Backup Documents 09/24/2013 Item #16E10ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 0
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNA i
Routed by Purchasing Department to
Office
Initials
Date
the Following Addressee(s) (In routing order)
appropriate.
Initial
A licable
1 Risk Aifnnal emenf
Risk
DD
2. County Attorney Office
County Attorney Office
cfi
16.E.10
Approved by the BCC
3. BCC Office
Board of County
Type of Document
Contract Amendment
Commissioners
2
Attached
4. Minutes and Records
Clerk of Court's Office
PO number or account
N/A
Solicitation / Contract
11 -5776 Marta C
number if document is
5. Return to Purchasing Department
Purchasing
Coburn
to be recorded
Contact: Diana DeLeon
5.
PRIMARY CONTACT INFORMATION
Name of Primary
Diana DeLeon, September 24, 2013
Phone Number
252 -8375
Purchasing Staff
appropriate.
Initial
A licable
Contact and Date
Does the document require the chairman's original signature?
DD
Agenda Date Item was
September 24, 2013 V
Agenda Item Number
16.E.10
Approved by the BCC
provide the Contact Information (Name; Agency; Address; Phone) on an attached sheet.
Type of Document
Contract Amendment
Number of Original
2
Attached
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Documents Attached
PO number or account
N/A
Solicitation / Contract
11 -5776 Marta C
number if document is
All handwritten strike - through and revisions have been initialed by the County Attorney's
NumberNendor Name
Coburn
to be recorded
Office and all other parties except the BCC Chairman and the Clerk to the Board
INSTRUCTIONS & CHECKLIST
•
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
Initial
A licable
1.
Does the document require the chairman's original signature?
DD
2.
Does the document need to be sent to another agency for additional signatures? If yes,
N/A
provide the Contact Information (Name; Agency; Address; Phone) on an attached sheet.
3.
Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney.
4.
All handwritten strike - through and revisions have been initialed by the County Attorney's
N/A
Office and all other parties except the BCC Chairman and the Clerk to the Board
5.
The Chairman's signature line date has been entered as the date of BCC approval of the
N/A
document or the final negotiated contract date whichever is applicable.
6.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
DD
signature and initials are required.
7.
In most cases (some contracts are an exception), an electronic copy of the document and
DD
this routing slip should be provided to the County Attorney's Office before the item is
input into SIRE.
8.
The document was approved by the BCC on the date above and all changes made
DD
during the meeting have been incorporated in the attached document. The County
Attorney' Office has reviewed the changes, if applicable.
9.
Initials of attorney verifying that the attached document is the version approved by the
BCC, all changes directed by the BCC have been made, and the document is ready for the
Chairman's signature.
•
16E10
MEMORANDUM
Date: October 1, 2013
To: Diana De Leon, Contracts Technician
Purchasing Department
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Contract #11 -5776 Amendment 2 for ME Services with Dr. Marta
Coburn extending the agreement term to September 30, 2014
Attached is an original copy of the amendment referenced above, (Item #16E10)
approved by the Board of County Commissioners on September 24, 2013.
The second original will be held on file in the Minutes and Records Department for
the Board's Official Record.
If you have any questions, please contact me at 252 -8406.
Thank you.
Attachment
16E10
AMENDMENT 2
11 -5776 AGREEMENT FOR MEDICAL EXAMINER SERVICES
THIS AMENDMENT TO AGREEMENT FOR MEDICAL EXAMINER
SERVICES, ( "Amendment ") is made and entered into this 2_0ay of , 2013, by
and between Marta U. Coburn, M.D., Florida district Twenty medical examiner for Collier
County, Florida, doing business as District 20 Medical Examiner, Inc., a Florida for Profit
Corporation, (hereinafter called "Medical Examiner "), and the Board of County
Commissioners of Collier County, Florida, (hereinafter called "County "), collectively
r
referred to as the "parties."
RFCTTAT.C-
WHEREAS, the parties entered into an Agreement for Medical Examiner Services
( "Agreement ") dated September 27, 2011, a copy of which is attached hereto; and
WHEREAS, the First Amendment dated September 25, 2012 is scheduled to
terminate on September 30, 2013; and
WHEREAS, the parties wish to extend the term of the Agreement and provide for
certain costs relating to Information Technology and General, Property, and Liability
insurances as set forth below.
WITNESSETH:
NOW, THEREFORE, in consideration of Ten Dollars ($10.00) and other good and
valuable consideration exchanged amongst the parties, and in consideration of the covenants
contained herein, the parties agree as follows:
1. All of the above RECITALS are true and correct and are hereby expressly
incorporated herein by reference as if set forth fully below.
2. Section I of the Agreement is hereby amended by extending the term of the
Agreement from October 1, 2013 through September 30, 2014.
3. Section III, Paragraph A of the Agreement is hereby amended to read as
follows:
"The County hereby agrees to compensate the Medical Examiner for services to be
performed for the term of this Agreement, beginning on October 1, 2013, the amount
of one million, twenty eight thousand, five hundred dollars ($1,028,500) by
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NO
16ElU
semimonthly payments ending September 30, 2014. In addition, the County will
make payments on behalf of the Medical Examiner for County - allocated charges
consisting of Information Technology costs and General, Property, and Liability
insurances in total of forty one thousand, one hundred dollars ($41,100). Any
modifications to this Contract shall be in compliance with the County Purchasing
Policy and Administrative Procedures in effect at the time such modifications are
authorized."
4. Except as modified by this Amendment, the Agreement shall remain in full
force and effect. If there is a conflict between the terms of this Amendment and the
Agreement, the terms of this Amendment shall prevail.
IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be
executed by their appropriate officials, as of the date first above written.
ATTEST:
Dwight E. Brock, ;Clerk
By:
ve
Approved as to Form and Legality:
tS_is__P&::9_
C
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
, Esq., Chairwoman
MEDICAL EXAMINER
Marta U. Coburn, M.D. Medical Examiner
Florida District Twenty
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Item # Q CAD
Agenda
Date
Date q -!
Deputy