Agenda 09/27/2011 Item #16F 2
9/2712011 Item 16.F.2.
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EXECUTIVE. SUMMARY
Recommendation to approve an Agreement between Collier County and Dr.
Marta U. Coburn, M.D., Florida Distriet Twenty Mediad .Examiner dba
District Twenty Medieal.Examiner, Inc. to provide medical exallliner sel'"Viees
forF~1 Year 2012.with a fiscal illlpact of $1,063,200.
OBJEC~: Approval of an .agreement to provide Collier County with medical examiner
services pursuant to Chapter 406, Florida Statutes.
CONSmE~TlONS: Dr. Marta U. Coburn, M.D. was re-appointed August 18,2011 by Rick
Scott, Governor of the State of Florida, to serve as the District Twenty. Medical Examiner. An
agreement between Collier County and Dr. Marta U. Coburn, M.D. dha District Twenty Medical
Examiner, Inc. is entered into annually to provide the County with medical examiner. services. '
Section 406.06(3), Florida Statutes, states that the Medical Examiner shall be entitled to
cOl1)pensation and such reasonable salary and fees as are established by the Board of County
Commissioners. Pursuant to Section 406.16, Florida Statutes, the County shall pay for
professionalliabiJity insurance for the Medical Examiner and Associate Medical Examiner(s).
The payment of professional liability insurance is included in the agreement as an obligation of
the County and shall be in addition to the.. semi-monthly compensation paid to the Medical
Examiner. Based on past statistics and reasonable projections, Dr. Coburn bas submitted an
~ annual budget of $1,023,800 for services; $20,000 for professional liability insurance; and
$19,400 for general~d property insurances. These amounts have been included in the County's
Amended Tentative Budget for Fiscal Year 2012.
FISCAL IMPACT: The requested cost to the County for Fiscal Year 2012 is $1,063,200.
Funds are proposed to be budgeted in the General Fund (00 1), Medical Examiner Services; the
FY 2012 Budget will be considered by the Board on September 22, 2011.
GROWTHMANA~E~T IMPACT: There is no Growth Management Impact associated
with this Executive Summary.
LEGAL CONSln~TIONS: This item has been reviewed by the County Attomey,is legally
sufficient, and reqwl"e$ a majority vote. - JAK .
RECOMMENDATION: That the Board of County Commissioners approves the agreCl1)ent
between Collier County and Dr. Marta U. Coburn, M.D., Florida District Twenty Medical
Examiner dha District Twenty Medical Examiner, Inc. for medical examiner services for Fiscal
Year 2012 at a total cost of $1,063,200 and .autltorizes the Chairman to execute the contract after
County Attorney approval.
PREPARED BY: Christine Bom, Department of Emergency Management
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9/27/2011 Item 16.F.2.
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.F.2.
Item Summary: Recommendation to approve an Agreement between Collier County and
Dr. Marta U. Coburn, M.D., Florida District Twenty Medical Examiner dba District Twenty
Medical Examiner, Inc. to provide medical examiner services for Fiscal Year 2012 with a fiscal
impact of $110631200.
Meeting Date: 9/27/2011
Prepared By
Name: BoniChristine
Title: Administrative Assistant, Senior,
8/29/201] 12:44:09 PM
Submitted by
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Title: Administrative Assistant, Senior,
Name: BoniChristine
8/29/201] 12:44:10 PM
Approved By
Name: WoodLyn
Title: Contracts Specialist,Purchasing & General Services
Date: 8/29/20]] 2:09:46 PM
Name: Carnell Steve
Title: Director - Purchasing/General Services,Purchasing
Date: 8/30/20] ] 4:59:35 PM
Name: SummersDan
Title: Director - Bureau of Emergency Services,
Date: 8/30/2011 5:45:10 PM
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Name: KlatzkowJeff
Tit]e: County Attorney,
Date: 9/19/2011 1] :20:07 AM
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Name: KlatzkowJeff
Title: County Attorney,
Date: 9/19/2011 12:01 :07 PM
Name: PryorCheryl
Title: Management/ Budget Analyst, Senior,Office of Management & Budget
Date: 9/20/2011 9:23:17 AM
Name: OchsLeo
Title: County Manager
Date: 9/20/2011 9:35:26 AM
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9/27/2011 Item 16.F.2.
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9/27/2011 Item 16.F.2.
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AGREEMENT FOR MEDICAL EXAMINER SERVICES
THIS AGREEMENT FOR MEDICAL EXAMINER SERVICES, (Agreement), made
and entered into this 27th day of September, 2011, by and between Marta U. Coburn, M.D.,
Florida District Twenty Medical Examiner for Collier County, Florida, doing business as District
20 Medical Exan1iner, a Florida for Profit Corporation, (hereinafter called "Medical Examiner"),
and the Board of County Commissioners of Collier County, Florida, (hereinafter called
"County"). Medical Examiner and County are hereinafter collectively referred to as the
"panics. "
WHEREAS, Dr. Marta U. Coburn was re-appointed Florida District Twenty Medical
Examiner for Collier County, Florida, on August 18, 2011, by Rick Scott, Governor of the State
of Florida; and
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WHEREAS, Section 406.06(2), Florida Statutes, provides that the District Medical
Examiner may appoint Associate Medical Examiner(s) to provide medical examiner services at
times and all places ,:vithin the
and. that
J\/ledical E.,xanliner( S')
se.rve at
pkasure
l::Xamlner:
WIIEREAS. Section 406.06(3). Florida Statutes, states that District Iv1edical Examinen SJ
and Associate Medical Examiner(s) shall be entitled to compensation and such reasonable salary
and fees as are established by the Board of County Commissioners in their respective district;
and
\VHEREAS, Section 406.08(1), Florida Statutes, provides that fees, salaries and expenses
for the Medical Examiner's office may be paid from the general funds or any other funds under
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the control of the Board of County Commissioners and that the Medical Examiner shall submit
an annual budget to the Board of County Commissioners; and
vVHEREAS, Section 406.08(5), Florida Statutes, provides that autopsy and laboratory
facilities utilized by the District Medical Examiner or Associate Medical Examiner(s) may be
provided on a permanent or contractual basis by the counties within the district; and
WHEREAS, Collier County desires to contract with Marta U. Coburn, M.D., Florida
District Twenty Medical Examiner, doing business as District 20 Medical Examiner, Inc., a
Florida Corporation, to provide medical examiner services under Chapter 406, Florida Statutes,
as an independent contractor.
NOW, THEREFORE, in consideration of the mutual covenants, terms, conditions and
provisions contained herein, the parties do hereby agree as follows:
SECTION I
TERM OF AGREEMENT
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The term of this Agreement shall be from October 1. 2011 through September 30.2012.
II
;
SCOPE
agrtle's H)
s::r\-lce:~>.
nc;.
provided for. necessar\
. .
the
pen O:l11anc;;'
S::fVJ ces c0111crnDiated
hereunder. to wit: LO serve as Florida. District Twenty Medical Examine:' for Collier County.
Florida in accordance with Chapter 406, Florida Statutes, and the standards promulgated by the
Florida Medical Examiner's Commission.
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SECTION III
COMPENSA nON AND PAYMENTS
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A. The County hereby agrees to compensate the Medical Examiner for services to be
perfonned for the term of this Agreement, beginning on October 1, 201 L the amount of one
million twenty-three thousand eight hundred dollars ($1,023,800) by semimonthly payments
ending September 30, 2012.
B. Payments from the County to the Medical Examiner of the compensation set forth in
paragraph A. above, shall be made on the 15th and 30th days of each month. If the 15th or 30th
of the month falls on a weekend or a holiday, the payment to the Medical Examiner shall be
made on the next County business day. It is expressly understood that each semimonthly
payment shall be made for the services furnished for the preceding period of time. As a
condition of said semimonthly payment by the County, the Medical Examiner shall be in full
compliance ",.ith Section VII of this Agreement regarding reports.
C. The Medical Examiner agrees and understands that under the terms of this
/\.green1ent. a
pmfessiomd
(associate medical exan1iner( and autopsy technician(s\ j
n1ust
maintained m
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dmies sel forth under
Agreement and by
Florida Statutes.
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D. The Coumy agrees and understands that the compensation provided for under this
Agreement to the Medical Examiner is intended to cover the anticipated normal
activities/workload of the Medical Examiner, based upon past statistics and reasonable
projections. The County acknowledges and agrees that the semimonthly compensation of the
Medical Examiner set forth in this Section has been established without consideration of
disasters or occurrences of an unusual nature or magnitude such as would necessitate
extraordinary expenditure on the part of the Medical Examiner in fulfilling the obligations under
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this Agreement and Chapter 406. Florida Statutes. In the event of such disaster(s) or
occurrence(s), the Medical Examiner shall consult with and shall seek, but not necessarily obtain,
the approval of the Collier County Emergency Management Director or hislher designee, for any
additional expenditures. The Medical Examiner shall in all events retain the right to and shall
then petition the Board of County Commissioners to reimburse the Medical Examiner for all
extraordinary expenses and compensation which are justified and incurred by the Medical
Exanliner due to said disaster(s) or occurrence(s). The Medical Examiner shall provide invoices
and receipts in an itemized manner to support the pethion to the Board of County Commissioners
for extraordinary compensation and expenditures. Examples of extraordinary disasters or
occurrences include. but are not limited to: airc.raft, bus and boat accidents where a simultaneous
large loss of life has occurred; hurricanes and other natural disasters; and any other disasters or
occurrences caused by nature or man-made where a large loss of life is experienced. Upon ..-.....
petition of the Medical Examiner for extraordinary compensation and/or expenditures. and with
the recommendation of the Collier Coumy Emergenc) rvianagemcnt Director. the Board
(oum)' Commissioners shall determine. using a reasonable and
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extraordinary compensation and/or expenditures shall be paid to the Medical Examiner.
SECTION IV
FACILITIES AND EQUIPMENT
A. In accordance with Section 406.08(5), Florida Statutes, the County af:,rrees to provide
and insure, at no cost to the Medical Examiner, a facility and all medical/laboratory related
equipment reasonably required by the Medical Examiner to perform the duties as District
Medical Examiner. All costs associated with maintaining the facility and its area landscaping
will be paid by the Medical Examiner. The County shall bear the cost of the Medical Examiner's
facility.
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B. All capital equipment needed and budgeted by the County for use by the Medical
Examiner shall be purchased by, and be inventoried through, the County as County property.
The procurement of said equipment shall be approved by the Collier County Emergency
Management Director in accordance with the Collier County Purchasing Policy, upon
submission of a requisition by the Medical Examiner. The Medical Examiner agrees to take
reasonable care with and maintain and repair any equipment provided by th.e County. The
County agrees to include all equipment reasonably required by the Medical Examiner in the
annual medical examiner budget submitted to the Board of County Commissioners for approval.
C. Except as otherwise provided in this Agreement, the Medical Examiner shall be
solely responsible for the payment of all normal and ordinary services. fees, and costs
encumbered in the course of the Medical Examiner's office's operation.
SECTION V
PROFESSIONAL LIABILITY INSURANCE
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Pursuant to Section 406.16. Florida Statutes. the County shall pay the Medical
Examiner'~. professional liabiliTY insuranc:.=,
payment shall be in addition TO tbe
:" comDensallon
t() the
by the
under Section
",~Qreemen:.
a condition precedem to the County paying
the Medical Examiner's
professional liability insurance, the Medical Examiner shall present to the County an original
invoice evidencing the purchase by the Medical Examiner of said insurance coverage.
SECTION VI
USE OF FACILITIES AND EQUIPMENT BY THE MEDICAL EXAMINER
FOR HUMANITARIAN AND/OR CHARITABLE PURPOSES
The Medical Examiner shall be allowed to use the County's facility and laboratory
equipment for humanitarian and/or charitable purposes provided that these purposes in no way
interfere with the Medical Examiner's primary duty to serve as medical examiner for Collier
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County. As provided in Section 406.16, Florida Statutes, the County shall not be liable for any
acts of the Medical Examiner not within the scope of the official duties performed for Collier
County. The performance by the Medical Examiner of humanitarian andlor charitable services
under this paragraph shall not be considered part of the official duties of the Medical Examiner.
SECTION VII REPORTS
The Medical Examiner agrees to provide to the County quarterly reports which shall
include, minimally the following:
A. Number of all investigations and narrative reports for non-autopsy medical examiner
cases;
B. Number of all autopsies performed;
C. Court cases and medical/legal conferences, number and hours spent;
D. Number of authorizations for all cremations and burials at sea and anatomical
dissections;
E. Number of hours of scene investigations;
F. Any other activities not described above.
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The Quanerly report shall
subn1ittcd
the 10th
l11e n10nth 10 t11e (=,ounr~/s En1ergeI1c~,
Jv1anagenlent Director.
SECTION VIII MEDIC.AL EXAMINER INDEPENDENT CONTRACTOR
A. It is hereby stated to be the expressed intent of the parties that under this Agreement
the Medical Exanliner shall act exclusively as an independent contractor rendering professional
services for the County in accordance with Chapter 406, Florida Statutes, and the Medical
Examiner shall not be considered as an employee or agent of the County. The Medical Examiner
shall be solely responsible for the payment of all applicable taxes for compensation paid to the
Medical Examiner by the County pursuant to this Agreement. The Medical Examiner shall not
be eligible for, nor participate in, any fringe benefits from the County.
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B. The Medical Examiner shall be responsible for employing and providing by separate
Agreement, independent of the County, all personnel or other services necessary for the
performance of the duties and responsibilities under this Agreement and in accordance with
Chapter 406, Florida Statutes. The Medical Examiner shall have complete supervision and
control over said employees who shall not be entitled, as a result of this Agreement, to any
benefits granted employees of the County.
C. Pursuant to Section 406.16, Florida Statutes, the County shall not be liable for any
acts of the Medical Examiner that are not within the scope of the official duties as Medical
Examiner.
SECTION IX
NO PARTNERSHIP
Nothing contained in this Agreement shall create or be construed as creating a
partnership between the County and the Medical Examiner.
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SECTION X
NO DISCRIMINATION
The Medical Examiner agrees that there shall be no discrimination as to race, sex. color..
creed or national origin at any County facilities provided under this Agreement and with regard
to the prOVISIOn the services the ],vIedica] Examiner contemplated this i\.greemenL
COMPENSATION FOR ]'v1EDICAL
COLLIER CRIMINAL PROCEEDINGS
In accordance with the provisions of Chapter 29, Florida Statutes, as amended by Senate
Bill 2962, effective July I, 2004. all fees for expert testimony of the Medical Examiner in
criminal proceedings shall be paid by the State of Florida. Upon performance of service, the
Medical Examiner shall submit its fee for service to the appropriate State agency or court-
appointed counsel.
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SECTION XII NOTICES
All notices from the County to the Medical Examiner shall be deemed duly served if
mailed by certified mail to the Medical Examiner at the following address:
Office of the Medical Examiner
3838 Domestic Avenue
Naples, FL 34104
All notices from the Medical Examiner to the County shall be deemed duly served if
mailed by certified mail to the County at the following address:
Collier County Emergency Management Director
8075 Lely Cultural Pk\vy, Suite 445
Naples, Florida 34113
The County and the Medical Examiner may change the above mailing addresses at any
time by giving the other party \\TItten notification within fifteen (15) days of said mailing
address change.
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All notices under this Agreement must be in writing.
SEerION xm NO IIv1PROPEI? USE
Medical Examiner v,:ill not use. nor suffer or permit any person to use in any ma.'1ner
an:' Improper. immoral or ofTensive purposes. or an\'
purpose in violation or am rec1eraL state. county. or municipal ordinance. rule, order or
regulation, or of any governmental rule or regulation now in effect or hereafter enacted or
adopted. In the event of such violation by the Medical Examiner or any staff of the Medical
Examiner, the County shall have the right to suspend this Agreement with the Medical Examiner.
Should the Medical Examiner fail to correct any such violation within twenty-four (24) hours
after receiving notice of such violation, such suspension shall continue until the violation is
cured.
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SECTION XIV INDEMNIFICATION
The Medical Examiner shall hold harmless and defend Collier County and its agencies
and employees from all suits and actions, including attorney fees and all costs of litigations and
judgments of any name and description arising out of, or incidental to, the performance of this
Agreement or services performed hereunder. The Medical Examiner's obligation pursuant to this
provision shall not be limited in any way by the agreed-upon compensation under this
Agreement or the Medical Examiner's limit of, or lack of, sufficient insurance protection. This
section does not pertain to any incident arising from the sole negligence of Collier County.
SECTION XV TERMINATION AND CONTINUITY OF SERVICES
A This Agreement may be terminated by either party upon ninety (90) days written
notice to the other party by certified mail, return receipt requested. The parties shall deal with
each other in good faith during the ninety-day period after any notice of any intent to terminate
has been given. Either party may terminate this Agreement immediately for reasonable cause,
upon \\Titten notice to the other. Reasonable cause shall include but not be limited to:
(l} Material violation{s) of this Agreement;
Suspension or revocation of the Medical Examiner's license to practice medicine
Of
dIscipli.nary
taken against
tvIedical Examiner
the F'lorid3
Examiners Commission or similar regulatory authority:
(3) Revocation of the Medical Examiner's appointmem as Medical Examiner for
Florida Medical Examiner District Twenty;
(4) Any violation of the Medical Examiner's duties as required under Chapter 406,
Florida Statutes;
(5) Repeated and/or prolongedabsence(s) from office substantially affecting the
performance of the duties of the Medical Examiner under this Agreement;
(6) The death of the Medical Examiner;
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(7) Physical and/or mental incapacitation of the Medical Examiner substantially
affecting the performance of the duties of the Medical Examiner under this Agreement.
B. In the event of a termination of this Agreement by the County, the County shall only
be required to pay such compensation to the Medical Examiner as she may be entitled to for
services performed until the time of termination.
SECTION XVI AMENDMENTS
This Agreement may be modified by amendment at any time provided that such
amendment is in writing and signed by both parties.
SECTION XVII ATTORNEY FEES
In the event of any litigation arising under this Agreement, the prevailing party shall be
entitled to recoup attorney fees and all costs of litigation from the non-prevailing party at both
trial and all appellate levels.
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IN WITNESS WHEREOF, the parties have caused this Agreement to be executed on the day
first above written.
ATTEST:
Dwight E. Brock, Clerk
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
Deputy Clerk
By:
Fred W. Coyle, Chairman
First 'Witness
MEDICAL EXAMINER
Signature / Date
Marta U. Coburn, M.D.1\1edical Examiner
Florida District Twenty
Date:
Typed or Printed Name
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Second \Vitness
Signature
or Primed Name
unci
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