FY2010 10/21/2009
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
November 2, 2009
TO:
Suzanne A. Hutton
County Attorney
FROM:
Kathy M Peters
Executive Assistan~
Pamela G. Hanco~. C.
ATTN:
At the October 21, 2009 Board of County Commissioner's meeting the Board granted
approval and authorized execution of the Contract between Monroe County and the State of
Florida, Department of Health for operation of the Monroe County Health Department - Contract
Year 2009-2010.
Enclosed are four duplicate originals of the above-mentioned, executed on behalf of
Monroe County, for your handling. Please be sure to return the fully executed "Monroe County
Clerk's Office Original" and the "Monroe County Finance Department's Original" as soon as
possible. Should you have any questions please feel free to contact me.
cc: Finance
File.!
REceIVED
CONTRACT BETWEEN N
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS OV 0 3 20aQ
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH MONROE COUNTY ATTORNH
FOR OPERATION OF
THE MONROE COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2009-2010
This agreement (HAgreement") 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 ~2009.
RECITAL.S
A. Pursuant to Chapter 154, F.S., the intento,f 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.H
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,H
C. Monroe County H:ealth Department (UCHD") is one of the C,ounty 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 theCHD.
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 forgoi'ng recitals are true and
correct and incorporated herein by reference.
2. TERM. The parties mutually agree that this Agreement shall be effective fron1
October 1 y 2009, through September 30, 2010, or until a writte'n 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
shaH provide those services as set forth on Part III 0:1 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. "EnvironmentaJ health services" are those services which are organized and
operated to protect the health of the general public by monitoring and regulating ac'tivities
rn the environment which may contribute to the occurrence or transmission of disease.
Environmental health services shalf be supported by available federall state and local
funds and shall include those services mandated on a state or federal leveL Examples of
environmental health services incl.ude,. but are not limited tOt food hygiene, safe drinking
water supply, sewage and solid waste disposal, swimming pools, group care facilities,
migrant labor camps, toxic material control, radiological health, and occupational health.
b. "Communicable disease control servicesH are those services which protect the
health of the general public through the detection, control, and eradication of diseases
vvhich are transmitted primarily by human beings. Communicable disease services shall
be supported by available federal, statef 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 controlJ HIV/AIDS,
immunization, tuberculosis control and maintenance of vital statistics.
c. ~'Prjmary care services" are acute care and preventive services that are made
available to wen 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 hornet. 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. Exampt.es 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 a.ssistance f:or women! infants~ and children;
home health: and dental services.
4. FUNDING. The parties further agree that funding for the CHD wHlbe 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 excluding any state fees,
Medicaid contributions or any other funds not listed on the Sch.edule C) as provided in
Attachment 1.1, Part II is an amount not to exceed $ 3,87~,.844 (State General
Revenue, Other State Funds and Federal Funds listed on th.e Schedule C). The State1s
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.
at/ler cash or local contributions) as provided in Attachment U, Part II is an amount not
to exceed $623~720 (amount listed under the JlBoard of County CO/11fnissioners 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 theCHD 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. As allowed by law, Monroe county Health Department has
established Co"mmunicable disease control and Primary care services rates at 150~~ of
the Medicare Fee Schedule. Monroe County Health DepartmenthasestabUshed
Environmental Health Services Fees in Une with local recommendations and economic
factors.
d. Either party may increase or decrease funding of this Agreement during the term
hereof by noti"fying the other party in writing of the amount and purpose for the change in
funding. ~f the State initiates the increase/decreaset 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. TheCHD 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
1 '100 Simonton Street
PO Box 6193
Key West, FL 33041
5. CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director/administrator
of theCHD shall be a State employee or under contract with the State and will be under
theday-to-daydirection of the Deputy State Health Offic"ec 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 Profileu reporllocated 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. AU CHD employees shall be State or State-contract personnel
subject to State personnel rules and procedures. Employees w"ill report time in the Health
Management System compatible format by program component as specified by the State.
b. The CHD shall comply with all applicable provisions of f"ederal and state laws and
regulations relating to" its operation with the exception that the use of county purchasing
procedures shaH be allowed when it will result ina better price or service and no statewide
Department of Health purchasing contract has been implemented for those goo:ds or
services~ In such cases$ the CHD director/administrator must sign a justification therefore~
and all county-purchasing procedures must be followed in their entiretY1and 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 aU 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 Governrnentai
Accounting Standards Board (GASB), and the requirements of federal or state law~ These
records shaH be maintained as required by the Departm.ent of Health Policies and
Procedures .for Re:cords 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).
if. 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;
Hi. Financial procedures specified in the De.partment of Health1s 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 clie'nt registration and
service reporting requirements of the minimum data set as specified in
the Client Information System/Health Management Component
Pamphlet.
d. AU funds for the CHD shaH be deposited in the County Health Department Trust
Fund maintained by the state treasurer. These funds shall be accounted for sep.aratety
from fu,nds 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 countyt as appropriate, based on the funds contributed by
each and the expenditures incurred by each. ExpenditureswHf 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 prog-ram 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 a,ccrued interest! shaH
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 shan 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 tra.nsfer. The Deputy State Health Officer shall forward
\vvritten evidence of this approval to the CHDwithin 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 A.greement. Any such subcontract shaH include aU
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 \1\t.ithin
180 days after the close of the CHDfiscal year. This audit win follow requirements
contained in OMS Circular A-133 and may be in conjunction with audits performecj by
county government If audit exceptions are foundJ then the director/administrator of the
CHD .will prepare a corrective action plan and a copy of that plan and monthly status
reportswiH be furnished to th:e contract managers for the parties.
L The CHD shall not use or disclose any information concerning a recipient of
services except as allowed by fe.deral or state law or policy.
j. The CHD shall retain all client records, financia.1 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 othervvise exempted from disclosure as a public record
under Florida la.w. 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 t Florida Statutes, and all other state and federal laws regarding
confidentiality~ AU confidentiality procedures implemented by the CHD shan be consistent
with the Department of Hea.lth Jnformation Security Policies, Protocols, and Procedures,
dated April 2005, as amended, the terms of which are incorporated herein by reference.
The CHD shall further adhere to any amendments to the StateJs security requirements and
shall comply with any applicable professional standards of practice with respect to client
confidentiality.
5
L The CHD shall abide by aU 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 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 go'verning authority of the agency. Speci'fic 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 thi.s 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;
if. 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
betwe,en 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
explan.ation 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 gen.eration and distribution of reports is delayed due to c.ircumstances beyond
the CHD's control:
i. March 1, 2010 for th.e report period October 1 ~ 2009 through
December 31 , 2009;
ii. June 1 , 2010 for the report period October 1 t 2009 through
March 31 J201 0;
Hi. September 1, 2010 for the report period October 1 , 2009
through June 30t 2010; and
iv. December 1, 2010 for the report period October 1, 2009
through September 30, 2010.
7. FACiliTIES AND EQUIPMENT. The parties mutually agree that:
a. CHD fa.cilities shall be provided as specified in Attachment IV to this contract and
the county shall own the facilities used by the CHD unlessother\\fise provided in
Attachment IVjl
b. The county shall assure adequate fire and casualty insurance coverage for County-
owned CHD offices and buildings and for aU furnishings and equipment in CHD offices
through either a setf-insura.nce 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 theCHD 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-hundre.deighty (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 .01 Funds. In the, event funds to finance this
Agreement becomeunavaUable, either party may terminate this Agreement upon no less
than twenty...four (24) hours notice. Said notice shaJI be delivered by certified mail, return
receipt requested, or in person to the other party's contra.ct 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 a.n
obligation hereunder. Said notice shall be delivered by certified mailt return receipt
requested1 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. MISc;ELLANEOUS>> The parties further agree:
a. Availabilitv of Funds. If this Agreement, any renewal hereof, or any term1
performance or payment hereunder, e.xtends beyond the fiscal year beginning July 11
2009, it is agreed that the performance and payment under this Agreement are contingent
upon an annual appropriation by the Legjslature~ in accordance with section 287.0582,
Florida Statutes.
b.Contract Managers. The name and address of the contract managers for
the parties under this Agreement are as follows:
For the State:
For the County:
Mary VancJen Brook
Name
Rom~.n;,..mNGClS t e s:i ."
Name
Administrative Services Director
Title
Co un tv l.\ci~:;!~,n"bl?Nt rat {) rwmmoV.wm..,.,w.vh'...'.
Title
PO Box 6193
G,ato Building, 1100 Simonton St.
Kev West1 FL .33041
Address
Gato Eu , 00 Simonton St.
KC.~'-l ~jL~",:3 t. ~ PI. .330.:40
,,. ......-....-..................._............:.;---..
Address
305-809-5612
Telephone
Telephone
If dif.ferent 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 v'JITNESS THEREOF, the p:arties hereto have caused this....'"~..... page agreement to be
executed by their undersigned officiajs as duly authorized effective the 1 $!day ofOct.ober~ 2009,
NAME: Ana MOl Viamonte Ros, M.D.., M~P!'H~
::~:::s~~s;7-:n ~eneral
r
BOARD OF COUNTY COMMISSIONERS
FOR MONROE COUNTY
STATE OF FLORIDA
DEPARTMENT OF HEALTH
SIGNED~!-=" >n~,~ SIGNED BY:~ ~~
NAME::
TITLE: Mavor/Chairman
~,< .;:;;:- ~~::. ?~:;:': <...~ -" .",. /".
D~" . . I~~~;;' !.:.j W{)''.1
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',- ~-tTj~~t~.~..y~
'. :;'-",,, . :", ; '. ..-. "". .'
"NAME:(ADanl1y:/~-L~, .j{olhage
SIGNED BY:
NAME: ROBERT EADIE
TITLE: .C1 P1,wk
TITLE: CHD Director/Administrator
."....,..'
~~
DATE: 10/21/2009
DATE:
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AT:TACHMENT I
MONROE COUNTY HEALTH DEPARTMENT
P'ROGRAM 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
C;oding Pamphlet (DHP 50..20)~ Environmental HeaUhCoding 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 cornplywith the special reporting requirements for that service. The services and the reporting requirements are
listed belovJ:
Se rvice
Requirement
Sexually Transrnitted Disease
ProgJam
Requirements as specified in FAC 640..3, F.S. 381 and
F.S. 384 and the CHD Guidebook.
'?
c..
Dental Health
Monthly reporting on DH Form 1008"*.
3.
Special Supplemental Nutrition
Prografll for Women, 1 nfants
and Children.
Service documentation and monthly financial reports as
specified in OHM "150-24* and aU federal~ state and county
requirements detailed in program manuals and published
procedures.
4.
Healthy Start/
Improved Pregnancy Outcorne
Requirements as specified in the 2007 Heaithy Start
Standards and Guidelines and as specified by the Healthy
Start Coalitions in contract V\lith each county health
department.
5.
Farnily Planning
Periodic financial and programmatic reports as specified
by the program office and in the CHD Guidebook~ Internal
Operating Policy FAMPLAN 14~
a
'",i.
lrnmunization
Periodic reports as specified by the department regarding
the surveillance/investigation of reportable vaccine
preventable diseases, vaccine usage accountabmty~ the
assessment of various immunization levels and forrns
reporting adverse events foHovling immunization and
Immunization Module quarterly quality audits and duplicate
data reports.
.7.
Chronic Disease Program
Requirements as specified in the Healthy Cornmunitiesr
Healthy People Guidebook.
8.
Environmental Health
Requirements as specified in Envirorl!nental Hea[th Programs
Manual 150..4* and DHP 50-21 *
9.
HIV/AIDS Program
Requirements as specified in F.S. 384.25 and
64D-3.016 and 3.017 F.A.C. and the CHD Guidebook. Case
reporting should be on Adult HIV/AIDS C"onfidentiai Case
Report COC Form 50.42A and Pediatric HIVIAIDS
Confidential Case Report COC Forrn 50.428. Socio-
demographic data on persons tested for HIV in CHD clinics
should be reported on Lab Request DH Form 1628
ATTACHMENT I (Continued)
or Post-Test Counseling DH Form 1628C. These reports are
to be sent to the Headquarters HIVIAIDS office vvithfn 5 days
of the initial post-test counseling appointment or \vithin 90
days of the missed post-test counseHng appointment.
10,
SchootHealth Services
Requirements as specified in the Florida School tiealth
Administrative Guidelines (April 2007).
*or the subsequent replacement if adopted during the contract period.
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S.:\I..F ()1" <i(tOnS AND SERVICES TO STATF ACiENCIES
LXP \VITNESS FEE CONSf It;TNT CIIARfiFS
SA!.E 1:)1" PI L\RrvlACFt :TICALS
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CASll. DONATIONS PRiVATE
FINES AND FnRFErn :RES
RE ilH{N CiH:'<"K CIIARGE
INSl HL\NCE RE( '( >VER lES-( rnU::R
DRA \V D{ l\VN FReY'l! PUBIJC 1 fEA1,Tl1 UNIT
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12 M()N'r1i (H.r) \VARRj\NT'
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13. BVILI.>INGS - C()LN.rV
ANNUAL RFNTAL EQl :rVALENT VALUE
(iR01.fNDS j\'1:\tNTEN/\NCE
OTIIER (SPEC1FY)
INSt .!RANCE
1 :T11 .!TIES
ort H~"f~ (SPECIFY I
Bl lH..DlNn rvfAlNTENi\N('E
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E()t qPrvH~NT/VFH!{ 'LE PCRCHASES
VFf HeLF INSURi\NCF
VEl HCi.J~ f\1i\lNTF.NANCE
UTI ILR COL~TY CONTRiBUTION (SPECIFY}
nnIER C()l:NTY C(}~,TRIBUTI()N (SPECIFY}
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fa~ANI> T()TAL CIID PR()(;R}\i\'l
A. C'()l\'I~lrNl('ABLE IllSEASE C()Nl'I~()L:
V iT!\! STA I iSTlt'~ I,] XO)
Hvlj\lLNiZA nON , ~ 0 i }
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21.50
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("Cliv!\!. DISEASE SUR V. (i (6)
I U,:PA nTrs PREVFNTI0N I: 1(9)
PCBIJC iiL:\LTH PREP AND RFSP (l16)
C()J\'ll\'II':.NI(~AnLE HIS'EASE Sl)BI+(JrAL
B. PRI',lARY ("ARE:
CHRONIc' DIS~~ASE SERViCES (lien
38.65
I -{ }B/\~ 'Ct} PRF'\/FN nON (} j 21
11or\'lF i lEALTFt (215)
\V . L l " C\,'; 1 }
L\\H.l..),' Pl.ANNING (223}
H'...fPRovI:n PRF(iNAN('Y ot iTCO!,,!E (225)
! !~':"\l ,Tf iY START PRENATAl, {221}
{'{ )\1PRFHFNSfVE {'i IlLD I ILAt. n f (2:9)
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SCf 100: !IF,\1 TH (~:3-H
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D!'.NT,\L ! IFA! 'I'll (2~H.n
0.50
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14.50
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38.30
PRIl\'IAR'{ CARE SI!U'r()TAL
('. ENVIR()Nl\'l}:NTA,L nf:ALTH:
Water and Onsite Sewage Programs
COASTAl BLACH MONITORfNG (}47) 0.50
I J\Ii'!1" D {.'SF p{ lHLIf' \VATER SYSTEJ\.1S (~57) 0.03
PI 'B1.IC \\'A fER S'{SrE\l (35~ J 0,00
PRl\.'/\TL \VATrR SYSTEM (35Q} n.oo
IND1VIDUAt. SL\Vf\<iF DISP.IJbl) 13.0{}
(jroup Tohd 13.53
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rOo!) H'{(iJENF (348) 0.40
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fit H iSING.PPBl.IC HLDG SAFFTY.SAN1T.AflON (35B)05
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S\\"Hvl\HN(i POOLS:'HATHINti {360} 1.90
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1.50
1.875 5.800
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275 [.520
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620
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200
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Facility Programs
'L\NNiNO f--"ACn .IT'f SERVICES (369)
(;roup Tot.aI
Groundwater Contamination
ST(lR.'\(;r. TANK C()tv1PI.lANCF {355)
st. PER ACT SFH VieT,: (35:h)
(;....oup Total
Community Hygiene
RAD!OLOnlCAL HEALTH {372.)
l{ )XH '. st ~BST.,,\N( 'ES (J 73)
(J('('t 'PAj'll)NAL tIEALrI-I {J44)
C( lNSllf\.H':R PRODUC''!' SAFI:TY C~.l5)
iN.a ii{)-' PRF\'EN nON (346)
L l~'.:\D MnNlToR1NtJ SERViCES C;50)
pt :gt .It' SF\VA<iE t3t<!}
SUi IP \VASTL DISPOSAL C~6J)
:'(.\Nl" fAR).' NllISANCE 065')
0,03
3.83
:z.oo
n.n i
2.01
0.0.1
1.00
0.10
0,00
0.00
0,00
0,00
0.00
0.45
RABILS SLRVEHJ..ANCL/CONTROL SERVICES (36e~()2
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R()l )[-:Nl.'ARTl HH lP()1.) CONTROL (36X)
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(;roup Total
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H. SI)E('L\L C()NTRA(~TS:
SPECIAL CONTR;\C rs (599)
SPI~('L\L C()N'l'I~A("rS StJBT()Tf\t,
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425
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368.230 t)75.::66
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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~ toans~
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 Questionnairet 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 theCivH Rights Act of 19:64, as amended} 42 U,S.C., 2000 Et seq'l which prohibits
discrimination on the basis of racet color or national origin in progran1s and activities receiving or
benefiting frOrTlfederal 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
assista nee,
3, Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 at seq., v1hich prohibits
discrimination on the basis of sex in education programs and activities receiving or benefiting from
federalHnancia~ assistance.
4. The Age Discrimination Act of .1975~ as amended, 42 U.S.C. 6101 et seq., vvhich prohibits discrimination
on the basis of age in programs or activities receiving or benefiting from federal financial assistance.
5. The Omnibus 8udgetReconciliation 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 la\Nfully 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 t and that it is binding upon the applicant, its successors! transferees! and assignees
for the period during vvhich such assistance is provided. The applicant further assures that a.U 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 violation of the above statutes, regulations, guideHnes~ and
standards. In the event of failure to comply, the applicant understands that the grantor maY1 at its
discretion, seek a court order requiring compliance with the terms of this assurance or seek other
appropriate judicial or administrative relie"f) to include assistance being terminated and further assistance
being denied.
ATTACHMENT IV
MONROE COUNTY HEALTH DEPARTMENT
FACiliTIES UTILIZED BY THE COUNT'V' HEALTH DEPARTMENT
Facility
Description
Location
Owned Bv
Gata Building
Administration
Nursing
Environmental Health
1100 Simonton Street
Key West, FL 33040
Monroe County
Health Care Center
3134 Northside Drive
BuildingS,
Key West, FL 33040
Mark Whiteside
Roosevelt Sands Center
105 Olivia Street
Key West, FL 33040
City of Key West
Ruth Ivins Center
3333 Overseas Highway
Marathon, FL 33050
Monroe County
Roth Building
50 High Point Road
Tavernier, FL 33070
Monroe County
ATTACHMENT V
MONROE COUN"TV HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
~DENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASfDE ANNUALLY FOR "rHE PROJECT.
CONTRACT YEAR STATE COUNTY ]~QJ AL
2007 -2008 $ $ $
2008-2009 $ $ S
2009-2010 $ 100,000 $ $ 100,000
2010.>>2011 $ 500,000 $ S 500~OOO
~.--
2011..2012 $ $ $
PROJECT TOTAL $ 600,000 $ $ 600!OOO
SPECIAL PROJECT CONSTRUCTION/RENOVATIONPLAN
PROJECT NAME:
LOCATION! ADDRESS:
PROJECT TYPE:
GATO CLINIC RENOVATION
1100 SIMONTON STREET, KEY WEST FL 33040
SQUARE FOOTAGE:
NEW BUILDING
RENOVATION X
NEW ADDITION
9599
ROOFING
PLANNING STUDY
OTHER
PROJECT SUMMARY: Describe scope of work in reasonable detail.
RENOVATE FIRST FLOOR A.T THE GATO BUILDING TO ACCOMMODATE A CLINICAL OPERATIONS MOVE
MOVE FRO~A NORTHSIDE DRIVE.
EST!MATED PROJECT INFORMATION:
START DATE (initial expenditure of funds):
COMPLETION DATE:
COST PER sa FOOT:
$
$
$
$
$
4/1/2010
6/30/2011
66,000
334,000
200tOOO
600.000
DESIGN FEES:
CONSTRUCT~ON COSTS:
FURNITURElEQUIPMENT
TOTAL PROJECT COST:
41.6710074
Special Capital Projects ar:e new construction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.
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 famt1y planning and
maternity care."
Indicate beloYJ the county health department programs that win be supported at least in part with
categorical Prim.ary Care funds this contract year:
1- Comprehensive Child Health (229/29)
>x_X..u.~_ Comprehensive Adult Health (237/37)
Family Planning (223/23)
Maternal Healthll PO (225/25)
Laboratory (242/42)
Pharmacy (241/93)
Other Medical Treatment Program (please identify)
Describe the target population to be served with categorical Primary Care funds.
Th:e primary population served is under and non-insured.
Does th.e 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)j
describe the services to be delivered, and list the anticipated contractual amount by provider. In
addition, contract providers are required to provide data on patients served and the services provided
so that the patients may be registered and the service data entered into HMS.
No