Item L1 L.1
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County of Monroe
�y,4 ' ?, "tr, BOARD OF COUNTY COMMISSIONERS
Mayor Michelle Coldiron,District 2
�1 `_ll Mayor Pro Tem David Rice,District 4
-Ile Florida.Keys ��� � � Craig Cates,District 1
Eddie Martinez,District 3
w Mike Forster,District 5
County Commission Meeting
December 9, 2020
Agenda Item Number: L.1
Agenda Item Summary #7642
BULK ITEM: Yes DEPARTMENT: County Administrator
TIME APPROXIMATE: STAFF CONTACT: Lindsey Ballard(305) 292-4443
N/A
AGENDA ITEM WORDING: Rescission of FY 2021 Core Contract with Monroe County
Department of Health approved by the Board of County Commissioners on the meeting held
9/16/2020, and approval of revised Core Contract with revised Addendum.
ITEM BACKGROUND: Each year, the County approves an annual contract with the Monroe
County Health Department ("Core Contract"), outlining the Health Department's financial plan and
the County's contribution to help fund the local health department. This year, the Core Contract for
Fiscal Year 2021 was approved by the BOCC on 9/16/2020. The Core Contract includes an
Addendum, drafted primarily by the State, spelling out payments that will be made to the County for
various services. The Addendum included in the Core Contract approved on 9/16/2020 included
seven (7) categories of expenses. After the Core Contract (including the Addendum) was approved
by the BOCC, however, the State notified the County that it wished to remove one (1) category: Risk
Management Expense. Monroe County Risk Management has reviewed this category and
determined that it does not issue actual charges for this category, and therefore, it can be removed.
Staff is therefore asking that the Core Contract approved on 9/16/2020 be rescinded, and that the
revised Core Contract with the revised Addendum be approved.
PREVIOUS RELEVANT BOCC ACTION:
9/16/2020 —Approval of Core Contract for FY 2021.
CONTRACT/AGREEMENT CHANGES:
Revision of Addendum to delete bullet point referring to "Risk Management Analysis" as an
allowable expense. As a result, the reference to the Addendum on page 8 of the Core Contract
changes from "two pages" to "one page."
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
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MCDOH 2O21 Core Contract rev with atty stamp
Rescinded MCDOH Core Contract
FINANCIAL IMPACT:
Effective Date: 10/1/2020
Expiration Date: 9/30/2021
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 11/24/2020 11:08 AM
Purchasing Completed 11/24/2020 11:43 AM
Budget and Finance Completed 11/24/2020 1:12 PM
Maria Slavik Completed 11/24/2020 1:14 PM
Liz Yongue Completed 11/24/2020 2:16 PM
Board of County Commissioners Pending 12/09/2020 9:00 AM
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L.1.a
CONTRACT BETWEEN
ONROE COUNTY BOARD OF COUNTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF THE
ONROE 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.
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RECITALS
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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 y
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. ca
NOW THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
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1. RECITALS. The parties mutually agree that the foregoing recitals are true and correct
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
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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.
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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 L'
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 y
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: ca
a. The funding to be provided by the parties and any other sources is set forth in Part II of
Attachment 11 hereof. This funding will be used as shown in Part I of Attachment ll.
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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 E
upon an annual appropriation by the Legislature.
d. The County's appropriated responsibility (direct contribution excluding any fees,
other cash or local contributions) as provided in Attachment 11, 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.
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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.
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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 y
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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
directorlad min istrator shall be selected by the State with the concurrence of the County. The
directorlad min istrator 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.
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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 N
extent permitted for the use of County purchasing procedures as set forth in subparagraph b.,
below. All CHD employees shall be State or State-contract personnel subject to State U
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/ad min istrator 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
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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;
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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;
iii. Financial procedures specified in the Department of Health's Accounting 2
Procedures Manuals, Accounting memoranda, and Comptroller's 0.
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 U
deposited for other CHDs and shall be used only for public health purposes in Monroe
County.
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e. That any surplus/deficit funds, including fees or accrued interest, remaining in the
County Health Department Trust Fund account at the end of the contract year shall be
credited/debited to the State or County, as appropriate, based on the funds contributed by U
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 II, 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 directorlad min istrator 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
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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.
i. The CHD shall not use or disclose any information concerning a recipient of services U
except as allowed by federal or state law or policy.
j. The CHD shall retain all client records, financial records, supporting documents, y
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 U
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
adhere to any amendments to the State's security requirements and shall comply with any
applicable professional standards of practice with respect to client confidentiality. U
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.
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o. The CHD shall submit quarterly reports to the County that shall include at least the
following:
i. The DE3850 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 DE3851-1 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.
c)
p. The dates for the submission of quarterly reports to the County shall be as follows 0.
unless the generation and distribution of reports is delayed due to circumstances beyond the
CHD's control: y
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 �i
through June 30, 2021; and
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iv. December 1, 2021 for the report period October 1, 2020
through September 30, 2021.
7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
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. E
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.
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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.
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c. Termination for Breach. This contract may be terminated by one party, upon no less N
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 L'
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. y
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:
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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 E
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),
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Attachment III (one page), Attachment IV (one page), and Attachment V (one page),
Addendum I (one page), and Memorandum of Understanding (one page), to be executed by
their undersigned officials as duly authorized effective the 1st day of October, 2020.
BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA
FOR MONROE COUNTY DEPARTMENT OF HEALTH
SIGNED BY: SIGNED BY:
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NAME: NAME: Scott A. Rivkees, MD
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TITLE: TITLE: State Urueon_General N
DATE: DATE: t
ATTESTED TO: y
SIGNED BY: SIGNED BY:
NAME: NAME:
TITLE: TITLE: CND Director/Administrator
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DATE: DATE:
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Approved as to form and content:
Monroe County Attorney's Office `V
11-24-2020
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ATTACHMENT I
MONROE COUNTY HEALTHDEPARTMENT
PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING
COMPLIANCE IT 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;
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Service Requirement car
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1, Sexually Transmitted Disease Program Requirements as specified in F.A.C.64 -3,F.S. 31 and F.S. 384.
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2, Dental Health Periodic financial and programmatic reports as specified by the
program office.
3. Special Supplemental Nutrition Service documentation and monthly financial reports as specified in ur
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.
Breastfeeding Peer Counseling
Program)
4, Healthy Start/Improved Pregnancy Requirements as specified in the 2007 Healthy Start Standards and
Outcome Guidelines and as specified by the Healthy Start Coalitions in
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contract with each county health department.
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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
(OMB Circular A-110)OMB Circular A-102, F.S.381.0051,F.A.C.
64F-7, F.A.C. F-16,and F A.C.64F-19. Requirements and
Guidance as specified in the Program Requirements for Title X CD
Funded Family Planning Projects(Title X equirements)(2014)and
the Providing Quality Family Planning Services( FP):
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-Flonda
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
surveillancerinvestigation of reportable vaccine-preventable
diseases,adverse events,vaccine accountability, and assessment of
immunization
Attachme
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ATTACHMENTI(Continued)
leves as documented in Florida SHOTS and supported by CD
Guidebook policies and technical assistance guidance
7. Environmental Health Requirements as specified in Environmental Health Programs
Manual 150-4'and DHP 50-21'
HIV/AIDS Program Requirements as specified in F.S.384.25 and F.A.C.64D-3.030 and
-3.031.Case reporting should be on Adult HIVIAIDS Confidential
Case Report CDC Form D2139 and Pediatric HIV/AIDS
Confidential Case Report CDC Form DH2140.
Requirements as specified in F.A.C. 13-2 and 64D-3, F.S. 381 and
F.S. 34. Socio-demographic and risk data on persons tested for
HIV in CHD 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 cv
Care Contract Administrative Guidelines. CD
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9. School Health Services Requirements as specified in the Florida School Health
Administrative Guidelines(May 2012). Requirements as specified in
F,S, 381.0056, F.S.381.0057, F.S.402.3026 and F.A.0 64 -6
10, Tuberculosis Tuberculosis Program Requirements as specified in F.A.C.64D-
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
quality assurance functions; as specified in F.A.C. -3e F.S. 381.
F.S. 384 and the CHD Epidemiology Guide to Surveillance and
Investigations.
12. Refugee Health Program Programmatic and financial requirements as specified by the
program office
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.or the subsequent replacement if adopted during the contract period, U
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AnAG'Hmm n
MONRU$COUNTYHEALMDSPARTM M
Part IL So+>I=of Cantrg+awm to cm wy:Health Department
Ocmber 1, to 8cptanthax ao,
State CEM G=W Total
TrnetFund lem Thmtpmd Otto
FTmd, 6ra]>) Penbgmtim Total
1.GMERAL REVENUE•STATE
M50.10 AIDS PREVENTION&SURVEILLANCE GENE" REVENUE 73.552 0 73,552 0 73;552
0150-10 CHD•TB CONMUNITY PROGRAM 35,069 0 35,069 0 35,069
0150.10 SEXUALLY TRANSMI ED DISEASE CONTROL PROGRA!%I GR 16,755 0 16,755 0 16,755
0150.10 CO ONAVIRUS GENERAL REVENUE ;'1;30,J72 0 539,372 0 539,372
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015040 DENTAL SPECIAL INITIATIVE PROJECTS 6,190 0 6.190 0 6,190CD
0150.10 HEALTHY BEACHES MONITORING 22,912 0 22,912 0 22,912
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0t50.10 EPIDEMIOLOGY SURVEILLANCE GENERAL REVENUE "a9,035 0 T9,035 0 79,035 tCD
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0150.10 FAMILY PI,%..VNtNG GENM%L REVENUE 3-1,239 0 3-1,239 0 34,239
0150,10 HEPATITIS AND LIVER FAILURE PREVENTION&CONTROL 72,000 0 72,G00 0 72,000 L)
0150-10 PRIN[ARY CARE P OGRt1.NI 199,712 0 199°742 0 199312
015040 SCHOOL HEALTH SERVICES•GENERAL REVENUE 96,223 0 96,223 0 96,®'23
015050 CHD GENERAL REVENUE NON-CATEGORICAL 1,305,9.18 0 005,9.18 0 1,305,9.18 tti
GENERALREVENUE TOTAL 2,181,03T 0 2,181,037 0 2,181,037 N
.NON
015010 E. RON'iIEN"Tr1L BIOiIEDIC, L WASTE PROGR,%NI 4.236 13 1,236 0 1;236 '-
015010 TOBACCO STATE AND CO.NMUNITY INTERVENTIONS 118,154 11 118,151 t3 118,151 �
NON GENERAL REVENUE TOTAL122,390 0 122.390 t) 124390 ¢
U
3.FEDERAL FUNDS-STATE O
tJ
007000 WIC BREASTFEEDING PEER COUNSELING PROG 15',183 0 KAU 0 87,48:3
007000 COASTAL BEACH WATER QUALITY MONITORING 13,769 0 13,789 0 13,789
007000 COMPREHENSIVE COMMUNITY CARDIO,,PH G 55-369 0 55,369 0 55,369 r
tV
007000 EPID&LAB FOR INFECTIOUS DISEASE COVM 19 3,696 0 3,666 0 3,666 tCD
V
007000 FAMILY PLANNING TITLE N GRANT 55,567 0 55156T 0 55.55T
007000 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS 1,.42,T 13 0 442,743 0 442.743
007000 11MUNIZATIONACTION PLAN :18. 82 0 38,582 0 3&5B2 2
007000 MCH SPECIAL PRJCT UNPLANNED PREGNAN("Y 11985 0 12,985 0 12.995
007000 MCH BLOCK GRANT FLORIDNS HEALTHY BABIES 12,86 0 12,868 0 12..8 0)
007090 BASE COMMUNITY PREPAREDNESS CAPADILITY SE228 0 86,228 0 86.228 �
007000 AIDS PREVENTION 1.11859 0 1.11,859 0 1 M859
007000 WIC PROGRAM ADMINISTRATION 160,770 0 160,770 0 iG0,770
M075 SUPPLEMENTAL SCHOOL HEALTH 123 839 0 123,839 0 123,839
015075 REFUGEE HEALTH SCREENING REM1111' EMEN"T ADMIN -1,546 0 2,546 0 2,5.16
015075 REFUGEE HEALTH SCREENING ISIB[: EMEN"T SERVI('FS 10,128 0 10,428 11 to,-128
018003 RY.LN WHITE TITLE II ADAP DRI'G REBATES 68,337 0 683:17 11 68,337
018005 AIDS DRUG ASSISTANCE PROGRAM MIN HQ 69313 0 69,3.13 n 69.313
018005 RYA•N WHITE TITLE[I(.'r GRm®NT 150.155 0 150,155 0 150,155
FEDERAL FUNDS TOTAL 1.836 5-57 0 1.M6.557 0 1,830 557
4,FEES ASSESSED BY STATE OR FEDERAL RULES
001020 CHD STATEWIDE ENMRONAIE`TAL FEES 127,779 is L27 i79 0 1111, 719
001092 CHD STATEWIDE ENVIRONMENTAL FEES 38,653 0 18.652 0 38 65y"
Ahacarn
Packet Pg. 20i7
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ATrACEMOMH
MONROE COUNTY HEALTH DEPARtUbiNT
Part iL Bources of danft&utions to County Health Dqmtcwnt
October 1.I"o to soptiumber 80.=I
State CED County Total CHD
TrnatFkma CHD Trust Ftmd other
(qwW (=W Contaiiiion . Total.
001206 ON SITE SEWAGE DISPOSAL PERMIT FEES 2,716 0 µT,'71G 0 71C
001206 SANITATION CERTIFICATES(FOOD INSPECTION) 2,302 0 2302 0 30�'
001206 SEPTIC TANK RESEARCH SURCHARGE 20 0 20 0 2C
001206 PUBLIC SWINL11I`G POOL PE&MIT FEES•10 Q TRANSFER 8,971 0 8,971 0 8,971
001206 REGULATION OF BODY PIERCING SALONS 75 0 75 0 70 .�
r
001206 TANNING FACILITIES 17 0 17 0 17 tV
CD
0012GG ONS[TE SEWAGE TRAINING CENTER 5 0 5 0 5
CD
001206 TATTO PROGRAM ENVIROMM N'PALHEALTH 6.18 0 Us 0 64€ tCD
V
cV
001`_'06 MOBILE HOVE&RV PARK FEES 1,918 0 1,919 0 1,9U
ASSESSEDFM BY STATE OR FEDERAL183,133 0 183,133 0 183,131 L)
5.OTHER CASH CONTRIBUTIONS
0 11 0 0
090001 a W DOW\FROM PUBLIC HEALTH I NIT 122,918 0 122,91 0 1=918 y
OTHER CASH CONTRIBUTION 124918 0 122,918 [I 122.918
G.BIRDICAID-STATEJCOUNTY'
001057 CHD CLINIC FEES tl 5.1 l"? 5,1 U, 0 5 1.12
0011.18 CHD CLINIC FEES 14 61,603 G1.603 it 61,60a
MEDICAID TOTAL 0 66,7.15 66,7--15 0 66,715
O
tJ
T. STATE- 0)
031005 GENERAL CLINIC.RABIESSERVIt''ES&DRUG Pl R[:`HASES 6,960 a 6,960 0 6960
TOTALALLADCABLE REVENUE 6,960 0' 6.960 1'1 6 960 r
N
CD
S.OTHER STATECONTRIMUTIONS NOT IN CHD TRUST FUND-STATE m
AP 0 0 0 1.16,750 1,16,750
PHArMACY DRUG PROGFULM 0 0 0 I-1X3 1.1,27J L)
WIC PROG 11 0 0 0 995,338 11'115,338
BUREAU OF PUBLIC,HEALTH LABORATORIES 0 0 0 8,443 8,,1.11 �
IN1111-NIZATIONS 0 0 0 570,255 570250
STATEOTHER CONTRIDUTIONS TOTAL 0 0 0 1,735,00 1735060
9.DIRECT LOCAL CONTRIBUTIONS•BCCITAX DISTRICT
008005 CHD LOCAL REVENUE&EXPENDITURES 0 8-13820 8-13 8'20 Cl 843 820
008005 ININIL`NIZATIONCt.tNIPA[GNNIO\'ROECOUN"PS Boi`' a 161,180 161,180 it 161ASO
DIRECT COUNTY CONTMMUMONS TOTAL i7' 1,305,000 1,105000 9`} 1,305 000
10,FEES AUTHORIZED Y COUNTY ORDINANCE OR RESOLUTION COUNTY
00107e7 CHD CLINIC FEES [} '38,633 38.633 0 3H.6;3d
001077 GENERAL CLINIC:R:UIES SER%ri(ES DR1'G PI,'Rf ES 11' 58-1 582 0 582
00109.1 CHD LOCAL.EINMRONMENTAL FEES 0 127"689 1-17,689 0. 121.689
001110 A'ITA1L STATIST[CS CERTIFIED RECORDS U 62,G87 62687, 0 62 681
FEES AUTHORIZED BY COUNTY TOTALtl, 229.591 229591 229591
Pdtacltm
Packet Pg. 2038
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AZTACEMERNT H
MONROB COUNTY HEALTH DEPARTMENT
Part IE,Soumm of Contigiudons to County Health Department
October 1.2020 tc 8eptamBer 80,2021
State CHD County Total CHD
Tr st Fund CHD Trnat Fund `! Other
(rash? TrustFund (mW Cmbffvcfwn Total
11.OTHER CASH AND LOCAL CONTRIBUTIONSCOUNTY
001029 CHD CLINIC FEES 0 180,260 180,'21 0 180,260
001029 GEN R,,1L CLINIC`""RABIES SERVICES&DRUG PURCHASES 0 5,15 535 0 535
001029 CURANT 340 N'VE A"N D EXPENSE TRACKING 0 t 35.598 135,598 0 135,598
001090 CHD CLINIC FEES 0 60,766 %766 0 60,766
007010 RYA.N WHITE TITLE III'°DIRECT TO CHD 0 27,256 127,25 0 .127,25G
007010 RYAN WHITE TITLE III•DIRECT TO CHD 0 130,160 1:R 160 0 130;.16G
007010 RYAN WHITE PART C'COVID•19 SPO%SE a 78,500 78,500 0 78,500 tV
010300 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GO'v7 0 7,185 7,185 0 7.185 tV
010-100 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOUT 0 1,400 1,400 0 L 100
010500 CHD SALE OF SERVICES LNi OR OUTSIDE OF STATE GOUT 0 90,nG 90,106 0 90.IOG
011001 CHD HEALTHY START COALITION CONTRACT 0 290,000 290,000 0 1-190,000
090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 367,626 367,626 0 367,62c
m
OTHER CASH AND LOCALCONTRMUTIONS TOTAL 0 1,769,992 1,769,992 0 1,769.992 N
12.ALLOGABLE REVENUE•COUNTY
oil GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 6,960 6,960 0 6,960
COUNTY ALLOCABLE REVENUE TOTALs) 6,960 6960 0 6 960 >
is.BunmINGS•COUNTY
ANNUAL,RENTAL EQUIVALENT VALUE 0 0 0 597,605 597.605
OTHER(Specify) 0 0 0 0 0
UTILITIES 0 0 0 83.369 83,369 w
BUILDING MAINTENANCE 0 0 0 75,223 75,223
GROUNDS MAITNTEN.UNCE 0 0 0 115,5GG 115,566
INSURANCE 0 0 0 0 0 CD
OTHER(Specify) 0 0 0 0 0
OTHER(Specify) 0 0 0 0 0
L)
BUHMINGSTOTAL 0 0 0 871,763 67L763
14.OTHER COUNTY CONTRMUTIONS NOT IN CED TRUST FUND COUNTY 0)
E UIPSIENP I VEHICLE PURCHASES 0 0 0 0 0
U
VEHICLE INSURANCE 0 0 0 0 a OS
VEHICLE VLVtiTENAINCE 0 0 11 0 0
OTHER COUNIT CONTRIBUTION(SPEC WY) 0 0 11 cr U
OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 1) 0 0
OTHER COUNTY CONTRIBUTIONS 0 0 l '1 0
GRAND TOTALCHD PROGRAM 1,752.995 1..37S 288 9 1;11;a83 206,8213 10,7�38,106
Packet Pg. 2039
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ATTACHMENT Ii
MONROE COt1NTr EM"T$DEPARTMENT
Pszt III,Planned SMfr"'t.MRUts.S"Vkg$and S By i z gam Ssevim Azwt WitMa Es&L&M
Odeb-1,2=to fth-bar 8%202I
Rib EqmWitt=Pion
FM mson Sezikeel Ist Snd Bid, 4tb Lizmld
(OAW IImts visits (Fvleal.ddblzs 0"*' ) Stow Colsnty Total
COMMUNICABLE DISEASE CO Le
13,11MM IZATION 001) 176 2.877 3,90 18.1 773 158,116 1817,93 158.'1Is 1.5.+a`30 641 358 686,378
SEXUALLY TRANS.DIS. (102) -1,191) 355 676 89 788 76.980 89.t88 7R980 17 277 316,259 33't516
IHVIAIOSPREVENTION (03A1) 3.35 0 1,259 75109 64395 75109 6.139E 278.81-5 132 279,007
HIVIAIDSSURVEILLANCE (03A-1) 0.00 0 0 0 0 0 0 0
111VIAIDS PATIEN"C CARE wA3! 13.07 362 2,25.1 154.971 390.07E 451.971 390 075 661.236 1.028862 1690,098
ADAP (03A4) I'M 1 107 26.828 23 002' 2&823 33 001 99A06 53 99.659
TUBERCULOSIS 0011 1.50 19 21 10191 34-158 40.191 31.`158 119.1-139 59 119298
N
COMM.DIS.SURV (106) 1.97 0 2.656 21 L 146 I I,599 211,146 183 6DO 795 191 0 795,491
HEPATITIS 0091 L38 193 229 33 217 28,179 33.217 28.180 123,088 305 1'13.393 L)
PREPAREDNESS AND RESPONSE (116) 2.47 0 347 67;134 57,659 67I3.1 57558 21&99I 190 299,384
REFUGEE HEALTH =318) 0.54 316 6D6 16,129 I I,086 IR 129 14.086 6L005 25 61,03D
r
VITAL RECORDS(i80) 143 1955 5,688 26X7 22,611 26„377 2-1.615 0 97,983 9TS8S N
COMMUNICABLE DISREASE SUBTOTAL 31.86 0,081 17.7fi3 1228,966 1.05:5,652 1 228.966 1053663 2,179,831 �-POM C'®}Cs 4 1.65.'a57
B. PRML4RY CARE:
CHRONIC DISEASE PREVENTION PRO (210) 0.79 79 122 18.599 15 946 1&599 15.947 69,091 0 69,091
WIC (211V1) 6.51 2.013 13,117 110A98 120.371 110,398 120371 521539 0 52153S
TOBACCO USE LVrER N'TION (212) 1.91 0 17 12.86:1 36,719 12,863 3 7.18 159,223 0 1u9.'r'13UM
W10 BREASTFEEDING PEER COUNSELING (21W2) 2.06 0 2,099 29,063 24 917 2%063 21.918 107961 0 106 961 ¢
q
V
F_LMILY PL INNI tiG (223) 3.91 1599 3.303 91140 79.954 93.110 'aR854 219,322 126,666 345,988
IMPROVED PREGNANCY OUTCOME (225) 0.00 0 0 3.3J6 2.997 3,496 2996 12.985 0 12.985
[HEALTH YSTART PRENATAL(227) 310 715 3,581 6R238 51 645 6; 238 51.615 0 213,766 223,766 r
N
COMPREHENSIVE CHILD HEALTH (229) 0.00 0 0 0 0 0 0 0 0 O
HEALTHY START CHILD (231) 3.10 813 3,523 54.075 46,361 5.075 46,3611 0 200.872 200.873
SCHOOL HEALTH (231) 4.71 0 154,892 95,550 81920 95A50 SL91210 354.910 ® 35.1,%%() (n
COMPREHENSIVE ADULT HEALTH (2337) 2.51 301 1075 81956 71.123 82.956 71.124 199,742 108.417 308,159
COMMUNITY HEALTH DEVE PNIE?°T(238) 107 0 77G I00,693 86,291 100AIS 86.290 373.877 0 373,877 �
DENTAL HEALTH U-I M 8.05 1&014 403 6ix.311 55.905 65,3I1 55,+995 6,190 236,122 242,613
PRI11ARY CARE SUBTOTAL U
40,77 30.598 183.208 786X7 671169 786.337 671.169 2.02-IA69 896.143 2.921012
C,
Water and Ousita Sawage
COSTAL BEACH iIO%ITORING (347d) 0,6I-1 182 181 i ti.` 40 13 915 16.2:10 11,915 5),ED y-I0 60.2
LISHTED USE PUBLIC WATER SYSTEMS (3571 ODD 0 0 0 0 0 0 0 0 0
PUBLIC WATER SYSTEM (35M 0.00 0 0 0 0 0 0 0 0 0
PRIvxrE WATER SYSTEM (359) 0.00 0 0 0 0 (1 0 0 0 0
ONSITESEIVAGE TRFUTMENT&DISPOS.AL (361) 1.51 "11-1 610 30,099 2i 728 GQ.t 9 21-4Z 33 8-111 77 651 111 470
Group Total El I"209 1.12 1 16.1-139 39,6-83 W 239 39,641 93,271 7€1.491 171 765
Facility
TA1`rO0 FACILITY SERVICES S (31-V is 17!t 75 11 I I1-10 1 PY53 ?Ili I.4,1 7 h.' 0 al;,
A
Packet Pg. 2040
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ATTACHMMU
MONDIM OWNl`Y H FALTS DBPARTMOM
P-tMPbnnsdSbtftg (Manta,Bervkos and By p-p-&wpm A-Vrdhdn Each I mat of$wwke
OcWbar 3;�to September 80,2MI
Eqmn&tw@Pbn
Fm (3li raft&rvkw i 14 Snd end 4th (road
(n.OW traits was Cwhou doom ow state Co asiy Total
FOOD HYGIENE (348) 0.61 152 3 12.5821 10.787 15.382 10.788 21738 25,U01 16.719
BODY PIERCING FA€;ILITIES SERVICES (3IU) 0.0:: I0 6 167 -IDo 167 401 67.:) 1,060 1.735
GROUP CARE FACILITY (351) 0.09 13 VP 1 59`2 136.1 1,591-1 1 361 0 5.912 5912
MIGRANT LABOR CA1%IP (352) 0.00 0 D D 0 0 0 0 0 a
HOUSING&PUB.BLDG. (353) 0.00 0 D D 0 U 0 0 0 0
MOBILE HOME A.vD PARK (35.1) 0.1.1 169 281 9.191-1 7,881 %192 7881 17.798 16.3.18 34.1.16
POOLSIBATHING PLACES (360) 2.10 1 043 3203 38.687 33 168 38,684 33 168 7R022 67,688 113 710 0.4
BIOMEDICAL WASTE SERVICES (364) 0.33 269 229 GA33 5601 &533 5600 11251 10.016 24.2167 CV
N
TANNING FACILITY SERVICES (369) 0.01 0 0 197 168 19, 168 630 100 730
Group Total 3.69 1.758 17056 71 L90 61032 71.190 61,032 138.319 E35A-15 161.11.1 L,)
Groundwater Contamination
SMRAC;•ET.%-NKCO%IPL[A.14CESERVIEIES (355) 0.33 25 77 7656 6,564 ® 56 6,56.1 a'1 „8.11:) 28.-1 0
Si.'PER AOT SERVICES daw) 0.0D ) fl D D 0 0 a 9 U N
Ctevup Total 0.33 „ 7QCa 6.564 7.656 6.56.1 (! 2w,1.10 28,440
Community HyVans
t cAD,li Ni E%Vlk HEALTH (3»!5) f1.UD 0 0 3 0 0 0 0 0 0
INJURY PREVENTION 0161 0,0D 0 0 0 0 0 0 0 0 0 �
LEAD MONITORING SERVICES (350) B.DD 0 0 D D 0 0 D 0 0 �
PUBLIC SELVAGE (36a) ODD 0 aD D 0 0 0 0 U
O
SOLID WASTE DISPOSAL SERVICE 00) 0.00 0 0 D D U 0 0 0 0 CJ
SANITARY NUISANCE (365) DA6 18 1-1 3 268 2 802 3.268 2,SO3 0 12,111 1°5:141
U
RABIES SURVEIL INCE (366) 0.06 2 2.1 1 172 1.005 1,172 11006 0 t.355 •1.355 r
N
ARBORVIRUSSURVEIL. (367) 0-Do 0 0 0 0 0 0 0 0 0
RODENTIARTHRO D COVTROL(368) Roo 0 0 0 0 U D 0 0 0
WATERPOLLUTION' (370) 0.00 0 €S D 0 0 0 0 0 D
INDOOR AIR (3 i D 0.00 0 0 D 0 0 0 0 0 0
RADIO GICALHEALT'H (372) 0.00 0 0 0 D 0 0 0 0 D
!v
TOXIC SU TA.tiCES (37W 1.93 63D 53D 39.599 33 950 389,599 33,950 0 117 098 147.096
U
Group Total 2.1.5 550 699 44 039 3 a 757 4.11039 77,759 0 163.591 161591
ENVIRONNFNTAL HEALTH SUBTOTAL 8.11 D 1.5.12 5.8103 169.1211 1.11996 169,11-11 11-1,N9 231,593 398,650 61 ,243
D. NON-OPERATIONAL CO
NONOPERATIONAL COSTS M900 0.00 0 0 0 0 0 0 0 0 0
ENNIRONMENT 4L HEALTH SURCHARGE (399) 0.00 0 0 1,196 3955 3 855 E 31 102 o 16. 03
MEDICAIDBUYBACK(611) 000 0 0 19 16 L9 is 0 69 69
NON-OPERATIONAL COSTS SUBTOTAL 000 0 0 3515 3 871 .1.515 3 S70 16,-do`), 69 IRT-0I
TOTAL CONTRACT 8392 30,221 206.811 2.188.912 1.87GA98 1.18&912 1.876.701 1.751-1,995 3.379.288 a.13128LI
Packet Pg. 2041
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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 96 A and B(or the subsequent replacement if adopted
during the contract period), if so requested by the department.
CD
The applicant assures that it will comply with:
N
CD
1. Title Vi of the Civil Rights Act of 1964, as amended,42 U.S.C.,2000 Et seq.,which prohibits N
discrimination on the basis of race, for or national origin in programs and activities receiving or
benefiting from federal financial assistance. L)
2. Section 504 of the Rehabilitation Act of 1973, as amended,29 U.S.C. 74,which prohibits discrimination 0.
on the basis of handicap in programs and activities receiving or benefiting from federal financial
assistance.
3. Title IX of the Education Amendments of 1972,as amend 0 U.S.C. 181 et seq.,which prohibits
discrimination on the basis of sex in education programs and activities receiving or benefiting from
federal financial assistance.
4. The Age Discrimination Act of 1975, as amended,42 U.S.C.6101 et seq.,which prohibits discrimination
on the basis of age in programs or activities receiving or benefiting from federal financial assistance
5. The Omnibus Budget Reconciliation Act of 1981, P.L. 7-35,which prohibits discrimination on the basis
of sex and religion in programs and activities receiving or benefiting from federal financial assistance.
0
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 N
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 L)
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.
Aftachment ,rem 6 srf 11
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Packet Pg. 2043
ATTACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
CASH RESERVED OR ANTICrPATED TO BE RESERVED FOR PRO.ECTS
CONTRACT YEAR 5TAT E QQUNTY TOTAL
2019-2020* $ 0 S 0 5 0.
2020-2021— $ 0 $ 0 S 0
2021-2022— S 0 5— 0 S 0
2022-2023— $ 0 $ 0 S 0
rtl
PROJECT TOTAL $ 0 $ 0 $ 0 C44
C44
SPECIAL PROJECTS CONSTRUCTIONIRENOVATION PLAN
C44
CD
C44
PROJECT NUMBER:
L)
PROJECT NAME:
LOCATIONIADDRES& E
ns
PROJECT TYPE: NEW BUILDING ROOFING
RENOVATION PLANNING STUDY
NEW ADDITION OTHER
SQUARE FOOTAGE. a
PROJECT SUMMARY Describe scope of work in reasonable detail
0
START DATE pnow expenature atfunds)
COMPLETION DATE: 0
DESIGN FEES. S o C44
CD
C44
CONSTRUCTION COSTS S 0
0
a
FURNITUREIE QUIP MENT: S 0 L)
TOTAL PROJECT COST. S 0
COST PER SQ FOOT S 0 E
Special Capital Projects are now construction or renovation projects and new furniture or equipment associated with these projects and
mobile health vans.
Cash balance as of 9/30120
—Cash to be transferred to FCO a=unt
`®`Cash anticipated for Mute contract years
Anachmeal
I Packet Pg. 2044
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ADDENDUM ]
TO CONTRACT BETWEEN
ONOE COUNTY BOARD OF COUNTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF THE
ONROE COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2020 — 2021
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
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:
• 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.
0
• Vehicle Fuel
The County charges the State for fuel whenever the County pumps are used.
• Vehicle Insurance
N
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 insurance costs.
c)
• Building Insurance
The County owns the facilities where the CHD 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.
• County Courier Costs
The County operates a courier service making deliveries between county facilities.
The State is charged a reasonable fee for the use of these services.
• 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.
Page I of i
Packet Pg. 2045
L.1.a
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, ,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
accordance with the following schedule
CD
Month YearFunding__,,,_. Month YearFunin '
Oct 2020 $ 10 ,750 A r 2021 $ 108,750 `CD
V
Nov 2020 $ 108,750 May 2021 $ 108,750 N
Dec 2020 $ 108,750 Jun 2021 $ 108,750
Jan 2021 $ 10 ,750 Jul 2021 $ 108,750 2
Feb 2021 $ 10 ,750 Aug2021 $ 108,750 0.
Mar 2021 $ 10 ,750 Sep 2021 $ 108,750
BOARD F COUNTY COMMISSIONERSFOR MONROE COUNTY
SIGNED BY:
0
NAME: Heather Carruthers
0
TITLE: Mayor CD
N
DATE:
ATTESTED TO:
SIGNED BY:
NAME:
TITLE:
DATE:
Approved as to form and content: page I of l
Monroe County Attorney's Office
11-24-2020
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L.1.b
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." N
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."
0
C. Monroe County Health Department ("CHD") is one of the created County Health
Departments. 0
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.
NOW THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which are hereby acknowledged, the parties hereto agree as follows: N
1. RECITALS. The parties mutually agree that the foregoing recitals are true and correct
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
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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, HIWAIDS, immunization, tuberculosis control
and maintenance of vital statistics.
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:
a. The funding to be provided by the parties and any other sources is set forth in Part II of
Attachment 11 hereof. This funding will be used as shown in Part I of Attachment 11.
L 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 11, 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 11, Part 11 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.
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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 11 and send a copy of the revised pages
to the Department of Health, Office of Budget and Revenue Management.
e. The name and address of the official payee to whom payments shall be made is:
N
County Health Department Trust Fund
CD
Monroe County
P.O. BOX 6193
KEY WEST, FL 33040 2
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 0
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
extent permitted for the use of County purchasing procedures as set forth in subparagraph b.,
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
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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
iii. Financial procedures specified in the Department of Health's Accounting
Procedures Manuals, Accounting memoranda, and Comptroller's
memoranda;
c�
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
County Health Department Trust Fund account at the end of the contract year shall be
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 II, 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
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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 N
of Health Information Security Policies, Protocols, and Procedures. The CHD shall further
adhere to any amendments to the State's security requirements and shall comply with any
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.
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L.1.b
o. The CHD shall submit quarterly reports to the County that shall include at least the
following:
i. The DE3851_1 Contract Management Variance Report and the DE58OL1
Analysis of Fund Equities Report;
ii. A written explanation to the County of service variances reflected in the
year end DE3851_1 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.
N
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:
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.
7. FACILITIES AND EQUIPMENT. The parties mutually agree that: _
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.
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L.1.b
B. 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.
c. Termination for Breach. This contract may be terminated by one party, upon no less N
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.
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),
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L.1.b
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 1St 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
TITLE: TITLE: State Surgeon General
N
DATE: DATE:
N
ATTESTED TO:
SIGNED BY: SIGNED BY:
NAME: NAME:
TITLE: TITLE: CHD Director/Administrator
DATE: DATE:
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ADDENDUM I
TO 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 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.
N
N
PAYMENTS MADE BY THE STATE TO THE COUNTY
c�
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:
• Vehicle Maintenance U
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.
• Vehicle Fuel
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
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 l of 2
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L.1.b
ADDENDUMI
TO 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
PAYMENTS MADE BY THE STATE TO THE COUNTY (CONTINUED)
N
N
+ 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.
c�
• 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.
• 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 by the
County.
Page 2 of 2
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L.1.b
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
accordance with the following schedule:
Month Year _Funding Month Year Fundin
Oct 2420 M $ 108,750 _ A r 2021 $ 108,750
"! Nov 2020 $ 108,754 Ma 2021 $ 108,750
..
Dec 2020 $ 108,750 Jun 2021 $ 108,750 '
Jan 2021 $ 108,750 Jul 2021 $ 108,750
Feb 2021 $ 108,750 Auq 2021 ._._$ 108,750
Mar 2021 $ 108,750 Sep 2021 $ 108,750 c)
BOARD OF COUNTY COMMISSIONERS FOR MONROE COUNTY 2
0
0
SIGNED BY:
NAME: Heather Carruthers
TITLE: Mayor .,
DATE:
ATTESTED TO:
SIGNED BY:
NAME:
TITLE:
DATE:
Page l of 1
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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,
Service RequiremenCD
N
1 Sexually Transmitted Disease Program Requirements as specified in F.A.0 6413-3, F S.381 and F.S 384,
N
CD
2, Dental Health Periodic financial and programmatic reports as specified by the N
program office
L)
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.
Breastfeeding Peer Counseling
Program)
4. Healthy Start/Improved Pregnancy Requirements as specified in the 2007 Healthy Start Standards and
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
(OMB Circular A-1 10)OMB CircularA-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 N
Funded Family Planning Projects(Title X equirements)(2014)and
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(FPA ),and other minimum guidelines as specified
by the Policy Web Technical Assistance Guidelines.
fir. 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
surveillancetinvestigation of reportable vaccine-preventable
diseases,adverse events,vaccine accountability,and assessment of
immunization
Attachment I-Page 1 of 11
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L.1.b
ATTACHMENT I(Continued)
levels as documented in Florida SHOTS and supported by CHD
Guidebook policies and technical assistance guidance.
7. Environmental Health Requirements as specified in Environmental Health Programs
Manual 1504*and DP 50-21*
a. 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 HIVIAIDS 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 6413-3, F.S.381 and
F.S 384 Socio-demographic and risk data on persons tested for
HIV in CHD 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.
9. School Health Services Requirements as specified in the Florida School Health
CD
Administrative Guidelines(May 2012). Requirements as specified in
F.S.381.0056,F S.381.007, F.S.402.3026 and F.A.C.6417-6.
CD
cv
10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C. D-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
quality assurance functions, as specified in F.A.C.6413-3, F.S.381,
F.S.384 and the CHD Epidemiology Guide to Surveillance and
Investigations.
0
12. Refugee Health Program Programmatic and financial requirements as specified by the U
program office.
or the subsequent replacement if adopted during the contract period, U
Attachment-1-Page 2 of 11
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ATTACEMNTIII
MOAkOE C0119tY HEALTH D
Pad EI,'Soixves ofConil n i nm t&Connty Hwffli D6pirtnietit
o r 1,2020 to „ atefi�;30,2021
t t4mMi- .i
t tAte, �D11II y �i
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a 7 un
Can
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1.GENERAL REVENUE•STATE
0150-10 AIDS PREVENTION&SURVEILLANCE•GENERAL REVENUE 73,552 0 73,552 0 73 552
0150-10 CHD°TB COMMUNITY PROGIU11M 35,069 0 35,()G9 0 35 069
0150-10 SEXUALLY TRANSmirrED DISEASE CONTROL PROGRAM GR 16,755 0 16,755 0 16 755
015010 CORONA%IRUS GENERAL.REVENUE 539,372 0 539,372 0 539.•17'
01.50-10 DE,ti'TAL SPECIAL INITIATIVE,PROJECTS 6,190 0 G,190 0 6,190
0150.10 HEALTHY BEACHES MONITORING 22,912 0 22,912 0 22,912
0150.10 EPIDEMIOLOGY SURVEILLANCE GENERAL REVENUE 79,035 0 79,035 0 79,035
0150.10 FtL%IILY PLANNING GENERAL REVENUE 34,239 0 3.3,239 0 34,239 CD
tV
0150.10 HEPATITIS AND LIVER FAILURE PREVENTION&CONTROL 72,000 0 72,000 0 72,000 CD
CD
0150.10 PRIMARY CARE PROGRrUNI 199,742 0 199.7.12 0 199,742 2 tV
015040 SCHOOL HEALTH SERVICES-GENERAL REVENUE 96,223 0 96,223 0 96,223
015050 CHD GENERAL REVENUE NON-CATEGORICAL 1,305,9-18 0 1,305,948 0 1,305,918 L)
GENERAL REVENUE TOTAL 2,481,037 0 2,481,037 0 2,481,037
U
2.NON G -STATE
015010 ENVIROMMENMAL BIOMEDICAL WASTE PROGRAM 1,23G 0 4,236 0 4,211't 0
tJ
015010 TOBACCO STATE AND CO1111UNITY IA'TERVENTIONS 118,15.1 (a 118 151 0 118,it l 2)
0
NON GENERAL REVENUE TOTAL l22A90 (1 122:390 0 122,390 (,
S.FEDERAL FUNDS-STA
007000 WIC BREASTFEEDING PEER COUNSELING PROG 87.•183 0 87 483 0 87,483
007000 COASTAL BEACH WATER QUALIn MONITORING 13,789 0 13789 0 13,789 0)
007000 COMPREHENSIVE COMMUNITY CARDIO.PBG 55,360 0 5i5,369 0 55„369 0
007000 EPID&LAB FOR INFECTIOUS DISEASE COVID°19 3,666 0 3 Goo 0 3,GGG 0
0
007000 FAMILY PLANNING TITLE X•GRANT 55,567 0 55.567 0 55.567
007000 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS 442,743 0 412,743 0 442,743
007000 MMIUNIZATION ACTION PLAN 38,582 0 i 18,582 0 38,582
007000 RICH SPECIAL PRJCT UNPLANNED PREGNANCY 12,985 0 12,985 0 12,985 0
OS
007000 MCH BLOCK GRANT FLORIDA'S HEALTHY BABIES 12,868 0 12,868 0 12,868
007000 BASE COMMUNITY PREPAREDNESS CAPABILITY 86,228 0 86,228 0 86.`".8
007000 AIDS PREVENTION 141,859 0 141 859 0 I-11,859
007000 WIC PROGRAM ADMINISTRATION 460,770 0 460,770 0 460,770
015075 SUPPLEMENTAL SCHOOL HEALTH 123,839 0 123,839 0 123,839
015075 REFUGEE HEALTH SCREENING REIMBURSEMENT ADMIN 2,546 0 2,546 0 2,546
015075 REFUGEE HEALTH SCREENING REIMBURSEMENT SERVICES 10,428 0 10,428 0 10,428
018005 RYAN WHITE TITLE 11 ADAP DRUG REBATES 68,337 0 68,33T 0 68,337
018005 AIDS DRUG ASSISTANCE PROGRAM ADMIN HQ 69,343 0 69,343 0 69,343
O18005 RYAN WHITE TITLE 11 CARE GRANT 150,155 0 150�155 0 150,155
FEDERAL S TOTAL 1,836,557 0 1,836,557 0 1,836,557
4.FEES ASSESSED BY STATE OR FEDERAL RULES-STATE
001020 CHD STATEWIDE E ONMENTALFEES 127,779 0 127,779 0 127,779
001092 CHD STATEWIDE ENVIRONMENTAL FEES 38,652 0 38,65E 0 38,652
Attachment II P®A II-Page 4 of 11
Packet Pg. 2061
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ATTACEMONT II
MONROE COUNTY HEALTH°DEPARTMENT
Part Sources of Contrutione to County Health`Department
Oatobe 2020 to SepteJaFier 30m 2021
,;'• State CHD Counip CHD " ` H, 13
an
001206 ON SITE SELVAGE DISPOSAL PERMIT FEES 1G 0 2,716 ❑ 2JIG
0012GG SANITATION CERTIFICATES(FOOD INSPECTION) 2.302 0 �-.302 0 2,302
001206 SEPTIC TxV%IK RESEARCH SURCHARGE 20 0 20 0 20
001206 PUBLIC SWIMMING POOL PERMIT FEES'10®6 HQ TRANSFER 8 971 0 1111T 1 0 8,97 l
001206 REGULATION OF BODY PIERCING SALONS 7> 0 0 75
001206 TANNING FACILITIES 11 0 17 0 37
001206 O`SITE SELVAGE TRrVNING CENTER S 0 „ ❑ 5
00120G TATTO PROGRAM ENl7RONIMENTAL HEALTH 6'ld 0 G48 0 G'18 r
N
001206 MOBILE HOME&RV PARK FEES 1.9W 0 1918 0 1,918 CD
tV
FEES ASSESSED BY STATE OR FEDERAL RULESTOTAL 18111'.1 0 183 133 0 183,133 tV
CD
5.OTHER CASH CONTRIBUTIONS•STATE
0 0 0 0 0 L)
090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 122.918 0 12'_'918 0 122.918
OTHER CASH CONTRIBUTION TOTAL 122.918 0 122,918 0 122,918
6.MEDICAID•STA tCO 0
U
001057 CHD CLINIC"'FEES 0 112 5,142 0, 5.142 0
0
0011,18 CHD CLINIC FEES 0 61 603 61,603 11 GIA03 U
MEDICAID TOTAL 0 66,715 66,7,15 0 66,735
U
7,ALLOCABLE REVENUE•STATE,
031005 GENERAL CLINIC RABIES SERVII.`.ES&DRUG PURCHASES 6.960 0 6,960 0 6,960 0)
0
ALLOCABLET 6 960 0 6,960 0 6,960 0
8.OTHER STATE CONTREBUTIONS NOT IN CHD TRUST FUND STATE0
ADAP 0 0 0 1.16,750 146,750
0
P IMACY DRUG PROGRAAT 0 0 0 14,273 1.1,273 0
WIC PROD I 0 0 0 995,338 995,338
U
BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 ❑ 8,4•t•I 8,1•t•3
MMIUNIZATIONS 0 0 0 570,255 570,255
OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 1,735,06❑ 1735,060
9,DIRECT LOCAL CO ONS•BCCITAX DISTIUCT
G08005 CHD LOCAL RMNUE&EXPENDITURES 0 843.820 843,820 0 8-13,820
008005 INIMUNIZATION CAMPAIGN MONROE COUNTY BOCC � 0 46 1,180 46L I80 0 461,180
DIRECT COUNTY CONTRIBUTIONS TOTAL 0 L 305,000 1.305,000 a L305,000
10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION-COUNTY
001077 CHD CLINIC FEES 0 38,G33 38,633 0 38,633
001077 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 582 582 0 582
001094 CHD LOCAL ENVIRONMENTAL FEES 0 127,689 127,689 0 127,689
001110 VITAL STATISTICS CERTIFIED RECORDS 0 62,687 62 687 0 62,687
FEES AUTHOR=D BY COUNTY TOTAL 0 229591 229,591 0 229,591
Att enl U Part II-Page 5 of t i
Packet Pg. 2062
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ATTACHMENT II
MONROE COUNTY HEALTH DEPARTMENT
I
Part II,Sour es orconb9nitwlis to CountyHeAth Department
Cktur 020 to E4wihbw,$4 2021 1
I �7pT1 �a11 II
d CHD d
lw
11.OTHER CASH AND LOCAL CONTRIBUTIONS COUNTY
001029 CHD CLINIC FEES 0 180.`GO 180,260 0 180 260
001029 GENERAL CLINIC RABIESSERVIC DRUG PURCHASES 0 535 535 0 535
001029 CURANT 340B REVENUE AND EXPENSE TRACIUNG 0 115 rM I:I5 598 0 135 598
001090 CHD CLINIC FEES 0 G0"GG 60,T66 0 60 766
007010 RYAN 11°H[TE TITLE 1I1 DIRECT TO CHD 0 12 To,35G 127 2"iG 0 •127.256
007010 RYAN WHITE TITLE III-DIRECT TO CHD 0 130160 1:30.+M 0 130.-IGO
007010 RYAN WHITE PART C-COVID'19 RESPONSE 0 78 500 78,500 0 78.500
010300 CHD SALE OF SER%q('ES IN OR OUTSIDE OF STATE GOVC 0 7,185 7,185 0 7,185 tCD
V
N
010.100 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOUT 0 1.400 1.-f00 0 i.400 '
tV
010500 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVi' 0 90 106 M IOG 0 90 406 CD
N
011001 CHD HEALTHY START COALITION C ON"rRACT 0 290.000 290,000 0 290.0
090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 367 626 367,62G 0 367.626 L)
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 1,769.992 1.769.992' 0 1.769 992 .W.
U
12.ALLOCABLE REVENUE•COUNTY
031005 GENERAL CLINIC RABIES SERVICES&D UG PURCHASES 0 6960 6,960 0 G.9G0
COUNTY ALLOCABLEE TOTAL 0 6 960 G,9G0 0 6.960
0
13.BUILDINGS°CO CJ
ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 597,605 597.605
OTHER(Specify) 0 0 0 0 0
UTILITIES 0 0 0 83,369 83.369
BUILDING MAINTENANCE 0 0 0 75,223 75223 z 0
`
GROUNDS MAINTENANCE 0 0 0 115,566 115,566 0
INSURANCE a 0 0 0 0 (n
0
OTHER(Specify) 0 0 0 0 o
OTHER(Specify) 0 0 0 0 0
BUILDINGS TOTAL 0 0 0 871,763 871,763
U
14.OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST F °COUNTY
EQUIP,IIENT 1p VEHICLE PURCHASES 0 0 0 0 0
VEHICLE INSURANCE 0 0 0 0 0
VEHICLE NIAINTENANCE 0 0 0 0 0
OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0
OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0
OTHER COUNTY CONTRMtMONS TOTAL 0 0 0 0 0
GRAND TOTALCHD PROGRAM 4752,995 3,378,288 8,131,283 2606823 10.738,106
A II Part II-Page 6 of 11
Packet Pg. 2063
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ATTACHMENT 11
MONROE COUNTY HEALTH DEPARTMENT
Part III,Planned St4aliff,Clients,Services and Expenditurea By Program Service Area Within Eachl ofService
Octobee 1,2024 to Septembee RD° 1
IFTE
's nts Pik d 4 d
(moo Units „'VMts �le dr�a`os�? State` Cttcant� �otai
A. CONMIUNICABLE DISEASE CONTROL
IMMUNILMON 1100 °1.76 2 877 3.909 181773 158AI6 18-1773 1iSAI0 ,.(120 611358 68G378
SEXUALLY TRANS.DIS (102) 2.95 355 696 89,788 76,980 89,788 11080 L 7 127 a 316.259 333,636
11I►'AIDS PREVENTION (03►!) 3 35 0 1,259 75.109 G1,395 75 109 14,391 "®N.875 132 279,007
HIV AIDS SURVEILLANCE (03Aa 600 0 0 0 0 0 0 0 = 0
HIV-AIDS PATIENT CARE (03AT 13.07 362 a''.+1 151971 390,075 15i 971 390075 66L236 1 028 SG2 1690,098
ADAP(03A.1) 1-31 1 1.1i 26,8'J8 2.:1002 26,828 23,001 99.606 M 99G,59
TUBERCULOSIS (inn 1.50 19 2'- 10,191 '34.°158 10.191 3.1.158 119."«'19 59 119,298 r�
N
CONKS DIS.SURV (106) 1.97 0 2.4,56 21 1 1.16 IM699 21,1146 183,600 795 491 0 795,4°Jl CD
CV
HEPATITIS (10M 1-38 193 229 33 217 28.-179 0,217 2S.480 121088 305 123 393 CD
CD
PREPAREDNESS AND RESPONSE (I M 2.47 0 347 G7 131 57,558 67 134 5 658 2-11.994 390 249,384
REFUGEE HEALTH (119) 064 316 606 16,129 II,086 16.429 14086 61005 25 61,03.)'
L)
VITAL RECOR S I80) 1.°13 1955 508 26,377 22,611 26.377 22 G15 0 97 983 97,183
COMMUNICABLE DISEASE SUBTOTAL 34.86 6,081 11 753 1228.WS 1053,662 1228,966 1 053 663 2.479,831 2 085.426 $1M-2157 ¢
U
B. PRIMARY CARE
CHROME."DISEASE PREVENTION PRO (210) (,78 iJ 111Y 18,599 15.916 18,,.,.M 15 947 69,091 () 69.091 O
tJ
►►'CC ULM) 6151 3.013 11.11? 140,398 120,371 110.398 120,371 521538 0 521,WS �
O
TOBACCO USE INTERVENTION (212) 1.91 0 1'=-= 42,80 36.749 41963 36,7118 159223 0 159,223
WIC BRE.ASTFEEDING PEER COUNSELING (21W2) ®0(i 0 2099 29,063 24,917 29.063 24 918 107 961 0 107.961
FAMILY PLANNING 023) 394 1 S99 3 303 93.1.10 7R854 93.140 79,854 219,322 126,a,GG 345,988
IMPROVED PREGNANCY OUTCOs►I£ (225) 00 0 0 349G 2.997 3,49E 2,996 1"85 0 12,985
HEALTHY START PRENATAL(227) 3 itl 715 3 581 60,1138 51.6.15 li0'338 51 615 0 223.7.6 223.766
COMPREHENSIVE[-HILL)HEALTH (229) 000 0 0 0 0 0 0 0 0 0 �
HE THYSTARTCHILD (230 310 813 3523 54075 46,3G) ?°.®76 46,361 0 2WA72 200872
SCHOOL HEAL (231) 474 0 164 892 95550 81.920 6a5 550 81 920 35.11910 0 354.940
0)
COMPREHENSIVE ADULT HEALTH (237) 261 365 1 075 82,956 71,123 81-956 71 124 1943,#42 108,417 308169
COMMUNITY HEALTII DEVELOPMIE (238) 407 0 776 100,648 86.291 100 648 86,290 373,87 7 0 373 877
DENTALIMALTH (240) 805 15011 403 65311 55995 65„311 55.995 6.190 236,122 242,612
PlUbUkRY CARE SUBTOTAL 40.77 _"0 594 193 208 786 337 67-1 169 7&1:337 674,169 2.024,869 896.113 2.721.012
C. ENVIRONMENTAL HEALTH:
Water and Onsite Sewage Programs
COSTAL BEACH MONITORING (347) 0,62 482 482 I6,230 13,915 16,230 13,915 59 450 ' 840 1112%)
LIMITED USE PUBLIC WATER SYSTEMS M it 0,00 0 0 0 0 0 0 g 0
PUBLIC WATER SYSTEMI (358) 0,00 0 0 0 0 0 0 0 0 0
PRIVATE WATERSYSTEM (359) 0,00 0 0 0 0 0 0 0 0 0
ONSITE SEWAGE TREATMENT&DISPOSAL(361) 1.61 727 640 30,009 25,728 30,009 25,729 33,824 77.051 111476
Group Total 213 1,209 1,122 46,239 39,643 4a239 39.644 93,274 Wk491 171765
Facility Programs
TATTOO FACILITY SERVICES (344) 0109 75 31 L940 L6 3 1940 L6 2 7,205 0, 7205
A d'men ti P... 111-Page7of11
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ATTACHMENT U
14IONROE COUNTY HEALTH DEPARTMENT
Part III,Phlaued SUM g.Clients,Services and Expenditures By Program Service Area Within Each Level or
betAgar,l,2020 to September 30,_ 1
nditure Plan
. s end s 'let 2m1 Brd 4th a'
(fk ) L3n1 aa€ aTlare o
s � , n>jr1 �Strte Ceu><tp �'
FOOD HYGIENE MIS) 061 152 "C2 12.682 10`a 7 la582 10.788 21,738 25,091 46,739
BODY PIERCING FACILITIES SERVICES (119ai 002 10 G 467 4ED 461 401 GIG 1060 1 735
GROUP CARE FACILITY (351) 0.08 -113 -15 1,5:12 9 .°-;4 1.592 1.361 0 5,912' 591'
iIIG ,NT LABOR Cr1.tiI11 (352) 000 0 0 0 0 0 0 0 0 11
HOUSING&PUB BLDG. (353) D 00 0 0 0 0 0 0 0 0 0
MOBILE HOSIE AND PARK (35.0 0 it LIi 281 9.192 7 881 9 194 7 sat 17798 16.318 31 116
POOLSSBATIIING PLACES (360) 2 10 1 013 3.203 38 G87 33AGs 38.687 33.168 7G023 G7 688 1 P-i l()'
BIOMEDICALVVASTESERVICES (36.1) 033 269 1228 G,611 5,661 6513 5.G00 11.251 10016 ®'1®G7 r�
N
TANNING FACILITY SERVICES (369) 0.01 0 0 191 168 197 169 630 100 730 CD
Group Total 368 1 'a i,05G 71 190 61 033 71,190 61,032 138,319 126.125 261=14-1
CD
Groundwater Contamination CV
STORAGE TANK COMPLIANCE SERVE:ES Q551 0.33 25 77 7 656 6,56°I 7 656 6,561 1) 23440 2&440
L)
SUPER ACC SERVICES 05€) 0.00 0 0 0 0 0 0 a 0 0
Group Total 0.33 25 77 7656 6.564 7 656 6,56.1 0 28,140 28.440
Community Hygiene
COMMUNITY ENVIR HEALTH 045) 1) 0 0 0 0 0 0 0, 0 0 O
Ca
INJURY PREVENTION (3-IG) 0 U0 ' 0 0 0 Q 1r 0 0 0)
O
LEAD MONITORING SERVICES (360) 000 D 0 0 0 0 (1 0 0
PUBLIC SEWAGE (362) 000 0 0 € 0 ova 0 0 0 0
SOLID WASTE DISPOSAL SERVICE (363) 0.00 0 0 0 D V. 0 0 0 0 Ca
SANITARY NUISANCE (30) 016 18 44 3.268 2.802 3,268 2,803 0 12.1,11 12,141
RABIESSURVEILLANCE (366) 0.06 2 24 1 172 1005 1,172 1 D06 0 4.355 4.355
ARBORVIRUS SURVEIL. (367) 0,00 0 0 0 0 0 0 0 0 0 N
RODE !ARTHROPOD CONTROL(30) 0.00 0 0 0 0 0 0 0 0 0
WATER POLLUTION (370) 000 0 0 0 0 0 0 0 0 0
0)
INDOOR AIR (371) 000 0 0 0 0 0 0 Q 0 0
RADIOLOGICAL HEALTH (372) 000 0 0 0 0 0 0 0 0 D
TOXIC SUBSTANCES (373) 193 530 530 .19599 33.950 39,599 33,950 0 147098 147.098
Group Total 215 550 698 44.039 37 757 41,039 37.759 0 10,694 163,594
ENVIRONMENTAL HEALTH SUBTOTAL S 29 3 5.12 5 953 169,124 144,996 169,124 144.90 231193 3%650 628.243
D. NON-OPERATIONAL COSTS:
iNON°OPERATIONAL COSTS (57j) 0.00 0 0 0 0 0 0 0 0 0
ENVIRONMENTALHEALTHSURCHARGE (399) 0.00 0 0 4 196 3,855 4.49E 3,855 16.-4W) 0 16,702
MEDICAID BUYBACK (611) 000 0 0 19 16 19 15 0 69 G9
NON-OPERATIONAL COSTS SUBTOTAL 0.00 0 0 4.515 3,971 4 515 3.870 16.702 69 16.771
TOTAL CONTRACT 83.92 30,221 206,814 2,188,942 1,876,698 2.188.942 1,876.701 4752.995 3,378,288 6.131283
A m t 0 RarLIM-Pape 0 at 11
Packet Pg. 2065
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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 Wil comply with
1. Title VI of the Civil Rights Act of 1964,as amended,42 U.S.C., 2000 Et seq.,which prohibits CD
N
discrimination on the basis of race,color or national origin in programs and activities receiving or
CD
benefiting from federal financial assistance
CD
2. Section 504 of the Rehabilitation Act of 1973,as amended,29 U.S.C. 794,which prohibits discrimination
on the basis of handicap in programs and activities receiving or benefiting from federal financial
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. o
CJ
4. The Age Discrimination Act of 1975,as amended,42 U.S.C.6101 et seq.,which prohibits discrimination
on the basis of age in programs or activities receiving or benefiting from federal financial assistance.
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
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.
Attachment Ill-Page 9 of t i
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ATTACHMENTV
COUNTYMONROE LTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS
CONT ACT YEAR aI&TE COUNTY T TAL
2019-2020' S 0 S 0 S 0
2020-2021`" S 0 $ 0 $ 0
2021-2022— S 0 S 0 S 0
2022-2023— S 0 $ 0 $ 0
PROJECT TOTAL 5 0 S 0 S 0
SPECIAL PROJECTS CONSTRUCTIONIRENOVATION
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PROJECT NUMBER:
cv
CD
PROJECT NAME:
LOCATIONIADDRESS:
L)
PROJECT TYPE: NEW BUILDING ROOFING
RENOVATION PLANNING STUDY
NEW ADDITION OTHER
SQUAREFOOTAGE 0
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PROJECT SUMMARY: Describe scope of work rn reasonable detail
U
START DATE (lnivat expenditure artunds)
COMPLETION DATE:
DESIGN FEES: $ 0
CONSTRUCTION COSTS: $ 0
FURNITURE/EQUIPMENT: $ 0
TOTAL PROJECT COST: $ 0
ns
COST PER SO FOOT: S 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 9130120
"Cash to be transferred to FCO account.
"®Cash anticipated for future contract years.
Afizemenl-V-Pape 11 oT I I
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Ballard-Lin se
From: Tennyson-Lisa
Sent: Tuesday, November 24, 2020 9:55 AM
To: Ballard-Lindsey
Subject: FW: Florida Association of Counties Thank you for your order
Lindsey—just registered for FAC conf next week—here's Receipt for -card charge,
Thank you, Lisa
From: noreplyfl-counties.site-ym.com<noreply@fl-counties.site-ym.cam>
Sent:Tuesday, November 24, 2020 9:52 A
To:Tennyson-Lisa<Tennyson-Lisa@MonroeCounty-FL.Gov>
Subject: Florida Association of Counties-Thank you for your order
CD
CD
CAUTION:This email originated from outside of the County.Whether you know the sender or not,do not click links or
open attachments you were not expecting.
0
CJ
Dear Lisa Tennyson,
0
Confirmation for the order placed on 11/ 41020
Click here for a printable view of the order.
The following is a description of the order:
Order Number is:457720125
Ordered 1 products(see below):
Total:$275.00
Thanks!
Florida Association of Counties
This is an automated email sent from the Florida Association of Counties. Please do not reply to this email.It has
been sent from an email account that is not monitored.If you feel you have received this message In error,please
feel free to contact us.
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Packet Pg. 2072