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Item F01
F.1 G BOARD OF COUNTY COMMISSIONERS County of Monroe Mayor Sylvia Murphy,District 5 The Florida.Keys l'U � � Mayor Pro Tern Danny Kolhage,District 1 �pw° Michelle Coldiron,District 2 Heather Carruthers,District 3 David Rice,District 4 County Commission Meeting November 20, 2019 Agenda Item Number: F.1 Agenda Item Summary #5543 BULK ITEM: Yes DEPARTMENT: Emergency Services TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289-6088 N/A AGENDA ITEM WORDING: Approval to exercise the first of two 1-year options to renew contract with Bound Tree Medical LLC, effective 12/1/19 through 11/30/20. ITEM BACKGROUND: The Agreement between Monroe County Fire Rescue and Bound Tree Medical, LLC provided for a three(3) year term from December 1, 2016 through November 30, 2019 with two one-year renewal options, subject to the approval of the BOCC and BOG. The first renewal would extend the contract from 12/1/19 through 11/30/20. The amendment also includes the Federal required contract provisions. PREVIOUS RELEVANT BOCC AND BOG ACTION: On 11/22/2016, the Board of County Commissioners (BOCC) and Board of Governors of Fire and Ambulance District 1 (BOG) approved the three-year agreement with Bound Tree Medical, LLC. (BOCC item: F21. BOG item: J2.) CONTRACT/AGREEMENT CHANGES: Exercise 1st Renewal Option STAFF RECOMMENDATION: Approval DOCUMENTATION: BOUND TREE EXTENSION 1 YEAR Nov 2019 Attachment A MONROE COUNTY BOCC-570074022080 BOUND TREE EXTENSION 1 YEAR Nov 2019 v3 FINAL BOUND TREE EXTENSION 1 YEAR Nov 2019 v3 FINAL - Signed FINANCIAL IMPACT: Effective Date: December 1, 2019 Expiration Date: November 30, 2020 Packet Pg. 39 F.1 Total Dollar Value of Contract: Total Cost to County: Current Year Portion: Budgeted: Yes Source of Funds: CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: If yes, amount: Grant: County Match: Insurance Required: Yes, updated COI attached Additional Details: 06/15/16 141-11500 FIRE& RESCUE CENTRAL $450.00 06/15/16 101-11001 MEDICAL AIR TRANSPORT $450.00 Total: $900.00 REVIEWED BY: Mark Thompson Completed 10/18/2019 2:34 PM Pedro Mercado Completed 10/21/2019 2:35 PM James Callahan Completed 10/21/2019 2:38 PM Maria Slavik Completed 10/23/2019 9:11 AM Budget and Finance Completed 10/23/2019 4:22 PM Kathy Peters Completed 10/24/2019 12:28 PM Board of County Commissioners Pending 11/20/2019 9:00 AM Packet Pg.40 F.1.a YICIIIIII IIIIII °'IlllllA IIIMov A.01111111 9 Item List for Monroe County Medical Supplies and Pharmaceuticals RFP-91-0-2016, Renewal 1 II I1 ,l i ABBOTT E6251 Glucose Test Strips,Precision Xtra,Capillary 50/bx 12bx/cs BX $ 22.22 $ 22.22 COVIDIEN 177268 SMART CAPNOLINE PLUS NON INTUBATED,ORAL NASAL W/02 TUBING, EA $ 9.84 $ 9.84 ADULT/INTERMEDIATE 100EA/BX AQUABILITI 600-10 IV Flush Syringe,Normal Saline,10 ml,Prefilled 12 cc Syringe,Sterile 100ea/bx EA $ 0.36 $ 0.36 4bx/cs INTERSURGICAL 2114-87302 i-gel 02 Resus Pack,MED Adult,incl size 4 i-gel 02,Lube,Strap,for Pits 50-90 kg EA $ 23.59 $ 23.59 INCORPORATED 6ea/cs CONMED CORPORATION 354431 INTRAVENOUS(IV)DRESSING TRANSPARENT ADULT 100/BX 5BX/CS VENT-GARD BX $ 38.02 $ 38.02 IMS LIMITED 373369 NALOXONE 2MG 2ML LUERJET 1029B 10EA/CS EA $ 42.70 $ 42.70 EVUS PHARMACEUTICALS O430-04 *SEE NOTES*NItroMIst 400 mcg Spray,4.1 gm Bottle,90 metered doses EA $ 175.09 $ 175.09 AMBU 2144-KV033 King Vision Video Laryngoscope Blade,Channeled,Disp,18mm,w/White LED,Digital EA $ 27.99 $ 27.99 CMOS Camera 10ea/cs INTERSURGICAL 2114-87301 i-gel 02 Resus Pack,SM Adult,incl size 3 i-gel 02,Lube,Strap,for Pits 30-60 kg 6ea/cs EA $ 23.59 $ 23.59 INCORPORATED X PFIZER INC.(HOSPIRA) 374921 EPINEPHRINE 1:10000 1MG 10ML LIFESHIELD SYRINGE 1019A 10EA/BX BX $ 59.90 $ 61.70 INTERSURGICAL 2114-87303 i-gel 02 Resus Pack,LG Adult,incl size 5 i-gel 02,Lube,Strap,for Pits 90 plus kg 6ea/cs EA $ 23.59 $ 23.59 INCORPORATED @ CAPITAL WHOLESALE DRUG 0047-22 LTD CITY-USE 0409-0047-22 Solu-Medrol,125mg,2ml ACT-O-VIAL 25ea/bx EA $ 10.25 $ 11.82 L_ CIL STRYKER 236086 DEFIB/PACING/ECG PADS ADULT W/QUIK-COMBO CONNECTOR 2FT LEAD,LP12, PR $ 22.06 $ 25.74 CIL LP15 1/PR 10PR/BX 5BX/CS PFIZER INC.(HOSPIRA) 4755-02 ONDANSETRON 41MG 2ML VIAL 25EA/BX BX $ 13.25 $ 20.87 (� PFIZER INC.(HOSPIRA) 6695-02 AMIDATE(ETOMIDATE)40MG,20ML VIAL 10EA/BX BX $ 79.90 $ 79.90 CURAPLEX 1330-86100 Curaplex Alcohol Prep Pad,Large,Sterile 100/BX 10BX/CS BX $ 2.13 $ 2.52 CONMED CORPORATION C32716 ELECTRODES 5/STRIP 12BX/CS CS $ 104.38 $ 104.38 IMS LIMITED 371006 ATROPINE 1MG lOML LUER JET 1006E lOEA/PK EA $ 10.69 $ 10.69 AMSINO INTERNATIONAL INC 35108306 INTRAVENOUS(IV)ADMINISTRATION SET NEEDLE FREE 1 Y SITE 1 VALVE 10 DROP 83 EA $ 1.75 $ 1.75 IN 50/CS AMSINO INTERNATIONAL INC C944304 EXTENSION WITH AMSAFE NEEDLELESS INJECTION SITE 8 IN 100/CS EA $ 1.46 $ 1.46 PFIZER INC.(HOSPIRA) 376637 SODIUM BICARBONATE 8.4%LIFESHIELD SYRINGE 1035A 10EA/BX BX $ 110.20 $ 113.51 Hikma Pharmaceuticals USA Inc 0376-25 DIPHENHYDRAMINE 50MG/ML 1ML SDV 2035-BENADRYL 25 VIALS/PK EA $ 1.03 $ 1.27 FRESENIUS 0616-03 AMIODARONE 150MG 3ML VIAL EA $ 1.90 $ 1.90 CURAPLEX 1841-14000 Curaplex Tourniquet 1"x 18",Blue,Rolled,Latex-Free 250/BG 2BG/CS BG $ 20.38 $ 22.25 PFIZER INC.(HOSPIRA) 371104 C4 DIAZEPAM 5MG/ML 2ML LUER LOCKING CARPUJECT 10/BX CS04 BX $ 282.99 $ 317.68 N STRYKER 230107 DEFIB/PACING/ECG PADS PEDI W/QUIK-COMBO CONNECTOR FOR LP15,LP12,LP10, PR $ 26.97 $ 31.47 LPS AMBU 520-211 BVM,SPUR II,ADULT W/MEDIUM ADULT MASK,INDIVIDUALLY BOXED 12/CS EA $ 10.05 $ 10.05 PFIZER INC.(HOSPIRA) 375204 QUELICIN 200MG 10ML VIAL*REFRIGERATION REQUIRED*25EA/BX BX $ 723.75 $ 745.49 CURAPLEX 61411 Curaplex Paramedic Shears,Black 7.25 in 50pr/bx PR $ 0.78 $ 0.78 SPACELABS HEALTHCARE 1850-80424 Pressure Infuser,UNIFUSOR,1000ml Infusion Cuff w/Aneroid Gauge and EA $ 11.97 $ 11.97 Thumbwheel Valve 24ea/cs LAERDAL MEDICAL CORP. L980010 Extrication Collar,Stifneck Select,Adult,Adjustable,Nasal Cannula Hook EA $ 5.20 $ 5.20 _ W B.BRAUN MEDICAL,INC 358001 IV Solution,Sodium Chloride 0.9%500ml Bag 24ea/cs BBraun L8001 EA $ 2.30 $ 2.49 AMBU 2144-KV031 King Vision Video Laryngoscope Blade,Standard,Disp,13mm,w/White LED,Digital EA $ 27.99 $ 27.99 CMOS Camera 10ea/bx CURAPLEX 16353 Curaplex Multi-Trauma Dressing,12 in x 30 in,Sterile,50ea/cs EA $ 1.01 $ 1.01 BAXTER HEALTHCARE-DMG 118-2B0842EA Dopamine 4001 250M1 Bag 18EA/CS EA $ 13.09 $ 13.09 NEPHRON PHARMACEUTICALS 9501-25 ALBUTEROLO.083% 2.5MG/3ML 25VIALS/BX BX $ 3.65 $ 3.65 CORP NICE-PAK 285484 GERMICIDAL WIPES EXTRA LARGE 8 IN X 14 IN 65/TUB 6TUB/CS SANI-CLOTH HB TB $ 7.72 $ 7.72 B.BRAUN MEDICAL,INC 7800-09 IV Solution,Sodium Chloride 0.9%1000ml Bag 12ea/cs E8000 EA $ 2.35 $ 2.48 DYNAREX CORPORATION 1360-07546 Ammonia Inhalant,Ampules 10/bx BX $ 2.30 $ 2.30 SMITHS MEDICAL ASD,INC. 532002 VENTILATION CIRCUIT DISPOSABLE WITH PEEP VALVE 10/BG EA $ 19.57 $ 19.57 co BEMIS MANUFACTURING 595410 SUCTION CANISTER WITH PREATTACHED 6 FTTUBING GREEN 1200cc 48/CS EA $ 6.29 $ 6.29 COMPANY PFIZER INC.(HOSPIRA) 371113 C4 MIDAZOLAM 10MG,2ML VIAL(5MG/ML)10/BOX CS13(VERSED) BX $ 14.99 $ 15.45 PFIZER INC.(HOSPIRA) 377515 DEXTROSE 50%25GM,50ML ANSYR SYRINGE 1013C 10EA/BX BX $ 78.90 $ 95.84 LAERDAL MEDICAL CORP. 020500 Endotracheal Tube Holder,Thomas,Adult,for ET/SGA Tubes 6.5mm ID to 21mm OD EA $ 2.78 $ 2.78 4� MEDSOURCE INTERNATIONAL 533-MS-GZCS4BG Conforming stretch bandage,gauze,4 in.,sterile,121 8bg/cs BG $ 3.25 $ 3.25 AMSINO INTERNATIONAL INC 35608306 IV Admin Set,Pediatric 83 in,60 Drop,l Y-Site,1 Valve 50ea/cs EA $ 1.92 $ 1.92 Packet Pg.41 F.1.a Cambridge Sensors USA,LLC 952000 COLD PACK INSTANT 5.5 IN X 10 IN 24/CS RAPID COLD CS $ 26.47 $ 26.47 BAXTER HEALTHCARE-DMG 356612 INTRAVENOUS(IV)EXTENSION SET NEEDLE FREE WITH 2 Y SITES 43 IN 48/CS EA $ 2.63 $ 2.63 INTERLINK CURAPLEX 30061MS Curaplex Burn Sheet,60 inch x 90 inch,Sterile 50ea/cs EA $ 2.09 $ 2.09 AD[MEDICAL 667000 BODY BAG BASIC VINYL STRAIGHT ZIPPER 6 GAUGE 36 IN X 90 IN 10/CS EA $ 6.47 $ 6.47 AMBU 2442-21403 BVM,SPUR II,PEDIATRIC,COLLAPSED,DISP,WITH MASK AND EXPIRATORY HEPA EA $ 29.39 $ 29.39 FILTER,12EA/CS AMBU I?m BECTON DICKINSON 1641-76618 Safety Needle,BD Eclipse,18 ga x 11/2 in.,100/bx 12bx/cs BX $ 27.72 $ 27.72 CONMED CORPORATION 231620 ELECTRODES PEDIATRIC 3/PK 10PK/BX 20BX/CS HUGGABLE BX $ 5.26 $ 5.26 CARDINAL HEALTH 2231-91110 Salem Gastric Sump Tube,10 Fr,36 inch 50ea/cs EA $ 1.99 $ 1.99 BAUSCH HEALTH US LLC 464631 INSTA-GLUCOSE 31GM 2064 EA $ 3.59 $ 3.59 PFIZER INC.(HOSPIRA) 371100 C4 LORAZEPAM 2MG 1ML VIAL 10/BOX -RE FRIG ERATE**CS01 BX $ 21.74 $ 22.83 IMS LIMITED 373304 Calcium Chloride lgm,10ml Luer Jet 1010B EA $ 10.99 $ 10.99 I?m BECTON DICKINSON 629663 SYRINGE ONLY LUER LOCK 60CC 40/BX 4BX/CS BECTON DICKINSON 309653 BX $ 21.85 $ 21.85 EMERGENCY PRODUCTS& 3176-07705 HAND-E HAND HOLD DEVICE YELLOW EA $ 16.99 $ 16.99 RESEARCH MEDSOURCE INTERNATIONAL 533-MS-SCO8EA Suction Catheter,8 Fr,coiled,w/whistle tip and thumb control port,sterile,disp,LF EA $ 0.20 $ 0.20 50ea/cs SMITHS MEDICAL ASD,INC. 350534 STOPCOCK 4 WAY WITH SWIVEL AND MALE LUER LOCK 50/CS EA $ 1.19 $ 1.19 CURAPLEX 533-MS-YKIOEA Curaplex Yankauer Suction Bulb Tip Only with Control Vent,Sterile 50ea/cs EA $ 0.80 $ 0.80 WATER-JEL TECHNOLOGIES 710206 BURN DRESSING WATER-JEL 2IN X 6IN 60/CT EA $ 2.79 $ 2.79 CURAPLEX 301-100EA Curaplex Oxygen Nasal Cannula,Adult,Conventional,Clear,Flared Prongs,7 ft EA $ 0.31 $ 0.31 tubing,50ea/cs L_ CL DYNAREX CORPORATION 540047 PREPARATION RAZORS 50/BX 5BX/CS GALLANT 4251(250EA/CS) EA $ 0.37 $ 0.37 CL CURAPLEX 301-439EA Curaplex High efficiency HEPA filter,w/port,hydrophobic paper,TV greater than EA $ 2.39 $ 2.39 500ml 50ea/cs PFIZER INC.(HOSPIRA) 0074553401 SODIUM BICARBONATE 4.2%10ML INFANT LIFESHIELD 1043A 10EA/BX BX $ 116.50 $ 120.00 BAXTER HEALTHCARE-DMG 358437 IV Solution,Sodium Chloride 0.9%100ml Bag,Singles 96ea/cs EA $ 1.85 $ 2.08 CURAPLEX 301-200EA Curaplex Select Nebulizer,Small-volume,Hand-held,T-piece,Mouthpiece,Flextube, EA $ 0.65 $ 0.65 .�. 7 ft Tubing 50/cs MEDSOURCE INTERNATIONAL 533-MS-SC12EA Suction catheter,12 Fr,coiled,w/whistle tip and thumb control port,sterile,disp,LF EA $ 0.20 $ 0.20 50ea/cs MEDSOURCE INTERNATIONAL 533-MS-SC14EA Suction Catheter,14 Fr,coiled,w/whistle tip and thumb control port,sterile,disp,LF EA $ 0.20 $ 0.20 50ea/cs MEDSOURCE INTERNATIONAL 533-MS-SC18EA Suction catheter,18 Fr,coiled,w/whistle tip and thumb control port,sterile,disp,LF EA $ 0.20 $ 0.20 f� 50ea/cs GREAT PLAINS BALLISTICS 021410 AIR FLOW MONITOR BAAM 100/CS EA $ 6.47 $ 6.47 CARDINAL HEALTH 2114-31412 NG Tube,Levin,12 Fr,Clear,48 inch,Markings 18,22,26 and 30 in,Open Distal End, EA $ 1.06 $ 1.06 50ea/cs MEDSOURCE INTERNATIONAL 533-MS-SC06EA Suction Catheter,6 Fr,coiled,w/whistle tip and thumb control port,sterile,disp,LF EA $ 0.20 $ 0.20 50ea/cs > LAERDAL MEDICAL CORP. 260201 EXTRICATION COLLAR BABY NO NECK 50/CS STIFNECK EA $ 5.55 $ 5.55 FRESENIUS O424-05 FLU MAZEN IL 0.5MG,5ML VIAL 10 VIALS/BX ROMAZICON EA $ 9.15 $ 9.15 WEST CHESTER HOLDINGS, 295561 SLEEVE WHITE GAUNTLET,ELASTIC OPENINGS,18 IN 200/CS EA $ 0.20 $ 0.20 INC. AD[MEDICAL D4808 SUCTION TUBING ONLY 1/4 IN X 6 FT 50/CS EA $ 0.60 $ 0.60 MEDICAL SUPPLY SOLUTIONS, NS5251 UD Saline,Modudose,3ml,Sodium Chloride 0.9%,for Inhalation,Easy Open EA $ 0.11 $ 0.13 INC Twist/Pull 100ea/bx 10bx/c CARDINAL HEALTH 2114-33018 NG Tube,Levin,18 Fr,Clear,48 inch,Markings 18,22,26 and 30 in,Open Distal End, EA $ 1.06 $ 1.06 50ea/cs fn CARDINAL HEALTH 2114-32216 NG Tube,Levin,16 Fr,Clear,48 inch,Markings 18,22,26 and 30 in,Open Distal End, EA $ 1.06 $ 1.06 50ea/cs CURAPLEX 301-B3030EA Curaplex Select Green Line/D Laryngoscope Blade,MAC 3,Fiber Optic,VIED Adult, EA $ 3.89 $ 3.89 Disposable 20ea/cs CURAPLEX 301-B3130EA Curaplex Select Green Line/D Laryngoscope Blade,MILLER 3,Fiber Optic,VIED Adult, EA $ 3.89 $ 3.89 Disposable 20ea/cs TELEFLEX LLC 020603 MASK NON-REBREATHER PARTIAL HIGH CONCENTRATION,100%02, ADULT 50/CS EA $ 1.10 $ 1.10 TELEFLEX LLC 021002 AIRWAY BERMAN CHILD SIZE 1 60MM 50/BX BULK 121802 EA $ 0.16 $ 0.17 TELEFLEX LLC 021003 AIRWAY BERMAN SMALL ADULT SIZE 3 80MM 50/BX BULK 121803 EA $ 0.16 $ 0.17 TELEFLEX LLC 021004 AIRWAY BERMAN MEDIUM ADULT SIZE 4 90MM 50/BX BULK N/S EA $ 0.16 $ 0.17 TELEFLEX LLC 021005 AIRWAY BERMAN LARGE ADULT SIZE 5 100MM 50/BX BULK 121805 EA $ 0.16 $ 0.17 013 PFIZER INC.(HOSPIRA) 0409-4350-03 Diltiazem 100mg ADD-vantage Vial,Non-Refrig,(ADD-vantage diluent required-sold BX $ 147.90 $ 152.40 separately)10EA/BX DYNAREX CORPORATION 083501P Dressing,Abdominal,Combine Pad,Sterile,5 in x 9 in 20/pk 20pk/cs PK $ 2.15 $ 2.15 DYNAREX CORPORATION 10635 bandage,Ace-type,Dynarex,elastic,latex-free,6m 50ea/cs EA $ 0.91 $ 0.91 MEDLINE INDUSTRIES,INC. 1072-80347 Wash Basin,Rectangular,6 Quart,Graphite,50ea/cs EA $ 0.68 $ 0.68 CURAPLEX 1124-03680 LTD QTY-use 1124-32400-Curaplex Triangular Bandage,Polypropylene 240ea/cs EA $ 0.27 $ 0.27 PFIZER INC.(HOSPIRA) 1312-30 C2 HYDROMORPHONE 2MG/ML 1ML CPJ 10/BX BX $ 27.69 $ 28.52 DYNAREX CORPORATION 1350-14547 Triple Antibiotic Ointment,0.9gm Foil Pack 144/bx 12bx/cs BX $ 11.89 $ 11.89 PFIZER INC.(HOSPIRA) 1632-01 VECURONIUM 10MG 10ML VIAL (POWDER)10EA/BX BX $ 88.80 $ 88.80 Packet Pg.42 F.1.a B.BRAUN MEDICAL,INC 1633-05305 Syringe Only,5cc,Luer Lock,100ea/bx 20bx/cs EA $ 0.08 $ 0.11 B.BRAUN MEDICAL,INC 1633-10010 Syringe Only,10cc,Luer Lock,100ea/bx 12bx/cs EA $ 0.09 $ 0.13 PFIZER INC.(HOSPIRA) 1893-01 C2 Morphine Sulfate,10mg/ml,lml PF CPJ 10/bx BX $ 24.09 $ 24.09 CURAPLEX 2021-14630 Curaplex Select Nasopharyngeal Airway,14 Fr,3.Omm,Latex Free PVC 10ea/bx EA $ 2.29 $ 2.29 CURAPLEX 2021-14635 Curaplex Select Nasopharyngeal Airway,16 Fr,3.5mm,Latex Free PVC 10ea/bx EA $ 2.29 $ 2.29 4� CURAPLEX 2021-14640 Curaplex Select Nasopharyngeal Airway,18 Fr,4.Omm,Latex Free PVC 10ea/bx EA $ 2.29 $ 2.29 CURAPLEX 2021-14650 Curaplex Select Nasopharyngeal Airway,20 Fr,S.Omm,Latex Free PVC 10ea/bx EA $ 2.29 $ 2.29 CURAPLEX 2021-14655 Curaplex Select Nasopharyngeal Airway,22 Fr,5.5mm,Latex Free PVC 10ea/bx EA $ 2.29 $ 2.29 CURAPLEX 2021-14660 Curaplex Select Nasopharyngeal Airway,24 Fr,6.Omm,Latex Free PVC 10ea/bx EA $ 2.29 $ 2.29 I� CURAPLEX 2021-14665 Curaplex Select Nasopharyngeal Airway,26 Fr,6.5mm,Latex Free PVC 10ea/bx EA $ 2.29 $ 2.29 CURAPLEX 2021-14670 Curaplex Select Nasopharyngeal Airway,28 Fr,7.Omm,Latex Free PVC 10ea/bx EA $ 2.29 $ 2.29 I� CURAPLEX 2021-14675 Curaplex Select Nasopharyngeal Airway,30 Fr,7.5mm,Latex Free PVC 10ea/bx EA $ 2.29 $ 2.29 VLR TRADING CO.,INC 209936 HAND CLEANSER FOAMING ALCOHOL BASED 9 OZ 24/CS ALCARE PLUS EA $ 9.97 $ 9.97 CURAPLEX 2112-38004 Curaplex Endotracheal Tube with Stylette,4.Omm,Uncuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 CARDINAL HEALTH 2114-71114 NG Tube,Levin,14 Fr,Clear,48 inch,Markings 20,24,28 and 32 in,Open Distal End, EA $ 1.06 $ 1.11 50ea/cs CL CARDINAL HEALTH 2211-65950 SUCTION TUBING CONNECTOR Y TYPE STERILE 50/CS CS $ 74.33 $ 74.33 CL AMBU 2442-54402 BVM,SPUR II,NEONATE,INFANT WITH OXYGEN RESERVOIR TUBE 12/CS EA $ 13.28 $ 13.28 MEDIQUE PRODUCTS 25711 Hydrogen Peroxide,Topical Solution,16 oz Bottle,12ea/cs EA $ 0.98 $ 0.98 LAERDAL MEDICAL CORP. 260202 EXTRICATION COLLAR PEDIATRIC 50/CS STIFNECK EA $ 5.59 $ 5.59 SPACELABS HEALTHCARE 2614-32016 BP Cuff,SoftCheck,Child,Disposable,Vinyl,Single Tube with HP/Bayonet Fitting EA $ 2.29 $ 2.29 5ea/bx SPACELABS HEALTHCARE 2614-63516 BP Cuff,SoftCheck,Adult,Disposable,Vinyl,Single Tube with HP/Bayonet Fitting EA $ 3.47 $ 3.47 5ea/bx I� SPACELABS HEALTHCARE 2614-81416 BP Cuff,SoftCheck,Infant,Disposable,Vinyl,Single Tube with HP/Bayonet Fitting EA $ 1.95 $ 1.95 5ea/bx SPACELABS HEALTHCARE 2614-82616 BP Cuff,SoftCheck,SM Adult,Disposable,Vinyl,Single Tube with HP/Bayonet Fitting EA $ 2.56 $ 2.56 5ea/bx 4� COVIDIEN 2722-76800 CO2 Sampling Line,Microstream Filterline Set,Adult/Pediatric,14ft long,Airway EA $ 8.89 $ 8.89 Adapter25ea/bx WELCH ALLYN,INC.. 2733-57505 Probe Covers,Braun ThermoScan Pro 4000 Thermometer,Disposable 200/bx 25bx/cs BX $ 14.79 $ 14.79 DUKAL CORP. 276-8506BG Gauze sponge,basic economy,2 in x 2 in,12 ply,non-sterile,200/bg 40bg/cs BG $ 0.92 $ 0.92 0 DYNAREX CORPORATION 279-3343BX Gauze sponge,sterile,4 in x 4 in,12 ply,2/pk,25pk/bx 24bx/cs BX $ 1.75 $ 1.75 MEDEGEN MEDICAL 290116 BIOHAZARD BAG RED 7-10 GAL 23 X 23 1.2MIL 500/CS EA $ 0.09 $ 0.09 PRODUCTS 3M HEALTH CARE 291860 Particulate Respirator,N95,REG Size,Cup,Blue,Nosefoam,Fluid Resistant,Disp,LF BX $ 19.53 $ 19.92 20/bx 6bx/cs ANSELL HEALTHCARE 297750 Gloves,Freeform EC,SM,Extended Cuff,Nitrile,Latex Free,Powder Free 50/bx BX $ 8.50 $ 8.51 PRODUCTS LLC 10bx/cs ANSELL HEALTHCARE 297755 Gloves,Freeform EC,VIED,Extended Cuff,Nitrile,Latex Free,Powder Free 50/bx BX $ 8.50 $ 8.51 PRODUCTS LLC 10bx/cs fn ANSELL HEALTHCARE 297760 Gloves,Freeform EC,LG,Extended Cuff,Nitrile,Latex Free,Powder Free 50/bx BX $ 8.50 $ 8.51 PRODUCTS LLC 10bx/cs ANSELL HEALTHCARE 297770 Gloves,Freeform EC,XL,Extended Cuff,Nitrile,Latex Free,Powder Free 50/bx BX $ 8.50 $ 8.51 PRODUCTS LLC 10bx/cs CURAPLEX 301-B3010EA Curaplex Select Green Line/D Laryngoscope Blade,MAC 1,Fiber Optic,Infant, EA $ 3.89 $ 3.89 Disposable 20ea/cs CURAPLEX 301-B3020EA Curaplex Select Green Line/D Laryngoscope Blade,MAC 2,Fiber Optic,Child, EA $ 3.89 $ 3.89 Disposable 20ea/cs CURAPLEX 301-B3040EA Curaplex Select Green Line/D Laryngoscope Blade,MAC 4,Fiber Optic,LG Adult, EA $ 3.89 $ 3.89 Disposable 20ea/cs CURAPLEX 301-B3100EA Curaplex Select Green Line/D Laryngoscope Blade,MILLER 0,Fiber Optic,Neonate, EA $ 3.89 $ 3.89 Disposable 20ea/cs 013 CURAPLEX 301-B3110EA Curaplex Select Green Line/D Laryngoscope Blade,MILLER 1,Fiber Optic,Infant, EA $ 3.89 $ 3.89 Disposable 20ea/cs CURAPLEX 301-B3120EA Curaplex Select Green Line/D Laryngoscope Blade,MILLER 2,Fiber Optic,Child, EA $ 3.89 $ 3.89 Disposable 20ea/cs CURAPLEX 301-B3140EA Curaplex Select Green Line/D Laryngoscope Blade,MILLER 4,Fiber Optic,LG Adult, EA $ 3.89 $ 3.89 4� Disposable 20ea/cs SMITHS MEDICAL ASD,INC. 353042 CATHETER INTRAVENOUS(IV)LATEX FREE 16 GAUGE X 1.25 IN 50/BX 200/CS EA $ 1.80 $ 1.80 PROTECTIV SMITHS MEDICAL ASD,INC. 353048 CATHETER INTRAVENOUS(IV)LATEX FREE 14 GAUGE X 1.25 IN 50/BX 200/CS EA $ 1.80 $ 1.80 PROTECTIV Packet Pg.43 F.1.a SMITHS MEDICAL ASD,INC. 353050 CATHETER INTRAVENOUS(IV)22 GAUGE X 1 IN 50/BX 200/CS PROTECTIV EA $ 1.80 $ 1.80 SMITHS MEDICAL ASD,INC. 353055 CATHETER INTRAVENOUS(IV)LATEX FREE 18 GAUGE X 1.25 IN 50/BX 200/CS EA $ 1.80 $ 1.80 PROTECTIV SMITHS MEDICAL ASD,INC. 353056 CATHETER INTRAVENOUS(IV)LATEX FREE 20 GAUGE X 1.25 IN 50/BX 200/CS EA $ 1.80 $ 1.80 PROTECTIV PFIZER INC.(HOSPIRA) 379094 C2 FENTANYL 0.05MG/ML 2ML SDV 25/BX BX $ 33.00 $ 33.99 CURAPLEX 38001 Curaplex Endotracheal Tube with Stylette,2.5mm,Uncuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 I� CURAPLEX 38002 Curaplex Endotracheal Tube with Stylette,3.Omm,Uncuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 CURAPLEX 38003 Curaplex Endotracheal Tube with Stylette,3.5mm,Uncuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 CURAPLEX 38005 Curaplex Endotracheal Tube with Stylette,4.5mm,Uncuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 I� CURAPLEX 38011 Curaplex Endotracheal Tube with Stylette,S.Omm,Cuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 CURAPLEX 38012 Curaplex Endotracheal Tube with Stylette,5.5mm,Cuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 I� CURAPLEX 38014 Curaplex Endotracheal Tube with Stylette,6.5mm,Cuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 X CURAPLEX 38015 Curaplex Endotracheal Tube with Stylette,7.Omm,Cuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 4) 0 CURAPLEX 38016 Curaplex Endotracheal Tube with Stylette,7.5mm,Cuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 CURAPLEX 38017 Curaplex Endotracheal Tube with Stylette,B.Omm,Cuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 CL CURAPLEX 38018 Curaplex Endotracheal Tube with Stylette,8.5mm,Cuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 CL CURAPLEX 38020 Curaplex Endotracheal Tube with Stylette,9.Omm,Cuffed 10ea/bx 10bx/cs EA $ 1.52 $ 1.52 HARTWELL MEDICAL LLC 4162 Convenience Bag,BioHoop,50cc-2000cc,Emesis and Hazardous Waste Bag,No Hook EA $ 1.52 $ 1.55 12ea/pk 40pk/cs NICE-PAK 440128 LUBRICATING JELLY PDI STERILE, 2.7GM 144/BX 12BX/CS BX $ 9.67 $ 9.67 DMS 5060220 Restraint Strap,Orange,2 pc,5 ft,Nylon,Metal Push Button Buckle,Loop Ends EA $ 7.39 $ 7.39 CURAPLEX 51150 LTD CITY-Curaplex NPA 12F 3.Omm,Latex Free PVC 1/EA 10EA/BX 10BX/CS EA $ 1.15 $ 1.15 CIMED CORPORATION 533764 Ventilator Circuit,Universal,Portable,Adult,72 in,Disp,for use w/PB 2800 Series, EA $ 5.50 $ 5.73 4� HT50 15/cs MEDSOURCE INTERNATIONAL 533-MS-SC16EA Suction catheter,16 Fr,coiled,w/whistle tip and thumb control port,sterile,disp,LF EA $ 0.20 $ 0.20 50ea/cs BEMIS MANUFACTURING 592041 SUCTION CANISTER DISPOSABLE RED TOP 800cc 100/CS EA $ 2.93 $ 2.93 COMPANY CURAPLEX 64250 Curaplex Sharps Solo,Sharps container with one time lockable seal,6.5 in 24ea/cs EA $ 1.35 $ 1.35 SUN VIED 792-9-0212-72EA ET Tube Introducer 15 Fr x 70 cm,straight tip,flex,disp,sterile 10ea/bx EA $ 4.79 $ 4.79 TELEFLEX LLC D4244 AIRWAY BERMAN LARGE CHILD 70MM 50/BX BULK EA $ 0.16 $ 0.17 MORRISON MEDICAL D6411 HEAD BLOCKS STICKY FOAM-PAIR PR $ 5.02 $ 5.02 PRODUCTS DYNAREX CORPORATION F165200 BANDAGE ADHESIVE CLOTH 1 IN X 3 IN 100/BX 24BX/CS BX $ 2.25 $ 2.25 DYNAREX CORPORATION F165631 TAPE ADHESIVE CLOTH SURGICAL 1 IN X 10 YDS 12/BX 12BX/CS BX $ 7.70 $ 7.70 DYNAREX CORPORATION F165632 TAPE ADHESIVE CLOTH SURGICAL 2 IN X 10 YDS 6/BX 12BX/CS BX $ 7.70 $ 7.70 _ CURAPLEX PU80000 Curaplex VACUUM SPLINT SET,DISPOSABLE EA $ 285.00 $ 285.00 fn TELEFLEX LLC SD121950 AIRWAY BERMAN INFANT 50MM INDIVIDUALLY WRAPPED 50/BX EA $ 0.33 $ 0.36 Discontinued Items LEONHARD LANG USA,INC. 492-12394PK *DC*MFG USE 2745-10108 Paper,LPll,LP12 and LP15,Size 108 mm x 23 m roll, PK $ 9.59 5rolls/pk,LifePak PFIZER INC.(HOSPIRA) 0641142035 *DC*-USE 103-10* MFG EPINEPHRINE 1:10001MG 1ML AMPULE 2043 25ea/bx EA $ 3.52 013 CURAPLEX 14756MS *DC*USE 8888268086 Curaplex Nasogastric Tube,8Fr 280ea/cs EA $ 2.35 ASCENSIA DIABETES CARE 175965 *DC*MFG LANCETS FINGERSTIX 200/BX 6BX/CS BX $ 33.00 AD[MEDICAL 1880-92078 *DC*USE 1841-14000 Tourniquet,Latex Free,1 in x 18 in,Light Gray,100/bx 10bx/cs BX $ 8.15 MYLAN SPECIALTY LP 25021-301-02 *DC-USE 0542-02 ADENOSINE 6MG,2ML VIAL 10ea/bx EA $ 3.93 SPACELABS HEALTHCARE 2614-24216 *DC*BP Cuff,SoftCheck,LG Adult,Disposable,Vinyl,Single Tube w/HP/Bayonet EA $ 3.95 Fitting 5/b MYLAN SPECIALTY LP 303-05 *DC-USE 660-05 Metoprolol 5mg,5ml Vial,10ea/bx EA $ 1.32 CURAPLEX 3173-08715 *DC-NO SUB*Curaplex DUAL LADDER LOCK 7 FT LOOPLOCK SAME LENGTH EA $ 4.16 ORANGE PLASTIC DISP RESTRAINT Packet Pg.44 F.1.a ASTELLAS PHARMA.US,INC. 371255 *DC*USE 0301-68 ADENOCARD 12MG 4ML ANSYR SYRINGE 1002C EA $ 85.52 CAPITAL WHOLESALE DRUG 375016 *DC*USE 911316 ASPIRIN CHILDRENS CHEWABLE ORANGE FLAVOR 81MG 36/BT BT $ 1.40 24BT/CS NICE-PAK 541231 *DC-NO SUB*TINCTURE OF BENZOIN SWABSTICKS INDIVIDUALLY WRAPPED BX $ 10.15 50PK/BX l0BX/CS EXP: WATER-JEL TECHNOLOGIES 711216 *DC-USE 1522-21620*BURN FACE MASK WATER-JEL 20EA/CS EA $ 13.33 WATER-JEL TECHNOLOGIES 713036 *DC*USE 1522-36304 MFG DC BURN WRAP IN FOIL POUCH 3 FT X 2.5 FT 4EA/CS EA $ 54.00 P3630-4 MACO INTERNATIONAL A865118 *DC*LARYNGOSCOPE HANDLE FIBEROPTIC SMALL GREEN SYSTEM EA $ 32.29 DYNAREX CORPORATION F1654 *DC*BTM USE 1330-86100 ALCOHOL PREP PADS LARGE 100/BX l0BX/CS BX $ 2.13 MEDSOURCE INTERNATIONAL K4036 *DC*-USE 32762*PENLIGHT DISPOSABLE EACH WITH PUPIL GAUGE 300EA/CS EA $ 0.75 Potential Subs CURAPLEX 2745-10108 Curaplex ECG Chart Paper,Thermal,108mm,Red Grid,for Physio-Control LPll,LP12, RL $ 1.84 G8 LP15 1/RL 60RL/CT BPI LABS,LLC 103-10 Epinephrine lmg,lml ampule lea 10ea/pk EA $ 13.89 CARDINAL HEALTH 8888268086 SALEM GASTRIC SUMP TUBE 8 FR,24 IN 10/CS EA $ 7.44 CARDINAL HEALTH-PHARMA 0542-02 Adenosine 6mg,2ml Vial 10ea/bx EA $ 3.93 CL FRESENIUS 660-05 Metoprolol 5mg,5ml vial EA $ 1.58 CL SAG ENT PHARMACEUTICALS, 0301-68 Adenosine 12mg,4ml Luer Lock Syringe 10ea/bx EA $ 26.28 INC. GERI-CARE 911316 Aspirin 81mg Chewable,Orange Flavor 36/Bottle BT $ 0.79 WATER-JEL TECHNOLOGIES 1522-21620 Burn Dressing,Facial,Water-Jel,12 inch X 16 inch EA $ 13.33 WATER-JEL TECHNOLOGIES 1522-36304 Burn Wrap,Water Gel,Foil Pouch lea 4ea/cs EA $ 54.00 CURAPLEX 32762 Curaplex Disposable Penlight 6/pk,60pk/cs PK $ 4.50 4� Cd 0 fn 013 4� Packet Pg.45 F.1.b DATE(MM/DD/YYYY) A o CERTIFICATE OF LIABILITY INSURANCE 11/29/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk services Northeast, Inc. NAME: Columbus OH Office (A/C..NN.Ext): C866) 283-7122 FAX No.): (800) 363-0105 445 Hutchinson Avenue E-MAIL tJ suite 900 ADDRESS: 4� Columbus OH 43235 USA INSURER(S)AFFORDING COVERAGE NAIC# O INSURED INSURER AI Medmarc Casualty Ins Co 22241 sarnova, Inc., Bound Tree Medical, LLC INSURER B: Hartford Fire Insurance Co. 19682 5000 Tuttle Crossing Blvd. Dublin OH 43016 USA INSURERC: sentinel Insurance Company, Ltd 11000 INSURER D: Hartford Casualty Insurance Co 29424 INSURER E: O INSURER F: COVERAGES CERTIFICATE NUMBER: 570074022080 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 4) EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested AUU INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY POLICY EFF POLICY EAP LIMITS B X COMMERCIAL GENERAL LIABILITY Y 33UUNVG3435EACH OCCURRENCE $1,000,000 CLAIMS-MADE X❑OCCUR $300,000 PREMISES Ea occurrence91 MED EXP(Any one person) $10,000 91 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $2,000,000 POLICY EPRO ❑LOC PRODUCTS-COMP/OPAGG Excluded JECT OTHER: C AUTOMOBILE LIABILITY Y 33 UUN VG3435 12/01/2018 12/01/2019 COMBINED SINGLE LIMIT $1,000,000 00 Ea accident X CD ANYAUTO BODILY INJURY(Per person) C14C14 OWNED SCHEDULED BODILY INJURY(Per accident) D AUTOS ONLY AUTOS HIREDAUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Per accident LO D 33RHUVG1892 12/01/2018 12/01/2019 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $10,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000 DED I X RETENTION$10,000 00 WORKERS COMPENSATION AND STATUTE EORH EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT = U A Products Liab 180H380013 12/01/2018 12/01/2019 Aggregate Limit $10,000,000— UJI Claims Made Agg Deductible $150,000 Per Occ Limit $10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: Account No. 104754. Monroe County BOCC is included as Additional Insured in accordance with the policy provisions of the General Liability and Auto Liability policies. .. E Q CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC AUTHORIZED REPRESENTATIVE 1111 12th St. Suite 408 Key West FL 33040 USA (''�� /�'1,'✓J �� �/T e�4�J9�2 c���e..fEkGE G24�d c..0'/OG��e✓?Xk 1 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Packet Pg.46 AGENCY CUSTOMER ID: 570000037575 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services Northeast, Inc. Sarnova, Inc. , Bound Tree Medical , LLC POLICY NUMBER see Certificate Number: 570074022080 CARRIER NAIC CODE See Certificate Number: 570074022080 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S)AFFORDING COVERAGE NAIC # INSURER INSURER INSURER 00 INSURER X ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. I POLICY POLICY 0 NSR ADDL SUBR EFFECTIVE EXPIRATION LIMITS LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER DATE DATE MM/DD/YYYY MM/DD/YYYY OTHER A Products Liab 180H380013 12/01/2018 12/01/2019 Per Occ $50,000 claims Made Deductible 00 Cd Cd L? (.3 (.3 U ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD Packet Pg.47 F.1.c 1st RENEWAL AND AMENDMENT OF AGREEMENT BETWEEN THE BOARD OF COUNTY COMMISSIONERS,AND THE BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT I OF MONROE COUNTY, FLORIDA,AND 0 BOUND TREE MEDICAL, LLC FOR THE PURCHASE OF MEDICAL SUPPLIES AND PHARMACEUTICALS 0 THIS Ist RENEWAL and AMENDMENT(hereinafter"RENEWAL")to the contract for the purchase of medical supplies and pharmaceuticals is made and entered into this 20 ' day of November 2019 by and between the Monroe County Board of County Commissioners and the c Board of Governors Fire and Ambulance District 1 of Monroe County,Florida,hereinafter referred to as "COUNTY" and Bound Tree Medical LLC, hereinafter referred to as "CONTRACTOR". WITNESSETH: �s WHEREAS, on December 1, 2016, the parties entered into an agreement whereby the .� Contractor is to provide medical supplies and pharmaceuticals to the County; and WHEREAS, the original agreement had an initial three-year term beginning December 1, 2016 through November 30, 2019 with two one-year options for renewal subject to the approval of the County, and C„ WHEREAS, pursuant to the terms of the original agreement the parties desire to renew the c agreement for another one-year term, and WHEREAS, the parties also wish to amend the original agreement to incorporate federal provisions such that federal funding may be applied to purchases made under this agreement in the event of an emergency or natural disaster; 0 cis NOW THEREFORE, in consideration of the mutual promises and covenants contained in this RENEWAL, the parties agree: W w SECTION 1. The parties' December 1, 2016 agreement, a copy of which is attached and incorporated into this renewal as Exhibit A,is hereby renewed for a one-year term beginning December 1, 2019 and terminating November 30, 2020. z SECTION 2. Paragraph 3 of the original agreement is amended to read; co CONTRACT TERMINATION A. Termination for Convenience: The COUNTY may terminate this Agreement for convenience, at any time, upon sixty (60) days' notice to CONTRACTOR. If the COUNTY terminates this agreement with the CONTRACTOR, COUNTY shall pay CONTRACTOR the sum due the CONTRACTOR under this agreement prior to termination, unless the cost of completion to the COUNTY exceeds the funds Page 1 of 10 Packet Pg.48 F.1.c remaining in the contract. The maximum amount due to CONTRACTOR shall not exceed the spending cap in this Agreement. In addition, the COUNTY reserves all rights available to recoup monies paid under this Agreement,including the right to sue for breach of contract and including the right to pursue a claim for violation of the COUNTY's False Claims Ordinance, located at Section 2-721 et al. of the Monroe County Code.Either of the parties hereto may cancel this Agreement without cause by giving the other party sixty(60)days written notice of its intention to do so to the other 0 party;however,this provision may not be exercised during hurricane season(June 1 to November 30) unless both parties mutually agree to terminate. In the event of termination, the COUNTY shall owe for all goods and services delivered prior to the date of termination. c B. Termination for Cause and Remedies: In the event of breach of any contract terms,the COUNTY retains the right to terminate this Agreement. The COUNTY may also 0 terminate this agreement for cause with CONTRACTOR should CONTRACTOR fail c 0 to perform the covenants herein contained at the time and in the manner herein > provided. In the event of such termination, prior to termination, the COUNTY shall CL CL provide CONTRACTOR with five (5) calendar days' notice and provide the CONTRACTOR with an opportunity to cure the breach that has occurred. If the breach is not cured, the Agreement will be terminated for cause. If the COUNTY terminates 0 this agreement with the CONTRACTOR, COUNTY shall pay CONTRACTOR the 00 sum due the CONTRACTOR under this agreement prior to termination,unless the cost of completion to the COUNTY exceeds the funds remaining in the contract;however, z the COUNTY reserves the right to assert and seek an offset for damages caused by the M breach. The maximum amount due to CONTRACTOR shall not in any event exceed the spending cap in this Agreement. In addition, the COUNTY reserves all rights N available to recoup monies paid under this Agreement, including the right to sue for > 0 breach of contract and including the right to pursue a claim for violation of the COUNTY's False Claims Ordinance, located at Section 2-721 et al. of the Monroe County Code.In the event that the CONTRRACTOR shall be found to be negligent in >- any aspect of service, the COUNTY shall have the right to terminate this Agreement z after five (5) days written notification to the CONTRACTOR. 0 cis SECTION 3. Paragraph 5 of the original agreement is amended to read; w 5.PRICING is set forth in the Medical Supply Discount Off List and Pricing Worksheet (Attachment A — Nov 2019). This will be inserted in the contract which outlines both a discount in the form of a percentage off list and pricing on specified numbered items. z SECTION 4. Subparagraph 8.C. of the original agreement is amended to read; C. Quantities. The quantities listed on the Medical Supply Discount Off List and Pricing Worksheet Attachment A — Nov 2019 are estimated quantities for one 1 year. The COUNTY shall not be required to purchase any minimum or maximum quantities during the term of any award resulting from this specification The COUNTY may purchase as little as zero percent 0 or exceed as much as one hundred percent 100 of the forecasted or estimated quantities. Page 2 of 10 Packet Pg.49 F.1.c SECTION 5. Subparagraph 9.I. of the original agreement is amended to read; L Contract Prices. Contract prices from Medical Supply Discount Off List and Pricing Worksheet Attachment A — Nov 2019 shall be firm and shall not be amended after the RENEWAL is executed. Any attempt by the CONTRACTOR to amend said prices unilaterally shall constitute default as outlined in the contract. 0 Prices quoted shall include all shipping costs, shipped F.O.B. Marathon. Florida or to the facility location specified by the requestor or the purchase order. All taxes of any kind and character payable on account of the work done and materials furnished under the award shall be paid by the CONTRACTOR and shall be deemed to have been included in the price. The COUNTY is exempt from all state and federal sales use transportation and excise taxes. x 0 Contract prices shall include all royalties and costs arising from patents, trademarks and c 0 copyrights in any way involved in the work.Whenever the CONTRACTOR is required or desires to use any design, device, material or process covered by letters of patent or 0 copyright the CONTRACTOR shall indemnify and save harmless the COUNTY, its 0. officers, agents, and employees from any and all claims of infringement by reason of the use of any such patented design,toll,material,equipment or process,to be performed under the contract and shall indemnify the said COUNTY,its officers, agents, and employees for ®p any costs, expenses, and damage which may be incurred by reason of any infringement at any time during the prosecution or after the completion of the work. SECTION 6. Subparagraph 9.J. of the original agreement is amended to read; J. Contract Provisional Prices off List Price. Contract pricing for items not included on N Medical Supply Discount Off List and Pricing Worksheet Attachment A —Nov 2019 and sold to the County at a discounted percentage rate off the list price issued by z CONTRACTOR shall be firm and shall not be amended after the RENEWAL is executed. Any attempt by the CONTRACTOR to amend said prices shall constitute default as W outlined in the contract. z COUNTY will verify items by a printout from the CONTRACTOR's online catalog (n showing both the "list price" and "your price", the latter being the COUNTY price. z SECTION 7. Subparagraph 9.L. of the original agreement is amended to read; w L. Price Escalation. The County will allow a price escalation provision for items on the Medical Supply Discount Off List and Pricing Worksheet Attachment A—Nov 2019 with this award.The original CONTRACTOR prices on Medical Supply List Pricing Worksheet M Attachment A — Nov 2019 shall be firm for a one (1) year minimum period. A price 0 escalation/de-escalation will be allowed one (1) year after the beginning of the award 4i period and at one (1) year intervals thereafter provided the CONTRACTOR notifies the E COUNTY in writing of any requested price changes at least sixty 60 days prior to those changes taking effect This request must be accompanied by a certified letter from the CONTRACTOR's supplier showing the price increase to the contractor.The price increase to the County shall be limited to the percentage increase to the CONTRACTOR as stated in this letter accompanied by a certified letter from the CONTRACTOR supplier showing Page 3 of 10 Packet Pg. 50 F.1.c the price increase to the contractor. The price increase to the County shall be limited to the percentage increase to the CONTRACTOR as stated in this letter. If at the point of exercising the price escalation provision, market media indicators show that the prices have decreased and that the CONTRACTOR has not passed the decrease on to the COUNTY, the COUNTY reserves the right to place the CONTRACTOR in default cancel the contract and remove the CONTRACTOR from the COUNTY's 0 CONTRACTOR list for a period of time deemed suitable to the COUNTY. as SECTION 8. Subparagraph 9.M. of the original agreement is amended to read; M. Invoicing. The CONTRACTOR shall furnish the COUNTY complete itemized c invoices for the goods received.Invoices are to reflect the prices stipulated on the purchase order and as outlined on the Medical Supply Discount Off List and Pricing Worksheet Attachment A—Nov 2019.Invoices are also to reflect the provisional price discount in the 0 form of a percentage at which the CONTRACTOR will sell these items off its list price. The COUNTY will not accept an aggregate invoice. As part of the award process the 0 0. COUNTY may request a sample invoice Invoices shall contain but not limited to the 0. following information: o Invoice number o Company name o Purchase order number o Location and dates of delivery o Cost of items as stated on the contract and extended price to reflect total cost for number of items received N SECTION 9. The following FEDERAL CONTRACT REQUIREMENTS are hereby added to the Agreement as paragraphs 15, 16, 17 and 18 and shall read as follows: z 15. PUBLIC RECORDS -Pursuant to F.S. 119.0701 and the terms and conditions of this W contract, the CONTRACTOR is required to: (a) Keep and maintain public records that would be required by the County to z perform the service. (b) Upon receipt from the County's custodian of records,provide the County with Z a copy of the requested records or allow the records to be inspected or copied X within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. W (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 :D if the CONTRACTOR does not transfer the records to the County. 0 (d) Upon completion of the contract,transfer, at no cost,to the County all public records in possession of the Contractor or keep and maintain public records that E would be required by the County to perform the service. If the CONTRACTOR transfers all public records to the County 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. Page 4 of 10 Packet Pg. 51 F.1.c All records stored electronically must be provided to the County, upon request from the County's custodian of records, in a format that is compatible with the information technology systems of the County. (e) A request to inspect or copy public records relating to a County contract must be made directly to the County, but if the County does not possess the requested records, the County shall immediately notify the CONTRACTOR of the request, and the CONTRACTOR must provide the records to the County or allow the 0 records to be inspected or copied within a reasonable time. as 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 as 16.MAINTENANCE OF RECORDS -CONTRACTOR shall maintain all books,records, 0 and documents directly pertinent to performance under this Agreement in accordance with c 0 generally accepted accounting principles consistently applied. Records shall be retained for a period of seven years from the termination of this agreement or for a period of three 0 years from the submission of the final expenditure report as per 2 CFR §200.333, whichever is greater. Each party to this Agreement or its 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 z purposes not authorized by this Agreement, or were wrongfully retained by the CONTRACTOR, the CONTRACTOR shall repay the monies together with interest calculated pursuant to Sec. 55.03, of the Florida Statutes,running from the date the monies were paid by the COUNTY. 17. EQUAL EMPLOYMENT OPPORTUNITY c During the performance of this Agreement,the CONTRACTOR,in accordance with Equal W Employment Opportunity (30 Fed. Reg. 12319, 12935, 3 C.F.R. Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, Amending Executive Order 11246 z 0 Relating to Equal Employment Opportunity, and implementing regulations at 41C.F.R. (n Part 60 (Office of Federal Contract Compliance Programs, Equal Employment Z Opportunity, Department of Labor). See 2 C.F.R. Part 200, Appendix II, ¶ C, agrees as X follows: A. 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 :D applicants are employed, and that employees are treated during employment, without 0 co regard to their race, color,religion, sex, sexual orientation,gender identity, or national origin. Such action shall include, but not be limited to the following: Employment, E 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. Page 5 of 10 Packet Pg. 52 F.1.c B. 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. C. The CONTRACTOR will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has 0 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 0 CONTRACTOR's legal duty to furnish information. D. The CONTRACTOR will send to each labor union or representative of workers with 0 CL which it has a collective bargaining agreement or other contract or understanding, a CL 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. E. 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. N F. 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 z Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the Secretary of Labor for purposes of W investigation to ascertain compliance with such rules,regulations, and orders. z G. In the event of the CONTRACTOR 's non-compliance with the nondiscrimination (n clauses of this contract or with any of such rules, regulations, or orders, this contract z w 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 W procedures authorized in Executive Order 11246 of September 24, 1965, and such W 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. :D 0 co H. The CONTRACTOR will include the portion of the sentence immediately preceding subparagraph (A) and the provisions of paragraphs (A) through (G) in every 0 subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The CONTRACTOR will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions, including sanctions for non-compliance; provided, however, that in the Page 6 of 10 Packet Pg. 53 F.1.c event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency the contractor may request the United States to enter into such litigation to protect the interests of the United States. 18. CODE OF FEDERAL REGULATION - The CONTRACTOR and its subcontractors must follow the provisions as set forth in 2 C.F.R. §200.326 and 2 C.F.R. Part 200, as 0 amended including but not limited to: as A. Davis-Bacon Act, as amended (40 U.S.C. §§3141-3148). When required by Federal program legislation, which includes emergency Management Preparedness Grant Program, Homeland Security Grant Program, Nonprofit Security Grant Program, c Tribal Homeland Security Grant Program, Port Security Grant Program and Transit Security Grant Program, all prime construction contracts in excess of$2,000 awarded by non-Federal entities must comply with the Davis-Bacon Act (40 U.S.C. §§3141- 0 3144, and §§3146-3148) as supplemented by Department of Labor regulations (29 c 0 CFR Part 5, "Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction").In accordance with the statute,contractors must CL be required to pay wages to laborers and mechanics at a rate not less than the prevailing CL wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be required to pay wages not less than once a week.If applicable,the COUNTY must place a current prevailing wage determination issued by the ®® Department of Labor in each solicitation. The decision to award a contract or subcontract must be conditioned upon the acceptance of the wage determination. The z COUNTY must report all suspected or reported violations to the Federal awarding agency. When required by Federal program legislation, which includes emergency Management Preparedness Grant Program, Homeland Security Grant Program, Nonprofit Security Grant Program, Tribal Homeland Security Grant Program, Port N Security Grant Program and Transit Security Grant Program(it does not apply to other FEMA grant and cooperative agreement programs, including the Public Assistance z Program), the contractors must also comply with the Copeland "Anti-Kickback" Act (40 U.S.C. § 3145),as supplemented by Department of Labor regulations(29 CFR Part W 3, "Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States"). As required by the Act, each contractor or subrecipient is prohibited from inducing,by any means, any person (n employed in the construction, completion, or repair of public work,to give up any part z of the compensation to which he or she is otherwise entitled. The COUNTY must X report all suspected or reported violations to the Federal awarding agency. (i) CONTRACTOR. The CONTRACTOR shall comply with 18 U.S.C. § 874, 40 U.S.C. § 3145, and the requirements of 29 C.F.R.pt. 3 as may be applicable,which are incorporated by reference into this Agreement. (ii) Subcontracts. The CONTRACTOR or subcontractor shall insert in any co subcontracts the clause above and such other clauses as the FEMA may by appropriate instructions require, and also a clause requiring the E subcontractors to include these clauses in any lower tier subcontracts. The prime CONTRACTOR shall be responsible for the compliance by any subcontractor or lower tier subcontractor with all of these contract clauses. Page 7 of 10 Packet Pg. 54 F.1.c (iii) Breach. A breach of the contract clauses above may be grounds for termination of the contract, and for debarment as a contractor and subcontractor as provided in 29 C.F.R. § 5.12. B. Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). Where applicable, which includes all FEMA grant and cooperative agreement programs, all contracts awarded by the COUNTY in excess of$100,000 that involve the employment 0 of mechanics or laborers must comply with 40 U.S.C.§§ 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 U.S.C. §3702 of the Act, each contractor must compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate c of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 U.S.C. 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work 0 in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or 0 transmission of intelligence. C. Rights to Inventions Made Under a Contract or Agreement.If the Federal award meets �3 the definition of"funding agreement" under 37 CFR §401.2 (a) and the recipient or ®p 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 U_ 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. z D. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387). Contractor agrees to comply with all applicable standards, W 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 z will report violations to FEMA and the Regional Office of the Environmental Protection Agency(EPA).The Clean Air Act(42 U.S.C.7401-7671q.)and the Federal Z Water Pollution Control Act(33 U.S.C. 1251-1387),as amended—applies to Contracts X and subgrants of amounts in excess of$150,000. w E. 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 :D guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 0 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or E otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. F. 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 Page 8 of 10 Packet Pg. 55 F.1.c 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. 0 c G. Compliance with Procurement of recovered materials as set forth in 2 CFR§ 200.322. CONTRACTOR must comply with section 6002 of the Solid Waste Disposal Act, as amended, by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition,where the purchase price of the item exceeds $10,000 0 or the value of the quantity acquired during the preceding fiscal year exceeded$10,000; c 0 procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for 0 CL procurement of recovered materials identified in the EPA guidelines. CL H. Americans with Disabilities Act of 1990, as amended (ADA) — The CONTRACTOR �3 will comply with all the requirements as imposed by the ADA, the regulations of the ®p Federal government issued thereunder, and the assurance by the CONTRACTOR pursuant thereto. M I. Disadvantaged Business Enterprise (DBE) Policy and Obligation - It is the policy of the COUNTY that DBE's,as defined in 49 C.F.R. Part 26, as amended, shall have the opportunity to participate in the performance of contracts financed in whole or in part N with COUNTY funds under this Agreement. The DBE requirements of applicable federal and state laws and regulations apply to this Agreement. The COUNTY and its z CONTRACTOR agree to ensure that DBE's have the opportunity to participate in the performance of this Agreement. In this regard, all recipients and contractors shall take W all necessary and reasonable steps in accordance with 2 C.F.R. § 200.321(as set forth in detail below), applicable federal and state laws and regulations to ensure that the z DBE's have the opportunity to compete for and perform contracts. The COUNTY and the CONTRACTOR and subcontractors shall not discriminate on the basis of race, z w color, national origin or sex in the award and performance of contracts, entered pursuant to this Agreement. W 2 C.F.R. § 200.321 CONTRACTING WITH SMALL AND MINORITY W BUSINESSES, WOMEN'S BUSINESS ENTERPRISES, AND LABOR SURPLUS AREA FIRMS a. If the CONTRACTOR, with the funds authorized by this Agreement, seeks to subcontract goods or services, then, in accordance with 2 C.F.R. 0 §200.321, the CONTRACTOR shall take the following affirmative steps 4i to assure that minority businesses, women's business enterprises, and E labor surplus area firms are used whenever possible. b. Affirmative steps must include: (1) Placing qualified small and minority businesses and women's business enterprises on solicitation lists; (2) Assuring that small and minority businesses, and women's business enterprises are solicited whenever they are potential sources; Page 9 of 10 Packet Pg. 56 F.1.c (3) Dividing total requirements, when economically feasible, into smaller tasks or quantities to permit maximum participation by small and minority businesses, and women's business enterprises; (4) Establishing delivery schedules, where the requirement permits, which encourage participation by small and minority businesses, and women's business enterprises; (5) Using the services and assistance, as appropriate, of such organizations as 0 the Small Business Administration and the Minority Business Development Agency of the Department of Commerce. (6) Requiring the Prime contractor, if subcontractor are to be let, to take the affirmative steps listed in paragraph(1) through(5) of this section. 0 co J. 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 0 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 0 Contract term. CL SECTION 10. In all other respects,the parties' December 1, 2016 agreement remains in full force and effect. IN WITNESS WHEREOF, each party hereto has caused this Extension to be executed by its duly > authorized representatives. cv (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: KEVIN MADOK,CLERK OF MONROE COUNTY,FLORIDA By: By: Deputy Clerk Mayor (n BOUND TREE MEDICAL,LLC BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY,FLORIDA By: (Signature) By: co Mayor/Chairperson Name and Title Date: Page 10 of 10 Packet Pg. 57 F.1.d 1't RENEWAL AND AMENDMENT OF AGREEMENT BETWEEN THE BOARD OF COUNTY COMMISSIONERS,AND THE BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA,AND BOUND TREE MEDICAL,LLC FOR THE PURCHASE OF MEDICAL SUPPLIES AND PHARMACEUTICALS o x THIS I"RENEWAL and AMENDMENT(hereinafter"RENEWAL")to the contract for the purchase of medical supplies and pharmaceuticals is made and entered into this 201h day of November 2019 by and between the Monroe County Board of County Commissioners and the Board of Governors Fire and Ambulance District 1 of Monroe County,Florida,hereinafter referred to as "COUNTY" and Bound Tree Medical LLC, hereinafter referred to as "CONTRACTOR". �s WITNESSETH: WHEREAS, on December 1, 2016, the parties entered into an agreement whereby the Contractor is to provide medical supplies and pharmaceuticals to the County; and WHEREAS, the original agreement had an initial three-year term beginning December 1, 2016 through November 30, 2019 with two one-year options for renewal subject to the approval of the County, and WHEREAS, pursuant to the terms of the original agreement the parties desire to renew the agreement for another one-year term,and WHEREAS, the parties also wish to amend the original agreement to incorporate federal provisions such that federal funding may be applied to purchases made under this agreement in the event of an emergency or natural disaster; Ir- NOW THEREFORE, in consideration of the mutual promises and covenants contained in this RENEWAL, the parties agree: (n SECTION 1. The parties' December 1, 2016 agreement, a copy of which is attached and incorporated into this renewal as Exhibit A,is hereby renewed for a one-year term beginning December 1, 2019 and terminating November 30,2020. SECTION 2. Paragraph 3 of the original agreement is amended to read; CONTRACT TERMINATION A. Termination for Convenience: The COUNTY may terminate this Agreement for convenience, at any time, upon sixty (60) days' notice to CONTRACTOR. If the COUNTY terminates this agreement with the CONTRACTOR, COUNTY shall pay CONTRACTOR the sum due the CONTRACTOR under this agreement prior to termination, unless the cost of completion to the COUNTY exceeds the funds Page 1 of 10 Packet Pg. 58 F.1.d remaining in the contract. The maximum amount due to CONTRACTOR shall not exceed the spending cap in this Agreement. In addition, the COUNTY reserves all rights available to recoup monies paid under this Agreement,including the right to sue for breach of contract and including the right to pursue a claim for violation of the COUNTY's False Claims Ordinance, located at Section 2-721 et al. of the Monroe County Code. Either of the parties hereto may cancel this Agreement without cause by giving the other party sixty(60)days written notice of its intention to do so to the other party;however,this provision may not be exercised during hurricane season(June 1 to November 30) unless both parties mutually agree to terminate. In the event of o termination, the COUNTY shall owe for all goods and services delivered prior to the a date of termination. as x 0 B. Termination for Cause and Remedies: In the event of breach of any contract terms,the COUNTY retains the right to terminate this Agreement. The COUNTY may also > terminate this agreement for cause with CONTRACTOR should CONTRACTOR fail o to perform the covenants herein contained at the time and in the manner herein provided. In the event of such termination, prior to termination, the COUNTY shall provide CONTRACTOR with five (5) calendar days' notice and provide the CONTRACTOR with an opportunity to cure the breach that has occurred. If the breach is not cured, the Agreement will be terminated for cause. If the COUNTY terminates a this agreement with the CONTRACTOR, COUNTY shall pay CONTRACTOR the r- sum due the CONTRACTOR under this agreement prior to termination,unless the cost of completion to the COUNTY exceeds the funds remaining in the contract; however, the COUNTY reserves the right to assert and seek an offset for damages caused by the breach. The maximum amount due to CONTRACTOR shall not in any event exceed the spending cap in this Agreement. In addition, the COUNTY reserves all rights > available to recoup monies paid under this Agreement, including the right to sue for breach of contract and including the right to pursue a claim for violation of the N COUNTY's False Claims Ordinance, located at Section 2-721 et al. of the Monroe County Code. In the event that the CONTTRACTOR shall be found to be negligent in any aspect of service, the COUNTY shall have the right to terminate this Agreement after five(5)days written notification to the CONTRACTOR. Ir- SECTION 3. Paragraph 5 of the original agreement is amended to read; (n 5. PRICING is set forth in the Medical Supply Discount Off List and Pricing Worksheet (Attachment A—Nov 2019). This will be inserted in the contract which outlines both a discount in the form of percentage off list and pricing on specified numbered items. SECTION 4. Subparagraph S.C.of the original agreement is amended to read; C. Quantities.The quantities listed on the Medical Supply Discount Off List and Pricing Worksheet Attachment A — Nov 2019 are estimated quantities for one 1 year. The COUNTY shall not be required to purchase any minimum or maximum quantities during the term of any award resulting from this specification The COUNTY may purchase as little as zero percent 0 or exceed as much as one hundred percent 100 of the forecasted or estimated quantities. Page 2 of 10 Packet Pg. 59 F.1.d SECTION 5. Subparagraph 9.I.of the original agreement is amended to read; 1. Contract Prices. Contract prices from Medical Supply Discount Off List and Pricing Worksheet Attachment A—Nov 2019 shall be firm and shall not be amended after the RENEWAL is executed. Any attempt by the CONTRACTOR to amend said prices unilaterally shall constitute default as outlined in the contract. Prices quoted shall include all shipping costs,shipped F.O.B. Marathon. Florida or to the facility location specified by the requestor or the purchase order. All taxes of any kind and character payable on account of the work done and materials furnished under the award shall be paid by the CONTRACTOR and shall be deemed to have been included in the price. The COUNTY is exempt from all state and federal sales 0 0 use transportation and excise taxes. Contract prices shall include all royalties and costs arising from patents, trademarks and o CL copyrights in any way involved in the work.Whenever the CONTRACTOR is required or CL C desires to use any design, device, material or process covered by letters of patent or copyright the CONTRACTOR shall indemnify and save harmless the COUNTY, its U officers, agents, and employees from any and all claims of infringement by reason of the use of any such patented design,toll,material,equipment or process,to be performed under the contract and shall indemnify the said COUNTY,its officers,agents,and employees for any costs, expenses,and damage which may be incurred by reason of any infringement at _ any time during the prosecution or after the completion of the work. ro SECTION 6. Subparagraph 9.I.of the original agreement is amended to read; J. Contract Provisional Prices off List Price. Contract pricing for items not included on > Medical Supply Discount Off List and Pricing Worksheet Attachment A—Nov 2019 and sold to the County at a discounted percentage rate off the list price issued by cv CONTRACTOR shall be firm and shall not be amended after the RENEWAL is executed. > 0 Any attempt by the CONTRACTOR to amend said prices shall constitute default as outlined in the contract. COUNTY will verify items by a printout from the CONTRACTOR's online catalog showing both the"list price"and"your price",the latter being the COUNTY price. cis SECTION 7. Subparagraph 9.L.of the original agreement is amended to read; L. Price Escalation. The County will allow a price escalation provision for items on the Medical Supply Discount Off List and Pricing Worksheet Attachment A—Nov 2019 with this award.The original CONTRACTOR prices on Medical Supply List Pricing Worksheet Attachment A — Nov 2019 shall be firm for a one (1) year minimum period. A price escalation/de-escalation will be allowed one (1) year after the beginning of the award period and at one (1) year intervals thereafter provided the CONTRACTOR notifies the COUNTY in writing of any requested price changes at least sixty 60 days prior to those 03 changes taking effect This request must be accompanied by a certified letter from the CONTRACTOR's supplier showing the price increase to the contractor.The price increase E to the County shall be limited to the percentage increase to the CONTRACTOR as stated c� in this letter accompanied by a certified letter from the CONTRACTOR supplier showing the price increase to the contractor.The price increase to the County shall be limited to the Page 3 of 10 Packet Pg. 60 F.1.d percentage increase to the CONTRACTOR as stated in this Ietter. At the sole discretion of the County,the County may waive the requirement that the price increase be accompanied by a certified letter from the CONTRACTOR supplier showing the price increase to the contractor. Any such waiver shall be in writing and signed by the Battalion Chief of Administration. o If at the point of exercising the price escalation provision, market media indicators show that the prices have decreased and that the CONTRACTOR has not passed the decrease on to the COUNTY,the COUNTY reserves the right to place the CONTRACTOR in default 0 cancel the contract and remove the CONTRACTOR from the COUNTY's CONTRACTOR Iist for a period of time deemed suitable to the COUNTY. x SECTION 8. Subparagraph 9.M. of the original agreement is amended to read; 0 0 M. Invoicing. The CONTRACTOR shall furnish the COUNTY complete itemized > invoices for the goods received. Invoices are to reflect the prices stipulated on the purchase 0. order and as outlined on the Medical Supply Discount Off List and Pricing Worksheet 0. Attachment A—Nov 2019. Invoices are also to reflect the provisional price discount in the form of a percentage at which the CONTRACTOR will sell these items off its list price. The COUNTY will not accept an aggregate invoice. As part of the award process the COUNTY may request a sample invoice Invoices shall contain but not limited to the following information: o Invoice number o Company name o Purchase order number o Location and dates of delivery > o Cost of items as stated on the contract and extended price to reflect total cost for number of items received 0 SECTION 9. The following FEDERAL CONTRACT REQUIREMENTS are hereby added to the Agreement as paragraphs 15, 16, 17 and 18 and shall read as follows: 15. PUBLIC RECORDS -Pursuant to F.S. 119.0701 and the terms and conditions of this contract,the CONTRACTOR is required to: (a) Keep and maintain public records that would be required by the County to (n perform the service. (b) Upon receipt from the County's custodian of records,provide the County 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 this chapter 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 County. co (d) Upon completion of the contract,transfer,at no cost,to the County all public records in possession of the Contractor or keep and maintain public records that would be required by the County to perform the service. If the CONTRACTOR transfers all public records to the County upon completion of the contract, the CONTRACTOR shall destroy any duplicate public records that are exempt or Page 4 of 10 Packet Pg. 61 F.1.d 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 the County, upon request from the County's custodian of records, in a format that is compatible with the 0 information technology systems of the County. 0 (e) A request to inspector copy public records relating to a County contract must be made directly to the County, but if the County does not possess the requested records, the County shall immediately notify the CONTRACTOR of the request, and the CONTRACTOR must provide the records to the County or allow the records to be inspected or copied within a reasonable time. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF 0 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 16.MAINTENANCE OF RECORDS-CONTRACTOR shall maintain all books,records, and documents directly pertinent to performance under this Agreement in accordance with i generally accepted accounting principles consistently applied. Records shall be retained for a period of seven years from the termination of this agreement or for a period of three years from the submission of the final expenditure report as per 2 CFR §200.333, whichever is greater. Each party to this Agreement or its 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, or were wrongfully retained by the > CONTRACTOR, the CONTRACTOR shall repay the monies together with interest calculated pursuant to Sec.55.03,of the Florida Statutes,running from the date the monies cv were paid by the COUNTY. > O 17. EQUAL EMPLOYMENT OPPORTUNITY During the performance of this Agreement,the CONTRACTOR,in accordance with Equal Employment Opportunity(30 Fed. Reg. 123I9, 12935, 3 C.F.R. Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, Amending Executive Order 11246 (n Relating to Equal Employment Opportunity, and implementing regulations at 41C.F.R. Part 60 (Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor). See 2 C.F.R. Part 200, Appendix 11, 11 C, agrees as follows: A. 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 national origin. Such action shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or 0 termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The CONTRACTOR agrees to post in conspicuous places, Page 5 of 10 Packet Pg. 62 F.1.d available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. B. 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 0 consideration for employment without regard to race, color, religion, sex, sexual 0 orientation,gender identity,or national origin. C. The CONTRACTOR will not discharge or in any other manner discriminate against 0 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 X an employee who has access to the compensation information of other employees or 0 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 CL formal complaint or charge,in furtherance of an investigation,proceeding,hearing,or CL action, including an investigation conducted by the employer,or is consistent with the CONTRACTOR's legal duty to furnish information. i D. 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. E. 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 Ir- of Labor. cv 0 F. 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 by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules,regulations,and orders. cis G. 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. H. The CONTRACTOR will include the portion of the sentence immediately preceding subparagraph (A) and the provisions of paragraphs (A) through (G) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor Page 6 of 10 Packet Pg. 63 F.1.d or vendor. The CONTRACTOR will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions, including sanctions for non-compliance; provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency the contractor may request the United States to enter into such litigation to protect the interests of the United States. 18. CODE OF FEDERAL REGULATION -The CONTRACTOR and its subcontractors 0 must follow the provisions as set forth in 2 C.F.R. §200.326 and 2 C.F.R. Part 200, as amended including but not limited to: x A. Davis-Bacon Act, as amended (40 U.S.C. §§3141-3148). When required by Federal 0 program legislation, which includes emergency Management Preparedness Grant o 0 Program, Homeland Security Grant Program, Nonprofit Security Grant Program, Tribal Homeland Security Grant Program, Port Security Grant Program and Transit 0. Security Grant Program, all prime construction contracts in excess of$2,000 awarded 0. by non-Federal entities must comply with the Davis-Bacon Act (40 U.S.C. §§3141- 3144, and §§3146-3148) as supplemented by Department of Labor regulations (29 t3 CFR Part 5, "Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction"). In accordance with the statute,contractors must be required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be required to pay wages not less than once a week. If applicable,the ro COUNTY must place a current prevailing wage determination issued by the Department of Labor in each solicitation. The decision to award a contract or subcontract must be conditioned upon the acceptance of the wage determination.The COUNTY must report all suspected or reported violations to the Federal awarding > agency. When required by Federal program legislation, which includes emergency Management Preparedness Grant Program, Homeland Security Grant Program, cv Nonprofit Security Grant Program, Tribal Homeland Security Grant Program, Port > 0 Security Grant Program and Transit Security Grant Program(it does not apply to other FEMA grant and cooperative agreement programs, including the Public Assistance Program), the contractors must also comply with the Copeland "Anti-Kickback" Act (40 U.S.C. §3145),as supplemented by Department of Labor regulations(29 CFR Part 3, "Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States"). As required by the Act, (n each contractor or subrecipient is prohibited from inducing,by any means,any person employed in the construction,completion,or repair of public work,to give up any part of the compensation to which he or she is otherwise entitled. The COUNTY must report all suspected or reported violations to the Federal awarding agency. (i) CONTRACTOR. The CONTRACTOR shall comply with 18 U.S.C. § 874,40 U.S.C. § 3145,and the requirements of 29 C.F.R. pt. 3 as may be applicable, which are incorporated by reference into this Agreement. (ii) Subcontracts. The CONTRACTOR or subcontractor shall insert in any subcontracts the clause above and such other clauses as the FEMA may by appropriate instructions require, and also a clause requiring the subcontractors to include these clauses in any lower tier subcontracts.The prime CONTRACTOR shall be responsible for the compliance by any subcontractor or lower tier subcontractor with all of these contract clauses. Page 7 of 10 Packet Pg. 64 F.1.d Breach. A breach of the contract clauses above may be grounds for termination of the contract, and for debarment as a contractor and subcontractor as provided in 29 C.F.R. § 5.12. 0 B. Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). Where applicable, which includes all FEMA grant and cooperative agreement programs, aII contracts awarded by the COUNTY in excess of$100,000 that involve the employment of mechanics or laborers must comply with 40 U.S.C.§§ 3702 and 3704, as 0 supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 U.S.C. §3702 of the Act, each contractor must compute the wages of every mechanic and Iaborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate 0 of not less than one and a half times the basic rate of pay for all hours worked in excess o 0 of 40 hours in the work week. The requirements of 40 U.S.C. 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work o in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence. C. Rights to Inventions Made Under a Contract or Agreement.If the Federal award meets 0 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. D. Clean Air Act 42 U.S.C. 7401-7671 0 ( q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387). 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 report violations to FEMA and the Regional Office of the Environmental Protection Agency(EPA).The Clean Air Act(42 U.S.C. 7401-7671q.)and the Federal (n Water Pollution Control Act(33 U.S.C. 1251-1387),as amended applies to Contracts and subgrants of amounts in excess of$150,000. E. 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 parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. F. 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 Page 8 of 10 Packet Pg. 65 F.1.d 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 0 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. 0 G. Compliance with Procurement of recovered materials as set forth in 2 CFR§ 200.322. CONTRACTOR must comply with section 6002 of the Solid Waste Disposal Act, as amended, by the Resource Conservation and Recovery Act. The requirements of X Section 6002 include procuring only items designated in guidelines of the 0 Environmental Protection Agency(EPA) at 40 CFR part 247 that contain the highest o percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition,where the purchase price of the item exceeds$10,000 CL or the value of the quantity acquired during the preceding fiscal year exceeded$10,000; CL procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for t.3 procurement of recovered materials identified in the EPA guidelines. H. Americans with Disabilities Act of 1990, as amended (ADA)—The CONTRACTOR will comply with all the requirements as imposed by the ADA, the regulations of the Federal government issued thereunder, and the assurance by the CONTRACTOR pursuant thereto. I. Disadvantaged Business Enterprise (DBE) Policy and Obligation - It is the policy of the COUNTY that DBE's,as defined in 49 C.F.R. fart 26, as amended,shall have the > opportunity to participate in the performance of contracts financed in whole or in part M with COUNTY funds under this Agreement. The DBE requirements of applicable cv federal and state laws and regulations apply to this Agreement.The COUNTY and its > 0 CONTRACTOR agree to ensure that DBE's have the opportunity to participate in the performance of this Agreement. In this regard,all recipients and contractors shall take all necessary and reasonable steps in accordance with 2 C.F.R. § 200.321(as set forth in detail below), applicable federal and state laws and regulations to ensure that the DBE's have the opportunity to compete for and perform contracts.The COUNTY and the CONTRACTOR and subcontractors shall not discriminate on the basis of race, (n color, national origin or sex in the award and performance of contracts, entered pursuant to this Agreement. 2 C.F.R. § 200.321 CONTRACTING WITH SMALL AND MINORITY BUSINESSES, WOMEN'S BUSINESS ENTERPRISES, AND LABOR SURPLUS AREA FIRMS a. If the CONTRACTOR, with the funds authorized by this Agreement, seeks to subcontract goods or services, then, in accordance with 2 C.F.R. §200.321, the CONTRACTOR shall take the following affirmative steps to assure that minority businesses, women's business enterprises, and co labor surplus area firms are used whenever possible. b. Affirmative steps must include: (1) Placing qualified small and minority businesses and women's business c� enterprises on solicitation lists; Page 9 of 10 Packet Pg. 66 F.1.d (2) Assuring that small and minority businesses, and women`s business enterprises are solicited whenever they are potential sources; (3) Dividing total requirements, when economically feasible, into smaller tasks or quantities to permit maximum participation by small and minority businesses,and women's business enterprises; 0 (4) Establishing delivery schedules, where the requirement permits, which encourage participation by small and minority businesses, and women°s business enterprises; (5) Using the services and assistance,as appropriate,of such organizations as the Small Business Administration and the Minority Business Development Agency of the Department of Commerce. (6) Requiring the Prime contractor, if subcontractor are to be let, to take the affirmative steps listed in paragraph(1)through(5)of this section. 0 0 J. 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. SECTION 10. In all other respects, the parties' December 1,2016 agreement remains in full force and effect. IN WITNESS WHEREOF, each party hereto has caused this Extension to be executed by its duly > authorized representatives. cv (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: KEVIN MADOK,CLERK OF MONROE COUNTY,FLORIDA By: By: Deputy Clerk Mayor (n BOUND TREE MEDICAL, LLC BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY,FLORIDA By: 4 (Signature) By:. Rhiannon Greene/ Senior VP of PriCin Mayor/Chairperson CC Name and Title Date: 10/31/2019 Page 10of10 Packet Pg. 67