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Agenda 01/08/2019 Item #16E 101/08/2019 EXECUTIVE SUMMARY Recommendation to approve Participation Agreement #19-001-WV with Cooperative Services of Florida, Inc., as a single source vendor for the purchase of medications and supplies for use by the Emergency Medical Services Division and authorize payments be made to LeeSar, Inc., as the primary distributor and supplier of products purchased under this Agreement. OBJECTIVE: To provide an additional source for medications and expendable supplies so Collier County EMS can respond to calls for public safety response. CONSIDERATIONS: On July 11, 2017 (Agenda Item 16.E.7), the Board awarded Agreement #16 - 6593 for “EMS Expendables” to multiple vendors to provide sources for medical supplies. On September 11, 2018 (Agenda Item 16.E.7), the Board awarded Agreement #18-7330 “Medications for Emergency Medical Services” to Bound Tree Medical, LLC to provide medications. Previously, to assure availability, on February 25, 2014 (Agenda Item 16.E.10), the County approved a Participation Agreement (#13-6060) with Cooperative Services of Florida, Inc. (CSF) providing for a cooperative purchasing program of medications and supplies. This Agreement has since expired and staff recommends Board approval of a new Agreement with CSF to continue to participate in this program, which allows for the purchase of medications and supplies if it results in a financial advantage to the County. CSF uses the power of group purchasing on behalf of its members to negotiate cost -saving contracts with manufacturers and service providers. LeeSar, Inc. (LeeSar) is CSF’s products distributor, providing medications and supplies to Lee and Sarasota County hospitals, EMS and various fire departments in several counties. A significant advantage of LeeSar is that it can repackage dru gs as a compound pharmacy, which assures dosages that are customary and in alignment with medical protocols. In addition, LeeSar can often provide products that may be temporarily unavailable through contracted vendors due to product shortages, etc. County staff will continue to evaluate product pricing provided through the CSF Agreement, compared to the awarded vendors under both the Expendables and Medication bids. If the pricing is in fact lower than our contracted pricing, LeeSar will serve as the County’s primary supplier. The term of the proposed Agreement is for one (1) year, with three (3) additional one (1) year renewal options. Pursuant to Section Eleven, sub-paragraph 11 of the Collier County Procurement Ordinance 2017-08, staff requests that the Board of County Commissioners find that it is in the best interest of the County to waive formal competition and authorize the purchase of pharmaceuticals, medical supplies and related material from Cooperative Services of Florida, Inc., as a single source vendor. FISCAL IMPACT: Funds are available in the EMS department budget cost center 144610. Estimated annual expenditure for medications and supplies is $130,000. GROWTH MANAGEMENT IMPACT: No Growth Management Impact is associated with this action. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. -SRT 16.E.1 Packet Pg. 1515 01/08/2019 RECOMMENDATION: To approve Participation Agreement # 19 -001-WV with Cooperative Services of Florida, Inc., for the purchase of medications and supplies, authorize payments be made to LeeSar, Inc. as the primary distributor and supplier of products purchased under this Agreement, and authorize the Chair to sign the Agreement. Prepared by: Artie R. Bay, Supervisor, EMS Administration ATTACHMENT(S) 1. 19-001 WV CooperativeServices_Contract_VendorSigned (PDF) 2. Waiver Request 408 - Leesar (Cooperative Svcs) (PDF) 3. 19-001 WV LeeSar_Insurance_12-18-18 (PDF) 16.E.1 Packet Pg. 1516 01/08/2019 COLLIER COUNTY Board of County Commissioners Item Number: 16.E.1 Doc ID: 7573 Item Summary: Recommendation to approve Participation Agreement #19-001-WV with Cooperative Services of Florida, Inc., as a single source vendor for the purchase of medications and supplies for use by the Emergency Medical Services Division and authorize payments be made to LeeSar, Inc., as the primary distributor and supplier of products purchased under this Agreement. Meeting Date: 01/08/2019 Prepared by: Title: Supervisor - Accounting – Emergency Medical Services Name: Artie Bay 12/13/2018 7:17 AM Submitted by: Title: Division Director - EMS Operations – Emergency Medical Services Name: Tabatha Butcher 12/13/2018 7:17 AM Approved By: Review: Emergency Medical Services Tabatha Butcher Additional Reviewer Completed 12/13/2018 9:03 AM Procurement Services Opal Vann Level 1 Purchasing Gatekeeper Completed 12/13/2018 10:30 AM Administrative Services Department Paula Brethauer Level 1 Division Reviewer Completed 12/14/2018 10:02 AM Procurement Services Ted Coyman Additional Reviewer Completed 12/17/2018 5:32 PM Procurement Services Sara Schneeberger Additional Reviewer Completed 12/18/2018 8:38 AM Procurement Services Sandra Herrera Additional Reviewer Completed 12/18/2018 1:16 PM Administrative Services Department Len Price Level 2 Division Administrator Review Completed 12/19/2018 10:22 AM County Attorney's Office Scott Teach Level 2 Attorney Review Completed 12/20/2018 2:05 PM County Attorney's Office Emily Pepin CAO Preview Completed 12/20/2018 2:11 PM Office of Management and Budget Laura Wells Level 3 OMB Gatekeeper Review Completed 12/20/2018 4:23 PM Office of Management and Budget Laura Wells Additional Reviewer Completed 12/20/2018 4:31 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 12/21/2018 8:50 AM County Manager's Office Nick Casalanguida Level 4 County Manager Review Completed 12/27/2018 3:29 PM Board of County Commissioners MaryJo Brock Meeting Pending 01/08/2019 9:00 AM 16.E.1 Packet Pg. 1517 16.E.1.aPacket Pg. 1518Attachment: 19-001 WV CooperativeServices_Contract_VendorSigned (7573 : LeeSar Agreement) 16.E.1.aPacket Pg. 1519Attachment: 19-001 WV CooperativeServices_Contract_VendorSigned (7573 : LeeSar Agreement) 16.E.1.aPacket Pg. 1520Attachment: 19-001 WV CooperativeServices_Contract_VendorSigned (7573 : LeeSar Agreement) 16.E.1.aPacket Pg. 1521Attachment: 19-001 WV CooperativeServices_Contract_VendorSigned (7573 : LeeSar Agreement) 16.E.1.aPacket Pg. 1522Attachment: 19-001 WV CooperativeServices_Contract_VendorSigned (7573 : LeeSar Agreement) 16.E.1.aPacket Pg. 1523Attachment: 19-001 WV CooperativeServices_Contract_VendorSigned (7573 : LeeSar Agreement) 16.E.1.aPacket Pg. 1524Attachment: 19-001 WV CooperativeServices_Contract_VendorSigned (7573 : LeeSar Agreement) Instructions Completed waiver requests accompanied by any associated backup documentation (sole source letter, business case, etc.) must be submitted to the division’s Procurement Strategist for any procurement, without competition, in excess of $3,000. Waiver requests greater than $50,000 will require approval by the Board of County Commissioners. Sole source refers to a procurement where the selection of one particular supplier to the exclusion of all others may be based on having only one supplier in the market place, proprietary technology, copyright, patent, or a supplier’s unique capability. Single source refers to a procurement directed to one source because of standardization, warranty, geographic territory, or other factors, even though other competitive sources may be available. Requester Name: Division: Item/Service: Vendor Name: Fiscal Year: Requested Date Range: Anticipated Cost per Fiscal Year: Sole Source: † Single Source: † One Time Purchase: † Multiple Purchases: † Description of Purchase:Enter a description of the item(s) items that will be purchased under this waiver. Purpose:Describe in detail, the public purpose of the requested item(s) and why it is essential to County operations. How was the decision made to use this vendor? Describe in detail if a formal standardization process was performed via Procurement or if there is a historical precedence established for the use of the product, please explain purchase and use history and the current level of County investment in the product. What is the cost/benefit of using, or continuing to use, this vendor for this product(s)? Describe savings or benefit of staying with this firm and the additional cost or down side of switching to another provider. Market research and market alternatives: When was the last time a market evaluation was performed to determine if either the technology or vendor offerings have changed? When will your next evaluation be performed? Citing the definitions provided at the top of this form, why is this either a Sole Source or a Single Source? If a sole source please provide a letter from the manufacturer indicating so, or indicating a controlled distribution to only one authorized source. If a Single Source please elaborate and justify. Collier County Waiver Request Form Artie Bay EMS Medications/Expendable Supplies Cooperative Services of FL (LeeSar) 2018 9/11/18-9/10/22 $130K ✔✔ Medications and expendable supplies to stock ambulances to deliver patient care and replenishment of existing stock that staff is trained to use. To provide Collier County EMS ambulances with medication and expendable supplies required for patient care. LeeSar has long provided medications and expandable supplies to EMS at low cost and often when items are unavailable through other suppliers. LeeSar also has the capability to compound pharmaceuticals when unavailable through other sources. LeeSar distributes medications and supplies commonly used on ambulances. They often offer pricing lower than other vendors and as noted above, have the capability to compound pharmaceuticals when necessary. Obtaining quotes is not feasible in an emergency situation and would be a disruption of services that could pose a potential health risk. EMS has an expendables bid (16-6593) and a med bid (18-7330). There are times when the awarded vendors are unable to provide the product, or the County can realize a significant savings by purchasing through the LeeSar Agreement. Continue to purchase medications and expendable supplies that staff is trained to use and to avoid obtaining three quotes for emergency medications. 16.E.1.b Packet Pg. 1525 Attachment: Waiver Request 408 - Leesar (Cooperative Svcs) (7573 : LeeSar Agreement) Date of BCC standardization (if applicable): BCC Item number: It is a felony to knowingly circumvent a competitive process for commodities or services by fraudulently specifying sole source. Florida Statute 838.22(2). Requested by: Signature: Date: Division Director: Signature: Date: Procurement Strategist: Signature: Date: Procurement Director: Signature: Date: For Procurement Use Only: FY18 Approval: † FY19 Approval: † Multi-Year Approval:†Start ____________ End ____________ RUGHVLJQHH Artie Bay Artie Bay Digitally signed by Artie Bay Date: 2018.07.30 13:34:25 -04'00' Tabatha Butcher ButcherTabatha Digitally signed by ButcherTabatha Date: 2018.08.17 13:36:32 -04'00' Sara Schneeberger saraschneeberge r@colliergov.net Digitally signed by saraschneeberger@colliergov.net DN: cn=saraschneeberger@colliergov.net Date: 2018.08.22 13:59:19 -04'00' Catherine Bigelow Cat Bigelow Digitally signed by Cat Bigelow DN: cn=Cat Bigelow, o=Collier County Government, ou=Procurement Services, email=catherinebigelow@colliergov.net, c=US Date: 2018.08.22 14:02:35 -04'00' ✔09/11/2018 09/30/2022 16.E.1.b Packet Pg. 1526 Attachment: Waiver Request 408 - Leesar (Cooperative Svcs) (7573 : LeeSar Agreement) See below Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County included as an additional insured under the captioned Commercial General Liability and Automobile Liability Policies on a primary and non-contributory basis if and to the extent required by written contract. LEESAINC 11/1/2018 Certificate Department Commercial Lines – (813)-639-3000 610.537.2400 USI Insurance Services National, Inc.clw_certrequest@usi.com 2502 N. Rocky Point Drive Tampa, FL 33607 Federal Insurance Company 20281 Great Northern Insurance Company 20303 LeeSar, Inc.North River Insurance Company 21105 2727 Winkler Ave. Fort Myers, FL 33901 13631160 XA 3593-50-78 1,000,00009/25/2018 09/25/2019 X 1,000,000 15,000 1,000,000 3,000,000 X Excluded B 7498-61-46 09/25/2018 09/25/2019 1,000,000 X X XC 5821110162 09/25/2018 09/25/2019 15,000,000 X 15,000,000 0 (This certificate replaces certificate# 13631159 issued on 11/1/2018) Collier County Board of County Commissioners 3295 Tamiami Trail E. Naples, FL 34112 16.E.1.c Packet Pg. 1527 Attachment: 19-001 WV LeeSar_Insurance_12-18-18 (7573 : LeeSar Agreement) The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PERSTATUTE OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12/18/2018 Lykes Insurance,Inc. P.O.Box 60043 Fort Myers FL 33906-6043 Alefa Kerry 239-931-3015 239-931-5604 akerry@lykesinsurance.com Bridgefield Employers Ins Co.10701 LEESA-2 LeeSar,Inc. 2727 Winkler Avenue Fort Myers FL 33901 888931703 A N 0830-54755 8/31/2018 8/31/2019 X 1,000,000 1,000,000 1,000,000 RE:Collier County included as additional insured under the contract #19-001WV Collier County Board of County Commissioners 3295 Tamiami Trail E Naples FL 34112 16.E.1.c Packet Pg. 1528 Attachment: 19-001 WV LeeSar_Insurance_12-18-18 (7573 : LeeSar Agreement)