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FY1999 10/21/1998 4 AGREEMENT This Agreement is made and entered into this day of (gG%//5-11998, between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as "Board" or "County," and the GUIDANCE CLINIC OF THE MIDDLE KEYS, INC., hereinafter referred to as "Provider." WHEREAS, the Board and the Provider desire to enter into an agreement wherein the Board contracts for services from the Provider for the rendering ofinerita_health:services-to-the-7 citizens=of-the.Middle_Keys, Monroe County, Florida, and WHEREAS, the Board is vested and charged with certain duties and respo sibi.lgties,b latitig •. to the mental health and guidance of the citizens of Monroe County, ands='= - - cor C) O WHEREAS, such services have been rendered by the Provider in the pasane h o o n invaluable to the citizens of the Middle Keys, ands -v WHEREAS, it is proper and fitting to enter into an agreement for services-per reo 1ert in r p the forthcoming fiscal year 1998-99, now, therefore, ?' IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed as follows: 1. AMOUNT OF AGREEMENT. The Board, in consideration of the Provider substantially and satisfactorily performing and carrying out the duties and obligations of the Board, shall reimburse the Provider for a portion of the Provider's expenditures for Baker Act hospital, physician and crisis stabilization services, as billed by the Provider, for clients qualifying for such services under applicable state and federal regulations and eligibility determination procedures, and for Baker Act transportation services, non-Baker Act mental health services and substance abuse treatment. This cost shall not exceed a total reimbursement of Four Hundred Ninety-eight Thousand Nine Hundred Dollars ($498,900.00), during the fiscal year 1998-99, payable as follows: a) Pay to the Provider the sum of Three Hundred Nineteen Thousand One Hundred Forty-nine Dollars ($316,783.00) for Baker Act hospital, physician and crisis stabilization services. b) Pay to the Provider the sum of Thirty-seven Thousand Three Hundred Eighty-six Dollars ($37,386.00) for the providing of transportation of patients in Monroe County to treatment facilities. c) Pay to the Provider the sum of Forty-seven Thousand Seven Hundred Eighty Dollars ($47,780.00) for rendering counseling services. d) Pay to the Provider the sum of Ninety-six Thousand Nine Hundred Fifty-one Dollars ($96,951.00) for substance abuse treatment services. 2. TERM. This Agreement shall commence on October 1, 1998, and terminate September 30, 1999, unless earlier terminated pursuant to other provisions herein. 3. PAYMENT. Payment will be paid monthly as hereinafter set forth. Baker Act Billing Summary Forms, certified monthly financial and service load reports will be made available to the Board to validate the delivery of services under this contract. The monthly financial report is due in the office of the Clerk of the Board no later than the 15th day of the following month. After the Clerk of the Board pre-audits the certified report, the Board shall reimburse the Provider for its monthly expenses. However, the total of said monthly payments in the aggregate sum shall not exceed the total amount of $498,900.00 during the term of this agreement. To preserve client confidentiality required by law, copies of individual client bills and records shall not be available to the Board for reimbursement purposes but shall be made available only under controlled conditions to qualified auditors for audit purposes. 4. SCOPE OF SERVICES. The Provider, for the consideration named, covenants and agrees with the Board to substantially and satisfactorily perform and carry out the duties of the Board in rendering counsel in the matter of mental health and guidance to the citizens of the Middle Keys, Monroe County, Florida. The Provider shall provide these services in compliance with Florida Statutes Chapter 394. Said services shall include, but are not limited to, those services described in Provider's Details of Specific Program for Which Funding is Requested, attached hereto as Exhibit C and incorporated herein. 5. RECORDS. The Provider shall maintain appropriate records to insure a proper accounting of all funds and expenditures, and shall provide a clear financial audit trail to allow for full accountability of funds received from said Board. Access to these records shall be provided during weekdays, 8 a.m. to 5 p.m., upon request of the Board, the State of Florida, or authorized agents and.representatives of the Board or State. The Provider shall be responsible for repayment of any and all audit exceptions which are identified by the Auditor General of the State of Florida, the Clerk of Court for Monroe County, an independent auditor, or their agents and representatives. In the event of an audit exception, the current fiscal year contract amount or subsequent fiscal year contract amounts shall be offset by the amount of the audit exception. In the event this agreement is not renewed or continued in subsequent years through new or amended contracts, the Provider shall be billed by the Board for the amount of the audit exception and the Provider shall promptly repay any audit exception. 6. INDEMNIFICATION AND HOLD HARMLESS. The Provider covenants and agrees to indemnify and hold harmless Monroe County Board of County Commissioners from any and all claims for bodily injury (including death), personal injury, and property damage (including property owned by Monroe County) and any other losses, damages, and expenses (including attorney's fees) which arise out of, in connection with, or by reason of services provided by the Provider occasioned by the negligence, errors, or other wrongful act or omission of the Provider's employees, agents or volunteers. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this agreement. 7. INDEPENDENT CONTRACTOR. At all and for all purposes hereunder, the Provider is an independent contractor and not an employee of the Board. No statement contained in this agreement shall be construed so as to find the Provider or any of its employees, contractors, servants or agents to be employees of the Board. 8. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the Provider shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating the provision of such services, including those now in effect and hereinafter adopted. Any violation of said statutes, ordinances, rules and regulations shall constitute a material breach of this agreement and shall entitle the Board to terminate this contract immediately upon delivery of written notice of termination to the Provider. 9. COMPLIANCE WITH COUNTY GUIDELINES. The Provider demonstrate and sustain compliance with: (a) 501(c)(3) Registration; (b) Board of Directors of seven or more; (c) Annual election of Officers and Director; (d) Annual provision of annual report to County; (e) Corporate Bylaws; (f) Corporate Policies and Procedures Manual; (g) Hiring policies for all staff; (h) Cooperate with County monitoring visits; and (I) Semi-annual performance reports to be presented to County. 10. PROFESSIONAL RESPONSIBILITY AND LICENSING. The Provider shall assure that all professionals have current and appropriate professional licenses and professional liability insurance coverage. Funding by the Board is contingent upon retention of appropriate local, state and/or federal certification and/or licensure of the Provider's program and staff. 11. INSURANCE. As a pre-requisite of the services supplied under this contract, the Provider shall obtain, at its own expense, insurance to cover its activities. 12. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the services and/or reimbursement of services shall be amended by an agreement amendment, which must be approved in writing by the Board. 13. NO ASSIGNMENT. The Provider shall not assign this agreement except in writing and with the prior written approval of the Board, which approval shall be subject to such conditions and provisions as the Board may deem necessary. This agreement shall be incorporated by reference into any assignment and any assignee shall comply with all of the provisions herein. Unless expressly provided for therein, such approval shall in no manner or event be deemed to impose any obligation upon the Board in addition to the total agreed upon reimbursement amount for the services of the Provider. 14. NON-DISCRIMINATION. The Provider shall not discriminate against any person on the basis race, creed, color, national origin, sex or sexual orientation, age, physical handicap, or any other characteristic or aspect which is not job-related in its recruiting, hiring, promoting, terminating or any other area affecting employment under this agreement. At all times, the Provider shall comply with all applicable laws and regulations with regard to employing the most qualified person(s) for positions under this agreement. The Provider shall not discriminate against any person on the basis of race, creed, color, national origin, sex or sexual orientation, age, physical handicap, financial status or any characteristic or aspect in its providing of services. 15. AUTHORIZED SIGNATURES. The signatory for the Provider below, certifies and warrants that: (a) The Provider's name in this agreement is the full name as designated in its corporate charter, if a corporation, or the full name under which the Provider is authorized to do business in the State of Florida. (b) He or she is empowered to act and contract for the Provider; and (c) This agreement has been approved by the Board of Directors of the Provider if the Provider is a corporation. 16. NOTICE. Any notice required or permitted under this agreement shall be in writing and hand-delivered or mailed, postage pre-paid, by certified mail, return receipt requested, to the other party as follows: For Board: For Provider: Monroe County Attorney Dr. David Rice, Executive Director 310 Fleming Street Guidance Clinic of the Middle Keys, Inc. Key West, Florida 33040 3000 41st Street Marathon, Florida 33050 17. CONSENT TO JURISDICTION. This agreement shall be construed by and governed under the laws of the State of Florida and venue for any action arising under this agreement shall be in Monroe County, Florida. 18. NON-WAIVER. Any waiver of any breach of covenants herein contained to be kept and performed by the Provider shall not be deemed or considered as a continuing waiver and shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding breach, either of the same conditions or covenants or otherwise. 19. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a level sufficient to allow for continued reimbursement of expenditures for services specified herein, this agreement may be terminated immediately at the option of the Board by written notice of termination delivered to the Provider. The Board shall not be obligated to pay for any services or goods provided by the Provider after the Provider has received written notice of termination, unless otherwise required by law. 20. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with funds provided under this agreement, shall become the property of Monroe County and shall be accounted for pursuant to statutory requirements. 21. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the parties hereto with respect to the subject matter hereof and supersedes any and all prior agFC emen±s with respect to such subject matter between the Provider and the Board. j' c ,IN*WITNESS WHEREOF, the parties hereto have caused these presents to be executed as of the ddyAand';-year,first written above. kAL) { '; Y ;''- i BOARD OF COUNTY COMMISSIONERS AITESST::DAN Y"' . KOLHAGE, CLERK OF MONR•/ !'OUNTY, LORIDA By By De uty CI Mayor/Chairman GU DANCE CLINIC OF THE MIDDLE KEYS, INC. (Federal ID No. -/ By Wi ss ,p irectof Cr� 2 l� ? �p By ZC h- -e Witness President APPROVED AS TO CY. 1coniimk uide g AND AL SUFFI 1 ZA . Hy TON 3 AATI MONROE COUNTY Date: 10/7/98 BOARD OF COUNTY COMMISSIONERS Office of Managment and Budget APPROPRIATION DETAIL BY OFFICIAL/DIVISION, DEPARTMENT, COST CENTER Ofcl/Div: B.O.C.C. Department: Mental Health Cost Center/Fund: 01501/001 MIDDLE KEYS GUIDANCE CLNC Adopted 99 INC/(DEC) %Change Adopted 98 Operating Expenditure 530340 OTHER CONTRACTUAL SERVICE 498,900 498,900 n/a 0 530345 CONTRACTUAL SERVICES 0 (501,266) -100.0% 501,266 Sub-total Operating Expenditures 498,900 (2,366) -0.5% 501,266 / Cost Center Total MIDDLE KEYS GUIDANCE CLNC 498,900 3 (2,366) -0.5% 501,266 1�7 ` , /0/1/qg - OCT - 811M — ,free.„ 41' k Page 55 : C guidance Clinic of the middle keys, 3nc. MAMA, 1 azw <R G�L1E �._»:�...�. a .. 1..,, iw ,Y. � .��».��� »� &�»»� 1. Provide your agency's board-approved written mission statement. "...to employ trained personnel; provide suitable offices for the treatment of mental and emotional illnesses of individuals and any other program and service to the mentally of Monroe County, Florida, as a charitable and nonprofit undertaking; by constructive and preventive services to individuals suffering from emotional and mental illnesses; to render a social service to the community, and by thorough research, education, consultation and cooperation with other organization of the community, to carry forward a program for mental health." 2. Explain specifically how your agency plans to use the money you are requesting; i.e., rent, salaries, expansion of services or service area or general agency operations? GCMK will use County funds in four program areas: Program Area #Service Units $ Requested Substance Abuse Services, including inpatient detoxification services, assessment, outpatient, medical, outpatient counseling, 9Cakciat tP) and residential services in the Keys to Recovery program. 651 a 01,703—' Mental Health Services, including assessment, outpatient services, and outpatient medical services. 660 , Baker Act Inpatient Services: GCMK's crisis stabilization unit(CSU) is a Baker Act receiving facility and provides crisis stabilization and treatment services to adults (z18 years)who are in sufficient emotional distress as to require acute care and continuous 316,E Y3 monitoring to assure their safety and the safety of others. 1,540 71-66 — Baker Act Transportation for persons throughout the County who required crisis stabilization at the GCMK's CSU or another CSU. This service is required by law. 125 37,386 TOTAL 2,976 $524,460 3. If your funding request is greater than last year, explain in detail, what the increase is expected to buy. The figures above reflect a 5 percent increase over the previous year's award in three of the four program areas. The 5 percent reflects GCMK's need to pay entry level staff higher starting salaries to remain competitive in a labor market that is shrinking due to low unemployment rate and increased employment opportunities in the Greater Marathon Area. No increase was requested in Baker Act Transportation funds. 4. How has your agency initiated any new, creative or innovative projects to address social service needs in our community. If so, give a brief description. Include a description of any innovative projects that you would like to•try, but have not yet been able to secure funding. Please include any awards or special recognition your agency may have received this past year. In October 1997, GCMK became the Community Transportation Coordinator for Monroe • County. Human Services Advisory Board 5 Monroe County Application for Funding FY 98/99 _. SWORN STATEMENT UNDER ORDINANCE NO, 1Q-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE Thnjid Cwarrants that he/it has not employed, retained or otherwise had act on his/its behalf any former County officer Or employee in violation of Section 2 of Ordinance no. 10-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee. 1.7)<<- 1 (signature) Date: /0 • a 9 - 9 g STATE OF V (i COUNTY OF kiltonaccr PERSONALLY APPEARED BEFORE ME,the undersigned authority, I 1C._ g(CC who, after first being sworn by me, affixed his/her signature(name of individual signing) in the space provided above on this���! ' k. day of 8dba,(A_ , 19 Q) .'" N TARY PU IC My commission expires: OMB - MCP FORM #4 0%1 P uape 4°41- JENNIFER-QUINLAN *: S.* MY: ortapityFglt 90M4f PUBLIC ENTITY CRIME STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list." ATTACHMENT A Expense Reimbursement Requirements This document is intended to provide "basic" guidelines to Human Service Organizations, county travellers, and contractual parties who have reimbursable expenses associated with Monroe County business. These guidelines, as they relate to travel, are from Florida Statute 112.061, which is attached for reference. A cover letter summarizing the major line items on the reimbursable expense -equest should also contain a certified statement such as: I certify that the attached expenses are accurate and in agreement with the records of this organization. Furthermore, these expenses are in compliance with this organization's contract with the Monroe County Board of County Commissioners. - - Invoices should be billed to the contracting agency. Third party payments will not be considered for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement. Only current charges will be considered, no previous balances. Reimbursement requests will be monitored in accordance with the level of detail in the contract. This document should not be considered all-inclusive. The Clerk's Finance Department reserves the right to review reimbursement requests on an individual basis. Any questions regarding these guidelines should be directed to SSephanie Griffiths at 305-292-3528. Payroll: A certified statement verifying the accuracy and authenticity-of the payroll expenses. If a Payroll Journal is provided, it should include: Payroll Journal dates employee name, salary, or hourly rate hours worked during the payroll journal dates withholdings where appropriate check number and check amount If a Payroll Journal is not provided the following must be listed: check number, date, payee, check amount support for applicable payroll taxes Original vendor invoices must be submitted for Worker's Compensation anc. 'lability insurance coverage: Telephone expenses: A user log of pertinent information must be remitted: the party called, the caller, the telephone number, the date, and the purpose of the call must be identified. • Telefax, fax, etc.: A fax log is required. The log must define the sender, the intended recipient, the date, the number called, and the reason for sending the fax. Supplies, services, etc.: For supplies or services ordered the County requires the original vendor invoice. Rents, leases, etc.: A copy of the rental agreement or lease is required. Deposits and advance pLyments will not be allowable expenses. Postage,overnight deliveries, courier, etc.: A log of all postage expenses as it relates to the County contract is required for reimbursement. For overnight or express deliveries, the original vendor invoice must be included. Reproductions, copies, etc.: I A log of copy expenses as it relates to the County contract is required for rr imbursement. The log must define the date, number of copies made, source document, purpo ie, and -ecipient. A reasonable fee for copy expenses will be allowable. For vendor services, the original vendor invoice is required and a sample of the finished product. Travel expenses: please refer to Florida Statute 112.061. Travel expenses must be submitted on a State of Florida Voucher for Reim- °lrsement of Travel Expenses. Credit card statements are not acceptable documentation for r :m. irsement. Airfare reimbursement requires the original passenger receipt portion of the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental reimbursement requires the original vendor invoice. Fuel purchases should be documented with original paid receipts. Original taxi receipts should be provided. However, reasonable fares will be reimbi:rsed without receipts. Taxis are not reimbursed if taken to arrive at a departure point: for exaa. ole, taking a taxi from one's residence to the airport for a business trip is not reimbursable. Original toll receipt. should be provided. However, reasonable tolls will be reimbursed without receipts. Parking is considered a reimbursable travel expense at the destination. Airport parking during a business trip is not. - • Lodging reimbursement requires a detail listing of charges. The original lodging invoice must be _ submitted. The County will only reimburse the actual room and related bed tax. Room service, movies, and personal telephone calls (see previous guidelines) are not allowable expenses. Per diem lodging expenses may apply. Again, refer to Florida Statute 112.061. Meal reimbursement is breakfast at $3.00, lunch at $6.00, and dinner at $12.00. Meal guidelines are that travel must begin prior to 6 am for breakfast reimbursement, before noon and end after 2pm for lunch reimbursement, and before 6pm and end after 8 pm for dinner reimbursement. Mileage reimbursement is calculated at 20 cents per mile for personal auto mileage while on county business. Effective October 1, 1994, mileage will be reimbursed at 25 cents per mile. An 11/ odometer reading must be included on the state travel voucher for vicinity travel. A mileage map is attached for reference to allowable miles from various Florida destinations. Mileage is not allowed from a residence or office to a point of departure: for example, driving from one's home to the airport for a business trip is not a reimbursable expense. Data processing, PC time, etc.: The original vendor invoice is required for reimbursement. Intercompany allocations are not considered reimbursable expenditures unless appropriate payroll journals for the charging department (see Payroll above) are attached and certified. The followingrexpenses are not allowable for reimbursement: penalties and fines non-sufficient check charges fundraising contributions capital outlay expenditures (unless specifically included in the contract) depreciation expenses (unless specifically included in the contract) SGRIFFITHS WP51\PROCEDUR\EXP REIM ATTACHMENT B HUMAN SERVICE ORGANIZATION LETTERHEAD Monroe County Board of County Commissioners Finance Department 500 Whitehead Street Key West, Florida 33040 (Date) The following is a summary of the expenses for (Human Service Organization name) for the time period of to Check # Payee Reason Amount 101 A Company rent $xxxx.xx 102 B Company utilities $xxxx.x:t 103 D Company phones $xxxx.xx 104 Person A payroll $xx--x.xx 105 Person B payroll $xx,cx.xx • (A) Total $xxxx.xx (B) Total prior'epayments $xxxx.xx (C) Total requested and paid (A+ B) $xxxx.xx (D) Total contract amount $xxxx.xx Balance of contract (D - C) , xxxx.xx I certify that the above checks have been submitted to the vendors as noted and that the expenses are accurate and in agreement with the records of this organization. Furthermore, these expenses are in compliance with this organization's contract with the Monroe County Board of County Commissioners and will not be submitted for reimbursement to any other funding source. Executive Director Attachments (supporting documentation) Sworn and subscribed before me this_ day of 199_. Notary Public Notary Stamp