FY2003 11/20/2002
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
BRANCH OFFICE
MARATHON SUB COURTHOUSE
3117 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
TEL. (305) 289-6027
FAX (305) 289-1745
MONROE COUNfY COURTHOUSE
500 WHITEHEAD STREET, SUITE 101
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
FAX (305) 295-3663
BRANCH OFFICE
PLANTATION KEY
GOVERNMENT CENfER
88820 OVERSEAS HIGHWAY
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-7145
FAX (305)852-7146
MEMORANDUM
DATE:
December 16, 2002
TO:
Christopher R. Smith, Operations Manager
Monroe County Health Department
Pamela G. Hanc~
Deputy Clerk CY
FROM:
At the November 20, 2002, Board of County Commissioner's meeting the Board granted
approval and authorized execution of a Contract ( annual Core) between Monroe County, State of
Florida Department of Health, and the Monroe County Health Department for operation of the
Monroe County Health Department Contract Year 2002-2003.
Enclosed please find four duplicate originals of the above mentioned, executed on behalf
of Monroe County, for your handling. Please be sure that the fully executed "Monroe County
Clerk's Original" and the "Monroe County Finance Division's Original" are returned to
our office as soon as possible. Should you have any questions please feel free to contact our
office.
Cc: County Administrator wlo document
Finance wlo document
County Attorney
File ./
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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 2002-2003
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, 2002.
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 ("CHD") 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, 2002, through September 30,2003, 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 excludina 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 $4.009.917 (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 excludina any fees,
other cash or local contributions) as provided in Attachment II, Part II is an amount
not to exceed $362.113 (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.
c. Either party may establish service fees as allowed by law to fund activities of the
CHD. Where applicable, such fees shall be automatically adjusted to at least the
Medicaid fee schedule. Fees are listed in Attachment II Part II of this contract and in the
Environmental Health Fee Schedule which is provided by the Environmental Health
Program Office. The estimated annual environmental health fee revenues accruing to the
County Health Department Trust Fund are listed on At~9chment VI.
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 whom payments shall be made is:
County Health Department Trust Fund
Monroe County
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-State Goal Achievemenf' report
located on the Department of Health Intranet).
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 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 facilitie$.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.L, 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, then 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 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 OMB 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 records 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.
I. 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.
m. The CHD shall establish a system through ~hich 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 cumulative amount of the variance
between actual and planned expenditures does not exceed three percent of the
cumulative 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.
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, 2003 for the report period October 1, 2002 through
December 31 , 2002;
ii. June 1, 2003 for the report period October 1, 2002 through
March 31, 2003;
iii. September 1 , 2003 for the report period October 1, 2002
through June 30, 2003; and .
iv. December 1,2003 for the report period October 1,2002
through September 30,2003.
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
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. Availabilitv of Funds. If this Agreement, any renewal hereof, or any term,
performance or payment hereunder, extends beyon~t. the fiscal year beginning July 1,
2003, 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. Modification. This Agreement and its Attachments contain all of the terms
and conditions agreed upon between the parties. Modifications of this Agreement shall be
enforceable only when reduced to writing and signed by all parties.
c. Contract Manaaers. The name and address of the contract managers for
the parties under this Agreement are as follows:
For the State:
For the County:
Christopher Smith
Operations Manager
Post Office Box 6193
Key West, Florida 33040
305/293-7539
James Roberts
County Administrator
GATO Building, 1100 Simonton St
Key West, Florida 33040
305/292-4441
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.
d. 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.
In WITNESS THEREOF, the parties hereto have caused this 9 page agreement to
be executed by their undersigned officials as duly authorized effective the 1st day of October,
2002.
FOR
MONROE
COUNTY
STATE OF FLORIDA
DEPARTMENT OF HEALTH
BOARD OF COUNTY COMMISSIONERS
::::0 BY~1t ?:1~ t;t~
Ii '-I OK
II U v
SIGNED BY: ~ ~.!---.-r ~
NAME: ~'(;hn O. Aawunobi. M.D.. M.B.A.
TITLE: Secretary
DATE:
I-X- d'~3
D.C..
SIGNEO~~
NAME: R. C. Rutherford. M. ..M.P.H.
TITLE:
DATE: P7~ 2.... a.ooz.
TITLE: CHD Director/Administrator
DATE:
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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
Reauirement
1.
Sexually Transmitted Disease
Program
Requirements as specified in FAC 64D-3 and F.S. 384 and
the CHD Guidebook Intemal Operating Policy STD 6 and 7.
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 DHM 150-24* and all federal, state and county
requirements detailed in program manuals and published
procedures.
4.
Healthy Start!
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.
8.
Environmental Health
Requirements as specified in DHP 50-4* and 50-21*
9.
HIV/AIDS Program
Requirements as specified in Florida Statue 384.25 and
64D-3.016 and 3.017 FAC. and the CHD Guidebook. Case
reporting on CDC Forms 50.428 (Adult! 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.
ATTACHMENT I (Continued)
10.
School Health Services
HRSM 150-25*, including the requirement for an annual plan
as a condition for funding.
*or the subsequent replacement if adopted during the contract period.
DEC-30-2002 16:02
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TOTAL P. 0.'2
1. GENERAL REVENUE - STATE
015011 ALG/CONTRIBUTION TO CHDS-PRIMARY CARE 17,256 0 17,256 0 17,256
01501 I ALG/PRIMAR Y CARE 223,310 0 223,310 0 223,310
015012 G/A EPILEPSY SERVICES 0 0 0 0 0
015048 ALG/CONTR TO CHDS-STD PROGRAM 21,016 0 21,016 0 21,016
015050 ALG/CESSPOOL IDENTIFICATION AND ELIMINA no 128,707 0 128,707 0 128,707
015050 ALG/CONTR TO CHDS 1,275,276 0 1,275,276 0 1,275,276
015050 ALG/CONTR TO CHDS-MIGRANT LABOR CAMP SANI 0 0 0 0 0
015050 ALG/CONTR. TO CHDS-DENTAL PROGRAM 20,000 0 20,000 0 20,000
015050 ALG/CONTR. TO CHDS-IMMUNIZATION OUTREACH 7,203 0 7,203 0 7,203
015050 ALG/CONTR. TO CHDS-INDOOR AIR ASSIST PROG 0 0 0 0 0
015050 ALG/CONTR. TO CHDS-SOVEREIGN IMMUNITY 0 0 0 0 0
015050 CA TE-ENVIRONMENT AL COMMUNITY HEALTH PR 0 0 0 0 0
015050 COMMUNITY ENV HLTH ADVISORY BOARD PILOT P 0 0 0 0 0
015050 COMMUNITY TB PROGRAM 83,595 0 83,595 0 83,595
015050 CONTRTOCHDS-DUVALTEENPREGNANCYPRE 0 0 0 0 0
015050 FAMU - RAISING GRETNA PROGRAM 0 0 0 0 0
015050 FIRST STEP - MOTHERS & INFANTS PROGRAM 0 0 0 0 0
015050 HEALTHY BEACHES MONITORING 29,027 0 29,027 0 29,027
015050 INTERDISCIPLINARY MANAGED CARE SERENITY H 0 0 0 0 0
015050 LA LIGA CONTRA EL CANCER 0 0 0 0 0
015050 LAB ASSISTANCE PROGRAM 0 0 0 0 0
015050 MANATEE COUNTY RURAL HEALTH SERVICES 0 0 0 0 0
015050 MEDIVAN PROJECT-ELDERLY INTEREST 0 0 D 0 0
015050 METRO ORLANDO URBAN LEAGUE TEENAGE PREG 0 0 0 0 0
015050 QUALITY MANAGEMENT DEMO PROJECT 0 0 0 0 0
015050 RED LEGISLATION - GAP GRANT (CAT 050310) 0 0 0 0 0
015050 RED LEGIS LA nON - GAP GRANT - IMMUN. (CAT 05 0 0 0 0 0
015050 SPECIAL NEEDS SHELTER PROGRAM 0 0 0 0 0
015065 ALG/CONTR TO CHDS-AIDS PATIENT CARE 384,663 0 384,663 0 384,663
015065 ALG/CONTR TO CHDS-AIDS PREY & SURV & FIELD S 105,802 0 105,802 0 105,802
015115 VOLUNTEER SCHOOL HEALTH NURSE GRANT 0 0 0 0 0
015123 ALG/F AMIL Y PLANNING 62,578 0 62,578 0 62,578
015124 ALG/IPO - OUTREACH SOCIAL WORKERS CAT. 0507 0 0 0 0 0
015124 ALG/IPO HEALTHY START 0 0 0 0 0
015124 ALG/IPO HEALTHY ST ART/IPO CAT 050707 0 0 0 0 0
015124 ALG/IPO-INFANT MORTALITY PROJECT CAT. 0507 0 0 0 0 0
015124 ALG/MCH HEALTHY START/IPO CAT 050870 0 0 0 0 0
015124 ALG/MCH-INFANT MORTALITY PROJECT CAT. 050 0 0 0 0 0
015124 ALG/MCH-OUTREACH SOCIAL WORKERS CAT 0508 0 0 0 0 0
015137 ALG/CONTR. TO CHDS-MCH HEALTH - FIELD STAF 0 0 0 0 0
015137 ALG/IPO-HEALTHY START-DATA COLLECTION PR 0 0 0 0 0
015140 ALG/SCHOOL HEALTH/SUPPLEMENTAL 41,665 0 41,665 0 41,665
GENERAL REVENUE TOTAL 2,400,098 0 2,400,098 0 2,400,098
2. NON GENERAL REVENUE - STATE
001009 Debit Memo-Bad Checks 0 0 0 0 0
010304 Stationary Pollutant Storage Tanks 118,086 0 118,086 0 118,086
015000 Transfer 0 0 0 0 0
2. NON GENERAL REVENUE - STATE
015010 ALG/CONTR TO CHDS-REBASING TOBACCO TF 21,864 0 21,864 0 21,864
015010 ENHANCED DENTAL SERVICES TOBACCO TF 0 0 0 0 0
015010 FL HEPATITIS AND LIVER FAILURE PREVENTION/CO 150,000 0 150,000 0 150,000
015010 SUPER ACT PROGRAM ADM TF 0 0 0 0 0
015016 G/A EPILEPSY PREVENTION AND EDUCATION EPIL 0 0 0 0 0
015020 FOOD AND WATERBORNE DISEASE PROGRAM AD 0 0 0 0 0
015026 ALG/CONTR. TO CHDS-BIOMEDlCAL W ASTE/DEP A 3,672 0 3,672 0 3,672
015029 Tranfers Intra Agency 0 0 0 0 0
015047 SUPER ACT PROGRAM (CAT 050329 OCA 9VOOO)AD 0 0 0 0 0
015072 ALG/CONTR. TO CHDS-SAFE DRINKING WATER PRG 0 0 0 0 0
015084 VARICELLA IMMUNIZATION REQUIREMENT TOBAC 3,855 0 3,855 0 3,855
015121 Super Act Reimbursements 0 0 0 0 0
015170 TOBACCO COORDINATION 52,559 0 52,559 0 52,559
015172 FULL SERVICE SCHOOLS - TOBACCO TF 61,720 0 61,720 0 61,720
015174 BASIC SCHOOL HEALTH - TOBACCO TF 40,839 0 40,839 0 40,839
015139 Well Surveillance Reimbursement - Pesticide 0 0 0 0 0
NON GENERAL REVENUE TOTAL 452,595 0 452,595 0 452,595
3. FEDERAL FUNDS - State
007000 CHILDHOOD LEAD POISONING PREVENTION 0 0 0 0 0
007000 RAPE PREVENTION & EDUCTION PROGRAM 0 0 0 0 0
007000 FEDERAL COASTAL BEACH MONITORING PROGRA 27,626 0 27,626 0 27,626
007030 PHBG/MIGRANT LABOR CAMP SANITATION 0 0 0 0 0
007044 PHBG/RAPE AWARENESS 0 0 0 0 0
007049 FRINGE BENEFITS FOR POSITION # 081332 0 0 0 0 0
007049 STD PROGRAM-CSPS 0 0 0 0 0
007049 STD PROGRAM-INFERTILITY PROJECT 0 0 0 0 0
007049 STD PROGRAM-MED & LAB SVCS TRNG CNTR 0 0 0 0 0
007049 STD PROGRAM-STD/PHY TRAINING CENTER 0 0 0 0 0
007049 STD PROGRAM-SYPHILIS ELIMINATION PROJECT 0 0 0 0 0
007051 FGTF/WIC ADMINISTRATION 171,012 0 171,012 0 171,012
007056 HEALTH PROGRAM FOR REFUGEES 0 0 0 0 0
007056 REFUGEE HEALTH PROGRAM 0 0 0 0 0
007058 FGTF/DIABETES CONTROL 0 0 0 0 0
007062 FGTF/AIDS EPIDEMIOLOGICAL RESEARCH STUDY 0 0 0 0 0
007063 PHBG/COMPREHENSIVE COMM CARDlO HLTH PRG 0 0 0 0 0
007064 FGTF/AIDS SURVEILLANCE 0 0 0 0 0
007065 AIDS PREVENTION 189,152 0 189,152 0 189,152
007066 FGTF/RYAN WHITE 0 0 0 0 0
007066 FGTF/RY AN WHITE - EMERGING COMMUNITIES 0 0 0 0 0
007066 FGTF/R Y AN WHITE-AIDS DRUG ASSIST PROG-ADMl 22,443 0 22,443 0 22,443
007066 FGTF/RY AN WHITE-CONSORTIA 550,986 0 550,986 0 550,986
007067 TUBERCULOSIS CONTROL - FEDERAL GRANT 0 0 0 0 0
007068 FGTF/AIDS INMATE INTERVENTION 0 0 0 0 0
007069 FGTF/AIDS MINORITY INVOLVEMENT IN HIV 0 0 0 0 0
007077 BIOTERRORISM EDUCATION & TRAINING 80,000 0 80,000 0 80,000
007077 BIOTERRORISM NETWORK COMMUNICATIONS 0 0 0 0 0
007077 BIOTERRORISM PLANNING & READINESS 68,780 0 68,780 0 68,780
3. FEDERAL FUNDS - State
007084 FGTF/IMMUNIZA TION ACTION PLAN 6,322 0 6,322 0 6,322
007084 FGTF/IMMUNIZA TION-PROJECT FIELD STAFF 0 0 0 0 0
007084 FGTF/IMMUNIZA TION- WIC LINKAGES 0 0 0 0 0
007084 IMMUNIZATION ACTION PLAN 5,690 0 5,690 0 5,690
007084 IMMUNIZATION SPECIAL PROJECT 3,483 0 3,483 0 3,483
007084 IMMUNIZATION SUPPLEMENTAL - 2002 0 0 0 0 0
007084 PERINATAL DISEASE PREVENTION 0 0 0 0 0
007085 FGTF/BREAST & CERVICAL CANCER-ADMIN/CASE M 0 0 0 0 0
007127 MCH BGTF-MCH/CHILD HEALTH 11,446 0 11,446 0 11,446
007127 MCH BGTF-MCHlCHILD HEALTH AGES 0-1 YR 0 0 0 0 0
007132 MCH BGTF-MCH/DENTAL PROJECTS 0 0 0 0 0
007133 FGTF/FAMIL Y PLANNING TITLE X SPECIAL INITIA 0 0 0 0 0
007133 FGTF/FAMILY PLANNING-TITLE X 70,057 0 70,057 0 70,057
007134 MCH BGTF-GADSDEN SCHOOL CLINIC 0 0 0 0 0
007134 MCH BGTF-HEALTHY START \PO 0 0 0 0 0
007134 MCH BGTF-INFANT MORTALITY PROJECT 0 0 0 0 0
007134 MCH BGTF-OUTREACH SOCIAL WORKERS 0 0 0 0 0
007135 FGTF/ABSTINENCE EDUCATION PROGRAM 0 0 0 0 0
015021 MEDIPASS WAIVER-HLTHY STRT CLIENT SERVICES 0 0 0 0 0
015021 MEDIPASS WAIVER-SOBRA 0 0 0 0 0
015060 Entrant Reimburement Transfer 0 0 0 0 0
015075 FULL SERVICE SCHOOLS- T ANF 6,732 0 6,732 0 6,732
015075 KIDCARE - TITLE XIX 50,000 0 50,000 0 50,000
015075 SCHOOL HEALTH-SUPPLEMENT-TANF 11,581 0 11,581 0 11,581
015075 T ANF ABSTINENCE EDUCATION 0 0 0 0 0
015075 Refugee Program 0 0 0 0 0
FEDERAL FUNDS TOTAL 1,275,310 0 1,275,310 0 1,275,310
4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
001026 Returned Check Ser Fees 0 0 0 0 0
001091 Communicable Disease Fees 0 0 0 0 0
001092 Environmental Health Fees 171,000 0 171,000 0 171,000
001092 OSDS Repair Permit 0 0 0 0 0
001092 OSDS Permit Fee 0 0 0 0 0
001092 Aerobic Operating Permit 0 0 0 0 0
001092 Septic Tank Site Evaluation 0 0 0 0 0
001113 Mobile Home and Parks 17,135 0 17,135 0 17,135
001132 Food Hygiene Permit 12,385 0 12,385 0 12,385
001135 OSDS Variance Fee 400 0 400 0 400
00 I 092 I & M Zoned Operating Permit 0 0 0 0 0
001139 Migrant Housing Permit 0 0 0 0 0
001140 Biohazard Waste Permit 3,500 0 3,500 0 3,500
001142 Non SDW A Lab Sample 0 0 0 0 0
001144 Tanning Facilities 2,000 0 2,000 0 2,000
001145 Swimming Pools 38,560 0 38,560 0 38,560
001149 Body Piercing 880 0 880 0 880
001165 Private Water Constr Permit 0 0 0 0 0
001166 Non-SDW A System Permit 0 0 0 0 0
4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
001166 Public Water Constr Permit 0 0 0 0 0
001166 Public Water Annual Oper Permit 0 0 0 0 0
001170 Lab Fee Chemical Analysis 0 0 0 0 0
001211 Safe Drinking Water 0 0 0 0 0
010403 Fees-Copy of Public Doc 560 0 560 0 560
015052 Transfers-Mobile Home/RV Park 0 0 0 0 0
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 246,420 0 246,420 0 246,420
5. OTHER CASH CONTRIBUTIONS - STATE
090001 Draw down from Public Health Unit 26,079 0 26,079 0 26,079
OTHER CASH CONTRIBUTIONS TOTAL 26,079 0 26,079 0 26,079
6. MEDICAID - ST A TE/COUNTY
001056 CHD Incm:Medicaid-Pharmacy 0 0 0 0 0
001080 CHD Incm:Medicaid-Other 0 0 0 0 0
001081 CHD Incm:Medicaid-EPSDT 0 0 0 0 0
001082 CHD Incm:Medicaid-Dental 0 0 0 0 0
001083 CHD Incm:Medicaid-FP 4 36 40 0 40
001084 CHD Incm:Medicaid-Physician 915 1,185 2,100 0 2,100
001085 CHD Incm:Medicaid-Nursing 123,757 160,284 284,041 0 284,041
001086 CHD Incm:Co-lnsurance 0 0 0 0 0
001087 CHD Incm:Medicaid-STD 0 0 0 0 0
001088 CHD Incm:Med Reimb AZT Disp Fee 0 0 0 0 0
001089 Medicaid AIDS 47,256 61,204 108,460 0 108,460
001147 Medicaid HMO Rate 0 0 0 0 0
001148 Medicaid-HMO Admin 0 0 0 0 0
001181 CHD Incm:Medicaid Transportation 0 0 0 0 0
001191 CHD Incm:Medicaid Maternity 0 0 0 0 0
001192 CHD Incm:Medicaid Compo Child 17,341 22,459 39,800 0 39,800
001193 CHD Incm:Medicaid Compo Adult 0 0 0 0 0
001194 CHD Incm:Medicaid Sonagram 0 0 0 0 0
001208 Medipass $3.00 Adm. Fee 989 1,282 2,271 0 2,271
001052 Medicaid Receipts - Part B 0 0 0 0 0
001059 Medicaid EIP 0 0 0 0 0
MEDICAID TOTAL 190,262 246,450 436,712 0 436,712
7. ALLOCABLE REVENUE - STATE
005040 Interest Erned State Investment 0 0 0 0 0
005041 Interest Erned Locallnvestrnent 0 0 0 0 0
018001 Refunds, Salary 0 0 0 0 0
018003 Refunds, other Personal Services 0 0 0 0 0
018004 Refunds, Expenses 500 0 500 0 500
018005 Refunds Grants to Local Gov't 0 0 0 0 0
018006 Refunds, Operating Capital Outlay 0 0 0 0 0
018010 Refunds, Special Category 0 0 0 0 0
018011 Refunds, Other 0 0 0 0 0
018099 Refunds, Certified Forward 0 0 0 0 0
7. ALLOCABLE REVENUE - STATE
029010 Sale of Fixed Assets 0 0 0 0 0
037000 Pri or Year W arran t 0 0 0 0 0
038000 12 Month Old Warrant 0 0 0 0 0
ALLOCABLE REVENUE TOTAL 500 0 500 0 500
8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND. STATE
State Pharmacy Services 0 0 0 70,504 70,504
State Laboratory Services 0 0 0 89,461 89,461
State TB Services 0 0 0 0 0
State Immunization Services 0 0 0 106,623 106,623
State STD Services 0 0 0 0 0
State Construction/Renovation 0 0 0 0 0
WIC Food 0 0 0 614,290 614,290
ADAP Drug Assistance Program Category III 0 0 0 170,138 170,138
Other (specify) 0 0 0 0 0
Other (specify) 0 0 0 0 0
Other (specify) 0 0 0 0 0
OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 1,051,016 1,051,016
9. BOARD OF COUNTY COMMISSIONERS ANNUAL APPROPRIATIONS - COUNTY
008030 Grants-County Tax Direct 0 290,000 290,000 0 290,000
008034 Grants Cnty Commsn Other 0 72,113 72,113 0 72,113
BOARD OF COUNTY COMMISSIONERS TOTAL 0 362,113 362,113 0 362,113
10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY
001004 Child Car Seat Prog 0 0 0 0 0
001060 Vital Statistics Fees Other 0 600 600 0 600
001074 Adult Enter. Permit Fees 0 0 0 0 0
001077 Primary Care Fees 0 12,500 12,500 0 12,500
001093 Communicable Disease Fees 0 52,350 52,350 0 52,350
001094 Environmental Health Fees 0 0 0 0 0
001114 New Birth Certificates 0 7,480 7,480 0 7,480
001115 Death Certificates 0 44,403 44,403 0 44,403
001116 Computer Access Fee 0 0 0 0 0
001117 Vital Stats-Adm. Fee 50 cents 0 416 416 0 416
001195 Primary Care Transfer Fees 0 0 0 0 0
001196 Water Analysis-Potable 0 0 0 0 0
001062 Rabies Vaccine 0 0 0 0 0
001062 Rabies Vaccine 0 0 0 0 0
FEES AUTHORIZED BY COUNTY TOTAL 0 117,749 117,749 0 117,749
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
00 I 0 10 Recovery-Bad Checks 0 0 0 0 0
001026 Returned Check Fee 0 0 0 0 0
001029 Third Party Reimbursement 0 0 0 0 0
001072 Ryan White Title 1 0 0 0 0 0
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
001073 Ryan White Title [J 0 0 0 0 0
001075 Ryan White Title III 0 650 650 0 650
001090 Medicare 0 500 500 0 500
001190 Health Maintenance Organ. (HMO) 0 0 0 0 0
008010 Grants Contracts Frm Cities Direct 0 0 0 0 0
008031 County AIDS Education 0 0 0 0 0
008033 County Contributions For Facilities 0 0 0 0 0
008050 Grants-Cnty Sch Board Direct 0 35,000 35,000 0 35,000
008090 Grants other Local Govn't Direct 0 0 0 0 0
008094 Grnts/Contracts other Agencies Direct 0 0 0 0 0
008095 Grants Cnty Sect 403.102 Air Pol 0 0 0 0 0
008099 Reimb/Rebate Local Govn't 0 0 0 0 0
010300 Sale of Goods and Services 0 0 0 0 0
010301 Exp Witness Fee Consultnt Charges 0 0 0 0 0
010302 Sale of Goods and Services, to Other Agencies 0 151,200 151,200 0 151,200
010402 Recycle Paper Sales 0 0 0 0 0
010403 Fees-Copies of Documents 0 0 0 0 0
010405 Sale of pharmaceuticals 0 0 0 0 0
010409 Sale of Goods and Services Outside State Government 0 0 0 0 0
011001 Healthy Start Coalition Contributions 0 145,000 145,000 0 145,000
011007 Cash Donations Private 0 1,120 1,120 0 1,120
011098 Donation School Based Clinic 0 0 0 0 0
011099 Other Grants/Donations Direct 0 67 67 0 67
011522 Other Grant DOE 0 0 0 0 0
012020 Fines and Forfeitures 0 0 0 0 0
012021 Return Check Charge 0 0 0 0 0
090002 Draw down from Public Health Unit 0 -74,382 -74,382 0 -74,382
007010 U.S. Grants Direct 0 693,528 693,528 0 693,528
001000 Fees Other 0 0 0 0 0
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 952,683 952,683 0 952,683
12. ALLOCABLE REVENUE - COUNTY
005040 Interest Erned State Investment 0 30,000 30,000 0 30,000
005041 Interest Erned Local Investment 0 0 0 0 0
018001 Refunds, Salary 0 0 0 0 0
018003 Refunds, other Personal Services 0 0 0 0 0
018004 Refunds, Expenses 0 0 0 0 0
018005 Refunds Grants to Local Gov't 0 0 0 0 0
018006 Refunds, Operating Capital Outlay 0 0 0 0 0
018010 Refunds, Special Category 0 0 0 0 0
018011 Refunds, Other 0 0 0 0 0
018099 Refunds, Certified Forward 0 0 0 0 0
029010 Sale of Fixed Assets 0 0 0 0 0
037000 Prior Year Warrant 0 0 0 0 0
038000 12 Month Old Warrant 0 0 0 0 0
COUNTY ALLOCABLE REVENUE TOTAL 0 30,000 30,000 0 30,000
13. BUILDINGS - COUNTY
Annual Rental Equivalent Value 0 0 0 225,000 225,000
Maintenance 0 0 0 20,000 20,000
Other-Utilities 0 0 0 50,000 50,000
Other (specify) 0 0 0 0 0
Other (specify) 0 0 0 0 0
Other (specify) 0 0 0 0 0
Other (specify) 0 0 0 0 0
BUILDINGS TOTAL 0 0 0 295,000 295,000
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY
Other County Contribution (specify) 0 0 0 0 0
Other County Contribution (specify) 0 0 0 0 0
Other County Contribution (specify) 0 0 0 0 0
Other County Contribution (specify) 0 0 0 0 0
Other County Contribution (specify) 0 0 0 0 0
OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0
GRANDTOTALCHDPROGRAM 4,591,264 1,708,995 6,300,259 1,346,016 7,646,275
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Total
A COMMUNICABLE DISEASE CONTROL:
Immunization (101) 3,75 0 5,200 40,507 41,394 41,394 41,394 0 164,689 164,689
STD(102) 2,00 63 1,333 28,200 28,200 28,200 28,200 0 112,800 II 2,800
ALD,S, (103) 17.00 465 6,900 518,138 518,138 518,138 518,139 758,349 1,314,204 2,072,553
TB Control Services (104) 2.00 575 1,400 37,153 37,153 37,153 37,153 0 148,612 148,612
Conun. Disease Surv. (106) 0.75 0 880 12,963 12,963 12,963 12,963 51,852 0 51,852
Hepatitis Prevention (109) 1.75 0 980 37,500 37,500 37,500 37,500 0 150,000 150,000
--.~.
Public Health Preparedness and Response (116) 2.00 0 0 16,531 37,195 37,195 57,859 0 148,780 148,780
Vital Statistics (180) 1.25 0 0 14,931 14,931 14,931 14,931 59,724 0 59,724
COMMUNICABLE DISEASE SUBTOTAL 30.50 1,103 16,693 705,923 727,474 727,474 748,139 869,925 2,039,085 2,909,010
B. PRIMARY CARE:
Chronic Disease Services (210) 1.00 76 500 2,600 2,600 2,600 2,600 0 10,400 10,400
Tobacco Prevention (212) 1.00 0 5 22,399 22,398 22,398 22,398 0 89,593 89,593
Home Health (215) 0.00 0 0 0 0 0 0 0 0 0
W.I.c. (221) 6.00 1,500 9,300 104,616 104,616 104,616 104,616 0 418,464 418,464
Family Planning (223) 4.50 590 3,340 114,366 115,367 II 5,367 115,366 36 460,430 460,466
Improved Pregnancy Outcome (225) 0.00 0 0 0 0 0 0 0 0 0
Healthy Start Prenatal (227) 3.50 200 14,600 57,400 57,400 57,400 57,400 229,600 0 229,600
Comprehensive Child Health (229) 0.75 55 530 27,072 27,072 27,072 27,072 0 108,288 108,288
Healthy Start Infant (231) 4.25 300 13,000 47,709 47,709 47,710 47,709 190,837 0 190,837
School Health (234) 9.00 0 110,000 192,441 295,441 194,041 144,041 195,284 630,680 825,964
. Comprehensive Adult Health (237) 2.50 265 1,200 45,072 45,072 45,072 45,072 0 180,288 180,288
Dental Health (240) 0.00 0 0 30,775 30,775 30,775 30,774 0 123,099 123,099
PRIMARY CARE SUBTOTAL 32.50 2,986 152,475 644,450 748,450 647,051 597,048 615,757 2,021,242 2,636,999
C. ENVIRONMENTAL HEALm:
Water and Onsite Sewage Programs
Coastal Beach Monitoring (347) 1.75 17 14 6,906 6,907 6,907 6,906 0 27,626 27,626
Private Water System (357) 0.00 0 0 0 0 0 0 0 0 0
Public Water System (358) 0.00 0 0 135 135 135 135 0 540 540
Individual Sewage Disp. (361) 12.00 500 3,000 86,910 89,748 89,748 35,015 151,200 150,221 301,421
Group Total 13.75 517 3,014 93,951 96,790 96,790 42,056 151,200 178,387 329,587
Facility Programs
Food Hygiene (348) 0.50 60 250 5,708 5,708 5,708 5,708 0 22,832 22,832
Body Art (349) 0.00 0 0 0 0 0 0 0 0 0
Group Care Facility (351) 0.25 80 150 3,462 3,462 3,462 3,462 0 13,848 13,848
Migrant Labor Camp (352) 0.00 0 0 67 67 67 67 0 268 268
Housing,Public B1dg Safety,Sanitation (353) 0.00 0 0 70 70 70 70 0 280 280
Mobile Home and Parks Services (354) 0.50 65 245 6,645 6,645 6,645 6,645 0 26,580 26,580
Swimming Pools/Bathing (360) 2.00 482 1,220 27,654 27,654 27,654 27,654 0 110,616 1I0,616
Biomedical Waste Services (364) 0.30 40 60 4,008 4,008 4,008 4,008 0 16,032 16,032
Tanning Facility Services (369) 0.03 3 II 276 276 276 276 0 1,104 1,104
Group Total 3.58 730 1,936 47,890 47,890 47,890 47,890 0 191,560 191,560
Grand
Total
C. ENVIRONMENTAL HEALTH:
Groundwater Contamination
Storage Tank Compliance (355) 2.00 290 583 29,521 29,522 29,522 29,521 0 118,086 118,086
Super Act Service (356) 0.00 0 0 0 0 0 0 0 0 0
Group Total 2.00 290 583 29,521 29,522 29,522 29,521 0 118,086 118,086
Convnunity Hygiene
Occupational Health (344) 0.00 0 0 0 0 0 0 0 0 0
Consumer Product Safety (345) 0.00 0 0 70 ........ 70 70 70 0 280 280
Emergency Medical (346) 0.00 0 0 0 0 0 0 0 0 0
Lead Monitoring Services (350) 0.00 0 0 98 98 98 98 0 392 392
Public Sewage (362) 0.00 0 0 0 0 0 0 0 0 0
Solid Waste Disposal (363) 0.00 0 0 0 0 0 0 0 0 0
Sanitary Nuisance (365) 0.25 60 200 3,114 3,114 3,114 3,114 0 12,456 12,456
Rabies Surveillance/Control Services (366) 0.05 1 8 857 857 857 857 0 3,428 3,428
Arbovirus Surveillance (367) 0.15 0 100 2,131 2,131 2,131 2,131 0 8,524 8,524
Rodent! Arthropod Control (368) 0.00 0 0 35 35 35 35 0 140 140
Water Pollution (370) 0.30 0 170 3,837 3,837 3,837 3,837 0 15,348 15,348
Air Pollution (371) 0.00 0 0 74 74 74 74 0 296 296
Radiological Health (372) 0.03 0 0 5\0 5\0 510 510 0 2,040 2,040
Toxic Substances (373) 1.00 30 30 18,028 18,029 18,028 18,028 72,113 0 72,113
Group Total 1.78 91 508 28,754 28,755 28,754 28,754 72,113 42,904 115,017
ENVIRONMENTAL HEALTH SUBTOTAL 21.11 1,628 6,041 200,116 202,957 202,956 148,221 223,313 530,937 754,250
D. SPECIAL CONTRACTS:
Special Contracts (599) 0.00 0 0 0 0 0 0 0 0 0
SPECIAL CONTRACTS SUBTOTAL 0.00 0 0 0 0 0 0 0 0 0
TOTAL CONTAACT 84.11 5,717 175,209 1,550,489 1,678,881 1,577,481 1,493,408 1,708,995 4,591,264 6,300,259
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, subgrantees 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.
ATTACHMENT IV
MONROE COUNTY HEALTH DEPARTMENT
FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT
,.-
Facility Owned By
Descri ption Location
GA TO Building 1100 Si monton Street Monroe County
Key West, FL 33040
Health Care Center 1200 Kennedy Drive Lower Keys Medical Center
Key West, FL 33040
Roosevelt Sands Center 105 Olivia Street City of Key West
Key West, FL 33040
Ruth Ivins Center for 3333 Overseas Highway Monroe County
Public Health Marathon, FL 33050
Environmental Health 13367 Overseas Highway Private Party
Monroe CHD Marathon, FL 33050
Monroe County Health 148 Georgia Avenue Monroe County
Department Tavernier, FL 33070
Venetian Plaza 85960 Overseas Highway Private Party
Village of the Islands
Islamorada, FL 33036
ATTACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
DESCRIPTION OF USE OF CHD TRUST FUND BALANCES
FOR SPECIAL CAPITAL PROJECTS, IFAPPLlCABLE
(From Attachment II, Part I)
1) $80,000 RSC, Roosevelt Sands Center
Construction/Renovation/Fu rnishings/Equipment
Estimated completion date November 2002
2) $200,000 Upper Keys CHD, Mariner's Hospital
Construction/Renovation/Fu rn ishings/Equipment..
Estimated completion date December 2004
3) $182,390 CSPAD, Cesspit Replacement Project
Estimated completion date June 2003
4) $75,000 Technology Equipment/Hardware/Software
Estimated completion date June 2003
DESCRIPTION OF SPECIAL CONTRACTS
(From Attachment II, Part III)
(599)
Special contracts are contracts for services for which there are no comparable services in the
county health department core programs; no service codes in Departmental coding manuals;
projects that are locally designed and have no standard statewide set of services and therefore
cannot be accounted for within existing county health department programs. These contracts
are coded to FLAIR Level 5 of 599 and include some contracts formerly handled at the district
offices such as epilepsy, Project WARM, community planning and special family planning and
teen mother projects.
ATTACHMENT VI
MONROE COUNTY HEALTH DEPARTMENT
ESTIMATE OF ENVIRONMENTAL HEALTH FEES
FISCAL YEAR 2002 . 2003
Est. Ann. Revenue
DESCRIPTION FEE DEPOSIT ORG OBJECT Accruing to CHD
AMOUNT AMOUNT L41L5 CODE Trust Fund
PUBLIC SWIMMING POOLS AND BATHING PLACES 38,560.00
1. Annual Permit - Up to (and including) 25,000 gallons 75.00 67.50 XX-360 001145
......,.'
1a. Transfer to headquarters 7.50 99-910 001205
2. More than 25,000 gallons 160.00 144.00 XX-360 001145
2a. Transfer to headquarters 16.00 99-910 001205
3. Exempted Condo Pools (over 32 units) 50.00 45.00 XX-360 001145
3a. Transfer to headquarters 5.00 99-910 001205
OTHER FEES
Collected by the 13 delegated counties
Broward, Dade, Duval, Hillsborough, Lee, Manatee,
Collier, Palm Beach, Pinellas, Polk, Sarasota, Volusia, Escambia.
Permits and variances for Okaloosa, Santa Rosa, Walton, Bay,
Homes, and Washington Counties are processed by Escambia
County and variances and permits for Pasco County are processed
by Pinellas County are processed as follows:
1. Plan review (new construction) 275.00 275.00 XX-360 001092
2. Plan review for modification of original construction 100.00 100.00 XX-360 001092
3. Plan/application review for bathing place development 275.00 275.00 XX-360 001092
4. Initial operating permit 125.00 125.00 XX-360 001092
5. Variance applications 240.00 216.00 XX-360 001092
5.a. Transfer to Headquarters 24.00 99-910 001205
All other counties are to send the fee to Bureau of Water
Programs in Tallahassee or the Environmental Engineering
section in Orlando as follows:
1. Plan review (new construction) 275.00 275.00 00-000 001044
2. Plan review for modification of original construction 100.00 100.00 00-000 001044
3. Plan/application review for bathing place development 275.00 275.00 00-000 001044
4. Initial operating permit 125.00 125.00 00-000 001044
5. Variance applications 240.00 240.00 00-000 001044
MOBILE HOME & RECREATIONAL VEHICLE PARKS 17,135.00
(FEES ARE PRORATED ON A QUARTERLY BASIS)
1. Annual permit for 5 to 14 spaces 50.00 45.00 XX-354 001113
1 a. Transfer to headquarters 5.00 99-910 001113
3.50 pel
2. Annual permit for 15 to 171 spaces space XX-354 001113
2a. Transfer to headquarters 10% 99-910 001113
3. Annual permit for 172 and above spaces 600.00 540.00 XX-354 001113
3a. Transfer to headquarters 60.00 99-910 001113
MIGRANT LABOR CAMPS 0.001
ATTACHMENT VI
MONROE COUNTY HEALTH DEPARTMENT
ESTIMATE OF ENVIRONMENTAL HEALTH FEES
FISCAL YEAR 2002 . 2003
Est. Ann. Revenue
DESCRIPTION FEE DEPOSIT ORG OBJECT Accruing to CHD
AMOUNT AMOUNT L4IL5 CODE Trust Fund
1. Annual permit for facilities with 5-50 occupants 125.00 125.00 XX-352 001139
2. Annual permit for facilities with 51-100 occupants 225.00 225.00 XX-352 001139
3. Annual permit for facilities with over 100 occupants 500.00 "'500.00 XX-352 001139
BIOMEDICAL WASTE GENERATORS 3,500.00 I
1. Initial permit 55.00 55.00 XX-364 001140
2. Renewal of annual permit(except physician office generating
less than 251bsl30 days) postmarked by October 1 55.00 55.00 XX-364 001140
2. Renewal of annual permit(except physician office generating
less than 251bsl3O days) postmarked after October 1 75.00 75.00 XX-364 001140
3. Storage facilities permit postmarked by October 1 55.00 55.00 XX-364 001140
3. Storage facilities permit postmarked after October 1 75.00 75.00 XX-364 001140
4. Treatment facilities operating permit by October 55.00 55.00 XX-364 001140
4. Treatment facilities operating permit after October 1 75.00 75.00 XX-364 001140
5. Transporter registration (one vehicle) postmarked by 10/1 55.00 55.00 XX-364 001140
5. Transporter registration (one vehicle) after 10/1 75.00 75.00 XX-364 001140
6. Transporter registration additional vehicle 10.00 10.00 XX-364 001140
TANNING FACILITIES 2,000.00
1. Annual license fee 150.00 135.00 XX-369 001144
1a. Transfer to headquarters 15.00 99-910 001144
2. Fee for each additional device 55.00 49.50 XX-369 001144
2.a. Transfer to headquarters 5.50 99-910 001144
3. Late fee 25.00 25.00 XX-369 001092
BODY PERIERCING 880.00 1
1. Annual Licence Fee 150.00 135.00 XX-364 001149
1a. Transfer to headquarters 15.00 99-910 001149
2. Temporary Establishment 75.00 67.50 XX-364 001149
2a. Transfer to headquarters 7.50 99-910 001149
3. Late fee 100.00 100.00 XX-364 001149
FOOD ESTABLISHMENTS 12,385.00 I
1. Annual Permit for Fraternal/Civic 160.00 144.00 XX-348 001132
1 a. Transfer to headquarters 16.00 99-910 001132
2. Annual Permit School Cafeteria Operating for
9 months or less 130.00 117.00 XX-348 001132
2a. Transfer to headquarters 13.00 99-910 001132
3. Annual Permit School Cafeteria Operating for more
than 9 months 160.00 144.00 XX-348 001132
3a. Transfer to headquarters 16.00 99-910 001132
4. Annual Permit for Hospital/Nursing Food Service 210.00 189.00 XX-348 001132
ATTACHMENT VI
MONROE COUNTY HEALTH DEPARTMENT
ESTIMATE OF ENVIRONMENTAL HEALTH FEES
FISCAL YEAR 2002 - 2003
Est. Ann. Revenue
DESCRIPTION FEE DEPOSIT ORG OBJECT Accruing to CHD
AMOUNT AMOUNT L4IL5 CODE Trust Fund
4a. Transfer to headquarters 21.00 99-910 001132
5. Annual Permit for Movie Theaters 160.00 144.00 XX-348 001132
.""'"
Sa. Transfer to headquarters 16.00 99-910 001132
6. Annual Permit for JailS/Prisons 210.00 189.00 XX-348 001132
6a. Transfer to headquarters 21.00 99-910 001132
7. Annual Permit for Bars/Lounges (Drink Service Only) 160.00 144.00 XX-348 001132
7a. Transfer to headquarters 16.00 99-910 001132
8. Annual Permit for Residential Facilities 110.00 99.00 XX-348 001132
Sa. Transfer to headquarters 11.00 99-910 001132
9. Annual Permit for Child Care Centers without C&F license 85.00 76.50 XX-348 001132
Sa. Transfer to headquarters 8.50 99-910 001132
10. Annual Permit for Limited Food Service 85.00 76.50 XX-348 001132
10a. Transfer to headquarters 8.50 99-910 001132
11. Annual Permit other Food Service 160.00 144.00 XX-348 001132
11a. Transfer to headquarters 16.00 99-910 001132
12. Plan Review $35/hour $35/hour XX-348 001092
13. Food Worker Training 10.00 10.00 XX-348 001092
14. Request for Inspection 40.00 40.00 XX-348 001092
15. R einspection (after the first reinspection) 30.00 30.00 XX-348 001092
16. Late Renewal 25.00 25.00 XX-348 001092
17. Alcoholic Beverage Inspection Approval 30.00 30.00 XX-348 001092
ONSITE SEWAGE DISPOSAL PROGRAM (OSTDS) 161,400.001
1. Application for permitting of an onsite sewage 25.00 23.00 XX-361 001092
treatment and disposal system which includes
application and plan review for new and repair permits
1 a. Transfer to headquarters 2.00 99-910 001203
2. Site evaluation for a new system 60.00 55.20 XX-361 001092
2a. Transfer to headquarters 4.60 99-910 001203
3. Site evaluation for a system repair or modification of system 40.00 36.80 XX-361 001092
3a. Transfer to headquarters 3.20 99-910 001203
4. Site re-evaluation, new or repair or modification 40.00 36.80 XX-361 001092
4a. Transfer to headquarters 3.20 99-910 001203
5. Permit for new systems, or modification to system 55.00 50.60 XX-361 001092
5a. Transfer to headquarters 4.40 99-910 001203
6. New system or system modification installation inspection 55.00 50.60 XX-361 001092
6a. Transfer to headquarters 4.40 99-910 001203
7. Research fee to be collected in addition, and concurrent with 5.00 5.00 99-910 001201
the permit for a new system installation fee until 6/3012002.
ATTACHMENT VI
MONROE COUNTY HEALTH DEPARTMENT
ESTIMATE OF ENVIRONMENTAL HEALTH FEES
FISCAL YEAR 2002 - 2003
Est Ann. Revenue
DESCRIPTION FEE DEPOSIT ORG O!:IJECT Accruing to CHD
AMOUNT AMOUNT L4IL5 CODE Trust Fund
8. Repair permit issuance which includes inspection 50.00 41.40 XX-361 001092
8a. Transfer to headquarters 3.60 99-910 001203
,..
8b. Transfer to headquarters for training center 5.00 99-910 001067
9. Inspection of system previously in use 50.00 46.00 XX-361 001092
Sa. Transfer to headquarters 4.00 99-910 001203
10. Reinspection fee per visit for site inspections after system 25.00 23.00 XX-361 001092
construction approval
10a. Transfer to headquarters 2.00 99-910 001203
11. Installation reinspection of non-compliant system per 25.00 23.00 XX-361 001092
each site visit
11 a. Transfer to headquarters 2.00 99-910 001203
12. System abandonment permit, includes permit 40.00 36.80 XX-361 001092
issuance and inspection
12a. Transfer to headquarters 3.20 99-910 001203
13. Annual operating permit fee for systems in 1M and 150.00 138.00 XX-361 001092
equivalent areas, and for systems receiving commercial waste
13a. Transfer to headquarters 12.00 99-910 001203
14. Amendments or changes to the operating permit during 25.00 23.00 XX-361 001092
the permit period per change or amendment
14a. Transfer to headquarters 2.00 99-910 001203
15. Aerobic treatment unit operating permit (biennial) 100.00 92.00 XX-361 001092
15a. Transfer to headquarters 8.00 99-910 001203
16. Tank manufacturer's inspection per annum 100.00 50.00 XX-361 001092
16a. Transfer to headquarters 50.00 99-910 001203
17. Septage disposal service permit per annum 50.00 46.00 XX-61 001092
17a. Transfer to headquarters 4.00 99-910 001203
18. Additional charge per pumpout vehicle 25.00 23.00 XX-361 001092
18a. Transfer to headquarters 2.00 99-910 001203
19. Portable or temporary toilet service permit per annum 50.00 46.00 XX-361 001092
19a. Transfer to headquarters 4.00 99-910 001203
20. Additional charge per pumpout vehicle 25.00 23.00 XX-361 001092
208. Transfer to headquarters 2.00 99-910 001203
21. Septage stabilization facility inspection fee per annum 150.00 138.00 XX-361 001092
21a. Transfer to headquarters 12.00 99-910 001203
22. Septage disposal site evaluation fee per annum 100.00 92.00 XX-361 001092
22a. Transfer to headquarters 8.00 99-910 001203
23. Aerobic treatment unit maintenance entity permit per annum 25.00 23.00 XX-361 001092
23a. Transfer to headquarters 2.00 99-910 001203
ATTACHMENT VI
MONROE COUNTY HEALTH DEPARTMENT
ESTIMATE OF ENVIRONMENTAL HEALTH FEES
FISCAL YEAR 2002 . 2003
Est. Ann. Revenue
DESCRIPTION FEE DEPOSIT ORG OBJECT Accruing to CHD
AMOUNT AMOUNT L41L5 CODE Trust Fund
24. Variance application for a single family residence per 150.00 75.00 XX-361 001135 400
each lot or building site
24a. Transfer to headquarters "75.00 99-910 001204
25. Variance application for a multi-family or commercial 200.00 100.00 XX-361 001135
building per each building site
2Sa. Transfer to headquarters 100.00 99-910 001204
26. Inspection for construction of an injection well (FL Keys) 125.00 125.00 XX-361 001092
Performance-based Treatment Systems 10,000.00 I
1. Application for permitting of a new performance-based 125.00 115.00 XX-361 001092
treatment system, which includes application and plan review
1a. Transfer to headquarters 10.00 99-910 001203
2. Permit for new performance-based treatment system 125.00 115.00 XX-361 001092
2a. Transfer to headquarters 10.00 99-910 001203
3. Installation inspection for new performance-based systems 75.00 69.00 XX-361 001092
3a. Transfer to headquarters 6.00 99-910 001203
6. Research fee to be collected in addition, and concurrent with 5.00 5.00 99-910 001201
the permit for a new performance-based system installation fee
4. Repair permit issuance which includes inspection 125.00 115.00 XX-361 001092
4a. Transfer to headquarters 10.00 99-910 001203
5. Inspection of system previously in use 25.00 23.00 XX-361 001092
Sa. Transfer to headquarters 2.00 99-910 001203
6. Reinspection fee per visit for site inspections after system 25.00 23.00 XX-361 001092
construction approval
6a. Transfer to headquarters 2.00 99-910 001203
7. Installation reinspection of non-compliant system per 50.00 46.00 XX-361 001092
each site visit
7a. Transfer to headquarters 4.00 99-910 001203
8. System abandonment permit, includes permit 75.00 69.00 XX-361 001092
issuance and inspection
Sa. Transfer to headquarters 6.00 99-910 001203
Biennial Operating Permits 100.00 92.00 XX-361 001092
9a. Transfer to headquarters S.OO 99-910 001203
10. Review of application due to proposed amendments or 75.00 69.00 XX-361 001092
changes after initial operating permit issuance.
1 Oa. Transfer to headquarters 6.00 99-910 001203
11. Variance application for a single family residence per 150.00 75.00 XX-361 001135
each lot or building site
11 a. Transfer to headquarters 75.00 99-910 001204
ATTACHMENT VI
MONROE COUNTY HEALTH DEPARTMENT
ESTIMATE OF ENVIRONMENTAL HEALTH FEES
FISCAL YEAR 2002 - 2003
Est. Ann. Revenue
DESCRIPTION FEE DEPOSIT ORG OBJECT Accruing to CHD
AMOUNT AMOUNT L4IL.5 CODE Trust Fund
12. Performance-based Treatment System Maintenance 25.00 23.00 XX-361 001092
(Per annum)
_.~
12a. Transfer to headquarters 2.00 99-910 001203
FEE COLLECTED AT HEADQUARTERS - Onsite Sewage
1. Application for innovative product approval 500.00 For headquarters use only
2. Application for registration including initial examination 75.00 For headquarters use only
3. Initial registration 100.00 For headquarters use only
4. Renewal of registration 100.00 For headquarters use only
5. Certificate of authorization each two-yar period 250.00 For headquarters use only
DRINKING WATER 0.001
1. First Year Public Water Annual Operation Permit and 75.00 67.50 XX-357 001166
Construction Permit - Limited Use
1a. Transfer to headquarters 7.50 99-910 001166
2. Second Year Public Water Annual Operation Permit -
Limited Use 70.00 63.00 XX-357 001166
2a. Transfer to headquarters 7.00 99-910 001166
4. Multi-Family Water Construction Permit - serving 3 or 4 40.00 36.00 XX-357 001165
non-rental residences
4a. Transfer to headquarters 4.00 99-910 001165
5. Initial Operating Permit Fee After March 31 of Any Year 35.00 31.50 XX-357 001166
5a. Transfer to headquarters 3.50 99-910 001166
6. Non-SDWA Lab Sample (Sample Collection/Review
of Analytical Results/Health Risk Interpretation):
Delineated Area 50.00 50.00 XX-357 001142
Bacterial Sample Collection 40.00 40.00 XX-357 001142
Chemical Sample Collection 50.00 50.00 XX-357 001142
Combined Chemical microbiological 55.00 55.00 XX-357 001142
7. Reinspection of multi-family Water System 25.00 25.00 XX-357 001092
8. Reinspection of Public Water System 40.00 40.00 XX-357 001092
9. Delineated Area Clearance Fee 50.00 50.00 XX-357 001092
10. Limited Use Commercial Registered System 15.00 15.00 XX-357 001092
11. Limted Use Commercial Public Water System 25.00 25.00 XX-357 001092
Operating Permit Family Day Care Establishment
12. Limted Use Commercial Public Water System Operating Permit 15.00 15.00 XX-357 001092
Family Day Care Establishment After March 31 of Any Year.
Safe Drinking Water Act (Delegated Counties) 0.001
1. Construction permit for each Category I through III treatment
plant, as defined in Rule 62-699.310, FAC.., with treatment
ATTACHMENT VI
MONROE COUNTY HEALTH DEPARTMENT
ESTIMATE OF ENVIRONMENTAL HEALTH FEES
FISCAL YEAR 2002 - 2003
Est. Ann. Revenue
DESCRIPTION FEE DEPOSIT ORG OBJECT Accruing to CHD
AMOUNT AMOUNT L4IL5 CODE Trust Fund
other than disinfection only.
a. Treatment plant - 5 MGD and above 7,500.00 7,500.00 XX-358 001211
.......
b. Treatment plant - 1 MGD up to 5 MGD 6,000.00 6,000.00 XX-358 001211
c. Treatment plant - 0.25 MGD up to 1 MGD 4,000.00 4,000.00 XX-358 001211
d. Treatment plant - 0.1 MGD up to .025 MGD 2,000.00 2,000.00 XX-358 001211
e. Treatment plant - up to 0.1 MGD 1,000.00 1,000.00 XX-358 001211
2. Construction permit for each Category IV treatment plant, as
defined in Rule 62-699.310, F.A.C.., with treatment other than
disinfection only.
a. Treatment plant - 5 MGD and above 7,500.00 7,500.00 XX-358 001211
b. Treatment plant - 1 MGD up to 5 MGD 6,000.00 6,000.00 XX-358 001211
c. Treatment plant - 0.25 MGD up to 1 MGD 4,000.00 4,000.00 XX-358 001211
d. Treatment plant - 0.1 MGD up to .025 MGD 2,000.00 2,000.00 XX-358 001211
e. Treatment plant - 0.01 up to 0.1 MGD 1,000.00 1,000.00 XX-358 001211
1. Treatment plant - up to 0.01 MGD 400.00 400.00 XX-358 001211
3. Construction permit for each Category V treatment plant, as
defined in Rule 62-699.310, F.A.C.., - Disinfection Only
a. treatment plant - 5 MGD and above 5,000.00 5,000.00 XX-358 001211
b. Treatment plant - 1 MGD up to 5 MGD 3,000.00 3,000.00 XX-358 001211
c. Treatment plant - 0.25 MGD up to 1 MGD 1,000.00 1,000.00 XX-358 001211
d. Treatment plant - 0.1 MGD up to .025 MGD 500.00 500.00 XX-358 001211
e. Treatment plant - up to 0.1 MGD 300.00 300.00 XX-358 001211
4. Distribution and transmission systems, including raw water
lines into the plant, except those under general permit.
a. Serving a community public water system SOO.OO 500.00 XX-358 1211
b. Serving a non-transient non-community public water systems 350.00 350.00 XX-358 001211
c. Serving a non-community public water system 2SO.00 250.00 XX-358 001211
5. Construction permit for each public water supply well.
a. Well located in a delineated area pursuant to Chapter 62-524,
F.A.C.. 500.00 500.00 XX-358 001211
b. Any other pUblic water supply well. 250.00 2SO.OO XX-358 001211
6. Major modifications to systems that alter the existing treatment
without expanding the capacity of the system and are not
considered substantial changes pursuant to
Rule 62-4.050(7) below.
a. 1 MGD and above 2,000.00 2,000.00 XX-358 001211
b. .1 MGD up to 1 MGD 1,000.00 1,000.00 XX-358 001211
c. 0.01'up to.1 MGD 500.00 500.00 XX-358 001211
ATTACHMENT VI
MONROE COUNTY HEALTH DEPARTMENT
ESTIMATE OF ENVIRONMENTAL HEALTH FEES
FISCAL YEAR 2002 - 2003
Est. Ann. Revenue
DESCRIPTION FEE DEPOSIT ORG OBJECT Accruing to CHD
AMOUNT AMOUNT L4IL5 CODE Trost Fund
d. Up to 0.01 MGD 100.00 100.00 XX-358 001211
7. Minor modifications to systems that result in no change in the
,.
treatment or capacity.
a. .1 MGD and above 300.00 300.00 XX-358 001211
b. Up to 0.1 MGD 100.00 100.00 XX-358 001211
8. Fines and Forfeitures Variable Variable XX-358 012020
9. General Permit Fee for any General Permit not specifically listed: 100.00 100.00 XX-358 001211
a. General Permits requiring Progfessional Engineer or Professional 250.00 250.00 XX-358 001211
Geologist certification
a. General Permits not requiring Progfessional Engineer or 100.00 100.00 XX-358 001211
Professional Geologist certification