Item D08 � D.8
� � �, BOARD OF COUNTY COMMISSIONERS
County of Monroe � ��r�i
�r � s�� Mayor Heather Carruthers,District 3
The Florida.Keys Mayor Pro Tem Michelle Coldiron,District 2
Craig Cates,District 1
David Rice,District 4
Sylvia J.Murphy,District 5
County Commission Meeting
April 15, 2020
Agenda Item Number: D.8
Agenda Item Summary #6611
BULK ITEM: Yes DEPARTMENT: Social Services
TIME APPROXIMATE: STAFF CONTACT: Sheryl Graham (305) 292-4510
N/A
AGENDA ITEM WORDING: Approval of an agreement between Key West PD, LLC d/b/a
Island Private Care and Monroe County Social Services/In-Home Services Program for period
beginning 01/01/2020 and ending 12/31/2020.
ITEM BACKGROUND: To provide contracted In-Home Services to the elderly and disabled
citizens residing throughout Monroe County on an as needed basis.
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
N/A
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
BACKUP Small Contract- Island Private Care 01.23.2020
FINANCIAL IMPACT:
Effective Date: 01/01/2020
Expiration Date: 12/31/2020
Total Dollar Value of Contract: $30,000.00
Total Cost to County:
Current Year Portion:
Budgeted: YES
Source of Funds: GRANT
CPI:
Indirect Costs:
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D.8
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: NO If yes, amount:
Grant: YES
County Match:
Insurance Required: YES
Additional Details:
REVIEWED BY:
Sheryl Graham Completed 03/03/2020 6:31 PM
Pedro Mercado Completed 03/04/2020 9:30 AM
Budget and Finance Completed 03/04/2020 9:33 AM
Maria Slavik Completed 03/04/2020 11:24 AM
Kathy Peters Completed 03/04/2020 11:35 AM
Board of County Commissioners Completed 03/18/2020 9:00 AM
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D.8.a
ADMINISTRATORATTACHMENT R.16
COUNTY
CONTRACT SUMMARY FORM FOR CONTRACTS LESS THAN $50,000.00
Contract : Keeat L la Contract#OD 192.0o
re—,, Effective Date: ' 1=1-2019 _
Expiration to 12-31-
Contract Purpose/Description
To rovi e co cte - e S e 'cds to a el erly is le citi a resi&
throe out Mlonroq�gou#� is,
m
Contract is Original Agreement Contract Amendment/Extension Ra e l
Contract er, e 10 y ocil : e to i
e ( .). (Department/Stop#
CONTRACT COSTS
. ,
0 ll alue c : ent ear o io
(must be less than$50,000) ' ' (if multiyear agreement then cy
requires BOCC approval,unless the N
,0,000
Budgeted? es O El AccountCodes:
I IS-
Grant: 1 1 120 1 q-t,'I
County1 %
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ADDITIONAL COSTS
Estimated i oats: / r o : y
dot included in dollar valueabove) ( .a.maintenance,utilities,janitorial,salaries, etc.,
CONTRACTate
0
Changes Date Out
Date In Needed Reviewer
Department Flea /1. /1 es o if 1/ 2
Risk ManagementI s o /
'
c i e ......
County Attorney Yes o
Comments:
-t ` Care-- 6410*9 QM t
i t e.
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D.8.a
Exec' uted ORIGINAL
aully
THIS AGREEMENT made and enteredi `Key West PD �
a 2019 by
and between Private # "ConsulY
Co�n
PhY
Si 'ling address is 22978 Overseasy, CudJoe Key, FL 33042, and whose remittance
address s 1200 4th Street #170, CD
Commissioners, s is 11 -257Florida,
rr
WHEREAS, ides In-Home Services to the elderly and disabled
Monroethroughout 2
WHMAS, the County
receives
ChildrenDepartment of t Florida
oAging, Inc., l >_
Agencyor Administration,
Countythe Monroe is i r es of providing In-Home
Services Countywide;
WHEREAS, and
the County has provided
to assist the vulnerableelderly
and/or disabled residentsremain in their homes and maintain independence r over 3 0 years; and
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WHEREAS, the County
desires to contract forIn-Homet t such .
servicesI e County; and
WHEREAS,Key West a LLC d/b/a Island Privateis qualified and desirw to provide In-
Home
Services;
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NOW THEREFORE, in consideration of the mutual covenantsro s contained
herein, follows.the parties agree as t hereto, or consideration r ' set
forth,mutually agree as ® y
.
Sc MyrMV,
Contractor shall provide `c or the County. The Contractor warrants ca
that it is authorized by law to engage in the performanceof the activitieshereinc ' subject ,
to the terms and conditions set forth in thesecontract documents. The provider shall at an times E
judgmentexercise independent� professional and shall assurne professionali ' ' for the U)
services to be provided, Contractor shall 'Ges using the following standards, CL
A. The Contractor I maintain adequate staffinglevels provide
contract,required under this
B. The personnel shall not be employeesr have any contractual relationship ' the
County.
C. All
I engaged in performingis ' contract shall be fully
qualified services.
' if r r localI s
uch
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Contractor2. PAYMENTS TO THE CONTRACTOR
A. The shall submit to the County an invoicedocumentation
acceptable .Acceptability to the Clarkis based on generally acceptedprinciples
laws,and such rules and regulations as may govern. 1 ' disbursement o .
B. Upon Monroe 's receipt of said invoices Clerk's Office
shall submit payment to the Contractor° CFloridaro t Payment Act.
E
The term of ' contract is for one year,retroactive to the 11 day of January,2019 and ending �
on the 3 1 y of December,2019.
RAEIQR12BSP-QNSIBILITMSt,
A. The rauthorized - o
elderly and/or disabled residents in Areas 1, 2, 3 and 4 for the unit .Only those
In-Home Services t are specificallyc CL
Servicesi 1 . In-Home 'c s will be provided
Contractor in accordancel y
licenses, and byindividualrkers qualified to perform such services as detailed in the Florida
Departmentof Elder Affairs issued lye 1 the CFOP 1Community
Care for Disabled AdWts Operahng Procedures, and in accordanceAgency for Health Cam
Administration ( required
In-HomeB. The smvices the Contractor will provide under these terms
C respite a -- - homemaker, personal care, and,. X chore, as
defined Y DOEA Handbook DCF CFOP 140-8 and AHCA guidelines as noted above and any >
thereto.subsequent revisions
C. The o Contractori `c 's contract
°t tfollow: -1.00/unit for in-home respite1. 't y
for homemaker, $25,00/unit for . ' r chore. A unitor each service �
definedJu2018,ly 140-8, and AHCA guidelines as noted
abovesubsequent revisions r of units of servicesperformed
client must be pre-authorizedin accordanceActivity 1 . —
D. The for will provide the In-Home service(s)de detailed above
`t rate agreed upon i n " abovein oll `c areas_ — 1, ® , _ ®3:
and _ _ tors required t select t least is in order
to ensure that In-Home Servicesv it 1 .
E. The Contractor will in t cases providein-Home istimeframes
agreed upon in the Activity Plan, Floridaof Elderis
Handbook Issued 1y 2 1 the CFOP .t - , Community Care for Disabled Adults Operating
Proce4res, and AHCA guidelinest ysubsequent revisions
Contractor t Monroe County Socials will designate representativesvisit
the Contractor's ci ' i s)periodically to conduct randomr other
contract monitoring activities
2
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ContractorF. The s, and shall maintain throughout the term of this contract,
appropriate is s approvals ire to conduct its business, and that it will at all '
conduct its businessactivities in reputable manner. Proof of such licenses approvals
shall be submitted to the County annually and upon request
G. The Contractor must maintain approvaltAlliance for Aging, N
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Inc., as a MedicaidChoice,if l .
CONTRACTOR'S5. 0)
Contractor , records, and documentsdirectly pertinent to 2
performance r this Agreement in accordancegenerally accepted accounting principles
consistently o to this Agreement or their authorized representatives
reasonable timely c records of each other party to this Agreementic
records term of the Agreement and for six years following
Agreement.this If an auditora r Clerk determines that monies
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to Contractor pursuant to thist were spent for purposes not authorized by this
Agreement, the Contractor shall a monies together with interest c cl t
to . 55.03,FS,running from the date the moniesr.6. PUBLIC ACCESS
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Public Records Compliance. Contractorcomply la " is records laws,including
limitednot to Chapter1 'an 24 of article I of the Constitution of Florida.
The County and Contractor shall allow and permit reasonable access ,and inspection of,all
records, x ,letters or o "public record7 materialsits possessionr its
control subject to the provisions of Chapter It ,Florida Statutes,and made or received by the County
and Contractor in conjunction with thist and relatedcontract
shall have the right to unilaterallyl this contract f this provision
Failureof the Contractort y the terms of Us provisionshall be deemed
breachmaterial of this contract and the County may enforce the terms of this provisiono y
a court proceeding ,as a prevailing '
and costs associateda 'si survive y termination or expiration
of the contract.
ContractorThe i c t c iFloridaPublic o c
complyto 'si
Pursuarit F.S. 119.0701 and the terms and conditions is required to E
(1) Keep and maintain public records that would
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( receipt om the County's County' custodian records,provide the County with a copy of the
recordsrequested copied 1 t a cost that
does not exceed the cost provided in thischapter or as otherwise1 .
( t public records that are exempt or confidential and exempt from public records
disclosure t disclosed excepto t E
term and following completion f the contract contractor does not transfer the records to the
County.
( ) Upon completion contract,transfer,at no cost,to the County all public records
possession c r keep and maintain publiccowould be required by the
County to petform the service.If the Contractor transfers all public records to the County upon
completion of the c r shall destroy any duplicate public records that are exempt
or confidential and exempt from public records disclosure requirements.If the Contractor keeps and
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D.8.a
maintains public records completion of the contract, the Contractorshall meet all applicable
requirements for retaining public records. All records stored lec °c lly must be providede
County,upon request a 's custodian records, i is compatible
information technology systems e
request to ` sect or copy lc records relating contract must directly
t s but if s not possessrequested records,the County shall i i t -�
notify the Contractor a request, and the Contractorr v e the records to the County or
allowrecords to be inspected r copied le time.
APPLICATIONIF THE CONTRACTOR HAS QUESTIONS REGARDING THE
119,FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC
RECORDS RELATING TO TIUS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC
RECORDS, BRIAN BRADLEY, AT ( 5)292-3470
7. INDEMNIFICATION/HOLD HARMLESS
Notwithstanding y minimum insurance require is prescribed elsewhere in this
agreement, o c 1 defend, indemnify and hold the County and the County's elected
appointedoffices, employees 1 s i (i) any claims, actions or causes
action, (ii) any litigation, administrative r c i , appellate proceedings, or other proceedings
relating to any type of injury ( c1 i e ), loss, damage, fine, penalty or business
interruption, and (iii) any costs r expenses that may be assertedagainst, initiated withrespect
r sustained by, any indemnified y reason , or in connection with, (A) activity o
Contractory of its employees, agents, sub-contractors or other invitees during the term o
this Agreement, ) the negligence or willful misconduct of Contractor or any of its employees,
agents, sub-contractors r other i vit es, or ( ) Contractor's default in respect of any of the
obligations t it undertakes under the terms of this Agreement, except t the claims,
actions, causes of action, litigation, proceedings, cost or expenses arise from the intentional
or sole e li t acts or omissions of the County or any of its employees, agents, or invitees
(other than Contractor). Insofar as the claims, actions causes cti , litigation, c s,
cost or expenses relate to events or circumstances that occur duringterm of this Agreement,
this section will survive the expirationf the term of this Agreement or any earlier ti
this Agreement.
The extent of liability is in no way limited reduced, or lessened y the insurancerequirements
contained elsewhere is agreement.
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8. INSURANCE, -REOUIREhffiNTS
Prior to execution f this agreement, the contractor shall r is the Owner Certificates
of Insurance indicating the minimum coveragelimitations as indicated as: WC1, VL2,
attachedand GLI s a Certificate of Liabilitya ret incorporated as part of
this contract document, and all otherr it s found to be in the best interest of Monroe
County s may be imposed the Monroe County Risk Managementt.
9. NON-WAIVERNotwithstand® °si s of Sec. 7 . , Florida Statutes, the participation of the
County and the Contractor in this Agreement and the acquisitionf any commercialliability
insurance coverage, self-insurance coverage, or local v e t liability insurance l
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coverage shall not be deemedf immunity o the extent of liabilitycoverage, nor shall
y contract to into required to contain any provisionor waiver.
10. MEPMENT -
t l times for ®® _underi t the Contractor i
s an independent
contractor and not an employeeof County Commissionersof Monroe County.
statement contained in thist shall be construed so as to find the
employees, contractors, servants, o employees of Contractor r f c�County
Commissionerso
11.
ContractorCounty and agree that there will be no discrimination
it is expresslyr that upon a determinationcourt o competent jurisdiction
that discrimination has occurred, this Agreement automaticallyterminates without any further
actionon , effective the date of the court order. Contractor agrees t
comply with ll Federal and Floridastatutes, and all local ordinances, as applicable
relating to nondiscrimination. include t limited : 1 Title i `,
Rights Act of ®352) which prohibits ' c . .c race, color ornational origin; 2)
Titleof c 1972, s,
1 1- 1683, and 1 - 1686), which prohibits discriminationbasis Section
504 of the Rehabilitation Act of 1973, as amended {20 USC s. 794) which prohibits
discrimination s i } The Age Discrimination Act of 1975. as amended (42
.yamUSC ss. 1 1- 107) which prohibits discrimination on the basisf } The Drug Abuse2
Office t Art of
1 ? ), 1 o ' c ' ca
basi v Alcohol Abuse and_ Alcoholismr v , Treatment
Rehabilitationand c 1 1- 1 ), as amended, rinondiscrimination on the
basisof abuse or c Health Service 1912,
7 - ® )9 as amended, relating to confidentiality of alcoho1 and
abusedrug t r } Title VIII of the Civil Rights Act of I t
seq.), as amended, relating 'o , rental or financing . )
AmericansThe i c s. 1201 Note), as maybe amended
from time to time, relating isc ' i don on the basis of disability; ) Monroe
County Code . 1 , Art. VI, prohibitingdiscrimination on the bases of race, color, sex,
religion, disability, national origin, c , sexual orientation, gender identity or expression,ili s r f I } r provisions y rstatei
whichstatutes to the parties to, or the subjectthis Agreement
. ASSIGNMENT/SIMCONTRACT
The °Contractor shall not assign or subcontract its obligationsr this agreement, except
In writing and withthe prior written approvalCommissioners
whichMonroe County v shall be subject to suchprovisions y deem E
necessary. 's paragraph shall be incorporated reference into any assignment or
subcontract si e subcontractor shall comply with all of the provisions
Unless expressly providedr therein, such approvalin or event
deemed to impose any additional obligation upon the board.
13. CQW
In providing al services/goods pursuantservices! to thisContractor shall abide by
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D.8.a
I statutes, ordinances, l regulations , a r provisions
services, cl .ng those now in ct o ,
ordinances, l s t ' 's statutes,
entitle terminate this contract immediately livnotice
te'rminat'Onto the contractor. The contractor shall possessto performwork in
accordancespecifications a contract. r sW US
Department of Homelarld Security's -vm* system to verify the employment eligibility l new
employees ' e contract t to this agreement.
.
0 TT
c t comp'
Y The coatm r ) -
e bilitation Act of
,
p
U.S.C. 7 , i et l I } the
sa
(hereinafter refermct
American with b s
. Part 35
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b. The
contractor I 1 r lay
Contact (one per firm) toeffective communication with deaf or hearing clients or
c v c c y
forcontractor's. . ,
t
14 calendar days of the .v
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e date of this requirement
e. The -a - c l t employees are aware of the requirements,
roles rresponsibilities,,
employeesi . . bSingle-Point-of-Contract
c i compliance 2
Furthecontractor l attest in writing t they a 'familiartof ca
Section .
.s shall be maintained in the employee's personnel
d. The contractor's Single-Point-of-Contract conspicuous 'c .L
aboutCL
provide information vauxiliary services - c
ost to the
deaf r clients or companions r caregivers peopleenter v
are
,
admittedagent locations. .c t , not later
June 2010. e vNotice Internet
0
The U
contractor shall documentCustomer's or c c 'v 's preferred
of communication and any requested aids/services client's c .
Documentation, with t honored. The
r ®tsupportingjustification,must if any request was
t later 1 s o c
Socialh mouth,to the
Monroe County s Compliance y,
.Tle
no I—X
c r r it, i 'tact r , r' ci i s epresentlyv
e E
t t i it ct, is ea I i
c c ' Sect.
lI .3 ct in
any mann 1, ., t t . t cemployees
recognize and will be required to comply t f conduct for
employees delineated
` ° ar cc ci 112.313, FloridaStatutes, regarding, limited ,
gifts;sole of doing business withGunauthorized compensation;
misuse `c position, conflicting I r contractual relationship; disclosure
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or use of certain information.
executionUpon ct, and thereafter as changes may require, Contractor
shall notify the County of any financialinterest it v l programs in Monroe
whichCounty Contractor sponsors, endorses,recommends, supervises,or requires for
assistance, evaluation, r provision This shall apply r is
r condition probation, or is provided on voluntary
The County and Contractor warrant that, ` respect to itself, it has neither employedr CD
retained any company or person, r than a bona fide employeeworkingl r it, to �
solicitr secure this Agreement and that it has not paid or agreed to pay any person,
company, corporation, r firm, other than a bona fide employee ' l it,
any fee, commission, percentage, gift or otherconsideration t upon or resulting
the award r making of this Agreement. For the breach or violation of the provision, the
Contractor agrees that the County shall have ° t
e this Agreement without
liability , at its discretion, t t from moniesotherwise recover, CL
amount of such fee, commission, consideration.
16, NO LEDGE OF QRMUThe `✓
Contractors "s credit or make it a guarantor of payment or
surety r any contract, debt obligation, judgment, lien, form of indebtedness.
Contractor is and representsor indebtedness
impair its abilityterms of this contract.
.
Any notice r permitted under this agreement shall writingbe 'in delivered
r mailed,
all prepaid, to the other c mail, receipt requested, to CL
the Monroe County and County Attorney
1100 SimontonStreet - 7 1 1 t Suite
y Wes�,FL. 33040 Key West, b
Key t PD,LLC d/b/a Island Private
Attn:Managed Care
1 Hugh Wallis
Lafayette,LA 70508
1 . IAXES
The County s exempt from payment of Floridas taxes. The Contractor
exemptedshall not be ' tt to its
suppliers s used to ffiffilli r this contract, nor is
authorized tExemptionr in securing such t ri s. The
Contractor shall be responsible for any and all , or paymentswithholding, related to
services rendered under this t,
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19. TERMINATION
e County may terminate this contract for cause with seven ( ) days notice to the
contractor. Cause shall constitute a breach of the obligations of the Contractor to perform
services enumeratedContractor's obligations under this contract.
Either of the parties hereto may terminate this contract without cause by giving the other
party s' ( days written notice of its intentiono do so.
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A. This Agreement shall be governed by and construed in accordancef 2
e State of Florida applicable to contracts made and to be performedentirely in the State.
the event that any cause of action or administrative proceeding is instituted
r the enforcement or interpretation of this Agreement,the County and Contractor agree that venue
will lie in the appropriate court before the appropriate administrative body in a
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Florida.
C. Ile County and Contractor agree that, in event of conflicting interpretations of
the terms or a term of this Agreement by or betweeny of them the issue shall be submittedt
mediation prior to the institution of any other administrative or legal proceeding.
D. avers ilit . If any term, covenant, condition or provision aft this e e
(or the application thereof to any circumstance or person) shall be declaredinvalid or 2
unenforceable to any extent by a court of competent jurisdiction, covenants,
conditions r `si of this Agreement. shall not be affectedthereby;
covenant, condition and provision of this Agreement shall be valid and shall be enforceable t
the fullest extent permittedlaw unlessenforcement oft the remaining terms, covenants,
conditions o 'sia Agreement would preventthe accomplishment of the original intent
of this e e e County and Contractor agree to reform e Agreement to replace any strickeny
provision valid provision that comes s close as possible to the intent of the stricken
provision.
E. a 's Fees and Costs. The County and Contractor agree that in the event
y cause of action or administrative proceedingis initiated or defended by any party 'ru I
relative tote enforcement or interpretation of this Agreement, the prevailing party shall
e entitled to reasonable attorney's fees, court costs, i veti tie, and out-of-pocket expenses,
as an award against e non-prevailingclue , courts costs,
investigative, and out-of-pocket expenses in appellatece ° . Mediation proceedings initiated
and conducted t to this Agreement shallbe in cco ce with the Florida Rules of Civil cc
Procedure to procedures required by the circuit court of Monroe County.
F. Adjudication is u or Disagreements. County and Contractor agree that
1 disputes and disagreements shall be attempted to be resolved by meetconfer sessions
betweenrepresentatives of each of the parties. If no resolutione agreed upon
days after the first meet and confer session, the issue or issues shall be discussed at a public
meetingof the Board of County Commissioners. If the issue or issues are still not resolved to the
satisfaction of the parties, then any party shall have theright to seek such relief or remedy as may
be provided t or by Florida l .
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G. Cooperation. In the event any administrative or legal proceedingis instituted
against either party relating formation, execution, o c , or breach of this Agreement,
County ctor agree to participate, tote extent required , in 1
proceedings, hearings, processes, other activities relatedto the substance of this
Agreement or provision of the services under this Agreement. County and Contractor
specifically e that no party to this Agreement shall be required o any arbitration
proceedings related to this Agreement.
21. RINDING EFFECT
The terms, covenants, conditions, and provisions of this Agreement shall bindto
the benefit of the County and Contractor and their respective legal representatives, successors,
and assigns.
22. AUTHORITY
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Each party represenis and warrants to the other that the execution, delivery and performance
of this Agreemente been duly authorized by all necessary corporate acio ,
as required bylaw. W
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23. CLAIMS FOR )ERAL OR STATE AID C44
Contractor and Countye that each shall be, and i ,empowered o apply for,seek and obtain
federal and stateto fialher the purpose of thisAgreement; provided 1 applications,
requests, grant proposals, and funding solicitations I be approved cprior to
submission.
4.
1 of the privileges and immunities from liability, exemptions o laws, ordinances, and
rulese ions and relief, disability, workers' compensation, other benefits `c ly to
e activity of officers, agents, or employeesf any public agents or employees of the ,
when performing teir respective functions under this Agreement withinterritorial limits of
e County shall apply to the same degree and extent to the performanceof such functions
duties of such officers, agents, volunteers, or employees outside e territorial limits of the County.
OBLIGATIONS
Non-Delegation of Constitutional or Statutory Duties: This Agreement is not intended to,
nor shall it be construed , relieving participating entity o obligation t CL
responsibility impose o entity by law except o the extent of actual and timely
performanceeo y any participatingn `t , in whiche the performance may be offered
in satisfaction of the obligation or responsibility. Further, this Agreementis not intended to,
r shall it be construed as, authorizingdelegation of the constitutional or statutory duties of
the County, except to the extent • Florida constitution, state statute, and case l
6. - Y -PARTEES.
No person or entity shall be entitled to rely upon the terrns,or any of them, of this Agreement
enforce or attempt to enforce any third-partyclaim or entitlement to or benefitf any service o
program contemplated here e , and the CountyContractor ree that neither
County nor the Contractor or any agent,officer, or employee of either shall have the authority
o inform, counsel, or otherwise indicate icul individual or group of individuals,
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entity or entities, have entitlements or benefits under this .Agreement separate and apart, inferior
r superior to the community in generalr for the purposes contemplated in this Agreement.
27. ATTESTATIONS
Contractor agrees to execute such documents as the County may reasonably require, to include
Public Entity Crime Statement,an Ethics Statement, and a Drug-Free or lac Statement
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LIABILITY28. NO PERSONAL
No covenant or agreement contained hereinshall be deemed to be a covenant or agreement o
member,any officer, agent or employee of Monroe County in his or her individual capacity, and no
member, officer, t or employee of Monroe County shall be liablepersonally on this Agreement
or be subject to any personal liability or accountabilityy reason of the execution of this Agreement
29. EXECUTION IN COLNTERPARTS_
This Agreement may be executed in any number of counterparts, each of whiche
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regarded original, all of whichtaken together shall constitute one and the same
instrument and any of the parties hereto may execute this Agreementsigning y such
counterpart
Section a ve been inserted in this Agreement as a matterof convenience of
reference it is at such section a ins are not a part of this Agreement
will.not be used in the interpretation of any provisionof this AgreemenL
1. PROVISIONS REQUIRED BY FEDERAL LAW,2 CFR Dart 200.
A. Equal Employment Opportunity, 'o isio : CL
agreeCONTRACTOR and COLINTY that there will be no discrimination against any person,
and it is expressly understoodupon a determinationcourt of competent jurisdiction that
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discrimination has occurred, this Agreement automatically terminates ' out any further action o
e paft of any party, effective a date of the court order. CONTRACTOR or COUNTY agreeso
comply e Florida t 1 local ordinances, as applicable, relating
nondiscrimination. These include of limited to: )Title VII of the Civil Rights Act of 1964 U
L -3 )which prohibits ` c ' 'o on the basis of race,color or national origin;2)Title
of the Education Amendmentof 1972, as amended(20 USC ss. 1681-1683, and 1 -1 ),which
prohibits discrimination`on on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as CL
amended (20 USC s. ), which prohibits discriminationo o ; 4) The Age
Discrimination Act of 1975, as amended(42 USC ss. 6101-6107)which prohibitsdiscrimination o
basisthe of age; 5) The Drug Abuse Office and Treatmentc of 197 2- 55), as amended,
relating o f 'on on the basis of drug abuse; Comprehensive Alcohol Abuse and
Alcoholism rev 'on,Treatment and Rehabilitation Act of 1970 QL 91-616),as amended,relating
to nondiscrimination on the basis of alcohol abuse or alcoholism; Public Health Service Act
of 1912, ss. 523 and 527 -3 and 290ee-3), as amended,relating to confidentiality
of alcohol and drug abuse patient records; i of the Civilc of 1 (42 USC s.
3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing;
e Americans with Disabilitiesc 1 (42 USC s. 12 101 Note), as may be amended from
time to time, relating to nondiscrimination on the basis of disability; 1 Monroe County Code
Chapter 1 , Article 11, whichro ' i on the basis of race, color, sex, religion,
1
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nationalorigin,ancs ,sexual orientation, e eridentity or expression,familial status or age; 11
Any other nondiscrimination provisionsy Federal or state statutes whicha to the
partiesto,or the subject matter o , this Agreement.
During e performance of this Agreement, the CONTRACTOR, in accordance with Equal
Employment o (30 Fed. Reg. 12319, 1293 5,3 C.F.R. Par, 1 1 0 .,p. ),as
amendede ive Order 11375, AmendingExecutive Order 11246 Relatingo Equal
Employment ortunity, and implementing regulations at 41C.F.R. Part 60 ( cFederal
Contract Compliance Programs, Equal EmploymentOpportunity, Department of or , See 2
C.F.R.Part 2 ,Appendix , agrees Mows:
:
1) The contractor will not discriminate against any employeer applicant for
employment beeau of race,color,religion,sex,sexual orientation, r identity, r national
origin. contractor will take affimative action to ensure that applicants e eznployed� and
that employees e e employment out regard to their race,color,religion,sex,
sexual orientation, gender identity, or national ` ' . Such actionshall include, t not be
limitedo the following: to a t, upgrading, demotion, or transfer, recruitment o
recruitment advertising;layoff or ' of pay or other forms of compensation; and
selection for training, including apprenticeship. e contractor agrees to post in conspicuous
places, available to employees and applicants for employment, notices to be provided
contracting officer setting forth the provisions of this nondiscrimination ci
e contractor will,in l solicitations or advertisements for employees placed
y or on behalf of the contractor, state that all qualifiedapplicants 1 receive consideration �i
for employment without regard to race, color,religion, sex,sexual orientation, er identity,
or national origin.
CL
The contractor will not discharge or in y other to against
y employee or applicant for employment becauses employee or applicant has inquired
out, discussed, or disclosed the compensation of the employee or applicant or another
employee or applicant. This provisions 1 not apply to instances `c employee o
has access to the compensation information other e loyees or applicants f such
employee's e j functions disclosesa co o c o employees r Ui
applicants o individuals who do not otherwise have access to such o 'ounless such
disclosure is in response to a formalcomplaint charge, in er ce of an investigation,
proceeding, hearing, or action, includinginvestigation conducted by the empler, or is CL
consistent with the contractor's legal duty to finnisho 'o .
4) The contractor will send to each labor union or representative of workerswith
whichit has a collective e e t or other contract or understanding, a notice
be rovided by the agency contracting officer, advising the labor union or workers'
representative of the contractor's commitments e section xecu ive Order 11246 of
September , 1965, and shall post copiesof the notice in isuous places availableto
employees lac for employment.
5) The contractor will comply with all provisions of Executive Order 11246 o
September 24, 1965,and of the rules,regulations,and relevant orders of the Secretary of Labor.
1
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e contractor will furnish all informationo required by Executive
Order 11246 of September 24, 1965, and by the rules,regulations, and orders of the Secretary
Labor,of or pursuant thereto, and will permit access to his books,records,and accounts
contracting ency and the Secretary of Labor for purposes of investigation to ascertain
compliance crules,regulations, .
N
7) In the event of the contractoes non-compliance with the nondiscrimination
clauses of this contract or with any of such s, regulations, or orders, this contract may be
canceled, to or suspendedwhole or in contractor may be declared 0)
ineligible for finther Government contracts in accordancer ' e 2
Executive r er 11246 of September , 1965, and such other sanctions may be imposed
remediesinvoked ro ' e in Executive Order 11246of September 24, 1965, or by rule,
regulation, or order of the Secretary of Labor,or as otherwise providedlaw,
e Contractor will include the portion of the sentence immediately c (1)
and the provisions o (1) through (7) in every subcontract or purchase order unless
exempted regulations,or orders of the Secretary of Labor issued t to section 204 o
Executive Order 11246 of Septernher 24, 1965, so that such provisions i c
subcontractor or vendor. The Contractor will take such respect to any subcontract or
purchase order as the administeringagency maydirect enforcing cprovisions,
including sanctions for non-compliance;provided,however, that in event contractor becomes
involved in, or is tbreatened , litigation with a subcontractoror vendor as a result of such
direction y the administering agencycontractor may request the United States to enter into such
litigation rotect the interests of the United States.
3 .
e Contractor and its subcontractors must followprovisions, applicable, set forth
Appendix H o 1 C.F.R.Part 200,as amended,including ut not limited to:
A. Davis-Bacon c , as amended (40 3 1-31 ). When required by
Federal legislation, which includesemergency Management Preparedness Grant
Homeland ec t Program, Nonprofit Security Grant Program,
GrantHomeland Security roSecurity Program iGrant U
Program, e construction contracts in excess of$2,000 awarded by non-Federalentities
must comply a Davis-Bacon (4U.S.C. 1-31 , and §§3146-3148) s
supplemented by Departme of Labor re 5,"Labor Standards Provisions
Applicable to Contracts CoveringFederally ced and Assisted Constiuction7). In
accordance a e, contractors must be required to pay wageso laborers
mechanicst o rate not less than the prevailingspecified e determination made
y the Secretaryof Labor. In addition, ors must be required to pay wages not less than
once a week. If applicable, ce a current prevailing 'o E
issued by the Department of Labor i solicitation. The decision to award a contract o
subcontract a conditioned upon the acceptance ofthe wage determination.The COUNTY
must report r reported l ' to the Federal awarding agency.When required
y Federal program legislation, which includes emergency e t
Homelandcurity Grant Program, Nonprofit Security Grant Program,
HomelandecProgram, a t Program and TransitSecurity t
Program(it does not apply to other FEMA grant and cooperative agreement programs,including
2
Packet iPg. 307 i
D.8.a
e Public Assistance Program), the contractors must also comply e Copeland
"Anti-
c !' ActU.S.C. § 3145), as supplemented a en of Labor regulations (29
CFR Part , "Contractors con tors on Public Building or Public WorkFinanced i
Whole or in Part by Loans or Grants from the United "). As required a Act, each
contractor or subrecipient is prohibitedo uc' , by any means, any person employed
e 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 suspectedor reported
violations er enc .
1) Contractor.The contractor s 1 comply 1 , 3145, CD
and e requirements of t. 3 as may be applicable, which are incorporated2
Terence into this contract.
Subcontracts. e contractor or subcontractor shall insert subcontracts the
clause above other clauses e FEMA may by appropriate instructions require,
also a clause requiring the subcon ' clue these clauses in lower tier
The rime contractor shall be responsible for 1he compliance by any subcontractorr lower tier
subcontractor of these contract clauses.
breach of the contract clauses above may be groundsor termination
of the contract, and fore t as a contractor and subcontractor as provided
5.12.
B. N
Contract Work Hours and Safetyc (40 U.S.C. 7 1- ). Where
applicable,which includes cooperative agreement 1 contracts 2
awardede COUNTY in excess of$100,000 thatinvolve the employment of mechanics or
laborers comply 3702 and 3704, as supplemented by Departmentof
Labor regulations (29 C ). Under 40 U.S.C. §3702 of the Act, each contractor must
compute a wages of every mechaniclaborer on the basis of a standard workweek of 40
hours. or in excessof the standard workweek is permissibleprovided e worker i
compensated of not less than one and a half times the basic rate of pay for all hours
worked in excess of 40 hoursor ee . The requirements of 4U.S.C. 3704 are
applicable o construction work and provide that no laborer or mechanic must be required to
work in surroundings or under workingconditions wh'c a unsanitary, hazardous or
dangerous.These requirements do not apply to the purchases of supplies or materials or articles ca
ordinarily available on the open market, or contracts for transportation or transmissiono
intelligence.
CL
C. Rights to Eaventions MadeUnder a Contract or Agreement.If the Federal
meetse definition of"funding t" ) and the recipient o
subrecipient wishesenter into contract with a small business firm or nonprofit organization
regarding the substitution of parties, assignment or performance of experimental,
developmental, r research agreement"the recipient or subrecipient
must comply requirements of 37 CFR Part 401, "Rights to Inventions Made by
Nonprofit Organizations and Small Business Firms Under Governmenton
Cooperative Agreements,"and any implementingregulations issued by the awarding agency.
CleanD. ct( 2 U. . . 7 1-? 71 .)and the Federal WaterPollution0 of
Act (33 U.S.C. 1 5 -13 ). Contractor agrees to comply li bl , orders
or regulations issued pursuant to the Clean Air Act( 2 . .C. 4 1-7 7Federal
13
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Waterll `on Control Act as amended(33 U.S.C. 151-13 )and will report 'ol ti to
FEMA and e Regional Officeof the Environmental Protection Agency ).The Clean `r
Act ( 2 - 71 .) and the Federala u `on Control Act ( 3U.S.C. 1 1-
1 ), Contracts and subgrants of amounts in excess of$150,000.
E. Debarment `o (Executive Orders 12549 and 12 t
award (see 2 CFR 1 of be made to parties listed on the governmentwide
exclusions e System for Award Mamgement ( , in accordance e OMB
guidelinesat 2 CFR ISO that implement Executive Orders12549 (3 CFR part 1
1 ) and 12 (3 CFR. part 1989 Comp., p. 25), "Debarment io ." SAM
Exclusions contains e names of parties debarred, suspended, or otherwise excluded
agencies, ll as parties declaredineligible r statutory or regulatory authorityother than
Executive r r 12549.
F.
Byrd Anti-LobbyingAmendment ( 1U.S.C. 3 2 o tors l or
bidor a exceeding t file the required certification. Each tier certifies t
e tierabove that it will not and has not used Federalappropriated s to pay any personr
organization for influencing or attempting to influence officer or employee of any agency,a W
member of Congress,officer or employee of Congress,or an employee of a member of Congress
in connection obtaining any Federal contract, grant or any other award covered 1
U.S.C. 1352.Each tier must also disclose any lobbying non-Federal eplace
in connection with obtaining any Federal award. Such disclosuresare forwarded tier to
tier up to the non-Federal award. 2
0. Compliance with Procurement of recoveredmaterials o
200.322. CONTRACTOR must comply section 6002 of the Solida disposal Ac4 as
amended, a Resource Conservation and Recoverye requirements of Section 6002
include r only items designatedguidelines of the Environmental Protectiony
t 2 t c a percentage of recovered ate ` e,
consistent with n
maintaining a satisfactory level of competition, re the purchase price of the
item exceeds $10,000 or the value of the quantity acquirede preceding fiscale
exceeded 1 , e management servicesin er that maximizes
energy arecovery; establishing ' r ent program for
procurement of recoveredmaterials identified in the EPA guidelines.
H. Americans with Disabilities c of 1990, as amended ( ) — The CL
CONTRACTOR will complye requirements as imposed ,the regulations
of the Federal governmentissuedthem-under, and the assurance by the CONTRACTOR
pursuant thereto.
I.Disadvantaged Business )Policy and Obligation-It is the policy of the E
COUNTY that ' ,as defined . . . Part 26,as amended,shall have the opportunity
to participate in e performance of contracts financed in wholeor in
under this re en . The DBE requirementsof applicable federal and state laws and
regulations aply to this Agreement. The COUNTY and its CONTRACTOR agree ensure
that 's have the opportunity to participatein ce of this Agreement In this
regard, all recipientscontractors e all necessary reasonable steps in ccor ce
with C.F.R. § 200.321(asset forth in detail below), applicable federal and state laws and
1
Packet iPg. 309
D.8.a
regulations to ensure that the DBE's have the opportunity to compete for and performcontracts.
The COUNTY and e CONTRACTOR and subcontractors shall not discriminate on the basis
of race,color,national origin or sex in the award and performance of contracts,entered pursuant
to this Agreement
C.F.R. .32
WOMEN'S BUSINESS ENTERPRISES,AND LABOR SURPLUS AREA FIRMS
1 If the CONTRACTOR, with the funds authorizedAgreement, seeks to
goodssubcontract r services,then,in ccor ce with 2 C.F.R. .3 2 1,the CONTRACTOR
shall take the following tiv s to assuret minority businesses,women's businesswomen' E
enterprises, and labor s lus area firms are used whenevera i le. 2
Affirmative2. steps must include:
a) Placing qualified small and minority businesses and women's business
enterprises on solicitationlists,
b) Assuring t small and minoritybusinesses, and women!sbusiness enterprises
are solicited whenever of c ;
CL
c) Dividing total requirements, when economically feasible, into smaller tasks or
quantities to permit maximum participation by small and minority businesses, and wornen's
business enterprises;
Establishing liv schedules, ere the requirement permits, which
encourage participation by small and minoritys` e ,and womedss enterprises;
Using a services and assistance, as appropriate, of such organizations e
Small Business Administration and the Minority BusinessDevelopment cy of the
Department of Commerce. 2
Requiringe Prime contractor, if subcontractor are to be let, to take the `ve
steps lists )through( f this section.
CL
J. The Contractor shall utilize the U.S. Department of Homeland Security's -Verify
system to verifyemployment eligibilityof all newemployees ire e Contractor duringy
e term, of the Contractexpressly require any subcontractors orming work or
providing services pursuant to the Contract to likewise utilize e U.S.Departmentof Homeland
Security's E-Verify systemverify employment eligibility of all new employees ' e
e subcontractor during the Contract
3 .
This t has been carefiffly reviewed y the Contractor and the County. Therefore, this
agreement is not to be construed y party on the basisof authorship.
THE REMAMER OF TMS PAGE HAS BEEN][14TENTIONALLY LEFT BLANK
Packet;Pg. 310
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OR11GINAL
IN WITNESS WHEREOF the parties hereto have executed this Agreement on the day and date
writtenfirst v our (4) counterparts, each of wWch shall, without proof or accounting for N
the other counterparts,be deemed an original contract.
COMMISSIONERSCD
BOARD OF COUNTY
Sheryl Graham,OF MONRO UNTY,FLORIDA
CWDP
CL
T•Director,Monroe County SocialServices
N
Key
N
West PD,LLC
dba.Island •
vate Cam
By: to
V�S Print name
Title: TMUMLer
0
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ASS
1
%1E
Packet iPg. 311
D.8.a
3010 Edmon
WORKERS' COMPENSATION INSURANCE REQUIREMENTS
FOR
"" m
BETWEEN
MONROE COUNTY,FLORIDA
AND
�1 CV
Prior to the commencement of work governed by this contract, the Contractor will obtain Workers' �
Compensation Insurance with limits sufficient to respond to applicable Wor rsp Compensation
state statutes and the requirements of Chapter 440,Florida Statutes.
In addition,the Contractor will obtain Employers' Liability Insurance with limits of not Less
than:
100,000 it Injury by Accident
Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease,each employee
Coverage will he maintained khroughout the entire term of the contract.
N
Coverage will be provided by a company or companies authorized to transact business in tilt State ry
f Florida.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized %clf- ti
inStlrcr, tilt County may recognize and honor the ontiaactor's status. The ontractor may be
required to submit a Letter of a uth aifaation iti ued by tilt Department cal` a bnr a,nd as Certificate
01 1114111111 C, laarxa°iclin cletat'als can the 01111aactc►r's I LCY, Iwurance Program. CL
11'the onn-actor participates ill a self-insul ance fund, c1 Curtilic.ve of Insurance will be I° ga.airccl.
Ill addition, the cuniraetoa 111,15' lte lVEILOICLl 10 ,SUbiilit tslxlaILCLI lintantiall sttatcnients from the fund
tallclal re(latc;t from theCount).
0
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WC]
Administr;tlive insarttcdon 7500.7
Packet iPg. 312
D.8.a
12 Men
BUSINESS AUTOMOBILE LIABILITY INSURANCE REQUIREMENTS
FOR
.�
N
MONROE COUNTY,FLORIDA CD
AND
(- r
Id/b/at
Recognizing t the work governed by this ct requires the use ofvehicles, t c ,
priorto the commencement of work, shall obtainBusiness Automobile Liability
Coverage will be maintainedthroughout the life of the contract and include,as a minimum,liability
coverage for.
® Owned, ®and HiredVehicles
7lic minimumlimits cc is: W
Combinedi 1 Limit N
N
F split limit-,are provided,the minimum li ils acceptable
Person$200,ODD per
r Occurrence
$200,000 PropertyDamage
The Monroe County al a ty Commi-,Qonctq will mct as Additional insured all
po icieN i%%Bctl to a i r �the above turclucil1%. CL
0
CL
Administruffiv Insinwilim 7510 7
Packet iPg. 313
D.8.a
PROFESSIONAL LIABILITY INSURANCE
FOR
BETWEEN
MONROE COUNTY,FLORIDA
AND Oak
t � '
Recognizing that the work governed by this contract involves the furnishing of advice or services �
of a professional nature, the Contractor will purchase and maintain, throughout the life of the
contract, Professional Liability Insurance which will respond to damages resulting from any claim
arising out of the performance or professional services or any error or omission of the Contractor
arising out or work governedthis contract.
e minimurn limits of liability are: .CL
L
$500,000 per ccurrence 1,000,000 Aggregate
cv
If coverage is provided on a claims made bwsis, an extended clams reporting period of ruler(4)
years will be re tired. ry
CL
0
76
CL
6 deninistr ali%u i►►s►rc►a.►ion TWO 7
Packet iPg. 314
D.8.a
201H Edhion
GENERAL LIABILITY INSURANCE REQUIREMENTS
FOR
aq-MONROE
COUNTY,BETWEEN
CD
FLORIDA
Prior to the commencement f wor• governed by this contract, the Contractor will t 'n
Commercial General Liability Insurance. Coverage will be maintained throughout the life of the
contractand include, as a minimum
• Premises Operations
• Products and CompletedOperations
• Blanket Contractual Liability
• Personal Injury Liability
The minimum limits acce to le is:
$300,000 CombinedSingle Limit
n Occurrence Form policy is preferred. if coverage is provided on a Claims a policy, its
provisions should incline coverage or claims filed n cr «after the effective ate of this contract. ry
n addition, the period for which clain}S may be reported should extend fora mini ium of twelve
1 ' nths following the aacce tanec of work by the County.
' he Monroe County Board of County Cornnfitisioners will e nanied asAdditional Insured on all
policies issucd to satisfy the above reyaaircincnt%.
CL
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ca
�4d�Gt�nisGrai�°c t�sttcasaiwtin�5t1(�.t�
44
Packet iPg. 315
D.8.a
(MWDWYYYI
CERTIFICATE OF LIABILITY INSURANCE
lle� 112012020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS RIGHTS UPON THE CERTIFICATE CL ER, THIS
CERTIFICATE AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEDY THE POLICIES
BELOW, IS CER71FICATE OF INSURANCE T CONSTITUTE A CONTRACT E ISSUING IN (S), AUTHORIZED
REPRESENTA71VE OR PRODUCER,AND THE CERTIFICATE LC .
IMPORTANT: If the cart!ficats holder Is an ADDITIONAL INSURED,the polC g )must have ADDITIONAL INSURED provislons or be ondomed.
If SUBROGATION IS WAIVED,subject c to the terms and conditions of the policy,certain Policies may require an endorsement. A statere nt on
this certificate does not confer qqhts to the certificate holder In lieu of such en o [clan e
PRODUCER Glenn LeBlanc
Arthur J. Gallagher Risk Management Services, Inc. PHONE
b i hYandia rive, Iaitls 0i 37-75 -080 !; -2234
Baton Rouge 70810 Lss: Glenn.LeB anp@lhpgroup.com N
N
INSURER S AFFORDING COVERAGE NAIC
INSURER A-.Illinois Union InsuranceComa n 27
INSURED LHCGRO INSURER a.ACE American InsUren Ceara era 22667
LHC Droll ® Inc.
001 Huh allis Rd-S INSURERC,
Lafayette LA 70508 INSURER 0
INSURER E
IN§URER F;
COVERAGES CERTIFICATE Lf m 1022220349 REVISION IJ
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS >
CERTIFICATE MAY RE 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 Y HAVE SEEN REDUCED BY PAID CLAIMS
ONSR A L SUDS POLICY EFF POUCTEXP
TYPEOPONSURAN:E POUICYNUMBER MMM9= YMI UMITS
._ cc
A X COMMERCUIL GENERAL LIABi HPLG27171920005 10111201E 10/1/2019 EACH OCCURRENCE $1.000,000 uj
CLAIM ADE �.� � CUR PREMi as _ 11300,000
MED EXP cal 5
�r..w,..„„M� ,,,u. N
PERSONAL 3ADVINaJRY $1,000.000 Cy
CEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $3.000.000 cli
( IN
. PRO- L PRCaCb TS C PLOP AGG $3.000,0 r
tECT im....
OTHER; $
E AUTOMOBILE n I AH25269143 10/1120/8 101112019 s swd Id IN LIMN $1 oaoaoQ
ANY ALTO BODILY INJURY(Pot os) $
AUTOS ONLY AUTOS9JLED BODILY INJURY(Per accident) $
FARED NON-OINNED PROPERTY MAGE $ >
AUTOS ONLY AUTOS ONLY ®r �
3
UMBRELLAUAR CO
CUR EACH OCCURRENCE5
EXCESSN C MS-MADE AGGREGATE 5
RED RETE n 5 S
a WORKERS COMPENSATION RCS 43734A 10MI2010 101112019 PEAT ERH U
AND Pa.CYE>RS'I BIIJTY Y 8 N U
ANYPROPRIETORMARTNERIEXECUTIVE E.L.EACH ACCIDENT51,000,000
FICE BER CL DED9 d A - - ----
yy nd In NIQ E.L.DISEASE= EMPLOYE $1,000,000
dezoibe under
DESCRn ON UE OPERATIONS below :Y LINT S 1.000,000
A MEDICAL PROFESSIONAL HPLG27171928005 101112018 101112019 EACH INCIDENT 1.000,atl0
LIASILITY �AGGREGATE 3,000,900
(CLAIMS MADE)
DESCRIPTION OF OPERATIONS P LOCA"ONS t VEHICLES(ACORD 101.AddRioral Re narks Schedule.my he allachod Ifumm spacs Iz rtquived)
Florida Location:
Key st PO,LLC fa island Private Care(CCdJoe Key,FL) U
CERTIFICATE L 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
1100 Simonton Street A � REPRESENTATIVEKey West L
9 8-2016 ACORD CORPORATION. All rights served.
ACORD 2 (2016103) The ACORD name and logo are registered marks of ACORD
Packet;Pg. 316
D.8.a
ACCPRe CERTIFICATE OF LIABILITY INSURANCE
DATE(M
64.� r 11/20 01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LY AND CONFERS NO RIGHTSIC L THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELYLT FF T THE POLICIES
IS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING I SU ( ), AUTHORIZED
I
REPRESENTATIVE THE CERTIFICATEHOLDER.
IMPORTANT- If the certificate holder Is an ADDITIONAL INSURED. li y(les)must have ADDITIONAL INSURED provisions or be ends .
If SUBROGATIONIS WAIVED,subject t0 the terms and conditions of the policy, certain policies mayrequire n endorsement A statement on
this certificate does not Confer rights to the certificate holder In lust of such onde n .
CONTACT
PRODUCER HAME� Glenn LeBlanc
Arthur J. Gallagher Risk Management Services, Inc. PHONE, FAX -�
35 Hi le dia rive,Suite .337® fB 0 37 2
Baton uge 70810E-MAIL Isnn. a lan Ih rou .c CD
N
N
INSU 9 AFFORDING COVERAGE MAIC 0 ¢
INSURER A.Illinois Union Insurance On an 27960
INSURED LHCOROt! IBSO American InsuranceCOt11 7
LHC Group, Inc.
901 Hugh Wallis d-S INSURER C.IndeMnIty Insurance Company f N A 4357 �
Laftyatte LA 70503 INSURER D: CD
INSURER E`COVERAGES �
IFItI F-
CJ
CERTIFICATE I 9657S5935 REVISION
IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED OVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, R CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE Y B ISSUED OR Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES SCRIBED HEREIN IS SUBJECT TO TERMS, ..
0.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
i TH E O INSU CE A !!R P N MOER P E P Ib
2=1 LIMITS OS
A X COPAMERCIALGENEftALUABILrrY HPLGZ71719280 101112019 101112020 EACH OCCURRENCE $1,000,000 fn
w n
CLAIM ADE .... 00CUR EB�IIR IrR� I S300,000 W
MEC FXP JLua S
PERSONAL&ADV INJURY $1,000,000
OEISL AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $3,000,000
M
POL
ICY Li_a JJE T =LOC PRODUCTS-COMPIOPAGG s 3 000,000 r"
OTHER: 5
S AUTOMOBILE B I AH25289675 101112019 1011/2020 M IJ I L LI IT $1,000,000
}( ANY AUTO BODILY INJURY(Per Pe n) 15 0)
AUT EO ONLY AUTOS BODILY INJURY(Par acckftnt) 5
HIRED N ED PROPERTY DAMAGE >
AUTOS ONLY AUTOS ONLY 1S s
t
UMBRELLA UAS
OCCUR EACHOCCURRENCE F
EXCESS LIAR HCLAJMS-MADEIAGGREGATE $ N
DIED R ONS S
C WORKERS
11 COMPENSATION RC 03 07 10/112019 1011/2020 giTATUTF ERTH" U
YIN
A ROPRI O AR E C vE MIA
E.L.EACHA I S1,000,000
OFFICE BER CLUED?
iMandstaq In NH E.L.DISEASE a EA EMPLOYEEI S 1.000.000 O
IUG
_RIPTION OF OPERATIONS be E.L.DISEASE=POLICY LIMIT $1.000.000
A MEDICAL PROFESSIONAL HPLC27171 28006 101112010 101112020 EACH INCIDENT 1,000,000
LIABILITY AGGREGATE 3,000,000
(C FRS MADE)
DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES tACORD 101,AddMonal Reriurks Schaduft.may be anacmd 0 MGM*Poe@ Is quked1
Florida Location;
Key West P ,LLC d1b1e Island Private Care(Csldjoe Key,FL) tJ
CERTIFICATE HOL CANCELLATION
SHOULD ANY OF THE ABOVE nESCRIBED POLICIES BE CANCELLED BEFORE
E EXPIRATION DATE ERE TICS V61LL BE DELIVERED IN
ACCORDANCE VIATH THE POLICY PROVISIONS.
Monroe County BOCC
1100 Simonton Street An ® I} TA e
Ivey West L 33
1088-2015 ACORDCORPORATION. ll rights reserved.
C (2 161 ) The ACORD name and logo are registered marksf ACORD
IS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
Packet iPg. 317