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Item C27lrl Co of Mope �' ; c' � '� BOARD OF COUNTY COMMISSIONERS Mayor David Rice, District 4 Mayor Pro Tem Sylvia J. Murphy, District 5 Fl IleOI1da Keys m �� u 1 , i zm Danny L. Kolhage, District 1 . �, George Neugenf District 2 Heather Carruthers, District 3 County Commission Meeting October 17, 2018 Agenda Item Number: C27 Agenda Item Summary #4792 BULK ITEM: Yes DEPARTMENT: Employee Services TIME APPROXIMATE: STAFF CONTACT: Natalie Maddox (305) 292 -4450 N/A AGENDA ITEM WORDING: Approval to award a bid to and negotiate an agreement with the Gehring Group to provide Benefits Consulting Services to Monroe County for up to 5 years with 2 year renewal options. ITEM BACKGROUND: In July 2018, the BOCC approved an RFP for Benefits Consulting Services including: design of our group benefit program (health, prescription, dental, vision, life, accidental death and dismemberment, and actuarial services), to ensure that the County is receiving the best coverage at reasonable costs, to analyze plan design, costs, and administrative programs, assist with vendor proposal analysis, advise and assist on health care industry trends and compliance, and provide other related benefits consulting services. The County received proposals from three companies: FBMC, Gallagher Benefit Services, and The Gehring Group. On September 27, 2018, the Selection Committee met to discuss the proposals and make a recommendation to the BOCC. The Selection Committee scored and ranked the Proposals as follows (out of 300 total potential points): 1. Gehring Group — total score 286 2. Gallagher Benefit Services — total score 282 3. FBMC — total score 237 The Selection Committee recommends that Monroe County BOCC negotiate an agreement with the top- ranked proposer, Gehring Group, to provide Benefits Consulting Services. If this agenda item is approved by the BOCC, staff will bring back an agreement to the BOCC at a subsequent meeting. PREVIOUS RELEVANT BOCC ACTION: September 15, 2010 MCBOCC entered into an agreement with Gallagher Benefits Services (GBS) to provide employee benefits consulting; April 17, 2013 agreement with Gallagher Benefit Services was renewed for one (1) year and subsequently renewed at the County's option for two (2) additional consecutive one year terms; October 1, 2016 agreement extended for one (1) additional year through September 20, 2017; February 15, 2017 agreement extended for one (1) additional year through December 30, 2018. July 2018 — Approval to advertise an RFP for Benefits Consulting Services CONTRACT /AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: BENEFITS CONSULTANT RFP 2018 FINANCIAL IMPACT: Effective Date: N/A Expiration Date: N/A Total Dollar Value of Contract: N/A 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: Bryan Cook Completed 09/28/2018 4:59 PM Natalie Maddox Completed 09/28/2018 5:16 PM Assistant County Administrator Christine Hurley 10/01/2018 12:52 PM Cynthia Hall Completed Budget and Finance Completed Maria Slavik Completed Kathy Peters Completed Board of County Commissioners Pending Completed 10/02/2018 9:11 AM 10/02/2018 10:38 AM 10/02/2018 2:21 PM 10/03/2018 10:51 AM 10/17/2018 9:00 AM MONROE COUNTY REQUEST FOR PROPOSALS FOR EMPLOYEE BENEFITS CONSULTING SERVICES BOARD OF COUNTY COMMISSIONERS Mayor H David Rice, District 4 Mayor Pro Tern, Sylvia J. Murphy, District 5 Danny L. Kolhage, District 1 George Neugent, District 2 Heather Carruthers, District 3 CLERK OF THE CIRCUIT COURT KEVIN MADOK EMPLOYEE SERVICES DEPT. BRYAN COOK, DIRECTOR DEADLINE FOR PROPOSALS: SEPTEMBER 6, 2018 3:00 P.M. 1 TABLE OF CONTENTS NOTICE OF REQUEST FOR COMPETITIVE SOLICITATIONS SECTION ONE - Instruction to Proposers SECTION TWO - Draft Agreement Exhibit A, Scope of Services SECTION THREE - County Forms and Insurance Forms 2 NOTICE OF REQUEST FOR COMPETITIVE SOLICITATIONS NOTICE IS HEREBY GIVEN that on September 6, 2018, at 3:00 P.M., the Monroe County Purchasing Office will receive and open sealed responses for the following: EMPLOYEE BENEFITS CONSULTING SERVICES MONROE COUNTY, FLORIDA All responses must be sealed and must be submitted to the Monroe County Purchasing Office. Publication Dates Citizen: Mon., 07/23/2018 3 SECTION ONE: INSTRUCTION TO PROPOSERS 1. OBJECTIVE OF THE REQUEST FOR PROPOSAL The Monroe County Board of County Commissioners (MCBOCC) is requesting proposals from qualified individuals or firms to provide consulting services for the group benefit program (health, prescription, dental, vision, life, accidental death and dismemberment, and actuarial services) to ensure that the County is receiving the best coverage at reasonable costs, to analyze the design costs and administrative services programs and to assist with preparation of group benefit program requests for proposal. 2. BACKGROUND INFORMATION Monroe County ( "County ") is a non - chartered county and a political subdivision of the State of Florida. The population of the County is estimated at approximately 76,000. The Monroe County Board of County Commissioners, constituted as the governing body, has all the powers of a body corporate, including the powers to contract; to sue and be sued; to acquire, purchase, hold, lease and convey real estate and personal property; to borrow money and to generally exercise the powers of a public authority organized and existing for the purpose of providing community services to citizens within its territorial boundaries. In order to carry out this function, County is empowered to levy taxes to pay the cost of operations. The Present Plan Currently, the County offers its employees a self- funded medical program through Florida Blue that consists of two plans: Traditional PPO and High Deductible Health Plan with Health Savings Account (HD /HP with HSA). The Pharmacy Benefits Manager (PBM) is Envision Pharmaceutical Services, Inc. with an Employee Group Waiver Plan (EGWP) Wrap for Medicare Eligible Retirees and dependents. Life insurance provider is Minnesota Life. The employee assistance plan (EAP) provider is Quantum Health Solutions. Voluntary benefits offered: dental (Delta Dental), vision (VSP), and supplementary accident/illness plan (AFLAC). The County has two collective bargaining agreements that must be considered when there may be a change in benefit plans or procedures. As of June 1, 2018, there are 1129 active employees, 286 retirees & 832 dependents enrolled in the group health insurance plan. The County currently contracts with Gallagher Benefit Services to provide benefits consulting services on a fee - for - service basis. 3. RFP Schedule: A summary schedule of the major activities associated with this solicitation is presented below. The County, at its sole discretion, may modify this schedule as the County deems F appropriate. The initial contract term will be for five (5) years beginning January 1, 2019, renewable at the County's option for two (2) additional consecutive year terms. Calendar Date Activity 7/18/2018 RFP Draft to BOCC for approval 7/23/2018 RFP Advertise /Release date 8/13/2018 Deadline for Questions — 3:00 p.m. 8/20/2018 Addendum Release date 9/06/2018 RFP Responses Due — 3:00 p.m. 10/10/2018 Selection Committee Ranking meeting 11/20/2018 To BOCC for approval of contract 01/01/2019 Relationship Effective Date 4. SCOPE OF THE WORK TO BE PROVIDED BY PROPOSER The scope of work is included in Exhibit A. 5 QUALIFICATIONS NECESSARY OF CONSULTANT The firm must enter into an agreement stating that all staff members, independent contractors, subcontracted work, if any, all service providers it uses, engages or manages, comply with Health Insurance Portability and Accountability Act (HIPAA) privacy and security rules, and that the firm will be liable for any breach. Proposals received from firms that have a contractual relationship with a group health carrier that would preclude the firm from being unbiased in the services provided to the County will not be considered for evaluation. Proposers must disclose any contractual relationship in writing, in the proposal, with any persons or entities in the following categories: (a) third party administrators; (b) utilization review /large claims management; (c) health insurance carriers. Proposers will be disqualified from receiving any commissions from County vendors. The Proposer must warrant that it has not employed or retained a company or person, other than a bona fide employee, contractor or subcontractor, working in its employ, to solicit or secure a contract with the County and that it has not paid or agreed to pay any person, company, corporation, individual or firm other than a bona fide employee, 5 contractor or subcontractor, working in its employ any fee, commission, percentage, gift or other consideration contingent upon or resulting from the award or making of a contract with the County. The firm and its employees who are responsible and accountable for the county's account and subcontractors, if any, must have all necessary current licenses issued by the Florida Department of Insurance for providing either consulting services or health benefits insurance. Proper documentation shall be attached to the proposal. The firm's servicing office that would provide services to the County must have at least one (1) Marketing Account Executive and one (1) Customer Service Representative, each with a minimum of three (3) years of health insurance experience. Firms providing actuarial services for the County must be certified as a Fellow of the Society of Actuaries. 6. PAYMENT TERMS • The County is aware that some consultants normally receive their compensation from the insurance provider based on a percentage of the overall account value. We request respondents to quote a fixed fee that encompasses the entire Scope of Services requested in Section Two, Exhibit A. • The contractor shall submit to the County an invoice with supporting documentation acceptable to the County Clerk on a schedule as set forth in the contract. Acceptability to the Clerk is based on generally accepted accounting principles and such laws, rules and regulations as may govern the Clerk's disbursal of funds. • The contractor will submit such invoice monthly for services provided during the preceding month. • Upon receipt of the contractor's invoice in the proper form as stipulated above and upon acceptance by the Clerk, Monroe County will make payment in accordance with the Florida Local Prompt Payment Act, Section 218.70, Florida Statutes. 7. EVALUATION CRITERIA Award shall be made to the responsible proposer whose proposal is determined to be the most advantageous to the County, taking into consideration the evaluation criteria set forth below: Proposer's Experience and Background 20 points Account Service Team's Experience 20 points Ability to provide services listed in Scope of Services. 20 points Capacity and Resources 15 points Approach and Methodologies 10 points Price of proposal 15 points Total points earned are on a scale of 1 — 100 points 1 = lowest 100 = highest !: A Selection Committee will be analyzing Proposals and providing recommendations to the County Administrator who will ultimately make a recommendation to the Board of County Commissioners regarding which Proposer should be hired. 8. REQUEST FOR ADDITIONAL INFORMATION Request for additional information or clarification relating to the specifications of this Request for Proposals shall be submitted in writing directly to: Maria Fernandez - Gonzalez, Benefits Administrator 1100 Simonton Street, Suite 2 -268 Key West, FL 33040 Facsimile (305) 292 -4452 Gonzalez - maria @monroecounty - fl.gov All requests for additional information must be received in writing no later than 3:00 PM, August 16, 2018.. Any requests received after that date and time will not be answered. All requests for additional information will be answered via an addendum to the RFP, which shall be distributed via DemandStar to all interested Proposers on the schedule listed above. Oral requests will not be answered All addenda are a part of the contract documents and each Proposer will be bound by such addenda, whether or not received by him /her. It is the responsibility of each Proposer to verify that he /she has received all addenda issued before responses are opened. 9. CONTENT OF SUBMISSION The proposal submitted in response to this Request for Proposals (RFP) shall; shall be clear and concise, tabulated, and provide the information requested herein. Statements submitted without the required information will not be considered. Responses shall be organized as indicated below. The Proposer should not withhold any information from the written response in anticipation of presenting the information orally or in a demonstration, since oral presentations or demonstrations may not be solicited. Each Proposer must submit adequate documentation to certify the Proposer's compliance with the County's requirements. Proposer should focus specifically on the information requested. Format. The proposal shall include the following: A. Cover Page. A cover page that states "EMPLOYEE BENEFITS CONSULTING SERVICES ". The cover page should contain Proposer's name, address, telephone number, and the name of the Proposer's contact person. B. Table of Contents 7 C. Tabbed Sections TAB 1. PROPOSER'S EXPERIENCE AND BACKGROUND A. Submit a detailed narrative description documenting Proposer's overall background and experience to include, but not limited to, the following: (1) History of Proposer, number of years in business, and number of years providing benefits consulting services. Detail any name or ownership changes. (2) General overview of Proposer's benefits consulting experience. (3) Benefits consulting experience with public sector clients including the number of years providing services to these clients. (4) Benefits consulting experience with clients in Florida. (5) Benefits consulting experience with clients with 1000 or more employees. (6) Experience with GASB 75. (7) Experience in conducting a feasibility study and providing support for an on- site employer clinic and pharmacy. (8) Experience in evaluating the efficacy of client- specific on -site employer clinics and pharmacies. (9) Experience with actuarial services. (10) Awards, certifications, or other related recognition in the area of benefits consulting (11) Unique qualifications, experience, or services provided by the proposer not specified in this Request for Proposal that should be considered by the County. (12) Experience assisting clients in the evaluation, selection, implementation and operation of HRIS software systems as related to benefits enrollment, management, and reporting. B. Submit a detailed narrative documenting Proposer's specific experience including, but not limited to, the following: (1) Benefits consulting services for clients with unions. (2) Negotiating and working with Collective Bargaining Agreements C. Each Proposer shall submit at least five (5) client references for whom they have provided services similar to those specified in this RFP in the past five (5) years and who are agreeable to respond to a request from the County regarding the proposer's experience. Of the five client references, a minimum of two (2) should be with state or local government clients, preferably in the State of Florida. Each client reference should include the following: (1) Organization name (2) Contact name(s) (3) Contact email address (4) Address (5) Telephone and fax numbers (6) Dates of service (start/end) (7) Scope of work (brief description) D. Proposals received from firms that have a contractual relationship with a group health carrier that would preclude the firm from being unbiased in the services provided to the County will not be considered for evaluation. In this tab, proposers must disclose any contractual relationship with any persons or entities in the following categories: (a) third party administrators; (b) utilization review /large claims management; (c) health insurance carriers. TAB 2. ACCOUNT SERVICE TEAM'S EXPERIENCE Submit a detailed narrative description documenting experience of the key personnel who are proposed to work on the account team, including the individual designated as the account manager /consultant, proposed by Proposer to include, but not limited to the following: (1) General overview of proposed account manager /consultant's benefits consulting experience. (2) Proposed account manager /consultant's benefits consulting experience with public sector clients. (3) Proposed account manager /consultant's benefits consulting experience with clients in Florida. (4) Proposed account manager /consultant's experience with GASB 75. (5) Proposed account manager /consultant's benefits consulting experience with clients with 1000 or more employees. (6) Proposed account manager /consultant's experience in evaluating third -party administrative services and making recommendations for improvements. (7) General overview of the experience of up to five other key personnel who have been identified for the provision of services to the County including actuarial services. (8) Provide a bio /resume for the account manager /consultant and each key personnel identified above to include the following: i. Work history ii. Training /continuing education iii. Specialties, professional designations and /or credentials iv. Designated role in the provision of services to the County. TAB 3. APPROACH AND METHODOLOGIES (1) Provide a narrative description of Proposer's overall approach to delivering the Scope of Services. (2) Describe any innovative strategies or best practices Proposer proposes to implement to enhance the provision of services. (3) Provide details of Proposer's approach to keeping abreast of market trends, laws, and insurance carrier initiatives. (4) Provide a narrative of Proposer's methodology for measuring Proposer's staff performance to ensure client satisfaction. (5) Describe Proposer's employee training /continuing education program. (6) Detail Proposer's time commitment for the provision of services to include annual enrollment and other on -site services. (7) Detail the proposed annual services and schedule to include methodologies for the following i. Annual benefits renewal process: ii. Annual benefits renewal negotiations iii. Open - enrollment services (8) Describe up to three successes Proposer has had in the past three years in streamlining benefits administration for clients and any associated cost reductions. E (9) Describe up to three successes Proposer has had in the past three years for other negotiated costs reductions and /or service enhancements for clients. (10) Describe up to two successes in the past three years that reflect Proposer's ability to successfully link employee participation in wellness and /or disease management to employee /employer cost reductions. (1 1) Describe the actuarial services that Proposer proposes for the County. Identify who will provide these services and where they will be conducted. (12) Provide information on any value -added service enhancements available to the County. TAB 4. CAPACITY AND RESOURCES (1) Identify the home -base location for the individual designated as the County account manager /consultant. (2) Submit details of Proposer's staffing resources at the location(s) that will provide services to the County as well as corporately, by discipline and the number of personnel within each discipline. (3) If Proposer's staffing resources includes sub - consultants, submit the name of the firm(s) and detailed their role in the provision of services. (4) Provide a narrative clearly defining responsibilities, contractual relationships and roles of all individual in the organizational diagram. (5) As a consideration of the Proposer's current, and projected workloads, state the commitment and availability of all key personnel for County projects by providing a signed letter of commitment. (6) Describe any tools Proposer offers for measuring wellness and disease management program effectiveness, program enhancements, and program value to the employer. Include links to any on -line tools and /or examples of the tools. TAB 5. LITIGATION In accordance with Section 2- 437(h) of the Monroe County Code, the Proposer must provide the following information: (1) A list of the person's or entity's shareholders with five (5) percent or more of the stock or, if a general partnership, a list of the general partners; or, if a general partnership, a list of the general partners; or, if a limited liability company, a list of its members; or, if a solely owned proprietorship, name(s) of owner(s); (2) A list of the officers and directors of the entity; (3) The number of years the person or entity has been operating and, if different, the number of years it has been providing the services, goods, or construction services called for in the bid specifications (include a list of similar projects); (4) The number of years the person or entity has operated under its present name and any prior names; (5) Answers to the following questions regarding claims and suits: a. Has the person, principals, entity, or any entity previously owned, operated or directed by any of its officers, major shareholders or directors, ever failed to complete work or provide the goods for which it has contracted? If yes, provide details; b. Are there any judgments, claims, arbitration proceeding or suits pending or outstanding against the person, principal of the entity, or entity, or any entity 10 previously owned, operated or directed by any of its officers, directors, or general partners? If yes, provide details; c. Has the person, principal of the entity, entity, or any entity previously owned, operated or directed by any of its officers, major shareholders or directors, within the last five (5) years, been a party to any lawsuit, arbitration, or mediation with regard to a contract for services, goods or construction services similar to those requested in the specifications with private or public entities? If yes, provide details; d. Has the person, principal of the entity, or any entity previously owned, operated or directed by any of its officers, owners, partners, major shareholders or directors, ever initiated litigation against the county or been sued by the county in connection with a contract to provide services, goods or construction services? If yes, provide details. e. Whether, within the last five (5) years, the owner, an officer, general partner, principal, controlling shareholder or major creditor of the person or entity was an officer, director, general partner, controlling shareholder or major creditor of any other entity that failed to perform services or furnish goods similar to those sought in the request for bids. TAB 6. OTHER INFORMATION Proposer shall provide any additional information which will present evaluators with insight about the knowledge, skills and abilities of the Proposer. If the Proposer cannot fully comply with any of the terms contained in the Request for Proposal, all deviations to the terms must be spelled out in this section, i.e. Tab 6. TAB 7. FORMS AND LICENSES Proposer shall complete and execute the forms specified below and located in Section Three in this RFP, as well as a copy of a business tax receipt from the Tax Collector's office and shall include them behind Tab 7: Forms Submission Response Form Lobbying and Conflict of Interest Ethics Clause Non - Collusion Affidavit Drug Free Workplace Form Public Entity Crime Statement Request for Waiver of Insurance Requirements (if applicable) Proof that the Proposer is an SBE (if applicable) (see section 22, below) Also, provide a copy of any current agent/broker Licenses issued by the Florida Department of Insurance for consulting or providing life or health insurance. TAB 8. FEE PROPOSAL Proposers should use this form for submitting its Fee Proposal. The pricing submitted shall be all inclusive to provide benefits consulting services in accordance with the 11 requirements as set forth in this RFP. The Proposer's annual fee for benefits consulting services shall remain firm for the respective year of the Agreement as designated below. Evaluation of price will be based upon Proposers' Total Annual Fee for Years 1, 2, 3, 4, and 5. Fee Proposal 1. Total Annual Fee Year 1 $ 2. Total Annual Fee Year 2 $ 3. Total Annual Fee Year 3 $ 4. Total Annual Fee Year 4 $ 5. Total Annual Fee Year 5 $ TOTAL ANNUAL FEE PROPOSAL FOR EARS 1, 2, 3, 4, AND 5 $ 6. Total Annual Fee Renewal Year 6 $ 7. Total Annual Fee Renewal Year 7 $ 10. COPIES OF RFP DOCUMENTS A. Only complete sets of RFP Documents will be issued and shall be used in preparing responses. The County does not assume any responsibility for errors or misinterpretations resulting from the use of incomplete sets. B. Complete sets of RFP Documents may be obtained in the manner and at the locations stated in the Notice of Request for Proposals. C. Each Proposer is responsible for obtaining all addenda for this Proposal and for acknowledging receipt of all addenda on the Response Form. 11. STATEMENT OF PROPOSAL REQUIREMENTS It is the sole responsibility of the Proposer to utilize the forms provided in this RFP and to ensure their Proposal is delivered to the Monroe County Purchasing Office prior to the Due Date and Time. The proposals shall be submitted in a sealed envelope. Included in the sealed envelope shall be: • One (1) bound originals clearly identifying Proposer and marked "ORIGINAL ". 12 • Five (5) electronic format copies clearly identifying Proposer, each on a separate flash memory drive. All of the originals, copies and flash memory drives shall be delivered in one (1) sealed envelope clearly marked on the outside with the Proposer's name and "Employee Benefits Consulting Services ", addressed to Monroe County Purchasing Department, 1100 Simonton Street, Room 2 -213, Key West, FL 33040, which must be received on or before 3 :00 P.M. local time on September 6 2018.. Hand delivered Proposals may request a receipt. No proposals will be accepted after 3 :00 P.M. Faxed or e- mailed proposals shall be automatically rejected. It is the sole responsibility of each Proposer to ensure its proposal is received in a timely fashion. ELECTRONIC FORMAT COPIES: Electronic format copies should be submitted on separate USB portable flash memory drives in Adobe Acrobat portable document format (PDF) in one continuous file. Do not password protect or otherwise encrypt electronic proposal copies. Electronic copies must contain an identical proposal to the original. NOTE: Proposal responses submitted via facsimile or email will not be accepted. 12. DISQUALIFICATION OF PROPOSER A. NON - COLLUSION AFFIDAVIT: Any person submitting a proposal in response to this invitation must execute the enclosed NON - COLLUSION AFFIDAVIT. If it is discovered that collusion exists among the Proposers, the proposals of all participants in such collusion shall be rejected, and no participants in such collusion will be considered in future proposals for the same work. B. PUBLIC ENTITY CRIME: A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a proposal on a contract to provide any goods or services to a public entity, may not submit a proposal on a contract with a public entity for the construction or repair of a public building or public work, may not submit Proposals on leases or perform work as a contractor, supplier, subcontractor, or contractor 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. Category Two: $25,000.00 C. DRUG -FREE WORKPLACE FORM: Any person submitting a bid or proposal in response to this invitation must execute the enclosed DRUG - FREE WORKPLACE FORM and submit it with his /her proposal. Failure to complete this form in every detail and submit it with the bid or proposal may result in immediate disqualification of the bid or proposal. 13 D. LOBBYING AND CONFLICT OF INTEREST ETHICS CLAUSE: Any person submitting a bid or proposal in response to this invitation must execute the enclosed LOBBYING AND CONFLICT OF INTEREST CLAUSE and submit it with his /her bid or proposal. Failure to complete this form in every detail and submit it with the bid or proposal may result in immediate disqualification of the bid or proposal. 13. GOVERNING LAWS AND REGULATIONS The Proposer is required to be familiar with and shall be responsible for complying with all federal, state, and local laws, ordinances, rules, professional license requirements and regulations that in any manner affect the work. Knowledge of business tax requirements and the responsibility for paying the tax in Monroe County and municipalities within Monroe County are the responsibility of the Proposer. 14. PREPARATION OF RESPONSES Signature of the Proposer: The Proposer must sign the response forms in the space provided for the signature. If the Proposer is an individual, the words "doing business as ", or "Sole Owner" must appear beneath such signature. In the case of a partnership, the signature of at least one of the partners must follow the firm name and the words "Member of the Firm" should be written beneath such signature. If the Proposer is a corporation, the title of the officer signing the Response on behalf of the corporation must be stated along with the Corporation Seal Stamp and evidence of his authority to sign the Response must be submitted. The Proposer shall state in the response the name and address of each person having an interest in the submitting entity. 15. MODIFICATION OF RESPONSES Written modification will be accepted from Proposers if addressed to the entity and address indicated in the Notice of Request for Proposals and received prior to Proposal due date and time. Modifications must be submitted in a sealed envelope clearly marked on the outside with the Proposer's name and "Modification to Proposal - Monroe County Proposal for Employee Benefits Consulting Services ". If sent by mail or by courier, the above - mentioned envelope shall be enclosed in another envelope addressed to the entity and address stated in the Notice of Request for Proposals. Faxed or e- mailed modifications shall be automatically rejected. 16. RESPONSIBILITY FOR RESPONSE The Proposer is solely responsible for all costs of preparing and submitting the response, regardless of whether a contract award is made by the County. 17. RECEIPT AND OPENING OF RESPONSES Responses will be received until the designated time and will be publicly opened. Proposers' names shall be read aloud at the appointed time and place stated in the Notice of Request for Competitive Solicitations. Monroe County's representative authorized to open the responses will decide when the specified time has arrived and no responses 14 received thereafter will be considered. No responsibility will be attached to anyone for the premature opening of a response not properly addressed and identified. Proposers or their authorized agents are invited to be present. The County reserves the right to reject any and all responses and to waive technical errors and irregularities as may be deemed best for the interests of the County. Responses that contain modifications are incomplete, unbalanced, conditional, obscure, or that contain additions not requested or irregularities of any kind, or that do not comply in every respect with the Instruction to Proposer and the contract documents, may be rejected at the option of the County. 18. AWARD OF CONTRACT A. The County reserves the right to award separate contracts for the services based on geographic area or other, and to waive any informality in any response, or to re- advertise for all or part of the work contemplated. B. The County also reserves the right to reject the response of a Proposer who has previously failed to perform properly or to complete contracts of a similar nature on time. C. The recommendation of staff shall be presented to the Board of County Commissioners of Monroe County, Florida, for final selection and award of contract. 19. CERTIFICATE OF INSURANCE AND INSURANCE REQUIREMENTS The Proposer shall be responsible for all necessary insurance coverage as indicated below. Certificates of Insurance must be provided to Monroe County within fifteen (15) days after award of contract, with Monroe County BOCC listed as additional insured as indicated. If the proper insurance forms are not received within the fifteen (15) day period, the contract may be awarded to the next selected Proposer. Policies shall be written by companies licensed to do business in the State of Florida and having an agent for service of process in the State of Florida. The required insurance shall be maintained at all times while Proposer is providing service to County. Worker's Compensation Employers' Liability General Liability, including Professional Liability Vehicle Liability Statutory Limits $500,000 $300,000 combined single limit $250,000 per occurrence /$500,000 Aggregate $100,000 Monroe County shall be named as an Additional Insured on the General Liability policy and Vehicle Liability Policies. 20. INDEMNIFICATION The Proposer to whom a contract is awarded shall defend, indemnify and hold harmless the County as outlined below. The Proposer covenants and agrees to indemnify, hold harmless and defend Monroe 15 County, its commissioners, officers, employees, agents and servants from any and all claims for bodily injury, including death, personal injury, and property damage, including damage to property owned by Monroe County, and any other losses, damages, and expenses of any kind, including attorney's fees, court costs and expenses, which arise out of, in connection with, or by reason of services provided by the Proposer or any of its Subcontractor(s), occasioned by the negligence, errors, or other wrongful act or omission of the Proposer, its Subcontractor(s), their officers, employees, servants or agents. In the event that the service is delayed or suspended as a result of the Vendor's failure to purchase or maintain the required insurance, the Vendor shall indemnify the County from any and all increased expenses resulting from such delay. The first ten dollars ($10.00) of remuneration paid to the Proposer is consideration for the indemnification provided for above. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this agreement. 21. EXECUTION OF CONTRACT The County intends to make an award to the Proposer that has complied with the terms, conditions and requirements of the RFP. The successful vendor will be expected to enter into an agreement substantially along the lines of the Draft Agreement shown in Section Two. Any agreement resulting from this RFP must be governed by the laws of the State of Florida and must have venue established in the State of Florida, Monroe County. The agreement will be submitted to the Monroe County Board of County Commissioners for final approval. 22. FEDERAL CONTRACT PROVISIONS A. SMALL AND MINORITY BUSINESSES, WOMEN'S BUSIN ENTERPRISES, AND LABOR SURPLUS AREA FIRMS. The County strongly encourages the use of women -, minority- and veteran -owned business enterprises (SBEs) and wishes to see a minimum of 25% of the contract or subcontracts awarded pursuant to this RFP go to SBEs. Contractors may search for Florida registered SBEs at: http: / /www.dms.myflorida.com /agency_ administration/office _ of supplier_ diversity _osd Any proposal submitted in which the vendor is certified as an SBE, or in which the vendor proposes to use subcontractors that are certified as SBEs, in Florida or another jurisdiction, must submit proof of the registration or certification from the local authority in order to receive credit for the use of the SBE. 16 SECTION TWO: DRAFT AGREEMENT These contract documents should be used only after consultation with counsel. The documents are not intended as legal advice appropriate to any specific situation, nor do they purport to address all issues which may arise between the contracting parties. The documents should be amended or supplemented where appropriate. MONROE COUNTY CONTRACT FOR Employee Benefit Consulting Services THIS AGREEMENT is made and entered into this day of , by MONROE COUNTY ( "COUNTY'), a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040 and ( "CONTRACTOR "), whose address is (collectively, the "Parties "). Section 1. SCOPE OF SERVICES CONTRACTOR shall do, perform and carry out in a professional and proper manner certain duties as described in the Scope of Services — Exhibit A — which is attached hereto and made a part of this agreement. CONTRACTOR shall provide the scope of services in Exhibit A for COUNTY. CONTRACTOR warrants that it is authorized by law to engage in the performance of the activities herein described, subject to the terms and conditions set forth in these Agreement documents. The CONTRACTOR shall at all times exercise independent, professional judgment and shall assume professional responsibility for the services to be provided. Contractor shall provide services using the following standards, as a minimum requirement: A. The CONTRACTOR shall maintain adequate staffing levels to provide the services required under the Agreement resulting from this RFP process. B. The personnel shall not be employees of or have any contractual relationship with the County. To the extent that Contractor uses subcontractors or independent contractors, this Agreement specifically requires that subcontractors and independent contractors shall not be an employee of or have any contractual relationship with County. C. All personnel engaged in performing services under this Agreement shall be fully qualified, and, if required, to be authorized or permitted under State and local law to perform such services. Section 2. QUALIFICATIONS NECESSARY OF CONTRACTOR The CONTRACTOR must certify at least annually that all staff members, independent contractors, subcontracted work, if any, all service providers it uses, engages or manages, comply with Health Insurance Portability and Accountability Act (HIPAA) privacy and security rules. 17 The CONTRACTOR must provide a list annually, listing any contractual relationship between the CONTRACTOR and any persons or business entities that provide the following services: third party administration and /or ASO; pharmacy benefits manager; voluntary benefits including, but not limited to, life insurance, dental and /or vision coverage. The CONTRACTOR must provide an adequate staff of experienced personnel, capable of and devoted to the successful accomplishment of work to be performed under any contract with the County. The CONTRACTOR must assign specific individuals to the key positions. Once assigned to work under any contract with the County, key personnel shall not be moved or replaced without prior written notification to the County. Such notification shall be provided within three (3) business days of the change. The CONTRACTOR must warrant that it has not employed or retained a company or person, other than a bona fide employee, contractor or subcontractor, working in its employ, to solicit or secure a contract with the County and that it has not paid or agreed to pay any person, company, corporation, individual or firm other than a bona fide employee, contractor or subcontractor, working in its employ any fee, commission, percentage, gift or other consideration contingent upon or resulting from the award or making of a contract with the County. The following persons will provide the services under this Agreement: Any change to the above - listed personnel requires notification to the County, in writing, within three (3) business days after implementation of the change. The firm and its employees who are responsible and accountable for the county's account and subcontractors, if any, must have all necessary current licenses issued by the Florida Department of Insurance for providing either consulting services or health benefits insurance. The firm's servicing office that would provide services to the County must have at least one (1) Marketing Account Executive and one (1) Customer Service Representative, each with a minimum of three (3) years of health insurance experience. Section 3. COUNTY'S RESPONSIBILITIES HR 3.1 Provide all best available information as to the COUNTY'S requirements for Employee Benefits Consulting Services. 3.2 Designate in writing a person with authority to act on the COUNTY'S behalf on all matters concerning Employee Benefits Consulting Services. 3.3 Provide a schedule that is mutually agreeable to the COUNTY and CONTRACTOR. Section 4. TERM OF AGREEMENT 4.1 The initial contract term will be for five (5) years beginning January 1, 2019, renewable at the County's option for two (2) additional consecutive 1 -year terms. Section 5. COMPENSATION Annual compensation to CONTRACTOR throughout the term of this Agreement (the "Contract Price ") is as follows: Section 6. PAYMENT TO CONTRACTOR 6.1 Payment will be made according to the Florida Local Government Prompt Payment Act. Any request for payment must be in a form satisfactory to the Clerk of Courts for Monroe County (Clerk). The request must describe in detail the services performed and the payment amount requested. The CONTRACTOR must submit invoices to the appropriate offices marked Benefits Office. The respective office supervisor and the Director of Employee Services, who will review the request, note his /her approval on the request and forward it to the Clerk for payment. 6.2 Continuation of this Agreement is contingent upon annual appropriation by Monroe County Board of County Commissioners. 6.3 The annual compensation listed in Section 5 will be payable in monthly installments. The Contractor will submit each invoice monthly for services provided during the preceding month. Section 7. CONTRACT TERMINATION Either party may terminate this Agreement because of the failure of the other party to perform its obligations under the Agreement. COUNTY may terminate this Agreement with or without cause upon thirty (30) days' notice to the CONTRACTOR. COUNTY shall pay CONTRACTOR for work performed through the date of termination. Section 8. CONTRACTOR'S ACCEPTANCE OF CONDITIONS A. CONTRACTOR hereby agrees that he has carefully examined the RFP, his response, and this Agreement and has made a determination that he /she has the personnel, equipment, and other requirements suitable to perform this work and assumes full responsibility therefore. The provisions of the Agreement shall control 19 any inconsistent provisions contained in the specifications. All specifications have been read and carefully considered by CONTRACTOR, who understands the same and agrees to their sufficiency for the work to be done. Under no circumstances, conditions, or situations shall this Agreement be more strongly construed against COUNTY than against CONTRACTOR. B. Any ambiguity or uncertainty in the specifications shall be interpreted and construed by COUNTY, and its decision shall be final and binding upon all parties. C. The passing, approval, and /or acceptance by COUNTY of any of the services furnished by CONTRACTOR shall not operate as a waiver by COUNTY of strict compliance with the terms of this Agreement, and specifications covering the services. D. CONTRACTOR agrees that County Administrator or his designated representatives may visit CONTRACTOR'S facility (ies) periodically to conduct random evaluations of services during CONTRACTOR'S normal business hours. CONTRACTOR has, and shall maintain throughout the term of this Agreement, appropriate licenses and approvals required to conduct its business, and that it will at all times conduct its business activities in a reputable manner. Proof of such licenses and approvals shall be submitted to COUNTY upon request. Section 9. NOTICES Any notice required or permitted under this agreement shall be in writing and hand delivered or mailed, postage prepaid, to the other party by certified mail, returned receipt requested, to the following: To the COUNTY: Employee Services Director 1100 Simonton Street, Suite 2 -268 Key West, Florida 33040 To the CONTRACTOR: Section 10. RECORDS CONTRACTOR shall maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally accepted accounting principles consistently applied. Each party to this Agreement or their authorized representatives shall have reasonable and timely access to such records of each other party to this Agreement for public records purposes during the term of the agreement and for four years following the termination of this Agreement. If an auditor employed by the COUNTY or Clerk determines that monies paid to CONTRACTOR pursuant to this Agreement were spent for purposes not authorized by this Agreement, the CONTRACTOR shall repay the monies together with interest calculated pursuant to Section 55.03 of the Florida Statutes, running from the date the monies were paid to CONTRACTOR. Section 11. EMPLOYEES SUBJECT TO COUNTY ORDINANCE NOS. 010 AND 020- 20 1990 The CONTRACTOR warrants that it has not employed, retained or otherwise had act on its behalf any former County officer or employee subject to the prohibition of Section 2 of Ordinance No. 010 -1990 or any County officer or employee in violation of Section 3 of Ordinance No. 020 -1990. For breach or violation of this provision the COUNTY may, in its discretion, terminate this agreement without liability and may also, in its discretion, deduct from the agreement 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. Section 12. CONVICTED VENDOR 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 an Agreement with a public entity for the construction or repair of a public building or public work, may not perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR under Agreement with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017 of the Florida Statutes, for the Category Two for a period of 36 months from the date of being placed on the convicted vendor list. Section 13. GOVERNING LAW, VENUE, INTERPRETATION, COSTS AND FEES This Agreement shall be governed by and construed in accordance with the laws of the State of Florida applicable to Agreements made and to be performed entirely in the State. In the event that any cause of action or administrative proceeding is instituted for the enforcement or interpretation of this Agreement, the COUNTY and CONTRACTOR agree that venue shall lie in the appropriate court or before the appropriate administrative body in Monroe County, Florida. Section 14. SEVERABILITY If any term, covenant, condition or provision of this Agreement (or the application thereof to any circumstance or person) shall be declared invalid or unenforceable to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions and provisions of this Agreement, shall not be affected thereby; and each remaining term, covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the fullest extent permitted by law unless the enforcement of the remaining terms, covenants, conditions and provisions of this Agreement would prevent the accomplishment of the original intent of this Agreement. The COUNTY and CONTRACTOR agree to reform the Agreement to replace any stricken provision with a valid provision that comes as close as possible to the intent of the stricken provision. 21 Section 15. ATTORNEY'S FEES AND COSTS The COUNTY and CONTRACTOR agree that in the event any cause of action or administrative proceeding is initiated or defended by any party relative to the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to reasonable attorney's fees, and court costs, as an award against the non - prevailing party. Mediation proceedings initiated and conducted pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and usual and customary procedures required by the Circuit Court of Monroe County. Section 16. BINDING EFFECT The terms, covenants, conditions, and provisions of this Agreement shall bind and inure to the benefit of the COUNTY and CONTRACTOR and their respective legal representatives, successors, and assigns. Section 17. AUTHORITY Each party represents and warrants to the other that the execution, delivery and performance of this Agreement have been duly authorized by all necessary County and corporate action, as required by law. Section 18. ADJUDICATION OF DISPUTES OR DISAGREEMENTS COUNTY and CONTRACTOR agree that all disputes and disagreements shall be attempted to be resolved by meet and confer sessions between representatives of each of the parties. If the issue or issues are still not resolved to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy as may be provided by this Agreement or by Florida law. This Agreement shall not be subject to arbitration. Section 19. COOPERATION In the event any administrative or legal proceeding is instituted against either party relating to the formation, execution, performance, or breach of this Agreement, COUNTY and CONTRACTOR agree to participate, to the extent required by the other party, in all proceedings, hearings, processes, meetings, and other activities related to the substance of this Agreement or provision of the services under this Agreement. COUNTY and CONTRACTOR specifically agree that no party to this Agreement shall be required to enter into any arbitration proceedings related to this Agreement. Section 20. NONDISCRIMINATION During the performance of this Agreement, the CONTRACTOR agrees as follows: (1) The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, sexual orientation, gender identity, or 22 national origin. Such action shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. (2) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. (3) The contractor will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an employee who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information, unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with the contractor's legal duty to furnish information. (4) The contractor will send to each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding, a notice to be provided by the agency contracting officer, advising the labor union or workers' representative of the contractor's commitments under section 202 of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. (5) The contractor will comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. (6) The contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts 23 by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. (7) In the event of the contractor's non - compliance with the nondiscrimination clauses of this contract or with any of such rules, regulations, or orders, this contract may be canceled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. Section 21. COVENANT OF NO INTEREST COUNTY and CONTRACTOR covenant that neither presently has any interest, and shall not acquire any interest, which would conflict in any manner or degree with its performance under this Agreement, and that only interest of each is to perform and receive benefits as recited in this Agreement. Section 22. CODE OF ETHICS COUNTY agrees that officers and employees of the COUNTY recognize and will be required to comply with the standards of conduct for public officers and employees as delineated in Section 112.313, Florida Statutes, and Monroe County ordinances and policies regarding, but not limited to, solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation; misuse of public position, conflicting employment or contractual relationship; and disclosure or use of certain information. By signing this Agreement, CONTRACTOR represents that the execution of this Agreement will not violate the Public Entity Crimes Act (Section 287.133, Florida Statutes). Violation of terms of this contract shall result in termination of this Agreement and recovery of all monies paid hereto, suspension of the ability to bid on and perform County contracts, and may result in debarment from COUNTY's competitive procurement activities. In addition to the foregoing, CONTRACTOR further represents that there has been no determination, based on an audit, that it or any subcontractor has committed an act defined by Section 287.133, Florida Statutes, as a "public entity crime" and that it has not been formally charged with committing an act defined as a "public entity crime" regardless of the amount of money involved or whether CONUSULTANT has been placed on the convicted vendor list. CONTRACTOR will promptly notify the COUNTY if it or any subcontractor or CONTRACTOR is formally charged with an act defined as a "public entity crime" or has been placed on the convicted vendor list. 24 Section 23. NO SOLICITATION /PAYMENT The COUNTY and CONTRACTOR warrant that, in respect to itself, it has neither employed nor retained any company or person, other than a bona fide employee working solely for it, to solicit or secure this Agreement and that it has not paid or agreed to pay any person, company, corporation, individual, or firm, other than a bona fide employee working solely for it, any fee, commission, percentage, gift, or other consideration contingent upon or resulting from the award or making of this Agreement. For the breach or violation of the provision, the CONTRACTOR agrees that the COUNTY shall have the right to terminate this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise recover, the full amount of such fee, commission, percentage, gift, or consideration. Section 24. PUBLIC ACCESS Pursuant to F.S. 119.0701, Contractor and its subcontractors shall comply with all public records laws of the State of Florida, including but not limited to: a. Keep and maintain public records required by Monroe County in order to perform the service. b. Upon request from the public agency's custodian of public records, provide the public agency with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in Florida Statutes, Chapter 119 or as otherwise provided by law. c. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor does not transfer the records to the public agency. d. Upon completion of the contract, transfer, at no cost, to Monroe County all public records in possession of the contractor or keep and maintain public records required by the public agency to perform the service. If the contractor transfers all public records to the public agency upon completion of the contract, the contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the contractor keeps and maintains public records upon completion of the contract, the contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to Monroe County, upon request from the public agency's custodian of records, in a format that is compatible with the information technology systems of Monroe County. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS, BRIAN BRADLEY, AT (305) 292 -3470, bradley- brian@monroecounty- fl.gov, c/o Monroe County Attorney's Office, 25 1111 12th St., Suite 408, Key West FL 33040. Section 25. NON - WAIVER OF IMMUNITY Notwithstanding the provisions of Sec. 768.28, Florida Statutes, the participation of the COUNTY and the CONTRACTOR in this Agreement and the acquisition of any commercial liability insurance coverage, self- insurance coverage, or local government liability insurance pool coverage shall not be deemed a waiver of immunity to the extent of liability coverage, nor shall any Agreement entered into by the COUNTY be required to contain any provision for waiver. Section 26. PRIVILEGES AND IMMUNITIES All of the privileges and immunities from liability, exemptions from laws, ordinances, and rules and pensions and relief, disability, workers' compensation, and other benefits which apply to the activity of officers, agents, or employees of any public agents or employees of the COUNTY, when performing their respective functions under this Agreement within the territorial limits of the COUNTY shall apply to the same degree and extent to the performance of such functions and duties of such officers, agents, volunteers, or employees outside the territorial limits of the COUNTY. Section 27. LEGAL OBLIGATIONS AND RESPONSIBILITIES Non - Delegation of Constitutional or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any participating entity from any obligation or responsibility imposed upon the entity by law except to the extent of actual and timely performance thereof by any participating entity, in which case the performance may be offered in satisfaction of the obligation or responsibility. Further, this Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the constitutional or statutory duties of the COUNTY, except to the extent permitted by the Florida constitution, state statute, and case law. Section 28. NON - RELIANCE BY NON - PARTIES No person or entity shall be entitled to rely upon the terms, or any of them, of this Agreement to enforce or attempt to enforce any third -party claim or entitlement to or benefit of any service or program contemplated hereunder, and the COUNTY and the CONTRACTOR agree that neither the COUNTY nor the CONTRACTOR or any agent, officer, or employee of either shall have the authority to inform, counsel, or otherwise indicate that any particular individual or group of individuals, entity or entities, have entitlements or benefits under this Agreement separate and apart, inferior to, or superior to the community in general or for the purposes contemplated in this Agreement. Section 29. ATTESTATIONS CONTRACTOR agrees to execute suc h require, including, but not being limited Statement, and a Drug -Free Workplac e Clause, and Non - Collusion Agreement. documents as the COUNTY may reasonably to, a Public Entity Crime Statement, an Ethics Statement, Lobbying and Conflict of Interest Section 30. NO PERSONAL LIABILITY 26 No covenant or agreement contained herein shall be deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe County in his or her individual capacity, and no member, officer, agent or employee of Monroe County shall be liable personally on this Agreement or be subject to any personal liability or accountability by reason of the execution of this Agreement. Section 31. EXECUTION IN COUNTERPARTS This Agreement may be executed in any number of counterparts, each of which shall be regarded as an original, all of which taken together shall constitute one and the same instrument and any of the parties hereto may execute this Agreement by signing any such counterpart. Section 32. SECTION HEADINGS Section headings have been inserted in this Agreement as a matter of convenience of reference only, and it is agreed that such section headings are not a part of this Agreement and will not be used in the interpretation of any provision of this Agreement. Section 33. INSURANCE POLICIES 33.1 General Insurance Requirements for Other Contractors and Subcontractors. As a pre- requisite of the work governed, the CONTRACTOR shall obtain, at his /her own expense, insurance as specified in any attached schedules, which are made part of this contract. The CONTRACTOR will ensure that the insurance obtained will extend protection to all Subcontractors engaged by the CONTRACTOR. As an alternative, the CONTRACTOR may require all Subcontractors to obtain insurance consistent with the attached schedules; however CONTRACTOR is solely responsible to ensure that said insurance is obtained and shall submit proof of insurance to COUNTY. Failure to provide proof of insurance shall be grounds for termination of this Agreement. The CONTRACTOR will not be permitted to commence work governed by this contract until satisfactory evidence of the required insurance has been furnished to the COUNTY as specified below. Delays in the commencement of work, resulting from the failure of the CONTRACTOR to provide satisfactory evidence of the required insurance, shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work commenced on the specified date and time, except for the CONTRACTOR's failure to provide satisfactory evidence. The CONTRACTOR shall maintain the required insurance throughout the entire term of this contract and any extensions specified in the attached schedules. Failure to comply with this provision may result in the immediate suspension of all work until the required insurance has been reinstated or replaced and /or termination of this Agreement and for damages to the COUNTY. Delays in the completion of work resulting from the failure of the CONTRACTOR to maintain the required insurance shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work had not been suspended, except for the CONTRACTOR's failure to maintain the required insurance. The CONTRACTOR shall provide, to the COUNTY, as satisfactory evidence of the 27 required insurance, either: • Certificate of Insurance or • A Certified copy of the actual insurance policy. The County, at its sole option, has the right to request a certified copy of any or all insurance policies required by this contract. All insurance policies must specify that they are not subject to cancellation, non - renewal, material change, or reduction in coverage unless a minimum of thirty (30) days prior notification is given to the County by the insurer. The acceptance and /or approval of the Contractor's insurance shall not be construed as relieving the Contractor from any liability or obligation assumed under this contract or imposed by law. The Monroe County Board of County Commissioners, its employees and officials will be included as "Additional Insured" on general liability and vehicle liability policies. 33.2 Insurance Requirements For Contract Between County And Contractor (Note: amounts of coverage are subject to change in final contract) Prior to the commencement of work governed by this contract, the CONTRACTOR shall obtain General Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum: • Premises Operations • Bodily Injury Liability • Expanded Definition of Property Damage The minimum limits acceptable shall be: $300,000 Combined Single Limit (CSL) If split limits are provided, the minimum limits acceptable shall be: $100,000 per Person $300,000 per Occurrence $ 50,000 Property Damage An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its provisions should include coverage for claims filed on or after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the acceptance of work by the County. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. 33.3 Vehicle Liability Insurance requirements The minimum limits acceptable shall be owner and non -owned and hired vehicles: $100,000 Combined Single Limit (CSL) If split limits are provided, the minimum limit is: $50,000 per Person $100,000 per Occurrence $25,000 Property Damage 33.4 Workers' Compensation Insurance Requirements Prior to commencement of work governed by this contract, the CONTRACTOR shall obtain Workers' Compensation Insurance with limits sufficient to respond to the applicable state statutes. In addition, the CONTRACTOR shall obtain Employers' Liability Insurance with limits of not less than: $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, policy limits $100,000 Bodily Injury by Disease, each employee Coverage shall be maintained throughout the entire term of the contract. Coverage shall be provided by a company or companies authorized to transact business in the state of Florida. 33.5 Professional Liability Requirements Recognizing that the work governed by this contract involves the furnishing of advice or services of a professional nature, the Contractor shall purchase and maintain, throughout the life of the contract, Professional Liability Insurance which will respond to damages resulting from any claim arising out of the performance of professional services or any error or omission of the Contractor arising out of work governed by this contract. The minimum limits of liability shall be: $250,000 per occurrence /$500,000 Aggregate Section 34. INDEMNIFICATION The CONTRACTOR does hereby consent and agree to indemnify and hold harmless the COUNTY, its Mayor, the Board of County Commissioners, appointed Boards and Commissions, Officers, and the Employees, and any other agents, individually and collectively, from all fines, suits, claims, demands, actions, costs, obligations, attorney's fees, or liability of any kind arising out of the sole negligent actions of the CONTRACTOR or substantial and unnecessary delay caused by the willful nonperformance of the CONTRACTOR and shall be solely responsible and answerable for any and all accidents or injuries to persons or property arising out of its performance of this contract. The amount and type of insurance coverage requirements set forth hereunder shall in no way be construed as limiting the scope of indemnity set forth in this paragraph. Further the CONTRACTOR agrees to defend and pay all legal costs attendant to acts attributable to the sole negligent act of the CONTRACTOR. At all times and for all purposes hereunder, the CONTRACTOR is an independent 29 contractor and not an employee of the Board of County Commissioners. No statement contained in this agreement shall be construed so as to find the CONTRACTOR or any of his /her employees, contractors, servants or agents to be employees of the Board of County Commissioners for Monroe County. As an independent contractor the CONTRACTOR shall provide independent, professional judgment and comply with all federal, state, and local statutes, ordinances, rules and regulations applicable to the services to be provided. The CONTRACTOR shall be responsible for the completeness and accuracy of its work, plan, supporting data, and other documents prepared or compiled under its obligation for this project, and shall correct at its expense all significant errors or omissions therein which may be disclosed. The cost of the work necessary to correct those errors attributable to the CONTRACTOR and any damage incurred by the COUNTY as a result of additional costs caused by such errors shall be chargeable to the CONTRACTOR. This provision shall not apply to any maps, official records, contracts, or other data that may be provided by the COUNTY or other public or semi - public agencies. The CONTRACTOR agrees that no charges or claims for damages shall be made by it for any delays or hindrances attributable to the COUNTY during the progress of any portion of the services specified in this contract. Such delays or hindrances, if any, shall be compensated for by the COUNTY by an extension of time for a reasonable period for the CONTRACTOR to complete the work schedule. Such an agreement shall be made between the parties. Section 35. FEDERAL CONTRACT PROVISIONS REQUIRED BY 2 CFR PART 200 ET SEQ. A. AUDIT OF RECORDS Contractor shall grant to the County, DEM, FEMA, the Federal Government, and any other duly authorized agencies of the Federal Government or the County where appropriate the right to inspect and review all books and records directly pertaining to the Contract resulting from this RFP for a period of five (5) years after final grant close -out by FEMA or DEM, or as required by applicable County, State and Federal law. Records shall be made available during normal working hours for this purpose. In the event that FEMA. DEM, or any other Federal or State agency, or the County, issues findings or rulings that the amounts charged by the Contractor, or any portions thereof, were ineligible or were non - allowable under federal or state Law or regulation, Contractor may appeal any such finding or ruling. If such appeal is unsuccessful, the Contractor shall agree that the amounts paid to the Contractor shall be adjusted accordingly, and that the Contractor shall, within 30 days thereafter, issue a remittance to the County of any payments declared to be ineligible or non - allowable. Contractor shall comply with federal and /or state laws authorizing an audit of 30 Contractor's operation as a whole, or of specific Project activities. Under no circumstances shall advertising or other communications with the media be presented in such a manner as to County or imply that the Contractor or the Contractor's services are endorsed by the County. B. FEDERAL CONTRACT REQUIREMENTS The CONTRACTOR and its subcontractors must follow the provisions as set forth in Appendix II to Part 200, as amended, including but not limited to 1 . Contractor agrees to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251- 1387) and will reports violations to FEMA and the Regional Office of the Environmental Protection Agency (EPA). 2. Rights to Inventions Made Under a Contract or Agreement. If the Federal award meets the definition of "funding agreement" under 37 CFR §401.2 (a) and the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that "funding agreement," the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by the awarding agency. 3. Clean Air Act (42 U.S.C. 7401 -7671 q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251 - 1387), as amended — Contracts and subgrants of amounts in excess of $150,000 must comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401 -7671 q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251 - 1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). 4. Debarment and Suspension (Executive Orders 12549 and 12689) —A contract award (see 2 CFR 180.220) must not be made to parties listed on the governmentwide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), "Debarment and Suspension." SAM Exclusions contains the names of 31 parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. 5. Byrd Anti - Lobbying Amendment (31 U.S.C. 1352)— Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non - Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non - Federal award. 6. The Contractor shall utilize the U.S. Department of Homeland Security's E- Verify system to verify the employment eligibility of all new employees hired by the Contractor during the term of the Contract and shall expressly require any subcontractors performing work or providing services pursuant to the Contract to likewise utilize the U.S. Department of Homeland Security's E- Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the Contract term. 7. No Obligation by Federal Government. The federal government is not a party to this contract and is not subject to any obligations or liabilities to the non - Federal entity, contractor, or any other party pertaining to any matter resulting from the contract. 8. Program Fraud and False or Fraudulent Statements or Related Acts. The Contractor acknowledges that 31 U.S.C. Chapter 38 (Administrative Remedies for False Claims and Statements) applies to the Contractor's actions pertaining to this contract. IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed on the day of 20_ (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: KEVIN MADOK, CLERK OF MONROE COUNTY, FLORIDA By Deputy Clerk by Mayor /Chairman 32 D - 0 0 m M Cl) 'a -10 m Cl) m rt .9- z CD 0 h 0 0 rt 0 rt 0 r&.]ffgff*T*=. tril;Ill pri ! I,, j III 7=9 WoYs F=9 TT�� 1 11 Em EXHIBIT A: SCOPE OF SERVICES A. Scope Successful Proposer shall provide all personnel, materials, equipment, facilities and travel expenses for providing consulting services for the County's group benefit program for employees, dependents, and retirees. Services shall include analyzing the current group benefit program, providing alternatives and recommending cost savings to the County and covered members, advising of trends with providers, local public sector entities, group benefit programs, and legislative changes. The primary goals of the County group benefits program are to provide competitive benefits to employees and improve the long -term health of employees. The Consultant will assist the County in reaching these goals of maximizing benefits while containing cost through on- going review and analysis of plans and available options. B. General Requirements 1. Successful Proposer's account manager /consultant (hereinafter in this Scope referred to as Consultant) shall assist the County with the annual evaluation and contract renewal process including negotiations with providers. 2. Consultant shall assist the County with requests for proposals including assisting in the preparation of specifications, providing technical expertise for the evaluation of proposals, and assisting with the transition and implementation of selected programs. 3. Consultant shall attend or be available to attend all staff, proposal evaluation and County Commission meetings regarding benefits providers during the solicitation and negotiation process, either in person or by telephone, at the election of the County. 4. Consultant shall assist with the planning and implementation of new benefits plans. 5. Consultant shall provide other consulting services including employee benefit surveys, assisting with annual enrollment periods and providing written and oral presentations to County Commission, administration, boards, committees and unions. 8. The successful Proposer shall have a current insurance license issued by the Florida Department of Financial Services at all times during the term of the Agreement. 9. Consultant shall respond to inquiries from the County within twenty -four hours of contact to, acknowledge receipt of the inquiry and schedule time to discuss, respond to the issue /question, or determine if urgency exists for resolution. If the Consultant is not available, it is expected that another knowledgeable Consultant would be available to assist the County on any issues that arise. 10. Consultant's primary contact within the County shall be Employee Services Director, Employee Services Department. 11. Successful Proposer and /or Consultant shall not have any contractual obligations with the County contracted employee insurance providers that would present a conflict of interest and therefore preclude successful Proposer from providing services to the County. 12. Consultant shall keep the County informed of current trends, healthcare breakthroughs, issues, compliance requirements, legislative issues, training requirements or topics of interest related to employee benefits, health, and wellness through a monthly communication and /or report due on or before the tenth of each month. Consultant shall keep the County informed of changes in statutory and regulatory guidelines affecting health insurance and other benefits. The Consultant shall review pending legislation and trends in health insurance and other benefits and report to the County of any impact it may have on existing or future benefits 34 13. Upon request by the County successful Proposer shall, at its own expense, reproduce insurer benefits plan materials and deliver to the County for distribution. C. Plan Reviews 1. A minimum of three times per year, Consultant shall provide a medical insurance full benefits plan performance review, which shall include an analysis of current year as compared to the prior year and a projection of future performance. Review shall include, but is not limited to: claims, plan enrollment, large claim review, and other key information to evaluate plan effectiveness. Analysis shall include strategies for the up- coming Benefits Plan Year to control costs and to maintain plan effectiveness and market competitiveness. Upon request by the County, Consultant shall provide a limited benefit plan performance review for specific areas of concern in addition to the full benefit plan performance review. 2. Within ninety days after the end of each benefits plan year (calendar year), the Consultant will provide a formal report to the County of the preceding benefits plan year with details of each benefit plan and its performance that is bound and includes accurate data from the County's benefit plan providers. The report and review process shall be comprehensive in nature and include information pertinent to the County to evaluate all aspects of the benefits plans and identify areas in which change to plan structure could further enhance plan benefits in areas such as types of coverage, market competitiveness of plan, contributions structure, and trends. At the County's discretion, benefits plan providers may be invited to participate in the annual plan review and analysis process. 3. Upon request by the County, Consultant shall assist Employee Services Department in reviewing group benefits plan costs to include the preparation of routine group benefits plan management reports which identify and prepare a critical factors analysis to identify cost drivers; monitor the sufficiency of rates; review of benefits plan designs to determine the propriety of the benefits plan wording and to determine areas whereby the benefits plan designs might be adjusted to enhance the economy and efficiency of the respective benefit plan; and determine future strategies to control costs. These strategies may include medical and pharmacy plan design analysis that identifies the potential cost savings of increased deductibles, co- payments, co- insurance, out -of- pocket maximums and other plan structure changes. 4. During the renewal of benefits plans Consultant will provide the following services: a. Provide analysis of renewal of the current plan, reviewing past performance. b. Provide an analysis of all renewal alternative proposals from the current benefits plan provider. c. Review additional available cost saving plan alternatives and create funding options. d. Make a presentation of renewal alternatives to County representatives along with a recommendation and rationale. e. Assist with budget projections on future costs of benefit programs to include the determination of contribution structures for the County and for active employees, retirees and COBRA participants; assisting with plan /claim projections or forecasts for all health or wellness related costs; and plan and develop or create cost savings measures or recommendations necessary for future plan performance. 35 D. Budget Preparation 1. In conjunction with the fiscal year budget preparation process, the Consultant will assist County staff in budget planning for employee benefits for items such as determining contribution structures for the County for both its active and retired employees; assisting in plan /claim projections or forecasts for all health and wellness related costs; and developing /creating cost savings measures or recommendations necessary for future plan performance. Upon request by the County, Consultant will be required to participate in County meetings with the Budget Team, Employee Services Director, and staff to justify cost projections or needs. 2. Each year during the budget preparation process, the Consultant shall provide to the County an estimate of the recommended funding levels for IBNR (Incurred But Not Reported claims) reserves based on a formula that is consistent with industry standards. The estimate may also include options to funding levels. Consultant will provide data, information and recommendations to assist the County making decisions for the amount to include in the IBNR fund. 3. The Consultant shall assist the County in obtaining an actuary attestation for annual funding requirements and support for the County's annual filing required by Florida Statute 112.08. E. Evaluation of Current Plans and Review /Evaluate Plan Proposals At a minimum the Consultant shall provide the services detailed below during the first 45 days of the Agreement term. Additional reporting or analysis that the Consultant deems necessary and will benefit the County in making a sound financial decision regarding their plan programs may also be proposed. 1. Perform an analysis of the County's current group benefits plans to become familiar with history of the County and its claims trends. This analysis shall include group health, vision, dental, life insurances, EAP program and AD &D coverage. Included in this analysis, Consultant shall review each existing insurance Summary Plan Description, binder, certificate or other insuring documents and all endorsements affecting coverage and /or price, to ensure they are complete, correct and in compliance with all applicable laws and regulations. 2. Assist the Employee Services Department in developing a benefit vs. cost factor analysis to evaluate its self- funded health insurance plan. Any additional staffing resources required to assist Consultant in conducting this analysis must have a minimum of two years of experience in evaluating third party administrative services and making recommendations for improvements. 3. Consultant shall assist the County in the development of the final agreement with the insurance carrier(s) or third party administrators and County during the negotiations process. F. Open Enrollment Services On an annual basis as part of the plan enrollment process, Consultant shall provide the following services: 1. Coordinate the County employee open enrollment with the benefits plan providers following finalization of negotiations with the providers for the upcoming plan year. 36 2. Assist the County with employee education regarding benefits plans, communicating benefit plan changes, and with the electronic benefits open enrollment processes. 3. Draft an Annual Employee Benefit Guide (Guide) and submit to the County for review and approval. 4. Upon completion of County review, finalizing and publishing the Guide. Consultant shall provide the County Employee Services Department with an electronic copy of the Guide and 1,400 printed paper copies. 5. Participate in the County's annual benefits plan open enrollment meetings and attend up to fifteen, sixty- minute informational sessions for employees and retirees on different days and times during the open enrollment period. The County reserves the right to video one or more of these informational sessions for future use or placement on the County Intranet. Consultant will be responsible for the agenda, handouts, and power - point presentation for the informational sessions and must be prepared to answer questions and explain the benefits plans and options to attendees. D. On -Going Services At the start of each benefits plan year, the County will provide a schedule for the provision of on -going services and the deadlines from completion. Consultant will provide the following on -going services: 1. Manage the supplier negotiations for renewal of benefit plan agreements in close coordination with the County's Employee Benefits staff. 2. Review, verify, and provide analytical recommendations to ensure due diligence on financial proposals and projections for benefit plan agreement renewals. 3. Review of benefits provider agreements with the County Attorney's Office and Employee Services Department for acceptance and approval. 4. Assist in preparation of documentation for presentation to County Commission regarding the benefits plan agreements. 5. Provide recommendations to County for consideration regarding benefits plans for contributions. 6. Review plans and amendments to ensure they are compliant with State and federal laws and meet the County's requirements. The Consultant shall work with benefits plan providers to correct any compliance or requirements deficiencies prior to sending the amendments to the County for review. Consultant shall complete modifications prior to the beginning of the benefits plan year and forward to the County for review. Final approval of such amendments is at the sole discretion of the County. The Consultant shall guarantee all agreements and amendments are complete and finalized. 7. Review employee benefit communications materials developed by the County, and /or its benefits plan providers to ensure such communications accurately reflect the terms of the benefits plans. Final approval of such documents is at the sole discretion of the County. 8. Inform the County of current issues in the area of benefits law and administration including advice regarding HIPAA, COBRA, Medicare, Affordable Care Act HealthCare Reform and other similar state and federal laws that govern group insurance programs. 9. Utilize its company staff and /or sub - consultants, including a licensed actuary with at least ten years of experience with public sector clients and /or employee benefit legal counsel, to assist with interpretation of law and administration at no additional cost to the County. 37 10. Act as a liaison between the County and insurance benefit providers. Consultant must have access to a large number of carriers (especially the major carriers). 11. Assist the County's Employee Services Department with the dispute, change and /or reconciliation of benefits provider's billing and other performance issues. 12. Upon request by the County assist with other agreed upon special services. 13. Any additional reporting or analysis that Consultant deems will benefit the County in making decisions regarding benefits plans. E. Actuarial Evaluation 1. Upon request by the County, successful Proposer will assist the County in actuarial evaluation and work closely with the Employee Services Department and Finance department with filing the County's annual GASB 75. F. Other Services 1. Wellness Program. The current Program is focused on changing employee behaviors to improve their lifestyle and reduce health risks. The Consultant will assist the County with enhancing its Wellness Program. The expectation is that the benefits under the Wellness Program will continue to expand and gain momentum. As such, the Consultant shall assist the County in reviewing the effectiveness of the Program, establishing recommendations for future components and assisting in overall Program management. The Consultant shall assist the County in implementation of a strategic wellness plan annually and attend any Wellness Committee planning meetings. Consultant shall make recommendations for the County's Wellness Program and assist with the marketing strategy and implementation planning for the Program. 2. Strategic Planning and Goal Setting. The Consultant will assist the County with its benefits and wellness initiatives and plans that focus on the business aspects of fiscal responsibility. SECTION THREE: RESPONSE FORMS RESPOND TO: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS c/o Purchasing Department 1100 Simonton Street GATO BUILDING, ROOM 2 -213 1100 SIMONTON STREET KEY WEST, FLORIDA 33040 1 acknowledge receipt of Addenda No. (s) I have included ❑Lobbying and Conflict of Interest Clause ❑Non - Collusion Affidavit ❑Drug Free Workplace Form ❑Public Entity Crime Statement ❑Copy of business tax receipt ❑Insurance Requirements In addition, I have included a current copy of the following professional licenses: If the applicant is not an individual (sole proprietor), please supply the following information: APPLICANT ORGANIZATION: (Registered business name must appear exactly as it appears on www.suniz.or Any applicant other than an individual (sole proprietor) must submit a printout of the "Detail 39 by Entity Name" screen from Sunbiz, and a copy of the most recent annual report filed with the Florida Department of State, Division of Corporations. Annual Fee for services included in Contract: $ The fee is an all- inclusive cost. No additional costs or fees will be paid, including but not limited to travel costs, per diems, telephone charges, facsimile charges, and postage charges. ( Check mark items above, as reminder that they are included Mailing Address: Signed: (Print Name) STATE OF: Telephone: Fax: Date: Witness: (Title) COUNTY OF: Subscribed and sworn to (or affirmed) before me on (date) by known to me or has produced identification) as identification. (name of affiant). He /She is personally (type of NOTARY PUBLIC My Commission Expires: LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO. 010 -1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE (Company) "...warrants that he /it has not employed, retained or otherwise had act on his /her behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010 -1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010 -1990. For breach or violation of this provision the County may, in its discretion, terminate this Agreement without liability and may also, in its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, IN gift, or consideration paid to the former County officer or employee." STATE OF: COUNTY OF: Subscribed and sworn to (or affirmed) before me on (date) by personally known to me or has produced (Signature) Date: (name of affiant). He /She is identification. (type of identification) as NOTARY PUBLIC My Commission Expires: 41 NON - COLLUSION AFFIDAVIT I, of the city of on my oath, and under penalty of perjury, depose and say that: according to law I am of the firm of the bidder making the Proposal for the project described in the Request for Proposals for and that I executed the said proposal with full authority to do so; 2. The prices in this bid have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor; 3. Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to bid opening, directly or indirectly, to any other bidder or to any competitor; and 4. No attempt has been made or will be made by the bidder to induce any other person, partnership or corporation to submit, or not to submit, a bid for the purpose of restricting competition; and 5. The statements contained in this affidavit are true and correct, and made with full knowledge that Monroe County relies upon the truth of the statements contained in this affidavit in awarding contracts for said project. STATE OF: COUNTY OF: Subscribed and sworn to (or affirmed) before me on (date) by personally known to me or has produced (Signature) Date: (name of affiant). He /She is identification. (type of identification) as 42 tri l;Ill pri ! I,, III 7=9 WoYs F=9 Lumr.L cj=o im DRUG -FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statutes Section 287.087 hereby certifies that: (Name of Business) 1. Publishes a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Informs employees about the dangers of drug abuse in the workplace, the business' policy of maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Gives each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1). 4. In the statement specified in subsection (1), notifies the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Imposes a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, or any employee who is so convicted. 6. Makes a good faith effort to continue to maintain a drug -free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. (Signature) Date: STATE OF: COUNTY OF: Subscribed and sworn to (or affirmed) before me on (date) by known to me or has produced (name of affiant). He /She is personally (type of identification) as .. identification. NOTARY PUBLIC My Commission Expires: 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 CONTRACTOR 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, Florida Statutes, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list." I have read the above and state that neither (Respondent's name) nor any Affiliate has been placed on the convicted vendor list within the last 36 months. STATE OF: COUNTY OF: Subscribed and sworn to (or affirmed) before me on (date) by to me or has produced identification) as identification. (type of NOTARY PUBLIC (Signature) Date: ame of affiant). He /She is personally known 45 I I I I'MeTtloyr !: MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES CONTRACT ADMINISTRATION MANUAL Indemnification and Hold Harmless For Other Contractors and Subcontractors The Contractor covenants and agrees to indemnify and hold harmless Monroe County Board of County Commissioners from any and all claims for bodily injury (including death), personal injury, and property damage (including property owned by Monroe County) and any other losses, damages, and expenses (including attorney's fees) which arise out of, in connection with, or by reason of services provided by the Contractor or any of its Subcontractor(s) in any tier, occasioned by negligence, errors, or other wrongful act of omission of the Contractor or its Subcontractors in any tier, their employees, or agents. In the event the completion of the project (to include the work of others) is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification provided for above. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this agreement. 47 WORKERS' COMPENSATION INSURANCE REQUIREMENTS FOR GROUP HEALTH INSURANCE CONSULTING SERVICES BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Workers' Compensation Insurance with limits sufficient to respond to the applicable state statutes. In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less than: $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, policy limits $100,000 Bodily Injury by Disease, each employee Coverage shall be maintained throughout the entire term of the contract. Coverage shall be provided by a company or companies authorized to transact business in the state of Florida. If the Contractor has been approved by the Florida's Department of Labor, as an authorized self- insurer, the County shall recognize and honor the Contractor's status. The Contractor may be required to submit a Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing details on the Contractor's Excess Insurance Program. If the Contractor participates in a self- insurance fund, a Certificate of Insurance will be required. In addition, the Contractor may be required to submit updated financial statements from the fund upon request from the County. .• GENERAL LIABILITY INSURANCE REQUIREMENTS FOR GROUP HEALTH INSURANCE CONSULTING SERVICES BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain General Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum: • Premises Operations • Products and Completed Operations • Blanket Contractual Liability • Personal Injury Liability • Professional Liability • Expanded Definition of Property Damage The minimum limits acceptable shall be: $300,000 Combined Single Limit (CSL) If split limits are provided, the minimum limits acceptable shall be: $ 100,000 _ per Person $ 300,000 per Occurrence $_ 50,000 Property Damage An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its provisions should include coverage for claims filed on or after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the acceptance of work by the County. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. .. MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES CONTRACT ADMINISTRATION MANUAL WAIVER OF INSURANCE REQUIREMENTS There will be times when it will be necessary, or in the best interest of the County, to deviate from the standard insurance requirements specified within this manual. Recognizing this potential and acting on the advice of the County Attorney, the Board of County Commissioners has granted authorization to Risk Management to waive and modify various insurance provisions. Specifically excluded from this authorization is the right to waive: • The County as being named as an Additional Insured — If a letter from the Insurance Company (not the Agent) is presented, stating that they are unable or unwilling to name the County as an Additional Insured, Risk Management has been granted the authority to waive this provision. e • The Indemnification and Hold Harmless provisions Waiving of insurance provisions could expose the County to economic loss. For this reason, every attempt should be made to obtain the standard insurance requirements. If a waiver or a modification is desired, a Request for Waiver of Insurance Requirement form should be completed and submitted for consideration with the proposal. After consideration by Risk Management and if approved, the form will be returned, to the County Attorney who will submit the Waiver with the other contract documents for execution by the Clerk of the Courts. Should Risk Management deny this Waiver Request, the other party may file an appeal with the County Administrator or the Board of County Commissioners, who retains the final decision - making authority. 50 MONROE COUNTY, FLORIDA Request For Waiver of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract: Contractor: Contract for: Address of Contractor Phone: Scope of Work: Reason for Waiver Policies Waiver will apply to: Signature of Contractor: Approved Not Approved Risk Management: Date: County Administrator appeal: Approved Not Approved Date: Board of County Commissioners appeal: Approved Not Approved Meeting Date: SIGNATURE 51