Item D07
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~A()~\jf~~{)E CC)tJr'Jl'\( B()A.F.c!J ()F
~3ljr'~1r\Al\R';{
(:;ontract #.
vvith:
Effect!V6
Contract
Contract
for BOCC
on
Deadiini3:
C()~Jl~f~J\C;<~r C()S. ~ -:3
C::ontract:
i.~o
f\CGOunt (;odes:
!::...[)D~.r~or\J,/5*.L (~C;STS
Estirnated
Costs:
I'm:
{Not included in dollar value
etc. '~
R.EV! EVI/
Division Director
Date Out
[jate In
Needed
Risk
O~1l8 Farrel F-{:s\/ised
#2
",..--.=,-=-,--,.~.
BO!-\R[] (JF C;fJi.JrJLfY C;C)r.c,i!vl!.S,S!~J't\jER~3
(~ON"T F~f-\ c~r :3 tJ rv1 r~A l\ k ''{
C:ontract #
CCJntract \lifith:
Effecthl8
C;ontract
~
r
!
~
I
I
j
C;ontract
soee
on
[)eadHne:
'~oiR".~~~'~~JI;:";;;;::~~~=":'J..:zg'~~~'~~~n~'~';;,~'mi!":':.C~~="i~lll'-:i"~~~~
c:o~"rrRl-\Cl" C.QST'S
Current '"{ear Portion:
001 ~()~1 t;08.,.53034.Q
l\C~r)fT!ONt\L C()S'T~;
For:
f\Jo
l\cco:Jnt Codes:
etco
CO NT PJ.i,.GT
Division Director
Data ~n
Risk
Forrn Revised
1 /95 MCF~ #2
'Th
is rnaae and entered into this
or
tJ F C() tJ r~"T'Y (,0 1'Jf ~jl 1;35 I C} f\{ E R:::; 0 F rvl (1 i\J R_ () EC20 LJ f\j"T"y'?
or
tI
'd
the 'GtJIl.J;4J\lCE C:Llf\jIC: ()F ""THE
hE-rei nafter refc:;rred to as \", Prov~df..:r.
the Board and t~~;e Pro\/ider des!re to enter !r~to an ooreernent
the
Board contracts for St::;r\i~CeS from the Pro\/ider fa the
of mental
serviCE'S to
citizf.:ns of f\'1onroe
anci
to
VVH
rnenta~
the l~oard is \lested ar1(1
\/\f~th certain dtxUes ar1d
and
of the cltLz(::ns of l\tlonroe
and
such serv~ce::, !-l21\/e
lnva!uabie tCi the c~tizens Df tl'-if:? Cou
been rt::ndert"?d
..'
Ule
~Jrovlcier In
and
Deen
f and
the
It
to enter into tin
fcn'" services to be
~n
C::ONSI[)ER)J\'TIor-'J of the rnutual pforn!ses and covenar~ts contained
n, ~t ~s
as foHov\fs:
FlH',u.:n:NG
rhf:
and out
reimburse
and cr~s~s stabinzation
for such services uncle, state and
and for Baker ,A.ct non-Baker Act mental
substance abuse treatrnenL This cost shaH not e~'{ceed a total mbursement of
FIFfEEN THOUSAND, ONE-HUNDRED, DOLLARS
fiscal year as follows:
considerat~Qn (~f
Pro\lidt~r
or the
for Baker .t\ct
the
[J()LLA"R.S
the sumDf FORTY-TWO
for Commu
l'l,I\JD
00
Coordinator ser\/[ces,
b)
the surrl
FIVE-HUNDRED SIX"iV-SIX
Hea
Baker ~:!\ct
SE'\/Ef\J
AND
cc~rnrnun
n1enta;
. .
anUS;2 ser\l~ces
the surn ~)f EI(;rfTY'~.SIX "T~'.fOlJS/\r\EDJ
GO
D(}LL/\RS
trE:atrnent :se~~l~ces,
d) the surn of Or'l~E ~-1lj
AND 100 DOLlARS 11
1\1 I !\1 E-r E E f\j
f~ct
SE\,/Ef\J HUr<~
2~ TE&{~~,. "T'his
reeir1E:.~nt sha~~ cornrnenc€~
and terrnlnatE;
be:;?"'
200u less f~ariit~t terrrdnated pursuant to other
3~ PA~~~1E~Jl"'~
Su rn rf;a r\:'
rnade a\/(,1i~a
to the
54,ct EHHnq
nce
contra{:t,
financial
is
page }
in office
no later thE.! II 15t1<1
for Baker Act
services
of the foHovvtng
be
Ie set forth in l~.ttachrr~ent
abc*v8,. After the C:~erk of th~:; f30ard
Provider fo~~~ its
e~;.(penses~ ~1ovveVt=-rf the tClta
sunl shan not
tata! arnou
sh()vvn in p~rt~cie
T>J pn::ser\!2 client
not be
to the Boa td for
under contmIlE~d. conditions to
r~,=irrlbursernent purposes
for audit purposes,
f~naJ fnvoice rnust tJ2 recEdved vvith~n
of th
coritract ShO\t\Jil in !~.rt~cle 2 abo\/e.
.After the C:terk of the Board exarnfnes an(j approves the fC1r tne
BDard shan reirnburse the PFzO\/I[)ER. HOt~Aie\le~-p thE~ tota~ ()f sc~d rEdrnbursernent expf~nse
in the sunl shaH not exceed t~~le tota~ arnount shcnlvn in /-'\J'tgcre .
during the term of th~s
4. J\VAIlABltITY O~ FUNDSo If funds cannot be obtained or cannot be contInued at a
fevei suffic!ent to aifO\o\i for continued rei of res for serv~ces
thjs
bt"~ terrrdnated
the PRO\lIDER
The
after
law.
at the of the E3.oard vvritten notk:€ of
sha~i r10t be t~J: pcl':l for arr)f sE:~-vfces
the PROVIDER has received 'Nritten notk::e of
t{::rrTI;nat~on denvered to the PRO\iI[)EFt.
ISL CLAIMS FOR FEDERAt OR STATE AID. PROVIDER and
and and obta~n federal and
purpose of this
so!icltations shall be
agree each shaii
to fu rther the
and fu
funds
accounted for
6. PURCHASE Of PROPERTY,. All prope whether rea! or
under this shaH become the
to
\Nith
and shall bf~
rements~
RECORDKEEPn~(~
'7" RECORDS. PFWVIDER shall maintain all
shaii have reasonabie and
records purposes
terrninat~on of this
access to such
in ac:con:la"ce with
to th1S
under this
Each
the ternl of
If c:r1 aud~tor
~-h:Cf
"-~ n_
th~s
to PROVIDEF~ pursuant this
the PROVIDER shan repay the
frorn thE~ date the ~-'non~es v"/ere
B. PUBLIC ACCESS.
access to,
and f)R()\lIDER shan
receh/ed
tt'H:~
the
9. COf~WLI/U;~CE Wn"H COUr~T"f GiJIOElINtES.
C:OUNTY:
r)p,O\/IDER~ rnust rnfSh to the
(2-~) e\/tdencE: the
list of the c~rga
h
rnust
"fj\/rt:.::
rYj0 r;?: ,
Gu!ciance
j1A/dd/e Keys FY05:
:2
, .,
nas Deen
of annua~ election
organization"s
~ri~l Ese
ment of
other reasonable
.=(~N~4~'Qd
! <......, (~, ....;",.",,-',
IlJith a
contract
and the scope
rr~ay frotT! t~rne to t~rne
RESPONSIEHtlTIES
10.
'The Pn)\dder, for the
and
counsed in the rnatter of f11entaf hea~th and
co\/enants i:~n(f
agret~,S \,vith
and carr;/ out the
to the citizens
of the
the
Board
rli1idd~e
these services rn
with
Florida Statutes 39/.~.. Said services shan i but are not
Providerfs Detans of for VVh~cf1 is
h2reto as Exhibit C and rlerein, Baker Act and r.!!an::hrnan Act
\lvh~ch are covered under th~s may be but are
forth n lUtachment D, and the limitations above, The shail be
conditions ()f this but not t() insurance and
as is the Provider.
attached
serv~ces
rates set
to aB of the
1:1. ATTORNEY'S FEES AND COSTS. The and PROVIDB.:z agree
any cause of action or is initiated or EH1)l
th(:: shall bE~
in th(~ (~vent
to
to
reasonabie
as an aVI!2!rd
initiated and
accordance with the Rules of Cl'y!!
the circuit court of 1'1cmroe COLI
12, BINDING EFfECT. The
successors, and
13, CODE OF ET~HCS>
agrees that
vV'ij~ be require'o tc;
as
r111SUSe c\f
lJr'" contr'Eictua!
n"z
t... ;
14.
PA';'fr~l~ErJl". ~rhe Cou
a
nor retair"'led any
\/vorki ng
upon or
of the
Ailddie
,C\/OE;;
:I
monif:S O\.~
15"
PROVIDER
INDEPENDENT
/\t
tirnes
and
e .
IS arj j
contractor E1nd
rH:Jt art
an purposes
of U'le Boa
as to find the PP:C)\JIDEF~, or
of the Board.
arry9
or its
contained in this
aq r~E:en~1er~t
shan be
c[}nstrued
servarlts or
to be
COMPLIAi\sCE ISSUES
HL COMPlU~NCEWIT~i LAW, In
those no\;'! in
PRC}\/IDEF< s!1an
the
vioiatiof"'i of sa~d orcHnances1 ruies and regurations shaH CCH"';st~tute a
this and shan entitfe t~'''le Boa?"!.i to terrrdnate th~s contract
vvrftten notice of terrnination to the PRC)\/IC)ER.~
17. PROfESSI()r~AL The PROVIDER shal! assunc~
aU f12Hle current and
insurance COVErage. Fu th€3 Board is conti upon retention or state
federa~ certification ncensur(~ of the PF<,O~VI[)ER.tS prc'1grarn and staff~
discrimination on the basIs of
use 55, 6101-6 vvh~ch
and Treatment Act or 1972
of abuse; The
Rehabii~tat~on Act of 1970
a~coho~
18. i'U::H~-DISCRI!\UNA,TrOr;L
discrimination any person, and it is
court of that
terminates vvithout any further action on the
order, or PROVIDER agree to vvith ail Federal
as to nondiscrimination
Title VI or the Civil Act of 1964 which
race, coior ore national Education
USC 55, 1681- and
and PR.oVIDER agree that
understood that upon a
has this
effective the
and Florida
a
Section 504 of the RehabHitation
55,.
Act of 1990 use: s. 1201
nond~scrirriir;ation the basIs of
Fed(~ral or state statutes v\fh~ch rrv:l~1
u~:s
Afl~EN
CHA!\JG
A!\J [}
19, MODIFn:tH!ONS AND
of services shan
and an
3(1
St:r\l~ces
ftlust
r\1 ~r'{ ,
2fi, AO,:H,HiICATI0N OF DISPUTES OF~ l:HS,,&J:;
a~1ree
to
Don
of If nc)
sess~on! the
at a
Ke)/s
4
tT1E.:er~
- >"
(_~Ornn1~SS;OrEerS
stlaH hEPle tJH3
t() the
as may tJe
:2 , COOPEK6i),TION. In the ev("nt any adrrlinistrath/E:'
to the
aga ~ flS.C either
an
processes! rneetingst and other activ~t!E-:S
of the se!'~\/fces LHlder this
reer-nent she be
enter intt) any-
ASSlJRJ\J~CES
22. COVENANT OF NO INTEREST. COlJ
and PR(J\/IDE~:~ C{),Vf~nant that neither
has any
\ivith ~ts
V\fh~ch v'./oiJtd
and that
~ r~tert~st
an~f ;T~anner
to
and rece!Vt~ beneftts as ~-'ecited fn this
23, r'~o ASSIGN~'!Er'\rr" The PROVIDER shaii not
a ifJith the of the Boa \,Aihich
COfEOHJeH1S and
th(~. Board rT~ay cieern necessary" ~
shaH be
reference
any
vvith an of
Unless such no rnanner or
event be deemed to any upon the Board in add!tion to the total upon
reirnburserm~nt amount for the services of the PROVIDEFL
24,
NON-WAIVER Of IMMlH\lIT'V. hf.o,
the of the and the PROVIDER
of any commercia! insurance covera~Jei
insurance coverage shall not be
coverage; nor shall e.ny contract entered into
for w2dver.
c.~f See ~
286.
and the
or iocal
to the
Florida
in this
waiver of
trie
t{)
Free
25" ATTESTt\TIONS. PROVIDER agrees to f2:Xecute such docurnents as th(~
to include a PubUc ~:r~rr~e an Ethics
and \i\!arrants to' tJ'ie other
ha've been
a!
INOEMf'<UTY ISSUES
27'~ It'~DEf\t)NlfICA"r):()N AND [1()lD ,Hi\R~~lESS~ l~he PF<C1VI[)EP" cover~ants and agreE~s
to Call
(~ncludjng
In connection \N~thf
errors, or
FRCYVl[)E l~; ern
or vo!unteers~
exe-cn frorn
of thf::; (~ou
PRIVILEGES AND n"HVHJN:Cr:n::S.
cor-.n
a
[JU
FY05:' page
n the terrltoriai rinlits of tht:~ (~()U
shal
nd
or
290 NO PERSONt'll lIA.BIl!TY, No covenant
to be a covenant or of
in h~s or
individuai
ant) r~o
be
shan be nab~e
on tf"~~s
reement
accountabi
reason of the execution of thJ5
30, LEGAL OIfU,H;JP,TIONS ,l\ND
be offerE:d in saUsfaction of the
of
ng frorn any
the extent or actual
Dut~es. -rhis
ree:rTH:~nt IS
is not
nor shan
of the
CCHlstrued as,
to thE:
const~tutional or
state:
and caSt: ia\;v
3:1. NON-RELIJU\1CE BY 1'~0!'H'1jAR.'rIES. Nn person or
L~pon the or arry of th~s
claim or entit!ernent to or benE:m of any sen;r:ce or
and the PROVIDER agree:; that neither the
off~ceri either shan ha\le the
that any
benefits: under this
or for the purposes
or group of
) ancf
or
and
COnln1U
~n
GENERAL
32. Execution in
~rhis
rrgay be executed
all of which
each of vvhich shan be as an
constitute one and th,,; same instrument and any of
any such
the
of
shaH
33.. NOTICEo:
not~ce
or
or pE~rrrdtte{j under
certified
to the
as
p"
Grants Adm~nistratGr
and
f..-1()nroe
PC) Box 1026
1100 S ~ rrlonton St~'Leet
FL 33040
FL 330~tl
Executi\/t:,:: [)~rector
Guidance C:finic of the rV1iddje Inc.
3000 41st ~;treet
(ef~rner)t sha!! be
!vf/cJd/e F'{Of:..;
In
event that any cause of action or adrniri~str,:'1th/e
and
venue
rOf:; 'Cou
rt or
for the
-rrH::
and PRC)\/I[)EP agree
re the event of
issue shail 012
tenllS
" tern, of this
or bet'vvc~en ar)y- of
rnedfation
to the f:nstitution of any other adrrdnistrat~ve or
n-;;,
35, !"HJr<d-Wl~I'VER,
vva;Vi3r of .any b rE-?ach of covenants
or ccn/enants or
\J\fa;Ver arid
and
shan
e!tr,ler (}f the sarn'2
fc~r <3r"iY succe€:=:d
the PRC)\lIC;EFt sr"~aH not be deer1'led
to bar or the Board frorn
36, SEVERJUn:tITY. If 2iny
CO~tIE:ncfj
condition ()f
fuUest
~a\'v unless tht:; enforcernent of the
reernent vvcu kj the
PP..O'VI DER_ agree to r(~forrr~ the
that comes as close as to the intent of the
thereof to any circurnstance or pE:\rson shaH be deC~ar(3d
to any extent a court of risd the
and of this sl'laH not bf~ affected
of th~s
intent of this
3"1.
V~iith
AGREE!\UENT.
to
to such
Th1s constitutes the enUre
fnatter hereof and su any and
matter between the PROVIDER and the Board,
of the
all
IN vVITNESS the
of the and year fjrst written above.
hereto have caused these
to be executed as
j~l'TES-r: [)ANN-~{ L~
CLERK
BO/\RD OF COUNTY
OF MONF(OE COUNTy,
Cl(c?rk
'--~~,._~-~--_..~..~_..__.".._~-,--~--~-~.._..~~_.~---~~'<--.~'.~..-.>
GUI[}i1J\](~E (:LIf\iIC t)F l~tiE
II\iC.
ID i\lo
VVitness
V\fitness Pn3sident
or" (::Y05; page 7'
l~ r~E~~'r ~\
/3,\ c()ver fetter surnrnarLzing tne i~rH.~ !b:::JY1S the
also contain a notarized cert!f~ed st:aten'lEnt such as:
f~xpf:?nse
r~e(~ds. to
:'1
.i
that the attached eXpt3nSes are accurtJte and ;n
thrs
Fu
theSf: exper1ses arf:-?
v\dth the rec,'oras of
contract \t\f~th th~2
Board of
C:CtrY1 rr1 ~ssi oners"
Invoices shouid be bn:E~d to the
the (-:;xpense shou!tj t"e
for
nt.
current
\;\dH b~:
bafancesft
Vvi bt~ rnonitort~d ~n E~ccrJrdance \PJith the ie\lei of
ufhis docurr~ent should not be cons~dered an--inciushleM l=f1e
the to review rei on an individuai basis"
guidelirH"!s should De directed to 305~292-3534,
reserves
these
[)at<ll
PC
The vendor Invoice is for
reimbursable itures unless
attached and certified.
allocations an:: not
rnais for the
are
.A cert~fied staternent
a Journal is
total hours
the accuracy and
it should include:
If
a
check rlU
taxes~
A
etc,
red fi)r reirnbursernent,
tht:: vendor
or ;ease a9re2rr~er}t is
red.
and ach/anc(~
are not
ai expenses~
etc"
A expenses as refat~2 tc~ the C:ou contract !s n:;quired for
nitlst define the nurnber of '3curce
reasona
fGt
the \/E:~n(Jcr i r~\/olce nd
sarn
arc~ require:d,
ett:,
For supp!ies or ser\dces
E) vendor itivo!ce is r2GU;
ek,
CL'fa'anc-e
-, .i
FY05;
::J
t ~s required, rY1USt define tht~ sender! the
nurnbf2r ca t anef the reasor~ for fax"
reel
the
rnust be rern;tted Inctuding:
and the purpc;se can
02)
fer!
Travei
Tra~le} expensi2s rnust be subrrdtted on ~.;tate of
" 'Traver nlust be subrrdtted In accordanc(::: v\j~th Fiorida Statute
travel itjnera r'y ;5
or"
staternents are not
docurnentat~on for rt.:;[
a copy of the
of the airnne ticketo
Autc~ renta, re!fT1btJrs(~rnent requires the \/f:ndor in\/o~CE}~ F'tH::1
~raxis are not rei~T1burse(j taken to arrtve at a
a tax~ frorn onefs res!dence to the for a business
consicJered a ref:rnbursabfe trav~=~ expense at th{:;: dE~st~nat~on~
5~
".-.
~s not~
I~ deta~~ed nst of
rnL!st be
reiatE:d bed
is required on the
due ffHJst b~3 zero~ ::~oorn
thf~ actual roorn and
cans are not expenses~
r/iea~ ne~rnbursernent ~S'
state that trave! must
and end after 2 perTI. for lunch
and dirlner at
Meal
noon
before 6 porn an{j f~nd after' 8 p~rn~ for
reimbursement is calculated at .29 cents per mile for auto vvhiie on
business. An odmnett'2r must be included on the state travel vouch(~r for
travel. is not allowed from a residence or office to a 01 For
forrr" oneJ's horne to the a for a business is not a r,e~mbursablE:~ ex[)ense~
The expenses are not for re~rnburserner~t;
jnc!uded in the
!n(:~uded fn the entertainrnent ex:penses~,
and fines,
Key,s
9
B
~"
j"J
f"Y'!
; t
!5 a surnrna
tirr~e
#
tJ..
B
't
n
L':l
,A
(
$
(
+
)
1
N
;,,-.,
!<,'""
r~
rrip
Guidance
[he A,fidd!e
10
rT!EPl not aV'Jardf3d or
urtc1er a contract \/vith any
excess of the
v'>fho has
on thE' con"/lcted
pubHc
pubHe
on a contract to
or
2;f~ct~on 287,017 for
on tl'h:~ CCHY\/fcted \i{~ndor
of
,c'y'05;