the County and the Distributor or to constitute the Distributor as
an agent of the County. '
7. . LICENSES: TAXE~~..:rhe Distri,blltpr shall bes91e1Yt:esEg~i1J1e for R-aymeut~9L~y_apd ..' ....,-0
. . ~".~\illC-t~e~Je:ViM ~me~))~1n~t:T$~~<ifJtilQ~~~~~kiii9t~A.~k,..(;pEJ:iIli~fu;,:qJ1~~~~~~.~-
rules~' . iegllIationS -and la.ws'.of CollIer Cqunty, the' State of Florida, or the U. S.
Government now in force or hereafter adopted. The Distributor agrees to comply with
all laws governing the responsibility of an employer with respect to persons employed
by the Distributor. ,
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8. NO IMPROPER USE. The Distributor will not use, nor suffer or permit any person to
use in any maImer whatsoever, County facilities for any improper, immoral or offensive
purpose, or for any. purpose in :violation of ~y federal, state, county or m-qnicipal_
ordinance, rule, order or regulation, or of any governmental rule or regulation now in
effect or hereafter enacted or adopted. In the event of such violation by the Distributor
or if the County or its authorized representative shall deem, any conduct on the part of
the Distributor to be objectionable or improper, the County shall have the right to
suspend the contract of the Distributor. Should the Disrributor fail to correct any such
violation, conduct, or practice to the satisfaction of the County within twenty-four (24)
hours after receiving notice of such violation, conduct, or practice, such suspension to
continue until the violation is cured.. The Pistributor further agrees not to commenc~ .
operation during the suspension period until the violation has been corrected to the
satisfaction of the County,
9. TERMINATION. Should the Disu'ibutor be found to have failed to perfonn his
services in a manneJ; satisfactory to the County as per this Agreement, the County may
terminate said agreement immediately for cause; further the County may terminate this
Agreement for convenience with a seven (7) day written notice. The County shall be
sole judge of non-performance.
10. NO DISCRIMINATION. The Distributor agrees that there shall be no discrimination
as to race, sex, color, creed or national origin..
11. INSURANCE. TI1.e Distributor shall provide insurance as follows:
A. Commercial General Liability: Coverage shall have minimUm limits of $1,000,000
Per Occurrence, Combined Single Limit for Bo~y Injury Liability andProperty
; .~aIJfqge:c q~~~Ity:.;_'.:-"-This~.~h~~iqd~g~~lZxemis~s~:..~_d:~-9p~~~t1~IU)r''~depe!ig.eii.t;}.}
Distributors; Pi"oductS arid Completed Operatiori$ and Contractual Liability: . '
B. Workers' Compensation: Insurance covering all employees meeting S,tatutory
Limits in compliance with the applicable state and federal laws. ' _.
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1/25/2011 Item 16.D.4.
Special Requirements: Collier Co"unty shall be listed as the Certificate)-Iolder c!nd
included as ari Additional Insured on the Comprehensive' General Liability
Policy.
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Current, valid insurance policies meeting the requirement herein identified shall
be'?1~tairt~d- b~ Oistri!?~to~_ ~13T~g:'~~ ~~~!io!:!-:.oLtI:U~ - :A;~frp.~~t -B~n~~~-~_ :r- -=-~
'cerfi,fiCatesSfialI1Jesenf1c)-~tlie'County-f11ITty (30r2fays-r)nor~fo-ahyexpiIa:tion date:'~ ,--;,~
There shall be a thirty (30) day notification to the County in the event of .
cancellation or modification of any stipulated insurance coverage. _
Distributor shall insure that all subDistributors comply \-vith the same insurance
requirements that he is required to meet. TIle same Distributor shall provide
County with certificates of insurance meeting the required insurance provisions.
12. INDEMNIFICATION. To" the maximum extent pemutted by Florida .law, the
Distributor 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 Distributor or anyone.
employed 01'-' utilized by the Distributor in the performance of this' Agreemeilt. This
indemnification obligation shall not be construed to negate, abridge or reduce any other
rights or remedies which otherwise may be available to an indelmUfied party or person
described in this paragraph.
This section does not pertain to any incident arising from the sole negligence of
Collier County.
13. CONTRACT ADMINISTRATION. This' Agreement shall be administered on behalf
of the County by the Housing and HUlnan Services Department.
14. CONFLICT OF INTEREST: Distributor represents that it presently has no interest and
shall acquire no interest, either direct or indirect, which would conflict in any manner
with the performance of services required hereunder. Distributor further represents
that no persons having any such interest shall be employed to perform those services.
15. COMPONENT PARTS OF THIS CONTRACT. This Contract consists of the attached
component parts, all of which are as fully a part of the contract as if herein set" o~t
verbatim: Exhibit A, Scope of Work; ExhibitB, Subsection 320.08058(29) Florida
:, Sta~tes;: '(C;hoQs~ ~if~~ice~~:gla~es~~{ D!strib!!tq~~~ l?mpq$~~~InQJ1l~q~ :~ertific?-te. = " ~:. ' . _.' _ _:, ~.:~
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16.
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 fortll in Chapter 112, Part':
III, Florida Statutes, Collier County Ethics Ordinance No. 2004-05, and COUllty
Administrative ProcedUl'e 5311. Violation of this provision may result in one or more
of the following consequences: a. Prohibition by the individual, firm, andf or any
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1/25/2011 Item 16.0.4.
employee of the firm from contact with County staff for a specified period of time; b.
Prohi1;>ition :by the individual and/ or firm from doing business with the Cou,nty for a
specified period of time, including but not limited to: submitting bids, RFP, and/ or
- quotes; and, c. immediate termination of any contract held by the individual and/ or
fumfor cause.' - ..' . '. .'
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. -
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.17. IMMIGRATiON LAW COMPLIANCE. ~y execufug~d ~~t~ring ~t~ thi~ 0 ..... .
agreement, the Distributor is formally acknowledging without exception or stipulation
that it is fully responsible for complying with the provisions of the Immigration Reform
and Control Act of 1986'as located at 8 D.S.C. 1324, et seq. and regulations relating
thereto, as either may be amended. Failure by the Distributor to comply with the laws
referenced herein shall constitute a breach of this agreement and the County shall have
the discretion to unilaterally terminate this agreement immediately.
20.
19. VENUE. Any suit or action brought by either party to this Agreem.ent against the
other party relating to or arising out of this Agreement lnust be brought in the
appropriate federal or state courts in Collier County, Florida, which courts have sole
and exclusive jurisdiction on all such matters.
AGREEMENT TERMS. II any portion of this Agreement is held to be void, invalid,
or othen:.vise unenforceable, in whole or in pal:t, the remaining portion of this
Agreement shall remain in. effect:
.
21. ADDmONAL ITEMS/SERVICES. Additional items and/ or services may be added
to this contract upon satisfactory negotiation of price by the Contract Manager and
Distributor. .
22.
DISPUTE RESOLUTION. Prior to the initiation of any action or proceeding
permitted by this Agreement to resolve disputes between the pal:ties, the parties shall
make a good faith effort to resolve any such disputes by negotiation. The negotiation
shall be attended by representatives of Distributor with full decision-making authority
and by Owner's staff person who would make the presentation of any settlement
reached during negotiations to Owner for approval. Failing resolution, and prior to
the commencement of depositions in any litigation between the parties arising out of
this Agreement, the parties shall attempt to resolve the dispute through Mediation
before an. agreed-upon Circuit Court Mediator certified by the State of Florida. The
mediation shall be. attended by representatives of Distributor with full decision-
lnaking authority and by Owner's staff person who woul9. make the pre~entation of
any .settI~1Jl:ei1t ~r:~~ch~.~a.t:::-~edi?J:ion~f()--c:~Wrier~~qQ'cl1:~.:fb~...approval:'.~S~ou1&'~ither
party Jan to subririt to mediation as "required hereunder; the-other party ma}r"obtain a
court or4er r~quiring mediation'under sectibn.44.102, Fl~. Stat. .
Any suit 'or action brought by either party to this Agreement against the other party .
rel!:lting to' or arising out of this Agreement must be brought in the appropriate federal .
or state 'courts in Collier County, Florida, which courts have sole and exclusive
jurisdiction on' all such matters. . -
Pa')"f~ 'i nf C)
. Packet Page -719-
.
1/~5/2011Item 16.0.4.
.
IN WITNESS WHEREOF, the Distributor and the County, have each, respectively, by an
authorized person ()r agent, hereunder set their hands and seals on the date and year first above
written. .... " ,
(SEAL)
~~
... r"!9~t- '&t'YlO
Type! print 'witness name
Heart of Adoptions Alliance, Inc.
By:~A.P ~ Jab, 1r(,51~'7f
. J#TIe Trudeau Tate /
.
~.... Q. '--Ty,..--.-
ond Witness
:-.J II "h~ .. ~a.v'~\' n
Type! print witness name
rEA1J)J~ T. TitTEl Iff'SJtl1t
Typed signature and,title
,.
Approved as to-form and
legal sufficiency:
C af&~AA-1Irjl~ e
Assistant Cou1ity Attorney
Q>>lIeen ~.
Print Name
. . .
-- ,
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.
'Page,60f9 '
Packet Page -720-
1/25/2011 Item 16.0.4.
Exhibit A
Scope of Work
Distribution of Choose Life License Plates Revenues
.
County ~ beresE(msi1J~~. forthe ~_~str~li.grland.-disbur,sementpt!h~_f!lnds generated,
, _J~~pltQ~'9tQ,,()lEtrj~J.J.'c~'~~lafeJ~~v~g~tlo~~~ii~}ifi~ien~t~$~~1i~~~~~q~~--_. '0 ".'
Distributor will not charge an administration fee for this service. Any unused funds that
exceed 10% of the funds received by a quBlilied agency during its fiscal year must be
returned to County, who shall then redistribute the monies to the other qualifi~d agencies.
Distributor shall provide the Director of Housing and Human Services with a year-end
report and copies of all financial records relating to this Agreement. Maintain books, records,
documents and other evidence and accounting procedures and practices, which fully and
properly reflect all direct and indirect costs of any nature expended in the performance of
this Agreement. Have relevant records available for inspection and/or audit at no charge to
the COUNTY for up to three (3) years. Maintain adequate fiscal accounting procedures,
Distributor will submit an annual attestation to Collier County.
Services provided under this progr8.ln must be' in accord8.l1ce. with Florida Statutes
320.08058(29) Services are limited to counseling 8.l1d meeting the physical needs of pregn8.l1t
warnell. in Collier County. At least 70 percent of the funds must be used for direct material
needs of clients including housing, clothing, medical care, food, utilities, and transportation.
Such funds may also be expended on infants awaiting placement with adoptive parents. A
maxin1UITl of 30 percent of the funds may be used for adoption, counseling, training, and
advertising,
.
Services provided under this program may not involve or be associated with any abortion
activities 8.l1d clients may not be charged for services.
Ineligible activities under this project include administrative expenses, legal expenses, and
capital expenditures. ' .
The Distributor, shall assume the entire responsibility for providing semce under this
Agreement.
The Dis~i~utor. shalJ be respo:D.sible for the ~eans,_ methods, tec~'J.ues, sequences and
proce~,~~~T~la~g to- the~P~'?~~t. o:._:=~, ~:c~~:_~~:.~~-=-_i~...o~ ~~' :.._ ~'--', ~-: c- :-,,~~~ :::- t-;'~~;- :0.-', 'j 0 0 < ---
, .
The Distributor. agrees to assign a representative or agent to the Project during the term of
the Project so that the County may effectively coordinate its services with Distributor. . The
Distributor's representative or agel it under this Agreement shall be any individual that the
Distributor recommends to the County and the County henceforth approves. Moreover, the
Distributor's representative or agent under this Agreement, shall act as Distributor's conh'act
authority under this Agreement and any directions, ~tructions, or notifications given such
Palle 7 of9
Packet Page -721-
'.
1/25/2011 Item 16.D.4.
.
Exhibit A, Continued
representative or agent by the County or by the County's authorize4 representative or agent
shall be in full force!asi!-giv~'d?:rec:t~1'""~~t~:!h~_ ~isrril?~t~~:;~1'h~~1?~)V~-n~~ths~-ap~g,< the .'.~' <~':_,~
.==Colintfshan' errdeav-or "fo"lssue~arrectlves/-IDSi.TuEfionS~or 'nofifica1i6nsterating~-t6'-ffie Prbjec::f-CC-~ '-""~~=
directly to the Disrributor.
Distributor shall administrate all paperwork required to perform services, which shall
include but not be limited to, memoranda, reports, forms, and correspondence as well as any
Project clarifications and changes, which may be necessary during the Project. If any such
changes directly affect the County, the Distributor shall notify the County's representative,
and if the County approves such changes in -writing, the County shall forthwith prepare
01.ange Orders and/ or Supplemental Agreement documents as appropriate.
Disu"ibutor shall be a non-govenm1.ental, not-for-profit agency within Collier County in
which tl1.e agency's services are limited to counseling and meeting the physical needs of
pre,gnant womel~ who are committed to placing their children for adoption.
.
--0> ...._:
.
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End of Exhibit A
..
Page 8 of9
Packet Page -722-
1/25/2011 Item 16.0.4.
Exhibit B
.
Subsection 320.08058(29) Florida Statutes, flChoose Life License Plates" ,
c~.~J~hTh~ deB~~~nt~,,@:-4ey~~lr~<?~~~__~1t~1;i~~~~ia~~~~lp;thi;j;~citi~ia.;~:1tE~~-'-~ ' .~_:'
word "Floridallmust ,appear at the bottom ot the .plate, and the words "Choose Life" must,
appear at the top of the plate.
(b) The 8lIDUal use fees shall be distributed annually to each county in the ratio that the'
armual use fees collected by each county bears to the total fees collected for the plates vvithin
the state. Each county shall distribute the funds to nongovernmental, not-for-profit agencies
within the county, which agencies' services are limited to counseling and meeting the
physical needs of pregnant women who are committed to placing their children for adoption.
Funds may not be disb:ibuted to any agency that is involved or associated with abortion
activities, including counseling for or referrals to abortion clinics, providing medical
abortion-related .procedures, or proabortion advertising, and funds may not be distributed to
any agency that charges women for services received.
1. Agencies that receive the funds lTIUst use at least 70 percent of the funds to provide for the
material needs of pregnant women who are committed to placing their children for adoption,
in.cluding clothing, housing, medical care, food, utilities, and tr811Sportation. Such funds may
also be expended on infants awaiting placement with adoptive parents. ' .
2. The remaining funds may be used for adoption, counseling, trainin,g, or adver?sing, but
may not be used for administrative expenses, legal expenses, or capital expenditures.
3. Each agency that receives such funds must submit an annual attestation to the county.
.AJ..1Y unused funds that exceed 10 percent of the funds received by an agency during its fiscal
year must be returned to the county, which shall distribute them to other qualified agencies.
- - -
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1/25/2011 Item 16.0.4.
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1/25/2011 Item 16.D.4.
.
Endorsement No: 1
GENERll..L CHANGE ENDORSEMENT
r.,_ _____._______''"...="--"' ..-- .:"~__~="'I"; ~~'t-__~.",;:'~--::",,:,,-'--;~- - .--,-~_. ., ~--. -~---"-,"- "~" ..:"~' --., ~- .. . - ~ .
=.:. ~;is=end6~.,s,em~~t-~mS, ;).~r~~LQf::.- f.n~ '1!r.r icY'" f'~tiinicll atE-crched,-:.<effecti ve f'E'om-
its' date'. of issue unless -othe'rwise stci"ted"hereTrf:-- __,~~U', ,.---- -,~ -,,-,
Policy Number: CPPSC6178
Issued to: Heart of Adoptions, Inc.
Effective from: 8-07-08 12:01 A.M. Standard Time
Policy Period Inception: 09-20-07
Expiration: 09-20-08
In
consideration of additional
Gene1:al Liabi.1.ity-PKG
Suzp~UB Lines Tax
servi.ce OffiCe Fee
FHCF Fee
~o-tal Amount
premium
100.00
5.00
0.10
1.00
106.10
of:
07CWN297
Provided By:
Markel. Int'l.
100.00%
It is agreed that as of the effective date hereof, the policy is hereby
amend.ed in the following paruculars:
'!'he following additional insu:red has been added:
Collier County
3301 E. Tamiami Trail
Naples, FL 3413.2
TEI:S mStmANCK ISSlJED PORSO.Am! TO THE FLOlUDA SURPLUS LINES LAW. PERSONS
INsmu:D BY SURPLUS LINES CA1UUERS DO NOr HAVE 'I'HE PROTiiiCT:!Ql, OJ!' '.nlE li'!.-o~.IPA.
mSOIUWCE GUARANTY AC:I: '1"0 '!'BE E.rn1NT OF ANY RIGHT OF RECOVERY F01l OBLXGArION OF
AN :tNSOLVENT UNLIcENSED INSURER.
/ro..S
.
AJ.J.. otheJ: te= and cond:i.. ti.ons %:ema:i..n unchanged..
:-:---.,;'~-~-=-
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Issued: 8-15-08
At: Clearwater
Clearwater Undenl::i ter~, 'Ine
FL 33765
JLK Enterprises; Inc.
5223 Ehrlich Rd.
Suite B
Tampa FL 33634 .
~urplus Line Agent: Donald E Waters
License No: A278403
Countersignature:
}\gent Name:
~~~
Joseph Kerstei .
A1400B7
ORIGllofAL Copy
(ClMNI 7 EFOO1t-03D807IOSD81508-48)
Packet Page -725- .
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1/25/2011 Item 16.0.4.
F'
~
58 (Policy Provisions: we 00 00 00 A)
75
JC INFORMATION PAGE
WEG WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY
.. ~. .;~~~~U~~~:..'::~:%:.~~~~~=:~~f~?fi~~;o~":~~;~~:;:~_??~~,._~c'_e:,. ~
Neel Company Numbet;
Camp,any Code: 6'
Il0456
uT~E
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POLICY NUMBER:
Previous Policy Number:
HOUSING CODE: 76
1. Named Insured and Mailing Address: JEANNE T TATE P A
(No. Stre8t, Town. State. Zip Code)
76 WEG JC7558
76 WEG JC?558
FEIN Number: 593541284
State Identification Number(s):
418 W PLATT ,STREET SUITE B
i'AM:2A, FIJ 33606
The Named Insured i5= eORI'ORA'l'ION
Business of Named Insured: A'l'TORNEYS OFFICES
Other workplaces not shown above: 418 W PLATT STREET SIJITE B
TAMPA FL 33606
. 2. Policy Period: From 03/31/07 To 03/31/08
12:01 a.m.. Standard time at the insured's mailing address.
Producer's Name: PAYCHEx AGENCY, me
30 B FARMmG'I'ON AVE
i'.ARMINGTON, C~ 06032
Producer's Code: 210703
Issuing Office: THE HARTFORD
308 FARMINGTON AVE
FARMING'T'Ol\7
{B77 287-1312
. Total Estimated Annual Premium: $3,232
.,., ".'~ - D~POsit'p~millrii:.::;:o::c~: :O'''''"~:-,~o, _-::-=,'T_~_ .,
poncy-MiriimLini" Premium:. -- '$2"27 F:t
Audit Period: ANNUAL ,Installment Tann:
The policy is not binding unless countersigned by our autho(i~ed representative.
C~ 06032
.,.-....=-_.;.=~ .
...
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Authorized Representative
Form we 000001 A (1) Printed in U.S.A.
Process Date: 02/03/07
Page 1 (Continued on next pa9~)
Policy expiration Date: Q3/31/08
ORILP~ketPage-726-
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1/25/2011 Item 16.0.4.
;.
INFORMATION PAGE (Continued)
.
Policy Number: 76 WEG JC75S6
I:
3. A. =~;:;:~~~~~on Insuranc:~ ~a~~: ;~:' ~ICY:PPII.~ ~~h. ~~~~~ C.~~.~-1 ~w of~~ c c .~ ~
B. Employers Liability Insurance: Part Two af the policy applies to work in each state listed in He 3.A.
The limits of our liability unaer Part Two are:
Bodily injury by Accident
Bodily injury by Dillea!;f!
Bodily injury by Disease
$100,000
SSOQ,OOO
$100,000
each accident
policy limit
each employee
In
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C. Other States Insurance: Part Three of the policy applies to the states. if any. listed here:
ALI. S'1'ATES EXCEPT ND, OH, WA, WV, WY', ~D
STATES DES:rGNA'l'ED IN I'l'EM 3.A. OF THE INFORMATION PAGE.
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D. This policy includes these endOI'geMents Bnd schedule:
WC 00 03 08 we 09 04 03. we 00 04 14 we 00 04 19 we 09 06 06
4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Ratis and Ra. ting
Plans. All information required below is SUbject to verification and chanQe bv audit.
Premium Basis I
Total Estimated Rates Per Estimate!
Armucd $100 of Annual
Remuneration Remuneration Premiu
777. ... .3' 2.791
2,79~
20
23
3,23
Classifications
Code Number and
Description ..
.
88'-0
LAW OFFICE - ALL EMPLOYEES Ii; CLERICAL
MESSENGERS, DRIVERS
'l'OTAL ESTIMATED ANNUAL STANDARD PREMrUM
EXPENSE CONSTANT (09001
FOREIGN TERRORISM (9740)
TOTAL ESTIMATED ANNUAL PREMIUM
777,400
.030
TDtaL Esii~~t~i:t An"riisarPremium:?..... -' - :=.::~ - '$,j~ :232:'~~'-"c..::--,-
Deposit Premium:
Policy Minimum premium: $227 FL
Interstateflntrastate.ldp.ntification Number:
,.
Labor Contractors Policy Numl1er:
NAICS: 541110
SIC: 8111
Form we 00 00 01 A (1) Printed in U C! ^
Process Date: 02/03/07 Packet Page -727-
Page 2 ,
Policv ExDiration Da~: 03/3 lOB
.
.
.
1/25/2011 Item 16.0.4.
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CONTRACTIWORK ORDER MODIFICATION
CHECKLIST FORM
PROJECT NAME: Distribution of Choose Life Funds PROJECT#:_PROJECT MANAGER:. :Terri Daniels
CONTRACT #: 08-5083 MOD #: I PO#: a.Ljoc;.;; ,../ (,q. 3 WORK ORDER #: lJ fA
, I
DEPARTMENT: Housin. Human and Veteran Services....., CONTRACTOR/FIRM NAME: H~art ~.,Adoptions Alliance. Inc,
, , "I.;?~~~"-~~.E~~~~,~~o'r:< ~-:"~:0~~U~:~'~~~I~~;;:~~~~_-"~ _~- " ~~-o -""_~ ,C -: ~",-~ ". '~'~'c ~~,?::,~,; ~~, ' '::_ '.
I
I Current Bce Approved Amount:
S 39,974.00
(Last Total Amount Approved by the SeC)
$ 39,974,00
(including AU Changes Prior To This Modification)
I--
I
Current ContracUWork Order Amount
! Change Amount:
I Revised ContractN.Jork Order Amount:
$ 80.000.00
S 119,974.00
(lnciuding This Change Order)
Cumulative Dollar Value of Changes to
I this ContracUWork Order.
I
S 80.000.00
Date of Last BCe Approval 9/9/2008
,
Agenda Item # 16037
Percentage of the change over/under current contractlwork order amount
Fo~ula: (Revised Amount I Last BeC approved amount)-1
213
%
CURRENT COMPLETION DATE (5): ORIGINAL: 9130/2011
_CURRENT:
9/30/2011
This change order will: D Add a new Task for $
D Increase Task Number
by$
Other
Describe the change(st:_Addition of payment terms/schedule for fiscal year 2010
Specify the reasons for the change(s) x 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity
Adjustments r 4. Correctjon of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
x 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: If chanQe is not
processed. the County will he out of compliance with administerinQ the Choose fife license plate
revenues.
This change was requested by: r!Contractor/Consultant n Owner x Using Department C CDES
rDesign Professional riRegulatory Agency (Specify) r Other (Specify)
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r Yes x No
This form is ~e ~i~ \nd.'d;tX'iI. ,
A/~' I ,yl" . {d-f j_
. , . . (l,r, ~_. ,.'" .
APPROVED-BY:.! ,( ',,'-Y-~-:;.c~:',,<~':-e~""_~~~:'Oate~- -. a-a-.tD
, Pr 'ect Manager - , _ .
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,..,., ,)., ",/; ,
.~-; ., I.. I I' ,:'l..,A,
~",<.I"l ) , . I toe v.. :__\
, Contract Specialist
':1 .
REVIEWED BY:
/ "?J" '7.:> i .
Date: / r:. ;(") / /(
Revised 4.1 0
Packet Page -728-
1/25/2011 Item 16.0.4.
EXHIBIT A-I Contract Amendment #1
"Distribution of Choose Life Revenues"
.
This amendment, dated _ , . _ to the referenc-ed agreement shall be by,
:>~d between the.panies.ta.the~riginahA~til:i'--Heat't-'oFAdoptlo~Mliane:e:'~lB:(.}:,-'(to be-referrcd- t6-~
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Statement of Understanding
RE: Contract # 08-5083 - "Distribution of Choose Life Revenues"
In order to continue the services provided for in the original Contract docmnent referenced above, the
Contractor agrees to amend the above referenced Contract as follows:
Add the items "d" and "e"'to Section 3, Contrdct Sum:
d. Fifty-Thousand and 00/100 Dollars ($50,000) . Payable October 1, 2010.
e.. Thirty-Thousand and 00/1000 ($30,000), or the balance of revenue funds.
Payable October 1,2011.
All other terms and conditions of the agreement shall remain in force.
IN WITNESS \VHEREOF, the Contractor and the County have each, respectively, by an authorized
person or agent, hereunder set their hands and seals on. the date(s) indicated below.
.
Accepted: ~
DISTRlBulOR:
Heart of Adoptions Alliance, Inc.
OWNER:
BOARD OF COUNTY
COMMISSIONERS
OF COLLIER COUl'ilY. FLORIDA
By: U/l...:./LI J ,]4,:-& !lcsldJ!<tf
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i...']fCI11nc T. J Ct + e
Type Name ofSignatol}'
~
CONTRACT SPECIALIST
By or- !n V{L~
.
Amendment #1
Distribution of Choose Life R-.;venues
Packet Page -729-
.
.
1/25/2011 Item 16.D.4.
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Lyn Wood
PURCHASING/GENERAL SERVICES .~, . . ,
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BOARD OF COUNTY COMI\flS5IONERS
A TrEST: COLDER COUNTY, FLORIDA
Dwight E. Brock, Oerk of Courts
By:_ .
Dated:
(SEAL)
By:
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\'.J. C6''lL ~ O~airnlan
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Amendment #1
2
08-5083 - i)hirrb:H(.~ (:}K~(;.~'\.~ !-.ift: l_ii;e:1se P::ate Ri' ~'r'-,;nue
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Packet Page -730-