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Item M1 M.1 y;+ ' "tr, BOARD OF COUNTY COMMISSIONERS County of Monroe , Mayor Heather Carruthers,District 3 -�� {sJ ` °' Mayor Pro Tem Michelle Coldiron,District 2 The Florida.Keys` .I3 ��` Craig Cates,District 1 David Rice,District 4 w � Sylvia J.Murphy,District 5 County Commission Meeting September 16, 2020 Agenda Item Number: M.1 Agenda Item Summary #7323 BULK ITEM: Yes DEPARTMENT: County Administrator TIME APPROXIMATE: STAFF CONTACT: Lindsey Ballard(305) 292-4443 N/A AGENDA ITEM WORDING: Approval of the contract between Monroe County Board of County Commissioners and the State of Florida, Department of Health for operation of the Monroe County Health Department- contract year 2020-2021. ITEM BACKGROUND: Review of annual contract outlining the financial plan and the county's contribution to help fund the local health department. PREVIOUS RELEVANT BOCC ACTION: Review of annual renewal of an agreement between Monroe County and the Florida Department of Health that has continued for 20+years. CONTRACT/AGREEMENT CHANGES: Increase in funding from previous fiscal year contract to assist with the overall COVID19 response. Net increase only $62,000.00. STAFF RECOMMENDATION: Approval. DOCUMENTATION: Core Contract Document(final) ADDENDUM I- State Payments to the County (Fiscal Year 2020-21) MEMORANDUM OF UNDERSTANDING - Level Funding (Fiscal Year 2020-21) CHD44 Monroe_CCDW FY2021 attachments Schedule C 2020-21 (as of 8-18-20) FINANCIAL IMPACT: Effective Date: 10/1/2020 Expiration Date: 9/30/2021 Packet Pg. 2771 M.7 Total Dollar Value of Contract: County contribution: NTE $1.305 million Total Cost to County: $1.305 million Current Year Portion: Budgeted: Yes Source of Funds: CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: If yes, amount: Grant: County Match: Insurance Required: N/A Additional Details: REVIEWED BY: Cynthia Hall Completed 09/01/2020 5:15 PM Budget and Finance Completed 09/01/2020 5:19 PM Maria Slavik Completed 09/01/2020 7:33 PM Liz Yongue Completed 09/01/2020 7:38 PM Board of County Commissioners Pending 09/16/2020 9:00 AM Packet Pg. 2772 CONTRACT BETWEEN MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AND STATE OF FLORIDA DEPARTMENT OF HEALTH FOR OPERATION OF THE MONROE COUNTY HEALTH DEPARTMENT CONTRACT YEAR 2020-2021 This contract is made and entered into between the State of Florida, Department of Health ("State") and the Monroe County Board of County Commissioners ("County"), through their undersigned authorities, effective October 1, 2020. RECITALS N A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to "promote, protect, maintain, and improve the health and safety of all citizens and visitors of this state through a system of coordinated county health department services." B. County Health Departments were created throughout Florida to satisfy this legislative intent through "promotion of the public's health, the control and eradication of preventable diseases, and the provision of primary health care for special populations." C. Monroe County Health Department ("CHD") is one of the created County Health Departments. D. It is necessary for the parties hereto to enter into this contract in order to ensure coordination between the State and the County in the operation of the CHD. 0 NOW THEREFORE, in consideration of the mutual promises set forth herein, the sufficiency of which are hereby acknowledged, the parties hereto agree as follows- 0 U 1. RECITALS. The parties mutually agree that the foregoing recitals are true and correct 2 and incorporated herein by reference. 2. TERM. The parties mutually agree that this contract shall be effective from October 1, 2020, through September 30, 2021, or until a written contract replacing this contract is entered into between the parties, whichever is later, unless this contract is otherwise terminated pursuant to the termination provisions set forth in paragraph 8. below. 3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD shall provide those services as set forth on Part III of Attachment II hereof, in order to maintain the following three levels of service pursuant to section 154.01(2), Florida Statutes, as defined below: a. "Environmental health services" are those services which are organized and operated to protect the health of the general public by monitoring and regulating activities in the environment which may contribute to the occurrence or transmission of disease. Environmental health services shall be supported by available federal, state and local funds 1 Packet Pg. 2773 and shall include those services mandated on a state or federal level. Examples of environmental health services include, but are not limited to, food hygiene, safe drinking water supply, sewage and solid waste disposal, swimming pools, group care facilities, migrant labor camps, toxic material control, radiological health, and occupational health. b. "Communicable disease control services" are those services which protect the health of the general public through the detection, control, and eradication of diseases which are transmitted primarily by human beings. Communicable disease services shall be supported by available federal, state, and local funds and shall include those services mandated on a state or federal level. Such services include, but are not limited to, epidemiology, sexually transmissible disease detection and control, HIV/AIDS, immunization, tuberculosis control and maintenance of vital statistics. N N c. "Primary care services" are acute care and preventive services that are made available to well and sick persons who are unable to obtain such services due to lack of income or other barriers beyond their control. These services are provided to benefit individuals, improve the collective health of the public, and prevent and control the spread of disease. Primary health care services are provided at home, in group settings, or in clinics. These services shall be supported by available federal, state, and local funds and shall include services mandated on a state or federal level. Examples of primary health care services include, but are not limited to: first contact acute care services; chronic disease detection and treatment; maternal and child health services; family planning; nutrition; school health; supplemental food assistance for women, infants and children; home health; and dental services. 4. FUNDING. The parties further agree that funding for the CHD will be handled as follows- 0 a. The funding to be provided by the parties and any other sources is set forth in Part II of Attachment II hereof. This funding will be used as shown in Part I of Attachment II. 0 U i. The State's appropriated responsibility (direct contribution excluding any state fees, Medicaid contributions or any other funds not listed on the Schedule C) as provided in Attachment II, Part II is an amount not to exceed $4,229,773.00 (State General Revenue, State Funds, Other State Funds and Federal Funds listed on the Schedule C). The State's obligation to pay under this contract is contingent upon an annual appropriation by the Legislature. ii. The County's appropriated responsibility (direct contribution excluding any fees, other cash or local contributions) as provided in Attachment II, Part II is an amount not to exceed $1,305,000.00 (amount listed under the "Board of County Commissioners Annual Appropriations section of the revenue attachment). b. Overall expenditures will not exceed available funding or budget authority, whichever is less, (either current year or from surplus trust funds) in any service category. Unless requested otherwise, any surplus at the end of the term of this contract in the County Health Department Trust Fund that is attributed to the CHD shall be carried forward to the next contract period. 2 Packet Pg. 2774 c. Either party may establish service fees as allowed by law to fund activities of the CHD. Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee schedule. d. Either party may increase or decrease funding of this contract during the term hereof by notifying the other party in writing of the amount and purpose for the change in funding. If the State initiates the increase/decrease, the CHD will revise the Attachment II and send a copy of the revised pages to the County and the Department of Health, Office of Budget and Revenue Management. If the County initiates the increase/decrease, the County shall notify the CHD. The CHD will then revise the Attachment II and send a copy of the revised pages to the Department of Health, Office of Budget and Revenue Management. N N e. The name and address of the official payee to whom payments shall be made is: N County Health Department Trust Fund Monroe County P.O. BOX 6193 KEY WEST, FL 33040 c 5. CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director/administrator of the CHD shall be a State employee or under contract with the State and will be under the day-to-day direction of the Deputy Secretary for County Health Systems. The director/administrator shall be selected by the State with the concurrence of the County. The director/administrator of the CHD shall ensure that non-categorical sources of funding are used to fulfill public health priorities in the community and the Long Range Program Plan. 6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that the following standards should apply in the operation of the CHD: a. The CHD and its personnel shall follow all State policies and procedures, except to the 0 extent permitted for the use of County purchasing procedures as set forth in subparagraph b., 2 below. All CHD employees shall be State or State-contract personnel subject to State personnel rules and procedures. Employees will report time in the Health Management System compatible format by program component as specified by the State. b. The CHD shall comply with all applicable provisions of federal and state laws and regulations relating to its operation with the exception that the use of County purchasing procedures shall be allowed when it will result in a better price or service and no statewide Department of Health purchasing contract has been implemented for those goods or services. In such cases, the CHD director/administrator must sign a justification therefore, and all County purchasing procedures must be followed in their entirety, and such compliance shall be documented. Such justification and compliance documentation shall be maintained by the CHD in accordance with the terms of this contract. State procedures must be followed for all leases on facilities not enumerated in Attachment IV. c. The CHD shall maintain books, records and documents in accordance with the Generally Accepted Accounting Principles (GAAP), as promulgated by the Governmental 3 Packet Pg. 2775 Accounting Standards Board (GASB), and the requirements of federal or state law. These records shall be maintained as required by the Department of Health Policies and Procedures for Records Management and shall be open for inspection at any time by the parties and the public, except for those records that are not otherwise subject to disclosure as provided by law which are subject to the confidentiality provisions of paragraphs 6.i. and 6.k., below. Books, records and documents must be adequate to allow the CHD to comply with the following reporting requirements: i. The revenue and expenditure requirements in the Florida Accounting Information Resource (FLAIR) System; ii. The client registration and services reporting requirements of the minimum data set as specified in the most current version of the Client Information System/Health Management Component Pamphlet; N N. Financial procedures specified in the Department of Health's Accounting Procedures Manuals, Accounting memoranda, and Comptroller's memoranda; iv. The CHD is responsible for assuring that all contracts with service providers include provisions that all subcontracted services be reported to the CHD in a manner consistent with the client registration and service reporting requirements of the minimum data set as specified in the Client Information System/Health Management Component Pamphlet. d. All funds for the CHD shall be deposited in the County Health Department Trust Fund maintained by the state treasurer. These funds shall be accounted for separately from funds deposited for other CHDs and shall be used only for public health purposes in Monroe County. e. That any surplus/deficit funds, including fees or accrued interest, remaining in the 0 County Health Department Trust Fund account at the end of the contract year shall be 2 credited/debited to the State or County, as appropriate, based on the funds contributed by each and the expenditures incurred by each. Expenditures will be charged to the program accounts by State and County based on the ratio of planned expenditures in this contract and funding from all sources is credited to the program accounts by State and County. The equity share of any surplus/deficit funds accruing to the State and County is determined each month and at contract year-end. Surplus funds may be applied toward the funding requirements of each participating governmental entity in the following year. However, in each such case, all surplus funds, including fees and accrued interest, shall remain in the trust fund until accounted for in a manner which clearly illustrates the amount which has been credited to each participating governmental entity. The planned use of surplus funds shall be reflected in Attachment 11, Part I of this contract, with special capital projects explained in Attachment V. f. There shall be no transfer of funds between the three levels of services without a contract amendment unless the CHD director/administrator determines that an emergency exists wherein a time delay would endanger the public's health and the Deputy Secretary for County Health Systems has approved the transfer. The Deputy Secretary for County Health 4 Packet Pg. 2776 Systems shall forward written evidence of this approval to the CHD within 30 days after an emergency transfer. g. The CHD may execute subcontracts for services necessary to enable the CHD to carry out the programs specified in this contract. Any such subcontract shall include all aforementioned audit and record keeping requirements. h. At the request of either party, an audit may be conducted by an independent CPA on the financial records of the CHD and the results made available to the parties within 180 days after the close of the CHD fiscal year. This audit will follow requirements contained in OMB Circular A-133 and may be in conjunction with audits performed by County government. If audit exceptions are found, then the director/administrator of the CHD will prepare a corrective action plan and a copy of that plan and monthly status reports will be furnished to the contract managers for the parties. N i. The CHD shall not use or disclose any information concerning a recipient of services except as allowed by federal or state law or policy. j. The CHD shall retain all client records, financial records, supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to this contract for a period of five (5) years after termination of this contract. If an audit has been initiated and audit findings have not been resolved at the end of five (5) years, the records shall be retained until resolution of the audit findings. k. The CHD shall maintain confidentiality of all data, files, and records that are confidential under the law or are otherwise exempted from disclosure as a public record under Florida law. The CHD shall implement procedures to ensure the protection and confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65 and 456.057, Florida Statutes, and all other state and federal laws regarding confidentiality. All confidentiality procedures implemented by the CHD shall be consistent with the Department of Health Information Security Policies, Protocols, and Procedures. The CHD shall further 0 adhere to any amendments to the State's security requirements and shall comply with any 2 applicable professional standards of practice with respect to client confidentiality. I. The CHD shall abide by all State policies and procedures, which by this reference are incorporated herein as standards to be followed by the CHD, except as otherwise permitted for some purchases using County procedures pursuant to paragraph 6.b. m. The CHD shall establish a system through which applicants for services and current clients may present grievances over denial, modification or termination of services. The CHD will advise applicants of the right to appeal a denial or exclusion from services, of failure to take account of a client's choice of service, and of his/her right to a fair hearing to the final governing authority of the agency. Specific references to existing laws, rules or program manuals are included in Attachment I of this contract. n. The CHD shall comply with the provisions contained in the Civil Rights Certificate, hereby incorporated into this contract as Attachment III. 5 Packet Pg. 2777 o. The CHD shall submit quarterly reports to the County that shall include at least the following: i. The DE3851L1 Contract Management Variance Report and the DE580L1 Analysis of Fund Equities Report; ii. A written explanation to the County of service variances reflected in the year end DE3851L1 report if the variance exceeds or falls below 25 percent of the planned expenditure amount for the contract year. However, if the amount of the service specific variance between actual and planned expenditures does not exceed three percent of the total planned expenditures for the level of service in which the type of service is included, a variance explanation is not required. A copy of the written explanation shall be sent to the Department of Health, Office of Budget and Revenue Management. p. The dates for the submission of quarterly reports to the County shall be as follows unless the generation and distribution of reports is delayed due to circumstances beyond the CHD's control: c i. March 1, 2021 for the report period October 1, 2020 through December 31, 2020; ii. June 1, 2021 for the report period October 1, 2020 through March 31, 2021; iii. September 1, 2021 for the report period October 1, 2020 through June 30, 2021; and iv. December 1, 2021 for the report period October 1, 2020 through September 30, 2021. 0 7. FACILITIES AND EQUIPMENT. The parties mutually agree that: 0 a. CHD facilities shall be provided as specified in Attachment IV to this contract and the County shall own the facilities used by the CHD unless otherwise provided in Attachment IV. b. The County shall ensure adequate fire and casualty insurance coverage for County- owned CHD offices and buildings and for all furnishings and equipment in CHD offices through either a self-insurance program or insurance purchased by the County. c. All vehicles will be transferred to the ownership of the County and registered as County vehicles. The County shall ensure insurance coverage for these vehicles is available through either a self-insurance program or insurance purchased by the County. All vehicles will be used solely for CHD operations. Vehicles purchased through the County Health Department Trust Fund shall be sold at fair market value when they are no longer needed by the CHD and the proceeds returned to the County Health Department Trust Fund. 6 Packet Pg. 2778 8. TERMINATION. a. Termination at Will. This contract may be terminated by either party without cause upon no less than one-hundred eighty (180) calendar days notice in writing to the other party unless a lesser time is mutually agreed upon in writing by both parties. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. b. Termination Because of Lack of Funds. In the event funds to finance this contract become unavailable, either party may terminate this contract upon no less than twenty-four (24) hours notice. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. N c. Termination for Breach. This contract may be terminated by one party, upon no less than thirty (30) days notice, because of the other party's failure to perform an obligation hereunder. Said notice shall be delivered by certified mail, return receipt requested, or in person to the other party's contract manager with proof of delivery. Waiver of breach of any provisions of this contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this contract. c 9. MISCELLANEOUS. The parties further agree: a. Availability of Funds. If this contract, any renewal hereof, or any term, performance or payment hereunder, extends beyond the fiscal year beginning July 1, 2021, it is agreed that the performance and payment under this contract are contingent upon an annual appropriation by the Legislature, in accordance with section 287.0582, Florida Statutes. b. Contract Managers. The name and address of the contract managers for the parties under this contract are as follows: For the State: For the County: Michael Seiler Roman Gastesi Business Manager III County Administrator 1100 Simonton Street 1100 Simonton Street Key West, FI 33040 Key West, FI. 33040 305-676-3825 305-292-4441 If different contract managers are designated after execution of this contract, the name, address and telephone number of the new representative shall be furnished in writing to the other parties and attached to originals of this contract. c. Captions. The captions and headings contained in this contract are for the convenience of the parties only and do not in any way modify, amplify, or give additional notice of the provisions hereof. In WITNESS THEREOF, the parties hereto have caused this eight page contract, with its attachments as referenced, including Attachment I (two pages), Attachment II (six pages), 7 Packet Pg. 2779 Attachment III (one page), Attachment IV (one page), and Attachment V (one page), addendum I (two pages), and Memorandum of Understanding (one page), to be executed by their undersigned officials as duly authorized effective the 1 st day of October, 2020. BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA FOR MONROE COUNTY DEPARTMENT OF HEALTH SIGNED BY: SIGNED BY: NAME: NAME: Scott A. Rivkees, MD N TITLE: TITLE: State Surgeon General N DATE: DATE: ATTESTED TO: c SIGNED BY: SIGNED BY: NAME: NAME: TITLE: TITLE: CHD Director/Administrator W DATE: DATE: 0 0 0 8 Packet Pg. 2780 ADDENDUM I TO CONTRACT BETWEEN MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AND STATE OF FLORIDA DEPARTMENT OF HEALTH FOR OPERATION OF THE CD MONROE COUNTY HEALTH DEPARTMENT CONTRACT YEAR 2020 — 2021 CD N This addendum is executed by the parties to provide additional clarification to the agreement between the Monroe County Board of County Commissioners ("County") and the State of Florida Department of Health ("State") for the operation of the Monroe County Health Department ("CHD") for the contract year beginning October 1, 2020. PAYMENTS MADE BY THE STATE TO THE COUNTY N In order to get a more complete picture of the financial arrangement between the two parties, it should be noted that the State is making payments to the County for various services. These are services rendered by the County or by a third party, and the State is receiving benefit. The following is a list of the services handled in this manner: y • Vehicle Maintenance The State is responsible for the cost of maintenance and repairs of vehicles used for Health Department operations. Most of the repairs are handled by the county garage and invoiced to the CHD. N • Vehicle Fuel E The County charges the State for fuel whenever the county pumps are used for re-fueling. • Vehicle Insurance The County carries the title to all vehicles and also carries the associated insurance coverage. The State reimburses the County for their share of the LU insurance costs. • Building Insurance The County owns the facilities where the Health Department conducts business. The County, in turn, carries the building insurance and charges back the Health Department for their share of the costs. The facilities are listed in Attachment IV of the core contract. Page 1 of 2 Packet Pg. 2781 ADDENDUM I TO CONTRACT BETWEEN MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AND STATE OF FLORIDA DEPARTMENT OF HEALTH FOR OPERATION OF THE CD MONROE COUNTY HEALTH DEPARTMENT CONTRACT YEAR 2020 — 2021 CD N PAYMENTS MADE BY THE STATE TO THE COUNTY (CONTINUED) • County Courier Costs The County operates a courier service making deliveries between the county facilities. The State is charged a reasonable fee for the use of these services. N N • County Phone Lines The State is obligated to pay the County for the use of miscellaneous telephone and fax lines. These lines could not be transferred to the new CHD phone system at the time of the last upgrade. -- 0 • Risk Management Analysis Costs The County may incur costs in conjunction with their self-insurance arrangement. A prorated portion of these expenses may be charged back to the State b the p p p Y g Y N County. Page 2 of 2 Packet Pg. 2782 M.1.c MEMORANDUM OF UNDERSTANDING This memorandum of understanding provides additional clarification to the agreement between the Monroe County Board of County Commissioners ("County") and the State of Florida Department of Health ("State") for the operation of the Monroe County Health Department for the contract year beginning October 1, 2020 ("Agreement"). The current agreement calls for the County to contribute $1,305,000 to the State to help fund the operation of the Monroe County Health Department for the fiscal period beginning October 1, 2020 and ending September 30, 2021. The funding contributions will be electronically transmitted over the course of the year in equal installments in W accordance with the following schedule: Month Year Funding Month Year Funding Oct 2020 $ 108,750 Apr 2021 $ 108,750 .5 Nov 2020 $ 108,750 May 2021 $ 108,750 Dec 2020 $ 108,750 Jun 2021 $ 108,750 Jan 2021 $ 108,750 Jul 2021 $ 108,750 C 1D Feb 2021 $ 108,750 Aug2021 $ 108,750 `CD V cv Mar 2021 $ 108,750 Sep 2021 $ 108,750 BOARD OF COUNTY COMMISSIONERS FOR MONROE COUNTY SIGNED BY: NAME: Heather Carruthers TITLE: Mayor DATE: ATTESTED TO: SIGNED BY: NAME: TITLE: DATE: Page 1 of 1 Packet Pg. 2783 ATTACHMENT MONROE COUNTY HEALTH DEPARTMENT PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS Some health services must comply with specific program and reporting requirements in addition to the Personal Health Coding Pamphlet(DHP 50-20), Environmental Health Coding Pamphlet(DHP 50-21)and FLAIR requirements because of federal or state law, regulation or rule. If a county health department is funded to provide one of these services, it must comply with the special reporting requirements for that service. The services and the reporting requirements are listed below: cv Service Requirement CD 1. Sexually Transmitted Disease Program Requirements as specified in F.A.C. 64D-3, F.S. 381 and F.S. 384. CD cv 2. Dental Health Periodic financial and programmatic reports as specified by the program office. N 3. Special Supplemental Nutrition Service documentation and monthly financial reports as specified in Program for Women, Infants and DHM 150-24"and all federal, state and county requirements detailed Children (including the WIC in program manuals and published procedures. Breasffeeding Peer Counseling Program) cv CD 4. Healthy Start/Improved Pregnancy Requirements as specified in the 2007 Healthy Start Standards and cv Outcome Guidelines and as specified by the Healthy Start Coalitions in >_ contract with each county health department. 5. Family Planning Requirements as specified in Public Law 91-572, 42 U.S.C. 300, et seq., 42 CFR part 59, subpart A, 45 CFR parts 74&92, 2 CFR 215 �I (OMB Circular A-110)OMB Circular A-102, F.S. 381.0051, F.A.C. 64F-7, F.A.C. 64F-16, and F.A.C. 64F-19. Requirements and Guidance as specified in the Program Requirements for Title X Funded Family Planning Projects(Title X Requirements)(2014)and I the Providing Quality Family Planning Services(QFP): Recommendations of CDC and the U.S. Office of Population Affairs published on the Office of Population Affairs website. Programmatic annual reports as specified by the program office as specified in the annual programmatic Scope of Work for Family Planning and Maternal Child Health Services, including the Family Planning Annual Report(FPAR), and other minimum guidelines as specified by the Policy Web Technical Assistance Guidelines. 6. Immunization Periodic reports as specified by the department pertaining to immunization levels in kindergarten and/or seventh grade pursuant to instructions contained in the Immunization Guidelines-Florida Schools, Childcare Facilities and Family Daycare Homes(DH Form 150-615) and Rule 64D-3.046, F.A.C. In addition, periodic reports as specified by the department pertaining to the surveillance/investigation of reportable vaccine-preventable diseases, adverse events, vaccine accountability, and assessment of immunization Attach Packet Pg. 2784 ATTACHMENT I (Continued) levels as documented in Florida SHOTS and supported by CHID Guidebook policies and technical assistance guidance. 7. Environmental Health Requirements as specified in Environmental Health Programs Manual 150-4"and DHP 50-21" 8. HIV/AIDS Program Requirements as specified in F.S. 384.25 and F.A.C. 64D-3.030 and 64D-3.031. Case reporting should be on Adult HIV/AIDS Confidential Case Report CDC Form DH2139 and Pediatric HIV/AIDS Confidential Case Report CDC Form DH2140. Requirements as specified in F.A.C. 64D-2 and 64D-3, F.S. 381 and F.S. 384. Socio-demographic and risk data on persons tested for HIV in CHID clinics should be reported on Lab Request DH Form 1628 in accordance with the Forms Instruction Guide. Requirements for the HIV/AIDS Patient Care programs are found in the Patient Care Contract Administrative Guidelines. CD cv 9. School Health Services Requirements as specified in the Florida School Health Administrative Guidelines(May 2012). Requirements as specified in CD F.S. 381.0056, F.S. 381.0057, F.S. 402.3026 and F.A.C. 64F-6. U 10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C. 64D-3 and F.S. 392. 11. General Communicable Disease Carry out surveillance for reportable communicable and other acute Control diseases, detect outbreaks, respond to individual cases of reportable diseases, investigate outbreaks, and carry out communication and U quality assurance functions, as specified in F.A.C. 64D-3, F.S. 381, F.S. 384 and the CHID Epidemiology Guide to Surveillance and r I nvestigations. CD cv 12. Refugee Health Program Programmatic and financial requirements as specified by the >' program office. "or the subsequent replacement if adopted during the contract period. tJ CJ I 0 r- 0 I fJ U Attach Packet Pg. 2785 6 (�Z eozoz 0 ) 9u8mQ3gm �Z z* 0O-aOJuo # D :W®mQoq! \ \ coy \ I- C42 \ a.2 2 J � \ 10 cl \ LO \ . . . / w / § ) _ « \ / e & \ = r j e E o E \ / ± 7 m ® 0 f § / m »2 $ � « & ° § / } ) / =LL og \ = ® e = � # ° I = z E 222 CO,/ $ J S z = = o o q 0') \ CL E � - IL / « I G § LLJ � ® \ � \ \ o # c = Q z 712 / 0 R 2 \ § _ ■ Q # I G § b E2 -o U) \ }w / q / � w o z # \ ( a § \ ¥ = G / & « & � & / a a % / % � % \ 3 § 3 &3 - / m o co a) ® 00 co \ / \ 2 0 2 / 7 « ± « a) ± m \ em .= m / m e \$ a) \ \\ \ ( \/ k \ n § \ 2 / ® aw a & 0 a) a » S » k c 4o a)e / G / / e t j 6 / co/ / / ® .2 c- a m # CO ATTACHMENT II MONROE COUNTY HEALTH DEPARTMENT ' Part II,Sources of Contributions to County Health Department October 1,2020 to September 30,2021 State CHD County Total CHD Trust Fund CHD ! Trust Fund Other (cash) Trust Fund (cash) Contribution Total 1.GENERAL REVENUE-STATE 015040 AIDS PREVENTION&SURVEILLANCE-GENERAL REVENUE 73,552 0 73,552 0 73, 015040 CHD-TB COMMUNITY PROGRAM 35,069 0 35,069 0 35,E 015040 SEXUALLY TRANSMITTED DISEASE CONTROL PROGRAM GR 16,755 0 16,755 0 16, 015040 CORONAVIRUS GENERAL REVENUE 539,372 0 539,372 0 539, 015040 DENTAL SPECIAL INITIATIVE PROJECTS 6,190 0 6,190 0 6, r 015040 HEALTHY BEACHES MONITORING 22,912 0 22,912 0 22, tV 015040 EPIDEMIOLOGY SURVEILLANCE GENERAL REVENUE 79,035 0 79,035 0 79,1 CV CD 015040 FAMILY PLANNING GENERAL REVENUE 34,239 0 34,239 0 34, tV CD tV 015040 HEPATITIS AND LIVER FAILURE PREVENTION&CONTROL 72,000 0 72,000 0 72,1 015040 PRIMARY CARE PROGRAM 199,742 0 199,742 0 199, 015040 SCHOOL HEALTH SERVICES-GENERAL REVENUE 96,223 0 96,223 0 96,. 015050 CHD GENERAL REVENUE NON-CATEGORICAL 1,305,948 0 1,305,948 0 1,305, GENERAL REVENUE TOTAL 2,481,037 0 2,481,037 0 2,481,1 0) E U 2.NON GENERAL REVENUE-STATE 015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM 4,236 0 4,236 0 4, r 015010 TOBACCO STATE AND COMMUNITY INTERVENTIONS 118,154 0 118,154 0 118, CCD V tV NON GENERAL REVENUE TOTAL 122,390 0 122,390 0 122, >- I 3.FEDERAL FUNDS-STATE tJ 007000 WIC BREASTFEEDING PEER COUNSELING PROG 87,483 0 87,483 0 87, fJ I 007000 COASTAL BEACH WATER QUALITY MONITORING 13,789 0 13,789 0 13, Wo 007000 COMPREHENSIVE COMMUNITY CARDIO-PHBG 55,369 0 55,369 0 55, 007000 EPID&LAB FOR INFECTIOUS DISEASE COVID-19 3,666 0 3,666 0 3, I 007000 FAMILY PLANNING TITLE X-GRANT 55,567 0 55,567 0 55, 007000 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS 442,743 0 442,743 0 442, 007000 IMMUNIZATION ACTION PLAN 38,582 0 38,582 0 38, 007000 MCH SPECIAL PRJCT UNPLANNED PREGNANCY 12,985 0 12,985 0 12, 007000 MCH BLOCK GRANT FLORIDA'S HEALTHY BABIES 12,868 0 12,868 0 12, 007000 BASE COMMUNITY PREPAREDNESS CAPABILITY 86,228 0 86,228 0 86, U 007000 AIDS PREVENTION 141,859 0 141,859 0 141, 007000 WIC PROGRAM ADMINISTRATION 460,770 0 460,770 0 460, 015075 SUPPLEMENTAL SCHOOL HEALTH 123,839 0 123,839 0 123, 015075 REFUGEE HEALTH SCREENING REIMBURSEMENT ADMIN 2,546 0 2,546 0 2, 015075 REFUGEE HEALTH SCREENING REIMBURSEMENT SERVICES 10,428 0 10,428 0 10, 018005 RYAN WHITE TITLE II ADAP DRUG REBATES 68,337 0 68,337 0 68, 018005 AIDS DRUG ASSISTANCE PROGRAM ADMIN HQ 69,343 0 69,343 0 69, 018005 RYAN WHITE TITLE II CARE GRANT 150,155 0 150,155 0 150, FEDERAL FUNDS TOTAL 1,836,557 0 1,836,557 0 1,836, 4.FEES ASSESSED BY STATE OR FEDERAL RULES-STATE 001020 CHD STATEWIDE ENVIRONMENTAL FEES 127,779 0 127,779 0 127, 001092 CHD STATEWIDE ENVIRONMENTAL FEES 38,652 0 38,652 0 38,652 Attach Packet Pg. 2787 ATTACHMENT II MONROE COUNTY HEALTH DEPARTMENT Part IIa Sources of Contributions to County Health Department October 1,2020 to September 30,2021 State CHD County Total CHD Trust Fund CHD ! Trust Fund Other (cash) Trust Fund (cash) Contribution Total 001206 ON SITE SEWAGE DISPOSAL PERMIT FEES 2,716 0 2,716 0 2, 001206 SANITATION CERTIFICATES(FOOD INSPECTION) 2,302 0 2,302 0 2, 001206 SEPTIC TANK RESEARCH SURCHARGE 20 0 20 0 001206 PUBLIC SWIMMING POOL PERMIT FEES-10%HQ TRANSFER 8,971 0 8,971 0 8, 001206 REGULATION OF BODY PIERCING SALONS 75 0 75 0 001206 TANNING FACILITIES 47 0 47 0 rtl 001206 ONSITE SEWAGE TRAINING CENTER 5 0 5 0 tV 001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 648 0 648 0 tV CD 001206 MOBILE HOME&RV PARK FEES 1,918 0 1,918 0 1, CV CD tV FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 183,133 0 183,133 0 183, L) 5.OTHER CASH CONTRIBUTIONS-STATE: 0 0 0 0 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 122,918 0 122,918 0 122, 0) OTHER CASH CONTRIBUTION TOTAL 122,918 0 122,918 0 122, 6.MEDICAID-STATE/COUNTY r 001057 CHD CLINIC FEES 0 5,142 5,142 0 5, CV N 001148 CHD CLINIC FEES 0 61,603 61,603 0 61, >- MEDICAID TOTAL 0 66,745 66,745 0 66, CJ 7.ALLOCABLE REVENUE-STATE: fJ I 031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 6,960 0 6,960 0 6, 0 ALLOCABLE REVENUE TOTAL 6,960 0 6,960 0 6" r- 8.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND-STATE ADAP 0 0 0 146,750 146, PHARMACY DRUG PROGRAM 0 0 0 14,273 14, fJ WIC PROGRAM 0 0 0 995,338 995, ; BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 8,444 8, IMMUNIZATIONS 0 0 0 570,255 570, u OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 1,735,060 1,735,E 9.DIRECT LOCAL CONTRIBUTIONS-BCCITAX DISTRICT 008005 CHD LOCAL REVENUE&EXPENDITURES 0 843,820 843,820 0 843, 008005 IMMUNIZATION CAMPAIGN MONROE COUNTY BOCC 0 461,180 461,180 0 461, DIRECT COUNTY CONTRIBUTIONS TOTAL 0 1,305,000 1,305,000 0 1,305,1 10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION COUNTY 001077 CHD CLINIC FEES 0 38,633 38,633 0 38, 001077 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 582 582 0 001094 CHD LOCAL ENVIRONMENTAL FEES 0 127,689 127,689 0 127, 001110 VITAL STATISTICS CERTIFIED RECORDS 0 62,687 62,687 0 62, FEES AUTHORIZED BY COUNTY TOTAL 0 229,591 229,591 0 229, Attach Packet Pg. 2788 ATTACHMENT II MONROE COUNTY HEALTH DEPARTMENT Part IIa Sources of Contributions to County Health Department October 1,2020 to September 30,2021 State CHI) County Total CHD Trust Fund CHD ! Trust Fund Other (cash) Trust Fund (cash) Contribution Total 11.OTHER CASH AND LOCAL CONTRIBUTIONS-COUNTY 001029 CHD CLINIC FEES 0 180,260 180,260 0 180,. 001029 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 535 535 0 001029 CURANT 340B REVENUE AND EXPENSE TRACKING 0 135,598 135,598 0 135, 001090 CHD CLINIC FEES 0 60,766 60,766 0 60, 007010 RYAN WHITE TITLE III DIRECT TO CHD 0 427,256 427,256 0 427,. 007010 RYAN WHITE TITLE III DIRECT TO CHD 0 130,460 130,460 0 130, r tV CD 007010 RYAN WHITE PART C-COVID-19 RESPONSE 0 78,500 78,500 0 78, Cy 010300 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 7,185 7,185 0 7, Cy CD 010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 1,400 1,400 0 1, CV 010500 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 90,406 90,406 0 90, 011001 CHD HEALTHY START COALITION CONTRACT 0 290,000 290,000 0 290,E 090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 367,626 367,626 0 367, N OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 1,769,992 1,769,992 0 1,769,, E 12.ALLOCABLE REVENUE-COUNTY 031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 6,960 6,960 0 6, COUNTY ALLOCABLE REVENUE TOTAL 0 6,960 6,960 0 6, N CD tV 13.BUILDINGS-COUNTY >- ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 597,605 597, I OTHER(Specify) 0 0 0 0 fJ UTILITIES 0 0 0 83,369 83, CJI BUILDING MAINTENANCE 0 0 0 75,223 75, 0 GROUNDS MAINTENANCE 0 0 0 115,566 115, INSURANCE 0 0 0 0 OTHER(Specify) 0 0 0 0 OTHER(Specify) 0 0 0 0 BUILDINGS TOTAL 0 0 0 871,763 871, 14.OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND COUNTY EQUIPMENT/VEHICLE PURCHASES 0 0 0 0 VEHICLE INSURANCE 0 0 0 0 ¢- VEHICLE MAINTENANCE 0 0 0 0 OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 GRAND TOTAL CHD PROGRAM 4,752,995 3,378,288 8,131,283 2,606,823 10,738, Attach Packet Pg. 2789 ATTACHMENT II' MONROE COUNTY HEALTH DEPARTMENT Part III,Planned Staffing.Clients,Services and Expenditures By Program Service Area Within Each Level of Service October 1,2020 to September 30,2021 Quarterly Expenditure Plan FTE's Clients Servicesf 1st 2nd 3rd 4th i Grand (ODO) Units Visits (Whole dollars only) State County Total' A. COMMUNICABLE DISEASE CONTROL: IMMUNIZATION (101) 4.76 2,877 3,909 184,773 158,416 184,773 158,416 45,020 641,358 686, SEXUALLY TRANS.DIS. (102) 2.95 355 676 89,788 76,980 89,788 76,980 17,277 316,259 333, HIV/AIDS PREVENTION (03A1) 3.35 0 1,259 75,109 64,395 75,109 64,394 278,875 132 279,1 HIV/AIDS SURVEILLANCE (03A2) 0.00 0 0 0 0 0 0 0 0 HIV/AIDS PATIENT CARE (03A3) 13.07 362 2,254 454,974 390,075 454,974 390,075 661,236 1,028,862 1,690,1 ADAP (03A4) 1.34 4 107 26,828 23,002 26,828 23,001 99,606 53 99" r N CD TUBERCULOSIS (104) 1.50 19 22 40,191 34,458 40,191 34,458 149,239 59 149,: N CD COMM.DIS.SURV. (106) 1.97 0 2,656 214,146 183,599 214,146 183,600 795,491 0 795, N f� N HEPATITIS (109) 1.38 193 229 33,217 28,479 33,217 28,480 123,088 305 123, PREPAREDNESS AND RESPONSE (116) 2.47 0 347 67,134 57,558 67,134 57,558 248,994 390 249, () 2 REFUGEE HEALTH (118) 0.64 316 606 16,429 14,086 16,429 14,086 61,005 25 61,1 UN VITALRECORDS (180) 1.43 1,955 5,688 26,377 22,614 26,377 22,615 0 97,983 97,! COMMUNICABLE DISEASE SUBTOTAL 34.86 6,081 17,753 1,228,966 1,053,662 1,228,966 1,053,663 2,479,831 2,085,426 4,565,: U B. PRIMARY CARE: t8 CHRONIC DISEASE PREVENTION PRO (210) 0.78 79 122 18,599 15,946 18,599 15,947 69,091 0 69" r WIC (21W1) 6.51 2,013 13,417 140,398 120,371 140,398 120,371 521,538 0 521, CD N N TOBACCO USE INTERVENTION (212) 1.91 0 17 42,863 36,749 42,863 36,748 159,223 0 159,: >- I WIC BREASTFEEDING PEER COUNSELING (21W2) 2.06 0 2,099 29,063 24,917 29,063 24,918 107,961 0 107,! FAMILY PLANNING (223) 3.94 1,599 3,303 93,140 79,854 93,140 79,854 219,322 126,666 345,! IMPROVED PREGNANCY OUTCOME (225) 0.00 0 0 3,496 2,997 3,496 2,996 12,985 0 12,! �I 0 HEALTHY START PRENATAL (227) 3.10 715 3,581 60,238 51,645 60,238 51,645 0 223,766 223,' 0 COMPREHENSIVE CHILD HEALTH (229) 0.00 0 0 0 0 0 0 0 0 I HEALTHY START CHILD (231) 3.10 813 3,523 54,075 46,361 54,075 46,361 0 200,872 200,1 SCHOOL HEALTH (234) 4.74 0 154,892 95,550 81,920 95,550 81,920 354,940 0 354,! COMPREHENSIVE ADULT HEALTH (237) 2.51 365 1,075 82,956 71,123 82,956 71,124 199,742 108,417 308, COMMUNITY HEALTH DEVELOPMENT (238) 4.07 0 776 100,648 86,291 100,648 86,290 373,877 0 373,; DENTAL HEALTH (240) 8.05 15,014 403 65,311 55,995 65,311 55,995 6,190 236,422 242,1 U M PRIMARY CARE SUBTOTAL 40.77 20,598 183,208 786,337 674,169 786,337 674,169 2,024,869 896,143 2,920 E' C. ENVIRONMENTAL HEALTH: Water and Onsite Sewage Programs COSTAL BEACH MONITORING (347) 0.62 482 482 16,230 13,915 16,230 13,915 59,450 840 60,: LIMITED USE PUBLIC WATER SYSTEMS (357) 0.00 0 0 0 0 0 0 0 0 PUBLIC WATER SYSTEM (358) 0.00 0 0 0 0 0 0 0 0 PRIVATE WATER SYSTEM (359) 0.00 0 0 0 0 0 0 0 0 ONSITE SEWAGE TREATMENT&DISPOSAL (361) 1.51 727 640 30,009 25,728 30,009 25,729 33,824 77,651 111, Group Total 2.13 1,209 1,122 46,239 39,643 46,239 39,644 93,274 78,491 171,' Facility Programs TATTOO FACILITY SERVICES (344) 0.09 75 31 1,940 1,663 1,940 1,662 7,205 0 7,: Packet Pg. 2790 ATTACHMENT II' MONROE COUNTY HEALTH DEPARTMENT Part III,Planned Staffing.Clients,Services and Expenditures By Program Service Area Within Each Level of Service October 1,2020 to September 30,2021 Quarterly Expenditure Plan FTE's Clients Servicesf 1st 2nd 3rd 4th i Grand (ODO) Units Visits (Whole dollars only) State County Total' FOOD HYGIENE (348) 0.61 152 262 12,582 10,787 12,582 10,788 21,738 25,001 46,' BODY PIERCING FACILITIES SERVICES (349) 0.02 10 6 467 400 467 401 675 1,060 1,' GROUP CARE FACILITY (351) 0.08 43 45 1,592 1,364 1,592 1,364 0 5,912 5,! MIGRANT LABOR CAMP (352) 0.00 0 0 0 0 0 0 0 0 HOUSING&PUB.BLDG. (353) 0.00 0 0 0 0 0 0 0 0 MOBILE HOME AND PARK (354) 0.44 166 281 9,192 7,881 9,192 7,881 17,798 16,348 34, POOLSBATHINGPLACES (360) 2.10 1,043 3,203 38,687 33,168 38,687 33,168 76,022 67,688 143,' r N CD BIOMEDICAL WASTE SERVICES (364) 0.33 269 228 6,533 5,601 6,533 5,600 14,251 10,016 24,: N CD TANNING FACILITY SERVICES (369) 0.01 0 0 197 168 197 168 630 100 N N Group Total 3.68 1,758 4,056 71,190 61,032 71,190 61,032 138,319 126,125 264, Groundwater Contamination () STORAGE TANK COMPLIANCE SERVICES (355) 0.33 25 77 7,656 6,564 7,656 6,564 0 28,440 28, UN SUPER ACT SERVICES (356) 0.00 0 0 0 0 0 0 0 0 C: 0) Group Total 0.33 25 77 7,656 6,564 7,656 6,564 0 28,440 28, U Community Hygiene M COMMUNITY ENVIR.HEALTH (345) 0.00 0 0 0 0 0 0 0 0 M r INJURY PREVENTION (346) 0.00 0 0 0 0 0 0 0 0 CD N N LEAD MONITORING SERVICES (350) 0.00 0 0 0 0 0 0 0 0 >_ I PUBLIC SEWAGE (362) 0.00 0 0 0 0 0 0 0 0 a SOLID WASTE DISPOSAL SERVICE (363) 0.00 0 0 0 0 0 0 0 0 CJ tJ SANITARY NUISANCE (365) 0.16 18 44 3,268 2,802 3,268 2,803 0 12,141 12, �I 0 RABIES SURVEILLANCE (366) 0.06 2 24 1,172 1,005 1,172 1,006 0 4,355 4, "C 0 ARBORVIRUS SURVEIL. (367) 0.00 0 0 0 0 0 0 0 0 I RODENT/ARTHROPOD CONTROL (368) 0.00 0 0 0 0 0 0 0 0 WATER POLLUTION (370) 0.00 0 0 0 0 0 0 0 0 U INDOOR AIR (371) 0.00 0 0 0 0 0 0 0 0 RADIOLOGICAL HEALTH (372) 0.00 0 0 0 0 0 0 0 0 TOXIC SUBSTANCES (373) 1.93 530 530 39,599 33,950 39,599 33,950 0 147,098 147,1 U M Group Total 2.15 550 598 44,039 37,757 44,039 37,759 0 163,594 163, E' ENVIRONMENTAL HEALTH SUBTOTAL 8.29 3,542 5,853 169,124 144,996 169,124 144,999 231,593 396,650 628,: D. NON-OPERATIONAL COSTS: NON-OPERATIONAL COSTS (599) 0.00 0 0 0 0 0 0 0 0 ENVIRONMENTAL HEALTH SURCHARGE (399) 0.00 0 0 4,496 3,855 4,496 3,855 16,702 0 16,' MEDICAID BUYBACK (611) 0.00 0 0 19 16 19 15 0 69 NON-OPERATIONAL COSTS SUBTOTAL 0.00 0 0 4,515 3,871 4,515 3,870 16,702 69 16,' TOTAL CONTRACT 83.92 30,221 206,814 2,188,942 1,876,698 2,188,942 1,876,701 4,752,995 3,378,288 8,131,: Packet Pg. 2791 ATTACHMENT III MONROE COUNTY HEALTH DEPARTMENT CIVIL RIGHTS CERTIFICATE The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans, contracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete the Civil Rights Compliance Questionnaire, DH Forms 946 A and B(or the subsequent replacement if adopted during the contract period), if so requested by the department. The applicant assures that it will comply with: CD cv 1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C., 2000 Et seq., which prohibits cv CD discrimination on the basis of race, color or national origin in programs and activities receiving or cv benefiting from federal financial assistance. L) 2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits discrimination W on the basis of handicap in programs and activities receiving or benefiting from federal financial N assistance. 3. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibits discrimination on the basis of sex in education programs and activities receiving or benefiting from federal financial assistance. cv 4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits discrimination CD on the basis of age in programs or activities receiving or benefiting from federal financial assistance. >- I 5. The Omnibus Budget Reconciliation Act of 1981, P.L. 97-35, which prohibits discrimination on the basis of sex and religion in programs and activities receiving or benefiting from federal financial assistance. CJ I 6. All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant agrees that compliance with this assurance constitutes a condition of continued receipt of or benefit from federal financial assistance, and that it is binding upon the applicant, its successors, transferees, and assignees for the period during which such assistance is provided. The applicant further assures that all contracts, subcontractors, subgrantees or others with whom it arranges to provide services or benefits to participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees in violation of the above statutes, regulations, guidelines, and standards. In the event of failure to comply, the applicant understands that the grantor may, at its discretion, seek a court order requiring compliance with the terms of this assurance or seek other appropriate judicial or administrative relief, to include assistance being terminated and further assistance being denied. Attachm Packet Pg. 2792 6 (�Z eozoz 0 ) 9u8m Qogm �Z z* DD aOJ uo # D :W®m Qoq! \ �\ C4 o § \ ) ® E C) \ \ ? e « a ) Q @ o ( N m 2 $ 2 \ \ / m @ e § § o o � k k � 2 \ § j \ \ / 0 e o | | a § ® \ � )) \ 2 / | | k ® / o \ Q \ ) ) a a \ e E § ( \ § \f \f % CL 0 () � e = Q ± 2 E 0 ) G G f \ § e < \ \ / 2 f f 2 2 E � % \ 2 C.4 \ 77 E ~ cu ° G \ \ Q _ � k 0 » § § § 0 .0 \ a 2 k 2 � z & / 2 \ m w G k k G f \ 2 (.2 2 / j 0 2 « \ - - � = � � � { \ e / & o - / � L: § ƒ $ \ Q CO—aLU � � 0» [ ° % ii CL } r kk ) \ \ 4 § > § m § - w \ \ m w w \ 2 m E k k ' § > R 4 co \ o ƒ J6 LL Co k / \ LL � - 2/ m \J % w ¥ Co ° co § R \ /o \ t y ) a �© �o '§ 3 w ° k � 0 CD � jco rl. \ � � \ ® \ \ LL r ° 0 § \ � v � 0 k : 0 CD ce) CD I G f / / S I ATTACHMENT V MONROE COUNTY HEALTH DEPARTMENT SPECIAL PROJECTS SAVINGS PLAN CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS CONTRACT YEAR STATE COUNTY TOTAL 2019-2020' $ 0 $ 0 $ 0 2020-2021" $ 0 $ 0 $ 0 2021-2022"' $ 0 $ 0 $ 0 2022-2023"' $ 0 $ 0 $ 0 PROJECTTOTAL $ 0 $ 0 $ 0 rtl tV SPECIAL PROJECTS CONSTRUCTION/RENOVATION PLAN tCD V CD tV CD PROJECT NUMBER: tV PROJECT NAME: L) LOCATION/ADDRESS: N PROJECT TYPE: NEW BUILDING ROOFING RENOVATION PLANNING STUDY NEW ADDITION OTHER r SQUARE FOOTAGE: 0 tCD V tV PROJECT SUMMARY: Describe scope of work in reasonable detail. START DATE (Initial expenditure of funds) I COMPLETION DATE: DESIGN FEES: $ 0 O I CONSTRUCTION COSTS: $ 0 FURNITURE/EQUIPMENT: $ 0 TOTAL PROJECT COST: $ 0 COST PER SQ FOOT: $ 0 Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and mobile health vans. Cash balance as of 9/30/20 "Cash to be transferred to FCO account. Cash anticipated for future contract years. 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N O �-I N N N N N N N N N N N N O 'p O M •yy M M M M M M M M M M M M � N � Vr Vr Vr Ni Vr Vr Vr Vr Vr Vr Vr Vr M ci O a �-y Uct ct cn � o 0 U U 4.1 H U 'Z O U O W � W c W CJ �W CA W W W Q A U U Q w w w s U o O O O O O o 0 o O O O O kn kn kn kn kn In In In kn kn kn kn 0