FY2021 12/09/2020 a \ , Kevin Madok, CPA
r,y`.. ;' ' Clerk of the Circuit Court&Comptroller—Monroe County, Florida
DATE December 17, 2020
TO: Roman Gastesi
County Administrator
Lindsey Ballard,Aide
to the County Administrator
FROM: Pamela G. Hancoc c CC.
SU$TECP: December 9th BOCC Meeting
Enclosed are two duplicate originals of the following item for your handling:
LI Fiscal Year 2021 Core Contract,with a revised Addendum,with Monroe County
Department of Health.
Should you have any questions please feel free to contact me at(305) 292-3550.
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852-7145
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
A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to
"promote, protect, maintain, and improve the health and safety of all citizens and visitors of
this state through a system of coordinated county health department services."
B. County Health Departments were created throughout Florida to satisfy this
legislative intent through "promotion of the public's health, the control and eradication of
preventable diseases, and the provision of primary health care for special populations."
C. Monroe County Health Department ("CHD") is one of the created County Health
Departments.
D. It is necessary for the parties hereto to enter into this contract in order to ensure
coordination between the State and the County in the operation of the CHD.
NOW THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
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
1
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.
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
dentatservices.
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 II hereof. This funding will be used as shown in Part I of Attachment II.
i. The State's appropriated responsibility (direct contribution excluding any state
fees, Medicaid contributions or any other funds not listed on the Schedule C) as
provided in Attachment II, Part II is an amount not to exceed $4,229,773.00
(State General Revenue, State Funds, Other State Funds and Federal Funds listed on the
Schedule C). The State's obligation to pay under this contract is contingent
upon an annual appropriation by the Legislature.
ii. The County's appropriated responsibility (direct contribution excluding any fees,
other cash or local contributions) as provided in Attachment II, Part II is an
amount not to exceed $1,305,000.00 (amount listed under the "Board of County
Commissioners Annual Appropriations section of the revenue attachment).
b. Overall expenditures will not exceed available funding or budget authority, whichever is
less, (either current year or from surplus trust funds) in any service category. Unless
requested otherwise, any surplus at the end of the term of this contract in the County Health
Department Trust Fund that is attributed to the CHD shall be carried forward to the next
contract period.
2
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.
a The name and address of the official payee to whom payments shall be made is:
County Health Department Trust Fund
Monroe County
P.O. BOX 6193
KEY WEST, FL 33040
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
di-roc-tor/administrator shall be selected by the State with the concurrence of the County. The
director/administrator of the CHD shall ensure that non-categorical sources of funding are
used to fulfill public health priorities in the community and the Long Range Program Plan.
6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that
the following standards should apply in the operation of the CHD:
a. The CHD and its personnel shall follow all State policies and procedures, except to the
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
3
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;
iii. Financial procedures specified in the Department of Health's Accounting
Procedures Manuals, Accounting memoranda, and Comptroller's
memoranda;
iv. The CHD is responsible for assuring that all contracts with service
providers include provisions that all subcontracted services be reported to
the CHD in a manner consistent with the client registration and service
reporting requirements of the minimum data set as specified in the Client
----- ----- Information System/Health Management Component Pamphlet.
d. All funds for the CHD shall be deposited in the County Health Department Trust Fund
maintained by the state treasurer. These funds shall be accounted for separately from funds
deposited for other CHDs and shall be used only for public health purposes in Monroe
County.
e. That any surplus/deficit funds, including fees or accrued interest, remaining in the
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
4
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
except as allowed by federal or state law or policy.
j. The CHD shall retain all client records, financial records, supporting documents,
statistical records, and any other documents (including electronic storage media) pertinent to
this contract for a period of five (5) years after termination of this contract. If an audit has
been initiated and audit findings have not been resolved at the end of five (5) years, the
records shall be retained until resolution of the audit findings.
k. The CHD shall maintain confidentiality of all data, files, and records that are
confidential under the law or are otherwise exempted from disclosure as a public record
under Florida law. The CHD shall implement procedures to ensure the protection and
confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65 and
456.057, Florida Statutes, and all other state and federal laws regarding confidentiality. All
confidentiality procedures implemented by the CHD shall be consistent with the Department
of Health Information Security Policies, Protocols, and Procedures. The CHD shall further
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.
5
o. The CHD shall submit quarterly reports to the County that shall include at least the
following:
i. The DE385L1 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 DE385L1 report if the variance exceeds or falls below 25 percent
of the planned expenditure amount for the contract year. However, if the
amount of the service specific variance between actual and planned
expenditures does not exceed three percent of the total planned
expenditures for the level of service in which the type of service is included,
a variance explanation is not required. A copy of the written explanation
shall be sent to the Department of Health, Office of Budget and Revenue
Management.
p. The dates for the submission of quarterly reports to the County shall be as follows
unless the generation and distribution of reports is delayed due to circumstances beyond the
CHD's control:
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.
6
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.
c. Termination for Breach. This contract may be terminated by one party, upon no less
than thirty (30) days notice, because of the other party's failure to perform an obligation
hereunder. Said notice shall be delivered by certified mail, return receipt requested, or in
person to the other party's contract manager with proof of delivery. Waiver of breach of any
provisions of this contract shall not be deemed to be a waiver of any other breach and shall
not be construed to be a modification of the terms of this contract.
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, Fl 33040 Key West, Fl. 33040
305-676-3825 305-292-4441
11-different contract managers are designated after execution of this contract, the name,
address and telephone number of the new representative shall be furnished in writing to the
other parties and attached to originals of this contract.
c. Captions. The captions and headings contained in this contract are for the convenience
of the parties only and do not in any way modify, amplify, or give additional notice of the
provisions hereof.
In WITNESS THEREOF, the parties hereto have caused this eight page contract, with its
attachments as referenced, including Attachment I (two pages), Attachment II (six pages),
7
Attachment Ill (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 Pt day of October, 2020.
BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA
FOR MONROE COUNTY DEPARTMENT OF HEALTH
S
\
SIGNED BY: a SWvx� SIGNED BY:
NAME: Michelle Coldiron NAME: Scott A. Rivkees, MD
TITLE: Mayor TITLE: State SNrgeon General
sr • likuw,...L.,_ 9, -L-Lo DATE: 11 0)\JY1.n
�`,ED TO: KEVIN MADOK, CLERK
i E
' . BY: �f SIGNED BY:
a ,
•e ``^• Pamela Hancock NAME: n r f ade
TITLE - As DepupyClerk TITLE: CHD Director/Administrator
DATE: kited •+.+-L. 41 '7-o ° DATE: MAS/ O
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MONROE COUNTY ATTORNEY —c ",
APP VEO AS O RY — .
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8
ATTACHMENT I
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 Reouirement
1. Sexually Transmitted Disease Program Requirements as specified in F.A.C.640-3, F.S.381 and F.S. 384.
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
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 8 92,2 CFR 215
(OMB Circular A-110)OMB Circular A-102, F.S.381.0051, F.A.C.
64F-7, F A.C.64F-16,and F A.C.64F-19. Requirements and
Guidance as specified in the Program Requirements for Title X
Funded Family Planning Projects(Title X Requirements)(2014)and
the Providing Quality Family Planning Services(OFP):
Recommendations of CDC and the U.S.Office of Population Affairs
published on the Office of Population Affairs website. Programmatic
annual reports as specified by the program office as specified in the
annual programmatic Scope of Work for Family Planning and
Maternal Child Health Services,including the Family Planning
Annual Report(FPAR),and other minimum guidelines as specified
by the Policy Web Technical Assistance Guidelines.
6. immunization Periodic reports as specified by the department pertaining to
immunization levels in kindergarten and/or seventh grade pursuant
to instructions contained in the Immunization Guidelines-Florida
Schools,Childcare Facilities and Family Daycare Homes(OH Form
150-615)and Rule 64D-3.046, F.A.C. In addition,periodic reports as
specified by the department pertaining to the
surveillance/investigation of reportable vaccine-preventable
diseases,adverse events,vaccine accountability, and assessment of
immunization
Attachment I-Pagel of 11
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 150-4*and DHP 50-21*
8 HIV/AIDS Program Requirements as specified in F.S.384.25 and F A.C. 64D-3.030 and
64D-3.031.Case reporting should be on Adult HIV/AIDS Confidential
Case Report CDC Form DH2139 and Pediatric HIV/AIDS
Confidential Case Report CDC Form DH2140.
Requirements as specified in F.A.C.64D-2 and 64D-3, F.S. 381 and
F.S.384. Socio-demographic and risk data on persons tested for
HIV in 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
Administrative Guidelines(May 2012). Requirements as specified in
F.S. 381.0056, ES.381.0057, F.S.402.3026 and F.A.C.64F-6.
10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C.64D-3
and F.S. 392.
11. General Communicable Disease Carry out surveillance for reportable communicable and other acute
Control diseases,detect outbreaks, respond to individual cases of reportable
diseases,investigate outbreaks,and carry out communication and
quality assurance functions,as specified in FA.C.64D-3, 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.
*or the subsequent replacement if adopted during the contract period.
Attachment I-Page 2 of 11
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ATTACHMENT II r
'4 MONROE COUNTY HEALTH DEPARTMENT
Part II,Sources of Contributions to County Health Department
October 1,2020 to September 30,2021
•
State CHD County Total CHD
• Trust Fund CHD Trust Fund Other
s ,..•.....- ._4' (cash) Trust Fund (cash) Contribution To
1.GENERAL REVENUE-STATE
015040 AIDS PREVENTION&SURVEILLANCE-GENERAL REVENUE 73,552 0 73,552 0 73,552
015040 CHD•TB COMMUNITY PROGRAM 35,069 0 35,069 0 35,069
015040 SEXUALLY TRANSMITTED DISEASE CONTROL PROGRAM GR 16,755 0 16,755 0 16,755
015040 CORONAVIRUS GENERAL REVENUE 539,372 0 539,372 0 539,372
015040 DENTAL SPECIAL INITIATIVE PROJECTS 6,190 0 6.190 0 6,190
015040 HEALTHY BEACHES MONITORING 22,912 0 22,912 0 22,912
015040 EPIDEMIOLOGY SURVEILLANCE GENERAL REVENUE 79,035 0 79,035 0 79,035
015040 FAMILY PLANNING GENERAL REVENUE 34,239 0 34,239 0 34,239
015040 HEPATITIS AND LIVER FAILURE PREVENTION&CONTROL 72,000 0 72,000 0 72,000
015040 PRIMARY CARE PROGRAM 199,742 0 199,742 0 199,742
015040 SCHOOL HEALTH SERVICES•GENERAL REVENUE 96.223 0 96,223 0 96,223
015050 CHD GENERAL REVENUE NON-CATEGORICAL 1,305,948 0 1.305,948 0 1,305,948
GENERAL REVENUE TOTAL 2,481,037 0 2,481,037 0 2,481,037
2.NON GENERAL REVENUE•STATE
015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM 4,236 0 4,236 0 4,236
015010 TOBACCO STATE AND COMMUNITY INTERVENTIONS 118,154 0 118,154 0 118.154
NON GENERAL REVENUE TOTAL 122.390 0 122,390 0 122,390
3.FEDERAL FUNDS•STATE
007000 WIC BREASTFEEDING PEER COUNSELING PROG 87,483 0 87,483 0 87.483
007000 COASTAL BEACH WATER QUALITY MONITORING 13,789 0 13.789 0 13.789
007000 COMPREHENSIVE COMMUNITY CARDIO•PHBG 55,369 0 55,369 0 55,369
007000 EPID&LAB FOR INFECTIOUS DISEASE COVID•19 3,666 0 3,666 0 3.666
007000 FAMILY PLANNING TITLE X•GRANT 55,567 0 55.567 0 55.567
007000 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS 442,743 0 442,743 0 442,743
007000 IMMUNIZATION ACTION PLAN 38,582 0 38,582 0 38,582
007000 MCH SPECIAL PRJCT UNPLANNED PREGNANCY 12,985 0 12.985 0 12,985
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 86.228
007000 AIDS PREVENTION 141.859 0 141,859 0 141,859
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 II ADAP DRUG REBATES 68.337 0 68,337 0 68,337
018005 AIDS DRUG ASSISTANCE PROGRAM ADMIN HQ 69.343 0 69,343 0 69.343
018005 RYAN WHITE TITLE II CARE GRANT 150,155 0 150,155 0 150,155
FEDERAL FUNDS TOTAL 1,836,557 0 1.836,557 0 1,836,557
4.FEES ASSESSED BY STATE OR FEDERAL RULES•STATE
001020 CHD STATEWIDE ENVIRONMENTAL FEES 127.779 0 127,779 0 127,779
001092 CHD STATEWIDE ENVIRONMENTAL FEES 38.652 0 38,652 0 38.652
Attachment_II_Part_II-Page 4 of 11
ATTACHMENT II
MONROE COUNTY HEALTH DEPARTMENT
k
Part II,Sources of Contributions to County Health Department 1
• October 1,2020 to September 30,2021
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
.aka (cash) Trust Fund (cash) Contribution
001206 ON SITE SEWAGE DISPOSAL PERMIT FEES 2,716 0 3,716 0 2.716
001206 SANITATION CERTIFICATES(FOOD INSPECTION) 2,302 0 2,302 0 2,302
001206 SEPTIC TANK RESEARCH SURCHARGE 20 0 20 0 20
001206 PUBLIC SWIMMING POOL PERMIT FEES•10%HQ TRANSFER 8,971 0 8,971 0 8,971
001206 REGULATION OF BODY PIERCING SALONS 75 0 75 0 75
001206 TANNING FACILITIES 47 0 47 0 47
001206 ONSITE SEWAGE TRAINING CENTER 5 0 5 0 5
001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 648 0 648 0 648
001206 MOBILE HOME&RV PARK FEES 1,918 0 1,918 0 1,918
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 183,133 0 183,133 0 183,133
5.OTHER CASH CONTRIBUTIONS•STATE:
0 0 0 0 0
090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 122,918 0 122,918 0 122,918
OTHER CASH CONTRIBUTION TOTAL 122,918 0 122,918 0 122,918
6.MEDICAID-STATE/COUNTY:
001057 CHD CLINIC FEES 0 5,142 5,142 0 5.142
001148 CHD CLINIC FEES 0 61,603 61,603 0 61,603
MEDICAID TOTAL 0 66,745 66,745 0 66,745
7.ALLOCABLE REVENUE•STATE:
031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 6,960 0 6,960 0 6,960
ALLOCABLE REVENUE TOTAL 6,960 0 6,960 0 6,960
8.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND•STATE
ADAP 0 0 0 146,750 146,750
PHARMACY DRUG PROGRAM 0 0 0 14,273 14,273
WIC PROGRAM 0 0 0 995,338 995,338
BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 8,444 8,444
LVIMUNIZATIONS 0 0 0 570,255 570,255
OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 1,735,060 1,735.060
9.DIRECT LOCAL CONTRIBUTIONS-BCC/TAX DISTRICT
008005 CHD LOCAL REVENUE&EXPENDITUR.ES 0 843,820 843,820 0 843,820
008005 IMMUNIZATION CAMPAIGN MONROE COUNTY BOCC 0 461,180 461.180 0 461,180
DIRECT COUNTY CONTRIBUTIONS TOTAL 0 1,305,000 1.305.000 0 1,305,000
10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION•COUNTY
001077 CHD CLINIC FEES 0 38,633 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 AUTHORIZED BY COUNTY TOTAL 0 229.591 229.591 0 229,591
Attachment_II_Part_II-Page 5 of 11
ATTACHMENT II
MONROE COUNTY HEALTH DEPARTMENT
Part II,Sources of Contributions to County Health Department
October 1,2020 to September 30,2021
State CHD County Total CHI) 3
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
11.OTHER CASH AND LOCAL CONTRIBUTIONS-COUNTY
001029 CHD CLINIC FEES 0 180,260 180,260 0 180,260
001029 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 535 535 0 535
001029 CURANT 340B REVENUE AND EXPENSE TRACKING 0 135,598 135,598 0 135,598
001090 CHD CLINIC FEES 0 60,766 60,766 0 60,766
007010 RYAN WHITE TITLE III•DIRECT TO CHD 0 427,256 427,256 0 427,256
007010 RYAN WHITE TITLE III-DIRECT TO CHD 0 130,460 130,460 0 130,460
007010 RYAN WHITE PART C•COVID•19 RESPONSE 0 78,500 78,500 0 78,500
010300 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 7,185 7,185 0 7,185
010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 1,400 1,400 0 1,400
010500 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 90,406 90,406 0 90,406
011001 CHD HEALTHY START COALITION CONTRACT 0 290,000 290,000 0 290,000
090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 367,626 367,626 0 367,626
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 1,769,992 1,769,992 0 1,769,992
12.ALLOCABLE REVENUE-COUNTY
031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 6,960 6,960 0 6,960
COUNTY ALLOCABLE REVENUE TOTAL 0 6,960 6,960 0 6,960
13.BUILDINGS-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
BUILDING MAINTENANCE 0 0 0 75,223 75,223
GROUNDS MAINTENANCE 0 0 0 115,566 115,566
INSURANCE 0 0 0 0 0
OTHER(Specify) 0 0 0 0 0
OTHER(Specify) 0 0 0 0 0
BUILDINGS TOTAL 0 0 0 871.763 871,763
14.OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND•COUNTY
EQUIPMENT/VEHICLE PURCHASES 0 0 0 0 0
VEHICLE INSURANCE 0 0 0 0 0
VEHICLE MAINTENANCE 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 CONTRIBUTIONS TOTAL 0 0 0 0 0
GRAND TOTAL CHD PROGRAM 4,752,995 3,378,288 8,131,283 2,606,823 10,738,106
Attachment_II_Part_II-Page 6 of 11
ATTACHMENT II - .
' MONROE COUNTY HEALTH DEPARTMENT
Part III,Planned Staffing.Clients,Services and Expenditures By Program Service Area Within Each Level of Service
October 1,2020 to September 30,2021
Quarterly Expenditure Plan
FTE's Clients Services/ 1st 2nd 3rd 4th a
ii.
(0 00) Units Visits ra (Whole dollars only) State County To i'
A COMMUNICABLE DISEASE CONTROL:
IMMUNIZATION (101) 4.76 2.877 3.909 184.773 158.416 184.773 158,416 45.020 641.358 686.378
SEXUALLY TRANS.DIS. (102) 2.95 355 676 89.788 76.980 89.788 76.980 17,277 316.259 333,536
HIV/AIDS PREVENTION (03A1) 3.35 0 1,259 75.109 64,395 75.109 64,394 278.875 132 279.007
HIV/AIDS SURVEILLANCE (03A2) 0.00 0 0 0 0 0 0 0 0 0
HIV/AIDS PATIENT CARE (03A3) 13.07 362 2.254 454.974 390,075 454,974 390.075 661.236 1,028,862 1,690.098
ADAP(03A4) 1.34 4 107 26,828 23,002 26.828 23.001 99.606 53 99.659
TUBERCULOSIS (104) 1.50 19 22 40.191 34,458 40.191 34.458 149.239 59 149.298
COMM.DIS.SURV. (106) 1.97 0 2,656 214.146 183.599 214,146 183,600 795,491 0 795.491
HEPATITIS (109) 1.38 193 229 33.217 28,479 33.217 28.480 123,088 305 123.393
PREPAREDNESS AND RESPONSE (116) 2.47 0 347 67,134 57,558 67.134 57.558 248.994 390 249.384
REFUGEE HEALTH (118) 0.64 316 606 16.429 14.086 16,429 14.086 61.005 25 61,030
VITAL RECORDS (180) 1.43 1,955 5.688 26.377 22.614 26.377 22,615 0 97,983 97.983
COMMUNICABLE DISEASE SUBTOTAL 34.86 6,081 17,753 1.228.966 1.063,662 1,228,966 1,053,663 2,479,831 2.085.426 4,565.257
B. PRIMARY CARE:
CHRONIC DISEASE PREVENTION PRO (210) 0.78 79 122 18,599 15,946 18,599 15,947 69.091 0 69.091
WIC (21W1) 6.51 2,013 13,417 140,398 120,371 140,398 120,371 521.538 0 521,538
TOBACCO USE INTERVENTION (212) 1.91 0 17 42.863 36.749 42,863 36.748 159.223 0 159,223
WIC BREASTFEEDING PEER COUNSELING (21W2) 2.06 0 2.099 29.063 24,917 29.063 24,918 107.961 0 107.961
FAMILY PLANNING (223) 3.94 1.599 3,303 93.140 79,854 93.140 79,854 219.322 126,666 345.988
IMPROVED PREGNANCY OUTCOME (225) 0.00 0 0 3,496 2.997 3.496 2.996 12.985 0 12,985
HEALTHY START PRENATAL(227) 3.10 715 3.581 60.238 51,645 60.238 51,645 0 223,766 223.766
COMPREHENSIVE CHILD HEALTH (229) 0.00 0 0 0 0 0 0 0 0 0
HEALTHY START CHILD (231) 3.10 813 3.523 54,075 46,361 54.075 46.361 0 200,872 200.872
SCHOOL HEALTH (234) 4.74 0 154,892 95.550 81.920 95.550 81,920 354.940 0 354,940
COMPREHENSIVE ADULT HEALTH (237) 2.51 365 1.075 82,956 71,123 82.956 71,124 199.742 108.417 308.159
COMMUNITY HEALTH DEVELOPMENT(238) 4.07 0 776 100.648 86.291 100.648 86,290 373,877 0 373.877
DENTAL HEALTH (240) 8.05 15.014 403 65.311 55.995 65,311 55.995 6.190 236.422 242,612
PRIMARY CARE SUBTOTAL 40.77 20,598 183.208 786.337 674,169 786,337 674,169 2.024.869 896.143 2.921.012
C. ENVIRONMENTAL HEALTH:
Water and Onsite Sewage Programs
COSTAL BEACH MONITORING (347) 0.62 482 482 16.230 13.915 16.230 13,915 59.450 840 60.290
LIMITED USE PUBLIC WATER SYSTEMS (357) 0.00 0 0 0 0 0 0 0 0 0
PUBLIC WATER SYSTEM (358) 0.00 0 0 0 0 0 0 0 0 0
PRIVATE WATER SYSTEM (359) 0.00 0 0 0 0 0 0 0 0 0
ONSITE SEWAGE TREATMENT&DISPOSAL(361) 1.51 727 640 30.009 25.728 30.009 25.729 33.824 77,651 111.475
Group Total 2.13 1,209 1.122 46.239 39.643 46.239 39.644 93.274 78,491 171.765
Facility Prrogama
TATTOO FACILITY SERVICES (344) 0.09 75 31 1.940 1.663 1.940 1.662 7.205 0 7.205
Attachment_II_Part_III-Page 7 of 11
ATTACHMENT II ..__
MONROE COUNTY HEALTH DEPARTMENT
Part III,Planned Staffing.Clients,Services and Expenditures By Program Service Area Within Each Level of Service
October 1,2020 to September 30,2021
Quarterly Expenditure Plan
FTE's Clients Services/ 1st 2nd 3rd 4th Grand
(0.00) Units Visits (Whole dollars only) State County Total,
FOOD HYGIENE (348) 0.61 152 12.582 10.787 12.582 10.788 21.738 25.001 46.739
BODY PIERCING FACILITIES SERVICES (349) 0.02 10 6 467 400 467 401 675 1.060 1.735
GROUP CARE FACILITY(351) 0.08 43 45 1.592 1.364 1.592 1.364 0 5.912 5.912
MIGRANT LABOR CAMP(352) 0.00 0 0 0 0 0 0 0 0 0
HOUSING&PUB.BLDG. (353) 0.00 0 0 0 0 0 0 0 0 0
MOBILE HOME AND PARK(354) 0.44 166 281 9.192 7.881 9,192 7,881 17.798 16,348 34,146
POOLSBATHING PLACES (360) 2.10 1.043 3.203 38.687 33,168 38.687 33,168 76.022 67.688 143,710
BIOMEDICAL WASTE SERVICES (364) 0.33 269 228 6.533 5.601 6.533 5,600 14.251 10,016 24,267
TANNING FACILITY SERVICES (369) 0.01 0 0 197 168 197 168 630 100 730
Group Total 3.68 1,758 4,056 71.190 61.032 71.190 61.032 138,319 126.125 264,444
Groundwater Contamination
STORAGE TANK COMPLIANCE SERVICES (355) 0.33 25 77 7,656 6,564 7.656 6.564 0 28,440 28.440
SUPER ACT SERVICES(356) 0.00 0 • 0 0 0 0 0 0 0 0
Group Total 0.33 25 77 7.656 6.564 7.656 6.564 0 28.440 28.440
Community Hygiene
COMMUNITY ENVIR.HEALTH (345) 0.00 0 0 0 0 0 0 0 0 0
INJURY PREVENTION(346) 0.00 0 0 0 0 0 0 0 0 0
LEAD MONITORING SERVICES(350) 0.00 0 0 0 0 0 0 0 0 0
PUBLIC SEWAGE (362) 0.00 0 0 0 0 0 0 0 0 0
SOLID WASTE DISPOSAL SERVICE (363) 0.00 0 0 0 0 0 0 0 0 0
SANITARY NUISANCE (365) 0.16 18 44 3.268 2.802 3.268 2,803 0 12.141 12.111
RABIES SURVEILLANCE (366) 0.06 2 24 1.172 1.005 1.172 1.006 0 4.355 4.355
ARBORVIRUS SURVEIL. (367) 0.00 0 0 0 0 0 0 0 0 0
RODENT/ARTHROPOD CONTROL(368) 0.00 0 0 0 0 0 0 0 0 0
WATER POLLUTION (370) 0.00 0 0 0 0 0 0 0 0 0
INDOOR AIR(371) 0.00 0 0 0 0 0 0 0 0 0
RADIOLOGICAL HEALTH (372) 0.00 0 0 0 0 0 0 0 0 0
TOXIC SUBSTANCES (373) 1.93 530 530 39.599 33.950 39.699 33.950 0 147.098 147.098
Group Total 2.15 550 598 44.039 37.757 44.039 37.759 0 163.594 163,594
ENVIRONMENTAL HEALTH SUBTOTAL 8.29 3.542 5.853 169.124 144,996 169.124 144.999 231.593 396.650 628.243
D. NON-OPERATIONAL COSTS:
NONOPERATIONAL COSTS(599) 0.00 0 0 0 0 0 0 0 0 0
ENVIRONMENTAL HEALTH SURCHARGE (399) 0.00 0 0 4,496 3.855 4,496 3.855 16.702 0 16,702
MEDICAID BUYBACK(611) 0.00 0 0 19 16 19 15 0 69 69
NON-OPERATIONAL COSTS SUBTOTAL 0.00 0 0 4,515 3.871 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 4.752,995 3.378,288 8.131,283
4ttachmenl_II_Part_III-Pages of 11
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, OH Forms 946 A and B(or the subsequent replacement if adopted
during the contract period), if so requested by the department.
The applicant assures that it will comply with'.
1. Title VI of the Civil Rights Act of 1964, as amended,42 U.S.C.,2000 Et seq.,which prohibits
discrimination on the basis of race, color or national origin in programs and activities receiving or
benefiting from federal financial assistance.
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.
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 III-Page 9 of 11
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ATTACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
CASH RESERVED OR PN11CIPATED TO HE RESERVED FOR PROJECTS
CONTRACT YEAR STATE COUNTY TOTAL
2019-2020' $ 0 $ 0 $ 0
2020-2021" $ 0 $ 0 $ 0
2021-2022"' $ 0 $ 0 $ 0
2022-2023"' $ 0 $ 0 $ 0
PROJECT TOTAL $ 0 $ 0 $ 0
SPECIAL PROJECTS CONSTRUCTIONIRENOVATION PLAN
PROJECT NUMBER:
PROJECT NAME:
LOCATION/ADDRESS:
PROJECT TYPE: NEW BUILDING ROOFING
RENOVATION PLANNING STUDY
NEW ADDITION _OTHER
SQUARE FOOTAGE: 0
PROJECT SUMMARY: Describe scope of work In reasonable detail.
START DATE (Initial expenamre of moos)
COMPLETION DATE:
DESIGN FEES: $ 0
CONSTRUCTION COSTS: $ 0
FURNITURE/EQUIPMENT: $ 0
TOTAL PROJECT COST: $ 0
COST PER SO FOOT: $ 0
Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and
mobile health vans.
•Cash balance as of 9/30/20
• Cash to be transferred to FCO account.
—Cash antidpated for future contract years.
Atlamment_v-Page 11 of 11
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.
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.
• Vehicle Fuel
The County charges the State for fuel whenever the County pumps are used.
• 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 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
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 Funding
Oct 2020 $ 108,750 Apr 2021 $ 108,750
Nov 2020 $ 108,750 May 2021 $ 108,750
Dec 2020 $ 108,750 Jun 2021 $ 108,750
Jan 2021 $ 108,750 Jul 2021 $ 108,750
Feb 2021 $ 108,750 Aug 2021 $ 108,750
Mar 2021 $ 108,750 Sep 2021 $ 108,750
BOARD OF COUNTY COMMISSIONERS FOR MONROE COUNTY
SIGNED BY: - I. Q IM J
NAME: Michelle Coldiron
TITLE: Mayor
DATE: a4< - +
ea
ATTESTED TO: KEVIN 1ADOK, CLERK
_ 1p
1
SIGNED BY: . ,... .,
NAME: Pamela Hancock
TITLE: As Deputy Clerk
DATE: i+.i. 9,
Page I of I MONROE COUNTY ATTORNEY •
0
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