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Item M1 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: January 17, 2007 Division: ,\j,'jl;'clfh COUl:1ty He~Jj:.h Department Bulk Item: Yes No -2'L D.rt t Admini. stration epa men: ~N...... , Dept. Contact ,T6J;:Q.~ ,f:a.lhoun AGENDA ITKM WORDING: Approval of annual contract between Monroe County and Florida Department of Health for public health services provided by the Monroe County Health Department. ITEM BACKGROUND: Renewal of annual contract for county funding of local health department. PREVIOUS REVELANT BOCC ACTION: This is the annual renewal of an agreement between Monroe County and Florida Department of Health that has continued for 20+ years. CONTRACT/AGREEMENT CHANGES: Increase in ad valorem funding of$147,541 over prior contract. Increase in Small Quantities Waste Generator funding of $6,796.66 over prior contract. STAFF RECOMMENDATIONS: TOTAL COST: COST TO COUNTY: BUDGETED: Yes No SOURCE OF FUNDS: REVENUE PRODUCING: Yes No l\1P. N. TH. Year us/a 7- - .- Risk Management APPROVED BY: County Atty DOCUMENTATION: Included To Fo ow Not Required__ (Proposed Budget to be distributed at the meeting) DIVISION DIRECTOR APPROVAL: DISPOSITION: AGENDA ITEM # Revised 2/27/01 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract with: Monroe Co. Health Dept. Contract #_ CY 2006 - 2007 Effective Date: October 1, 2006 Expiration Date: September 30, 2007 Contract Purpose/Description: Approval of contract Monroe County Board of County Commissioners and the State of Florida Department of Health for operation of the Monroe County Health Department. Contract Manager: Jerome Calhoun 293-7539 Monroe CHD (N ame) (Ext.) (Department/Stop #) for BOCC meeting on 1/17/07 Agenda Deadline: 1/02/07 CONTRACT COSTS Total Dollar Value of Contract: $ 754,337.17 Budgeted? Y es~ No D Account Codes: Grant: $ County Match: $ Current Year Portion: $ - - - - ----- - - - - ----- - - - ----- - ----- ADDITIONAL COSTS Estimated Ongoing Costs: $_/yr For: (Not included in dollar value above) (eg. maintenance, utilities, janitorial, salaries, ete.) CONTRACT REVIEW Division Director Changes Date In Needed r:-J/ i )07 YesD NOL:f Date Out Risk Mana~m fJu.. ~.~~ . P; $lf7 d.M.B./Pu ha\ing YesD No[;2( YesDNoD YesD NoGr/ County Attorney Comments: OMB Fonn Revised 2/27/01 MCP #2 FLORIDA DEPARTMENT OF lVi. Rony Fran<;ols, lvf.D., lVi.S.P.H., Ph.D. Secretary, Department of Health HEALT Jeb Bush Governor INTEROFFICE MEMORANDUM DATE: December 12, 2006 TO: Gary J. Mahoney, Director Division of Administration FROM: Ad ministrator/Director Monroe County Health Department SUBJECT: Core Contract Certification INFORMATION ONLY X I certify that no changes have been made to the 2006-2007 Core Contract document or attachments by the Monroe County Health Department. D I certify that the following changes have been made to the 2006-2007 Core Contract document and attachments by the County Health Department as follows: Page Section Attachment ChanQes (State exact changes to language or format.) I !'L/ 2/0 k ate Monroe County Health Department 1100 Simonton Street, POB 6193, Key West, FL 33040 CONTRACT BETWEEN MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AND STATE OF FLORIDA DEPARTMENT OF HEALTH FOR OPERATION OF THE MONROE COUNTY HEALTH DEPARTMENT CONTRACT YEAR 2006-2007 This agreement ("Agreement") is made and entered into between the State of Florida, Department of Health ("State") and the Monroe County Board of County Commissioners ("County"), through their undersigned authorities, effective October 1, 2006. RECITALS A. Pursuant to Chapter 154, F.S., the intent of the legislature is to "promote, protect, maintain, and improve the health and safety of all citizens and visitors of this state through a system of coordinated county health department services." B. County Health Departments were created throughout Florida to satisfy this legislative intent through "promotion of the public's health, the control and eradication of preventable diseases, and the provision of primary health care for special populations." C. Monroe County Health Department ("CHO") is one of the County Health Departments created throughout Florida. It is necessary for the parties hereto to enter into this Agreement in order to assure coordination between the State and the County in the operation of the CHD. NOW THEREFORE, in consideration of the mutual promises set forth herein, the sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 1. RECITALS. The parties mutually agree that the forgoing recitals are true and correct and incorporated herein by reference. 2. TERM. The parties mutually agree that this Agreement shall be effective from October 1, 2006, through September 30, 2007, or until a written agreement replacing this Agreement is entered into between the parties, whichever is later, unless this Agreement is otherwise terminated pursuant to the termination provisions set forth in paragraph 8, below. 3. SERVICES.MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall provide those services as set forth on Part III of Attachment II hereof, in order to maintain the following three levels of service pursuant to Section 154.01 (2), Florida Statutes, as defined below: a. "Environmental health services" are those services which are organized and operated to protect the health of the general public by monitoring and regulating activities in the environment which may contribute to the occurrence or transmission of disease. Environmental health services shall be supported by available federal, state and local funds and shall include those services mandated on a state or federal level. Examples of environmental health services include, but are not limited to, food hygiene, safe drinking water supply, sewage and solid waste disposal, swimming pools, group care-facilities, migrant labor camps, toxic material control, radiological health, occupational health. b. "Communicable disease control services" are those services which protect the health of the general public through the detection, control, and eradication of diseases which are transmitted primarily by human beings. Communicable disease services shall be supported by available federal, state, and local funds and shall include those services mandated on a state or federal level. Such services include, but are not limited to, epidemiology, sexually transmissible disease detection and control, HIV/AIDS, immunization, tuberculosis control and maintenance of vital statistics. c. "Primary care services" are acute care and preventive services that are made available to well and sick persons who are unable to obtain such services due to lack of income or other barriers beyond their control. These services are provided to benefit individuals, improve the collective health of the public, and prevent and control the spread of disease. Primary health care services are provided at home, in group settings, or in clinics. These services shall be supported by available federal, state, and local funds and shall include services mandated on a state or federal level. Examples of primary health care services include, but are not limited to: first contact acute care services; chronic disease detection and treatment; maternal and child health services; family planning; nutrition; school health; supplemental food assistance for women, infants, and children; home health; and dental services. 4. FUNDING. The parties further agree that funding for the CHD will be handled as follows: a. The funding to be provided by the parties and any other sources are set forth in Part II of Attachment II hereof. This funding will be used as shown in Part I of Attachment II. i. The State's appropriated responsibility (direct contribution excjuding any state fees, Medicaid contributions or any other funds not listed on the Schedule C) as provided in Attachment II, Part II is an amount not to exceed $4,499,304 (State General Revenue, Other State Funds and Federal Funds listed on the Schedule C). The State's obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. ii. The County's appropriated responsibility (direct contribution excluding any fees, other cash or local contributions) as provided in Attachment II, Part II is an amount not to exceed $754,337.17 (amount listed under the "Board of County Commissioners Annual Appropriations section of the revenue attachment). b. Overall expenditures will not exceed available funding or budget authority, whichever is less, (either current year or from surplus trust funds) in any service category. Unless requested otherwise, any surplus at the end of the term of this Agreement in the County Health Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract period. 2 c. Either party may establish service fees as allowed by law to fund activiti~s of the CHD. Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee schedule. d. Either party may increase or decrease funding of this Agreement during the term hereof by notifying the other party in writing of the amount and purpose for the change in funding. If the State initiates the increase/decrease, the CHD will revise the Attachment II and send a copy of the revised pages to the County and the Department of Health, Bureau of Budget Management. If the County initiates the increase/decrease, the County shall notify the CHD. The CHD will then revise the Attachment II and send a copy of the revised pages to the Department of Health, Bureau of Budget Management. e. The name and address of the official payee to who payments shall be made is: County Health Department Trust Fund Monroe County 1100 Simonton Street Post Office Box 6193 Key West, FL 33041-6193 5. CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director/administrator of the CHD shall be a State employee or under contract with the State and will be under the day-to-day direction of the Deputy State Health Officer. The director/administrator shall be selected by the State with the concurrence of the County. The director/administrator of the CHD shall insure that non-categorical sources of funding are used to fulfill public health priorities in the community and the Long Range Program Plan. A report detailing the status of public health as measured by outcome measures and similar indicators will be sent by the CHD director/administrator to the parties no later than October 1 of each year (This is the standard quality assurance "County Health Profile" report located on the Office of Planning, Evaluation & Data Analysis Intranet site). 6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that the following standards should apply in the operation of the CHD: a. The CHD and its personnel shall follow all State policies and procedures, except to the extent permitted for the use of county purchasing procedures as set forth in subparagraph b., below. All CHD employees shall be State or State-contract personnel subject to State personnel rules and procedures. Employees will report time in the Client Information System/Health Management Component compatible format by program component as specified by the State. b. The CHD shall comply with all applicable provisions of federal and state laws and regulations relating to its operation with the exception that the use of county purchasing procedures shall be allowed when it will result in a better price or service and no statewide Department of Health purchasing contract has been implemented for those goods or services. In such cases, the CHD director/administrator must sign a justification therefore, and all county-purchasing procedures must be followed in their entirety, and such 3 compliance shall be documented. Such justification and compliance documentation shall be maintained by the CHD in accordance with the terms of this Agreement. State procedures must be followed for all leases on facilities not enumerated in Attachment IV. c. The CHD shall maintain books, records and documents in accordance with those promulgated by the Generally Accepted Accounting Principles (GAAP) and Governmental Accounting Standards Board (GASB), and the requirements of federal or state law. These records shall be maintained as required by the Department of Health Policies and Procedures for Records Management and shall be open for inspection at any time by the parties and the public, except for those records that are not otherwise subject to disclosure as provided by law which are subject to the confidentiality provisions of paragraph 6.i., below. Books, records and documents must be adequate to allow the CHD to comply with the following reporting requirements: I. The revenue and expenditure requirements in the Florida Accounting System Information Resource (FLAIR). Ii. The client registration and services reporting requirements of the minimum data set as specified in the most current version of the Client Information System/Health Management Component Pamphlet; iii. Financial procedures specified in the Department of Health's Accounting Procedures Manuals, Accounting memoranda, and Comptroller's memoranda; iv. The CHD is responsible for assuring that all contracts with service providers include provisions that all subcontracted services be reported to the CHD in a manner consistent with the client registration and service reporting requirements of the minimum data set as specified in the Client Information System/Health Management Component Pamphlet. d. All funds for the CHD shall be deposited in the County Health 'Department Trust Fund maintained by the state treasurer. These funds shall be accounted for separately from funds deposited for other CHDs and shall be used only for public health purposes in Monroe County. e. That any surplus/deficit funds, including fees or accrued interest, remaining in the County Health Department Trust Fund account at the end of the contract year shall be credited/debited to the state or county, as appropriate, based on the funds contributed by each and the expenditures incurred by each. Expenditures will be charged to the program accounts by state and county based on the ratio of planned expenditures in the core contract and funding from all sources is credited to the program accounts by state and county. The equity share of any surplus/deficit funds accruing to the state and county is determined each month and at contract year-end. Surplus funds may be applied toward the funding requirements of each participating governmental entity in the following year. However, in each such case, all surplus funds, including fees and accrued interest, shall remain in the trust fund until accounted for in a manner which clearly illustrates the amount 4 which has been credited to each participating governmental entity. The planned use of surplus funds shall be reflected in Attachment II, Part I of this contract, with special capital projects explained in Attachment V. f. There shall be no transfer of funds between the three levels of services without a contract amendment unless the CHD director/administrator determines that an emergency exists wherein a time delay would endanger the public's health and the Deputy State Health Officer has approved the transfer. The Deputy State Health Officer shall forward written evidence of this approval to the CHD within 30 days after'an emergency transfer. g. The CHD may execute subcontracts for services necessary to enable the CHD to carry out the programs specified in this Agreement. Any such subcontract shall include all aforementioned audit and record keeping requirements. h. At the request of either party, an audit may be conducted by an independent CPA on the financial records of the CHD and the results made available to the parties within 180 days after the close of the CHD fiscal year. This audit will follow requirements contained in OMS Circular A-133 and may be in conjunction with audits performed by county government. If audit exceptions are found, then the director/administrator of the CHD will prepare a corrective action plan and a copy of that plan and monthly status reports will be furnished to the contract managers for the parties. i. The CHD shall not use or disclose any information concerning a recipient of services except as allowed by federal or state law or policy. j. The CHD shall retain all client records, financial records, supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to this Agreement for a period of five (5) years after termination of this Agreement. If an audit has been initiated and audit findings have not been resolved at the end of five (5) years, the records shall be retained until resolution of the audit findings. k. The CHD shall maintain confidentiality of all data, files, and, fecords that are confidential under the law or are otherwise exempted from disclosure as a public record under Florida law. The CHD shall implement procedures to ensure the protection and confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65 and 456.057, Florida Statutes, and all other state and federal laws regarding confidentiality. All confidentiality procedures implemented by the CHD shall be consistent with the Department of Health Information Security Policies, Protocols, and Procedures, dated September 1997, as amended, the terms of which are incorporated herein by reference, The CHD shall further adhere to any amendments to the State's security requirements and shall comply with any applicable professional standards of practice with respect to client confidentiality. l. The CHD shall abide by all State policies and procedures, which by this reference are incorporated herein as standards to be followed by the CHD, except as otherwise permitted for some purchases using county procedures pursuant to paragraph 6.b. hereof. 5 m. The CHD shall establish a system through which applicants for services and current clients may present grievances over denial, modification or termination of services. The CHD will advise applicants of the right to appeal a denial or exclusion from services, of failure to take account of a client's choice of service, and of his/her right to a fair hearing to the final governing authority of the agency. Specific references to existing laws, rules or program manuals are included in Attachment I of this Agreement. n. The CHD shall comply with the provisions contained in the Civil Rights Certificate, hereby incorporated into this contract as Attachment III. o. The CHD shall submit quarterly reports to the county that shall include at least the following: i. The DE385L 1 Contract Management Variance Report and the DE580L 1 Analysis of Fund Equities Report; ii. A written explanation to the county of service variances reflected in the DE385L 1 report if the variance exceeds or falls below 25 percent of the planned expenditure amount. However, if the amount of the service specific variance between actual and planned expenditures does not exceed three percent of the total planned expenditures for the level of service in which the type of service is included, a variance explanation is not required. A copy of the written explanation shall be sent to the Department of Health, Bureau of Budget Management. 6 p. The dates for the submission of quarterly reports to the county shall be as follows unless the generation and distribution of reports is delayed due to circumstances beyond the CHD's control: - I. March 1, 2007 for the report period October 1, 2006 through December 31,2006; ii. June 1, 2007 for the report period October 1, 2006 through March 31,2007; iii. September 1, 2007 for the report period October 1, 2006 through June 30, 2007; and iv. December 1, 2007 for the report period October 1 , 2006 through September 30,2007. 7. FACILITIES AND EQUIPMENT. The parties mutually agree that: a. CHD facilities shall be provided as specified in Attachment IV to this contract and the county shall own the facilities used by the CHD unless otherwise provided in Attachment IV. b. The county shall assure adequate fire and casualty insurance coverage for County- owned CHD offices and buildings and for all furnishings and equipment in CHD offices through either a self-insurance program or insurance purchased by the County. c. All vehicles will be transferred to the ownership of the County and registered as county vehicles. The county shall assure insurance coverage for these vehicles is available through either a self-insurance program or insurance purchased by the County. All vehicles will be used solely for CHD operations. Vehicles purchased through the County Health Department Trust Fund shall .be sold at fair market value when they are no longer needed by the CHD and the proceeds returned to the County Health Department Trust Fund. 8. TERMINATION. a. Termination at Will. This Agreement may be terminated by either party without cause upon no less than one-hundred eighty (180) calendar days notice in writing to the other party unless a lesser time is mutually agreed upon in writing by both parties. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. b. Termination Because of Lack of Funds. In the event funds to finance this Agreement become unavailable, either party may terminate this Agreement upon no less than twenty-four (24) hours notice. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. c. Termination for Breach. This Agreement may be terminated by one party, upon no less than thirty (30) days notice, because of the other party's failure to perform an 7 obligation hereunder. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of_delivery. Waiver of breach of any provisions of this Agreement shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this Agreement. 9. MISCELLANEOUS. The parties further agree: a. Availability of Funds. If this Agreement, any renewal hereof, or any term, performance or payment hereunder, extends beyond the fiscal year beginning July 1, 2007, it is agreed that the performance and payment under this Agreement are contingent upon an annual appropriation by the Legislature, in accordance with section 287.0582, Florida Statutes. b. Contract ManaQers. The name and address of the contract managers for the parties under this Agreement are as follows: For the County: Name: Thomas J. Willi County Administrator Title Post Office Box 6193 Gato, Bldg, 1100 Simonton Street Key West, FL 33041-6193 Gato, Bldg, 1100 Simonton Street Key West, FL 33040 Address Address 305-293-7539 Telephone 305-292-4441 Telephone If different contract managers are designated after execution of this Agreement, the name, address and telephone number of the new representative shall be furnished in writing to the other parties and attached to originals of this Agreement. c. Captions. The captions and headings contained in this Agreement are for the convenience of the parties only and do not in any way modify, amplify, or give additional notice of the provisions hereof. 8 In WITNESS THEREOF, the parties hereto have caused this 41 page agreement to be executed by their undersigned officials as duly authorized effective the 1st day of October, 2006. BOARD OF COUNTY COMMISSIONERS FOR MONROE COUNTY STATE OF FLORIDA DEPARTMENT OF HEALTH SIGNED BY: NAME: SIGNED BY' ilfh~~~1~ CL/~ ~ ,~ I.' . ;. -.. . ,v /..~ . NAMEI;)ivt. Rony Francois, M.D., M.S.P.H., Ph.D. TITLE: Secretary TITLE: DATE: ATTESTED TO: SIGNED BY: NAME: TITLE: DATE: ll~.. I'1DL SIGNED BY: TITLE: DATE: CHD Director/Administrator t. /' I 7..... f G-. lOt- I I I DATE: 9 8. 9. ATTACHMENT I MONROE COUNTY HEALTH DEPARTMENT PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS Some health services must comply with specific program and reporting requirements in addition to the Personal Health Coding Pamphlet (DHP 50-20), Environmental Health Coding Pamphlet (DHP 50-21) and FLAIR requirements because of federal or state law, regulation or rule. If a county health department is funded to provide one of these services, it must comply with the special reporting requirements for that service. The services and the reporting requirements are listed below: Service Requirement 1. Sexually Transmitted Disease Program Requirements as specified in FAC 640-3, F.S. 381 and F.S. 384 and the CHD Guidebook. 2. Dental Health Monthly reporting on DH Form 1008*. 3. Special Supplemental Nutrition Program for Women, Infants and Children. Service documentation and monthly financial reports as specified in OHM 150-24* and all federal, state and county requirements detailed in program manuals and published procedures. 4. Healthy StarU Improved Pregnancy Outcome Requirements as specified in the Healthy Start Standards and Guidelines 1998 and as specified by the Health Start Coalitions in contract with each county health department. 5. Family Planning Periodic financial and programmatic reports as specified by the program office and in the CHD Guidebook, Internal Operating Policy FAMPLAN 14* 6. Immunization Periodic reports as specified by the department regarding the surveillance/investigation of reportable vaccine preventable diseases, vaccine usage accountability, the assessment of various immunization levels and forms reporting adverse events following immunization and Immunization Module quarterly quality audits and duplicate data reports. 7. Chronic Disease Program Requirements as specified in the Community Intervention Program (CIP) and the CHD Guidebook. Environmental Health Requirements as specified in DHP 50-4* and 50-21* HIV/AIDS Program Requirements as specified in Florida Statue 384.25 and 640-3.016 and 3.017 FAC. and the CHD Guidebook. Case reporting on CDC Forms 50.428 (AdulU Adolescent) and 50.42A (Pediatric). Socio-demographic data on persons tested for HIV in CHD clinics should be reported on Lab Request Form 1628 or Post-Test Counseling Form 1633. These reports are to be sent to the Headquarters HIV/AIDS office within 5 days of the initial post-test counseling appointment or within 90 days of the missed post-test counseling appointment. 10 ATTACHMENT I (Continued) 10. 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GENERAL REVENUE - STATE 015040 ALG/CESSPOOL IDENTIFICATION ,\;.'JD ELlMINA TION 118,707 0 128,707 0 118,707 015040 ALG/CONTR TO CHDS-AlDS PATIENT CARE 404.663 0 404,663 0 404,663 015040 ALGiCONTR TO CHDS-AIDS PRE V & SUR V & FIELD STAFF 105,802 0 105,802 0 105,802 015040 ALG/CONTR TO CHDS-DENTAL PROGRAlvl 13,333 0 13.333 0 13,333 015040 ,A.LG/CONTR TO CHDS-MIGRANT LABOR CAcylP SAl'JITA TION 0 0 0 0 0 OJ 5040 ,A.LG/CONTR. TO CHDS-IMMUNIZATION OUTREACH TEAMS 6,592 0 6,592 0 6,592 015040 ALG/CONTR. TO CHDS-INDOOR AlR ASSIST PROG 0 0 0 0 0 OJ5040 ALGiCONTR. TO CHDS-MCH HEALTH - FIELD STAFF COST 0 0 0 0 0 OJ 5040 ALG/CONTR. TO CHDS-SOVEREIGN !1vlMUNITY 0 0 0 0 0 015040 ,t..LGiCONTRIBUTION TO CHDS-PRIMARY CARE 17,156 0 .17,256 0 17,256 015040 ALGiFA,\;lIL Y PLANNING 62,578 0 62,578 0 62,578 015040 ALG/IPO - OUTREACH SOCIAL WORKERS CAT 050707 0 0 0 0 0 015040 ALG/IPO HEALTHY START 0 0 0 0 0 015040 ALG/IPO HEALTHY STARTilPO CAT 050707 0 0 0 0 0 015040 ALG/IPO-INFANT MORTALITY PROJECT CAT. 050707 0 0 0 0 0 015040 i\LG/i\lCH HEAL THY ST ART/IPO CAT 050870 0 0 0 0 0 015040 ALG/MCll-lNFANT tv!ORTALlTY PROJECT CAT. 050870 0 0 0 0 0 015040 ALG/MCH-OUTREACll SOCIAL \VORKERS CAT 050870 0 0 0 0 0 015040 ALG/PRIMARY CARE 223,3 J 0 0 223,3 10 0 223,3JO OJ5040 ALGiSCHOOI. HEAL THiSUPPLEMENTAL 41,665 0 41,665 0 41,665 0!5040 CATE ESCAMBrA 0 0 0 0 0 015040 CHD SUPPORT SERVICES 0 0 0 0 0 015040 CLOSING THE GAP PROGRAM 0 0 0 0 0 015040 TOBACCO PREVENTION &3111p; CESSATION PROGR.d.M 52,8!6 0 52,816 0 52,816 0]5040 COMMUNITY TB PROGR.d.M 43,18] 0 43,1 81 0 43,18] 015040 DENTAL SPECIAL INInATlVE PROJECTS 0 0 0 0 0 015040 DUVAL TEEN PREG:\,'\NCY PREVENTION 0 0 0 0 0 015040 ENHA:\CED DENTAL SERVICES 0 0 0 0 0 015040 FL HEPATITIS & LIVER FAILURE PREVENTION/CONTROL 0 0 0 0 0 015040 HEALTH PROMOTIO:\ & EDUCATION I:\InATIVES 58.823 0 58,82:3 0 58.823 015040 HEAL THY BEACHES MONITORlNG 29,262 0 29,262 0 29.262 015040 HEAL THY START - DATA COLLECTJON PROJECT STAFF 0 0 0 0 0 015040 LA LIGA CONTRA EL CANCER 0 0 0 0 0 015040 MEDIVAN PROJECT 0 0 0 0 0 OJ5040 METRO ORLANDO URBAN LEAGUE TEE:\AGE PREG PRE V 0 0 0 0 0 015040 PRIMARY CARE SPECIAL DENTAL PROJECTS 0 0 0 0 0 015040 PRIMARY CARE SPECIAL PROJECTS 0 0 0 0 0 015040 SCHOOL HEALTH-SUPPLEMENT-TANF 11,581 0 11.58J 0 11,58J 015040 SPEGAL NEEDS SHELTER PROGRAM 0 0 0 0 0 015040 STD GENERAL REVENUE 2],OJ6 0 21,016 0 21,016 015040 VOLUNTEER SCHOOL HEALTH NURSE GR.d.NT 0 () 0 0 0 015050 ,t..LG/CONTR TO CHDS \.981.220 0 1,981,220 () 1.981.220 GENERAL REVENUE TOTAL 3,20 I ,805 0 3,201,805 0 3,201,805 2. NON GENERAL REVENUE - STATE 015010 ALG/CONTR TO CHDS-REBASING TOBACCO Tf 21.864 0 2J,864 0 21,864 0150JO BASIC SCHOOL HEALTH - TOBACCO TF 40,839 0 40,839 0 40,839 0150\0 CHD SUPPORT SERVICES 0 0 0 0 0 J "? 2. NON GENERA.L REVENUE - STATE 015010 FL HEPATITIS & LIVER FAlLURE PREVENTION/CONTROL 150.000 0 150,000 0 150,000 015010 FULL SERVICE SCHOOLS - TOBACCO TF 61.720 0 61,720 0 61.720 015010 ONSJTE SEWAGE RESEARCH PROGR,,\M 157,000 0 157,000 0 157,000 015010 TOBACCO PREVENTION AND CESSATION PROGRi'l.M 24.726 0 24,726 0 24.726 015010 PUBLIC S\-VIMMING POOL PROGRi'l.M 0 0 0 0 0 015010 SUPER ACT PROGRr\M ADM TF 0 0 0 0 0 015010 SUPPLEMENTAL/COMPREHENSIVE SCHOOL HEALTH - TOB TF 0 0 0 0 0 015010 V.'\RICELLA IMMUNIZATION REQUIREMENT TOBACCO TF 3,528 0 3,528 0 3,528 015020 BIOMEDICr'I.L WASTE/DEP ADM TF 2,246 0 2.246 0 2.246 015020 SAFE DRINKING WATER PRGIDEP ADM 0 0 0 0 0 015020 FOOD Al'iD WATERBORNE DISEASE PROGRAl\;l ADM TF/DACS 0 0 0 0 0 NON GENERAL REVENUE TOTAL 461,923 0 461,923 0 461,923 3. FEDER.\L FUNDS - State 007000 AJDS PREVENTIO"i 1 74,324 0 174,324 0 174,324 007000 AIDS SEROPREV ALEl'-ICE 0 0 0 0 0 007000 AIDS SURVEILLA"iCE 0 0 0 0 0 007000 BIOTERR SURVEILLA"iCE & EPJDEMIOLOGY 0 0 0 0 0 O()7000 BIOTERRORISM PLA"INING & READINESS 148.236 () 148,236 0 148.236 007000 CDHPE PROGRAM () 0 0 0 0 007000 CHD SUPPORT SERVICES 0 0 0 0 0 007()OO CHILDHOOD LEAD POISONING PREVENTION 0 0 0 0 0 007000 CO.\STAL BEACH MONITORING PROGRAM 25,751 0 25,751 0 25,751 007000 COMPREHENSIVE CARDIOVASCULAR PROGRA!\1 0 0 0 0 0 007000 FGTF/AJDS MORBIDITY 0 0 0 0 0 007000 FGTF/BREAST & CER VICAL CA'iCER-ADMIN/CASE MAN 0 0 0 0 0 007000 FGTFfF AMIL Y PLANNING TITLE X SPECIAL INITiATIVES 0 0 0 0 0 007000 FGTF /F AvllL Y PLA.NNING- TITLE X 7(807 0 74,807 0 74,807 007000 FGTF/IMMUNIZATION ACTION PLAN 9,998 0 9,99,8~ 0 9,998 007000 FGTF/WIC ADMINISTRATION 233,750 0 233,750 0 233.750 007000 PAN FLU SUPPLEMENTAL PHASE 2 14,945 0 14,945 0 14,945 007000 HEALTH PROGRAM FOR REFUGEES 0 0 0 0 0 007000 HOUSING OPPORTUNITIES FOR PEOPLE WITH AJDS (HOPWA) 0 0 0 0 0 007000 IMMUNIZATION SUPPLEMENTAL 0 0 0 0 0 007000 IMMUNiZATION-WIC LINKAGES 0 0 0 0 0 007000 MCII BGTF-GADSDEN SCHOOL CLINIC 0 0 0 0 0 007000 MCH BUIF-HEALTHY START IPO 0 0 0 0 0 007000 MCH BGTF-iNFANT MORTf'I.LITY PROJECT 0 0 0 0 0 007000 MCH BGTF-MCH/CHILD HEALTH 11,446 0 11.446 0 11.446 007000 MClI BGTF-MCH!DENTAL PROJECTS 0 0 0 0 0 007000 MCH BGTF-OUTREACH SOCL'\L WORKERS 0 0 0 0 0 007000 PHP-CITIES RESPONSE iNJT[A TIVE 0 0 0 0 0 007000 RAPE PREVENTION & EDUCATION GRANT 0 0 0 0 0 007000 SCi IOOL HEALTH BASIC ivlCH-BLOCK GRA'\iT 6.732 0 6.732 0 6.732 007000 RYAN WHiTE 32.079 0 32.079 0 32,079 007000 RYAN WHiTE - EMERGING COMMUNITIES 0 0 0 0 () 007000 RYAN WIllTE-AIDS DRUG ASSIST PROG-ADMIN 22.443 () 22.443 0 22,443 007000 RYAX WHITE-CONSORTIA () 0 0 0 0 111 3. FEDERAL FUNDS - State 007000 STD FEDER..A.L GR:\l"T - CSPS 0 0 0 0 0 007000 STD PROGR:\;\;l - PHYSICL,,"" TR:\INING CENTER 0 0 0 0 0 007000 STD PROGRA\1INFERTIUTY PREVENTION PROJECT (IPP) 0 0 0 0 0 007000 S YPI IIUS ELIMINATION 0 0 0 0 0 007000 TESTING HIV SERONEGATIVE HE.WQUARTERS 0 0 0 0 0 007000 TRAIN]NG AND EDUCATION 0 0 0 0 0 007000 TUBERCULOSIS CONTROL - FEDERAL GRANT 0 0 0 0 0 007000 WEST NILE VIRUS & EPIDEMIOLOGY PROJECTS 2006 0 0 0 0 0 007000 WIC BREASTFEEDING PEER COUNSELING 0 0 0 0 0 007000 \VIC BREASTFEEDING PEER COUNSELING PROG FFY 2005 0 0 0 0 0 007000 WIC INFRASTRUCTURE 0 0 0 0 0 015009 MEDlPASS WAIVER-HLTHY STRT CLIENT SERVICES 0 0 0 0 0 015009 :vlEDIPASS WAIVER-SOBRA 0 () 0 0 0 015075 .rlTLEXXI!SCHOOL HEAI.TH/SUPPLEMENTAL 81.066 () 81,066 0 81,066 015075 NEW LINE 0 0 0 0 0 0]5075 NEW LINE 0 0 0 0 0 015075 NEW LINE 0 0 0 0 0 FEDERAL FUNDS TOTAL 835,577 0 835,577 0 835,577 4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE 001020 MIGRANT HOUSING PERMIT 0 0 0 () 0 001020 MOBILE HO,vIE ,"""0 PARKS 16,447 0 16,447 0 16,447 001020 FOOD HYGIENE PERt>,'llT 12,358 0 12,358 0 12,358 001020 BIOHAZARD WASTE PERMIT 5,505 0 5.505 0 5,505 001020 SWIMMING POOLS 48,436 0 48.436 0 48,436 001020 PRIVATE WATER SYSTEMS 110 0 110 0 110 001020 PUBLIC WATER Aj\,'NUAL OPER PERMIT 0 0 0 0 0 001020 PUBLIC WATER CONSTR PERMIT 0 0 0 0 0 001020 NON-SDWA SYSTEM PERMIT 165 0 16' 0 165 '- 00!O20 SAFE DRINKING WATER 0 0 0 0 0 001020 TAj'\lNING FACILITIES 1,386 0 1,386 0 1,386 001020 BODY PIERCING 285 0 285 0 285 001092 INDIVIDUAL SEWAGE 312.135 0 312,135 0 312,135 001092 FOOD HYGIENE 854 0 854 0 854 001092 ENVIRONMENTAL HEALTH FEES 0 0 0 0 0 001092 OSDS REPAJR PERMIT 0 0 0 0 0 001092 OS OS PERMIT FEE 0 0 0 0 0 001092 1& M ZONED OPERATING PERM]T 0 0 0 0 0 001092 AEROBIC OPERATI:\G PERMIT 0 0 0 0 0 001092 SEPTIC TA.l'iK SITE EVALUATION 0 0 0 0 0 GOI 170 LAB FEE CHEMICAL ANALYSIS 0 0 0 0 0 001170 :\ONPOTABLE WATER ANAL YSIS 0 0 0 0 0 001170 \VATER ANAL YSIS-POTAJ3LE 0 0 0 0 0 010304 :vIQ,\ INSPECTION FEE 3,500 0 3,500 0 3.5 00 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 401,181 0 401,181 0 401.181 5. OTHER CASH CONTRIBUTIONS - STATE Is' 5. OTHER CASH CONTRIBUTIONS - STATE 010304 090001 STATIONARY POLLUTM.JT STORAGE TA,NKS DRA\V DOWN FROM PUBLIC HEALTH UNIT 111,344 7,865 OTHER CASH CONTRIBUTIONS TOTAL 119,209 6. MEDICAID - STATE/COUNTY 001056 001076 001078 001079 00]080 001081 001082 001087 001089 001147 001191 001192 001193 001194 001083 001208 IvIEDICAJD PHARMACY MEDICAID TB IvlEDICAID ADMINISTRATION OF VACCINE MEDICAID CASE MANAGEMENT MEDIC/VD OTHER MEDICAID CHILD HEALTH CHECK CP MEDICAID DENTAL MEDICAID STD MEDICAID AIDS MEDICAID lIMO RATE MEDICAID l'vIATERNITY MEDIC,41D COMPREHENSIVE CHILD MEDICAID COMPREHENSIVE ADULT MEDICAID L'\BORA.TORY MEDICAID F A1\-flL Y PLA'\'NING MEDIPASS $300 ADM. FEE 2,062 o 250 o o o 1,237 1,300 24,744 o o o o o I. 000 2.075 MEDICAID TOTAL 32.668 7. ALLOCABLE REVENUE - STATE 018000 037000 038000 REFUNDS PRIOR YEAR WARR.ANT 12 MONTH OLD WARRANT o o o ALLOCABLE REVENUE TOTAL 8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE o 0 111.344 0 7.865 0 119,209 2,938 5.000 0 0 250 500 0 0 0 0 0 0 1,763 3.000 1,852 3,152 35,256 60.000 0 0 0 0 0 0 0 0 0 0 9,000 10,000 2,075 4,150 53,134 85,802 0 0 0 0 0 0 0 Q o o o o o o o 111,344 7,865 119.209 o o o o o o o o o o o o o o o o o 5,000 o 500 o o o 3,000 3,152 60.000 o o o o o lO.ooa 4.150 85,802 o o o o PHARMACY SERVICES 0 0 0 74.224 74.224 LABORATORY SERVICES 0 0 0 63,700 63,700 TB SERVICES 0 0 0 0 0 IMMUNIZATION SERVICES 0 0 0 192,738 192.738 STD SER VICES 0 0 0 0 0 CONSTRUCTION/RENOV A TION 0 0 0 0 0 WIC FOOD 0 0 0 680,797 680.797 r\OAP 0 0 0 0 0 DENTAL SERVICES () () 0 0 0 OTHE::R (SPECIFY) 0 () 0 () 0 OTHER (SPECIFY) 0 0 0 () 0 OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 1,011,459 1,011,459 9. DIRECT COUNTY CONTRIBUTIONS - COUNTY 008030 BCC Contribution trom Health eare Tax 0 754,337 754,337 0 754337 008034 Bee Contribution from General Fund 0 0 0 () 0 liP BOARD OF COUNTY COMMISSIONERS TOTAL 0 754,337 754,337 0 754,337 10. FEES AUTHORIZED BY COCNTY ORDL\'ANCE OR RESOLUTION - COUNTY 001060 VITAL STATISTICS FEES OTHER 0 845 845 0 845 001077 RABIES VACCINE 0 0 0 0 0 001077 CHILD CAR SEAT PROG 0 0 0 0 0 001077 PERSONAL HEALTH FEES 0 123,000 123,000 0 123.000 001077 i\lDS CO-PAYS 0 0 0 0 0 001094 LOCAL ORDINANCE FEES 0 0 0 0 0 001094 ADULT ENTER PERMIT FEES 0 0 0 0 0 001 I 14 NEW BIRTH CERTIFICATES 0 13,396 13,396 0 13.396 001115 DEATH CERTIFICATES 0 55,212 55,2 12 0 55.212 001117 VITAL STATS-ADM. FEE 50 CENTS 0 547 547 0 547 FEES AUTHORIZED BY COU.'iTY TOTAL 0 193.000 193,000 0 193.000 11. OTHER CASH AND LOCAL CONTRIBUTIO.'iS - COUNTY 001009 RETURNED CHECK ITEM 0 0 0 0 0 001029 THIRD PARTY REIMBURSEMENT 0 25,181 25.181 0 25,181 001029 HEALTH MAINTENANCE ORGk'\l. (HMO) 0 0 0 0 0 001054 MEDICARE PART D 0 0 0 0 0 001077 RYAN WHITE TITLE rr 0 0 0 0 0 001090 IvIEDlCARE PART B 0 22,000 22,000 0 22,000 005040 INTEREST EARNED 0 0 0 0 0 005041 INTEREST EARNED-STATE INVESTMENT ACCOUNT 0 13,142 13,142 0 13.142 0070IIl U.S. GRANTS DIRECT 0 474,887 474,887 0 474,887 010300 SALE OF GOODS A'\lD SERVICES TO STATE AGENCIES 0 0 0 0 0 010301 EXP WITNESS FEE CONSUL TNT CIL-'\RGES 0 0 0 0 0 010405 SALE OF PHARMACEUTICALS 0 0 0 0 0 010409 SALE OF GOODS OUTSIDE STATE GOVERN.\1ENT 0 0 0 0 0 011000 GRAJ"1T -DIRECT 0 0 0 0 0 o I 1000 GRANT -DIRECT 0 0 0 0 0 011000 GRANT -DIRECT 0 0 0 0 0 01 1000 GRA:\T-DlRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRA1"lT -DIRECT 0 0 0 0 0 011000 GRA,'\'T -DIRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011001 HEALTH'\, START COALITION CONTRlBUTIONS 0 340.773 340,773 0 340.773 011007 CASH DONATIONS PRIVATE 0 0 0 0 0 012020 FINES AND FORFEITURES 0 0 0 0 0 012021 RETURJ'.J CHECK CHARGE 0 0 0 0 0 028020 rl'SURANCE RECOVERIES-OTHER 0 0 0 0 0 090002 ORA W DO\VN FROM PUBLIC HEALTH UNIT 0 ~67,256 267,256 0 267.256 008010 Contribution Irom City Government 0 0 0 0 0 008020 Contribution from Health Care Tax not thru BCC 0 0 0 0 0 008050 School Board Contribution 0 0 0 0 (] OTHER CASH AND LOCAL CONTRIBUTIO.'iS TOTAL 0 1.143,239 1,143,239 0 1,143,239 12. ALLOCABLE REVENUE-COUNTY 17 12. ALLOCABLE REVENUE-COUNTY 018000 REFUNDS 0 0 0 0 0 037000 PRIOR YEAR WARRANT 0 0 0 0 0 038000 12 MONTH OLD WARRAc'iT 0 0 0 0 0 COUNTY ALLOCABLE REVENUE TOTAL 0 0 0 0 0 13. BUILDINGS - COUNTY Al\'NUAL RENTAL EQUIVALENT VALUE-GA TO/RICiT A VERNIER 0 BUILDING MAINTENANCE-GA TO/EH MAR/I. THON, TAVERNIER, RUTH IVI:Q'S iNSURANCE 0 UTILITIES-GATO BUILDING-$15.232/MO*12*30% 0 GROUNDS MAlNTENANCE 0 OTHER (SPECIFY) 0 OTHER (SPECIFY) 0 BUILDINGS TOTAL o 0 0 446.000 446,(1)0 0 I) 45,560 45,560 0 0 0 0 0 0 55,749 55,749 0 0 0 0 0 0 0 0 0 0 0 0 0 0 547,309 547.309 14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY EQUIPMENTiVEHICLE PURCHASES I) 0 0 0 0 VEHICLE INSURANCE 0 0 0 0 0 VEHICLE MAINTENASCE 0 I) I) 0 0 OTHER COUNTY CONTRIBUTION (SPECIFY) 0 I) 0 0 0 OTHER COUNTY CONTRIBUTION (SPECIFY) I) 0 0 I) I) OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0 GR"-ND TOTAL CHD PROGRAM 5,052,363 2.143,710 7,196.073 1,558,768 8,754,841 jg A. COMMUNICABLE DISEASE CONTROL: VITAL STATISTICS (180) IMlvlUNIZATION (l01) STD (l02) AI.D.S. (103) TB CONTROL SERVICES (104) COMM. DISEASE SlJRV. (106) HEPATITIS PREVENTION (109) PUBLIC HEALTH PREP AND RESP (I 16) COMMUNICABLE DISEASE SUBTOTAL B. PRIMARY CARE: CHRONIC DISEASE SERVICES (210) TOBACCO PREVENTION (212) Har-,IE HEALTH (215) W.Ie. (221) FAMIL Y PLAt"iNING (223) IMPROVED PREGNANCY OUTCOrvIE (225) HEALTHY START PRENATAL (227) COMPREHENSIVE CHILD HEALTH (229) HEALTHY START lNFAJ'\'T (231) SCHOOL HEAL TI I (234) COMPREHENSIVE ADULT HEALTH (237) DENTAL HEALTH (240) PRIMARY CARE SUBTOTAL C. ENVIRONMENTAL HEALTH: Water and Onsite Sewage Programs COASTAL BEACH MONITORING (347) L50 LIMITED USE PUBLIC WATER SYSTEMS (357) 000 PUBLIC WATER SYSTEM (358) 000 PRIVATE WATER SYSTEM (359) 000 INDIVIDUAL SEWAGE D1SP. (36]) 770 Group Total 9.20 Facility Programs FOOD HYGIENE (348) 0 50 BODY ART (349) 000 GROUP CARE FACILITY (351) 0.30 MIGRANT LABOR CAMP (352) 000 HOUSING,PUBLIC BLDG SAFETY.SA"iITA nON (35&)00 MOBILE HOME AND PARKS SERVICES (354) 030 SWII'vHvlfNG POOLS/BATHING (360) LOO BIOMEDICAL WASTE SERVICES (364) 040 TANNING FACILITY SERVICES (369) 0.00 540 L80 2600 110 I 80 2.40 4 I. 00 26.70 1.20 1.30 440 70 o 390 o 4,985 1.20 1.20 o o 1,870 1,120 000 4.80 4.90 000 340 060 2.30 4.60 3.70 1.320 0.00 o 5,1 97 2,100 o o o 7,895 9,995 1.776 1.350 o o 10,100 3,850 235 12.500 440 1,030 2.315 4 28.104 35 40 o o 11,500 7,100 2 400 8,800 135 315 7,000 81.000 5,400 o 121,147 o 3.150 2 I ,200 24.350 75 o o 880 o o 590 o () 110 245 4.120 1,3 70 5 1,715 15,666 107.912 30,673 606,435 23,119 17,365 40,097 29,051 870,318 2 1,500 o 7 80,050 115,571 320 56,686 13,457 35,967 305 75)37 87,631 41 466,967 o o o 23.997 o o o ]61,148 185,145 380 10,1 12 o 5.187 o II 7,845 21.766 7,345 10 0'') ~j- 17,945 118.160 34,862 651,349 25,149 20,146 56,620 49,272 973,503 21.800 26,980 8 92.072 120,075 65.098 14,651 41,961 85,956 90,614 48 559,637 24,011 o o o 182,737 206,748 9,629 o 5.365 12 7.449 25.167 8,355 297 15,666 105.125 30,326 587,732 21,738 17,365 49,7] 7 43.918 871,587 19,400 24,304 7 80,050 108,668 374 56,575 13,406 35,967 75,737 80,938 41 495.413 22,695 o o o 156.839 179.534 8.253 o 4,599 o 3-536 21.766 7,345 255 17,945 47,197 118,160 315,494 34,862 91,781 651,349 1,753,049 25,149 66,808 20,146 52,673 56,620 142,564 49.272 120,419 973,503 2,589,985 21,800 26,980 8 92,072 320 120,075 374 65,098 14,651 4],961 85,956 90,614 48 45,285 54.949 21 241,694 326.048 170.93] 39,433 109.426 227.049 245.592 125 559.637 1,461,528 24,01'1 o o o 182,737 206,748 9,629 5,365 o II 4,125 25,167 8.355 66,499 o o o 479,858 546,357 o 26,415 o 14.404 o o 12 297 16,1 I7 65.903 22,046 8]5 20,025 133,863 38,942 743,816 28,347 22,349 60,490 51,094 1.098,926 19,2]5 23,3 15 9 102.550 138,341 975 72,526 16,732 46,430 96,337 104,205 620,126 28,215 o o o 203,603 231.818 ] 1,208 o 6,112 32 o 14 6,838 27,963 9.354 346 67,222 449,357 130,723 2,496,865 95,155 75,022 203,054 171,513 3,688,911 64,500 78,264 30 413 344,244 464,389 1,388 243,457 56,165 ]55,856 323,386 349,797 53 178 2,081,654 94,714 o () o 683,461 778,175 37,623 o 20,516 o 46 22.955 93,866 31,400 1,161 /9 C. ENVIRONMENTAL HEALTH: Group Total 2.50 3.906 7,005 52,578 56,274 45,765 52,950 145,732 61,835 207.567 Groundwater Contamination STORA.GE TANK COMPLIAJ'-JCE (355) 2,20 700 1,570 46,662 53,679 46,662 53,679 140,899 59,783 200,682 SUPER ACT SER VICE (356) 000 0 2 349 352 349 352 984 418 1,402 Group Total 220 700 U72 47,011 54,031 47,011 54,031 141,883 60,201 202,084 Community Hygiene RADIOLOGICAL HEALTH (372) 000 0 2 'P' 264 233 264 698 296 994 ......,j TOXIC SUBSTA"JCES (373) 0.80 250 250 1,117 16,432 14.132 16,432 33,780 14,333 48,113 OCCUPATIONAL HEALTH (344) 0.10 0 100 1.858 2,168 1,858 2,168 5,653 2,399 8.052 CONSUMER PRODUCT SAFETY (345) 000 0 15 ]24 145 124 145 378 160 538 INJURY PREVENTION (346) 0.00 0 0 0 0 0 0 0 0 0 LEAD tvl0NITORING SERVICES (350) 000 0 0 0 0 0 0 0 0 0 PUBLIC SEWAGE (362) 000 0 0 96 112 96 112 292 ]24 416 SOLID WASTE DISPOS,A.L (363) 0.00 0 2 698 687 6~~ 687 1,930 819 2.749 II SANITARY NUSANCE (365) 0,10 o~ 110 2,338 2,615 2,242 2,615 6,888 2,922 9,810 J; RABIES SURVEILLANCE/CONTROL SERVICES (366J}00 2 IS 479 559 479 559 ].458 618 2,076 ARBOVIRUS SURVEILLANCE (367) 0.00 0 8 154 180 154 180 469 199 668 RODENT/ARTHROPOD CONTROL (368) 0,00 0 320 201 234 201 234 61 I 259 870 WATER POLLUTION (370) 000 0 0 38 45 38 45 117 49 ]66 AIR POLLUTION (371) 000 0 0 122 143 122 143 372 158 530 Group Total 1.00 289 822 7.458 23,584 20,356 23,584 52,646 22,336 74,982 ENVIRONMENTAL HEALTH SUBTOTAL 14,90 14,890 33,749 292,192 340,637 292.666 337,3 I3 886,6 I 8 376,190 1,262,808 D. SPECIAL CONTRACTS: SPECIAL CONTRACTS (599) 2.40 0 0 0 55.945 50,810 55,945 114,232 48,468 ]62,700 SPECIAL CONTRACTS SUBTOTAL 2.40 0 0 0 55,945 50.810 55,945 114,232 48,468 162,700 TOT AL CONTRACT 8500 25,072 183,000 1,629.477 1. 929.722 1,710,476 1,926,398 5,052,363 2,143,710 7,1 06,073 01 f ATTACHMENT III MONROE COUNTY HEALTH DEPARTMENT CIVIL RIGHTS CERTIFICATE The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans, contracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the subsequent replacement if adopted during the contract period), if so requested by the department. The applicant assures that it will comply with: 1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C., 2000 Et seq., which prohibits discrimination on the basis of race, color or national origin in programs and activities receiving or benefiting from federal financial assistance. 2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits discrimination on the basis of handicap in programs and activities receiving or benefiting from federal financial assistance. 3. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibits discrimination on the basis of sex in education programs and activities receiving or benefiting from federal financial assistance. 4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits discrimination on the basis of age in programs or activities receiving or benefiting from federal financial assistance. 5. The Omnibus Budget Reconciliation Act of 1981, P.L. 97-35, which prohibits discrimination on the basis of sex and religion in programs and activities receiving or benefiting from federal financial assistance. 6. All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant agrees that compliance with this assurance constitutes a condition of continued receipt of or benefit from federal financial assistance, and that it is binding upon the applicant, its successors, transferees, and assignees for the period during which such assistance is provided. The applicant further assures that all contracts, subcontractors, sub-grantees or others with whom it arranges to provide services or benefits to participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees in violation of the above' statutes, regulations, guidelines, and standards. In the event of failure to comply, the applicant understands that the grantor may, at its discretion, seek a court order requiring compliance with the terms of this assurance or seek other appropriate judicial or administrative relief, to include assistance being terminated and further assistance being denied. 21 ATTACHMENT IV FACILITIES UTILIZED BY THE MONROE COUNTY HEALTH DEPARTMENT Facility Description Location Owned By Gato Building Administration Nursing Environmental Health 1100 Simonton Street Key West, FL 33040 County Health Care Center 1200 Kennedy Drive Key West, FL 33040 Lower Keys Medical Roosevelt Sands Center 105 Olivia Street Key West, FL 33040 County Ruth Ivins Center For Public Health 3333 Overseas Hwy. Marathon, FL 33050 County Environmental Health 13367 Overseas Hwy. Marathon, FL 33050 Alan Schmitt Roth Building Public Health Unit Environmental Health 50 High Point Road Tavernier, FL 33070 County 22 ATTACHMENT V MONROE COUNTY HEALTH DEPARTMENT SPECIAL PROJECTS SAVINGS PLAN IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDEANNUALLY FOR THE PROJECT. CONTRACT YEAR STATE COUNTY TOT AL 2004-2005 $ $ $ 2005-2006 $ $ $ 2006-2007 $ $ $ 2007-2008 $ $ $ 2008-2009 $ $ $ PROJECT TOTAL $ $ $ SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN PROJECT NAME: LOCA TION/ ADDRESS: PROJECT TYPE: NEW BUILDING RENOVATION NEW ADDITION ROOFING PLANNING STUDY OTHER SQUARE FOOTAGE: PROJECT SUMMARY: Describe scope of work in reasonable detail. ESTIMATED PROJECT INFORMATION: START DATE (initial expenditure of funds) : COMPLETION DATE: DESIGN FEES: . $ CONSTRUCTION COSTS: $ FURNITURE/EQUIPMENT $ TOTAL PROJECT COST: $ COST PER SQ FOOT: $ Special Capital Projects are new contruction or renovation projects and new furniture or equipment associated with these projects and mobile health vans. 23 ATTACHMENT VI MONROE COUNTY HEALTH DEPARTMENT PRIMARY CARE "Primary Care" as conceptualized for the county health departments and for the use of categorical Primary Care funds (revenue object code 015040) is defined as: "Health care services for the prevention or treatment of acute or chronic medical conditions or minor injuries of individuals which is provided in a clinic setting and may include family planning and maternity care." Indicate below the county health department programs that will be supported at least in part with categorical Primary Care funds this contract year: _x_ X -- Comprehensive Child Health (229/29) Comprehensive Adult Health (237/37) Family Planning (223/23) Maternal HealthllPO (225/25) x -- Laboratory (242/42) Pharmacy (241/93) Other Medical Treatment Program (please identify) Describe the target population to be served with categorical Primary Care funds. The primary population served is under and non-insured. Does the health department intend to contract with other providers for the delivery of primary health care services using categorical (015040) Primary Care funds? If so, please identify the provider(s), describe the services to be delivered, and list the anticipated contractual amount by provider. 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