5th Renewal & Amendment 07/17/2002
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
BRANCH OFFICE
MARATIiON SUB COURTIiOUSE
3117 OVERSEAS lllGHWAY
MARATIiON, FLORIDA 33050
TEL. (305) 289-6027
FAX (305) 289-1745
MONROE COUNTY COURTIiOUSE
500 WmTEHEAD STREET, SUITE 101
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
FAX (305) 295-3663
BRANCH OFFICE
PLANTATION KEY
GOVERNMENT CENTER
88820 OVERSEAS HIGHWAY
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-7145
FAX (305)852-7146
MEMORANDUM
DATE:
August 7, 2002
TO:
Sheila Barker, Director
Administrative Services
ATTN:
Nancy Cohen
Worker's Compensation Administrator
Pamela G. Hanc~
Deputy Clerk CY
FROM:
At the July 17, 2002, Board of County Commissioner's Meeting the Board granted
approval of the renewal of the worker's compensation Contract between Monroe County and
Preferred Governmental Claim Solutions to provide Third Party Administration Services for the
workers' compensation program for Monroe County.
Enclosed is a duplicate original of the above mentioned for your handling. Should you
have any questions please do not hesitate to contact this office.
Cc: County Administrator w/o document
County Attorney
Finance
File/
VED
EN1iUL 0 8 2002
PGCS
AMENDMENT TO SERVICE AGREEMENT RENEWAL
This renewal of a Service Agreement is entered into by and between Monroe County, a
Political subdivision of the State or Florida, whose address is 1100 Simonton Street, Key
Fl. 33040, hereafter County, and Preferred Governmental Claims Solutions, a
corporation, whose address is P.O. Box 16-6005, Altamonte Springs, F1. 32716,
hereafter PGCS. The parties agree as follows:
1. The Service Agreement between the County and PGCS dated April 1, 1996, as
amended on August 13, 1996 and renewed 8/11/1999 through September 30, 2002, is hereby
renewed for one additional year term expiring on September 30, 2003.
2. Compensation for the one (1) year term is as follows:
(a) Lost time claims $440.00 per claim and $130.00 for medical only per claim.
(b) Administrative services fee in the amount of $3,000.00 per month, to include all
claims handling as outlined in the April 1, 1996 Service Agreement.
3. Except for the renewal terms and amended compensation described in
paragraphs 1 and 2, in all other respects the April 1, 1996 Service Agreement between the
County and PGCS, as amended remains in full force and effect.
4. The County's performance and obligation to pay under this amendment is
~ent upon an annual appropriation by the BOCC.
I.('/<<!~~~":' '~. This Amended Service Agreement Renewal will become effective October 1,2002.
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