Backup Documents 02/24/2009 Item #16D 7ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160 7
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are in be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines #I through #4 as appropriate for additional signatures, dates, and /or information needed. If the document is already complete with the
ti—,. li— rh. ... oh rruinno lint 01 r u.io,h 94. comnlete the checklist. and forward to Sue Filson (line #5).
Route to Addressee(s)
List in muting order
Office
Initials
Date
1. Terri Daniels
Housing and Human Services
Initial)
12/4/09
2.
February 24, 2009
Agenda Item Number
16D7
3.
signed by the Chairman, with the exception of most letters, must be reviewed and signed
4. Ian Mitchell, Manager
Board of County Commissioners
Number of Original
1 ZI $ n9
5. Minutes and Records
Clerk of Court's Office
Documents Attached
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC" approval. Normally the primary contact is the person who created /prepared the executive
summary. Primary contact infomaton is needed in the event one of the addressees above, including Sue Filson, need to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item )
Name of Primary Staff
Terri Daniels
Phone Number
252 -2689
Contact
appropriate.
Initial)
Applicable)
Agenda Date Item was
February 24, 2009
Agenda Item Number
16D7
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
Agreement PLAN 08 -09
Number of Original
3
Attached
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
INSTRUCTIONS & CHECKLIST
C Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
Initial)
Applicable)
1.
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. This includes signature pages from ordinances,
resolutions, etc. signed by the County Attorney's Office and signature pages from
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and possibly State Officials.
2.
All handwritten strike- through and revisions have been initialed by the County Attorney's
Office and all other parties except the BCC Chairman and the Clerk to the Board
3.
The Chairman's signature line date has been entered as the date of BCC approval of the
document or the final negotiated contract date whichever is applicable.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Sue Filson in the BCC office within 24 hours of BCC approval.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
6.
The document was approved by the BCC on (enter date) and all changes
made during the meeting have been incorporated in the attached document. The
County Attorney's Office has reviewed the changes, if applicable.
C Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
16D 7
MEMORANDUM
Date: December 8, 2009
To: Terri Daniels, Grants Supervisor
Human Services Department
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Agreement PLAN 08 -09
Attached, please find two (2) originals as referenced above (Agenda
Item #16D7), approved by the Board of County Commissioners on
Tuesday, February 24, 2009.
Please return any fully executed original documents back to the
Minutes & Records Department for the Board's Official Record.
If you should have any questions, please call 252 -7240.
Thank you.
160 7
AGREEMENT
THIS AGREEMENT, made and entered into on this � day of February 2009, by and
between the Physicians Led Access Network of Collier County (PLAN), authorized to
do business in the State of Florida whose business address is 1012 Goodlette -Frank Rd.,
Suite #201, Naples, Florida 34101, hereinafter called the "Contractor' (or "Consultant ")
and Collier County, a political subdivision of the State of Florida, Collier County,
Naples, hereinafter call the "County ":
COMMENCEMENT. The contract shall be for a one (1) year period, commencing
on January 1, 2009, and terminating on December 31, 2009. The County may, at its
discretion and with the consent of the Contractor, renew the Agreement under all
of the terms and conditions contained in this Agreement for two (2) additional
twelve (12) month periods. The County shall give the Contractor written 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 then in effect.
1. SCOPE OF WORK: The Contractor shall assist income eligible residents of
Collier County with access to medical services provided by physicians in PLAN's
network. The network physicians will accept uninsured income eligible persons
and provide professional services which may include, but are not limited to, an
appointment with a physician, lab work, diagnostic testing, surgical
hospitalization, medical testing , these will be services /visits required by a
physician. Intakes will be completed and verified by the Patient Coordinator
who will obtain all necessary household documentation and determine eligibility
for this program.
2. COMPENSATION. The County shall pay the Contractor for the performance of
this Agreement an estimated total amount of fifty- thousand dollars, ($50,000)
based on the reimbursement of allowable expenses incurred. Quarterly
payments will be made upon receipt of a proper invoice and in compliance with
Section 218.70 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 payments for work not performed or for
unsatisfactory performance of Contractual requirements. The County shall pay
the Contractor for the performance of this Agreement.
The Contractor shall submit detailed quarterly progress reports to the Housing
and Human Services Department by the 15th of the month following the
reporting quarter. The progress report format is outlined in Attachment A and
the reporting schedule is cited below:
1
1&D 7
Quarter
Service Dates
Re ort Due
15t Quarter
January 1 March 31
Aril 151i
2nd Quarter
April I - June 30
July 151i
3rd Quarter
Jul 1 - September 30
October 151i
41 Quarter
October 1 - December 31
January 151i
3. NOTICES. All notices from the County to the Contractor shall be deemed duly
served if mailed or faxed to the Contractor at the following address:
Physician Led Access Network (PLAN)
of Collier County, Inc.
1012 Goodlette -Frank Rd., Suite #201
Naples, Florida 34101
Paul Mitchell, M.D., Board Vice - Chairman
Phone: (239) 434 -0008
Fax: (239) 417 -8900
All notices from the Contractor to the County shall be deemed duly served if mailed or
faxed to the County to:
Housing and Human Services Department
3301 Tamiami Trail East Bldg. H/211
Naples, Florida 34112
Attn: Marcy Krumbine, Director
Phone: 239 - 252 -2273
Fax: 239-252-2638
The Contractor 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.
4. NO PARTNERSHIP. Nothing herein contained shall create or be construed as
creating a partnership between the County and the Contractor or to constitute
the Contractor as an agent of the County.
5. SUBCONTRACTS. Any work or services subcontracts by the Contractor shall
be specifically by written contract or agreements, and such subcontracts shall be
subject to each provision of this Agreement and applicable County, State, and
Federal guidelines and regulations. Prior to execution by the Contractor of any
subcontract hereunder, such subcontracts must be submitted by the Contractor
to Housing and Human Services for its review and approval. None of the work
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or services covered by the Agreement, including but not limited to consultant
work or services, shall be subcontracted by the Contractor or reimbursed by the
County without prior written approval of the Housing and Human Services
Director or her designee.
6. AMENDMENTS. The COUNTY may, at its discretion, amend this Agreement
to conform to changes required by Federal, State, County, or HUD guidelines,
directives, and objectives. Such amendments shall be incorporated by written
amendment as a part of this Agreement and shall be subject to approval of the
COUNTY. 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.
PERMITS: LICENSE TAXES. In compliance with Section 218.80, F.S., all
permits necessary for the prosecution of the Work shall be obtained by the
Contractor. Payment for all such permits issued by the County shall be
processed internally by the County. All non - County permits necessary for the
prosecution of the Work shall be procured and paid for by the Contractor. The
Contractor shall also be solely responsible for payment of any and all taxes
levied on the Contractor. In addition, the Contractor shall comply with all rules,
regulations and laws of Collier County, the State of Florida, or the U. S.
Government now in force or hereafter adopted. The Contractor agrees to comply
with all laws governing the responsibility of an employer with respect to persons
employed by the Contractor.
8. NO IMPROPER USE. The Contractor will not use, nor suffer or permit any
person to use in any manner whatsoever, county facilities for any improper,
immoral or offensive purpose, or for any purpose in violation of any federal,
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 Contractor or if the County or its authorized
representative shall deem any conduct on the part of the Contractor to be
objectionable or improper, the County shall have the right to suspend the
contract of the Contractor. Should the Contractor 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 Contractor
further agrees not to commence operation during the suspension period until the
violation has been corrected to the satisfaction of the County.
9. 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
160 7
Chapter 112, Part III, Florida Statutes, Collier County Ethics Ordinance No. 2004-
53, 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 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.
10. TERMINATION. Should the Contractor be found to have failed to perform his
services in a manner 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.
11. NO DISCRIMINATION. The Contractor agrees that there shall be no
discrimination as to race, sex, color, creed or national origin.
a. Equal Employment Opportunity Plan requirements: In accordance with
Federal regulations, and Assurance No.6 in the Standard Assurances, your
organization must comply with the following EEOP requirements:
12. INSURANCE. The Contractor shall provide insurance as follows:
A. Commercial General Liability: Coverage shall have minimum limits of
$1,000,000 Per Occurrence, Combined Single Limit for Bodily Injury Liability
and Property Damage Liability. This shall include Premises and Operations;
Independent Contractors; Products and Completed Operations and
Contractual Liability.
B. Business Auto Liability: Coverage shall have minimum limits of $500,000
Per Occurrence, Combined Single Limit for Bodily Injury Liability and
Property Damage Liability. This shall include: Owned Vehicles, Hired and
Non -Owned Vehicles and Employee Non - Ownership.
C. Workers' Compensation: Insurance covering all employees meeting
Statutory Limits in compliance with the applicable state and federal laws.
The coverage must include Employers' Liability with a minimum limit of
$1,000,000 for each accident.
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Special Requirements: Collier County shall be listed as the Certificate
Holder and included as an Additional Insured on the Comprehensive
General Liability Policy.
Current, valid insurance policies meeting the requirement herein identified
shall be maintained by Contractor during the duration of this Agreement.
Renewal certificates shall be sent to the County 30 days prior to any
expiration date. There shall be a 30 day notification to the County in the
event of cancellation or modification of any stipulated insurance coverage.
Contractor shall insure that all subcontractors comply with the same
insurance requirements that he is required to meet. The same Contractor
shall provide County with certificates of insurance meeting the required
insurance provisions.
12. INDEMNIFICATION. To the maximum extent permitted by Florida law,
the Contractor or 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 Contractor or Consultant or anyone
employed or utilized by the Contractor or 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.
13. CONTRACT ADMINISTRATION. This Agreement shall be administered on
behalf of the County by the Housing and Human Services Department.
14. CONFLICT OF INTEREST: Contractor 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. Contractor further
represents that no persons having any such interest shall be employed to perform
those services.
15. SUBJECT TO APPROPRIATION. It is further understood and agreed by and
between the parties herein that this agreement is subject to appropriation by the
Board of County Commissioners.
5
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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 and year first
above written.
ATTEST:
DWIGHT E. BROCK, Clerk
By
Deputy Clerk
AttW Oki
slgnatwt 0010
First Witness
TType /print witness nameT
Second Witness
TType /print witness nameT
Approved as to form and
legal sufficiency:
(' t,JY)
Colleen M. Greene
Assistant County Attorney
COLLIER COUNTY HOUSING AND
HUMAN SERVICES
BY:
BOARD OF COUNTY COMMISSIONERS
COLLIER CO Y, FLORIDA
By � 0�rn.t �..
Donna Fiala, Chairman
Date: February 24, 2009
PHYSICAN LED ACCESS NETWORK OF
COLLIER COUNTY
By:
Mike Ellis
PLAN Board UiFFt > y n Treasurer
Date: February 24, 2009
Item# 611-1 —
Agenda 2 21} p9
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