Item C25
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: December 17,2003
Division: Manaqement Services
Bulk Item: Yes ~ No 0
Department: Administrative Services
AGENDA ITEM WORDING: Approval of amendment to contract with Florida Healthy
Kids Corporation. wherebY Monroe County aqrees to provide matchinq funds in the
amount of $41.403.00 for the period from July 1, 2003 throuqh June 30. 2004..
ITEM BACKGROUND: Matchinq funds are used by Florida Healthy Kids in obtaininq
federal qrant funds to provide health insurance coveraqe and preventive health care
services to Monroe County children. Contract sent to October BOCC meetinq
mistakenly duplicated amount from previous year. but there had been an increase. and
staff had not received the letter announcinq match amount at the time it was prepared.
PREVIOUS RELEVANT BOCC ACTION: Approval of match aqreements in previous
years.
CONTRACT/AGREEMENT CHANGES: chanqe to amount
STAFF RECOMMENDATION: approval
TOTAL COST: $41.403.00
COST TO COUNTY: $41.403.00
BUDGETED: Yes ~ No 0
SOURCE OF FUNDS: ad valorem taxes
REVENUE PRODUCING: Yes 0 No ~ AMOUNT PER MONTH
YEAR
APPROVED BY: COUNTY ATTy40MB~.PURCHASING 0 RISK MANAGEMENT 0
;
DIVISION DIRECTOR APPROVAl::
../.... /
<. t~-, ,/ /" ,)/" ciJ...~~l.- '-------,,
Sheila A. Barker
DOCUMENTATION: INCLUDED: ~ TO FOLLOW: 0 NOT REQUIRED: 0
DISPOSITION: AGENDA ITEM #: ~
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: Florida Healthy Kids Corp Effective Date: 07/01103
Expiration Date: 06/30/04
Contract Purpose/Description: Amendment to agreement to provide match for Healthy Kids
program in Monroe County
Contract Manager: David P. Owens
(Name)
4482
(Ext.)
Administrative Services
(Department)
for BOCC meeting on 12/17/03
Agenda Deadline: 12/01/03
CONTRACT COSTS
Total Dollar Value of Contract: $~<-I !,qli) ~ent Year Portion: $~04f I c.Jo.3<f:j _
Budgeted? Yes XX No Account Codes: 001-03211-530340
Grant: $0.00
County Match: $40,413.00
Estimated Ongoing Costs: $0.00
(Not included in dollar value above)
ADDITIONAL COSTS
For:
(eg. Maintenance, utilities, janitorial, salaries, etc.)
CONTRACT REVIEW
Changes
Needed Reviewer
YesDNoD ~
Risk Management 1;r'"W YesO Noff ~ ~ _ -
O.M,BJPurchasing #JYesQNo~"" a,~:. IZi-v
County Attorney /2;/3/18 YesD No~' t~
Comments: .dr..l,l..&.c~. l.~,--.1<--rzt'1 z'[lu...,<-.-L-' t.t ~L-u ?LCi<: j Lill.."
Date Out
Date In
Division Director
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OMB Form Revised 9
Oct 18 14 01:01p
RURAL HEALTH NETWORK
(305)293-7570
p.l
Heattty~
July 3'), 2003
Florida lI~aUhy MUds Corporation
66 I East Jenerson Street
Floric:lo Bar Annex. 2" Floor
Tallahassee. Florida 32311
850.224.KIDS(5437)
850.224.0615(FAX)
www.healthyklds.org
//
,/
Dr. Mark SzurejV
Rural Hea!$JYNetwork of Monroe County
3930 Sptdh Roosevelt
~~-303
/ey West, Florida 33040
RE: Local Match for 2003-2004 fiscal year for Monroe County
Dear Mark:
Last month, I forwarded to your attention information about the local match formula for the
Healthy Kids program for the 2003-2004 fiscal year. This leller included the specific dollar
amount for you county as well as information about how the county could apply for a "local
match credit" which could reduce your match amount. To date, I have not yet received either a
completed local match credit fonn or a contract for the remaining amount. A copy of our standard
contract was e-mailed earlier this month to Mr. Dave Owens at Monroe County Government.
The Board of Directors of the Florida Healthy Kids Corporation win hold its next meeting on
August 11 tb in West Palm Beach. An update will be provided at that time on the compliance
status .:>f each county and the board may take action at that time on any county that has not
responded. '
For Monroe, the local match amount for the 2003-2004 fiscal year is $66,403. However, if the
county applies for and receives the maximum local match credit for its in-kind contributions and
other efforts on behalf of children's health care, your local match amount would be $41,403. In
order to receive this credit, I must receive your application form as soon as possible. For your
convenience, I have included another copy of our application to receive a local match credit.
Please provide me with an update on the status of the local match contract as well as when I can
expect the completed local match credit form by Thursday, August 71h so I can provide update our
board of directors. The form can be emailed or faxed to my attention. If you have any questions
or need additional information, please feel free to contact me at (850) 224-5437, extension 6108
or my oemail at lloydj@healthykids.org.
Sincerdy,
~::;~oyd
Director of External Affairs
\jld
~. Keith Douglass, KidCare Outreach Regional Representative
AMENDMENT TO AGREEMENT
This Amendment to Agreement is made and entered into this day of ,
2003, between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA,
hereinafter referred to as "COUNTY," and the FLORIDA HEALTHY KIDS CORPORATION, hereinafter
referred to as "FHKC."
WHEREAS, the COUNTY and the FHKC entered into an agreement on October 15, 2003,
regarding match for the Florida Healthy Kids Program; and.
WHEREAS, the amount of that agreement is incorrect, and it is desired to amend Paragraph
LA. of said Agreement; now, therefore,
1. The amount shown in Paragraph LA. of the agreement is hereby amended to read as follows:
A. Monroe County agrees to provide local matching funds in the amount of FORTY-ONE
THOUSAND, FOUR HUNDRED, THREE, AND NO/100 DOLLARS ($41,403.00) for the
period of July 1, 2003 through June 30, 2004.
2. All other provisions of the contract dated October 15, 2003, not inconsistent herewith, remain in
full force and effect.
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as of
the day and year first written above.
(SEAL)
ATTEST: DANNY L. KOLHAGE, CLERK
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By
By
Mayor/Chairman
Deputy Clerk
FLORIDA HEALTHY KIDS CORPORATION
(Federal ID No. )
By
IViONtiOE COUNTY ATTORNEY
. APPROVE?f!I:J!~M
~~~~E A. HUTTON
,. "", ASSISTANT~,o~1~;TORNEY
. '.'.. .......... ~....~l-i.{,;J. Q '3
Name and Title
AGREEMENT
BETWEEN
FLORIDA HEAL THY KIDS CORPORATION "FHKC"
AND
MONROE COUNTY
This Agreement is made and entered into this _ day of , 2003 by and
between Monroe County, hereinafter called "Monroe County" and the Florida Healthy Kids
Corporation hereinafter called 'FHKC', a Florida not-for-profit corporation under the provisions
of Chapter 617, Florida Statutes.
WHEREAS, the Florida Legislature enacted Chapter 624.91, Florida Statutes, creating
the Florida Healthy Kids Corporation, a Florida not-for-profit corporation organized to facilitate
a program to provide comprehensive health insurance coverage and preventative health care
services to Florida children;
WHEREAS, the 2003-2004 General Appropriations Act and other substantive legislation
directed the FHKC to develop and implement a local match policy for the continuation of
enrollment of non-Title XXI eligible enrollees in the FHKC program;
WHEREAS, FHKC's implementing statute and the 2003-2004 General Appropriations
Act provides for the provision of local matching funds from the participating county through a
specified formula and that said local match must be secured to cover the costs of enrollees who
do not qualify for Title XXI federal matching funds in the participating county by a Financial
Agreement with local contributors to provide the required local match on an agreed periodic
basis;
WHEREAS, Monroe County has agreed to participate in the FHKC program for Monroe
County by providing funds to be applied to the local match for Monroe County for the
continuation of coverage for non-Title XXI eligible enrollees;
NOW THEREFORE, in consideration of the premises and as an inducement to FHKC to
continue a FHKC program for non-Title XXI eligible enrollees in Monroe County:
1. Monroe County agrees to provide matching funds for the provision of the FHKC program
in Monroe County as follows:
A. Monroe County agrees to provide local matching funds in the amount of
THIRTY-EIGHT THOUSAND, FOUR HUNDRED, NINETY-THREE, AND
NO/lOO DOLLARS ($38,493.00) for the period of July 1, 2003 through June 30,
2004.
B. Monroe County understands that FHKC will continue the enrollment of non-Title
XXI eligible enrollees only in those counties that meet their local match
requirement as specified by the FHKC Board of Directors.
2003-2004 Financial Agreement
Revised: 5/2002
Page 1 of 3
C. Monroe County agrees to be invoiced on a monthly basis for one-twelfth of the
local match amount listed in paragraph I. A.
D. Monroe County agrees to remit payment within thirty (30) days of receipt of an
invoice from FHKC.
II. FHKC, in consideration of the funds paid by Monroe County under this Financial
Agreement for the FHKC program, FHKC agrees as follows:
A. To provide comprehensive health insurance coverage to each participant who has
paid the required premium and has met the other eligibility standards for
enrollment established by FHKC.
B. To invoice Monroe County on a scheduled basis in accordance with paragraphs
I.C. and I.B. Invoice shall be sent to:
NAME: David P. Owens
ADDRESS: 1100 Simonton Street; Key West, FL 33040
CONTACT NUMBER: 305-292-4482
III. The Parties agree that the non-payment of local matching funds may result in the
termination of coverage for non-Title XXI eligible enrollees in Monroe County or other
actions deemed appropriate by the FHKC Board of Directors at the sole discretion of the
FHKC.
IV. Monroe County understands that FHKC will commence the expenditure of state funds to
continue a FHKC program in Monroe County based upon the assurances by Monroe
County to provide local matching funds, to assume the responsibilities and duties set
forth herein and to provide the local matching funds in accordance with the terms hereof.
In the event the local matching funds provided herein are not forthcoming in the amounts
and upon the dates scheduled, FHKC is entitled to enforce the obligations of this
agreement in accordance with the laws of the state of Florida and in such event shall be
entitled to additional reimbursement for its costs and attorneys fees necessarily incurred
in order to enforce the completion of the obligations herein. It is understood that the
intent of this provision is to protect the children who will receive health insurance
benefits through the FHKC program in Monroe County and who will thereafter rely upon
the continuation of the program.
V. The parties agree that the provisions ofthis agreement are not subject to assignment
without the express written consent ofthe other party.
VI. Any amendments to this Agreement shall be in writing and approved by both parties.
VII. This Agreement shall be in effect from the date of its execution by both parties, and shall
remain in effect until all obligations under this Agreement have been satisfied.
2003-2004 Financial Agreement
Revised: 5/2002
Page 2 of3
undersigned officials as duly authorized.
DONE this
day of
LOCAL MATCH PROVIDER
Monroe County
NAME:
TITLE:
Witness
, 2003.
FLORIDA HEAL THY KIDS CORPORATION
Rose M. N aff
Executive Director
Witness
2003-2004 Financial Agreement
Page 3 of3
Revised: 5/2002
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list
following a conviction for public entity crime may not submit a bid on a
contract to provide any goods or services to a public entity, may not
submit a bid on a contract with a public entity for the construction or
repair of a public building or public work, may not submit bids on
leases of real property to public entity, may not be awarded or perform
work as a contractor, supplier, subcontractor, or consultant under a
contract with any public entity, and may not transact business with any
public entity in excess of the threshold amount provided in Section
287.017, for CATEGORY TWO for a period of 36 months from the date
of being placed on the convicted vendor list."
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY. FLORIDA
ETHICS CLAUSE
warrants that he/it has not employed, retained
or otherwise had act on hiS/its behalf any former County officer or employee in violation of
Section 2 of Ordinance No. 10-1990 or any County officer or employee in violation of
Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County
may, in its discretion, terminate this contract without liability and may also, in its discretion,
deduct from the contract or purchase price, or otherwise recover, the full amount of any fee,
commission, percentage, gift, or consideration paid to the former County officer or employee.
(signature)
Date:
STATE OF
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
who, after first being sworn by me, affixed his/her
signature (name of individual signing) in the space provided above on this
day of
,20_.
NOTARY PUBLIC
My commission expires:
OMB - MCP FORM #4