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Item G3BOARD OF GOVERNORS — FIRE AND AMBULANCE DISTRICT I AGENDA ITEM SUMMARY Meeting Date: Ma 2 1,_2014 Division: Emergency Services Bulk Item: Yes X No El Department: Fire Rescue Staff Contact Person: Holly Pfiester 289-6088 AGENDA ITEM WORDING: Approval to enter into an Agreement between the Monroe County Board of County Commissioners, The Board of Governors Fire and Ambulance District I of Monroe County, Florida, and the Health Care District of Palm Beach County, for the purchase of pharmaceuticals and medical supplies for Monroe County's Emergency Medical Services (EMS) system on an emergent basis when the County's normal supplier is unable to provide pharmaceuticals and medical supplies as outlined in Paragraph 9—D of the contract, which gives the County the option of purchasing items from another vendor should the item not be available within three (3) days of the time of the order. ITEM BACKGROUND: The Health Care District of Palm Beach County, an independent special taxing district of the State of Florida subject to the terms of the Palm Beach County Health Care Act (2003 Fla. Laws 326-2003), represents that, depending on its own inventory and needs, it may be capable of providing the pharmaceuticals and medical supplies to Monroe County's EMS system in order to assist the County's emergency medical services; When Monroe County needs a pharmaceutical or medical supplies, the County will advise the District of the specific pharmaceuticals or medical supplies required and the quantities; The District will then advise Monroe County of the price to be charged for that purchase and the turnaround time for delivery of the pharmaceuticals and/or supplies; Monroe County EMS will weigh proposal against current contract furnishing specified medical supplies and pharmaceuticals, taking into account non -availability or slow lead times, and is free to accept or reject the price. PREVIOUS RELEVANT BOG ACTION: On November 20, 2013 Monroe County Board of County Commissioners (Item GI 1) and The Board of Governors Fire and Ambulance District I of Monroe County, Florida (Item K3) awarded BoundTree Medical Supply the proposal furnishing medical supplies and pharmaceuticals to Monroe County Fire Rescue for use at the Fire Stations and on the ground and air ambulances for set contract pricing on one -hundred -ninety- three (193) items and provisional pricing on non -specified items reflected as a 25% discounted percentage rate off list. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATIONS: Approval TOTAL COST: $0 INDIRECT COST: $ N/A BUDGETED: Yes Z No 11 DIFFERENTIAL OF LOCAL PREFERENCE: N/A COST TO COUNTY: As needed basis SOURCE OFF S: 141-13001-530520/512 and 101-11001-530520/512 REVENUE PRODUCING: Yes El NoX AMOUNT PER MONTH Year C# CA APPROVED BY: County Attorney: X OMB/Purc5—asing: IV Risk Management: f DOCUMENTATION: Included: M Not Required: 0 DISPOSITION: AGE NDAITEM #: BOARD OF GOVERNORS — FIRE AND AMBULANCE DISTRICT 1 CONTRACT SUMMARY Contract with: Health Care District of Palm Beach County Contract # Effective Date: 05/21/2014 Expiration Date: Ongoing until terminated Contract Purpose/Description: A prove( to enter into an Agreement be een the Monroe Count�Board of Coun Commissioners The Board of Governors Fire and Ambulance District I of Monroe Cohn Floridan and the health Care L;istrict of Palrtz Beach Cotzniy for the purchase of pha aceuticals and medical supplies for Monroe Coun 's Emer ency Medical Service her is unable to provide harmaceuticals and medical su��lies as outlined in Paragraph 9—D of the contrast which Ives the Coun the motion of urchasin items from another vendor should he item not be available within three 31days of the time of the order. Contract Manager: 6088 (Name) (Ext.) (Department/Stop #) for BOG meeting on 05/21/2014 Agenda Deadline: 05/06/2014 CONTRACT COSTS Total Dollar Value of Contract: $0 Current FY14 Year Portion: $0 Budgeted? Yes 0 No El Account Codes: 141-13001-530520/512 and 101-11001-530520/512 Grant: $ County Match: $ - ------------ ADDITIONAL COSTS Estimated Ongoing Costs: $ For: (i,e, maintenance, utilities, janitorial, salaries, etc,) CONTRACT REVIEW Date In Changes Needed? Reviewer Date Out Division Director V Yes 11 No C�-- Risk Management Yes 0 No OMB / Purckas—ing J Yes 0 No 5J vk sit County Attorney gh 114 Yes 1:1 No X" OMB Form Revised 127,101 MCP #2 CONTRACTRETWEEN THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, THE BOARD GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 M= THE HEALTH CARE DISTRICT OF PALM BEACH COUNTY FOR THE PURCHASE OF MEDICAL SUPPLIES AND PHARMACEUTICALS THIS CONTRACT, hereinafter "CONTRACT" or "AGREEMENT", is made and entered into this — day of _, 2014 by and between the Monroe County Board of County Commissioners and the Board of Governors of Fire and Ambulance District I of Monroe County, Florida (hereinafter collectively, the "County"), and the Health Care District of Palm Beach County, an independent special taxing district of the State of Florida subject to the terms of the Palm Beach County Health Care Act (2003 Fla. Laws 326- 2003), (hereinafter, the "District"). WITNESSETIL WHEREAS, the County from time to time has the need to purchase pharmaceuticals and medical supplies for its emergency medical services (EMS) system on an emergent basis when the County's normal supplier is unable to provide pharmaceuticals and medical supplies in a sufficient quantities; and WHEREAS, the District represents that depending on its own inventory and needs, it may be capable of providing the pharmaceuticals and medical supplies to the County's EMS system in order to assist the County's emergency medical services; NOW, THEREFORE, in consideration of the promises contained herein, the parties agree as follows: I . CONTRACT PERIOD - The effective date of this Agreement shall be as shown above. This Agreement shall be effective upon the execution of this document by the last party to the Agreement, The Agreement shall continue in full force and effect until terminated by any party in accordance with paragraph (2), below. 2. CONTRACT TERMINATION - This Agreement may be terminated for any reason by either party on 30-days' written notice without cause. The County will pay the District for any pharmaceuticals or supplies ordered prior to the date of termination provided said pharmaceuticals or supplies are delivered, even if the delivery occurs after the date of termination. 3. PRICING —When the County needs a pharmaceutical or medical supply, the County will advise the District of the specific pharmaceuticals or medical supplies required and the quantities. The District will then advise the County of the price to be charged for that purchase and the turnaround time for delivery of the pharmaceuticals and/or supplies. The County is free to accept or reject the proposal. 4. Any items supplied must be accompanied by a MSDS and must be delivered in original packaging. 5. SPECIFICATIONS: A. Substitutions. Items supplied shall be as ordered and specified. When substitutions are recommended or necessary, the determination as to whether any proposed substitution is or is not equal to the product specified as a standard shall be made by the County. B. Expiration Dates. The expiration date must be displayed on the package. 6. PAYMENT: A. Taxes. The County is exempt from all state and federal sales, use, transportation and excise taxes. B. Invoicing. On a monthly basis, the District will invoice the County for the pharmaceuticals supplies and/or medications received by the County during the preceding month. For all pharmaceutical supplies and/or medications purchased and received by the County, the District will charge the County at the actual cost paid by the District for said pharmaceuticals supplies and/or medications (inclusive of any freight, delivery or similar charges or costs, if any) plus an administrative handling fee of $5.00 per requisition line item. The District shall direct the invoices to the attention of the appropriate County Department representative. Invoices received from the District will be reviewed and approved by the appropriate County representative within the department receiving the pharmaceutical supplies and/or medications to verify that said pharmaceutical supplies and/or medications have been received in conformity with this Agreement. Approved invoices will be sent to the Finance Department for payment and must be paid to the District within sixty (60) days thereafter. Payments made after the due date will be subject to a late fee in accordance with the Prompt Payment Act. C. Payment, Full payment will be made by the County after receipt and acceptance of materials/services and proper invoices in accordance with the Florida Local Government Prompt Payment Act. 7. INDEMNIFICATION — To the extent allowed by Section 768.28, Florida Statutes, each party shall indemnify and defend the other for any claims arising as a result of the party's negligent or intentional acts. 8. INSURANCE — Without waiving the right to sovereign immunity as provided in Section 768.28, Florida Statutes, the parties acknowledge to be self -insured for General Liability under Florida's sovereign immunity statute with monetary waiver limits of Two Hundred Thousand ($200,000) Dollars per person and Three Hundred Thousand ($300,000) Dollars per occurrence; or such limits that may be changed and set forth by Florida law. The parties agree to maintain such self insurance at all times during the existence of this Agreement and any renewals or extensions of this Agreement. 9. Monroe County's performance and obligation to pay under this Contract is contingent upon an annual appropriation by the Board of County Commissioners of Monroe County, Florida. 10. Each party represents and warrants that it has the requisite authority to enter into this Agreement. 11. The following language is required by Monroe County Code section 2-152(b): The District 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 2-149 of the Monroe County Code or any current County officer or employee in violation of Section 2-150 of the Monroe County Code. 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. 12. The relationship between the District and County is that of independent contractors, and neither shall be considered ajoint venturer, partner, employee, agent, representative or other relationship of the other for any purpose expressly or by implication. 11 All notices required to be given under the terms of this Contract or which any of the parties desires to give hereunder shall be in writing and personally delivered or sent by registered or certified mail, return receipt requested, addressed as follows: a. If to District addressed to: Ronald J. Wiewora, MD, MPH, FRCP, FACPM Chief Executive Officer/Chief Medical Officer Health Care District of Palm Beach County 2601 1 Oth Avenue North, Suite 100 Palm Springs, FL 33461-3133 Nicholas W. Romanello, Esq. Chief Legal Officer Health Care District of Palm Beach County 2601 1 Oth Avenue North, Suite 100 Palm Springs, Fl, 33461-3133 b. If to County addressed to: Chris Musser, Battalion Chief EMS Monroe County Fire Rescue 490 63d St. Ocean Marathon, FL 33050 With a copy to: Cynthia L. Hall, Esq. Assistant County Attorney Monroe County Attorney's Office 1111 12 th St. Suite 408 Key West, FL 33040 Any party may designate a change of address at any time by giving written notice thereof to the other parties. If any party desires to receive notice through alternative methods, such as facsimile or e-mail, that party shall provide that contact information to the other parties according to the methods outlined in Section 13. 14. This Contract shall be governed by the laws of the State of Florida. Any and all legal action necessary to enforce the Contract will be held in Palm Beach County. No remedy herein conferred upon any party is intended to be exclusive of any other remedy, and each and every such remedy shall be cumulative and shall be in addition to every other remedy given hereunder or now or hereafter existing at law or in equity or by statute or otherwise. No single or partial exercise by any party of any right, power, or remedy hereunder shall preclude any other or further exercise thereof. 15. Each of the parties agrees to perform its responsibilities under this Contract in conformance with all laws, regulations and administrative instructions that relate to the parties' performance of this Contract, including, without limitation, the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), the Health Information Technology for Economic and Clinical Health Act of 2009 (42 U.&C. § 17931 et seq. ("HITECH"), and other applicable federal and state laws protecting the confidentiality of patient information and medical records, the Federal Anti - Kickback Statute, and Medicare and Medicaid program requirements. In the event that either party becomes aware of a possible violation of law, regulation or administrative instruction that might affect the validity or legality of the services provided under this Contract and/or District's right to reimbursement, such party shall immediately notify the other party and the parties shall agree on appropriate corrective action, In the event either party becomes aware that any investigation or proceeding has been initiated with respect to any of the services provided hereunder, such party shall immediately notify the other party. 16. County acknowledges and agrees that the duties and obligations of the District under this Agreement are subject to the budgeting and appropriations by the District of funds sufficient to pay the costs associated therewith in any fiscal year of the District. In the event that no funds are appropriated or budgeted by the District in any fiscal year to pay the costs associated with the District's duties and obligations hereunder or in the event the funds budgeted or appropriated are or are estimated by the District to be insufficient to pay the costs associated with the District's duties and obligations hereunder in any fiscal year, then the District will notify County of such occurrence and this Agreement shall terminate on the date specified in such notice, which shall be no earlier than twenty-four (24) hours after the District gives such notice without any further or additional obligation or liability of the District for any reason whatsoever. 17. The Parties acknowledge that the Health Care District of Palm Beach County is an independent special taxing district of the State of Florida subject to the terms of the Palm Beach County Health Care Act (2003 Fla. Laws. 326-2003) and other laws of the State of Florida and the United States of America now or hereafter enacted, as the same may be modified or amended from time to time. If any part of this Agreement, or any obligations of or the District hereunder, are contrary to, prohibited by or deemed invalid under the Palm Beach County Health Care Act or any other applicable law or regulation of the State of Florida or the United States of America, such provision or obligation shall be inapplicable and be deemed omitted to the extent so contrary prohibited or invalid, but the remainder hereof shall not be invalidated thereby and shall be given full force and effect so far as possible. 18. This Contract shall not be construed as constituting a waiver of any rights to sovereign immunity granted to either party under the laws and Constitution of the State of Florida. 19. This Agreement shall not in any manner be assigned, delegated, or transferred by either party without the written consent of the other party. Any such transfer or assignment shall be void and without force and effect. 20. This Agreement constitutes the entire agreement between the parties with regard to the subject matter herein and supersedes all prior agreements and understandings between the parties. There are no representations, agreements, arrangements or understandings, oral or written, between the parties relating to the subject matter of this Agreement that are not expressly set forth herein. This Agreement may be modified and amended only by written instrument executed by the parties hereto. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK SIGNATURES ON FOLLOWING PAGE IN WITNESS WHEREOF, each party hereto has caused this contract to be executed by its duly authorized representative. Attest: AMY HEAVILIN, CLERK MONROE COUNTY BOARD OF County COMMISSIONERS By: By: ------------------ Deputy Clerk Mayor/Chairman 0 Print Name and Title BOARD OF GOVERNORS, MONROE COUNTY FIRE AND AMBULANCE DISTRICT I M HEALTH CARE DISTRICT OF PALM BEACH COUNTY By: Title: Print Name: APPROVED AS TO FORMAND LEGAL SUFFICIENCY BY: Nicholas W. Romanello, Esq. Chief Legal Officer Health Care District of Palm Beach County