Item F02 } F.2
`,
County of Monroe
�y,4 ' �, "tr, BOARD OF COUNTY COMMISSIONERS
Mayor Heather Carruthers,District 3
�1 `ll Mayor Pro Tem Michelle Coldiron,District 2
The Florida.Keys ��` �)-.�ff`� � Craig Cates,District 1
David Rice,District 4
w � Sylvia J.Murphy,District 5
County Commission Meeting
November 17, 2020
Agenda Item Number: F.2
Agenda Item Summary #7485
BULK ITEM: Yes DEPARTMENT: Emergency Services
TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289-6088
NA
AGENDA ITEM WORDING: Issuance (renewal) of a Class A Certificate of Public Convenience
and Necessity (COPCN) to the City of Key West Fire Department (KWFD) for the operation of an
ALS transport ambulance service (including inter-facility transports on an as needed basis), for the
period December 10, 2020 through December 9, 2022.
ITEM BACKGROUND: In December of 2018, a Class A COPCN was issued to the City of Key
West Fire Department to operate an ALS transport ambulance service (specifically inter-facility).
KWFD's existing certificate will be expiring on December 9, 2020. In view of the foregoing,
KWFD is applying to renew this Class A COPCN for the period December 10, 2020 through
December 9, 2022.
PREVIOUS RELEVANT BOCC ACTION:
On November 20, 2018, the MCBOCC approved (Item G.6) the issuance of a Class A COPCN to
City of Key West Fire Department for the operation of an ALS transport ambulance service
(specifically inter-facility) for the period December 10, 2018 through December 9, 2020.
On November 22, 2016 the MCBOCC approved (Item F.32) the issuance of a Class A COPCN to
City of Key West Fire Department for the operation of an ALS transport ambulance service
(specifically inter-facility) for the period December 10, 2016 through December 9, 2018.
CONTRACT/AGREEMENT CHANGES:
None
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
City of Key West Class A COPCN - Renewal Application_Redacted
KWFD Class A Certificate 10.10.20-10.09.22
12/10/2018 to 12/09/2020
Packet,Pg.41
F.2
FINANCIAL IMPACT:
Effective Date: 12/10/2020
Expiration Date: 12/09/2022
Total Dollar Value of Contract: N/A
Total Cost to County: N/A
Current Year Portion: N/A
Budgeted: N/A
Source of Funds: N/A
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: N/A If yes, amount: N/A
Grant: N/A
County Match: N/A
Insurance Required: Yes
Additional Details: N/A
REVIEWED BY:
Pedro Mercado Completed 10/30/2020 5:28 PM
James Callahan Completed 10/31/2020 1:05 PM
Purchasing Completed 11/02/2020 8:09 AM
Budget and Finance Completed 11/02/2020 8:14 AM
Risk Management Completed 11/02/2020 8:18 AM
Liz Yongue Completed 11/02/2020 4:42 PM
Board of County Commissioners Pending 11/17/2020 9:00 AM
Packet,Pg.42
F.2.a
BOARD OF COUNT'COMMISSIONERS
k-lounty of MonroeMayor Sylvia J. Murphy,District 5
Mayor Pro Tern Danny L.Kolhage,District 1
FloridaThe Keys # Michelle Coldiron,District 2
Heather Carruthers,District 3
David Rice,District 4
Division of Emergency Services
Fire Rescue Department
490 63`d Street,Ocean
Marathon,FL 33050
Phone: 305-289-6004 W
Fax: 305-289-6336 U
CL
U
Classeck ListU
Please Attach all of the following documents when submitting your application:
The name, business mailing address,and telephone number of the service.
L/ The name, age,address and telephone number of each owner of the emergency medical service,or, if
the service is a corporation,the directors of the corporation and of each stockholder of the corporation, 0)
or, if the service is a volunteer organization,the officers of the organization. i
The date of incorporation or formation of the business association.
I The level of care to be provided,specifying BLS or ALS, and if ALS,then specifying whether service is to
include transport or nontransport capabilities.
./ The zones that the service desires to serve.
The applicant's present and proposed base station and all substations.
±' The names of all emergency medical technicians, paramedics and drivers to be utilized by the applicant;
the roster will include the state certification number,date of certification expiration, and any other
relevant training of said personnel.
IV The year, model,type,department of health ambulance permit number, mileage and state vehicle U
CL
license number of every ambulance vehicle used by the applicant.
description of the applicant's communication systems, including its assigned frequency, call numbers,
mobiles, portables,other frequencies in use,and a copy of all FCC licenses held by the applicant.
The names and addresses of three U.S. citizens who will act as references for the applicant.
A schedule of rates which the company will charge during the certificate period.
Verification of adequate insurance coverage, during the certificate period.
Y An affidavit signed by the applicant or an authorized representative stating that all the information
contained in the application,to the best of the applicant's knowledge, is true and correct.
A copy of the applicant's contract with a medical director.
A copy of all standing orders as issued by the medical director. _
- Such other pertinent information as the administrator may request.
An initial nonrefundable application fee of$50.00/$25.00 Renewal
EE
CT -_ 1 ?0
Mor7ros County Fire Rescue
P Y:
xvnr.�mra�_mrvwxi+»,o-eiov.su+5'e &.vrv:,'k.'.tnrreax"b"mrdrr..:..,
Packet,Pg.43 i
F.2.a
®NROE COUNTY, FLORIDA
APPLICATION FOR CERTIFICATE A PUBLIC CONVENIENCE EC ESSITY COP CN)
CLASS A EMERGENCY DIC SERVICE
(PRINT OR TYPE)
INITIAL APPLICATION m$50.00RENEWAL APPLICATION-$25.00
IF RENEWAI,PLEASE LIST NUMBER OF PREVIOUS CERTIFICATE:# -
1. NAME OF SERVICE City of Key West Fire Department
BUSINESS M.MLING ADDRESS Roosevelt Blvd Key West FL, 33040 CL
30 -809-37 305® 9-3
BUSINESS PHONE NUMBER EMERGENCY PHONE NUMBER
2. O� E HIP(i.e.,Sole Proprietor,Partnership,Corporation,etc.) ity ®vefn ant y
CJ
DATE OF INCORPORATION FORMATION BUSINESS ASSOCIATION pity y West
. LIST ALL OFFICERS,DIRECTORS,AND SHAREHOLDERS se separate s if necessary):
W
NAME AGE ADDRESS TELEPHONE# POS I N/TITLE q
Terri Johnston P.O.Box 1409,Key West FL 33041 305-809-3840 Mayor, City of Keys
Greg Veliz P.O.Box 1409,Key West FL 33041 305-809-3888 Manager,City of Key West i
Samuel Kaufman P.O. ox 1409,Key West FL 33041 305- -3834Commissioner,City of Key West '
Illy Wardlow P.O. ox 1409,Key West FL 33041 -
5® 0 3 34 Commissioner,City of Key West
Jimmy Weekley P.O.Box 1409,Key West FL 33041 305- 9-3834 Commissioner,City of Key West
Gregory evil P.O.Box 1409,Key West FL 33041 305-809-3 34 Commissioner,City of Key West
Mary Lou Hoover P.O.Box 1409,Key West FL 33041 5-80 -3 34 Commissioner,City of Key West
Clayton Lopez P.O.Box 1409,Key West FL 33041 305-809-3834 Commr ssioner,City of Key West U
CL
4. LEVEL OF CARE TO BE PROVIDED. El BLS or Fq-1 ALS
TRANSPORT or 0 NON TRANSPORT y
. DESCRIBE T ONES(S)THAT YOUR SERVICE DESIRES TO SERVE se separate sheet if necessanr)-
CityWest proper, including rNorth Stock Island U.S. aval
Properties belonging the Naval Air Station Key West located within the Key West city limits.
Provide inter-facility transport throughout Monroe County on an as needed basis.
..
6.
LIST THE ADDRESSAND/OR DESCRIBE THE LOCATIONYOUR STATION AND ALL SUB-
STATIONS(Use separate sheet if necessary): m
BASE STATION Station #3 - 1525 Kennedy Drive, Key West FL 33040
SUB-STATION Station #1 - 1600 NorthRoosevelt Blvd. Key West FIL 33040
Station #2 - 616 Simonton roet, Key West FL 33040
Page t of 6
Packet,Pg.44
F.2.a
7. DESCRIBE Y COMMUNICATION SYSTEM(Attach copy of all FCC licenses):
,,,.-.F,RE2UENCIES CALL NUMBERS #OF MOBILES #OF PORT LES
z P-25 Rescue
Trunk System sue
8. LIST THE NAMES AND ADDRESSES OF THREE(3)U.S.CITIZENS WHO WILL ACTS REFERENCES FORW
YOUR SERVICE;
CL
NAME ADDRESS
U
Greg Veliz, Key Westi ana er P.O. Box 1409 Key West FL 3304
Alan Averette, Fire Chief KWFD 1600 N. Roosevelt Blvd. Key West FL 33040
Edward Perez, Deputy Chief F 1 �i�se� It I ey st 3304
ATTACHA SCHEDULE OF RATES WHICH YOUR SERVICE WILL CHARGE DURING THE C PCN PERIOD.
. PROVIDE VERIFICATION OF ADEQUATE INSURANCE COVERAGE DURING THE COPCN PERIOD.
11. ATTACH A COPY OF YOUR SERVICE'S CONTRACT WITH A MEDICAL DIRECTOR.
1 , ATTACH A COPY OF ALL STANDING ORDERS AS ISSUED BY YOUR MEDICAL DIRECTOR.
13. ATTACH A CHECK OR MONEY ORDER IN THE APPROPRIATE AMOUNT,MADE PAYABLE TO THE �
ONROE COUNTY BOARD OF COUNTY COMMISSIONERS.
I,THE UNDERSIGNED REPRESENTATIVE OF THE ABOVE NAMED SERVICE,DO HEREBY ATTEST MY SERVICE �
MEETS ALL OF THE REQUIREMENTS FOR OPERATION EMERGENCY MEDICAL SERVICE IN MONROE '
COUNTY STATE.OF FLORIDA, I FURTHER ATTEST THAT ALL THE INFORMATION CONTAINED INCL
THIS APPLICATION,TO THE BEST OF MY KNOWLEDGE,IS TRUE AND CORRECT. U
�- D
SIGN .TI IRE CIF REPItiGSICN I A TI m N
ANISSAMICHELLEVIBI
:.; Cowbsion#GG 945338
NOTA SE L ""
�¢, T Fdn 70i9
U
TARY SIGNATURE DAT,:
Page 2 of 6
Packet,Pg.45
F.2.a
IJLS License Pub afly/S cEmer/PubSaft tt fan.8 -917/ 51- 62 z,`I°rusk l,f c 1 of 2
License
Call Sign WQNK696 Radio Service YE - Pu 5a /S Emer/PubSeftyNt! n,806-
17 51•862M ,True
U
Status Active ut Type Regular CL
Distes U
Grant 03/07/ 011 Expiration 03/07/201
Effective 03/07/ 012 Cancellation in
Control Points U
2796 OVERSEAS HIGHWAY SUITE 105, MONROE, MARATHON, Fl.
P: (3 )20 p2372
Licensee
U
FRN 0001 02 81 Type Governmental Entity
MONROE, COUNTY OF P.( )20 - 035
10600 AVIATION BLVD, E:LWHITEOKEYSSO.NET
MARATHON, FL 33050
ATTN SHERIFFS OFFICE COMMUNICATIONS TIONS �
Contact
PALLANS ASSOCIATES P,(702)657-0456
MARK D PALLANS E:MPALLANS@PALLANSASSOCIATES.COM
7753 LILY TROTTER STREET
NORTH LAS VET ,NV 89064
CL
Land Mobile taata
Extended Assoc.Call Signs U
I ply ntation
(Sloes Growth) in
in
Eligibility
90.20- APPLICANT IS A PUBLIC SAFETY AGENCY PROVIDING POLICE SERVICES TO MONROE COUNTY in
ovvhulsbip and Qraalilrcations
Radto Service Type Mobile 0
Regulatory Status Private Comm Interconnected No
Allen Ownership U
Is the applicant a foreign goverment or the representative of any forelPn No
govern nt7
Is the applicant an alien or the representative of an akn7
Is time applicant a corporation organized sander the laws of any foreign �
government?
hilps//%A-Ireless2.fcc. o%/1)kA pp/t)Is SearchllicensejspAicKey 3 11 70215 printable li/ /2014
Packet,Pg.46
F.2.a
IJLS License PubS yd pecFmer a y 11PI rl,8 6 171 51- 2 I lzjrunked Lice... Page I of"2
rate 1.1crse
PubSafty/SpecEmer/PubSaftyNtiPlan,, /
License
Cali Sign WQBK905 Radio Service YE - PubSa y/ a user u Sa NtP an,806- W
617/851-86 Hz,Trun ed
Status Active Auth Type Regular CL
U
Dated; U
Grant 07/31/2014 Expiration 1 / 7/2 24
Effective 07131/2014 Cancellation in
Control Points Ca
1 10600 AVIATION BLVD, MONROE, MARATHON, Ft
P; ( )2 9- 035
l scen�e� W
FRN 0001802081 Type Governimental Entity
LIcenzas
ONROE,COUNTY OF P:(30 ) 8 ® d3
10600 AVIATION BLVD F;(3 5) 96-6
MARATHON, FL 33050 :I H K YSSO.NET
ATTN COMMUNICATION MANAGER �
Contact
PALLANS ASSOCIATES .(702)657-0456
MARX 0 PA NS F.(6 0)413-9 29
7753 LILY TROTTER STREET
E:MPALLANSOCOXNET �
NORTH LAS VEGAS, N[89084
ATTN MARKPALLANS
CL
Land Mobile Data (J
Extended Assoc.Call Signs
Implementation y
(Slow Growth) y
EligibilityU
0.617A - ENTITY IS A APPLICANT IS A PUBLIC SAFM AGENCY PROVIDING PUBLIC SAFETY SERVICES TO a)
MONROE COUNTY, FL
Radio Service type Mobile _
Regulatory status Private Comm Interconnected No U
Allen Ownership �
The AppOcant answered-No" to each of the Alien Ownership questions.
Basic Qualifications
The Applicant answered "No"to each of the Basic Qualification questions.
hilp:llwireless2.Icc. ®`It I IsAppA I IsScarch.fltc°ense,jsp? neaaW iridovv=t ii Ise&lic Key=266... 1 1/6f2O 14
Packet,Pg.47
F.2.a
ITS License ubSafl3,/S Fnier/PubS R}° tlPlan. 06- 17/ 51® 62 1zj"runked Lice— Page I of
PubSafty /PU bSaftyNtl Plan, -
t
Call Sign WQBJ523 Radio Service YE • P b5afty/S Erner! a Nt lava, 6- W
61 / 1m 6 Hz,Trun e
Status Active Auth Type Regular CL
Dates
Grant 0 / 5/2014 Expiration 1 /2012024
in
EffeCtIve 7/2 12 14 Cancellation in
Control PointsCa
t 2796 OVERSEAS HIGHWAY SUIT 105, MONROE, MARATHON, FL
P: (30 )2 - 72
U-
FRN 0001802001 Type Governmental Entity
LI
MONROE, COUNTY OF P:(305)25 . 035 �
10600 AVIATION L F:(305) 9-6075
NARATHON, FL 3 050 E:LWHFrEOKEYSSO.NET
ATTN SHERIFFS OFFICE COMMUNICATIONS MGR �
contact
PALLANS ASSOCIATESCOMMUNICATIONS P:( 02)657 56 �
CON LTANTS E:MPALLANS@PALLANSASSOCIATES.COM
MARK D PALLANS �
7753 LILY TROTTER STREET
NORTH LAS VEGAS, NV 89084
ATTN MARK PALLANS
CL
CJ
Land Pgob0e Data
Exts stYc.Cali Signs in
.925 in
Implementation cts
(SlowGrowth) (a
Eligibility in
90,20 • APPLICANT IS A PUBLIC SAFETY AGENCY PROVIDING POLICE 5ERVICES TO THE MONR E COUNW, FL
Ovb jsetship and [leiaia@caat�c�s,�
0
Radio Service Type Mobile _
Regulatory Status Private Comm Interconnected No
Allen Ownership
The Applicant answered "No"to each of the Alien Ownership questions. �
Basic Qualifications
The Applicant answered"No® to each of the Basic Qualification questions.
IHp-/dcklrcless2.fsc.gear•/llls pp/L1(sSetarc;l:!flcense,js e!SFSS[()Nll) IJLSSF.A C'llrslirk 11/6/2 14
Packet,Pg.48
war Es `� F.2.aF.
€ - .
.,
ST.
THE CITY
Post Office Boy dog West, FL 33041-1409 _
Toe Caitlin Bourassa
From: Keith Hernandez z
U
CL
Date: October 1,2020
Reference: City of Key West Fire Dept rate schedule y
C ithn,,,
The rate schedule below is our current list of rates previously approved by the City �
Commission for ambulance services,withdn the City of Key West. It is the City's desire t
provide complete disclosure of all charges and fees associated i e delivery of
ambulance services. As such the City shall provide any proposed changes to this current �
rate schedule to the .C.C.C. during this C.C.F.C. . period. i
Base Rate for all levels of transport:
Basic Life Support Emergency $600.
Advanced Lie Support Emergency (Medicare LS-1) $75 .
Advanced cedd i e Support Emergency ency(Medicare ALS- 50.
Mileage charge$14.50 per loaded.mile.
a Emergency ency stand-by charge at any incident- No charge for stand-by.
Non-emergency or scheduled stand-by event- If a unit is committed to the scene, the
City may charge a reasonable fee. a
0
Keith Hemandez
1 en e ly Drive E
Key West FL, 33040Division Chief of EMS
�
Phone (305)809 t
Fax (µ 0 2 4-64 3
€ her ttnt°� fr1mt ��
Serving the Southemn,,Tost (W
ery rqg the Southerrrnivst f Jq, ISO Crass
Packet,Pg.49
F.2.a
DATE(M D Y)
R CERTIFICATE LIABILITY INSURANCE
10/1/2020
THIS CERTIFICATE IS ISSUED AS A MATTEROF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endo ment(s). _
PRODUCER N E; Jenna Jennings =
Worldis Management, LL a Member of allat r InsuranceGroup P�E ---------_ _ --
20 N.Orange Ave,, ffi. ;407 52414 IA+C,No):407 5-2666
Suite 500 ADDRESS: ienniferjennings IIC.Corrl
Band®FIL 3201 —._�—
INSURERS AFFORDING COVERAGE NA1C0
INSURER A 2 Public Risk Management Of Flor
INSURED KEY ST-01 INSURER B
City of Key West -— - _ _
3126 Flagler Avenue ,N IA ERC:
Key West FL.33040 INSURER D:
INSURER E: ut
INSURER F:
COVERAGES CERTIFICATE NUMBER:2001810075 REVISION NUMBER:
'THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWNY HAVE BEEN REDUCED BY PAID CLAIMS.
_. _. .... _ —.w.r_................__.... .®...._............
I .....____._ ADDL BU POLICY EFF
T POi ICY EXP TYPE OF INSURANCE wvn POLICY NUMBER IMWDD= IMWDDIYYYYILtMrr3
A I X COMMERCIAL GENERAL LIABILITY PRM020-007-073 1011t2020 10l162021 EACH OCCURRENCE $1,000,000
CLAMS-MADE1�1 CUR PREMISSE
FEC EXPAy aa person) $EXCLUDE D —
0
_.....
--- w
PERSONAL&ADV INJURY 1,000 000
£GPN'L AGGREGATE LIMIT APPLIES PER: i I GENERAL AGGREGATE $ _.. 0
p.. ,,.... POLICY��E � ,. L ! I'_gDUCTS-COMPfOP AGG $
_.. — _
OTHER: SELF INS.RETENTION $100,000
0.
A .AUTOMOBILE LIABILITY PRM02a-007-073 1011l2020 10/1/2021 COMBINED SINGLE LIMIT $1,000,000 0.
JEa accident)
ANY AU'r0 BODILY INJURY(Per person) S
..... OWNED SCHEDULED j BODILY INJURY(Per accident)�-S--_........V.�..--. .... ----- ru
AUTOS ONLY AUT
HIRED 14O NED PROPERTY pAMArGE '-'..__ 0
—
I._._... AUTOS ONLY AUTOS ONLY i Per�......6�srot) ....._ 0
APO SELF INS.RETENTION $25,000 0
UMBRELLA 1-14,11
OCCUR � EACH OCCURRENCE
�.._.._ EXCESS CLAIMS-MADE AGGREGATE .... ..$`
DEDj I RETENTION$ $ CL
A ,WORKERSCOMPENSATION PRM02 07 073 1011l2020 10/112021 X PER OTH
D EMPLOYERS°LIABILITY r..._.,... STATUTE ( ER 31ft $325 Oa0 (,
�ANYPROPRIETQ ARTNERlEXECUTIVE YINE.L.EACH ACCIDENT 51,000,000
OFFICERIMEMBEREXCLUD-0 L] NIA _
(Mandat In NH) .L.DISE E.EA EMPLOYEE 31,000,000 y
Ifs,dedwibe under _. ...__
D SCRIPTION OF OPERATIONS borne E.L.DISEASE-POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101„Adrifthinal Remarks Schedute,may be aftached N mors,space isrequired)
RE:Monroe County Application for Certificate of Public Convenience and Necessity for EMS Services
h respects to the listed coverage held by the named insured,as evidence of insurance.
O
U
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF-, NOTICE WILL BE DELIVERED I
ACCORDANCE WITH THE POLICY PROVISIONS,
Monroe County
1100 Simonton Street AUTHORIZED REPRESENTATIVE,
.....-.
Key West FL 33040
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
Packet,Pg. 50
F.2.a
KEYWEST-01 JJENNINGS
FLORIDA COMMERCIAL AUTO INSURANCE THIS CARD MUST BE KEPT IN THE INSURED
IDENTIFICATION CARD VEHICLE AND PRESENTED UPON DEMAND
COMPANY:Public Risk Management of FL(800)749-3044 11111
POLICY#:PRM020-007-073 DATECTIVE 10/01/2020 IN CASE OF ACCIDENT: Report all accidents to your
®PERSONAL INJURY PROTECTION BODILY INJURY Agent/Company as soon as possible. Obtain the _
BENEFITS/PROPERTY DAMAGE LIABILITY ® LIABILITY following information:
NAMED Ci of a West 1. Name and address of each driver, passenger
INSURED: 31 Fla er Avenue p g
ADDRESS: Key ,FL 33040 and witness.
(optional) 2. Name of Insurance Company and policy number 2
MAKE/ for each vehicle involved.
YEAR: FLEET MODEL:
VEHICLE ID#: CL
MISREPRESENTATION OF INSURANCE IS A FIRST DEGREE MISDEMEANOR
NOT VALID FOR MORE THAN ONE YEAR FROM EFFECTIVE DATE ACORD 61 FL{2008/07)®2007-2009 ACORD CORPORATION. All rights reserved.
FLORIDA COMMERCIAL AUTO INSURANCE THIS CARD MUST BE KEPT IN THE INSURED
IDENTIFICATION CARD VEHICLE AND PRESENTED UPON DEMAND
COMPANY:Public Risk Management of FL(800)749-3044 11111
POLICY#: - 7-073 DATECTIVE 10/01/2020 IN CASE OF ACCIDENT: Report all accidents to your W
®PERSONAL INJURY PROTECTION II BODILY INJURY Agent/Company as soon as possible. Obtain the
BENEFITS/PROPERTY DAMAGE LIABILITY LIABILITY following Information:
N MED Ci of a West 1. Name and address of each driver, passenger
31 Fla er Avenue
ADDRESS: Key FL 33040 and witness.
(optional) 2. Name of Insurance Company and policy number
I
YEAR, FLEET
MAKE/L for each vehicle involved.
VEHICLE ID#. ¢1
MISREPRESENTATION OF INSURANCE IS A FIRST DEGREE MISDEMEANOR 2
NOT VAUD FOR MORE THAN ONE YEAR FROM EFFECTIVE DATE '
ACORD 61 FL(2008107)m 2007.2008 ACORD CORPORATION. All fights reserved.
FLORIDACOMMERCIAL AUTO INSURANCE THIS CARD MUST BE KEPT IN THE INSURED
IDENTIFICATION CARD VEHICLE AND PRESENTED UPON DEMAND
COMPANY:Public Risk Management of FL(800)7493044 11111
POLICY#: 0- 7-07 EFF
DATECTIVE10101/2020 I CASE OF ACCIDENT: Report all accidents to your r
®PERSONAL INJURY PROTECTION BODILY INJURY Agent/Company as soon as possible. Obtain the
BENEFITS/PROPERTY DAMAGE LIABILITY ® LIABILITY following information: CL
wsuRoO Ci of Keyy West 1. Name and address of each driver, passenger
31 Fia ler Avenue
ADDRESS: Key ,FL 33040 and witness.
(optional) 2. Name of Insurance Company and policy number y
YEAR: MAKES for each vehicle involved.
FLEET CJ
VEHICLE ID#. N
MISREPRESENTATION OF INSURANCE IS A FIRST DEGREE MISDEMEANOR
NOT VALID FOR MORE THAN ONE YEAR FROM EFFECTIVE DATE ACORD 61 FL(2009/07)CSJ 2007-2008 ACORD CORPORATION.All rights reserved.
FLORIDA COMMERCIAL AUTO INSURANCE
IDENTIFICATION CARD THIS CARD MUST BE KEPT IN THE INSURED
COMPANY.
Public Risk Management of FL(800)7493044 11111 VEHICLE AND PRESENTED UPON DEMAND
POLICY#: 0- 7-07 EFFE
DATECTIVE 10/01/2020 IN CASE OF ACCIDENT: Report all accidents to your ¢°
® PERSONAL INJURY PROTECTION BODILY INJURY Agent/Company as soon as possible. Obtain the
BENEFITS/PROPERTY DAMAGE LIABILITY ® LIABILITY following information:
NAMEDCi of Key West 1. Name and address of each driver, passenger
INSURED:
31 6 Fla fer Avenue
ADDRESS: Key ,FL 33040 and witness.
(optional) 2. Name of Insurance Company and policy number
YEAR: MAKE/L for each vehicle involved.
FLEET
VEHICLE ID#
MISREPRESENTATION OF INSURANCE IS A FIRST DEGREE MISDEMEANOR
NOT VALID FOR MORE THAN ONE YEAR FROM EFFECTIVE DATE
ACORD 61 FL(2008I07)q 2007-2009 ACORD CORPORATION.All rights reserved.
Packet,Pg. 51
F.2.a
Medical Director Agrgement
This AGREEMENT is made and entered into i ay of November , by and betweenthe
City Key West, a municipal corporation of the State of Florida, whoseIs P.O. Box1409, Key U
CL
West, Florida 33041, hereafter referred to as the"CITY"and Bruce Guendan, MD,whoseaddress is 1
Atlantic Blvd, B117Key West Florida, 33040,hereafter referred to collectively as the "Consultant". This
agreement shall be effective on the date of execution of the last partyo sin the for the y
term specified in Paragraph .1 and commence on January 1,2019.
CJ
Article f Services
The CONSULTANrs primary responsibilities include,but are not limited o,medical director services for
the City of Key West("Project"). Additional work may include other consulting services which the
CONSULTANT is qualifiedo provide and which the CITY authorizes the CONSULTANT to undertake in
connection with the CITYs present and plannedactivities in the areas Identified elo e CITY
engages CONSULTANT o perform those Services described in the CONSULT Proposal dated �
September 1 , 01 ,a copy of which is attached hereto,incorporated for reference,and more
particularly described as Exhibit A.The specific task goals,task activities and key project milestones,
which the CONSULTANT agrees to undertake,accomplish, n furnish are set forth s follows:
76
Article tin
s consideration for providing the services enumerated in Article 1,the CITY shall pay the
CONSULTANT as follows:
CL
2.1 Payment in the total,not—to-exceed,fixed amount o $18,000 per year,which includes c,
compensation forall tasks identified in the consultant's proposal,including, but not limited o, y
CONSULTANT'S travel costs(meals and lodging),transportation,fringe benefits,clerical support,
salaries,general overhead costs,direct expenses,profit,and all other out-of-pocket expenses.
A. The sum is based on immediate authorization to proceed and timely completion of the PROJECT.If
the PROJECT timing ates from the assumed schedule for causes beyond CONSULT control,
CONSULTANT an /orthe CITY reserves the right to request renegotiation of those portions of the
lump sum affected the time change.
CJ
B.
In the event of a change of scope,an appropriate decrease or increase in compensation will be
authorized In ritin .
C. The CONSULTANT shall submit wage rates and other a ual unit costs supporting the
compensation. The CONSULTANT shall submit a Truth in Negotiation Certificate stating that all
as supporting the compensation is accurate,complete,and current at the time of contracting.
1
Packet,Pg. 52
F.2.a
Article . Invoicing and Payment
As Indicated in Article 2 above,CONSULTANT shall be paid EIGHTEEN THOUSAND L S($1 , )per
year for all work performed under this AGREEMENT,So long as CONSULTANT is not breach of this
agreement,CONSULTANT shall be paid the fee above in equal monthly installment beginning on the
commencement date. W
U
CL
Article 4. Obligations of the Consultant
CJ
4.1. General
The CONSULTANT will serve as CITY'S professional representative under this AGREEMENT, cJ
performing medical director services for the City of Key West.
4.2. Standard of Care �--
The standard of care applicable to CONSULTANT'S services will be the degree of skill and diligence
normally employed by professionals and other related consultants performing the same or similar
services at the time said services are performed. The CONSULTANT will perform any services not i
meeting this standard without additional compensation.
.3 CONSULTANT'S Insurance
Each Contractor shall maintain the appropriate insurance(s)required to perform the respective
operation(s)and activities proposed as required by Federal Law,State statutes and regulations,and
meets City ordinance requirements. Each contractor shall have a minimum of liability/medical
malpractice coverage of$1,000,000 per claim.The successful contractor must provide original
certificates of insurance prior to commencing work and such coverage shall be maintained for the
duration of the contract. CL
CJ
The vendor providing services under this agreement will be required to procure and maintain,at their
own expense and without cost to the City, until final acceptance by the City of all products or services
covered by the purchase order or contract,the following types of insurance.The policy limits required to
are to be considered minimum amounts:
Liability/Medical Malpractice Coverage $1,000,000 per claim
The vendor shall provide certificates of insurance to the City demonstrating that the
insurance requirements have been met prior to the commencement of work under this
Contract.The certificates of insurance shall indicate that the policies have been endorsed to cover the
City as an additional insured (a waiver of subrogation in lieu of additional insured status on the workers
compensation policy is acceptable)and that these policies may not be canceled or modified without
thirty(3 )days prior written notice to the City.
The insurance coverage enumerated above constitutes the minimum requirements and shall in no way
lessen or limit the liability of the vendor under the terms of the contract.Sub-Contractor's insurance
2
Packet,Pg. 53
F.2.a
shall be the responsibility eft the vendor.
4.4 Sub consultants
A. The CONSULTANT ray not assign or subcontract its obligations under this AGREEMENT
without the written consent of the CITY. W
B. e CONSULTANT is as fullyresponsible to the owner for the acts and omissions of his Sub CL
U
consultants and of persons either directly or indirectly employed y them as he is for the acts and U
omissions of persons directlye loye i .
C. Nothing contained in the Contract Documents shall create any contractual relationship between any
Subcontractor and the City, The Subcontractor shall have the same insurance qui ents as the
CONSULTANT.
4.5 Licenses
The CONSULTANT ill be required toobtain a local required license prior to performingany work fort e
CITY, is license ill be a Business Tax Receipt at a cost not to exceed 325. .
i
Article
S. Obligationsthe City
5.1. Authorization to Proceed
Authorization to proceed will considered to be Riven upon execution oft is Agreement by CITY.
. . City-Furnished Data
The CITY will provide to the CONSULTANT all data in the CI 'S possession relating to the CONSULTANTS U
CL
services on the PROJECT including, but not limited to,information on any pre-existing reports. U
CONSULTANAT will reasonably rely upon the accuracy,timeliness,and completeness of the information
provided by the CITY.
. . Access o Facilities and Property
The CITY will make its facilities accessible to CONSULTANT as required for CONSULTANT'S e or nce
of Its services and will provide labor and safety equipment as required y CONSULTANT for such access.
CITY will be responsible for all acts of CITYS personnel.
5. . Timely evie
The CITY will examine the CONSULTANTS stu ie , reports,and other documents;obtain advice of an m
attorney,insurance counselor, accountant,auditor,bond and financial advisors,and other consultants
as CITY deems appropriate;and render in writing decisions required of CITY in a timely manner.
Packet,Pg. 54
F.2.a
5. . Prompt Notice
The CITY will give prompt written notice to CONSULTANT whenever CITY observes or becomes aware of
any development that affects the scope or timing of CONSULTANT'S services,or any defect in the work
of the CONSULTANT.
�
5-6 Litigation Assistance
The Scope of Services does not include costs of CONSULTANT for required or requested assistance to CL
support, prepare,document, bring,defend,or assist in litigation undertaken or defended by CITY.All U
such services required or requested of CONSULTANT by CITY,except for suits or claims between the cn
parties to this AGREEMENT,will be reimbursed as mutually agreed in a separate agreement.
U
cle 6. General Legal Provisions
6.1 Agreement Period
The duration of the agreement shall be three years commencing from January 1,2019.The City shall have
o (2) consecutive one-year renewal options upon the same terms and conditions contained in this i
agreement.
. . Reuse of Project Documents
Reports,documents,and other deliverables of the CONSULTANT,whether in hard copy or in electronic
are instruments of service for the project of the CITY. All documents shall be made available on
re-writable CD and are the property of the City of Key West.Reuse,change,or alteration on another
project,by the CITY or by others acting on behalf of the CM of any such instruments of service without '
the written permission of the CONSULTANT will be at the CITY'CITY's sole risk, Nothing herein shall U
CL
constitute a waiver of Cm s sovereign immunity rights, including,but not limited to,those expressed in U
Section 768.28, Florida Statutes.
6.3 Ownership of Work Product and Inventions
CJ
All the work product of CONSULTANT In executing Project under this contract shall become the
property of the CITY.The City may use the deliverables solely for the purpose for which they were
intended.
6.4 Force Majeure
A. The CONSULTANT is not responsible for damages or delay in performance caused by acts of
God,strikes, lockouts, accidents,or other events beyond the control of the CONSULTANT.
�
In the event of a delay that results in additional costs to the CONSULTANT,an appropriate
Increase In compensation and schedule will be authorized in writing.
Packet,Pg. 55
F.2.a
6.5 Termination
A. This agreement may be terminated at any time,with or without cause, by the CITY upon thirty _
(30)days written notice to CONSULTANT, o further work will be performed by CONSULTANT upon
receipt of this notice unless specifically authorized by the Fire Chief of the City of Key West,
n termination,the CONSULTANT will be paid for all authorized rvices performed up to the Z
termination date plus,if terminated for the convenience of the CITY, reasonable expenses incurred CL
during the close-out of the AGREEMENT. The CITY will not pay for anticipatory profits,
6.6 Suspension,Delay,or Interruption of Work y
A. The CITY may suspend,delay,or interrupt the services of the CONSULTANT for the convenience
of the CI . In the event of such suspension,delay,or Interruption,or any other act or neglect of CITY u_
or CIT"Y°s subcontractors,CITY will pay CONSULTANT for work performed to date. An equitable W
adjustment in the PROJ CT'S schedule and Medical Director's compensation will be made as agreed to
y both parties.
B. in the event delays to the project are encountered forany reason,the parties agree to
undertake reasonable steps to mitigate the effect of such delays.
6.7 Third Party Beneficiaries
This Agreement gives no rights or benefits to anyone other than the CITY and CONSULTANT and has no
third-party beneficiaries.CONSULTANT'S services are defined stalely by this proposed scope of services,
and not by any other contract or agreement that may be associated with the Project. All work products
will be prepared for the exclusive use of CM for specific application as described in the proposed scope
of services. No warranty,expressed or implied,is made.There are no beneficiaries of the work products
other than CrTY,and no other person or entity is entitled to rely upon the work products without the CL
written consent ofCONSULTANT,Any unauthorized 'assignment of related work product shah be void
and unenforceable,
6.8 Indemnification
CJ
The CITY shall be held harmless against any and all claims for bodily injury,sickness, disease,death,
personal injury, damage to property or loss of use of any property or assets resulting therefrom,arising
out of or resulting from the performance of the products or from the services for which the CITY is
contracting hereunder, provided such is caused in whole or in part by any negligent act or omission of
the vendor,or any subcontractor of their agents or employees,or arises from a job-related injury.
The vendor agrees to indemnify the CITY and pay the cost of the City's legal defenses, including fees of
attorneys as may be selected by the CITY,for all claims described In the hold harmless clause herein.
Such payment on behalf of the CITY shall be in addition to all other legal remedies available to the CITY
and shall not be the City's exclusive remedy.
5
Packet,Pg. 56
F.2.a
It is agreed by the parties hereto that specific consideration has been received by the vendor under
this agreement for this hold harmless/indemnification prevision.
6.9 Assignment
A. CONSULTANT shall not assign all or any part of this Agreement without the prior consent of the
CITY by Resolution oft e Key West City Commission.
CL
6.10 Jurisdiction
U
A. The law of the state of Florida and Monroe County will govern the validity of this AGREEMENT, y
its interpretation and performance,and any other claims related to it,
U
AI SeverabiRty and Survival
A. If any of the provisions contained in this AGREEMENT are held for any reason to be invalid,
illegal,or unenforceable in any respect,such invalidity, illegality,or u enforceability will affect any other �
provision,and this AGREEMENT will be construed as if such invalid,illegal,or unenforceable provision
had never been contained herein.
i
R. ARTICLES 4,5,and 6 will survive termination of this AGREEMENT for any cause.
.12 Dispute Resolution �
A. The parties will use their best efforts to resolve amicably any dispute, including the use of _
alternative dispute resolution options.
B. Unless otherwise agreed in writing,the CONSULTANT shall continue the Work and maintain
the approved schedules during any arbitration proceedings. If the CONSULTANT continues to perform,
CITY shall continue to make payments in accordance with this Agreement. U
CL
6.13 Post Contractual Restriction U
This Agreement is contingent upon the execration of Post Contractual Restrictions by the CONSULTANT,
those sub consultants referred to in Article 4.4( )above,and those sub consultants approved by the U
City pursuant to Article 4.4(A)above restricting those persons and entities,as well as the employees of
those persons and entities,from representing themselves or clients before the City Commission of the
City Key West,the City's agents, boards,and committees on all planning related matters during the
period of performance of this Agreement and for the period of one year following final approval of the
Evaluation and Appraisal Report Amendments tat e Comprehensive Plan. The Past Contractual
Restrictions shall be executed simultaneously with this Agreement and shall be in a form acceptable to
city,
Packet,Pg. 57
F.2.a
litigation6.14 Attorneys Fees
In the event of i f either party under this Agreement,the losing party shall _
pay the prevailing s ants,expenses, incurred In
prevailing ,Including i to appeals.
Articles, CL
IncludingThis AGREEMENT, ,constitutes the entireall prior
written r oral understarKlings,and may only be changed by a written amendment executedy
parties.Each party below acknowledges he has the legal authority to bindi s n individuals
named In
U-
IN WITNESS ,the partiesbelow:THE W
I
Y®
JIM Sc hgll,I Manager
,,
F
a.
riClerk'
Dated this day of V .
ALI
U
Packet,Pg. 58
F.2.a
CONSULTANT
U
CL
r. Bruce Guerdan,MD 0
i2
Dated i of ve er 2018.
CL
CJ
0
Packet,Pg. 59
l ) p9j3ep - oge3ij lemoueU - NDdOD V SSBID4SOM AGN 10 A4! :4u8wg3B44
R CD
ni to
4 a
LL LLgt
i�
'a
e
a
a
w
o M
a
0
h �
� m
eaa w ux ux 'a
y m
F.2.a
Crew Member Level EMT EMT# Expiration
Abreu, Frankie E T-P P D532633
12/1/2020
Anderson, Michael E T-P P 053276B
12/1/2020
Anson,Tire T-P P D 1.9511
12/1/2020CD
Arencibia, Pedro E T-B EMT550080
12/1/2020
Averette, Alan E T-P P D50229 W
12/1/2020
CL
Barba, Carlos E T-P PMD5151.13 12/1/2020
Barber1 Riely E T-P PMD529644 12/1j2020
arroyo, re ory T- EMT80693
12/1/2020
Barroso, Jason E T-B EMT844
12/1/2020 --
Bellin ham, Thomas EMT-EMT-P P D532 53 12/1/2020
Bello, Aramis EMT-EMT-B EMT56504
12/1/2020
i
Berger, Dereck EMT-P P D 2607
12/1/2020
Bixler, Isaac E T-P P D525 43 .2
12/1/2020
Blanco,Brandon EMT-B E T54B902
12/1/2020
Blanco, Daniel EMT-EMT-B EMT69170
12/1/2020 a
ooeff�Jason T-P P 052392
2/1/2020
Bouchard, Thomas T-B E T16R09 CL
12/1/2020
Brin le, Gre pry -B EMT2.2205
12/1/2020 y
roli,Jude T-P PM0521.69
12/1/202.0
Bude, Michael EMT-B E T6230
12/1/202
Butler, Colton EMT-EMT-B EMT07364
12/1/2020
Castillo, Manuel EMT-EMT-B EMT548311
® 12/1/2020
Catna,Jon T-B E T307779 12/1j2020
Cervantes, Tyrone EMT-EMT-B EMT520
12/1/2020
Cline, Shaven EMT-EMT-B EMT55188
12/1/2020
Coll® Ariel EMT-P P D 13622
12/1/2020
Ourden, Keith T-B EMT539185
12/1/2020
Packet,Pg. 61
F.2.a
Franco, Raul EIVIT-B EMT505500
12/1/2020
Franco, Robert E T-P P 0205393
12/1/2020
Galuan,Jorge EMT-EMT-B EMT7017B
12/1/2020
erez, re or E T-B EMT76153
12/1/2020
Gomez, Benny T- P D522.21 12/1/2020
GuiebR Andre EMT-P PMD532804
12/1/2020
CL
Gurrsicz, Stephen E T-P P D52 2.81
12/1/2020
Hansel, Reinhart E T_p P D 534537 12/1/2020
Harris, Andy EMT-EMT-P P D515372
12/1/2020
Hernandez, Jeffr E T-B EMT7534
12/1/2020 �--
Hernandez�Keith E T-P PMD525105 12/1/2020
Hernandezr Kevin EMT-EMT-B EMT556356
12/1/2020
Hughes, Joey E T-P P 020575
12/1/2020
Jones, Todd E T-P P D5;31 65 �
12/1/2020
Jones,Tyler E T-B EMT53363
12/1/2020
Jones, gsl Y E T-P PMD518354
12/1/2020 a
Kielman, Michael T-B EMT530186
121112 20
Kimbler, Austin T-B E T55B46
12/1/220
Klothakis,Jason T- EMT515355
12/1/2020 y
Kouri➢Jennifer E T-P P D511737
12/1/2020
Lightfoot, Cully EMT-B EMT8653
12/1/2020
Lowre, Benny T-B EMT515496
12/1/2020
c
Malone, Kyle T-P PMD511866
12/1/2020
Malott, John E T-B E T5624B0
12/1/2020
Maltese® Angelina T- EMT 20 64
12/1/2020
atas, Hilary T-P P D52.7 00
12/1/2020
Means,Jason EMT-B E T244
12/1/2020
Means,Todd T- EMT54821
12/1/2020
Packet,Pg. 62
F.2.a
eraF Jordain E T-P PMD517225
12/1/2020
Miller, Darren T-B EMT 563944
12/1/2020
Monahan, Rand EMT-P P D532433
12/1/2020
onsalvate, Steven E T-P P D533244
12/1/2020
Morales, Daniel EMT-P P D533437 1211/2020
Parra, Daniel B EMT-BEMT 563989
12/1/2020
CL
Pellicier, Scott EMT-EMT-B EMT7391
12/1/2020
Perez,Andrew EMT-P P D 31 12/1J2020
Perez, Edward EMT-EMT-P PMD5507572
12/1/2020
Perry,Jake T- EMT7061
1.2/1/2020
Pichare,Jose T-B EMT509099 12/1/2020
Ratcliff, Frankie EMT-B EMT561430
12/1/2020
i
Rodriguez, Korey E -f-P PMD53261.9
12/1/2020
Rogers,Jaynes T-P PMD535286
12/1/220
Rose, Briar) E T-P rnd52192
12/1/2020
Ruble, Bobby T- EMT55649 CD
12/1/2020 a
Saunders, Christopher EMT-EMT-B E T7014
12/1/2020
Sellers, Keith T-B EMT7 66 5 CL
12/1J220
Sellers, Mark EMT-B EMT6242
12./1/2020 y
Stably, Jerarny EMT-EMT-B EMT563193
12/1/2020
Torres,John E T-P P D51522
12/1/2020
Varelae Freddy T-B EMT 55555
12/1/2020
0
Vega, Vincent T-P P D3203
12/1/2020
,Karl E T-B EMT5.3147 12/1/2020
Walker Jack E T- 1023
12J1/2020
Ward, Brandon E T-B E T304563
2/1J2020
Wardloa Kenny T-B EMT73113
12/1/2020
WIIliarns.,Kyle E T-B E T5182 3
- 12j1/2020
Packet,Pg. 63
F.2.a
ZARATE, DAVID EMT-B EMT88441
12/1/Zoza
U
CL
CL
Packet,Pg. 64
F.2.a
gq BOA F COUNTY COMMISSIONERS
County of MonroeMayor Heather Carruthers,District 3
e Florida Keys Mayor Pro Tern Michelle Coldiron, District 2
Craig Cates,District I
David Rice, District 4
Sylvia J. Murphy,District 5
Monroe County Fire Rescue
490 6311 Street Ocean
Marathon, FL 33050
Phone(305)289-6088 U
CL
j 0
MEMORANDUM
CJ
Nicole
Caitlin r s
i
r-
SUBJECT: for Deposit
DATE: 10/07/2020
Attached please find Check- dated 0 /25/2020, in the amount of$25.00, to be deposited in
the General Fund. This check has been issued for the renewal application of a Class A Certificate of '
Public Convenience and Necessity for Key West Fire Department. CL
Thank you,
0
Caitlin Bourassa
Packet,Pg. 65
t',s'11(
F.2.a
The
City ley eat
Past Om a Box 1 00,08308 MONROE COUNTY BOARD OF COUNTY
Key West,Florida 3041
777MI77PO U 9 ER CEESgRIPTIQN " ' At -: NETAMOUNT
U CERT #18 OVA ` 0�/24/�0 �0�235 BLS License ��n��r�I f�� a � � 25.00
CL
rt
�V
m
k
C.
TOTAL. 25.00
tJ
tJ
REMOVE DOCUMENT ALONG THIS PERFORATION V >'
OF THE FLORIDA KEYS
The '"7�( m,tt KEY WEST,FLORIDA 33040 ,.
Operating Account
3 DATE 1
Post Once Box 1409 670 0 9/2 5 0 f
Key West,Florida 33041 f
PAY EXACTLY
IPAY TWENTY FIVE Dollarsand ZERO Cents ....L.. 5. 0 j!
VOID IF NOT CASHED WITHIN 6 MONTHS t
jTOTHE MO OE COUNTY BOARD OR COUNTY COMMISSIONERS
[ORDER 500 WHITEHEAD STREET
i MY WEST, M133040 4A
nited States of America
• i
n�I i■ ■ ■■■'■ ■ II° Packet,Pg. 66
SS BID ) p9j3 p — og 311 lemoueU - NDdOD V SS BID 4SOM AGN 10 A4! :4u8wg3 44
u:
CL
ag
§ r5, g V
Z 7, SC '
t I
r
gp tom")� J
f I $ u t 4
9 as. .. a !
W CCLLI
99 a u
Cc uj
LLI
aI I Ct�I �� ° " �
I 0 £
=S
d
eft
dm m
U. _
Lu 1
Cn
LU —B 0
cn lLl 250
i
y.
7 ,
i
tl
Ch
u
w
r CA ic
' _ CA ic
yPS 8T9
50 �s
i
1J i — ' M M
id
Lj — a M
-n
uen m
r u.B { _ �. f T--i
i
i
N011VUO:iU3d ONOlV enis SIHl kIV314NV UIOd N3H1
ISHIA S3E)G3 RUIS 3AOW3H
(OMOU84 NDdOD V SSBID ) ' ' VOZ-0 VO L W-311W 1 :4uqua o 44
s3 co
LL
tL_;
i�
m
Ui
tC
a
N lz� U co
Q U N N � Vi co
co
O N O co QL)
QL) v5 C
coU U z p
� C)� c�
O Cl)cl) U �
co N cd Q
f!1 O N U U a C R;
V Z o o N o C O
N
f/1 W o ~ Co N N 0 co
rx
cW O °' W° W � •- � � '~ Q o
_ cd
U
U o W '
QL) O o o
O QL) 0,) WCl) o �❑
�jC) � o � oCd
N
W
Z U cd
fT4 co
N U 0 ° SO" '''' &Z E c� IA
co �
Uo z co o � v O zn
o N a op ®. � Z o N co �
Cd
O � o � UU
W W � WUW � 40 0 O W
� o � .c) o o
QL) � ax � x o o co co o a
Kevin Madok, cPA
Clerk of the Circuit Court& Comptroller Monroe County, Florida
DATE: November 27, 2018
TO: Debbie Lofberg
Emergency Services
FROM: Pamela G. Hancock, D.C.
SUBJECT: November 20th BOCC Meeting
Attached is an electronic copy of Item G6, Issuance (renewal) of a Class A Certificate of C
Public Convenience and Necessity (COPCN) to City of Key West Fire Department (KWFD) W
for the operation of an AIS transport ambulance service; specifically for inter-facility transports, z
U
for your handling. The original certificate is on the uav to you through courier. CL
U
Should you have any questions,please feel free to contact me at (305) 292-3550. Thank
you.
cv
cv
cv
cc: Countv Attornev e
Finance co
T-
File
cv
cv
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852 Packet,Pg. 69
a�''�'1 +°9� .,. ��A�•��i •'i , w. 'g�14�iVij�� .'�V"tlli o�NSV Ir�� °�". ��1�'i 1MV� w.., �il'Qi r F 2 C
- Y 9�Qv.., ..,&^^" i �4ZY,I5ffi2k' Ye'�"AA' 4T A'•�' '�'.&�Wks�aYdSal�" '4:.LNi.4Nd'SZT��.4Q.Ix�".A'.4'9SIXS_ .'�L.tSS.nM/f .'k�,&L"ld �' S�R£QT.S'., �'"� —
i
Class A
EMERGENCY MEDICAL SERVICES
CERTIFICATE OF PUBLIC-CONVENIENCE AND NECESSITY
bS l
WHEREAS, the Monroe County Code allows for the issuance of Certificates of Public Convenience and
Necessity for Emergency Medical Services by the Board of County Commissioners of Monroe County;
and,
WHEREAS, the CITY OF KEY WEST FIRE DEPARTMENT rovides alit emergency medical services to the
r rr� citizens of Monroe County;and, p y g pwl�
WHEREAS, there has been demonstrated that there is a need for the above named service to operate
,r in this County to provide essential emergency medical services to the citizens of this County;and,
WHEREAS, the above named service has indicated that it will comply with all the requirements of the
` Monroe County Code and Chapter 401 Florida Statutes, the Board of County Commissioners of Monroe 1,
County hereby issues a Certificate of Public Convenience and Necessity to this service for the period
i r beginningDecember 10,2018 and ending December 9,2020 r,
In issuing this certificate it is understood that the above named service will meet the requirements of a
s EIBLS or ZX ALS, OTransport orFlNon-transport service, and provide service on a twenty-four
hour basis for the following area(s): I yr,
City of Key West proper,including the areas of North Stock Island and U.S.Naval properties belonging to the
Naval Air Station Key West located within the Key West City limits.Inter-facility transports in all geographical
(` �gCL
r locations of Monroe County,Florida on an as-needed basis.
101
' ATE#18-04A
y / R01pE�.r 20, 2018
ATE OF ISSUANCECHAIRMAN,
OARD OF COU TY COMMISSIONERS �
rf NROE COUNTY A RNEY
a.,.n c / L�✓� T,e PP ED RM
o�ll Kevin Madok, CLERK r' tV
" ,kssz:.+ :maw.. :'c�,,s� ussnaa;:+ne-s=ss �-rcw .mana�.:�:a ;-,:�'uc ;gemt+rain +ra�uAcre -.�:. :I�ar;':a:;, �;,::r,, .. nu�:;zs...jm�.r :;: ;: ��
Sl1l��1µ�4 sr. ,�r ��.r y e r �I�� s!r az u+^C""• : �1 r N N
y, '�S 1::,1, :�:.�. .Srr ,, Srr 114 r• 11� c.EW ,�,4'�;,,,t
O
N
N
q
W
Packet,Pg. 70