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Item M1 AUf; 04 00 09:20a HARK L. S2UREK, Ph.D. 305-293-7573 p.l J,..l 31 00 01: 38p ~a.es L Raber~s Co Admin 305-292;:4544 p.l Revised 1195 BOARD OF COUNlY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: Division: Bulk (tern: Yes _ No_ Department: AGENDA ITEM WODING: The Rural Health Network of Monroe Co. ~ IDe.. (RHNMC) requests fimcfing t~fpurchase a second m~ically equipped mobile vehicle to address the primary care health needs of miqoritic:s with low- incomes, who arc uninsured andfor who arc homeless within this County. ~ I; ITEM BACKGROUND: Since August 30, 1999, RHNMC has experienced ova- ~,sOO patieot visits for over 4,000 County residents through its suc:cessful Lifelines Medi- Van. RHNMC Will be applying for state funding to "close the gap" amoog minorities experiencing disparities in access 10 hFaJlh c:are. The "second" van will be used to penetrate areas where access is Iimitcd, using racially approprilate and ethnically competent medical professionals. i No_ REVENUE PRODUCING: Yes_ No _ AMOUNT PER MONTH---+- Yur APPROVED BY: County Any _ OMBlPurchasing _ Risk. ~emeot_ E Rural Health Network of Monroe county,~, Inc. E~ecutive Director JXMSKB~Af'PROVAL: ~~ : /. '-N .: Mark L. szure~~ To FoUow Not i,\equired - "!; AGENDA ~J:WlI DOCUMENTA nON: Included_ DISPOSITION: RURAL HEALTH NETWORK OF MONROE COUNTY, FLORIDA, INC. P.O.BOX 4966, KEY WEST, FL. 33041-4966 Funded In part by the Florida Department of Health August 2, 2000 TO: The Board of County Commissioners, Monroe County, FL · Amount requested: $25,000.00 · Requesting agency: Rural Health Network of Monroe Co., FL, Inc. (RHNMC) · Allocation to be used for: Customized (AirStream) Vehicle, for outpatient medical care for minorities. · Background Information: (Total cost of the Vehicle: $55,000.00); Source of balance of funding: Monroe Co. Sheriff's Department. Attached: original invoice for purchase, 5/16/94, plus stats and diagram.) · History: RHNMC requested and received $50,000 from the BOCC in August, 1998, as part of its initial project to address primary care for the working poor, the uninsured and the homeless throughout this County (the Lifelines Project). This project has proven to be highly successful, experiencing over 6,500 patient visits in its first 10 months of operation (September, 1999-June, 2000), and serving over 4,000 Monroe Co. residents. · Narrative: RHNMC intends to apply for the State of FL's "Closing the Gap" grant, to address health access disparities existent among radal and ethnic minorities. The grant application will cover one year of operations, in an amount of $250,000. Staff selection will be based on preferences for racially appropriate, language and ethnic appropriate, and indigenous medical professionals to serve this project. The purchase of a second medically equipped mobile vehicle will be used to partially match state funding requirements, and will allow RHNMC medical staff to penetrate geographical areas where racial and ethnic sub-populations least able to access affordable health care dwell, e.g., Hibiscus Park, 41st St. (Marathon), Bahama Village and Stock Island. · Sustainability; Operational- Costs: After year 1 of the grant, the "minorities disparities" project will be integrated with RHNMC's plans to apply for Community Health Center (CHC) status for all of its existing, county-wide sites, while retaining a minorities outreach component and staff. CHC status allows a program to be reimbursed for costs, and is funded through the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services. In the event that funding Is not secured through this grant, the proposed "second" vehicle will be used to offset usage of the current (Lifelines Medi-Van) vehicle, and thus prolong the life of existing equipment. In addition, RHNMC will continue to research methods to best address situations of health disparities among minorities in this County. Executive Director, Community Outreach Director, Finance Director or Program Development Director VOICE305-293-i570; FAX 305-293-7573 Ufellnes Medi-Van- 305-797-4104; Primary Care Director-VOICE 305-872-5522; FAX 305-872-4802 'Healthy Klds/KidCare Director-VOICE 305-517-9002; FAX 305-517-9004 J.D.C.I. ENTERPRISES, INC.jBOAT MASTER 12301 Metro Parkway Ft. Myers, FL 33912 Phone: (813) 768-2224 Fax: (8l3) 768-1471 INVOICE NO.: 51888 DATE: 5/16/94 Suld COLLIER HEALTH SERVICES, INC. To 419 N.FIRST ST. I~~\OKALEE, FL 33934 Ship 1454 !vLA.DlSON AVE To IMMOKALEE, FL 33934 ACCT fl SHIP DATE SHIPPED VIA ORDER 4t IERJvlS CAGE CODE -------------------------------------------------------------------------------- - ~;~~ ~ ~ - - --; I ~ ~ I~ ~ - - - ~:.;- ~ ~~~~o~~;-~~~ -. ~~~;; - - - - - ~ ~ ~ ~ ~ ~ -- - - - - - - - ~~ ~~; - -- -- -- - - - - ---------------------------~~~y~~--------------------------------------------- SHIP B.a. PAR T 1~ DESCRIPTION PRlCE EXT.PRICE ---------------------------------------.----------------------------------------- -------------------------------------------------------------------------------- o M I M I SC 360 CLASSIC MOBILE'HEALTH CLIN 99950.00 99950.00 PO tH 00 11535 UNIT SERIAL fflA9SSAW3XRJ034389 CHASSIS SERIAL #lCBKP37NXR3313886 PAID DEPOSIT $40,000.00 BALANCE $59,950.00 PLEASE MAKE CHECKS PAYABLE TO: J.D.C.I. ENTERPRISES, INC. THANK YOU!! Should a dispute arise regarding payment of this invoice, attorneys fees and court costs will be awarded to the prevailing party. '-Title is transfered upon full payment-af this invoiee. . A finance charge of I 1/2% per month will be charged on all balances unpaid after due date. Sales Tax 0.00 PAY THIS AMOUNT-) 99950.00 , I I I ~ >- :;: i ~ -- ~ I , r ~ I :;~lIE ! g I I, S 11 ~ .... ~ cO I t-1 Q) I w A I, '~ (\J ~ ~ Lu r.tJ <..> ~ k ; H w . , ~ , Z ~ ,.. ... , . I' . t'"'""1 ..l 0\ I ~ 1.41"- <r:i I-~ f5 ~ ! ~~ 8 )...;: ~ ~ tJ !l ij * ~ ~ t ~ ; W\O r ~ ; ..l..... Q:: c.J < 'I I ... ...J ~~ r x I- A<J.1Ntld w ~ - t: I- ino- 3aI1S II") I C\I ~ I C') I (:) . I I 0 ".- . ).. I I 0:: l"Q : . , . gj !..rJ l") . ,/' I I f-.,: I r I ;;;: x : ,.,- J-,: <.. .::::. .' ~ I 1;:1-1 '.' . . ;" , ~ I I I ug ~ <t Q- ,,<>-b I .1 oj 'lI". , -J ~ ~ ,. !~~ .~ \::-u , <;:) ~ '-l. 9. . v~ I"D Q... " ~.... I f't) I-~I ~~ Okl M~ ~ g ~ t:l ~ c Q \0 o .... "1 ~~ I 0..'- I q-q: I .' --~ 1 k;:83- If J: I + I L I J ~ 1 =j) ll1 ~ I I I Q::l ~l ul t::J1 ii' CJ ~ t") c:. ::z: f-. 003 ** link TOTAL PAGE. I I ~I ~J ~I -q:\ WI ~l r ~ i ~ t;j I. L.J ~ I L') ~ J. ----A' I ~ ~ , ~ .~ i It 'i ~ ~ I; r: ': i, " i' ! [' I I. I I I j' j: n ,I !' " t-to!;; Jf '::/4 l\:j:l:.:l FROM AIRSTREAM PARTS I J...... l, -... OJ '< ~1\Q; ~~ y"~ \ \. \, ~ r.... / .... I ..... 1l.aJ -J I ~ / ~ I t-. 0: <. d "'(j ~ "." . : ~ "," '''.'' r'o" I'" t' " . ,~: ..' L..JO ~~ ~r-... ~ :t:X W~ i5~ &:q(\.J : '. ":~"'~1":' 'n ~ . . ~ , . 'I, <'Ii (Y) L5 ac ~. >- ac ~ w 0::: tj V, L:JU IU.:/ rUt. o ~ 0.:; <') . '3 13([10.:/ ,DC . ~. . <3 (;:) nj ..... PAGE.B02 l.... Q I cti r~t--~ , l/'jQ::l I I I ~ ~ ~ ~ "'t I "'t c..> -4l-I-~ -.J "'t k ~ ~ tJ C\J I Q:: '7 (J 1 ~ lJN fIl/J ),(J1N">Id J.nO-3CII7S 0{ :r: o Q ~ 1->\ !zq~ ~(\i ~,..., t.> X (:) o ~ C\J ~ E "'t. ~ ~(5 ~15 -q:Q: l:::lC;:) ~Q C:}-.J :r:~ 3 c:..l -l lu ~ Q.:: ~ u t::l -1 l:i t:J ~ ~ I.Q \0 \0 HARION E. FETHER MEDICAl,. CENTER 1454 W. MADISON TMHOKALEE, FL 33934 Phone: 813~657-6762 Fax: 813-fi58-3050 Richard B. Akin, CEO C1l:ASBIB: 360 CLASSIC MOBILE HEALTH CLINIC DWG: COMM\36 DoctOR - . ~~ .:: . * Chevrolet 208 .:IL I 7. 4L Gas 18,000 GVWR. \J /Henschen Tag (CMA) : ;. , . *. wjlow air warning.& air * Fuel Tank (80 * Michelin Tires, Load Range "D" * Michelin Tire, Spare * Spare Tire Win * /Heavy Duty Isolator * Stainless stee * E1.~ctric opera .trance step (Single) * class ~ Traile .. Maintenance Fr omotive Battery teries (2) * Deep Cycle Coa Emergency noid .. .. Mud Flaps ( 4) undercoatinq Pantograph wip Back-up :'(~u zer) '.ct. .. ~.- .r * s.w wet arm and controlled cycle .. .. Battery Disco Air System Drai ;'ya Va .. .' . . i I .', , , ! - . DRIVER COKPARTKENT ... Driver and MechanislI1 wi swivel and Reclining Vinyl driver * Seat Belts wi seats w/Fabric Insert * * #I . * * ... w/side Windo~ Defroster and * . * nood ~elease ( Map Lights e\ , * * Drive Cab Wind ~~<.'( ower Control) * .' . .,' " Passenger Cab /rd ,w (Manual control) Front Overhead ~\..' 'inet . :~ w/Lighter . . Floor Mats * HeaQlight on B 'W 12 Volt Recept * Rear View Int , ;", .; ! :: f : '.j. I, '," I. f. P ge 2 of 6 .. '. EXTERIOR: * Keyless Entry Electric/Keyed Deadbolt Switc << Bright A1Ulll.ln * Front License * Halogen Headli *. Awning Rail * Rear Escape * Tinted Glass * Exterior Power * Door Window '{O * Under Hood'Con * Slide out * Cabinet wjstor .' overhead stora * Hardwood. Windo .. * Plastic Levelo .~'al' " '* Forward Bulkhe .. Rear Bulkhead es: Bolt, Remote ash sh - (Loose Part) and Curbside Mirror wjRemote Control Light ADDITIONAL ITEMS FOR 36 HEALTH CLINIC: Docronls OFFI~E #1 24" X 6711 Foldette Foldette .' . 'P rrD ~ n'f' Ii DOCTOR'S OFFICE #2 * Slide out Rear overhead ge * * Rear * Foldette Door, * Plastic Levelo " * Harctwood windo 'rOILET * s ink and Mirra ;' <: .. Laminate . .'.:.~ p SBCRET'ARY AREA * Secretary bes :a.wer 30" High * (2) Person Seat Belts on Rest 30" High '* seats * * Overhead (2) Seats & Counter * 42" File " :2 lockable drawers above 36" high * Overhead Stora e.i.::t: om BUlkhead at Front Dr. Office to Lavatory Wall ,.." . .::' * (2) End Cabine ~~ ry. One will One by file cabinet. One by lavato- ed for electrical service. * Hardwood Close * Plastic Levelo 81 * Counter on TOP?f efrigerator 42" high. F ge 4 of 6 EL~CTRICAL 8YSTEK 12V converter, 1 ~ritlLighting Throughout :Line pm-re.r cords (l)Maln, (1) Auxilia- * 12 Volt * (2) 30 .Amp Shor ry III 110V * 12V Water Pump * ';" '* Cellular tenna WATER SYSTEM * Fresh .,>>5 Gallon Approx * ,Grey Water T ~O . Gallon * Black Water T ..' 4- Gallon .' , * (4) stainless sinks * City r conditioners 13,500 BTU w/Heat APl"LIAlfCES * (1) 601.0 * (a) Roof strip * (2) 1,500 * (1) Instant * ( 1.) 3 cubic * (1) 5 cubic F Heaters er (Service to tour sinks) rigerator rigerator P ge 5 of 6 c: I :>-lH.--l I.IH ~~ 1<::>4 T H l.ln>4-l ~Vl:"11 176. 91 83~ .', ' l!XTER~OR: GPElU\L I'fEK8 in front ottioe. * (2) Larger ope ( 1) Larqer ope (1) Rear W1ndo (2) Sln.all wind ~ I, " . Exterior storag :~h (1) cargo DoOr '. ~~ Rear Off ice (1) Rear storag :> .:~ p~tll\ent . secretary I 5 Area -It * Office .. '" 'If . .. . ~ . ,. .. , Driver Priv~cy:Wrap Ribbed Flo.p;:;ng (En <, ., .t, : r . ~'." . . }, 300 cLJ,lls:tc IlOIIUB BnL'! . .~~ :;-:..c OMt01QL :tTmtSJ ::/:' '.' .... . . .~ .'., '.' - Automatic, 'Leveling .c.k.s'..... 0 '" . . 3rd Roof Hounted Ai iC9n itioner . . . · . . AlUminum Wheels .. F :,;';~:.'. . · · . . · Rear Back-Up Monito ~;::~ . . · . . . . 0 . · Freight to 11I11l\okale "':.f!:":: . . . . , . . $101,11'- TOTAL. . . . ~3 ,l.UU 0 UO '0' .. 85j.OO . . '-1,052000 ,0 . 1.,500.00 . .. 1,370.00