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Item C24
County of Monroe A BOARD OF COUNTY COMMISSIONERS Mayor George Neugent, District 2 The Florida. Key y w) Mayor Pro Tem David Rice, District 4 �r Danny L. Kolhage, District I Heather Carruthers, District 3 Sylvia J. Murphy, District 5 County Commission Meeting March 15, 2017 Agenda Item Number: C.24 Agenda Item Summary #2738 BULK ITEM: Yes DEPARTMENT: Social Services TIME APPROXIMATE: STAFF CONTACT: Sheryl Graham (305) 292 -4510 N/A AGENDA ITEM WORDING: Ratification of the 2017 Vendor Agreement between Monroe County Social Services and Lori Rittel, RD for the provision of professional nutrition services by a registered dietician for the Nutrition Programs as required by the primary granting agency, the Alliance for Aging, Inc., for the period of 12/01/2016 through 12/31/2017 in an amount not to exceed $5,000.00. ITEM BACKGROUND: The Alliance for Aging, Inc. requires that all nutrition programs have an on call registered dietician for planning, approval, and provision of nutritional services. The Alliance further requires that an agreement be maintained which itemizes the responsibilities and functions of the RD as well as the method in which the RD will be compensated. PREVIOUS RELEVANT BOCC ACTION: BOCC Approved Ratification of the 2015 Vendor Agreement on March 18, 2015. CONTRACT /AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Nutrition Consulting Agreement 2 -28 -17 Nutrition Consulting Agreement Backup 2 -28 -17 FINANCIAL IMPACT: Effective Date: 12/01/2016 Expiration Date: 12/31/2017 Total Dollar Value of Contract: $5,000.00 Total Cost to County: 0 Current Year Portion: N/A Budgeted: Source of Funds: Grant Funds CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: No Grant: Yes County Match: 0 Insurance Required: Additional Details: If yes, amount: N/A REVIEWED BY: Sheryl Graham Completed 02/28/2017 12:14 PM Pedro Mercado Completed 02/28/2017 1:58 PM Budget and Finance Completed 02/28/2017 2:39 PM Maria Slavik Completed 02/28/2017 2:40 PM Kathy Peters Completed 02/28/2017 5:23 PM Board of County Commissioners Pending 03/15/2017 9:00 AM W DRIGINAF. �' VENDOR AGREEMEN:[ Between M onroe Coguty Social Services - 1 &i MM TeVFax 1 1 1 11p 41 1p 2 z II I III II IqII I I The Nutritional Consultant agrees to w » © - » responsibility for the following nutrition 1#»33«4 > services: Responsibilities and functions shall include, but are not limited to, the following: C� N Entiregy of Agreement This agreement ensures that these services are clearly and narrowly drafted in respect a the matters covered above. This agreement enters into consideration of the mutual covenants set forth herein and intending to be legally bound, the parties hereto agree as follow: Meth2d of EL yment: Fees: On-site visits to Congregates Meal Sites S 100 per hour Preparation Time Off-site Work S 100 per hour Travel Time it per hour Overnight stay coverage up to it per night stay I 'SIST/ Jef L X1 U 'V,— End Date 12131/2017 Mercer Consumer, a service of Mercer Health & Benefits Administration I.I.C. In CA dWa Mercer Health & Benefits insurance Services Lli CA Ins Lie. #01339709 ,)�RMORANJ OF INSURANCE 11 Issued 11 08/2016 lot "'r ucer Mercer Consumer, a service of i4mly and confers no rights upon the hol r i P m emorandurn does not amend, extend or Mercer Health & Benefits Administration LLC coverages afforded by the Certificate listed below. P.O. Box 14576 D IA 50306-3576 1-800-503-9230 — C , 6m — p3 ny Afford 5iE coverage Insurea Liberty Insurance Underwriters Inc Lori Rittel 349A 27th Street Ocean Marathon FL 33050 Type of Insurance Cortificat e Number Expiration Dat , 1 rofessional Li ab ility DietetnNutr E AHY-845603001 'Per Incident/ b,ccurrence –1 000 $1,,000 Nutritional Consultant I nnual 000 TROOF OF INSURANCE morandurn Holder: is hould the above 'describe Certificate be cancelle 'PROOF OF COVERAGE ONLY Vill endeavor to mail 30 days written notice to th Memorandum Holder named to the left, but failure tf �) f any kind upon the company, its agents o( epresentativies. Authorized Representative Mark Brostowitz Mercer Consumer, a service of Mercer Health & Benefits Administration I.I.C. In CA dWa Mercer Health & Benefits insurance Services Lli CA Ins Lie. #01339709 AC#65928 0 STATE FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSU?&VC:5 DATE LICENSE O:f\ : OLNO. RIck Scott GOVERNOR I. Staff Contact Person: Shenl Graham 4CE� - Z , ,,, ) tz () ; ti cv) - iti 11 AGENDA ITEM WORDING: 'Ratificatiolt of the 2015 Vendor Agreement between Monroe County Social Services and. Marissa Ciorciari, MS, RD, LWN of Haute Body Nutrition, LLC., for the provision of professional nutrition services by a Licensed Dietician (registered dietician) for the nutrition programs as required by the primary granting agency, the Alliance for Aging, Inc., for the period of 3/1/15 through 12/31115 in an ainowit not to exceed $5,000, CONTRACT/AGREEMENT CHANGES: none STAFF RECOMMENDATIONS: Approval TOTAL COST: Approx. $5,000.00 INDIRECT COST. 0 BUDGETED: Yes — No DIFFERENTIAL OF LOCAL PREFERENCE COST TO COUNTY: S 0 REVENUE PRODUCING: Yes — No — AMOUNT PER: MONTH: YEAR: x APPROVED BY: Co Atty. OMB/PiLrehasinga Risk Management DOCUMENTATION: Included X Not Required_ To Follow DISPOSITION- AGEINDA ITEM # Revised 7/09 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ............ CONTRACT ,SUMMARY CONTRACT RE PacketPg.836 .... ... . ..... . - A VENDOR AGREEMENT Between Monroe County Sage 'W Services ml Tel/Fax: 908-601-5964 Enfire of � r°ee ent This agreement ensures that these services are clearly and narrowly drafted in respect to the matters covered above. This agreement enters into consideration of the mutual covenants set forth herein and intending to be legally bound, the parties hereto agree as follow: Metbod of PaLiaent: Fees: On-site visits to Congregates Meal Sites $75 per hour Preparation Time Off-site Work $75 per hour Travel Time $75 per hour Overnight stay coverage up to $200 per night stay IN WITNESS WHEITOF, the parties here Monroe County Social Services, Sheryl Graham and the Nutritional Consultant Cathy Marissa Ciorciari, MS, RD, LD/N have understood, negotiated. and accepted the terms listed in this contract as of the date and year above to execute and renew this agreement. Marissa Cioroiari, MS, RD, LD/N Vendor/Dietitian Sheryl G h am, MA, C Monroe County Social Services Beginning Date 03/01/2015 End Date_ 12/3 1/201 5 _. _ ___ I Packet Pg. 838 1 Haute Body Nutrition, LLC Unit 302 7100 Biscayne Boulevard Miami FL 33138 I iould the above describe Certificate be cawncF77 ill endeavor to inail 30 days written notice tO6 ail such notice Shall impose no obligation or lia t any kind upon the company, its agent uffiorized Representative Mark Brostowltz & Benerits Administration LLC. In CA id/b/a Mercer Health & Bengfits Insurance Servim LLC. CA Lic.* OG397% MEMORANDUM OF INSURANCE Date Issued I !March 6® 2014 W "Mrr= Marsh U.S. Consumer a serviuc of ScabUry & Smith, Inc, RO, Box 14576 De, Moines, TA 50106-1576 www, pro liability.com Insured Haute Body N utrition, LLC Suite 116 960 West 41 Street Miami Beach, FL 33140 This memorandum is issued as a matter of information only and confers no rights upon the holder. This memorandum does not amend, extend or alter the coverages afforded by the Certificate listed below. Company Affording Coverage Liberty Insurance Underwriters, Inc. This is to coriftly that the Certiricate listed below has been issued to the insured name4i above for the policy period indicated, not withstanding any requirement, tvrin or cundidon of any contract or offier docuinen( with respect to whiub this memorandum may be issued or may pertain, the insurance afforded by the Certificate described herein is subject to all the terms, exclusions and conditions of such Certificate. The limits shown may have been reduced by paid claims. Type of Insurance AHY-698198002 02/18/2014 1 02/18/2015 1 Per Occurrence 1 $1,000,000 Aggregate 1 $5,000,000 General Liability Per Occurrence Aggregate 1 Evidence of Insurance I Marissa J Ciorciari, Dietitian, is a covered Memorandum Holder: flaute Body Nutrition, LLC Suite 116 960 West 41 Street Miami Beach, FL 33140 Linder the provisions of this policy. Authorized ReprcsentaLive Mark Brostowitz Marsh U.S. Consumcr, a service of Scabury & Smith, fnc, in CA d/b/a Seabury & Smith Insurance Program Management. CA Lic. 90633005 In CA d/b/a Seabury & Smith Insurance Program Management Packet Pg. 840 1 Academyof Nutrition rig D letetiu MEMBERSHiP . Oz a Membership Year June 1, 2013 -May 31, 3014 Category ASP €ve Members 952127 Your sigrlawru' Donna S. Martin, EdS, RD, i.C, SNS Troasurer f L commission urfiflel, Out x ua .' #I saq� comp ,. YI I^tti es trait vsaf ➢� � � � � � ., fit' L .,.. 0 952120 Packet,Pg. 841 T T OF FLORIO A D� .A'RfMEAT�`O'V: , ALTH DIVISION OF MEDICAL QUALIV ASSURANCE V . 7- 0 0 era , r- Q 0 LF t3OVERNOR STATE UFO -GEN8kAL:: J z 4 W DISPLAY EQ. BY LA EXPIRATION DATE MAY 31, ZD15 Qua Hcense. number iq mD 6021, pleaje use V in a a tall criespamlence with your I:roardftQL1n6l, Each 11cermcc is safely re5portsible, for notirvieig the ir. licvmcc's cun mailing add moo and prtmdec location address, it you linve riot mccivrd your rcjmwo I notice )a days p rlur W Um cApitation, d t lease c.R;J (3501 488 0595. 'jliq section, kj fevort nimir change� Name chang ,es requite legril div.umeninilon shokxing Ifir numv. chnnge. 1 m"ke. 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Wyou do riot - cuow your acrount 11) satin paasm)rd, click .1 'Get Loilln ReIV Or (:'flI )Ur C'Astunwr Contact Center at (85D) 488-0595 it 1AIL TO DEPARTMENT OF HEALTH DIVISION OF ME DICAL QUALITY ASSURANCF- LICENSURE SUPPORT SEWCES UNIT P.0, BOX 6320 TALLAHASSEE, FLORIDA 32314-6320 I NAME CHANGE IATTACH LEGAL DOCUMENTATION) ROM: i AST FIRST MIDULF 1H 2 PacketPg.842 I DATE Qi��ENSE Na CON'TROL NO. iamed met all requi�em& ND 60, I �Ie laws 814ruies of theist to of V . 7- 0 0 era , r- Q 0 LF t3OVERNOR STATE UFO -GEN8kAL:: J z 4 W DISPLAY EQ. BY LA EXPIRATION DATE MAY 31, ZD15 Qua Hcense. number iq mD 6021, pleaje use V in a a tall criespamlence with your I:roardftQL1n6l, Each 11cermcc is safely re5portsible, for notirvieig the ir. licvmcc's cun mailing add moo and prtmdec location address, it you linve riot mccivrd your rcjmwo I notice )a days p rlur W Um cApitation, d t lease c.R;J (3501 488 0595. 'jliq section, kj fevort nimir change� Name chang ,es requite legril div.umeninilon shokxing Ifir numv. chnnge. 1 m"ke. Aure 1h.ml a phoincopy or = pjapmlieR thla folou k$ Si ukri-,gl: ck divorco dt or u, court. wdm lediuHl Quoli',y Aswatw offee.qywt ffie of sturval "1111ric 7b(!,qq sr.rVices give you the abiilty to renew your liceme, upinte ir x add rvn, va awl upd Rip yaur profilp. infinrmaiiiin- 1. Gn tar 2. Click on Mcenscv./Prrwldcr 1. Click on llmctilio ,er Leggin 4. 5c.!,NtyuT1T prul"-;ion 5. Kv( the uccount M Anti pnqSxVo0 ihat wa.* provided to ym na your ioWal licenue and click oil "Lgiin". 6. Wyou do riot - cuow your acrount 11) satin paasm)rd, click .1 'Get Loilln ReIV Or (:'flI )Ur C'Astunwr Contact Center at (85D) 488-0595 it 1AIL TO DEPARTMENT OF HEALTH DIVISION OF ME DICAL QUALITY ASSURANCF- LICENSURE SUPPORT SEWCES UNIT P.0, BOX 6320 TALLAHASSEE, FLORIDA 32314-6320 I NAME CHANGE IATTACH LEGAL DOCUMENTATION) ROM: i AST FIRST MIDULF 1H 2 PacketPg.842 I - lie DIETITIANINUTRITIONIST below Ws V' iamed met all requi�em& �Ie laws 814ruies of theist to of 41mdon Date: MAY 31, 2 OARISSA JILL CIORCIARI: q ff MARISSA GTORCI TN� ARI , 6DW-4tST$Y .. -: WITE i1s: AIAAI. BEACH FL 33 V . 7- 0 0 era , r- Q 0 LF t3OVERNOR STATE UFO -GEN8kAL:: J z 4 W DISPLAY EQ. BY LA EXPIRATION DATE MAY 31, ZD15 Qua Hcense. number iq mD 6021, pleaje use V in a a tall criespamlence with your I:roardftQL1n6l, Each 11cermcc is safely re5portsible, for notirvieig the ir. licvmcc's cun mailing add moo and prtmdec location address, it you linve riot mccivrd your rcjmwo I notice )a days p rlur W Um cApitation, d t lease c.R;J (3501 488 0595. 'jliq section, kj fevort nimir change� Name chang ,es requite legril div.umeninilon shokxing Ifir numv. chnnge. 1 m"ke. Aure 1h.ml a phoincopy or = pjapmlieR thla folou k$ Si ukri-,gl: ck divorco dt or u, court. wdm lediuHl Quoli',y Aswatw offee.qywt ffie of sturval "1111ric 7b(!,qq sr.rVices give you the abiilty to renew your liceme, upinte ir x add rvn, va awl upd Rip yaur profilp. infinrmaiiiin- 1. Gn tar 2. Click on Mcenscv./Prrwldcr 1. Click on llmctilio ,er Leggin 4. 5c.!,NtyuT1T prul"-;ion 5. Kv( the uccount M Anti pnqSxVo0 ihat wa.* provided to ym na your ioWal licenue and click oil "Lgiin". 6. Wyou do riot - cuow your acrount 11) satin paasm)rd, click .1 'Get Loilln ReIV Or (:'flI )Ur C'Astunwr Contact Center at (85D) 488-0595 it 1AIL TO DEPARTMENT OF HEALTH DIVISION OF ME DICAL QUALITY ASSURANCF- LICENSURE SUPPORT SEWCES UNIT P.0, BOX 6320 TALLAHASSEE, FLORIDA 32314-6320 I NAME CHANGE IATTACH LEGAL DOCUMENTATION) ROM: i AST FIRST MIDULF 1H 2 PacketPg.842 I