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2nd Amendment 12/11/2019 GV�S COURTq c Kevin Madok, CPA Clerk of the Circuit Court& Comptroller— Monroe Count Florida o p Y, E cOVN DATE: January 7, 2020 TO: Roman Gastesi County Administrator Lindsey Ballard, Aide to the County Administrator FROM: Pamela G. Hancock, D.C. SUBJECT: December Ll'BOCC Meeting Attached is an electronic copy of the following item for your handling: M5 2nd Amendment to Agreement with Medical Examiner, to provide that the Medical Examiner shall receive a vehicle stipend in the amount of$800.00 per month in lieu of submitting travel expenses, and also to provide that a portion of funds may be used for pension plan contributions for the Medical Examiner and his staff. Should you have any questions,please feel free to contact me at (305) 292-3550. cc: County Attorney Finance File KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING 500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070 305-294-4641 305-289-6027 305-852-7145 305-852-7145 AMENDMENT 2 TO AGREEMENT FOR THE PROVISION OF MEDICAL EXAMINER SERVICES THIS AMENDMENT 2 ("AMENDMENT")to the Agreement for the Provision of Medical Examiner Services ("Agreement") is made and entered into as of December 11, 2019 ("Effective Date"), by and between the Board of County Commissioners of Monroe County, Florida (hereinafter"County"), and Michael R. Steckbauer, Interim District 16 Medical Examiner of the State of Florida (hereinafter"Medical Examiner"). (Collectively, the County and Medical Examiner shall be referred to as the"Parties.") WHEREAS, on July 19, 2017,the County and Michael Robert Steckbauer, M.D. entered into the Agreement for the provision of Medical Examiner Services with an Effective Date of July 1, 2017; and WHEREAS,¶3(A) of the Agreement provides that the County will reimburse the Medical Examiner for all actual, reasonable and necessary costs and expenses, up to the amount budgeted for the office each year, upon presentation of adequate supporting documentation for bills and purchases; and WHEREAS, the Medical Examiner currently drives approximately 20,000 miles per year in his personal vehicle for work; and WHEREAS,the Medical Examiner has requested, and the County agrees, that it would be a time-saving measure if the County were to provide a monthly stipend covering all automobile expenses, without the need for the Medical Examiner to submit travel vouchers to document mileage, parking, and other related travel expenses; and WHEREAS,1 3 of the Agreement also states that the County Administrator and Clerk shall approve any expenditure reasonably related to the delivery of services under Chapter 406, Florida Statutes, and this Agreement, to include at a minimum, but not be limited to, salaries for employees in the amount of$10,400.00 per month; WHEREAS, the Medical Examiner has added an additional employee to his.staff who will be a replacement for an employee who is retiring, and because of overlap of personnel to train the new employee, the total combined salaries will temporarily exceed $10,400.00, and the parties wish to increase the cap to clarify that the Clerk is authorized to pay the combined salaries; and WHEREAS.the Parties wish to add language providing that.a portion of the budgeted funds maybe used for a pension plan for the Medical Examiner and/or his employees. 1 NOW THEREFORE, in consideration,of the mutual promises of the original Agreement as amended herein, the parties agree as follows: 1. A new paragraph 3(1) is added to the Agreement, which shall read as follows: (I) Notwithstanding the language in paragraph 3(A), each month during the term of this Agreement, the County shall pay to the Medical Examiner a vehicle stipend in the amount of eight hundred dollars and no cents ($800.00) as a vehicle allowance for the purchase, lease, or ownership, as well as operation and maintenance, of personal vehicle. This stipend shall be paid each month in advance, upon presentation of an invoice for the amount, but shall not require the presentation of travel vouchers or other documentation for payment. This stipend is in lieu of any and all claims for reimbursement for mileage, parking, or other personal vehicle expenses for in-County.driving. The Medical Examiner shall be solely responsible for maintenance and operation of the vehicle and all costs associated with the same, including, without limitation, repairs, fuel, and insurance of the personal vehicle. The County shall reimburse the Medical Examiner at the established mileage rate set forth in County ordinance for any business use of the vehicle beyond Monroe County upon presentation of a travel voucher and backup documentation as outlined in paragraph 3(A). 2. The ninth sentence in Paragraph 3(A) in the Agreement, shown below with. underlining, is revised to read as follows: A) Compensation/Salaries and Operating Expenses: The County agrees to compensate the Medical Examiner for services based on his actual, reasonable and necessary costs and expenses, provided, . however, that such compensation shall not exceed the Budgeted Amount except as provided in paragraph 3(E), below. At the beginning of this Agreement, within ten (10)days following execution_of:thissgreement by both parties, the County shall provide an initial payment equal to the Monthly Amount: Thereafter, through the term of this Agreement,the Medical Examiner may request reimbursement for payments made by the Medical Examiner. The request for reimbursement may be made as frequently as the Medical Examiner wishes. The Medical Examiner shall submit the request for reimbursement and supporting documentation to the County Administrator, describing the services performed or goods purchased,on a letter which must contain a notarized certification statement. An example of the reimbursement request cover letter is included hereto as Attachment B. The submission must be in a form 2 'A satisfactory to the County Administrator and the Clerk of the Circuit Court (Clerk), and must identify expenditures incurred,with adequate supporting documentation, including receipts for paid bills and purchases. If the County Administrator approves the submission, he shall forward the same to the Clerk. If the County Administrator or Clerk determines that any expenditure is questionable,either of them shall return it to the Medical Examiner in writing with a written description of the deficiency(ies) and a request for further information. The County Administrator and Clerk shall approve any expenditure reasonably related to the delivery of services. under Chapter 406 and this Agreement to include at a minimum, but not be limited to, salary for the Medical Examiner in the amount of$23,833.33 per month or the amount approved in the annual budget, whichever is greater; salaries for employees in the amount of up to$20,000.00 per month or the amount approved in the annual budget, whichever is.greater; 401k or similar employer-sponsored type retirement plan payments not to exceed the IRS approved amounts and only with appropriate documentation such as, "pay stubs or 401K statements", and funds for locum tenens covering doctors in the amount of$1,500.00 per day at 2.33 days per month or the amount approved in the annual budget, whichever is greater. The total of reimbursement payments to the Medical Examiner for the fiscal year in the aggregate including the advance shall not exceed the total amount approved by the Board of County Commissioners for the budget of the Medical Examiner for FY 2017. Any portion of the Budgeted Amount that is not actually used by the Medical Examiner shall be retained by the.County at the end of the fiscal year, encumbered for the office, and added to the budget request for the next fiscal year. 3. This Amendment shall be effective retroactively as of October 1, 2019. 4. All other remaining provisions in the Agreement not inconsistent herewith remain in full force.and effect. g, ) c; II NESS WHEREOF, the parties hereto have executed this Amendments of th ei ‘=c-,--z$,,i 4,41 t above written. ` ,: : KEVIN ADOK, CLERK BOARD OF COUNTY7 c_. F,-.. r9E- in i —71 e�; e COMMISSIONE'S OF MONROE .' - °°',4,,, ' = ``r,'rn COUNTY, FLO t' ' S "' "eo- �-"By: Deputy Clerk �j!. � ` - -� MONROE COUNTY ATTORNEY'S OFFICE yor --b APPROVED AS TO FORM tiDigitally signed by Cynthia LHell �J�/���''�./ • '04 ON:cn=CynthiaLHall,o=M°nroe C V 4. County BOCC.ou.emallt"; cynthiae�manroecounty-Ogov, D tz.2� Date:2019.11.2312.4048-05'00' MICHAEL R. STECKBAUER, M.D., M+ M FORENS CS P.A. By: Michael R. Steckbauer, Presi 4 ,R, DATE(MMIDD/YYYY) -a►c`aR� CERTIFICATE OF LIABILITY INSURANCE ��- 12/17/2019 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 be endorsed. If SUBROGATIONIS 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 NUTMEG INS AGENCY INC/PHS NAME: 76210775 PHONE (888)925-3137 FAX (888)443-6112 (A/C,No,Ext): (A/C,No): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78251 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Twin City Fire Insurance Company 29459 MICHAEL R.STECKBAUER,MD,M&M FORENSICS,P.A. INSURER B: Hartford Casualty Insurance Company 29424 2850 SW 154TH AVE- INSURER C: DAVIE FL 33331-2601 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MM/DD/YYYY) (MM/DDIY YYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $300,000 CLAIMS-MADE X OCCUR• DAMAGE TO RENTED $300,000 PREMISES(Ea occurranc-J X General Liability MED EXP(Any one person) $10,000 A X 76 SBU IW6366 07/01/2019 07/01/2020 PERSONAL&ADV INJURY $300,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $600,000 POLICY 1 PRO- x LOC PRODUCTS-COMP/OP AGG $600,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $300,000 (Ea accident) - ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED A X 76 SBU IW6366 07/01/2019 07/01/2020 BODILY INJURY(Per accident) AUTOS AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS X AUTOS (Per accident) UMBRELLA LIAB _ OCCUR A, ROE Ir EACH OCCURRENCE EXCESS LIAB CLAIMS- B AGGREGATE MADE D DED RETENTION$ WAIVER\ ,,,.,, WORKERS COMPENSATION x PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY Y/N E.L.EACH ACCIDENT $100,000 B PROPRIETOR/PARTNER/EXECUTIVE — N/A 76 WEG AA4UV7 07/01/2019 07/01/2020 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below A EMPLOYMENT PRACTICES 76 SBU IW6366 07/01/2019 07/01/2020 Each Claim Limit $10,000 LIABILITY Aggregate Limit $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Those usual to the Insured's Operations.Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 and the Hired Auto and Non Owned Auto Endorsement SS0438,attached to this policy. CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 56639 OVERSEAS HWY BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED MARATHON FL 33050-5601 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD NORCAL MUTUAL® Certificate of Insurance Certificate Holder: Insured's Name and Address: Producer: Monroe County BOCC Michael Steckbauer, MD Arthur 1 Gallagher Risk Management 56639 Overseas Hwy 56639 Overseas Hwy Services Houston Marathon,FL 33050 Marathon,FL 33331 8511 South Sam Houston Parkway E Suite 200 Houston,TX 77075 Policy Number: 726831N Effective Date: 7/1/2019 Expiration Date: 7/1/2020 Insured Type:El Named Insured ❑ Insured El Locum Tenens Coverage A Type: ❑ Shared Limits ❑x Separate Limits Specialty:Forensic Medicine Important:This certificate certifies that the policy shown above has been issued and includes coverage for the Insured shown for the period indicated,subject to the policy's provisions and the required payment of premium. It is not an insurance policy and is issued for informational purposes only. It confers no rights upon the certificate holder and does not create a contract between NORCAL Mutual Insurance Company(NORCAL Mutual)and the certificate holder,nor does it amend,extend,or alter the policy's coverage. Notwithstanding any requirement or provision of any contract or other document with respect to which this certificate may be issued or may pertain,the insurance afforded by the policy is subject to the provisions of the policy. The Insured is responsible for informing certificate recipients of any policy changes,including declination of issuance or cancellation before the expiration date.An Insured's failure to provide such notice imposes no obligation or liability of any kind upon NORCAL Mutual,its agents or representatives. Coverages and Limits of Coverage Provided Coverage A:Medical Professional Limits of Coverage: Liability Insurance-Claims Made Retroactive Date: 07/01/2017 $500,000 Each Claim limit $1,500,000 Aggregate Limit Per Policy Period Coverage B:Administrative Defense Limits of Coverage: Insurance-Claims Made Retroactive Date: 07/01/2017 $50,000 Each Administrative Proceeding or Employment-Related Civil Action Limit $50,000 Aggregate Limit Per Endorsement Period Coverage C:Information and Network Limits of Coverage: Security Insurance-Claims Made Retroactive Date: 07/01/2017 $100,000 Each Claim, Regulatory Privacy Proceeding,or Loss Limit $100,000 Aggregate Limit Per Endorsement Period By: NORCAL Mutual Insurance Company Date Issued: December 23,2019 T.Scott Diener Kara Baysinger • Ay PR VE BSI IDA T� WA R N/A HCPC01-001 Page 1 of 1 12/01/2014 575 MARKET STREET,SUITE 1000,SAN FRANCISCO,CA 94105 T 844.4NORCAL NORCALMUTUAL.COM