Item P1M
C ounty of f Monroe
ELj » °o
�
BOARD OF COUNTY COMMISSIONERS
/� r i � ��
Mayor George Neugent, District 2
The Florida. Ke Se
y
I
Mayor Pro Tern David Rice, District 4
Danny L. Kolhage, District I
Heather Carruthers, District 3
Sylvia J. Murphy, District 5
County Commission Meeting
November 14, 2017
Agenda Item Number: P.1
Agenda Item Summary #3558
BULK ITEM: Yes DEPARTMENT: County Administrator
TIME APPROXIMATE: STAFF CONTACT: Lindsey Ballard (305) 292 -4443
N/A
AGENDA ITEM WORDING: Approval of the contract between Monroe County Board of County
Commissioners and the State of Florida, Department of Health for operation of the Monroe County
Health for operation of the Monroe County Health Department - contract year 2017 -2018.
ITEM BACKGROUND:
Review of annual contract and fee schedule for county funding of local health department.
PREVIOUS RELEVANT BOCC ACTION:
This is the annual renewal of an agreement of an agreement between Monroe County and Florida
Department of Health that has continued for 20+ years.
CONTRACT /AGREEMENT CHANGES:
Minor programmatic changes; no change in County's fiscal responsibiilty.
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
17 -18 core contrect agen_20171030145639 (2)
FINANCIAL IMPACT:
Effective Date: 10/01/2017
Expiration Date: 9/30/2018
Total Dollar Value of Contract: $1,165,070
Total Cost to County:
Current Year Portion:
Budgeted:
Source of Funds:
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing:
Grant:
County Match:
Insurance Required:
Additional Details:
If yes, amount:
REVIEWED BY:
Cynthia Hall
Budget and Finance
Maria Slavik
Kathy Peters
Board of County Commissioners
Completed
10/30/2017 5:12 PM
Completed
10/31/2017 8:05 AM
Completed
10/31/2017 8:21 AM
Completed
10/31/2017 8:37 AM
Pending
11/14/2017 9:00 AM
This contract 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, 2017.
RECITALS
B. County Health Departments were created throughout Florida to satisfy th
legislative intent through "promotion of the public's health, the control and eradication
preventable diseases, and the provision of primary health care for special populations." I
C. Monroe County Health Department ("CHD") is one of the created County Health
Departments.
D. It is necessary for the parties hereto to enter into this contract in order to ensurni
coordination between the State and the County in the operation of the CHD.
NOW THEREFORE, in consideration of the mutual promises set forth herein, th
sufficiency of which are hereby acknowledged, the parties hereto agree as follows: i
1 . RECITALS. The parties mutually agree that the foregoing recitals are true and corre'
and incorporated herein by reference. I
3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CH1
shall provide those services as set forth on Part III of Attachment 11 hereof, in order til
maintain the following three levels of service pursuant to section 154.01(2), Florida Statutes,
as defined below:
a. "Environmental health services" are those services which are organized and operat-
to protect the health • the general public by monitoring and regulating activities in t
environment which may contribute to the occurrence • transmission • diseasl
Environmental health services shall be supported by available federal, state and local fun
and shall include those services mandated • a state • federal level. Examples
environmental health services include, but are not limited to drinkin , food hygiene, safe
water supply, sewage and solid waste disposal, swimming pools, group care facilitiel
migrant labor camps, toxic material control, radiological health, and occupational health.
b. "Communicable disease control services" are those services which protect the health
of the general public through the detection, control, and eradication of diseases which are
transmitted primarily by human beings. Communicable disease services shall be supported
by available federal, state, 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 control, HIV/AIDS, immunization, tuberculosis control
and maintenance of vital statistics.
c. "Primary care services" are acute care and preventive services that are made
0
available to well 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
0
individuals, improve the collective health of the public, and prevent and control the spread of
disease. Primary health care services are provided at home, 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. Examples of primary health care
services include, but are not limited to: first contact acute care services; chronic disease
V -
detection and treatment; maternal and child health services; family planning; nutrition; school
health; supplemental food assistance for women, infants, and children, home health, and
de services.
4. FUNDING. The parties further agree that funding for the CHD will be handled
follows I
a. The funding to be provided by the parties and any other sources is set forth in Part 11
• Attachment 11 hereof. This funding will be used as shown in Part I of Attachment 11.
The State's appropriated responsibility (direct contribution excluding any state
fees, Medicaid contributions or any other funds not listed on the Schedule C) as
provided in Attachment 11, Part 11 is an amount not to exceed $ 4,793,306
(State General Revenue, State Funds, Other State Funds and Federal Funds listed on the
Schedule C). The State's 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,
other cash or local contributions) as provided in Attachment 11, Part 11 is an
amount not to exceed $ 1,165,070 (amount listed under the "Board of County
Commissioners 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 contract in the County Health
2
Department Trust Fund that is attributed to the CHD shall be carried forward to the next
contract period.
c. Either party may establish service fees as allowed ♦ law to fund activities • the CHII
Where applicable, such fees shall be automatically adjusted to at least the Medicaid flen-
schedule. 11
Key West, FL 33041 Iq 0
i 43 FW n' 201101 C I IIIJ 9 M I M I � � 2�� 5
09MORM • =,Rzsjml
a. The CHD and its personnel shall follow all State policies and procedures, except to th
extent permitted for the use of County purchasing procedures as set forth in subparagrap
I
b., below. All CHD employees shall be State or State-contract personnel subject to Sta
personnel rules and procedures. Employees will report time in the Health Manageme
System compatible format by program component as specified by the State.
i, The revenue and expenditure requirements in the Florida Accounting
I a 10*111 MTT#Yntfl- - • ystem;
memoranda, Iq 0
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 client registration and service
reporting requirements of the minimum data set as specified in the Client
Information System/Health Management Component Pamphlet.
d. All funds for the CHD shall be deposited in the County Health Department Trust Fun
maintained • the state treasurer. These funds shall be accounted for separately from fun
dep osited o o
fr • ther CHDs and • e• • • shall e usnly fr p ub ea p •• • lic hlth urses in Mnr
County. I
Ell
g. The CHID may execute subcontracts for services necessary to enable the CHID
carry out the programs specified in this contract. Any such subcontract shall include
aforementioned audit and record keeping requirements. I
i. The CHID shall not use or disclose any information concerning a recipient of servic
except as allowed by federal or state law or policy. I
j. The CHID shall retain all client records, financial records, supporting document
statistical records, and any other documents (including electronic storage media) pertinent
this contract for a period of five (5) years after termination of this contract. If an audit h
been initiated and audit findings have not been resolved at the end of five (5) years, t
records shall be retained until resolution of the audit findings. I
1. The CHID shall abide by all State policies and procedures, which by this reference a
incorporated herein as standards to be followed by the CHID, except as otherwise permitt
for some purchases using County procedures pursuant to paragraph 6.b. I
9
take account of a client's choice of service, and of his/her right to a fair hearing to the final
governing authority of the agency. Specific references to existing laws, rules or program
manuals are included in Attachment I of this contract.
n. The CHD shall comply with the provisions contained in the Civil Rights Certificate,
hereby incorporated into this contract as Attachment Ill.
o. The CHID shall submit quarterly reports to the County that shall include at least tha
following:
p. The dates for the submission of quarterly reports to the County shall be as follovc
unless the generation and distribution of reports is delayed due to circumstances beyond th
CWD's control:
March 1, 2018 for the report period October 1, 2017 through
December 31, 2017;
ii. June 1, 2018 for the report period October 1, 2017 through
March 31, 2018;
September 1, 2018 for the report period October 1, 2017
through June 30, 2018; and
iv. December 1, 2018 for the report period October 1, 2017
through September 30, 2018.
7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
LW9111 IVAU arj I K61 41NE U1441 111 r-T 6 1521 E441 1 0XV Ill LZZ�& A LZI WARVA SIN
HIM
Q
Q
im
b. The County shall ensure adequate fire and casualty insurance coverage for Count
owned CHID offices and buildings and for all furnishings and equipment in CHD offic
through either a self-insurance program or insurance purchased by the County. I
�-1
a. Termination at Will. This contract may be terminated by either party without cau
upon no less than one-hundred eighty (180) calendar days notice in writing to the other pa
unless a lesser time is mutually agreed upon in writing by both parties. Said notice shall I
delivered by certified mail, return receipt requested, or in person to the other party's contra
manager with proof of delivery. i
b. Termination Because of Lack of Funds. In the event funds to finance this contract
become unavailable, either party may terminate this contract upon no less than twenty-four
(24) hours notice. 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.
9. MISCELLANEOUS. The parties further agree:
a. Availability • Funds. If this contract, any renewal hereof, • any term, performance or
payment hereunder, extends beyond the fiscal year beginning July 1, 2018, it is agreed that
the performance and payment under this contract are contingent upon an annual
appropriation by the Legislature, in accordance with section 287.0582, Florida Statutes.
b. Contract Managers. The name and address of the contract managers for the parties
under this contract are as follows:
For the State:
Mary Vanden Brook,
1100 Simonton Street
Key West, FL 33040
For the County:
Roman Gastesi
County Administrator
a Wslorns
305-809-5612 305-292-4441
I
N
I
If different contract managers are designated after execution of this contract, the nama
address and telephone number of the new representative shall be furnished in writing to t
other parties and attached to originals of this contract. I
c. Captions. The captions and headings contained in this contract are for th�
convenience of the parties only and do not in any way modify, amplify, or give addition
notice of the provisions hereof. i
In WITNESS THEREOF, the parties hereto have caused this eight page contract, with i'm
attachments as referenced, including Attachment I (two pages), Attachment 11 (six page
Attachment III (one page), Attachment IV (one page), and Attachment V (one page), to
executed by their undersigned officials as duly authorized effective the 1st day of Octob
2017. 1
: 0 , i 1 • • 0 • -
Xei :A ji Lei Z 1 0 *1
1 01:4 W-0 Za I ji 1:4 0 1 IM A m I
MKIZAM 174i - ;JMUMOJIMJA,i��
TITLE: Surgeon General and Secretary
JMV"
ECI L' 1 11
I I I 1 =lMq1t1PjL1=-
FIEVU4
I
M
I
0
U1111111111IM M=911A
Some health services must comply with specific program and reporting requirements in addition to the Personal Health
federal • state law, regulation or rule. If a county health department is funded to provide one of these services, it must
comply with the special reporting requirements for that service. The services and the reporting requirements are listed
below:
1 Sexually Transmitted Disea&�
Program
M-10 M-
C. Special Supplemental Nutrition
Program for Women, Infants and
Children (including the WIC
Breastfeeding Peer Counseling
Program)
4. Healthy Start/ Improved Pregnancy
Outcome
Requ rement
Requirements as specified in F.A.C. 64D-3, F.S. 381 and F.S. 384.
0
0
M:
Periodic financial and programmatic reports as specified by the 0
program office. a
Guidelines and as specified by the Healthy Start Coalitions in
contract with each county health department.
Attach I Packet Pg. 1345 1
ATTACHMENT I (Continued)
Attach I Packet Pg. 1346 1
Requirements as specified in F.A.C. 64D-2 and 64D-3, F.S. 381 and
F.S. 384. Socio-demographic and risk data on persons tested for
HIV in CHD clinics should be reported on Lab Request DH Form
1628 in accordance with the Forms Instruction Guide.
Requirements for the HIV/AIDS Patient Care programs are found in
the Patient Care Contract Administrative Guidelines.
9. School Health Services
Requirements as specified in the Florida School Health
Administrative Guidelines (May 2012). Requirements as specified
0
in F.S. 381-0056, F.S. 381.0057, F.S. 402.3026 and F.A.C. 64F-6.
0
10. Tuberculosis
Tuberculosis Program Requirements as specified in F.A.C. 64D-3
and F.S. 392.
11 General Communicable Disease
Carry out surveillance for reportable communicable and other acute
cr)
M
Control
diseases, detect outbreaks, respond to individual cases of
W
Ul)
reportable diseases, investigate outbreaks, and carry out
communication and quality assurance functions, as specified in
F.A.C. 64D-3, F.S. 381, F.S. 384 and the CHD Epidemiology Guide
to Surveillance and Investigations.
12. Refugee Health Program
Programmatic and financial requirements as specified by the
C
program office.
*or the subsequent replacement if adopted during
the contract period.
UP
Attach I Packet Pg. 1346 1
z
LU
IL
w
-j
W
Z
0
u
ui
0
w
z
0
2
■
a
I
I
F
11
0
c
m
(n
1 5
a)
CL
c
76
0
0
c
0
V5
c
0
a)
ca
a)
CL
cu
0
(D
CL
U)
I
■
I
LO
V)
C)
C
v
0
C.)
04
CN
0
CD
p-
m
Cl)
CN
v
LO
'gr
0)
It
0
'T
LO
co
CO
v
p-
cc
co
CO
V)
a)
C\l
ca
N
LL
CN
0
(D
-
0
CY)
00-
ce)
>1
ce)
[%
E
a)
CD
E
E
a)
a)
0 E
C:
CL
CL
CL
4)
U)
0
U)
- CD
' o U)
c
o
a —
0 P �
0—
- c a
(D P _
?-
c,
= 0
—
a) C:)
U-
C
CL cq
0) C
a)
V5
0 a)
0
(D
CD
o
0
% 2
CL
g0
00
cf) 0
m0
w
cli
li
I
I
F
11
0
c
m
(n
1 5
a)
CL
c
76
0
0
c
0
V5
c
0
a)
ca
a)
CL
cu
0
(D
CL
U)
I
■
I
KN W AN ftQTj I DO
Part H, Sources of Contributions to County Health Department
October 1, 2017 to September 30, 2018
2, NON GENERAL RE VENUE - STATE
015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM
015010 TOBACCO STATE AND COMMUNITY INTERVENTIONS
015010 HURRICAN MATTHEW EXECUTIVE ORDER 16
NON GENERAL REVENUE TOTAL
4, FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
001020 CHI) STATEWIDE ENVIRONMENTAL FEES
001092 CHD STATEWIDE FNVIRONMUNTAL FEES
001206 ON SITE SEWAGE DISPOSAL PERMIT FEES
State COD
County
of CHD
Trust Fund
CHI}
Trust Fund
Other
(cash)
Trust Fund
(cash)
Contribution
Total
370,000
0
:370,000
0
370j
73,552
0
73,552
0
73,f
259,200
0
259,200
0
259,5
23,756
0
23,756
0
23,'
16,755
0
16,755
0
16,'
63,322
0
63,322
0
63,}
59,426
0
59,426
0
59"
72,000
0
72,000
0
72,1
0
199,742
0
199,742
0
199" L)
96,223
0
96,223
0
96,5 X
0
1,274,203
0
1,274,203
0
1,274,`:
2,508,179
0
2,508,179
0
2,508,
cr)
L0
4,164
0
4,164
0
4,1 T-
118,154
0
118,154
0
118,1
o
0
0
0
122,318
0
122,318
0
122„ 04
40,403
0
40,403
0
40,4
QJ
70,202
0
70,202
0
70,5
17,088
0
17,088
0
17,( 0
44,273
0
44,273
0
44"
52,305
0
52,305
0
52, 0
399,225
o
399,225
399,®
38,582
0
38,582
0
38,
17,153
0
17,153
o
17,1
104,557
0
104,557
0
104,E 43
E
133,664
0
133,664
0
133,( =
120,976
0
120,976
0
120,4
481,668
0
481,668
0
481,(
295,500
0
295,500
0
295,1
5
55,492
0
55,492
55"
123,839
0
123,839
123,1
7,067
0
7,087
0
7,(
58,982
0
58,982
0
58,c
60,307
0
60,307
0
60,c
2,121,283
0
2,121,283
0
2,121,',
112,150
0
112,150
0
112,1
149,324
0
149,324
0
149, "'
18,000
0
18,()()()
0
18,000
Attachi
Packet Pg. 1348
001206
SANITATION CERTIFICATES (FOOD INSPECTION)
I ' mo
0
1,800 0
001200
SEPTIC TANK RESEARCH SURCHARGE
500
0
500 0
001206
PUBLIC SWIMMING POOL PERMIT FEES HQ
3,500
0
3,500 0
001206
REGULATION OF BODY PIERCING SALONS
35
0
35 0
001206
TANNIN(, FACILITIES
100
0
100 0
001206
TATTO PROGRAM ENVIRONMENTAL HEALTH
550
0
550 0
001206
MOBILE HOME A RV PARK FEES
1,750
0
1,750 0
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL
287,709
0
287,709 0
0 0
14,549 0
14,549 0
56,'
4,623 0
4,623 0
4,623 0
4,623 0
Total
3,
I -
287,
sm
0
0
14,
14,
4,
4,
0 0
0
590,528
590,;
0 0
0
19,964
19,!
0 0
0
925,569
925,
1) 0
0
10,774
10, 0
0 0
0
747,701
747,
0 0
0
2,294,536
2,294
0 776,231
776,231
0
776,:
0 394,540
394,540
0
394,
0 300,000
300,000
0
300,1
0 1,470,771
1,470,771
0
1,470,'
0 43,400
43,400
0
43,
0 209,300
209,300
0
209,:
0 75,000
75,000
0
75,1
0 327,700
327,700
0
827,'
ATTACHMENT I[
MONROE COUNTY HEALTH DEPARTMENT
Part It Sources of Contributions to County Health Departmen
October 1, 2017 to September 30, 2018
GRAND TOTAL GHD PROGRAM
State CHI]
County
Total CHI]
Trust Fund
CHD
Trust Fund
Other
(caab)
Trust Fund
(cash)
Contribution
0
274,871
274,871
0
273,281
273,281
0
0
76,819
76,819
0
2,400
2,400
0
0
52,468
52,468
0
16,125
16,125
0
0
27,000
27,000
{)
0
290,000
290,000
0
-423,722
-423,722
0
0
855,717
855,717
0
4,623
4,623
{)
0
4,623
4,623
0
0
0
0
597,605
0
0
0
0
0
0
83,369
0
0
0
75,223
0
0
0
115,566
fj
0
0
0
0
0
0
0
0
0
0
0
0
871,763
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
274,
273,
76,
2 ,
52,
16,
27,
290,
sm
-423,
0
855
0
4,
4 ,
83,
75,
115,
871,
5,058,661 2,715,810 7,774,471 3,166,299 10,940,
AII,,j Packet Pg. 1350 1
7,23
4,263
6,027
164,815
192,237
164,815
192,238
71,248
642,857
71 =1,1
1.151
308
470
25,452
29,686
25,452
29,686
55,547
54,729
110,2
8.63
0
3,878
134,547
156,933
134,547
156,934
507,115
75,846
582,9
0,00
0
0
0
0
7
0
0
0
1712
479
4,901
579,870
676,348
579,870
676,348
1,730,659
781,777
2,512,4
1.81
134
288
26,097
30,440
26,097
30,440
97,139
15,935
113,0
1.32
47
119
25,350
29,568
25,350
29,569
54,502
55,335
109,8 0
1.05
166
291
14,932
17,417
14,932
17,417
56,998
7,700
64,6
3.26
0
3,162
56,139
65,479
56,139
65,480
162,987
80,250
243,2 r_
0
157
337
436
28,092
32,766
28,092
32,765
107,945
13,770
121,7
185
0
998
45,079
62,579
45,079
52,579
160,148
35,168
195,3 0
a
1.22
357
793
26,803
31,262
26,803
31,261
105,479
10,650
116,1
087
1,979
6,127
13,596
15,859
13,596
15,859
15,488
43,422
58,9
cr)
46.39
7,904
27,199
1,125,840
1,313,157
1,125,840
1,313,159
3,068,257
1,809,739
4,877,9
LO
CD
0 73
69
117
13,224
15,424
13.224
15,4219
57,297
57,2 M
CD
5.23
2,734
17,485
90,231
105,244
90,231
105,244
390,950
0
390,9 p-
2,40
0
82
37,987
44,307
37,987
44,306
164,587
0
164,5 04
108
0
1,354
14,593
17,021
14,593
17,020
63,227
0
68,2
186
532
1,038
47,318
56,130
47,318
55,190
154,231
50,785
20,5,0 cu
UO
0
0
0
0
0
0
0
0
QJ
321
551
4,145
52,244
60,936
52,244
60,935
0
226,359
226,3 C
0
IL)
0,00
0
0
0
0
0
0
0
2!
2,99
501
3,240
41,821
48,779
41,821
48,780
181,201
0
181,2 0
L2
3 77
0
113,745
66,066
77,057
66,066
77,057
286,246
286,2
1.43
175
445
34,172
39,858
34,172
39,858
110,461
37,599
148,0
5.16
0
1,018
88,200
102,875
88,200
102,875
107,537
274,613
382,1
E
0.00
0
0
0
0
0
o
0
0
2786
4,562
142,669
485,856
566,691
485,856
566,690
1,515,737
589,356
2,105,0
0,23
224
224
6,488
7,568
6,488
7,569
28,113
0
28,1
0,00
0
0
0
0
0
0
001
0
0
305
355
305
355
1,320
0
1,3
000
0
0
0
0
0
0
0
0
5.79
2,720
6, 930
82,898
96,690
82,898
96,690
219,176
140,000
359,1
6.03
2, 944
7,154
89, 691
104,613
89,691
104,614
248,609
140,000
388,6
001
11
2
147
171
147
172
637
0
6
1.05
166
291
14,932
17,417
14,932
17,417
56,998
7,700
64,6
Grand
Total
2
15
SR
87,9
12,0
2 ' cj
03
175,9
0
90,7
0
a
90,7 :
25,4 '
6"0'
1,1!
2:
76,6:
109,41
764, 7
0,00
0
0
ATTACHMENT 11
0
0
0
0
0
MONROE COUNTY HEALTH DEPARTMENT
0
0
6,055
7,062
Part 111, Planned Staffing. Clients, Services and Expenditures By Program Service Area Within Each Level of Service
7,063
26,235
0
October 1,
2017 to September 30,
2018
6
92
108
92
108
0
400
4(
Quarterly Expenditure Plan
0
0
6,147
7,170
FTRA
Clients Services/
let
Sell
3rd
4th
16,628
179,253
1,794,246
(0.00)
Units
Visits
5,058,661
(Whole dollars only)
7,774,4'
State
County
BODY PIERCING FACILITIES SERVICES (349)
0,00
0
0
60
69
60
69
162
96
GROL"P CARE FACILITY (351)
0.02
9
9
357
416
357
417
1,547
0
MIGRANT LABOR CAMP (352)
0,00
0
0
0
0
0
0
0
0
HOUSING A PUB. BLDG, (353)
0.00
0
0
0
0
0
0
0
MOBILE HOME. AND PARK (354)
0 15
36
65
1,985
2,315
1,985
2,316
4,482
4,119
POOI.WBATHING P12kCES (360)
146
372
1,051
20,296
23,672
20,296
23,672
53,961
33,975
BIOMEDICAL WASTE SERVICES 064)
0,20
93
121
2,780
:3,242
2,780
3,242
8,976
3,068
TANNING FACILITY SERVICES (369)
0.00
0
0
48
56
48
57
139
70
Group Total
289
676
1,539
40,605
47,358
40,605
47,362
126,902
49,028
Groundwater Contamination
STORAGE TANK COMPLIANCE SERVICES (355)
1.10
202
327
20,939
24,422
20,939
24,422
13,903
76,819
SUPER ACT SERVICES (356)
0.00
6
0
0
0
0
0
0
0
Group Total
1.10
202
327
20,939
24,422
20,939
24,422
13,903
76,819
Community Hygiene
COMMUNITY ENVIR, HEALTH (345)
025
0
6
5,876
6,854
5,876
6,853
25,459
0
INJLjRY PREVENTION (346)
000
0
0
0
0
0
0
0
LEAD MONITORING SERVICES (350)
IWO
0
0
0
0
0
0
0
PUBLIC SEWAGE (362)
0.00
0
0
0
0
0
0
0
0
SOLID WASTE DISPOSAL SERVICE (363)
0.00
0
0
0
0
0
0
SANITARY NUISANCE (365)
009
18
37
1,399
1,632
1,399
1,633
6,063
RABIES SORVEILLANCE (366)
001
2
2
255
298
255
299
1,107
0
A-RBORVIRIjSSlJRY`EIL. (367)
0,00
0
0
0
0
0
0
0
0
RODENT/ARTHROPOD CONTROL (368)
000
0
0
52
61
52
61
226
WATER POLLUTION (370)
0-00
0
0
0
0
0
0
0
0
INDOOR AIR (371)
000
0
0
0
0
0
0
0
0
RADIOLOC HCAL HEALTH (372)
0,00
0
0
0
0
0
0
0
0
TOXIC SUBSTANCES (373)
1.12
320
320
17,686
20,629
17,686
20,630
26,163
50,468
Group Total
1 47
340
365
25,268
29,474
25,268
29,476
59,018
50,468
ENVIRONMENTAL HEALTH SUBTOTAL
1149
4,162
9,385
176,503
205,867
176,503
205,874
448,432
316,315
Grand
Total
2
15
SR
87,9
12,0
2 ' cj
03
175,9
0
90,7
0
a
90,7 :
25,4 '
6"0'
1,1!
2:
76,6:
109,41
764, 7
0,00
0
0
0
0
0
0
0
0
000
0
0
6,055
7,062
6,055
7,063
26,235
0
26,2:
000
0
6
92
108
92
108
0
400
4(
0.00
0
0
6,147
7,170
6,147
7,171
26,235
400
26,61
85,74
16,628
179,253
1,794,246
2,092,885
1,794,346
2,092,894
5,058,661
2,715,810
7,774,4'
ATTACHMENT III
programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete
the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the subsequent replacement if adopted
during the contract period), if so requested by the department.
I Title Vlofthe Civil Rights Act of 1964 es amended, 42U.S.C,2OUOEtoeq, which prohibits
discr on the basis of race, color ur nat origin in programs and activities receiving nr 0
�
benefiting from federal financial assistance.
0
3- Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibits
discrimination on the basis of sex in education programs and activities receiving or benefiting from
federal financial assistance.
CD
E
CL
(D
E
co t
w
CD CL (D
C.4 m
.0
U
o
as
Na
I
I
N
I
0
co
m
0
0
(D
E
0
C)
w
00
m
co
Ln
(D
co
0
0
0
0
0
E
m
C
z
E
0
0
0
0
0
L)
0
L)
0
u
0
co
%-
0
0
o
d
0
4)
0
0
0
0
0
0
0
0
0
0
2�
Z�
Z
Z�
0
Q
0
u
0
u
0
u
0
L)
0
0
0
0
0
0
0
0
0
0
a)
E
0
C
0
,
=
m
0
0
0
0
0
U)
4)
E
4 )
co
Z
0
0
= - 4
cc
r- =
E
a 0)
CL
0
>
c
E >
X
0 ,
0
U)
w
c E
c
CL
m
0
me
cn U)
E
C
S
Z >
u) E
C
0
a
LU
.
ca
>
>
0
0
cc
LL
-1
LL
0
LL
U)
N
>
0
U,
Cl)
0
M
0
0 0
M LL
0 o
0 *
HJ co
00
0
0
E
0
CIS
p
.2)
W)
0
m
M
Lo
C.)
M
In
Na
I
I
N
I
ATTACHMENT V
• -� e r
SPE CIAL -e c S AVINGS
PROJECT NUMBER:
PROJECT NAME:
LOCATION /ADDRESS:
PROJECT TYPE:
CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS
STATE COUNTY
I
W
$ 1200000
$ 0
$ 200000
$ 0
$ 1400000
NEW BUILDING
ROOFING
RENOVATION
X PLANNING STUDY
NEW ADDITION
OTHER
SQUARE FOOTAGE:
3700
PROJECT SUMMARY:
Describe scope of work in reasonable detail.
FDOH Monroe would like to add a medical and dental clinic to a building being provided by the city of Key West. The
project will involve dental operatory equipment, clinic, intake, waiting area furnishings, office furnishings and
computers. The project is anticipated to begin in September of 2017 and completed by the Spring of 2019. Dental
and clinical care for HIV /AIDS patients in Key West is specifically in demand with only one provider currently
accepting Medicaid clients. Adding dental space will increase capacity and give FDOH Monroe the ability to hire a
dentist to provide services to low income, HIV /AIDS clients, and children (a chronically under - served population).
START DATE (initial expenditure of funds) 9/01/17
COMPLETION DATE:
3/31119
DESIGN FEES:
$ 0
CONSTRUCTION COSTS:
$ 0
FURNITURE /EQUIPMENT:
$ 1400000
TOTAL PROJECT COST:
5 1400000
COST PER SQ FOOT:
$ 378
Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and
mobile health vans.
Cash balance as of 0
Cash to be t.
is
I
r
Attach Packet Pg. 1355